HomeMy WebLinkAbout0005155-Building
Lt)
LO
--
LO
01
Z
~
:t:
en
o
u.
o
>
!::
o
;.
o
z
32
...
<I)
c
~
o
00
00
<I)
...
"
"
<(
~j
C <I)
'ai ~
c:: 0
:!:::
<I)
"
m
...
<D
~
o
.0
m
"
o
o
u:
-
<I)
~
E
...
<I)
a..
'f
c
.Q
-
U
:J
...
-
00
C
o
o
~ln
~.........
-
<I)
<I)
-
0>
C
32
(/)
-
o
<I)
a.
~
<I)
...
m
:J
0-
(/)
0>
C
..Q
-
C
<I)
E
<I)
00
CO
(Q
-g
CO
00
<I)
.;::
o
-
00
-
<I)
~
x
-
(1)-
~
~
-
.I::.
<I) 0>
.~ <I)
00 I
c
.Q
00
:~ 0
"
.0
:J
00
lb
..........
.0.0
... ...
:J :J
00
o 0
- -
"
...
m
$;
l 0
,::.:.
U
..Q
(Q
L
o
....J
:!:::
E
...
<I)
a..
-
o
<I)
...
:J
-
CO
Z
-
o
<I)
a.
>-
I-
...
<I) ...
~ <I)
<I) ~
00 <I)
c 00
m ....:
0000
:J :J
(Q(Q
-
o
o
z
c
o
00
CO
~
G' j !;>$.S
cJ
...
t'
~
.~~
"0
...J
....
o
.,s
."
~
00
<I)
<I)
u.
...
<I)
~
<I)
00
c
m
~
-
U
<I)
:!:::
.I::.
U
...
<(
00
c
.Q
-
U
<I)
a.
en
c
,.h~bJI
J
-1
c 2
00 ~
~ a. ~
cri"2.I::.goo
Coo.8a..~
... m
::lOOOOO(Q
:J
(Q
o
-
.0
...
:J
o
<I)
U
.:;
...
<I) .0
00 :J
... I-
<I) .I::.
- -
co m
~(Q
ci
c .!!? Q)
O.I::.
~ <I) ~
o ~~
o.c..r;:.
o ~ .!!?
U:<DO
-
c <I)
"00 en
co 0
(QO
.I::. ...
en 2
co m
~~
I I
.I::.
U
co
~,:J:::
>- 000 ...
... <I)
" ... :0
52.0
co m :J
....J~(Q
00
... .I::. <I)
<I) _ <I)
- m u.
,::.:.~(QO>
cI"'c
<I) .0
OOQ)~E
~~~5:
c
.Q
~
"
c
:J
o
U.
0>
C
-
o
o
u.
T
en
<I)
If
cri
-
o
00 I-
...
o
-
U
:J
"
C
o
o
a:
<I)
U
":;
...
<I)
00
<I)
U
.:;
...
<I)
00
U
.;::
-
U
~
LU
...
<I)
~
<I)
00
'~JO
I
a:
eo
o
<(0
a:
I-
z
00 0>
o en c
" m c
Z <D ,Q
~ :!:::
W
J:
"
<I) C
:J 0
u.0
~~c
0'- ,Q
~~~
~oo
.... .0-
jg 'iij .s:
.; ~.s:
Q.)~n3
~.92 E
C)t:~
~.21:::
'-"0 ~
.1:- ~ ~
'c"'c
~ctlw
:E -ci'~
w .....
o g'~
....w.....
<I) 0 E 0
~ .~E'iij
o ()8~
~.5!? 0:;"
-~'i::
coCa
w~.o
"Oc,c
8.Q g
co~~
O-ctlC
:i2 ~:8
CWctl
::J "-.>
~wctl
w 1ii ~
,cww
::cnJ::
0::> 0
co~~
T;"" >."0
32 ';; ffi 5
CO 0..... e
a....;::,ectlx
en 0 Q)-
<I) J.l E co .
u.Q) -5:;: ~ 0
.- >.. +'" ...
~ffialal
~coQ>~
ffi ~2E
"E~'iijg>
o ,c'-
8 g ",;g
CO""'-::J
c o"S,co
-"0 .-
c: .Q ~ ~
0..... ....
