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Home My WebLink AboutCertificate of Occupancy CITY HALL Inspection Services Div 215 Church Avenue ~ PO Box 1130 ~ Oshkosh WI ~ 54903-1130 OfHKOfH ON THE WATER '. City of Oshkosh Approved: March 31,2006 Ganther Construction 4825 County Road A Oshkosh, Wisconsin 54901 CERTIFICATE OF OCCUPANCY An Occupancy Permit is hereby issued for the tenant space alterations, located at 1128 E. Parkway Avenue, Oshkosh, Wisconsin 54901 as described in Building Permit Application number(s) 117748. This building is to be used only as office space and is located in the R-5PD, Multiple Dwelling District with a Planned Development Overlay. LIMITATIONS: Maximum number of persons: 19 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 certificate to be valid. Building Permit Work C,,!rd Job Address 1128EPARKWAYAVE Permit Number 0117748 CreateDate 1/3/2006 Owner GITCHI GUMEE LLC Contractor GANTHER CONSTRUCTION Category 223 - Alteration Offices, Banks, Professional Type. Building 0 Sign 0 Canopy 0 Fence Class of Const: 2A Size 0 Raze I Plan R4-113-1205 Zoning Value $135,789.00 UnfinishediBasement 0 Sq. Finished/Living 0 Sq. Ft. -Ft. Rooms ~ Bedrooms 0 Baths 0 Garage ~ Sq. Ft. n Projection I Stories Height ~ Ft. 0 Floating Slab 0 Post Canopies 0 Signs 0 Foundation. Poured Concrete 0 Concrete Block 0 Pier 0 Treated Wood 0 Other Occupany Permit Required Flood Plain No Height Permit Not Required Park Dedication Not Required # Dwelling Units ~ # Structures 0 Use/Nature Office/ Interior aiterations as per plans for clinic. Any additional mechanical equipment will require a of Work creening plan, and no HVAC permit will be issued until such plan is approved. HVAC Contr Plumbing Contr Electric Contr Inspections: Date 2/13/2006 PM ~~ Type Rough In Inspector Allyn Dannhoff no time !~;q¥(~k:~:LL~'g'~E~~n1~YA~~~Et,h:~~b G.M. THAT HVAC CANNOT COMMENCE UNTIL PERMIT IS ISSUED AND SCREENING MUST BE APPROVED PRIOR TO PERMIT ISSUANCE DatelTime requested: Access: 2/8/2006 04:08 PM Notice Type: Phone Number: 376-0227 Ready DatelTime: 2/13/2006 07:00 AM Requested By: GANTHER CONSTRUCTION-Jeff 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid Date ~-'---------- r'~wœ DatelTime requested: Access: Type Rough In Inspector Allyn Dannhoff approved ~~ Notice Type: Phone Number: Ready DatelTime: -~ Requested By: 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid Page 1 of3 Building Permit Work C,ard 1128 E PARIWVAY AVE Permit Number 0117748 Create Date 1/3/2006 Contractor GANTHER CONSTRUCTION Category 223 - Alteration Offices, Banks, Professional 0 Sign 0 Canopy 0 Fence Size 0 Raze I Plan R4-113-1205 Class of Const: 2A Value $135,789:00 ~ - ~~. Finished/Living ~ Sq. Ft. Bedrooms 0 Baths ~ Garage ~ Sq. Ft. , D Projection I Height ~ Ft. 0 Floating Slab 0 Post Canopies ~ Signs 0 . Poured Concrete 0 Concrete Block 0 Pièr 0 Treated Wood 0 Other Required Not Required Flood Plain No Height Permit Not Required # Dwelling Units ~ # Structures ~ Office/ Interior alterations as per plans for clinic. . Any additional mechanical equipment will require a creening plan, and no HVAC permit will be issued until such plan is approved. Plumbing Contr TYpè~ hìspeclor !>;lIyn D~nnhoff Building Permit Work C¡¡rd JobAddress'1128EPARIWVAYAVE Perm,itNumber 0117748 CreateDate 1/3/2006. Contractor GANTHER CONSTRUCTION Category 223 - Alteration Offices, Banks, Professional Type. Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan R4-113-1205 Value $135,789.00 Garage ~ Sq.Ft. n Projection I Class of Const: 2A Size Unfinished/Basement ~ ~~. Finished/Living ~ Sq. Ft. Rooms 0 Bedrooms ~ Baths ~ Stories Height ~ Ft. 0 Floating Slab 0 Post Canopies ~ Signs 0 Foundation. Poured Concrete 0 Concrete Block 0 Pier 0 Treated Wood 0 Othër Occupany Permit Required Flood Plain No Height Permit Not Required Park Dedication Not Required # Dwelling Units ~ # Structures ~ Use/Nature Office/ Interior alterations as per plans for clinic. Any additional mechanical equipment will require a of Work creening plan, and no HVAC penn it will be issued until such plan is approved, Plumbing Contr híspectoi Allyn Óànnhoff , , " .., ',' '. ',' " REQUEST LINE / LEAVE A "TO 0'0 LIST" IF NECESSARY 3/27/06, 11 :04AM / JEFF FROM GANTHER CALLED TO R'EQUEST'A FINAL BLDG";::: H~~~ RETURNING UNTIL TOMORROW AND STATED HE WANTS THE INSP ASAP 3/2312006" 03:08'PM Notice Type: Phone Number: NOT GIVEN þPEN TOMORROW, " ' ,,', , ",..," '" , ' ",,"", GANTHE'R èONSTRÚèTION JÉFF Building Permit Work C,ard 1128 E PARKWAY AVE Permit Number 0117748 Create Daíè 11312'006 Contractor GANTHER CONSTRUCTION Category 223 - Alteration Offices, Banks, Professionai 0 Sign 0 Canopy 0 Fence Size 0 Raze Plan R4-113-1205 Value $135,789.00 Garage ~ Sq, Ft. n Projection I Class of Const: 2A ~ 0 Sq. Finished/Living 0 Sq. Ft. -Ft. Bedrooms 0 Baths ----.!1 Height ~ Ft. 0 Floating Slab 0 Post Canopies ~ Signs 0 . Poured Concrete 0 Concrete Block 0 Pier 0 Treated Wood 0 Other Required Flood Plain No Height Permit Not Required Not Required # Dwelling Units ~ # Structures 0 þfficel Interior alterations as per plans for clinic. Any additional mechanical equipment will require a creening plan, and no HVAC permit will be issued until such plan is approved, Plumbing Contr TYP~' 'Có)isúTfitiõ'IÌ"-""~'-"'lns¡'~'ëíôrÁlly¡fbàñ-rinóTf ~ REQUEST LINE 1 WOULD LIKE A PRE-FINAL ÒN MO,NDAY 3/20, SET UP WITH BRIAN, PROJECT'MANAGER @'426-4774" Date/Time requested:' 3116/2006'" 02:21 PM Access: Noíice Typè': Phone Number: ' REQUEST LINE / LEAVE 'A "TO DO LIST' IF NECESSARY 3i27/06,fr:Ó4AM iJeFF'FROr,rGANTHlõR CAlLEDTORlõQUESrA FINAL BLDG & HVAC, HE REALIZES AD IS NOT RETURNING UNTIL TOMORROW AND STATED HE WANTS THE INSP ASAP 3/23/2006" '03:08 PM ~~ Notfce Type: Phone Number: ' NOT GIVÉN' ,I """",' Building Permit Work C¡,¡rd Job Address 1128 E PARKWAY AVE Permit Number 0117748 Create Date 11312006 Owner GITCHI GUMEE LLC Contractor GANTHER CONSTRUCTION Category 223 - Alteration Offices, Banks, Professional Type . Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan R4-113-1205 Zoning Class of Const: 2A Size Value $135,789.00 UnfinishedlBasement 0 Sq. Finished/Living Sq. Ft. Garage 0 Sq. Ft. -Ft. D Projection I Rooms ~ Bedrooms 0 Baths ~ Stories Height ~ Ft. 0 Floating Slab 0 Post Canopies ~ Signs 0 Foundation. Poured Concrete 0 Concrete Block 0 Pier 0 Treated Wood 0 Other Occupany Permit Required Flood Plain No Height Permit Not Required Park Dedication Not Required # Dwelling Units ~ # Structures 0 UselNature Officel Interior alterations as per plans for clinic. Any additional mechanical equipment will require a of Work creening plan, and no HVAC permit will be issued until such plan is approved. HVAC Contr Electric Contr Plumbing Contr Inspections: Date 3/20/2006 -'---------- Type Consultation Inspector Allyn Dannhoff no time REQUEST LINE 1 WOULD LIKE A PRE-FINAL ON MONDAY 3/20. SET UP WITH BRIAN, PROJECT MANAGER @ 426-4774 DatelTime requested: Access: 3/16/2006 02:21 PM ~~ Notice Type: Phone Number: Ready DatefTime: -~ Requested By: GANTHER CONSTRUCTION JEFF 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Date 3/30/2006 -'---------- Type Final Inspector Allyn Dannhoff not approved ~~~~~~iA~7J~F~E::g: ~~~~~E~~~~EE~E~g~~'6~YEST A FINAL BLDG & HVAC, HE REALIZES AD IS NOT RETURNING UNTIL TOMORROW AND STATED HE WANTS THE INSP ASAP 3130/06 SEE FCN ONCE SIGNED FCN IS RETURNED, SIGNIFYING CORRECTIONS ARE MADE OCCUPANCY FOR BLDG & HVAC IS APPROVED DatelTime requested: Access: 3/23/2006 03:08 PM ~~ Notice Type: Phone Number: NOT GIVEN ¡OPEN TOMORROW Ready DatelTime: 3/23/2006 03:08 PM Requested By: GANTHER CONSTRUCTION JEFF 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid Page 2 of3 Building Permit Work C¡¡rd Job Address 1128 E PARKWAY AVE, Permit Number 0117748 Create Date 1/3/2006 