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175 Pine Tree Lane
G 51 Application No. .297.3... ...... ............. Pennit No. '.. . ................ TO THE ' BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. ....................:hereby make application for a permit to (erect (make alteration to) 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., . Map......... ......... 7 ................... 19..59. ............. .... Signh .. ........... ............... p aymond Rd.West Hart vrd Conn Location? Pine Tree eLaae West . .... .... ................................. ............. .......................................................................................... Nearestcross street? ........................................................................................Street No. .................................................... Lot No. ..��9....................... Owner of land is? ....Avey H e fight 8 C o, Addressl$...Raym©nd„ Rd,�We st Hartford ©nn ... .... .... ......... ... ...... .. .......... H.... Ownerof building is? ....v.-s........................s...x...............J...s....................Address ... ...v...v...........................s...)...............:...s...................s...x..................... > > Architect is? ...Arnold Lawrence ........Address Manchester Conn. ........................ ...... ....................................................................................... ...................................................................................... Builder is? . ...Aver�....He ght13....co-b..... ....................._Addressl$....Rayffiord....Rd..West....H rt.£ora....e©nn. . t Ot O� 26t Dimensions of building? 2.6x:0.............Feet front? ..........4 ................. Feet rear? ......'4'....... ........... Feet deep? ............ ............. Extreme height to highest point of roof? .................14.......... . ..... No. of stories in height? .................. . C!` Purpose of building is? . Dwelling. ................No. of stores? one owmany families? ...............................©ne............................................No. of rooms? .... .................. ............................................................................. .... Distance from street line is? ..................4 t....................................from building line is? ................t.................................................................... ADDITIONS AND ALTERATIONS (Give Brief Description) ....... ......... .. ....... . ..... ............... ...................................................................................................................................................................................................................... ......................................................................................................................... .............._.................................................................................................................................................... .................. ..................................................................... ......................................................... ................................................................................................................................... MapNo. .. ........... ........ 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 Height Stories Front Walls Side Walls Rear Walls Partition Walls Basement, I....................... ...... ...................................................................... ................................................................................................................................................................................. 1st Story ............................ ...................................................................................................................... ............................................................................................... .............................. ...... ....... 2nd " ... ................ ... .................................................... ..... .............................................................................................. ......... .......................... ................ ... ...........I..... ...... ... ........ 3rd 49 ................... ................................................................................ .................................................................................................... I..................I................I............ ... ...... .. I........ . ...... . ...... 4th " ................... . . ... ...................................................... ........ .................................... ........................................................................ ................ ... ......... 5th d' .... .............. .. .. ....................................................................I................................................................................................................................................................................................. 6th 's ... ....... ... .. .....................................................................I........................................................................ ............................................................................................................................. 7th 4 1 ..........................................................................................................................................................I................. ...... . ....................................................................................................................... 