HomeMy WebLinkAbout0095930-HVAC (a/c) �. _
� CITY OF OSHKOSH No sssso
�
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 514 W NEVADA AVE Owner TONY C/NICOLE S KNITT Create Date 07l17/2002
Contractor STEINBRUNER HEATING&COOLING Category 501 -Residential-Air Conditioning Plan
Fuel (— Gas Oil Electric Solar � Solid
System ✓ New � � Replace i � Other �
Forced Air Radiant Steam—� �A/� Vent
Electnc Hot Water Suppl. Con.Bumer
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value 0
BTU Rate As Per Plan Variable Other Value
Use/Nature FR/Install new 2.5 ton a/c. *EIV form from Seckar Electric.
of Work
Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $23.00
Issued By: k,� Date 07/17/2002
� Permit Voided I
In the perFormance of this work,I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgenUOwner
Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number (920)426-1830
04/30/1995 21:46 14144261690 STEIMBRUNER HEATING: PAGE 03
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!
Citr ot Oshkosh
Division of tnspection Sc ices �
P.O.Box !130 �
Oshkwh,WI 54903-1130
Phone(920)236-5050
Fnc (920)Z36-5084
O 1M WA
HVAC PERMIT APPLICATIQN
A)1 inforrn�cion atkr pold cacegories erwst be pro�ide .
Incomplete applications wiU not be processed.
• Apptication(s)a�d f e(s)can be brought to City klail, Room 2�5 or ma�led tn Ins ction Services,PO Box 1128,
Ushkosh WI 54903 1128. Commencieg work without permit(s)will result in f s being doubltd or 5100.Q0 plus the
normal permit fce, ich ever is greater.
OR
r �etrRC o r ! i nt'n in �ha P rr�it ee Acc unf ste� cn ve de uotc un h r��
r •o wan th' r d th r •ot� I
DA E_ a-17-02.
�OB ADDRESS �f ,
�VV1�tER �
COIYTRACTOR �Gi ,�, '
C'AECK 0 ALL Al'PL CABLE
�E CATEGORY
Single Family O up1e� ❑Multi-�amily ORental �Comm rcial �Industrial
FUEL OGas �Elecmc ❑Solid SYSTEM �'lVew OReplac�
�Oil ❑Solar DOther
'1YpE
OForced Air DRad�ant Steam�1/C OVent OElecme DHot Water DSuppi.❑C .Burner
15 CHIMNEY BEING NED Q�iVo DYes - I.fNFR SIZE &MAMJF CTLJRER
N��tr AU chi�rmeys shall be sized per thr.BTLT's being vcn�ed.
CHIMNEY TYP� Ch�mtxy A OChimncy B ODircct Vent 00 her
�AT LOSS As Approvcd ❑Existing ❑Not Applicable
dTU RATE As Per Plan ❑Var�ablr �Other Value
bESCRIPI'ION Q�AL WORK BE�NG DONE � ` �
VALUE(lndudia6labor rd all matrrials iocludin�light fixtures) Z.pO e� '
ELECTWCAL CONT CTOR._S��r''_, OR �Electric Instaliatbn Veri atl�p�O�MlItlt�td/1f Replarr.mm��
h'feomn/Grt�n!/p�ion ojntM+�Irpinerm r rqa►y�rtr iholl br daen b�•Iir�naPA eenrrenon.
3/02 '
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04/30/1995 21:46 14144261690 STEINBRUhER HEATING: PAGE 04
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�lectric �t�stallation Verjfication
(n(we) l5 '����,.
(E►ectrical Contractor Namc)
C0� �'c.Vis,�� J�� �Co,vN�
(Address (City) (Stat ) (2ip Codc)
have been contracted to pet�'onm electric installntion work for �?I G �1.�/I�C� ,
(Namc of p y contractcd to)
;
at the following addr ss: _� 0 Lt� �'F�roo __
(Address where wark will be perf ed)
?'r:, r.�:ure a,`:h�wo k ca�;sists of: (;;l�e.:k Or�i:or Deycribe: the Ivature of "'ork)
� R connection or new circuit �'or repiacement Heating Pl t an:i/or A/C Condenser.
� R onnection or new circuic for replacemens Electric Wa r Heater.
R cotuaection of the Serviee Fntrar►ce Cable, Meter Box, lterations to receptaclss ancl
lighting fixtures due to siding!sof�t installation. No e: New Serv�ce�ntrance
C�bl�s will require a separate pcm�it.
' __ R conneetic►n or new circuit for othcr permanently wiced ppliances/fixtures.
O er
The valuc of th;s vork is S t Z�
t hereby verify tb s work will be pe►�f�rmed hy�►n cn�ploy�c of this corr�p ny and furthc;vcrify tho
reconnection 1 in tallation wi11 bc donc in crnnpliance with m��nufac��u•e and Electric code
requirements.
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f f��[ • ...���.,�-�-- � ��/7-OZ
(Signatua�c Coa pany Officerj (Print N7mc of Ufticer) (Dat�)