HomeMy WebLinkAbout1995-Building (interior alterations) Z �Z
CITY OF OSHKOSH
N° 4 � 762
� PERMIT - APPLICATION AND RECORD
TYPE: BLDG�HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING ��\ FLOOD PLAIN HEIGHT
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ADDRESS v 1 j � � ��"'� PLAN NO. ��— l
OWNER c;�� 1` �t��r Y�
DESIGNER
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BUILDING CONTRACTOR �y�a'��-��,t
Si�� �f f`1 Sq. Ft._�XCs'� # Rooms # Stories Height
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Foundation Class of Const.� Occupancy Permit_�
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
—BT —WH _Disp —WSoft —CBasin
_Lav —Sh _DW -DF -San. Sewer
_WC —FDr —SP -Ur -Storm Sewer
—Sink —LTub —Eject —SS —Water
Other
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FEES: Valuatio �� � 7 � Pe Fee Paid $ � � Park Dedication $ �
ISSUED BY '� - Date �` Final/0.P.
In the performance of is work I agree to perform all work pursuant to rules governing the described construction.
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SIGNATURE I
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MAILING aDDttEss
Fsont of lot
CITV HALL
215 Churc� Avenue
P. O. Box 1130
Oshkosh, Wi5COnSin '
54902-1730 City of Oshkosh
� May 24 , 1995
OJHKOlH
Tom Rohner James Larson
807 Oregon St . 600 So. Main St .
Oshkosh, WI 54901 Oshkosh, WI 54901
RE : S11 Oregon St .
Interior Office Alterations
File #F3-81-595
Dear Sir:
Building plans have been reviewed by this office for compliance
with important code requirements . The drawings are stamped
"Construction may proceed. " Al1 items that are required to be
changed by this letter must be corrected before commencing that
part of the work. This approval is not a Building Permit .
Necessary city permits must be secured before commencing work.
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 .
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 .
The architect, professional engineer, builder or owner shall keep
at the building, as evidence of approval, one set of plans bearing
the stamp of approval .
ILHR 64 . 02 This approval does not include heating and ventilating.
Such plans are required to be submitted and approved prior to
installation of such equipment .
ILHR 69 . 20 Be advised that when 50 percent or more of this
building has been remodeled, the bathrooms must be brought into
compliance with current Barrier Free design standards . The
remodeling activity shown on this plan involve the entire first
floor and will apply toward the 50 percent threshold.
Sincerely,
Allyn Dannhoff
Chief Building Inspector
cc : Lee Erdmann
HVAC Inspector
BUILDING/STRUCTURE/HVAC PLANS APPROVAL APPLICATION 1'
Wizconsinpepartmentoflndustry, -�flfnplete Both Sides- ¢-7 G ��
L�'bor&Human Relations E-FJe � — �v f s�w �
Safety&BuildingsDivision 5�hedulin Information-com lete
Bureauof8uildings&Structures 9 P �
when calling to schedule review: Plan No.
INSTRUCTIONS: Fill in al� 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 planz
which include details and data as required by ILHR 50.12. P ans may be zubmitted 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.
7. Owner Information 2. Project Information 3• euilding or Structure Designer
Information
Name BuildinqOccupancyChapter(s)AndUse: Designer Reyistratiuoq
ToM K N�� �HAPTCIZ 54 o�Ftc�. JAMES LARSON A-4424
Company Name Tenant Name(if any) Design Firm
RoHr��R's None �URNt5HINlaS JAMES E. LARSON, ARCHITECT
Number 8 Street �Np. Building Location(number 8 s[reet) Number 8 Street
Sol 0l��lavrl st g�l otz�ord sT 600 S. MAIN STREET
Gty,State,Zip Code City ❑Village ❑ Township Of City,State,2ip Code �
lxF{Kc�N U�I 54 0l Q�NkoSH OSHKOSH, WI54901
ContaR Person County Of Contact Person
ToM oHN VJir�rlEgAG�o JAMES LARSON
TelephoneNumber P�opertylDNo.(taxparcelno.-contac[county) TelephoneNumber FaxNumber
c�fl�� z35- ��g �23S � � ooS� p�c7D (A14�233-8442 c414�233-3750
Faz Number Government Owned ❑Yez No Return P1ans To: ❑Owner �Designer
f�,4 Government Leased OrOperated�Yes No ❑Other
4. Building History 5. Construction Class Requested 6. HVAC Designer Information
PrewousOwner(5)(ifany) � L FireResi5tiveTypeA Designer Regisirationq
❑ 2. Fire Resistive Type B
❑ 3. Metalframe-Protec[ed DesignFirm
❑ 4. HeavyTimber
Previous Plan or Pile No. ❑ SA. Exterior Masonry-Protected Number&Street
� SB. ExteriorMasonry-Unprotected
VarianceNo. PreliminaryNo. ❑ 6. MetalFrame-Unprotec[ed City,State,ZipCode
❑ 7. woodFrame-Prote<ted
Otherinformation(previoususe,lastsubmission) ❑ 8. WoodFrame-Unprotected ContaRPerson
If plans do not show compGance with requested
Constructiondassbutareapprovableatalower TelephoneNumber FaxNumber
dass,do you wish approval at the lower dass.
