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Home My WebLink AboutCERTIFICATE - ALT CITY HALL Inspection Services Dlv 215 Church Avenue ~POBOX1130 Oshkosh Wi ~ 54903-1130 OfHKOfH ON THE WATER ,-I /'Ö~ ,,)1 J, )~~ 6Y' y",V CERTIFICATE OF OCCUPANCY ~ K\>f' An Occupancy Permit is hereby issued for the alterations located at 921 oregon~ \" \J , Street, Oshkosh, Wisconsin 54902 as described in Building Permit Application number(s) 106859. City of Oshkosh Pat O'Neill 5575 County Highway N Pickett, Wisconsin 54964 This building is to be used only as a hair styling salon and is located in the C-3, Central Commercial District. LIMITATIONS: Maximum number of persons: 15 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 certificat be valid. ' Job Address 921 OREGON ST Owner PAT O'NEiLL Building Permit Work Card Permit Number 0106859 CreateDate '3/10/04 Contractor OWNER Category 223 - Aiteration Offices, Banks, Professional Type . Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan K7-15-0304 Value $35,000.00 Garage ----.2 Sq. Ft. n Projection I Class of Const: Size Unfinished/Basement ~ ~~. Finished/Living ~ Sq. Ft. Bedrooms ~ Baths ~ Height ~ Ft. 0 Fioating Siab 0 Post Canopies ----.2 Signs 0 0 Poured Concrete 0 Concrete Block 0 Pier 0 Treated Wood . Other Required Flood Plain Height Permit # Dwelling Units ~ # Structures 0 Hair Styling Salon/ Aiterations to subdivide north 1 story section ofthisblJíidirigfor aseparte spacelbusiness. Remodel for Hair Styling Saion! Note: State Approvéd Revised piaris mUst be provided addressing the building separation wall requirements in order to subdivide this buiiding into two separate buildings. ccupancy approval will not be approved with outstanding significant code issues relating to the buiiding eparation or any otl1er life or fire safety issues. I I I Plumbing Contr ~ ~/ ~6~ /¿K' _. ~ CORRECTION NOTICE / FIELD INSPECTION REPORT ~~=:O':' ~ ;J.::- PROJECT TO BE INSPECTE : Nt. r,/ "': 10", TYPE OF INSPECTION: ~ City of Oshkosh lospection Services Division 215 Church Avenue, PO Box 1130 Oshkosh, WI 54903-1 130 Phone: (920) 236-5050 Fax (920) 236-5084 Violations must be colTected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment and/or occupancy. Upon completing the colTections, 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 INSPECTIONR!:SULTS ~ - r¡s., 0 Mailed/Faxed Print Name Company Signature: Date \\\}sconsin Department of Commerce Safety and Buildings po BOX 7162 MADISON WI 53707-7162 E , \ TOO #: (608) 264-8777 . ..., IE Pfo, " mmerce.Slate.wi:uslsb ,,~," ,u WWW.wlsconsln.gov Jim Doyle, Governor Cory L. Nettles, Secretary MAR n i) 2~C~ March 04, 2004 CUST ill No.68l637 OF DEVELOPMENT AITN: Buildings & Structures Inspector JOEL CLARY SUMMIT DESIGN LLC W6744 ROGERSVILLE RD FOND DU LAC WI 54937 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 03/0412005 BUILDING INSPECTION