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HomeMy WebLinkAbout189 Palmer Drive Application No. . ..... . ..... Permit No. .0 ........... . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. . ........ hereby make application for a permit to (erect (ewes 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. ......t.....1/0......... 19.....4..,l- "' •' '4 plc . Signhere ................. :Q...<-- ....... ................. . .. Address �.t'.. f�. �..z... . . . Location? . .... ................................ ................ff !92h.............side of? I.. .. .�... Wik.tt................. Nearest cross street? ..,. .?!G.+ , ..., ?`.................Street No. ................ . .............................. Lot No. .....�..,1.............. ... . Owner of land is? ............ ..............Address ......�/ Ownerof building is? `.... ....... ...........................Address ... ........................................................... ......................................r... Architectis? .. .... .............. &0............................................ '... ......................Address ................................................................. ................................ ..... Builderis? .. ...........................'t............................................. ...........................Address ..................... `............................................................................... ....r.. i 3 ensions of building? . Y s Q..Feet front? ...... . ..... Feet rear. ..,. .......... Feet deep? ..%.9© .. ,D Extreme height to highest point of roof? ................ ... .... No. of stories in height? ....4'7-4-`- !" Purpose of building ia? ........... .............No. of stores? ..... ............... .................................... ............. ................ Howmany families? ...................... .._....................................No. of rooms? .... ............kL ...................................................................... Distance from street line is? .. ......... ..11...............................from building line es? ........ .�........... ........................ ...... ........ ADDITIONS AND ALTERATIONS (Give Brief Description) . ... ... ... .. ............................................................................................. . .RECD`....SEPTIC...PAY�fNT ,.................................................................................................... .. ......... ......� ................................................................... ................................................. .............. .................................... ENDOf ,SED. . BY..... l . il'TARY.....Q1<flCER ................. ......................................................................................................................... .. ........ ........ .... IN ACCO A ICE WITH TOWN OF Map No. . . W NDS R ORDI NCI NO. 6 S)NITARY OFFICER 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. Of what material will walls be constructed.? .................... .............. ......... Compositionof mortar? . .............................................................................................................................. .................. ... ....... .... Height and Thickness of Walls Iffelstt Stories Front Waft Side Walls Rear Walls Partition Walls Basement, ....................................................................................................... .........................................................................................................................­................................................ 13t Story ............................................................................................................ ............................................... ...................................................................... ...................... ................................. ........ ..... 2nd " .......................... ............................................................................................................................................. .......... ........................ .............. .... .............. ......... 3rd " ........................................................................................................................................................ ................................................'..'..................................................................................... ..... 4th 'I .. ............... . .......................................................... ........ .............................................................................................. ................ ......................... ......... .. .. ...... ..... 5th do ................................ ............................................... ................................... ..................................................... ................................................................................................................ 6th do .............. .... ............. ...._.................-.................I................... .............................................................................................................................................................................................. 7th 4 6 ........... .. ............... ..... ................................................... ........... ..... ..........................I........... .... .. ... .................................... ............................................................................ 8th of ................................................................................... .............................. .... ......... ................................ . ............. ................... .... ......................................... ........................ 9th 14 ............................................ .......................... ........ .. .. ........... .... . ...... ............... .. ....I.................. ................... ........I..................... 10th 44 Material.of Front? ....If stone, what kind? Thickness of Ashlar? Thickness of Backing? ........ . Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS 0=11118 OOLUMNS Floors She Leng"t SPW CMtM BrUSbC SWO 1AW8*d SPM OMM MOM LSOgft CMtM Ut moor ...... I............... 2nd ....... .............. ...................................... .............I........................... .. ......................................................... ....................... Is . .......... Size of outside studs? .....7.a Dim= on centres? ............./ ................ Size of sill? ......... -.91500.................. Size of rafters? ..........7--iK... Distance on centres?.................. 6................ Size of place? ...........5.1.10 ...........51-10 V............. Sizeof ledgers or girts? ............................... .............................................Sije Of deck rafters? ..................I.................................................. ............... Distance on centres? .............. .........................................................................Size of studs in bearing partitions? ..........2,..-X. ... MISCELLANEOUS 401 Style of roof, flat,pitch, Mansard, or hipped? .............. ................ Fireplaces? ............40-we.e...................... Material of roof covering? .... ....... ... .1................Material of Cornice? ..........�c a........................................... How is building heated7.---... ...402L.4.......Lining of Rues? .. ....... �v..................................................... Thickness of shell of flues? ................... .....................................Any elevators or lifts? ............................................................ ...................... Whatkind? .............................. .. . ......... How many? ................ .. ........ ................ Any hoistways? ........ ........ .. ......... .............. How protected? ..... .. ...................................................... . ....... .....Total Value of Building e>......................... .. . When will work be commenced? ........ .... ..r. . ............../OxA. A. .....11-C-140....... 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. '0 C.'* S "13 '0'-O'ce '�Kplicant 4944 BUILDING APPLICATION ApplicationNo. .....5M.................................................... North onthe ......P...iim.er................................................. side of )dftXXXXM Drive .... ............. ................... ..... ... .......... Street. Street No, .T qt #65 ... . . .......... U & It Housing Corp* Owner .... .. . Applicant . Same ...... .. .. ... CLASSIFICATION Dwelling 55-IX3-01 ..... ....... ........... ...... . ......... . .................. . .. ............. .......... Permit issued on above Application. 7-16-64 Date, 19 .. TOWN OF SOUTH WINDSOR BUILDING PERNlTT . Ju11 16 0 Date , 19 let$60 72000 Fee Paid . . . . . . Eat. Value �$. . . . .. v RECD. SEPTIC PAYMENT S 20•90 Permit N. 4944 .`4 N*rfi _. aide of on the - . .' , . 8 meY' DriTS fi Strut Lot #65 Street No. U & lt ][Gus jug co • n_a 'y Owner Applicant CERTIFICATE OF OCCUPANCY ISSUED: Date y 4Y 291® No. i Fee Paid $ CLASSIFICATION .