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DATE \ 1 � �( � S '
� ' C°�.,.�:�+'�._ ��
"NAME� ^ � • � ADGRESS �a- � '
LOT I� BLOCK � '.JARD I�-
S UBD I����LZ� n ��h.�h�� /'��4�J�C.. ZON E
STREET N0. /°��� `(1. �''?��9�L'"� LOT D I MENS I ONS ��� 1 (0 5 /
�
SIDEWALK EXISTING YES � NO �
BUILDI�G GRADE ELEVATIONS STAKES SET AT SITE , 19 BY
FEE: $2.00
e� .
� � �� ��������
� DE°ARTMENT OF PUBLIC WORKS
I , the undersigned, owner or agent of yhe above described property agree to have the
grade established before excavation has commenced.
s�� :
,
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WINNEBAGO COUNTY HEIGHT PERMIT `
�
� CITY OF OSHKOSH ���
# -
$
OWNER: -
; ADDRESS:
! 'fA
��}'
a.
,;'
TELEPHONE:
���� ADDRESS OF PREMISES AFFECTED: � �-� � � � _
k
��
:�
�°
;� HEIGHT OF PROPOSED STRUCTURE ABOVE GRADE: '
°'';
�
�_� COUNTY USE ONLY .
�� EXISTING GRADE ELEVATION: ' � �
; �
r
Y;.:� MAXIMUM ELEVATION ALLOWED:
jAPPROVED: YES � NO �
;' \
�'� COMMENTS:
�;;I
,�
I,;�
'',�f
, ; .
z �
' CITY INSPECTOR: � � � �^�. � � ����
�, .
�s �
'�� TELEPHONE: �-� � - � DATE: � �- ��-'
�.� _
'i�," � ,,;.= ��� ,,;
��il'�''' � ����� COUNTY I NSPECTOR: �
3 TELEPHONE: '- DATE:
-------------------
White copy - County; Yellow copy - Town; Pink copy - Owner
?ANaJG/I�ND USE CbP'�LIANCE C��IST
I. C�L
Building Petmi.t # Zo ��---eonformuig �n�onfoxmirig
Job Location ,�c.�• ��
�" (.�, Lot Dimension
•- Property Owner �'" 4 �-��-e�-� Ir�t Area
�
II. CQVSI'�JCTIC�I I]ATA
` n 62��.�.'L�-G�
Describe Work: -�.��--� �.
I�nl C'ONSTR[JCZTON ADDITICgJ ALTEEtATION
_Ac:cessory Building _ Pool _ Single Family '
_ F� _ Deck,/Patio _ Ztao-Family
_ Boathouse _ Si4n _ Multi-Family
_ Utilitl' Stn�cture _ Porch Cat¢nercial
_ �r ���Y) _ Nlanufacturing
III. CCIN�LIANCE CE�7CKS
� Deficient DeficiencY/Ccnments
Use
� _ IAt Width
� r�t �
_ �lr _ F'].00c�Plain - '
`� FYont Yard
� T� F1ear Yard
=� _ Side Yas� (R)
� _ Side Yard (L)
✓ — P�4
!/ _ 1�,i 1 dj,ng AL2g
L� _ Lot Area per Family
_ �1�_ Corner Lot
— — Other (specify) .
IV. RE�T�a AUI�IORITY
The Planning Director, or appropriate designee, must approve all plans, except
the follawing: (1) Alterations or interior work when the use is confonning and
when no chaizge of use is proposed. (2) Maintenance items, e.g., siding, winda,is,
etc., when the use is eonforming and when no change of use i.s proposed.
Ynstances where work c�g�lies with the abov� criteria, the pesmit can be reviewed
by the Building Inspec.-tor without referral t�o the Plannixig Director.
� APPROVID NOT APPImVID
Plan Conmission Action Requi�+-ed .
Variance(s) RecTUired
t,
�
F2EV�WID BY: ��2��--.--'_ DATE: �`S
50'-- a''
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STATE OF WISCONSIN —
Department of Industry, Labor and Human Relations
� Safety and Building� Division, Madison, Wisconsin 53707
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JOB NAME:_��c �i-�� �)��T{�- DESIGNER: �c �,t-�L-�,
LOCATION:_ 7�,�'' 7.ONE: ? DATE �"
INSTFUCTIONS : This worksheet is recommended for determinin� 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 floor� where
insulation is not required by code may be included in furnace sizing
calculations at the option of the designer. System Design hca�; losses
not exceeding the losses determined thru the code requirements by
more than 1 � are considered acceptable.
