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Home My WebLink About1995-HVAC (187-1195H) V \Y� � Y ,` Date 11/22/95 � Company Name MARX HTG. Address 4535 CTY ROAD X O HKO H City/State/Zip OSHKOSH, WL 54904 oN rHE wnrFu Dear Mr. MARX; � Heating and Cooling Unit Replacement: Address 911 WITZEL Oshkosh Owners Name JETSTREAM CAR WASH File #187-1195H CAR WASH Your Heating-Cooling replacement letter and calculations have been reviewed for compliance with important code requirements. Copies of the letter have been stamped and are being returned to the owner. This approval is not a Heating Permit. Necessary City permits must be obtained before commencing work. � 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. 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. Sincerely, �,� �� ,,��.�_---- �-v��- Lee A. Erdmann H.V.A.C. Inspector ' . � �, � City of Oshkosh O��H P.O. BOX 1130 OSHKOSH, WI 54902-1730 ON THE WAiER COMPANY NAME � -�-r- �'��1 �� \ ��s�ll v�� DATE l I— ��—a � �, I ADDRESS � I I 'n I j��;� �C V�j l �.l� CITY/STATE S �� l.J�l�"t b I OS-��o � APPROVAL REQUIRMENTS FOR REPLACEMENT OF COMMERCIAL AND INDUSTRIAL HEATING � AND COOLING EQUIPMENT FOR BUILDINGS UNDER 100,000 CUBIC FEET IN AREA. 1)OWNER OF BUILDING �� r-�,,�,� _ �n I�-r �"�,(► � � 1-C 1 l V PU �0�(. I 3 i 5 � — S T�� N��M t� �I{�� ►� D� l�L w r �y q �-I 3 i� 2)ADDRESS OF BUILDING q i i W �Tz� �� 3)WHAT THE BUILDING IS USED FOR �.�lJ J� I v� JS �� V V� J� 4) EQUIPMENT BEING REPLACED(MODEL,SIZE) . (\��.,!��, li�.�. 1� � 011�U ` � 5) NEW EQUIPMENT(MODEL,SIZE) I�� I U'V� I '" �� ZNOr� 5� 2,n0 CS�A�P�� ('-OM�U�TI c� � SI�I�I�� Si�L �U�.Nt�� N�� -�C�� 6)WAS THERE ADEQUATE HEATING8JOR COOLING? ��5 7) HOW WAS THE NEW UNIT SIZED? �y T}-I� �L� U N i i 8) IS THERE A BOILER/FURNACE ROOM? Nl� - NOT fi01'� T�15 �� l`C" �1 t�T�l� r � S �i�s�,�,� 9) PLEASE INCLUDE STATE FORM SBD118 WITH A$80.00 FEE. HEATI NG 8 VENTILATION PIANS REVIEWED BY CITY OF OSHK4SH FOR COMPLIANCE WITH REQUIREMENTS Of WISCONSIN �EPT.OF INDUSTRY,LABOR AND HUMAN RElATIONS = SEE CORRESPONDENCE 1f3 � �� /a�/9.� Y� C3 i . . . . .. . � . . . . `.. . - � . . �; _`� �.a . � �- . . . . � � . ". � � � + �^5��':. �':.. � � . . - . , . . __ . . _ . . ,�, �,�n, irti_.., ... .. . .... . , BUILDING/STRUCTURE/HVAC PLANS APPROVAL APPLICATION ' wisconsin Department of Industry, -Complete Both Sides- Labor&Human Relations E-File Safety&Buildings Division Schedulin Information-com I Bureau of euildings&Structures 9 p ete �p when calling to schedule review: Plan Na L12 ��// �/,r/� INSTRUCTIONS: Fill in all applicable data. Caution: Failure to complete the form entirely may cause additional delay. Submittal of this Plans Approval Application is required for each building. Submit this form with at least 4 sets of plans which include details and data as required by ILHR 50.12. P ans may be submitted to any of the plan review offices listed on the reverse side. Projects are scheduled for review. Please call the selected office prior to submittal. Any components submitted independently from the building plans must be submitted to the office which did the project's initial rev�ew. 1. Owner Information 2. Project Information 3. Building or Str�cture Designer Information Name Building Occupancy Chapter(s)And Use: Designer Registration A� Co any N me Tenant Name(if any) Design Firm �e� � � C.P�P�'J R�-I N mber&Street Building Lotation(number&street) Number&$treet �III ITZ-L �� y,State,Zip Code �'City ❑Village ❑ Township Of City,State,Zip Code K , �til ��Q01 < � Cor�tad Person County O Contact Person ' v �� I Telephone Number Property ID No.(tax parcel no.-contad county) Telephone Number Fax Number ��I I�I� 1 — lo l� c > c � Fax Number Government Owned ❑Yes �cJ No Return Plans To: ❑Owner ❑Designer ( ) ' Government Leased Or Operated Q Yes �No ❑Other 4. Building History 5. Construction Class Requested 6. HVAC Designer Information PrevYous Owner(s)(if any) � 1. Fire Resistive Type A Designer Registration# ❑ 2. Fire Resistive Type B ❑ 3. Metal Frame-Proteded Design Firm ❑ 4. Heavy Timber Previous Plan or File No. Number&Street ❑ 5A. Exterior Masonry-Protected ❑ 58. Exterior Masonry-Unproteded Variance No. Pre iminary No. � 6. Metal Frame-Unprotected City,State,Zip Code ❑ 7. WoodFrame-Protected Other Information(previous use,last submission) ❑ S. Wood frame-Unprotected Contad Person If plans do not show compliance with requested Construction class but are approvable at a lower Telephone Number Fax Number � class,do you wish approval at the lower class? ❑ Yes ❑ No ( ) ( ) 7. Building Information 8. Submittal Request � 9. Supervising