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HomeMy WebLinkAbout2007-Certificate of Occupancy CITY HALL Inspection Services Div 215 Church Avenue ~POBOX1130 ~ Oshkosh WI ~ 54903~1130 OfHKOfH ON THE WATER City of Oshkosh Approved: Issued: 04/04/2007 04/04/2007 First Horizon Group Ltd Partnership Prime Retail 217 E Redwood St 20th Floor Baltimore MD 21202 CERTIFICATE OF OCCUPANCY' , An Occupancy Permit is hereby issued for the alterations for Aeropostale located at 3001 S Washburn St, Space C-10 as described in Building Permit # 12548. This building is to be used for Retail Business and is located in the M-3 General Industrial District. LIMITATIONS: Maximum number of persons: 95 Certificate of Occupancy shall be required prior to occupancy, should additional building(s) be erected, or should any buildings mentioned above be alter d or moved. The use of land, or buildings, shall not be changed until a Certifi ate of Occupancy is issued for that occupancy. All conditions no bove mus be complied with in order for this certificate to be valid. 01 cc: Advanced Construction Services ;--, ,~ Building Permit Work Card Job Address 3001 S WASHBURN ST Permit Number 0123548 Create Date 2/14/2007 Owner FIRST HORIZON GROUP LIMITED PTNSHP Contractor ADVANCED CONSTRUCTION SERVICES Category 232 - Alteration Stores & Customer Service Plan X1-1881-0107 Occupany Permit Not Required Flood Plain Height Permit Class of Const: Use/Nature C10 - Aeropostale - Interior alterations/remodel for new tenant of Work HV AC Contr CENTRAL HEATING SERVICE INC Plumbing Contr OGDEN PLUMBING. " . . -" -.- '"~ . Electric Contr BUSS ELECTRIC INC Inspections: Date 3/2/2007 10:00 AM Type Rough In Inspector Allyn Dannhoff approved Discussed Blocking for grab bars and putting together a plan to show compliance with emergency illumination requirementS (explained his was shown on the plan review. DatelTime requested: 3/2/2007 10:39 AM Notice Type: Ready DatelTime: 3/2/2007 PM Access: Enter thru rear entrance I Requested By: ADVANCED CONSTRUCTION SERVICES Phone Number: Steve (412) 715-2 96 o Reinspect Fee 0 Fee Waived o Reinspect Fee Paid - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - -- - - - - - - - - - - - - - - -- - - - - - - -- - - - - - -- - - - - - - - - - - - - - - -- - - - - -- - - - - - - - - - - -- - - - - - -- - - - - -- - - - - - - - - - - --- - - - - - - - - - - - - --- - - - --- ----------------------- Date 4/2/2007 Type Final Inspector Allyn Dannhoff approved w/cond. See FCN - No significant concerns. When FCN is completed - OK to occupy. DatelTime requested: Notice Type: Ready Datemme: Access: I , Requested By: Phone Number: o Reinspect Fee 0 Fee Waived o Reinspect Fee Paid - - -- - - - - - - - - - - - - - -- - - - - -- - - - - - -- - - - - - - - -- - - - - -- -- - - - - -- - - - - - - - -- -- --- - - - - - - - - - -- -- - - - - - - - - - --- - - - - -- - - - - - - - - - - - - - - - - - -- - - - - --- - - - - - - - - - - - -- - - - - - -- - - - - --- ------------------ - ---- Date 4/4/2006 Type Final Inspector Allyn Dannhoff approved . DatelTime requested: Notice Type: Ready Datemme: Access: I Requested By: Phone Number: o Reinspect Fee 0 Fee Waived o ReinspeCt Fee Paid - -- - - - -- - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - -- - - - - - - --- - - - - - - -- - - - - --- - - - - - - - - - - - - --- - - - - - -- - - --- - - - - - - - - - - - - - - - - -- - - - - - -- - - - -- - - - - - - --- - - - - -- -- - - - -- ------------ ---------- Page 1 of 1 Electric Permit Work Card Job Addt&$s 3001 S WASHBURN ST Permit Number 123538 Create Date 1/17/2007 :;1:.,. , Ow.l~er FIRST HORIZON GROUP LIMITED PTNSHP Contractor BUSS ELECTRIC INC Service . New o ChangeO Temp o NIA I Type 0 Overhead . Underground o NIA I Volts 120/208 Circuits Luminaires -- Value $19,000.00 Amps Switches 12 Receptacles 30 Use/Nature 643 - Commercial-Addition/Remodels COMM (C-10) / WIRE TENANT SPACE REMODEL FOR AREOP I STALE of Work Inspections: Date 01/17/2007 Type Consultation Inspector Kevin Benner not apprJed bove Ceiling wiring Derating or conductors, wiring method supports, service size DatelTime requested: 01/17/2007 01:31 PM Access: Meet Dan on site Requested by: WITZKE ELECTRIC INC Dan o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Notice Type: Ready DatelTime: 01/17/200702:00 P Phone Number: 379-4967 - - - - - ----- -- -- ---- - - -- --- - - - - - - -- - - - - - - - - - - - - - -- - - - - --- - - - - -- -- - - -- - - - - - - - - - - - - - - - - - - - - - - - - --- - - -- -- - ---- - -- ---- ---- --- .--- - - -- -- - - - -- - - - -- - - - - - - - -- - --- - -- Date 02/27/2007 Type Underground Inspector Kevin Benner approved Pouring concete Wed. Discussed existing wiring methods, CL2 wiring laying on the grid, derating of conductors in existing raceways. DatelTime requested: 02/27/2007 09:06 AM Access: Notice Type: Ready DatelTime: Requested by: BUSS ELECTRIC INC o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Phone Number: 585-5335 Steve Buss - -- - - - - - - ----- - - - - -- - - - _. --- - - - - - - - --- - - - -. - - - - - - - - - - - - -- - - - - ____ - __ __.w _ _ _ __ _ _ _ _ __ _ _ _ w.w _ _ _ _ ~ _ _ _ _ _ _ _ _ __ __ _ _ __ _ __ _ _ _ _ ___ _ _ _ ____ _ ____ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___ Inspector Kevin Benner approved Notice Type: Ready DatelTime: 03/0212007 08:52 A Phone Number: - - -- - - - - - - - ... - - - - - -- -- - - - - - - -- - - - - - - - - - - - - - - - -- - -- - - - ~ - - - -- - - ~'- --- -- - - - ~ ~. - - --- ~ w. _ _ _ w.;.. _ _ _ _ _ ~ _ _ w __ _ __ _ _ w __ _ _ w _ _ _ w _ _ w _ ___ _ _ _ __ _ _ _ _ ___ w w _ _ _ _ _. _ _ __. _ _ _ _ _ _ w w __ Date 04/03/2007 Type Final Inspector Kevin Benner not approv d Sign disconnect for interior sign age, emergency circuit OCPD shall be fixed in -the "on" position. ~== DatelTime requested: 04/02/2007 01 :45 PM Access: Requested by: BUSS EL~_9TRIC INC Steve. o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Notice Type: Ready DatelTime: 04/03/2007 00:00 P Phone Number: 585-3355 Steve . - - - - - --, ----- ----- -----~~ - ----------- --- -- --- --- - --. - ---------- ------- - ----------__ -____ _ _ _ __ __ _ _ _ _ _ _. _. _ w ____ ____-_________________-_____ _ ______ _ _ _ ___. __ .__. ____. ___ Electric Permit Work Card Jo~ Ad.drEl'ss 3001 S WASHBURN ST Permit Number 123538 Create Date 1/17/2007 OW~er FIRST HORIZON GROUP LIMITED PTNSHP Contractor BUSS ELECTRIC INC Service . New 0 ChangeO Temp 0 N1A I Type 0 Overhead . Underground 0 N/A Volts 120/208 Circuits Luminaires Amps Switches 12 Receptacles 30 Value $19.000.00 Use/Nature 643 - Commercial-Addition/Remodels COMM (C-10) I WIRE TENANT SPACE REMODEL FOR AREOP I)STALE of Work Inspections: Date 04/03/2007 Type Re Final Inspector Kevin Benner approved DatelTimerequested: 04/03/2007 12:00 PM Access: ... Requested by: o Reinspect Fee 0 Fee Wavied Notice Type: _ Ready Datemme: 04/03/200703:00 Pili , Phone Number: o Reinspect Fee Paid -. -- - - - -- - - - - - - -- - - - - - - - -- - - -- - - ---- - - - - - -- - - - - --- - - -.