HomeMy WebLinkAbout2002-HVAC (a/c) �
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� CITY OF OSHKOSH No 94753
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OSHKOSH HVAC PERMIT -APPLICATION AND RECORD '
ON THE WATER
Job Address 109 PROSPECT AVE Owner DOLORES ANN SPANBAUER Create Date 05/30/2002 �
Contractor STEINBRUNER HEATING&COOLING Category 501 -Residential-Air Conditioning Plan
Fuel Gas Oil ✓ Electric Solar Solid
System �✓ New � � Replace Other
Forced Air Radiant Steam ✓ A/C Vent �
Electric Hot Water Suppl. Con.Bumer
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value 0
BTU Rate As Per Plan Variable Other Value 2.5 Ton a/c.
Use/Nature FR!Install new A/C.
of Work
Fees: Valuation $1,000.00 Plan Approval $0.00 Permit Fee Paid $20.00
Issued By: '��M Date 05/30/2002
� Permit Voided ',
In the performance of this work,i agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number (920)426-1830
03/13!]995 21:20 14144261690 STEINBRUI�ER HEATING: PAGE 01
� Aivisi n of inspeceton Ser�icen
� 215 Ch reh Avenu�
P.O. 8 x 1130
Oahkos , NI 5�90) 1170
Pax M 920) �36 SOB•
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Phone 970) 236-50�8
HVAC P$RMIT APPLICATI
A1T� fielde/information after bold caGegoriee mu t be provided.
Incomplete applzCatione will not be pro essed.
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�OH 11DDRESS ���� f ' ��
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QOt1'!'R1ICTCR �
CIRCLB 1►LL I�1PPL CJ►SL8
Q8E CATSOORY INGZE FAMIL DUPLEX MULTI-F�►ldILY COMMcRCIAL iNUUSTRIAL
lCEL GAS OIL LECTRIC SOLAR SOLID
BYa� NEW REPLACE OTHER
TYpE FORC D AzR RADIANT STEAM A VENT
ELE RIC HOT WATER SUPPL. CON. BURNER
IS GHII�TSY BBIN LIN�D LINER SIZE MANUFAC'CURER
Note� A1� chimney shall be sized per the BTU's being vented.
CAIMNBY TYPS CNIMNEY A CHIMNEY B D RECT VENT OTNER
RE11T L033 AS APPROVED EXISTING N T APPLtCABLE
B?Q W1T$ A$ P�R QLAN VARIABLE � }{ER VAI,UE_�Z�Z'f' A��
1IOlTVItg OF I�ORIC:
10 f
�P-CdJ � 1�
Y1�L01t (includin labor and nRatorial�) S / �Q��o
sL�CTRZGIL CTOR__. _����4��" —
Electrical instal ation of new/replacement equipment sha11 be done by lirense�d
contractora.
Valuation Fees
$0 to $1,000.00...._.......................................................�.........._..................._.....................................$20.00
$1,000.01 to S1 ,OOO.00..............................................................................................................S20.00 for first
a1, 000 .00 pl.us S7.-SO per 5�00.00 a�uation or part eh�reof
S10.OOQ.O1 zo $ S,000 .QU........................................................_.........._...............-••.................._$1.5S .00 �or f i�,XSt '
$].0,000.0o plua S1 .0o per $100.00 aluation or parC thereof
Over $25,000.00...._..................................................................._........................._....._..........._.............5305.00 plus 54. 50
per S�U0 .00 aluation or part thereof
• Submxt payme wxth application. E'ailure to pay wich n 30 daya will resvlt xn
fees being d bled �ox $�00 .00 plue the normal permit ee, whxcb evez i.s
greater.
63/13/1995 21:20 14144261890 STEINBRUhER HEATING: PAGE 03
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� ' Electrie InstallAtlon Verttic�ti n
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�' � �'c.u�•�,f-�' !eb � ,vN e
(Addre�s� (City) �. r� ( ts ) (Zip Code).
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hAVe been contrac�ed to perform electric inst311ation wark for � ,
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(Name o p contracted to)
at the foliowing s�dr�ess: �9 _ /'2e�.��
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� The nx!ure o;'ttic�ork co�sists of: (Check O�ie ar bescribe the Naeure f ork)
� R�conntction or ncw circuit for repiaccnient Heating 1 t and/or A/C Condenscr.
'R�conneetion or new eireuit for replacement L•lcetric a r Neater.
__ �Reeon»ation of the Service Entrance Cabie,Meter B , lttrations to receptacles and
� lighting tixtures due to siding/soffit installation. o e' New Serv;ce Eatrance
' � Cables will nquire a separate permit.
� __ �Reconnection or new circuit for other perm�nently wir d pplianccs/fixtures.
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� The valuc of �s�vork is S
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I hereby vcrify th�s work will be perfotmcd by�►n rmployec of this eo p y and furlher vcrify the
rteonneclion%�nstallation will bt donc in eompliance with m;�nufacl er and Electric codc
�quirements.
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(Sig�ature onlpany Of�cer) (Print Namc of Qtfic r} (pate)
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