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HomeMy WebLinkAboutCertificate of Occupancy < GITY HALL. Inspection Services Div 215 Church Avenue ~POBOX1130 ~ Oshkosh WI ~ 54903-1130 OfHKOfH ON THE WATER City of Oshkosh Approved: Issued: 10/06/2006 10/09/2006 River Valley One LLC 601 Oregon St, Suite A Oshkosh WI 54902 CERTIFICATE OF OCCUPANCY An Occupancy Permit is hereby issued for the Golden Corral Buffet & Grill, located af[~1f]':l$c9:~r[~L~ Oshkosh WI 54902 as described in Building permit ,-",,::.'.,_:.;:,..:,.:.,.,-,..,,/.:.-,,;._""'-'0"_-- No. 119751. This space is to be used as a restaurant/bar and is located in the C-2 General Commercial District. LIMITATIONS: Maximum number of persons: 425 A new 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 certific e t be valid. cc: R J Albright Inc .. Building Permit Work Card . , Job Address 580 S KOELLER ST Permit Number 0119751 Create Date 5/22/2006 Owner RIVER VALLEY ONE LLC Contractor R J ALBRIGHT INC. Category 203 - New Amusement, Social, Recreation Type . Building o Sign o Canopy o Fence o Raze I Plan T3-46-0506 Zoning C2 Class of Const: 5Bibc Size irreg Value $964,590.00 - Unfinished/Basement Sq. Finished/Living 10566 Sq.Ft. Garage Sq.Ft. - Ft. - - Rooms Bedrooms Baths o Projection I - - Stories 1 Height Ft. Canopies Signs - - Foundation . Poured Concrete o Floating Slab o Pier o Other o Concrete Block o Post o Treated Wood Occupany Permit Required Flood Plain No Height Permit Not Required - Park Dedication Not Required # Dwelling Units 0 # Structures 1 Use/Nature New 10,566 sf Restauarnt - Golden Corral.* Note: Compliance with all items identified in Zoning Compliance of Work Review to be provided. HV AC Contr Plumbing Contr Electric Contr Inspections: Date 10/2/2006 Type Final Inspector Allyn Dannhoff not approved Request line/Scott would like to meet you for the inspection. 10/2/2006 - See FCN - Faxed to Scott on 10/3/06 after researching a couple items - AD DatelTime requested: 9/29/2006 03:08 PM Access: Notice Type: Phone Number: 376-0248 Ready Date/Time: 10/2/2006 09:00 AM Requested By: R J ALBRIGHT INC. - Scott o Reinspect Fee 0 Fee Waived o Reinspect Fee Paid Type Re Final Inspector Allyn Dannhoff approved Date 10/5/2006 Request Line / Ready for a re-inspect on the corrections. 10/5/2006 - Final OK - AD DatelTime requested: 10/5/2006 04:17 PM Access: ppen Ready DatelTime: 10/6/2006 00:00 AM Requested By: R J ALBRIGHT INC. - Scott Notice Type: Phone Number: (920) 231-8635 o Reinspect Fee 0 Fee Waived o Reinspect Fee Paid Page 3 of 3 , ~ Building Permit Work Card , Job Address 580 S KOELLER ST Permit Number 0119751 Create Date 5/22/2006 Owner RIVER VALLEY ONE LLC Contractor R J ALBRIGHT INC. Category 203 - New Amusement, Social, Recreation Type . Building o Sign o Canopy o Fence o Raze I Plan T3-46-0506 Zoning C2 Class of Const: 5Bibc Size irreg Value $964,590.00 - Unfinished/Basement Sq. Finished/Living 10566 Sq.Ft. Garage Sq.Ft. Ft. - - Rooms - Bedrooms Baths o Projection I - Stories 1 Height Ft. Canopies Signs -- - - Foundation . Poured Concrete o Floating Slab o Pier o Other o Concrete Block o Post o Treated Wood Occupany Permit Required Flood Plain No Height Permit Not Required - Park Dedication Not Required # Dwelling Units 0 # Structures 1 Use/Nature New 10,566 sf Restauamt - Golden Corral. * Note: Compliance with all items identified in Zoning Compliance of Work Review to be provided. HV AC Contr Plumbing Contr Electric Contr Inspections: Date Type Insulation re,"es, noe 8116106 - No lime ~ AD DatelTime requested: 8/12/2006 09:35 AM Access: ,lJim Zernzach on site - phone #376-0773 Ready DatelTime: 8/16/2006 08:00 AM Requested By: R J ALBRIGHT INC. - Scott Schimmer Inspector Allyn Dannhoff no time Notice Type: Phone Number: 231-8635 o Reinspect Fee 0 Fee Waived o Reinspect Fee Paid Date Type Final Inspector Allyn Dannhoff cancelled Request Line / Ready for a final inspection, would like it Friday 9-22-06 and Scott would like to be present Cancel per CR Meyer 9-21-06 Allyn not in the office 9-21 (Thur) - 9-22(Fri) DatelTime requested: 9/20/2006 05:08 PM Access: ~cott would like to be present, but it is open Notice Type: Phone Number: (920) 376-0248 Ready Date/Time: 9/22/2006 00:00 Requested By: R J ALBRIGHT INC. - Scott o Reinspect Fee 0 Fee Waived o Reinspect Fee Paid Page 2 of 3 ,. ,- Building Permit Work Card . Job Address 580 S KOELLER ST Permit Number 0119751 Create Date 5/22/2006 Owner RIVER VALLEY ONE LLC Contractor R J ALBRIGHT INC. Category 203 - New Amusement, Social, Recreation Type . Building o Sign o Canopy o Fence o Raze I Plan T3-46-0506 Zoning C2 Class of Const: 5Bibc Size irreg Value $964,590.00 - Unfinished/Basement Sq. Finished/Living 10566 Sq.Ft. Garage Sq.Ft. Ft. - - Rooms Bedrooms Baths o Projection I - - - Stories 1 Height Ft. Canopies Signs - - - Foundation . Poured Concrete o Floating Slab o Pier o Other o Concrete Block o Post o Treated Wood Occupany Permit Required Flood Plain No Height Permit Not Required - Park Dedication Not Required # Owelling Units 0 # Structures 1 Use/Nature New 10,566 sf Restauarnt - Golden Corral.* Note: Compliance with all items identified in Zoning Compliance of Work Review to be provided. HV AC Contr Plumbing Contr Electric Contr Inspections: Date 6/1/2006 : AM Type Footings Inspector Allyn Dannhoff approved request line / footing inspection ready around lunch time or after 6-1-06 for Golden Corral OK TO POUR WHEN READY DatelTime requested: 6/1/2006 Access: 08:08 AM Notice Type: Phone Number: 920-731-5464 Ready DatelTime: 6/1/2006 12:00 PM Requested By: lori w/ delrahr o Reinspect Fee 0 Fee Waived o Reinspect Fee Paid Type Rough In Inspector Allyn Dannhoff Date 8/1/2006 Request line/partial rough-in See FCN -AD DatelTime requested: 7/27/2006 09:56 AM Access: Notice Type: Phone Number: Scott - 231-8635 Ready DatelTime: 7/27/2006 09:56 AM Requested By: R J ALBRIGHT INC. o Reinspect Fee 0 Fee Waived o Reinspect Fee Paid Page 1 of 3 HVAC Permit Work Card Job Address 580 S KOELLER ST Permit Number 