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Home My WebLink About0043103-Building (interior alterations) ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD 2~3 N!f - 43103 TYPE: BLD~HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING ~ FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - BUILDING CONTRACTOR f.;:::r- ~t-r--~ 9o"'~c? Sq. Ft. &i20 Foundation ~JCr':s;: r Class of Const. # Stories (p ~<= ( HEATING CONTRACTOR C ~)J,{,1-V'--G- ( ~c-fi~ Heat D AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR ~hr Electric Servo New 0 Change 0 Temp 0 Type _ Volts Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH )5R tk-e~r0~1 --= Lav _Sh _FOr _ L Tub _Disp _OW _SP _ WSoft _OF _ CBasin _WC _Ur _ San. Sewer _ Storm Sewer _Sink Other _ Eject __SS _ Water SIGNATURE Date Park Dedication $ Final/O.P. ISSUED BY - ADDRESS all work pursuant to rules governing the described construction. IJ;?J h1 DATE ,eLJ ~l-g~~ TELEPHONE # ,! OWNER DATE Aa-Jl~ (J-!U>(? sf PERMIT # .Lf..\i 0 ~ ;4r'~ G CONTRACTOR C :J..../'.g) "-(2 c;y ADDRESS "3go s'e ~ I USE Wo"Xk consists of~lec:f~ ~~_~ ~~~~ .. . . .-F~ <</ <M. '-W1-- ;-1;1 f?C-. I~/~./>o ~~Jd t. y ,(,ee MAILI}fG ADijJtESS #_ ~-& o~ e- ~ )>cr_ ~s ( :s: [~ C2 v.. {;.-~ MASON - CONTRACTOR Width of lot ~ o .... 'IW o .c ~. 0. tD Q J~ ,I' .... - .... ,1\ - ~ 1.;- I' , ,~ J\ , Front of lot ZONE DATE \~\v'tti .~ ~, BUILDING/STRUCTURE/HV AC PLANS APPROVAL APPLICATION - Complete Both Sides - "'WiscoXGn Department of Industry. labor & Human Relations Safety & Buildings Division Bureau of Buildings & Structures E-File E - I z.(Pv~1 Scheduling Information - complete when calling to schedule review: Plan No. INSTRUCTIONS: Fill in all applicable data. Caution: Failure to complete the form entirely may cause additional delay. Submittal of this Plans Approval Application is required for each building. Submit this form with at least 4 sets of plans which include details and data as required by ILHR 50.12. Plans may be submitted to any of the plan review offices listed on the reverse side. Projects are scheduled for review. Please call the selected office prior to submittal. Any components submitted independently from the building plans must be submitted to the office which did the project's initial review. 1. Owner Information 2. Project Information 3. Building pr Structure Designer InformatIon Name LA~t>t-1A~'" "'t-lL'M'~ Building Occupancy Chapter(s) And Use: Designer I Registratioo It fAt(r~I!~~HIP 111 t.HAPTEIC ?it I G4f1~oPRAt:.11t. . JAMES LARSON A-4424 Company Name TenantName (if any) Design Firm ~fo1lt A6 A.9tN~ 9<<:. YI..E,{,Cl{~ ~ t::'R. 6IlL. VI LWt JAMES E. LARSON, ARCHITECT Number & Street Builoing location (number & street) Number & Street ~ c:I H 10 -e.~\ ~O() :7. I<O~LL.ER RP. 600 S. MAIN STREET City, State, Zip Code ,.KI City o Village o Township Of City, State, Zip Code o s+lKOS+f I "", ~Ol O$H Ko$t'\ OSHKOSH, WI 54901 Contact Person County Of Contact Person RON DETJEt-l WuJ l'Ui~. e.A6I 0 JAMES LARSON Telephone Number Property ID No. (tax parcel no. - contact county) Telephone Number I Fax Number (4/4) z.~(Q... 1010 (P~S.-r7 (414).233-8442 <414) 233-3750 Fax Number Government Owned 0 Yes ~NO Return Plans To: 0 owner~DeSlgner <A 14- } ~?Co~'o1q Government Leased Or Operated D Yes ~NO D Other 4. Building History 5. Construction Class Requested 6. HVAC Designer Information PrElvlous Owner(s} (if any) D L Fire Resistive Type A Designer I Registration # D 2. Fire ReSistive Type B D 3. Metal Frame - Protected DeSign Firm PLAtt IU. D 4. HeavyTimber' Previous Plan or File No. et...~IO-oI3.,-e D 5A. Exterior Masonry - Protected Number & Street ~"A"E. At~R'tJV~P ~ es.Lt;)6(. ~1t,,1..t.,.. D 5B. Exterior Masonry - Unprotected Variance No. I Preliminary No. X 6. Metal Frame - Unprotected City, State, Zip Code D 7. Wood Frame - Protected Other Information (previous use, last submission) D 8. Wood Frame - Unprotected Contact Person If plans do not show compliance with requested Construction class but are approvable at a lower Telephone Number I FClx Number class, do you wish approval at the lower class? . DYes D No ( ) ( ) 7. Building Information 8. Submittal Request 9. Supervising Professional Information 'Xl Complete Sprinkler - NFPA I'? Proiect Review Requested .