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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
07764
~YPE: . . ~L~~G. C? E~EC. D. PLBG. C? SIG~ .I::! . ZON~N~. f2 ~ . . FLO~D Pu.IN~. ~EIG~T ~
ADDRESS
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PLAN No.LII-/f~~'Y?81<
OWNER
DESIGNER
A)~ SF!:?:. / "Iff
~r-
-22-)('2-2-
USE/NATURE OF WORK
BUILDING CONTRACTOR · fc
siz~r~ Sq. Ft. L
Foundation p~
( Height '2- G.
, Occupancy Permit rz~. r tdJ
HEATING CONTRACTOR
~~L
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR
~&-V (;- v-e J
Electric Servo New 0 Change 0 Temp 0
Type_ Volts_ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
t.-(J~
_Lav
_WH
_Sh
_FDr
_LTub
_Disp
_ WSoft
_DF
_ CBasin
_BT
_WC
_DW
_SP
_ San. Sewer
_Ur
_ Storm Sewer
_Sink
Other
_ Eject
_SS
_ Water
ee Paid $ / 3 c-
Date --1- ~ .... 819
Park Dedication $ / (:) 0
Final/O.P. ~.,. V ".-~y
ISSUED BY
SIGNATURE
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
L~
/ - AGENT! WNER
95f70 ltZLL46-F !-AII/~
Lf ~ Db< 0-'%'
DATE
;/5:3 -7s-7a
ADDRESS
TELEPHONE #
I-li - i./1.- 1.~ {~
State of Wisconsin
Department of Industry,
Labor & Human Relations
Division of Safety & Buildings
Box 7969
Madison, WI 53707
Wisconsin Statutes 101. 63, 101.73
WISCONSIN UNIFORM
BUILDING PERMIT
APPLICATION
See Instructions on back of ink co
APPLICATION NO. 77(b
PARCEL NO.
...................
................. .
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~RUCTURE
Mailing Address
D HVAC
D ELEC D PLUMBING
Telephone
~70
, T N, R E or W
Lot No. Block No.
""YS;-
....................
...................
........,.......... .
............,......
....................
...................
.....,.........-....
....................
.......... .........
...................
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Entrance Panel
Size: 2€f')
Ser ice:
Underground
o Overhead
::II :.,;~"$t;~I;f;~y"gAI.9"
~te constructed '5/rConcrete
o Manufactured 0 Masonry
o Treated Wood
... 0 Other
$FO$$::::
o Seasonal
lSIc1S'ermanent
IT Other
Forced Air Furnace
Radiant Baseboard or Panel
o Heat Pump
o Boiler
o Central Air Conditioning
o Other
Right
(0 ft. C.s-
l~;$N$..c.Y$()o.e$).:
Fuel Nat. L.P. Oil Elec. Solid olar
as *
Space Htg. 0 0 0 0 0
Water Htg. 0 0 0 0 0
* 0 Dwelling nit will have 3 kilowatt or
..... more installed electric space heating equip.
:::::::::::: Infiltration control option is: 0 Full sealing
of joints. 0 Blower door test. 0 Exterior
air infiltration barrier.
Left
Setbacks
:tI.;$t.Jil~t"~~J::i}
ft.
ft.
o Addition
o Repair
jij;pU.lMtdNG:t:
......................................
Basements
~wpr
~unicipal
o Septic
Permit No.
Sq. ft.
......-........................
..............................
...............................
..............................
...............................
..............................
...............................
.'...........................................................
. ... ............
1::UHEA"tt<>$$p~IB~hHcEl.d}.F.
Envelope 3/ S1J:;c;I BTU/HR
Infiltration /S"""~ BTU/HR
1'l.g$]'M~~gQQ~nI:
?Yf?(!)... Q@
$
Living Area
Garage
Municipal Utility
o Private on-site Well
SIGNATURE OF APPLICANT
CONDITION OF APPROVAL
DATE
(j---fJ7X ~ ~y
The applicant agrees to comply with the Wisconsin Uniform Dwellin Code and other Municipal Ordinances and with the conditions of this permit; understands
that the issuance of the permit creates no legal liability xfress 0 ,mplied,o the Department or Municipality; and certifies that all the above information is
accurate.
