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Home My WebLink AboutCertificate of Occupancy CITY HALL Inspection Services Div 215 Church Avenue City of Oshkosh PO Box 1130 0 el Oshkosh WI A 54903 -1130 OfHKO /H ON THE WATER Approved: 10/18/2006 Issued: 10/18/2006 Midwest General Contractors Inc. 2990 Universal St Ste C Oshkosh, WI 54904 -5903 CERTIFICATE OF OCCUPANCY An Occupancy Permit is hereby granted for the new 6 -unit condominium located at 3175 White Tail Lane, Oshkosh, Wisconsin 54904 as described in Building Permit Application number(s) 118171. This building is to be used only as a multi - family residence and is located in the R -3, Multiple Dwelling District. LIMITATIONS: Maximum persons and /or living units: Six living units CONDITIONS: 1) Final grading must be done in accordance with the approved subdivision drainage plan. This plan is on file in the public works office, 3 floor of City Hall. 2) Erosion control measures must be maintained until the lawn is established. Note: Final grade must be a minimum of 6" below all siding. NOTE: 1) Copies of inspection results are available upon request in room 205, City Hall. 2) Future permits may be required for additional work to your property. A new Certificate of Occupancy shall be required prior to occupancy, should additional building(s) be erected, or should any buildings mentioned above be altered or moved. The use of land, or buildings, shall not be changed until a Certificate of Occupancy is issued for that occupancy. All conditions noted above must be complied with in order for this certificate to be valid. ki t t Building Systems Inspector Building Permit Work Card ..ob Address 3175 WHITE TAIL LN Permit Number 0118171 Create Date 2/2/2006 Owner MIDWEST GENERAL CONTRACTORS INC Contractor MIDWEST GENERAL CONTRACTORS INC Category 130 - New Multi - Family Type • Building 0 Sign O Canopy O Fence ❑ Raze I Plan R5-05 -0206 Zoning Class of Const: 8 Size irr Value $618,000.00 Unfinished /Basement 0 Sq. Finished /Living 0 Sq. Ft. Garage 480 Sq. Ft. Ft. Rooms 3 Bedrooms 2 Baths 2 ❑ Projection Stories 1 Height 17 Ft. Canopies 0 Signs 0 Foundation • Poured Concrete ❑ Floating Slab ❑ Pier O Other ❑ Concrete Block O Post 0 Treated Wood Occupany Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 6 # Structures 1 Use /Nature Unit Condo - New 6 unit condo as per State Transaction ID # 1193673 of Work HVAC Contr BREWER HEATING Plumbing Contr WATTERS PLUMBING Electric Contr CUMINGS ELECTRIC INC Inspections: Date 10/18/2006 . Type Final Inspector Nicole Krahn approved NOTE: Compliance statement was submitted. The signed and dated correction notice was also submitted stating that the treads for the deck steps were fixed and all exterior penetrations were sealed. Date/Time requested: 10/18/2006 07:10 AM Notice Type: Phone Number: Access: Ready Date/Time: 10/18/2006 07:10 AM Requested By: ❑ Reinspect Fee ❑ Fee Waived ❑ Reinspect Fee Paid Page 4 of 4 Building Permit Work Card Job Address 3175 WHITE TAIL LN Permit Number 0118171 Create Date 2/2/2006 Owner MIDWEST GENERAL CONTRACTORS INC Contractor MIDWEST GENERAL CONTRACTORS INC Category 130 - New Multi - Family Type • Building ❑ Sign ❑ Canopy ❑ Fence ❑ Raze Plan R5 -05 -0206 Zoning Class of Const: 8 Size irr Value $618,000.00 Unfinished /Basement 0 Sq. Finished /Living 0 Sq. Ft. Garage 480 Sq. Ft. Ft. Rooms 3 Bedrooms 2 Baths 2 [] Projection Stories 1 Height 17 Ft. Canopies 0 Signs 0 Foundation • Poured Concrete ❑ Floating Slab ❑ Pier ❑ Other ❑ Concrete Block ❑ Post ❑ Treated Wood Occupany Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 6 # Structures 1 Use /Nature . Unit