HomeMy WebLinkAbout2007-Certificate 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:
06/06/2007
06/06/2007
RK Rental Properties LLC
2550 S Washburn St
Oshkosh WI 54904
CERTIFICATE OF OCCUPANCY
An Occupancy Permit is hereby issued for the retail building located at 2550 S
Washburn Ave as described in Building Permit #115525.
This building is to be used as a Retail Center and is located in the M-1 Light
Industrial Planned Development District.
LIMITATIONS:
Maximum number of persons: Per State Approved Plan
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.
DIRE
cc: Fox Cities Construction Corp
Building Permit Work Card
Job Address 2550 S WASHBURN ST Permit Number 0115525 Create Date 8/1/2005
Owner RICHARD KOHLHOFF Contractor FOX CITIES CONST CORP
Category 230 - New Stores & Customer Service Plan P7 -55-0805
Occupany Permit Required Flood Plain No Height Permit Required Class of Const: 2Bibc
Use/Nature New 20,000 sf Retail Building w/ 6500 sf basement.
of Work
HVAC Contr CONDON TOTAL COMFORT Plumbing Contr O'NEILL ENTERPRISE INC
Electric Contr WITZKE ELECTRIC INC
Inspections:
Date 8/16/2005 Type Footings Inspector Allyn Dannhoff
Request Line - will be doing footings for the next couple of days - might as well put on your schedule
no time
DatelTime requested: 8/10/2005
Access: I
Requested By: Delrar-Laurie
o Reinspect Fee 0 Fee Waived
02:13 PM
Notice Type:
Ready DatelTime: 8/10/2005 02: 13 PM
Phone Number: 731-5464
o Reinspect Fee Paid
Date 8/25/2005
Type Foundation Backfill
Inspector Allyn Dannhoff
no time
IRequ"" Un,
DatelTime requested: 8/24/2005
Access: I
Requested By: Delrar-Laurie
o Reinspect Fee 0 Fee Waived
10:23 AM
Notice Type:
Ready DatelTime: 8/24/2005 10:23 AM
Phone Number: 920-731-5464
o Reinspect Fee Paid
Date 11/17/2005
r ",noem, noted
DatelTime requested:
Access: I
Requested By:
o Reinspect Fee 0 Fee Waived
Type Rough In
Inspector Allyn Dannhoff
approved
Notice Type:
Ready DatelTime:
Phone Number:
o Reinspect Fee Paid
Date 1/27/2006 Type Final Inspector Allyn Dannhoff not approved
requ"" Un, (did no' "'Ie type)
lEEFCN
DatelTime requested: 1/25/2006 03:44 PM Notice Type: Ready DatelTime: 1/27/2006 07:00 AM
Access: ILock Box 1460 - Kurt wants to be present.
Requested By: FOX CITIES CONST CORP-Kurt Phone Number: 920-379-9984
o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
Page 1 of 2
Building Permit Work Card
Job Address 2550 S WASHBURN ST Permit Number 0115525 Create Date 811/2005
Owner RICHARD KOHLHOFF Contractor FOX CITIES CONST CORP
Category 230 - New Stores & Customer Service Plan P7 -55-0805
Occupany Permit Required Flood Plain No Height Permit Required Class of Const: 2Bibc
Use/Nature New 20,000 sf Retail Building w/6500 sf basement.
of Work
HVAC Contr CONDON TOTAL COMFORT Plumbing Contr O'NEILL ENTERPRISE INC
Electric Contr WITZKE ELECTRIC INC
Inspe~ti~!,~,~. ,>, "
r:;;(":-"""""'il''fIi:!''?:~1t;':;_<:t,~d",,~,*~,-,,~,,c--' .
oife';:;~1672b(j7" .
Type Final
Inspector Allyn Dannhoff
approved
DatelTime requested:
Access: I
Requested By:
o Reinspect Fee 0 Fee Waived
Notice Type:
Ready DatelTime:
Phone Number:
o Reinspect Fee Paid
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Page 2 of 2
f,"
Electric Permit Work Card
Job Address 2550 S WASHBURN ST Permit Number 115768
Create Date 8/2/2005
Owner RICHARD KOHLHOFF Contractor WITZKE ELECTRIC INC
Service I. New 0 ChangeO Temp 0 N/A Type 0 Overhead . Underground 0 N/A
Volts 120/240 Circuits 0 Luminaires 0
Amps 800 Switches 0 Receptacles 0
Use/Nature 542 - Commercial-New Building Wiring Wiring for New 20,000 sf Retail Building w/6500 sf basement, to include
of Work emporary power.
Value
$87,425.00
Inspections:
Date 08/15/2005
Type Note
Inspector Kevin Benner
approved w/cond.
Request Line - Temp Service *** NO PERMIT ***
~rc Flash Warning label required (faxed to the E.C. 8/16/5 :235-6582)
Faxed to WPS 8/15/5, Mailed 8/22/5
DatelTime requested: 08/12/2005 02:26 PM
Access:
Requested by: WITZKE ELECTRIC INC- Tim
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Notice Type:
Ready DatelThne: 08/12/200502:26 PM
Phone Number: 235-6572
- - - --- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - -- --- - - - - - - - --- - - - - - - -- - - - - - - - - - - - -- - - - - - -- - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - --- - - --
Date 10/18/2005
IRequest Line
Faxed to the E.C. 10/19/5
Type Service
Inspector Kevin Benner
not approved
DatelTime requested: 10/17/2005 10:17 AM
Access:
Notice Type: FC Ready DatelTime: 10/17/200510:17 AM
Requested by: WITZKE ELECTRIC INC-Tim
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Phone Number: 235-6572
Date 10/20/2005
Type Re Service
Inspector Kevin Benner
approved
Request Line
Faxed & Mailed to WPS 10/24/5
DatelTime requested: 10/19/2005 03:03 PM
Access:
Requested by: WITZKE ELECTRIC INC-Dan
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Notice Type:
Ready DatelTime: 10/19/2005 03:03 PM
Phone Number: 235-6572 379-4967
Type Rough In
Inspector Kevin Benner
approved w/cond.