8th 11 ......................................................................................................I............................. ............. ........... . .......... . ................ .................... ..................................................................... 9th 11 ..................................................... .........10th .................... ........ ..................... .. .. .. ....... . ... .. ... ..... ...... ..................................... ... ...................... Material.of Front? .....If stone, what kind? Thickness of Ashlar? ....Thickness of Backing? Backed up with what? Arches or lintels over openings? '���. �'� P":' ��� �� ,� �. ?��, fie•_ %,k '�` ,�') � '`� �g' { '�„r _�- '� � � ��', -�{-���'%• - dz"� `a° e•d��";�+•?, �'.'� �. „i€y„'a'; `�; ;u ,ifs' .¢ �u, �:: V'"t11�„ ��. ��T� - •'w; .�� a. ;x,�� !;t, ;:��j,o�,.�,'L"?, ? u.m;i .; ", z�prt�ss�rr�yr+ 4it• �,, � "G��� `r ,n �n ^�. . s��,t �`�^ .'t��• s'Tf`,r,�. '��a'r ,, ,a„ N.. - z,.,, ��� "-��* � `M•. "�;,*,',,°'�`,r:yBs,+, ,F ` 7R, �.,. (; �^`.h"' +x" =..: ,i ti xNa„e.'t"C";`a a�ia'�,' x .,.+7 .✓. 1s_ .y. 1. _ Y� �1e"�., �„�'-R✓; �' 4,#f«� �l. ^3C � M .. i s ryl; � � '_ •,� „< 'gyp-}, �� �'` � �`FTy �v�}' .�.. $Jij'� � 7-7 • .Mrrww•rM rwrrM w.....rrrrwrwrwrrwwrwrrrwwwwwww wrrMwrw rw rrrrrwrrr.r•rrrr w MrMMrr�Mrrr rrrrrwwl�wrrwrrw•r•w •w••w1A~ , Ud 160 ..wr. . w...ww.....w w.w.w.w. ....ww..w ..»M.v..,... w..ww.�wL.. .,_._.w� .w............ww f° a lip Size of outside studs? .....X4....................... Distance on centres? ..................��....A...............r Size of sill? ._... l....- . Size of rafters? ......26...................... Diatanee on centres?....................�6.".................... Size of plate? w........... ...-'._. .? t.......... Sizeof ledgers or gins? .................................................................................Size of deck rafters? ...........................................—...................... ............... Distance on centres? .........................................................................................Size of studs in bearing partitions? ................................................w MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? ................P t.ch.................................. Fireplaces? ........................................................ . Playwood Pine Plarmod Materialof roof covering. .....................................................................Material of Cornice. ........................ ............................................................. How is building heated? .......Hot.....waater.....© l..............Lining of flues? ... ........................................................................... . .............. Thickness of shell of flues? Any elevators or lifts? What kind? ................................................... How many? .................... .. .......................... Any oiatways. ........................................................ How protected? ..Total Value of Building 13.000 ................. .......................................................... ............... ............................................................................ Whenwill work be commenced? ........ ........August.........1959............................................................................................................................ 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. w f f ' Applicant 2713 BUILDING APPLICATION ApplicationNo. .......2.97.3.................................................... on the ....... ..W.e s.t.......... ....................................... side of ....... ...... .. ..P.i.ne.. Tree. Lane.. ......... .......... Street. ....... ... . ... . .. Street No, L o t...#�q... .... ................. Owner Avery...He.ig.h.t.s.....Coe .......... A Same ,pplicant CLASSIFICATION Dwelling 26' xb,-01 . . . ...... . .....I ...... ........... ..................... . . . ............ . ...... ... .. ......... ..... .................................. Permit issued on above Application. Date, ..M.a Y...7.... ............... . 19....5.9 5.9 1 -14 TOWN OF SOUTH WINDSOR BUILDING PERMIT � Date May 7 s � 19 59 AT- Fee Paid s 52.OG'i Est. Value $ l s©0 Permit N0 2713 f, e 8 t = on the side of Pine Tree Lane Street � � Street No. 1-7 5 Lot #59 Owner. Avery Heights Co. _. Applicant Sane ` CERTIFICATE OF OCCUPANCY ISSUED: At' Date No. 1679 .. . r Fee Paid $ 3 00 CLASSIFICATION 5Y Dwelli iz 26tx 40t BUILDING PERMIT N° 2'713 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Y,a v�7— 195t T4t'o to to Tertif1j, That ieights . is hereby granted permission to DWe l 1 yrg XI f C)r at estimated value of $ 13,000 on the West s-de of Fine Trey Lb-ne Lnt 9 Street on land owned by ,AVery ITeight8 Co,,Said Work to be as described in Application No. 297,E and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued 19 . 59 Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall 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�.. '.��..... TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit NO 1679 Certificate of Occupancy THI IDS TO TTIFY that the at No. 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 r occupancy. BUILDING IN ECTOR OWNFZ4TRfJILDER Opt Fee Paid .1 Date 19 a 54 Application No. 7354 Permit No. 70 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (erect (make alteration to) a building according to the fo 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., . ¢..�......f.s.......... 19.......... . Sign hen _........... Address ................... ...............l.l.. lru-mow (�v Location? . . . . ........................................................................................... Nearest cross street? .... .. ... .. ......................... .Street No. Lot No. .. Owner of land is .. ... :5�' ddress ..7-S". - ..........