HomeMy WebLinkAbout0105497-HVAC (furnace)OSHKOSH
ON THE WATER
3190 OLD ORCHARD LN
STEINBRUNER HEATING & COOLING
Job Address
Contractor
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 MARK H/KRISTEN LASKY
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
105497
12/01/2003
Other
Vent J
100m btu
Use/Nature SFR/Replace furnace. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$35.00
Date 12/01/2003
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 ST 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.
4 , 1~/01/2003 09' 4B 19204261890
,
STEINBRUNER HEATING:
Electric Installation Verificati
(Electrical Contractor Name)
(Ad~ress) (City)
have been cohWacted to perfo~ el~ct~c installation wo~ for
(Address where work will be
The nature o~the work consists of: (Check One or ~scfibe the Nat~
'R~o~ection or new circuit for r~lac~ment Hinting PI
~ 'Reco~ection or new circuit for replaeemem
wal~
*Reco~ec6on of the Se~ice Emranse Cable, M~ter Bo~
and lighting fixtur~ due to ~iding / soffit in~tallatio:
~ Entr~* Cable~ will r~uire a ~oparate pe~it.
'Reco~eclion or new circuit for the ~lacement ofoth~
~ appli~ces / fixtures.
N~ circuit for the addition of
~ndi~idual systems i~ a ~uplcx or condominium), in
~ clear, cai outlets.
~ther
The value of this work is $
hereby verify this work will be performed by an employee o£this c
Ihe reconne~ion / installation will be done in compliance with manu
requirementS.
(Sitma~re~of ComPany Officer}
(Print Name of Officer]
PAGE
n
(State) (Zip Code)
c ofp~y con~act~ to)
rformed)
re of Work)
ant and/or A/C Condenser.
ater Heater or power vented
alterations to receptacles
Note: New Service
)ermanently wired
~lliag unit (house or the
:luding required service
~mpany and further verify
racturer and Electric code
(Date)