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Home My WebLink About125 Mohegan Trail 3 3 TO THE BUILDING INSPECTOR 19of d6 APPLICATION FOR TOWN OF SOUTH WODSOk CORN. PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 1 Ill, IV, and IX. O 1 ZONING • AT (LOCATION) ��gl �� DISTRIC44jgg J2 LOCATION IN0.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISIO LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — II applicants complete Parts A — D �v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m i [e New building Residential Nonresidential 2❑ Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreati nal of new housing units added, if any, 13 Two or more family — Enter 19 Church, other religi us in Part D, 13) number of units— — — — - 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 l t l t t h i Transenoe , motel,❑ 21 ❑ 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 240 Office, bank, professional 6 ❑ Moving (relocation) 17❑ Other — Specify 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile 8 [Z Private(individual, corporation, 28❑ Tanks, towers nonpr fit institution, etc.) 29❑ Other — Specify 9 ❑ Public (Federal, State, or I cal government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, school, secondary school, college, parochial school, parking garag 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 .....................Q c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT III. SELECTED CHARACTERISTICS OF BU DING — 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 Fj Structural steel dimensions .................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 50. Total land area, sq.ft. ........... ?i 34❑ Other — Specify 42 LX Public or private company 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES �+�8 F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... �G1to 36 rV Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44❑ Yes 45® No 53. Number of bedrooms.............. 38 ❑ Coal 39❑ Oth r— Specify Will there be an levat r? Full.......... 54. Number of 46❑ Yes 47 rK No bathr ms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Nam Mailing address —,,Number, street, city, an sta ZIP c de Tel. No. )caner OtAS.eara 77 6, or _essee )ontractor 3. %rchitect or =ngineer f The owner of this building and th�undersi ed agre to conform to all applicable laws of this jurisdiction. Signature of cypplyct J S�11Q Address Application date 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 I Check Date Number B Permit or Approval I Check Date Number B PP Obtained y PP Obtained y 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 /II. VALIDATION Building Permit number 9291 Building Permit issued Apri 1 9-6 19 , 76 Bui Iding Permit Fee $ 300800 Approved by: zo i 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 All 41 * a � , � a �,� v e`a»:« � ; N» c .,.pr.t_ a ° .. •a x, �F� i F sg» t a� 3 .. �` P� - - a « ,y., � �. »., 9.-,.«, ..,. ..y»•�.��.- _.�..a-� .».�„�sF3A »s,.a"�.,,-x.,"-.,,,,a�; _ ., '. i z _.. w. e.,x d i.,ate -,».`s,-,'.<,� »�°- s,.-.,,,e M� -.�„y..m-".c.. 21 � .,»t��•-• °. g 1 d r^ Y - « �°i» ��. z � °a « �» r;� -w�4; »J ° ¢.° _+ `�s p'# « °�a..} a-3-a-«a-tvwz«q�r�r }--s".p .Jr.a,.•„q", ,�,�+�.w�.�_¢.,9, _ �,.�.,.»a a•-¢��4._{„ti..°�,..�.�..°ate.}�,.,,r,.s�.,,,�«�,h..- +� 5�a.»�.««.,4�h-`�`�- _,,. ¢g .�� -a--dam,.»>.,-y s,},�..c.%.,,,»«,� >.y";,,�:-a�,t-�..«.e...m.�., ., � w�. M.� RaAa-F�a:p��yat ite�,a a1�a,8•r�--�s„.»6�<4ja''t•nat§i s�aR�-"~��t'p<�q.�b,;.a».�t€.4w}a.-.�^�?.et+,od}N._-g'��4(«-o-.}N�,-`�}ts+�-'�rt<e'.s{a$a t'r 45•,��'�-��.?s af�d z:�:¢e®b.-.bet�+-•}Lf--r�;*t LLy.�}^;}amayt-«»,yrao- ryar>..n�rga_z'„i-ae9�_f.r.na�.ys�.-��.x�at;z�$-,.^.{r+«��Y�;„�-.�1it®r„.._-;a�re,.•�*r x�r°vt-r+m-4* ®�F''�a¢,+a,a.x.T°a`-,��}-3b«�--,=$..e>.�l'�.1�°.•��.�o-f�a:�tt'.,.*o-a.-.+®ta��-._-_�P,,-��,r-�-tS�{_�a`-�a,.�z�r�o_.k�.a,t�<41 t --a. 9�g_-re,at{,"b�z.�aNaa�_4�.d«,¢��t 4;e«»�b}�-�:'t,•�o.q�—4a°,j_i9}st�">�° a -4 44 }o--, �«aa g>t- ,{.-ri p #+ ~+` c �j+ s- ®{.s »t�a ®d f-$'T Y �+ -}-"-i a ,y�#r-}a E.+d i<. $ a�-d- P a a f F r«a 1 s R}. e•t 9 a ,}ei A i A`^ t>Y ° ,a d a.-i�t s-a, �k`s ° L.'-h �� 1 �1 •3-t a e a. i P'- 4 y-!, 1--a�� }-« a 3�t---�'?�-•-�{"Y t + �e- �s j �i•� t��-1 t�-r �{-�-e F -�-�i�-t d n q�r s-a,.� -`'-t & - 6 TOWN OF SOUTH WINDSOR BUILDING PERMIT Date_ AD�ri _ 26 19 76. Fee Paid $ 3.00..00 Est. Value $. 