HomeMy WebLinkAbout0131540-HVAC (furnace) CITY OF OSHKOSH No 131540
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 1833 IOWA ST Owner JOAN M KINDERMAN Create Date 07/15/2008
Contractor STEINBRUNER HEATING & COOLING Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ^ New ~ ' ^/ Replace ~ ^ Other
/ Forced Air Radiant Steam A/C Vent
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. EIV signed by Seckar Electric. **debit acct
of Work
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Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $40.00
Issued By: ~//jlyj~ Date 07/15/2008
^ Permit Voided
Parcelld # 1406210000
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 pertorm 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.
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07/15/2008 09:58 19204261890
C}ty of OshkosL ~
t)ivisioo of Iaspcctivn Services
~P.O. Box t 130
pshkoah, WI 54903-1130
!'Yoae (920) 236-5050
Ftx (920) 236-5064
STEINBRUNER HEATING:
HVAC PERMIT APPLICATION
All iaforxdation after bold categories must be provided
Incomplete applications will not be processed.
PAGE 01
'OK M WATER
• Application(s) and ~ee(s) can be brought to City Hall, Room ZOS or mailed to Insp~ctlon St:rvices, PO Box 1128,
Oshkosh WI Sa903~1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus ~e
normal permit fee, v~rhich ever is greater..
OYt
yOB ADDRESS `. / ~.~ ~ ~0~.{~ i9
C1~CK ®ALL APP~.ICABLE
i
VSO CATEGORY
Single Family C~Duplex C7Multi-Family ORental ^Commercial ^Industrial
FUEL Gas ~ C7Electric OSolid SYSTEM w ~ lace
ONc eP
OOiI OSolar pother
Forced Air ~itadiant ^Stcam t]A/C ^Vcnt QElectric QI-tot Water QSuppl. QCon. 8umcr
tS CHIMNEY BEING LINED ~3No ^Yes -LINER S'IZIr & MANiJFACT'CTRER
Note: All chimneys shall be sized per the BTU's being vented.
i
emm~nvEx TYPE ^Chimney ,~ ~'mney >~ oDiret:c vet elother
HEAT LOSS DAs Approved 191~xisting ONot Applicable ~/
RTU RATE ^As Per plan ^Variable OOthcr Value /Jr~ 8Tl/
DESCRipTtON OF ALL WORK BEING DONE
ELECTRICAL CO1~TItAC'1; OR ~~~'~ . f;~~ 1 ~ w. ! ~. ~ j! r
d )ror applicattile projects, ao, Electric Ir-stallation Veriftcation form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
VALYJE ~ __ '~ -
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07/15/2008 09:58 19204261890 STEINBRl1NER HEATING: PAGE 02
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Electric Installation 'verification
I (Wc) ~C(~. A'~. ~~L-7~ 1 C, ~Ol~ ~f~xl Y r N C.
(Electrical Contractor Name)
S 1 ~o Gn~~xle~' ('w~~e 1~~ _ ,ui ~u uEtv~-/w~ ~c/~ 5 y ~ $ (~
(Address) ', (City) (Blatt) (Zip Code)
have been contracted to perform electric installation work for S~/~1I~ UN~i't ,
,f patty contracted to)
r
The value of this work is S
I 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.'
at iha following address: ~~ ~~~ Bw 6i.~
(Address where work will be performed)
The nature ot~the work consists of (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heaton 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 A/C to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
ether
Y' ~ r.V. ~ ~ ~l + "i* lJ ,e 1 S ~T'Jt~ 7 h' ~"r08'
(Signs re of Company Officer) (Print Name of Officer) (Date)