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CITY OF OSHKOSH No 1 PERMIT - APPLICATION AND RECORD TYPE: BLDGKHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING k FLOOD PLAIN HEIGHT A� ADDRESS 11Z t e i .. 4 1 " ' PLAN NO. OWNER GeV-M 1 CP 1 u- t LA s DESIGNER / �) �^ USE /NATURE OF WORK �( ACw..> k L.. � �T�✓ &'tc BUILDING CONTRACTOR Q..1.- ` [r (j� Siz Sq. Ft f 6167 # // Rooms (Lof Stories Height JO Foundation kPd...A.. Class of Const. Occupancy Permit 1� HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR �QLOak -e Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR e v BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer —Sink LTub Eject SS Water Other . ,e„ /03 PTA FEES: Valuatio• $ �� -� P Fee Paid $ � � ( Park Dedication $ /60 ISSUED BY ( P # _ � _ . `�-�_.►�r . {/1 Date 7 —azr Final /O.P. In the performance of this work I agree • •erform all work pursuant to rules governing the described construction. SIGNATURE •.' ° 9- 7-1ff , ..�,( AGENT/OWNER DATE • / i6 ADDRESS �! 9 � /!/6 4'( 6Y- A 919e/ �`>�Sr56A0 TELEPHONE # State epa Department o f Industry, WISCONSIN UNIFORM epartment f Idustry, /CZ:// Labor & Human Relations BUILDING PERMIT APPLICATION NO. /CJZ/ Division of Safety & Buildings Box Madison, WI 53707 APPLICATION Wisconsin Statutes 101. 63, 101.73 See Instructions on back of pink copy) PARCEL NO. PERMIT REQUESTED STRUCTURE ❑ HVAC ❑ ELEC 1 1 PLUMBING Owner's Name Mailing Address Telephone 6 Gt-.4 Qt(,_ se k ( `C -' a , -3-- -S r c Contractor's Name Mailing Address Telephone (Les `� r)o q , PROJECT , '' /a, ' /a, SECTION T N, R E (or)W Building Address Subdivision Name Lot No. Block No. '/( t Cit (( It.,,,, * Z_ �.)-e d — mac ° l ( Zoning District Lot Area Front Rear (CO t Right R ( i t 17 _ Sq ft etbacks 30 ft. t.SJ �3 ft. ` I • ft. 1 Z " ft. to PROJECT 3 TYPE . ELECTRICAL <.9 #IYAC F IPMEN ' 1.Z. <ENNERGY`SOURC New ❑ Addition ❑ Raze Igle Family Entrance P r l 1'�rced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Solar RS n ce ❑Alteration ❑ Repair ❑ Move ❑ Two family Size: • -t ' amp ❑ Radiant Baseboard or Panel s * ❑ Other Service: ❑ Heat Pump Space Htg. ❑ ❑ ❑ ❑ ❑ ❑ Other 'Underground ❑ Boiler Water Htg. ❑ ❑ ❑ ❑ ❑ ❑ Overhead ❑ Central Air Conditioning '1b GARAGE ;' 4 � :TYPE 7 .:FOUNDATION `<: ❑ Other * ❑ Dwellin unit will have 3 kilowatt or more installed electric space heating equip. � 6ite constructed oncrete 1 P LUMB:I�NG Infiltration control option is El F.41 sealing ttached ED Detached ❑ Masonr of joints. ❑ Blower door test. ❑ Exterior ❑ Manufactured y ewer ❑ Treated Wood unicipal air infiltration barrier. t Ili / s . S IES; ❑ Other ❑ Septic i3, <HEAT LOSS {Gaft;ulated} Basements S q . ft. Permit No. -Z.5I '7 ❑ 1 -Stor Living Area S Envelope ��S�Q BTU /HR S q. ft .7 70 BTU /HR Story ❑ Seasonal 71I ;! Infiltration Garage .5-2.5... Sq. ft. 0 Other Zlerermanent 15 tunicipal Utility 4 ?ESTIMATE COST ❑ Other ❑ Private on -site Well The 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. SIGNATURE OF APPLICANT DATE CONDITIONS OF APPROVAL This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revocation of t penalty. Y s permit or other enalt . P v ��,, r �4 V 3 I� .. / .. F-60 G-- ctie.., � CO rt f� i I . _ . 0 7 . '- _J.Plf % JArle. L ,. ,r (- I 1 / __ _ml. � .. �, Ellrf �W %Jl ilitT,� .' - / . ti ♦ ` a01,0 ' °,' ,.s u ELT z .. _ - , .+i1/(T.