HomeMy WebLinkAbout2003-Certificate of Occupancy Report _IL-0 r\cLiQC12 - #G � -Q 0 Le- am °---c- 1 a- Lr I Z-. a - 4 S .
Status as of:
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Address: q 0 W• 1Z,'PPc9 AQ.Q_ .
Project: Nt , .Qb3 (D - 7 , S -i'' rcLe c,> .( Q
Plan #: C_CZ . •OO
'5 J
a
•. -. rr...ns.p, .,, ,en.. ppr. r f•. "t, s ...................... . . . .
Building: 0 • • O.--
Permit # : Q 5CACO
Electric: I=, Ma-± Pr ` VQ
Permit #: C151LI•1 1' ICo
HIVAC: I O• l• 0 3
Permit # : q y 5 3
Plumbing No i ��
• S.
Permit # : Ci (2Dx -13 L(. .0 _e I2e__ -- (1 U
S &E ��
C 4b) • Wl AIL —
Notes:
Building Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 0095080 Create Date 5/29/02
Owner EVCO PLASTICS Contractor MCCLOUD CONSTRUCTION, INC.
Category 209 - New Industrial
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan E8-42 -0502
Zoning M3 Class of Contt: 6 Size 229x233 Appro Value $1,200,000.00
Unfinished /Basement 0 Sq. Finished /Living 67557 Sq. Ft. Garage 0 Sq. Ft.
Ft.
Rooms 0 Bedrooms 0 Baths 0 ❑ Projection
Stories 1 Height 31 Ft. Canopies 0 Signs 0
Foundation 0 Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block ❑ Post 0 Treated Wood
Occupany Permit Required Flood Plain Height Permit Required
Park Dedication Not Required # Dwelling Units 0 # Structures 1
Use /Nature New 67,557 Factory. *Note: No work to continue above the foundation until Storm Drainage plans are
of Work completely approved and Planning Services has reviewed and approved the plans.
HVAC Contr Plumbing Contr
Electric Contr
Inspections:
Date 10/16/03 . Type Re Final Inspector Allyn Dannhoff approved
Occ - PSAP.
I
Date/Time requested: Notice Type: Phone Number:
Access:
Ready Date/Time: - Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Building Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 0095080 Create Date 5/29/02
Owner EVCO PLASTICS Contractor MCCLOUD CONSTRUCTION, INC.
Category 209 - New Industrial
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan E8-42 -0502
Zoning M3 Class of Const: 6 Size 229x233 Appro Value $1,200,000.00
Unfinished /Basement 0 Sq. Finished /Living 67557 Sq. Ft. Garage 0 Sq. Ft.
Ft.
Rooms 0 Bedrooms 0 Baths 0 ❑ Projection
Stories 1 Height 31 Ft. Canopies 0 Signs 0
Foundation 0 Poured Concrete 0 Floating Slab 0 Pier 0 Other
0 Concrete Block 0 Post 0 Treated Wood
Occupany Permit Required Flood Plain Height Permit Required
Park Dedication Not Required # Dwelling Units 0 # Structures 1
Use /Nature New 67,557 Factory. *Note: No work to continue above the foundation until Storm Drainage plans are
of Work •mpletely approved and Planning Services has reviewed and approved the plans.
1
HVAC Contr Plumbing Contr
Electric Contr
Inspections:
Date 12/19/02 Type Final Inspector Allyn Dannhoff approved w /cond.
T.O.P. of factory/shop /mezz. areas OK. Need additional approval for office areas.
Datemme requested: Notice Type: Phone Number:
Access:
Ready Date/Time: Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 1/21/03 Type Final Inspector Allyn Dannhoff approved w /cond.
Final office area - T.O.P. OK thru 6/30/03 - See CN.
Datemme requested: Notice Type: Phone Number:
Access:
Ready Date/Time: • Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Building Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 0095080 Create Date 5/29/02
Owner EVCO PLASTICS Contractor MCCLOUD CONSTRUCTION, INC.
Category 209 - New Industrial
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan E8-42 -0502
Zoning M3 Class of Const: 6 Size 229x233 Appro Value $1,200,000.00
Unfinished /Basement 0 Sq. Finished/Living 67557 Sq. Ft. Garage 0 Sq. Ft.
Ft.
Rooms 0 Bedrooms 0 Baths 0 0 Projection
Stories 1 Height 31 Ft. Canopies 0 Signs 0
Foundation • Poured Concrete Q Floating Slab 0 Pier 0 Other
Q Concrete Block 0 Post 0 Treated Wood
Occupany Permit Required Flood Plain Height Permit Required
Park Dedication Not Required # Dwelling Units 0 # Structures 1
Use /Nature New 67,557 Factory. *Note: No work to continue above the foundation until Storm Drainage plans are
of Work completely approved and Planning Services has reviewed and approved the plans.
HVAC Contr Plumbing Contr
Electric Contr
Inspections:
Date 10/25/02 Type Rough In Inspector Allyn Dannhoff no time
PHONED REQUEST. They want to start drywalling.
Called Pat Ireland - AD.
