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HomeMy WebLinkAbout0131624-HVAC (furnace)/~"~ CITY OF OSHKOSH No 131624 OSHKOS H HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1125 GRAND ST ', Owner KEITH E/RHONDA R POND Create Date 07/17/2008 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 Existin Not Applicable Value BTU Rate As Per Plan Variable Other Value 90,000 UselNature FR /REPLACE FURNACE DUE TO FLOOD DAMAGE, EIV SIGNED BY SECKAR ELECTRIC **debt acct of Work i Fees: Valuation $2,200.00 Plan Approval $0.00 Permit Fee Paid $43.00 Issued By: ' Date 07/17/2008 ^ Permit Voided ~ Parcel Id # 1003290000 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 Address 600 OREGON ST Agent/Owner .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. 07/17/2008 12:48 19204261890 STEINBRUNER HEATING: PAGE 01 City of Oshkosh Dirvisiaa of Inspecdon Services ~ t.0. Aox 1130 Oshkosh, WI 54903-1130 !t-as~e (920) 236-5050 lhu~ (920) 236-5064 ' ON N WAT@R NVAC PERMIT APPLICATION A11 information attcr bold categories must be provided. Incomplete applications will aot be processed. • Application(s) and 8eo(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903=1128. Commencing work without permit(s) will result in fccs being doubled or 5100.00 plus the normal permit fcc. v~hich over is greater, OR j vau are a tQntract~r narticinatlnp in the Per~it j~e Recaurtt Svstetn Qnd have adequate farads. check here tf you want tl,~g proe~~sFd tl~rou~ vour pccyunt n ~ '', DATE 7 ~ 4~ SOB ADDRESS I / / ~ S C~ r1 N~~ 1 E) r U r1~ ~ ~~ ~ ~i C1fIECK ~ AY.,L II,SE CAZEGORY Sirtglc Family >FUEL C]Oil [Duplex C1Multi-Family ^Rental ^Cotnmercial ^Tndustrial ^Electric ^Solid SYST$M ^New ~eplaee C]Solar OOther E orced Air ^Radi'arit ^StcarYt ^A/C ^Vcnt ^Electric DHot Water C]Suppl. ^Con. Burner TS CH>aVViNEY BEINOr LAVED ~;No ^Yes -LINER SIZE & MANUPACT[]RER Noce: All chimgcys shall be sized per the BTU's being vented. CHIIVIIVEY TYPE ClChimncy A e~Chsmney B HEAT LOSS ^As ApprovedExisting ATU RATE ^As Per Plan I ^Variable I~ DESCRIPTION OF ALL WORK BE)<1VG DONE OD>rect vent DOther C1Not AppYicablc /~' ~ OOther Value 7 ~,~Q1r~ ,~ VALUE ~ ~ 5 ~ ~ OD (~ ELECTRICAL CONTRACTOR j~~.'c..C, ir, ''' ~ ~. (r ~ (E i : • ^ For applicaf~le projects, an Electric Installation Vcri~tcation form, signed by the Electrical Contractor, must be attached. If oe~t sttached or not epplirahln, a ~w.raratr. Fl~rtriral Pntinit is required. 9/0~ Cfry of oshtaw oivoioa o! Iwyeaioa savioes 2IS eti.c- A.eere PO Yw- ~ uo Od~RO~M wl l~90l-1170 011fee 924t76S050 ' Ra 9r20.27L.70r- ,~ 0~'~ r~----- Electric Install>~tion Verlficadon i I (Wc) _~~~ A7~ i~L~G~ I G Cc~ihPfkN4' 1 N C, (Electrical Contractor Name) . S 7 ~ Cou~t~Ve~l~ P~u~~e~ ~~ lu-,u~u~,~,v+r u/~~~ ~, (Address) (City) (State) ~ (Zip Code) have been contracted to perform electric installation work For ~ U , ', .. ~ ,f party traded to) at the following address: ,~ t __ l~,~l x ~~ (Address where work will be performed) The nature of the work consists of (Check One or Describe the Nature of Work) i I Reconnection or nevv circuit for replacement Heating Plsut and/or A,~C Condenser. Reconnection or new circuit for replacement Electric Water Heater o~ power vented water heater. Reconnection of the Service Entrance Cable. Meter Box, alterations ~ rcceptaeles and lighting fixtures due to siding / soffit installation Note: NevM Service Entrance Cables will require a separate pernut. i 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 snit (house or the individual systems in a duplex or condominium), including requrr~ed service electrical outlets.' Other ~ ~ The value of this work is $ i 1 hereby verify this work will be performed by an employee of this company and er verify the reconnection /installation will be done in compliance with manufacturer and E ectric code requirements. i i . S ~ , ~'' e ~ ~ ~' o (Signs re of Company Officer) ''~, (Print Name of Officer) ate) .---. Z0 3Jt7d =9NIlt13H ~13Nf121fiNI31S 068T9ZV0Z6T 8ti ~ZT 800Z/LZ/LO