HomeMy WebLinkAboutCertificate of Occupancy CITY HALL
Inspection Services Div
215 Church Avenue City of Oshkosh
PO Box 1130
Oshkosh WI
54903 -1130
OJHKOJH
ON THE WATER
Approved: 07/15/2010
Reissued: 07/15/2010
OSH INC
304 Ohio St
Oshkosh WI 54902
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby issued for the Interior Alterations for Impro Med
Inc located at 304 Ohio St, Oshkosh WI as described in Building Permit #131491.
This building shall be used as a Business Office and is located in the C -2
General Commercial District.
LIMITATIONS:
Maximum number of persons: 120 Occupants
Certificate of Occupancy shall be required prior to occupancy, should additional
building(s) be erected, or should any buildings mentioned above be altered or
moved. The use of land, or buildings, shall not be changed until a Certificate of
Occupancy is issued for that occupancy. All conditions noted above must be
complied with in order for this certificate to be valid.
0 t -
Building Systems Inspector
cc: R J Albright Inc
Beez Electric
Merwin Oil
D R Hansen
Building Permit Work Card
Job Address 302 -304 OHIO ST Permit Number 0131491 Create Date 7/11/2008
Owner OSH INC Contractor R J ALBRIGHT INC.
Category 223 - Alteration Offices, Banks, Professional Plan D6- 2428 -0708
Occupany Permit Required Flood Plain No Height Permit Not Required Class of Const:
Use /Nature Office / Interior alterations to raise floor elevation and remodel the interior as per plans.
of Work
HVAC Contr Plumbing Contr
Electric Contr
Inspections:
Date 7/16/2008 Type Rough In Inspector Nicole Krahn approved w /cond.
Drywailing tomorrow (7/16/08) Talked w/ Steve and he stated this is the 1st of 3 phases to this project. This inspection is for the south
1/2 of the building (no bathrooms). I told him that we need more notice in the future and he understood. Firestops were not installed.
Check the firestops at the next inspection. Drop ceilings will be installed. No hvac done at this time.
Date/Time requested: 7/15/2008 09:44 AM Notice Type: Ready Date/Time: 7/15/2008 : PM
Access:
Requested By: R J ALBRIGHT INC. - Debbie Phone Number: 231 -8635
O Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 3/29/2010 Type Final Inspector Nicole Krahn not approved
REQUEST LINE / READY FOR A FINAL INSPECTION I called Ron Detjen and his secretary stated he would be out of the office for two
weeks. He'll call when he gets back to schedule an inspection.
Date/Time requested: 3/16/2010 02:51 PM Notice Type: Ready Date/Time: 3/16/2010 02:51 PM
Access: CALL AHEAD TO SET SOMETHING UP WITH RON DETJEN AT (920) 236 -7070
Requested By: R J ALBRIGHT INC. - Steve Schmidt Phone Number: (920) 231 -8635
O Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 4/19/2010 Type Final Inspector Nicole Krahn not approved
Request line / Please call Ron and let him know when you are coming.
4/8/10 @ 2:15pm I left a message for Ron to call me back. I met Ron on site with John Zarate. The final inspection did not include
anything above the ceiling. Note that there was never a rough framing inspection for the main portion of the building or an insulation
inspection due to no request.
Date/Time requested: 4/6/2010 10:39 AM Notice Type: Ready Date/Time: 4/19/2010 10:39 AM
Access: Open
Requested By: Ron Detjen Phone Number: 236 -7070
O Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
Date 5/18/2010 Type Re Final Inspector Nicole Krahn approved
The additional exit signs were added per the plan.
Date/Time requested: 5/18/2010 12:36 PM Notice Type: Ready Date/Time: 5/18/2010 12:36 PM
Access:
Requested By: Phone Number:
O Reinspect Fee 0 Fee Waived El Reinspect Fee Paid
Page 1 of 1
Electric Permit Work Card
Job Address 302 -304 OHIO ST Permit Number 131539 Create Date 7/15/2008
Owner OSH INC Contractor BEEZ ELECTRIC INC
Service 0 New 0 Change() Temp • N/A Type 0 Overhead 0 Underground • N/A
Volts Circuits 30 Luminaires 40
Amps Switches 15 Receptacles 30
Value $5,000.00
Use /Nature ImproMed (304) / Remodel office. * *debit acct
of Work
Inspections:
Date 12/09/2008 Type Final Inspector Kevin Benner
Secure TP poles to the grid, Add em It by the break room, perm. panel schedules.
Reviewed with Jesse
Date/Time requested: 12/05/2008 12:40 PM Notice Type: Ready Date/Time: 12/08/2008 00:00 AM
Access: Call 1/2 hr before inspection
Requested by: BEEZ ELECTRIC INC Phone Number: 379 -5602 Jesse
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 07/15/2010 Type Inspector Kevin Benner approved w /cond.
Kevin spoke to Rob from Beez Electric at 9:33 am 7/15/10 and confirmed that all corrections have been made.
Date/Time requested: • Notice Type: Ready Date/Time: •
Access:
Requested by: Phone Number:
0 Reinspect Fee 0 Fee Wavied 11 Reinspect Fee Paid
Electric Permit Work Card
Job Address 302 -304 OHIO ST Permit Number 131539 Create Date 7/15/2008
Owner OSH INC Contractor BEEZ ELECTRIC INC
Service 0 New 0 Change Temp • N/A Type O Overhead O Underground • N/A
Volts Circuits 30 Luminaires 40
Amps Switches 15 Receptacles 30 Value $5,000.00
Use /Nature ImproMed (304) / Remodel office. * *debit acct
of Work
Inspections:
Date 11/17/2008 Type Abv Ceiling Inspector Kevin Benner approved w /cond.
Tile and insulation was installed
Date/Time requested: 11/14/2008 09:48 AM Notice Type: Ready Date/Time: 11/17/2008 00:00 AM
Access:
Requested by: BEEZ ELECTRIC INC Phone Number: 379 -5602 Jesse
O Reinspect Fee O Fee Wavied ❑ Reinspect Fee Paid
Date 11/18/2008 Type Rough In Inspector Kevin Benner not approved
Field Request
Not ready
Date/Time requested: 11/17/2008 00:00 AM Notice Type: Ready Date/Time: 11/18/2008 00:00 PM
Access:
Requested by: BEEZ ELECTRIC INC Phone Number: 379 -5602 Jesse
O Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 11/19/2008 Type Re Rough In Inspector Kevin Benner approved w /cond.
Field Request
Walls were insulated and drywalled
Date/Time requested: 11/18/2008 12:00 PM Notice Type: FC Ready Date/Time: 11/19/2008 11:00 AM
Access:
Requested by: BEEZ ELECTRIC INC Phone Number: 379 -5602 Jesse
O Reinspect Fee O Fee Wavied ❑ Reinspect Fee Paid
Date 11/26/2008 Type Abv Ceiling Inspector Kevin Benner not approved
Couple troffers and EM Lts to be installed, MC support from independent support, Open wiring for lighting & future cubicals
Date/Time requested: 11/25/2008 08:07 AM Notice Type: Ready Date/Time: 11/26/2008 00:00 AM
Access:
Requested by: BEEZ ELECTRIC INC Phone Number: 379 -5602 Jesse
O Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 302 -304 OHIO ST Permit Number 131539 Create Date 7/15/2008
Owner OSH INC Contractor BEEZ ELECTRIC INC
Service Q New Q Change° Temp • N/A Type 0 Overhead 0 Underground • N/A
Volts Circuits 30 Luminaires 40
Amps Switches 15 Receptacles 30 Value $5,000.00
Use /Nature ImproMed (304) / Remodel office. **debit acct
of Work
Inspections:
Date 10/24/2008 Type Rough In Inspector Kevin Benner approved w /cond.
Conversions area office
3 receptacles were covered wih drywall
Date/Time requested: 10/22/2008 01:22 PM Notice Type: Ready Date/Time: 10/24/2008 00:00 AM
Access:
Requested by: BEEZ ELECTRIC INC Phone Number: 379 -5602 Jesse
O Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 10/27/2008 Type Abv Ceiling Inspector Kevin Benner approved w /cond.
Re- Inspect
There was an abandoned conduit in question as to its status for removal or disconnection. I called Jesse and he stated that he was to
remove as part of the next section to be remodeled.
Date/Time requested: 10/27/2008 08:45 AM Notice Type: Ready Date/Time: 10/27/2008 00:00 AM
Access:
Requested by: BEEZ ELECTRIC INC Phone Number: 379 -5602 Jesse
Q Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 11/05/2008 Type Final Inspector Adam Krause approved
4 Offices
Date/Time requested: 11/04/2008 12:10 PM Notice Type: Ready Date/Time: 11/04/2008 12:10 PM
Access:
Requested by: BEEZ ELECTRIC INC Phone Number: 379 -5602 Jesse
O Reinspect Fee Q Fee Wavied ❑ Reinspect Fee Paid
Date 11/06/2008 Type Rough In Inspector Adam Krause approved
Date/Time requested: 11/06/2008 07:25 AM Notice Type: Ready Date/Time: 11/06/2008 07:25 AM
Access:
Requested by: BEEZ ELECTRIC INC Phone Number:
O Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 302 -304 OHIO ST Permit Number 131539 Create Date 7/15/2008
Owner OSH INC Contractor BEEZ ELECTRIC INC
Service 0 New 0 Change 0 Temp • N/A Type 0 Overhead 0 Underground • N/A
Volts Circuits 30 Luminaires 40
Amps Switches 15 Receptacles 30 Value $5,000.00
Use /Nature ImproMed (304) / Remodel office. * *debit acctapproved w /cond.
of Work
Inspections:
Date 07/15/2008 Type Rough In Inspector Kevin Benner approved w /cond.
Request line
L.V. Permit, K.O. plugs in the panel, keep wireway accessible, bends in ENT, discussed Em Lighting
Date/Time requested: 07/15/2008 07:39 AM Notice Type: Ready Date/Time: 07/15/2008 07:39 AM
Access:
Requested by: BEEZ ELECTRIC INC - Rob Phone Number: 920 - 379 -5601
O Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 08/01/2008 Type Abv Ceiling Inspector Adam Krause approved
Request line / Didn't know if you wanted to inspect above ceiling. Planning on putting tiles up tomorrow (Friday 8/1)
Date/Time requested: 07/31/2008 03:40 PM Notice Type: Ready Date/Time: 07/31/2008 03:40 PM
Access:
Requested by: BEEZ ELECTRIC INC - Jesse Phone Number: 379 -5602
O Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 10/10/2008 Type Rough In Inspector Kevin Benner approved w /cond.
