HomeMy WebLinkAbout0126405-HVAC (furnace)
e
OSHKOSH
ON THE WATER
Job Address 1113 W 7TH AVE
CITY OF OSHKOSH
No
126405
HVAC PERMIT - APPLICATION AND RECORD
Owner KARGUS PROPERTIES LLC
Create Date 08/22/2007
Contractor STEINBRUNER HEATING & COOLING
Fuel 1,(1 Gas UOil
System D New
~ Forced Air U Radiant
U Electric I I Hot Water
Chimney Type U Chimney A . Chimney B
Heat Loss () As Approved . Existing
BTU Rate ~) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
I I Suppl.
() Direct Vent
LJ Solar U Solid
D Other
U AlC U Vent
U Con. Burner
() Not Applicable
() Not Applicable
. Other
Value
Value
70,000
Use/Nature SFR / Replace furnace and install chimney liner. EIV provided by Seckar Electric. **DEBIT ACCT**.
of Work
Fees: Valuation
$2,200.00
()/7IfA
Plan Approval
$0.00
Permit Fee Paid
$43.00
Issued By:
Date 08/22/2007
D Permit Voided I
Parcel Id # 0606490000
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.
~ 08/22/2007 '0:09
".U.!SOX l UU
C)sbkGsb. WI 54903-1130
PIKlne (920) 236-$050
,Fu:, (920) 236-$084
19204251890
STEINBRUNER HEATING:
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PAGE 01
~
D~Q{R
HVAC PERMIT APPLICATION
All information after bold CitegQric, mw.1 be provided.
Incomplete applic.tioll3 will Dot be proceued.
· Application(s) and fee(s) can be ~ugbt to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 12S,
Oshkosh WI S4903.1128. Om1mencing wDrk without pamit{..) ':"lill result in fees beiD& doub~ or $100.00 plus the
normal permit fee, whioh ever is sreater.
OR
k "f!"'~
DA~~ 2/ ~! (j7
JOB ADD~ 1 t '.3. -W-!L (P,
. OWNER Q,rt~' IUJ(~~ .
, CONTRAC'TOR_ S TT (JJ B ~4,(.1 GIZ
'-{ 2.f., --I 'g 3-8
CHECK mALL APPUCABLE
V_CATEGORY
0Smgle Family ODuplcx OMulti-Family
ORental
OCQounercial
ClIndustrial
FUEL
~
DOiJ
OElectric OSolid
OSolar
SYSTEM
ONew
OOther
~Place
~~ Air O.R.adiant C]Steam ONe QVent OEl~ctric fJHot Water LlSupp1. aeon. Burner
IS CmMNEY BEING J..~D ONo ~ - LINER SIZE___ & MANUFACTIJRER.
Note~ All ehimD.oys sball be .iud per the BTU's be~ venled.
CIiJMNEY TYPE OChimnoy A ~IIDI.Y B 1:IDize<' V,-c.t DOthor
. REA T LOS~ OAs Approved isting ONot Applicable . .' ~ -r7 /
BnJ RATE DAs Per Plan OVariable OOther Value ~ 4.Jrd1) D I ~
D~~LWORKBEINGDONE: ~:.:...~.~~.
V ALTJE
i
-~01tHJ tz:!J
lLECTlUCALCONTRACTOR ~ _.,____,.__.___.
o For ,pplj~"ble projects. an Electric InstallatIon Verirication form, slijlled by the Blectrical Contractor, must 'be-
attached. Tf not attached OT not applicabl.e. l\ seplU"ate Electrical Permit is required.
I~~ Lf(O 6
08/22/2007 10:09
19204261890
STEINBRUNER HEATING:
PAGE 02
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~ O()S
CilY ofOshkgsh
Oivi,ion ot In$pIClion s.MetS
215.Cburch ^_
PO 80.. 1130
~h Wl S~3-t IJO
Off\tl> 920-236-$050
f.... 9;ro.2)6-S034
Electric Installation Verification
J(We) ~~~
€.LeL-~, c:.. COJA.(>M/V IN~
(Electrical Contractor Name)
StJZO cou~eY' f,-ul^l^et:~l'>, /.)J/~~€OJtJ~e WJ
(Address) (City) (State)
S4;8~
(Zip Code)
have been contracted to perform electric installation work for Sm }Jbi!.uNe-Je..
(Name of party contracted to)
at the following address: _
JJ/~ jJ '1~
(Address where work will be performed)
The nature ofthe work consists of: (Check One or Describe the Nature oCWork)
L Reconnection or new circuit for replacement Heating Plmt and/or Ale Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnectionofthe 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 pennit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of NC 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 $
-?
J hereby verify this work will be performed by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
9~.fScL.
(Slgna~1fe of Company Officer)
~1A-~ , SELJ:-Ax::..
(Print Name of Officer)
.~l Z tI JIJ7
(Date)
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