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Home My WebLink About161 Natsisky Farm Road o y o-e 173.31TO T BUICLDING INSPECTOR of 1� APPLICATION FOR TOWN OF UXMI WDOSOR,CONNL PLAN EXAMINATION A N D BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and 1X. p 1 J' ZONING A-30 . • AT (LOCATION) � S y � It'L'LOCATION lMa.l (sTR T) DISTRICT OF (BETWEEN L 1 S A AND BUILDING - (CROSS STREET) CROSS STREET) SUBDIVISION MOUNTAINVIEW ESTATES LOT s/q �_ LOT A,t!• •3D �—BLOCK SIZE hl II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D �o A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M M 1 EEfNew building —1 Reside Hal Nonresidential 2❑ Additi n0/residential, enter number 12 One family 19❑ Amusement, recreational /flew bousing units added, i/any, in Part D 13) 13❑ Two or more family — Enter 19❑ Church, other religious —-� 3❑ Alt rat( n (See 2 above) number o/units——— 20❑ Industrial 4 Repair, replacement 14❑ Transient hotel,motel, 21 ❑ Parking garage ❑ or dormitory — Enter number ' 5❑ Wrecking (i/multi/airily residential. o/units ——————— —.. 22❑ Service station, repair garage eater number o/units in building in 15❑ Garage 23❑ Hospital, Institutional Part D. 13) 6❑ Moving (relocation) 16❑ Carport 24❑ Office, bank, professional 7❑ F undotl n only ❑ Other — Speci/y 25❑ Public utility 26❑ School, library, other*ducat( nol B. OWNERSHIP 27❑ Stores, mIrcontiIs 8 U Private(individual, corporation, 26 ❑ Tanks, towers n apt fit Institution,etc.) 29❑ Other — Speci/y 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 of hospital,elementary 10. Cost f improvement.................. B o school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building of industrial plant. in the above cost be installed but not included If use of existing building Is being changed,enter proposed use. } a. Eletitrlc0l...................... 'b.PlWAIng ...................... •,. C.Heating,air conditioning......... d.Other(elevator,sic.)....0........ 11. TOTAL COST OF IMPROVEMENT S 111. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Ports E — L; for wrecking, complete only Part J, for all others skip to 1V. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 L J Me* my(well bearing) 40 0 Public or private company 49. Number of stories................ 31 Wood from* 41 ❑ Private (septic tank,etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions ..................... Joy 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Specify 42 Public or private company 50• Total (and area, sq. it. ........... a afr 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Edclosed ....................... 35 Gas Will th to be c ntral air 52. outdo to........9............... 36❑ Oil conditl ning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Y s 45[21N 53. Number f b dr ms.............. 36❑ Cool 39❑Other—specity Will that be an elevator? Full.......... 54. Number of 46❑ Y s ) 47 V N bethr one Portlel........ IV. IDENTIFICATION — To be comp) ted by all applicants Nam Moilin; eddr ss — Number, street, city, and State ZIP c de Tel. No. Ownfr Dart Hill RealtyInc. 658 Ellingf-nn Road O! Lease* South Windsor. — 2. Same saTne Contractor 3. Architect r Engineer Th wn r f this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature I applicant Address L�6 ee7ji; Applicati n date �r 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Plans R view Required Check Fee Started By Ap roved By Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Permit or Approval Check Date Obtained Number By Permit or Approval Check obtained 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 YII. VALIDATION Building P rmit number Bui Iding Permit issu d 19 _ Building } 'Permit Fe $ � A rov ed /7L od TITLE A TOWN OF SOUTH WINDSOR BUILDING PERMIT Date 11/19 , 19 8 7 Fee Paid $. .5 0 4 .0 0 Est Value $.8 4 s 0 0 0 Permit N° 16403 ' r on the atide of Lot l-96- —=Natsisky Fam SwW Street No. l ra l Owner Dart Hill Realty, Inc. Applicant Same as above CERTIFICATE OF OCCUPANCY ISSUED: Date No. 8396 Fee Paid $ 3 .00 CLASSIFICATION Dwelling B=LNG PERMIT N° 16443 OFFICB OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 11/19 1987 94is is to (f erti f#, That Dart :fill Realty. Inc. is hereby granted permission to BAi.ld a si rAg le f a:ai ly dwelling at estimated value of $P 4 it 0()0 on the side of_ Lot 126 -- 161 Lit.;isky Farm Road Street on land owned by San- a g, abo ye Said Nark to be as described in Application No. 1 7 ill and to conform to specifications and plans filed with said Application, and Building By, Laws of THE TOWN OF SOUTH WINDSOR. Iks ed -.