HomeMy WebLinkAbout0114000 H
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114000
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1752 W 5TH AVE #C
Owner
KRISTEN J ROESLER
Create Date 05/11/2005
Contractor STEINBRUNER HEATING & COOLING
1 1 Gas 1 1 Oil
Fuel
1,(1 New 1
System
U Forced Air U 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 501 - Residential-Air Conditioning
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.
l..j A/C
1 1 Con. Burner
0 Direct Vent
. Not Applicable
0 Not Applicable
. Other
Value
0
Value
1 1/2T
Use/Nature Condo / Install A/C - EIV provided by Seckar Elect.
of Work
Fees: Valuation
$1,100.00
Plan Approval
$0.00
Permit Fee Paid
$21.50
Issued By:
Date 05/11/2005
U Permit Voided 1
Parcelld # 0611571000
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.
, -.-.I....--,--~--~~--
0,5/10/"2005 10: 42
19204261890
STEINBRUNER HEATING:
PAGE 03
~
~
.a 1,13
I no, of"'.....
Di"isio.ofln"",lio.5'Ni,"
m "'u..' Avoo~
PO Bo. 11)0
0."""" WI "90'-1130
Off~. 920-""'OSó
F" 920-236-508'
Electric Installation Verlficati n
¡(We)
N
s,:¡ 0 COlJN1J Et? 1?-t:>
(A dress) (City)
have been cttracted to perform electric installation work for S
i (N
at the fOllOwing address: &j f?'t rtV .
. (Address where work wiIJ be p rformed)
The nature Jthe work consists of: (Check One or Describe the Nat re of Work)
Ä rRcconnection or new circuit for replacement Heating P ant and/or AlC Condenser-
- II' Reconnection or new circuit for replacement Electric ater Heater or power vented
water heater.
- IReconnection of the Service Entrance Cable, Meter Be ,alterations to receptacles
i and lighting fixtures due to siding I soffit installati . Note: New Service
I Entrance Cables will require a separate permit.
- . Recennection or new circuit for the replacement of oth permanently wired
I appliances I fixtures.
- New circuit for the addition of AlC to an individual d /ling unit (house or the
! individual systems in a duplex or condominium), i eluding required service
I eleCtrical outlets.
~I~'~ . I
The value ojthiS work is $ . t
J hereby ve fy this work will be. performed by an eo:ployee of this rnpany and further verify
the reconne lOn I mstallatJon will \'Ie done m comphanee with man facturer and Electric code
requirement.
~14'ì.9'"
(Zip Code)
~
~
ScL.
Ó -5 -O~
(Date)
(Signa re fCompany Officer)
6