HomeMy WebLinkAbout0105909-HVAC (boiler)OSHKOSH
ON THE WATER
.lob Address 1415 TAFT AVE
Contractor
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
STEINBRUNER HEATING & COOLING
Oil
Owner WILMER A/ELSIE ULRICH LIFE ESTATE
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
Forced Air I ~J Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B O Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
105909
12/31/2003
Other
Vent J
Use/Nature
of Work
Replace boiler. * EIV form from Seckar.
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$35.00
Date 12/31/2003
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.
12/30/2003 09;37 19204261890 STEINBRUNER HEATING: PAGE 02
Electric Installation Verificati
(El~l~cal Con.actor N~)
(AO~ess) (City)
have been e~mracted to perfo~ elect~e installation work for ~
ai,h~followingadd~ss: t~t~ T~ ~
(Address wh~e work will be p~
~ namm o~the work consisss of: (Check One or Desc~be Ihe Nau
~ R~o~estion or new circuil for replac~m Heating P1
R~o~ciion or n~ circuit for r~plac~ent ~l~ldc W
~eco~ection of the S~ice Emr~ce Cable, Met~ Bo~
and lighting fixtures due ~o siding / soffi~ insmllatim
~ Emr~ce Cables will requi~ a sep~ate
~.. Reco~ection or n~w circui~ for the r~Iaeemem o~
appli~ces / fixings.
~ New ci~uit for th~ addition of ~C to an i~ff~vi~l
individual systems in ~ duplex or condominium),
~ el~clncal outlets.
Other
The value of !his work is $
I hereby veri~y this work will be pert'on, ned by an employee of this cc
the reconnectlon / installation will be done in compliance wilh manuf
requirements,
(Signa~re of company officer) (Print Name of Officer)
)n
(Slate) (Zip Code)
e of party contracted to)
:r formed)
re of Work)
mt and/or ArC Condenser.
Uer Heat-'r or power vented
alterations to receptacles
Note: New Service
permanently wired
fling unit (house or the
luding required service
mpany and funher verify
tcturcr and Elec~c code
(Date)