HomeMy WebLinkAbout0004746-Building
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CITY OF OSHKOSH N2
PERMIT - APPLICATION AND RECORD
04746
r TYPE:
BLDG ~G 0 ELEC 0 PLBG 0 SIGN 0 ZONING R cf:l FLOOD PLAIN ~IGHT;V J1-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ADDRESS '5? '( 0 tieL r-6m e-1J /1" C<.J)
OWNER =r-;;e- ~CL( t{~
c.f-
PLAN No./>~-:"lcrl-787K
DESIGNER
USE/NATURE OF WORK
/lJ t OL/
/2. tt f'- ~ h.
~ PT<- tv I 2f-(/() ~
J.Ifff-.. a-t'l ~> y
BUILDING. ~)!,Tf~~OR
Size ~O X ~i€? Sq. Ft.
Foundation Po v ~ -el
::5w./"/~'e ~e'
S7y ~ -,t fA.
1""1- D 0' # Rooms t- <-- (:1# Stories
~
Class of Const.
( Height~
< Occupancy Permit ~
HEATING CONTRACTOR QAJcJevt
Heat 0 AlC 0 Vent 0 Fuel/System
Heat Loss
BTU'S
ELECTRIC CONTRACTOR C. ........:. n ~ -<,
Electric Servo New 0 Change D' emp 0
Type _ Volts _ Amps_
Fixtures
Switches
Receptacles
Circuits
PLUMBING CONTRACTOR
(<nc k
_WC
_FDr
_ L Tub
_DW
_SP
_ WSoft
_DF
_Ur
_ CBasin
_Lav
_WH
_Sh
_Disp
_BT
_ San. Sewer
_Sink
Other
_ Eject
_SS
_ Storm Sewer
_ Water
FEES: Valuation $
ISSUED BY
/_3<:)
Date
Park Dedication $ I tOe
Final/O.P. .3 ""dg ~88
m all work pursuant to rules governing the described construction.
SIGNATURE~;7 c 4L-
AGENT/OWNER
DATE
ADDRESS
TELEPHONE #
f:'
DATE 7,- // -0 -~ 7
NAME~~ J '~fJJ1,- ADDRESS
LOT -V. / ~ 5 , 8 LOCK .
:=. NO. ~ ;111:t::Jt::/::::~DIMENS IONS
!If/r!Jcrv/e:.J c;;'1"7 0 . 0
SIDEWALK EXISTING YES NO
BUI LDING GAADE ELEVATIONS STAKES SET AT SITE d.f?_@..3 ,19 8' 7
?' .
FEE: $10.00 - ~
!.! AiiD
. K-I B
IS
...,
1M~r
6Y~
DEPARTMENT OF PUBLIC WORKS
I, theunders i gned, O'Nner or agent of the above descr i bed
grade estab lished before excavat i on has commenced.
agree to have the
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<:2:681.
3%
City Of Oshkosh 1/1/85
PARKLAND DEDICATION FEE COLLECTION RECORD
Address
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Owners Name
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Name of Subdivision
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Lot # I ^,,'.~ }:;_.
1
Bldg. Pennit #
';'_1 :7 'i I
, 1,,1'1 .
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No. of Units t
Fee Requ; red I [j (I
Fee Paid /c)()
Owner1s s;gncture
/~~~;r21~~ <,1(,.
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I
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?
,Ii /Date
/ i.lll'
I; I;/"'-} Date
; './'-; '.' ;..~ "''';''~''I~_,.T
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Inspectorls signature
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Parks Subdivision
Improvement
Accts. Rec.: 362-041
6-.-10-</ - 787
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.
~CTURE
Mailing Address
DHVAC
DELEC DPLUMBING
Telephone
Telephone
~.3--1
_ ~-1:z
,T
Lot No.
r 3.:s-
If;?
N, R,
Block No.
E(or)W
Left
Right
Livi ng Area
Garage
Sq. ft.
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 Iiabilit , express or impl'ed, on the Department or Municipality; and certifies that all the above information is
accu rate.
SIGNA TURE OF APPLICANT
CONDITIONS OF APPROVAL
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.
