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'~-,,,- DATE 10 -;;J.."3 - 80
NAM~Ufl5 ~' @-p..{c(A ~o.>T~ ADDRESS j S b <g Zu f2.D I C...{<...
LOT ~ iS2 / BLOCK WARD
SUBDI V. f:JA~ ).A.OQ..Coc.l< ?(AI..\ ZONE r< - ('6
STREET NO. /.;2 7S #U/t-07\- ~f. LOT D I MENS IONS (~(2eG:()tAf2-
SIDEWALK EXISTING YES D NO B-
BUILDING GRADE ELEVATIONS STAKES SET AT SITE t?d, ~b
, 19
ff()
8Y7
FEE:
$2.00
/ .. ,
a.-c.....~ C-~~
DEPARTMENT OF PUBLIC WOR~~.
I, the undersigned, owner or agent of the above described property agree to have the
grade establ ished before excavation has commenced.
2?5B
e/UU<,a < ?JtLz~~
- ,%0
STATE OF WISCONSIN WISCONSIN UNIFORM PERMIT NO. S<f{91
DEPARTMENT OF INDUSTRY. LABOR AND
HUMAN RELATIONS
OIVISION,OF SAFTY AND BUILDINGS BUILDING PERMIT
201 E. WASHINGTON AVE. PARCEL NO.
BOX 11MB
MADISON, WI. 63707 APPLICATION
WISCONSIN STATUES 10'.83
PERMIT REQUESTED ~CONST ~VAC rRELEC DPLUMB
~ner's Name -Z: ~f?T(2.j CI".... 1.-0 Mailing Address Telephone
1~::5 \.JT~c:lL
Contractor's Name B Mailing Adq~S p, U6~ /aJ Telephone
l31J " If" z::; M Ef/ etl.S UJ l...J."::x.512...S )1' 7S- ~ Np(,~'7Z>~ 73/"'s'b ICI-
PROJECT LOCATION y. %, SECTION , T N, R E(or)W
Building Add);h C-r: Subdivision Name Rr+."(- Lot No. ~I Block No.
Il 75, vtU?1f/ /-IA~,- Hv(2.boC-/<:- ~::< -
zonlL~s;ri~ I Lot Area Front .1 Rear Left Right
S f I Setbacks 37- ID ,<4-
q. t. ft. ft. ft, ft.
1. PROJECT 2. TYPE 3. ELECTRICAL 4. HV AC EQUIPMENT 5. ENERGY SOURCES
~ -
DAddition ~ngle family Entrance Panel ~rced Air Furnace Fuel Space Water
Size: ~O AMP D Radiant Baseboard or Panel Htg. Htg.
DAlteration DTwo family Service D Heat pump LP Gas ~ D
,J2lGarage DOther ,S!.Jnderground D aoiler Nat. Gas a
...Q1I. ttach ed D Overhead DCentral Air Cond, Fuel Oil D D
o Detached 6. CON ST. TYPE 7. FOUNDATION D Other Bec. D ~
D Other Wood D
D Master plan no. ~ite const. I ~ncrete 8. PLUMBING Solar D D
(if applicable) D Manufactured D Masonry Coal D D
D Treated Wood Sewer Other
9. AREA ( Outside,) 10. STORIES ~nicipal
Dimension D Other
D Basement 1(, (pq... sq.ft. J2l'l=story 11. USE D Septic
D Permit No. 12. WATER
D Living Area /144- D 2-Story ~asonal
sq.ft. D Other D Private
D Garage :)40 rmanent ~iciPal
sq.ft. D Other
he 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, express or implied, on the Department or Municipality; and certifies that all the above information
i~;;~t~ TURE OF APPLICANT )( t<< A ~ ~ J_ AI ~ ~- L7T -- /4 /~?a~
7
CONDITIONS OF APPROVAL This permit is is~ued pu~suant to the following 'conditions, Failure to comply mfj{ result in suspension or
revocation of thiS permit or other penalty.
