HomeMy WebLinkAboutHVAC Plan Approval 8/30/1995
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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 8/30/95
ADDRESS P.O.BOX 12088
CITY/STATE GREEN BAY, WI. 54307
ATTENTION: DALE;
INSTALLATION ADDRESS :372 S. KOELLER R[). O$HI<9StJ, WI.
OWNERS NAME RON DETJEN, LANDMARK UNL TD. PTSH. 3
FILE 151-895H
BUILDING USE REXALL DRUG STORE
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,
-heR /JwL---
LEE A. ERDMANN
H.V.A.C. INSPECTOR
WiscQ..')sin Department of Industry,
Cabor & Human Relations
Safety & Buildings Division
Bureau of Buildings & Structures
BUILDING/STRUClURE/HV AC PLANS APPROVAL APPLlCA liON
- Complete Both Sides -
Scheduling Information - complete
when calling to schedule review:
E-File C y- /71- :3 96
Plan No. /57- '8'9,/'7,...
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 offFie 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
Name
V.J
P73'~ :zzr
S7;
Telephone Number
( )
Fax Number
4. Building History
Previous awner(s) (if any)
Previous Plan or File No.
Variance No. Preliminary No.
2. Project Information
Government awned
DYes
3. Building or Structure Designer Information
Designer
Registration #
o 1-
o 2.
o 3.
o 4.
o 5A.
o 5B.
o 6
o 7.
o 8
Fire Resistive Type A
Fire Resistive Type B
Metal Frame - Protected
Heavy Timber
Exterior Masonry - Protected
Exterior Masonry - Unprotected
Metal Frame - Unprotected
Wood Frame - Protected
Wood Frame - Unprotected
Design Firm
Project #
Number & Street
City, State. Zip Code
Contact Person
esigner
Government Leased Or Operated 0 Yes *NO
5. Construction Class Requested
o ather: (specify)
6. HVAC Designer Information
Designer
ather Information (previous use, last submission) 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?
7. Building Information
o
o
o
o
o
Complete Sprinkler- NFPA__
Partial Sprinkler - NFPA.
Unlimited Area
Fire Alarm
Smoke Detection
o Emergency Power
o Hazard Enclosure
Total Number of Stories
Building Footprint Area sq ft
I
Soil Bearing Capacity psf
o Verified 0 Presumed
Erosion Control Information
o Less Than 5 Acres Distributed
o 5 or More Acres Distributed
DYES 0 NO.
8. Submittal Request
Proiect
Il!iNew
o Alteration
o Addition
o Revisions
o Use Change
o ILHR 70 Hist Code
o Variance
o Preliminary
o Canopy
o Bleacher
o Tower
o ather: (specify)
Review Requested
o Footing/Foundation
o Building
o Permission to Start
~HVAC
o Truss
o Precast
o Structual
o Laminated Wood
o Metal Building
· 0 Joist/Girder
9. Supervising Professional Information
o For Building
o 5ame As Building Designer
ItiIFor HVAC
~Same As HVAC Designer
Supervising Prof (if different from designer)
Registration #
Number & Street
City, State. Zip Code
Telephone Number
( )
o
10. Related Business Systems - Please call the respective Program for clarification and plan submittal requirements.
Elevators (608-267-3576) Includes:
o Fire Service Provided
o limfted .Use/Access
o Passenger elevator
o Freight elevator
o Part 5 (residential lift)
o Part 20 (wheelchair lift)
o Flammable/Combustible liquid (608-267-1379
Will any portion of this building be used for
storage or dispensing offlammable /
combustible liquids as covered by ILHR 10?
DYes 0 No
o Boiler/Pressure Vessel (608-266-1904)
o Mechanical Refrigeration/AC (608) 266-1904
over 50 tons or involving use of amonia
o Municipal Sewer
o Private Sewage System
5BDB-118 (R_ 09/94)
- CONTINUE ON REVERSE SIDE-
12.
Calculatian af Fees
Area: The area af a flaar is the area baunded by the exteriar surface ofthe building walls ar the autside face af ~'.
calumns where there is no wall. Area includes all flaar levels such as subbasements, basements, graund
flaars, mezzanines, balcanies, lofts, all staries and all roofed areas including parches and garages, except far
cantilevered canapies an the building wall. Use the roof area far free standing canapies. Tatal area is the
summatian of all flaar areas.
Attach a separate sheet if necessary far the cakulatians belaw:
F1aar Level (specify) Length X
J~ /:,0 X
X
X
X
X
Width
30
=
Area
/&-tJ 0
=
=
=
=
=
/3t?t:/
T atal Area
o Praject NOT lacated in certified municipality (go. to. Fee Schedule Table'2.31-1).