121222 Create Date 08/23/2006 Owner RIVER VALLEY ONE LLC Contractor ENGEBOS HEATING & COOLING, INC Category 512 - Ind. & Comm-Both Plan T3-46-0506 Fuel ~ Gas I UOil I l{j Electric i U Solar I U Solid i Value $99,500.00 System ~ New I o Replace I o Other I ~ Forced Air I U Radiant I U Steam I ~ A1C I U Vent I U Electric I U Hot Water I U Suppl. . I U Con. Burner I Chimney Type o Chimney A o Chimney B o Direct Vent . Not Applicable I Heat Loss D As Approved o Existing . Not Applicable I Value BTU Rate o As Per Plan o Variable . Other I Value Use/Nature Install HVAC system and Kitchen Exhaust Hood System for new restaurant. of Work Inspections: Date Type Final Inspector Allyn Dannhoff cancelled Request line/ 9/25/2006 - Cancelled by Scott/Albright. - AD DatelTime requested: 09/18/2006 04:16 PM Notice Type: Phone Number: Tim - 920-338-1818 Access: Ready DatelTime: 09/18/2006 04:16 PM Requested By: ENGEBOS HEATING & COOLING, INC o Reinspect Fee 0 Fee Waived o Reinspect Fee Paid Date 10/5/2006 Type Final Final - OK - AD Inspector Allyn Dannhoff approved DatelTime requested: Notice Type: Phone Number: Access: Ready Date/Time: Requested By: o Reinspect Fee 0 Fee Waived o Reinspect Fee Paid ~ Electric Permit Work Card , 'Job Address 580 S KOELL.ER ST Permit Number 119888 Create Date 6/2/2006 Owner RIVER VALLEY ONE LLC Contractor PRECISION ELECTRIC INC OF THE FO) Category 642 - Commercial-New Building Wiring Service Ie New o ChangeO Temp ON/A I Type 0 Overhead . Underground o N/A I Volts 120/208 Circuits 250 Luminaires 200 Amps 1600 Switches 30 Receptacles 200 Fee $604.00 0 Value $140,000.00 Appliances Use/Nature Golden Corral new 10,566 Sq. Ft. Restaurant of Work Inspections: Type Re Final Inspector Kevin Benner approved w/cond. Date. 10/06/2006 Missing a circuit breaker that is a Shunt Trip for a Pizza Oven. E.C. stated that they should be installed today and he would call when that is done. 10/06/06 Dave stated tha the installation is complete. DatelTime requested: 10/06/2006 06:44 AM Access: Notice Type: Phone Number: 716-4680 Dave Ready DatelTime: 10/06/200608:00 AM Requested by: PRECISION ELECTRIC INC OF THE FOX o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid ." Electric Permit Work Card f'Job Address 580 S KOELLER ST Permit Number 119888 Create Date 6/2/2006 Owner RIVER VALLEY ONE LLC Contractor PRECISION ELECTRIC INC OF THE FO) Category 642 - Commercial-New Building Wiring Service Ie New o Change 0 Temp ON/A I Type 0 Overhead . Underground ON/A I Volts 120/208 Circuits 250 Luminaires 200 Amps 1600 Switches 30 Receptacles 200 Fee $604.00 0 Value $140,000.00 Appliances Use/Nature pol den Corral new 10,566 Sq. Ft. Restaurant of Work Inspections: Date 09/29/2006 Type Final Inspector Kevin Benner not approved Request line/late morning or early afternoon. Early afternoon would be preferable. DatelTime requested: 09/27/2006 06:30. PM Access: Notice Type: Phone Number: Dave - 920-716-4680 Ready DatelTime: 09/29/2006: AM Requested by: PRECISION ELECTRIC INC OF THE FOX o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Type Re Final Inspector Kevin Benner not approved Date 10/02/2006 Request Line / Ready for a final reinspect (Please come Monday 10-2-06 in the AM) Service Line boxes were not grounded, incorrect circuit breakers were installed for a "Series Rated system", Clearly ID circuit breakers as to their purpose. Discussed theGFCI requirement for counter receptacle for the micro-wave.. DatelTime requested: 09/30/2006 11:30 AM Access: Notice Type: Phone Number: (920) 716-4680 Ready DatelTime: 09/30/2006 11 :30 AM Requested by: PRECISION ELECTRIC INC OF THE FOX o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid . Electric Permit Work Card Job Address 580 S KOELLER ST Permit Number 119888 Create Date 6/2/2006 Owner RIVER V ALLEY ONE LLC Contractor PRECISION ELECTRIC INC OF THE FO> Category 642 - Commercial-New Building Wiring Service . New o ChangeO Temp ON/A I Type 0 Overhead . Underground ON/A I Volts 120/208 Circuits 250 Luminaires 200 Amps 1600 Switches 30 Receptacles 200 Fee $604.00 0 Value $140,000.00 Appliances Use/Nature Golden Corral new 10,566 Sq. Ft. Restaurant of Work Inspections: Type Consultation Inspector Kevin Benner approved w/cond. Date 09/20/2006 Review RTU for coolers & freezers \ Required to keep the line sets within 6" of the unit. DatelTime requested: 09/20/2006 01:32 PM Access: Notice Type: Phone Number: 716-4680 Dave Ready DatelTime: 09/20/200601:32 PM Requested by: PRECISION ELECTRIC INC OF THE FOX o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Type Final Inspector Kevin Benner approved w/cond. Date 09/22/2006 Request Line / Would like a temp occupancy inspection \ Open wiring, panelboards, boxes, etc. Required that all open wiring be disconnected from its source of supply. Exterior illumination was not installed on the front, but was being worked on. No kitchen equipment was installed yet. DatelTime requested: 09/21/2006 10:56 AM Access: open Ready DatelTime: 09/21/2006 10:56 AM Requested by: PRECISION ELECTRIC INC OF THE FOX o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Notice Type: Phone Number: (920) 716-4680 . Electric Permit Work Card Job Address 580 S KOELl..ER ST Permit Number 119888 Create Date 6/2/2006 Owner RIVER VALLEY ONE LLC Contractor PRECISION ELECTRIC INC OF THE FO> Category 642 - Commercial-New Building Wiring Service . New o ChangeO Temp ON/A I Type 0 Overhead . Underground ON/A I Volts 120/208 Circuits 250 Luminaires 200 Amps 1600 Switches 30 Receptacles 200 Fee $604.00 0 Value $140,000.00 Appliances Use/Nature Golden Corral new 10,566 Sq. Ft. Restaurant ----, , of Work Inspections: Date 09/18/2006 Type Abv Ceiling Inspector Kevin Benner not approved Request line \ CL2 wirng violations, MC Cable support, Open wiring. DatelTime requested: 09/15/2006 01:41 PM Access: Notice Type: Phone Number: Dave - 920-716-4680 Ready DatefTime: 09/18/2006 01 :30 PM Requested by: PRECISION ELECTRIC INC OF THE FOX o Reinspect Fee 0 Fee Wavied D Reinspect Fee Paid Date 