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CITY OF OSHKOSH N° 07505 PERMIT — APPLICATION AND RECORD TYPE: BLDG 'HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING I k FLOOD PLAIN 1 `' 9-- " HEIGHT frelt- ADDRESS / tO 4 ( (` C `. et- r' (( re...Q PLAN N04 a ^ atk OWNER _ DESIGNER } � D USE /NATURE OF WORK /kilt c 4.) P w 4 r \I BUILD! CONTRACTOR 7 q>1 F' v— j 44 i It ~ Siz Sq. Ft. /(pp y # Rooms it I 1 e ri1 # Stories Z Height 0 Foundation�� l' Class of Const. tT Occupancy Permit N. ?- HEATING CONTRACTOR ¢014.10 il Heat ❑ NC ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Z 5.. c K p tr Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits Z PLUMBING CONTRACTOR t BT WH Disp WSoft CBasin _Lax/ Sh DW DF San. Sewer WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation $ A111111_,„ . =!' 1 P • J ' e e P $ ` Fo / Park Dedication $ 4240 ISSUED BY lei j PA / o /, Date Z� -- g5 2--- Final /O.P. aq "S In the performance of this work I agree ,• perform all work pursuant to rules governing the described construction. SIGNATURE G?JVC.t x • v 3(le7Ze' 3/2_01 AGENT /OWNER QATE ADDRESS ( 7 g7 a4 -- `,''- J Rd. ��'l 9dthat- 4 2g 24/3 a TELEPHONE # State of Wisconsin WISCONSIN UNIFORM - Department of Industry, Labor a Human Relations BUILDING PERMIT APPLICATION NO. ?� Division of Safety 8 Buildings Box 79 Madison, WI 53707 APPLICATION Wisconsin Statutes 101. 63, 101.73 (See Instructions on back of pink copy) PARCEL NO. PERMIT REQUE STRUCTURE El HVAC ❑ ELEC 111 PLUMBING Owner's Name Q�L- Mailing Address Telephone T ontrac is N ame Mailing Address Telephone - znb et-- __.. ' - r37 cJ 4..e sz. -e 4.?S• -`13 PROJCT LOCATION . . . ' /a, '/a SECTION E (or)W t 1 Building Addre Subdivision Name // Lot No. Block No. / i6 6( R t\•.s et-14,r 11 '�'C lam- f, t) e t* — tct r l/ 7 Zd'ning District Lot Area Front Rear Left Right Z— I rSzAs Sq. ft. Setbacks 30 ft. ft. i3 ft. IS' ft.. 1a. PRt1JI»GT : 3: TYPE E:: :ELECTRICAL. S :. ; �CEIPMENT 12 SOURCE Family ❑ Addition ❑ Raze -fin le Famil Entranc n gPael Forced Air Furnace Fuel Nat. L.P. Oil Elec. Solid Solar e ❑ Alteration ❑ Repair ❑ Move ❑ Two family Size: G � amp Radiant Baseboard or Panel s * ❑ Other S e: ❑ Heat Pump Space9• ❑ ❑ ❑ ❑ ❑ El Other nderground • : •' - r Water Htg. ❑ ❑ ❑ ❑ ❑ ❑ Overhead entral Air Conditioning ether * * ❑ Dwellin unit will have 3 kilowatt or 1b GARAGE > It. 1E 7 tP F DATION more installed electric space heating equip. its constructs oncrete 1E PL I nfiltrati o n control option is: ❑Full sealing ttached El ❑ Masonry e of joints. ❑ Blower door test. El Exterior : AR M anufactured ❑ Treated Wood unicipal air infiltration barrier. STORIE ❑ Other ❑ Septic 13, : HEAT :LOSS :(Calculated} Basements /Gc9D Sq. ft. Permit No ; US E Envelope BTU /HR • Living Area Z Sq. ft. c j -Story • S - - onal ` 1'f 1 11 .PM ER i ; `. :: Infiltration ©IV BTU /HR Garage � 1 Sq. ft. ■ Other • rmanent unicipal Utilit-site y e 14 > ESTIMATED COST . • Other • Private on Wll _ $ /O© 000 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. /r1 SIGNATURE OF APPLICANT bb 0. CEifiziridt DATE MQhGiv z5; /egg CONDITIONS OF APPROVAL This permit ist issued pursuant top the following conditions. Failure to comply may result in suspension or -...