HomeMy WebLinkAbout0103911 HOSHKOSH
ON THE WATER
Job Address 414 E PARKWAY AVE
Gontrector STEINBRUNER HEATING & COOLING
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Fuel ]~'l Gas I I I°il I
System [] New I
Forced Air ~ ~j Radiant
[~lectdc 7 ~- Hot Water
Owner MICHAEL BOONE
No 103911
Category 510- Ind.& Comm-Heating & Ventilating
[~ Electric 1 L....I solar
[] Replace I
L~ Steam ~J NC
~j- Suppl. 1 ~ Con. Burner
ChimneyType ~ ChimneyA ~ ChimneyB
Heat Loss ~ ~ As Approved · Existing
BTU Rate ~..~ As Per Plan ~.~ Variable
Use/Nature ~3OMM/Replace furnace. *EIV form from Seckar Electric.
of Work
· DirectVent ~,) Not Applicable I
{ ~ Not Applicable I Value
· Other I Value
create Date 09/04/2003
Plan
L I Solid
[] Other
Vent
60m
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $35.00
Issued By: Date 09/04/2003
[] PermitVoided J
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 YVI 54902 -0 Telephone Number (920) 426-t830
To schedule inspections please call the Inspection Request line at 236-5'128 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.
~ 09/02/20B3 1~37 19204261890 PAGE 81
Ci~, of Oshkosh
~llvi~ion of Inspection Sen
P.O. Box 1130
O~hkosh, WI $4903-! 130
Phong (920) 236-$050
Fm {920) 236-$084-
CI]~CK [] ALL APPL]
CATEGORY
l~gingle Family
~J~o~ed Air DRadiant
CHIMNEY BEING i
Nt~:: All chimneys shall be
L'~IIMNEY TYPE
Ill-,AT LOSS
WI'U ILa. TE
STEINBRUNER HEATING:
HVAC PERMIT APPLICATION
All information after bold categmics must bc provid~c
I.complete applications will not bc process~.
Application(s) and f~e(s) can b~ brought to City Hall, Room 205 or mailed to
Oshkosh WI 54903-t 128. Commencing work without permit(s) will result in fe~
normal permit fee, w~ich ever i$ greater.
OR
f( you are a contracto~ nartigip(it_tne in the Permit f~ Aceottnt_ Sp,~tem arid
ti' Pou want this_oroee~sed tltrou~h I,our acCOunt'
tABLE
alex r~Muhi-Family fqRcntal ~omm,
I"lElectric f'lSolid SYSTEM f'lNew
nSolar r3Other
ISteam i"IMC nVenl ElElectric F1Ho! Water [-ISuppl.nC0
,INKD EINo f3Ye~ - I.INER SIZE__/~_ & MANUF
~ized per thc BTU'a b~ing vented.
IChimney A OChiraney B I~rect V~nt ~O
las Approved ~.xisting f'lNot Applicable
las Per Plan ElVariable f'lOIher Value /~
I)~SCRIPTION OF AL~, WORK BEING DONE, ~,z.
.'etlon Services, PO Box 1128,
s being doubled or $100.00 plus the
'ave adequata £undL ehoqk hqre
2-a$
;rcial Olndustrial
~, Burner
~CrURER
her
form at~aehedOf Keotocemen0
09/02/2003 14:37 19284261898 STEINBRUNER HEATING: PAGE 82
(Addrl
Electric Installation Verificatio
(Ele~trical Coiit,~tor Name)
ss) (City)
have been contracted to perform electric installation work for
at the following .ddre,s: ~//~ ~
(Address wh~re work will be perfc
~ na~ of~ work consists o~ (Check One or Describe the Nature
~ R~nnecfion or new circuit for r~plac~ent Heating Pl~t
~ R~ction or new circuit for repl~ement El~ific
~ater heat~.
........ Rec~nne~ion of ~he Sc~icc Entr~ce Cable, Mcler Box, ~
~ad li~ting fixtur~ due [o siding / ~ffii installation
~n~nce Cables will r~uirc a ~a~tc p~it.
R~fion or new cir~it for the r~lac~ent of edger
~ ~li~c~ / fix~.
Nee ci~uit for the addition of~C to ~ individual dwellin~
adivi~al s~t~z in a dupl~ or condominium), includ
l~cal outlets.
~ O&
; work will be pcrfm~od by an ~ployee of&is compe
instaQation will bo done in compli~ce with manufactu:
The value of thi~
I hereby verify thi
the reconnection /
requirements.
(Signature of (
mpany Officer)
(Prin~Nnm~ nc 0 f'fioer/
~'tate) ' (Zip Code)'
fparty cOntrncted to)
)fWork)
and/or A/C Condenser.
Iqeamr or power vented
crations to receptacles
otc: New Service
~anently wired
~ Unit (house or the
ag r~quired service
ny and fu~her verify
er and Electric code
(Date)