HomeMy WebLinkAbout0100321-HVAC (fireplace)OSHKOSH
ON THE WATER
.lob Address 1226 WESTERN ST
Contractor OWNER
Fuel ~ Gas ~
System ~ New
[~ Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Owner CHRIS E FREIBERG
Category 503- STOVES AND FIREPLACES
L~ Electric
Replace
Radiant
Hot Water
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 ~ Direct Vent O Not Applicable I
~ Existing O Not Applicable I Value
~ Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
100321
03/21/2003
Other
Vent J
Use/Nature
of Work
Installing an insert on a wood fireplace. All manufacture's reccomendations for installations shall be followed.
Fees: Valuation
Issued By:
$1,800.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$32.00
Date 03/21/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1226WESTERN ST OSHKOSH WI 54901 -3668 Telephone Number
OSHKOSH
ON THE WATER
,Job Address 1226 WESTERN ST
Contractor OWNER
Fuel ~j Gas I
System [] New
Forced Air I
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Electric
Chimney Type ~ ChimneyA
Heat Loss ~ As Approved
BTU Rate ~..~ As Per Plan
~ Oil
[_~ Radiant
Hot Water
Owner CHRIS E FREIBERG
Category 503- STOVES AND FIREPLACES
~ Electric
[] Replace I
[~ Steam
U Suppl.
~ Direct Vent
Solar
No '100321
Create Date 03/21/2003
Plan
I I~ Solid I
[] Other I
[_j NC
Con. Burner
Chimney B O Not Applicable I
~ Existing i~t Not Applicable I Value
(.~ Variable ~ Other I Value
L-J vent
Use/Nature
of Work
rFP,/
Installing an insert on a wood fireplace. All manufacture's reccomendations for installations shall be followed.
Fees: Valuation $1,800.00 Plan Approval
Issued By: ~
[] Permit Voided
In the performance of th~agree to
Signature /~ (.~~
$0.00 Permit Fee Paid
$32.00
Date 03/21/2003
Address
-~lnt to rules governing the described construction. Date ,~/'~* /O,..~
1226WESTERN ST OSH~ WI 54901 -3668 Telephone Number