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Home My WebLink About1030 Strong Road (2) " Application No. 5668 Permit No. 5398 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (erect fim ) a building according to the roilowing detailed statement of the specifications and 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 specified herein or not. South Windsor Conn., W.4.... ....... . 19..��... Sign lure . .......... ............. ... Addmst�2,7 ..... .... .. ..4. !. Location? . . .. ............................. ........ �... ' ...............side of? �. `.� .�. ..4�..... ...... ... ....... .... ............. Nearest cross street? . .. �'� ... e-,�.[ ....Street No. ................. ................................ Lot No. ...... �Po Owner of land is? . .�., ,c�.G' .. .Addre ..f.... .1.� E�''. ' T (� ... w h- Owner 'r buildin is? ... . Address .. Architect is? ... .. ...... ��?. C.... c: G ..Address . .... ...: �5,7 ..... .... ......r... Builder is? ........... 'L .......... Address ��/....✓% .�...... ........... ..... c imensions of buildin Q ..Feet front. ... .... Feet rear. �. r. .......... Feet deep.? .... .(�.. ... B � aP Extreme height to highest oint of roof? ............A4*—./'................. No. of stories in height?.....O.. ... Purpose of building is? .....:LeC, �1� G) ........................No. of stores? .................................................................................................. Howmany families? ................... ....._..............._.................No. of rooms? .... .. ............4....................................................................... Distance from street line is? ... ........................................from building line is? ....... .................. .................................................... ADDITIONS AND ALTERATIONS (Gve Brief Description) ......................_....................... .................... ........................ . ........................................................................................moo....° C5 .........................................................................................................._........... . ,............ .. ............................. ca.....S.Eff��...PAVM1.l�tT....�-...................... ... ....................................................... ...............ENDORSED......kY......� Map No. . IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR ORDINANCE NO. 6 �o _- SANITARY OFFICIR 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., Building By-Laws.) BRICK CONSTRUCTION. Ofwhat material will walls be constructed.? ... ...................... . ............... ........................................ ................................................ Compositionof mortar? ........................ ............................................................................................................................... ........... .. ... ... ......................... Height and Thickness of Walls Hewht Stories Front Walls Side Waft Bear Walls Partition Walls Basement, ..............................I.........__..._.. ..........1st............Story.............................................................................................................................. ............................... .................................... ............................ .............................................................................................................................. .............................................................................................. -................................ ........ ..... 2nd " .................................I............................................................................................................................................... ........... ..........................I........................................ ..........I......... 3rd " ................................................ ................................................................................................. .............................................................................................................................................. 4th 'd ............................... .................................................................. I............................................................................................................................................. ......... ..................... ........ 5th 44 .................................. ............ ............................. ................................................................................................................................................................................................................. 6th de ................. ........ .................................................. ................................................................................................................................................................................................... 7th d' ....................... .............. .........'............................. .............................. ..........................I......I.............I.... . ......................................................................................................................... 8th 'I ..................................................................................................................... ........................V............ ... .... ............... ........... ..... ... .................... .... ............................................. 9th 44 ............................................................10th................................... .... ............ .. ... ....... ...... .................. ............. ....... .................. .... ..............I........ .................................................... 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 Mists, Girders and Columns JOISTS GIRDZBS COLUMNS Floors Size Longest Span Centres Bridging Size Longest Span Centres SISSA IMW& Centres V oe ist Floor -/ 44, 0. F/ 1 3 d004456 wcoci............... 7/e rs' ...a d . ............ ....................................................... .................................. .......... ........................................................................... .................... . ....................... ...... ................................................ ....... ..................................................F........ ...... ............................--I....... .... ................. • er Size of outside studs? ..... .../. 000e . ... .. ......... Distance on centres? ........... .4;................ Size of sill? .....#/x .................. ? ............V. ........... Size of rafters? .....iml<..4.... Distance on centres?............/. ........................ Size of plate Size of ledgers or girts? ......................... .... .............................................Size of deck rafters? .................................................................... ............... Distance on centres? .....................................................................................Size of studs in bearing partitions? 2—. -�/C' .................................................. MISCELLA OUS Style of roof, flat,.pitch, Mansard, or hipped? ...T-4 ......... ........ Fireplaces? ..............4.1 .................... Material of roof covering? ... .......Material of Cornice? .....................6,L)..to..C)....a....................... .......... How is building heated? 10...............4r- ...Lining of Hues? . ............ .......................... . .............. Thickness of shell of flues? ............................................................. Any elevators or lifts.? ....................... ............................... ...................... What kind? ... ...... ... .............. ......... .. How many? Any hoistways? .. ..... ... . . .......... . ........... How protected? ........... ... ..................................................... .. ... .............Total Value of Building .. -7- v--4h--o....................... ..When will work be commenced? ............ .... ................ ............. .. ........ ... .... A��...... 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 5398 BUILDING APPLICATION Application NO. ....56.6.8.................................................... ........... onthe ................N.o....r.....t....h.................................................. side of .... . .............Str.qng....Rd..* ........................... ... Street. Lot #3 StreetNo, .. ............. . ..... .... ................. owner .....Clif.f ord... ..W. ..S.I.i.c e.r................. ....... Same Applicant .. ......... . ...................... CLASSIFICATION Dwell.ing. 48.1..4x26. " 1 . . ......... .................. ................... . .............. ......... . . . .............. . .. ................ ........... ........ ... .............. ... ....... ... ................................ Permit issued on above Application. Date. . .8-.19-.65.. ......... TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Aug.19, 45 Fee Paid $. 6 S..00 Est. Value $. 17.#000 0*00 &ECD. SEPTIC PAYMENT $..... ;.... Permit N. 5398 on the North side of Strong Rd* Street Street No. Lot #3 �� I I Owner Clifford W. Slicer ' \ Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. 3174 Fee Paid $ 3 .00 CLASSIFICATION Dwelling 48 t 4"x261 BUILDING PERMIT N° 5398 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. AU9*19 s 19 65 94io to to Terfif1j., That Clifford WP' Sliasr is hereby granted permission to DM21112248 WX t at estimated value of $ 17 s 0CC on the North side of Strov4 Rd* L*t #3 Street on land owned by Cl if f orrd W. Slic*r Said Work to be as described in Application No. 5668 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Ind A1$.19, 19 65 ng`Aspector. 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." 8-19-65 INSPECTION REPORT Dwelling tOt #3 Permit # 5398 Job Slicer-N-Strong Rd. 1 Footing 2 Foundation 3 Framing 4 Wiring qJ as- -- 5 Plumbing p 6 Heating 7 Lathing s C.O. #3174 Permit No. S TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit NQ 3174 Certificate of Occu Fancy f THIS JS TO CERTIFY that,the ��'� -�'-s�-'�-'� �` f at No. in the Town South Windsor, Connecticut, has been erected and conpfeted in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. f > � Building Inspector l Owner, Builder Fee Paid Date 19 %y/ F � - C /j s lzt f . I P,z a r L A A/ \ � h e vol lfl � a ler/=r' 3.9 z Ayr tc't a Pe/ "op r� _ 6 - 1 j 3792 ELECTRICAL APPLICATION Application No......4.0.9.3........................................................... North onthe ................. .. ... . ....... ...... . ....... ..... side of .. .. ..... S.trong .Rd... ....... .......... Street Street No. L?t #3. ....... .... . .. .. ......... .. ..... .... . Owner Clifford W.Slicer ... ....... Kr p cio Electrician R. .. ..... . FILED IN OFFICE OF The Building Inspector 12-7-65 . .. ....... 19 INSPF"10N. .... ............................................................................................. ..... ........ .... . ...... .........................................I...................................................... .. ................................ ................................................................................................................................... 'wNo 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 stops (if of wood) are installed, without a special permit from the office of the Building Inspector. i APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. i 4093 No. 1 Permit No. . . . 3792 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. South Windsor, Conn., ../%d�%�a(f .. 19�.5Sign here Address Location e401i� .. ... �►p'' ... .. -^ Side of Nature of Building ................. t..... : ... . How many stories . . ... ........................ ................................. ................. New or old Building . .......... 'Lr� ?- C ... ... ...... ... How many families . ............/................................................................... Kind of Installation ..... .. . r ... ~:.. . ` ......, ... . How many Stores . ........................................ Owner JA. �� .........c............. .......: ......r................ ..... . ..... Address ....... Architect . .......'"_' w . .....................................................I................. ............ ......... . .. .. . ...... . . Address ...... ...... .... Builder Address J............... ...... "............................... Electrician !.� �; .... " ..., � . 1" Address ......: ��......... .. .. .N..6..j..N. lrl..l....a...i...N.i. . Size 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 ....... .. .. No. of Light Circuits ... . .. ....... ... No. of Heat Circuits . ... No. of Power Circuits .. No. of Sockets ......... No. of Heat Receptacles " No. of Motors .. ...... No. of Panels ......... ...... f.. . Size of Heat Circuit No. of Power Receptacles No. of Switches ...... ,erg`1 .. Total Wattage ... ... t... .. . Size of Power Circuit .. . Total Horsepower No. of Straight Electric Fixtures ... . ..... .. No. of Combination Fixtures No. of Receptacles ................................... .. ........... No. of Cord Drops ................"°....,. ..................... ........... Remarks: For other kidnnd� of Installation ... . .................... ............... . ..... ... ........... .. ............................................................. . . .... ............. ..... ............... ... .. .............. .............. ... .. . !�'c►' f ... .. .. ................................. ......... ....... .......... . .... ........... . ..... �/"!�!- .. .... �/ : :.:............ ..... .... ........ . .. . Gam` Estimated Cost ........ ..... .• • 3304 P PLUMBING T10N s Application Na 3093 on the .... �+�+ ........... 4 Street No. Owner Qi. �/j C C-r Plumber Ia ... � b✓/ei�'" Filed-in Office of The Building Ia�pecmc 10-1 4-65 19 IISIF UC"M. ................................... �.�....,._._ No person chap 000saocr, add do or aleer any portion of the drainage system of any budding (ezmpt to repair leaks) until a Permit is Scomad by the Building Impactor. Application No. .3-09.3......................... Permit No. .3.304...... ......... 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 /0-;2 19 6-5.7 Sign here ... /grzez�.................................................. Address .......74' -.5�.. Location > A ...4 P..r.,0 ...........(:Ja..................................................... side of .................................. Street Nature of Buildi, .40.0.d.9........ ................... How many stories ................................................................. OwnerZ.4.-p.......�it..C_-*'t......... ............................................................ Address .....kId-la-10 e�................................... ....................................... Architect .... ....................................... ........ ......................................................... Address .............................................................. ......................... ................... Builder .E4.r v<.... ........ ...................... ............................................. Address ............... ............. ..................................... .... .......................... Plumber ................................................................. Address .11,jq, ........................................................................... DRAINAGE CESSPOOLS, How many .. .......... ... .......................... ................... Where located .. .......... ........................................................ .... .......... Are they water tight . .. . ........................................................................ Of what materials are they built ........................... ......... Size of pipe from house to cesspool .. ..............51.7.................. Kind of pipe .............. ................M.......... MAIN DRAIN IN CELLAR, Materials Diameter ...... .......... ................................................................ ..... .. .......... Above or below cellar bottom . ...... ........................ ............*'.......... SOILPIPES, Material ... ............... .............. Diameter .................................................................................... .......... / e Z e7 WASTE PIPES, Material ..... 9.0....... ......................... Diameter ......................... .......................... . .............. TRAPS,Type proposed to use is ... .... ....... ... . . ... ... ..............................................................................................................0............... RAIN WATER LEADERS, where do they run to .. ..............I............................................................................ .......... REFRIGERATOR WASTES, where do they run to *074.<........................................................... ............. ........ .....�p.......... TANK, OVERFLOWS, where do they run to /4V't&. .... .. ........................................ ...................................................... FIXTURES WATER CLOSETS, How many . ................7=*....... . ... . Where located ................Al................ Distance�fr&trap to vertical soil pipe ...............(....2.... ............. Pattern --.t. ... . ...................... ........................ tr ap_S WASH How many . . . ............................ ......... Where located ...........................................................'::E� SINKS, How many ............../............................................................... Where located ....... ...../...................4....... A, !;l............... BUTLER'S SINKS, How many ... ....................... Where located .. ...................................................................................... ... REFRIGERATOR SINKS, How many ........ Where located ............................................................... LAVATORIES, How many ............... ............................................... Where located ...e"Al...............2....... e"'e . ..................... BATH TUBS, How many ......_................**..........__............... Where located ....... .... /........................ ............ URINALS, How many ................11.4'Iew................................... Where located ... . ........................................... ......................................... Are water closets and urinals to be local vented AAA . . If not, is there a window in outer wall of room where same are to be located Yes. . ........ ............... ....................... ............ . .......... .... .. ........... ........ Estimated Cost..........7-PT..-A"D............. 0 ^ PERMIT # DEPARTMENT DECISION Application For 3129 3 3 51 Heating Permit o APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS APPROVED ❑ DISAPPROVED TOWN OF SOUTH WINDSOR Cd 10-14-65 r� 00 O DATE HIE INSP ^� - " �, APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W O m � o 1. LOCATION OF JOB l 0 ^� &4 Cd O NO. STREET 4-3 v Cd 4), LOT NO. FLOOR APT. NO. O t to I 4-v ��2. OWNER�l/ lice- r-, Cd L� O s. ADDRESS! W �: l 4 4.PHONE Cd C% S. APPLICANT�'&6&41 e!11 cd O w e. ADDRESS ��® 1.4 y 7.PHONE �y�3�'� 4-4 .Q S. LICENSE NO. 4) �O a w O 9. EXPIRATION DATE OF LICENSE to. ESTIMATED COST s 4J o y p ''' 1 1. IS THIS A CONTRACT COST? E YES ❑ NO tzpi _ °' Permit #5398 12. FIIE ENCLOSED s v ai 19. TYPE BUILDING: CJ RESIDENTIAL ❑ COMMERCIAL �. ❑ INDUSTRIAL C 14. TYPE OF JOB: ZIGINAL ❑ ALTERATION INSTALLATION ADDITION REPAIR 3141- APPLICATION FOR HEATING PERMIT (Continued from Reverse side) 3�11. LOCATION OF JOB ^moo dyjearelJ24 NO. TREE�Tr� FLOOR APT.NO. 12. TYPE OF INSTALLATION; Gem BURNER In HEATING SYSTEM ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS SIZE �j/fir J� / IDENTIFY 13. F TANK /► `a7 —OF TANK (_Cf Ill_% SIZE � r, SIZE ! l� OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO.#AM S74 jeft-Illy(T.U. OR SQ. FT. NET 10-2- B.T.U. OR SQ. FT. GROSS f �I/NG RATE/,�S FLOORS TO BE HEATED y� NEW OR Q6Q BUILDING *Vt'� j INSULATED — YES OR#O C'�,' TYPE OF WALL Wd-)a INSULATION ' " ROOF OR Ci64-L-rtG 19,0f3C INSULATION AVG. SYSTEM WATER TEMP. /Ap B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 11 b kv 24 o °FAHRENHEIT MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. 711, . O BEDONE; DESCRIPTION OF W 15 ORK �� ' •� �`! L,'/��` /PZZe�7�`_ 18. HEAT LOSS S EDULE. (TO BE INCLUDED FOR ALL JOBS); ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. <f DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL y LL ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70"F CORRECTED J j LL REGISTER L W N AND TEMP. TO <F TYPE AND SIZE RAD. OR LEADER SIZE < WALL Fpcto (INFILT.) DIFF. L,)tSt01F m 0 SQ. FT. FREE AREA J. 6'e I/ c c_ ivif . �o .z �jd�, ��Yao j� a� 21 !/L ?G 0 o® MOO d a 40 ��3 0, c y 13 LZZa o aC a 1125' OaC) �,� `1 jeel 1 'a p D 17 f L If-14 1phl 'IS'ba t o o� r . ass 1 t3 6 ! 1 ,-- TOTALS evil 0 A. HEAT LOSS FROM BUILDING yV 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 OOF/FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY; ��"�'u- '0 n NAME ADDRESS SUBCONTRACTORS AND 18. 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. � DATE SIGNATURE OF APPLICANT 1977 • OIL BURNER OR FUEL STORAGE APPLICATION Application No. �8 8 Permit No. 1977 on the /��' side of Al� Street Street No. 4 r�3 Owner ('00,It� ``C Application &J14GT CLASSIFICATION American Std. DH5 Permit Issued on Above Application Date 10-lL-65 19 Fee Paid $ Permit #5398 TOWN OF SOUTH WINDSOR APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS EQUIPMENT AND TANKS PERMIT N . 1977 DATE A0 • 2 6 'f The undersigned hereby applies for a permit for the installation of range and fuel oil burners, equipment and tanks of the following description: Address - 1st floor 2nd floor 3rd floor Character of Building: Frame Brick Owner of Burner r �C e Owner of Building 4 .2., /" Lessee or Tenant RANGE BURNERS Capacity of Tank at Range in cellar outside Name of Range Burner Purchased from POWER BURNERS Name of Fuel Oil Burner_/?% ),7 1 4^9Model Number Purchased from ° xe.A `r 4-or,; Name of Tank s Gauge of Tank_ -",;L Where is Tank Located `` ' t• Size of Tank Size of Motor � V,4,e Size of Wire Will other heating equipment be installed? If so, by whom Name of Party Making Installation ;f! /9L/C �. Address �. y ,• ¢ 00 Electrician Address Signed "Zoe- APPLICANT All provisions of Ordinances of this Town Regulating Oil Burner Equipment and Fuel Storage (Sections 1-23 in. clusive) and Underwriters' Code applicable to the subject matter of same shall be complied with in execution of this work whether specified herein, or not. Application for Permit received 10—14—65 and Estimated Cost $�1�— P 10-14.-65 Permit No. issued._ Permit Fee Paid __ Permit #5398 Approved Application No. 8248 permit N . 7948 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (aarc (make alteration to) a building according to the owing detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn., /..zr.......F Q. 19..73. Signhere .. ... ........ .. ............. .._........... Addras ..,/.0 3P........$TkONG........ .4b...... . ................. Location? . .. ......................... ..................................................................side of? ................................................................................................................. Nearest cross street? ... . ........ .......................................Street No. ......... . .......................... Lot No. .. .... .. ......... Owner of land is? .'�c�L,',1...../ ..... n.,.�.�.a ....Address .... ��-...... .......��......... ....� r Owner of building is? 0 a.0 r' ........��....�i��' �.�*' .Address . ................................... 4�...... .. ..... ... .. . . .....'' r Architectis? ............. ................................................. ......................Address .. ........... ..... . .......... ........ 1 r Builderis? .... ................................................................._.............................Address ....... .. ............................................................................... . ...... imensions of building? . .........Feet front? . . .. .. Feet rear? ....... ... ......... Feet dap? .... . Extreme height to highest :!�& of? ...... . . ... . ........ No. of stories in height?.. . . ... Purpose of building is? ... ...... ... .......No. of stores? .... .......... .... ................................... ............. ............... How many families? .. ........................................_..._......................._........No. of rooms? .. . .......... ...... ...................................... ....... .. .. ........ Distance from street line is? .. ... ...... . ............... ........ ..........from building line is? ...... ...... ADDITIONS AND ALTERATIONS (Give Brief Description) %):s .. ..! , r..... ..Y.N.......-........ice.- r real.... s,, ..l� U rI...A. ...�. so]a�e.