HomeMy WebLinkAbout0100752-HVAC (a/c condenser)100752
CITY OF OSHKOSH
No
OSHKOSHHVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
SHIRLEY LEE
Job AddressOwner
680 FREDERICK ST
Create Date04/10/2003
ContractorSTEINBRUNER HEATING & COOLINGCategory501 - Residential-Air ConditioningPlan
OilüüElectric
GasSolarSolid
Fuel
NewüüReplaceOther
System
Forced AirRadiantSteamüüA/CVent
ElectricHot WaterSuppl.Con. Burner
Chimney TypeChimney AChimney BDirect VentNot Applicable
Heat LossAs ApprovedExistingNot ApplicableValue0
As Per PlanVariableOther
BTU RateValue
Use/Nature
SFR/ Replace A/C condensor only. *EIV form from Seckar Electric.
of Work
Plan Approval$0.00
Fees: Valuation$1,000.00Permit Fee Paid$20.00
Issued By:Date04/10/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
SignatureDate
Agent/Owner
Address600 OREGON STREETOSHKOSHTelephone Number(920) 426-1830
WI54902-0
OSHKOSH
ON THE WATER
.lob Address 680 FREDERICK ST
Contractor STEINBRUNER HEATING & COOLING
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner SHIRLEY LEE
Category 501 - Residential-Air Conditioning
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100752
04/10/2003
Other J
Vent J
Use/Nature SFR/Replace A/C condensor only. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$1,000.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$20.00
Date 04/10/2003
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
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
680 FREDERICK ST
OSHKOSH
ON THE WATER
Job Address
Contractor STEINB~,UNER HEATING & COOLING Category 501 - Residential-Air Conditioning
Fuel I U Oil I ~"l~lectric [ U Solar
System [] New I [] Replace [
· rced Air I ~ Radiant J [~ Steam ] L~/~' j
iectric I U Hot Water I U Suppl. I [~ Con. Burner I
Chimney Type ~t Chimney A (.2 Chimney B ~ Direct Vent ~ Not Applicable I
Heat Loss ~ As Approved ~ Existing ~I Not Applicable I Value
BTU Rate ~) As Per Plan ~.~ Variable ~t Other I Value
No
100752
Owner SHIRLEY LEE
Create Date 04/10/2003
Plan
U Solid
[] Other
Vent
Use/Nature SFR/Replace NC condensor only. *EIV form from Sacker Electric.
of Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid
Issued By: ~(~ I(Yt
[] Permit Voided j
$20.00
Date 04/10/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address $00 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number
(920) 426-1830
04/09/2003 22:24 19204261890 STEINBRUNER HEATING: PAGE 01
City of Odxkosh
Division of Inspection ServiCes
P.O. Box i 130
Osl~kosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided
Incomplete applications will not be processed.
If you are (~ contractor partic~t)atin~, in the Permit fee Ac_count ~Fstem and
~[),ou want t~(s proce$Ted t~rou~h .~our occonnt ~.
C~CK ~ ~L A~t~ICABLE
~S~ CATEGORY
~ingle Family ~Duplex ~Multi-Family ~Rental ~Comn
C)yHKO/
action Services, PO Box 1128,
s being doubled or $I00.00 plus the
IS CHIMNEY BEINGLINED I~qo F1Yes - LINER SIZE
No~e: All chimneys shall lie sized per the BTU's l:eing vcpted.
CHIMNEY TYPE 'l~himney A ElChimney B
II~AT LOSS i'lAs Approved FIExisting
IITU RATE I~As Per Plan F3Variable
& MANU
ODirect Vent El,
UlNar Applicable
IZIOther Value
:ACTURER
)that
ELECTRICAL cONTRACTOR._
DESCRIPTION OF ALL WORK BEING DONE_~~Z 1~__ tn~r~a~_
VALUE (Including lab6r and all materials Including light fixtures) $ ! IglOO ~
OR ~ Electric Installation Ve
EfrCtrtc'al InstallatiOn of new/~eplaet
ification farm attached(If RcplacemenO
neat equipment shall be dane bj' licen~etl co~tractar~,
3/02
m, Burner
nReplacc
TYPE
qlForced Air ORadiant :FISteam FIAJC nVent ~Ei¢ctric ~FIot Water FISuppI.F1C
FUEL Ill'as l:]Electric FISolid SYSTEM ElNew
I:]Oil F1Solar ClOthe
~ercial I-Ilndustrial
Application(s) and fee(s) can be brought to Cily Hall, Room 205 or mailed to lnsl
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fe~
normal permit fee, which ever is great~.
