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)