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STATE RELATON6IN WISCONSIN UNIFORM l Z7
DEPARTMENT I INDUSTNr, LABOR AND PERMIT NO.
HUMAN RELATIONS
Ot 201 E. WA SGTON AND BUILDINGS BUILDING PERMIT
X EHI HINGTON AVE. PARCEL NO.
MAO1eN INS STAT
07
UES APPLICATION
WISCONSIN STATUES 101.6,1
PERMIT REQUESTED cONST Ili HVAC ❑ ELEC ❑ PLUMB
Name Mailing Address t Telephone
c tor's Nam M ' 'n Address ele hone
i X30 e I �,�,.._- - 33— 13 f 1
PROJECT OC TIQN '/4 '14, SECTION , T N, R E(or)W
� uil k g es S division Na�r �'} S / ^ L t No Block 3 o.
zonin iistric 'Lot Area Front Rear / Let Right
It // sot. Setbacks ft. ! �-7 i
Z� 5 /Z- ft. Z„ ft. ` [ L- ft.
1. PROJECT 2. TYPE 3. ELECTRICAL 4. HVAC EQUIPMENT 5. ENERGY SOURCES
Ai �'^,ew Entrance Pa p e ' gEorced Air Furnace Fuel Space Water
sl ❑Addition Xingle family Size: < 0° AMP Htp. Htg.
❑Alteration ❑Two family ❑ Radiant Baseboard or Panel
Service ❑Heat LP Gas
um
p p
❑ Garage ❑ Other Underground Nat. Gas
❑ Attached Overhead ❑Boiler
Fuel Oil ❑ ❑
❑ Detached ❑ Central Air Cond. ❑ ❑
6. CONST. TYPE 7. FOUNDATION ❑ Other Elec.
❑Other Wood ❑ ❑
❑ Master plan no. Site const. Concrete 8. PLUMBING Solar ❑ ❑
(if applicable) Manufactured ❑Masonry Coal ❑ ❑
Outside ❑Treated Wood Sewer
9. AREA (Dimension 10. STORIES ❑Other .ZMunicipal Other
Basement T/ sq.ft. 0 1 -Story 11. USE ❑Septic
❑2 -Story ❑Permit No. 12. WATER
X L.ivingArea 1164sq.ft. Othey, , ❑ Seasonal
(/. Permanent ❑ rlvate
❑Garage sq.ft ❑ Other 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, ex ress or implied, on t% Department or Municipality; and certifies that all the above information
is accurate. i p
SIGNATURE OF APPLICANT ,b.. / DATE Q /y1 er
CONDITIONS OF APPROVAL i s permit is issued p ursuant to the following conditions. Failure to comply may result in suspension or
revocation of this permit or other penalty.
•
13. ISSUING JURISDICTION ❑VILLAGE ggITY ❑TOWN ❑ COUNTY ❑STATE
NAME OJ H tafi MUNIC. NO. 7 O — Z (o ::.
FEES PERMITIS) WIS. UNIFORM PERMIT PERMIT UED BY
ISSUED STA NO.(S) �I Q
PLAN REVIEW $ " t<ONST. 4-3 a. / w .
INSPECTION NAME
❑HV AC C Jq y�
WIS. PERMITSEALIS) ❑ELEC . DATE ....4.010
1 / G 0
OTHER (.) ❑ PLUMB 3 s -- gc1 49
TOTAL $ CERT NO.
DI LHR -SBD -5823
ISSUING JURISDICTION /AGENCY
DATE (4,......? Y / '� r
I
NAME J, .J C /,�ar / A DDRESS ♦ ■. Ai/
/ ` ;,
LOT 3
`t �� ,� , ,, _ BLOCK WARD !�
SUBDI V. �ii,, _ ii. ;/,: ic
ZONE Q-- (Q
STREET NO. /9/, ////04/74/(/4 � DIMENSIONS � L- f-S X i3 5 1
SIDEWALK EXISTING Y — NO L_i
BUILDING GRADE ELEVATIONS STAKES SET AT SITE ,I9 BY
FEE: $2.00
D EPARTMENT OF PUBLIC WORKS
1, the undersigned, owner or agent of the above described property agree to have
grade established before excavation has commenced.
