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HomeMy WebLinkAbout111 West Road Application No. 4944. Permit No. 4684... .. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit t {erect- ' � a building according to the following detailed statement of the specifications an plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether s ecified herein or not. South Windsor, Conn ......... ....a2 Sign .................................._........... Address .......8�..�....t a.. .., Location. ......... .. ..... ......................................................side of? .. ............. ........... ............................. ............................................ Nearest cross street? ... ........................Street No. . ... ... .. ............................ Lot No. .. ...... wner of land is. ... ..... .. .Address ,lei ... .,........... ....... ............ l Owner of building is? .. . Address ........................................ ...... Architectis? .. . ............ .................................. ............. ......................Address .. ............................................................ ........................................ Builderis? . ..................IW4 : ....... .................................Address .................................................................................................... ........... �,/r s ` Dimensions of building? ..f /��/. ...... eet front? ...... �, . .... Feet rear? .....1.7... ..... Feet deep? .. . Extreme height to highest point of roof? ............. .... .fly No. of stories in height?. . .......� Purpose of building is? . ®d ......tSi4/ ....................No. of stores? ... .......... .. . .................................... ................................. Howmany families? ... .............................................._..........................._......No. of rooms? .... ... ................ .................................................................. Distance from street line is? . ... .....A�41. ...............................from building line is? ................ ....................... ..................... ..... ADDITIONS AND ALTERATIONS (Give Brief Description) .. .. ...... ... ....... ... ..Lem... .......... ............ -.r....... .... ....... .. .. .......4:�00 . ... .. .. ........ f I. .......... 21 . ..4... .. . .............. .................. ..................... ..... MapNo. . ................... If of steel frame, what is exterior construction? .. .... . .......... ............ .. ................. What kind of columns used? ................. ................ .. ..... .........Size of columns used? What length of columns used? ...... ................. . .....How protected? ............... ....................................... What kind of beams or girders? ............. Size of beams or girders? ............ . ...... . ....... ............... ... Longest span of beams or girders? . These rest on? . Roof construction is? .....................................................................................Roof covering is. ................. ...... . The floors are of ..................................................... construction and are calculated to carry a safe load of lbs. per square foot. (See Section 14, Budding By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed.? ........................ ................ .... ........................ ............................................ Compositionof mortar? ....................... ............................................................................................................. ...................................... .. ............................. Height and Thickness of Walls Height Stories Front Waft Side Walls Rear Walls Partition Walls Basement, ........................................................................................................ .................................... ........................................................................................................................................... .. ..... 1st story ......................................................................................................................................................... ................................................................................................. ................................ ........ ..... 2nd " ........................................................................................................................................................................................... .............................................................................................. 