HomeMy WebLinkAbout0102900-HVAC (furnace)(~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1615 BRENTWOOD DR Owner CHAD/KlM BAUER
Contractor STEINBRUNER HEATING & COOLING Category 500 - Residential-Heating & Ventilating
Fuel ~J Gas J ~J Oil b~ Electric ~J Solar
System ~J New ~ ~J Replace ~ ~J Other
~J Forced Air I ~J Radiant L~ Steam ~J A/C
~J Electric I ~J Hot Water b~ suppl. ~J Con. Burner
Chimney Type I~ 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 60m btu
No
Create Date
Plan
~J Solid
Vent
102900
07/17/2003
Use/Nature SFR/Replace furnace and line chimney. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$1,800.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$32.00
Date 07/17/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0
Telephone Number
(920) 426-1830
~7/~2003 22:4~ ~920426~890
STEINBRUNER HEATING:
PAGE 81
Ci~/of Oshkosh
Di~islon of lnspcct~o~ Scrvi
P.O, Box 1130
O~bkosh, Wl ~3-1130
~ (920) 23~5050
~ax (920) 23~S084
HVAC PERMIT APPLICATION
All mfon~ation after bold categories must be pmvid¢¢
InconLolete application~ wig not be processed.
· Application(s) and f~e(s) can be brought to City Hall, Room 205 or mailed to Ins
Oshkosh WI 54903-
normal permit fee,
OR
I~ vou are a contract
(f you want this oroce
128. Commencing work without permit(s) will result in fe
hich ever is g~catcr.
t~articioatinR in thc Permit fee ,4~tcount System and
~$ed through your account ~,
OW EU
D~
ection se~dees, PO Box 1128,
:s being doubled or $100.00 plus the
L'~U~,CK ~i~ ALL APP!
Si CATEGORY
gle Family
FUEL ~Gas
~orced Air ~diani
IS C~NEY BEING
N~e: All chi~e~ shall I
J ~
,ICABLE
IDuplex UlMuhi-Family I-IRcntal
ElEIcctrie f3Solid SYSTEM
OSolar
I-ISteam nA/C OVent OElcctric r'IHot Water E]Suppl.O(
LINED ONo ~es- LINER SIZE 3 ~ & MANL
e sized per the BTU's being, vented.
~ave adequate[und$, check her~
CIIIMNEY TYPE
]fEAT LOSS
RTl! RATE
DESCRIPTION OF A
OChi=eyA irec,
F'IAs Approved tOiSx~stmg FINot Applicable
0'lAs Per Plan [3Variable EIOther Value
r'lComr tercial
I-'lNe~
['lOth~
on. Burner
FACTUILER
C] ~)ther
Cllndusttial
Ce
VALUE (Including lab~
ELECTRICAL CON"]
,r and all materiaB Including lighl fixtures)
'RACTOR ~rtJEa r'" Onl~ 1~, Elect ric Installat Ion V!
a/0a
riflcaflon form aRaehed0fRcpla~¢mem)
~ 07/i4/2003 22:44 192042G1890 STEINBRUNER HEATINg: PAGE 02
I (we)
(Ad
have been co
at the followi
The nature
Electric Installation Verificati
(Electrical Contractor Name)
:ircss) (City)
ttracted to perform electric installation work/'or ,.~"/'~
(Address why're work will be p,
'the work consists of: (Check One or Describe the Nat~
?.econnection or new circuit for replacement Heating P'
?,ecormcction or new circuit for replacement Electric ~
water heater.
Raconncction o£the Service Entrance Cable, Meter Bo:
and lighting fixtures due to siding / soffit inst, allatio
Entrance Cables will require a separate permit.
~¢connection or new circui! for the replacement ofoth~
appliances / fixtures.
~ew circuit for the addition of A/C lo an individualdw,
individual systems in a duplex or condominium), in
electrical outlets.
?ther
The value of
I hereby veri
the reconnecl
requirements
,f Company Officer)
this work is $ / ,~ (0"~
~/this work will be performed by an employee of this c
ion / installation will be done in compliance with manu
(print Name of Officer)
~n
(State) (Zip Code)
,e of party contracted to)
;rformed)
of Work)
ant and/or A/C Condenser.
ater Heater or power vented
,, alterations to rcceptaclcs
~. Note: New set'ace
r permanently wired
,lling unit (house or the
:luding required service
)mpany and further verify
~acturer and Electric code
_