HomeMy WebLinkAbout0103631-HVAC (furnace; a/c)OSHKOSH
ON THE WATER
.lob Address 914 W 5TH AVE
Contractor
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
STEINBRUNER HEATING & COOLING
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner MR/MRS ALBERT H PUTZER
Category 502- Residential-Both
Electric
Replace
L~ Steam
L~ suppl.
No 103631
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Create Date 08/20/2003
Plan
Solar I ~J Solid
~J Other
A/C I ~J Vent
Con. Burner I
Not Applicable
Value
Value
Not Applicable
Other
60m btu & 2T a/c
Use/Nature SFR/Replace furnace, install A/C and duct. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$3,500.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$57.50
Date 08/20/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number
(920) 426-1830
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~ 08/19/2003 14:36 19204261590 STEIN~RUNER HEATING: PAGE 01
Ct~/of Oshkosh
Divisioa of lnslgction Set,i,
~D. ~x I 130
~os~ WI 54903-1
~ (920) 23~5050
P~ (920) 236-5094
· ~plication(s) a~ fe
Oshkosh WI 54~3-
~o~al ~it fee, w
OR
~ vou ar~ a con~racto~
if.you ~anl this ~roce~
:CS
HVAC PERMIT APPLICATION
All information atl~r bold categories must be provided
Incotr~,le~e applicatioos will not be processed.
:(s) can be brought ID City Hall. Room 205 or mailed to Insl
128. Commencing work without p~rmit(s) will result in f~
=h ever is g~ater,
~artictpatin_n~' in the Permit fee ACcount ~¥$lem ~nd ,
ed throueh your account ~
DA
CI~-.CK li~ ALL APPI
~in~AT£GORY
e Family C
FUEL
~o~ed Air ElRadianl
IS CltIMNEY BEING
Note: All chimneys shall
CmMNEY TYPE
ii[EAT LOSS
BTU RATE
otscmrzlon or A~L
VALUE (l~cludlng lab~
ELECTRICAL CON3
~ABLE
~uplex CIMulti-Family FIRcntal ElComn
I~ecmc r'lSotid SYSTEM [~ew
K]Solar ElOthe
]Steam E~C ClVent FIElec~c I'lHot Water rlSuppI.FIC
LINED ~No VIYes - LINER SIZE
sized l~:r the BTU's being vgm~l.
-~ *~ & MANU
3Chinmey A ~C_himney B [~irect Vent
ElAs Approved [!~c~xisting UINot Applicable
las Per Plan ClVariable C]Othcr Value
WORK BEING DONE f~..}-~/./ ~
' and all materials including light fixtures) ~ ~'-tBtB. ~
RACTOR ~ 0_.~ ~£1ec~ri¢ Instatlatto~ V*
e~tion Services, PO Box 1128,
s being doubled or $100.00 plus the
rave adeauate funds, check her¢~
rr ___cd-I -o3
ercial Vllndustrial
,n. Burner
AC'lURER
~ther
3/01
~ 08/i9/2003 14:3B 19204261890
STEINBRUNER HEATING~
PAGE 02
Electric Installation Verificati,
(Elect~cal Contr~lor Nam:)
(Ad~,~s~) (Ciw)
have been c~tracl~ ~o perfo~ elec~c nslallalion work for ~
(Address whe~ work will ~ ~
~e nature or'he work consists of: (Check One or D~s~fibe the Natu
~ ~ ~o~tion or new ci~ui~ for r~lacemm~ Healing PI~
~eclion or u~ circuit fo~ r~lac~mt Elee~c W~
~wat~
co~tion of the ~e~ice Entr~cc Cable, ~eter Box,
~d li~ting fixtures due to siding / so~z inst~lation.
~ ~nt~cc Cables will require a separate p~it
~ g~co~tionornewci~m~ {orthe~hcementofoth~
~ appli~ces / fixt~es.
N~w c~cuil for ~e addilion of ~C Io an i~i~idual d~e~
~ individual systems in a duplex or condominium), incl
el~lfic~ outlets.
Olher
The value of
work is $
I hereby verif
the recormectio/~ / installation will be
requirements.
(Signaffure or ComPany Officer)
mis work will be performed by an employee of this co~
done in compliance with manufm
(Pnnt Name of Officer)
,n
(Statc) (Zip Code)
of party contra~ted to)
formed)
: of Work)
~t and/or A/C Condenser.
er Heater or pow,r v~ted
alterations to receptacles
Note: New Service
~ennanently wired
ng unit (house or the
ding required service
,any and fu~her verify
:urer and Electric code
(l~ate)