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OSHKOSH
ON THE WATER
Job Address 3001 S WASHBURN ST
CITY OF OSHKOSH
No
116189
BUILDING PERMIT. APPLICATION AND RECORD
Owner FIRST HORIZON GROUP LIMITED PTNSHP
Create Date
09/02/2005
Designer
Contractor
LAKEVIEW CONSTRUCTION INC
Category
232 - Alteration Stores & Customer Service
Plan P5-52-0705
Type
. Building
0 Sign
0 Canopy
0 Fence
0 Raze
Zoning
Class of Const:
Size
Unfinished/Basement ~Sq.Ft. Rooms
Finished/Living ~Sq.Ft. Bedrooms 0
Garage ~Sq.Ft. Baths
Height
0 Ft.
D Projection:
Stories 1
Canopies 0
Signs
~
Foundation
0 Poured Concrete 0 Floating Slab
0 Concrete Block 0 Post
0 Pier
0 Treated Wood
. Other
Occupancy Permit Required
Flood Plain
Height Permit
Park Dedication
# Dwelling Units 0
# Structures
0
Use/Nature Retail/ Combine spaces D190 and D200 into one space and remodel for The Children's Place.
of Work
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation /'
Issued By: ,r/
$134,098.00 Plan Approval
$0.00 Permit Fee Paid
$469.00 Park Dedication
$0.00
Date 09/08/2005
Final/D.P. DO/DO/DODO
D Permit Voided I
Parcel Id # 1329420000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
~~~:~::::nd ~~ore starting such activity. Date 7- ¡: --{)~ç'
Agent/Owner
Address 10505 CORPORATE DR STE 200
PLEASANT PRAIRI WI 53158 - 0000
Telephone Number
262-857-3336
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the requestis received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
-~
OJHKOfH
ON THE WATER
City of Oshkosh
Division of Inspoolion Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
www.ci.oshknsh.wi.us
July 22,2005
Cortland Morgan
6910 Woodland Dr
Dallas TIC 75225
Vasha Kulkarni
2130 East Kaler Drive
Phoenix AZ 85020-4725
Keith Holschbach
Prime Retail
100 East Pratt
Baltimore MD 21202
Kent Fahey
Retail Pennit Services
3019 Hollinwell Drive
Katy TX 77450
'Site:
The Children's Place Outlet
3001 S Washburn Space DI90 & D200
Oshkosh WI 54904
For:
Description: Tenant space alterations
Object Type: Bullding and HVAC
Class of Construction: lIB - 5392 Sq Ft.; Sprinklered
Occupancy: M: Mercantile I Retail
Maximum No of Occupants: 139
Plan Number: P5-52-0705
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and
Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in Chapter
101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements
Key Item(s) I Conditions:
IBC 711.3 Any penetrations of fire rated assemblies are required to be protected with a listed firestopping
system that matches the rating of the wall assembly being penetrated, Copies of the firestopping systems
are required to be provided at the time of inspection,
IBC 714.2.3 Doors in corridors and smoke barriers. Fire doors required to have a minimum fire-
protection rating of 20 minutes where located in corridor walls or smoke barrier walls having a fire-
resistance rating in accordance with Table 714,2 shall be tested in accordance with NFP A 252 or UL lOC
without the hose stream test. If a 20-minute fire door or fire door assembly contains glazing material, the
glazing material in the door itself shall have a minimum fire-protection rating of 20 minutes and be exempt
from the hose stream test. Glazing material in any other part of the door assembly, including transom lites
and sidelites, shall be tested in accordance with NFP A 257, including the hose stream test, in accordance
with Section 714.3. Fire doors shall also meet the requirements for a smoke- and draft-control door
assembly tested in accordance with UL 1784 with an artificial bottom seal installed across the full width of
the bottom of the door assembly. The airieakage rate of the door assembly shall not exceed 3.0 cfmper
square foot (0.01524 rn3/sIm2) of door opening at 0.10 inch (24.9 Fa) of water for both the ambient
temperature and elevated temperature tests, Louvers shall be prohibited,
f1:'.briann'2005 Comm Phm Revkws\P5-52-0705 3001 S Washbom Bldg & IIVAC.doc
Page J of3
.
IBC 906.11 IFC 906.3 The maximum travel distance allowed to a fire extinguisher is 75 feet.
IBC 1003.2.10 Exit signs are required to be installed per this section
IBC 1003.2.11 Means of egress illumination is required to be installed per this section
IBC 1003.2.11 Means of egress illumination is required to be installed per this section. All paths of egress
through The Retail Display area are required to have adequate emergency lighting to meet the perfonnance
requirements ofIBC 1003.2.11.3. Provide complete emergency lighting plan showing compliance with
these requirements prior to installation of emergency lighting system.
