HomeMy WebLinkAboutCertificate of Occupancy
CITY HALL
Inspection Services Div
215 Church Avenue
PO Box 1130
Oshkosh WI
54903-1130
City of Oshkosh
ON THE WATER
Approved:
Issued:
05/16/2007
OS/21/2007
Landmark L TO III
PO Box 2366
Oshkosh WI 54903
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby issued for the Tenant Space Alterations for
Martial Arts America, Suite C-2located at 300 S Koeller St as described in
Building Permit #123600.
This building is to be used for retail/sales and is located in the C-2 Planned
Development District.
LIMITATIONS:
Maximum number of persons: 90 '
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.
cc: R J Albright Inc
Building Permit Work Card
Job Address 300 S KOELLER ST Permit Number 0123600 Create Date 2/21/2007
Owner LANDMARK LIMITED PARTNERSHIP III Contractor R J ALBRIGHT INC.
Category 232 - Alteration Stores & Customer Service Plan X4-1908-0207
Occupany Permit Required Flood Plain Height Permit Class of Const:
Use/Nature Suite C2 - Interior alterations to convert portion of former furniture store into Martial Arts Studio.
of Work
HVACContr Plumbing Contr - " . ":".' <.... --~, '...' ':. - .
Electric Contr
Inspections:
Date 2/26/2007 Type Rough In
REQUEST LINE / READY FOR A ROUGH INSPECTION
Inspector Allyn Dannhoff
no time
DatelTime requested: 2/22/2007 04:32 PM Notice Type: Ready DatelTime: 2/22/2007 04:32 PM
Access: IOPEN - OR A KEY IS ON TOP OF THE SILL ABOVE THE DOOR
Requested By: R J ALBRIGHT INC. - SCOTT Phone Number: (920) 231-8635
o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
- - - - - - - - - - - - - - -- - - - - - -- - - - - - -- - - - - - - -- -- - - - - - - - - - - - - - - - - - - - --- - - - - ---- - - - - - --- - - - - - -- - - - - - .'-- - - - - - - .'-- - - - -- - -- - -....- - - - - - -- - - -- - - -- -'-- - - - - - - - - - - - - -- - - - - --- - - - - -- - - - - - - - - - - - - -- --
Date Type Note Inspector
~erify that glazing in the area of the karate instruction area meets the requirements of 62.2408(3) for a Catagory II safety glass.
DatelTime requested: 3/28/2007
Access: I
Requested By:
o Reinspect Fee 0 Fee Waived
01 :29 PM
Notice Type:
Ready DatelTime: 3/28/2007 01 :29 PM
Phone Number:
o Reinspect Fee Paid
- - - - - - - - - - - - - - - -- - - - - --- - - - - - - -- - - - - - - -- - - - - - - - - - - - - - -- - - - - - -- -- - - - ---- - - - - -- - - - - - - --- - - - - - - - - - - - - - - - - - - - --- - - - --- - - - - - -- - - - - - -- - - - - --- - - --- - - - - --- -- - - - - - - - -- - - - - - -- - - - - - -- - --
Date 5/2/2007 : PM Type Final Inspector Allyn Dannhoff
REQUEST LINE / READY FOR A FINAL INSPECTION. See FCN
approved w/cond.
