HomeMy WebLinkAbout0101142-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 223 W 11TH AVE
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
STEINBRUNER HEATING & COOLING
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner LAWRENCE C BASLER
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
101142
04/30/2003
Other J
Vent J
Use/Nature DUPLEX/223 A/Install 1.5T a/c.
of Work
Fees: Valuation
Issued By:
$1,000.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$20.00
Date 04/30/2003
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
04/28~2003 2~:~5
Ci~ of Oshkosh
Division of Inspection Ser
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
lax (920) 236-5084
19204261890
STEINBRUNER HEATING:
~iccs
HVAC PERMIT APPLICATION
All information after bold categories must be provide
Incomplete applications will not be processed.
· Application(s) and ~ee(s) can be brought lo City Hall, Room 205 or mailed to ln~
Oshkosh WI 54903/ 1128. Commencing work without permit(s) will result in fi
normal i~rmit fcc, ~hich ever is greater.
OR[ '
t_f }'ou nrc o contractor participating in the Permit fee Account_L.Svstem an_d
fi'you want this profTsed throtl;h vo;tr account
DA
F1Rental CIComn
itU'EL ElOas
FIOil
~ectric CISolid SYSTEM [~ew
C}Solar ClOthe
]Steam I~,~C FIVent nElectric F1Hot Water F1Suppl.l-IC
TYPE
l~}Forced Air FIRadiant
18 CHIMNEY BEING ~INED i~o ElYes - I.INF. R SIZE
Note: All chirmleys shall b~ sized per thc BTU's being vented
CRrlMNEY TYPE ~lChimney ^ F1Chimney B
II'AT LOSS [JAs Approved DExisting
· TU RATE [3As Per Plan CIVariable
DESCRIPTION OF A~L WORK BEING DONE
I
& MANU!
ClDirect Vent
DNot Applicable
[3Other Value
VALUE (lneludlng iabo~
I~.LECTRICAL CONT:
and all materials including light fixtures) ,y~_.
[ACTOR ~t~_ r~ OR ~ ~l~trlc Installation Ver
Eh,ctric~l in,stollmion o/ new/repla~n
PAGE 01
07HKO_fH
:clion Services, PO Box 1128,
ts being doubled or $100,00 plus the
havq adequate funds.
TE _ ~_'._/.5 -O 3
ercial FIIndustrlal
FIReplace
~n. Burner
'ACTURER
,ther
~¢ation form attaehedflf Replacement[
mt eqmpmem shot/be clone 0)'/iccnsed contractors.
a/oa