HomeMy WebLinkAboutCERTIFICATE
CITY HALL
Inspection Services Oiv
215 Church Avenue
~POBOX1130
Oshkosh WI
~ 54903-1130
OfHKOfH
City of Oshkosh
ON THE WATER
Approved:
April 24, 2006
2020 Jackson Street LLC
601 A Oregon Street
Oshkosh, Wisconsin 54902
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby issued for the tenant space build out, located at
2010 Jackson Street, Oshkosh, Wisconsin 54901-2208 as described in Building
Permit Application number(s) 115995.
This building is to be used only as "Tan Lines" and is located in the C-2PD,
General Commercial District with a Planned Development Overlay.
LIMITATIONS:
Maximum number of persons:
50 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.
cc: R J Albright Inc.
Tan Lines
Building Permit Work Card
Job Address 20102020 JACKSON ST Permit Number 0115995
Create Date 8/25/2005
Owner 2020 JACKSON STREET LLC
Contractor TENANT
Category 230 - New Stores & Customer Service
Type. Building
Zoning
0 Sign
0 Canopy
0 Fence
0 Raze
Plan P1-43-0705
Value $65,000.00
Garage ----.2 Sq. Ft.
n Projection I
Class 01 Const:
Size 5000 approx.
Unfinished/Basement 0 Sq. Finished/Living 0 Sq. Ft.
~Ft.
Rooms 0 Bedrooms ------'1 Baths 0
Stories
Foundation. Poured Concrete
0 Concrete Block
Height ------'1 Ft.
0 Floating Slab
0 Post
Canopies
0 Signs 0
0 Other
0 Pier
0 Treated Wood
Occupany Permit Required
Park Dedication
Flood Plain
Height Permit
# Structures
# Dwelling Units ~
0
Use/Nature
01 Work
010 Jackson / Interior Build out 01 south tenant space lor Tan Lines.
HVAC Contr
Plumbing Contr
Electric Contr
Inspections:
Date ~ --'----- Type Rough In
r"'~ ""
DatelTime requested: 10/27/2005 08:49 AM
Access:
Inspector Allyn Dannhoff
no time
Notice Type:
Phone Number: CRAIG 420-5005
ilF NO ONE IS PRESENT CONTACT CRAIG
Ready DatelTime: 10/27/200508:49 AM Requested By: LEACH BROS.
0 Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
------------------------------------------------------------------------------------------------------------------------------------------,----'---------""-"--------------
Date 11/3/2005 -'----------
Type Note
Inspector Allyn Dannhoff
REMINDED CONTRACTOR NOT TO CLOSE CEILING UNTIL ISSUE OF ROOF STRUCTURE I HVAC BTU IS RESOLVED. CRAIG
SAYS HE HAS CALLED OWNER ON THIS.
DatelTime requested:
Access:
~-
Notice Type:
Phone Number:
Ready DatelTime: ---'--------- Requested By:
0 Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
-------------------------------------------------------------------------------------------------------------------------------m'-------------------------------------------
Page 1 012
Building Permit Work Card
Job Address 20102020JACKSONST Permit Number 0115995 CreateDate 8/2612005
Owner 2020 JACKSON STREET LLC
Contractor TENANT
Category 230 - New Stores & Customer Service
Type. Building
Zoning
0 Sign
0 Canopy
0 Fence
0 Raze
Unlinished/Basement 0 Sq.
~Ft.
Rooms 0 Bedrooms
Finished/Living 0
Baths 0
Sq. Ft.
Plan P1-43-0705
Value $65,000.00
Garage ------'1 Sq. Ft.
n Projection I
Class 01 Const:
Size 5000 approx.
Stories 1
Height ------'1 Ft.
0 Floating Slab
0 Post
Canopies ----.2 Signs 0
Foundation. Poured Concrete
0 Concrete Block
0 Pier
0 Treated Wood
0 Other
Occupany Permit Required
Park Dedication
Flood Plain
Height Permit
# Structures
# Dwelling Units ~
0
Use/Nature
01 Work
010 Jackson / Interior Build out 01 south tenant space lor Tan Lines.
HVAC Contr
Plumbing Contr
Electric Contr
Inspections:
Date ~-'----------
roe ~-"" "m,
DatelTime requested:
Access:
Type Final
Inspector Allyn Dannhoff
approved w/cond.
