HomeMy WebLinkAbout159 Trumbull Lane . * &9 APPLICATION FOR BUILDING PERMIT
Plumbing# /Q o 56 159 Trumbull L mne
WAC # 16? ,3 o q/a R� 27145
Date: h _ r1- d!�
Sprinkler#
FIM Estimated Cost S D o00.0 0
Ik MnQ j�-5 ( COMPLETE RED BOXED AREAS Permit Fee
W TYPE OR PRINT ONLY Occupancy Fee $
Affidavit 2,3 o SIGN ON REVERSE SIDE
Appr.for CO. _ Total Fee
TO BULDM DeARTMBNT,TOWN OF SOUTH WMSM CT (Additional Costs $
The undersigned hereby applies to do work according to the following specifications:
Job Location Lot No..3,5* Side of Street 4, Zone
Applicant Tel# �aZ Q?S
Address Zip Lic.#
Owner Address S A K 9
Architect (S si a Address ��_A kf E
Sq.Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
#Rooms-7 #Lavatories #Bathrooms A- #Garages 2-.,l
Purpose of this permit:
City Waterer Well ❑ Septic System ❑ Sewers
Ins. H.O. P. Cert. Area 2I G Basement 00 Garage 2�
Approved by Date 7117 loo Use Group Construction Type 5e>
Rrv6ed 1/77
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its use is allowed.
j.. n,.,,. &,.I. jj-- c
Signe
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Sig97 - - , ,
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Location of Job: AFFIDAVIT Additional Fee$ 117 .
State of Connecticut
ss.South Windsor
County of Hartford
Owner
IU&
of �►v�J V C gent for the building erected
on ractor
under Permit No. 27145 issued by the Building Department of the Town of South Windsor being
duly sworn,make oath and say that the actual cost of the completed work autho ' under said permit did not
exceed the most current accepted BOCA value of S 14 3 2 4 0 .
Sign
Subscribed and sworn to before me this day of A.D.20 0 1
Estimated Cost$ 13 5, 0 0 0 .
Difference: $ 8j240 .
Notary Public
STATE OF CONNECH=
WOIRI�v cOhflI9qSAMON cOMsStON
Buildinn Permit AlIIdavit for PmQerty Owners or Sole Proprietors
(Coax.Gen.Sm §31-286b)
fo�Ji Property located at �^ �-�'�
In the town of ,..
Name of building permit applicant: 6 - . '
Please check one:
I. I am the owner ofthe above property
Z._I am the sole proprietorofa bn. .
r�
ZA.Name ofbashm
ZB.Federal Employerldeatlftcation Ntmaba'(�'F�T)
Pursuant to§3I-286b,"a property Ovmw arsok proprietor'[who]muds to act as a general .
em ittrarrtor or employe'nrayprovide ei�rera ofanorloGrs'c mmpenCagan .
insurane;e ors`�sw+ora no ' .a�tmg that he�I r�P�fofworloess'
c mny eosation insm$nce for all diose employed on the job site in as dancx with this chapter."
Please check one:
f �
Inspection / Approval Date By Appl '
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-27145-B 120,000
B01 FOOTING 07/21/00 CJD A W/CONTRACTOR-HE SAID HE WILL POUR AS EXISTS
ON UNDISTURBED SOIL. BOT.OF FORMS 6-8">GRADE
B02 FOUNDATION 08/02/00 DCJ D FOOTING DRAINS NOT COMPLETE
B02 FOUNDATION 08/03/00 DCJ A
E01 SERVICE 09/07/00 JFF A NOTIFIED NU OK
P03 ROUGH 09/15/00 DCJ A DWV ONLY
B03 FRAMING (ROUGH) 09/19/00 CJD A W/ROGER
ADD LATERAL BRACING TO ROOF TRUSSES
E03 ROUGH 09/19/00 CJD A W/ROGER
B05 FIREPLACE/CHIMNEY 09/21/00 DCJ A
B04 INSULATION 12/04/00 CJD A LEFT TICKET
PO4 GAS TEST 12/21/00 JFF A LEFT APPROVAL STICKER
**-10650-P 3,000
**-10912-H 6,000
**-10893-H 3,000
**-16966-E 3,000
Total Est Value 135,000
Dwelling 2,166 104,574.48
Basement 2,166 30,757.20
Garage 520 7,384.00
Smoke Det 7 525.00
BOCA Value 143,240.68
Difference 8,240.68
,
Inspection / Approval Date By Appl
Code Description Due Whom Code Commeut
-------------------------------------------------------------------------------
