HomeMy WebLinkAbout2006-Certificate 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:
April 4, 2006 .
Compass Properties LLC
1145 Clarks Street
Stevens Point, Wisconsin 54481-2980
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby issued for the tenant space alterations, located
at 515 S. Washburn Street, Oshkosh, Wisconsin 54904-7976 as described in
Building Permit Application number(s) 117950.
This building is to be used only as "Fox Valley Dermatology" and is located in the
C-2, General Commercial District
LIMITATIONS:
Maximum number of persons:
40 Occupants
A new Certificate of Occupancy shall be required prior to occuRancy, 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.
Job Address 515 S WASHBURN ST
Building Permit Work Card
Permit Number 0117950 Create Date 1/23/2006
Owner COMPASS PROPERTIES LLC
Contractor R J ALBRIGHT INC.
Category 223 - Alteration Offices, Banks, Professional
Type. Buildin9
Zoning
0 Sign
0 Canopy
0 Fence
0 Raze
Plan
Class of Const:
Size
Value
$42,800.00
Unfinished/Basement 0 Sq. Finished/Living ~ Sq. Ft.
-Ft.
Rooms -----.!! Bedrooms 0 Baths -----.!!
Garage -.-JJ Sq. Ft.
n Projection I
Stories 2
Height -----.!! Ft.
0 Floating Slab
0 Post
Canopies -.-JJ Signs 0
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
0
Use/Nature ¡>uite 204/ Remodel and combine a portion of suite 205 into this suite. Relocate doors, walls, remodel bath
of Work 0 be accessible. . Note: Plan review is not complete at this time, contractor is proceeding at own risk.
HVAC Contr
Plumbing Contr
Electric Contr
Inspections:
Date ~ -'--- Type Final
roo' ""' . ~~ . 00 ~"'" ~
DatelTime requested: 2/24/2006 01 :16 PM
Access:
Inspector Allyn Dannhoff
not approved
Notice Type:
Phone Number: 231-8635 376-0248
Ready DatelTime: 2/24/2006 01:16PM Requested By: RJ ALBRIGHT INC.-Scott
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
--__m_mmm--m--___---_mmm__mmmmmm___________mmmmmm_-n-_m_hmmm_m__m__hhhm__-__mmm_m_mmmmmm--m
Date 4/4/2006 --'--
Type Re Final
Inspector Allyn Dannhoff
appròvèd w/cond.
~~~E~~~T ~~~~~~~g ~cg~~~I~~~~Fo~ò~ ¿f6~~~;~C~I~;~i~~'¿~~R~~~~~~~~;6~E D'Á~~~~2~~~~ COMPLIANCE
DatelTime requested:
Access:
--
Notice Type:
Phone Number:
Ready DatelTime: --'------ Requested By:
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
__mmmmm----'_mmmmmmm_mnm_mm--mmm--__m___m_m_mm_mm__-_-_m_h_m--mmm--_m_m--mm_m_mm--__m_mn---
Page 1 of 1
"'.
Job Address 515 S WASHBURN ST
Owner COMPASS PROPERTIES LLC
Electric Permit Work Card
Permit Number 117890 Create Date 01/16/2006
Contractor ELECTRICAL CONTRACTING SPECIAL;:
Category 643 - Commercial-Addition/Remodels
Service b New 0 ChangeO Temp 8 N/A I Type 0 Overhead Q Underground 8N/A
Volts Circuits 4 Fixtures 12
Amps 0 Switches 10 Receptacles 25
Fee
$146.00 0
Value
$7,000.00
Appliances
r"'~
Use/Nature
of Work
r ~. - --. œ~~~ ",. MOo" , "'m ==
Inspections:
Date 01/26/2006
Type Rough In
Inspector Kevin Benner
not approved
Request Line
Insulated and 70% drywalled
DatelTime requested: 01/24/2006 11:05 AM Notice Type:
Access:
Tower West Medical Building
Ready DatelTime: 01/24/2006 11:05 AM . Requested by:
0 Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Phone Number: 428-7000
ELECTRICAL CONTRACTING SPECIALIS
Date 01/27/2006
Type Re Rough in
Inspector Kevin Benner
approved w/cond.
open K.O.. Discussed with Ross on site.
Ross called at 12:03 PM, stated the vio.s are correct.
