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Home My WebLink About0033273-HVAC ~ CITY OF OSHKOSH N~ PERMIT - APPLICATION AND RECORD fit:) 33273 TYPE: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- BLDG 0 HTG ~ ELEC 0 PLBG 0 SIGN 0 ZONING - FLOOD PLAIN- HEIGHT- OWNER 17? / JCU/k5c/U 51/ {lCb! ph Hat' ~c n PLAN NO. ADDRESS DESIGNER ~-e ß;o//er ¡:{c:øml',¡r ¡h£/~¡o USE/NATURE OF WORK BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Occupancy Permit Foundation Class of Const. HEATING CONTRACTOR fI. a f' 1> 1J--'1r7 ~ ~ Heat rp AlC 0 Vent 0 Fuel/System IV-- c;:¡ . Heat Loss 05 /JfP BTU'S#"t7z9 ~ , ELECTRIC CONTRACTOR Electric Servo New 0 Change 0 Temp 0 Type - Volts - Amps- Fixtures Switches Receptacles . Circuits PLUMBING CONTRACTOR _Lav _WH _Sh _Disp _OW _WSolt _OF - CBasin - San. Sewer _BT _WC _FOr _LTub _SP - Eject _Ur - Storm Sewer _Sink Other _SS _Water FEES: Valuation $ .1JC:? f5./ . 00 ISSUED BY ~ / V Permit Fee Paid $ ~. d-O Date ///4/'93 Park Dedication $ Final/O.P. 1-/0-9.2, In the performance of this work I agree to perform all work pursuant to rules governing the described construction. "G",ru",~. h ttl~~ -~ ~. ADDRESS X. ~ 4þ/V'il JdS-ZE5J 0 TELEPHONE # APPL DATE Yjjj1.3 ADDRESS ~31 ";-ac.k5CJÞ1 ;¡;'r. . OWNER Rc¿ / ø~ Hal' 7---zeÞl NATURE OF \WRK ¡ÚpJoce øø/J~r "'" Røm,';u¡ A6-~e.. êEATING CONTRACTOR /Y.a Ý' J(j JIJ1 FUEL: rgJ OIL ELEC. SOLAR PERMIT NO. 'j'1~71 SOLID CHIMNEY: "B" DIRECT VENT CON. BURNER CALCULATED HEAT LOSS #..; #pp SYSTEM BTU RATING J/t7P/t/'t7-t1J MISC. INSP. ROUGH IN EST. COST 5'19$'}I . o-r:::; REMARKS f(it. W . SUPPL. CONDITIONING SYSTEM " )s,.o" ,'I'sec',- 'i490:."3~ City of Oshkosh 1~ '- -'0"- 'r- , ~ So, . '~.: ~ QfHKQfH ON THE WATER MARX HEATING & AIC INC. 4535 COUNTY ROAD X OSHKOSH, WI. 54904-9244 4/7/93 Dear Mr .MARX: Heating and Cooling unit replacement 531 JACKSON ST OSHKOSH, WI. RALPH MARTEN-OWNER FILE #23-493H BOARDING HOUSE 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, --þ, Cï! éi~<NU:- Lee A. Erdmann Heating Inspector LE/mjf t CI1' HALL 2'5 CI'".ch A,enuc p 0 B" "30 ',.",":"",., City of Oshkosh DATE /J-b-9!J "" ". ,. ':i. , ""."" ~ 07FROJR ON THE WATER COMPANY NAME MARX HEATING & A/C INC. ADDRESS 4535 COUNTY ROAD X CITY/STATE/ZIP OSHKOSH WI 54904-9244 APPROVAL REQUIRMENTS FOR, REPLACEMENT OF COMMERCIAL AND INDUSTRIAL HEAtING AND COOLINGl EQUIPMENT FOR BUILDINGS UNDER 1ÐO,OOO CUBIC FEET IN AREA. ~ 1) Owner of the bui~ding RALPH MARTEN ROUTE 5 NEW LONDON WI 54961 ï~ I ~: 2) Address of the building 531 JACKSON ST OSHKOSH WI 54901 3) What the building is used for BOARDING HOUSE 4) Equipment being replaced (model,serial number and size) WElL McLAIN SIZE C-7-S SERIES 2 1000'SQ FT STEAM 5) New equipment (model and size) WElL McLAIN EGH-95 STEAM BOILER 4.00MBH INPUT 320 MBH 6) Was there adequate heating &/or cooling? YES 7) How was the new unit sized? BY THE OLD UNIT 8) Is there a boiler/furnace room? YES 9) Please include State SßD118 Form with a'$OO.OO Fee ,¡-1- f/rg)f HEATING & VENTILATiON P~AN~ APR P¡vi[\\fED BY CITY OF OSH\\OSH ,,\[, v i ~.. ., I °EQUIR:i11ENTS Of WISCONSIN ,OR vJMr'LlMvc, .1.Tf'~~OI' 'NO HUMAN RELATIO~IS iJPï\JrINDUS1R'I, I"~ ~, 3f-E CORRESPOND EN ~ ;993 '(¡isconsin Department of Industry, Labor & Human Relations Safety & Buildings Division Bu.eau of Buildings & Structures BUILDING/STRUCTURE/HVAC PLANS APPROVAL APPUCA TI ON - Complete Both Sides- Scheduling Information - complete when calling to schedule review: INSTRUCTIONS: Fill in all applicable data, Caution: Failuretocomplete the form entirely may cause additional Submittal of this Plans Approval Application is required for each building, Submit this form with at least 4 which include details and data as required by ILHR 50,12, P!