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HomeMy WebLinkAbout0027394-Building CITY OF OSHKOSH N°_ 27394 PERMIT - APPLICATION AND RECORD TYPE: BLDG'HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN& HEIGHT/ - ADDRESS / 3 Z i K-e V UCH PLAN NO .-L- '- / � /' OWNER 4v-leo P / "( ue 7,4r DESIGNER USE /NATURE OF WORK Re wK >e r Pei S -0 4 -' t fr �Cg /O X n n 76 j'I /�t= v l t rb •ti.. E r Yr u r` IA > , e-- C j k b C fb #c c C i oU H•-� rt at4 kept st-e l a. r - . . l eek-4-04A/ jn4 •-/, t BUILDING CONT CTOR 4 f k, '-- ', •- L " // r Si S " Pf e- Sq. Ft. # Rooms* / IV # Stories / Height ! �( . r Foundation �� Class o Const. Occupancy Permit HEATING CONTRACTOR c , .-- tea. Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR A) ` i`Z Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR 2)4. g #c. ',� v st BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation s � !(?yi. 9 i Pe Fee Paid $ 3 © Park Dedic ti n ISSUED BY 4,4 M..,. Date 7/ Final /O.P. 1 1 ad Illibi // In the performan of this =rk I agree to orm all work pursu t to rules governing the described construction. I / i SIGNATURE !iiI' _ - ► ` � . _ _ ! l / / _ � � _� : NT /OWNER / DATE c ADDRESS i /� /.' / I. T/ �� i ���Sy /� C/ TELEPH NE # Revised: B /89 ZONING /LAND USE COMPLIANCE CHECKLIST C-- ZONING: JOB LOCATION: � �- PROPERTY OWNER /CONTRACTOR: ALTERATION PARKING LOT CONSTRUCTION DATA: NEW CONSTRUCTI{N ADDITION TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, p ool, sign, deck, etc.) • A. / . rf r r 3` I / ' 1 i r% • f ‘ r 01 - at. • Q pt KA— a 3 , !o - e?• sk Is .. COMPLIANCE CHECKLIST (Check only those applicable) DEFICIENCY /COMMENTS COM'LIES DEFICIENT 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 REV' AUTHORITY: rove all plans, except the The Director of Community Development, or designee, must app owin : (1) Alterations or interior work when the use is conforming and when no change foll g siding, windows, etc., when the use is in use is proposed. (2) Maintenance items; e.g. conforming and when no change is proposed. Instances where work complies with the above criteria, a the p eimit0canloemrevieweddbyithee. Building Inspector without referral to the Director / APPROVED DENIED ‘ _ Plan Commission Action Required Variance(s) Required ' ©� AC'e,(,...6.41glitiliir DATE: REVIEWED BY: / . • 1 _ 0 W m \ , cg Y ~ O C a o 0 gg W h O i a 2 \ V7_, . ail LL si. D i c'• is — _ V e U = e m Z O m m • • W Y. ; \ i X Xi 1:1= W 3 m m O Z o o U Q 4 s= I W IC Z 1 3 s Y = 4 \ft 3 1. og C q11%.. aa t t i 4 ) b _) - W p = e► V H H • 1 0 0 o • m v ' O (\ i _ _ W Z `V �l� *. p W > 6 i iZ V �W 0•,. V� X30 )L 2g H 1y ; A p 4) tr. o � 1 au in m Ce a. cg 3 1 Z E t • • a..0 Z S y Z W CI 2 o p w N s .. O ~= F Q W CO o 44- cc H ea F Q V W 3 X Z 41 y N o H Q 3 z Z J W ` e m S 0 W H V H i G. ►s G, il o= richard kempinger architect 1488 W. SOUTH PARK AVENUE • POST OFFICE BOX 2903 • OSHKOSH, WISCONSIN 54903 • 414/235 -3310 ■ 29, I e rd AL L 1 4 Off CHIEF &PA- /�i Ecrof otwi 04r/ '2I coAt ,2ci4 4a a4141504 t SY9o/ LE 9 9/M 4DDtrcoN1 To q'-I RORi4 1 .1N€L 1832 MIN ARV .T- 0S-14-00.S4-1 L4)/ '4c•LoswD '4rZz T#€ . -4t-1-40 w % g Rev' EL0 4o 4 1- e2.118 'L- OL »1e, s Gt4Eo -- 3 . - Fo412. L.E.-rs of Rows 4/_ emE w7244c..-r- 1-F `(•14. Aci >E 7 c?L =.S 7 w,4 Di4Q(AJC4 f 6(0F Me A - C L . THE CDt4..1EIL 4it) /vo M ET - W 6R-14LE. ROSKVA1 - — Ti-- E Do tics i /4 -13pQQ gE. A&J7 PRo6LEmb. 12tsiOcxf-141,ty Safety & Buildings Division PLANS APPROVAL APPLICATION 201 E. Washington Avenue E— P.O. Box 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 SBD -6154. Name of Owner Building Occupancy or Use Designer or Design? firm BLDG ❑ HVAC ARLENe A eU.Ee , ,s �}A NseeL+ �jil.R i D iEM AttEt 42041TFur Company Name Tenant Name (if any) Street & No. 0. 