Date/Time requested: 10/23/02 07:46 AM Notice Type: Phone Number: 920 - 226 -0131
Access:
Ready Date/Time: 10/23/02 07:46 AM Requested By: MCCLOUD CONSTRUCTION, INC. - Pat
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 11/7/02 • Type Rough In Inspector Allyn Dannhoff not approved
SE section of Mezz Guardrail is at 40 1/2" - needs to be 42 ". Spoke to Pat Ireland about this.
HVAC RI passed.
Date/Time requested: • Notice Type: Phone Number:
•
Access:
Ready Date/Time: • Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Building Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 0095080 Create Date 5/29/02
Owner EVCO PLASTICS Contractor MCCLOUD CONSTRUCTION, INC.
Category 209 - New Industrial
Type • Building ❑ Sign 0 Canopy 0 Fence O Raze Plan E8-42 -0502
Zoning M3 Class of Const: 6 Size 229x233 Appro Value $1,200,000.00
Unfinished /Basement 0 Sq. Finished /Living 67557 Sq. Ft. Garage 0 Sq. Ft.
Ft.
Rooms 0 Bedrooms 0 Baths 0 ❑ Projection
Stories 1 Height 31 Ft. Canopies 0 Signs 0
Foundation • Poured Concrete ❑ Floating Slab ❑ Pier ❑ Other
❑ Concrete Block ❑ Post ❑ Treated Wood
Occupany Permit Required Flood Plain Height Permit Required
Park Dedication Not Required # Dwelling Units 0 # Structures 1
Use /Nature New 67,557 Factory. 'Note: No work to continue above the foundation until Storm Drainage plans are
of Work •mpletely approved and Planning Services has reviewed and approved the plans.
1
HVAC Contr Plumbing Contr
Electric Contr
Inspections:
Date 7/26/02 Type Inspector Allyn Dannhoff approved
PIER PADS - South row /column line - OK.
Date/Time requested: Notice Type: Phone Number:
Access:
Ready Date/Time: Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 10/10/02 Type Rough In Inspector Allyn Dannhoff approved
Bassett starting HVAC - Keith Rettler will advise me when Plan Review Date is. I advised him - No closing in of HVAC until Plans
Approved & permit obtained.
Date/Time requested: Notice Type: Phone Number:
Access:
Ready Date/Time: • Requested By:
0 Reinspect Fee 0 Fee Waived 111 Reinspect Fee Paid
Building Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 0095080 Create Date 5/29/02
Owner EVCO PLASTICS Contractor MCCLOUD CONSTRUCTION, INC.
Category 209 - New Industrial
Type • Building 0 Sign 0 Canopy 0 Fence 0 Raze I Plan E8-42 -0502
Zoning ■3 Class of Const: 6 Size 229x233 Appro Value $1,200,000.00
Unfinished /Basement 0 Sq. Finished /Living 67557 Sq. Ft. Garage 0 Sq. Ft.
Ft.
Rooms 0 Bedrooms 0 Baths 0 ❑ Projection
Stories 1 Height 31 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 Height Permit Required
Park Dedication Not Required # Dwelling Units 0 # Structures 1
Use /Nature New 67,557 Factory. *Note: No work to continue above the foundation until Storm Drainage plans are
of Work completely approved and Planning Services has reviewed and approved the plans.
HVAC Contr Plumbing Contr
Electric Contr
Inspections:
Date 6/27/02 AM Type Footings Inspector Allyn Dannhoff approved
PHONED REQUEST - They'd like the inspection done between 10am -11 am on 6/27/02.
** *INSPECTION REQUEST PROCEDURE CARD * **
Forming W1/2 of N wall & N1/2 of W wall - - OK when ready.
Date/Time requested: 6/26/02 02:01 PM Notice Type: Phone Number: 920 - 226 -0131
Access:
Ready Date/Time: 6/27/02 10:00 AM Requested By: MCCLOUD CONSTRUCTION, INC. - Pat
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 7/11/02 Type Foundation Backfill Inspector Allyn Dannhoff approved
Backfill - OK.
Ftg - SE Corner - OK.
Date/Time requested: Notice Type: Phone Number:
Access:
Ready Date/Time: • Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 95141 Create Date 06/07/2002
Owner EVCO PLASTICS Contractor SUBURBAN ELECTRIC INC
Category 652 - Industrial -New Building Wiring
Service 0 New 0 Change 0 Temp 0 N/A Type 0 Overhead • Underground 0 N/A
Volts 277/480 Circuits 0 Fixtures 0
Amps 2500 Switches 0 Receptacles 0
Fee $1,206.00 ❑ Value $351,000.00
Appliances
Use /Nature EVCO Plastics / New manufacturing facility & 200A 120/240V OH temporary service. (Permit shall
of Work include all electrical except machine wiring)
Inspections:
Date 01/16/2003 Type Final Inspector Kevin Benner not approved
TEMP - See field notes reviewed and documented w/ Rob on site.
