HomeMy WebLinkAboutHVAC 1-197H
w
Date 1/2/97
~
OJHKOfH
ON THE WATER
Company Name E.C.MERRILL INC
Address 804 WITZEL AVE
City/State/Zip OSHKOSH, WI. 54901
Dear Mr. MERRILL
Heating and Cooling Unit Replacement:
Address 500 S. KOELLER ST
Oshkosh
Owners Name SPECTRUM HOLDING INC.
File #1-197H
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 ofIndustry, Labor and Human
Relations.
Sincerely,
~~
Lee A. Erdmann
H.V.A.C. Inspector
..
DAT E 12/19/96
E. C.
ERRILL 1ne,
ECHANICAL
804 WITZEL AVENUE
OSHKOSH, WISCONSIN 54901
CUSTOM STAINLESS SPECIALIST
DIAL: 235 - 3600
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 EMPIRE HOSPITALITY
2) Address of the building 500 S. Koeller Rd., Oshkosh, WI 54901
3) What the building is used for
Motel
4) Equipment b~jng replaced (model,serial number and size)
2 water tube boilers 1 @ 900,000 1 @ 2,5000,000 BTU's
5) New equipment (model and size) (2) Patterson Kelly Model N 1200,1,200,cmBIU~.
(1) Patterson Kelly Model N 900,000, 900,000 BTU
6) Was there adeq~ate heating &Ior cooling? YES
7) How was the new unit sized? BY COMPARISON TO OLD SYSTEM.
8) Is there a boiler/furnace room? YES
9) Please include State 580118 Form with a $80.00 Fee
,-/'17ft
I /p./,?
HEATING & VENTILATION PU~NS
REVIEWED BY CITY Of OSHKOSH
FOR COMPLIANCE WITH REQUIREMENTS OF WISCONSIN
OEPT. QF INDUSTRY, LABOR AND HUMAN RELATiONS
~~
.,
BUILDING/STRUCTURE/HVAC J~l-A~~ APPROVAL APPL.ICA TION
-Complete Both Sides- . .
~.rf:e
'f:,~ pf~; .""jil- / 97 If
..
Wisconsin Department of Industry,
Labor & Human Relations
Safety & Buildings Division
Scheduling infonnation - complete
when calliog to schedule review:
Drr :; h
INSTRUCTIONS: Fill in all applicable data. Cautiol1:., F!iilure.to complete the form entirely may cause additio~a1 dera~. ~If&ttal of this Plans Approval
Application is required for each building,. Submit this form with at least 4 sets of plans which include details,anp, ~ata as required by ILHR 50.12. Plans may be
submitted to any of the plan review offices listed on the reverse side. . Projects are scheduled for r~v~\!'I,.. filltagli:9alflb~~lected office prior to submittal.
Any components submitted independently from the building plans must be submitted to the Offices-~l\r~4i~PJf~r.ol~Ws/iiutiaf'review. Personal information
you provide may be used for secondary purposes. [Privacy Law s. 15.04 (1)(m)]. , I t UL VEt:,')
". ,
1. Owner Information 2. Proit~ct Information 3. BuildinglStructure Designer Information
Name ~ I tJrJ Building Occupancy Chapter(s) And Use Designer I Registration #
~~~
Company Name . \~<"'i::> \ n:\1-.1""V Tenant Name (If Any) Design Firm 1:= .c:.. f./! {?! /2.{2.. II..A_
E.uvtP\R\;L 1i..J
Number & Street. ".....c., ~b Building Location (Number & Street) Number & Slreett;? 0'-/
~O() ~. \<'-O~L.~fi-K Wi TZ /i!L. I1cv:
City, State, Zip Code ..' o City o Village o Township of City, State, Zip Code HI<
os. H-t<.. ~ ~. \AJ 1 . (....""fq 0 ) 0'5 t>51-1 WI 5V~
Contact Person County of Contact PeGSDl'l --1 H
14:<.1 . ~(,'-
Telephone Number Property ID No. (tax parcel no. - contact county) Telephone Ntmber ',I Fax Number
( ) (ll/l( ).;1..=3 :>3b c) () ( )
Fax Number ". ., ,..., Government Owned DYes o No Return Plans To: 0 Owner ~esigner
( ) Government Leased or Operated DYes ONo o Other: (specify)
4. Building History 5. Submittal Request .. 6. HVAC Designer Information
Previous Owner (If any) ...... ... Proiect Designer I Registration # '.
