HomeMy WebLinkAbout0003803-Building ( ---- 0 -. ) CITY OF OSHKOSH No 03803
PERMIT - APPLICATION AND RECORD
TYPE: BLD HTG ❑ ELEC ❑ PLBG ❑ SIGN ❑ ZONING 1 Z( FLOOD PLAIN H EIGHT 4 -' 4 9 --
ADDRESS ' 4 f°' mti.9 e 1,- PLAN NO. P 3 - a7 R
OWNER f ftk 44 4 'e
r
DESIGNER
USE /NATURE OF WORK AiP �� ,A.. rta P; •VL r/ a(U e-
r
LAW .. i AL A ] . r , . . i.
VW
ekt 6 t)y
BUILDING • - ' - OR Ciil ifi il'iW.
Size ,�/ / j �
Sq. Ft. 1 ' # Room / i! b4 # Stories / Height
Foundation NA-C- Vs" a Class of Const. C Occupancy Permit
HEATING CONTRACTOR C K L-rcc 1
Heat ❑ A/C ❑ Vent ❑ Fuel /System Heat Loss BTU'S
ELECTRIC CONTRACTOR S--(` 6._,-----
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR G t r z
BT WH Disp WSoft CBasin
_Lay _ Sh _ DW _ DF San. Sewer
_WC — FDr SP Ur Storm Sewer
Sink _ LTub Eject SS Water
Other
r V
FEES: Valuation ' Al. �ri1U c)° 1 P- 1 Fee Paid $ ?c2 Park Dedication $
ISSUED BY ��lW/`,,,, Date-S &7 Final /O.P. O '''7-7-
�7
In the performance of this work I agree to • , dorm all work pursuant to rules governing the described construction.
SIGNATURE `� / J �U
AGENT /OWNER DATE
ADDRESS 0 441 - > ,4s 12)-3
TELEPHONE #
7 -'33- - 3 87
State of Wisconsin
Department of Industry, WISCONSIN UNIFORM
Labor & Human Relations B UILDING PERMIT °� e0
Division of Safety & Buildings APPLICATION N
Box 7969 APPLICATION
Madison, WI 53707
Wisconsin Statutes 101.63, 101.73 (See Instruction on back) PARCEL NO.
n'' .' _;,-1:410! UCTURE ❑HVAC ❑ELEC ❑PLUMBING
Owner's Name Mailing Address , / Telephone = O
Jr - ki` • . " Sa �7 - - 23,
.nlctor s ame
j Mailing Address Telephone
'/s ''Y., SECTION , T N, R, E(or)W
Building Address Subdivision Name Lot No. Block No.
1-12--g �5- w e S
Zoning,. District Lot Area Front Rear Left Right
g Sq. ft. Setbacks ft. ft. (P ft. 7 ft.
8. L 'R AL 7 I G ErK UI NT . 12. EN RGY ua '.' ,
► � ew ❑Addition ❑Raze . tnSingle Family Entrangg,-Pgel Forced Air Furnace Fuel Space Htq. Water Htq. ,
■ Iteration ❑Repair ❑Move ■Two Family Size: amp ❑ adiant Baseboard or Panel LP Gas _...11<1
J
❑Other ❑Other Service: ❑ Heat Pump Nat. Gas
❑u..erground ❑Boiler Fuel Oil
16!:.Iverhead ❑Central Air Conditioning Electric ❑ ❑
`iiGARAG +1. TYPE 1 F s: ❑Other Wood ❑ ❑
❑Attached etached ^ ite constructe. oncrete '�; m Solar ❑ ❑
❑ anufactured • ' asonry ewer Coal ❑ ❑
-4i . ° :„ . ❑Treated Wood 4 11 .'• unicipal
Other
7 2— S ft 3 � ❑Other ■ Septic 13. A`T- OS' `>0LtJ ) e
Basements Permit No.
