HomeMy WebLinkAbout0120886 H
o
. OSHKOSH
ON THE WATER
Job Address 1025 OAK ST
Contractor STEINBRUNER HEATING & COOLING
CITY OF OSHKOSH
No
120886
HVAC PERMIT -APPLICATION AND RECORD
~i1
~ Gas
o New
l!J Forced Air
U Electric
Chimney Type K:) Chimney A
Fuel
System
~~~tI
IT8~~~
. ChilTll1..~y B
___~xisting
O_Y?_riable
Heat Loss
K:) As Approved
K:) As Per Plan
BTU Rate
Owner MICHAEUSANDRA BURTON
Create Date 08/0212006
Plan
Category 501 - Residential-Air Conditioning
~ Electric
o Replace
U Steam
U Suppl.
U Solar U Solid
Q Other
l!J AlC uvent
U Con. Burner
() Direct Vent () Not Applicable
o Not Applicable
. Other
Value
Value
Use/Nature FR / REPLACE FURNACE, AlC AND LINE CHIMNEY, EIV PROVIDED BY SECKAR ELECTRIC
of Work
Fees: Valuation
Issued By: Sm~
$3,000.00
Plan Approval
Permit Fee Paid
$0.00
_~~55.o..Q
Date 08/0212006
Parcelld # 1109990000
o Permit Voided I
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
S9~Qli26-1~~~
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.
07/05/2005 10:25
19204251890
STEINBRUNER HEATING:
PAGE 10
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Electric Installation Veriflcati 0
r (We)
S." L c. - f I.. -'
~G (J.. r Z-- ~ TV; c....
(Electrical Contractor Name)
have been c~ntracted to perfoon electric installation work for
I
I
!
at the folloWing address:
i
LQ 2. ~ C>a.~', .fit.- -r-''''- .
(Address where work will be p rfonned)
I
The nature of the work consists of: (Check One or Describe the Nat re of Work)
i
-4- : RecoiUlection or new circujt for replacement Heating P t amcJ/or Ale Condenser.
_ 'Reconnec.tion or new circuit for replacement Electric W ter Heater or power vented
I water beater. .
_ 'Reconncction of the Service Entrance Cable, Metor Bo altentions to receptacles
! and lighting fixtures due to siding !soffit instalhltio . Note; New Service
! Entrance Cables will require a separate pennit.
_ 'Reconnec6on or new circuit for the replacement of othe pennanently wired
i appliances I fixtures.
~ I New circuit fur the addition of Ale to an individual dw ling tnt/I (house or the
: indi vidual systems ,in a duplex OJ'" condominiwn)l in Juding required service
! electrical outlets.
~ IOther
I
'7
The value 0 fthis work is $
I hereby verify this work will be performed by an employee of this co~panY and further Verify
the r~connec~ion / installation win be done in compliance with mauuf1 crurer and Electric code
requlrements; .
,
(Signature of Company Officer)
{J( ~J1...~, ~c.h.~1
(Print Name; of Officer) t-
. I
I
t, ... S--oC-
(Date) .