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HomeMy WebLinkAbout0032193-HVAC (alterations) ~ CITY OF OSHKOSH N~ 32193 PERMIT - APPLICATION AND RECORD TYPE: BLDG D HTG ~ ELEC D PLBG D SIGN D ZONING FLOOD PLAIN HEIGHT ADDRESS {<[{/vI L ~c;? . 1:ki"I"','~dh 7T / . H ~-t;?-J e r PLAN NO. OWNER DESIGNER USE/NATURE OF WORK If ~v:.Ac.. . H/c/n {s / /94/$ . / CPmff7 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 ~#____ , / / ~/~?/??- DAT ~ ;:V '""... # l;5 ~ TELEPHONE # ~..., ',.. CITY HALL 215 Church Avenue POBox 1130 Oshkosh, Wisconsin 54902-1130 City of Oshkosh v\~ )-' ~ . 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