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Home My WebLink About192 Scantic Meadow Road Application No. ......Z7..,39........................ Permit No. ...?....?4.7.9...................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. ...... &...... hereby make application for a permit to (erect a building according to the following 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., ..........Q...1.1.................................. 19.., .K/. Signhere .................................................................................................................. Address ................................................................................................... ................. Location? ............* ..W1044MW...................................................side of? ...........North......................................................................................... Nearest cross street?Sc.antic Mea.o.vy,...R.ad............Street No. ..................................................... Lot No. .....fist....................... ...................... ..... Owner of land is? ..........Address ..........Uit... I" ,r am• Owner of building is? ..... ►a.... AWMAN W..Address ... &.. Architectis? ............................................................................................................Address ....................................................................................................................... Builder is? ....... -*Jbda........Address ........... .. .... Dimensions of building? **!#Feet front? .............. ............ Feet rear? .... Feet deep? Extreme height to highest point of roof? ..................... No. of stories in height? ..I............ . ........... Purposeof building is? .............................. .. 'ft.................................No. of stores? ....................................................................................................... Howmany families? ........................................................................................No. of rooms? .... ................................................................................................... Distance from street line is? ..................W..........................................from building line is? ....................................................................................... ......... ADDITIONS AND ALTERATIONS (Give Brief Description) ................... ....................................................................................................................................................................................................................................................................... ......................................................................................................................... ...................................................................................................................................................................... ........................................................................................................................................................................................................................................................................ ....................... MapNo. ............................., If of steel frame, what is exterior construction? . --- -- ........ ..................................................I........11............................................. 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? . ....... ........ ....................................................................... Roofconstruction 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 Height Stories Front Walls Side Walls Rear Walls Partition Walls Basement, ........................ .................................................................................... ........................................... ....................................................................................................................................................... 1st Story ... ........................ ........................................................................................................................................................................................................................................................................................ 2nd " .................................................................................................................................................................................................................................................................................................................... 3rd " ............................................................................................................................................................ ..................................I........... .................................................... ................................................... 4th is ................................................................................................................................................................................................................................................................................................................... 5th '01 .....................................................................................................................................................I........................................................................................................................................................ 6th is ..................................... ............................................................................................................................................................................................................................................................................... 