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HomeMy WebLinkAbout0091637-HVAC (2 furnaces) 0 CITY OF OSHKOSH No 91637 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1203 MINNESOTA ST Owner JILLIAN V ZENTNER / DENNIS G LEMERA Create Date 12/04/2001 Contractor STEINBRUNER HEATING & COOLING Category 500 - Residential- Heating & Ventilating Plan Fuel 11 Gas I Oil 1 Electric 1 I Solar Solid System n New n Replace J fl Other 4 Forced Air u Radiant u Steam U A/C U Vent I I Electric 1 Hot Water 1 I Suppl. I I Con. Burner Chimney Type ) Chimney A () Chimney B () Direct Vent (] Not Applicable Heat Loss ( ) As Approved • Existing 0 Not Applicable Value BTU Rate ( ) As Per Plan ( ) Variable 0 Other Value Use /Nature DUPLEX/ Replace two fumaces - one at 1203 Minnesota & one at 305 W 12th Ave (same building). *EIV forms from Beez Electric. of Work Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $65.00 Issued By: Kvyl Date 12/04/2001 ❑ 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 06/24/1395 2D:10 14144261890 STEINBRUNER HEATING: PAGE 01 21 Ci of Inspection services 215 5 Church avenue P.O B 1130 o * wI 23 6030x130 sax p ( 201 236 508 Phone ( 201 236 -5O4e HVAC PERMIT APPLICATION All fields /information after bold categories mus be provided. Incomplete applications wiIi not be pros ssed. K / -I/ j/ JOB ADDRESS /; M/Yj1115D/4 ,405 01 MINER a/4,715 / 'he ra'zd .- - ` 7 floc' 7 1 CONTRACTOR N � `. 4" , CIRCLE ALL APPLI LB USE CATEGORY S NGLE FAMILY Qom, MULTI- FAMILY COMMERCIAL INDUSTRIAL FUEL C G i OIL- - ELECTRI 4OLAR SOLI D SYSTEM NEW 413=1110 OTHER TYPE 4 ORCE) A • RADIANT STEAM A/Z VENT ELECT•IC HOT WATER SUPPL. CON. BURNER IS CHIMNEY BEING LINED IQ LINER SIZE MANUFACTURER Note: All chimney= shall be sized per the BTU's being vented. CHIMNEY TYPE 1 CHIMNEY A CHIMNEY B DI ECT VENT OTHER HEAT LOSS AS APPROVED 41230nrs NO APPLICABLE BTU RATE AS PER PLAN VARIABLE OT iER VALUE 4 00d/Ogi NATURE OF WORK: R.e p/a tCi141r7J4e/e 1/7 edC/ C2) u nil- ; VALUE (Including labor and materials) S lle 0d 4 -graet ee5 ELECTRICAL CONT CTOR Electrical instal ation of new /replacement equipment shall be Clone by Licensed contractors. • Valuation i Fees SO to $1,000.00 $20.00 $1,000.01 to $101,000.00 I $20.00 for first 1 $1,000.00 plus $1.50 per $100.00 +aluation or part thereof $10,000.01 to $25,000.00 1 $155.00 for first $10,000:00 plus $1.00 per $100.00 valuation or part thereof Over $25,000.00 1 $305.00 plus $0_so per $100.00 •aluation or part thereof • Submit payment with application. Failure to pay withim 30 days will result in fees being doubled or S100.00 plus the normal permit fee, which ever is greater. I 1 06/24/1995 20:10 14144261690 STEINBRUNER HEATING: PAGE 02 I City oro Division of Inspection Serviea 21 S CMucA Avenue PO Gon 11)0 Oshkosh W► Se903 -1110 or , c,,,,.. 920-2163050 •» Fen 920.2363064 Electric Installation Verificatio (I) (We) B - z El tric In 521 .12th Oshkosh Ma 54902 have been cont acted to perform electric installation work for Dennis LiMerande, at the followin address: HD W. 12th Ave. • • The nature of tl' work consists of : (Check One or Describe the Natu of Work) • ® Reconnection or new circuit for replacement Heating Plant d/or A/C Condenser. ❑ Reconnection or new circuit for replacement Electric Water eater. ❑ Reconnection of the Service Entrance Cable, Meter Box, ations to receptacles and light ng fixtures due to siding / soffit installation. Note: Ne Service Entrance Cables will require a. s p r permit: '' ❑ Reconnection or new circuit for other permanently wired appliances / fixtures. ❑ Other The value of this work is 5100.00 . I hereby verify this work will be performed by an employee of this comp�y and further verify the reconnection / installation will be done in compliance with manufacturer nd Electric code uirements. !N t ANIL Gary Biesinger 11/15/01 (Signatur ; i f C • mpany Officer) 06/24/1395 '20:10 14144261890 STEINBRUNER HEATING: PAGE 03 City of Oshkosh Division of Inspection Services 215 Ouch Maws PO non 1130 Oshkosh W1 5190)•11)0 MP 9242365050 » Fox 92043630114 Electric Installation Verification (1) (We) : e . ectric Inc. 521 ' . 12th Oshkosh WI 54902 have been con racted to perform electric installation work for Dennis Merande, at the followi ; address: 1203 Minnesota. The nature oft e work consists of : (Check One or Describe the Natu e of Work) R • .nnection or new circuit for replacement Heating Plant d/or A/C Condenser. ❑ R • • nnection or new circuit for replacement Electric Water Heater. ❑ R • nnection of the Service Entrance Cable, Meter Box, ations to receptacles and ligh ing fixtures due to siding / soffit installation. Note: N Service Entrance Cables will require a separate permit ❑ R • nnection or new circuit for other permanently wired / fixtures. ❑ Ot The value of s work is S1041:00 I hereby verify his work wiltbe performed by an employee of this complany and further verify the reconnection / i stallation will be done in compliance with manufacturer and Electric code requirements, Gary Biesin$er . 11/15/01 (Signature if • •any Officer)