CITY OF OSHKOSH POB 1130 OSHKOSH WI 54902 SITE: Salon Nevach 923 Oregon St City of Oshkosh Winnebago County FOR: Object Type: HV AC ICC System Regulated Object ill No.: 943610 The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes and Wisconsio Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements. The following conditioos shall be met during construction or installation and prior to occupancy or use: Reminders . This review does not ioclude approval or registration for the installation of Boilers and Pressure Vessels indicated on this plan. The installation of any Boiler or Pressure Vessel shall be registered with the Department by the installer before the system is placed in operation as prescribed by COMM 41.41. Registration shall be in writing on Form SBD-6314. This form, and additional information, may be obtained via telephone at 608,266- 1818 ()r via the Internet at http://www.commerce.state.wi.us!SB/SB-DivForms.htm1#Boilers . IMC 3I3/Comm 64.0313(1) HV AC system balancing shall be performed, and a report shall be made available to the department upon request. Comm 61.36(1)(c) This approval will expire I year after the date of this letter if the work covered by this approval is not completed and the building ready for occupancy within that year. A copy of the approved plaos, 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. If plan index sheets were submitt~d in lieu òf additional f..:H plonsets, " copy of t.'ris opproval letter ODd index sheet shaH be atmohe" to plans that correspond with,the copy on file with the Department. All permits required by the state or the local mUlùcipaiity shall be obtained prior to commencement of constructionliostallationloperation, In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should conditioos arise making them necessary for code compliance. As per state slats 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. ~~- Fokruddin Khondaker Engineering Consultant Building Systems (608)266-1930,7:45-4:30 M-f fkhondaker@commerce.state.wi.us Fee Required $ Fee Received $ Balance Due $ 230.00 230.00 0.00 , Integrated Services cc: Peter R Ochs. Building Inspector, (920) 948-3500, Friday, 7:45 A.M. - 4:30 P.M. David Vienola . Joel Clary, Summit Design LLC Summit Design LLC Jon P Wolf, Boiler Iospector, (920) 723-0032 ; - .. ¡, commerce.wi,gov 'W ~!~g J~!J.t'! Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www.commerce.state.wi.us/sb www.wisconsin.gov Jim Doyle, Governor Cory L. Nettles, Secretary March 31, 2004 CUST ID No.2593l6 ATTN: Buildings & Structures Inspector THOMAS SUGARS THOMAS DESIGN INC 27 THIRD ST STE A FOND DU LAC WI 54935 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 0113012005 BUILDING INSPECTION CITY OF OSHKOSH POB 1130 OSHKOSH WI 54902 SITE: Salon Nevach 923 Oregon St City of Oshkosh Winnebago County FOR: Object Type: Building ICC Regulated Object ID No.: 