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� STATEOfWISCONSIN WISCONSIN UNIFORM
DE►MITMENTOFINDUSTRV,LABOR AND
"`"""""EUT'°"° PERMIT NO._
DIVIEIONOFSAFTVANDBUILDiNGS BUILDING PERMIT �
101E.WAiNINGTON AVE.
�x� PARCEL NO.
""°"°",'",.�"°, APPUCATION
wiacaNa�N sr��u¢a io�.av
PERMIT REGIUESTED ❑CONST ❑HVAC ❑ELEC PLUMB
Owner's Name Mailing Address elephone
s s Q �•1 � 3� � � „` _ / 3 Y/
Co tractor's Name Mailing Address Telephone
' .S�a � S-,z
PROJECT L CATIO ��. %a, SECTION , r ►u, R E(orlW
Building Addreu � Subdivision Name Lot No. Block No.
�3��" �.,f�z..,.. ,..� - � l/ r ���, � -
Zoning District Lot Area Front Rear Left Right
Setbacks h
_ S Sq.ft. ft. � ft. 4 -� ft. � ft.
1. PROJECT 2. TYPE 3. ELECTRICAL 4. HVAC EQUIPMENT 5. ENERGY SOURCES
Entrance Panel � orced Air Furnace Fuel �° •Water
New ❑Addition ' Iefamily Size: �� � AMV Hcp. Hcg.
A eration Two family ' Radiant Baseboardor Panel
Se vice ❑Heat um LP Gas
❑Garage ❑Other Underground P P .� �
Nat.Gas ��
Attached Overhead Boiler ��.
Detached ❑Central Air Cond. Fuel Oil ❑ ❑
❑Other 6. CONST.TYPE 7. FOUNQATION ❑Other Elec. ❑ ❑
wood ❑ ❑
❑Master plan no. ite const. oncrete $, pLUMBING Solar ❑ ❑
(if applicable) Manufactured Masonry Coal ❑ ❑
outs�de ❑Treated Wood Sewer
9. AREA Dimsrnion 10. STORIES ❑Other un�cipal Other
�Basement �_sq.ft. ❑1-Story 11. USE ""`''t�� O
❑2-Story ❑Permit No. –�� 12. WATER
�ving Area �6 G� sq.ft. ther �Seasonal
�Racmanent ❑Private
�Garage y�n sq.ft. UOther ❑Municipal
e applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit;un erstan s
that the issuance of the permit creates no�egal liability,express or implied,on the Department or Municipality;a�d certifies that all the above information
is accurate.
( n f
SIGNATURE OF APPLICANT_--=�. c,_ .f,..�� y t� . � � �91�- %�� l�l.DATE ��- /S
CONDITIONS OF APPROV AL This permit is issued pursuant to the following co ditions. Failure to comply m�y result in suspension or
revocation of this permit or other penalty.
�3. ISSUING JURISDICTION ❑VILLAGE CITY ❑TOWN ❑COUNTY ❑STATE
NAME ���!( c �y MUNIC. NO. � ,� — °�} � S�
�� J
FEES PERMIT(S► WIS.UNIFORM PERMIT pERMIT ISSUED BY
ISSUED SEAL NO.IS)
PLAN REVIEW $ ❑CONST. ,
INSPECTION ❑HVAC NAME
WIS.PERMIT S AUS) �v u ❑ELEC DATE �' � •
� r
OTHER( � TOTAL$ �UMB Q3 �� _ CERT NO. S-- S �" �—
DILHR-SBD-5823
ISSUING JURISDICTION/AGENCY
� ETATEOFWIECONSIN WISCONSIN UNIFORM PERMIT NO. ��� � �
DE�MITMENT OF INDUlTRV,IABOR AND
NUMAN RELATIONS
o+X�DIV151d10FEAFTYAND9UILDINGS BUILDING PERMIT
iNCron�ve. PARCEL NO.
""°"°"�'"'��"°' APPUCATION
WIlCONEINETATUEE IOtD.1 '
PERMIT REGIUESTED oNST VAC �ELEC ❑P�UMB
��r s Nam Mailing dress Telephone
SS ���,�� -�N�. z?�� a,� s� z�3—(3 �f I
Cq�c�ctor's Name Mailing Address Telephone
1 C� C s �c���r�- �''�-- San�t�. S�n..�.
PROJECT LOCATION �r. ��., SECTION , r ►v, R E(orlW
Building Addre s S bc�ivision Name Lot No. Block No.
