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DATE 1/ 5 :- cS
NAME /M/ ADDRESS a 3 9 � /,,.. t.�i N _
LOTS //Q /1/ BLOCK WARD
SUBDI V. ,1 .,_ � � ! ; /, ' ZONE
STREET NO. 70S S /7 . 1),1 DIMENSIONS Igo k ( (o
SIDEWALK EXISTING YES I I N6--J7Tf-
BUILDING GRADE ELEVATIONS STAKES SET AT SITE /1../ir; '7 ,19 qz3 BY
FEE: $2.00
re
DEPARTMENT OF PUBLIC WORKS yQ
1, the undersigned, owner or agent of the above described property agree to have the
grade established before excavation has commenced.
2763
o,
STATE OF WISCONSIN
USTRY, LABOR AND WISCONSIN UNIFORM
HUMAN R RELATIONS
PERMIT NO. V
DVISION H INGTON ANOBUILDINGS B UILDING PERMIT
!0I1 E. WA AVE
eoxAw PARCEL NO.
MADISON. ONS( STATUES APPLICATION
WI SCONSIN STATUEATUE S l01.e3
PERMIT REQUESTED ONST ❑ HVAC LEC ❑PLUMB
s Name Mail Addre
k iiso /'� Telephone
Contractor' Name Mailcno Address
C Telephone
1. ( 1E VL-` Q L4 cL W _ Pi Z 35--$ V?
PROJECT LOCATION �Y4 v., SECTION
Building Addre , T N, R E(or1W
/ 0Q ,,,. / � Subdivision Name Lot o. Block No.
S i+o -c 30 U0 %/L.. N./ (C C. n (£T [ p .t c. ( o 2.,4 c. l (0 * t
Zonir�8,District Lot Area (�
1
V..-- / I rea Rear Left Front Right
l 8 7—.), Sq.ft. V Setbacks Z ft. 30 .4 ft. (DI / f 3 ` ft.
1. PROJECT 2. TYPE 3. ELECTRICAL 4. HVAC EQUIPMENT 5. ENERGY SOURCES
A'v ew ❑ Addition 125 g family S in le famil Entrap Panel
El Forced Air Furnace Fuel Space Water
El Alteration Size: AMP Htg. Htg.
' l ❑Two family Service Radiant Baseboard or Panel ❑
Gafage ❑Other Underground ❑Heat pump
^'z LP Gas V
Attached ❑ Overhead ❑ Boiler Nat. Gas
❑Detached ❑ Central Air Cond. Fuel Oil ❑ ❑
❑Other 6. CONST.TYPE 7. FOUNDATION ❑Other Elec. El ❑
❑Master plan no. Wood ❑ El (if applicable) Site const. ,Concrete 8. PLUMBING Solar ❑ ❑
❑Manufactured El Masonry Coal ❑ ❑
9. AREA Dutt ❑Treated Wood Sewer
Dimsion) 10. STORIES ❑Other Other
��� v ®Municipal
asement sq.ft. ❑1 -Story 11. USE ❑Septic —
1&.2-Story 0 Permit No. 12. WATER
Living Area b 0 sq.ft• ❑Other ❑Seasonal
Garage . -2 sq.ft. Permanent ❑Private
❑Other )] Municipal
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 implied, on the Department or Municipality; and certifies that all the above information
is accurate.
SIGNATURE OF APPLICANT./41-0-A- z---:$2, L-- DATE // / - 6
This permit is issued pursuant to the following
CONDITIONS OF APPROVAL conditions. Failure to comply m
revocation of this g P Y �Y result in suspension or
011/4 1.4)
� � permit or other penalty.
7 / O c1 ! .4 1 , .3 _7a ea-. /2."
13. ISSUING JURISDICTION ❑ VILLAGE IL3,CITY E] TOWN °^ ❑COUNTY ❑STATE
UR
NAME v � Z U /4 S �
MUN IC. NO. / 0 —
FEES PERMITS) WIS. UNIFORM PERMIT
ISSUED SEAL NO.(S) PERM( UED BY
PLAN REVIEW $ — $.CONST. —r
INSPECTION ❑ HVAC ` NAME
WIS. PERMIT SEALIS) — LED V 7 3 1p � L►- D ATE l
OTHER( 1 _
❑PLUMB CERT NO 3 —
� /
TO TAL $�— . , e7 C
DI LHR -SBD -5823
ISSUING JURISDICTION /AGENCY
STATE OF WISCONSIN
Department of Industry, Labor and Human Relations
Safety and Buildings Division, Mauisn, Wisconsin 53707 -
wanusinz
JOB NAME: 1 DESIGNER: <
LOCATION: 270 :514-7 ZONE: DATE — INSTRUCTIONS: This worksheet is recommended for determining cos::'. r.
ante with the Uniform Dwelling Code's Energy Conservation Standard:
Dwellings may be evaluated by the System Design Method or the Aces
able Practice Method. Heat loss thru basement walls and floors whet
insulation is not required by code may be included in furnace sizi
calculations at the option of the designer. System Desic,r heat
not exceedin the losses determined thru the code requirements by
more than 1 % are considered acceptable.
area calculati
GROSS WALL AREA: - FOUNDATION WALL ABOVE GRADE:
(14-(-- rRtPC Uc.A —rt 3 sq. ft. /5
WINDOW .,AREA: glass size Q unit size FOUNDATION WALL BELOW GRADE:
✓ Z - Z sz � 0-1•(..
