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LABOR AND HUMAN RELATIONS DtVISION.OF SAFTY AND BUILDINGS 201 E. WASHINGTON AVE. 80X1988 MAOISQN, WI. 63707 WISCONSIN STATUES '01.83 PERMIT REQUESTED Ere.- 1. PROJECT 2. TYPE f':ri:'ew D~lteration ~Garage ~ttached o Detached o Other o Master plan no. (if applicable) o Addition [ELsingle family OTwo family DOther WISCONSIN UNIFORM ''I BUILDING PERMIT APPLlCA TION ~AC J;4L~CJ~ Sr-~ es:eoNST Mailing Address ?-.3c? ~ Mailing Address 3. ELECTRICAL Entrance.l.anel Size: 'iF1.) ~er ice Underground Overhead LEC SECTION Front Reab :25- ft. ~:) 4. HVAC EQUIPMENT AMP ~Forced Air Furnace URadiant Baseboard or Panel o Heat pump o Boiler o Central Air Condo o Other 6. CONST. TYPE 7. FOUNDATION sq. ft. 01-Story o 2-Story sq,ft. ~the~ o Seasonal 0 ~ ~ Private . '/l ermanent 11h. sq,ft. , (7 Other /"""'"",unicipal e applicant agrees, to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, e pre s or implied, 0 the epartme t or Municipality; and certifies that all the above information is accurate, ~ite const. [2] Manufactured 10. STORIES oncrete Masonry o Treated Wood o Other 11. USE 8. PLUMBING Sewer 'E;ZrM u n i ci pa I o Septic o Permit No. 'PERMIT NO. PARCEL NO. OPLUMB T N, R E(orlW Lot No. Block No. G77 Left Right ft. t"-.s- ft. 2...0 ft. 5. ENERGY SOURCES Fuel Space Water Htg. Htg. LP Gas 0 0 Nat. Gas [5)- % Fuel Oil 0 Elec. 0 0 Wood 0 0 Solar 0 0 Coal 0 0 Other 12. WATER SIGNA TURE OF APPLICANT DATE ~UC-t/ /~t"5lg3 This permit is issued pursuant to the following conditions. Failure to comply mSlY result in suspension or revocation of,this permit or other penalty. .w ~Jf;t!~/<-Ve91 ~~~ff ~~~ ~ ' 0"€t1-47<-&72~ -.. 13. ISSUING JURISDICTION NAME Os t5f"t~ #-- FEES PERMIT(S) ISSUED IjICONST, ~HVAC [gELEC ctJPLUMB PLAN REVIEW INSPECTION WIS. PERM!T SEAL(S) OTHER ( .I TOTAL $ 30 DILHR.SBD.5823 OVILLAGE ITY o TOWN r;L./ /#--' , o COUNTY OSTATE MUNIC. NO. 2 0_ '2- & ~ ? -/i''- [3 3S->VDf- CERT NO. ISSUING JURISDICTION/AGENCY ~ STATE OF WISCONSIN Department of Industry, Labor and Human Relations Safety and Buildings Division, Madison, Wisconsin 53707 ..,.;.~--'" zuzaoy WORKSHEET ~o;,), '1""'U.'0Cr I ~. JOB NAME: -~"A1JI"- ~':Jl"'~:) ~DESIGNER: Cow,COU \D~ (NU'i'l1tt.:r LOCATION: fixe;) ~!' '~ i2A4 ZONE: :5 . DATE r;/ ~(;S", ~ " INSTRUCTIONS: This worksheet is recommepded for deter.minine 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 floorc 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. calculations ~....., GROSS WALL AREA: -:r::Nc.. a:"c , 4-'1 Cl JJf1- ~ FOUNDATION WALL ABOVE GRADE: I ~ I "'(:. ,'8 " /9/1 sq. ft. WINDOW ,,AREA: Dglass.' size 0 unit. size I\?.,~ sq.ft. FOUNDATION WALL BELOW GRADE: '" \ ~?j , j':;) I Lfl X -s DOOR AREA: I dl ,lS''''Sq. ft. r.j:z:3, _._sq. rt. FLOORS OVER UNHEATED AREAS: ~ LfL.. ,sq. ft. CEILING AREA: NET (OPAQUE)WALL AREA: .OTHER: sq. ft. OTHER: ;,' tb~\" t- 48 II \ u.. sq. ft. \/ZO. S sq. ft. sq. ft. sq. ft. Form No. SBD-5518 J par; e 'U~ VALUZS INSTRUCTIONS: Calculate Rand U values using TABLE A-4 in Dwelling Code Book. Separate calculations for systems having the s~e 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. wall type 1 type 2 cay sol cav sol - .17 I .17 .17 .17 exterior film .--- --. ,-_.. .. -.---- - siding 1(,,1 .~l _.-. ..--.- .----.-- - sheathing ,ltL \ ~ ~i insulation \~ xxxx xxxx ..~.._. framing ( ,,"/1 into finish \ws: ,J( - interior film .68 .68 .68 .68 TOTAL R Z. u;")!c) ,4 !I u" = 1/R tC)(~c4 , \ (-{, fdin above grade walls cav I sol cav I sol . exterior film .17 .17 .17 .17 ext. finish - . ._... ----. masonry 1 tG - wood - into finish ,~'S ._, .68 .68 .68 .68 intl~rior film ,. , Insulation .S,S, TOTAL R I .~{o I flU" = 1/R ,t ~4 I roo! type 1 type 2 cav sol cav sol ; exterior film .17 .17 .17 .17 ext. finish - --' insulation \~ ,-- fr~ing xxxx 4,)1 xxxx insulation \C1 I~ into finish \4-S- ' Lit(' interior film .61 .61 .61 .61 TOTAL R -Sq.D Z~ lo 1I U" = l/R ,62$4 ,t?-U ,(" ather cay sol cay sol exterior film ext. finish insulation into finish interior film TOTAL R nU" = l/R basement* 1st thru 3rd foot 4th foot below grade below grade to basement floor no insula.tion .288 .094 wa.lls R 5 rigid board .113 .063 R ~ .. fiberglass .072 .048 l..J. "1/ -2 x 4 framing floors no insulation .025 .025 * includes air film, wall, insulation & soil page PJ 6 S~S7~M . CONSTRUCTION HEAT LOSS '- ~ '1J:ES!GIf heat loss in AREA !l U" TD BTU per hour t:v-o e cav. (..I:LZDS x~) \ 4~c- A .o4(g4 as S/~J walls 1 sol. ( nm.-s- x~%) 2S6. l.. d ()Co - -E:: S "'Z .....> ::tJ type cav. ( x~) - 2 sol. ( x~) type cav.( 1114- x t:t-s %) , f) ~G, , ('..'{.c,c/.. ~~ -z. , z?") to roaf . sol. ( rl14 l %) 1 x I~ I ~4()~ es -z.. ~ '=\ typ"" cav. ( x %) 2 sol. ( x %) !'tit 1 above grade walls IIZ,8 , I t.l.l.f ee:;- I '"< 60 n below grade(3 feet) ... 2 42'3 ,( 4Ll. '50 .. ~:J,~S 3 , - Klass 1 windows I':?,I-:I~ IS;::, '8;:;- ~~ t2'J . 2 patio doors - 3 doors 1 42 ,40 ~~ 1425 2 ather 1 - 2 ,- TOT.\1. 1.:5 I-i-I S CODE COMPARISON ADJUST~ffiNT FACTORS COMPONENT AREA CODE TD BTUH LOSS FOR WOOD FR~~ING 11 un cc studs .joists walls above fdtn ICiIl I I 7. tt. \9 LA'L _ _.12."_ 20% 14% walls above grade . ""--"'-- --_..- 16" 15% 10% fdtn above grade lit \~ .25 85 / ~'""1' f ._- ,- .. ,--_. --- --'-- ?4" 10% 7% fdtn above grade fdtn below grade{3? 4'23 .20 ~1: 47.~ roof/ceiling \HW- .029 85 'Z..