HomeMy WebLinkAbout0083444-HVAC (furnace) CD CITY OF OSHKOSH N 83444
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 412 WAUGOO AVE Owner FRANCINE L KALOUS Create Date 10/12/2000
Contractor STEINBRUNER HEATING & COOLING Category 500 - Residential- Heating & Ventilating Plan
Fuel ✓I Gas 1 011 1 Electric Solar Solid
System New ✓ Replace Other
✓I Forced Air 1 Radiant O Steam NC Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type O Chimney A () Chimney B () Direct Vent O Not Applicable
Heat Loss ( ) As Approved O Existing ( ) Not Applicable Value
BTU Rate ) As Per Plan () Variable . Other Value 75,000
Use /Nature DUPLEX / 412 -A WAUG00 / REPLACE CRACKED FURNACE
of Work (No electric permit required - received installation verification signed by Seckar Electric)
Fees: Valuation
- -�'��/-� $1,500.00 Plan Approval $0.00 Permit Fee Paid $27.50
Issued By: _S� ) Date 12/19/2000
Permit Voided
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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
10/12/2000 09:45 14144261890 STEINBRIMJER HEATING: PAGE 01
( 6 )
1 5 On of Inspection Services
2
215 C hurch Avenue
D.O. B 1130
Oahkoel, WI 54903 -1130
Pax N 920) 236 5084
CNIEg
Phone 920) 236 -5068
HVAC PERMIT APPLICATION
All fields /information after bold categories must be provided
Incomplete applications will not be processed.
DATE" - 10 —0 0
JOB ADDRESS q (Z" 6 IA) ay(}
OWNER FL, 16 ion
CONTRACTOR 541/In -( M hP v
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUP MULTI-FAMILY COMMERCIAL INDUSTRIAL
?U8L OIL ELECTRIC SOLAR SOLID
SYSTEM NEW REPLAC OTHER -
TYPE FORCED AI RADIANT STEAM -- A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED NO LINER SIZE MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMMNEY TYPE Iv CHIMNEY A CHIMNEYS B- DIRECT VENT OTHER
BEAT L088 AS APPROVED I ._ NOT APPLICABLE
BTU RATE AS PER PLAN VARIABLE OTHER VALUE gD #9 D , J(Oi
MATURE OF MOR1C : 4
VALUE (Including labor and materials) $ 1:5-106.6- 440111'111 fr
ELECTRICAL CONTRACTOR
Electrical installation of new /replacement equipment shall be done by licensed
contractors.
Valuation Fees
SO to $1,000.00 S20.00
$1,000.01 to $10,000.00 ...... $20.00 for first
51, 000.00 plus $1.50 per $100.00 valuation or part thereof
$10,000.01 to $25,000.00 _, $155.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $25,000.00., 5305.00 plus $0.50
per $100.00 valuation or part thereof
• Submit payment with application_ Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater. -
1
FROM : SECKAR ELECTRIC FAX MO. : 9202313950 Oct. 11 2000 05:10PM P3
Coy of Oshkosh
Division of low:coon Services
215 Church Avenue
PO nos 1130
O
// shkosh W1 x4902 -1130 f; a
W ! f-KC i-'1 Office 920336-5050
1
ON THE MATER Fax 920-236-5084 r 5084 -
Electric Installation Verification
(1) (We) Seckar Electric Company Inc.
(Electrical Contractor Name)
5920 Courtney Plummer Road, Winneconne, Wisconsin 54986
(Address) (City) (State) (Zip Code)
Steinbruner Heating and Cooling
have been contracted to perform for _
(Name of party contracted to)
•
at the following address: 412 WAUGOO AVENUE
(Address'where work will be performed)
The nature of the work consists of : (Check One or. Describe the Nature of Work)
X 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. Note: New Service Entrance
Cables will require a separate permit.
Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
•
The value of this work is $ J as O ° _
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
Diane R. Seckar October 12, 2000
1 t-r •
(Signature of Company Officer) (Print Name of Officer) (Date)
•