HomeMy WebLinkAbout0083923-HVAC (furnace) CITY OF OSHKOSH N 83923
OSHKOSH HVAC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 339 SARATOGA AVE Owner GERALD H LARSON Create Date 11/22/2000
Contractor STEINBRUNER HEATING COOLING Category 500 Residential- Heating Ventilating Plan
Fuel Gas Oil Electric Solar Solid
System I New Replace Other
✓i Forced Air Radiant Steam NC Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney B O Direct Vent Not Applicable
Heat Loss O As Approved Existing O Not Applicable Value
BTU Rate As Per Plan Variable Other Value 80,000
Use /Nature 81-H REPLACE FURNACE
of Work (No electric permit required- received installation verification signed by Seckar Electric)
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $35.00
Issued By: c t i NS Date 02/01/2001
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
11/21/2000 09:55 14144261890 STEINBRUNER HEATING: PAGE 01
e;
1vi7.1. n of Inspection Services
215 Ch rch Avenue
P.O. B•x 1130
e7Vi1W7 Fax k 9 920) 2 36 0 5g8+ 30
Phone 920) 236 -5048
HVAC PERMIT APPLICATIOt
All fields /information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 1( Ll DQ
JOE ADDRESS a TD fa..
OMNBR G 1e ek ka. r Son
CONTRACTOR S e in to tu
CIRCLE ALL APPLI :LE
082 CATEGORY 40INGLE FAMI DUPLEX MULTI FAMILY COMMERCIAL INDUSTRIAL
FUEL g75 OIL. ELECTRIC SOLAR SOLID
SYSTEM NE W REPLAC OTHER
TYPE _0111' b. RADIANT STEAM A/C VENT
ELECT'IC HOT WATER SUPPL. CON. BURNER
I8 CHIMNEY BEING LINED 14) LINER SIZE MANUFACTURER
Note! All chimney: shall be sized per the BTU'e being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY 9 DIRECT VENT OTHER
NEAT L088 AS APPROVED a NOT APPLICABLE
ETU RATE 'S PER PLAN VARIABLE OTHER VALUE gD, 000 /37
NATURE OP WORK: 92. L "20 fir-e. E.
VALUE (Including labor and materials) Q 000.
ELECTRICAL CONT CTOR C,
Electrical installation of new /replacement equipment shall be done by licensed
contractors.
Valuation Fees
$0 to $1,000.00... $20.00
$1,000.01 to S10 000.00 $20.00 for first
$1, 000.00 plus $1.50 per $100.00 "valuation or part thereof
510,000.01 to $2.,000.00 $155.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over 525, 000.00.... $305.00 plus $0.50
per $100.00 valuation or part thereof
Submit paymen with application. Failure to pay within 30 days will result in
fees being do bled or 5100.00 plus the normal permit fee, which ever is
greater.
0 1-KO I-1 Oshkosh W► 54902.1 u0 r; :i.
Office 940,234 -5050
ON r «E %OTTER Fax 920- 234SO84 t
Electric Installation Verification
(We) Seckar Electric Company Inc.
(Electrical Contractor Name)
5920 Courtney Plummer Road, Winneconne, Wisconsin 54986
(Address) (City) (State) (Zip Code)
Steinbruner- Heating and Cooling
have been contracted to perform electric installation work for
(Name of party contracted to)
at the following address: 339 SARATOGA AVENUE
(Address where work will be performed)
The nature of the work consists of (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding soffit installation. Note: New Service Entrance
Cables will require a separate permit_,
Reconnection or new circuit for other permanently wired appliances !fixtures.
Other
The value of this work is S 1 ac. D
1 hereby verify this work will be performed by an employee of this company and further verify the
reconnection installation will be done in compliance with manufacturer and Electric code
requirements.
i
Diane R. Seckar November 21, 2000
a- iL
(Signature of mpany Officer) (Print Name -of Officer) (Date)