ZSf �
v. , 2 . q ✓ 2._ 3 -' x 7 7 -
2 7., D /q.•
4-1°.‘1 y'
3ce Z�/� 23.E ? • " ''
/ 32a 30-3 J C f4, .5 sq. ft.
DOOR AREA: F OOR ; OVER UNHEATED AREAS:
j7,a r/ , ti/o
$ x'1.15
Z.
3 '
or SaOB - 1T {
) ft.
CEILING AREA: NET (OPAQUE)WALL AREA: OTHER: OTHER:
-- 5X53
53 /NT
sq. ft. U/ 2 q . ft sq. ft.
•
Form No. SBD -5518
pa: r +_:
. ,
I ill 9 VALUES
INSTRUCTIONS : Ca.lcu1 ate R and 1 .1 rallte: usi n7, TABLE A---! in :''t-relli.
Code BDok. Separate calsulall ons :' i° ::/:7 I ems havin, tlif, sari it
ation but different interior .)r ,:,;' -,'' 'r finishes is not
provided the system with th 1 -. is used in th-
esiEr,n or Accepted Pract.:',
wall 3rP e
c a v soil sav ,1
11111Mmimminumm
WI .
A
■ , 1 xteri or film .17 . 17 . 17 . 17 . •,: ' o r ! s 1'1 lm
.L..k / .F;,:' ' --- — • :.: ' . - ' nish
(...)
f'• athi no 5C-1-=' 5 - ic. ,, ( 4` -, q C !.::;t17 atlon 1c/ --- '
L ...____
- r.silat..iDr. /3 xxxx i -2, xx:•:; - 1 - ;:::Iir - q --- . xxxx
_ -
- ,j ng xxxx 'Lk 3f: ',.:%::,:;.: 1 Cs/„':: 11).:--;'tlation ..—) Cr7.
'':—...-- . f___ 1_ .
_
nterior film .6P .68 .68 , 8 rir -- ilm .61 .
+ '
0.................4..... ,.
42 2 D. I
'4 _ ZD. I /1, 7 j L 7' (-,' . / — i
A
, , 1 .• . 0 , 1 , . , ,,,..... • CAD ; .1 cp
. , . , , ,,
.Cf, 'd . c_)213 , c 3
-3.1fillINOMOININIIIIT—
' AMMIAMMW
,1%•' _
. — -
d tn
i ' ...
, -
' 4 ,
t film .17 . i':' .
.
. ,
- _
f
i. .
\ ----,_
:: , -/- ----t-
, I
finish 5
1 • !.' _1-7 -)r f lm . ( - , P . `-. '-`, ' ., 4
4 . IStliat iOn
' 1
4
it .-71""""'"
7
Awarewsmorommorresommasuanto. —
Y0 WM
40.7...... "1 17
b
ase
trient• 1
■ , .
. .
— . .
. . , .
. .
i i 11
.o ... . -
. . . .. . ,
..) insulatIA: . . ,...
_,..
' include .• - ' - •'' ' - '. .. , , • :.- • .: 1 .„.„
3
13ZSIGN
r .......,........
1
. L - tn•
lilt per
..
cvne cay. /,. i L.,-:.2, . !:-.) Co t i l l 1 ,,,, I:
1 - -
, . ( / Cp?,.. - /5 ' 2_clu 0.-- ?2,S 1 7.i
-.YPc cav . ( ',...3q3 . C..-t-- ?, 5 of3S . c-
2 so]..( 04 :,, , :. i s n , s , . „: =
type cay. ( (59(.0 ..)o ,ezia 2 23_
roof 1 soi.751(.... ,c / 6 7
i r r 0? 3 Cie--3 4 -Rite
.
y cay.( 5 y., q ,
7 -
t, ' Lori - 0 - 3 7 1 --
,-, so .3... ( i., ..-3 (1 X /0 ' 447: --) c 1 / LI ?, -- 7 '`.), L 2 , 41
, ,
rei n , ,;) : ne.i.(,... r ,, _ ,705 .0
3
1 _window: 1 lto. 5 ,*3 ti. c..: 55i, . C
lass _patio cfl-c., ..,, -, • Lr7 `,- :1: /598 .cp
3 —
I , _............._ _ . ,
doar 1
, e• ' ) r" e_ 11
other 1
1--
........
