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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
04064
TYPE: BLDG ~G 0 ELEC 0 PLBG 0 SIGN 0 ZONING W FLOOD PLAIN J HEIGHT AJ ,4.-
- - -'r:~ - - - - ~_I~I_- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
(!]a k tV CO/A) (J
(Lus~ h
ADDRESS (""'(0 -s- 50
OWNER ~:6~u:f-
PLAN NO.lG 9.....J--; -S8I'~
DES!GNER
USE/NATURE OF WORK---LIJ~ DL-J
:s 1=12-
Lv!
I
d-
~r-:
BUlL. DING CONTRACTOR OW ti1 ~ r
. ~~ 'K"~" ~~
Size ,,<>rx'--lo Sq.Ft. 1(20
Foundation ~ m-:.
# Rooms ~ "I- 2.. h.Ci'f!r # Stories
Class of Const. ~/
I X Height~
Occupancy permit~
HEATING CONTRACTOR . .... ..~. e.V--r ~ ~ rt
Heat 0 NC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR C . v-~. f-""'-.sJ
Electric Servo New 0 Change 0 Temp 0 Type _ Volts - Amps_
Fixtures
Switches
Receptacles
Circuits
PLl)MBING CONTRACTOR
tJCL~ ~~
_Sink
Oth~r
_FDr
_ L Tub
_Disp
_DW
_SP
_ WSoft
_DF
_ CBasin
_Lav
_WH
_Sh
_ San. Sewer
_BT
_WC
_Ur
_ Storm Sewer
_ Eject
_SS
_ Water
IS$UED BY
I "3..0. DO ,;1
Date {g -s- ~ 7
Park Dedication $ /fI2 (f)
Final/O.P. I-I f- ??8'
In the performance ~f this ";Jork I agree to erform all work pursuant to rules governing the described construction.
SIGNATURE
AGENT/OWNER
DATE
AQDRESS
TELEPHONE #
9'.- ~-I"'~~ 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
APPLlCA TION
APPLICATION NO.
(See Instruction on back)
PARCEL NO.
DHVAC
DELEC
DPLUMBING
Telephone
~ -fe.SG
Telephone
%, SECTION
N. R, E(or)W
Block No.
Living Area
IZo
18'00
S-.?~
Sq. ft.
Garage
The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Muncipal Ordinances and with the conditions of tl1is permit; understands
that the issuance of the permit creates no Ie ilityeexpress or implied, on t Depar ent 0 Municipality; and certifies that all the above information is
accurate.
SIGNA TURE OF APPLlCAN
CONDITIONS OF APPROVAL
rl
DATE b' S... ~ I
This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revoca-
tion of this permit or other penalty.
,-
Municipality Number of Dwelling
Location, if different
Plan Review . . . . . . . $
Inspection. . . . . . . . $
Wis. Permit SeaJ(s} . $ ~O
Other. .'. . . . . . . . . $
TOTAL.......$ '7iJ
onstruction
VAC
D Electrical
DPlumbing
DOther
.:!:>() 95..:3
.~~
NAME
!I
-:S- - (r? ~ f5'7
~3r{o
DATE
CERT. NO.
DI LHR-SBD 5823 (R. 11/84) WHITE - Issuing Jurisdiction
YELLOW - DILHR
GREEN - Inspector
PINK - Owner/Agen
I. .=_tt ZQI1ingIl'/~~ ~
Job Iocation "/ /~,) S. ()~ Lot D:imens-:n, -
Property ~ (~cJ}eJ- I~
3'1=1~,1 .#~ ~
( , '-
II. . <:'CE~CN DA'l'A
Describe ~:
za;r.n~/LAND OSE <:.t)1P~ CHECI<US'r'
I.otArea
/Ue~
/~~ON
_ Accesso:r:y ~li 1dinq
Fence
Boathouse
_ Utility Strucb.n:e
_ Other (specify)
III. ~ .~
Corr1:>lles Deficient
~
V
~
L'
V
-
V
V
.....-. ~
V'
-------
~
=J/It-
ADDITICN
AL~ON
kSingle Family
_ Two-Family
_ Multi-Family
Cat'mercial
.......-- M:mufacturing
Pool
_ Deck/Patio
~ Sign
Porch
Deficiency /COlIm:mts
.use
Lot Width
Lot Area
Floodplain
Front Yard -
Rear Yard
Side Yard (R)
Side Yard (L)
Parking
Building Area
Lot Area per Family
Comer Lot
other (specify)
IV. REV!Eti At.m1ORITY
The Planning Director, or appropriate designee, ltDJSt approve all plans, except
the foJ.lowing: (1) Alterations or interior ~rk when the use is conforming and
when no change of use is proposed. (2) Maintenance items, e.g., siding, windOlois,
etc., when the use is confOrming and when no change of use is proposed.
