HomeMy WebLinkAbout0061982-Building {
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E Building Permit Work Card
Job Address 315 W MURDOCK AVE Permit Number 0000000 Create Date 12/16/97 � r
Owner WAYNE ERICKSON Contractor ROCKFORD STRUCTURES
Category 230-New Stores&Customer Service
Type Building O Sign O Canopy � Fenc� Raze Plan D7-166-1297 f
Zoning C2-PD Class of Const: 5B Size 112'x135' Value $690,000.00
Unfinished/Basement Sq. Finished/Living 15120 Sq.Ft. Garage Sq.Ft.
Ft.
Rooms Bedrooms Baths ro�ec ion
Stories 1 Height Ft. Canopies Signs
Foundation Poured Concrete � Floating Slab � Pier � Other
Concrete Block O Post 0 Treated Wood �
Occupany Permit Required Flood Plain No Height Permit Not Require
Park Dedication Not Require #Dwelling Units 0 #Structures 1
Use/Nature w BTORE--WACGREE . sepera e permi wi e require of r al signage a a a er a e
of Work
HVAC Contr Plumbing Contr
Electric Contr
Inspecti ns:
Date ' Ct� Type `�� Inspector _ �� pprove
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INSPECTION REPORT: ADDRESS: J - � -��� �
CONTRACTOR: � � �9��� �
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Request Taken By �r-;�'r��c '
Time Called In �"c�� �
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Phone# �
Project to be Inspected Comm/Res �
Means of Access �
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BUILDING,:/ PLUMBING: ELECTRIC: HVAC: EROSION CONTROL: MISC: �
Footing 1s. Rough Rough Rough Tracking Other
Foundation Test On Service Furnace Silt Fence
Rough Underfloor Amps Ph A/C Stone Access
Insulation Sewer/Water Temp Perm Fireplace E.C.Bales �
Bsmt.Floor Reinsp. UG OH Reinsp. Reinsp.
Reinsp. Final Reinsp. Final Final �
Final Other Final Other Other
Other Other
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ITEM# ORDER INSPECTION RESULTS
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VIOLATIONS MUST BE CORRECTED AND APPROVED BEFORE CONCEALMENT!
CALL FOR INSPECTIONS
�lction Taken: �Approved ❑ Not Approved/Inspection Report left on site O Not Approved/Correction Notice mailed
❑V bal Notice to
Signed
Inspe �on ervices Division Phone Number
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�RAThlAf;�' F'!_ AN •f'il("IF'_ TA�If"' HF!'Y.t .T�T '
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JOE LOrATiON = �
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r''F;OF'ERT'f OWNEfi/CONTRACTDf,'�—`
TYF'E OF F'ROFOSED CONSTfiUCTION � � ��-R�te��-'� '
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ARFA OF LOT� �� ��� �
AREA OF LOT TO E�E OEVELOFED = /� S�%'
I:�RAItdAGE FLAN REDUIFiED � YES � NO
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D1='AT.NAGE F'LAN AF'F'fiOUED = YES X NO
COPlG ITIONS OF AFFROUA� � ` "� -s���
.�'��-
r_ONDITIONS OF DENIAL =
RE'JIEW AUTHORITY � Appro�al of plan=� or calculation_• sf�all be b��
tr�e D i rector of P��t� 1 i c +iork�, or �je°_� i gne� .
��EUtEwED 8Y =
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wisconsinDepartment of Industry, PERMISSIONTO START CQNSTRUCTION Safety and Buildings Division �
labor and Human Relations ' �
�
- . . NOTE: This permission is applicable only to projects
. � having below g�ade foundation worlc.
� Additional fees are required. Contact one of the locations listed below for more information. t
The informavon you prov�de may be used by other government agency programs�Privacy Law,s 14.04(1)(m)J. ;
_. HAYWARD OFfICE LA CROSSE OfFKE .MAOIS�N OFFICE SHAWANO OFPICE WAlJKESNA OFfICE f
� 209 w.1st Street 2226 Rose Street � 20t E.washmgton Ave. 1340 E.Green Bay Street 401 Piiot Court .
