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HomeMy WebLinkAbout188 Wheeler Road otlo 1 T- 2 �n THE BUILDING INSPECTOR of� APPLICATION FOR PLAN EXAMINATION . TO" OF SOUTH WHWSOR,CONK 0 N A N BUILDING PERMIT . IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. D I. f ZONING AT (LOCATION) f /� DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —+ �v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M 1 P�4 New building Residential Nonresidential 2 Addition(It residential, enter number 12 One family 18 ❑ Amusement, recreational of new housing units added, if any, 13 Two or more family — E 19 Church, other religious in Part D, 13) y Enter ❑ number of units— — — — -*. 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 hotel, t h i Transenoe moe ❑ � motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (1/multifamily residential, o/units ——————— — -i 22❑ Service station, repair garage enter number o/units in building in 15 ❑ Garage 23❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) 17❑ Other — Specify 25❑ Public utility 7 ❑ Foundation only 20 L_I School, library, other educational B. OWNERSHIP 27 U Stores, mercantile a Private (individual, co!nnrA!;-- 28 ❑ Tanks, towers nonprofit institution, etc.) 29❑ Other — Specify 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, 000 school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building 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(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ Opp III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts'E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Masonry (wall bearing) 40❑ Public or private company 48• Number of stories................ 31,K Wood frame 41 Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions .................... S 33 0 Reinforc d concrete H. TYPE OF WATER SUPPLY S 50. Total land area, sq.ft. ........... 34❑ Other — Specify 42❑ Public or private company 43� Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... 36§< Oil conditi nine? L. RESIDENTIAL BUILDINGS ONLY 03 37❑ El ctricity 44❑ Yes 45 5?1 No 53. Number f bedro ms............. 38❑ Coal 39❑ Other— Specify Will there be an levator? Full.......... 54. Number of 46❑ Yes 47 EN No bothro ms partial........ NOTES and Data — (For department use) r IV. IDENTIFICATION — To be completed by all applicants 130H d0 04 Name S rr}f(,t Mailing addr ss — Number, street, city, and State ZIP cod Tel. No. Owner or Lessee 2. vl c. o q c. �y4k ► 1►J�w i�SovL ON- �`�'E--liq&Q Contractor 3. .- Architect or Engineer T F Th wner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. t o applica Address Application date v, (-mot 2-8 4ic i DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R view R quired Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING $ PLUMBING MECHANICAL ELECTRICAL OTHER s V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check O Date bta ned Number By Permit or Approva I Check ObtDained Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building E-MaNOR3FD Permit number 8691Building U Set 12 fi Permit issued 19 71, so: - Building 12b•00 Permit Fee Approved by: T-If LE VIIl. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use - ' n -,� e n - _ ^ !l 9"�'i_�4���o$ `r�r ^-3-d s ^--}{� (i.•g-', s �-r 3 t., ,a a'-..�-'q m-ya ati 2 y_b i,d-a.a k-,.� £➢ r e r re w a tr re � � � — c t^ d q •-.t ., _ ., , �.- .,`za�ae��z -•�€� gg �.��.-q+.*-�.� 36.f�g"�w e� ��. s4�°��;����-�-°m.��-3a�.�L��t '. ��",^ a.ra:. ��._�Q�-:a,-. � � - e€?,s"�'�� e rw ,. „_ .�. _ -F i���.^� a a� r or 0 TOWN OF SOUTH WINDSOR BUILDING PERMIT , Date Sept. 12 1974 Fee Paid $ 1 -00 Est. Value $- 2 1 s 000.00 Permit N? 8 65 1 on the side of Smith Street Street No. 188 Owner Bohdan Maksymiuk Applicant Bohdan Maksvmiuk CERTIFICATE OF OCCUPANCY ISSUED: Date No. 4528 Fee Paid $ 3.00 CLASSIFICATION Dwelling BUILDING PERMIT I N9 8651 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Sept. 13 19 74 X#io to to Terfif1j, That Bohdan Makemiuk is hereby granted permission to Dwelling at estimated value of $ 21v000,00 on the side of 188 smith Street Street on land owned by Bohdan Maksymiuk Said Work to be as described in Application No. 8951 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Sept. 13 74 6, uil Inspector. 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 compellee to reason therefor." 9�i� ley INSPECTION REPOR70k2 Permit # � LIr - --, 1 Footing e)(q-17-7 r 9-so-z 2 Foundation Y- 0 7 3 Framing /?