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_ _ . �- : _
DATE •�02�' - U � •
NAME ADDRESS �� $ �
LOT � BLOCK �,]A �
S UBD I V. ��� ZON E � T � i �
STREET N0. ��°(��� �� . /�. � LOT D I MENS I ONS S� X I �SO
SIDEWALK EXISTING YES � NO ��
�
____�
�� BU I LD I NG GRADE ELEVAT I ONS STAKES SET AT S I TE �— l�� , I 9 ���� BY �`' � �
FEE: $2.00 �-��ry
C����
�
�� �'7-��
DEPAR MENT OF PUBLfC WORKS
I , the undersigned, owner or agent of the above described property agree to have the
grade established before excavation has commenced.
�, ��G 7 � �,;<:�,- :
, ,_v+ "� }
STATEOfW15CONSIN WISCONSIN UNIFORM .p/�
DE►MTMENTOFINDUETRY,LABORAND PERMITNO. �aO—f� �
MUMAN NELATIONS
o+x�av�aior�as�crr�NOeuaoiHCS BUILDING PERMIT
�NaroN�ve. PARCEL NO.
""°"°",'"'.�"°' APPLICATION
� WIlCONSINSTATUE!101.l�
PERMIT REGIUESTED ONST VAC C ��
Ow er's Name (� Mailing dress Telephone
� �z.12� 4 AC�ST �c��S �A t3 e. �c, S 8 G 2�
Contract�or's+�Na��e Mailin�1 ddress Telephone
�M� ?!�ti� S�F�M�L.
PROJECT LOCATION v, v., SECTION , T N, R E(orlW
Building Address Subdi ision Name Lot No. Block No.
�Zcr7�v �..�1• �Z�, � V'�- ,L ��� �M.�S � �o ----
Zoning Oistrict Lot Area Front Rear Left Right
2�"� p � Sq.ft. Setbacks �,� ft. �� ft. �� ft. ft.
1. PROJECT 2. TYPE 3. ELECTRICAL 4. HVAC EQUIPMENT 5. ENERGY SOURCES
Entrance Panel orced Air Furnace Fuel ��e wacer
New ❑Addition �S'►ngle family � �� AMP Htp. Htp.
Size: Radiant Baseboard or Panel
Alteration ❑Two family
Service ❑Heat um LP Gas ❑. �
� ❑Other �Underground p p
❑Attached Overhead �Boiler Nat.Gas �
❑Central Air Cond. Fuel Oil ❑ ❑
❑Detached Elec. ❑ ❑
❑Other 6. CONST.TYPE 7. FOUNDATION ❑Other
wood ❑ ❑
❑Master plan no. �3�� � ite const. ncrete $, pLUMBING Solar ❑ ❑
(if applicable) ❑Manufactured Masonry Coal ❑ ❑
Outsids
❑Treated Wood Sewer Other
9. AREA 10. STORIES ❑Other ,�lunicipal
Dimsnsion
Basement �jo0 sq.ft. -Story 11. USE �Septic
❑2-Story ❑Permit No. 12. WATER
�Living Area ��� sq.ft. ❑Other �Seasonal
� �ermanent ❑Private
sq.ft. ❑Other �lunicipal
e applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit;un erstan s
that the issuance of the permit creates no legat liability,express or implied,on the Department or Municipality;and c:ertifies that all the above information
is accurate.
SIGNATURE OF APPLICANT �ArE �--a�—��
CONDITIONS OF APPROVAL This rmit is issued pursuant to the following conditions. Failure to comply m�y result in suspension or
revocation of this permit or other penalty.
a/ C.S' �' ✓10 I!
'"' [t_g ,�
- cI�"c+C-T � ��- � o
�
13. ISSUING JURISDICTION ❑VILLAGE TY ❑TOWN ❑COUNTY ❑STATE
NAME _ ��t'1 �O J � MUNIC. NO. � � — � � �
FEES PERMITIS) WIS. UNIFORM PERMIT pERMIT ISSUED BY
ISSUED SEAL NO.IS)
PLAN REVIEW $ � CONST. 4� �j����—;.