940075 Revision; Major Occupancy: Business; Type IIIB Exterior Noncombustible Unprotected class of construction; Alteration plan; 1,985 project sq ft; Unsprinklered; Occupancy: B Business; Component(s) submitted with this transaction: HV AC ICC 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 defined 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: Comm 61.36(I)(c) This approval will expire I year after the date ofJanuary 30,2004 if the work covered by this approval is not completed and the building ready for occupancy within that year. This revised approval are for the works indicated in revised bound set, all other conditions of previous approval with transaction ID number 964252 would remain in effect. 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. If plan index sheets were submitted in lieu of additional full plansets, a copy of this approval letter and index sheet shall be attached to plans that correspond with the copy on file with the Department. All pennits 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 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. Sincerely, Fee Required $ Fee Received $ Balance Due $ 150.00 150.00 0.00 Fokruddin Khondaker Engineering Consultant Building Systems, Integrated Services (608)266-1930,7:45-4:30 M-f fkhondaker@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. Thomas Sugars, Thomas Design Inc Thomas Design Inc THOMAS SUGARS Page 2 3/31/04 David Vienola MAR-09-2004 05:02 PM THOMAS-DESIGN 920 922 8959 P.01 THOMAS DESIGN INC 27 Third Street. Suite A. Fonddu Lac, Wisconsin 54935 920.922_7131 FAX 920.922.8959 FAX TRANSMITTAL March 9. 2004 TO: ATlN: FROM: RE: fAX: City of Oshkosh Inspection Dept. Allyn Dannhoff Chet Wesenberg Salon Nevaeh 920-236-5084 PAGES: 2 COMMENTS: Hi Allyn: Pat Oniell is planning to divide and purchase the one-story portion of this building at 923 Oregon Street. He has asked us to determine the necessary steps in dividing this property. I have attached a fax we sent to the State Plan Reviewer, Fokruddin Khondaker for your review. Please call to discuss. If) 1 f+- [ J ~} J f) -z; , t.. \;pJ 1'" Thanks ¿/ I 0/ 01:,. 1° ,~ ~~O) CC- file ~.\Le S. v I or r' ;> J- ~er +1'0'^ }íO /1 rp.1 f~ i" ~e t ~-ef/ ~ ~e r€ -{,'c" ~~ j ~ þJ 1°~' ~r. e,q...' ('rAt-( .tl \ r/ -> , i l ~\.:j Lj r- /00 þ~s ~ j ß ()t þ ~~ nßrf~.,~ »",,</ \""~ ~et t\ l /.¡I>" ~e ~ ( ~~ .f ~ {' *~ ~ 1ot ~ {D/, t' ) r ¡t 0 ~f-e vi'- ",ß ~(c9 ~ vJ/ y ~'f.e ~ Ii ~l .{V f.;V tf' (~ ~ '\() ~,... -'> ~ é"'; ~t, IJI y'~""':::. ~ ;J' J. . v"'? <""1~' AÞ MAR-99-2994 95:93 PM THOMAS-DESIGN 929 922 8959 P.92 THOMAS DESIGN INc. 27 Third Stree~ Suite A. Fond du Lac. Wisconsin 54935 920,922.7131 FAX 920.922.8959 FAX TRANSMITT AI.. March 9, 2004 TO: ATTN: FROM: RE: PAGES: Safety & Buildings - Madison Fokruddin Khondaker Chet Wesenberg #0404- Salon Nevaeh 2 608-261-9566 TRANSACTION ID #964252 This plan was