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Home My WebLink About0058202-Building 0- OSHK6SH CITY OF OSHKOSH No 0058202 BUILDING PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 21 OO~ HARRISON ST Designer Kempinger Owner ALL AMERICAN BOTTLING CORP Contractor FOX CITIES CONST CORP 5/4/97 Create Date 5/28/97 Category 211 - Alteration Industrial Plan F3-115-795 Type . BUlldmg o Sign o Canopy Class of Const: o Fence o Raze Zoning Size 23x140 approx Unfinished/Basement Sq. Ft. Rooms Height Ft. U Projection I Canopies Finished/Living Sq.Ft. Bedrooms Stories Garage Sq.Ft. Baths Signs Foundation Poured Concrete 0 Floating Slab Concrete Block 0 Post o Pier . Other o Treated Wood Occupancy Permit Not Required Flood Plain Height Permit Park Dedication # Dwelling Units o # Structures o Use/Nature of Work ( i HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $20,000.00 Plan Approval $0.00 Permit Fee Paid $80.00 Park Dedication $0.00 Issued By: Date 5/28/97 Final/O.P. o Permit VOided I Date d2K(07 0/ c("\ lQ Signature e rm all work pursuant to rules governing the described construction. Address POBOX 77 OSHKOSH WI 54902 - 77 Telephone Number .~ "'~l--' ;(~) !\j ~ ~------:-~'':'_'_'';'''''_.~':;'"-_-'''---'-''. -_.._.._-_.._.,..,.--._-_.,"---,-'---._~ --""="""_""'''''':;;:"~'''''-'__',",:_~-''''~~,_.~.-.~","__~_..,u",~._~~--..,...~- =-,,=.-~~=-==~.--~c=~ Building Permit Work Card Jo~Address 2100 -2110 HARRISON ST Permit Number 0058202 Create Date 5/28/97 Owner ALL AMERICAN BOTTLING CORP Contractor FOX CITIES CONST CORP 5/4/97 Category 211. - Alteration Industrial Type . Building Zoning Unfinished/Basement o Sign o Canopy o Fence 0 Raze Size 23x140 approx Plan F3-115-795 Class of Const: Rooms Sq. Ft. Bedrooms Finished/Living Baths Sq.Ft. Value Garage $20,000.00 Sq.Ft. I I Projection I Signs Stories Foundation Poured Concrete Concrete Block Height o Floating Slab o Post Ft. Canopies o Pier o Treated Wood . Other Occupany Permit Not Require Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures o Use/Nature of Work HVAC Contr Plumbing Contr Electric Contr Inspections: Date Type Inspector U Approved <! '"INSPECTION REPORT: ADDRESS:2//L7 Irk, i~ i- / ..sOIA CONTRACTOR: ~}<. C!-i'r/./t:S Date /I::sh'&-' Request Taker/By I Time Called In Insp. Needed r, Requested By Of Phone # Project to be Inspected Means of Access sJ- . ~ / -" f:tt.?Oi- CJ('{ic-eA<'.I~ efe/ Comm/Res BUILDING: PLUMBING: ELECTRIC: HVAC: EROSION CONTROL: MISC: Footing Rough Rough Rough Tracking Other Foundation Test On Service Furnace Silt Fence Rough Underfloor Arnps_Ph_ AlC Stone Access Insulation SewerfWater_ _ Ternp_Perm____ Fireplace E,C. Bales Bsmt. Floor Reinsp. UG_OH_ Reinsp, Reinsp. Reinsp, Final Reinsp, Final Final Final ~ Other Final Other Other Other Other ITEM# ORDER INSPECTION RESULTS A/.'~ ~"''''''''''''''-'''S A4{.--e/ I' /J,/J ;; 1 -/ /,,",.JP ~ Y 0 ~t I , I VIOLATIONS MUST BE CORRECTED AND APPROVED BEFORE CONCEALMENT! CALL FOR INSPECTIONS (' r-\ction Taken:~~ved 0 Not Approved! Inspection Report left on site 0 Not Approved! Correction Notice mailed o Verb.(f~tice to Signed t1;:J:;;?. Inspection Services Division Phone Number Building Permit Work Card Job Address 2100 -2110 HARRISONST Permit Number 0058202 Create Date 5/28/97 Owner ALL AMERICAN BOTTLING CORP 'Contractor FOX CITIES CONST CORP 5/4/97 Category 211 - Alteration Industrial Type . Building Zoning Unfinished/Basement o Sign o Canopy o Fence 0 Raze Size 23x140 approx Plan F3-115-795 Class of Const: Rooms Sq. -Ft. Bedrooms Finished/Living Baths Sq.Ft. Value Garage $20,000.00 Sq. Ft. I I Projection I Signs Stories Foundation Poured Concrete Concrete Block Height o Floating Slab o Post Ft. Canopies o Pier o Treated Wood . Other Occupany Permit Not Require Park Dedication Flood Plain Height Permit Use/Nature of Work # Dwelling Units 0 # Structures o HVAC Contr Plumbing Contr Electric Contr InsP""'ffi Date b. . A4 Ilh t..dt- /;;P~ Jh,,/~ ~-e. ~J-/~ Inspector U Approved I Type j:;~ j . richard kempinger architect ~ ~ 1488 WEST SOUTH PARK AVE - P.O. BOX 2903 - OSHKOSH, WISCONSIN 54903 (414)235-3310 FAX (414)235-4002 J.,. Date: ~IL ;;p, 1237 City Of Oshkosh Building and HV AC Plan Review Division 215 Church Avenue Oshkosh, WI 54901 RE: File No. ProJect Address City ~511 up t fZCl ~~U~ C(). -2..1 '0 Y A.Ilk...I cc.., DN O~ t-+l)O~t+ L...JI City of Oshkosh: t( ~, f2a)I~()~ Enclosed are the followinlfor your review and approval. /1. SBD 118 ./2. Owners check 3. Four sets of,,:;t stamped plans f i2.E:1)\~ ~-~ .....