HomeMy WebLinkAbout2001-HVAC (furnace)CITY OF OSHKOSH No sosso
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1020
MARICOPA DR Owner JAMES A SCHIEGG Create Date 10/31/2001
Contractor STEINBRUNER HEATING & COOLING Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas -~ Oil ~ Electric Solar Solid
System ^ New
__ _ - -- - ^/ Replace
^ Other
/ Forced Air Radiant ~ Steam
~
'vC
Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent
Not Applicable
Heat Loss As Approved Existing Not Applicable
Value
BTU Rate As Per Plan Variable Other
Value
80m BTU
Use/Nature FR/ Replace furnace and line chimne
'EIV f
r
f
of Work y.
o
m
rom seckar Electric.
Fees: Valuation $2,500.00 Plan Approval $0.00
Permit Fee Paid
Issued By: l~rn
^ Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Address 600 OREGON STREET
Agent/Owner
OSHKOSH Wf 54902 -0
Date
$42.50
Date 10/31/2001
Telephone Number (920) 426-1830
H5/21/1995 20:04
L
14144261890
STEINBRUNER HEATING:
Divi~x n of Inape~~~,ion Sccvicea
215 C1~ cch Avenue
P.O- B x 11]0
oahkoa WI Sa9o3 1130
Fax M 920) 236 5089
PhOna 920) 736 5048
Al, l
Jbe ADDRRSS
dMNER
OOIOTRl1CTOR
CIRCLE 1'1LL APPLI
HVAC PERMIT AppLICATI
fields/ingormdtion after bot,d Categories mu [ be provided.
Incomplete applications will not be pro eased.
O 1 Vl~ J/'
178E CAT13pORY ~S~INGLE FAMIL
FUEL
sysTJ~
TYPE
28 QIII+IIdBY S>:IJ
Note: All chimne
CRII~BY TYPE
At71T LOSS
JJIR'J7 RATB
IOlTQR13 OF ~iORIJ::
DUPLEX MULTI - Fe~-iiILY
PAGE 01
~TB Q ^' 3 ~^+~
COMMcRCIAL INpUSTRIAL
I
OIL ELECTRIC SOLAR fI SOLID
NEW liEffLACE OTHER I
i
AIR RADIANT STEAM A/~C VENT
IC HOT WATER SUPPL. ! CON. BURNER
I'21!1gD LINER SI2,E ~ « I MANUFAC'J'URER
eba,ll be sized per the s'1'v~ a being vented - ~ - '-
i
CHIMNEY A CHIMNEY J~ DT ECT VENT OTHER
AS APPROVED EXISTxNG NO APPLSCA9,t,~:
AnnS PER 1~1,AN n VARIABLE OT ER VAI.UE_~~(1'~'~ ~~
~ ~ ~..ti..~`1
V11LU8 (Including labor and materials) $ ~.-~~~p d i
=L1tCTRICJ-L CO CTpR
Electrical installation of new/replacement equipment shall be 'one by licensed
contractors.
valuation
SO to 51.,000.0
S1,000.01 to 510
S10,000.01 to $2!
Over 525,000.0
• Submit paymen
fees being do
greater.
Fees
,...520-00
0 0 0 . 0 0............
........................•--------~------ -• ..S 2 0. 0 0 f o p t i r s t
51,000.00 plus $1-50 per 5100.00 ~aluatxon or art thereof
~,000.00... ................................. ' ....5155.00 for first
510,000.00 p~,ug $1,00 per 5100.00 v~l.uation or part thereof
......................................................................-....-..-.....-..-....................--..-.................5 3 0
5.00 plus SO.SO
Per 5100.00 aluation or part thereof
with application- Failure to pay withih 30 days will result in
.led or 8100.00 plus the normal permit f~e, wh.iCh ever is
p5/21/1995 20:04
~~
14144261890
~ o/o7AMaA
igon of en0ecuon Semen
CUreA A~w
!o• 11)0
yuA W 17+70f • 1 ~ )o
Ie.9762K7070
9:P1)<70N
PACE 02
STEINBRIiNER F~ATING:
I~
r
Electric Installation Verificatiotr'
,;
(A (We) ~
~~
(Adds
have been contrac
a the following a
The nature of the
The value of
1 hereby verify
reconnection ~
tequirements_
(Signature
(Electrical Contractor Name)
(C)ry) (Sta1~e) (Zip Code)
to perform electric installation work for _ J / G
{Name of Ry contracted to)
ass:
(Addrtss wh~rr work wilt be pertttrmed)
k consists of : (Check One or Describe the Nature o~'Work)
I~..
~onneetion or new circuit for replacement beating Platt and/or A/C Condenser.
;onnection or new- circuit for replacement Electric Wbter Heater.
:onncction ottheService Entrance Cable. Meter Box~,`alterations to reeeptaeits and
lighting fixtures due to siding ! soffit installation Nr1te: New Service Entrance
Cables will requ-re a separate pcrn»t.
;onnecdon or new circuit for other permanently w•ired'apptiances !fixtures.
ter ~ ~
work is 5~,~~ `"/~
work will be performed by an employee f,;f this contpany and further verify the
Ration will be done in compliance with m;u-ufacturta and Electric code
l•
Officer)W ~~~"~ ~~~~~ l] ~ ~
(Print Name of Ofrcet) (Dar )