HomeMy WebLinkAbout0104564 HOSHKOSH
ON THE WATER
.lob Address 1804 VlNLAND ST
Contractor
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
STEINBRUNER HEATING & COOLING
Oil
Owner HAROLD/MARCELLA EICHSTADT REV TR
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
Forced Air I ~J Radiant
Electric I ~J Hot Water
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
104564
10/03/2003
Other
Vent J
Use/Nature SFR/ RENTAL/ Replace furnace. *EIV form from Hoehne Electric.
of Work
Fees: Valuation
Issued By:
$1,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$27.50
Date 10/03/2003
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.
.,18/83/2883 18:21
~ of Oshkosh
Division of In~l~'etion Set
P.O. Box 1130
O~kosh, Wl 54903-1130
lqmee (920) 236-5050
}:mt (920) 236-5084
19284261898
STEINBRUNER HEATING:
HVAC PERMIT APPLICATION
All infonmtion after bold categories must be provide
Incomplete applications will not be l~OCessed.
Application(s) and f~e(s) can be brought to City Hall, Room 205 or mailed to In!
Oshkosh WI 54903~1128. Commencing work without permit(s) will result in
normal permit fee, v~hicb ever is greater.
OR
1
If you are a ccntracto~ parti¢il~aJ~ng i. the Permit fee Account System an
C~CK ~ ALL
~ CATEGORY
' ~ingle Family []
"~' lrl~ s
~ed Air ~di~t
IS ~Y BEING ]
Nme: All chi~ shall
ICABLE
Duplex FIMulti-Family
VIElecmc V1Solid
IDSolar
cRIMNEY TYPE
liRAT LOSS
~[Rcntal F1Cormt
SYSTEM f-INew
~Othet
]Steam CIA/C VIVent ~]Elecwic Elliot Water F1Suppl. Clc~
,INEI~o rlY. es - L~ER SIZE
sized p~ thc BTU s being vented.
]Chi~ey A ~Chimney B ~Dlrect V~t
3As A~roved ~xisting ~Not A~licable
~As P~ Plnn ~Variable ~Other Value
B~SCRIPTION OF ALL WORK BEING DONE. lc--o-gl.
VALUE (Including labor,iud all materials including light
PAGE 01
:ction Services, PO Box 1128.
s being doubled or $100.00 plus the
ave adequate funds, check here
rE ..... t0~ 5'° ~
Cllndustrial
~eplace
L Burner
~CTURER.,,
iher
3t02
18/83/2883 18:21 19284261898
STEINBRU~ER HEATING:
Electric Installation Verificat
(El~c~ ~c~ N~e)
(ci~)
~r~ ~l~c i~mlinfion wo~ for ~
(A~ wh~ w~ ~1~
~~ or n~ c~t for ~1~ H~ng P
R~on or n~ c~t f~ ~l~mt El~c V
h~t~.
li~g fix~ ~e m ~d~ / ~t ~o~
R~on or n~ ci~t for ~ r~l~t ofo~
indi~d~ ~tm in a dupl~ or ~~), in
Thc value of this work is S~.
I h~r~by v,~ify this wodt W. ill bc performed by nn e?. ploy~e of this
the reconnecfion / in.~Mlat~on wfl! be done in complmnce with manu
requirements.!
"- fPrint Name of Offic.~r
PAGE 82
~n
(mate) (Zip code)
te of ~y ~ ~)
ire orWotk)
mt and/or A/C Conde~er,
stet Heater ot power vented
altermions to receptacles
Note: New Service
pca'maneflfly wired
riling un~ (hollse or thc
:luding required service
,top.ny and further veery
~ctm~ and Electric code
(Date)