Date/Time requested: 01/14/2003 09:44 AM Notice Type: FC Phone Number: 739 -5156
Access:
Ready Date/Time: 01/14/2003 09:44 AM Requested by: Sam
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 95141 Create Date 06/07/2002
Owner EVCO PLASTICS Contractor SUBURBAN ELECTRIC INC
Category 652 - Industrial -New Building Wiring
Service 0 New 0 Change() Temp 0 N/A Type 0 Overhead • Underground 0 N/A
Volts 277/480 Circuits 0 Fixtures 0
Amps 2500 Switches 0 Receptacles 0
Fee $1,206.00 ❑ Value $351,000.00
Appliances
Use /Nature EVCO Plastics / New manufacturing facility & 200A 120/240V OH temporary service. (Permit shall
of Work include all electrical except machine wiring)
Inspections:
Date 11/08/2002 Type Rough In Inspector Kevin Benner approved
2nd floor exterior office walls & consulation per 11/8/02. (Tray cable, eq grn ? for addition gm, eq gm in cable
too small.)
Date/Time requested: 11/06/2002 01:55 PM Notice Type: Phone Number: 841 -7088 Todd
Access:
Ready Date/Time: 11/06/2002 01:55 PM Requested by:
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date 12/09/2002 Type Inspector Kevin Benner no time
REQUEST LINE. Ceiling grid inspection before they tile.
Date/Time requested: 12/09/2002 12:49 PM Notice Type: Phone Number: 920 - 716 -1035
Access:
Ready Date/Time: 12/09/2002 12:49 PM Requested by: SUBURBAN ELECTRIC INC - Tim
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 95141 Create Date 06/07/2002
Owner EVCO PLASTICS Contractor SUBURBAN ELECTRIC INC
Category 652 - Industrial -New Building Wiring
Service 0 New 0 Change 0 Temp 0 N/A Type 0 Overhead • Underground 0 N/A
Volts 277/480 Circuits 0 Fixtures 0
Amps 2500 Switches 0 Receptacles 0
Fee $1,206.00 ❑ Value $351,000.00
Appliances
Use /Nature EVCO Plastics / New manufacturing facility & 200A 120/240V OH temporary service. (Permit shall
of Work include all electrical except machine wiring)
Inspections:
Date Type Rough In Inspector Kevin Benner no time
Inspect the grounding for the XFMR's
Date/Time requested: 09/24/2002 08:57 AM Notice Type: Phone Number:
Access:
Ready Date/Time: 09/24/2002 08:57 AM Requested by:
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date Type Service Inspector Kevin Benner approved
Faxed to WPS 10/2/02, Mailed 10/7/02
(testing of the MCB was conducted by Rich Batson fron Sq.D. see attached documentation)
Date/Time requested: 10/02/2002 08:43 AM Notice Type: Phone Number:
Access:
Ready Date/Time: 10/02/2002 08:43 AM Requested by:
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 95141 Create Date 06/07/2002
Owner EVCO PLASTICS Contractor SUBURBAN ELECTRIC INC
Category 652 - Industrial -New Building Wiring
Service 10 New 0 Change() Temp 0 N/A Type 0 Overhead • Underground 0 N/A
Volts 277/480 Circuits 0 Fixtures 0
Amps 2500 Switches 0 Receptacles 0
Fee $1,206.00 ❑ Value $351,000.00
Appliances
Use /Nature EVCO Plastics / New manufacturing facility & 200A 120/240V OH temporary service. (Permit shall
of Work include all electrical except machine wiring)
Inspections:
Date Type Rough In Inspector Kevin Benner
Sevice ground wire & supplemental grounding to be buiried
8/2/02 10:30 AM concrete was poured where the installation was to be done.
Date/Time requested: 07/31/2002 02:14 PM Notice Type: Phone Number:
Access:
Ready Date/Time: 08/01/2002 00:00 PM Requested by:
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date Type Service Inspector Kevin Benner not approved
GFP test to be conducted. Todd mentioned that Sq.D is conducting the installation but they wanted to test after
the service is energized. Todd will call when the test is scheduled.
the remainder of the installation is compliant.
Date/Time requested: 09/17/2002 11:42 AM Notice Type: Phone Number: Pg # 920 - 586 -0538 Todd
Access:
Ready Date/Time: 09/18/2002 09:00 AM Requested by:
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 95141 Create Date 06/07/2002
Owner EVCO PLASTICS Contractor SUBURBAN ELECTRIC INC
Category 652 - Industrial -New Building Wiring
Service 0 New 0 Change 0 Temp 0 N/A Type 0 Overhead • Underground 0 N/A
Volts 277/480 Circuits 0 Fixtures 0
Amps 2500 Switches 0 Receptacles 0
Fee $1,206.00 ❑ Value $351,000.00
Appliances
Use /Nature EVCO Plastics / New manufacturing facility & 200A 120/240V OH temporary service. (Permit shall
of Work include all electrical except machine wiring)
Inspections:
Date Type Rough In Inspector Kevin Benner
U.G. from the utility XFMR to the service disconnect
Date/Time requested: 06/24/2002 08:51 AM Notice Type: Phone Number: Todd 841 -7088/ 586 -0538 pg.