~-
Notice Type:
Phone Number:
Ready DatelTime: ---'--------- Requested By:
0 Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
_mmm_mmmnmmmmmmm-nmmnmnmmmnmnm..nm_mnmnn_mmmmm.mmmm_mmn_mmmmmmmnnnmmm.
Date 4/24/2005 -'----------
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
_mmnmmn---n---n---nnmnmmmm_m_m_mmnnmmmmmmmmmmnmmmmmmnm_mmmmmmn.mnnn---'mmmn---
Page 2012
Electric Permit Work Card
Job Address' 20102020 JACKSON ST
Permit Number 116282 Create Date 9/14/2005
Owner 2020 JACKSON STREET LLC
Contractor CUMINGS ELECTRIC INC
Category 641 - Commercial-New Service
Service . New
Volts
0 ChangeO Temp 0 N/A
I Type 0 Overhead
Fee
$313.00
D
. Underground 0 N/A
Luminaires 100
Receptacles 50
Value $43,000.00
277/480
Circuits 60
Amps
800
Switches
15
Appliances
r',"m_~
Use/Nature
01 Work
New Commercial space\ Tan Lines-CEI 9270
Inspections:
Date 10/12/2005
Type Rough In
Inspector Kevin Benner
approved w/cond.
REQUEST LINE / INSIDE BUILDING ONLY FOR OUTER WALLS
Replace the temporary lighting
ENT installed by the owner lor the low voltage shall be installed in complance with the codeReviewed with
Todd on site
DatelTime requested: 10/12/2005 07:44 AM
Access:
Notice Type:
Phone Number: NOT GIVEN
Ready DatelTime: 10/12/200507:44 AM Requested by:
-~
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
CUMINGS ELECTRIC INC
nnmmnnnmnnmnnnmmmnmmmmnnnnnnmmmmmmnmmnmmnmmnnmnnnmmmnmmmmmnmm
Date 11/01/2005
Type Rough In
Inspector Kevin Benner
approved w/cond.
Request Line - Tan Lines - RI interior walls
ENT support (owner installed 2nd notice)
The installation was not complete because the E.C. was installing wire.
DatelTime requested: 10/31/2005 11:51 AM
Access:
Notice Type:
Phone Number:
Ready DatelTime: 10/31/2005 11 :51 AM Requested by:
-~
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
CUMINGS ELECTRIC INC-Jan
nnmmnnmnmmmmnnmmnmmm_nn_n_n_n_nnnmmnnn_m_nnnmnnnmnmnnnnnn_nmnnnnn__---nnnnn
Electric Permit Work Card
Job Address 20102020 JACKSON ST
Owner 2020 JACKSON STREET LLC
Permit Number 116282
Create Date 9/14/2005
Contractor CUMINGS ELECTRIC INC
Category 541 - Commercial-New Service
Service . New 0 ChangeO Temp 0 N/A I Type 0 Overhead
Volts 277/480 Circuits 60
Amps 800 Switches 15
. Underground 0 N/A
Fee
$313.00 D
Luminaires 100
Receptacles 50
Value $43.000.00
Appliances
i' ,"m'œ~
Use/Nature
01 Work
New Commercial space\ Tan Lines-CEI 9270
Inspections:
Type Consultation
Inspector Kevin Benner
approved w/cond.
