HomeMy WebLinkAbout0097511-HVAC (boiler)
G
OSHKOSH
ON THE WATER
Job Address 3398 HARBOR BAY RD
CITY OF OSHKOSH
,
No
97511
HVAC PERMIT - APPLICATION AND RECORD
Owner JEAN A MITCHELL
Create Date 09/24/2002
Contractor STEINBRUNER HEATING & COOLING
Fuel I,(J Gas I Oil
System o New
U Forced Air U Radiant
I J Electric ~ Hot Water
Chimney Type () Chimney A C) Chimney B
Heat Loss () As Approved . Existing
BTU Rate U As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
I
__J
I
I Electric
[?J Replace
U Steam
LJ Suppl.
. Direct Vent
I I Solar LJ Solid
o Other
U AlC U Vent
I I Con. Burner
() Not Applicable
() Not Applicable
. Other
Value
o
Value
Use/Nature ~FRlReplace boiler' EIV from Seckar Electric attached.
of Work
Fees: valuatio;
Issued By: L
$2,500.00
Plan Approval
$0.00
Permit Fee Paid
$42.50
Date 09/24/2002
o 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
139/22/2002 20:58
1921342618913
STEINBRUNER HEATING:
PAGE 131
City (If OShkOM
Divi.ion oi Inspection Se ices
P.O. Bolt 1130
~hkosb. VVI54903-1130
Phone (920) 236-50so
Fax (920) 236-5084
OWNER
CONTRACTOR
HVAC PERMIT APPLICATION
All information after bold calegories must be provide .
Incomplete applications will not be processed.
~
O{B~Q[H
unds chec!.: h 'r/!
4-..t !J -~ Z.
i
CHECK Ii) ALL APPdCABLE
YBt-CA TEGORY I
mingle Family Dl>uplex OMulti-Family
I
~ ! OElectric DSohd SYSTEM DNew
DOH I 0501ar OOther
~C<d Air ORadianl JSleam DAIC DVe", DElectric ~ Wa", DSuppl.Dco . Burner
IS CHIMNEY BEING JlNED DNo DYes . LINER SIZF JJ /)
Nf)te~ All chimneys sha!\ be sized per the BTU's bl:ing vented.
CHIMNEY TYPE dChimney A OChimney B
HEAT LOSS OAs Approved Q['xisting
ITU RATE dJAs Per Plan DVariable
DESCRIPTION OF ALL WORK BEING DONE
i
I
~
VALUE (Inrludlng labor lnd all marrrlals Including light n;l(tllres)
f.LECTRICAL CONT~CTOR_~t' y,'........ Q!l. )lElertrir Installation Veri ration form attarbedtlfRelllm,menl)
1::I<'nri~1l1 in,lIllllnt;tl" of ",..'frt'plllum / i!'1uiP"'ltflf shalf b, rio,,,' ~' I/l'e"..,d (oitlracto'l.
j.LLrhlJr: 80'1 RfI
J;I.1 t teL .1J
lVr ~~ -lin ~ 'l Gtl(,j J ~ ~
ORental
OComm rcial
DIndustrial
"-lEL
~ce
~irect Vent
ONot Applicable
DOther Value
3/02
09/22/2002 20:58
19204261890
STEINBRUNER HEATING:
PAGE 02
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OJH<OLH
ON '''I MUR
Ci 6I'O~hkosll
Di' ion or IlISptcricn Sc.......u
~ 15 llIlnlh "ve_
PO .1130
0. ".h WI 5.902-1 110
olll . nt,l-~36-~050
Fa t2o..n6.SOM
~ .
Electric Installation Veriflcation
<n (We)
~ f:7-et.ie I c.
i (Electrical Contractor Name)
S~~ I COUfl--r1JN
(Addressy: .
I
ftV~,f\e,e ,et>
(City)
€'OAl~ r
(Zip Code)
have been contracted: to perform electric installation work for
j
I
at the following addr~ss:
I
The nzturc .)f~hc wJk consists of: (Check 0'11; or Describe the Nature of Nork)
X RJconnection or new circuit for replacement Heating PIa t and/or NC Condenser.
_ R~connection or new circuit for replacement Electric Wa er Heater.
_ R~connection of the Service Entrance Cable. Meter Box. Iterations to receptacles and
I lighting f1xtures due to siding I soffit insratlation. No e: New Service Entrance
! Cables will require a separate perolit.
R~connection or new circuit for other pennanentty wired appliances I fixtures.
O~her
I
I
,
i
1-
I
The value of this!w(){k is $ I t. .') 0 E.
I
I
I hereby verify t~s work will be performed by an employee of this corn} any and further verify th~
reconnection I installation will be done in compliance with manufacture and Electric code
. I
reqUirements. i
t,k~
. Co~paTlY Officer)
_P~L1f:-~___ ~
(Print Name of Onkcr)
_u_fl /., ;{ lu-.
~e)