Condo - New 6 unit condo as per State Transaction ID # 1193673 of Work HVAC Contr BREWER HEATING Plumbing Contr WATTERS PLUMBING Electric Contr CUMINGS ELECTRIC INC Inspections: Date 5/8/2006 Type Insulation Inspector Nicole Krahn approved w /cond. The windows are not installed yet. Jay stated that the lower levels would not be finished and I could inspect them at the final inspection. Date/Time requested: 5/8/2006 12:04 PM Notice Type: Phone Number: Access: Ready Date/Time: 5/8/2006 12:04 PM Requested By: ❑ Reinspect Fee ❑ Fee Waived ❑ Reinspect Fee Paid Date 10/10/2006 . Type Final Inspector Nicole Krahn not approved Request line Need bld compliance statement. Treads for the deck steps are not uniform. Seal all exterior penetrations. Date/Time requested: 10/9/2006 01:50 PM Notice Type: Phone Number: 420 -5878 Access: Locked - call Jay @ 420 -5878 Ready Date/Time: 10/9/2006 01:50 PM Requested By: MIDWEST GENERAL CONTRACTORS INC ❑ Reinspect Fee ❑ Fee Waived ❑ Reinspect Fee Paid Page 3 of 4 Building Permit Work Card Job Address 3175 WHITE TAIL LN Permit Number 0118171 Create Date 2/2/2006 Owner MIDWEST GENERAL CONTRACTORS INC Contractor MIDWEST GENERAL CONTRACTORS INC Category 130 - New Multi- Family Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan R5-05 -0206 Zoning Class of Const: 8 Size irr Value $618,000.00 Unfinished /Basement 0 Sq. Finished /Living 0 Sq. Ft. Garage 480 Sq. Ft. Ft. Rooms 3 Bedrooms 2 Baths 2 ❑ Projection Stories 1 Height 17 Ft. Canopies 0 Signs 0 Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other 0 Concrete Block 0 Post 0 Treated Wood Occupany Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 6 # Structures 1 Use /Nature Unit Condo - New 6 unit condo as per State Transaction ID # 1193673 of Work HVAC Contr BREWER HEATING Plumbing Contr WATTERS PLUMBING Electric Contr CUMINGS ELECTRIC INC Inspections: Date 5/3/2006 Type Rough In Inspector Nicole Krahn approved w /cond. REQUEST LINE No access to the lower levels. Date/Time requested: 5/1/2006 07:14 AM Notice Type: Phone Number: JAY 420 -5878 Access: OPEN Ready Date/Time: 5/3/2006 07:14 AM Requested By: MIDWEST GENERAL CONTRACTORS INC 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Date 5/5/2006 • Type Insulation Inspector Nicole Krahn not approved REQUEST LINE Windows are not installed for the lower level yet. Date/Time requested: 5/5/2006 08:37 AM Notice Type: Phone Number: JAY 420 -5878 Access: OPEN Ready Date/Time: 5/5/2006_08:37 AM Requested By: MIDWEST GENERAL CONTRACTORS INC 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Page 2 of 4 Building Permit Work Card Job Address 3175 WHITE TAIL LN Permit Number 0118171 Create Date 2/2/2006 Owner MIDWEST GENERAL CONTRACTORS INC Contractor MIDWEST GENERAL CONTRACTORS INC Category 130 - New Multi - Family Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan R5 -05 -0206 Zoning Class of Const: 8 Size irr Value $618,000.00 Unfinished /Basement 0 Sq. Finished /Living 0 Sq. Ft. Garage 480 Sq. Ft. Ft. Rooms 3 Bedrooms 2 Baths 2 [] Projection] Stories 1 Height 17 Ft. Canopies 0 Signs 0 Foundation • Poured Concrete 0 Floating Slab 0 Pier 0 Other 0 Concrete Block 0 Post 0 Treated Wood Occupany Permit Required Flood Plain No Height Permit Not Required Park Dedication Required # Dwelling Units 6 # Structures 1 Use /Nature 6 Unit Condo - New 6 unit condo as per State Transaction ID # 1193673 of Work HVAC Contr BREWER HEATING Plumbing Contr WATTERS PLUMBING Electric Contr CUMINGS ELECTRIC INC Inspections: Date 2/23/2006 Type Footings Inspector Nicole Krahn not approved Faxed request - ready 10:30 -11:30 Poured w/o an inspection - Date/Time