Date 11/23/2005
Request Line
ENT Bending radius, Arc Flash labels, service grounding. Reviewed the house panel load requirements with the electrician and Jim L from
heG.C.
DatelTime requested: 11/22/2005
Access: Strip Mall- Open
Requested by: Witzke Elec
o Reinspect Fee 0 Fee Wavied
12:36 PM
Notice Type:
Ready DatelTime: 11/22/2005 12:47 PM
Phone Number: 379-4967,235-6572
o Reinspect Fee Paid
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Electric Permit Work Card
Job Address 2550 S WASHBURN ST Permit Number 115768
Create Date 8/2/2005
Owner RICHARD KOHLHOFF Contractor WITZKE ELECTRIC INC
Service Ie New 0 Change 0 Temp 0 NIA I Type 0 Overhead e Underground 0 NIA
Volts 120/240 Circuits 0 Luminaires 0
Amps 800 Switches 0 Receptacles 0
Use/Nature 642 - Commercial-New Building Wiring Wiring for New 20,000 sf Retail Building wi 6500 sf basement, to include
of Work emporary power.
Value
$87,425.00
Inspections:
Date 01/30/2006 Type Final Inspector Kevin Benner not approved
Request Line
!No above ceiling inspection, em It box support, open wiring for a rear sign, Panel; schedules to clearly identify breakers (RTU's), FACP
]identification, WH disc., Identify FA boxes, no access to the elevator room, work space for the north RTU's (reviewed with the G.C. & E.C.),
Conveyor wiring is not code compliant. Not wired by the electrical contractor.
DatelTime requested: 01/27/2006 10:40 AM Notice Type:
Access: Usually open
Requested by: WITZKE ELECTRIC INC-Dan
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Ready DatelTime: 01/27/200610:40 AM
Phone Number: 379-4967
--- - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - -- - -- - - - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - -- - - - - - -- - - - - -- - - - - - - --
Type Re Final
Inspector Kevin Benner
not approved
Date 02/02/2006
FORWARDED FROM EXT 5046 2/2@ 7:13 AM
Elevator: Did not go down, cable connector required for the car cable, loose raceway fitting forcar cable raceway. RTU's work space not
jone. Cash Wraps not done in any of the stores, rear sign age not installed.
DatelTime requested: 02/01/2006 11 :14 AM
Access:
Notice Type:
Ready DatelTime: 02/01/2006 11 :14 AM
Requested by: WITZKE ELECTRIC INC
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Phone Number: DAN 379-4967
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Date 02/10/2006 Type Re Final Inspector Kevin Benner not approved
Cash Wraps were not wired, elevator did not function after the inspection (vio.'s corrected), RTU's were relocated but there is one screening
brace that is in the work space for the east unit, rear signage not installed (no open wiring).
DatelTime requested: 02/09/2006 03:04 PM Notice Type:
Access: Call Curt (379-9984) or Neil (379-9982) from the G.C.
Requested by:
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
Ready DatelTime: 02/09/2006 03:04 PM
Phone Number:
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Date 02/15/2006
Type Re Final
Inspector Kevin Benner
approved w/cond.
REQUEST LINE
I here are floor boxes that are not being utilized. The approval is with the understanding that these boxes do not have any wiring in these
iconnected to energized circuits.
Faxed to the E.C. 2/16/6
DatelTime requested: 02/14/2006 02:31 PM Notice Type: Ready DatelTime: 02/14/200602:31 PM
Access: 2ND END UNIT OPEN 10-9, REST OF BUILDING SHOULD BE OPEN, KEY BOX "1460.
Requested by: WITZKE ELECTRIC INC Phone Number: DAN 379-4967
o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid
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HVAC Permit Work Card
Job Address 2550 S WASHBURN ST Permit Number 117397 Create Date 08/0212005
Owner RICHARD KOHLHOFF Contractor CONDON TOTAL COMFORT
Fuel I~ Gas 1 I I Oil I 1,(1 Electric I U Solar U Solid I Value
System 0 New I 0 Replace I 0 Other
l!:J Forced Air I U Radiant I U Steam I l!:J AlC I U Vent
U Electric I U Hot Water I U Suppl. I U Con. Burner I
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent . Not Applicable
Use/Nature HV AC system as per State Transaction ID # 1163534 for New 20,000 sf Retail Building w/ 6500 sf basement.
of Work
$72,715.00
I
I
Inspections:
Date 6/6/2007
Type Final
Inspector Allyn Dannhoff
approved
DatelTime requested:
Access: I
Requested By:
o Reinspect Fee 0 Fee Waived
Notice Type:
Ready DatelTime:
Phone Number:
o Reinspect Fee Paid
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~'.I '2
Plumbing Permit Work Card
Job Address 2550 S WASHBURN ST Permit Number 115655 Create Date 08/0212005
Owner RICHARD KOHLHOFF Contractor O'NEILL ENTERPRISES INC
Category 440 - Industrial-Interior Plan Value $22,900.00
Bathtub 0 Shower 0 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 1 Local Waste 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Lavatory 4 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Toilet 4 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
Bar Sink ~ Sump Pump 0 Lab Sink 0 Plas.ter Sink ~ Standp Rec ~ W~r Sewer Mtrs 0
Water Heater 2 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
-
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 2 Soda Disp 0
- - - -
Misc. 0
-
Fixtures
Use/Nature ..
