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Home My WebLink AboutCertificate of Occupancy . , o ~ CITY HALL Inspection Services Div 215 Church Avenue ~POBOX1130 ~ Oshkosh WI ~ 54903-1130 OfHKOfH ON THE WATER City of Oshkosh Approved: Issued: 05/09/2006 02/14/2007 Banner Packaging 3550 Moser St Oshkosh WI 54901 CERTIFICATE OF OCCUPANCY An Occupancy Permit is hereby issued for the Interior Alterations to the office area located at 3550 Moser St as described in permit #118546;- This space is to be used as a business office and is located in the M-3 General Industrial District. L1MJTATIONS: Maximum number of persons: Per State Approved Plan 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. DIR cc: CR Meyer Building Permit Work Card Job Address 3550 MOSER ST Permit Number 0118546 Create Date 3/17/2006 Owner BANNER PACKAGING INC Contractor CR MEYER . Category 223 - Alteration Offices, Banks, Professional Type . Building o Sign o Canopy o Fence o Raze I Plan S 1-24-0306 Zoning Class of Const: 3B Size 4320 sq ft Value $70,000.00 Unfinished/Basement 0 Sq. Finished/Living 0 Sq. Ft. Garage 0 Sq.Ft. - Ft. - Rooms 0 Bedrooms 0 Baths 0 D Projection I - - Stories Height 0 Ft. Canopies 0 Signs 0 - Foundation . Poured Concrete o Floating Slab o Pier o Other o Concrete Block o Post o Treated Wood Occupany Permit Required Flood Plain No Height Permit Not Required - Park Dedication Not Required # Dwelling Units 0 # Structures 0 Use/Nature Interior alterations to office areas as per plans. of Work HV AC Contr GARTMAN MECHANICAL SERVICES Plumbing Contr Electric Contr SUBURBAN ELECTRICAL ENGINEERINI Inspections: Date Type Final Inspector Allyn Dannhoff approved w/cond. REQUEST LINE/WOULD LIKE INSPECTION THURSDAY AND KEVIN WOULD LIKE TO BE PRESENT HAVE RECEIVED COMPLIANCE STATEMNETS, CLOSE FILE. DatelTime requested: 5/9/2006 10:23 AM Notice Type: Access: IFRONT ENTRANCE Ready DatelTime: 5/9/2006 10:23 AM Requested By: CR MEYER o Reinspect Fee 0 Fee Waived Phone Number: KEVIN 379-4867 ] D Reinspect Fee Paid Page 2 of 2 BLlilding Permit Work Card Job Address 3550 MOSER ST Permit Number 0118546 Create Date 3/17/2006 Owner BANNER PACKAGING INC Contractor CR MEYER .; Category 223 - Alteration Offices, Banks, Professional Type . Building o Sign o Canopy o Fence o Raze I Plan S1-24-0306 Zoning Class of Const: 3B Size 4320 sq ft Value $70,000.00 - Unfinished/Basement 0 Sq. Finished/Living 0 Sq. Ft. Garage 0 Sq.Ft. - Ft. - - Rooms 0 Bedrooms 0 Baths 0 D Projection I - - Stories Height 0 Ft. Canopies 0 Signs 0 - - Foundation . Poured Concrete o Floating Slab o Pier o Other o Concrete Block o Post o Treated Wood Occupany Permit Required Flood Plain No Height Permit Not Required - Park Dedication Not Required # Dwelling Units 0 # Structures 0 Use/Nature Interior alterations to office areas as per plans. of Work HV AC Contr GARTMAN MECHANICAL SERVICES Plumbing Contr Electric Contr SUBURBAN ELECTRICAL ENGINEERINI Inspections: Date 4/5/2006 Type Rough In Inspector Allyn Dannhoff Request Line - did not state type other than building. PHASE 1 ROUGH-IN OK approved DatelTime requested: 3/22/2006 12:42 PM Notice Type: Phone Number: 379-4867 Access: IEnter through main entrance and have them page Kevin as he wants to be present. Ready DatelTime: 3/22/2006 12:42 PM Requested By: CR MEYER-Kevin o Reinspect Fee 0 Fee Waived ] D Reinspect Fee Paid Type Final Inspector Allyn Dannhoff no time Date 4/17/2006 REQUEST LINE / PHASED ENGINEERING AREA, WOULD LIKE INSPECTION MONDAY 4/17 CALLED BRIAN, ADVISED TO SUBMIT COMPLIANCE STATMENTS DatelTime requested: 4/13/2006 10:01 AM Notice Type: Access: ICALL TO SCHEDULE WILL MEET ON SITE IF INSPECTION IS REQUIRED Phone Number: BRIAN 235-3350 379-4689 ] Ready DatelTime: Requested By: CR MEYER o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid Page 1 of2 . Electric Permit Work Card Job Address 3550 MOSER ST Permit Number 118665 Create Date 3/17/2006 . Owner BANNER PACKAGING INC Contractor SUBURBAN ELECTRICAL ENGINEERIN( Category 653 - Industrial-Addition/Remodels Service b New o ChangeO Temp . N/A I Type o Overhead o Underground . N/A I Volts Circuits 6 Luminaires 23 Amps 0 Switches 12 Receptacles 40 Fee $224.00 D Value $15,000.00 Appliances Use/Nature Interior alterations to office areas as per plans. of Work Inspections: Date Type Final Inspector Kevin Benner Cubical Area 1 st floor DatelTime requested: 05/0212006 02:21 PM Access: Notice Type: Phone Number: 716-6180 Travis Ready DatelTime: 05/04/2006 00:00 PM Requested by: SUBURBAN ELECTRICAL ENGINEERING o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Type Final Inspector Kevin Benner Date 05/04/2006 approved w/cond. NW office area 1st floor K.O. plug and a few coverplates missing (Painter related) DatelTime requested: 05/02/2006 02:21 PM Access: Notice Type: Phone Number: 716-6180 Travis Ready DatelTime: 05/04/2006 00:00 PM Requested by: SUBURBAN ELECTRICAL ENGINEERING o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid . Electric Permit Work Card Job Address 3550 MOSER ST Permit Number 118665 Create Date 3/17/2006 " Owner BANNER PACKAGING INC Contractor SUBURBAN ELECTRICAL ENGINEERIN( Category 653 - Industrial-Addition/Remodels Service b New o ChangeO Temp . N/A I Type o Overhead o Underground . N/A I Volts Circuits 6 Luminaires 23 Amps 0 Switches 12 Receptacles 40 Fee $224.00 D Value $15,000.00 Appliances Use/Nature Interior alterations to office areas as per plans. of Work Inspections: Date 04/21/2006 Type Rough In Inspector Kevin Benner Ground tails were not installed in some of the boxes DatelTime requested: 04/19/2006 02:09 PM Access: Notice Type: Phone Number: 716-6180 Travis Ready DatelTime: 04/21/2006 00:00 AM Requested by: SUBURBAN ELECTRICAL ENGINEERING o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Date Type Final Inspector Kevin Benner not approved 1st floor cubical area only! The tele-power poles that feed the cubicals shall be effectively closed. Discussed building a cover for a bottom entry. Reviewed with Travis from the E.C. DatelTime requested: 04/25/2006 01 :26 PM Access: Notice Type: Phone Number: 716-6180 Travis Ready DatelTime: 04/27/2006 00:00 AM Requested by: SUBURBAN ELECTRICAL ENGINEERING o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid . Electric Permit Work Card Job Address 3550 MOSER ST Permit Number 118665 Create Date 3/17/2006 Owner BANNER PACKAGING INC Contractor SUBURBAN ELECTRICAL ENGINEERIN( Category 653 -Industrial-Addition/Remodels Service b New o ChangeO Temp . N/A I Type o Overhead o Underground . N/A I Volts Circuits 6 Luminaires 23 Amps 0 Switches 12 Receptacles 40 Fee $224.00 D Value $15,000.00 Appliances Use/Nature Interior alterations to office areas as per plans. of Work Inspections: Date 04/1212006 Type Abv Ceiling Inspector Kevin Benner approved w/cond. Re-Inspect There are CL2 wires in the 1st floor office that are undetermined what they are for. It was discussed that they are to be removed or identified for a specific future use. This ID is to be on both ends of the wires. DatelTime requested: 04/11/2006 01 :21 PM Access: Notice Type: Phone Number: 716-6180 Travis Ready Date/Time: 04/12/200607:00 AM Requested by: SUBURBAN ELECTRICAL ENGINEERING o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Date 04/19/2006 Type Final Inspector Kevin Benner approved w/cond. Panel Directories to be installed and a seperate circuit to be installed for the Copier receptacle. Reviewed with Travis from the E.C. DatelTime requested: 04/17/2006 12:59 PM Access: Meet Travis on site Wednesday 6:30 AM Ready Date/Time: 04/18/200600:00 PM Requested by: SUBURBAN ELECTRICAL ENGINEERING o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Notice Type: Phone Number: 716-6180 Travis Electric Permit Work Card Job Address 3550 MOSER ST Permit Number 118665 Create Date 3/17/2006 Owner BANNER PACKAGING INC Contractor SUBURBAN ELECTRICAL ENGINEERIN( Category 653 - Industrial-Addition/Remodels Service b New o ChangeO Temp . N/A I Type o Overhead o Underground . N/A I Volts Circuits 6 Luminaires 23 Amps 0 Switches 12 Receptacles 40 Fee $224.00 D Value $15,000.00 Appliances Use/Nature Interior alterations to office areas as per plans. of Work Inspections: Date 03/24/2006 