ãñS may be submitted to any ofthe plan revi~w on the reverse side, Projects are scheduled for review, Please call the selected office prior to submittal. submitted independently from the building plans must be submitted to the office which did the project's 1, Owner Information 2. Project Information 3, Building or Structure Dc Information Name Building Occupancy Chapter(s) And Use: Designer I""'."~..'~' RALPH MARTEN I '-<¡rnpany Name Tenant Name (ifany) DeSIgn Firm BOARDING HOUSE 14 ROOMS~TENANTS Number & Street Building Location (number & street) Number & Street _.., 531 JACKSON ST 531 JACKSON. ST City, State, Zip Code !XCity 0 Village 0 TownshipOf City, State, Zip Code OSHKOSH WI 54901 OSHKOSH -" Contact Pe"on County Of Contact Pe"on WAYNE MARTEN WINNEBAGO Telephone Number Property ID No, (tax parcel no, - contact county) Telephone Number I Fax Numb.. (414) 426-2613 ( ) () Fax Number Government Owned DYes Ø'No Return Plans To: 0 Owner 0 Designer ( ) Government Leased Or Operated 0 Yes g:No 0 Other - 4, Building History 5. Construction Class Requested 6. HVAC Designer Information I're"ous Owner(s) (if any) 0 1. Fire Resistive Type A Designer I Reg"'rat,,,. JERRY KOWAL 0 2, Fire Resistive Type B CARL MARX 0 3, Metal Frame - Protected Design Firm 0 4, Heavy Timber MARX HEATING & Alc INC Pre,ious Plan or File Nu, 0 SA, Exterior Masonry - Protected Number & Street 0 5B, Exterior Masonry - Unprotected 4535 CX>UNTY ROAD X Variance No, I Preliminary No, 0 6, I\'Ietal Frame - Unprotected City. State, Zip Code 0 7, Wood Frame - Protected OSHKOSH WI 54904-9244 Other Information (previous use. last submission) 0 8, Wood Frame - Unprotected Contact Pe"on If plans do notshow êompliancèwit~ reqllested CARL MARX OR SANDY SCHAErZ Construction class but are approvable at a lower Telephone Number I Fax Number class. do you wish approval atthe lower class) 0 Yes 0 No <414)235 6510 11141235':'6210 7, Building Information 8. Submittal Request 9. Supervising Professionallnformatio II Complete Sprinkler- NFPA Project Review Requested 0 For Building 0 Same As Buildrnu U PartIal Sprinkler ' NFPA aNew ',.. 0 FootinglFoundation OForHvAC @SarneAS"V^~_-, 0 Alteration 0 8uilding 0 Unlimited Area Supe"ising Prof (if d,fferent I.om <I"",!",. 0 Fire Alarm 0 Emergency Power 0 Addition 0 Permission To 0 Smqke Detection 0 Hazard Enclosure 0 Revisions Start Reg"tratlon # - 0 Use Change JilfHVAC Total Number of Stories 0 ILHR 70 Hist Code 0 Truss - Number & Street sqr. 0 Variance D Precast Building Footprint Area 0 Preliminary 0 Structural Soil Bearing Capacity psf 0 Canopy 0 Laminated Wood City, State, Zip Code 0 Presumed 0 Bleacher . 0 Metal8uilding 0 Tower 0 Joist/Girder Te ephone Number 0 Verified 0 Other 10, Related Business Systems', Please call the respective Program for clarification and plan submittal requirements, 0 Elevators (608-267,3576) includes: 0 Passenger elevator meeting ILHR 18 req, 0 FreIght elevator meeting ILHR 18 req, 0 Part S lift (residential type) 0 Part201ir.(wheelchairlift) SBDol18(R,12192) 0 Flammable/Combustible Liquid (608-267-1379) Will any portion of this building be used for storage or dispensing of flammable / combustible liquids as covered by ILHR 10) 0 Yes 0 No - CONTINUE ON REVERSE SIDE, 0 Boiler/Pressure Vessel (6080266,19041 0 Mechanical Refrigeration/AC (608) 0 Plumbing (608,266,3815) Sewer: 0 Municipal 0 Pri'ate Sewage SY""~ Calculation of Fees . Area: The area of a floor is the area bounded by the¡xterior suriace of the building walls or the outside face of columns wher,,: there is no ~all. Area incl~desal.l floor levels such as subbasements, basements, ground floors, mezzanines, balconies, lofts, all storresand all roofed areas including porches and garages except f()' cantilevered canopies on the building.. W.a. II. ...U.se th..e. roof area forfree standing canopies, Total drea is the summation of all floor areas, '.,. '...'