� � a �a1� �
Ia �
u �ns
GROSS WALL AREA: FOUNDATION WALL ABOVE GRADE:
� �
I �-�,�� � - ''� • -
sq. ft• �l� sq. ft.
WINDOW ,�1REA:�glass size Qunit size FOUNDATION WALL BELOW GRADE•
'r
� ..�� j
�
��� SC�. ft. `� '�
-; ��. , s q. f't.
DOOR AREA: FLOORS OVER UNHEATED AREAS :
, --> .
. �l
sq. ft. sq. ft.
CEILING AREA: ;�ET (OPAQUE)WALL AREA: OTHER: 2��C OTHER:
�,��-
z���
L��Q sq. ft. ���h5 sq. ft. ��-I-S sq. fr.. sq. fte
T'�rm No. SDD-5518
pa�;e �
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INSTRUCTIONS : Calculate R and U values using `I'Ai�I:E A-� in Dwellin�
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
T�esign or Accepted Practice calculation,
ype type 2 type 1 type 2
' ���� cav sol cav � �� �
�l f cav sol c�,v s
ol
, exterior film . 17 . 17 . 17 . 17 exterior f'ilzn . 17 . 17 . 17 . 17
---. _--- -. � ._....----------------- _...__ _�
siding ___ �� �Z ext . firlish
sheathing , �:� � insulatio� � ��
'� __._
insulation �� xxxx _ xxxx framing xhxx �'y xxx�c
>
framing _xxx � , g� xxx insulation � � �
---- --------- �
int _finish ,;�; � int . finish S ,�.', �
interior film .68 .68 .6B . �8 interior film .E1 .61 .61 .6�
TOTaL R �I, � j,�I TOTAL R ,13 �,�
��L f, = 1�R G��� S �r Uii _ l�R (�L�� �.�IO
.
��� � above rade wal_ls � ���
cav :�ol cav sol �� cati� sol c v
a sol
exterior film . 17 . 17 . 1_7 . 17 extericr °iln� �`�
— ----- --- ---- — �
ext, finish ext. fini:�h
,
. __. __- - ,� �.
masonr,y a�� � _
--- -- - ti. _ �` �:`
wood
- -- --- ----- insulation ;
int, finish —'"'"
int��rior film .68 . h� FR .h� int , finish ^
. I��sulation s S interi�r film �
��,�;
, TOTAL R �;'� TOTAL R Z�,��'
"U" = 1/R � "U ' = 1/R
����
���� � � lst thru 3rd foot ��th foot below grade
� �� below grade to basement fl o:;r
no insulation .288 ,09�
Vralls R 5 rigid board �� �,_
�._
R ll fiberglass , �7? , �1��?
w/ 2 x 4 framing
floors no insulation , U25 , �2�
� ir�cludes ai.r film, wall, insulation & soil page �
r
�� �
� _ N.�T� c _:
� � 0 U _„N HEAT LOSS
. �
� eat loss i
� -, �� ��
� t � AnEA U TD
�
TU per hou
`,y�e c�_v, (_� ��-�_x_a� ��� �` ��. �`�'(o vT ,�, ,
I c-�� � " '
1 _ sol. ( � x I � i�) ��� ►OS �-` ( ��5
wa 11� tYPe cav. ( x_,°'1
--- ---- --- -------- --- - --
2 sol. ( x_�)
.
type cav . ( Il'��C� xGi?, � �1��°�:..,, Z,. -�< � `��I L �
` �.:.
1 sol. ( l i U X�_�) � 3 I �-:' "�: i C.p
r � � f �
tyn� cav. ( x �)
2 5G1. � X jo�
1 above grade walls � ;�, � - - �, �
� 2 below grade(3 feet) '__i�� ,:_; , i i;� �;c`* -, � l ,
� �
�
3
1 windows '� F'' W� r� f'_,� + � t �r�
� � 2 patio doors � _
1 ss
3
�d ��rs 2 ,_�� , � � 2 ,�. ; ���� - ��� .
� � r 1 �f�� -- � ,'1��_� `.� t- -- .
2
TOT�L �:
� s'�%m� . _
CODE COMPARISOid
���
ADJUSTMENT FACTORS COI)E 1D BTL�FI LOSS
FOR WOOD FRAMING COMPONEN`I' AREA U ' �'
cc studs joists wall_s above fdtn ��
►Z � l �'- �
—---- ------ -- - - ll 1�4-- -, - -
12" 20/ 14/ walls above grade
------ -- --------__-----____ __.__ _ .___�__
16" 15� 10� fdtn above grade ���_,> . �5 �.`� �:'�-{ :'.�`�
--- --------- -- ----- -- .