IBC 1209.1 Provide toilet room floors with smooth, hard, nonabsorbent surface extending minimum 6
inches up onto walls. Plans indicate the base as only being 5 inches.
IMC 302.1 The building or structure shall not be weakened by the installation of mechanical systems.
Verify that existing structure is capable of supporting the additional weight of the proposed rooftop
equipment.
IMC 304.1 Equipment and appliances shall be installed as required by the terms of their approval, in
accordance with the conditions of the listing, the manufacture's instructions and this code,
IMC 401.5.1 Mechanical and gravity outside air intake openings shall be located a minimum of 10 feet
ITom any hazardous or noxious contaminant such as vents, chimneys, plumbing vents, streets, alleys,
parking lots and loading docks.
IMC 602.2.1 Materials exposed within plenums. Except as required by Sections 602.2. I.I through
602.2.1.4, materials exposed within plenums shall be noncombustible or shall have a flame spread index of
not more than 25 and a smoke-developed index of not more than 50 when tested in accordance with
ASTM E 84. This may affect wiring methods and materials used above ceÜing.
IMC 606.2.1 Smoke detectors shall be installed in return air systems with a design capacity greater than
2000 cÍÌn...... Plans show smoke detector installed on supply - code requires detection on return side of
system.
IMC 606.4.1 The smoke detectors shall be connected to a fire alarm system. The actuation of a smoke
detector shall activate a visible and audible supervisory signal at a constantly attended location,
IMC 606.4.1 Exception 2. In occupancies not required to be equipped with a fire alarm system, actuation
of a smoke detector shall activate a visible and an audible signal in an approved location, Smoke detector
trouble conditions shall activate a visible or audible signal in an approved location and shall be identifies
as air duct detector trouble.
IFGC 401/Comm 65.0400 All gas piping and gas piping installations shall comply with NFP A 54,
National Fuel Gas Code,
Comm 61.31(4) Revisions to approved plans. All proposed revisions and modifications which involve
rules under this code and which are made to construction documents that have previously been granted
approval by the department or its authorized representative, shall be submitted to the office that granted the
approval. All revisions and modifications to plans shall be approved in writing by the department or its
authorized representative prior to the work involved in the revision or modification being carried out. A
revision or modification to a plan, drawing or specification shall be signed and sealed in accordance with
Comm6I.31(1).
.
.
.
SUBMIT:
IEEC 1 Comm 63.1048 Area category method. When the Area Category Method is used to calculate the
interior lighting power allowance for an entire building, main entry lobbies, corridors, rest rooms, and
support functions shall be treated as separate areas. Provide revised lighting worksheets showing
compliance.
H:\briann'2005 COl11m 1"111 RO"0W,œ5-52-0705 3001 S Washburn Bldg & IlVAc.do,
Page2of3
se,t by: CORTLAND MORGAN,ARCHITECT, AlA 214 366 3690;
1110g/06":2'AM;JQ/fI,!L..#769;F~;¡@ 2"!
BUILDINGS, HV AC, COMPLIANCE STATEMENT SBD.97W
This form Is required 10 be submitted by the supervislllQ professional (architect, engineer. HV AC designer or alec:II'lofJ!
designer) observing constructIon of projeots within buildings with 10\al areas 50,000 cubic feet or greater and blaaoI1er,~
(Comm 50.10/Comm 61.50), Failure \0 submit this form may result In penalties as specified In Comm 50,26JC~nlrn õ1.23
àndlor local ordinances. This form must be submitted prior to the plan approval expiration dale or another slltlmittal may
be reql.1lred.
General Instructions: Prior to the initial occupancy of new buildings or additions and the final occups,l\c:y of
altered existing buildings, submit this completed and signed form to:
. The municipal building inspection office 1!illI
. Safety.and Buildings, 10541N Ranch Road Hayward, Wi, 54643
Note: If the review was done by the municipality. the compliance statement goes only to the munlclped blJllcling
inspector. A copy is not needed by Safety & Buildings.