Office walls and an open & storage, break room area
Ground tails were not installed
Date/Time requested: 10/09/2008 03:23 PM Notice Type: Ready Date/Time: 10/10/2008 00:00 AM
Access:
Requested by: BEEZ ELECTRIC INC Phone Number: 379 -5602 Jesse
O Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 10/24/2008 Type Abv Ceiling Inspector Kevin Benner not approved
Not Ready
Date/Time requested: 10/22/2008 01:21 PM Notice Type: Ready Date/Time: 10/23/2008 00:00 AM
Access:
Requested by: BEEZ ELECTRIC INC Phone Number: 379 -5602 Jesse
O Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
HVAC Permit Work Card
Job Address 302 -304 OHIO ST Permit Number 131604 Create Date 07/17/2008
Owner OSH INC Contractor MERWIN OIL CO LLC
Fuel 1 ✓1 Gas U Oil 11 Electric Solar LJ Solid Value $6,350.00
System n New 0 Replace n Other
u Forced Air LJ Radiant LJ Steam U A/C u Vent
LJ Electric J Hot Water LJ Suppl. LJ Con. Burner
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Use /Nature Impromed / EARLY START / Install new ductwork and difusers, test and balance system.
of Work
Inspections:
Date 7/28/2008 Type Rough In Inspector Nicole Krahn no time
ONLINE REQUEST / READY FOR A ROUGH INSPECTION
Date/Time requested: 07/28/2008 09:47 AM Notice Type: Ready Date/Time: 07/28/2008 08:00 AM
Access: OPEN DURING THE DAY
Requested By: MERWIN OIL CO LLC - Mike Harris Phone Number: (920) 273 -0044
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 5/18/2010 Type Final Inspector Nicole Krahn approved w /cond.
See balancing report on file with notes from the engineer.
Date/Time requested: 05/18/2010 12:37 PM Notice Type: Ready Date/Time: 05/18/2010 12:37 PM
Access:
Requested By: Phone Number:
0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 302 -304 OHIO ST Permit Number 132165 Create Date 08/11/2008
Owner OSH INC Contractor D.R. HANSEN PLBG.
Category 440 - Industrial- Interior Plan Value $5,000.00
Bathtub Shower 1 Water Softner Wait. St. Shamp Sink Coffee Maker
Whirlpool Floor Drain 1 Local Waste Ice Chest FIrIWst Sink Int Grease Trap
Lavatory 4 Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
Toilet 5 Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec Wtr Sewer Mtrs
Water Heater Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
Site Drain Breakrm Sink Dip Well F Prep Sink Gar Drain Wtr Usage Mtrs
Roof Drain Ejector /Grind Drink Ftn Sery Sink Soda Disp
Misc.
Fixtures
Use /Nature Interior alterations to be completed in phases. Phase 1 plumbing to be complete prior to next phase or plan review may be required.
of Work **Water calculation worksheet required prior to rough inspection. **
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
Inspections for Work Card 100085
Date 8/11/2008 Type Underground Inspector Paul Wolf approved w /cond.
Request line / late morning inspectionWork started. Permit required for new connection at existing sanitary sewer to be installed at later date. Went over with
Mark Hansen.
Date/Time requested: 8/11/2008 07:08 AM Notice Type: Telephone Number: 379 -7797
Access:
Ready Date/Time: 8/11/2008 : AM Requested By: D.R. HANSEN PLBG.
O Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
Date 8/11/2008 Type Underground Inspector Paul Wolf approved
Date/Time requested: 8/11/2008 12:00 PM Notice Type: Telephone Number:
Access:
Ready Date/Time: 8/11/2008 12:00 PM Requested By: D.R. HANSEN PLBG.
O Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 8/18/2008 Type Rough In Inspector Rich Wood approved w /cond.
REQUEST LINE / READY FOR AN ABOVE GROUND INSPECTION - Inspection on vent assembly in wall space for women's restroom and shower room.
Contractor did not show evidence of water calc during inspection.
Date/Time requested: 8/15/2008 12:45 PM Notice Type: Telephone Number: (920) 379 -7797
Access:
Ready Date/Time: 8/15/2008 12:45 PM Requested By: D.R. HANSEN PLBG. - Dave Hansen
O Reinspect Fee 0 Fee Waived Reinspect Fee Paid
Date 9/2/2008 Type Final Inspector Paul Wolf approved
Date/Time requested: 8/27/2008 02:18 PM Notice Type: Telephone Number:
Access:
Ready Date/Time: 8/27/2008 02:18 PM Requested By: D.R. HANSEN PLBG.
O Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
Buildings, HVAC Compliance Statement SBD -9720
This form is required to be submitted by the supervising professional (architect, engineer, HVAC designer or electrical
designer) observing construction of projects within buildings with total areas exceeding 50,000 cubic foot 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 61.23 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
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
Site Number
Site location (number & street) 304 OHIO STREET
el City ❑ Village ❑ Town Of OSHKOSH County of WINNEBAGO
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#
❑ Lighting Object ID#
❑ Partial Completion
Description of Portion Completed
A) SI 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.
el BUILDING/LIGHTING ITEMS
1. Structural system including submittal and erection of all building 10. Exterior lighting & control requirements
components (trusses, precast, metal building, etc.) 11. Interior lighting & control requirements
2. Fire protection systems (sprinklers, alarms, smoke detectors) 12. All conditions of lighting plan approval
designed, installed, and tested (including forward flow on back flow and applicable variances
devices) by appropriately registered professionals.
3. Shaft and stairway enclosure ❑ HVAC ITEMS
4. Exits including exit and directional lights 1. HVAC system including final test
5. Fire - resistive construction, enclosure of hazards, fire walls, labeled 2. All conditions of HVAC plan approval
doors, class of construction, fire stopped penetrations and applicable variances
6. Sanitation system (toilets, sinks, drinking facilities)
7. Barrier -free including Comm 18 elevators and lifts
8. Energy envelope requirements
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 SIGNATURE FOR:
D Building ❑ HVAC ❑ Lighting Richard J Fisher Date: 5/18/2009
Name (please print or type)
Phone # (920) 657 -9035 Customer ID# 263460 Signature ! L
SBD -9720 (R.01/2003)
03/12/2010 12:10 9207799323 VERKUYLEN PAGE 01/06
AL'Engineering, LLC.
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N2115 North Rood H WI 54944
Phone: (920) 850-0056 • Fax: (920) 779 -9323
ALV- Engineeri ngOnew.rr.com
FAX TRANSMITTAL COVER SHEET
DATE: 3/12/2010
SUBJECT: ImproMed HVAC Object D6- 2428-0708 -H
COMPANY: Oshkosh Building Inspection PHONE: 920 -236 -5036
ATTN_ Nicole Kxehn FAX: 920-236-5084
Cc: Marcia Benedict- Merwin Oil Co., LLC FAX: 920-929-6103
FROM: Al Verkuylen
PAGES: 6/6 including cover letter
Hi Nicole,
Please review the attached information including:
• SBD 9720 Merwin Oil Compliance Dated 01/18/2010
• SBD 9720 ALV Engineering, LLC Compliance Statement
• Three page airflow discrepancy report and analyses.
Please call for comments or questions.
Regards,
Al
The facsimile transmission and documents contained therein are the exclusive property of ALV wing LLC prepared for ALV's
client The information may be confidential. If you have received this transmission in error or are not the intended recipient please
contact tttis office and destroy the intOrmatian. Thank you.
Received Time Mar. 12. 2010 12:54PM No.0176
03/12/2010 12:10 9207799323 VERKUYLEN PAGE 02/06
•
BUILALNGS, HVAC, COMPLIANCE STATEMENT SBD -9720
This form is required to be submitted by the supervising professional (architect, engineer, HVAC designer or electrical
designer) observing construction of proms within buildings with total areas 50,000 cublc feet or greater and bleachers
(Comm 6.1.40). Fedora to submit this form may result in penalties as specified in Comm 6123 and/or local ordinances.
This form must be submitted prior to the plan approval expiration date or another submittal may be required.
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 (refer to the plan approval letter for agency address) and
• Safety and Ougdings.10641N Ranch Road Hayward, Wi 54843
Note: If the review was done by the munidpailty, the compliance statement goes only to the municipal building
inspector. A copy is not needed by Safety & Buildings.
Personal information you provide may be used for secondary piuposes Pima' 1-10v, s. 15.04 (1)(m)1.
1. PROJECT INFORMATION: Please fill in the following with information from your plan approval Letter.
TranSactlon ID Number Project Name tj tApci c_
Slte Number
Site location (number & street) 3-M C1r
® Coy 0 Village . 0 Town of C']51fattEk1 County of W tfuta bctr
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: t i Budding Object ID # ® HVAC Object ID # iNgre 2428•0CB -
❑ Lighting Object ID #
O Partial Completion
Deadiption of Portion Completed
A) ® Statement of Substantial Compliance
To the best (Amy knevs(edgs, belief, and based on onsite observation, construction of the following building andror HVAC
Items applicable to this project have been completed in substantial compliance with the approved plans and specifications.
❑ BULDINGILIGH 1P10ITEMS
1. Structural syeam Including submittal said erection of an budding components 10. Exterior lighting & control requirements
(Susses, precast, meted nuking, etc.) 11. Interior lighting & control requirements
2. Fire protection systems (sprinklers, alarm. smoke detectors) designed, Instated. 12 All conditions of Nutting plan approval
and tested (inducting Scrward tow on bade flow devices) by nppropdattely and (*lo cable variances
registered professionals
3. Shaft end stairway enclosure •
4. Gals andudinrg eel and directional kgl s
6. Fie- resistive construction, endows of hazards, are labeled doors, doss 93 HVAC ITEM
otoonomic on. ere stopped penetrations
s. sanhtatlan system (tenets. sinks, drinking fealties) 1. HVAC system including final teat
7. Bentertree Including Comm 18 elevators and lifts 2. All conditions of HVAC purr approval and
• 8. Energy envelope appticatde variances
9. An conditions of building plan approval and applicable variances
The following Items are not In compliance and must be addressed:
B ) 0 Statement of Noncompliance
Due to the tottowIng listed viol► Bons. this piled Is not ready for emcency.
C) O Supervising Professional Withdrawn From Project ( use A or a above to indicate project status as of rruus dale.)
