HomeMy WebLinkAbout0099904-HVAC (fireplace)OSHKOSH
ON THE WATER
.lob Address 519 OAK ST
Contractor FOX VALLEY STONE & BRICK
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Owner EARL F HEPHNER
Category 503- STOVES AND FIREPLACES
L~ Electric
Replace
Forced Air I ~J Radiant
Electric I ~J Hot Water
L~ Steam
Suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B O Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
99904
02/21/2003
Other
Vent J
Use/Nature
of Work
SFR/ Installing a gas fireplace with cultured stone surround. All work shall comply with manufactures installation instructions. Seperate permit
requ red for e ectr ca w r ng.
Fees: Valuation
Issued By:
$5,047.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$81.50
Date 02/21/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 519 OAKST OSHKOSH WI 54901 -4620 Telephone Number
No
99904
CITY OF OSHKOSH
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 519 OAK ST Owner EARL F HEPHNER Create Date 02/21/2003
Contractor FOX VALLEY STONE & BRICK Category 503 - STOVES AND FIREPLACES Plan
Fuel ~j Gas I U Oil I L~ Electric I ~ Solar I [] Solid 1
System [] New I [] Replace I [] Other
~j Forced Air I L~ Radiant I [__J Steam i ~J NC I M Vent I
M Electric I [~ Hot Water I [~j Suppl. I L~ Con. Burner I
Chimney Type
Heat Loss
BTU Rate
[~) Chimney A ~ Chimney B ~I Direct Vent ~ Not Applicable I
~ As Approved ~ Existing ~1~ Not Applicable I Value 0
~) As Per Plan ~ VariaUe O Other I Va~ue
p~eFPJ 'Installing a gas fireplace with cultured stone surround. All work shall comply with manufactures installation instructions. Seperate
rmit required for electrical widng.
Use/Nature
of Work
Fees: Valuation $5,047.00 Plan Approval $0.00 Permit Fee Paid $81.50
Issued By: ~ Date 02/21/2003
[] Permit Voided j
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature ~(. ~~ [~/-L~ Agent/Owner
Address 519 OAK ST OSHKOSH WI 54901 -4620 Telephone Number