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DATE ~f'ZC t"'.r' ~) 19 <f3'
ADDRESS
BLOCK .:l l,-l ARD 14-
NAME~Z/ ~Pf;tt flU&> H,4vS
LOT 020 ~"
SUBDIV5)1'IIi#b~ L4-A.J/j CO ~ ZONE
STREET NO. /9.;2~ .?9/'/'2..0Af/1
SIDEWALK EXISTING
~f LOT DIMENS IONS SO r-/.3..s-
YES ~ NO [J
SET AT SITE
BUILDING GRADE ELEVATIONS STAKES
, 19
BY
FEE: $2.00
~/c~ ~~
DEPARTMENT OF PUBLIC WORKS .Ie g
I, the undersigned, owner or agent of the ove described property agree to have the
grade establ ished before excavation has commenced.
2949
Jl~ry~~ &tl LLi)
N'3b-z...o
STATE OF WISCONSIN WISCONSIN UNIFORM /Z-Z-?S-
DEPARTMENT OF INDUSTRV. LABOR AND PERMIT NO.
HUMAN RELATIONS
DIVISION,OF SAFTV AND BUILDINGS BUILDING PERMIT
201 E. WASHINGTON AVE. PARCEL NO.
BOX 7989
MADISON. WI. 53101 APPUCA TION
WISCONSIN STATUES 101.83
PERMIT REQUESTED ~ONST ~HVAC 0kE LEC o PLUMB
~'s Name e.k; Mailing Address Cl~i1//~ J'ja... , Telephone
I, ~ r ~ #(./1/IV(; I-f- AU.s /S//o dLJ') - ~:?-:;L I
cl:!/actor's ~e Mailin~ ;;t;s ~/?~~ /f.-I .- Telephone
VS.s . (/U~Cc, I '7":J./e- -z,' 5v-: >33'-/:34-1
PROJECT LOCATION Yo %, SECTION , T N, R E(orlW
Building Addreiq; .5;-, Subdivision N~ 4il/1j e, f)~ Lot No. Block No.
HZ '"L- ~-~jf/'#' "'$I J rr..f >;!()"'f; ~ I
Ztz ::.t~t I L6Ve;q3S- Front .1 Rear Left Right
S f I Setbacks
q. t. ft. ft. ft. ft.
1. PROJECT 2. TYPE 3. ELECTRICAL 4. HVAC EQUIPMENT 5. ENERGY SOURCES
Entrance Panel ~Forced Air Furnace Fuel Space Water
~New o Addition "E3Single family Size: I~O Htg. Htg.
AMP Radiant Baseboard or Panel
Alteration Two family Service o Heat pump LP Gas 0 0
o Garage o Other o Underground o Boiler Nat. Gas ~ g
o Attached J,2I'everhead o Central Air Condo Fuel Oil 0 0
o Detached 6. CONST. TYPE 7. FOUNDATION o Other Elec. 0 0
o Other Wood 0 0
o Master plan no. E!jSite const. ~oncrete 8. PLUMBING Solar 0 0
(if applicable) Manufactured o Masonry Coal 0 0
OTreated Wood Sewer Other
9. AR EA C Outside ,) 10. STORIES ~uniciPal
Dimension o Other
J8Basement IEJ2 sq.ft. ~l-Story 11. USE Septic
o Permit No. 12. WATER
SZ!-Living Area ~3 2- 2-Story o Seasonal
sq.ft. o Other o Private
o Garage sq.ft. ~permanent ~~uniciPal
Other
IThe applicant agree.s to comply with the Wisconsin Uniform Dwelling Cocfe and other Municipal Ordinances and with the conditions of this permit; understands
that the issuance of the permit creates no legalliability~ express or implied, on the Department or Municipality; and certifies that all the above information
i~;~~t~TURE OF APPLICANT X; f),ri14~ L /11 JJ i )DATE .) ~- ZS-- f ~
CONDITIONS OF APPROV AL' This pe~mit is is~ed pu~sti'ant to the foKowing conditions. Failure to comply mSlY result in suspension or
revocatIon of thiS permit or other penalty.
,
1 3. ISSUING JURISDICTION OVILLAGE i;kITY OTOWN o COUNTY OSTATE
NAME 05 fI-t<..05 H-- MUNIC. NO. :2 U_ 7-. JL ~
- -
.
FEES OJ~ PERMIT(S) WIS. UNIFORM PERMIT PERMIT ISSUED BY
ISSUED SEAL NO.(S)
PLAN REVIEW ' l""'::> (;"./ QtONST. 134'2....'""L- ,-JI LJ+---~<A....I
NAME
INSPECTION ]2tHVAC J "34- z- "'"Z...-- _3 ~~ z,s- - .f .3
WIS. PERMIT SEAL(S) 3" f3ELEC /34-'2.-c<-- DATE
c.. :3s -2--1 d4-
OTHER( .l I 0 PLUMB CERT NO.