Type Re Rough In Inspector Kevin Benner approved Interior walls only. Reviewed CL 2 wiring installation requirements DatelTime requested: 03/23/2006 11 :00 AM Access: Meet Travis on site. Notice Type: Phone Number: 920-716-6180 Travis Ready DatelTime: 03/24/2006 00:00 AM Requested by: SUBURBAN ELECTRICAL ENGINEERING o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Date Type Abv Ceiling Inspector Kevin Benner DatelTime requested: 04/07/2006 08:19 AM Access: Notice Type: Phone Number: 716-6180 Travis Ready DatelTime: 04/11/2006 00:00 AM Requested by: SUBURBAN ELECTRICAL ENGINEERING o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Electric Permit Work Card " Job Address 3550 MOSER ST Permit Number 118665 Create Date 3/17/2006 . Owner BANNER PACKAGING INC Contractor SUBURBAN ELECTRICAL ENGINEERIN( Category 653 - Industrial-Addition/Remodels Service bNew o ChangeO Temp . N/A I Type o Overhead o Underground . N/A I Volts Circuits 6 Luminaires 23 Amps 0 Switches 12 Receptacles 40 Fee $224.00 D Value $15,000.00 Appliances Use/Nature Interior alterations to office areas as per plans. of Work Inspections: Date Type Rough In Inspector Kevin Benner cancelled Request Line - wants to schedule for Thursday, please call. *** OK to process inspection request against W/C per K.B. *** CANCELLED 3/22/06 @ 11 :35 a.m. DatelTime requested: 03/2212006 07:00 AM Access: Locked, call, Travis will be on site. Ready DatelTime: 03/23/2006 07:00 AM Requested by: SUBURBAN ELECTRICAL ENGINEERING o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Notice Type: Phone Number: 920-450-5234,920-716-6180 Date 03/23/2006 Type Rough In Inspector Kevin Benner not approved Request Line Could not contact Travis. Lefta VM message for him & called Scott from the E.C.. Scott stated that he would try to caontact Travis and make arrangements for access. Date/Time requested: 03/2212006 11 :35 AM Access: Notice Type: Phone Number: 920-716-6180 Ready Date/Time: 03/23/2006 07:00 AM Requested by: SUBURBAN ELECTRICAL ENGINEERING o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid HVAC Permit Work Card Job Address 3550 MOSER ST Permit Number 118922 Create Date 03/17/2006 Owner BANNER PACKAGING INC Contractor GARTMAN MECHANICAL SERVICES Fuel ~ Gas I U Oil I U Electric I U Solar U Solid I Value $16,695.00 System D New I D Replace I 0 Other I ~ Forced Air U Radiant I U Steam i ~ AlC I U Vent I U Electric I U Hot Water I U Suppl. I U Con. Burner I Chimney Type 0 Chimney A 0 Chimney B . Direct Vent 0 Not Applicable I ~~~tu'" '~~~,'f ",Ioca'o" of '"9'nee'''9 ofIIoe to m.n, " "... ,I'", . '",",,0< '_'0"' to ofIIoe '''''' " '"' ,I'",. · AFTE"] Inspections: Date 5/9/2006 Type Final Inspector Allyn Dannhoff approved ~ Date/Time requested: Access: I Requested By: o Reinspect Fee 0 Fee Waived Notice Type: Ready Date/Time: Phone Number: D Reinspect Fee Paid .. Inspections for Work Card' 85292 Date "3/24/2006 Type Rough In Inspector Rich Wood approved Date/Time requested: 3/24/2006 08:21 AM Notice Type: Access: IMain entry and ask to have a Gartman Employee paged Ready Date/Time: 3/24/2006 08:21 AM Requested By: o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid Telephone Number: - Plumbing Permit Work Card '" Job Address 3550 MOSER ST Permit Number 118651 Create D,ite 03/23/2006 Owner BANNER PACKAGING INC Contractor GARTMAN MECHANICAL SERVICES Category 440 - Industrial-Interior Plan Value $400.00 Bathtub 0 Shower 0 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 FlrJWst Sink 0 Int Grease Trap 0 Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 - Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0 Res. Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0 Bar Sink 0 Sump Pump 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0 Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0 Site Drain 0 Breakrm Sink 1 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0 - - Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0 - - - - Misc. 0 - Fixtures Use/Nature ~OMMERCIAL /INSTALL ENGINEERING OFFICE AREA SINK ~ of Work 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 J .