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LOT DIMENSIONS J~GVt!-AP- YES D NO ~ 3-~w liARD , 19~3 BY ~!"J BUILDING GRADE ELEVATIONS STAKES SET AT SITE FEE: $2.00 ~r ~7~ DEPARTMENT OF PUBLIC WORKS grade established I, the undersigned, owner or agent of the above describ~d property agree to have the has w~ed~ ;/ /~ "x(~ 293~ before excavation '3~;'?; k I F r' '~ STA1~ OF WISCONSIN Depart~ent of Indust7JJ Labor and 2uman Relations Safety' and 3ui.ldir..gs Division, Madison, Wisconsin f&t!s~~ ' ,4/~:Z /7' d:5 53707 -APR ::; 19t SB JOB NAME: }/ e. t I t-U '/50/1/ LOCATION: J'3OS- J-/v,,(>{)1U G-j" OrlSSHBET DESIGNER: ZONE: RA/V S e/'l./Z DATE if / s-j8 ':3 1 I INSTRUCTIONS: This worksheet is recommended for determining conform- ance with the Uniform Dwelling Code's Eriergy Conservation Stanq~rds. 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 a.t the option of the designer. System Design hea.t losses not e.xceeding the losses determined thru the code requiremepts by more than 1 % are considered a.cceptable~ . area. calculations GROSS THALL AREA: I I /6bx' '7 TtlINDJW ) tf 0 i sq. ft. ,.AREA:@'glass,! size 0 utdt 5i::e A- i " ;y)- . I """d. S"O:3Ox'f 1../0 ']0;>< l.f SO ,/0 7<. :L =- '3~ cr~ ;; 9-'1'01 - ;< s,zo rl)...(j f.:, S. 'J:3 sq. ft. DOOR t\RL\.: '3' ~ peA- c. h f ~ c- e J-!- ''1 $17, S;l.. sq. ft. CEILING AREA: NET' (OPAQUE)wALL AREA: 14-0<(... - (,,-:::',:;3 - :Yl,n.-<i-O.ez. I/'.... '''''4!' .l-f.? .t:.-., g~. J'3/ '.00 sq. ft. J'30:l.&.5':sq. ft. Fnrm No. STID-5513 FOUNDATION THALL ABOVE GRADE: . I S- C:::> X. Cc '? J 0 '-/. 5'-Zsq. ft. FOUNDATION WALL BEIDW GRADE: )S-~ I'X :3 I J..jt,.8_ ~sq. ft. FLOORS OVER UNHEATED AREAS: I I JO' :><. P- "OTHER: P A 1-, 0 0 ~ . c:.~ AILA~' /IVJ" .1.-0'. c:::>osq. ft.. OTIiER : L.j ()~ 0::2. sq . ft. sq. ft pa.fi;e '1119 VA~U~S ^ rTI~~UC~=ON~: Calculate ~ and U values usir-~ ~~tE A-4 L~ Dwelling Cece Book. ~eparate calculaticr-s for syste~s havir-g the same insul- ation but di:fere~t i~terior or exterior finishes is not necessa~J provided t~e syst~ .v2th the lowest R value' is used in the System Design or Accepted Practice calculation~ ' wail i;ype -1 ;:;ype 2 cav sol cay 1 sol -. .. ~ exterior film .17 .17 .17 .17 .,- . . ~. '-- -- siding / . & 7- I.Bz -.- --... "1-- ;> <.f..'~ sheathing ~() ~_J:2t:l insula.tion J :3 . 1)( x:ccc x:aa ." framing If. '36 ; n-c . finish .'IS . l/,5-- interior film .68 .68 .68 I .68 '!''JTAL R ').1-./. l;tl IS; Lf1 I .IU" == 1/R ..P"fJ ! .. t/t;. ~ ,t>48 ,," f?4- fdtn above ozrade wa11s cay I sol cay I sol . .17\ .171 ~.:s-;e.I'ior film .17 .17 -IV'-+- I ....