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Home My WebLink About0104433-HVAC (furnace)OSHKOSH ON THE WATER .lob Address 1105 HOBBS AVE Contractor STEINBRUNER HEATING & COOLING Fuel ~J Gas ~ System ~J New ~ CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Oil Forced Air I ~J Radiant Electric I ~J Hot Water Owner WILLIAM G/REBEC TYSON 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 104433 09/29/2003 Other Vent J 60m btu Use/Nature SFR/Replace furnace. *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 09/29/2003 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. ~9/29/2003 88:57 ~9204~6~@90 STEIh~RUNER HE~TING: P~GE 0~ HVAC PERMIT APPLICATION All information after bold categories must be provldc~ Incomplete applications will not be pw~e,nse& · Application(s) and fc ~(s) can bc brought to City Hall, Room 205 or mailed to Insi Oshkosh WI 54903-~128. Commencing work without permit(s) will result in fei n~l ~it fee, w~ich ~v~ is ~eatet. OR · ~vou are a contracto~ pnrticina~ing tn the Perm(t fee Ac. count Sgst~m and ff you want Ih~s aroce~sed through your account ~ CONTRACTOR ~ C'~F. CK l~[ ALL APP! ~Singlc Family J ICABLE CJDuplcx C3Multi-Family i"lRcntal :" FUEL ~as [ C]£1ectnc nsolid SYSTEM C]Oil [ ~Solar ~ed ~ir ~diam ~St~am ~C ~V~t ~Ek,~c ~Hot Water :' "" IS CH~Y BEING~I,INED ~ ~Ycs - L~ER SIZE & MA~ N~: All chi~cys s~ll ~ s~ed per tl~ BTU's being vented. C~M~Y TYPE i.~Chi~ey A ~ey B ~t V~t ~IT LOSS ~ A~rov~ ~x~atmg ~Nol Applicable ~ ~TE ;~As Per Plan ~Variable ~Other Value VALUE (IncJ~in~ labor and all mate~als including lighl fixtures) $ Oat? ~ Electric Installallen Ye Eh.¢tricol in.~Mttation o/new/re, lace ection Services, POBox 1128, s being doubled or $100.00 plus the rave adeouate £undz. check h re~r.~ I-1Comn .et¢iai E3New ¢ C]I~dusttial ~eplacc tfitation form attnehed(If Rcplacem~O ~gnt equtpnnent shall Oe done 0)' licen~ c~nlrrl~ort. ,ther -03 an. Bmer :ACTURER 99/29/2003 08:57 19204201000 STEINBRUNER HEATING: PAGE 02 Electric Installation Verificati (We) .9 rC.k c , / (Electrical contractor N~e) (AC dress) (City) have bc~ co)Iract~ to perfo~ electric installalion work for ~ (N~ at the follow~g ad.ss: { ~ r) ~, ~ (Add.ss where work will be p, ~e nature o[the work consis~ of: (Check One o~ D~c6b~ ~e Nat~ ~ ~o~lion or new circuil for repl~emont Heating Pi Reco~ection or new circuit for r~lac~ent Elect~c ~ ~ water heat~. ~co~tion ofih~ Sewice ~tr~ce Cable, Met~ ~ and lighting fixtures du~ to siding / soffit instnllatio= ~ En~ce Cables will r~quire a ~p~a~e ~eco~fion or new circuit for ~e replacem~t ofoth~ [ appli~ces / fixtures. ~ New circuit for the addition of MC to ~ individual individual systems in a duplex or condominium), el~t~cat outlets. )ther The value of :his work is $ 1 hereby vefi~ this work will be performed by an employee of this c~ the reconnectlon / installation will be done in compliance with manu~ requirements.[ (Signa~re ~f Company Officer) (Print Name of Officer) }n (State) (Zip Code) '~U~ u~c:'~__ , te of party conttactc, d to) :rformed) tre of Work) mt and/or A/C Condenser, at~' Heater or power vented · alterations to rec?tacles ~. Note~ New SerVice r permanently w~red Iling unit (house or the :luding required service ,mpany and further verify acturer and Electric code (Date)