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Home My WebLink About0057890-HVAC (boiler) � CITY OF OSHKOSH No oos�aso OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1202 OSHKOSH AVE Owner DOROTHY A REPP Create Date 5/8/97 Contractor MARX HEATING Category 510-Ind.�Comm-Heating&Ventilating Plan Fuel as i e nc o ar o i System ew ep ace er orce ir a ian eam en ec ric o a er upp. on. urner Chimney Type imney imney ire en o pp ica e Heat Loss s pprove xis ing o pp ica e Value BTU Rate s er an ana e er Value 300,000 Use/Nature of Work REPLACE BOILER . �� Fees: Valuation $3,385.00 Permit Fee Paid $119.00 � � Issued By: � � Date 5/8/97 ermit oi e ' � In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner F Address P.O. BOX 4052 APPLETON WI 54915 -0000 Telephone Number 414-757-6130 ; i � � • t � ;� � �V JP i Date 5/8/97 : I • Company Name MARX HEATING&A/C INC � Address 4535 STATE ROAD 91 H City/State/Zip OSHKOSH WI 54904 ON THE WATER Dear Mr. MARX; Heating and Cooling Unit Replacement: Address 1202 OSHKOSH AVE Oshkosh Owners Name REPP'S BAR File# 54-597H 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, �G��— Lee A. Erdmann H.V.A.C. Inspector . ; BUILDING/STRUCTURE/HVAC PLANS APPROVAL APPLICATION Wisconsin Department of Industry, -Complete Both Sides- Labor&Human Relations E-File Safety&Buildings Division : eureau of Buildings&Structures Scheduling Information-complete , when calling to schedule revfew: Plan No. _i�� INSTRUGTIONS: Fill in all applicable data. Caution: Failure to complete the form entirely may cause additional delay. Submittal of this Plans Approval Application is required for each building. Submit this form with at least 4 sets of plans which include details and data as required by ILHR 50.12. Plans may be submitted to any of the plan review offices listed on the reverse side. Projects are scheduled for review. Please call the selected office prior to submittal. Any components submitted independently from the building plans must be submitted to the office which did the project's initial review. 1. Owner Information 2. Project Information 3. Building or Structure Designer Information Name Buildin9 Otcupancy Chapter(s)And Use: Designer Registration N A1 Repp Company Name Tenant Name(if any) Design Firm Repp' s Bar Number&Street Building Location(number&street) Number&Street 1202 Oshkosh Ave 1202 Oshkosh Ave City,State,Zip Code [�City ❑Village ❑ 7ownship Of City,State,Zip Code Oshkosh WI 54901 Oshkosh Contact Person County Of Contact Person A1 Repp Winnebago Telephone Number Property ID No.(tax parcel no.-contad county) Telephone Number Fax Number (414) 9835 c > ( > Fax Number Government Owned ❑Yes No Retum Plans To: ❑Owner ❑Designer ( ) Government Leased Or Operated 0 Yes �]No ❑Other • 4. Building History 5. Construction Class Requested 6. HVAC Designer Information Previous Owner(s)(if any) � 1. Fire Resistive Type A Designer RegistraLOn# ❑ 2. Fire Resistive Type B ❑ 3. Metalframe-Protected Designfirm ❑ 4. Heavy Timber Previous Plan or File No. � 5A. Exterior Masonry-Protected Number&Street ❑ 58. Exterior Masonry-Unprotected Variance No. Preliminary No. ❑ 6. Metal Frame-Un�irotected City,State,Zip Code ❑ 7. Wood Frame-Protected Other Information(previous use,last submission) ❑ 8. Wood Frame-Unprotected Contact Person If plans do not show compliance with requested Construction dass but are approvable at a lower class,do you wish approval at the lower class? Telephone Number Fax Number ❑ Yes ❑ No ( ) ( ) 7. Building Information 8. Submittat Request 9. Supervising Professional Information ❑ Complete Sprinkler-NFPA Project Review Requested ❑For Buildin9 �Same As Building Designer ❑ Partial Sprinkler - NfPA ❑New ❑Footing/Foundation For HVAC �Same As NVAC Designer ❑ Unlimited Area ❑Alteration ❑Building Supervising Pro (i di erent r�om desi9ner) ❑ Fire Alarm ❑ Emergency Power ❑Addition ❑Permission To Marx Heating & A�C IriC ❑ Smoke Detection ❑ Hazard Enclosure ❑Revisions Start Registration/� pUseChange [�-IVAC 3472 Total Number of Stories ❑ILHR 70 Hist Code ❑Truss ❑Variance ❑PreCast Number&Street BuildingFootprintArea sqft 4535 State Road 91 ❑Preliminary �Structural Soil eearing Capacity psf �Canopy ❑Laminated Wood City,State,Zip Code ❑ Presumed ❑eleacher ' ❑nnetalBuilding OShkOSh WI 54904 : ❑ Tower ❑JoisUGirder Te ep one Num er ❑ verified 41 4-235-651 0 ❑Other 10. Related Business Systems-Please call the respective Program for clarification and plan submittal requirements. ❑ Efevators(608-267-3576)includes: 0 Flammable/Combustible Liquid(608-267-1379) ❑ Boiler/Prezsure Vessel(608-266-1904} � Passenger elevator meeting ILHR 18 req. Will any portion of this building be used for ❑ Mechanical Refrigeration/AC(608)266-1904 ❑ Freight elevator meeting ILHR 18 req. storage or dispensing of flammable/ ❑ Plumbing(608-266-3815) ❑ Part 5 lift(residential type) combustible liquids as covered by ILHR 10? Sewer: ❑ Part 20 lift(wheelchair lift) ❑ Yes ❑ No ❑ Municipal ❑ Private Sewage System Sa�-�t8(R.tz�92) -CONTINUE ON REVERSE SIDE- . � . 1 t. Calculation of Fees ' ` Area: The area of a floor is the area bounded by the exterior surface of the building wails or the outside face of columns where there is no wall. Area indudes all floor levels such as subbasements, basements,ground = floors, mezzanines, balconies, lofts,all stories and all roofed areas including porches and garages,except for cantilevered canopies on the building wall. Use the roof area for free standing canopies. Total area is the i summation of all floor areas. Attach a separate sheet if necessary for the calculations below: Floor Level (specify) Length X 'JVidth - Area X = X - X = ; X - X - Total Area = ❑ Project NOT located in certified municipality(go to Fee Schedule Table 2.31-1). ❑ Project located in certified municipality(go to Fee Schedule Table 2.31-2). (See Fee Schedule for list of certified municipalities.) ❑ Building and HVAC . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • -• Fee $ S ❑ Building Only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . Fee $ ; [� HVACOnIy . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . ... . . . . . . Fee $ 80 .00 ; ❑ Revision To Previously Approved Plan . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . Fee $ � ❑ Permission To Start . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee $ i; ❑ Pre-July 1992 Building Components . . . . .. . . . . . . . . . . . .. . . . .. .. . . . . . . . Fee $ >: ❑ Other . . . . . . . . . . . . . . . . . . . . . . . . Fee $ Total Fee = $ _ i 12. OWNER'S STATEMENT(ILHR 50.11): I request that plans be reviewed for compliance with the code requirements set forth in Chapters ILHR SO-64 of the rules of the department. I recognize that I am responsible for compliance with all code requirements and any conditions of plan approval. If this building exceeds 50,000 cubic feet in total volume, I � will retain a supervising professional as required by ILHR 50.10 throughout construction to project completion and the � filing of a Completion Statement by the supervising professionaL = F Owner's Signature: Name&Title Original Print 13. DESIGNER'S STATEMENT: DESIGN(ILHR 50.07-50.09)if this building,following construction of this project,contains more than 50,000 cubic feet in total volume, plans