HomeMy WebLinkAboutCertificate of Occupancy
CITY HALL
Inspection Services Div .
215 Church Avenue
~POBOX1130
Jt/I/IIIIIIIIi: Os h kos h WI
~. 54903-1130
OfHKOfH
ON THE WATER
City of Oshkosh
Approved:
Issued:
12/19/2006
12/19/2006
Bradley Operating Ltd Partnership
131 Dartmouth St
Boston MA 02116-5134
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby issued for the US Cellular office space located at
230 W Murdock Ave, Oshkosh WI 54901 as described in Building Permit
#122366.
This building is to be used as a Business Office and is located in the C-2 General
Commercial District.
LIMITATIONS:
Maximum number of persons: 25
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.
01
cc: R J Albright Inc
US Cellular
., . Building Permit Work Card
,
Job Address 210-240 W MURDOCK AVE Permit Number 0122366 Create Date 11/1/2006
Owner BRADLEY OPERATING LTD PARTNERSHIP Contractor R J ALBRIGHT INC.
Category 232 - Alteration Stores & Customer Service
Type . Building o Sign o Canopy o Fence o Raze I Plan W1-106-1106
Zoning Class of Const: Size Value $28,000.00
-
Unfinished/Basement Sq. Finished/Living 1275 Sq.Ft. Garage Sq.Ft.
Ft. - -
Rooms Bedrooms Baths D Projection I
- -
Stories 1 Height Ft. Canopies Signs
-- - - -
Foundation . Poured Concrete o Floating Slab o Pier o Other
o Concrete Block o Post o Treated Wood
Occupany Permit Required Flood Plain Height Permit
-
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature 1230 W Murdock /Interior alterations to complete this space for US Cellular.
of Work
HVAC Contr . CENTRAL HEATING SERVICE INC Plumbing Contr D R GLAZE PLUMBING
Electric Contr ELECTRICAL CONSTRUCTION SERVICI
Inspections:
Date 12/19/2006
Type Final
Inspector Allyn Dannhoff
approved
Signed/Dated FCN received indicating all items have been corrected.
Notice Type:
Phone Number:
DatelTime requested:
Access:
=-~ ~~~---~-
Ready DatelTime:
Requested By:
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
Page 3 of 3
,. -- Building Permit Work Card .
.
Job Address 210-240 W MURDOCK AVE Permit Number 0122366 Create Date 1111/2006
Owner BRADLEY OPERATING LTD PARTNERSHIP Contractor R J ALBRIGHT INC.
Category 232 - Alteration Stores & Customer Service
Type . Building o Sign o Canopy o Fence o Raze I Plan W1-106-1106
Zoning Class of Const: Size Value $28,000.00
-
Unfinished/Basement Sq. Finished/Living 1275 Sq.Ft. Garage Sq.Ft.
- Ft. - -
Rooms Bedrooms Baths o Projection I
- - -
Stories 1 Height Ft. Canopies Signs
- - -
Foundation . Poured Concrete o Floating Slab o Pier o Other
o Concrete Block o Post o Treated Wood
Occupany Permit Required Flood Plain Height Permit
-
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature 1230 W Murdock /Interior alterations to complete this space for US Cellular.
of Work
HV AC Contr CENTRAL HEATING SERVICE INC Plumbing Contr D R GLAZE PLUMBING
Electric Contr ELECTRICAL CONSTRUCTION SERVICI
Inspections:
Date 12/5/2006
: AM
Type Rough In
Inspector Allyn Oannhoff
not approved
Emergency lights to be mounted below suspended ceiling.
Date/Time requested:
Access:
I
Notice Type:
Phone Number:
I
......J
Ready Date/Time:
Requested By:
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
Type Final
Inspector Allyn Dannhoff
not approved
Date 12/14/2006 : AM
I
I
I
I
I
I
i
I
-----'
r~"e't 11M s~ FeN
Date/Time requested: 12/12/2006 09:01 AM
Access:
lKeyat;ovestore front door ____m_____ ---------------
Ready Date/Time: 12/12/200609:01 AM Requested By: R J ALBRIGHT INC. - Scott Shimmers
o Reinspect Fee 0 Fee Waived
Notice Type:
Phone Number: 231-8635 or 376-0248
-----.-----1
____J
D Reinspect Fee Paid
Page 2 of 3
" Building Permit Work Card
1
Job Address 210-240 W MURDOCK AVE Permit Number 0122366 Create Date 11/1/2006
Owner BRADLEY OPERATING LTD PARTNERSHIP Contractor R J ALBRIGHT INC.
