HomeMy WebLinkAbout0126219-HVAC (furnace & a/c)
e
OSHKOSH
ON THE WATER
Job Address 715 BISMARCK AVE
CITY OF OSHKOSH
No
126219
HVAC PERMIT - APPLICATION AND RECORD
Owner DENNIS H KRAUSE
Create Date 08/10/2007
Contractor STEINBRUNER HEATING & COOLING
Fuel ~ Gas UOil
System D New
l!J Forced Air U Radiant
U Electric I j Hot Water
Chimney Type K:) Chimney A () Chimney B
Heat Loss K:) As Approved () Existing
BTU Rate K:) As Per Plan () Variable
Category 502 - Residential-Both
l!J Electric
o Replace
U Steam
U Suppl.
() Direct Vent
Plan
U Solar U Solid
D Other
l!J AlC U Vent
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature FR / Replace furnace and a/c. Install 3" chimney liner. EIV provded by Seckar Electric. **DEBIT ACCT**.
of Work
Fees: Valuation
$3,000.00
~
Plan Approval
$0.00
Permit Fee Paid
$55.00
Issued By:
Date 08/10/2007
D Permit Voided I
Parcelld # 0602610000
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.
i 08/10/2007 11:24
Y.U. MOX II..iO
Oshkosh. Wl 5-4903.1130
Phone (920) 236-S050
,Fu.. (920) 236-5084
1'3204251890
STEINBRUNERHEATING:
PAGE 01'
~
O~
HVAC PERMIT APPLICATION
All infonnarion after bold eatr.gon<:' xmlet be provided.
fncomplete applications will not be processed.
. Application(s) and fee(li) can be brought to City Hall, Room 205 or l1'l4i1ed to lnapection Services, PO Box. t 128,
Oshkosh WI 54903-1128. Commencing work without permit(')) -:,,;11 r~5Ult i:1 fees beiDa doubled or $100.00 plus the
normal permit fee, which e~ is ~tcr.
OR
f/-Y"u art (J C~71t"QC(J)" "artic!:~;n~ ilt ':~ :~~ AccQl:lnl, Svstef11 and h(1v( adeqlJQte funds. cheek ,h,:~.
,(VQU want Ilus ,,'ocr..sud thr ," h OUf ~ n . .
DATE ~- 10 -'0 7
JOB ADDRESS 1/ S"- rsI5fl1t1.~_.
'OWNER . () e:/V ;U) 5 ~/l.f+u S E
CONTRACTOR, .5 rEl/!dU-tt Al{/?;
CHECK IiI AlL APPLICABLE
usE CATEGOR.Y
liSinglc Family ODuplcx OMulti-Family
o Rental
ClCommercial
o Tndustri al
FUEL
~3
OOi1
l)1Electric OSohd
OSolar
SYSTEM
aNew
DOther
~lace
TYPE
l;ilForcc:d Air DRadiant aSteam &dtvc C1Vent OElectric [)Ho~' Water OSupp1. DCon. Burner
.., I r
IS CHIM:NEY BEING UNED DNo QlYes - LINER SIZE':> & MANUFACTURER
Note: All chimneys sban be ,ized per the STIJ's being venll:d'- -..,--_.'~--'~
cl:1lMNEY TYPE DChimncy A d'"Chirrmey B rJDial't V~.t
REA T LOS~ ClAs Approved E1Existing GNat Applicable
BTU RATE [)As Per Plan OVariabk DOlberValue 4S-~7J J3 ~.a2 r;;yt..-
D'ESCRlPTION OF A.LL WORK BEING DONE-ffft At- e t:;;.- tf /tl Ii IV t!-h 1~}1/
o Other
VALUE
s______Jd:N w
ELECTRICAL CONTRACTOR ,S:L?ckA r ~ . .' .
o For applicable projeots, an Electric Installat~rifI~~t~;~ f~~~ slaned by the E1ecmc.alContractor. must hI"
attached. If not attached or not applicable, a ~"e.rate Electrical Permit 18 required.
I ~ ~ ~ 10
~f02
!;iG: 00
08/10/2007 11:24
19204251890
STEINERUNER HEATING:
PAGE 02
~
~
~O~
CityatOs1*osII
Ol\'iaion of IGIpIlClion Servm
2" OUCIl ,,-
PO Dos 11)0
OIIllblll WI S49Q)-1 \)0
otf.,~ 1l>>-2)6w50SO
Fax 920-216-SOB4 .
Electric Installation Verification
I (We) ~<FLK: Pif-
€ LEt- ~ I c.. COJAfjt:1JY IN L
(Electrical Contractor Name)
5tJ:?'o GOO~e-{ f'-LJI^,^~ ~t>~ ()JIAlfJEoJ,JlJf5 WJ
(Address) (City) (State)
have been contracted to perfonn electric installation work for ~ JJ(;J? vNe7e..
(Name of party contracted to)
at the following address: _ 11 f 'B !SfY\IJ..I-c)L- .
(Address where work will be performed)
~449~
(Zip Code)
The nature of the work consists of: (Check One or Describe the Nature of Work)
'/.- Reconnection or new circuit for replacement Heating Plant and/or NC Condenser.
ReCOImection or new circuit for replacement Electric Water Heater or power vented
water beater.
Reconnection of the Service Entrance Cable, MeterBox, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other pennanently 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 Se1Vice
eleCtrical outlets.
Other
The value of this work is $ .
7
J hereby verify this work will be peffonned by an employee ofthis company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
_jtd-~cL.
(Signa - re of Company Officer)
QIA-~ 4 SCLt:-AJe.
(Print Name of Officer)
glib/or;
(Date)
,.-....