HomeMy WebLinkAbout0104780-HVAC (furnace)OSHKOSH
ON THE WATER
1552 CRYSTAL SPRINGS
STEINBRUNER HEATING & COOLING
Job Address
Contractor
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 GARY P WEIGANDT
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
No 104780
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Create Date 10/15/2003
Plan
Not Applicable
Other
Solar I L~ Solid
~J Other
A/C J L~ vent
Con. Burner J
Not Applicable
Value
Value
60,000 92.6% AFUE
Use/Nature SFR/Replace furnace, line chimney.* EIV from Seckar Electric
of Work
Fees: Valuation
Issued By:
$2,000.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided
$35.00
Date 10/15/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 600 OREGON STREET OSHKOSH WI 54902 -0 Telephone Number
(920) 426-1830
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
iB/15/2o03 B8:~9 192B42G189B STEINBRUNER HEATING: PAGE Bi
Ctty of Osl~.osh
Division of lospeCfiOu Ser~ ices
P.O Box 113,0
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fa~ (920) 236-508¢
HVAC PERMIT APPLICATION
Alt information after bold categories must be provide
Incomplete applications will not be processed.
· Application(s) and t~
Oshkosh WI 54903
normal permit fee, v
OR
t£rcu want this p. roce
JO~ ADDRESS
OWNER ~,
CONTRACTOR
CHECK I~ ALL APPI
g ]~ CATEGORY
ngle Family
FUEL ~as
r'loi1
~o~Eced Air ElRadiant
IS CHIMNEY BEING
~e(s) can be brought to City Hall, Room 205 or mailed to In,~
128, Commencing work without p~mit(s) will result in fe
~icb ever is greater.
r t~articipattn~ in the Permit fee ~.ccpunt System and
rsed throueh your account ~
ICABLE
Duplex E]Multi-Family
r~Elecmc I-tSolid
DSolar
[-~Rental rlComr ercial
SYSTEM rlN~v
OO~he '
~'ction Services, PO Box 1128.
s being doubled or $100.00 plus the
rave adequate £unds. check here
rz
m. Burner
:ACTURER
All chimneys shall b
CHIMNEY TYPE
I~AT LOSS
BTU RATE
]Steam [3MC OVent DElectnc I-IHot Water r]Suppl.r'lc
.INED I'~NO ~e~ - LINER SIZE .~Tt' & MANU
sized per the BTU's being vented,
~rect Vent i-I( )thet
i"lN ot Applicable
~Other Value ~ ~/ff'~
"'lChimncy A EC~,'mneY B
r-lAs Approved ce.~xsst mg
las Per Plan [3Variable
DESCRIPTION OF ~ ~, WORK BEING DONE
t-
~Industrial
[~'place
~,0/15t2003
88:49 19284261898
STEINBRUbER HEATINg:
Electric Installation Verificafi
i(we) tut-
(Ad
have been co
at the follow
Thc valuc of
(Electrical Contractor Name)
~ C, OUpr~t~r p~v,*,pe'g ~-b. ~l~tuec~ .....
tress) (City)
reacted to perform electric installation work for ,~T~
ng address: /J'~5-~ t4~azZ~/ ~
(^ddre~s wherc w~rk wiffbe
the work consists of: (Check One or Describe the Naa
a. econnection or new circuit for replacement Heating PI
~teconnection or new circuit for replacement Electric ~
water heater.
cconncction of the Service Entrance Cable, Meter Bo:
and lighting fixtures due to siding I soffit installatio
Entrance Cables will require a s~aratc permit.
Reconnection or new circuit for thc replacement ofoth~
appliances / fixtures.
ew circuit for the addition of A/C to an individual dw
individua! systems in a duplex or condominium),
electrical outlets.
~her
l hereby yeti
the reconne~
requirements[
(Signa~re Sf Company Officer)
this work is $ [~'~
~' this work will be performed by an employee of'this c
on / installation will be done in compliance with manu
~Print Name of Officer)
PAGE 02
n
uae too 5q~G
(State) (Zip
DAd~
of pasty contract~ to)
rformed)
re of Work)
~nt sad/or A/C Condenser,
ater Heater or power vented
, alterations to receptacles
Note: New Service
~ermanently wired
lng unit {house or the
luding required service
mpany and further verify
acturer and Electric code
(Date)