/
�-� ..� . .cry
2
Department of industry, Labor and Human Relations
Safety and Buildings Division, Madison, Wisconsin 53707
l a r :' r it 0117X alb :w 6 sow
APO
fill4104J tool; 4 k J 4k
t
JOB NAME: R y �� . DESIGNER: PI" 44 ' 6 03
LOCATION: J.71 � � „ h S� , ZONE: DATE 7/0/ft
INSTRUCTIONS: This worksheet is recommended for determining conform-
ance with the Uniform Dwelling Code's Energy Conservation Standards.
Dwellings may be evaluated by the System Design Method or the Accept-
able Practice Method. Heat loss thru basement walls and floors where
insulation is not required by code may be included in furnace sizing
calculations at the option of the designer. System Design heat losses
not exceeding the losses determined thru the code requirements by
more than 1 % are considered acceptable.
Igo ,Pitt
• CEX@MX IN
ovi
GROSS WALL AREA: FOUNDATION WALL ABOVE GRADE:
S`1 X I I au. 113 x • 6 61 r. 77 .. 3 7L
7•S)( b.I 9 01 8s�t u�•
11),/ sq. ft. 7h sq. ft.
WINDOW (AREA: ®glass size Q unit size FOUNDATION WALL BELOW GRADE:
I6I31 a?. a:119 = '1$ II3
20 10 X 6 iy't ti 33 .
3 .0 s `►v X . 1 :. I't's = 13 /42
►h : »1.
1 1 1 !'of 4.441.
sq. ft. 33/ — sq. ft.
_
DOOR AREA: FLOORS OVER UNHEATED AREAS:
318 sq. ft. by sq. ft.
CEILING AREA : NET (OPAQUE)WALL AREA: OTHER 13 0 OTHER: -----
Sa3 sq. ft. c i t, a'. sq. ft. � sq. ft. sq. ft.
Form No. SBD -55 ].8
page �.,T
'* tE2$ 4 X? L/6148 '
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.
type 1 type 2 type 1 type 2
cav sol cav sol cav sol cav sol
,
exterior film -.17 .17 .17 .17 exterior film .17 .17 .17 .17
siding 0_ 17 _ ext. finish
sheathing m s . 1.1 3 - f insulation 38 . h.g
insulation Jcj xxxx xxxx framing xxxx 9.35 xxxx
framing xxxx L.7 xxxx insulation
int. finish ,45 1 1( int. finish .v, .54
interior film .68 .68 .68 .68 interior film .61 .61 .61 .61
* TOTAL R ).'I 1.3a ; TOTAL R 34.37 3 ,
"Un = 1/R .0`17 .107 "u" 1/R .0 .031
ggig me above grade walls _£. ,, Box u►,keai-e¢ Pi '
a - ,
cav sol cav sol cav sol cav sol
exterior film .17 .17 .17 .17 exterior film .17 .17
ext. finish ext. finish
masonry . .44
wood insulation 19 li
int. finish - R ,r G
int'.:rior film .68 .68 .68 .68 ' �3
int. finish I.23
Insulation 6 interior film _ 6g .1)1
TOTAL R 7.11 , TOTAL R 10.5a aal
n = 1/R .139 - "U" = 1/R . D17 _ . D7 -
m e �,� * 1st thru 3rd foot kth foot below grade
�$ below grade to basement floor
®
no insulation .288 .094
walls R 5 rigid board .113 .063
R 1]. fiborgiatm .072 .048
w/ 2 x 4 framing
floors no insulation .025 .025
. noludoa air film, wall, J & soil pale .:1/
' CONSTRUCTION HEAT LOSS
0 " "
heat loss in
��• � ` ai w AREA "U" TD
BTU per hour
type cav . (... 11___A_I2 ) gg 3 .017 es p ff
wallb s of . (_g _X / ) 11 .107 gS gp s'
type cay.( x %)
type cay. ( 7.3 x 93 %) 7 6j- . rw _
. gl li V 1 sol.( n3 x 7 %) ,q . 031 SS is:?
