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CITY HALL
215 ChurCh Avenue
P. O. Box 1130
Oshkosh. WisconSin
54902-1130
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OJHKOJH
ON THE WATER
ATTN: MR. KITA
Dear Mr.KITA
City of Oshkosh
CENTRAL HEATING SERVICE
1565 HARRISON ST.
OSHKOSH, WI. 5~901
Heating and Cooling unit replacement
1303 HARRISON ST.
MANUAL ALVEREZ OWNER
fILE #37-~89H
~/13/89
(LOUNGE)
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.
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Sincerely,
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Lee A. Erdmann
Heating Inspector
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DATE
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COMPANY NAME
ADDRESS
CITY/STATE/ZIP
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APPROVAL REQUIRMENTS FOR,
REPLACEMENT OF COMMERCIAL AND INDUSTRIAL HEATING AND COOLING
EQUIPMENT FOR BUILDINGS UNDER 100,000 CUBIC FEET IN AREA.
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1) Owner of the building .~~
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. 2 ) Address of t ~ e b u i ld i n g_ C\ ,:-12
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3) What the uilding is 'used for
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4) Equ i~ent be i nil rep I aced (mod e I . se ri a I number
5) New r:-qu~mo::;an?:;:) ~
:5 )( - 0 :? 0 G,,-^-'~~
6) Was there adequate heating &/or
ry' ~
7) How was the new un i t ~?
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8) Is there a boiler/furnace room?
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9) Please include State S8D118 Form
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and size)
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with a $27.00 Fee
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~r.Pi. Or \NDU;~\~~ 'C~~R~SPONDENCE
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APR 1 3 1989
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'Safely & BUIldings Division
201 E. Wasntngton Avenue
P.O. Sox i969
Madison. WI 53707
PLANS APPROV ALAPPLICA rlON
DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS
BUREAU OF BUILDINGS AND STRUCTURES
E-
PLAN NO. g 7~f~9/;1-
INSTRUCTIONS: Fill in all applicable data. SubmIttal of tn,s Plan Approval Application form is required with each plan submittal. wiln a minimum of 4
sets of plans. Data required is descnbed in code section ILHR 50.12.
SUBMIT PLUMBING PLANS SEPARATELY. ACCOMPANIED BY PLUM61NG PLAN APPLICATION FORM 560-6154.
Building IS located at:
in the tEl City
of'
County of:
Return Plans to:
. 0 Other:
PUBLIC RECORDS: This olan. and related documents. m;ay be subject to public inspection and copying. lIND 69.02(6)
1. This application for 0 New Bldg 0 Addn to Bldg 0 Alteration DR~vision to previously re~iewed plan 0 ILHR 70 Hist Bldg
2. The Department has processed a Petition for Variance for this project? DYes 0 No; Preliminary Review? 0 Yes 0 No
'3. Review of the following building components is requested. ~n,s and calculations are included for each component.
U Footing & Foundation 0 Building 0 Structural ~ HVAC 0 Other:
4. The following construction classification type is requested and shown on plans. 0 #1 Fire Resist. 0 #2 Fire Resist.
0#3 Metal Frame Prot 0#4 Hvy Tmbr D#5A Msnry Prot O#5B Msnry 0#6 Metal Frame 0#7 Wood Frame Prot 0#8 Wood Frame
5. If plans do not show compliance with requested construction classification, but are approvable at a lower class, do you wish plan approval at
the lower construction classificatitJn? 0 Yes 0 No' . ."
6. SOIL BEARING CAPACITY: The Soil Bearing used fordesign is PSF. This value is 0 presumed 0 verified
,7. BUILDING SYSTEMS; Please check appropriate boxes 0 Complete sprinkler 0 Partial sprinkler 0 Fire alarm 0 Emergency Power
o Complete detection system 0 Partial detection system. For partial systems, show area protected on plans or by letter.
8. MECHANICAL INFORMATION: Total output rating of heating units is: BTUH. Air condo 0 Full 0 Partial 0 None
Primary fuel source is 0 Gas 0 Oil 0 Electric 0 L.P. 0 Coal 0 Wood 0 Solar 0 Other
Designer or Design firm 0 BLOG
o HVAC
Street & No.
City
State & Zip
C;ty
C?
Contact Person
Phone
COMPONENTS INCLUDED WITH THIS SUBMITTAL 10. FEES See current fee summary or IND 69.09: and back of form.
NOTE: Must be submitted by building designer Building:.. Volume C.F....$
METAL Designer Name I Reg. No HVAC:...... Volume C.F....$
BUILDING Supplier Alteration: ....Area S.F....$
I Reg. No Structural: (Separate submission only).....$
Designer Name Ftg & Fdn: (Separate submission only)......$
TRUSSES Supplier Revision to previously reviewed plan.......$
Industrial Exhaust....... ........ .................. ..... $
Designer Name I Reg. No Other: $
PRECAST
CONCRETE Supplier Priority Review (Total of above fees) ........$
1 Reg. No Permission to Start....................................$
Designer Name Inspection Fee ........................................... $ ~ ..., '- D"D
LAMINA TED d/- {)n
WOOD Supplier Total ........................ .................... ..... ........ $
OFFICE USE ONLY Date: <././ / ~ / 8'" <'1
Designer Name I Reg. No DOwner I
OTHER Fee o Designer
(SPECIFY) Supplier Paid
By: o Other
".~ "', _....,..~.l...,>"~.,-,-'" -, '-'''''1'....'1 """-""'i:"""".""J,. ".,-,., ''''''''~ ,.,
OESIGN ANO SUPERVISION (ILHR 50.07.50.10) II th,s bUlldinQ. lOllow,nQ construct,on 01 Ihis prolect. conta,ns mora than 5O.ooocub'C 1;"'1. tOia. .voiw'ni...in~phc.bI.60:l..sbelo"'niu.t be
11.
1:omplalad prior 10 plan rav.aw. Tha project da"9nar 's the parson who "9ned and .aalad Iha plan.. axcapl tor componan" dasiQnad and .aaled by othar deslQna... Pl.... tor bulkll"ll' onr
50.000 C.F. will not be r.vl"..ed unlllt"" s'IIIYtur" ot ''''' lup"rvl.,"II prol"..lo""I,")'" provided. Tha Oaparemanl axpecls. and require.. lhatlha prolecl de"Qn..r ra....... Ind,vidu.1 compon"n'
..,om,nal. lor complianca wllh Ihe 9anaral d....Qn concapl. Tha prolecl deSIgner. and dapartmanl. will raly on Iha ...., 01 the compon"nl da"Qnars for compliance wllh IIMI cOda. as th..y apply 10
InGlt desl9ns.
Name of 8uilding Designer (Type or Print)
Reg. No.
Name of HV/,C Desi er (Ty e or Print
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Reg. No. Address 1)
? P. P ~
I '!!-i!J!: 1"1'
Name ot ProfeSSional SuperVIsing 8uilding (Type or Print)
e. ~"ature of Professional Supervising 8uilding
Dale
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I Pror:.SSional ~iS HVAC (Type or Print)
r 01 ProfeSSional Supervising HVAC
Reg. No.
Address
Date
SB.118\R. 10/861