50.,000.00 Permit N O. 9291 on the side of Lot #31 Mohagan .Tr ii I Street Street No. 125 Owner U & R Hobs in��rp Applicant U & R Housing Corp. CERTIFICATE OF OCCUPANCY ISSUED: Date No. 4770 Fee Paid $ 3.00 CLASSIFICATION Dwelling, BUILDING PERMIT 9291 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Apri 1 76-- 1976 94io to to Terftfy, That U & R Housing Ca is hereby granted permission to Dwe l l ins at estimated value of $ ,00 r. on the side of Lot #31 Mohegan Trail Street on land owned by U & R Housing Corp Said Work to be as described in Application No. 9591 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issue April 26 ,� 9 76 J -$uil4nig 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 compeller: to reason therefor." Permit-Not TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit Nd 4770 Certificate of Occupancy THI IS TO CERTIFY that th 4 at No in Town of South Windsor, Connecticut, has been erected and compl din accordance with Building Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupanc l� ing Inspector caner, ilder D� Fee Paid,j Date Z tS 0 C) A I MAI a v- IE�Is: W�T Zoo 0 0 2 Nj -rw 200-5 IS q,6 -MOH EGAN -rRAtL PE:RM17 PLAN RNMA- P P R 0 V E D LOT #312 "GREEN RIDGE" . SECTION II TOWr4-0 TOWN OF SOUTH WINDSOR, CONNECTICUT F So,UTIH mNrasoR ENGINEERI SCALE: 1 " = 40' DEPARTMENT DATE: 524 SIG.: e..., L.S. #8169 FOR EVERETT 0. GARDNER ASSOCIATES 5984 ELECTRICAL APPLICATION Application No. 6295 on the side of Lot #31 Mohe gan Trail Stnet Street No. 125 Owner U & R Housing .nrn Electrician Rnbert-- N3R81 do FILED IN OFFICE OF The Building Inspector v 1 S 19 7-6_ INSPECTION. re 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 fit of wood) are installed, without a special permit from the office of the Building Inspector. i APPLICATION FOR PERMIT TO DO ELECTRICAI. WORD. No. ......5.93.4................... Permit No. ......9.291................. .. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. ............... hereby make application to, perform Electr cal Work according to detailed description below. All pr visions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. _ C.C./ South Windsor, Conn., ............... ..5.... ..... .................... 19.7eSign here ,/� �' ......................................1 -G� ............. Address -............. Location ..... ..f....... .......... .... Side of ................................................................................................................................. Nature of Building ....................� .... ...... .. .. ... ... . How many stories ............................................................................/.................. Newor old Building .................................. ............................... .. How many families ................._.......... ......_.........._............................_........... Kind of Installation .......................... .................. ... How many ,St S ,.tores ........................................._..................... ..........._........_........... Owner ....... ........ ........ Address r.�.... 4. .......��t� Architect .................................................................. .... .... ...................................... Address ...... �....................................................................._..... _..._...�...._.�._.............. % Builder ..,�.�...... .tt. ?. &C, .. Address ... ....: .... .... ...... Electrician ,[�c... GZ� ........ Address '4 ........ ,. Ci� .... -- � - ° Size of Main Wires ... ........."�....��.............� d No. of Light Loops ...................r.. .............. No. of Heat Loops .................. .. No. of Power Loops ......_............... �......_.... No. of Light Outlets . No. of Heat Outlets No. of Power Outlets..................... .............. ................. .. .... . ..................................... NoP of Light Circuits ................4................ 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 ............114........ .......... . No. of Straight Electric Fixtures ..... . ........ C.................... No. of Combination Fixtures ............. ............................. ............... No. of Receptacles ...................... .................................... . . .......... No. of Cord Drops ............................................................................................... Remarks: For other kind of Installation ....................................................... ........................................................................................................................................ ............................................................................................................................................. ......................................................................................................................................................................... .. ............................................................................................................ .............................. ............................................................................................................................................................................. .................................................................................................. ................................................................................................................................................... ................................................................ 060 EstimatedCost .................... ...... ............................... I 4882 PLUMBING APPLICATION Applratim Noy 671 on the w_ side of ......._.125 ... .zzu %�- Steed Street i4o. Owns .... Plumber Filed' of The Bm'ld"n Agri1 28 1916-0 No person shall amsaver. add to c r alder arty portion of the drainage system of any bolding (ezoept to repair leafs) until a Plumit is gtaoted by the Building Inspector. Application No. ....4.6.7.1..................... Permit No. ...48..8.2................. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR. CONN. ....\, ...... ......hereby. make application to perform plumbing according to detailed description below. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 4 inclusive, shall be complied with whether specified herein or not. SouthWindsor, .......... . ... ........ ...7...................... ... sip ... ... . ....... ... Z I.................... Add .... ... C............ ................................................ ............; Location ........ ......................... )�... ..... ........ side ...............CY� .................................................... Street Natureof Building ...... ... ... ..........................I..................................... How man"pries .......................................................................................... Owner ......Z1, .11-a Address ................................I....................................... Architect .................... .. ........................................................................... Address ................................................................................................ ................... Budder .......... .................... .............................................. Address ................ ................ ............................... Plumber .... ......... ................................................... Address 0 4 inclusive, . to �2� ......... ..... . ....... ........ ........ DRAINAGE CESSPOOLS, How many .... .................... Where located ........ .. ................................................................................... Are they water tight .. .................................................. .............. Of what materia,/are they built ............................. .................... Size of pipe from house to cesspool .. ........................ Kind of pipe ... ............................................................................... MAIN DRAIN IN CELLAR, Materia ...... Diameter ......L/.................................................................................................. Aboveor below cellar bottom .. ....... ...................... ...... ......................................................................................................................... SOILPIPES, Material ..... ..........61.,l.. .......................................... Diameter --!...(...................................................................................................... WASTEPIPES, Material ..........�..... ..................... Diameter ...................................................................................................... TRAPS,Type proposed to use is ... ................................. .. .. .. .. ........................................................................................................................................ RAINWATER LEADERS, where do they run to .......................................................................................................................................... REFRIGERATORWASTES, where do they run to .. ... ... ....................................................................................... ........ ............................... TANKOVERFLOWS, where do they run to .............................................................................................................................. FIXTURES WATER CLOSETS, How many . ......... ............................ Where located ..../t�"`................................................................................ Distancefrom trap to verticalsoil pipe ......................................... Pattern ... .. ............................................................................................ WASHTRAYS, How many ............................................................ Where located . ............................................................................ SINKS, How many .................................... Where located ......... ................................................................................ BUTLER'S SINKS, How many ........................................................ Where located................................................................................................... REFRIGERATOR SINKS, How many...................................... Where located ..................................................................................................... LAVATORIES,How many ......................67....................................... Where located .... .......................................................................... BATH TUBS,How many........................ Where located .............6.................................6.......................... URINALS, How many ........................... ................................................... Where located ................................................6..............6...............6........6........... Are water closets and urinals to be local vented If not,is there a window in outer wall ofroom where same are to be located ......... ...... ...................................................................................................................................... 2 Estimated Cost -llf-27T.............................. PERMIT # Application For 4712 14511 DEPARTMENT DECISION Heating Permit 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N +' �APPROVED ❑ DISAPPROVED TOWN OF SOUTH WINDSOR 1 0 Cd 6/21/76 iwo�5,C7-0!�4 00 (1) DATE CHIEF OR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O w .O 1. LOCATION OF JOB 125 NO. STREET cd v LOT NO. FLOOR APT. NO. 0 O lV 2. OWNER c O s. ADDRESS be 0 3 4.PHONE S. APPLICANT In -4661t:z7a eri � o 00 6. ADDR S o J 7.PHONE e. LICENSE NO. 2� +; s. EXPIRATION DATE OF LICENSE 2 " a d1 10. ESTIMATED COST S O 1 t. IS THIS A CONTRACT COST? ❑ YES �NO bo PC 9291 12. FEE ENCLOSED S - ——--PPrmi fi— - d v 13. TYPE OFF BUILDING: id-RESIDENTIAL ❑ COMMERCIAL ba 14. TYPE OF JOB: ❑ INDUSTRIAL x GINAL ALTERATION INSTALLATI M ADDITION REPAIR APPLICATION OR HEATING PERMIT (C ntinued it m Reverse Side) 11. LOCATION OF JOB / NO. STREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: 1 OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTI SIZE LOCATION SIZE SIZE 13. OF TANK � 72 OF TANK OF FILL � OF VENT 14. B.T.U. EQUIP. AT REGISTER iB.T.U. KE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NQ. OR SQ. FT. N .U. OR SQ. FT. GROSS—FIRINrq RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO TYPE OF WALL I INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. _B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE C) U °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK c� �L 42 �..� 15. TO BE DONE: 000 Ze-e Is. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS); R OM SIZE WINDOWS AREA — SQUARE FEET O.T.U. O.T.U. F O AND DOORS vOLUME <I- DISTRIBUTION INSTALLED TOTAL TOTAL r LL ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j REGISTER L W N AND CW TEMP. TO 6TYPE AND SIZE RAO. OR LEADER SIZE < WALL f'GI0 (INFILT.) DIFF. •F F di In fC' 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 0 UEL (A H C) FACTOFc 17. ELECTRICAL WORK BY; NAME ADDRESS SUBCONTRACTORS AND 1 e. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE(O ER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. DATE SIGNATURE PIFLICANT :�"�a I til 1 -,1.r Ll�v�..wwvr.. .w vim• ,rw r r.y.....r rr•..r..