7th Is .................................................... ................................................................................................................................................... I.......................................................................................................... 8th " ............................................................................................................................................................. ........................................... .......................................................................................................... 9th is ..............................................................10this......................................................................................... ................... ........................ ......................................................................................................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 Joists, Girders and Columns JOISTS GI8DAM COLUMNS FIoors Size Longest Span Centres Bridging Size Longest Span Centres Sise Length Centres 1st Floor ..... .... .4W... ..I:i�'.v............ ..:�6:'�!.... lx3 4 __.......4'! .��►�► .....�.._ _r! a!�... 2nd " ....... ._..._.... _ _ _ _.... 3 .....��..... .............. .................................. ........... ................. ........ ...._.... ..._...._....... 4 ....„..... ............. ...................................... .................................. ................... .._.._ ._......_._......_........_. _...._..� ....._............. ? ............... Distance on centres? Size of sill? Size of outside studs. . !�.............. ............:� �'...................... ...........hA........................ Size of rafters?W...TAW-A........ Distance on centres?.........................r................... Size of plate? ................. !w........................ Size of ledgers or girts? ...........•.. +•..................................................Size of deck rafters? .......................................00.0a .......... ............... Distance on centres?"" '..:•,........................................................................Size of studs in bearing partitions? ...................!« ............. MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? ...............le�....................................... Fireplaces? ...............................Nam........ Material of roof covering? 1014...............P ....................Material of Cornice? ..... ! .... .............. How is building heated? ................... �............................................Lining of flues? ........................ 1.. .. + � ............... Thickness of shell of y elevators or lifts?......... w.www............................... ...................... • n •.ice! Ml • What kind. ? .................................................... How many. ..................... ............................... Any hoistways? .......................................................... How protected? .................. .......................................................... .................Total Value of Building .../P'z.eNcs............................................ Whenwill work be commenced? .......................... ........................................................................................................................................................................ The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli- cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the Town of South Windsor since 1949. &'ki) Applicant 2479 BUILDING APPLICATION ApplicationNo. ......2.7.3.9...................................................... onthe .........................N, or-th....................................................... side of .......S.C.4,Mt1c.....i�Iead-ow.....Rd,................. Street. Street No. .......LQt.....4 6 6...................................................... Owner .... R........Sti.ch....As.aoc...................... Applicant S ........ .a.rae ................................................................ ... .. ...... CLASSIFICATION ...I)w.e...1 lin".... �" - 41 ... . .......................... ..................... .. . ......................I................... ..........I......................I...................... ....................................I............................................................................. Permit issued on above Application. Date. S e. ..T...,................ ig...... 0 • s ti t TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Sept. 17 2 1958 Fee Paid $$ 40.00v-,- Est. Value 1$ 10P000- i Permit N O 2479 3 k P on the hTo r h side of Sc aj t i c Pie ad ow Rd. Street t Street No. Lot #66 "�q vti Owner I. R. Stich Assoc . Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. 1502 Fee Paid $ 3.00 e,- CLASSIFICATION :Uwe l l ing 24 t 6" 018" BUILDING PERMIT N? 2479 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Sept* 17 i 19 58 T4,io 'too to Tertif1j.9 That Is R, S tloh Aa 8OQ is hereby granted permission to at estimated value of $ 100000 on the i�o t side of �� ' "'" `''" r' Street on land owned by w„ r ?C h. - Said k to be as described in Application No. 3 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued CAP**7 7 0 . 19 Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers dur- ing 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." Permit No. 7f .... .... TOWN OF,SOUTH WINDSOR S'A TH.,WINDSOR, CONN. Permit lr 1502 Certificate of Occupancy THIS IS Tp CER�T-IFY that the at No. //J",-4.f° 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. -* � , �iL.