� � �
Rt.8.Box 8072 La Crosse,wf 54b03 P0.eox 7969 Shawano,w►54166 Weukesha,WI 53188 �
Hayward,WI 54843 Teie: (608)785-9334 Madison.WI 53707 Tele: (715)524-3626 Tele: (414)548-8600 �
Tele: (715)634-4870 FAX: (608)785-9330 Tele: (6081266-8735 FAX: (715)524-3633 FAX: (414)548-8614
FAX: (715)634-5150 FAX: (608)267-9566 �
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Street: S. W. Corner W. Murdock & Jackson E-File: Transaction No. 1118
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City: Oshkosh - Plan Number:
County: W��go Date Plans Rec'd: `
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Occupancy: Mercantile (Walgreens Drug Store) Chapter 54 - -- `
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We,the undersigned,request to begin footing and foundation wark prior to approval of the plans in accordance with
ILHR 50.14..
We understand that no detailed review,other than for compliance with ILHR 50.12 or 50.13,will be conducted by the
Department at this time_ .
VVe have reviewed the specific code requirements for the building or structure and its use, as set forth in ILHR 50-b4, and,
where applicable, have shown compliance on the drawings.
�
We agree to make any changes required after the plans have been reviewed and to remove or replace non-code '
complying parts of the foundation and/or footings.
�
We agree to proceed with the footings and foundation only and will not continue with the remainder of the building or �
��tructure until approval has been received. `
�:;.; : . .
`<-,Ne understand that, prior to the siart of construction,a Building Permit must be obtained from the local authorities
having jurisdiction in accordance with their laws and ordinances.
We understand that if this project is in an unsewered area,a sanitary permit must be obtained prior to the issuance of
a local building permit(ss 101.12(3)(h)j.
We understand that if this project will disturb S or more acres of land,an Erosion Control Notice of fntent per ILHR 50.115 ;
shall be filed with the Dep ment.
;
Owner's Signature: � Designer's Signature.
• (On na 5 nature m Ink) ( ng�nal Sig ture i �
Date Signe.d: 12-1-97 Date Signed: 12 -97
Owner's Name: Wavne Erickson Designer's Name: James R. Seigfreid
Street: 3208 S. Alpine Rd. Street: 1740 S. Bell School Road k
�
C;ty: Rockford State: IL Zip: 61109 City:Cherry Valley State: IL Zip: 61016
Department Action: �Approved ❑Not Approved
Review�omrrtents: �
�,U-�c�w-�sZ C`d�� L� � i�� t�l� �z�-�-�— —
(�J� �����-- 1� � .
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� Reviewed By: Today's Date
SBDB-198(R.11/94) � ;
�19��-D ( �ltx j NS���To2S Co��f — -- '
' ��5�� ��"��-� �p0 BOX 7162 �
1 , MADISON WI 53707-7162
a isconsin Tommy G.Thompson,Govemor
�Iliam J.McCoshen,Secretary
Department of Commerce
��
December 09, 1997 � ' � �.` /1�7 `� �,
; • � `
CUST ID No.261306 A7TN:Buildings&Structttr�s,�SP1�T R � �� 1
�,��� � ���t
JAMES R SEIGFREID � MUNICIPAL CLERK !;'�"� '�'yJ `�
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SEIGFREID,EDWARDS&ASSOCIATES CITY OF OSHKOSH '-� ���'l r
1740 S BELL SCHOOL RD PO BOX 1130 �Rk-
CHERRY VALLEY IL 61016 OSHKOSH WI 54902-1130 �OF/��
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RE: C01�1DITIONAL APPROVAL Transaction ID No. 1118
SITE:
Site ID: 813
WTNNEBAGO County,City of OSHKOSH; SW C:ORNER W Mi1RDOCK&JACKSUN,oshkosh 54901
Facility:walgreens SW CORNER OF W MURDOCK&JACKSON,oshkosh 54901
FOR:
Description:new-Mercantile
Object Type: Architectural Object
Description: new-Mercantile
Object Type: HVAC System
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes listed in the regazding line above. The submittal has been CONDITIONALLY
APPROVED. The owner,as defined in chapter 101.01(2)(e),Wisconsin Statutes, is responsible for compliance
with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
• ILHR 53.322(3)(b)2. Lateral support for the walls,by vertical elements, is required at 72 times the wall
thickness.
• ILHR 54.07 An unobstructed passageway,at least 3 feet 8 inches wide, is required through the storeroom to
the outside exit.
• ILHR 50.12 This review does not include lighting. The owner should be reminded that
lighting plans and calculations aze required to be submitted for review and approval prior to installation.
• ILHR 50.155 This structure is indicated as being fully protected by an automatic fire sprinkler system(see
NFPA 13). This approval does not include a review of the system. The owner shall have and make available
upon request by the department a copy of the reports documenting the acceptability of the completed system
(see NFPA 13-1989,sections ]-10 and 1-11).