D) 0 Project Abandoned
3. SUPERVISING PROFESSIONAL SIGNATURE FOR:
0 Building of HVAC 0 Lighting // Matvii1A Date t% , 1. b
•
Name 4p ease palm or type)
Phone number c iac Alai- (tales to . Signature
SBD -9720 (R.07/2008)
581)•9720 (802200+)
Received Time Mar. 12. 2010 12 :54PM No. 0176
03/12/2010 12:10 9207799323 VERKUYLEN PAGE 03/06
Buildings, HVAC, Lighting Compliance Statement
This form is required to be submitted by the supervising professional (architect, engineer, HVAC designer or electrical
designer) observing construction of projects within buildings with total areas exceeding 50,000 cubic feet and construction
of antennas, towers, and bleachers (Comm 50.10). Failure to submit this form may result in penalties as specified in
. Comm 50.26 and/or local ordinances.
General Instructions: Prior to the initial occupancy of new buildings or additions and the final occupancy of
altered existing buodings, submit this completed and signed form to:
• The municipal building inspection office and
• Safety and Buildings, P.O. Box 7162, Madison, WI 53707 - 7162
Personal information you provide may be used for secondary purposes (Privecy Law, e. 15-04 (1)(m)].
1. PROJECT INFORMATION: Please fill in the following with information from your plan approval letter.
Transaction ID Num ber: D6- 2428 -0708 -H
Site Number.
Site location (number 8 street) 304 Ohlo Street
City ❑ Wage ❑ Town Of Oshkosh County of Winnebago
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# o HVAC Object ID# X2428- 0708 -H
❑ Lighting Object ID#
❑ Partial Completion
Description of Portion Completed
A) o Statement of Substantial Compliance
To the best of my knowledge, belief, and based on onsite observation, construction of the following building and/or PWAC items
applicable to this project have been completed in substantial compliance with the approved plans and specifications.
❑ BUILDING ITEMS L'1 HVAC ITEMS
1. Structural system including submittal and erection of all bukd'ng 1. HVAC system Including f test
components (trusses, precast, metal builng, etc.) (Comm 64.53)
2. Fire protection systems (spdnlders, alarms, smoke detectors) 2. All conditions of HVAC plan approval
designed, installed, and tested (including forward flow on back flow and applicable variances
devices) by *sly registered professionals.
3. Shaft and staHway enclosure ❑ LIGHTING ITEMS
4. Edts Including exit and directional fights 1. Exterior lighting & control requirements
5. Fire- resistive construction, endosum of hazards, fire walls, labeled 2. Interior lighting & control requirements
doors, class of construction 3. All condition of fighting plan approval
and appicable variances
6. Sanitation system (toilee, sinus, drinking faculties)
7. Barter - free Including Comm 18 elevators and Efts
8. Comm 83 energy envelope
9. Al conditions of building plan approval and applicable variances
The following Items are not In compiance and must be addressed:
B) ❑ Statement of Non Compliance
Due to the following listed violations, this project is not ready for occupancy:
C) ❑ Supervising Professional Withdrawn From Project (Use A or B shave to Indicate project status as of this date.)
D) ❑ Project Abandoned •
3. SUPERVISING PROFESSIONAL SIGNATURE FOR:
❑ Sulking HVAC ❑ Lighting Albert H. Verkuylen Date: 3/12/2010
Name (please print or type)
Phone # (920) 850 -0056 Customer ID# WI 17 -1528 Signature
SSD -9720 (R.05/913)
Received Time Mar. 12. 2010 12:54PM No. 0176
03/12/2010 12:10 9207799323 VERKUYLEN PACE 04/06
'VEngineering, LLC.
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N2115 North Road Hortonville, WI 54944
Phone: (920) 850-0056 • Fax: (920) 779 -9323
A LV - Engi neeri ngNnew. rr.com
3/11/2010
Merwin Oil Company, LLC
311 W. Rolling Meadows Drive
PO Box 68
Fond du Lac, WI 54936 -0068
Bus: (920) 929 -6100
Attn: Marcia Benedict Fax: (920) 929 -6103
Attn: Nicole Krahn, City of Oshkosh Inspections Fax: (920) 231 -3759
Site: ImproMed, 304 Ohio St, Oshkosh, WI 54902
Object ID: Oshkosh No. D6 2428 - 0708 -
Subject: HVAC Compliance Discrepancy
This latter is my opinion regarding the discrepancy in airflow delivery of units RTU —1 & RTU — 2.
Nicole Krohn noticed during the City of Oshkosh compliance review and occupancy certification
process that RTU -1 and RTU -2 were not producing the scheduled supply airflow of the approved HVAC
plans. Nicole phoned Marcia Benedict and notified her of the discrepancy. ALV Engineering, LLC is
retained by Merwin Oil Company to resolve the compliance discrepancies.
■ 1 have reviewed the architectural plans provided by Rick Fisher and Associates, LLC. Rick Fisher
AIA is the architect of record.
■ I have reviewed the air balancing reports prepared by Balco Balancing, LLC, Neenah, WI. Dan
Cannon is the Balancing Supervisor.
• I have reviewed the HVAC plans prepared for Merwin Oil Company, LLC by lMl ke Harris WI-
Designer.
• I have performed air change and heat analysis um the package units RTU - 1 and RTU - 2.
I have reviewed the application and find that there are no code deficiencies with this installation.
There are no deficiencies that will harm the safety of the people.
I suspect that the HVAC schedules listed the nominal airflow. Due to the duct system resistance the fan
cannot deliver the nominal airflow. The low performance is not a safety or code concern.
The air system is proportioned well and the fresh ail' volume flow rate is slightly greater than the code
requirements. The systems will provide adequate ventilation. The system has the heat and cool capacity to
meet WI design conditions.
Respectfully prepared and submitted by, �.��C� C 0 /,/ s�'•w
_ 4,
ALV Engineering, LLC '• _
• B " H. V{
"ri Al Verkuylen, P.E. President 17. ' K YLE ¢
WI Registered Professional Engineer 27107 C ETON, •
tt`'•. WI • t . „.■ ' It) 10
psi •••M.•• NV' ,`.
Page 1 of 3 3/12/2010 lvlerwin Oil — lmprol�Qpd Wig,& eislirepalky Letter.
Received Time Mar. 12. 2010 12:54PM No.0176 '�r�•nr.���•�+�
03/12/2010 12:10 9207799323 VERKUYLEN PACE 05/06
Site: ImproMed, 304 Ohio St, Oshkosh, WI 54902
Object ID: Oshkosh No. D6- 2428 - 0708 -H
Subject: HVAC Compliance Discrepancy
Discussion:
The Code requirement regarding supply airflow of an HVAC system is a function of the minimum, code
Table WI COMM 64.0403.
The HVAC equipment airflow is a function heat exchange rates and the corresponding temperature changes
of the application. The heat exchange rates are found from building heat calculations.
•
Two questions arise when analyzing the low airflow discrepancy,
1. Does the equipment produce the code required air changes per hour?
2. Is the airflow produced by the equipment as installed within Safe operating limitations?
Question 1: The Code required Air Change Rate Calculation
The Approved HVAC Plan Schedules call out these perfortaance specifications for RTU -1 and RT11-2.
RTU -1 Trane SFTIC B502HB RTU- 22rane SFHC- 8252LB
Supply Airflow 1900 CFM 1000 CFM
Fresh Aar 68 CFM 53 CFM
The Certified Balancing Report states that the actual airflows are as follows:
RTU -1 BTU -2
Supply Airflow 1332 CFM 779 CFM
Fresh Air 73 CFM 56 CFM
The WI building code table 64.0403 lists the minimum air change per hour to be 1.5 for all Office
occupancies that include air conditioning to cool the space to 78 °F indoor space temperature.
The area and volume calculations are included here:
BTU — 1lncludes Air Conditioning
10' Ceiling Area = 948 SF Volume = 9,480 CF
9' Ceiling Area = 241.4 SF Volume = 2172.6 CF
Total Volume -° 11,652.6 CF
1.5 Air Change per Hour = (11,652.6 CF x 1.5AC) 160 Minutes 291.3 OM< 1332 CFM (Okay)
Page 2 of 3 3/12/2010 .Mervin Oil — lmproMed HVAC Discrepancy Letter.
Received Time Mar, 12. 2010 12:54PM No, 0176
03/12/2010 12:10 9207799323 VERKUYLEN PAGE 06/06
RTU — 2 Includes Air Conditioning
10' Ceiling Area = 1053.5 SF Volume = 10,535 CF
Total Volume = 10,535 CF
1.5 Air Change per Hour = (10,535 CF 3t !SAC) / 60 Minutes = 263.4 CFM < 779 CFM
Question 2: Equipment Liz:aitations on .Airflow
Per Trace Company File No. SV- UN- RT- SFHC- IOM -1A -185
The blower performance lists these ranges of uperntion
RTU -1 5 TON 1570 CFM — 2320 CFM 1332 ACFM (Low CFM)
RTU-2 2.5 TON 690 CFM —1320 CFM 779 ACFM (Good)
RTU -1 airflow is below the stated blower performance range. Looking at the heat rates:
Heat Rise = 96,000 Btuh,1332 ACFM, Heat rise is 66.7 °F.
Return air temperature is 68° F. Supply air temperature is 134.7 ° F < 140 °F (Okay)
CFM per TON =1332 CFM / Ton = 266.4 CFMITON (Okay)
No safety conecrns with RTU -1. Low airflow is accepted.
End of Report
Page 3 of 3 3/12/2010 Merwin Oil — ImproMed HVAC Discrepancy Letter.
Received Time Mar. 12. 2010 12:54PM No. 0176
il 01/18/2010 13:13 9209296103 MERWIN OIL CO
PAGE 01
• 4 MERWI1 .FAX El MEMO
OIL COMPANY
311 W. Rolling Meadows Drive FAX#: _lab ___________________
P.O. Box 68
DATE: __11/3410_______
Fond du Lac, WI 54936-0068
TEL: 920-929-6100 FROM: lialag________
FAX: 920-929-6103
NO. OF PAGES: I
— 11NIA.. j __QJ ,■l.. _________
1 ,91 %) e :5a icp _ ,_1 1/4,,,_ Ca.en,,,\N LI&k,SEAA4-c_A--
0LA
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gic9- e ID 1) p--i _ -r-- ceLitrce 1-v\o,_ Lo, 1 -k D:
9ki b-fa*ed - hc e, h tic A - c .,40,5pL kyr tif
L-H ca-I,A,A______-1116,,,
-4 r , ait- -A D c-LeA-C DutAv2,. 7 t7) .i)-€-).- , -1-1- 3 ',EV hvie - hp IMU- C./id- b( /Iv_
;' 95n J'ivt 1 41A4C, CA ,biLurC41.12,0 . _
... .
