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STATE OF WISCONSIN
DEPARTMENT OF INDUSTRY, LABOR AND WISCONSIN UNIFORM PERMIT NO. 7t 93
HUMAN RELATIONS
O1 201 E. WA STO AND BUILDINGS BUILDING PERMIT
XHI WASHINGTON AVE . PARCEL NO.
WISCONSIN STATUES APPLICATION
WISCONSIN STATUES 101.0.7
PERMIT REOUESTED #SCONST %FfVAC 'E LEC ❑ PLUMB
is Name Mailing Address Telephone
S OL) "QC— - Z- 3� S \ s g 23 3 13 � F- 1 _
Contractor's Name Mailing Address Telephone
S MI 1E/ S AME SAM E__
PROJECT LOCATION 1 4 v., SECTION T N, R E(or►W
B it ng Addr division Na
Y �s ^ �¢ A Lot No. Block No.
I `s (V\ lCH I b. NJ Cr, 1�o e r-H fSkW0'Tfo.3 3 IQ.
Zoning Di Ic Lot Area Front Rear i Left 8,� / Right /( 1
— ( (3 - 7 (' S Sq.ft. Setbacks Z�" ft. 71 l
/' L ft. i-cs" ft. joe ft.
1. PROJECT 2. TYPE 3. ELECTRICAL 4. HVAC EQUIPMENT 5. ENERGY SOURCES
Entrance Panel �{_ space Water
New ❑Addition Single family I l 1.Forced Air Furnace Fuel Ht . Htg.
El Alteration ❑Two family
Size: AM 0
❑ Radiant Baseboard or Panel
Service ❑ Heat pump LP Gas ❑ ❑
❑ Garage ❑Other [] Underground Nat. Gas 1 . .
❑ Attached Overhead ❑Boiler
Fuel Oil El ❑
❑ Detached ❑ Central Air Cond. ❑ ❑
6. CONST. TYPE 7. FOUNDATION ❑ Other Elec.
❑Other Wood ❑ ❑
❑ Master plan no. .*Site const. oncrete 8. PLUMBING Solar ❑ ❑
(if applicable) ❑ Manufactured ❑ Masonry Coal ❑ ❑
Outside ❑ Treated Wood Sewer
9. AREA 1 0. STORIES Other
�(
Dimension ❑ Other Z 1 unicipal
3g8 ement 44 ( Z sq.ft. ❑ 1 -Story 11. USE • Septic
+��Sft1uP ❑Permit No. 12. WATER
Living Area -� 1 Story
, sq.ft. Othe r fit/ ,c ❑ easonal
RA _ (i,,� ermanent ❑ rivate
❑Garage ,sq.ft.
❑Other 1 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 implied, on t - Departure t or Municipality; and certifies that all the above information
is accurate. /
SIGNATURE OF APPLICANT 4.._ _., DATE <97 gi
CONDITIONS OF APPROVA , is permit is issued pursuant to the following conditions. Failure to comply resu t in suspension or
evocation of this permit or other penalty.
•
13. ISSUING JURISDICTION c ❑ VILLAGE CITY ❑ TOWN ❑COUNTY ❑STATE
/
NAME L JS t IC J 0 4 MUNIC. NO. 7 O C_- b G
FEES -1Z ISS ED
ISS ED PERMIT(S) WIS. UNIFORM PERMIT
SEAL NO.(S) PERM! . UED BY
PLAN REVIEW $ T.F, n CONST. V � Og / '
NAME
INSPECTION VAC ` r n /
1'1 • +' _ ? / r 1
WIS. PERMIT SEAM) ► LEC � �� DATE I OTHER ( TOTAL $ CERT NO. *3 (` f
0
i
DI LHR-SBD-5823
ISSUING JURISDICTION /AGENCY
DATE /Z /q(37
NAME (i)i.A.A...ti - • ADDRESS Q
/
�C� c� R o.Gr�n -.
LOT BLOCK ' � - c WARD 14
SUBDIV (.6, �L- q L /�/ ...��� ZONE _ l
STREET NO . //&/ I OT' DIMENSIONS Sb X 441110 IS 3
SIDEWALK EXISTING YES F NO
BUILDING GRADE ELEVATIONS STAKES SET AT SITE ,19 BY
FEE: $2.00
2yv
DEPARTMENT OF PUBLIC WORKS
I, the undersigned, owner or agent of the above described property agree to have the
grade established before excavation has commenced.
