HomeMy WebLinkAbout0126013-HVAC (furnace)
cD
OSHKOSH
ON THE WATER
Job Address 803 W NEW YORK AVE
CITY OF OSHKOSH
No
126013
HVAC PERMIT - APPLICATION AND RECORD
Owner RAYMOND F BRADLEY
Create Date 07/30/2007
Contractor STEINBRUNER HEATING & COOLING
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type K:) Chimney A . Chimney B
Heat Loss D As Approved . Existing
BTU Rate K:) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
() Not Applicable
() Not Applicable
. Other
Value
Value
Use/Nature ~FR / Replace furnace. EIV provided by Seckar Electric. ""DEBIT ACCT"".
of Work
Fees: Valuation
$2,000.00
fZn1--K)
Plan Approval
$0.00
Permit Fee Paid
$40.00
Issued By:
Date 07/30/2007
D Permit Voided I
Parcelld # 0502840000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
AgenUOwner
Address
600 OREGON ST
OSHKOSH
WI 54902 - 0
Telephone Number (920) 426-1830
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~ 07/30/2007 12:18
Y.U. !Sox Il~u
Oshk~ Wl54903,1130
E'bone (no) 2J~SO~O
.FP:. (920) 236-~84
19204251890
STEINBRUNER HEATING:
PAGE 01
~ fl{o.OO
DEQ[R
HV AC PERMIT APPLICATION
Alllnformatioll after bold categorics rou:;! be provided.
Incomplete :.pplicatians will Qot be proct'.$~ed_
· Applia.t:ion(s) and fee(s) ~ be brought to City Hall, Room 205 or J'l'Uiled to fnspection Services, PO Box 1 128,
Oshkosh WI 54903.1128. Commencing work without permit(c;) ';';11 ~s.ult inJees being doubledoi-$lOO.OO plus t"t;"
nonnal permit fee, which ever is &reatet'.
OR
'[jJQ~ are tI contractor l1artiCil>arln~ tit the Pdlf~ Ar:Cl<Ur!..!EYSremJJJ1.a haveadf-QJl4.1C funds~ che~~ hI'''
if )!f)U W(I/lt tit;, "rocfSud t.hroufh ~U,. O~<;9 .
DATE ') - / 6 --07
JOB ADDRESS ~~ ..9 l4J. /.)~~Pf. t- .------
.OWNEIL!2~ 15radJ-e'1 ~
. CONTRACTOR S I-e, 1/1 b'!L' tLf V -------'-...
CHECK S ALL APrLICABLE
ust CATEGORY ~lex ~ntal
OSiogle Family OMulti-Family o CODlmercial o Tndusttial
FUEL ~ DElectric DSolid SYSTEM ONew OReplace
DOH aSolar OOther
~ced Air ORadiant DSteam ONe OVenl OElectric (JHot Water' DSuppl. aeon. Burner
IS CIIIMNEY BEING L::NED~DYes - LINER SlZE_____,_ & MANUFAC11JRER
Note: All chinmeY3 sball be :sizc:d per the B11J's being vented.
CIlIMNEV TYP~ OCblmney A ~mney a r.JDilcc1 Vt":'".t OOther
REA T LOSS OAs Approve:d mxisting CJNot Aprlicable
BTIT RATE DAs Per Plan [JVariable DOther Value __%:L(2(X) B T7-I'
J).ESCRlPTJON OF ALL WORK BEING DONE~{ a.(!L ~ I ~ c.....c.L
VALUE
c d) ~O 0 cJ
if _.,_!~-,__ __
ELECTRICAL CONTRACTOR .----. . ...., . _._ _.___ __.~
o For applicable projects, an Electric InstallatIon Venrlcabon fonn. sianed by the Electrical Contractor. must"~
attached, If not attached or not applicable, a separate Electrical P~rmit is required.
"02
07/30/2007 12:18
19204251890
STEINBRUNERHEATING:
PAGE 02
.(1)
~
~OoS
Cily of Oahkosll
Oi\'ision or I~rion Services
2ISC'-"A_
PO~ 11)0
OIIhkoIIo WI S49Q}.IUO
ona 920-2l6-S0SO
F-~ 926-1l6-$0t4
Electric Installation Verification
I (We) ~k:- Ftt-
IE. LI? t..1fe.1 c. COlA f}tc1J 'I / N L
(Electrical Contractor Name)
S&j?O cou~e-{ fLU)-\I^-~ ,a.t:>.. I)JJAJ~pJ,J~c t()J
(Address) (City) (State)
5tti .e~
(Zip Code) .
have been contracted to perform electric installation work for sm JJ&e. uNEIt:...
(Name of party contracted to)
'8:03 Lv. 0~~,/V
(Address where worlc U b,e perfonned)
at the following address: ~
The nature ofthe work consists of: (Check One or Describe the Nature of Work)
J...- Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vcoted
water heater.
Recormection 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.
Reconnection or new circuit for the replacement of other permanently wired
appliances I 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
The value of this work is $
I hereby verify this work will be performed byan employee of this company and further verify
the reconnect ion I installation will be done in compliance with manufacturer and Electric code
requirements.
'~~t5d-.
(Signa re of Company Officer)
~l1\-~ ' SE():A~.
(Print Name of Officer)
1fojP7
. (Date)
,..-......