-:- . .... . '.? tH~~~ ~ QRe-Sd:,<<~maa4a:le?s,~ q~~1d.ll.~IEt..> L~ 7-~-';:) RiCharlt~mPinger AIA --. c. Ownerw/copy ofSBD 118 --, c: If omlS\oshb-hdv. "Ix! November 1995 / ... "I'/~ / ~ ~' Wisconsin Department of Industry, ' labor 80 Human Relations Safety & BUildings Division' Scheduling Information - complete' "'Jreau of Buildings & Structures when calling to schedule.rev.lew:;': 'i 'j},';' Plan No: ~"I'!i " ,:' t,"..'.:~...... ..~.;.::~~:.,c. "N.,.;',l".,'_" .:';" ' .,.;....."..w".";,.~..",V,0,~"",~;,,.,,..;.,,,,,."',,.;;;..:,;.._,,.._..~"'."''-'".,'''.~t''',''''~~;[,\;Ji"'',,-''''',,~~~''~~M.''';,:'.::.:.:,,',,,'_,~~'",.'''''''_..__,,_''''' ...STIWCTIONS: Fill in'all apr;!acable data 'Caution: Failuretoc~mpl,ete,the'form entirely may cause'additional delay, Submittal of this Plans Approval '. ^pph~'dtlol\ IS r(!qUlred for ~a~f:! bUIlding Submit thiS form With at least 1 H'tS of pldns whICh Include det.llls and data as required by IlI:/R 50,1]. 1'1,,1\\ ,,('(,lay be\; submitted to dny of flie plan review o.fflCes liStedol'j.t!1erever,se Side:. Projects are sched.ule<l.for,.r~vlevy,. p,le~se,cal' tt)e sel.e,cted.oJf!ce P(!R!, to , . submittal. Any components submitted In'dependentlyfrom the bUilding plans must be submlttedto'tl:!eo~fice which didthe'project's initlalreview~~___~:' ......,. Area '. .... :3 {pO ( '"l;~;:'"'- "::,"'~"-" .', ,~. '''''~~.'~,'''''- ,,- ~..........".,... ~ = ."~""" ;: '.... ~ ,., ',. . :...,;,,", ,...., . r,t~~~},~';~.' ~o ',";"-'> ; ~.,,! ~ .j,'" J?) ,~..>.,. " '. ,..'< t ':_,,,,\'.C,:~t~:':!~'~,,'~{',i~:~{l,~:l:'l X" ~ = ,_.,.."'.,_.n....._.~.....,.'..~'~., .."".. ..',.,.,..... -I ."~ jM}'O ., f3.:Tc>\IV~ E ..~SS T<' T.E.vi E NT (I[A R ,0: "') ::'I',o<\.,.,t tnal.plans'bei.v1.wod' for com plianc. with \h.cod. requli.m.nls set i.." :". #~Io"hj n. Chapter'.1LHR SO-64 .otthe.rul.':otthe. d.partrMnt. ..1 r.cogniz. that I arri.re<ponsi bl. lorcorripl i aric..with. ..':;:~."'. all code requi rements and any conditi'ons Of plan' approvaL If this building exceeds 50,000 cubic feet in total volume, I will retain asuper:vising professional as required by ILHR 50.10 throughout construction to project completi'on and the filing 'of a'Compliance tateme t by the;supervisingprofessional prior to occupancy. ....,' . .,~:. ~,';"":,!,':;("._, ~h'"'"'' '. .. .",r~I~~~;::;\";";'~'~~;~~::~~:i~VQrJQdr\llllli,i~c:: J.P.. JD P(Ul'itI~ \ .,,>Ongln. " .'I...."L',~' ,;\.'>J,,;...,,....,.v,,,",I Pnnt 14:.;OESIGN ER'S S TATEME.~ . Df{. G N'1Il~R,0.07 - .09)H.thls ~uildi ng. f ollowl ng:c~nstruction of this project, contains ~ ~...~,;,.~m.or.. than 50,000 cub" ..t total vol.um., pi ans are reqUl'.d to b. pr.par.d, "gnod. s.al.d and dat.d by a ,"";;,'Ms~o~s~~regist.r.d .ngi n..r or archlt&t ~ LHRSO.07(2))..,Signatur.s and seal"hall b. original.. ....~ .......~.. ; ,~;r"tfe"de'~~rtm .~t .xpects. and r.qui res; ii'iarth.' prolect' diislgn.r revi oW individOal compon.nt submittalS fof. "c,' ,,<..;oomplia nc. with the g.n.ra I design co~c.p\. Th. project d.signer. and d epartin.n~ will r.ly on th.~.al of.th. . iiri.c~');'Po"...".t~~~i g,ners forcomplianc. ti\hth. c,,?esas~heY ,apply to their d.slgns:' ..... .'. .' ;.~.;~ '" ;., .. . ~'T(;tal"<~bl<!iootVOI um. ofthe buildi n'g'ii1>O'nco~'PI'eii~~ 61this proj.ct:D . Les'Than SO.?OO #0 ,000 rif'1i;e'~t~,~,,- :;m;J~~~~~I\~f~~~~i~cb~:A~~ib:~-:i~~I~~:~~;;;,~',~:ti';;~ f" ,:: ,: ;',..)8. . ." ')'1'::,.; ,'. . ,2:';:'~:'~~::-~'~~fA'''; .... .ji' '.~I~~eP;!~~(;".':'~;~~U!~~~y I~R ~~:~:~.~~".~~d~d...d:_:,;.:,;(\:: .;:,,,.. .....~.. ::. ....,...:~es"."O NJA .' . t .. tn ,.'tibmitled plans wen! prep5red urid,,(rri'y ,up.rvisi on. are accurat.. and to.th. b.,t of rriy knoWiiidg.:,,',:.' Iy...., ,'applicable c'odes of tt1eDepartment of Industry; Labor and Human Relations.,;" . '''i'.,; "p'n!:.;,,;', ,.. ," ,: -'.c":.~?f')';i :"'>-':;'f-"'.;"~/'" .,- ...."..;('....'7.: ".. '"':'c'- "";i','".:", '.:::;7;'i:;;;,:;~',' ,,'-.':;--:":'" ..., ......... . ...."..,..: Build,,~g ~,~~!,?~~.r,,,J,}u\Jjldi~ ;.\. r:~~~,.~~.g~'~~~;"':':~T'" . . O~iginal Signil~u~~ of HVACDesigner '. ..' ", .."..../. ),-.;,' 't!J . 