24" lOf 7� fdtn above grade •
—^----- ---- - ---
fdtn below grade(3� ���,Y . ��0 C7�''� L#35' , '
-----.—__----- ---- -- - - ---- :. _ -- •
roof/ceilin� .029 �,"`�, �'='�-c..
-- ---- -_ _- -- ------ __ �t�� - ------
ALLOWABLE
, � ��
HEAT LOSS �_..- .� :..�
COMPONCNT AREA "U" �� TD -� BTUH LOSS
�a�� � �ralls more f;han 3 feet �r- � � � ��, ( ;r �, "j
.�.�_ s� �
���� below �;z•ade
f lo o r s �� !~ ,�-t'' "�� `� '�, ,
*TD = inside temp. minus 2� degrees HEAT LO�S %' ��-j ��1 `J
.._:._.
**From taule on page 2 �
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INSTRUCTIOidS: for completion of acceptable practice method, please refer to Uniform
Dwelling Code, Cllapter Ind 22, Energy Conservation Standards, Appendix Tables A-1,2,& 3.
WINDO�d GLA�ING:[ISingle w/storn DOOP�S:QCnsulated SIDING: wood(P. .77)
WALLS ABOVE "[_'(Insulated glass Solid wood �alum(R1.82)
FOUI�TDATION C1Triple pane [�Iininsui. w/storm
�dALL
' I'.`1SULATIOid iFPF.: _ _ _ _ _ _ ��IivDOi� [?ilD DOOP. AREA PERIIITTED %
� GROSS WALL AP.EA(from worksheet, pa�e 1) _ _square feet.
GLASS/DOOR AP.F.�1(from worksheet. pabe 1) _ � square feet.
?ERCEtdT WINDOi•]/DOOR AREA = glass/door area
PERCEidT WIi1�OW/DOOR AREA = glass/door area # gross wall area = %
INSULATI0T1 TYPE: P. VALUE (per inch)
CEILING — ------ --
R�QUIP.ED THICI::IESS(per table �'1-3) : _" in cavity __"over framing
FOU?ZDATI0.1 WIrTDOW G1,,�'I.:���: �sin�;le asin�;le w/ storr� �insular_ed(double)
WALL IN5liI.ATI0:1 TYPi.: R VALUE
� I'sXPOST'D FOUNDATION AP.EA(f.rom worksheet , page 1) = square feet.
(walls c^ust TUTAL FOUNDATIO.d AREA(includes above & below rade
be insulated g )_� square feet.
• PEP.C�IdT EYPOSED = Exposed foundation � total fdtn = square feet.
to be in con- pE�CENT idINDOW AREA PERMITTEll(see Table A-2) _ _ percent(!)
formance. ) pERCEr]T [+IIND04; A:EA(window area � exposed area) _ �ercent(%)
s� �i � � � a �N
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VOLLTMIE CP.LCULATIO,�S: LEVLL VOLIIME CON. TD A/C�� BTUH HEAT LOSS
,-.i ��...../ �'. Basement '"', ' , .013 � r .- . ..l �
, .. Level 1 --- .018 =� � .� �- . ,
, r' '`" }
♦ ___ �.'-
. I.evel 2 .018
, Level �---__ ------ .013 A
*AIR CHANGES. Recommended ch�nges bet��een .25 and 1.00 INFILTP.ATION
dependin� on type construction, nuMber of openings, f1EAT LOSS �(i -�={-C`
weatherstrippin�, cautkin� etc.
� � � �
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ALLOtdA13LE`IIEAT LOSS(from ��a�e- -3) -�-"_•' � •,- 'rOTqI, ?)[dELLIPIG I.(1SS
IrIFILTRATION LOSS(f rom above) � � -1�:- x 1.15
-------------- --------- --------
BASEMI:NT HEAT LOSS (from page 3) ���' 1iAXTr1I�'1 FiT�NA(;I: SIZr `=j ,<<:� *
---------------______ _--._ --- -- -- -------i--
TOTAL DWELLIidG HEAT LOSS: �'.�.�.., ?`; � FUP.NACE SPECII'IED "�'" ��? *
* Furnace output
�
S
� STATE OF WTSCONSIN
�
Department of Industry, Labor and Human Relations
Safety and Buildings Division, Madison, Wisconsin 53707
� �
�
�
� �
�
JOB NAME: �="�., !.,_, DES IGNER:_ ;�,1. �
LOCATION: �� �y:; ZONE: � DATE�� � � �
INSTRUCTIONS : This worksheet is recommended for determinin� 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 floor� where
insulation is not required by code may be included in furnace sizing
calculatioris at the option of the designer. System Design Yica�; losses
not exceeding the losses determined thru the code requirements by
more than 1 � are considered acceptable.
a� � a �aI '
� 1a g
u � �n
s
GROSS WALL AREA: FOUNDATION WALL ABOVE GRADE:
�..�c: ti� �
..