approved as an alteration to a portion of an existing building, The Owner has now requested that we determine the requirements to separate the "Salon" building from the existing wood framed two-story building thereby creating (2) separate buildings with a party wall condition. Our research has directed us to IBC table 602 indicating that all exterior walls within 5'- 0" from a property line must be I hr rated. This table also directs us to Section 503.2 Party WaJ]s where party walls are defined. 5032 further directs us to section 105 Fire Walls. I have attached a sketch section through the area in question for your review. Please call to discuss how we can achieve the building separation the Owner has requested. Thanks MAR-09-2004 05:03 PM THOMAS-DESIGN 920 922 8959 P.03 //J( mUr ~flØ.l ftiúF (WÚÓtJ f/1IØ\W) Ii' f.lt;ofIr~WBIM~~ ] ~f, ~ m-'~l lWo/Il14r O.¡.f: cø/VC. ~ w AV\..- ~røvr E~~M ~r ""----......,;- {!:j..ti;t(Wl,.-\!V[)rJÞ f1!A;WA/w I . . ". --"~"~~,,=.=~t-- ~~ $$t ç rw~ J V IfU¡Nf e V 71/¥!f$l e-X/9(1 IV" t:r WN /l fítIrl;1 (Nlíí . ,~/. i : --- tJplCilNIfL.. ç(7Ne f1; t< IV M17 /J IV , ~ ~^~ VA~\\ L.- 7C- eíl D ~ Ni7't 70 ~{¡\{,¡¡;;.. MAR-23-2004 11:28 AM THOMAS-DESIGH 920 922 8959 P.01 THOMAS DESIGN INC 273" StJœt, Suite A, Fonddu Lac, Wisconsin 54935 920.922.7131 FAX 920.922.8959 DATE: FAX TRANSMITIAL '7/'1-"2-/01- efT! (If oH4 t:ðfIJ- 'PtlltIJllJ'Vr ÆuyN MN!ftFP- (I!£ T VVE:<;YJ f,OZGr- t1fl t - 5AVI N f)fVAClt TO: ATTN: fÑ~,lE.c.TltJ;J /.12(/ .-n6 '7't1Ø¡ FROM: RE: COMMENTS: AI; Ite AfI£ tJ¡Vt!Jf!l1r tIlE; -z Ør¡/vJ1tlVp,{ w/'11t tf > u" ,. /â w:tU _. 17fE; f't!(; tJ/AU- CIIN /Je.1IC1f1(;--1£?/ ,-",11-/ A- )/Jtlf/IJE:t<. t'Jr p¡~ ~()I'I~ 7jlm!iì1.$ PePtlrPIA/1r ÞN 'ME: 4tN1/tf"1ÞN'~. ~{. 1tI'7. G.! £)(ttrfttJIV:/I- 1. ~fa;; -mrr 11$ wWC/t ~ At;(~¡.v 6e. /11/{ - fl/IC <e:rJ;l;r/r7V1': I PAV/f) ftl(:'7J (fœn¿: t/YS'~/I!(fI/ewdlZ) ßf¡(.kIJ Azp "1k"t- ~ft}) (¡{.. pe>l6rN Z-'5-vf A1v1J j,f'/IJ ~ 11ft! 1i11A¡J.. Wlht-þ Ateeï at!? "1NPIí1~S. :t MYB f(t1/.ff[;t; tJPF 5~ ~0If'4 ¡::;./< YI{¡ff'-- ævzew. /æJ15f., ~t- 17J fJ/$&Qf5. :r Mtt5r MA1v at/l. FINIS/tO ItItM fJ 17f; ~~ 8'V :¥~5". / Thanks MAR-23-2004 11:28 AM THOMAS-DESIGN 9209228959 !! '" '" I I I I I I I i I -. ----....--------- ..--..- ~t-.._._-_... ¡ ...-........------.-.--..-..-..---.-... ....-..j...-..--.-. i i ! ~\) ~~ u ~ð ::¡¡:: I::! 4Od) 0) ~ ~ ;. :KI19NI .Ø-.L ~ ~ ...-..-..--.-.-.....-.- --.-.-----.. , , ~ ~ aJ Á,~..Ø-,..I I i i i I 11\ ~ .-..--.-...---..&----....-. 11\ .ø-,<; z a -'~-4--.- 1 --.-.-..t---..-.....-.. -« I .'-.'-"'.---.j---"-.'---"-- ! I~¡-¡I ---..---------. ... P.02 ~ ~ f ~ ~ ~ MAR-23-2BB4 11:2~ AM THOMAS-DESIGN ~2B ~22 8~"~ P.B3 fUtl r;- P WrN WOfiiK NOTES: <D eXISTING CABINET£> TO !\£MAIN ø NEW UTILITY SINK Q) NEW ~TOR G NEW ADA COMPATIE!l..E £>TACKED UlASl-lER . DRYER. ALL CONTROL£> MU&T ee eETUEEN IS" AND 4&" Al'F. @ EXI6TtNG 'fRAS!.I ENCLOSIR: @ G> @ INFILL EXI£>TING OF'ENING WIT\-! MA5ON~ TO MATc¡.