I- 2i.!: >-
() .....0
w~~"O
~,e-;g:
Z "O.~ e
en ~~~~
oz.!: jg ctl
o Ci 'E .... .~
...J 0 "'-
"5~~~
2 co:O.... 0
co wwg~
E I'Ow.....
- 1-= 0:=
en ojg C'E
LU I-"'~::>
o
E
co
ci5o~ g>
<I) 1tj
-g E a:
o :J ::l
0(Q1-
(Q
E
<I)
-
00
>-
00
<I) ...
~:<8
ui
<I)
-
:J
1tj
-
en
cri
o
-
-
c
co
:J
00
...
:J
a.
,::.:.
...
o
~
o
"
"
c
co
>- .
.oc
<I).Q
32u
.o:J
co';:;
oen
_c
eno
<I) U
<I)"
o,~
co.-
...
"u
<I) en
c<l)
0>"
00(1)
....I::.
(1)-
"0>
5.!::
<I) E
.I::. <I)
->
,::.:.0
"'0>
o en
~ <I)
en:;
.I::.....
-"
-c
Om
~ ui
c <I)
m"
E 0
.... U
Sui
.... <I)
<l)U
a.c
<I) co
.I::. .!::
-"
Eo
;'0
.... -
.s c
0li5~
.E-
~ ~ ~
I a..:
g-o
00
o
o
....
:< 0 ~
" >- ~
<D~~~
~ m
0.... en
u.<DO~
....J
<e-
m
<I)
I
"
>- <I)
E <I) ~
c -
2 E ~
~ :.c: cti
0000
en
a.
E
<( en
U
....
ci 0
E
<I)
I-
00 en
~ -a.
o <I)
> U
<I)
a:
...
<I)
c
~
o
-
c
<I)
0>
<(
~~,
1:..-')
/.
."
'...f
<-
,,,..;;
n
( ,
-....".."
''x
e..
t.(
6
""~
,
;~.
\
~~'
C1
1
~}
+r
t'"
C
VI
c'
'"of
>
..-.
"
<I)
C
0>
00
-
en
en
<I)
....
"
"
<(
p'
,._~
>-
CD
00
<I)
.I::.
U
:!:::
~
00
a:
o
I-
o ~
<( <I)
a:z
I- <I)
Z <I) a.
o U >-
o .~ ~
~ ~.Q ~
a: .U_ 15.. 00 U
I- .... .... ~ ~
Owu~.3a.
..J ~ <I) .~ a.
WLUOU.<(
00
c
.Ql
00
~>
/!
STATE OF WISCONSIN
Department of Industry, I.JL'1bor and Hun:an Relations
Safety and Buildingn Division, Madison, Wisconsin 53707
JOB NAME:DQu~_l~:~ I{AQlr'fi:.t...f':> DESIGNEE:,. Fc")C. CI ("res CCiAJI'-~
LOCATION:_ I '-$f. I::1u..Qn~ C004..~ ZONE: (L'-IC DATE__Y:_~_::K_D
I NST'RUCl'IONS : This worksheet is recom:nended for determininc confcnr-
anc e \'/1 th the Un1fonn D'we 111n(; Code I s Enerf,Y Cons erva tion Standards.
Dwellings may be evaluated by the Sys tem Design ~l(;thod or the Accep t -
able Practice Method. Heat loss thru basement walls and floors where
insulation is not required by code may be included in furnace slzirl~
calculations at the option of the designer. System Design heat los:..;es
not exceeding the losses determined thru the code requiremerlts by
more than 1 % are considered acceptable.
. are ell tia s
,
4 ~
GROSS vIALL AREA:
FOlJNDATION WALL ABOVE GRADE:
r'~')
--7 -''',.
( .J l--
I
Y I /
" ,,..... l~......
(
f
ISC J '1
I Llo eJ'
sq. ft.
WINtOW ,.AREA:~ass size 0 unit she
;02 c;,'( (' q r t
- v.:::>.. .
FOUNDATION W1\LL BELa\>! GRADE:
<( '...
-?--:; </ ()
~,f____.
S,I
(,1) , Y
r:.J-/, if f..c,. (p C.
I
I
I
,I,
1t. r
,
l - St.j(/t?,
? . 321i,r
( _::. Pil1"'"} D
I --
(. . <1
'.) (/ ("
5- '3f";_tYlc-"r'
\..1.1 t ,,;> C",.,) 5
.I ,._/ .'__
I,?~:;~l
'""...0-" ....lrl~
sq. ft.
