HomeMy WebLinkAbout0126492-HVAC (2 boilers) I;;l CITY OF OSHKOSH No 126492
OSHKOSH HVAC PERMIT APPLICATION AND RECORD
ON THE WATER 8 14_o9
Job Address 605 MERRITT AVE Owner ST MARYS LONG Create Date 08/28/2007 d
Contractor MARX MECHANICAL Category 510 Ind. Comm Heating Ventilating Plan x8 -1960 -0407
Fuel Q Gas U Oil 1 1 Electric 1 Solar U Solid
System n New 1 Q Replace 1 D Other
I_ Forced Air a Radiant u Steam U NC Li Vent
Electric 1 111 Hot Water u Suppl. U Con. Burner
Chimney Type le Chimney A O Chimney B 0 Direct Vent O Not Applicable
Heat Loss 0 As Approved Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan O Variable 0 Other I Value
Use /Nature Install 2 new Weil Mclain BG880 boilers as per plans.
of Work'
Fees: Valuation $36,000.00 Plan Approval $0.00 Permit Fee Paid $365.00
Issued By: Date 08/28/2007
O Permit Voided Parcel Id 0404350000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 4535 STATE ROAD 91 OSHKOSH WI 54904 6304 Telephone Number 920 235 6510
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
0 CITY OF OSHKOSH No 126492
OSHKOSH HVAC PERMIT APPLICATION AND RECORD
ON THE WATER
Job Address 442 MONROE ST Owner ST MARYS CONG Create Date 08/28/2007
Contractor MARX MECHANICAL Category 510 Ind. Comm- Heating Ventilating Plan x8- 1960-0407
Fuel 11 Gas 1 1 1 Oil 1 1 Electric 1 1 Solar 1 1 Solid
System fl New 1 n Replace 1 n Other 1
11 Forced Air 1 11 Radiant 1 u Steam u A/C LJ Vent I
1 1 Electric 1 111 Hot Water 1 I l Suppl. 1 1 Con. Bumer
Chimney Type lip Chimney A 0 Chimney B n Direct Vent 0 Not Applicable
Heat Loss r) As Approved Existing 0 Not Applicable 1 Value
BTU Rate le As Per Plan 0 Variable 0 Other 1 Value
Use/Nature 'Church Install 2 new Well Mclain BG880 boilers as per plans.
of W
Fees: Valuation $36,000.00 Plan Approval 60.00 Permit Fee Paid 6365.00
Issued By Date 08/28/2007
Permit Voided I Parcel Id 0404350000
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 4535 STATE ROAD 91 OSHKOSH WI 54904 -6304 Telephone Number 920 235 -6510
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project Is ready.
DEC -10 -2007 10:51 AM P. 01/01
11111 y
WEII INcLAI N Tom Buckley
Sales Representative
Weil-McLain
Central and Western Area Office
W t h d u t compromise r. i r l 2245 Enterprise Drive, Suite 4504
Westchester, IL 60154
T 706.562.6220
F 708.562.6371
tbuckleyyweil- mdair.com
December 10, 2007
Bernie Pitz
459 C Church Street
Oshkosh, WI 54901
Dear Bernie;
Regarding the BG- 880-WF boilers at the St Mary's Church project; I visited the jobsite
an November 28, 2007 with Marx Mechanical. The boilers have been revealed so the
flue damper assembly is Located as specified in the Model 80 installation manual on
Page 13.
If there is any further question on this please don't hesitate to contact me.
Sincerely,
Tom Buckley
RECEIVED
DEC 13 2007
DEPARTMENT OF
coMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
Buildings, HVAC, Compliance Statement
This form is required to be submitted by the supervising professional (architect, engineer, HVAC designer or electrical
esigner) observing construction of projects within buildings with total areas 50,000 cubic feet or greater and bleachers
Comm 50.10 /Comm 61.50). Failure to submit this form may result in penalties as specified in Comm 50.26/Comm 6123
and/or local ordinances.
General Instructions: Prior to the initial occupancy of new buildings or additions and the final occupancy of
altered existing buildings, submit this completed and signed form to:
The municipal building inspection office and
Safety and Buildings, 10541N Ranch Road Hayward, Wi. 54843
n Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1)(m)].
1. PROJECT INFORMATION: Please fill in the following with information from your plan approval letter.
Transaction ID Number Y —11 G 0 6 it 0 7
Site Number 5T. MA-P.1S c %vP
Site location (number street) L 4 9 MO NI At .E $7 Q H S14
7C r
City Village Town of Q SS}414.0 S H County of GJ`t N ,i O
.t
2. PURPOSE OF THIS STATEMENT: (Check Box A, B, C, or D to indicate purpose and complete any other
applicable boxes and information. Attach additional pages if necessary.)
Check those which apply. Building Object ID HVAC Object ID )t cg ?Co -4 7
Lighting Object ID
Partial Completion
Description of Portion Completed
A) S Statement of Substantial Compliance
To the best of my knowledge, belief, and based on onsite observation, construction of the following building and/or HVAC
items applicable to this project have been completed in substantial compliance with the approved plans and
specifications.
BUILDING/LIGHTING ITEMS
1. Structural system induding submittal and erection of all building components 10. xt uirements
(trusses, precast, metal building, etc.) 11. Interior lighti g I t ,irements
2. Fire protection systems (sprinklers, alarms, smoke detectors) designed. 12. All eonditio��l(g +'rig an approval
installed, and tested induding forward f on back flow devices) by and applicable vet� 'tviENT OF
appropriately registered professionals
3. Shaft and stairway enclosure COMMUNITY DEVELOPMENT
4. Exits induding exit and directional lights INSPECTION SERVICES DIVISION
5. Fire resistive construction, endosure of hazards, fire walls, labeled doors, class HVAC ITEMS
of construction, fire stopped penetrations
6. Sanitation system (toilets, sinks, drinking facilities) 1. HVAC system including final test
7. Barrier -free including Comm 18 elevators and lifts 2. All conditions of HVAC plan approval and
8. Energy envetoi,e requirements applicable variances
9. All conditions of building plan approval and applicable variances
The following items are not in compliance and must be addressed:
B) Statement of Noncompliance
Due to the following listed violations, this project is not ready for occupancy:
C) Supervising Professional Withdrawn From Project (Use A or B above to indicate project status as of this date.)
D) Project Abandoned
3. SUPERVISING PROFESSIONAL SIGN pTURE FOR:
Building y HVAC Lighting 14 5141 k_ Date
pptt�� q Name (please print or type)
Phone number 1 to `"75i G®/t ustomer ID I-479-c Signature AIAZIC
SBD -9720 (R.0112002) 23