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Home My WebLink AboutCertificate of Occupancy (Kodiak Jacks) CITY HALL Inspection ,services Div 215 Church Avenue , ~POBOX1130 Oshkosh WI œ. 54903-1130 OfHKOfH City of Oshkosh ON THE WATER Issued: March 30, 2006 Witzel Street LLC 601 A Oregon Street Oshkosh, Wisconsin 54902-5965 CERTIFICATE OF OCCUPANCY An Occupancy Permit is hereby issued for the restaurant and banquet facility, located at 2059 Witzel Avenue, Oshkosh, Wisconsin 54902-5965 as described in Building Permit Application number(s) 103492 and 105737. This building is to be used only as a restaurant and is located in the C-2, General Commercial District. LIMITATIONS: Maximum number of persons: 250 Restaurant 250 Bar 190 Banquet Hall NOTE: Each area to post the Occupant Capacity 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 thi ertifi be valid. D cc: R J Albright Inc. Kodiak Jack's :'?Jz4ro- h....f w- AV ~ (Lš~¿ve.~ JiJJ ~ ~~) ~O~7~) (/o3~9~) - ¥:Þ Q c..i"~ 2So i2.e,s~¡-~ 2-.r'O Ba.,... /9'0 ;&~tJel- Jt.1/ po {e" ~ 4-C-h .v-...e~ 't/o;:kif- //-~ ~¡-,..ß- C~?4-e- /7 . Building Permit Work Card Job Addre~ 2059-2087 WITZEL AVE Permit Number 0103492 Create Date 7/29/03 Owner WITZEL AVE CENTER LLC Contractor R J ALBRIGHT INC. Category 203 - New Amusement, Social, Recreation Type. Building 0 Sign 0 Canopy 0 Fence 0 Raze Size 85X120 + I Plan 19-77-0703 Zoning Class of Const: Value $225,000.00 Unfinished/Basement 0 Sq. Finished/Living -Ft. Rooms ----.2. Bedrooms ----.2. Baths Height ----.2. Ft. 0 Floating Slab 0 Post 10200 Sq. Ft. Garage 0 Sq. Ft. ----.2. n Projection I Canopies 0 Signs Stories 1 Foundation. Poured Concrete 0 Concrete Block 0 Pier 0 Treated Wood 0 Other Occupany Permit Required Flood Plain Height Permit # Structures # Dwelling Units ~ 0 Park Dedication Use/Nature of Work 059 Witzel Ave/Interior alterations for a 10,200 sf restaurant. HVAC Contr Plumbing Contr Electric Contr Inspections: Date 10/6/03 00:00 AM Type Rough In Inspector Allyn Dannhoff approved ro-- -- Notice Type: Phone Number: DatelTime requested: Access: Ready DatelTime: ---=----- Requested By: 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid --------------------------------------------------------------------------------------------- Date ~~ roo"œ="- DatelTime requested: Access: Type insuiation Inspector Allyn Dannhoff approved Notice Type: Phone Number: Ready DatelTime: ---=----- Requested By: 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid --------------------------------------------------------------------------------------------- Building Permit Work Card Job Addres~ 2059-2087 WITZEL AVE Permit Number 0103492 Create Date 7/29/03 Owner WIT~ELAVE CENTER LLC Category 203 - New Amusement, Social, Recreation Contractor R J ALBRIGHT iNC. Type " Building Zoning 0 Sign 0 Canopy 0 Fence 0 Raze I Plan 19-77-0703 Class of Const: Size 85X120 + Value $225,000.00 Unfinished/Basemo.n\ 0 Sq. Finished/Living 10200 Sq. Ft. -Ft. Rooms ----.2. Bedrooms ----.2. Baths ----.2. Garage ----.--JJ Sq. Ft. n Projection I Stories 1 Height ----.2. Ft. 0 Floating Slab 0 Post Canopies 0 Signs 0 0 Other Foundation. Poured Concrete 0 Concrete Block 0 Pier 0 Treated Wood Occupany Permit Required Flood Plain Height Permit Park Dedication # Dwelling Units ~ # Structures 0 Use/Nature of Work 059 Witzel Ave/Interior alterations for a 10,200 sf restaurant. HVAC Contr Plumbing Contr Electric Contr Inspections: Date ~~ Type Note NEEOS OCCUPANT LOAO SIGNS, BATHROOM SIGNS i WiLL CALL GRIEN RE: EMERGENCY ILLUMINATION Inspector Allyn Dannhoff - Notice Type: Phone Number: DatelTime requested: Access: Ready DatelTime: ---=----- Requested By: 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid -------------------------------------------------------------------------------------_uu_-- Date -- Type Final Inspector Allyn Dannhoff approved - Notice Type: Phone Number: DatelTime requested: Access: Ready DatelTime: 3/21/05 --=----- Requested By: 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid --------------------------------------------------------------------------------------------- Electric Permit Work Card Job Addres~ 20S9-2087 WITZEL AVE Ow11er \NiTZ,ELAVE CENTER LLC Permit Number 102553 Create Date 06/20/2003 Contractor ARROW ELECTRIC OF OSHKOSH Categ<:>ry /ì 1 - Residential-New Single Family Wiring Service R5 New 0 ChangeO Temp . N/A I Type 0 Overhead Volts 120/208 Circuits Amps 0 Switches 0 Underground. N/A Fixtures Fee $225.00 D Receptacles Value $25,000.00 Appliances Fan or Blower, Dishwasher, Garbage Disposal, Dryer & Electric Sign. Use/Nature of Work Restaurant Wiring/20S9/ Install iight fixtureSiñ dining area and associated wiring for the restaurant (any wiring not provided by the landlord). Inspections: Date 06/20/2003 Type Underground Inspector Jon Fischer approved No permit. Not ready. Only plumbing is installed. 7/1/03 under ground approved in steak house only nothing outside DàtelTime requested: 06/19/2003 07:36 AM Access: Meet Eddy or~it. Ready DatelTime: 06/20/2003 00:00 AM Requested by: 0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Notice Type: Phone Number: Cam -----------------------------------------------------------------------------------. Date ---- Type Inspector Kevin Benner REQUEST LINE. They're running conduits undemeath the slab. They want to pour ASAP. DatelTime requested: 06/30/2003 03:46 PM Access: Notice Type: Phone Number: 426-4252 Ready DatelTime: 06/30/2003 03:46 PM Requested by: 0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid ARROW ELECTRIC OF OSHKOSH - Cam -----------------------------------------------------------------------------------. Electric Permit Work Card , Job Address 2059-2087 WITZEL AVE Permit Number 106745 Create Date 03/03/2004 Owner DEL l TRITT CONSTRUCTION L Category 643', Commercial-Addition/Remodels Contractor SECKAR ELECTRIC CO INC Service' b New Volts Circuits i Type 0 Overhe~Q Underground. N/A Fixtures 0 ChangeO Temp. N/A Fee $259.00 D Receptacles Value o' $25,000.00 Amps Switches 0 Appliances Use/Nature of Work OMMERCIAL /INSTALL ADDITIONAL WiRiNG FOR KITCHEN EQUIPMENT ETC: Kodiak Jack restaurant. Inspections: Type Rough In Inspector Kevin Benner approved - Date 06/17/2004 Faxed request - ceiling wiring before ceiling tile are installed DatelTime requested: 06/16/2004 01 :02 PM Access: workers are on site Notice Type: Phone Number: 379-6822 Ready DatelTime: 06/16/200401:02 PM Requested by: -~-- 0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid SECKAR ELECTRIC-Diane --_u-- Date 08/27/2004 - Type Final Inspector Kevin Benner not approved Request Line Panel Cover not installed, add EM. ILL. in the store, ex!. EM. ILL. did not work. Reviewed with Frank Seckar DatelTime requested: 08/24/2004 01 :22 PM_Notice Type: - Phone Number: 379-6822 Access: Would like Thursday AM, Call Frank with a 2-hour window so he can be on-site (379-6823). Ready DatelTime: 08/26/2004 07:00 AM Requested by: SECKAR ELECTRIC-Diane 0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Electric Permit Work Card Job Address 2059-2087 WiTZEL AVE Owner oE'L L TRITT CONSTRUCTION L Permit Number 106745 Create Date 03/03/2004 Contractor SECKAR ELECTRIC CO INC Category 643 - Commercial-Addition/Remodels Service b New Volts Circuits I Type 0 Overhead 0 0 Underground . N/A Fixtures Receptacles 0 Value $25,000.00 0 ChangeO Temp. N/A --- Amps 0 Switches Fee $259.00 D Appliances Use/Nature of Work ¡COMMERCIAL /INSTALL ADDITiONAL WIRING FOR KITCHEN EQUIPMENT ETC: Kodiak Jack restaurant. Inspections: Date 10/2812004 Type Rough In Inspector Kevin Benner approved w/cond: Above Ceiling Only, would like the inspection before Friday Misc. boxes missing covers, W.H. disconnect above bathroom ceiliing, Screen wiring was not complete, DatelTime requested: 10/28/2004 08:27 AM Access: Electricians will be on site Notice Type: Phone Number: 379-6822 --- Ready DatelTime: 10/28/200408:27 AM Requested by: -- 0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Type Final Inspector Kevin Benner not approved Date 01/04/2005 Request Line, would like Jan 4 or 5 DatelTime requested: 12/30/2004 12:05 PM Access: Electrician to be on site Notice Type: ~ Phone Number: D 379-6822 F 379-6823 Ready DatelTime: 01/04/2005 07:00 AM Requested by: -- 0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid SECKAR ELECTRIC Electric Permit Work Card . Job Address 2059-2087WITZELAVE Owner DEL l TRITT CONSTRUCTION L Permit Number 106745 Create Date 03/03/2004 Contractor SECKAR ELECTRIC CO INC Category 643 - Commercial-Addition/Remodels Service b New Volts 0 ChangeO Temp. N/A I Type 0 Overhead 0 Underground .N/A Fixtures Receptacles 0 Value $25,000.00 Circuits 0 Amps 0 Switches Fee $259.00 D Appliances Use/Nature of Work COMMERCIAL /INSTALL ADDITIONAL WIRING FOR KITCHEN EQUIPMENT ETC: Kodiak Jack restaurant. Inspections: Date 01/14/2005' Type Re Fi~," Inspector Kevin Benner - approved w/cond. request for inspection per KB /2059 Witzel Ave Kodiak Jacks misc- wiring behind the bars, Ice Mach. wiring in the kitchen was being done when I was on site. Instructed Frank S. to call when done. DateFTime requested: 01/13/2005 01:20 PM Access: Notice Type: Phone Number: Ready DatelTime: 01/13/200501:20 PM Requested by: -----.---. 0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid SECKAR ELECTRIC Date 02116/2005 Type Inspector Kevin Benner approved w/cond- Request from the Health Inspector ( I called Diane Seckar to confirm that the work was completed) Possible additional emergency iilumination to be added DatelTime requested: 02/16~1!Q.~- Q~:_56¡\~_- Notice Type: Access: Phone Number: Ready DatelTime: 02116/200508:56 AM Requested by: --------- 0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid ~--_. Electric Permit Work Card Job Address 2059,2087 WITZEL AVE Permit Number 106745 Create Date 03/03/2004 Owner DEL L TRITT CONSTRUCTION L Category 643 - Commercial-Addition/Remodels Contractor SECKAR ELECTRIC CO INC Service b New Volts Circuits I Type 0 Overhead 0 0 Underground .N/A Fixtures 0 Receptacles 0 Value $25,000.00 0 ChangeO Temp. N/A Amps Switches 0 Fee $259.00 D Appliances I Use/Nature of Work OMMERCIAL /INSTALL ADDiTIONAL WIRING FOR KITCHEN EQUIPMENT ETC: Kodiak Jack estaurant. Inspections: Date 02/1612005 Type Consultation Inspector Kevin Benner approved w/cond. I discussed with tI1e owner, emergency lighting that was asked to be qualified by the Building Inspector DatelTime requested: 02116/2005 00:00 AM Access: Notice Type: Phone Number: Ready Date/Time: 02116/200500:00 AM Requested by: --~ 0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid HVAC Permit Work Card JobAddres,s 2059-2087WITZELAVE Permit Number 103463 Create Date 08/12/2003 Owner WHZELAVE CENTER LLC Contractor CENTRAL HEATING SERVICE INC Plan 19-77,0703 Cate!¡ory 512 -Ind, & Comm,Both Fuel ~ D::QiCJ I I Electric I ~ ~ Value $84,300.00 System [7] New D Replace D Other I ~ Forced Air I U Radiant I U Steam I ~ AIC I U Vent I U Electric I U HotWater I U Suppl. I U Con. Burner I Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent . Not Applicable Heat Loss . As Approved 0 Existing () Not Applicable I Value BTU Rate . As Per Plan U Variable 0 Other I Value Use/Nature of Work 059 Witzel Ave! HVAC work in association with the interior alterations for a 10,200 sf restaurant. Inspections: Date 3/21/05 Type Final Inspector Allyn Dannhoff approved DatelTime requested: Notice Type: Phone Number: Access: Ready DatelTime: Requested By: 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid "'--""'U""""""""""""""",---""',,--------"""""""""""""",,- Plumbing Permit Work Card Job Address 2059,2087 WiTZEL AVE Permit Number 102424 Create Date 06/24/2003 Owner WITZEL AVE CENTER LLC Contractor JIM'S PLUMBING & HEATING INC Category 440, Industrial,lnterior Plan D2-26-0403P Value $22,000.00 Bathtub ~ Shower 0 Water Softner 0 Wait.St. 3 Shamp Sink 0 Coffee Maker ~ Whirlpool ~ Floor Drain ---1. Local Waste 0 Ice Chest ----------1 FlrlWst Sink ~ Int Grease Trap ~ Lavatory ~, LndryTray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin ~ Ext Grease Trap 1 Toilet ~ Disposal ---.! Bidet 0 Sculry Sink ~ Wash Ftn ~ RPZ Valve ~ Res, Sink 0 Dishwasher ---.! Beer Tap 0 Hand Sink ~ Urinal 3 Eye Wash Statn ~ Bar Sink 0 Sump Pump ~ Lab Sink 0 Plaster Sink ~ Standp Rec 0 Wtr Sewer Mtrs 0 Water Heater 2 Classrm Sink ~ Sterilizer 0 Surgeons Sink ~ Ice Maker 0 Deduct Meters ~ Site Drain 10 Breakrm Sink 0 DipWell 0 F Prep Sink 1 Gar Drain ~ Wtr Usage Mtrs 0 Roof Drain 0 Ejector/Grind 0 Drink Ftn 1 Serv Sink 1 Soda Disp ~ Misc, 0 Fixtures Use/Nature of Work ¡COMM/ Plumbing for Kodiak Jack's Size Material Type # 0 0 0 0 0 Conn,Type Sanitary Sewer Storm Sewer Water Service Date 6/27/03 Type Underground Inspector WJ (Chip) Callies approved FAXED REQUEST- Permit was not processed until 6/25. DatelTime requested: 6/24/03 10:51 AM Notice Type: Telephone Number: 757,5258 Access: IOpen Ready Date/Time: 6/24/03 12:00 PM Requested By: JIM'S PLUMBING, Jeff 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid """""""""""",--"--,o'""""""u"",,,"""""""",-"""""""--,u""""',,,, Category 440, tndustrial-Interior Bathtub, 0 Shower 0 Whirlpool ---.c> Floor Drain 7 Lavatory ~. LndryTray 0 Toilet ~ Disposal 1 Res, Sink ---.c> Dishwasher 1 Bar Sink ---.c> Sump Pump 0 Water Heater 2 Classrm Sink 0 Site Drain 10 Breakrm Sink 0 Roof Drain ---.c> Ejector/Grind 0 Mise, 0 Fixtures Plumbing Permit Work Card Permit Number 102424 Create Date 06/24/2003 Contractor JIM'S PLUMBING & HEATING INC Plan D2,26-0403P Value $22,000.00 Water Soflner 0 Wait.St. 3 Shamp Sink ---.c> Coffee Maker ---.c> Local Waste 0 Ice Chest ----1 FlrlWstSink 0 Int Grease Trap ---------.9. Clothes Wshr 0 Exam Sink 0 Catch Basin ---.c> Ext Grease Trap 1 Bidet 0 Sculry Sink ~ Wash Ftn ---.c> RPZ Valve ---------.9. Beer Tap 0 Hand Sink 4 Urinal ~ Eye Wash Statn ---------.9. Lab Sink 0 Plaster Sink ---------.9. Standp Rec ---------.9. Wtr Sewer Mtrs ---------.9. Sterilizer 0 Surgeons Sink 0 Ice Maker ---------.9. Deduct Meters 0 Dip Well 0 F Prep Sink 1 Gar Drain ---------.9. Wtr Usage Mtrs 0 Drink Ftn 1 Serv Sink ----1 Soda Disp ---------.9. Job Address 2059-2087 WITZEL AVE Owner WITZEL AVE CENTER LLC Use/Nature of Work rOMMI Plumbing for Kodiak Jack's Size Material Date ~- Type Rough In rm~"m' - DatelTime requested: 9/26/03 08:37 AM Type # Conn,Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Inspector Rich Wood not approved Sanitary Sewer Storm Sewer Water Service -- Notice Type: Telephone Number: 757,5258 Access: þpen Ready DatelTime: 9/26/03 08:37 AM Requested By: JIM'S PLUMBING - Jeff 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid """"""""""""",'u,,""""""""""'"""""""._""',.,,.,,"""""""""""" Plumbing Permit Work Card Job Address 2059-2087 WITZEL AVE Permit Number 102424 Create Date 06/24/2003 Owner \NITZEL AVE CENTER LLC Contractor JIM'S PLUMBING & HEATING INC Category 440 - Lndustrial-Interior Plan D2,26-0403P Value $22,000.00 Bathtub, ~ Shower 0 Water Softner 0 Wait,St. ---.1 Shamp Sink 0 Coffee Maker ~ Whirlpool ~ Floor Drain 7 Local Waste 0 Ice Chest ---1 FlrlWs! Sink ~ Int Grease Trap ~ Lavatory ~,LndryTray 0 Clothes Wshr 0 Exam Sink ~ Catch Basin ~ Ex! Grease Trap 1 Toilet 8 Disposal 1 Bidet 0 Sculry Sink 3 Wash Ftn 0 RPZ Valve 0 Res, Sink ~ Dishwasher 1 Beer Tap 0 Hand Sink ~ Urinal ---.1 Eye Wash Statn ~ Bar Sink ~ Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec ~ Wtr Sewer Mtrs 0 Water Heater 2 Classrm Sink ~ Sterilizer 0 Surgeons Sink ~ Ice Maker ~ Deduct Meters 0 Site Drain -----..!Q Breakrm Sink ~ DipWell 0 F Prep Sink 1 Gar Drain ~ Wtr Usage Mtrs 0 Roof Drain 0 Ejector/Grind ~ Drink Ftn 1 Serv Sink 1 Soda Disp 0 Misc. 0 Fixtures Use/Nature of Work rOMM/ Plumbing for Kodiak Jack's Size Material Type # 0 0 0 0 0 Conn,Type Sanitary Sewer Storm Sewer Water Service Date 1/19/04 Type Underground Inspector Rich Wood approved r-- DatelTime requested: 1/16/04 10:24 AM Notice Type: Telephone Number: 757,5258 Access: IOpen Ready DatelTime: 1/16/04 10:24 AM Requested By: JIM'S PLUMBING & HEATING INC-Jeff 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid ""."--"""""""""""",------"""""..'",,,.'""""""""""""""""""""""'" Job Address 2059-2087 WITZEL AVE Owner WITZEL AVE CENTER LLC Category 440, Industrial-Interior Bathtub ' ~ Shower Whirlpool 0 Floor Drain Lavatory 6. Lndìy Tray Toilet ~ Disposal Res, Sink ~ Dishwasher Bar Sink ~ Sump Pump Water Heater ~ Classrm Sink Site Drain ---.1Q Breakrm Sink Roof Drain ~ Ejector/Grind Misc. ~ Fixtures 0 7 0 1 1 0 0 0 0 Plumbing Permit Work Card Permit Number 102424 Create Date 06/24/2003 Contractor JIM'S PLUMBING & HEATING INC Plan D2-26-0403P Value $22,000.00 Water Softner 0 Wait.St. ---.l Shamp Sink ---..CJ Coffee Maker ~ Local Waste 0 Ice Chest 1 FlrlWst Sink 0 Int Grease Trap 0 Clothes Wshr 0 Exam Sink ---..CJ Catch Basin ---..CJ Ext Grease Trap --1 Bidet 0 Sculry Sink ---.l Wash Ftn 0 RPZ Valve 0 Beer Tap 0 Hand Sink ---.i Urinal ---.l Eye Wash Statn 0 Lab Sink 0 Plaster Sink 0 Standp Rec ---..CJ Wtr Sewer Mtrs ~ Sterilizer 0 Surgeons Sink ---..CJ Ice Maker 0 Deduct Meters 0 Dip Well 0 F Prep Sink 1 Gar Drain ~ Wtr Usage Mtrs ~ Drink Ftn 1 Serv Sink 1 Soda Disp 0 Use/Nature of Work rOMM/ Plumbing for Kodiak Jack's Size Material Sanitary Sewer Storm Sewer Water Service Type # 0 0 0 0 0 0 0 0 0 0 Conn,Type Date Type Re Rough in no time Inspector WJ (Chip) Callies r~o ~Q",~ DatelTime requested: 2/10/04 04:36 PM Access: þPEN Notice Type: Telephone Number: 757,5258 Ready DatelTime: 2/10/04 12:00 PM Requested By: JIM'S PLUMBING & HEATING INC JEFF 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid """""""""""""""""",u""""".,.,.."""