Instances where work{c:::arplies with the aJ:::oVe criteria, the pem.it can be revie<.-.'ed
by the Building I.n.spector without referral to the Planning Director.
v' APProVED NOT APProvED
Plan Comnission Action Required
Variance (s) Required
~aY~;J~--
DAm, ~~1
/
Ci ty of Oshkosh J /1/85
^
PARI<I.AN~ OEOICl\T, ION FEE COLLECTION RECO"
Address 17t?-, ::s: ((Yo. ktVo-&~
Owner's Name ~~Q t-t" .'",}< v':5"~, 4
~/< c:: ~R- ~
Name of Subdivision
Lot # ~
Bldg. Permit #
No. of Units ~
Fee Requi red / (!!) 0
Fee Paid
Owner's signature
Inspector's signature
Date
Da te 0, --.j --- ~
Parks Subdivision
Improvement
Accts. Rec.: 362-041
l"
':AME G-~['" .,-+-h <Y =< C ~
LOT 8 /
$UBD I V . , ft:::~ )C cl~.$ r
STREET NOl7tq.s-.::s-o Da-kw~ol
DATE~~ '.'67
ADDRESS ~?'Gn (f:1. ;Jp:::.s{~ r-
BLOC K
HARD
ZONE
SIDEWALK EXISTING
YES
LOT DIMENSIONS' /
o NO,g
5_1 J
BUILDING GRADE ELEVATIONS STAKES SET AT SITE
~'1
, 19 ::::.> ..
BY \2j~
FEE: $10.00
J,v.a.--
6-~/
DEPARTMENT OF FU8LIC WORKS~.~
..
I, the undersigned, owner or agent of the ab described property agree to have the
$rade establ ished before excavation has co ence .
~1b
~. ~'
C' ""'~ r"'/t'8'
';.-, , fi
" ;;..:j '. ~ IS ...
~,
1 (~, '
STATE" or WISCONSIN
"'of
-Department of Industry, Labor and Human Relations
Safety and BUildings Division, Madison, Wisconsin 53707
~. ,:",:~;;, ; _ 1 ~ , )'
~ ~
--~ "
EKZIlCY' WORKSHEET
, JOB NAME: / l{. SJ;,,R Y DESIGNER: '
,LOCATION: /76S-.5~ 6aJ? AJuJONE:
DATE
.. . ~
. ','
. .,' . f
",' , INSTRUCTIONS:, This worksheet is reconunended for detennining confonn- "
, ance with the Uniform Dwelling Code's Energy Conservation Standards. '
j Dwellings may be evaluated by the System Design Method or the Accept- f-
able Practice Method. Heat loss thru basement walls and floors where .
'insulation is not required by code may be included in furnace sizing
~calculations at the option of the designer. System Design heat losses
'" not exceedin~ the losses determined thru the code requirements by
more than 1 % a~e'consi~ered acceptable. _ I
, ! area calc lations
FOUNDATION'WALL,ABOVE GRADE:
(rJ~t' ,l.ov -:;:. IIL-I,'8
GROSS WALL AREA : .
,1'13 'I- a.53 -:::: ''Ot;)'l.5Q.
I 4 \ f... 8. 83 ~ \ 'O><-t ~l 03
a.lt>'a
, 11"-1 sq. ft.
FOUNDA'l'ION WALL BELOW GRADE:
I 7~ .(3
~_' sq. ft.
FLOORS OVER UNHEATED AREAS:
., ,
143 sq~ ft.
~;;:: :"'.
:LJ~ sq. ft.
(OPAQUE) WALL AREA:
'~ c9??3' ,
Wirdcw~. 1'43
d~ - 5f)
FO;hO - 1eD.-
~sq. ft.
OTHER:
'OTHER: '
-<
<:
sq. ft.
sq. ft.