o New o Variance
o Alteration o Preliminary Design Firm
~~tion o Canopy
Previous Plan or File ~o. '., ,., ..u."". evisions o Bleacher Number & street '.
o Use Change o Tower
Variance No. I Preliminary No. o ILHR 70 Hist Code o Other. (specify) City, State, ZllCode
Other information (previous use, last submission) Contact Persllri .~ ',__ "'"."'^'._n.~
IL., ,.. ~
Review Reauested: o Permission to Start
o Footing/Foundation [) HVAC Telephone NlIITlb~r I Fax Number
o Building o Structural Component ( ) ( )
7. Building Information 8. Construction Class Requested 10. Supervising Professional Information
. 0 Complete Sprinkler - NFPA 01. Fire Resistive Type A
o Partial Sprinkler - NFPA 02. Fire Resistive Type B o For Buil~
o Unlimited Area o Smoke Detection 03 Metal Frame Protected
o Fire Alarm o Emergency Power 04. Heavy Timber
Total cubic footvolulll!'l Qfthebuilding upon 05A. Exterior Masonry - Protected o Same as Building Designer
completion ofthis project: 0 Less than 50,000 05B. Exterior Masonry - Unprotected
o 50,000 or Greater 06. Metal Frame - Unprotected
Total Number of Stories 07. Wood Frame - Protected o For HVAC
Entire Building Footprint Area sq. ft. 08. Wood Frame - Unprotected
Soli Bearing Capacity -psf" If plans do not show compliance with requested Cons1i:uction class
o Presumed o Verified but are approvable at a lower class. do you wish approval at the o Same as tfIIAC Designer
lower class? n Yas [] No
Erosion Control Information.: 9. Multifamilv Dwellina Data On Iv; Supervising Prof (if different from designer)
o Less than 5 acres disturbed Type of Fire Protection:
o 5 or more acres disturbed o Automatic Sprinkler o 2 Hour Rating Registratioll1 #
o Energy Tradeoffs Used
Building,lighting, and HVAC must be Total Area of Dwelling Units = sq ft Number & S1Jeet
submitted together. Nondwelling Units Portion = sq ft ..
o Energy Tradeoffs Not Used Number of Dwelling Units: (BR = Bedroom) City, State;,~ Code
Building and lighting must be submitted 1BR 2BR - 3BR - 4BR -
together. HVAC may be submitted separately. Telephone' Number
o Type 8 Modified 66.33 (2)(b) ( )) .
G.
~
~
11. Related Business Systems - Please call the respective Program for clarification and plan submitlal requirements.
o Fire Service Provided 0 Flammable/Combustible Liquid (608};266-5824 0 Boiler/PDe5sure Vessel (608) 266-1904
o Limited Use/Access Will any portion of this building beusel:i for 0 Mechanii::al Refrigeration (608) 266-1904
o Passenger elevator meeting ILHR 18 req. storage or dispensing of flammable/combustible 0 Plumbing (608) 266-3815
o Freight elevator meeting ILHR 18 req. liquids as covered by ILHR 10? Sewer:
o Part 5 lift (residential type) 0 Yes 0 No 0 Muni.1 0 Private Sewage System
o Part 20 lift (wheelchair lift)
_ CONTINUED ON REVERSE: SIDE -
SBD-118 (R.12195)
12. CALCULATION OF FEES
ArM.: The area of a floods 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
and all roofed areas including porches and garages, except for cantilevered canopies on the building wall. Use the root'area for free
standing canopies. Total ares. is the sUlTlmat!on.of all floor areas.
