HomeMy WebLinkAbout2005-Building
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OSHKOSH
ON THE WATER
Job Address 237 N WASHBURN ST
-=-=---t.
CITY OF OSHKOSH
No
116486
BUILDING PERMIT. APPLICATION AND RECORD
Owner ARTHUR E POMMERENING
Create Date
09/27/2005
Contractor
R-R STEEL CONSTRUCTION CO INC
Designer
Category
231 - Addition Stores & Customer Service
Plan 03-77-0905
Type
. Building
Q Sign
0 Canopy
0 Fence
0 Raze
Zoning
Class of Const: ~
Size 47x50
Unfinished/Basement ~Sq.Ft. Rooms ~ Height 0 Ft.
Finished/Living ~Sq.Ft. Bedrooms ~ Stories 1
Garage ~Sq.Ft. Baths 0
0 Projection I
Canopies ~
Signs
Foundation
. Poured Cencrete 0 Floating Slab
0 Cencrete Block 0 Post
0 Pier
0 Treated Wood
0 Other
Occupancy Penmit Required
Flood Plain
Height Permit
Use/Nature !'Iuto Sales /47x50 Vehicle Serivce Area Addition. . Work above the foundation.
ofWork
# Dwelling Units ~
# Structures
~
Park Dedication
HVAC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuation
$218,500.00 Plan Approval
$0.00 Permit Fee Paid
$721.00 Park Dedication
$0.00
Issued By:
Date 09/27/2005
Final/O.P. 00/00/0000
0 Permit Voided I
Parcelld # 0614030000
In the perfolTTlance of this work I agree to perfolTTl all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perfolTTl the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Address 5521 CTY RD BB
Agent/Owner
APPLETON
WI 54914 - 0000
Telephone Number
920-739-6521
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 request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
e
OSHKOSH
ON THE WATER
Job Address 237 N WASHBURN ST
CITY OF OSHKOSH
No
116486
BUILDING PERMIT -APPLICATION AND RECORD
Owner ARTHUR E POMMERENING
Create Date
09/27/2005
Designer
Contractor
R-R STEEL CONSTRUCTION CO INC
Category
231 - Addition Stores & Customer Service
Plan 03-76-0905
Type
. Building
0 Sign
0 Canopy
0 Fe~e
0 Raze
Zoning
Class of Const: 2Bibc
Size 47x50
Unfinished/Basement ~Sq.Ft. Rooms
Finished/Living ~Sq.Ft. Bedrooms 0
Garage ~Sq.Ft. Baths
Height
0 Ft.
0 Projection I
Canopies
Stories 1
Signs
0
Foundation
. Poured Concrete 0 Floatin9 Slab
0 Concrete Block 0 Post
0 Pier
0 Treated Wood
0 Other
Occupancy Permit Required
Flood Plain
Height Permit
# Dwelling Units 0
# Structures
Park Dedication
Use/Nature Auto Sales /47x50 Vehicle Serivce Area Addition. . Work above the foundation.
of Work
Plumbing Contractor
HVAC Contractor
Electric Contractor
$218,500.00 Plan Approval
$0.00 Permit Fee Paid
$721.00 Park Dedication
$0.00
Fees: Valuation
Issued By:
Date 09/27/2005
FinaI/O.P. 00/00/0000
0 Permit Voided I
Parcelld # 0614030000
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 per' application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to e c a approv b re starting such activity. ~
Signature Date . 'a..J
Agent/Owner
APPLETON '!'!'!. 54914 - 0000 Telephone Number 920-739-6521
Address 5521 CTY RD BB
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 request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
C-\ \'f OF ~ t::D5+-\
ÅLL ~ ~""~N.c>R=""
BUILDINGS, HV AC, COMPLIANCE STATEMENT SBD-9720
This form is required to be submitted by the supervising professional (architect, engineer, HVAC designer or electrical
designer) observing construction of projects within buildings with total areas 50,000 cubic feet or greater and bleachers
(Comm 50.10/Comm 61.50). Failure to submit this form may result in penalties as specified in Comm 50.26/Comm 61.23
and/or local ordinances. This form must be submitted prior to the plan approval expiration date or another submittal may
be required.
General Instructions: Prior to the initial occupancy of new buildings or additions and the final occupancy of
altered existing buildings, submit this completed and signed form to:
. The municipal building inspection office and
. Safety and Buildings, 10541N Ranch Road Hayward,cWi~~
Note: If the review was done by the municipality, the compliance statement goes onjly,~~é'lñðMiÇlpãl!bÇiildingc-"
inspector. A copy is not needed by Safety & Buildings. ~ '%_- ~ L, ~ V Ie II~TJ
Personal information you provide may be used for secondary purposes (privacy Law, s. 15.04 (1)(m)].
1. PROJECT INFORMATION: Please fill in the following with information from your plan approJ;1/t4¥ttéf.4 2006
Transaction ID Number 1191903
Site Number 704136
Site location (number & street) 237 N. Washburn St.
! City 0 Village 0 Town of Oshkosh CountyofWinnebaao
2. PURPOSE OF THIS STATEMENT: (Check Box A, B, C, or D to indicate purpose and complete any other
applicable boxes and information. Attach additional pages if necessary.)
Check those which apply: ! Building Object ID # 1038203 0 HVAC Object ID #
0 Lighting Object ID #
0 Partial Completion
',,'; "
,,: ,~, :"
c, ,m"'"" "..,,' Description of Portion Completed
A) ! Staternlmt ofSûbStaiifla(Córi1pliilnce
To the best of my knowledge, belief, and based on onsite obServation; 'cOnstrUCtion of the following building and/or HV AC
items applicable to this project have been completed in substantial compliance with the approved plans and
specifications.
X BUILDING/LIGHTING ITEMS
1. Structural system including submittal and erection of all building components
(trusses, precast, metal building, etc.)
2. Fire protection systems (sprtnklers, alalTTls, smoke detectors) designed,
installed, and tested (including forward flow on back flow devices) by
appropriately registered professionals
3. Shaft and stairway enclosure
4. Exits including exit and directional lights
5. Fire-resistive construction, enclosure of hazards, fire walls, labeled doors, class D HVAC ITEMS
of construction, fire stopped penetrations
6. San~ationsystem (toilets, sinks, drtnking facimies)
7. Barrier-free including Comm 18 elevators and lifts
8. Energy envelope requirements
9. All cond~ions of building plan approval and applicable variances
The following items are not in compliance and must be addressed:
1. Door 1040 (3 hour rated assembly) has not been installed as indicted on drawings,
2, Door 1O4P was eliminated and opening blocked in. The exit path has changed to go through doors 100E & 100G with
exit lights installed above them.
B) 0 Statement of Noncompliance
Due to the following listed violations, this project is not ready for occupancy:
'.,',
10. Exterior lighting & control requirements
11. Interior lighting & control requirements
12. All cond~ions of lighting plan approval
and applicable vartances
1. HVAC system including final test
2. All cond~ions of HVAC ptan approval and
applicable variances
C) 0 Supervising PrOfêssìonal Withdrawn From Project (Use A or B above to indicate projeCt status as of this
D) 0 Project Abandoned, .
3. SUPERVISING PROFESsioNAL SIGNATURE FOR:
~ Building D HVAC D Lighting Thomas J. Van Dalen - A6230
Name (please print or type)
Phone number 1920-739-6521) Customer ID # 973309
Signature