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Home My WebLink About2007-Electric (elevator) /-0 OSHKOSH ON THE WATER Job Address 2400 WITZEL AVE CITY OF OSHKOSH No 123764 ELECTRIC PERMIT - APPLICATION AND RECORD Owner WITZEL LOT 2 LLC Create Date 03/12/2007 Contractor BRAUN ELECTRIC Category 643 - Commercial-Addition/Remodels Plan Service p New o Change 0 Temp . N/A l -~ Type 0 Overhead o Underground Volts Circuits Luminaires Amps 95 Switches Receptacles Appliances levator Use/Nature of OMM / WIRE ELEVATOR AT THE RENAISSANCE SURGERY CENTER Work U'::~,;~" l I $2,000.00 Plan Approval $0.00 Permit Fee Paid $77.00 Fees: Valuation Issued By: ~lAJ Date 03/12/2007 o Permit Voided I Parcelld # 0622020000 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 2829 ROYAL AVENUE MADISON WI 53713 - 1541 Telephone Number (608) 221-4400 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. .. City of Oshkosh Division ofInspection Services P.O. Box 1130 Oshkosh, VVI54903-ll30 Phone (920) 236-5050 Fax (920) 236-5084 ~ OfHKOfH ON THE WATER ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR Ifvou are a contractor particivating in the Permit Fee Account Svstem and have adequate funds. check here ifvou want this processed throuf!h vour account D DATE ~<"( d -07 JOB ADDRESS d,-/ (ij W l-tzeA A\f'V OWNER_ (()')Q Vat(9wj ?lash(-i ,~~(lry CONTRACTOR. ~(?A<~(\ ~{0 RECEIVED CHECK ~ ALL APPLICABLE USE CATEGORY DSingle Family DDuplex DMulti-Family DRental MAR01 DEPARTMENT OF \-d COMMUNITY DEVELOPMENT ~ommercial DIndustrial SERVICE DNew o Change DTemporary DNot Applicable TYPE DOverhead DUnderground DNot Applicable FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Switches # o () Circuits # a d Volts ~y / Phase ~ Amps 5 Receptacles # Fixtures # CHECK ~ ALL APPLICABLE o Dryer DWater Heater DElectric Sign E( taiakfL. DESCRIPTION OF ALL WORK BEING DONE ~lk~f:~'I'f.- ~~. ~W&~~ VALUE (Including labor and all materials including light fixtures) $ S'7 (tfStJ ,(f.J ORange DFan OR Blower DMotors DDishwasher o Fumace DGas Pumps DGarbage Disposal DAlC r&Other F~ ~Y7~W MASTER ELECTRICIAN !O71 (JO 3/02 '*"'- j commerce.wi.gov ~!~~90n!Jen Safety and Buildings 2331 SAN LUIS PL STE 150 GREEN BAYWI 54304 TOO #: (608) 264-8777 WNW.commerce. wi.gov/sb/ WNW.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary August 28, 2006 CUST ID No. 920100 A TTN: Buildings & Structures Inspector HOFFMAN MARK J ROBBINS N434 GREENVILLE CENTER PO BOX 8034 APPLETON WI 54914 BUILDING INSPECTION CITY OF OSHKOSH POB 1130 OSHKOSH WI 54902 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 08/28/2008 Identification Numbers Transaction ID No. 1286541 Site ID No. 714935 Please refer to both identification numbers, above, in all correspondence with the agency. SITE: Renaissance Surgery Center of Oshkosh 2400 Witzel Ave City of Oshkosh FOR: Facility: 674203 RENAISSANCE SURGERY CENTER OF OSHKOSH 2400 WITZEL AVE Object Type: Building ICC Regulated Object ID No.: 1083720 Major Occupancy: Business; Type lIB Metal Frame Unprotected class of construction; New plan; 23,410 project sq ft; Completely Sprinklered; Occupancy: B Business; Sprinkler Design: NFPA-13 Sprinkler; Component(s) submitted with this transaction: HV AC ICC; Allowable area determined by: Un separated Use Object Type: HV AC ICC System Regulated Object ID No.: 1083721 Mechanical refrigeration system; VA V system included; 23,410 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 following conditions shall be met during construction or installation and prior to occupancy or use: Also Address . IECC 803.3.4/Comm 63.1027(2)(a) Reheating, recooling, mixing or other simultaneous operation of heating and cooling systems to the same zone may be provided if the variable air volume (V A V) systems reduce the air supply to each zone to a minimum before reheating, cooling, or mixing takes place. The minimum volume must be no greater than the largest of the following: (I) 30% of the peak supply volume; (2) The minimum required to meet ventilation requirements ofComm 64.0403; or (3) 0.4 cfrn/sf of zone conditioned floor area. Submit . Comm 61.30 (3) - Submit, prior to installation, one (I) set of properly signed and sealed precast plans, a completed SB-118 application form including this transaction number and signed by the building designer, and $100 submittal fee to Safety & Buildings, P.O. Box 7162, Madison, WI 53707-7162. Note as per Comm 2.31(1)(d)6. the fee for a structural component erected prior to plan submittal may be an additional $200. . Comm 61.30(3) - Submit, prior to installation, one (I) set of properly signed and sealed truss plans, a completed SB-II8 application form including this transaction number and signed by the building designer, and $100 submittal fee to Safety & Buildings, P.O. Box 7162, Madison WI 53707-7162. Note as per Comm MARK J ROBBINS Page 2 8/28/2006 2.31(1)(d)6. the fee for a structural component erected prior to plan submittal may be an additional $200. Reminders · This review does not include approval or registration for the installation of Boilers and Pressure Vessels indicated on this plan. The installation of any Boiler or Pressure Vessel shall be registered with the Department by the installer before the system is placed in operation as prescribed by COMM 41.4 I. Registration shall be in writing on Form SBD-63 14. This form, and additional information, may be obtained via telephone at 608-266-1818 or via the Internet at http://www.commerce.state.wi.us/SB/SB- Di vF orms.html#Boilers · This review does not include approval for the installation of mechanical refrigeration equipment. Form SBD- 34 may be obtained from our website at commerce.state.wi.us. Contact the Refrigeration/Boiler Safety Inspector at the phone number below for submittal requirements. · This review does not include approval for elevator/escalator/ lift indicated on your plans. Contact Brian Rausch at (262) 521-5444 for submittal requirements or click on forms at our web home page http://www.commerce.state.wi.us/SB/SB-HomePage.html. Designers are reminded that an elevator car capable of accommodating an ambulance stretcher for buildings 4 stories in height or more, as well as for all outpatient clinics, nursing homes and hospitals, is required by IEC 3002.4. Also, a drain or sump is required for any elevator pit. · IMC 100l/Comm 64.1001 Provide boilers and pressure vessels that are constructed and installed in compliance with the standards of the American Society of Mechanical Engineers, as adopted under Comm 41. · IMC 1101/Comm 64.1101 Air conditioning systems shall be constructed and installed in compliance with the standards of the American Society of Mechanical Engineers, as adopted under Comm 45. · IBC 903.3.1.1/Comm 61.30(3)/Comm 61.31(1)(b) This structure is indicated as being fully protected by an automatic fire sprinkler system (see NFP A 13). This approval does not include a review ofthe system. The owner shall have and make available upon request by the department a copy of the reports documenting the acceptability of the completed system (see NFPA 13-2002, sections 10-1 and 10-2). A copy of the approved plans, specifications and this letter shall be on-site during construction and open to inspection by authorized representatives ofthe Department, which may include local inspectors. Ifplan 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 ofland, an Erosion Control Notice ofIntent (NOI) 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 conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structure, or component. Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address on this letterhead. Sincerely, Fee Required $ 1,570.00 Fee Received $ 1,740.00 Refund Amt $ 170.00 Donald L Diedrick Plan Reviewer, Integrated Services (920)492-5606, M-TH 6:30 am - 4:00 pm, Fri a.m. Only don.diedrick@wisconsin.gov WiSMART code: 7648 cc: Peter R Ochs, State Building Inspector, (920) 948-3500 , Friday, 7:45 A.M. - 4:30 P.M. Bert Fredericksen, Fredericksen Engineering Inc . . MARK J ROBBINS Page 3 8/28/2006 David Janssen, Fox Valley Plastic Surgery Sc Tim J Marty, Elevator Inspector, (920) 428-9422 Jon P Wolf, Boiler Inspector, (920) 723-0032