• This structure is classified as No. SB,masonry unprotected construction.
A copy of the approved plans,specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department,which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
�
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Page 2
Inquiries concerning this correspondence may be made to me at the telephone number listed below,or at the address
on this letterhead. When making an inquiry or submitting additional information,please refer to Transaction ID
No. in the regarding line.
Sincerely,
---> / % � �'�� � DATE RECEIVED 12/O1/1997
� `� / /—�� G/,, FEE REQUIRED$ 890.00
/� �� f ,� �1����/� .
l ,� z�- '` FEE RECEIVED $ 890.00
�� �
MtLHAEL VALDUVINUS,P.E. BALANCE DUE S 0.00
Integrated Services
(608)267-2498,MONDAY-FRIDAY
MVALDOVINOS@COMMERCE.STATE.WI.US
cc: PETER R OCHS,BUILDING INSPECTOR,(920)929-3167,FWDAY,7:45 A.M.-430 P.M.
Wayne Erickson Erickson Development Co.
�:��� �
Safety and Buildings
� PO BOX 7162
� �
MADISON WI 53707-7162
I SCOI I SII I __ Tommy G.Thompson,Governor
; Department of Commerce ,�) (�' William J.McCoshen,Secretary
July 08, 1998 � � 4 ��$ �
CUST ID No.261307 �TY CLERK'S OFFICE DATE RECEIVED
ROBERT BAIER � FEE REQUIRED$ 0.00
ASSOCIATED ENGINEERING CONSUL FEE RECEIVED $ 0.00
3600 E STATE ST STE 215 BALANCE DUE $ 0.00
ROCKFORD IL 61108
RE: REQUEST FOR ADDITIONAL INFORMATION Transaction ID No. 118493
SITE:
Site ID: 813
WINNEBAGO County, City of OSHKOSH; SW CORNER W MURDOCK&JACKSON,oshkosh 54901
Facility: WALGREENS SW CORNER OF W MURDOCK&JACKSON,oshkosh 54901
FOR:
Description:MERCANTILE
Object Type:Lighting Regulated Object ID No.: 33552
The submittal described above has been placed on HOLD and the review and approval is pending subject to receipt of the
ADDITIONAL INFORMATION and/or revised plans requested by this letter. Upon receipt of the additional information
and/or revised plans,the plans will be reviewed for compliance to applicable Wisconsin Administrative Codes and Wisconsin
Statutes.
The following must be corrected/revised and accompany the resubmittal:
• ILHR 50.155 This structure is indicated as being fully protected by an automatic fire sprinkler system(see
NFPA 13). This approval does not include a review of the system. The owner shall have and make available
upon request by the depariment a copy of the reports documenting the acceptability of the completed system
(see NFPA 13-1989, sections 1-10 and 1-11).
• This smzcture is classified as No. SB,masonry unprotected construction.
• ILHR 63.43 The calculated interior lighting power of a building calculated in accordance with ILHR 63.45,
must be no greater than the interior lighting power allowance calculated in accordance with either ILHR 63.47,
63.48 or 63.49.
Send your resubmittal into the address listed above,unless otherwise noted,and the depar[ment wil!review the resubmittal
within 5 working days of receipt date.
If the above requested information and/or plans are not received within 30 days of the date of this correspondence,this
submittal will be returned unprocessed. No fees will be refunded,and a new fee,application form and submittal of
plans/specifications may be required should you desire to c n �p 'ecti
� ' �.m �
�� �
Sincerely, , �
�/� r- '
�G�G/� °�!'(_ 2 ; �a�$
�G�'� 'C
MICHAEL VALDOVINOS,P.E. D�rit;'T��_�;q� �F
IntegratedServices C+Q���f)���'�s�r �.-;;� a
(608)267-2498 , `�`L�rt�ENj'
MVALDOV INOS@COMMERCE.STATE.WI.US
c . PETER R OCHS,BUILDING INSPECTOR,(920)929-3167,FRIDAY,7:45 A.M.-4:30 P.M.
MUNICIPAL CLERK CITY OF OSHKOSH
WAYNE ERICKSON ERICKSON DEVELOPMENT CO 3208 S. Alpine Rd.;Rockford,IL.61109
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APR-30-1998 15�25 ROCKFORD STRUCTURES 815 633 6179 P.01i02 '
rsc�c..nr�rsu �i�uc.�ur3t� �.i�rv.� i rzuc.��v�v c.ru.