'7. c /1/
/0...;6 ,R.,.[;q.
: .-- .
FlfJOl'\.S OVER UNHF.:ATED AREAS:
DOOR ARE!,:
o
/- 3
/ Z '5
"~ ~
/'><: .
./ ~
.--
r-:) r] 7.'>
'-'" . sq. ft.
CEILING AREA: NET (OPAQUE)WALL AREA:
sq. ft..
OTHER:
OTHER:
/ -.:? (/ (J
I..J sq. ft.
"'.' . A....--
I? L/ /) (""'::::='h f t
__ l~ ~ ........_~'-1 . .I .
sq. f t.
r>q. ft.
paGe
1~
Form No. 53D-5518
/. [-'.: ;:'. /
. ok b/
/'>'
"
exterjor film
sl.6j ng
:; hed. Lhi. ng
::'nsulation
framing
~ r1 t. fi11:1. s h
interior fi.lm
TOTAL R
"U'l~/R
\~/.:..t~~rior
film
int,dor :film
] ilsul '1 t ion
~~
r'1()j' 1\ L T~
"UII 'CC l/R
~,J~&4;."t4.~~..
,
wc.:Lng 'TABTJ'~ A-}! in DVJC lli n
caJ.culriLl,.;11S rC)l' :~)~t~)t-,c?r~s ha,,\TirlG the ::3anle l..rls~d_1-
in terier n' ex teLL r fini~)hcc .Ls no J; nee cs sar';
lovJest R va1ud is uS2cl ~jn the System'
Ltlcu tion.
CCi\'
scl
,1'( ,~7
~._".....,---*- ..-". ~---'. -,,-
I. 82. I.. grz.
.---;. .:'\~. f / I
3, C.L' JX J-:' :o~
';~~l /-:;;;-
.' ." - -'+~-~ .. .-..
.. b~:\ .68
" -I' 111 r;u
,..J ~'~". ,. <. , '~,/"
"",. \ r '... r
,.yo... 6')C: (}l.{(, .",1'1'
f" U #'. /) '" - - r-" '" f
cav
~' ell
above r-r:tce \'J,tl L'
c- ::t \'
,1'(
1
\
=_ t/ / I
( t7 'I'
'.C ~ I
/'/
'r
rl() il1S1.11a :~ior'-~
R ~ rigid board
no j ns v.la U.on
a1I'
fiJJJ:
.17 ,Ii
~ go r
=, (/ /
..../" ( -"
t.) X :.: _x:--:
xxx (!~;'::
.,,!J5..._ " .,.
.68 .68
.."~,,.~
.~
",._....,."..,j,.....,,.
'~;El.L 1,:;
t'
I
J..
ca,v
~) ,..... ..1.
:< i" e r j (L) j:' i' .1_ l.TT'l
,1"/ 1 ?
ex-+~,. fLrlisli
,.
-1.:'1. i.en
.-2"212 'z"
>:"'j;::<~' ,~
~-- --- _...--
--:2
.. '
------ -
. b1 .61
"r'l"::l
j nsulat;lcn
j n l'Cd'Ll. s h
r fi In
'~()T!\TJ ! E
"11" -. h
,02._:> ~
::;~
?
sol
::01.
,171 .17
--"'- --t.---.-
-"--"'r'---
.-.. --' .-.-
)'~={)c..::{:...".'. <-,' _I
~-_..'----
.~,
Cjl
.'
r', ,
. '..-'.L
/:' .i'~
, ;,/S
( /.
02';:
.,
',,./
:=N~.
~~l~":M, .~~~4.b.k_~_
,.; 01..
1 c'.'
,- (
.. .-"" "-'r
E\xt,. fj_n4_sh I
:,:;n~v~== ,1:~'+=_
jn~. finish I
---..- ......j-,
{;~. I
i~ L1 \.'
;.~ i-- ':: l' ~L ("' Y' r J 11'
i-i. J'l1;:; tj
',', '\ ~ I ~l 1 { 'r'.
'1 -
r I r :'j!.r'
l~~.';J,~~''S'iW'tr~'\flt.
,-,!; ,.
,
.~~r!.<W:l,~~a:~~'
~~
~~"~..
';."",
~.."'.. ....,.,.
".~ (.....>1 ,;. '.-" ....;...
~ '".'>0
---- --1-- .-'" ,"
.----'t-...-.