09/19/2006 Type Abv Ceiling Inspector Kevin Benner approved Field Request \ Re-Inspect / DatelTime requested: 09/18/2006 01 :00 PM Access: Notice Type: Phone Number: 716-4680 Dave Ready DatelTime: 09/19/2006 11:,~~ Requested by: PRECISION ELECTRIC INC OF THE FOX o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid ~";; Electric Permit Work Card Job Address 580 S KOELI..ER ST Permit Number 119888 Create Date 6/2/2006 Owner RIVER VALLEY ONE LLC Contractor PRECISION ELECTRIC INC OF THE FO) Category 642 - Commercial-New Building Wiring Service . New o ChangeO Temp ON/A I Type 0 Overhead . Underground ON/A I Volts 120/208 Circuits 250 Luminaires 200 Amps 1600 Switches 30 Receptacles 200 Fee $604.00 0 Value $140,000.00 Appliances Use/Nature Golden Corral new 10,566 Sq. Ft. Restaurant of Work Inspections: Type Rough In Inspector Kevin Benner approved Date 08/14/2006 Request line 1 Walls only DatelTime requested: 08/11/2006 11 :25 AM Access: Notice Type: Phone Number: Dave - 920-716-4680 Ready DatelTime: 08/14/200610:00 AM Requested by: PRECISION ELECTRICAL CONTRACTOR o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Type Service Inspector Kevin Benner approved Date 09/06/2006 MCB has a 100KAIC Fault Current Faxed to WPS 9/6/6 DatelTime requested: 09/01/2006 08:44 AM Access: Notice Type: Phone Number: Ready DatelTime: 09/06/200610:30 AM Requested by: o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid :,.,. Electric Permit Work Card Job Address 580 S KOELLER ST Permit Number 119888 Create Date 6/2/2006 Owner RIVER VALLEY ONE LLC Contractor PRECISION ELECTRIC INC OF THE FO> Category 642 - Commercial-New Building Wiring Service Ie New o ChangeO Temp ON/A I Type o Overhead . Underground o N/A I Volts 120/208 Circuits 250 Luminaires 200 Amps 1600 Switches 30 Receptacles 200 Fee $604.00 0 Value $140,000.00 Appliances Use/Nature Golden Corral new 10,566 Sq. Ft. Restaurant of Work Inspections: Type Underground Inspector Adam Krause approved Date 06/22/2006 Request line/electric underground inspection. Would like this morning. DatelTime requested: 06/22/2006 06:49 AM Access: Notice Type: Phone Number: Dave-920-716-4680 Ready DatelTime: 06/22/2006 08:00 AM Requested by: PRECISION ELECTRIC INC OF THE FOX o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Date 08/07/2006 Type Consultation Inspector Kevin Benner , approved Review the service installation Reviewed the Gutter installation, UG Parallel conductors, and the barrier requirement for the switchboard. Date/Time requested: 08/07/2006 01 :48 PM Access: Notice Type: Phone Number: Ready DatelTime: 08/07/2006 01 :48 PM Requested by: o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid -:- Electric Permit Work Card Job Address 580 S KOELLER ST Permit Number 119888 Create Date 6/2/2006 . Owner RIVER VALLEY ONE LLC Contractor PRECISION ELECTRIC INC OF THE FO> Category 642 - Commercial-New Building Wiring Service . New o ChangeO Temp ON/A I Type 0 Overhead . Underground ON/A I Volts 120/208 Circuits 250 Luminaires 200 Amps 1600 Switches 30 Receptacles 200 Fee $604.00 D Value $140,000.00 Appliances Use/Nature Golden Corral new 10,566 Sq. Ft. Restaurant of Work Inspections: Date 06/02/2006 Type Temporary Inspector Kevin Benner approved 120/240 V Temporary service only! Faxed to WPS 6/2/6 PM DatelTime requested: 06/02/2006 08:29 AM Access: Notice Type: Phone Number: 716-4680 Dave Ready DatelTime: 06/02/2006 09:00 AM Requested by: PRECISION ELECTRIC INC OF THE FOX o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Date 06/20/2006 Type Underground Inspector Adam Krause approved Request line/will be ready for underground electrical inspection some time on Tues 6/20. You can call Dave for a time 920-716-4680. DatelTime requested: 06/19/2006 01:18 PM Access: Notice Type: Phone Number: 920-716-4680 Ready DatelTime: 06/20/200612:00 PM Requested by: PRECISION ELECTRIC INC OF THE FOX o Reinspect Fee 0 Fee Wavied 0 Reinspect Fee Paid Plumbing Permit Work Card Job Address 580 S KOELLER ST Permit Number 120038 Create Date 06/14/2006 Owner RIVER V ALLEY ONE LLC Contractor O'NEILL ENTERPRISES INC Category 440 - Industrial-Interior Plan G2-195-0606-P Value $93,900.00 Bathtub Shower - Water Softner Wait. St. Shamp Sink Coffee Maker - - - - - Whirlpool Floor Drain 20 Local Waste Ice Chest FlrlWst Sink Int Grease Trap - - - - - - Lavatory 4 Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap 1 - - - - - Toilet 7 Disposal Bidet Sculry Sink 3 Wash Ftn RPZ Valve - - - - - Res. Sink Dishwasher 1 Beer Tap Hand Sink 2 Urinal 3 Eye Wash Statn - - - - - Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec 1 Wtr Sewer Mtrs - - -- - - Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker 2 Deduct Meters - - - - - Site Drain 23 Breakrm Sink Dip Well F Prep Sink 2 Gar Drain Wtr Usage Mtrs - - - - - Roof Drain Ejector/Grind - Drink Ftn Serv Sink 1 Soda Disp - - - - Misc. 3 HOSE BIBB - Fixtures Use/Nature INTERIOR PLUMBING FOR GOLDEN CORRAL **DEBIT ACCT of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service . , Type Re Final Inspector Paul Wolf approved Date 10/4/2006 Corrections to plumbing are complete, Eco-Iab has provided data regarding chemical dispensers. DatelTime requested: 10/5/200607:28 AM Notice Type: Telephone Number: Access: Ready DatelTime: 10/4/2006 07:28 AM Requested By: O'NEILL ENTERPRISES INC o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid ---- -- - ------------ - --- - ------ - - ------ -- ------ - - - - ------- - - ------ -- .