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0005018-Building
,. CITY OF OSHKOSH N°_ 05018 PERMIT — APPLICATION AND RECORD TYPE: BLDG HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING - Z FLOOD PLAIN T - EIGHT ADDRESS , VS mit 6 P rva sue- PLAN NO. d (`it I - az< k OWNER / (twL 0 S al DESIGNER USE /NATURE OF WORK /1)e- "--) v r 1`-- LA / A `T"" BUILDING CONTRACTOR 64'PLe f"" Size c_ t Sq. Ft. / O # Rooms # Stories / Height Foundation Pte, r Class of Const. S Occupancy Permit HEATING CONTRACTOR 4 4 0 ,1.0 r << r a n Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S ELECTRIC CONTRACTOR Ll c 1 Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps Fixtures Switches Receptacles Circuits PLUMBING CONTRACTOR A✓q ie' - BT WH Disp WSoft CBasin - Lav Sh DW DF San. Sewer - WC FDr SP Ur Storm Sewer Sink LTub Eject SS Water Other FEES: Valuation $ " Jt:/dDte c e 87 Final /O.P. ...? fr In the performance of this work I agree to pe • all work pursuant to rules governing the described construction. SIGNATURE 7 - U ' S 47 / / AGENT /OWNER DATE vv ADDRESS x766 P4 a 23 (f q TELEPHONE # 0.4 State of Wisconsin Department of Industry, WISCONSIN UNIFORM Labor & Human Relations /8 B UILDING PERMIT Division of Safety & Buildings APPLICATION NO. v /0! Box 7969 APPLICATION Madison, WI 53707 Wisconsin Statutes 101.63, 101.73 (See Instruction on back) PARCEL NO. UCTURE ❑HVAC ❑ELEC ❑PLUMBING Owner's Name Mailing Address Telephone • " 1 4— t - w` , C ? - t o ► - _ _ . ._0 '3 — Contractor's Name Mailing Address Telephone ,Wei k '/n %, SECTION , T N, R, E1or)W Building Address Subdivision Name Lot No. Block No. X02 f / .-LC t<( f ric. s 4.1. v= 70 Zoning District Lot Area Front Rear "jet Left Right ta . ...c°5, F000 Sq. ft. Setbacks ..--5 " C ft //CS ft . S f I;; - O� , " .' It �� 4 . e' d , ° s (7 t. a , ., iew ❑Addition ❑Raze Ingle Family Entrance Panel ro ed Air Furnace Fuel Space Htq. Water Htq. • Alteration ❑Repair ❑Move ❑Two Family Size: j 0C) amp ❑ Radiant Baseboard or Panel LP Gas ❑ ❑ ❑Other ❑Other ervice: ❑ Heat Pump Nat. Gas ...U.__ nderground ❑ Boiler Fuel Oil ❑ ❑ ❑Overhead ❑Central Air Conditioning Electric ❑ ❑ lfi `Gi4•/„GE : 4: I 1e j,� m ❑Other Wood ❑ ❑ ► _, ❑Detached -. - constructed ■ •ncrete 11 '.. 71 =' Solar ❑ ❑ ❑Manufactured ❑Masonry Sewer Coal ❑ ❑ Rte ❑Treated Wood Is . •al Other Basements ' ES` ° ❑ ' Other ❑Septic g b Sq. ft. Permit No. ° ` '.LS1`ry t. Envelope �'f �� BTU /HR / Living Area 60's� Sq. ft. 02 -Story Infiltration N- —1 . BTU /HR ❑Other ❑Seasonal It ow •ermanent ❑private -on -site Well ., . e ° Garage Sq. ft. ❑Other �) ■ ipal Utility $ (C70 COOP �� 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, express or implied, on the Department or Municipality; and certifies that all the above information is accurate. —�-� SIGNATURE OF APPLICANT Y U)'{/1 i DATE ?- 'S CONDITIONS OF APPROVAL This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revoca- 6 tion �� of this permittr other penalty. r • u ∎ z 4 4 )1'.' t." t 1 Lc.-02 .S P"-- f ©C1' D Q-( e la��! ioy riNi/P'',N•Wfifi{e4MllMIMV111r.