�L.•.... wnerof building is? . .. i.k..............VC............1.4.................Address �..t.. ..... ............t.......C.....................�.....t..................c......t...Architect is? ................................................. .......................Address .. ..................... ............................................ ............ ...... ............ Builderis? ... . Address ........... .............. ...................................................... .......... ........... Dimensions of building? . ......... Feet front? . .. . .... Feet rear? . . ... . ..... Feet deep? ... . . .. Extreme height to highest point of roof? ..... .......... No. of stories in height? .. . .... Purpose of building is? . .. .. .......... .... ........... ........................No. of stores? .. ........... ... .. ........................................ ...................... Howmany families? . .......... ................................._....................................No. of rooms? ... . ....... .............. ............. ............. ......... ................. Distance from street line is? . . . .. ............. ..................from building line is? ....... ........ .... ...................... ......... . ... ADDITIONS AND ALTERATIONS (Give Brief Description) /�... X / V............ .... .....'...... .�v. . ......'..................... . ... .. _....... ....................................... ..... ........ ............................................... .......... . ............... .. ....... ....................................................................................................... . ....... ............... .... .. .......... . ........... ............... 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 lbs. 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 Heisht Stories Front Walla Side Wans Rear Walls Partition Walls Basement, ........................................__................._................_...._.................... .........._........._................__.._.........._............. .............................................................................................._.......... . 1st Story ........................... ............................................................................................................................................... ........ ................................. . ...... ... ....... ......... . 2nd " .......................... ..............._.................._................ ..... ............................................._.........._........................... ... ......... ...................... .......... ... ... ................ .. .... . . ........... 3rd " ..................... _....... ............._...................................... ................................................................. ........................................_.....,..................... .. ....... .......... .. ..... . 4th " .. ................. .... . ..........._...................................................... ....................................... ............................................._................................. ................ ........ ............. 5th " ............................... ..........._ ........................._....... ................. .......... .. ....................... ............................................................................................. . .................... ......................... 6th " .... .... ........ ...................._.................._...................................... .................. ....... ......................._........... . ..................................................................................................._................ 7th " _......................... .... ........._........................................................ ...... ... . .. .................. ,............ ..... . . ........... .................... ......................... ............................................... 8th " ......................................._..._....................................... ... ............... ...... ....... .... . .......,. ............. ........ ..... . . .............. ....................... 9th .. ............._.........._................_.... ...... ...loth « 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 11 GISDMS OOLU MNS Floors Size Longest Span Centres Eridging size Longest Span Centres She Lengib Centres 1st Floor .tea.. . .... .............. .................................. ........_.. .............................................__... ............_. ............. _..._..__..._ .�a.....�...... .............. .................................. .................. _.........._...._.....__. . ........_._... .__.. ................... 4 ....��.... .............. .............. .................. ................... ......................... ...................... .._....._... ............_...._.........._ ._....._. �.._ ...._...._... _..._.........._ Size of outside studs? ............... ......... ........... Distance on centres? .................... ................ ...... Size of sill. .............................................. Size of rafters? ........................... . Distance on centres?.......... ..................................... Size of plate? ..................................................... v ? 5,�1 Size of ledgers or girls. ........... ......... .......... ............. ...............Size of deck rafters. ... ................... ........ ............................. ............... Distance on centres? ............ .... ...... .. .............Size of studs in bearing partitions? ................................................. MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped. '. f �firep laces? ....................................................... n�c.,... ...........Material of Cornice? ...................................... Material of roof covering? ........ ...... ............................................... Howis building heated? . .. .................................................Lining of flues? . ... .. ............................................ ... ......... . .............. Thickness of shell of flues? . .......... ............................... ........ .......Any elevators or lifts? ........................... ..... ..................... ...................... What kind? ............. .. .. ... How many? . Any hoistways? .. .... .... . ......... .. ......... . How protected? . .... .. .... ........ . ... .... . .................... ......... ......Total Value of Building . ����.. . .. .' .......................... p O When will work be commenced? ... . ..P.... .. ........1.1 ................... ..�... .....�..J............................. ................. 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 7054 BUILDING APPLICATION ApplicationNo. ... 7.3.5.4..................................................... onthe ........................ .......... ... ... ........ .. ............ side of Pine Tree Lane .. ........... .. .... ...... ...... Street. 175 Street No, . ........ David Sherman Owner Applicant Raymond Pellerin.i . CLASSIFICATION Cement Patio llIX181 with roof and screening* ........ ... . .......... Permit issued on above Application. 6-15-70 Date, 19 ., 4 TOWN OF SOUTH WINDSOR BUILDING PER.Wr Date June 15, 19 7 Fee Paid $. 6.00 Est. Value $. . . . .. 00 Permit N° '7054 on the side of Pine Tree Lane Street � Street No. 175 Owner David Sherman Applicant Raymond Pellerini CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Cement patio 11tx181 with roof and screening. BUILDING PERMIT N° '7054 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. `Tun® 15. 1970 dr4io to to Tertif1j, That Raymond Pellerini is hereby granted permission to Gernert Patio 11 =x181 with roof and s oreerxing at estimated value of y$760.00 on the side of 175 P ine Tree Lane Street on land owned by David Sherman Said work to be as described in Application No. 7354 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued June 15, 1,-BtXd zg_Ifzspector. 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." Application No. 7355 Permit No. 7055 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., Sign h � . . f •`� Address /..7J ...... C'.......1..��.,r�!r.�4. .Z....... ...... � Location? 9 T...... isde of? .................. . .. Nearest cross street? WW.a '.....Alf.MS..................Street No. . ............ Lot No. .. .......... .......... . f --�--� Owner of land is?Z. W.........AddressZ-VV- -jC;................. � ....��Y�^....,1�P�........ R Owner of building is? . . ... "t 41 &V Address . ..... .................................................. ........ . . ... Architect is? S 9,r ..... .slJ' :.......Address �' ,�3G E3,T..... �SrT. .................... � . � r uilder is? . �.V/A. ..... ................Address/.r,'... e ... ill/" ...... n Dimensions of building?loaf ./Y..... Feet front? ... .. Feet rear? .. .. ......... Feet deep? ... Extreme height to highest point of roof? ..... ... Z 4....... No. of stories in height?. . l . Purpose of building is? /..0. .4...... .ra!,� .............No. of stores? .... ............... .. .................................................................. Howmany families? . ..................................................................................No. of rooms? ... . ........ ....... ....... ........................................................ Distance from street line is? . ... . .. from building line is? ....................... ......... .. ..... .. ...... ........ .... .... ................. ..... ............. ADDITIONS AND ALTERATIONS (Give Brief Description) . ............ ....... ... ....... ......... .... �............. �.. ........�,...-................ .." ...... ....... .. . . ...` ............r. ....... ............... .... ..... .......... ..................................... ap 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 lbs. 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 Heltht Stories Front Walla Side Walls Rear Walls Partttlon Walls Basement, ........................................__............................................................. .........._........._................__............._............. .................._.......................... ........................................................... 1st Story ............................ .................._............................................................................................................................................................................... . ......... ......... ... . ....... .......... 2nd " .............................................._..................-....................................................................._......_.......................... .. . .... ....... .................... .... ......... ... .... ............... ......... .. . ... .... 3rd " ..................... ._..................._.........................................................................................................................................................,...................... ............ ......... ..............I-...... .... 4th " ...........................................