OR '
t ave adeauate fund~, check here
94/09/2003 22:24 192042G1890
STEINBRUNER HEATING:
PAGE 02
(we)
Electric Installation Verification
(Electrical Contractor Name)
(Address). (City)
have been contracted:to perform electric installation work for
(Stat
(Name of pa
at the following address: ~
(Address where work will be perle
The nature of thc wo~k consists of- (Check O~le or Describe the Nature of'
_~ Rdcormcction or new circuit for replacement Heating Pla~
ReConnection or new circuit for replacement Electric War
Recom~ection of thc Service Entrance Cable, Meter Box,
lighting fixtures due to siding / soffit installation. No1
Cables will require a separate pem~it.
ROConnection or new circuit for other pemmnently wired.
Other
The value of this ~,vork is $_ I
I hereby vcri fy thi!s work will be performed by an employee of this comp;
reconnection / installation will be donc i,~ compliance with manufactm-cr
requirements.
(Zip Code)
'ty contracted to)
m~)
York)
t and/or Aye Condenser.
:r Heater.
:Iterations to receptacles and
:: New Service Entrance
ppliances / fixtures.
ny and further vcrify the
and Electric code
(Print Name of Officer)
(Date)
..i
::3
0~/23/2003 20:30 1920~261890
STEINBRUNER HEATING:
PAGE 03
'City of O~b~osh
Division of Inspection Ser~
P.O. ~ox 1 ! 30
O~hkosh. WI 54903-1130
Phor~ (920} 236-$050
Jan (920) 236-5084
ices
HVAC PERMIT APPLICATION
Ali infonnMion after bold categories nmst be provide
Incomplete applications will not be processed,
· Application(s) and f~ c($) can be brought to City Hall. Room 205 or mailed to Ins
Oshkosh WI 54903J 128. Commencing work without permit(s) will result in fe
normal permit fee, w ½ich ever is greater.
OR
ff..X~.U are a contract, .~..p_~r(icip~ing i. tl~e Permit fee ~ccottnt ,~V.~tem and
tf ~ou want t~is proce~ed ~hrott2h pour account ~
O~R. ~,r ~
s
~CK ~ ALL APP[ [CABLE
~ CAT~GORY
~ingle Family ~uplex ~Multi-Family ~Renlal
'~L ~Oas ~ ~c~c ~Solid SYSTEM ~New
~orccd Air ~diam ~Stcam ~ ~Vcnt ~Elecmc ~Ho~ Water ~SupplDC(
~c: All c~e~ shall b~ sized ~cr Yhe BTU'~ being ~emed.
~M~Y T~E ~Chi~cy A ~Chimncy B ~Direct Vent
~AT LOSS ~As Approved ~Exis~ing ~o~ Applicable
~ ~TE ~As Per Plan ~Varmblc ~ther Value
'VALTTE (Including labor, and all materials including light fix(ures) $ /0'0~O, ~
~,~CT~CAL CONT~CTOR ~a~ OR ~Electric Installation Verl
' Ehwtricnt m.vtallntion ofnew/reploce~
ON T~F WA?F~'
:ction Services, PO Box 1128,
~s being doubled or $! 00.00 plus the
rave adequate fund$, c_beck here
n. Burner
ACTUI~R
DA rE
nComm :rcial
Iher
I-Ilndustrial
[~eplace
2/02
rlentlon form nttacheddf Replucen~m?
tnt equipment :&all be done b)' licensed ¢ontrnctor$.