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.. 0 . CITY OF OSHKOSH N°_ 08969 PERMIT - APPLICATION AND RECORD TYPE: BLDCyHTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING FLOOD PLAIN( HEIGHT ADDRESS /to 342 a & \ t , er" K^- c l ( (t, PLAN NO � -6 8 OWNER _.____ ir e.t..) . DESIGNER /J 14- USE /NATURE OF WORK 4/ . r �>L-- .4_, ....4 r- BUILDING CONTRACTOR K 1. y DV! kok r '" Size 3 8' Sq. Ft. V $ �O1 ooms tth 2�\ # Stories Height ___LS 24 x ce K v Occupancy Permit '' / Foundation Pc--A4' S Class of Const. HEATING CONTRACTOR Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR 4.e-, BT WH Disp WSoft CBasin Lav Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other 7TH+ • FEES: Valuatio "; ;MAW /Per i / ee Paid $ .3 Park Dedication $ MID ISSUED BY '�'��! A .. _... Date Final /O.P. /0 4 y--$s - / In the performance of this work I agree to p-rform all work pursuant to rules governing the described construction. SIGNATURE 4 � 11/1 ! _ E f— 4j vies' ENT /OWNER �y *� DA E ADDRESS / f 2 C / £tf ✓ / e � C1 c.J 2"`J 3 O ( e 3 TELEPHONE # ,. 2 3 D a Department of Industry, WISCONSIN UNIFORM eprtmnt of Idustry, Labor & Human Relations BUILDING PERMIT APPLICATION NO. Division of Safety & Buildings Box Madison, Mad n, WI 53707 APPLICATION Wisconsin Statutes 101. 63, 101.73 (See Instructions on back of pink copy) PARCEL NO. PERMIT REQUESTED ❑ STRUCTURE ❑ HVAC ❑ ELEC ❑ PLUMBING Own Name Mailing Address Telephone Contractor's Name Maili Address ( ` Telephone VIA'Y� 4 -T Iq� C2U /I � (41 & z3-o!83 ;PROJECT I GA'I'ION : .......:..:. ..:..:. .:::::.......::.:.:...;......:. %, 'A, SECTION , T N, R E (or)W Buildiding g Address Rbdivision Name Lot No. Block No. / &3( ti V 9t..L VcsA -lb V iL.� / Jt 'urz J Zoning District Lot Area Front Rear Ri ht 1040 2) Sq. ft. Setbacks 3 to ft. Sy ft ft. ft. tai.: PROJECTS 3. TYPE 8.:ELECTRICAL. k:::11V. CSOUIPMENT. 12: >ENERGYSOURCE : ew ❑ Addition ❑ Raz S ingle Family Entrap anel .. *orced Air Furnace Fuel Nat. L.P. Oil Elec. SolidSolar ❑Alteration ❑ Repair ❑ Move ❑ Two family Size: amp ❑ Radiant Baseboard or Panel as ❑ Other Ser ice: ❑ Heat Pump Space Htg. Fr ❑ ❑ ❑ ❑ ❑ ❑ Other ' nderground ❑ Boiler Water Htg. g ❑ ❑ ❑ ❑ ❑ ❑ Overhead ❑ Central Air Conditioning ab G RAGE : .. APE 7 : ::. : I1ON >: ❑ Other " Dwelling unit will have kilowatt or more installed electric space heating equip. § ..:...., ite constructed oncrete 10 :PLUMBING n iltratio control options: ['Full sealing .ttached ❑ Detached ❑ Ma o f f jo oar test. ❑ Exterior n co i ❑ Manufactured Masonry Se er is ❑Blower d 2 AREA ❑ Treated Wood unicipal air infiltration barrier. : ❑ Other ❑ Septic 13 : HEATLOSS. Calculated} Basements ®$ sq. ft. $ ►PIES:: S USE Permit No. .7 O 1 �` 1 Story Envelope m / BTU /HR Living Area Sq. ft. _Story ❑ Seasonal 1't WATER : Infiltration ` t el 0 %D BTU /HR Garage � �.