- - - - - --- - - - - -- - - - -.. - - - - - - - - - - - - - - - - - -- -- - -. - -- - -- - - --- - - - - - -- -- --. -- - -- - - - - - - - - ----- - - - -- - - - - - --- - --- HVAC Permit Work Card Job Address 3001 S WASHBURN ST Permit Number 123649 Create Date 02119/2007 Owner FIRST HORIZON GROUP LIMITED PTNSI- Contractor CENTRAL HEATING SERVICE INC Fuel l"'J Gas I U Oil I U Electric I U Solar I U Solid I Value $16,400.00 System 0 New I 0 Replace I 0 Other I ~ Forced Air I U Radiant I U Steam I U AlC I U Vent I U Electric I U Hot Water I U Suppl. I U Con. Burner I Chimney Type D Chimney A 0 Chimney B 0 Direct Vent . Not Applicable I Use/Nature 'C10 - Aeropostale - Interior alterations/remodel for new tenant of Work 'j: Inspections: Date 4/4/2007 Type Final Inspector Allyn Dannhoff approved DatelTime requested: Access: r Requested By: o Reinspect Fee 0 Fee Waived Notice Type: Ready DatelTime: Phone Number: o Reinspect Fee Paid - --- - - - - - - - - - - - - - -- - - - - - - - - - - - - - --- - - - - - - -- - - - - - - -- - -- - - - - -- - - - - - - -- - - -'-- - _:.. - - - - -- - - - - - - -- - - - - - - - - - - - -- - - - - - -- -- - - - - - - - -.- - - -- - - - - - -- - - - - - - -..; - - -- - - - - --- - - --- - - - --- - - --- - - - -- ~, ":..' ,- Plumbing Permit Work Card Job Address 3001 S WASHBURN ST Permit Number 123623 Create Date 02/19/2007 Owner FIRST HORIZON GROUP LIMITED PTNSHI Contractor OGDEN PLUMBING Category 440 - Industrial-Interior Plan Va ue $4,000.00 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 - - - - - BarSi,nk - Sump Pump - Lab Sink Plaster Sink ~ _..S~ndp 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 ~10 - Aeropostale - Interior alterations/remodel for new tenant of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer i Water Service ... ... Inspections for Work Card 90669 Date 2/27/2006 Type Underground Inspector Paul Wolf approved DatelTime requested: 2/26/200712:35 PM Notice Type: Telephone Number: Access: I I Ready DatelTime: 2/26/2007 12:35 PM Requested By: OGDEN PLUMBING ". ;"., ,../ 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid - - - - -- - - - - - - - - - -. - ~ --- - - - - --- - - - - - - -- - - - - - - - - -- -- - - - - - - -- - - - - -- -- - - - - - - - - - - - - - -- - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - -- - - - -- - - - - - -- -- - - -- -- - - - -- -- - - - - - -- -- - ---- - - - -- - - - - - -- - - - - - -- - - - - - -- - - - - - - - - - - - - -- Date 3/5/2007 Type Rough In Inspector Paul Wolf approved REQUEST LINE / NEED A PLUMBING WALL ROUGH INSPECTION DatelTime requested: 3/5/2007 10:12 AM Notice Type: Telephone Number: (920) 78-0807 Access: I I Ready DatelTime: 3/5/2007 00:00 PM Requested By: OGDEN PLUMBING - Randy 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid - - -- - - - - - - - -- - - - - - - - - - - - -- - - - - - - -- - - - - - - - -- - - - - - - - -- - - - - - - - - - - - - - - - -- - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - --- - - ~ - -- - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - -- -- - ---- --------- ---- ----------- - - ----- Date 3/28/2007 Type Final Inspector Paul Wolf not approved Servive sink requires backflow protection per COMM 82.41. Went over with GC and Randy from Ogden. DatelTime requested: 3/27/200701 :03 PM Notice Type: FC Telephone Number: Access: I I