Category 232 - Alteration Stores & Customer Service
Type . Building o Sign o Canopy o Fence o Raze I Plan W1-106-1106
Zoning Class of Const: Size Value $28,000.00
-
Unfinished/Basement Sq. Finished/Living 1275 Sq.Ft. Garage Sq.Ft.
- Ft. - -
Rooms Bedrooms Baths D Projection I
- -
Stories 1 Height Ft. Canopies Signs
- - -
Foundation . Poured Concrete o Floating Slab o Pier o Other
o Concrete Block o Post o Treated Wood
Occupany Permit Required Flood Plain Height Permit
-
Park Dedication # Dwelling Units 0 # Structures 0
Use/Nature 1230 W Murdock /Interior alterations to complete this space for US Cellular.
of Work
HV AC Contr CENTRAL HEATING SERVICE INC Plumbing Contr D R GLAZE PLUMBING
--
Electric Contr ELECTRICAL CONSTRUCTION SERVICI
Inspections:
Date 11/17/2006
Inspector Allyn Dannhoff
no time
Type Rough In
Request Line / Ready for a rough inspection
l
I
I
--.J
Date/Time requested: 11/15/2006 09:03 AM
Access:
Notice Type:
Phone Number: (920) 231-8635/376-0248
-----~
Ready Date/Time: 11/15/200609:03 AM Requested By: R J ALBRIGHT INC. - Scott Shimmer
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
Type Insul~tion_~__
Inspector Allyn Dannhoff
no time
Date 11/17/2006
Request Line / Ready for an insulation inspection
l
I
I
I
!
DatelTime requested: 11/15/2006 09:03 AM
Access:
I~-...--_. --------
Notice Type:
Phone Number: (920) 231-8635/376-0248
UUHI
_----..J
Ready OatelTime: 11/15/200609:03 AM_Requested By: R J ALBRIGHT INC. - Scott Shimmers
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
Page 1 of 3
(i Electric Permit Work Card
Joh Address 210-240 W MURDOCK AVE Permit Number 122508
Create Date 11/1/2006
Owner BRADLEY OPERATING LTD PARTNERSHIP
Contractor ELECTRICAL CONTRACTING SPECIALI:
Category 643 - CO!!1mer~~ClI~Addition/Remodels
Service b New ~Q Ch_~ngeO Temp . NIA
Circuits
I Type 0 Overhead
12
6
o Underground . NIA
Volts
Luminaires 15
Amps
Switches
Receptacles
20
Fee $162.00
D
Value $6,150.00
~_._-----
Appliances Furnace, A1C, water heater
Use/Nature
of Work
~30 W Mu-rdock I Interior alterations to complete this space for US Cellular. Service has already been
1",~IIed
Inspections:
Type~_f=.inal
Inspector Kevin Benner
approved w/cond.
Date 12/15/2006
Replace the coverplate in the P.O.S., MC cable support in the corridor by the bathroom & an exhaust fan was
being added by the slop sink. I reviewed with the what the wiring methods would be. The afore mentioned was
reviewed with Rodney from ECS.
DatelTime requested: 12~~~t?QQ~__ 02:57 PM
Access:
Electricians will be on site after
Ready DatelTime: 12/15/200608:30 AM Requested by: ELECTRICAL CONTRACTING SPECIALlS
o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
Notice Type:
Phone Number: 428-6000 Nick S.