• - BUILDING INSPECTOR 63 4 OWNER, BUILDER Fee Paid Date f 6/ i 17' 7 T E A �- W I N D i Z'' 1 � f r17 C r M, 0 ANCH 'A s 0 Lo Q , 00 en i nwsbers refer to --- \ F d nsubdi�sion M A L1 o r� I Estate,, Proper p' " V • Stich ty of Aye Str eta �socUte8, Inc.,, Scale In . Windsor Con, Certifi 4South' Sept. 19 ' Se Fle d substantiall C 1957,•sheet 7 I her�bC OE & L�s�n Y orrect, Orton, ��F CGNf,Fc Y Certif -r ,�0N map 1s Substantiail at this ;� �� '• '� c7� PROPOSED WO tact and 3r cot- � ��. '�� F U'!` . tione a zoning re I* �� *% c FSTA g have been violated. , gul a- 3CANT10 SAD i o 1 a t e d. No. 2931 �o� SOUTH WIIVDSOR ROAD r •�:��U :►t,yu�/ SCALE 1►► _ TjCUT MORTOR S• F401 OCT° 28 1958 C.E ' HARTFORD, coyy L'S' Ov q TO THE BUILDING INSPECTOR of the APPLICATION FOR PLAN EXAMINATION AND � ; WIlrQ50it, - BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) ?`'' 4.2 DISTRICT- 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 Flo A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use � Iftfl 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— — — — -1p. 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 Transient hotel, motel, ❑ 21 E] Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (If 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 ❑ Moving (relocation) 17�R Other — Specify .46� 25❑ Public utility 7 ❑ Foundation only / '/ � 26❑ School, library, other educational B. OWNERSHIP ! �Z T 27❑ Stores, mercantile 8 ❑ Private (individual, corporation, W 14 WOOD .�dv� 28 ❑ Tanks, towers nonpr fit institution, etc.) L 29❑ Other — Specify 9 ❑ Public (Federal, State, or ✓fr1�L S��E•r/P1�i ��' local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food yy processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, /3 G�' 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 $ GSD.dO 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❑Mas my(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❑ R inforc d 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 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... 96❑ Oil conditi ping? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ N 53. Number of b dr me.............. 38❑ C al 39❑ Other— Specify Will there be an elevator? 54. Number f Full.......... 46❑ Y s 47❑ No bothr me Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To b c mpl t d by all applicants Nam Mailing address — Number, street, city, and State ZIP c d Tel. N Owner or lwce- ale. k a � �c r�TiL 10l 0,u /Kd S• !,v. CJG o�� V�3 j Lessee Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature pplica Address Application date .,,. J 7 -x-_ 00F 0* DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans B Notes 9 Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approva I Check Da! nee Number Number By Permit or Approval Check Obtaiate 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 number 10905 Bui Iding Permit issu d June 26 19 _79 Building Permit Fee $ 84.00 Approved by: 14 TITLE • • • .. • sr■ ■ws■ c■w w■ w■■ .• . ........�.... •w.�.w....■■■..■w�. w■■ww ■■. ■g■ ■■ ■ww.■ ■ . w.. w■w a.■ ■ .■ ■■.waw w. q •l.s.a ■.. ■ • ii#r�i■ i.■��ti�l:_a+�a:aarssi:iss:sa!ssss:sss• r•.•i i#•;ai�«•rir%i0ir/r=■0; •i■•ui"r•i�#•fir i ar um■0 aia it�i' r�i s: • ■ •r Built! as* N.■■■�a�* :is`i611�a •i. . r*•./. • li.pf .r�!•■"q=..gp••■H �■ai� ■ � ��:• �� •# • ■f r■■1•ri 1111039 aagl�r laarlras* .S i.;: a:t.la.■;.i.�!•.■.. ■. sum.■■! ..•ragas. .s1m. .. 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Fee Paid $.84...0 0 Eat. Value $.13 6 5 0.00 Permit N° 10905 on the side of Scantic Meadow Road Street Street No. 192 Owner Bruce DeLugo Applicant Bruce DeLugo - CERTIFICATE OF OCCUPANCY ISSUED: Date No. 5475 Fee Paid $ 3.00 CLASSIFICATION Addition - Vinyl I x i BLJHDING PERMIT N® 10905 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Epp 26 19 79 14is to to Certifu, That Catpson Constr=tion is hereby granted permission to Addition li vi nss 161 Y 941 wJth wood at estimated value of 00 on the side of 197___Scantic M- e-Adow Road Street on land owned by Baia a nm?-2,sSn Said Work to be as described in Application No. 11205 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSO% Issued- 2 k 19%9 f sue" ilding Inspector. v 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." re cp?y, �7 lelovoWiK, INSPECTION REPO T We ' Permit # Job � 1 Footing 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. __5^ Permit No.. �� TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit O 5475 i Certificate of Occupancy i THIS IS T ER Y t the at No. f' 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 occu anc r p y�r "X Building Inspector _.Pwner, er Fee Paid Date '` �'' 1946 i6 - 6 . 6890 ELECTRICAL APPLICATION Application No. 7895 on the side of S r an fi i r Me acl cup R ae rl Sheet Street No. 199 Owner Brur_e L1e li i g Electrician Gsell Electric FILED IN OFFICE OF The Building Inspector Aug. 27 lq 79 INSPECTION. t'r 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. U APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. .. .... 7.89 5.... .. .... Permit No. . ...6 8 9 0 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. /C/ /O q 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., 19 Sign here ®®® Address .............. _.... Location < .� - .. ... 4F Side of ... ............................. ............. Nature of Building .. ...... How many stories ... ......................... ............. ........... .............. ................ New or old Building ... How many families .......................................................................... ............ Kind of Installation .. ....... How many Stores ....................... ........................................................................... Owner .... .. . �z..... Address 1..... .. .. ..... _....` �.._......_....._......,�-�' Architect ...... .. ... _. Address .. .......... ......... .. .................................................. __..