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
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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.
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Electric Install>~tion Verlficadon
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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.
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. S ~ , ~'' e ~ ~ ~' o
(Signs re of Company Officer) ''~, (Print Name of Officer) ate)
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