HomeMy WebLinkAbout0126406-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 1260 SPRUCE ST
CITY OF OSHKOSH
No
126406
HVAC PERMIT - APPLICATION AND RECORD
Owner MARY J PILON LIFE ESTATE
Create Date 08/22/2007
Contractor STEINBRUNER HEATING & COOLING
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
I I Electric U Hot Water
Chimney Type [) Chimney A () Chimney B
Heat Loss [) As Approved . Existing
BTU Rate [) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
() Not Applicable
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
() Not Applicable
. Other
Value
Value
70,000
UselNature SFR / Replace furnace. EIV provided by Seckar Electric. ""DEBIT ACCT*".
of Work
Fees: Valuation
$2,200.00
flr;w
Plan Approval
$0.00
Permit Fee Paid
$43.00
Issued By:
Date 08/22/2007
o Permit Voided I
Parcelld # 1206030000
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
AgentlOwner
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.
~ 08/22/20"7 09:55
. ...u. ~OX 1 UO
qsbkosb, WI $(903-1130
PIIone (920) 236-~050
,Fax. (920) 236-S08A
19204251890
STEINBRUN~~;..HEA TING:
PAGE 01
,~. '-.,
~
~Q{R
HVAC PERMIT APPLICATION
All iliformatioD l!.ftC{ bold cal~8Qrics mu:,1 be provided.
Jnco~letd Ilpplicarions will Dot be ~es~d.
. Application(s) and fee(s:) can be br~ught to City Halt, Room 205 or mailed to Inspection Services, PO Box 1128.
O$hk08h WI 54903-1128. ConunencingwOTkwithout pamit('i) ":',;11 'l'e$ultt:t fcesbein&doub~dor SlOO.OOplm t~
normal permit fee. whioh ~ is peater.
OR
~7 :;~::~ (l ~~n.'''Q~~~r par'~ciDa;~::. ;n ':~ ~~Zih' Accqllf!t System and bQY~ adequate (U"dS4 ch,cIt. hr~
liJ!1)~U WOlf' t'u~ "rD.c..!.sud I1!!OU. ___Of4t _ c___.D . '
. . DATE <i?t?4 07 ~ u
JOB ADDRESS~Ua, Sf
'owm:~llo", "
. CONTRACTOR" S IE I AJ B ytll ^-I G {Z :! 2.& ~~I ~ 6-8
CHECK if ALL APPLICABLE
USE CATEGORY
2fsinglc Family DDuplcx ClMulti-FamUy
o Rental
OCo01mercial
o Industrial
FUEL
ebu
DOil
DElc:ctricCl Solid
ClSolar
SYSTEM
ONew
o Other
~lace
g~ced Air DRadiant [JSteam oAle OVent OElectrlc fJRot Water OSuppt
IS CHIMNEY BEING J.~D ~ eYes ~ LINER SIZE___ &. MANUFAcrtJRER
Note: All cb.iDmeys sball be sizod per the BID's being vented. .
cliIMNEy TYPE OChimney A DCb~~Y B ~f;ct Vl.'r.l DOthcr
REA T LOS~ OAs Approved -BExtstlng ONat Applicable
BTIJ RATE DAs Per Plan DVariable o Other Value 1!J, tr/YO !J (If
I>ESClUPTION OF ALL WORK BEING DONE~.(aCl/ &~
OCon. Burner
VALUE _ ~.__7c2-0{) O"g.
ELECI1UCAL CONTRACTOR ~_.._..~,~~._~____
o For applicable projects, an Electric Installahon Verification fonn, signed by the Electrical Contr!etor, rnus1 b.--
attached. ff not attached or not a.pplicable, " sel'lU1)te E1ectricll.l Pem1.it is required..
;7t (Pt(O~
08/22/2007 09:55
19204251890
STEINBRUNER HEATING:
PAGE 02
ala
.a 005
('ity or Oolltosll
Division of In:tpCi:liotl Setvices
115 Clwrl;h A_
P() 80,. 1130
~ WI S4OO1.IUO
0fJicc 920-2)~~OSO
Fa", 920.236-5084
Electric Installation Verification
I (We) ,--<FLt: It&-
€. Lt? L-1fe t c. CLJ/A PkNV , tJ L .
(Electrical Contractor Name)
5~?o couN!JeY' ff-LJr}--~ ~t># l)JIIJWEc..oJJ~t5 tV]
(Address) (City) (State)
~44BG:,
(Zip Code)
have been contracted to perform electric installation work for ~AJI>i!. UNE7f::....
(Name of pany contracted to)
at the following address:
L 2-&0 SprY-a ~ ~
(Address where work will be perfonned)
The nature ofthe work consists of: (Check One or Describe the Nature of Work)
-J-
Reconnection or new circuit for replacement Heating Plant and/or NC 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 I soffit installation. Note: New Service
Entrance Cables wj]l 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 $
tJ5'!
I hereby verify this work will be perfonned by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
~R-~cL. .
'(Signa re of Company Olliee,)
hllt~ . ScLt-AJe. ~
(Print Name of Officer)
.-....