DCOUNTY Municipality Number
Municipality Number of Dwelling
Location, if different
Plan Review. . . $
Inspection . . . . $
Wis. Permit Seal(s) .. $
Other. . . . . . . . . . . $
TOTAL. . . . . . . $
-<(;O
~
'70
DATE
t~ ~ -
7 - ~~- <S-'7
.-I3~()
NAME
CERT. NO.
DI LH R-SBD 5823 (R. 11/84) WHITE - Issuing Jurisdiction
YELLOW - DILHR
GREEN - Inspector
PINK - Owner/Agent
III.
IV~
bING/IAND . USE. cpr.1I?I.:O\NCE CHEcRLIST
I'.
:: _t # 'l.orWroh~_~_
Job !.()cation~;--r 0 Ik rbo r- ?<'Fp,) CJf- IDt Dinension
Property 0Nner ~-e ";\0, (q .:s IDt Area
:;.,~:.~ Ahw s~rc </Jfil C~C
n. .
NEW ~ON
ADDITION
AL'lERATION
..:..- Accessol:y 'Rr,; lo.iJ:lq
Fence
l3oathouse
_ Otill~ StrtJctu1:e
_ other (specify)
~.~
Pco~
Deck/Patio
-...:. Sign
Porch
_ Single Family
'lWo-Famil
- Y
_ MUlti-Family
Cc;Jnnercial
__ Manufacturing
CatpliE2S Deficient
~
~
-
~
-
~
~
-
~.
~
-
~ -
.J~ _
~
Deficiency /Cqmnents
.use
IDt Width
IDt Area.
Floodplain
F.ront: Yam .
Rear Yard
Side Yard (R)
Side Yard (L)
PaJddng
Building Area
Lot Area per Fan1iJ.y
Corner rot
other (specify)
M~/~~r
REV'mi Al1l'HOlU'lY
The Planning Director, or appropriate designee, ~t approve .all plans, except
the following: (1) Alterations or interior r"ork when the use is confonning and
.when no change of use is pmposed. (2) Maintenance items, e.g., siding, w~vs,
ete., when the use is conforming an:i when no change of USe is p:roposed.
Instances where r"ork. c::xxtplles with the above criteria, the permit can J:e reviewed
by the Bui.lding Inspector without referral. to the Planr.i.ng Director.
~ROVED ' NOT APProvED
Plan Conmission Action ReqUired
Varianee(s) Required
----- . -
--~~--- =,
(O-(f- '$:-'{
/<~ cO K 4--6
:r-~O~
/0-26 ~-
,~
3 ~g"- ?15- ~
F~ CJ/Z
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trftMt:-E
H() uSE
Lor:fl t3s""
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H Ml, 80 IV V/nJ (, CJ (j fl, T
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STATE OF WISqONSIN
Department of Industry, LabOr and Human Relations
Safety and Buildings Division, Madison, Wisconsin 53707
.XEROY waaKSKEET
fg~A~~: ('1l;~~~~~v.,..~t'A'-J~~1~~~~._"_.~E
, ' -, """,......- " ":..;:':'~.,F-: ....:.~,'e~."".,. i'>.~,: '''''''').'~;}~,';'-~i:ii''':::'':':',),+;, :. '"
INS TRUC TI 0 NQ.: Th:1~. ...!'l.Qrk8.h~.~j~...!.f3"".:r~~2E!m~!38.~..sL~f2!,"j~,~t~m:t~~ne; .....(~ ()flfo rI11..
ance with tl:1(3 tJ"n:1f9:rIll HRw:eJl.:1ng Code's Energy Conserva tlc>n"S'fandards."
Dwellings may be evaluated by the System Design Method or the Accept-
able Practice Method. Heat loss thru basement wallf'!.. and floors where
insulation is not required by code may be in.cludedIn 'furna.ce"sizIngP
calculations at the option of the designer. System Design heat losses
not exce(3cj:j,.pg the losses determined thr\1.th(3.90der(3quirements by
more than 1 % are considered acceptable. _
area calculations
GROSS WALL AREA:
15~6 ;x q
FOUNDATION WALL ABOVE GRADE:
I S6X~6b:
WI NDOW (AREA :~glass
!.. _ C. U/ '2-4
G .~S'
"7::.,-
I,.,' (,WI€r,!
