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HomeMy WebLinkAbout0130659-HVAC (furnace & a/c) CITY OF OSHKOSH No 130659 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1936 MONTANA ST Owner STEPHEN/KAREN ROTHENBACH Create Date 06/18/2008 Contractor STEINBRUNER HEATIN G & COOLING Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas Oil Electric Solar Solid System ^ New ~ ^/ Replace ~ ^ Other / Forced Air Radiant Steam / A/C Ven~ Electric Hot Water Suppl. Con. Burner Chimney Type Chimney A Chimney B Direct Vent Not Applicable Heat Loss As Approved Existing Not Applicable Value BTU Rate As Per Plan Variable Other Value Use/Nature FR /Replace furnace & a/c. EIV signed by Seckar Electric "DEBIT ACCT"". of Work Fees: Valuation $3,000.00 Plan Approval $0.00 Pennit Fee Paid Issued By: ~j~i~Yj//~(O a ^ Permit Voided $55.00 Date 06/18/2008 Parcel Id # 1406830000 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. 06/18/2008 08:21 19204261890 STEINBRUNER HEATING: PAGE 07 ~1i~ at~dw ~~rie+r ~ ~ SAS-llaO ~~ ~ M po~~- ~~~aaim(s) and mss) ~, be ~~ ti (~jr Ha1, Boom 20S ar mn'ied t~ ~igiad~on Sa~rica. PO Bwc 11 ~ o~btoo~L Wi 5~9~-~ us. ~ .~odc,a~o~crerm~Ks)w;u to~c ~n saes boos doa~d a~ siaooo plus t~ s~so1 penoittbq wil~iet ~.oci~ ~.. _ ' _ ~ ,~ _ _ _-~~ w~._- ~~J Lrrw wJiwrwfw ~ir~Af cjret jtr~ DtA7Z Z '"!7'"0 8, ~ ~ wld, w~.iCABL~ L ~oonY ~~ r.~oia-F~y or,~,ro~~ a~,a~ ~~~ ~~y Cep ~. t~ieo~ric l7soud BYS~ ~ asap C~ Aa ~•dia~ © ~ C]vauc ©Blaaaic CISd w./ar pstpppl.QCoa Bnrna ~ G~x Llris:D DNo LaYee - LII~R s]Z6~ ~ MAr1UF~r-rrro~~ 1'frl~ l1b c~moeyi ~ ite ~~ p~ tAeHTV's bed +-e~1. c~Y T~s ~~ H plc Vat OO~er iAt IAB~ OO~er Vo1^a .~. D 1j! s~os~s o~~x~. ov.~ ~ ~nrria~t o~ wz,a. a-p~~ ~~ Dorms _ ., F. Z~,,~~~, Ate) ~. ---~ BUO fo v~t,Dlc (~^~.+rs b+«'.ra ~r ate. re~^s ~ Q.ECTRiCAL CpNTRAGTQB_ ~Y,~ r ~~~ ~ ve~naier. ~.a~.ac ~ rr~e.~ rrarra-~+- ~!~ 06/18/2008 08:21 19204261890 cNr oro,~t«n n~vis:ow of I.q~eoan ssviep ZIS CY~e~ A~uir ~'O Bat 1110 ONRadWI S19Q7-IUO 01&e 91aIS6~sOS0 Fu 9ZGd16Spp :~O~t~ ~~ STEINBRUNER HEATING: Electric Installation Verification PAGE 08 I (Wc) L~~ c G01k N ~. (Electrical Coxrtractor Name) 5~ Cod ~ t,u ~~ l u ~/Ntr u/~ 5U~ 9 (Address) (City) (State) (Zip Code) have been contracted to perform .electric installation work for S V .. - ~ ... ~f party contracted to) at the following address: ~h~ (Address where work will be performed) The nature of the work consists of: (Check One or Aescribe the N$ture of Work) ~. Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser, Reconnection or new circuit for replacement Electric Water Heater or power vented water heascr. Reconnection of the Service Entranct Cable, Meter $o7t, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a sepazate pernut. Reconnection or new circuit for the replacement of other peztnanently wired appliances /fixtures. New circuit for the addition of A/C 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 $ l hereby verify this work will be performed by an employee of this company and further verify the reconnection /installation will be done in compliance with manufacturer and Electric code requirements. ~~, e , 1~-i~ S utlt ~ o (Signs re of Company Offieer) (Print Name of Officer) (Dat )