DatelTime requested: 5/2/2007 08:19 AM Notice Type:
Access: I
Requested By: R J ALBRIGHT INC. - Debbie
o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
-~~~~--~~~~~;~~~--------------- - -------~;~:'J~~f,~;kr"'~,r.;r,70,;~-'------;~~~~~;~~--~I~~~-~~~~~~;--------------------------- - -----------------~~~~~~~~---
I
Ready DatelTime: 5/2/2007 08:19 AM
Phone Number: (920) 231-8635
DatelTime requested:
Access: I
Requested By:
o Reinspect Fee 0 Fee Waived
Notice Type:
Ready DatelTime:
Phone Number:
o Reinspect Fee Paid
--- - - - - --- - - - - - - - -- - - -- - - - - - - -- - - - - - - --- - - - - - - - - - - - - - -- - - - - - - - - - - - - - -- - -- - --- - - - - - -.-- - - - - - -- - -- - - - -- - - - - - -- - - - - ---- - - - --- - - ..--- - - - - - -- - - - --- - _.w _ __ _ _ _ _ _ _.;. _ _ __._ _ _ _.w _w._ _ _ ___ _ _ _ __
Page 1 of 1
Electric Permit Work Card
,} Job~ Address 300 S KOELLER ST
t~ Owner LANDMARK LIMITED PARTNERSHIP III
Service b New 0 C~ngeO Temp . NIA
Permit Number 123620
Create Date 2/23/2007
Circuits
Contractor SOLAR ELECTRIC SERVICES INC
---~~
I Type 0 Overhead 0 Underground . N/A______~J
Luminaires
Value _~6,5~.00
Volts
Amps
UselNature
of Work
Switches Receptacles
r3 - Comma",,'-Addltio"'Remadel' Sulla C2 - In"'"", altemlla"" 10 oonvert porno, of faline. I tUm;tule ,Iole into Martial
Ils Sludlo.
Inspections:
Date 02/23/2007 Type Rough In Inspector Kevin Benner
IREQUEST LINE 1 READY FOR A ROUGH ELECTRICAL INSPECTION
HEY WANT TO DRYWALL MONDAY
_*_* NO ELECTRICAL PERMIT TAKEN OUT YET *-*-*
approved
-~-=
DatelTime requested: 9-2/2?/?:007 04:24 PM Notice Type:
Access: KURTIS & TONY WILL BE ON SITE
Requested by: SOLAR E~~~TR!C SERVICES INC - GREC
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Ready DatelTime: 02/22/2007 04:24 PM
Phone Number: (920) ~.!~~~~O_
-------.------- ----- --- _.-. -- - - - ----- - - ~ --- -- .---- -- -- ----- ------ -- ---- - ---- ---- - - ---- --- - ---- - - ----------- -- ----------- - ---- - - - ---- ~ -- -- -- - - - -- -- - -- - - --- ---
Date 03/02/2007
Northside shell only.
Type Rough In
Inspector Kevin Benner
approved
-_~=-:J
DatelTime requested: 03~11?907 02:11 PM
Access:
Requested by: SOLAR ELECTRIC SERVICES INC Greg
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Notice Type:
Ready DatelTime: 03/01/2007 02:11 PM
Phone Number: 231-3990
- -----.------------- - - ._--- - - - - - --- -- - - _.- - - - - - --- ------------------.-- -- _.- --- --- ---- - - - - ---- - - ------------------.------ .--- - ----- - - - - -- - - - - - - - - - - - - - -------
Date 03/20/2006 Type ~in<!l_ Inspector Kevin Benner _____.. not approved
IREQUEST LINE 1 READY-FORA FfNACINSPECTION . - .... .--:'-.----. .. .
eed show window receptacles, KO. plugs for boxes above the ceiling, Remove the tandem breakers from the electrical panel. Reviewed
ith Curtis Jahnke of Solar Electric
DatelTime requested: Q?/_1_~~~907 01 :02 PM
Access:
Requested by: SOLAR ELECTRIC SERVICES INC
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Notice Type:
Ready DatelTime: 03/19/2007 01 :02 PM
Phone Number: (920) 410-5!I~__
---- -- --------------- ------ - -- - - -- - - - - - - -- - - ---- -- ------------------ - -- ----- --------- - - - ----- ---- --- --- -------- ---- -- ------ - - --- -. - - --- - - - -- - - - -- -- - - --- ----
Date 04/18/2007 Type Re Final Inspector Kevin Benner not approved
!REQUEST LINE 1 READY FOR A FINAL INSPECTION ON THE SPACE SHARED WITH THE MARTIAL ARTS STUDIO (FOR THE
CTUAL WHITE BOX)
ork Space for the electrical panels (XFMR in the way), Open K.O. in the XFMR, 480 V panel cover does not open correctly, confirm'
hesign installation, Curtis stated that Solar did not wire it. Violations were reviewed with Curtis Jahnke.
