HomeMy WebLinkAbout0115312-HVAC (furnace & A/C)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
115312
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1244 W 9TH AVE
Owner
MR/MRS DAVID L POLLACK
Create Date 07/20/2005
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 / 2.5T
Use/Nature SFR/ Replace furnace and A/C, install 3 " chimney liner - EIV provided by Seckar Elect.
of Work
Fees: Valuation
$3,500.00
Plan Approval
$0.00
Permit Fee Paid
$57.50
Issued By:
Date 07/20/2005
U Permit Voided 1
Parcelld # 0606880100
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.
07/19/2005 10:53
19204261890
STEINBRUNER HEATING:
PAGE 02
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(Check One or Describe the Nat re of Work)
econnection or new circuit for replacement Heating P ant and/or NC Condenser.
econnection or new circuit for replacement Electric ater Heater or power vented
water heater.
I econnection of the Service Entrance Cable, Meter Bo , alterations to receptacles
and lighting fixtures due to siding / soffit installatío . Note: New Service
Entrance Cables will require a separate pennit.
Reconnection or new circuit for the replacement of oth r permanently wired
appJiances / fixtures.
New circuit for the addition of NC 10 an individual dw /ling un;l (house or the
individual systems in a duplex or condominium), in luding required service
electrical outlets.
Other
.'i.-
"
I hereby veri y this work will be perfonned by an employee of this c mpany and further verify
the reconnec ion / installation will be done in compliance with man acturer and Electric code
requirement.
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7-(9 -oS
(Date)
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