-.......................................................,....................................... ................................................................................................... .......... ... .......... ............... 5th Of 6th " ..._................._....................................._.. .............. ... .................................. . ...... .................. ...... . .............................................................................. 7th _.............. ......_. ......... -... .. ......-..................... ..................... ..... . . ..................,............ .... . .. . .............................. ...... .... . ........ ............ ... ............................... Sth Of .....................................__............................................................................... ........ ... ......, . ..... . ... .. . .............. . .............. ...................... 9th " ..........................lOt...... . ... . .. ............._. .. 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 GIRDERS COLUMNS Floors Size Longest Span Centres Wtdging Size Longest Span Centres Sire Length Centres 1st F1 or .tea.....:... .............. .................................. ................... ........_.. ._.........._..................... _................ ._..........__ _...._...__..._ .�a..... ..... .............. .................................. _................_....._..._._ ....._.........._... __.._ _..... _...._ .4th.... ..... . ........ ................... ...................... ..................................................._... .. . ..... ............ _.......... _.._ Size of outside studs? .............. .. ................. Distance on centres? ................... ............ ..... Size of sill? .................. Size of rafters? ...... ........ .............. Distance on centres?... .. Size of plate? ................................... ..................................................... Size of ledgers or girts? ... ....... ........ .. ............................................Size of deck rafters? ..................................................................... ............... Distance on centres. .. ....... Size of studs in bearing partitions? MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? . .. Fireplaces? ....................................................... Material of roof covering? ................... ........ .... ............ .. . .....Material of Cornice? ......................................................................... Howis building heated? .. .. .....................................................Lining of flues.� ................................................................... . .............. Thickness of shell of flues? ... . .... ...................................... ........Any elevators or lifts? . ..... .................. ...................... ..................... What kind? . ..... How many? . Any hoistways? . 0* How protected? g . O ....Total Value lof Building ........................... 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 7055 BUILDING APPLICATION 7355 ApplicationNo. .. .................................................................... onthe .......west.............. .... .......... ................ side of Pine Tree Lane .. .. ........ .. ........ .... ... Street. 175 Street No, . . . .. ... . . ........ David Sherman Owner Same Applicant .. ...... CLASSIFICATION Metal tool shed 10'x11l . . ........ .......... Permit issued on above Application. 6-15-70 Date, 19 ., P TOWN OF SOUTH WINDSOR BUILDING PERMIT June 15, 70 Date 19 Fee Paid $. . .4•00 Est. Value $. .250' Permit N° 7055 is r, on the West aide of Pine Tree Lane Street Street No. 175 Owner David Sherman r _ 4 Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Metal tool shed 10?x11t it i BUILDING PERMIT N° 7055 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. June 1.5s 1970 T4io 'to to Terttfy, That David Sherman is hereby granted permission to Metal tool shed 10'xll t at estimated value of 1$ 250 00 on the west side of Pine Tree Lmis #175 Street on land owned by David Sherman Said work to be as described in Application No. 7355 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Jane 15 70 Building'Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECT I CUT: "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." TO THE BUILDING INSPECTOR of&t APPLICATION FOR TOWN OF SOUTH WDOSM CONK. PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O �/ ZONING 1• AT (LOCATION) �7S Pi`M [r,GL �-•- � DISTRICT_ LOCATION (NO.) (STREET) L OF BETWEEN I ,�„�r AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 II. TYPE AND COST OF BUILDING — A11 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(IJ residential, enter number 12❑ One family 18 ❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 130 Two or more family - Enter 19 ❑ Church, other religious number of units- - - - -•-)P. 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 ❑j 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 P � tt 6 ❑ Moving (relocation) YOff 25 17© Other - SpeciJy /_�L,t — ❑ Public utility 7 Foundation only 26 0 School, library, other educational r ` B. OWNERSHIP — k ;tC Qe2Z❑ Stores, mercantile 28 ❑ Tanks, towers 8 Private (individual, corporation, GtS r $ 29 Other - Specify nonprofit institution, etc.) Qc o r-c, ❑ p fy 9 ❑ Public (Federal, State, or ` t local government) % Crf t C et-f fee,r,3 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,,,,,,,,,,,,,,,, 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 S 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) 400 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❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other - Specify 420 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 Gas Will there be central air 52. Outdoors....................... 