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Home My WebLink About1551 Sullivan Avenue Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit NO 1214 Certificate of Occupancy THIS IS TO CERTIFY that the at No. « 4 in the Town of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. IA BUILDING INSPECTOR IA WNER, BUILDER Fee Date ' ' , 19 Paid " �� TO THE BUILDING INSPECTOR of Iw APPLICATION FOR PLAN EXAMINATION AND TO" OF SOUTH WINDSOR,CAN' I BUILDING I L D I N PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING • AT (LOCATION) ' 2:: DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CRAMS STREET) (CROSS STREET) LT LOT SUBDIVISION LOT BLOCK SIZE �dUUIt r�0c�.a Vf 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 ❑ No building Residential Nonresidential 2 Addition(It residential, enter number 12 One family 18 D Amusement, recreational of new housing units added, if any, 13❑ Two or more family - Enter 19❑ Church, other religious in Part D, 13) number of units- - - - -� 200 Industrial 3 � Alteration (See 2 above) 14 l t l t t h i Transenoe , motel,❑ 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory - Enter number 5❑ Wrecking (1J multifamily residential, of units ------- - •i 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23❑ Hospital, institutional Part D, 13) 16 Carport 24❑ Office, bank, professional 6� 17 l_"S�T Moving (relocation) ��,�p her - Speci/y 25❑ Public utility 7 ❑ Foundation only 26 School, library, other educational B. OWN E SHIP 27❑ Stores, mercantile 8 7Private (individual, corporation, / / 28❑ Tanks, towers nonprofit institution, etc.) 29❑ Other - Specify 9 ❑ Public(Federal, State, or 8 local government) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings,e.g., food G C, processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, 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 Ur 111 a. Electrical...................... b. Plumbing ...................... c.Heating, air conditioning.........) I ALI d. Other(elevator, etc.)............ .F4 11. TOTAL COST OF IMPROVEMENT $ Q D D 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❑ asonry(wall bearing) 40❑ Public or private company 48. Number of stories................ 31 Wood frame 41 49. Total square feet of floor area, Private(septic tank, etc.) all floors, based on exterior 32❑ Structural steel dimensions .................... 33 Reinf reed concrete H. TYPE OF WATER SUPPLY 42 Public or private company 50. Total land area, sq.ft. ........... 34❑ Oth r - Speci/y ❑ p p y 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 conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ El ctricity 44❑ Yes 45 2 No 53. Numb r of bedrooms.............. 38 Coal 39❑ Oth r- Specify 42Z Will there be an elevator? Full.......... 54. Number of 46❑ Yes 47 2rAieo bathr oms partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. ov Owner or Lessee 2. Contractor 3. Architect or Engineer The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signat a of applicant Address Application date ,>- 71 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R vi w R quired Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obta ned Number By Permit or Approval 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 Permit number 8419, Building Permit issu d May 2 1974 Bui Iding P rmit F $ 6.00 Approved by: TITLE Vill. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN For Applicant Use ri+i 4.A t 1-44 J 14 11+ 4-1 J-t-, �4 4 f4 4 A 'y_ 4 a,4 ........... 4 '�T:ITT -�T ¢ ; t.,o^a-L._p..wm q..c.,,.,,?^-�i 1 4 .a_�, �-'�' *-'-�t �-�'-}4 +"f�<�k %-P A.e. »r,w-A�.� # '�.r,-�.�^}.��-g- s.•g-? •fi ! ' .Y as �F.� } .}-av a, � .�aa 44 71 1;+1 TOWN OF SOUTH WINDSOR BUILDING PERMIT Date May 2 1974 Fee Paid �$. 6.0 0 Est. Value l P 0 0 0.0 0 Permit N 0 8419 on the side of Sullivan Avenue Street Street No. 1551 Owner Joyce Carilli Applicant Joyce C a r i l l i CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Enclose porch 11' x 14.' . BUILDING PERMIT N9 8419 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. May 2 1974 M#is is to Certif1j, That Joyce Carilli is hereby granted permission to Enclose porch 11' x 141 . at estimated value of $ 1 9 000.00 on the side of i551 Sullivan Avenue Street on land owned by Joyce Carilli Said W ork to be as described in Application No. 8719 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. I May 2 ss 9 74 )IuildKg 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 compeller to reason therefor." INSPECTION REPORT Permit # / Job Z, _ ;� 2, 1 Footing 2 Foundation 3 Framing i� 13 l 7�` 4 Wiring X/ 5 Plumbing 6 Heating 6'-7-�y 7 Lathing 8 C.O. r,2 1-3 7X MI R.Y. WILLIAMS /00. C14 Q N07E: Front yard do QC - side.y rd non— atif arming c v - - � Z 44 50 - ti � lKt 44 - O /00.0 SUL L I VA lid A VE. ZIMBERTO R. ` JOYCE C. CARIL L I 310. .1551 SULUVA?T Avg:. SC In=LO, JULY 7, 1970 1EIMETH R. BGUD L. So FOR NTEtru_-kGF. PUiLiM3:S V1iLZ 1��'F C.