~ O./HKOJH City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903-1130 www.ci.oshkosh.wi.us ON THE WATER March 15, 2006 James Putman Kempinger Putman Architects LLC 2390 State Road 44 Suite A Oshkosh, VVI54904 Brian Dobish CR Meyer 895 VV 20th Ave Oshkosh WI 54903 Banner 3550 Moser Street Oshkosh, VVI 54901 Site: Plan Number: SI-24-0306 Banner 3550 Moser Street Oshkosh VVI 54901 For: Description: Interior office space alterations Object Type: Building only Class of Construction: InB - 4320 Sq Ft.; sprinklered Occupancy: F: Factory / Industrial B: Business / Office 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: . IDC 901.2 Fire protection systems shall be installed, repaired, operated and maintained in accordance with this code and the international fire code. (Construction of new walls may require the addition and or relocation of sprinkler heads to maintain required coverage, and not obstruct spray patterns of fire sprinklers) . IFC 901.4 Fire protection systems shall be maintained in accordance with the original installation standards for that system. Required fire protection systems shall be extended, altered, or augmented as necessary to maintain and continue protection whenever the building is altered, remodeled or added to. Alterations to fire protection systems shall be done in accordance with applicable standards. Submit plans for fire sprinkler modifications. . IDC 906.1/ IFC 906.3 The maximum travel distance allowed to a fife extinguisher is 75 feet. . Comm 61.30(3) I IMC 507.2 This plan review does not include heating, ventilation, or air conditioning. RV AC plans are required to be submitted and approved prior to installation ofRV AC equipment. Be aware that IDC 1004.3.2.4 contains additional restriction for air movement in corridors \\OSTIKOSIIlVIISFS\USERS\bri,u'm\2006 Cornm Plan Review'S 1-24-0306 3550 Mos",r St BIdg Only.dol' Page I 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 Comm 61.31(1). SUBMIT: . Comm 61.50 (4) Supervision. Prior to the initial occupancy of an alteration the supervising professional shall file a compliance statement form SBD-9720 with this office. A copy of the approved plans, specifications, and this letter shall be on-site during construction. All permits are required to be obtained prior to 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 1 01.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the number listed below or the address on this letterhead. ,~y, ~ 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 $ 390.00 390.00 0.00 \\OSIIKOSHMISFS\US.ERS\briann\2006 Corom Plan Review\S 1-:!4-0306 3550 [vlo,.;I St BLdg: Only.do\: Page 2 of2 .. ~ OJHKOfH City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903-1130 www.cLoshkosh.wLus ON THE WATER April 1 0, 2006 Keith Paul GMS Inc. 520 W South Park Ave. Oshkosh, WI 5490 I Keith Neuens Banner Packaging 3550 Moser Street Oshkosh, WI 54901 Site: Plan Number: Sl-24-0306-H Banner Packaging 3550 Moser Street Oshkosh WI 54901 For: Description: Interior office space alterations Object Type: HV AC only Class of Construction: llIB - 3262 Sq Ft.; sprinklered Occupancy: F: Factory / Industrial B: Business / Office 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: · mc 711.3 Any penetrations of fIre rated assemblies are required to be protected with a listed frrestopping 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 602.2.1 Materials exposed within plenums. Except as required by Sections 602.2.1.1 through 602.2.1.4, materials exposed within plenums shall be noncombustible or shall have a flame spread index of not more than 25 and a smoke-developed index of not more than 50 when tested in accordance with ASTM E 84. · IMC 606.4.1 The duct 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. Verify that Duct smoke detectors are connected to fire alarm system, and shut down RTU. · 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 Comm 61.31(1). \\OSHKOSJ IMISFS\CSERS\bri2.11n\2006 Comm Plan Review\S 1-24-0306-H 3550 Mo,er Sf HVA(' Only.dol: Page 1 of2 .. SUBMIT: · Comm 61.50 (4) Supervision. Prior to