MARATHON
*a
01/18/2010 13:13 9209296103 MERWIN OIL CO PAGE 02
BALCO BALANCING INC.
3135 Sundew Way
Neenah, WI 54956
CERTIFIED TEST, ADJUST, AND
BALANCE REPORT
DATE 4/09
PROJECT IMPRO MED .
ADDRESS 304 OHIO STREET
OSHKOSH, WI
ARCHITECT
ENGINEER MERWIN HEATING & COOLING
FOND DU LAC, WI
HVAC CONTRACTOR MERWIN HEATING & COOLING
FOND DU LAC, WI •
NEBB TAB FIRM BALCO BALANCING INC.
ADDRESS 3135 SUNDEW WAY
NEENAH, WI
t3alanc /n.
National Environmental Balandng Bureau
L
2971
„ ExP.3/31/10
drone
01/18/2010 13:13 9209296103 MERWIN OIL C0 PAGE 03
BALCO BALANCING INC CERTIFICATION
3135 Sundew Way
Neenah, WI 54956
PROJECT IMPRO MED —
ADDRESS 304 01-110 STREET _
OSHKOSH, WI
THE DATA PRESENTED IN THIS REPORT IS AN EXACT RECORD OF SYSTEM PERFORMANCE AND WAS OBTAINED
IN ACCORDANCE WITH NEBB STANDARD PROCEDURES. ANY VARIANCES FROM DESIGN QUANTITIES WHICH
EXCEED NEBB TOLERANCES ARE NOTED THROUGHOUT THIS REPORT.
THE AIR DISTRIBUTION SYSTEMS HAVE BEEN TESTED AND BALANCED AND FINAL ADJUSTMENTS HAVE BEEN
MADE IN ACCORDANCE WITH NEBB "PROCEDURAL STANDARDS FOR TESTING, ADJUSTING, BALANCING OF
ENVIRONMENTAL SYSTEMS" AND THE PROJECT SPECIFICATIONS.
NEBB TAB FIRM BALCO BALANCING INC.
REG.NO. 2971 CERTIFIED BY DANIEL P. CANNON DATE 4/09
(Air TAB Supe
THE HYDRONIC DISTRIBUTION SYSTEMS HAVE BEEN TESTED AND BALANCED AND FINAL ADJUSTMENTS HAVE
BEEN MADE IN ACCORDANCE WITH NEBB "PROCEDUREAL STANDARDS FOR TESTING, ADJUSTING, BALANCING
OF ENVIRONMENTAL SYSTEMS" AND THE PROJECT SPECIFICATIONS.
NEBB TAB FIRM BALCO BALANCING INC.
REG. NO, 2971 CERTIFIED BY DANIEL P. CANNON DATE 4109
(Hydronic TAB Supervisor)
SUBMITTED AND CERTIFIED BY:
NEBB TAB FIRM BALCO BALANCING INC.
TAB SUPERVISOR DANIEL P. CANNON •
REG. NO. 2971 SIGNATURE
DATE 4/09 CERTIFICATION EXPIRATION DATE 12!31109
National Environmental Balancing Bureau
Report Not Va d Unless Stamped wltli �O egla11C1/� •
NEBB Certlficaton Sal _OP
• NON
2971
Exp. 3/31n0
drone
01/18/2010 13:13 9209296103 MERWIN OIL CO PAGE 04
BALCO BALANCING INC. INSTRUMENT CALIBRATION REPORT
3135 SUNDEW WAY NEBB CERTIFIED
NEENAH, WI 54956
PROJECT IMPRO MED _
CALIBRATION
INSTRUMENT /SERIAL NO. APPLICATION TEST DATE
SHORTRIDGE ADM -860 / M98386 TRAVERSE 1/27/09
SHORTRIDGE ADM -860 / M98386 FLOW HOOD 1/27/09
SHORTRIDGE ADM-860 / M98386 STATIC PRESSURES 1/27/09
EXTECH 461891 / Q304851 TACHOMETER 1/9/09
FLUKE - 322 / 94010845 VOLTS & AMPS 1/9/09
CHECK -IT 626 / BBI -PY -1 CONTACT PYROMETER 1/9/09
AMPROBE THWD -1 - 8534580 TEMPERATURE / HUMIDITY 1/9/09
HYDRO DATA HDM-300 1 W98008 WATER PRESSURE 1/9/09
TEST DATE 4/09 READINGS BY A KOEPKEIBRYAN 8a a��h
• Nit Oa
- 2971 •
-sri 3(31/10
dronlc
01/18/2010 13:13 9209296103 MERWIN OIL C0 PAGE 05
3135 Sundew Way • AIR APPARATUS
Neenah, WI
TEST REPORT
-- PROJECT IMPRO MED
SYSTEM /UNIT RT1J-1
LOCATION OSHKOSH WI
UNIT DATA
MOTOR DATA
Make/Model No. _ — �—.�^
SFHC- B502HB _ _
Serial Number C83D -09182 3-SPEED
Volts/Phase /Hertz 208/1/60
IIIEIIIIIIIIMIIIHORIZ DRAW THRU
Discharge F.L. Amps/S.F.
DOWNBLAST
Make Sheave INIIIIIIIIIIIIIIIII
Sheave Diam /Bore Sheave Dlam /Bore
glEIMMEIMMIMIl
No. Befts/Make /Size Sheave & Distance
DIRECT DRIVE Sheave Oper. Dfam,
No. Filters/Type/Size 2 PLEATED 25X16X2 DIRECT DRIVE
TEST DATA DESIGN
ACTUAL TEST DATA DESIGN
ACTUAL
1900
Total S.P. Oische !e S.P.
Fan RPM Suction S.P. NMI.- 1M
MMIIMIIIIIIIINIIIIIIIIIIIEMIIMIIO Reheat Coll Diff S.P. _
Cooling Coil Diff S.P.
Motor Volts Ti T2 T3
208 210
m. Preheat Coll OW S.D.
Motor A
ST1 T2 T3 3.0
1111111111111111111111111111111111.1 1111111.1111111111.111111111111111111111111111
Filters Diff S,P.
Outside Air CFM (I /5 68 =M.
immemimlimmaEll 1832 1259
mmummommillIMIIIIIIIIII Vortex Damp Position
IIIIIIIIIIIIIIIIIIIIIIMMIIIIIIIIIIIIII Outside Air Damp Position -
Return Air Dam. Position
r
REMARKS (1) CANNOT READ MOTOR TAG. J
TEST DATE 4/09 READINGS BY
A. KOEPKE /BRYAN
National Environmental Balancing Bureau
Report Not Valid Unless Stamped with NEBB Certification Seal
7
01/18/2010 13:13 9209296103 MERWIN OIL 00 PAGE 06
BALCO BALANCING INC_ AIR OUTLET
3135 SUNDEW WAY TEST REPORT
NEENAH, WI 54956
PROJECT IMPRO MED _ SYSTEM RTU -1
OUTLET MANUFACTURER - TEST APPARATUS ADM -860
AREA OUTLET DESIGN PRELIMINARY FINAL PERCENT OF .
-
SERVED NO. TYPE SIZE AK VEL AIRFLW VEL AIRFLW VEL AIRFLW DESIGN
1 2408 1 - 200 144
2 2408 1 - , 200 - 132, —
3 2410 1 - 400 - 275
4 24101 - 400 282
5 2408 1 - 200 - 138
6 2408 1 - 200 _ - 131
2406 1 - 100 - 72
2406 - 100 - 82 , _
2406 ,1 - 100, _ - + 76
RETURN , i - , ,
1 24X24 1 - 916 _ - 658
2_ , 24X24 1 - 916 - , 601
■
REMARKS:
TEST DATE 4/09 READINGS BY A,KOEPKE /BRYAN
National Environmental Balancing Bureau
Report Not Valid Unless Stamped with NEBB Certification Seal
5-
01/18/2010 13:13 9209296103 MERWIN OIL CO PAGE 07
BALCO BALANCING INC. AIR APPARATUS
3135 Sundew Way TEST REPORT
Neenah, WI
PROJECT IMPRO MED SYSTEM /UNIT RTU -2
LOCATION OSHKOSH, WI.
UNIT DATA MOTOR DATA
Make/Model No. TRANE Make/Frame - -
Type /Size SFHC- B252LB H.P. /RPM (W) - - ,
Serial Number C84A -11039 Volts /Phase /Hertz 208/1/60
Arr, /Class HORIZ DRAW-THRU F,L. Amps /S.F. - -
: _. T) a DOWNBLAST Make Sheave -
Make Sheave - Sheave Diam /Bore -
Sheave Diam /Bore - Sheave & Distance -
No. Belts /Make /Size DIRECT DRIVE Sheave Oper, Diem, DIRECT DRIVE
No. Filters/Type /Size 2 PLEATED 25X16X2
TEST DATA DESIGN ACTUAL TEST DATA DESIGN ACTUAL
Total CFM (Us) 1000 779 Discharge s.P. - .15
Total S.P. - - Suction S.P. - .13 - -
Fan RPM _ HIGH Reheat Coil Diff S.P, - -
External S.P. - .28 Cooling Coil Diff S.P. - -
Motor Volts TI T2 T3 208 210 Preheat Coil Diff S.P. - -
Motor Amps 11 T2 T3 - 2.0 Filters Diff S.P. - -
I
Outside Alr CFM (1 /s) 53 56
•
Return Air CFM (Us) 947 723 Vortex Damp Position - -
Outside Air Damp Position - -
Return Air Damp Position - -
REMARKS (1) CANNOT ACCESS MOTOR INFORMATION.
