HomeMy WebLinkAboutHVAC Plan Approval 1/27/1995
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ON THE WATER
H.V.A.C. PLAN APPROVAL
City of Oshkosh
Code Enforcement Division
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54902-1130
COMPANY NAME TEMPERATURE SYSTEMS INC.
DATE JAN. 27,1995
ADDRESS P.O. BOX 12088 2200 S. ASHLAND AVE.
CITY/STATE GREEN BAY, WI 54304
ATTENTION: MR. DALE O'CONNELL
INSTALLATION ADDRESS 380 S. KOELLER RD OSHKOSH, WI..
OWNERS NAME BELVILLE/FLETCHER
FILE C3-150-1294
BUILDING USE CHIROPRATIC CLINIC
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
101.01(1) 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, PROFFESIONAL ENGINEER, BUILDER OR OWNER SHALL
KEEP AT THE BUILDING ,AS EVIDENCE OF APPROVAL, ONE SET OF PLANS
BEARING THE STAMP OF APPROVAL.
SINCERELY,
-~~
LEE A. ERDMANN
HVAC. INSPECTOR
,~ '"
~ Wis(:or1$in Department of Industry,
. Labor & Human Relations
Safety & Buildings Division
Bureau of Buildings & Structures
BUILDING/STRUCTURE/HV AC PLANS APPROVAL APPLICATION
- Complete Both Sides -
Scheduling Information - complete
when calling to schedule review:
E-File
Plan No. C~'-l.fl!) -/jt..<jej
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 tothe office which did the project's initial review.
1. Owner Information 2. proJ'ect Information 3. Building or Structure Designer
Information
Name
Company Name
\
Telephone Number
( )
Fax Number
4. Building History
Previous Owner(s) (if any)
Previous Plan or File No.
Variance No.
Preliminary No.
Other Information (previous use, last submission)
7. Building Information
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
Building Footprint Area
Soil Bearing Capacity
o Presumed
o Verified
Government Owned DYes eNo
Government Leased Or Operated DYes UNo
5. Construction Class Requested
D 1. Fire Resistive Type A
D 2. Fire Resistive Type B
D 3. Metal Frame - Protected
D 4. HeavyTimber
D 5A. Exterior Masonry - Protected
D 5B. Exterior Masonry - Unprotected
D 6. Metal Frame - Unprotected
D 7. Wood Frame,- Protected
D 8.' Wood Frame - Unprotected
If plans do not show compliance with requested
Construction class but a re a pprova ble at a lower
class, do you wish approval at the lower class?
DYes D No
8. Submittal Request
sq ft
psf
Project
iii New
D Alteration
D Addition
o Revisions
D Use Change
D ILHR 70 Hist Code
D Variance
D Preliminary
o Canopy
D Bleacher
o Tower
o Other
Review Requested
D Footing/Foundation
D Building
D Permission To
Start
.,HVAC
D Truss
o Precast
D Structural
D Laminated Wood
D Metal Building
D Joist/Girder
Designer
Registration #
Design Firm
Number & Street
City. State, Zip Code
Contact Person
Telephone Number
( )
Return Plans To: DOwner .Designer
D Other
Fax Number
6. HVAC Designer Information
9. Supervising Professional Information
o For Building
III For HVAC
Supervising Prof (i
o Same As Building Designer
II Same As HV AC Designer
di ferent from designer)
Registration #
Number & Street
City. State. Zip Code
Te ephone Number
10. Related Business Systems - Please call the respective Program for clarification and plan submittal requirements.
D Elevators (608-267-3576) includes:
o Passenger elevator meeting ILHR 18 req.
o Freight elevator meeting ILH R 18 req.
o Part 5 lift (residential type)
o Part 20 lift (wheelchair lift)
SBD-118 (R. 12/92)
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 ILHR 10?