=~~--c~= ~
I
j
i
I
..-...4.--...---.-
_......,L~
I
I
;~..,.~"%..~~~,~
,.".,b.___..J
~,,;-.,__~rme~,
.....,.....,
OtlS, t_~};~(::~!i
:flo-::)t l)~:;.J.C)V; l~,I'a,c',:
LL,~ I'
~>r: r::
. f)r, 1
..... ,~. v
~,h
.~~, r c3
\;1.,
;'.,.l",':,U!C
sP>--\
") 1 -<
~ >.. )
R 11 fjbE'r~la~;s .'7'0
wi 2 x i.f f'ram:inr~
.~~.......... JlIPtl~.:;;z.,.m?--m"~,~
( \ 1-:, ":J:,
~2f)
~lOO:X~~1I>.J~~';
( .
floors
~;zr~,,-,-,-~)_,OClit;:-~"~ ,~..,..l!!.J:J,"~.,(ff:_~.~~~~nmm
k~........~~~'
.lncll)c:es
\~l~1.~l~L-,
i r ~-: \ ~_'Ltl, ; (y:
() ~~~~ ~)
.. ~~~~.f.~~-4..~I~'1"~
i
'. .)
,
f
f
n;i,,:.cc;
;,. '
.".
SRiBiU1.W~~~{ZlI~r~~~.ti~ta\'UJIW.m..~~~~~"?..~Offik~p:;~~~"iZi~'m.:~~
BPIC!/
11
'\. : )
"Ll;
r
f
';::uc ~."I()N
l~OSS
t.r1)e:
,J .,
,
I
cat 103S
'! lJ !
l3TU P':;l' lK 1):
'-'VIle en;. (. 2C>Z ....__
-70() , :.;:.;;
:~.~ .)
? /cP""~
.---.:;n:.;:::"_
:;:,L/5 i
',;ypc,
1
~-,.Y J": I
;--j.
~~~'\i.
1 D,iJ(jV(~ ",'.;':t,..~.: \\'~l,L,.~'~
~)
belrn..; -,"~ e ~ I'('C'
.,.~) (-',';
W' \ j 1 Cl (', '~\. ~.,;
p~.t'l 'i,C)' (; (~'.',l 1',
-, ,-, -
-,
)
o ."
D'::.,:..,.;. !"'-\
\ ',"\ ,
J' "
<"'- ( ..
. ./','/
1
l'
z
--;J'
_._~-~.-
"..c~ ,(_<,",
'ft"~M.__..,,_. _~'
:'n,~
I T.I__,llllo
'-
T :)T.\L
l '-I " 0,
l' l,l i .. ,
; )
CODE COI,I~.'\;:L;ON
._.
ADJUSTMENT FACTORS
FOE \lJOOD FP,AMING
'"""
*TD inside temp. minus 20 degrees
**From table on page 2
cc
studs ,jois"'
121!
20%
~--_.~--.
i r::.!r
..L-...j
15%
2L\ It
10%
,,~
"", " ",Co
.""
(' ~\
\..J l....
'1' 'r.
.L!
BTUH LOSS
COMPO}\TENT
1\ r:~EA
'l-rr:!
I)
f7
....~.~-.,...
: Ll'~~. ~-''';--
walls above fdtn
l),d
___-=_~L?__~___
10};
'r%
I'"':
~' ::;-"
walls above crrad2
l C('l (,CI~::;' . J#""
_._--_..~
.-~ .,'
f&tn ab ve pradc
. +"-;Yo~~''''l'''
-.-:=..,.t"88'
C c1 L n t\. b () \' c': r n. d c
L'dtn be
( i'> ,"1 (.~ n (
, ~ '. '",,~ .,', '-- \
'Sc.,i'
'/ (I ,~..
-------~
7:20':; /
.._) ~ --',!
^.
')9
yC)of/ c c:L 1L n(:
:~~3'
A],LOVIABLE
HEAT lDSS
2Cj
1..0 .........i ~.~ -: ./ .?-
..<. ;...."., ,','
:..; -) , '.-
COlvlPONSNT
~~~
p.~ 1\ l~\
BTUH Ij)SS
nul! -xx- TD-*
II
,~_~fj
j"f"']
/
S 170" r(. . ()'",,".:.
walls more than 3 feet
below I~rado
~- !I!~~~-~~--~
j./
../_-"
, ,
I l.(':)
l"lC)Ol"'G
LOSS
~
~
y\'.:.... ,;l:..;J.
