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O 10 i co cn y jw I m m w o _ Q 0 0 0 CS 3 < ■ ' N �U CD O !v a 0 ° 0 cri ( tD n n � G CJ7 -�,I I State of Wisconsin Department of Industry, WISCONSIN UNIFORM Labor & Human Relations ij Division of Safety &Buildings BUILDING PERMIT APPLICATION NO. 1 Box 7969 Madison, WI 53707 APPLICATION Wisconsin Statutes 101.63, 101.73 ISee Instruction on back) PARCEL NO. s STRUCTURE IVAC 141 O ner's Name Mating Ad dr ess T le hon ,A `'1 p N\ itsse< �U ALoW i 1 O2 3 �v is F3k o Sri C 4 ( 044. ontractor's Name Mailing Ag • c �► �Dr� 1 � � ss C ' - �V�c Telephqne (4i4) 4 �-6 — /4 /a, SECTION T N, R, E(or)W Building Address Subdivision Name Lot No. Block No. Q00 q 1 m 21 J ST A dnAA r ft&-r Zoning District Lot Area Front Left Right _ �j00 C Sq. ft Setbacks ft S 41'Z ft 1 ��7 ft. I .. s , , C „ .:: VAC. E OPMENT �2 EN R t Y S�Fc ew ❑Addition gle Family Entrance Panel ►: • orced Air Furnace Fuel Space Htg. Water Htg. ❑Alteration ❑Repair ❑Two Family Size:J 3 Z amp ❑ Radiant Baseboard or Panel LP Gas ❑ ❑ Mara a ❑ Raze ❑Other Service: Ducat Pump Nat. Gas . (,tached ❑Move Rr,lnderground 11 Boiler Fuel Oil ❑ ❑ ❑Detached ❑Foundation ❑Overhead ❑Central Air Conditioning Electric ❑ ❑ ❑Master plan no. f* "' 1-1P6 T ' ❑Other Wood ❑ ❑ (/f applicable) ite constructed oncrete s Solar ❑ ! ❑ 4 4^ ❑Manufactured ❑Masonry Se r Coal ❑ ❑ ❑Treated Wood (unicipal Other Basements 340 � ' ❑Other ❑Septic Story Permit No. Living Area 1 d4 0 Sq. ft. U2- Story'' Envelope '7. 7 BTU /HR ❑Other ❑ easonal i ,TR Infiltratio �) 7 BTU /HR Garage 'ZZs Sq. ft. • ermanent ❑private -on -site Well 14..tS ATE i ❑Other IUnicipal Utility The applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Muncipal Ordinances and with the conditions of this permit; understands that the issuance of the permit creates no legal liability, ex s or implied the Department or Municipality; and certifies that all he above information is accurate. SIGNATURE OF APPLICANT DATE , ' • CONDITIONS OF APPROVAL This permit is issued pursuant to the following conditions. Failure to comply may result in suspension or revoca- tion of this permit or other .enalty. 2 _• A 327 l .b/E 4/L i LL e-f cyc Z I k.) - i L 8 t So, /n /7 13 -76 ."Tfi � _ D ' Teeti� 2 4/34 - e7tild - �, o�d' o 1J�i�o.t>� r s _s (Jar' `— JVI /Y1 .4A1f�L UN 7%4— j 4,2 4 PP t/1® I .) Ep.42TV!lz�r _ l ocA nn 1/J3 1-74-e. 9 FP /T ' R- 4 1 J (. (A) >' S� C C 1 f L atJ'e�7�E ( -,LCs .// i & r ►L "!,. r --- „ // ES - — • I es (!� ' E (F " Q G v� C 524 tX� 3iw ,rah r.).4„0 1.4 ( 4, - —1 i) +» 6 1 4-rxa Fon._ T u IT... ' / c; p ,; are k' - 0 -Ai _ l.� Lam - U 2N4 - S i4,44_(.— I E St z.i� G4 (_-c c;i_ - c> I - f - T l-0ss Z...\.) I> Z 4 = 0 4 k T L.� 'ST CAU( llrz.r Tt fc i32,00 .LtzC. -= l'24 CA ( f� zP T 1G1 L S C— (r 1 72.0VibIUD s ❑VILLAGEY ❑TOWN ❑COUNTY ❑STATE i� -xi i" 4 � _ NAME 0 M UNIC. NC). . 2 b FEES. I ' rsrr l - sr r ..