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Home My WebLink About1996-HVAC (24-396H) � > � � � O.IHKO.IH ONTHEWATER H.V.A.C. PLAN APPROVAL City of Oshkosh Code Enforcement Division 215 Church Avenue P.O.Box 1130 Oshkosh,WI 54902-1130 DATE3/15/96 COMPANY NAME THOMAS GUNTHER ADDRESS 732 EVANS ST. CITY/STATE OSHKOSH, WI. 54901 ATTENTION: TOM INSTALLATION ADDRESS 911 WITZEL AVE. OWNERS NAME WALTER M. TACK F I LE #24-396 H BUILDING USE CAR WASH HEATING AND VENTILATING PLANS HAVE BEEN REVIEWED BY THIS OFFICE FOR COMPLIANCE WITH IMPORTANT CODE REQUIREMENTS. ALL ITEMS THAT ARE REQUIRED TO BE CHANGED BY THIS LETTER, MUST BE CORRECTED BEFORE COMMENCING THAT PART OF THE WORK. THIS APPROVAL IS NOT A HEATING PERMIT. NECESSARY CITY PERMITS MUST BE SECURED BEFORE COMMENCING WORK. 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 NOT SPECIFICALLY CITED HEREIN. CODE REQUIREMENTS ARE SET FORTH IN CHAPTERS 50 THROUGH 64 OF THE RULES OF THE DEPARTMENT OF INDUSTRY, LABOR, AND HUMAN RELATIONS. THE BUILDING WILL BE INSPECTED DURING CONSTRUCTION AND A FINAL INSPECTION WILL BE MADE AFTER COMPLETION TO INSURE COMPLETE COMPLIANCE WITH CITY AND STATE CODES. THE ARCHITECT, PROFFESIONAL ENGINEER, BUILDER OR OWNER SHALL KEEP AT THE BUILDING ,AS EVIDENCE OF APPROVAL, ONE SET OF PLANS BEARING THE STAMP OF APPROVAL. SIN��EL� �,�� LEE A. ERDMANN H.V.A.C. I NSPECTOR f � BUILDING/STRUCTURE/HVAC PLANS APPROVAL APPLICATION W�uonsin�epartment of industry, -Complete Both Sides- Labor&Human Relations E-File Safety&Buildings Division - Bureau of Buildings&Structures Scheduling Information-complete �`/.,�fJG� when calling to schedule review: Plan No. 7 _ INSTRUCTIONS: Fill in all applicable data. Caution: Failure to complete the form entirely may cause additional delay. Submittal of this Plans Approval Application is required for each building. Submit this form with at least 4 sets of plans which include details and data as required by ILHR 50.12. P ans may be submitted to any of the plan review offices listed on the reverse side. Projects are scheduled for review. Please call the selected office prior to submittal. Any components submitted independently from the building plans must be submitted to the office which did the project's initial review. � 1. Owner Information 2. Project Information 3. Building or Structure Designer I nformation PJame Building Ocwpancy Chapter(s)And Use: Designer Registratio•�A� 11v�L�(.Y��Y,. h'l. 1/3.0 l�C �Q(Z ln.'1�S� _.— Company Name Tenant Name(if any) Design Firm l�fbl��A tv'� i�1T�YLESTs, 4kc. ��TS`�tZ�A� Cr�� t,�l�.SK — Number&Street Building Location(number&street) Number&Street F�c. ��. l3�� l �'�'iZ�� gv�. --- C�ty,State,Z�p Code City �:' Village ❑ Township Of City,State,Zip Code 0�(0 d�! l.p�c, %�l`l, 5��f 3L.- 13�� St�h.v5�k _ Contact Person County°�f Contact Person ",Nl,lac�c �o�L'►��tZ) �In�N�QA�� _ Telephone Number Property ID No.(tax parcel no.-contact county) Telephone Number Fax Number c�lt� > Q2�—ol�Q c,��—c.