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Home My WebLink About1995-Plan Review (HVAC) ► � N i Date 4/18/95 � Company Name KURT ZENTNER & SONS Address 2860 OREGON ST. �_� Ciry/State/Zip OSHKOSH, WI. 5490L Deaz Mc HIND; Heatiug and Cooling Unit Replacement Address 1465 S WASHBURN ST. Oshkosh Owners Name STEINERT PRINTING File # 57-495H COMMERCIAL PRINTER Youc Heating-Cooliug replacement letter and calcula[ions have been reviewed foi compliance with important code cequirements. Copies of the letter have been stamped and aze being returned to the owner. This appiova] is not a Heating Permit. Necessary City peanits must be obtained before commencing work. The buildiug will be inspected during construc[ion and a final inspection will be made afte� completion to insure complete compliance with Ciry and State codes. You are hereby advised that the owner, as defined in Chapter 101.01(i) of the Wisconsin State Statutes, is responsible for all code requirements no[ specifically cited he�eiu. Code requicements are set forth in Chapters 50 [luough 64 of the rules of the Deparhnent of Industry, Labo� and Human Relations. Sincerely, — /c< �i'r��— Lee A. Erdmann H.V.AC. Inspector � City of Oshkosh QlHKOJH P.o. sox iiso OSHKOSH, WI 54902-1130 ONiHf wniEu COMPANYNAME Ku1L�T ZC,.�i.JE�C.Q'Sn.�S DATE �- /g� `JS' ADDRESS �(oO O/�.-��o.�+ Sl� CITY/STATE �SEf,�o.ry �iSc�,dlr.✓ APPROVAL RE�UIRMENTS FOR REPLACEMENT OF COMMERCIAL AND INDUSTRIAL HEATING AND COOLING EQUIPMENT FOR BUILDINGS UNDER 100,000 CUBIC FEET IN AREA. 1)OWNER OF BUILDING ,j/cin;c2r �iC�,.�T� � 2)ADDRESSOFBUILDING jc�,,s S� uI�SNGu2n�/ OS�F/GO!/f � �/J4G�✓J� �J 3)WHAT THE BUILDING IS USED FOR ��Q..iNT, .J c� 4) EQUIPMENTBEINGREPLACED(MODEL,SIZE) �Eg��„Je afo.cSc C��=iop) mcoE� /K /Lo B✓Br 5) NEW E�UIPMENT(MODEL,SIZE) . � (,o�� inooEc_. D�N-G /Zon�i6�.S io To...� �,c�..,�c 6)WAS THERE ADEQUATE HEATING&/OR COOLING7 y�s 7) HOW WqS THE NEW UNIT SIZED? �,� .s�%.✓� «N , r 8) IS THERE A BOILER/FURNACE ROOM? �� 9) PLEASE INCLUDE STATE FORM SBD118 WITH A$80.00 FEE. y 7 y�'�� y//��3^ HEATIflG 2 9E:iTIiATiCf� PL;:`!S REYIE4EC �Y CITY OF OSH�(OSii PoA C@dPUFNCE WITH REQUIFB��E;TS G`PlIS�C^`' DEPi.OF INDUSIRY, Lh80R FNG HL'MFN REiF11G6= SEE CCRnES'rOti�ENCE y�� BUILDING/STRURURE/HVACPLANSAPPROVALAPPLICATION S_8 WisaonsinDepnmen<oflntlurtry, -�pTP�OtlBOth $I(�ES- Labor 6 Numan RelatiOro Sale[y 8 Bmldings Division FFiN BurouolBoilding�85buRum Sa�edWinginlmmniommmpleM when ullinq to¢heEule reNew: plan No. INS�RUCT10N5: iillinallappli<abledata. Caution: Failuretocompletetheformentirelymaycauseadditionaldelay. SubmittaloithisPlansApprovalApplicationisrequiredforeachbuilding. Submitthisformwithat�east4setsofplans whichincludedetailsanddataasrequ�redbylLHR50.17. P�may besubmittedtoanyoitheplanreviewofficeslisted onthereverseside. Vrof'ectzarescheduledtorreview. PleasecalltheselectedoHicePriortosubmittal. Anycomponenu submitted independently irom the building plans must be submitted to the o(Tice which did the proje<Ys initial review. 1. Ownerinformation 2. Projectlntormation 3. BuildingorSUuctureDesigner Iniormation Na/ �j � Bv�ldmgOcmparrtyChapteqs)AndUse: pesiyner Reglsttinonl 5/CI�EiY.f /�i.�ii.v (� COmpanyNam! TenantName(iHny) DCsignFirm S�EiNE2' �f/L,N'T..� c_. � cC�L% LE.