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Home My WebLink AboutCertificate of Occupancy (Shell) CITY HALL Inspection Services Div 215 Church Avenue ~POBOX1130 ~ Oshkosh WI ~ 54903-1130 OfHKOfH ON THE WATER City of Oshkosh Approved: Issued: 04/13/2007 04/16/2007 Bradley Operating Ltd Partnership 131 Dartmouth St Boston MA 02116-5134 CERTIFICATE OF OCCUPANCY An Occupancy Permit is hereby issued for the Strrp Mall Shell located at the Fair Acres Shopping Center, 210-240 W Murdock Ave as described in Building Permit #121318 and is located in the C-2 General Commerci(:ll District. CONDITIONS: Unoccupied. Each tenant space is required to obtain a Certificate of Occupancy as developed and completed. 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 va id. ? DIR cc: Decoster Construction Co .' Building Permit Work Card Job Address 210-240 W MURDOCK AVE Permit Number 0121318 Cr~ate Date 8/18/2006 Owner BRADLEY OPERATING LIMITED PARTNERSf Contractor DECOSTER CONST CO INC Category 230 - New Stores & Customer Service Type . Building o Sign o Canopy o Fence o Raze I Plan U3-67 -0606 Zoning C2PD Class of Const: 2Bibc Size 63x101 Value $507,000.00 - Unfinished/Basement Sq. Finished/Living 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 Not Required - Park Dedication Not Required # Dwelling Units 0 # Structures 0 -- Use/Nature New 5821 sf Strip mall - Shell Only - Work above the foundation. of Work HV AC Contr Plumbing Contr ---- Electric Contr Inspections: Date 10/25/2006 Type Rough In Inspector Allyn Dannhoff not approved Request line/Need wall inspection so they can start drywalling. Would like to start tomorrow morning. See FeN. DatelTime requested: 10/24/2006 12:08 PM Access: Notice Type: Phone Number: 920-737-9241 Ready DatelTime: 10/24/200612:08 PM Requested By: DECOST~~,~9NST CO INC - Greg o Reinspect Fee 0 Fee Waived o Reinspect Fee Paid Inspector ~~ll1.r:>annhoff no time Date 10/30/2006 : AM Type Rough In Request line/Partition fire wall inspection. 10/30/2006 - no time - spoke to Greg ~ advised OK to Continue. DatelTime requested: Access: i 10/26/2006 09:49 AM Notice Type: Phone Number: 920-737-9241 Ready DatelTime: 10/30/?,QQ6 9_?:og~_~ Requested By: DECOS.:rE::f3c:;()N~TQO INC - Greg o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid Page 1 of 2 . ~ Building Permit Work Card Job.Address 210-240 W MURDOCK AVE Permit Number 0121318 Create Date 8/18/2006 Owner BRADLEY OPERATING LIMITED PARTNERSf Contractor DECOSTER CONST CO INC Category 230 - New Stores & Customer Service Type . Building o Sign o Canopy o Fence o Raze I Plan U3-67-0606 Zoning C2PD Class of Const: 2Bibc Size 63x101 Value $507,000.00 Unfinished/Basement Sq. Finished/Living 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 Not Required - Park Dedication Not Required # Dwelling Units 0 # Structures 0 Use/Nature New 5821 sf Strip mall - Shell Only - Work above the foundation. of Work HV AC Contr Plumbing Contr --_._---_._~~- Electric Contr Inspections: Date 12/5/2006 r" FeN - "ot app_d - AD DatelTime requested: Access: Type Final Inspector Allyn Dannhoff not approved Notice Type: Phone Number: Ready DatelTime: Requested By: o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid - - - - - - --- - - - - -- ---- - - -- --- - - -. - ---- -.- - --- - - - - -- --- -. ----_.