[J For Building ;R]same As Building Designer D Partial Sprinkler - NFPA DNew D Footing/Foundation DForHVAC o Same AS HVAC Designer D Unlimited Area D Alteration ,;BrBuilding Supervising Prof (if different from designer) D Fife Alarm D Emergency Power D Addition D Permission To SAME - JAMES LARSON D Smoke Detection D Hazard Enclosure }(Revisions Start Registration # D Use Change DHVAC A-4424 Total Number of Stories , D IlHR70 Hist Code D Truss Number & Street Building Footprint Area t.(P~ .11 sq ft D Variance D Precast 600 S. MAIN STREET D Preliminary D Structural Soil Bearing Capacity ? {X)O psf D Canopy D laminated Wood City. State. Zip Code )8f Presumed D Bleacher D Metal Building OSHKOSH, WI 54901 D Tower D Joist/Girder Telephone Number D Verified D Other 414-233-8442 <>0 ....,._,..."...,..,............... 10. Related Business Systems. Please call the respective Program for clarification and plan submittal requirements. D Elevators (608-267-3576) includes: D Passenger elevator meeting IlHR 18 req. o Freight elevator meeting ILHR 18 req. o Part 5 lift (residential type) D Part 2.0 lift (wheelchair lift) SBD-118 (R. 12192) D Flammable/Combustible liquid (608-267-1379) Will any portion of this building be used for storage or dispensing of flammable I combustible liquids ascovered by IlHR 10? D Yes No . ~ CONtiNUE ON REVERSE SIDE- D BOiler/Pressure Vessel (608-266-1904) D Mechanical Refrigeration/AC (608) 266-1904 o Plumbing (608.266-3815) Sewer: Municipal D Private Sewage System 11. Calculation of Fees Area: The area of a floor is the area bounded by the exterior surface of the building walls or the outside face of columns where there isno wall. Area includes all floor levels suc;h as subbCis~ments, basements, ground floors, mezzanines, balconies, lofts, all stories and all roofed areas including porches and garages, except for cantilevered canopies on the building wall. Use the roof area for free standing canopies. Total area is the summation of all floor areas." . " Attach a separate sheet if necessary for the calculations below: Floor Level (specify) . Length X fl~s:r FLoOt<:. qO:'4-11 X X X X X Width \ RR.e6uJ L.AR < Total Area = o Project NOT located in certified municipality (go to Fee Schedule Table 2.31-1). Jii$ Project located in certified municipality (go to Fee Schedule Table 2.31-2). (See Fee Schedule for list of certified municipalities.) o Building and HVAC ........................................,....... Fee :Kl Building Only .......'.............................................. Fee o HVAC Only............... ........;................................ Fee o Revision To Previously Approved Plan ................................ Fee o Permission To Start ................................................ Fee o Pre-July 1992 Building Components ........................... _ .. ... Fee o Other . . . . . . . . . . . . . . . . . . . . . . .. Fee Total Fee = , , -d. -'~ , . = Area (po~1, ~1 <?,P. = = = = &o~'1.:,7 'S.F. $ $ ;tfe,O, 00 $ $ $ $ $ $ -4eo,()() 12. OWNER'SSTATEMENT (ILHRSO.11): I request that plans be reviewed for com'pliancewiihthecodereq'ufrementsset forth in Chapters ILHR 50-64 of the rules of the department. I recognize that I am responsible for compliance with all code requirements and any conditions of plan approval. If this building exceeds 50,000 cubic feet in total volume, I will retain a supervisi rofessional as required by ILHR SO.10throughout construction to project completion and the filing of a Co atem the supervising professional. Name & Title X ~-<~ Print "'- Original . 