..""""""""""""""""",,,,,,,,"."" Plumbing Permit Work Card Job Address' 2059-2087 WITZEL AVE Permit Number 102424 Create Date 06/24/2003 Owner W)TZELAVE CENTER LLC Contractor JIM'S PLUMBING & HEATING INC Category 440, Industrial,lnterior Plan 02-26-0403P Value $22,000.00 Bathtub ~ Shower 0 Water Softner 0 Wait.St. ~ Shamp Sink 0 Coffee Maker 0 Whirlpool 0 Floor Drain 7 Local Waste 0 Ice Chest 1 Flr/Wst Sink ~ Int Grease Trap ~ Lavatory ~ ..,Lndrý Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin ~ Ext Grease Trap 1 Toilet ~ Disposal 1 Bidet 0 Sculry Sink 3 Wash Ftn ~ RPZ Valve ~ Res. Sink 0 Dishwasher 1 BeerTap 0 Hand Sink 4 Urinal 3 Eye Wash Statn ~ Bar Sink ~ Sump Pump 0 Lab Sink 0 Plaster Sink ~ Standp Rec ~ Wtr Sewer Mtrs 0 Water Heater 2 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0 Site Drain ----1.Q Breakrm Sink 0 Dip Well 0 F Prep Sink ---.! Gar Drain ~ Wtr Usage Mtrs ~ 0 Ejector/Grind 0 Drink Ftn 1 Serv Sink 1 Soda Disp ~ ~ Roof Drain Misc. Fixtures Use/Nature of Work rOMM/ Piumbing for Kodiak Jack's Size Material Type # 0 0 0 0 0 Conn,Type Sanitary Sewer Storm Sewer 0 0 0 0 0 Water Service Date 1/14/06 Type Final Inspector WJ (Chip) Callies approved Request Line, call Jim and let him know if this will be possible. DatelTime requested: 1/13/05 01:24 PM Notice Type: Telephone Number: no # left Access: Ready DatelTime: 1/14/05 07:00 AM Requested By: JIM'S PLUMBING & HEATING INC-Jim BeckE 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid """"",u""""""""""--",,,,""-'-""'""""""""""""""""""-""",---",,, ~ CORRECTION NOTICE / FIELD INSPECTION REPORT JOB LOCATION: GO:S:9 Mr 'k~ / CONTRACTOR: k;::r /1-/ £ f'-~{. PROJECT TO BE INSPECTED: l::1"S" .P r<-~ ~ CityofOshkoßh Inspection Services Division 215 Church Avenue, PO Box 1130 Oshkosh, WI 549Ò3-1130 Phon" (920) 236-5050 Fax (920) 236-5084 BUILDING, !WAC ELECTRIC' PLUMBING, EROSION CONTROL' PROPERTY MAINT.' Footing Ron,h Rough Rongh~- Tm,king Sotb"k P"k. Fmmd"ion Fnme" S","e TestOn Si1tFen"_- Unli"",,d Yeh- Rough AlC Temp- P"m- Und"floor Stone A"", G"bege Insubtion Firepl", UG OH~ Sew";W",, S.ewB,ks Dilepid"ed bid's, ¡en"s, Re-insp. Re-in'P- Re-;;;S¡;:--- Rc,insp. ---- Re-i",p. etc. Fin,1 Fin,1 Finel Finel Fm,1 htM"'H. ~;I~II ';€ODE / IS(.iII!...¡ 'rJ.- /'-1"'1' ~....t-ß ~./, r4, Þ.C? e.. .ce.r- -þi,J,.. / ~ ¿" 'J='i--,- e:... ~l!' r- £I // ~¡LJ.." £J+-- W... /' -rt ""'"'" tV t':' ïP Uf) -if- ' ./ /7. Þ / ~ ¡.j.,t.p St!-,..,~ I AI,,!! c-Á""rl h/A"X- LJ> r-- /:I J'1. rM... / ;;; -~t t#-- /P_A ()£- - '7::- l ^--- t!?_~ / PI'-. ~- VIOLA nONS MUST BE CORRECTED AND APPROVED WITHIN 30 DAYS UNLESS OTHERWISE NOTED. CALL FOR RE-INSPECnONS PRIOR TO CONCEALMENT AND/OR OCCUPANCY. WHEN CORRECTIONS ARE COMPLETED THE OWNER/CONTRACTOR IS REOIJIRED TO SIGN & DATE THIS NOTICE AND RETURN IT TO THE INSPECTION DIVISION WHEN IJES ING RE,INSPECTlON, ~-~ Phone II ~ CORRECTION NOTICE / FIELD INSPECTION REPORT JOB LOCATION: ¿CiS"? ¿e;,"¡'Z,./ CONTRACTOR: ~~ A{b~~~~ PROJECT TO BE INSPECTED: . e:s"¡'WNl..f ~~<>I"Ý A<.#' TYPE OF INSPECTION: Yr'l' - Þ;r_/ ". ~ City of Oshkosh Inspection S"",ices Division 215 Church Avenue, PO Box 1130 Oshkosh. WI 54903-1130 Phone: (920) 236-5050 Fax (920) 236,5084 Violations must be corrected and approved within 30 days unless otherwise noted, Call for re-inspections prior to concealment and/or occupancy. Upon completing the corrections, the owner/contractor/agent must sign and date at the bottom of this notice and return it to the Inspection Services Division by the Compliance Date of INSPECTION RESULTS ¡;, -4>1- r. ..'fi.:\: ot Approved! Insp, Report given to %fe~p~on MailedIFaxed Print Name Company Signature: Date Building Permit Work Card Job Address 2059,2087 WITZEL AVE Permit Number 0105737 Create Date 12/9/03 Ow[1er WIT~EL AVE CENTER LLC Contractor R J ALBRIGHT INC. Category 204 - Addition Amusement, Social, Recreation Type .. Building Zoning 0 Sign 0 Canopy 0 Fence 0 Raze I Plan 19-77-0903 Class of Const: Size Value $90,000.00 Unfinished/Basement 0 Sq, Finished/Living -Ft. Rooms ----.2. Bedrooms ----.2. Baths Height ----.--JJ Ft. 0 Floating Slab 0 Post 3803 Sq,Ft, Garage 0 Sq. Ft. ----.2. D Projection I Canopies 0 Signs Stories 1 Foundation 0 Poured Concrete 0 Concrete Block 0 Pier 0 Treated Wood . Other Occupany Permit Required Flood Plain Height Permit Park Dedication # Dwelling Units ~ # Structures Use/Nature }2059 Witzel Ave /3800 sf banquet hall expansion of restaurant. Occupies adjacent 48x60 space of strip of Work mall. HVAC Contr Plumbing Contr Electric Contr Inspectio s: Date '(, C"-n~~"" Type C-()fr f).ç Sf- 4 11" Inspector ¡(tJI{-C M......, u- DatelTime requested: Access: -- Notice Type: Phone Number: Ready DatelTime: ---=----- Requested By: 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid """"'-""""""---"""-"""""-_u,u,,,,,,,"""u""""""-"",.",,,,-_u Building Permit Work Card Job Address 2059,2087WITZELAVE Permit Number 0105737 CreateDate 12/9/03 Owne; WitZEL AVE CENTER LLC Contractor R J ALBRIGHT INC. Category , 2Ó4 - Addition Amusement, Social, Recreation Type '. Building Zoning 0 Sign 0 Canopy 0 Fence 0 Raze Plan 19-77-0903 Class of Const: Size Value $90,000.00 Unfinished/Basement ~ ~~' Finished/Living 3803 Sq, Ft. Rooms ----.2. Bedrooms ----.2. Baths ----.2. Garage ----.--JJ Sq, Ft. n Projection I Stories 1 Foundation 0 Poured Concrete 0 Concrete Block Height ----.2. Ft. 0 Floating Slab 0 Post Canopies ----.--JJ Signs 0 0 Pier 0 Treated Wood . Other ccupany Permit Required Park Dedication Flood Plain Height Permit # Dwelling Units ~ # Structures 0 Use/Nature 059 Witzel Ave /3800 sf banquet hall expansion of restaurant. Occupies adjacent 48x80 space of strip of Work mall. HVAC Contr Plumbing Contr Electric Contr Inspections: Date 3/21/05 --'--- Type Final Inspector Allyn Dannhoff approved DatelTime requested: Access: -- Notice Type: Phone Number: Ready DatelTime: ---=----- Requested By: 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid """"---""""""""""-""""""""""'--""""",..""",'u'u",....."" HVAC Permit Work Card Job Address 2059-2087 WITZEL AVE Permit Number 106252 Create Date 01/30/2004 Ow~e¡ . W!TZELAVE CENTER LLC Category '512 -Ind. & Comm-Both Contractor CENTRAL HEATING SERVICE INC Plan 19-77,0903 Fuel ~ ~ 1,/1 Electric I ~ ~ Value $13,700.00 System PI New n Replace n Other I ~ Forced Air I U Radiant I U Steam I ~ AlC I U Vent I U Electric I U Hot Water I U Suppl. I U Con. Burner I Chimney Type 0 Chimney A U Chimney B () Direct Vent . Not Applicable Heat Loss 0 AsApproved C) Existing . Not Applicable I Value BTU Rate 0 As Per Plan U Variabie . Other I Value Use/Nature 059 Witzel/ Banquet Hall in adjacent space to west of main restaurant. Install HVAC system for this of Work 11:~~e~~~nmÁ;gr;,:~~~:~~~egr~~~: ¿~~~g::~~d to the Inspection Division and a Rough In Inspections: Date 3/21/05 Type Final Inspector Allyn Dannhoff approved DatelTime requested: Notice Type: Phone Number: Access: Ready DateITime: Requested By: 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid "",._"""",.""""""""""""""u'""",""".'"".",'u'u",'u'u'u.,. <:..