Failure to comply may result in suspension or
..........................................................
.............................
.............................
~III'II:;:):
111'11~II~mN: ..
o VILLAGE ,;)i?"tITY
o INDEPENDENT
o COUNTY Municipality Number of
Inspection Authority
'fl- Z!;&J:e
11'11_~A1I~~MU;: :P~'M!I:~$$'~~X;.:)::........................
Municipality Number of Dwelling
Location, if different
Plan Review . . . $
Inspection . . . . $
Wis. Permit Seal(s) $
Other . , . , . . $
TOTAL , . . $
SBD5823 (R. 04/87)
':-<-f OeD
Construction
HVAC
o Electrical
D Plumbing
o Other
NAME
DArE
CERT. NO.
WHITE -Issuing Jurisdiction
YELLOW - DILHR
GREEN -InspeCtor'
PINK -- Owner/Agent
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City Of Oshkosh 1/1/85
Address
Owners Name
PARK~~O !~OICATIONI FEE 19LL:(ION.RECORD
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Name of Subdivision
I.
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Lot'
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Bldg. Pennit ,
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(
No. of Units
Fee Required
Fee Paid
r () () .
j 0
Owner's signctu.re
Inspector's signature
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Date
Date
/..1
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Parks Subdivision
Improvement
Accts. Rec.: 362-D41
WINNEBAGO COUNTY HEIGHT PERMIT
CITY OF OSHKOSH
TELEPHONE:
# I.B~
(!dLu'!i ...... 4md
'pCJ~ (7orc ?~O>
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2 ~~~-/8"70
OWNER:
ADDRESS:
------------------------------------------------------
. ... . . . . .
ADDRESS OF PREMISES AFFECTED:
II? 3 ~~. (!)rQiCtt~-of .. ~b Vt ~
HEIGHT OF PROPOSED STRUCTURE ABOVE GRADE: ~.~ I
COUNTY USE ONLY
I
720 ms L
~20 / . m.sL _
NoD
EX I STI NG GRADE ELEVAT I ON:
MAXIMUM ELEVATIONA~D:
APPROVED: ~l
COMMENTS:
TELEPHONE:
CITY INSPECTOR:
TELEPHONE:
COUNTY INSPECTOR:
----------------------------------------------------~-
Wh i te copy - County; Yellow copy - Town; Pink COpy..Ow~~l"';-'
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. :.;:".'<:._<",;~,~',.:;.'li:.ii. ;fit.: ,,~.....,i-.-'.,.,;,,; ,_ " _,';,,'..c' . .:>:. :~:. ;;.,;,,;,.~-''_:<.i:.;')i.-;,,~? i;;;',~:::::::,'~.:"2,,; ~:;,~:,;;::i.2.'"...;;1:w:.;;.~;;_"
. DATE
NN<E c/.fr- k ADD~?s
LOT 3' ~ BLOCK
SUBOIV.H,,,-s+' tJI ~;;rQ Af~frv~fzo~
STREET NO. /835 Ov-~j Lo~' LOT DIMENSIONS
SIDEWALK EXISTING' YES 0 NoB
BUILDING GRADE ELEVATIONS STAKES SET AT StTE --z-./?.l~ ,1988
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HARD
BY~
FEE:
kO rIP
DEPARTMENT OF PUBL I C WORKS /::::". g,
I, the undersigned, 01ltrier or agent of the abovedescl"'ibed property agree to have the
grade established before excavation has commenced.
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za.m~/LANDtJSECONPu;..NCE CH:ECIQ:.IST
t.