INSPECTION �'�j�'� HVAC `'�y-L�� NAME S��Z�F�O �
WIS.PERMITSEALIS) _.2�_ ELEC t3�E47 DATE
OTHER( 1 �{y�8 ---" CERT NO. O�Y'C!�
TOTAL$
DI LHR-SBD-5823
ISSUING JURISDICTION/AGENCY
� �
�'
STATE OF WISCOI`TSIV
DeparL:nent oi Industry, Labor and Numan Relations
Safety and Buildings Division, :�iadison, Wisconsin 53707
:.. _� � F �e�r+.�-�1 .
1�.0� .` ' �� � c '3 _ r ��
1'��� � 1�� �7�� � � .
,�����
� � �
JOB NAME: F- ,t1 C� 5 'i DESIGNER: � ��Si
LOCATION:�2O -,r. / �/2 �,v /�2 *t-+ ZONE: � DATE ,S"- 2 y- ;r�
INSTRUCTIOPIS : This works�eet is reco�ended for determinin� conform-
ance with the Uniform Dwelling Code�s Energy Conservation Standards .
Dwellings may be evaluated by the System Design Method or the Accetit-
' able Przctice Method . Heat loss thru basement walls and floor� where
insulation is not required by code may be included in furnace sizin�
� calculations at the option of the designer. System Design hcat losses
not exceedin the losses determined thru the code requirements by
more than I � are considered acceptable. �
�� � � �� �� t � � � �� ' "
� ��
GROSS WALL AREA: FOUNDATION WALL ABOVE GRADE:
9 �C � z8' , ` ? X ! Zq
/ / �"Z sq. ft. �—�q. fr.
WINDOW ,�1FtEA: gZass: size aunit size FOUNDATION WALL BEIAW GRADE:
� .36 �'C !G D!-,� �GX3Z =5�c � � X / 2- �' _- 3 �'S'`
� �� x z � d,-� 3 6 �� �? = 3 G � ' x � z �' ,�-� �
�� �t L-' -t- �o���
�s q. f t. �b _s q. f't .
DOOR AREA: FLOORS OVER UNHEATED AREAS :
� / - z � � �� � / �.
G
• / 3 � � ----
3 � sq. ft. sq. ft .
CEIISNG AREA: NET (OPAQUE)WALL ARF.A: �THER:
OTHER:
�yx �o
/ � � sq. ft. � � i / sq. ft. sq. ft.
sq. fL,,
P�rm No. SBD-5518 F�
pa�;e �7
F�
. _ _ . � �
� � ; t
• �'�� ��^j'�� ,�'� ��� �
�
�
�
�idS 1RUCTIO^ZS : Calcula�e R ar_d U values asin� T�3� A-�- in J��rell�r_g
Code Book. �e�ara�e calculat�ons �or sys�ems havir_g the s2.sne insul-
a�icn buL d�=ferer_� 17'ii,2'_"10Y' OY' °.{�2r�pr ;:inishes 1S riOt r_ecessary
prov_ded the system �r=�h the Iowes�, R �ralue is used in the System
�es�on or Accepted r�ractice calcula�ion.
.. ty�e 1 type 2 type 1 type 2
� s 1 �� � � cav sol cav sol
�� � cav sol cav o
�
exterior film . 17 . 17 . 17 . I7 � exLerior film . 17 . 17 . 17 . 17
si�ing -- -- -,�� �� �L . �Z �•�Z ext . finish '
: sheathing , � � �r,Z� ,c�p ,y p insulation �� ) �
insulation �,� xxxx �oo x.xltx fra.ming xxxx xxxx
framing �/ y,?� insulation
.
int. finish � ,��� , y int . finish ,y�" ,y�
interior film .68 .68 .68 .68 inLerior fil�! .61 .61 .61 .61
TOTAL R y33! 2,71 /�i?.� �� 7 TO`I'A T. R 9•Z� ,2
rr J�f = 1/R � d� f ,1�� rf�6C1 , �2� ,�U�, _ l�R Q1J , oy g
above �rade wa11s ������ �
��� � cav � sol cav j sol cav I sol. cav sol
��terior film .17 ) . 17 . 17 . 17 exterior film
ext . finish ext. finish
masonry Y , ��{ �
wood insulation
;nt , finish
int�_rior f�1m .68 .6£� .68 .08 int . finish
Iusulstion 5". in�erior film
��� , _.
