HomeMy WebLinkAboutCertificate of Occupancy
CITY HALL
Inspection Services Div
215 Church Avenue
~POBOX1130
~ Oshkosh WI
~ 54903-1130
OfHKOfH
ON THE WATER
City of Oshkosh
Approved:
November 30, 2005
Landmark Limited Partnership III
PO Box 2366
Oshkosh, Wisconsin 54903-2366
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby issued for the tenant space alterations, located
at 300 S. Koeller Street, Suite K, Oshkosh, Wisconsin 54902-5590 as described
in Building Permit Application number(s) 116093.
This building is to be used only as retail space and is located in the C-2PD,
General Commercial District with a Planned Development Overlay.
LIMITATIONS:
Maximum number ofpersons:
32 Occupants
2nd Floor limited to 10 Occupants
A new Certificate of Occupancy shall be required prior to occupancy, should
additional building(s) be erected, or should any buildings mentioned above be
altered or moved. The use of land, or buildings, shall not be changed until a
Certificate of Occupancy is issued for that occupancy. All conditions noted
above must be complied with in order for this c . Icate to va.
cc: R J Albright Inc.
Building Permit Work Card
Job Address 300 S KOELLER ST Permit Number 0116093 Create Date 8/26/05
Owner LANDMARK LIMITED PARTNERSHIP III Contractor R J ALBRIGHT INC.
Category 232 - Alteration Stores & Customer Service
Type . Building o Sign o Canopy o Fence o Raze I Plan
Zoning Class of Const: Size Value $32,000.00
Unfinished/Basement 0 Sq. FinishedlLiving 0 Sq. Ft. Garage 0 Sq.Ft.
- Ft. -
Rooms 0 Bedrooms 0 Baths 0 D Projection I
-
Stories 2 Height 0 Ft. Canopies 0 Signs 0
-
Foundation . Poured Concrete o Floating Slab o Pier o Other
o Conc;ete Block o Post o Treated Wood
Occupany Permit Required Flood Plain Height Permit
-
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature Tenant alterations at SE corner of building for Kirby Vacuum. * Late Permit.
of Work
HV AC Contr Plumbing Contr
Electric Contr
Date Type h ~ Inspector /I))
S~ ~ tY- ~~C( SCt-~ey t:"tt s'~
DatelTime requested:
Access:
Notice Type:
Phone Number:
Ready DatelTime:
Requested By:
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
---------------------------------------------------------------------------------------------
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Page 1 of 1
Building Permit Work Card
Job Address 300 S KOELLER ST Permit Number 0116093 Create Date 8/26/05
Owner LAND,MARK LIMITED PARTNERSHIP III Contractor R J ALBRIGHT INC.
Category 232 - Alteration Stores & Customer Service
Type . Building o Sign o Canopy o Fence o Raze I Plan
Zoning Class of Const: Size Value $32,000.00
Unfinished/Basement 0 Sq. Finished/Living 0 Sq. Ft. Garage 0 Sq.Ft.
Ft. -
Rooms 0 Bedrooms 0 Baths 0 D Projection I
Stories 2 Height 0 Ft. Canopies 0 Signs 0
, -
Foundation . Poured Concrete o Floating Slab o Pier o Other
o Con~rete Block o Post o Treated Wood
Occupany Permit Required Flood Plain Height Permit
-
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature Tenant alterations at SE corner of building for Kirby Vacuum. * Late Permit.
of Work
HV AC Contr Plumbing Contr
Electric Contr
Inspections:
Date 9/23/05
Type Final
Inspector Allyn Dannhoff
not approved
C/N ON MECHANICAL SCREEN 1 COMPLIANCE STATEMENTS
NOTE: 2ND FLOOR LIMITED TO 10 OCCUPANTS
DatelTime requested:
Access:
Notice Type:
Phone Number:
Ready DatelTime:
Requested By:
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
Date 11/3/05 Type Final Inspector Allyn Dannhoff approved w/cond.
NOTE: OCCUPANCY OK. NOTE ON C.O.-REQUIRED MECHANICAL SCREENING SHALL BE INSTALLED BY 6/1/07.
