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Home My WebLink About0099226 HOSHKOSH ON THE WATER Job Address 693 N MAIN ST Contractor MARX MECHANICAL LLC Fuel ~ Gas System [] New L~a Forced Air ] I Electric CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Chimney Type ~ ChimneyA Heat Loss ~ As Approved BTU Rate ~ As Per Plan Owner GRACE BROWN 510 - Ind. & Comm-Heating & Ventilating Category Solar Oil I U Electric [] Replace Radiant I L~ Steam I b-J NC Hot Water ] ~j Suppl. ] ~ Con. Burner Chimney B ~ Direct Vent ~I Not Applicable I ~ Existing O Not Applicable ] Value ~.~ Variable O Other I Value No 99226 Create Date 12/26/2002 Plan b~ Solid [] Other Vent Use/Natureof Work ~COMM/ RENTAL/Install 50m btu input furnace in upper apt. Fees: Valuation $4,200.00 Plan Approval $0,00 Permit Fee Paid Issued By: [] Permit Voided $68.00 Date 12/30/2002 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 4535 STATE ROAD 91 OSHKOSH WI 54904 -6304 Telephone Number (920) 235-6510 City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 23625084 HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. O/HKO/H ON THE WATER Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor participating in the Permit_fee Account System and have adequate funds, check here (['you want this processed through your account [-] DATE 12 -lY ~ental []Commercial I-1Indtf~trial X~/~)~q~J"x SYSTEM F1New ~eptace /~M~) ~Other CONTRACTOR []Multi-Family CHECK [] ALL APPLICABLE USE CATEGORY []Single Family nDuplex FUEL [[BGas 12Electric E]Solid r-lOil nSolar TYPE ~lSrorced Air FqRadiant [qSteam nA/C F1Vent mElectric nHot Water nSuppl, riCoh. BUrner IS CHIMNEY BEING I,INED l~Xlo I-lYes - L~R SIZE Note: All chimneys shall be sized per the BTU's being vented. & MANUFACTURER CHIMNEY TYPE HEAT LOSS BTU RATE []Chimney A I-lAs Approved mAs Per Plan []Chimney B []Existing []Variable []Direct Vent [5]Not Applicable F1Other Value []Other DESCRIPTION OF ALL WORK BEING DONE INqo~ ~lq O M, 56,066 ~I1A VALUE (Including labor and all materials including light fixtures) $ ELECTRICAL CONTRACTOR -1~--~ OW{~ ~{-,S ~ f~ I'~ ~ B For applicable projects, a~n Electric Installation Verification form, signcd by the Electrical Co~tractor, must be attached. If not attached or not applicable, a separate Electrical Permit is required. 9/02 ~IScheck C6~'~IPLIA}ICE RE~ORT ~lisconsin Uniform P~etling Code ~IScheck Software Version 1.0 Release COUNTY: ~,~innebago HEATING TI~2E: Non-Electric DATE: 12-i~-2002 UDC COMPLIANCE: Passes Code-Allowed UA = 133 Your Home = 37.6% Better Than Code Permit # Checked by/Date Area or Cavity Cont. Glazing/Door Perimeten~ R-Value R-Value U-Value UA CEILINGS 800 ~ALL$: ~ood Frame, 16" O.C. 800 GLAZING: ~indows or Doors~ Above Grade 36 I{,/AC EQUIPI',~NT: Furnace, 92.0 44.0 19.0 0.0 0.360 COMPLIA}ICE fJTATEI'{ENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the pemuit application. The proposed building has been designed, tc meet the requirements ~ ~" consin Uniform [~.~'e!ling Code. Builder/Des igne~ 22 48 BUILDING/STRUCTURE/HVAC PLANS APPROVAL APPLICATION W,sconsln Department of Industry, - Complete Both Sides- labor & Human Relations _ E-Fiie Safety & Buildings D~vision Bureau of Buddings & Structures Scheduhng Information - complete when calling to scheduie review: Plan No. INSTRUCTIONS: Fill in at! applicable data. Caution: Failure to complete the fo'~m 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 one data as required by ILHR S0.12. Plans 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 tile building plans must be submitted to the office which did the project's initial review. 1. Owner information ~ontact Person ]leiephone Number 3s- Fl'q ~ax NumbEr 4. Building History !?revlous Owner(s) 0f any} ~re~ous Plan or File No, ';~arlance No ] Preliminary NO ~ther lnformaf, i0n (previous use, last submission) 7. Building Information [] Complete Sprinkler - NFPA [] Partial Sprinkler - NFPA [] Unlimited Area [] Fire Alarm ~_] Emergency Power [] Smoke Detection [] Hazard Enclosure T~tai Number of Stories Building Footprint Area sq ft Soil Bearing Capacity psf [] Presumed [] Verified Project Information Bu~idmg Occuparlcy Chapter(s) And Use: 1 Tenant Name (if any) Budding Location (number & street) [] Vdlage [] Town'~hlp Of 3. Building .or Structure Designer Information Designer i Registration Design F~rrn Number & Street City, State, Z~p Code Contact Person Telephone Number ] Fax Number Return Plans To: [] Owner [] Designer [] Other 6. HVAC Designer information Designer Property ID No. (tax parcel no. - contact county) GovernmentOwned []Yes i-]No Government Leased Or Operated [] Yes [] No 5. Construction Class Requested [] 1. F~re Resistive Type A [] 2. Fire Res,stwe