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(;? , I, the undersigned, owner or agent of the above described property agree to have the grade establ ished before excavation has commenced. ,rrc'{l~ "'~ "1~~)<J,~.',iJ 35 ;{5 ~ Or JJ1ifA; STATE OF WISCONSIN Department of Industry, Labor and Hum~n Relations Safety and Buildings Division, Madison, Wisconsin 53707 B s T {) / /J 1/"1 JOB NAME: "cn/r;f I(...Jrc;, LOCATION: rt6<;~ /.fvN;f) &'T DESIGNER: ZONE: DATE 1- Z 9' -- '/:(9' INSTRUCTIONS: This worksheet is recommended for determining conform- ance with the Uniform Dwelling Code's Energy Conservation Standards. Dwellings may be evaluated by the System Design Method or the Accept- 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 exceeding the losses determined thru the code requirements by more than I % are considered acceptable. area calculatiDI1S GROSS WALL AREA: '2- '76x 1 FOUNDATION WALL ABOVE GRADE: r6~)(.66 l.tfcztf sq. ft. WINDOW cAREA:Dglass size 0 unit size } - ftg-t:;O ((6 41, 5 ~ FOUNDATION WALL BELOW J()tg-y b- '5 Y 5"0 X ],3r II ()JUl sq. ft. GRADE: G f:tY.72- I C67AOl-j L -1'6 ~ LwuA n .n.. j_ ')<1'17_ """if 1'7.1.'7 1- 3> ! 1..1,/7- 16,{? <6, 1/ J~q.5'6sq. ft. -'"-~ (~~ 7 (_Z(,__~4 . " -~ FLOORS OVER UNHEATED AAEPtS-:- ft. 1..- 2.~! 3l.. i {~(i~5:" DOOR AREA: I 3 0- '1.. ,,<? J g t,~ '1.1. 3C;, J I I) ., Co'1) ft x L L , 01.., sq. . CEILING AREA: NET (OPAQUE)WALL AREA: sq. ft. OTHER: J ') 1...0 sq. ft. z..J- 'l' .bl sq. ft. sq. ft. sq. ft a page I Form No. SBD-5518 , ~ INSTRUCTIONS: Calculate R andU values usi,ng TABLE A-4 in Dwelling 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 Accepted Practice calculation. f cav exterior film .17 .17 .17 .17 ext. finish 1"1 masonry It' wood into finish intl,Jrior film .68 .68 .68 .68 Insulation TOTAL R HUll = l/R all exterior film siding sheathing insulation framing -_.----------- into finish interior film TOTAL R HUll = l/R ,.17 -- ...-._~_._-- ,~( ) I~ type 2 cav sol .17 .17 .17 ib' xxxx xxxx xxx .68 .68 I type e 2 cav sol exterior film .17 .17 .17 .17 ext. finish -- insulation '-10 framing xxxx l.f.sc- xxxx ",_, ;I insulation into finish interior film .61 .61 v sol cav sol exterior film ext. finish insulation into finish interior film TOTAL R nUff = l/R walls floors t* 4th foot below grade to basement floor 1st thru 3rd foot below grade .288 .113 .072 .094 .063 .048 no insulation R 5 rigid board R 11 fiberglass wi 2 x 4 framing no insulation .025 .025 -l(, includes air film, wall, insulation & soil page c II ADJUSTMENT FACTORS FOR WOOD FRAMING cc l2l! 1611 24l! studs joists 20% 15% 10% 14% 10% 7% c a v. (.. _1.....~€(6~1y:: ~) soL ?:zJls. b~ x J 5'" %) type cav.( 2 sol, ( type cav. 1 sol. ( type cav. ( 2 sol. ( 1 2 3 1 2 3 1 2 1 2 x --.%) x --.%) x q? % x 1 %) x %) x %) j 71.,.0 nzo LOSS IS' Ci 9.l. 11. 0, Y ? 199,/, ~~ -/1) ,'? ."" ..,~, above grade walls .1{'I 755' II./SI,'Il, below grade(3 feet7' ,,'" / 'ICjZ<;. V' ,1/3 ,(i .- ." -------~~ windows patio doors "t/r; tts- '"L '12. <6. CODE COMPARISON COMPONENT walls above fdtn walls above grade ----- fdtn above grade fdtn..?