� ! f , - t tn. 4 i C R-- , ISS ► 0 TOWN ❑ VILLAGE 2 CITY ❑ COUNTY Municipality Number of Municipality Number of Dwelling ❑ STATE ❑ Np EPErt��{{�D v Ins ection Authority Location, if different JURISDICTION :: OF : (1 k,, tr 7_d - 2- It — — - — — — S , PEltft� Q S) WITS. UPIIF RM PERMIT PER T t ' BY .. 6 / onstruction SEAL f!iKk _ Plan Review $ 141:2 " flu cc HVAC NAME i f%_t&t&- Inspection . . . . $ ❑ Electrical Wis. Permit Seal(s) $ - 3'Q ❑ Plumbing DATE c6 — 3 b - Other TOTAL . , . $ $ 70 ❑Other /_ / ` , /� CERT. NO. 3 o SBD 5823 (R. 04/87) WHITE — Issuing Jurisdiction (Q � / * Y Y ELLOW —DILHR GREEN — Inspector PINK — Owner /Agent Z Z/LAND USE =WUXI= arEC<LIST I. GENERAL al Bu ; � d Permit $ Zoning Conforming Non-Conforming Job Location �� J ed -1 r ff 12ate Lot Dimension Property r- v-a (c4 / {a y eti u , , is Iot Area II. CXNSrrITCN DATA Describe ifc: i"t"-L- 1.' I� ( � �, fr R my CONSTRUCT= ADDTrICN =CHAT= _ Accessory Building d' ng — Pool Single' Family Fence Deck/Patio ., Two-Family Boathouse _ Sign _Mild.- Pamaly Utility Structure _ Porch Commercial Other (specify) III. Ca4PLIANCE CHECKS C.omolies Deficient Defici encv/C c mmeut4 Use Lot Width Iot Area _ F1oodpta;n Front Yard �✓ _ Rear Yard ✓ Side Yard (R) `% Side Yard (L) Parking _ Buildup Area ,e _ Lot Area per Family ._ //� Corner Lot 4 . -1L (ll _ Other �. (specify) / „ " / 1 or,�.s IV. REVIEW AUTHORITY / The Planning Director, or appropriate designee, must approve all plans, except the following: (1) Alterations or interior work when the use is conforming and when no change of use is proposed. (2) Maintenance items, e.g.., siang, wixx aws, etc., when the use is conforming ng and when no change of use is. proposed. Instances where work complies with the above criteria, the pera:zt can b€: reviewed by the Building Inspector without referral to the Planning Director. 67 APPRoVED _ NOT APPROVED Plan Omission Action Required Variance (s) Required RE=NED BY: ` `' L' 'T*°': (5//6 Z.� • H A 'A . _ . • • . , • _ . . . • . . . I . LIS . • ' • • • • • • . Go 8" . . • V I3-S • A I LI" . • • 12 >?\ • . • 1 NI/ 3t > < . . V FS • ONE & TWO - FAMILY DWELLING Permit No.: / 3 4 PERMIT TO START CONSTRUCTION Date: FEE $ O IN ADDITION TO PLAN EXAMINATION /INSPECTION FEES OWNER /� ,(� / r, STREET & NO. 6-e r cL( d�f <, L� t1Lek. CITY/TOWN STATE & ZIP TELEPHONE DWELLING LOCATION ff STREET & NO. C ITY/TOW � ,, COUNTY e Fj ul � � c( l e AGENCY (BUILDER, ARC . OR ENGR.) STREET & NO. ©t.t 7 G2 P - CITY STATE & ZIP TELEPHONE I, the undersigned, request to begin footing and foundation work prior to the approval of the plans and issuance of the UNIFORM BUILDING PERMIT per Ind 20.09(5)())2. I have reviewed the specific code requirements of the Wisconsin Uniform Dwelling Code, Chapters Ind 20, Ind 21, Ind 22, Ind 23, Ind 24 and Ind 25, as applicable and have shown compliance on the drawings. I agree to make any change required after the plans have been reviewed and to remove or replace all noncode complying parts of the footing and /or foundations. I agree to proceed with the footing and foundations only and will not continue with the remainder of the dwelling until approval and a BUILDING PERMIT has been issued. I also understand that prior to the start of any construction, a zoning permit and a domestic septic permit has been obtained form the local authorities having