HomeMy WebLinkAbout0124750-Building
o
OSHKOSH
ON THE WATER
Job Address 1120-1180 EMMERS LN
CITY OF OSHKOSH No 124750
BUILDI G PERMIT.. APPLICATION AND RECORD
Designer
Owner WESTOWNE NORTH PROPERTIES LLC Create Date 05/08/2007
Contractor NORTHCENTRAL CONSTRUCTION CORP.
Category
232 - Alteration Stores & Customer Se Plan Y3-1981-0507
Type
. Building
o Sign
Class of Const:
Size
o Canopy
o Fence
o Raze
Zoning
Unfinished/Basement Sq. Ft.
Height
Ft.
o Projection I
Finished/Living
Sq.Ft.
Sq.Ft.
Stories
Canopies
Garage
Signs
Foundation 0 Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier . Other
o Treated Wood
Occupancy Permit Not Required
lood Plain
Height Permit
Park Dedication
Dwelling Units
o
# Structures
o
Use/Nature 1126, 1132, 1138, 1144 Emmers Ln - Inte ior alterations and store front alterations for new tenant (Armed Forces Recruitment Center.)
of Work
HV AC Contractor
Plumbing Contractor
Electric Contractor
$0.00 Permit Fee Paid
$373.00 Park Dedication
$0.00
Date 05/11/2007 Final/D.P. 00/00/0000
o Permit Voided I Parcelld # 1621530000
In the performance of this work I agree to perform a I work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enfo ce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easem nt, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure an necessary approvals b fore starting such activity.
Signature
Date
.r )" ~'1
,
Address 631 S HICKORY ST
Agent/Owner
FOND DU LAC
WI 54935 - 0000 Telephone Number 920-929-9400
To schedule inspections please call the Insp ction Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, service,. F....i.nal, etc.)!. ccess into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we wil assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed ithin two business days from the time the project is ready.
Building Permit Work Card
Job Address 1120-1180 EMMERS LN Permit Number 0124750
Create Date 5/8/2007
Owner WESTOWNE NORTH PROPERTIES LLC Contractor NORTHCENTRAL CONSTRUCTION CORP.
Category 232 ~ Alteration Stores & Customer Service Plan Y3-1981-0507
Occupany Permit Not Required Flood Plain Height Permit Class of Const:
Use/Nature R126, 1132, 1138, 1144 Emmers Ln - Interior alterations and store front alterations for new tenant (Armed Forces Rec
of Work Center.)
HV AC Contr
Plumbing Contr
Electric Contr
Inspections:
Date 6/7/2007 : AM Type Rough In Inspector Allyn Dannhoff
iRequest line / Would like to start drywalling. (Emmers La is behind Walgreens on Hwy 21.)
I
I
l___
approved
Date/Time requested: 6/5/2007 07:04 AM Notice Type:
Access: [
Requested By: NORTHCENTRAL CONSTRUCTION CORP.
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
Ready Date/Time: 6/8/2007
Phone Number: Scott-979-1627
-----------------------------------------------------.-----------------------------------------------------------------------------------------------------------------------.--
Date Type Rough In Inspector Allyn Dannhoff no time
fhone call to Allyn / Would like above ceiling inspection late Wed. 6/20. Would like to drop tiles on Thursday. Per Allyn, called Scott and
old him Allyn would not make inspection, but could close as long as the electric has been approved. He will call contractor and have
,:AC pe,m;' ',keo oill. . I
Date/Time requested: 6/19/2007 07:00 AM Notice Type: Ready Date/Time: 6/20/2007 : PM
Access: I
Requested By: NORTHCENTRAL CONSTRUCTION CORP. Phone Number: Scott (920) 97901627
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
Date 6/28/2007 Type Final Inspector Allyn Dannhoff
IP-honecaifTo-Allyn / Requesting a late afternoon inspection Wed 6/27/07.
i
l_
approved
1
I
Date/Time requested: 6/25/2007 : AM Notice Type:
Access: [
Requested By: NORTHCENTRAL CONSTRUCTION CORP.