�-3�3 C� ��n��o R-o:��p �� � _ �u�.p�r.,�sin� ,—
Zoning District Lot A ea � Front Rear Left Righ�
�� (�s�� �ft Setbacks r
�S ft. 3� ft. � ft. Z�f fL
1. PROJECT 2. TYPE 3. ELECTRICAL 4. HVAC EQUIPMENT 5. ENERGY SOURCES
�y Entrance Panel orced Air Furnace Fuel �B •Wace.
yzSNew ❑Addition �mglefamily Size: � �� AMP Htp. Htp.
Alteration LJTwo family Radiant Baseboardor Panel
S vice ❑Heat um LP Gas ,0 ❑-
ar ge ❑Other �Underground P P
❑Boiler Nat.Gas � ,'�
ttached Overhead FuelOil ❑ ❑
❑Detached ❑Central Air Cond. ❑ ❑
6. CONST.TYPE 7. FOUNDATION ❑Other Elec.
❑ocne� wood ❑ ❑
❑Master plan no. ite const. Concrete $, pLUMBING Solar ❑ ❑ :
(if applicable) Manufactured ❑Masonry Coal ❑ ❑
❑Treated Wood Sewer Other
9. AREA Outsids 10. STORIES
DirrNrnion ❑Other �'Municipal
❑Septic
�Basement sq.ft. ❑1-Story 11. USE ❑permit No. 12. WATER
,�,( ❑2-Story
I�I.Living Area � � � sq.ft. Other �� easonal
JalPermanent ❑ nvate
�Garage �j sq.ft. T'e�—�'�'v�''' �unicipal
❑Other
e applicant agrees to comply with the Wisconsin Uniform Dwelling Code and other Municipal Ordinances and with the conditions of this permit;un erstan s
that the issuance of the permit creates no legal liability,expre s or implied,on the�epartment r Municipality;and certifies that all the above information
is accurate.
SIGNATURE OF APPLICANT DATE � �J �I
CONDITIONS OF APPROVA is permit is issued pursuant to the following conditions. Failure to comply m�y result in suspension or
evocation of this permit or other penalty.
iS. ISSUING JURISDICTION ❑VILLAGE TY ❑TOWN ❑COUNTY ❑STATE
NAME �cS���s�/ MUNIC. NO. � �J — � � t�
FEES .�1� PERMITIS) WIS.UNIFORM PERMIT pERMI S UED Y
iZ ISS ED SE NO.lS)
PLAN REVIEW�L $ CONST. NAME '
INSPECTION HVAC � �Z� DATE �� �/
WIS.PERMIT SEAL(S) � LEC ���o�i�
OTHER( ) �_nL,Vp�g CERT NO. `t" C!�
TOTAL$�
OI LHR-SBD-5823
ISSUING jURISDICTION/AGENCY
. .
DHT E �O --�,� --�/
�-
�NAME .�� f'(J t5 � ADDRESS c��C�� �.JA Y SU�I v�� � •
LOT / BLOCK WARD �� 4
SUBDI V. � GG"`'� �LZ��� ZONE �— ��
�, �
STREET N0.-��-�-'��)�-- -��{�k� LOT D I MENS I ONS_ �C� r� � �c/��
Z 7 , _ , � -
SIDEWALK EX.ISTING YE� Q NO ,�
BUILDING GRADE ELEVATIONS STAKES SET AT SITE I�- Z E , 19 8� BY K N
FEE: $2.00 �c�
3�� �_ �
7 d ��'��z��
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 .
,
,
; ����`�' /
r
• . � �vi1liiti�. . . . . . .(414)269-4343 Sr,���� �Hi�. .�4�4)4JC5-G3L`J
� GREENVILLE . .(414)757-5433 JACKSON . . . . .(414)677-4171
� Q BEAVER DAM .(414)887-1747 MARSHFIELD .(414)387-1744
� ' ` `
STATE OF WISCONSIN
Department of Industry, Laborand Human Relations
, Safety and Buildings Division, Madison, Wisconsin 53707
^ �-��, � � ��; � _ ,� ��
� � ;
� �
�
�� �
. .
JOB NAME: �l�tis ic��nic., DESIGNER: �%_
LOCATION: ���' l�iN� Aru> �.� ZONE: � DATE: /�-��>-t�/
INSTRUCTIONS: This worksheet is recommended for determining conformance with the ,
Uniform Code's Energy Conservation Standards. Dwellings may be evaluated by the System
Design Method or the Acceptable Practice Method. Heat loss thru basement walls and
�oors where insulation is not required by code may be included in furnace sizing calculations ,
�t the option of the designer. System Design heat losses not exceeding the losses determined
hru the code requirements by more than 1% are considered acceptable.