-17-7$ 4 Wiring -i/7S - d/-i7- 5 Plumbing e!- S-1 F--7t 6 Heating 7 Lathing U Sgti-��� „2 1���'7l 8 C.O. ,j-v� fcj- 7 i oR Permit Nj C�J T OR >. 6 SOu w ; CONN. Permit 4528 Certificate of Occupancy THIS IS TO RTIFY at :7th at No. X o f in the own of South Windsor, Connecticut, has been erected and completed in accordance witAthuilding Code and Zoning latio of the Town of South Windsor, and is hereby apor o cu •- /� Building Inspector ttze LA� caner, Bui er Fee Paid Date 19 5702 ELECTRICAL APPLICATION Application No.. 6 013 on the side of Smith S t . Street Street No. _ 188 Owner Bohdan Maksymiuk Electrician Lane Electric FILED IN OFFICE OF The Building Inspector 4-18-75 19 INSPECTION. No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the Are stops (if of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM. ?oJ c6 No. ......6.�13 Permit No. 5.7.0....2.............. ................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. ................. hereby make application tq perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. LAN-E EUECTRIC � ` �� �•�'�....."'�`- .................... w_.._.�_._.. South Windsor, Conn.. ............. ..................... . ........�.... 1J.?.�. Sign here ...........Address SO:.. '?...: . . '.,...�-r?�;�i. „ 00074 .. ........................L.1.. 106 Location l�`.:' ........... Side of l�� ..� .:. ..................................... Natureof Building ...................................9-11�zl........... ..... . How many stories .........f.................................................................................... Nw or old Building ........................................................ '......... .. How many families ....... .........................................._.........._................_........... Kind of Installation .................y�..G?"" ...................................................... How many Stores .........................................-............. ............................................. Owner .... ... '. ...N.......I' ..� ..........._............... Address ..................zN�r�-:...�.r�-.... `_.......z Architect ................................................................. ... .... .......................................... Address ..........................................................................._............_._.. .._.....-....... 4-/4 ` T,le /f 136'4- o Builder T t ........................................... .. Address .....�.6..%�� ..-�:... ..` ..............6..`�y:.. 9 6.. ...ELEC'TRIC.. Electrici 43I ELL���r`%®r1...R,C? .D............................................. Address _..........................._................. _... CONN. 06074 y PHO17'�: 528-010&e of Main Wires .......... °.... .................. No. of Light Loops ............... ....... .............. No. of Heat Loops No. of Power Loops No. of Light Outlets ....... .... ........ No. of Heat Outlets . No. of Power Outlets NoO of Light Circuits ......... .. ................ No. of Heat Circuits ....... ..... . . . ........... No. of Power Circuits ................ .................. No. of Sockets ........................... .. ..... .... .... No. of Heat Receptacles ..... ... ........ .... No. of Motors ............................. No. of Panels ..................................... ........... ..... Size of Heat Circuit ..................... ........ No. of Power Receptacles ......................... No. of Switches ................. .................. ...... ..... Total Wattage `°''`" ............................ Size of Power Circuit �y °�............................... Total Horsepower ................... ........ ........ . No. of Straight Electric Fixtures .`.............. ................. ................ No. of Combination Fixtures ............. .... ................... .... .............. No. of Receptacles ............ No. of Cord Drops .......................................................... ......... ..... . ................................................................................................ Remarks: For other kind of Installation ...................................................... ........................................................................................................................................ ......1............................................:..........t.0......... ........ .................... ................_................................................................................................................................................ ........ ............................................................................................................ .............................. ...............-........................................................................................................................................................... ....................................................................................... ................................................................................................................................................................................................................................. Estimated Cost ...... l........... ..... ................. 6 ys� /��,/,�, 4717 PLUMBING APPLICAl10N A— , No. 4506 on the ------_---__..__ side of _............_........ srs P Street No. r ak Plumber 2�4 Filed in Office of The Buil&g I�rpoctoc June 5 19 75• n Ry mcWNW. No pawn shall coostnw, add m or aher ate portion of the drainage qsu m of my bulog (except to repair lea6) until a Plmmit is graofed by the Building 4506 Permit No. ..........471 Application No. .......................................... .................7 ........... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR. CONN. ....hereby make application to perform plumbing according to detailed description below. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether specified herein or not. South Windsor, . . ........ ................................ 191 Sip here Lp..... ............I....................... Address ... .... I..... Location ....... ff... .........!! ..7�j, 1 .1'......... .................................. side of .......................UJ... .............................................. Street Nature of Building ... ................................ How many stories ........1............................................. ........ Owner .....Mo.ksl M...o�k........................ ....... Address .3.;�....Lj...... .. . .. S .... M !�Q -.m.............T-1....................................... Architect ...... ..................... ......................................................................... Address ........................................................................................................................ Builder .. ...................... . ... ... ........... ... ............................................. Address .................. ............................................ .................... . ....................... it -r 7R ........................................................ .......0.......................................... Plumber -A-Q-14...... Address DRAINAGE b b .............. CESSPOOLS, How many ....... ....I........................... ................. Where located ................ .......I'............................. Are they water tight ....... ............................I............................ Of what materials are they built ......0--aA1...C-Pkl i C- �1-- Size of pipe from house to cesspool . ............y....** "'***"" "'* ...** Kind of pipe .............. .................................................................................... MAIN DRAIN IN CELLAR, Material ....C...9 ........... Diameter ................. ..................................................................................... Above or below cellar bottom .. .....13-g..Lra'W............................ .. ......... ......................................................................................................................... "........... SOILPIPES, Material ...... ..........***.....­­......"*'*"**"*"*.**' Diameter ......... ............................................................................................. 11TWASTE PIPES, Material -- � ............................. ................. Diameter ............2--.1-f......................................................................................... TRAPS,Type proposed to use is ....................................... .... ... ......................................................................................................................................... RAINWATER LEADERS, where do they run to .. ............ ... .................................................................................................................... REFRIGERATORWASTES, where do they run to . ...... ....................................................................................................... ............................... TANKOVERFLOWS, where do they run to . .. ........ ................................................................ ...................................................... FIXTURES WATER CLOSETS, How many .....................I....................... Where located I-3T.........Fk�.P.k................................ Distancefrom trap to vertical soil pipe ........................................ Pattern .. ......................—................................................................. WASH TRAYS, How many ............................................................ Where located . ***�...i. .................................................. SINKS, How many .............................................................................I ............ Where located ......' ........-0-0...2................................... BUTLER'S SINKS, How many ........................................................ Where located...................................................................................................... REFRIGERATORSINKS, How many...................................... Where located ................................................................................................... ........ I. ................................... LAVATORIES, How many ............................................ ................... Where located ............I......51..........Eko.6..k BATHTUBS,How many................................................I...................... Where located ................................................................................................. URINALS, How many ................................................................................. Where located .................................................................................................... Are water closets and urinals to be local vented . ........ If not,is there a window in outer wall ofroom where sa%e are to be located ............. 'JZ 0. ..... ............................................................................................................ ....................... Estimated Cost -'r J..S........................................Leg L?. 0 0 . 1 1 , ,'A ,F„ ,}' - ^y"' 1 '.. , F ,C", ,4.,i; `}r P i r ,.1- I { .r , t o _ _ n ,y. , . _ Y f^ .9 , , , _ ,1. ,{ ry,a T , - i , ' _ ,•J.nrl,Y,'tt'1* `!' ^ - , 1" - j' R.. M1 ' a . , 1 , axd ,} , , ,y w`t4n'S t tF S e^ r`.A `fie - } 44 H rvk - 1 ),Ldg,x. 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N-,.:y`c ,.�', t„�'. �"i ,.'q�{,y_ 'Yr�{�.`.z`i ,,..,2,-- � r5 S`,, �_ -., .,"OO, .,a;,2� iyI ,,.,"2 e '��`'fF` - y, , . ;'"+"`6w•,";q` , v ',, , -�' P� W'41111' '51 Application No. 4638 44i7 Permit No. TO THE BUILDING INSPECTOR Of The TOWN OF SOUTH WINDSOR Application for Permit to do Heating The undersigned hereby applies for a permit to perform heating work according to the following specifications: ( (� Location of Building, No. / is }� �/�1 177, Street 1. Number of Let, Side of Street, 2. Name of Owner, A► �- L ®Lki 3. Name of Builder, am e Engineer 4. Name of Heating Contractor, 2 0-N O 81 Insulated, Yes or No? V ' r 5. Material of Building, t."C' new or old material? e W 6. Number of Stories, Occupied as Q S' 7. Number of Tenements, Number of New Tenements Number of Offices, _i Number of Stores, 8. Type of Installation RC Q CL L o _ ? �-- 9. Amount of Radiation �' sq. ft.. Make of Boiler. 1 �- 10. Size of Boiler W sq. ft.? Grate Surface? EX. Cu. ST. Hot Rooms NO. WIDE LONG HIGH WALL GLASS Content RA . ADD Water SEC'T HIGH COL. N. E. ("- D +80%—E. `L I 1 S- .:2,+ '�3 +70clo= S. E. a i r 5- i (W -11 +60%— 3 S. S. W. ( T +60%— mod' W. +70%— N. W. ('Z� 4-80%= N. Living N. & W. f3 /1D Oo Z +00%/ — Living S.i,& E. +80%o= Dining �P�I +70^lo— 2� Sun Parlor +50%— Kitchen _ +60%= Halls o 6 J '� ` +50%— Garage _ +50%= Ass. Hall +70'/o= _ Stores - -+-50%— Office +60%= Ext. n- r 2. L I Total— Estimated Cost $ IS-00a Q (SIGN HERE) �- (ADDRESS) 3b -2 7 -Bectr;,5.# APPLICATION FOR BUILDING PERMIT Plumbing# /// 96 188 Wheeler Road HVAC # 11(p to 6 28783 Date: Sprinkler# No• 0 OF FINAL APPROVA Estimated Cost Building C D 3 o3 COMPLETE RED BOXED AREAS Permit Fee $ -30 0 �'" '"g TYPE OR PRINT ONLY Occupancy Fee i y Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee $ TO BUILDM DEPARTMENT,TOWN OF SOUTH W1 DSOR,CT (Additional Cost) $ The undersigned h reby applies to do work according to the following specifications: Job Location Igg 110RA:r,-z74- 1"34V Lot No. Side of Street,04h rzone 9 W Applicant Tel.