Ready DatelTime: 3/27/2007 01 :03 PM Requested By: OGDEN PLUMBING 0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid - -- - - - - - -- - - - - --- - - -- -- - - - - - -- - - - - - - ---- - - - - - - --- - - - - - - - - - - - - - - -- - - - - - - - - - - - - - --- - - - - -- - - - - - -- - - - - --- - - - - --- - - - - -- - - - - - - - - - - - - -- - - - - --- - - - - -- - - - - - -- - - - - --- - -- --- - - - - - - - - - -- - - - - -- - - - - -- - - - -- - - - ---- Date 4/4/2007 Type Re Final Inspector Paul Wolf approved w/cond. Spoke with Randy fron Ogden's, he installed BF device. DatelTime requested: 4/4/2007 01:15 PM Notice Type: Telephone Number: Access: I I Ready DatelTime: 4/4/2007 01:15 PM Requested By: OGDEN PLUMBING 0 Reinspect Fee 0 Fee Waived o Reinspect Fee Paid - - - - -- - - - - -- - - - - - - - -- - - - - --- - - - - - - -- - - - - - - --- - - - - - - ---- - - - - -- - - - -- - --- - - - - --.;, - - -. -- - - - - - --- - - - - --- - - - - -- - - - - - -- - - - - - -- - - - - --- - - - - -- - - - - - -- - - - - - --- - - - -- - - - - - --- - ---- ----- -- ------------ ---------- ---- A p r. 4. 2007 1 0 : 1 3 AM A d van c e d Co n s t r u ct ion Se r vie e s N~15467 P. 2 Description of Portion Completed I A} rJ Statement of Substantial Compliance '. ' .. , To the best of my knowledge, belief, and based on onslte observation, construction of the following building end/or HVAC items applicable to this project havebee n completed in substantial compliance with the a. P1pove d plans and {P8Cifications. BUILDINGILIGHTING ITEMS . Structural s~m Including :ilubmlttsl and ereetJon of all building components 10. Exter]or lightIng & co 0] requlrsrTl4IInts (trusses, pmeast, ml'l~1 bulldfng, I'lto.) 11. InterIor lighting & control requirements 2. Fire protection ~ems (sprinklers. alanns, smoke delector:il) designed,insl2IIed, 12. All conditions OflightinJ plan approval Ind t8Sflld Qne1ud1ns forward flow on back trow davtces) by I!Ipprop~tl'lly reglsli!l1'$C/ ~nd appllc~bl!l varlancl'ls professionals 3. Shaft and stairway enclosure 4. ExIts including exlt and dlreetlonalllgl\ts S. Fire-re$istiVe construction, enclosure of hazards. fire walls. labeled doors, class of CJ HVAC ITEMS conSllntclion, fire stopped penetrations 6. Sanitation system (toilets, sInks. drinking (acUltles) 7. Barrier-Free tneludlng Comm 18akwators and lilts e. Energy envelope requirements 9. AU conditions of building plan approwl and applicable variances 1. HVAC syslllm Inoludlng naltest 2. All oondltil::Jns of HVAC p n approval and applicable variances The following Items are not in compliance and must be addressed: I I C) O' Supervising Professional Withdrawn From Project (Uee A or 8 above to indicate project eb:rtus J of this date.) D) 0 Project Abandoned 3. SUPERVISING PROFESSIONAL SIGNATURE FOR: H ~'PJ:C yt/.6j;?vt? f3 Name (please print or type) (; Phone number: 412.243~O Customer 10 # i2.ElYOIl Signature . h B) [J Statement of Noncompliance) Due 10 the (allowing listed violations, this project Is not ready for occupam:y: # BuildIng )I HVAC j( Ughting 4- Data .