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
Ready Date/Time: 6/27/2007 : PM
Phone Number: Scott - 979-1627
Date ~~_ Type Final
REQUEST LINE / READY FOR A FINAL INSPECTION
**PLEASE CALL SCOTT WITH ANY QUESTIONS**
Inspector Allyn Dannhoff
approved
Date/Time requested: 6/28/2007 08:46 AM Notice Type:
Access: rvvlLL BE OPEN ALL DAY
Requested By: NORTHCENTRAL CONSTRUCTION CORP.-SCOTT
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
Ready Date/Time: 6/28/2007 08:46 AM
Phone Number: (920) 979-1627
Page 1 of 1
m_ .___"_'~'~~'~-'-
~
CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: I/~ -11-11 ~1.vLi'M.~t-..s
CONTRACTOR: A"~ C~hv(
PROJECf TO BE INSPECfED: .()f,{), ir "'5
TYPE OF INSPECTION: J';:~
~
City of Oshkosh
Inspection Services Division
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1 0
Phone: (92
Fax (920 236-5084
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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 ofthis notice
and return it to the Inspection Services Division by the Compliance Date of
.;ttEM# conE INSPECTION RltSlJLTS ..... .,; ...... ..." ...';"'"..
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Print Name
Company
Signature:
Date
:::07/03/2007
:::
TUE
9: 50
FAX 1 920 929 6433 Northcentral Const.
1dl00l/003
CONSTRlJCT~ON
(-0 it P 0 R A 'I' ION
July 3, 2007
City of Oshkosh
.215 Church Avenue
P.O. Box 1130
Oshkosh,VV154903-1130
Attn: Allyn Danhoff
RE: Substantial Compliance
Dear Allyn:
~
Enclosed please find a completed statement of substantial compliance for 1130 and 1140 Emmers Lane
. in Oshkosh, VVI.
Please feel free to call me with any questions at 920-929-9400.
Sincerely,
7J/d tk~A
Mark Dudzinski (] ~ ~
Project Manager.
I
I
631 SOUTH i.IICI(ORY STREET " FO!\.!I) DU L/\C, WI 54935 0} (920) 929.9400 " FAX; (920) 929-6433
GENERAL CONTRACTORS
07/03/2007 TUE 9:51 FAX 19209296433 Northcentral Canst.
1dJ002/003
Buildings, HVAC Compliance Statement 5BD-9720
This form is required to be submitted by the supervising professional (architect, engineer, HV AC designer or electrical designer)
observing construction of projects within buildings with total areas exceeding 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 and
· Safety and Buildings, 10541 N Ranch Road, Hayward, WI 54843
Note: If the review was done by the municipality, the compliance statement goes only to the municipal building
inspector. A copy is ont 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
Site Number
Site location (number & street)
o City D Village
Y319810507H
1130 & 1140 Emmers Lane
D Town Of Oshkosh
County of
Winnebago
2. PURPOSE OF THIS STATEMENT: (Check Box A, B, C, or D to indicate purpose and complete any other
applicable boxes and information. Attach additional pages if necessary).
Check those which apply:
o Building Object ID#
D Lighting Object 10#
o Parlial Completion
o HVAC Object 10#
Description of Portion Completed
A) 0 Statement of Substantial Compliance
To the best of my knowledge, belief, and based on onsite observation, construction of the following building andlor HVAC items
applicable to this project have been completed in substantial compliance with the approved plans and specifications.
o BUILDING/LlGHTING 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 1low
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
The following items are not in compliance and must be addres'sed:
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
B) D 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 of this date.)
D) D Project Abandoned
3. SUPERVISING PROFESSIONAL SIGNATURE FOR:
o Building 0 HVAC D Lighting Stan Ramaker 6/29/2007
Name (please print or type)
Phone # 920.922-2383 Customer ID# 269803 Signature
SBD-9720 (R.02l2004)
07/03/2007 TUE 9:51 FAX 1 920 929 6433 Northceht~al Canst.
1dl003/003
FROM :NATIVE ENGINEERING, INC
FAX NO, :608-850-4334
Jul. 03 200? 09:52AM P2
J u 1. 2, ZO 07 9 : 08 AM
DESIGN II 9209224109
No,5109
p, 2
Buildings, HVAC Compliance Statement 990.9120
'T'his form i$ required to be submitted by thl!l SUP&MSlng professional (architect. engineer, HVAC designer or electrical dealgner)
observlng ebnstructianof projects within buHdll1liJs wfth total areas exceeding 50,000 cublo feet or greater and bleac:~rn
(Coffim 50.1OJComm 61.50). Failure 10 submilthis form may resull in penalties as speclned In COI'OO'1 50.2S1Comm 61.23
"ndfor leGal ordinances. This form must be submltllld prior to the plan approval ~lrQtton date or another submittal ml!lY bel
required.