______ ____ - __ ____ - - - ____ - - ~ - - - __ - - ~ - - - __ - - w - ___ __ __ __ ______ __ __ ____ __,.._ - _____ - - __ - _____ __ - _________ ___,_ __ ____ ______ -_ --__ - j- ----- - - - --- -- - - -- - - - - -- ---- -- ---
fl. Electric Permit Work Card
JOb Address 210-240 W MURDOCK AVE Permit Number 122508
Create Date 11/1/2006
Owner BRADLEY OPERATING LTD PARTNERSHIP
Contractor ELECTRICAL CONTRACTING SPECIAL!:
Category 643 - Commercial-Addition/Remodels
Service b New 0 ChangeO Temp . NIA
Circuits
Type 0 Overhead
12
6
o Underground . NIA
Volts
Luminaires
15
20
$6,150.00
Fee $162.00
D
Receptacles
Value
Amps
Switches
Appliances Fumace, A1C. water heater
Use/Nature 30 W Murdock /Interior alterations to complete this space for US Cellular. ServiCe has already been
of Work installed.
Inspections:
Type Rough In
Inspector Kevin Benner
approved
Date 11/15/2006
Request Line 1 Ready for a rough inspection
DatelTime requested: 11/14/2006 11 :19 AM
Access:
Electricians will be on site after 8:30 AM
Ready DatelTime: 11/14/2006 11 :19 AM Requested by: ELECTRICAL CONCEPTS INC- Nick Sch"
o ReinspectFee 0 Fee Wavied D Reinspect Fee Paid
Notice Type:
Phone Number: (920) 428-7000
Type Final
Inspector Kevin Benner
not approved
Date 12/14/2006
REQUEST LINE / READY FOR A FINAL INSPECTION
DatelTime requested: 12/12/2006 01:49 PM
Access:
. Electricians will be on site after
Notice Type: FC Phone Number: (920) 428-7000 -NICK
Ready Date/Time: 12/12/200601:49 PM Requested by: ELECTRICAL CONTRACTING SPECIALlS
o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
HV AC Permit Work Card
Job Address 210-240 W MURDOCK AVE Permit Number 122520 Create Date 11/01/2006
Owner BRADLEY OPERATING L TO PARTNERSH Contractor CENTRAL HEATING SERVICE INC
Category 510 -Ind. & Comm-Heating & Ventilating Plan
Fuel ~ Gas I UOil I U Electric I U Solar I U Solid I Value $2,700.00
System D New I D Replace I o Other I
l!J Forced Air I U Radiant I U Steam I U A1C I U . Vent I
U Electric I U Hot Water I U Suppl. I U Con. Burner I
Chimney Type o Chimney A o Chimney B o Direct Vent . Not Applicable I
Heat Loss . As Approved o Existing o Not Applicable I Value
BTU Rate . As Per Plan o Variable o Other I Value
Use/Nature 30 W Murdock 1 Interior alterations to complete this space for US Cellular. Install ductwork, registers & '
of Work grills per plan.
Inspections:
Date 12/5/2006 Type Rough In
Inspector Allyn Dannhoff
approved
No concerns noted.
DatelTime requested:
Notice Type:
Phone Number:
Access:
Ready DatelTime:
Requested By:
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
---- ----- - -. -- -- - - - - -- ---- - - - - ------ - --.----------- -- ----- -- - - ---- -- - - - .------- -----.---._______.:..__._______ ___ __. - - - - - - - - - - - ...1.. _ _ _ _ ____ ___'-____________ __.._____ _ _ ___ _ _ _ _ __ _ __.__.
Date !2/1..9/2006 _ Type Final
Inspector Allyn Dannhoff
approved
Signed/Dated FCN received indicating all items have been corrected.
DatelTime requested:
Notice Type:
Phone Number:
Access:
,--
~
----.J
Ready DatelTime:
Requested By:
o Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
---- - - -- - - -. - - - - -- - - - - - -. --- - -- - - ----- -------- ----._--- ----- - - - -. - -- - - - - - ---- -- -------. -----.---.-- ------ ----- - - - - - -- - -- - - - -.'. - - -.;. ---- - -- -------- ------------ - - ---- - - -- - -- -.-
.. I
.' Plumbing Permit Work Card
Job Address 210-240 W MURDOCK AVE Permit Number 122425 Create Date 11/01/2006
Owner BRADLEY OPERATING LTD PARTNERSHI Contractor DR HANSEN PLBG.