3rd " .....................................................................................................................................................................................................................................................................................I................. 4th 's ... ................................................................................................................................................................................................................................................. .......... . ....................... I....... 5th is ....................... ......................_­............................................................. .......................................................................... ..................................................................................................... 6th do .. ......... . ...... .. ......................................... ..................................I............................. ....................................................................................................................................................... 7th 'd ............... ....... .... ..­­.......................................................... ............................ ......................................... ............................................... ..................................................... 8th 64 .................................................................................. .................................................................................... ............... ............................................... ................................................... 9th is ...........................................................10th ..................... ........ .. .. ........... . ... .... ....... ..................... . ........................ .................................................... Material.of Front? ..If stone, what kind? Thickness of Ashlar? ......... ..... .....Thickness of Backing? Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GISD$8S OOLUBMS Floors Bice Longest span centres BrlBging Size Longest span centres Size Lenga cubs 1st Floor — e.....,�.... .............. .................................. .................. ..........-__..................................... ._............_.. ............_. ._..........--- _......... ..... _ Via.....,...... ..........._ .................................. ................. ..._....._.. _.........._...._........ _....._.._ __.._ _..._....._...._ 4 .... .... ............. ................................. ................... .._........._ .................._............_ ......_._. _...___. ..._...._... .................. _ Size of outside studs? ......................................... Distance on centres? ................................................ Size of sill? .............................................. Size of rafters? ..................................... ... Distance on centres?................................................... Size of plate? ..................................................... Sizeof ledgers or girls. ... ................. .. Size of deck rafters? ....... ........................................... .................................................................. ............... Distance on centres? .......................................................................................Size of studs in bearing partitions? .................................................. MISCELLANEOUS Style of roof, flat,.pitch, Mansard, or hipped? ... ............ ....:� .... Fireplaces? .../............................................... Material of roof covering? ............. ..... ... ................... ..........Material of Cornice? ................................................................ How is building heated? . .......e4l4m.,...............................Lining of flues? . ......... m- ................................ ... Thickness of shell of flues? ............ ......................................................Any elevators or lifts? ......................................................... ...................... Whatkind? ......................... ............... How many? ............ . . .... .... .......... ..... Any hoistwa . ................... ............ .............. . Howprotected? ................ .................................................... ... .......Total Value of Building ........�......�r..1.....cr.~....`................................. ! � A When will work be commenced? ....... ./ ..4, .�,r .... ......... The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this application, conforms to the zoning regulations of the Town of South Windsor. Applicant 4684 BUILDING APPLICATION ApplicationNo. ..4 ......................................................... onthe ......W-e-st...................................................... side Of .... ...........W.e q.t....ftd.... . .... ......... .... Street. StreetNo, . ....... ........ ... ............. . Alexander Goldszmidt Owner .... .... .. .... .. ... ......... ........ . .. ........... Applicant . Same . .... ........ CLASSIFICATION Tool shed, not to be used for . ...... ... ........ ............ ................... living, sleeping, camping out, etc. . .......... . ........ .. .. .......... .... . . ................. ... ....................... Permit issued on above Application. 1-27-64 Date, ....... 19.. TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Jan.27, 19 64 00 Fee Paid 2' Est. Value $. ,?00.00 Permit N? 4684 b s West on the side of West Rd* Street i Street No. r Owner Alexander Goldszmidt t Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $$ C CLASSIFICATION Tool Shed, not to be used for k living, sleeping, camping out,etc. i i BUILDING PERMIT N° 4684 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. ,fan` ?7v 1964 T44too to to Terttf1j, That Alexan.e„ Golde milt is hereby granted permission to '' �' shad` Not to bs u00d for 1iY 1A1Pug•alenp,4'Lug# 0a"Pi0g Out# 0t4-w at estimated value of ?00 00 on the Went side of We wt Rd. Street on land owned by Alexandor Goldemidt Said Work to be as described in Application No. 4944 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued '=ate'�'.l 64 4401WiJ17S-�. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." O GD TO THE ill- -D INSPECTOR � of dry APPLICATION FOR OF�� COW PLAN''EXAMINATION AND BUILDING PERMIT M IMPORTANT - Applicant to complete all items in sections: 1, It, I11, IV, and IX. C to ZONING I• AT (LOCATION) ZONING CT LOCATION (NO.) (STREET) OF V� BETWEEN AND - BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE H II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D x A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use R i 1 ZN w building Resi ntial Nonresidential 2❑ Addition(if residential. enter number 12 One family 18 0 Amusement, recr ati nal of new housing units added. if any, 13 ❑ Two or more family - Enter 19 ❑ Church, other religi us i+r Past D, !3) number of units- - - - 20❑ Industrial 3 ❑ Alt ration (See 2 above) 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4❑ R pair, r placement or dormitory - Enter number 5 ❑ Wrecking (it multifamily residential, Of units ------- - i ❑ Service station, repair garage eater number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D. 13) 16❑ Carport 24❑ Office, bank, professional 6 ❑ M vino (r location) 17❑ Other - Specify 25❑ Public utility 7 ❑ F undation only 26 ❑ School, library, other educati nal 13. OWNERSHIP 27❑ Stores, mercontile 8 dPrivate(individual, corporation, 2130 Tanks, towers nonpr fit institution, etc.) 29= Other - Specify 9 ❑ Public (Federal, State, or local g v rnment) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, .g., fo d processing plant, machine shop, laundry building at hospital, elem ntary 10. Cost of improvement................ S school, secondary school, college, parochial school, parking garage for department store, rental office building, office budding at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed•use. in the above cost a. Electrical...................... b. Plumbing ...................... c.Heating, air conditioning......... d. Other( levator, etc.)............ 11. TOTAL COST OF IMPROVEMENT iD- boo, III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Ports E - L; for wrecking, complete only Part J, for all others skip to 1V. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑ s my(wall bearing) 40�blic or private company 48• Number of stories................ 31 LLJ ^ d frame 41 ❑ Private (septic tank, etc.) 49• Total square Feet of floor area, all floors, based on exteriorr- 32❑ Structural steel dimensions .................... 5� 33❑ R info►ced concrete H. TYPE OF WATER SUPPLY 34❑ Other - Specify 42❑ Public or private company �• Total land area, sq. ft. ........... 43 f Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ...................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35❑ Gas Will there b central air 52. Outdoors....................... conditi ping? 36[�OlI L. RESIDENTIAL BUILDINGS ONLY 37❑ Eltedricity 44❑ Yes 45[J No 53. Number of bedrooms.............. 3s❑ teal �• .�. 39 0 Other- Specify Will there be on levoter? 54. Number f Full.......... 46❑ Yes 47 dN betl+reerme Partial........ t i IV. IDENTIFICATION — To b c mpl t d by all applicants k Name Meiling eddr ss — Number. sheet. city, and State ZIP code Tel. No. Owner or Lessee 1 2. CAJ Contractor ! t f i 3. ! Architect or I Engineer 1 The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application date j I 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R vi w Required Check Plan Review Date Plans B Date Plans By Notes q Fee Started y Approved BUILDING S PLUMBING $ MECHANICAL ELECTRICAL $ OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval I Check Date Number B Permit or Approval I Check Dote Number 3 pp Obtained Y pp 0l,ta�ned Y BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD i FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building � Permit numb r w Bui Iding r Permit issued 2 Z2, 19 _ Bui Iding l�tJ J_ 0-0 Permit Fee ,/0)) 7.J A rov d y: r TITLE A TOWN OF SOUTH WINDSOR BUILDING PERMIT Date 'r 7/27 , 19 87 Fee Paid $. .30 00 Est. Value $.50...000.00 Permit N° 16134 on the aide of Street No. Owner AIM04" t101dBASIdt Applicant SAM as above CERTIFICATE OF OCCUPANCY ISSUED: Date No. 8300 Fee Paid $ A-00 CLASSIFICATION BUHMNG PERMIT N° 16134 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 7/2 7 1987 94is is to Certify, That Alexander Golds mi dt is hereby granted permission to Build a single family dwelling at estimated value of $50.000.00 on the side of West Road Street on land owned by Same as above Said Work to be as described in Application No. 16432 and to conform to specifications and plans filed with said Application, and Building By, Laws of THE TOWN OF SOUTH VIMSOR. Iss 7/27 19 87 ..........I W '--� n' ' S � ud ing ntpecto�. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." S/ LE FAM) L1I DWEL 7107,IJ'7 ?-/del.+ a NL�`�14NDE2 Q"q ty,' Pemit Electrician /Yl.A- CURlZ Heating Contr.�o66RT /`� ►3Ri��► # Plumbing �' ieT l>'1. I. A1�iZ�I #-7 5-1,6 Oil Burner # Certificate of Occupancy # F.3oo Sewer Permit Quo 7- J1�71S 7 7W6- -1�9- /.Os 7 INSPECTION REPORT �l✓��..�� j6 Permit #�b f 7 f Job//r Yr' s r 14 D 1 Footing �� KDE-k �2 2 Foundation 3 Framing 4 Wiring Dtoo/ -/A• A-Ct,((�I� Y �^�L'T�l 5 Plumbing r 6 Heating or3 -J2rc.Ft 8 C.O. ta11 ^/2—ss N� w Permit No. _ - TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. IID Permit Certificate of Occupancy THIS IS TQ CERTIFY that the 1)'J �-L at No. t f.�t. u'''t j� in the'Town of South Windsor, Connecticut, fias been erected and completed in accordance w th the Building Code and Zoning Regulatio�e the Town of South Windsor, and is hereby ap�l3rowed, occupar�ey,� , Building inspector Owner, Builder Fee Paid ��"' Date CERTIFICATE OF OCCUPANCY CHECK LIST Applicant Certificate of occupancy PP P Address f' ��-��'/� ' Bldg. Permit No. Ilk 13 Lot No. J Date Submitted /-� Project Reviewed By Date v �• As required in the Zoning Regulations, no certificate-of-occupancy shall be issued until grading plans have been complied with and approved by the Town Engineer. The minimum requirements shall inlcude: Approved Denied N/A c� 1. Approved building permit plan. 2 . Finish grading per approved building permit plan. 3 . Site work; i.e. trees, shrubs, dumpsters required parking 4 . Utility location a. sanitary sewer b. foundation drain C. electrical & telephone d. water e. other 5 . Appropriate certification 6 . Bonding Sewer Permit No. Pavement Excay . No. COMMENTS: ELECTRIUL APPLIGATM Application No. 15 y on the side of Sued Streit No. c1i es Owner . . IleyEkctrtctan a bi 116;� FILED IN OFFICE OF TiK Building wpectoe 4 e? 7 19 a No Electrical Work shall be started untU a Per- mit it `ranted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipe% and the fte stops lit of wood$ are installe4 without a special permit from the office of the Building Inspector. Fleetrical Permit N& D 0� r—•� • Master I.icenae No. ....A?&429:� TOWN OF SOUTH WINDSOR Building Permit No. z.�..1� Date Piled . BUILDING DEPARTMENT Date Final Approval APPLICATION FOR ELECTRICAL WORK Electrical Iasp.etor OB LOCATION: .............���.._..._.....__.._.......�....... JOB OWNER ...................... Side of ................_...._...................... ......._.................._/�Betw __.._............... w..._...�._._..... Name of Building Owner ..._... L •-._. J.+ -...... Address If work is for Lessee--CAve name .—_........-._-....— Address Building now occupied as (unless new) ..... _ ._.._...._ No. of family units now Building to be occupied a: -.. .-.--.--.-- Nucab-.- of family, nuits to be Is this w rk included in a Building Permit? . .._._.._... Permit Fee - (If no B=Uing.P r .14, a/j/ ,.•,�•-•...� 1'/ ` _. Business Address ..._...... - ! Telepisoaa Permittee .�_�..,�.-� IVz COST OF INSTALLATION: _... . 00D BE FILLED OUT BY PERMITTER TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed - Number of present Appliance Circuits .--.. Number of c nventence outlets to be installed ...�.• Number of switches to be installed . . Do these include Range ❑ Water Hester13 Number of appliances to be installed . . . ....._! ..•__....