�................. .................. � ......�..... . -.... .... .e.._.c .. r.... .r�.4. . ... _ ................................................................. ....................... ................ ... ................................................................................................................ ............... ...................... ........................................................................... ..... Map No. ........ 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 1bs:;per square foot. (See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? Composition of mortar? . . . .. . ..... . .. ................ ........................ . .... Height and Thickness of Walls Hekht Stories Front Walls Side Walls Rear Walls Partition Walls Basement, __..._.. _1st Story........ .... _........._...._..........__.I"........_............................. _......... . . . .. .......... .. . ............ ...........................i..... .... ........ ........................................... ndi_ ...................... _.... ............ ... 3rd " 4th " _.............. I................. ... .. ... ..................................... ............................................._......... .......... . ...................... ........ . . .... .................. 5th " 6th " _................_................. ............ _. .............. .... ... .............................. ... ................................... ................_........................................................... 7th " _.. ..... . _. ........................... .. .... ........... . . .. ............ ,.......... ... ..... ............................. ...... ............................................... 8th " .................... .. ..........__.._.... ............................. .. .. ,.. . .. . .. .... ......... ....... .... .. ............... .. ........................................... 9th " . ................ ... ........... .... . ............... .. ............................ 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 GIRDZRS OOLUMNS 00 Floors size Longest Span Centres Rfldging � Sim Longest Span Centres Sim Length Centres 1st Floor ............. ..................................................................................................... ........................................ ....... ........................................................................... ......................... ......................... ..... ........ .................. ............ 11 1................ ..............****'*FF*.....*** 1--1***"** 11* 1 1 Size of outside studs? ............. ........ ... .. Distance on centres? .............................................. Size of sill? ............................................. Size of rafters? ..... ........................... Distance on centres?......... ..................................... Size of plate? ...........................................0......... Sizeof ledgers or girts? .............................. . ............................................Size of dock rafters? ..................................................................... ...........0... Distance on centres? .............. ..............................................0.................o.....Size of studs in bearing partitions? ................................................ MISCELLANEOUS Style of roof, flat,pitch, Mansard, or hipped? .. ..... .......... . ... ..................................... Fireplaces? ........................................................ Materialof 'roof covering? ....................................................................Material of Cornice? ....................................................................................... Howis budding heated? .. .............. ........................................................Lining of Hues? ... ..........................................................................I.... .............. Thicknessof shell of Rues? ........................................................................Any elevators or 1ifts.9 ........................................................... ...................... Whatkind? ... ...... ................................ How many? .. ..... ............ Any hoistways? ....................................................... Howprotected? ............. . ....................................................... ........ ......Total Value of Buil"a ..... ........11..................... When will work be commenced? ....... 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. Town of South Windsor since 1949. Applicant 7 948 BUILDING APPLICATION Application No. ...... 82.48................................................. onthe .................................... ....... . .... .. ............ Side of Stronc: oad Street. Street No, 1030 Owner David H. Sorenson Applicant Same CLASSIFICATION Finish ree room in basement . .. . . .. ... ... . ......... ................. .......... ....... .... .. . . .. ............ ........ Permit issued on above Application. Date, .2-15-?3 19 TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Feb.15, , 19 73 Fee Paid $ 4.'.00 Est. Value $ . .250.d0 Permit N® 7 9 Q 8 on the side of Strong Road Street Street No. 1030 Owner David H. Sorenson Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Finish ree room in basement. BUILDING PERMIT R2 7948 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. ftb•" 1 19 73 454is is to Trrtif1 j.9 That David H. So"ason is hereby granted permission to Fini sh r9e rota in base*ent at estimated value of $ 250.00 on the side of 1'030 Strong Road Street on land owned by David K. Sorenson Said xo!$ to be as described in Application No. 8248 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Feb• 15, —� � 19 73 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." dD lo' � o 3 0 THE BUHDING INSPECTOR �- of 11116 APPLICATION FOR PLAN EXAMINATION AND TOWN OF SOUTH WI1rDSOR,CONK PLAN PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, It/, IV, and IX. O • AT (LOCATION) 1 0 3 o EfRd N 6-1- 0a ,0 DIOSTR CT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N 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 M 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❑ in Part D, 13) Two or more family — Enter 19❑ Church, other religious 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 ——————— — -- 22 ❑ Service station, repair garage enter number of units in building in 15 R� arage 23 ❑ Hospital, institutional Part D, 13) 16 Carport 24❑ Office, bank, professional 6❑ Moving (relocation) ❑ p 7 ❑ Foundation only 17❑ Other — Specify M Eir-WA 1 25❑ Public utility 26 ❑ School, library, other educational B. OWNERS 1 P /, N A SC'RE E-NE-D P OQC/4 27❑ Stores, mercantile 8 Private (individual, corporation, 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,,...,,.