requested: 2/22/2006 07:00 AM Notice Type: Phone Number: 231 -1667 Access: Ready Date/Time: 2/22/2006 10:30 AM Requested By: JOHN SKOTZKE CONCRETE CONST -Mike or Tom 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Date 4/28/2006 Type Drain Tile Inspector Allyn Dannhoff no time FAXED REQUEST / INSPECTION REQUEST ALSO FOR FLASHING Date/Time requested: 4/26/2006 07:14 AM Notice Type: Phone Number: JANELL 231 -1667 Access: Ready Date/Time: 4/26/2006 01:30 PM Requested By: JOHN SKOTZKE CONCRETE CONST 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Page 1 of 4 Electric Permit Work Card Job Address 3175 WHITE TAIL LN Permit Number 119045 Create Date 2/10 /2006 Owner MIDWEST GENERAL CONTRACTORS INC Contractor CUMINGS ELECTRIC INC Category 631 - Residential -New Multi - Family Wiring Service • New 0 Change 0 Temp 0 N/A Type 0 Overhead • Underground 0 N/A Volts 120/240 Circuits 0 Luminaires 0 Amps 400 Switches 0 Receptacles 0 Fee $234.00 ❑ Value $18,000.00 Appliances 1 Use /Nature 6 Unit Condo - New 6 unit condo as per State Transaction ID # 1193673. Debit account for permit fee. of Work Inspections: Date 07/21/2006 Type Final Inspector Adam Krause approved Request line Date/Time requested: 07/20/2006 07:22 AM Notice Type: Phone Number: Access: Ready Date/Time: 07/20/2006 07:22 AM Requested by: CUMINGS ELECTRIC INC - Jan 0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid Electric Permit Work Card Job Address 3175 WHITE TAIL LN Permit Number 119045 Create Date 2/10 /2006 Owner MIDWEST GENERAL CONTRACTORS INC Contractor CUMINGS ELECTRIC INC Category 631 - Residential -New Multi- Family Wiring Service New Q Change 0 Temp 0 N/A Type Q Overhead • Underground Q N/A Volts 120/240 Circuits 0 Luminaires 0 Amps 400 Switches 0 Receptacles 0 Fee $234.00 ❑ Value $18,000.00 Appliances Use /Nature 6 Unit Condo - New 6 unit condo as per State Transaction ID # 1193673. Debit account for permit fee. of Work Inspections: Date 05/02/2006 Type Re Rough In Inspector Kevin Benner approved w /end. REQUEST LINE / CORRECTION HAS BEEN REPAIRED Fire caulk was disturbed when the violations were corrected. The E.C. was contacted 5/2/6 PM Date/Time requested: 05/02/2006 06:53 AM Notice Type: _ Phone Number: NOT GIVEN Access: Ready Date/Time: 05/02/2006 06:53 AM Requested by: CUMINGS ELECTRIC INC JAN 0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid Date 05/02/2006 Type Re Service Inspector Kevin Benner approved Faxed to WPS 5/2/6 PM Date/Time requested: 05/02/2006 06:53 AM Notice Type: Phone Number: Access: Ready Date/Time: 05/02/2006 06:53 AM Requested by: 0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid Electric Permit Work Card Job Address 3175 WHITE TAIL LN Permit Numbei 119045 Create Date 2/10 /2006 Owner MIDWEST GENERAL CONTRACTORS INC Contractor CUMINGS ELECTRIC INC Category 631 - Residential -New Multi- Family Wiring Service • New 0 Change Q Temp 0 N/A Type Q Overhead • Underground Q N/A Volts 120/240 Circuits 0 Luminaires 0 Amps 400 Switches 0 Receptacles 0 Fee $234.00 ❑ Value $18,000.00 Appliances Use /Nature 6 Unit Condo - New 6 unit condo as per State Transaction ID # 1193673. Debit account for permit fee. of Work Inspections: Date 04/28/2006 Type Service Inspector Kevin Benner not approved REQUEST LINE Not installed at the time of inspection Datemme requested: 04 /28/2006 06:49 AM Notice Type: Phone Number: NOT GIVEN Access: Ready Date/Time: 04/28/2006 06:49 AM Requested by: CUMINGS ELECTRIC INC JAN Q Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid Date 04/28/2006 Type Rough In Inspector Kevin Benner not approved REQUEST LINE Bundling and the two north units were