HomeMy WebLinkAboutCity_of_Oshkosh_Plan_Review_Application_Bldg_HVAC_Fire_Alarm_and_Fire_SprinkBuilding, HVAC, Fire Sprinkler, and Fire Alarm Plan Review Application 1
Application for Building, HVAC, Fire Sprinkler and Fire Alarm Plan Review
-Complete all pages-
Contact your Municipality to Verify if there are any additional requirements and to verify fee amounts.
For submission of Building, HVAC, Fire Alarm and Fire Sprinkler plans, applicants may submit all required plans and documents
electronically at eplanexam.com/submit-a-project. Please note, in either format paper or electronic, fees must be made payable to
the “E-Plan Exam”. For more information regarding fee payments and payment options or any general questions, please contact
us at info@eplanexam.com and we will gladly help! This form, the State of Wisconsin SBD-118 form or the municipalities form
must be used for the submission of all Building, HVAC, Sprinkler, and Fire Alarm projects requiring plan review.
Project Information – Fill in all known information
Project/Site Name:
Tenant Name or Building Designation:
Previous Tenant Name:
Number and Street:
County: Municipality:
Project Scope:
Designer’s Project Number (If Applicable):
1.a. Type of Submittal or Service Requested (check all that apply)
New Alteration – Level 1 2 3
Revision to previously approved plans
Follow Up of a Denial Within 8 Months
Approval Extension
Permission to Start
Structural Framework Only
Addition/Alteration-Level: 1 2 3
Footing & Foundation Plans Only
Preliminary Consultation (contact reviewer before submitting)
Building Shell
Multiple Identical Buildings - Number of Buildings:
b. Objects Submitted for This Current Review (check all that apply)
Building HVAC Sprinkler Fire Alarm
Other Projects
Bleacher Interior Exterior Canopy Kitchen Exhaust Hood Membrane Construction
c. Structural Component Plan(s) which accompany this current plan submittal (check all that apply):
Roof Truss Metal Bldg Floor Truss Precast Plank Steel Girder Precast Wall Laminated Wood
2. Occupancy Type
A Assembly A1 A2 A3 A4 A5 I Institutional/Daycare/CBRF I1 I2 I3 I4
B Business/Office B M Mercantile/Retail M
E Educational E R Residential R1 R2 R3 R4
F Factory/Industrial F1 F2 S Storage S1 S2
3.Construction Information
One
IA IB IIA IIB IIIA
IIIB IV VA VB
Area
If different, Heated/Ventilated Area: sq ft
Sprinklered/Detector Protected Area: sq ft
Number of Floor Levels:
Is the Total Building Volume less than 50,000 Cubic Feet? Yes No
E-Plan Exam (please verify with your community)Please Make checks directly payable to:
Total amount due (from following pages): $
Other: _______________________________
Building, HVAC, Fire Sprinkler, and Fire Alarm Plan Review Application 2
4. After plans are reviewed, please: (check all that apply)NOTE: All paper plans once reviewed will be directly returned to the municipality.
Electronic submittal will be returned to both the municipality and the applicant with
additional instructions as required. Once approved, applicants must contact the
municipality regarding permit issuance and additional requirements prior to starting work.
(Customer 1) Designer Information First Time Submitter Yes No (Customer 2) Designer Information First Time Submitter Yes No
First Name: Last Name First Name: Last Name
Company Name: Company Name:
Address: Address:
City: State: Zip Code: City: State: Zip Code:
Phone Number (area code) Phone Number (area code)
Email: Email:
Check all applicable:
Designer of Building HVAC Sprinkler Fire Alarm
Check all applicable:
Designer of Bldg HVAC Sprinkler Fire Alarm
Supervising Professional of Bldg HVAC Spklr Fire Al
WI Designer Registration # Exp. Date:
Supervising Professional of Bldg HVAC Spklr Fire Al
WI Designer Registration # Exp. Date:
(Customer 3) Building Owner Information (not lessee)
First Name Last Name
(Customer 4) Other
First Name Last Name
Company Name: Company Name:
Address: City: State Zip Code Address: City: State Zip Code
Phone Number (area code) Phone Number (area code)
Email: Email:
5. Fire Protection
Provide the following information on any fire alarm or fire suppression system either present within the building or that is being designed as part of this
project.
Check system type as applicable. Building plans must also include this information to determine allowable building area / heights
Complete Partial None
Type:
Automatic Detection
Manual Alarm
Monitoring Type:
Central Station
Remote Supervision
Proprietary Supervision
Protected Premises
FIRE SUPPRESSION
Complete None Partial (If partial state system extents below in comments)
Type: Wet Dry Pre-action/Deluge
Anti-Freeze Manual Wet
NFPA Fire Suppression Standards used
11 11A 12 13 13R
13D 13D – MPP 14 15
16 17 17R 17A 20
22 24 750 2001 Other
Submitter Comments or Requests (Optional)
6. Other Potential Plan Submittals Required For A Project?
Contact your local municipality for individual submittal requirements for all of the following:
−Petition for Variance
−Plumbing Systems
-There is no required state Electrical review
•NOTE: Department of Health Services enforces building code requirements, including plan review, for hospitals and nursing homes. Daycare
facilities must meet building codes prior to their licensing.