----- - ------- -- ------ - - - - - - --- -- - - ---- -- - ------ - ------- - -------- -- ---- -------- - - - ---- - - - - ----- - - ---. - - - ---- - - ----------- - - ---- --- Plumbing Permit Work Card Job Address 580 S KOELLER ST Permit Number 120038 Create Date 06/14/2006 Owner RIVER VALLEY ONE LLC Contractor O'NEILL ENTERPRISES INC Category 440 - Industrial-Interior Plan G2-195-0606-P Value $93,900.00 Bathtub Shower Water Softner Wait. St. Shamp Sink - Coffee Maker - - - - - Whirlpool Floor Drain 20 Local Waste Ice Chest FlrlWst Sink - Int Grease Trap - - - - - Lavatory 4 Lndry Tray Clothes Wshr Exam Sink Catch Basin - Ext Grease Trap 1 - - - - Toilet 7 Disposal Bidet Sculry Sink 3 Wash Ftn - RPZ Valve - - - - Res. Sink Dishwasher Beer Tap Hand Sink 2 Urinal 3 Eye Wash Statn - - - - Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec 1 Wtr Sewer Mtrs - - - - - Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker 2 Deduct Meters - - - - - Site Drain 23 Breakrm Sink Dip Well F Prep Sink 2 Gar Drain - Wtr Usage Mtrs - - - - Roof Drain Ejector/Grind Drink Ftn Serv Sink 1 Soda Disp - - - - - Misc. 3 HOSE BIBB - Fixtures Use/Nature INTERIOR PLUMBING FOR GOLDEN CORRAL **DEBIT ACCT of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Date 10/2/2006 Type Final Inspector Paul Wolf not approved Per COMM 82.41, proper backflow required on hose reels and kitchen equipment. Completed a walk-through with O'neill onsite. Eco-Iab also needs to show ~ocs. of approval re: chemical dispensers at dishwasher station. Scott from Eco-Iab's cellis 920-450-9063. DatelTime requested: 10/2/200608:21 AM Notice Type: FC Telephone Number: Access: Ready DatelTime: 10/2/2006 08:21 AM Requested By: O'NEILL ENTERPRISES INC o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid , Plumbing Permit Work Card Job Address 580 S KOELLER ST Permit Number 120038 Create Date 06/14/2006 Owner RIVER VALLEY ONE LLC Contractor O'NEILL ENTERPRISES INC Category 440 - Industrial-Interior Plan G2-195-0606-P Value $93,900.00 Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker - - - - - - Whirlpool Floor Drain 20 Local Waste Ice Chest FlrlWst Sink Int Grease Trap - - - - - - Lavatory 4 Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap 1 - - - - - Toilet 7 Disposal Bidet Sculry Sink 3 Wash Ftn RPZ Valve - - - - - Res. Sink Dishwasher 1 Beer Tap Hand Sink 2 Urinal 3 Eye Wash Statn - - - - - Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec 1 Wtr Sewer Mtrs - - - - - Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker 2 Deduct Meters - - - - - Site Drain 23 Breakrm Sink Dip Well F Prep Sink 2 Gar Drain Wtr Usage Mtrs - - - - - Roof Drain Ejector/Grind Drink Ftn Serv Sink 1 Soda Disp - - - - - Misc. 3 HOSE BIBB - Fixtures Use/Nature INTERIOR PLUMBING FOR GOLDEN CORRAL **DEBIT ACCT of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Date 8/16/2006 Type Rough In Inspector Paul Wolf approved Faxed Request / Need rough inspection ASAP DatelTime requested: 8/14/200601 :41 PM Notice Type: Telephone Number: (920) 230-2007 Access: Ready DatelTime: 8/14/2006 01 :41 PM Requested By: O'NEILL ENTERPRISES INC - Pat O'Neill o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid , Plumbing Permit Work Card Job Address 580 S KOELLER ST Permit Number 120038 Create Date 06/14/2006 Owner RIVER VALLEY ONE LLC Contractor O'NEILL ENTERPRISES INC Category 440 - Industrial-Interior Plan G2-195-0606-P Value $93,900.00 Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker - - - - - - Whirlpool Floor Drain 20 Local Waste Ice Chest FlrlWst Sink - Int Grease Trap - - - - - Lavatory 4 Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap 1 - - - - - Toilet 7 Disposal Bidet Sculry Sink 3 Wash Ftn RPZ Valve - - - - - Res. Sink Dishwasher 1 Beer Tap Hand Sink 2 Urinal 3 Eye Wash Statn - - - - - Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec 1 Wtr Sewer Mtrs - - - - - Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker 2 Deduct Meters - - - - - Site Drain 23 Breakrm Sink Dip Well F Prep Sink 2 Gar Drain - Wtr Usage Mtrs - - - - Roof Drain Ejector/Grind Drink Ftn Serv Sink 1 Soda Disp - - - - - Misc. 3 HOSE BIBB - Fixtures Use/Nature INTERIOR PLUMBING FOR GOLDEN CORRAL **DEBIT ACCT of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Date Type SewerlWater Inspector Paul Wolf Heuqest line/putting in 6" sewer lateral and water service now. Installing orease trap @ 1:00***DELETE INSPECTION REQUEST- SEE PERMIT #120241 DatelTime requested: 6/26/200607:35 AM Notice Type: Telephone Number: Lee-376-1005 Access: ~ Ready DatelTime: 6/26/2006 07:35 AM Requested By: ZILLGES EXCAVATING o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid . Plumbing Permit Work Card Job Address 580 S KOELLER ST Permit Number 120038 Create Date 06/14/2006 Owner RIVER VALLEY ONE LLC Contractor O'NEILL ENTERPRISES INC Category 440 - Industrial-I nterior Plan G2-195-0606-P Value $93,900.00 Bathtub Shower Water Softner Wait. St. Shamp Sink Coffee Maker - - - - - - Whirlpool - Floor Drain 20 Local Waste Ice Chest FlrlWst Sink - Int Grease Trap - - - - Lavatory 4 Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap 1 - - - - - Toilet 7 Disposal Bidet Sculry Sink 3 Wash Ftn RPZ Valve - - - - - Res. Sink Dishwasher 1 Beer Tap Hand Sink 2 Urinal 3 Eye Wash Statn - - - - - Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec 1 Wtr Sewer Mtrs - - - -- - Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker 2 Deduct Meters - - - - - Site Drain 23 Breakrm Sink Dip Well F Prep Sink 2 Gar Drain Wtr Usage Mtrs - - - - - Roof Drain Ejector/Grind Drink Ftn Serv Sink 1 Soda Disp - - - - - Misc. 3 HOSE BIBB - Fixtures Use/Nature INTERIOR PLUMBING FOR GOLDEN CORRAL **DEBIT ACCT of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Date 6/19/2006 Type Underground Inspector Paul Wolf approved DatelTime requested: 6/19/2006 07:35 AM Notice Type: Telephone Number: Access: Ready DatelTime: 6/19/2006 07:35 AM Requested By: O'NEILL ENTERPRIS~ INC o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid > Plumbing Permit Work Card Job Address 580 S KOELLER ST Permit Number 120038 Create Date 06/14/2006 Owner RIVER VALLEY ONE LLC Contractor O'NEILL ENTERPRISES INC Category 440 - Industrial-Interior Plan G2-195-0606-P Value $93,900.00 Bathtub - Shower Water Softner Wait. St. Shamp Sink Coffee Maker - - - - - Whirlpool - Floor Drain 20 Local Waste Ice Chest FlrlWst Sink Int Grease Trap - - - - - Lavatory 4 Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap 1 - - - - - Toilet 7 Disposal Bidet Sculry Sink 3 Wash Ftn RPZ Valve - - - - - Res. Sink