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HomeMy WebLinkAbout0104169 HOSHKOSH ON THE WATER .lob Address 701 705 OTTER AVE Contractor STEINBRUNER HEATING & COOLING Fuel System CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Gas J ~J Oil New J Forced Air I ~J Radiant Electric I ~J Hot Water Owner GLORIA L MILLER Category 500- Residential-Heating & Ventilating L~ Electric Replace L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type IO Chimney A ~) Chimney B O Direct Vent ~ Not Applicable I Heat Loss I~ As Approved O Existing ~ Not Applicable I Value BTU Rate I~ As Per Plan ~) Variable ~ Other I Value No Create Date Plan L~ Solid 104169 09/15/2003 Other Vent J 75m btu Use/Nature DUPLEX/701/Replace 75m btu furnace. *EIV form from Seckar Electric. of Work Fees: Valuation Issued By: $1,600.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $29.00 Date 09/15/2003 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 Agent/Owner Address 600 OREGON STREET 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. 09/15/2003 11:29 19204261890 STEINBRU~ER HEATING: PAGE City of Oshkosh Division of Inspection Se~ices P.O. Box l 130 O~o~h, Wl 54903-1130 Iqmn~ (920) 236-5050 lt~ (920) 236-$094 HVAC PERMIT APPLICATION All information after bold categories must b~ provide~ l~omple~e application~ will not be processed. · Application(s) and fefi(s) can be brought to City Hall, Rooro 205 or mailed to Ins: Oshkosh WI 54903-1128. Commencing work without perlllit(s) will result in re, normal permit fee, v~hich ever is great~r, OR I~,t?u aroa cOatracto~' part~ci~atm_~ in the permit [Ce ,4ccount ~vstem and if you want this oroce rsed through ,/our account r~ boil r3Multi-Family I-IRental FICom~ ~Elcctnc FISolid SYSTEM ONe'~ DSotar t'lOth~ lq~L ":" ~orced Air ORa&ant ~Stearo I~AJC I-Went ClElecn'ic f=lHot Water DSuppI.~C N~ Al ch ~eys s~ll ~ sized per ~e BTU's being venled. ~MNEY ~Z aChi~ey A ~y B ~,ct Vero D ~AT LOSS ;~ App~ved ~Existing ~Not Applicable ~l ~ ~As Per Plan ~Variable DOth~ Value ~ VAL[~ (lnel~s lab an0 all materials inelualng light fixture0 $ ] ~ ~ / O~ ~i~ Electric Installation Vt ~ction Sennces, PO Box 1128, ~s being doubled or $100.00 plus the ';eve odeauate funds, check tercial Cllndustrial Burner 'ACTURER ~ther ~ 09/i5/2003 11:29 19204261@90 STEINBRUNER HE~TING: PAGE 02 Electric Installation Verjflcati (Electrical C~t~ctor Name) (Ad,ess) (City) ~ave bc~n co~act~ to perfo~ clec~c imtallation work ~or ~ (Address where wo~ lill b~ The nature of(the, wol consists of: (Check One or Describe ~e Natt ,~ ~eco~li~ or new circuit for r~lacem~t Heating .. R~fion or n~ cimuit for r~lacem~t Electric ~ wat~ heat~. ~ ~eco~tion of the Se~ice Entr~ceCable, Met~ Box ~ ~d li~ting fixtures duc .... , to s~dmg / so~t mstallat~o~ ~ En~c~ Cabl~ will r~uire a sep~ate p~it. ~ ~co~ection or new circuit for the r~lacement ofoth~ .~ appli~ces / fixtures. ~ New ci~uit for the addition of~C to ~ i~ivi~uald~e, md~vMual systems m a duplex or condommmm), inc el~t~cal omlets. ~ ~her The alu~ oft is work is $ r . I hereby vefifykhis work will ~ p~fo~ed by an ~ployee of this co~ the reconnectidn / installation w~ll b~ done in compliance with m~ufa~ requirements. (Si~a~re of Company Officeo (P~m Name of Of~ccr) ~n (State) (Zip Code) : of patty contracted to) formed) e of Work) at and/or A/C Condcn,scr. ter Heater or power venled alterationa to receptacles Note: New Service ~rmanently wired ng ,,air (house or the iding required service ~pany and furiher verify :turer and Electric code 5-/C-,o 3 (Date)