HomeMy WebLinkAboutApplication 82-7-2-B
Safety & Buildings Division
201 E. Washington Ave.
P.O. Box 7969
Madison, WI 53707
PLANS APPROVAL APPUCATIQN
Department of
INDUSTRY, LABOR A'ND HUMAN REI,..ATIONS
E-
PLAN NO.
~Z-'7-Z-&
INSTRUCTIONS: Fill in all applicable data. Submittal of Plan Approval Application for+ is required with each plan submittal. Examination and
inspection fees, as indicated on back of form, are required to be submitted with a minimum of four sets of plans. Data required on plans is
described in code section Ind 50.12.
Codes can be purchased from the Department of Administration, Document Sales, 202 S. Thornton Ave., Madison, 53702
Name of Owner Joan Hildebrand &
Dan Str zewski
"";,-.,,1
Company
Building Occupancy ~r Use
Office
Tenant Name, if any
H. Jose h Hildebrand
Building Location, Street & No.
310 Hi h Avenue
City ~ County
Village .
Town Oshkosh, W1.nneba 0
Return Plans to DOwner f]Designer
Street & No.
2
o Lane
State & Zip
City
Wi
54901
1. THIS APPLICATION IS FOR:
,
~uilding Plan Approval
Vontilation
fu<rtiTrg Plan Approval
2. PLANS FOR:
DNew Building DAddition IX'lAlteration
DRevision to previously approved plans
DStructural
DOther
; :~~; ,." ..:.,..:...-,,;,,~.-.,...., .C-,.,- :.""-:,:,~,;:.~.,,. .:CA, -,.-......r.,h, "_>^~":.:j...;,.~:_ ...:.,"'::-" ,c', l.:'t.;;..'".~ kf': '-'-;,,_,",--'i:"
Designer or Design Firm
Yarbro-Kempin~er, Arch.
Street & No. ar Av
Post Office Box 2096
City
Oshkosh,
Phone
State & Zip
Wi. 5~903
235-3310
o Other
SOIL BEARINGS CAPACITY (See Ind. 53.21)
Method used to determine capacity:
Check one: : Check Value used:
o Verified : 0 PSF 2000
o Presumptive I 0 6000
I
Yes
o Footing & Foundation
Not Applicable
o
o
o
o
o 3000
o 12000
o 4000
o Other
Type of Construction
DFire Resistive-Type A
DFire Resistive-Type B
Mechanical Information:
No
XJ Sprinkler System Provided?
XJ Fire Alarm Provided?
XJ Other Detection System Provided?
XJ Emergency Power Provided?
DA
DMetal Frame Protected 0 Exterior Masonry 0 B DWood Frame Protected
o Heavy Timber DMetal Frame Unprotected ::rtJWood Frame Unprotected
Type of Heating Existinq Net Rating of Heating Units
DETERMINATION OF FEES Total Vol. /1000 (Building) Minimum Fee $70.00
(See back of form) X 1.08 = $
Area Height Volume Total Vol.!1000 (HVAC) Minimum Fee $70.00
X .81 = $
X = cu. ft. Alt. Area Minimum Fee $70.00
X - cu. ft. X .02 = $ $ 70 . 0 0
o Structural o Exhau~t o Illumination
X = cu. ft. o Ftg & Found o Revision $
Total Volume or
Total Area of Alteration = Min. Area o Permit to start $81.00 $
o PRIORITY PLAN REVIEW.
FEE IS EQUAL. TO THE TOTAL PLAN
EXAMINATION FEES. $
PUBLIC RECORDS: Inspection Fee
This plan, and related documents, may be subject $ 65.00
to public inspection and copying, See Ind. 69.09{8l Total
for additional information regarding public records. $ $135.00
FOR OFFICE USE ONLY
Amt. Rec'd. Rept. No.
DESIGN AND SUPERVISION UND 50.07 - 50.10)
The design, plans, computations and specifications for this project have been prepared under my supervision. I am registered as an IKI Architect 0 Engineer
o Designer in Wisconsin as provided in Section 443.01 of the Wisconsin Statutes. 0 I am not registered. If this building, existing and additions, contains
over 50,000 cu. ft. total volume, it must be designed by a registered person.
7-30 82
1018 W. South Park Avenue
Post Office Bos 2096
Oshkosh, Wisconsin 54903