"". ". '$ 5'
IHOlJ sq. ft.
size 0 unit size
29" ~
~O..
1-7.6
1.9
to 3
FOUNDATION WALL BELOW GRADE:
~ i!' /' ~.... I' 3 II
Ii/a /;-, b.. '7
sq. ft.
0" r-.
1 II", sq.
ft.
qt6 tJ.. sq. ft.
FLOORS OVER UNHEATED AREAS:
DOOR AREA:
1-60
J- 1 0
!..i1-
I
sq~ ft.
I_
I
(;,
..
I
'Z'l.J sq. ft.
CEILING AREA: NET (OPAQUE)WALL AREA:
OTHER:
OTHER:
1~9.,J/'
., J ",0 sq. ft.
- "",.
J ,m'". '
a"t. L .$;" sq 0 ft.
sq. ft.
sq. ft.
page
I
Form No. SBD-5518
'V'
VALVES
INSTRUCTIONS : Calculate and lJ valu.es us:ingTABLE A-4 in Dwel::Ling
Code Book. Separate calculations for systems having the same insul-
ation but .different interior'or exterior finishes is not necessary
provided the system with tl1e+owest H value.is usedip th~. System
Design or Accepted Prac tice calculation. '. .. '"
~
" '"
wall type 1 type 2 raal type 1 type 2
cav sol cav sol cav sol cav sol
exterior film ..17 .17 .17 .17 exterior film .17 .17 .17 .17
------'--'---"-"~"-- .--.-.---. r' , 6/ - -;~t'~-' finish .......
siding ,6/ - -
sheathing f<[ ,~ insulation Lf~ 1'"2-
insulation /~ xxxx xxxx framing xxxx '1.3S xxxx
---_._~
framing x:xxx b,~ x:xxx insulation - -
r---..--- pl{s ,'1~ . ({Ii"
into finish ,'ll; into finish
1----- .61 .61
interior film .68 .68 .68 .68 interior film .61 .61
TOTAL R V..'J{ 9.>' TOTAL R 'fG ;z.) 3?~
IlUIl = l/R ,ort; , /u;- "u" = l/R 1-0 'l:Z- G01.. 7
~ii~~
."..~-"-,""",.~",-.",...",, ^-.....
fdtn above grade walls ather
cav sol cav sol cav sol cav sol
exterior film .17 .17 .17 .17 exterior film
ext. finish ext. finish
-.- 1----- t--.
masonry .6 f.(
wood insulation
into finish ~
int'oJrior film .68 .68 .68 .68 into finish
----~~~ r-
Insulation interior film
TOTAL R ~,~ TOTAL R
IIU" = l/R ..I ~'f II U" = l/R
...
baa_a meDt* 1st thru 3rd foot 4th foot below grade
below grade to basement floor
no insulation .288 .094
walls R 5 rigid board .113 .063
R 11 fiberglass .072 .048
w/ 2 x 4 framing
floors no insulation .025 .025
-l(. includes air film, wall, insulation & soil
page
z
, ,..: dJ.._::""'"'0=.......,,~~.,.~""..:o-..._:__>" ,..... O.,_.,"",i~i"'"."'^~.~'~"""""'~~~""''''';;'...;.Jn. .....~:.,~:r... jl.~.:::.:.::~.:_.~,:--~;,W.i"
"'r'-'---'f-i"..-i;;#r~
SVaTZJ4
CONSTRUCTION lIEAr:r"LQ$~L",,"
D_$IOlf heat loss in
, AREA flU" TD ~TU per hour
'.... <,
tyoe cav. (..I?.ZeI, ... x _~) 10 f.{() . (j Cf6 tgS- 'lO", 'f
walls 1 sol. ( 11-1..i'x,~"-%) /f6l{ ~ JoC' s$"'"' 16'f~. 2
type ~.!..-( x----3 ) .
