HomeMy WebLinkAbout0101045-HVAC (a/c)(~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 25 W 9TH AVE Owner ROBERT C MENZEL LIFE ESTATE
Contractor STEINBRUNER HEATING & COOLING Category 501 - Residential-Air Conditioning
Fuel ~ Gas J ~ Oil L~ Electric ~ Solar
System ~ New ~ ~J Replace ~ ~J Other
~ Forced Air I ~ Radiant L~ Steam ~ A/C
~ Electric I ~ Hot Water b~ suppl. ~ Con. Burner
Chimney Type I~ Chimney A ~ Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 2 T A/C
No
Create Date
Plan
~J Solid
Vent
101045
04/16/2003
Use/Nature SFR/Install A/C
of Work
Fees: Valuation
Issued By:
$1,200.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$23.00
Date 04/28/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0
Telephone Number
(920) 426-1830
0~/15/2003 ~20:5c3 lC320~2E, 1Sc]0
Ct~y of
~sio~ of Inspection 5e~i~es
P,O. Box l ! ~0
~h, wi 54903-1130
~ (920) 236-5050
Fax {920) 236-5084
STEINBRUKER HEATING:
HVAC PERMIT APPLICATION
All information after bold categories must be provided
Incompltne applications wi!! not be processed.
_ f ' to Ci' Hall Room 205 or mailed to InsI
· Application(s) and feF(s) can be brough! . ~y ,
OShkosh WI 54903-~128. Commencing work without permit(s) will result in fee
normal permit tee, w~ich ever is greater.
OR
if Fo, are a contracto.i particip~.ting in iht, Permit fee Account Sv.~tem and
If FCu want this pro. ceased through your account
DA
CHECK ~ ALL APPLICABLE
ingATEGORYle Family ~Duplex 1'3Multi-Family ORental r"lComn
FUEL F-IGas I~l~c~c I-ISolid SYSTEM ~cw
r'loft 13Solar 1DOth¢
~Forced Air r"lRadiant ~]Stcam I~AIC r-Ivcm r'lElcctric I~Hot Water r'lSuppl.r'lC
IS CHIMNEY BEING !LINED [~o [3Ye.~ - LINER SIZi~ & MANU
Note: Alt chimneys shal! b~ sized per the BTU'$ being vented
CHIMNEY TYPE !F'lChimney A i"lChimney B ElDirect V~nt
I~AT LOSS !OAS Approved I-IExisting 13Not Applicable
ItTI, T RATE fl-lAs Per Plan ClVariable CiOther Value
DESCRIPTION OF ALL WORK BEING DONE
PAGE 01
~ction Services, PO Box 1128.
being doubled or $100.00 plus the
ave adeouatefund$, check here
:rcial [:Hndustrial
CIReplace
Burner
:ACTURER
)thor
VALUE (Including labor and all materials including light flxture~) $__ .... I. 'Z-tgO 0..~
ELECTRICAL CONTRACTOR ~.~.u r~ OR ~ Electric Installation ve~
Eh'¢tvit'nl installation of new/r~plnce
· ificaflon form attached[If Replacement )
nero Cqulprncnt shat/be done b)' licensed contraCtOr~.