are required to be prepared,signed,sealed and dated by a Wisconsin registered engineer or architect(ILHR 50.07(2)). Signatures and seals shall be original. The department expects,and requires,that the project designer review individual component submittals for ; compliance with the general design concept. The project designer,and department,will rely on the seal of the component designers for compliance with the codes as they apply to their designs. Total cubic foot volume of the building upon completion of this project: ❑ Less Than 50,000 ❑ 50,000 or Greater , Designloadshave beenindicated onthe plans. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . p Yes ❑ N/A ;: Firewa��schematit plan has been intli�ded. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . ❑ Yes ❑ N/A � ' All appticable items required by ILHR 50.12 have been included. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. ❑ Yes ❑ N/A ; I certify that the submitted plans were prepared under my supervision,are accurate,and to the best of my knowledge comply with the applicable codes of the Department of Industry, Labor and Human Relations. Onginal Signature of Building Designer ( euilding � Date Signed Original Signature of HVAC Designer Date Signed � � Submrttal 4/24/97 Original Signature o Building Designer Component Date Signed Name of Component Design Firm : Submlttal 14. SUPERVISING PROFESSIONAL'S STATEMENT: (ILHR 50.10) I have been retained by the owner as the supervising � professional per ILHR 50:t 0 fc,r the pe�formance or supervision of reasonable on-the-site observations to determine if the construction is in substantial compliance with the approved plans and specifications. Upon completion of construction, I will file a written statement with the department certifying that,to the best of my knowledge and . belief,construction has or has not been performed in substantial compliance with the approved plans and specifications. Origina Signature o Pro essional Supervisirig The Building Date Signed Original Signature o Pro essiona Supervising T e HVAC Date Signe �-�-� � 9 �''�=� /�/ 7 Hayward Ofi,�e La Crosse Oftice Madison Office 5hawano Office waukesha Office 209 W.1 st Street 2226 Rose Street 201 E.Washington Ave. 1053A E.Green Bay Street 401 Pilot Court,Suite C Rt 8,Box 8072 la Crosse,WI 54603 P.O.Box 7969 P.O.Box 434 Waukesha,WI 53788 } Hayward,WI 54843 Phone(608)785-9334 Madison,WI 53707 Shawano,WI 54166 Phone(414)548-8600 Phone(715)634-4870 Fax(608)785-9330 Phone(608)266-8735 Phone(71 S)524-3626 Fax(414j 548-8614 Fax(715)634-5150 Fax(608)267-9566 Fax(715)524-3633 € . • � `► City of Oshkosh P.O. BOX 1130 0,�}�KQ�H OSHKOSH, WI 54902-1�i30 ON THE WATEp COMPANY NAME Marx Heating & A/C Inc DATE 4/24/97 ADDRESS 4535 State Road 91 CITY/STATE Oshkosh WI 54904 • APPROVAL REGlUIRMENTS FOR REPLACEMENT OF COMMERCIAL AND INDUSTRIAL HEATING AND COOLING EQUIPMENT FOR BUILDINGS UNDER 100,000 CUBIC FEET IN AREA. 1) OWNER OF BUILDING A1 Repp Repp' s Bar 2)ADDRESS OF BUILDING 1202 Oshkosh Ave Oshkosh WI 54901 3)WHAT THE BUILDING IS USED FOR � Tavern . 4) EQUIPMENT BEING REPLACED (MODEL,SIZE) Burnham Boiler 300,000 Input - 240 ,000 Output 5) NE1IV EQUIPMENT(MODEL,SIZE) Weil McLain CG-8 245,000 Input- 202 ,000 Output 80 .5 AFUE 6)WAS THERE ADEQUATE HEATING8JOR COOLING? Yes 7) HOW WAS THE NEW UNIT SIZED? Radiator Load & By the old Boiler . 8) IS THERE A BOILER/FURNACE ROOM? Yes .��/1!, " 3-y-��7� 9) PLEASE INCLUDE STATE FORM SBD118 WITH A$80.00 FEE. HEATING & VENTILATION PLI�+�S REVIE�IED BY CITY OF OS��S�1 fOR COMPUANCE W�TH REQUIREMENTS Or WI�Ci,':� DEPL Of INDUSTRY,LABOR AND HUM�,N REL�Ti�,�; SEE CORRESPON ENCE