HomeMy WebLinkAbout0111782-HVAC (furnace)OSHKOSH
ON THE WATER
1696 COVINGTON DR
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 JEFFREY L/LISA KOROTKO
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
111782
11/24/2004
Other
Vent J
70000
Use/Nature SFR/Replace furnace and line chimney w/3" liner - EIV provided by Seckar Elect.
of Work
Fees: Valuation
Issued By:
$2,200.00 Plan Approval $0.00
Permit Fee Paid
Permit Voided J
$38.00
Date 11/24/2004
Parcel Id # 1317020000
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.
11/23/2884 11:49
(we)
STEINBRUNER HEATING:
Electric Installation Verificati( n
(Electrical Contractor Name)
(A~dre~) (City)
have been contracted to perfo~ elect~c installati~ work for ~
(aad~Sa w~ework will be pc
The nature or'he work consists off (Check One or Describe the Nam
~ P, econnection ornew circuit for replacement Heating
, ,. Reconnection or new circuit for replacement Electric W;
waler heater.
Reconn¢¢tion of the Service Entrance Cable, Meter Box
and lighting fixtures duc to siding / soffit installatior
Entrance Cables will require a separate penuit.
geconnection or new circuit for the replacement ofoth¢l
appliances / fixtures.
New circuit for the addition of A/C to an individual dwe
individual system; in a duplex or condominium),
electrical outlets.
Other
7
The value of this work is $
1 hereby verlf~ this work will be performed by an employee of this co
the reconnectihn / instMlation will be done in compliance with mantlfi
requiremcnls.
(Print Name of Officer)
PAGE
(State) (ZipCode)
; ofparly contra~ted to)
.formed)
~ of Work)
~ and/or A/C Condenser,
ter Heater or power vented
alterations to receptacles
Notc: Nov Service
)ermanently wired
~,g unit (house or the
uding required service
npany and fu~her verify
lurer and Electric code
(Date)
<5)