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Home My WebLink AboutCertificate of Occupancy - 05/13/2005 � : � CITY HALL Inspection Services Div 215ChurchAvenue City of Oshkosh PO Box 1130 � Oshkosh WI 54903-1130 � � O.lHKO.lH ON THE WATER Approved: May 13, 2005 � ; Grace Evangelical Lutheran Church ; 905 Nebraska Street Oshkosh, Wisconsin 54902-6025 � CERTIFICATE OF OCCUPANCY � An Occupancy Permit is hereby issued for the alterations to the school located at 913-919 Nebraska Street, Oshkosh, Wisconsin 54902-6025 as described in ` Building Permit Application number(s) 107898. � This building is to be used only as a school and is located in the C-3, Central Commercial District. LIMITATIONS: Maximum number of persons: 50 Occupants per class room A new Certificate of Occupancy shall be required prior to occupancy, should = additional building(s) be erected, or should any buildings mentioned above be ` altered or moved. The use of land, or buildings, shall not be changed until a = Certificate of Occupancy is issued for that occupancy. All conditions noted above must be complied with in order for this certificate be valid. � � DIR TO OF INSPECTION VICES \ < t F 'r- F : � Status as of: — -v;; . :=r� . �:�::::;:�:::�::::=:: :::::: .:.��........'.� :�: �� . � ��:=:��f'. :�l►�:�..�'''... :�::::::::: ..:• :.�::.:::.•:: . .. •.�::::.••��• i.� /� ............. �i:�:•:: :::��.-: ::.� �'i:.�. :;�.�.�.•••-..� �:-.�..��:- .:�::.�::._:.�::- �. ��:?::�.��:.::.:.:�: .�:- :�: Address: /3- 9/ E,B.�� - C'-�3 �.S`�9�.z - Go.zs' Project: oS'Cyva�-- T,�� r.��,JJ� � Plan # : � � -3/- vyo� ^�1 �:•''• • �'.\"�•: . tt�t:j�: r�s�� tri�� :�:=: ��. ��:r��t-:� .�?.. .:��?.. .D�tl�s�:::�:::;::::�:�::::::::::::::::�::�:::�:=:::::�::�::_::::< � Buildin /v �� -- ��! . � Permit# : lo � 8 . Electric: �=/,�-a`,� � � Permit# : /��'� 8 � HVAC: v � --v� � - , PeRnit# : // D �7,3 . Plumbin Permit# : ,��?�� G2�� ✓,� .�c�� . � P� �-�i sS •e�� -tu�r �: ; Notes: �jv5- �rJ�B-U-.r�c � .�r' c��5a� - G o� � ; . , � � z � _ Building Permit Work Card Job Address 913-919 NEBRASKA ST Permit Number 0107898 Create Date 4/30/04 Owner GRACE EVAN LUTHERAN CHURCH Contractor OWNER Category 229-Alteration Schools&other Educationai Type � Building � Sign � Canopy � Fence � Raze ' Plan L6-31-0404 - — --- _ ___ _ ___ _I Zoning Class of Const: Size Value $26,000.00 Unfinished/BaseMent 0 Sq. Finished/Living 0 Sq.Ft. Garage 0 Sq.Ft. Ft. Rooms 0 Bedrooms 0 Baths 0 ❑ Projection Stories Height 0 Ft. Canopies 0 Signs 0 Foundation O Poured Concrete � Floating Slab � Pier � Other � Concrete Block � Post � Treated Wood Occupany Permit Required Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 Use/Nature School/Create a Media Center and Classroom in the basement. of Work �, I, , � � HVAC Contr Plumbing Contr Electric Contr Inspections: Date 5/26/04 1 :00 PM Type Rough In Inspector Brian Noe not approved 'REQUEST LINE/ED WOULD PREFER TO BE PRESENT 'Made inspection with Ed Mars,Drexler Eelct,and Architecht- i�Wood framming req to be built as rated wall due to const type 'IrNo wood(combustibles)allowed above ceiling unless sprinklered I-Cooridoor walls and doors and sidelights req to be rated 'r Discussed firestopping with Ed MArs and Drexler Elect Date/Time requested: 5/21/04 03:34 PM Notice Type: Phone Number. 