0 '
TOTAL R �„9C�` � T T�L R
rf U�� _ 1�R y I ;�U�t _ l�R .
� lst thru 3rd foot �th foot below grade
���� ����j below grade to basement floor
no �nsul?tion .288 .09�
t�alls � 5 ri�,�d board . i13 .063
R i�. fiber��as� .�72 .���
�r; �� ;c � f rami n�
°lcors � no ?�lsula.tior_ .025 .025 �
# i nr�>>r.P, �� r fiLm. �ra�l, insulat;or_ 3: soil pa�e �
.:-0n '' � �� � �� � ���
� f' / �
� CONS^_'�UCTIOI�T H�T LOSS
.. � � _ �� eat loss ir
� i �� �� T
� � � � AR
�i�.:r EA U _D
TU per hou_
t�e c av. ...'��X��%) ., `� o� S� 2 Z
1 S o 1. ��t � X/�.�) � , 0 8 8 5" � 9 G
�� �� � �YPe cav. �?�_X.��) 2l , o �f ' 2 `7
S
2 sol.—(� SG x /S �) 3 P' , /2� �5,� y� o
type cav. �o x o 9 o2S �
1 so1. ( ��, o x��) `� C- 2
� � � � n C3V. X o
t� ( —�)
,
2 sol. ( x o)
: 1 above grade w�.11s �� , /�S $S d (, o
� � 2 below grade(3 feet) �� , � py g
� � �
3 -
1 windows '7 , $,� �, �
��� � � 2 patio doors
�7
3
1 �+r,— -� S�vE , 7 8 0
� ���� 2
�� 1
�� � 2
` , � °� TOT.'�,L. /� 17 ��
1
CODE COMPARISON
ADJUSTMEi�TT FACTORS CODE
COMPONENT n �+ TD BTUFi, T.�OS.S ,. ';
FOR Yd00D FRA.MING � U
cc studs joists t�ralls above fdtn p? � Z ��' OS� 7
_ __12" _2�__ 14/ walls above grade ___-
16" 15� 10� fdtn above grade � .25
%�" 10� 7o idtn above grade
f dtn below grade.(3 � �! . 20 � �` � � 4t p
.
roof/ceiling � .029 � � �
HF.ATWI�S � � � �I '
CONIPONENT AREA "U" �� 7� � BTUH LOSS
�� � � � :�ralls more thar_ 3 feet / Z O`T� c7 2`�O �
���� below grade
�loo�s y�0 �O 2- S . 0 / Z- 0 O
�TD = �nside temp . minus 20 C°�Y'°2S ��.P_`�' �SS 3 c O �o
:
`�_r:,�! �a�le on �age 2 �� �
�z�e �
�
� �� .
��� �� � ; , , _ ; �
�� � L°`'�..+� .
i�i��
�� ��
� d�
��� ����
�
I;�ISTRUCTIONS: for completion of acceptable practiee method, please refer to Uniform
Dwelling Code, Chapter Ind 22, Energy Conservation Standards, Appendix Tables A-1,2,& 3.
WIi�TDOW GLAZIPZG:QSingle w/stora DOOP.S:[�nsulated SIDING: wood(R .77)
WALLS ABOVE �Insulated glass �olid wood �alun(R1.82)
FOUNDATION C1Triple pane �iJninsul w/storm
idALL
- I*1SULATIOid TYPE: �dINDO[J ASID DOOR AREA PER2iITTED Z
GROSS WALL AIZEA(from worksheet, page 1) = square feet.
