HomeMy WebLinkAbout1993-Building F
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t t. Calculaticn of Fees
Area: The area of a floor is the area bounded by the exterior surface of the buiiding walls o�the ouaide face of
� columns where there�s no wall. Area includes all floor levels such as subbasemenu,basemencs,ground
' floon,mezzanines,balcon�es,lofts,all stories and all roofed areas induding po�cha and ga�ages,except for
cantilevered canopies o�the building wall. Use the roof area for free standing canopies. Totai area is the
summation of all ftoor areas.
Attach a separate sheet if necessary for the calculations below: �
Ftoor�evel(specify) Length � X Width � = Area
.}�'�t�' 1rG.iz.. �� X �•� = z l � 5
5��t-�i� --C�. ' X —�, . O = � s.�
X s
X =
X =
Total Area = P-j t,�
'�1 Pro�ect NOT located in certified municipality(go to Fee Schedule Table 2.31-1).
� Pro�ect located in certified mun�cipality(go to fee Scheduie Tabte 2.3t-2).
(See Fee Sthedule for list of certified murncipalities.)
❑ Building and HvAC ...... .. .... ..... ................ . ....... ....... Fee S
� Building Only ..................................................... Fee S Z 4
� HVAC Only ... ...... . .............................................. Fee S
❑ Revision To Previously Approved Plan ................................ Fee S
� Permission To SWrt .... ........... ................................. Fee S . `
� Pro-luly 1992 Buildi�g Componenu ................................. Fee S •
p Other ....................... Fee S
Totai Fee = S Z�j
t 2. OWNER'S STATEMENT: I request that plans be reviewed for compiiance with the code requiremenu set forth in
Chapters ILHR 50-64 of the rules of the department I recognize that 1 am responsible for compliance with ail tode
requuir�rnenu and any conditions of plan approval. If this building exceeds 50,000 cubic feet in total volume,I will
retain a wpervising p�ofessional as required by ILHR 50.t0 throughout consuuction to project compieoon and the
filing of a Complevon Statement/ by th w rvis�ng professional.
� / J /,,,,� /} i,�,� �j�
Owner's Signature: ���p Name d�rUe �(�/��� ��'r' I _
ngtnsl �t
t 3. �ESIGNER'S STATEMENT: OESIGN ANO SUPERVtSION(ILHR 50.07-50.10)if this building,following consuuttio�of this
project,contains more than 50,000 cubic feet in total volum�,plans are required to be prepared,s�gned,sealed and
dated by a Wisconsin registered engineer or architect(IIHR 50.07�2)). Signaturos and seais shall be orig�nal.
The department expects,and requires,that the project designer review individwl component wbmittais fo�
compliance w�th the general design concept The project designer,and department,will rNy on the seal of the
component designets for compliance with the coda as they apply to the+r des+gns.
Total cubic foot volume of the building upon completion of this project: ❑ Less Than 50.000 � 50,000 or Greater
Oesign loads have been indicated on the cians. .. . ........................................... � Yes ❑ WA
Pirewall schematic plan has been inciuded. ...... ........................................... . � Yes ❑ WA
All applitable items required by ILHR 50.12 have been incfuded. ................................ � Yes ❑ WA '
I certify that the submitted plans were prepared under my wpervision,are accurate,and to the best of my
knowledge comply with the applicable codes of the Department of Industry,Labor and Human Reiations.
Ong�n gnsture of Bw1 i Oes�gn Ost�S�gned Ongmal Signsare of HVAC Des�ge+er Oate Signtd
r //�t��'3 _
_
1 a. SUPERVISING PROFfSStONAI'S STATEMENT: I have been retained by the owner as the supervising professional per
ILHR 50.10 for the performance or supervision of reasonable on-the-site ohservations to determine it the co�struccion
is in substantial compliance with the approved plans and specifications. Upon compietion of consvuRion,I will file a
written statement with the department certifying that,to the best of my knowledge and belief,consuuction has or
has not been perfo�med in substantial compliance with the approved pians and speafications.
Ongi i S�gnawre of P+of a1 Super nq The id�ng Oace Signed Ong�nsl Signacure ot Professwnal Supervn��g The NVAC Datt Signed
//ll/43 - -
Hayward Ott�ce u Crosse Office Msd�wn Oft�ce Shawano Office Waukaha Office
209 w �sc Street 22Z6 Rose Streec 201 E.Wash�ngcon Ave. 1053A E.Green Bay Street a01 Piloc Court.Su�te C
Rt 8.Box 8072 u Crosse,wi Sa6�3 P O 9ox 7969 P O.Bo�43a wsukeshs,w1 53 t 88
Maywara,wi Sd8a3 ?hone(6091 785-933a nnad�son.wi 53707 Shawano,w� 54166 Phone(a1a)548-8600
anone(7i5)63a-�870 Fax(608)785-9330 ahone(608)266-8735 Phone(715152d-3626 Fsx(a�a�548-86�a
Fa:(715)634-5150 Fax(608)267-0592 Fas(7151524-3633
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NAME �,r.yu �,.c�cr.�i/,u�,r,Zp AOORESS
LOT 8 LOC K '.•l,�FcD
SUBOIV. ZGNE
ST�EET NO. ��I L�e-osl.(�n� � , L�T �I MENS I Gr�S
SIDEWAIK EXISTI�G YES � u0 �
BUILOI�G GRADE ELEVATIONS STAKES SET AT SITE , I9 9Y
FEE: �15.00
�EPART�`•"•E`:T OF �l;oL(C '+VGc�K:
I , the undersigned, owner or agent oT the aocve dascrioed proper,•� agree ro have `he
grade estaaiished befora excavation has commenced.