TOTAL $ r.... u
DI LHR-SBD-5823
ISSUING JURISDICTION/AGENCY
-.J-
, 0'
y
JTATB OF' WISCONSIN
Department of IndllstrY",Iebor and BUIll.an Helat!gns
Safety and Buildings Divisio'n, Madison, I Wisconsin 53707
~
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JOB NAME: S'1""e.Ue ~~;~~~(~rhq'H-S
LOCATION:19'Z:l. _____
DESIGNER: ClfhOOll 1OTI'li.~ C~fh')f~J11\
ZONE:~ DATE ' "'?:.--:-cl.(- - ~F<\
INSTRUCTIONS: This worksheet is recommended for deterrniningconform..
ance with the Uniform Dwelling Code is Energy Conservation Standards.
Dwellings ma.y be evaluated by the System Design Method or the Accept-
able Practice Method. Heat-loss thru basement walls and floora where
insulation is not. required bY"code may be .il1c11.1d~d ,,,In:fufnace. ,si2:~rlg
calculations at the option of the designer. System Design hca'f losses
not exceeding the losses determined thru the code requirements by
more than 1 % are considered acCePtab~e~,v .'.,'. ~
i@uI a tl
FOUNDATION WALL ABOVE GRADE:
\\ l..9 "f. ~,
\llo~I.S
.j
.9L~ sq. ft.
WINDOW <"AREA:Dglass size 0 unit size
Il~ sq. ft.
FOUNDATION WALt BEtQWGRA)j'E::
~ \ "$ \~~..;;:
lltJ/<. 3 ,
4/
sq. ft. 3'fa_ sq. f't.
FLOORS OVER UNHEATED AREAS':
DOOR AREA:
~
4'[ sq. ft.
CEILING AREA: NET (OPAQUE)WALL AREA: OTHER:'f3)'1_
sq. ft.
OTHER:t:f')~r' C~("
e::{l sq. ft.
'lCY-S sq. ft.
I \ t.J
sq. ft.
q
sq. ft.
.M
~
V'"
"I
/i,,"~..'i)./[;'" &r> &t"y .
f~~, ,.(
~:_:t:-.;:' ,:;/:,,:-..~:. ~\~~'" - _<i_:,:',~~:.,:':_>'
~I type 1 type 2
IL ,
cav sol cav sol
exterior film ..17 .17 .17 .17
f'~~:.~
~
INSTRUCTIONS: Calculate Rand U values using TABLE A-)~.~n.])wej.~ingc".,
Code Book. Separate calculations for systems having the>same ins1.ll":'
fa t~on but different int,erior or exterior. finish~sis nptl1~ceFF~ry
provided the system with the lowest R value is used in tne"f3ystem '
Design or Accepted Practice calculation. "
----.--...-.-....-..-.....- -..----
siding
sheathing
insull;3.tion
-----.-..-
framing
-.-- ..----
into finish
interior film
TOTAL R
"U" = l/R
f(Qlt
I~l
~ ~t..
xxxx
xxx
.68 .68
above rade walls
cav sol cav sol
exterior film .17 .17 .17 .17
ext. finish --
masonry
wood
into finish,
intl;.:rior film .68 ..68 .68 .68
Insulation
TOTAL R
"U" = l/R
walls
floors
oM, tnclw'lE'l$
S.S "
~","',",',',m'\.,', io.
",.:~w
~.;.-.
-....,
- '"\"~
'....
.
.
i
fl
~
type I type 2
cav sol cav sol
\l
exterior film .17 .17 .17 .17
----....-.------.-- ----..
ext. finish
insulation
framing
insulation
int.finish
interior film
TOTAL R
"U" = l/R
~,O,",'"',";,T A,?""
~g~
exterior
ext. finish
insulation
into finish
interior film
TOTAL R
t U t = l/R
1st thru 3rd foot
below grade
.288
.113
,0'72
no insulation
R 5 rigid board
R 11 :C:tbergllJ.l.ls
w/ 2 x 4 framing
no insulation
.025
film, wall, insulation.f/;; soil
xxxx
.61 .61
sol cav sol
L~th foot below grade
to basement floor
.094
,063
, Oil n
,.-!i'''''
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" ,',.,
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,."",~ .
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.~
'Wr\9
~\J
1'~'I" @
" } i1J
tyne
1
type
2
type
1
lt1lt.
,~VI
i
type cav. (
2 sol. (
x
,a ~ " x-:~"" . )
cav. (...J.....L~ '\::_)~ 0
sol. H'S
cav. (
---'--
sol, (
cav ( ,::>-,-",.,,-.;>
_,__~,_ "C:'-. J' (__.
sol (,e:::;r;;" '?
