HomeMy WebLinkAbout0105764-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1910 CLIFFVlEW CT
Contractor STEINBRUNER HEATING & COOLING
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 THOMAS/DONNA ALTEPETER
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA O Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
105764
12/16/2003
Other
Vent J
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 12/16/2003
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.
g (We)
(Ad
have been
at the followi:
The nature
/
Electric Installation Verificati
(Electrical Contractor Name)
tress) (City)
,tracted to perform cleclric installation work for
, (Nam
(Address where work will be pc
the work consists of: (Check One or Describe the Natu
:econnection or new circuit for replacement Heating Pla
Lecormection or new circuit for replacement Electric W:
water heater.
~cconnection ofthe Service Entrance Cable, Meter Box.
and lighting fixtures due to siding / soffit installation
Entrance Cables will require a separate permit.
.econncction or new circuit for the replacement of other
[ appliances / fixtures...
__ New circuit for the addmon of A/C to an individual dwe~
individual systems in a duplex or condominium), incl
ele<~trical outlets.
.ther
The value of tits work is $ I~0a~ .
I hereby verify]this work will be performed by an employee of this co!
thereconnecti~n / installation will be done in compliance with manufa
re
q'uiremems ' 'l
( ' . . pany Officer) (Print Name of Officer)
}n
(State) (Zip Code)
of'party contracted to)
~ormed)
'e of Work)
nt and/or A/C Condenser.
~er Heater or power vented
alterations to receptacles
Note: New Service
)crmancntly wired
ing unit (house or the
uding required service
~pany and further verify
turer and Electric code
(Date)