; �:. sq. ft• �`�� sq. ft.
WINDOW ,AREA:Oglass size Qunit size FOUNDATION WALL BEIAW GRADE:
(_ .
_.� ' sq. ft. ' ' ._Sq• f�t•.
DOOR ARF.�1: FLOORS OVER UNHEATED AREAS :
�tz. sq. ft. sq, ft.
CEILING AREA: NET (OPAQUE)WALL AREA: OTHER: � OTHER:
�`���.> sq. ft. � � sqe ft. . sq. ft. :�q. f.t,
P�rm No. SBD-5518
pa�;e �
T
� � � � .
�
� �� �
�
INSTR'JCTIONS : Calculate R and U values using TABLF A-4 in Dwelling
Code Book. Separate calculations for systems havir�� 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.
' �� type 1 type 2 �
�ype 1 type 2
cav sol ca,v so� � � � ca-r sol cav sol
exterior� film . 17 . 17 . _l7 . ]_7 e.; ± e��-i_o.r fi_l.m . 17 . 17 . 17 . 17
siding _ �,�d_ (�i _ ` ext . finish
sheathing - .� r , insulation 1� I`'�
,��..
insulation �c� xxxx xxxx framing xx_�x � ,�: � xxxx
--._�_._________ �__ ,_- - — -
framing xxx � xxx insulaticn �� �
-- ---- -------- --- �' �`-- —__ --- —
int. finish �-.T-S �c; � int . finish ���.5 ,,=�
interior film . 68 .68 .68 . 68 irterior filtr_ . hl .61 .61 .61
TOTAL R ' -` � TOTAL R ���
n iTu = 7./R , ��TJii — � �R �,
, � _,,.
.
above rade walls 1��"�{
f � � cav �ol cav sol �� � a�
c r sol cav sol
�:�terior film . 17 . 17 . 17 . 17 exterior fi_1r.�� _ 1
ext. finish ext, finish
masonry �
— -- - �',;�,
wood
__ _ ____ ---- ---- i r.sulatien ��
int, finish -- " �
int�.;rior film .h8 . h� . FR ,h8 ir_t, finish ^
. Insulstion ✓.; ir_terior film ��,:_
� ,
TOTAL R �,rt`'� TOTAL R "
��Un - 1/R ,'��(`? U ' = 1/R '
���"
���� �� �� lst thru 3rd foot �;th foot �'iP1GW grade
�r� bclotiJ t;r�,de to basemezit floor
no i_n�,ul�,tion . 288 , ���
walls R 5 rigid boa,rd . l� �6�
R 11 fiberglass , 072_ , 0�;�`
w/ 2 x 1� framiri�
floors no insu_lation . 025 . C25
� includes air film, u-al1, insulatior� & scil page �
V �
� �mn': �
� � C ON,�1� 1
ION HEAT LOSS
� _eat loss i
Z � AREA ''U'" T
D TU per hou
ty�e cav.�.,_�Z`.�X �- %°) �L.� � � �� `-�� �l �'--
- - -_ -- _ -- �- ---- `-' .
1 .ol. �`�.x 1S �) �C,� �t., �
walls tyl�e �jcav. ( X �)
___ _______-____ _ _�.
2 sol. ( � �)
type cav. ( 1� X9� �) b --�� � ' �.�' ; .
1 s o 1. ( -- 1��.�, X�-��� i � � �<� ( .? - .
� � � � n Ca,V. X �
typ � � )
2 sol. � X �)
1 above grade walls �� =>�; =��-- --
� 2 bP7_ow �rade(3 io:�t� C'.:�r' i1�5 5�.� � �'��'�,..
� � �._
�
3
1 wir.dows �',� �.�;� �;��r;± �1 Z � ° _ ,� �i
��
� � 2 pat.io doors
1 ss
3
tt��r s 1 . . , _ � Z�._,
� .
2
� � r 1 __ ; t_ '�. -
2
TOT.�L c:C �-,�.�� �,�_
CODE COMPARISON
ADJUSTMENT FACTORS � CODE ,1P �3TUH LOSS
FOR WUOD FRAMING rOMPONFNP AREA U�
cc studs joists walls above fdtn _ �._-_�_ , ��°_�„� `_� " --� �� �
12" �C o 1!I,°I walls above �rade
16" 15j� 10� _ fdtn above grade_ �_�"� .�?5 s - ; ! '_ .
