HomeMy WebLinkAbout0101436-HVAC (furnace; a/c)(~ CITY OF OSHKOSH No 101436
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 432 W STH AVE Owner PHIL I FLEISCHMAN
Contractor STEINBRUNER HEATING & COOLING Category 502- Residential-Both
Fuel ~J Gas ~ ~J Oil L~J Electric ~J Solar I L~ Solid
System ~J New ~ ~J Replace ~ ~J Other
~J Forced Air I ~J Radiant L~ Steam ~J A/C I ~J Vent
~J Electric I ~J Hot Water b~ suppl. ~J Con. Burner 1
Chimney Type I~ Chimney A ~ Chimney B O Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value 0
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 60m btu furnace/1 .ST a/c
Create Date 05/13/2003
Plan
Use/Nature SFR/Replace furnace and install a/c. *EIV form from Seckar Electric.
of Work
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $50.00
Issued By: Date 05/13/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number (920) 426-1830
85/12/2883 20:40
1B204261890
STEINBRUNER HEATING:
PAGE BI
Division of Inspection Scr
P.O, Box 1130
Oshkosh, WI 54903.1 I30
~o~ (920)
~ (920) 2~-~0~
,icc$
HVAC PERMIT APPLICATION
All information after bold categories must be provide
lncomplcte applications will not be processed,
/
· Application(s) and f~e(s) can be brought to Ci~ Hall, R~m 205 or ~iled to ~s
Oshkosh WI 5490341128. Commencing work without ~it(s) will result in lc,
noel pe~it fee, ~ich ever is
OR
~ YOU are a contractot ~artiqtP~ln~ in the Permit fee_ dccoun{ System, and
~you ts. ant this prpc-e. ~ed through your
~ATEGORY
~nglc F~ily ~uplcx ~Multi-Family ~Rental
"~ ~s mc ~Solid SYSTEM ~New
~oii l~Sotar ~Other
~d ~ir ~Radianl Steam ~.~, ~Vent ~Elec~c ~ot Water ~Suppl.~Co~
N~: Ail chi~e~ shall bc iizcd per the BTU's being vented.
~Y T~E ~Chi~ey A DChimney B
~AT LOSS ~As Approved ~istmg
~l ~TE ~As Per Plan ~Varjablc
ection Serviccs. PO Box 1128.
s being doublcd or $100.00 plus the
,ave adeouate funds, check her<,
DA
nComm( rcial
~ , & MANUF/
I~l~rect Vent ElOtl
~Not Applicable
VlOther Value ~
i
VALUE (Including labor ~nd all materials including light fixtures)
"~'LECTRICAL CONTR CTOR__ OR 3~, Electric Installation Verifi
Electrical in.ctallm~on of new/replace~et
Fllndustrial
~eplace
Burner
~'TURER
a/os
atJon form attached(If Replncemem)
equipment shall be done by licensed ¢ontrttcrors.
STEINBRUNER HEATING:
Electric Installation Verificati
(Electrical Contractor N~e)
(A~css) (City)
have been c~traCt~ to perfo~ electric installation work for
(Address where work will be p
The nature o{th~ work consi~s of: (Check One or Describe the Nat~
~o~ection or n~w ci~uit for repl~mont H~ating
~ Recomeetion or new ci~uit for r~iac~ent ElecMc
' water hcat~.
Reco~cction oft~ Se~ice Entrance Cable, ~ctcr So~
~' and li~h6ng fixtures due to siding / so~t inst~latio~
~ Entr~ce Cables will require a
Rcco~ecfion or new circuit for thc r~laccment of othe
appli~ccs / fixtures.
~ew circuit for ~he addition of A/C to
s individual systems in a duplex
; el~tficaJ outlets.
~ther
Thc value or'his work Js $.
I hereby vefi~y this ~ork will be perfo~ed b~ an employee of this ct
the reconnect~on / installation will be done in compliance with m~u~
requirementsi
{Signat~re~£ ~ompan¥ Officer)
(Print Name of Officer)
PAGE 132
)n
(State) (Zip Code)
tc of party contracted to)
xformed)
irc of Work)
ant and/or A/C Condenser.
uer Heater or power vented
alterations to receptacles
Note: New Service
permanently wired
Ting unit (house or the
:luding required service
,mpany and further veri fy
~cturer and Electric code
(Date)