Dishwasher 1 Beer Tap Hand Sink 2 Urinal 3 Eye Wash Statn - - - - - Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec 1 Wtr Sewer Mtrs - - - - - Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker 2 Deduct Meters - - - - - Site Drain 23 Breakrm Sink Dip Well F Prep Sink 2 Gar Drain Wtr Usage Mtrs - - - - - Roof Drain - Ejector/Grind - Drink Ftn Serv Sink 1 Soda Disp - - - Misc. 3 HOSE BIBB - Fixtures Use/Nature INTERIOR PLUMBING FOR GOLDEN CORRAL **DEBIT ACCT of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Date 6/16/2006 Type Underground Inspector Paul Wolf approved w/cond. PARTIAL UNDERGROUND DatelTime requested: 6/16/2006 06:56 AM Notice Type: Telephone Number: Access: I Ready DatelTime: 6/16/2006 06:56AM Requested By: O'NEILL ENTERPRISE INC o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid '~~ Plumbing Permit Work Card Job Address 580 S KOELLER ST Permit Number 120038 Create Date 06/14/2006 Owner RIVER VALLEY ONE LLC Contractor O'NEILL ENTERPRISES INC Category 440 - Industrial-Interior Plan G2-195-0606-P Value $93,900.00 Bathtub Shower Water Softner Wait. St. Shamp Sink - Coffee Maker - - - - - Whirlpool Floor Drain 20 Local Waste Ice Chest FlrlWst Sink - Int Grease Trap - - - - - Lavatory 4 Lndry Tray Clothes Wshr Exam Sink Catch Basin Ext Grease Trap 1 - - - - - Toilet 7 Disposal Bidet Sculry Sink 3 Wash Ftn RPZ Valve - - - - - Res. Sink Dishwasher 1 Beer Tap Hand Sink 2 Urinal 3 Eye Wash Statn - - - - - Bar Sink Sump Pump Lab Sink Plaster Sink Standp Rec 1 Wtr Sewer Mtrs - - - - - Water Heater 1 Classrm Sink Sterilizer Surgeons Sink Ice Maker 2 Deduct Meters - - - - - Site Drain 23 Breakrm Sink Dip Well F Prep Sink 2 Gar Drain - Wtr Usage Mtrs - - - - Roof Drain Ejector/Grind Drink Ftn Serv Sink 1 Soda Disp - - - - - Misc. 3 HOSE BIBB - Fixtures Use/Nature INTERIOR PLUMBING FOR GOLDEN CORRAL **DEBIT ACCT of Work Size Material Type # Conn.Type Sanitary Sewer Storm Sewer Water Service Date 6/15/2006 Type Underground Inspector Paul Wolf approved PARTIAL UNDERGROUND DatelTime requested: 6/15/200612:12 PM Notice Type: Telephone Number: Access: ]meet pat at 11 am Ready DatelTime: 6/15/2006 12:12 PM Requested By: O'NEILL ENTERPRISE INC o Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid .----'] .. fiIt,. j commerce.wi.gov \;t.li!~9n!ln RE~ E I E Safety and Buildings 2331 SAN LUIS PL STE 150 GREEN BAY WI 54304 TDD #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov April 19, 2006 APR2 1 2006 " DEP/utr,AfN10F OOM'~1U~!lrV DE~(LOPf@~Bff Jim Doyle, Governor Mary P. Burke, Secretary CUST ID No. 260804 AITN: Buildings & Structures Inspector STEPHEN GRIES 500 N COMMERCIAL ST NEENAH WI 54956 BUILDING INSPECTION CITY OF OSHKOSH POB 1130 OSHKOSH WI 54902 CONDITIONAL APPROVAL PLAN APPROVAL EXPIRES: 04/18/2008 Identification Numbers' Transaction ID No. 1255830 Site ID No. 636270 · Please refer ta bothidentificati.on numbers, '. above,in allccllTes andence with the a enc . SITE: Ramada Inn 500 S Koeller City .of Oshkash, 54902 FOR: Facility: 671884 RAMADA INN GOLDEN CORRAL 500 S KOELLER OSHKOSH 54902 Object Type: Building ICC Regulated Object ID Na.: 1068470 , Majar Occupancy: Assembly; Type VB Combustible Unpratected class .of constructian; New plan; 10,566 project sq ft; Campletely Sprinklered; Occupancy: A-2 Dining & Drinking; Sprinkler Design: NFPA-13 Sprinkler; Campanent(s) submitted with this transactian: HV AC ICC; Allawable area determined by: Unseparated Use Object Type: HV AC ICe System Regulated Object ID Na.: 1068471 Grease haad included; Smake detectian system; 10,566 sq ft Area Heated The submittal described abave has been reviewed far canfarmance with applicable Wiscansin Administrative Cades and Wiscansin Statutes. The submittal has been CONDITIONALLY APPROVED. The .owner, as defined in chapter 101.01(10), Wi scans in Statutes, is respansible far campliance with all cade requirements. The fallawing conditians shall be met during canstructian .or installatian and priar ta .occupancy .or use: Key Item(s) . IMC 606 Provide a duct smoke detectian system in new duct systems, with appropriate cantrals, unless (1) the return air rate is 2,000 cfm .or less (See balancing report Carom 64.0313), OR (2) the air distributian system is incapable .of spreading smake beyand the enclasing walls, flaar and ceiling .of the roam .or space in which the smake is generated. The smake detectian system shall shut dawn the air distributian system upan activatian. Smake detectars shall be cannected ta a fire alarm system. The activatian .of a smake detectar shall activate a visible and audible supervisary signal at a canstantly attended lacatian unless exceptians are met. The detectors shall be lacated in the return duct. ' Submit . Comm 61.30(3) _ Submit, priar ta installatian, .one (1) set .of praperly signed and sealed truss plans, a campleted SB-1l8 application farm including this transactian number and signed by the building designer, and $100 submittal fee ta Safety & Buildings, P.O. Bax 7162, Madisan WI 53707-7162. Note as per Comm 2.31(1)(d)6. the fee for a structural component erected prior to phm submittal may be an additional $200 Reminders ~ STEPHEN GRIES Page 2 4/19/2006 . IMe 507.2 The Type I kitchen exhaust hood over cooking equipment which produces grease laden vapors shall comply with all requirements for hood construction, exhaust rate, and enclosure. Fire suppression shall be addressed., The make-up air that is not part of a short cycle hood system, must be tempered air. See IMC 508. 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. If plan 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. If this construction project will disturb one or more acres of land, an Erosion Control Notice of Intent (NOl) shall be filed with the department 14 days prior to any earth disturbing activities. 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. Fee Required $ 1,110.00 Fee Received $ 1,110.00 Balance Due $ 0.00 cc: Peter R Ochs, State Building Inspector, (920) 948-3500 , Friday, 7:45 A.M. - 4:30 P.M. Larry Groser, Cmg & Associates River Valley LLC , f """- j commerce.wi.gov "'U;Jl!!