Access:
Ready Date/Time: 06/24/2002 08:51 AM Requested by:
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date Type Rough In Inspector Kevin Benner
Date/Time requested: 07/24/2002 03:23 PM Notice Type: Phone Number:
Access:
Ready Date/Time: 07/29/2002 00:00 AM Requested by:
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Electric Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 95141 Create Date 06/07/2002
Owner EVCO PLASTICS Contractor SUBURBAN ELECTRIC INC
Category 652 - Industrial -New Building Wiring
Service 0 New 0 Change 0 Temp 0 N/A Type 0 Overhead • Underground 0 N/A
Volts 277/480 Circuits 0 Fixtures 0
Amps 2500 Switches 0 Receptacles 0
Fee $1,206.00 ❑ Value $351,000.00
Appliances
Use /Nature EVCO Plastics / New manufacturing facility & 200A 120/240V OH temporary service. (Permit shall
of Work include all electrical except machine wiring)
Inspections:
Date Type Temporary Inspector Kevin Benner not approved
F /C /N
Date/Time requested: 06/14/2002 02:06 PM Notice Type: Phone Number: 841 -7030 Sam
Access:
Ready Date/Time: 06/14/2002 02:06 PM Requested by:
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
Date Type Temporary Inspector Kevin Benner approved
Todd is the Supervisor on site # 841 -7088
(found the contractor had cut 3' of a ground rod. Todd called, said he had driven a new rod)
Called into WPS 6/19/02, mailed 6/24/02
Date/Time requested: 06/19/2002 08:22 AM Notice Type: Phone Number: 739 -5613x 238 Sam
Access:
Meet Sam Schultz & Todd Teske on site 9:30 AM
Ready Date/Time: 06/19/2002 09:30 AM Requested by:
0 Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid
HVAC Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 98453 Create Date 10/11/2002
Owner EVCO PLASTICS Contractor BASSETT MECHANICAL
Category 510 - Ind. & Comm - Heating & Ventilating Plan F8-42 -0502
Fuel ✓ Gas 00 Electric Solar 1 Solid Value $142,465.00
System Q New n Replace ❑ Other
✓ Forced Air J Radiant u Steam U NC J Vent
U Electric u Hot Water U Suppl. ❑ Con. Burner
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss OD As Approved 0 Existing 0 Not Applicable Value 0
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature New 67,557 Factory/ Office HVAC systems & unit heater installation in plant.
of Work
Inspections:
Date 11/7/02 Type Rough In Inspector Allyn Dannhoff approved
Date/Time requested: • Notice Type: Phone Number:
Access:
Ready Date/Time: • Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Date 10/16/03 Type Final Inspector Allyn Dannhoff approved
Datemme requested: Notice Type: Phone Number:
Access:
Ready Date/Time: • Requested By:
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 96043 Create Date 06/25/2002
Owner EVCO PLASTICS Contractor JT SCHMIDT PLUMBING INC
Category 440 - Industrial- Interior Plan Value $85,000.00
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 31 Water Softner 0 Drink Ftn 1 Sery Sink 0 Soda Disp 0
Lavatory 8 Lndry Tray 5 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 11 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Fir/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 5 Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 2
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 10 Breakrm Sink 2 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use /Nature NEW COMM/ New 67,557 Factory
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 Type Final Inspector Rich Wood
Date/Time requested: 10/21/03 08:10 AM Notice Type: Telephone Number:
Access:
Ready Date/Time: 10/21/03 08:10 AM Requested By:
0 Reinspect Fee 0 Fee Waived 0 Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 96043 Create Date 06/25/2002
Owner EVCO PLASTICS Contractor JT SCHMIDT PLUMBING INC
Category 440 - Industrial- Interior Plan Value $85,000.00
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 31 Water Softner 0 Drink Ftn 1 Sery Sink 0 Soda Disp 0
Lavatory 8 Lndry Tray 5 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 11 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 5 Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 2
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 10 Breakrm Sink 2 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use /Nature NEW COMM/ New 67,557 Factory
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 12/18/02 Type Final Inspector WJ (Chip) Callies approved
Faxed request - partial final for temp. occupancy.