13. DESIGNER'S STATEMENT: DESIGN (ILHR 50.07-50.09) ifthisbuilding, following construction of. this project, contains more than 50,000 cubic feet in total volume, plans are required to be prepared, signed, sealed and dated by a Wisconsin registered engineer or architect (ILHR 50.07(2}). Signatures and seals shall be original. The department expects, and requires, that the project designer review individual component submittals for compliance with the general deSign concept. The project designer, and department, will rely on the seal of the component designers for compliance with the codes as they apply to their designs. Total cubic foot volume of the building upon completion of this project: 0 Less Than 50,000 ~ 50,000 or Greater ~esign loads hav? been indicated.on the plans. . . . . . . . _ . . . . . . .!. . . . . . . . . . ::. . . . . . . . . . . . . . . . . .. 0 Yes AQ N/A Firewall schematiC plan has been Included. ........................,............... .......... 0 Yes ~ N/A All applicable items required by !LHR 50.12 have been included. __............. ........ __...... .... ~ Yes 0 N/A I certify that the submitted plans were prepared under my supervision, are accurate, and to the best of my knowledge comply with the applicable codes of the Department of Industry, Labor and Human Relations. o ina Ignature of Building Designer ( sBut~:~t~l) Date Signed Original Signature of HVAC Designer Date Signed 14. SUPERVISING PROFESSIONAL'S STATEMENT: (ILHR 50.10} I have been retained by the owner as the supervising . professional per ILHR 50.10 fc,( the performance or supervision of reasonable on-the-site observations to determine if the construction is in substantial compliance with the approved plans and specifications. Upon completion of construction, I will file a written statement with the department certifying that, to the best c>f my knowledge and belief, construction has or has not been performed in substantial compliance with the approved plans and sped fj cati ons. ~.~,goatu,. ot poo:on.' 'UpeN'''''g Th. 'ulld'ng ~.t. 5;gn.d . . O';g;oa' 5Ign.tu,. ot poof,,,;on.' 5upe"','ng Th, HV AC Date 5Ig",d ~~ rZ~/O .(t 4.- Hayward OffICe 209 W. 1 st Street Rt 8, Box 8072 Hayward, WI 54843 Phone (715)634-4870 Fax(715)634-5150 Name of Component Design Firm la Crosse Office 2226 Rose Street la Crosse, WI 54603 Phone (608) 785-9334 Fax (608) 785-9330 Madison Office 201 E. Washington Ave. PO, Box 7969 Madison, WI 53707 Phone (608) 266-8735 Fax (608) 267,9566 - Shawano OffICe 1053A E. Green Bay Street P,O. Box 434 Shawano, WI 54166 Phone (n5) 524-3626 Fax (715) 524-3633 -:,~J:+.(::#; Waukesha OffICe 401 Pilot Court, Suite C Waukesha, WI S3188 Phone (414) 548-8600 Fax (414) 548-8614 , ~ ~~ '-"!I' (f) OJHKOIH ON THE WATER City of Oshkosh P.O. BOX 1130 OSHKOSH, WI 54902-1130 December 14, 1994 Landmark Unlimited Partnership III 304 Ohio street Oshkosh, WI 54901 James Larson 600 S. Main street Oshkosh, WI 54901 RE: 380 S. Koeller street Interior Alterations File #C3-150-1294 Dear Sir: Building plans have been reviewed by this office for compliance with important code requirements. The drawings are stamped "Construction may proceed." All items that are required to be changed by this letter must be corrected before commencing that part of the work. This approval is not a Building Permit. Necessary city permits must be secured before commencing work. You are hereby advised that the owner, as defined in Chapter 101.01(i) of the Wisconsin state Statutes, is responsible for all code requirements not specifically cited herein. Code requirements are set forth in Chapters 50 through 64 of the rules of the Department of Industry, Labor and Human Relations. The building will be inspected during construction and a final inspection will be made after completion to insure complete compliance with city and state codes. The architect, professional engineer, builder or owner shall keep at the building, as evidence of approval, one set of plans bearing the stamp of approval. ILHR 64.02 This approval does not include heating and ventilating. Such plans are required to be submitted and approved prior to installation of such equipment. ILHR 51.15 Provide directional exit lights at NE and NE corners of corridor loop. /I Inspector cc: Lee Erdmann/Heating Inspector