the initial occupancy of an alteration the supervising professional shall file a compliance statement form SBD-9720 with this office. A copy of the approved plans, specifications, and this letter shall be on-site during construction. All permits are required to be obtained prior to 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 nwnber listed below or the address on this letterhead. Respec oe 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 $ 300.00 300.00 0.00 \\OSTIKOSIIMISFS\U5ERS\briann\2006 Comm Plan Review\S j -24-0306-H 3550 Mu,:er 5t HVAC' Only.doc Page 2 of2 } Kempinger Putman Architects .If 2390 State Road 44 - Suite A (920) 235-3310 P.O. BOX 2903 OSHKOSH, WISCONSIN 54904 FAX (920) 235-4002 April 17, 2006 City of Oshkosh Inspections Services 215 Church Avenue Oshkosh, WI 54903-1130 E I APR 1 7 2006 Re: Interior Remodeling of Office Spaces: Banner 3550 Moser Street Oshkosh, WI Dr:P' 'PR'"Tr,~?:;E\r~l. Oil"" l~ Hi i i'/~,_u'l. l r COMMUNITY DEVELOPMENT Attn Brian Noe, We submit for your review the following items. . Completed Compliance Statement, Phase 1 work. Work for this project requires two phases of construction. The enclosed drawings indicates work completed and inspected. Work begin done as phase two will begin soon. That work is also indicated and when completed, I will send in a Compliance Statement for that work after it has been inspected. If you have any questions, please don't hesitate to call. Thank you. {l::?!::: Kempinger Putman Architects, LLC. 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 50.1 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 (refer to the plan approval letter for agency address and . Safety and Buildings, 10541N Ranch Road Hayward, Wi. 54843 Note: If the review was done by the municipality, the compliance statement goes only to the municipal building inspector. A copy is not needed by Safety & Buildings. Personal 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 approval letter. Transaction 10 Number S\- 2~ - 0306 Project Name BA-t-J~. 1t-.}~alL lfr-:t<!t' SffttE /lEM01J)a\ 106 Site Number - Site location (number & street) '35S-0 tJ)O~ ~~'\ 3' City 0 Village 0 Town of ~\-\~$Ir\ County of wn.ltvE ~c 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 necessary.) Check those which apply: 0 Building Object 10 # 0 HVAC Object 10 # o Lighting Object 10 # g Partial Completion A~ \. e" , \\\:)\. k~D IH.E' ~t2A...:h We Description of Portion Completed A) S Statement of Substantial Compliance To the best of my knowledge, belief, and based on onsite observation, construction of the following building and/or HVAC items applicable to this project have been completed in substantial compliance with the approved plans and specifications. o BUILDING/LIGHTING 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 forward flow on back flow devices) by appropriately registered professionals 3. Shaft and stairway enclosure 4. Exits including exit and directional lights 5. Fire-resistive construction, enclosure of hazards, fire walls, labeled doors, class of construction, fire stopped penetrations 6. Sanitation system (toilets. sinks, drinking facilities) 7. Barrier-free including Comm 18 elevators and lifts 8. Energy envelope requirements 9. All conditions of building plan approval and applicable variances 10. Exterior lighting & control requirements 11. Interior lighting & control requirements 12. All conditions of lighting plan approval and applicable variances o HVAC ITEMS 1. HVAC system including final test 2. All conditions of HVAC plan approval and applicable variances The following items are not in compliance and must be addressed: B) [J Statement of Noncompliance Due to the following listed violations, this project is not ready for occupancy: C) 0 Supervising Professional Withdrawn From Project (Use A or B above to indicate project status as ofthis date.) D) 0 Project Abandoned 3. SUPERVISING PROFESSIONAL SIGNA TUR~FOR: iii Building 0 HVAC 0 Lighting ~,M.lE~ . Y~.rrMW Name (please print or type) Phone number q2D~ tSs ~~31 0 Customer ID # qt en 8 5' Date kra L \1 I '2COf::> S;'MWlT' ~ SBD-9720 (R.04/2005) SBD-9720 (R02/2004) ~ ~ ~ ~?3""E! W?