# Addr ss l g�,3 �f-1� ���'1- .4e Zip 0 Lic.# Owner ` 74 9-: Address Architect ' A I Address Sq. Ft.New Area: 1st FI. l 2nd A. Total New Area #Rooms Z, #Lavatories #Bathrooms #Garages Purpos of this permit: AW,47-A!;)Aj A111d Ree-/j ity Water C'o"' Well ❑ Septic System k)r- Sewer Ins. H.O. S.P. Cent. Area Basement Garage Approved by 30, Date V 2— Use Group Construction Type 5 Rev6ed 1/97 I hereby agree to conform to all the requirements f the Laws of th State f Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be ed the prop&d' all street lines,side yard lines,and required distancesfrom all other zones and is located in wh' is ng al Signed I hereby apply for a Certificate of Occu for is application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS f l Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-28783-B 20,000 B01 FOOTING 05/22/02 CJD A B03 FRAMING (ROUGH) 12/11/02 CJD A E03 ROUGH 12/11/02 CJD A P03 ROUGH 12/11/02 CJD A H03 ROUGH 12/11/02 CJD A B04 INSULATION 12/13/02 CJD A B10 FINAL 03/14/03 CJD A W/WALT B10 FINAL 03/14/03 CJD A CLOSED OUT. **-11666-H 850 **-11196-P 1,720 **-18151-E 900 110.0 OW VANOVE EXIST. 19 0 �� 3ss• � s / 4 ' MS 40• 116. .690 Cal O � SM H 6 FF• 117.0 GAR: 116.0 116.0 O +o r �• r CA 00 T F 2.0 J TO Ill p c ft. - O T "°� �., +off; O 19 / or). x 4 r 10 ?/lo E)QSTi',fG iTic Ilk, TANK AND 04 � SYSTEM BE �EIW7 1. Iva+ WELL •4�0 / e AT oEVELOPIxS UPPM �0900, '00`,� , TIE ALL ROOF LEADERS INTO FOOTING 709 fin . � i F.r►AGLI iv I-"rr I ILICC` rA� n wI I of%r • r rrYF•, ` � �,r mil u�ll BUILDINI 0EPA� P -'"'E: tinaii bo ~ `1 =iE tiled wit" Clerk �? 7 k3 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT' Application is hereby. TOWN of SOUTH WINDSOR BUILDING DEPAR'INUNr Bldg Permit# APPRO 1540 SULLIVAN AVENUE r a� 644-2511 txt.230 Date Building IOVectO! Application must be printed or typed Location a[job /88 AjyjrP-ZtA "Wheeler Estates Street No. Street Lot No. FEE SCHEDULE Floor Apr-No so - $1,000 - $13.00 over $1,000 s12.00 per$1,000 OWNER , z or any fraction thereof l� ADDRESS Wheeler Road South Windsor, CT 06074 OWNERS PHONE# 644-5124 648-4446 AppLICANT Kebalo Electric Co. Inc. Walter Kebalo OW S�q ADDRESS 175 Wheeler Road South Windsor, CT 06074 :�° -;•f apa ESTUMTED COST s eAgJL O c IS THIS A CONTRACT COST? x YES NO COP FEE ENCLOSED s f �S�R.C0� TYPE OF JOB: Original Installation -Alteration/Addition/Repair Revised 11/95 3 i i } APPLICATION FOR ELECTRICAL PERMIT(CoutWood!fin mvaw aide) TYPE OF BUILDING IS THIS APPLICATION ASSOCIA A y1 X RESIDENTIAL BUILDING PERMIT APPLICA't'�0 YF.3 NO BUSINESS _ASSEMBLY CURRENT USE AND OCCUPANCY - _MERCANTILE _EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITIPTIONAL FACTORY STORAGE ENGINEER'S NAME _ PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP (Other plan spocify TYPE OF INSTALLATION/WIRING METHOD Type NMB SIZE OF MAIN FEEDERS AND RATING OF WIRE USED 00amp NUMBER OF METERS 1 NUMBER OF DISCONNECTS Abb`RATINGS 0 0 amp NUMBER OF PANELS 1 REMOTE DISCONNECT REQUIRED?M/NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS 0 NUMBER OF A/C CIRCUITS 1 SEPEItATE E[ZAT LOSS AND A/C CALCULATIONS MUST BE S 1 I'ED. DESCRIPTION OF WORK THE U bEASIGNLD ICY APPLIES FOR A PERMIT TO PERFORM THE'WOM mign AND IS TO COMPLY WITH ALL WCAL ORDINANCES AND STATE OF CONN. UII.DING CODES IN THE PERFORMANCE OF SUCH WORK. CT 104943 El d NAME STATE LICENSE NO. TYPE SIIGN OF APPLICANT PHONE NO. 644-512 4 DATE / ,22-- �� d 2 `� DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT �� �° APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 ate Building Inspector Application must be printed or typed FFEESCHEDULE Location of Job: Me U-,J)qeF4,r-x- lyav $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT All- /` C APPLICANT ADDRESS APPLICANT PHO # — V S/ S/ OW N OWNER q� OWNER ADDRESS 4 + f cc) # OWNER PHONE C ESTIMATED COST$ f 2 2 , 00 IS THIS A CONTRACT COST? ` Yes No FEE ENCLOSED$ 20 r11r �� TYPE OF JOB: 44CUJ 0 C New Installation _XAlteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATIONAYES ❑NO RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO.OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES ❑NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. T7,o STATE c SIGNATURE OF APPLICANT �` /DATE 9 b 2 c DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WIl�TDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT C]jPRO� 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: / i $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT PHONE# W N S OWNER 2 Z!J l lAie �. 