HomeMy WebLinkAbout0111214-HVACOSHKOSH
ON THE WATER
.lob Address 659 FREDERICK ST
Contractor STEINBRUNER HEATING & COOLING
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner HABITAT FOR HUMANITY OF OSHKOSH II
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
111214
07/07/2004
Other
Vent J
45000
Use/Nature NSFR/HVAC System for New single family residence
of Work
Fees: Valuation
Issued By:
$1,000.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$20.00
Date 10/21/2004
Parcel Id # 0704290000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 600 OREGON ST OSHKOSH WI 54902 -0 Telephone Number
(920) 426-1830
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Electric Installation Veriflcati
(El~tfical Conl~¢mr ~ame)
(Ad~ress) (City)
have been contracted to perform electric installation work for ~'~
~ (Nam
at the followidg add.ss:
. (Address where work will be pc
The nature or'he work consists of: (Check One or Describe the Natu~
X ]~:~onncction or new circuit for rePlacement Heating Pla
l~econnection or new circuit for replacement Electric W~
i water heater.
~ R~connection of the Service Entrance Cable, Meter Box,
i and lighting fixtures due to siding / soffit installation.
t Emrance Cables will require a seParate permit.
__ R4~onnectioa or new circuit for tbe replacement of other
~ appliances / fixtures,
__ N~w circuit for the addition of MC to an individual dwel
individual systems in a duplex or condominium), inch
electrical out]ets.
C~ her
The value of th; work is
1 hereby verify als. work will be performed by an employee of this con
the reconnectio~ / installation will be done in compliance with manufa~
requirements.
(Signa~re of Company 0 ~ceo (Print Name of Officer)
~n
(State) (Zip Code)
: of party contracted to)
formed)
~ of Work)
~t and/or AJC Condenser.
er H~ater or power vented
tlterations to recePtacles
Note: New Service
~ermanently wired
ng ~nit (house or the
ding required service
)any and further verify
urcr and Electric code
(Date)