GENERAL .' '- . ,
. Bui1d.inq Pemit # . . Zoni.rr:;M Confoming_ Non-Confot:mir1g_ .
Job L:Jcation t g-~ S- o-~v--e2, ~ k e . to~ Dimension
Pl:qlerty Qmer {J~ ~ IDt Area .
CCNSTRU:TICN DATA .
Descrile -.. #~"4 F k I' ~ G-..r-.. (G y2L
II. .
X-'- NEW ~ON
ADDITION"
., ALTEAA1'I~
< $lli'tle' Famil; .
_.. ':I Y
'i'\lI::)-FamiJ:
- .' If:.
_ MiIti:~Family
-~.
ManUfac;t .
---- ~.
- Accessozy Bui1d.inq
Fence
Boathouse
_ Utility Structure
_ Other (specify)
CDMPIJ:ANCE CHEX:I<S
Pool
_ Deck/Patio
--.-.:. Sign
Porch. '
Q::m:)lies Deficient
~
~.
V--
~
-
~
~.
v-"
~
V
-.
V
~
= ;)/4--_
~
Deficienc:y/O:mnents
Use
tot Width
tot Area
Floodplain '
Fl:ont Yard
Rear Yard
Side Yard (R)
Side Yard' (L)
Pa.rkinq
Building Area
tot Area per Family
Comer rot
other (specify)
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REVm'1 AumoRITY
The Planni.ng' Director, or appropriate designee, must approve all plans, except
the followi.ng: (1) Alterations or interior T,t,Ork when the use is confonning and
when no change of use is pl;Oposed. (2) Maintenanc:e items, e;.q~,# si.di...t19" wi..ndows:('
ete., when t.'le use is confoJ:Ining an:i when no chan<5e of "'USe is pmpo.s.ed:...
Instances where woJ:'k a:Itplies with the aJ:ove critelO.a~ tne__. ~t. ~.'be revie.-."ed
by the Building Inspector without referral to the Planning Directbr':"
~roVm. . NOTAPPmvED .
Plan Cortmi.ssion Action Required
Variance (s) Required
FEVmiID~#~-- ~, ~~
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75.0--
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sa:o
HDtJ.se
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7.5: 0 -
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--
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o
o
~
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Oft c..l-fARO LAfl.JE:.
L- eit.3.S o'F Tl-f E
J-LORA K.RUE ftJEK? PLA- T
.. sq~
(OPAQUE)WALL'AREA.:' .
.,~~~~'~,;':,.::::::.:~:;:;: ~~~";.~,:,;, .
}, 3" .'
. /9 lfo
sq.,Jt. .
~, -..~:o..... '
I/q3
sq. ft.
sq. :ft.
For~<X"".sBD":5518
.{,/ ~..
page
1
. .
~ u~ . VA11U!i~
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I:rSTRUCTIONS: C'alculate Rand U values using TABLE A-4 in Dvlelling
Code Book. Separate calculations for systems having the same insul-
ation but different interior or exterior finishes is not necessary
provided the, system with the lowest R value is used in the System
Design,or Acc~pted Practice calculation.
~'-~ . '" --.; ...,;;
wall type 1 type .2
cav sol cav sol
exterior film .17 .17 .17 .17
_.
siding . '0/ ,hI
i
sheathing 'J"}-, ~.~ . - .
~, .../' -. I .
insulation l'i,b xx.xx
framing :caoc 1G,.'61
into finish ,t5' ,'f~
interior film .68 -;.68 .68 .68
~~ ,
TOTA T, R ~. . .-.:r'
., I J"
" un l/R ~ .~ '. '.
-
",' '.' .., ~..
~"~,_,.~,,,....,:,~,oib" 10 I.t; , .