Email Customer
Building, HVAC, Fire Sprinkler, and Fire Alarm Plan Review Application 3
7. Required Signatures
a)Supervising Professionals: If building will be 50,000 cubic fe et or greater (SPS 361.40) I have been retained by the owner as the
supervising professional per SPS 361.40 for the performance of the supervision of reasonable on-the-site observations to determine if
the construction is in substantial compliance with the approved plans and specifications. Upon completion of construction, I will file a
written statement with the department and municipality certifying that, to the best of my knowledge and belief, construction has or has
not been performed in substantial compliance with the approved plans and specifications. In the event that I am no longer associated
with this project I will file a compliance statement (State of Wisconsin SBD-97 20) notifying the Municipality as such and indicating the
current status of compliance.
Signature below: Print below:
Building HVAC Sprinkler Fire Alarm Date:
Signature below: Print below:
Building HVAC Sprinkler Fire Alarm Date:
NOTE: Building supervising professional or registered designer is responsible for supervision of the fire suppression/fire alarm
b)Component Submittal. The department requires that the project designer r eview individual component submittals for
compliance with the general design concept. The project designer, and department, will rely on the seal of the component designers
for compliance with the codes as they apply to their designs.
Original Signature of Building Designer Date Signed Name of Component Fabricator
c)Optional Service - Permission to Start Early Requested – (Be sure to check box under Building Submittal Type on front page)
As the owner, I request to begin footing and foundation work PRIOR to plan review approval. I agree to make any changes
required after plans have been reviewed, and to remove or replace any non-code complying construction. I will not permit
Owner’s Signature: Date:
Designer’s Signature
8. Statements of Owners and Designer
a)OWNERS Statement: The owner indicated on page one requests that plans be reviewed for compliance with the code
requirements set forth in SPS 360 to 366 of the department. The owner recognizes responsibility for compliance with all the
code requirements and any conditions of approval. If a building is 50,000 cubic feet in total volume or greater, plans are
required to be prepared, signed, sealed and dated by a Wisconsin registered engineer or architect [SPS 361.31]. Signatures
and seals affixed to the plans shall be original.
b)DESIGNERS Statement (SPS 361.20, 361.31(1), and 361.40): The designer indicated on page one of this form is
responsible for preparing or supervising the preparation of the plans to the best of his/her knowledge to comply with the
applicable codes of the Industry Services Division for this submittal. If a building, following construction of this project,
contains more than 50,000 cubic feet in volume, plans are required to be prepared, signed, sealed and dated by a
Wisconsin-registered engineer, architect, or designer [SPS 361.31(1)]. Signatures and seals affixed to the plans shall be
original.
Building and HVAC Plan Review Application 4
CERTIFICATE OF SUPERVISION
Premise address __________________________________________________________
I hereby certify that I am a Registered Architect, Registered Professional Engineer, or Designer of Engineering Systems,
in accordance with Chapter 443 of the current Wisconsin Statutes.
I further certify that I have been retained as the supervising professional for the performance of the supervision of
reasonable on-the-site observations to determine if the construction is in substantial compliance with the approved
plans and specifications as required by Section SPS 361.40 of the Wisconsin Administrative Code. Upon completion of
construction, I will file a Certificate of Compliance with the municipality certifying that, to the best of my knowledge
and belief, construction has or has not been performed in substantial compliance with the approved plans and
specifications. If in the event that I am no l onger associated with this project I will file a Certificate of Compliance
notifying the municipality as such and indicating the current status of compliance.
This certificate is for supervision of:
___ Building or structural design
___ Heating, ventilating and air conditioning design
___ Energy conservation design
___ Other (Specify)_______________________________
______________________________________________
Signature of architect, engineer or designer
_________________________________________________
Printed name
_________________________________________________
Address
_________________________________________________
Registration number
_________________________________________________
Telephone number
_________________________________________________
Email address
_________________________________________________
Date
Building, HVAC, Fire Sprinkler, and Fire Alarm Plan Review Application 4
9.Fee Calculation Instructions:
Building, heating and ventilation, fire alarm and suppression plans. Fees relating to the submittal of all building and heating
and ventilation plans (new, addition, alteration) and fire alarm and fire suppression plans shall be computed on the basis of the
total gross floor area of each building, area of addition or area of alteration and shall be determined in accordance with the
following adopted fee schedule of the municipality. Verify if the following fee schedule is adopted in the community you are
applying with:
COMMERCIAL PLAN REVIEW FEE SCHEDULE – BUILDING/HVAC/FIRE ALARM/FIRE SUPPRESSION
1.New construction, additions, alterations and parking lots fees are computed per this table.
2.New construction and additions are calculated based on total gross floor area of the structure.
