HomeMy WebLinkAbout2001-HVAC (furnace) .� � •
CITY OF OSHKOSH No 90962
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 109 PROSPECT AVE Owner DOLORES ANN SPANBAUER Create Date 10/31/2001
Contractor STEINBRUNER HEATING&COOLING Category 500-Residential-Heating&Ventilating Plan
Fuel ✓ Gas Oil Electric �Solar Solid
System New � �✓ Replace �I � Other I
✓ Forced Air Radiant Steam A/C Vent
Electric � Hot Water Suppl. � Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value 80M btu
Use/Nature FR/Replace furnace and line chimney. 'EIV form from Seckar Electric. �
of Work
Fees: Valuation $2,500.00 Plan Approval $0.00 Permit Fee Paid $42.50
Issued By: K{1� Date 10/31/2001
❑ Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. '
Signature Date
AgenUOwner
Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number (920)426-1830
95/21/1995 20:24 14144261890 STEINBRUNER HEATING: PAGE B1
� � P�v]ei n O� I�6pcc�.ttOn SarvlCOB � ��.
O 215 Ch rch Avenut �
P.o 8 x il�o i
�� Oahkos , W1 5�903 11J0 �
—Zy1TW.�-�' FdX X 19201 236 5089
Phone 9201 236-5049
HVAC PERMIT APPLICATI
All fielde/information dfker bold catego7�zee mu t be provided.
Incc�mplete applicaCi,one will not be pro eesed. _I
D TE W� �ICIuDI
JOB ADDRES3 � �
o+�xsR �t.c, ha�u,r
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COI�RACTOR �
CIRCLS ALL APPL GBLB
fl8B C]►THpORY xNGLE FAM� DUPLEX MULTI-FWiILY � COMM�RCIAL INDUSTRiAL
lQEL �GA� OIL BLECTRIC SOLAR SOLZD
BYST�1 AI�W REPLJ�►C OTHER I
TYPB �ORCE AI RA,pIpN2- ���p� A/ VENT
ELECT IC HOT WATER SUPPL. � CON_ BURNER
I8 CHIt�IIVHY BEINO LINSD �S LINER SIZE � �� � MANUFAC�'URER
No[e: All chj,mney sha1.1 b�° sized per the e'�U'B being ven[ed. '
CRZI�TBY TYPE CHIMNEY R CHIMNEY B DI�ECT VENT OTHER
IIEAT LOSS S APPRUVED EXIST^� NOif APPLLCABt�E
ATt7 R?►TS S PER F'LAN VARIABLE OT ER VAI,UE_____��_Q(�'� ��
la1VRH O! NOR1C: ,
��(c-���c.�-n a� , " .l��., (�,,.�,/ --
�.`.`l
Vl►Lt18 (Including labor and materiale) S a S��D . �7� '
tI.EC',CRICAL CONT CTOR ��:�e lcar' _ ---
E1CCtlrica� attstall t�on of newlreplacemertt equipment sha11 be one by licenG�n
contrac�ors. '
Valuation � Fees
$0 to $1,000. 00....................................................................................................................................SZO. 00 ;
$1,000.01 Co S10 004.00.....................................................................................................t.........$20 . 00 far first s
51, 000 .00 ,plus 51 .50 per $100.00 �kaluation or part thereof
S10, 000.01 to S2 , OOO . 00 ..........................................................................................................5l55 . 00 for first
S1�), 000.�0 plus 51 .00 pez 5�0�.00 v�J,uation or part �hereof '
Over $25, 000.00...........................................................................................................................'� .......5305 . 00 plus 50 . 50
Nzr $100 . 00 Jaludt_iut� ur pdre thereof
� Submit paymen wzth applicacion. Fa�lure to �ay withi 30 days will resulC in
fees being do b:ted or 5100 . 00 plus the normal pezmit f .e, which ever is
greater.
E
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05/21/1995 20:24 14144261890 STEINBRUNER HEATING: PAGE 02
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heve becn contract d to perform clect�c installution work Cor S� �
(Na.�e of eontracted to) �
at the following ed as: �h9_S1]�p�—~ �
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(Address where work w�il1 be per , ed)
The nature of the w �consists of: (Cheek One or Uescnbe the Nature o�Work)
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�conncchon or ncw circuit for rcpiaccmcnt Ficating Pl� t and/or p/C Condenscr.
____ con�ection or new circuit for replacement Eleciric W��er Hcater.
^ ,. R connection of the Service�ntrance Cable, Mcter Box,,alterations to receptacles and
lighting fixtures due to siding/softit iostallaE�an Nci�c: New Service Entrance
. Cables will require a separate permit. ' .
_�, R ottnection or new circuit for vth�r r�rr:ane:tt)y w�tedl�ppliances/fixtures.
O er
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The value of this ork is s Z,�
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l hercby ver;fy th v„��k w���h�n�rturmcd by;►n em��loyce ul';I�is comp y ar�d further vcrify the
r�econnettion/ins allation wi11 be done in cumpliancc with man�facturer and Electric code
requirements. �
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(Signatur� Co any Officer) (Ptint Na�nc uf p�er� � �
� ° (Date
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