- (as listed below) Dryer ❑ Air Conditioner ❑ Oil Burner ❑ TYPE RATING NO. Dish Washer ❑ Gas Burner ❑ Range . . . . . . . Well Pump ❑ Elec. Heaters Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater . Id Clothes Washer . . . . FOX Cl thes Dryer . . . . . / Dish Washer . . . . . . �� 1 Air Conditioning Motor . Oil Burner Motor . . . . Gas Burner Circulator M for . . . . x Attic or Large Fan Well Pump . . . . . . /5 Electric Heat . . . . . Other . . . . . . . . Number of new Lighting Circuits - Number of new Appliance Circuits 4/0 Number f Beating Circuits . . . . . Number of Motor Circuits . . . . . . . — Size f present service ea.D ../ - �, Size of servm to be �._...— PLUMBING APPLICATION Appliatim Ne. 7/Yl on the ----__-------- i&of _........_.._.._...____.._._...... Sft street rio. ..l.l.l- VJ05F �o Owner .- Filed in Office of The BA69 Ioipecoor isg!7 .................................... ............................... .................................. No person•hall commuct, add so at aloes aq portion of the dadmege qmm of say buidrmg (except to t mw 66) %mW a Pank is yawed by the Building ingmmor. APPLICATION FOR PLUMBING PERMIT (C ntinu d fr m Rev rs Sid TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB 11 � 1 . w ` NO. STREET FLOOR APTAO. GENERAL PLUMBING r� 12. KIND OF INSTALLATION N�/-lj 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS STYLE -FA"J - z Z 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS_� 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE 3" 22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES t KIND �'��� �^l� 1 � 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? � 27. SIZE OF WINDOW '2 28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? yI�L SIGNATURE ADDRESS LICENSE NO. � !-ESTIMATED COST " TELEPHONES OWNER ADDRESS s� e�"' 4erz WATER HEATER 31. TYPE 32. MANUFACTURER TANK SAFETY DEVICES 33. CAPACITY 37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE_ 38. MANUFACTURER_ 3S. WORKING PRESSURE 39. PRESSURE RELIEF VALVE 36. TYPE 40. MANUFACTURER ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY Tot OFT S PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CO C0962 OAT SIGNATURE OF PLI T 6 rERMIT � 22 Application For 41 DEPARTMENT DECISION �G � Heating P rmit A�!l.ICATION Is NENENY: C DEPANTMEnrr OF IXFMEs AND INSPFcrioM O AMROVED L1 OISAFMVED .� TOWN OF SOUTH WiN DSOR oQ w DATA CNNII MINSCTN APPLICATNIMS MST Dt PROUD M TTKIL 004M1 Wow NwID1tR MIA 1KLN 0. LOCATION OF JOO kc4nvo Q M. $Tom 8 � LOT NO. .Leon AST. 00. S. OWNERPLAD S. ADDRESS O.rNONE S. APPLICANT • i . 7 ..., O. ADDRESSLk S%;� ''� �� f� Y•Z 6�g, 1.MIONE g _ e. LICENSE NO. y iL O. EMNATION DATE OF LICENSE ": w,t 10. ESTNIATED COST S •(� a THIS A CONTRACT COSTS LD YES (3 . a 12. FEE ENCLOSED 0 S. TYK .INLONm000, '�° •t�10tNT1AL ❑ CONVINCIAL �1 04. TYPE too: ❑ INDUSTRIAL 1MAL ❑ AITtRAT10N ADDITION APPLICATION FOR HEATING PERMIT c f Rwem IN&) n i (�cjfi-c> 11. LOCATION OR Mo. stlt�tt RAW art.Na t F INSTALLATI N: OIL BURNER ❑ ELECTRIC ❑ 11u=A=N ❑ N<LEJE IL TYPE ' ❑ Go BURNER Cl STACK ❑ INCINERATOR ❑ IIIs enji NEOU` Ws�r 4�I _ SIZE 13. S TANK 727 LOCATION 11K 64��r'm�j OF FILL OF VENT i B.T.U. EQUIP. AT REGISTER FURNACE MAK�F AND N0. A}T BONNET FIRING v 15 N1 � � �� NG RATE L BOILER OR FURNACE MAKE AND NO.11711 � �i-a I.T.U.OR SQ. FT. NET B.T.U. OR SQ. FT.moss 1�.CZ FLOORS TO BE HEATED / NEW OR OLD BUILDING J-1i 09'`'4J INSULATED — YES OR NO AFC' TYPE OF WALL 6k=t- INSULATION 6""dz<a ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. /90 a B.T.UJSQ. FT./HR. EMISSION � � FAHRENHEIT INDOOR-OUTDOOR TEMPERATURE DIFFERENCE ' _ MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. S�lv rX-y►�/� �,fv r Ii' •� 121r nwv ptt'lION OF WORK ,% ry '+�Sll��'! 4 Is. TO SE DON Is. NEAT LOSS SCHEDULL (TO BE INCLUDW FOR ALL .IOW: floor slit wN0 s � BAR! Filr vaLu� TaTAL TEAL OIfTRI/IJTI N INfT/1LLED ! ws ISTUR no. �� OLAM LIST• claim PLOWS CU.PT. AT w P �i� *AD. rr Try AMO�lis OII LtAOl I�OOr L N AMO , t INMILT.) � TO 410 M ¢ p' �' LACK ARIA 6 a SO mmmwmm�MEN TOTALS A. HEAT LOSS FROM BUILDING 36, LT.UJHR. L DOMESTIC HOT WATER DEMAND C�� B.T.UJHL C. PIPING.OTHER THAN NORMAL LT.UJHR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B• C) FACTOR 17. ELECTRICAL WORK Is. TM�NNTRADCTTORB AND ALL WORK COVERED BY THIS APPUCATION HAS BEEN AUTHORIZED BY THE(OWNER) (A OF THIS PROPERTY AND WIL.. BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE -2PLICATION TO BE COMPLETELY FILLED IN. Q[3 t,I N BE Did M 1, 2" 0 C) "I" �1,1 x I I x 13 1111,1279 00 6. AO 2 BEDRM 2 1; 3 3P'. 5, H 'r0l'ALIS 36018, '2D 3 Q. F F FT SG. F, d. 147 14 iz,c-, F-v-p-F 4--Wf4 J4 4::.--,A i-4 ti 2 173 o"', 40C 2 1. ol A p 0 T T A 5" 1, 5", 0, 00 1& 60 -St 7 iD 5";6 0 Cj, Sir15 55 -12 6, F4 4 j 64 i-lrk.k -6t.v- i- t, fit#- 'T�IE AWIRAO'E BTU ir-­T- OfF AREA IS' `3 4 '� nn.�':�{ r, l �•I� ( fir! � � r �t , t- E t i I Ile) Illee 6�11,zz �/- a7 �er�o 3 Q�' 1'ooNe6; catl lva7- ,-72e�'el -17--le -170�--Iwv 2e,�— Xla a./ ie ca 744 / a J d u�4-1 13GvG'