HomeMy WebLinkAbout0101046-HVC (furnace & a/c)(~ CITY OF OSHKOSH No 101046
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1013 COZY LN Owner FLOYD A WASHBURN
Contractor STEINBRUNER HEATING & COOLING Category 502- Residential-Both
Fuel ~J Gas ~ ~J Oil L~J Electric ~J Solar I L~ Solid
System ~J New ~ ~J Replace ~ ~J Other
~J Forced Air I ~J Radiant L~ Steam ~J A/C 1
~J Electric I ~J Hot Water L~ suppl. ~J Con. Burner 1
Chimney Type I~ Chimney A ~ Chimney B O Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value 0
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 60m btu & 2 T a/c
Create Date 04/28/2003
Plan
Vent J
Use/Nature SFR/Replace furnace and A/C. *EIV form from Seckar Electric.
of Work
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $50.00
Issued By: Date 04/28/2003
Permit Voided J
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number (920) 426-1830
04/27/2003 21:30
C~/of Oshkosh
D~vision of Inspection Sca
P,O. Box 1 I]0
O~hkosh, WI ~4903-1130
~ (920) 236-5050
Fax (920) 236-5084
^pplicatJon(s) and fe
Oshkosh WI 54903-
normal permit fee, w
OR
I~E$CRIPTION OF AL
19284261898
STEINBRUNER HEATING:
HVAC PERMIT APPLICATION
All infonna6on after bold categories must be Inovidc~
Incomplcte applications will not be processed.
=(s) can be brought to City Hall, Room 205 or mailed to Ins:
1128. Comrm-nclng work without permit(s) will result in
~ich ever is greater,
.l~,.j~ou,are a c(~ntro¢(O~ participat, ine in t. he Permit fee Account System and
you want th~$ proce~xed lhrough ),our accQunt ~
DA
~CK ~ ALL APPL]'CABLE
nCATEGORY
gle Family ~])uplcx ~Mul~i-Family ~Rental ~Comm
~L ~S ~eemc ~Solid SYSTEM ~Ncw
~Oil ~Solar ~O~
~cd Air ~Radiant ]Steam ~ ~Vent ~Elec~c ~Hot Water ~Suppl,~Co
N~: All chi~eys shall be[si~ed per thc BTU'~ being vented.
~NEY TYPE ~Chi~ey A ~Chimney B ~Dircct V~nt
~AT LOSS ~As Ap~oved ~xisting ~Not Applicable
~ ~TE ~As Pcr Plan ~Variablc ~Oth~ Value ~
~.--~--~.~- ---
VALUE (Including labor
ELECTRICAL CONTI~
and all materials including light fixtures) ~, ~-~ F~-t) ~
~,CTOR~~ OR ~ Electric Installation VerH
F. lectr~¥M in.~tallntion of new/~plO~emt
PAGE 01
ection Services, PO Box 1128,
being doubled or $100.00 plus the
~ve adgq,uate fund,v, check
'cial
l-l/ndustrial
I~eplace
Burner
~.CTURER
~T~L~
Lcatloo form attached(If Rcplaccm~:m}
at equq~ment ~A~// Ae done ~)' licensed contracfOrJ,
8~/27/2083 21:38 19284261890
STEINBRUNER HEATING:
PAGE 82
(I) (we)
Electric Installation Verification
(Electrical Contractor Name)
(Address)~i (City) (Stat~
have been contracted!to perform electric installation work for ~ ]~
(Name of pa
at the following address:
"'(A~dre-ss wh~re work will be perfo
The nature..,-r's",..,~ work consists of: (Check O,c or Describe ti~e Nature of'
.~. R~conncction or new circuit for replacement Heating Plal
. Rrconnection or new circuit for replacement Electric Wa1
R~connection of thc Service Entrance Cable, Meter Box,
~ lighting fixtures due to siding ! soffit ins~altation. No
~ Cables will require a separate pem~it.
Rrconnection or new circuit for other permanently wired
O1
The value of this work is $_ t25"c~ .
/
I hereby verify this work will be performed by an employee of tl~is comp
reconnection / in~,tallation will be done in compliance with manufacturer
requirements.
;) (Zip Code)
rty contracted to)
xncd)
3/ork)
ti and/or MC Condenser.
er Heater.
alterations to receptacles and
:e: New Service Entrance
appliances f fixtures.
any and further verify the
and Electric code
(Prin! Name of Office0
_
(Date)