Date 11/0212005
Discuss the service reconstruction
Support 01 the existing service entrance raceways which are presently distorting the exisitng enclosure
DatelTime requested: 11/01/2005 12:47 PM
Access:
Meet E.C. on site
Notice Type:
Phone Number:
Ready DatelTime: 11/0212005 02:00 PM Requested by:
-~
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
CUMINGS ELECTRIC INC
mm_mmnmmmmmmmmm_mmm___mmmnmmnnnnmnnmmm_m_mn----_mmmmmmmmmmnnnmmm
Date
Type Service
Inspector Kevin Benner
DatelTime requested: 11/01/2005 12:48 PM
Access:
Notice Type:
Phone Number:
Ready DatelTime: 11/05/2005 11 :00 AM Requested by:
-~
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
CUMINGS ELECTRIC INC
mmmmmmmmmmm_--n--nn--n------------------------_----_nm_m--n--mmmnmnmmmnmnmnmmm--mmmmm
Electric Permit Work Card
Job Addres5 20102020 JACKSON ST
Permit Number 116282 Create Date 9/14/2005
Owner 2020 JACKSON STREET LLC
Contractor CUMINGS ELECTRIC INC
Category 641 - Commercial-New Service
Service . New 0 ChangeO Temp 0 N/A I Type 0 Overhead
Volts 277/480 Circuits 60
. Underground 0 N/A
Fee
$313.00 D
Luminaires 100
Receptacles ~
Value $43,000.00
Amps
800
Switches 15
Appliances
r.,"=œ~
Use/Nature
01 Work
New Commercial space\ Tan Lines-CEI 9270
Inspections:
Date 11/05/2005
Type Re Service
Inspector Kevin Benner
approved
Bonding was incorrect, waited while the bonding was corrected
Approved with the lineman to energize the service 11/5/5
Faxed & Mailed to WPS 11/7/5
DatelTime requested: 11/05/2005 12:00 PM
Access:
Notice Type:
Phone Number:
Ready DatelTime: 11/05/2005 02:00 PM Requested by:
0 Reinspect Fee 0 Fee Wavled D Reinspect Fee Paid
mm_m_mmmmn--m---mm_mm_mmnommnomm------nmmmmmmm_--nmm----mm____mmnnmo----Ommnnn
Date 01/04/2005
Type Final
Inspector Kevin Benner
not approved
Not Ready (Reviewed with Cory)
Emergency luminaires on not on the local lighting circuit, missing exit luminaire(s), coverplates, buck-boost
XFMR to be installed, reception desk receptacle to be piped with fittings, etc.
DatelTime requested: 01/03/2006 12:56 AM
Access:
Meet Cory on site
Notice Type:
Phone Number:
Ready DatelTime: 01/04/2006 00:00 PM Requested by:
-~
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
CUMINGS ELECTRIC INC Doug Krause
mm__mmm-----_mm_mn--m--mno---------n--mmm_mmmmonmo_m---------Omnm_mmmn--o_m____mmmnmnmn
Electric Permit Work Card
Job Address 20102020 JACKSON ST
Own~r 2020 JACKSON STREET LLC
Permit Number 116282 Create Date 9/14/2005
Contractor CUMINGS ELECTRIC INC
Category 641 - Commercial-New Service
Service . New 0 ChangeO Temp 0 N/A I Type 0 Overhead
Volts 277/480 Circuits 60
. Underground 0 N/A
Fee
$313.00 D
Luminaires 100
Receptacles 50
Value $43,000.00
Amps
800
Switches 15
Appliances
r'~~~
Use/Nature
01 Work
New Commercial space\ Tan Lines-CEI 9270
Inspections:
Type Re Final
Inspector Kevin Benner
not approved
Date 05/05/2006
Cord and Plug connect 2 Tanning beds, covers and panel covers
Date/Time requested: 01/05/2006 08:36 AM
Access:
Notice Type:
Phone Number:
Ready DatelTime: 01/05/2006 01 :30 PM Requested by:
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
m m m mmmm n - n m..---.... -- -- n n n n -- m m mm_o m m m m m m m m m -.. o..m.........m.... -- m omm--mo m mom momm
Type Re Final
Inspector Allyn Dannhoff
approved
Date 01/1212006
Field electrician stated that the corrections would be done lor an AM inspection
Discussed with the Building Inspector that he would verify compliance when he does his re-inspect.CALL
RECEIVED NOTING CORRECTIONS WERE COMPLETED
DatelTime requested: 01/05/2006 00:00 PM
Access:
Notice Type:
Phone Number:
Ready DatelTime: 01/06/2006 00:00 AM Requested by:
-~
0 Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
mm_mmmmmmmmmmmmmmmmmmmmmmnmOm.......mommmmmmmmmmnmmnmmmmnnnmn
HVAC Permit Work Card
Job Address 20102020 JACKSON ST Permit Number
~ Create Date 12106/2005
Owner
2020 JACKSON STREET LLC
Contractor CENTRAL HEATING SERVICE INC
Plan P1-43-0705-H
Category 512 - Ind. & Comm-Both
Fuel ~ DJ5iC::J I I Electric I ~ ~ Value
System PI New D Replace n Other
$23,500.00
I ~ NC I U Vent
I U Con. Burner I
I
I
~ Forced Air
U Eiectric
I U Radiant
I U HotWater
I U Steam
I U Suppl.
