HomeMy WebLinkAboutBldg, Truss & HVAC #I17-01-186B BUILDING INSPECTOR, City of Oshkosh
ONDITIONAL PLAN APPROVAL P.O. Box 1130 Oshkosh, WI 54902
TO NN Is L . DL SbN A z 4 pc/NEW / /ALT / /ADDN / /CH OF USE
' O , o?c z G4 C., LOCATION j3q5 LANn Sr:
APPLEToNJ, ji ,_54.q/3 PLAN # "in ( Sao
USE. - UN i t APAILTMEIL1 T ". CZ G
WNER V SS ToJNv ..�/V C CLASS OF CONSTRUCTION 1 cCbO.P - (L/A.A�(�
VOLUME 3S', 200 CUBIC FEET
2,308 J A qc So v.l bk
OS - Ka S t4 j W --C4 9 o / PLAN REVIEW FEE g!..:54... �- b
SUPERVISING PROFESSIONAL
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c Ilk -7- T/LVSS �Ic/A c— plans have been reviewed for compliance with important
ode ode requirements and are stamped "CONDITIONALLY APPROVED ", but all items required to be
c hanged by this letter must be corrected before commencing that part of the work.
T his letter is not a building permit. Required City permits must be obtained prior to the
c ommencement of any work.
T he owner is responsible for all code requirements not specifically cited herein. Code
equirements are set forth in Chapters 50 through 64 of the Rules of the Department of
Industry, Labor and Human Relations.
he owner, designer or builder shall keep at the building site, one set of plans bearing
the stamp of approval.
COMMENTS.
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I there are any questions, my office hours are 8 -9AM & 1 -2PM Monday through Friday.
PLAN EXAMINER "( DATE �2�2, /5%
Telephone �,3' - S 7$/ Room 205 City Hall
c C 55 V 6' -TN(_.
.:'°tv & Luildmgs Division PLANS APPROVAL APPLICATION E-
0` E. Washington Ave. Department of
-.0. Box 7969 INDUSTRY, LABOR AND HUMAN RELATIONS PLAN NO. - -O I . _' 6(.5
ladicon, WI 53707
INSTRUCTIONS: Fill in all applicable data. Submittal of Plan Approval Application form is required with each plan submittal. Examination and
inspection fees, as indicated on back of form, are required to be submitted with a minimum of four sets of plans. Data required on plans is described
in code section Ind. 50.12.
Codes can be purchased from the Department of Administration, Document Sales, 202 S. Thornton Ave., Madison, 53702
ame of Owner ,Building Occupancy or Use Designer or Design firm of BLDG i (HVAC
Rus...c i ,e.. _ )15./.1A/L, ! 1 4 1 9 4 r/ / A7 /v i - 4 - ' " D.- .c..ve.e •., co, - -- A/A
ompany ( Tenant Name, if any ( Street & No.
�.v5s )(:).41N+ , /•vc, ; . - - P. G. /sax .26-i‘
treet & No Building location, Street & No ICity State & Zip
2 302 - , J , d c, c , . v 4 f , / ✓ 4." /3 96 Ale. ?k. .CA.v.O STe_g_,or I /1/ 7 k/ 6
,ty State & Zip City S County Phone
/ Village r_ I / 4e /Al
05/i CIN , 1, / 5� y0/ Town ❑ 1 Nrc5 N t✓ /NN(Q.Q 4 0 .1' /A - 730 CO54
r evious Ownei if any Return Plans to ❑Owner Xi Designer LI Other
THIS APPLICATION IS FOR: Type of Construction (Ind 51.03) liJ Spr!nklr r System Provided FOR OFFICE USE ONLY
x Building Plan Approvai [� Fire Resistive —Type A #1 LI Fire Alarm Provided
❑ H VAC Plan Approval Li Fire Resistive- -Type B #2 ❑ Other Detection System Provided • Amt. Rec'd.
1 O ther Li Metal Frame Protected #3 J Emergency Power Provided
PLANS FOR: { J Heavy Timber #4 Mechanical Information:
New Building E—' Exterior Masonry #5A
Type of Heating /ti.�Afc. Rept. No.
Exterior Masonry #5B
FE A lteration Ei Metal Frame Unprotected #6 DETERMINATION OF FEES
❑ R evision to previously approved plans h Wood Frame Protected #7 ____
❑ Structural X Wood Frame Unprotected #8 ' Area I Height Volume
Li Footing & Foundation SOIL BEARINGS CAPACITY _____
CJ Other [ Method used ❑Verified ` =
Check one: X]Presurnpnve
X cuff.
Value used: 33000 _ PSF ITotal Volume ur
Total Area of Alteration 35200
;OMPONENTS INCLUDED WITH THIS SUBMITTAL i ` Total Vol. ;1000 (Building) Minimum Fee 560.00
DOTE_ Must be submitted by building designer 35 ,2. X 1 .00 J 20 =: S
Designer Name Reg No. Total Vol. /1000 (HVAC) J Minimum Fee 60..0
METAL X . 75 = I$ vv
BUILDING Supplier Alt. Area � Minimum Fee $60.00
X .02 = $
Designer Name ` Reg. No. ❑Structural ❑Exhaust »3Illumination
TRUSSES f �t - ��Q/i7iTi<_,O ❑ Found ❑Revision $ �., ,�.,-
Supplier
,rfr A -, f T.E. ❑ PRIORITY PLAN REVIEW.
Designer Name Reg. No. FEE IS EQUAL TO THE TOTAL PLAN
PRECAST I A EXAMINATION FEES ABOVE. $
CONCRETE i Supplier
❑ Permit to start $6000 $
Designer Name ' Reg. No. PUBLIC RECORDS: Inspection Fee
LAMINATED
WOOD Supplier �A This plan, and related documents, may be i /
subject to copying, '' l- ' °7 !7
public inspection and copyin , $
OTHER Designer Name `Reg. No. !See Ind. 69.09(8) for additional informa- Total
(SPEC /FY) Supplier — tion regarding public records. 34, r)-2-
t $
DESIGN AND SUPERVISION (Ind. 50.07 - 50.10) Wisconsin Registered Professional required for buildings, containing more than 50,000 cu.ft.,
total volume. This project has been prepared under my supervision. Individual components, submitted herein, may have been designed and sealed
by others. I have reviewed those component documents for conformance with the general design concept. I have relied on the seal of the component
designers for compliance with codes as they apply to their design.
If this submittal includes building, or building components, the designer and supervising professional below must be that of the building. If submittal
is for HVAC, only, blocks below may be completed by HVAC designer and supervisor.
ame jitBLDG / HVAC Designer Type or Print Reg. No. paatyiof BLDG �� AC Des'.ner Date
f ans for buildings over 50,000 cu. ft. will not be approved until the name of the supervising professional is k -, wn and the signature provided below.
fame C S - u ' pervising P / y / / Q nnal (Type or Print) PReg. No. Address
/ ' AddD 4/ress / � ax /cd� �f/ '5-47,
, v , ey,siz N' r'/K70ry 1//1 I .F/ - 7T' T l /3
1N f Super - sing Professi 1 Date /- ' azLa*4 A✓�• ?� /T Oil/
Q(R.12/84)