- - -- - ----- ------------ --- ---- - - ----- - - ---- - - - ---- - - - -.------ - - - - ----- -- - ------- -- - --- - - - - - - - ~ ---- - - ----- -- ------ - - ---- Date 12/19/2006 Type Final Inspector Allyn Dannhoff approved !Issue Certificate of Occupancy for the Shell. CONDITIONS: Unoccupied - each tenant space is required to obtain an occupancy permit las developed and completed. I Notice Type: Phone Number: DatelTime requested: Access: ,----- I Ready DatelTime: __~ __:""___m'__ Requested By: o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid - - -- - - - - - - ---- - - - - -- ---- -- - - -- -- - - - - - - -- - - - - - - - - - - - - - - - - - -- - --- - - - - - - ----- - - --- ---- - - ---- -~- ---- - - - - - - - - - - - - - -- - - - - - --- - - - -'- ------ - --- --.-- - - - ---- - - - - - - - - -- '" -- - - - - - - - - - ----- -- Page 2 of 2 Electric Permit Work Card ,* Jqp Address 210-240 W MURDOCK AVE Permit Number 121386 Create Date 8/30/2006 Owner BRADLEY OPERATING LIMITED PARTNER: Contractor STIEGLER COMPANY INC Service Ie New 0 ChangeO Temp 0 N/A I Type 0 Overhead . Underground 0 N/A Volts 120/208 Circuits 10 Luminaires 40 ----_.~-..- Value $60,000.00 Amps 800 Switches Receptacles ~--,-,-- Use/Nature [2 - Commercial-New Building Wiring New 5821 Sq.Ft. Strip Mall (Shell Only)", with site lighting & Temporary Service of Worl< ~ Inspections: Date ~~_6__ Type Temporary Inspector Kevin Benner MCB shall be fixed. Reviewed with Jim Klug from E.C. _,__ not approved DatelTime requested: 08/29/2006 02:08 PM Access: Requested by: STIEGLER COMPANY INC Pam o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Notice Type: Ready DatelTime: 08/30/2006 00:00 AM Phone Number: 920-494-0224 Date Type Underground Inspector Kevin Benner not approVed Installation was conducted without a permit or inspection request. All of the trenches were not backfilled and the burial depths were not eep enough on what was visible. Reviewed with the E.C. & G.C.. DatelTime requested: 08/30/2006 10:30 AM Access: Notice Type: Ready DatelTime: 08/30/200610:30 AM Requested by: o Reinspect Fee 0 Fee Wavied Phone Number: o Reinspect Fee Paid Date 08/30/2006 Type Underground Inspector Kevin Benner no time r--'--"mm ~-_._-,_.... Date/Time requested: 08/30/2006 01 :58 PM Access: Notice Type: Ready DatelTime: 08/30/2006 01 :58 PM Requested by: STIEGLER COMPANY INC Jim Klug o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid - -~~ ~----~- ~..~ -- - - - -- - - - -. - -- -- - -------,. ----- - --- ----,.- ---- ------ -.,.,. ----- -,. ------- -------------- -- -------------- - - -- --,. - - ~ -- -,. - - --- ----- --- -------- -------- Date 08/31/2006 Type Temporary Inspector Kevin Benner cancelled Phone Number: 621-5662 _..-~-- -'~._...-. C~- Date/Time requested: 08/31/2006 08:09 AM Access: Requested by:~:rIEGLER COMPANY INC Jim Klug o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Notice Type: Ready DatelTime: 08/31/200609:30 AM Phone Number: 621-5662 Electric Permit Work Card . J9b Address 210-240 W MURDOCK AVE Owner BRADLEY OPERATING LIMITED PARTNER: ---< Service Ie New 0 Change 0 Temp 0 N/A 120/208 Circuits 10 --~-- 800 Switches Receptacles Use/Nature ~2 - Commercial-New Building Wiring New 5821 Sq.Ft. Strip Mall (Shell Only)", with site lighting & Temporary Service of Work Permit