GLASS/DOOR AREA(from worksheet. pabe 1) = square feet.
PERCENT WI�TDO�•7/DOOR AREA = glass/door area ,
PERCEiVT iJI:17i 0[d/DOOR AREA = glass/door area � gross wall area � 7.
.
INSIILATIOi1 TYPE: R VALUE (per inch)
CEILING
It?'QUIRED TAICK2IESS(per table A-3) : " in cavity "over framing
FOU:ZDATIOi1 y,��OW GLAZING: asingle Qsingle w/ storn Qinsulated(double)
WALL INSULATION TYP�': � VALUE
�sXPOSED FOtNDATION AP.EA(from worksheet, page 1) = square feet.
(walls nust TOTAL FOUt�TDATIOid AREA(includes above & below grade)� square feet.
be insulated pgRCEi'T EXPOSED = Exposed foundation � total fdtn = square feet.
to be in con- pERCENT �,1IDIDOW AREA PER*�ITTED(see Table A-2
formance.) � � percent(e)
PERCEi�tT T,II?�1DOk' A,"�EA(window area � exposed area) = percent(%)
�� �� + � � � ���
� � �� �
VOLL;�IE CALCULATIOP7S: LEVEL VOLU*'� CON. TD A/C* BTUH HEAT LOSS
Basement (o �(� .018 �'�� ZS o��?� f
Level 1 �0 .018 �S /. O // � '-t�
Level 2 .O1S
Level 3 .013
*AIR CHANGES. Recommended changes between .25 and 1.00 INFILTP.ATION �
depending on type construction, number of openings, HEAT LOSS )y � (�� � •
weatherstrippin�, caulking etc. -
t G ;� � �
� � �� ���� � � �
� � �
ALLOk'ABLE HEAT LOSS(from page 3) 6 �� TOT/',L DidELLI:IG I.�SS 3 � t �n`{
IiIFILTRATION LOSS(from above) I �; �� '"� x 1.15
BASEM��TT HEAT LOSS (from page 3) 0 NAXI?N?i FT'itNAC� SIZE 4Z. �4'�J *
TOTAL Df,TELLI2IG HEAT LOSS: - . .
. `^ �� �•' FjJ;�.�IACr SPECIFIED �:-? •��C C� �-,c. ..,J�
� Furnace out�ut
`:�
� ,
OWNER�L�IlC�1r���. /d�1�/L'�5 ;�1i�1� ADDRESS fZL"G' Cc', �Q z� /�'�,
$ DATE ��"Z4- PERMIT # /�- `�¢ USE ���1��
t--�-� �.� WoYk co�sists of /���;,c,c��l���`—�
GENERAL CONTRACTOR
�
� �� �
� MASON CONTF�P,CTOR ZONE
;' Width of lot ���� DATE ��_, ZNSPECTIONS
��� REMARKS �
�
� �
� � .F,
� � � .
E" �V-
� � r �I!�,� " 1�a c= t -c s.-L„�-
\ V �/1 � ^ �s R . , �
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A
t��� r -`��t ��
���� MAILING ADDRLSs
Front of lot
�
Dec. 8, 1983
Francis Faust
4180 Knapp St. Rd.
Oshkosh, WI 54901
CEBTIFIC�TE OF OCCIIPANCY
An Occupancy Permit is hereb� granted for the new house
located at
1206 w. 12th Ave. Oshkosh, Wisconsin as described
in Bvilding Permit application numbers(s)
.
This building is to be used only as a single family
residence and is 121 the
R-1B Single family residence District.
LIMITATIONS: �
M8%1IDUID f100I' lOadlIIg: Forty pounds per square foot live loading
Mazimum nvmber of persons and/or living units: one iiving unit :
NOTE:
A new Certificate of Occupancy shall be required prior to
occupancy, should additional bvilding(s) be erected, or should
any buildings mentioned above be altered or moved. The use of
land, or buildings shall not be changed until a Certificate of
Occupancy is issued for that occupancy.
C:iIEF BUILDING INSPECT08