4
} t cav . ( x %)
2 sol.( x %)
1 above grade walls ']6 ,13y $S V6,5'
Tat ' 2 below grade(3 feet) *
16 a. .113 50 91.3
3 gt, 1Rw hp f ■%<,,1• 177 . aBS� JO e2SYf
1 windows 121 .63 5.5 6 I LID
, EMES ' 2 patio doors
3
,
: Ci5SP8 1 , _ 2 /-3 .3
I a�� 7.F .131 K Lt y_.7
gtb,or 1 go, 18, .O1 • 8s 7Sie .
2 /4„4„.K1 fl(. by 0 211S'
ToTat. `6, 313
CODE COMPARISON
ADJUSTMENT FACTORS CODE
FOR WOOD FRAMING COMPONENT AREA " , TD BTUH LOSS
cc studs joists walls above fdtn
12" 20'o 14% walls above grade _Mg .13 $,r 15, a11
16" 15% 10% fdtn above grade .25
24" 10% 7% fdtn above grade
fdtn below grade(3 331 .20 61 3390
roof /ceiling _-- - ------ 423 . . 029 n. o 27
ALLOWABLE
HEAT LOSS 20
COMPONENT AREA "U" ** TD * BTUH LOSS
,, m walls more than 3 feet 2.0 D �'D 14x0
all tk:.,t s below grade —_
floors d3 . Wi S LOA et
*TD = inside temp. minus 20 degrees HEAT LOSS a, 0 7 9
. * *From table on page 2
5
Page
llf , Ls to �`l�l"
„,, INSTRUCTIONS: for completion of acceptable practice method, please refer to Uniform
Dwelling Code, Chapter Ind 22, Energy Conservation Standards, Appendix Tables A -1,2,& 3.
WINDOW GLAZING:[Single w /storm DOORS: nsulated SIDING: wood(R .77)
WALLS ABOVE [Insulated glass Solid wood alum(R1.82)
FOUNDATION C7Triple pane ninsul w /storm
WALL
INSULATION TYPE: WINDOW AND DOOR AREA PERMITTED %
GROSS WALL AREA(from worksheet, page 1) = square feet.
GLASS /DOOR AREA(from worksheet. page 1) = square feet.
PERCENT WINDOW /DOOR AREA = glass /door area
PERCENT WINDOW /DOOR AREA = glass /door area * gross wall area =
INSULATION TYPE: R VALUE (per inch)
CEILING
RtQUIRED THICKNESS(per table A -3): " in cavity "over framing
■
FOUNDATION WINDOW GLAZING: single [single w/ storm r_Insulated(double)
WALL INSULATION TYPE: _ R VALUE
EXPOSED FOUNDATION AREA(from worksheet, page 1) = square feet.
(walls must TOTAL FOUNDATION AREA(includes above & below grade)= square feet.
be insulated PERCENT EXPOSED = Exposed foundation total fdtn = square feet.
to be in con- PERCENT WINDOW AREA PERMITTED(see Table A -2) = percent( %)
formance.) PERCENT WINDOW AREA(window area f exposed area) = percent(%) AT 8 f 2 El 0 .
g al 533 zt w VOLUME CALCULATIONS: LEVEL VOLUME CON. TD A /C* BTUH HEAT LOSS
' 1.33 11 � a 1 1$.5r Basement _ k i i,3 .018 i5 I U 1 ,S61 .
I Xa u Level 1 I9 61 .018 1 a.,t5y
I.5 CO-3 = Level 2 4 .018 1 q 14
y
Level 3 .013
*AIR CHANGES. Recommended changes between .25 and 1.00 INFILTRATION �/ 16
depending on t construction, openings
, HEAT L OSS b
223 SI A IDS 8 p g ypeconstr ction number of o enin s
weatherstripping, caulking etc. ' ; g r .
i
` ALLOWABLE HEAT LOSS(from page 3) 20 490 TOTAL DWELLING LOSS 3S qt/
INFILTRATION LOSS(from above) 14 � L_ _ x 1.15
BASEMENT HEAT LOSS (from page 3) 017 MAXIMUM FURNACE SIZE 14 I - 7,
TOTAL DWELLING HEAT LOSS: 3 , cf *
FURNACE SPECIFIED
* Furnace output
dem