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Home My WebLink About2003-Building (alterations) e OSHKOSH ON THE WATER Job Address 2059-2087 WITZEL AVE CITY OF OSHKOSH No 104938 BUILDING PERMIT - APPLICATION AND RECORD Owner WITZEL AVE CENTER LLC Create Date 1 0/20/2003 Designer Contractor R J ALBRIGHT INC. Category 232 - Alteration Stores & Customer Service Plan Type 18 Building 0 Sign 0 Canopy 0 Fence 0 Raze Zoning Class of Const: Size Unfinished/Basement 0 Sq.Ft. Rooms 0 Height 0 Ft. Finished/Living ~ Sq. Ft. Bedrooms 0 Stories Garage ~ Sq. Ft. Baths 0 U Projection 1 Canopies 0 Signs 0 Foundation 8 Poured Concrete 0 Floating Slab 0 Concrete Block 0 Post 0 Pier 0 Treated Wood 0 Other Occupancy Permit Not Required Flood Plain Height Permit Park Dedication # Dwelling Units 0 # Structures 0 2069 Witzel/ Alteration to create white box for this tenant space. H&R Block. Use/Nature of Work HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $27,000.00 Plan Approval $0.00 Permit Fee Paid $116.00 Park Dedication $0.00 Issued By: Date 1 0/23/2003 Final/O.P. 00/00/0000 U Permit Voided 1 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Address 5711 GREEN VALLEY RD Agent/Owner OSHKOSH WI 54904 - 0000 Telephone Number 231-8635 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. Buildings, HVAC Compliance Statement SBD-9720 This form is required to be submitted by the supervising professional (architect, engineer, HVAC designer or electrical designer) observing construction of projects within buildings with total areas exceeding 50,000 cubic feet or greater and bleachers (Comm 50.10/Comm 61.50). Failure to submit this form may result in penalties as specified in Comm 50.26/Comm 61.23 andlor 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 building inspection office and . Safety and Buildings, 10541 N Ranch Road, Hayward, WI 54843 Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1 )(m)l nla (City of Oshkosh) 1. PROJECT INFORMATION: Please fill in the fOllowing with information from your plan approval letter. Transaction ID Number Site Number nla Site location (number & street) 0 city 0 Village 2069 Witzel Avenue 0 Town Of Oshkosh 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). Check those which apply: 0 Building Object ID# nla 0 Lighting Object ID# 0 Partial Completion H & R Biock (tenant space) Description of Portion Completed Aj 0 Statement of Substantial Compliance To the best of my knowledge. belief, and based on onsite observation, construction of the following building andlor HV AC items applicable to this project have been completed in substantial compliance with the approved plans and specifications. County of Winnebago 0 HVAC Object ID# 0 BUILDING/LIGHTING ITEMS 1. Struciural system including submittal and erection of all building components (trusses, precast, metal building, etc.) 2. Fire protection systems (sprinklers, alarms, smoke detectors) designed, installed, and tested (including forward flow 0'1 back flow devices) by appropriately registered professional.. 3. Shaft and stairway enclosure 4. Exits including exit and directional lights 5. Fire-resistive construction, enclosure of "azards, fire walls, labeled doors, class of construction, fire stoppod penetrations 6. Sanitation system (toilets, sinks, dlinking facilities) 7. Barrier-free inciuding Comm 18 elevators and lifts 8. Energy envelope requirements 9. All conditions of building plan approval and applicable variances The following items are not in compliance and must be addressed: 10. Exterior lighting & control requirements 11. interior lighting & control requirements 12. All conditions of lighting plan approvai and applicable variances 0 HVAC ITEMS 1. HVAC system including final test 2. All conditions of HVAC plan approval and applicable variances Bj 0 Statement of Noncompliance Due to the following listed violations, this project is not ready for occupancy: Cj 0 Supervising Professional Withdrawn From Project (Use A or B above to indicate project status as of this date.) Dj 0 Project Abandoned 3. SUPERVISING PROFESSIONAL SIGNATURE FOR: 0 Building 0 HVAC 0 Lighting Ste hen Gries. Name (please print or type) Phone # 920-722-2445 Customer 10# 260804 Signature SBD-9720 (R.OlI2003) CITY HALL Inspection Services Div 215 Church Avenue ~POBOX1130 Oshkosh WI ~ 54903-1130 OfHKOfH ON .H> WA»R City of Oshkosh October 20th, 2003 Stephen Gries 307 S Commercial St Neenah, WI 54956 Andy Dumke 601 Oregon St Ste A Oshkosh, WI 54902 Re: Tenant Space Alterations, Type B Occupancies 2069 Witzel Ave - H & R Block 2071 Witzel Ave - Check Into Cash File # J5-l06-1O03 The above-reference plans have been stamped CONDITIONALLY APPROVED based upon review for confonnance to the current edition ofthe Wisconsin Administrative Building and Heating, Ventilating and Air Conditioning Code, chapters COMM 61-65 - These plans have NOT been reviewed for confonnance 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 Pennit. Necessary city pennits must be secured before commencing work. You are hereby advised that the owner, as defined in Chapter 101.01 (I) of the Wisconsi;n State Statutes, is responsible for all code requirements not specifically cited herein- Code . requirements are set forth in Chapters 61 through 65 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 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. COMM 64.02 This approval does not include heating and ventilating. Such plans are required to be submitted and approved prior to installation of such equipment. H & R Block meets the requirements for one exit, therefore emergency illumination is not required. Check Into Cash is required to have 2 exits, therefore it must comply with all emergency illumination requirements- Be advised, a $100.00 Plan Submittal fee is due. It will be collected from RJ Albright at Pennit issuance.