2�" 10� 7;� fdtn above grade �
fdtn below grade(3� ..��, . ?�) !t_ • ���-- �
,
------_----- -- --�- - - --�— . -
roof/c ei ling -� � , . 029 - ��
__.__ ___- -- ------ - _ _. =1- - ;'
ALI,0��IABLE ,
HF�T T�OSS �_�-��
COMPONENT AREA "jJ"' -�� TD -� BTUI� LOSS
�a�� � rralls more than 3 feet ` I�� i�.�:�% �,.,, IC� ,�,-. � G--
���� below grade
floors ��"� � J'� �'
�TD = inside temp . minus 20 de�rees HEAT LOS� -� '
��From table on page 2 �
�a�e
�
� � �
� � � ��� ���
� � � �
INSTRUCTIONS: for completion of acceptable practice method, please refer to Uniform
Dwelling Code, Ctiapter lnd 22, Energy Conservation Standards, Appendix Tables A-1,2,& 3.
WINDOW CiLA'LI:NG:QSingle w/storr� DOOP.S:�Insulated SIDING: wood(P. .77)
WALLS ABOVE C'(Insulated glass Solid wood �alum(R1.82)
FOUNDATION [�Triple pane [�ilninsul w/storm
WALL
' I�ISULATIOid TYPE:__ tdINDOia AP]D DOOR AREA PERPiITTED %
GROSS WALL ��F.EA(fror� worksheet, pa�e 1) _ _square feet.
CLASS/ll00R AP.EA(from worksheet. pabe 1) = square feet.
PERCEPdT WI\DOZ-7/DOOK AI:EA = glass/door area
PERCETv'T WI:170W/DOOR AP.EA = glass/door area # gross wall area = %
I?VSULATIOid TYPE: P. VAI,UE (per inch)
CEILING ------ ---
I:EQUIP.ED THICP.i1ESS(per table A-3) : _ " in cavity __"over framing
FOUiIDATIOiJ WINDOW GLA�.'IlvG: nsin�le asingle w/ stor� �insulated(double)
WALL INSULATIO�d TYPi,: R VAI,UE
� T'XPOSED FOUIQDATION APEA(from worksheet, page 1) = square feet.
(walls r��ust TOTAL FOUNDATIOIJ AREA(includes above & below grade)= square feet.
be insulated pF.P.CI:ivT rYPOSED = Exposed foundatio�i � total fcltn = square feet.
to be in con- pERCENT tdIr1DOW AREA �'ERMITTED(see Table A-2) = percent(!)
formance.) pgRCL�IT WI:�I)0;? A,^.EA(window area y exposed area) _ _percent(%)
�� �� � � � �
� � � �
VOLIME CP.LCULATIO`;S: LI:VI:L VOLiIME C0�. TD A/C� BTUH HEt1T LOSS
���.j�L r� Basement .013 •� � ������ _
-------�_�.
, � _`�-ti, � , • Level 1 ( �, 018 -�:.r- � . !�
� ..._ `�
� Level 2 � ,018
Level 3 .013
*AIR CHANGES. Re�ommended changes between .25 and 1..00 INFILTP.ATION
depending on type construction, nur.iber of openings, �3EA'1' LOSS ! '"''
weatherstrinpinf„ caulkinp, etc.
� � � �� � � �
� � �
ALLOWABLE HEAT LOSS(from pa�e 3) ' , ^,--� �" - T�TAI, P[JELLIPIG L,n;S
�.._._--------------- ---__-- ----. i�- .-��u
IPIFZLTRATIOi� LOSS(f rom_above) _ i ' Ie�� ,L, x 1.15
BASEIVSF:NT HEAT LOSS (from page 3) _�0 J�`"'—�'; .,,� 14AXTP'[UM F�JRNA(;� SIZI: �'," ""; �'1 *
TOTAL DL,IELLIidG HEAT LOSS; � I� .� *
f � FUP�ACE SPECII'IED
* Furnace output �^,p: ,^.,�.-:� ' !� � �
_ _.. . _.,...,...�_. �
� -
StafB of Wisconsin W�SCONSIN UNIFORM �: ��
Department of Industry,
Labor& Human Relations
Division ot Safety& Buildings BUILDING PERMIT APP�ICATION NO.
Mad so69Wl 53707 APPLICATION
Wisconsin Statutes 101.63, 101.73 (See Instruction on back) PARCEL NO.
��� ����"��� MSTRUCTURE �IVAC Q'�LEC ❑PLUMBING
wn r's Name Mailing Address Tele ne
P
�l�i�.. �����t--� �ac � � C�t�� s�� -�3C�
Contractor's Name Mail' g Address Tele hone I
r rs Ca,���-r�. U1. ��u�.�� A� C4-iQ- Z��=goo�
����.
