HomeMy WebLinkAbout0100333-HVAC (furnace)(~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 220 BALDWIN AVE Owner TRACY L FINTELMANN
Contractor STEINBRUNER HEATING & COOLING Category 500 - Residential-Heating & Ventilating
Fuel ~J Gas J ~J Oil b~ Electric ~J Solar
System ~J New ~ ~J Replace ~ ~J Other
~J Forced Air I ~J Radiant L~ Steam ~J A/C
~J Electric I ~J Hot Water b~ suppl. ~J Con. Burner
Chimney Type I~ Chimney A ~ Chimney B O Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 60m btu
No
Create Date
Plan
~J Solid
Vent
100333
03/21/2003
Use/Nature SFR/Replace furnace and line chimney. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$35.00
Date 03/21/2003
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
?','/19/2003 21:55 19204261890
City of Oshkosh
Division oflnspcclion Serves
P.O, Box 1130
Od~kosh, WI 54903- I 130
Phone (920) Z36-5050
Fax (920) 236-5054
· App)ication(s) and fe
Oshkosh WI 54903-
normal permit fee, w
OR
]f yOt~ arq a ¢ontraCto _
i_Ll:ou want this proce
STEINBRUb~ER HEATING:
HVAC PERMIT APPLICATION
All information atteT bold categories must be provide4
Incomplete applications will not be processed.
¢(s) can be brought lo City Hail. Room 205 or mailed to Ins'
28. Commencing work without permit(s) will result in
hich ever is greater.
partic~pazin_._e in thc Permit_fee A_ccount S.¥stem and
~sed through your account 1~
owsze_
CONTRACTOR
C~CK ~ ALL ~P~ICABLE
1
US~CATKGORY
~ingle F~ily ~Duplcx
CIMuiti-Family CIRental ClCom~
FUEL [~as i CJElectric nSolid SYSTEM CINe~
[30il i CISolar FlOth~
~orced Air FIRadiant: FIStcam CIA/C E]Vent F1Electric IDHm Waler ClSuppl.~3(
[ /'
is CmM~[V a~.md~ ~IN[~ DNo ~es L~E~ SIZE 3'"
. ,. & MANU
No~,:.: A}! cbL, nneys shall be sized per the BTU'-~ being vetoed.
CHIMNEY TYPE CIChmmey A r'lChimney B I~trect Vent
HEAT LOSS !VIAs Approved 19~isting U1Nol Applicable
~TU RATE !l-lAs Per Plan 13Variable C]Other Value ~0,~
VALUE (Including labor and all materials including light fixlures) $ ~- ~
ELECTRICAL CONTRACTOR ~:df.a r'" OR ~ Electric Installation
' ' Elert~cnl insrollmion o/new/~lo
PAGE
:ction Services, PO Box 1128,
, being doubled or $100.00 plus the
ave atleouate funds, check here
rE, $ -I'/- a ~
ercial Olndustrial
[]~eplace
m. Burner
FACTURER
Dther
rlllcl[lOl~ [orln attachedflf Rcplaccmcno
rnent equipment ~holl be done 63' licensed conteacmrs
8r/19/2003 22:81 19284261898 STEINBRUNER HEATING: PAGE 01
D~'mk
(Address)
Electric Installation Verification
(Electrical Contractor Name)
(City)
(State',
have been contracted t~ perform electric installation work for
,t the roUow ng address: ....
(Address where work will be perfo~
_~Re¢
Re(
Roi
(Name of parl
consists -"' (Check 01~¢ or Describe the Nature of V~
MA
..onnection or new circuit for replacement Heating Planl
onnection or new circuit for replacement Electric Ware
onnection of the Service Entrance Cable, Meter Box, a
!lighting fixtures due to siding / soffit installation. Not~
!Cables will reqaire a separate pemfit.
Re~onnection or new circuit for other pem~anently wired
O~er
The value ofthis
I hereby verify thi~ work wilt be performed by an employee of this comp~
reconnection / insl allation will be done in compliance with manufactm'er
requirements.
~ignature pany Officer) (Pnnt Nm~e of Officer)
(Zip Code)
contracted
~ed)
'ork)
an,l/or A/C Condenser.
, Heater.
terations to receptacles and
New Service Entrance
)liances I fixtures.
ay and further verify the
md Electric code
(Date)