DYes D No
- CONTINUE ON REVERSE SIDE-
D Boiler/Pressure Vessel (608-266-1904)
o Mechan ical Refrigeration/AC (608) 266-1904
D Plumbing (608-266-3815)
Sewer:
o Municipal 0 Private Sewage System
11.
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
\ <l Co'd- X
\~ ~~ X
\ ~\' ':;;;2..'-\ X
X
X
~
'f
Width
30
(03
10
=
Area
\e~O
4 (~(t:J d.
.9-t.io
=
=
=
=
=
{ 0 t'J GP ';;1.
Total Area =
o Project NOT located in certified municipality (go to Fee Schedule Table 2.31-1).
Iil Project located in certified municipality (go to Fee Schedule Table 2.31-2).
(See Fee Schedule for list of certified municipalities.)
o Building and HVAC ................................... _...... _.....
o Building Only ........................... _............ ... _...... _..
III HVAC Only ........................ _ . _ . . . . . . . . _ . . . . . . . . . . . . . . . . . . . .
o Revision To Previously Approved Plan .......................... _.....
o Permission To Start ..................................... _ . . . . . . . . . .
o Pre-July 1992 Building Components .................................
o Other . . . . . . . . . . . . . . . . . . . . . . . .
Total Fee
12. OWNER'S STATEMENT (ILHR 50.11): I request that plans be reviewed for compliance with the code requirements set
forth in Chapters ILHR 50-64 ofthe rules ofthe department. I recognize that I am responsible for compliance with
all code requirements and any conditions of plan approval. Ifthis 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 Completion Statement by the supervising professional.
Fee $
Fee $
Fee $ ~40...c:x:>
Fee $
Fee $
Fee $
Fee $
= $
Owner's Signature:
Name & Title
Original
Print
13. DESIGNER'S STATEMENT: DESIGN (ILHR 50.07-50.09) ifthis building, following construction ofthis project, contains
more than 50,000 cubic feet in total vol ume, plans are required to be prepared, signed, sealed and dated by a
Wisconsin 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 with the general design concept. The project designer, and department, will rely on the seal ofthe
component designers for compliance with the codes as they apply to thei r designs.
Total cubic foot volume ofthe building upon completion of this project: 0 Less Than 50,000 Ii 50,000 or Greater
Design loads have been indicated on the plans. .. . .. . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . _ .. . . . .. 0 Yes 0 N/A
Firewall schematic plan has been included. .................................................. 0 Yes 0 N/A
All applicable items required by ILHR 50.12 have been included. ............................... 0 Yes 0 N/A
I certify that the submitted plans were prepared under my supervision, are accurate est of my knowledge
comply with the applicable codes of the Department of Industry, Labor an an Relations.
Original Signature of Building Designer ( :u'b~:~~I) Date Signed Original Si ture of HVAC Designer
Original Signature of Building Designer
component) Date Signed
Submittal
~
14. SUPERVISING PROFESSIONAL'S STATEMENT: (ILHR 50.10) I have been retained by the owner as the supervising
professional per ILHR 50.10 fc.( 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 bes-t of my knowledge and
belief, construction has or has not been performed in substantial complianc . -th-e-- ved plans and
speci fi cati ons.
Original Signature of Professional Supervising The Building DateSigned Date Signed
Hayward Office
209W.1stStreet
Rt 8, Box 8072
Hayward. WI 54843
Phone (715) 634-4870
Fax (715) 634-5150
La Crosse Office
2226 Rose Street
La Crosse. WI 54603
Phone (608) 785-9334
Fax (608) 785-9330
Shawano 0 Ice
1053A E. Green Bay Street
P.O. Box434
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
Madison Oce
201 E. Washin
P.O. Box 7969
Madison, WI 53707
Phone (608) 266-8735
Fax (608) 267-9566
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Engineering Calculations HVAC Index/Cover Sheet
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ADDRESS: ~ ~c:>r:.L..-,~", f"'.'~" =*: O'CONNELC \'"J'-=
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:: i D-806-H ,::: HLC = Heat Loss Cal.