DatelTime requested: 01/27/2006 07:34 AM Notice Type:
Access:
Phone Number: 420-7000 Nick
Ready DatelTime: 01/27/200600:00 PM - Requested by:
0 Reinspect Fee 0 Fee Wavied 0 ReinspectFee Paid
Job Address 515 S WASHBURN ST
HV AC Permit Work Card
Permit Number
118440 Create Date 03/09/2006
Owner
COMPASS PROPERTIES LLC
Contractor CENTRAL HEATING SERVICE INC
Plan R4-02-0106
Category 510 -Ind. & Comm-Heating & Ventiiating
Fuel ~ D.::2IC::J I I Electric I ~ ~ Value
System n New 0 Replace Pl Other
$2,200.00
~ Forced Air I U Radiant I U Steam
U Electric I U HotWater I U Suppl.
Chimney Type [) Chimney A 0 Chimney B
I ~ AlC I ~ Vent
I U Con. Burner I
I
I
0 Direct Vent
Heat Loss
0 Existing
() Variable
0 Not Applicable I
0 Other I
Value
. Not Applicable
0
BTU Rate
. As Approved
. As Per Plan
Value
Use/Nature
of Work
Iterations of HVAC system as per plans - AFTER THE FACT PERMIT!
Inspections:
Date 4/4/2006
Type Final
Inspector Allyn Dannhoff
approved w/cond.
FINAL B & H OK. OCCUPANCY PERMIT APPROVED WITH THE FOLLOWING CONDITION: THE ARCHITECHT'S
COMPLIANCE STATEMENT IS VIEWED AS CONFIRMATION OF COMPLIANCE WITH THE CORRECTION NOTICE
DATE 2/27/06.
DatelTime requested:
Notice Type: ----" Phone Number:
Access:
Ready DatelTime:
Requested By:
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
hmmmm_mh___h_mmmm--m___mm_mmmmmm_____m_m__mn_m_--m_m_h--h_mmmmmmmmmmmmm____mm--__hm--.
Job Address 515 S WASHBURN ST
Owner COMPASS PROPERTIES LLC
Category 440 - Industrial-Interior
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Disposal
Res. Sink 0 Dishwasher
Bar Sink 0 Sump Pump
Water Heater 0 Classrm Sink
Site Drain 0 Breakrm Sink
Roof Drain 0 Ejector/Grind
Misc. 0
Fixtures
Plumbing Permit Work Card
Permit Number 117908
MPKELLY
Create Date 01/18/2006
Contractor
Plan
Value
0 Water Softner 0 Wait. St.
0 Local Waste 0 Ice Chest
0 Clothes Wshr 0 Exam Sink
0 Bidet 0 Sculry Sink
0 Beer Tap 0 Hand Sink
0 Lab Sink 0 Plaster Sink
0 Sterilizer 0 Surgeons Sink
0 Dip Well 0 F Prep Sink
0 Drink Ftn 0 Serv Sink
0
0
4
0
0
0
0
0
0
Shamp Sink 0
FlrlWst Sink 0
Catch Basin 0
Wash Ftn 0
Urinal 0
Standp Rec 0
Ice Maker --.2
Gar Drain 0
Soda Disp 0
Coffee Maker
Int Grease Trap
Ex! Grease Trap
RPZValve
Eye Wash Statn
Wtr Sewer Mtrs
Deduct Meters
Wtr Usage Mtrs
$8.700.00
--.2
--.2
--.2
--.2
--.2
--.2
--.2
--.2
"check #7505
Use/Nature
of Work
rnstall4 exam sinks
Size
Material Type # Conn.Type
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Inspector Paul Wolf approved
Sanitary Sewer
Storm Sewer
Water Service
Date 1/18/2006
Type Rough In
DatelTime requested:
1/18/200601:37 PM
231-1750
Notice Type:
Telephone Number:
Access:
Ready DatelTime: 1/18/2006 01 :37 PM Requested By: M P KELLY
0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
--mmmmmmmmmmm--_mmmm--mm--mmmmmmm_mmmmmmmmmmm_mmmmmmmmmm_mmmmm_mmm_.m""'m--m--m--
Job Address 515 S WASHBURN ST
Owner COMPASS PROPERTIES LLC
Category 440 - Industrial-Interior
Bathtub 0 Shower
Whirlpool 0 Floor Drain
Lavatory 0 Lndry Tray
Toilet 0 Disposal
Res. Sink 0 Dishwasher
Bar Sink 0 Sump Pump
Water Heater --.2 Classrm Sink
Site Drain 0 Breakrm Sink
Roof Drain 0 Ejector/Grind
Misc. 0
Fixtures
Plumbing Permit Work Card
Permit Number 117908