Datemme requested: 12/17/02 09:24 AM Notice Type: Telephone Number: 920 - 788 -7314
Access:
open
Ready Date/Time: 12/18/02 12:00 PM Requested By: JT SCHMIDT PLUMBING INC -dick
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 96043 Create Date 06/25/2002
Owner EVCO PLASTICS Contractor JT SCHMIDT PLUMBING INC
Category 440 - Industrial - Interior Plan Value $85,000.00
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 31 Water Softner 0 Drink Ftn 1 Sery Sink 0 Soda Disp 0
Lavatory 8 Lndry Tray 5 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 11 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 5 Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 2
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 1 0 Breakrm Sink 2 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use /Nature NEW COMM/ New 67,557 Factory
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 Type Underground Rough Ir Inspector WJ (Chip) Caliies no time
Faxed Request (rec'd 10/7/02 @ 5:34 p.m.) - balance of UG & partial RI
Date/Time requested: 10/8/02 07:00 AM Notice Type: Telephone Number: 920 - 788 -7314
Access:
open
Ready Date/Time: 10/8/02 07:00 AM Requested By: JT SCHMIDT PLUMBING INC -Dick Biese
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 96043 Create Date 06/25/2002
Owner EVCO PLASTICS Contractor JT SCHMIDT PLUMBING INC
Category 440 - Industrial- Interior Plan Value $85,000.00
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 31 Water Softner 0 Drink Ftn 1 Sery Sink 0 Soda Disp 0
Lavatory 8 Lndry Tray 5 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 11 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Fir/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Scully Sink 0 Wash Ftn 0
Water Heater 5 Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 2
Site Drain 0 Classrm Sink 0 Lab Sink 0 plaster Sink 0 Standp Rec 0
Roof Drain 10 Breakrm Sink 2 Sterilizer 0
Surgeons Sink 0 Ice Maker 0
Use /Nature NEW COMM/ New 67,557 Factory
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 Type Underground Inspector WJ (Chip) Callies no time
Date/Time requested: 9/6/02 08:10 AM Notice Type: Telephone Number:
Access:
Ready Date/Time: 9/9/02 08:10 AM Requested By: JT SCHMIDT PLUMBING INC
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 96043 Create Date 06/25/2002
Owner EVCO PLASTICS Contractor JT SCHMIDT PLUMBING INC
Category 440 - Industrial- Interior Plan Value $85,000.00
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 31 Water Softner 0 Drink Ftn 1 Sery Sink 0 Soda Disp 0
Lavatory 8 Lndry Tray 5 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 11 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 FIr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 5 Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 2
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 10 Breakrm Sink 2 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use /Nature NEW COMM/ New 67,557 Factory
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 Type Underground Inspector WJ (Chip) Callies no time
Faxed Request- please inspect 8 -5-02 PM
Date/Time requested: 8/5/02 07:24 AM Notice Type: Telephone Number:
Access:
open
Ready Date/Time: 8/5/02 07:24 AM Requested By: JT SCHMIDT PLUMBING INC -Dick B.
0 Reinspect Fee 0 Fee Waived El Reinspect Fee Paid
Plumbing Permit Work Card
Job Address 450 W RIPPLE AVE Permit Number 96043 Create Date 06/25/2002
Owner EVCO PLASTICS Contractor JT SCHMIDT PLUMBING INC
Category 440 - Industrial- Interior Plan Value $85,000.00
Bathtub 0 Shower 0 Ejector /Grind 0 Dip Well 0 F Prep Sink 0 Gar Drain 0
Whirlpool 0 Floor Drain 31 Water Softner 0 Drink Ftn 1 Sery Sink 0 Soda Disp 0
Lavatory 8 Lndry Tray 5 Local Waste 0 Wait. St. 0 Shamp Sink 0 Coffee Maker 0
Toilet 11 Lndry Stndp 0 Clothes Wshr 0 Ice Chest 0 Flr/Wst Sink 0 Int Grease Trap 0
Res. Sink 0 Disposal 0 Bidet 0 Exam Sink 0 Catch Basin 0 Ext Grease Trap 0
Bar Sink 0 Dishwasher 0 Beer Tap 0 Sculry Sink 0 Wash Ftn 0
Water Heater 5 Sump Pump 1 Dent. Oper. 0 Hand Sink 0 Urinal 2
Site Drain 0 Classrm Sink 0 Lab Sink 0 Plaster Sink 0 Standp Rec 0
Roof Drain 1 0 Breakrm Sink 2 Sterilizer 0 Surgeons Sink 0 Ice Maker 0
Use /Nature NEW COMM/ New 67,557 Factory
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 7/31/02 Type Underground Inspector WJ (Chip) Callies approved
FAXED REQUEST. Partial underground plbg - Deep main south end.
PARTIAL
Date/Time requested: 7/31/02 08:33 AM Notice Type: Telephone Number: 788 -7314
Access:
Open
Ready Date/Time: 7/31/02 00:00 PM Requested By: JT SCHMIDT PLUMBING INC - Dick Biese
0 Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid
Matson, Katrina
From: Wood, Rich
Sent: Monday, November 10, 2003 8:26 AM
To: Matson, Katrina
180 Dawes and 450 W. Ripple haven't been finaled yet. Someone from 180 Dawes was going to schedule an
appointment to get back into the utility room for re- inspection of the furnace /water heater (normally locked), but no one has
called to -date. 450 Ripple is not finaled because of time or lack thereof, for some vanity tops that were not available at the
time of occupancy.
1
CORRECTION NOTICE / FIELD INSPECTION REPORT
JOB LOCATION: kJ . P
City of Oshkosh
Inspection Services Division CONTRACTOR: Gip, 94
215 Church Avenue, PO Box 1130
Oshkosh, WI 54903 -1130 PROJECT TO BE INSPECTED: Kze
Phone: (920) 236 -5050
Fax (920) 236 -5084 TYPE OF INSPECTION: )1 ttiw
Violations must be corrected and approved within 30 days unless otherwise noted. Call for re- inspections prior to concealment
and/or occupancy. Upon completing the corrections, the owner /contractor /agent must sign and date at the bottom of this notice
and return it to the Inspection Services Division by the Compliance Date of
_0) INSPECTION T
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❑ Not Approved/ Insp. left on site ❑ Not Approved/ Insp. Report given to / te. . r-e. ❑ Mailed/Faxed
Signed it/41 I Q / � V43
pe • ' on Services Divisi ate of ection Phone #
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Print Name Company
Signature: Date
C CORRECTION NOTICE / FIELD INSPECTION REPORT e)
City of Oshkosh JOB LOCATION: 4 0 4) Z . Itit°
Inspection Services Division
215 Church Avenue, PO Box 1130 CONTRACTOR: WC ad
Oshkosh, WI 54903 -1130
Phone: (920) 236 -5050
Fax (920) 236 -5084 PROJECT TO BE INSPECTED:
BUILDING: HVAC: ELECTRIC: PLUMBING: EROSION CONTROL: PROPERTY MAINT.:
Footing
Foundati Furnace Service Rough Silt Fence Unlicensed ed Park.