.\ at ::: · -
CITY: (:) 5." \.~Q~M \ W \ · S ;. Green Bay, I ~_.--~"..t1Ge-=..".Heat Gain Cal.
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PLAN NO.: _~ 1t c.. ~ - \ SO ... \:;).:~"-\ ~ e-,/~.. ni~ ~\\~~._._-~,--S~ = Su mary
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SUMMARY
(AREA)
\ c \
lod-\o~
/0Y-
''''',, ,-
~.~~
;ou,
t,Sc::,.. ISk2
TOTAL H.L.
TOTAL V.L.
SHT. NO. -LLa--
(H.L.)
I I l I (::::t
-~L p(LP \
d.~S J r" ec~
d4 \ 9 L \
~ol
(V.L./C.F.M.)
(H.G.)
........
/
<gl 9lt) l)/ \ 0":';
.
/
YI4~/
4-, t.4 3) /
~L 4~:> /
/
~
9::)1
c:'o -, r . ' 9co\
;"D :J
~L?I
\'7(0
.-=:; ,::;)
~61 tJ. G(;(.~
/ _ ....~"j "'01 ~'. l \
~ ~. ,::;; ~;;;;~ -~'-:l
,
~ ~---'.. \ t:_ ,.- .")
c;;Z:: ~~ 1 _.....,;;1 \""......
9LJ, w'&.1
- c-'"' ..........,
-/.-~ .. J ~
TOTAL H.L. & V.L.
TOTAL CFM (0.5. AIR)
TOTAL H.G.
HEAT SOURCE
MFG./MODEL
TOTAL INPUT
TOTAL OUTPUT
COOL SOURCE
MFG./MODEL
NOM. TONS
9~G-t \ -Ob
C-tq~\E!< L{~?)~~.Q\~- S
~~S; t cooe:::>
\ BOl ~C;:J
- ~\=+-\M.lE
\ Q , c:::>
-
REMARKS
~\I C ~'LJ _. l
.--:> 1 ~.;;.;>' \,~--\ \-.
" , II
SET. NO. ___1-"_
SUMMARY
(AREA)
ioll
10g
J 09
ill
1.L?-
JJ~
I \Y
I\s
liCe>
(V.L./C.F.M.) (H.G.)
selv/IO
gee; ~ \ 0
B6b L 10
B~ I \ 0
88&' ~ ID
ce9~ / 10
eBb I \ 0
L
66&/ ~__
(H.L. )
Yol
L-lo\
~()\
.JI C3 '1:0
J~9Jf13
JLBI13
J t f3fl?)
otL:,~
'2>03
NOM. TONS
TOTAL H.L.
TOTAL V.L.
TOTAL H.L. & V.L.
TOTAL CFM (O.S. AIR)
TOTAL H.G.
HEAT SOURCE
MFG./MODEL
TOTAL INPUT
TOTAL OUTPUT
COOL SOURCE
MFG./MODEL
REMARKS
, .
it , Il
SHT. NO. __~_
SUMMARY
(H.L.) (v.L./C.F.M.)
:lea 4Y,3/ 6
~ l-jl-(':3 L t;:;
L~ II rr 3 -=J.4. ~ I. ~
,-I
! I 0? oil e1'2:3taO/ too
-i-4 c>o~ eBG / \ c~
\ \ (::)9 2> egc~ / l c?
~\
~- /
~ L
4 (;) i !::L. 1-\- 3c>/ s;o
""---~';' I ~ ,...- r1"
,~~ I \_~) ~:-;;;t
(H.G.)
(AREA)
\ \ \l
\ \ q
\~()
~\
\ ~'d...
.I~:6
J~u
\ --~ q C/~)
\ ~~4
....1'-...,..~
TOTAL H.L.
TOTAL V.L. ~3~ L\f\9
TOTAL H. L. & V. L. ~fl, CC3'3(o
TOTAL CFM (O.S. AIR) ~GL~:;>"
TOTAL H.G.