of Work New retail mall with sewer and water service (Debit Account)
,
Size Material Type # Conn.Type
Sanitary Sewer 6" Plastic Lateral 1 New
0
0
0
0
Storm Sewer 0
0
0
0
0
Water Service 8" Plastic Lateral 1 New
0
0
0
0
Inspections for Work Card 81921
Date 8/29/2005 Type Sewer Inspector Rich Wood
no time
REQUEST LINE - Work to install had not lateral had not reached a point of installing pipe, contractor was waiting for shoring to arrive at the time of
inspection.
DatelTime requested: 8/29/200508:33 AM Notice Type: Telephone Number: PAT 589-2007
Access: I
Ready DatelTime: 8/29/2005 12:00 PM Requested By: O'NEILL ENTERPRISE INC
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
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Date
Inspector Allyn Dannhoff
no time
Type Underground
FAXED REQUEST9/13/05 NO STAFF AVAILABLE TO PERFORM INSPECTION, ADVISED PAT OK TO CONTINUE
DatelTime requested: 9/12/200503:33 PM Notice Type: Telephone Number: PAT 589-2007
Access: I
Ready DatelTime: 9/12/2005 03:33 PM Requested By: O'NEILL ENTERPRISE INC
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
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Date 11/15/2005 Type Rough In
Inspector Allyn Dannhoff
no time
Hequest Line - above ground Rlno staff available to perform inspection
DatelTime requested: 11/15/200!11 :35 AM Notice Type: Telephone Number: 230-2007
Access: I
Ready DatelTime: 11/15/200! 01 :00 PM Requested By: O'NEILL ENTERPRISE INC-Laurie
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
- - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - --- - - - - - - -- - - - - - - - - - - - --- - - - - - - -- - - - - - - -- - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - --- - - - - - - -- - - - - - - --- -.- - - - - -- - - - - --- - - - -., - - - - - - - - - - - - - -- - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
Date 11/28/2005 Type Rough In
Inspector Rich Wood
no time
Request Line (rec'd 11/22/054:50 PM) - above ground RI11/28/05 NO STAFF AVAILABLE TO PERFORM INSPECTION
DatelTime requested: 11/23/200!O7:00 AM Notice Type: Telephone Number: 920-230-2007
Access: I
Ready DatelTime: 11/23/200! 07:00 AM Requested By: O'NEILL ENTERPRISE INC-Laurie
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
-- - - - - - -- - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - -- - - - - - --- - - - - - - - - - - - - - - -- - - - - - - - - - - - - - -- - - - - - -- - - - - - -- - - - - --- - - - - - - - - - - - - - - - - - - - - - - - -- - - - - -- - - - - - -- - - - - - -- - - - - - - -., - - - - - - - - --- - - - -- - - - -- - - - -- - - - -- - - - -- - --
Inspections for Work Card 81921
Date 1/27/2006 Type Final Inspector Paul Wolf
approved
FAXED REQUEST
DatelTime requested: 1/27/200611 :46 AM Notice Type: Telephone Number: PAT 230-2007
Access: I
Ready DatelTime: 1/27/2006 11:46AM Requested By: O'NEILL ENTERPRISE INC
o Reinspect Fee 0 Fee Waived D Reinspect Fee Paid
'<>(
Plumbing Permit Work Card
Job Address 2550 S WASHBURN ST Permit Number 115840 Create Date 08/19/2005
Owner RICHARD KOHLHOFF Contractor RADTKE CONTRACTORS INC
Category 430 - I ndustrial-Exterior (laterals) Plan Value $1,200.00
Bathtub 0 Shower 0 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Whirlpool 0 Floor Drain 0 Local Waste 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Lavatory 0 Lndry Tray 0 Clothes Wshr 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
., -
cc Toilet 0 Disposal 0 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0
Res. Sink 0 Dishwasher 0 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0
-
Bar Sink 0 Sump Pump 0 . Lab Sink 0 Plaster Sink 0 Standp Rec 0 Wtr Sewer Mtrs 0
-
Water Heater 0 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0
-
Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0
-
Roof Drain 0 Ejector/Grind 0 Drink Ftn 0 Serv Sink 0 Soda Disp 0
- - - -
Misc. 0
-
Fixtures
Use/Nature
of Work Install storm sewer from retention pond to public main (Debit Account)
Size Material Type # Conn.Type
Sanitary Sewer 0
0
0
0
0
Storm Sewer 10" Plastic Lateral 1 New
0
0
0
0
Water Service 0
0
0
0
0
Inspections for Work Card 82243
Date 8/19/2005 Type Sewer Inspector Rich Wood
Not ready at the time of inspection.
not approved
DatelTime requested: 8/19/2005 08:05 AM Notice Type:
Access: IStorm sewer from retention pond to main
Ready DatelTime: 8/19/2005 10:00 AM Requested By:
o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
Telephone Number:
- - - - - - - - - -- -- - - - - - - - --- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - -- - - - - - - -- - - - - - - - -- - - - - - -- - - - - - -- - - - - - - - - - - - - -- - - - - - - - -- - - - - - - --- - - - - -- - - - - - -- - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - -- - - - - - --- - - - - -- - - - - - -- - --
Type Sewer
Inspector Rich Wood
not approved
Date 8/19/2005
Not ready at the time of inspection.
