HomeMy WebLinkAbout0104854-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 619 FREDERICK ST
Contractor PALISADES SHEET METAL
Fuel
System
Gas J ~J Oil
New ~
Forced Air
Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Radiant
Hot Water
Owner MICHAEL L/STEPH PATTERSON JR
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate I~ As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
104854
10/20/2003
Other
Vent J
Use/Nature SFR/Replace furnace and A/C.
of Work
Fees: Valuation
Issued By:
$6,000.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$95.00
Date 10/20/2003
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 1475 RACINE ROAD MENASHA WI 54952 -0 Telephone Number
(920) 729-1282
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
OCT 2 0
O/HKO/H
HVAC PERMIT APPUCAT
All mfo~do~ ~ bom c~t=~ofies =~t be
~co~]=t= app]~cafiom wffi not bc pmc=ss=d.
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I£¥ou are a contractor participating in the Permit £ee Account System and have adequate funds, check here
i£¥ou want this processed through your account ~]
JOB ADDRESS 619 Fredrick ST
DATE 10=16-03
OV~NER
Mike Patterson
CO1VrRACTOR Palisades Sheet Metal
CItECK [] ALL APPLICABLE
CATEGOa¥
[~l~ingle Family nDuplex IZIMulti-Family EIRental ElCommercial Dlndustrial
FUEL ~as [2Electric F1Solid SYSTEM DNew )g~RePlace
ElOil F1Solar ElOther
TYPE
)5~orced Air F1Radiant [2Steam [2ADC EIVent r'lElcctric Elliot Water E]Suppl. r'lCon. Burner
IS CHIMNEY BEING LINED J~No []Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
H ~:&T LOSS
BTU RATE
& MANUFACTURER
nQhimney A
[3As Approved
[2As Per Plan
nc.~ih~gy Br ~Di~t:¥em ~, [2OtheJ
F1Existing ElNot APPlicable
[2Variable [2Other Value
DESCRIPTION OF ALL WORK BEING DONE Replace Furrace & Air Conditioner
VALUE (Including labor and all materials including light fixtures) $ (~ 0OO. oO
1Z, L~ CTRi'~kL C oNTRAd~dR Owner
[~ For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor. must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02