DatelTime requested: Q4L1812Q07 07:58 AM Notice Type:
Access: OPEN - ELECTRICIAN WILL BE THERE ALL DAY
Requested by: SO~~_E~~CTRIC SERVICES INC
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Ready DatelTime: 04/18/200707:58 AM
Phone Number: (920) 41 0-517~____ .
---- ------ ----- - ------- - -- ------ - - - - - - - - - - - - -- - - ----- - - ---- --- ---- -- --------- - ----- - - - -- --- - - - --- - ----- ----- --- ----------- - ---- - - --- - -- - - - -- - - - - - - - - ---- - ---
Electric Permit Work Card
. Job Address 300 S KOELLER ST Permit Number 123620 Create Date 2/23/2007
--
Owner LANDMARK LIMITED PARTNERSHIP III Contractor SOLAR ELECTRIC SERVICES INC
---~._..._~. - ----
Service b New- 0 Change 0 Temp . N/A -l Type 0 Overhead 0 Underground. N/A
Volts Circuits Luminaires
Value
$6,500.00
Amps
UselNature
of Work
Switches Receptacles
643 _ Commercial-Addition/Remodels Suite C2 - Interior alterations to convert portion of former fumiture store into Martial I
~~~dl0 I
Inspections:
Date 04/19/2007 Type Re Final Inspector Kevin Benner ____ not approved
Sign Wiring is not confirmed if it is wired or if it is wired correctly, the 277/480 V panel cover was not repaired, and the K.O. closures were
not installed in the XFMR. Called Curtis 4/20/7 AM
DatelTime requested: 04/19/2007 09:50 AM
Access:
Requested by: SOLAR ELECTRIC SERVI~~~It'-!g____
o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
Notice Type:
Ready DatelTime: 04/19/2007 09:50 AM
Phone Number: 410-5173 Curtis
---~- ------- ----- -- -- - - -- -~ -- --- - - --- --- ---- --- - --- - - --- --- - ~ - - -- -. - - -------- ---- -- - ---------------------------- -- --- - ---- - - -- -- - - ~ - - - - - - - ~ - - -- -- ~ --.- ------
Date 05/03/2007 Type Re Final Inspector Kevin Benner approved wIeand.
urtis from Solar stated the they did not wire the sign and he stated that the tenant said that the sign is -notWiredat present and that Solar
auld not be wiring the sign for them.
DatelTime requested: 04/23/2007 11 :56 AM
Access:
Requested by: SOLAR ELECTRIC SERVICES INC Curtis
o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid
Notice Type:
Ready DatelTime: 04/23/2007 11 :56 AM
Phone Number:
---- - ------.,. -- .---- - - - --- - -- - -- --~ ----- - - ---- - - ---- -- - -_.- -- - - ---- - - - - ----- - - - ---- - .------------ _.------- ---- -- .---- - ---- - ~ ~ _.- - - - ~ - - - - -- - - - _.--- ---- -------
HVAC Permit Work Card
Job Address 300 S KOELLER ST Permit Number 123947 Create Date 03/27/2007
Owner LANDMARK LIMITED PARTNERSHIP III Contractor GARTMAN MECHANICAL SERVICES
Fuel ~ Gas I U Oil I 1v'J Electric I U Solar U Solid I Value $9,500.00
System 0 New I 0 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
Use/Nature Space C-2 / EARLY START - Modifications to existing HVAC system for Martial Arts
of Work
I
I
Inspections:
Date 5/16/2007
.''':f!r~~~'''f,tt;?JtJ''~~;';~,~
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:
o Reinspect Fee Paid
- - - - - --- - - - - - - - --- - - - - - - - - -- - - - - -- -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - -- - - - - - - - - - - - - - - - - - - - - -- - - - - --- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - -- - - - - - -- - - - - - - - - - - - - --
."',,..
Plumbing Permit Work Card
Job Address 300 S KOELLER ST Permit Number 123579..- Create Date 02/21/2007
Owner LANDMARK LIMITED PARTNERSHIP III Contractor D.R. HANSEN PLBG.
