HomeMy WebLinkAbout0091595-HVAC (furnace) Ci) CITY OF OSHKOSH No 91595
OSHKOSH HVAC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 306 SARATOGA AVE Owner DAVID M CECH H RASMUSSEN Create Date 12/03/2001
Contractor STEINBRUNER HEATING COOLING Category 500 Residential- Heating Ventilating Plan
Fuel l✓ Gas 1 Oil Electric 1 Solar Solid
System Li New 1 n Replace Other
U Forced Air U Radiant U Steam A/C Vent
1 Electric 1 Hot Water 1 Suppl. 1 Con. Burner
Chimney Type Chimney A 0 Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing 0 Not Applicable Value
BTU Rate K) As Per Plan 0 Variable Other Value 75m btu
Use /Nature SFR/ Replace furnace. *EIV form from Seckar Electric.
of Work
Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $27.50
Issued By: K Nn Date 12/03/2001
Permit Voided
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
06/23/1995 21:55 14144261890 STEINBRUNER HEATING: PAGE 01
S 215 l
o of u t ion Services
215 Chu ch Avenue
P.O Bo 1130
shkoah S4903 1130
Fax k i 20) 0) 296 5080
Phone 20) 236.504s
HVAC PERMIT APPLICATIO
All fields /information after bold categories mus be provided.
Incomplete applications will not be pros ssed.
DA B Z 3 -0"
JOB ADDRESS 3 pry r-
er r0. 0.� `V p
OWNER
P L`
5 of
6
COIaTRACTOR Z r n oitt n e j� t� 0 G Goa r CIRCLE ALL APPLICABLE- Q n
119 CATEOO SINGLE.EAML DUPLEX. MULTI FAN ILY COMMERCIAL INDUSTRIAL
PUEL GAS OIL ELECTRIC SOLAR SOLID
SYSTEM NEW 'REPLAC OTHER
TYPE
l FORCE'D AI RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED 0e) LINER SIZE MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.!
CHIMNEY TYPE CHIMNEY A CHIMNEY 8 D RECT VENT OTHER
HEAT LOBS AS APPROVED EXISTING N T APPLICABLE
BTU RATE AS PER' PLAN VARZASLE 0 HER, VALUE er g( 19 0
NATURE OF WORK: 1 7 7 v v v
VALUE (Including labor and.mater ice
ELECTRICAL CONTRACTOR 1 b Of- I
Electrical inetallat.ion.of. new /replacement equipment shall beldone by licensed
contractors.
Valuation Fees
SO to $1,000.00 S20.00
$1,000.01 to $1),000 00, $20. 00 for first
$1,000.00 plus $1.50 per $100.Oo1valuation or part thereof
510,000.01 to $25,000.00 !I SiS5.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $25,000.00 5305.00 plus S0.S0 0
per $10.0G valuation or part thereof
Submit paymc t with application. Fa.i.l.ure- to. pay wit in 30 days will result in
fees being d ubled or $100.00 plus the normal permit fee, which ever is
greater.
06/23/1995 21:55 14144261890 STEINBRLJNER HEATING: PAGE 02
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EI ric Installation Verification
(n (We) 5 i e__
Contractor Name)
Co ji L rwAysitrie let tcothue
(Add ss) (City) (Zip Code)
have been contracted to I -installation work fur 1 A
(Name 0 I contracted to)
I (o t n,,. I
at the following acdresr
rM Mr.
Acddress where work wi!"F perfs d)
The nature of the 4.tork cans r2 ('heck -O or ffescribe the Nature of lVork)
s I
_.4 (Reconn ew cFr'ctn't for replacement Ite3ting i'`1 t and/or A/C Condenser.
1 Reconnec ew circuit for replacement Electric VV'a r Heater.
itecannec a Service Entrance Cable, Meter Pok, iterations to receptacles and
lighti es due to siding/ soffit installation. No e: New Service Entrance
Cable ire a separate permit
l' econnec, .tew cir-cuitfor other pertn_anen!ty weird ppliances fixtures.
er s
I.
1
The value oft s work is i
I hereby verify his work 4 anernplo kyr tfris t, and further verify the
reconnection nstallatio done in compliance with inanuftctuier and Electric code
requirements.
J J i
.1..4t*irk.gli'
(Signature C•mpany S P rim► Name of ffiec
Ct tr) U ;rte)
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