��ff
01-Story
18 USE � Envelope BTU /HR
Living Area / /41 Sq. ft. 02 -Story ❑S $ Infiltration BTU /HR
❑ t r , - nal re-
Garage Sq. ft. a ❑Otheanent C l• Pr •te on site Well ti ES "° � ;1 � , ._',. ,
_ t, unicipal Utility $ 7 7o
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 the above information is
accurate. / / /f
SIGNATURE OF APPLICANT '' DATE / Q '
CONDITIONS OF APPROVAL 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. ■
. 5 s Q ' =1'. '.�ARVI/ /► 'u'.�� a/t - • v — m v i 0 .•
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❑TOWN ❑VI LLAGE CITY El COUNTY Municipality Number Municipality Number of Dwelling
❑STATE IN E EN EN _ D a r r Location, if diff —
FEES: p`Eowit°1' o NftS.'UNIF R PERM °f PEi 1T tssu - ®BX. ,
/�[! 1 ' . nstruction
Plan Review $ '• VAC
Inspection $ NAME , (N�- , Pt - t
❑Electrical
Wis. Permit Seal(s) ... $ ' M ❑Plumbing DATE '4/ `��. " v-7
Other $ ❑Other �®Q� CERT. NO. („ ` J "
$� I• K/
•
DI LHRSBD 5823 (R. 11/84) WHITE — Issuing Jurisdiction YELLOW — DILHR GREEN — Inspector PINK — Owner /Agent
ZONING/LAND USE COMPLIANCE CHECKLIST
I GENERAL
Building Permit # Zoning "�� Conforming Non- Conforming
Job location 74 it Dimension
Property Owner /4N14 r A C9 r t Area
II. • CONSTRUCTION DATA
Describe Work: _ e cv Al° >c
c--,p
NEW C siSTRUCLICN ADDITION ALTERATION
/.( Accessory Building _ Pool Single Family
Fence Deck/Patio _ Nor-Family
Boathouse _ Sign — Multi- Family
Utility Structure — Porch — Commercial
al
Other (specify) _ Manufacturing
III. COMPLIANCE CHECKS
- Complies Deficient Deficiency/Comments
Use
Lot Width
Lot Area
Floodplain
Front Yard
— -
Rear Yard
Side Yard (R)
�� Side Yard (L)
— Parking
-ice Building Area
Lot Area per Family
Corner Lot
Other (specify)
IV. REVIEW AUTHORITY
The Planning Director, or appropriate designee, must approve all plans, except
the fallowing: (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 =plies with the above criteria, the permit can be reviewed
by the Building Inspector without referral to the Planning Director.
L - APPROVED NOT APPROVED
Plan Commmmi.ssion Action Required
Variance(s) Required
REVIEWED BY: w e /1/ DATE:
It rlr. u; wiat;UN 1N
Department of Industry Labor and Human Relations +"
Safety and Buildings Division, Madison, Wisconsin 53707
tt 44 6\1 61 1% - t 1:211 t NE, S 13 el l
Uri Virti mil lid 1/4..0
JOB NAME: k ALF/CO
DESIGNER; xe9 /Vaic
LOCATION;
ZONE �._ DATg 3
INSTRUCTIONS: This worksheet is recommended for determining confora
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 f:loQr� where
insulation is not required by code may be included in furnace sizing,
calculations at the option of the designer.
S
not exceeding the losses determined thru the c ode r b s
more than,l % are considered acceptable. y
kt05S WALL AREA •
' - FOUNDATION WALL ABOVE GRADE:
212244q. ft
WINDOW ,A1tEA:Q u
glass size �?�q • t
❑ nit aise FOUNDATION WALL a. i_ GitJDE:
1-4 -i6Mhmem.
. 110411111111166 111$0
DOUR AREA: FLOORS OVER UNHEATED AREAS:
s q. ft.
CEILING AREA: y;1 t
N ET (OPAt1UE)WALL Aga: OTHER
OTHER :
tui. ft.
...A/2 ft. sq. ft.
1 ran
tit). SBA -5518
1,14,1 ,„:„., , Its
,.‘,
�'` S • Culc 1 ! and i
.wok. 3e t•` R ld U values u .Z
par/.tr.. ,.. &lculations for systems havinis q.,i} e ;,l:link
t ! ut - .c�14Tenall I ; nierior or exterior r i
xcaVid the as $ thy bt�n:e °i,;�11
e 4 tell, 1 t, }1 the lowe. snot e ' '; .� t �.
ses e;r1 or Accepted 3t i on, value
P 1 1 :.c Lice calculs, i used the ;�
: /tal.k�t
,t Y BUM
*Oil gni rc ► cav ;;
•
.L4x'1�_,1 t' 17 cav sal �
fi • l7 .17 extcr 1 ,.