✓T.JE�Lq- Sn.J� NumberSSbeet BuiidinqLxation(nvmber6tveN) NumbeelShaH / ' S. itJASN��[�C.J 2-ff�a pk'ZGe'..�- 7!' City,State,lipcode 1 ❑Cfry pVilbqe pTowmhip0l City,S<aR.ZipCaAe L?� iLvsN c✓� 5`f9d �Sr/�lur�/ �„�i S�ia/ Cory attVenon ComryOf ComanPerson r.UHQI'+EN � S .+��2' �AdE ��,.�0 LelepM1oneNumber >roDertylDNo.(G�psrtelno.-<onbttmmty) TeleDhoneNumber FaxNumber t'/7 � 231 - 936 � 1 lyfJJ�=/3Ko t � Fa�Number GOrlrnmentOwneE ❑Yef �No IteWrnFbnsTa: DOwner 7 - ❑Daiqner W�W 23/ - �f.�'/oo GovernmeniLeauEOrOpenteEpYes peo ❑ome, 4. BuildingHistory 5. ConstructionOassRequezted 6. HVACDesignerinformation PreviousOwneqs)(rfany) � �. FirePesistiveiypep Desiqner 0.e9irtration/ I ❑ l. fir<RlsislireiyDlO , I�iNYi ❑ 3. MetalFrsme-Vrotetted Desi nFrm �� ❑ �. NearyTimber U.2� ��iN�4- Q�SD�S PreviousPanmfieNo. ❑ SA E`teriorMasonry�PmteRed Numbe/r85trtet ❑ SB. EHeriotMawnry�UnpmttRed �}D p.Q�O/�.I �/ VarwnaeNo. VrelminaryNo. � 6. MetalFome�UnpmtMed City,Sbh,Zip oEe ❑ �. wooerrame-rro<e�ted �'f�iCOSH �f S S�/�d / Otner�niorma�ion(previoususe,lasts�bmi:aion) ❑ 8. WoodFram<�Unpmte<hd ConbctPerwn Ilplansdonots�owromplian<ewithrtauerted �/J�!G �j�„�� ConrtmRion�lanbutareapprovableatalower �elephoneNumber FaaNumber <lass,do you wish approval at the laver<laesi ❑ res ❑ Ho 1 / -�3�=�3✓0 1 l 7. euildinglnformation 8. SubmittalRequest 9. SupervisingVrofessionallnformation ❑ CompleteSprinkler-NFPq ProiM NeviewXeOe<fhd ❑�or9uildinq �SamelueuilEingDesiqM. ❑ Vartial5prinkler - NFPA �New �Footinq6oundation ❑ UnlimrteEArea ❑Akeration ❑Buildin ❑ForHVAf �SameNHVACDesigner 9 Supervism9Pm i i erent eom esyner ❑ FireAlarm ❑ Fmerqen�yFower ❑Mdition ❑PermissionTo ❑ SmokeDece<tion ❑ HaiardEndmer< ❑Aevitions Start ppy��ation ❑UseChanq! ❑HVAC totalNumbero�Sto�ies ❑�INRJOHi#Code OT�uss ❑Vuian�e �PrtoE Num r! freet BoildingFootpnn[Area sak ❑vreliminary ❑S[mauol SoilBearingGpa<iry Mf �[anoOY ❑LammatedWood '�Y• tat0.L0 e ❑ Presemed ❑Ble><her �MetalBuilEing ❑Vlritied � 1�''� ❑IoiiLGirdb Q<V On<Num er ❑otner 70. RelatedBusiness5ystems-Please<alltherespectiveProgramforclarificationandplansubmittalrequirements. ❑ Elewmrs(608-]6)-396�Intlutles: FlemmableKomhstibb�iquid(608-36)43)9) ❑ BoilerNressureVexsel(6p8-266-t90a) ❑ Passengerelevarormee[IngIlNPIB�ea. Willanyportionolthisbuildingbeuutllor ❑ Mtthaniolneiriyeo[ioNAQ608)3661901 pFreigM1telewtormeetlnylLHXlBrey. rtorageOrEispeniinqo�ibmmaAlel ❑Plumbing(fi08-366d815) � Part5lik(�eeidemialryp�) wmbustipleliQuiOsacoreredbylLNR10i yM.��. ❑ vart]aLk(wheelcbvlfk� ❑Ypt QNo ❑ Moni<ipal �Oriva[lSewege5ys4m 5eo-i is�n.izAz) -CONTINUE ON REVERSE SIDE- 11. GlculatlonofFees � Arta: Th�arcaofaAooristheareaboundedbytheexteriorwrfaceofthebuildinqwallsatheouuidelxeof � tolumnswMnUxnisnowall. AnafncludaallfloorlavMswchaswbbaumaMs,besemenu,qround floort,mezzsntnes,balconies,lofls,all stories ard all roofed arex includiny porches aMl qaraqes,eicept for . pnUlewradp iesonthebuildinqwall. Utetheroofareafortrees[andinqnnopies. Toulareaisthe wmmationofall oorarcx. � � � � Attat�a separota Sheet if necessary for the calculations below: Flaor Lwel(sPKifY) Lenyth % Width = Area x � x . x . x . x = �Aou r'ea = . . 0 RojectNOTlocatedincertifiedmunicipality(gotoFeeScheduleTable2.31-1). 0 Projactlocatedincertifiedmunicipatiry(gotoFeeScheduleTable7.31-]). (Se�Fa�ScMdul�1or Iist o(certified municipalities.) 