A
c
'\
..,
Ii{STRUCTIONS: for c:ompll,t i on of ([('<'ept all 1 p 1'r:1(' t iet' m.>thod, pJ ens€' reU:r to Uni form
Dwelling Code, Chapter lnd 27., Energy Conserv:1tton "randards, Appendix T;lhles A-I,2,[, 3.
_;. I~ 1 T Jl:III1'IIlI I...~r __~
WALLS ABOVE
FOUXDATION
HALL
IHNDO\.l GLAZP;C;:DSLnl'lc' \..r/stor:-;
[J r n s u 1 :l t t,' d g 1 ;., s s
DTr j 11 1e p,mp
D()ORS:[,]L"nS~lated SrDn;GOwOOd(I~. 7~)
R'., :>ol1d Hood D.1IU1'l(hl . iL)
Uninsul w/storm
INSULATIO;~ TYPE:
HI
pm DOOR AREA PEPlfTTTED
"I
.0
~
CROSS \~ALL ,\i~EA( frol'1 ,,"'O['kstJCN, P:l;',C 1)
GLASS/DOOR t\I:E:'\( frdLl w.)rkshcet. p:1:;e l)
PERCEiiT Hfi\l\0\1/D001: ,\l~EA p:lass/door ;ire.:'!
PEECENT HI,'JDO',-i/DOOR Af~EA glass/d('or arC;1 +
square
squFfre
feet.
feet.
gross wall area =
"I
;,
CEIL INC
INSlJLATION TYPE:
R VALUE (per inch)
7'
RtQUIRED THICl~;'JESS(per tahle ;\--]):
" in cavity
"over framing
FOUNDATIm-l
\.,'ALL
fJINDO" leI A"'I'If'. 0 -I. .,',
VIi i".....:l.J, " i~\.,1. S I.')~, 1.(
INSULATIO~.j TYPi'::
Dsingle \J/ ',torn
Dinsulated(double)
R VALUE
(\4ilLls nust
be insulated
to be in con--
f OrmaDel:'. )
-
EXPDSFD FOif:mXI'10N Al~I:,\(fr',lni \,'ork<;lll','I, 13('
TOTAL FOUNDATTO;~ ARE;\(il\cl\ld<,~, :lho\'e ,r:, bo10'.1
?Er:C1~:~T EXhlSED :: EXPOSl'd founda! L,,) -:- toCll
;'f~r TNT h'l:--rn!Y-l AREA PFR:\[TTI:nCs"e T;1111,> A,:::)
: :C':'H HT:mm! ^~E" (Hi nclo'-.' ;\ re'1 -!- "xf1osed :\rc~;l)
J ) =: __.___._,.sqU:l rc fee t ,
r:.r ;tel e) =__. __.__,._ SQU:1 re f f'C t ,
fdrn squilre feet.
-..--.---.-- r c. e n t: (71,)
percent (~~)
I
A/e,;, BTUH HE.AT LOSS
VOLW1E CALCULAT1Oi;~;:
;;:1 s t.':~h' n I
',l'V,' 1
. l V c.' I ')
Ll' v,'! j
*^IR C!lANGES. Recor:ln1ended (h,lI1gc,; bot \;c,'n .:) 'j ,il1d 1.00
depending on type cons:.:r\lction, l1ilrtbl21' oC orenin;t.s.
weatl\(>rstrippini~, caulki.. .t.e.'
! ;; F l L['1~.ATI ON
HEAT LOSS
~/
FU
I'lFILTR1\TIO:i LOSS (fron abuve)
~(.....
'--) .~
Lj ';?--; ( '" /(:> .-'
TOTf\T, TJllELLH1C lOSS :..;;. ~_
x 1. 15
/
BASl.:m:;-.lT HE-'\T 1 W;S ([,<)m ra~(3)
TOTAL DHELL UJe H[AT LOSS;
.../ <7 ~~ ,...- /
1..- 1l.1bl1.J,....
!,I,',,\',r~I.1.p,f F','-R' ~l^(".]C. Sf"/J' r::;.",.",.:."'l() ',? C'"
, . I. _ . '. L '. .:.0:' ---" I' ''-::-' ,.... ....;:;,~ .
i
(';-'
:~:;.\C;:: SPECIFIEr)
)',
" Furnace outp\:"
c.. '""C,J c' .'. ,,,,, ", .
