HomeMy WebLinkAbout0104254-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 1222 NIMROD CT
Contractor STEINBRUNER HEATING & COOLING
Fuel ~ Gas ~
System ~ New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner ROGER D BOYE
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
104254
09/18/2003
Other J
Vent J
Use/Nature SFR/Replace 2T air conditioning condensor. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$1,200.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$23.00
Date 09/18/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number
(920) 426-1830
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
09/17/2003 13:45 19204261890 STEINBRUNER HEATING: PAGE 81
City of Oshkosh
Division of ~mpection Sen
P.O. Box 1130
Oshkosh, Wl 54903 - ! 130
Phone (920) 236-2050
lex (920) 236.5084
· Applicationfs) and ft
Oshkosh WI 54903-
normal perrmt fee, w
OR
if you want this proce.
JOB ADDRESS
OWNER
~o~rRA~OR
CIlECK lal ALL APPL
ATEGORY
Family
FUEL C]Gas
CiOil
TYPE
E~Forced Air ClRadian! I
IS C~iiMNEY BEING
Nnte: All chimneys shall bt
ces
HVAC PERMIT APPLICATION
,All information after bold categories must be provid¢l
Incomplete applications will no~ be processed.
c(s) can be brough! to City Hall, Room 205 or mailed to Ins
[128. Commencing work without permit(s) will ~sult in lc,
~ich cvcr is ~catcr,
· oarRi(ipo!ine in the Permit fee Account Sy.~tem and
sed throuoh your account ~r~.
DA
[CABLE
)uplex ~lMulti-Family F1Rcntal [3Corem
[~leetnc rlSolid SYSTEM CINew
ClSolar DOthe~
IStcam nA/C OVent ElElectnc nHot Water rlSuppl.ClC~
/NEI]~o DYes - LINER SIZE. & MANU!
sized per the BTU's being vented.
O/H{O/H
cction Services, PO Box 1128,
rs bging doubled or $100.00 plus the
lave adeouate funds, ch.¢ck here
.~reial Vllndustrial
n. Burner
ACTURER
CRIMNEY TYPE ~Chimney A ?]Chimney B E]Direct Vent
II,AT LOSS ~lAs Approved ElExisting ElNot Applicable
lITE RATE I~lAs Per Plan ~Variable C}Other Value
, .SOm'T]ON or wo.x BEI <; OON
VALL~E (InelndJog labet
L~LEL-IKICAL CONTI
r'lc ther
nd ali materials inelnding light
:ACTOR_~.I~R r~'
OR ~ Electric Installation Verl
I (we)
(AC
have b¢~n co
at the
The nature ol
The value of
I hereby
the reconnect
requirements
{SignatUre o
19204261890
STEINBRUNER HEATING:
PAGE 81
Electric Installation Verificati
(E]ectrica] Contrsctor Name)
dress) (City)
~tracted to perform electric installation work tOT '.~'
(Address where work will bc p~
the work consists of: (Check One or Describe the Natt
~,ccormection or new circuit for replacement Heating PI
~.econnection or new circuit for replacement Electric W
water heater.
~econnection of the Service Entrance Cable, Meter Box
and lighting fixtures due to siding / soffit installatiol
Entrance Cables will require a separate permit.
/.eeonn~tion or new circuit for thc replacemcm ofothc
appliances / fixtures.
,/ew circuit for the addition of A/C to an individualdwe
individual systems in a duplex or condominium),
electrical outlets.
)ther
,isworkis, '
, this work will be performed by an employee of this co
~n / installation will be done in compliance with manuf
Company Officer) (Print Name of Officer)
)n
L
(State) (Zip Codc)
,c of party contracted to)
:rfonned)
re of Work)
mt and/or A/C Condenser.
~ter Heater or power vented
alterations to receptacles
Note: New Service
)crmanemly wired
rng unit (houze or the
luding required service
npany and fu~her verify
tcturer arid Electric code
(Date)