HomeMy WebLinkAbout0099475-HVAC (furnace)(~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1215 FAUST AVE Owner LAWRENCE/SUSAN WATSON
Contractor STEINBRUNER HEATING & COOLING Category 500 - Residential-Heating & Ventilating
Fuel ~J Gas J ~J Oil b~ Electric ~J Solar
System ~J New ~ ~J Replace ~ ~J Other
~J Forced Air I ~J Radiant L~ Steam ~J A/C
~J Electric I ~J Hot Water b~ suppl. ~J Con. Burner
Chimney Type I~ Chimney A ~ Chimney B O Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 60m btu
No
Create Date
Plan
~J Solid
Vent
99475
01/16/2003
Use/Nature SFR/Replace furnace. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$35.00
Date 01/16/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0
Telephone Number
(920) 426-1830
~ 01/i4/2003 22:07 19204261890 STEINBRUNER HEATING: PAGE 01
City of Oshkosh
Division of Inspection Servi
P.O. Box ! 130
Oalfltosh. W! 54903-:1130
phone (920) 236.5050
Fax {920) 236-5084
· ^pplicafion(s) and fe
Oshkosh WI 54903:
normal permit fee, wt
OR
JOB ADDRESS ! R
CONTRACTOR_. --
CHECK [] ALL APpl
in ATEG°RY
e Family
FUEL
I-lOll
~orced Air ElRadiant
iS CHIMNEY BEING
Nato: All chimneys shall b
CHIMNEY TYPE
IEEAT LOSS
BTU RATE
DESCRIPTION OF A
VALUE (Including labc
HVAC PERMIT APPLICATION
All information after bold categories must be provided
Incomplet0 applicatiom will not be processed.
:(s) can be brought to City Hall, Room 205 or mailed to lasl
i 128. Commencing work without permit(s) will result in fei
~ich ever is greater.
· ~articit~ating tn the Pe. rmit fee A.._ccount Sy,ctem and
~d t~r~ueh your acco,,,t ~1~.
DA
F'lMulti-Family I-tRcntal CIComn
CABLE
)uplex
C1Electric ~Solid SYSTEM r'lNew
r"lSolar ClOthe
vISteam I-IA/C ClVent ClElectrie I=lHot Water I-ISuppl.[21C
LINED CI'No l~es - LINER SIZE
sized per the BTU'$ being vetoed
~himney A [ZIChimney B
I-lAs Approved E~ting
OAs Per Plan FIVariable
LL WORK BEING DONEe- t~~'e'~ ~
~" & MANU
[~irect Vent
~Not Applicable
CIOther Value
r and all materials including Itght fixtures) $
I'.'lectri¢'nl in.~mllation of new/rept~c~
ELECTRICAL CON] RACTOR~
O~ T~Ic WATFR
eetion Services, PO Box 1128.
is being doubled or $100.00 plus the
ave adeouate funds, check /;eye
rz - 1,4-o_
ercial
I-Ilndustrial
{~eplace
Burner
:ACTUR.ER
)thor
,ifieatloll form attached(If Replacement
helot tquigment fhnll be done by I, cen$td conn'noar, t
01/14/2003 22:0? 19204261890 STEINBRUNER HEATING: PAGE 02
Cir
o~
~ IN! W,~?IN
Electric Installation Verification
(Electrical Contractor Name)
(Address) (City)
have been contracted.to perform electric installation work for
at the following addr(
Tbs nature
(Stat~ :) (Zip Code)
(lName of pa
· s:
(Address where work will be peri'o:
k consists of; (CMck 0,~ or D~:scribe thc Nature
:onnection or now circuit for replacement Hcatin$ Pla~
Re mnnection or new circuit for replacement Electric Wal
Re ~onnecfion of the Service Enlr~ce Cable, Meter Box,
. lighting fixtures due to siding / soffit installation.
1Cables will require a separate permit
R~conne¢fion or new circuil for mher permanently wired
Otler
The value of this ,york is :$
I hereby vcri fy this work will be performed by an employee oflhis comp~
reeonnection/-in~ tallation will be done in compliance witl~ manufacturer
requirements.
~Sign-atu~e o~' Co , p
ty contracted to)
reed)
~'ork)
t and/or MC Condenser.
:r Heater.
Iterations to receptacles and
~: New S~rvice Entrance
~ppliances / fixtures.
~ny and furlher verify the
and Electric code
Officer) (Prim Name of OfliccO
/'-'
(Date)