NEW MOTOR WAS INSTALLED,
TEST DATE 4/09 _ READINGS BY A.KOEPKE /BRYAN
National Environmental Balancing Bureau
Report Not Valid Unless Stamped with NEBB Certification Seal
01/18/2010 13:13 9209296103 MERWIN OIL CO PAGE 08
AIR OUTI -hT
BALCO BALANCING INC. TEST REPORT
3135 SUNDEW WAY
NEENAH, WI 54956
- PROJECT IMPRO MED • SYSTEM RTU -2
OUTLET MANUFACTURER - _TEST APPARATUS ADM - 860
OUTLET DESIGN PRELIMINARY T7 FINAL PERCENT OF
AREA OUTLET
SERVED N0, TYPE SIZE AK VEL AIRFLW VEL AIRFLW 129 /
1 24081 166 _ ---
2 2408 1 - 167 125
3 24081
- 167 130
4 2408 1 - 167 127
5 2408 1 _ 167 _ _ _ _ 132
-- 6 24081 - 166 _ _ 136
RETURN . _ - - -
1 24X24 1 - 476 _ - 376
2 24X24 1 - 474 _ - 347
•
REMARKS:
•
TEST DATE 4/09 READINGS BY A.KOEPKE/BRYAN
National Environmental Balancing Bureau
Report Not Valid Unless Stamped with NEBB Certification Seal
7
01/18/2010 13:13 9209296103 MERWIN OIL CO PAGE 09
AIR APPARA i Lib
BALCO BALANCING INC. TEST REPORT
3135 Sundew Way
Neenah, W1
-• PROJECT IN1PR0 MED
SYSTEM /UNIT RTU -3
LOCATION OSHKOSH WI
_
UNIT DATA MOTOR DATA
Make/Frame Make/Model No. TRANE M ak
— .33 2 -SPEED
YSCO36A1 EHA 1-1.P./RPM Type /size 20$/1 /60
5 02100206E volts/Phase/Hertz
Soria! Number — 2.3
Arr./Class HOR1Z DRAW-THRU F.L. Amps/S.F.
Disci
DOWNBLAST Make Sheave
Sheave Dlam/Bore -
Make Sheave "
$heave & Distance -
Sheave DiamBO� . - T DRIVE Sheave Oper. Diem. DIRECT DRIVE
DIRECT Belts/Make/Size ,
No. Fllters/Type /Size 2 PLEATED 20X30X1
TEST DATA DESIGN ACTUAL TEST DATA DESIGN ACTUAL
r
Total CFM (1/s1 1 200 1110 Discharge S.P. - x.10
_ -
Total S.P. - Suction S.P. _� -
.42
Fan RPM HIGH - Reheat Coil Diff S.P. -
External S.P. , - .52 Cooling Coil Dlff S.P. - -
Motor Volts T1 T2 T3 208 211 Preheat Coil Dlff S.P. - -
Motor Amps T1 T2 T3 - , 1.8 Filters Diff S.P. � _ -
i
Outside Air CFM (I /s) 100 9
Return Alt CFM (Us) 1100 1012 Vortex Damp Position
Outside Air Damp Position -
Return Air Damp Position - - _ ,
REMARKS
•
•
TEST GATE 4109 READINGS BY A.KOEPKE /BRYAN
National Environmental Balancing Bureau
Report Not Valid Unless Stamped with NEBB Certification Seal
g
01/18/2010 13:13 9209296103 MERWIN OIL CO PAGE 10
AIR OUT�t 1
.
BALCO BALANCING INC. TEST REPORT
3135 SUNDEW WAY
NEENAH, WI 54956
_
PROJECT 1MPRO MED SYSTEM RTU -3
OUTLET MANUFACTURER - TEST APPARATUS ADM -860
PRELIMINARY FIT PERCENT OF
AREA � OUTLET DESIGN EMI AIRFLW DESIGN
SERV NO. TYPE ^ SI AK VEL '_ AIRFLW VEL ARFW E 225
1 2410 1 — 250 _ --, 232
- 2 2410 1 , !� 50 illi
3
2410 1 j _..__ 50 231 230
4 2410 1 - 250 _
2406 1 - 100 , _ 95
-
2406 1 - 100 ! 97
RETURN '„—! 1012
24 X 241 _._ - 1100
---, r■•• -----1 -
REMARKS: •
_. TEST DATE 4/09 _ READINGS BY A.KOEPKE /BRYAN
National Environmental Balancing Bureau
Report Not Valid Unless Stamped with NEBB Certification Seal
7,
01/18/2010 13:13 9209296103 MERWIN OIL CO PAGE 11
— — — AIR APPARAI us
BALCO BALANCING INC. TEST REPORT
3135 Sundew Way
Neenah, WI
—•
PROJECT lMPRO MED
SYSTEM/UNIT RTU-.4
LOCATION OSHKOSH WI
MOTOR DATA
UNIT DATA
•
Make/Model No, W 1/2 3 - SPEED
7 . /sire
C83D"09019 Volts/Phase/Hertz 20x/1 /so
HORIZ DRAW -THRU . . F.L. Amps/S.F.
Discha .e DOWNBLAST `
Sheave Diem/Bore INIIIIIIIIMMIIMIII
Sheave & Distance
Sheave DiamBore - r Dim. DIRECT DRIVE
No. Salts/Make/Size
DIRECT DRIVE Sheave Ope -
No. FilterafType/Siza 2 PLEATED 25X16X2 IMMIIII
DESIGN ACTUAL TEST DATA DESIGN
ACTUAL
TEST DATA
MiliM=``� 913 Discharge S.P. .26
1 000 -
Total CFM (I /s) ,11
Suction S.P.
Total S.P. _ , - - -
Fan RPM - HIGH Reheat Coil DIff S.P. - - "
External S.P. - ,37 Cooling Coil DR S.P. -
Motor Volts T1 72 T3 ' 208 211 Preheat Coil Diff S•F. -
Motor Amps T1 T2 T3 - 2.0 Filters Ditf S.P. -
Outside Air CFM (I /s) 90 . . 98
• Return Air CFM (IIs) 910 815 Vortex Damp Position - _
Outside Air Damp Position
Return Air Damp Position - -
REMARKS •
TEST DATE 4/09 READINGS BY A.KOEPKE /BRYAN '
National Environmental Balancing Bureau
Report Not Valid Unless Stamped with NEBB Certification seal
G1)
01/18/2010 13:13 9209296103 MERWIN OIL CO PAGE 12
AIR OUTLET
BALCO BALANCING INC. TEST REPORT
3135 SUNDEW WAY
NEENAH, WI 54956
_ SYSTEM RTU
PROJECT IMP
OUTLET MANUFACTURER
TEST APPARATUS ADM
PERCENT OF
CUTLET pE SIGN � AIRFLyy DESIGN
SERVED N0. TYPE MA AK 12E3 10 im�
MN. r rrr r� r rr� rrr rr 91 111111111
WM NM 2406 U1 MB 100 — — �� imii iii
MIIII
MEI
100 111111M � 88 ME
Mil 11111.1 2406 mu �� Nom
MEM
rr r■ir rr rr IIII 1111 181
r 2408 1 MI 200 � =
111111111111 11111 rMI r r rr rrr MN
r r r rrrr
1 — 2408 1 150
2 2408 1 MI 150 MI - lir
MEI r rrrIII a rrMINN
2410 1 - 300 M
COR R �
r r r
_ r rrrrrr rr r rrr 1.11
RETURN r MI
MIMI r— 24X24 1 MI 455 r111.1 M r N 398
2 24X24 1 - 455 r OIL - 417
rrrrrrr rr rrr r rr
rrrrrrrr rr rr rrr r
r,rr r r�r rrr rr rr
■rrr■rrr err rrr rrr 1.1
rrrr • r rrrr r rr rrr r Mil
rrrrr rr rrr rrr rr
�rrrrrr r■r rrrr rrr
REMARKS:
TEST DATE 4/09 _ READINGS BY A.KOEPKE/BRYAN
- National Environmental Balancing Bureau
Report Not Valid Unless Stamped with NEBB Certification Seal
•
/1
01/18/2010 13:13 9209296103
.. MERWIN OIL CO PAGE 13
AIR APPAK ub
� _ _ TEST REPORT
BALCO BALANCING 1 INC.
3135 Sunde Y
Neenah, WI SYSTEMIUN RTU-5
PROJECT 1MpR0 MED
LOCATION OSHKOSH WI
MOTOR DATA
UNIT DATA
1 1620
Make/Model No. 20811/60
581 BJV036072 Volts/Phase/Heft
2608650 4.9
IrIMINNIIII HORIZ DRAW.THRU _ _ FENNER DRIVE
DOWNBI AST A Fpgg 518
p;�h • e Sheave DierJBore
=
3-118 O.D. r 5/8 Sheave & Distance Diam. 75% OPEN 13- -.11101.1MIMMwmmil
Sheave OIamlBOre S heave 0 • " -
1 BROW NING A36
- - 1111
ACTUAL TEST DATA
DESIGN ACTUAL
TEST DATA
Discharge S•P•
Total CFM Ils)
Total $.P. 905 Reheat Coil Dill S.P.
Failiiiii.....1111. 11111.1.1111 Cooling Coil Dlff S.P.
Preheat Coil Diff S.P.
Motor Volts T1 T2 T3 208 MEM 11111111.1111.111111
2.0 Filters DR S.P.
Motor Amps T1 T2 T3 meinimi
90 92
Outside Air CFM 11s) 9
1085 1091 Vortex Dam • Position IIIIIINIIIIIIIIIIIIIII
Outside Air Demo Peron
IIIIIIIIIIIIIIIIIIIIIIIMIMIIIIIIIII Return
� m • Pos�
1111111111111111111.1111.111111111 1.1111111.11111.11.111111111111
REMARKS
TEST DATE 4109 READINGS BY A.KOEPKFJBRYAN
National Environmental Balancing Bur NEBB Certification Seal
Report Not Valid Unless Stamped with
/2
01/18/2010 13:13 9209296103 MERWIN OIL CO PAGE 14
AlK uu 11.1- I
BALCO BALANCING INC. TEST REPORT
3135 SUNDEW WAY .
NEENAH, WI 54956
PROJECT IMPRO MEP
SYSTEM RT[1 -5 •
OUTLET MANUFACTURER TEST APPARATUS ADM -860
AREA
PERCENT OF
OUTLET DESIGN PRELIMINARY r VEl � DESIGN
SERVED NO. TYPE SIZE AK VEL AIRFLW VEL AI 103
1 2406 1 100 IIIII IOW
1 105
2 24061 � � all.