❑ Yes ❑ No ( ) ( )
7. Building information 8. Submittal Request 9. Supervising Professional Information
❑ Complete5prinkler- NFPA FroieR ReviewRequested ForBuildmq SameAsBuildingDesigner
❑ Partial Sprinkler - NFPA �ew ' ❑Footinq/Foundation For HVAC Same As HVAC Designer
❑ UnGmitedArea Iteration - �Building SupervisingPro (i differentfromdesigner)
❑ Fuenlarm ❑ EmergencyPower ❑/+ddition ❑Pe�missionTo SAME - JAMES LARSON
❑ Smoke Detection ❑ Hazard Endosure ❑Revisions S[art Registration N
Q UseChange ❑HVAC �
2 ❑ILHR 70 Hist Code ❑T��ss A-4424
Total Number of Storie5 Number 8 Street
Building FootprintArea �'�3 g� sq ft �Variance ❑Precast 600 S. MAIN STREET
❑Preliminary ❑Structmal
00 O City,State,Zip Code
Soil Bearing Capacity 3� psf �CanOpy ❑Laminated Wood
'Q(Presumed ❑Bleacher ❑Metal Building OSHKOSH, WI 54901
� ❑ Tower ❑loisVGirder Teep oneNum er
❑ Verified
❑otne. 414-233-8442
10. Related Business Systems-Please call the respective Program for clarification and pian submittal requirements.
❑ Elevators(608-267-3576)includes: ❑ Flammable/CombustibleLiquid(608�267-1379) ❑ BodedPressureVessel(608-266-1904)
❑ Passenger elevator meeting ILHR 18 req. Will any portion of this building be used for ❑ Mechamcal RefrigerationlAC(608)266-1904
❑ Freight elevator meeting ILHR 18 req. storage or dispensing of tlammable/ ❑ Plumbing(608�266-3875)
❑ Part S lih(residential type) combustible liquids as covered by ILHR 10? Sew r:
❑ Part201ift(wheelchairlift) ❑ Yes No � Mumcipal ❑ PnvateSewage5ystem
se�-ne(H.uroz) -CONTINUEONR ERSESIDE-
r
11. Calculation of Fees
Area: The area of a floor is the area bounded by the exte �or_wr•facZ�of ihe building walls orthe outside face df �
columns where there is no wall. Area includes 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
summation of all floor areas.
Attach a separate sheet if necessary for the calculations below:
Floor Level (specify) Length X Width = Area
I sT �i.o�R Y�4�o,' x Zcv= C� � = 2, 2zCo sa.FT•
x =
x =
x =
x =
Total Area = 2 , 2ZCv 5a. F-�,
❑ 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 $
�f Building Only .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. Fee $ Zq,p,p O
�❑�HVAC Only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . Fee $
❑ RevisionToPreviouslyApprovedPlan . . . . . .. . . . . . . . . . . . . . . . .. . . . . . . . . Fee $
❑ Permission To Start . . . . . . . . . . . . . . . . .. .. . . . . . . . . . . . . . . . . . . .. . . . . . . . . Fee $
❑ Pre-July 1992 Building Components . . . . . . .. . .. . . .. . . . . . . . . . . . . . . . . . . Fee $
❑ Other . . . . . . . . . . . . . . .. . . . . . . . . Fee S
Total Fee = $ �.p r pa
12. OW NER'5 STATEMENT(ILHR 50.11): I request that plans be reviewed for compliance with the code requirements set
forth in Chapters ILHR 50-64 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.
l� �' /�/ /� % � �1
Owner's Signature:M /� IC�'�V.��_ Name&Title /�i K 1( ����;:'�i? /,4 E�S
� Original Print
13. DESIGNER'5 STATEMENT: DESIGN(ILHR 50.07-50.09) if this building, following construction ofthis 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 re9uires,that the project designer review individual component submittals for
compliance with the general design concept. The projectdesigner, 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. . . . . .. . . . . . . . . . . . . .. . . . . .::. . . . . . . . . . . . . . . . . . . ❑ Yes J$ N/A
Firewall s<hematic plan has been included. . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . � Yes ❑ N/A
All applicable 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 ihe best of my knowledge
comply with the applicable codes of the Department of Industry, Labor and Human Relations.
Onqin i natureofBuildingDesigner � e���a�^9 � Date5igned Origlnal5iqnatureofHVAGDesigner DateSigned
Submitwl
� t ��� •�� � --
O�igmal ignatureofBuildingDesigner com"o�em Da[eSigned NameofComponentDesignFirm
Submit�al
14. SUPERVISING PROFESSIONAL'S STATEMENT: (ILHR 50.10) I have been retained bythe owner asthe supervising �
professional per ILHR 50.70 fcr the performance or supervision o(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
befief, construction has or has not been performed in substantial compliance with the approved plans and
specifications.
Or� inal5�gnatureo ProersionalSupervisi��giheBuildmg Date5igned Original5ignatureo Proessional5upervisingT eHVAC Date5igned
����; _ �-"�1�, i ,i _.
�HaywardOf!ice LaCrosseO'1ice MadiwnOf6ce ShawanoOffice WaukeshaOffice
209 W. 1si Street 2226 Roze Street 201 E.Washington Ave. 1053A E.Green eay Street 401 Pilot Court.5uite C
Rt 8,Box 8072 La Crosse,Wl 54603 P.O.Boz 7969 P.O.Box 434 Waukesha,WI 53188
Hayward,w154843 Phone(608)785-9334 Madison,W153707 Shawano,W154166 Phone(474)548-8600
Phone(7 t 5)634-4870 Fax(608)785-9330 Phone(608)2G6-8735 Phone p15)524-3626 Faz(414)548-8614
FaKQ15)634-5150 Fax(60R)267-9566 FaaQ15)524-3633