F'ersonal informetion you provide may be usðd forasóondaly purposes tPriVf1e\/ Lew, s. 16.04 (1)(O1)J,
1. PROJECT INFORMATION: . Please fill In the following with information from your plan approvallelter.
TransaclionlDNumber PIiA.Ulr*:I1'IS',
Site Number PlAN ~.. if). $2.... tf7 D S-
Site location (number & street) aooL 8. WA.$HBIJAI.J 8PAt.£ 1>/9tJ ; JJ2ÞO,
[J Clly 0 Village 0 Town 01 ðSHICt:J.SJ./ County of WltJNef'VVtD
2, PURPOSE OF THIS STATEMENT: (Check Box A, e, C, or D to Íf1dlcate purpose and complete any oth,.r
applicable boxes and Information. Attach additional pages If necessary,)
Ch""k those which apply: 0 euudÍf1g Object iD # [J HVAC Object 10 #
0 Lighting Object ID N
0 Partial Completion
/ Description of Portion Compl&ted
A) rl Shltement of Substantial Compliance
To the best of my knowledge, belief, and basad on onelleobeelVation. oonstruction oftha following building andhr HVIIC
Items appllcablalo this projeot have been oompleled In substantial compliance with the approved plene and
specifl""tions,
D ElUI~PING/LIGHTING ITEMS
1. Structural .ystem IncJudlng submittal and "'action of all building componenl>
(,russ..., precas~ metal building, etc.)
2. Fire protection systems (sprinklers, alsrrrt$, emo'e detectors) designed, Installed,
and teste< (Ir)nllsdlng forward flow on tJack flow devl"",,) by appropriately
regl,lered professional.
3. Shaft ano stairway enclosure .
4. E><1ts Including exit and directional light. .
5, Flre-,..Istlve construc~on, enclosurE> 01 hazards, fire walls. Jabeleddoo"" cleee [J HVAC ITEMS
of const!\lctlon, are .IOPped pan_lions .
6, San~a.on eyetem ~ollels, sl1ll<>, drinking façil~i..)
7. Sarrier-freelncludlng Comm 18 elevatOr9 and tiftÐ
B. ~ner¡¡y env<>'of'" requlramenls
Q. "'" conditions of building plan approval snd appticabla varlane..
The following Items are nelln compliance and muet be addreSsed:
10. Exterior lighting & corrt",'requlre"'enl.
11. . Interior lighting &.ocntrol requír.mer~B
12. All conditions of IIghflhg plB/\ eppro,au
and applicable variances
" HVAC system including flna/leet
2. AI oondlUons of HV AC plan appmval sind
applloable verlsnc.s
B) [J ~atement of Noncompliance
Uus to the loll owing listed viol.ilono, thi. prol'.' Is nol ready lor occupancy:
C) r:J Sl.1pervlslng Professional Withdrawn From Project (Uae... ora above \0 Indicate project etstu.., oflllis d~'¡HIIi
0) 0 Project Abandoned *\\,\\1 '() "1/1111.:,
3. SUPEfWlSING PROFESSIONAL NATURE OR: #~\~7-~."~"~'.~/~~~
M Building C HVAC t:I Ughllng A:rA Date" la/d. ~"'co. L"'Lm. 'IL\ A.~.
Name(pl"'.p~ntor po) .L2 ~ MOi"","1'J "¡~,,
PhQnOnurnbc,2./.y.jI.f~i'Lc"."'m..'o,IoIì~Iþ.~ "'.~"" .!:?,.--- ~A"~~:':~o ! Ji
~ \ -j-:~;;;::¡..:I:-s" If i
'" '~..\. !>!
~~ 4:;"""",'_"'~:,,..,~f
"?¡I/,' CHI"(I:."'~'
"'1//"1/1411'11\11\\\:-"
SBo..971C> (R.O2J20041
Building Permit Work Card
Job Address 3001 S WASHBURN ST Permit Number 0116189 Create Date 9/2105
Owner FIRST HORIZO!'J GROUP LIMITED PTNSHP
Contractor LAKEVIEW CONSTRUCTION INC
Cate90ry 232 - Alteration Stores & Customer Service
~
Type . Buildin9
Zoning
0 Sign
0 Canopy
0 Fence
0 Raze~ Plan P5-52-0705
$134,098.00
Class of Const:
Size
Value
Unfinished/Basement ~ ~i' Finished/Living ~ Sq. Ft.
Rooms 0 Bedrooms ~ Baths ~
Garage ~ Sq. Ft.
n Projection I
Stories 1
Height ~ Ft.
0 Floating Slab
0 Post
Canopies
0 Signs
Foundation 0 Poured Concrete
0 Concrete BloCk
0 Pier
0 Treated Wood
. Other
ccupany Penmit Required
Flood Plain
Height Permit
Park Dedication
# Dwelling Units ~
# Structures
0
Use/Nature Retail/ Combine spaces D190 and D200 into one space and remodel for The Children's Place.
of Work
HVAC Contr
Plumbing Contr
Electric Contr
Inspections:
Date -~
Type Rough In
Inspector Ailyn Dannhoff
REQUEST LINE / PARTIAL ROUGH-IN, WANTS INSPECTION ASAP
DatelTime requested:
Access:
9/15/05
11:57 AM
Notice Type:
Phone Number: Greg 262-705-7979
Ready DatelTime: 9/15/05 11 :57 AM Requested By: LAKEVIEW CONSTRUCTION INC
0 Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
---------------------------------------------------------------------------------------------
Date ~~ Type Rough In
Request Line - would like Wed afternoon (Children's Place)
Inspector Allyn Dannhoff
approved
DatelTime requested: 9/20/05
Access:
þall to schedule -locked.
