HomeMy WebLinkAbout0099073-HVAC (furnace; ductwork)(~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 708 JEFFERSON ST Owner KONG/XEE THAO
Contractor STEINBRUNER HEATING & COOLING Category 500- Residential-Heating & Ventilating
Fuel [~J Gas I ~ Oil I U Electric I I' Solar
System [] New I [] Replace I
[~ Forced Air j [__J Radiant I ~ Steam I !--I NC I
~ Electric I ~ Hot Water I L~ Suppl. I ~j Con. Burner I
Chimney Type ~ Chimney A ~ Chimney B ~.~ Direct Vent O Not Applicable I
Heat Loss ~ As Approved ~ Existing ~ Not Applicable I Value
BTU Rate ~.~ As Per Plan ~.~ Variable ~1 Other I Value 60m btu
No 99073
Create Date 12/13/2002
Plan
t [~ Solid I
[] Other I
Vent
Use/Nature
of Work
rFP,/
Install furnace & ductwork. *EIV form from Seckar Electric.
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
[] Permit Voided j
$50.00
Date 12/13/2002
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
12/11/2002 21:56 19204261890 STEINBRUNER HEATING: PAGE 01
Ci~ of Oshkosh
'l~ivision of InSpection Ser~
P.O. Box ] 130
Oshkosh, Wl 54903.1130
Plmne (920) 236-5050
Fax (920) 236.$084
Application(s) and fe
Oshkosh WI 54903-
noemal permit fee,
OR
ff ¥O-F .are a ~ntractot
roy., wa~t th~ proce~
ADDRESS
ecs
~Ill:CK Iai ALL APPL!
HVAC PERMIT APPLICATION
All information after bold calegories must be provide¢
Incomplete applications will not be processed.
iCATEGORY
ngle Family Ill
~as
r'lOft
(~l~fforced Air r'lRadiant C
IS CITIMNEY BEING L
Nolo: All chi.,nneys shall be
CilIMN~Y TYPE ~
II'AT LOSS C
BTU RATE r-
DESCRIPTION OF ALl
:(s) can be brought to City Hall. Room 205 or mailed to Insl:
128. Commencing work without permit(s) will result in fee
~ich ever is greater.
~articit}aring in thc, Permit fez Aqgoun~ System and ~
red through your account ~.
-l~ a. o
DA~
nMulti-Family VIRental I-IComme
CABLE
)uplex
l=lElcctric l"lSolid SYSTEM r"lNew
r'lSolar r'lOthcr
VIDirect Vent
[~Not Applicable
I'lOther Value
Steam rqA/C ClVenl CIEiectric elliot Water ClSuppl.l"lCo~
INED ~ r'lYes . LINER SIZE & MANUF,
;izod per the BTU's being vetoed
L"~imney A F1Chimney B EIO~
lAs Approved d~-xisting
As Per Plan I~Variable ~'i
WORK BEING DONE '"'~'~tt~-.L,f
VALI~I~ (Including labor md ali materials including light fixtures)
ELgCTRICAL CONTR %CTOR ~-_x~ar'~
OR ~4~ Electric Installation Verif~
Electrical installation of new/replaceme
action Services, PO Box 1128,
being doubled or $100.00 plus the
=ve adequate_fundL check
'E__ ! 2. - t 2 -o '~ _ .
rcial
Fllndustrial
I~lace
Burner
CTURER
1er
~oo 'grz~
cation form attathed(ff Replacement)
equipment that/be done bi: Iwen~e# contractors,
12/11/2002 21:56 19204261890
STEINBRUNER HEATING:
PAGE 02
DJ,
PO
Electric Installation Verification
(Print Nana(~ of Officer
:) (Zip Code)
b/contracted to)
Vork)
,t a~d/or A/C Condcnscr.
er Heater.
alterations to receptacles and
e: New Service Entrance
appliances / fixtures.
any and further verify thc
and Electric code
(Date)
requirements. J
~signat'ure R Co,i~pany Omcer)
(Electrical contractor Name)
(Address~ (City) (Stat
been contractc~ to pcffom3 clcc~c installation work for
~ (Address wh~e work will be perfo
~, .... wo consists of: (Check One or Describe the Nature of
~ R~eonnection or new circuit for r~lacement lteating Pla~
R~connection or n~ circuit for replacement Electric Wa'
'" R&connection ofthe Semite Entr~ee Cable, Meter Box,
~ lighting fixtur~ due to siding / soffit installation. No
! Cables will require a sep~ate pemait.
R~co~ection or new circuit for other pem~anently wired
~ O}her
~e value of this ~vork is
hereby verify this work will be perfo~ed by an employee of this comp
reconnection / in~tallation will be done in compliance witl~ manuhetm'e~