"
"."
-
13. ISSUING JURISDICTION DVILLAGE ~ITY D TOWN D COUNTY DSTATE
NAME O..s~ IC.r2Sl-l- MUNIC. NO. :z D - -.2 ~ ~
-
FEES PERMIT(S) WIS. UNIFORM PERMIT PER~T ISSUED BY
ISSUED SEAL NO.lS)
PLAN REVIEW $ - StcONST. ~ '-fS5S NAM~~' MIl~
INSPECTION - ,t'VAC '" DATr! 0 ~ ;29 - r?b
WIS. PERMIT SEAL(S) ") LEC "(
OTHER ( J - DPLUMB CERT NO. ..3.s~ - 2/0q:.
TOTAL $ co
01 LHR-SBD-5823
ISSUING JURISDICTION/AGENCY
\
STATE, OF WISCONSIN
Department of Industry, Labor and Human Relations
Safety and Buildings Division, Madison, Wisconsin 53707
x.
JOB NAME:
LOCATION:
~.~~~ ~~)
S^~ f.
DESIGNER:
ZONE:__~
- '
INSTRUCTIONS: This worksheet is recommended for determinine 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 floors 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.
a a I
GROSS WALL AREA:
191(yq ;: I' $~
I~tlv~ ~O~ Sui
sq. ft.
WINDOW cAREA:mglass,'size 0 unit- size
I-c.'~ ~ q.il -;. 'f3'-
_'N~3S: "~,, ~ lJ2~7
. G'~ -':' ~.. u f... '
... c,~ , '~c,4 :: ~SJ.J!1
,,. c...J~ . ...ti.JB",w
I P~~fO !OOO.,",~~ :. . . 4GOfJ
o (;,;;117), ~, '~t~1 sq. ft.
DOOR A,REA: '. iii
, 3tI", 'If fit ~ ,,~&..j, It '-0 /;/t)
I ~8'f~ -- - 11"
371e sq. ft.
CEILING AREA: NET (OPAQUE)WALL AREA:
~~.. ~ f,~~~
1- r~:. , ~~.
.~~~~. -~
S'~ ,v , --~:~
/~,;J!,~;;l';:"~";,,,,.,,~.:;~~,,,,,~,,,,-,,,,,,\,,:,,.
(.~3!t"':'~) ft. II If ~ ..5(""s q. ft.
'"\,,,,-., ./
Form No. SBD-5518
FOUNDATION WALL ABOVE GRADE:
If4/'~ 91'11 ":. /~~.. '"
~~,'^..., ",,,iJ;o.,,'
9~ f) ;).~
-
....
Ii ,~_o ",...--
l!-sq.ft.
FOUNDATION WALL BELOW GRADE:
&
I~ (.. 3' I( ,# .-
..EB;t-
.~o
g8~~1t._sq. ft.
UNHEATED AREAS:
page
,
IIJ
INSTRUCTIONS: Calculate Rand U values using TABLE A-4 in Dwelling
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
Design or AQcepted Practicecalculatibn.
:11
type 1
cav
exterio:r film.17
siding
.--..- '. ..--.-.-..- ...--!-----.-..------
sheathing
insulauion
framing
-~---~-_._-----
into finish
interior film
TOTAL R
nUll = l/R
f
tn
.68 .68
above
cav so
walls
av sol
exteriorfilm .17 .17 .17 .17
.~,-----~
ext.finish
masonry
wood
into finish
.68 .68 .68
Insulation
intl.)rior film
TOTAL R
!lU" = l/R
walls
floors
en t *
1st thru 3rd foot
below grade
4th foot below grade
to basement floor
no insulation
R 5 rigid board
R 11 fiberglass
w/ 2x 4 framing
no insulation
.17 .17
ext. finish
insulation
framing
insulation
into finish
interior film
.61 .61
., TOTAL R
.288
.113
.072
.094
.063
.048
.025
.025
* includes air film, wall, insulation & soil
page
is
,J wall,s
I'
of
tl1
1 ss
oars
a her
ADJUSTMENT FACTORS
FOR WOOD.FRAMING
cc studs
__.:bF..1:__ ._.,?9JL_
16l! 15%
"_'__'M_"'~_ _. ____._____
24l! 10%
l
tyne
1
type
2
type
1
type
2
1
2
3
1
2
3
1
2
1
2
joist
._~~5i___
10%
------.-
7%
III
CONSTRUCTION HEAT LOSS
AREA II Un
cay.