� Plan Revie � 4.11: �.... $ o r: onstruction p� � 4,..; VAC �(;t./ Inspection $ -ctrical NAME jj '� �7/✓ Wis. Permit Seals) ... $ %-.'") DATE 6� _ 6 - - E3 - Other $ /- ❑Other �' }� TOTAL $ La O . I 11 CERT. NO. c 1� _ DILHRSBD 5823 (R_1/82) WHITE — Issuing Jurisdiction YELLOW — DILHR GREEN — Inspector PINK — Owner /Agent 0-` J ( k ' ZONING /LAND USE COMPLIANCE CHECKLIST A 1 E, I. CAI, Building Permit # Zoning AM Conforming ✓Non- Confoizning Job Location '} � / ,� ' l C � -t�n�►�v S ( Lot Dimension c =a) c Property Owner/ E � U L CD 0J Lot Area (0 0 G V LD II. CcNSrxu:riCN DATA 66 6f k'E p ,E.. Yz" Cio 9 c/IUipkx C SI ..G Describe Work: / y -6f Ar i i, ax._ a (: L (.___. , j NEW CCNSTRUCTTIaT ADDITION ALTERATION 1 '. 1 Accessory Building Pool ✓Single Family Fence _ Deck/Patio Two- Family _ — Boathouse — Sign: Multi- Family Utility Structure _ Porch i _ Com ercial , Other (specify) Manufacturing — III. Chu CHECKS KS s Complies Deficient Deficiency /Co mments ✓ Use . • _.,_ Lot Width MJ'dAI - (SET A) Fo4 `e6t4 A C,5774 /O / ! Lot Area 6 ( 46 _ Floodpla,n Front Yard — Rear Yard `/ Side Yard (R) ✓ Side Yard (L) _ Parking Building Area It Area per Family 6 ' 'r l ,a a(' I) . — Comes Lot — _ _ Other ( ) IV. REVIEW AUIR RITY The Planning Director, or appropriate designee, Waist approve all plans, except the following: (1) Alterations or interior work when the use is conforming and when no change of use is proposed. (2) Maintenance items, e.g., siding, windows, etc., when the use is conforming and when no change of use is proposed. Instances where work complies with the above criteria, the permit can be reviewed by the Building , Ins / pector without referral to the Planning Director. v APPROVED NOT APPROVED Plan Commission Action Required Variance (s) Required A REVIEWED BY: _r_ DATE , 0 /g DATE ' J 9,. 14%3Y "NAME i ADDRESS S ) a '' LOT 7 BLOCK WARD >{' - !/ SUBD I V a,C.0 r,„a4v_ 4 ZONE • P ( e fX STREET NO. LOT DIMENSIONS r O/ SIDEWALK EXISTING YES NO f BUILDING GRADE ELEVATIONS STAKES SET AT SITE ,I9 BY ' FEE: $2.00 DEPARTMENT OF PUBLIC WORKS I, the undersigned, owner or agent of the above described property agree to have the grade established before excavation has commenced. 3236 Z O W Z w F- Lff _ -= 1- Z O m 1 !' 00000000 0 J F- a } 1 1 1 1 1 1 1 1 0' N }J OW Z • ON • OWN W - ••...1J ••O I-N ••o WC ■x0 oC 000000000. • r. N NZ- +WF-0C ZO U) ■W }1..= O r 'N NNNNNNN.•1 y..1 I • � 0 o3mc+1 o.+ ZO .+h a . ca X Y t IX a 0 Wx0% O oCO W N F- i x w QOCNNOOCOC 0 ECi WZ CI∎0 IA w J o. « QNZ�OOCo �0 O H • JN O =CO l - womwOZ FAX W 0 JW O,0I 1- 0 "000000000 � 0 • /�/ • InF-L. WI.Le NW F-JW C...1 zi..04 p • Q W= •• aW1■ SZ ZW J OS 1 1 1 1 1 1 1 ' 1 1 lax a .J J I•• 01- J J y .7 • 0 F- O - •N-C.) I O. 1•^ %%%%%% • • a My • O•Qa }WZt SO 11...12 y.. 000000000 a 1 0 v3 . y . 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' 0 p • I• OCOCZ 0 N `1 i =Z `JfA r0 t'! t•.WN OC¢�•m�,•�� N SO , H6 oim 1-Wa nNe J lax t Ida W • ' 1 110 II m S '01 » { i N. o W 1 14iewn m•••¢= MOO 019 1• 01 X USAF. \CI. � • 0 I '. I II It.j. I i } 1 :, , ,. ; , i , . 