HomeMy WebLinkAbout0121542-HVAC (a/c) 0 CITY OF OSHKOSH No 121542
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1936 MONTANA ST Owner STEPHEN /KAREN ROTHENBACH Create Date 09/14/2006
Contractor STEINBRUNER HEATING & COOLING Category 501 - Residential -Air Conditioning Plan
Fuel U Gas U 00 lyj Electric U Solar U Solid 1
System L] New 1 ] Replace 1 n Other
J Forced Air a Radiant u Steam U NC u Vent
U Electric U Hot Water U Suppl. U Con. Bumer
Chimney Type J Chimney A • Chimney B 0 Direct Vent Q Not Applicable
Heat Loss Q As Approved • Existing Q Not Applicable Value
BTU Rate Q As Per Plan Variable • Other Value
Use /Nature SFR / REPLACE 2T A/C UNIT (ELECTRIC TO BE DONE BY SECKAR ELECTRIC) "debt acct
of Work
Fees: Valuation $1,800.00 Plan Approval $0.00 Permit Fee Paid $37.00
Issued By: s-y-nLk Date 09/14/2006
El Permit Voided Parcel Id # 1406830000
In the performance of this work, I agree to perform all work pursuant to rules goveming 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.
09/14/2006 14:34 19204261890 STEINBRUNER HEATING: PAGE 09
STEINBRUNER
2Iscrmos■ nit /rip SI- Coo ling
Street • Oshkosh, Wisconsin 902
enigma 7 426 -1830 • FAX (920) 426 -1 ;90
s .
Electric Installation 'Verificati n
h
1 1 (We)
(Electrical Contractor Name)
(Address) (City) (State) (Zip Codc)
have beer► contracted to perform electric installation work for ' 44 • R
IN . - of party contracted to)
at the following address: /9,3 fa rn d > t1z r _ - -_.
(Address where work will be . rfoimed)
I
The nature of the work consists of: (Check One or Describe the Nat of Work)
. Reconnection or new circuit for replacement Heating P • t and/or A/C Condenser.
Reconnection or new circuit for replacement Electric eter Heater or power vented
water beater.
Reconnection of the Service Entrance Cable, Meter Ro alterations to receptacles
and lighting fixtures due to siding / soffit installatio , Note; New Service
Entrance Cables will requires separate permit.
Reconnection or new circuit for the replacement of oth - permanently wired
• appliances / fixtures.
New circuit for the addition of A/C to an individual • Iling unit (louse or the
individual systems in a duplex or condominium), i . lading required service
electrical outlets.
Other
•
The value of this work is S •
I hereby verify this work will be performed by an employee of this c ' mpany and further verify
the reconnection / installation will be done in compliance with mine '= toter and Electric code
requirements.
___OtdAkree)
(Signature of
(Si gn Company Officer) (Print Name of Officer) (Date) .
is