1>''" ..' -,' "'r:~;'~/;':,V~"'" "":~/:/ :'~'-f' ' Name of Cdmponent fabricator;'"" .. " ' ttxL'''Y''il Total Area '. ,'~ = ,t, .,. '.' . t ' ,. '.' '(.' '" ", .' ", ' ,~.' " .,. . '.. . >.0 ,',~r.oject NOT located in certified mUhicfpaiiiy '(go to Fee Sch'eciule,1able 2.31-1). '?'O"project located in certified muhicipality(go to Fee Schedu!E! Table' 2:3'1';;2). ,,,.q,.,,JSeeFee Schedule.forlist' ofcertifie'dmunicipalities.) \.:: '",,"'A' ,'C'.;)(" ; ..i""!':"ij" uildin'g" and" .HVAC \.;,-""..,:,:.:".t.',;J'h\,"'''l;: ':.., ,,,' " "'Fee',;:$' ..c.:.. ".,................................... ..... .............. ;"";;f"i,,. ;..Buil~ingOnly. ....,;..;,....:::..';';~ :.lf~~,~.i;;,:>::;:':.. ....... r: ..:........... i."FeeS . IHVACOnlY .....;...........i ;~'.";".';'.. :'.:.........: ..............:. ,Fee' . $ ",;1.'.,' d' ':': Revis~o~ To Previously APproveCl:~~a,n''''-:''''''''''''::'''' .......... ;:'.::Jee~"..$ , '. , ':tl', ,permlsslonToStarL,.....v"....i,':":.:.............. ... .........;.,,,Fee $ 'r) ,:"O..Pre-July 1992 Building Componen~s~0: :t:;.:......... ............. .'l Fee . $ . ~ ,..0" ?!~..~r,.. :.: - -=;,{;O .. .. ",,',;.,.;,'tg\~{~~~ . Y1t::' ~ :-.f"i ~_,__~.~~.,_ _ '_'_~"'"~'A.'."~,"' ....' . . -~ ~, :. ,:_~' {'~;',.; i' ~ '{I ',,,7 , t:;: j,;'f ' ,,';'IOD..CfJ -~ . .{\ Ig . re:()~f.. 3.,'d', . .1 VI' I -~.." . " . ,'.' , :~r'.1'\f~:f}':" " >: j:':"~'" 15",,",,5" .... RVISI. s"PROFESSIONAL'S STATEMENT:JILHRSO.10) I have been retained b~ltheOwner as'thesupervising,.; . '. ,~,;prof.es"onalp~r ILH RSOc1 Ofor.'h. p.doima",.'or.sup.rvl sion Of r.asonabl. oMhe-,it. obs.rvations to d.t.rmi n. I r . .": th. 'construction 1< in' ,ubstanti al complianc. with the a ppioved plan,and sp.d Ii cotl ons. Upon compl.lion 0 r . _;{~~:construction;J:wiILfile.awrittenstatementwith'.tne.departmentcertifying thatj,to the best of my knowledge and I' I?elief,(or:s r,uctid s or has not bee:nper.forr.nedi~substantial compliance wit~ the approved plans and.;. ",. -?s ec 1 I tlO ........' ,....,',..,.-'<->".'.""~'~r."..""''''~'''..,.....'~.;~''''.'~..".-.-."."..<'""..~.~_....,..".,. ..~.",~,~_...".._...,,_:i..., ,. "..,...... .".,." """.... . .."...w'''' ". . ..., ......_"."". ... ,.. ..0......... QriginalSlgn,at re . r fess'Ona'. s~pervlsing T~~:BUildl.~9[)~te,Slgne.d., ;. ,., , o.nglnal Signature of pr.ofessional SupervIsing The,HVAC Da~e Signed.,. . I ,," ,."./1" .'.r,~.{;~IV:"L:::~;,::;:.,,;':~'::,:,.':;::." '. ", ,',;,.: ~........'...................:.....:........:..................-........HCiyWa;d. 0 ffl~ i..... 9.' .... ." La cro~se.Ofllce;':-=.,' ...'.t.'.~...'.:"'...'..~..;......,..,.MadlsonOIf.lce....".."",.,.".""""..........,Shawano OffICe. waukesha Office .' '::.,/"" ,,209 Wi1 st s'treeFI".:.'''; (".2226 Rose Street:,'\i'-i':}{i,: :",2011E; Washington Ave. 13110 E. Green Bay Street 401 Pilot Court. Suite C :i'?/i.... Rt 8. 80)(8&2' '\:""" .'.' La Crosse; WI'511603'I!~'lC',;P.O;Box 7969,,,'"' Shawano, WI 511166 ' Waukesha. WI 531B8 :~:,:..-<;Hayward.WI 511S18 ..' Phone (608)785-9334"":"h Madison,WI 53707<"'''''''''''' Phone (715) 524-3626 '" Phone (414) 548.8600 "';L.if>~hone (715) 634'4870 . !' ,,''':Fax (608)785.9330 . ".: Phone (608) 266.8735 :",: [;Fax (715) 524-3633 Fax (414) 548.8614 . ,<t"i;''0<~~::~::: ::" .'M;d. m" h. J,\D,i;t?;~~{~iiijk:i!li~~~\R~vir ,~'o:((\j (:nlf {lJ' '''' ~.., J> CI1Y HALL 215 Church Avenue P. O. Box 1130 Oshkosh. Wisconsin 54902-1130 City of Oshkosh ~ QJHKOIH May 7, 1997 Mike Abraham 7 UP & RC Bottling 2110 Harrison St Oshkosh WI 54901 Richard Kempinger 1488 W. South Park Ave Oshkosh WI 54903-2903 RE: 2110 Harrison Street Office Remodel Revision to Plan #F3-115-795 Dear Sir: Building plans have .been reviewed by this office for compliance with important code requirements. The drawings are stamped IIConstruction may proceed. II 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. cc: Lee Erdman/Heating Inspector ,~ CITY HALL 215 Church Avenue P. O. Box 1130 Oshkosh, Wisconsin 54902-1130 City of Oshkosh ~ 07HKQ0:j .-.,.~..::. July 1.4, 1.995 Mike Abraham 7UP and RC Bottling 21.1.0 Harrison Street Oshkosh, WI 54901. Richard Kempinger 1.488 W. South Park Avenue Oshkosh, WI 54903 Re: Interior Alteration 21.1.0 Harrison Street File #F3-1.1.5-795 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 1.01.. 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 af~er 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. cC:LE/HI richard kempinger architect 1488 w. SOUTH PARK AVENUE. P.O. BOX 2903 . OSHKOSH, WI 54903' (414)235-3310 FAX NUMBER (414)235-4002 Date 7- u- '1.5 City of Oshkosh Building and HVAC Plan Review Division 215 Church Avenue Oshkosh WI 54901 '\. Re. File 95""Ll prOiect--At,r~nON.\ /~"., ~~CAV I . Add res s ~1I0 ~-"JJ2iH> d~ City O.