not done. Date/Time requested: 04/28/2006 06:49 AM Notice Type: FC Phone Number: NOT GIVEN Access: Ready Date/Time: 04/28/2006 06:49 AM Requested by: CUMINGS ELECTRIC INC JAN 0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid HVAC Permit Work Card Job Address 3175 WHITE TAIL LN Permit Number 120794 Create Date 02/10/2006 Owner MIDWEST GENERAL CONTRACTORS INC Contractor BREWER HEATING Category 510 - Ind. & Comm - Heating & Ventilating Plan Fuel u Gas u 00 H Electric u Solar 1 1 Solid Value $27,000.00 System 0 New [] Replace J ❑ Other u Forced Air Li Radiant u Steam ✓f A/C Li Vent U Electric _f Hot Water J Suppl. Li Con. Bumer Chimney Type Q Chimney A Q Chimney B 0 Direct Vent • Not Applicable Heat Loss Q As Approved Q Existing • Not Applicable Value 0 BTU Rate Q As Per Plan 0 Variable • Other Value Use /Nature 6 Unit Condo - New 6 unit condo as per State Transaction ID # 1193673 of Work Inspections: Date 10/10/2006 Type Final Inspector Nicole Krahn not approved Need hvac compliance statement Datemme requested: 10/10/2006 10:56 AM Notice Type: Phone Number: Access: Ready Date/Time: 10/10/2006 10:56 AM Requested By: Q Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Date 10/18/2006 Type Final Inspector Nicole Krahn approved NOTE: Compliance statement was received. Date/Time requested: 10/18/2006 07:09 AM Notice Type: Phone Number: Access: Ready Date/Time: 10/18/2006 07:09 AM Requested By: 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Plumbing Permit Work Card Job Address 3175 WHITE TAIL LN Permit Number 118265 Create Date 02/10/2006 Owner MIDWEST GENERAL CONTRACTORS INC Contractor WAITERS PLUMBING Category 410 - Residential- Interior Plan E8150- 0405 -P Value $32,310.00 Bathtub 6 Shower 12 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Whirlpool 0 Floor Drain 6 Local Waste 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0 Lavatory 18 Lndry Tray 0 Clothes Wshr 6 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 Toilet 18 Disposal 6 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0 Res. Sink 6 Dishwasher 6 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0 Bar Sink 0 Sump Pump 6 Lab Sink 0 Plaster Sink , 0 Standp Rec 6 Wtr Sewer Mtrs 0 Water Heater 6 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0 Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0 Roof Drain 0 Ejector /Grind 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0 Misc. 0 Fixtures Use /Nature 6 Unit Condo - New 6 unit condo as per State Transaction ID # 1193673. Gas water heaters. * *paid check# 61901 for $714.00 of Work Size Material Type # Conn.Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Date 7/26/2006 Type Final Inspector Paul Wolf approved Faxed Request / Ready for final inspection on Wednesday at 3pm Date/Time requested: 7/25/2006 09:10 AM Notice Type: Telephone Number: (920) 733 -8125 Access: Call Jay (920) 420 -5878 Ready Date/Time: 7/26/2006 03:00 PM Requested By: WATTERS PLUMBING - Jamie 0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid Plumbing Permit Work Card Job Address 3175 WHITE TAIL LN Permit Number 118265 Create Date 02/10/2006 Owner MIDWEST GENERAL CONTRACTORS INC Contractor WATTERS PLUMBING Category 410 - Residential- Interior Plan E8150- 0405 -P Value $32,310.00 Bathtub 6 Shower 12 Water Softner 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0 Whirlpool 0 Floor Drain 6 Local Waste 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0 Lavatory 18 Lndry Tray 0 Clothes Wshr 6 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0 Toilet 18 Disposal 6 Bidet 0 Sculry Sink 0 Wash Ftn 0 RPZ Valve 0 Res. Sink 6 Dishwasher 6 Beer Tap 