HomeMy WebLinkAbout0126218-HVAC (boiler)
G
OSHKOSH
ON THE WATER
Job Address 1743 DOTY ST
CITY OF OSHKOSH
No
126218
HVAC PERMIT -APPLICATION AND RECORD
Owner MARK KASPAR
Create Date 08/10/2007
Contractor STEINBRUNER HEATING & COOLING
Fuel 1v'1 Gas UOil
System D New
U Forced Air U Radiant
U Electric ~ Hot Water
Chimney Type o Chimney A . Chimney B
Heat Loss r) As Approved . Existing
BTU Rate r) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U NC U Vent
U Con. Burner
() Not Applicable
J Electric
o Replace
U Steam
U Suppl.
() Direct Vent
() Not Applicable
. Other
Value
Value
Use/Nature SFR / Replace natural gas boiler. EIV provided by Seckar Electric. ""DEBIT ACCT"",
of Work
Fees: Valuation
$2,500.00
~
Plan Approval
$0.00
Permit Fee Paid
$47.50
Issued By:
Date 08/10/2007
D Permit Voided I
Parcelld # 1400340000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
AgenUOwner
Address
600 OREGON ST
OSHKOSH
WI 54902 - 0
Telephone Number (920) 426-1830
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
! 08/10/2007 11:21
Y.u. t$ox II.jO
O$bkO$h. WI 54903.1130
~bone(920)236-50SO
,FP. (920) 236-5084
19204251890
STEINBRUNER HEATING:
PAGE 01
HV AC PERMIT APPLICATION
All unonnarion after bold ClIl':8QOC' Ulust he provided.
Incomplete applicarion.s will not bo processed.
~
O~Q(R
· Application(s) and fee(li) cMt be brought to City Hall, Room 205 or mailed to Inspection Services. PO Box 1 J28,
Oshkosh Wi 5'4903-1128~ Commencing work without pennit(')} '::lH result:in fees beioa doub~ed or $100:00 plus the
nonnal permit fee. which e~ is areater. .
OR
f!-Y11JI.. art ez c~nt'Qc:;r ~a,.ti~;"all"~ in ~~ ~rffil!e -1ccount SVSlem q,nd ht!ve adequate fU1J.lis. cht!Ck ~ere
iJ YI)U wunl tIllS :t1'ocrsud rhrough OUf' Cc ;j .
JOB ADDRESS---1..!l.. t.J ~-.. Do~____~,
'OWNER lW,L,1 t:As~ .
CONTRAClOR S~nbrl.(r<..r
DAtl: 9-10 '-0 7
CHECK l!J ALL APPUCABLE
USE CATEGORY
ajsinglc Family DDuplcx OMulti-Family
DRental
OCommerciaJ
o Industrial
FUEL
~s
(JOil
OElectric DSohd
OSolar
SYSTEM
ONew
o Other
.hR.eplace
TYPE
OForced Air ORadiant OStea.m DAle DVcnt OEleetric Jdtfot Water r:JSuppl. Dean. Burner
IS CHIMNEY BEING J..~D MNo DYes - LINER SIZE______ & MANUFACTIJRER
Note!: All chimneys sball be ,iud per the BTU's be~ vented.
CB..I:MNEY T\"PE OChilTU'ley A gt;,.imney B r:JDitcc! Vt.')"',l o Other
REA T LOS~ OAs Approved JSlExisttng ClNot Applicable
BTURATE OAsPerPlan o Variable OOtherValu~~
)),ESCRIPTION OF ALL WORK BEING DONF.~.A,u, Ua..;.,bJ..r{{.i. G C(~ Bt:>, U)L
VALUE
$._,_,_~5 (7) ~
ELEcr.tUCAL CONTRACTOR 9 e clCar ..._._..._..______~
o For llPplicable projects, an Electric InstallatIon Verirication form. sinned by the Etec:tricalContractor. must be
attached. rf not attached or not applicable, a separate Electrical Permit is required.
1(7 5 tJ
/ Jfe d.. /11
'1"
08/10/2007 11:21
1'32042518'30
STEINBRUNER HEATING:
PAGE 02
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~ 00,5
Cily ofOsbko:ll1
Division or l~tiOll Sclvius
:u$ C1Nn:1l 10._
PO eo.. 11J0
OAkoIh WI S4903.1130
0I1icl: 910-2)6-.50.50
FI)l. 920-2)+.S!lU
Electric Installation Verification
I (We) ....~t ft/!!,..
€. Lc:,- '"f1e., c- (.OJI.. f1gJY / N L
(Electrical Contractor Name)
s~zo COlJr-rNe-.t" r,-v"'J--~ ~[>~ ().JIAJAlEc.,o,.h.1ff 41)
(Address) (City) (State)
~tl, 8re
(Zip Code)
have been contracted to perfol1Tl electric installation work f9I" ~ AJt;J!..UItJe?::...
(N ame of party contracted to)
at the following address:
t ~ l-( ~ POJ!1
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work:)
J Recormection or new circuit for replacement Heating Plant and/or Ale 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 NC 10 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 $
J hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
. 9td-~cL. ..
(Signa re of Company Officer)
~A~ . SEUA~ .
(Print Name of Officer)
~J L ~ / 0'7
(Date)
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