HomeMy WebLinkAbout0000234-Building
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CITY OF OSHKOSH N2 00234
PERMIT - APPLICATION AND RECORD
,~~~P_E~ _ _ ~L~~ ~ _ ~T~_ ~ _ ~~E~ _ C? _ ~~B~ _ C? _ ~I~~ _~ _ ~O_N~N_G_ ~ ~~ l!_ _F~~~D_ ~~r~ _~~~ _ ~~I~~T_~~
ADDRESS If II d Cl.4~wp;o~ ;J;" PLAN No.L2f-SD3 ~'&...f!-
OWNER c;.4<3~t2-r- IZvSe.I-I- e,P..5"/72-0C'17LJ~ .;Z7?tJ t<...h-S7J{~1L. ~b 23(-?J.O::.
DESIGNER !?AY dt!f3l/2-
USE/NATURE OF WORK
A-n-/4l?ll6"fJ
PG-k/ .-.;$/P6LE .,L'ANIl-~ 46"S?dc,L/.c.3=o/
~d. I' y:. 26 / ~~t2-/k:;..e:- .
Lor '/0)</50 ~ ~ 1 ~ 631 L-/t', ~~
BUILDING CONTRACTOR t}wJJP;!.S ' , ,
Size -Z4 ~~q. F'J.. L7 r:;;;. # RoomscP',../ ~ # Slo'ies 7/t.:-..IePd Heighl L.$ I
Foundation ~ _ ttJ~ _ /3y Class of Const. ~,,~p Occupancy Permit /fG=Ci>UILGlJ
A4TVfL. t::/JV/4:7/21 fi.Jb
?
HEATING CONTRACTOR ,-
Heat D NC D Vent D Fuel/System ~ //;4- Heat Loss BTU'S
ELECTRIC CONTRACTOR
(JUPV1IJ-1C5
Electric Serv. New D Change D Temp D
Type_ Volts_ Amps ;00
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR &]G(2../L{ 'irS
_BT _WH _Disp
_Lav _Sh _DW
"c';, _WC _FDr _SP
_Sink _LTub _ Eject
;
Other
_ WSoft
_DF
_ CBasin
_ San. Sewer
_Ur
_ Storm Sewer
_SS
_ Water
J
FEES VOid $~rmit Fee Prod $ / SP- ~ /_
ISSUEDB'~ Date -f7-~!~
Park Dedication $ r DD
Final/O.P. / 0 ~ OJ. y- 8"
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATUREX' ~\j~~ 'fj;l,!?!b
/ AGENT/OWNER
ADDRESS
TELEPHONE #
..
"-
DATE
~ -Z3 -~ C:.
LOT
BLOCK
HARD
PI-l ~
/~
~t{ME C,46~~- !<OS~/-+
d
:~::~~'No~;:t$ O~,g /11
ADDRESS d7~() Wc37<fXoof"l-,
ZONE
LOT DIMENSiONS ~6>(g /..s-D
YES 0 NO .
BUILDING GRADE ELEVATIONS STAKES SET AT SITE /2,,A.-ul!.!; , 19 ffCe:, BY ti~
$10.0~ fj. 7-7.!J-b t1'
SIDEWALK EXISTING
FEE:
DEPARTMENT OF PUBLIC WORKS
I, the undersigned, owner or agent of the above described property agree to have the
grade estab I i shed before excavat Ion has c~:;;ed ~ ~ /'-.. M
, ( \J~#~
CCJ))l!fQ~-
. ~L.:'G~
~ ' /'A~,., ~ 1Jq e
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5111 t I I ,,/
STATE OF WISCONSIN)
WINNE8AGO COUNTY ) S5 WINNEBAGO COUNT Y CERTIFIED SURVEY MAP NO.