� Sq. ft. ❑ Other ermanent / % {Aunicipal Utility 14 ESTIMATS@:COST LH Other ❑ Private on -site Well $ 10) Loo 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. 4 SIGNATURE OF APPLICANT -1 _. ± ........, v[ DATE yel CONDITIONS OF APPROVAL This permit is issued pursuan Othe following conditions. Failure to com y may ruspension or revocation of this permit or other penalty. cr/��Z:�.,..- •�.r..e.. . r r♦,irJ♦ur - - / a 9 `21101,11 A __ ■.- .�•7•V�.- ...* fj �___ 12- ef RP 5 st-1 ' vi_ l t;�:l�` � 7 1 - ;.--(p_ . q— ( f" 4 ( 6``_ftan i`"itam cl 4 ...11 ' -5-'l( p c _ t6CI0' - -! c • `. ... 0 , 1111.. • 111L , )2 ota , 0 icco ,. o� `Li • s / / /fjr 1 s� L. /•. +.may .ti >,._; - f.- - . 4 ' :.R� :� A .0 �i,- _ i iA "- s' 7' %iii ♦ r e r * _ .,,0 -I. � F . nic ali Number of Municipality Number of Dwelling ❑ TOWN ❑VILLAGE ITY ❑COUNTY P tY P Y '§'3111 ID STATE INPEND Inspection Authority Location, if different J URI S DICCTION OF: O5 l�( q `7 © Z --- — — — $ PERM11 . 1i r U1 E RM PERMIT PES#iti'IE tSSUIf SY - :15SUE ;: 111 >;;; ..... �Construction j( / Plan Review $ LJ HVAC NAME �+ r ' dt 4-A._ DA - Inspection . . . . $ ❑ Electrical Wis. Permit Seal(s) $ c3O El Plumbing DATE `o ` : -- - Other $ . ❑ Other /` -- - Yi0 TOTAL $ (,o(Q ( 7 CERT. NO. T SBD 5823 (R. 04/87) WHITE — Issuing Jurisdiction YELLOW— DILHR GREEN — Inspector PINK — Owner /Agent ZONING/LAND USE COMPLIANCE CHECKLIST IST I. GENERAL Building Permit * Zoning Clonforming NonmO nfoaning Job Location /V6 t o ems,' ( Lot Dimension • Property Owner c c - f (heeo7 Lot Area II. C7fSTRUCTLCN DATA ALP �- ,�i� Describe Mark: �/ v s 7 . 7 � �►' ,I� �' �-- r r�r acrsnarrioN _ ADDITZCN _ ALTIMATION Accessory Build Pool %�� gla Family Fence Deck/Patio Tao- Family Boathouse Sign Whlti- Family Utility Structure Porch Commercial Or (specify) _ Manufacturim; III. COMPLIANCE CHECKS C c:wales Deficient Deficiency /Carats Use Lot Width Lot Area Floodplain _ Front Yard Rear Yard Side Yard (R) Side Yard (L) _ Parking Building Area Lct Area per Family — C7orner Lot &Le / IV. REVIEW AUrBORITY 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. siding, windows, etc., when the use is conforming and when no change of 'use is proposed Instances where work applies with the above criteria, the permit can be reviewed by the Building Inspector without referral to the Planning Director. APPROVED NOT APPROVED Plan (mission Action Required Variance (s) REVMED BY: k- z ' City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address :3G2 Y__ Owner's Name t c' e d-Q,.. P Name of Subdivision .0 trf -eA-- 0,t N Lot # Bldg. Permit # ci5- t (Y No. of