0 Hand Sink 0 Urinal 0 Eye Wash Statn 0 Bar Sink 0 Sump Pump 6 Lab Sink 0 Plaster Sink 0 Standp Rec 6 Wtr Sewer Mtrs 0 Water Heater 6 Classrm Sink 0 Sterilizer 0 Surgeons Sink 0 Ice Maker 0 Deduct Meters 0 Site Drain 0 Breakrm Sink 0 Dip Well 0 F Prep Sink 0 Gar Drain 0 Wtr Usage Mtrs 0 Roof Drain 0 Ejector /Grind 0 Drink Ftn 0 Sery Sink 0 Soda Disp 0 Misc. 0 Fixtures Use /Nature 6 Unit Condo - New 6 unit condo as per State Transaction ID # 1193673. Gas water heaters. "paid check# 61901 for $714.00 of Work Size Material Type # Conn.Type Sanitary Sewer 0 0 0 0 0 Storm Sewer 0 0 0 0 0 Water Service 0 0 0 0 0 Date 4/20/2006 Type Underground Inspector Paul Wolf approved Date/Time requested: 4/20/2006 12:55 PM Notice Type: Telephone Number: Access: Ready Date/Time: 4/20/2006 12:55 PM Requested By: WATTERS PLUMBING 0 Reinspect Fee 0 Fee Waived 1111 Reinspect Fee Paid Buildings, HVAC Compliance Statement SBD -9720 This form is required to be submitted by the supervising professional (architect, engineer, HVAC designer or electrical designer) observing construction of projects within buildings with total areas exceeding 50,000 cubic feet or greater and bleachers (Comm 50.10 /Comm 61.50). Failure to submit this form may result in penalties as specified in Comm 50.26 /Comm 61.23 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: • The municipal building inspection office and • Safety and Buildings, 10541N Ranch Road, Hayward, WI 54843 Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1)(m)}. 1. PROJECT INFORMATION: Please fill in the following with information from your plan approval letter. Transaction ID Number 1 1 S'GZ7 3 Site Number 669115 Site location (number & street) 373 WH TE T ALE s UNIT 45 M City ❑ Village ❑ Town Of OSHKOSH County of WINNEBAGO 2. PURPOSE OF THIS STATEMENT: (Check Box A, B, C, or D to indicate purpose and complete any other applicable boxes and information. Attach additional pages if necessary). Check those which apply: El Building Object ID# :.5519; ❑ HVAC Object ID# ❑ Lighting Object ID# ❑ Partial Completion Description of Portion Completed A) El Statement of Substantial Compliance To the best of my knowledge, belief, and based on onsite observation, construction of the following building and /or HVAC items applicable to this project have been completed in substantial compliance with the approved plans and specifications. El BUILDING /LIGHTING ITEMS 1. Structural system including submittal and erection of all building 10. Exterior lighting & control requirements components (trusses, precast, metal building, etc.) 11. Interior lighting & control requirements 2. Fire protection systems (sprinklers, alarms, smoke detectors) 12. All conditions of lighting plan approval designed, installed, and tested (including forward flow on back flow and applicable variances devices) by appropriately registered professionals. 3. Shaft and stairway enclosure ❑ HVAC ITEMS 4. Exits including exit and directional lights 1. HVAC system including final test 5. Fire - resistive construction, enclosure of hazards, fire walls, labeled 2. All conditions of HVAC plan approval doors, class of construction, fire stopped penetrations and applicable variances 6. Sanitation system (toilets, sinks, drinking facilities) 7. Barrier -free including Comm 18 elevators and lifts 8. Energy envelope requirements 9. All conditions of building plan approval and applicable variances The following items are not in compliance and must be addressed: B) ❑ Statement of Noncompliance Due to the following listed violations, this project is not ready for occupancy: C) ❑ Supervising Professional