Type B [] 3. Metal Frame- Protected [] 4. Heavy Timber [] 5A Exterior Masonry- Protected [] 58. Exterior Masonry- Unprotected [] '6. Metal Frame - Unprotected [] 7. Wood Frame - Protected [] 8. Wood Frame - Unorotected If plans do not show comphance w~th requested Construction doss but are appfovable at a lowe~ class, do you w~sh approval at the ~owqr class? ~ Yes [-~ No 8. Submittal Request P rolect Review Requested [] New [] Footing/Foundation {~Alterat~on [] Budding L~ Addition [] Permission To [] Rews~ons Start [] U~e Change ~i~ HVAC [] ILHR 70 H~st Code []ti-russ [] Variance [] Precast [] Preliminary [] Structural [] Canopy [] Laminated Wood [] Bleacher [] Metal Building [] Towe~ [] Jo~st/Girder [] Other Registration # n Firm Number & Street City, State, Zip Cooe -Gq lOq Supervising Professional Information [~] For Building '-']For H VAC ~'] Same As Building Designer ]---~ Same As HVAC Designer :rent from designer) Registration # Number & Street City, State, Z~p Code Number Related Business Systems - Please call the respective Program for clarification and plan submittal requirements. [] PasSenger elevator'~neeting 1LHR 18 req. El Freight elevator meeting ILHR 18 teq. [-'1 Part Stilt {residential type) [] Part 20 lift [wheelchair tilt) 5~D-'t ~8 (R. ~2/92) ...... , . .. - CONTINUE ON I~'Ei/ERSE SIDE- [] Mechanical Refrigeration/AC (608) 256-1904 [] Plumbing (608-266-3815) Sewer: [] Municipal [] Priv,~te Sewage System ~-a]cutatlon ot kees 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 att 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. 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 Scfi~uie for list of certified municipalities.) [] Building~nd HVAC ...................... '-~-: ................ ' ........ Fee Width = Area [] Building Only .............................................. : ...... Fee $ ' [] HV_~CC~-,y __ ~.~...:.-: ' . -' ..................... . .................................. Fee $ ...... L~ F~evision To Previously Approved Plan ................................ Fee [] Pre-July 1992 Building Components ................................. Fee $ [] Other ........................ Fee ...... Total Fee = $ · 2. .OWNER'S STATEMENT (ILHR 50.11): I request that plans be reviewed for compliance with the code requirements set forth in Ch a pters ILHR 50-64 of the rules of the department. I recognize that I am responsible for compliance with ail code requirements and any conditions of plan approval. If 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: ,.z~_e~,_~ ?~"~~ /,~-/~-~,Name & Title ~'~ Original Print DESIGNER'S STATEMENT! DESIiSN (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 register'ed 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 genera design concept. The project designer, and department, will rely on the seal of the compo~ent designers for compliance with the codes as they ~pply to their designs. Totat cubic foot votume of t~he building upon completion of this project: [] Less Than S0,000 [] 50,000 or Greater Desig:- ~oads have been indicated on the plans ............................................... [] Yes [] N/A Fir'ew~]] schernaticplan ha~'eenincluded ................. : ................................. [] Yes C~] N/A Allapplicabteitems~equired by lLHR S0.12 have been included ................................ [] Yes [] N/A I ' I: + ~ "1' · , ce~ ,y ,h-at the ~ubm~,t-ed--p~ans WeTe'p~d u'nd:e'r my super~'~s-~on;-a~e acc-ufa Le;~and to the best of my' knc;wledge comply with the applicable codes of the Department of Industry, Labor and Human Relations. Signature of g -- ~, Submittal ] I' ..... ~... 8uddin Desiqn~r / 8u,lding '~ lr)~,t~ Signature of BUdding Designer ( Com~nem ~ JDate signed ~ SubmitTal ]I t Origin~a! $ignat?~ ~ent Design Fir~ 14. SUPERVISING PROFESSIONAL'S STATEMENT: (1LHR 50.10) have been retained bythe owner as the supervising professional per ILHR 50.10 fc, r the pbrformance 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. ' Ortglna' Sign-a'ture O''P:iiilsi°na iupervisi"12 The Bull'--i'ii'~at~ Signed "10r'gina' Signature °f Pr°'e"i°nat supervising The HvA- '. L-_ -". Hayward Office La Crosse Office Madison Off~ce Shawano Offi(e Waukesha Office - · 209W. lstStreet 2226 Rose Street 201E. Washington Ave; 1053AE. Green Bay Street '. ' 401 Pilot Court, SuiteC Rt 8, Box 8072 La Crosse, Wt 54603 P.O. Box 7969 .. ' P.O. Box 434 . Waukesha, WI 53188 · · Haywardo 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(q14)548-8614 Fax(715) 634-5150 ......... · ' '-' '~'Fax~608) 267-9566 . '~, ~ Fax (715) 524-3633 "' ....................... ' ..... ' " IDate Signed t1 - Attach a separate sheet if necessary for the calculations below: Floor Level (specify) Length X X X X X X