HomeMy WebLinkAbout0101904-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 1507 FAIRLAWN ST
Contractor STEINBRUNER HEATING & COOLING
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner EUGENE/MARGT KRUMENAUER
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
101904
06/03/2003
Other J
Vent J
3T a/c
Use/Nature SFR/Replace A/C. *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 06/03/2003
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
8G/02/2003 20:23 192042G1890 STEINBRUNER HEATING: PAGE 81
(:it,/o£ Oshkosh
Division of Inspection Set
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-$050
Fax (920) 236-5084
Application(s) and
Liccs
HVAC PERMIT APPLICATION
All information aftcr bold categories must be provid=.
Incomplete applications will not be processed.
fi e(s) can be brought to City Hall, Room 205 or mailed to Ins
Oshkosh WI 54903. 128. Commencing work without permit(s) will result in fc
normal permit fee, ~ dch ever is greater.
OR
If3:pJ_~ are a contractc
you want this _oroc¢
SOB ADDRESS
OWNER
CONTRACTOR
C'H~CK 1~ ALL APP!
E CATEGORY
ingle Family 1-
FUEL VIGas
CIOil
TYPE
OForced Air r'lRadiam
IN CHIMNEY BEING
Nnte: All chimneys shall ~
CI~MNEY TYPE
I~AT LOSS
BTU RATE
DESCRIPTION OF Al
VALUE (Including labo
ELECTRICAL CONT
participating in the Permit ~ee dccount System and
:$¢~ thro~ue_h _po_ur ¢.ccottnt ~
DA
ICABLE
Duplex r-lMulti-Family r'lRental FIComn
.~F. lectric V1Solid SYSTEM VINew
VISolar OOthe:
'lSteam ~A/C ClVent rlElectric CIHot Water CISuppI.VIC,
LINED ClNo ~Yes - LINER SIZE ,~ o & MANU1
sized per the BTU's being vented.
]Chimney A VIChimney B [gl.Direct Veto
"lAs Approved [~Existing ClNot Applicable
"lAs Per Plan ClVariable ClOther Value
,L WORK BEING DONE_ ./~
and nil materials Including light nxtures) S_,_. [ 2. E~ O ~
tACTOR.._~gg,l~tLt~_~ O..~R }i.~Electrlc Inslallal~oe Var
gl¢rtdcnl insto#ation of new/replace,
ON T~P WATgO
pection Services, PO Box I 128,
:s being doubled or $100.00 plus the
½ave adequate funds, check here
· E
ercial Olndustrial
~Replace
,n. Burner
:ACTURER
tther
T
o
iflcation farm attached(If Replacemem)
~ent equipment ~boll be done by licensed ¢Ontrneto~,t,
3/02
06/02/2003 20:23 19204261890 STEINBRUNER HEATING: PAGE 02
(We)
(Add:
have bcen con'
at the followin
The nature oft
R
R
R
N
The value of tk
I hereby verify
the rcconnecti¢
requirements.
(SignatUre of
Electric Installation Verlficatio:
(Electrical Contractor Name)
'ess) (City)
meted to imrform electric installation work for _.~T~ ~
(Name
(Address where work will be pcrq
)e work consists off (Check One or Describe the Natur
econnection or new circuit for replacement Heating Pla,
econnection or new circuit for replacement Electric Wa
water heater.
:connection of thc Service Entrancc Cable, Meter Box,
and lighting fixtures due to siding / soffit installation.
Entrance Cables will require a separate permit.
· .connection or new circuit for the replacement of other
appliances / fixtures.
.-w circuit for the addition of A/C to an individual dwe
individual systems in a duplex or condominium), inci~
electrical outlets.
:her
!
Lsworkis $ !
this work will be performed by an employee of this
n / installation will be done in compliance with manufa
Company Officer)
(Print Name of Officer)
(State) (Zip Code)
of party contracted to)
bnned)
of Work)
and/or A/C Condenser.
Icr Heater or power vented
alterations to receptacles
Note: New Service
~ermancntly wired
ing unit (house or the
lding required service
)any and further verify
:turer and Elec~c code
(Date)