HomeMy WebLinkAbout0117634 H
'~
OSHKOSH
ON THE WATER
Job Address 609 N MAIN ST
CITY OF OSHKOSH
No
117634
HVAC PERMIT -APPLICATION AND RECORD
Owner
MICHAEL R DORSEY ETAL
Create Date 12/19/2005
Plan
Contractor STEINBRUNER HEATING & COOLING
I 1011
Fuel 1'-1 Gas
System n New
~ Forced Air U Radiant
1 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 500 - Residentiai-Heating & Ventilating
I I Solar
1 I Solid
1 I Electric
1"1 Replace
n Other
U þJC 1
I I Con. Bumer 1
() Not Applicable
U Vent
U Steam
1 I Suppl.
() DirectVent
( ) Not Applicable
. Other
Value
0
Value 90000
Use/Nature omm/ Replace furnce - EIV provided by Seckar Elect - No Chimney Liner being installed - NO DUCT WORK iNCLUDED IN THIS
of Work PERMIT - ONLY EQUIP REPLACEMENTIWhere an appliance is penmanently disconnected from an existing chimney or vent (CN), the CN
hall be resized as necessary to control flue gas condensation in the interior of the CN and to provide the appliance or appliances served
with the req. draft.
Fees: Valuation
$2,000.00
Plan Approval
$0.00
Penmit Fee Paid
$35.00
Issued By:
Date 12/19/2005
0 Permit Voided I
Parcelld # 0700660000
In the perfonmance of this work, I agree to perfonm all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perfonm the work
described in this penmit application within an easement, the City strongly urges the penmit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
600 OREGON ST
OSHKOSH
WI 54902-0
Telephone Number
(920) 426-1830
To schedule inspec1ions please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
12/1ç¡/2005 12: 38
'.
19204261890
STEINBRUNER HEATING:
PAGE 02
~
~
~ 1.'3
("jlY .f"'hk.,h
Oi.i,i.. ."......'io. S<Mccs
'" ("h"",h A",....
PO..d"O
O,"'",h WI "903."'0
Offict .~..,..~'O'O
FO' .,O-2)~"O"
¡(We)
'54'1.9"
(Zip Code)
have been c ntracted to perfonn electric in$tallation work for S
(N
at the follow ng addre$s:
¡d
The nature 0 t/le work consist$ of:
L Reconnection or new circuit for replacement Heating P ant and/or NC Condenser.
- IReconnection or new circuit for replacement Electric ater Heater or power vented
I water heater,
- Reconnection of the Service Entrance Cable, Meter Bo , alterations to receptac1e$
I and lighting fixtures due 10 siding / soffit installatio , Note: New Service
I Entrance Cables will require a separate permit.
- Reconnection or new circuit for the replacement of oth pennanently wired
I appliances / fixtures.
New circuit for the addition of NC 10 an individual dw /ling unit (house or the
I individual systems in a duplex or condominium), in luding required service
I electrical outlets.
- Flher
1-
j '1
The value of his work is $ . ,
I hereby veri y this work will be performed by an employee ofthis c mpanyand furtlJ.er verify
Ihe reconnectlon I installation will be done in compliance with manu acturer and Electric code
requirement$
cL.
re qfCompany Officer)
I
1~~::7 c;S
(Date)
B