.".",....", Attach a separate sheet if necessary for the calculations below: Floor Level (specify) Length X . X ,X X X . X 11. Width Total Area 0 Project NOT located in certified municipality (go to Fee Schedule Table 2,31-1), 0 Project located in certified municipality (go to Fee Schedule Table 2.31-2). (See Fee Schedule for list of certified municipalities,) 0 Building and HVAC .."..,..,..,..,....,..,:,......,....,....,..,.. Fee 0 Building Only, , , , .... , .., ..,.. ..' ,............ .. ....' .. .., ....' .., Fee 0 HVACOnly ,..",..",..,..,..,....,..,......,....,..",..,....,.., Fee 0 RevisionToPreviouslyApprovedPlan .,....,.,..",.""..'""",'" Fee 0 Permission To Start ",..,..,..,..,....,....,..,......,....,..",." Fee 0 Pre-July 1992 Building Components ....,......, .. ...., ...., .., Fee 0 Other .. .. .. .. , .. .. , , , .. .. , , " Fee Total Fee ... "~ Area ---'-' $ $ $ $ $ $ $ $ 12, OWNER'S STATEMENT (ILHR 50,11): I request that plans be reviewed for compliance with the code requirements set forth in Chapters rum :;0-G4 of th" rui,;s of the department, I recognize that I am responsible for compliance with all code requirements and any conditions of plan approval. Ifthis building exceeds 50,000 cubic feet in total volume, ' 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: Narne & Title PClnt ,)r¡,inal 13, DESIGNER'S STATEMENT: DESIGN (ILHR 50,07-50,09) ifthis building, following construction of this project, coniC)' more than 50,000 cubic feet in total volume, plans are required to be prepared, signed, sealed and elaled i1;' Wisconsin registered engineer or architect (ILHR 50,07(2», Signatures and seals shall be origlnJ: The department expects, and requires, that the project designer review individual cornponent sub",i lldl, 'f. compliance with the general design concept, The project designer, and department, will rely on the sea: or l!',:' component designers for compliance with the codes as they apply to their designs, Total cubic foot volume ofthe building upon completion ofthis project: 0 Less Than 50,000 0 50,000 or G¡ ",' Desiyn loadshav" b".m inJi<dieJ o,r the plans, .""""""""","'" 0 Yes ,'" Firewall schematic plan has been included, """"""""""", 0 Yes ... All applicabl" itemsrequir"d by ILHRSO,12 have beerl included, """""""", 0 YeS I certify that the submitted plans were prepared under my supervision, are accurate, and to the best of my kno',,':, comply with the applicable codes of the Department of Industry, Labor and Human Relations, O,ig,"al Signature of Bu;ding Designer ( s~~~:;'.~I) Date Signed Original Signature of HVAC Designer l:a)I:';"9;;' .. O"'Jinal S'gnature 01 Building DeSIgner ( C~=;i.;:t) Date Signed Name 0 Component Design Firm 14, SUPERVISING PROFESSIONAL'S STATEMENT: (lLHR 50.10) I have been retained by the owner as the supervising professional per ILHR 50,10 fc,( the performance or supervision of reasonable on-the-site observations to detern'" ',e 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 an,' belief, construction has or has not been performed in substantial compliance with the approved plans and specifications, Original Signature of Prof""ional Suporvising The Bun ing Date Signed Hayward OffICe 209W.1stStreet Rt S, Box SO72 Hayward, WI S4843 Phone (715) 634,4870 fox(715)634,5150 La Crosse Office 2226 Rose Street La Crosse, WI 54603 Phone (60S) 78S-9334 Fax (608) 785-9330 ShawanoO flee 1053AE,GreenBaySt,eet P.O. Box434 Shawano, WI 54166 Phone (71 S) 524-3626 ,ax (115) 524-3633 ~ I