Chimney Type KJ Chimney A 0 Chimney 8 . Direct Vent KJ Not Applicable
Heat Loss . As Approved () Existing () Not Applicable I Value
BTU Rate . As Per Plan 0 Variable () Other I Value
Use/Nature
01 Work
010 /Install HVAC system as per plans for "Tan Lines"
Inspections:
Date 4/24/2006
Type FinaL
Inspector Allyn Dannhoff
approved
DatelTime requested:
Notice Type: - Phone Number:
Access:
Ready DatefTime:
Requested By:
0 Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
......... ------... m... ---.... ...m... m_nm__......... ...... --..... -- 0.. -............... -- m.." -- -- n n ---- 0_..._..................... m n no............... "'om.
Plumbing Permit Work Card
Job Address 20102020 JACKSON ST Permit Number 114833 Create Date 06/23/2005
Owner 2020 JACKSON STREET LLC Contractor O'NEILL ENTERPRISE INC
Category ,.440 -Industrial-Interior Plan Value $5,000.00
Bathtub ---2 Shower ---2 Water Softner 0 Wait.S!. ~ Shamp Sink ~ Coffee Maker ~
Whirlpool 0 Floor Drain ~ Local Waste 0 Ice Chest ~ FlrlWst Sink 0 Int Grease Trap ---2
Lavatory ~ Lndry Tray .........1 Clothes Wshr 0 Exam Sink ~ Catch Basin ~ Ex! Grease Trap 0
Toilet 5 Disposal ---2 Bidet 0 Sculry Sink ~ Wash Ftn 0 RPZ Valve ~
Res. Sink 0 Dishwasher ---2 Beer Tap 0 Hand Sink ~ Urinal 0 Eye Wash Statn ---2
Bar Sink ---2 Sump Pump ---2 Lab Sink 0 PlasterSink ~ Standp Rec 0 Wtr Sewer Mtrs 0
Water Heater ~ Classrm Sink ---2 Sterilizer 0 Surgeons Sink ~ Ice Maker ~ Deduct Meters ~
Site Drain ---2 Breakrm Sink ~ DipWell 0 F Prep Sink ~ Gar Drain 0 Wtr Usage Mtrs ---2
Rool Drain 0 Ejector/Grind ---2 Drink Ftn 0 Serv Sink ~ Soda Disp ~
Misc. ---2
Fixtures
Use/Nature I
01 Work Strip mall interior plumbing (Debit Account)
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
. 0
Type Rough In
Inspector Rich Wood
approved w/cond.
Date 7/21/2005
FAXED REQUEST- Partial rough in, north half 01 strip mall only. Main vent stack not extended through roof.