~~ dsb. ~,() . . .-.-- I ma.sonry ~ (,I./ wood - into fL"lish - int,.;rior film .68 .68 .68 .68 !l1sulation - TOTAL R 1f,.7'ql I II Un .. I/R ..~l I 161/ reo! type 1 type 2 cay I sol cay sol .~ .' " exterior film .17 .17 .17 .17 ext. finish . (,;).. . (,''7- ins ula '4 ion 3,.bD ;?$'; .6 framing x::ac:x tj.~S .:cocx: insulation - - int. finish .'1-5 .9S' interior film .61 .61 .61 .61 TOTAT R 31,g5 j/.v:J IT U" == 1/R . o~s1. ~';L AR~A 0'-' eA? gther u-./J, c4-ld . cav sol cay sol exterior f11.m . 17 _ J 1 ext. finish . to.?- . to "2.- SAe;",ll,...-,. / I' ~ _ 00 'C' D 0 insulation 14 - !-- R A o-n 1"-'- r - Ie. f'3.. int. finish I.;ztf J.l.t( , interi9r f1l:n ,&,'8 .iPS TOTAL R 2<;,7/ .2/.S-~ I ,null == liE .03 :3 ~6tf(P1 I u, bas~ment* 1st thru 3rd foot 4th foot below gra.de below grade to basement t'loor no :.ns".1l!:.t:i.on .288 .094 .....a lIs R 5 rie;:i.d boa.rd .1l3 .063 R - ., fiberglass .072 .048 1..... -"1/ 2 x 4 framing fleors I no insulation .025 .025 * includes air fi~, wall, insulat:.on & soil pa.ge 2 r ~SVS~~M 1JZS ~ CONSTRUCTION ~_T LOSS i G~7-~~ heat loss 1:: J!~ ~IU" TD BTU per hour. d2 ~' ~y-oe cav.(l~~S A ~S-%) , ,J-f,.~~ :OIH &C ~ J ~$~:!;~~ 1 sol. U~A~ x ).0 %) ! Fi9 '.~ &S' ~ \ ~ t~e cav. ( :1..0. (,)0 x fiS' 56) 11 .033 ~S- i8' ,. 2 sol. ( *-0, "0 x IS-%) 3 ,0 'It, gS" /t2- tY1?e cav.( }3/1,OOx 93 %) I:<.Icr ~6~S- ,g,s- !L {" c:r J reof . sol. (;3/1, co x--2-fo) ?fL-.. ~ 1 ~O .()~2.. 8.5 typr> cav. ( x~) 2 sol. ( x~) #b71 1 above grade l/lalls Id'(.S";2.. ..~ BS J~ ,""'; Fdt '~1 n 2 below grade(3 feet) 'f b, B *Z:~ 6" C:/~ ~4f'o/ ~ 3 , - glass 1 \dndows ~~. 33 .:3~ CS )'7'1'1 2 patio doors 7'0. o:2~ .39 ~S- 132.7 3 deers 1 Pe:~ life ~ 37.82- .D(i,"7 ~S- c21s-' 2 ether 1 2 , . -J4~"~~ ' 'IOT..\1. 437C ':A'\ tS"C 11bl 1?J! <t;;:?" j , d^ ADJUSTHENT FACTORS COMPONENT AREA CODE TD BTUH LOSS FOR TN'OOD FR.A..~NG " U" cc studs .j oists w'alls above fdtn l'To,! . I -;.... e$" I'I~::;.,I .. :j.2,'~. ._~--_. 14% walls above grade 16" 15% 10% fdtn above grade J 0 '/..s-~ .25 " 85' ;?~2CJ -- -- 2iJ.rt 10% 7% fdtn above ~ade fdtn below grade{ 3,~ J./(Pf .20 So ,.. ~(P8o roof/ceiling )~ II .029' 85'" 3 23~ h.-i}O /1./ ()nil... V.v~-ref.J ,zv i &? fS- 15"3' ALIJ)WABLE ~LI ,i~.AT HEAT LDSS ",.."