Contractor M P KELLY
0
0
0
0
0
0
0
0
0
WaterSoftner 0
Local Waste 0
Clothes Wshr 0
Bidet 0
Beer Tap 0
Lab Sink 0
Sterilizer 0
Dip Well 0
Drink Ftn 0
Create Date 01/1812006
Plan Value $8,700.00
Wait.St. 0 Shamp Sink 0 Coffee Maker --.2
Ice Chest 0 FlrlWst Sink 0 Int Grease Trap --.2
Exam Sink 4 Catch Basin 0 Ex! Grease Trap --.2
Sculry Sink 0 Wash Ftn 0 RPZ Valve --.2
Hand Sink 0 Urinal 0 Eye Wash Statn 0
Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs --.2
Surgeons Sink 0 Ice Maker 0 Deduct Meters --.2
F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs --.2
Serv Sink 0 Soda Disp 0
Use/Nature
of Work
linstall4 exam sinks
Size
Sanitary Sewer
Storm Sewer
Water Service
"check #7505
Material
Type
#
0
0
0
0
0
Conn.Type
0
0
0
0
0
Date 3/1/2006
Type Final
approved w/cond.
Inspector Paul Wolf
PLUMBER NEEDS TO PULL PERMIT FOR TWO ABOVE GRADE SANITARY SUMP PITS INSTALLED FOR EXAM SINK WASTE DISCHARGE,
DatelTime requested:
3/1/2006 08:35 AM
Access:
þPEN
Notice Type: -
Telephone Number:
Ready DatelTime: 3/1/2006 08:35 AM Requested By: M P KELLY
0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
mm__mmm_.--..m----_-......m___""__m--_m"hm----.....,__n_--_m--_-...---..m-"""m_."'_m_mm"mmmm--'mmmmm'mmmm'----."mmm__m--
Plumbing Permit Work Card
Job Address 515 S WASHBURN ST Permit Number 118316 Create Date 02/28/2006
Owner COMPASS PROPERTIES LLC Contractor MPKELLY
Category 440 - Industrial-Interior Plan Value $1,500,00
Bathtub 0 Shower 0 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker --.2
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrlWst Sink 0 Int Grease Trap --.2
Lavatory 1 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap --.2
Toilet 1 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZValve --.2
Res. Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink --.2 Urinal 0 Eye Wash Statn --.2
Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs --.2
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters --.2
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs --.2
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
0
Misc.
Fixtures
Use/Nature
of Work
I
Sanitary Sewer
¡INSTALL ADA LAV AND WATER CLOSET "CHECK #7587
Size Material Type #
0
0
0
0
0
0
0
0
0
0
Conn.Type
Storm Sewer
Water Service
0
0
0
0
0
Date 3/1/2006
Type Final
Inspector Paul Wolf
approved
DatelTime requested:
3/1/2006 08:36 AM
Notice Type: -
Telephone Number:
Access:
þPEN
Ready DatelTime: 3/1/2006 08:36 AM Requested By: M P KELLY
0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
_m_m--mmmmmmmm__mmmmmmmm--uouommmmuommmm----uo----..--mmmmm--__m_muo__..,mm--_--m--_"_mmmmmuo------m--m'
~
CORRECTION NOTICE / FIELD INSPECTION REPORT ~
JOBLOCATION:rrG ~ttt:J.Ht -:::;..øll-f' dZJ~
CONTRACTOR: . ~h~
PROJECT TO BE INSPECTED: ~ ,y Þ' '? /if-e,.", {,c.M< ï
TYPE OF INSPECTION:YM~
City of Oshkosh
Inspeotion Services Division
215 Chucch 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 te at eþottom ofthisnotice
and return it to the Inspection Services Division by the Compliance Date of . J" .
ODE INSPECTION RESPLTS
ot Approved! Insp, Report given to ""'~~
ia:J: r:pection
0 MailedIFaxed
Print Name
Company
Signature:
Date
R.J. Albright Inc.