�.�� -- . —.--- C.N.t . 1 ire .. 1
!� la t -- ^ �--
�.,u.lu .loll i su i i
...,.141;4i4.41....1... _ insulation
• for I'j ]an Ff' e
interior film •61 .F:t 11111111 .
i
. + -a4 /113 b
ANNIPM1
NMI ,c. ..o3 1 1
tr Y11.Ut • 17 1` cst SO
7
17 17 ...ion S IL
t. finish - cx teria i fi
� iY r`,' ___ ex t. finish _ _ _ ..,
if• I lnl$t4 IIIII
._- insulation
s :4,114 .r
fly
- 1114/4a 4 t ? • r.t3
int. _ finish
r„ i
1� r. N
Il all iiinumminnauvft„__MIIMIUM 1111111111 III
interior fib
..
i 1/ii Maw
,
'' UP - , - � R 1st thru 3r'�
>� root
400,,,,;"
n- ^aKa ` i. ^"•.'" 1 I l i i t LE]t � • 4?4.� ,x _}.111.1 !' y :.:
' xi�ritl t��.al•u �
: 3. Tiber
. 113
r,
W/. 2 x ' , On .
I 1 uui ,1344
or rs
. U25. •
10 4 , i 1
, ,, , „ . ‘wa. Or 7 a ` ! 61 '' ' ''' 4 '. ■ rt
%ad %.4 use ' „iti
■,.......d fte CONSTRUCTION HEAT LO
1 ,,,:u.,.. 1066 if -
ad 40 %ad %..... ...1 \i
I AlEA T1) 1 :'1•N Der hou '
4 1 44-
_i_3_2_,CL • -
ftt - -S
ait kiiiiii 1.ar di, _4 At441 I i & 2.z . /5 el
ciwoHr fi i i el" - _ /f) ______ _ )1 __ _____
i lb vid „1
.._ .
1111 11.
x 0 11
.4. 2 30
L.Y i ,‘ ---.....................1"-- (,. ( 4 -/- 1 4 1 ' x ,
I ( ___ __ .:1• __Ii i MEI
.
1 ‘; ! - ( _ x ,:: ' IIIII
1111111111111 '
- ---- --_-/
1 i ,,, ‘.:. r:rade wallts RIM e.c:
_
4 - Nt 1 4
--- - !
— i
1 t 1 • * • 1 *a 1 . -...• ; _
• /
kid 40,11 ' • i
, . 1 • '. k 3 feet.) Mill 573
34s-0
MIMI - ----1
..
., 440 I
.......mrrm 7e-izs—
, ....
tio() rs
46; e veig Ii * ikia, III _ _ - - ------ monino„..."..."."-- 011111111.111 — ---"."..----
. ,,,,,,, i te'", i ea, 0 1 all le„(Sii I SrEgL Xf/2101
. r
,...., 1 60 0 %.411i VW ■ki.ii i
MI IIIII -
.........roweimummoil
b a , '5
l 'tfr if"' • 4 4tof -
an al
----
erru
TOTAL
' ' C OMPAA/S ON
CODE
- ;,i o■' ,■ . . NT [in ! . f i , iil.,i4 1.' i'll:EA ti ult TD
,
j 1::' . ,,: Vic'
.: ,..1.1.),) ve e
-- ____•
..........•
j , , (1 „, . 1 itbk) Vt.': EfrUde
' ., • rr•toc, i ?---0 * 2 5 as•.S--
--...........--1
'
..__ ._. r.
•
1
. ----- .
I ' Ct• I tilv 7 . ii(tr ..
.. --
. ,
ALLOWABLE
HEAT LOSS
....—.....,......
,i.ivi'
111. IMO Ti
%it 410 i kh.-,4 it„--
Is
ikar.10.0 ...• %i w a. I L.k:. chz41 3 .re.et, PS211 ,
.0-
k aie 1,, 1 ,.kle
1 v.,.. t 4.,4 , .1 -----.........................m...."-.
4S-9.) • 6-4C-- MI / 3 22-
4 TD '”' ins idc t"iliP. kit irrt:o..,
HEAT LOSr. . , 3
" ieroin i able on pa- ,
t_. .,
r C
Ni
i *MI Iiimir Via likra lid imi Loa', i■ii bid W. Itir ‘111 %ilia to■;,.:4 ilia
. . . .
. .
t I NSTRUCTIONS: for completion of acceptable practice method please refer to Uniform
.'
awaiting Code, Chapter Ind 22, Energy Conservation Standards, Appendix- Tables
% ■IIIW . "^".....••
WINDOW GLAZINO:r1Single w/storm DOMS: asulated SIDINc:• w(0.1(it •
WALLS ABOVE
rlInsulated glass Solifl wood----
FOUNDATION
Eafriple pane Uoinsul westerm-'
WALL
:.... .
INSULATION TYPE:
WINDOW AND DOOR AREA YELIIIITED .,
i.,
_
. . ,.