~con;ì;' Department of Commerce ~f8ty and 8uIIcØngo 23:11 SAllWl8P1. StE,eo GFœa'I DAY WI ~ TDD " ¡eœ¡ 2&4-&'177 _,_""'fð,w!.uaIIII -,.._- James ~., 0-- Cðny ~, Hollies, Se<nWy lanuaIy23"ZOO3 ,cusi: ID.No,260804 . , . , ,,' , . ' A171-J: Bui1dtng;r & SIrMcturø llUpt:t:lør S'IVHliN' GlUIiS , ., GIUBS AAéHrrEc'rtJRAL OR.OUP INC 307 S COMM.I!.RCÍAL " , , NBSNAH W1 ~49S6 CONbmoNALAPPROVAL . PLAN APP1I.OV AL 1tXl'IRES: Oll23l10~ M'UNtCIPAL CI.'iIRK , çny OF OSHKOSH PO 9OX 1130 OSHXOSH. WI S490Z Sl'tt! , . Wï=l A-moie O:aœr ' , ' 2ilS9W!l:lelA~ " ' , ".Ci~,Ò!Osh1iosh~~.' :rO~ '. ' . OI>Je.n ~: BuMiDa Ice P.eQuIaIcd Obj..,t IIJ No,; &87282 ~jor ~ ~'1~ T¡Ipc ÍIIB Bm:!o: NoacœrbustJble UIlpl'O- CIao$ of' CCI1otzuOlkm: N..... Pin; 3M93-hoj=U'¡,Ft; ~A.2~&~ . , .', ',' , , " :' . The ~ deoc:riboQ.bow i.s ~ rcv!cwcØ tbt comamW.:e with appl!r;able W!scmnsIa Administrative Code$ a.a.d Wi&c:oQsü¡ S1aMea. Tbe SIIbmitta1!as bécœI- CONDiTIONALLY APP1!.O\IU), The -. as dcfillœ in cLapler 101,01(1 0). W~cocsJj, $1atWes. is ÞISpOIISIb1e fðr eðntpillnoo 'WiIUU oo4t req,uire;aen\$, , , " . .. , . 1:1It followÎD¡ ~1Ïon$ ~ \Ie: mi:t dw:!ng '~OII or ina.~~ ~ poW to ~ or -: '~d~ , " ' . ThIs bui1œis approved as a ~g .n-o1l1)',; F= mo.di5oaIi. shall be w1>=ltœd... blzildiD¡ alteratioas , , prior to çons!n1Ctian, , , .: Cosnm 61.30(3) 'DDs revI..w do.not;".,/Mo ~ <:ôc:.m63.000'1 Prior 10 iœTaUatiaD, ¡gbImzplanUDd , ealcula1ions s<.iù1 be prcpåred ¡., """'Pti,az- ~ ~ eodc aDd Pl"Porly oipoclrmd .-.Ie4. n.. pi.... .11 be availablt al!he job site as ~-\DI:! by tG8 ~~¡M, 01' looal oœclal, !..i¡¡hIm¡ shall be p~ for each t<:œnt. . ", ' :" " , '. , . . CODlm 61.30(3) Tb,III rev!e"'doe$ :iQt mcmde hoa1lllr, ~1ÏD&:'or air Ç(JI1ditiolliD¡. The Owner shoWd be . ~ t1Iat KV At:. pI8IIs. ~ -1IppD>p. - ate >eqUircd 10 be s~ £or review rmd " , approval prior to ~ , ' ' , " , .' C6"'!h 61.1106 R.d'er III Table eom.... ~,Il06 ,fo:'1be ~ 1IUinãor ohccow!bll pulcq ptlÇC, Tb4 aeces'sible parIdD¡ cpaœs ~..n 1>a ~ 1ridt th: n:c¡w.- ICClAN$l ~117,l see:. 502, $....... (7) tUXtStlble~~tp~l/l,.,r"'fll!r«!- . . CDINa 51.:I1C¡) 5u1!ri10lle (I) setofrcvised Itlll¥me;cnvriope calculatioz!s inae:ordaAoe with Cown 6MOOl oil foms ar COII:IpI!II!r prWøÍ¡u'~ byfilt ~ ~ doc toœJ ~ ~olumc ex_do so,ooo CÌIJ)jc feet. 111& ~.øan be SImpI. sigœd, 8114 elated by 111& fHOSoaioDaI "'be>~'¡' 1hmI. The ~t:r ~ slab 11l41l1D:io71 CIZIOUir 1>,1 IlIlUud ,,;,]q8, tk ÌNJ<latl4" .. t:Þ4tinw>u& frøm/<1<IndtzI/Þ. I() . 'r-..kJ1!l~""<lU, 11M*~"dc:e_t;(j~~~~ ~., CeIÞlll. 6Ul(I)&,'IBCl608 SDOW~~';;"",,;:.._; ~Wf1táD6IÌDt:~inIheS\nIÇtur&I ~ . t::aJcu1oti0llS, Submit ~ ca1cJiImoas ~ ~ b- driA IIDI!Jor ~ Ioadir>.j$. aa4 it , ,',"." ~.RviMd~~foriM~~ '- " '" .'. , ';, " '.:.,:' ,;, '. ' . . ..,' -::-:-'=-,:~::é::'" ','; :;"'"C"c-::.,-,- : Safety and Buildings 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304 TDD #: (608) 264-8777 www.commerce.state.wi.us/sb www.wisconsin.gov ~scons;n Department of Commerce Jim Doyle, Governor Cory L, Nellles, Secretary June 18,2003 CUST ID 1'10.260804 ATTN: Buildings & Structures Inspector STEPHEN GRIES GRIES ARCHITECTURAL GROUP INC 307 S COMMERCIAL NEENAH WI 54956 BUILDING INSPECTION CITY OF OSHKOSH POB 1130 OSHKOSH WI 54902 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/18/2005 IdeIÎtÌficâtion Nunibers Transaction ill No. 877197 Site ill No. 654725 Please referto both identification numbers, above,inall correspondel)cewiththeag~l)cv, SITE: Witzel Avenue Center 2059 Witzel Ave City of Oshkosh, 54902 Winnebago County Facility: Witzel Avenue Steakhouse 2059 Witzel Ave, Oshkosh 54902 FOR: Object Type: Building ICC Regulated Object ID No.: 907932 Major Occupancy: Assembly; Type mB Exterior Noncombustible Unprotected class of construction; Alteration plan; 10,200 project sq ft; Occupancy: A,2 Dining & Drinking 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 defmed in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: Submit . Comm 61.30(3) This review does not include heating, ventilating or air conditioning. The owner should be reminded that HV AC plans, calculations, and appropriate fees are required to be submitted for review and approval prior to instaliation. Reminders . Comm 61.30(3) This review does not include lighting, Cornm 63,0001 Prior to installation, lighting plans and calculations shall be prepared in compliance with the code and properly signed and sealed, The plans shall be available at the job site as requested by the Department representative or local official. !BC 1406.2.1 Combustible exterior wall coverings shall be tested in accordance with NFPA 268. Refers to fabric wall coverings, !BC 903.3.1.1/Comm 61.30(3)/Comm 61.31(1)(b) This structure is indicated as being fully protected by an automatic fire sprinkler system (see NFPA 13). This approval does not include a review of the system. The owner shall have and make available upon request by the department a copy of the reports documenting the acceptability of the completed system (see NFPA 13,1999, sections 1,10 and 1,11), . . A copy of the approved plans, specifications and this letter shall be on,site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors, All permits STEPHEN GRIES Page 2 6/18/03 r~quired by the state or the local municipality shall be obtained prior to commencement of construction!installation! operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions 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, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone nwnber listed below, or at the address on this letterhead. ~iav Plan Reviewer, Integrated Services (920)492,5606 , Monday' Friday 7:45 a,m, ,4:30 p,m, ddiedrick@commerce,state,wi.us Fee Required $ Fee Received $ Balance Due $ 770.00 770.00 0,00 .