/4 %"-L..._____________
Department of Industry, Labor and Human Relations
Safety and Buildings Division, Madison, Wisconsin 53707 c----3
A---3 71L
, ...
}
') \ ci?2,i2-W �
0 1. 0 6
�
JOB NAME: R R.. t Vpol, ,rti, . DESIGNER: /.` IN
LOCATION: n 1.41 ti y. r.- ZONE: DATE AZEISTri
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 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 he losses determined thru the code requirements by
more than 1 % are considered acceptable. .
E1Ta2 c -,, @c2/gt7
GROSS WALL AREA: FOUNDATION WALL ABOVE GRADE:
117X7.- 95a 111 y ,667 -')1 - w ' )L.
1 f I Cr sq. ft. "4 sq. ft.
WINDOW t.AREA: ❑glass size Q unit size FOUNDATION WALL BELOW GRADE:
I 1 ‘? < :oYIyiA 71 )1 ; =
? 0 v - PI' Pii . `1`i
x10 6.s.I) }}
117 f .t 1.
115 sq. ft. 3_ (7 _sq. ft..
DOOR AREA: FLOORS OVER UNHEATED AREAS:
1 —.1 (r.
37.7 sq. ft. r ib sq. ft.
CEILING AREA: NET (OPAQUE)WALL AREA: OTHER: 'vy OTHER:
� ! sq. ft. i 1 D31 sq. ft. 1 1) sq. ft. sq. ft.
Form No. SBD -5518 r7
Page
ao 4 ff I
INSTRUCTIONS: Calculate R and 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 Accepted Practice calculation.
1: e 1 type 2 ' s , 3 8 g type 1 type 2
cav sol cav 1 sol .
[ exterior film .17 .17 .17 .17
exterior film .17 .17 .17 .17;
siding
ext. finish
insulation
sheathing .4g .IS 31S 4
insulation xxxx xxxx framing xxxx xxxx
framing II
xxxx 41 >xxx
insulation
43e x
11111
lint. finish .4,5 m ' int. finish
interior film .68 .68 .68 .68 interior film, .61 .61 .61 .61
N t
TOTAL R i-'1X Is” TOTAL R 3,3/ 32M
ru" . 1/R ,0'17 .43 = 1/R .0L5' .0i 111111
1
. _
b
a ove • trade walls
cav sol cav sol 1 . , :f4 ) 0 cav sol cav sol '
11 exterior film ' .17 .17 .17 .17 exterior film .11 • L7 )
ext. finish ' 1
ext. finish A ;
•
1 masonry ' .0
wood '
insulation 17
int. finish ...4_,I, ,.... ,.
interior film .68 .68 .68 .68
int. finish --
BM
Insulation 4 interior film ,Ve .L1
,
TOTAL R 1.91 . TOTAL R a0.5". '11
_................._
"U" = 1/R .131 , t I I I
U = 1/R . o `11 .DLI
6 ....,. ,
* 1st thru 3rd foot 4th foot below grade?:
.
11 „.......,......,‘" -7 .
1 ,, . -.......... below grade ;
to basement floor
no insulation .288 .094
walls R 5 rigid board ' .113 .063
R 11 fiberglass .072 .048
w/ 2 x 4 framing
:1 ,............... .... .
, floors ; no insulation .025 .025
i
, .
C
/Or film nulfalon & snii
I
\.../ 1 ,„ 1 L./V\ 0J CONSTRUCTION HEAT LOSS
.4,.........1
c? 9
A I 1
1/4 SZ . Z...‘ i ., I eat loss
' II II
' AREA ' U TD
, BTU per hou
, 1 1.' ., leiggem
tYloe ' cay. (...1-217.___x_._ °) ' 3 - 0
, 1 s k . i
f e-Th ' (71 1 - S01. /• X .-- 1 LAIIIMI • ‘ C
Inaling/11111
,-:.
