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Home My WebLink About0131587-HVAC (a/c)OSHKOSH ON THE WATER Job Address 3190 OLD ORCHARn I N CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD No 131587 Create Date 07/16/2008 Contractor STEINBRUNER HEATING & COOLING Category 501 -Residential-Air Conditioning 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 4 TON A/C, EIV SIGNED BY SECKAR ELECTRIC **debt acct of Work Owner MARK H/KRISTEN J LASKY Fees: Valuation $2,000.00 Plan Approval Issued By: $0.00 Permit Fee Paid $40.00 Date 07/16/2008 Permit Voided Parcel Id # 1417480000 In the performance of this work, I agree to pertorm all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to,enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 600 OREGON ST OSHKOSH WI 54902 - 0 Telephone Number (920) 426-1830 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. 07/16/2008 12:31 19204261890 t`hy of Oshkosh Division of Inspection Services l.0. Box 1130 '. Osblcosh, WI 54903-1130 Pl~oae (920) Z36-5050 ~~ (920) z~s-sos4 STEINBRUNER HEATING: HVAC PERMIT APPLICATION All iaformativn after bold categories must be provided. Incomplete applicarions will not be processed. PAGE 01 H ON TH! WATER i a Application(s) and Fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 5490-1 IZ8. Commencing work without prtmit(s) will result in fees being doubled or 5100.00 plus the . normal permit foe, which ever is prefer, OR I Tf you are a cgntragt¢r pa-'t'cip,Qtinp i~Permit fee Aecoernt Sys em and !t ve adeouate funds check kert {f yQtt want this proc,~ssed tJeCQ!~P your account [-1 DAT'IE JOB ADDRESS- ~ I Q d ~ ~ (7rclns~cl ~Q~I-~ CONTRACTOR ~''` ~ I~t } h r U r v' ~`~ f G~ t ~:~ ~ i, ~ -~ ~ ~, ~ I i? I C$ECK ~ ALL APP~.YCABLE OST CATEGO]tY ~t1Si~.gle Family t;JDuplex ^Multi-Fa~aily ^Rcntal ^Commercial C]Industrial FUEL ^Gas ~ Electric ^Solid SYSTEM C1New ~Replacc ^Oil ~ OSolar pOthcr TYPE C1Forccd Air ^Rad~aztt ^Staam ~-/C 17Vrnt ^Electric ^Hot Water ^Suppl. ^Con. Burner iS CHIMNEY BEING LINED~INo ^Xes - LzNER SIZE & MAN[7FACTVItER Note: All cbi~eys shall`be sized per the BTU'a being vented. CffiIVQIEY TYPE ^Chimr-ey A ~Chimncy B ^Direct vent Other ifIEAT ]<.OSS ~ DAs Approved ,E9,Fxisting Not Applicable BTU RATE ^As Per Plan OVariablc QOthcr Value _ _ ~{ / DESCRIPTION OF J1,LL WORK BEING I I ~ VALUE c ` ~ _ _ Q 0 ELECT~CAL CO1~'I'RACTOR j '~ G ~ 1, ~ %~ (~~ ~ ~~ (~ ~ ~ . Q Fox applicable projects, art Electric Installation Verification form, signed by the Electrical Contractor, trnust be attached- I>f'nbt attached or not applicable, a separate Electrical kcrrnit is requirod_ 9/t{'~ 07/16/2008 12:31 19204261890 STEINBRUNER HEATING: PAGE 02 ! c;ry oro,w~.e v;.;.,,,, ~i. sue, ! ins c~ ~R4.e ro aoa ~ uo o.wooa vin s~oj.~,~o ~ 011ke 9;0+2.'l6.aY5p w^ ~a2sd-soar ,;~ 0 ~ Electric Installation VerlScatlon (Electrical Contractor Name) (City) (State) (Zip Code) have been contracted to perform electric installation work for S_ /AJ~UN~~ , .. .. -f party contracted to) al the followinjg address: ~ ~ ~ d OLGO ~I'C-~.~WY.~ ~ 4-x,.c~ (Address where work will be performed) The nature of the work consists of (Ghee]: Une or Describe the Nature of Work) i ~ Reconnection or new circuit for replacement Heating 1'Iant and/or A/C Condenser. Rieconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection of the Service Entrance Cable, Motor Box, alterations to receptacles ' and lighting fixtures due to siding / soffit installation. Note_ New Service Entrance Cables will require a separate permit. Reconnection or ne~v circuit for the replacement of other permanently wired appliances /fixtures. I~ew circuit for the addition of A/C to an individual dwelling unit (house or the ittdi,vidual systems in a duplex or condominium), including required service electrical outlets. O'thcr The value of this work is S 1. Z 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. t~ ~ ~J . S~c~A~ '~ D (Siena re of Company Officer) (Print Name of Officer) (Date)