SURVEYOR'S CERTIFICATE:
I, Steven T. Chronis, Wisconsin Registered Lund Surveyor of Aero-Metric Engineerincj, IIIC.,
certify that I have surveyed, divided and mapped under the direction of Tom Rusch a part. of 1118
Southeast Quarter (SE~) of the Southeast IJuarter (S[~) of Section Twenty-nine (29), Towrwllip
Eiyhteen (18) North, RanrJe Sixteen (16) East, 13th W6rd, City of Oshkosh, Winnebago County,
~Hsconsin containing 27,000.00 square feet of land and being described by: Cornrnencinq at tile
Southeast corner of said Section 29; thence N.O()o-17'-14I1E. 265.27 feet, along Lhe east line or 1
sO,; of said Section 29; -thence N.890-451_26'~. :51.15 feet, to the true point of be~]inninIJ; L111)IlC(
N.OOo-141-34"E. 180.00 feetjthence N.H90-45'-26I1W. 150.00 feet; thence S.000-14'-34I1W. 1flO.()[]
feet; thence 5.890-45'-26"(' 150.00 feet to the true point of beginning.
"11" That such is a correct representation of a] 1 exterior boundaries of the land surveyed.
That I have fully complied with the provisions of Chapter 236.34 of the Wisconsin StaluLen
and the land Subdivision Ordinance of the City of Oshkosh in surveying and mapping the SUllie.
Dated this I;-d-- day of ~ - ,1986. w!~gZ:rGt.~Yor 5.1)91 J
Sleven T. Chronis
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UNPLA TTEO LANDS
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- LEGEND-
0: f"x 24 "Iron Pipe weighing 1.68 Ibs~/
-+- lineal foot set.
S=.Winnebago County Berntsen Monument
Jun e /I, 1986
SE. Con,.,
S.ctlon 29, T.18N.,R.16E.
seAL E IN FEET
~~-- ~
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l,
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ZONJ1t;/IANQ USE <.:.'G1Pr.:tANCE am:xuST
..
t. GEN::RAL . (2 -" \r{:;;
auildinq Pemit i Zo~ ~ " ConfoI.'It!.in;_ Non-Confonning_
Job IDeation c;~,b~~ r- ~~5e:. H . Lot Dim:msion
,
Property OWner /9// 0/<:.. ~OCJ(J ~ Lot Area
II. . a::NS'mX:'I'IOO DATA .
Describe lmk: ~ .5 r~
(~
<,
.,r,.,.
~NE.W.~ON
_ AccessoJ:Y Building
Fence
Boathouse
_ Utility structu:re
_ Other (specify)
III. CDMl?I..I.ANCE am:c:KS
ADDITION
ALTERATION
Pool
_ Deck/Patio
-.-:. Sign
Porch
lS- Single Family
_ Twc-Family
_ Multi-Family
Ccmne.rcial
__ Manufacturing
oeficiencv/Catments
\
,.
IV. REVIEti AtJI'HOR!TY
The Planning Director, or appropriate designee, must approve all plans, except
the following: (1) Alterations or interior \<,Ork when the use is conforming and
when no change of use is proposed. (2) Maintenance items, e.g., siding, windo;..s,
etc., when t..~e use is confonning and when 00 change of use is proposed.
Instances where work a::nplies with the alxlve criteria, the permit can be revia.:ed
by the Building Inspector without referral to the Planning Director.
. ~ APProVED NOT APPFOVID
Plan CoImti.ssion Action Fequi.red
Variance <)) red .
FEVrEWID {1~fLj ~~~
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..~ -..... .,/l-\' ., STATE OJ,i" WISCONSIN
i\\"J 'Depa:rctment o:f Industry, Labor and Human Relations
\\\\..... Safety- and Buildings Division, Madison, Wisconsin 53707
~~'i:HEaCY WDilKSHEI:T
JOB NAME: R!.rcX \.. ~ (=\'F ~ \- DESIGNER:.. ~ul".. ? LAJit:S'f
LOCATION:' rDI"-\..L~ \->-cQ. ZONE: DJ\TEL~"cl;..?:I;." "
\ :
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. : '.' . . .;
'," 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 J\ccept- .~
able Practice Method. Heat loss thru basement walls and floornwhere
'insulation i8 not required by code may be included in furnace sizin~ ':
.. calculations at the option of the designer. System Design heat losses
.' not exceedin~ the losses determined thru the code requirements by
more than 1 % are'considered acceptable.