DatelTime requested:
7/20/200512:09 PM
Notice Type: -
Telephone Number:
PAT 589-2007
Access:
Ready DatelTime: 7/20/2005 12:09 PM Requested By: O'NEILL ENTERPRISE INC
0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 20102020 JACKSON ST Permit Number 114833 Create Date 06123/2005
Owner 2020 JACKSON STREET LLC Contractor O'NEILL ENTERPRISE INC
Category 440 - Industrial-Interior Plan Value $5,000.00
Bathtub ----.!1 Shower 0 Water Softner 0 Wait.S!. ~ Shamp Sink ~ Coffee Maker ~
Whirlpool 0 Floor Drain 5 Local Waste 0 Ice Chest ~ FlrlWstSink ~ Int Grease Trap ~
Lavatory ~ Lndry Tray 1 Clothes Wshr 0 Exam Sink ~ Catch Basin ~ Ext Grease Trap ~
Toilet ~ Disposal 0 Bidet 0 Sculry Sink ~ Wash Ftn ~ RPZValve ~
Res. Sink ----.!1 Dishwasher 0 BeerTap 0 Hand Sink ~ Urinal ----.!1 Eye Wash Statn ~
Bar Sink ----.!1 Sump Pump 0 Lab Sink 0 PlasterSink ~ Standp Rec ~ Wtr Sewer Mtrs ~
Water Heater ---1 Classrm Sink 0 Sterilizer 0 Surgeons Sink ~ Ice Maker ~ Deduct Meters ~
Site Drain ----.!1 Breakrm Sink 2 DipWell 0 F Prep Sink ~ Gar Drain ~ Wtr Usage Mtrs ~
Rool Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink ~ Soda Disp ~
Misc. ----.!1
Fixtures
UseiNature
01 Work Strip mall interior plumbing (Debit Account)
Size Material Type # Conn. Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 0
0
0
0
0
Date
Type Final
Inspector Allyn Dannhoff
approved
FINAL PLUMBING FIXTURES CONNECTED AND OPERABLE. OK. (Hendrickson)
DatelTime requested:
Notice Type:
Telephone Number:
Access:
Re~dy DatelTime: ~ - Requested By:
0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
Job Address 20102020 JACKSON ST
Owner 2020 JACKSON STREET LLC
Plumbing Permit Work Card
Permit Number 114833
Contractor O'NEILL ENTERPRISE INC
Create Date 06/23/2005
Category 440 - Inpustrial-Interior Plan Value $5,000.00
Bathtub 0 Shower 0 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker ~
Whirlpool 0 Floor Drain 5 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap ~
Lavatory 5 Lndry Tray 1 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 5 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZValve ~
Res. Sink 0 Dishwasher 0 BeerTap 0 Hand Sink 0 Urinal 0 Eye Wash Statn ~
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec ~ Wtr Sewer Mtrs ~
Water Heater 2 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker ~ Deduct Meters ~
Site Drain 0 Breakrm Sink 2 DipWell 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs ~
Rool Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
Misc, 0
Fixtures
Use/Nature I Strip mall interior plumbing (Debit Account) I
01 Work
Size
Date
Type Rough in
Material Type # Conn.Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Inspector Allyn Dannhoff no time
Sanitary Sewer
Storm Sewer
Water Service
Phone clarification - RI for Tan LInes9/22105 NO STAFF AVAILABLE TO PERFORM INSPECTION
DatelTime requested:
9/21/200510:41 AM
Notice Type: -
Telephone Number:
920-589-2007
Access:
Ready DatelTime: 9/21/2005 10:41 AM Requested By: O'NEILL ENTERPRISE lNG-laurie
0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
Job Address 20102020 JACKSON ST
Owner 2020 JACKSON STREET LLC
Category . 440 -Industrial-interior
Bathtub --.!J Shower
Whirlpool --.!J Floor Drain
Lavatory --2 Lndry Tray
Toilet --2 Disposal
Res. Sink --.!J Dishwasher
Bar Sink --.!J Sump Pump
Water Heater ~ Classrm Sink
Site Drain --.!J Breakrm Sink
Rool Drain --.!J Ejector/Grind
Misc. 0
Fixtures
0
5
1
0
0
0
0
2
0
Plumbing Permit Work Card
Permit Number 114833 Create Date 06123/2005
Contractor O'NEILL ENTERPRISE INC
Plan Value $5,000.00
Water Softner 0 Wait. St. --.!J Shamp Sink ~ Coffee Maker --.!J