�° �� Ya '/a,SECTION ,T N, R, E(or►W
Building Address � u division Name /
���c �.1�• �z-�bt� �viw- �2�0�j�����1�1��,T Lot No. '^ Block Noi
Zoning District Lot Area v
� Front Rear Left Right .
� Z S C�Sq.tt. Setbacks �� ft. �V ft. �`��y ft. 7/�� ft
"�.�+Fit?JE(:T. �.•"Cl�`� �.,����'1�t�4�. '�r�1�,1��EE1tffiE�EN�". . ; - 4�,.�N�f��sY"�I�i�E
ew ❑Addition ❑Single Family Entranc�Panel � �
orced Air Furnace Fuel S ace Ht . Water Ht . �
❑ Iteration ❑Repair wo Family Size:� 7� amp ❑Radiant Baseboard or Panel LP Gas ❑ ❑
�ara e ❑Raze ❑Other Service: ❑Heat Pump Nat.Gas �� /�.
Attached ❑Move ❑Underground ❑goiler Fuel Oil ❑ ❑
❑Detached ❑Foundation verhead ❑Central Air Conditioning Electric ❑ ❑
� ❑Master plan no. �,����"� �"�,' �� ���"�'�'�`�Other Wood ❑ ❑
� (lfapplicab/el ite constructed ❑ oncrete � "[�„����{�� �� Solar ❑ ❑
Manufactured asonry Sew r Coal ❑ ❑
����� � �' � � ❑Treated Wood �unicipal Other �
Basements_ �� �� Sq.ft. �'������� �- ❑Other Septic '(�,��'�''��,���8�����} . �
Permit No. ° >
Q -Story �(,��� Envelope BTU/HR � �
Living Area � r �� Sq.ft. ❑2-Story ,�,�*��.�.�� Infiltration � BTU/HR
�� ❑Other o�Seasonal �
Permanent .���������w��� �
Garage_ � Sq.ft. � ❑ rivate-on-site Well
❑Other unicipal Utility
$ 4S OC?v
The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Muncipal Ordinances and with the conditions of this permit;understands F
that the issuance of the permit creates no legal liability, express or impli , on the Department or Municipality; and certifies that all the above information is
accurate.
SIGNATURE OF APPLICANT DATE a .
CONDITIOMS OF APPROVAL T s permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revoca-
tion of this permit or other penalty.
�2-�s s Cv r� o cvs w 5� L ��� o��
� `� v� "- c vv r2�
Z T�'CL.M� r s �12�c./"—�v SSA G E ��
6 — `� � l 2
�v/J �.v� �.� rr-iG C_ - w rj�-vt�ic� t
v��.�- G�D�
/�S c_ c-c_ L.o o �
�!/ � '—' � (�TJ�—L v W G�v r— 7'—
E 2 �C 1`2�1�'!�/�
I�a��G �VnI.,7���rTIvN �VILLAGE �CITY ❑TOWN ❑COUNTY ❑STATE
NAME ���d S C-�- MUNIC. NO. �v � � ,b
FEES: ,/ PERIYAtT{S) WIS.UNIF{fiiM PERMI�' PEftMtT tSSUED BY. - -
t�St.lEt) , SEI�iL N0. .
