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2000-Building & HVAC #B4-24-0400
CITY HALL 215 Church Avenue P O. Box 1130 Oshkosh. Wisconsin 54902-1130 City of Oshkosh OJHKOfH April 25, 2000 ON THE WATER Bob Eichel Richard Kempinger Citizens First Credit Union P.O. Box 2903 250 N. Sawyer St. Oshkosh, WI 54903 -2903 Oshkosh, WI 54901 RE: 250 N. Sawyer Street Interior Alterations File # B4 -24 -0400 The above - reference plans have been stamped CONDITIONALLY APPROVED based upon review for conformance to the current edition of the Wisconsin Administrative Building and Heating, Ventilating and Air Conditioning Code, chapters COMM 50 -64, 66 & 69. These plans have NOT been reviewed for conformance to the Plumbing Code (chs. COMM 81 -86), the Electrical Code (ch. COMM 16) and any COMM code not specifically mentioned. This approval is not a Building Permit. Necessary city permits must be secured before commencing work. Heating and ventilating plans have been reviewed by this office for compliance with important code requirements. All items that are required to be changed by this letter, must be corrected before commencing that part of the work. This approval is not a Heating Permit. Necessary city permits must be secured before commencing work. You are hereby advised that the owner, as defined in Chapter 101.01 (I) of the Wisconsin State Statutes, is responsible for all code requirements not specifically cited herein. Code requirements are set forth in Chapters 50 through 64 of the rules of the Department of Commerce. The building will be inspected during construction and a final inspection will be made after completion to insure complete compliance with city and state codes. The architect, professional engineer, builder or owner shall keep at the building. As evidence of approval, one set of plans bearing the stamp of approval. Sincerely, Allyn I.nn .ff Director of Inspection .4rvices APPLICATION FOR REVIEW BUILDINGS, HVAC Visconsirs - Complete all pages- AND COMPONENTS Department of Commerce Safety & Buildings Division This form may be utilized for fax appointments Bureau of Integrated Services Complete and indicate date plans will be in our office NOTE: Personal information you provide may be used for secondary Complete for confirmed appointments: purposes [Privacy Law s. 15.04(1)(m), Stats.] Transaction ID: 1. Building Submittal 2. Type of Submittal: T ( ) New ( ) Addition Previous Related Trans. ID: Building ( Revision /Replacement ( N HVAC ( Alteration, If tenant alteration indicate Appointment Date *: ( ) Lighting previous designation Assigned Reviewer: ( ) Footing Foundation ( ) Permission to Start ( ) Petition (attach form SBD -9890) Assigned Office: ( ) Truss ( ) Multiple Buildings Facility Number: ( ) Precast Number of Buildings ( ) Metal Building Complete attached form for multiple *Plans must be received in the office of the appointment no later ( ) Erosion Control buildings on the same site than 2 working days before the confirmed appointment. ( ) Other 44CE" 3. Project Site Information - Fill in all known information. Occupancy: eliV.54 Site Number Area (project area, include all � Number & Street: Z 50 4- SAwllz. Sr � 900 levels): sq. ft. ' Legal Description: Number of floor levels County �XVt Coun ( ) City ( Wide se ( )-ToMref DS # of Stories: / Facility Name: (tenant name or building designation: Example: West Mall /Jim's Shoes) Construction Class CAT l ZEN`. -F &RST C2£prr ( - INeo, -1 ❑ 1 ❑ 2 ❑ 3 ❑ 4 Facility Address: (tenant or building address) Zip Code 0 545B CI El ❑ 8 Z50 t 4 'r 2. ST. Q wl- 5 Total Building Volume is: 4. After plans