HomeMy WebLinkAbout0104281-HVAC (furnace; liner)OSHKOSH
ON THE WATER
.lob Address 107 W 14TH AVE
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
STEINBRUNER HEATING & COOLING
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner RICHARD G FENN ETAL
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
104281
09/19/2003
Other
Vent J
80m btu
Use/Nature SFR/Install replacement furnace and line chimney. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$35.00
Date 09/19/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number
(920) 426-1830
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~9/19/2003 08:23 1920~2618B0 STEINSRUN~R HEATING~ PAGE
HVAC PERMIT APPLICATION
All information after bold catcgnries ~st b~ provide~
Incomplete applications will not be processed.
A~lication(s) and fee(s) can be brought to CiO] Hall, Room 205 or mailed to In.,
Oshkosh Wi 54903-1198. Commencing work without p~rmit($) Wql result in fc
no~al pe~it f~, ~ich ever is ~cater.
OR
~ou are u contractor part~cipotin~ i~ the Permit fee ~¢ount System an~
~you wont thi~ v~ocezsed through your account ~
·:k[CK [] ALL API~LiCABLE
-~nCATEGORY
gle Family
[30il
VIDuplex VIMulti-Family VIRental
I~ElectTic ClSolid SYSTEM
ClSolar
ced ^ir FIR~di~mt F'lStcam F1A/C ~Vent FIEl¢cm¢ rnHot Water FlSuppI.UIC
IS CIIIMNEY BEING LINED E]No ~Yes - LINER SIZE '~ ~t & MANUF
N~te: All chi.,~teys shall be sized pet the BTU's being vented.
CHIMNEY TYPE rqChirancy A ~h!mney B ([~irect Vent
H~AT LOSS VlAs Approved u. mxtstmg EINot Applicable
~l~J RATE r'lAs Per Plan E1Variable E]Other Value
E,NG ONE_
YALUE (Including labor and ail materials including light fixtures)
ELECTRICAL CONTI~ACTOR ~.c~.ur~
.*etlon Services, PO I~ox 1128,
s b~ng doubled or $100.00 plus the
ave adeauate £undz. check here
O~ ~J[Electric Installation Yeril
nlndustrial
~cplacc
CTURER
DA
DComm rcial
E]New
I-lO, he
tcarioo term atlachedtlf ReplacemeaO
equipment ~hall bc done b)' licensed comracWr~
"99/19/2003 B8:26 19204261890 STEINBRUNER HEATING: PAGE
~ (We) ~
have be=n con
at the t'ollowi~
The nature of~
Electric Installation Verificatio
(Electrical Contractor Name)
tess) (City)
racted ~o perfo~ electric installation work for
(Addr~s wh~e work will
he wo~ consists of: (Cheek One or Describe the Natm
__~ or new circuit for replacement Heating Pla
~ l~cconnection or new circuit for replacement Electric Wa
water heater.
eeonnection of the Service Entrance Cable, Meter Box,
~ I and lighting fixtures due to siding / soffit installatiorL
Entrance Cables will require a separatc permit,
Reconnection or new circuit for the replacement of other
1 appliances / fixtures,
__ New circuit for the addition of A/C to an individualdwel~
The value of ti'
1 hereby verify
thc reconnecti
requirements.
(SignatUre o
individual systems in a duplex or condominium), incl
electrical outlets,
__ O lher
is workis$
this work will be performed by an employee of this co
n / installation will be done in compliance with manufa
Company Officer)
fPrint Name &Officer)
(State) (Zip Code)
Df~ o~e~ ,
of party contracted to)
~o~)
.' of Work)
~ and/or A/C Condenser.
cr Heater or power vented
alterations to receptacles
Note: N~v Service
~ermanently wired
ng unit (house or the
lding required service
~pany and further verify
:turer arid Elect~c code
(Date)