4< OWNER ADDRESS r r OWNER PHONE •_ 1 C ESTIMATED COST$ !�O, O 3 IS THIS A CONTRACT COST? 01C Yes No ' FEE ENCLOSED$ ,� TYPE OF JOB: f OR C New Installation iAlteration/Addition/Repair 3 Revised 4/01//2002 3 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: Ak HEATING O RESIDENTIAL ❑A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. P HYDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY(INPUT BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL ❑ OIL-GPM OIL TANK LOCATION:❑INSIDE❑ OUTSIDE CAPACITY ❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK &e77 HtW Aq-t I��O�T.� THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. T E STATE. SIGNATURE OF APPLICANT DATE" / �� HEATLUAU.CUM- Heat Loss rui in hor l wo Story tiuuse Wage 1 of 2 'HEATLOAD,0" �/S71N �1DuS� Heating and cooling information center for home comfort and good health. HEAT LOSS "ONLINE COMFORT IS OUR DOMAIN"* HEAT GAIN Heat Load Calculation Form For Two Story House All measurements on this form should be in feet. For inches 1 through 9 just add that number as a d cimal value of the measurement. For inches 10 and 11 round up to the next foot. For example, 8 feet and 6 inches would be typed 8.6, or 13 feet and 11 inches would just be typed as 14 feet. Enter room name: ���f err HELP Enter room dimensions: J23 ,ft W:32 ft H:7.9 ft HELP Enter area of exposed walls: 1664 ft. HELP Is the floor a concrete slab r Yes {' No HELP n grade(first floor only)? - Enter area of glass doors and windows facing north 153.3 HELP and south: Enter area of glass doors and windows facing east 132.5 fts HELP and west: Are the windows shaded? o Yes r No HELP Enter area of non-glass Iv f� HELP d m: Enter area of exposed floors over vented crawlspaces, 10 —ft. HELP garages,or exterior of house: Is there ductwork or hot water piping exposed above (' Yes 6 No HELP the room? Is there ductwork or hot wafter piping exposed below r Yes t' No HELP the room? Enter the area of exposed ceiling if below the attic, 1736 ft. HELP combination roof/ceiling: Is this room in Zone 1 or r* Zone 1 r Zone 2 HELP Zone 2? Is this morn on the first or amebo% A f1.....7 r First Floor Second Floor HELP http://www.heatload.com/cgi-locaYhmtloadpreform.pl 1/29/2003 heatload.COM-Heat loss Norm koi i wo Story House Page i of 2 6U57AJ 1001f H A TL 0..,,,A DD. Healing and cooling information center for home comfort and good health. HE-AT--LOS--- S "ONLINE COMFORT IS OUR DOMAIN"* HEAT GAIN ---- -------- Heat Load Calculation Form For Two Story House All m asurements on this form should be in feet. For inches 1 through 9 just add that number as a decimal value of the measurement. For inches 10 and 11 round up to the next foot. For example, 8 feet and 6 inches would be typed 8.6, or 13 feet and 11 inches would just be typed as 14 feet. Enter morn name: /VJ1//4f Lj Kitchen �I HELP Eater morn dimensions: JF8 w: 13 8 HELP ft H..._..--._. .. — — - Enter area of exposed walls: 328 ft. HELP Is the floor a concrete slab f Yes No HELP on grade(first floor only)? Enter area of glass doors and windows facing north 154.9 fH HELP and south: Enter area of glass doors and windows facing east 13 ft= HELP and west: Are the windows shaded? Yes 6 No HELP Enter area of non-glass HELP IV-._ doors: .. --.. _ . fe - Enter area of exposed floors over vented crawispaces, Iv fta HELP garages,or exterior of house: Is there ductwork or hot water piping exposed above r yes a No HELP the room? Is there ductwork or hot water piping exposed below r Yes r No HELP the morn? Enter the area of exposed c iling if below the attic, 1364 ft. HELP combination roof/ceiling: Is this morn in Zone 1 or r Zone 1 F Zone 2 HELP Zone 2? Is this morn on the first or Uri P http://www.heatioad.com/cgi-local/heatloadtwo.pl 1/29/2003 heatload.CUIvl - Heat Loss Norm f ui i wu Story House: Page 1 of 2 EATLO Heating and cooling information center for home comfort and good health. HEAT LOSS "ONLINE COMFORT IS OUR DOMAIN"* HEAT GAIN ------- - - Heat Load Calculation Form For Two Story House All m asurements on this form should be in feet. For inches 1 through 9 just add that number as a decimal value of the measurement. For inches 10 and 11 round up to the next foot. For example, 8 feet and 6 inches would be typed 8.6, or 13 feet and 11 inches would just be typed as 14 feet. Enter room name: Living Room