^3�'1—o4ov c > c � � Fax Number Government Owned ❑Yes o Return Plans To: ❑Owner �Designer ( ) Government Leased Or Operated 0 Yes [�lo ❑Other n-� 4. Building History 5. Construction Class Requested 6. HVAC Designer Information Previous Owner(s)(if any) � 1. Fire Resistive Type A Desiqner� Registral i,:. i# ❑ 2. Fire Resistive Type B l�� IAS '�l��n�� '� �S~ ! � ❑ 3. Metal Frame-Protected Design Firm ��i ❑ 4. HeavyTimber ___ �'revious Pfan or File No. � 5A. Exterior Masonry-Proteded Number&Street ❑ 5B. Exterior Masonry-Unprotected r32. C�/��S s�, __ Var�ance No. Pre iminary No. ❑ 6. Metal Frame-Unprotected City,State,Zip Code ❑ 7. wood Frame-Protected �'✓S�`�'��S�d� ��' S��d( Other Information(previous use,last submission) ❑ 8. Wood Frame-Unprotected Contad Person If plans do not show compliance with requested �c�C�� Construction class but are approvable at a lower Telephone Number Fax Number class,do you wish approval at the lower class. ❑ Yes ❑ No (��)�2�-j310 ( ) �� 7. Building Information 8. Submittal Request 9. Supervising Professional Inform�'.ion ❑ Complete Sprinkler-NFPA Proiect Review Requested ❑For Building �Same As Building Des�gner ❑ Partial Sprinkler - NFPA ❑New ❑Footing/Foundation �FOr HVAC �$ame As HVAC Desig��er � Unlimited Area Q Alteration ❑Building Supervising Pro (i di ferent rom designer) ❑ F�re Alarm ❑ Emergency Power J$�Addition ❑Permission To � Smoke Detection ❑ Hazard Enclosure ❑Revisions Start Registration�f ❑Use Change �HVAC Total Number of Stories ❑ILHR 70 Hist Code ❑Truss Number&Street ❑Variance ❑Precast Building Footprint Area sq ft ❑Preliminary ❑Structural Soil Bearing Capacity psf �Canopy �Laminated Wood City,State,Zip Co e ❑ Presumed ❑Bleacher ❑Metal Building ❑ verified ❑ Tower ❑JoisUGirder Te ep one Num er ❑Other � 10. Related Business Systems-Please call the respective Program for clarification and plan submittal requirements. ❑ Elevators(608-267-3576)includes: ❑ Flammable/Combustible Liquid(608-267-1379) ❑ Bo�ler/Pressure Vessel(608-266-1904) p Passenger elevator meeting ILHR 18 req. Will any portion of this buildi�g be used for ❑ Mechanical Refrigeration/AC(608)266-1904 ❑ Freight elevator meeting ILHR 18 req. storage or dispensing of flammable/ ❑ Plumbing(608-266-3815) ❑ Part 5 lift(residential type) combustible liquids as covered by ILHR 10? Sewer: ❑ Part 20 lift(wheel<ha�r I�ft) � Yes ❑ No ❑ Municipal ❑ Private Sewage System S��-�te(R.t2�9z) -CONTINUE ON REVERSE SIDE- t 11. Caiculation of Fees ` Area: The area of a floor is the area bounded by the exterior surface of the building walls or the outside f�-+ce'of columns where there is no wall. Area includes all floor levels such as subbasements, basements,grc.und floors, mezzanines,balconies, lofts,all stories and all roofed areas including porches and garages,except for cantilevered canopies on the building wall. Use the roof area for free standing canopies. Total are�is the summation of all floor areas. Attach a separate sheet if necessary for the calculations below: Floor Level (specify) Length X Width = Area ��z��1wD do X �.� = 9�0 x - � x - x - x - Total Area = c�/,��y ❑ Project NOT located in certified municipality(go to Fee Schedule Table 2.31-1). �$, Project located in certified municipality(go to Fee Schedule Table 2.31-2). (See Fee Schedule for list of certified municipalities.) ❑ Building and HVAC . . . . . . . . . . . . . . . . . . • - . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee $ ❑ Building Only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee $ (�,� HVAC Only Fee $ ��v ;'.� ❑ Revision To Previously Approved Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee � ❑ Permission To Start . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee $ ❑ Pre-luly 1992 Building Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee $ ❑ Other . . . . . . . . . . . . . . . . . . . . . . . . Fee $ Total Fee = $ [�d �� 12. OWNER'S STATEMENT(ILHR 50.11): I request that plans be reviewed for compliance with the code requirements set forth in Chapters ILHR 50-64 of the rules of the department. I recognize that I am responsible for compliar.c�with all code requirements and any conditions of plan approval. If this building exceeds 50,000 cubic feet in tota! volume, I will retain a supervising professional as required by ILHR 50.10 throughout construction to project completion and the filing of a Completion Statement by the supervising profession�,l. i �, Owner's Signature: Name&Title Original Print �"'4 13. DESIGNER'S STATEMENT: DESIGN(ILHR 50.07-50.09)if this building,following construction of this p�oject,contains more than 50,000 cubic feet in total volume,plans are required to be prepared,signed,sealed and dated by a Wisconsin registered engineer or architect(ILHR 50.07(2)). Signatures and seals shall be original. The department expects,and re9uires,that the project designer review individual component submittals for compliance with the general design concept. The project desicner,and department,will rely on the seal o�the component designers for compliance with the codes as they apply to their designs. Total cubic foot volume of the building upon completion of this project: � Less Than 50,000 ❑ 50,00lZ or Greater Design loads have been indicated on the plans. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (� YE,s ❑ N/A Firewall schematic plan has been included. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Y�:s (� N/A All applicable items required by ILHR 50.12 have been included. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yes ❑ N/A I certify that the submitted plans were prepared under my supervision,are accurate,and to the best of my knowle�g� comply with the applicable codes of the Department of Industry, Labor and Human Relations. Onginal Signature of Building Designer ( Building � Date Signed Orig nal Signature of VAC Desi ner ___ Date Signed � Submittal �� .�`��L� r �y/ — 4 ` (Lf Or�g�nal Signature o Building Designer COmponent Date Signe Name o Compone t Design Firm � Submlttal ��R.n.�--�+��w��.e�.� 14. SUPERVISING PROFESSIONAL'S STATEMENT: (ILHR 50.10) I have been retained by the owner as the su;:��rvising professional per ILHR 50.10 f�r the performance or supervision of reasonable on-the-site observations ta determir-�if the construction is in substantial compliance with the approved plans and specifications. Upon completion of construction, I will file a written statement with the department certifying that,to the best of my knowledge and belief,construction has or has not been performed in substantial compliance with the approved plans and specifications. Or�ginal Signature o Pro essional Supervising The Building Date Signed Origi �al Signature o Pr essiona �upervi The HVAC Date Signe��y J y'�� " �'� � �' Hayward Of!ice La Crosse Office Madison Office Shawano Office Waukesha Office 209 W. t zt Street 2226 Rose Street 201 E Washington Ave 1053A E.Green Bay Street 401 Pilot Court,Suite C Rt 8,Box 8072 La Crosse,WI 54603 P.O.eox 7969 P.O.Box 434 Waukesha,WI 53188 Hayward,WI '>�-843 Phone(608)785-9334 Madison,WI 53707 Shawano,WI 54166 Phone!414)548 8600 Phone(715)63- 4870 Fax(608)785-9330 Phone(60A;266-8735 Phone(715)524-3626 Fax(%t t n)548-8G"� Fax(715)634-5 Q Fax(608)267-9565 Fax(715)524-3633 <;�....'.��,.:.�.�.... .