¡ EXISTING NEW 3HR Fi1'òEWALL FROM CONCfæTE FOUNDATION TO I.IIIDEIl!&lDE O¥' ROOF DECK OF NORTIoIEI'ô!NI'1O&T ONE-STORY eulLDING I"'ROIi'IDE IIoIR FIÆ ~TED CEILING WlIN 10'-121" O¥' NEW FI!.. I"'ROIi'IDE (2) LA'T'EI'<.& OF SI&" GU.e FEfIe PET AIL (NO OI"ENINGS AÆ ALLOtLED Wt1N T\-!IS Al<EA) ~ f'I;!OVlDE I HR FIÆ ~TED eEAM ENCLO6UÆ WIIN 10'.121" \:J O¥' NEW FI!.. FE1'! DETAIL @ p;¡!M0'v'E STEEL FIFE COLt.IMN& MAR-23-2004 11:29 AM THOMAS-DESIGN 920 922 8959 P.04 ~ ~~:.l NEW ... L.IGIffiUT. $OI...ID eMU OR 4,So" $OI...ID L.1GHiWT. FREGA5T CONCRETE WAL.L. FROM 12" WAL.L. TO li'IDEl'ISlDE OF ROOF DECK EFPM IõIOOF'ING OVE~ 112" li'IDEll!L.AY1"ENT AND )/4" PL'rWOOD DECKING 2><1Ø JOISTS. 16" O~. (2) L.ATEI'IS OF 5/&" TYPE-X ~ GoWe T AFED AND FlNI&l-lED (Ø'-/Z)" MIN. FROM PARTTWALLJ 12"~ !lTEEL. SEAM CONTINIJOU& eOND BEAM 3-HR F~AL.L., NEW 12" CONCIiIETE eLOCK WALL. FROM FLOOR TO li'IDEl'ISlDE OF &" BEAM REMOVE 4" STEEL FiFe COLIJI"toI 2)(4 FRAMING. I." O~, WI (1) LA~ 112" GoWe AT ALL. EXPOeED ~AS 112" AI_ACE NEW 3" CONCItETE 6I..Ae WI ExlðTIMG CONCItETe SLAa EXISTING WOOD ~D WAU. eXISTING WOOD ~D FLOOfII! S'TURCTURE &"~ STEEL SEAM 1& 112"~ STEEL BEAM CUT STEEL. BEAM AS RECItIIFIEO ALLOW FIREWAl..L TO EXTENP to UNPERSIDE OF ROOF DECKING, MAINTAIN 4" BEARING, MIN. eXI6TIMG WOOD FRAMED FLOOfII! &1\1RCTURE MAR-23-2004 11:29 AM THOMAS-DESIGN 920922 8959 P.05 EFDM ROOFING OIlER ~ 112" I.Nt:>ERLAYMENT AND 3/4" PL YU.IOOD OECKING 2XIØ JOISTS. 16" Ot:.. ÇOoT. 2X NAILER (2) LAYERS Of' S/S" TYFE-X GtUI3 TAPED AND FINI5I-IED (Ø'-Ø" MIN. FI'eOI1I"ARTYWÅLLJ EX'Cis 12" f. STEEL. BEAM ø ~~~;. ~;AM SECTION THOMAS-DESIGH MAR-2õ-2ee4 11:õe AM t" . a3/23!20a4 Ie: 34 92e 922 8959 p,e6 ':.:\FEW g EULDItŒ PAEE 01/01 2625215008 STIlL - GYPSUII WAlJ.8C1ARO .... - '/I' proprIoIary ~)( _m _d oppI;cd 10 b- cage _I' Typo a.. 12 dIyq....... 12" ........ '- w -,.....-v. ~p$ K - wallboard ....ied ;:::m__,WTW-&12d1ywa1""""" 12" o-c. Jo;n1S _1Tc", base layer Boom _1Bb- ""'" No. 24 - 'Uf x 1'1," _I ""WOO ..,..,. ..~ .. _I ioôeIo", boø'lll ftInge and No. ~ gage 2'/,' - niIIr... hool<ell """ boo'" I,."" ""_"1IðIIInf1"'"__""'o~. MIrJmum boa<:I_WBxI&. Ønohou, --I '-"IETNIY GVPSUM BOAIID Amorioan Øy¡>oum Co- 001- ~O" CanIi>- G- c¡,p ~m - tIII<de I1VPOum LIIargo QIoum Ten.,1ooiriand Forcot P"""'" CoIporaIIor. , UniI8d - GypooM ~y ,it' FIAEBLOC 1YPE C ",' R.RO< PLu&~ '/,"IoI",""",*"Pi,elia¡$TypoC (CG'I'C-C) ",' GyPro.. Firegu...o C '/2' HW<!ifa:kO 6r8nd - -C"'" Gypsum Panels W For.ch~ Type C 'h" TG-C ,/,' SMEETRCICI<" Bfand Gypsum Pan"'- FIRECCDEo C c.œ ~* ",..-. UL "'318-133, 70111-15'. _onUl_7&.., 11-1a-81: UL Deoógn L-':I4 &TI!I!L I'RAMII. GVP8UM WAIJJIOARD -....WIyPO X -'II - or- -,..... applieØ lObe... cag.- 'I/o'TjI8.~_'6"o". _r_'/"~eXSYP"\Im-boardor:wpsum -,-applied" ban> _willi wo' rype S drywall """""".. o.C. --_110m _1y"""'1Iod "U" sl1apeØ -, ctIon..", 1259°S""'" 1"1..'