~ I ~ ~ \ - , , <lil ~ ffiO!ON ~ - ( '< .- I D I i I I i I I I I ! I ! I iN ---I.-~ L H W .:z :2 ~ ..\,\) :::z.. ( ~ >l'?Ol-?::lIV ><( =- I , I I I Cl w m E.:. . ~ E ,,',~i'J~ Buildings, HV AC, Compliance Statement APR 1 9 2006 This form is required to be submitted by the supervising professional (architect, engineer, HVACJjestgfJ~r.Qr,~lec~ical designer) observing construction of projects within buildings with total areas 50,000 cubic feet Bt~1~MM~~tlGCt blQrchers (Comm 50.10/Comm 61.50). Failure to submit this form may result in penalties as spe~@{(mtlJ[g);qo/frV !ij[49Zg~ljlMENT 61.23 and/or local ordinances. 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 and · Safety and Buildings, 10541N Ranch Road Hayward, Wi. 54843 Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1)(m)]. 1. PROJECT INFORMATION: Please fill in Jhe ollowjPg Wi~.h...~i.9 fO. rmationfrom your plan approvallett:2.; Transaction ID Number- a--A/~b5k h-h ~S/"-/Y-c2rV6 -// Site Number Site location (number & street) J~if a ~.?J-S'~~ ~~ XCity 0 Village 0 Town of ool'd, l"p:: County of ~ I 2. PURPOSE OF THIS STATEMENT: (Check Box A, B, C, or 0 to indicate purpose and complete applicable boxes and information. Attach additional pages if neces~)? Check those which apply: 0 Building Object 10 # _ ,J3HVAC Object ID # o Lighting Object 10 # o Partial Completion Description of Portion Completed A,..,..z Statement of Substantial Compliance "/"'To the best of my knowledge, belief, and based on ons;le observation, const'ucl;on oflhe following building andlo, HVAC items applicable to this project have been completed in substantial compliance with the approved plans and specifications. o BUilDING/LIGHTING 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 forward flow on back flow devices) by appropriately registered professionals . 3. Shaft and stairway enclosure 4. Exits including exit and directional lights . ~ 5. Fire-resistive construction, enclosure of hazards, fire walls, labeled doors, class of VAC ITEMS construction, fire stopped penetrations 6. Sanitation syStem (toile!s, sinks, drinking facilities) 1. HVAC system including final test 7. Barrier-free including Comm 18 elevators and lifts 2. All conditions of HVAC plan approval and 8. Energy envelope requirements applicable variances 9. All conditions of building plan approval and applicable variances 10. Exteriorlighting & control requirements 11. Interior lighting & control requirements 12, All conditions of lighting plan approval and applicable variances The following items are not in compliance and must be addressed: B) 0 Statement of Noncompliance Due to the following listed violations, this project is not ready for occupancy: C) 0 Supervising Professional Withdrawn From Project (Use A or B ebove to indicate project status as of this date.) D) 0 Project Abandoned 3. SUPERVISIN~ PR.9FESSIONALSIGN~TYJ5E F9JS>/ ./ J '/? .l o Building~VAC 0 Lighting_ 7/~/~ ~ ~/ Date -- _.. Name (pleas~nt or type) ~ Phon~;l:?/ /~astornerID# ;?~f9 Signature October 25,2005 \EC\!.U~~ N NO\J OS 2005, \U T'l CLERK'S QFF\CE C\ ~E ATTN: Electrical Inspe&tofl.""'.". m '\.b:: MUNICIPAL CLERK CITY OF OSHKOSH PO BOX 1130 OSHKOSH WI 54903-1130 Safety and Buildings 141 NW BARSTOW ST FL 4TH WAUKESHA WI 53188.3789 TOD #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov .. '" " . ... j commerce.wi.gov "':iJL~~om~! Jim Doyle, Governor Mary P. Burke, Secretary CUST ID No. 993852 I: !i D JIM MARTIN WISCONSIN PUBLIC SERVICE CORP 3300 N MAIN ST OSHKOSH WI 54901 NOV 0 J 2005 APPROVAL OF PETITION FOR VARIANCE '"' - Iden iti'ctitt6.H'Nt1rlib~~V:!