{/,6Yh, SB))...9720 (R.Cl4..100S) ~ OJHKOIH CitY of Oshkosh Div sion of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903"1130 www.ci.oshkosh.wLus ON THE WATER February 6, 2007 Gary Atcheson Lami. Grubb Architechts 100 E Swissvale Ave Pittsburgh, PA l5218~1439 Hallberg Engineering 1750 Commerce Court White Bear Lake, MN 55110 Kristen Shoemaker Prime Retail 217 E Redwood St 20th Floor Baltimore MD 21202 . Michael Bowen Aeropostale Inc 201 WilIowbrook Blvd 7th Floor Wayne NJ 07470 Site: Aeropostale 3001 S Washburn St. Space C 010 Oshkosh WI 54904 For: Description: Tenant space alterations Object Type: Building & BV AC Class of Construction: lIB - 3487 Sq Ft.; Occupancy: M: Mercantile / Retail Maximtlm No of Occupants: 95 Plan Number: Xl-1881-0107 Sprinkle red The submittal described above has been reviewed for conformance with applicable Wisconsin Administrat~ve Codes and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defmed' 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 Ii ted firestopping system that matches the rating of the wall assembly being penetrated. Copies of the jiresthpping systems are required to be provided at the time of inspection. 1 !Be 901.2 Fire protection systems shall be IOstalled, repaired, operated and maintained in accordance with this code and the international fire. code. Construction of new walls may require the addi 'onand or rel"cation of sprinkler heads w mttintain required coverage, and not obstruct spray paJ].erns of fire ~rin~ . !BC 906.1 IIFC 906.3 The maximum travel distance allowed to a fire extinguisher is 75 ,eet. . IBC 1003.2.11 Means of egress illumination is required to be inst~lled per this section. All paths of egress are required to have adequate emergency lighting to meet the performance requirements ofi!BC 1003.2.11.3. Existing means of egress emer$ency lighting is permitted to be maintaine~ incompliance with the code in effect at the time of construction. Any altered path of egress, or new pa h of egress, and any new emergency lighting being installed is required to comply with current code requirements. . . . J.\1n~r.'>l:Gtkm;::\Pt~m R~\;i{~~~:<.C.\:Ii'!n~:.,..;,;i;.il Pli;l11 R~,i<:',* ::(i07\X i 1 :?,i;>11D7 Y[1H S RlJg & H\~AC.d,;;; Page of 3 · IBC 1l01.21ANSI A117.1-308.2 & 3 - Mechanical system controls shall be located a above the finished floor if the floor space allows a forward approach by a wheel chair 0 allows a parallel approach. · . IECC. 503.3.3.7 [c.omm 63.0503(2)(f)] Balancing a.nd documentation ofthe HV AC sJlstem shall conform to the WC. Balancing report required to be submitted prior tofinal occupancy being allowed. . ..... I IEee 803.3.3.3 Off-ho.u.r controls. E.ach zone shall be provided with thermostatic setti[ack controls that are controlled by either an automatic time clock or programmable control system. .. IMC 602.2.1 Materials exposed within plenums. Except as required by Sections 602.1 . 1.1 through 602.2.1.4, materials exposed within plenums shall be noncombustible or shall have a flalme spread index of not more than 25 and a smoke-developed index of not more than 50 when tested in acco~dance with ASTM E 84. Caution on materials and equipment - i.e. speakers security equipment heing located above ceiling within the plenum space. . . . IMC 606.2.1 Smoke detectors shall be installed in return air systems with a design capacity greater than 2000 cfm...... . 