Contractor GANTHER CONSTRUCTION Category 223 - Alteration Offices, Banks, Professional 0 Sign 0 Canopy 0 Fence Size 0 Raze Plan R4-113-1205 Class of Const: 2A Value $135,789.00 ~ 0 Sq. Finished/Living -Ft. Bedrooms ~ Baths Height ~ Ft. 0 Sq. Ft. Garage 0 Sq. Ft. ----.!1 D Projection I Canopies 0 Signs 0" . Poured Concrete 0 Concrete Block 0 Floating Slab 0 Post 0 Pier 0 Treatèd Woód OOtlíè," Required Flood Plain No Height Permit Not Required Not Required # Dwelling Units ~ # Structures 0 Office! Interior alterations, as per plans for clinic. Any additional mechanical equipment will require a creening plan, and no HVAC penn it will be issued until such plan is approved. Plumbing Contr "11Ì~pectí;r-¡>;llyñ'DiifiriIíOff' , , REQUEST LINE IIFTHEREIS"A CIN BE SURE TO LEAVE IT,ON SITE, WILL BE OCCUPYING ON MONDAY, SOME OF THE ElLING TILE HAS BEENLEFT~UJ~N"THE M~D~)Ì¡HE HALLWAY AND THERE IS A LADDER ON SITE :5jJß/ 3~V-<\ ~# DatelTi!"e requèsíed: 312912006 06:54 AM NoíiceTý"e: Phone Number: JEFF 376-0227 Access: " Building Permit Work C:;trd Job Address 1128EPARKWAYAVE Permit Number 01'17748 CreateDate 1/3/2006 ÒWner GITCHI GUMEE LLC Contractor GANTHER CONSTRUCTION Category 223 - Alteration Offices, Banks, Professional Type. Building Zoning 0 Sign 0 Canopy 0 Fence Size 0 Raze Plan R4-113-1205 Value $135.789.00 Garage ~ Sq. Ft. n Projection I ClassofConst: 2A Unfinished/Basement 0 Sq, Finished/Living Sq. Ft. -Ft. Rooms 0 Bedrooms 0 Baths ~ Stories Height ~ Ft. 0 Floating Slab 0 Post Canopies ~ Signs 0 Foundation. Poured Concrete 0 Concrete Block 0 Pier 0 Treated Wood 0 Other Occupany Permit Required Flood Plain No Height Permit Not Required # Structures Park Dedication Not Required # Dwelling Units ~ Use/Nature pfficel Interior alterations as per plans for clinic. Any additional mechanical equipment will require a of Work creening plan, and no HVAC permit will be issued until such plan is approved. HVAC Contr Plumbing Contr Electric Contr Inspections: Date ~~ Type Note Inspector Allyn Dannhoff REQUEST LINE /IF THERE IS A C/N BE SURE TO LEAVE IT ON SITE, WILL BE OCCUPYING ON MONDAY, SOME OF THE ElLING TILE HAS BEEN LEFT OUT IN THE MIDDLE OF THE HALLWAY AND THERE IS A LADDER ON SITE SEE 3/30/06 ENTRY DatelTime requested: Access: IIF DOOR IS LOCKED KEY AT ENTRANCE DOOR ON RAIL AT RIGHT SIDE Ready DatefTime: 3/29/2006 07:20 AM Requested By: GANTHER CONSTRUCTION 3/29/2006 06:54 AM Notice Type: Phone Number: JEFF 376-0227 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid Date ~-'---------- r"'" = WM ~Œ.m Type Note Inspector Allyn Dannhoff approved w/co¡'c'f. DatelTime requested: Access: ~~ Notice Type: Phone Number: I Ready DatefTime: - ~ Requested By: 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid Page30f3 Electric Permit Work Card :,-obAddress 1128 E PARKWAY AVE Permit Number 11-8173 Create Date 02/13/2006 OWner GITCHI GUMEE LLC Contractor SOLAR ELECTRIC SERVICES INC Category 643 - Commercial-Addition/Remodels Service b New Volts 0 ChangeO Temp. NIA ! Type 0 Overhead 0 Underground. N/A Circuits 0 Fee $162.00 D Fixtures 0 Receptacles 0 Value $7,500.00 Amps 0 Switches Appliances UselNature of Work ealth Care Facility 1 Wire a new clinic for Affinity Medical Group Inspections: Date 02/15/2006 Type Rough in Inspector Kevin Benner approved DatelTime requested: 02/14/2006 01:16 PM Access: Will be on site Wed 2/15/6 Notice Type: Phone Number: Ready DatelTime: 02/14/200601:16 PM Requested by: -~ 0 Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid SOLAR ELECTRIC SERVICES INC Jason Date 03/23/2006 Type Final Inspector Kevin Benner not approved DatelTime requested: 03122/200~._06:33 PM Notice Type: FC Phone Number: 410-5175 Access: The building will be open on Thur. Ready DatelTime: 03/22/2006 06:33 PM Requested by: -~ 0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid SOLAR ELECTRIC SERVICES INC Jason Electric Permit Work Card J,--'b'Address 1128 E PARKWAY AVE Owner GITCHI GUMEE LLC Permit Number 118173 Create Date 02113/2006 Contractor SOLAR ELECTRIC SERVICES INC Category 643 - Commercial-Addition/Remodels Service b New Volts Circuits ! Type Q Overhead 0 Fee $162,00 D 0 Underground . NIA Fixtures 0 Receptacles 0 Value $7,500.00 0 ChangeO Temp. NIA --- Amps 0 Switches 0 Appliances Use/Nature of Work í ~ ~"" , ~" . "~ "00 ~ ^~'" -., ~.