__,-17,41_;04,w re of this p e r m i t 0� otther pe c 1` 1-' L.J.--S s C "�'�-- 7•11 \ o i -' t4 C r /1 rtP4 . W. O p .P (V. } a b fr al S ti a it Iv b r-0- GL P So� it 11- I ` e _ 1 1 1 �s f O+ea.... . t . Gl P S r . S u/ n 0" [ 0 c‘ c'`ed' h u e e P c, �f' 00_ S 1 1 ..................... ............................... •SSUWNIG ❑ TOWN ❑ VILLAGE CITY ❑ COUNTY Municipality Number of Municipality Number of Dwelling ❑ STATE ❑ 1 E DE Inspection Authority Location, if different JURISDICTION . ∎s os' 7 O - Z_C2 __. — — - — — — 1 $ P E RMIT(S); WS U 11 FoR • M vt PERMIT iiii#r'11' 1i5 H Construction /,/ 0 Plan Review . . . $ HVAC ` � /f 1 NAME / .. _ .i. _'A.- J\ Inspection . . . . $ ❑ Electrical Wis. Permit Seal(s) $ 'Z"° ❑ Plumbing DATE rei.��- Other $ � ❑ Other TOTAL 6 o 7 t 1 11 � O $ [ � CERT. NO. °�! SBD 5823 (R. 04/87) WHITE — Issuing Jurisdiction • YELLOW — DILHR GREEN — Inspector PINK — Owner /Agent ZONING/LAND USE cOMPLIArKE CEECKLIST I. GENERAL Building Permit # Zoning _ Conforming Non-Conforming Job Location J, `F 3" ���, er•k cr i/ . Lot Dimension Property Owner c - • % / Lot Area • • II. • CCNSTRUCriCN DATA . _ Describe work: /� (c ,� /4 NEW CONSTRUCTION ADDITION- -ALTERATION Accessory Building _ pool may. Fence _ Deck/Patio 2tao- Family Boathouse _ Sign _ l�i].ti- Fami1Y Utility Structure _ Porch _ ri a i Other (specify) _ Manufacturing III. CLZANCE CHECKS Carolies Deficient Deficiency /tats ✓ Use Lot Width It Area Fhoodplain Front Yard l/ • Rear Yard _ Side Yard (R) _ Side Yard (L) Parking Building Area Lot Area per Family ' Corner it Other (specify) IV. REVIEW AumoRflY The Planning Director, or appropriate designee, moist 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 windows4. etc., when the use is conforming and when no change of use is proposed:.. Instances where work crnplies with the above criteria, tie. per .t solulls reviewed by the Building Inspector without referral to the P fanning D3rector': �APPF�JVID NOT APPROVE Plan Cbrrmission Action Required Variance (s) Required REV BY: d .�� LA'C'E': • • • • 0 sy • • M _ 0 q 1 .� Op s, • • • • / '•',./ / . . S ----. �/ 2 \::\ F. o v Z — p9 2 i ` • a te / •'� 0 ° 43 % - i . c \ o etN )4 / , \ // / a s6:v" 4., -,,n .. A. , \_„._., CC \ N i 1: Ih r- ci o CO N r _ o� _._ 2 _ / ' 00 b - ci; 7 .gt 1,i7".....1 70„go%eZiet500. .o ! " • ,ai -4— ,0 9 T -� d" In ..- o° ii2,N -o - o po ci 0' rn L� poi N N N N \ 4a9.‘ N � Z , ,ca.--- 1 \ �. / o f O o, J o a - -Co K7 0 0 J s W 2 ,Y, Q ' N N kl 3 0 \\ _ N N N I ^ - 0 � L (�Q / i i N ^ y` N co , i s 0 (1 i ,0 0'9£! - N �, i J o Z + ,sr / M 9£;L£a00'N o ,�w N - N L 96 .0"\ / aD g4 ,, / � O 9 2 0 - . , � • -ol �, 9 o ^ z� o cq o) 0 Z c \ ` - .1 g 2' C 9/ N. i 0 s N• g C9 ' V � � a2 C N 9 2 � M V 9C \ 0 \ 1 p v _, _ . N. `` \\� M,1 '6: � 2 • g p\ •� "' T ' gg 9 2 2 ` �0 to VP y , s v . ; ew 9 5 Z8 ._ p . 9 �N yd .. \ �, 2 's za , 0 - , 022 S 6 ....-- .5,- • :39 <,.... 