HomeMy WebLinkAbout0099099-HVAC SHKOSH
ON THE WATER
Job Address
Contractor
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
2100 PARKSlDE DR
STEINBRUNER HEATING & COOLING
Fuel ~- Gas
System [] New
Forced Air j
Electric J
Chimney Type ~ ChimneyA
Heat Loss ~ As Approved
BTU Rate ~ As Per Plan
Radiant
Hot Water
Chimney B
O Existing
(.~ Variable
Owner KAY ABRAHAM
Category 500 - Residential-Heating & Ventilating
I~-~c~ic 1 LJ Solar
[] Replace
~1 Steam I I--I NC
U Suppl. I [] Con. Burner
(~ Direct Vent ~1~ Not Applicable
~1 Not Applicable
· Other I
Value
Value
No 99099
Create Date 12/16/2002
Plan
[] Solid
[] Other
Vent
Use/Nature [SFR/ Extending heat run.
of Work
/
Fees: Valuation r $499.00 Plan ApProval $0.00 Permit Fee Paid
Issued By:
[] Permit Voided ]
$20.00
Date 12/16/2002
In the pedormance ofthiswork, I agree to pedormallwork pursuantto rules governing the descdbed construction.
Signature Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number
(920) 426-1830
12/15/2002 21:413 19204261890
Ci~/of O~tkosh )
~ision of l~c~n ~i~es
P.O. Box 1130 ~
~h, WI 54903-1130 ~
~ne (920) 236-5050 ~
~ (920) ~6-5084 [
STEINBRUNER HEATING:
PAGE BI
HVAC PERMIT APPLICATION
All information after bold calcgorie$ n~s! b~ provided
lncomplcle applications will not be processed,
OYPKO/
-' O~ T~F
* Application s) and fe =(s) can be brought to City Hall, Room 205 or mailed to Insl cetlon Scrviccs, PO Box 1128,
Oshkosh WI 54903- t 128. Commencing work without permit(s) will result in fe,,s being doubled or $100.00 plus the
normal permit fee, w ~ich ever is greater.
OR - ' " nt O"stem and gave adequate funds check here
tf )ott ore a contracto~ p~rtiatpaH~_~g i. th~'
{f-~,OU ,ant this t~roceJsed throuf~h )Lour ¢;.cco~ n~ [] ·
OWNER
CHIECK ~ ~L APPLICABLE
~ATEGORY ~Duplex HMulti-Family ~Rental
glo F~ily
~Oas ~Elccmc ~Solid SYSTEM ~New
~Solar
~Forced Air DRadianl ~Steam ~C ~Vem ~Elec~ic ~Hot Water ~Suppl~C
IS CH~NEY BKING:I.INED ~No ~Yes - L~ER SIZE & MA~
No~e: All chimneys shall ~ s~ed per ~e BTU's b~ing vented.
~MNEY T~E ~Cbi~ey A ~Chi~ey B ~Dircct Vent
~AT LOSS ~AS Approved ~Existing ~Not Applicable
B~ ~TE ~As Per Plan OVariable OOther Valac
I
~ALUE (Including I~b~r
ELZCT~CAL CON~CTOR
rTIComn ercial Vllndustrial
lther
· ifleafloo forlll attached(If Replacemem~
ElectricM in.~tnllotion of new/~plact
~tnt equipment shrill be gone ~' licented ron~roetor~.
O~ ~i~ Electrle Installation
ClReplacc
m. Burner
:ACTURER