HomeMy WebLinkAboutBuilding & Truss #D7-472-586R BUILDING INSPECTOR, City of Oshkosh
CIONDITIONAL PLAN APPROVAL P.O. Box 1130 Oshkosh, WI 54902
TO t'"L 5S You /06. NJG. /2/NEW / /ALT / /ADDN / /CH OF USE
2.305 .JAG So JO . LOCATION I �1 Mop.F- vi.Lif St-
0S(-F 1t3 6 H ()Jr s -490/ PLAN it N7 — 41D- -.5 2.
USE S .?Ac. 7Z G"et(2.A�
OWNER CLASS OF CONSTRUCTION *. (
MME VOLUME 1 L } OOP CUBIC FEET
PLAN REVIEW FEE $ 1 3_S' ' 1'
SUPERVISING PROFESSIONAL
I
The ,160 {t_fl;13/� 4i T2usS plans have been reviewed for compliance with important
c requirements and are stamped "CONDITIONALLY APPROVED ", but all items required to be
changed by this letter must be corrected before commencing that part of the work.
This letter is not a building permit. Required City permits must be obtained prior to the
commencement of any work.
The owner 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
Industry, Labor and Human Relations.
The owner, designer or builder shall keep at the building site, one set of plans bearing
t�e stamp of approval.
COMMENTS.
/HE a2 o � f Zc.� ,NC 1"�PPeAL,S, C o Cst -i149S HIS c,
� C'r2A.1� -� r
- -zviu ixi c. iJA2./.4N( v&) Z - 1 5 - &C. f° LLaJ Atit
1 t ` 2EA ''?A
i
1
there are any questions, my office hours are 8 -9AM & 1 -2PM Monday through / Friday.
PLAN EXAMINE$ . �oCe vr�-,-._ DATE 3 - (p /
Telephone to - c - D . 5) Room 205 City Hall
CO:
1 f R Buildings Division PLANS APPROVAL APPLICATION E•
i 1 E. Washington Ave. Department of
O. Box 7969 INDUSTRY, L4BOR AND,HUMAN RELATIONS PLAN NO. O$ - 47Z "SBFi
'adison, 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 ❑HVAC
Russ Young, Inc. Residential garages Russ Young, Inc.
)mpany Tenant Name, if any Street & No.
Russ Young, Inc. - n/a 2308 Jackson Drive
reet & No. Building location, Street & No. City State & Zip
2308 Jackson Drive 1395 Moreland St. Oshkosh Wi 54901
ty State & Zip dity County Phone
Oshkosh, WI 54901 Village. Oshkosh Winnebago 414 - 233 -1341
Town. ❑
- evious Owner. if any Return Plans to ❑Owner ❑Designer ❑ Other
THIS APPLICATION IS FOR: Type of Construction (Ind 51.03) ❑ Sprinkler System Provided FOR OFFICE USE ONLY
Building Plan Approval ❑ Fire Resistive —Type A #1 ❑ Fire Alarm Provided
❑ HVAC Plan Approval ❑ Fire Resistive —Type B #2 ❑ Other Detection System Provided • Amt. Rec'd.
❑ Other ❑ Metal Frame Protected #3 ❑ Emergency Power Provided
PLANS FOR: ❑ Heavy Timber #4 Mechanical Information:
MK New Building ❑ Exterior Masonry #5A
❑ Addition Type of Heating Rept. No.
❑ Exterior Masonry #58
❑ Alteration ❑ Metal Frame Unprotected #6 DETERMINATION OF FEES
❑ Revision to previously approved plans ❑ Wood Frame Protected #7
❑ Structural l Wood Frame Unprotected #8 . Area Height Volume
❑ Footing & Foundation SOIL BEARINGS CAPACITY
❑ Other Method used ❑Verified 1200 X 10 = 12000 cu. ft.
Check one: )Presumptive
X cu.ft.
Value used: 3000 PSF Total Volume or
• Total Area of Alteration = 12000
OMPONENTS INCLUDED WITH THIS SUBMITTAL Total Vol. /1000 (Building/ Minimum Fee $60.00
OTE: Must be submitted by building designer 12.000 X 1 .00 s $ 60. 00
Designer Name Reg. No. Total Vol. /1000 (HVAC) Minimum Fee $60.00
METAL /a X .75 _ $ n/a
BUILDING Supplier Alt. Area Minimum Fee $60.00
I X .02 = $
Designer Name Reg. No.
❑Structural ❑E xhaust ❑Illumination
TRUSSES Supplier -. ❑Ftg & Found ❑Revision $
•
see attached form ❑ PRIORITY PLAN REVIEW.
Designer Name I Reg. No. FEE IS EQUAL TO THE TOTAL PLAN
PRECAST n/a EXAMINATION FEES ABOVE. $
CONCRETE Supplier
❑ Permit to start$ $
Designer Name (Rag. No. PUBLIC RECORDS: Inspection Fee
LAMINATED n/a t
wooD Supplier This p /an, and related documents, may be 75.00
subject to public inspection and copying, $
Designer Name 1 Reg. No. See Ind. 69.09(8) for additional informa- Total
OTHER
(SPEC /FY) Supplier tion regarding public records.
135.00
,$
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 of 120 BLD ❑ HVAC Designer Type or Print Reg. No. Sign r � of ��
rr BLDG 0 HVAC Designer Date rca 4 �__ �i1 IIIIIko I ,/ f
�� �,
ans for buildings over 5 ,000 cu. ft. will not be approved until the name of the supervising professio Woven and the signature provided below.
.lame of Supervising Professional (Type or Print) Reg. No. Address
Ignature of Supervising Professional Date
1, 118(R.t2/84) '