~~.- cc: Peter R Ochs, Building Inspector, (920) 948-3500, Friday, 7:45 A.M. - 4:30 P,M, Dennis Schwab D4F Investments of Oshkosh LIp, Dumke Investments .scons; n Department of Commerce Safety and Buildings 2331 SANLUISPL STE150 GREEN BAY WI 54304 TDD #: (608) 264-8777 WWN.commerce.state.wi.us/sb WWN.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary July 30,2003 CUST ID No.261342 A1TN: Buildings & Structures Inspector DALE H OCONNELL TEMPERATURE SYSTEMS, INC PO BOX 802 GREEN BAY WI 54304-4802 BUILDING INSPECTION CITY OF OSHKOSH POB 1130 OSHKOSH WI 54902 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 07/30/2004 Ídentification Nuriibers Transaction ill No, 896428 Site ill No. 654725 SITE: no'. -, ~ 2059 Witzel Ave City of Oshkosh, 54902 Winnebago County Facility: Witzel Avenue Steakhouse 2059 Witzel Ave, Oshkosh 54902 FOR: Object Type: HV AC ICC System Regulated Object ID No.: 915267 .hAW ;~.1I 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 defmed in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditions shall be met during construction or installation and prior to occupancy or use: A copy of the approved plans, specifications and this letter shall be on,site during construction and open to inspection by authorized representatives of the Department, which may include local inspectors. All pennits required by the state or the local municipality shall be obtained prior to commencement of constructionlinstallati onl operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions 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, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Fee Required $ Fee Received $ Balance Due $ 440.00 440.00 0,00 cc: Peter R Ochs, Building Inspector, (920) 948,3500, Friday, 7:45 A.M. ,4:30 P.M. Dennis Schwab D4F Investments of Oshkosh LIp, Dumke Investments '-' .sconsin pe.partment of Commerce Safety and Buildings 2331 SAN LUIS PLACE GREEN BAY Wi 54304 TDD #: (608) 264,8777 www.commerce.state.wi.us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary November 26, 2003 CUST ID No. 260804 ATTN: Buildings & Structures Inspector STEPHEN GRIES GRIES ARCHITECTURAL GROUP INC 307 S COMMERCIAL NEENAH WI 54956 BUILDING INSPECTION CITY OF OSHKOSH POB 1130 OSHKOSH WI 54902 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 11/26/2004 SITE: Witzel Avenue Center 2059 Witzel Ave City of Oshkosh, 54902 Winnebago County Facility: Witzel Avenue Center Banquet Facility 2059 Witzel Ave, Oshkosh 54902 FOR: Object Type: Building ICC Regulated Object ID No.: 933032 Major Occupancy: Assembly; Type IIIB Exterior Noncombustible Unprotected class of construction; Alteration plan; 3,803 project sq. ft; NFPA,13 Sprinkler; Occupancy: A-2 Dining & Drinking; Sprinkler Design: NFPA,I3 Sprinkler; Allowable area determined by: Unseparated Use 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 defmed in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code reqnirements. The following conditions shall be met during construction or installation and prior to occupancy or use: This review and conditional approval shall apply only to the building alteration described above. Submit Comm 61.30(3) This review does not include heating, ventilating or air conditioning. The owner should be reminded that HV AC plans, calculations, and appropriate fees are required to be submitted for review and approval prior to installation. General Conditions / Reminders Where applicable, the designer shall consider and properly design for loads imposed on the existing structure due to the new construction, In addition, the new construction class shall be compatible with that of the existing structure. Comm 61.30(3) This review does not include lighting, Comm 63.0001 Prior to installation, lighting plans and calculations shall be prepared in compliance with the code and be properly signed and sealed, The plans shall be available at the job site as requested by the Department representative or local official. Comm 62,1104 1 mc 1003.2.13 Accessible routes and accessible exits shall be provided and maintained in accordance with the applicable requirements of these sections. IBC 903,3.1.1/Comm 61.30(3)/Comm 61.31(1)(b) This structure is indicated as being fully protected by an automatic fire sprinkler system (see NFPA 13), This approval does not include a review of the system, The owner shall have and make available upon request by the Department a copy of the reports docwnenting the acceptability of the completed system (see NFPA 13,1999, sections 1,10 and I,ll), mc 2406 Safety glazing shall be provided in accordance with the applicable provisions of this section. STEPHEN GRIES Page 2 11126/03 ICC/ANSI Al17.1 Sec. 404.2.7 Handles, pulls, latches, locks, and other operable parts on accessible doors , shall have a shape that is easy to grasp with one hand and not require tight gripping, pinching or turning of the wrist. The hardware shall be placed at least 34 inches, but not more than 48 inches above the floor surface. A copy of the approved plans, specifications and this letter shall be on site during construction 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 construction! installation! operation. In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditions arise making them necessary for code compliance. As per State Statutes 101,12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, Fee Required $ Fee Received $ Balance Due $ 390.00 390,00 0.00 Minh Tran Engineering Consultant, Integrated Services (920) 492,7730, Fax: (920) 492-5604 Monday, Friday 7:00 am to 3:30 pm CST E-mail: mtran@commerce.state.wi.us WiSMART code: 7648 cc: Peter R Ochs, Building Inspector, (920) 948-3500, Friday, 7:45 A.M. ,4:30 P.M. Andy Dumke, Dumke & Associates MAR-2-2005 FROM:GRIES ARCH 7222445 09: 17 TO: 2365084 P:2/3 Buildings, HVAC Compliance Statement SBO-9720 This form Is required to be submitted by the supervising professional (architect, engineer, HV AC designer or electrital designer) observing construction of projects w~hin buildings with total areas exceeding 50,000 cubia feet or greater and . bleachor. (C:omm 50. 