Units Fee Required 1049 Fee Paid 100 Owner's signature / Date Inspector's signature ! Date Parks Subdivision Improvement Accts. Rec.: 362 -041 2ATE V,ei z z Mk NAME , /2 /c eedtwJ,J ADDRESS LOT ./ ++ BLOCK WARD Z I SUBDIV. ,� M EN .JO&D)V S/0A) ZONE STREET NO. IL 3 � �'v - r Al /l LOT D IMENSIONS SIDEWALK EXISTING YES 1 NO till BUILDING GRADE ELEVATIONS STAKES SET AT SITE .L. %Z ,19 TS' BY FEE: $10.01, &()) ! 6'. DEPARTMENT PARTMENT OF PUBLIC WORKS A 2 . 1, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. 4i bq rn ' " 03839 3� wk,_ 2 _ A RI vrRM /« i 'r 6 Ic%.r pt Ric eRi4 viU /30 r t. � J 30 ' — 8' 6 4 ' 8' 4 -- 80 ' /2iverrn, l/ 4t. STATE OF WISCONSIN Department of Industry, Labor and Human Relations Safety and Buildings Division, Madison, Wisconsin 53707 110INCTIGIrWORIICSKEZT JOB NAME: 1 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 the losses determined thru the code requirements by more than 1 % are considered acceptable. area calculati�ns GROSS WALL AREA: FOUNDATION WALL ABOVE GRADE: • ti to x> 4, (a 3 ` , 1 b y l0 1+ fo _ q tc ,3‘.0 (9 sq. ft • Q le sq. ft. WINDOW (AREA:Oglass size ❑unit size FOUNDATION WALL BELOW GRADE: lei 9 sq. ft. L{ ° 32 sq. ft.. DOOR AREA: FLOORS OVER UNHEATED AREAS: (1v) CPU sq. ft. sq. ft. CEILING AREA: NET (OPAQUE) WALL AREA: OTHER: OTHER: LOA CIti c I ?`7 I sq. ft. c?a,96 sq. ft. sq. ft. sq. ft. Form No. SI3D -5518 11 i u g riarLuzs INSTRUCTIONS: Calculate R and U values using TABT,F 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. i & wzI1 .1 . type type 2 type 1 type cav sol cav sol r o o c av sol cav sol 1 exterior film .17 .17 .17 .17 exterior film .17 .17 .17 .17 siding i tC j ,-p ext. finish sheathing .14 ,zi5 insulation insulation 1cl xxxx xxxx framing xxxx 44,38 xxxx framing xxxx ( S') xxxx insulation q5 33 g5 int. finish ' ,I , int. finish 55 , .5 interior film .68 .68 .68 .68 interior film .61 .61 .61 .61 TOTAL R (91 q, a + TOTAL R y(o.l� 31• (0(0 "U" = 1/R , c! . I()(1 "u" = 1/R I .025 ' ,.. fdtn above grade walls cr c av sol cav sol c av s v of a sol exterior film .17 .17 .17 .17 exterior film ext. finish ext. finish masonry , _ wood insulation int. finish interior film .68 .68 .68 .68 int. finish _ Insulation S interior film TOTAL R (o‘5. TOTAL R "U" = 1/R .16 U = 1/R . , _ \ basement * 1st thru 3rd foot 4th foot below grade below grade to basement floor no insulation .288 (0994 walls R 5 rigid board (E .063 R 11 fiberglass g s .072 .o48 , w/ 2 x 4 framing floors no insulation .025 . 025 Ph sir s r , ,, z sa CONSTRUCTION HEAT LOSS DESIGN AREA "U" TD heat loss in BTU per hour type cay. (. aa` x 5.5 /) Igci3,3 _ ' 0x4'7 i 5 '15 Ca 5 ,'7 3I 1 sol. ( d''98 x /5 %) .i-1. ,a , ID9 g , 36c1 to . 