HomeMy WebLinkAbout0095138-HVAC (a/c) l CITY OF OSHKOSH No 95138
OSHKOSH HVAC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 1340 WHEATFIELD WAY Owner LAO XIONG /KAYING THAO Create Date 06/11/2002
Contractor STEINBRUNER HEATING COOLING Category 501 Residential -Air Conditioning Plan
Fuel Gas Oil Electric I Solar I Solid
System 0 New I Replace I Other
Li Forced Air u Radiant f Steam U NC Li Vent
Electric I Hot Water Suppl. Con. Bumer
Chimney Type Chimney A 0 Chimney B 0 Direct Vent Not Applicable
Heat Loss K) As Approved 0) Existing Not Applicable Value 0
BTU Rate K) As Per Plan U Variable Other Value 1.5T a/c
Use /Nature SFR/ Install new a /c. *EIV form from Seckar Electric.
of Work
Fees: Valuation $1,100.00 Plan Approval $0.00 Permit Fee Paid $21.50
Issued By: y\c\ Date 06/14/2002
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
03/25/1995 01:25 14144261890 STEINBRUNER HEATING: PAGE 01
City of Oshkosh .3
Division of Inspection Se es
tor
P.O. Box 1130 r
Oshkosh, WI 54903 -1130 t
Phone (920)236-5050 1 a. e (:I 31
Fax (920)236-5084
4M �f H
N A U
HVAC PERMI (CATION
fo mtnt io n a bo or ttaist be v ide
omplete do r ll not el be processed pro s
pp! i. c(s) can .ugh, to ty 11, Room 205 or mailed to inspection Services, PO Box 1128,
Os s 5 )3-1128. C nc g wo without permit(s) will result in fed s being doubled or SI 00.00 plus the
no pc i e, w ich is
R
m
1 a are contract° arti,', in¢ in the Per it ee Account Svste and adequate funds, check her.
i f y w nt this prose sed th h vour account
DATE 6 `!O.0
B ADDRESS .n d
OWNER 1
CONTRACTOR 4e, i a Olt.
CHECK ALL APPL CABLE
CATEGORY
IDgingle Family I) uplcx DMulti- Family DRental ❑Commercial ❑)ndustrial
FUEL OGas iatlectric ❑Solid SYSTEM 01(ew ()Replace
00i1 °Solar DOther
TYPE
°Forced Mr DRadiant n Steam ./C DVent ❑Electric Dilot Water ❑Suppl.DCvo. Burner
IS CHIMNEY BEING I INED C1‘) DYes LINER SIZE MANUFACTURER
Niue. All chimneys shall be sized per the BTU's being vented
CHIMNEY TYPE III Chimney A OChimney B ()Direct Vent 00 her
BEAT LOSS As Approved ()Existing ONot Applicable
BTU RATE It As Per Plan °Variable DOther Value /72= F} /e,
DESCRIPTION OF A WORK BEING DONE j ,g le_.
VALUE (Including labor r nd all materials including light fixtures) i
ELECTRICAL CONT ACTOR_Si r: OR X, Electric lnstallatl erit katlontermattachedtlt
Fienrtcnl te..rellerton n/ar placenta'', equipment shnll be done by tit ens& font cto
fr,_. rja 1 1.
3/02
03/25/1995 01:25 14144261890 STEINBRUNER HEATING: PAGE 02
Cif& of Oshkosh
oiruion ctionSenicc
213 Chwoh Avenue
PO flex 1130
W r l l Oshkosh WI 54902-1
9242365030
a, eq YAM t 'Y 920434401e
Electric Installation Verification
(n we Sew e?_etw c.
(Electrical Contractor Name)
S`1 ao CDog a rtV/t►A+e let) UJlNN coNN
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for C /N6.'UNe2
(Name of patty contracted to)
at the following address: i e
(Address where wor will be perfo zned)
Tht 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. Noie: New Service Entrance
Cables will require a separate permit.
Reconnection or new circuit for other permanently wired appliances fixtures.
Other
re 0
The value of this work is S
1 hereby veri fy this work will be performed by an employee of this corrlp my and further verify the
reconnection installation will be done in compliance with manufacturer and Electric code
requirements.
(Signature C ompany Officer) (Print Name of Officer) (Date)