�R=q=gym r A •t�,z�r IB >t natSa P ye ti _ 1 > -♦ V ' q>s Q BUILDING PERMIT N° 4944 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. July 16,9 19 64 94i's 't to Tertif1j, That U & n Housing Corp. is hereby granted permission to Dwelling 551x30' at estimated value of $ 180000 on the North side o � Drfvs' Lot #65 Street on land U & It Housing Corp. owned by Said Work to be as described in Application No. 5214 and to conform to specifications and plans filed with said g By- Laws Application, and Building B P Y Laws of THE TOWN OF SOUTH WINDSOR. Issued, July 1.6 s ]� 64 ild i Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a , license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." . TOWN OF SOUTH WINDSOR Permit No SOUTH WINDSOR, CONN Permit N? 2 910 pfi)- (y1 , -Certificate of qSpupancy v THIS IS TO CERTIFY that the ,•��� � " �":--° ` 1 in the T of South Windsor; Connecticut, has at No bons of been erected and completed in accordance with the Building Code and Zoning Reg the Town of South Windsor, and is hereby approved for occupancy Building Inspector Owner, Builder Fee Paid Date � , 19 1 FOR BUILDING PURPOSES ONLY i t _ ti A f i! 1 f r ,1 /-/ PROPERTY OF NO. PALMER DRIVE SOUTH WINDSOR, CONN . Being Lot No. 65 on map entitled "HIRCH HILL ESTATES roster Street South Windsor, Conn. Property of U & R Housing Corp. Scale 1" 1001 Date : Jan . 21 , 1963 Hayden L. Griswold C .E. " Scale 1 " 50 ' HAYDEN L. GRIS'aOLD C .F. f 3447 ELECTRICAL APPLICATION 3748 ApplicationNo. ... .............................................................................. on the...... Nvrth...... ......... ..... .. ............... side of -Palmer -Drive. Street Street No. L o t #65 .. . .. ......... Owner U & R Hous.i.ng....0.orp.. Electrician W.Zemanek FILED IN OFFICE OF The Building Inspector 10-5-64 ....... . .'.... ...... 19 INSMMON. ............................................................................................. ...... ................ ...... ...... .... ................................................................................................................. ......... .... .................................................................................................................................... ... AwNo 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. loq 14 APPLICATION FOR PERMIT TO DO ELECTRICALWORK. 3�48 No. . ... ...... . ...... .... Permit No. . 3447 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR9 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. South Windsor, Conn., ... . ./.. � .. ... .. .... . .. 19"( /��Sign here �?/. 3 ,/!,?. T+.i. ..... (1 , � Address .... ...... . ... . .. LocationSide of ..... ... ....... ... ................... .................. .............................. ............. Nature of Building .... I.. t. .. ... ........ .......... How many stories .......... .!...... ........ .......................... ... ................. New or old Building . ... ...... ........ . . . How many families .. .........../.......................................................................... Kind of Installation .. . '.! . . ... . .. . . How many Stores .... ........... ......................................................................... Owner ......................... .. ........ .... ........ ...... ...................... .. .................... Address ............ ......... . . .... ........................................................................... Architect ........ Address .. ...... ...........................................I.............................. ..... Builder � �. . ... .. .... . . Address . . . . ...... ........... . ........... ...I.......................... Electrician /...�� �2w Address Size of Main Wires ... ,/T..�J L No. of Light Loops 1. No. of Heat Loops .. . No. of Power Loops ........................................ No. of Light Outlets& . . . . ....... . No. of Heat Outlets . No. of Power Outlets .............. ... . ... No. of Light Circuits ..Z/ No. of Heat Circuits No. of Power Circuits No. of Sockets . ......Za2 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 J Total Horsepower No. of Straight Electric Fixtures No. of Combination Fixtures No. of Receptacles .. ......... ... ... .... No. of Cord Drops ... . ..... ........ .. ...... .... ... ....... . Remarks: For other kind of Installation . . ................. . . ............. .. ............... . .... ...... ..... .............. ............... . ................................................................................ ..... ..... .... .. ... . ........ .... ... ..... . .......... .............................................................................. ........ . .. . ... ........ ...................................... . .............................I............................ .........................................................I........... ........ ..... ................ ......... ............. ...... .... ....... . . .... Estimated Cost .... �. C'D PERMIT # Application For 6440 5339 DEPARTMENT DECISION Heatmg Permit Cd O 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N KI APPROVED El DISAPPROVED TOWN OF SOUTH WINDSOR o, 1-4 00 0 6�9DATE/81 F INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BELOW O .p 1. LOCATION OF JOB o � o _ 189 Palmer Driv Cd 0 NO. STRECT +, O CO v _ y LOT NO. FLOOR AFT. NO. 0 O lV 2. OWNER A4 oiateie� O O s. ADDRESS be 3 Eii _ 4.PHONE > a� Ce C% S. APPLICANT o s. ADDRESS �!�-��.d■C,.b, �liu •� `/ r 7.PHONE � w 0 a`3 0. LICENSE NO. a � 9. EXPIRATION DATE OF LICENSE c� 'to. ESTIMATED COST S O IS THIS A CONTRACT COS" ❑ YES OF�NO I 10 t s. FEE ENCLOSED s 6.00 y 13. TYPE OF BUILDING:BUILDING: Ca In W R[SIO[MTIAL ❑ COMMERCIAL bkO INDUSTRIAL ce y 14. TYPE OF JOB: .4+ ORIGINAL ORATION ^' ❑ INSTALLATI N 2—ADDITION REPAIR 1 i APPLICATION FOR HEATING PERMIT (Continu d it m R v me Sid � • a:el 11. LOCATION OF JOB C NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: COIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS 116h_C IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER URN CE_MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO B.T.U. OR SQ. FT. NETZO B.T.U. OR SQ. FT. GROSS,/d=7 FIRING RATE z._j-J / FLOORS TO BE HEATED NEW OR OLD BUILDING A INSULATED - YES OR NO TYPE OF WALL 3 INSULATION - ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. 226 'ram U B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. DESCRIPTION OF WORK p �? 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS). ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. O F D AND DOORS f DISTRIBUTION INSTALLED VOLUME TOTAL TOTAL r ROOM No. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J F L W N AND <D LL RAO. REGISTER K WALL Oft (INFILT.) TEMP. TO f TYPE AND SIZE OR LEADRR SIZE < DIFF. •F P O a SO. FT. FREE AREA TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: S L(J NAME ADDRESS SUBCONTRACTORS AND IS. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED N. / ^� DATE / SIGNATURE OF iPPLICANT FINAL INSPECTIONS: �D .�Building - o o APPLICATION F OR BUILDING PERMIT Plumbing HVAC Date: Sprinkler 189 PALMER DRIVE Electric Estimated Cost $ 7 s© Zoning Permit Fee$ ;D Affidavit NO. 17596 Occupancy Fee $ Eng. Dept. � Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ /1 ' Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location A I Lot No. Side of Street Zone Applicant zf> Tel. # 6(og - Address t 579 k N_ Sti 41s.QbSaQ Zip Lic.# STREE CITY STATE Owner 5d�� 3 � S-�� Address C �P14 �✓�c�` �� SQ�3 J�J�So Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line Dist. from Side Street Line Purpose of this Permit __7_40 tsd�C_ if X:Fl City Water ❑ Well ❑ Septic ❑ Sewer ❑ Approved by Date BD1A 11/88 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 a zone in which this building and its use is allowed. Signed �--� I hereby apply for a Certificate of Occupancy for the work described in this application for permit. Signed —DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing �— Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: FOR BUILDING PURPOSES ONLY ti WA L' e✓ i �. ,, W t t ' s � , 4� i �yo, oc PROPERTY OF NO. PALMER DRIVE SOUTH WINDSOR, CONN . Being Lot No. 65 on map entitled "HIRCH HILL ESTATES roster Street South Windsor, Conn. Property of U & R Housing Corp. Scale 1" = 100 ' Date : Jan . 21 , 1963 Hayden L. Griswold C .F. " Scale 1 " 500 ilULx G HAYDEN L. GRISWOLD C .F. PR South Win asor BUILDING DEPARTMENT z -j i I-opos.-A p S C� 1 00 a co' D conliorrYK-WC 1:3 R c 'lid regulot vatian 'es Gt may apply. Date 10, ing EnforcemInt Officer Nn 1� 4e .n September 9, 1991 R M A_L_J-L Mr . & Mrs . Sean Preston 189 Palmer Drive South Windsor , Ct 06074 RE : ZBA Application #1687-91 Dear Mr . & Mrs . Preston : is to notify you that your application to the South Windsor This a two year temporary Zoning Board of Appeals requesting permit to allow an in-law apartment on property loathe conditionalp at' 189 Palmer Driv (AA-30 Zone) , has been granted subject following terms and conditions . 1 . Permit is for a two (2 ) year maximum period . kitchen is to 2 . When addition is no longer used as a tedllingo other living be removed and area must be conver space . 