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HomeMy WebLinkAbout0003764-HVAC (boiler)CITY OF OSHKOSH No _ 03764 PERMIT -APPLICATION AND RECORD TYPE: BLDG ^ HTG "~0 ELEC ^ PLBG ^ SIGN ^ ZONING FLOOD PLAIN HEIGHT -------------------------------------------------------------------- ADDRESS ~ ~~ _O~ E`D 1 y - PLAN NO. OWNER ~i9~s~v ~~i~9c //c/ S ~r ~ DESIGNER USE/NATURE OF WORK ~_~/7 d~ P t!J®'/~to/^ - - ~~ Qi BUILDING CONTRACTOR Size Sq. Ft. # Rooms # Stories Height Foundation Class of Const. Occupancy Permit HEATING CONTRACTOR Q f~' V, /~~ Heat ~ A/C ^ Vent ^ Fuel/System lt4.s9''Oi~ Heat Loss ~ BTU'S X39, ~~ ELECTRIC CONTRACTOR Electric Serv. New ^ Change ^ Temp ^ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR - BT _ WH - Disp - WSoft _ CBasin - Lav - Sh - DW DF - San. Sewer - WC FDr - SP _ Ur Storm Sewer -Sink LTub -Eject - SS Water Other FEES: Valuation $ ~, ~ ~ - ~~Permit Fee Paid $ ~~/., /7- . ~~ Park Dedication $ ISSUED BY - Date X11 Final/O.P. ~°%b>/87 In the performance of this work I agree to pertorm all work pursuant to rules governing the described construction. SIGNATURE D~ E ADDRESS TELEPHONE M DtPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS FILE NO. E- ~ Z ~ ~7 SAFETY & BUILDINGS DIVISION /~ ~ ~ ~ ~ r BUREAU OF BUILDINGS AND STRUCTURES PLAN NO. ~ ' ~''' ,~: 201 E. WASHINGTON AVE. VOLUME i"""'" P.o. Box7sss PLAN EXAMINATION LETTER MADISON, WISCONSIN 53707 DATE: ~~ ~~ .~~ Note: This Preprinted Plan Review letter is being used at the discre- tion of the plan examiner to expedite the plan review. This form serves as the review correspondence. Occupancy ~.~"'"r'T"" ~ '~~ l~a+r6- Tenant/-.~. :_ ._ Owner ` ~,-tR1~A"z`~ „~~" .1c~~~' Locauon ~ .f ~- ,..~.~~ . 3.~. ; Municipality - ,/. __ County ~1. Plans h~avye been reviewed for com~pli~ance with the important code requirements in Chapters ILHR 50 through 64 of the rules of the Department. The I.3.y- ~.1~1t~.7r~[wlttrC"~-~ ~~o CONDITIONALLY APPROVED ( ^ WITHHELD ^ NOT APPROVED If the plans are stamped "CONDITIONALLY APPROVED" construction may proceed, but all items that are required to be changed by this letter must be corrected before commencing that part of the work. You are advised that the owner as defined in Chapter 101.01(2)(1) of the Wisconsin State Statutes is responsible for all code requirements not specifically cited. The building will be inspected during and after construction. The owner shall notify the state building inspector and the local building inspector before taking possession of the building. ILHR 50.15 EVIDENCE OF APPROVAL. The architect, professional engineer, designer, builder or owner shall keep at the building, one set of plans bearing the stamp of approval. This plan has not been reviewed for compliance with Chapters ILHR 82 through 86, the Plumbing Rules of the Department. THIS BUILDING HAS BEEN CLASSIFIED AS NO. ~ 'Y ' ~ ~ r ~~•' CONSTRUCTION. ^ SPRINKLERED ^ UNLIMITED AREA COMMENTS: .. ~ ___ Plans for the following shall be submitl ^Trusses ^ PrecastConcrete Statelnspec -Region Local Inspector - ed to this office and approved prior to construction of that component. /G ~R ~~ ,~•l) (y~} ,rr,, ~~~ ~ ^ Heat & Vent Systems ^ Illumination ^ ~~ Area Code Phone :-~4'+~ ~ t ~. 1 BY. PLAN XAMINER Phone ~R ssD-5sss (R. osis5) M OO, Oil01M ~ IfAiK N ~a o~~z. ~ MARX HEATI G AND AIR C CONDITIONING, I ~~ r Sheet Metal Work -Steam and Hot Water 3705 West Waukau Avenue, Oshkosh, Wisconsin 54901 • Fhone 235-6510 r ~ ~ a/"' 1 ~- ~`'~'~ MEMO ~'~~, .safety ~. ..,_,ilcir.~, Division ~ ~o : 7969 , ;_Gdi::on , '_:i::cor.sin jj%~ SUBJECT ri;;~ly :Ii;~;;Iv 0 `.~~~ DA's ~.2/!., /v 6 ~v ~ T_n ~~urance =ns-:ector conuer.:nec boiler Therefore t,~e re~laceG it ;:it's a boiler of aderuzte sire nit?. oil and has coincination b~xrner ~-~ 73 ° ~~C~~~~~3 a ~ -~' ~~~ '~~` SIGNED REPLY ~f l~TG:~ ..~ - ~ fy...p~ Li~r~x~~.~n~. y~ r~~,r-~. ~ - ~ -~.Ln.~ -t rn - ~~lL t~LL'-t-,-~-~ . " ~ , ~o~„H~~.Y ~~ EP~Y p TELEPHONE ^ RETURN ENCLOSED MEMO WI H REPLY ~~i..i.-. ..c cam-.. ~~~~~_~`~~ RETAIN WHITE COPY FOR OUR FILE. SEND ^ YEL'LOW, p PINK COPY TO CUSTOMER. PERMIT N0. ©~7~r / APPL. DATET ~,~~~-'~'- ADDRESS ~~~~f ~!~!<`O D cvY1~r OWNER /~ ~ ~ s NATURE OF WORK U'~~~r~ ~~/``v°f HEATING CONTRACTOR ~Q/'~~D~'-f. ___ FUEL: ~ OIL ELEC SOLAR SOLID CONDITIONING FORCED AIR R.W. ELEC. BASE ~EAM SYSTEM GRAVITY SUPPLEMENTARY AIR C~D, CHII~4NEY : "B DIRECT VENT CON . BURNER CALCULATED HEAT LOSS; ~S~ZL1~-.SYSTEM BTU RATING 3 3~y __~~ MISC. INSP. ROUGH IN _FINAL O EST. COSTf1.71 ~~T FEES ATE PD REMARKS U~ .-"S' Ali'/IJ~ali ~ _- `