HomeMy WebLinkAbout0098830-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
120 S SAWYER ST
STEINBRUNER HEATING & COOLING
[~]--Gas ] ~il
[] New I
L~J Forced Air I L-J Radiant
[] Electric 1 L] Hot Water
Chimney Type ~i Chimney A (....~ Chimney B
Heat Loss ~ As Approved ~1~ Existing
BTU Rate ~ As Per Plan (.~ Variable
Owner
Category
PHYLLIS TOMASKO
500 - Residential-Heating & Ventilating
~ Electric I U Solar
[] Replace I
No 98830
Create Date 11/27/2002
Plan
[] Other
Steam I LJ Nc I
Suppl. I [] Con. BUrner I
Direct Vent ~ Not Applicable
~ Not Applicable I Value
O Other I Value
LJ Vent
60m btu
Use/Natureof Work ~FP,/
Replace furnace. *EIV form from Seckar Electric.
Fees: Valuation $2,000.00
Issued By:
Plan Approval
$0.00 Permit Fee Paid
$35.0O
Date 11/27/2002
[] Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number
(920) 426-1830
11/2G/2002 00:13 19204261890
STEINBRUNER HEATING:
PAGE 01
Ciu of Osl~osh
Division of Inspection Servii
P.O. Box 1}30
Os~ltosh. WI 54903-1 t30
~ (920) 236-5050
F~ (920) 236.5084
es
HVAC PERMIT APPLICATION
All information after bold categories must be provide~
Incomplete applications will no~ ~ ptoces~d.
· hcaUon s) and f~(s) can be brought to Ci~ Hall, Room 205 or mailed to
App ' ' (' · ' 't s will ~sult in
Oshkosh WI 54~3-~128. Commencing work w:thout ~ ( )
noel ~it fcc, ~ich ever is ~eater. .
~Ou are a contractor vart~cipo~ng ~" the P~rmit fee ~c~ount ~ystem and
i~_v°u wan~ this ~roce~ed through your aCC~
~CK ~ ~L APPLICABLE
~ C~TEGORY
~ingle F~fly ~Duplex ~Multi-Family DRemal ~Com~
FUEL ~as ~ ~Elecmc ~Solid SYSTEM
~Oil ~ ~Solar OOlhe
~ced Air ~diant',~St~am ~C ~Vent ~Elgc~c ~Hot Water ~Suppl.~C
[g CH~N~Y BEINGtLINED ~No~$ - I.~ER SIZE ~ ~r & MA~
~i~: All ehi~eys shall ~e sized p~ Ihe B~'s being vented
C~MNEY TY~ ~i~y A ~Chimncy B UDirect Vent
~AT LOSS ~As Approved ~xisiing ~Not Applicable
~U ~TE ~As P~ Plan ~Variable ~Other Value
VALUE (Including labor and alt materials including light fixtures)
ON T~S '~ATFR
,egtion Services, PO Box 1128,
.s being doubled or $100.00 plus the
iav. ~_ adequate .£und~. check here
tt .-za ' o z
~er~ial Vllndustrial
ELECTRICAL CONTRACTOR ~o...~a r-"
OR ~i~ Eleclrlc Installation
~hwtrico! in,vtollot~on of new/rcphw~
~cplace
-tfication form attached(if Replacement)
went equipment shall be done ~' fieensed contrnctor$,
)ther
)n, Burner
?ACTURER
,11ff26/2002 0'0:13 19204261890
STEINBRUNER HEATING:
PAGE 02
Electric Installation Verification
(Electrical Contractor Name)
(Address) ~ (City) (Stau
(Zip Code)
h~w been contracteO to pe~ro,~ el~t,~ instaUatio, work for ~//0 g~'On/¢/~. · _,
(Name of pa ty contracted to)
at the following address:
(Address W~ere work will be perfo
The nature oflh¢ work consists of: (Check One or Describe the Nature of'
R0connection or new circuit for replacement Heating Pla]
R~iconnection or new circuit for replacement Electric Wa'
R~connection of the Service Entrance Cable, Meter Box,
· lighting fixtures due to siding / soffit installation. No
: Cables will require a separate pemlit.
Reconnection or new circuit for other permanently wired
Other
The value of this !work is $_ _~ 2.~ _._~_ _
I hereby vcri £y this work will be performed by at) employee of this comp
reeonnection / initallation will be done in compliance with manufacture~
requirements.
reed)
York)
t and/or A/C Condenser.
er Heater.
flterations to receptacles and
e: New Service Entrance
~ppliances / fixtures.
any and further verify thc
and Electric code
(Prim Name: of Oflicc~
(Date)