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,