HomeMy WebLinkAbout0111919-HVAC (furnace)
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
111919
HVAC PERMIT - APPLICATION AND RECORD
Job Address 547 EVANS ST
Owner
MARK P/SHARON RADLEY
Create Date
12/06/2004
Contractor STEINBRUNER HEATING & COOLING
1,(1 Gas 1 1 Oil
Fuel
1 1 New 1
System
l..j U
Forced Air Radiant
1 1 Electric 1 1
Hot Water
Chimney Type () Chimney A 0 Chimney B
Heat Loss 10 As Approved . Existing
BTU Rate 10 As Per Plan 0 Variable
Category 500 - Residential-Heating & Ventilating
Plan
1 1 Electric
1,(1 Replace
1
1 1 Other
1 U Vent
1
1 1 Solar
1 1 Solid
U Steam
1 1 Suppl.
. Direct Vent
U A/C
1 1 Con. Burner
0 Not Applicable
0 Not Applicable
. Other
Value
0
Value
45000
Use/Nature SFR/ Replace furnace No Chimney Liner being installed - EIV submitted by Seckar Elect.Where an appliance is permanently disconnected from
of Work an existing chimney or vent (CN), the CN shall be resized as necessary to control flue gas condensation in the interior of the CN and to provide
he appliance or appliances served with the req. draft.
Fees: Valuation
$2,000.00
Plan Approval
$0.00
Permit Fee Paid
$35.00
Issued By:
Date 12/06/2004
U Permit Voided 1
Parcelld # 1102710000
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.
12/02/2004 11:26
STEINBRUNER HEATING:
PAGE 02
19204261890
"'.'
CI)
CJ{w.H
J? 03
CiI,.'o......
Di,;,....,,"I"CI;......,...
'" c..... """
1'0.,,"'0
Os_WI 54"3.1130
M.. 92O-!"..!OIO
Fa> '10."""'"
.«\.,.
',c,'.'
~44.9'"
(Zip Code)
","':
I (We) ~
I
5'1 0 CDV, t..V ftt> IAJ
(A!res5) (City)
have been c . tracted to perform electric installation work for
I
at the following address:
i
The nature ofthe work consists of: (Check One or Describe the Nat re of Work)
J2( keconnection or new circuit for replacement Heating P t and/or AlC Condenser.
- Reconnection or new circuit for replacement Electric ter Heater or power vented
I water heater.
- Reconnection ofthe Service Entrance Cable, Meter Bo ,alterations to receptacles
: and lighting fixtures due to siding / soffit installatio . Note: New Service
I Entrance Cables will require a separate permit.
- ~econnection or new circuit for the replacement of othe permanently wired
I appliances / fixtures.
- New circuit for the addition of AlC to an individual dw ling unit (house or the
I individual systems in a duplex or condominium), in luding required service
~ eleCtrical outlets,
- (her
I
,;.~;.
e of party contracted to)
7 lM:t/lS -
(Address where work will be p
:",'.
The value of tiS work is $ ( '¿ f?1'- .
I hereby veri this work will be perfonned by an employee alibis mpanyand further verify
the reconnect on / installation will be done in complianee with manu cturer and Electric code
requirements,!
(S~A~;..y om""
I
;,.,
/2 - "2 -eLl
(Date)
6
........-.-....
/'