6okn4 Ala- AriE. Street & No. Building located at: 3 Z M /N RVA- Ci Stater 1832 mlt-l£Rv� Zip tl S X901 Ci State & Zip in the Ci ty ❑ � T .14 ] W age 6 �/�� I f y A p of VV I�} Co act , Per ' s / L �., - n 4 '/ 04 L swot o' County of: wl 4N ►� � �1� . �' 1`1 �/�1� �/'� Prere wner if any Return Plans to: ❑ Owner D esigner Phone 3 2 D ❑ Other: / °� PUBLIC RECORDS: This plan, and related d •cuments, may be subject to public inspection and copying. (IND 69.02(6) 1. This application for ❑ New Bldg ! i Addn to Bldg ❑ Alteration ❑ Revision t• • eviously reviewed plan ❑ ILHR 70 Hist Bldg 2. The Department has processed a Petition for Variance for this project? ❑ Yes ■V No; Preliminary Review? ❑ Yes No 3. Review of the following buildin mponents is requested. Plans and calculations . re included for each component. ❑ Footing 8r Foundation Building ❑Structural ❑ HVAC ❑ Other: 4. The following construction classification type is requested a d hown on plans. ❑ #1 Fire Resist. ❑ #2 Fire Resist. ❑ #3 Metal Frame Prot 0##4 Hvy Tmbr 0#5A Msnry Prot B Msnry 0 #6 Metal Frame ❑ #7 Wood Frame Prot 0 #8 Wood Frame . If plans do not show compliance with requested cons uctio 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 or design is WO PSF. This value is presumed ❑ verified 7. BUILDING SYSTEMS: Please check appropriate boxes ❑ Complete sprinkler ❑ Partial sprinkler LJ Fire alarm ❑ Emergency Power ❑ Complete detection system ❑ Partial detection system. For partial systems, show area protected on plans or by letter. 8. MECHANICAL INFORM �i O : Total output rating of heating units is: fl4ERS BTUH. Air cond. ❑ Full ❑ Partial ❑ None Primary fuel source is Gas ❑ Oil ❑ Electric ❑ L.P. ❑ Coal ❑ Wood ❑ Solar ❑ Other 9. 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 Z9'/ 30 C.F....$ Oa (gyp Designer Name Reg. No HVAC' Volume C.F....$ METAL BUILDING Supplier Alteration:....Area S.F....$ Structural: (Separate submission only) $ Designer N e Reg. No Ftg & Fdn: (Separate submission only) $ TRUSSES Supplie L Revision to previously reviewed plan $ Industrial Exhaust $ PRECAST Designer Name Reg. No Other: $ CONCRETE Supplier Priority Review (Total of above fees) $ Permission to Start $ Designer Name Reg. No LAMINATED Inspection Fee $ /AB. 00 WOOD Supplier Total $ tg•i OFFICE USE ONLY Date: Designer Name Reg. No 111 Owner OTHER Fee (SPECIFY) Supplier Paid ❑ Designer By: ❑ Other 11. DESIGN AND SUPERVISION (ILHR 50.07- 50.10) If this building, following construction of this project, contains more than 50,000 cubic feet, total volume, all applicable boxes below must be completed prior to plan review. The project designer is the person who signed and sealed the plans, except for components designed and sealed by other designers. Plans for buildings over 50,000 C.F. will not be reviewed until the signature of the supervising professional(s) Is provided. 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. N of Building Design r (y a or Print) Re Name of HVAC Designer (Type or Print) Reg. No. 1 i c t 1 „,lam. ,4 No. -W2 N of P • I Supery No. Address isin Buil ingype or Print) Reg. N T u� fY� Signature of Pr essional upervising Building Date Name of Professional Supervising HVAC (Type or Print) Reg. No. Address Signature of Professional Supervising HVAC Date SB -118 (R. 10/86) 23S 74 AREA, VOLUME AND FEE CALCULATION AREA: The area of a building 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 all roofed areas including porches and garages, except for cantilevered canopies on the building wall. Use the roof area for free standing canopies. HEIGHT: The height is measured from the bottom of the lowest floor slab to the top surface of the roof. If the roof is pitched or sloped, measure to the average height of the roof. Height includes, but is not limited to, basements, ground floors, crawl spaces, floor joist space, attics, dormers, etc. CALCULATION OF FEES New or Addition Length x Width = Area x Height = Volume I .. Area #1 7'7 -O x . 37 -0 . = gmg . x 4,33 4UIJL. = Z9y30 Area #2 , x . • = x . _ Area #3 x = = Area #4 x = x . _ Total Volume = ' I &1(,00,6. ToTA -L. lbLvme_ - Etho -. +niE.„) = L /7 1 /3o c.f. Alterations Length x Width = Area Area #1 x = Area #2 x = Area #3 x = Area #4 . x . _ Total Area = Transfer total volume and /or total alteration area to block #10 on front of form, and enter proper fees. See current fee schedule summary or IND 69.09 for fees, or call 608-267 -7843. ROP-A kE 31 LS t of 3 I PSsiG r t.) GRArea..1d‘.1 - PRESV+.^f•TIJEi Solt 6cARI•+l GAr'ACI 3poo 102E - C A -Fri 3000F4‘ — 12 .rA... .' 6 po -- Sou •rNFh,J p, N o•.. ( 2.lo+l T �6a.rEO — Sr rL. A al. sl���Cr/1�.(.�oni.,0v,: — WIASoa lAAro R�Aal.�c JN lrf L�.10 I .. Qy.aN..ay �..ay> 4 ` .••°..... a y dA a► e o • r '. — "Mu SS E. 1 E S14« f.'•i .S „ ,pp' ' EA.. f c, ° WILLIAM C. 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