Category 440 - Industrial-Interior Plan W2-222-1106-P Value $6,500.00
Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker
- - - - - -
Whirlpool Floor Drain 1 Local Waste Ice Chest Flr/Wst Sink Int Grease Trap
- - - - - -
Lavatory 1 Lndry Tray Clothes Wshr Exam Sink Catch Basin - Ext Grease Trap
- - - -
Toilet 1 Disposal Bidet Sculry Sink Wash Ftn - RPZ Valve
- - - - -
Res. Sink Dishwasher Beer Tap Hand Sink Urinal - Eye Wash Statn
- - - - -
Bar Sink - Sump Pump - Lab Sink Plaster Sink ~ Standp Rec - Wtr Sewer Mtrs
- -
Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker - Deduct Meters
- - - - -
Site Drain - Breakrm Sink - Dip Well - F Prep Sink - Gar Drain - Wtr Usage Mtrs -
Roof Drain Ejector/Grind Drink Ftn 1 Serv Sink 1 Soda Disp
- - - - -
Misc. -
Fixtures
Use/Nature 230 W Murdock 1 Interior alterations to complete this space for US Cellular. """DEBIT ACCOUNT
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
.
Date 12/19/2006 Type Re Final
Inspector Paul Wolf
approved
Per Steve from Hansen Plbing air-gap has been installed at water heater relief valve to pan.
DatelTime requested: 12/19/200lO9:24 AM
Notice Type:
Telephone Number:
Access:
Ready DatelTime: 12/19/200{ 09:24 AM Requested By: D.R. HANSEN PLBG.
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
- - ---- -- - - - - - - - - - - - - - - - - - - - - - - - -. ---_.-. - ---------------- - - - -- -- - - - - - - - - - - - - - - - - - - - -- - ------ - _.- .--- -- - - -----
, Plumbing Permit Work Card
..
Job Address 210-240 W MURDOCK AVE Permit Number 122425 Create Date 11/01/2006
Owner BRADLEY OPERATING LTD PARTNERSHI Contractor DR HANSEN PLBG.
Category 440 - Industrial-Interior Plan W2-222-1106-P Value $6,500.00
Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker
- - - - - -
Whirlpool Floor Drain 1 Local Waste Ice Chest FlrlWst Sink Int Grease Trap
- - - - - -
Lavatory 1 Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
- - - - -
Toilet 1 Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
- - - - - -
Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
- - - - - -
Bar Sink - Sump Pump - Lab Sink Plaster Sink ~ Standp Rec - Wtr Sewer Mtrs
- -
Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
- - - - - -
Site Drain - Breakrm Sink - Dip Well - F Prep Sink - Gar Drain - Wtr Usage Mtrs -
Roof Drain - Ejector/Grind - Drink Ftn 1 Serv Sink 1 Soda Disp
- - -
Misc. -
Fixtures
Use/Nature ~30 W Murdock /Interior alterations to complete this space for US Cellular. ***DEBITACCOUNT
of Work
Size Material Type # Conn.Type
Sanitary Sewer
.... Storm Sewer
Water Service
Date 12/6/2006
Type Final
Inspector Paul Wolf
approved w/cond.
ater heater relief valve shall discharge to approved receptor by means of an air gap.
DatelTime requested: 12/6/200609:00 AM
Notice Type:
Telephone Number:
Access:
Ready DatelTime: 12/6/2006 09:00 AM Requested By: D.R. HANSEN PLBG.
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
- --- - ---- - - - ---- - - - - - - - - ~ ------ - - - --- .-- - --- ------ - - - - - - - - - - - - -- - - - - - -- - - - - - - - - - - - .----- --- - ------- - - - - ------ - - - ---- - - -- - - - - - - - - - - - - - - - - - - - ---- - - - - - - --_.- - - - - --- - -- --- - - - - - - - - - - - - - - - - - - - - - - - ---
-' Plumbing Permit Work Card
Job Address 210-240 W MURDOCK AVE Permit Number 122425 Create Date 11/01/2006
Owner BRADLEY OPERATING LTO PARTNERSHI Contractor D.R. HANSEN PLBG.
