HomeMy WebLinkAbout0077814-HVAC (fireplace)CITY OF OSHKOSH No 0o~~81a
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 928 COZY LN Owner PAUL & RUTH SHROCK Create Date 06/09/2000
Contractor FOX VALLEY BRICK AND STONE Category 503 -STOVES AND FIREPLACES Plan
Fuel Gas ~ Oil Electric Solar Solid
System [New ~ ~ Replace ~ ~ Other
Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature
of Work
FR/ Install wood buring fireplace in living room -ALL WORK REQ TO BE INSPECTED PRIOR TO CONCEALMENT
ermit is being isssued to future owner Cathie Kissinger who is closing on property 6/15/00
Fees: Valuation $4,600.00 Plan Approval $0.00 Permit Fee Paid
Issued By: ~-
Permit Voided
Date 06/15/2000
In the performance/of this work, I agree to erform all work pursuant to rules governing the described construction.
Signature (~,~~a~~ ~~,,,~,~_
Address 928 COZY LN
Agent/Owner
Oshkosh WI 54901 -0
$51.00
Date
Telephone Number 414-235-0345