HomeMy WebLinkAbout2005-HVAC (furnace & a/c)
~e
OSHKOSH
ON THE WATER
Job Address 1537 RUGBY ST
CITY OF OSHKOSH
No
116796
HVAC PERMIT - APPLICATION AND RECORD
Owner
ELAINE G LYONS REV TRUST
Create Date 10/17/2005
Plan
Contractor STEINBRUNER HEATING & COOLING
1"1 Gas I 1011
Fuel
System n New
Lv'! Forced Air U Radiant
I I Electric I I HotWater
Chimney Type K) Chimney A ( ) Chimney B
Heat Loss K ) As Approved . Existing
BTU Rate K ) As Per Plan ( ) Variable
Category 502 - Residential-Both
1"1 Electric
I I Solar
I I Solid
PI Replace
U Steam
I I Suppl.
~
Lv'! AlC I U Vent
I I Con. Bumer I
( ) Not Applicable
. DirectVent
( ) Not Applicable
. Other
Value
Value 70000
Use/Nature FRI Replace furnace and AlC, install chimney liner - EIV provided by Seckar Elect
of Work
$3,000.00
Plan Approval
$0.00
Penmit Fee Paid
$50.00
Fees: Valuation
Issued By:
Date 10/17/2005
D PennitVolded I
Parcelld # 1305000000
In the performance of this work, I agree to perfonn all work pursuant to rules govemlng the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perfonn the work
described in this pennlt 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
AgenUOWner
Address
600 OREGON ST
OSHKOSH
WI 54902-0
Telephone Number
(920)426-1830
To schedule inspec1ions please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspec1ion (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.
10~14!2005 14: 50
19204251890
STEINBRUNER HEATING:
PAGE 02
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, Electric Installation Verificati
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n
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at the fOllowtg address:
~~'ì 09"-
(Zip Code)
(Address ere ork will be p
The nature ,Ithe work consists of: (Check One or Describe the Nat
~ J.econnection or new circuit for replacement Heating PI t and/or AlC Condenser.
Reconnection or new circuit for replacement Electric W ter Heater or power vented
I water heater.
Reconnection of the Service Entrance Cable, Meter Box alterations to receptacles
I and lighting fixtures due to siding! soffit installation Note: New Service
I Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of othe permanently wired
I appHances I fixtures.
New circuit for the addition of A/C to an individual dwe ing unit (house or the
! individual systems in a duplex or condominium), inc uding required service
The value oft is work is $' .
I hereby verif this work wm be performed by an employee of this co pany and further verify
the reconnecti<>n I installation will be done in compliance with manut turer and Electric code
requirements.
/ ó ~('f -OS;-
(Date)
6