_..ôIIIl'\ofI) - noI'-,hanW'fn¡mbtom long.., U_ch."".io _to-_unilcwllhW 'IWOS""" h""" _,a'o.c.'U"........, -- - .- - oI1.....lo~' 0.9- III8HIndod ""'" Ihe upar chonnols - V.' Typo & p.. -..- _...pIOI'!8d 0"" "'*""010_10<1 ""_rcom... of br;ookOli. ~""'"o.. 01 g-"" - p'- by 0.020" 1hIck..... Comei' -. lJÌIIIIod ... nailed. _If"""" size _. (fwe he..."-"" or unroslralnecl -) --..----- &TI!!L JlllAII!, GYPSUM WALL!OAIID - .W \'/PO X 9YI'OU"' ~ '" _urn - - ¡¡ppIõOd to bo... cago..l11 1 W,...,. S dIywoII- IS' <>c. -Ioyor"fa' typO X gypsum walboard or gyp&UII1 wnlOr - opp1led Iobearn - willi 1'."'T1P8 S dr¡wol&el\!V/'" .,c. IIArn <agO -- _l1Orl2oma11y insI- "'001 ongJo. (2:1 - _I ".,Ing I' 8!1d Z logo) - not - than ",' tvm boam lon¡O$. ,. 'ogs .l1he ",po' ang'es .soured IOSl8IIdoc1<UnÞW1I'I1Jt"1YøeS.....-.crews 12"0.0. 'V"..,_IJrad<...- ofæ - V_- """""... ('"~" wide_"1eg» ?4" D.C. ...pended"'m ..... 8ng1øI- 'Jr 1\8 SPIll"" ....... anO .upportMI l' x a" 0111"" .t """er -- a- 10 b- - '/a" l'y.. '" ptII'I h- ........ CUb\do ee..".. of 9iI*JI!I boord ~ by 0.020' - steel corner - erir1'lod or noilod. MlniTum 1>0... ... _4. (lWeI he", -- Dr u_naII -I . :------¡ Fi~TI!III: UL R4024-1, 901_. lJL DooIgn N5O1 : UlC Dll$lgn 0501 RIO Toot UI. A4024-5, 11014-66; UL CeoiøI NIíO2; ULO Deoign Oj02 """"""".~~_Æ"""",.-",,,,,""".."_"'N"""'" ..., MAR-2~-2004 11:~1 AM THOMAS-DESIGN 920922 8959 P.07 1989 SPECIFICATION TESTED PRODUCTS GUIDE 45 1~ FIt8 Ae8I8I8nt I'IoOr-CeIIlng - (ContInued) FI.OOII-CEIUNG CONSTRIICTION ..1 HA U_IMd -Illy 1IatI....1 Hr * NomImIl Dnen8Ion8 I. woao F\.OOAINO. '" In. (1' mm) -, ...... -, mI. - -, -"-II'uu"dcon-lI- P$1.s8. Face "",. of FI,.. _II to lie ...-dIeuIo'" OItts wit. end OInt. atoggored. 2. WCODJOISTs.NDmInBl2Þy10...(_J_:J8Þy241mm).peçod 241n.(810mm)o.e.endfi..~. .. 8A1OOIN6.NomI""Þy"n.(~"'Þy"mm). 4. œIUIIGGYPSUM_""",('omm)"lc1<by4~(..2m)_.....um _. Flrltlo>¡o< II ,__-, ",and_"'th8_- "/o"'.("mm)"""""" 8- __241". tO10mm). Sø<xlnd _1I~--""OI...-..oInto_2,,..(81"mm) -OI"'af....,.,.ØøøtdIe_to__"1oln.(48mm)lon" "",,8drywø11- _'21n. (305mm)o.c.8Iointe--"'- -.At _""'__11"'1n. (38 mm) """ - G dtyweIl _""'-2 In (51 mm)_II1øn_ofbcNlnl-spøeed 12 in. (SO5 mm) o.e, øIon9'" OInIe. '12" (13mm) -L T 10"* (254mm) .# "fe" (16mm) CenIøx A_eon - Co (Øøølgn f'C.172) - 8M8 """-- NIl .7111 Gypoum WalIbO8n1. Fi,a BIoe (1ÿpøs FSW, FSW-G). Gold - BoIIdIII( --(DMIgI1 f'C.172) DIv _1- CO2001 _nlIldC1lørloltaNC28211 Gypsum WoIR>o8nl. Flre-Sh/eid (fypo8 FSW, FSW-G). e-, C..lng/Soflit Boo"'. f"'ShI4Id ('1\1... FSW. fSW.G). Wlnd............IncH_DJY(DMlgl1f'C.172IR1o1-""'- 'tX 758t1 G'FsumWelIOOa'd. Thorm'-('1\I...WTR, WTfI.G). 5. JOINTS ANO SCRew HEADS. - gyptUm ..... join18 ... rein, foreed with ...... ta.. end fin- """ Oi1I1_. _nor ...... a,.-withointeompound. 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 !!!!!. . 