`1tJ, 9 CIN1987 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 coats and damages which it shall sustain, or be compelled to reason therefor." INSPECTION REPORT • Job ,SOT /� -/�d./ S� Permit # /� �D,� 1 Footing AR f � LTA 2 Foundation 3 Framing 4 Wiring /dGL} H17 pR RL T% 5 Plumbing 7,4 1 ;41Y'E1-1—I9 'S TAIC, 6 Heating , l"/4G�ll./J /►,r� 7 Lathing 8 C.O. D .2 �� -i /a M 197 7--545) /-7,4 Rm i�oPD DART !-) I1 (�Ep .7-,/ rA&,. Permit # Electrician R)CH, r,z-o 3RRPuz,-Irr # Heating Contr. s -rAIC' # Plumbing it P14nrELL.Ya '.5 # 76a� Oil Burner # Certificate of Occuparncyj6aea ,# j;39G Sewer Permit 71-Z�'f�' I I I Permit No. TOWN OF SOUTH WINDSOR I SOUTH WINDSOR, CONN. I I 6� 9 Permit � 3 I Certificate of Occupancy pa THIS I TO CERTIFY th t the _- - ' )-" a own of South Windsor, Connecticut has at No. Code and Zoning Regulations of { been erected and completed in ac ante with the Building the Town of South Windsor, and is ereby approved for g,ccti ri Bui uig Inspector I f Owner uild r -3 Paid Date CERTIFICATZ OF OCCUPANCY CHECK LIST i Applicant Dart Hill Realty Certificate of Q:cupancy Y3q 6 Address 161 Natsisky Farm Road Bldg. Permit No. / &YO 3 :Lot No. Date Submitted 7-20-88 roject Mt. View Estates Reviewed By Date As required in the Zoning Regulations, no certificate-of-occupancy shall be issued until grading plans have been complied with and approved Oy the Town gngineer. The minimum requirements shall i4cude s ' Approved Denied N/A 1. Approved building permit plan. °YOOOO-" 2 . Finish grading per approved ��-`I• building permit plan. voo'�4rh}- sige 3 . Site work; i .e. trees, shrubs, dumpstE required parking y 4 . Utility location e tevr, a. sanitary sewer b. foundation drain c. electrical & teleph d. water e. other Appropriate certification l ill l V R R +iO E. Fi�ltlfP>aA i� ASSOCIATES bVIL EUGWtER$ a LAND SURVEYORS GLASTONBURY, CONK • R e 4A tk9'� W + t � .y co i i t r °t'`i` _ a 741 • ,' rA - An- LOT `Qpttt' t • "y � iiy� PREPARED FOR DART HILL REA-LTY INC • 6 • G r p : ��► . . CiMRKT SOhTM WINDSOR, CONN. GALE ; 1" 40' ..ti• �. r �* "'�, ?: �N ,� Sty 1N3w18bd30 ON101in9 aosPUIM ujnoS 9961 0 Z 111 r. TO THE BUR'iNv )tt'T, TOWN rc ,R tv � Thiscer-t, •,r ,•.e Copies of ,;e 1 tie erected . i lab A i sus FROn K, gyp, t08ethe•r ., - - ,��•, filed Bufldi be issue, lcy of thi, .:ing perm i t Signs c this ord Col. .,• Cond,t Bullamg .i, I. a.� IFI'fi Date _ �• , •D� A P P R O V E D TOWN OF SOuT,H WINDSOR ENGINEERING DEPARTMENT DATE: SIG.: CERTIFICATE OF OCCUPANCY CHECK LIST 1 !_ Applicant Certificate of Occupancy Address Bldg. Permit No. Lot No. Date Submitted Project Reviewed By Date As required in the Zoning Regulations, no certificate-of-occupancy shall be issued until grading plans have been complied with and approved by the Town Engineer. The minimum requirements shall inlcude: Approved Denied N/A 1. Approved building permit plan. 2 . Finish grading per approved building permit plan. 3 . Site work; i.e.(_trees,�)shrubs, dumpsters required parking 4 4 . Utility location a. sanitary sewer b. foundation drain c. electrical & telephone • d. water e. other 5 . Appropriate certification 6 . Bonding 04 JSO 'r(4 2 Sewer Permit No. Pavement Excay . No . COMMENTS : UJ1(� cW1 ,f�,11 r1 pA eV. II ii ` t.:J W(JetA (?,t42CA6A,"6A_-I I � �- �Q - �L i�� S� � �� f?�.�-�n ° cam. t'� �"� `"� � �� S � � �� /c c ELEOTRICAL APPLICATON Application No. on the A&�E �p T- /,-3 7-5)S Ky rwOft IK Stem Street No. / l Owner ��t� '�' 1'-�► 1 l t��2,T`�. �v.