~9J~!!Q Safety and Buildings 4003 N KINNEY COULEE RD LA CROSSE WI 54601-1831 TDD #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary April 26, 2006 CUST ID No. 983323 ATTN: Buildings ~ Structures Inspector RIVER VALLEY ONE LLC 601 OREGON ST STE A OSHKOSH WI 54902 BUILDING INSPECTION CITY OF OSHKOSH POB 1130 OSHKOSH WI 54902 REGISTRATION OF COMMERCIAL BUILDING SITE EROSION CONTROL NOTICE OF INTENT SITE: River Valley One LLC 500 S Koeller St City of Oshkosh, 54902 FOR: Facility: 671884 RIVER VALLEY ONE GOLDEN CORRAL BUFFET & GRILL Object Type: Soil Erosion Control Regulated Object ID No.: 1073129 Anticipated start date: 05/0112006; Anticipated end date: 09/0112006; 2 Acres disturbed area This letter acknowledges receipt of a Notice of Intent with our agency. By virtue of the owner's signature on the application form, he/she has indicated that an erosion control plan and a long-term stormwater management plan meeting the requirements set forth in NR 216.46 and 216.47, respectively have been developed and will be implemented. Please note : 1. That earth disturbing activities shall not begin before 14 days after you submitted the signed Notice of Intent application to our agency. 2. That there will be no review conducted by the Department of Commerce of the erosion control or the general stormwater management plans for this project. However, plan submittal may be required for any stormwater piping system on the premises and any stormwater infiltration or reuse systems per s. Comm 82.20. 3. That there may be erosion control inspections conducted by the Department of Commerce during the construction of this project. 4. The owner shall retain the above mentioned erosion control stormwatermanagement plan on the construction site and make it available to state and/or local inspectors as requested. 5. That plan review and/or inspections by the local municipality and/ or DNR maybe required by local pennitting ordinances or DNR rules. 6. The owner shall file a Notice of Tennination with our department when the site has been stabilized per NR 216.55. .. ., RNER VALLEY ONE LLC Page 2 4/2612006 Inquiries concerning this correspondence may be made to Brian Ferris at (608)785-9335, or at the address on this letterhead. Please refer to the Transaction ID No. referred to in the regarding line when making an inquiry or submitting additional information. Sincerely, Jeannie Dixon License/Permit Prog Associate, Integrated Services (715) 634-4870, Fax: (715) 634-5150 7:45 am - 4:30 pm Mon - Fri jeannie.dixon@wisconsin.gov cc: Peter R Ochs, State Building Inspector, (920) 948-3500 , Friday, 7:45 A.M. - 4:30 P.M. Stephen Gries, Gries Architectural Group Inc Sandra McClaine, Larson Engineering of Wisconsin .fit".." commerce.wi.gov ~i!~go~!JJ~ Safety and Buildings PO BOX 7162 MADISON WI 53707-7162 TDD #: (608) 264-8777 www.commerce.wi.gov/sb/ www.wisconsin.gov Jim Doyle, Governor Mary P. Burke, Secretary September 11, 2006 CUST ID No. 260804 A TTN: Buildings & Structures Inspector STEPHEN GRIES 500 N COMMERCIAL ST NEENAH WI 54956 BUILDING INSPECTION CITY OF OSHKOSH POB 1130 OSHKOSH WI 54902 COMPONENT RECEIVED SITE: River Valley One LLC 500 S Koeller 8t City of Oshkosh, 54902 FOR: Facility: 671884 RIVER VALLEY ONE GOLDEN CORRAL BUFFET & GRILL 500 S KOELLER OSHKOSH 54902 Object Type: Truss, Roof Regulated Object ID No.: 1096904 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 ofrecord 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 of the 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 Jane M Rush LicenselPermit Associate, Integrated Services (608)264-7826 , juanita.rush@wisconsin.gov cc: Peter R Ochs, State Building Inspector, (920) 948-3500 , Friday, 7:45 A.M. - 4:30 P.M. t,~""" 90lden Corral - Tectum E Roofing panels. i Page 1 of2 Dannhoff, Allyn J. From: Smith, Jim - COMM Usmith@commerce.state.wLus] Sent: Thursday, August 10, 200612:44 PM To: 'Dannhoff, Allyn J.' Cc: 'Ifranke@griesarchitectural.com'; Kosarzycki, Henry; 'scott@rjalbright.com' Subject: RE: Golden Corral - Tectum E Roofing panels. You're welcome Allyn. . . I'm glad I was able to be of assistance. From: Dannhoff, Allyn J. [mailto:adannhoff@cLoshkosh.wLus] Sent: Thursday, August 10, 2006 9:06 AM To: 'Smith, Jim - COMM' Cc: 'Ifranke@griesarchitectural.com'; Kosarzycki, Henry; 'scott@rjalbright.com' Subject: RE: Golden Corral - Tectum E Roofing panels. Jim; Thank you for taking the time to explain the intent of the second sentence of Comm 2603.4. Based on your comments, it this section of the code is focusing on whether the thermal barrier is installed in a manner to stay in place for 15 minutes. In this case, the thermal barrier is installed on top of supporting members that I would not question as meeting the 15 min. criteria (LVL rafters.) I understand this philosopy, however, it would certainly seem the code could be much clearer on this requirement. As written, one can only read that all products, regardless of design/installation must be tested to meet one of the three listed standards. By copy of this e-mail, I am advising the architect and contractor I am no longer questioning this for this project. Thank you for your assistance on this issue. Allyn Dannhoff -----Orig i na I Message----- From: Smith, Jim - COMM [mailto:jsmith@commerce.state.wLus] Sent: Thursday, August 10, 2006 7:58 AM To: 'Dannhoff, Allyn J.' Cc: 'Ifranke@griesarchitectural.com'; Kosarzycki, Henry; 'scott@rjalbright.com' Subject: RE: Golden Corral- Tectum E Roofing panels. Hi AI. I did not say it did not apply, but I do not understand how it will fail. Please send Henry or I a sketch (or copy of the section drawing that you have from the Architect) that shows how the Tectum panels are situated relative to the framing so that I can understand how those panels will fall down into the building before the roof framing itself. My recollection of the rectum deck installation is that they are installed on top of the framing. That language about staying in place is primarily for those types of assemblies where a thermal barrier is installed below a metal roof deck. You know the type I am referring too. . . drywall or a suspended acoustical ceiling below joists and metal deck. . . with your experience, you have likely seen a lot of those over the years. 