HomeMy WebLinkAboutBuilding A2-94-1093B (10/13/1993)~~~
ON THE WATER
City of Oshkosh
P.O. BOX 1130
OSHKOSH, WI 54902-1130
October 13, 14~~3
R i c l°r a n d A. K e rr i ~:+ i n +~ c: r
1/-~f3O W. south F'arl< Aue
F' . O . Eox 2903
0 r~ I-r k o ~. I'r , W I 5 4 9 O a
f2 E~ :i. 01'+ O I-r i o s t r ee t
f° i le ~i#A2--ti'4-10y3E}
13r.~ i i i:i i n~~ !_+'i an~_. I°raue L-+een reu i ewed F.:+y th i =. office for corir~•+'i i ance
w i ~l;l-r irirl-+ortant code requ i rerrient_:. The draw in+_I=. are ~:tarrrf+e+~
~~ Corr~•i:rr.act i on rimy t~roceed . " A 1 1 i terir=_. tl°rat are re+~u i reel to k+e
cl-r<3rrgec:t Icy tl-r i ~~: letter rirra.=.1: I~+e correcte+~ before corirrirerrc i r•r~~ that
I°+art of tl°re work. This-. a~•+f+roval i~. rrot a E~r~ilrjirr+~ (-•'erririt.
Nc~ce~: r:;ry c: i ty I+errir•i t.. rirr.~st be secr~red before corrrrr~enc i n+~ warl< .
You are I-rer•~el+y adv i =.e+~ tl-rat tl-re owner, as defined i n CI-raptei°
1Q1 .01 (~i 1 of tl-+e Wi_~.con~;in State Statute., i=. re_.pon=.ible for al l
co+je re+au •i rerirerrt_. riot =_.pec i f i ca 1 1 y cited herein . Co+1e
r•er.:lr_r i rearirerr t;_. are _.et fortt•r i r+ Chapter=. 54 thror~gh b4 o•F thc~ rra lei.
of tl°re Depar•t:nient of Irrdr_i_~.tryy Labor and HUrllarl fielatiorr~..
The l+r.a i t r.:l i rrq w i l l L-+e i n=.pected dur i n~a corr~truct i on arr+~ a f i na 1
i rrt'~~:+ect i orr w i 1 1 be rrrade after comp let i on to i n=.ure corirp letc~
corirp 1 i ancr:~ with city and ~.tate code-. .
-I-he arCh'ItP_Ct, F+ro1-e=.=.iorral en~air+eer, t+rai lder or owner =_.hal l keep
cl:t ti-r F' br..li 1+:1in+a, r3=. evidence oi- approval, One ~.et of plan=.
k+earinf~ the _.tanif+ of approval.
T l_hlh !::t . 04 "fl1 i ~. F+ 1 an I"ra=_. not been reu iewed for the acce=_.=_. i b i 1 i ~tU
r•er~u i r•enier•rt=: of •L-I-re Arrrer i can=_. With D i -.at+ i 1 i ty Act and Federa 1
1=air I•dor..r~:• i nr~ • F're=_.ent 1 y, th•re~e re+~u i rerirent=_. have not been
'+ni:c:~rE+oratr=+:a into tl-+e W~i=.cram=.in Corrrrirercial Co+~e. The~.e rule. arcs
a+:1rn i rr i ~-.tei°ed by th•rca U . S . Deb+artrrient oi` ,Ju=_.t i ce (1-}3()0-USA-AE~LF )
~~n+:i I-Il.}D ~ ~+t.~F-2.yi -3136) ,
sincerely,
ALLYN DANNHOFF
Chief Far.ai 1dinq In~~+ector
richard kempinger
architect
1488 W. SOUTH PARK AVENUE • POST OFFICE BOX 2903 • OSHKOSH, WISCONSIN 54903 • 414/235-3310
BUILDING/STRUCTURE/HVAC PLANS APPROVAL APPLICATION
Wisconsin Department of Industry, -Complete Both Sides -
Labor & Human Relations E-File
Safety & Buildings Division Schedulin Information - com lete
Bureau of Buildings & Structures when calla g 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. P a 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 or Structure Designer
_ Information
Name
L Building Occupancy Chapter(s) And Use:
~ Designer
T
R Registration #
o
2
A
~ u 5- z) A ~ut~a
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-y
Company Name
.~ arrt ame ((if~ anpy) '' 11^^M 'Q~~~~
C: (il ~.btit7 G[~'~ sign Firm ~~jAw'~ ~~~
RI
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1
1(,(I}A/(,Q
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Number & Street
101 Buil ing ocation (number & street) Number & Street
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X88 W
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City, State, Zip Code
~~4-~1 ~ ~ ~ f ity ^ Village ^ Township Of
~ City, State, Zip Code
~c ~Y5b3
Contact Person Count Of. Contact erso
J t ~-JtNw ~ a Orc~ ~~fZ
Telephone Number Property ID No. (tax parcel no. -contact county) Telephone Number Fax Number
( 1 'Za J ~~7 - - 2 Z N > Z~S 33to > 235059
Fax Number Gove nment Owned ^ Yes o Return Plans To: ^ Owner' esigner
( ) _.~ Government Leased Or Operated ^ Yes ^ Other
4. Building History 5. Construction Class Requested 6. HVAC Designer Information
Previous Owner(s) (if any) ^ 1. Fire Resistive Type A Designer Registration #
^ 2. Fire Resistive Type B
^ 3. Metal Frame -Protected Design Firm
^ 4. Heavy Timber
Previous Plan or File No. ^ 5A. Exterior Masonry -Protected Number & Street
u~ ~ 58. Exterior Masonry -Unprotected
Variance No. Preliminary No. ^ 6. Metal Frame -Unprotected City, State, Zip Code
-" ~ ^ 7. Wood Frame -Protected
Other Information (previous use, last submission) ^ 8. Wood Frame -Unprotected Contact Person
If plans do not show compliance with requested
Construction class but are approvable at a lower
class, do you wish approval at the lower class. Telephone Number Fax Number
