HomeMy WebLinkAbout0098584 HOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
413 LILAC ST
STEINBRUNER HEATING & COOLING
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner GERALD NOE
Category 500 ~.Res~denbaI-Heat~ng & Ventdabng
Gas I ~J Oil
Forced Air I L-J Radiant
Electric I [~ Hot Water
Chimney Type ~ ChimneyA ~ Chimney B
Heat Loss ~ As Approved ~1~ Existing
BTU Rate O As Per Plan ~ Variable
~ Electric
[] Replace
[~ steam
I I Suppl.
No 98584
Create Date 11/12/2002
Plan
LJ Solar I ~ Solid
[] Other
La NC I L-J Vent
~ Con. Burner I
Direct Vent ~ Not Applicable
~ Not Applicable I Value
~ Other I Value
60m btu
Use/Nature
of Work
IFR/
Install replacement 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 11/12/2002
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
il/{1/2002 21:04 19204261890 STEINBRUNER HEATING: PAGE 01
City of Oshkosh
Division of lmpection Servl
~.O. Box 1130
Oshkosh, WI 54903-1
lenone (920) 236-5050
F~x (920) 236-5084
cos
HVAC PERMIT APPLICATION
All information after bold categories must be providce
Incomplete applications will not be processed.
· Application(s) and f~(s) can be brought to City Hall, Room 205 or mailed m lnsl:
Oshkosh WI 54903-1128, Commencing work without permit(s) will result in fee
normal permit fee, w~tich ever is greater.
OR
l~:p~t are a contractor, participating i,, the Perm~t.C..~d..f__e_.g_~o~tnt Sv,stem and
if you wa.nj this pro.ce~gd through vour account ~.
CI~gCK ii~ ALL APPL
CATEGORY
]ingle Family Il'
L lac
DA'
CABLE
)uplex r'IMulti-Family DRenlal
lqSgL ~Gas r'lElcctric OSolid
C]Oil r'lSolar
SYSTEM
O/F OYH
action Services, PO Box ! i 28,
s being doubled or $100.00 plus thc
ave adequate [undo, chec.k hcre~
rz , II-/z--oz.-
FIComm, :rcial
KNew
FIOther
~l~Replace
cation form altnched(lf Replaccm~nU
!at equtgment Jboll be done ~)' h'¢¢n~¢d ¢Ontrnctors,
~jl~oreed Air rlRadiant ]Steam CIA/C t'lVent E]Eleercic CIHot Water VISuppI.CICc
IS CIIIMNEY BEING lINED r]No ~LYes - LINER SIZE ~ ~ & MANUF
N~te: All chimneys shall be sized per the BTU's being vented
CHIMNEY TYPE ~[ ~Chimney A r]chimney B I'lDirect Vent r'lot
~AT LOSS ]As Approved ~llExisting []Not Applicable
BTU RATE ]As Per Pla~ []Variable CIOlher Value __. ~
D1E$CRIPTION OF AL L WORK BEING DONE
VALUE (Including labor'and all materials including light fixtures) $ _,~ Otg. ~ ,~-~
I
ELECTRICAL CONTI~CTOR_~~ OR ~ £~ectm ~.mn.,o. Veri~
EteCP'h'at in.~tMt~tion of new/rept~cem~
h~r
Cllndustrial
~, Burner
~C~I-URER,
STEINBRUNER HEATING:
Electric Installation Verification
(I) (We)
(Electrical Contractor Name)
(Address): (City) (Stat
have been contracted' to perfomt electric installation work for .... .... ~/~
(Name of pa
(Address where work will be perle
at the following address:
Tbs nzmre o, ,h,~ work consis:s of
(Check Ohe or D~scribe the Nmure of
R~connection or new circuit for replacement Heating Pla]
R6connection or new circuit for replacement Electric Wal
Rd¢ormection of the Service Entrance Cable, Meter Box,
lighting fixtures due to siding / soffit installation. No~
Cables will require a separate pemdt,
R~connection or new circuit for other permanently wired
O~her
The value of this ~vork is
I hereby vcrify this work will be performed by an employee of this eon'q:
reconnection t iMtallation will be done in compliance witl~ rnanufaetm'e~
requirement.~.
(Print Name of Oflkm')
(Zip Code)
contracted to)
Tried)
htork)
~t ancot A/C Condenser.
er Heater,
fiterations to receptacles and
e: New Service Entrance
~tppliances / fixtures.
my and further verify thc
and Electric code
(DatO