HomeMy WebLinkAboutHVAC�-C. R. MEYER AND SONS COMPANY
895 W. ?Oth Ave. P. O. Box 2157
Oshkosh, W154903
(920)235-3350 Fax (920)2753A19
•
•
.
To:
Attn'
Department of Commerce
Safety & Buildings
P.O. Box 71fi2
Madison, WI 53707-7162
Date: 1/14/99
CRMJohNot 98�210
Project No:
Your Job No:
Project Name: Banner Packaging - Mezzanine Addition
Location: 3550 Moser Streel
Oshkosh, WI 54901
We Are Sending � Herewith � Under Separate Cover
You:
❑ Plans ❑ Shop Drewings ❑ Prints ❑ Specifcations ❑ Correspo�dence
1 Copies of Compliance Statement tBUlding Only)
Copies of
Copies of
From:
Covering:
Which are : (as checked below)
❑ For Approval
p For Correction
❑ ForFinalApproval
❑ For Your Use in Preparing Shop D2Wings
❑ For Fabrication of Your Material
Remarks:
Reference Trensaction ID Number 146620
to:
❑ ForYourUse
� For Files and Distribution
❑ For Field Use
❑ For Sending Us a Quotatlon on your
Material shown by
C. R. MEYER AND SONS COMPANY
By; KenneM Kraase
/ � _� Packaging Mezzanifie Addition
� x
/Buiidings, HVAC, Lighting Compliance Statement
7nis form is required to be submitted by the supervising professional (amhitect, engine?r, HVAC designer or e�ectdcal
dzsigner) observing construction of projects within builtlings wim total arezs exce=ding Spp00 cubic feet and construction
• of antennas, towers, and bleachers (ILHR 50.10). Failure to submit this form may resWt in penalties as specifed in
ILHR 5026 andlor local ordinances.
•
General lnstructions: Pnor to the initial occupancy of new buildings or additions antl the final occupancy of
altered ex�sting buildings, submit this completed and signed form lo:
• Th= municipal buiiding inspection office and
. Safety and Buildings, P.O. Box 7162, Madison, WI 53707-7162
?ersonal intortnation you provide may 6e used for secontlary puryoses [Pnvacy Law, s. �5.04 (�)(m�].
1. PROJECT INFORMATION: Please fiil in the following with infortnation fmm your plan approval lettes.
Transaction 1� Number 146620
Site Number 584936
Site location (number & street) a55o Mo.�er Screec
� Giry ❑ Vifiage ❑ Town of Oshkosh County of winnebago
2. PURPOSE OF THIS STATEMENT: (Ch=ck Box A. B. C, or D to intliwte purpose and compleL= any other
applicaCle bozes an0 infortnation. ACach additional pag=s if neressary.)
Check Ihose whith apply: � Building Obj=_ct 10 � 424262 ❑ HVAC ObjeC ID m
� ❑LightingObj_ctiD:
❑ Partial Completion
- Descnption of Partion Campleletl ,
A) � Statement of Su6stantial Compliance
10 the be5t of my knowletlge, belief, and based on onske observation, tonstruqion of the foliowing building and/or HVAC
items applicable to this p*ojed have been comD�etetl in su0stanfia! compliance witn ihe apDmved plans and
sQecifications.
� 9UILDING ITEMS '
t SiruRUral system including submittal antl ere!tion of all building
componeMS (tnsses, precast, metal builtling, etc.)
Fire pmi_caon sys;ems �spruueiers, alarm:, srtwae aee_Qors� cevgnetl.
� installetl, and test_d (inGUding tareard flow on back flow tlevices� by
zpprcpna�=iy regs;ara, pries5mnais
3. Shaft and sfairway enUosure
4. Ezits mcludi(y exit antl directional lights
5. Fire-resistive constru�tion, endosure ot hazartls, fire walls, Iebeietl
tloors, Gass of wnstruction
6. Sanita6on system (loilets, sink5, dnnking facilities)
' '"_- _ - '„'.c�� -nw_�e.o�o��o��..���.a
B. ILHR 63 e�ergy envelepe
9. All wntlitions of builtling plan approval and aAP�icahle vanances
The following items are net in cempliance a�d must be a6dressed: _
�Bj � SWtementofNontompliance
Due lo the folyowing listetl violalions, ihis project Is not rea0y tor occu0anry:
❑ HVAC IT'cM5
1. HVAC 5ystem incfuding fnal test
(7LHR 64.53)
2. All wnditions ot HVAC plan approval and
applicable vanances
❑ LIGHTING ITEMS
1. Exierior Ilghting 8 rontrol requirements
2. Intenor lighting & contml requirements
3. All conditions o/1ighEng pla� aQpmval and
applicable vanences
C) ❑ Supervising Professfonai wthdrawn From Prajett (Use A ar B a6ove to indirate project staws as of this date.)
D) ❑ ProjactAbandoned
� 3. SUPERVISING PROFESSIONAL SIGNATURE FOR:
� Building ❑ HVAC ❑ Ligh6ng Kenneih W. Kraase Oat January L 1999
Name (piease ptlnt or rype) � /
Phonenumber 920-235-335(CustomerlD# 640897 Signature ��
seo-s�m �aos»8)