Category 440 - Industrial-Interior Plan Value $2,500.00
Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker
- - - - - -
Whirlpool - Floor Drain Local Waste Ice Chest FlrlWst Sink Int Grease Trap
- - - - -
Lavatory 2 Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap
- - - - -
Toilet 2 Disposal Bidet Sculry Sink Wash Ftn RPZ Valve
- - - - - -
Res. Sink Dishwasher Beer Tap Hand Sink Urinal Eye Wash Statn
- - - - - -
Bar Sink - SUIllP Pump - Lab Sin.k Plaster Sink ---"-' .Stan~P ~ec - _ W!r Sewer Mtrs
- -
Water Heater - 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 Soda Disp
- - -
Misc. -
Fixtures
UselNature Relocate two lavs, install drinking fountain and replace two toilets in unit 300-C. ***Debit Account
of Work
Size Material Type # Conn.Type
Sanitary Sewer
Storm Sewer
Water Service
;
~
Inspections for Work Card 90705
Date 2/22/2007 Type Rough In Inspector Paul Wolf
Date/Time requested: 2/22/200712:08 PM Notice Type: Telephone Number:
Access: I
Ready Date/Time: 2/22/2007 12:08 PM Requested By: DR HANSEN PLBG.
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
- - - - - - - - -- - - - - -- - - - - - - --- - - - - - - -- -- - - - - - - -- - - - - - - -- - - - - - - --- - - - - - - -- - - - - - - --- - - - - -- -- - - - - - -- - - - - - - -- - - - - ---- - - - - - - - - - - - - - - - - - -- - - - - - - - -- - - -- - - - - - - - -- - - - - -- -- - - - - - -- - - - -- - - - -- - - - - - -- - ---- - - - - - -- - - --
Date 3/23/2007
Type Final
Inspector Paul Wolf
approved
Date/Time requested: 3/23/200707:37 AM Notice Type: Telephone Number:
Access: I
Ready Date/Time: 3/23/2007 07:37 AM Requested By: D.R. HANSEN PLBG.
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
- - - - - --- - - - - - - - - - - - - - - -- - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - -- - - ~- - - --- - - - - --- - - - - - - - - - - - - --- - - - - - - - - - --- - - - - -- - - - - - - - - - - - --- - - - - - - -- -- - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - --- --
~
OJHKOIH
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
www.cLoshkosh.wLus
ON THE WATER
February 21,2007
Richard Fisher
Fisher & Associates, LLC
642 Tholsen Dr
Kimberly, WI 54136
Ron Detjen
Landmark L TD III
PO Box 2366
Oshkosh, WI 54903
Site: Plan Number: X4-1908-0207
Martial Arts America
300 S Koeller St Suite C-2
Oshkosh WI 54902
For:
Description: Tenant space alterations
Object Type: Building only
Class of Construction: DB -1653 Sq Ft.; Sprinklered
Occupancy: M: Mercantile I Retail
Maximum No of Occupants: 1000
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
NOTE: The unoccupied space that is being provided with a set of doors as per fax received on 2/21/07 is not to be used
as an occupied space unless additional plans are submitted for review and approval.
Key Item(s) I Conditions:
.0 IBC 901.2 Fire protection systems shall be installed, repaired, operated and maintained in accordance with
this code and the international fire code. Construction ofnew walls may require the addition and or
relocation of sprinkler heads to maintain required coverage, and not obstruct spray patterns of.fire
sprinklers.
. mc 906.1 / IFC 906.3 The maximum travel distance allowed to a fire extinguisher is 75 feet.
. IBC 1003.2.2.5 Posting of occupant load. Every room or space that is an assembly occupancy shall have
the occupant load of the room or space posted in a conspicuous place, near the main exit access doorway
from the room or space. Posted signs shall meet the requirement of municipal code section 13-5. Min 12
inches in length, min 4 inches in height with min Y2 inch lettering and the numbers being minimum 3
inches in height. The sign shall state "Limit (number) Persons".
. mc 1003.2.10 Exit signs are required to be installed per this section
I:\Insptctinns\Pbn Review\Commen.:ial Pbn Review 2007\X4- i908-0207 300 S Koder Si B!dg Only.dot'
Page 1 of3
\.