Number 121386 Create Date 8/30/2006 Volts Contractor STIEGLER COMPANY INC l Type 0 Overhead . Underground Luminaires 40 ON/A Value $60,000.00 Amps Inspections: Date 09/01/2006 Interior of the building Type Underground Inspector Kevin Benner approved DatelTime requested: 08/31/2006 02:1!'p~ Notice Type: Access: Requested by: STIEGLER COMPANY INC o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Ready DatelTime: 09/01/2006 08:46 AM Phone Number: 621-5662 Jim Date' 09/01/2006 Type Temporary Inspector Kevin Benner Did not fax to WPS because payment was not received for the permit. Faxed to WPS 9/5/6 (received check for permit) approved - Date/Time requested: 08/31/2006 02:11 AM Access: Requested by: STIEGLER COMPANY INC ___ o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Notice Type: Ready DatelTime: 09/01/2006 11 :00 AM Phone Number: 621-5662 Jim -- - - - - - - - -- - -. - - -. - - - - --- - - - - -- - - - - - - --- - - - - - - -- - - - - - - - - - - - - - - -.- - - - - - - - - - - - -- -- - - - - - - -- - - - - - - - - -- -- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- -- - - - - - -- - - - - - -- -- , . . . - .. - . ,- .... .-. . .... I ".-. .... .' Date 1-0~~~~~ Type ~____u_u Inspector Kevin Benner____'__'__ approvedw/cond. pproved to energize \ Faxed to WPS & the E.C. 10/6/6- I MCB's were not installed. the .Service Disconnects. labels are not installed and the purposed of the breakers are not identified i J DatelTime requested: 10/04/2006 07:34 AM Access: Requested by: STIEGLER COMPANY INC Pam o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Notice Type: Ready DatelTime: 10/04/200607:34 AM Phone Number: 920-494-0224 Date 10/26/2006 Type Rough In Inspector Adam Krause__ approved REQUEST LINE / READY FOR A ROUGH INSPECTION FOR THE SHELL ONLY *THEY ARE NOT RESPONSIBLE FOR THE STARBUCKS JUST THE SHELL-- OULD LIKE THE INSPECTION THUR. 10-26-06 IN THE MORNING PLEASE CALL TO CO!'JFIRM WITH PAM - DatelTime requested: 10/24/2006 02:25 PM Access: electrician will be on site after 8:00am Notice Type: Ready DatelTime: 10/26/200600:00 AM . Requested by: STIEGLER COMPANY INC --=J:'."lrn__ o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Phone Number: (~~Q14Q4-0224 Electric Permit Work Card .. Jgb Address 210-240 W MURDOCK AVE Permit Number 121386 Cfreate Date 8/30/2006 Owner BRADLEY OPERATING LIMITED PARTNER: Contractor STIEGLER COMPANY INC Service . New 0 Change 0 Temp 0 N/A ] Type 0 Overhead . Underground 0 N/A Volts 120/208 Circuits 10 Luminaires 40 --.- 800 Switches Value $60,000.00 Amps Receptacles Use/Nature of Work 642 - Commercial-New Building Wiring-New 5821 Sq.Ft. Strip Mall (Shell Only)*, with site lighting & Temporary Service I J Inspections: Date 12/27/2006 Type Final Inspector Kevin Benner not approved Faxed request from the G.C. for 12/26 or 27/06 . J eed access to the roof, the front luminaires installed on the masonary shall be caulked to prevent the entrance of moisture, the light poles hall be grounded in the handhole. Faxed to the E.C. 1/3/7 AM ' n _ DatelTime requested: 12/22/2006 08:02 AM Notice Type: Ready DatelTime: 12/26/200600:00 AM Access: Requested by: o Reinspect Fee 0 Fee Wavied Phone Number: D Reinspect Fee Paid Date 02/26/2007 Type Re Final Inspector Kevin Benner not approved Noted violations were corrected, just