V
�,�'�� Test On Silt Fence Unlicensed Veh
Rough A/C Temp Perm Underfloor Stone Access Garbage
Insulation Fireplace UG OH
Re -i Sewer/Water Straw Bales Dilapidated bld's, fences,
nsp. Re -insp. Re-insp. _ s p
Final Final Final Final Re -insp. etc.
Final Ext. Mainz.
, CODE INSPECTION RESULTS
S. i
NV
SPA L, r-tk lw r e t. i rw -_ pc— Nt*t., v
VIOLATIONS MUST BE CORRECTED AND APPROVED WITHIN 30 DAYS UNLESS OTHERWISE NOTED. CALL FOR RE- INSPECTIONS PRIOR TO
CONCEALMENT AND /OR OCCUPANCY. WHEN CORRECTIONS ARE COMPLETED THE OWNER/CONTRACTOR IS REOUIRED TO SIGN & DATE THIS
NOTICE AND RETURN IT TO THE INSPECTION DIVISION WHEN REQUESTING A RE- INSPECTION.
COMPLIANCE DATE: wt, rH t 4/a Vest v
:E�. ACTION TAKEN:
❑ Not Approved/ Ins ' : . ort left on sit- t Approved/ Ins Report given to
tr " ��' + pp p' R p g � ' .%.:/— /Mr ❑ Mailed/Faxed
Signed 41 � �r W. o SS
sp - tion Services Divis / G 3 G ��OP D
a t f Inspection Pho ne #
I hereby certify that the violations at the above address have been corrected.
P� 7 - 47, - A.--lt - ', ,.. ” '' OWNER SIGNATURE
'' , " -;DATE ,
Dannhoff, AIIyn J.
From: Lang, Tony
Sent: Friday, May 17, 2002 12:20 PM
To: Dannhoff, Allyn J.
Subject: Evco on Ripple
I have talked to the drainage engineer and have a preliminary submittal. The drainage engineer indicated that the building
grade is not sensitive to the drainage plan. You can issue foundation permits to Evco but hold further permits untill after
they submit a revised plan and I will review it when I get back in two weeks.
1
Dannhoff, AIIyn J.
From: Lang, Tony
Sent: Monday, June 17, 2002 2:30 PM
To: Dannhoff, AIIyn J.; Dittmer, Steve
Subject: FW: Evco on 450 (T) Ripple
Drainage plan recieved 6/13/02 approved.
- -- Original Message —
From: Lang, Tony
Sent: Friday, May 17, 2002 12:20 PM
To: Dannhoff, AIIyn J.
Subject: Evco on Ripple
I have talked to the drainage engineer and have a preliminary submittal. The drainage engineer indicated that the building
grade is not sensitive to the drainage plan. You can issue foundation permits to Evco but hold further permits until! after
they submit a revised plan and I will review it when I get back in two weeks.
1
375 City Center, Suite M
.' ' L, ` ,'O , Inc. Oshkosh, WI 54901
920- 232 -9786 • 920 - 232 -4954 Fax
The • ° atrial Development Corporation Email: chamco@chamco.org
June 4, 2002
Mr. Gary L. Schneider, Executive VP
Raasch Associates, Inc.
400 AMS Court
Green Bay, WI 54313
Dear Gary:
This letter is to confirm in writing the determination of the Site Plan Review Committee in
regard to the recently submitted plans for the new Evco Plastics facility to be constructed in our
Aviation Industrial Park here in Oshkosh, Wisconsin.
First, let me share with you the praise the Committee had for the design of the building. This
structure will be a tremendous addition to this park and our community.
The front, side, and rear yard setbacks all appear to comply with our covenants. We would like
to point out that with parcels adjacent to residential areas; the setback is a 50' requirement.
Obviously you are in compliance; however, we do suggest you indicate your understanding of
this setback requirement in the adjacent side yard area versus your notation of the standard 25'
requirement.
The truck turning radius also appears satisfactory. We do ask that this also be reviewed by the
City of Oshkosh's Engineering Department. In addition, we remind you of the fact that the City
needs to review the landscape plan, storm water plan, and review the plans for building code
compliance.
It appears there are no issues of height in reference to airport traffic and requirements. We do
suggest that the contractor, McCloud Construction, talk with Airport Director Duncan Henderson
prior to beginning construction and share with him the details of your plans. I am sure he will
appreciate this information and consideration.
There seems to adequate parking for your employees at both the present time and for future
expansion. This also is in compliance with our 2/3 ratio of parking stalls per employee on the
peak shift.
We would like to take this time to remind you of that portion of the covenants which insist that
all outdoor storage be fully screened at a minimum height of six feet.