&H-t~ o~rf- / ~() TT- Co~ City of Oshkosh: Enclosed are the following for your review and approval. 1. SBD 118 2. Owners check 3. Four sets of wet stamped plans 4. One set of wet stamped specs. 5. el,~ 3~t ~.ucttlr~1 Nli.d- 6. 0 II e- se-l of h E'at--!ess.A-cJ1~~bJ:alc~-=- 7. Barrier free evaluation, per ILHR 69.19 (3) R espectfu II y, c. Owner Wisconsin Department of Industry, Labor & Human Relations Safety & Buildings Division Qureau of Buildings & Structures BUILDING/STRUCTURE/HVAC PLANS APPROVAL APPLICATION - Complete Both Sides - I E-File Scheduling Information - complete when calling to schedule review: Plan No. ...STRUCTIONS: 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 ea~ 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 oftFie 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 4. Building History Previous Owner(s) (if any) ~~e.. Previous Plan or File No. -z. , lAt..u<~ 7. Building Information D D D D D Complete Sprinkler. NFPA Partial Sprinkler - NFPA Unlimited Area Fire Alarm Smoke Detection o Emergency Power D Hazard Enclosure Total Number of Stories -L ~J7q,AL,~ ~PSf Building Footprint Area Soil Bearing Capacity o Verified D Presumed Erosion Controllnformat.on ~ess Than S Acres Disturbed D 5 or More Acres Disturbed 2. Project Information DYes Government Leased Or Operated DYes 5. Construction Class Requested D 1. Fire Resistive Type A D 2. Fire Resistive Type B D 3. Metal Frame - Protected D 4. Heavy Timber 121. 5A. Exterior Masonry. Protected A 5B Exterior Masonry - Unprotected D 6. Metal Frame - Unprotected D 7. Wood Frame - Protected o 8. Wood Frame - Unprotected If plans do not show compliance with requeste1 Construction class but are approvable at a lower class, do you ish approval at the lower class? D YES NO 8. Submittal Request Project DNew ~lteration D Addition o ReVisions o Use Change o ILHR 70 Hist Code o Variance o Preliminary o Canopy D Bleacher o Tower o Other:(specify) Review Requested o Footing/Foundation D Building D Permission to Start D HVAC D Truss o Precast D Structual o Laminated Wood D Metal Building o Joist/Girder 3. Building or Structure Designer Information Return Plans To: DOwner. esigner D Other: (specify) 6. HVAC Designer Information Registration # Project # Number & Street City, State, Zip Code Contact Person Telephone Number ( ) Fax Number 9. Supervising Professional Information ~or Building Same As Building Designer D For HVAC D Same As HVAC Designer Supervising Prof (if different from designer) Registration # Number & Street City. State. Zip Code Telephone Number ( ) 1 10. Related Business Systems - Please call the respective Program for clarification and plan submittal requirements. Elevators (608-267-3576) includes: D Fire ServlCeProvided D Limited Use/Access D Passenger elevator D Freight elevator o Part 5 (residential lift) o Part 20 (wheelchair lift) o Flammable/Combustible Liquid (608-267-1379 Will any portion of this building be used for storage or dispensing of flammable / combustible liquids as~red by ILHR 10? o Yes ~ No D Boiler/Pressure Vessel (608-266-1904) D Mechanical Refrigeration/AC (608} 266-1904 over 50 tons or involving use of amonia SBO(l.11 H If{ 12/94) o Municipal Sewer D Private Sewage System - CONT!NUE ON RFVFqSE SIDE- 12. Calculation of Fees Area: The area of a floor is the area bounded by the exterior surface of the buiLdingwalls or the outside face of columns where there is no wall. Area includes all floor levels such as subbasements, basements, ground . floors, mezzanines, balconies, lofts, all stories and all roofed areas including v~rches and garages, except for canti levered 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}'t o"f' 15'i J X X X X X Width 23,.~ Total Area o Project NOT located in certified municipality (go to Fee Schedule Table 2.31-1). o Project located in certified municipality (go to Fee Schedule Table 2.31-2). (See Fee Schedule for list of certified municipalities.) .D~uilding and HVAC ................................................ )8J Building Only ..................................................... o HVAC Only ........................................................ o Revision To Previously Approved Plan ................................ o Permission To Start ................................................ o Pre-July 1992 Building Components ................................. o Other . . . . . . . . . . . . . . . . . . . . . . . . Total Fee Fee Fee Fee Fee Fee Fee Fee = Area 3(p17 = = = = = = 13. = $ $ $ $ $ $ $ $ 'Z.t:}o~()O OWNER'S STATEMENT (ILHR 50.11): I request that plans be reviewed for compliance with the code requirements set 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. Ifthis building exceeds 50,000 cubic feet in total volume, I will retain a supervising professional as required by ILHR 50.10 throughout construction to project completi'on and the filing of a Compliance. tateme t by the supervising professional prior to ~pancy. , Owner's Signature: Name & Titlex:JtQ[~ CL1r\M IU6S -- Print GN (ILHR 50.07- .09) if this building, following construction of this project, contains mClre than 50,000 cubi eet. 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 onthe seal of the component designers for compliance with the codes as they apply to their designs. Total c'ubic foot volume of the building upon completion of this project: 0 Less Than 50,000 ~O,OOO or Greater Design loads have been indicated on the plans. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .0 .xes ~N/A Firewall schematic plan has been included. .................................................. ,Jg[Xes 0 N/A All applicable items required by ILHR 50.12 have been included. ............................... ~es 0 N/A I certify that the submitted plans were prepared under my supervision, are accurate, and to the best of my knowledge com Iy wi l:r1:frle applicable codes of the Department of Industry, Labor and Human Relations. 15. SUPERVISING PROFESSIONAL'S STATEMENT: (ILHR 50.10) I have been retained by the owner as the supervising professional per ILHR 50.10 for 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, cons ructio s or has not been performed in substantial compliance with the approved plans and eCl I ti 0 ; Qnginal Signat re ( v -"'""---H-ayward ofFtj1 \ La Crosse OffICe Madison Office 209 W. 1st ~tpeet. 2226 Rose Street 201 E. Washington Ave. Rt 8. Box 800/2 ".. I La Crosse. WI 54603 P.O. Box 7969 Hayward. WI 548'4.3/ Phone (60B) 785-9334 Madison. WI 53707 Phone {7 1 5} 634-4870 Fax {608} 785-9330 Phone {608} 266-8735 Fax{715}634-S150 Fax (60B) 267-9566 Personal Information you provide may be used for secondary purposes [Privacy Law. s. 15.04 (1) {m}]. 14. Date Signed Original Signature of HVAC Designer /, -)"'-9 S- Date Signed Name of Component Fabricator Date Signed 'Z..,:'D_oO J. P. JD P8Jf0ut Date Signed (;. ...11.",-' J Original Signature of Professional Supervising The HVAC Date Signed Shawano Office 1340 E. Green Bay Street Shawano, WI 54166 Phone (715) 524-3626 Fax (715) 524-3633 Waukesha Office 401 Pilot Court, Suite C Waukesha, WI 53188 Phone (414) 548-8600 Fax (414) 548-8614 ~ . 134fl..lL- .:fi2.ff. ~t\(" - '7-vP { o.5Hj OJtf 7-J1-7J"- Priority 1: Accessible Entrance People with disabilities should be able to arrive on the site, approach the building, and enter the building as freely as everyone else. At least one path of travel should be safe and accessible for everyone, including people with disabilities. Yes No Path of Travel (ADAAG 4.3. 4.4. 4.5. 4.7) Is the path of travel stable, firm and slip-resistant? 00 QJO 00 Is there a path of travel that does not require the use of stairs? Can all objects protruding into the path be detected by a person with a visual disability using a cane? In order to be detected using a cane, an object must be within 27 inches of the ground. Objects hanging or mounted overhead must be higher than 80 inches to provide clear head room. It is not necessary to remove objects that protrude less than 4 inches frbm the wall. ~{A 00 Do curbs on the pathway have curb cuts at drives, parking and drop-ofts? Ramos (ADAAG 4.8) J fA - Jo ~,-AHP~ 00 Are the slopes of ramps no greater than 1: 12? Slope is given as a ratio of the height to the length. 1 :12 means for every 12 inches along the base of the ramp, the height increases one inch. For a 1 :12 maximum slope, at least one foot of ramp length is needed for each inch of height. 