6 -)0 9 2 Y 6 fi n\ \ \ eh .— 'O • ts. Z v / p 1 10 f ti GATE NAME Se.-e_ ADDRESS 6 244 LOT "f BLOCK WAFMD vac SUBD I V . ��.� l'� w� � 1 � ZONE 1 STREET NO. /64. / 5z-..E( Kam' LOT DIMENSIONS SIDEWALK EXISTING YES 0 N BUILDING GRADE ELEVATIONS STAKES SET AT SITE 3 23 ,I 88 By t 4 FEE: $10.00 DEPARTMENT OF PUBLIC WORK I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. dam L4• ,i/ CZ 1 3s3/4_72- City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD IC Address (p l ` t` u e — vvi-:17 Owner's Name c 21-- c2 Name of Subdivision Lot # 3' ( Bldg. Permit # '75 No. of Units Fee Required /0 Fee Paid f 00 Owner's signcture (JH 1 earte Date 3` :5 Inspector's signature (4O) `AA'►+�'. 1//, Date - a l f Parks Subdivision Improvement Accts. Rec.: 362 -041 LOMIRA (414) 269 -4343 SHEBOYGAN .. (414) 458 -8325 �� GREENVILLE (414) 757 -5433 JACKSON (414) 677 -4171 • BEAVER DAM . (414) 887 -1747 MARSHFIELD (414) 387 -1744 KINDT • STATE OF WISCONSIN Department of Industry, Labor and Human Relations Safety and Buildings Division,. Madison, Wisconsin. 53707 EZTZSGIr WORNSITZZT JOB NAME: 1`4441 • DESIGNER: LOCATION: , tas „ .- `' r»-r -- ZONE: DATE:. - / -� =; INSTRUCTIONS: This worksheet is recommended for determining conformance with the Uniform Code's Energy Conservation Standards. Dwellings may be evaluated by the System Design Method or the Acceptable Practice Method. Heat loss thru basement walls and doors where insulation is not required by code may be included in furnace sizing calculations it the option of the designer. System Design heat losses not exceeding the losses determined hru the code requirements by more than 1% are considered acceptable. area calculatians GROSS WALL AREA: FOUNDATION WALL ABOVE GRADE: } 1 sq. ft. M sq. ft. WINDOW AREA:RGlass Size ❑ Unit Size FOUNDATION WALL BELOW GRADE: \= . r _ _ a sq. ft. . \ sq. ft. DOOR AREA: FLOORS OVER UNHEATED AREAS: \ =- .: 2, sq. ft. sq. ft. CEILING AREA: NET (OPAQUE) WALL AREA: OTHER: OTHER: - 7, sq. ft. sq. ft. sq. ft. sq. ft. Form No. SSD -5518 page 7 ' VALt7ES INSTRUCTIONS: Calculate R and U values using TABLE A - 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. wa ' IL type 1 type 2 type 1 type 2 cav sol cav , sol o cav 801 cav ,, sol exterior film .17 .17 .17 .17 exterior film .17 .17 .17 .17 siding ext. finish sheathing .c, insulation L./.5 39.E 3i::s insulation i'? xxxx xxxx framing xxxx LL-) rp, xxxx I y 1 framing xxxx L;,.'as xxxx insulation 5. q 5, i] • int. finish y-- ,.c int. finish c interior film .68 .68 .68 .68 interior film .61 .61 .61 .61 TOTAL R ' t \ Nf : --) q , TOTAL R y /01F 1 4,e• yy.7YPO.E4 "U" = 1/R n' . 1 s :1 " = 1/R .0 •O? .02a .o4`3 A . , . fdtn above grade walls cav sol cav sol O t1Xlcav sol cav sol exterior film .17 .17 .17 .17 exterior film 4 /7 ,/ 7 ext. finish — ext. finish masonry . C..44 A r.JCa XXXY. ' f_! o wood insulation 2,-� int. finish • interior film _68 .68 .68 .68 int. finish a./27/?.67 Insulation - y interior film , . r . C. 1 TOTAL R ., .