24061
100 1111 - 102
M imi
1 III M 169 ,
1 2408 1 01.1 179
216 2 175 �� �� - 172
3 24081
4 2408 1 - 175 1.1111
175 1111 MI - IC —
5 2408 1 IIIII
rr rr■i ,
RETURN NM
. 1 24X24 1 - 542 r
2 24X24 1 — 3 527 _
r_
I - rrr�
J---,— — 1111
-- � — � i ir
- -4 - rrrrrr
REMARKS:
TEST DATE 4/09 READINGS BY A.KOEPKEIBRYAN
National Environmental Balancing Bureau
Report Not Valid Unless Stamped with NEBB Certification Seal
/3
01/18/2010 13:13 9209296103 MERWIN OIL CO PAGE 15
BAWL) BALANCING INC. AIR APPARATUS
3135 Sundew Way TEST REPORT
Neenah, WI
.. PROJECT IMPRO MED SYSTEM /UNIT RTU-6
LOCATION OSHKOSH, WI
—
UNIT DATA MOTOR DATA
Make/Model No. TRANE Make/Frame GE. -
Type/Size YSCO36E1 RHA — H.P./RPM (W) 3/4 4 -SPEED
Serial Number 803101315L Volts/Phase/Hertz 208/1/60 ~
Arr./Class HORIZ DRAW THRU F.L. Amps/S.F. 6.0 -
Discharge DOWNBLAST Make Sheave -
• Make Sheave - _ Sheave Diam/Bore -
Sheave Diam/Bore - Sheave & Distance -
No. Belts/Make/Size DIRECT DRIVE • Sheave Oper. Diam. DIRECT DRIVE
No. Filtersfrype/Size 2 T.A. 20X30X1
TEST DATA DESIGN ACTUAL ( TEST DATA DESIGN ACTUAL
Total CFM Ws) 1200 1218 Discharge S.P. - _ 27
.
Total S.P. - - Suction S.P. - .10
Fan RPM - HIGH SP EED Reheat Coil Diff S.P. - -
External S.P. - .37 -.. Cooling Coil Diff S.P. - -
Motor Volts T11 T3 208 211 Preheat Coil Dff S.P. -
Motor Amps T1 T2 T3 1.6 �_
- Filters Diff S.P. -
outsid Air CFM (I/ 100 108
Return Air CFM (1 /s) 1100 1110 Vortex Damp Posfion - -
Outside Air Damp Position _- -
Retum AIr Damp Position - -
REMARKS
TEST DATE 4/09 READINGS BY • A.KOEPKE/BRYAN
National Environmental Balancing Bureau
Report Not Valid Unless Stamped with NEBB Certification Seal
/
01/18/2010 13:13 9209296103 MERWIN OIL CO PAGE 16
BALCO BALANCING INC. AIR OUTLET
3135 SUNDEW WAY TEST REPORT
NEENAH, WI 54956
PROJECT • IMPRO MED SYSTEM RTU-6
OUTLET MANUFACTURER - TEST APPARATUS ADM -860
•
AREA I OUTLET DESIGN . PRELIMINARY FINAL PERCENT OF
SERVED NO. TYPE SIZE AK VEL AIRFLW VEL AIRFLW VEL AIRFLW DESIGN
1 2408 1 - 225 IIII Mal
2 2408 1 - 225 II - 231
2410 1 - 300 --IIII 309
2408 1 - 150 - 152
2410 1 - 300 303
RETURN
• ill 24X241 - 1100
II I 11
REMARKS:
TEST DATE 4/09 READINGS BY A.KOEPKE/BRYAN
National Environmental Balancing Bureau
Report Not Valid Unless Stamped with NEBB Certification Seal
/5
01/18/2010 13:13 9209296103 MERWIN OIL CO PAGE 17
BALCO BALANCING INC FAN TEST REPORT
3135 Sundew Way
Neenah, WI 54956
PROJECT IMPRO MED
FAN DATA 1 FAN NO. 1 EF -1 FAN NO. EF -2 FAN NO. EF -3
Location RESTROOM J 201 202
Service TOILET EXHAUST WOMEN'S ROOM MEN'S ROOM
Manufacturer BROAN BROAN BROAN
Model Number 684-D L300 L300
Serial Number - - -
Type /Class CEF 1 CEF 1 CEF
I
Motor Make /Style - OPEN GROAN OPEN BROAN OPEN
Motor H.P. /RPM/Frame (W) - - - - - - - - -
Volts/Phase/Hertz 115/1/60 115/1/60 115/1/60
F.L. Amps/S.F. .5 - 2.6 - 2.6 -
Motor Sheave Make /Model - -
Motor Sheave Diam. /Bore -
Fan Sheave Make -
Fan Sheave Diam /Bore - - -
No. Belts/Make /Size i-
Sheave & Distance DIRECT DRIVE _ DIRECT DRIVE DIRECT DRIVE
TEST DATA _ DESIGN ACTUAL DESIGN , ACTUAL DESIGN ACT UA
CFM(1 /s) 75 71 300 280 300 230
Fan RPM -HIGH SPEED -HIGH SPEED - HIGH SPEED
S.P. In /Out - - - 04/.15
Total S.P. .25 • - .25 .19 .25 .56
Voltage T1,T2,T3 _ 115 121 115 121 115 121
Amperage TI,T2,T3 - _ . - 2.2 -
2.0
REMARKS:
(1) DUCTWORK FOR EF -1 ABOVE
DRYWALL CEILING.
TEST DATE 4/09 . READ BY A.KOEPKE/BRYAN
National Environmental Balancing Bureau
.ieport Not Valid Unless Stamped with NEBB Certification Seal
01/18/2010 13:13 9209296103 MERWIN OIL CO PAGE 18
BALCO BALANCING INC. AIR OUTLET
3135 SUNDEW WAY TEST REPORT
NEENAH, WI 54956
PROJECT IMPRO MED SYSTEM EXHAUST
OUTLET MANUFACTURER - TEST APPARATUS ADM -860
AREA OUTLET DESIGN PRELIMINARY FINAL PERCENT OF
SERVED • NO, TYPE SIZE AK VEL AIRFLW VEL AIRFLW VEL AIRFLW DESIGN
EF -1 "
10X101 - 75 71
EF -2 ��
201 14X14 1 - 300 ' - 280
r `
EF -3
202 14X14 1 - 300
_____ - 230
,...__— t _ _ .. — .
iii
•
f — —
._
REMARKS:
•
TEST DATE 4/09 READINGS BY A.KOEPKE/BRYAN
National Environmental Balancing Bureau
Report Not Valid Unless Stamped with NEBB Certification Seal
/7
Krahn, Nicole R.
From: Ronald A. Detjen [RADetjen @impromed.com]
Sent: Friday, April 30, 2010 1:23 PM
To: Krahn, Nicole R.
Subject: RE: FW:
Nicole rather than wait for Rick Fisher to figure out what needs to be done I have added
the exit lights you suggested and put an additional face on one, also per your suggestion.
These things are done and ready for you inspection.
Ron
R.A.Detjen
President
ImproMed Inc.
Original Message
From: Krahn, Nicole R. [ mailto:nkrahn @ci.oshkosh.wi.us]
Sent: Monday, April 19, 2010 2:10 PM
To: rfisher @new.rr.com
Cc: Ronald A. Detjen
Subject: FW:
Rick,
I conducted a final inspection for this project this morning. I have enclosed pictures of
the emergency lighting plan detailing where the exit signs were not installed and /or
locations where they may be required. Please let me know what you think. I believe that
the exit sign above the computer lab door is required as it is noted on the plan.
Regarding the exit sign in the hallway that I marked it is only a 1 sided sign. You can
not see this sign from the end of the hallway by the conference room. I think that it
should be a two sided directional exit sign that points towards the break area. Let me
know what you think.
There are no exit signs visible when you come out of the storage room or room 206. Do you
think there should be an exit sign above the storage room door or one directing people to
an exit out of room 206. Let me know what you think.
Thanks,
Nicole Krahn
Building Systems Inspector
Inspection Services Division
City of Oshkosh
215 Church Ave
PO Box 1130
Oshkosh WI 54903 -1130
(920) 236 -5036
(920) 236 -5084 (fax)
nkrahn @ci.oshkosh.wi.us
1
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903 -1130
www.ci.oshkosh.wi.us
O.1HKQfH
ON THE WATER
July 10, 2008
Richard Fisher
Fisher & Associates, LLC
642 Tholsen Drive
Kimberly, WI 54136
Ron Detjen
Osh Inc
PO Box 2366
Oshkosh, WI 54903
Site: Plan Number: D6- 2428 -0708
Impro Med Inc
304 Ohio St.
Oshkosh WI 54902
For:
Description: Interior alterations
Object Type: Building only
Class of Construction: IIIB -12140 Sq Ft.; Unsprinklered
Occupancy: B: Business Office , S: Storage
Maximum No of Occupants: 120
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and
Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in Chapter
101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements
NOTE: This approval is based on the installation of the accessible sidewalk being installed on the South side of the
building per plan addendum provided on 7/11/08. Prior to installation of this sloped sidewalk, a variance for
the reduced drive lane width, or a cross access agreement shall be approved by the planning department. If
neither of these options can be accomplished then an alternative means of providing an accessible entrance
will need to be provided that may require modification to the interior of this space.
Key Item(s) / Conditions:
• IBC 1006.3 Means of egress illumination is required to be installed per this section. All paths of egress are
required to have adequate emergency lighting to meet the performance requirements of IBC 1006.4.
Existing means of egress emergency lighting is permitted to be maintained in compliance with the code
in effect at the time of construction. Any altered path of egress, or new path of egress, and any new
emergency lighting being installed is required to comply with current code requirements.
• IBC 1011.1 Where required. Exits and exit access doors shall be marked by an approved exit sign
readily visible from any direction of egress travel. Access to exits shall be marked by readily visible
exit signs in cases where the exit or the path of egress travel is not immediately visible to the
occupants. Depending on the height of cubical walls additional exits signs may be required to
comply with this section.
1:`anspecti +:uns`.Plan Review .Commercial Plan Review 2005 \D0 - 2428 -0708 30-1 Ohio St Bldg Oniti - doc
Page 1 of 3
• IBC 1014.2 Egress through intervening spaces. Egress through intervening spaces shall comply with
this section.
1. Egress from a room or space shall not pass through adjoining or intervening rooms or areas,
except where such adjoining rooms or areas are accessory to the area served, are not a high - hazard
occupancy and provide a discernible path of egress travel to an exit. Provide a discernible path
of egress travel through the computer room.