HEAT SOURCE
MFG./MODEL
TOTAL INPUT
r ',..-, G-? " \ o'~~ ' . /'.. 5"-
_ F\-i:< \...< \ ..- ,,\j.('- '"'1 i) . t""",,,,, c::::x.;:)~ - ,
\ ~ C 4, ex:;::; c::;Y
<;t ~ ~~~....)
~' \ ,- '-
TOTAL OUTPUT
COOL SOURCE
MFG./MODEL
~
--" ~ ("=1:~ l".lt':'~,
( , ' -
l_. ~14 -J"!
NOM. TONS
c5,D
REMARKS
s~<;., \-;:;?Tu- ~
, .
<: >.I?
SUMMARY
(AREA)
\ ~ l-\
J~5 ,
\ ~'\ L~\/~
~-\3\
tQ~
\~~
\~.~
l 7)( ~
J~ '1
TOTAL H.L.
TOTAL V.L.
SHT. NO . _~_~__
(H.L.)
(V.L./C.F.M.)
(H.G.)
414 :?O/ 9:J -
'--'.
'-~ /I,..,l ?,o I r::::o
>.~-
/
,. f3l nO/ I no
I
eeG / IC:>
.,,:'~~
be Ca / I C::>
L{ L.I=-~ L 5--
L..1L\"S L /~'
............
~--
?~o
~
II L-toS;
\.~oL\ ~
_9. L,3
_.~ I 0'0 -:=z)
_I I 00 <-;-L-
?0133
d--- I 093
I
TOTAL H.L. & V.L.
TOTAL CFM (O.S. AIR)
TOTAL H.G.
HEAT SOURCE
MFG./MODEL
TOTAL INPUT
TOTAL OUTPUT
COOL SOURCE
MFG./MODEL
NOM. TONS
REMARKS
, .
f" ( .$'
SUMMARY
(AREA)
(H.L. )
").. \ (')6-3
-j, '1 \S'"
......
?0D
'1 Od.
S L,3
9'03
<103
qo.:)
C\o3
\39
\ ~q
\L\~\
\Y'd-
-WJ'h
I L-l g
,
JL-l~
J 4.La
~ 4fl
TOTAL H.L.
TOTAL V.L.
TOTAL H.L. & V.L.
TOTAL CFM (O.S. AIR)
TOTAL H.G.
HEAT SOURCE
MFG./MODEL
TOTAL INPUT
TOTAL OUTPUT
COOL SOURCE
MFG./MODEL
NOM. TONS
REMARKS
SHT. NO. __~_
(v.L./C.F.M.) (H.G.)
68& I \0
I.
L..~ ~3 I ~
S8L.:. I I 0
I I
~ I 10
c>. g' I ID
~...G
eB~ I to
e~(~ Ii \ D..._ I
. "
l
~ .' '!'
SUMMARY
(AREA)
\ L\C\'
1St:)
I G I
153
TOTAL H.L.
TOTAL V.L.
SHT. NO . ___~l_
(H.L.)
L\O\
~
4.01
~
~;3 ( .._(
. ~., ,""J ~~~
:;2.., 9 I Co 't;::;) I
\ ' .....-
S 3 2:2 r.".fl
-., \ -,
:3 3~:;;-
~, Cpt c;t!:,'''l
TOTAL H.L. & V.L.
TOTAL CFM (O.S. AIR)
TOTAL H.G.
(H.G.)
-!d-(;40'3'1
::~:/~gg~~E c-'8t:ZtZ, r=:.K~ L-(~B] "3'.E;;: ~[p -~
TOTAL INPUT \~ ~ -\ C:;X::;:;; C:J
TOTAL OUTPUT S ~ '. c::::c:>O
COOL SOURCE
MFG./MODEL
NOM. TONS
REMARKS
, :'" ~d "l"--:: ~, ,
~ V\A- ~'
;;:,~
~fl"'<
~ y<-., , \:?r~ - 3