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HomeMy WebLinkAboutHVAC 8-197H~.~I~J I~I ON THEWATEH H.V.A.C. PLAN APPROVAL City of Oshkosh Cods Enforcemerrt Wvision 215 Church Avenue P.O. Boz 1130 Oshkosh, WI 54902-1130 DATE1 /29/96 COMPANY NAME THOMAS GUNTHER ADDRESS 732 EVANS ST CITY/STATE OSHKOSH, WI 54901 ATTENTION: MR GUNTHER; INSTALLATION ADDRESS 1402 MOUNT VERNON AVE OWNERS NAME OSHKOSH TOOL 8~ MACHINE CO FILE 8-197H BUILDING USE MANUFACTURING 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 H.V.A.C. INSPECTOR BUILDING/STRUCTURE/HVAC PLANS APPROVAL APPLICATION W~ uonsinoepartment of Industry, -Complete Both Sides - Labor & Human Relations E-File Safety & Buildings Division Scheduling Information -complete Bureau of Buildings & Structures when calling to schedule review: Plan No. INSTRUCTIOIyS: 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 play ~~: which include details and data as required by ILHR 50.12. Plans may be submitted to any of the plan review offices lip ~ ~rd on the reverse side. Projects are scheduled for review. Please call the selected office prior to submittal. Any compon ~: Its submitted independently from the building plans must be submitted to the office which did the project's irntlal revle,~- 1. Owner Information 2. Project Information 3. Building or Structure Desigr~~: Information 'Vame K t7t~ a ~' ~ Buildin Occupancy Chapter(s) And Use: t'u`~ ~ Designer f~egis~ ~ ~tion M ` J ~ct ~ a* c1t1Rt~ G ~_ompany Name ~ /L Tenant Name (if any) Design Firm ~ ~ `~~ osl~~tosM ?~G ~ ~1 Number 8 Street Building Location (number & street) Number ~ Street i ~(v'~- M L-'~ h10 ~l I ~~ v ~ y" ~ T. V>~-~Z ~(o tJ City, State, Zip Code st~vt~st~ ao~ ~"~l c Jl City ^ Village ^ Township Of City, State, Zip Code o , , , , ©sr~KoS~ Contact Person County Of Contact Person Ja~u, Kd~©P wt>,I-Su~t3A4~ Telephone Number ~ ~ Property ID No. (tax parcel no. -contact county) 5 5~ Telephone Number fax Number cdt )23t~~~ 5 / v c ) ( ) Fax Number Government Owned ^ Yes ®JVO Return Plans To: ^ Owner ~ Designer ( ) Government Leased Or Operated ^ Yes 18;-Vo ^ Other 4. Building History 5. Construction Class Requested 6. HVAC Designer Information Previous Owner(s) (if any) ^ 1. Fire Resistive Type A Designer . I ~~ry T~~R Registration N D o~° ~ ^ 2. Fire Resistive Type B ~~'~ AtS I ^ 3. Metal Frame -Protected Design irm ^ 4. Heavy Timber Previous P an or F/i a No. 1 r kK ~o ^ SA. Exterior Masonry -Protected Numgber & Sttrreet`' ~/ ~ ~ ~ `' S s~~ h1 k h Lt ^ 58. Exterior Masonry -Unprotected V _ Variance No. Pre iminary No. ^ 6. Metal Frame -Unprotected City, State, Zip Co e . ©S I~ ~(D S If ~ ~ ~ ~ ` ~ ^ 7. wood Frame -Protected . / Other Information (previous use, last submission) ^ 8. Wood Frame -Unprotected Contact Person 5 ~ n ~S ~' M Au uFp~7U lZ I*~4 ~.`, If plans do not show compliance with requested /.~.R ~ V( , Construction class but are approvable at a lower class do you wish approval at the lower class? Telephone Number Fax Number , ^ Yes ^ No t~kl~f ~z~ -3~ 7a ( > 7. Building Information 8. Submittal Request 9. Supervising Professional Information ^ Complete Sprinkler -NFPA Project Review~Reguested ^ For Building ~ Same .4s Building [resigner ^ Partial Sprinkler -NFPA ^ New ^ Footing/Foundation ~FOr HVAC Same As HVAC Designer ^ Unlimited Area Alteration ^ Building Supervising Pro i i Brent rom esigner (] Fire Alarm ^ Emergency Power ^ Addition ^ Permission To R i i St rt ^ Smoke Detection ^ Hazard Enclosure ev ons s a ^ RegistratOn N ^ Use Change f8i HVAC ^ILHR 70 Hist Code ^ Truss Total Number of Stories Num er & Street ^ Variance ^ Precast Building Footprint Area sq ft ^ Preliminary ^ Structural Soil Bearing Capacity psf ^ Canopy ^ Laminated wood City, State, Zip Co e ^ Presumed ^ Bleacher ^ Metal Building ^ Verified Tower ^ ^ loist/Girder a ep one Num er ^ Other 10. Related Business Systems - Please cal- the respective Program for clarification and plan submittal requirements. ^ Elevators (608-267-3576) includes: ^ flammable/Combustible Liquid (608-267-1379) ^ Boiler/Pressure Vessel (608-266.1904) ^ Passenger elevator meeting ILHR 18 req. Wilt any portion of this building be used for ^ Mechanical Refrigeration/AC (608) 266-1904 ^ Freight elevator meeting ILHR 1 B req. storage ordispensing offlammable / ^ Plumbing (608-266-381 S) ^ Part S lift (residential type) combustible liquids as covered by ILHR 1 OT Sewer: ^ Part 20 lift (wheelchair lift) ^ Yes ^ No ^ Municipal ^ Private Sewage System SBD-118 (R. 12N2) 1 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 fer cantilevered canopies on the building-wall. Use the roof area for tree 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 r a FIZS~t ~~~tt=5 X ~a~Rt~s . _ .2131°', X = - X r ._ X = X Tota Area _ ~7~ 7 q ^ Project NOT located in certified municipality (go to Fee Schedule Table 2.31-1). (~ Project located in certified municipality (go to Fee Schedule Table 2.31-2). (See Fee Schedule for list of certified municipalities) ^ Building and HVAC ................................................ Fee S ^ Building Only .............................................. ... Fee ~ S ~ HVAC Only ...............:........................................ Fee.:. _ S 43v ow ^ Revision To Previously Approved Plan .............................:.. Fee. S ^ Permission To Start .................................. .... ..... Eee S.. ^ Pre-July 1992 Building Components ............................... s Fee S ^ Other ........................ Fee S .Total Fee = S ._- 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 of the rules of the department. I recognize that I am responsible for compliance with all cede requirements and any conditions of plan approval. If this 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. Owner's Signatu 13. DESIGNER'S STATEMENT: DESIGN (ILHR 50.07-50.09) 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 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 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: ^ Less Than 50,000 ~ 50,000 or Greater Design loads have been indicated on the plans . ....................... ..................... ^ Yes [,~ N!A Firewall schematic plan has been included. ...' ............................................... ^ Yes (,~ N/A All applicable items required by ILHR 50.12 have been included . ............................... ^ Yes (~, 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 ~ 8u11d+^e ~ Date Signed Original Signature of HVAC Designer Date Signed Submittal anal Signature of Building Designer ( componen Submittal fi.+ywerd Oiiice J09 W. 1 st Street Rt 8, Box 8072 Nryward, WI 54843 Ph~~n~ (: 15) 634-4870 +.,^CrrS r,3rt-5T50 2226 Rose Street la Crosse, WI 54603 Phone (608) 785.933A Fax(G08)785-9330 201 E. Washington Ave P.O. Box 7969 Madison, WI 53707 Phone (608)266-8735 Fax(fi08)J57-95G6 Shawano Office 1053A E. Green Bay Street P.O. Box 434 Shawano, WI 54166 Phone (715) 524.3fi26 Frri715)574-1fa"~ Waukesha Office 401 Pilot COUrt, Suite C Waukesha, WI 53188 Phone (414) 548-AGOi! Fax (414)548-8614 ~ 4. SUPERVISING PROFESSIONAL'S STATEMENT: (ILHR 50.10) I have been retained by the owner as the supervising professional per ILHR 50.10 fir the performance orsupervision ofreasonable on-the-site observations to determine i f 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.