HomeMy WebLinkAboutCompliance Sheet - 05/30/2010Date Sent: 03/24/10
Customer ID: 1080422
Phone: (920)360 -2132
Transaction ID: 1556449
TODD BUSHMAKER
HOFFMAN LLC
122 E COLLEGE AVE SUITE 1 G
APPLETON WI 54911
Wisconsin Department of Commerce
Safety and Buildings
10541 N Ranch Road
Hayward, WI 54843
This form is required to be submitted by the supervising professional, i.e., architect, engineer, HVAC
designer, or electrical designer, observing construction of projects within buildings of total volume
50,000 cubic feet or greater and bleachers (Comm 61.40(4)) and construction of swimming pools
(Comm 90.05(1)(c)). Failure to submit this form prior to occupancy may result in penalties as specified
in Comm 61.23, Comm 90.07, and /or local ordinances, and other state agency rules. This form must
be submitted prior to the plan approval expiration date to avoid an additional plan submittal.
To complete this form, please refer to directions on back of this page.
Site Id: 504252 WINNEBAGO County City of OSHKOSH
CARMEL RESIDENCE
220 N WESTFIELD ST
For:
r `
Regulated Object Id: 1190327 Object Type: Building ICC
Description: Combining apartments into larger units! IEBC - Level 2 Alterations
Facility: CARMEL RESIDENCE
220 N WESTFIELD ST OSHKOSH WI 54901
Status
( 9 B C D E Comment:
(Circle)
Supervising Professional Signature: b� z. F Date: ffp Ca
RECEIVED
MAR 31 2010
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
RECEIVED
A. Compliance B. Non - Compliance C. Withdrawn D. Abandon E. Not 4YI�►R 3 0 2010 Page 1 of 1
See reverse side for instructions on completing this form 4Yin��