~rgin above grade "fa 11 s
cay sol cay I sol
exterior'CllID :17 ~'17 :17 ';'17
ext.finish ".
masonry ,t.f .bf
wood
into finish
intl_'rior film .68 .68 .f?8 .68
Insulation ,. $:+/
!) ,ofJ
.. t
TOTAL R {,l1
II Ull = l/R d4!: I
,-" ... . ~
roa! type 1 type 2
cay sol cay sol
exterior film .17 .17 .17 .17
ext. finish - -
insulation 36.b:;i ;1~.1
framing xxxx ".35" XXXX
insulation
into finish .~fo .S~
interior film .61 .61 .'61 .61
Torr A L R . . 37,3t 3.:2-S"1 t I
flU" 1/R ,. ..();)~ . /)31 .
-
~
othe
sol cay sol
.:_;.: "',. .-::~~..~'t' ., "",. _ ::-,':. ,~.
extt;rrior:'~:fi 1m
.ext ~"'finish -'<:
1'/
ID
into finish
interior fi1.1'!l
TOTAL R
IUrl = l/R
4-l.. /~.~ I
,,-:.t . Of:, I
b~$~ment* 1st thru 3rd foot 4th foot beloH grade
belm'l grade to basement floor
insulation .288 . .094
no
walls R 5 rigid board .113 .063 -
R 11 fiberglass .072 .048
w/ 2 x 4 framing
flotJl. .; ~~ no insulation I .025 .025
"'-
'9
>;: *TD =insid.~:"~e~p. minus
;,;;,~,:~*From table. on. page_2
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(A)
I
The Building Inspector, Heating Inspector, Plumbing Inspe\
and Electrical Inspector shall make a final inspection of'
new buildings, additions, and alterations. Ifno violatiQ
this Chapter or other laws or l3;wful orders be found, the I
Building Inspector shall issue a Certificate of Occupancy,
stating the purpose for which the building is to be used, ;
the maximum load and maximum number of persons that may ac~ ___--- ~
omodate on each floor thereof and also that the building o~
premise or part thereof and the purposed use thereof are in
conformity with the provision of Chapter 30 on Zoning and
City Planning, as required by Section 30-27 (C) of said Chapter.
NO BUILDING OR PART THEREOt SHALL BE OCCUPIED UNTIL SUCH
CERTIFICATE HAS BEEN ISSUED. NOR SHALL ANY BUILDING BE OCCUPIED
IN ANY MANNER WHICH CONFLICTS WITH THE CONDITIONS PUT FORTH
IN THE CERTIFICATE OF OCCUPANCY.
. . · ....... . .... (f3G'()yf~.
-~ NOT ICE .' <y,,"~v G '71~
City of
OSHKOSH
SECTION
'j)RE$ENT TH
FOR OCCUPANCY peRMIT
ROUGH ELECl
APPF
TO
Room 205, City Hall
Oshkosh, Wisconsin 54901'
T HIS BUILDfNGSRA'lL'
NOT BE OCCUPIED UNTIL
FI NAL INSPECTIONS
HAVE BEEN MADE AND
TH IS CARD SIGN ED B'Y j
THE FOLLOWING IN- INSPECTIONS MAY BE
A RR.A NGEO.. 'SY...cALL. TN G..'..
SPE CTORSi,! ..................... ..... .....
236 - 0050.~
BUILDI.NG
DATE/'~
E L E,CT Frre A [~ 0 AT E r~r-grr
H EAT r NG '. ......, 0 ATE r~zr'tfr-..
P LUMBI N Gl!!:f;~ 0 A r.f;....c~
City of
"OSHKOSH
r!'ln~
OWNER
DATE
PERMIT #
GENERAL CONTRACTOR
MASON CONTRACTOR
Width of lot
41
o
....
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o
s:.
41
c..
CD
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"
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~ ..F-~ ClfCiID
ZONE
DATE
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/
Front of lot
ADDRESS
USE
(~3S-01f't:!..~
1J'Ur -sf tv
WOYK consists of
INSPECTIONS
REMARKS
~
MAILING AD.D. ...rss
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