To date, we have not seen any plans for signage. At what point you are ready to proceed with
these decisions and plans, please just give us a call. We will be happy to expedite the approval
necessary in this regard as signage does require our approval as well, prior to applying for the
necessary City permits.
Advancing the Industrial Development of Oshkosh Since 1960
I believe this covers all the necessary points in our approval process. Let me again state what a
thorough, well -done, package you presented to us. It sure made our process much easier, and I
am sure the City's as well!
Thank you for your communication and efficiency in providing us with the information we
needed. We wish you success in this project and the others coming your way. Please do not
hesitate to contact me whenever I can be of further assistance.
Again, it was a pleasure to work with you and Raasch Associates.
Sincer yours,
r /
IF
Penny K. ilz
Economic Development Assistant
Cc: David Borsuk, Chamco Site Plan Review Committee Chairman
Dean Arganbright, Chamco President
Richard A. Wollangk, Oshkosh City Manager
Matt Tucker, Associate Planner, City of Oshkosh
Douglas C. Pearson, Chamco Executive Director
Dave A. Schultz, Vice President, McCloud Construction, Inc.
Dale M. Evans, President, Evco Plastics
Allyn Dannhoff, Chief Building Inspector, City of Oshkosh
Safety and Buildings
1340 E GREEN BAY ST STE 300
SHAWANO WI 54166
TDD #: (608) 264 -8777
www.commerce.state.wi.us /sb
www.wisconsin.gov
\ '
scons►n 'tom- Philip t Edw C Alb rt, Governor
Department of Commerce � ,
MAY 2 4 20002
May 22, 2002 DEPARTMENT OF
CUST ID No.271964 COMMUNITY DEVELOIW f uiIdings & Struc tures Inspector
GARY L SCHNEIDER OSHKOSH INSPECTION
RAASCH ASSOCIATES 215 CHURCH AVE
400 AMS CT PO BOX 1130
GREEN BAY WI 54313 OSHKOSH WI 54902 -1130
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 05/22/2004 Identification Numbers
Transaction 1ll No. 729936
SITE: Site ID No. 643853
Evco Plastics Please refer to both identification numbers,
W Ripple Ave above, in all correspondence with the agency.
City of Oshkosh
Winnebago County
FOR:
Object Type: Building Regulated Object ID No.: 849051
Class of Construction: 6 Metal Frame - Unprotected; New Plan; 67,557 Project Sq Ft; 1 Story Bldg; Occupancy:
Business, Factory/Industrial
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
This review is based on bound set and additional information on bound set.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Key Item(s)
• COMM 63.01 Prior to installation, lighting plans and calculations shall be prepared in compliance with the
code and properly signed and sealed. The plans shall be available at the job site as requested by the Department
representative or local official.
Submit
• COMM 50.12 This review does not include heating, ventilating or air conditioning. The owner should be
reminded that HVAC plans, calculations, a completed SBD -118 application form and appropriate fees are
required to be submitted for review and approval prior to installation.
• Submit,prior to installation, one (1) set of properly signed and sealed precast plans, a completed SB -118
application form including this transaction number and signed by the building designer, and $100 submittal fee
to Safety & Buildings, P.O. Box 7162, Madison, WI 53707 -7162.
• COMM 50.17(1)(a) This approval will expire 2 years after the date of this letter if the building shell is not
closed in within those 2 years. Also, this approval will expire 3 years after the date of this letter if the work
covered by this approval is not completed and the building ready for occupancy within those 3 years. No
common use areas on the mezzanine of this facility.
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction /installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions
should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this
review shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Sincerely, Pee Required $ 2,500.00
Fee Received $ 2,500.00
Balance Due $ 0.00
Fokruddin Khondaker
Engineering Consultant Building Systems , Integrated Services WiSMART code: 7648
715)524 -6850 , 7:45 -4:30 M -F
fichondaker@commerce.state.wi.us
cc: Peter R Ochs , Building Inspector, (920) 948 - 3500 , Friday, 7:45 a.m. - 4:30 p.m.
Raasch Associates Inc
Gary L Schneider , Raasch Associates
Evco Plastics
Safety and Buildings
RECEIVED 1340 E GREEN BAY ST STE 300
TDD SHAWANO
TDD #: (608) 264 -8777
isconsin www.commerce.state.wi.us /sb
O CT 2 9 2002 www•wisconsin.gov
Department of Commerce Scott McCallum, Governor
Philip Edw. Albert, Secretary
DEPARTMENT
OMMUNITY DEVELOPMENT
October 25, 2002
CUST ID No.876325 ATTN :: Buildings & Structures Inspector
CURT FAHLSTROM BUILDING INSPECTION
SERVICE & SUPPLY CO INC CITY OF OSHKOSH
707 N PERKINS ST POB 1130
APPLETON WI 54914 -3132 OSHKOSH WI 54902
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 10/25/2004 Identification Numbers
Transaction ID No. 798881
SITE: Site ID No. 643853
Evco Plastics Please refer to both identification numbers,
W Ripple Ave above, in all correspondence with the agency.
City of Oshkosh
Winnebago County
FOR:
Object Type: HVAC System Regulated Object ID No.: 877231
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01(10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
• COMM 50.17(1)(a) This approval will expire 2 years after the date of approval of the building plans if the
building shell is not closed in within those 2 years. Also, this approval will expire 3 years after the date of
building plan approval if the work covered by this approval is not completed and the building ready for
occupancy within those 3 years.