7054q �larth Saca,nC Street Rac:cford Illinois 61 'i'S 5
Teiephone: 815/633-5'�6'� FAX: 815J633-6179
FAX TR.ANSM/TTAL 1l�l,ErYlO
Date: y• c�,��`�1� Numi�er of Pag�s• �
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Capy Mailed: Yes C� Na � file:faxtranslb
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' ' Compliaace Statement
This form is required to be submitted by the architect,engineer,or HVAC designer(supervising professional)observing construction
of projects within buildings with total volumes exceeding 50,000 cubic feet and construction of antennas,towers,and bleachers
(ILHR 50.10). Failure to submit this form may result in penalties as specified in ILHR 50.26 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�,nd sigraed form�to:
•The municipal building inspection office n�
• Safety and Buildings, P.O. Box 7969, Madison, WI 53707
Personal information you provide may be used for secondary purposes(Privacy Law,s. 15.04(1)(m)].
1. PROJECT INFORMATI�ON: (Use the Safety and Buildings or municipal project label, or type or print the
information. If label is used, no additional entry is needed on Part 1.
nwner Information Project Information
I, N�e Building Occupancy Chapter(s)&Use
A Wayne H. Erickson Mercantile Chapter 54
Company Nam� Tenant Name(if any)
B 1 ent Co Walgreens
E Number and Street Building Location(number&sVeet)
L 3208 S. Alpine Road SWC W. Murdock and Jackson
�'ry City �Village �Town of
Rockford, IL 61109 Oshkosh
H State and Zip Code County of
E 261307 winnebaqo
R Plan or Reference Number Property Ideniificaiion Number _
• • 15-0185
E Name and RegisUation Number o the Building Supervising Professional Name and Registration Number of the HVAC Supervising Professional
2. PURPOSE OF THIS STATEMENT: (Check Box A,B, C,or D to indicate purpose and complete any other applicable
boxes and information. Attach additional pages if necessary.)
XxBuilding and HVAC ❑ Building Only ❑ HVAC Only
` Partia]Completion
Description of Portion Completed
A)� Statement of Substantial Compliance
To the best of my knowledge,belief,and based on onsite observation,construction of the following building and/or HVAC items
applicable to this project have been completed in substantial compliance with the approved plans and specifications.
�BUILDING ITEMS XX7 HVAC ITEMS
1. Structural system including submittal and erection of all 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 conditions of HVAC plan approval and
instafled,and tested(including forward flow on back flow devices)by applicable variances
appropriately registered professionals
3. Shaft and stairway enclosure
4. Exits including exit and directional lights
5. Fire-resistive construction,enclosure of hazards,fire walls,labeled doors,class
of construction
6. Sanitation system(toilets,sinks,drinking facilities)
7. ILHR barrier-free requirements
8. All conditions of building plan approval and applicable variances
The following items are not in compliance and must be addressed: NOne
B) ❑ Statement of Noncompliance
Due to the following listed violations,this project is not ready for occupancy:
C7 � Supervising Professional Withdrawn From Project (tlse A or B above to indicate project status as of this date.)
D) ❑ Abandoned
3. SUPERVISING PROFESSIONAL G ATURE :
Supervising Professional for: �'��
�BOTH Bldg&HVAC Date ��
� Bldg ONLY Date
� HVAC ONLY Date
SBDB-9720(R.OS/96)
, . �
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SEI6FRE1p {
EpWARDSASSOCIATES ARCHITECTS/PLANNERS
P.O. BOX 5327 ROCKfORD, IL 61125 PHONE CHERRY VALIEY B15/332 3030 FAX 815/332 3018
August 4, 1998
City of Oshkosh
215 Church Avenue VIA FAX/FEDEX
P. O. Box 1130
Oshkosh, WI
ATTENTION: Mr. Allyn Dannhoff
Re: Walgreens
Jackson/Murdock
Oshkosh, WI
Arch.Proj.No. l l 53
Dear Mr. Dannhoff:
Enclosed is a Compliance Statement for the referenced project.
Compliance Statements have also been sent to the Building Inspection Of�ce in
Madisoq WI.
The electrical drawings have been approved and were sent out from D.LL.H.R. in
Madison on Friday, July 31, 1998.
If you have any questions concerning the approval, please call Michael Valdovinos at
(608) 267-2498.