**-27145-B 120,000
B01 FOOTING 07/21/00 CJD A W/CONTRACTOR-HE SAID HE WILL POUR AS EXISTS
ON UNDISTURBED SOIL. BOT.OF FORMS 6-8">GRADE
B02 FOUNDATION 08/02/00 DCJ D FOOTING DRAINS NOT COMPLETE
B02 FOUNDATION 08/03/00 DCJ A
E01 SERVICE 09/07/00 JFF A NOTIFIED NU OK
P03 ROUGH 09/15/00 DCJ A DWV ONLY
B03 FRAMING (ROUGH) 09/19/00 CJD A W/ROGER
ADD LATERAL BRACING TO ROOF TRUSSES
E03 ROUGH 09/19/00 CJD A W/ROGER
B05 FIREPLACE/CHIMNEY 09/21/00 DCJ A
B04 INSULATION 12/04/00 CJD A LEFT TICKET
PO4 GAS TEST 12/21/00 JFF A LEFT APPROVAL STICKER
B10 FINAL 01/23/01 JFF A WITH ROGER
**-10650-P 3,000
**-10912-H 6,000
**-10893-H 3,000
**-16966-E 3,000
SITE COMPLIANCE CHECKLIST 2�0
TOWN of SOUTH WINDSOR, CONNECTICUT ! 4�
159 TRUMBULL LANE LOT_#35 Reviewed By " �.� (En ineering)
JMJ CONSTRUCTION CO. Date Reviewed e l rove enied
658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed B lanning)
BP_#_27145 Ph_##_(860)282-0628 Date Revie o pro /Denied
Date Submitted 00/00/00 ***** FOR C of *****
As required in the Zoning and/or Subdivison 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 include:
Approved Denied N/A
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/septic system
Y� b. foundation drain
C. electrical & telephone
d. water
e. other
5. Sewer connection charge paid
6. Appropriate certification
2) 7. Bonding
8. Planning & Zoning/
Inland Wetlands Considerations
A. Lighting
B. Signage
Freestanding Wall
(,vl:►�"f.�lc� C. Fee in lieu of Open Space
Sewer Permit No. ! + O j
Pavement Excavation No.N
COMMENTS: /
,w ��os s��" '� ,Sd✓f�r��� ���od1N o•� /"t/: 41'!N✓�J�
�l c od �✓���f�c%"�CS ��6Y` �•.s L� /'r!� ?S -`v
� r�r�>S'� ��a�'4-•9► 1,®�' o�ss.� —S'�a►r.✓ �F'� �o.t �"C`'. �S L v O ,1'L
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
159 TRUMBULL LANE LOT_#35 Reviewed By -S. VeszPJA (Enginee 'n )
JMJ CONSTRUCTION CO. Date Reviewed -10r-> o,0 ppro e
658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By nni
BP_#_27145_ Ph_##_(860)282-0628 Date Review Gv pprove Denied
Date Submitted 06/29/00 ***** F R BTAubiNG PER ****
FkV rsLJ 1 14 O 0
In accordance with the Zoning and/or Subdivision Regulations, prior to the
building of any structure on a lot, a Topographic Plot Plan shall be submitted
for approval. The minimum requirements shall include:
Appr ved Denied N/A
1. Name, address & phone number of owner/applicant
2. Name, address & phone number of plan preparer
3. Zoning Information - i.e. zone, open space,
floodway, street address.
4. Plot Plan at 1" = 40' scale
a. Subdivision reference, abutting properties, etc
b. Easements of record
�Z c. Lot description, bearings, building lines,
distances, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate
e. Building location with dimensions.
Elevations of proposed finish floor, garage
floor & centerline of road at driveway
f. Elevations of gravity drainage systems, sanitary
& foundation drain at the house and the street
g. Tentative utility location (gas, water,
electric, septic system, etc.)
h. Title block with name and address of preparer,
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements. (P.E. & L.S.)
5. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS:
LA 6oAj5-9W^-noX-�- F4 AT 1r-AV— oF LET
GL '� CA M AN0 SMR -T -iU4,S -r suoUcry W—krikeJ /pf`��l
g� suo w� oiV G�N� C Q-vtiMPA.:) tAStry ( ft �/V 4�0
KkcWvrAEA3T5 U-Ko)J> "GOT F-10F Z114owAi
r4�Nrr SNc u W> 96—s Wo w� AS c,"C n1 Si'AAxL w1Me1�j&.
