HomeMy WebLinkAbout2007-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 716 WRIGHT ST
CITY OF OSHKOSH
No
126051
HVAC PERMIT -APPLICATION AND RECORD
Owner DUANE N BUELOW
Create Date 08/0212007
Contractor STEINBRUNER HEATING & COOLING
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type ~) Chimney A . Chimney B
Heat Loss () As Approved . Existing
BTU Rate D 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 NC U Vent
U Con. Burner
() Not Applicable
D Not Applicable
. Other
Value
Value
Use/Nature SFR / Replace furnace. Install 3" chimney liner. EIV provided by Seckar Electric. **DEBIT ACCT**.
of Work
Fees: Valuation
$2,600.00
~VO
Plan Approval
$0.00
Permit Fee Paid
$49.00
Issued By:
Date 08/0212007
D Permit Voided i
Parcel Id # 0500220000
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.
=== 08/02/2007 11:49
::: l'.V. Mox 11.sU
Oshkosh, Wl 54903-1130
Pbone(920)Z36-SOS0
.ru. (920) 236-5084
19204251890
STEINBRUNERHEATING:
PAGE 01
~
O-IT!Q(R
HV AC PERMIT APPLICATION
All information after tx>ld 'itr.gQOC' mu:,1 be provided.
lDeomplete apphcatiOSl5 win Dot be procesSt:d.
. OWNER
· Applic:ation(s) and f"(Ii) ~ be: brougbt to City Hall, Room 205 or mailed to Inspection Services. PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without peTT1lit(~) ';-..;11 resuit in fees beina doub'ed or $100.00 plus the
nomm1 permit fee, which ever is Jteater.
OR
f.!.Ym! art tI c~nt,.aclJJr' .R-qrl~~~t~~~.., ~~ P~l!e Account SW!.!!!Jlt!.4 have adeq/.lQte funds.. check hl!rr
!L>CQ! W." Ihl< p'oc.."d rhl · h 0 , ceo · . 0 j.
. DATE ~.2- (J Z
JOB ADDRESS .1/ ~ LJr/~ 1-:. '
(Juaru 'F3 LLe.I("J /1)
S~;'.b YLllur
. CONTRACTOR
CHECK &'J ALL APPLICABLE
U5&-CATEGORY
~ing]e Family DDuplcx [JMuJti~Fami1y
DRelltal
DCommerci:al
o Industri al
FUEL
~
~ce
DElecbic DSolid SYSTEM ONew
OOil DSo]ar DOther
~ Air ORadi",,' OS",_ o~ OVen, DElectric ( /JHol Water DSuppl. OCon. Burner
IS CHIMNEY BEING J..=:NEn ONo ~s - LINER SJZE__d_ & MANUFAcnJRER
Note: AU chinmeys sWl be sized per the B111'5 being ven!ed.
CIiIMNEYTYPE OChhnney A !JChimney B fJDitect V:.,;.l Oather
REA T LOSS OAs Approved m;isting GNot Applicable Z ? '/'7./ .
BTI! RATE DAs Per Plan OVariabk DOther Value ____ .-0 OZ2..?J..J~/..+-
DESCRIPTION OF ALL WORK BEING DONE~~ k:1rh I. CL-t Ii ~;P
(lJ. U4Hlr
VALUE
$__,giam .ry
ELECllUCALCONTRACTOR ~ --........_...._.._._.._
o For applicable projects, an Ekctric Insta!lallon Venrication form. si8Jled by the Electrical Contractor, must be
8ttJlch~d. Ifnot attached or nat applicable, l se~arate Electrical Permit is required.
~ 0\
,~~
t/02
08/02/2007 11:49
19204251890
STEINBRUNER HEATING:
PAGE 02
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.:1 01)3
Cil)l of05hko!h
Divilion of Iflspcction SeMel:!
2\ j ClIun:h "~nllC
1'0 Boll 1I)()
~ WI 50490)-1130
OfDce 920-U6-SO,SO
Faa 92<>-236-5084
Electric Installation Verification
I (We) ~~M-
€LCLTfe.1 c.. CO~F!5NV tNc-.
(Electrical Contractor Name)
Stj?o COUCfA)e:t/' f'c...v/,1'-I:"C ~t> ~ /)JIAJfJeo.}fJ~~ tVJ
(Address) (City) (State)
~q,8~
(Zip Code)
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 pennit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of AlC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
7
The value of this work is $
I hereby verify this work will be performed by an employee of this company and further verify
(he reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
~ta-~~. _
(Signa Ire of Company Officer)
~~ . SELJ;.AJe..
(Print Name of Officer)
ff/J'e-7.
. . (ate)
..--....