^ Yes ^ No ( ) ( )
7. Building Information 8. Submittal Request 9. Supervising Professional Information
^ Complete Sprinkler -NFPA Project Review Requested or Building ame As Building Designer
^ Partial Sprinkler -NFPA ^ New ^ Footing/Foundation ~ For HVAC ~ Same As HVAC Designer
'~
^ Unlimited Area uilding
Alteration ,~ Supervising Pro (i di Brent rom designer)
^ Fire Alarm ^ Emergency Power ^ Addition ^ Permission To
R
i
i
rt
St
^ Smoke Detection ^ Hazard Enclosure ev
ons
s
a
^ Registration #
^ Use Change ^HVAC
{
~ ~
' ^ILHR 70 Hist Code ^ Truss
N-
t (,
Total Number of Stories Number & Street
^ Variance ^ Precast
Building Footprint Area sq ft
^ Structural
^ Preliminar
Soil Bearing Capacity psf y
^ Canopy ^ Laminated Wood City, State, Zip Code
^ Presumed ^ Bleacher ^ Metal Building
^ Verified
^ Tower ^ loist/Girder
Te ep one Num er
^ Other
10. Related Business Systems -Please call the respective Program for clarification and plan submittal requirements.
^ Elevators (608-267-3576) includes: ^ Flammable/Combustible Liquid (608-267-1379) ^ Boiler/Pressure Vessel (608-266-1904}
^ Passenger elevator meeting ILHR 18 req. Will any portion of this building be used for ^ Mechanical Refrigeration/AC (608) 266-1Q04
^ freight elevator meeting ILHR 18 req. storage ordispensing offlammable/ ^ Plumbing (608-266-3815)
^ Part 5 lift (residential type) combustible liquids as covered by ILHR 10? Sewer: -
^ Part 20 lift (wheelchair lift) ^ Yes ^ No ^ Municipal ^ Private Sewage System
SBD-118 (R. 12/92) - CONTINUE ON REVERSE SIDE -
9?3
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 is no wall. Area includes alf floor levels such as subbasements, basements, ground
floors, mezzanines, balconies, -ofts, 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 Width Area
X
X
X
X _
X
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.)
^ Building and HVAC _-•-•-••---• .......:............................ Fee $
Building Only '..--•---•-•--• .....................
.................. Fee $ Zt~,O~
HVAC Only ..................•---•----•---.......................... Fee $
^ Revision To Previously Approved Plan ................................ Fee $
^ Permission To Start ................................................ Fee $
^ Pre-July 1992 Building Components ................................. Fee $
^ Other ____ ___
. Total Fee - Fee $
. ~~
~ 'x.00
12. 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. If this 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 completion and the
filing of a Completion Statement by the super ' i professional.
Owner's Signature: Name & Title ~~j~J-j1~~oSlL ,~ ~yY2~- ~/~,V~~"
Original Print
13. DESIGNER'S STATEI~IT: DESIGN (ILHR 50.07-50.09) if this building, 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: ^ Less Than 50,000 ^ 50,000 or Greater
Design loads have been indicated on the plans . .............................................. ^ Yes ^ N/A
Firewall schematic plan has been included . .................................................. ^ Yes ^ N/A
All applicable itelMS required by ILHR 50.12 have been included . ............................... ^ Yes ^ N/A
ify t the submitted plans were prepared under my supervision, are accurate, and to the best of my knowledge
co pl i h the applicable codes of the Department of Industry, Labor and Human Relations.
Original S' n f Building Designer ( Building ) Date Signed Original Signature of HVAC Designer Date Signed
Submittal
'~~/
rlgirial S~ ture o uilding igner Component Date Signe Name o Component Design Firm
c„ti...,..~i
14. SUPERVISING PROFESSIONAL'S STATEMENT: (ILHR 50.10) I have been retained by the owner as the supervising
professional per ILHR 50.10 fcr 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 not been performed in substantial compliance with the approved plans and
specificatior~ 1
Inal algnz~tur~Pl~Protessional Supervising The Building Date Signed Original Signature
10---93
~k'a' Nar ~ I
209 W La CPbsse Office Madison Office Shawano Office Waukesha Office
. st tr et
Rt 8, B 72 2226 Rose Street
La Crosse, WI 54603 201 E. Washington Ave.
P
O
Box 7969 1053A E. Green Bay Street
P
Bo
O
434 401 Pilot Court, Suite C
Haywa WI
Phone (715) 634-4870
Phone (608) 785-9334
Fax (608) 785-9330 .
.
Madison, WI 53707
Phone (608) 266-8735 .
.
x
Shawano, WI 54166
Phone (715) 524-3626 Waukesha, WI 53188
Phone (414) 548-8600
F
Fax (715) 634-5150
Fax (608) 267-9566
Fax (715) 524-3633 ax (414) 548-8614