jurisdiction in accordance with their laws and ordinances. NOTE: Complete building plans are needed for issuance IMPTSRIAGENT SIGNATURE of this permit. Footing and foundation plans submitted / prior to final plans will not be accepted for issuance of iI' ! _ this permit. DATE UNIFORM BUILDING PERMIT APPLICATION NO.: ZONING PERMIT NO.: SEPTIC PERMIT NO.: AUTHORITY HAVING RISDICTIO : 0lit TIItiL I D E FE S RECEIVED T E - - az NOT( .UED BECAUSE: DILHR SBD -6072 (R.10/80) i INSPECTOR City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address / 7� ' � r i44' : f r" 4 � Owner's Name G--er•-u i t d - / .,. Y tj M F k . Name of Subdivision k i t= � r,. Lot # Bldg. Permit # ✓ No. of Units Fee Required Fee Paid l ,�— d l Owner's signature r ,. ' , j Date I Inspector's signature ' .,i . s •: (' ' Date : 13 J s Parks Subdivision Improvement Accts. Rec.: 362 -041 2ATE A"'.C 0 NAME 7e v--u -c de iffy._ €1� ADDRESS ? Lq �__ t 1 LOT BLOCK WARD Z SUBDIV. _.' of 1/-v+ (( ZONE STREET NO. �l' a ? -cw F 41 1 LOT DIMENSIONS SIDEWALK EXISTING YES fl NO 1 BUILDING GRADE ELEVATIONS STAKES SET AT SITE q ,19 8E' BYKN FEE: $10.00 O i iji-- 1 DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. 4 :53876 391 / 11. STATE OF WISCONSIN Department of Industry, Labor and Human Relations Safety and Buildings Division, Madison, Wisconsin 53707 num X3ZEE JOB NAME: DESIGNER: LOCATION: ZONE: DATE .. INSTRUCTIONS: This worksheet is recommended for determining conform- ance with the Uniform Dwelling Code's Energy Conservation Standards. Dwellings may be evaluated by the System Design Method or the Accept able Practice Method. Heat loss thru basement walls and floors where *insulation is not required by code may be included in furnace sizing calculations at the option of the designer. System Design heat losses not exceeding he losses determined thru the code requirements by more than 1 % are considered acceptable. area c:.IcuIatthns . • GROSS WALL AREA: FOUNDATION WALL ABOVE GRADE: .. 111 k8.&3 I • I3C� x8,83 - IILI1 I`�I - 1 ,� , (4c0 I16,xa P 10 ig D I i sq. ft. 117 sq. ft. WINDOW (,AREA: - - -� ❑glass size ❑unit size FOUNDATION WALL BELOW GRADE: 1 1 1- 1 )3 = qua cp41 sq. ft. � �c� sq. ft.. DOOR AREA: FLOORS OVER UNHEATED AREAS: Crow( eeIin9 30 _ • 8 -Ia 1,8 sq. ft. sq. ft. CEILING AREA: NET (OPAQUE)WALL AREA: OTHER: OTHER: • a I 1 \ Wi LH d f3 eOrS - a fat i O - LI p JUL_ sq. ft. aIg sq. ft. sq. ft. sq. ft. • Form No. SBD -5518 3 '''- '. T E Id . CONSTRUCTION HEAT LOSS DESIGN heat loss in AREA U TD BTU J per hour type cay. (- .t211 -2 f' "') �U,►c. .U1 85 g /Ja.UJVJ 1 sol .9M9 x 15 %) 35$,35 .108 g5 3 - 7,c�J3 t ype cay.( x . walls 2 sol,( x %) type cay.( Nib x10 76) Ir t o ( 1 iely - ) 8, (n.lr�C roof 1 sol.( ►LIEN x10 %) Hi .0-2,1 1 as ,' ,' 1.535 type cay.( x %) 2 sol.( x %) nt, n 1 above grade walls 111 1 1,-53 75 i 1 , `,115 5 2 below grade(3 feet) 3 , 1/3 5* I'1' -) . 3 A 1 windows o�-` ail. A 55 (cocci. 5(6 Zlass 2 patio doors ' ( 10 . , '6r /` I a5 9 1 to 3 d oors 1 rlcI r.5 38 1 13 BSc LIZ to ,ns 0 . 1 Crt�j \ (Cil(fl Om �' .............. (I cJf 8:5 I :� 2 _C f(1.031 Cp lii < � t '° '.i,� , I�� , _13.x: 5d �c , ♦ v TOM L Yl 1 IP1, lM CODE COMPARISON ADJUSTMENT FACTORS COMPONENT AREA C TD BTUH LOSS FOR WOOD FRAMING cc sty joists walls above fdtn D-111 !ID 3'3 :) 12" 20% 14% walls above grade 16" 15% 10% fdtn above grade 1 n • • 5 a 117,(0 ,. 