HomeMy WebLinkAbout0122955-HVAV (boiler)
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OSHKOSH
ON THE WATER
Job Address 2216 HAMILTON ST
CITY OF OSHKOSH
No
122955
HVAC PERMIT -APPLICATION AND RECORD
Owner JOLENE A ST MARIE
Create Date 12/19/2006
Contractor STEINBRUNER HEATING & COOLING
Fuel ~ Gas UOil
System o New
U Forced Air U Radiant
U Electric ~ Hot Water
Chimney Type . Chimney A () Chimney B
Heat Loss K:) As Approved . Existing
BTU Rate K:) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric_=:J
o Replace
U Steam ~
U Suppl. ~
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
() Direct Vent
~ Not Applicable
() Not Applicable
. Other
Use/Nature SFR / REPLACE BOILER, EIV PROVIDED BY SECKAR ELECTRIC
of Work
Value
Value
51,000
Fees: Valuation
$2,500.00
Plan Approval
$0.00
Permit Fee Paid
$47.50
Issued By:
Date 12/19/2006
o Permit Voided I
Parcelld # 1214400000
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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19204251890
STEINBRUNER HEATING:
PAGE 01
[lEe 1 9 2006 i
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HVAC PERMIT APPLICAnON
! All inCormadoJa.... bold cateaor* II1UIt be ~.
! Incomplete appUcaca. will DOt be ~.
,:. Appllcation(.) and fJ..) can be brouPt to City U.JI,Iloom 20S or mailed 10 Impection ScrviceI, PO Box J 128,
Oshkosb WI 54903-1128. Conunencing work wi1bout pennit(s)will result in fees being doubled or SI00~OO plus the
mnna] permit fee, ~ch ever is greater.
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. . fi:: :i~: i~~;~:~f':;~:u:n.~ ':.:::;::I~qP"" gymm t/Q"- ~4" Ad>>mi, f..d,. c~~.<k lo"
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'~;bacK Ii! ALL APPlJ
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CIIDINEY TYPE
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CINal Applicable
[]()cher Value "'. r 5/ 01'J'0 W 1131!-
A{'/tU~ tulle,
;.~ONOF
WORK BEING DONE
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VALUE (lDdudlu& labor .,d ..1....wlaIs lDcIad.... Uchl fIKta...., S ,p.~. '::9
~.zcnuCAL comJcrOR. ~r~1J .- QB. J(EJedtk Iutlllado, .;~ ,; . . - .icbe4(1(~Iacement)
; , .. : EI.mtCtllIM,lIIlt1tkNt OIIl~I.1p1MlU lilt/II III dtl1le by 1/<<IrHd ~.
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12/19/2006 14: 05
19204261890
STEINBRUNER HEATING:
PAGE 02
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Electric Installation VerificatioD
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€.Let- -ve, c.. COI^PNJ\' / N ~ .
(Electrical Contractor Name)
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(Ad ) (City) (State) (Zip Code)
have been coJtracted to perform electric installation work for -.Wi AJ6.e lJ,N-e7e..
. i (Name ofpartycontractcd to)
at the followibg address: 2.. "Z..1C, ~ ~
: (Address where work will be pcrfonncd)
The nature o~the work consists of: (Check One or Describe the Nature of Work)
.--&. ~econnection or new circuit for replacement Heating Plant and/or Ale Condenser.
_ econnection or new circuit for replacement Electric Water Heater or power vented
. . water heater.
,econnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
: Entrance Cables will require a separate permit.
teconncction or new circuit for the replacement of other pennanently wired
I appliances I fixtures. .
~ew circuit for the addition of Ale to an individual dwelling unit (house or the
: individ.ual systems in a duplex or condominium), including required service
! electrical outlets.
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The value of ~iS work is $
i
I hereby veri fl, this work will be performed by an employee ofthis company and further verify
the reconnectfon I installation will be done in compliance with manufacturer and Electric code
requirements. !
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(Signa re ~f(::ompany Officer)
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(Print Name of Officer)
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