Plan Revie �C.onstruction
�� . . .$ � �VAC NAME "
Inspection . . . . . . . .$ �ctrical ��
Wis.Permit Seal(s) . . .$ Plumbing DATE
Other. . . . . . . . . . .$ ❑Other ��/,
TOTAL. . . . . . .$ ��� CERT. NO. v�
DILHR-SBD 5823(R-1/82) WHITE — issuing Jurisdiction YELLOW— DILHR GREEN — Inspector PINK—Owner/Ag
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� aCCOUVT : tr,) RICNC� STRUCTU 1692
SUP��RTIVG CAL�U�aTiJ�S 'r�R �RAWiNG � 1098�2
JOB N4M;_: rOX CITIES TRUSUAL SYSTEMS CORPORATION
S�aN : i? FT r, IN �/16TH M�N, APR OR 1985
� �AQt��G : 30* T+ 10 = 47 PSF AT 15.Ox _-_ � PI.Y
� .ARIN� SIL�� : LFFT 3 .5", RIGNT 3 .5" OVERHAN� : LEFT 0• - 0.0° � RIGHT 0�- 0.0"
HEELS: LE�T 3-13/16" RIGhT 55-13/16" CANTS : LE�T 0� - 0.0 " � RIGHT 0#- 0. 0"
UNIFJRf�I LOADS
PLr F�OM Tfl
00 1 4 V TCLL
14 1 4 V TCOL
35-� 1 7 V !�CLL
231 1 7 V 9CDL
-�RC'�'S r�R A 2 ME�lF3Eft TRUSS (CON 1 ) REACTIOiVS
T 1= -�y219 �3 1= 7777 i� 1= -34?_ �l 4= �����7 REACTION � 1 = 4517
T 2= -321`3 � ?.= 3t's°� �i 2= 5055 W 5= -3356 REACTION � 7= 4517
T z= -41C'3 3 3= -0 'a 3= -2195
T�P AND BOTTOM CH�RD LUMBER ANALYSIS t �aIr )
T�� C40°.0 : ('1I�VI�?U'�1 c�RAUE) tt2 D�iVSE KC15 �.�' INc 1T00000 E
PA;v C��: SLZ= JL�:PE L-ACT L-AVF QFACT FAtPSI ) Fi3tPSi ) AX.IAL BEN�ING CSI
1 1 2x �+ 'f .�0 �.52 3.74 0.90P 1350 1R�� 0 .5fl4 0 .099 0 .603
2 1 �K �+ 4 .00 3.74 3.74 0 .90P 135G 1800 0 .504 0 .099 0.603
z 1 2x 4 4 .00 3.74 3. 74 0.90P 1350 � 1800 0 .252 0.099 0.351
9CT CNORi] : ( `^:INI!'�'U"" !'�RADE) D.S�STR . K015 S�PINt 1900000 E
PAt� C�PJ SIZ= SLC?�'_ L-ACT l-AUE 4FACT FA(PSII F9(PSI) AXTAL BENDING CSI
1 ��x '� � .00 5. 52 4.7I 1 .QOt�I 13�5 22Q0 0 .239 0.310 0.549
L 1 ?.x rs � . Cn 3. 74 4 .71 1.OGM 130� 22`0 O .11a D..S10 0 .430
3 1 2x i? C .GO 3. 74 �.5� 1 .COM 1305 2200 0 .0{30 0.181 O .1R1
TuP Cr�ft� CRITIC�L PAi4El CALCl1LATIJfdS:
AxIaL = cP/a/�a ) = 42C-)./ 5 .2�/( 1350 .*1 .15) = 0,50
BN�r�� = c '�/;/(F3-Ji?/t�) ) = t 629.1 3.05/ t2D5�3. * 1 . 15-0 .00( 4109./ 5.25) ) =0 . 10 .
TOTAL CSZ <= 1 . 00 = 0.5C+ 0 . 10= 0.50 <=1 .00
yUT CHO�U ;:�I TiCAI �'A��IEL CALCULATIONS:
AXInL = ( ?/A/F4) = 3�9:�./ iQ .R7/( 13�5. *1 . 15) = D.24
3ND"dG = ( 1•�/S/ (Fq-�(F'!A ) ) _ ( 1031:� ./13.14/ t2S0�. k .i. 15-O .Qt� ( 3898./10 .87) ) =0 . 31
TOT�L i,S! <= 1 . 1; _ �7 .2n+ �J. 31= Q.55 <=I .O�
�.
��" :
t
�
. .
. ��
";JEa;: �1i;JI±��U'� �F 2K 4 #3/STUD S-P-F tOR AS NUTEO HEIOW�
'NINI^1UN OF 2x 4 a3/STU� KD15 S.rINE '
k�(:UIRED FOR W�B( s) a 2, 4
-� ��F�3^a STdRT AT TOP
�
worES :
4LLOW��i�t �•1axI �?UM LIVE L��D �kFLECTIaN iL/240 ) _ � .G50 IN.
4CTUAL ���AXI�iU�1 LIVc L�AD O�FL�CTIOf� _ �. 119 :IN. OCCURS AT PANE:L POINT 5.
CUST�'•1�R �EMA�KS :I�ISC. S�AL W/C4�CS �1 OF 1 JR'dG. �E?RUCE
?L�T �nns �t���UEST�]
REGJI�EO i'IIViMiUM �LATE AR�AS (S(�. IN. )
JOI�iT;t "l.At� �!E"° . AREq MEM . AREA ME"!. A?EA M�M. AREA MEM. AREA
------ ----- ---- ---- ---- ---- ---- ---- ---- ---- ---- ----
? ?-10 T 13.2 R 13.� ,
? 1 .5-3 �J 1 1 . 1 T 1 .1
3 5-5 W 2 � .? `�.' 3 1 .9 T £3. 1 :
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INSPECTION PROGRESS REPORT BUILDING INSPECTOR, City of Oshkosh
P.O. Box 1130 Oshkosh, WI 54902
RE: I�/ �, ZZ�a � �
(i FILE NUMBER E.
lUG w �vP�� DATE OF INSPECTION: PERSON CONTACTED
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��gp, ORDER
XOrderNotCorceeted NUMBER Deficiencies must be corrected and approved before
t 2 3 a �- concealment. Call 236-5051 for inspection.