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.bunc¡lIng 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 approvallettar, Transaction ID Number qi131b1 Project Name Sq/en N¿ve:.?e,c-' , Site Number C, J-¡ (.);}-s '7 Site location (number & street) 1 'J-. 3 CJ r<:.('"~ S{- I)i1(City 0 Village 0 Town of ð~k~.s°h. County of ~{/FVI-eb<'!5:C> 2. puRPose OF THIS STATEMENT: (Check Box A, E, C, or D to indicate purpose and oompli!te any other applicable boxes and information. Attach additiol1al pages if necessary.) Checkthosewhichap¡¡ly: 0 BuildingObjectlD# . )rHVACObjectIQ# "143(;,/() 0 lighting Object ID # 0 PartiafCompletion , Description of'lIIortion Completed A) y( Statement of SubStantial Compliance . To thè best of my knowledge, belief. al1d based on Ol1site observation, construction ofthefolioWrng building and/or HVAC it!im$ applicable to this project have beel1 completed,ln substantial compliance with the approved plans and sp'clflcations. a S\m..DING/LIGHTING ITEMS 1. SWQtural system including submittal and erection of ¡¡Ji,buJiding components (trusses, precast. metal building, etc.) . 2. FII'Ei protection systems (sprinklers, alerms, smoke IfetectQrs) dliSlgned, Il1$1alied, and testedl(including forward flow on back flow devices) bY apPropriately registered professionals 3. Snef! and stairwey enclosure 4. exits including exit and dlrectìonallights J. S. FIre-resistive construction, enclosure of ha7.ards, fire walls, laf>eled do!lrs, class .J""HVAC ITEMS of ÇQl!§t~uctìon, fire stopp.ed penetrations I'J. san!Ulflon system (toilets, sinks, drinking facililies) 7. !!amerofroe including Comm 18 elevators and lifts 8. Energy envelope requirements g. An conditions of building plan approvsl and applicable variances The following Itents are not in compliance and must be addressed: 10. E1<Ielior lighting & control requirements 11. Interior iightlng & contr"'requirements 12, All conditions of lighting pia..approval and applicable variances '1. HVAC system including final test 2. Ali conditions of HVAC plan approval and applicable variances B) 0 Statement of Nøncompliance DUll to Ine following listed vloletlons, this projecl is not ready for -occupancy: C) 0 Superv~lng Professional Withdra",n From Project (Use A or B above to Indicate project status as of this date.) D) 0 Project Abandoned 3. SUPERVISING.Y.~OFESSIONAL SIGNATURE F R: , 0 Building ~VAC 0 Lighting 0> . -~... Name (please prin br typè) Phone number C¡Q(>-r?'t- CustømerlD# ~Sl G:;37 .54.5.?.- SBD-9720 (R.0412OO5) " -', 040~ Buildings, HVAC, Compliance Statement -::rq..