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"0 a> c 0) ~ l/) a> .c: u :t::: ~ C/) a: o I- ~ ~ a: a> I-Z Z a> o ~ g; 0'> I-;- OQ5C: l/) ~~Rl/)g ~ ~ .~ S ~ ...Ja>a>Xo- wiIioiI:<( :-~':;,:~n l/) C 0: Ci5 co o .;:: - o .9:! W " DATE p~ ~ a I /9ta NAME_R-".AM n ADDRESS JJog- JJ:LQ~ LOT 8.9 BLOCK Q WARD j SUBDIV.JOLD'(\~/!CA~ ,~dh ZONE 12- -/6 STREET No.o?;Ifo~tJ...JY\ S::t LOT DIMENSIONS SIDEWALK EXl ST I NG YES D NO ~ BUILDING GRADE ELEVATIONS STAKES SET AT SITE FEE: $2.00 r 2-~ , I 9 az. BY I,L,.J ~~.~ DEP MENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above described property agree to have the grade establ ished before excavation has commenced. 2B59 3'Z--Yss fA ;tLL /. . - , ,.;..- I '- , '\.) r\ g' "'Y =~b~7#O <~~~a ~,/;!; MASCS. C:QH'1'~a . %am . . 13.::> ' . ACl)llS$S, U10 ~'~ . U$S ;fP?- WQ,:~. <:Q=j.s~s at ~~~ ." 1/ \ /1 :t 'I ~ 4- .39!.J.~ z1/ t l'4~ n. twe:; ~KS:$S ~...,.."" . ""'.1lW ...<II ~m_""~ ."..,'f. STATE OF WISCONSIN Department of-Industry, Labor and Human Relations Safety and Buildings Division, Madison, Wisconsin 53707 JOB NAME: ~ m !b WCATION: .....;:i~. .=~~.<_n. DAT INSTRUCTIONS: This worksheet is recommended for determining 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 floorowhere insulation is not required by' code may be included in furnace sizing calculations at the option of the designer. System Design heat losses. not exceed~.' ng the losses determined thru the code requirements by more than 1 % are considered acceptable. 'fl." ~C FOUNDATION WALL ABOVE GRADE: a"'....r..'..;....... ~':, " ':;r ".;.'" ~:'~.' i' ". GROSS WALL AREA: S~ If lot -;..lJt 7.{ ~/')I ~. 1o?' /I] y. . ?t33c: 1~-3.r (wV~) ), ' i ) - fjv:> v :/1 .: <1.,11:1 e,t'"JO.l/t' , 1'~ ~ I"", I~~.. ~. ~f7 :. "3 () . ~("'+ <6'/0 3~ ~J-;' Jr~ :3.t CJ o. '1 sq. ft. FOUNDATION WALL BELOW GRADE: 113 ,^3= JJ ~J.. I.. hi "1 ln7 N.t T,,,y )J)~ sq. :ft. WINDOW ,,AREA:Dglass Ed:ZE! iii unit size DOOR AREA: r~ 3/7) ) -J,/fj 33~ ___sq. ft. FLOORS OVER, UNHEATED AREAS: ~ '1-11, ,:;l ~ 37. r; 'sq. ft. CEILING ,AREA': NET (OPAQUE)WALL AREA: OTHER:.' 110;1 lq sq. ft. OTHER: I. 5''j 1J- I Form No. , .....11L- sq. ft. l~~ f sq . t . sq. ft. f?~),3 sq. ft. JCJ~ ~ "\':\......).)...../. "'.. 1:: .'. i..__ ,.;: C" H"~. \. .1U' .'.'. ~ ,.1"'; I't :.--;J:.Y::';.' . ~.;.~..........., ..:.'.. tJ OW~c:y ~~ INSTRUCTIONS: Calculate Rand U values using TABLE A-4 in Dwelling Code Book. Separat'e 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 Accepted Practice calculation. type type " ~"8~11 1 2 · "v ' sol sol ,.' . ," . - ,-. cay cav , exterior film ..:17 .17 .17 .17 1---.-:.------...- .---.-- siding .~'7 ./'7 sheathing .~S' .~t insulation ) ~ xxxx xxxx ._------~ framing x:.xxx ~,~ I\.XXX ,--.--.------ l.nt. finish .I-fS ' .rIS' '----- .68 .68 interior film .68 .68 ." TOTAL R d- \. ~.;l. 9.3;1. , II U" = l/R .On .107 ~(Q!t~ above grade walls cay sol cay sol exterior film .17 .17 .17 .17 ext. finish - masonry . ,~ . : . wood --- .. into finish - intl.:rior film .68 .68 .68 .68 11 ---.---- - _._~ -" n Insulation t ~ .,.,.. TOTAL R 7.~~ <' " HUll = l/R .13~ ~~~~ lQ3C?~~ n'.....'.t"'...* .~ ~, -B: _'. , t.''; .-.:; :",>).! ~',;-' l?@ @! type 1 type 2 .'f) -. cay sol cay sol exterior film .17 .17 .17 .17 -~..-._-- ext. finish -- - insulation 3~ ;It. '1 framing xxxx ~<3r xxxx insulation into finish .,,H .S' interior film .61 .61 .61 .61 TOTAL R 3 'f,J ~ r~.' HUll = l/R ,07f .031 '> ~!l1 IJ" It I.{" ~ e<\+ ~J fl @ C"';"'! ~ .."....~....... cay sol cay sol .'. - ".,..' ,- exterior film . 17 . I 7 ext. finish . ~7 . ~7 insulation )1 I' X I'" Iy ,,13 fihish -- into - J. ;3 -. lj tnti;;~ri()r film ( ~) " i I i:..~ ~:.:;:-:.,;,::::.::t.;.~m:~'r':':~l~"'!a,,\~~'.'tl\,~~ ;:.';,.', TOTAL R )O,Sl ;;;) .'{l " U" = l/R . I)~/? . D ~(r' l' ~ 1st thru 3rd foot below grade 4th foot below grade to basement floor no insulation .288 R 5 rigid board ,111 H 11 f'iberglann . O'!~) w/ 2 :x: 4fram:tng ~o . ipsulation J",,",..,,~. 025 walls floors "1,,('l-wle's air film, wall, . 09}-I- .063 .o)\n " .025 ~ '0.,-; . tion & soil par;e ~ZdJ<~ ,,' ~ ~.l.} ~VJ' 1'1' '.; i'S f ~~'.".',.'.'."..~.".""f&.!1;.;,.,..t,.. "ra ," ,; .',', :Jj .'.' , "", ...,..'.....,. J~ ..- . :.-,", ".'c...' I. l.= .."... as ~'...'.'."!"'.."'.. tQ}'I<ii.'."" D'.'.,".......'.'.g..,.,..."',~... 'O"T"U": 'Ill-.. '( .... . "", . '.- .. , ".'_d,''-' .... """".' , '~/;;';;'''\:;;' " '",~ , ~' , @r.''f,it',<..lQ\...'........''.''..,... }~.'..,. .': ..,:.'., .~."'., ",.'..' ", ADJUSTMENT FACrrOJ:\S FORWOOD FRAMING ' cc studs joists 1211 20.% 14% 1611 15% 10% .,.-- 2411 10% 7% iJJ~ CONSTRUCTION HEAT LOSS AREA IIUlI eat loss i TD BTU per hou 'i"S" 3 7.<6 . In <?'S" fl, ov1'Y' t',hh'({'Jj CI' f.': a, (~ I" .01S" %'S" \ " " J}", X )~ ~ . {)~I '$'"' 7/[r( TOTAl... .~ 1'1 ""'1 , I .,t. , '.. ~._~ CODE COMPARISON COMPONENT AREA CODE TD BTUH LOSS 11 Ull tyoe 1 sol. type cav. ( ---...1,--. 2 sol.( type I type 2 cav. sol.( cav. ( 801.( Sr 1 above grade walls 2 below grade(3feet) 3 tl~ .',"'~ ~ I 1 windows 2 patio doors 3 1 2 1 2 walls above fdtn walls ab.ove grade I ~ Of) fdtn al?,-ov~_.~rade fdtn ~boye grade fdtn b_elo~_~ra~~e(3 ~ 331 !.?of!c,~iliE.J:g _~,._____ __(n._ l'-\ e'<':i. '.", . . \Jr,~',,' .t':.. ,.-:,,,,,'. COMPONENT walls more than 3 feet below grade floors AREA :.71 B-S" .I?? r .031 8S S'.) b? {, If3 .12- .25 HEAT LOSS lIUIl ** TD * BTUH LOSS . Ocr 1 ~.)_J 73'1 *TD = inside temp. on g()degrees rj JO* ~f rS' . 20 50';' .029 lie . 0 fir ALLOWABLE HEAT LOSS .", 6. ',.;;,\ j L'; }.t ;. J (~ "l~ "" }L"'lt~ '\iJ...(i o~ ~ ~ u u ~ ~r::s"J ". ."......J.A.'w~...tiiI' 1"""';/ . '...-f"'d " . 'L' "" .,' .,,' ,f: :~~}.-1cr;',~/.,"~.:,.,. jJi~-!'f!'-:.,~t o Q fJ1 'ft ,-",' ~ ,. - Vii11 ... l. J ~~ -," " INSTRUCTIONS: for completion of acceptable practiae method, please refer to Uniform Dwelling Code, Chapter Ind 22, Energy Conservation Standards, Appendix Tables A-l,2,& 3. . WINDOW GLAZING:DSingle w/storm DOORS:Dnsulated SIDINGHWOOd(R .77) WALLS ABOVE LlInsu1ated glass E3S01id wood alum(Rl.82) FOUNDATION DTrip1e pane Uninsu1 w/storm 'iV'ALL INSULATION TYPE: WINDOW AND DOOR AREA PERMITTED % GROSS WALL AREA(from worksheet, page 1) = square feet. GLASS/DOORAREA(from worksheet. page 1) = square feet. , PERCENT WINDOW/DOOR AREA = glass/door area PERCENT WINDOW/DOOR AREA = glass/door area ... gross lva11 area = % INSULATION TYPE: R VALUE (per inch) __________ CEILING REQUIRED THICKNESS (per table A-3): " in 'cavity _"over framing FOUNDATION WINDOW GLAZING: Qsing1e c:Isingle w/ storm (Jinsulated(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 PERCENT EXPOSED = Exposed foundation ~ total fdtn = square feet. to be in con- PERCENT WINDOW AREA PERMITTED(see Table A-2) = percent(%) formance.) PERCENT 'iVINDOW AREA (window area ~ exposed area) = percent (%) ~""'."."..'."..'~...'.',.'..".'..'.'.'.....~.'..........." :.: C" .._.~':;Oi.a i . \"ll '- l\J So'lf' '" .g..... @"'O"""'" ~';i ..... .'.i.'.... ...... ..' ..,. .... .., ,.. .0' .-' ':..: 'r. :"_: -'t,.. -:t.',' A,.. ,::L., .....,. .F... :::..,J . , .. - . ... . , ' . . VOLUNE CALCULATIONS: LEVEL VOLUME CON. TD A/C* BTUH HEAT LOSS 7 ,33 ~ I-;} 'j. I~r'-=- Basement ~'l8' 3 .018 .. ~,r . . H\rG~ I' t_!Je:re]~_~_,__, '\.' 11.018 ~ ~; ~~~'- ~ 1 ':'>;~ J! , i ' '.. 11 ; . ...---!---- --"-- -') '/~fS--1 Level 2 Bll .018 d~"r "~I . --- - J,5i~liJ ~,~ Level 3 .013 )'cAIR CHANGES. Recommended changes bet\veen .25 and 1.00 INFILTRATION J~317 de endin t construction, number of openings, HEAT LOSS on pe p g y weatherstripping, caulking etc. fj.............~,........................... ."'j' ";0." .'.' . .....,_..';J ~!r:\~!..i ~(~~:,' @\...........) ~..~... :,' " '.' ',.) .' ",' ," '. ~." ,'. ;' c"', ".' J~~: "." " .' ".'; ,,' ,. : ..) '-,.' "'. '.,c,,' ...,>- m;'f:.'; ..~....~~....: -',.' . ~~!L~..!~~!.._~?~~S~.ro~_~~~_~ ). __ 2:~11 3 tllf INFILTRATION LOSS (fromnbove). } g" 3 I[ ---_..-._~._~-_..---._----....--_.._-- ---.--- BASENENT HEAT LOSS (frompage 3) -LJ'3 .___-_..._______. ~__,_....w.__...___.....__..... - , TOTAL DWELLING HEAT LOSS: ~p ~,' ~q . !, I '~r t) 0 TOTAl. m-mLLTNG 1,ORS l " , . ,." x 1.15 * FurtlaCe output HAXU1lJM FURNACE SIZE · RNACE SPE:CIFIED if tj ;!:> t{~) * 1~ ~ ~j,,,,,...~ , i J, -I t' il:<:: ... ;;.~ .it ~Z '.. ...E ~~ ;;. .~ .... ~;. "".. 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I ~t..""'.."""'.;" ~- . . ~ :: tr" 'S.~MV!:I....',....~, 11: I.OY E ..... -I ~..,: F..D",,?/ .!i t ~... ;r. l.t~~ J1:i ~ #<'...""- ~1:1' "'-0'''' , . QSj~t:f,;1:,~fI-' ~/. V..4Ms"""" .IAN 0 7 198Q ,. 16 ~T~'i ~ ~~ :",) CD CD CD CD .~~ ----.~... 1689 ~f:i "'t lie- i--@~ b @ ~, ctI, brIJ, 1:~. :~;/.~' J ,...___C~~) ....--- lW\l..;!1l11<< ~b~. HVDRO-AIR 111i{C, 1\''i't,F/ UVG"lf.'IiC. oUla. "AUI OlnY 'Oil uu WIT" "YOIIO AIR CO"'ICTllll1. 01111 TIlUirl I$OUllllltD IoSAIIlnIIlIOUA~ BUIlO.lla COO.,OllfU, IT IS TO If ,I>- CDIIPOUmllllTO 0\ 'il/Utlll" DUliN AT T~t ",,,,,cllnu Of 'I<. al,SI'lIU 0' !"l 'UllOIIlG~. JjI~C'lIi ,1.IClml.. '011 lAUIIIIl IU', , PO liT 0' 1.oIVIClIl""- TIlUilUlllAalAl Dill y, AOOlTlDIIIAlIIIWIlG 0' TMl OVUlIoLl ITI',llctuilf Ill"" IUIIIUI~tO, '011 I>tll'!I't1IL 6UI0"IICI \Ul l!!~..!lO ~gg TIIU"l.' ~".'. O....".ltl. II.'...T.II....II$S I ew; ..IIIII1I.".UIII(.~.!(\.'lIn '..D.Il..TA\:TI..Ull. 0iIl.. Ii IlI$lGllf!\, fOllIIlFOfWll. THlIlIUGA.Dllla '''''''CllnOIl, IIUIoUTY CIIIIT~lI"'ITOIIIIGl, OIl.IVIII..lIIunM AIIO :lOlACl" CII TII,""I, COIl$4lU 1K" QUAliTY CllllTIIOllilAllll,u' All' !!h.!!l:~.ll!!~!a!t11' .T"II~!.!~ma'..< ' ~"~.!.:";,_'l t,~~~, 1-r>;\::-;>.'~ rt.:~;~;.'1n~'.1.,~ \.-:'f~-:.:.""'-If:~r~ ~rr~.l!l<<r'~f7"""1f: .l!-.';t.'t~I'!I ~,:r"'t;'~~:"H" It , .OTU, t. CUT AU MtMnlll TO IUR. I. UIlTU 'U TII 011 IOYM ~\[; IS III TRU" 1011111 UIIIUI OThSK. lnllIlDtlO. ~"-','1''''1 o Seaso na I Permanent Other he applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit; understands ~hat the issuance of the permit creates no legal liability . erzx..ss. r implied, on t D partment or Municipality; and certifies that all the bove' ormation IS accurate. SIGNA TURE OF APPLICANT" DATE STATE OF WISCONSIN DEPARTMENT OF INDUSTRY. LABOR AND HUMAN RELATIONS DIVISION.OF SAFTV AND BUILDINGS 201 E. WASHINGTON Ave. BOX 7918 MADISON. WI. 53707 WISCONSIN STATues 101.63 WISCONSIN UNIFORM BUILDING PERMIT APPLlCA TION PERMIT REQUESTED ELEC 5/ Yo, SECTION /~ 'a. J.1AArr- Front I ;;2 7 ft. Rear /;1 1. PROJECT 2. TYPE 3. ELECTRICAL 4. HVAC EQUIPMENT r1G:New IT~lteration o Garage o Attached o Detached o Other o Master plan no. (if applicable) E~trance P}~l~ Size: L-GL (/ Service ( o Underground o Overhead 6. CON ST. TYPE 7. FOUNDATION AMP Forced Air Furnace Radiant Baseboard or Panel Heat pump o Boiler o Centra I.Air Condo o Other r;(C:ingle family iLJ~wo family o Other OAddition o Concrete o Masonry o Treated Wood o Other 11. USE o Site const. o Manufactured 8. PLUMBING Sewer o Municipal o Septic o Permit No. 9. AREA 10. STORIES o Basement c3s 2- o Living Area / /7.J'~" . o Garage sq.ft. This permit is issued pursuant to the following conditions. Failure to com revocation of this permit or other penalty. 13. ISSUING JURISDICTION NAME OoL~( .~CITY o TOWN DVILLAGE MUNIC. NO. PERMIT NO. PARCEL NO. DPLUMB Telephone Z'5:J ~-/3fL/ Telephone _~3 --/l5# E(orlW Block No. .~ Right r ft. /7 - 6ffft. 5. ENERGY SOURCES T Lot No. ;?- N, R Left f' ft. Fuel Space Htg. Water Htg. LP Gas Nat. Gas Fuel Oil Elec. Wood Solar Coal Other o 0 ~'~ o 0 o 0 o 0 o 0 12. WATER o Private o Municipal DCOUNTY DSTATE :2..fL- -2--6- k FEES PLAN REVIEW INSPECTION WIS. PERMIT SEALlS) OTHER ( ) TOTAL $ /"t/ DI LHR~BD-5823 ISSUING JURISDICTION/AGENCY