�OM',fCr/ . Certified substantially correct = co to Foundation located as sho��rn :ers _xe no A-ming viclaLicas ;Y Y- e r� � ry v� 1 ELECTRICAL APPLICATION Application No.. on the side of Street Street No. Owner Electrician FILED IN OFFICE OF The Building Inspector 19 INSPECTION. cV 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 fire ,tops (if of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM. No. ............................................. PermitNo. .......................................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. �..... hereby make application to.perform Electr cal Work according to detailed description below. All provisi s of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or no • f South Windsor, Conn., ........... .�.1..... 19 .. Sign here ...................... . Address .............. -� Location Side of ..:25.z........ ...... Cr..... ... .- .................................................................................... Natureof Building .............. ................ How many stories .......... ......................................._......................................_. -Ne -or old Building ........................................................................ ............... .. How many families ....... ......._.................................._............................_........... Kindof Installation ............/....................•..000 �..,�........................................... .. How many Stores ........................................._.......................................................... Owner ....r. �� ......................._................ Address ...........................................................�........... _..__.._............._......_�.._...... Architect ..... ... ............................................ Address ........................................................................................_._...._..__....__.... Builder ...... ..1t................................................................... Address w............. Electrician ........................................................... Address .........................................................._....................._..._....�...._...... ._......._... Size of Main Wires ........................................................ _ N . of Light Loops ......... k.................... No. of Heat Loops .............. ....... ... .... .. .. No. of Power Loops .......................__._..._.... No. of Light Outlets ....--... . ... ............ � . No. of Heat Outlets ............ .... ... .. .......... No. of Power Outlets .................................... .......... NoP of Light Circuits .........1.. ................ No. of Heat Circuits .............. ....... . ......... No. of Power Circuits .................................. No. f Sockets ............................. .................. No. of Heat Receptacles ......... ..... ..... No. of Motors ....................................................... No. of Panels ..................................... ............... ... Size of Heat Circuit ............................... No. of Power Receptacles ........................ No. of Switches ............X.......... .......... Total Wattage ..................................................... Size of Power Circuit ...................... ....... Total Horsepower .............................. ............ No. of Straight Electric Fixtures ... ..... .................................. No. of Combination Fixtures .............. .............................. ............. No. of Receptacles ...... ....... ........ ....... ................ .... ...... No. of Cord Drops ................................................................................... ......... R marks: For other kind of Installation%' .e .... ..L ....... ... .......... ........................... ..............._................................................................................................................................................... .... .......................................................................................................... ............................... ...............