HomeMy WebLinkAbout0104032-HVAC (furnace; a/c)OSHKOSH
ON THE WATER
.lob Address 302 W 14TH AVE
Contractor
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
STEINBRUNER HEATING & COOLING
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner FLORENCE MACFARLANE ETAL
Category 502- Residential-Both
Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
104032
09/08/2003
Other J
Vent J
Use/Nature DUPLEX/Replace furnace and install A/C. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$3,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$50.00
Date 09/08/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number
(920) 426-1830
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
-09/05/2003 11:38 19284261890 STEINSRUN~R HEATING: PAGE 0I
HVAC PERMIT APPLICATION
All information after bold categories most be providc~
~CTOR
C~CK ~ ALL APPL
~ CA. GORY
C]$ingle Family
FUEL g~Gas
rlOil
~o~ced Air ~Radiant
IS CH~NEY BEING
N~: All cbimne~ shall be
Craggy TYPE
~AT LOSS
~ ~TE
O[~ION OF
OffHKOYH
Incomplete applications will .m b~ processed.
· Application(s) and f~(s) can be brought to City Hall. Room 205 or mailed to
O~hkosh WI 54903-~ 128. Com~ncing work without ~i~s) will reset in fe,
n~l pe~it fee, w~ich ev~ is ~at~.
OR /
1~3Lq.' are o contracto~ partici~a~.i.~.g ..in ~he ~ccottnt SFstem and
[
DA
[CABLE
~ex ~Multi-Family ~Rental ~Com~
~c ~Sol~d SYSTEM
~Solar
]Steam ~C~ ~Elec~ic ~Hot Wat~ ~Su~I.~C~
sized per thc B~'s ~ing v~mcd.
3As Approved ~x~stmg ~Not Applicabl~
las Per Plan ~Variable ~Othtr Va~ue ~1
~.E~CAL CONT~CTOR. ~ OR ~EI~lric In~nllaflon Verl
=ction services, PO Box 1128,
being doubled or $100.00 plus the
ave adettuate fund.~, check here
~cial
DNcw
DOthe~
Fllndustdal
~Replace
n. Burner
ACTU1LER~~
. ~09/0S/2003 11:38 19204261890 STEINBRUNER HEATING: PAGE 02
Electric Installation Verificati
(Electrical Contractor Name)
(Ac d~ss) (City)
have ~en c~,~uact~ to p~rfo~ clec~c inslallation work for
al the follow~
The nature, .'~e work ~nsists of: (Check One or Describe the Nail
~ ~o~tion or new circuit for r~lacem~t Heating
Rcco~tion or new circuit for r~lacement ~]cct~c
~ wat~ heat~.
eco~tion of~e S~icc Entr~ce
~ and li~ting fixt~cs duc lo s~ding / so~t installatio~
~ Enff~cc Cables will requi~ a $epa~ta p~it.
R~o~ccfion or new circuit for thc r~laccmcnt ofothe
appli~ces / ~xtu~.
~ ci~uit for thc addition of~C to ~ ~ndiWdual d~
i~ividual s~tcms
el~t~cal outlets.
)thor
The value of tlis work is $_ ,'~ .
I hereby verifj this work will be performed by an employee of this co
the reconnectibn / installation will be done in compliance with manu~
requirements. I
(Signa~re of Company Officer) -(Pnnt Name of Officer)
(State) (Zip Code)
lc of party contracted to)
,Tformed)
:re of Work)
mt and/or A/C Condenser.
ater Heater or power ventcd
altaratio~ to receptacles
Note: New Service
)ennanently wired
ing unit (house or the
[uding required service
npany and further verify
cturer and Electric code
(Date)