■
� � �� � �� ��
�� � � ��
GROSS WALL AREA: FOUNDATION WALL ABOVE GRADE:
�� X �/ = a�/� /��tX , �7
l�c{ X ��y = //5.3
� D sq, ft. ��sq. ft.
WINDOW AREA: O Glass Size ❑ Unit Size FOUNDATION WALL BELOW GRADE:
���l�-�5= �a,, 5 �-, � �, .,,
, ,. - i, ;/ .
,, ,:�.
� � � � l� �
, _ 1��isq. ft. _�:i,� sG. ft.
DOOR AREA: FLOORS OVER UNHEATED AREAS:
/- -3� �' °'�`� y�X�
/- � � �- /7�
�sq. ft. �sq. ft.
CEILING AREA: NET(OPAQUE) OTHER: OTHER:
WALL AREA:
.� > > sq. ft, � sq. ft. sq. ft. sq. ft.
F�rm No.SBD•5518 a e �
p 9 ,
` ��� � �` � ��-`-;� � �� � �� � �
INSTRUCTIONS : Calculate R and U values using TABLE A-� 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. x
> ; ype 1 type 2 � type 1 type 2
���� =� t� � � � c a v s o l c a v s o l
��� cav sol cav sol
exterior film �. 17 . 17 . 17 .17 exterior film . 17 . 17 . 17 . . 17
siding — -- ext . finish --- --
sheathing J!� , �� insulation ���-, � ,� .
insulation xxxx xxxx framing xxxx � �F�-, xxxx
framing x �7 insulation -- —
int. finish �5 �/ int. finish ,l(,., ,5(,,
interior film .68 .68 .68 .68 interior film .61 .61 .61 .61
TOTAL R �a��'�' ��^��3 TOTAL R �`'>,3�! 3����
��U�, = 1/R •b� �1�� �iUi� _ 1�R ��o'�� r�3�
iNN[-�, �� U'
above rade walls �����,�� �'�--°^2
�
���} � cav sol cav sol t�j C cav sol cav sol
ext�rior film .17 . 17 .17 . 17 exterior film ,/7 ,�7
ext. finish — ext. finish ,�� ,�/7
masonry ,� —
wood — insulation c yy
int. finish — )f, �,
int�.:rior film .68 .�� .F� •68 int. finish � /�,. ,�
Insulation interior film ,(�/ , �r /
TOTAL R I,U�� TOTAL R ��.yl ��1�/
� � nUii = 1/R (�,71 U = Z�R iD�/� i���
�
�- lst thru 3rd foot �+th foot below grade
�
��� ���� below grade to basement floor
no insulation 2$8-- �06��
�_._ -
walls R 5 rigid board . 113 3
R 11 fiberglase .072 ���� ,
�nT� �� � 1E �':4'e�,iu1_1�K
floors no insulation .025 •025
�
�- ��cludes air film, wall, insulation & soil page �-�
r
' - �,,..,,, �..i �._..+ �..�+ �' `�,.+v W..� coNS�i'nlJ�iivir ti�'l� .LUa�
� � � eat loss i ;
� AREA ��U�� TD
TU per hou �
tY�e c av. ..l�L-�.�x �r a) � ,pc!� �r < <//?r� �
�t� 1 sol. 1„�C^� x /� i�) / %� �� �'� /��� x.
��9 � ��� � X—�) �
ty}�e cav. �
2 sol, ( x_�) �
type cav. G'� x �/� �J ,� � �l /� :�� �
f
_ 1 Sol. (�X��) 7D ,0.3/ ��� �� �
� � � � �
t�� cav. ( x—f) �
- 2 �ol. ( x_�) �
�
1 above rade walls - r �
g -, .�/� . �7 ,°�-� ¢� �'�� �
'� . 2 below grade(3 feet) J�,7 ,a�� jC� * �,r.�I �� �
� �
� �
3
�
1 windows L y , r,c� r..,r j ��� � �
S'�'� �� � 2 atio doors �
i, � �
� 3
�
, 1 � �= ,1� � �, G t
������� 2 �
1 � `� .U�/� �3S :
`..." �... -� � � 2 . C� r"%.t..'/� / /r .. (_.!li� � �J `_?�� a
TOT4L �a, �,7�, -
CODE COMPARISON °
ADJUSTMENT FACTORS COMPON�NT AREA CODE TD BTUH LOSS
FOR WOOD FRAMING U
cc studs joists walls above fdtn =
---- i
12" 20 0 l��b walls above grade . . � - � ��� � L�� J �
t
16" 15� 10� fdtn above grade .25
� �11 " �; 10;'v t� 7� `� �C c:� t,�1 ab o��: ,�,r a c�� ;----- -- f, i,
i ii
f dtn below grade(3, ;�`,` . 20 ;'�r)" =�� `/�? �
. ;
-- �.