. IBC 1003.2.11 Means of egress illumination is required to be installed per this section. All paths of egress
are required to have adequate emergency lighting to meet the performance requirements of IBC
1003.2.11.3. Provide complete emergency lighting plan showing compliance with these requirements
prior to installation ofemergency lighting system. Additionally emergency lighting is required to be
provided for the new egress path in the unoccupied storage space. .
. 1004.2.3 Egress through intervening spaces. Egress from a room or space shall not pass through
adjoining or intervening rooms or areas, except where such adjoining rooms or areas are accessory to the
area served; are not a high-hazard occupancy; and provide a discernible path of egress travel to an exit.
Egress shall not pass through kitchens, store rooms, closets or spaces used for similar purposes. An exit
access shall not pass though a room that can be locked to prevent egress. Means of egress from dwelling
units or sleeping areas shall not lead through other sleeping areas, toilet rooms or bathrooms. Verify that
egress path is maintained through the "Preparation Area"
. IBC 1004.3.2.1 Construction Corridors (the rear egress path is considered a corridor.) shall be fire-
resistance rated in accordance with Table .1004.3.2.1. The corridor walls required to be fire-resistance-rated
shall comply with Section 708 for fire partitions.
Table 1004.3.2.1 Exception c. Buildings equipped throughout with an automatic sprinkler system in
accordance with Section 903.3.1.1 or 903.3.1.2. This will require the monitorin!! and alarms per
Section 903.4 this includes ALL valves controllin!! water sUPDlv. .
. IBC2406.2 Glazing in an individual fixed or operable panel adjacent to a door where the nearest exposed
edge of the glazing is within a 24 inch arc of either vertical edge of the door in a closed position and where
the bottom exposed edge of the glazing is less than 60 inches above the walking surface is requires safety
glazing materials. .
. Comm 61.30(3) This review does not include lighting. Corom 63.0001 Prior to installation, lighting
plans and calculations shall be prepared in compliance with the code. The plans shall be available upon
request.
. Comm 61.30(3) I IMC 507.2 This plan review does not include heating, ventilation, or air
conditioning. HV AC plans are required to be submitted and approved prior to installation ofHV AC
equipment.
. 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 d~partment 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
Comm61.31(1).
J:\lll$ped.io!ls\f'hm Hevit'w\('ommercial Pt;Jn RlOview :!007\X4-190S.(l207 300 S Koeller Sf flldS Only_do~
Page 2 of3
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.
. mc 1003.2.11 Means of egress illumination is required to be installed per this section. All paths of egress
are required to have adequate emergency lighting to meet the performance requirements of IBC
1003.2.11.3. Provide complete emergency lighting plan showing compliance with these requirements
prior to installation of emergency lighting system.
. NFP A 72 4.5.2 Provide a copy of the fire alarm system record or completion for the required monitoring
and alarms ofthe automatic fire sprinkler system
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 number listed below or the address on this letterhead.
e
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 $
580.00
0.00
580.00
J:\]Jbpediolls\Plan Review\C\'l11merrial Plan Review 10iJ7\X4-1 i)()S-0207 300 S KneHer 5i Bldg Only.d()~
Page 3 00
~
OJHKOIH
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 30, 2007
Keith Paul
GMS Inc.
520 W South Park Ave.
Oshkosh, WI 54902
Ron Detjen
Landmark L TD III
PO Box 2366
Oshkosh, WI 54903
Site: Plan Number: X4-1908-0207-H
Martial Arts America
300 S Koeller St Suite C-2
Oshkosh WI 54902
For:
Description: Tenant space alterations
Object Type: HV AC only
Class of Construction: lIB - 3653 Sq Ft.; Sprinklered
Occupancy: M: Mercantile I Retail
Maximum No of Occupants: 90 - Based on letter from Owner accepting reduced occupant load.
NOTE: The space indicated as Suite C-l is not part of this review and will require additional HV AC plans to be
submitted prior to occupancy of this space.
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) I Conditions:
. IMC 405.1 Mechanical ventilation systems shall be provided with manual or automatic controls that will
operate such systems whenever the spaces are occupied. Air conditioning systems that supply required
ventilation air shall be provided with controls designed to automatically maintain the required outdoor air
supply rate during occupancy. . Plans submitted do not include details on controls for exhaust fans.