Sit ovJ MuoR.1,)6K F-;-(z Jc<* SacJ W w"'T GvWEj, C4� AOW of Lori--ARW A""a
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
TOWN OF SOUTH WINDSOR
Application is hereby: BUILDING DEPARTMENT /A0 9 60
APPROVED 1540 SULLIVAN AVENUE
r 644-2511 ext. 230 Bldg. Permit#
D to 1, hBuilding Inspector
(Y
Application must be printed or typed
FEE SCHEDULE l�9 Location of Job:
12
$0-$1;;O1Q=$13.00 Stre No. Street Lot No.
Over 91,900=
pefi$1,000
$13.00
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
10,
APPLICANT ADDRESS
--
APPLICANT PHONE#
1
OWNE Z�A
R
' OWNER ADDRESS `
47O O 7�G
E'' OWNER PHONE CQ _ ?/3
U
ESTIMATED COST$ p
kl
�~ IS THIS A CONTRACT COST? P4es 0 No
FEE ENCLOSED$
�S.O 0� TYPE OF JOB:
R•C_ .
riginal Installation
- O Alteration/Addition/Repair Revised 8/99 j
- z
h
f
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
O<SIDENTIAL BUILDING PERMIT APPLICATION?Q NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'-S NAME PHONE
❑FACTORY
❑ STORAGE ADDRESS
❑GARAGE
❑MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD l
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED D
NUMBER OF METERS / NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑ YES ❑ O
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES C;U) NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES p2 NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
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. TYPE STATE
SIGNATURE OF APPLICANT ATE �1461 '
INSPECTOR DATE TIME Aj-'A
LOCATION ;+
T-
INSPECTION: CODE: RESULT(D/A) :
-�) -7I45
BUILDING:
ELECTRICAL:
PLUMBING:
�Y
HVAC•
OTHER:
t
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: �(.)(o SQ
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
Bldg.Permit#
36100 644-2511 ext. 230 a ys
at ding Inspector
ey Application must be printed or typed
FEE SCHEDULE ! Location of Job:
$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANTC-
APPLICANT ADDRESS
APPLICANT PHONE#
OWN S OWNER U �n
OWNER ADDRESS ��1
OWNER PHONE �—
O a cJ
C ESTIMATED COST$
IS THIS A CONTRACT ST? Yes 0 No
FEE ENCLOSED$
OR-CO TYPE OF JOB•
S
New Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
a'ItES �
/' BUILDING PERMIT APPLICATION? ❑YES C�-I'�O
IDENTTAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL ENGINEER'S NAME PHONE
❑FACTORY
❑ STORAGE ADDRESS
❑GARAGE
❑MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION 2 2 SIZE OF MAIN DRAIN
NO.OF TOILETS_ STYLE \-, NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS I NO.OF LAVATORIES 2---
f
NO.OF CONDUCTORS 1 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 Z�'�--- IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS QSE R OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE v U S MANUFACTURER
DESCRIPTION OF WORK
�G ��
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. — TYPE STATE
SIGNATURE OF APPLICANT \ - �t .�� DATE �1 `�--�2 o c�0
DEPARTMENT DECISION PERMIT#
APPLICATION FOR HVAC PERMIT /0
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPRO 1540 SULLIVAN AVENUE c�7LL
644-2511 ext.230
1 5i Ck)
Date Rg Inspector Application must be printed or typed
Location of job
"Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
$0 - $13,000 - $12.00
Over $1,000
$12.00 per$1,000
OWNER I-Y\A
or any fraction thereof ADDRESS
OWNERS PHONE#
Al APPLICANT -
ovi N S FADDRESS 1 S y 1 vi 61-q-\
<
r
ESTIMATED COST $
V
IS THIS A CONTRACT COST?
ftw YES NO
FEE ENCLOSED $
OR-C Q� ,'TYPE OF JOB:
Original Installation
Alteration/Addition Repair
Revised 11/95
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM TYPE OF BUILDING /
HEATING '� RESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC ✓ WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
TOTAL HEAT LOSS(BTUH)
(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) rI
TYPE OF FUEL
OIL-GPM GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
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 2- 2 cj
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
STATE LICENSE-NO.NAME&TYPE SIGNATURE OF APPLICANT
PHONE NO. DATE c_, a
7 8-OR CALCULATION SHEET 1503 (Modern Method) ceowle"I 77 bt►The 14ye•ew1ts Iwslltut.