2 sol~ ( x ----10)
type cav. ( 139' x "~!JIo ) nJ18 .OZ'2- ~S ~ 'f-L 7.7..6
-. ..
r a a f 1 sol. ( I?J 96 i....-:J.3b ) qg ~ ()1,..') 8~ 7- '?.l(p 91
type cav. ( "'i.'"%)
2 sol. ( x ,~~)
I'dt 1 above grade walls la_~ , I~ 'f ~s- 13'1(1 ,2.?
n 2 below grade(3 feet) '-( G g" 1113 60* '7..' 'f '(, 'z...
3
Klass 1 windows Q t, ':J ,30 g-S"' 7...'{'(). /5"
2 patio doors 44- I t;5' ~> /tf(}.3,5"
3
daars 1 If'L ,f.{'7 ~~ /(, '7l9
2
a!:J ~er 1
2
.,^, _ < ',",,_ ,n'~~'_~'.~"'> """",,,,:,,",,>,",,,,,-,,,,,,,,,,,,,,,~'_',~,,,,,,, ...."" H,_:~".___ ~--"",,,,..".,,,,*..,....~: _>i",~
TOTAL Ict /{~ 'i. 3?
I
*TD = inside temp. minus 20 degrees
**From table 911 page 2
ADJUSTMENT'FACTORS
FOR WOOD FRAMING
cc studs joists
12" 20% 14%
16" 15% 10%
~-
24" 10% 7%
base.
ment
CODE COMPARISON
COMPONENT
AREA
CODE
II u"
TD BTUH LOSS
~~ll~ abov:~!~~~~,~ .!~O if I rz.
walls aboY~ grade - ---
1-----------
fdtn above grade 163 .25
..,.',_^".._..__'A
fdtn above grade - -
fdtn below grade(3' t.fbB' .20
------_._~_. --
roof/ceiling /39-6.029
------_._-----_.__._-~.,- .------=--':--.
'3~
Ilfs7-0,~,
7-/catZ. ?~
g~
b'Oof:
r?S-
l.f6ttO
'1, l/ q/ , It;'
ALLOWABLE
HEAT LOSS
~ 6'3a69
/
COMPONENT AREA
walls more thaYlj-feel'- 573
below grade 1,67
floors
nUn ** TD * BTUH LOSS
,. {j '1'1 G""t1 '26 c}?, I
HEAT LOSS
'7-6 ?3, I
I
page
ACCEPTED
PRACTICE
INSTRUCTIONS: far completion of acceptable practiae method, please refer to Uniform
Dwelling Code, Chapter Ind 22, Energy Conservation Standards, Appendix Tables A-I 2,& 3
~
- , .
,.,..,.
WINDOW GLAZING:[]Single w/storm DOORS:~nsulated SIDING~WOOd(R .77)
WALLS ABOVE tJInsulated glass f3S01id wood alum(Rl.82)
FOUNDATION DTriple pane Uninsul wlstorm
\\TALL
INSULATION TYPE: WINDOW AND DOOR AREA PERMITTED %
--
GROSS WALL AREA(from worksheet, page 1) = square feet.
GLASS/DOOR AREA(from worksheet. page 1) = square feet.
PERCENT WINDOW/DOOR AREA = glass/door area
PERCENT WINDOW/DOOR AREA = glass/door area ~ gross ~vall area = %
/ '''.".~.~~
INSULATION TYPE: R VALUE (per inch)
CEILING ---
REQUIRED THICKNESS (per table A-3): II in cavi ty _._!f over framing
"""""'h.._.>"..~."'"'"",,,,",,,,',. "-~o;,.,-"",,- J::,~
FOUNDATION WINDOW GLAZING: Clsingle Osingle w/ storm [Jinsulated(double)
WALL INSULATION TYPE: > .R VALUE
-~.'.-'"'_'" >-._...,-,<,,-,,,.,,,.e<, - .
EXPOSED FOUNDATION AP~A(from worksheet, page 1) = square feet.
