HomeMy WebLinkAbout0099112-HVAC (boiler)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
932 WINNEBAGO AVE
STEINBRUNER HEATING & COOLING
Owner RYAN L PITZEN
Category 500 - Residential-Heating & Ventilating
L~J Gas I ~J Oil I ~ Electric
[] New I [] Replace
~J Forced Air I LJ Radiant J L--J steam
L~ Electric I [~J Hot Water I [~ Suppl.
Chimney Type ~ ChimneyA ~ Chimney B
Heat Loss ~ As Approved ~ Existing
BTU Rate ~.~ As Per Plan (.~ Variable
Direct Vent
L~ solar
I~ NC I
J J Con. Burner I
0 Not Applicable J
Not Applicable t ' Va!ue
Other I Value
No 99112
Create Date 12/17/2002
Plan :
~-Solid
[] Other I
LJ Vent
use/Nature SFPJ Replace boiler. *EIV form from Seckar Electric.
of Work
Fees: Valuation $2,500.00 Plan ApprOval $0.00 Permit Fee Paid $42.50
Issued By: Date 12/17/2002
[] Permit Voided I
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
12/1~/2002 22:02
City of Oshkosh
Division of Inspcclion
P.O. Box 1
Cl~lgmsh, Wl 54903.1130
~ (920) 236-$050
1~ (920) 236.501M
Application(s) and fe
Oshkosh WI 5,1903-i
normal permit fee, wi
OR
I[you are a contractor
)~ou want tI~i~ l~foces
ms Am, Ss
C'I~CK [] ALL APPL]
nCATEGORY
glo Family I-1I
moil
l~lForced Air r'lRadiam ~
iS Cff/MNEY BEING
Nnt~: All chimneys sba!! be
CllIMNEY TYPE
~,nT Loss
Irru RATE
DI:SCRIPTION OF AL1
VALUE (Including labor
ELECTRICAL CONTR
19204261890
STET NBRUNER HEAT ! NG:
PAGE
HVAC PERMIT APPLICATION
All information after bold categories r/mst be provide~
Incomplct~ applications will not be processed.
;(s) can be brought to City Hall, Room 205 or mailed to Insl
128. Commencing work wilhout permit(s) will result in fee
rich ever is greater.
cction Services, PO Box ! 128,
being doubled or $I00.00 plus the
participat)_n.g in the Per._it fee /tccount SFstem and
sed tbro~q4h your account ~
DA'
CABLE
>uplcx [3MuM-Family r'lRental DComm,
I~Electnc C]Solid SYSTEM rINew
13Solar r'lother
ISteam rlA/C I-IVenl I~Electfc ~o1 Water F1Suppl.nCo
ilNED I-INo ~Yes - LINER SIZE
~/zed per thc BTU's bring vetoed
& MANI ;F~
IChtnaney A I~Chinmey B DDirect Ven! EIOI
las Approved UIExisting I-INot Applicable//) ,
lAs Per Plar~ r'IVariable DOthcr Value
WORK BEING DONE. ~ ~[&C~. __
md all materials Including light fixtures) $ e,~5'~_~) 0.-~O
ACTOR_ ~ OR ~ Electric Installation Vertg
Elvct~Cnl in.vtoHmion of new/replaceme
ave adequate fund$, c~eck here.
rcial
r'llndustrial
, Burner
CTIIRER
cation form attached{If Replaccrm:m ~
equipment ~hall ~ done by licensed contractor~.
3/02
~2/16/2082 22:82 19284261898
'STEINBRUNER HEATING:
Electric Installation Verification
(Electrical Contracto'r Name)
(iddresg. (City) (Stat,
have been contracted to peffo~ el~tfic installation work for ~ [~
~e of~t
(A~dres~where work will be perfo'
at the following address: ~ ~ "2,-
(Cheek One or Describe thc Nature of'
Reconnection or new circuit for replacement Heating Plm
R~connection or new circuit for replacement Electric Wa~
R~connection of thc Service Entrance Cable, Meter Box,
li§hting fixtures due to siding / soffit installation. No
Cables will require a separate permit,
Rrconnection or new circuit for other pem~anently wired
O!her
Thc value orthiework is $ 12
I hereby vcri fy this work will be performed by an employee of this corn
reconnection / jn~;tallation will be done in cmnpliance with m:snufactm'e~
requirements.
(Prln! Name of Officer'
PAGE 82
,) (Zip Code)
:~y contracted to)
'reed)
tt and/or A/C Condenser.
er Heater.
alterations to receptacles and
lc: New Service Entrance
ppliances t fixtures.
any and further verify the
and Electric code
(Date)