Local Waste 0 Ice Chest 0 FlrlWst Sink ~ Int Grease Trap 0
Clothes Wshr 0 Exam Si"k ~ Catch Basin --.!J Ex! Grease Trap ~
Bidet 0 SculrySink --.!J Wash Ftn --.!J RPZ Valve --.!J
Beer Tap 0 Hand Sink --.!J Urinal ~ Eye Wash Statn --.!J
Lab Sink 0 Plaster Sink --.!J Standp Rec --.!J Wtr Sewer Mtrs --.!J
Sterilizer 0 Surgeons Sink ~ Ice Maker --.!J Deduct Meters --.!J
Dip Well 0 F Prep Sink 0 Gar Drain ~ Wtr Usage Mtrs --.!J
Drink Ftn 0 Serv Sink --.!J Soda Disp ~
Use/Nature I :
01 Work I Strip mall Interior plumbing (Debit Account)
I
Size
Material
Sanitary Sewer
Storm Sewer
Water Service
Type # Conn.Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Inspector Paul Woll approved
Date 1/612006
Type Final
r~'~~OO-'~"~'
DatelTime requested: 1/612006 08:39 AM
Access:
Notice Type:
Telephone Number:
Ready DatelTime: 1/612006 08:39 AM Requested By: O'NEILL ENTERPRISE INC
0 Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
~
CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: ZolO T ~~"'1
CONTRACTOR: "'7;"",^ u< J-.-
PROJECT TO BE ~SPECTED: /a Yt ,{) ",e S
'Fr\~
~
City of Oshkosh
Inspection Services Division
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax (920) 236-5084
TYPE OF INSPECTION:
I
~N,
Print Name
Company
Signature:
Date
"
(f)
OJHKQfH
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
www.ci.oshkosh.wi.us
O",HE WATER
October 28, 2005
Karen Casey
G.A. Larson Company
2669 Industry Court
Green Bay, WI 54304
Art Drunke
2020 Jackson Street LLC
601 Oregon St Suite A
Oshkosh, WI 54902
Site:
Tanlines
2010 Jackson St
Plan Number: Pl-43-0705-H2
(w/ fax dated 10/25/05)
For:
Description: Tenant space alterations
Object Type: HV AC only
Class of Construction: DIB - 4600 Sq Ft.; Unsprinklered
Occupancy: B: Business Non Separated 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 defined in Chapter
101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements
Key Item(s) / Conditions:
IMC 306.5 Equipment and appliances on roofs or elevated structures. Where equipment and
appliances requiring access are installed on roofs or elevated structures at a height exceeding 16 feet (4877
mm), such access shall be provided by a pennanent approved means of access, the extent of which shall be
from grade or floor level to the equipment and appliances' level service space. Such access shall not
require climbing over obstructions greater than 30 inches (762 mm) high or walking on roofs having a
slope greater than 4 units vertical in 12 units horizontal (33-percent slope). VerifY that permanent fixed
ladder has been installed to access roof-sheet A-i.i a original State appoved buüding plans indicates
a roofhatch will be instaUed in the rear of the South tenant space.
IMC 401.5.1 Mechanical and gravity outside air intake openings shall be located a minimum of 10 feet
from any hazardous or noxious contaminant such as vents, chimneys, plumbing vents, streets, alleys,
parking lots and loading docks.
IMC 606.4.1 The smoke detectors shall be connected to a fire alarm system. The actuation of a smoke
detector shall activate a visible and audible supervisory signal at a constantly attended location. IMC
606.4.1 Exception 2. In occupancies not required to be equipped with a fire alarm system, actuation of a
smoke detector shall activate a visible and an audible signal in an approved location, Smoke detector
trouble conditions shall activate a visible or audible signal in an approved location and shall be identifies
as air duct detector trouble,
iL\briann\2005 C:omm Pian Reviews\Pl--i3-07(¡5oJI2 2010 Jnckson StHVAC Only.doc
Page 1 of2
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(l).