= . Transaction ID No. 1140370 Site ID No. 584936 Please refer to both identification nuIIibers, above, in allcorres oIl.denc~ withtheael1cy. SITE: Banner Packaging 3550 Moser St City of Oshkosh, 54901 ; Fire Dept ID: 7003 FOR: Petition for Variance Comm 16.11 REF NEC 310.61 The submittal described above has been reviewed for equivalency to applicable Wisconsin Administrative Codes and compliance with Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in section 101.01(10), Wisconsin Statutes, is responsible for compliance with all conditions of this petition approval and other applicable code requirements. Plan submittal and approval to the department or its agent may be necessary prior to construction undertaken per this petition. Your Petition for Variance of code section(s) noted above has been reviewed. The code section petitioned required TypeMV cables to be used for an underground feeder installation. The feeder operates above 600-volts. The installation was performed by the local utility. The variance requested is to permit a underground cable of a type approved by Wisconsin Public Service Corporation, a public utility. The intent of the code section petitioned is to ensure the conductor material and insulations are listed and tested by an independent third party agency and are identified as suitable fOI' the application. The petitioner submitted the SB-9890 application form including 39 additional page(s) of supporting documents and/or plans. Reviewer's Comments: 1. The local municipal building inspection department did not comment on the specifics of the petition. They did request that the Department review and assess the specifications in order to determine acceptability for the installation. 2. Manufacturer's test data was submitted and reviewed. 3. A copy ofWPS Specification WPSC-28KV Cablec0902 was submitted and reviewed. The specification requires that cables meet the latest revision of ICEAS-940649 and AEIC CS-8. These specifications were not reviewed but were determined to be acceptable national standards for this type of product. 4. A copy of a email from Austin Wetherell, Principal Engineer (PDE)- Wire and Cable, Underwriters Laboratories was submitted and reviewed. The email noted that the insulation type and thickness for the cable used in this project does comply with UL standards. 5. WPS submitted background information on their construction crew. The crew had a total of 32 years of utility type line experience. The crew included a leader, a 1st class lineman and a 3rd class lineman. JIM MARTIN Page 2 10/25/2005 .," Departmental Action: CONDITIONAL APPROVAL Reviewer's Conditions of Approval: 1. This installation is required to meet all other aspects of Comm 16 and the 2002 National Electric Code. The acceptability of the installation is to be determined by a Commercial Electrical Inspector employed by the City of Oshkosh. Any City of Oshkosh rules and regulations including licensing, permits and inspections shall be followed by the installer and owner. All of the petitioner's statements of fact or intent included on the variance application form, any other documents submitted to the Department, as well as any other conditions of approval listed below, shall be carried out. Any recommended conditions of approval by the fire department and/or municipal building inspection department listed above shall also be carried out unless otherwise stated below. This variance is specific to the subject petition and cannot be used for any additional modifications. This decision will become final unless the department within 30 days from the date of this letter receives a written request for a hearing. A request for hearing should be sent to the address shown on this letterhead. A copy of this letter must be included with the request for a hearing. The request for hearing should state the reasons for objecting to the department's decision, because a request for hearing may be denied if it does not present a significant question in fact, law or policy. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincer7ly, _ "w~<..~ .',\ () /"/ . . h,/'""'J' J...."'~ .' .,! I ("l't1.1./~t./1- /'(/''I1P 'y, i lo.:...,' (f - . \! v Thomas J GarVey, P.E. Electrical Engineer, Integrated Services (414)852-3696, tgarvey@commerce.state.wi.us Fee Required $ Fee Received $ Balance Due $ 250.00 250.00 0.00 WiSMARTcode; 7631 l\:lgmL Free. Review by: cc: Thomas J Garvey, P.E., Electrical Engineer, (414) 852-3696 Keith Neuens, Banner Packaging Wisconsin Public Service Corp j,~Cd. ..;i;,