1 O/Comm 61,50). Failure to submit this form may resu~ in penalties as specified in Cornm 50.26/C:omm 61.23 and/or local ordinances. GenerallnstNctions: Prior to the initial occupancy of new buildings or additions and the final occupancy of a~ered existing buildings, submit this completed and signed fofl'!'l to: . The municipal building inspection office MS! . Safety and Buildings, 10541N Ranch Road, Hayward, WI 54843 Personel information you provide may be used for secondary purpo... (Privacy Law, ., 15.04 (1)(m)], 1. PROJECT INFORMATION: Please fill in the following with information from your plan approvallel\er, Transaction 10 Number 877197 Site Number 654'725 Site location (number & street) [2) City 0 Village 2059 Witzel Ave 0 Town Of Oshkosh 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: ø Building Object 10# 907932 0 Lighting Object 10# 1:1 Partl,,1 C:ompletlon County of Winnebago 0 HVAC Object 10# Description of Portion Completed A) [2) Statement of Substantial Compliance To tho be.t 01 my knowledge, belief, and based on ons~e ob"""",lion, OOl1$1ructlon ofthe following building and/or HVAC items applicable 10 thi. project have been completed in substantial compliance w~h the approved plans and specifications. [2) BUILDING/LIGHTING ITEMS 1, Structural system including subm~taland erection of an building components (truss.., precast. metal building, etc.) 2, "ire protection .ystoms (sprinklers, alarms, smoke detectors) designed, .,.talled, and lasted (including rolWard flow on b:aek flow delllce.) by appropriately regiotered professionals. 3 Shoft ond stairway enctooure 4, Exits including exit and direclionallights 5" I'ir..re"¡.tive construction, enclo.ure of ha:cards, fire walls, labeled door., cia.. of construotion, fire stopped penetrations S, Sonßation system (toilets, sinks, drinking facilities) 7, 8orrier-free including Comm 18 elevators and lifts S, Energy envelope requirement. 9, All conditions of building plan approval and applicable verian""s 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 0 HVAC ITEMS 1, HVAC system including final test 2, All conditions of HVAC plan approval and applicable variances B) 0 Statement of Noncompliance Due to tho following listed violations, this project is not ready for occupancy: C) 0 Supervising Professional Withdrawn From Project (U.. Aor B above 10 indicate project status as of this date.) 0) 0 Project Abandoned 3. SUPERVISING PROFESSIONAL SIGNA TURE FOR: [2) Building 0 HVAC 0 Lighting Stephen Gries Name (please print or type) Phone * 1920) 722-2445 Customer ID# 260804 Signature Date' 3, d.." os -44~ L Cv v-tM .".,.""," (11,01/2003) MAR-2-2005 FROM: GRIES ARCH 7222445 09: 17 TO: 2355084 P:Y3 Buildings, HVAC Compliance Statement SBD-9720 This/orm Is required 10 be submil1ed by Ihe supervising professional (architect, engineer, HVAC designer or electrical designer) observing construction of projects w~hin buildings w~h 10tal areas exoeeding 50,000 cubic teet or greater and , bteac¡he-rs (Comm 50.10/Comm 61.50). Failure to submi1thls fonn may result in penalties as specified in Comm 50'26lComm 61,23 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 fonn to: . The municipal building inspection office.!!!!!! . Safety and Buildings, 10541N Ranch Road, Hayward, WI 54843 Personal information you provide may be used for secondary purposes (Privaoy Law, s. 15.[)4 (1)(m)). 1. PROJECT INFORMATION: Please fill in the following with information from your plan approval letter, Transaction ID Number 947418 Site Number 654725 Site location (number & street) 20.59 Witzel Ave ø City a Village a Town Of Oshkosh County of Winnebago 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: [2} Building Object ID# 933032 a Lighting ObjectlD# a Partial Complelion CJ HVAC Object ID# Description of Portion Completed Statement of Substantial Compliance To Ih. b.st of my knowledge, belief, and baoed on onsne ob..""'tion, construction of Ihe following building and/or HvAC items applicable 10 this projecl have been cOmpleted in substantial compliance with the approved plans and specifications. A) 13 [2} BUILDING/LIGHTING I'TEMS 1. Structural system includin9 submittal and erection of all building components ~ru...es. precast, metal building, etc.) 2, .ire prOlection 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 S, Fire-restslive construction, enclosure of hazards, fire wallo, tebeled doors, class of construction, fire stopped penetrations 6, Sanit.tion system (Ioiiets, sinks, drinking facilities) 7. Barrier-tree including Comm 16 elevators and lifts 8, Energy envelope requirements 9" All conditions of building plan approval and applicable venances 'The following Items 'ne not In compliance and musl be addressed: 10. EJderior lighting & control requirements 11. Interior lighting & control requirements 12, All conditions of lighting plan approval and applicable veriances CJ HVAC ITEMS 1. HVAC system including final test 2. All conditions of HVAC plan approve! and applicable variances 8) a Statement of Noncompliance Oue to the following listed violations, this project is not ready for occupancy: C) 0 Supervising Professional Withdrawn From Project (Use A or B above 10 indicate project status as of this date_) 0) D Projecl Abandoned 3. SUPERVISING PROFESSIONAL SIGNATURE FOR: [2} Building CJ HVAC CJ I.