410-0179 _ _ Access: -- --- iF LOCKED CONTACT THE OFFICE � Ready Date/Time: 5/21/04 03:34 PM Requested By: ED MARS HEAD OF PROPERT BOARD � Reinspect Fee � Fee Waived ❑ Reinspect Fee Paid --------------------------------------------------------------------------------------------- Date Type-fdtJTL� Inspector -- - _ - __ , over to Ally . � ! �� _ D �{ -� c� , r1� i � �o o�f � 1 � Date/Time requested: Notice Type: Phone Number: Access: �� Ready Date/Time: AM Requested By: � Reinspect Fee � Fee Waived ❑ Reinspect Fee Paid �� "O �e c�- c��.r�- ��oc� � Building Permit Work Card Job Address 913-919 NEBRASKA ST Permit Number 0107898 Create Date 4/30/04 Owner GRACE EVAN LUTHERAN CHURCH Contractor OWNER E � Category 229-Alteration Schools&other Educational F` Type � Building 0 5ign � Canopy � Fence � Raze � Plan L6-31-0404 ; Zoning CNass of Const: Size Value $26,000.00 Unfinished/Basement 0 Sq. Finished/Living 0 Sq.Ft. Garage 0 Sq.Ft ; Ft. _ Rooms 0 Bedrooms 0 Baths 0 � Projection � � Stories Height 0 Ft. Canopies 0 Signs 0 ? '€ Foundation 0 Poured Concrete � Floating Slab � Pier � Other � Concrete Block � Post � Treated Wood � ccupany Permit Required Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 S Use/Nature chool/Create a Media Center and Classroom in the basement. of Work t � � 5 S F f HVAC Contr Plumbing Contr Electric Contr Inspections: Date Type Final Inspector Allyn Dannhoff approved ; FINALB&HOK ` � € Date/Time requested: Notice Type: Phone Number: a Access: � # Ready Date/Time: 10/26/04 Requested By: � � � Reinspect Fee � Fee Waived ❑ Reinspect Fee Paid ` � � --------------------------------------------------------------------------------------------- > s € s i � � € Y i t Building Permit Work Card Job Address 913-919 NEBRASKA ST Permit Number 0107898 Create Date 4/30/04 Owner GRACE EVAN LUTHERAN CHURCH Contractor OWNER Category 229-Alteration Schools&other Educational Type � Building �Sign � Canopy � Fence � Raze I Plan L631-0404 F —� Zoning Cl�ss of Const: Size Value $26,000.00 � �: Unfinished/Basement 0 Sq. Finished/Living 0 Sq.Ft. Garage 0 Sq.Ft. � Ft. Rooms 0 Bedrooms 0 Baths 0 ❑ Projection I � � Stories Height 0 Ft. Canopies 0 Signs 0 E Foundation � poured Concrete � Floating Slab � Pier � Other ; Q Concrete Block � Post � Treated Wood ; ccupany Permit Required Flood Plain Height Permit � i � Park Dedication #Dwelling Units 0 #Structures 0 Use/Nature chool/Create a Media Center and Classroom in the basement. of Work � HVAC Contr Plumbing Contr � Electric Contr # Inspections: ° � Date 5/26/04 1 :00 PM Type Rough In Inspector Brian Noe not approved � REQUEST LINE/ED WOULD PREFER TO BE PRESENT � Made inspection with Ed Mars,Drexler Eelct,and Architecht- Wood framming req to be built as rated wall due to const type �� No wood(combustibles)allowed above ceiling unless sprinklered ` -Cooridoor walls and doors and sidelights req to be rated Discussed firestopping with Ed MArs and Drexler Elect E Datemme requested: 5/21/04 03:34 PM Notice Type: Phone Number: 410-0179 i ACC@SS: ` e IF LOCKED CONTACT THE OFFICE � i i Ready Date/Time: 5/21/04 03:34 PM Requested By: ED MARS HEAD OF PROPERT BOARD � � Reinspect Fee 0 Fee Waived ❑ Reinspect Fee Paid ` ? --------------------------------------------------------------------------------------------- ` z Date Type Note Inspector ( File tumed over to Allyn. z ; w � � � Datelfime requested: 6/25/04 08:31 AM Notice Type: Phone Number. i Access: i r � Ready DateTme: 6/25/04 08:31 AM Requested By: k � Reinspect Fee � Fee Waived ❑ Reinspect Fee Paid � --------------------------------------------------------------------------------------------- � 