HomeMy WebLinkAboutHVAC #36-396H Plan Approval Date 3/29/96
Company Name
Address
City/State/Zip
TENTH STREET STATION
924 OHIO ST.
OSHKOSH, WI. 54901
Dear Mr. PERGOLSKI:
Heating and Cooling Unit Replacement:
Address 631 W. 4TH AVE.
Oshkosh
Owners NamePIED PIPER DAY CARE CENTER
File #36-396H
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,
Lee A. Erdmann
H.V.A.C. Inspector
CITY HALL
215 Church Avenue
P O Box 1130
Oshkr~sh Wisconsin
54902- ~ ~ 30
ON THE WATER
City of Oshkosh
COMPANY NAME
ADDRESS
CITY/STATE/ZIP
APPROVAL REQUIRMENTS FOR,
REPLACEMENT OF COMMERCIAL AND INDUSTRIAL HEATING AND COOLING
EQUIPMENT FOR BUILDINGS UNDER 100,000 CUBIC FEET IN AREA.
1) Owner of the building
2) Address of the building
3) What the buildiqg is used for
4) Equipment being replaced (model,serial number and size)
5) New equipment (model and size)
6) Was ther~ adequate heating .&/or cooling?
d
8) Is there a boiler/furnace room?
9) Please include State SBDll8 Form with a $27,00 Fee
HEATING & VENTILATION PLANS
REVIEWED BY CITY OF OSHKOSH
FOR COMPLIANCE WITH REQUIREMENTS OF WISCONSIN
DEPI. OF iNDUSTRY, LABOR AND HUMAN RELATIONS
,~alety & Bu,ldings Oivis,on PLANS APPROVAL APPLICATION E--
~01 E. Wasnmgton Avenue
PO. 9ox ;'.°69 DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS
Madison. WI 53707 BtJI:JEAU OF BUILDINGS AND STRUCTURES PLAN NO~ ""'
INSTRUCTIONS: Fill in all applicable dat~. ~ubm~tl~l of tills Plan Approval Application form is required w~th each plan Submittal. wilh a mm~mum of 4
Sets of plans. Data rectulred iS described in code section ~LHR 50.12.
SUBMIT PLUIvJBt~,IG PLAI~IS SEPAI~ATELY. A~CO~ANJED I~ly PLUMBtNG PLAN APPLICATION'FORM $BD-6154.
Designer or DeSign firm []BLDG
I~VAC
Street & No.
City State & Zip
Contact Person
PUBLIC RECORDS: This Dian. and related documents, may be subject to public inspection and copying. (IND 69.0216)
I. This application for [] New Bldg [] Addn Io BI~g' [] Alteration [] Revision to previously ri!ivi~iwed Dian [] ILHR 70 HistBIdg
2. The Department ha~i prOceSSed a Petition for Variance for Ibis project? []Yes [] No: Preliminary Review? [] YeS [] No
3. Review pt the following building compbn~ints is requested. Plans and calculations are inclLided roi, I~ach component.
~-i Footing & FoundafiOrt [] Building [] structural [] HVAC [] Other:
4. The following consttUc'tton classification type ia r~quested and shown on planS. [] #1 Fire Resist. [] ~2 Fire ResiSt.
[] ~.3 Metal Frame Prot I-'li~I4 Hv¥ Tmbr 1"-1~.SA Msnry Prot []~,f-5B Msnry 1'--1~6 Metal Frame []~7 Wood Frame Prot 1'-'l~8 Wood Frame
5. II plans do not shOW compliance with r~queS{ed construction classification, but are apPrOV~ible at a lower class, do you wish plan approval at
the lower construction classification? [] Yea [] No
6. SOIL BEARING CAPACITY: The Soil I~leartng tssecl ~or'design is PSF. This value Is [] presumed [] verified
7. BUILDING SYSTEMS: Pteai~e Check appropriate boXeS [] Complete sprinkler [] Partialsprinkler [] Fire alarm [] Emergency Power
[] Cpm plele de}ectlort system [] Par{iai d~itecflon system. For partial systems, show area protected on plans or by leiter.
8. MECHANICAL INFORMATION: Total output rating of heating units is: BTUH. Air cond. [] Full [] Partial [] None
Primary fuel sOurce is [] Gas [] OII [] Electric [] L.P. [] Coal r"lwood []Solar [] Other
METAL
BUILDING
COMPONENTS INCLUDED WITH THIS SUBMITTAL
NOTE: Must be submiffed by building designer
Designer Name IReg. No
I
TRUSSES
PRECAST
CONCRETE
LAMINATED
WOOD
OTHER
(SPECIFY)
Supplier
Designer Name I Reg. No
~upplier
Designer Name I Reg. No
Supplier
Designer Name I Reg. No
Supplier
Designer Name I Reg. No
Supplier
10. FEES See current fee ~ummary or IND 69.09; and back of Iorm.
Building: ..Volume C.F....$
HVAC: ...... VolUme C.F....$
Alteration: ....Area S.F.... $
Structural: [Separate Submission only) ..... $
Fig & Fdn: (Separate .~lubmisston only) ...... $
Reviafon to prevloiJSly reviewed plan ....... $
Industrial Exhaust ...................................... $
Other: $
Prtorib/Review (Total of above fees) ........ $
Permission to Start .................................... $
Inspection Fee ........................................... $
Tolal .........................................................
OFFICE USE ONLY
Fee [] Owner
Paid [] Designer
By: [] Other
Date:.
Name of protesslonal SuDerwSing Building (Type pi' Print}
~.~nature pi Professional Supervising Building
[laUrie of Professional .,S~pervising PIV~eC (Type or Print}
Reg. No.
Date
Reg, No.
Oate
Addres~
Ali6t'atl6~
it,d m:~a§ including