DatelTime requested: 8/19/2005 01 :38 PM Notice Type:
Access: I
Ready DatelTime: 8/19/2005 01:38 PM Requested By:
o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
Telephone Number:
- - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --- - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - -- - - - - - - - - - --- - - - ---
Safety and Buildings
PO BOX 7162
MADISON WI 53707-7162
TDD #: (608) 264-8777
www.commerce.wi.gov/sb/
www.wisconsin.gov
~ commerce.wi.gov
.. .
!!~9!'c!!t! RE
Jim Doyle, Governor
Mary P. Burke, Secretary
JUL 2 5 2005
July 21,2005
CUST ID No.970198 COMrijm~rfY DEVELOP~:41'fN: Buildings & Structures Inspector
CHET ALAN WESENBERG BUILDING INSPECTION /
CHET WESENBERG ARCHITECT LLC CITY OF OSHKOSH V .
3162 HAYWARD AVE POB 1130
OSHKOSH WI 54904 OSHKOSH WI 54902
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 07/21/2007
SITE:
New Retail Center
Hwy44and WashBurn
City of Oshkosh
FOR:
Description: Retail Center
Object Type: Building ICC Regulated Object ID No.: 1026897
Major Occupancy: Mercantile; Type lIB Metal Frame Unprotected class of construction; New plan; 26,565 project sq
ft; Completely Sprinklered; Occupancy: M Mercantile,.S-l Storage Moderate-Hazard; Sprinkler Design: NFPA-13
Sprinkler
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Key Item(s)
. mc 602.2 Buildings of Types I and II construction shall have all beams, columns, exterior walls, interior
partitiGHS, floors & floor assemblies, roofs and roof assemblies of non-combustible materials other than as noted
in Section 603.1. The studs used in the interior partitions shall be non-combustible or fire retardant treated
wood.
. IBC 714.2 Provide minimum one-hour rated door assemblies (45 minute or "c" doors are not acceptable) in
one-hour rated stairway enclosures. Per Section 714.2.4, they shall meet the positive pressure testing ofNFP A
252 or UL 10C. This applies to doors 001 and 005, which were not included on the door schedule.
. me 2900/Comm 62.2900 Note the requirement in Table 2902.1 to provide a service sink in each tenant space,
provided with supplies for upkeep of the toilet rooms.
Submit
. Comm 61.30(3) This review does not include heating, ventilating or air conditioning. The owner should be
reminded that HV AC plans, calculations, and appropriate fees are required to be submitted for review and
approval prior to installation. The submitted HV AC plans shall match the approved building plans.
. Submit, prior to installation, one (1) set of properly signed and sealed precast plans, a completed SB-118
application form including this transaction number and signed by the building designer, and $100 submittal fee
to Safety & Buildings, P.O. Box 7162, Madison, WI 53707-7162.
CHET ALAN WESENBERG
Page 2
7/21/2005
Reminders
· This review does not include approval for elevator/escalator/ lift indicated on your plans. Contact Brian Rausch
at (262) 521-5444 for submittal requirements or click on forms at our web home page.
http://www.commerce.state.wi.us/SB/SB-HomePage.html. Designers are reminded that a drain or sump is
required for any elevator pit.
· Comm 61.31(2)(b) A copy of this approval letter and index sheet shall be attached to plans that correspond with
the copy on file with the Department. Changes to the approved plan must be submitted for review and approval.
Failure to properly attach the approval and index page to plans that match the copy on file with the Department
may result in enforcement action under ss. 101.02 or 443.13, Statutes.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. Ifplan index sheets
were submitted in lieu of additional fulf 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 ofconstructionlinstallationloperation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Sincerely,
Fee Required $ 1,090.00
Fee Received $ 1,090.00
Balance Due $ 0.00
Clyde E Bryant, P .E.
Building Consultant, Integrated Services
(608)266-1835
cbryant@commerce.state.wi.us
cc: Fox Cities Construction Corp
Peter R Ochs, Building Inspector, (920) 948-3500, Friday, 7:45 A.M. - 4:30 P.M.
Tim J Marty, Elevator Inspector, (920) 428-9422
AUG 1 0 2005
Safety and Buildings
PO BOX 7162
MADISON WI 53707-7162
TDD #: (608) 264-8777
WNW.commerce.wi.gov/sbl
WNW. wisconsin.gov
... j commerce.wi.gov
~i!E9Jl!Jen
f~::~~t)l~,:~~'+~rI:~h ~f\rr'-'_OF
. UEVtlOPi~1E~lT
Jim Doyle, Governor
Mary P. Burke, Secretary
August 08, 2005
CUST ID No. 259120
ARTHUR WARREN
11 BLACKBURN ST
PO BOX 184
RIPON WI 54971
BUILDING INSPECTION
CITY OF OSHKOSH
POB 1130
OSHKOSH WI 54902
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 08/08/2007
Transaction ill No. 1163534
Site ill No. 701072
SITE:
New Retail Center
Hwy 44 and Wash Burn
City of Oshkosh
FOR:
Object Type: HV AC ICC System
26,565 sq ft Area Heated
Regulated Object ID No.: 1032959
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 (1 0), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
· !MC 306.5/IFGC 306.5 Provide a permanent means of egress for appliances IDstalled on roofs or elevated
structures with equipment located at a height exceeding 16 ft. Access shall not require climbing over
obstructions greater than 30 inches, or walking on roofs having a slope greater than 4/12.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. Ifplan index sheets
were submitted in lieu of additional full plansets, a copy of this approval letter and index sheet shall be attached to
plans that correspond with the copy on file with the Department. All permits required by the state or the local
municipality shall be obtained prior to commencement of construction/installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Sincerely,
Fee Required $
Fee Received $
Balance Due $
580.00
580.00
0.00
Clyde E Bryant, P .E.
