HomeMy WebLinkAbout0105696-HVAC (boiler)OSHKOSH
ON THE WATER
.lob Address 912 DOVE ST
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
STEINBRUNER HEATING & COOLING
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner STEVEN ASMUS
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
105696
12/10/2003
Other
Vent J
Use/Nature SFR/Replace boiler. *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 12/10/2003
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.
12/89/2883 10:30
192042GIB90
'°
Electric Installation Verificatio
STEINBRUNER HEATING:
l(Wc)
s ' (Ele~cal Con~ctor Name)
(A~s~) (City)
have b~n contracted to peffo~ electric installation wo~ for ~
at the following ~dr~s', ~1 ~D0 ~ ~
(Addres~ ~here work will be pi
The nature o~the work consists oE (Oeck One or Describe the Natu
Reconn~tion or new circuit for replacement Heating PI
Reco~ection or new circuit for replacem~t EI~Mc W
i water beater.
Reco~tion of the Semic~ Entranc~ Cable, Meter Bo~
and lighting fixtures due to siding / soffit installatim
I Enir~c~ Cables will require a sep~ate p~it.
~eco~ection or new circuit for the r~tacement of othe
~ appli~ccs / fixtures,
ew ci~uit for the addition of MC to an individual dw~
individual s~tems in a duplex or condominium),
electrical outlets.
~hcr
The ,alue of!this work is $
I hereby veri~'Y this work will be performed by an employee of this
the reconne¢lion / installation will be done in compliance with manu
requirements:
(Signature °fCompany Officer)
PAGE
(State) (Zip Code)
of pazly contracted to)
r formed)
re of Work)
tnt and/or A/C Condenser,
uer Heater or power vented
alterations to receptacles
Note: Ncw Service
permanently wired
Ili~g unit (house or the
luding required service
,mpany and further verify
'acturcr and Electric code
Z-
(Date)
( Print Name of Officer