% ;TOTAL R ',. , c;1 c "U" = 1/R "U" = 1/R basernent 1st thru 3rd foot 4th ot below grade 1 _ below grade to basement floor no insulation .a$8___ ( 091 walls R 5 rigid board .1 0 R 11 fiberglass .072 .048 w/ 2 x 4 framing floors no insulation .025 .0 �5 4 includes air film, wall, insulation & soil page , l II, imp * ` dip 'Vi 'CONSTRUCTION ,HEAT LOSS 11.1411/40 lir WWI heat loss in AREA "U" TD BTU per h our type cay. (.. .LILt x. ) cagy .' walls sol. ( 1 x t.5'%) ?ALA - 11N, , t�5 ? -.2- tYPe cay.( x- %) Lk 2 sol, ( - -- x %) - - type cay. ( 4':max-, x i. _ r a of t ype cay. (/-°". r -:' x ':/., K} %) 1�7, P"°� .Qz2 43c: � '`�~ 7- - - 1 above grade walls J f 4 . / c./ as' \ t..1.�, 7 2 below grade(3 feet) , ! I * ,.. t 3 1 windows ?-1-13- - ,- - 1 e� (^ ='' -, - 2 pat doo rs .. ^`) „-?. 1 :.--7-L,-; t 7 .�, 1 SS 3 �s doors _ � &-.7 � - 2 1 ,r. -c�' %, 2? . I other .O`,�.'_ - Lac\ . TOTAL 2--1, \0 1 CODE COMPARISON ADJUSTMENT FACTORS CODE FOR WOOD FRAMING COMPONENT AREA " , TD BTUH LOSS cc studs joists walls above fdtn 12" 20% 14% walls above grade ^. /=*-- , I'^ c - ? 16" 15% 10% fdtn above grade .25 24" 10% 7% fdtn above grade fdtn below grade(3' ,s/0 .20 c7 - roof /ceiling Ili - .029 z 47 L1 , .4 , -7, " - ALLOWABLE HEAT LOSS ,c1c/F, COMPONENT AREA "U" ** TD* BTUH LOSS base walls more than 3 feet - n --.�,, .)ck ,,,a ..-^ .7_ 0 ... , 7` zxlent below grade floors , �•. --, (, c - (, I9 c;:0 *TD = inside temp. minus 20 degrees HEAT LOSS 1_5 * *From table on page 2 ,.11 page Al C C le IP T E El IP a , 3: INSTRUCTIONS: for completion of acceptable , P p practice. method, please refer to Uniform Dwelling Code, Chapter Ind 22, Energy Conservation Standards, Appendix Tables A-1,2,& 3. WINDOW GLAZING:(=Single w /storm DOORS: nsulated SIDING:Dwood(R .77) WALLS ABOVE r(Insulated glass Solid wood aalum(R1.82) FOUNDATION QTriple 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 RRQUIRED THICINESS(per table A -3): " in cavity "over framing FOUNDATION WINDOW GLAZING: single asingle w/ storm Dnsulated(double) WALL INSULATION TYPE: R VALUE EXPOSED FOUNDATION AREA(from worksheet, page 1) = square feet. (walls must TOTAL FOUNDATION AREA(includes above &.below rade - = P g )_ square feet. be insulated PERCENT EXPOSED Exposed foundation' total fdtn square feet. to be in con- PERCENT WINDOW AREA PERMITTED(see Table -2) = percent( %) formance.) PERCENT WINDOW AREA(window area t exposed area) = percent( %) INTILTE,ATZ1314 VOLUME CALCULATIONS: LEVEL VOLUME CON. TD A /C* BTUH HEAT LOSS l `74 7.7- /2 l 2 Ca Basement , n , t 0., .018 �� . ? t" cF,..�t .�;'" /' `, ' "* °• Level 1 ' - .� ^ /1 • '"' " /9 /, .018 < / r) fi, - ::-..R.,.:4 .e 9 • - `7t=, 12 Level 2 7/ i c .018 147. / 1 / 9,7 Level 3 .013 *AIR CHANGES. Recommended changes between .25 and 1.00 INFILTRATION depending on type construction, number of openings, HEAT LOSS 1. / ) weatherstripping, caulking etc. ruartAcz ALLOWABLE HEAT LOSS(from page 3) . , -.",-; ':.4 TOTAL DWELLING LOSS 4,34 L/79 INFILTRATION LOSS(from above) !• ( x 1.15 BASEMENT HEAT LOSS (from page 3) r.1 4//0 MAXIMUM FURNACE SIZE C) 7 /21.'" ,* TOTAL DWELLING HEAT LOSS: :: - / 4 " FURNACE SPECIFIED * _ * Furnace output 4