Building Consultant, Integrated Services
(608)266-1835
cbryant@commerce.state.wi.us
cc: Fox Cities Construction Corp
Peter R Ochs, Building Inspector, (920) 948-3500 , Friday, 7:45 A.M. - 4:30 P.M.
... j commerce.wi.gov
~i!~go"!Jen
Safety and Buildings
PO BOX 7162
MADISON WI 53707-7162
TOO #: (608) 264-8777
www.commerce.wi.gov/sb/
www.wisconsin.gov
Jim Doyle, Governor
Mary P. Burke, Secretary
February 21,2006
CUST ill No. 970198
ATTN: Buildings & Structures Inspector
CHET ALAN WESENBERG
CHET WESENBERG ARCHITECT LLC
3162 HAYWARD AVE
OSHKOSH WI 54904
BUILDING INSPECTION
CITY OF OSHKOSH
POB 1130
OSHKOSH WI 54902
SITE:
New Retail Center
Hwy 44 and Washburn Rd
City of Oshkosh
FOR:
Object Type: Precast Plank Regulated Object ill No.: 1063307
COMPONENT RECEIVED
The department has received the above component plan indicated as being reviewed for compliance with the general
design concept and submitted by the building designer named above. The Department has filed the plans and other
related documents.
The department will rely on, and hold responsible, the building design professional and/or supervising professional
of record for compliance with the rules. The responsible professional should particularly insure that proper loads
and fire resistive rating have been incorporated to correspond to the building design. Particularly insure: proper dead
and live loading, including snow drift loading increases, unbalanced loads, equipment loads, proper
bearing/supports, concentrated loads etc, are properly conveyed to foundations; and that required fire ratings have
been employed.
The submitted materials have not been reviewed by the Department for compliance with all applicable administrative
rules. The department reserves the right to formally review the plans in the future if the department determines that
such a review is warranted, and to order corrective actions with respect to the outcome of that review.
A copy ofthe plan that is identical to the plan submitted for our file shall be available for inspection at the job
site. When the total building volume exceeds 50,000 cubic feet, the plan shall bear an indication of review that has
been signed or initialed by the building designer of record.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead. Please refer to Transaction ID No. referred to in the regarding line when making an inquiry or
submitting additional information.
Sincerely,
Fee Required $
Fee Received $
Balance Due $
100.00
100.00
0.00
Bonnie Stewart
Program Assistant 4 , Integrated Services
(608)261-8491
cc: Peter R Ochs, State Building Inspector, (920) 948-3500, Friday, 7:45 A.M. - 4:30 P.M.
Dannhoff, Allyn J.
From:
Sent:
To:
Subject:
Dannhoff, Allyn J.
Wednesday, November 30, 2005 1 :06 PM
'marvg@appletonsign.com'
25505 Washburn 5t
Marv,
Your submittal to change the height of the sign is approved conditioned on the top of the sign not exceeding 859 feet
above mean sea level. This is the critical measurement because in the airport district it is not necessarily the height of the
structure that is critical, it is the elevation above mean sea level.
No further permits are needed, we will modify the issued permit to reflect this change.
Thanks.
Allyn Dannhoff
1
~
CORRECTION NOTICE I FIELD INSPECTION REPORT
2#'1 ..r (') af)r 'I z,~ /
C-,,/I,'e.S .
7Ze/-"J!
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City of Oshkosh
Inspection Services Division
215 Church Avenue, PO Box 1130
Oshkosh, VVI54903-1130
Phone: (920) 236-5050
Fax (920) 236-5084
JOB LOCATION:
CONTRACTOR: ~~
PROJECT TO BE INSPECTED:
TYPE OF INSPECTION:
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 ovvner/contractor/agent ust sign and date at the bottom of this notice
and return it to the Inspection Services Division by the Compliance Date of f'- Q c.- eE:hC
INSPECnONRESUL'1'S
~
.s:-
Print Name
Company
Signature:
Date
FEB-21-06 06:02 AM FOX CITIES CONST
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9202358700
NQ,4939
P.01
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, _""INSPIlC.Tl!Ilo ~t~ I
. .I'E OF INSPIlCflON, _ : -~, .: 1-
."4rected and approved within 30 days unJess otherwise noted. Call for re-inspec:tion.c prior to C~_t
. an . ..,.ncy.' Upon compltUna the' correctiQr\B) the owner/cODtnletorllgeat st sian date at the bottom of:~. nodce
;ana ""'". 1110 rile lnsplClIoaServlclS b/tJlJloIl11111Je CQ"pllfJM, Dcts Df
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BUILDINGS, HV AC, COMPLIANCE STATEMENT SBD-9720,
This form Is requIred to be submitted by the supervIsIng professional (archltoot, englnee1;IHVAC designer or electrical
designer) observing construction of projects within buildings with total areas 50,000 cubic feet or greater and bleachers
(Comm 50.10/Comm 61.60). Failure to submit thIs form may result In penalties as specified In Comm 50.26/Comm 61.23
andlor looal ordinances. This form must be submitted prior to the plan approval expiration date or arlother submIttal may
be requIred.
General InstructIons: Prior to the initial occupancy of new buildings or additions and the fiinal occupancy of
altered existing buildings, submit" this completed and signed form to:
· The municipal building inspection office .i!!1Q
· Safety and Buildings, 10541 N Ranch Road Hayward, W,i. 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 informatron you provide may be used for secondary purposes [Privacy Law, s. , 5.04 (1 )(m)].