3103 walls type cay. ( x %) 2 sol,( x gib) type cay. ( 1t x `10 %) q')9. a ,Oaa 85 li' 3I , Ivy • roof 1 sol.( icy x ID f) 10.E5.5 0a3 85 031 type cay.( x %) 2 sol.( x %) r , rdt n 1 above grade walls 76 , 153 g5 1 ; L-i 8. y8 2 below grade(3 feet) y ; ,//3 56 ayr1U,7 3 1 windows l ci ' Rqk./ 85 kj b glass 2 patio doors K(0 . &q4 5 °A9 , Co 3 d 00 1 �� „r 2 _ 5� . I 85 (o lo:'Sj 55 Z'3 . - C other -1 - 2 _ .... ___ _ . TOTAL 93,085, r ) 3 8 r CODE COMPARISON ADJUSTMENT FACTORS CODE FOR WOOD FRAMING COMPONENT AREA n TD BTUH LOSS cc _ studs joists walls above fdtn 95,35 , Id 85 5, f 5 12” 20% 14% walls above grade 16" 15% 10% fdtn above grade q(o .25 85 ,a6L10 24" 10% 7% fdtn above grade fdtn below grade (3 1 -12) .20 60* y326 roof /ceiling ICRZ .029 85 a (41/.9Q ALLOWABLE HEAT LOSS 1 3-118 - 0 , 9a COMPONENT A' "U" ** TD * BTUH LOSS base 1 'walls more than fe et ,U 3 . 9M *a c9058.6 T1i below grade floors 0 . . Orb 50 i 500 *TD = inside temp. minus 20 degrees I HEAT LOSS 3y1S.1 Allh * *Frnm tahl P nn na 2 - 4116,11:1 CIE: 111 PIFLA,CTICE INSTRUCTIONS: for completion of acceptable practice 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 QInsulated glass Solid wood alum(R1.82), FOUNDATION [(Triple pane ninsul 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 = % INSULATION TYPE: R VALUE (per inch) CEILING REQUIRED THICKNESS(per table A -3): " in cavity "over framing FOUNDATION WINDOW GLAZING: Ejsingle [single w/ storm Qinsulated(double) WALL. INSULATION TYPE: R VALUE EXPOSED FOUNDATION AREA(from worksheet, page 1) _ -- square feet. (walls must TOTAL FOUNDATION AREA(includes above & below grade)= square feet. be insulated PERCENT EXPOSED = Exposed foundation 1,. total fdtn = square feet. to be in con- PERCENT WINDOW AREA PERMITTED see Table A -2 ( A-2) = percent( /) formance.) PERCENT WINDOW AREA(window area t exposed area) = percent(%) INTICLTRATICIN VOLUME CALCULATIONS: LEVEL VOLUME CON. TD A /C* BTUH HEAT .LOSS ICDEe 4. - i . (coo ' Basement 17 , 0% .018 (15 , 5 Y1 �.,+ 5r1 Level 1 9 (p,tr). 0'I .018 gJ + 5 r 7 1`'I c 1 + 32"65 Level 2 nct 55 .018 'I6 '5 LOCH$ CO c)Cq `j Level 3 .013 *AIR CHANGES. Recommended changes between .25 and 1.00 INFILTRATION depending on type construction, number of openings, HEAT LOSS �� I ��,�1° �' weatherstripping, caulking etc. run, 1\l'A C E SIC Z :IE: ALLOWABLE HEAT LOSS(from page 3) a ► �/' a + 13g TOTAL DWELLING LOSS INFILTRATION LOSS(from above) ' ci 4 g . I tote x 1.15 BASEMENT HEAT LOSS (from page 3) -=',, � 1 b,L0 MAXIMUM FURNACE SIZE * TOTAL DWELLING HEAT LOSS: 1 q (p + 3 i 5, 504 . FURNACE SPECIFIED 5 3, y * Furnace output 411 STRUCTOMRTIC TEL No. 1 312 804 0905 Sep 08,89 15:20 P.02 +,i o mi it gilt W" : niu.:. 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