. i._ J ~ .) .._~
x \ s %)
%)
x~)
xCr?) %)
x -, %)
%)
x ----Yb)
x
fi."'....I"'*'
l~;) ; i,.,Jf:"
:<:;;.. f6',~. .,.,..
rJ ~\, ....,~;,"
1 above grade walls
2 below grade(3 feet)
3
1 windows
2 patio doors
3
}-I
~;"';J "'Ji'(
o""",:{. " ',", '".,.,:,",'
~~m
ADJUSTMENT FACTORS
FOR WOOD FRAMING
cc studs joists
l~t_'_ ._ 20r~ 14%
16" 15% 10%
.~---
24" 10% 7%
1
2
r7'"? "^-
'& A
CODE COMPARISON
COMPONENT
walls above fdtn
,..,'___..____.__,R_~...____.~___._.
walls above grade
.----
fdtn a.E_~v~J~;ra~_
fdtn..?-poye g~ad~__.
f d tn _E. e lOW:._J~E~.9..~_(])
!-":90f i.~_.~_i l_~~g;_ ..___.. .____.
COMPONEN'r
\.valls mOl'8 than 3 feet
below grade
floors
*TD = inside temp. minus 20 degrees
.;t'Y-FraIn tablE1, Qn page 2
CONSTRUCTION HEAT LOSS
AREA
"U"
TD
~\.
~? ( .-." r'
~2.:.c...:;;;L;}
. -!:l ?<(
dr, ' ',r" I/l t ';';
~-~----L"":'''''
C1
I ~;~) c.o
TOTAL
\ c:, L.:: -$.4-",,-
~L...l,-,...
4-.<;; S'
AREA
CODE
II U"
TD BTUH LOSS
114
.25
..~
'!::.i:)
__~:t.~_. ._....:.. 20.__ c (, .,~
e:'S? . 029.;;~.~
".~,.:~_. -.---- ~
.,~()
AHEA
lIU" ** TD *
L ~,_ ,(:\'1,-1
c.
'S,()
""-
Q
J
~
1() .6
(,9 <-Fe
HEAT LOSS
, :"" "" i.S ",CJ :""" "r
, ~"'".J "'''''""", ~"8','~
ll:.......I'1\~::/'4,.. '..
....,,,............,. "" .,,"':, ", ,-
vB:,...,.~:lt: ?Qg,.' P:r ~L'(~ t~fi.<:J .,k:,C'.
:." ',', ,,:,.,,!f:r~i~, ..:"'.,., ,'.':',:: " ",.c;":':
;",-,,;,J '..::".:,....'.,...:...;.~",;....,.'... .,..;..'.......,...
,-. ., . '. .........'.
""":'_-+~
~~.~
'.,.-;:..,:.'..:.....'''.,:'..
.~
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INSTRUCTIONS: for completion of acceptable practiae method, please refer to Uniform
Dwelling Code, Chapter Ind22, Energy Conservation St(indards, Appendix TablesA-l,2,& 3.
WINDOW GLAZING:DSingle w/storm DOORS:Dnsulated SIDINGS,vOOd(R ..77)
WALLS ABOVE DInsulated glass E3S0lid wood ' alum(Rl.82)
FOUNDATION OTriple pane Uninsul w/storm
WALL
INSULATION TYPE: WINDOW, AND DOOR P.REA.PERHITTED %
GROSS WALL AREA(from worksheet, page 1) = square feet.
GLASS/DOOR AREA(from worksheet. page 1) = square feet.
PERCENT WINDOW/DOOR AREA = glass/door area
PERCENT WINDOW/DOOR AREA = glass/door area '" gross lvall area = %
INSULATION TYPE: R VALUE (per inch)
CEILING
REQUIRED THICICNESS(per table A-3): II in cavity _"over framing
FOUNDATION WINDOW GLAZING: Qsingle Osingle w/ storm (Jinsulated(double)
WALL INSULATION TYPE: R VALUE
EXPOSED FOUNDATION AP~A(from worksheet, page 1) = square feet.
(walls must TOTAL FOUNDAtION AREA(includes above & belo,v grade)= square feet.
be insulated PERCENT EXPOSED = Exposed foundation ~ total fdtn = square feet.
to be in con- PERCENT WINDOW AREA PERMITTED(see TableA-2) = percent(%)
formance.) -
PERCENT WINDOW AREA(window area ~ exposed area) = percent(%)
" ., ",' , ,,:
J
g' ~' ffr..,. fi/':' ' %'.'
r', ". .ii '...'.,.' ;:'J~::F
'; t~d".;;()!
/le/1f cg
VOLUME CALCULATIONS:
e::/:.:s'~ -f.. C\
o$L "f~ 'e
LEVEL VOLUME CON. TD A/C'" BTUH HEAT LOSS
t l+^B t... .018 ....;.~;:t~ .S
. Basement ..\.;):::;.
Level 1 (ll .018 ~S I
Level 2 .018
Level 3 .018
,'<AIR CHANGES. Recommended changes between .25 and 1. 00
depending on type construction, number of 'openings,
weatherstripping, caulking etc.
INFILTRATION
HEAT LOSS
I "S~C/1
~~m~~(:~
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OWNER' ~~~ ~iA/tJhl-lAVS
DATE HAR. 251983 PERMIT # /2:1--7. S~
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ADDRESS / y -z, 'z,4/Lr<2'oAM8- S7:
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MASON CONTRACTblt
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DATE
, INSPECTIONS
REMARKS
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Front of lot