OWNER v AOOAEu OfI ION TiM►[AATt/A[OI/I[A[MC>t /, OAT[
C `A COI..S C L.C OL.O C L.E C L.P C L.4
ISWALL
Ou .Lir/� iiJi/! G 2-L-
c
O If L w If w rf L w H L w N L w Os�10 Walow Temp.
o T.' V L / es /� 9TNN N Pool t ��D
NGTH 9XPOSSO WALL$.FT. < D AMWfw SslsssN
0OW-I[NOOVTEIOE 00011 AREA O
STUN STUN •TUN STUN STNN
CONtTAUCTION
(Tome P.Low a N) ,O le"o � 900 D0 U TOTALS AA fFr. IF
N
S Tr►E ►GLASS ►wOMLu+s 1= stLtCTto
1 Nttales N SOW~IM Line sl �D ���V gO(� 8Oo
7 CEILING CONSTRUCTION .Q �D goo �� C del� /7 -
I TaMtr f,L s flrl �f�1
• FL00R COMTRUCT10Nt O
ITaw**Law*6rL1w FL! �s� �,� � �� E
piumr�CONSTRUCTION .
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�• T!M►lp/PfEAENCE• 3O 7�� 70 QQ a ....goo
�� ����`Of�Glr•TEot►:Olr►IAENCE000 910 0R
COL.A 77-
COL.! COL.H COL.I COL.I COL.K COL.L
.—..-•-- — T04AL/TYM T TAL
I ROOM Allf OlF WINLO1/40 RA IAT10N
• • AT SCLECTEO
O M L IN N L I w /f L w N L w M L w 0938"Ta"P.•
' 2 AOOIr oIUENSIOWL FT. ►'0 -2 1 /V / If 7--
3 LiMOTM E7t0+0eEd>wwLLS.P T. t j• _
WINDC I AND OUTSIM ODOR ARIA A ..3oZ.
•TUN STUN STUN .lTUN STUN
E ALL CONSTAUCTION
�O So NCH�`A?0%OOM
IraL ww.LwAa�s*w- •I
D D
E TYPI:OP aLAs --- .
� �wscoNa�tiILIeT10N --'- �� '
IFO*CONCRETE FLOOR N
lralll�C trwll� `'LOOR .QS ♦` QAOVtfO OR PILL AT
•790a (/ QAAD LEVEL.USE LINEAR
f RUCTf sit FEET Of EXPOSED EDGE
ITaw 1.L a W or Lin PLI �� -
• COLO►ARTITION CONSTRUCTION
1 TMb!.L a N! ---------
I won Iw"h Or«Nwtsl � D/ U -
= 2 wars IwNA opeaw •x
s 21Mttlfafnrl�OPM•wEs!M Ent HMI �J
11 TOTAL TUN AT 70P Tjup.DIFFERENCE-
III TOTAL TOTAL STUN AT OESIGN T111A►.OIFiaMINCE Q
Tfw l"M Is sosaatua tsrw►Tns",Idf*fles I,watuta.36 Ausse Plato.SMRMar NNEAts,.N.j. 07 22 P Au 1303
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WIl�TDSOR PERMIT#
Application is hereby: �0 9/d
BUILDING DEPARTMENT
APPROVE 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
D to J' mg Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE
$0-$19000=$13.00 Street No. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS
APPLICANT PHONE# 02 2!2 2
OWN S OWNER
b� x 4� OWNER ADDRESS �—
"; .,,.
O OWNER PHONE '"2 2
C � ESTIMATED COST$
i
'U IS THIS A CONTRACT COST? Comes 0 No
1� CJ FEE ENCLOSED$
SpR. TYPE OF JOB:
CO M N'few Installation
O Alteration/Addition/Repair Revised 8/99
i
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF B DING:
❑HATING RESIDENTIAL
3 A/C ❑COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
EATING
❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑ ONIC ❑ WARM AIR ❑UNIT RADIANT HEATER
EXISTING IATION ADDITIONAL RADIATION TOTAL RADIA
DESIGN TEMP. IDE OF INSIDE OF DIFFERE OF
TOTAL HEAT LOSS(B OF(HEAT LOSS SHEET MUST ACCO
APPLICATION)
DESCRIBE ALL HEATING EQUIP T(INCLUDING &MODEL NO.)
GROSS HEATING CAPACITY(IN P TUH) NET RATING TPUT BTUH)
TYPE OF FUEL
❑ OIL OIL TANK LOCATION :❑INSIDE❑ OUTSIDE CAPACITY
AS—INPUT LPG TANK CAPACITY ELECTRICKW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE Ff OF INSIDE 7D OF DIFFERENCE_/f_OF
TOTAL HEAT GAIN(BTUH) &v.o (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING E UIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE Z COOLING CAPACITY(BTUH)^ 2. da-0
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 1,Aj s, C��vT
s ,
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.