. . area' calc 'Illations
. GROSS WALL AREA:
. . \ '-\ ~ .x. B ' B"5 '"'- ) d. b~. (:{l
'lb x \..\ ~ '601-\
\~bb. bq sq. ft.
WINDOW (,AREA: lass size 0 unit size
3(;).e,X.d4~-::. ~ /.0.1:1 C).\.\ ~ "b.::. ~. ~ ~
~~ X \6 ':.. -, . \ \ '~r.-:")""'~"'~ ~
~(a"\ x.';)o~-:: \'),. .~?;, o-\.\.x.\6-=. ~.::."$
a <?> ~;).O -:. J ,""),
40)(~b:: \\.'l
fA t; ~"' '/ f t
?,.(" x ec) ~ \ 0 ~\ ."'\. ...:.>sq. .
,: . DOOR AREA:
:~~.-:. \q,Cf
8 r""
d ":..y'). I
~ '.
CEILING AREA:
~ \.\ .x.. 'd- ~
C>D.$.. xC). \.\
~J,b sq. ft.
NET' (OPAQUE)WALL AREA:
'Sbb. ~tl
Doo.\'!.. -!>..,.(:,\
U,)\,^~)I')\.'')''~ - C\ t; ,crY?
(::>0.. \, 0
- :::>fl.,'
, \01&- sq. ft.
\'-'\\d.~)Dsq. ft.
" Form No. 88D-5510
:.\' \/a. ,.,f;.. Cr',\ : " ~,\I""";
.
',....,.. \ ''''
FOUNDATION 'WALL ABOVE GRADE:
A) ,~-')
I f c:, x. · () b.... 1;. I). \ b b' x. .f.::h'
C\ )t.. L\ ":. ~c.."":\
3,<0
~\. ~_~1,~;' e.
FOUNDATION WJ\LL BELOW
1\ ' (' .
,... ') 'r\ ')
S?,.'\-..~ -_ \ t;c,
~\ \'\.. a';~ sq. ft"
(} RADE :
() --, x. '~3.
+\0
f\. \. J 4.-c::\,~., rS \ d(")\ _ sq. f't.
,
FLOOHS OVER UNHEATED AREAS:
sq. ft,
OTHER:
OTHER: ' ,
.'
'.
sq. f t.
sq. ft ;
( t" t.\ ,.. \,:..
r f ", .. ~ ~ (\ ,.,\ . > .
/ "
- .
;/,. INST~UCTIONS.: Calculate H an~l U valnes using 'l'ABLE A-h in. Dwelling
. "..',' .Cede: Book. Separate .calculatlons for sys tems having the same insul- ,'"
" .' a'tion 'but different interior or exterior finishes is not necessary." :'.
r' '.: provided' the system 'wi th the 10Hes t H. value is used in the System: . ,.1
, . Design or Accepted Prac tice calculation.
~'
'U"
li''7\ ~.,JT. T _ 'rr.~T 'Ii' tf!)
fI if/~ Jmt ~jJ ,tAt W
wall type 1 type 2
cav sol cay sol
. .._ o.u__. ". . d' . " .
exterior film ;.17 .17 .17 ,17
.,
siding .So ..So
sheathing .qr,) . ,It 'S
insulation \'1 xxxx xxxx
t-.
framing x:xxx (,.,;J.;) :cxxx
Int. .
finish ,\\ ~) ;'-\ ~;,
interior film .68 .68 .68 .68
..... . .. _ .". ..-..,- "-.'-- .
