HomeMy WebLinkAbout0101041 HOSHKOSH
ON THE WATER
505 E NEW YORKAVE
STEINBRUNER HEATING & COOLING
Job Address
Contractor
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 GLEN E CLEMENTS
Category 501 - Residential-Air Conditioning
Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ 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
101041
04/14/2003
Other J
Vent J
Use/Nature SFR/Install 2T A/C
of Work
Fees: Valuation
Issued By:
$1,200.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$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
04~15/2003 28:59 19204261890
STEINBRUNER HEATING:
PAGE 03
City of Oshkosh
Division of Inspcctio~
~.0. Box 1130
~os~ Wl ~4903-1 ~30
~e (920) 236-5050
Fsx (920) 236-508a
CItECK ~ ALL APPLICABLE
'USE CATEGORY '
~i[Single Family ~Duplex
;.:i., .
HVAC PERMIT APPLICATION
All information a~cr bold categories musl bc provide t,
Incomplete applications will not be processed,
Application(s) and ~=(s) can be brought to City Hail, Room 205 or mailed to In pcction Services, PO Box ! ! 28,
Oshkosh Wl 54903~-I ! 28. Commencing work wilhout permit(s) will result in fi :s being doubled or $I00.00 plus the
normal l~rm{t fee, Chich ever is greater.
OR !
If_Fo~_ are a contractor participa_.ting i,.t_h~.~L, Perm~t fe.~.__~Ccount ~v.~tem and have adequate fund~, check her..e
#~r.¥Ou want this processed throttgh gout accgu,t~
~Multi-Family ~Rental ~Com~ ~cial ~dust~al
FUEL ~G,s ~ec~c ~Sohd SYSTEM ~e. DReplace
~orced Air ~dianl ~Sieam~C DVen~ ~Elec~c ~Ho~ Wa,er ~Suppl.~C ~n. Burner
IN ~NEY BEING~LIN~D ~'No ~Yes - L~ER SIZE & MA~ ~A~R
Note~ All chi~ys shall ~ s~ed per ihe BTU's being
~MN~Y T~ ]~Chi~ey A ~Chimney B ODireci Vent
~AT LOSS ~As Approved ~Exis~ing ~No~ Applicable
~ ~T~ ~As Per Plan ~Variable ~h~ Value
worx
VAL(~ (Including labor and nil materials including light fixtures) ~, [
ELEC~lCAL CONT~oR ~ ~ OR ~ glettne Inssalla~on Ve~
~'lCCteit'~l in.vtnllation of new/rep/ace nent
3