STATE OF WISCONSIN WISCONSIN UNIFORM PERMIT NO. 5 I~:;
DEPARTMENT OF INDUSTRY. LABOR AND
HUMAN RELATIONS
DIVISION,OF SAFTY AND BUILDINGS BUILDING PERMIT
201 E. WASHINGTON AVE. PARCEL NO.
BDX7988
MADISON, WI. 53707 APPLlCA TIQN
WISCONSIN STATUES 101.83 ,
PERMITREQUEST'ED ' ~ONST o HVAC ~LEC DPLUMB
I
O~ame , LL_1JJell Mailinqddress L f ~. Telephone
.. _ I A II I, ~:l r; k....J- ~~
y
cgmrror's Namn t ( C Mailing Addres~ II A.(4)~ ~. Telephone
. j; . "'- f\.~r JO. '" W.
PROJECT LOCATION % %, SECTION , T N, R E(orlW
BUi'~~sss U~ VV Cw-<- . ~ivi:iOn ~~ Gtd- Lot No. Block No.
c::23 -
Zoning District Lot Area Front .1 Rear ( Left Right
(R-l& Sq.ft. Setbacks "300 ft. :SS,q ft. 8' to
ft. ft.
1. PROJECT 2. TYPE 3. ELECTRICAL 4. HV AC EQUIPMENT 5. ENERGY SOURCES
aNew ~ingle family Entrance Panel .5Forced Air Furnace Fuel Space Water
o Addition Size: r.OO AMP o Radiant Baseboard or Panel Htg. Htg.
DAlteration o Two family ~ice DHeatpun-\p LP Gas 0 0
,gl, ~age o Other Underground o Boiler Nat. Gas ~ ~
Attached o Overhead o Central Air Condo Fuel Oil 0
o Detached 6. CONST. TYPE 7. FOUNDATION o Other Elec. 0 0
o Other Wood 0 0
o Master plan no. ~ite const. &0 n crete 8. PLUMBING Solar 0 0
(if applicable) o Manufactured o Masonry Coal 0 0
o Treated Wood Sewer Other
9. AREA ( Outside,) 10. STORIES J81.Municipal
Dimension o Other
is:! Basement -r '3. O~ sq.ft. ~1-Story 11. USE o Septic
o Permit No. 12. WATER
o Living Area \ Soc> 2-Story 2easona'
sq.ft. o Other o Private
o Garage sq.ft. Permanent gMunicipal
o Other
he applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions 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 accurate. 8/e/80
~p~ ",.,~ }l..
SIGNA TURE OF APPLICANT )' .;~ .J",,~ DATE
-.- .'~ "N'..'
CONDITIONS OF APP OVAL This pe~mit is is~ued pu~suant to the following conditions. Failure to comply mSlY result in suspension or
R revocatIon of thiS permit or other penalty. ,,\
1
,
1
....
, i
,
13. ISSUING JURISDICTION DVILLAGE ~ITY o TOWN o COUNTY o STATE
NAME OSHtc:AJS ff MUN IC. NO, 7- (2- 2- ~ ~
FEES PERMIT(SI WIS, UNIFORM PERMIT PERMIT~SUED BY/)
ISSUED SEAL NO.(S)
PLAN REVIEW $ ., .~ONST, ~Cj7:{ S j NAME ~tJ,"......l ~....... .
INSPECTION - DHVAC 'fi -01- 80
WIS. PERMIT SEAL(SI .5 ;gELEC 04--~ ~ ) DATE
- <~S- 8,/ k,
OTHER ( J DPLUMB CERT NO,
TOTAL $ c::::
DI LHR-SBD-5823
ISSUING JURISDICTION/AGENCY
" \ OWNgR ~~ ~fU-
DATE c;....[-gu PERMIT #SJ.::::;S-
q~~ ~ C:v,
.. GENE~TOR
~S~~~roR ~;J~.
Width of lot <6j. ;1-/1 DATE~' 401 O~'\::::)
ADDRESS 12SS ~ u.
USE ..$'P \2-
...,
o
.c
...,
0.
CD
Cl
INSPECTIONS
REMARKS
"-
~
...,
o
.-4
( D'
"
[)
IV)
Front of lot
,,,,a
-MAILING' 'lU)DRESS
~