24" 10% ` 7% fdtn above grade fdtn below grade(3) 3ya .20 56* ZL • roof /ceiling IH I Q :. 0 �9 .g3 . ALLOWABLE HEAT LOSS ;'1 , h"'q, base s COMPONENT AREA "U" - i TD * BTUH LOSS walls more than 3 feet 'fJ.1 ( JU I M1 C Xit below grade floors *TD = inside temp. minus 20 degrees HEAT LOSS c9 7,WI s * *From table on naue 2 • filli " tr i vilLuE , INSTRUCTIONS: Calculate R and U values using TABLE A -4 in Dwelling •CodeBook. Separate calculations for systems having the same insul- ,ti 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. ype type 2 ILLIF....L.„1=1..Z.. cav iIIsol roof cav sol cav sol exterior film .17 .17 .17 .17 exterior film .17 .17 .17 .17 siding igD 1.0 ext. finish sheathing ,55 55 insulation insulation 19 xxxx xxxx framing xxxx 438 xxxx framing xxxx ( cxxx insulation 33 -_,)(1[15 _. _.. . irxt. finish ,1.15 ,y5. int. finish , 35 .55 interior film .68 .68 .68 .68 interior film .61 .61 .61 .61 ; TOTAL R 411,35 i R ....... a TOTAL R 1 ??, ',),W, "Un = 1/R 16 , i(f) "U" = 1 /R 10 ` -) i9�1 i / - ,—. • f _above �z:.ade walls cep jlI�r _ � cav sol cav sol A cav 481 cav sol exterior film .17 .17 .17 .17 exterior film i n ,l') ext. finish ext. finish masonry (08 wood . insulation (q int. finish I int':.�rior film .68 .68 .68 .68 �t�f Y�i�� int. f ' � inish � � qr, Insulation 5 interior film ,VA i TOTAL R h TOTAL R - 1,'� , I 1 "U" 15?) • r base meat * 1st thru 3rd foot 4th foot below grade below grade to basement floor no insulation ,288 .09 walls R 5 rigid board 113) (.063) R 11 fiberglass .072 .048 w/ 2 x 4 framing floors no insulation .025 .025 1111,C CE P TE3 PIEVA,CTICE • INSTRUCTIONS: for completion of acceptable practise method, please refer to Uniform' Dwelling Code, Chapter Ind 22, Energy Conservation Standards, Appendix Tables A -1,2,& 3. WINDOW GLAZING:QSingle w /storm DOORS; : nsulated SIDING: wood(R .77) WALLS ABOVE. Insulated glass [Solid wood Calum(R1.82). . FOUNDATION ['Triple pane Uninsul w /storm WALL 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 wall area = % 1 INSULATION TYPE: R VALUE CEILING (per inch) RUQUIRED THICKNESS(per table A -3): " in cavity "over framing ' FOUNDATION WINDOW GLAZING: single ['single w/ storm Rinsulated(double) WALL. INSULATION TYPE: _ EXPOSED FOUNDATION AREA(from worksheet age R VALUE (walls must � P g 1 ) = . ,_ square feet. be lsuus TOTAL FOUNDATION AREA(includes above & below grade)= square feet. PERCENT EXPOSED = Exposed foundation . total fdtn = square feet. to be in con- PERCENT WINDOW AREA PERMITTED(see Table A -2) percent(%) PERCENT WINDOW AREA(window area + exposed area) = percent(%) zlarzitaTit ATIon , VOLUME CALCULATIONS: LEVEL VOLUME CON. TD A /C* BTUH HEAT LOSS 1050 x 1 , ( , ( 1 , Basement -7)0-1,.)-) .018 r r ILI 1( X C) Level 1 D 1;n.?; .018 , 5 T�� , ` 5 1 it/7 � i 5 pc:. >( 8.83 Level 2 T c.) 116 . 018 i 5 Pt (fi c. . Vi Level 3 .013 *AIR CHANGES. Recommended changes between .25 and 1.00 INFILTRATIO depending on type construction, number of openings, HEAT LOSS a����l�c�•�7 weatherstripping, caulking etc. FV BNACE ALLOWABLE IIEAT LOSS (from page 3) o!l ~� � � p�1 em w TOTAL DIJELLIPIG LOSS INFILTRATION LOSS (from above) a -110 1 a x 1.15 BASEMENT HEAT LOSS (from page 3) --r-' a X2 7 HAXI?IUM FURNACE SIZE * TOTAL DWELLING HEAT LOSS: ) 1 I (C� CY �r FURNACE SPECIFIED � I (11 ' C.0r`* * Furnace output