HomeMy WebLinkAbout0114721-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
114721
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1941 MCCURDY ST
Owner
DONNA M PABLE REV TRUST
Create Date 06/17/2005
Contractor STEINBRUNER HEATING & COOLING
1,(1 Gas 1 1 Oil
Fuel
1 1 New 1
System
l..j 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 502 - Residential-Both
1,(1 Electric
Plan
1 1 Solar
1 1 Solid
1
1 1 Other
1 U Vent
1
1,(1 Replace
U Steam
1 1 Suppl.
l..j A/C
1 1 Con. Burner
. Direct Vent
0 Not Applicable
0 Not Applicable
. Other
Value
0
Value
70000
2T
Use/Nature SFR/ Replace Furnace, and A/C install 3" chimney liner - EIV provided by Seckar Elect.
of Work
Fees: Valuation
$2,500.00
Plan Approval
$0.00
Permit Fee Paid
$42.50
Issued By:
Date 06/17/2005
U Permit Voided 1
Parcelld # 1408600500
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.
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215 Ch""h Avo,,",
PO Bo, 1130
Oshkosh WI 54903-1130
Offi" 920-236-5050
Fa< 920-236.5084
Electric Installation Verification
I(We) ,-9Z~ttt:
{£LEc.-lliIC COJ¡,.f'kNY IN6-
(Electrical Contractor Name)
5?J¿-o CDUf:W{':;1( (>c...uI^I^ëf! f-t:>. /)JIIJ/Jf:GDNIJI:: t(jJ
(Address) (City) (State)
~4'1B~
(Zip Code)
have been contracted to perform electric installation work for STEI þJ(;.£ UNC7e...
(Name of party contracted to)
at the following address: JQ..1:LhrLr QlIJrß ~ 'YV
(Address where work will be performed)
The nature ofthe work consists of: (Check One or Describe the Nature of Work)
-X
Reconnection or new circuit for replacement Heating Plant and/or NC Condenser.
- Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
- Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate permit.
- Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
- New circuit for the addition of NC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $
'1
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
~
SrL,
þlA-¡Jd , St:ë.J:.-Arè
(Print Name of Officer)
(p~r;ir)S'
~ at)
(Signa re of Company Officer)
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