� ,y J, " .000 OR ,•4 J 1• LaOCATiON JOIN �L�� M IL TYlt Oa' "TA LLATION: ❑ OIL BURNER V ❑ eumptIc E3.ru a mAum ❑ lwIEL61t ❑ S CR ❑ STACK ❑ INCINERATOR ❑ NISCOAAMMUS sits J LOGT�OM d, 0I 11�1ft• `� - 4 {B. o►TAJ'� Or TA s FILL or 1a. ILV. EQUIP. AT REGISTER AT BONNET FIRING RATE P,mm R FURNACE MAKE AND NO S.T.U.OR SQ. FT. ET��T.U. OR SQ. FT.GROSS�—nMMG RATE aZe d FLOORS TO BE HEATED�.�— li& NEW OR dU1LDING INSULATED — YES OR NO ,t TYPE OF WALL INSULATION ROOF OR CEILING INSULA AVG. SYSTEM WATER TEMP. Lze,-c—b2=12 B.T.UJSQ. fTJHIL EMISSION R TEMPERATURE DIFFERENCE y 'FANRtNNER �*�— MAICL OF. N: oft QRS.CONY OR C.1. ON. . OIJTMfT PER sEC[tON OR LlIEAL OF BiS0iLt10�:L11�'- lrT. OR B.T.U. a' !/ JV Ill OF w.H _ vvrY,r !�tea• :" ,i/r: ,�•. 4r . ' . � ,�"»-' `1 d ' a T '7stF°' .•.•fit_••vt,••L ..�. :�'ti*•:�' ✓ *t:',4'_ •.''; ,a-` V d S '1N..MB SS AT LAW�201= IL L (TO U 13 CL UDtO FOR ALL.JOB00 : 'V` � '; 6 .'�, •;� '...'."` .. � :" ,.:��"" '' "�`,,�'s mew saw;... w1 �r+ MtI► — SONARt �[tT ILA.W T.V. i DISTRISItT10N INgrALLlO a1 � AND 144 vxu� TOTAL TOTAL r t`r''' P6 T ANUA OLAM IOeT Oas,u� AIOA �•�. AT W P j r ti mean MOM 1 Orr '» Nis tK` �`t OII/ILT� TO IF T�s r1O1 OIO: wwasm am /7. i .: 7 149 o c Ala vo 30 : 7 oo t_ q _c7u e2 0 Ago Afff4 14adG o-pow sunix" 1 'Rw t it•i l►r,. O2nV. �Tt. 1 �•`•\`.1�►-`".••ter �.�NM I�R• t't1`` -+ty ► Vys r-+sjv ,7`r n 110T WATR ptKAND �: ;s•as+�b7q�'�' �"�C: �T.t1JMR:"_�'•"'�? �" r.'*3± ': :�'�!�F.l�•�. ORS=THAN NORMAL :• �,.- GO iaiiiuT VALVE OF FUEL.0% i�C)FACToie � .,�,........,� �,�,. ,. , w�..�W . ,.,4` •!s. �ucrlsCAL Wort BAY• -.. • �s Awns�s 0 la• .. •fit;`.u{,.. . ;k i'.'.� .'•7S #'A AL WaORK COVIRM BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE(OWNER)OR(AGENT)OF THIS PROPERTY AND WILL r` ' 10 DOW M STRICT ACCORDANCE WITH THE BUILDING CODE t TO BE COMPLETELY FILLED IN. An sl$"Tvm or ArrucA r FOR OFFICE US ONLY APPLICATION FOR HVAC PERMIT DATE: 9 (NO. 97.3 ) TOWN OF SOUTH WINDSOR EST. OST•' BLDG. PERMIT NO. A 1540 SULLIVAN AVENUE FEE 24� •U SOUTH WINDSOR, CT 06074 FEES: 644-25 1 - Ext. 230 $ 0 - $19000 - $10.00 $1000 or fraction LOCATION OF BUILDING thereof - $10.00 OW1qER ADDRESS TOWN PHONE NO. ,. I L�l HVAC CONT CTOR "IESS 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 IIFFFERENCE °F TOTAL HEAT LOSS (BTUH) 0 (HEAT LOSS SHEET_ ACCOMPANY APPLICATION) DESCRIBE ALL 11EATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): GROSS HEATING7 CAPACITY (INP T-BTUH) NET RATING (OUTPUT-B ) IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE °F 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 FUSE 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.- STATE LICENSE - NAME b TYPE # DATE ST.GNATURE OF APPLICANT Q �3 APPROVED DATE BD 4A 11/88 I - B- R CALCULATION SHEET 1503 (Modern Method) Copyrlght 1971 by The Hydr nits institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE—F. DATE COL.A COL.B COL.C COL.D COL.E COL.F COL.G ROOM fL O H L W H L W H L W H L W H L W Design Water Temp. L-2 ROOM DIMENSIONS, FT. UOTUH Per f of of LENGTH EXPOSED WALLS.FT. < Radiation Selected e WINDOW AND OUTSIDE DOOR AREA IL STUN BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION ROOM LIN. FT.OF (Table 9,Line 3 x HI TOTALS RADIATION 6 TYPE Of GLASS FROM LINE 12 SELECTED (Bottom f tabla used tow Line 51 7 CEILING CONSTRUCTION C IT able 9.L a W) g FLOOR CONSTRUCTION? (Table 9.L x W or Lin. f t) E 9 COLD PARTITION CONSTRUCTION F (Table 9, L x H) G 10 -0 1 Wall(With Openings) �; H 2 Wells(With Openings) Dx J 1 3 Wells(With Openings)or Ent.Hall J 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' - K 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE -- - -----— — L COL.A COL.0 COL.H COL.1 COL.J COL.K COL.L TOTAL BTUH TOTAL -- --- ---" -- OF BUILDING RADIATION 1 ROOM o " AT SELECTED O H L W H L W H L W H L W H L W DESIGN TEMP.- _ 2 ROOM DIMENSIONS. FT DIFFERENCE ~ U - — 3 LENOTH EXPOSED WALLS, FT. 4 WINDOW AND OUTSIDE DOOR AREA to BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION •INCREASE BATHROOM (Table 9,Line 3 x HI TOTAL 20% d TYPE OF GLASS IS tt m f table used 1 r Line 51 fFOA CONCRETE FLOOR ON 7 CEILING CONSTRUCTION GROUND OR FILL AT (Table 9, L x W) GRADE LEVEL,USE LINEAR FEET OF EXPOSED EDGE B FLOOR CONSTRUCTION? ITable9.L x W r Lin Ft.) 9 COLD PARTITION CONSTRUCTION (Table 9,L x H) 10 c 1 Well(With Openings) --- -- - - - ------ — 2 Walls(With Openings) p x --- ------- - ------- - ---- — 3 Wells(With Openings)or Ent.Hall i. 11 TOTAL BTUH AT 7OF TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE _ _ _ FORM 1503 This form Is available 1r m The Hydr nits Institute 35 Russo Place,Berkeley Heights,N J 07922