HomeMy WebLinkAbout0098364-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
1310 W 9TH AVE
STEINBRUNER HEATING & COOLING
Owner RUSSELL/JUDY SCHRANK
Category 500- Residential-Heating & Ventilating
No 98364
Create Date 11/04/2002
Plan
[] Gas 1 Ed Oil I I~ Electric t ~lar 1 [] Solid
[] New I [] Replace I [] Other
I LI ,/c
1 [] Con. Burner
Chimney Type ~t Chimney A ~ Chimney B ~ Direct Vent ~.~ Not Applicable
Heat Loss ~.~ As Approved ~1 Existing ~ Not Applicable I Value
BTU Rate ~.~ As Per Plan ~.~ Variable O Other I Va~ue
Forced Air j k-J Radiant I ~ Steam L-J Vent
Electric I [] Hot Water 1 [] Suppl.
Use/Nature SFP,/Replace furnace. *EIV form from Seckar Electric.
of Work
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $35.00
Issued By: Date 11/04/2002
[] Permit Voided J
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenFOwner
Address 600 OREGON STREET OSHKOSH WI 54902 - 0 Telephone Number (920) 426-1830
18/31/2882 21:51 19284261898
Cie] of Oshkosh
DWi~on oflm~cti~ ~es
P.O. ~ 1130
~sh, Wl ~4903- ~ 1~0
~ (920) 23~5050
P~ (9~0) 236-50~
STEINBRUNER HEATING:
HVAC PERMIT APPLICATION
Ail information after bold cateBories must bc provide
Incomplete applications will not be ~ocessed
· A lication(s) and f~(s) can be brought to City Hall, Room 205 or mailed to Ins~
o:hP~osh WI 54903-1 ! 28. Commencing work without permit(s) will result in
normal permit fee, Which ever is gtenter,
If vo, are 0 cont act~ _pprticip,?Ji~fl~ iff the Permit _fee A~c, count Spstem anff
i--f-~OU wdnf f~i$ ~roc~'.~sed throu~It your Occolttlt ~
D3
CONTRACTOR_ ~k'..ir~hrt.lo.~C ~.ea.-Idoci-
Cn~CK li~ aLL Atq'MCABLE
ingle Family CIDuplex IZIMulti-Family r=lRental l~Com~
FUEL .~/Cias : f=lEie;tric IDSolid SYSTEM I-INev
KIOil CISolar l-lOth,
ced Air F1Radiant' IDSteam CIA/C l'"lVent ~Electric Ulitot Wa~er I~Suppl.Fl{
IS CHIMNEY BEING LINED rqNo !~Yes LINER SIZE
' . .... &MANL
N~te: All chimneys shall be ai2ed per ~he BTU's being v~nted,
CHI[MNEY TYPE i~lChimnev A CIChimney B C]Direct Vent
I~AT LOSS ' I-lAs Approved ~xisting I"INot Applicable
BTU RATE ' OAs Per Plan ElVariable 13Other Value
DESCRIPTION OF ~LL WORK BEING DONE
VALUE (Including labbr and all materials including light fixtures) $ ~,~. _.~
ELECTRiCAL CONTRACTOR ~c.t~ut-'?' OR ~i~tlKtrlc Installaflolt Ve
F, Ic~trical insm#mlon of ne~4./repla¢~
PAGE 01
ON T~F WATKe
~ction Services, PO Box 1128,
being doubled or S100.00 plus the
have adequate fund$, check her_g
2_.
iercial
I'qlndustrial
~5~eplace
on, Burner
F'ACTURER.
Ificatlon form attached(If Replacemem)
18/31/2882 21:51 19204261890 STEINBRUNER HEATING: PAGE 02
(we)
City * ,f
omc~ ~u.23~5o
Electric Instnllntion Verification
(Electrical Con~cxor Name)
(State
(Address) (City) (Zip Code)
have been contracted to perform electric installation work for ~
~e ofp~ y conWact~ to)
at thc following addrcBs: /~/O ~..9~
(Address wh~re ~ork will b~ ~rfor
~ nacre orlhc wor~ co~sisls of: (Check On~ or Dcscrib~ Ibc N~e o~$
Re~onn~tion ot ~ circuit for replac~m~nJ ffeadng PI~ ~or ~C Condenser.
..... Re~o~ecfion or new circuit for replacement Elcct~c Water Heater.
Re~onnecfion of the Se~ice ~m~ce Cable, Meter Box, ~terafions to receptacles arid
~iig~ting fixates due to sidin~ / so~t i~ta~lation. Not~: New Se~ice Entranc~
:Cabl~ will requi~ a sep~atc pemlit. J
Re~o~ection or new circuit for other pemanently wired ~pliances / fixtures.
~cr
I hereby v~ fy thi~ work will bc pcrfo~cd by an ~ploycc of this cornpa ny ~d fu~hec verify th~
r~conn~ction / ~ns~llation will be done in compliance with m~mufactm'er tnd Electric code
~quim~cnts.
{Si~at~re ~Cotnpa~y Officer) (Prim Name of Oflicm')