HomeMy WebLinkAbout0032193-HVAC (alterations)
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CITY OF OSHKOSH N~ 32193
PERMIT - APPLICATION AND RECORD
TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING
FLOOD PLAIN
HEIGHT
ADDRESS
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PLAN NO.
OWNER
DESIGNER
USE/NATURE OF WORK If ~v:.Ac.. .
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BUILDING CONTRACTOR
Size
Sq. Ft.
# Rooms
# Stories
Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR 11 cy 1:1 f{'-e.[:f'/~ J
t: Heat 119 NC D Vent ~ Fuel/System jJ- ~ Heat Loss ~ ~ BTU'S /~ ~
i
.. ELECTRIC CONTRACTOR
Electric Servo New D Change D Temp D
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
_FDr
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_BT
~WH
_Sh
_ San. Sewer
_Lav
_WC
_Ur
_ Storm Sewer
_Sink
Other
_ L Tub
_ Eject
_SS
_ Water
FEES: Valuation $ ??Ot? cJt:)
ISSUED BY ~
Permit Fee Paid $
Date
tfl~ ~~
/)-/~7-/~~
Park Dedication $
Final/O.P. I/. lit .91
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNAT~ ,#;w~
AGENT/OWNER
ADDRESs/~2 ~#____
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DAT
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TELEPHONE #
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CITY HALL
215 Church Avenue
POBox 1130
Oshkosh, Wisconsin
54902-1130
City of Oshkosh
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. OJHKOJH
ON THE WATER
MAHER ARCHITECTURAL SYSTEMS.
MR. DAVID MAHER
4566 ISLAND VIEW DRIVE
OSHKOSH, WI. 54901
12/22/92
DEAR MR. MAHER:
H.V.A.C. PLAN APPROVAL
1821 HARRISON ST.
OSHKOSH, WI.
MR. LEO METZLER OWNER
F I LE# 131 -I 192H
REPAIR SHOP
Heating and Ventilating plans have been reviewed by this
office for compliance with important code requirements.
All items that are required to be changed by this letter,
must be corrected before commencing that part of the work.
This approval is not a Heating Permit. Necessary city permits
must be secured before commencing work.
You are hereby advised that the owner, as defined in Chapter 101.0
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.
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.
The architect, professional engineer, builder or owner shall keep
at the building, as evidence of approval, one set of plans bearing
the stamp of approval.
'.L.H.R. 64.65(3) (a) EXHAUST VENTILATION. Exhaust venti lation shal I be
provided for al J areas of this classification unless otherwise exempted.
The volume of air exhausted shal I be provided at a rate of not less than
2 cubic feet per minute per square foot of floor area, or 50 cubic feet
per minute per fixture (water closets and urinals). Mechanical exhaust
venti lation shall be installed in toi let rooms having more than I fixture
(water closets and urinals). The effectiveness of the exhaust shal I be greater
than the supply.
~~
Lee A. Erdmann
H.V.A.C. Inspector
7
Wisconsin Department of Industry.
Labor & Human Relations
Safety & BUildings Division
Bureau of 8ulldings & Structures
BUILOING/STRUCTURE/HVAC PLANS APPROVAL APPLICATION
- Complete Both Sides -
Scheduling Information - complete
_ when calling to schedule review:
E-Ftle"
Plan No.
J ~1"'119)l..JI
.
INSTRUCTIONS: Fill in all applicable data. Caution: Failure to complete the form entirely may cause additional delay.
Submittal of this Plans Approval Application is required for each building. Submit this form with at least 4 sets of plans
which include details and data 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 review. Please call the selected office prior to submittal. Any components
submitted independently from the building plans must be submitted to the office which did the project's initial review. '
1. Owner Information 2. proJ'ect Information 3. Building !)r StruCt:L1reDesigner
Information
Building Occupancy Chapter(s) And Use: Designer Registration #
Variance No.
Preliminary No.
Other Information (previous use, last submission)
7, Building.lnformation
o Complete Sprinkler - NFPA
o Partial Sprinkler - NFPA
o Unlimited Area
o Fire Alarm 0 Emergency Power
o Smoke Detection 0 Hazard Enclosure
Total Number of Stories --L-
Building Footprint Area !1 (rO sq ~
Soil Bearing Capacity I? fA. psf
o Presumed
iZl Verified
Property to No. (t parcel no. - contact county)
IS" 03/b d 000
Government Owned 0 Yes Ji!4o
Government Leased Or Operated 0 Yes 3NO
S. Construction Class Requested
Design Firm
Number & Street
City, State, Zip Code
Contact Person
Fall Number
Telephone Number
( )
Return Plans To: 0 Owner 0 Designer
OOther
6. HVAC Designer Information
o 1. Fire Resistive Type A
o 2. Fire Resistive Type B
o 3. Metal Frame. Protected
o 4. Heavy Timber
o SA. Exterior Masonry - Protected
Q 58. Exterior Masonry - Unprotected
o 6. Metal Frame - Unprotected
o 7. Wood Frame - Protected
o 8. Wood Frame - Unprotected
If plans do not show compliance with requested
Construction class but are approvable at a lower
class. do you wish approval at the lower class?
