HomeMy WebLinkAbout0128180-HVAC (furnace; chimney liner)
o
OSHKOSH
ON THE WATER
Job Address 801 MASON ST
CITY OF OSHKOSH
No
128180
HVAC PERMIT -APPLICATION AND RECORD
Owner ARTHUR UJUDITH A HELM TRUST
Create Date 12/17/2007
Contractor STEINBRUNER HEATING & COOLING
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A . Chimney B
Heat Loss K.) As Approved . Existing
BTU Rate K.) 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
2'J Replace
U Steam
U Suppl.
e) Direct Vent
e) Not Applicable
. Other
Value
Value
70,000
Use/Nature JSFR / Replace furnace. Install 3" chimney liner. EIV provided by Seckar Electric. ""DEBIT ACCT"".
of Work
Fees: Valuation
$3,000.00
~
Plan Approval
$0.00
Permit Fee Paid
$55.00
Issued By:
Date 12/17/2007
o Permit Voided I
Parcelld # 0606900100
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.
12/17/2007 11:45 19204251890
STEINBRUNER HEATING:
PAGE 03
~,tf1tl11lt J~ -
"!till ~. ill .........
....IDD
tiltr -'" Wl58B-IIJO
...~~
... _2J6..5*
~.
~I
DBClB
WAC PERIIIT APPLICATION
.All ...."f'T~.....1dd - JlIriII-1I8 ~
~r"",,"-wm_bopNC:llf d.
. .App~.).at &e(a) OlD be 1l.~ to cq&D. Boca 205 arJlllikd .1m(w 11t~ &-'ViDea. PO Box 1128.
o,w . __ WI 54903-1128. o,...~~L~ -...It without ~)wm nar ia ... -.. doIJbW or 1100 00 pIuI die
...- pamicftl:. .... CM'iI....... .
OR
~= =: t~~:="ff.:;:'-:":' '::.::~~. .."""..t g_n. w"~ "of'W""" f..h. ....e. ,....
DAD ).;2 - /1- LJ 7
_~, gO/ @/'lSd/U ..
""'~_ J9~rHU,e /Ie-~
~ 5kd(lhranll""" 4u~.~ ...l?,..J'~6
(P7' if ALL AJIPLICA.BI~
.=~~
,..,
[JB1ectric CSolid
SYSTIM
IJNew
OIndustriaJ
~lIce
CNulti--PIISDiIy
0Re0taI
CCommerciaJ
~
COil CISolar COIba
z..,..~ os- ewe DV?* IJBIeoIrill CIItltW~Cffappl.OCGa. JIuma"
. CIIIMJlf&1( BEING LIN&D []No EtV. .. I.INIR SJZ8,g . MANUl
-= AD ~ IbIB be Asz:ad perflaBTU'. be#DJ VCdSd.
~8
'-- ---tI~Y 'I"ItR
......UBi
..,MD
ca.: rty A
~Aa-. ~LLe'
OM'" ....
[JY.nT~
~..v_
1JNaIJvJ1" lk
DOdIerVllJlle 7?}~ tB rzr
fJ e;/c I'J( G . ,.t:::"u/2/!J /H'~
CIOIba'
IIf- ~...nOlf ow ALL WOJlK JII'.ING DONE
-;;; A-:{) ~
VAUJ&(JIIW- ~"""","~JL.~ --...........)1 ~
iJUTRlCAL CONTllACTOR ~~r""
Oil .1IMI'fe lJtPll".il"k,"f . -- . ....ed(Ir~t)
~ iIIIUII1MIMDf~,~slrt1ll"d,.I1yJ/--~
, ;
-fj~
12/17/2007 12:38
19204251890
STEINBRUNER HEATING:
PAGE 03
0&
~ q()~
C"YOfCllllkosll
Division of'llqleCbatt SeMca
2U ~.. ,,""_
PO 8M. IIJO
0IIIbIsIl W, S490J.II30
Ofticc 920.Z)..SO~
fall 920.216-SOI4
Electric Installation VerificatioD
I (We) ....~t Itj:..
E: Lc l- ""(1e. r G. COI^ eNJV I IV c....
(Electrical Contractor Name)
S&}~ CO()~'f(,u",}-.~ ~f>. /J.JJIJ/JEo;iVlJt:S t(/)
(Address) (City) (State)
~q4B"
(Zip Code)
have been contracted to perform electric instal~tjO!1 work for . Sm A.Jt;.J!. u.AJe7e..
. '. - . )f party contracted to)
!?tJ I
fit 115' (J __~
(Address where work will be perfonned)
at the following address:
The nature ofthe work consists of: (Check One or Describe the Nature of Work)
-6. Reconnection 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.
R.econnection 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 to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
eleCtrical outlets.
Other
/l
The value of this work is $
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / instaIlation will be done in compliance with manufacturer and Electric code
requirements.
~~~~._" ,
(Signa re of Company Officer)
Q1A-AJfne' , SCt,..FA~.
(Print Name of Officer)
(2 ~ Ir..;o 7
(Date)
......--....