.4 1190SS WALL ARLAtfrom worksheet, page 1) 40 '
square tuat„.-„ '
GLASSIO9OR ARLA(trom wt)rksheet. page 1)
AtAiN .* PERCENT WINno,;io0OR AREA = glass/door area
PERCENT WIN0oW/DOO1( AREA = glass/door area gros: wall ar, - _
A' , t.
------
- --
INSULATION TYPE:
R VALNg iper,locW
' it,ILI.NG
• _
•
REQUIRED ThIcISS(per table A-3): " to cavity
......
. .
-., -
*PJUPAT1UN WINDOW GLAZING:Elsingle Osingle w/ storm
TYP 1:11,Insulated(dotibto) ,-
.44
INSULATION P:
VR4LUE
____________.
, .....„----------- :
EXPOSED FOUNDATION AREA(from worksheet page I) m w,-...,.0„.....square feet.
TOTAL FOUNDATIoN AREA(includes above & below.gradel...„:_-square feet._
,.., Ah,44"..CktPERCENT Exposf.4 fc : total -F4- '--:- -.-iquare feti4:
1,41M0 AREA FERMITTED(sot Tablo A-21:1.7.: 1;:471114-(Z):-
,.... IPERCENT UMW AREA(window drea t exposed area/ w ,....-perceni. :-.
......................
.4.:.
mi.
...
whoirini Iiii *if a '64 Vitt %rig
. :
, UME CALCULATIONS: LEVEL VOLUME CON. TD A/C* Illthi lirAi
..v
Basement /8 .018 Inilrea --L-7----------J
17:4;IT---- . 11:31 --/J7-----]
4 /1 4 97-_ ,
018 s 8/ 8
, 4
Level 3 1,.3(..06 .013 el-C 111:il 33(4
INF
R. CHANGES. Recommended changes and I.00 INFILTRATION
4ppouding on type constructIon, numb HEAT LOSS /
er of openings,
itatherstripping, caulking etc.
. .
, ,..
' i a llt`' It"
0.- ,' Il 61 , IP
.
..
Yid Wird ilia Wed *IMO liar aid Illiii .
OWABLU NEAT LOSS(from page 3)
ToTA4 =walla Lpm. ...y/
ILTRATION LOSS(frum above)
x 1.15
..m.....----..
1E4N ENT NEAT LOSS (from 11:1 3) fol..? (3 MAXIMUN FURNACE.Sl'E
,.. ...f.2202..z:
Tinki, DWELLING HEAT LOSS:
/ SD Z_
1' t ' SP CIFI'.
* AOrnace output
* :
,.„-
..
NOTICE ,yam - ,„
.,,
j ! 43,1 SECTION 7 -32 CERTIFICATE OF OCCUPANCY TO BE ISSUED
(A) The Building Inspector, Heating Inspector, Plumbing Inspector,
and Electrical Inspector shall make a final inspection of all R ®V G
A new buildings, additions, and alterations. If no violation of
this Chapter or other laws or lawful orders be found, the Chief
Building Inspector shall issue a Certificate of Occupancy, API
I e stating the purpose for which the building is to be used, also City of
the maximum load and maximum number of persons that may acc-
`J � omodate on each floor thereof and also that the building or O SHKO St
premise or part thereof and the purposed use thereof are in
conformity with the provision of Chapter 30 on Zoning and •
1+. City Planning, as required by Section 30 -27 (C) of said Chapter.
NO BUILDING OR PART THEREOF SHALL BE OCCUPIED UNTIL SUCH
CERTIFICATE HAS BEEN ISSUED. NOR SHALL ANY BUILDING BE OCCUPIED
IN ANY MANNER WHICH CONFLICTS WITH THE CONDITIONS PUT FORTH
IN THE CERTIFICATE OF OCCUPANCY.
PRESENT THIS CARD Code Enforcement Division
FOR OCCUPANCY PERMIT TO Room 205, City Hall
Oshkosh, Wisconsin 54901
THIS BUILDI\G SHALL ROUGH ELECTR,
NOT BE OCCUPIED U \TIL APPR(
FINAL INSPECTIONS City of DA
-- ®SO S H INS
HAVE BEEN MADE A \D
THIS CARD SIG \ED BY
THE FOLLOWING I\ - INSPECTI')NS MAY BE
S P E C TO R S. i ARRANGED BY CALLING
1111 , 236 5050.
B UILDING tifi DAT
E LECTRICAL41
,�.I 1/�:r- DATE 0 / ii
H EATING i DATE /z
P LUMBING .:�,4.--/ E /
*FIRE DATE
* NOT APPLICABLE TO 1 AND 2 FAMILY DWELLINGS
6 �
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, N
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