5711 Green Valley Road
Oshkosh, WI 54904
(920) 231-8635, Fax (920) 231-3759
LETTER OF TRANSMITTAL
Date: 3/1 ~~
To: ~ c9>~
~:~: St iV~ J
~""W
WE ARE SENDING YOU: ØTTACHED 0 UNDER SEPARATE COVER
VIA C>t.vR.. ~
The following items:
0 Shop Drawings 0 Prints 0 Plans 0 Samples 0 Specifications
~COpy of Letter 0 Change Order 0
Copies
\
Date
No.
L <:.. t"--- <5
~
THESE ARE TRANSMITTED AS CHECKED BELOW:
DFor Approval
~your use/Info
0 As Requested
0 Approved as Submitted 0 Resubmit- Copies for Approval
0 Approved as Noted
0 Submit - Copies for Distribution
0 Returned for Corrections 0 Return - Corrected Prints
0 For Review and Comment 0
0 FOR BIDS DUE
20
REMARKS
SIGNED:
"
City of Oshkosh
Inspection Services Division
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1130
Phone, (920)236-5050
Fax (920) 236-5084
CORRECTION NOTICE / FIELD INSPECTION REPORT ~
JOBL. OCAT.I.ON:SrS :5:-~t3lOrP1 . . ~~('lf' 'ðJ~
CONTRACTOR: ~ :J It tf-
PROJECT TO BE INSPECTED: (ðfÇ ,'r!'" -? j</,." f'-" {,r .nhï
TYPE OFINSPECTION: ~^ß
.~
Violations must be corrected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment
ànd/or occupancy. . Upon completing the corrections, the owner/contractor/agent must sign and te at he ottom of this notice
and return it to the Inspection Services Division by the Compliance Date of
iØM!tODE INSPECTION RESULTS
j¡
\
b
.-J
Sc
û.
NT'~.. ,.,.
ot Approved! Insp, Report given to 1 ro =>.:s.
è/r.~/o&
D~t ofInspection
. '-'};:'p:':é"'4" ;"'1'y.{r::¡'::-.,5.:¡¿r,~¡'.(:.,
0 MaiIedIFaxed
Company
Signa1:tn'e:
RV~~~_I3~!!Ij]
City of Oshkosh
Division ofInspection Services
Attn: Allyn Dannhoff
215 Church Avenue
Oshkosh WI 54903-1130
March 9, 2006
Ref: 515 S. Washburn St. Oshkosh, HV AC Review plan # R4-02-0106-H
Mr. Dannhoff,
I am following up in writing per our conversation on March 8th per the above referenced
job, As we discussed there is not a janitor's closet in suite 204, Nor is there one listed on
the plan. The Janitor's closet is in the general building and the cleaning services are
subcontracted service to all tenants, If you need any further clarification or have any
other questions, please call.
i;,~.
Scott 'PÎ.. Schimmers
R,J. Albright Inc" Project Manager
P (920) 231-8635 I P (800) 521-34371 f (920) 231-3759
5711 Green Valley Road I Oshkosh, WI I 54904
rjalbrlght.com I info@rjalbright.com
'. '.' , .
, BûÎLÌ>íNtig,nVAê,cPMrLIXNcE si~ ÍEMJiNi ' SB n::~72 ()
This form is reQuired to ~s(~m¡tted by ttie supervising professicmaì (architêét, engineer', HV AC designer or eleêírical
designer) observing construction of pròjectswithin buildings With total areas 50,000 cubic feèt òr greater and:jleacherS
(Gomm 50.10/Comm 61,50), FailqTe to suf;lmit this t9rìn ¡¡'¡ay result in. penalties as specified iriComm SO.26/c;omm61.23
and/or local ordiJ1aJ1ces:' This folT!\ must be sl.lbmittéd priórto the plan approval exþiratfon date Òf anòthersubmittal may
beréquired, '", "",.' , '
Genél'3llñsthictión~: Pñor to the initial ~UPårìCYOfné~blJilC\iríg~¿r' add~iòns' ã~d tll~ (¡~aì ocCûÌiàncy' of .'
altered èxistingbuiìdings, submit this completed and signed formto: " , ., , ,', , , ,
" .. ,~' Ï'tìè municipàlbûildinginspeclion office'aríd'
. '. Safet}tandBuildings, lO541N RanChRqad Hayward, Wi,54843. ..
