The URL can be used to link to this page

Home My WebLink About0085814 H e OSHKOSH ON THE WATER Job Address 2495 JACKSON ST CITY OF OSHKOSH No 85814 HVAC PERMIT -APPLICATION AND RECORD Owner CAPITAL CREDIT UNION Create Date 03/07/2001 Plan Contractor BAUMGART HEATING & COOLING Fuel 1,(1 Gas I 1011 System Pl New I ~ Forced Air U Radiant I I Electric I I Hot Water Chimney Type K) Chimney A e ) Chimney B Heat Loss K) As Approved e ) Existing BTU Rate K) As Per Plan e ) Variable Category 512 - Ind. & Comm-Both 1,(1 Electric I I Solar I I Solid n Replace U Steam n Other ~ AlC I I I Con. Burner I e ) Not Applicable U Vent I I Suppl. e ) DirectVent e ) Not Applicable e) Other Value Value ~.~~ I-'~~~-~'OC"~ 01 Work Fees: Valuation $24,000.00 Issued By: 5"Y\5 Plan Approval $0.00 Permit Fee Paid $295.00 Date 05/08/2001 D Permit Voided I In the performance 01 this work, I agree to perform an work pursuant to rules governing the described construction. Signature Date Agent/Owner Address 901 BOYD AVE KAUKAUNA WI 54130-0 Telephone Number (920) 766-2835 htW 0:, 2((:'1 Salety and Buildings 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304 TOO #: (608) 254-8777 www.commerce.state.wi.us/sb www.wisconsin.gov ~scons;n Department of Commerce RECE I VE , - Scott McCallum, Governor DEPHR'fMENT Or BrendaJ. Blanchard, Secretary tCrMMtJì~jrY DEVELOPM~NT May 01, 2001 CUST ID No.682911 ATTN: Buildings & Structures Inspector DOUGLAS L GEYER 1010 KENNEDY AVE PO BOX 39 KlMBERLYWI54136-0039 OSHKOSH INSPECTION 215 CHURCH AVE PO BOX 1130 OSHKOSH WI 54902-1130 RE: CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 05/0112003 SITE: SITE ID: 626447, CAPITAL CREDIT UNION WlNNEBAGO COUNTY, CITY OF OSHKOSH; JACKSON ST, OSHKOSH 54901 FOR: OBJECT TYPE: HV AC SYSTEM REGULATED OBJECT ID NO.: 787890 Identification Numbers Transaction ID No. 635156 Site ID No. Please refer to both identification numbers, above, in all corresMndence with the agency. 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 deemed in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during constrnction or installation and prior to occupancy or use: A copy of the approved plans, specifications and this letter shall be on-site during constrnction and open to inspection by authorized representatives of the Department, which may include local inspectors. All permits required by the state or the local municipality shall be obtained prior to commencement of C 0 nstrn c ti on/ins talla ti 0 n/ opera ti 0 n. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should couditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, strnclure, or component. Inquiries concerning this correspondence may be made to me at the telephone nwuber listed below, or at the address on this letterhead. DATE RECEIVED 04/30/2001 FEE REQUIRED $ 360.00 FEE RECEIVED $ 360.00 BALANCE DUE $ 0.00 WiSMART code: 7648 cc: PETERROCHS, BUILDING INSPECTOR, (920) 929-3167, FRIDAY, 7:45 A.M. -4:30 P.M. CAPITAL CREDIT UNION Buildings, HVAC, Lighting Compliance Statement This form is required to be submitted by the supervií;in-g prOfessional (architect, engineer, HVAC designer or electrical designer) observing construction of projects within buildings with total areas exceeding 50,000 cubic feet and construction ( . antennas, towers, and bleachers (ILHR 50.10). Failure to submit this form may result in penalties as specified in , ~HR 50.26 and/or local ordinances. . 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, P.O. Box 7162, Madison, WI 53707-7162 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 approvalletler. Transaction 10 Number (¡:;3 S'/ 5' (, Site Number G,,) (,447 Site location (number & street) '!A.L.¿soJ s=-, ðs ¡'¡'¿õ ~ H ~City 0 Village 0 Town of County of 2. PURPOSE OF THIS STATEMENT: (Check Box A, B, C, or D to indicate purpose and complete any other applicabie boxes and information. Attach additional pages if necessary.) Checkthosewhichapply: DBuildingObjectlD# rfHvACObjeCtlD# 7'Õ78"t{) 0 Lighting Object ID # D' Partial Completion Description of Portion Completed A) if'Statement of Substantial Compliance To the best of my knowledge, belief, and based on onsite observation, construction of the following building and/or HVAC items applicable to this project have been completed in substantial compliance with the approved plans and specifications. 0 BUILDING ITEMS 1. Structural system including submittal and erection of all building components (trusses, precast, metal building, etc.) 2. Fire protection systems (sprinklers, alarms, 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 cf construction 6. Sanitation system (toilets, sinks, drinking facilities) 7. Bartier-free including Comm 18 elevators and lifts 8. ILHR 63 energy envelope 9. All conditions of building plan approval and appficable variances The following items are not in compliance and mJst be addressed: /'2,¡1Nr -¡'c'5'7'Þr5 A--¡- h" ~¡,;vc ;~M. . I~~'-z.- V,.¡yJ, s'£t:' /J"",?wz.d, /'",!,,#'Í I B) 0 Statement of Noncompliance í . Due to the following listed violations, this project is not ready for occupancy: ( 0 HVAC ITEMS 1. HVAC system including final test (ILHR 64.53) 2. All conditions of HVAC plan approval and applicable variances 0 LIGHTING ITEMS 1. Exterior lighting & control requirements 2. Interior lighting & control requirements 3. All conditions of lighting plan approval and applicable variances . C) 0 Supervising Professional Withdrawn From Project (Use A or B above to indicate project status as of this date:) D) 0 Project Abandoned ' , ~. SUPERVISING PROFESSIONAL SIG~UREFOR: 0 Building 8HVAC 0 Ughting MzJCí 6' ~-i u.c. Name (please print or type) Customer 10 # I J.J--S- Phone number 9.:1.0 74-'1 SBD-9720 (R.OSI98) 3'75 i ---:--pate &/ ZZ!ðl Signature ~ i ,..£1 "j"....-'