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o
OSHKOSH
ON THE WATER
Job Address 2100 S OAKWOOD RD
CITY OF OSHKOSH No 125289
BUILDING PERMIT - APPLICATION AND RECORD
Owner F & S OSHKOSH LLC Create Date 06/12/2007
Designer
Contractor
R J ALBRIGHT INC.
Category
210 - Addition Industrial
Plan X5-2006-0607
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const: 2Bibc
Size 22.5x110.66 irr
Unfinished/Basement
Sq.Ft.
Sq.Ft.
Sq.Ft.
Rooms
Height
Ft.
D Projection I
Finished/Living
Bedrooms
Stories
Canopies
Garage
Baths
Signs
Foundation
. Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier
o Treated Wood
o Other
Occupancy Permit Not Required
Occupancy Fee
$0.00 Flood Plain
Height Permit
# Dwelling Units
o
# Structures
o
Park Dedication
Use/Nature Factory - 22.5 x 110.66 oven addition - Foundation Only. * Note: This addition has not been reviewed for compliance with State Bldg Code
of Work (per direction from Safety & Buildings. Plan Review and approval must be secured in the future to use this area for other than housing a
manufacturing process.
HV AC Contractor
Plumbing Contractor
Electric Contractor
Fees: Valuati
$20,000.00 Plan Approval
$0.00 Permit Fee Paid
$148.00 Park Dedication
$0.00
Issued By:
Date 06/12/2007
FinaI/O.P. 0010010000
D Permit Voided I
Parcel Id # 1328560000
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to sec necessary a ovals before rting such activity.
Signature
Date
t {t7-J D 1
nt/Owner
Address
5711 GREEN VALLEY RD
OSHKOSH
WI 54904 - 9700
Telephone Number
231-8635
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Building Permit Work Card
Job Address 2100 S OAKWOOD RD Permit Number 0125289
Create Date 6/12/2007
Owner F & S OSHKOSH LLC
---_.__..._._.~._.~~-~----~
Contractor R J ALBRIGHT INC.
Category 2J_Q_- Addition Industrial
Plan X5-2006-0607
i
r
Occupany Permit Not ~equi~.s!_ Flood Plain Height Permit ________ Class of Const: _ 2BLb.s;
Use/Nature IFa'dO;Y~22.'irXTio.66 oven addition - FoundaHon-Only.*Note:-This adciitfOi1-hasnolbeenreviewedfor compllance'wiffi-State II
of Work Bldg Code (per direction from Safety & Buildings. Plan Review and approval must be secured in the future to use this area for
other than housing a manufacturing process. i
L___. _______._______.____.___._._____._.__~
HVAC Contr Plumbing Contr
Electric Contr
Inspections:
Date 6/19/2007
Type Foundation Backfi~ Inspector Allyn Dannhoff____
no time
!Request line
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!
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. __._._ _____._____________.____________ .____________ . .__ _______ ____ _. _____ __,,___________ __... ____.____ _ __ __' ____._ ___ ..1
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Date/Time requested:
Access:
Requested By: !3..-:'_ALBRIGHT I~c;..:..-Debb~_______. _________.____ _m'__
o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
6/19/2007 08:32 AM
Notice Type:
Ready Date/Time: 6/19/2007 : AM
Phone Number: 231-8635
Date 1QI.~1/2g07__ -=-_____ Type !::.L~___
frofect Complete-:::Need Building Compliance Statement
i
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Date/Time requested:
Access:
Requested By: ___.__.__________._______.__"_m___.______ Phone Number: .._n._._._ _.._.______m_______
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Fompll'''oe S','eme,' Reoe.er Clo,e File - - -- u -- - - - - -- - - - - - - - ~~
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~:~~:7"eq""ted'--- No"oeTyp" ReedyD,temm" _c.._f - .~:.:~) i.1 I
~q~:~~:e:y~";9 Fe;w;"e"uCJR-'i,;,pe" Fee P'id____uu_Pho"Numb'" __ __ _ _ _ _ _ _ __ ____ _ _ ~ ~
-.......----..,.,~;,.',"',""'.-
Inspector Ally~ann~~ff_______.____.___.___ approved w/cond.'
--~~-~~--~~~~~~=~~~--
Notice Type:
Ready Date/Time: _______ ________.
