HomeMy WebLinkAbout0102094-HVAC (pellet stove)OSHKOSH
ON THE WATER
Job Address 1415 BUCHANAN AVE
Contractor OWNER
Fuel [] Gas ]
System [] New
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner
Category
LAWRENCE BERGQUIST
503 - STOVES AND FIREPLACES
[] Oil I [] Electric I [] Solar
[] Replace I
Forced Air J ~j Radiant
Electric ] E~- Hot Water
Chimney Type ~ Chimney A ~ Chimney B
Heat Loss ~ As Approved O Existing
BTU Rate ~.~ As Per Plan ~ Variable
[_J Steam I L-J NC
[] Suppl. 1 [] Con. Burner
Direct Vent O Not Applicable j
~ll Not Applicable I Value
i~ Other I Value
No 102094
Create Date 06/11/2003
Plan
[] Solid
[] Other
ld Vent
Use/Nature SFR/Installing a pellet stove. The stove is to be installed to meet the manufacturers installation requirements.
of Work
Fees: Valuation $2,000.00
Issued By: ~
Plan Approval $0.00 Permit Fee Paid
[] ,Permit Voided
$35.00
Date 06/11/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the descdl3ed construction.. ~'
Signature P..~'~~.,- _ ~ _ ,~;:~~~ ~geof/t/Owner Date (~
Address 1415 BUCHANAN AVE
OSHKOSH WI 54902 - 2673 Telephone Number