HomeMy WebLinkAbout0101414-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 925 CENTRAL ST
Contractor STEINBRUNER HEATING & COOLING
Fuel ~J Gas ~
System ~J New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner DANIEL J/JENNIF BESAW
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 O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
101414
05/12/2003
Other
Vent J
2 ton
Use/Nature SFR/Install new a/c. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$1,100.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$21.50
Date 05/12/2003
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
05/11/2003 21:20 19204261890 STEINBRUNER HEATING: PAGE 01
Ci~ of Oshkosh
Division of Inspection Se~ices
P.O. Box 1130 =
Oshkosh, WI 54903.1130
Iq~one (920) 236-5050 ~
FLX (920) 236-5084
HVAC PERMIT APPLICATION
i All informalion after bold categories must be provide~
[ Incomplete applications will not be processed,
/
· Application(s) and f~.e(s) can be brought to City Hall, Room 205 or mailed to Ins
Oshkosh WI 54903-11128. Commencing work without permit(s) will result tn fe
normal permit fee, x~4hich ever is greater.
OR
/
I_[.vou ace a co.tracro~'.participnt_in¢ in the Permit_fee/4f¢ount $¥,stem ond
(t you.~_,a_n.t this t~roce: sed thr~u~.gh Fottr acc.o~!~f i]~a.
DA
~OB ADDRESS
OWNER
CONTRACTOR
Cll~CK ~ ALL APPL
.':. L. ~t~ATEGORY
l~$ingle Family
EIGas
F}Oil
[~Porced Air ElRndiam
ICABLE
CIIIMNEY TYPE
I~EAT LOSS
RATE
13kuplex FIMulti-Family I-IRental I-IComm :rcial
[ Ig~icctric I-ISolid SYSTEM I~ew
i ElSolat 13Other
Steam I~C EIVcnt I~lElectric I-IHot Water IZ/Suppl.l-iCc
CIHMNEY BEING ~INED Jii[No I'lYes - LINER SIZE
All chimneys shall be sized per the BTU's ~emg vented,
}Chimney A l"lChimney B
]As Approved ~[Existirlg
As Per Plan OVariable
1}tSCRIPTION OF AL L WORK BEING DONE
:~ ~: :'
' VALISE (lneludin~ Iai}or
· 'LECTI~CAL CONTI~
& MANUF
{~Djrect Vent
121Not Applicable
f'lOther Value
r'lo
and all materials ineluding Illht fixtures) $ //0-~' ~
ACTOR ~ OR ~EIc~trlc Installation Verll
t;lectr~col m, ste/ln~ion of ne~¢repl~cem~
~ction Services, PO Box 1128,
~s being doubled or $100.00 plus the
rove adeo_uate funds, check Iter¢,
rE ,o- -/2 - o$
FIReplace
Icatlon fm'm a~lachedflf Rcplacrment~
nt ~lUil~m~nt shall tnt tton~ ~. licensed
3/02
Ellndustnal
a. Burner
s. CTURffR
O5/11/2003 21:20 19204261090 STEINBRUNER HEATING: PAGE 02
i
l(we)
Electric Installation Verificati
(Electrical Contractor Name)
,n
(State) (Zip Code)
; of party contracted to)
t
(Ad~res$) (City)
have been contracted to perform electric installation work for
at thc following address:
! (Address where work will be p~
The nature ot~the work consists of: (Check One or Describe the Natu
!
l~eeormection or new circui! for replacement Heating PI.
~ Recona~etion or new circuit for replac~ent Electric Wi
! water heater.
l~eeonnection of the Service Entrance Cable, Meter Box
~ and lighting fixtures due to siding I soffit installa6ot
' Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement ofothe:
i appliances / fixtures.
~ New circuit for the addition of A/C to an individual dwe~
~ individual systems in a duplex Or condominium), ine
electrical outlets.
)ther
The value of this work is 5; /,~ ~
1 hereby verif~ this work: will be performed by an employee of this cc
thc reconnectton / installation will be done in compliance with manuf
reqmrements.l
(Signa~re df Company Officer)
'formed)
· e of Work)
nt and/or MC Condenser.
~ter Heater or power vented
alterations to receptacles
Note: New Service
permanently wired
'ling unit (house or the
luding required service
~lpany and funher verify
Lcturer and Electric code
Name of Officer)
(Date)