Note: If the' ré\f¡ew was done by the municiPalitY;' the compliance státemeñtgœ$ only to tile rnunìéiì>al' building'
inspector. A copy is lJot needed by Safety & Buildings, . , ' "," "
PerSonal inronmátion you provide may bèused for- Såcondary p~rí:>OSeS {pñvaey Law., s, 15,04 (1){m)], .
1. "PROJECT ,INFORMATIdN: p~þn in Ìh~ fonowj~g.;.'¡¡th' inforìnãtiO~'froíri yõur plan åppróvållette~,
T~an~ctionIDNumberR4-O2-O106 " ", ' '.', "
, ""', :,. .,,' .
, " , Descriplicn <>!"Porlk>nCompreted
A) X sìaterhent of Subståntial Compliance ' '., , ," ,."
To the best of my knÒWIedge,beliet. and l:Jased.ononsite observåtion.còÍ1struclion of the {onâWìng bÍJilding and/or H\Ì'AÇ, .
ite,:"sapplicable to this project have been completed in subslånlial'comp1ianœ wiIfi,the aþl'rovec:l plans and
specifications, ."'" ",' """"",,;.' "".",:,
'X BUILDINGILIGHllNG ITEMS .'
1, .Structural sYstem indudlngsubmittal an.lereètion 'iitan bùiÍding é:òin""nents
(trusses, precas~ meìalbuilding.etè,) , " . '.
2, Fire protectìOnSystenÌs (sprinlders, áíanns, ~ ãetectois) dèsÍg~,
installed, and tested (inCluding forwaid' fIóW o'ri b3ckfloW devices) by .
appropriately regiStered professionals
3, Shaft and stairway enclosure
4: Exitsincfudingexitand<lirectÌ<>nallights ' ' ,
'5. tn'e-resistlVe.txinstruction. encfost¡reOf házarãs, fiie Walfs;labèled doórs;class"
of con!'lfuction, fire slopped p.,nebátioris" .,
6, $an1ìation SYStem (tonets, sinks. dñnkingfaciütæs)
7, Barrier,free'includingCOmm '18e;evators åiid rifts
8, . EnergyenVéloþe requirementS' ,
g.AI! conditions of ~~ilding pian approval and ~ppr"",bfeVañanœs
~ folløwiítgiternsare notin~ÍJlÏanœ aim must ~aðd'~:
BID $taterñêntofNoncompliance C . .
Due to the followinglísted violationS. thísprojecf is not reæyforóécUPa,ncy:
, .' ,':'" ", ' " . ,
10, . 8iterio; rìgfltfug&coótior rèquirémenis'
, 11.,lnteriory.ghting & control ,re<'¡ùìre~
12, All èônd"ttions Of r¡gfñïn9 ¡,r~niipprOi,l
ánd applicablè'variances
".' HVAC sýSÍeffi inaúdin!¡finàHest .
2:. AJl'éonditions' ofHVAC plan'approval and
. åWlicabIè vañ8n~ . , ,
Mar 08 OS 11:lSa
1'" 1
Compliance Statement
This Conn is required to be submi"ed by the supervising professional(architect, engineer, HV AC designer or electrical designer)
observing construction of projects within buildings with total areas exceeding 50,000 cubic feet and construction of antennas, towers,
and bleachers (ILHR 50.10), Failure to submit this form may result in penalties as specified in ILHR 50.26 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 an.d
. Safety and Buildings, P.O. Box 7969, Madison, WI 53707-7969
Personal information you provide may be used for secondory purposes [Privacy Law, s, 15,04 (I )(m)].
1. PROJECT INFORL'\1ATION: (Use the Safety and Buildings or municipal project label, or type or print the
¡nfonnation. If label is used, no additional entry is needed on Part I,
Owner Information Project Information
State ""d Zip Code
County or
~~ë)
L
A
B
E
L
Name
Comp""y Name
Numb.. and Street
City
H
E
R
E
Pt"" or Reference Numb"
Name & Reg, N of Supervising Pror, ror 0 ßuilding
ç::\L..E H.O' U-
Name & Reg. N of Supervising P,of, for U Building 0 IIYAC 0 Li~hting
Name & Reg, N ofSuper/ising Prof. for 0 Build¡n~ [! IIVAC 0 Lighting
2. PURPOSE OF THIS STATEMENT: (Check Box A, ß, C, or D to indicate purpose and complete any other applicable
boxes and information, Attach additional pages ifneeessary,)
Check those which apply: Ci Building
IJ Partiol Completion
Description of Portion Completed
A) "fl Statement of Substantial Compliance
To the best of my knowlcdge, belief, and based on onsite observation, eonslruetion of the folio wing building and/or I.IV AC items
applicable to this project hove bcen completed in subst,n,;al compliance with the approved plans and specifications.