-lSot~~ ;:"î,~i This fonn is required to be submitted by the supervising professional (archite<:t, engineer, HVAC designer or elec:tricaJ designer) observing construction of projects within buildings with total areas 50,000 cubic feet or greater and bleachers (Comm 5O.101Comm 61.50). Failure to submit this form may result in penalties as specified in qolJ1m,50~~m 61.23 and/or local Ordinances.. ". - ~<J: ( ~ F , \/~: Generallnstructlons: Prior to the initial occupancy of new buildings or additions and the ñrìal 'òêcUpancý' 0/. altered existing buildings, submit this compíeted and signed fonn to: APR. 7 ' . The municipal building inspection office!!.!l9. I 2006 . Safety and Buildings, 10541N Ranch Road Hayward, Wi. 54M3J ,'dY"'"", "1" Personal information you provide may be used for secondaIy pur)OSe& [Privacy Law, s. 15.04 (1)(m)]. crr '" ~<~ 1",:-1 j¡;¡t~~ I OF 1. PROJECT INFORMATION: Please fill in the following with infonnation from your p'lárii!i~J¥I !;@¡¡f,LOPM£NT Transaction ID Number "T r, 1/ ;tç:'J Site Number ~ '1 D'd. 5CJ Site Io;,.ation (number & street) cr d 3 D r -l' ~ () ... s I- . )lCity C Village C Townof ()<,"tll~lçJ... County of Wì"tIlt'!bCl jf> 2. PURPOSE OF THIS STATEMENT: (Check Box A, B, C, or 0 to indicate purpose and complete any-Other applicable boxes and information. Attach additional pages if necessæy,) - Check Ihose Which apply: :WBuilding Object 10# "(4007 ç [JHVACObjectIO# [J Ughting Object 10 # [J Partial Completion Ce&cription of Portion Completed . A) ~~to~~~~: :::~:n=sed on onsite Obselvation, construction of th~ following building a~or HVAC items applicable to'this projectlìâŸe béenCOlÎÍpleted in substantial compliance with the approved plans and specifications. C BUILDINGlUGHTlNGI'T'EMS 1. SI1uc:Wtal system Including sullmiUal and eRICIion d 811 building COInIOnent$ (truneo, )I1ICaSt, molal building, etc.) 2. FinI IfIIIAIcIian lysIema (~,aIanna, ........ deIeokn) deoigned, lnatallod, and tested (inclYding forwatd flaw on back flaw -) by oppropriateIy rogi$terod plOfesaicnais . 3. SIIaft and IIaIrway encIœunI of. E¡Õa including exit and ditecIionaIlIghil 5. F........... CCIIIIIUCtian, encIaa... d '-do, fir8 waUl, IIÞoIod doora, cIau d COI1$trucIian, fir8 IIqIpod ~ 8. S8niIation system (1GiIeIa, 1inkI, drinking fIICiIiIies) 7. BaIIier.free including Cønm 18 eIevoIors and lifts 8, EIIIIIgy 8I\V8Icpé requitwnenls 8. All condiIIonI d building plan approval IIIId appIicabI8 VIII'IIInc:eI , The following itIIm. ani not in GOmpilance and muat be addreaaecl: 10. E»eriar lighui.g & GOII/IQ requJremenla 11. 1_lIghling&_RICUir-..a 12, All condiIiana Ii lighting - 8IIIIMII and applicable variances C INACITEMS 1. HVAé IYI/8IIi Including final tell 2.. AS COIIditiatIa d HVAC plan apptO\III ancI applicable variances - B) C Statemen~ of Noncompliance , Cue to the following ri$ted violations, thi~ project r. not reedy tor occupanc:y: C) [J Supervising ProflisSlonål WlÍhclrawn From Project (Use A or B above to indicate project status as of this date.) D) C Project Abandoned . 3. SUPERVISING PROFESSIONAL SIGNA1:URE FOR: C Building C HVAC ë Ugl\ting /vi ç Na1I8 CI>IeaM print or typII Phonenumbe81f)1~ír:)tCu&tomerID# ~:5Of:3, (,