,
Page 1 of 1
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CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: 2/00 ,S", <Oaku9~
City of Oshkosh h ' A ( f .,J
Inspection Services Division CONTRACTOR:~::r- Ff- i ~ l~ tL-'-
215 Church Avenue, PO Box 1130 :::s A /l /7
Oshkosh, WI 54903-1130 PROJECT TO BE INSPECTED: ~ev.... /1-rJLJfJ//
Phone: (920) 236-5050 Ii n /I . ~ I
Fax (920)236-5084 TYPE OF INSPECTION: ~~\l,'d1.ft\.. -. -\..fr
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
,tl'~M# COl)E '. INSPECTION RESULTS '. ".i..... ~ '.C'.",
i 7- f3> {A.!) trU'- k 1. ~1. ~ a " "" '€c:R'h~ -, LM ole V-Iw f::: .n.~ ff .L ''".,-LA
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Print Name
Company
Signature:
Date
Page 1 of 1
Dannhoff, Allyn J.
From: Dannhoff, Allyn J.
Sent: Monday, November 05, 2007 7:42 AM
To: 'Richard J. Fisher'
Subject: RE: SMC OVEN
My recollection was that the building shell has to comply with the building code structural requirements. This is why I think
a Compliance Statement is required.
I recall the state code exempting this from formal plan review, but it does not exempt it from all other applicable aspects of
the code. Since it is technically an addition to a building over 50,000 cubic feet, a Compliance Statement is required. You
might considering putting a clarifying comment on the statement indicating the extent of the review since it was an
addition housing a manufacturing process. Meaning you have reviewed it for compliance with the structural (and possibly
thermal performance) requirements, but not for any exiting/life safety aspects.
Please advise if you are not in agreement.
Thanks.
Allyn
-----Original Message-----
From: Richard J. Fisher [mailto:rfisher@fisherandassociatesllc.com]
Sent: Thursday, November 01, 20076:41 PM
To: 'ALLYN DANNHOFF'
Subject: SMC OVEN
ALL YN
A BUILDING REVIEW WAS NOT DONE FOR THIS PROJECT. A SBD118 FORM WAS NOT SUBMITTED.
I VISTED THE SITE TO DAY TO INSPECT THE RELOCATED EXIT AND OTHER BUILDING RELATED ITEMS
ALL ITEMS ARE COMPLIANT.
LET ME KNOW IF YOU WOULD LIKE A SIGNED LETTER ON LETTERHEAD RATHER THAN A COMPLlACE
STATEMENT.
THANKS
Richard J. Fisher A.I.A.
Fisher and Associates LLC
Architects / Planners
642 Thelosen Drive
Kimberly, WI 54136
Phone: 920-687 -9035
Fax: 920-788-2965
Mobile: 920-376-0007
11/5/2007
12/06/2007 07:24 FAX
F ISH E R & ASS 0 C
I4l 003/003
Buildings, HVAC Compliance Statement SBO-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 may result in penalties as specified in Comm
50.26/Comm 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 Buildings,10541NRanch Road, Hayward, WI 54843
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 SMC oven alterations
Site location (number & street) 2100 S. Oakwood Road
o City 0 Village 0 Town Of Oshkosh
County of
Winnebago
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:
o Building Object ID#
o Lighting Object 10#
o HV AC Object ID#
o Partial Completion
Description of Portion Completed
A) 0 Statement of Substantial Compliance
To the best of my knoltll1edge, belief, and based on onsite observation, construction of the follOwing building and/or HVAC
items applicable to this project have been completed in substantial compliance with the approved 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
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
10. Exterior lighting & control requirements
11. Interior lighting & control requirements
12. All conditions of lighting plan approval
and applicable variances
D HVAC ITEMS
1. HV AC system inclUding final test
2. All conditions of HVAC plan approval
and applicable variances
The following items are not in compliance and must be addressed:
B) 0 Statement of Noncompliance
Due to the following listed violations, this project is not ready for occupancy:
C) D
D) D
3. SUPERVISING PROFESSIONAL SIGNATURE FOR:
o Building D HVAC 0 Lighting Richard J. Fisher
Name (please print or type)
263460 Signature
Supervising Professional Withdrawn From Project (Use A or B above to indicate project status as of this date.)
Project Abandoned
Date:
11/6/2007
""1'::;> .L--
Phone #
(920) 687-9035
Customer 10#
SBj)..9720 (R.OI12003)