need access to the roof to complete the building shell inspection. See Computer Correction Notice l DatelTime requested: 02/26/2007 09:19 AM Access: Requested by: Building Inspector o Reinspect Fee 0 Fee Wavied Notice Type: Ready DatelTime: 02/26/200709:19 AM Phone Number: D Reinspect Fee Paid Date 03/27/2007 Type Re Final Inspector Kevin Benner not approved 'I i i I J [- Date/Time requested: 03/23/2007 01:49 PM Access: Meet the owner on site Requested by: Joe White (Owner) o Reinspect Fee 0 Fee Wavied Notice Type: FC Ready DatelTime: 03/27/200710:30 AM Phone Number: 920-851-0062 Cell D Reinspect Fee Paid Date 04/13/2007 Type Re Final Inspector Kevin Benner approved --I I I ! I Date/Time requested: 04/11/2007 09:05 AM Access: ~teigler Electric will be on site Requested by: OWNER o Reinspect Fee 0 Fee Wavied Notice Type: Ready DatelTime: 04/13/2007 01:30 PM Phone Number: Joe White 262-241-4211 D Reinspect Fee Paid ~ CORRECTION NOTICE / FIELD INSPECTION REPORT ~ City of Oshkosh ~spection Services Division , ~5 Church Avenue, PO Box 1130 Oshkosh, WI 54903-1130 Phone: (920) 236-5050 Fax (920) 236-5084 JOB LOCATION: d..\C_~'t(~ ~ '"'S ~~o,"'E:- CONTRACTOR: ~~ ~\.e~ ~ PROJECT TO BE INSPECT : 5..cx-..~.{\(\Q ~\ C\2-~ TYPE OF INSPECTION: ~~L "6.\..-e~"ZL ~<- -:J:" Violations must be corrected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment and/or occupancy. Upon completing the corrections, the owner/contractor/agent must sign and date at the bottom of this notice and return it to the Inspection Services Division by the Compliance Date of .',ttltM# INSPECTION QSl)LTS l S~ s OL o Mailed/Faxed Print Name Company Signature: Date HVAC Permit Work Card Job Address 210-240 W MURDOCK AVE Permit Number 122554 Create Date 11/14/2006 Owner BRADLEY OPERATING LTD PARTNERSH Contractor CENTRAL HEATING SERVICE INC ---c- Category 510 -Ind. & Comm-Heating & Ventilating Plan Fuel 1"'1 Gas I UOil I U Electric I U Solar I 'u Solid I Value $23,450.00 System D New I o Replace I D Other I ~ 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 Var~ble o Other I Value Use/Nature COMM /INSTALL RTU'S FOR ALL TENANT SPACES. SEPARATE PERMITS REQUIRED FOR EACH of Work irENANT SPACE. DISTRIBUTION SYSTEM. "LATE PERMIT, LATE FEE ASSESSED. Inspections: Date 12/19/2006 Type Final Inspector Allyn Dannhoff Issue Certificate of Occupancy for the Shell. CONDITIONS: Unoccupied - each tenant space is required to obtain an ccupancy permit as developed and completed. DatelTime requested: Notice Type: Phone Number: Access: Ready DatelTime: __''__ Requested By: o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid ~ CORRECTION NOTICE / FIELD INSPECTION REPORT JOBLOCATION: </0 -cW to. ~~c.k ~.7'" CONTRACTOR: ~(' ~.f-er-- PROJECTTOBEINSPECTED:-34-h~.;~ ;d1l.d( .:sAt' /J I TYPE OF INSPECTION: ~/~I ~ City of Oshkosh Inspection Services Division 215 Church Avenue, PO Box 1130 Oshkosh, VVI54903-1130 Phone: (920) 236-5050 Fax (920) 236-5084 Violations must be corrected and approved ~thin 30 days unless otherwise noted. Call for re-inspections prior to concealment and/or occupancy. Upon completing the corrections, the ovvner/contractor/agent must sign and date at the bottom of this notice and return it to the Inspection Services Division by the Compliance Date oJ. k ::tt!M#GO:QE INSPECTION RESULTS I ~! ::?