8/1 0/2006 Golden Corral - Tectum E Roofing panels. ~ ' _."J' 8/1 0/2006 Page 2 of2 If you need help with any of the Rectum test information already sent, send that too. The fax machine closest to me is 608-264-8795. I expect Henry or I will be able to determine if acceptable in short order after you get that to us. Thanks Dan From: Dannhoff, Allyn J. [mailto:adannhoff@ci.oshkosh.wi.us] Sent: Wednesday, August 09,200610:02 AM To: Jim Smith (E-mail) Cc: 'Ifranke@griesarchitectural.com'; Henry Kosarzycki (E-mail);.scott@rjalbright.com. Subject: Golden Corral - Tectum E Roofing panels. Jim; I spoke to Lee Franke, Architect for the Golden Corral being built in the City of Oshkosh. have raised the question as to whether the Tectum E panels (roof) meet BOTH criteria required in 2603.4 or does this system qualify as being compliant with 2603.4.1.5? Speaking to Mr. Franke this morning, he indicated that he spoke to you about this and you indicated that since Tectum is an approved thermal barrier (per 2603.4 - complies with ASTM E-119) that the product is approved. This office has not questioned this aspect, it is understood the Tectum panel complies with the ASTM standard.) My question is does the Tectum panel being used, or any tectum panel, comply with the second part of 2603.4 - that being it will be installed in a manner to stay in place for 15 minutes based on the one of the three standards listed. Mr. Franke indicated to me that your response was that you felt this section did not apply since the panel was directly attached to the top side of the roof framing system. Can you please confirm or clarify this direction for me? The concern this office has is that 2603.4 specifically requires the thermal barrier to meet two criteria (ASTM E-119 and one of three standards for installation.) I do not have enough information to make a determination that the later portion of this code has been met by some other avenue or is not applicable to this product. Or, would it be more appropriate to refer to 2603.4.1.5 and simply state the tectum is "an equivalent material" for separation purposes? Your assistance in explaining/clarifying this issue for me is appreciated. Thanks. Allyn Dannhoff 920-236-5045 ~ ~ CORRECTION NOTICE / FIELD INSPECTION REPORT JOB LOCATION: reo s-. k~~~ CONTRACTOR: '72--::r jJ-/.1~l1i:::. PROJECT TO BE INSPECTED: ~ ~a--( C},..., ~ vvV- TYPE OF INSPECTION: ~ ~ t==~41Wt{':;:j 1\ ' 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 tt.ltM1l GOnE INSPECTION RESULTS I City of Oshkosh Inspection Services Division 2 I 5 Church Avenue, PO Box I 130 Oshkosh, WI 54903-1 130 Phone: (920) 236-5050 Fax (920) 236-5084 ..s- Approved! Insp. Report given to , ~l:. lex.. at' of lnspection Print Name Signature: Phone # Phone # Fax # ;z. Fax # ~ CORRECTION NOTICE / FIELD INSPECTION REPORT JOB LOCATION: S;-~t9 ~ J<fCJ e fie r- CONTRACTOR: 1?.;::r IJ-Ij I'-~ hi- PROJECT TO BE INSPECTED: lZ.e~'i-a..u"tJ ,,-"..p TYPE OF INSPECTION: h' ~ f ~ City of Oshkosh Inspection Services Division 2 I 5 Church Avenue, PO Box I 130 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 date at the bottom of this notice and eturn it to the Inspection Services Division by the Compliance Date of GOnE INSPECTION RESULTS [" ~ ~ eV- er-- 10 V! ot Approved! Insp. Report given to /tJfL~nsoectiQn 7671 Print Name Co. Signature: Phone # Phone # Fax # ~ Fax # 920-231-3759 RJ ALBRIGHT INC PAGE 01/02 ON. S," R U' C.. {':"I:.O H.C FAX CO VER Sl-lEET 1)010: .....I-"14y ________ Tn: ..,Au..,r!Y.._.Z). ,..,________..... Willl: ._-.Co1:::.C'E,._.~~.t/ From: ---~_3C.KI.~_~~..__ Time: _.Ce.:' 'to Phone: Fax: -.6~'- .:iP'a''( RJA Phone: (920) 231-8635 , RE:, ...~8.Q._._~!...K..~~(.Ntt. ,< GOU) 'W.J c,~ t. RJA Fax: J.Z~W) 23l-3759 Numly;rs oCpages including cover ~,hcct_.Z !\1''''O;:''I'C I . .......~..."u.o .' - ~<~:4Ak~~,~JJ:!f~~s~P~~_ ~~ FoIL I-(VkG 2.) '[ r~vt-~gGO~ A- G:rPy (f-F ~~ ~r'- ~tJ;. ?~".:r "TC gV\.'P'Put.. (-r1-t,4. <<-So X~Ylt)eJ) 5:1' ~~J~-fL) ~.) ~~ ~ ()\..A('"~ 'Tl.{1l ~a.u~ ~tJ f1.fi .~~ ~ :~ . ::; l " D ~ I t l'~~~,t;;; c1:;~:r-;;;;:jiM~~~ (~ foL~~ CO It</f- HtcM..171 lJ~ ~K~tA.1 S~ I (920l231-BG35 i P (liDO) 521-3437 ! f (97.0) 7.31.3759 5711 Green Valley F!oiJd : Oshkosh, WI ' 54904 rjnlMgt1t.com info(lq rjr:1ll)riglll.com 10/04/2006 18:56 920-231-3759 RJ ALBRIGHT INC PAGE 02/02 UC L. j. ~ L V V 0 . 0 : j:l J.\+VI Inspect Ion servl ces I~ O. 'j v '1 \) r. CORRECTION NOTICE I FIELD_INSPECTION REPORT JOB LOCA nON; .s:-lSo ~ l<~ e ! /f'r-- CONTRACTOR: 7?.:T A-H~~f- PROJECT TO BE INSPECTED:~...ca ~.:f TYPE OF INSPECTION; A~ f . ~ CilY~fOt:hl/a~1'I ln~pe\;lion Sc::rvicc.s Division 21 S (ll1lreh AvCn\IC, PO Box 1130 O~lJlm~h I WI ,i490J-l130 Phone: (920) 236.S050 hx (9~O) 231J-5r)~4 ,:I1'EM# I z ~ .7 ,; '~~':I~\~:;;~~,r::..~>~~~,: :;..;' '. t!!..t-- ~~~_v.J-r~r- . .'~. " L., ',.... ;:;. " ,~ ..~. ," . ., ".,3,"i:~:,;i:,,:,:,'~"',~:'i:;, 'itC1lIONTAKENf., ~ ' ort left On site ot Ap})rovedl Imp. Report given to !.,,~/op 7 i?ftto of Insoecdot,l, SigI1Sl:ure: R.tA. .. I .'1j;f Mailcd/Fll.ltl:d 2~~ -..rD ,.( ~J Phone # R J ALBRIGHT I C i"::::~~~~~;i.',;.'" '.t. \ ~. "~~J..~;.J'~ti._;, 5711 Green Valley 11.,' ." ....,'",,' , . Oshkosh, WI 549tJ4 Phone: 920-231-8635 Fax: 92Q ~al ~a7/i)9 -- 09/25/2006 MON 15:14 FAX ~002/002 BUILDINGS, HV AC, COMPLIANCE STATEMENT SBD-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 50,000 cubic feet or greater and bleachers (Comm 50.1 O/Comm 61.50). Failure to submit this form may result in penalties as specified in Comm 50.26/Comm 61.23 and/or local ordinances. This form must be submitted prior to the plan approval expiration date or another submittal may be required. General Instructions: Prior tathe 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 (refer to the plan approval letter for agency address and · Safety and Buildings, 10541N Ranch Road Hayward, Wi. 54843 Note: If the review was done by the municipality, the compliance statement goes only to the municipal building inspector. A copy is not needed by Safety & Buildings. Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1)(m)J. 1. PROJECT INFORMATION: Please fill in the following with information from your plan approval letter. Transaction 10 N~mber _{! 5' ~Ii ~?' _____ Project Name__~L.?'..M/_?/~1'L__________ Site Number _..k..2.~ .z:zf'~__________ ' Site location (number & street) -.2Pc:.._ZL~?-~ .5 ;r..Jt{!'..E.(__________ )8( City 0 Village 0 Townof_~~(:'0?2_____countyoC M.!'..M-/5#40 _____ 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: ,.aBuilding Object ID # -Lf?t/:...f31. ~ 0 HVAC Object 10 # _________ o Lighting Object 10 # _______ o Partial Completion _________________________________________________ Description of Portion Completed A) p;( 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 to this project have been completed in substantial cornpliance with the approved plans and specifications. ~ BUILDING/LIGHTlNG ITEMS 1. Structural system including submittal and erection of all building components 10. Exterior lighting & control requirements (trusses. precast, metal building, etc.) 11. Interior lighting & control requirements 2. Fire protection systems (sprinklers, alarms, smoke detectors) designed, installed, 12. All conditions of lighting plan approval and tested (including forward flow on back flow devices) by appropriately and applicable variances registered professionals ' 3. Shaft and stairway enclosure 4. Exits including exit and direclionallights 5. Fire-resistive construction, enclosure of hazards, fire walls, labeled doors, class of construction. fire stopped penetrations 6. Sanitation system (toilets, sinks. drinking facilities) 7. Barrier-free Including Comm 18 elevators and lifts 8. Energy envelope reqUirements 9. All conditions of building plan approval and applicable variances The following items are not in compliance and must be addressed: o HVAC ITEMS 1. HVAC system including final test 2. All conditions of HVAC plan approval and applicable variances B) 0 Statement of Noncompliance Due to the following listed violations, this project is not ready for occupancy; C) 0 Supervising Professional Withdrawn From Project (Use A or B above to indicate project status as of this date.) D) CI Project Abandoned 3. SUPERVISING PROFESSIONAL SI~NATUREJOR: . ~Q ~Building 0 HVAC 0 Lighting 5/E//Y.f?')c. 1!!(&:-5 ____ Dale_ ' ~. ~<- _ . Name (please print or type) ~ _ _ Phone number Pj Zt7.,zzz..Hlfcustomer ID # z~~l2b-'=--Signature SBD-9720 (R.04/200S) UVI.I~"'I-V \......v...,..vv-rj 10/03/2006 TUE 9:25 FAX ~002/002 " BUILDINGS, HV AC, COMPLIANCE STATEMENT SBD~9720 This form is required to be submitted by the supeNising professional (architect, engineer, HVAC designer or electrical designer) obseNing construction of projects within buildings with lotal areas 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. This form must be submitted prior to the plan approval expiration date or another submittal may be required. General Instructions: Prior to the initial occupancy of new buildings or additions and the final occupancy of altered existing buildings, submit this completed and signed form to: · The municipal building inspection office {refer to the plan approval letter for agency address and · Safety and Buildings, 10541N Ranch Road Hayward, Wi. 54843 Note: If the review was done by the municipality, the compliance statement goes only to the municipal building inspector. A copy is not needed by Safety & Buildings. Personal information you provide may be used for secondary purposes (Privacy Law. s. 15.04 (1)(m)J. 1. PROJECT INFORMATION: Please fill in the following with information from your plan approval letter. Transaction lD Number _J ~?2jl~~_.__ Project Name___ &~~_~~_____________ Site Number ____,~_? ~ _~1_f}_____.__._____ Site location (number & street) __..2.9 o____~__l~Q?-1 ('G.\"" ________________ p!.City 0 Village 0 Town of __Q~h.b~~____ County of_~L~he:~~Q------ 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: 0 Building Object 10 # ____________ ~HVAC ObjecllO # .l~_~_1?!:!1L o lighting Object 10 # _______ o Partial Completion ____________________________________________________ Description of Portion Completed A) ;s. 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 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 (t<\Jsses. precast. metal building. ete,) 2 Fire protection systems (sprinklers. alarms. smoke detectors) designed. installed. and tested (including lorward flow on back flow devices) by appropriately registered prolessionals 3, Shalt and stairway enclosure 4. Exits inCluding exit and direclionallights 5. Fire,resislive construclion. enclosure 01 hazards. fire walls. labeled docrs.class 01 construction. fire stopped penetrations 6, Sanitalion system (toilets. sinks. drinking facilities) 7 Barrier-Iree including Comm 18 elevators and lifts 8, Energy envelope requirements 9, AU 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 ,(.HVAC ITEMS 1. HVAC system including final test 2, All conditions 01 HVAC plan approval and applicable variances The following items are not in compliance and must be addressed: ___________~___________________________________._.__.__.0._- 8) 0 Statement of Noncompliance Due to the following listed violations. this project is not ready lor occupancy: ______________________________ C) 0 Supervising Professional Withdrawn From Project (Use A or B above to ,indicate project status as 01 this date.) D) 0 Project Abandoned 3. SUPERVISING PROFESSIONAL SIGNATURE FOR: o Building p(HVAC 0 Lighting__~~ G.u:Q13 e.r Name (pleasd print or type) Phone number~~Sa.fM~ Customer ID # 9 I ~ 4 \ G _~ Date &..-:...Q.?::'..::...~O ~__ _Signature 5111 ).9721' (R.c14I2!)()~ I