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HomeMy WebLinkAbout0104254-HVAC (a/c)OSHKOSH ON THE WATER .lob Address 1222 NIMROD CT Contractor STEINBRUNER HEATING & COOLING Fuel ~ Gas ~ System ~ New ~ CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Oil Forced Air I ~J Radiant Electric I ~J Hot Water Owner ROGER D BOYE Category 501 - Residential-Air Conditioning Electric Replace L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type I~ ChimneyA ~ Chimney B Heat Loss I~ As Approved ~ Existing BTU Rate I~ As Per Plan ~ Variable Direct Vent Not Applicable Not Applicable Other Value Value No Create Date Plan L~ Solid 104254 09/18/2003 Other J Vent J Use/Nature SFR/Replace 2T air conditioning condensor. *EIV form from Seckar Electric. of Work Fees: Valuation Issued By: $1,200.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $23.00 Date 09/18/2003 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. 09/17/2003 13:45 19204261890 STEINBRUNER HEATING: PAGE 81 City of Oshkosh Division of ~mpection Sen P.O. Box 1130 Oshkosh, Wl 54903 - ! 130 Phone (920) 236-2050 lex (920) 236.5084 · Applicationfs) and ft Oshkosh WI 54903- normal perrmt fee, w OR if you want this proce. JOB ADDRESS OWNER ~o~rRA~OR CIlECK lal ALL APPL ATEGORY Family FUEL C]Gas CiOil TYPE E~Forced Air ClRadian! I IS C~iiMNEY BEING Nnte: All chimneys shall bt ces HVAC PERMIT APPLICATION ,All information after bold categories must be provid¢l Incomplete applications will no~ be processed. c(s) can be brough! to City Hall, Room 205 or mailed to Ins [128. Commencing work without permit(s) will ~sult in lc, ~ich cvcr is ~catcr, · oarRi(ipo!ine in the Permit fee Account Sy.~tem and sed throuoh your account ~r~. DA [CABLE )uplex ~lMulti-Family F1Rcntal [3Corem [~leetnc rlSolid SYSTEM CINew ClSolar DOthe~ IStcam nA/C OVent ElElectnc nHot Water rlSuppl.ClC~ /NEI]~o DYes - LINER SIZE. & MANU! sized per the BTU's being vented. O/H{O/H cction Services, PO Box 1128, rs bging doubled or $100.00 plus the lave adeouate funds, ch.¢ck here .~reial Vllndustrial n. Burner ACTURER CRIMNEY TYPE ~Chimney A ?]Chimney B E]Direct Vent II,AT LOSS ~lAs Approved ElExisting ElNot Applicable lITE RATE I~lAs Per Plan ~Variable C}Other Value , .SOm'T]ON or wo.x BEI <; OON VALL~E (InelndJog labet L~LEL-IKICAL CONTI r'lc ther nd ali materials inelnding light :ACTOR_~.I~R r~' OR ~ Electric Installation Verl I (we) (AC have b¢~n co at the The nature ol The value of I hereby the reconnect requirements {SignatUre o 19204261890 STEINBRUNER HEATING: PAGE 81 Electric Installation Verificati (E]ectrica] Contrsctor Name) dress) (City) ~tracted to perform electric installation work tOT '.~' (Address where work will bc p~ the work consists of: (Check One or Describe the Natt ~,ccormection or new circuit for replacement Heating PI ~.econnection or new circuit for replacement Electric W water heater. ~econnection of the Service Entrance Cable, Meter Box and lighting fixtures due to siding / soffit installatiol Entrance Cables will require a separate permit. /.eeonn~tion or new circuit for thc replacemcm ofothc appliances / fixtures. ,/ew circuit for the addition of A/C to an individualdwe individual systems in a duplex or condominium), electrical outlets. )ther ,isworkis, ' , this work will be performed by an employee of this co ~n / installation will be done in compliance with manuf Company Officer) (Print Name of Officer) )n L (State) (Zip Codc) ,c of party contracted to) :rfonned) re of Work) mt and/or A/C Condenser. ~ter Heater or power vented alterations to receptacles Note: New Service )crmanemly wired rng unit (houze or the luding required service npany and fu~her verify tcturer arid Electric code (Date)