HomeMy WebLinkAbout0127293-HVAC (replace/add systems)
G
OSHKOSH
ON THE WATER
Job Address 100 W FERNAU AVE
CITY OF OSHKOSH
No
127293
HV AC PERMIT - APPLICATION AND RECORD
Owner LAKESIDE PACKAGING PLUS INC
-- -
Create Date 10/16/2007
BTU Rate
RJ KAMPO PLUMBING & HEATING INC Category 512 -Ind. & Comm-Both
~ Gas U Oil [jEIecti1C-l U Solar ~
O_r--Jew 0 Replace ~~_~
~ Forced Air U~~~._J OSteam 0A7C J
U Electric 0 Hot Water J U Suppl. U~_' Burn_~.1
ITCJ'1i~~___~J::l1imn~1~.__-=::=- Dir~~~Yent _==-=:=_O..N~_t~PQ~<::~~~ -~
m~~oved ---=O~.~~ting==~:====.- Nj~ Apel[~~ble=:===-J Value
IT As Per Plan -crVarrabfe==.==._____._OJll~!_====~:::====-.---1 Value
Plan Z5-2099-0907
U~~_]
0.Qther ~_____I
DVe-nt~-1
Contractor
Fuel
System
Chimney Type
Heat Loss
----------.~----- -1
I
I
I
I
_J
UselNature ifNDUSTRIAL / REPLACE EXISTfNG SPLIT SYSTEM-fi}m ADD2NEW SySyEMS-----------------.-
of Work i
I
I
Fees: Valuati~ ~_$27,967.00
Issued By: -Q.-+-U ~
Plan Approval
$0.00
Permit Fee Paid ______~~2~.00
Date 10/16/2007
D Permit V_~ided I
Parcelld # 1519601800
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 :ny~cessary app~before starting such activity.
Signature ~~~ Date
Agent/Owner
/O-/6-~1
Address
1000 S WESTLAND DR
APPLETON
WI 54914 - 8862 Telephone Number
~--- ---- -
!920) 73~609. __
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, VVI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
HVAC PERMIT APPLICATION
All information after bold categories must be provided. '7 5...- :l Ooo~ Aq 07
Incomplete applications will not be processed. z::- ex I I I U
. 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor varticipating in the Permit fee Account Svstem and have_adequate funds. check here
if vou .want this processed through vour account n
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE /0 -re .-d7
JO B ADD RESS-/-fJ-') fb(jV A 1./"
OWNER LjJke.-'S/bl:- f'jJ{)K.fib'Alt; Pi-uS
CONTRACTOR !2:j /(j4fflO D Pl.6 t N1G
CHECK IiI ALL APPLICABLE
USE CATEGORY
DSingle Family.
FUEL ~as
DOil
DDuplex DMulti-Family
DRental
DCommercial
Dlndustrial
DElectric DSolid
DSolar
SYSTEM
DNew ~eplace
itOther AI l> 1) S V 5 It Yt
T)WE
rnJ'Forced Air
D Rad iant
DSteam
~/C
DVent
DElectric
DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
~rect Vent
DNot Applicable
DOther Value
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
DExisting
DVariable
DOther
DESCRIPTION / SCOPE OF ALL WORK BEING DONE ~t...IJ CE- e"<- /1>1 jJV6 51'4%7 -,J]JS J:6;ty
AD):) ~-jJ6W 5/S"-, ""$
VALUE (Including labor and materials) $ ~ '7) 761,00
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07
(t)
OJHKOfH
ON THE WATER
City of Oshkosh
Division of Inspection Services
. 215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
www.ci.oshkosh.wi.us
October 10, 2007
Scott Davis
Lennox Industries
3930 W Burnham 8t
11ilvvuakee, WI 53215
David Brotski
1040 Breezewood Lane
Neenah, WI 53956
Site: Plan Number: Z5-2099-0907
Lakeside Packaging Plus Inc
100 W Fernau Ave
Oshkosh WI 54902
For:
Description: HV AC alterations
Object Type: HV AC only
Class of Construction: llIB - 3015 Sq Ft.; Unsprinklered
Occupancy: B: Business / Office
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and
Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defmed in Chapter
101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements
Note: This plan has been reviewed and approved based on additional information included in fax received
on 10-9-2007, that modify the volume of supply air into the "Warming Kitchen" so this space is not
pressurized relative to adjoining spaces. Additionally this plan approval is based on "Limited Use of
the Warming Kitchen" If the use of this space is expanded to include cooking additional HV AC
requirements may apply and a new plan review is required.
Key Item(s) I Conditions:
. Comm 61.31(4) Revisions to approved plans. All proposed revisions rind modifications which involve
rules under this code and which are made to construction documents that have previously been granted
approval by the department or its authorized representative, shall be submitted to the office that granted the
approval. All revisions and modifications to plans shall be approved in writing by the department or its
authorized representative prior to the work involved in the revision or modification being carried out. A
revision or modification to a plan, drawing or specification shall be signed and sealed in accordance with
Comm 61.31(1).
SUBMIT:
. IECC 503.3.3.7 [Comm63.0503(2)(t)] Balancing and documentation ofthe HV AC system shall conform
to the IMC. Balancing report required to be submitted prior to final occupancy being allowed.
. Comm 61.50 (4) Supervision. Prior to the initial occupancy of an alteration the supervising professional
shall file a compliance statement form SBD-9720 with this office.
IZeview\Cummercial Pi,m Rl:v.it'W 20\!7\Z5-2()99-09D7 :00 W Fl:mall AI'''' I:1Vt\(' Only. do;;
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A copy of the approved plans, specifications, and this letter shall be on-site during construction. All pennitsare required to
be obtained prior to commencement of work.
In granting this approval the City of Oshkosh Inspection Services Department 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 number listed below or the address on this letterhead.
~'
~
Building Systems Consultant
(920) 236-5051 Monday - Friday 7:30 A.M. to 8:30 A.M and 12:30 A.M to 1:30 P.M.
bnoe@ci.oshkosh.wi.us
cc: Property file
Fee Required $
Fee Received $
Balance Due $
320.00
320.00
0.00
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