HomeMy WebLinkAbout0099474-HVACOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
620 BROAD ST
STEINBRUNER HEATING & COOLING
No
99474
[] Gas I [] Oil ]
[] New I
~J Forced Air ] ~J Radiant
[] Electric ] [] Hot Water
Chimney Type ~.~ Chimney A O Chimney B
Heat Loss ~I As Approved O Existing
BTU Rate ~I As Per Plan O Variable
Owner
Category
HABITAT HUMANITY OSHKOSH INC
500 - Residential-Heating & Ventilating
[] Electric 1 U Solar
[] Replace I
~ Steam J ~ NC I
[] Suppl. I [] Con. Burner 1
Direct Vent ~I Not Applicable I
O Not Applicable I Value
~ Other I Value
Create Date 12/31/2002
Plan
~ Solid
[] Other
Vent
Use/Nature NSFPJ In floor - water heater (dual purpose) as heat source.
of Work
Fees: Valuation
Issued By:
$1,000.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided J
$20.00
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
01/14/2003 22:03 19204261890 STEINSRUNER HEATING: PAGE 01
C~W of Oshkosh
Division of Inspection Sen
P.O, Box 1130
O~bltosk WI $4903-1130
Phone (920) 236-5050
Fix (920) 236-5084
Application(s) and
Oshkosh WI 54903-
normal permit tee, w
OR
/_/r YOU are a COntrocro
if._t~pu want this.pro_ce.
,IOB ADDRESS {,
CONTRACTOR ~
CIIECK Iii ALL API*[
ningATEG°RY
~s
DOll
~Forced Air ~adiam
HVAC PERMIT APPLICATION
All information after bold categories must be provide~
Incomplete applications will not bc processed.
¢($) can be brought to City Hall, Room 205 or mailed to Ins
1128. Commencing work without permit(s} will result in
hich ever is greater.
, ~tti. ng in the Permit fee dcc.~ount System and
;.sed through your account tl~,
DA
ICABLE
Duplex F1Multi-Family IDRental FlComn
CIElectnc ElSolid SYSTEM
IDSolar CIOthel
Steam UI.~C ClVent C]Elecmc ~giot Waler C]Suppt. ClCt
IS CHIMNEY BEING INED [JNo r'lYes - LINER SIZE .... & MANU]
Note: All chimneys shall bt sized per tl~e BTU's being vented.
":* CHIMNEY TYPE l[lChimney A FIChimney B ~Direct Vent I'lC
I~AT LOSS ~s Approved C1Existing ClNot Applicable
BTU RATE ii:~s Per Plan CIVariable r'lOther Value
DESCRIPTION OF Al
VALUE (Including labo
ELECTRICAL CONT
,L WORK BEING DONE I k) J221o~ r ~-' U)~
and all materials Including light fixtures) $ I t9~90. OO
!
LACTOR O~R ~[ Electric lnstallaOon Vel
~tcctrt~tl insto#~tion o~ new/reploCe,
O fHKO/H
ection Services, PO Box 1128.
s being doubled or $100.00 plus the
,ave adequate fund~, ch~ffk here
rE_ l-lq-o?-.-
ercial Cllndustnal
ClReplace
m. Burner
:ACTURER
)thor
~flcatlon form aHached(If Re91aeememt
tent equigment ~hall hr done by llccn,v¢d contrncto~