TOTAL R d \ 1~)C_ ~
11 U" = l/R . o~-\ J .\oq
A.
r~..)
fdtn above grade vralls
cay sol cay sol
..
exterior film .17 .17 .17 .17
ext. finish
masonry · t.-:f?> . ()Pi
wood
int', finish . \.\ S.
intl:.lrior' film .68 ,,68 .68 .68
Insulation \ \
TOTAL R ID.qB \,S'~
II U" = l/R .01; . i,S ~
roof type 1 type 2
cay sol cay sol
~Cil!~__I""I'"
exterior film .17 .17 .17 .17
._-
ext. finish ,
insulation
framinc; xxxx t.V? I,?-, xxxx
., .. ...-.. .
tnsulation ~5 ;).(""")' C\ ~
,..J
into 1'i n ish · '.:; S .5,.~
interior film .61 .61 .61 .61
... .
TOTAL R ~.~ ~'bt-
.........--..-
tI Uti = l/R .oo~ f()~O
"
attIeI' cay sol cay sol'
-
exterior film
ext. finish
insulation
1nt. finish
interior film
'rOTA L n
II r.II'--_......,,,. .
U = l/R
base ment, * lIst thru 3rd foot 4th foot below grade
below Q;rade to basement floor
(f.;fPU8~) l,,~) ---..
no insulation (Q9J.~ ")
R 5 rigid board .113 . R',,'" .063 ,
walls
R 11 fiberglass ' fl.l (9-'l~ @ (0'18")
w/ 4 ............. .
2 x .framing
---_.._....~-
floors no insulation ,(J25 .025
......- . . .. " r.r.Lv.._.".~~~"".'U'l ~1II1if
.........H'y.,...m.. rR I" '(3 hn T"lQ d'r.> ..
'.,r.."'__~__ ... n.,..", ..i -'
'9
-II.
/SYS.TEM
#" ,< '
CONSTRuc'rrON HEAT LOSS
'"v
/{I
f' DE S I GN
heat loss in
AREA " U" 1'D BTU per hour
aT .~Ir.:a~a~ _..._~
tyne cav. O~12':;J.~X C\l") ;0 \~-D .0:f( ,0'-\ ") P,~ 4iCi '7. 'd,:}' \1
,.
walls 1 sol. (\ \.\ \;). ') \ ') x \5 %) d-\ \ /1 D7 ..\ 0"1 ~-i ~) I \ '1 Go ~ . ?... \ 9?,.
type ca v.. ( .. x J& )
2 sol, ( x Jb)
. - I" A'lR' ...---..-- - -
type ca v . ( \ O~d... x '10 ?6) 'lid? .12> ,DoS ~5 ~. 0 ~c-'.'~ " \~
roo f 1 sol. ( , oq rl. x \0 ~b) IOl'),d,. ~o'~o p,r:'J d-,p, .\.\ b
type cav. ( x %)
2 801. ( x %)
~........- "lIl"'" H.''\.r......L.~, --,-
!'tlt lA above grade walls la~~b . 0/") 0t; -,qq ,s?",)
11 2A. below grade(3 feet) Jl:l)J . (::)} ~ So * J _!":\ L\
--r ,.,.......
3
~":I,,,........ -- --
glass 1 windows q~tn:~ ,~G Y.;)S r ;.}'l ? (" ;"Y")~?:'
2 patio doors l.\D I' L\~ (?,. S \ I :<?,:::;t,
\
3
, --- ...-----.. "'-
doors 1 s ~f> ~ \ (~l~~t~ -?,~) . b \ 'J or ~t;. L\ ~\ .. \.\b
\ .J'"
2
---...'..----
D' l J ~er l~ o..~a-...)t c:ltCA. ~~c. \ I. '1:'-" \ \ ~c. t \'.I.~~ (: l"~ t3S, ;:}'-\'SI..\ .L\~ \ \
" ::",:.:)..;t.