1. PROJECT INFORMATION: Please fill in the following with Information from your plan approval Jatter.
TransactIon 10 Number ~ "6~'f
Site Number
Site location (number & street) ~ + ,,J.~~~ ~\\~
1::\ City 0 Village D Town of O-'A.I(n:;,'l\- County of ~
2. PURPOSE OF THIS STATEMENT: (Check Box A, B. C. or D to Indioate purpose and compk~ta any other
applicable boxes and information. Attach addItional pages if neoessary.)
Check those which apply:' [J Building Object 10 # '" HVAC Object ID 4# -1.r~
o Lighting Object 10 # _
92121748512134
P.I2I1
o Partial Completion
. Description of Portion Completed
A) )( Statement of Substantial Compliance
To the best of my knowledge, belief, and based on onsite observation, construction of the following building and/or HVAC
Items applicable 10 this projecl have been completed In substantial compliance with the approved plans and specifications.
CJ BUILOINGlLIGHTING ITEMS
1. Stl'lJctLlral system Including submittal and erecllon or all building components
(trusses. precast. metal building. etc.)
2. Fire protection systems (sprlnklefs. ararms, smoke detectors) designed, installed.
and tested (including forward flow on back flow devIces) by appropriately
regIstered profeSS10f1als
3. Shaft and stairway enclosure
4. Exits Including exit and dlrecllonalllghts
5. Fire-resistive construction. enclosure of hazards. fife walls, labeled doors, class
Df CQn!iilrucllon, fire slopped penSlrallonl'l
e. Sanitation system (tolrets. sinks, drinking facilities)
7. Barrler.free inCludIng Comm 18 elevators and IItls
8. Energy envelope requlrement9
e. All condlllons of building plan approval and applicable varlances
The following Items are not In compliance and must be addressed:
10. Exterior lIohting & control requlremenls
11. Inlerlor lighting & CClntrol. requirements
12. All conditions of IIghllng plan approval
and applicable variance!,
Yt HVAC ITEMS
,. HVAC system including final test
2, All conditions of HVAC plan approval and
applicable variances
"A., &..,.qz. 15 CoLA.''-.ll.I:.J
B) 0 Statement of Noncompliance
Due \0 Ihe following listed I/Jolalions, this project is not ready ror occupancy:
C) 0 Supervising Professional Withdrawn From ProJ9ct (Use A Of B abOl/ole Indicate project slatus as or this date,)
D) 0 Project Abandoned
3. SUPERVISING PROFESSIONAL IGNATURE FOR:
o BUilding bl HVAC C Llghllng .
E\ 1..0 Name (pleaso print or type
Phone number :1"+"'b- ~ Cuslomer 10. ~1 J~O
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INDEX 1-1
Transaction ID # Submitter's Name
Sample: 123456 Timothy B. Olk
Owner's Name Date
Fox Cities Construction, New Retail Space 1-31-06
Buildin!!: Location (Number & Street) o City D Village U Township
Hwy. 44 & Washburn Enter the Name
All constructions or installations under s. Comm 50.07 (2) and (3)
shall be supervised by a Wisconsin registered architect or engineer,
except that a Wisconsin registered HV AC designer may supervise
the installation of heating, ventilating and air conditioning systems,
and a registered electrical designer may supervise the installation
of illumination systems. The plans, specifications, and calculations
require the signature and seal or stamp of the appropriate
professional listed above. Comm 50.08.
ENERGY EFFICIENCY PLAN CHECK
WORKSHEETS
..\\\\\\\il\jlii!l/II/I.
\\\\\ fll//_.
~\\: ....\\ S CON S IA ~i//I;/
~ ~'...".........'v ~;:/.
$' * ...- - ~ ..... * ~~;
ff .... TIMOTHY B. . ~
~ i OLK ~
~ : D-1232E ~
;; c:. HORTONVILlE g
~ ~ . WlS. 0.22
~ 4. " a ~
% 0.00 ..~e $
~ ...,.".............0.". . ~
~IIII/, D€'$'GN'E.~ \~\#
~~~. ~
Registration Stamp & Signature
I. ENERGYIHV AC FORM INDEX
1-1: Index
ll. BUILDING ENVELOPE PLAN CHECK WORKSHEETS
E-1: Building Envelope Summary
E-2: Fenestration Worksheet
E-3: Opaque Surfaces Worksheet
E-4: Skylight Exemption Worksheet
E-5: Opaque Trade-off Worksheet
lll. LIGHTING PLAN CHECK WORKSHEETS
Check below if included
with submittal
o
D
o
o
o
o
L-1: Lighting Summary
L-2: Exterior Lighting Power Worksheet
L-3: Installed Interior Lighting Power Worksheet
L-4: Complete Building/Area Category Methods Worksheet
L-5: Activity Method Worksheet
IV: HV AC PLAN CHECK WORKSHEETS
H-1: HVAC Summary
H-2: HV AC Prescriptive Worksheet
H-3: HV AC Equipment Summary
The information you provide may be used by other agency programs [Privacy Law, s. 15.04 (l)(m)].
