HomeMy WebLinkAbout0098675-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
852 FREDERICK ST
STEINBRUNER HEATING & COOLING
No
98675
b~J Gas I [] Oil
[] New I
~J Forced Air J [__J Radiant
[] Electric ] [~-ot Water
Chimney Type
Heat Loss
BTU Rate
Use/Nature IFR/
of Work
~l~Chimney A (,~Chimney B
~ As Approved ~1 Existing
~ As Per Plan (_,.) Variable
Owner JOHN O HILTZ
Category 500 - Residential-Heating & Ventilating
~]- Electric 1 L~ Solar
[] Replace
j ~ Nc I
] E~-~. Burner
~ Not Applicable
~) Not Applicable J Value
[_J Steam
Direct Vent
Create Date 11/18/2002
Plan
I Id Solid I
[] Other J
Vent
~lOther J
0
Value 60m btu
Replace furnace. *EIV form from Seckar Electric.
Fees: Valuation
Issued By:
$2,000.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided J
$35.00
Date 11/18/2002
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
~ 11~17/2002 23:46 19204261890 STEINBRUNER HEATING: PAGE BI
Qiy of Oshkosh
Divi~oa of Inspection Scm
F.O, Box 1130
Oqdlkosh, WI 54903d 130
lq~re (920) 236.5050
hx (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided
Incomplete applications will not be processed.
· Application(s) and fc c(s) can be brought to City Hall. Room 205 or mailed to las1
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fel
normal permit fee. w hich ever is greater.
OR ,
If vmt are 0 contracto~' porticWating in t~e Permi~ee~cco~nt System and
i~ou want th~s proce sed throuffh your account
CI~CK [] ALL APe!
USE CATEGORY
ltl.Single Family C
ICABLE
IDuplex ClMulti-Family [:]Rental I-IComr
~as . r=lElecwic IqSolid SYSTEM K]Nc~
FUEL ~Oil E]Solar ~Oth~
Air ClRadiant!l'lSteam []A/C VIVent C]Electfic CIHot Water ClSuppl. Vl¢
IS CHIMNEY BEINd LINED ONo I~Yes - LINER SIZE ~" & MANU
Note,' Ali chitnneys shall ~e sized per the BTU's being vented.
CHIMNEY TYPE [i~Chim.ney A VIChirnney B
IIEAT LOSS ~ r'lAs Approved gExis, ng
RTl! RATE r'lAs Per Plan ClVariable
ection Services, PO Box 1128,
~s being doubled or $100.00 plus the
i(~ve adequate £unds, check here
~cial []Industrial
on. Burner
DESCRIPTION OF ALL WORK BEING DONE
~Direct Vent
VINot Applicable
[]Other Value
:ACTUICER
~Replace
VALUE (Including lab~
ELECTRICAL CON;RACTOR ~.c~.a r-~
,r and all materials including light fixtures) $
0g ~ Electric Installation V¢
Eh,ctriral in~talhttion of new/reploct
0
dlication form attached(If Rcplac~mcnt)
anent equlpen~nt ~A,dl ~e done 0)' licensed ¢ontrncter~.
FI, )ther
11/17/2002 23:46 19204261890 STEINBRUNER HEATING: PAGE 02
FOIl
ON T~ ~*lN
Electric Installation Verification
(Electrical Contractor Name)
(Address), (City)
have been contracted lo perform electric installation work for
(Name of par
· I the following address: ,, ~6'5'" 2- ~-~ez:l~ f,C L
(Address where work will be pcrfor
consists of: (Check One or Describe the Nature
Th.e nv.+,urc o," :he war
(State (Zip Code)
y contracted to)
ned)
'ork)
an,i/or A/C Condenser.
Heater.
Iterations to receptacles and
:: New Service Entrance
ppliances / fixtures.
~onnection or new circuit for replacement Heating Plan
Re,:onnection or new circuit for replacement Electric Watt
Re,:onnection o£the Service Entrance Cable, Meter Box, ~
lighting fixtures duc to siding / soffit installatiOn. Not,
[Cables will require a sepaxate permit.
_~ Re~onncction or new circuit for other pemmnently wired
Otficr
!
The value of this ;ork is $ / 2. ~ /
I hereby verify thiI work will be performed by an employee of this comp,'
re¢onnection ! in~lallation will be done in compliance with manufactm'er
r~quirements.
(Signature o~ Con; )any Officer) (Prinl Name of Officer)
ny and further verify the
~nd Electric code
- o
(Date)