• IBC 1109.3 Sinks. Where sinks are provided, at least 5 percent but not less than one provided in
accessible spaces shall comply with ICC A117.1. The break room sinks are required to comply —
ICC A117.1. Section 606.3of this code requires a maximum rim height of 34 inches. Plans indicate
36 inch base cabinets being installed, that would not allow for required maximum sink height
• IBC 2406.3 Glazing in an individual fixed or operable panel adjacent to a door where the nearest exposed
edge of the glazing is within a 24 inch arc of either vertical edge of the door in a closed position and where
the bottom exposed edge of the glazing is less than 60 inches above the walking surface is requires safety
glazing materials.
• IFC 304.3.3 Capacity exceeding 1.5 cubic yards. Dumpsters and containers with an individual capacity
of 1.5 cubic yards or more shall not be stored in buildings or placed within 5 feet of combustible walls,
openings, or combustible roof eve lines.
• Comm 61.30(3) This review does not include lighting. Comm 63.0001 Prior to installation, lighting
plans and calculations shall be prepared in compliance with the code. The plans shall be available upon
request.
• Comm 61.30(3) This plan review does not include heating, ventilation, or air conditioning. HVAC
plans are required to be submitted and approved prior to installation or modification of HVAC system.
• Comm 61.31(4) Revisions to approved plans. All proposed revisions and modifications which involve
rules under this code and which are made to construction documents that have previously been granted
approval by the department or its authorized representative, shall be submitted to the office that granted the
approval. All revisions and modifications to plans shall be approved in writing by the department or its
authorized representative prior to the work involved in the revision or modification being carried out. A
revision or modification to a plan, drawing or specification shall be signed and sealed in accordance with
Comm 61.31(1).
• Comm 80 This plan review does not include plumbing. Prior to installation of plumbing, plans and
calculations are required to be submitted and approved.
SUBMIT:
• IBC 1006.3 Means of egress illumination is required to be installed per this section. All paths of egress
through The Retail Display area are required to have adequate emergency lighting to meet the
performance requirements of IBC 1006.4. Provide complete emergency lighting plan showing
compliance with these requirements prior to installation of emergency lighting system. A copy of
the City of Oshkosh Policy on Emergency Lighting is attached to this letter.
T: in pectiois \Plan Revi•w•:Cummercial Plan Review 2008,,Dt -2428 -0708 304 Ohio SI Bldg CJnlv.doc
Page 2 of 3
• Comm 61.40 (4) Supervision. Prior to the initial occupancy of a new building or addition and prior to the
final occupancy of an alteration of an existing building the supervising professional shall file a compliance
statement form SBD -9720 with this office.
A copy of the approved plans, specifications, and this letter shall be on -site during construction. All permits are required to
be obtained prior to commencement of work.
In granting this approval the City of Oshkosh Inspection Services Department reserves the right to require changes or
additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this
review shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the number listed below or the address on this letterhead.
Res. - 1,f,
Brian Noe
Building Systems Consultant
(920) 236 -5051 Monday — Friday 7:30 A.M. to 8:30 A.M and 12:30 A.M to 1:30 P.M.
bnoe @ci.oshkosh.wi.us
cc: Property file
Todd Muehrer — Zoning Adminstrator
Darryn Burich — Director of Planning Service
Fee Required $ 770.00
Fee Received $ 770.00
Balance Due $ 0.00
tainsperti,ms`,Plan Reti•iew'\.Cummercial Plan Review _Oti3C)t 2428 -0708 36-4 Ohio Si Bldg Only.doc
Page 3 of 3
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903 -1130
0./HV^ n I www.ci.oshkosh.wi.us
ON THE WATER I�l
July 25, 2008
Michael Harris
Merwin Heating
PO Box 68
Fond du Lac, WI 54936 -0065
Ron Detjen
Osh Inc
PO Box 2366
Oshkosh, WI 54903
Site: Plan Number: D6- 2428 - 0708 -H
Impro Med Inc
304 Ohio St.
Oshkosh WI 54902
For:
Description: HVAC ductwork on South portion of Building
Object Type: HVAC only
Class of Construction: MB - 5000 Sq Ft.; Unsprinklered
Occupancy: B: Business Office , S: Storage
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and
Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in Chapter
101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements
Key Item(s) / Conditions:
• Comm 6131(4) Revisions to approved plans. All proposed revisions and modifications which involve
rules under this code and which are made to construction documents that have previously been granted
approval by the department or its authorized representative, shall be submitted to the office that granted the
approval. All revisions and modifications to plans shall be approved in writing by the department or its
authorized representative prior to the work involved in the revision or modification being carried out. A
revision or modification to a plan, drawing or specification shall be signed and sealed in accordance with
Comm 61.31(1).
SUBMIT:
• IMC 403.3.4 Balancing. Ventilation systems shall be balanced by an approved method. Such
balancing shall verify that the ventilation system is capable of supplying the airflow rates required by
Section 403. Balancing report required to be submitted prior to final occupancy being allowed.
• Comm 61.40 (4) Supervision. Prior to the initial occupancy of a new building or addition and prior to the
final occupancy of an alteration of an existing building the supervising professional shall file a compliance
statement form SBD -9720 with this office.
i:'.Insn iiinstP(:an Reciez:.Ci:mmer,;ial Pia» (tevieu•'_Otis':C7t> -^ } "_) -0708 -11 304 Ohm St 11 'VAC Only .d ,c
Page 1 of 2
A copy of the approved plans, specifications, and this letter shall be on -site during construction. All permits are required to
be obtained prior to commencement of work.
In granting this approval the City of Oshkosh Inspection Services Department reserves the right to require changes or
additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this
review shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the number listed below or the address on this letterhead.
Respeci• 1 ,
nan " oe
Building Systems Consultant
(920) 236 -5051 Monday — Friday 7:30 A.M. to 8:30 A.M and 12:30 A.M to 1:30 P.M.
bnoe@ci.oshkosh.wi.us
cc: Property file
Fee Required $ 300.00
Fee Received $ 300.00
Balance Due $ 0.00
I: nsneeiions-Plan Revie v'C ommer. ial Platt Review 2OWT76- 2426;- O7O8 -1 a 04 Ohio St 1 TV;AC Only.du::
Page 2 of 2
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903 -1130
0./HV^ /H www.ci.oshkosh.wi.us
ON THE WATER
August 6, 2009
Richard Fisher
Fisher & Associates, LLC
642 Tholsen Drive
Kimberly, WI 54136
Ron Detjen
Osh Inc
PO Box 2366
Oshkosh, WI 54903
Site: Plan Number: D6- 2428 - 0708 -R
Impro Med Inc
304 Ohio St.
Oshkosh WI 54902
For:
Description: Interior alterations - Revisions
Object Type: Building only
Class of Construction: IIIB -12140 Sq Ft.; Unsprinklered
Occupancy: B: Business Office , S: Storage
Maximum No of Occupants: 120
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and
Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in Chapter
101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements
NOTE: All conditions of the original plan review letter date July 10 1008 still apply
The following note was placed on the July 10 2008 plan letter, and as of last week the current parking
arrangement does not match what was in the proposed plans. Contact Todd Muehrer (920) 236 -5057 to
discuss plans for compliance to avoid additional enforcement action being taken.
This approval is based on the installation of the accessible sidewalk being installed on the South side of the building
per plan addendum provided on 7/11/08. Prior to installation of this sloped sidewalk, a variance for the reduced
drive lane width, or a cross access agreement shall be approved by the planning department. If neither of these
options can be accomplished then an alternative means of providing an accessible entrance will need to be provided
that may require modification to the interior of this space.
This approval is based on the revised site plan received via email 7 /28/09 attached to this letter.
, .'a.'r?rnrr:ercial P[ -in ReVIvW 200 _ t O7O$ -F 303 Ohio ` i [l Jg (),1 Svc
Page 1 of 2
Key Item(s) / Conditions:
• Comm 61.31(4) Revisions to approved plans. All proposed revisions and modifications which involve rules under
this code and which are made to construction documents that have previously been granted approval by the
department or its authorized representative, shall be submitted to the office that granted the approval. All revisions
and modifications to plans shall be approved in writing by the department or its authorized representative prior to the
work involved in the revision or modification being carried out. A revision or modification to a plan, drawing or
specification shall be signed and sealed in accordance with Comm 61.3 1(1).
SUBMIT:
• Comm 61.40 (4) Supervision. Prior to the initial occupancy of a new building or addition and prior to the final
occupancy of an alteration of an existing building the supervising professional shall file a compliance statement
form SBD -9720 with this office.
A copy of the approved plans, specifications, and this letter shall be on -site during construction. All permits are required to
be obtained prior to commencement of work.
In granting this approval the City of Oshkosh Inspection Services Department reserves the right to require changes or
additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this
review shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the number listed below or the address on this letterhead.
Respe
!%
: rian oe
Building Systems Consultant
(920) 236 -5051 Monday — Friday 7:30 A.M. to 8:30 A.M and 12:30 A.M to 1:30 P.M.
bnoe@ci.oshkosh.wi.us
cc: Property file
Todd Muehrer
Fee Required $ 175.00
Fee Received $ 175.00
Balance Due $ 0.00
Rt.ti i ,: C'[,Hi e ciai Pion i tevir:w ''flt)9.[ )6-'425i-11708-It ;f t l'L o ,ii 13 Ci; s ., oc
Page2of2
Page 1 of 2
Noe, Brian
From: Richard J. Fisher [ rfisher @fisherandassociateslIc.com]
Sent: Tuesday, July 28, 2009 6:26 AM
To: Noe, Brian
Cc: RON DETJEN
Subject: impromed revised site
Attachments: impromed revised site.pdf
Brian
Attached is a pdf in 8 1/2 x 11 format with a revistion to the site plan showing an accessible exit at the north end of the
building.