Attach aiseparate sheet if necessary for the calculations below: '
D Projec::tNOT located in certified municipality (go to Fee Schedule Table 2.31-1)
o Project located in certified municipality (go to Fee Schedule Table 2.31-2)
(See Fee Schedule .for list of c::ertified municipalities.)
8 ~~::~:~~ ~~1y~~~~.:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::,:::::::::::::::::::::: .~~.~. f
o HV AC Only.... .............. .............:... .......... ..... .............. ... ..........,.. ..,................ ....... .............. .., ... ..... Fee $
o Revision to Previously Approved Plan...................................................... ..,........:...................... Fee $
o Permission to Start ...... ", .,:........;:'. ................,...... ..... ........,;...,.... ...... ,....,......... ....... ...... ....... .......:... Fee $
o Pre-July 1992 Building Components ........:....................~.......::.:..:......:.::..:::..........~.................::... Fee $
o Other ..................................:......... Fee $
13. OWNER'SST ATEMENT(ILHR 50.11): I request that plans bereviewed'tor com~liance with th~code requirementssetforth in
Chapters ILHR 50-64,66,69 of the rules of the department. I recognize that I am responsible for compliance with all 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 Compliance
Statement by the supervising professional prior to occupancy.
Floor Level (specify)
Length
."'.~~.. ~,",;..;_...;.< .
Owner's Signature:
(Original)
14. DESIGNER'S STATEMENT
DESIGN (ILHR 50.07-50.09} ifthis building, following
construction of this project, contains more.than 50,000 cubic
feet in total V91ume, plansa,re required to be prepared, signed,
sealed and dated by a Wisconsin registered engineer or
architc;ct (ILHR 50.07(2}). Signatures and seals shall be
origil1al., I certify that the submitted plans were prepared
under my supervision, are accurate, and to the best of my
knowledge comply with the applicable codes. of the '.
Departmentof Industry, Labor and Human Relations.
1Ii. ORIGINAL SIGNATURES Si n in A Iicable S ace
Bldg. HVAC Designer and Supervising Professional
Bldg. Designer and Supervising Professional
HVAC Designer and Supervising Professional
Other: ~,,~c..
Other:
x
X
X
X
X
X
Width
Area
=
=
.1'
=
=
=
=
..1.,,;,::0:,', :,
Total Area =
Name & Title
(Please Print)
15. SUPERVISING PROFESSIONAL'S STATEMENT
(ILHR 50.1 O) I have been retained by the owner as the '
supervising professional per ILHR 50.10 for the
performance of 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 a roved lans and s ecifications.
Date Signed
Date Signed
Date Signe<;l
Date Signed
\~
Date Signed
17. COMPONENTS S.UE3M.I,.,.EDSEPARATE.~ROM"'BnlL6iNG'"~."'~---~--.~~"'"'-'~,.''''J..","".,L..;.,..".~,i,'.'" """
The department expects; and requirestfiaftheproject 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. .
Original SighatLire of Building Designer (Component Submittal) Date Signed Name of Component Fabricator
.
Hayward Office
20~VII.1 st Street
Rfs:Box 8072
-:iayward, WI 54843
Phone: [,715) 634-4870
Fal<:' "(715)634-5150
La Crosse Office
2226 Rose street
La Crosse, WI 54603
Phone: (608) 785-9334
Fax: (608) 785-9330
Madison Office
201 E. Washington Ave,
P.O. Box 7969
Madison, WI 53707
phone: (608) 266.3151
Fax: (608) 261-6699
Shawano Office
1340 E, Green Bay Street
Shawano, WI 54166
Phone: (715) 524-3626
Fax: (715) 524-3633
Waukesha Office
401' Pilot Court. Suite C
Waukesha. WI 53188
Phone: (414) 548-8600
Fax: (414) 548-8614