Very truly yours,
SE ID,EDWARDS & ASSOCIATES
� �
James R. Seigf id
JRS/mj
encl.Compliance Statement
copies: File
POINT EAST OFfICE PARK 1740 BELL SCHOOL R0. CHERRY VALLEY, IL 61016
Aug 4 '98 9:40 P.O1
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� r�ASs
OClAT�S ARCHIT�CTS/PLANNERS
�•O. tOX b,Z7 ROCKFORD, IL 61125 PNpNF CNERRY VAtIEY a15/3�2 80�0 FAX atb/a3?3Q7�
August 4, 1998
City of Qshkosh
2�S Church.A,venue V lA FAX/FEDEX
P. O. Box 1130
Oshkosh, WI
AT'TENTION: M�. All}m Dannhoff
Re: Wal�reens
Jackso�n/Murdocic
Oshkosh, W�
Arch.Praj.No. 1 l 53
Dear Ma�. Dannhoff
Ettcloscd is a Compliance Statement for t�te Xeferenc.ed project.
C:ompiiance$tatements have also been sent to t�e Building lnspection 4f�ice in
Madison, V1�I.
The elect�cal drawings have beett approvcd and were se�t out �'rom L)_1.L.H.R. in
Madison on Friday,7uly 3 i, �998.
[f you have any questao�ts concerning thc approval,please call Michael Vaaciovinos at
(6Q8)267-2498,
Very truly yours,
SF. EID,EDWARDS&ASSOC�A,TES
James R. Sei �d �
JRS/�j
cncl.Compliaince Statement
copies: File
va�Nr e�sT ofFiCE�ARK 1J10�Ell SCHOO� RD. cMERRr VAILEY, IL 61014
Au� 4 '98 9:40 P.02
w.,,�■��.,�c��eacem8 t
'ihis form i:required to bc submitted by thc srchitect,cngincer,or HVAC designer(supervising professioaal)obaerving constr„cpon
� of projects wfihin buildings with total volames exceeding 50,000 eubic fcet and construttion vf antcnnas,towers,and bleschers
pLHR 50,10). Failure to submit this form may result in penalties as specified in ILHR 50.26 and/or local ordinances_
General Iqstruetioas: Prior to the initial occupaney qf new buildings or additions a�,d the fnat occupnncy of altered
existing butldings,submit this camp[eted and signed form to:
�The municipal building inspeCtion office�
•Safcty and Buildings,P.O.Box 7969,Madison,WI 53707
Pcrsonat information you provide may bc used for secondary purposes[Privacy Law,s• l 3.04(I xm)],
1. PRO,IECT IlV�'p�t,MpTZpN: {[Jse the Safety and Buildings or municipal project fabel,ar type or print t,hc
information. If label is used,no additional entr}r is needed on Part �_
fhvncr In,formattom Project�nformstion
j, Nunc ao�Wing upancy Chaptar�s)�[bc
A Wnyne H. Ericksan Mercantile Chapter 5�
B (`•omp�ny Nam� Tcnant Name(if any)
Walgreeris
E iVumbcr and Strcct 8uilding Location{numbcr�suees)
L 3208 s. Alpine Raad
k and ,?ackson
C"� City G Viilage ❑Tow�of
Rockford, IL 6�.1.09 sh
H S�atc and Zip Cadc ounty of
g 261307 Winnebago
R Plan or Referoncc Numbcr Property tdtnt' Cation Nwnbei .
• • 15-o].s5
E ar�u an egisvati Number o thc Buildiag$upctvising Prokssio Name md Re6isaaeloo Number o the�fYAC SupervtsinQ fessional
Z. PURPOSE OF T�IS STATEMENT: (Check Box A,A,C,or D to indicate purpose and co�nplere sny other applicable
boxes a�d information. Artach additional pages if necessary.)
�uilding und FlVAC - 8uilding only � HVAC onty
� Partia!Comptetion
Desc�iption of Partion Completed :
A)� Statement ot SubstantiRl Cornpliance
To tt►e best of my knowledgc,belief atld based un onsite obsavMiOn,constructian of the following building ao,d/or HVAC items
applieable to this project have been ce�mpleted in substantial compliance with thc approvcd planis and specificaziqns.