Please use this plan as an attachment to the approved plan set
Thanks
Richard J. Fisher AIA
Senior Project Architect
Cell 920.376 -0007
/Fi$HEK & . A c T ; . LLC
ArthiktttiVriannem
444 11,41etoo MN*
V444444.4, V41 4 14
014,yws 41 atOIS FAIR} ilit ^14** OAS
7/29/2009
/'
N //
F • - // /
1 /
1 /
....)- . 1
-110 I
02, 1 N
R R • '1/4 a _ ■
1- I N ? .-4. 1 wctrD NEBO
LI
a E-z � • '• '
rV th "
Hi
�� k‘7. ��e�s'sNia�ine
1 ..‘N.\.\
City of Oshkosh
Division of Inspection Services
•4111-kiV) 215 Church Avenue
PO Box 1130
Oshkosh WI 54903 -1130
0./HKO/H www.ci.oshkosh.wi.us
ON THE WATER
October 8, 2008
Michael Harris
Merwin Heating
PO Box 68
Fond du Lac, WI 54936 -0065
Ron Detjen
Osh Inc
PO Box 2366
Oshkosh, WI 54903
Site: Plan Number: F2- 2536 - 0908 -H
Impro Med Inc
304 Ohio St.
Oshkosh WI 54902
For:
Description: HVAC ductwork on North portion of Building
Object Type: HVAC only
Class of Construction: IIIB — 7680 Sq Ft.; Unsprinklered
Occupancy: B: Business Office , S: Storage
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and
Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in Chapter
101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements
Per discussion with Designer on 10/8/08 the following revisions or modification will be made to address issues
identified in plan review:
1. Additional return air transfer grills will be added to balance air from RTU being supplied to the
rooms off the corridor.
2. An additional supply diffuser from RTU -4 providing 300cfm will be provided in the corridor.
3. RTU identified as RTU -6 is actually RTU -5, and the unidentified RTU is RTU -6.
Key Item(s) / Conditions:
• Comm 61.31(4) Revisions to approved plans. All proposed revisions and modifications which involve
rules under this code and which are made to construction documents that have previously been granted
approval by the department or its authorized representative, shall be submitted to the office that granted the
approval. All revisions and modifications to plans shall be approved in writing by the department or its
authorized representative prior to the work involved in the revision or modification being carried out. A
revision or modification to a plan, drawing or specification shall be signed and sealed in accordance with
Comm 61.31(1).
?:insneeii„n ,Plan Review'\Comme:tial MIn Review :Ou)'•.F2 2 -0 ± }f .JJ So4 Ohio St r IVAC Only .do
Page 1 of 2
SUBMIT:
• IMC 403.3.4 Balancing. Ventilation systems shall be balanced by an approved method. Such
balancing shall verify that the ventilation system is capable of supplying the airflow rates required by
Section 403. Balancing report required to be submitted prior to final occupancy being allowed.
• Comm 61.40 (4) Supervision. Prior to the initial occupancy of a new building or addition and prior to the
final occupancy of an alteration of an existing building the supervising professional shall file a compliance
statement form SBD -9720 with this office.
A copy of the approved plans, specifications, and this letter shall be on -site during construction. All permits are required to
be obtained prior to commencement of work.
In granting this approval the City of Oshkosh Inspection Services Department reserves the right to require changes or
additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this
review shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the number listed below or the address on this letterhead.
Respec 110
Tian oe
Building Systems Consultant
(920) 236 -5051 Monday — Friday 7:30 A.M. to 8:30 A.M and 12:30 A.M to 1:30 P.M.
bnoe @ci.oshkosh.wi.us
cc: Property file
Fee Required $ 320.00
Fee Received $ 320.00
Balance Due $ 0.00
.Review l):an F2 04 Ohio Se [1 \ At •
Page 2 of 2
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903 -1130
Ol HKOf H www.ci.oshkosh.wi.us
ON THE WATER
February 26, 2010
Richard Fisher
Fisher & Associates, LLC
215 Peterlynn Dr
Wrightstown, WI 54180
Ron Detjen
Osh Inc
PO Box 2366
Oshkosh, WI 54903
Site: Plan Number: D6- 2428 - 0708 -R2
Impro Med Inc
304 Ohio St.
Oshkosh WI 54902
For:
Description: Interior alterations - Revisions
Object Type: Building only
Class of Construction: IIIB -12140 Sq Ft.; Unsprinklered
Occupancy: B: Business Office , S: Storage
Maximum No of Occupants: 120
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and
Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in Chapter
101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements
NOTE: All conditions of the original plan review letter date July 10 2008 and revised plans from
August 6 2009 still apply.
This review was limited to revisions that were clearly identified on the plans submitted, which was limited to
one cloud shown on Sheet C1.0 which was not shown in the title block list of revisions. This was tagged as
being revised 7/23/09. Other clouded areas, or listed revisions were included in the previous revised plans.
Key Item(s) / Conditions:
• IBC 1006.3 Means of egress illumination is required to be installed per this section. All paths of egress are
required to have adequate emergency lighting to meet the performance requirements of IBC 1006.4.
Existing means of egress emergency lighting is permitted to be maintained in compliance with the code
in effect at the time of construction. Any altered path of egress, or new path of egress, and any new
emergency lighting being installed is required to comply with current code requirements. The new
exterior door on the North side of the building is required to have both normal power lighting and
emergency lighting provided on the exterior side of the door to illuminate the exit discharge area. The
Emergency lighting plan submitted with this revised plan submittal does not show any exterior lighting
at this door.
I:''Inspections \Plan Revie;ti\2010 \D6 -2423- 0708 -R2 304 Ohio St Bldg Revisions Only dm:
Page 1 of 2
• Comm 61.31(4) Revisions to approved plans. All proposed revisions and modifications which involve rules under
this code and which are made to construction documents that have previously been granted approval by the
department or its authorized representative, shall be submitted to the office that granted the approval. All revisions
and modifications to plans shall be approved in writing by the department or its authorized representative prior to the
work involved in the revision or modification being carried out. A revision or modification to a plan, drawing or
specification shall be signed and sealed in accordance with Comm 61.31(1).
SUBMIT:
• Comm 61.40 (4) Supervision. Prior to the initial occupancy of a new building or addition and prior to the final
occupancy of an alteration of an existing building the supervising professional shall file a compliance statement
form SBD -9720 with this office.
A copy of the approved plans, specifications, and this letter shall be on -site during construction. All permits are required to
be obtained prior to commencement of work.
In granting this approval the City of Oshkosh Inspection Services Department reserves the right to require changes or
additions should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this
review shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the number listed below or the address on this letterhead.
Res. - y ,
rian Noe
Building Systems Consultant
(920) 236 -5051 Monday — Friday 7:30 A.M. to 8:30 A.M and 12:30 A.M to 1:30 P.M.
bnoe @ci.oshkosh.wi.us
cc: Property file
Fee Required $ 175.00
Fee Received $ 175.00
Balance Due $ 0.00
\Inspectiuns \Plan Reviev;\22010 \D6- 2423- 0703 -R2 304 Ohio St Bldg Revisions Only. due
Page 2 of 2
Page 1 of 3
Krahn, Nicole R.
From: Noe, Brian
Sent: Thursday, December 18, 2008 10:42 AM
To: 'Gary Biesinger'
Cc: rfisher @new.rr.com; Benner, Kevin; Krahn, Nicole R.
Subject: RE: EGRESS PATH OF LIGHTING FOR IMPROMED
Attachments: Emergency Illumination Advisory.doc
Gary,
Looking at the plan that you provided it appears there have been significant changes to the paths of egress from
what was submitted for the building plan approval. Revised building plans will be required to be submitted by the
building designer to document these revisions, and the building designer is required to review and then submit the
emergency lighting plans per the attached policy.
I have copied the building designer on this email, so hopefully he will work on submitting building revisions that
will include the emergency illumination plan. The paths that were shown on the plan you provided would appear
to have adequate emergency light, however they may be additional areas that are required to be provided with
emergency Tight.
Rick,
Please call me to discuss what you will need to provide for the building plan revision submittal.
Brian Noe
City of Oshkosh
Building Systems Consultant
215 Church Ave. P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5051
Fax (920) 236 -5084
Before you print this email, please consider the environment.
From: Gary Biesinger [ mailto :garybiesinger @beezelectric.com]
Sent: Wednesday, December 17, 2008 9:13 AM
To: Noe, Brian
Subject: RE: EGRESS PATH OF LIGHTING FOR IMPROMED
Brian,
Here are the links to the exit and emergency lighting we installed at Impromed.
Please let me know if you have any other questions.
htt / /www.acui tybrandslighting.com/ library/LUdocuments /psg /LHQM.pdf
htt : / /www.acuit y bra ndslighting.com /library/LUdocuments /psg /ELM- ELM2.pdf
12/18/2008
Page 2 of 3
Thanks,
Beez
Gary Biesinger
President
Beez Electric, Inc.
Ph: 920 - 231 -6655
Fx: 920 - 231 -7255
This email is intended for the use of the addressee(s) only and may contain privileged, confidential, or proprietary information that is exempt from disclosure under
law. If you have received this message in error. please inform us promptly by reply email, then delete this email and destroy any printed copy. Thank you.
From: Noe, Brian [mailto:bnoe @ci.oshkosh.wi.us]
Sent: Tuesday, December 16, 2008 2:37 PM
To: Gary Biesinger
Subject: RE: EGRESS PATH OF LIGHTING FOR IMPROMED
Gary, ri .
Looking at the drawing it does not appear there is information on the type of fixture being installed. Can you
provide cut sheets for the fixtures that will be used.
Brion Noe
City of Oshkosh
Building Systems Consultant
215 Church Ave. P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5051
Fax (920) 236 -5084
Before you print this email, please consider the environment.
From: Gary Biesinger [ mailto :garybiesinger @beezelectric.com]
Sent: Tuesday, December 16, 2008 9:14 AM
To: Noe, Brian
Subject: EGRESS PATH OF LIGHTING FOR IMPROMED
Brian,
Could you please review the path of egress for IMPROMED facility on Ohio Street?
Let me know if there are any problems with the design from Fisher
Thanks,
Beez
Gary Biesinger
President
Beez Electric, Inc.
12/18/2008
Page 3 of 3
Ph: 920- 231 -6655
Fx: 920 - 231 -7255
This email is intended for the use of the addressee(s) only and may contain privileged, confidential, or proprietary information that is exempt from disclosure under
law. If you have received this message in error, please inform us promptly by reply email, then delete this email and destroy any printed copy. Thank you.
From: Richard J. Fisher [ mailto: rfisher @fisherandassociatesllc.com]
Sent: Thursday, December 11, 2008 12:33 PM
To: Gary Biesinger
Subject: FLOOR PLAN FOR LIGHTING CALCULATION
Thanks
Richard J. Fisher AIA
Senior Project Architect
CeII 920.376 -0007
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ThAolowit. Dove
KuRiboto, "WW
rimm n ,401(. Frail $2011010
12/18/2008