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Home My WebLink About0044913-Building ~ CITY OF OSHKOSH PERMIT - APPLICATION AND RECORD ~'3~ N! 44913 TYPE: BLDG k"HTG 0 ELEC 0 PLBG 0 SIGN 0 ZONING C. L FLOOD PLAIN HEIGHT - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . - - - - - - - - - - - - - - - - - - - OWNER ,~7& So k~-elkr- _DJ ;&/\&0-\<- PLAN NO. ADDRESS 1\ BUILDING CONTRACTOR Size Sq. Ft. Foundation I'c-:r HI'o--<~ CuI- # Rooms ( ~'<L.D # Stories Height Occupancy Permit Class of Const. HEATING CONTRACTOR c~~/ Heat 0 AlC 0 Vent 0 Fuel/System Heat Loss BTU'S ELECTRIC CONTRACTOR S/(') [ CL r-- Electric Servo New 0 Change 0 Temp 0 Type _ Volts _ Amps_ Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR _BT _WH ~S~ _WC _Sh _FDr _ L Tub _Disp _DW _SP _ Eject _ WSoft _DF _ CBasin _Ur _ San. Sewer _ Storm Sewer _ Water _Lav _Sink Other _SS ~p-- -. ISSUED BY Park Dedication $ Final/O.P. ork I agree to perform all work pursuant to rules governing the described construction. ADDRESS ~L1~ 57// &,126EJ.J V,4u..-e- y Rd s-ho hs- . om Z.-:r/-t!!Jb,3S- SIGNATURE TELEPHONE # O~ER~r~ DATE 't1If!J: PERMIT # 449/3 . )Jr~+- GENE CONTRACTOR Cd . ZONE ADDRESS alto ~. )~or USE WOJk c.ons.1sts of .TnMll./-. ?,lI:,h (l(lf1nt .'?fXJ_ej infD r~-Iru P "Silk (L Ik+" MASON - CONTRACTOR Width of lot Jl:~::~~ f;:~~~ -z:r Oc-a- ~' I . ~ 4J o .... ~ o .c ...,. 0. CD Q " , i 1\ .... - "" ... l/ "' .. , j, , MAiLING ADDRESS Front of lot 1 ~ OJHKOJH ON THE WATER City of Oshkosh P.O. BOX 1130 OSHKOSH, WI 54902-1130 May 8, 1995 Landmark Unlimited Partnership III Ron Detjen 304 Ohio St. Oshkosh, WI 54901 Jim Larson 600 So. Main St. Oshkosh, WI 54901 RE: 376 So. Koeller Interior Alterations File #E3-70-595 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 bui Iding wi 11 be inspected during construction and inspection will be made after completion to insure compliance with city and state codes. a f ina 1 complete 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. Sincerely, Allyn Dannhoff Chief Building Inspector cc: Lee Erdmann HVAC Inspector ~ Wisconsin Department of.lndustry. Li.\li>or & Human Relations Sa'fety & Buildings Division Bureau of Buildings & Structures BUILDINGISTRUCTURE/HVAC PLANS APPROVAL APPLICATION :$7(0 So I<e>elk/ - Complete Both Sides - E-File " ~... I ~CP Ce~L 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 $)r Structure Designer , .' Information Name l-ANIPH.A~t<=. t-tJl.lI.-IH I~r:;:> Building Occupancy Chapter(s) And Use: Designer I Reglstratloo It 'rA~I"" ~fli:~HI po 1\1 C.HA~~ .:6+ I Re.-r AI L... JAMES LARSON A-4424 Company Name Tenant Name (if any) DesignFirm ~e. ~ A~ -?\ l.l<. <<. ART {..fA 1.-1.- };.Rl' JAMES E. LARSON, ARCHITECT Number & Street Builaing Location (number & street) Number & Street ~~4 OHIO '$.-r~'" ?oO ~.. \<'&>It L L.~ ~P' 600 S. MAIN STREET City. State. Zip Code W\ )Q City D Village D Township Of City. State. Zip Code t%H Ko~ ~~ol O$H Ko>tl OSHKOSH, WI 54901 Contact Person . County Of Contact Person Rt!>K D~'\-.\e.N W IIotNE!eM6fO JAMES LARSON Telephone Number Property 10 No. (tax parcel no. - contact county) Telephone Number I Fax Number (41+> z~tp - 1070 (0- ~11 , (414).233-8442 (414) 233-3750 Fax Number Government Owned 0 Yes ~NO Return Plans To: o Owner ~ DeSigner (4-14-) -z..~(q ..1071 Government Leased Or Operated 0 Yes fS{ No o Other 4. Building History 5. Construction Class Requested 6. HVAC Designer Information PrevIous Owner(s) (ifany) D 1. Fire Resis~ive Type A Designer I Registration # D 2. Fire ReSIStive Type B 0 3. Metal Frame - Protected Design Firm D 4. Heavy Timber PreviousPlan or File No. D 5A. Exterior Masonry - Protected Number & Street 0 ' 5B. Exterior Masonry - Unprotected , Variance No. I Preliminary No. ~ 6. Metal Frame - Unprotected City. State, Zip Code 7. Wood Frame - Protected Other Information (previous use. last submission) 0 8. Wood Frame - Unprotected Contact Person ~"f~ Ar'f"P;VV ~ fotz, e.Wlc. ~AL If plans do not show compliance with requested rLA~~.: q(l""~~~1I" ..6 Construction class but are approvable at a lower Telephone Number I Fax Number class, do you wish approval at the lower class? DYes o No ( ) ( ) 7. Building Information 8. Submittal ~equest 9. Supervising Professional Information ~ Complete Sprinkler- NFPA l~ Project Review Requested ~ For Building ~same As Buildmg Designer Partial Sprinkler - NFPA o New o Footing/Foundation o For HVAC o Same As HVAC Designer 0 Unlimited Area ~ Alteration );fBuilding Supervising Prof (if different from designer) 0 Fire Alarm 0 Emergency Power DAddition o Permission To SAME - JAMES LARSON 0 Smoke Oetection D Hazard Enclosure D Revisions Start Registration II o Use Change o HVAC A-4424 I D ILHR 70 Hist Code o Truss , Total Number of Stories Number & Street Building Footprint Area '1,.