=~~-~~~~ Inspections: Type ~~- Inspector Kevin Benner approved w/cond. Date 03/29/2006 Above ceiling inspection was not requested or conducted. The metallic ground to the X-Ray table was installed but not connected because the Z-Ray Tech, was sfill' pooitioning fhe table. I reviewed the Installation requirements with him while on site. DatelTime requested: 03/29/20~ 06:30 AM Access: Notice Type: Phone Number: 410-5175 Ready DatelTime: 03/29/2006 06:30 AM Requested by: -~ 0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid SOLAR ELECTRIC SERVICES INC Jason JobA~ress 1128EPARKWAYAVE Owner GITCHI GUMEE LLC Category 440 - Industrial-Interior Bathtub 0 Shower Whirlpool 0 Floor Drain Lavatory 1 Lndry Tray Toilet 1 Disposal Res. Sink 1 Dishwasher Bar Sink 0 Sump Pump Water Heater --.1:1 Classrm Sink Site Drain 2 Breakrm Sink Roof Drain 0 Ejector/Grind Misc. 0 Fixtures UselNature of Work Sanitary Sewer Storm Sewer Water Service Plumbing Permit Work Card Permit Number 118037 Contractor Plan O'NEILL ENTERPRISE INC 0 0 0 0 0 0 0 0 0 Water Softner Local Waste Clothes Wshr Bidet Wait.St. Ice Chest Exam Sink Sculry Sink Hand Sink Plaster Sink Surgeons Sink F Prep Sink Serv Sink 0 0 0 0 0 0 0 0 0 --.1:1 Shamp Sink --.1:1 0 FlrlWst Sink 0 2 Catch Basin --.1:1 0 Wash Ftn 0 0 Urinal --.1:1 0 Standp Rec --.1:1 0 Ice Maker --.1:1 0 Gar Drain 0 1 Soda Disp --.1:1 Beer Tap Lab Sink Sterilizer Dip Well Drink Ftn Create Date 01/31/2006 Value Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs $7.900.00 --.1:1 0 --.1:1 --.1:1 --.1:1 --.1:1 --.1:1 --.1:1 ¡NeW plumbing work "debit acct Size Material Type Rough In Type # Conn,Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Inspector Paul Wolf approved Date 1/31/2006 r~'.' 1/31/200610:58 AM Access: DatelTime requested: Notice Type: Telephone Number: 920-230-2007 Ready DatelTime: 1/3112006 10:58 AM Requested By: O'NEILL ENTERPRISE INC-Pat 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid JobAt\,dress 1128EPARKWAYAVE Owner GITCHI GUMEE LLC Category 440 - Industrial-Interior Plumbing Permit Work Card Permit Number 118037 Contractor Plan O'NEILL ENTERPRISE INC Bathtub --.!1 Shower 0 Water Softner 0 Wait. St. 0 Whirlpool --.!1 Floor Drain 0 Local Waste 0 Ice Chest 0 Lavatory 1 Lndry Tray 0 Clothes Wshr 0 Exam Sink 2 Toilet ---1 Disposal 0 Bidet 0 Sculry Sink 0 Res. Sink 1 Dishwasher 0 BeerTap 0 Hand Sink 0 Bar Sink --.!1 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Site Drain ~ Breakrm Sink 0 DipWell 0 F Prep Sink 0 Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 1 Misc. --.!1 Fixtures Shamp Sink --.!1 FlrlWst Sink --.!1 Catch Basin 0 Wash Ftn --.!1 Urinal --.!1 Standp Rec --.!1 Ice Maker --.!1 Gar Drain ----.-!1 Soda Disp ----.-!1 Create Date 01/31/2006 Value Coffee Maker Int Grease Trap Ext Grease Trap RPZ Valve Eye Wash Statn Wtr Sewer Mtrs Deduct Meters Wtr Usage Mtrs $7,900.00 0 --.!1 --.!1 --.!1 --.!1 0 --.!1 --.!1 Use/Nature of Work rewPIUmblng work "debit acct Size Material Sanitary Sewer Type # Conn.Type 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Inspector Paul Wolf approved Storm Sewer Water Service Date 3/23/2006 Type Final 1- ~"W DatelTime requested: Access: 3/211200610:33 AM Telephone Number: 920-230-2007 Notice Type: Ready DatelTime: 3/21/2006 10:33 AM Requested By: O'NEILL ENTERPRISE INC-Pat 0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid ~ CORRECTION NOTICE- / FIELD INSPECTION REPORT JOB LOCATION: J/?:.~ /l€. v......k.(')~j CONTRACTOR: V-b ",tk.,.,r---- PROJECT TO BE INSPECTED: ()e:Ç.Ç"f' t TYPE OF INSPECTION: y,\~ ~ City of Oshkosh Inspection Services Division 215 Church Avenue, PO 80x I 130 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 0 MailedlFaxed ¿¿-Co .Q) <-þ.,- Phone # Print Name Company Signature: Date ~ CORRECTION NOTICE ¡. FIELD INSPECTION REPORT JOB LOCATION: lief{ /itf,K"k/P)c<\f CONTRACTOR: Gú IAcrH'f'P---- / PROJECT TO BE INSPECTED: Oc{ .(', \,. 'f' TYPE OF INSPECTION: ~"V\/y ~ City of Oshkosh Inspeotion Services 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 Jnspection Services Division by the Compliance Date of ' ,.O:aE INSPECTIONRESt)LTS m,IØN:':Jt.AiKEN". ' " pproved/Insp. RePÏ: given to ~;tnbo ,Date of,JíÍspection , .;¡';;'}",-:"/' 0 Mailed/Faxed Print Name ~ e~.ç,.~ Q. ',¿¡llJr ;/hL/¿/ Company ~-Ih~p' Cn5-1. Date 3-_H-o~ Signature: ~ e OSHKOSH ON THE WATER Issue Date 2/14/06 ~ INSPECTION SERVICES DIVISION ROOM 205 DEPARTMENT OF COMMUNITY DEVELOPMENT CORRECTION NOTICE CITY OF OSHKOSH 215 CHURCH AVE PO Box 1130 OSHKOSH WI 54903-1130 Compliance Date 3/16106 IMMEDIATELY Compliance No Address 1128 E PARKWAY AVE Sent to ~ Owner Name I GITCHI GUMEE LLC Address 4825 COUNTY ROAD A City OSHKOSH State Zip Code WI 54901 -9618 --- Introduction U Required for Occupancy I Occupancy Commercial HV AC Installation has commenced prior to securing the required HV AC Permit. This permit cannot be issued until the mechanical screening plans have been reviewed and approved as stated in the Plan Approval letter, Item # Code 7-43 Compliance No Description HV AC work has commenced prior to permit issuance. Compliance Date 03/16/2006 IMMEDIATELY 2/14106 Last Updated SummarY Because the installation proceeded prior to issuance of the required Permit, a double fee will be assessed when the permit is ble to be issued. Violations must be corrected and approved within 30 days unless otherwise noted. Call for reinspections prior to concealment and/or occupancy. Upon completing the corrections, the ownerlcontractor/agent must sign and date at the bottom of this notice and return it to the Inspection Services Division by the Compliance Date of 3/16/06 Office hours for obtaining permits are Monday through Friday 7:30-8:30 a.m. and 12:30-1:30 p.m. or by appointment. To schedule inspections please call the Inspection Request line at 236-5128 noting the address, permit number (when applicable), and the nature of What¡f"~ds to be inspected. Date >/'..d L¡.Lf Signature Lf12- ~ Inspected by: Allyn Dannhoff 236-5045 adannhoff@ci.oshkosh,wi.us I hereby certify the violations listed on this report have been corrected in compliance with the applicable codes. Print Name Company Signature Date Also Sent to: ~ Bldg U Elec ~ HVAC U Plbg U Designer U Other U Inspector --- I GANTHER CONSTRUCTION I I CONDON TOTAL COMFORT I I I I 4825 CTY TRK A OSHKOSH WI 54901 -0 --- PO BOX 184 RIPON WI 54971 -184 --- --- --- --- 10754 Page 1 of 1 ~ OIHKOfH ON THE WATER City of Oshkosh DiviSion of Iospection Services , 215 Church Aveoue PO Box 1130 Oshkosh WI 54903-1 130 www,ci.oshkosh.wi.us December 21, 2005 Duane Helwig 4825 County Rd A Oshkosh, WI 54901 Ben Ganther 4825 CountyRdA Oshkosh, WI 54901 Site: Affinity Clinic 1128 E Parkway Ave Oshkosh WI 54901 For: Description: Tenant space alterations Object Type: Building only Class of Construction: llA - 2115 Sq Ft.; Sprinklered Occupancy: B: Bnsiness / Office and R Residential - Non Separated - Maximum No of Occupants: 19 Plan Number: R4-113-1205 The submittal described above has beeu reviewed for conformance with applicable Wisconsin Adnùuistrative Codes and Wisconsin Statutes. The submittal has beeu CONDITIONALLY APPROVED. The owner, as defined in Chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code reqnírements Key Item(s) / Couditions: IBC 711.3 Any penetrations of fire rated assemblies are required to be protected with a listed firestopping system that matches the rating of the