}�(BUILDING ITENS XX] HVAC 1TEMS
1. Structural rystem including�ubmittal and erectioo of al1 building cotxfpoaen�s 1. HVAC system includinE flnal ttst
(trussa.Precast,meral buildin&�-) (1LHR 64.53)
2. Pirc protection systems(sprinklers,alarms,smoice detectors)deaignod, 2. All conditioos of HVAC plan approval and
installed,and t�stod(inclttding fonvard�{ow un back flow devices)by applicable varianca
appropriately rcgistered professionals
3. ShaR and staimay encloSure
4. Exits including rxit and directional li�hts
5, Fire-rosistive construction,enctosuro olCh�uanis,Pue wa11s,labelcd doors,cl�ss
of construction
6. Sanitation systcm(toilets,sinks,drinking facilitits)
7. 1�,FiR barrier-free rtiqulremenrs
8. A11 conditions of buitding plan appmval and applicabk variAnccs
The foltowin�items are not in compliance and q�pst be addressed• �011@
B) n $tat�ment of Noncompliance
Due to cltc following listed violations,this projest is not ready For occupancy:
4'� l'; Sopervising Prahssiaeal Withdrawn�'rom Proj�ct (Use A or B above to indicate project status as of this date.)
D) ❑ Abaadoaed
3. SUPF$VISING PRQk'�SSIONA,L G A'�'URE .
Supervisin�PCaFcssioaal Por: ��
��4TH Bld$dc FIVAC p� �� �— •
:; 81dg ON�,Y �a�
38DO-9�2o��,OSro6) � HvAC ONLX Date
� ;
CITY OF OSHKOSH CORRECTION NOTICE: � • `
� �
CONTRACTOR: '`O �-K��-d� ��-1`t�!-f3�`�°$ Time Insp.Called In
Date
ADDRESS: �j.s. �.c �� Jut�I r���� Time Insp.Needed
Requested By �Se+�,�'" � " 'C�c.�Y°��hsc°�hst-NS �a r�°P�c3"
�
of ��Y V7�r-�rs/�e�--
Phone#
Project to be Inspected Comm/Res
Means of Access
BUILDING: PLUMB►NG: ELECTRIC: HVAC: EROSION CUNTROL: PROPERTY MA1NT.:
Footin� Rough Rough Rough Trackine Setback Park.
Foundation Test On Service Fumace Silt Fence Unlicensed Veh.
Rough Underfloor Amps Ph A/C Stone Access Garbage
Insulation SewedWater Temp Perm Firoplace E.C.Bales Dilapidated bld's,
Bsmt.Floor Reinsp. UG OH Reinsp. Reinsp. fences,etc.
Reinsp. Final Reinsp. Final Final Ext.Maint.
Final � Other Final Other Other Other
Other Other
ITEM# CODE INSPECTION RESULTS
-C i/ ' � �K. ! �t�a � K�u
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VIOLATIONS MUST BE CORRECTED AND APPROVED WITHIN 30 DAYS UNLESS NOTED BELOW
CALL FOR INSPECTIONS BEFORE CONCEALMENT AND/OR OCCUPANCY!!
COMPLIANCE DATE: � r[t E�d'� e
Action Taken: ❑ Not Approved/Inspection Report left on site
O Not A roved/Inspection Report given to
Signed � .3 �O Z��--�,�'�'�—
ns ction Services Divis'o ate f Inspection Phone Number
t
�� CODE ENFORCEMENT DIVISION
DEPARTMENT OF COMMUNITY DEVELOPMENT
OSHKOSH CITY OF OSHKOSH,WISCONSIN
ON THE WATER CORRECTION NOTICE
Issue Date 6/25/98 Compliance Date 7/25/98 IMMEDIATELY Compliance No
Address 315 W MURDOCK AVE Inspected By Allyn Dannhoff
Name Address City State Zip Code
Sent to wner WAYNE ERICKSON 3208 S ALPINE ROCKFORD IL 61109 -0000
on ra or ROCKFORD STRUCTURES 10540 N 2ND ST ROCKFORD IL 61115 -
er James Seigfried 1740 S Bell School Rd Cherry Valley IL 61016 -
nspe or
eqwre or ccupancy Occupancy retail Notice irs econ ina er
Introduction ig mg p ans s a e su mi e o e s a e or review an approva prior o ins a a ion o e m erior an e erior
lighting. A copy of the stamped approved plans shall be forwarded to this office.
Item# Q Code Compliance Compliance Date
Description
i
Summary ccupancy wi no e a owe un i is is comp e e an any con i ions o approva are execu e . �
1
DEFICIENCIES MUST BE CORRECTED AND APPROVED BEFORE CONCEALMENT. CALL(414)236-5050 FOR INSPECT ON.
;
Signature Date � G�� � j
3 I�
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