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)