HomeMy WebLinkAbout0116977 H
~
OSHKOSH
ON THE WATER
Job Address 532W16THAVE
CITY OF OSHKOSH
No
116977
HVAC PERMIT -APPLICATION AND RECORD
OWner
MARIE E COMBS
Create Date 10/27/2005
Plan
Contractor
STEINBRUNER HEATING & COOLING
Category 500 - Residential-Heating & Ventilating
Fuel
I I Oil
1 I Solid
System
I~I Gas
n New
~ Forced Air
I I Electric
PI Replace
I I Solar
1 I Electric
Chimney Type K) Chimney A
Heat Loss K ) As Approved
BTU Rate K ) As Per Plan
U Radiant
I I HotWater
. Chimney B
0 Other
U AlC I U Vent
I I Con. Burner I
( ) Not Applicable
U Steam
I I Suppl.
() DirectVent
. Existing
( ) Variable
( ) Not Applicable
. Other
Value
Value 70000
Use/Nature FRI Replace furnace. EIV provided by Seckar Elect - No Chimney liner being installed--Where an appliance is permanently disconnected
of Work rom 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
0 provide the appliance or appliances served with the req. draft.
Fees: Valuation
$2,800.00
Plan Approval
$0.00
Permit Fee Paid
$47.00
Issued By:
Date 10/27/2005
D Permit Voided I
Parcelld # 1301300000
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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10/21/2005 09: 41
PAGE 03
19204251890
STEINBRUNER HEATING:
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1 Electric Installation Verificati n
I (We) ~ €,LE(... c. CO,^- \I tV
I (Electrical Contractor Name)
5'¡¡:;to C-OlJ~ t..V f-C> IAJ
(Ad1ress) (City)
have been co~tracted to perform electric installation work for
I
at the fOIlOW¡Jg address: 53 2-. l..U, fA ~
I (Address where work will be p
The nature of~he work consists of: (Check One or Describe the Natu e of Work)
L Jeconnection or new circuit for replacement Heating PI t and/or NC Condenser.
Reconnection or new circuit for replacement Electric W ter Heater or power vented
I water heater.
- ~econnect¡on ofthe Service Entrance Cable, Meter Box alterations to receptacles
[ and lighting fixtures due to siding I soffit installation Note: New Service
I Entrance Cables will require a separate permit.
- Reconnection or new circuit for the replacement of othe pennanently wired
I appliances I fixtures.
- Mew circuit for the addition of AIC to an individual dwe ling unit (house or the
[ individual systems in a duplex or condominium), inc uding required service
1 electrical outlets.
¡'her
I-
I
The value oftris work is $ ? ,
¡ hereby verify this work will be performed by an employee of this co npany and further verify
the reconnectibn / installation will be done in compliance with manu!: cturer and Electric code
requirements, I
J;"t'lJ.., , E~ JO-IN"
(Sign~tl.re of Campan)! OffiCl"r) (Print Name of Officer) (Date)
ß44.øG:,
(Zip Code)
6