4. � � ,. Electric Permit Work Card J�b Address 913-919 NEBRASKA ST Permit Number 108087 Create Date 05/14/2004 ; Owner GRACE EVAN LUTHERAN CHURCH Contractor DREXLER ELECTRIC Category 643-Commercial-Addition/Remodels �' Service New � Change� Temp � N/A Type � Overhead � Underground � N/A j Volts Circuits 8 Fixtures 30 � z . � Amps 0 Switches 8 Receptacles 20 Fee $178.00 � Value $8,300.00 Appliances Use/Nature race Luthern Church/wiring for a Media room&class room in the basement � of Work i i Inspections: � � Date 05/13/2005 Type Re Final Inspector Kevin Benner approved # Field Request DatelTime requested:05/10/2005 00:00 PM Notice Type: _ Phone Number; Access: Meet the E.C.on site ; Ready Date/Time: 05/13/2005 07:00 AM Requested by: � Reinspect Fee� Fee Wavied ❑ Reinspect Fee Paid i -----------------------------------------------------------------------------------• _ E � �: � I € E i L k C � � t � 8 � € � $ � i � Electric Permit Work Card J8b Add ess 913-919 NEBRASKA ST Permit Number 108087 Create Date 05/14/2004 Owner GRACE EVAN LUTHERAN CHURCH Contractor DREXLER ELECTRIC Category 643-Commercial-Addition/Remodels Service New � Change� Temp � N/A Type � Overhead � Underground � N/A � Volts Circuits 8 Fixtures 30 qmps �0 Switches 8 Receptacles 20 Fee $178.00 � Value $8,300.00 Appliances Use/Nature race Luthem Church/wiring for a Media room&class room in the basement of Work i Inspections: Date 05/26/2004 Type Rough In Inspector Kevin Benner _ approved REQUEST LINE/PHIL REQUESTED INSPECTION FOR WED OR THURS,HE WOULD LIKE TO BE PRESENT Discussed EM III withE.C. k Date/Time requested:05/25/2004 09:14 AM Notice Type: _ Phone Number: PHIL 379-7969 379-7967 Access: ` CALL AHEAD TO HAVE OPENED Ready Date/Time: 05/26/2004 : Requested by: DREXLER ELECTRIC ` � � Reinspect Fee 0 Fee Wavied ❑ Reinspect Fee Paid � f ��_��__��. {. Date 04/27/2005 Type Final Inspector Kevin Benner not approved Request from the building inspector ' Rooms were occupied with students f Date/Time requested:04/27/2005 08:02 AM Notice Type: _ Phone Number: ' I Access: F Ask for Tim(maintenance person)when on site. � � Ready Date/Time: 04/27/2005 08:02 AM Requested by: � Reinspect Fee� Fee Wavied ❑ Reinspect Fee Paid ------------------------------------------------------------------------------------ s: 4 � } � £ , HVAC Permit Work Card Job Address 913-919 NEBRASKA ST Permit Number 110073 Create Date 07/30/2004 i Owner GRACE EVAN LUTHERAN CHURCH Contractor GARTMAN MECHANICAL SERVICES s Category 512-Ind.&Comm-Both Plan M4-73-0804 � Fuel Gas Oil Electric Solar Solid Value $14,800.00 System � New � � Replace_ � � Other � �- � Forced Air Radiant Steam � A/C Vent Electric p Hot Water Suppl. � Con.Burner � i Chimney Type Chimney A Chimney B Direct Vent Not Applicable � Heat Loss As Approved Existing � Not Applicable Value 0 BTU Rate As Per Plan Variable � Other Value Use/Nature Install HVAC system for basement school expansion,classroom and media center. 'Late Permit. of Work i � : Inspections: � Date 10/26/04 Type Final Inspector Allyn Dannhoff approved � € FINALB&HOK i € : Date/Time requested: Notice Type: Phone Number: � � Access: � Ready Datemme: Requested By: � Reinspect Fee � Fee Waived ❑ Reinspect Fee Paid -------------------------------------------------------------------------------------------- � � � � � E f- f { $ t !