HomeMy WebLinkAbout0111217-HVAC (boiler)OSHKOSH
ON THE WATER
.lob Address 622 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 ALFRED J/BONNIE VERNER
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 O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
111217
10/21/2004
Other
Vent J
175000.00
Use/Nature SFR/Replace boiler. - EIV provided by Seckar Elect.
of Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$35.00
Date 10/21/2004
Parcel Id # 0703660000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 600 OREGON ST OSHKOSH WI 54902 -0 Telephone Number
(920) 426-1830
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
i0/13/2084 89:59 i920426i890 STEINBRL~R HEATING: PAGE 02
Electric Installation VerificatJ
(Eleemcal Comract~ N~e)
(Add~) (City)
have ~en c~tmct~ to perfo~ elec~c installation work for ~
at ~c follo~ng ~: ~
(Address where work ~11 be
~e nature oftbe wo~ cubists of: (Check One or D~cfibe ~e N~
~<o~tion or new ci~uit for rcpl~em~t H~ating P
~eeo~tion or new circuit br ~lac~t Ele~c ~
~eco~tion of the S~icc Entr~ce Cable, Meter ~:
~d li~t~g fixtur~ duc to aiding/~ffit jnstall~io:
: En~ Cabl~ will ~uirc a a~tc p~it.
~econn~tion or n~ ci~uit for the replac~t ofat~
~pli~c~ / fixt~.
New circui~ br ~c additi~ of ~C to an individual d~
individual a~tcm$ in a duplex or condominim), im
~her
The value of ibis work is $ I~' ~s~ ?
I hereby veri~y this work will be performed by an employee of this c~
the reeonneetlon / installation will be done in compliance with manul
requirements..
(Signat/ure of Company Officer)
(Print Name of Officer)
~n
(State) (Zip Code)
te of party contracted to)
'on ed)
re of Work)
mt md/or A/C Condenser.
tter Heater or power vented
alterations to receptacles
Note: New Service
~etrannently wired
ing unit (house or the
luding required aervice
mpany and further verify
aCturer and Electric code
(Date)