HELP Enter room dimensions: L.28 ft w: 13 10 ft HELP Enter area of exposed walls: 13011- 1 ft. HELP Is the floor a concrete slab on grade(first floor only)? r Yes r' No HELP Enter area of glass doors and windows facing north 135 f1p HELP_ and south: Enter area of glass doors and windows facing east 21 ft2 HELP and west: Are the windows shaded? r Yes 9 No HELP Enter area of non-glass r0 —fta HELP doors: Enter area of exposed floors ver vented crawlspaces, garages,or exterior of 1364 HELP h u e: Is there ductwork or hot water piping exposed above r Yes r No HELP the morn? Is there ductwork or hot water piping exposed below r Yes $ No HELP the room? Enter the area of exposed IWA ceiling if below the attic, — HELP ta combination roof/ceiling: Is this room in Zone 1 or r Z ne 1 G Zone 2 HELP Z ne 2? Is this roorn n the first or r. �.--- A-- --- UPI D http://www.heatload.conVcgi-local/heatloadtwo.pl 1/29/2003 heatload.Cuivi -Heat Loss corm but i wo Jtury riouse rage 1 vi L TiNS Hod HATL0 •.. Heating and cooling information center for home comfort and good health. HEAT LOSS "ONLINE COMFORT IS OUR DOMAIN"* HEAT GAIN Heat Load Calculation Form For Two Story House All measurements on this form should be in feet. For inches 1 through 9 just add that number as a decimal value of the measurement. For inches 10 and 11 round up to the next foot. For example, 8 feet and 6 inches would be typed 8.6, or 13 feet and 11 inches would just be typed as 14 feet. Enter room name: Family Room 4 HELP Enter morn dimensions: J28 ft W: 13 H 7.9 HELP Enter area of exposed walls: —ft. HELP Is the floor a concrete slab n grade(first floor only)? Yes No HELP Enter area of glass doors and windows facing north 145.5 ft. HELP and south: Enter area of glass doors and windows facing east 113., ft. HELP and west: Are the windows shaded? fi Yes r No HELP Enter area of non-glass 10� HELP doors: 1°P Enter area of exposed floors over vented crawlspaces, 10 garages,or exterior of i" HELP house: Is there ductwork or hot water piping exposed above r Yes as No HELP the morn? Is there ductwork or hot water piping exposed below r Yes ti No HELP_ _ the room? Enter the area of exposed ceiling if below the attic, 10'. fr HELP combination roof/ceiling: Is this room in Zone 1 or r, r HELP Z ne 2? Zone 1 Zone 2 Is this room on the first or -- r- UPI o http://www.heatioad.com/cgi-local/heatloadtwo.pl 1/29/2003 HEATLOAU.COM - Heat Load (Laicutatron horn Hor I wo Story House Page 1 of 2 '? 'HE 8. MAW !l ATL Heating and cooling information center for home comfort and good health. HEAT_LOSS "ONLINE COMFORT IS OUR DOMAIN"* HEAT GAIN FUg WLA&WN N I A United Dor6mon Company Heat Load Calculation Results For Two Story House The following are the characteristics of this house and its location used to calculate the heating and cooling results on this page: Wall Type R11 Ceiling Type R19 Window Type Double Pane Functional Low Temperature 3° Functional High Temperature 890 Temperature Differential 15 Grains of Water 28 Minimal Overnight Temperature Drops No First Floor Requirements Room Name Heat Loss Heat Gain Ft. Baseboard Family Room 10625 btu 4164 btu 20 ft TOTAL FLOOR 10625 btu 1 4164 btu 20 ft Second Floor Requirem-nts Room Name Heat Loss H at Gain Ft. Baseboard hnp://www.heatload.com/cgi-local/heatload_hot_water_model_two.pl 1/29/2003 HEATLOAU.COM- Heat Load C:aiculation Form For ]wo Story House Page 2 of 2 Other 17078 btu 9171 btu 33 ft Kitchen 10542 btu 6570 btu 20 ft Living Room 9631 btu 6323 btu 18 ft TOTAL FLOOR 37251 btu 22064 btu 71 ft House Requirements Total Heat Loss 47876 btu Total Heat Gain 26228 btu TOTAL FT. BASEBOARD 91 ft eWl T1aN lOpgl OF- 5 7 q10 7, RMI) Recommended Boiler VMeil-McLain WGO without tankless heater opening Model WGO-L Click here to order Recommended Baseboard Then1na-Trim with a water temperature of 1700 F@ 14:38 PM 4/1212001GPM. Click Click here to order Site Map I Home I Contact Us I Ad Info Copyright© 1999 Warmair.com. Use of this website constitutes acceptance of Warmair.com User Agreement . Heat Loss Online is a trademark of Warmair.com. *"Online Comfort" and "Zone Calculator"are service marks of Warmair.com. All Rights Reserved. wr/S T/'v Re//e- 2 3y ��r-� boo f3Tv http://www.heatload.com/cgi-local/heatload_hot_water_model two.pl 1/29/2003 HEATLOAD.COM-Heat loss Form nor One Story House Page i of 770J HEA TL 0 C ' Heating and cooling information center for home comfort and good health. HEAT LOSS "ONLINE COMFORT IS OUR DOMAIN"* HEAT