Category 440 - Industrial-Interior Plan W2-222-1106-P Value $6,500.00
Bathtub Shower Water Softner Wait. St. Shamp Sink - Coffee Maker
- - - - -
Whirlpool Floor Drain 1 Local Waste Ice Chest FlrlWst Sink - Int Grease Trap
- - - - -
Lavatory 1 Lndry Tray Clothes Wshr Exam Sink Catch Basin - Ext Grease Trap
- - - -
Toilet 1 Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
- - - - - -
Res. Sink Dishwasher Beer Tap Hand Sink Urinal - Eye Wash Statn
- - - - -
Bar Sink - Sump Pump - Lab Sink Plaster Sink -" " Standp Rec - Wtr Sewer Mtrs -
-
Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker - Deduct Meters
- - - - -
Site Drain - Breakrm Sink - Dip Well - F Prep Sink - Gar Drain - Wtr Usage Mtrs -
Roof Drain Ejector/Grind Drink Ftn 1 Serv Sink 1 Soda Disp -
- - - -
Misc. -
Fixtures
Use/Nature 1230 W Murdock 1 Interior alterations to complete this space for US Cellular. ***DEBIT ACCOUNT
of Work
Size Material Type # Conn. Type
Sanitary Sewer
-I
Storm Sewer
Water Service
Date 11/14/2006 Type Rough In
all work, AA V to serve as vent.
Inspector Paul Wolf
approved
DatelTime requested: 11/14/200E07:53 AM
Notice Type:
Telephone Number:
Access:
----l
..J
Ready DatelTime: 11/14/200E 07:53 AM Requested By: D.R. HANSEN PLBG.:....
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
,~ Plumbing Permit Work Card
~.\
Job Address 210-240W MURDOCK AVE Permit Number 122425 Create Date 11/01/2006
Owner BRADLEY OPERATING L TD PARTNERSHI Contractor D.R. HANSEN PLBG.
Category 440 - Industrial-Interior Plan W2-222-1106-P Value $6,500.00
Bathtub - Shower Water Softner Wait. St. Shamp Sink Coffee Maker
- - - - -
Whirlpool - Floor Drain 1 Local Waste Ice Chest Flr/Wst Sink Int Grease Trap
- - - - -
Lavatory 1 Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
- - - - -
Toilet 1 Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
- - - - - -
Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
- - - - - -
Bar Sink - Sump Pump - Lab Sink Plaster Sink - Standp Rec - Wtr Sewer Mtrs
- -
Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker Deduct Meters
- - - - - -
Site Drain - Breakrm Sink - Dip Well - F Prep Sink - Gar Drain - Wtr Usage Mtrs -
Roof Drain - Ejector/Grind - Drink Ftn 1 Serv Sink Soda Disp -
-
Misc. -
Fixtures
Use/Nature ~30 W Murdock /Interior alterations to complete this space for US Cellular. ***DEBIT ACCOUNT
of Work
Size Material Type # Conn. Type
Sanitary Sewer
Storm Sewer
Water Service
Date 11/7/2006
Type Underground
lrispector Paul Wolf
approved
pace 230 W Murdock. Main stack located at Starbucks for sewer.
Date/Time requested: 11/7/200608:03 AM
Notice Type:
Telephone Number:
Access:
L-_
Ready DatelTime: 11/7/2006 08:03 AM Requested By: D.R. HANSEN PLBG.
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
_ w..... _ "'" "'''' k'~"'''''rr.",-,;'
. DEPARTf~ENT cor;~f,~i'::~{,-;*(C
DIVISiOf;! OF SAfETY AND BU-;'LD:NGS
~ conimerce:wi.gov . .
isconsi'ffESPONDENGE
Department of Commerce
Safety and Buildings
141 NW BARSTOW ST FL4TH
WAUKESHA WI 53188-37B9
'TDD #: (608) 264-8777
www.commerce.wi.gov/sb/
www.wisconsin.gov
Jim Doyle, Governor
Mary P. Burke, Secretary
October 06, 2006
CUST ID No. 1022724
ATTN: Buildings & Structures Inspector
RAY CAVALIERI
TMA AFFINITY GROUP
59 SEEGERS RD
ARLINGTON HEIGHTS IL 60005
BUILDING INSPECTION
CITY OF OSHKOSH
POB 1130
OSHKOSH WI 54902
SITE:
Fair Acres Shopping Centre
Jackson St
City of Oshkosh, 54901
FOR:
Tenant Name or AddnlA1t Description: US CELLULAR TENANT
Object Type: Building ICC Regulated Object ID No.: 1101417
Major Occupancy: Business; Type IIB Metal Frame Unprotected class of construction; Alteration plan; 1,275 project
sq ft; Unsprink1ered; Occupancy: B Business, S-l Storage Moderate-Hazard; Component(s) submitted with this
transaction: HV AC ICC; Allowable area determined by: Fire Barrier
,.... .1dehti';fic~tiQ,rl'N:tjmb~rs..