{~ ALLOWABLE . HEAT LOSS 1- 8, CkS . base COMPONENT AREA "U" ** TD * BTU"rl LOSS . -:.;al1s more than 3 feet -<:) - -<::>- ment below grade floors t\ \4 I n7_~ . Sa \ ~c:r-L. , *TD = inside temp. minus 20 degrees HEAT LOSS \~L '. ... . page ~ ~ fi **rrom vaole on page 2 ~' 4CC3:P1'Z13 PRACTZCS INSTRUCTIONS: for completion of acceptabl~ practicre method, please refer to Uniform Dwelling Code, Chapter Ind 22, Energy Conservation Standards, Appendix Tables A-l,2,& 3. WINDOW GLAZING:[JSingle w/storo DOORS:Dnsulated SIDINGBWOOd(R .77) WALLS ABOVE ClInsulated glass ~Olid wood alum(Rl.82) FOUNDATION ClTriple pane ninsul w/storm ~vALL INSULATION TYPE: WINDOW AJID DOOR 'AREA PEBlfITTED % . . GROSS WALL AREA(from worksheet, page 1) .. square feet. GLASS/DOOR AREA(from worksheet. page 1) .. square feet. PERCENT WI~~OW/DOOR AREA .. glass/door area PERCENT WIliDOW/DOOR AREA .. glass/door area + gross l~all area .. % INSULATION TYPE: R VALUE (per inch) CEILING REQUIRED THICElmSS(per table A-3): It in cavity _"over framing FOmIDATION WINDOW GLAZING: Dsingle c:Isingle w/ storm (]insulated(double) WALL INSULATION TYPE: R. VALUE EXPOSED FOUNDATION AREA(from worksheet, page 1) .. square feet. (walls must TOTAL FOm~DATION AREA(includes above & below grade)- square feet. be insulated PERCEIIT EXPOSED .. Exposed foundation 't total fdtn .. square feet:. to be in con- PERCENT ~iI~~OW AREA PERMITTED(see Table A-2) .. percent(%) formance.) ~ERC&~ WINDOW ~~(window area ~ exposed area) .. percent(%) ZXFZLTRATIOX ! VOLUME CALCULATIONS: LEVEL VOLUME CON. Tn A/C" BTUH HEAT LOSS \()lJG-<1 Basement C1C8t../- .018 8~ .5 1~9 1\ 14')( 2, Level 1 t3'4 I""Z- .018 ~s .5 ~,~ 'I Level 2 .018 Level 3 .013 *AIR CHANGES. Recommended changes between .25 and 1.00 INFILTRATION l4, \SlD de ending on type construction, number of openings, HEAT LOSS p weatherstripping, caulking etc. FUIlNACE SiZE ALLOWABLE HEAT LOSS(from pag~ 3) INFILTRATION LOSS(from above) BASEMENT HEAT LOSS (from page 3) TOTAL DWELLING HEAT LOSS: * * * Furnace output 4(.;:("" U:::IJ ~ ~I""l. Q>'Se - 8Z- CV\1""t)! \0 4,<:)tC ~ H- I , ~ " ,,, Qy(t I. ",.,-;;t - Coo r:G(.,.~~ ~\ ~ S, Doc ~fu It- '-="J"-'U"'- "-t'-' ~ -tS :.11.. 1 "'\".t """ .\,;)l.;.I'~ .~..."'" "tl~~.,) . '~_ ';C C.. ....'j..-:;, I.. .........\.\, "1)5. l)llv), '''0 ')1IC11 - '''U.,9 , ..It ......;('1,,'" "'.. .'., POl . 2"". r.. t\ ''''. (U'iiJii&1...L, 1 .~~ a (;,... ,. t.. ..t,". IJII Ct.'4y"" il'""1 I...... t,\"Cl'I';"'~ J"C~"'~fo~~ .,.~w ~1~~~~~' l~C~~I~~~ . 1.CO ...t. JIl~t';.t; IrC\l~.:'~t' - \.,,1\ II" U'ul<" I.U'Ol"'. lI.W C"l,iRQ \ L. - ~L. ,. "OT ',.,O'H' LL ,. Cia. . T\nAL LOAD . . . f ~;:.: l' t 1 t;\'.. .. ~,.r(.,jIL..t'.r r"k-'I'" ( Cr.tatl. .? s 1 .T. ~. 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