(walls must TOTAL FOm~DATION A~EA(includes ~bove & below grade)= square feet.
be insulated PERCENT EXPOSED = Exposed foundation -t total fdtn = square feet.
to be in con- PERCENT WINDOW AREA PERMITTED (see Table A-2) . = percent(%)
-
formance.) PERCENT WINDOW AREA(window area -t exposed area) = percent(%)
I.I'ILTRA~ID.
VOLU}ffi CALCULATIONS: LEVEL VOLUME CON. TD A/O'> BTUH HEAT LOSS
1'1?~ ~ g- Basement 1I1f.8 .018 <?S /Z.~ qL.7l ~?G
13((6 ,,~ Level 1 /tll',' .018 x-S- "S-O <l Gc(~~ <'2-
--
Level 2 .018
---'--
Level 3 .018
*AIR CHANGES. Recommended changes between .25 and 1.00 INFILTRATION /1.)g( S, ~8'
de ending on type construction, number of openings, HEAT LOSS
p
weatherstripping, caulking etc.
I'UR.A~C8
SIZB
* Furnace output
.'._ "".,,,,,,_,.,,,,,,'_c
ALLOHABLE HEAT LOSS (from page 3)
----'.-----...,----....----
INFILTRATION LOSS(from above)
BASEMENT HEAT LOSS (from page 3)
-------------..-.......----
TOTAL DWELLING HEAT LOSS:
TOTAL DHELLING l.OSS
f.( (). I 3g;
/
X 1. 15
if, Il)'l :
HAXU1UM FURNACE SIZE
FURNACE SPECIFIED
"." ,..,'.""",~""~,, ,,,c,-'~''''''W.''''')l'i!\>.M,titW'''
~~ffl~~""~<=:y~,;,<:",~;~,.-::,-",..,".,,,~.,b~,<i',""''fjM~~Y.%ll)",''',~,<1fJ.'*,'W/i:':t.kt,it'*",,,,.'..~,<~~,",l.
'<'<<"""Y>~'<<'~"<M'<'<"<'""~
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......~
~.~ 'w..",-.~.".-, ....., , ....
PERMI~. NO.
(A) The Building Inspector, Heating Inspector, Plumbing Insp ctor,
and Electrical Inspector shall make a final ~nspection of all
new buildings, additions, and alterations, If no violation of J'~ ~~
this Chapter or other laws or l8:wful orders be found, the Chp'ef .,/ f--: W
Building Inspector shall issue a Certificate of Occupancy, ' 1
stating the purpose for which the building is to be used~ al 0 U
the maximum load and maximum number of persons that may ace,,:: r' f, II z,.J
omodate on each floor ther. eof and also that the building or \~,]I V~J'-I
premise. or p~rt thereof, ~n~ the purposed use there~f are in' '- ,4 \ ttt,J
conform1ty w1th the prov1s10n of Chapter 30 on ZOn1ng and QJV~ '
City Planning, as ~quired by Section 30-27 (C) of .aid Chapter. --,,,, >()r.,
~~R~~~: ~S P:iN ~~~. S= s:~~C~:I:~I~ii~ i~C~CCUPIED lcyJ (, ~'- J
IN ANY MANNER WHICH CONFLICTS WITH THE CONDITIONS PUT FORTH
IN THE CERTIFICATE OF OCCUPANCY.
PRESENT THIS CARD
FOR OCCUPANCY PERMIT
TO
Code Enforcement Division
Room 205, City Hall
Oshkosh, Wisconsin 54901
~
)
TH I S SUI lD ING S HA'LL
'NOT BE OCCUPIED UNTIL
FI NAL INSPECTIONS
HAVE BEEN MADE AND
THIS CARD SIGNED BY
TH'E FOllOWING IN
SPECTOR'S
B U I L DIN G ~.
E LEe TR I C A'L
HEA.TING
P L U'MB I N G
FI RE
ROUGH ElECRl~
~pp .~
OA
Citvof
OSHKOSH "..
\N~
INSPECTIONS MAY 8E
ARRANGED 8Y CALLING
, ~6 - 5050.
DATE
DATE
cv ATE
tf11-/ 0 ATE
DATE
"'-~-~''''''*----NOT~1\i'PtICABLE~ TO 1 "AND 2 FAMILY DWELLINGS.
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