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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$.