HomeMy WebLinkAbout0102644-HVAC (a/c)(~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2485 ARCADIA AVE Owner MR/MRS JOHN S THOMPSON
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
~ 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 ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O 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
102644
07/03/2003
Use/Nature SFR/Install 2ton 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 07/03/2003
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
~/02/2003 21:47 192042G1890 STEINBRUNER HEATING: PAGE 01
Division of Inspection Serv
P.O, Box 1130
Oshkosh, W! 54903-1130
Phone (920) 236-$050
Fax (920) 236-5084
· Application(s) and fi
Oshkosh WI 54903.
normal permit fee,
OR
if ~'Ou..want this ~roce
JOB ADDRESS
~ONTR~CTOR
CiI~CK ~ ALL APPL
ATEGORY
e Family []
FUEL nGas
C}Oil
TYPE
rlForced Air ElRadiaat I
IS CHIMNEY BEING
Note: All chimneys shall b~
CHIMNEY TYPE
I~AT LOSS
BTU RATE
DESCRIPTION OF A
VALUE (including labo~
ELECTRICAL CONT
HVAC PERMIT APPLICATION
All information afl~ bold categories must be provide~
Incomplete applications will not bc processed, r
e(s) can be brought to City Hall, Room 205 or mailed to Ins
28. Commer~eing work without permit(s) will result in fe
hieh ever is greater.
t~arri¢ipn[ing in the Permit foe Account $,.Eytem and
red through }'our ctcf:ount
DA'
ection Services. PO Box I 128.
being doubled or $100.00 plus the
:CABLE
)uplex DMulti-Family
~l~e~e [3Solid
FISolar
~v~e adeou.ate funds, checA herx
rE '7- 7 -o 5
]Steam ~MC r-lVent f-lEl¢ctnc E]Hot Water E]Suppl,CIC,
/
LINED IZ~To I'lYes - LINER SIZE
sized per the BTU's being vented.
3Chimney A [3Chimney B
'lAs Approved [3Existing
~}As Per Plan OVaeiable
L WORK BEING DONE
& MANU1
f"lDirect Vent []C ~ther
ONot Applicable
and all materials including light fixtures)
{.ACTOR,. ~::c.~ ti
,n. Burner
ACTURER
CIRental vIComm vtcial rllndustrial
SYSTEM ~New
CIOthe~ ~/~ FIReplace
.07/82/2803 21:47 19284261898
STEINBRUNER HEATING~
PAGE 82
l(Wc)
(A~
havcbeen coi
at the followi
The nature
The value of
I hcrcby vcri
the reconnec
rcquiremcnts
(Signa~re,
Electric Installation Verificatk
(Elcctrical Contractor Name)
(City)
t~acted to pcrfo~ electric installalion work for ~
(Address wh~e work will bc ~
the work consists of.' (Check One or Describe the NaU
~,econn~ction or new circuit for replacement Heating P1
~,cconnection or new circuit for replacement Electric W
water heater.
~.econnecfion o£the Service Entrance Cable, Meter Bo)
and lighting fixtures duc to siding / soffit installatio~
Entrance Cables will require a separate permit.
~cconncction or new circuit for thc replacement of othe
appliances / fixtures.
qcw circuit for the addition of A/C to an individual dw~
individual systems in a duplex or condominium), in~
alcott/cai outlcts.
n
(State) (Zip Code)
of par~¥ contracted to)
donned)
re of Work)
mt md/or A/C Condenser.
ater Heater or power v~nte, d
, alterations to receptacles
,. Note: New Service
~ permanently wired
/ling unit (house or the
:tuding requited s~rvice
)ther
his work is $
~' this work will bc performed by an employee of this cl
on / installation will be done in compliance with manul
,mpany and further verify
acturer and Electric code
!f Company Officer)
(Print Name o f Officer
(Date)