HomeMy WebLinkAbout0117177 H
e
OSHKOSH
ON THE WATER
Job Address 3420 MARVEL DR
CITY OF OSHKOSH
No
117177
HVAC PERMIT -APPLICATION AND RECORD
Owner
NORTHWESTERN ENVIRONMENTAL SYE
Create Date 11/07/2005
Plan P1-39-0605
Contractor D R KOHLMAN INC
Fuel 1,1'1 Gas
System [7] New
~ Forced Air
I I Electric
Chimney Type K) Chimney A
Heat Loss . As Approved
BTU Rate . As Per Plan
Category 512 -Ind. & Comm-Both
I 1 Electric
1 1 Solar
1 I Solid
1 1 Oil
I
U Radiant
I I HotWater
e ) Chimney B
n Replace
U Steam
I I Suppl.
n Other
. Direct Vent
~ PJC I
I I Can. Burner I
e ) Not Applicable
U Vent
e ) Existing
e ) Variable
e ) Not Applicable
e) Other
Value
Value
Use/Nature IND/ AFTER THE FACT PERMIT -Installation of HVAC system as per State Transaction ID # 1150848
of Work
$36,000.00
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$360.00
Issued By:
Date 11/07/2005
D Permit Voided I
Parcelld #
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
AgenUOwner
Address
117 CHURCH ST P.O. BOX 76
ST CLOUD
WI 53079 - 76
Telephone Number
920-999-4631
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
JUL 2 6 2005
Safety and Buildings
2331 SAN LUIS PL STE 150
GREEN BAY WI 54304
TDD #: (608) 264-8777
www.commerce.wLgov/sb/
www.wisconsin.gov
. ¡, commerce.wi.gov
~ !!E9 J!!IQ
DEFt\F?TiVian Of
Cû¡á¡i:¡jí~ïí'Y ùE~Ei..¡:;¡ììíj~f
Jim Doyle, Governor
Mary P. Burke, Secretary
July 21, 2005
CUST ID No.256352
ATTN: Buildings & Structures Inspector
BRUCE E GRIFFIN
GUST AVE LARSON COMPANY
4537 PFLAUM RD
MADISON WI 53718
BUILDING INSPECTION
CITY OF OSHKOSH
POR 1130
OSHKOSH WI 54902
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 07/21/2006
SITE:
Northwestern Environmental Systems
3420 Marvel Drive
City of Oshkosh, 54903
FOR:
Ohject Type: HV AC ICC System Regnlated Object ID No.: 1026260
11,950 sq It Area Heated
The submittal described above has been reviewed for confonnance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. If plan index sheets
were submitted in lieu of additional full plansets, a copy of this approval letter and index sheet shall be attached to
plans that correspond with the copy on file with the Department. All permits required by the state or the local
municipality shall be obtained prior to commencement of construction/installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Fee Required $
Fee Received $
Balance Due $
440.00
440.00
0.00
ohnJWo ba
Plan Reviewer, Integrated Services
(920)492-6500,7:45 am - 4:30PM
jwotruba@commerce.state.wi.us
cc: Peter R Ochs, Building Inspector, (920) 948-3500, Friday, 7:45 A.M. - 4:30 P.M.
Robert Dahl, Dabl Properties LLC
OCT-14-¿UO~ FRI 09:1í AM Gustave A. Ld:son Co,
F~X HO, 16082218178
p, 02/02
Buildings, HVAC, Compliance Statement
Thisforll1 \$ te\ uired to be submitted by tae supervising professional (a~chire<:t, engineo>.r, HVAC designer orelectriœl
designer) observing constlu.;ûon of proj¡¡(~s within buìl:iings With total a:eas 50,000 cubic feet or greater and bleachers
(Comm 50.101Comm 61.50). Failure to sJbmit this form may result in p;naltiesa~ specified in Comm 50.26fComm61.23
andlor local ord¡Mnce~.
Genera! Instructions: Prior to the initial occupancy of new buildings or additions and the final occupancy of
altered existing buì!dings, submit this completed and sig:ìed forr¡¡ b:
. Themunicipal buikJir.g inspection office and.
. Safetj' and Buildings, 10541N Ranch Road Hayward, Wi. 54643
Pe~O!\al informatioll yo~ provide may be used tor $.'~ond3ry pUlp<:).e~ [Privacy Law, >. 15.1)4 (1j(m)].
1. PROJECT INFORMATION: Please fiil if) the foi:o'Ning with i:lformatior¡ from your plan approval letter.
Transaction 10 Number 1150843
Site Number 698693
Site location (number & street) - 3420 [~ar",,-l D~ive (North.estern Environment System8)
,W' City 0 Village 0 Tç,WIl of_.------2~È-~- County of Winnebago
2. PURPOSE OF 'IHiS STATEMENT: (Ch6Cl\ Box A, 6, C. or D to inò'cate purpose and complete eny other
applicable OO:('3s and information. Mach additional pages If nece~arý.)