36❑ Oil conditi ping? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 0 Yes 45❑ No 53. Number f bedrooms.............. 38 Coal � 39 Other- Specify 1.�08 eJ Will there be an elevator? 54. Number of Full.......... 46 Yes 47 No bothro me Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Nam Mailing address — Number, street, city, and State ZIP cod Tel. No. Owner or r '� ' � rh Q( Lessee 2. Contractor 3. 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 date 7, we -49-11(.hy I 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obta ned Number By Permit or Approval Check Obtained BOILER 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 8688 Permit numb r Building 10�18�,7 P rmit issued 19 Bui Iding Permit Fee s 575.00 Appr 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 bapbt$�,ba �.,4sm y �u ��$.� $ x � s �,.,. go-- -,� k _ � -4. _ - � _ _ � _ •_ I➢-$5 ���be q�4 .< .„b<b 3 � w �p� f �,�V< � _., m{ ��d - F ti , � � e< I � TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Oct. 18 v 19740 Fee Paid $.4-?DO Est. Value $. 575. •00 Permit N O 8688 on the side of Pine Tree Lane Street Street No. 175 Owner Barbara Sherman Applicant Barbara Sherman CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid i$ CLASSIFICATION Fireplace BUILDING PERMIT N° 8688 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. oat, 18 1974 94is is to Terttfil, That Barbara Sherman is hereby granted permission to Install fireplace. at estimated value of $ 575.00 on the side of 175 Pine Tree Lane Street on land owned by Barbara Sherman Said work to be as described in Application No. 8988 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. oat. 18 74. �, `T i uildsg 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." INSPECTION REPORT Permit # Ft/v F Job 1 Footing oe�J;;-� 2 Foundation 3 Framing 4 Wiring mg yG ilov 5 Plumbing 6 Heating //-,2 d - 7y 7 Lathing 8 C.O. i/-mo0-7y b el, TO THE BUILDING INSPECTOR of the APPLICATION FOR PLAN EXAMINATION AND TOjTH WI1rDSOR,CONK. BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O ZONING • AT (LOCATION) / / DISTRICT LOCATION I (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use � 1 ❑ New building Residential Nonresidential 2 ❑ Addition(If residential, enter number 12❑ One family 18 ❑ Amusement, recreational of new housing units added, if any, 13 ❑ Two or more family - Enter 19❑ Church, other religious in Part D, 13) number of units- - - - -i 20❑ Industrial 3 ❑ Alteration (See 2 above) 14❑ Transient hotel, motel, 4❑ Repair, replacement or dormitory - Enter number 22 210 Parking garage 5❑ Wrecking (If multifamily residential, of units ------- - -1 ❑ 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& Other - Specify 25❑ Public utility 7 ❑ Foundation only 260 School, library, other educational B. OWNERSHIP rfQ� f�cSs��.rrDv� W 27❑ Stores, mercantile 8,N�-Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 6/✓0-0 A" PIa y 29❑ Other - Specify 9 ❑ Public(Federal, State, or local g vernment) 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,,,,,,,,,,,,,,,• D 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....................... /00� b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ . O o III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Masonry(wall bearing) 40❑ Public or private company 48. Number of stories................ 31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions .................... 33❑ Reinf rced concrete H. TYPE OF WATER SUPPLY 34❑ Oth r - Specify 42❑ Public or private company `� Total land area, sq. ft. ........... 43(] Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ...................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35❑ Gas Will there be central air 52. Outdoors....................... 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ El ctricity 44❑ Yes 45❑ No 53. Number f b dr me.............. 38❑ Coal 39❑ Other- Specify Will th re be an levat r? 54. Number f Full.......... 46❑ Yes 47❑ No bathr me Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Nam Mailing addr ss — Number, street, city, and State ZIP code T I. No. O' J �/s�r b cozy G rr-p Owner or �' Lessee 2. y„ Contractor 3. Architect or Engineer Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Applicati n date t17 Y-'Xt4� %I 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R vi w R uired Check Plan Review Date Plans B Date Plans B Notes q Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS P rmit r A rova I Check Date Number B Pit or Approval Check Date Number By pp y Permit ObtainedObtained 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. 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Value $. .9 0.0.00 ro- Permit N° 11283 on the side of Pine Tree Lane Sara Street No. 175 Owner Barbara Tuttle Applicant Barbara Tuttle CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Wood stove/metal chimney BUILDING PERMIT N? 11283 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Nov 19 79 94is to tit Tertift.9 That —Boxhars m.,t tle is hereby granted permission to 6Jood buriiiizg s --ove/rnp t--e l_:hLmney at estimated value of C)()().;0 on the side of 17 S Fine Tree 'T ane Street on land owned by Barba--g Tu L t I p Said Work to be as described in Application No. 11533 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued 19 79. 