o
o
o
o
o
D
o
o
SBD-10512 (R. 1 0/98)
LIGHTING SUMMARY L-1 Part 1 of 4
Transaction ID # Submitter's Name
Sample: 123456 Timothy B. Olk
Owner's Name Date
Fox Cities Construction, New Retail Space 1-31-06
Building Location (Number & Street) o City o Village o Township
Hwy. 44 & Washburn Enter the Name
Method of Interior Lighting Compliance
o Complete Building s. Comm 63.47
o Area Category
o Activity
o Other
s. Comm 63.48
s. Comm 63.49
s. Comm 63070-72
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Basic Requirements PrescriptivelPerformance Additional Data
(2) Exterior Lighting not intended for 3,735 W < 5,800 W Exterior Lighting Power
-
24-hour use controlled by Installed ELP ELPA Comm 63.43 Worksheet (L-2)
photocelI.Comm 63.50 (6)
0 Shut-off control in each space enclosed
by ceiling-high partitions. Comm 63.50 (I)
0 Controls to reduce lighting by 50%
Comm 63.50 (2)
0 Controls to reduce lighting in daylit areas.
Comm 63.50 (3)
(2) Shut-offcontrols. Comm 63.50 (4)
(2) Display lighting separately switched on
circuits < 20 amp. Comm 63.50 (5)
0 Hotel/motel guest rooms have master
switches at the main door to torn off
lights and receptacles. Comm 63.50 (7)
(2) Exit signs have installed wattage of 43,653 W < 53,920 W Interior Lighting Power
-
20 watts or less. Comm 63.52 lLP ILPA Comm 63.47,.48 OR .49 Worksheet (L-3)
0 Fluorescent lamps use multiple lamp (2) Lighting Power Control Credits Applied. Interior Lighting Power
ballasts with tandem wiring as required. Comm 63.45 Allowance Worksheet (L-4)
Comm 63.53
0 Daylight Sensing Controls Activity Method Wksht (L-5)
0 Occupancy Sensors
0 Programmable Timing Controls
0 Lumen Maintenance Controls
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LIGHTING SUMMARY L-1 Part 2 of 4
Transaction ID # Submitter's Name
Sample: 123456 Timothy B. Olk
Owner's Name Date
Fox Cities Construction, New Retail Space 1-31-06
Building Location (Number & Street) L:2J City D Village D Township
Hwv. 44 & Washburn Enter the Name
INSTALLED LIGHTING SCHEDULE
Luminaire Name Lamps Ballasts
or ID Number Type Type* Note to
(e.!!., Tvpe 1, Tvpe 2, etc.) I I F I H No. of Lamps WattsILamp SIEIO No.lLuminaire Field
F D0D 3 32 D0D 1
G D0D 4 32 ID 0 D 1
H D0D 2 32 D0D 1
I D0D 4 32 D0D 1
J D0D 6 32 D0 -' DI 2
K D0D 6 54 D0D 2
L 0 DD 1 150 DDD
DDD DDD
DDD DDD
DDD DDD
DDD DDD
DDD DDD
DDD DDD
DDD DDD
DDD DDD
DDD DDD
DDD DDD
DDD DDD
DDD DDD
DDD DDD
DDD DDD
DDD DDD
DDD DDD
DDD DDD
DDD DDD
*Provide Supporting Documentation for total watts for lamp and ballast.
I REVIEWER NOTES - For Department Use Only
LIGHTING SUMMARY L-1 Part 3 of 4
Transaction ID # Submitter's Name
Sample: 123456 Timothy B. Olk
Owner's Name Date
Fox Cities Construction, New Retail Space 1-31-06
Building Location (Number & Street) o City o Village o Township
Hwv. 44 & Washburn Enter the Name
MANDATORY CONTROLS (s. Comm 63.50)
Control Location Control Control Type Space Note to
(Room #) Identification (Auto time switch, exterior, etc.) Controlled Field
See Print
I REVIEWER NOTES - For Depaltment Use Only
LIGHTING SUMMARY L-1 Part 4 of 4
Transaction ID # Submitter's Name
Sample: 123456 Your Name Here
Owner's Name Date
Enter Building Owner's Name Enter the Date
Building Location (Number & Street) o City D Village D Township
Enter Street Address Enter the Name
CONTROLS FOR CREDIT (s. Comm Table 63.45)
Control Location Control Control Type Luminaires Controlled Note to
(Room # or Drawinl! #) Identification (Occupant, Daylight, Dimming, etc.) Type # of Lumin. Field
#101 M Occupancy Sensor G 4
#109 M Occupancy Sensor G 11
#102 M Occupancy Sensor I 1
#103 M Occupancy Sensor I 1
#107 M Occupancy Sensor I 1
#108 M Occupancy Sensor I 1
I REVIEWER NOTES - For Department Use Only
\. i . \ll
EXTERIOR LIGHTING POWER WORKSHEET L-2
Transaction ID # Submitter's
Sample: 123456 Timothy B. Olk
Owner's Name Date
Fox Cities Construction, New Retail Space 1-31-06
Building Location (Number & Street) o City D Village D Township
Hwy. 44 & Washburn Enter the Name
EXTERIOR LIGHTING POWER ALLOWANCE - ElPA (s.Comm 63.43)
A B C D
Area or Lineal Ft ELPA
Area Description Allowance (Table 6-1) in Proposed Design (BxC)
Exit (with or without canopy) 25 W Ilf of door opening 16 400
Entrance (without canopy) 30 W Ilf of door opening
High Traffic Entrance (with canopy) 10 W Iftz of canopied area 36 360
Light Traffic Entrance (with canopy) 4 W Iftz of canopied area
Loading Area 0.40 W/ftz
Loading Door 20 W /Lf of door opening 12 240
Building Exterior Surfaces or Facades 0.25 W/ftz of illuminated sfc
Storage and Nonmanufacturing Work Areas 0.20 W/ftz
Casual Use Areas (gardens, etc.) 0.10 W/ftz
Private Driveways or Walkways 0.10 W/ftz
Public Driveways or Walkways 0.15 W/ftz
Private Parking Lots 0.12 W/ftz 40,000 4,800
Public Parking Lots 0.18 W/ftz
TotalELPA-- 5,800
INSTAllED EXTERIOR LIGHTING POWER - ElP (s.Comm 63.42)
A B C D
Number of Luminaires WattslLuminaire Installed Watts
Fixture Tvpe Installed (including ballast) (BxC)
400 Watt Metal Halide 4 455 1,820
50 Watt Metal Halide 5 63 315
100 Watt Metal Halide 3 125 375
150 Watt Metal Halide 7 175 1,225
Total Installed RLP -- 3,735
, ' .
