HomeMy WebLinkAbout0099611-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 103 HIGH AVE
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
STEINBRUNER HEATING & COOLING
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner SPARR INVESTMENTS LLC
Category 510 - Ind. & Comm-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
99611
01/29/2003
Other
Vent J
100m btu
Use/Nature RENTAL/OFFICE/Replace furnace. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$1,900.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$33.50
Date 01/29/2003
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
01/28/2003 21:59 19204261890 STEINBRUNER HEATING: PAGE 0i
City of O~hkosh
lllvision ol Inspection S~rvi
I'.O. Box I 130
Oskko~h, wi ~4903-! 1t0
lq~one (920) 236-5050
Psx (920) 2]6-5084
· Applicanon(s) and fe
Oshkosh WI 54903-
normal permit fee, w
OR
(j~ i'Oltt at'e* a con~r~ctoi
if you wan~ this proce~
OWNER
CI~CK I~1 ALL APPI
iJSR CATEGORY
EISingle Family
FUEL
HVAC PERMIT APPLICATION
All information after bold categories must be provided
Incomplete applications will not bc processed.
c(s) can b~ brought lo City Hall, Room 205 or mailed to lnsI
128. Commencing work without permit(s) will result in fee
itch ever is greater.
· t~_orticipating tn the Permit Ice Accoffnt System and ~
~sed throueh your account ~/~
ICABLE
Duplex CIMulti-Family
[~ental FIComtT
~as ~ F1Electric I'lSolid SYSTEM CINew
[~Oil [ff~lSolar l'lOthe
Air UIRadiant 13Steam I~A/C I'lVent C]£1ectnc F]Hot Water [3Suppl. FIC
LINED I~o DYes - LINER SIZE__
: sized per the BTU's being vented.
IS CHIMNEY BEING
Note: All chinu~:ys shall b
& MANU'
cction Scrvices, PO Box 1128.
being doubled o~ $100.00 plus the
zve odettuate funds, chec~ler~
~rcial
[3~dustrial
l~eplace
m. Burner
;ACTURER
VALUE (Including labc
ELECTRICAL CON1
'lfleatlon ferm altached(If Replaeement)
nent equipment shntl be leone #), f~censed contractors.
r and all materials in¢ludin~ ligh! fixtures) S /~t~ ~
RACTOR ~ O~ ~J~Eleetrk Installation Ve
£'tc¢~ricnl in.~tallati~m of new/replac~
CHIMNEY TYPE F1Chimney A f'lChimney B [3Direct Vent C]~ nhcr
llF_..AT LOSS OAs Approved Ii]l~xisting [3Not Applicable
BTU
RATE
01/28/2003 21:59 i9204261890 STEIN~dNER HEATING: PAGE 02
O/H~3YH
Electric Installation Verification
(Electrical Contractor Name)
(Addressi (City) (Sta!
have been contracted, to perform el~tric installation work for ,
I (Name of
at the following add;ss: /~_~
f - ' '(~ddress where work will be perfc
The nature of thc wa
R~
The value of this
I hereby verify th
reconnection / in
requirements.
(Signature o~' Col
consists of: (Check O,e or Describe the Nature of
:connection or new circuit for replacement Heating Pla
:connection or new circuit for replacement Electric W~
.'connection of the Service Entrance Cable, Meter Box,
lighting fixtures due to siding / soffit installation. N~
Cables will require a separate pemfit.
:connection or new circuit for other pem~anently wired
her
work is $
is work will be performed by an employee of this corn
aallation will be done in complim~ce with m;mufaetm'~
npany Officer)
(print Name of OfliccO
:) (Zip Code)
rty contracted to)
nned)
,York)
~t ancot A/C Condenser,
er Heater.
alterations to receptacles and
:e: New Service Entrance
appliances / fixtures.
any and further vcrify the
and Electric code
(Date)