¥-HVAC
0 Lighting
C BUtLDING ITEMS
I. Structurni system including submittal and erection ofali building components
(tr1l>so>, prceast, melal building. elc,)
2, Firc protection syslems (sprinklers, alarms. smoke detectors) designed.
inslalled. and tested (including forward flow on back flow devices) by
appropriatcly'registered professionals
3. Shaft and stairway enclosure
4. Exils including exit nnd direetioaallights
5, Fire.resistive construction, enclosure ofhn.zards, fire walls, I,beled doors, class
of construction
6, Sanitation system (toiiels, sinks, drinking facilities)
7. ILHR barrier-free requirements
8, All conditions of building plan approvai and 'pplieable variances
The following items 'Ire not in compliance and must be addressed:
)! IIV AC ITEMS
I. I-IV AC sy'stem including final test
(IUIR 64.53)
2, All conditions of HV AC plan approval and
applicable variances
!J LIGHTING ITE~!S
(, Ext"ior lighting & control requirements
2, Interior lighting & control requirements
3. All conditions oflighting plan appro,'ai and
and applicable variances
B) I] Statement of Noneompliance
Due to the foliowing listed violations, this project is not ready for occupancy:
C) n Supervising Professional Withdrawn From Project (Use A or ß above to indicate project status as of this date,)
D) 0 Project Abandoned
3. SUPERVISING PROFESSIONAL SIGNAT
0 Duildingj;Ó HYAC 0 Lightin
0 Building 0 flVAC 0 Lighting
C Duiiding 0 flY AC 0 Lighting
500-9720 (R,Olf97)
Dale ::', - J k - t::J(p
Date
Date
RICKSCHRoeDeR,HI1:t . 7=tRCHITeCT
'=-= 0FFIC~ t.f>STI!~IØ ',*
681 ~ 1'<ÁIN STR6eT '. ØSHIi:os>,I,'WtS'!"'" . ~ (920) ~76' . 1;0"", (92Ò)'~2(" EMAtí.,Rt..sA!"@!\OLCoM
To:
'. ,
Date:
2/28/06 RECEIVED
Fox Valley DermatoloO' M4R 0 1 '
',.i~,_, '; ".2006
, ' '", IJt:PA'?Tn"N -
COMliì¡II~"-"\, !hJ:: TOr
',-,.I, U/:lfc,OP'
: .' . ,:d:!- "ilflENT
'Co"'-
The following ite?,s:
DDrawings ,
DShop Drawitlgs
DCopy ofletter .
DcOntract ,
. "
. Project No:ÖS22
. " ,,' ',' " .
Ifenclosures are, "crt ~ noted, ~lease fufoI1IÏ us immedIately.
We are sending yon:
DS~ificatio~
DChange Order
DRequesf for pa1IDent
DS='ples , "
,'. ' ' .
dFor reVieW and comment
. , .
DFor confo..mation
DForap¡,";'~r
, DForyour inforffiati~¡¡"
[8']Compliance Statemènt ,
Copies
, Signed:
BúILDINGS,IIVAC, COMPLIANCE STAT~MENT" SBlPj720
This foim is required to be submitted by thesupervisiÌ1g profeSSional (3rchffect;engineer,HvAC desigœr or electrical
designer) observing construction of projectS within, buildings wìth tot¡¡1 areasS(5,OOO cubic fet:¡t or gr!!ater ,and bleaChers
(Comm SO,1(5/Còmm61.SÖ), Failure to submit!fiìŠfòfrÌ1may'reslilt inPEim~ltfes ~ speèffièdin Còmm50,26/ComrÌ161,23
and/or local oroinånces, ThiS forrn must be submitted priortò the plan apþrovâfexpiràtiondate or,ano!her submìttal may'
be required_' " ,,' ,,' ,,- . ""',' d,
Gener~llnstJ'uctions: Prior to th~i~~iaIÓcèùp~ri&V()fn~yJbu¡idings6f'~dditi()~$aricfthe fin~IÓccûpancy Df
altered existing buildings,' submit this eompletedánd signed ((in}) to:' , '. ' .