Ready DatelTime: 9/21/05 12:00 PM Requested By: LAKEVIEW CONSTRUCTION iNG-Greg
0 Reinspect Fee 0 Fee Waived
10:44 AM
Notice Type:
Phone Number: 262-705-7979
D Reinspect Fee Paid
----------------------------_u_u_-------------------------_u_--------------------_u_-----
Page 1 of 3
Building Permit Work Card
Job Address 3001 S WASHBURN ST Permit Number 0116189 Create Date 9/2105
Owner FIRST HORIZON GROUP LIMITED PTNSHP
Contractor LAKEVIEW CONSTRUCTION INC
Category 232 - Alteration Stores & Customer Service
Type . Building
Zoning
0 Sign
0 Canopy
0 Fence
.0 Raze
I Plan P5-52-0705
Value $134,098.00
Garage ~ Sq. Ft.
n Projection I
Class of Const:
Size
Unfinished/Basement 0 Sq. Finished/Living 0 Sq. Ft.
-Ft.
Rooms ~ Bedrooms ~ Baths 0
Stories 1
Height ~ Ft.
0 Floating Slab
0 Post
Canopies ~ Signs
Foundation 0 Poured Concrete
0 Concrete Block
0 Pier
0 Treated Wood
. Other
Occupany Permit Required
Park Dedication
Flood Plain
Height Permit
# Dwelling Units ~
# Structures
0
Use/Nature Retail/ Combine spaces D190 and D200 into one space and remodel for The Children's Place.
of Work
HVAC Contr
Plumbing Contr
Electric Contr
Inspections:
Date 10/5/05
--
Type Rough In
Inspector Allyn Dannhoff
no time
Request Line - RI Ceiling Wed afternoon PRIOR to 2:00
DatelTime requested:
Access:
10/3/05 09:36AM
--
Notice Type:
Phone Number: 262-705-7979
Ready DatelTime: 10/5/05 12:00 PM Requested By: Greg W
0 Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
--------------------------------------------_u_---------------------------------------------
Date 10/17/05
--
Type Final
Inspector Allyn Dannhoff
SEE FCN
not approved
PHONE REQUEST 10/17/05 B & H NOT APPROVED
DatelTime requested:
Access:
þONTACT GREG
10/13/05 02:31 PM
--
Notice Type:
Phone Number: 262-705-7979 GREG
Ready DatelTime: 10/17/05 12:00 PM Requested By: LAKEVIEW CONSTRUCTION INC
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
- - - - - - - - - - - - - --- - -- - - - - - -- - - - - --- - - -- - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - --- -- -- -- - -- -- - - - ---- ---
Page 2 of 3
Building Permit Work Card
Job Address 3001 S WASHBURN ST Permit Number 0116189 Create Date 9/2105
Owner FIRST HORIZQN GROUP LIMITED PTNSHP
Contractor LAKEVIEW CONSTRUCTION INC
Category 232 - Alteration Stores & Customer Service
,
Type . Building
0 Sign
0 Canopy
0 Fence
0 Raze
I Plan P5-52-0705
Zoning
Class of Const:
Size
Value
$134,098.00
Unfinished/Basement 0 Sq. Finished/Living 0 Sq. Ft.
-Ft.
Rooms ~ Bedrooms 0 Baths 0
Garage ~ Sq. Ft.
n Projection I
Stories 1
Height ~ Ft.
0 Floating Slab
0 Post
Canopies ~ Signs 0
Foundation 0 Poured Concrete
0 Concrete Block
0 Pier
0 Treated Wood
. Other
Occupany Permit Required
Flood Plain
Height Permit
# Dwelling Units ~
# Structures
0
Park Dedication
Use/Nature Retail/ Combine spaces D190 and D200 into one space and remodel for The Children's Place.
ofWork
HVAC Contr
Plumbing Contr
Electric Contr
Inspections:
Date ~--'-----
Type Final
Inspector Allyn Dannhoff
approved w/cond.
RECEIVED SIGNED COPIES OF FCN'S VERiFYING COMPLIANCE WITH NOTED VIOLATIONS
Datemme requested:
Access:
-
Notice Type:
Phone Number:
Ready DatelTime: 12/2105 09:32 AM Requested By:
0 Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
---------------------------------------------------------------------------------------------
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