SUBMIT:
. IMC 302.1 The building or structure shall not be weakened by the installation of mechanical systems.
RTU-2 has been located in an area not identified on Structural Roof Framing Plan S-3.] in the
original State approved building plans, as being provided with additional support for R Tv. Provide
structural calculations showing roof structure can carry additional load of RTU
IMC 304.9 Guards. Guards shall be provided where appliances, equipment, fans or other components that
require service are located within 10 feet (3048 nun) of a roof edge or open side of a walking surface and
such edge or open side is located more than 30 inches (762 nun) above the floor, roof or grade below. The
guard shall extend not less than 30 inches (762 nun) beyond each end of such appliance, equipment, fan or
component and the top of the guard shall be located not less than 42 inches (1067 nun) above the elevated
surface adjacent to the guard. The guard shall be constructed so as to prevent the passage of a 21-inch-
diameter (533 nun) sphere and shall comply with the loading requirements for guards specified in the
International Building Code. Provide detailed information showing compliance with this section.
MUN 30-35 (1)(5) All rooftop and ground level mechanical equipment and utilities shall be fully screened
ftom 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 detennined in accordance
with Section 7.8 of ASCE 7. Provide screening plans for review prior to installation. NOTE: A Permit
for HVAC work will not be issued until a screening plan is approved!
IECC 503.3.3.7 [Comm 63.0503(2)(1)] Balancing and documentation of the HV AC system shall confonn
to the lMC. 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 fonn 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 commencement 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.
. s correspondence may be made to me at the number listed below or the address on this letterhead,
ri e
Building Systems Inspector.
(920) 236-5051 Monday-FridayBOAM. to 8,30 AM and IBO A.M to i,30P.M.
bnoe@ci.oshkosh.wi.us
Fee Required
Fee Received
Balance Due
$
$
$
300.00
300.00
0.00
cc: Property file
Page2of2
Building Permit Work Card
Job Address 20102020JACKSONST Permit Number 0114497 CreateDate 4/25/2005
Ow~er 2020 JACKSON STREET LLC
Contractor R J ALBRIGHT INC.
Category 230 - New Stores & Customer Service
Type. Building
0 Sign
0 Canopy
0 Fence
0 Raze
Plan 04-19-0405
Value $380,000.00
Garage ----.2 Sq. F!.
n Projection I
Zoning
Class 01 Const:
Size irreg
Unlinished/Basement 0 Sq. Finished/Living 7672 Sq. F!.
~F!.
Rooms ------'1 Bedrooms ------'1 Baths ------'1
Height ------'1 F!.
0 Floating Slab
0 Post
Canopies ----.2 Signs 0
Stories 1
Foundation. Poured Concrete
0 Concrete Block
0 Pier
0 Treated Wood
0 Other
Occupany Permit Required
Flood Plain
Height Permit
# Dwelling Units ~
# Structures
Park Dedication
Use/Nature New Commercial Building - Shell Only - Work above the loundation.
of Work
HVAC Contr
Plumbing Contr
Electric Contr
Inspections:
Date ~-'----------
[' ro'Œ'~ OO~O
DatelTime requested:
Access:
Type Rough In
Inspector Allyn Dannhoff
approved
~-
Notice Type:
Phone Number:
Ready DatefTime: - --'--------- Requested By:
0 Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
m m moo m m m ..mo mm n m_m m.. .........- m 0 00 ....m 0 00 0 m m m m mmmm_--__n m m m m m m m m m m n m mmmmom_om ..m--mm 0
Date 9/14/2005 --'-----
Type Final
Inspector Allyn Dannhoff
not approved
r"~
~-
Notice Type:
Phone Number:
DatelTime requested:
Access:
~
Ready DatelTime: ---'--------- Requested By:
0 Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
nmnnmnn..n....nnmnnmnnnm..o....n....n..mmmmmmmommmm--nmnnmmmmnmmnmmmmmmnmmmmm""nn
Page 1 011
Building Permit Work Card
2010-2050 JACKSON ST Permit Number 0113678 Create Date 4/22/05
Contractor R J ALBRIGHT.lNC..