1 , , 1 ,,; I 1 1 I . 4. i a 1 P f i t 1 i II 9 .i P Z f II i i'$) 1 / 42 1! c { I 4. E I I I y • ' ?— I; I T S, F . 1 ( . \ .) ` II os/ s; i; ; I 11 l I f STAte OF ° brISMISIN Department of Industry, Isitbdr and Hunian Relations Safety and Buildings Division, Madison, Wisconsin 53707 I N 21111111111101r 2 JOB NAME: 'O5 feu" tote.) DESIGNER: ICo�e.e , eerie LOCATI NE L aog t �� sr ZO - DATE / /t�/': i tau' ) q.. 1 /M S: `" This worksheet is recommended for determining conform- ance with the Urtform Dwelling Code's Energy Conservation Standards. Ditellings may be evaluated by the'System Design Method or the Accept- able Practice Method. Heat load thru basement walls and floors where insulation is not required by dude may be included in furnace sizing calculations at ,the option of the designer. System Design heat losses not exteeding t he losses Bete raceptable. le Y ined thru the code requirements by mare than 1 a considered a cal , 1 GOSS'ALL A1A h` ' ' OUNDATION WALL ABOVE GRADE: '' r EC 1 EC 4 . E �+, y x'"" 'Wilt Dgla*I i°t 81" FOt 1ili ftAIMP4TGRADE: 1 F , v 7 1 ,, , ' r Gr sr. sq. ft.: ij67t ft. w FLOORS OVER UNHEATED AREAS: x s 4= t _ • e ::s.q, „ f t. CEILING AREA NET (OPAQUE)WALL AREA: 'OTHER: t EER R w+.: eq. ft. m:: sq. ft j . .. sq. ft. Sqb . ft. A • 1 Form No. SBD -5518 page. Ai l . ' ' VALtI2S INSTRUCTIONS: Calculate R and U values using TABT,F A-4- in Dwelling Code Book,. Separate calculations ..for systems having the same insul - ation "but different, inter.iot ° 'extstrior finishes is not necesear , pOnvided the syttemwith the low t R value is used in the yytem Design or Accepted Practice calculation. wall - type ,l type 2 type 1 type 2 cav sot cav sol� cav sol cav sol r ■ exterior film .17 .17 .17 .17 ' 17' � exterior film .17 .17 .17 .17 siding / I _� L I ext . finish i j 45- sheathing 5' i,n.sulation ifs insulation a xxxx x .' i " framing xxxx 5 xxxx framing xxxx 4,35 xxxx ;� insulation 3� ,-w int. ~Finish is as-', _ _ nt . finish ( �`, }nterioi .film ` .68 .68 • .68 :68 "' 'interior file . .61. .61 .61...61 TOTAL R %6 .% TOTAL R 94 ,r'0,1►3 nun = 1/R .b3V ! .DS 1 nU" = 1 /R .6a1 AA ' grade walls cav so]. cav ; ssol_ :, t r cav . cav av _ ol . exterior film .17 .17 .17 .17 exterior film ext. ,j/f je ext. finish masonry . 0 ,(1q wood insulation int, finis ....• nturior film . 68 .68 .68 68 - _ int. finish Insulation interior film ,-...hei( - 1 - Nommilimmimmi. TOTAL R 4 ‘,1 A ` ° TOTAL R "U" = 1/R 1 ,1,-) " = 1/R i w. w.. lst th,ru 3rd foot 4th foot below grade` below grade to basement floor no insulation .288 .094 walls 3 5 rigid board .113 .063 R 11 fiberglass .072 .048 w/ 2 x 4 framing floors. no insulation "... .025 025 *includes air film, wall, insulation & soil page Z CONSTRUCTION HEAT LOSS a 1 3 : DX b- heat loss in AREA. "U" TD BTU per hour } r .. ,... � , . type cay.1 x l�G � �a� � � a 1 1 to 0 1 1 soi. x_____%) /6,Gr7 ;.d ^1 ) �" GS 8i d l type cay.. (, x %) i type cay. ( x %.) `/D 4 ,00 t o k, it i ‘15 .. roof 1 sol.