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Home My WebLink About0018479-Building CITY OF OSHKOSH N° 18479 PERMIT APPLICATION AND RECORD TYPE: BLDG'HTG ELEC PLBG SIGN ZONING k- `-c FLOOD PLAIN HEIGHT ADDRESS 7/ C I >7 tQ PLAN NO. OWNER C r2r)K. 4°( DESIGNER USE /NATURE OF WORK 9 c\ v ktl-_t° il- P- •s. ia. 1( �t p.C_ ,e v BUILDING CONTRACTOR 0 Pt_Vr Sized 5 Sq. Ft f Rooms Stories Height /i Foundation cs• w �t°t -e/vI- Class of Const. 6 Occupancy Permit HEATING CONTRACTOR Heat A/C Vent Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New Change Temp Type Volts Amps Fixtures Switches Receptacles Circuits s. PLUMBING CONTRACTOR BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuat ,y 11. %i r Ii ermit Fee Paid Park Dedication ISSUED BYWI -W`hi/ Dat- OAF Pa Final /O.P. In the performance t ..rk I agr- o perform all .1 pursuant to rules governing the described construction. SIGNATU ,i r ailf/ 1 p i G T/0 ER ATE ADDRES /4 ii/It. TELEPHONE Revised: 8/89 ZONING /LAND USE COMPLIANCE CHECKLIST JOB LOCATION: //o C' w`� v ZONING: vS PROPERTY OWNER /CONTRACTOR: CONSTRUCTION DATA: ANEW CONSTRUCTION ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) COMPLIANCE CHECKLIST (Check only those applicable) CO 'LIES DEFICIENT DEFICIENCY /COMMENTS Use Lot Width Lot Area Floodplain Front Yard Side Street (front yard) Rear Yard Side Yard (R) Side Yard (L) Parking Spaces Building Area Lot Area Per Family Corner Lot Landscaping Transitional Yard Off- Street Loading Vision Clearance Height REVIEW AUTHORITY: The Director of Community Development, or designee, must approve all plans, except the following: (1) Alterations or interior work when the use is conforming and when no change in use is proposed. (2) Maintenance items e.g. siding, windows, etc., when the use is conforming and when no change is proposed. Instances where work complies with the above criteria, the permit can be reviewed by the Building Inspector without referral to the Director of Community Development, or designee. APPROVED DENIED Plan Commission Action Required Variance(s) Requi d REVIEWED BY: DATE: r1/10 Safety Buildings Division PLANS APPROVAL APPLICATION E_ .01 E. Wasnington Avenue P.O. Sox 7969 DEPARTMENT OF INDUSTRY, LABOR AND HUMAN RELATIONS Madison. WI 53707 BUREAU OF BUILDINGS AND STRUCTURES PLAN NO INSTRUCTIONS: Fill in all applicable data. Submittal of this Plan Approval Application form is required with each plan submittal. with a minimum of 4 sets of plans. Data required is described in code section ILHR 50.12. SUBMIT PLUMBING PLANS SEPARATELY. ACCOMPANIED BY PLUMBING PLAN APPLICATION FORM SBO -6154. Name of Owner i Building Occupancy or Use Designer or Design firm BLDG 0 HVAC Company Name Tenant Name (il any) Street No. 7 0 CP-1.-4-. Street No. Building Is located at. City State Zip in the City Town Village City State Zip of: Contact Person County of: Previous Owner it any Return Plans to: Owner Designer Phone Other: PUBLIC RECORDS: This plan. and related documents. may be subject to public inspection and copying. (IND 69.02(61 1. This application for New Bldg Addn to Bldg Alteration Revision to previously reviewed plan ILHR 70 Hist Bldg 2. The Department has processed a Petition for Variance for this project? ❑Yes No; Preliminary Review? Yes No 3. Review of the following building components is requested. Plans and calculations are included for each component. LJ Footing Foundation Building Structural HVAC Other:- 4. The following construction classification type is requested and shown on plans. #1 Fire Resist. #2 Fire Resist. #3 Metal Frame Prot 0#4 Hvy Tmbr 0#5A Msnry Prot 0#5B Msnry 0#6 Metal Frame 0#7 Wood Frame Prot ❑#8 Wood Frame 5. If plans do not show compliance with requested construction classification, but are approvable at a lower class, do you wish plan approval at the lower construction classification? Yes No 6. SOIL BEARING CAPACITY: The Soil Bearing used for design is PSF. This value is presumed verified 7. BUILDING SYSTEMS: Please check appropriate boxes Complete sprinkler Partial sprinkler Fire alarm Emergency Power Complete detection system Partial detection system. For partial systems, show area protected on plans or by letter. 8. MECHANICAL INFORMATION: Total output rating of heating units is: BTUH. Air cond. Full Partial None Primary fuel source is Gas Oil Electric L.P. Coal Wood Solar Other COMPONENTS INCLUDED WITH THIS SUBMITTAL 10. FEES See current fee summary or IND 69.09; and back of form. NOTE: Must be submitted by building designer Building:..Volume. C.F....S Designer Name Reg. No HVAC' Volume C.F....$ METAL S.F....S BUILDING Supplier Alteration:....Area Structural: (Separate submission only) Designer Name Reg. No Ftg Fdn: (Separate submission only) TRUSSES Supplier Revision to previously reviewed plan Industrial Exhaust Designer Name Reg. No Other: S PRECAST CONCRETE Supplier Priority Review (Total of above fees) Permission to Start Designer Name Reg. No LAMINATED Inspection Fee WOOD Supplier Total ____Ia,r-.. OFFICE USE ONLY Date: Designer Name Reg. No Owner OTHER Fee (SPECIFY) Supplier Paid Designer By: Other 11. OESIGN AND SUPERVISION (ILHR 50.0740.10) I1 this building. following construction of this protect. contains mere than 50.000 cubic feet, total volume. all applicable boxes below must be completed prior to plan review. The project designer rs the person who signed and sealed the plans. except for components designed and sealed by other designers. Plans let buildings over 50.000 C.F. will not b1 reviewed until the signature of IM supervNing prelesslonega) Is provided. The Department expects. and requires. that IM project designer review individual component submittals for compliance with ms general design concept. The project designer. and department. will reiy on 1111 seal of the component designers for compliance with the codes as they apply to Iherr designs. Name of Building Designer (Type or Print) Reg. No. Name of HVAC Designer (Type or Print) Reg. No. Name of Professional Supervising Building (Type or Print) Reg. No. Address e. ^nature of Professional Supervising Building Date Name of Professional Supervising HVAC (Type or Print) Reg. 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