-bove grade fdtn_E_elow_gra~~eJl ~ roof/ceiling ---------.---------.,--.-- COMPONENT walls more than 3 feet below grade floors *TD = inside temp. minus 20 degrees **From table on page 2 TOTAL ALLOWABLE HEAT LOSS' ~ ~ 2- t;Cf. L. AREA 1'" 3,6 IIUl! ** TD * BTUH LOSS Ittb2..ecr HEAT LOSS naae INSTRUCTIONS: for completion of acceptable practice method, please refer to Uniform Dwelling Code, Chapter Ind 22, Energy Conservation Standards, Appendix TablesA-l,2,& 3. ~ WINDOI..J GLAZING:[]Single w/storm DOORS :Onsulated , SIDINdB,'700d (R .77) WALLS ABOVE t]Insulated glass DSolid wood ' alum(Rl.82) FOUNDATION OTriple pane [JUninsu1. w/storm HALL INSULATION TYPE: ~nNDOW AND DOOR AiREA PEIDlITTED % - GROSS WALL AREA(from worksheet, page 1) = _____square feet. GLASS/DOOR AREA(from worksheet. page 1) = square feet. PERCENT HINDOW/DOOR AREA = glass/door area PERCENT HINDOW/DOOR AREA = glass/door area ~ gross wall area = % INSULATION TYPE: R VALUE (per inch) CEILING --- REQUIP~D THICIU~ESS(per table A-3): II in cavity _!lover framing FOUNDATION WINDOW GLAZING: Osingle Osingle w/ storm (Jinsulated(double) WALL INSULATION TYPE: R VALUE . EXPOSED FOUNDATION AP~A(from worksheet, page 1) = square feet. (walls must TOTAL FOm~DATION AREA(includes ~bove & below grade)= square feet. be insulated PERCENT EXPOSED = Exposed foundation ~ total fdtn = square feet. _ to be in con- ~ERCENT WINDOW AREA PERMITTED(see Table A-2) = percent(%) formance. ) PERCENT WINDOW AREA(window area + exposed area) = percent(%) IXFlltTIlATIOX VaLID/ill CALCULATIONS: 1..- <;; x 7..-fo)f r? -::; e; Cpt- Y 1'--""f.'L7....7~{ -:;. 105"(, I?-V"l..?...Y-ff' -:::- '2-//1- 'L'6 ~- ;:l:. '7 "32--1 Basement Level 1 VOLUME 0<6'60 7130 7<('2.- v _"-1. CON ~/ LOSS LEVEL Level 2 i .018\ .018 .018 .018 INFILTHATION -- HEAT LOSS z'S-; Level 3 *AIR CHANGES. Recommended changes between .25 and 1.00 depending on type construction, number of openings, weatherstripping, caulking etc. vu 'SIZB , ALLOWABLE HEAT LOSS(from page 3) ---....-.__...~---..._----_._'---_.~--_... INFILTRATION LOSS(from above) * Furnace output CZ-.!?1{bY' / TOTAL DHELLING LOSS 62. ,/?Cf.69 / x 1.15 HAXHWH FURNACE SIZE 7/ ';-2.'1'.6$'* I * FUP~ACE SPECIFIED BASEMENT HEAT LOSS (from page 3) ..~--_._----_._-------~--- TOTAL DWELLING HEAT LOSS: 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 D '??fDO"Z- 15387 APPLICATION NO. (See Instruction on backl PARCEL NO. dJWAC %]ELEC DPLUMBING sr. Telephone ;23 / ~t,~S-- (. Telephone ('"'j 2'/ _a 0,' ~ '" O~,k)LJ ~./ J rOJ \,.;) %, SECTION ,T Lot No. d-d--, ( ~ N, R, Block No. E(or)W Left Basements Living Area Garage The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Muncipal Ordinances and ,with the conditions of this permit; understands that the issuance of the permit creates no legal liability. xpress 0 'mplied. on the Department or Municipality; and certiries that all the above information is accurate. , SIGNA TURE OF APPLICANT CONDITIONS OF APPROVAL 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. DATE d--l6 -R4- eAr{,vc ! L.A-;o--'..5' dJ SV-,A-L'-. A no ,J , tujl.