(, x 4 G %) 'OP ° o1 /3E1 t ype ca x %) 2 sol.( x %) 1 above grade walls 1% , $(.7 9‘ - n grade (3 feet IF/ 2 below g ) 355 : G? /3 3 4 , • 3 1 windows 6D�. , 5 dig .) /.1. sis III . . 0 2 patio doors 3 dr 1 q '' > G $ /iVz tiara 2 , TOTAL CD COMPARISON ADJUSTMENT FACTORS OMP ©NENT AREA r CODE TD BTUH LOSS FOR WOOD FRAMING U cc studs joists walls above fdtn //9 0 / $ I,/ /?i6 9 12" 20 _ %' _ 14 %. - walls above grad ` / 85 • , • / G $ /3 /6 ? 16" . 15% 10% fdtn above grade IS .25 SU _ / /GD 24 10% 7% fdtn above grade ,j5 6-0 666 fdtn below grade( 31'1 .20 9J 3990 roof /ceiling /0i:. •029 4 g . za // ALLOWABLE HEAT LOSS , , ;; 3A. > 1 , CO � MPONENT AREA "U" ** TD * BTUH LOSS b e walls more than 3 feet 399 , a`il r0 S - X94 1 below grade floors /6w .0i5 30 10) r *TD = inside temp. minus 20 degrees 1 HEAT LOSS -2 d.Z / From table on page 2 s A le p P n&CTZcZ INSTRUCTIONS: for completion of acceptable practice method, please refer to Uniform D elljug Code, Chapter Ind 22, Energy Conservation Standards, Appendix Tables A -1,2,& 3. WINDOW GLAZING... Single w /storm DOORS . W :. sulated SIDING • wood (R .77) :WALLS ABOVE ..4.L., sulatzed glass •Solid wood alum(R1.82) FOUNDATION • riple pane II ninsul w /storm ;WALL 4 INSULATION TYPE: (2/4141' ,.. 61,130v WINDOW AND DOOR AREA PERMITTED g % GROSS WALL AREA(from worksheet, page 1) = Jt' C square f t. GLASS /DOOR AREA(from worksheet. page 1) = /4 square feet'. PERCENT WINDOW /DOOR AREA= glass /door area PERCENT WINDOW/DOOR—AREA . =F.glass /door area 4 gross wall area a' /d / % �-, S R VALUE ` .' INSULATION TYPE: CEILING 1 � (per inch) / a SQUIRED THICKNESS(per table A -3): / .� " in cavity n+� "over framing Y FOUNDATION - WINDOW GLAZING: sin le' g '� ` ngle w/ storm insulated(dou le) ' ' Mr" WALL INSULATION TYPE: 40 R VALUE '":` EXPOSED FOUNDATION AREA 'rom worksheet, page 1) ( must = 1 square feet. be allsuus OTAL FOUNDATION AREA(in 1udes above & below grade)= Y square feet. 'ERCENT EXPOSED = Exposed foundation i total fdtn = , `; square feet. to be in ion- PERCENT WINDOW AREA PERMITTED see Table A -2 ' . ercent (�) fp e, i'ERCENT WINDOW AREA(window area 4 exposed area) = ercent .. 3p lip ir.n itrzt VOLUME CALCULATIONS: LEVEL VOLUME CON. TD A/C* BTUH HEAT LOSS Basement 7y � j .018 as , , ti o� � g(0 Level 1 ? ) 4 4 _ . 018 .ii ,3 1 a }`f Level 2 018 g Level 3 .013 8/5 *AIR CHANGES. Recommended changes between .25 and 1.00 INFILTRATION de on type construction, number of openings, HEAT LOSS weatherstripping, caulking etc. 1111 ' ' O AB HEAT _LOSS(from page ; 3) ,�y p� 3 � � 7 TOTAL DWELLING LOSS 7 �6��7 INFILTRATION LOSS(from above) x 1.15 BASEMENT HEAT ,USS (from page 3) 1 # r MAX��P4UM FURNACE SIZE f� TOM DWELLING HEAT LOSS: yi 71 F URNACE SPECIFIED !MI MI' * * Furnace output ., .