Dl-Praject lacated in certified municipality (go. to Fee Schedule Table 2.31-2),
(See Fee Schedule far list af certified municipalities.)
o Building and HVAC ........................................ _ .. . .. . .
o Building Only .....................................................
g ~~v~s~a~n~~ pr~v'i~~'si~ App~~~~d'PI~'~'.'.'.'.'.'.'.'.'.'.'.' _................-........................
o Permissian To. Start ........ - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
D Pre-July 1992 Building Campanents .................................
o Other . . . . - . . . . . . . . . . . . . . . . . . .
Tatal Fee
=
Fee
Fee
Fee
Fee
Fee
Fee
Fee
$
$
$
$
$
$
$
$
/70. f2{l
=
f?L:;. .~.
13. OWNER'S STATEMENT (ILHR 50.11): I requestthat plans be reviewed for campliance with the cade requirements set
farth in Chapters ILHR 50-64 afthe rules af the department. I recagnize that I am respansible far campliance with
all code requirements and any canditians af plan appraval. Ifthis building exceeds 50,000 cubic feet in tatal valume, I
will retain a supervising prafessianal as required by ILHR 50.10 thraughout canstructian to. praject campletian and the
filing af a Campliance Statement by the supervising professional prior to. accupancy.
Owner's Signature:
Name & Title
ariginal
Print
14. DESIGNER'S STATEMENT: DESIGN (ILHR 50.07-50.09) ifthis building, follawing constructian afthis praject, cantains
mare than 50,000 cubic feet in tatal valume, plans are required to be prepared, signed, sealed and dated by a
Wiscansin registered engineer ar architect (ILHR 50.07(2)). Signatures and seals shall be ariginal.
The department expects, and requires, that the praject designer review individual campanent submittals far
campliance with the general deSign cancept. The project designer, and department, will rely an the seal af the
campanent designers far campliance with the cades as they apply to. their designs.
Tatal cubic fa at valume afthe building upan completian ofthis project: 0 Less Than 50,000 M 50,000 ar Greater
Design laads have been indicated an 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, and to. the best af my knawledge
comply with the applicable cades af the Department of Industry, Labar and ians.
ariginal Signature of Building Designer
Component )
Submittal
Date Signed
ariginal Signature of Building Designer
(Building )
Submittal
Date Signed
15. SUPERVISING PROFESSIONAL'S STATEMENT: (ILHR 50.10) I have been retained by the awner as the supervising
prafessianal per ILHR 50.10 for the performance ar supervision af reasanable on-the-site abservatians to. determine if
the canstructian is in substantial campliance with the approved plans and specificatians. Upan campletian af
constructian, I will file a written statement with the department certif . ,0 e knawledge and
belief, canstructian has ar has nat been perfarmed in substant' mpliance with the appraved p sand
specificatians.
ariginal Signature of Professional Supervising The Building Da
tK
Hayward affice La Crosse affice Madison 0 e
209 W. 1st Street 2226 Rose Street 201 E. Wa Ington Av
Rt 8, Box 8072 La Crosse, WI 54603 P.o.. Box 79
Hayward, WI 54843 Phone (608) 785-9334 Madison, WI 53707
Phone (715) 634-4870 Fax (608) 785-9330 Phone (608) 266-8735
Fax (715) 634.5150 Fax (608) 267-9566
The information you provide may be used by other government agency programs [Privacy Law, s. 15.04 (1) (m)].
134 E.GreenBayStreet
Shawano, WI 54166
Phone(715) 524-3626
Fax (715) 524-3633
ukesha affice
401 Pilot Court, Suite C
Waukesha, WI 53188
Phone (414) 548-8600
Fax (414) 548-8614
,.
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Engineering Calculations HVAC Index/Cover Sheet
(SHT NO) AREA (CLASS) *
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.A. """l .,;;;;:. ..lIT L.
,
.
PROJECT NO.: /2"2.3
*
PROJECT: I?EX/)Lt... .91c)(..JC/~<Sk
ADDRESS: 3640 .5, 4-()ELt. E.R
CITY: 05# ko:5' /-/
= Heat Loss Cal.
Heat Gain Cal.
Vent Cal.
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SUMMARY
(AREAl
e-JIJRF 5T6RE-
.Q:lJ...l
0'), 7'1 t/
(V.L./C.F.M.l
88110 I IDO
!.!:MU
~ $'105
/
/
I
I
/
I
I
I
TOTAL H.L. l3'J I ? ,/t/
TOTAL V.L. 8', <(,{" 6
TOTAL H.L. & V.L. L/6, 60 tl
.
TOTAL CFM (O.S. AIR) /6 0
TOTAL H,G, 39.t f'G3
HEAT SOURCE ~
MFG.lMODEL L ARK { t:..... R-
TOTAL INPUT //5'. 000
,
TOTAL OUTPUT '12 1 C;" D
~ 70 E oos--;';-
..
COOL SOURCE ~
MFG.lMODEL - -..)#rr? e,;- ---
NOM. TONS '71 C>
REMARKS