HomeMy WebLinkAbout0102474-HVAC (furnace & duct)(~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2524 SHOREWOOD DR Owner WILLIAM J KOLARIK/KANDI WHITE
Contractor STEINBRUNER HEATING & COOLING Category 500 - Residential-Heating & Ventilating
Fuel ~J Gas J ~J Oil b~ Electric ~J Solar
System ~J New ~ ~J Replace ~ ~J Other
~ Forced Air I ~ Radiant L~ Steam ~ 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 60m btu
No
Create Date
Plan
~J Solid
Vent
102474
06/27/2003
Use/Nature SFR/Remove space heater and install furnace & duct. *EIV form from Seckar Electric.
of Work
Fees: Valuation
Issued By:
$3,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$50.00
Date 06/27/2003
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
06/2512003 22:26 19204261890 STEINBRUNER HEATING: PAGE 01
City of Oshkosh
Diviaion of Inspection Ser~
P.O. Box 1130
Oshkosh, Wl 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
· Application(s) and
Oshkosh WI 54903-
normal permit fee, v
OR
I~o, are O ¢ontracto
ff~yOu want this proce
30~ ADDRESS
CONTRACTOR
CHECK [] ALL APP!
ingATEGORY
le Family
FUEL ~Gas
130il
ices
~o~Eced Air DRadiant
CHIMNEY BEING
No~e~ All chimneys shall
CHIMNEY TYPE
Il'EAT LOSS
BTU RATE
t~Esc~rrlON oF
HVAC PERMIT APPLICATION
All information after bold categories must be provide
Incomplele applications will not be processed.
:e(s) can be brought to City Hall, Room 205 or mailed to Ins
1128. Commencing work withou! permit(s) will result in fe
'hich ever is greater.
r par~ticipa~ing in the permit .fee dcc~,unt System and
ssed throueh your acco,~tt ~
,ICABLE
VALUE (Including laba
I~.LECTRICAL CONT
E IDuplex VIMulti-Family VIRental
DElectric VISolid SYSTEM
VISolar
O./HKO/H
ection Services, PO Box 1128,
~s being doubled or $100.00 plus the
have adequate£und~._check here
D~ TE
I~Corm ~ercial
FlOth{
clStcam I~A/C VIVent CIElectric V1Hot Water CISuppI.CIC
LINED I~o VIYes - LI~4ER SIZE
sized per the BTU's being vetoed.
& MANI$
I~irect Vent
r=lNot Applicable
VIOther Value
~}Chimney A CIChimney B
VIAs Approved ~Existing
l-lAs Per Plan VIVariable
.L WORK BEING DONE
on. Burner
=Replace
,ther
Iflcil|on form attachcd(I(Rcplaccmcm)
neat equipment sholl ~ done by license,'4 contrnc(or.t
3/0:~
r and all materials including light fixtures) $ ~Ot~O - 0
Electrical in,sMIla~ion of nr~Vrepl~c~
.. Z6 -0'6
FACTURER
66/25/2663 22:26
(We)
(Add
have been con
at the followir
The rlature of
Thc value oft
I hereby vcrif
the reconnect~
requirements.
19264261890
STEINBRUNER HEATING:
PAGE 62
Electric Installation Verificatic
(Electrical Contractor Name)
ress) (City)
.Tacted to perform electric installation work for _~-.~T~
(Address where work will be pcl
he work consists of: (Check One or Dcsctibe the Natu:
1~ <onnection or new circuit for replacement Heating Pla
R .-connection or new circuit for replacement Electric Wa
water heater.
R :connection of the Service Entrance Cable, Meter Box,
and lighting fixtures due to siding / soffit installation.
Entrance Cables will require a separate permit.
R ~connection or new circuit for the replacement of other
appliances / fixture.
N :w circuit for the addition o£A/C to an individual dwelJ
individual systems in a duplex or condominium), incl
elcdtficai outlets.
0 :her
:swor ciss _ l
this work will be p~'formed by an employee of this con
n / installation wi11 be done in compliance with manu£a,
Company Officer)
(Pnnt Name of Officer)
(State) (Zip Code)
u ue'7c,
: of party contracted tO)
[ormed)
.~ o f Work)
it and/or A/C Condenser.
[er Heater or power vented
alterations to receptacles
Note: New Service
mrmanently wired
ng unit (house or the
iding required service
party and further verify
:turer and Electric code
(Date)