HomeMy WebLinkAbout0102757-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 1170 TIMOTHY TRL
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 DALE H/KARl L DAMSTEEGT
Category 501 - Residential-Air Conditioning
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
102757
07/09/2003
Other
Vent J
1.5 ton
Use/Nature SFR/Install A/C. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$1,100.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$21.50
Date 07/11/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0
Telephone Number
(920) 426-1830
07?03/2003 01:54 19204261890
STEINBRUNER HEATING:
PAGE 81
City of oshko;h
Division of In;pecfion Szrv! :es
P.O. Box 1130
Oshkosh, WI 5490~-1130
~ (920) 216-~050
Fax (9~) 236-5084
HVAC PERMIT APPLICATION
Alt information after bold categories must bc provide,
Incomplete applications will not be processed,
· Application(s) and ~
Oshkosh Wl 54903
normal permit fee, v
OR
~'OO want this t~roce~
JOB ADDRESS I I
CONTRACTOR
CI~CK El ALL APPI
~ingATEGORY
lc Family C
FUEL gGas
laOil
TYPE
OForced Air f=lRndiam
IS CHIMNEY BEING
N~te.: All ehLmneys shall ~
CHIMNEY TYPE
HEAT LOSS
RTU RATE
DESCRIPTION OF A
VALUE (Including labi
ELECTRICAL
.~($) can be brought to CiW Hall. Room 205 or mailed to Ins1
,128. Commencing work without I~rm/t(s) will result in fe~
~ich ever is ~'eater.
· ~articiDettin~ in the permit f~ ~ount Sw'tem and
sed through your t,ccounf ~
~ABLE
Duplex E]Multi-Family ORental OComr
~lec~; 5]Solid SYST£M q3~e~
r-ISolar ClOthe
r'lStcamLl~ rlvent f-lElec~c ['lHot Water FlSuppl.n£
LINED. J~rlYes - LINER SIZE & MANU
sized per the BTU'; being vented.
-IChimney A nChimney B q~D~rect Vent rq,
r'lAs Approved I:~EX'isting DNot Applicable
l-lAs Per Plan I'qVariable ~ F1Other Value .../ ~
r and all materials including light fixtures) $ I I ~ ~
RACTOR ~L,~aL r'" O.~R ~ EIKIriC Ins,nllat~n Vt
ecfion Scrviccs, PO Box 1128,
S being doubled or $100.00 plus the
ave adeouate [unds, eh~ck here
rE 7-3-0B
~ther
7-
'ifieation form attached(If
3/02
FACTURER
lercial E]lndusmal
r'lRcplace
' '0¢'/03/2003 B1:54
19204261090
STEINBRUNER HEATING:
PAGE 02
Electric Installation Verificati
(~lec~cal Con~aclor Name)
(A~ ~ress) (City)
have been co Itmet~ to perfo~ electric installation work for
(Address wberc~ork will be
~e nature O~C work CO~JStS OE (Check One or D~cfibe the Nat~
ecomeclion or new ei~uit for replacement Heating PI
Reco~tion or new circuit for rep!accent El~tfie
~ ~ater ~eater.
eco~tloa of the Semice Entr~ce Cable, Meter Bo)
.~ and li~ting fixtu~ due to siding / so~t inslallatio~
L Entr~ce C~bles will require a sep~te p~it.
geco~tion or new circuit for the replacement ofothe
. appli~ces / fixtuffs.
New circuit for the addition of MC to
I individual systems in a duplex or condominium), in.
[ el~cal outlets,
~ ?her
the v,l,e o is work is s.. 1 .
I hereby verif~ this work will be performed by an employee of this cc
the reeonnectton / installation will be done in compliance with manul
requirements.[
(Signature (~f Company Officer) (print Name of Officer)
)n
(Slate) (Zip Code)
J0~ uN ~, ,
ofparty contracted to)
~fformed)
~re of Work)
~nt and/or MC Condenser.
ater Heater or power vented
alterations to receptacles
Note: New Service
,,~rmanently wired
fling unit (house or the
luding required service
mpany and further verify
~eturer and Electric code
(Date)