HomeMy WebLinkAbout0118278-HVAC (furnace & a/c)
~
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
118278
HVAC PERMIT - APPLICATION AND RECORD
Job Address 2004NEBRASKA ST
Owner
THOMAS RNICKI GROBE
Create Date 02123/2006
Contractor
STEINBRUNER HEATING & COOLING
Fuel
Category 502 - Residential-Both
1 1 Electric
Plan
1"'1 Gas
n New
~ Forced Air
1 I Electric
Chimney Type K) Chimney A
System
I 1011
I
I I Solar
1 I Solid
0. Replace
U Steam
1 I Suppl.
e) DlrectVent
D Other
U Radiant
I 1 Hot Water
8 ChlmneyB
~ IVC I
I I Can. Bumer 1
() Not Applicable
U Vent
Heat Loss
() As Approved
K ) As Per Plan
e ) Existing
e ) Variable
8 Not Applicable
8 Other
Value
BTU Rate
Value
Use/Nature FR\ Replace furn., line chimney, complete IVC in spring.
of Work
Fees: Valuation
$4,000.00
Plan Approval
$0.00
Permit Fee Paid
$65.00
Date 02123/2006
Issued By:
Alt
D Permit Voided I
Parcelld # 1400720100
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.
132/17/213135 15: 13
1921342518913
STEINBRUNER HEATING:
PAGE 134
~
~
.5llJ3
Cj'YO'Oshk"h
0"";0' .""",,"ion s...i<..
"SChuJ<h A"on'"
1'0 Box ",.
Oshkosh WI ".0'.1 ".
am.. 920-""'.50
FIX 920."6-'.84
Electric Installation V erificati n
I (We)
N
5~ 0 COrJNM ,e..t:>
(A dress) (City)
have been c+tracted to perfonn electric installation work for S
, (N
at the following address: ()I-{ JJ..e h,.ú ':Ie cv
! (Address where work will be p rfonned)
The nature Jthe work consists of: (Check One or Describe the Nat re of Work)
-y- beconnection or new circuit for replacement Heating P ant and/or AlC 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 receptacles
land lighting fixtures due to siding I soffit instal1atio - Note: New Service
Entrance Cables will require a separate pennit.
cconnection or new circuit for the replacement of oth pennanentJy wired
I appliances I fixtures,
- New circuit for the addition of NC to an individual dw lIing unil (house or the
I individual systems in a duplex or condominium), in luding required service
L electrical outlets.
¡ther
I
The value Of hiS work is $ .
I hereby veri y this work will be perfonned by an employee of this c mpany and further verify
the reconneclion I installation will be done in compliance with manu acturer and Electric code
requirementsl
tAoL
(Signa'lre ~fCompany Officer)
-544.9'"
(Zip Code)
.2. /7 -tl~
(Dale)
0