HomeMy WebLinkAboutHVAC #159-1191H (11/06/1991) CITY HALL
‘1)
215 Church Avenue
P O. Box 1130
Oshkosh Wisconsin
54902 -1130 City of Oshkosh
TENTH STREET STATION
924 OHIO ST.
OSHKOSH, WI. 54901 11/6/91
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ON THE WATER
Dear Mr. PERGOLSKI
Heating and Cooling unit replacement
2200 MONTANA
JACK MEYER OWNER
FILE #159 -119IH AUTO REPAIR GARAGE
Your heating - cooling replacement letter and calculations have been reviewed
for compliance with important code requirements. Copies of the letter have
been stamped and are being returned to the owner. This approval is not a
Heating Permit. Necessary city permits must be obtained before commencing
work.
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.
You are hereby advised that the owner, as defined in Chapter 101.01(i) 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.
Sincerely, ,o
Lee A. Erdmann
Heating Inspector
LE /mjf
CITY HALL
215 Church Avenue
P 0 Box 1130 DATE
Oshkosh.
54902 -1 Wisconsin 130 City of Oshkosh
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COMPANY NAME •
ADDRESS 9,1 y "h, S�
CITY /STATE /ZIP � wi � r
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ON THE WATER
APPROVAL REQUIRMENTS FOR,
REPLACEMENT OF COMMERCIAL AND INDUSTRIAL HEATING AND COOLING
EQUIPMENT FOR BUILDINGS UNDER 100,000 CUBIC FEET IN AREA.
1 ) Owner of the b u i l d i n g i / 1 " ''
2) Address of the building c 7' '"
c -79
3) What the building is used for
Equipment being replaced (model,serial number and size)
5) New equipment (model and size) c oo o°o
r
6) Was there adequate heating & /or cooling?
7) How was the new unit sized?
Gl •v , `7
8) Is there a boiler /furnace room?
9) Please include State SBD118 Form with a $27.00 Fee
NOV `, 1991
/59 ?i /f
SEE G6i;;IL-SvUl,,6EN6E.
Safety & 8uddings Division PLANS APPROVAL APPLICATION
201 E. Wasnington Avenue E—
P.O.9ox 7969 DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS
Madison, WI 53707 BUREAU OF BUILDINGS AND STRUCTURES • PLAN NO. / / /Q«
INSTRUCTIONS: Fill in all applicable data. Submittal of this Plan Approval Application form is required with each plan submittal. with a minimum of 4
sets of plans. Data required is described in code secuon ILHR 50.12.
SUBMIT PLUMBING PLANS SEPARATELY. ACCOMPANIED BY PLUMBING PLAN APPLICATION FORM S8D -6154.
Name of Owner '' Building Occupancy As or e Designer or Design firm ❑ BLDG HVAC
%...14C-14 m ye r /' do °^
Company Name ! Tenant Name (if any Street & No
Street & No. �Q Building is located at: .2. t oe.rtiq.vq. City ash s` Sta & Zip
a � f /170 7Ast' Q "''r - in the City 0 Town ❑ Village G G
C.ty
State & Zip �: ea-go /Lc) tS�1 � Contact Person
� � � ((f/S County of W /#....a nJ . VAA g P-e� more
Previous Owner it any Return Plans to: ❑ Owner ❑ Designer ! Phone pQII
• ❑ Other (7 (/ tJ 7 7 6
PUBLIC RECORDS: This plan. and related documents. may be subject to public inspection and copying. (IND 69.02(6)
1. This application for L.J New Bldg ❑ Addn to Bldg ❑ Alteration ❑ Revision to previously reviewed plan ❑ILHR 70 Hist Bldg
2. The Department has processed a Petition for Variance for this project? ❑Yes ❑ No; Preliminary Review? ❑ Yes ❑ No
3. Review of the following building components is requested. Plans and calculations are included for each component.
L.1 Footing & Foundation ❑ Building ❑ Structural ❑ HVAC ❑ Other.
4. The following construction classification type is requested and shown on plans. ❑ #1 Fire Resist. ❑ #2 Fire Resist.
0 #3 Metal Frame Prot 0#4 Hvy Tmbr 0#5A Msnry Prot 0#58 Msnry 0#6 Metal Frame 0#7 Wood Frame Prot 0 #8 Wood Frame
5. If plans do not show compliance with requested construction classification, but are approvable at a lower class, do you wish plan approval at
- the lower construction classification? ❑ Yes ❑ No
6. SOIL BEARING CAPACITY: The Soil Bearing used for design is PSF. This value is ❑ presumed ❑ verified
7. BUILDING SYSTEMS: Please check appropriate boxes ❑ Complete sprinkler ❑ Partial sprinkler ❑ Fire alarm ❑ Emergency Power
❑ Complete detection system ❑ Partial detection system. For partial systems, show area protected on plans or by letter.
8. MECHANICAL INFORMAION: Total output rating of heating units is: IB /00
BTUH. Air cond. ❑Full 0 Partial 0 None
Primary fuel source is )1"j Gas ❑ Oil ❑ Electric ❑ L.P. ❑ Co Wood ❑ Solar ❑ Other
00 0
COMPONENTS INCLUDED WITH THIS SUBMITTAL 10. ES See current fee summary or IND 69.09; and back of form.
NOTE: Must be submitted by building designer Building:..Volume C.F....S
Designer Name Reg. No HVAC' Volume C.F....S
METAL
BUILDING Supplier Alteration:....Area S.F....S
Structural: (Separate submission only) S
Designer Name Reg. No Ftg & Fdn: (Separate submission only) S
TRUSSES Supplier Revision to previously reviewed plan S
Industrial Exhaust S
Designer Name Reg. No Other S
PRECAST
CONCRETE Supplier Priority Review (Total of above fees) S
Permission to Start S
Designer Name Reg. No Inspection Fee $ 7'
LAMINATED U�
WOOD Supplier Total S
OFFICE USE ONLY Date:
Designer Name . No ❑Owner
OTHER Fee
(SPECIFY) Supplier Paid ❑ Designer
By: ❑ Other
11. DESIGN ANO SUPERVISION (ILHR 50.07-50.10i It this building. following construction of tips protect Contains more than 50.000 cubic feet total volume. ail applicable boxes below must be
-completed prior to plan review. The °reject designer H the person who signed and seated the plans. except tor components designed and sealed by other designers. Plans Ier buildings eser
50.000 C.F. will net be renewed until IM signaler, or the supervising fie) is provided. The Department expects. and requires. that the protect designer review Individual component
suOmIhais for compliance with Me general design concept The protect designer. and department. will rely on the seal o1 1M Component designers for compliance with die codes as they apply to
mein designs.
Name of Building Designer (Type or Print) Reg. No. Name of HVAC Designer (Type or Print) Reg. No.
Name of Processional Supervising Building (Type or Print) Reg. No. Address
e 'nature of Professional Supervising Building Date
Name of Professional rvising HVAC (Type or Print) Reg. No. Address
) '' arc -Pr o e .S�'
Sign: /re of Protesslo S eervisi g HVAC � a Date
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