HomeMy WebLinkAbout0126012-HVAC (furnace)
e
OSHKOSH
ON THE WATER
Job Address 80 CRIMSON LN
CITY OF OSHKOSH
No
126012
HVAC PERMIT - APPLICATION AND RECORD
Owner M SUSAN DEMPSEY CANZIANI
Create Date 07/30/2007
Contractor STEINBRUNER HEATING & COOLING
Fuel l!J Gas UOil
System o New
l!J Forced Air U Radiant
U Electric U Hot Water
Chimney Type [) Chimney A . Chimney B
Heat Loss o As Approved . Existing
BTU Rate ~) As Per Plan o Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
~) Direct Vent
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
C) Not Applicable
o Not Applicable
. Other
Value
Value
Use/Nature SFR / Replace furnace. EIV provided by Seckar Electric. **DEBIT ACCT**.
of Work
Fees: Valuation
$2,500.00
Plan Approval
$0.00
Permit Fee Paid
$47.50
Issued By:
~
Date 07/30/2007
o Permit Voided I
Parcelld # 1415540000
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.
07/30/2007 12:18
19204261890
STEINBRUNER HEATING:
PAGE 03
i'.V. ~O)( II~U
0sbJc.~ WI 54903-1130
Phone (920) 23&-5050
.Fax. (920) 236-5084
cl1- r;JJ
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HV AC PERMIT APPLICATION
All information after bold calegones must be provided.
.Incol11plete applications v.-ill Dot be processed.
· Applieation(s) and fee(5} ~ be ~ught to City Hall, Room 20.5 or mailed to In.s:pectionServices, PO Box 1128,
Oshkosh WI 54903.1128_ Commencing work 'Without permit(c;) ';.ill result in fees beina doubled Of $100.00 p1llS tNo
normal permit fee, which e~ is IlUter. '
OR
![VOu. al'l n t::D"t"'QC.J~-,' -RJlrtici"a,i"g iff th~ Pt!rptj{L~'~'H~"f.Svstem 4."d have iu/ffJU9"te rU7'ld$~ checlt; lu!,f:
if YQJLWtflft thir "rbcuud through Your occ9<<nt .
DATE~_ ~ -::2Y-Q7
JOB ADDRESS X'O ~,.tl:1~~~.~~~ O-IU--
. OWNER rT\ IJ-rl. () ~n Z-J ~ n tr'.,
, CONTRACTOR S k{ P1 1; rl:<-fU-.r
CHECK IiJ ALL APPLICABLE
U$.CATEGOR.Y
r.9S"ingJe Family C1Duplex DMulti-Family
ORental
OC'ommercial
DIndustrial
FUEL
~
DOil
DElectric OSolid
OSolar
SYSTEM
ONe\\'
OOthcr
~ace
~oed Air O.R.ldiant OSteam CJAJC OVent OElec:tric [JHo( Water OSuppt.
ISCBIMNEY BEING J..::NED ~C1Yes - LINER SIZE_.____.._.__ &. MANUFACTURER
Noto~ All chimneys sbalt be si3:ed per the: BTIJ's being venll:d.
clirMNEv TYPE DChirMey A et'lJjmney B DDilCC~ V~.t DOmer
REATLOSS . OAs Approved lQ6isting ONot Applicable
BTU RATE DAs Per Plan tlVnriable OOlherValue '20.rr~
,
DESClUPTlON OF ALL WORK BEING DONE~4.h___ ~fha...c...L-.
Deon. Burner
VALUE
1__;1 ~ ri>
ELEcnuCAL CONTRACTOR S-e-ch- r ,. "_" .... _..._..... ___
o For applicable projects, an Electric lnstalla.tlon Veriflcahon form. 5lflI\ed by the Electrical Contractor. must bl"
attached. If not attached or not applicable, a sep8J"'4te El~ctrical Permit is reqmred.
"/~
07/30/2007 12:18
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STEINBRUNER HEATING:
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City orOshkosh
Division or J~lion $erWa
21Sa-IIA_
1'0 8o:l \1]0
0Ihk0fh WI S4903-IUO
ofRo! 921>-236-S0s0
fAx OlO-236-SOlI4
Electric Installation Verification
€.Lt:e-11Z- ( G CO;...ff<1J\I IN L.
(Electrical Contractor Name)
I (We) SFct A:I!-
S~20 COtJNNeY' pc....v"f'~ ~D>>~ fj.JJ1J1JECfJ,.!peI WJ
(Address) (City) (State)
~44B"
(Zip Code)
have been contracted to perfonn electric installation work for Mfj l.ia f..JNe7e:..
(Nwne of party contracted to)
?J2 C.n~ h~
(Address where work will be performed)
at the following address: _
The nature of the work consists of: (Check One or Describe the Nature of Work)
L
Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate peunit.
Reconnection or new circuir for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of Ale to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
eleCtrical outlets.
Other
1
The value of this work is $
I hereby verify this work wm be performed by an employee of this company and further verify
the rcconnection I installation will be done in cornpliance with manufacturer and Electric code
requiremenrs.
~@t?cL. ..
(Si go_ Te 0 r Company Officer)
l~JA-~ ( Sl:LJ:-A~.
(Print Name of Officer)
-'7!~t.( frJ7
(Datcf
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