'n this permit the Board noted that this isy In granting situation and approval does not make this property Income producing. family situation should change, the home will have to be If the Y restored to a one-family condition . ire This action is effective September 5, 1991 . This permit will aexthat in two vears (September 5 , 1993) and will have to be renew time . Very truly yours, Robert Warren Chairman Zoning Board of Appeals RW :d lb PERMIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT pggl Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 644-2511 Ext. 230 IJAte ing Inspector Application must be printed or typed 1 . LOCATION OF JOB FEE $CIIEDULE No . Street $ 0 - $19000 - $10.00 Floor Apt . No. Over $1,000 - $10.00 per $1 ,000 or 2 . OWNER G5 fraction thereof 3. ADDRESS i 4, APPLICANT '` 5. ADDRESS l3 / !r * a 6. ESTIMATED COST $ i 7. IS THIS A CONTRACT COST Yes N 8. FEE ENCLOSED 9. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: Original Installation 4ZAlteration/Addition/Repair RD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB l/ ZYZ,,?L N0. STREET APT. NO , 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER 14 . NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS 16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS 18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS 20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22 . NO, OF POWER CIRCUITS 23 . NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS 26 . NO . OF PANELS 27 . TOTAL WATTAGE 28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS 32 . NO . OF FIXTURES 33. TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : LICENSE NO. SIGNATURE OF APPLICANT DATE x� /C) qS PHONE NUMBER: INSPECTOR S DATE 5 TIME LOCATION E INSPECTION: CODE: RESULT(D/A) : BUILDING: ELECTRICAL:' AA PLUMBING: HVAC: fl o C7 F c A OTHER: FOR OFFICE SE ONLY APPLICATION FOR HVAC PERMIT DATE: -Xl-2 f (NO• ) TOWN OF SOUTH WINDSOR EST.COS : t� BLDG. PERMIT NO. jy4 1540 SULLIVAN AVENUE FEE „o- SOUTH WMSOR, CT 06074 FEES: 644-2511 - Ext. 230 $ 0 - $19000 - $10.00 $1000 or fraction LOCATION OF B ILDING -P thereof - $10.00 C-SCA� Li OWNER ADDRESS TOWN PHONE NO. S�L_ HVAC CONTRACTOR ADDRESS TOWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL, A/C COMMERCIAL VENTILATION BUSINESS _ INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT L.BS, HIGH PRESSURE LIMIT LBS. HYDRONI__ 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 SIDE CAPACITY LPG TANK - CAPACITY_ EXISTING RADIATION_ ADDITIONAL RADIATION TOTAL RADIATION_ DESIGN TEMP. OUTSIDE-- INSIDE OF DIFFERENCE_0F TOTAL HEAT LOSS (BTUH) 4 HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL, NO.): GROSS HEATING CAPACITY (INPUT-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 b MODEL NO.): oop-!�- TONNAG COOLING CAPACITY (BTUH) e-HQ C)C> 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 w rk. FURTHER DESCRIPTION OF WORK: Gx( LLLcy y STATE LICENSE - NAME TYPE # DATE SIGNATURE OF APPLICANT APPROVED DATE 6D 4A 11/88 I - B . R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by Tho Hydronks institute WHER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL.A COL.B COL.C COL.D COL.E COL.F COL.G 1 ROOM O H. L W H L W H L W H L W H L W Design Water Tamp. 2 ROOM DIMENSIONS, FT. ~ _ U BTUH paw F t of 3 LENGTH EXPOSED WALLS.FT. t Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA to BTUH BTUH ISTUH BTUH •TUN 5 WALL CONSTRUCTION ROOM LIN. FT.OF (Table 9,Line 3 x H) TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED (Bottom of table used tow Line 51 7 CEILING CONSTRUCTION C (Table 9,L x W) g FLOOR CONSTRUCTION( (Table 9, L x W r Lin. F t) E 9 COLD PARTITION CONSTRUCTION F (Table 9, L x H) G 10 _c 1 Wall I With Openings) 0 9-; H c V 2 Wells(With Openings) :J 1 3 Wells IWilh Openings)or Ent.Hall p. J I1 TOTAL BTUH AT 70F TEMP DIFFERENCE' 1? TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K COL.A COL.9 COL.H COL.1 COL.J COL. K COL.L TOTAL BTUH TOTAL 1 ROOM _ - '-- --� ----- -- OF BUILDING RADIATION ¢ AT SELECTED O H L W H L W H L W H L W H L W DESIGN TEMP.* 2 ROOM OIMENSIONS.FT DIFFERENCE U — — 3 LENGTH EXPOSED WALLS, FT. 41 WINDOW AND OUTSIDE DOOR AREA LL STUN BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION •INCREASE BATHROOM iTable 9,Line 3 x HI TOTAL 20% 6 TYPE OF GLASS (Gott m f table used f f Lino 51 7 CEILING CONSTRUCTION - tFOR CONCRETE FLOOR ON It GROUND OR FILL AT (Table 9, L GRADE LEVEL,USE LINEAR FLOOR CONSTRUCTION( FEET OF EXPOSED EDGE (Table 9,L x W r Lin Fill 9 COLD PARTITION CONSTRUCTION (Table 9,L it H) 10 .G I Wall(With Openings) ----- -------- --- --- ---- - - -------- — C; 2 Walls(With Openings) -x -- ------ -- ----^_ --_ - 3 Wells(With Openings)or Ent. Hell - 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 1.TOTAL BTUH AT DESIGN TEMP DIFFERENCE - i FORM 1501 This form Is available tr m The Hyde nice Institute 35 Russ Place,Berkeley Heights,N J 01922 JSFFCTOR �.s BATES TIME f��c s LOCATION cG van E INSPECTION: CODE: RESULT(D/A) : BUILDING: ELECTRICAL: PLUMBING: HVAC: / }/061 Lk Cs r k Y i 1_ 4e t F i f a