HomeMy WebLinkAbout0102402-HVAC (a/c)(~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
JobAddress 1351 WESTERN ST Owner GERALD L/JEAN MILLER
Contractor STEINBRUNER HEATING & COOLING Category 501 - Residential-Air Conditioning
Fuel ~J Gas J ~J Oil L~J Electric ~J Solar
System ~J New ~ ~J Replace ~ ~J Other
~J Forced Air I ~J Radiant L~ Steam ~J A/C
~J Electric I ~J Hot Water b~ suppl. ~J Con. Burner
Chimney Type I~ Chimney A ~ Chimney B O Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 2 ton A/C
No
Create Date
Plan
~J Solid
Vent
102402
06/24/2003
Use/Nature SFR/Install 2 ton 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
$23.00
Date 06/24/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0
Telephone Number
(920) 426-1830
~' ~6~i9/2003 ~20:43 * 19204261890 STEINBRUNER HEATING: PAGE 01
Ci~y of Oshkosh
Division of Inspection ~er/ices
P.O. Box I 130
Osl~osh, WI 54~3-1130
'~ (920) 236-5050
Pax {920) 236-50~
e Applications) and 1
Oshkosh WI 54903.
noel ~i~ ~cc, ~
OR
~.YOk are a con,facto
~' Xou want rhi$ ~roce~
HVAC PERMIT APPLICATION
All information after bold categories must bc provide
Incomplete applications will not be processed.
e(s) can be brought to City Hail, Room 205 or mailed to ~s
1128. Commcncing work without pcrmlt(s) will result in f'e
I~icb ever is ~eater.
ClOas
nOel
CIRental rlComm
~ctnc CISolid SYSTEM
CISolar ~Other
~l~oreed Air DRadiant [
~*~ CI~M~Y BEING
Ne~ All chimneys shall be
Llq~NEY TYPE
IiEAT LOSS
· TU ~TE
IStcam~.A/C C]Vcnt E]Elecmc I-]Hot Water CISuppl. OCo
INED ~No [3Yes - LINER SIZE & MANUE
fired per the BTU's being vented.
E IChinlllqy A I"lChimney B &irecl Vent CIO
r las Approved ~xisting EINo~ Applicable
EIAs Per Plan ClVnriable f=lOlher Value
tsc enon or AL:. nONZ 2-7'.
'¥ALUE (Including labor d ail materials including light fixtures) $ [,~) ,~.
' ~LECTRICAL CONTRACTOR ~,,~C~r~ OR ~ Eleclrle Installation Yeti!
Eleclricnl instn#ation of new/repIae#me~
ON THF WATR.# -
ection Services, PO Box 1128,
s being doubled or $100,00 plus the
lave adequate £unds. chec,~' herr.
'.rcial Dlndustrial
CIRcplace
Bumer
CTURER
:IIIoo form iltlched(It* Replacement)
equipment shall be dane by licensed COntractors,
~. 06/19/2003 ~ 20:43~ 19284261890
STEINBRUNER HEATING:
PAGE 02
";.' .7
(we)
( A
have been cont~
at the followin
The nature ofl
R
The value of tt
I hereby verify
the reconnecti(
requirements.
Electric Installation Verificatio:
(El~cMcal Contra~or N~e)
:ss) (City)
acted ~ perfo~ electric installation work for ~!
(Address wh~e wink will be P~
te work con,sis of: (Check One or Describe the
~o~cction or new ci~uit for ~placemmt Heating
:o~ecfion or new circuit for r~lacement Electric Wa~
wat~ hoat~.
R~ ~o~c~tion of thc Se~ice Entr~ce Cable, Meter Box,
~d li~ting fixtures duc to siding / so~t installation.
En~ce Cables will r~uirc a s~arate p~it.
R :o~tion or new circuit for the replacement ofoth~
app!i~ces / fixtures.
N ~w circuit for the addition of~C to ~ individual dwel
individual s~tems in a duplex or con~minium), incl*
electrical outlets.
this work will ~ perfo~ by an cmploy~ of this co~
,n / installation will be done in compli~ce with m~ufa
'Company Officer)
(Print Name of OfficcO
State) (Zip Code)
uNc=7 .
of party comracted to)
of Work)
t and/or A/C Condenser.
~ Heater or power vented
alterations to receptacles
Note: New Service
}ermanently wired
ing ~nl~ (house or the
adin$ required service
aany and f~nhcr verify
:turer and Electric code
(Date)