(tgVir'la15.7erf...ftMllVMlrlr ..1 d . , PPAIIMILIT■ (u 4 xr.... :5 rip( `Grp / 4 - T Gt r s E� r"a? rr. % et_ 6 IP" 414 s ❑TOWN DVILLAGE .4T ❑COUNTY Municipality Number Municipality Number of Dwelling ❑STATE D NS /' Location, if different JURISDICTION OF: . DE ®.S �l �O -& -- -- — FEES: Pt hi (a 1 f ° i ORM PEM01171#EFIfiit* ISSUED Plan Review $ construction if; L�HVAC NAME 17 Inspection $ ❑Electrical / Wis. Permit Sealls) ... $ 730 ❑Plumbing DATE c—I 4Z Other $ � ❑Other TOTAL $ 7V - 7-�7 CERT. NO. '` 1F AAiv ` DILHRSBD 5823 (R. 11/84) WHITE — Issuing Jurisdiction YELLOW — DILHR GREEN — Inspector PINK — Owner /Agent DATE , © 0 7 NAME / ;11,, l` v S t ADDRESS Z ?? O e z kc( LOT "ia ,.e: BLOCK 1 .4AE.13 SUEDIV. K e ZONE ktr STREET NO. 2 - G (- jA P r c/ ci LOT DI MENS IONS SIDEWALK EXISTING YES LJ NO Ea BUILDING GRADE ELEVATIONS STAKES SET AT SITE 7' -/.°' g'1I- , 19 BY FEE: 10..00 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. City Of Oshkosh 1/1/85 PARKLAND DEDICATION FEE COLLECTION RECORD Address (� C Pi f err L/ a Owners Name ' rAe '72 9'S Name of Subdivision- 4 'f K' A": < Li_ 0 e Lot # 70 - „--- . Bldg. Permit # _-,Y; ''j No. of Units 1 Fee Required / n Fee Paid , -)r-ti Owner's signcture 1� i , ' i Date Inspector's signature , 4„ \ A: . � „ '� = Date ) 5 i i Parks Subdivision J Improvement • Accts. Rec.: 362 -041 ZONING/LAND USE COMPLIANCE CHECKLIST I. CAL • Building Permit , 1 Zoning g Conforming N onfoszning Job Location ((S A/r`K ert) c . Lot Dimension - . - Property Owner / .' s e 4 Lot Area • . • II. • CCNSTRIETICN DATA j e'zZ. Descr;.be Work: / V V u _.e-----. - ,� • I IW =simian ON ADDITION- nATIaN ry Building Pool • gle• Family- . Fence Deck/Patio % —Family.. Boathouse • Sign Mtil i Family 'Utility Structure Porch. ate, Other ( may) Manufacturing III. COMPLIANCE CHECKS Ccxmli�s Deficient Deficiency /Cats Use • Lot Width Lot Area Floodpla in / • Front Yard Rear Yard '/ Side Yard (R) ..Z Side Yard (L) — Parking — moulding Area _ Iot Area per Family Corner lot / Other (specify) 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) Maintenarice items, e:g. f :' siding,: windows t etc., when the use is conforming and when no change of,'use is proposed:. Instances where work cxaplies with the above criteria, ttie. permit can . be reviewed by the Buildin Inspector without referral to the PlannLing Director. 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NNN -• W Ci • 0 02000W 1- C.) r') M • • .. O 0.1- L 0 0 ¢ CYO in 0 J t- -. ¢ N N F-N .t- -1 NZWN0.z .t • O 0 0 4. 4. M • •¢ W O OC W ••• i Nco 22 0 Z X N • Q o • 00000 f me 4 ` 0. F- m Q o W n "� ¢ 0 c5 C O L.. E � Orm3 Q in • p OCJF -0 M W M o W LIQNZWN to 2 '- z o F- W •` U N N N( 0 r W L•.1 --1- 2 0 i 1 1,4 0.0.0. 0.( OCW.l 0 W ¢ CY N z 00 mOVCLNO co.- 0.. 0000 D L O ,, • ►- W7EWEF- =SOX 0 r ( f• .. CO F- 2 I- N G) N J 0/ W Q� 000 O O W ~ 1 > OC % Z 0 • aaao0 40Z • ¢0 ai O 000 ¢ • wWN 4 .JJ.J 0C x a S. ti WOO �. >¢a=0 .+W r. c o ) S N ••+WWOC CUN{aNN X a .4000• -• 1- OCNP.00 M w Y M 40 CONMN C� ¢ W 000••• 1 1 • • OCCUOCZO. _ s n o000( 0 OC C F-wNM %W mF. z ;�a 4G.F -► Q • • , , J .•. 1 1 OOOOOL W .lN.ar• ti N N 1- Oa f- 1- OL Q i� N . e • i STATE OF WISCONSIN Department of Industry, Labor and Human Relations Safety and Buildings Division, Madison, Wisconsin 53707 { E NE a:Inas:Err JOB NAME: DESIGNER: LOCATION: ;?..41c m illtl olt ZONE: DATE R 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: �y 13 sq. ft• D(.p sq. ft. WINDOW <AREA:Ogiass size ❑unit size FOUNDATION WALL BELOW GRADE: k — SO v3q sq. ft. 4ED _sq. ft.. DOOR AREA: FLOORS OVER UNHEATED AREAS: ag ►8 r�5.lD sq. ft. sq. ft. CEILING AREA: NET (OPAQUE)WALL AREA: OTHER: OTHER: lyi3 v.Di c ' 6cDcx - 1Qtb sq. ft. 1x33 sq. ft. sq. ft. sq. ft. Form No. Sate -55111 nnr*P I U 9 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. 