DatelTime requested:
Access:
Notice Type:
Phone Number:
Ready DatelTime:
Requested By:
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
Page 1 of 1
HVAC Permit Work Card
Job Address 300 S KOELLER ST Permit Number 116479 Create Date 09/27/2005
Owner LANDMARK LIMITED PARTNERSHIP III Contractor GARTMAN MECHANICAL SERVICES
Category 510 - Ind. & Comm-Heating & Ventilating Plan P9-63-0805-H
Fuel 1,1'1 Gas I UOil I ~ Electric I I I Solar I U Solid I Value $10,500.00
System D New I D Replace I ~ Other I
~ Forced Air I U Radiant I U Steam I U A1C I U Vent I
U Electric I U Hot Water I U Suppl. I U Con. Burner I
Chimney Type o Chimney A o Chimney B . Direct Vent o Not Applicable I
Heat Loss . As Approved o Existing o Not Applicable I Value 0
BTU Rate . As Per Plan o Variable o Other I Value
Use/Nature Comm/ AFTER THE FACT PERMIT - Remodel suite "K" "Kirby Store"- Alterations to existing duct
of Work work as per plans - existing RTU to remain.
(" t~.Ai;>
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. '<"
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Inspections:
Date 9/23/05
Type Final
Inspector Allyn Dannhoff
not approved
C/N ON MECHANICALM SCREEN / COMPLIANCE STATEMENTS
DatelTime requested:
Notice Type:
Phone Number:
Access:
Ready DatelTime:
Requested By:
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
Date 11/30/05
Type Final
Inspector Allyn Dannhoff
approved w/cond.
NOTE: OCCUPANCY OK. NOTE ON C.O. REQUIRED MECHANICAL SCREENING SHALL BE INSTALLED BY 6/1/07.
DatelTime requested:
Notice Type:
Phone Number:
Access:
Ready DatelTime:
Requested By:
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
Electric Permit Work Card
Job Address 300 S KOELLER ST Permit Number 115895 Create Date 08/22/2005
Owner LANDMARK LIMITED PARTNERSHIP III Contractor SOLAR ELECTRIC SERVICES INC
Category 643 - Commercial-Addition/Remodels
Service b New o ChangeO Temp . N/A I Type o Overhead o Underground . N/A I
Volts Circuits 0 Fixtures 0
Amps 0 Switches 0 Receptacles 0
Fee $194.00 D Value $10,000.00
Appliances
Use/Nature COMMERCIAL 1 KIRBY, CONVERT OPEN AREA TO OFFICES
of Work
Inspections:
Date 08/22/2005
Type Rough In
Inspector Kevin Benner
not approved
PHONE REQUEST 1 WOULD LIKE INSP ASAP, PERMIT WAS NOT YET ISSUED, BUILDING PLANS HAD
NOT YET BEEN APPROVED
Completely drywalled at the time of inspection
DatelTime requested: 08/22/2005 12:00 PM
Access:
Notice Type:
Phone Number:
Ready DatelTime: 08/22/2005 12:00 PM Requested by: SOLAR ELECTRIC SERVICES INC
o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
Type' Final
Inspector Adam Krause
Date 09/13/2005
approved
REQUEST LINE
DatelTime requested: 08/30/2005 03:55 PM
Access:
OPEN DAYS
Ready DatelTime: 08/30/2005 03:55 PM Requested by: SOLAR ELECTRIC SERVICES INC JAS<
o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
Notice Type:
Phone Number: NOT GIVEN
0:,~'
Plumbing Permit Work Card ?" "
I.
Job Address 300 S KOELLER ST Permit Number 115797 Create Date 08/16/2005
,'.. .
Owner LANDMARK LIMITED PARTNERSHIP III Contractor D.R. HANSEN PLBG.
>>
Category 440 - Industrial-Interior Plan Value $4,000.00
'...
Bathtub 0 Shower 0 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
or-- -
Whirlpool 0 Floor Drain 1 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
-
Lavatory 2 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 2 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 Sump.Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
- -
Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
Site Drain ~ . Breakrm Sink 1 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
-
Roof Drain 0 Ejector/Gri nd 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
- - - -
Misc. 0
-
Fixtures
Use/Nature
of Work Remodle "300 K" tennant space (Debit Account)
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Date 9/1/05
Type Final
Inspector Rich Wood
approved
DatelTime requested: 9/1/05
08:39 AM
Notice Type:
Telephone Number:
Access:
Ready DatelTime: 9/1/05 08:39 AM Requested By:
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
-----------------------------------------------------------------~---------------------------------------
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Plumbing Permit Work Card ( &'<2"'$
Job Address 300 S KOELLER ST Permit Number 115797 Create Date 08ft6!20~f
.
Owner LANDMARK LIMITED PARTNERSHIP III Contractor DR HANSEN PLBG. ,#
.