Verify that the ventilation is set up to be controlled properly.
. 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
Corom 61.31(1).
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Page 1 of2
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 number listed below or the address on this letterhead.
B . oe --..
Building Systems Consultant
(920) 236-5051 Monday- Friday 7:30 AM. to 8:30 AM and 12:30 AM 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
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Page 2 of2
APR-04-20G702:39 PM
P.02/02
Buildings, HVACt Compliance Statement
This form tsraqulred to be submitted by the supervising profeasional (architect, engineer, HVAC designer or electrical
designer) observing construction of projects within buildings wlth total areae 50,000 cubic feet or greater and bleachers
(Comm 50.10/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.
Generar Instructions: Prior to the inilial 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 rOf secondary purpose6 [Privacy Law, s. 15.04 (1)(m)].
1. PROJECT INFORMATIO . Pl..se fiI.1I1 ~ j e fO~ Wi.~ wjj!J infor . tion from your plan approvalletler.
Transaction ID Number ~ ' ~ ~ ~ X 5( - /7bR -0'; d i-II
Site Number . / r: . e~ _.J
Site location (number & street) .;J' '. -. ...G/,(' ~ c- 2
.. City 0 Village tl Town of o. ~ec1.~ County of M~A~ ~/a
. PURPOSE OF THIS STATEMENT: (Check Box A, 8, C, or D to indicate purpose and complete any other
applicable boxes and Information. Attach additional pages If neces~
Check those which apply: 0 Building Object 10 # _ ~VAC Object ID#
o Lighting Object 10 #
o Partial Completion
Dasorlptlon of Portion Completed
.~ Statement of Substantial Compliance .
"y->To the best of my knowledge. belief, and based on onslle observation, construction of the following building and/or
HVAC Items applicable to this project have been completed In substantial complrance with the approved plans and
specifications.
o BUILDING/LIGHTING ITEMS
1. Structuralllyatem Including submlttlll and flreotlon of all buRdlng c:omponenl!l
(truSSell, pree88t. metal building. etc.)
2. Fire protection lIystems (llpr1nkllllr8, lillarms, smoke deleetom) dl!llllgn8d, lnStalted.
end lesled (IncludIng forward flow on baok naw deviCes) by appropriately reglaterfJd
profMslonal8
3. Shaft and Italrway enclosurl!l
4, Exltlllneludlng I!Ildt and directional lights
6. Flre.reatatlw conetnJctlon, enclosure of hazards, fire walls, labeled doofll, class of
eonlllructlon, fire Iltopped penetrations
6. SlInttatlCJllsystem (tofl8tll. slnkll. drinking fElcllttlea)
7. Barrier-free lnaludlng Con1m 18 elevlltors and lifts
8. Energy enwlope mqulr6l1'lente
9. All concllllona of building plan approval and applloable varlancoo
The following Items are not In compliance and must be addres8ed:
10. Exterior lighting & control requlremenlG
11 . InterIor lighting & control requirement!.'
12, All eonclltlonr. of Ilghllng plan approval
and appMoable variances
~VAC ITEMS
1. HVAC system Including flnaltl!lSt
2. All conditions of HVAC plan approvel and
applicable variances
B) 0 Statement of Noncompliance
Due to the followIng listed violations, thIs project Is not ready for occupancy:
C) 0 SupervIsing Profe.alonal Withdrawn From Project (Use A or 8 ebove to indicate project status as of thIs dale.)
D) 0 ProJectAbandoned
. SUPERVISING PROFESSIONAL SIGNAT R FOB:
o Building 0 HVAC 0 Lighting ..
Na e (please print or 8)
Phone numberc/'? 1:-; t'~ ?Ltu6tomer ID # ?RaY?>,
~
CORRECTION NOTICE / FIELD INSPECTION REPORT
JOBLOCATION:.?cO ~,t<oeller- .s:w/{-e C2,
CONTRACTOR: 7z.:::r III i:. ;'-,~ It- V-
PROJECT TO BE INSPECTED: j1{a,,...'{-,IA- J 1Ir4:'S:
TYPE OF INSPECTION: );::;.1"-<...1
~
City of Oshkosh
Inspection Services Division
215 Church Avenue, PO Box 1130
Oshkosh, VV154903-1130
Phone: (920) 236-5050
Fax (920) 236-5084
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 dat~ at the bottom of this notice
and return it to the Inspection Services Division by the Compliance Date of "I/I/l~(a~~,
fl'!EM# 'COlJE INSPECTION RESULTS
J
~
~~ ':sz?~
Phone #
Print Name
Company
Signature:
Date
~5/08/2007 08:43 FAX
:::
..