Transaction ID No. 1328331
Site ID No. 713262 -
,~~1~~tt~~!f~~~~~tltl~~~:~C~:cillt~~~~:~~..;~
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 10/06/2007
Tenant Name or AddnlAlt Description: US CELLULAR TENANT
Object Type: HV AC ICC System Regulated Object ID No.: 1101418
1,271 sq ft Area Heated
\
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 folio wing conditions shall be met during construction or installation and prior to occupancy or use:
Key Item(s)
, . . '.. '. . ..",. .',
. me 706.3.4 Incidentaluse area fire barriers shall comply withTable 302.1.1 for minimum frre-resistance
ratings.
Also Address
. me 714.2 Provide fire door and shutter assemblies that have the minimum fire-protective rating required by
Table 714.2. Side-hinged or pivoted swinging doors shall meet the positive pressure testing requirements of UL
10C or NFP A 252. Door 201 is required to be a tested listed assembly.
Submit
. Approval of Plumbing Plans is not included with this
compliance with IBC 2901.1 and Corom 81 to 87 ma
of facility. Approval of Plumbing Plans, if required,
~,'"'
OCT' -) 1 2006
OF
DEVELOPMENT
RAY CAVALIERI
Page 2
10/6/2006
Reminders
· Comm 61.30(3) . This review does not include lighting. Comm 63.0001. Prior to installatiOi1, lighting plans and
calcul!itions shall be prepared in compliance with the code and properly signed and sealed. The plans shaH be
available at the job site as requested by the Department representative or local official.
· mc 304.1 A Business Group B occupancy includes the use of a building or structure, or a portion thereof, for
office, professional or service-type transactions, including storage of records and accounts.
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 permits required by the state or the local
municipality shall be obtained prior to commencement of construction/installation/operation. If this construction
project will disturb one or more acres of land, an Erosion Control Notice of Intent (NOl) shall be filed with the
department 14 days prior to any earth disturbing activities.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should.
j,', 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 l1umber listed below, or at the address
on this letterhead.
Sincerely,
~~
Fee Required $
Fee Received $
Balance Due $
420.00
420.00
0.00
Lynne M LeCount.
Bng. Consultant, Fire Suppression, Integrated Services
(262)548-8621 , MTR 6:30 AM - 4 PM, W 6:30 AM -10:30 PM
lynne.lecount@wisconsin.gov
M:fi$m~i~;ft;~$tt~!';1$;4~
cc: Peter R Ochs, State Building Inspector, (920) 948-3500 , FridaYl 7:45 A.M. _ 4:30 P.M.
Tma Affinity Corporation
Bradley Operating Limited Partnership
12/15/2005 11:44
920-231-3759
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PAGE 01/02
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PAGE 02/02
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PhOllc::(920) 236-5050 ... .""- f
f~:(920)23~~08:4:-:. ... TYPE OF INSPECTION: r, r .....0
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fi(g!~~i;~.p~~~f:~~:cori-ectedand ~pproved with~ 30 day,s unless otherwise noted. Call;forre':i~pectit;>rispriOi::.oconc.ealm~t
~,~pr.:~,c~9P~PY." .ppon completmg the correctIOns, the owner/contractor/agent must Stgn and date at the bottom of thiS notIce
~a!~t!,~'!'?!3~t"t~~t~~e:!~spectiolt Services Division by the Compliance Date of ...
.'_M#f~~~~::-iOOl)E'::;~;...': . ...- . INSPECTIONRESULT$."
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Phone #
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12/15/2006 15:05
8473649548
PAGE 01/02
T-M.A
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TMA Affinity Corpontion
59 West Seegers Road
Arlington Heights, IL 60005
Ph. (847) 364-8150
Fax (847) 364-7772
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PagD9~ (I ncluding Cover Sheet) '1...