3r1 ,- )14 e&( ,
CODE CO:I., ... , .,
A.DJUSTMENT FACTORS '
I'OP WOOL FRAM:1-'14G COMPONEN1 AL •• , . '
Va.
cc studs joists walls ab %,, -', '1 30/ 2.
,
12" 207r, 1)4% walls al , -e rae 3/4.1 -
16" lroi
10% fdtn ab - 1-, , /SS * r •,----
- •
• -
24 11 10% 7 fdtn ab ,v,. , rade
4 -
fdtn bel, w :rade ^ 705 70- 70 4
roof/cc; II 2.->C ; .9
- ,
ALLC,WABLE
-,.
COMPONEN 1- ..2.4,:
11- " U • . 72 '4 Bin IA- .
1 ■ v
bas .
walls more than --, .1:',.'l / n/7 .,s _0(.,7. 5 i:__, ' 3a(
...
Trient below ;Trade
4
.
floors /g..) .02-S S 2
i.
•
*2D , inside temp. minus 2(; derceJ 1-1: LOSS ....-.
"From table )n pae 2 .
.li,c cPCTCE
, STRUCTIONS: for completion of acceptable practice method, please refer to Unifor
`'elling Code, Chapter Ind 22, Energy Conservation Standards, Appendix Tahles A- 1,2.
WINDOW GLAZING:QSinI'le w /storm DOURS: nsulated SIDING: wooc.i(. .
LS ABOVE [,Insulated glass Solid wood �aluri(R' .
'.DATION ❑'i rip l e pane Ininsui w /storm
INSULATION TYPE: WINDOW AND DOOR AREA PERMITTED
GROSS WALL A[+.EA(from worksheet, page 1) = _ __square feet.
CLASS /DOOR AREA(from worksheet. page 1) =� - -� square feet.
PERCENT WINDOW /DOOR AREA = glass /door area __
PERCENT WINDOW/DOo'. AEA = glass /door area 4 gross wall area
INSULATION TYPE: R VALUE (per inch)
RIWIRED THICKNESS(pe ,eble A -3) : " in cavity ''over framink,
DATIO:J WINDOW GLAZING: Dsinle [lsinglr w/ storm Qinsulated(douhle)
INSULATION TYPE: R VALUE
EXPOSED FOUNDATION APEA(t rom worksheet , rare. 1) = _ square fr.
I l s dust TOTAL FOUNDATION AREA( i nc i odes above I, below grade)= square f c r
insulated PERCENT EXPOSED = Exposed foundation - total fdtn .7_7_ _ square f< (
>c in con- ? r �, t ., � ____�_ _
PERCENT WINDOW AI.EA F ,1T ED(see Table A - -2) = percent('
e.) PERCENT t' __ __
man
�� +INDOI? A^,EA(wIn�?o .area exposed area) = _percent (°,)
ZNTLT!IATZOf
Z 0 DIr
......
,...............
dME CALCULATIONS: l.',:V1•:1. VOLUME CON. TD A /C* BTUH HEAT
f cc.1 Zc .0 1 9 . /Z/
?".7 / '1 Uz"
1 /
- Level i .013
C:IIANGES. Recommended chrtnre!; } twee n .2') :tn(l 1.j0 . INFILTRATION �� '
.nding on type construction, number of openings, PEAT LOSS trit,24rAcz !.ierstrip�.ping, caulking etc. - �` „,,,„ z zz
MS
' �)WABLE HEAT LOSS (from p;� ^,e 3) L/r1// ?
• _ " '�
_ __ ! ____ -.. _ -- r` "` + I , DUELLING 1 (1SS `�
ILTRATION LOSS (from above) LA. `,., ,. 7 x 1 .
'�IENT HEAT LOSS (from page 3) c"' -,/: , 1tAxIP't? "1 FURNACE SI7,1:. /
)TAI. DWELLING HEAT LOSS: C';' '?
.. 7rj
c urnace output ,. .f
OWNER /�R 4A,� ti ADD RESS 4. - 7C 7 S iLe�0�)k.5 ,
DATE / 1 " K1 - (SU PERMIT # ((0-0 USE F r
c a C_r,B S4•--2�7c._ ( WoYk consists of /- u-2 rr,i
re , GENERAL, CONTRACTOR i' , . — n - Ff. Os
., L r 4.2..LA3 i-E- . /
1114 a`
MASON CONTRACTOR ZONE (j
Width of lot DATE 94, ocr INSPECTIONS
. A REMARKS
. 7 [e
i
/ 2-' , / /ffC1
Y
4, < . _ '7/ g
O _ /1 +� — 4►' /
o — 1 ' ? -` _ , - ,,,� - „fi r
t1, °�"� ice` : _
_____e
Front of lot a54- : 01. 96 ": ► MAILING ADDRESS ,
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