F ISH E R & ASS 0 C
141001/002
642 Thelosen Drive
Kimberly, WI 54136
Phone: 920-687-9035
~ax: 92o.7S8-2965
Fisher & Associates, LLC
Fax
To~
ALL YN DANNHOFF
From:
Richard Fisher
Fax:
(920) 236-5084
Date:
May 9, 2007
Phone:
Pages: 2
Re:
300 S Koeller street Suite C-2
ce~
File, Ron Deljen, Steve Schmidt
ti:: ~ ~ 70Cf1
D Please Reply tJ Please Recycle
D Urgent
tJ For Review
D Please Comment
.Comment$~ Attached is the compliance statement for the atteration at this location
05/08/2007 08:43 FAX
F I ~ H ~ R & A SS 0 C
ill 002/002
~
Buildings, HVAC Compliance Statement 5BO-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 exceeding 50,000 cubic feet or greater and .
bleachers (Comm 50.1 O/Comm 61.50). Failure to submit this form mey result in penalties as specified in Comm
50.26/Col')'lm 61.23 and/or local ordinances.
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 Bu ildi ng8, 10541 N Ranch Road, Hayward, WI 54843
Personal information you provide mOlY be used for secondary purposes [privacy Law, s. 15.04 (1 )(m)J-
1. PROJECT INFORMATION: Please fHl in the following with information from your plan approval letter.
Transaction 10 Number
Site Number
Site location (number & street)
[2] City 0 Village 0
300 S Koeller Streetsulte C.2
Town Of Oshkosh
County of
Winn8bago
2. PURPOSE OF THIS STAT~MENT: (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: 0 Building Object 10# 0 HVAC Object ID#
o Lighting Object 10#
o Partial Completion
DescrIption of Portion Completed
A) 0 Statement of SubstantIal Compliance
To the best of my knowledg~, be:lief. and based on onsile observation. construction orthe following building and/or HVAC
i!~ms applicable to tnis project have ~n compl~led in substantial compliance with the approv~d 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
device:s) by appropriately registered professionafs.
3. Shaft and stairway enclosure
4. Exits InCluding exit .and directional lights
5. Fire-resistive construcllon. enclosure of ha::ards, fire walls, labeled
doors, class of construction, fire stopped penetrations
8. Sanitation ~stem (toilets, sinks, drinking facilities)
7. Barrier-free fncluding Comm 1 a elevators and lifts
8. Energy ~nvelope requirements
9. All conditions of building plan approval and applicable variances
10. Exterior lighting & control requirements
11. Interior lignling 6. control requirements
12. All conditions or lighting plan approval
and <'1ppllcable variances
o HVAC ITEMS
1. HVAC system including final test
2, All conditions of HVAC plan approval
and applicable variances
The following itams are not in compliance and must be addrEussed:
B) 0 Statement of Noncompliance
DUEl to the following listed violations, this projsct Is not ready fDr occupancy:
C) o Supervising Professional Withdrawn From Project (Use A or B above to IndIcate project starus <'1$ of this date.)
D) 0 Project Abandoned
3. SUPERVISING PROFESSIONAL SIGNATURE FOR:
0Sulldlng 0 HVAC 0 Lighting Richard J. Fisher
Name (please print or type)
263460 Signature
DClte:
5{r!{2007
Phone #
(920) 687-9035
Customer ID#
7y~
S~I':l.97~O (R.Olr.W03)
~" ,:~:r-1: ::'~~~ - }~~)~: ;;~~ -.>,~~: '{J
....::"..~Q~.!-_Q~~i!Q~:~c;(;? . ~, f<~' ~ !h1(-~.