00 00 00 00 00 Do all ramps longer than 6 feet have railings on both sides? Are railings sturdy, and between 34 and 38 inches high? Is the width between railings at least 36 inches? Are ramps non-slip? Is there a 5 foot level landing at every 30 foor horizontal length of ramp, at the top and bottom of ramps and at switchbacks? The ramp should rise no more than 30 inches between landings. ParkinQ and Drop - Off Areas. (ADAAG 4.6) Are an adequate number of accessible parking spaces available (8 feet wide far car plus 5 faat striped access aisle)? For guidance in detennining the apprapriate number to. designate, the table belaw gives the ADAAG requirements far new constructian and alteratians (far lats with mare than 100 spaces, refer to. ADAAG): 1 to. 25 26 to. 50 51 to. 75 76 to 100 1 space 2 spaces 3 spaces 4 spaces Are 16 faat wide spaces, with 98 inches af vertical clearance, available far lift- equipped vans? At least ane af every 8 accessible spaces must be can accessible Are the accessible spaces c1asets to. the accessible entrance? Are accessible spaces marked with the Internatianal Symbo.l of Accessibility? Are there signs reading "Vall Accessible" at van spaces? Interntaianal Symbo.l af Accessibility: Is there an enfarcement procedure to. ensure that accessible parking is used anly by thase who. need it? Entrance (ADAAG 4.13.4.14) Yes No. 00 00 00 00 00 If there are stairs at the main entrance, is there also. a ramp or lift, ar is there an J/A 0 0 alternative accessible entrance? Do. not use a service entrance as the accessible entrance unless there is no. ather aptian Do. all inaccessible ,entrances have signs indicating the lacatian of the nearest accessible lacatian? Can the alternate accessible entrance be used independently? Daes the entrance daar have at least 32 inches clear opening (far a dauble daar, at least ane 32 inch leaf)? Is there at least 18 inches af clear wall space an the pull side af the daar, next to. the handle? A persan using a wheelchair needs this space to. get clase enaugh to. apen the daar Is the thresh aid level (less than 1/4 inch) ar beveled, up to. 1/2 inch high? ~lA 00 00 00 00 00 Are doormats 1/2 inch high or less, and secured to the floor at all edges? itS No Is the door handle no higher than 48 inches and operable with a closed fist? The "closed fist" test for handles and controls: Try opening the door or operating the control using only one hand, held in a fist. If you can do it, so can a person who has limited use of his or her hands. Can doors be opened without too much force (maximum is 5 Ibf)? You can use a fish scale to measure the force required to open a door. Attach the hook of the scale to the doorknob or handle. Pull on the ring end of the scale until the door opens, and read off the amount of force required. If you do not have a fish scale, you will need to judge subjectively whether the door is easy enough to open. If the door has a closer, does it take at least 3 seconds to close? Emeraencv Earess (ADAAG 4.1.3(14),4.28) Do all alarms have both flastJing lights and audible signals? ~lA Is there sufficient lighting in egress pathways such as stairs, corridors, and exits? Priority 2: Access to Goods and Services Yes No 00 00 0(0 00 00 00 Ideally, the layout of the building should allow people with disabilities to obtain goods or services without special assistance. Where it is not possible to provide full accessability, assistance or alternative services should be available upon request. Horizontal Circulation (ADAAG 4.3) Does the accessible entrance provide direct access to the main floor, lobby, or elevator? Is the accessible route to all public spaces at least 36 inches wide? Is there a 5 foot circle or a T-shaped space for a person using a wheelchair to reverse direction? . Doors (ADAAG 4.13) Do doors into public spaces have at least a 32 inch clear opening? Yes No 00 00 00 00 ~ On'the pull side of doors, next to the handle, is there at least 18 inches of clear wall space so that a person using a wheelchair can get near to open the door? Can doors be opened without too much force (5 Ibf maximum)? Are door handles 48 inches high or less and operable with a closed fist? Are all thresholds level (less than 1/4 inch), or beveled, up to 1/2 inch high? Rooms and Spaces (ADAAG 4.2. 4.4. 4.5. 4.30) Are all aisles and pathways to all goods and services at least 36 inches wide? Is there a 5 footcircle or T-shaped space for turning a wheelchair completely? Is carpeting low-pile, tightly woven, and securely attached along edges? In routes through public areas, are all obstacles cane-detectable (located within 27 inches of the floor or protruding less than 4 inches from the wall), or are they higher than 80 inches? . Do signs designating permanent rooms and spaces, such as rest room signs, exit signs, and room numbers, comply with the appropriate requirements for accessible signage? Controls (ADAAG 4.27) Are all controls that are available for use by the public (including electrical, mechanical, window, cabinet, game and self-service controls) located at an accessible height? Reach ranges: The maximum height for a side reach is 54 inches; for a forward reach, 48 inches. The minimum reachable height is 15 inches) Are they operable with a closed fist? Seats. Tables. and Counters (ADAAG 4.2. 