HomeMy WebLinkAbout2003-HVAC (chimney/furnace)OSHKOSH
ON THE WATER
.lob Address 1449 W 4TH AVE
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 MR/MRS ROBERT WHITE REV TRUST
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
No 105722
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Create Date 12/11/2003
Plan
Not Applicable
Other
Solar I L~ Solid
~J Other
A/C J L~ vent
Con. Burner J
Not Applicable
Value
Value
60m btu
Use/Nature SFR/Replace furnace and line chimney. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided
$35.00
Date 12/11/2003
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/~'1/2003 10:25 19204251@90
STEINBRUNER HEATING:
PAGE 04
l (we)
Electric Installation Verificati,
(Electrical Contractor Name)
(A~dm~) (City)
have been c~ntmctcd to per o ~lcct~c installation work for ~
(Addres~ where work will be
The nature o~the wo~ consists of: (Check One or Describe the N~
'R~co~ect~on or new circuit for replacement Heating P
:Reco~tion or n~w ci~uit for rcplacoment El~ctfi~
] wat~ heat~.
~Reconnection of the Semice Entrance Cable, Meter
and l/~ting fixtures due to siding / soffit i~tallat/o
Entice Cables will require a sep~ate p~it.
R~co~ecfion or new circuil for the r~lacement of oth~
, appli~cos / fixtures.
'New ci<uit for the addition of ~C to an individual dw
individual systems in a duplex or condominium),
= cl<tfical outl~s.
~her
)n
(Stero) (Zip Code)
of patly eontra~ted to)
formed)
re of Work)
tnt and/or A/C Condcnser,
ater Heater or power vcntcd
alterations to receptacles
Note: Hew Service
permanently wired
:lling unit {house or the
eluding required service
The value of this work is $
l hereby vedYY this work will be performed by an employee of this (
the reConnectJon / installation will be done in compliance with mare
rcquircmentd,
(Sis~na~re of Company Officer) (Print Name of Officer
)mpany and further verify
'acturer and Electric code
/z-//
(Date)