'ding 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." .I)-0�0'/' TO THE BURDING INSPECTOR of the APPLICATION FOR TO" OF SOUTH WINMM,CO[i1N. PLAN EXAMINATION A N D BUILDING PERMIT IMPORTANT— Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O I• AT (LOCATION) �� �/� / T�� � �� ZONING /J_-t DISTRICT LOCATION (NO.) (STREET) OF BETWEEN C'7- e /y/-- AND BUILDING (CROSS STREET) (CROSS STREET) Lj SUBDIVISION LOT�BLOCK SIO E�7 d x N II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D �o A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking"most recent use � 1 ❑ N w building Residential Nonresidential 2 Addition(I/residential, enter number 12❑ One family 18❑ Amusement, recreational of new housing units added, if any. in Part D, I3) 13❑ Two or more family — Enter 19❑ Church, other religious number o/units— — — —--p- 200 Industrial 3❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (1/multifamily residential, of units ——————— — -i 22❑ Service station, repair garage enter number of units in building in 150 Garage f 417%4 6 A/ 23❑ Hospital, institutional Part D, 13) 16❑ Carport 24❑ Office, bank, professional 6❑ Moving (relocation) 17❑ Other — Specify 25❑ Public utility 7❑ Foundati n only 26❑ School, library, other educational B. OWNERSHIP 27 0 Stores, merconfiIs 8 Qg 28 ❑ Tanks, towers Privet (individual, corporation,nonpr fit institution,etc.) 29❑ Other — Specify 9 ❑ Public(Federal, State, or I cal g vernment) C. COST (Omit cents) Nonresidential — Describe in detail proposed us*of buildings,e.g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost f improvement,,,,,,,,,,,,,,,, q0000 school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed,enter proposed use. in the above cost a. Electrical...................... b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator,etc.)............ 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS / 30❑Masonry(wall bearing) 40 2j Public or private company 48• Number of stories................ 31 ® Wo d frame 41 ❑ Private(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior -75 32❑ Structural steel dimensions .................... r) 33❑ R inf rced concrete H. TYPE OF WATER SUPPLY 50. Total land area, sq.ft. ........... 34❑ Other — Specify 42 F9 Public or private company 43 ri Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 El etricity 44❑ Yes 45� N 53. Number f bedro ms.............. 38❑ Cal 39❑ Other— Specify Will there be an elevat r? 54. Number f Full.......... 46❑ Y s 47,L�] No bathrooms Parfiol....... NOTES and Data — (For department use) IV. IDENTIFICATION — To b compl t d by all applicants ^,oNam/� Mailing addr e ss — Number, street, city, and State ZIP code UTeI./No. Owner or Lessee 2. X / .Z 2t'--t1 Contractor Tolv.A17111(/("/11- . ^, 6 D PY C) 3. fe(1� Architect or Engineer Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Adiress Application dot 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Revi w R quired Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING PLUMBING MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Ob at ed Number By Permit or Approval Check ObtDa t ed ae Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit numb r 12941 Building Permit issu d Oct. 13 19 82 Bui Iding Permit Fee $ 72.00 prov b TIT ZONING • FRONTDISTRICT REAR YARD IX. 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Value $- J 1,900.00 Permit N° 12941 on the aide of Pine Tree Lane Street Street No. 175 Owner Barbara Tut t 1 e Applicant Bernard Codnmgki CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Kitchen/Garaze I BUHDING PERbffr 0MC13 OF N° 12941 THE BUILDING INSPECTOR of &C Town of South Windsor, Conn. South Windsor, Conn. 10/13 Be 94to to to Grerttf-g, That Be=arrl r-od mski is hereby granted permission to Addition - Kitchen and gars g e at estimated value of 191 -900-n0 on the side of 175 Pine Tree Lane Street on land owned Barbara Tut t l e by SaidWork to be as described in Application No13241 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Oct. 13 92 wilding Impector. Strata 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 which it shall a or be compelled to reason therefor." g Aga �� Pe INSPECTION REPORT Permit # 1 Footing 2 Foundation for 3 Framing 4 Wiring 5 Plumbing VII 6 Heating 7 Lathing 8 C.O. 6053 7q PLUMBING APPLICATION qpp . No, 6832 on the _..._..._ aids of Pine Tree Lane S- Street No. _...— 175 Owner Barbara Tuttle Plondber Shaw' s Plumbing Filed in O$i x of The &nl&ogImpecooc �. DPc_ 9 19_82 II�TSPRCWON. ................._............ No person dell r m m 1-m r- add war alder my portion of the die "mcm of my 6ald6g (ezoept to repair leaks) noul a Peet its gemmed by the Building Impeaw. Application No....... . U.3.2........... Permit No. ..6.o.5.a............... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR. CONN. her eby 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 -? Z Sign here . ...... ....... ...... .. .... ............. Address ........ JC4" ..... ............................. Location ....../—.A.................... side of J.. ..... .......... ........... Street Nature of Buildm' 2 How many stones ...................... ........... Owner ...... !;772 r ..... ...... ............................ Address .../ I. ....................................... ...................................... Architect ................... .................. Address . . . ..... ........... .......................................................................... Builder .. ..... . ..... Address ................. . .. . ................... ............................ .......... Plumber .�................ .......... ........ ....... ............. Addressc�..O- ......�/........... DRAINAGE CESSPOOLS, How many Where located . ... .. . . . .. ....................................................................... Are they water tight ... .... .. . .. Of what materials are they built ............................. Size of pipe from house to cesspool . .... . Kind of pipe ........ ............................................................................ MAIN DRAIN IN CELLAR, Material Diameter ............. ..... ............................................................ ....................... Aboveor below cellar bottom - -... .... .................... . . . ......I...................................................................................................... SOILPIPES, Material . . .. . .... ................ Diameter . .. ....................................... ........................................................... WASTEPIPES, Material . .................. Diameter ........................................................................................... .............. TRAPS, Type proposed to use is ... .. ... ... . . .. .. ... . .... ......... ............................................................................................................. RAIN WATER LEADERS, where do they run to .. . ..................................................................................................... ........... REFRIGERATOR WASTES, where do they run to . .. ........ ......................................................................... ........ ............................... TANK OVERFLOWS, where do they run to . . . . ............ ............................................................................................. FIXTURES WATER CLOSETS, How many ... .................... ..... ..... Where located ................................................................................ Distance from trap to vertical soil pipe ................... ................... Pattern . ................... ...................................... WASHTRAYS, How many . ..... .......................I......... ... Where located . .................................................................................. SINKS, How many ........ ....... ... ................................................................ Where located .. . .......................................................................................... BUTLER'S SINKS, How many ....................................................... Where located. . . .. . .................................................................................. REFRIGERATOR SINKS, How many.. .................................. Where located ................................................................................................... LAVATORIES, How many ......................................................... Where located ................................................................................................... BATHTUBS,How many..................................................................... Where located ..................................................................................................... URINALS, How many . - - ... . .... ............................................... Where located ................................................................................................... Are water closets and urinals to be local vented If not, is there a window in outer wall of room where same are to be located ....... ............ ..I........................ ..................."... I /C'f� � zle e Estimated Cost . lvoo.! 0 :b dw'000sy 1"f 6- 'e- /101/1 Aooe,,-, e z::3p ap -.000'e- oee FOR OFFICE SE ONLY APPLICATION FOR HVAC PERMIT DATE: (NO. ) TOWN OF SOUTH WINDSOR EST.COST: f fi BLDG. PERMIT NO. 1540 SULLIVAN AVENUE FEE_QW% SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 $ 0 - $19000 - $10.00 $1000 or fraction LOCATION OF BUILDING 1 7—r thereof - $10.00 r OWNER ADDRESS TOWN PHONE NO. s� HVAC CbSTR&9TOR JDRESS TOWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL �— 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) a (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING QUIPMENT (INCLUDING MAKE & MODEL NO.): c GROSS IIEAfINV, CAPACITY (INPUT-BTUH) N T 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: , 3 o o2 ,� 47 6 0� 4�7 STATE LICENSE - NAME & TYPE # DATE 3KRATURE OF APPLICANT 71OVED D BD 4A 11/88 I - B - R CALCULATION SHEET 1503 (Modern Method) Copyright 1277 by The Hydronics Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL.A COL.S COL.C COL.D COL.E COL.F COL.G 1 ROOM p 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 Fo t f 3 LENGTH EXPOSED WALLS,FT. t Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA U. STUN STUN BTUH STUN BTUH 5 WALL CONSTRUCTION (Table 9,Lin 3 x HI ROOM LIN.FT.OF TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED (Gott m of table used for Line 5) 7 CEILING CONSTRUCTION C (Table 9,L x W) g FLOOR CONSTRUCTIONt D (Table 9,L x W r Lin. F t) E 9 COLD PARTfTION CONSTRUCTION F (Table 9,L xvH) G 10 c 1 Wall IWIth Openings) 0 �; H 2 Wells`(With Openings) eX _ D 3 WellsOWith Openings) or Ent. Hall J 1 11 TOTAL BTUH AT 7QF TEMP DIFFERENCE' J 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K L COL.A _ _ _ COLS COL.H COL.I COL_J COL.K COL.L TOTAL BTUH TOTAL 1 ROOM OF SUIL•DING RADIATION Ix AT SELECTED O H L W H L W H L W H L W H L W DESIGHTEMP.' 2 ROOM DIMENSIONS.FT DIFFERENCE 3 LENGTH EXPOSED WALLS, FT. 4 WINDOW AND OUTSIDE DOOR AREA LL STUN BTUH STUN BTUH STUN 5 WALL CONSTRUCTION *INCREASE BATHROOM (Table 9, Line 3 x H) TOTAL 20% 6 TYPE OF GLASS (Bottom of table used for Line 51 7 CEILING CONSTRUCTION --- tFOR CONCRETE FLOOR ON (Table 9,L x W) GROUND OR FILL AT GRADE LEVEL,USE LINEAR S FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE (Table 9,L x W r Lin. Ft.) 9 COLD PARTITION CONSTRUCTION (Table 9,L x H) 10 c 1 Wall(With Openings) 0 = i O 2 Wails(With Openings) e X 3 Wells(With Openings) r Ent.Hall fe.J 11 TOTAL STUN AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE This form is available from The Hyd►onics Institute,36 Russo Place,Berkeley Heights,N.J 07922 FORM 1503