•,,,..,• OG. 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 f a. Electrical...................... b. Plumbing ...................... v c.Heating, air conditioning.......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ z III. SELECTED CHARACTERISTICS OF B ILDING — 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................ Total square feet of floor area, 31 �'`Nood frame 41 E '�rivate (septic tank, etc.) 49. all floors, based on exterior 32❑ Structural steel dimensions .................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Specify 42❑ Public or private company 50. 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❑ Ga Will there be central air 52. Outdoors....................... 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45® No 53. Numb r of bedro ms.............. 38 ❑ C al 39❑ Other— Specify Will there be an elevator? 54. Number of Full.......... 46❑ Yes 47® No bathr oms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To b completed by all applicants Name Mailing address — Number, street, city, and State ZIP cod T I. No. I' v i so a S'a N i 3 o s'feoNa POA j" u/ /N axo R > C f Owner or Lessee 2. cX Na/ rye v iL A i#es Contractor N 5F/ Weft oAD , 4-4L1JUC-NN. COIVV 6aa-9q ;T' y7.? 3. Ilk Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application dot 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Dote Plans B Notes 9 Fee Started y Approved y BUILDING _ PLUMBING MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date D Permit or Approval Check Obtained Number By Permit or Approval Check obttaoined 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 8780 Bui Iding Permit issu d Feb. 25 19 75 Building Permit Fee $ 90.00 Approved by: A —� TITLE VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use N 4 s z� 5 4 �D♦P a � a d ¢§r �+�� i x��e g�e �e� � n � _ i � � - � �� a c �p. 1 � TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Feb. 25 , 19 75 Fee Paid $90.00 Est. Value $Us 5OG.00 �.r Permit N? 8780 on the side of 1030 Strong Road Street Street No. 1030 Owner David Sorenson Applicant Schneider Builders Inc. CERTIFICATE OF OCCUPANCY ISSUED: Date No. 4558 Fee Paid $ 3.00 CLASSIFICATION Addition & Alterations BUILDING PERMIT Q 978.0 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Feb. 26 1975. 94tsto to Terftf11 , That Schneider Builders Inc. Add garage, breezeway,_ porch & a t&ra*{moo-. is hereby granted permission to � .� at estimated value of $ 1 0 00.00 on the side of 1030 Strong Road Street on land owned by David Sorenson Said Work to be as described in Application No. 9080 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issu d Feb. 26 1975, 7L- ,Ow;��uil4oKg Inspector. j 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 compellec'. to reason therefor." INSPECTIONf ��u�Q►�� , RE RT Permit # Job p U 1 Footing 2 Foundation 3- 7-755 3 Framing �71 4 Wiring TSB 5 Plumbina.6= ?.s� �� Sh? 5115 6 Heating 7 Lathing 8 C.O. 67, i Permit No. /v TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit 'N? 4558 Certificate of Occupancy THIS IS TO C TIFY that the !!Y= at No. in the Town of South Windsor, Connecticut, has been erected and compl in accordance with the Building Code and Zoning Regulations of th Town of South Windior, and is hereby approved for occupancy. Building nsp ctor wne , Builder Fee Paid clxr� Date 19 r C •�7 Y ! vi ZO / lop a � t - s -Y - Llrj i 5719 - � r, ELECTRICAL APPLICATION Application No., 6030 on the side of Strong Road Street Street No. _ 1030 Owner David Sorenson Electrician Roberts Electric Co. FILED IN OFFICE OF The Building Inspector May 12 1975 INSPECTION. to 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 stops (if of wood) are installed, without a special permit from the office of the Building Inspector. �o 4, �( APPLICATION FOR PERMIT TO DO ELECTRICALWORM. Pam'' No. ........6.03 ................. Permit No. ....5.7.1.9 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 provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. SouthWindsor, Conn.. .............. ..-�....�.!-.................. 19........ Sign here ....... .. ... ..................... ....................... ..:r��,�.... Address' .. Location �� .. 6 �.... Side of ..... Natureof Building ................. . ..........l�r..... ...................................... How many stories .................................................................................................. Newor old Building ...........6.6,1011................................. ..................... How many families ........................................_........................................_........... Kindof Installation D v!-ti....F�...X.................................... ... How many Stores .....................................................�................................._........... Owner f1 t,1/Z ............. Q.�°4 .__............... Address Z.6..-5........................... Architect ................................................................. .... ............................................. Address ............................................................................_..............._..._....._........_.... Builder /............................................ Address - ........ ......... P"o� Electrician ..................................................................................................................... Address ........ ............................................................................ ........._...._......... Sizeof 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 ............... ................. N . of Sockets ................. ......... ....... ....... No. of Heat Receptacles ... .. .. ............... No. of Motors ...................................................... No. of Panels ................................................ .... ... Size of Heat Circuit ....... .. ........ .......... No. of Power Receptacles ........................ No. of Switches ................41�.......... ....... . Total Wattage .................................................... Size of Power Circuit ............................... Total Horsepower ........................... .......... No. of Straight Electric Fixtures ....... ......................... ......... ....... No. of Combination Fixtures ............................................... ............. No. of Receptacles .................e.................................................. . ............ No. of Cord Drops ............................................................................................. Remarks: For other kind of Installation ...... ............................................... ....................................................................................................................................... .............................................................................................................................................................._.................................................................................................................................................... .................. /..lam ........... Z? ...... f�... ....... .... � ....................... .. .....'.-... ........................................................................ .............................................................................................dYJ............................................................................................................................................................................................................... Estimated Cost ........., ......................... 4711 -` i PLUMBING APPUCATION �p Nm 4500 on the _...._........._ -- --— side of Strong Road S-rect Street fdo. ....103 0 Owner/�?�..._..F1.,r��L��.✓ S'd �.✓. Plumber lz1 Filed in Office of The Burg Inspocmc May 22 1975• No person shall cater add do ar ahw my portion of the dramp sysaem of aa9 bin (amept to repair lake) 'um l a is gra ftd by the Building Ingmcwc. kci Application No. ...4.5.0.0..................... Permit No. 11 .......... .......................... 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, ............!�................. .............. 19,7-5 7.,.. Sign here z .. . ......... ......... .. .................................... Address ........... ................ Location A�,A�............. ....... ...................................... side of ........... ...............5...1...4 9..F.......4P.T.... Street Nature of Building ../74�rz�1......e....................................................... How many stories ............................................................................... Owner ........... ................................ ... Address /-ix...........,S'22 V.W..f...........44............................... . Architect ......... ...... Address ...................................................................................................................... ' �;.................................... ?.......................................... . ......... ....... .V ......... Builder J��'4........-fLzz-x.'V../,K�...t.................................... Address 4T......4P .... .... Plumber . ........'v.......... ......T----f................................. Address J..8 ...0-44........... a..-`........ DRAINAGE CESSPOOLS, How many ........................../........... ................... Where located ................/?ko......................................................... Arethey water tight .................................................................................. Of what materials are they built ..................................................... Size of pipe from house to cesspool . . ............':P'.1... ................... Kind of pipe ...... ............................................... MAINDRAIN IN CELLAR, Material Diameter .4........................................................................................................... Aboveor below cellar bottom .. ...4-me-J.6..'Al................................ ........... ....................................................................................................................... SOILPIPES, Material ....... ............ ................... Diameter J4.-d........................................................................................................ WASTEPIPES, Material .......I! -&,, ......... Diameter A...................................................................................................... TRAPS,Type proposed to use is .. .........P...I....TA... . ...................................................................................................................................... RAINWATER LEADERS, where do they run to ............................................................................................................................................ REFRIGERATORWASTES, where do they run to .. .... ...................................................................................................... ............................... TANKOVERFLOWS, where do they run to .. ...... . .................................................................................................................... FIXTURES WATER CLOSETS, How many ..................../............. ......... Where located . . . . ................................................................................... Distance from trap to vertical soil pipe .........9.9......*............... Pattern p —T&.+,? ........... .................................................................. WASHTRAYS, How many ...................................................... .... Where located . ... .................................. ................................................ SINKS, How many ......................................................................................... Where located .. ... ........................................................................................ 