1111 /11/1 e 2 cav sol cav sol exterior film • .17 .17 .17 .17 exterior film .17 .17 .17 .17 siding ,cam .5C) ext. finish sheathing ,y5 43 insulation insulation lq xxxx xxxx framing xxxx L4,38 xxxx framing xxxx (,„,go xxxx insulation S al inct. finish Iy5 .U5 int. finish . .55 _ interior film .68 .68 .68 .68 interior film .61 .61 .61 .61 TOTAL R ava5 01.11 TOTAL R 3 L33 3a to lo " U " = 1/R , b4l . 109 n U = 1/R .�S ID f tIt n above grade walls cav sol cav sol , _ , , cav sol cav 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 5 interior film TOTAL R ip,53 TOTAL R ,� Un = 1/R _t53 U = 1/R base irilt * 1st thru 3rd foot 4th foot below grade below grade to basement floor no insulation .288 .09) walls R 5 rigid board .113 .o6 R 11 fiberglass .072 .048 w/ 2 x 4 framing floors no insulation .025 .025 * includes air film. wall. in nulnFi nri A. c„i 1 - SY 4 .“ TEM 6(1 CONSTRUCTION HEAT LOSS DESIGN " " heat loss in AREA U TD BTU per hour type cay. (...1a 3 x2_55)) ' .. IN6GS IC)yr] 75 LlIca 1 sol. ( l a)I?, x 15 /) ibLA .q5 . IUG S," 1913 51017 _ a Its tYPe cay.( x 2 sol,( x %) type cay. ( lb 5l o x c� �) a 10,�-I iia; '3_5 0 `lb lc .(v _ roof sol.( ib x I ) I .,O ,b s Loci, a5 t y p e cay.( x %) { 2 sol.( x %) 1 above grade walls 10U , 1 5 i 13 S, 3 T tttrL 2 below grade(3 feet) (49c ,, 5 p (DPI I 3 T 1 windows 1D .cariLl E6 3098 .9 te . Elass 2 patio doors 3 doars 2 other 2 n TOTAL a0 0, 1 , act 1 CODE COMPARISON ADJUSTMENT FACTORS CODE FOR WOOD,FRAMING COMPONENT AREA n TD BTUH LOSS 1 cc studs 'joists walls above fdtn NI 3 .1; Z5 ly,yla•IA 12" _ 20% 14% walls above grade 16" 15% 10% fdtn above grade I e� . 1K a ►@ � •5 24" 10% 7% fdtn above grade r fdtn below grade(3 L„60 .20 a)* y WO roof /ceiling 'b •0 �9 55 aLC)CZ,0, I - "i ALLOWABLE HEAT LOSS i 'I base • ' C OMPONENT AREA "U" *-** `TD BTUH LOSS , 11■111•111■1111R IVINII MINIIIIIIMMEW w alls m ore than 3 f eet 533 , uciy 50 ment below grade � floors I•�. � �' 130 *TD = inside temp. minus 20 degrees HEAT LOSS 38 ;5 , 1 ' **From table on page 2 A Anawateinti. el AccEpTED rnA,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 fllnsulated glass [_ Solid wood �alum(R1.82), FOUNDATION C1Triple 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 fi gross wall area = INSULATION TYPE: R VALUE (per inch) CEILING R1QUIRED THICKNESS(per table A -3): " in cavity , "over framing FOUNDATION WINDOW GLAZING: Osingle Qsingie w/ storm jinsulated(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 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( %) zisitrzL z N VOLUME CALCULATIONS: LEVEL VOLUME CON. TD A /C* BTUH HEAT LOSS b � X , �DlO Basement %b2 0 ,- (4 . 5 (D� � 05 �� � � 8 .B3 013 Level 1 C �, 1M.Q8 .018 1 N Q6LO q5' Level 2 .018 Level 3 .013 *AIR CHANGES. Recommended changes between .25 and 1.00 INFILTPATION depending on type construction, number of openings, HEAT LOSS y c Jy G weatherstripping, caulking etc. T ALLOWABLE HEAT LOSS(from page 3) &0 i \ , a() TOTAL DWELLING LOSS INFILTRATION LOSS(from above) , r 1)' , -- 1, 508 x 1.15 • BASEMENT HEAT LOSS (from page 3) 3 San , 1 MAXIMUM FURNACE SIZE * TOTAL DWELLING HEAT LOSS: `IL '500 . VCI FURNACE SPECIFIED 51 , 19tp.b3 * * Furnace output