(7 Z�
CONTRACTORS LICENSE NO. TYPE STATE
DATE
SIGNATURE OF APPLICANT
DETAILED REPORT FOR ENTIRE HOUSE
Prepared For : Prepared By :
Clark Realty RP
658 Ellington Rd . R & E Heating & Cooling
So Windsor Ct 06074 Job Name: 234--035
EXPOSURE
GLASS NORTH NE/NW EAST SOUTH SE/SW WEST HORZ . TOTAL
__-----__-_______--________-----_..----------------------------- ------ -_---
AREA i 26i 0 : 112 : 32 : 0 : 36 : 0 : 206
COOLING 349 ; 0 : 4 ,863 ; 686 ; 0 : 1 ,563 , 0 : 7 ,461
HEATING 1 ,043 : 0 : 4 ,493 : 1 ,284 : 0 : 1 ,444 : 0 : 8 ,265
------------------_----------------_-------_-------w-----_--------_-_-__-_-_-__-__
BELOW
WALLS NORTH NE/NW EAST SOUTH SE/SW WEST GRADE TOTAL
_...______-_.._-_.,....__--_--...-_._...._._W____...-_-_.._-__....._......_____..._____-..,.-----___-___--_--_---_-___
AREA 307 : 0 ; 464 : 265 ; 0 ; 231 ; 0 ; 1 ,267
COOLING i 125 : 0 : 189 : 108i 0i 94 : 0 ; 515
HEATING i 912 : 0 : 1 ,378 , 787 ; 0 : 686 : 0 : 3 ,764
----__,._..__._.-_-__.._.._.---_--_..__.----_.._.--_-_..__..____.._________..-_-----__-__..,.___--__.._.._ ---
DOORS NORTH NE/NW EAST SOUTH SE/SW WEST TOTAL
----------------------------------------------------------------------------
AREA i 0il 0 : oil Oi 0i 84 : i 84
COOLING 0 ; 0 ; 0 ; 0 ; 0 ; 223 ; ; 223 ;
HEATING ; 0 ; 0 ; 0 ; 0 ; 0 ; 914 : ; 914
_---------------------------------------------------------____------_______
FLOOR AREA COOLING HEATING
-----------------------------------------------------------------------------
1800 ; 0 ; 1 ,154
-_-------------------------_----------------------------------------------------
CEILING AREA COOLING HEATING
__---------------------------_-___-_-________-.__----_______----___w____-----__
1800 ; 415 ; 3 ,527
-----_----------------------------------------------------------------------
MISCELLANEOUS COOLING LOADS
-----------------------------
People Sensible Load 2 ,925 Latent Load 51850
Lights & Appl . Load 2 ,816 Latent Safety Btuh 292
Ventilation Load 2 ,420
Duct Heat Gain 2 ,543
Infiltration Load 181
Sensible Safety Btuh 848
TOTAL SENSIBLE LOAD 20 ,347 TOTAL LATENT LOAD 6 ,142
Air Changes/Hour 0 .06 Temp . Swing Mult . 1 .00
*** Total Cooling Load 26 ,490 BTUH Or 2 .21 Tons **
MISCELLANEOUS HEATING LOADS
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Infiltration Load 2 ,466 Ventilation Load 16 ,456
Duct Heat Loss 6 ,578 Safety Btuh 1 ,827
** Total Heating Load 44 ,951 BTUH **
SUMMARY REPORT
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Prepared For : Prepared By :
Clark Realty RP
658 Ellington Rd . R & E Heating & Cooling
So Windsor , Ct 06074 Job Name: 234-035
DESIGN CONDITIONS
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OUTDOOR INDOOR
SUMMER WINTER SUMMER WINTER
Dry Bulb 88 0 78 68
Wet Bulb 75 65
Daily Range 20 Daily Swing 3 .0
Latitude 41 Elevation 1100
Safety Factor ( o ) 5
Latent Factor ( o ) 30
Room Heating Heating Cooling Cooling
Name BTUH CFM BTUH CFM
Living Room 17 ,079 608 7 ,576 596
Dining Room 2 ,448 87 2 ,891 227
Bedroom 1 13 ,154 468 4 ,439 349
Bedroom 2 2 ,568 91 1 ,427 112
Bedroom 3 1 ,600 57 1 ,212 95
Bathroom 6 ,747 240 1 ,570 123
Foyer 1 ,'' 48 1 ,23$ 97
_______ _______ _______ _______
44 ,951 1 ,600 20 ,347 1 ,600
HEATING DELTA T 25 .5 COOLING DELTA T 11 .6
NOTE : *** Calculated Airflow is based upon load requirements .
Verify that airflow calculated is compatible with
selected equipment requirements . **