__....._....._._.... Builder ... .. .Q'..... . ...... Address . .. . . ...... . ............. . ........................... . �® Electrician ......... ......... . ... ...... .. .. . .. .. Address _..1;r9.....d. .............................................................................. ......._... l.,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 ................. .......... NoO of Light Circuits ... ... ... ... No. of Heat Circuits No. of Power Circuits . No. of Sockets No. of Heat Receptacles No. of Motors ................... ...... No. of Panels ................ .. Size of Heat Circuit No. of Power Receptacles No. of Switches .......... . ..... . .. ... . . Total Wattage .... ........... . ... Size of Power Circuit Total Horsepower No. of Straight Electric Fixtures .. . No. of Combination Fixtures ....... .... .... ...... ...... .. .. ......... No. f Receptacles ........................ ........ ........ ............... ...... . ...... No. of Cord Drops ... ... ............ .. ........................................ .. ... Remarks: For other kind of Installation .. . � .-�+�'�. -. . .... , ........................................................... ................................. ...... .... ....................... .............._..... .................. .................................................... ...... ...... ... . . . . ... .......... ........................................... ............................................................................................... ...._................................................................................... ................. .... ........... ... ..... . ........................................................................ ............ ........ ... . ...... .. ...................................................... .. ......... . ............... Estimated CostD r.. ..d -Bee- 44 APPLICATION FOR BUILDING PERMIT Plumbing# 192 S CAN T I C MEADOW ROAD HVAC # Dat LEY Sprinkl r# No. 2 -:3 FINAL PRO Estimated Cost [J Building/j 7 f►ti =51GN D BOXED AREAS Permit Fee $_�T Engineeri PRINT ONLY Occupancy Fee $ Affidavit CO. REVERSE SIDE Appr. Total Fee $ TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned h reby applies to do work according to the following specifications: Job Location 5coej,7c le&fA*C) AW-P Lot No. Side of Street Zone >(Applicant Reyke— I,v�o Tel# Z&i- `L i 3 3 Address_Wz- Sc 4rrrrc, Re4f ,4) 90" Zip Lic.# Owner3 r u ce- 'I)e- 1..V q 0 Address Architect Address Sq. Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area #Rooms #Lavatories - r !- #Bathrooms #Garages S( Purpose of this permit: a, ,l,(clt-�-tox, �-t �'+'K s' "jMq qq%. "w DDD 9to�"% '-1-�-ir1P� 14P— ity Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. Area Basement Garage Approved by �/� Date OA Use Group Construction Type ReYbW 1197 I h r by agree to conform to all the requir m nts 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 jtwWoper distance from all street lines,side yard lines,and required distances from all other zones and is located in which t ' u' ng and its I Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: /z) (NO. ) TOWN OF SOUTH WINDSOR EST.COST: /' d�O10 BLDG. PERMIT NO. 1540 SULLIVAN AVENUE FEE � SOUTH WINDSOR, CT 06074 FEES-0' 644-2511 - Ext. 230 $ 0 - $19000 - $10.00 $1000 or fraction LOCATION OF BUILDING _'Xj9b '1 C /rey��XJ O,4� thereof - $10.00 AlItice V l7 L 5C*17-,G lrao;j 706(/ 11G1 ' S• i� ,r,�H_f 413 OWNER ADDRESS TOWN PHONE NO. HVAC CONTRACTOR ADDRESS TOWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL 1/ A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC 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 OUTSIDE CAPACITY LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS (BTUH) (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): Z. 2 GROSS HEATING CAPACITY (IN UT-BTUH) NET RATING (OUTPUT-BTUH) 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. FURTHER DESCRIPTION OF WORK: 16-A� STATE LICENSE - NAME & TYPE # DATE SIGNATURE OF AP CANT A OVED DATE BD 4A 11/88 I s B - R CALCULATION SHEET IN3 (Modern Method) Copyright 1971 by The Hydronlcs Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE C L.A COL.B COL.C COL.O COL.E COL.F COL.G 11 ROOM tL O H L W H L W H L W H L W H L W Design Water Temp. 2 ROOM DIMENSIONS,FT. ~ _ U BTUH Per F of f 3 LENGTH EXPOSED WALLS,FT. < Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION ROOM LIN. FT.OF (Table 9,L ine 3 x H) TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED (B ttom of table used for Line 5) 7 CEILING CONSTRUCTION C (Table 9.L x W) — D g FLOOR CONSTRUCTIONt (Table 9. L x W or Lin. Ft.) E 9 COLD PARTITION CONSTRUCTION F (Table 9, L x H) G 10 C 1 Well(With Openings) H 2 Wells(With Openings) d X e J 1 3 Walls(With Openings)or Ent.Hall F 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K COL.A _ COL.B COL.H COL. 1 COL_J COL.K COL.L TOTAL BTUH TOTAL 1 ROOM OF BUILDING RADIATION g; AT SELECTED O H L W H L W N I L I W H L W H L W DESIGN Tamp.- 2 ROOM DIMENSIONS, FT DIFFERENCE U — 3 LENGTH EXPOSED WALLS, FT. 4 4 WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION -INCREASE BATHROOM (Table 9. Line 3 x H) TOTAL 20% 6 TYPE OF GLASS (Bottom f table used f r Line 51 --- tFOR CONCRETE FLOOR ON 7 CEILING CONSTRUCTION GROUND OR FILL AT (Table 9, L x W) GRADE LEVEL,USE LINEAR 9 FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE (Table 9,L x W r Lin Ft.) 9 COLD PARTITION CONSTRUCTION (Table 9, L x H) 10 -G 1 Wall(With Openings) C 2 Walls(With Openings) 0 X J 3 Wells(With Openings)or Ent.Hall H 11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE FORM 1503 This form Is available fr m The Hydr nice Institute,35 Russo Place,Berkeley Heights,N.J. 07922 Pursuant to Permit NO. 2 4 7 7 3 Gas This Certifies that the W9od/Loal Stove installation for which the above named Permit was granted has been duly inspected and is hereby approved. Owner_ Street 192 Scantic Meadow road i 11/05 192Z y" r1" ,� Building Inspector i"