-......................................................................................................................................................... ...................................................................................... .. .................................................................................................................................................................... .............................................. Estimated Cost .... .................. .00 PERMIT # Application Tor 4459 4237 DEPARTMENT DECISION $eatmg permit o 1 - �-q c APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N i' 09 APPROVED ❑ DISAPPROVED ��) TOWN OF SOUTH WINDSOR 0 � 6/18/74 � I DATE CNIE P OR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O C1. LOCATION OF JOB 16-4 1551 Sullivan Av nu to CO A NO. STREET Cd v O rA LOT NO. FLOOR APT. NO. O 0 Bert Carilli A 2. OWNER ca =1 0 s. ADDRESS 1551 Sullivan Avenu ao 3 y 4.PHONE C*:) S. APPLICANT Bert Carilli cc .� s. ADDRESS 1551 Sullivan Av T.PHONE S. LICENSE NO. Homeowner a G w B. EXPIRATION DATE OF LICENSE e� °� 0 to. ESTIMATED COST s 200.00 � •o 11. IS THIS A CONTRACT COST1 10 YES ❑ NO b, , 4 y 12. FEE ENCLOSED s Permit rmi t 8 19 v ai 1s. TYPE OF BUILDING: b ❑ RESIDENTIAL ❑ COMMERCIAL O R cc3 14. TYPE OF JOB: ❑ INDUSTRIAL r.-i ❑ INSTALLATI N ElADDITIONON REPAIR APPLICA _ . _ . FOR HEATING PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB ��/ .C�-.�j�� f�• �,/�//SI �S�/)� N0. STREET ILOOR An.M . 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ INCINERATOR El J GAS BURNER STACK INC ❑ ❑ IDENTIFY SIZE O ` LOCATION SIZEa SIZE / 13. OF TANK OF TANK OF FILL f �j1' OF VENT E AKQQ D f 14. B.T.U. EQUIP. AT REGISTER FURNAC NN .,��—AT BONNET FIRING RATE _ BOILER OR FURNACE MAKE AND NO. B.T.U. OR SO. FT. NET ,QJ-U. OR SQ. FT. GROSS Q 2FIRING RATE�R� FLOORS TO BE HEATE NEW OR OLD BUILDING 1111fS61V INSULATED — YES OR NO s TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. -B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. A,4:s /��ie% is. TO BEPTION DONE: WORK j i �� 5' �OA 00 All ,o!9A0ZrI, le. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM slze wlNDowf AREA — SQUARE FEET e.r.0 s.T.u. F DISTRIBUTION INSTALLED AND ODOR! VOLUME TOTAL TOTAL ROOM NO. < GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED j j RAO. RE ISTER L w N AND ADER SIZE t WALL 'Lt0 (INFILT.) OEI'�' �F 0 O TYPE AND SIZE SO. FT. FREE OR AREAf ail 916 ` "/ 5-6 y/6 l 1 10 LEK TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING, OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND IS. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. r 2 L �� l DATE a1GNATURE IT UPWAR TO THE BUILDING INSPECTOR of the APPLICATION FOR TO" OF PLAN EXAMINATION AND SOUTHWIlrDS�OR,C�W BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0 r I a ZONING • AT (LOCATION) �3 �G�• �r ✓��- DISTRICT R LOCATION (NO.) STREET) OF BETWEEN AND BUILDING (CROSS STREETS (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D �o A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking"most recent use � 1 ❑ New building Residential Nonresidential 2❑ Addition(If residential, enter number 12❑ One family 18❑ Amusement, recreational of new housing units added, if any, 13❑ Two or more family — Enter 19❑ Church, other religious in Part D, 13) number of units— — — — -Jo- 20❑ Industrial 3 ❑ Alteration (See 2 above) 14❑ Transient hotel, motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (If multifamily residential, of units ——————— — i Service elation, repair garage enter number of units in building in 15❑ Garage 23❑ Hospital, institutional Part D, 13) 16❑ Carport 24❑ Office, bank, professional 6❑ Moving (relocation) 7 ❑ Foundation only 17 Other — SpeciJy 25❑ Public utility ++��'' % • 26❑ School, library, other educational B. OWNERSHIP •-t' . '1 I/1%5:j Sf fd 1 W% 27❑ Stores, mercantile 8 Private (individual, corporation, w 28❑ Tanks, towers nonprofit institution,etc.) •� 1�"' 29❑ Other — Specify 9 ❑ Public (Federal, State, or s 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................ S 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 $ 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 ❑ Wood frame 41 ❑ Private(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions .................... 33❑ Reinforc d concrete H. TYPE OF WATER SUPPLY 34❑ Oth r — Specify 42❑ Public or private company `-+0 Total land area, sq.ft. ........... 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........................ 360011 conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 4S❑ No 53. Number of b dr ms.............. 38❑ C of 39❑ Other— Specify Will there be an elevator? 54. Number of Full.......... 46❑ Yes 47❑ N bathrooms Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To b compl t d by all applicants Name Mailing address — Number, street, city, and State ZIP cod Tel. No. 1. Owner or • Lessee 2. t4 Iff1 Contractor 3. Architect or Engineer Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application dot n otze .� —,7j- DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R view Required Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained Number By Permit or Approval Check Obt Date a ned 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 Permit numb r 12670 Bui Iding Permit issued AVril 26 19 A2_ Bui Iding Permit Fee $ 24.00 Approved by,- A-0"IOS-.