HomeMy WebLinkAbout2004-HVAC (furnace)OSHKOSH
ON THE WATER
1331 WASHINGTON AVE
STEINBRUNER HEATING & COOLING
Job Address
Contractor
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 LOIS R ROEDER
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
111294
10/26/2004
Other
Vent J
90000
Use/Nature SFR/Replace furnace and install 3" chimney liner - EIV provided by Seckar Elect
of Work
Fees: Valuation
Issued By:
$2,500.00 Plan Approval $0.00
Permit Fee Paid
Permit Voided J
$42.50
Date 10/26/2004
Parcel Id # 0203690000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 600 OREGON ST OSHKOSH WI 54902 -0 Telephone Number
(920) 426-1830
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~0/22/2B04 89:55
! (we) ,.~
(Ad
have been cog
at ~e followi
The nature
Thc value
I hereby verif)
the reconnecti(
requirements,
{$igna~r¢
19204261890
5T£I~ HEATING:
Electric Installation Verificati~
(Electrical Contractor Name)
tess) (City)
tracted to perform electric installation work for
(Address Where work will be pe
work consists oE (Check One or Describe the Natu
~connection or new circuit for replacement Heating PI;
~onnection or new circuit for replacement Electric W;
water beater,
;econnection of the Service Entrance Cable, Meter Box,
and lighting fixtures due to siding / soffit installation
Entrance Cables will require a separate permit.
[econnection or new circuit for the replacement ofolbm
appliances / fixtures.
ew circuit for the addition of ArC to an individual dwe,
individual systems in a duplex or condominium), inc
electrical outlets.
Iher
is work is $
this work will be performed by an employec of this cm
~ / installation will be done in compliance wilh manuf~
Company Office~)
(Print Name of O£ficcr)
812
I1
(Slate) (Zip Code)
u~ ub'eTe~ ,
of party cont~a~tcd to)
'formed)
· of Work)
nt and/or MC Condenscr.
t~ Heater or power vented
alterations to receptacles
Note: New Service
~rflaflently wired
ng unit (house or the
ading required scrvicc
apany and further verify
:turer and Electric code
(Date)