HomeMy WebLinkAbout0102756-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
1193 BLOSSOM CT
STEINBRUNER HEATING & COOLING
No
102756
~ Gas
[] New
~ Forced Air
[~' Electdc
ChimneyType [..~ ChimneyA
Heat Loss [. ~ As Approved
BTU Rate ~) As Per Plan
~j Radiant
U Hot Water
Owner ANGELA M SHEW LIFE ESTATE
Category 500 - Residential-Heating & Ventilating
I I I Electric I ,,I Solar
[] Replace I
J LJ Steam ~J NC
J ~j Suppl. J I Con. Bumer J
~.~ Chimney B O Direct Vent (,) Not Applicable I
O Existing (.2 Not Appliceble J Value
~) Vadable ~ Other ] Value
Create Date 07/09/2003
Plan
[] Other I
LJ Vent
0
40m btu
Use/Nature 3ONDO UNIT/Replace furnace and line chimney, *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$1,800.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided
$32.00
Date 07/11/2003
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
07/06/2083 21:23 19204261890 STEINBRUNER HEATING: PAGE 01
Ci~' of Osl'~kosh
Division of Inspection ScriBes
P.O. Box I 130
Oshkosh, WI 54903-1130 !
l~one (920) 236-$050
lax (920) 236-~084
/
Application(s) and fe
Oshkosh WI $4903-
non,hal permit fcc, w
OR
JOB ADDRESS._~
OWNER
CONTRACTOR._.~
CllECK [] ALL APPLI
USE CATEGORY
EISingle Family
r'lOil
~erced Air VIRadiam 1'
I$ CHIMNEY BEING
Note: All chi,,r,,neys st~a!l be
,d~MNEY TYPE
Ill,AT LOSS
BTU RATE
D]ESCRIPTION OF AL
HVAC PERMIT APPLICATION
All Jnformalion after bold categories must be provide
Incomplete applications will not be processed.
Rs) can be brought to City Hall, Room 205 or mailed to Ins
128. Commencing work without permil(s) will result in fe~
rich ever is greater.
r'lElecwic f'lSolid SYSTEM r'lNew
I'lSolar ElOther
.~ction Services, PO Box 1128,
s being doubled or $100.00 plus the
!ave adequate funds, check
C] lndusLrial
ISteam VI^/c r'lv~.~ VIElectric l-IHot Water VISuppl. VICo~. Burner
INED VINo [~es - LINER SIZE ~ tt & MANIUF~CTURER~ .
;ized pet the BTU'a being vented.
IChir~e¥ A U1CJ~tmey B ~Vent VlOlher
lAs Approved [2~'xisting CINoI Applicable -- ,
las Per Plan CIVariable ~ CIOther Value .-
/ ,
nt equipment shall be done by licensed contractors
~ 07/0B/2003 21:23 192042G1890 STEINBRUNER HE~TING: P~GE 02
I (We) ~
(Ac
have been co
at thc followi
The r~
The value oft)~
! hereby veri f?
the recoIlnect i~
requirements.
( Signal{ute ol
Electric Installation Verificati
(Electrical Contractor Name)
kess) (City)
~tracted to perform electric installation work for
( reaa Wberc wor~ will be pc
work consists of: (Check ~e or D~cfibe the Natu
.ceonneetion or new circuit for replacement Heating PI:
.econnection or new circuit for replacement Electric W~
water hoatcr.
~1.econnection of the Service Entr .a~. ce Cable, Meter Box,
and lighting fixtures due to siding / soffit installation
Entrance Cables will require a separate pe~nit.
econnection or new circuit for thc replacement of other
appliances / fixtures.
ew circuit for the addition of A/C to an individuol dwet
individual systems in a duplex or condominium), incJ
electrical outlets.
ther
work is $ ~.~~.
lis work will be performed by an employee of this co~
/ installation will be done in compliance with manufa
:ompany Officer)
(Print Name of Officer)
tn
(State) (Zip Code)
= of party contracted to)
/.-.
'c of Work)
nt and/or A/C Condenser.
ter Heater or power vetoed
alterations to receptacles
Note: New Sen, icc
)ermanently wired
'rig unit (house or thc
,,ding required service
~pany and further verify
:tutor and Elcctric code
- 7-o3
(Date)