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HomeMy WebLinkAbout0096342-HVAC (boiler) /0 CITY OF OSHKOSH No 96342 OSHKOSH HVAC PERMIT APPLICATION AND RECORD ON THE WATER Job Address 2000 WINCHESTER AVE Owner DUANE W MCKAY Create Date 08/02/2002 Contractor STEINBRUNER HEATING COOLING Category 500 Residential- Heating Ventilating Plan Fuel 1 Gas Oil I Electric I Solar I Solid System New Q Replace 1 Other I Li Forced Air u Radiant u Steam U NC Lf Vent Electric Hot Water I Suppl. I Con. Burner Chimney Type K) Chimney A Chimney B Direct Vent Not Applicable Heat Loss As Approved Existing 0 Not Applicable Value 0 BTU Rate K) As Per Plan Variable Other Value Use /Nature SFR/ Replace boiler with high efficiency gas boiler. *EIV form from Seckar Electric. of Work Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $27.50 Issued By: 1—m Date 08/02/2002 Permit Voided In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction. Signature Date Agent/Owner Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number (920) 426 -1830 05/16/1995 22:57 14144261890 STEINBR1Jt€R 1- tEATING: PAGE 03 City of Oshkosh Division of Inspection Services P.O. Box 1130 (111 Oshkosh, WI 154903-1130 t30 Phone(920)236 -5050 Fa (920) 236 -5084 ow 9F HVAC PERMIT APPLICATION All information after bold categories must be provides Incomplete applications will not be processed. Application(s) and fJe(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903 -1 128. Commencing work without permits) will result in fees being doubled or 5100.00 plus the normal permit fee, wtich ever is greater. OR I If volt are a contraCtOparticinorine in the Permit fee Account System and slave adeauatefunds. check here if you want this proce4sed throus;h your account IX DATE 4 3.— O JOB ADDRESS Z4 ©0 1,4) (fa C ;3,1.Q r OWNER Du.&Ace. vy, c CONTRACTOR 51e it tbrtl nor Ktc4,411 c aid r n S CTIECK ALL APPLICABLE NE CATEGORY ;Single Family °Duplex °Multi- Family °Rental °Commercial Dtndustrial run PGs DElectric °Solid SYSTEM °New Replace 0011 °Solar DOtIe TYPE C]Forced Air QRadiant Steam DA/C OVent L7ElectncillHot WaterOSuppl.00o•t. Burner 1S CHIMNEY BEING INED$o °Yes LINER SIZE MANUFACTURER N nte: All chimneys shall be izcd per the BTU's being vented. CHIMNEY TYPE Chimney A DCbimney E3 DDirect Vent 1:10 her INEAT LOSS As Approved existing °Not Applicable BTU RATE As Per Plan OVariable ClOther Value e tta.ee_- Picea -der DESCRIPTION OF AL WORK BEING DONE RAI f L-C4„ I Lit q C cry. el 0 S t VALUE (Including labor ind all materials Including light fixtures) 5 ELECTRICAL CONTRACTOR c ��C.Gt1 OR X, Electric Installation vcril'catl0a form attacbedllt Replacement) Electrical /nuiallntioh of n mareplacennent equipment shall be done by licensed fonlrnrh ts. 3/02 05/16/1995 22:57 14144261890 STEINBRUNER DATING: PAGE 04 c o(Oshkosh Di of Iropechon Semites 21S horde Avenue PO Mu Of h WI 34902-1 130 P2v2165050 AK ►»f Pn tt11 Fes 92O-216SO414 1 Electric Installation Verification (I) (We) Tr (Electrical Contractor Name) E Coorwa rou v ot e et) IAJ/NNtCoAme (Address)+ (City) (Stag) (Zip Code) have been contracted to perform electric installation work for ga /fi dAie',�. (Name of party contracted to) at the following addr ss: 9-O 00 0 L.1 rtc �(q�¢e r-- (Address where work will be performed) The naturc of the wo k consists of (Check One or Describe the Nature of work) R connection or new circuit for replacement Heating Plant and/or A/C Condenser. R connection or new circuit for replacement Electric Water Heater. R connection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding soffit installation. No ,e: New Service Entrance 1 Cables will require a separate permit. Reconnection or new circuit for other permanently wired appliances fixtures. Other The value of this cork is S_ L2 I hereby verify th s work will be performed by an employee of this company and further verify the reconnection in I tailation will be done in compliance with manufacturer and Electric code requirements. i Lt oh( St1444te T-/ --0 (Signature Cotpany Officer) (Print Name of Officer) (Date)