sol.(
cav. (
801.(
x
X
above grade walls
below grade(3 feet)
windows
CODE COMPARISON
COMPONENT
walls above fdtn
,~-_._---?--'---
walls above grade
~---------'
fdtn above grade
fdtn above grade
fdtn below gradE;(3~
roof/ceiling
COMPONENT
walls more than 3 feet
below grade
oars
*TD = inside temp. minus 20 degrees
**From table on page 2
INSTRUCTIONS: for completion of acceptahle practiae method, please refer to Uniform
Dwelling Code, Chapter Ind 22; Energy Conservation Standards, Appendix Tables A-l,2,&
TYPE:
WINDOW AND
%
WINDOW GLAZING:[]Single w/storm DOORS:c:Rnsulated SIDING.SWOOd(R
tJInsulated glass aSOlid wood alum
[JTriple pane Uninsulw/storm
GROSS WALL EA(from worksheet, page 1) =
GLASS/DOOR AR from worksheet. page 1) =
PERCENT WINDOW/DO AREA = glass/door are
PERCENT WINDOW/DOOR = glass/door , ea
square feet.
square feet.
CEILING
~ gross wall area =
%
INSULATION TYPE:
R VALUE (per inch)
cavity
"over framing
FOUNDATION
WALL
WINDOW G ING: Dsingle Osingle w/ storm Dinsu' ted(double)
INSUL ON TYPE: R VALU
E SED FOUNDATION AP~A(from worksheet, page 1)
OTAL FOill~DATION AREA(includes above & below grade)=
PERCENT EXPOSED = Exposed foundation ~ total fdtn
PERCENT WINDOW AREA PERMITTED(see Table A-2)
PERCENT WINDOW AREA(window area ~ exposed area)
(walls mus t
be insulat .
. to be
for
I
LEVEL
VOLill1E CALCULATIONS:
Basement
Level 1
Level 2
Level 3
.018
.018
INFILTRATION
HEAT LOSS
l
.$1
*AIR CHANGES. Recommended changes between .25 and 1.00
depending on type construction, number of openings,
weatherstripping, caulking etc.
ALLm-JABLE HEAT LOSS (from page
INFILTRATION LOSS(from above)
BASEM~NT HEAT LOSS (from page 3)
TOTAL DWELLING HEAT LOSS:
D\VELLING LOSS;;;) ., rfa. 1'6
x 1.15
MAXH1UM FURNACE SIZE
FURNACE SPECIFIED
* Furnace output
OWNER 1H'D~'f;;, ;- 2'tt2..LC( A ~Il ADDRESS ( L.l S- ~,e..DtU. C:oJ n..:r-
I
DATE (D-2..C":f -gD . PERMIT # S'R? ( USE SFR-..,
fj..~ HIE~~ f6u,~~~ . WC;>J:K consists of }J"6'uJ N-DJsE
~~i7~. .GENERAL CONTRACTOR f A "AC.~~_ C~ArJf'7e ~"-:~.:::o fl)
,.. f?" . ()_ Q ~t-u,,^ St. tJ(~ . f ()<-J ~ .
r:('Lp-rJ i."- ~.ucClt ~. ~ . \ 0
~ MAS~N . CONTRACTOR . ZONE
\'\. Width of lot
~
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DATEJ Sb) ()~O
INSPECTIONS
REI'1ARKS
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MAILING ADDRESS
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Front of lot