HomeMy WebLinkAbout0121543-HVAC (furnace & a/c)
1'-.
G
OSHKOSH
ON THE WATER
Job Address 1339 BISMARCK AVE
CITY OF OSHKOSH
No
121543
HVAC PERMIT -APPLICATION AND RECORD
Owner SHIRLEY A ZUMSTEIN
Create Date 09/14/2006
System
l!:J Gas
D New
~ Forced Air
U Electric
Chimney Type K:) Chimney A
UOil
Category 502 - Residential-Both
l!:J Electric
o Replace
U Steam
U Suppl.
Plan
Contractor
STEINBRUNER HEATING & COOLING
U Solar U Solid
D Other
~ AlC U Vent
U Con. Bumer
Fuel
BTU Rate
KJ As Approved
K:) As Per Plan
U Radiant
U Hot Water
. Chimney B
. Existing
() Variable
Heat Loss
() Direct Vent () Not Applicable
() Not Applicable
. Other
Value
Value
Use/Nature :::;FR / REPLACE 70, 000 BTU FURNACE AND 2TAlC UNIT (ELECTRIC TO BE DONE BY SECKAR ELECTRIC) **debt acct
of Work
Fees: valu~,ooO.OO
Issued By:
Plan Approval
$0.00
Permit Fee Paid
$70.00
Date 09/14/2006
D Permit Voided I
Parcelld # 0610390000
In the performance of this work, I agree to perform all work pursuant to rules goveming 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
AgenUOwner
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.
..... 09/14/2006 14: 34
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19204261890
STEINBRUNER HEATING:
PAGE 10
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c.,-~ STEINBRUNER
==-we.~/nll .. Caallnlil
~ Street · Oshkosh, Wisconsin 5 902
~ ~920) 426-1830 · FAX (920) 426-1 90
,. P1O-~ .
Electric Installation Verificati
J (We)
~~C).
(A~s) (City)
I
have been cdntracted to perfonn electric installation work for
at the following address:
,
(Nam of party wntractcCl to)
I ~.3 9 B~_5 tl1tJa-~._" .,
(Address where work will be ~ formed)
i
The nature o!the work consists of: (Cheek One or Describe the Natu of Work)
i
-t:... bnnectioo or new citcuit for replacement Heating PI t and/or Ale Condenser.
Reconncction or Dcrw circuit for replacement Electric W er Heater or power \'ented
! water beater.
____ .ReeoIlJ1eetion of the Service Entranee CabJe~ Met<< Box. tetatiODe to receptacles
: and 1iBhringfixturea due to siding / soffit instal14tion. Note; New Service
: Entrance Cables will require B sep&nte penn.t.
Reconnection Of new circuit for the replecemcn, of other anemJy wired
i appliances IfixturCB.
New circuit for the addition of AIC to an ;ndi",ithtol dwe
, individual systems.in a duplex or condominium), inc
J elcctrbl outlets.
l,fther
I
!
7
I
Tbe value of ~js work is S
I hereby verify1this work will be performed by an employee ofthi, com any and further verify
the reconnectidn / installation will be done in complianoe with manufac er and Electric code
requiremenfS. i
i
,
q"'/,/-00
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(4:/U:.. ~.~~
(PrintNatneofOf5c~~
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(SignAture of Company OtTice.-)
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