HomeMy WebLinkAboutHVAC (110-1193H) - 11/16/1993� ./ ._ � . .. ' ..� • �
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:� � City of Oshkosh �
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� RF,S�'^USSEN`S HTG. � A/C I NC. I I/16/93
O.�K�.f}� 1915 K��!APP ST.
ON 7HE WATER n��K�SH� ��'�I . Sa9n I
Dear Mr. RAS^1USSEN:
Heating and Cooling unit replacement
1437 K�IAPP ST.
OSHK�SH. !.�!I .
KNPPP I 2 PAP,TVERSH I P 0��^l`JER
FILE �I10 1193H ,^-PT.
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 buiiding will be inspected during construction and a final inspection will
be muae afLer 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
ihrough 64 of the rules of the Department of Industry, Labor and Human
Relations.
Sincerely,
`��� �
Lee A. Erdmann
Heating Inspector
�:
LE/mjf
. _ _ . � _._ __ 1 �
. _ ..�-_ ` DATE 1 � � ` � 3
---__ :: City of Oshkosh
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COMPANY NAME ``�S� `^SS'�p� � � � �`�
� ADDRESS � � � � lC� � � S�
`/ CITY/STATE/ZIP �S,��Cc� S VJ� �-(Sc��
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O.fHKC�IH
ON THE WA7ER
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 bui lding �N � ( 2 �� �' '�`-�e-�'� �`
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2 ) Address of the building
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3 ) What the building is used for
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4 ) Equipment being replaced (model , serial number and size )
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5 ) New equipment (model and size ) �
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6 ) Was there adequate heating &/or cooling ?
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7 ) How was the new unit sized?
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8 ) Is there a boiler/furnace room?
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9 ) Please include State SBD118 Form with a $80.0o Fee
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. BUILDING/STRUCTURE/HVAC PLANS APPROVAL APPLICATION
w�sconsm Department of Industry, -Complete Both Sides-
laboi 8 Muman Relat�ons E•Fde'
Safety&Bwidings Dwision $�h�ul�n Informat�on-complete
Bureau of 8wldings 8 Structures when tali ng to schedule rev�ew: Plan No. ,f/� `// '�1.3� _
INSTRUCTIONS: 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. P ans 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 independentty from the building plans must be submitted to the office which did the project's initial rev�ew.
1. Owner Information 2. Projett Information 3� Informa on trudure Designer
,NJame 8wlding Occupancy Chapter(s)And Use: Designer RegatraUon A�
K'1.)P �Z- A�V`i2�2�� �
Compa Name Tenant Name(if any) Design Firm
� �
Number 8 Street Bu�ldmg location(number 8 street) Number 8 Street
�( ��n p- S�� 1 � ��
City,State,Lp Code ❑City ❑Vdlage ❑ Towaship Of Ciq,State,Zip Code
5-6�-J��S' �l'��iC��
Contad Pe+wn County�Of Contact Penon
, N rfQ`�'G� o
Telephone Number Property ID No.(tix parcel no.-contaa county) Telephone Number Fax Number
� / � / � / F
Fax Number Government Owned ❑Yes ❑No Return Plans To: ❑Owner ❑Des�gner
( ) Government Leased Or Operated�Yes ❑No ❑Other
f
4. Building HEstory 5. Gonstruction Class Requested 6. HVAC Designer Information k
Prev�ous Owner(s)(if any) � 1, fire Resistive Type A Designer RegistraUon A� G
❑ 2. Fire Res�sUve Type 8
❑ 3. Metal frame-Protected es�gn �rm �
❑ 4. HeavyTimber �n"`�"r���'D "��'r`-e ��
Prev�ous Plan or Fi e No. � SA. Exterior Masonry-Protected Number 8 Street
❑ 58. ExtenorMssonry-Unprotected �� � 1 �t`� '� S�
Vanance No. Preliminary No. ❑ 6. Metal Frame-Unprotected i .State.Zip Code
❑ 7. Wood frame-Protected �`��-C.t= ( C� G!- � `� � �
Other Information(prenous use,last submission) ❑ 8. Wood Frame-Unprotected ConWct Person
It plans do not show compl�ance with requested �� Qp,-�rn v�S,s� r-�
Construction class but are approvable at a lower Telephone Number Fax Number `
clau,do you wish approva�at the lower class7 =
p ves ❑ ruo ( ) ?i3 f`6 �( ( > f
7. Building Information 8. Submittal Request 9. Supervising Professional Info�mation
❑ Complete Sprinkler-NFPA Pro�ect Revlew Reauested ❑For Buildmg �Same As Buildmg Des�gner
❑ Part�al Spnnkler - NFPA ❑New ❑Footing/foundation �For HVAC �Same As HVAC Designer
❑ Unlimrted Area ❑AlteraUon Q ewiding Superv�sing Pro (i di erent rom designer) `
t:
❑ Fire Alarm ❑ Emergenty Power ❑Addition ❑Permission To i
❑ Smoke Detection ❑ Hazard Enclosure ❑Reva�ons Start Reg�strotion�Y
❑Use Change [�}M VAC
Total Number of Stones ❑�IHR 70 Hlst Code Q 7ruu Number&Street �
Bwlding footpnnt Area �ft ❑Variance ❑P►ecast
❑PreGminary ❑SVuttural
Sod 8eanng Capadty Psf �Canopy Q Laminated wood City, tate,Zip Code
❑ Presumed ❑8leacher ❑MetalBuilding
❑ Veritied ❑ Tower ❑Jo�sVGirder
e ep one Num r
�Other
10. Related Business Systems•Please call the respective Program for clarification and plan submittal requirements.
❑ Elevators(608-267-3576)includes: � Flammable�Combustible Gqwd(608-267-t 3791 ❑ Bo�leriPreuure Vessel(608-266-1904)
Q Passenger elevator meeting IIHR 18 req. Will any port�on of this bwlding be used for ❑ Mech�cal Refrigerat�on/AC(6083 266-1904
❑ Fre�ght elewtor meeting IIHR 18 req. storage or d�spensmg of flammable i ❑ Plumbmg(608-266-3815)
❑ Part 5 I�ft(►esidenual type) comburtible liQwds as covered by 1LHR 10? Sewer:
❑ Part 20 lih(wheelchair liit) ❑ Yes ❑ No ❑ Mumupal ❑ Pnvate Sewage System
se�•�is(R.oSAz> -CONTINUE ON REVERSE SIDE-
.
t t. Calculation of Fees • �
Area: The area of a floor is the area bounded by the exterior surface of the buiiding walis or the outside face of
columns where there is no wall. Area inciudes all floor levels such as subbasemenu,basemenu,ground
floors,mez2anines,balconies,lofts,alt stories and all roofed areas inciuding porches and garages,except for
cantilevered cano�ies on the building wall. Use the roof area for free standing canopies. Total area is the
summation of alt floor areas.
Attach a separate sheet if necessary for the calculations below: '
Floor Level(specify) Length X Width = Area
. X =
X -
X -
X =
X =
Total Area =
� Project NOT located in certified municipality(go to Fee Schedule Table 2.31-1).
� Pro�ect tocated in certified mun�cipality(go to Fee Schedule Table 2.31-2).
(See Fee Schedule for list of certified municipalities.)
❑ Building and HVAC .......... ....................... ............... Fee S
❑ Building Only ..................... ................................ fee S
: ❑ HVAC Only ........................................................ Fee S
❑ Revision To Previously Approved Plan ................................ Fee S
❑ Permission To Start ................................................ Fee S • `
� Pre-July 1992 Building Components ................................. Fee S . .
❑ Other ....................... Fee S
Total Fee = S
' 12. OWNER'S STATEMENT: I request that plans be reviewed for compliance with the code requiremenu set forth in
Chapters ILHR 50-64 of the ruies of the departmenL I recognize that 1 am responsibie for compliance with all code
requuirrmenu and any conditions of plan approval. If this buiidi�g exceeds 50,000 cubic feet in total voiume, I will
retain a wpervisinc�professional as required by ILHR 50.10 throughout constructio�to project completion and the
filing of a Compleuon Statement by the superv�sing professionaL
Owner's Signature: Name S TiUe
Onginsl PnM
, 13. DESIGNER'S STATEMENT: OESIGN AND SUPERVISION(IIHR 50.07-50.10)if tfiis building,foltowing construction of this
project,contains more than 50,000 cubic feet in total volume,plansare required to be prepared.signed,sealed and
dated by a Wisconsin registered engineer or architect(ILHR 50.07(2)). Signatures and seais shall be ongmai. ,
The department expecu,and requires,that the project designer review individual component submittais for
compliance with the general design concept The project designer,and department,w�ll rely on the seai 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
Design loads have been indicated on the plans. . ............................................. ❑ Yes ❑ WA
Firewall schematic plan has been inciuded. ............................•-.................... ❑ Yes ❑ N/A
All applicable items required by ILHR 50.12 have been inctuded. ................................ ❑ Yes ❑ WA
t 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.
Onq�nal S�gnature of ewlding Des�gner Oate Signed Ongmsl Signature of NVaC Des�gner Dace Signed
t� �� �l 3 �<`���c�—�— .
t 4. SUPERVISING PROFESSIONAL'S STATEMENT: I have been reWined by the owner as the supervising professional per
ILHR 50.10 for the performance or supervision of reasonable on-ihe-site observations to determine if the construction
is in substantial compiiance with the approved plans and specifications. Upon completion of consuuction,l will file a
written statement with the department certifying that,to the best of my knowiedge and belief,construction has or
has not been performed in substantial compliance with the approved plans and specifications.
Onginal5�gnature of Profess�onsl 5upervis�ng The 8w�ding Date Signed Ong�nal Signsture of Profess�o�sl Supervis��g The MVAC Date Signed
; Mayward Off�ce u Crosse Office Msd�so�Off�ct Shawsno Off�ce Waukesha Office-
209 w t st Street 2226 Rose Street 201 E.Washmgton Ave. 1053A E.G�etn 8sy Street 401 Pilot�ourt.Surte C
Rc 8.Bo:8072 ls Croue.wi Sa603 P A BOY 7969 P A.Boa a3a waukesha,w� 53 t 88
r+ayward,w� Sa8a3 Phone(6081�85-933a Msdnon.w1 53707 Shswsno.w� 54166 Phone(ata)Sa8-8600
ahone(7t5)63a.a870 Pax(608)7H5-9330 Phone(608)266-8735 Phone U15)524-3626 Fsx(at4)548-861a
Fax(715)634-5750 Fax1608)267-0592 Fax(715)524-3633