'S SINKS How many ....../....... ............. Where located.................................................................................................... REFRIGERATORSINKS, How many...................................... Where located ................................................................................................... LAVATORIES,How many ............................................Y.................. Where located ..................................................................................................... BATHTUBS,How many ........................................................................ Where located ..................................................................................................... URINALS, How many ................................................................................ Where located ..................................................................................................... Are water closets and urinals to be local vented Al.6 ........ - - . .. If not, is there a window in outer wall of room where same are to be located ..........o,- -?. . . ........................("n'.Txv)................................................... V Estimated Cost:7/,0-00.................................. PERMIT # i Application For56 7 DEPARTMENT DECISION 4345 Hea Permit ' o 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS t APPROVED ❑ DISAPPROVED I TOWN OF SOUTH WINDSOR O A 5/21/75 DATE �.;�Cowff IpSPECTORW APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW -� 1. LOCATION OF JOB o .� /CJ0 S, 7.zo.✓f Rd NO. STREET f 00 � T F'ri s LOT NO. FLOOR APT. NO. N David Sorenson as o 2. OWNER /�VI a S>' f.YJ,e s✓ sf � s. ADDRESS 41 a jr,- ba c...l . :u Lf r.f 4.PHONE cc tl�1 S. APPLICANT--a(l ,- 4 C� � i v� PC a~d a. ADDRESS � ? h-� � S 7— 42°� 7.PHONE 7 44 A s. LICENSE NO. ow 4S / ig w f. EXPIRATION DATE OF LICENSE f D / i 7 O v C;20 0 E� 10. ESTIMATED COST S ^ 11. IS THIS A CONTRACT COSTI 0 . be a '� 12. FEE ENCLOSED s Permit 8�8 0 ai is. TYPE OF NG: bo KfIDENTIAL ❑ COMMERCIAL O R Cd O 14. TYPE OF JOB: ❑ INDUSTRIAL 'ZO' �3,i ❑ RI INAL RATION INSTALLATION ADDITION REPAIR l D APPLICATION FOR HEATING PERMIT (Continued from Reverse Side) 1 1. LOCATION OF JOB /C.J C, S%;�0 U�;�_ i _ F A cr— N0. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS_H Za* •I,`/ 12•w c PL)y.-7 IDENTIFY SIZE LOCATION �� y1 s� SIZE 1 13. OF TANK •�7.� OF TANK T� OF FILL yt,' OF VENT I 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO.AVI 9 43 AT BONNET FIRING RATE �•yJ` BOILER OR FURNACE MAKE AND NO. AdnQ yi-T B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING --INSULATED — YES OR NO W-1 TYPE OF WALL INSULATION 3`' ~ ROOF OR CEILING �' INSULATION ��-ldss AVG. SYSTEM WATER TEMP. rQ B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE l:' TO ki, ` °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. _T":w 7-c'_r, e 4, A" j 7-Gl 4"y f.l'1"- DESCRIPTION OF WORK /� 15. TO BE DONE: t•L °•'✓-'c 1s. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): wooM slzE AND DoowB AREA - SQUARE FEET VOLUMEe.T.u. e.T.u. DISTRIBUTION INSTALLED TOTAL TOTAL r R M L W N AND W GROSS GLASS HET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j RAD. REGISTER I NO- TEMP. TO F TYPE AND SIZE OR LEADER SIZE WALL f'GS (INFILT.) OIFF. (� •F m SQ. FT. FREE AREA �J Sv,z<rid, '+ P R r�l ,� �� 75< TOTALS I p," A. HEAT LOSS FROM BUILDING f y�d p 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 ( T f 17. ELECTRICAL WORK BY; NAM[ ADDRESS SUBCONTRACTORS AND / is. THEIR TRADES lnl�I l CIA �!C l�-�,f N 'Z ,�l ' �Mer/c 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. 15, A DATE �/ SIGNA URE OF POLICANT w DEPARTMENT DECISION P T# APPLICATION FOR HVAC PERMIT �� tq Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Pe t# APPROVE 1540 SULLIVAN AVENUE �! fCJ f 7 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of job Street No. S eet Lot No. FEE SCHEDULE $0 - $1,000 - $12.00 Floor Apt. No. Over $1,000 $12.00 per$1,000 OWNER /,9/k�dT �/Z�tea- y or any fraction thereof n ADDRESS �lr�3,�,l 5��—,00edAc4 OC'� -d�g- 141-1a5,0--7 a a� OWNERS PHONE# APPLICANT MIN S ADDRESS �CZ lU� ESTIMATED COST $ ��S-l) . C = IS THIS A CONTRACT COST? .� .�► YES NO ! FEE ENCLOSED �SOR COS TYPE OF JOB: Original lion ration/Addition/Repair Revised 11/95 I APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM TYPE ORBUILDING 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. OUTSIDEC) _F INSIDE_F DIFFERENCEZd 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-BTUHXWOrJ TYPE OF FUEL OIL-GPM/t.2� 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 WORKfi THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFO K DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE O ONN. U NG CODES IN THE PERFORMANCE OF SUCH ORK. 5-1 STATE LICENSE-NO. NAME&TYPE NATURE OF APPLICANT PHONE NO. DA4tj� tik; A 1' .. LVaa �` r Dat 7 �� Custom r vV �` Tel phon - ! Name Address Btuh p r Toot of Bas board: H at Loss Calculated By v'1�rr he 6 at Average Water Temp: Design Temperature: Room:h nn ]� Room: Room: Room: Room: Difference: go �IT, �v� e Line factor lent Wilt Hei t Btuh lent Wi t Hei ht Btuh Len th Widt Hei 1 Btu lent Width Hei t 1 B2 3 lent Widt Hei t 1 82 3 1 2 3 1 2 3 1. INFILTRATION VOLUME RJ a Number of outside walls I D ROOM with openings(L x W x H) 3 D �� TOTALS FROM 2. CEILING AREA D� LINE B (L x W) .w: 3. FLOOR AREA It x W) .: or SLAB(lineal feet '•.{ d ed a len th 101 4. COLD PARTITION AREA (partition L x H) �) Y. S. WINDOWS OR DOORS �J ` �f' l 6. EXPOSED WAIL AREA 1� ODD (exposed l x H) c 1 ffi. .It. ft 7. OPENINGS O (t s' '•1, I D 4, (line S factor minus r 1 U line 6 factor 9 u Il. TOTAL Btuh 7 ram/D 0 It. tt. It. ft. . It. ! BaseboarJ Len th (Add 20%(or Balhiooms) UO Design Temperature: Room: Room: Roonr: Room: Room: /��, Difference: Line Factor Len t t Wic t t Height Btu r� lent W' t Hei ht Btuh length Widt Hei h1 Btu lent Widt Height Btu Len th Widt Hei ht 1 B2 1 2 3 1 2 3 1 1 1 2 3 1 2 3 Q �OO 1. INFILTRATION VOLUME Number of outside walls 2 with openings(L x W x H) 3 qj Vv S ,x •,,1kf•{• ' ten';, ..•.. 2. CEILING AREA (L x W) t ,{ r OF BUILDING r AT DESIGN 3. FLOOR AREA(l x W) TEMPERATURE or SLAB(lineal feet exposed edge length lengthl DIFFERENCE 4. COLD PARTITION AREA (partition L x 11) rr S. WINDOWS OR DOORS 6. EXPOSED WALL AREA (exposed I.x H) .> >' sJc G. sn,It.~ ., s .h. 7. OPENINGS (line S factor minus line 6 factor 's B. TOTAL Btuh ft. 9.