4.32) Are the aisles between chairs or tables at least 36 inches wide? Are the spaces for wheelchair-seating distributed throughout? Are the tops of tables or counters between 28 and 34 inches high? Are knee spaces at accessible tables at least 27 inches high, 30 inches wide, and 19 inches deep? Yes No 00 &8 GO (2) G (2) o o (2) ()) (2) (/) Q) Q) o o o o o o o o o o o .' Vertical Circulation (ADAAG 4.3l Are there ramps or elevators to all levels? On each level, if there are stairs between the entrance and / or elevator and l~ essential public areas, is there an accessible alternate route? toI\ Stairs (ADAAG 4.9l Do treads have a non-slip surface? Do stairs have continuous rails on both sides, with extensions beyond the top and bottom stairs? Elevators (ADAAG 4.1 O) ~ 1 ft Are there both visible and verbal or audible door opening / closing and floor indicators (one tone = up, two tones = down)? Are the call buttons in the hallway no higher than 42 inches? Do the controls outside and inside the cab have raised and braille lettering? Is there a sign on the jamb at each floor identifying the floor in raised and braille letters? Is the emergency intercom usable without voice communication? Are there braille and raised letter instructions for the communication system? Lifts (ADAAG 4.2. 4.11) JIA Can the lift be used without assistance? If not, is a call button provided? Is there at least 30 by 48 inches of clear space for a person using a wheelchair to approach to reach the controls and use the lift? Are controls between 15 and 48 inches high (up to 54 inches if a side approach is possible)? Priority 3: Usability of Rest Rooms Yes o o o (]) o o o o o o o o o No (]) o o o o o o o o o o o o When rest rooms are open to the public, they should be accessible to people with disabilities. Closing a rest room that is currently open to the public is not an allowable option. GettinQ to the Rest Room (ADAAG 4.1) If rest rooms are available to the public, is at least one rest room (either one rest room for each sex, or unisex) fully accessible? Are there signs at inaccessible rest rooms that give directions to accessible ones? Doorwavs and Passaaes (ADAAG 4.2. 4.13) Is there tactile signage identifying rest rooms? Mount signs on the wall, on the latch side of the door. Avoid using ambiguous symbols in place of text to identify rest rooms. Are doors equipped with accessible handles (operable with a closed fist), 48 inches high or less? Can doors be opened easily (5 Ibf maximum force)? Does the entry configuration provide adequate maneuvering space for a person using a wheelchair? A person using a wheelchair needs 36 inches of clear width for forward movement, and a 5 foot diameter clear space or a T-shaped space to make turns. A minimum distance of 48 inches, clear of the door swing, is needed between the two doors of an entry vestibule. Is there a 36 inch wide path to all fixtures? stalls (ADAAG 4.17) Is the stall door operable with a closed fist, inside and out? Is there a wheelchair-accessible stall that has an area of at least 5 feet by 5 feet, clear of the door swing, OR is there a stall that is less accessible but that provides greater access than a typical stall (either 36 by 69 inches or 48 by 69 inches)? In the accessible stall, are there grab bars behind and on the side wall nearest the toilet? Is the toilet seat 17 t019 inches high? Lavatories (ADAAG 4.19. 4.24) Does one lavatory have a 30 inch wide by 48 inch deep clear space in front? A maximum of 19 inches of the required depth may be under the lavatory. Is the lavatory rim no higher than 34 inches? GJO Yes No 00 00 00 00 gO gO 00 00 00 00 QO 00 ... Is there at least 29 inches from the floor to the bottom of the lavatory apron (excluding pipes)? Can the faucet be operated with one closed fist? Are soap and other dispensers and hand dryers 48 inches high or less and usable with one closed fist? Is the mirror mounted with the bottom edge of the reflelcting surface 40 inches high or lower? Priority 4: Additional Access 00 00 Yes No (])O (])O When amenities such as public telephones and drinking fountains are provided to the general public, they should also be accessible to people with disabilities. Drinkina Fountains (ADAAG 4.15) Is there at least one fountain with clear floor space of at least 30 by 48 inches in front? Is there one fountain with its spout no higher than 36 inches from the ground, Ju and another with a standard ,height spout (or a sin91e "hi-Io" fountain)? t~ (41!') Are controls mounted on the front or on the side near the front edge, and operable with one closed fist? Does the fountain protrude no more than 4 inches into the circulation space? Telephones' (ADAAG 4.30. 