...,., ...J ~~ J ~()~ )< "6'/~';{ 4-, ~ f; ~ ~ bas~ COMPONENT AREA "U" ** TD -:+ BTUH LOSS . ~falls more tha.."l 3 feet 'I6~ .0 CjL{ So /2,"-00 meni '~e1ow grace f'cors I 3/1 ,o~ SO I (p ~~- Cf minus 20 degrees i HEAT LOSS 8~3cr *'!':J = inside temp. - . CODE COMPARISON "') </:.;. (( 4-S:- **:rom ~ao1e on ?age 2 page - ~ ~ <!": ~ tA~~zaf~~~ ~~~~~-ib~~ :F1nAC~lC~ ~~S~UCTIONS: for completion of acceptable practi~emethod, please. refer to Uniform DYelling Code, Chapter Ind 22, Energy Conservation Standards, Appendix Tables A-l,2.& 3. WL~OW GLAZING:[]Single w/stora DOORS'~nsu1.t.d SlD!NG~WOOd(R .77) WALLS ABOVE [JInsulated glass Solid ~ood alum(Rl.82) FOUNDATION DTriple pane ninsul ~/storm ~';ALL . nrSULATIOU TYPE:: WINDOW MID DOOR AREA PERlfITTED % . GROSS WALL AREA(from worksheet, page 1) - square feet. GLASS/DOOR AREA(from worksheet. page 1) - square feet. PERCENT WINDOW/nOOR ~\ - glass/door area PERCENT WI:.IDOl-l/DOOR At1EA · glass/door area + g1:'oss t.Tall ar ea - % .. , , , INSULATION TYPE:: R VALUE (per inch) CEIL~G RtQUIRED TRI~mSS(per table A-3): " 1i' cavi cy _" over framing rOUNDATIOli WINDOW GLAZING: Dsingle c:Isingle w/ store C]inSulated(double) WALL D'Strr.A.TION TYPE:: R VALUE EXPOSED FOUNDATION AREA(from worksheet, page 1) - square feet. (walls must TOTAL FOmmAIImt AREA(inc1udes above & below g1:'ade)- square feet. be insulated PERCElIT EXPOSED - Exposed foundation ~ total Eden . square feeC'. to be in con- PERCENT wnmm-l AREA PE:It."!ITrED(see Table A-2) - percent cn formance. ) PERCENT i~OW A.~(window area ~ exposed area) . percent (%) . I!fF!LT~AT:QW , A/C* VOLmfE CALCULATIONS: u:vEL VOLUME CON. Tn BTUH HEAT LOSS Basement crt./D '.018 8S . :z.s- '3(p,7G Level 1 Jo'lSS- .018 g5" 1.0 /(0 0 'It:, Level 2 .018 Level 3 .013 i L."ITILTP.ATION * AIR CRA.L~GES. Recommended changes berween . 25 and 1. qo HEAT LOSS / cr 1 7- t)... a endin on t e construction. numeer of openings, dp g yp weatherstripping, caulking etc. Fua&:AC!i sz~z ALLOWABLE HEAT LOSS(fro~ page 3) ~ If if S:3 nTFIL~TION LOSS(fro~ above) ICf77-:L BASEM:D'T REAT LOSS (from page 3) 3839 TOTAL DWELLIl~G HEAT LOSS: ~/ 8 0 /1 TOTAL m-1E1.I.WG U)~S If e c> I '-I x 1.15 MAXTMUH FT'!R~AC:E SIZE: .s-S/LI (p * * p'l:' * Furnace out?ut 4- STATE OF WISCONSIN WISCONSIN UNIFORM IZ! ? z_- OEPARTMENT OF INDUSTRY, LABOR AND PERMIT NO, HUMAN RELATIONS DIVISION,OF SAFTY AND BUILDINGS BUILDING PERMIT 201 E. WASHINGTON AVE. PARCEL NO, 80X 7989 MADISON, WI. 63707 APPLlCA TION WISCONSIN STATUES 101.83 PERMIT REQUESTED ~CONST ~HVAC ~ELEC o PLUMB O~ Name AhUt7'S Mailing~j?7 Lv, qJ:d;A~ Telephone c'&/5t7b /UE"L) ~:;L3s- - / 0 g- / con~s Nam..!