, '",
,
r
"Form No. SBD-5518
page
'V' ,'VALUES
INSTRUCTIONS: Calculate Rand U values using TABLE A-4 in Dwellin~
..'.",>;Code; '!3ook. Separate calculations for systems having the same insul-
,; .' a.tion "but different' interior or exterior finishes is not necessary.,,:.
1'.1 ~:: provided"the' system 'with the lowest R value is used in the System" "~
; Design or'Accepted Practice calculation.
,
. .
wall
..",
type 2
caY sol cay sol
;.17 .17 .17 .17
-
C
~. I
'~
- I
,
F(
Wi
("
bE
tc
fc
exterior film
siding
shea thing";''.,
insulation
xxxx
--
.68
.68
x:xxx
framing
(nt. finish' ,
interior film
TOTAL .
'I?
iqs I
. 68 .68
~I ,~5 q I It;)
Itj.l~ .,~
Idtn above rrrade walls
cay sol cay sol
ext~rior film .17 .17 .17 .17
ext. finish
masonry ,~
wood
{nt. finish " €,
, .',..
intll.lrior : film .68 ,.68 .68 .68
..
111sulati,on+.r,if::' "
TOTAL R 1,53
I'U" : l/R , trf:?1
::::::
"
'.
rool type 1 type 2
cay sol caY sol
exterior film .17 .17 .17 .17
ext. finish
insulation
framing xxxx 4.28 xxxx
- . ~ .-. ..... ,- ,
insulation af, 'r::1n95
into finish IS~ ,5:l
interior film .61 .61 .61 .61
.. .
TOTAL R ?fl,33 3.;l ,'~
" u" :::::: l/R ,~~ 1060
.,
ather ~b..b
cay sol cay sol'
exterior film
ext. finish
'('f(J~ 'r "'I .~~
insulation 'D
into finish . loP,
interior film
TOTAL R 11/3(0
"ult :::::: l/R .Dt~
1st thru'3rdfoot
below grade
4th foot below grade
to basement floor
f(
floors
no insulation
R" 5 rigid ,boar,d
R 11 fiberglass
wi 2 x 4 framing
no insulation
~)P\
.063
. oL~8
.025
.025
* includes ail" f1.1m. wall. insulat:lon & so:1.1
n!1rtt:3
---- -
fJ'1
_C'~
· /~S1TE1V1::
<(1 .
CONSTRUCTION HEAT LOSS '.
::/.
ASSICH heat loss in
AREA " U" , TD BTU per hour
/i 'I! '
//: .,' 'l! """,< cay .(...a~-'4-x ~5.%) ,
tyPe al55,a- ,Ol.f7 a:; I f} '5 ?;.() j .1 ~"J
walls 1 sol. ( 05 lB' x 1-5 %) .3'7&.& I/OC} ffi ?J.j() J. (J 5 ~1
type ca v. ( x %)
" ,
2 sol,( x %)
1 type cav. ( I~O x 90%) 1I~4 .o;a.s s,s L!J () 'I . -, 5---
roof 1 sol. ( /;J<.DO X /0 %) .-I al.P j C>e(\ ~t::: ~~a I ..,~
type cav. ( x %)
II 2 801.( x %)
I'dt 1 above grade walls IlL[ j lJ~3 8i) (,,?>6fl ' B(l
11, 2 below grade(3 feet) t!5/9 ,t~ &-",{' '7Lj "73 . LI
... -..
3
EElasls 1 windows ' . . <' ",,- ~ ~ 8.'5 ~~:;/I,~.5q
2 patio doors lor) . if'} 8.r.;") .8:3 'J rl
3
doors 1 --Ci'J:>r~ 5~ "l-S ~l) lD [J) .5,.t)~j
. I.
2
~ J /43 <W
oJ ~er 1 ~ ,Di9 8S J C\\o <<.1t. lotI.
II, 2
!, ,'{':c,,(' ,; "..',i. , ,. '..' :1 TOTAL 3& \ 0,5<1 , I$}>
T
CODE COMPARISON
~g~u~~~~~J~~~gRS COMPONENT;'~w
cc; studs walls above fdtn
,. .
AREA CODE TD BTUH LOSS
" u"
&1'13 ~ g5 ~Q;.J~ . '"
1I~ .25 85
12"
16."
'2411
20 D
15%.'"