Category 440 - Industrial-Interior Plan Value $4,000.00
Bathtub , 0 Shower 0 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
-r--
Whirlpool 0 Floor Drain 1 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
Lavatory 2 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 2 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
-
Site Drain 0 Breakrm Sink 1 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
-
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
- - - -
Misc. 0
-
Fixtures
Use/Nature
of Work Remodle "300 K" tennant space (Debit Account)
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Date 8/19/05
Type Final
Inspector Rich Wood
approved
DatelTime requested: 8/19/05 07:42 AM
Notice Type:
Telephone Number:
Access:
Ready DatelTime: 8/19/05 11 :00 AM Requested By:
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
------------------------------------------------------------------,---------------------------------------
Plumbing Permit Work Card IS""
. &'Ii:
Job Address' 300 S KOELLER ST Permit Number 115797 Create Date 08/116/20055,> Y-
o .(! ,
Owner LANDMARK LIMITED PARTNERSHIP III Contractor D.R. HANSEN PLBG. '",OAk
'"
Category 440 - Indu:3trial-lnterior Plan Value $4,000.00
Bathtub 0 Shower 0 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
-
Whirlpool . 0 Floor Drain 1 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap 0
-
Lavatory 2 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
-
Toilet 2 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
-
; Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
Water Heater 1 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
- -
Site Drain ~ . Breakrm Sink 1 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
- -
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
- - - -
Misc. 0
-
Fixtures
Use/Nature
of Work Remodle "300 K" tennant space (Debit Account)
Size Material Type # Conn.Type
< Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
J
Date 8/16/05
Type Underground
Inspector Rich Wood
approved
DatelTime requested: 8/16/05 02:06 PM
Notice Type:
Telephone Number:
Access:
Ready DatelTime: 8/16/05 02:06 PM Requested By:
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
----------------------------------------------------------------------------------.----------------------
Buildings, HV AC, Compliance Statement (:::0)
This form is required to be submitted by the supervising professional (architect, engineer, HVAC designer or e1ettrici
designer) observing construction of projects within buildings with total areas 50,000 cubic fM.,.... ... ~c ~...'....... Q leaC.he. rs
(Comm 50.10/Comm 61.50). Failure to submit this form may result in penalties as specifi~Q~ri!.Q 1./2~/. fAt
61.23 and/or local ordinances. ~ "L"",,,,, M [on
General Instructions: Prior to the initial occupancy of new buildings or additions and th~.LiI;1a2~ occupancy of
altered existing buildings, submit this completed and signed form to: UC I 4 2u05
· The municipal building inspection office and 'ADr:D'\ . Tf fJ I
. · Safety and Buildings, 10541N Ranch Road HaYWWRtVhVlIC54'~'3~lE~ T Of
Personal inform,ation you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1)(M}lFIMU~IJTV DEY.EtOPMfN'T
1. PROJECT INFORMATION: Please fill in the following with inform,tion fr~r plan approvalletler.
Transaction ID Number /' /tf;/ r,,6/)/ '-' ~ ~~
Sne Number / A:-c:;,1d{'/ "*aJi ':1
Site location (number & street) ~C ~ -~/TC, 'C
~City 0 Village 0 Town of County of.
2. PURPOSE OF THIS STATEMENT: (Check Box A, 8, C, or D to indicate purpose and complete a other
applicable boxes and information. Attach additional pages if necessary.) ~.". /'
Check those which apply: 0 Building Object ID # ~VAC Obje~t ID # c:::l. ~Q5 h'
o Lighting Object JD # n -6'7 .. ~ 'c:)...:S -R
o Partial Completion
~ Description of Portion Completed
A) Statement of Substantial Compliance
o the best of my knowledge, belief, and based on onsite observation, construction of the following building ane/or
HVAC items applicable to this project have been completed in substantial compliance with the approved plans and
specifications.
o BUilDING/LIGHTING 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 of VAC ITEMS
construction, fire stopped penetrations
6. Sanitation system (toilets, sinks, drinking facilities) 1. HVAC system including final test
7. Barrier-free including Comm 18 elevators and lifts 2. All conditions of HVAC plan approval and
8. Energy envelope requirements applicable variances
9. All conditions of bUilding plan approval and applicable variances
10. Exterior lighting & control requirements
11. Interior lighting & control requirements
12. All conditions of lighting plan approval
and applicable variances
The following items are not in compliance and must be addressed:
B) 0 Statement of Noncompliance
Due to the following listed violations, this project is not ready for occupancy:
C) 0 Supervising Professional Withdrawn From Project (Use A or B ebove to indicate project status as of this date.)
D) 0 Project Abandoned
3. SUPERVISING PROFESSIONAL SIGNAT~~9'Z>/ b,rJ J&? J
o 8Uilding~HVAC 0 Lighting_ ~~~ Date
Name (plea~rint or~.21 ~ ~
Phone number ./ 9:Y. Customer 10 #P~tJV" ,/ Signature
~o-c??/-v< a