Generm Instructions: prror to the initial occupancy (It new buildings or additbns and the final ol;;cupaney of
altered existing buildings, submit thIS oompleteo a~ signed fann to:
~ The municlpal building lnapac60n offlce ~nc1
· Safety and Suildings, 10541N Ranch RQad, Hayward, WI 54843
Note: If the review Wtl!!i ctOJ'le by the municipality, the compliance statement goes only to ttwl municipal building
ire;tpectar. A copy Is ont needed by Safety & 6ulldings.
Pet'~~aJ information you prcMde may be used for aecondery purposes lPrivliq LEMI. s. 15.04 (1 )(m>l.
1. PROJECT INFORMATION: Please fill in the foUowiml with Information from your pfanapproval letter.
TransactiOn 10 Nurnber Y319810507H
...
Sitft Number
Site location (number & street) 11~O & 1140 Emmer. Lane
er City [J Vltlaga 0 Town Of OaNcQah._ County of Wlnnebago
2. PURPOSE OF THIS STATEMENT: {Ch9CK BOll: A, 8, C, or D to indicate purpose and complete any other
appficable boxes and informa~n. Attach additional pages if necessal)'}.
Check those which apply: \'i1l Bulldlng Objed 10# 0 HVAC Object 10#
tJ Lighting Object 10#
o Partial Completion
Description of PortlonCcmp~t'a
A) It) statement of Substantial Compliance
To the ~ of my knOtHlild~. beln.f. -Md /;1.w.I r..n l3nSlte oOOeMrtlol'l, construction ~ the following buildill\l and/or HV AC items
lDppftc;1ib1G tel lhlli proJeet klINt! been completed in substantial compliance with ttw ~pr~ pl1il116 and Iipkif)c::aIloM.
[J SUlLDIN~IUt1HTINQ rrEMS .
1. Slrtlotura! etysIElm lncluding stJbmlttal and e1lee11on of all building
C<Jffiponents (lrlJs5o!lS, precast, rn~r building, etc.)
2. F'll'e protlM::tlol1 r;;ystelY1s ($prlnklers, alNMs, smoke detectors)
d~I~l'Illld) Installed, and tested (including forward flow on back flow
devl~) by lIppfoprlare!y r6glaterad prof~!lion~s.
3. Shaft a1d starway enciostlre
4. Exits including .mt and directionallighte
IS. Flr"~IIl.tlv. QQI'1Iltn.ICtion, enclosure of hazards, firs walls, lah~
doors. class of construction, tire s\oppPCl pltn.u'Cltlon.
e. ~!lnit~ system (tollets, sinks, drlnklllg fadlllles)
7. 8l!ItJ.f(..In~UdIIlQ Comm 18 elevators and lifts
8. Energy envekpe requlremenUl
9. All condiliOr\8 ('Jf building plan apprwe4 ood ~lc6.bI' varillnoes
10, Extmor lighting e. r:;antrPllI'qu!r$meots
11. Int1IriQr Iiehtln~ & coolrQl r-.qulrflrneots
12, All e:ondilicm of 1l~"tIntl ,,1M ~r>roval
and IlpplleahlelnVlllI'letl&
I2l HVAC ITEMS
1. Hl/AC ayatem including fine.! tMt
2. All conl.1ltlcn, 0{ HVAO pllll1l1PllrdVri
WId llflpficElhIe variances
Th. follOYJIhtllteltl3 liTO not In eompllaneG"lmd must b~ Itd/lSr'&31ild;
B) [J statement of Noncompliance
Due to the follawln ~ lIa~ v1l'1lallQrlo. tlti!! project j" not ready for OQcupancy:
,"'M"
C) t:J Supervising PrOfessional WlthdrllWI'I Frf)M !>roject (Use A or B above to indicate project s!aws as of 11'11.. daie.)
D) Cl Project AMndontd
3. SupeRV. ISIN.G PROFESSION. AL SIGNATU~E~R:
o Bulfdlna lil HVAC 0 Ughting ---1. S\.\AW ~ \t--S~1' Dala: 7- z..r;}
NMle (please print at type) '"~
Phono# 6& '~S?~ i./6j'Y GuWlmerlO# mqOS8S~ Slgnrme ~~..,..- \ ~.-
Nl'U'-972/) (J{.(j2I2DC~)