HomeMy WebLinkAbout0104609-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1315 NEBRASKA ST
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 MICHELLE M DURON
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
No 104609
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Create Date 10/07/2003
Plan
Not Applicable
Other
Solar J L~ Solid
~J Other
A/C J L~ vent
Con. Burner J
Not Applicable
Value
Value
60m btu
Use/Nature SFR/Replace furnace and line chimney. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,200.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided
$38.00
Date 10/07/2003
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.
12:00 19204261@90 STEINSRUNER HEATING: PAGE
Cit7 of Oshkosh
Division o£lns~ction
ILO, Box I
O~kosJN WI 54903- t
Ftmne (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information at'er bold categories musl be ptovi&
Incomplete applications will not be processed.
· .5; · Application(s) and f~c(s) can be brought to Ci~ Hall. Room 205 or mailed to Ins
Oshkosh WI 549034 12g. Commencing work without permit(s) will result in fe
normal p,nrnit fee, w~ich ever is greater,
OR ~
ff J/ou are a eonlractor Oartici~in~ in the Permit fee .4cco!tnt System and
· ..~ DA'
":?' ~CK ~ ALL APPLICABLE
~'~:'" '~L .~Gas ' ~Elecmc ~Solid SYST~ ~New
' ~Oil ~ ~Sol~ ~er
:" ~ Air ~Rathant ~St*am/~A/C~Vent ~Elecme ~ot Water
No~: All chi~s shall ~ kized pet the BTU's being ve~ed,
/
' ~MNEY TYPE ~hi~ey A ~i~ey B ~irect V~t ~O
~T LO~ ~As A~roved ~Existing ~No~ Applicable
~l ~ ~As Per Plan ~Variable ~Other Value
t
VALUE (Including labor ~nd all materials including light fixtures) $ ~'~ ~ ~'
': :' ~EI,ECTRICAL CONT~ CTOR__~=~ O_.~R ~Eleelrlc Installation
:etlon Services, PO Box 1128,
s being doubled or $100.00 plus the
ave adeauate fundz, check here
rz
rcial I-llndustrial
~eplace
· Burner
~CTURER
tel'
19204261890
STEINBRUNER HEATING:
PAGE
Electric Installation Verificati
(Electrical Contractor Narac)
IB
h~ve been contracted to pcrfo~ electric installation work for _~
' (N~
(Address where work will be
nature o~the work consists of: (Check One or Descd~ ~c N~
~ ~cco~ection or new ci~uit for replacement Heating
~ ~eco~ection or new circuit for r~laccment Elec~c W
~ water heater.
Rcco~eclion of the Se~ice Entrance Cable, Meter
and li~ting fixtures duc to siding / ~offit m~al]atio~
~ Entr~cc Cables will require a sep~am pe~it.
Rgeonnection or new ci~uit for the replacement of oth~
' appli~ccs / fixtures.
~ew ci~uit for the addition of ~C to ~ individual dw~
individual s~tems in a duplex or condominium), in
electrical outlets.
)~her
The value or'this work is $
1 hereby verify this work will be performed by an employee of this c
the reconnec~ion / installation will be done in compliance with manu
requirements',
(Signa~re o~f Company Officer)
(State) (Zip Code)
!e of party contracted m)-
rfonned)
re of Work)
tnt and/or A/C Condenser.
~ter Heater or power vented
alterations to receptacles
Note: New Service
permanently wired
lling unit Douse or the
:luding required service
mpany and further verify
icturcr and Electric code
(Print Name of Officer