2020/10/28 - LAND USE - LUP - Dwelling/Principle Building - Single Family - LUP-20-712

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DATA PLATE m...,,-- GENERAL INFORMATION MECHANICAL FEATURES TO BE COMPLETED IN THE FIELD Plant Name: Skyline Champion Homes AND SUBJECT TO LOCAL INSPECTION Plant Address: Hwy 61 NE Lancaster WI 53813 Corp.Address: 200 MIBCO Parkway S�ulte 290,Elkhart,IN 46514 Serial No.:_243-000-M-A 10658AB Check blank if completion is needed on site(N/A if factory installed). Std.Plan Approval No: Q110-MG 1. Interconnect ductwork between units. State Insignia No.: 510.627 2. Installation of ductwork below floor X . (basement only) Date of Manufacture:19/15/202Q 3. Interconnect gas piping below floor X . OccupancycLocation:ClBucation: R3Inc. avward.WI 4. Installation(or interconnection)of gas piping below floor X . Classification: R3 Construction Classification: Type VB 5. Extension of furnace vents above roof X Inspection Agency's Name&Address: PF$Corporation 6. Completion of gas appliance vents through roof X . 1507 Matt Pass,Cottage Grove,WI 535277. The unit must be connected to a gas supply X . Inspection Agency's Label Serial No.: 881369 and 881370 HEATING FEATURES TO BE COMPLETED IN THE FIELD AND SUBJECT TO LOCAL INSPECTION Code Certification: The exterior envelope of this home is designed for Heat Zone 1 . The 2017 National Electrical Code SPS 316 2016 Wisconsin Uniform Dwelling Code-SPS 320-325 furnace shall have a minimum BTU output of 44,745 to maintain an 2016 Wisconsin Plumbing Code-SPS 381-387 average 70 Deg-F Interior temperature at an outside design temperature 2012 International Residential Code-Section R602.10 for wall of -25 Deg-F. It shall also have a minimum efficiency of 90 AFUE. bracing -Floor insulation Is provided if home is installed over a crawl space,but may be omitted if home Is Installed over a conditioned crawl space or a basement. Insulation for perimeter Joists and basement walls is not factory provided&is to be Installed on site ELECTRICAL SYSTEM-FACTORY INSTALLATION Concealed wiring consists of nonmetallic sheathed cable or service entrance cable. STRUCTURAL 1 MISC. Panelboard- 200 Amp. Service-120/240 V,single phase,3-wire AC,60 Hz. Design Ground Snow Load: ' 40 PSF Factory Installed appliances: Panel box should be provided with a Design Roof Dead Load: 15 PSF main over-current protection(main circuit breaker). This main service Design Floor Live Load: 40 PSF disconnecting means shall be permanently marked to identify it as a Design Floor Dead Load: 10 PSF service disconnecting means. Design Wind Load: 20 PSF Seismic Zone: N/A This home has been designed for(frame-off X or frame-on_) installation over a(crawl space or basement x ). APPLIANCE MANUFACTURER MODEL MN Cooking Range Whirlpool WEE750HOH21 15 amp Refrigerator Whirlpool WRF555SDFZ11 20 amp Clothes Washer Whirlpool WTW4855HW1 20 amp THERMAL RATING OF STRUCTURE Clothes Dryer Whirlpool WED4850HWO 30 amp ��g Dishwasher Whirlpool WDF520PADB 15 amp 'R Value for Main WallLs' -R-50- 'R'Va ue orMain Roo Gelling: Food Waste Whirlpool WG02H 15 amp 'R'Value for Floor: N/A Fireplace Superior MHD35DMN 15 amp Microwave Whirlpool WMH30516H20 20 amp Smoke Detector FirstAlert SC91208 15 amp Vapor Retardant Paint per Manufacturer's Instructions: Specialty Adhesives,Inc. #7800 Vapor Barrier Paint - 4 Mil.Minimum Thickness ELECTRICAL FEATURES TO BE COMPLETED IN THE FIELD STRUCTURAL FEATURES TO BE COMPLETED IN THE FIELD AND SUBJECT TO LOCAL INSPECTION AND SUBJECT TO LOCAL INSPECTION 1. Construction of foundation(including columns,piers and footings). Check blank if completion Is needed on site(N/A if factory installed). 2. Module-to-module connection and foundation construction. 1. Interconnect electrical between units. 3. Completion of exterior closure systems(underlayment,shingles, 2. Installation of service and completion of grounding electrode wall sheathing&siding). system. (Service entrance conductor to be rated 75 deg.C.) 4. Switch,light and hand rail for attic storage/cape cod home. 3. Bonding of gas Ilne piping. 5. Finishing of upper level for cape cod home(optional). 4. Completion of basement panel box. X . 6. Completion of cape cod dormer installation(optional). 5. Installation of water heater&/or furace in basement X . 6. Receptacles provided for crawl space or basement are to be TESTS REQUIRED AND ACTUALLY CONDUCTED GFCI protected(per Sec.210-8(a),(4)&(5)of NEC). FACTORY TESTS CHECK,IF CONDUCTED 1. Water Distribution: X PLUMBING FEATURES TO BE COMPLETED 1N THE FIELD 2. Drainage,Waste&Vents: X AND SUBJECT TO LOCAL INSPECTION 3. Fixtures: X Check blank if completion is needed on site(N/A if factory installed). 4. Shower Compartment: ____X-._ 5. Gas piping prior to appliance connections: N/A 1. Interconnect plumbing between units. 2. Extension of plumbing vents above roof X . 6. Gas piping t enr th applianceet: connections: NX 3. Installation of water lines below floor X X .(basement only) 7. Dielectric Strength Test: X 4. Installation of drain lines below floor X . 9. PolarityBondn Con X 5. Completion of radon gas control system N/A. 9. Operational Test: X 6. The unit must be connected to a public water supply and 10. Test: X if these are available. 11.n Panelboard Lug Tightness: _ 6_ system,sewer All final testing to be conducted on site in accordance with the installation manual 7. All necessary fire-stopping caused by plumbing penetrations& (or local jurisdiction)8 subject to local inspection. not done at the plant to be finished on site. 8. A backwater valve must be installed in the building drain system. '•ALL INSTALLATION TO BE IN ACCORDANCE WITH MANUFACTURER'S INSTALLATION INSTRUCTIONS.**