Withdrawn From Project (Use A or B above to indicate project status as of this date.) D) ❑ Project Abandoned 3. SUPERVISING PROFESSIONAL SIGNATURE FOR: E Building ❑ HVAC ❑ Lighting ' Date: 7/26/2006 Name (please print or type) Phone # 920 - 497 -5007 Customer ID# 64953o Signature SBD -9720 (R.O1/2003) JUL - 25 -06 TUE 03:48 PM BREWER HEATING FAX:19207486520 PAGE 2 JUL 14 :45 DESIGN AIR P.61/02 Buildings, HVAC, Compliance Statement This form is required to be submitted by the supervising professional (architect, engineer, HVAC designer or electrical designer) observing construction of projects within buildings with total areas 50,000 cubic feet or greater and bleachers (Comm 50.10 /Comm 61.50). Failure to submit this form may result in penalties as specified in Comm 50.26/Comm 51.23 and/or local ordinances. General Instructions: Prior to the initial occupancy of new buildings or additions and the final occupancy of altered existing buil dings, submit this completed and signed form to: • The municipal building inspection office armi • Safety and Buildings, 10541N Ranch Road Hayward, Wi. 54843 Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1)(m)]. . 1. PROJECT INFORMATION: Please fill in the following with information from your plan approval letter. Transaction ID Number f.1S ? 7,-24 Site Number tC 9 Site location (number & street) /i/) " � 1� r�c- 3/ S i4 13, ! , F E'j City 0 Village Cl Town of 1.4"1.7 County of 6- '140 2. PURPOSE OF THIS STATEMENT: (Check Sox A, 8, C, or D to indicate purpose and complete any other applicable boxes and information. Attach additional pages if necessary.) Check those which apply. ❑ Building Object ID # (31'NVAC Object ID # l6"‘ 949c> El Lighting Object ID # ❑ Partial Completion / Description of Portion Completed A) r. Statement of Substantial Compliance To the best of my knowledge, belief, and based on onsite observation, construction of the following building and /or HVAC items applicable to this project have been completed in substantial compliance with the approved plans and specifications. ID BUILDING /LIGHTING ITt:MS 'i. Structural system including submittal and erection of all building cornporii W. Exterior lighting & control requirements (trusses, precast, metal building, etc.) 11, Interior lighting & Control reqLrirements 2. Fire protection systems (sprinklers, alarms. srrioka doctors; designed, 12. All „or,dibarts of signing plan approval installed: and tested (including forward flow on bacx flow devices) by arid abblicabie variances appropriasSy registeres professionals 3. Shaft and stairway enclosure 4. kits inchrdng exit and directional Lights 5. Fire- restsdve constriction, enclosure of hazards. fire wails, labeled doors, class G HVAC ITEMS of eonatrucson, fire stopped penetrations 6. Sanitation system (toilets, sinks, drinx ng fadlizes) 1. HVAC system including Anal test 7, Barrier-free including Comm 18 elevators and lifts 2. All =nations of rtVAC plan approval Uric 8. Energy envelope requirements applicable variances 9. All conditions of building plan approval and applicable variances ��"� }} The following items are not in compliance and must be addressed: /J L 12 Er '- 8) 0 Statement of Noncompliance Due to the following listed violations, this project is not ready for occupancy C) ❑ Supervising Professional Withdrawn From Project ('Use A or 6 above to indicate project status as of this date.) D) D Project Abandoned 3. SUPERVISING PROFESSIONAL SIGNATURE FOR: ❑ Building WnVAC 0 Lighting C% . , r� G e Z5 6 Name lease ` (P print Or type Phone number 9)# — 7 41 Customer ID # La27a7.4' 1(. Signature 3 FS - 1 390•973o (R,c12002) 23