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[r� ���, ��A/��)�/��L� �'�Q if YOU HAVE ANY QUESTIONS I WILL 8E IN MY OFFICE ON:
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ci7Y STATE Z�P 8-9AM & 1-2P:1 Monday thru Friday
��1-����f.�, �l�� 4- �/ ���-z�y Room 205 City Hall 236-SOS1
INSPECTION PROGRESS REPORT BUILDING INSPECTOR, City of Oshkosh
P.o. �ox 1130 , oshkosh, wI 54902
RE: ��� G�� v��-NQ / ' ��
FILE NUMBER E_
N�LCJ OV P�E/— DATE OF INSPECTION: PERSON CONTACTED
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INSP. �Order Corrected ORDER FINDINGS OF INSPECTION -
xOrderNotCorrected NUMBER Deficiencies must be corrected and approved before
t 2 3 4 Final concealment . Call 236-5051 for inspection .
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ADDRESS im Dallman � $ldg Inspector ate
IF YOU HAVE ANY�UESTIONS 1 WILL BE IN MY OFFICE ON:
CITY STATE Z�P —
8-9 am anc3 1-2 pm Monday thru Friday :
Room 205 City Hall 236-5051
DILHR-SB-2248(R.4/80) -
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Oct. 7, 1985
Virgil Neubauer
5214 Clairville Rd.
Oshkosh, WI 54901
T�'MPOHAF3Y CLB2IFICATE QF OCCUPATJCY
A Temporary Occupancy Permit is hereby issue3 to occupy
unit 124 of the new building loca te d S t
124 & 126 w. 22nd Ave. Oshkosh, Wisconsin as
described in Building Permit Application number(s ) 19646 �
8rid 1S zoned R-2 TWo Family Residence Distriet.
LII�IITATION:
MaX1mUm f100T IOShcrig Forty pou_ds per square foot live loadinQ.
Maximum number of persons and/or living un1t�: one li�inQ unit
Other:
NOTE:
Thi s permi t 1 s temporary and ezpi re s Jan. 1 , 1986 �
Occupancy shall nnt continue past that date without written per- '
mission. A Certificate of Occupancy w111 be issued when all
work is completed and approved by all inspectors . _
Buildin; In�pector
Oct. 7, 1985
Virgil Neubauer
5214 Clairville Rd.
Oshkosh, WI 54901
'I'�'MPORAHY C�ATIFIC�TE OF OCCUPANCY
A Temporary Occupancy Permit is hereby issue3 to occupy
unit 124 of the new building locate d &t
124 & 126 W. 22nd Ave. Oshkosh, W1SCOnS1T1 SS
described ln Building Permit Application number(s ) 19646 �
and 1S zoned R-2 �o Family Residence District.
LIi�IITATION:
P'�ZX1IDUm f100Z' 108d1rig Forty pounds per square foot live loadin2.
Maximum number of persons and/or living units: one livinQ unit
Other:
NOTE:
Thi s permi t 1 s temporary and ezpire s Jan. 1 , 1986 �
Occupancy sha11 not con�inue past that date without written per-
mission. A Certificate of Occupancy will be issued when all
work is completed and approved by all inspectors.
Bui131n; In:.�pector
Jan. 13, 1986
Mr. Virgil Neubauer
5214 Clairville Rd.
Oshkosh, WI 54901
CE$TIFIC�TE OF OCCUPANCY
9n Occupancy Per�it is hereby granted for the new two family
residence with attached garage loc3ted 3t
i�4 � �?� w.� 22n_�_�ve,. Oshkosh, Wisconsin as descrlbed
in �vilding Per�it application numcers(s) 19646 .
Th1S building is to be used oril� as a two family
residence 3IId 1S f21 the
R-2 Two Family Residence DiS�T1Ct.
LIi�tIT 4TIONS:
Maaimum f1.00T �.08d1II$S forty pounds per square foot live loading.
;�.a.aimum number oF persons andi or living uni:s: two living units
NC'i'r':
A new CertiPicate oP Occupancy shall be required prior to
occupancy, should addltional building(s) be erected, or should
any buildin¢s mentioned above be sltersd or ooved. The use of
land, �r buildings shall not be changed until a Certi°icate of
Occupancy is issued Por that occupar.cy.
CfiI�F 9UIiDI?YG IidSP�CT08