CONTRACTOR: ~::f" ,4 I i, ,~ " '7'<< ':J.
P~OJECT TOllE INSfECTED:' /llt!,,~\!,' c-, l
''''''-' I
TYPE OF INSPECTION: ~,'f'L~'
~..;'" ',t [1.;(
. -' "!11'" ,. '
~..;.~_i>tJ ,l,- ~~ "
~
CORRECTION NOTICE / FIELDINSPECTIONREPOR.T
City of OS01(051:1-
, Inspection Services Division
215Church Avemie, POBox 1130
Oshkosh, VVI54903-1130
',' Phone: (920) 236~5050
. Fax (920) 236-5084
! f
/l J-s..>lt:, ~
. :ttEMtf: . CODE
INSPECTION RESm:rS
I
COMMUNfTY bEVEL
N SERVICES DIV!~iON
CORRECTION NOTICE / FIELD INSPECTION REPORT
JOBLOCATION:.?tX? ~', kOr!'I/e~ So/It? C2-
CONTRACTOR: /2:::r 411 h~ Ie'f-
PROJECT TO BE INSPECTED: jl{a,f-rf-j\c... J !ft\J'h
TYPE OF INSPECnON: ,/?::',.t~1
City of Oshkosh
Inspection Services Division
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903-1130
Phone: (920) 236-5050
Fax (920) 236-5084
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 dat~ at the bottom ofthis notice
and retw'/m it t@ekeInspecti@n Services Division by the C@mplianceDate of ~'~I/M~(O?-~-
~ttEM#
COlD/IE
lINSFECTION REsm:rs
)
tl..-cl... /-ee-I-
2.
~~'I-
~
DEPARTMENT OF
IN
ENT
i>~1~R~
Company
.i~~
Date .. a - ~ -t:'T]
Building Permit Work Card
Job Address 300 S KOELLER ST Permit Number 0123600 Create Date 2/21/2007
Owner LANDMARK LIMITED PARTNERSHIP III Contractor R J ALBRIGHT INC.
Category 232 - Alteration Stores & Customer Service Plan X4-1908-0207
Occupany Permit Required Flood Plain Height Permit Class of Const:
Use/Nature Suite C2 - Interior alterations to convert portion of former furniture store into Martial Arts Studio.
of Work
HVAC Contr PlumbingC()ntr ~ -.. . ..- .
Electric Contr
Date
7
/111 Type ~'- J
{lJo~
Inspector
h
DatelTime requested: .
Access: I
Requested By:
o Reinspect Fee 0 Fee Waived
Notice Type:
Ready Datemme:
Phone Number:
- - - --- - - - - - - - - - - - - - - - - - - - -- - - - -- - - - - - -- - - - - - -- -- - - - - - - - - - - - - -- - - - - - - - - --- - - - - - - -- - - - - --- - - - - --- - - -- - - - - - - - -- - - - - - - -- - - - - - - - - - - - - - --- - - --- - -- - -- - - - - -- - - - - -- - - - - - - --- - - - - -- - - - --
o Reinspect Fee Paid
Page 1 of 1
HVAC Permit Work Card
Job Address 300 S KOELLER ST Permit Number 123947 Create Date 03/27/2007
Owner LANDMARK LIMITED PARTNERSHIP III Contractor GARTMAN MECHANICAL SERVICES
Fuel ~ Gas I U Oil I [{j Electric [ U Solar U Solid I Value $9,500.00
System 0 New [ 2J Replace [0 Other I
~ Forced Air U Radiant I U Steam I l{J 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
Use/Nature pace C-2 / EARLY START - Modifications to existing HV AC system for Martial Arts
of Work
Inspections:
Date
Inspector
Type
DatelTime requested:
Access: I
Requested By:
o Reinspect Fee 0 Fee Waived
Notice Type:
Ready Datemme:
Phone Number:
o Reinspect Fee Paid
- - - - - - - - - - - - - -- - - - - --- - - - - -- - - - - - -- - - - - - - - - -- - - - - - - - - -- - - - - - - -- - - - - - -- - - - - - -- - - - - --- - - - - - - -- - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - --- - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ---
~