wall assembly being penetrated. Copies of the firestopping systems are required to be provided at the time of inspection. IFC 901.4 Fire protection systems shall be maintained in accordance with the original installation standards for that system. Required fire protection systems shall be extended, altered, or augmented as necessary to mmntain and continue protection whenever the building is altered, remodeled or added to. Alterations to fire protection systems shall be done in accordance with applicable standards. Submit plans for fire sprinkler modifications. IBC 1003.2.11 Means of egress illumination is required to be installed per this section. All paths of egress area are required to have adequate emergency lighting to meet the perfonnance requirements ofIBC 1003.2.11.3. IBC 1209.1 Provide toilet room floors with smooth, hard, nonabsorbent surface extending minimum 6 inches up onto walls. IBC 2902..1/ Table 2902 Drinking water is required to be provided, since no drinking fountain is shown on plans a bottled water cooler is required to be provided. \\OSIIKOSHMISFS\USERS\brimm'.2005 Comm Pian Reviews\R4-11 3-12051 12S E Parkway Ave Bldg Only, doc Page I of2 ,,~ Comm 61.30(3) This review does not include lighting. Conun 63.0001 Prior to installation, lighting plans and calculations shall be prepared in compliance with the code. The plans shall be available upon request. Comm 61.30(3) I IMC 507.2 This plan review does not include heating, ventilation, or air conditioning. HV AC plans are required to be submitted and approved prior to installation ofHV AC equipment. 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 Conun61.31(1). MUN 30-35 (1)(5) All rooftop and ground level mechanical equipment and utilities shall be fully screened from view of any street or residential zoning district. Contact David Buck - Associate planner (920) 236- 5062 for additional infonnation on screening requirements. All screening shall be properly anchored in place to resist wind loads. Additionally mc 1608.8 Roofprojections - Drift loads due to mechanical equipment, penthouses, parapets and other projections above the roof shall be determined in accordance with Section 7.8 of ASCE 7. Note: No HV AC permit will be issued until a screening plan is approved SUBMIT: . Comm 61.50 (4) Supervision. Prior to the initial occupancy of an alteration the supervising professional shall file a compliance statement fonn SBD-9720 with this office. A copy of the approved plans, specifications, and this letter shall be on-site during construction. All pennits are required to be obtained prior to connnencement of work. In granting this approval the City of Oshkosh Inspection Services Department 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 number listed below or the address on this letterhead. ~y, Bnan Noe Building Systems Consu1tant (920) 236-5051 Monday-Friday 7:30 A.M. to 8:30 A.M and 12:30 AM to 1:30 P.M. bnoe@ci.oshkosh.wi.us cc: Property file Fee Required $ Fee Received $ Balance Due $ 320.00 320.00 0.00 \\OSIIKOSIIMISFS\USERS\bri."n'200¡ Cumm I'I,n Rcdcw,IR4-113-1205 ] 128 E Parkway Avc Bllig Only,lio<: Page2of2 ~ OJHKOIH City of Oshkosh Division of Inspection Services 215 Church Avenue POBox 1130 Oshkosh WI 54903-1130 www.ci.oshkosh,wi.us ON '"' WATER January 19, 2006 Arthur Warren Condon Total Comfort Inc I I Blackburn St Ripon WI 54971 Ben Ganther 4825 County Rd A Oshkosh, WI 54901 Site: Affinity Clinic 1128 E Parkway Ave Oshkosh WI 54901 For: Description: Tenant space alterations Object Type: HV AC only Class of Construction: llA - 2115 Sq Ft.; Sprinklered Occupancy: B: Business f Office aud R Residential - Non Separated - Maximum No of Occupants: 19 Piau Number: R4-113-120S-H 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 derIDed in Chapter 101.01(10), Wisconsin 815tutes, is responsible for compliance with all code requirements Key Item(s) f Conditions: mc 711.3 Any penetrations of fire rated assemblies are required to be protected with a listed firestopping system that matches the rating of the wall assembly being penetrated. Copies of the firestopping systems are required to be provided at the time of inspection. Caution - Wall with line-set penetration toA/C is a 3 hour wall 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 Corom 61.31(1), MUN 30-35 (1)(5) All roof top and ground level mechanical equipment and utilities shall be fully screened from view of any street or residential zoning district. Contact David Buck - Associate planner (920) 236- 5062 for additional information on screening requirements. All screening shall be properly anchored in place to resist wind loads. Additionally mc 1608.8 Roofprojections - Drift loads due to mechanical equipment, penthouses, parapets and other projections above the roof shall be determined in accordance with Section 7.8 of ASCE 7. Note: No HV AC permit will be issued until a screening plan is approved A" Page I of2 SUBMIT: . IECC 503.3.3.7 [Comm 63.0503(2)(t)] Balancing and documentation of the HV AC system shall conform to the !MC. Balancing report required to be submitted prior to final occupancy being allowed. . Comm 61.50 (4) Supervision. Prior to the initial occupancy of an alteration the supervising professional shall file a compliance statement form SBD-9720 with this office. A copy of the approved plans, specifications, and this letter shall be on-site during construction. All permits are required to be obtained prior to conunencement of work. In granting this approval the City of Oshkosh Inspection Services Department 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 number listed below or the address on this letterhead. Re~p~ ~ Building Systems Consultant (920) 236-5051 Monday-Friday 7:30 A.M. to 8:30 A.M and 12:30 A.M to 1:30 P,M. bnoe@cLoshkosh,wi.us cc: Property file Fee Required $ Fee Received $ Balance Due $ 230.00 230.00 0.00 ij',\i,,';.mn\2(\()6 ('nmm Page20f2 03l30m06 THU 14: 31 FAX 9204260389 Ganther - 2nd Floor ~ 002/002 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 50.261Comm 61.23 andlor local ordinances, This form must be submitted prior to the plan approval expiration date or another submittal may be required. Generallnstructlons: 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, 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 intonmation you provide may be used for secondary purposes [Pñvacy Law, s. 15,04 (1}(m)]. 1. PROJECT INFORMATION: Please fill in the following with information from your plan approval letter, Transaction ID Number PIA'" ,u.. Q <I - 11.3-12..ðtl: Site Number Sitelocation(number&street) 11.%1>. F.. jJ~""-I"":J Aile... )q City 0 Village 0 Town of ~SiJ- County of ,jI~ 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: þ(Building Object ID # 0 HVAC Obje<:t ID # 0 Lighting Object ID # [J Partial Completion Description of Portion Completed AI X Statement of Substantial Compliance To the best of my knowledge. belief, and based on onsite obse",.tion, construction of the following building andJor HVAC items applicable to this project have been completed in substantial compliance with the approved plans and specifications, D BUILDINGILIGHTING ITEMS 1- Structural system including submiltal and erection 0' o~ buJlding componems (trusses, precast, meRIl building, etc,) 2- ~Ire protOCtion systems (sprinklers. alanns, smoke detedO") de,igned, Installed, and tested Qncluding fooward flow on bacl< flow devices) by appropriately registered profess'on.ls . 3. Shan and stairway enclosure 4, E>âts Including exiland directional lights S, Flre.reslsUve constnJdlon, enolosure of hazards, firewalis,labelod doors, class [J HVAC ITEMS of constnJctlon, flre stopped penetrations 6. Sanltstlon system (toile"'. sinks. drInking foci""..) 