GAIN Heat Load Calculation Form For One Story House All measurements on this form should be in feet. For inches 1 through 9 just add that number as a decimal value of the measurement. For inches 10 and 11 round up to the next foot. For example, 8 feet and 6 Inches would be typed 8.6, or 13 feet and 11 inches would just be typed as 14 feet. Select Roan Type: 113athroorn 1 HELP Enter room dimensions: L:4.9 ft W:9 �rt H:Iv ft HELP Enter area of exposed walls: 1128 ft. HELP Is the floor a concrete slab r Yes 6 No HELP on grade? Ender area of glass doors and windows facing north 10 -ft2 HELP and oath: Enter area of glass doors and windows facing east 1-ft. HELP and west: Are the windows shaded? r Yes * No HELP Enter area of non-glass 10 HELP doors: Enter area of exposed floors over vented crawispaces, 44 5 ft. HELP garages,or exterior of h use: Is there ductwork or hot water piping exposed above r Yes $ No HELP the roan? Is there ductwork or hot water piping exposed below r Yes is No HELP the room? Is this room in Zone 1 or it no� Zone 1 r Zone 2 HELP Is this the last room in the r Yes R No HELP calculation? http://www.heatload.com/cgi-local/hentioadpreform.pl 1/27/2003 HEATLOAD.COM-Heat Load Calculation Form For One Story House Page I ut 2 49jq/r140A) W- iffE.ATLOAD' IL 15 111' Heating and cooling information center for home comfort and good health. HEAT LOSS "ONLINE COMFORT IS OUR DOMAIN"* HEAT GAIN Heat Load Calculation Form For One Story House All measurements on this form should be in feet. For inches 1 through 9 just add that number as a decimal value of the measurement. For inches 10 and 11 round up to the next foot. For example, 8 feet and 6 inches would be typed 8.6, or 13 feet and 11 inches would just be typed as 14 feet. Select Room Type: Bonus Room HELP Enter room dimensions: L: 14 ft W:21 R HFft HELP Enter area of exposed walls: 4Wft. HELP Is the floor a concrete slab r R HELP on grade? Yes No Enter area of glass doors and windows facing north 114.6 HELP and south: Enter area of glass doors and windows facing east 148 HELP and west: Are the windows shaded? r Yes W No HELP Enter area of non-glass 1—ft. HELP d ors: Enter area of exposed floors ver vented cmwispaces, 1293 ft. HELP garages,or exterior of house: Is there ductwork or hot water piping exposed above r Yes 9 No HELP the room? Is there ductwork or hot water piping exposed below r Yes 9 No HELP the room? Is this room in Zone 1 or toZone Z? Zone 1 r Zone 2 HELP Is this the last room in the it r HELP calculation? Yes No http://www.heatload.com/egi4ocal/heatload.pl 1/27/2003 HEA I'LOAD.COM-Heat Load Calculation Results For One Story House Pagel of 2 _ �1 011 HEATLOAjE)' Heating and cooling information center for home comfort and good health. HEAT LOSS "ONLINE COMFORT IS OUR DOMAIN"* HEAT GAIN 1 1,2� a&UUL A United Dominion ColnPAY C# RON� -ro Heat Load Calculation Results For a aT One Story House Th following are the characteNstics of this house and its location used to calculate the heating and cooling results on this page: Wall Type R13 Ceiling Type R30 Window Type Double Pane Low-E Functional Low Temperature 3° Functional High Temperature 890 Temperature DNTerential 15 Grains of Water 28 Minimal Overnight Temperature Drops No Room Name Heat Loss Heat Gain Ft. Baseboard F yer 8395 btu 6063 btu 9 ft TOTAL HOUSE 8395 btu 6063 btu 9 ft Recommended Boiler Weil-McLain WGO without tankless heater opening Model WGO-2.Click hero to order http://www.heatload.conVcgi-locaYheatload-hot-water model.pl 1/27/2003 f1EA 1 LUAIJA UM - treat I.oaa k alt-watsun tcc5uas vui vtic; 3wiy I luubc; I a6c; , u1 ,4. ,wr`- 'ffE.ATLOAD- Heating and cooling information center for home comfort and good health. HEAT LOSS "ONLINE COMFORT IS OUR DOMAIN"* HEAT GAIN A United DoMnion Company Heat Load Calculation Results For One Story House The following are the characteristics of this house and its location used to calculate the heating and cooling results on this page: Wall Type R13 Ceiling Type 1138 Window Type Double Pane Low-E Functional Low Temperature 3' Functional High Temperature 890 Temperature Differential Is Grains of Water 28 Minimal Overnight Temperature Drops No Room Name Heat Loss Heat Gain Ft. Baseboard Bathroom 1 1621 btu 684 btu 3 ft Bonus Room 8470 btu 4982 btu 16 ft TOTAL HOUSE 10091 btu 5666 btu 19 ft Recommended Boiler Weil-McLain WGO without tankless heater opening Model WGO-2.Click here to rder h4://www.heatload.com/cgi-local/heatioad—hot—water—model.pl 1/27/2003