HomeMy WebLinkAbout0127380-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 1345 KENSINGTON AVE
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORD
No
127380
Owner MARK S/CYNTHIA SMITH
Create Date 10/19/2007
Contractor STEINBRUNER HEATING & COOLING
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Category ~O_O_'B~ld~llti?H::I,~~~.!1g_~~e_"!tiI~tir1.R,_, Plan
Heat Loss
l~LGas _=::=J O_-OT'=--'---I 0- El~ctriC--'l
[lNew "J ~~pla~~,_,_~
~orced Air U Radiant ~ U_ Steam 1 U NC~~
U~~~Ii~ U Ho~Wa~~~,._J O-suppr:---] U Con-,-Bu~~
D-::-g_hJ~.ElY A -~~._gE:rmneyB-==.::rtIJJri~tYenC=_='::'::,_O_._t'_!~~ppllcable__.-J
.~pprov~-=-- Existing-=~==.::.::a.::tfOf.'Ap-pliQ<ili!E!~~'::-'::=~ Value
D.-As Per Plan 0 Variable .O_!her'::==='::'::'::'::'::.::.::J Value
o Sola~='::~ o Solid --=-=]
D__()!~_~~_,
o Vent ___.I
Fuel
System
Chimney Type
BTU Rate
--,-------~--,I.Q~Q.Q
Use/Nature iSFR / Replace furnace. EIV provided by Seckar Electric. **DEBIT ACCT*-.
of Work'
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Fees: Valuation ___,~6.500.0Q
Plan Approval
$0.00
Permit Fee Paid
__HL5.Q
Date 10/19/2007
Issued By:
~
D Permit Voided I
_____________ ,.__.__1
Parcelld # 1311300000
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
(~?0)~?6:..1.~~___ __
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
~ 10/19/2007 10:01
Y.U. nox I UO
9sbkosb. WI S490l-1l30
Phone (920) U6-$050
,FIJI., (920) 236-5084
19204261890
STEINBRUNER HEATING:
PAGE 01
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HVAC PERMIT APPLICATION
All U1formation after bold categoric. mw.1 be provided.
lneompletc llpplicarions WIll not be processed.
· Application(s) and fee(s} can be ~ught to City HaU. Room 205 or mailed to Inspection ~erviees, PO Box 1128,
O$bkosb WI S4903.1128.Commencing work without petmit('i) -;-.;lIl'esult in fees bein& do\lb~cd or $100.00 pnn tllf'
normal permit fee. which ever is grearer.
OR
DATE i b!IWtJ 7
JOB ADDRESS_I ~.1E-1~~I,ns f1J YI
OWNnt rJl/ld~ s'Ju,IfY, ,
. CONTRAcroR~ S P (Al B ~':/;A.-I[;l2-
L{ 2.~ ~i '6 3-8
CHECK Fa ALL APPUCABLE
us) CATEGORY
(:}Single Family DDopIa OMulti-Family
FUEL
~
DOH
DElcctric OSoJid
DSolar
SYSTEM
ONew
ClOther
o Industrial
~lace
DRentaJ
OCt)[!jmercial
~ced Air ClRadiant []Sream CAlC o Vent o Electric OHot Water OSuppt. Deon. Burner
IS CBlMNEY BEING JJ~D ~o OYes - LINER SIZE._____ & MANUFACTUR.ER
NO~C: All chinmeys sba11 be sized per the B'I1J's bc~enlcd.
CB.lMNEY TYPE OCh1mney A IJ"'Cbimney B DDucet V~.t OOther
REA T LOS~ OAs Approved m6isting ONot Ap,;licable d
BTIJ RATE OAt Per Plan DVariable OOther Value ~~," 0 ~.~ 10, PlllJ I!lf
DESCRIPTION OF ALL WORK BEING DONE--i2e.p [0 ~f. ~ K'V1 a C ~
_ L_:J..5_(){) rP-
ELECflUCAL CONTRACTOR S.e. ~i.......,_. ... _..___
o For applicable projects. an Electric Installa.tlon Verirication fonn. signed by the Electrical Contractor, must be
.attached. If no~ attached OT net applieabl.e, a !i:epa.rate P.lectrical Permit is required. IlJ ~ ~
\ ",/\
V ALUlC
10/19/2007 10:01
19204251890
STEINBRUNER HEATING:
PAGE 02
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ci.y orO!lhkos~
Diw.ioft of l-.clion Scrvk:Q
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P'OlIo~ 1130
~WI S49C)l-IUO
oRk:~ 9:lo..:l.36-S0SO
Fn 020-2)6.~0lW
Electric Installation Verification
I (We) .sFc~ ~
e.LE(..~~c. CO/APIr1JY INL.
(Electrical Contractor Name)
5tj?O GDU~eY. f'LU),\J'-ef!: ~b ~ (j.)/IJIJE(.,J.)NJ./e" t{j)
(Address) (City) (State)
~t4'iB~
(Zip Code)
have been contracted to perform electric installation work for ..&ei AJ/;2 UN-eJe..
(Name of party contracted to)
at the followjng address:
J31{ KMl~l~ ..
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
~
ReconnectioD 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 permit.
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 / instalJation will be done in compliance with manufacturer and Electric code
requirements.
. ~ra-t? cL ,
(Signa Ife of Company Officer)
l~Jft-~ · Sl:4.A~.
(Print Name of Officer)
in/ (1 (rr7
tDate)
..-...