7. Banier-ltee Including Comm 18 elevators and Ufts 8- Energy envelope requIrements 9. All conditions of building plan approval en(! 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 lighUng plan approval and applicable variances 1. HVAC system Including anal te.t 2, All conditions of HVAC plan approval and applicable variances B) 0 Statement of Noncompliance Doe to the foliowing listed violaUons, this project i. not ready for occupancy: CI 0 Supervising Professional Witlldrawn From Project (Use A or B above to indicate project stStU5.. of this date,) DI [J Project Abandoned 3. SUPERVISING PROFESSIONAL S~NATU~ )l. Building [J HVAC D Ughting 'JAJ{;$ Name (pie print or type) Phone numbor 11ð .4u -4714- Customer ID# 4ð~3ð'Z- ~'~L SIgnature ~ a.. . 581>-9720 (1\.0212004) I MM-"',.. 0.,0. eM OOHDOH 'O~.C .OO"~"' .,ON..O,. ,e.o, , BUILDINGS, HVAC, COMPLIANCE STATEMENT SBD.9720 This form Is required to be submitted by the sl.Ipervlslng professional (architect, englneil1,'lo4VAC deslgnllr or electrical designer) observing construction of projects within buildings w"h total areas 50,000 cubic feet or grllatllr and bleachllrs (Comm 5O,10/Comm 61.50). Failure to submit this form may rllsult In pena"ies as spllctfled In Comm 60.261Comm 61.23 and/or local ordinances, This form must bll submitted prior to the plan approval expiration datil or anothllr 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, '#,1. 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. Personalln!ormatlon 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. Transac~on 10 Number 1:4-11 ~ - I ;;>.oSH. Site Number Site location (number & street) \ IL. "õ f-. ?C\'I2"'lC"="1 ~l1o.'" ~ City D Village D Town of c::t>}I. ~ County of 2. PURPOSE OF THIS STATEMENT: ¡Check Box A, B, C, or D to Indicate purpose and complete any other applicable bo~es and Information. Attach additional pages If necessary,) Check those which apply: 0 Building Object 10 # [J HVAC Object I~ # D Lighting Object ID # 0 Partial Completion . Description of Portion Completed A) ). Statement of Substantial Compliance To the best cf my knowledge, belief, and based on onslte observation, construction of the following building and/or HVAC ilems applicable 10 this project have been completed in substantial compllanca with the approved plans and speclflcallons, 0 BUILDING/LIGHTING ITEMS 1. Structural system Including subm/nal and erecllon of ell building comP<'nents (Irusse., precast, metal building, etc,) 2, Fire protection syslems (sprlnkle"', a/anms, smoke detectors) designed, Installed, and tasted (Including forwerd flow on back lIow davlca.) byapproprialely reglSlered professionals 3, Shell BOd slalrway enclosure 4, Exlls Including exil end direclionallights \. S. Flre-re.lsllve construction, enolosure of he.erds, fire walls, labeled dooro, class JI!. HVAC ITEMS of construction, lire stopped penetrelioM 6, Senitallon System (toilets, sinks, drinking facilities) 7, Barrier-free including Comm 18 elevators and li110 e, Energy envelope requirements 9, All condltlona of building plan approval and applicable variances The following Items ere nol In compliance end must be addressed; , O. Ex1enor IIgtltlng & control requiremenls , 1. Interior lighting & oontrol requirements 12. All conditions of lighting plan approval end applicable variances 1, HVAC eystem Including final test 2. All condiliona 01 HVAC plan approval and applicable varlancos "ß~D«ôð1- 'R.~""'~"'Î 1..'2,5 -:;1.'3°-"'- B) D Statement of Noncompliance Due 10 Ihe following lis led violations, Ihls project Is not ready for oocupancy: C) D Supervising Professional Withdrawn From Project (Use A or B above to indicate project status as of this dste,) D) 0 Project Abandoned 3, SUPERVISING PROFESSIONA~IGNATURE FOR: ~ [J Building )o..HVAC D Llghling lZ:Mk.Jo.- W...""...... ~1.'" Name (please print or type) Phone number ï~- 6c&"~ustomer 10' ~--c¡) d-o Date~.c.:, ~ I.J c...~~- Signature SI\I).'mu (R.cl2""'" ",," ".0 ""."""'"<