Check those which &pply: D 8uiléingObjaotID#__- J:fHVACObjectID#-102ó26~
0 Ughtir,g Object ID #
(J Partial Completion.
Descrip!ion-õr porlioc completed . ,
A) ~Statfòn'el1tof$ubstantilt¡(:ompÎittncd':'.... ..."", ";.:;.':
. To the þes\Ó,f My kÌ1Qv<lédgè, t.eii.!, an\: bas..d ç['. on"lte observation, constwction of the followfog building and/or HVAC
it~mS' applì""bI" to this proj<>CI have bat", comp!efed insubst.ndal complionC>! with the approved P!MS and
sp",ciflQ!llions "
. oeuILtiIlR"JI.IGHTINGfrÈMS
1. SlllMilf31 syslem inoiuding ."!if,,irto¡ on'j "ieclion òf all Þuilðii\gêémp""$n¡,
(tru..~>, Vr$cast, m<!1~1 building, ot".)
2, FIr. pro¡¡'v1ion s)'$tom. (sprinkl,"s, .1.0"', smoke c.t.ctors) des'gn"!I,
inst¡¡¡~, and t~çt«l (ir\OiV<ling fo .'MII'd t~o'/l on book flow <.vices! by
appropriately regíslered pro!eosj(,nal,
3. Ghalland ml~"ay .nel.,o"
4. Exit, including """ and directíom.lli"hts
¡;. Fire..,os..ti.. ,on'!luetion, enclo,,",< of 00.",4$, fl,'. ".:1" I.b.i.d do"~; 01;"
of consl'octi"n,firostoppe4 J€ndraliuns
6 Sanitation systom (tolio", sin.'<&. drinking locili:I.,)
7. Borrier.fro. bçllVo1ing Comm j6 "le",le""'d lift.
8. Energy .n..iopo roqrJ[r.mG~t.
~. All (,ondrt'ono of build in<¡ plan 3PI>rovol m1 ap~ii..tlo ,.n'ec..
1Ò. E;o"'lOr Ugbtli1g& oonl/ol ,"qilir.ment.
11. 'ntorioriíghtìng&Ç()ntroiroquiraments
12. AI condnions of Ilshlins plan apprO'/31
""d oppiioabio ",riarioo.
'J(KVAC ITI!PI1S
i, HVAC .""tem k1<:udlng fiMItest
2. ;>,11 oondlvens efHVAC plan 'prrovai and
applicable ""i,nco.
11,e fOliowin9 ¡terns an: not in crrmpllance and must b. addfe..ed:
-------------
B) (J State,ment of NoncompHar ce
Due 10 the following li.ted vi"laUor,s, this project i. not ready for oc(upanc.y; -
. .. '. .
---------
C) DSupSr1iiSingProfcssionå!Wíthdrawn From Project (LI 30 A or B above to indicate project stalu~ a. of lbi. date,)
Oi 0 ProjeçtAbandoned
3. SU?ERVISINGÞROF¡;SSrONALSIGNATOR:EFOR;' . ..".,... . ".'.'.'.." .".'>"
0 "'",,,,'Jr ,."",,': p'", ¡¡:¡ ,,""'" "! it<" ..' . '.'~ "'; ~
' .'," "., " ",. N."e (!'ie... priN O(\y~.»
P,h,onOnUmbo", (60B)221-Cus¡bni.IID# 256352 "'Si9oaIGre~ .~-~.
, " ' 3361." ,~-,~
SUD.9no :!<.Oti20¡,J)
HV AC Permit Work Card
Job Address 3420 MARVEL DR Permit Number 117177 Create Date 11/07/2005
Owner NORTHWESTERN ENVIRONMENTAL SY~ Contractor D R KOHLMAN INC
Category 512 - Ind. & Comm-Both Plan P1-39-0605
Fuel ~ [@C] 1 1 Electric I [ŒÐ ~ Value $36,000.00
System [7] New I rJ Replace I n Other I
~ Forced Air I U Radiant I U Steam I ~ PJC I U Vent I
U Electric I U HotWater I U Suppl. 1 U Con. Burner I
Chimney Type U Chimney A 0 Chimney B . DirectVent 0 Not Applicable I
Heat Loss . As Approved () Existing 0 Not Applicable I Value 0
BTU Rate . As Per Plan () Variable 0 Other I Value
Use/Nature IND/ AFTER THE FACT PERMIT -Installation of HVAC system as per State Transaction ID # 1150848
of Work
InspectIons:
Date 10/31/05
Type Final
Inspector Allyn Dannhoff
approved
DatelTime requested:
Notice Type:
Phone Number:
Access:
Ready DatelTime:
Requested By:
0 Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
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