, . , . .. The municipal builèlinginspection(ffleeand
. " """'" ",'".'. $afetyándBuildings,10541NRa;'ctiRoadHaywal'd,YV~t,;
Note: If the review was done 'by tile mUniciPality,' the compliance Statemen,t goes only 1ç¡"tþ
inspector, , A copy is not needed by Safety & Buildings, .", '..
Pefsoríalint'Ormation you provÚ!emäyoo used for ~ecooC\ärYpuiPoSes [prÎvaèy LaW,s,1s:ó4(1)(m)f
1. PROJECTINF9RMATlON:' PleaSê' fill in the folloWing with iÌ1forrnàtiOntrOm your p1anapproval
Transaction ID Number R4-02-O106' " ,
, Site Number
. ,
$itelcx:ation (number &streèt) Fox Vallev De~loov 515 SoUthWåshbum Suite 204,'
X City 0 Village 0 Town of'OSfíkOsh CountYofWloneba(¡o
2. ÞURPOSE OF TÍ:!is STÂtEMENT:(Checr<EIÖ~ /\,8; C: or D tÓ ,indiCate pÌJip()se~ndCon1Þlëtêa~yåt!íe; ,
. applicable boxesandiríformåtion, AttaCh additional págesifneceSsary',)
Check thos~ Which apply: XB~ilding Obj~ 10 II - j HVAC Object in #,
DUghtìng Objèct ID# ."
~P!ion of POrtion Compl~ed
A) x Statementof$ubstarìtial,Compliance' , ' " " " 'H ' "'" '"
To thè best of my knowledge, belief, and based!>" onsiteoOOe!Vation, construction of the following buIlding and/or HVAC
itéms applicable 10 Ìhis project haVe, bèen cOmpleled insubStaíttial compliaÌ1ce with Ìhe âppioved plånsand
sPècfficalions:'," ".', ,',',",,".,,'.
X BUILDINGILIGHTING ITEMS" .. .
1: Structural sYstem includirigsubmittaf and'ereCÍiOn Ôf aílbuilding cOmponents
(trusses, precast, metal building, etc,) ,
2, Fore prôÍectIoÓ ~iêrns (sprinklerS; ~Ia-;,;,s, snÏókedêteciors;dëS¡Qn~,
installed, and tested (including forward flow on back,fIoW devices) by
apprOpriately registered profesSionals
:I, Shaft arid stairway enclosure
4, Exits irìdudíng 'exit alKräIrecliOnaf lightS
5, Fire-reSistive'construCtión, eflcJosure of hazards, fire wailS, labelep doors; class ,
. ofconsíruc:tion,filj>stoppOOpenetraìións ,", " .
6, S,anitation system (toilets, sinkS, dli!'king facilities)
7, Barrier-free includirig Comm 18 elevators and liftS
.8, Energy envelope requirements ,
9',AfI conditions ofbuilding plan approval aiKI appriCable ~nan;œs ,
The following items are not in compfiánce anei muSt bê addrèsséd:
B) '0 sittement c)f-Noncompliánèè ' .
Due Íòthe follOwing liSted,,!ola~ons,ihis p~!s not ready fur occupaìtèy'
~
OJHKOIH
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
www,ci.oshkosh,wi,us
ON 'HE WATER
January 24, 2006
Rick Schroeder AlA
581 North Main Street
Oshkosh WI 54901
Compass Properties LLC
1145 Clark Street
Stevens Point WI 54481-2980
Site:
Fox Valley Dennatology
515 South Washburn St
Suite 204
Oshkosh WI 54901
For:
Description: Tenant space alterations
Object Type: Bnilding only
Class ofConsiruction: IIIB - 2866 Sq Ft.; Unsprinklered
Occupancy: B: Business / Office
Maximum No of Occupants: 29
Plan Nnmber: R4-02-0106
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:
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.
IBC 906.1/ IFC 906.3 The maximum travel distance allowed to a fITe extinguisher is 75 feet.
