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Home My WebLink About0118546-Building ~ OJHKQfH ON '" WATER City of Oshkosh Division of Inspection Services 215 Church Avenue POBox 1130 Oshkosh WI 54903-1130 www.ci.oshkosh.wi.us April 10, 2006 Keith Paul GMS Inc. 520 W South Park Ave. Oshkosh, WI 54901 Keith Neuens Banner Packaging 3550 Moser Street Oshkosh, WI 54901 Site: Banner Packaging 3550 Moser Street Oshkosh WI 54901 For: Description: Interior office space alterations Object Type: HV AC only Class of Construction: IIIB - 3262 Sq Ft.; sprinklered Occupancy: F: Factory / Industrial B: Business / Office Plan Number: SI-24-0306-H The submittal described above has been reviewed for confonnance with applicable Wisconsin Administrative Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defIDed in Chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code reqtrirements Key Item(s) / Conditions: mc 711.3 Any penetrations of fire rated assemblies are required to be protected with a listed fIrestòpping system that matches the rating of the wall assembly being penetrated. Copies of the flrestopping systems are required to be provided at the time of inspection. IMC 602.2.1 Materials exposed within plenums. Except as required by Sections 602.2.1.1 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. IMC 606.4.1 The duct 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. VerifY that Duct smoke detectors are connected to fire alarm system, and shut down RTu. 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 Comm 61.31(1). Page 10f2 Kempinger Putman Architects 2390 State Road 44 - Suite A (920) 235-3310 P.O. BOX 2903 OSHKOSH, WISCONSIN 54904 FAX (920) 235-4002 May 15,2006 City of Oshkosh Inspections Services 215 Church Avenue Oshkosh, WI 54903-1130 MAY 1 7 2006 OF Re: Interior Remodeling of Office Spaces: Banner 3550 Moser Street Oshkosh, WI Attn Brian Noe, We submit for your review the following items. . Completed Compliance Statement, Phase 2 work. Work for this project required two phases of construction. Phase I work was completed April 17, 2006. The remainder of the project was in compliance on May 15, 2006. If you have any questions, ple'ase don't hesitate to call. Thank you. L2:::~ Kempinger Putman Architects, LLC. 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 (refer to the plan approval letter for agency address and . Safety and Buildings, 10541N Ranch Road Hayward, Wi. 54843 Note: If the review was done by the municipality, the compliance statement goes only to the municipal building inspector. A copy is not needed by Safety & Buildings. 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 approval letter. Transaction ID Number gl- ~4 - 030b Project Name 'BA~. I\..)~oo. g~kŒ ~'/\CÐa\¡j6 Site Number Site location (number & street) 35 5'0 M0~ ~Pf1¡G€ 18 City 0 Village 0 Town of ~\'-Ö~ County of ~11.J~BI\60 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: 0 Building Object ID # 0 HVAC Object ID # 0 Lighting Object ID # 0 Partial Completion Description of Portion Completed A) i;( 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 appliæble to this project have been completed in substantial compliance with the approved plans and specifiætions. 0 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 folWard flow on back flow devices) by appropriately registered professionals 3. Shaft and stailWay enclosure 4. Exits including exit and directional lights 5. Fire-resistive construction, enclosure of hazards, flre walls, labeled doors, class 0 HVAC ITEMS of construction, flre stopped penetrations 6. Sanitation system (toilets, sinks, drinking facilities) 7. Barrier-free including Comm 18 elevators and lifts 8. Energy envelope requirements 9. All conditions of building plan approval and applicable variances The following items are not in compliance and must be addressed: 10. Exterior lighting & control requirements 11. Interior lighting & control requirements 12. All conditions of lighting plan approval and applicable variances 1. HVAC system including flnal test 2. All conditions of HVAC plan approval and applicable variances 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 above to indicate project status as of this date.) D) 0 Project Abandoned 3. SUPERVISING PROFESSIONAL SIGNATURE FOR: o(Building 0 HVAC 0 Lighting -JA-ME'-::' 'f\.¡TMf'.-N Name (please print or type) Phonenumber'1'ZO-Z,Ç'-??IO CustomerlD# 9\Bí8~ Date M~ 15'1 2oob "~"~ ~ 51)1')-9720 (R,1Im004)