A copy of the approved plans, specifications and this letter shall be on -site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction /installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions
should conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this
review shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries conceming this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Sincerely, firaki Fee Required $ 1,400.00
Fee Received $ 1,400.00
•
Balance Due $ 0.00
Fokruddin Khondaker
Engineering Consultant Building Systems , Integrated Services WiSMART code: 7648
(715)524 -6850 , 7:45 -4:30 M -F
fkhondaker@commerce.state.wi.us
cc: Peter R Ochs , Building Inspector, (920) 948 -3500 , Friday, 7:45 A.M. - 4:30 P.M.
Service and Supply Co Inc
Evco Plastics
Curt Fahlstrom , Service & Supply Co Inc
Safety and Buildings
PO BOX 7162
MADISON WI 53707 -7162
TDD #: (608) 264 -8777
isconsin www.commerce.state.wi.us /sb
www.wisconsin.gov
Department of Commerce
Scott McCallum, Governor
Philip Edw. Albert, Secretary
November 04, 2002
CUST ID No.271964 ATTN :: Buildings & Structures Inspector
GARY L SCHNEIDER BUILDING INSPECTION
RAASCH ASSOCIATES CITY OF OSHKOSH
400 AMS CT POB 1130
GREEN BAY WI 54313 OSHKOSH WI 54902
COMPONENT RECEIVED Identification Numbers
Transaction ID No. 806540
SITE: Site ID No. 643853
Evco Plastics Please refer to both identification numbers,
W Ripple Ave above, in all correspondence with the agency.
City of Oshkosh; Winnebago County
FOR:
Object Type: Precast Wall Regulated Object ID No.: 880279
Object Type: Precast Slab Regulated Object ID No.: 880280
Your submission of the above component(s) plans have been received by this department and the plans and other
related documents have been filed with our records for the subject project.
The submitted materials HAVE NOT BEEN REVIEWED for compliance with all applicable administrative rules.
The department will rely on, and hold responsible, the building design professional and/or supervising professional
of record for compliance with the rules. The responsible professional should particularly insure that proper loads
and fire resistive rating have been incorporated to correspond to the building design. Particularly insure: proper dead
and live loading, including snow drift loading increases, equipment loads, proper bearing /supports, concentrated
loads etc, are properly conveyed to foundations; and that required fire ratings have been employed.
The department reserves the right to formally review the plans in the future if the department determines that such a
review is warranted, and to order corrective actions with respect to the outcome of that review.
A copy of the plan that is identical to the plan submitted for our file shall be available for inspection at the job
site. When the total building volume exceeds 50,000 cubic feet, the plan shall bear an indication of review that has
been signed or initialed by the building designer of record.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead. Please refer to Transaction ID No. referred to in the regarding line when making an inquiry
or submitting additional information.
Sincrely, Fee Required $ 100.00
Fee Received $ 100.00
Balance Due $ 0.00
Jean M MacCubbin
Environmental Code Consultant, ASD WiSMART code: 7648
Fax: (608) 264 -8795 , M - F; 7 am - 330 pm
jmaccubbin@commerce.state.wi.us
cc: Peter R Ochs , Building Inspector, (920) 948 -3500 , Friday, 7:45 A.M. - 4:30 P.M.
William Paulson , Raasch Associates Inc
Evco Plastics
Buildings, HVAC, Lighting 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 exceeding 50,000 cubic feet and construction
of antennas, towers, and bleachers (Comm 50.10). Failure to submit this form may result in penalties as specified in _
Comm 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:
• The municipal building inspection office and
• Safety and Buildings, P.O. Box 7162, Madison, WI 53707 -7162
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: 729936
Site Number: 643853
Site location (number & street) 450 West Ripple Avenue
5 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: 15 Building Object ID# 849051 ❑ HVAC Object ID#
❑ Lighting Object ID#
❑ Partial Completion
Description of Portion Completed
A) o 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.
2 BUILDING ITEMS ❑ HVAC ITEMS
1. Structural system including submittal and erection of all building 1. HVAC system including final test
components (trusses, precast, metal building, etc.) (Comm 64.53)
2. Fire protection systems (sprinklers, alarms, smoke detectors) 2. All conditions of HVAC 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 ❑ LIGHTING ITEMS
4. Exits including exit and directional lights 1. Exterior lighting & control requirements
5. Fire - resistive construction, enclosure of hazards, fire walls, labeled 2. Interior lighting & control requirements
doors, class of construction 3. All conditions of lighting plan approval
and applicable variances
6. Sanitation system (toilets, sinks, drinking facilities)
7. Barrier -free including Comm 18 elevators and lifts
8. Comm 63 energy envelope
9. All conditions of building plan approval and applicable variances
The following Items are not in compliance and must be addressed:
B) ❑ Statement of Non Compliance
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:
1 Building ❑ HVAC ❑ Lighting — Gary Schneider Date: 01/10/2003
Name (please print or type)
Phone # 920 - 434 -2128 Customer ID# 271964 Signature
SBD -9720 (R.05/98)