HomeMy WebLinkAbout0122951-HVAC (furnace)
e
OSHKOSH
ON THE WATER
Job Address 1021 W NEW YORK AVE
CITY OF OSHKOSH
No
122951
HVAC PERMIT -APPLICATION AND RECORD
Owner ALOIS/KATHLEEN TECLAW LIFE ESTATE
Create Date 12/19/2006
Contractor STEINBRUNER HEATING & COOLING
Fuel ~ Gas :-==J UOil
System ~
~~~_Air j U Radiant
~ctric U Hot Water
Chimney Type KJ Chimney A . Chimney B
Heat Loss D As Approved . Existing
BTU Rate D As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
C) Direct Vent
U Solar U Solid
o Other
U NC U Vent
U Con. Burner
C) Not Applicable
o Not Applicable
. Other
Value
Value
70,000
Use/Nature SALON / SINGLE FAMILY -INSTALLA FURNACE REPLACEMENT AND CHIMNEY LINER TO THE SINGLE FAMILY BEHIND THE
of Work SALON, EIV PROVIDED BY SECKAR ELECTRIC **debt acet
Fees: Valuation
$2,500.00
Plan Approval
$0.00
Permit Fee Paid
$47.50
Issued By: (5-y-Y1 LLJ
Date 12/19/2006
o Permit Voided I
Parcelld # 0502680000
In the performance of this work, I agree to perform all work pursuant to rules governing the described consttuction.
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.
~ 12/05/2005 14:59
$.fII?JIIl<Mh ,
l, .....of~'_s..-
;ro....13O '
1 * 1:. WI S8Cll-lllO !
... (MO) 2,16..SOSO
JIll (920) ~
1,
L
19204251890
STEINBRUNER HEATING:
PAGE 01
DEe \ S 2!IiI PI'}
~,
~
HVAC PERMIT APPLICATION
All mror..tion After bold ~"1DIIIt be prcwided;
t ,lDcomplete appHctl~ wID DOC be pro~e't'",d. '
'~' Applicauon(s) and f~8) can be broupt to Cjty HaU, Room 205 or mailed to In~rion Services, PO Box 1128.
Oshkosh WI S4903-11r28. Commcucing work without pennil(l) will ......11 in f... beins doubled or $100.00 plus !he
tIII1DIl permit fee, whi ever i. pater.
,I::', . OR " . . . ·
I. Jf:..-: ~::: l~~: ~:;'~;'tr:t~z:.~:,,;~ r::c::;::rnm1 $x.tom and liDO< admal. r.nd, ~.ck her<
I, : ; . ' DA~ l ~lt-:o(; ,
, ... ADDRESS ew tf ~ '
I:;I.~~J&K
I ',' '
'~.IaACTa
r:-l'_~ if ALL APPLIJuLE
f;;"'>", DGORY !",
~FamilY 0 I lex IJMulti-Family
r'"
:;:~ ~ Electric DSolid SYSTEM ONew!
i . DOiI Sol.... DOtbor ,
, ~ Air lJRadiaDt cSteam CAlC OVent OEleetric ORat Water OSuppl.oom. Burner
':'~CJDMNEYBEINGL DONo~ -UNERSIZB 3" &.MANUFA~--:-
, -= All C'bimney9 &haJJ be . per the Bro's b~. vented.
1:"...~1UYTYrE A ~B O(HaecrlVcnt DOdIer
. 8A1'LOSS Appaowd ~ DNutApr6-~
ftO RATE Per PIa OVariahle CIOIha'V.. '1 () lni) ~ TJ1
:.~ONOFAU.rORKBmlGDONE Ib-ptYL h"I104<11:lfll <'-kim~
r . :
i
1 ~
'.v ALUE (IachdIllll....... 0+ flII_olslDcl...u.,1IrJd -) s :}-S On ( 00
l. ' , ' I
, ~~CALCONTRACTOR ~.t".lIr"""' . .Q.I..IledricI.......do. 41...r .. ..idllld(rf~.~II)
t . . I E/t/t1fI'kJII~iJf~.'pmaI~/<<d-byll~~,
I' I I
I I
i
I
I
!
i
0RaJtaI
OCommereial
ClIndustrial
~1acc
,
l ':
f
t
~ '
i:
i
I:: ..
;.ti\;i,:...: .
...h.....,
;.;~t;ij.:;:,;.,
~t:i:i;.f:': .
. $.......
. ,~",.'
""
"
'i"::"
~~~:~1'~',:, .'
;~~A~:~~'~ >:'
.;~.:!;i.:...:...
,Y. :?!;'..r
!oS '~{~"~'.,,:
.,,:" .
.i~.;;~:.,\: :
:'!.l..:.~:,
J..l)W."
,t;l~'.." I'" ..
'," ,
i~~~k.
,,!{,"I.."f', ,
,..~.,..,..:
.:. ;..'~;l:, .
:......;~J:i.. '
~~.;.:-Ij<.,
:.:1';".'
~.~;" .
" '.."
.;. ,:\'"
.. ~;,..' .
::~. ":l:l~:'\' /:,',
;:~:~~?~~. ',:::'
.,fSb., ,'.
~,f.:~k:',
~"..... .
.,. ....'.N...
:;;:~:~~~:~:':':"," .
f. ;.
~I~:~~:i ~ .
. ,,'~';f. "
:( ;r~~~i~ ;:."
:~t;,~.:'. .:
~ . '. " ,
.' f,h.,.:,.
;'.tI';"~'''~ I '"
:~'J:i,::;~',:,
:i' .l~~~:,..~. ::
(: ,~~.\.)
12/05/2005 14:59
STEINBRUNER HEATING:
PAGE 02
19204251890
~
~
.a
C"ily ofOlNlG1ll
Divilicmorr...-Iion ~
:1 IS Oalftll A_llI:
I'() Doll IllO
~ WI }49Ol-ll)o
OIlb920-2J6-SO~
Fu 920-236-5014
DEe 1 9 2006
~
()~
Electric Installation Verificatipn
I !
I(We)4k:~ €,LcL11e-Ic- CO}A.ff!1:J'r' INf-.
I (Electrical Contractor Name)
~ CO(j~' ("w,,~ ,e..l>. /)J11JtJWfohlff WI Stl48"
(Ad~ress) (City): (State) (Zip Code)
have been coJtracted to perfonn electric installation work for SmAJ6.e vNt??"k.
1, . (N~e ofpany contracted to)
at thefollowi ,g address: I flU. if ~. Juw ~ q.J! .
: . . . ... (Address wh~ wIll be p~onned) .
The natureof~he work consists of: (Check. One or Describe the NatJe of Work)
1 Jeconnection or new cjrcuit for replacement Heating PILtandlor Ale Condenser.
Rec:onnection or new circuit for replacement Electric WateX' Heater or power vented
I water heater.
Reconnection of the Service Entrance.CabJe, Meter Box, alterations to receptacles
! and lighting fixtures due to siding I soffit installation; Note: New Service
! Entrartce Cables wiU require a separate permit. .
~econnection or new drcuit for the replacement of other'pennanently wired
I appliances / fixtures. :
New circuit for the addition of Ale to an individual dwelling unit (house or the
I individual systems in a duplex or condominium), inc~udjng required service
I electricaJ outlets. .
4ther
I
The value of tJis work is $ ? .
I hereby veri/ylthis work wlU he perfonned by an employee of this co,i.pany and further verify
the reconnectidn I installation will be done in compliance with manufabturer and Electric code
requirements. I '
~frAJeJe , SELtA1e..
(Print Name of Officer)
12-[,-"
(Date)
re oflCompany Officer)
I
.---...