HomeMy WebLinkAbout2002-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
1507 RUSH AVE
STEINBRUNER HEATING & COOLING
L~ Gas I II Oil I
[] New
~a Forced Air
[~ Electric
Chimney Type ~lt Chimney A ~ Chimney B
Heat Loss ~ As Approved O Existing
BTU Rate ~ As Per Plan ~ Vadable
Owner MARGARETASCHOCK
Category 500 - Residential-Heating & Ventilating
~J Electric
[] Replace
[~-Solar
No 98525
Create Date 11/08/2002
Plan
[] Solid
[] Other
Steam I ~ NC
Suppl. I ~ Con. Burner
(..) Direct Vent ~ Not Applicable I
~ Not Applicable I Value
~1~ Other I Value
L~ Vent
60m btu
Use/Nature SFPJ Replace cracked furnace. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided ]
$35,00
Date 11/08/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction,
Signature Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number
(920) 426-1830
lJ/07/2002 22:15 19204261890 STEINBRUNER HEATING: PAGE Bi
Divisio~ of Inspection Scr
Box 1130
~e (920)
{920) 236-5084
/~CCS
HVAC PERMIT APPLICATION
All information after bold categories must be provid~
Incomplete applications will not be processed
Application(s) and ~e(s) can be brought to City Hall, Room 205 or mailed to Ins
Oshkosh WI 54903 1128. Commencing work without permit(s) will resul! in fe
normal permit fee, v~ hich ever is greater.
OR
If yOu are a contr¢¢to[r partic~p~Ttin~ in the P~rmit lree dccottnt ~¥$tem and
you wont t)~i~ proc¢, *ed throu~_h r~Oltr account ~
DA
.mn A O .ZSS ! 7o7_
~CK ~ ALL APPL [CAnLE
CAXgCOgY
~ingle F~ily ~ Duplex ~Multi-Family ~Rental ~Com~
~L ~ ~Ei~ctfic ~Solid SYSTgM ~New
~Oil ~Solar ~Ot~r
~ Air ~Radian~ 3Steam ~C DVent ~El~Wic DHot Wa~er ~Suppi.~Cc
C~NgY BEING ;INgD ~No ~s - L~ER SIZE ~, & MA~F
All chi~e~ shall b, sized per the BTU's being vented.
~MNEY T~g ~ey A DC~ey B DDitect Vent
~AT LO~ ~ Approved ~xistin~, DNot Applicable
~TE ~sPer Plan ~Variable ~Oth~ Value
~~ION OF A~L WO~ BEING DONE~ .. ~(ot~ O~
VALUE (Including labor]
IgLECTRICAL CONTI
and all materials including light fixtures) $ ~__A-O.~ ~
ACTOI~_~. OR ~ E]Klric installation Vertl
Electri¢ol [n,vtnllotion of new/repl~na
O_/HKO/H
ON T~F WAT;~
section Services. PO Box 1128,
being doubled or $100.00 plus the
~av¢ adequate_funds, ch~ck here
rz IPg-o
~rcial
n. Burner
ACTURER
Vllndustrial
I~eplace
]/02
cation form otlath~tl{ If Rep laceme~o
~# equipment shall In~ #~n¢ I~r I~¢ensed ¢ontroCtOrl.
thor
~!/07/2002 22:15
(Address)
have been contracted
at the following addn
R{
The value of this
19204261890
STEINBRUNER HEATING:
of Osl~m,b
tm WI S4902-1130
Electric Installation Verification
(Electrical Contractor Name)
(City) (Stat
to perform electric installation work for_ ~'~/~l~
(Name of pa
;SS:
(Address where work will b¢-'p-erfoJ
k consists of: (Check 0.¢ or Describe the Nature of'
connection or new circuit for replacement Heating Plat
~connection or new circuit for replacement Electric War
ieonr~n:tion of the Service Entrance Cable, Meter Box,
lighting fixtures due to siding / soffit installation.
Cables will require a separate pem~it.
connection or new circuit for other pem;anently wired
,york is
I hereby verify this work will be performed by an employee of this cornl~
reeonnection / installation will be done in compliance with manu£acture~
r~quirements,
~'$ignature o~ Cot
apany Officer) (Prinl Name of Officer)
PfiGE 02
(Zip Code)
'ty contracted to)
reed)
~/ork)
~t and/or A/C Condenser.
er Heater.
flterations to receptacles and
e: New Service Entrance
~ppliances / fixtures.
my and further verify thc
and Electric code
(Date)