¢ t � $[ i { f � € ( � . '_ Compiiance Statement � This form is reyuired to be submitted by the supervising professional(architect,enginetr,HVAC designer or electrical designer) observing construction of projects within buitdings with total areas exceeding 50,000 cubic feet and conswction of antennas, towers, and bleachers(ILHR 50.10). Failure to submit this form may result in penalties as specified in ILHR 5026 and/or local ordinances. General Instructions: Prior to the initial occupancy of new buildings or additions.and the final occupancy of altered existing buildings, submit•this completed and signed form to: � . , � The municipal buifding inspection office�. � � • Safety and Buildings,P.O.Box 7969,Madison, WI 53707-7969 Personal information you provide may be uscd for secondary purposes[Privacy L,aw,s. 15.04(1)(m)j. 1. PROJECT INFORMATION: (Use the Safety and Buildings or municipal project iabel, or type or print the information. If label is used,no additional entry is needed on Part 1. Owner Information Project Information j, Name Buildin �ccupenoy Chapter(s)& _', � •l/ s,� � A Com y Name Tenant Neme(if )• B . . $ .Number and S � Buildi Lo ' (number street) � ' L � ��ty �� City 0 Vilfage�o f County af �/� H State an ip e D� Property Identificetion Number E� Plan or Refe umber D Name& Fg.��1�Supervisin P .Foc uilding 0 ENAC 0 Lighting R � G —3 rD �/��d�- � E ame 8c Reg.#of Supervising Prof.for.O Buitding ❑HVAC ❑Lighting Name&Reg.�1 of 5upervising Prof.for 0 Buiiding ❑HVAC O Lighting 2. PURI'OSE �F Z'HIS STATEMENT: (Check Box A,B, C,or D to indicate purpose and complete any oiher applicable boxes and information. Attach additional pages if necessary.) . Check those which apply: �Building ❑ HVAC 0 Lightirig � Partial Completion . . � Description of Portion Completed A)�Stateraent of Substantial Compliance � To the best of my knowledge,belief,and based on onsite obscrvation,construction af the fallowing building and/ac HVAC items appiicable to this praject have been completed in substantial compliance with the approved plans and speoifications. �BUILDING ITEMS O HVAC 1TEMS 1. Structural system including submittal and erection of sil building components 1. HVAC system including final test (trusses,precast,metal building,etc.) (ILHR 64.53) 2. Fire protection systems(sprinklers,alarms,smoke detectors)designed, 2. All canditions of HVAC plan approvat and installed,and tested(including forward tlow on back flow devices)by applicable variances aPProPriately registered profcssionat� 3. Shaft and stainvay enclosure ❑ LIGHTING�ITEMS 4. Exits including exit and directional lights 1. Exterior lighting&control requinments 5. Fire-resistive construction,enclosure of hazards,�fire walls,iabeled do�rs,aless 2. Interiar Iighting&control requirements of construction 3. All conditions of Iighting plan approval and 6. Senitation system(toilets,sinks,drinking faciIities) and applicable variances 7. ILHR barrier-fne requirements 8. All condttions of building plan approval and applicable variances The following items are not in compliance and must be addressed: B) 0 Statement of Noncompiiance Due to the following listed violations,t}iia project is not ready for occupancy: C7 ❑ Supervising Professionat Withdrawn From Project (Use A or B above to indicate project status as of this date.) D) 0 Project Abandoned 3. SUPERVIS7NG PROFESSIONAL SIGNA �S FOR: �ullding p HVAC ❑Lighting Date ��• 1 0 •C�" 0 Huilding ❑HVAC ❑Lighting Date D Bultding ❑HVAC ❑Ligbling Date SSD-9720(R.OI/97)