HomeMy WebLinkAbout0099199 HOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
650 E MURDOCK AVE
STEINBRUNER HEATING & COOLING
No
99199
Owner BRUCE R BARTEL
Category 500 - Residential-Heating & Ventilating
L~J Gas I ~J Oil I ~ Electric
[] New I [] Replace
L~J Forced Air i ~ Radiant I ~_J Steam
M Electric I U Hot Water I ~ Suppl.
Chimney Type ~ Chimney A (,~ Chimney B
Heat Loss ~ As Approved ~1~ Existing
BTU Rate ~ As Per Plan ~_~ Variable
Direct Vent
Solar
Create Date 12/26/2002
Plan
~ Solid
[] Other
U Con. Burner I
(.~ Not Applicable I
(.~ Not Applicable t Value
~ Other I Value
Vent
80m btu
Use/Nature 0OMM/Replace furnace in office. *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 12/26/2002
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
12/22/2882 21:37 19284261898 STEINBRUNER HEATING: PAGE 01
City of O~lxkosh
Division of Inspection Serv
P.O. Box 1 I30
Oshkosh. WI 54903,1 ! 30
Phone (920) 236-5O50
Fax (920) 236.$094
HVAC PERMIT APPLICATION
All information after bold categoTies must be provide4~
Incomplete applicatiom will not ~: p~ocessed.
normal pcTTmt tee, w
OR
If~'ou are a contracto~
Application(s) and fe~(s) can be brought tO City Hall, Room 205 or mailed to Ins]
Oshkosh WI 54903q 128. Commencing work without permit(s) will result in fee
rich ever is 8Tcater.
ection Services, PO Box 1128,
s l~ing doubled or $100.00 plus the
IS CHIMNEY BEING
~,~e: .All chim~ney$ 5~ be
~MNEY TYPE
~AT LOSS
~ ~TE
ii' Fou want this proce.,
CIIECK I~ ALL APPL
USE CATEGORY
E]Singic Family
FUEL ~tGas
ElOil
DESCRIPTION OF AL:
ISteam OA/C I~Vent E]Elecrric ClHot Water VISuppl.l'lCe
,INED ~i~No VIyes - LINER SIZE & MANUF
sized per the BTU's being vetoed.
~Chimncy A l~Chimney B
]As Approved ~xisting
las Per Plan [3Variable
EIDirect Vent
VINo! Applicable
ElOther Value
CABLE
)uplex EIMulti-Family E]Rental
ElElectric VlSolid SYSTEM
VISolar
L WORK BEING DONE
Ir, I,ECTRICAL CONTI~CTOR_-/~.~_ O~R lg~ £1ee,ri. Instillation Vcri~ieitlon form attach~lf ~pla~no
El<Ttrical tnstalldtion of n~'/~plncem, nt Equipment Jantl tm done h)' tire,ed e~tr~tO~,
a/o2
her
I-Ilndustrial
~,Replace
~. Burner
~,CTURER
DA'
~Comm, :rcial
r'lNe.,
l~Other
participating in the Perm.it fee Ac_c~unt Sv t~tm and l~ave adequate .fund$.~_.check ltere
[zed thrp,Eh your account ~.
12/23/2002 01:38
(Address)
have been contracted
at thc following addre
Thz,.~,..,.,'"' .... of thc work
Rec~
Rec
Oth
The value of this v
I hereby verify this
reconnection / insta
requirements.
19204261890 STEIHBRUNER HEATING:
PAGE 01
Electric Installation Verification
(Electrical Contractor Name)
,7,oo Doe e'cuA, ,oe tel>
(City) (State
perform el~tfic installation work br ~~]~t
~e of p~
(Address where work will be perfon
consists of: (Check Ore or Describe the Nature
)nnection or new circuit for replacement Heating Plant
mneetion or new circuit for replacement Electric Wate
mncction of the Service Entr,-mce Cable, Meter Box, al
ighting fixtures due to siding / soffit installation, Note
2ables will require a separate permit.
mnection or new circuit for other permanently wired a
:r
a'ork will be performed by an employee of this cornpa~
Ilation will be done in compliance with m;mufaclurer a
Nt-Co,u. e-
(ZipCode)
t contracted to)
~¢d)
ork)
an,For A/C Condenser.
' Heater.
'~erations to receptacles and
New Service Entrance
fliances / fixtures,
and further verify the
~d Electric torte
any Officer)
(Print Namo of Officer)
(Date)