HomeMy WebLinkAbout0126011-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
Job Address 1234 SPRUCE ST
CITY OF OSHKOSH
No
126011
HVAC PERMIT - APPLICATION AND RECORD
Owner MRlMRS THOMAS R FIELD
Create Date 07/30/2007
Category 502 - Residential-Both
I Electric
~ Replace
U Steam
U Suppl.
() Direct Vent
Plan
Contractor STEINBRUNER HEATING & COOLING
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type o Chimney A . Chimney B
Heat Loss () As Approved . Existing
BTU Rate K) As Per Plan () Variable
U Solar U Solid
D Other
~ AlC U Vent
U Con. Burner
() Not Applicable
() Not Applicable
. Other
Value
Value
Use/Nature SFR / Replace furnace & a/c. Install 3" chimney liner. EIV provided by Seckar Electric. ""DEBIT ACCT"',
of Work
$4,000.00
Plan Approval
$0.00
Permit Fee Paid
$70.00
Fees: Valuation
Issued By:
~
Date 07/30/2007
D Permit Voided I
Parcelld # 1205980000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
600 OREGON ST
OSHKOSH
WI 54902 - 0
Telephone Number (920) 426-1830
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
07/30/2007 12:18
19204251890
STEINBRUNER HEATING:
PAGE 05
HVAC PERMIT APPLICATION
All information aftCf bold calr.goncs m\l.:;t be ptovided.
Incomplete O\pplicarions will not be proc:~ed.
~
D~R
41/}
T.V. l;$ox Il~O
O$hkMb.. WI 54903-1130
Phone (920) 2.36-5050
Fax (920) 236-50&4
. Application(s) and fee(o) em be brought to City Rail. Room 205 or mailed to Inspection Servi~es, PO Bo~ 112B,
Oshkosb WI 54903-1128- Commencmg work without pennit(o;) .:titl r~sult in fcesbeinl doubted OT $100.00 plw the
normal pennit fce. which ever is ~ter.
OR
~l vou. area c~ntrQcl,Ol' particiD(Uing ~" 'h~:..1rmiw.uccoul7t .JJ:vgm qnd have adf.Qull.te (Uft~s. check 1rt:,.~
tlVfJU wont thu ""pcf'ssed ,"rough VOJlf Q,-,ol/ll.LO . .
DATE... 1/31)/17'1
JOB ADDRESS i ;).:1 tf S j?fU ~. 51'
OWNER_ --rb yy\ . Pt el c1 s
CONTRACTOR_. ~b r1-'YlLY
COCK fi'J ALL APPLICABLE
U$CATEGORY
~ing]c Family ODuplcx OMulti-Family
o Rental
o C"mmercial
o Industrial
FUEL
3'&:\
DOil
~ctric OSolid
aSolar
SYSTEM
DNew
o Other
~lace
~oed Air ORadiant OSteatn ~C OVent OElectric [JHo~ Water DSupp1.
IS CHIMNEY BEING J,,;,NED DNo ~s . LINER sIZE_.~2 ~'-._ & MANUFACTURER
Note: An chimneys shUl be sized per the Bl1J's being vented.
oeon. Bwne!f'
clilMNEv TYPE
REA T LOSS
BTU RATE
DChirnney A
OA& Appro,,~d
OAs Per Plan
aChimney B
id'Existing
o Variable
nDiI(;("~ V(''":".t OOther
ClNot Applicable II
DOther Value ",IJ,f/ItfhJ._~11L-1:b T Tli{" .
flt [>14 (t- tM!:..tl (A (~( At c .1 (~
DESCRIPTION OF ALL WORK BEING DONE
--111lL WI fU ~
.... . ., ..-.--..-- ...--..--
~____._._____M.' "-.----- ,~""....-~
VALUE
$_.._~.9~~
ELECTlUCAL CONTIL\CTOR ~ct.fl..C__._....._~,. ~ .
o For Ilpplit;able proJects, an Electric InstallatIon VenrlcattOl1 form. si80~d by th~ Electrical Contractor, mustbe
attached. 1f not attached or not a:pplicable. a separate Electrical Permit is required.
'/02
07/30/2007 12:18
19204251890
STEINBRUNER HEATING:
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ala Cill'DfOlhk4WI
Divi$ion of 1DSp<<lion ScMce3
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~ POBo~mO
Ot.IIkClllh WI ~J-1IlO
orr~ glO-ll6-S0S0
fl~ 9,20.2]605084
~ 00$
Electric Installation Verification
I (We) .5FL~ Af:-
€.LeL-'1JZ;1 Co COJt...(>N../'f INL,
(Electrical Contractor Name)
Stt:?o CD(j~eY. f'LU"}>-~ ~f> ~ fj..JI/JlJeo;tJ/Je W'
(Address) (City) (State)
54'lBG,
(Zip Code)
have been contracted to perfonn electric installation work for ~ AJI;e vNe]l:;:..
(Name of party contracted to)
at the following address:
/234 SpruCt.-c;J-.
(Address where work will be perfonned)
The nature oflhe work consists of: (Check One or Describe the Nature of Work)
.-:i:.. 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 beater.
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 pennit.
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 $
?
.
1 hereby veri fy this work will be perfonned by an employee of this company and further verify
the reconnection I instal1ation will be done in compliance with manufacturer and Electric code
requirements.
l~t 2r ~~any Officer)
~~ , SCU-AJe.
(Print Name of Officer)
_1/3"/07 .
(Date)
~