HomeMy WebLinkAbout0104906-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1728 HAZEL ST
Contractor
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
STEINBRUNER HEATING & COOLING
Oil
Owner RONALD A HILT
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
104906
10/22/2003
Other
Vent J
Use/Nature SFR/Install furnace & line chimney. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$42.50
Date 10/22/2003
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.
18/21/2003 09:05
19204261890
· Application(s) and f,
Oshkosh WI 54903,
normal permit fee, v
OR
STEINBRUNER HEATING:
PAGE 01
HVAC PERMIT APPLICATION
All information after bold catcgom:~ must bc provide
Incomplete applications will not be processed.
~e(s) can be broughl to City Hall, Room 205 or mailed to In:
1128. Commencing work without permit(s) will result in fc
hich ever is greater.
;etlon Services, PO Box 1128,
s being doubled or $I00.00 plus the
ifF9u wahl this Droc~sed tfiro~efi ~our accou~l ~
o~a ~o~,,~j~r
C~CK ~ ALL APPLICABLE
U~ CATEGORY ] .
~ingle F~ily ~Duplex ~Muhi Family ~Rcntal ~Comn
FUEL ~Gas ~Elecmc DSolid SYSTEM ~New
DOd ] ~Sol~ DOth,
~PE
~Forc=d Air ~diant ~Steam ~C ~Vent ~Elec~ic ~Hot Water ~Suppl.~(
~S CH~NEY BEIN~LINED ~No ~+e~ - L~ER SIZE~/~ &
N~te: All cbimr~ shall ~e sized per the BTU's ~eing vented
C~MNEY T~E~ ~Chimey A ~imney B ~iwct V~t
KEAT LOSS I-lAs Approved l~lExisting
Itl'il RATE QAs Per Plan [~Variable
DESCRIPTION OE ALL WORK BEING DONE
VALI~ (Including lab~
FINot Applicable
ElOther Value -- ~:,
· nnd all materials including light fixtures) $oQ S"=O o
OR J~ Electric In~allatlon Vt
It /0-.2-/- ~ ~
~ercial
r'llndustrlal
R~,Replace
ELECTRICAL CON'i~RACTOR~
)thor
an. Burner
:ACTURER..
10/21/2003 09:05 19204261890 STEINBRUNER HEATING: PAGE 02
Electric Installation Veriflcati,
(El~mcal Con.actor N~e)
/
(A~dgss) (City)
have been co~tr~ted to perfo~ electric installation work for
(N~
al ~he follow~ng Mdress: I ~ ~ ~
~ (Address where work will be
The nature o~the work consists of: (Check One or Describe the N~
~ ~eco~ecdon or new ei~ufl for replae~em Heating
~ R~o~tion or new eimufl for r~lac~em Eleet~e
__ Reco~on or,he Semite Entrance Cable, Meter Bm
~ ~d lighting fixtures due lo siding / soffit insmllatio:
L require a s~arate p~i~.
~r~ce
Cables
~eeo~ection or new circuit for the replacem~1 of othe
~ appli~ces / fixtures.
ew circui~ for the addition of
~ individual s~tems in a duplex or condom nium),
~ el~tfical outlets.
~ ~lher
The value of Ibis work is $ /2 ~-_o~o
1 hereby verit~y this work will be performed by an employee of this er
the reconnecuon / installation will be done n compliance with manuf
requirements.
( 'g a~re of Company Officer) (Print Name of Officer)
)n
(State) (Zip Code)
· of party contracted to)
re of Work)
m! md/or A/C Condenser.
ater Heater or power ve~ted
alterations to receptacles
Note: New Service
,ennanently wired
lling unit (house or thc
;luding required service
mpany and further verify
lcturer and Electric code
/o--z /
(Date)