" 2
u (......:, L., ,tYPecay.( x
1 : 2 1.sol.( x____%)
saw
type • cay. ( 9 O! x 1 ? %) L ie 3 6 ) • ,?,,/, 7 , .„ ,-,A
. 0 ,
)
r7 1 so1.( Int x15#)1 1 , 3
..,,
type.CaV.( X_____%)' 1.1
!i
. mg
,
2 ,sol.( x
- ,
above grade walls # n 3 .4 0 #11)
# 1 i
,
, 1 ,.! ` , B., r t ■
below grade(3 feet) i a t i 0 , )). , 0 *
,____/ ...',./ LA2.7 i
NI
,
' • 2?.F t, e ;" ,.... 1 ... r .., '
1 windows 1Lc • A3 ?,5 ' t
. .,--, 4,,..
, -,.._ r („.--?..,k„,- 2 ';patio doors
'''-
11 I
t
?
- .
1 ,, 1.3/5 -..., - 48-k 37 . ?' - . 12.
2 it
.
' • '- :- - rD- r'''' 4 ' BO Ne ' 1"1 Dr
,- -,
_T 6 ) -,1
:.7 , (
.._
TOTAL
CODE COMPARISON
ADJUSTMENT FACTORS f 1 i
i CODE ' r
1 FOR WOOD FRAMING . COMPONENT AREA. u tt TD BTUH LOSS
I
cc studs ',' joists , , walls above fdtn
_, °' •------- !,. , 1
t
1
12" 20% t 14% :,walls above grade , i ,13 ' q3 ' id la #1
. , I
16" 15% 10%
,fdtn above grade ,--i
.25 , tl
•
24" . 10% ' 7% fdtn above grade „
... — # #
1 'fdtn below grade(3.! 3 :. 20 , ,5-1)*, 33" 70
.roof/ceiling ,. IDI ' ___ .029
(
, .0.—
Vey._ I /t4 4 e•A 4 4 i / • /)) 9 ''
' ALLOWABLE
HEAT LOSS
, ,...,,..,.
,
i,
! '
.....ilinalialillt. • 421MZLI 1
417 k
Cl COMPONENT u u
1 , AREA ' u ** TD* BTUH LOSS
walls more than 3 feet
0 1115/11
c - ---. -,, p
, —
, I { , ...:3) % r A . 11 1 1 below grade
N.....1 ,...A..../ :it,A,L1 C3 .......
floors
x = inside temp. minus 20 degrees . HEAT LOSS
- i - x - Froi table on page 2 t 1
pagc.: C
1
7.1
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 :[Single w /storm DOORS:[nsulated SIDING: wood R .77
WALLS ABOVE (Insulated glass Solid wood �alum(R1.82)
FOUNDATION [Triple pane DUninsul 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 =
INSULATION TYPE: R VALUE (per inch) —
CEILING
RtQUIRED TRICKNESS(per table A -3): " in cavity "over framing
i
ti
! FOUNDATION .WINDOW GLAZING: Elsingle asingle w/ storm Qinsulated(double)
WALL 'INSULATION TYPE: _
R VALUE
EXPOSED FOUNDATION AREA(from worksheet, page 1) = square feet.
k (walls must
i, TOTAL FOUNDATION 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
I f ormance.) ( A-2) = percent (%)
PERCENT WINDOW AREA(window area 1- exposed area) _ percent( %)
1
4 c" \ 1 : Elw f,-., Ac---3s g i b_NR
VOLUME CALCULATIONS: LEVEL VOLUME CON. TD A /C* BTUH HEAT LOSS
1?.Sf a2 X �,S Basement , 3 1 13 , 57' .013
J
Level 1 .018
, ) a 6 y, `T, S' _ _ 3 1111111111
Level 2 70A--- .018 / L4
Level 3 .018
*AIR CHANGES. Recommended changes between .25 and 1.00 INFILTRATION , �
depending on type construction, number of openings, HEAT LOSS 1Jl
weatherstripping, caulking etc.
' - 4- 73 i'A 4 7) , ;,,.,s .,-
.,!_y u Lic, c-
.
\t ?
ALLOWABLE BEAT LOSS(from page 3) G 1 1 .� TOTAL DWELLING LOSS '36, 4 (7Q
1INFILTRATION LOSS(from above 0
B ASEMENT HEAT LOSS ) � . x 1.15
`
._._... HEATOS (from page 1 �� ' MAXIMUM FURNACE SIZE V), y<? 4 1 *
TOTAL DWELLING HEAT LOSS: b l c. e'� i
` FUP.NACE SPECIFIED * l
* Furnace output
`.T