- 28., \.\A/")" r', ~ c.(l)C' 6J\.-e:\\ .r ~). g-:1 t..\. L\
- ., ;::) () \ . d. :~, '?, e:,o
.--
TOT.'\L dO er2>4.I.\b
CODE COMPARISON
ADJUSTMENT FACTORS COMPONENT AHEi\ CODE TD BTUH LOSS
FOR WOOD FRAMING " U"
--...-- ~_>r
cc' studs joists walls above fdtn ISc:'6. ({i ,1D- 9t; ) SclPO .~;)""9..
12" 20% 14% walls above grade .
16" ~5% 10% fdtn above grade \ (.,(, ;~ ~ .25 Qt: J.., ~ ?:. t':". . \{ ")-S
c..) ~
'. 24" 10% 7% fdtn above grade
, fdtn beloN grade(3~ ?;7D .20 50"( ':)'.\ou
--
roof/ceiling \oq~ .029 0S ~(;f-i \ .) e
-- . . .___TlWPI....."Qi"..
ALlOWABLE
HEA'r LOSS I d-.Sqo f. q;~
base COMPONENT' A nE/\ "u" 'l( -x 'I'D '*, BTUH LOSS
. . ---- "_.'---~' '~_I"___, .."'..._-,
walls more than 3 reetA d-S,on . (Y\ <2., SO (..0. \C1 ~
ment below grade f:J dL\S.~ . (Yltl t;r.J \ \ ~ . S'~q
....--.... _.'l.U-l.....--..'__, _v_w
floors \ Cf, a. t o;:)s ~D \?,,;;,bS
" . .._.u.l.....l..,..n~"_.\J...,_ ~__.;.'i.a.u..l'.ur.,..~......,".~
*TD' = instde temp. mtnus 20 dec;rCp.fi II E 1\'.f.' l.088 ~,t:")'r) . -/r:-."">(-;>
. " .,.,4~_..._,~~..~....., ,
*'*1<'.....,..."" -f..hlr:> ,..,n """crr->
II
..'ce,!: PTE D
,/ '" " ,
>/'~-:'- '.'~. .. . .~. '~ . '"
INSTRUCTIONS: for completion of acceptable practiae method, please refer to Unifo;rm .
,Dwelling Code, Cllapter Ind 22, Energy Conservation Standards, Appendix Tables A-l,2,& 3.
PRACTiCE"
, WINDOW GLAZING:DSinglew/storm DOORS: EI' ,,",,1. tad S lDING '8WOOd (R ",77)
WALLS ABOVE' o Insula t ed glass 1_ 3011d wood alum(Rl. 82).
FOUNDATION , Dl'riple pane Uninsul w/storm
{.,TALL
INSULATION TYPE: {UNDUI.,T AND DOOR "'REA PERHITTED %
.
GROSS WALL AREA(fro/ll worksheet, pClge 1) = square feet.
GLASS/DOOR AREA(from 1wrksheet. page 1) = square feet.
0 PERCENT WINDOW/DOOR AREA = glass/door area
PERCENT WINDOW/DOOR AREA = glass/door area '" gross 1mll area = %
,
1
INSULATION TYPE: R VALUE (per inch)
CEILING
REQUIRED THICIG1ESS(per table A-3): " in cavi ty __"over fniming
, ,
FOUNDATION WINDOW GLAZING: DSingle Dsingle w/ storm Dinslllated(double)
WALL. INSULATION TYPE: R VALUE
~XPOSED FOUNDATION AREA (from worksheet, page 1) = square feet.
(walls must TOTAL FOUNDATION AI{EA (includes nbove & be 1m., grade)= square feet. '
be insulated PERCENT EXPOSED = Exposed foundation l' total fdtn = square feet.
to be in con- PERCENT HINDOH AREA PERHITTED(see Table A-2) = percent(%) '.
formance.) PERCENT tHNDOW AREA(tdndm.,r area l' exposed area) = percent(%)
INFILTRATION
IvoLU}m:CALCULATIONS: LEVEL VOLUHE CON. TD A/C''t nTmI HEAT LOSS
l..\ q 0,. x. 1 . ':? ~ llasement .. ( , ~. .018 e~ ..5 '(Y1 s ~ .J;1., I: ~.\f
). .,,(~~. -, ::;) , (" "' '")....
bbO x.~ Level 1 l\C?-c.X"":) .018 ~S .IS SSoB
-
\og~ ~ <6 e-:~ Level 2 q 6t.{ d .3.(. .018 9$ -L- \ L.\ I 5.).<2> (
~ .-...