Professional Information ❑ Complete Sprinkler-NFPA Proiect Review Requested ❑For Building �Same As Building Designer ❑ Partial Sprinkler - NFPA ❑New ❑Footing/Foundation �For HVAC �Same As HVAC Designer ❑ Unlimited Area ❑Alteration ❑Building Supervising Pro i di erent rom esigner) ❑ Fire Alarm ❑ Emergency Power ❑Addition ❑Permission To �I � � � � ❑ Smoke Detection ❑ Hazard Enclosure ❑Revisions Start Registration# ❑Use Change �HVAC Total Number of Stories ❑ILHR 70 Hist Code ❑Truss ❑Variance ❑Precast u�ber&Str et� � Building FootprintArea sq ft J J ❑Preliminary ❑Structural Soil Bearing Capacity psf �Cano p y ❑Laminated Wood Y•State,Zip Code �� ❑ Presumed ❑Bleacher ' �Metal Building �v � �'`�t ❑ Verified ❑ Tower ❑1oisUGirder Te ep one Num er ❑Other I y ' a�GJ �QSI O ; 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) O Boiler/Pressure Vessel(608-266-1904) p Passenger elevator meeting ILHR 18 req. Will any portion of this building be used for ❑ Mechanical RefrigerationfAC(608)266-1904 ❑ Freight elevator meeting ILHR 18 req. storage or dispensing of flammable/ p Plumbing(608-266-3815) ❑ Part 5 lift(residential type) combustible liquids as covered by ILHR 10? Sewer: ❑ Part 20 lift(wheelchair hft) ❑ Yes ❑ No ❑ Municipal ❑ Private Sewage System ' se�-��a(R.�2�2) -CONTINUE ON REVERSE SIDE- � ... . ..... . ..... , � 11. Calculation of Fees t w ' Area: The area of a floor is the area bounded by the exterior surface of the building walls or the outside face of ' columns where there is no wall. Area includes all floor levels such as subbasements,basements,ground ' 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 area is the summation of all floor areas. '� Attach a separate sheet if necessary for the calculations below: , � Floor Level(specify) Length X Width = Area ' X = � X = X = � '8 X � • X � Total Area = ❑ 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 OnIY ... . . . ........ .. . .... .......... .... .. .. .......... .... Fee $ ❑ HVAC Only ... . .. . .. . .. ... .. .. . .. ... ... . .. ... .. .... .. ..... ..... .... Fee $ ';, ❑ Revision To Previously Approved Plan . .. .. .. .. ... . .. .. .. .. .......... . Fee $ ; ❑ Permission To Start . . .. . .. . . . .. ... .. .. .. .. .. . . . . .. .. .. .. .. . ..... ... Fee $ ❑ Pre-luly 1992 Building Components .. . ...... .. ..... .............. ... Fee $ ❑ Other .. ..... . . ... .. ... .. .. . .. Fee $ Total Fee = $ 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 compliance with all code requirements and any conditions of plan approval. Ff this building exceeds 50,000 cubic feet in total 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 professional. Owner's Signature: Name&Title Original Print 13. DESIGNER'S STATEMENT: DESIGN(ILHR 50.07-50.09)if this building,following construction of this project,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 requires,that the project designer review individual component submittals for compliance with the general design concept. The project designer,and department,will rely on the seal of 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 ❑ 50,000 or Greater '� Design loads have been indicated on the plans. . . . . .... .. .. .. .. ..... ... .. . .. .... ..... .... .. . . ❑ Yes ❑ N/A Firewall schematic plan has been included. .. ... .. .. .. .. .. . ..... .. . .. .. ... ... . ... .... .. . . .... ❑ Yes ❑ N/A ` ' All appticable 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 knowledge compfy with the applicable codes of the Department of Industry,�abor and Human Relations. Original5ignature of Building Designer ( euilding � Date Signed Original Signature of HVAC Designer Date Signed � Submittal Original Signature o Building Designer comPonem ate Signe Name o Component Design Firm Submittal � 14. SUPERVISING PROFESSIONAL'S STATEMENT: (ILHR 50.10) I have been retained by the owner as the supervising professional per ILHR 50.10 fc.r the performance or supervision of reasonable on-the-site observations to determine 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. Original Signature o Pro essiona Supervising T e Building Date Signed Original Signature o Pro essiona Supervising The HVAC Date Signed Y Hayward Office La Crosse Office Madison Office Shawano Office Waukesha Office 209 w.1 st 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.Box 7969 P.O.Box 434 Waukesha,WI 53 t 88 Hayward,WI 54843 Phone(608)785-9334 Madison,WI 53707 Shawano,WI 54166 Phone(414)548-8600 Phone(715)634-4870 Fax(608)785-9330 Phone(608)266-8735 Phone(715)524-3626 Fax(414)548-8614 Fax(715)634-5150 Fax(608)267-9566 fax(715)524-3633