' � roof/ceiling /��-� .029 �;� � c_ �
i� �' � T � <
' ��j.�f�c i?-/f=11 ����0�,2 f�� �� � r--�J ( � �
� ALLOWABLE � � � �
� HEAT IAS S � --�� �-'�
COMPONENT AREA "U" *� TD � BTUH IASS
���� � walls more than 3 feet (��� �f���/ Jf� 2 L
below grade
����►� � �,� , . r �--�
�t.'1.00.r.s ,�1 � ,l' , J, ��n l/_.� /
� �TD = inside temp. minus 20 d.egrees HEAT LOSS ��3 �, n �
��From table on page 2 �.::� £'
page
._
- [[// .r . � � � � .,.a ►J ���'�y• � 4
1�� 1�� 1� �1,��Y��1.���� � ��� _
� � � 1� f
i
INSTRUCTIONS: for completion of acceptable practiae method, please refer to Uniform �
Dwelling Code, Chapter Ind 22, Energy Conservation Standards, pendix Tables A-1,2,& 3. �
F
WINDOW GLAZING:[ZSingle w/storn DOORS: nsulated SIDING:nwood(R .77) �
WALLS ABOVE �(Insulated glass Solid wood aalum(R1.82)
FOUNDATION C1Triple pane ninsul w/storm '
�
WALL
F
�
INSULATION TYPE: WINDOW AND DOOR AiREA PERI4ITTED %
,
GROSS WALL AF.EA(from worksheet, page 1) = square feet. '
GLASS/DOOR AREA(from worksheet. page 1) = square feet.
PERCENT WIND�W/DOOR AP.EA = glass/door area • E
PERCENT WINDOW/DOOR AREA = glass/door area fi gross wall area � � �
;
�
i
INSULATIOtd TYPE: R VAI.UE (per inch)
CEILING �
{
R�QUIRED THICKNESS(per table A-3) : " in cavity "over framing €
;
� �
FOUNDATIOi1 WINDOW GLAZIIIG: Qsin�le asingle w/ stor�a �insulated(double) 4
WALL INSULATION TYPE: R VALUE t
�SXPOSED FOUNDATION AREA(from worksheet, page 1) ° square feet.
(walls must TOTAL FOtRdDATIOI� AREA(includes above & belo�a grade)= square feet.
be insulated pERCEI�T EXPOSED = Exposed found�ation � total fdtn = square feet.
to be in con- pERCENT WINDOW AREA PERMITTED(see Table A-2) = percent(%) �
formance.) pERCENT WINDOW A,'tEA(window area � exposed area) = percent(y)
�` � � ,
. � ,
�
� �
�
' VOLUME CALCULATIOP7S: LEVEL VOLUME CON. TD„ A/C* BTUH HEAT LOSS 5
�
�a � X �7, �3 I3::isement �/�/.� .Olt3 _'i� „1l __ �.� � s
�
�c�c� �( �' Level 1 I�' �`) .018 ��� � � � �
� �,.
Level 2 '� 4`� .018 �^� � .��� � �
���� � �� �� �
y �� ,/� Level 3 �r�� .013 �� 5% �, 7 "
-T�0 , , �
*AIR CHANGES. Recommended changes between .25 and 1.00 INFILTP,ATION
depending on type construction, number of openings, HEAT LOSS �� o� ��p�
weatherstripping, caulkin� etc.
� ` �
K �
� �
��
�
�
�� �
ALLOWABLE HEAT LOSS(f rom page 3) � ?��� TOTAL DtJEI.�,IPTG I��SS � �- n��
—
INFILTRATION LOSS(f rom above) �,�.; ���� ��� x 1.15
1,�_„��,� �L'.ls� ':
__"'_' ' .'1�._1__r—_'_'`"'�_ 13 i� �4
��n.�r,rivai u�.nr t�o,�,, (xron► ��A) ,, F:�,`�' . itAXTt�U14 1��11ZNA(:i. sr2� , � ,� ; � � � ,
�
TOTAL DWELLIiJG HEAT LOSS: l � f1/ I� CIFIED *
* Furnace output �
t�9