�,,�,�i��
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NOTI � E
THIS BUILDING SHALL NOT �E
OCCUPIED UNTIL FINAL INSPECT[ ON �
HAVE BEEN MADE AND THIS CARD
SIGNED BY THE FOLLOWING
I N S P E C T O R� ROUGH ELECTRICAL WfRING
PPROVE.D � .
A �
City of DATE
� - � �-��
SECTION 7-32 CERTIFICATE OF OCCUPANCY T OSHKOSH �NSP ��� lR-��-
(A) NO BUILDINO OR PART THEREOF $......� .�.. ...�vvr�cu u�v I IL SUCH
CERTIFICATE HA3 BEEN 18SUED. NOR SHALL ANY BUILDIN(3 BE OCCUPIED
IN ANY MANNEfl WHICH CONFLICTS WITH THE CONOITIONS PUT FORTH
IN THE CERTIFICATE OF OCCUPANCY.
PRESENT THIS CARD ^�--+-� Cnfnrrompn? Division
FOR OCCUPANCY PERMIT TO STRUGTURAL
APPROVE
INSULATI City of DATE � �����
ON OSHKOSH INSP '
APPROVE
city of DATE ' � �� � �AN�GED BY CALLING 236-5050.
OSHKOSH INSP �-��
BUILDING DAT Q
.�
ELECTRICAL ' DAT
HEATIIIT DATE
' �� �`� -� 7 i's
PLUMBIIITG �' D�iTE
FII�E 236-5241 ���U DA'�'E � �� �'
NOT APPLICA E TO 1 AND 2 FAMILY DWELLINGS �
SANITA�IAN 236-5030 DATE
Only for 8r ;sea that ReQuire a Permit from the City Health Department.
CITY �LER DATE
On' tiE •+�ere G^.sles. Purr�� �� c , �ninq R^ �`, .R arn uae�l.
� , ��„ NOTICE
� 1 � ��L��c�
THIS BUILDING SHALL NOT �E
OCCUPIED UNTIL FINAL INSPECTIONS
HAVE BEEN MADE AND THIS CARD
SIGNED BY THE FOLLOWING
� ROUGH ELECTRICAL WIRING
INSPECTOR. VED
APPRO
City of DATE ° � � � y
OSHKOSH INSP �`'�
SECTION 7-32 CERTtFiCATE OF OCCUPANCY T(� o� �JJVCIJ
(A) NO BUILDINO OR PART THEREOF SHAIL BE OCCUPIED UNTIL SUCH
CERTIFICATE HAS BEEN 133UED. NOR SHALL ANY BUILDINO BE OCCUPIED
IN ANY MANNER WHICH CONFLICTS WITH THE CONDITIONS PUT FORTH
IN THE CERTIFICATE OF OCCUPANCY.
- -----.� �..'� " " °" STRUCTURAL -
INSULATION
APPROVE
APPROV D � �
City of DATE Z- �y 3 City of DATE �
OSHKOSH INSP OSHKOSH INSP
INSPECTIONS MAY BE ARRANGED BY CALLING 236-5050.
F
BUILDING DAT '�
ELECTI�ICAL� N � �`�V DAT
HEATINr DATE
�
p . <f N ,�. : � �1 T E � � a�j�
. LUMBING � D
FIKE 236-5241 � DA'�'E � � �--3
NOT APPLICABLE TO 1 AND 2 FAMILY DWELLINGS
SANITAI�IAN 238-�030 _ DATE
Only for Buaineaaea that Requi�e a Per��it from the City Health Department.
CITY SEALEI� DATE
Only for Businessea where Scalea. Pumpa or Scanninq Reflisters are used.
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,�- � , �
� � �
� �� ����«��- NOTICE
THIS BUILDING SHALL NOT �E
OCCUPIED UNTIL FINAL INSPECTION�
.
HAVE BEEN MADE AND THIS CARD
SIGNED B''t� THE FO �L �w � NG�
ROUGH ELECTRICAL W��
: INSPECTORS
� APP
ROV
ED
City of DATE �- /r
OSHKOSH INSP . % ,
SECTION 7-32 CERTIFICATE OF OCCUPANCY TO BE ISSUED -��
(A) NO BUILDIN(3 OR PART THEREOF SHAIL BE OCCUPIED UNTIL SUCH
i CERTIFICATE HA3 BEEN 133UED. NOR SHALL ANY BUILDIN(3 BE OCCUPIED
IN ANY MANNEii WHICH CONFLICTS WITH THE CONOITIONS PUT FORTH
IN THE CERTIFICATE OF OCCUPANCY.
PRESENT THIS CARD S�RUCTURAL
F[�R OCCUPANCY PERMIT TO APP��VE
INSULATION City of DATE n � -��
qppROSHKOSH INSP
OVE
City of DATE � 2� .-�
osHKOSH iNSP - � IGED BY CALLING 236-5050.
�
BUILDING DAT ' �
a �-----
ELECTBICAL ����'� DAT�
I�EATIN DAT�
�
p �� �=-- _���- t � > � ��
LUMBING _ . ,� '. D�iTE ~ % --T
�
FII�E 236-5241 �- � � DA'�'E b' ��� �`3
NOT APPLICABLE TO 1 AND 2 FAMILY DWELLlNGS
SANITABIAN 238-�03o DA1'E
Only fo� Buainesaea that Require e Pe�mit from the City Health Department.
CI'TY SEALER DATE
Only for Buaineaaea where 3calea, Pumpa or Scennfnq Re�istera are used.
1 ___