-, j). I 1�& NOTES' Vill. ZONING PLAN EXAMINERS DISTRICT FRONTUSE SIDE YARD REAR YARD NOTES IX. SITE OR • Applicant • rii...e•9 .e. .aw�w■..rr...a►.l,,s....../............w .....�...�.•1....r....r ws...e..... . �r M iM aewwrwwwwwee ew dam■w■ ■. •INt! •wa HIM ■.�! 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Value $.3.,$00.00 Permit N o 12670 on the - aide of Sullivan Avenue Street Street No. 1551 Owner Roder Levesque Applicant Pat Vad@ 11 a CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Vinyl Siding, repair steps and ratio i BUIIDING PEItWr i 0MCB of N° 126'70 THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, ConnApri12 6 92. 454i 'i is to Certi l fg� That Made l . 202Marm t i=n is hereby granted permission totnstAll vinyl sidinst„T repair front sten8 i And back natio slab at estimated value o on the Side of 1-5-5 1-S1111 L ujan Avemle Street on Wid owned by R& We r 1,03m a que - Saiclork to be as described in Application N12970 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Anril 26 Building 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 p6ce 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 higliway may be situated, he shall pay said city, town or borough all coats and damages which it shall sustain, or be compelled to reason therefor." i -7-16-�-I' FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE:_��7 (NO. ) TOWN OF SOUTH WINDSOR EST.COST: g BLDC. PERMIT NO. 1540 SULLIVAN AVENUE FEE #0, SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 $ 0 - $12000 - $10.00 $1000 or fraction L thereof - $10.00 LOCATION OF BUILDING /55. l <41111tri7y) Lj yr�J !2�Q tic _<j11iU(>0 aVC-1 OWNER tADDRESS TOWN HONE NO. �crna r !-L.C- 6z OqAlard ov�. HVAC CONTRACTOR ADDRESS TOWN PHONE NO. TYPE OF SYSTEM: HEATING V TYPE OF BUILDING: RESIDENTIAL A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDR03YZSZ WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM �� GAS IN-PUT ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE V OUTSIDE CAPACITY CjQ�IQ V1S LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE 0 OF INSIDE,7e OF DIFFERENCE 2O OF TOTAL HEAT LOSS (BTUH) (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): NL r M Lo:h GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) 13000 , IF 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) IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT): TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM) (PLAN MUST ACCOMPANY APPLICATION) The undersigned hereby applies for a permit to perform the following work and is to comply with all local ordinances and State of Conn. Building Codes in the performance of such work. FURTH DESCRIPTION OF WORK: 14,1171 Jr o: 3,0,o2 I STATE LICENSE - NAME & TYPE # DATE S3,GNATURE OF /APPLICANT S�,Al �kC 7 4 APPROVED D T i - 0 - R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronks Institute OWNER ADDRESS OESION TEMPERATURE DIFFERENCE F. DATE COL.A COLS COL.C COL.D COL.E COL.F COL.G ROOM ccOesl n Water Temp. O H L W fl L W H L W H L W H L W g 2 ROOM DIMENSIONS, FT. 1 ~ kU STUN par Foot r 3 LENGTH EXPOSED WALLS.FT. 4( Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA U. BTUH BTUH STUN STUN STUN 5 WALL CONSTRUCTION ROOM LIN. FT.OF ITable 9, Line 3 x HI TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED (B tt m of table used 1 r Line 51 7 CEILING CONSTRUCTION C IT able 9, L it WI g FLOOR CONSTRUCTION (Table 9, L x W or Lin. F t) E 9 COLD PARTITION CONSTRUCTION F (Table 9, L x HI G 10 c 1 Wall With Opening*) H C a 2 Wells(With Opening*) :J 3 Wells IWrlh Openings)or Ent.Hall p. 1 - — J 11 TOTAL UTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K - - ------ — L C L.A COL.ill COL.H COL.1 COL.J COL. K COL.L TOTAL BTUH TOTAL -- - ---�- --- —`_--- -- - OF SUILOINO RADIATION 1 ROOM E _ AT SELECTED O H L W H I L W H L W H L W H L I W DESIGN TEMP.• ROOM DIMENSIONS.F T �' DIFFERENCE U 4( - — 3 LENGTH EXPOSED WALLS,FT. h2 4 WINDOW AND OUTSIDE DOOR AREA LL STUN STUN BTUH STUN BTUH 5 WALL CONSTRUCTION *INCREASE BATHROOM (Table 9,Line 3 x HI TOTAL 20% 6 TYPE OF GLASS — IS it m f table used lot Line 51 --- - - — - tFOR CONCRETE FLOOR ON 7 CEILING CONSTRUCTION GROUND OR FILL AT (Table 9, L x W) GRADE LEVEL,USE LINEAR g FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE ITable9. L x W or Lin Ft 1 9 COLD PARTITION CONSTRUCTION (Table 9, L x H1 10 c 1 Wall(With Opening*) C --- 0 ------ - --------- --- -- - - - --------- — — 2 Wells IWoth Openings) O X - - ---- - ------ — _� eJ - 3 Wells(With Openings) or Ent.Hall 11 TOTAL BTUH AT 7OF TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE - FORM 1503 This form Is available from The Hydronlcs Institute,35 Russo Place,Berkeley Heights,N J 01922