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 attel. ded location. IMC 606.4.1 Exception 2. In occupancies not required to be equipped with a fire alarm system, actuation of a SlllDke detector shall activate a visible. and an aud1ble sigrul! in an approved locatiolL .. Smoke detector trouble conditioos shall activate a visible or audible sigrul! in an approved location and'. all be. id.entitieS as air duct detector trouble. . . .1 Comm 63.1048 Area category method. When the Area Category Method is used to caljulate the interior lighting power allowance for an entire building, main entry lobbies, corridors, rest roomS, and support functions shall be treated as separate areas. Revised lighting calculations received on 2/i i/07 have been approved -fIXture schedule shown on plans has been modified to comply with energy odes - verifY that changes are communicated to persons in the field. . . . Comm 61.31(4) Revisions to approved plans. All proposed revisions and modification which involve rules under this cod~ and which are made to construction documents that have previously een granted approval by the department or its authorized representative, shall be submitted to the offiCI. that granted the approval. All revisions and modifications to plans shall be approved in writing by the deI1artment or its authorized representative prior to the work involved in the revision or modification being barried out. A revision or modification to a plan, drawing or specification shall be signed and sealed in a, cordance. with Comm 61.31(1). . MUN 30 This review doesnot include review for signage. Applications for and questi ' ns regaurding signage permits should be directed to David Buck - Associate Planner (920) 236-5062. 1. \h1:.~f.'><;.'(;tk~~I:-;:'.Pbn P;t:~is:\>1 :::(:07\)( LH i 8S>0:I 1)7 ,<.(:'.(U S V/,~hb\in;, St Acrorn~t~,l~ DUg & Page 00 SUBMIT: · IBC 1003.2.11 Means of egress illuminati()n is required to be installed per this section. All paths of egress through The Retail Display area are required to have adequate emergency lighting to m. et the performance requirements ofIBC 1003.2.11.3. Provide complete emergency lighting plan showin. compliance with these requirements prior to installation of emergency lighting system. · IECC 503.33.7 [Comm 63.0503(2)(f)] Balancing and documentation of the HV AC s tern shall conform totheIMC. Balancing report required to be submitted prior to final occupancy bei,,} al(ow(!d... . ., . · Comm 61.50 (4) Supervision. Prior to the initial occupancy of an alteration the superv sing 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 pe .ts 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 requir . changes or additions should conditions arise making them necessary for code compliance. As per state stats 101.12(1), nothing in this review shall relieve the designer of the responsibility for designing a safe building, structute, or compone4t. Inquiries concerning. . orrespondence may be made to me at the number listed below or the address 0 ,1 this letterhead. 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 $ 590.00 590.00 0.00 I.\b:::;p-.:;;tii.Y!l:.\\P.hm Revi<:,~'/\Ci.'mm~r.;b( Phn R~\'~~'\I!-:()G7~X i.-tf:Si ..01<;7 .~00,1 S \V;'l::::hb1tn:: St Page of3 ~ CORRECTION NOTICE / FIELD INSPECTION RE ~ C-- V .3"et-Uf JOB LOCATION" City of Oshkosh Inspection Services Division CONTRACTOR: 215 Church Avenue, PO Box 1130 Oshkosh, WI 54903-1130 PROJECT TO BE INSPECTED: Phone: (920) 236-5050 Fax (920) 236-5084 TYPE OF INSPECTION: \ Violations must be corrected and approved within 30 days unless otherwise noted. Call for re-inspectilons prior to concealment and/or occupancy. Upon completing the corrections, the owner/contractor/agent must sign and date a the bottom of this notice and return it to the Inspection Services Division by the Compliance Date of d:: ~M.- r' Vc: I CODE INSPECTION RESULTS // Print Name Company Signature: Date