g,Yes 0 No
8. Submittal Request
Review ReQuested
o Footing/Foundation
o Building
o Permission To
Start
o HVAC
o Truss
o Precast
o Structural
o Laminated Wood
o Metal Building
o Joist/Girder
9. Supervising Professional Information
o For Building 0 Same As 8uilding Designer
o For HVAC 0 Same As HVAC Designer
Supervising Prof (if different from designer)
Number & Street
City, State. Zip Code
Proiect
o New
PlAlteration
o Addition
o Revisions
o Use Change
o ILHR 70 Hist Code
o Variance
o Preliminary
o Canopy
o Bleacher
o Tower
o Other
, O. Related Business Systems. Please call the respective Program forclal'Ffication al1dplal1'submHtalrequirements.
o Elevators (608-267-3576) includes:
o Passenger elevator meeting ILHR 18 req.
o Freight elevator meeting ILHR 18 req.
o Part 5 lift (reSidential type)
o Part 20 lift (wheelChair lift)
SBD-118 (R. 05192)
o 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 lLHR 10?
o Yes ~ No
- CONTINUE ON REVERSE SIDE-
o Boiler/Pressure Vessel (608~266:1904) .c. .....
o Mechical Refrigeratlon/AC (608) 266-1904
o 'Plumbing (608-266-381 S)
Sewer:
$J. MuniCIpal 0 Private Sewage System
1,. Calculation of Fees
Area: The area of a floor is 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 all roofed areas including porches and garages, except for
cantilevered canopies on the building wall. Use the roof area for free standing canopies. Total area is the
summation of all floor areas.
Attach a separate sheet if necessary for the calculations below:
Floor Level (specify) Length X Width = Area
(..0 X S.3 = ..5 /8'0 tb
X =
X =
X =
X =
Total Area =
o Project NOT located in certified municipality (go to Fee Schedule Table 2.31-1).
il Project located in certified municipality (go to Fee Schedule Table 2.31-2).
(See Fee Schedule for list of certified municipalities.)
~ Building and HVAC .................................. '. ", .,.... . . . . , .
o Building Only ...............................:.:............... .......
o HVACOnly .................................. ........ ..............
o Revision To Previously Approved Plan ........................... '.; . . . .
o Permission To Start ................................................
o Pre-July 1992 Building Components ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
o Other . . . . . . . . . . . . . . . . . . . . . .. .
Total Fee
12. OWNER'S STATEMENT: I request that plans be reviewed for compliance with the code requirements set forth in
Chapters ILHR 50-64 of the rules of the department. I recognize that I am responsible for compliance with all code
requui".ments and any conditions of plan approval. If this building exceeds 50,000 cubic feet in total volume, I will
retain a supervisin9 professional as required by llHR 50.10 throughout construction to project completion and the
fil!ng ,of a COrnple~~ Statem4int ~y the supervising professional.
Qw~'~f~~at~re: ~#~e~ N:~~&TIdeX b E t1 1V1~T.l)' ElL
13. DESIGNER'S STATEMENT: DESIGN AND SUPERVISION (ILHR 50.07-50.10) if this building, following construction of this
project, contains more than 50,000 cubic feet in total volume, plans are required to be prepared, signed, sealed and
dated by a ';Ni~consin registered engineer or architect (IlHR 50.07(2)). Signatures and seals shall be original.
The department expects, and requires, that the project designer review individual component submittals for
compliance ~ith 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.
Total cubic foot volume of the building upon completion of this project: 8I Less Than 50,000 0 50,000 or Greater
Design loads have been indicated on the plans. .............................................. 0 Yes Igj N/A
Firewall schematic plan has been included. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,0 Yes I2l N/A
All applicable items required by IlHR 50.12 have been included. . . . . . . .. . .... . . ... .. . . . . . . .. ... 0 Yes IZl N/A
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 Department of Industry, labor and Human Relations.
Original Signature of Building Designer Date Signed Igln I Signature VAC Designer Date Signed
Fee $ 170 ~
Fee $
Fee S
Fee $
Fee $
Fee $
Fee S
= $
///1;f2.-
14. SUPERVISING PROFESSIONAL'S STATEMENT: I have been retained by the owner as the supervising professional per
I LHR 50.10 for the performance or 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 approved plans and specifications.
Original Signature of Professional SupervIsing The BUilding Date Signed
Original Signature of Pro,fesslonal ~upervlslng The HVAC Date Signed
Hayward OHKe
209 W , st Street
Rt 8. Box 8072
Hayward. WI 54843
Phone (715) 634.4870
Fax (71 5) 634.5150
La Crosse OffICe
2226 Rose Street
La Crosse. WI 54603
Phone (608) 785.9334
Fax (608) 785-9330
Madison Off"e
201 E. Washington Ave.
PO Box 7969
Madison. WI 53707
Phone (608) 266-8735
Fax (608) 267-0592
.
Shawano OffICe
1 053A E. Green 8ay Street
PO.8ox434
Shawano. WI 54166
Phone (715) 524.3626
Fax(715) 524.3633
waukeshaOft;C:e.
401 Pilot Court. SUite C
Waukesha. WI 53188
Phone (414) 548.8600
Fax (414)548.8614