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HomeMy WebLinkAbout0100753-HVAC (a/c)OSHKOSH ON THE WATER .lob Address 1026 WISCONSIN ST Contractor STEINBRUNER HEATING & COOLING 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 VICTOR E/JULIE JOHNSON 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 100753 04/10/2003 Other J Vent J Use/Nature SFR/Install 2T A/C system. *EIV form from Seckar Electric. of Work Fees: Valuation Issued By: $1,400.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $26.00 Date 04/10/2003 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 OSHKOSH ON THE WATER .lob Address 1026 WISCONSIN ST Contractor STEINBRUNER HEATING & COOLING 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 VICTOR E/JULIE JOHNSON Category 501 - Residential-Air Conditioning L~ 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 100753 04/10/2003 Other J Vent J Use/Nature SFR/Install 2T A/C system. *EIV form from Seckar Electric. of Work Fees: Valuation Issued By: $1,400.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $26.00 Date 04/10/2003 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 04/0S/2003 22:24 1S2042618~0 C1~/of Oshkosh Division of Inspection Services P.O. Box 1130 Os~osh, WI 54903- Fsx (920) STEINSRUNER HEATING: HVAC PERMIT APPLICATION All information after bold calegories mus~ bc provide( lrlcompletc applications will not be processed. · Application(s) and fee(s) can be brought to Cil~ Hall. Room 205 or mailed to Ins Oshkosh WI 54903-1128. Commencing work without permit(s) will ~esult in f¢ normal permit fee, which ever is greater. OR l_f ¥o. ore a contractor pnrticit~n~ng in thc, PqrmJt_fee Acc_~unt System and ff Fou want rhi~ t~roce$$ed throu~ your accourlt [] JOB ADDRESS D~ CHECK ltl ALL APPLICABLE CATEGORY l~l~ingle Family C3Duptex t-JMulti-Family 13Rental EIComr FUEL Igl~3as ClEIcctric I"lSolid SYSTEM l"lNcvs OOil I"lSolar I-IOth~ YYI'E ~[Forccd Air I-lRadian! I-lSteam oA/C UVenl I-IElectric IZIHot Water r'lsuppl.Clc I,~ CI.11MNEY BEING LINED ~,lo I-lYes - LINER SIZE & MA Note: All chimneys shall be sized per the BTU's being venled CHIMNEY TYPE 'l-IChimney A DChimney B l~Direct Vent NJlAT LOSS [3As Approved ClE~isling C}Nm Applicable · TU RATE UIAs Per Plan ElVariable ClOther Value ~ , .sc u no ,Il VALUE (Including labor and all materials including Itgh! fixtures) $ ] i~o00~ ~L£CTRICAL CONTRACTOR ~, l~.a r'~ O,.R ~ Electric Installation Ve Electrical innfnllation of ne~'/repln~ PAGE 03 cction Services, PO Box ! 128. being doubled or $100.00 plus iave adequate fund~, check here ~ercial nlndustrial I~lRcplacc m. Burner :ACTURER )ther d *it]catlon form attached(If Replaccrm:m ~ nent equipment ~tmtl be done by lwen~ed cot. rnctor~. O./I-gO/H (0 (we) (Electrical Contractor Name) (Addr~s) (City) (Sial ~) (Zip Code) have been contracted to peffom, electric instailalion work for . ~/~ ~~~ . , ~e ogpi ,~ con~cted to) at ,he following address: I 0 a ~ ~ ~ (Address where work will be peffo mod) · ~x a~mre of the wo,k consist~ of: (Check Ohe or De~cribe the Natur, of ork) ~ Roco~ection or new circuit for mplacemem Heating Pl~or ~C Condenser. R0connection or new circuit for replacement Electhc Wal ~r Heater. Reconnection of the Se~ice Entrance Cable, Meter Box, ~lterations to rec~tacl:s and lighting fixiures due to siding / so~t installation. No~ :: New Sc~ice Entrance Cables will r~uire a sepia,re pem~it. R~o~tion or new circuii for other pcm~anently wired tpptiances / fixtures, Other ~c value orris work is S~ ~ I hereby verify this work will be perforated by an cmploycc of this comp~ny and further verify ~connection / installation wilt be done in compliance with m;mufactm'er and Electric code requirements. (Signalure ~ Con~a,y 0~ (Pdm Nnm~ of Ofl] 'c~'y-- -- (Dat~) 04/23/2003 20:30 19204261890 - ~i~ o~O~o~h Division of Impecdon ~ices P.O. Box 1130 / ~osh, WI ~4~3-1 ~ne (920) 2364050 Fax (920) 236408~ STEINBRUKER HEATING: HVAC PERMIT APPLICATION All information after bold categorics must be provide~ Incomplete applications will not bc processed. l Application(s) and f~s) can be brought to City Hall, Room 205 or mailed to In: Oshkosh WI 5490311128. Commencing work without permit(s) will result in fe normal permit fee, v~hich ever is greater. yOU are a contract partigt~l._rlng in lhe Permit..fee ,4ccount System and you want this processed throueh ¥ottr aCCOUttt ~ D~ ~CK ~ ALL APPLICABLE / ~ C~GORY ~ingle F~ily ~Duplex ~Multi-Family ~Rental ~Comm t-IOns DOll 'rYl'E I~Forced Air I"lRadiant I~ectric nSolid SYSTEM ~cw I~Solar I'lOther ]Steam I~C I-]Vent l"IEiectric r'lHol Water FlSuppl. OC¢ ~INED I~o I~Yes - LINER SIZE ]8 CHIMNEY BEING Note: All chimneys shall I~ sized per the BTU's being vetoed. 1 C'lllMNEY TYPE [~Chimney A I-IChimney B ~irect Vent llEAT LOSS ~lAs Approved r'lExisting Ii]Not Applicable ~ RATE .I~}As Per Plan r'lVariable 1~3ther Value DI~$CRIPTION OF Al WORK BEING DONE /nSt~llefft & MANUF DO "/ YALUE (Including labor Ig. LECTRICAL CONTI~ and all materials including light fixtures) $ / ~td) tg. Ot')~ ACTOR. ,~--x-~ar'5_. OR ~Eleetrie Installation Verll ~'lcctricot inxmllntion of new/replacem, PAGE 02 ection Services. PO Box 1128, is being doubled or $100.00 plus the ~ave adequate funds, check :rcial r'llndustrial ElReplace n. Burner ACTURER Iher cation form attached(If RcplacemenO nt equi~otneni sim# be do~ b.l; licen$ed contractors,