4.311 Jl~ If payor public use phones are provided, is there clear floor space of at least 30 by 48 inches in front of at least one? Is the highest operable part of the phone no higher than 48 inches (up to 54 inches if a side approach is possible)? Does the phone protrude no more than 4 inches into the circulation space? , Does the phone have push-button controls? Is the phone hearing aid compatible? Is the phone adapted with volume control? Is the phone with volume control identified with appropriate sign age? Is one of the phones equipped with a test telephone (TT or TOO)? Is the location of the text telephone identified by accessible signage bearing the International TOO Symbol? . -'" ' (]) o (}) o o o o o o o o o o o o o o o o 0 o ,0 o 0 00 ;. ~ tf II " GRASSED AREA UJ > 0:: o I- ..J <( :c Cl. (/) .1'C -, co a:: :::J () UJ () Z <( a:: I- Z UJ UJ I- Z > 0 0:: a:: e u.. I- l ..J <( :c Cl. (/) <( <( UJ a:: <( l- e ~I 0 UJ UJ UJ (/) Z a:: (/) ~ 0 I- <( ..J (/) a:: 5 Z 0 co 0 (/) ~. I- 0:: Z a:: :5 <( Cl. :c oUJ UJZ Cl.O Cl.N <(0 ()z oS2 za:: <(<( :C.Cl. UJ > 0:: o I- Z UJ :::2: UJ () ~ V3~V a3SSV~E) -~'::.. Compliance Statement This form is required to be submitted by the supervising professional (architect, engineer, HV AC designer or electrical designer) observing construction of projects within buildings with total areas exceeding 50,000 cubic feet and construction of antennas, towers, and bleachers (lLHR 50.10). Failure to submit this form may result in penalties as specified in ILHR 50.26 and/or local ordinances. 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: ~ Au.. '" AI ~+fc? FF- . The municipal building inspection office~ J''1 e...t;uf",l)' fiftS QwildiAgii, P 0 BQX 7%9, Maai:sol'l", WI S3 ')07-7969 Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (I )(m)]. 1. PROJECT INFORMATION: (Use the Safety and Buildings or municipal project label, ortype or print the information. If label is used, no additional entry is needed on Part 1. Owner Information Project Information L A B E L Tenant Name (if any) Building Occupancy Chapter(s) & Use I <...E. BUil~tlOatio~~b:;t) tSP , . City [J VillagUJ#Own of Property Identi Ication Number IS-I' 2.J- Name & Reg. # of Supervising Prof. for [J Building [J HVAC [J Lighting B01TL~ (() . ~, H E R E County of rJ~1JAIJ Name & Reg. # of Supervising Prof. for [] Building [] HV AC [] Lighting 2. A) \(BUILDING ITEMS (I. Structural system including submittal and erection of all building components (trusses, precast, metal building, etc.) 2. Fire protection systems (sprinklers, alarms, smoke detectors) designed, installed, and tested (including forward flow on back flow devices) by appropriately registered professionals 3. Shaft and stairway enclosure 4. Exits including exit and directional lights 5. Fire-resistive construction, enclosure of hazards, fire walls, labeled doors, class of construction 6. Sanitation system (toilets, sinks, drinking facilities) 7. ILHR barrier-free requirements 8. All conditions of building plan approval and applicable variances The following items are not in compliance and must be addressed: o HV AC ITEMS I. HV AC system including final test (ILHR 64.53) 2. All conditions of HV AC plan approval and applicable variances rj LIGHTING ITEMS 1. Exterior lighting & control requirements 2. Interior lighting & control requirements 3. All conditions of lighting plan approval and and applicable variances B) [J Statement of Noncompliance Due to the following listed violations, this project is not ready for occupancy: roje t (Use A or B above to indicate project status as of this date.) C) IJ Supervising Professional With D) I] Prpject Abandoned 3. SUPERVISING PROFESSIO l){Building 0 HV AC 0 Lighting (J Building [J HV AC 0 Lighting [J Building 0 HV AC [J Lighting SBD-9720 (KOI/97) Date It -z.,Z.tl}) Date Date q51l , ,~ ~ 'r' :'1I1"/J'\: 1,I.:JII' ~ ., ~. " .. 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