(P J ~~5.1 I sq ft o Variance DPrecast 600 S. MAIN STREET DPreliminary o Structural Soil Bearing Capacity S" 6)~tJ psf D Canopy o Laminated Wood City. State. Zip Code )(f Presumed o Bleacher o Metal Building OSHKOSH, WI 54901 D Tower o JoisUGirder Telephone Number o Verified D Other 414-233-8442 10. Related Business Systems - Please call the respective Programfor clarification and plan submittal requirements. o Elevators (608-267-3576) includes: o Passenger elevator meeting ILHR 18 req. o Freight elevator meeting ILHR 18 req. o Part 5 lift (residential type) o Part 20 lift (wheelchair lift) SBD-118 (R. 12/92) o ,Flammable/Combustible Liquid (60B-267-1379) Will any portion of this building be used for storage or dispensing of flammable I combustible liquids ascov red by ILHR 10? D Yes No - CONTINUE 0 RE ERSE SIDE- o Boiler/Pressure Vessel (608-266.1 904) o Mechanical RefrigerationiAC (608) 266-1904 o Plumbing (608.266-3815) S wer: Municipal D Private Sewage System 1- , 11.. Calculation of Fees Area: The area of a floor is the area bounded by the exterior surface of thebuildingwalls or the outside face of columns where there.is nowalt Area indudesall floor '.evels such as subbas~lTlents, basements, ground floors, mezzanines, balconies, lofts, all. stories and all roofed areas including" porches and garages, except for cantilevered canopies onthe building wall. Use the roof area for free standing canopies. Total area is the summation of all floor areas.. . Attach a separate sheetif necessary for the calculations below: Floor Level (specify) Length X I~'" ~(,..ofC:. UJO'~ 0 .~ X X X X X "t.?.i' , t' Width ~1_O" = = Area 1 , ~oo ~&. ~1" ' = = = Total Area = Project NOT located in certified municipality (go to Fee Schedule Table 2.31-1). 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 ;@ Building Only ...............................;...,.,............... Fee o HV AC Only ............;............................................ Fee o Revision To Previously Approved Plan . _ . . . . . . . . . . . . . _ . . . . . . . . . . . . . . .. Fee o Permission To Start ...,............................................ Fe.e o Pre-July 1992 auilding Components ................... _.... _.. _. _... Fee o Other . . . . . . . . . . . . . . . . . . . . . . .. Fee Total Fee = \ ) tJOO '$>(5(. fl' o ~ $ $ $ $ $ $ $ $ Z4V,{)O ~o\oo 13. DESIGNER'S STATEMENT: DESIGN (ILHR 50.07-50.09) ifthisbuilding, following construction ofthis project, contains more than 50,000 cubic feet in total volume, plans are required to be prepared, signed, sealed and dated by a Wisconsi n registered engineer or architect (ILHR 50.07(2)). Signatures and seals shall be original. The department expects, and re'!uires, 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 Design loads have been indicated on the plans. . . . . . . . . . .. . . . .. . - . . . . . . . :.: . . . . ... . , . . . . . . .... 0 Yes )&J' N/A Firewall schematic plan has been included.... . _.. ... .. .... ....... . . . .. . . . .. ..... . .. . .. ... ..- 0 Yes Qr N/A All applicable items required by ILHR 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 c:omply with the applicable codes of the Department of Industry, Labor and Human Relations. al Signature of Building Designer ( s8u~~:~til) Date Signed Original Signature of HVAC Designer Date Signed V~~r- DateSigned Name of Component Design Firm Original Signature of Building Designer 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 of my knowledge and belief, construction has or has notbeen performed in substantial compliance with the approved plans and specifications. Original Signature 0 Pro essional Supervisillg T e Buil ing Date Signed Hayward Off"e 209 W. 1 st Street Rt 8, Box 8072 Hayward, WI 54843 Phone (715) 634-4870 Fax(715)634-5150 La Crosse Office 2226 Rose Street La Crosse, WI 54603 Phone (608)785-9334 Fax (608) 785-9330 C7~7 Madison Office 201 E. WashingtonAve. P.O. Box 7969 Madison, WI 53707 Phone (608) 266-8735 ~ax (608) 267-9566 Shawano Office 1053A E. Green Bay Street PO. Box 434 ShawanO,WI 54166 Phone (715) 524-3626 F." , ',.?4-3633 Waukesha Office 401 Pilot Court, Suite C Waukesha, WI 53188 Phone (414) 548-8600 Fax (414) 548-8614 ~r~~M _.2 t11l L--"':': ~ it'!u "-"''"f.~..../:'i.>;'j,)',,", );'.;,w"'t':.~,.,.....,., .' "i";";~.; rill. ~~-~5i11~.>flr~(:si: