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STATE OF WISCONSIN
DEPARTMENT OF INDUSTRY, LABOR AND WISCONSIN UNIFORM
HUMAN RELATIONS PERMIT NO. ��1'
DIVISION OF SAFTY AND BUILDINGS BUILDING PERMIT PARCEL NO.
201 E. WASHINGTON AVE.
Box 79610
MADISON, WI. 63707 APPLICATION
STATUES WISCONSIN STATUES 101.69
PERMIT REQUESTED licONST VAC ❑ELEC ❑PLUMB
Ow ame Mailing Address Telephone 7@
Contractor' ame Mailing Address Telephone
PROJECT LOCATION 1r. v., SECTION T N, R E(or ►W
Build Address Subdivi n a L /c$ NNoo. Blo ck No.
oning DisX ict 1 L rea Front Rear Left Right
g -1 I YYY Y0 C( /6, q.ft. Setbacks ft. ft._ O ft.
1. PROJECT 2. TYPE 3. ELECTRICAL 4. HVAC EQUIPMENT 5. ENERGY SOURCES
New Entrance Pan Space Water
El Single family Size: AM/ ❑Forced Air Furnace Fuel Htp. Htg.
Alteration wo family Radiant Baseboard or Panel
Service Heat pump LP Gas
Garage ❑Other Underground Nat. Gas
Attached Overhead ❑Boiler
❑Dettached entral Cond. Fuel Oil DI 6. CONST. TYPE 7. FOUNDATION Other Elec. El Other Wood
0
Master plan no. S ite const. crete 8. PLUMB NG Solar
(if applicable) Manufactured LJMasonry Coal
Outside ❑Treated Wood S er Other
9. AREA (Dimension) 10. STORIES ❑Other
tm
asement 4' sq.ft. Ell-Story 11. USE ❑Septic
0 2 -Story
111 Permit No 12 WATER
Living Area 4 74" sq.ft.
Garage sq.ft. Other [1 III
7 ermanent ❑Private
1Ither unicipal
the 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 impli: the Department or Municipality; and certifies that all the above information
is accurate. II
SIGNATURE OF APPLICANT A_ a DATE 7 72--
CONDITIONS OF APPROVAL This permit is issu::rJT :nt to the following conditions. Failure to comply may result in suspension or
revocation of this permit other penalty.
13. ISSUING JURISDICTION ❑VILLAGE CITY ❑TOWN ESTATE
NAME Q MUNIC. NO. 2 6
FEES PERMIT(S) WIS. UNIFORM PERMIT PERMIT ISSUED BY
j SS SEAL NO.(S) gg
PLAN REVIEW G ONST. 62(4 NAME j a 46-4 1 4
L OL 1
INSPECTION HVAC !f rr
WIS. PERMIT SEALIS) f=— ELEC DATE 2 2-- 7 Z---
OTHER ❑PLUMB CERT NO. 7 —7,(04._
TOTA L
DI LHR -SBD -5823
ISSUING JURISDICTION /AGENCY
STATE OF WISCONSIN
Department of Industry, Labor and Human Relations
Safety and Buildings Division, Madison, Wisconsin 53707
JOB NAME: w 1ESIGNER:
LOCATION `LONE: E 7 /y
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 floor: where
insulation'is not required by code may be included in furnace sizing
calculations at the option of the designer. System Design )i at losses
not exceeding the losses determined thru the code requirements by
more ,than 1 9� are considered acceptable.
(.5 t Y G.i0S,S WALL AREA: r 'i 1 OUN fATION WALL ABOVE GRADE: 1
60 6„
1../ote
o' t s q ft. 27 s q. f t.
WINDOW ,AREA;E'glabs J� t.iize unit size I'OUNDATION WALL BEIAW GRADE:
2A-/30 91 o V r,
G. R M'o.„f 3 w 'X /z /.7 s
Pte.. .7t r 8
0 336 9' s
9a. 2 3 3 6 ;-i. /a s q f t.
r'y ft
1wOR AREA: A )0hJ GV1?R UNHEATED AREAS
3 o 2 d, S x 2
47C�q. fty..., 36t sq. ft..
CELING AREA: NET (OPAQUE)WALL AREA: OTHER OTHER:
i0 �,v
ft.
sq. ft. sq. f t.
q. it
5518
5
na,ie
i la 9 "I 'A 'in n'
A .4 JI ::44
INSTRUCTIONS: Calculate R and U values using TABLE A -4 in Dwelling
Code Book. Separate calculations for :•>y:, tclns 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.
t yp e 1 type 2 1 type 2
cav sol cav sol t (j ype.
cav sol cav sol
exterior film .17 ,.17 .17 .17 exterior film .17 .17 .17 .17
,siding ,OS- /0 vc DS r xt finish X
sheathing _S S ire; U1 L:ion
n:.iulation XXXX y a.XXX f 1.•�,.Ilil xxxx ,.e/3 XXXX
framing' i xxx 4.135°' KXxx g iusulaLion
int. finish y5' ys y int finish y/ ,y
interior film .68. .68 .68 .6c. i.nterior film .61 .61 .61 .61
4 AteaSO.1 0 ma es„ .3 11171.aww.uxulka.pi'. ∎•••.0.661
R .901//,12 a6,a17I' 3'� 24 S'$
is 3
l1T l .w- rep. .:r., T ,rri ,.,wwru.w•.z� 23 l..a a.w,.p..
1/R ,p'/9'1.08'5" ,038 ,o“" "U" III .0'�1
..:i4a:.a,e ...t�:.�...:..ita.......,4 r.: itialffittUab
........6.a....,....b.,ma. rrt..�V+bA...t. a ta.e.,44 ti.. �.r.awrr +o,
it r* 11
t .1 i L. V.: cav I s 1 I cav 1 )1 7 t i 't cav sol cav sol
......�..a..:.a:::,:rd..a: ....,sol.
ei terior Film .17 i .17 .17 .17 N (L- ri.or film ,/7
ext. finish ext. finish
insulation /4
i finish
n _!s', clr f, 1rn 68 .()fi .ca�, int. finish
Oq3 .09
,ii it ion /0 .C/
1� �_f. L�'r•:i or film 6/
t..:
L TOTAL R 1/911 Q, y
ae.e 1 n.ia,..M.� Arch.[...... 1./R p
M.' s ,.aaaw...
W 0 u c: 1s thru 3rd foot 2 4th foot below grade
i.:a �l L below E;rade to basement floor
no insul ion .28b ..094
walls R 5 rigid board .113 .063
ii 11 1'ibei r tlass .072 .048
w/ 2 x 4 framing
6, w..a.. r...... Y r.. a. t.
f lo :i1 s I no insulation .025 .025
N.J. .,.....Nn$ w.1.�: elL fi'did..,r.r. ,s Akte ..tlYeaubbl•WIOUNalg i tea war 6 1 .i: NL _••:m•� gnu y •+M ON-- ,.laf�
0' L
..0# S j p/
i. '.J CONSTRUCTION HEAT LOSS
,,,,w,............................
f i ,-3 g Lok nt „1 1 1
TD eat loss in
BTU per hour
0110e c av 22.0_x j .2 0 ivl
1
s_.91+ i
J C 2:1.6.
v./ typo cav 2 i e_
2 sol. ‘7 x /1 2 0 c a tyj a...
type cay. 1 200 x 13 7/4 ,Q.A..s _eV g 37 7 s.....
ti ii q 1 soi.Lij ,0471 f ...1 5 0
t ca.v.( x
2 sol.( x
9 q
a 1 above grade walls
Al• Mill -1./.2
i 7 s.
.1-4 2 below gradc.H feet 97z-/ ,oe 1 a* ;.3P 4 i
I C) L ‘11
1 wAndows eR r r 2
2 lyttio °ono::
3
1.
imi ____,4.22LL__
3r21
t 1
t -I
4 .9s""
13a.,6 1, as wo. s
1 1
i 1 3
J.
l V...f 2 j 3 a x /,5-- 0 r 3
7. z.,..:. 2A 2., •2....., 221 10 16 21 6 2122221222,..2iAci21Y42122. 22211/2. ANUM=MLIZIZIMM-7
TOTAL 7
copE COMPAhON
1,_• ,J, ....r.,NT .1-71.0'1,01iS ,O.t..,
COMPONENT
A
i A P. "U" TD BTUH LOSS
I clios joi st:.3 lwalls above fdtn .20e7 /5 e 23.R40.
1 wa.11s above L cracie
l'f',. ab n v c-i r:I• r_ a e Q7' 2if, r /6
1,
'7'/: fcitn above t
t'd tn below Erade 3 4../-74.9 .20 (c)* 979e
roof/ceiling .029 r5" cZ_qc
ALLOWABLE
HEAT LOSS R
.e........... e Aprirliiiallo T D 101111 4.aser.
i 1 (-)1'?OliE.iirr I AI U A 'Ll H LO i i t 1 r 4-
E. C t..,:i LI ',la 11 more than 3 feet 4 32 oqy 0 ,-7,.
fi II 14 t P .6
1'1 ,-,(-)t•S /0 A a 2- o 6
!:i.r t n:Iinus 20 degrees HEAT LOSS /-7
C-7)
c J 8 0 l i b D. ^L 4 •.0 ,24 i 14 r 4 :7 4,: 73 .A '''':'4
INSTRUCTIONS: for completion of acceptable practice method, please refer to Uniform
Dwelling Code, Chapter Ind 22, Energy Conservation Standards, Appendix Tables A-1,2,& 3.
WINDOW GLAZING:E1Single w/storm DOORS: nsulated SIDING;Bwood(R .77)
WALLS ABOVE rlInaulated glass Solid wood alum(R1.82)
FOUNDATION ElTriple"pane Uninsul w/storm.
WALL
INSULATION TYPE: WINDOW AND DOOR AREA PERMITTED
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 wall area mg
INSULATION TYPE: R VALUE (per inch)
(IALING
ITOUIRED THICKNESS(per table A-3): 11 in cavity ___"over framing
,N GLA;;ING:Elsingle flsiagle w/ storm Qinsulated(double)
INSULATION T1TE: R VALUE
hXi'OSEDFouliwoloilaaarornworksheet, page 1) square feet.
(Us r sht•-
n toiAL FOUNDATION AREA(includes 'above below grade)= square feet.
i- iv:;ulated PERCENT EXP _square Exposed foundation e total fdtn square feet.
1 PERCENT WINDOW AREA PERMITTED(see Table A-2) percent
.ilikce.) PERCENT WINDOW AREA(window area t exposed area) _percent(%)
t ."1 I V t.' L I,' i 1■
I .7 2- I.
T'T CALCULATIONS; LEVEL VOLUME I CON. TD 1 A!C 1 BTUH HIAT LOSS
Basement q‘o 1 0.18 1 2-5" /10
Level 1 /go(' 018 ,5 7S /7,. a/1,N
Level 2 .018
Level 3 .013
!1 CH,.:J Pecou,mended changes between .25 and 1.00 INFILTRATION
HEAT LOSS
on type construction, number of openings,
iherstrip,inr.„ caulking etc.
'4 .i i A *74 c
4
i i II I 4
I '1/4_, Li fa 4 T... i
N li
C-, L k.,„ :s IL:1
t.(ALBLE HEAT LOSS(from page 3) o s--,,, ioTAL DuLuinc IUSS aaral
AliiRATION LOSS(from above) /76. ep& x 1.15
:,f HEAT LosS (from Page 3 6 7, 96 MAXIMUM ITRNACE SPE
!O.FiA_ 1JI.. HEAT LOSS: a gra rUfNACI SPECIIIED
1.-
DATE vr/2 5
NAME Cc.4, 41/4„ej ADDRESS /0 i 6
LOT 62, 4 Q S t q 2- C C Y BLOCK WARD `S
SUBDI V. I A Ukt S o asaied r ZONE ,e_
STREET NO. /°7/0 �Ja� r /e LOT DIMENSIONS qd K 1 pil
SIDEWALK EXISTING YES NO
BUILDING GRADE ELEVATIONS STAKES SET AT SITE 5- ,I9 P Z_ BY 1<tJ
r
FEE: $2.00
3
0 et-...e_-eA: S c Z---o-c-'-e--do'L
DEPARTMENT OF PUBLIC WORKS_
I, the undersigned, owner or agent of the :.•ve described property agree to have the
grade established before excavation has commenced.
287
WESTFIELD
-5 76 75 e
1215 1205 155 1135 I 1125
TRACT
d 6 7 8 9
A
DO C.
PLAT I �c
47834
75 75 75 8O J '4
--7T-- 75 75 8o S
1 95
So 75 80 75 73 90
O
9 13 14 n 15 16 17
r 18 19 20 21 k' s
T O J 4''SMITH' /6 /&-,/q r o
1ST. ADD
1210 1200 1 180 1 170 1 160 1 150 1130 0 1 120 1110 I
75 75 75 80 80 75 80 75 80 1 l 90
LOCUST ST.
71.? 80 80 73.65 60 84 84 84 R4 84
1205 1185 to 1 1 3 5 1 125 1 1105 7,
N
4 n 3 2 n I° d 24 2 3 2 2 a n n
LEWIS ADD. W ACR PLAT
so 8o 80 14.46 84 3M 84 L_
8.71 85 52 1 61.13 80 1 80
R A I 4
CH TRACT I TRACT
ki 3 1 4 i
7 8 ri 9 Q K 10S31! )6 -ga -1 /..-g;-54
DOC. DOC.
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11 4 9705 4 3 L EACH S
0 �S.s7 57.78 70
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6 SAWTELL CT 1 02
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SU. ^TRACT1 R,CT
60 I i
'L 3 15 61 70. q r'
305 J