HomeMy WebLinkAbout0104967-HVAC (furnaces)OSHKOSH
ON THE WATER
.lob Address 127 W 25TH AVE
Contractor
Fuel ~ Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
STEINBRUNER HEATING & COOLING
Oil
Owner MR/MRS SIMON GORWITZ
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
104967
10/27/2003
Other J
Vent J
2 - 60m btu
Use/Nature SFR/Replace 2 furnaces. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,800.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$47.00
Date 10/27/2003
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.
10/27/2003 00:33 10204261800 STEINBRUNER HEATING: PAGE 01
City of Oshkosh
~vision o~ Inside;ion
~.0. Box ] ] ]0
~osh, WI 54903-1 I]O
~e (920) 236-5050
F~ (920) 236-50~
'ices
HVAC PERMIT APPLICATION
All infommtion ifter bold categories ,tn~t bc provide,
Incomplete applications will not be processed.
All chimneys shall belsizedi per the BTU's being vented.
CIHMNEY BEING INED ~o ~Yes - L~ER SIZE , & MA~F
~Y ~PE ~Chi~ey A ~Chimney B ~cct Vcnt
~AT ~SS ~As App~ved ~xisting ~Not Applicable
~TE ~As P~ Plan ~Vanable ~Ot~r Value
Application(s) and fi c(s) can be brough! to City Hall, Room 205 or mailed to Ins cction Services, PO Box 1128,
Oshkosh WI 5490341128. Commencing work without permit(s) will result in £e :s being doubled or $100.00 plus the
normal permit fee. v4hich ever is greater.
OR
If Yq~t are a contracto~ partic~ndtJing in the Permit fee .~£count System and ,ave adequate funds, check hi, re
You want this oroce sod throuoh t. our ac~rottnt
-J ',3
CABLE
)uplex F1Multi-Family r"lRental nComml ~r¢ial F'llndustrial
r']Elec~c ~Solid SYSTEM IqNew [l~eplace
ElSolar EiOthet
]Steam E]A/C ~Vent E]Electtic E]Hot Water E]Suppl.13C~ t. Burner
OR ~E~c:rlc Installation Verll
"
:VALUE (Including labor nd all materials including light fixtures)
~'i. ,- ~ECTRICAL CONTI~ACTOR
~CTUR. ER
- 60,~v
18/27/2883 89:33
19284261898
STEINBRUNER HE~TING:
(we)
Electric Installation Verificati,
(Electrical Contractor Name)
The nature
(Adlress) (City)
have been co,mractcd to perform electric installation work for
at the followi ng address,, ~7 ~.)~L~
(Address where work will bc p~
the work consists of': (Check One or Describ~ the Nat
~ ~cconnection or new circuit for replacement Heating P
teconncction or new circuit for replacement Electric W
watcr heater.
lcconnection of the Scl'vice Entrance Cable, Meter Box
and lighting fixtures duc to siding / soffit installatior
Entrance Cables will require a separate pormit.
~,econneetion or new circuit for the replacement of othe~
appliances / fixtures.
law circuit for the addition of A/C to an i.dtvidua! dwe
individual systems in a duplex or condominium),
electrical outlets.
~thcr
~is work is $,
this work will be performed by an employee ofthis col
,n / installation will be done in compliance with manuf~
The value of
I hereby vcril
thc reconnec
requirements.
(Signat/ure of
Company Omc~i
(Print Name of Officer)
PAGE 02
)n
(State) (Zip Code)
ofpnrty contracted to)
'formed)
'e of Work)
nt and/or A/C Condenser.
ter Heater or power ventcd
ahcrations to receptacles
Note: New Service
)ermanently wired
ng unit (house or thc
uding required service
apany and further verify
;turcr and Electric code
(Date)