- ee Post-it'" Fax Note 7671 Date ~h - -0 J../~ To r- Phone # Fax # o Not Approved! Insp. Report given to / LIslor;. o I ~te of Inspection Print Name Company Signature: Date .. j commerce.wi.gov ~i!E9J~!JeO RECEIVED Safety and Buildings 1340 E GREEN BAY ST STE 300 SHAWANO WI 54166 TDD #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov June 21, 2006 JUN 2 J 2006 . . . DEPARTMEN I OF COMMUNITY DEVELOPMENT Jim Doyle, Governor Mary P. Burke, Secretary CUST ill No. 1022724 ATTN.' Buildings & Structures Inspector RAY CAVALIERI TMA AFFINITY GROUP 59 SEEGERS ROAD ARLINGTON HEIGHTS IL 60005 BUILDING INSPECTION CITY OF OSHKOSH POB 1130 OSHKOSH WI 54902 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 06/21/2008 SITE: Fair Acres Shopping Centre 1854 Jackson Street City of Oshkosh, 54901 FOR: Object Type: Building ICC Regulated Object ill No.: 1077240 Major Occupancy: Assembly; Type 1m Metal Frame Unprotected class of construction; .New plan; 5,821 project sq ft; Unsprinklered; Occupancy: A-2 Dining & Drinking, M Mercantile; Components submitted with this transaction: Lighting, HV AC ICC; Allowable area determined by: Fire Barrier Object Type: HV AC ICC System Regulated Object ill No.: 1077241 Smoke detection system; 5,821 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. This review is based on additional information received. A copy of additional information is attached to this letter. The following conditions shall be met during construction or installation and prior to occupancy or use: Key Items · 1M C 606 Provide a duct smoke detection system in new duct systems, with appropriate controls, unless (1) the return air rate is 2,000 cfm or less (See balancing report Corom 64.0313), OR (2) the air distribution system is incapable of spreading smoke beyond the enclosing walls, floor and ceiling of the room or space in which the smoke is generated. The smoke detection system shall shut down the air distribution system upon activation. Smoke detectors shall be C01ll1ected to a fire alarm system. The activation of a smoke detector shall activate a visible and audible supervisory signal at a constantly attended location unless exceptions are met. The detectors shall be located in the return duct. · IBC 602.2 Buildings of Types I and n construction shall have all beams, columns, exterior walls, interior partitions, floors & floor assemblies, roofs and roof assemblies of non-combustible materials other than as noted in Section 603.1. Also Address · IBC 2902.1/Comm 62.2902(1)(a)2. Drinking facilities are required based on the type of occupancy and in the minimum number shown in Table 2902.1, unless water is served in restaurants or where other acceptable arrangements are made to provide drinking water. RAY CA V ALlER! Page 2 6121/2006 Submit . . Comm 61.30(3) This approval is for the building shell only. Interior improvement plans shall be submitted for review and approval as building alterations prior to construction. Reminders . !MC 605 All central HV AC systems shall have air filters which are located at a convenient locations for maintenance. . Comm 62.0400(2) Provide an area on site for the storage of recyclable materials per this section. . me 906 Provide fire extinguishers per IFC 906 and maintain them per NFP A 10. . mc 2902 This approval does not include