Level 3 ,013
*AIR CHANGES. Recommended changes bett.,een .25 And 1.00 INFILTRATION
depending on type construction, number of openings, IIEAT LOSS ~~O\q ,b/S
weatherstripping, caulking etc.
FURNACE
S I ff1'l' E
'. " " ." .
1.:: ~f ~. .
ALLOWABLE HEAT LOSS(from pace 3) : , () p.~~), II , l l ("l
INFILTRATION LOSS(from above) ")":1.\(1 . C') r,
c. ...J ()
BASEMENT HEAT LOSS (from page 3) ; :;,)"J ." )'! .,:,
- -
TOTAL DWELLING HEAT LOSS: l \ ( ) L\ V, ~ . {-' J, \
TOTAL DHELLIt1G lJms
l\(,l\e,\. ~ \
x 1.15
~~J-\~4" \ y_*
*
HAXH1UH FTJRNACE SIZE
* Furnace output
FlJllNACE SPECIFIED
~~
/
State of liVisconsin
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 ~?J3~~4-
(See Instruction on back)
~RUCTURE ~WAC
~7~ress~
Mailing Address
G.r
~34-
APPLICATION NO.
PARCEL NO.
LEC
OPLUMBING
4
Telephone
~ ,.. .J> ..A.O.3
Telephone
Yo
SUb~ion Name
PH
Yo, SECTION
N, R, E(or)W
Block No.
~
Basements
Living Area/dj.;;.
Garage , ,71
The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and o'lherMuncipaIOrclinancesal1dw"\t'fi'iheconditions of this permit; understands
that the issuance of the permit creates no legal liability, express or implied, on the Department or Municipality; and certifies that all the above information is
accu rate.
SIGNA TURE OF APPLICANT
CONDITIONS OF APPROV ~L
DATE
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.
DVILLAGE
~ITY
OTOWN
OCOUNTY
OSTATE
z.-f, ~
Plan Review. . $
Inspection. . . $
Wis. Permit Seal(s) . $
Other. . . . . . .. .. $
TOTAL. . .. .. $
DILHR-SBD 5823 (R-1/82)
4; cr oS-
Y~7~0
CERT.NO. ~I'~
~o
WH ITE - Issuing Jurisdiction
YELLOW- DILHR
GREEN - Inspector
PINK - Owner/Agen
i
ADDRESS ,/1'/1 5:tJ,,4~t.?t:'/J
CONTRACTOR(S) ~~5
USE/WORK ~ ~~
OWNER ~Me-..u-" /2.u.sC-H
DESIGNER
'PLAN EXAMINER
LOT SIZE ~& X/'E;Z/
THERMAL RES: WALLS CEILING
VARIANCE
PLAN# e 9 - 5'"'. .0 3-t~ .tZ.rILE LOC
,
c27G 0 W'€S7?--f .()o~ ~
CLASS acc MFA XL SPR He
-------. --------
FRONT.3.5::.R~AR~LEFT-L!..RIGHT~ ZONE f?-r4
FLOOR FDTN FDTN 1-3 PERIM
-~------~----~---_._---.~-~~~..~.~-~~~-~-~~-~-~~~-------------------~---------_._--------
PERMIT RECORD
NUMBER
:::2.34-
DATE
1- 1-K&
TYPE
FDTN PAR~
FDTN PART ~
FDTN PART COMP
INSPECTION
FTG/SLAB
BACKFILL
STRUCTtJRE
ENERGY
OCCUPANCY
.~
r
* Inspected with State