1003.2.3.1 Door encroachment. Doors opening into the path of egress travel shall not reduce the
required width to less than one-half during the course of the swing. When fully open, the door shall not
~ project more than 7 inches (178 nun) into the required width, Based on phone conversation with
Architect, the door from the bathroom (»211) will be changed to swing into the bathroom, and still
meet accessibility requirements.
IBC 1003.2.10 Exit signs are required to be installed per this section
IBC 1209.1 Provide toilet room floors with smooth, hard, nonabsorbent surface extending minimum 6
inches up onto walls.
.
Comm 61.30(3) / IMC 507.2 This plan review does not include heating, ventilation, or air
conditiomng. HV AC plans are required to be submitted and approved prior to installation ofHV AC
equipment. Be aware that mc 1004.3.2.4 contains additional restriction for air movement in corridors
Ihbriann'2QO6 Comm Phm Review\R.;-O2.() 106515 SOU"> W"hbuDJ Sr BJdg Only <100
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
Comm61.3l(1),
SUBMIT:
IBC 1003.2.11 Means of egress illumination is required to be installed per this section, All paths of egress
are required to have adequate emergency lighting to meet the perfonnance requirements of IBC
1003.2.11.3. Provide complete emergency lighting plan showing compliance with these requirements
prior to installation of emergency lighting system.
. 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 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 slate 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 nwnber listed below or the address on this letterhead.
, Re~p~
~
Building Systems Consultant
(920) 236-5051 Monday-Friday 7:30 A.M, to 8:30A.M and 12:30 A.M to 1:30 P.M.
bnoe@ci.oshkosh.wi,ns
cc: Property fIle
Fee Required $
Fee Received $
Balance Due $
390,00
390,00
0.00
W,briann'.2006 Comm Pian R",i"w\R4-02~HO6 515 Souù, W",hbum St Bidg OnJy,doc
Page 2 of2
~-_c_~'
'"
~
OJH<QfH
ON THE WAT"
City of Oshkosh
Division of lnspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
www,ci,oshkosh,wi.us
February 27, 2006
Dale H O'Connell
P.O, Box 802
Green Bay WI 54305
Compass Properties LLC
1145 Clark Street
Stevens Point WI 54481-2980Name
Site:
Fox Valley Dermatology
515 S Washburn St
Oshkosh WI 54904
For:
Description: Tenant space alterations
Object Type: HV AC only
Class of Construction: IIIB - 2866 Sq Ft.;
Occupancy: B: Bnsiness / Office
Maximum No of Occupants: 29
Plan Number: R4-02-0106-H
Unsprinklered
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 reqWrements
Key Item(s) / Conditions:
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.
IMC 304.1 Equipment and appliances shall be installed as required by the tenus of their approval, in
accordance with the conditions of the listing, the manufacture's instructions and this code.
IMC 403.3 [Comm 64.0403 (6)) Ventilation rate. Janitor closets. A janitor closet that has only one
service sink may be provided with either natural ventilation via a window or louvered opening with at least
2 square feet (0.2 m2) of area openable directly to the outside or mechanical exhaust ventilation as
specified in Table 64.0403. Plans submittedfor HVAC review do not show the required service sink
included in building plans. Comm 62.2900 (2) requires a service sink to be located in a janitors closet,
and the IMC requires ventilation of that space. Provide revised plans for this area showing how
required ventilation will be provided.
IMC 403.3.3 Variable air volume air distribution systems, other than those designed to supply only 100%
outdoor air shall be provided with controls to regulate the flow of outdoor air, Such controls shall be
designed to maintain the flow of outdoor air at a rate not less than required by Section 403 over the entire
range of supply air operating rates.
\\OSTIKOST IMJSFS\USERS\b:i'mr'20fJ(i Cumm Plan
Page I of2
~
IMC 503.3.3.7 (Comm 63.0503(2)(t) Balancing and documentation of the HV AC system shall confonn
to the IMC.
IECC 803.3.3.3 Off-hour controls. Each zone shall be provided with thennostatic setback controls that
are controlled by either an automatic time clock or programmable control system.
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
Cornm61.31(1).
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 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.
Inquiries concerning this correspondence may be made to me at the number listed below or the address on this letterhead.
Resp~
~
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@ci.oshkosh,wi.us
cc: Property file
Fee Required $
Fee Received $
Balance Due $
230.00
230.00
0.00
Page 2 of2