Ìghting Stephen Gries Name (plea... print or type) Cuotomer ID# 260804 Signature Oate: ~.;;;¡" c:.'5 ~~ Phone # 1920) 722-2445 "8D-9720(R,01/2003) 01/21/05 14: 25 'ð'920 499 4336 TSI COM SALE/ENG ~ 002/003. Compliance Statement ï1¡i~ fonn is required to be submitted by the supervising professional (architect, engineer, HY AC designer or ele~trical designer) 'observing construction ofprojecls within buildings with.total areas exceeding 50,000 cubic feet and conslNction of antennas, towers,' and bleachers (ILHR 50.10), Failure to submit this fonn may result in penalties 8$ specified in ILHR 50.26 andlor local ordinances, G~n~¡'ai I~t~uctions: ~rio~ to the initial oci;uptincy of Jlew buildings or additiDns and the finnE't:ÿ £. '~/E '0 e1<:tstmg;bulldmgs, submIt thIs completed and SIgned fonn to: . K ~ Cry . The municipal building ipspettion office iIllii . . Safety and Buildings, P,~.1301<: 7969, Madison, WI S3707-7~69 JAN 2 4 2005 Personal information you provide may b. used for secondary purposes iPrivacyLaw, 5.15,04 (I)(m)l. . ~,^DT. E' T OF 1. PROJ:E;CT INFORMATION: (Use the Safety and Buildings or municipal project label, or typ~ r1M-liM N information. If label is used, no additional entry is needed on Partl., CoMMU ITV DEVELOPMENT Owner Information ¡ Project Information L Name A Company Name B E Number and Slreel L CÕIY H S.alc ",d Z;p Code E R E 2. PURPOSE OF THIS STATEMENT: (Check Box A, B, C', or D loìndicate purpose and complete any other applieable boxes and infonnation, Attach additional pages ¡fnecessary,) Check those which apply: 0 Buìlding ., HV AC fJ Panial Completion Description of Pan ion Complctod A) 'tJ., Statement of Substantial Compliance To Ihe best or my knowledge, belief, and based on nnsile observation, conSlruction of the following building and/or I.IV AC items applicable to this projeet have been eompleled in substanl¡al compliancc wllh Ihe approved plans and spccificalions. 0 Lighting 0 JlUII.DING ITEMS I. Slrueluralsystem including submiual.lU1d ««tion of.1I building componenlS (trusses. preeas~ melal building, elc,) 2. Fire protection systems (sprinklers, alarms, smok. detectors) designed, installed, and tested (including forward now on back now devices) by approp,;atoly'registered profcssionals 3. Shat\ and stairway enclosure 4, Exits including e:<il and directional lights 5, Firc-rcsisliv~ construction. enclosure of hazards,.nre wall" labeled doors, closs of eonstruelion 6, Sanilation system (toileIS. sinks, drinking faeíÌities) 7, ILHR barri~r'free requirements 8, All eonditions of building plan approval and applicable variances' The following items nre not in compliance and must he addr""cd: y.HVAC ITEMS I, HV AC system including final test (lLHR 64.53) 2. All conditions of HV AC plan approval and applieablc variances 0 LIGHTIN.<ÙJ'EMS I, Exterior li-gnting & eontrol requirements 2, Interior Ùghting & contro! requirements 3. Alleonditions of lighting plan approval and and applicable varian'ces B) 0 Statement of No.ncompliance . Due to lhc following listed.violations, this project is not ready for occupancy: C) CI Supervising Profes$ional Withdrawn From Project (Use A or B above to indicate project statUs as of In;. date.) 0) .0 P";R' Ab"'o..' ~ 3. SUPERVISING PROFESSIONAL SIGNA S FOR: 0""";' )I,~.c 0-' ~ ' - - - ",. ..ø, ~ 0 Building 0 HVAC 0 LIghting . Date 0 Bonding 0 HVAC (1 Lighting SBD-9720 !R.Ol/97) Dale 11 01/21/05 14; 25 '5'920 499 4336 TSI COM SALE/ENG I4i 001/003 Compliance Statement This fomi is required to be submitted by the supervising professional (architect, engineer, HV AC designer or electrical designer) observi~g tonstrnction ofprojcclS within buildings with total areas exceeding 50,000 cubic feet and constrnetion ofainennas, towers,' and bleachers (ILHR 50.10). Failure to submit this form may result in penalties as specified in ILHR 50,26 andlor local ordinances, Ge~era¡ i~s:ructions: Prior to the initialaccupancy of new buildings or additions and the finaRcCQft\4fE'D existing buildings, submit this completed and signed Conn to: I: \..:.r V . The municipal building inspection office.and . Safety and Buildings, P,O. Box 7969, Madison, WI 53707-7969 JAN 2 42005 Personal information' you provide may be used for secondary purposes [Privacy Law, s, 15.04 (I)(m)], . 1. PRO~CT INFORMATION: (Use the Safety and Buildings or municipal project label, or typ: QijìARTIMENT OF ¡nfannatian. [flabel i~ used, no additional entl)' is needed on Part I.. COMMUNITY DEVELOPMENT Owner Information . Project Information L Name A Company Name B E Numb<r and Slrcct L Cit)! H St." IU1d Zip Code E R E Count)! of HVAC 0 LIghting 2. PURPOSE OF TRIS STATEMENT: (Check Box A, B, C, or D to indicate purpose and complete any other applicable bo~es and information. Attach additional pages ifnecessary,) Check those which apply; 0 Building 1- HV AC 0 Partial Complclion Description of Ponion Completed A) ~ Statement of Substantial Compliance To thc beSt of my knowledge, belief, and b:lSed on onsile observation, construction oflhe following building Mdlor I-IV AC items applicable to this project havo been completed in subStantial complionce with the approved pIons and spcci~cations- 0 Lighting 0 BUILDING ITEMS I. Structural system including submittal and ««tion of all building components (trusses, precast, metal building. ete,) 2, Fire protection systems (sprinklers. alanns, smoke detectors) designed. installed, and tested (including forward fiew on back fiow doviees) by appropriately'registered professionals J, Shan and stairway enclosure 4. Exits including e"itand directional lights 5. Fhe,rcsistÎve construction, enclosure ofhazords.,fire walls,labeled doors, class of construction 6, Sanitation system (toilets, sinks, drinking f,,¡'¡ilies) 7, tLHR barrier-free requirements. 8. AU conditions of building plan approval and applicable vari""ccs The following items are not in compliance and must be addressed: ~ HVACITEMS ~~ HVAC system including final lest (IL~IR64.SJ) 2. All conditions of HV AC plan approval and applicable variances 0 LIGHTING ITEMS I. E..erior lighting & control requirements 2. Interior lighting & control requirements 3. All conditions oflighting plan approval and and applicable variances B) 0 Statement of Noncompliance . Due to Ihe following listed vie lations, Ihis project is not ready for oecarMey: C) 0 Supervising Professional Withdrawn From Project D) 0 Project Abandoned 3. SUPERVISING PROFESSIONAL SIGN 0 BuiJdinG )(HVAC 0 LightinG 0 Building 0 (WAC 0 Lighting 0 Building 0 HVAC 0 Lighting SBD-9720(!\.OI/97) above to indicate project status as ofthis date,) Dato Date l.t,¡ - oC-\' * (,)~ Datc