Date: J "J..-I, ~ ./u ~
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Architecture. Planning
12/15/2006 15:05
8473649548
PAGE 02/02
BUILDINGS, HVAC, COMPLIANCE STATEMENT SBD-.9720
This form is required to be submi'tted by the supelVisin.S professional (architect, engineer, HVAC designer Dr electrical
designer) observing oonstructidn 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 G1 ,23
and/or local ordinanc.es. This form must be submitted prior to the plan spproval expiration date or another submittal may
be required.
Generallnstructions: 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 an d
. 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 building
inspect<<?r. A copy is not needed by Safety & Buildings.
Personallnformation you provide may b~ used for secondary Jiurposes [Privacy Law, s. 15.04 (1)(m)].
1. PROJECT INFORMATION; Please! fill in the followiT1g with information from your plan approval letter.
Transaction ID Number I 3 -z. t, :3:3 I Project Name f A I "- .4,-i1-~ .l J;J 0 p) '" Ceo,., <<-
Site Number -, , '3 "2-lp 2- ( LA 5. c ~ L.l.. t....: c.. ~ ~
Site location (number & street) ..J ~~!.'t>'> $"'~
Ia7 City 0 Village 0 iown of O:)J..! /(" s I-i. County of ,W,~,J E 13A{.(o
2. PURPOSE OF THIS STATEMENT: (Chetk Box A. B, C, or 0 to indicate purpose and complete any other
applicable boxes aM information. Attach additional pages if necessary.)
Check those which apply: ~uildlng ObjectlD #-J ,() \L.( 1'1 ,5CPHVAC ObjectID,# , J " l~ 1'6
)i!P.ighting Object ID f. _..1 t mY I '"\
o Partial Completion
~ ,. ~ .
Description of PortiOh Completed .,.
A) b, Statement of Substantial Compliance '.. . ':: . ,
. r'. To the best of my knowledge, belief, and based on onslte observation, construction oftne following building'and/or HVAC
itetns applicable to this project have been completed In substantial compliance with the approved plans and
specifications.
~ BUILDING/LIGHTING ITJ:MS
1. Structural system including submittal and erectiOn of all building compon.enls
(trusses. prE!oast, met$1 building, etc.)
2. Fire protectiQI'l syslems (sprinklerS, alarms, smoke delectors) designed,
instal!ed, and tested (including forward f1l)w on back. flow devices) by
appropriatelyreg;stered professionals
3. Shaft and stairway enclosure
4. Exits Including exit and directional lights 1...-.
5. Fire-resistive construction, enclosura of hazards. lire walls. labeled doors, class ~VAC ITEMS
of construction, fire stopped pM~retiol'l$
6. Sanitation syr.tem (tolls!s. sinks, drinking facilities)
7. Barrier-free ineluditlg Comrn 18 elevators and IIfta
a. Energy envelope requiremElnls
9. All conditions of buildln~ plan approval and applicable variances
The following items are not in compliance and must be addr"9ssed: EX' "1 t!" p.. (oA- . f',., L,~ f.I"f',...Jc..,
MI,ff> 1 ~ 6.. c..J.l A,.J ~ € l)""7"c> t...)41'1 <.!. I- ( 0"'- G fZA 0 F=- of ~ I'- L.. 0. <:...0 '- c.. ~ 0 ~ S
10. Exterior lighting & control requlrementa
1 '.. Inb:lrlor lighting & control rel1ulrements
12. All conditions of lighting plan approval
and applicable varlen~s
1. HVAC system including tinellest
2. All conditiOns of HVAC plan approval and
applicable variances
B) [J statement of Noncompliance
Due to the following li~ted violations. this project is not ready for occupancy:
C) 0 Supervising Professional Withdrawn From Project (Use A or Babov0 to Indj,::ate project status as of this date.)
D) 0 Project Abandoned . .~
3. SUPERVISING PROFESSIONALS~I N/'~ ,.
~ Building ~HVAC s--Lighting _ ~ Datl!l ''1..('5/0<"
, . ' . m~ ())Iea$e print or type) r
PhonenumbcrBV7 - '3(,,'1- 8,~ I)CU$tomer ID tji 'o-z.."l. 77-"1 Slgnatur~ MAIL (.. ....<.J f.lL k..
snn.onli (R,04/20051