any sanitary facility. Number of fixture will be determined when the alteration plan received. . mc 2900/Comm 62.2900 Note the requirement in Table 2902.1 to provide a service sink provided with supplies for upkeep of the toilet rooms. . mc 2208.1 Provide a licensed structural welder (as issued by the WI Dept of Commerce) for areas of the building where structural welding will occur. The name of the worker and proof of licensure shall be made available to the Dept. representative upon request. . Comm 61.36(1)(a) & (b) This approval will expire 2 years after the date of this letter if the building shell is not closed in within those 2 years. Also, this approval will expite 3 years after the date of this letter if the work covered by this approval is not completed and the building ready for occupancy within those 3 years. . mc 303.1 & me 309.1 This building is combination between group A-2 and M. A GroupA-2 use as it is intended for food and/or drink consumption. A Mercantile Group M occupancy as its use includes display and sale of merchandise, and involves stocks of goods, wares or merchandise incidental to. such purposes and accessible to the public. A copy of the approved pla~s, specifications and this letter shall bean-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 ofland, an Erosion Control Notice of Intent (NO!) 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, OJ...- ~ Fee Required $ Fee Received $ Balance Due $ 800.00 800.00 0.00 Adam S Muliawan Engineering Consultant, Integrated Services (715)526-9019, M-t 7:00-4:30; F 7:00-11:20 adam.muliawan@wisconsin.gov cc: Peter R Ochs, State Building Inspector, (920) 948-3500 , Friday, 7:45 A.M. - 4:30 P.M. Bradley Operating Limited Partnership ~ ~ CORRECTION NOTICE / FIELD INSPECTION REPORT JOBLOCATION: 2-/0 -2.,#0 uJ. /It(>t-'&~ City of Oshkosh "-+-.... . r Inspection Services Division CONTRACTOR: _ ' ~ 'P Co..:s "I-'PI"- 215 Church Avenue, PO Box 1130 ! Oshkosh, WI 54903-1130 PROJECT TO BE INSPECTED: --S-,...,')::. ~d- f Phone: (920) 236-5050 ',...... ,- b- Fax (920) 236-5084 TYPE OF INSPECTION: tC..o I ~ ~ 1-''''''''& Iit.u,l :J Violations must be corrected and approved within 30 days unless otherwise noted. Call for re-inspections prior to concealment and/or occupancy. Upon completing the corrections, the owner/contractor/agent must sign ~nd date at the bottom of this notice and return it to the Inspection Services Division by the Compliance Date of ,...,\ r "'f.o eJI1.d. ,.ttIM# conE INSPECTION RESULTS / ~ ?~-ro~ Phone # Print Name Company Signature: Date ~ 12/08/2006 11:15 ! 8473649548 PAGE 01/02 T.M.A ArFINITY - ,\ lU 'IIIII'( 'Tlll~L 1'L;\1\'1\'IN(; TMA Affinity Corporation 59 West Seegers Road Ar1i.ngton Heigbts~ IL 60005 Ph. (847) 364-8150 Fax (847) 364.7772 Fax 'I'D: ~lAJ J>~,J#~ff ,-1A.L~ 5,,-,I..J.A~S,.t: From~ Company: Fax~ 1ZD - 2-,~... 5b~Y Ra: f~, r- A c.. ~ ~) 2-to -2-L/o <J.I. ~v/t..O;)~..f-- Pages: (Including Cover Sheet) Date: I '/,1 q /~ t,.. , . L cc: D Urgent 0 For Revl~w 0 Please Comment [:J PleuA Reply 0 At Your Rl!quest . Message: A -ri A '--I~ ..i f) I J ,I--l "- ~ 6.:1'..P' L ~ - .... 1'7.&.~ cl I ~ Ci>fl./Z...L'-~u..J tJ~7H.t: I f'/~\.A ,...JSf.f.c...'1loJ e ((1). "-...,.. U ~t"" l2-tgdP ( ~ ~ ,~ Architecture · Planning 12/08/2006 11:15 i, 5,.4;1 "'-:;/i:,1 AIL-- r ':(6}- r ------"')> o...