HomeMy WebLinkAbout0127948-HVAC (furnace)
o
OSHKOSH
ON THE WATER
Job Address 755 GROVE ST
CITY OF OSHKOSH
No
127948
HV AC PERMIT - APPLICATION AND RECORD
Owner JOHN FLEE
Create Date 11/27/2007
Contractor
STEINBRUNER HEATING & COOLING
----------
Category ~Oil_:B~~ig_~f1!ial-IjE'l_'.l!ir1g ~YE'll1t~~i_f1R__ Plan
O:Jlf6iri~-=--=] D_-_SolaT~=~::J D ~oli~__=~-
[~L~epl~~_~____.J D_Q1h_~r_______
U Radiant. J O-Steam==J U A1C-~===:J O=Vent c-==i
U-Hot Water--] USUppl. I UCOii-~BUilierl
~ Chimn~__D--'2!t:e_c~ II Not Applicable _.-J
0- ExistinQ-==-=__ Not Applicable __J Value _____
_~ Variable==_=-=~:-=OtheI=-===~==] Value
Fuel
ITGas---:J 0 Oil===~]
W~\IV_______J
I
l
System
0:!orced Air
U Electric
Chimney Type 0 Chimney A
Heat Loss
Q As Approved
0_ As Per Plan
BTU Rate
U'~~:,~~ [R I REPLACE FURNACE IN CRAWL SPACE, EIV SIGNED BY SECKAR ELECTRIC "d06t",,- ---___ -- ---1
Fees: Valuation $3,000.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid $55.00
____u.______._.._..._____.._____.__
Date 11/27/2007
O~~~rl2!~\I_o~d_~~j
Parcelld # 1106120000
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 ~~?_O}.-4?~~_~~~__
\
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.
~ 11/27/2007 09:17
::: '.V."ox 1IJC1
9sJakosb, WI S490~lUO
Phone (920) 236-$050
.Fu. (920) 2l6-S084
19204251890
STEINBRUNER HEATING:
PAGE 01
HVAC PERMIT APPLICATION
AU iJ1formaDon alkr bold clltegorics mu:.1 be provided.
Iocornplete appJictrians will DOt be processed.
· Application(s) and fee(s) can be brought to City Han. Room 205 or rNiJed 10 Inspection Services. PO Box] 128,
Oshkosh WI 54903.1128. Con1mencing work W'itbout permit(')) ,::111 result m fees bcina doub'ed or $100.00 plus the::
nonna.! permit fee, whioh ever i$ In!8tcr.
OR .
~
~QIR
JOBADD~ 155' ~
. OWNER ~ ~ -_
. CONTRACTOR~ S Ie [JJ B.il<< A.,I GlZ
DATJ!: II~flt17
L{ 2f." ~1 g 6-8
CHECK Ii'J AlL APPUCABLE
U~ATEGORY
CtSingle Family ODuplex OMutti-Family
ORental
OCoomercial
o Industrial
FUEL
~
OOil
OBIc:ctric C1$oJid
CJSoJar
SYSTEM
DNew
DOther
~lace
~roed Air ORadiant OSteam CAlC OVent o Electric rJHot Water OSuppl. aeon. Burner
IS CHIMNEY BEING V.::NED DNo ~9 . LINER SIZE____ &; MANUFACTIJR.ER
. Notc~ All chimneys sball he sized per the Bro's bClins vented.
c'IiIMNEY TYP~
REA T LOS~
BnJRATE
DChimney A
OM Approved
DAs Per Plan
OChjnmcy B
DExisting
OVariable
r.:JDitect V(.":,,,t DOther
ONot APr1icable
OOthcr Value
D'ESCR.IP110N OF ALL WORK BEING DOm
jfMAA/"
1I&;1f~~.v fd.n..O.. h?
~
VALVE ~--.3j)~ O.OtJ
nxcnu:CAL CONTRACTOR ~. ~t.:._-~- _ ~, .
OFor applicable projeots, an Electric Jnst.llatlon Verifioation fonn. signed by the Electric.al Contractor. must be
attached. If not attached or not applic:abl.e, a sepQ.l"3te Electrical P~t is required.
11/27/2007 09:17
19204251890
STEINBRUNER HEATING:
PAGE 02
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OIMioIIlWl 508lI--UlD
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.. ...236-...
Electric Installation Verification
I (We) ....~i:: Pet:- e..LCC.1!!!f G. . COJAfjy.J'( l tV L
(Electrical Contractor Name)
51~ cotJ~' rf-U~~ f-()~ IJJI/JI./fr.pllpf5 t(jJ
(Address) (City) (State)
5Lt1B"
(Zip Code)
have been contracted to perform electric installation work for ~/;JZ f,JN~
(Name of party contracted to)
at the following address:
J~1 ~ b~,
(Address where work will be pcrfonned)
The nature of the work consists of: (Check One or Describe the Natt.lJ'e of Work)
~ Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
Reconncction or new circuit for replacement Elcctric Water Heater or power vented
water heater.
Recormection 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
appli811Qcs/ fixtures.
New circuit for the addition of Ale to an individual dwelling unit (house or the
individual systems in 8 duplex or condominiwn). including required service
electrical outletS.
Other
The value of this work is $
"?
!) ()'() f:! .'
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.
9~~cL.
(Signa re of Company Officer)
W~ · SlU.~
(Print Name of Officer)
II !/~Z
(Date)
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