are reviewed, please: (check all that apply) ( ) < 50,000 Cu. Ft. _ Cali when completed. - Mail plans to customeGl 2, 3, 1. O >_ 50.000 Cu. Ft. _ Requesting party will pick up. Circle customer number from below. Other: 5. Complete the following designer /owner /requesting information. Utilize the check boxes when designer, owner or requesting party is the same to avoid repeating information. Designer Information (Customer 1) Requesting Party if different than designer (Customer 3) ;! First Name Last Name Customer Number First Name Last Name Customer Number RIc.44,42p of _ KEenfo E12- 2-5 Co any Name ,, // n Company Name •K It1 �) #04 -- A17- I - r Ad ss Address - O - Z o3 Ci State Zip +4 (9 digits) City State Zip +4 (9 digits) 1415%14 1 01903 Z903 Phone Number (area code) Fax e 4 tercet— Phone Number (area code) Fax or Internet ,ZO Z35 12o- 235 - '(00Z Check others if applicable () Supervising Professional NE # A. quo Check others if applicable ( )Supervising Professional A/E # ( )' • ( -) - ( —) ( ) Owner ( ) Payer ( )Designer,_ Bldg, _Hvac, _Lighting Owner Information (Customer 2) Other Please specify (Customer 4) First Na edv Last Name Customer Number First Name Last Name Customer Number iC.NIEL 1 Company Name Company Name 0, IT1ZEu,5 - (jZST CR orr UbOIO'4 Address Address 2-50 4- SAwY— = City C 46 4if State Zip+4 (9 digits) City State Zip +4 (9 digits) Phone Number (area code) V _► / Phone Number (area code) Fax or Internet 920 234P 704o .XT 3028 I Check others if applicable ( ) Supervising Professional A/E # Check others if applicable ( ) Supervising Professional A/E # 1 1 Payer ( ) Payer ( ) Other ( )Designer,_Bidg, _Hvac, _Lighting MAKE CHECKS PAYABLE TO TOTAL AMOUNT DUE $ M, Attach check here. C I T'' 0 05/4 Review Code 7648 SBD -118 (R.4/99) 6. : • ulated Object Type Details Complete information requested where applicable. 2 ite*gh GOrttejf ... . Occupancy Type Sprinklered Type (check all that apply) ( ) Partial ( ) Complete clef None Disturbed Area: acres. ( ) Assembly (Entertainment, Dining, ( ) NFPA 13 Worship) ( ) NFPA 13R ()(rBusiness/Office ( ) NFPA 231 Ughtil19 4, x.645 ( ) Educational ( ) NFPA 231C ( ) Factory/Industrial Component Included with this submittal Light Load in KW ( ) Hazardous/Garage (check all that apply): ( ) tnstitutionallDaycare/CBRF ( ) Precast Concrete Lighting Controls ( ) Mercantile/Retail ( ) Wood Truss (check all that apply) ( ) Residential < 8 units ( ) Steel Joist Girder ( ) Day Lighting ( ) Residential > 8 units ( ) Metal Building ( ) Shut Off ( ) Warehouse /Storage ( ) Laminated Wood ( ) Light Reduction ( ) Free Standing Canopy ( ) Fire Escape ( ) None ( ) Grandstand ( ) Interior Bleacher ( ) Pedestrian Access Structure HVAC A 24"ti 4V OA.0 NOTE: ( ) Open Parking Structure Submittal Includes, 7 ( ) Mini- Storage (check all that apply) HVAC, lighting, and tenant alteration plans and ( ) Historical Building pp y) component submittals must be sent to the same Fire Containment ( ) Grease /Range Hood office as the original building submittal. Please (check all that apply) ( ) VAV System include the original building transaction number ( ) Unlimited Area ( ) Boilers on the second line of the page 1, upper right box. ( ) Flammable or Combustible Liquids ( ) Seasonal Use ( ) Required Area Division Walls Dates Facility Regulated by Other Agency From to (check all that apply) ( ) Plenum Ceiling ( ) CBRF ()Hospital ( ) Mechanical Refrigeration ( ) Nursing Home ( ) Day Care Over 50 Tons ( ) Assisted Living ( ) Other HVAC Fuel Source ( ) Hotel/Motel/Restaurant ( None ( it /LPG ( ) Solid ( ) Public Swimming Pool (") was ( ) Electrical 7. Statements of (Owner's, Designer's and Supervising Professional's Signatures required below) a) OWNERS 1 request that plans be reviewed for compliance with the code requirements set forth in Chs. Comm 50 -64, 66, and 69 of the department. 