- Mailing Address Telephone AM~' PROJECT LOCATION y.. %, SECTION , T N, R ElorlW Buildifl9 Addre~ c C-J' ~ision Name )/VIP-CJt.7<C/L- ~~L) Lot No, Block No, /2~.r- W/47~ "'r-: rt'l-;-r::;3c-- 60 - zo~~t~t/6 I LfOri 'Z)~ ~ Front , .~' If Left ( Right p S f I Setbacks .;2 S'~ ft. _ ' G /~ 37 / q, t, ft, ft. ' :.J- ft, 1. PROJECT 2. TYPE 3. ELECTRICAL 4. HVAC EQUIPMENT 5. ENERGY SOURCES .f3New Entrance Panel ~Forced Air Furnace Fuel Space Water DAddition ~ngle family Size: /.:# (? AMP o Radiant Baseboard or Panel Htg, Htg, DAlteration o Two family ~iC~ o Heat pump LP Gas 0 0 0'Garage o Other Underground o Boiler Nat, Gas Et ff' B1\ttached o Overhead o Central Air Cond, Fuel Oil 0 0 o Detached 6. CON ST. TYPE 7. FOUNDATION o Other Elec, 0 0 o Other Wood 0 0 o Master plan no, 0'Site const, .k3'Concrete 8. PLUMBI NG Solar 0 0 (if applicable) o Manufactured o Masonry Coal 0 0 o Treated Wood Sewer Other 9, AREA ( Outside n) 10. STORIES ~nicipal Dimension o Other ...0Basement /;Jf/ sq,ft, l2]1":Story 11. USE o Septic 131/ o 2-Story o Permit No. 12. WATER ):a'Uving Area sq,ft, o Other BEsonal o Private lZ1Garage #4- Permanent sq,ft, Other J:::'JMunicipal h, ,,,,,n~o' "''''' '0 oomply wl'h <h, WI~o",lo "olfo,m Dr' ,od o<h" M"ol"",1 0,"0,00" ,od wl<h <h, 000""0"' of <hI, p"ml" "od",,,od, ~:::~~~ai::~ance of the permit creates no legalliabili~ress or .~ied, on the 7artment or Municipality; and certifies that all the above information SIGNA TURE OF APPLICANT '\i___ - (J~ DATE 3~ I f-- f3 CO DIT ONS OF PP OVAL This pe~mit is is~ued pu~suant to the following;conditions, Failure to comply milY result in suspension or N _ I A R revocation of thiS perm.t or other penalty, _... \/~ '--)(J /A....If.- .A' .....// /- ~ /1 J ,g, ~._~ ~/~~ /~ ;:]-;,{ 0, /;/ ./ , I. ,A.d. .... .....JL. 'AAA/.',L .....AA ;,..., ~ "f:;) \ ~ ./ ~.." A ; . . tI (/ i iT.."" ... Df' n 111 /"l-- ;, .A .AlL'" ,.. ..ell! A .AA. ' /, bA 5Ir-- ,..... .-11-" 1-<....'" ~~ <#A1LJl r,. _~l . , .... V , 13. ISSUING JURISDICTION DVILLAGE ~TY o TOWN o COUNTY DSTATE : NAMEaC~ :;;d-c 2~- 'Z- ~ MUNIC, NO, 0 ~ FEES D PERMIT(S) WIS, UNIFORM PERMIT PERM!T IS~UED BY ISSUED SEA.L. NO.(S) " $ .~<-- ~ CaNST, kd "f../ ~ NAMt.k'~~AfAA'~ -, PLAN REVIEW INSPECTION 3c) IA"HVAC 1.3~0-_ ,;-t4---Y'-? WIS, PERMIT SEAL(S) 0'ELEC "1-3 :5' DATE J /P-, /") , CERT NO, -ts, 1.-- I b tV OTHER ( o PLUMB TOTAL $ tv...- ti? JJr:3014- DI LHR-SBD-5823 ISSUING JURISDICTION/AGENCY ..*'"''''~~ ~f{:r;~;_=""""",~;.~;"i ,';'> .~ ' .".' 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