INSTALLED INTERIOR LIGHTING POWER WORKSHEET L-3
" ,
Transaction ID # Submitter's Name
Sample: 123456 Timothy B. Olk
Owner's Name Date
Fox Cities Construction, New Retail Space 1-31-06
Building Location (Number & Street) o City o Village o Township
Hwy. 44 & Washburn Enter the Name t
INSTALLED INTERIOR LIGHTING POWER (s. Comm 63.45)
(U h
se as many s eets as necessary)
A B C 0 E F G H
Luminaire Luminaire Number Watts Total LP AF for Control Adjusted
Name or Description of per Watts Auto Credit* Watts
ID Number Luminaire5 Luminaire (C x D) Controls (ExF) (E-G)
F 48' 3-Lamp T8 32W w/Elec Encl. 4 87 348 Jf 348
G 48' 4-U2-B T8 32W w/Elec 23 122 2,806 ! I.r!.t f" 2,806
~ ~-)
H 48' 2-Lamp T8 32W w/Elec 5 61 305 t ..... ~.l- 305
~r1 !r e
I 48" 3-Lamp T8 32W w/Elec 90 I ~ t t..,,\\ ",S .L r
J 48' 6-Lamp T8 32W w/Elec 67 222 14,874 /\ i\tJ ,\'\~~~~ ;14,874
,_/~.
K 48" 6-Lamp T5 54W w/Elec 12 360 ~v IiO ,yo ~ ~~I~ ~ 4,320
,/ ,/ Vl .I.t,.of. ~~
I 150 Watt Incandescent 140 150 21,000 i~~\; 21,000
.. ............
GRoom 101 48" 4-U2-B T8 32W w/Elec 4 122 488 1.00 488 '> 0
GRoom 109 48" 4-U2-B T8 32W w/Elec 11 122 1,342 1.00 1,342 0
I Room 102 48' 3-Lamp T8 32Ww/Elec 1 .90 90 1.00 90 ./ 0
I Room 103 48'3-Lamp T8 32W w/Elec 1 90 90 1.00 90 0
I Room 107 48' 3-Lamp T -8 32W w/Elec 1 90 90 '. 1.00 90 0
.-
I Room 108 48' 3-Lamp T -8 32W w/Elec 1 90 90 1.00 90 0
"-"
'.
;
* If control credits are taken, Form L-I, Part 4 -+
must be completed or controls must be Total for This Sheet -+ 45,843 Total for This Sheet 43,653
indicated on plans. /45,843 · ~tal for All Sheets
Total for All Sheets -+ --+ 43,653
Of~trol,~i.nm~) \M~mili=~I~~~;~.
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~ :::.' A. PR-04-06 02: 3~0 PM FOX C I TIES CONST
~ JAN 26,2006 Q3:~lP CaE! WESENBERG AaCHITECT
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BUILDINCS, HV ACt COMPLIANCE STATEMENT SBD-97lO
Thll form. requlnlclllo bt ~ by tt1e IIJpeNIlIn, pIOftaolOnll (.rdll*!. fftQlneer, HVAO d.~nor Ot e~1
-".r) obHl'Ving ClO~ of pl'l:jKtt wll\ltl bWldl"C' with WIll.,... $0,000 cuble feet 01 GfMfIl, tnd bl.~
(Comm GO,10fComm 81.&0). fI','utl Iotl.lbmlt filiform may rllu/t __ pltMtlleS .t ap6CIftect in ~"'m 50.26lCClmm 81.23
IIIClfOf local ordlnlnCet. Thll form mUll be Il.Gm IIted prior to tilt plM approv" ~n dati or Inothef IUDftlilal Ma~
lie fIqU"-d,
O.ntrlllnltruetl6M: "'rlor to the ll'lltlal occupancy of new building. or .ddltJon. And tM N1al oocllpency 0'
lIterod exlltlng bundlngs. lutlmM thl. compl.ted and 8IGMd form to:
· tne m~lelpal building lnlptcticl'l office a
· Satett and Bulldlng'.10$41N Rlnch Road Hayward, WI. 54843
Noto: "th. rtvltW Wit don. by the munlolpaJlty, the COmt:lliar\Co ..tement go., onti to the m,,"lclpal building
InIpec::tor, A copy II not Mldld by Safety & Sl,lUdlnl1l.
P'~'llllfDr'lTlll1loo )'IN p~1dt ~1 b, wed 1Vr Moo"*1 PIlrpoul (Privacy L.w. II. 15.Q.4 (1 )(~)J.
t. PROJ!CT INFONIllIATION: PI.... fln In the rcllOlM~ wlth Inform.tlon from your pll" approv.t ItItr.
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a. PURPOSI OF TIt.1 ITATSIIINT: (Check ~ A, e. C, elf D 10 indicate purpo.. trlcI oomp,&..y otl'ler
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Poet.lt"" brand fax transmittal memo 7671
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