Area
(Square Feet) Building Plans HVAC Plans Fire Alarm
System Plans
Fire Suppression
System Plans
Less than 2,500 $250 $150 $30 $30
2,500 - 5,000 $300 $200 $60 $60
5,001 - 10,000 $500 $300 $100 $100
10,001 - 20,000 $700 $400 $150 $150
20,001 - 30,000 $1,100 $500 $200 $200
30,001 - 40,000 $1,400 $800 $350 $350
40,001 - 50,000 $1,900 $1,100 $500 $500
50,001 - 75,000 $2,600 $1,400 $700 $700
75,001 - 100,000 $3,300 $2,000 $1,000 $1,000
100,001 - 200,000 $5,400 $2,600 $1,200 $1,200
200,001 - 300,000 $9,500 $6,100 $3,000 $3,000
300,001 - 400,000 $14,000 $8,800 $4,400 $4,400
400,001 - 500,000 $16,700 $10,800 $5,600 $5,600
Over 500,000 $18,000 $12,100 $6,400 $6,400
Note:
1.A Plan Entry Fee of $100.00 shall be submitted with each submittal of plans
in addition to the plan review and inspection fees.
2.At the Sole discretion of the Supervisor of Building Inspection and Plans
Examiner; Fees may be modified, reduced or waived based on scope of services, project
Determination of
Area
The area of a floor is the area bounded by the exterior surface of the building walls or
the outside face of columns where there is no wall. Area includes all floor levels such as
subbasements, basements, ground floors, mezzanines, balconies, lofts, all stories, and
all roofed areas including porches and garages, except for cantilevered canopies on the
building wall. Use the roof area for free standing canopies.
Structural Plans and
other Component
Submittals
Structural Plans when submitted as a stand-alone project or submitted following final
inspections of an ongoing project the review fee shall be $250.00 per plan with an
additional $100.00 plan entry fee for each plan set. There will be no additional fees for
(truss, precast, metal building, joist girders) component reviews submitted to the City
as a follow up to a previously submitted plan or submitted with a current building
project.
Early Start
The plan review fee for permission to start construction shall be $75.00 for all
structures less than 2,500 sf plus the plan entry fee. All other structures shall be
$150.00 plus the plan entry fee. The square footage shall be computed as the first
floor of the building or structure.
Resubmittals &
revisions to
approved plans
When deemed by the reviewer to be a minor revision from previously reviewed and/or
approved plans, the review fee shall be $75.00 plus the $100.00 plan entry fee. Any
significant changes or alterations beyond minor amendments as determined by the
Plans Examiner may result in additional charges as appropriate provided the additional
charges are consistent with DSPS approved fees and procedures.
Building, HVAC, Fire Sprinkler, and Fire Alarm Plan Review Application 5
Submittal of plans
after construction
$250.00 will be assessed per each review type that occurred after construction. This is
in addition to any other plan entry fees, structural components and base fees applied to
Expedited Priority
Plan Review
The fee for a priority plan review, which expedites completion of the plan review in less
than the normal processing time when the plan is considered ready for review, shall be
200% of the fees specified in these provisions.
ONCE YOU HAVE SUBMITTED - E-PLAN EXAM WILL VERIFY FEES OWED,
CONTACT APPLICANTS DIRECTLY AND PROVIDE PAYMENT SPECIFICS
ON WHO TO MAKE PAYMENT TO AND WHAT OPTIONS ARE AVAILABLE.
**NOTE: THIS FORM IS PLAN REVIEW APPLICATION ONLY.
APPROVAL OR APPLICATION DOES NOT AUTOMATICALLY TRANSLATE INTO PERMISSION TO BEGIN
CONSTRUCTION ACTIVITIES NOR DOES IT CONSTITUTE A PERMIT.
CONTACT YOUR LOCAL BUILDING INSPECTION DEPARTMENT FOR ADDITIONAL INFORMATION
REGARDING PERMITTING AND INSPECTIONS REQUIREMENTS FOR ALL CONSTRUCTION ACTIVITIES
ON PUBLIC AND PRIVATE PROPERTY.**
Submittal of plans
after construction
Where plans are submitted after construction, the standard late submittal fee of
$250.00 will be assessed per each review type that occurred after construction. This is in
addition to any other plan entry fees, structural components and base fees applied to a
project.
Accessory Buildings The plan review fee for accessory buildings less than 500 square feet shall be $125.00
with the plan entry fee waived.
Plan Examination
Extensions
The fee for the extension of an approved plan review shall be $220 plus the plan
entry fee.
Multiple Buildings
The fees set forth in this paragraph may be applied to a project which contains
multiple identical buildings. In order to qualify for the multiple identical building fee,
plans for all buildings shall be submitted at the same time. The fees for the submittal
of plans for the first building shall be determined in accordance with this fee schedule
on the basis of the total gross area of one building. The fee for each of the remaining
identical buildings shall be computed on the basis of an area of less than 2,500 square
feet from this fee schedule.
Identical Buildings
Multiple Identical Buildings (the exact same buildings with no changes including
mirroring, located on the same site, and submitted at the same time) may take a
reduction in the plan review fees after the first building. The plan reviews fees for
identical buildings after the first one shall be computed on the basis of an area less
than 2,500 square feet plus the plan entry fee.