HomeMy WebLinkAbout0127562-Building
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OSHKOSH
ON THE WATER
Job Address 2211 OREGON ST
CITY OF OSHKOSH No 127562
BUILDING PERMIT - APPLICATION AND RECORD
Designer
Thomas Karrels
Owner COYOTE OF WISCONSIN LLC Create Date 10/30/2007
Contractor KOMOROWSKI DRYWALL LLC
Category
223 - Alteration Offices, Banks, Professional
Plan
Type
. Building
o Sign
o Canopy
o Fence
o Raze
Zoning
Class of Const:
Size
Unfinished/Basement Sq. Ft.
Rooms
Height
Ft.
D Projection I
Finished/Living
Sq.Ft.
Sq.Ft.
Bedrooms
Stories
Canopies
Signs
Garage
Baths
Foundation . Poured Concrete 0 Floating Slab
o Concrete Block 0 Post
o Pier 0 Other
o Treated Wood
Occupancy Permit Required
Occupancy Fee
$0.00 Flood Plain No
Height Permit Not Required
Park Dedication
Not Required
# Dwelling Units
o
# Structures
o
Use/Nature 12211 Y / Construction of walls to encolse 3 office spaces and a conference room as per plans. Disproportionality Worksheet provided for
of Work restroom alteration exemption
Plumbing Contractor
HV AC Contractor
Electric Contractor
,000.00 Plan Approval
$0.00 Permit Fee Paid
$60.00 Park Dedication
$0.00
Issued By:
Date 10/30/2007
Final/O.P. 00/00/0000
D Permit Voided I
Parcelld # 1410280000
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 n easement, the City strongly urges the permit applicant to contact the easement
holder(s) and ecure an essary a ovals before starting such activity.
Date
Signature
Address 3952 APPLE LN
Agent/Owner
OSHKOSH
WI 54902 - 0000 Telephone Number
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.
~r~t~~~ 2007 8,23AM
Y
Thomas R Karrels P.E.S.C. 920 426 8847
p. 1
THOMAS R. KARRELS P.E" S.C.
CONSULTING ENGINEER
1934 ALOOMA BOULEVARD
OSHKOSH. WISCONSIN 54901
(920)4264470
FAX: (920) 426-8847
Fax
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Pages: 3
Date: lo/rz.r.;' 07
Prolect#: 1M 0"'710
ec:
o Urgent 0 For Review 0 Plu58 Comment 0 Please Reply 0 Please Recycle
. Comments:
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SIGNED: k. ~~ =-::--
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If enclosures are not as noted, kindly notify us at once.
Oct 26 2007 8:24AM
Thomas R Karrels P.E.S.C. 920 426 8847
p~2
........
... \
DISPROPORTIONALITY WORKSHEET
Comm 62 and IBC section 3408
ALTERATIONS TO A PRIMARY FUNCTION AREA
DISPROPORTIONATE COSTS TO PROVIDING AN ACCESSIBLE ROUTE
Division of Safety and Buildings form, SBD 10219, Disproportionate Costs In Alterations, shall
be submitted with the 580-118 Plan Application form and plans at the time of building plan
review.
The plan reviewer will determine compliance with the alteration requirements specified in
chapter Comm 62 and IBC section 3408.
Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04(1 )(m)].
PROJECT INFORMATION
Project Transaction Number
BUILDING LOCATION:
2 Z t I Y 0 f?-S" 6, 0rJ S (12..e"ef
STREET ADDRESS
O$H \!.eD!.J
CITY, VILLAGE, TOWNSHIP
ChHI(..D$ H 112-0 Cbl2-P or
OWNER'S NAME (PLEASE PRI T)/,
OWNER'S SIGNATURE
~
ID 5't(l
DATE OF ALTERATION:
880-10219 (R: 4103)
Oct 26 2007 8:24AM
~
Thomas R Karrels P.E.S.C. 920 .26 8847
p.3.
DISPROPORTIONALITYWORKSHEET
Comm 62 and IBC section 3408
ALTERATIONS TO A PRIMARY FUNCTION AREA
A. TOTAL COST OF ALTERATION TO PRIMARY
FUNCTION AREA.
(Excluding costs in B.) $
MINIMUM COSTS FOR ACCESSIBLE ROUTE:
(When the cost of providing an accessible route
exceeds 20% of the total cost of the alteration, the $
cost is considered dis ro ortionate
l3 ,000
g., ~OO
.
B. COSTS REQUIRED TO PROVIDE AN ACCESSIBLE ROUTE:
(Listed in order of suggested priority in the event the cost is disproportionate)
1. Costs associated with providing an accessible $ E~fS\\~
route to the altered area: (Route is from exterior to
the altered area, including entrance and parking): BU\l-D"..JC; ,
. Costs associated with providing an $ 'YAi2.}LI,..J ~ !. S/W
accessible entrance: I-rR\F c.v~~Jn. y
. Costs associated with providing $
components of an accessible route A~~ I \'gt..€"
(Ramps, elevators, platfonn lifts):
. Costs associated with providing accessible $
elements such as parking:
2. Costs associated with making toilet rooms $ I~J 000 M 1.0 IM()"1
accessible:
3. Costs associated with relocating an inaccessible $ ~/A
drinking fountain: .
TOTAL COSTS TO PROVIDE AN ACCESSIBLE ROUTE: $
C. DISPROPORTIONATE COSTS:
If the tota' cost of the expenditures in B. is greater
than 20% of the total cost of the alteration in A., list
the elements and spaces being provided that will
equal or exceed 20% of the total cost of the
alteration. If a non-accessible item exceeds 20%
and all other elements and spaces along the
accessible route comply with the current
accessibility requirements, the additional
ex enditure is not required
S80-10219 (R. 4/03)
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