0 BuildingBndHVAC ................................................ Fee S ❑ BuildingOnly ..................................................... Fee f ❑ HVACOnIy ........................................................ Fee S ❑ Ravision7oPreriouslyApprovedMan .....................:........... Fee f Q ParmiuionToStart ................................................ Fee f ❑ Prrluly19926uildinqComponenb ................................. Fee f ❑ Othn ........................ Fee S 7otal Fee f 12. OWNER'S STA7EMENT(ILHR 50.f 1): I request that plarn be reviewed fo�compliance with the<ode requirements set � foM in Chapters IIHR 50.64 of the rula of the department 1 recoqnize that I am responsible for comphance wiffi all code requirements and any<onditions ot plan approval. If this building exceeds 50,000 cubic teet in total volume,I � willreuinawpervising professiorwlasrequiredbylLHR50.tOthroughoutconstructiontoprqectcompletionandthe filinq of a Completion Statement by the wpervising professional. Owner's Siqnatu�e: Name&Ttle orqintl vriM 1,; DESIGNER'SSTATEMENT: DESIGN(ILHR50.07-50.09)ifthisbuiiding�following constructlonofthisproject,coMains monlhan50,000cubicleetintoWlvolume,pIansarerequiredtobepreparetl,signed.ualManddatedbya wxaninregirterMenqinee�orarchitect(IlHR50.07(])). Siqnaturesandxatsshallbeoriginal. TMdapartmantesp�cts,andraquircs,thatthe pojectdesignerreviewindividualcomponeMwbmittalsfor compliancewiththegeneraldesiqnconcepl TheprqectdaiqMr,anddepartment,wJlrelyonthesalofUw componant desiqnen for compliance with the codes asthey apply to their desiqns. Totalcubicfootvo�umeofthabuildinguponcomplMionofthisproject: p LessThan50,000 ❑ SO,OOOorGreater Msiqnloadshavebeenindicatedontheolans. .............................................. � Yes � WA � FirewalluhematicPlanhasbeenincludad. .................................................. OYes ❑ WA � - All spplkable items required by ILHR 50.17 have been induded. ............................... ❑ Yes ❑ WA 1 urUty that the submfnad plans were pmpared under my supervision,are accurete,and W th�best of my knowledge comply with the applfcabla codes of tha Departmmt af Indurtry,Labor and Human Relatiorn. OrqwMflpMtunolBuilOinqOniqMr � �� ySiqnW Orpinal5qntlurootNVRCDbi9^N NTyMd �M Mhno ui mq mr �t� �q pn amw ampoM�rt n nm 1l SUPERVISINGPROFESSIONAL'SSTATEMENT:(ILHR50.10)IhavebeenreWinedbytheowne�azthesuperviunq prolassional per I�HR 50.10 for the perfwmanca or supervision of reawnable on-the-site observatiwn to datermirw it thecorotructionisinwbstantialcompliencewiththeapprovedplansandspecificatiorn. UponcomplWonof crostruction,I will fila a written statement with the departmem certifying that,to the best of my knowledge aM bNief conswctionhnorMsnotbeenperformedinsubrtentialcompliancewiththeapprovedplamand speci�iotions. � yma naWreo roeewna uparvnup e m ng �n p riqina pmwreo roessiona upervwnq a ta iqn r:��i /�, ;�*-:�(-� r� � �/-/�' - �i w,�v+aroonw �.uov.oexn eew�w�oa+n sn....�ooew w,�tanwn�ce 309W.1rt5trM 77MNONSirM 701E.W�iMnqtenAr�. 1053AE.Gre�nNySbM �O1pilptCqirt,SHp� R�.bi101t l�Croa�.W15�603 P.O.Bm)969 V.O.iw�3� Wsuk�sM.W1531!! Maywsrd.WI5�M3 P�on�(6pl1)lSA33� MaEeon,W1531W Sbwano.Mn5�1K phqyp�q5�9.e5pp F'u 11,5�6345150ro f��«B)'lBSA330 � Olwna(60!)266-0]35 Phona(l15)5]a-3616 Fu��11)5�li61� F�x(6pW26Z95K iarpl5)SNd633