{/ p..lo'\ "-.. / 8473649548 '-- CE 1"-: -r12-f,l.t.4.... s,..... "b~'AI...... L/ /4'*' ( , '- .-./. --'R..,vr . r -, r- ---., " '2 LtiN,!/- b'f(, (;j). e:\o ' 57.-1(. <:tlL -r(l.A~ \l.. /~ f't.)ll ~"1''''>t, '\I~N'- ~~\~ f PAGE 02/02 /- '.jA . ;)1 ....A\'- () -V:::.;.' I '( 'C-Il'- y( ~,,~. \ / , - <:. ~ \ '-- 'I(l-~ do.. ~ !~~. 'l>~ -r (;J fl.- . ~/ A (,. ( fL.f.>D......' ICI~A~<... 1 ]... l.. ,(1'1 ~.d G. '-( P. '5 0, J t>-1 ~D S t,....r:::.l.~ ~ '2 I-\.... ~~.,r( fAIl.'1.1f';>) e.lG1 $-1')" V e: /(.J.,L D (-- H 0;.. A 0 A 1" 1314.1\.- jo..J r JL , I -~ i2/15/2006 13:37 8473649548 PAGE 03/03 , \ BUILDINGS, HVAC, 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, submitthis completed and signed form to: · The municipal building inspection office (refer to the plan approval letter for agency address ~nc!. · 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 seoondary purposes [Privacy l.aw, s. 15.04 (1)(m)]. 1. PROJECT INFORMATION: Please fill in the following with information from yourplan approval letter. Transaction 10 Number 1'2... 7 Y il, L. Project Name t4\lC. 4 c..~ES 5"fj t:\P{J,.J '1 CE.,J'T rz~ Site Number 'I ,3 z...~ '- Site location (number & street) I e, 5 "'( . -.lA c;:.. k. '?~..3 S"1. }(City DVillage o Town of O~Hkt::1SH Countyof W,,J~tS.13Abo 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: ~ Building Object ID # to 11 '2..40 ,NHVAC ObjectlD # J 01 -, 2: 'f ( Af'Lighting Object 10 # f 017 2-'10 o Partial Completion Description of Portion Completed A) tJfj Statement of SUbstantial Compliance. . ~ To the best of my knowledge, belief, and based on onslte observation, construction of the following building and/or HVAC items applicable to this project have been completed in substantial compliance with the approved plam. and Jpecifications. ~ 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 baok f1owdevloes) by appropriately registered professiOnals . 3. Shaft and stairway enclosure 4. Exits including exit and directional lights 5. Fire-resistive construction. enclosure of ha%arcls, fire walls, labeled doors, class of com,true1lol1, fire stopped penetrations 6. Sanitation system (toilets, sinks, drinking facilities) 7. Barrier-free includIng Comm 18 elevators 81'1d lifts 8. Energy envelope requiremel'lts 9. All cOf'lditions of buildln~ plan approval and applicable variances The following items are not in compliance and must be addreased: , e. )c' ..., ~lLf "'I'- 1:...~ '-I 4 '-l~r,J~ N1lA.S"1 ~~ C#J,.<:l"'''' &ft') -r ~ € \<!7l!/l....Q..... c;L,qP!C:.. P.E.,... LCl.(.jQ.... CaC,lE.) B) Cl Statement of Noncompliance Due to the following listed violations, this project is not ready for OCClJpancy: 10. Exterior lightIng & oontrol requirements 11. Interior lighting &: control requIrements 12. All conditions of lighting plan approval and applicable variances )( HVAC ITEMS 1. HVAC system including final test 2. All conditions of HVAC plan apprQval and applicable variances C) Cl Supervising Professional Withdrawn From Project (Use A or B abovl:! to Indicate project status as of this elate.) D) 0 Project Abandoned 3. SUPERVISING PROFESSIONAL SIGNATURE FOR: )!!/ Building 'WlHVAC )flighting (L L\L. 7\J Name (please print or type) Phone number B4'1- 3~1.(. 81S'o Customer ID '# 107-'2...12. '-{ Signature 5130-9720 (R0412005)