HomeMy WebLinkAbout81044-Building � CITY OF OSHKOSH No oosiaaa
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OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 280 W 35TH AVE Owner COMPETITION PRODUCTS Create Date 09/13/2000
Designer Tom Karrels Contractor R J ALBRIGHT INC. _
Category 210-Additionlndustrial Plan B7-7S0900
Type � Building � Sign O Canopy __ __� Fence _ �_Raze �'i
Zoning M3 Class of Const: 6 Size 50x150
UnfinishedlBasement Sq.Ft. Rooms Height Ft. ❑ Prqection '��.
FinishedlLiving 7500 Sq.Ft. Bedrooms Stories 'I Canopies
Garage Sq.Ft. Baths Signs
Foundation poured Concrete J Floating Slab � Pier � Other
Concrete Block _�� Post � Treated Wood
Occupancy Permit Required Flood Plain _ Height Permit
Park Dedication #Dwelling Units 0 #Structures 1
UselNature istribution Warehouse/S0x'I50 addition.'
ofWork
HVAC Contrector Plumbing Contractor ���
Electric Contractor
Fees: Valuation $130,000.00 Plan Approval $0.00 Permit Fee Paid $425.00 Park Dedication $0.00
Issued By: Date 09/13/2000 FinallO.P.
� Permit Voided ���
In the performance of this work I agree to perform all work pursuant to rules goveming the described construction.
Signature / Date 9//.��
AgenVOwner
Address 57'I'I GREEN VALLEY RD OSHKOSH WI 54904 - 0000 Telephone Number 231-8635
ZONING/LAND USE COMPLIANCE CHECKLIST
JOB LOCATION: Zg� �• �S ZONING /'�,3
PROPERTY OWNER/CONTRACTOR:
CONSTRUCTION DATA: New Construction � Addition Alteration
TYPE OF CONSTRUCTION: (i.e. fence, pool, parking lot, sign, etc.)
s o � /�O ��� �ti
COMPLIANCE CHECKLIST
DEFICIENT COMMENTS
Use
Lot Width
Lot Area
Lot Area Per Famiiy
Floodpiain
Front Yard
Front Yard Side Street
Rear Yard
Side Yards
Building Area
Parking Standards
' Off-Street Loading Standards
Vision Clearance _
Trensitional Yard Standards
Landscape Standards
Height
Conditions of Approval
Compliance with P.C. or
BZA Conditions of Approval
Signage Standards
Drainage Plan
REVIEW AUTHORITY
As per Section 30-5 Enforcement of the City Zoning Ordinance, the Director of Community Development, or
designee, must approval all plans, except the following: (1) Alterations or interior work when the use is
confortning and when no change in use is proposed. (2) Maintenance items, e.g. siding, windows, etc.,
when the use is confortning�when no change is proposed.
�' APPROVED DENIED
Plan Commission Action Required
Variance(s) Required �
_�
REVIEWED BY: ` l� ��� DATE: `� 3 /�
�
Buildings, HVAC, .Lighting Compliance Statement
, This form is required to be submir=d by the sup=rvising prof�ssional (architect, engine�r, HVAC designer or electrical
designer) obsarving construction or projects witnin buildings with totai areas exceeding 50,000 cubic feet and construction
of antannas, tow�rs, and bleachers QLHR 50.10). Failure to submit this form may result in penalties as specified in
ILHR 50.20 2nd/or local ordinances.
Generel Instructions: Prior to the initial occupancy of n�w buildings or additions and tha finai occupancy of
altared existing buildings, submit this compieted and signed form to:
• The municipal building inspection ofiice and
• Safety and Buildings, P.O. Box 7162, Madison, WI 53707-7162
Personai information you providz may be used for secondzry purposes [Privacy Law, s. 15.04 (1)(m)J.
1. PROJECT INFORMATION: Please fill in the following with information from your plan approval letter.
Transaction ID Number �'�Qj 9� 7 � i -
/'i;>;;: `
� Site Numb2r �(G�8 ��] '�j � � �
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Site location (number & street) ?.�� w 3CJ' �LSV�
�City ❑ Village ❑ Tovm o.f ��—F}�1[�7� County of _ W J �N E.Eti4C-�p
2. PURPOSE OF THIS STATEMENT: (Check Box A, B, C, or D to indicate purpose and complete any other
applicable boxes and information. Attach additionai p2ges if necessary.)
Check those which apply: �Building Object ID� �S�OS� ❑ HVAC 'ect ID#
❑ Lighting ct fD�
❑ Partial Compietion
Description of Portion Completed
A) �Statement of Substantial Compliance
To ihe best of my knowledge;bzlief, and based on onsite observation, construction of the following building and/or HVAC
items appiicable to this projed have been completed in substantial compliance with the approved plans and
specifications.
{a� BUILDING ITEMS ❑ HV ITEMS
5� Structural system including submittal and eredion of ail building 1. HVA system incl ding final test
components (trusses, precast, metai building, etc.) QLHR .53)
2. Fire protection systems (sprinkizrs, alarms, smoke detectors) designed, 2. All condi ' ns o HVAC plan approval and
installed, and tested (induding forward flow on back tlow devices) by applicable a ances- �
appropriately registered professionals � �
3. Shaft and stairway enctosure ❑ LIGHTING MS
4. Exits including exit and directional lights 1. Exterior I' h�ing control requirements
5. Fire-resistive construction, enciosure of hazards,fire walls, labeled 2. Interior 'ghting & ontrol �equirements
doors, class of construction 3. A!I co itions of lig 'ng plan approval and
6. Sanitation system (toilets, sinks, drinking facilities) appli able variances '
7. Barrier-frz= including Comm 18 elevators and IiPs_
o". iLHR o3 energy envelope .
9. All wnditions of building pian approval and applicable variances
The following items are not in compliance and must be addressed:
B) ❑ Statement of Noncompiiance
Due to thz foliowing listed violz'ions, this project is not ready for occupancy:
C) � Supervising Professional Withdrawn From Project (Use A or B above to indicatz project s;atus as of tnis datz.)
D) ❑ Project Abandoned
3. SUPERVISING PROFESSIONAL SIGNATURE FOR:
�Building ' g ���� R ��L'� Dat= l� d2 ��
N31f12(PI235?prn;ar ryp≤) s���
Phonznumbar 4�-4?1o441oc�5�omz;i�k ���Z� Signature
SBD-9720(R.Oi:93)