0 Sign
0 Canopy
0 Fence
0 Raze
I Plan 04-19-0405
Class 01 Cons!:
$100,000.00
Size IRREG
Value
------'1
1
0 Sq. Finished/Living 7672 Sq. Ft.
~Ft.
Bedrooms ------'1 Baths ------'1
Garage ----.2 Sq. Ft.
n Projection I
Height ------'1 Ft.
0 Floating Slab
0 Post
Canopies ----.2 Signs 0
. Poured Concrete
0 Concrete Block
0 Pier
0 Treated Wood
0 Other
Required
Flood Plain
Height Permit
# Structures
# Dwelling Units ~
0
New Commercial- Found.ation lor 7672.81 commericialu8!,.bgilding. . No work to proceed above the
oundation until such permit is secured.
Plumbing Contr
,...", "",""','" :.." -." ,....,,":..
~~
Inspector
~
4/27/05 ÒÚ7PM'
--
,., "":,""""':"""""":"~"
I
"'7""""~""""~"'" -",",:'. :""""":'""~"""":"""""~""-""'~
Buildings, HVAC Compliance Statement SBD-9720
This lorm is required to be submitted by the supervising professional (architect, engineer, HVAC designer or electJical designer)
observing construction of projects within buildings with total areas exceeding 50,000 cubic feet or greater and bleachers
(Comm 50. 1 O/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 and
. Safety and Buildings, 10541 N Ranch Road, Hayward, WI 54843
Note: If the review was done by the municipality, the compliance statement goes only to the municipal
inspector. A copy is ont needed by Safety & Buildings. ~ r
. ", ,"
Personal inlormation you provide may be used for secondary purposes ¡Privacy Law, s. 15.04 (1 )(m)J.
1. PROJECT INFORMATION: Please fill in the following with information from your plan approval13rf:
Transaction ID Number 1116458
Site Number 695740
Site location (number & streèt)
0 City 0 Village 0
2. PURPOSE OF THIS STATEMENT: (Check Box A, B, C, or D to indicate purpose and complete any other
applicable boxes and information. Attach additional pages if necessary).
Check those which apply: 0 Building Object 10# 1008046
0 Lighting Object 10#
2004 - 2020 Jackson Street
Town Of Oshkosh
0 Partial Completion
¿ 3 2005
County òf
."^",.:.,,i:,d!
Wlnnebãgõ' .
0 HVAC Object ID#
Description 01 Portion Completed
Statement of Substantial Compliance
To the best 01 my knowledge, beliel, and based on onsite observation, construction ofthe lollowing building and/or HVAC items
applicable to this project have been completed in substantial compliance with the approved plans and specifications.
A) 0
0 BUILDlNGILIGHTING ITEMS
1. Structural system including submittal and erection of all building
components (trusses, precast, metal building, etc.)
2. Fire protection systems (sprinklers, alarms, smoke detectors)
designed, installed, and tested (including lorward flow on back flow
devices) by appropriately registered prolessionals.
3. Shaft and stairway enclosure
4. Exits including exit and directional lights
5. Fire-resistive construction, enclosure 01 hazards, fire walls, labeled
doors, class of construction, fire stopped penetrations
6. Sanitation system (toilets, sinks, drinking facililies)
7. Barrier-Iree including Comm 18 elevators and lifts
8. Energy envelope requirements
9. All conditions 01 building plan approval and applicable variances
The lollowlng ttems 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 applicabie variances
B) 0 Statement of Noncompliance
Due to the lollowing listed violations, this project is not ready lor occupancy:
C) 0 Supervising Professional Withdrawn From Project (Use A or B above to indicate project status as of this date.)
D) 0 Project Abandoned
3. SUPERVISING PROFESSIONAL SIGNATURE FOR:
0 Building 0 HVAC 0 LIghting Ste hen Gries
Name (piease print or type)
Customer iD# 993893 Signature
Phone #
(920) 722-2445
SBD-9720 (R.02l2004)