-c.... ~ c../~(..>:/~4 /iLt 0 I<- y-o g DVILLAGE ~ITY DTOWN DCOUNTY DSTATE <]O2-~6 MUNIC. NO. _ Plan Review. . . . . . . $ Inspection. . . . . $ Wis. Permit Seal(s) . 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"" \ :::<;;:;~';'" ...... :c: W 1.0 ::::: ..J . . ::: .....I '. . = ::: ~ ': "'~:.:: ;,; ~~'~ ~:;;: ~ ~ " ,: ; ': ".~~ . ~....w<~,~~~-~~~...r;;,;<ci';';'.;'A-),,'J:,""~ ~ ... 7-L- Subdivision CITY OF OSHKOSH I 1xJlfl /2cx_PS HA 'C: F( . M i//Z-/J oUe , 1-1. Wrecking 0 OccupanCl( Permit. 7"f3':S / ^.',') 15389 ~ Address ! J-bS PERMIT - APPLICATION AND RECORD 1-f0~,v C+. Owner Ward /.,- Heating 0 Plumbing 0 Id. No. Rood Plain ~ .).;/0 -~.. Permit: Sign 0 BUILDING 1;:: Sewer .Fees Type of Construction feet wide X .so ~'T~ Square feet area Ad! I d--. Stories and Basement ~ ... feet ~bove~de WldthofLo' No. of Rooms :;- -j- d-- ~ ~:~:n~r~~~ Archnect <Z:-:-- BING CONTRACTOR n. Sewer _ Curb to Bu. Sewer Curb to Bu. Main to Curb: Main to Curb Service .ub Floor Drain Urinal Basin _ Garbage Disp. _ S. Sink Closet _ Dish Washer _ Catch Basin lk Laundry Mach. _ S. Pump Heater _ Water Soft. B & S Waste ~ lr Bath _ Bubbler Conductors ,ing Fees Total Fees Swnches Amps Circ's Final <'..2-, (} 7' "7 0 (/ '<"'- SE. I ~-! -yLl Estimated CostP~. / 700 . Fees paidj / -- . ~4-- atei':;..-' D r- TO THE BUILDING INSPECTOR: In acC()rdance with Section 7-18 of the Municipal Code ol1he Ci of Oshkosh, it is agreed that if work shall discontinued for a period 0130 days at any time for any cause atter excavation work is commenced, a solid barrier, wall, or wire fence not less tn five feet in heightshall be erected all around such excavation. Such barrier:t-wall orwire f~ce will remain in position until removal is approved by I Building Inspector. X /~, /~. / ~ ~/ t:., In the performance of this work t~e undersigned agrees to - ide .by and 60 work pursuant to all statutes, ordinanCE codes, and ru~overnin~;~scri1be.? construction.. (Signed) . - """-;l'7 .~ /. . Owr Address /7/..1" /!,,,,,rL:"'v rX-L Phone {' ~}- 4--y'<u Inspections - Footing Foundation .3 Electric Service R.1. o t. Sewer Water Service o ING Gas tionin, ~ ley: iated .' ACTOR '-'v-~ Oil 0 Elec. 0 Forced Air 0 High Elf. 0 "A"O "B"O eat Loss Solar 0 Solid 0 H.w.O Elec. Sase 0 Steam 0 Radiant 0 Supplementary 0 Air Condo 0 Ventilation 0 Direct Vent 0 Con. Burner 0 Rue Damper & E.!. 0 System BTU Rating /'''-'. TRIC CONTRACTOR IC Se ice: New .iption Type as 0t.-1 Changes /j v Volts Recep's Temp. mces By (Authorized Signature) Agl 'ical Signs Address Phone -------..-----...-...--.-----------.----.. --..--.-------...--- ,.._.~.-~---,----_._.._..__._...__._--_._- .,- d ~ (1~<34- 1~ vL 1;Jfi ~1J! ~f ~ ~U /~t-- ~ D-u--- 6 r, f fftt"-v #4,l-7~-r INS~ECTION REPORr , , FILE: 12~g .~_.._._Q~' RE: /~ (ch~...::--.__. _____ __ DATE: b ~-4 -b1- FOOTING SLAB BACKFIL~ STRUCTURE INSULATION ~OCCUPANCY OTHER VIOLATIONS/REXARKS: J~~fiVl4/