HomeMy WebLinkAbout0103039-HVAC (furnace; chimney liner)OSHKOSH
ON THE WATER
.lob Address 1235 W 10TH AVE
Contractor
Fuel ~ Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
STEINBRUNER HEATING & COOLING
Oil
Owner ROBERT T JUNGWIRTH
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
Forced Air ] ~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
103039
07/23/2003
Other
Vent J
60m btu
Use/Nature SFR/Replace furnace and line chimney. *EIV form from Seckar Electric.
of Work
Fees: Valuation $1,800.00 Plan Approval $0.00 Permit Fee Paid $32.00
Issued By: Date 07/23/2003
Permit Voided J
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
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.
07/21/2003 21:43 1920a261890 STEINSRUNER HEATING: PAGE 0i
ApplicaUon(s) and
Oshkosh WI 5a903-
normal permit fee,
OR
If ~OU ore a confracto~
ff ¥ou want this oroce~
OSn D SS
COl~rmaCTO~
CIIECK I~ ALL APPL
ingATEGORY
I¢ Family []
ElOil
~ced Air I"lRadiant (
1~ CffIMNEY BEING I
Nn~e: All chimneys shall be
HVAC PERMIT APPLICATION
All information after bold categories must be provide
Incomplete applicafiom will not be processed.
~'(s) can be brought to Cily Hall, Room 205 or mailed to Ins
128. Commencing work withou! permit(s) will result in £e
~ich ever is greater.
participating in the Permit £e¢ ,4rcount System and,
:CABLE
)uplex nMulli*Family []Rental E}Comm
ClElectric ClSolid SYSTEM r'lNcw
FISolar I-IOthm
CmMNEY TYPE
~I~AT LOSS
~YU RATE
D~SCRIPTION OF ALt. WORK BEING DONE
rcial r'llndustrial
YALUE (Including labor and all materials includiug light fixtures)
' ' iI~..lgCTRICAL CONTI~ ~CTOR_~,=~(~__r~
OR ]~Electrte Installatioe Verl
,'etlon Services, PO Box 1128,
s being doubled or $100,00 plus the
~ave adeauate funds, chec~- h~,r(~
~. Burner
~CTURER
her
3/02
[Steam ~A/C I-IVent ClElectric C]Hot Water ClSuppl,rqc~
INED C]No ~es - !.INER SIZE ~ w a MANUF
dz~d ~er the BTU's being vetoed.
IChim~y A ?~,'mne. y B ~Direct Vent I-lO
las Approved ~Existing r'lNot Applicable
las Per Plan E]Variablc E]Othcr Value ~t
07/21/2003 21:43 19204261090 STEINBRUNER HEATING: PAGE
1 (we)
(Ad
have been co
at ~he followi
The flatuTe O:
The value of
Electric Installation Verificati,
(Electrical Contractor Name)
~ess) (City)
~tracted to perfo~ elect~c installation work for ~
(N~
ag address: [t~ ~. [0~
(Address where work will be'
'the work consists of: (Check One or Describe the N~
ecooncction or new circuit for replacement Heating P
teconnection or new circuit for replacement Elec~c ~
water heater.
Reconnection of the Service Entrance Cable, Meter Bo:
i and lighting fixtures due to siding / soffit installatio
! Entrance Cables will rvquire a separate permit.
__ ~ecoonection or new circuit for the replacement ofoth~
appliances / fixtures.
qew circuit for the addition o£A/C to an individual dw
individual systems in a duplex or condominium), in
: electrical outlets.
Other
I hereby veril
the reconnect
requirements
his work is$ l ~
y this work will be performed by an employee of this c~
on / installation will be done in compliance with manu:
(Print Name of Officer)
~n
(State) (Zip Code)
/Jg u,vc Tc, ,
of party c, ontracted to)
,,rforrt~ed)
~re of Work)
ant and/or A/C Condenser.
lter Heater or power vented
alterations to receptacles
Note: New Service
permanently wired
Iling unit (house or the
:luding required service
~mpany and further verify
hcturer and Electric code
(I~ateJ