10%
walls ,. above grade'
fdtn above grade
fdtn above grade
fdtn below grade(3?
roof/ceiling
'3 ;j (j: * >~i.(~ -; ',~i-; _ (.;~-
base"..
m,=e11,'t,I
walls more.,thl:l.n 3 \ feet
below grade' l J, ,:.:
floors
AREA "u" ** fl'D * BTUH LOSS
5'7fn' ~ 50 a!]Ory,a
*TD = inside temp. minus 20 degrees
I *,~E}'om table,. on page 2.
"~:;:~}:+r'"':(' '-'"
HEAT LOSS 4()8~. d
~
, -',-','''' ,'-- :'
Ace.
PTED
PltACT
C&
, , 'F., ,~;;~,?;rr: 'if.;\E':.:r'" " .
INSTRt;1CTIONS: for completion of accep practiae method, please refer to Uniform'
.Dwell~ng Code"Chapter Ind 22, Energy Conservation Standards, Appendix Tables A-l,2.& 3.
'''''/:j;
DOORS':Ef::nsu1ated SIDING;8WOOd(R .77)
Solid wood a1um(R1.82).
Uninsu1 w/storm
~;," _,,'C.' ,,-,.' }~t. .:'m
%
GROSS WALL AREA(from worksheet," page 1) :::
GLASS/DOOR AREA(from worksheet. page 1) :::
PERCENT WINDOH/DOOR AREA::: glass/door area
PERCENT~WINDOW/DOOR AREA::: glass/door area
square feet.
square feet.
+ gross wall area :::
%
~.
,
I,
CEILING-
,i, '\' t ";,,,?,~'jt~P',,:, ~;i~'.{;r;:.'!;
", \t. ,n ,b"?
:,;:it~, ";~,,~,,,".~;,
INSULATION TYPE:
i
R VALUE (per inch)
;!(-
.~. \'",,;( . ..~'t~>,;,
>~'~'.~,:;\~:i -;,'
Rl!:QUIRED THICKNESS,(per table A-3): "
(~.., ow' "~. ':";,.',:, 'i::\.;..: :.,.
" in cavity _"over framing
, ,
WALL ";'~;;::~J!~'
,Osingle w/ storm Dinsulated (double)
INSULATION TYPE d, ; '''''"'' R VALUE
EXPOSED FOUNDATION AREA(from worksheet, page 1) :::
TOTAL FOUNDATION AREA(includesabove & belm-1 grade):::
PERCENT EXPOSED::: Exposed foundation ~ total fdtn :::
PERCENT,WINDOl-l AREA PERHITTED(see Table A-2) :::
PERCENT)UNDOW AREA (window area)'" exposed 'area) :::
,j; -.;'. . "..:
square feet.
square feet. '
square feet.
percent(%)
percent (%)
(walls must"
I be insulated
to be in con-
fOfmanc~.J~~,
iii.i~L'j'ia;ATIDN
.f .i'f.,<,oc';:"';:':r/,',::':
VOLUH~~ALCUa~?I~~Sl::",;~~'.rc
\ d'u;.t..I ~ ,.., ,,C) ~;,~"";. ' 'j' ."'M"":,',','.'.."",,. ,
;!:\ '" ~'J""\ .01 8.8~> - ,:'," .""Y Fe>;:.
01 ,~ ,.. w ~ ;f:. , " (;'-''''''':' ::'
< '. " ~'
.,' '73'0 t S, 83 :~}."" ;
, . , ~il, .'.~ -;~{:'i~.t'i.}i :;~>~f,:';:lt~~ ","
,. " , '1',"'"
.,~ ", '{l"-~,,~i~,' . .
LEVEL "
VOLUME
CON.
TD
A/C''(
nTUIl HEAT LOSS
Basement
Level 1
Level 2
Level' 3
*AIR CH1\.NGES. Recommended changes bet~-1een".25 and 1.00 INFILTRATION
I, " n "'. HEAT LOS S
dependi4g on~typ~,~construction~.~l1mber:of'o~enings '" ",', '" " - L
i.:i;ili~1cBTtFs'i'.z...B
'i' .~,
ALLOWABLE HEAT LOSS(from paee 3)
'-'- .
INFILTR4TION LOSS(from above)
BASE~mNt HEAT LOSS (from page
TOTAL:!DWELLING HEAT LOSS:
3<-" ~lo ".ll S
TOTAL DHELLING LOSS JCf 'd ~.7
x 1. 15
*
HAXHtUH FURNACE SIZE
SPECIFIED
~ /J / 7c3,SS'-~
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