1 recognize that I am responsible for compliance with all the code requirements and any conditions of approval. If this building exceeds 50,000 cubic feet in total volume, I will retain as required by s. Comm 50.10, a supervising professional through out construction to project completion and the filing of a Compliance Statement by the supervising professional prior to occupancy. Permission to start requested (Optional if selected - Be sure to check box under Building Submittal Type on front page) ( ) As the owner, I request to begin footing and foundation work PRIOR to plan review approval. 1 agree to make any changes required after plans have been reviewed, an• tgremove or replace any non -code complying construction. (• , • • . • ' - .ui • lding) Request is for the following buildings: Owners Sig ature • - ... Date _.2 z ._ . -____ Z) -y b) DESIGNERS (Comm 0.07- 50.09) If this • . ding, following construction of this project, contains more that 50,000 cubic feet in total volume, plans are required • • - . epare• i• - •, sealed and dated by a Wisconsin registered engineer or architect [Comm 50.07(2)]. Signatures and seals shall be o .• inal. I rti t at the submitted plans were prepared under my supervision, are accurate, and to the best of my knowledge comply with the applicab - • f the D' ' ion of Safety & Buildings. Designers Signature 11,,,t� )(Buildin )Hvac )Lighting Date a � � 9O O�9 9 2'cT� Designer's Signature , / , t �/, _ iII /I ( )Building Hvac ( )Lighting Date 4 -10- t) 1 Designers Signature ( )Building ( )Hvac ( )Lighting Date c) SUPERVISING PROFESSION (Comm 50.10) I • ave been retained by the owner as the supervising professional per Comm 50.10 for the performance of the supervision of r- - sonable o e -s' e observations to determine if the construction is in substantial compliance with the approved plans and specificati• s. U. •n • I .. -tion of construction, I will file a written statement with the department certifying that, to the t best of my knowledge and b ief, cons ru /r as or has not been performed in substantial compliance with the approved plans and specifications. �4 _ Supervising Professional's Signatu - � � Q •� i i�� � � Building ( )Hvac ( )Lighting Date 2 B Supervising Professional's Signature 4111V.fo:La ( )Building ()Hvac ( )Lighting Date Supervising Professional's Signature ® ( )Building ( )Hvac ( )Lighting Date d) COMPONENT SUBMITTAL The departm - cts, 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. Original Signature of Building Designer (Component Submittal) Date Signed Name of Component Fabricator Madison S&BD Hayward S &BD LaCrosse S &BD. Shawano S &BD Green Bay S &BD Waukesha S &BD 201 W Washington Ave 15837 USH 63 2226 Rose St 1340 E Green Bay 2331 San Luis 401 Pilot Court PO Box 7162 Hayward WI 54843 LaCrosse WI 54603 Shawano WI 166 • G r Ba WI 54304 Waukesha WI r Madison WI 53707 -7162 ., ''- 53188 • 608 - 266 - 3151 715 - 4870 608- 785 -9334 715- 524 -3626 920 -492 -5601 Fax: 608 -261 -6699 Fax: 715-634-5150 Fax: 608-785-9330 Fax: 715-524-3633 FAX: 920 -492 -5604 414 -548 -8600 TDD 608 -264 -8777 Email: haywardsch© Email: Iacrossesch@ Email: shawanosch@ Email: greenbaysch© Fax: 414 - 548 -8614 Email: madisonsch@ commerce.state.wi.us oommerce.state.wi.us commerce.state.wi.us commerce.state.wi.us Email: waukeshasch@ commerce.state.wi.us commerce.state.wi.us