Loading...
HomeMy WebLinkAbout0024620-Building CITY OF OSHKOSH N° 24620 PERMIT - APPLICATION AND RECORD TYPE: BLDG k HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING e---'7i FLOOD PLAIN HEIGHT ADDRESS / 't/ N• PLAN NO. • OWNER / CLlt.Ci(i v DESIGNER / USE /NATURE OF WORK ��¢2 - ea) X 1 / � / Gl' /J _ ' c 4 C %,K ru-1 l �J BUILDING CONTRACTOR 121.-- 4.4.--1 eZArs Size /j�� Sq. Ft. # Rooms k # Stori / Height Foundation �°� Class of Const. S / Occupancy Permit °�- O HEATING CONTRACTOR .(i 4.4.�st'/? " Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR 1 //�G�l� Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR �D5 -P.0 BT WH Disp WSoft CBasin _Lay Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation $ 34 0 O ' o Permit Fee Paid $ F O•n ° / Park Dedication $ ISSUED BY 944 /./ Date 7 / / 0/ Final /O.P. 1 -10 - 9 .2 In the performance of is work I agree to perform all work pursuant to rules governing the described construction. SIGNATURE , AGENT /OWNER DATE ADDRESS /1"2"-C / LCD .44 4,/ ?f--ZX 03/ 2/ TELEPHONE # Revised: 8/89 ZONING /LAND USE COMPLIANCE CHECKLIST /� JOB LOCATION: T �.- S k� ZONING: �/ - PROPERTY OWNER /CONTRACTOR: r&i:5 ,Ni CONSTRUCTION DATA: NEW CONSTRUCTION 4ADDITION ALTERATION PARKING LOT TYPE OF PROPOSED CONSTRUCTION: (i.e. fence, pool, sign, deck, etc.) COMPLIANCE CHECKLIST (Check only those applicable) COMPLIES 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 .:� .�� � AE , A Building Area Lot Area Per Family 144. 1,, 1- �i� Corner Lot , y / A" >AT //a/o Landscaping Landscaping Ces f #6 // f �( /cy j Transitional Yard l 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. PROVED DENIED Plan Commission Action Required Variance(s) Required REVIEWED BY: A � 111EK DATE: S/17/f ■ 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 Yakes Bauer & Kindt Office Building HGM Architecture Company Name Tenant Name (if any) Street & No. 805 N. Main Street Street & No. Building is located at: 141 N. Sawyer City State & Zip 141 N. Sawyer in the El City ti Town ❑ village Oshkosh, WI 54901 City State & Zi p of• Oshkosh Contact Person Oshkosh, WI 54901 County of: Winnebago Ronald D. Hansche Previous Owner if any Return Plans to: ❑ Owner ❑ Designer Phone ❑ Other: 414 - 231 -6950 PUBLIC RECORDS: This plan, and related documents, may be subject to public inspection and copying. (IND 69.02(6) 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. ❑ Footing & Foundation ® Building ❑ Structural ® HVAC ❑ Other: 2 4. The following construction classification type is requested and shown on plans. ❑ wl Fire Resist. ❑ #2 Fire Resist. ' ❑ #3 Metal Frame Prot 0¢#4 Hvy Tmbr y 0##5A Msnry Prot ®##5B Msnry ❑##6 Metal Frame ❑ #7 Wood Frame Prot 0##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 3000 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: see attached 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 min C.F....$ 60.00 Designer Name I Reg. No HVAC' Volume min C.F....$ 60.00 METAL BUILDING Supplier Alteration Area S.F....$ Structural: (Separate submission only) $ Designer Name I Reg. No Ftg & Fdn: (Separate submission only) $ TRUSSES Supplier Revision to previously reviewed plan $ Industrial Exhaust $ Designer Name Reg. No PRECAST Other: $ CONCRETE Supplier Priority Review (Total of above fees) $ Permission to Start $ LAMINATED Designer Name 1 Reg. No Inspection Fee $ 75.00 WOOD Supplier Total $ 195.00 OFFICE USE ONLY Date: Designer Name Reg. No (9 Owner OTHER Fee (SPECIFY) Supplier Paid ❑ Designer B y : ❑ 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 50,010 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, andslepartment, will rely on the seal of the component designers for compliance with the codes as they apply to their designs. Name of Building Designer (Type or Print) Reg. No. Name of HVAC Designer (Type or Print) Reg. No. Ronald D. Hansche A2457 . Name of P es ional Supervising Building (Type or Print) Reg. No. Address HGM Architecture, Inc. Ron ld- . Hansc e A2457 805 N. Main Street Signs . - of Profe. i a ervising Building Date P.O. Box 976 • Oshkosh, WI 54902 Nam - of Pr upervising HVAC (Type or Print) Reg. No. Address Ro D. Hansc A2457 Sig ofessio I S p rvising HV Date 8B -10/86