�C. Elcaricisn r`• G�`� RD �R�R T� FILED IN OFFICE OF The Building Impeaw a&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 ere stops (it of wood) are installed, without a special permit from the office of the Building Inspector. mectrical Permit Na Master License No. TOWN OF SOUTH WINDSOR Building Permit No. L Ll 0:3 BUILDING DEPARTMENT Date Filed ------- Date Final Approval APPLICATION FOR ELECTRICAL WORK Electrical Inspector MR I.P�ATION: kc-7 IR WNER: ................ LEI JL ........................ B -.1 We e n .......... ................................. and \,421A .... Side of .. ......*- . - Name of Building Owner --cc:1 Address ............... If work is for Lessee—Give name ......................... ...... . ..........- Address Building now occupied as ( ess n ....... No. of family units now Building to be occupied as .........-- Number of family units to be Is this work included in a Building Permit? Permit Fee (If no Soildim Permit Business Address ,h,,(c PermitZee:KU ........... _Y7-3) COST OF INSTALLATION: .............. . 0C) 66...... ... TO BE FILLED OUT BY PERMIT TEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed ...4i Number of present Appliance Circuits Number of c nvenience outlets to be installed ......... .. ........ Number of switches to be installed Do these include Rance C3 Water Heater ❑ Number of appliances to be installed (as listed below) Dryer C3 Air Conditioner [3 Oil Burner ❑ TYPE RATING NO. . . . . . . . . Dish Washer C3 Gas Burner ❑ Range Well Pump [3 Elec. Heaters ❑ Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater . . W C, PN e Clothes Washer . . . . Clothes Dryer . . . . . 2 Dish Washer . . . . . . Air Conditioning Motor Oil Burner Motor . . . . Gas Burner . . . . . . Circulator M for . . . . Attic or Large Pan Well Pump . . . . . . Electric Heat Other . . . . . . . . I Number of new Lighting Circuits Number of new Appliance Circuits . . . Number f Heating Circuits . . 0 0 0 0 Number of M t r Circuits . . . . . . . Size i present service .4 N--- A Size of service to be PLUMBING APPI.K'.ATm Appl mfo.Noy. 2 0- an _...._.._..._. :�.� _ C . 1 .... Ai t �' street No. 1 L zinc, pig -n�'�LL /-P is Ned in Oficr,of The Builtog IMPOMC No pmwn AA aoaounct, add to w obw ay portion of the drsioar yao= of aq bou" (ezoept to repair ia6) unit s Be r 1h is wxmd by the Building Lnpu*w. +r t APPLICATION FOR PLUMBING' PERMIT (Continu d from R verse Side) TOWN OF SOOT" 'i 14050h, COCIE,i. 11. LOCATION OF JOB iU) l2i�� n 4<( i NO. TR ET FL OR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION 0h13. SIZE OF MAIN GRAIN 14. NO. OF TOILETS STYLE OrA14 1. 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS _17.NO.OF LAVATORIES 18. NO.OF SINKS 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS _SIZE 22. AREA OF ROOF 23.N0. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND 14 6-f-P 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOW 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? �n 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? PANE "T INa 6"ENFWM ST. SIGNATURE ADDRESS P.O. BOX 233 ENFIELD, CT 015082 LICENSE NO. C4�( JJ S <Y/ ESTIMATED COST TELEPHONE D14s-c/V!2j_ � _--OWNER ADDRESS WATER HEATER 31. TYPE c�?C-�LIZ 32. MANUFACTURER TANK SAFETY DEVICES 33. CAPACITY 37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE_ 38. MANUFACTURER_ 35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE 36. TYPE 40. MANUFACTURER ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. C0962 DATE SIGNATURE OF APPLICANT . Applicad a F r 3 4i DEPARTMENT DECISION e7) fro Permit AnucAnoM 0 MEMY: VG pBPARTM6�PfT O� I.N. AND ®CI'IQW [] APreovu ❑oliAlMO�rE� .� 41 TOWN OF SOUTH WINDSOR oQ � - W M1t cow IMSCTN Mt a now La Ow rum A �. Lp gem L AI �j Al (A)ill J20V 4.MM&�b � S. 'S INC W ENRUP Tj I• �. n000E�o P.O. BOX 233 g �.'MONs .� .. wcEMOE Na A. am"" "19 a ucE .S it' Mt. a�nMAm cost • �. 0 a TM A coMlwa comet wvu is. M MMlem f A. Im NNLMMIMt 0 ❑ ++ v ❑ 0wsTM� 04. tvr[o►joo: APPLICATION FOR HEA G P c Revem TIT t. LACATaM of XIS o ASTRW Is TVs OF INSTALLATION: 0 OIL BURNER 0 mucTRIc [3 nMTILATIOM El wmmm ® as Imii in STACK ❑ IMCINSSATOR 0 RlscauN sm OF � �* 13. OF TANK 1 R.T.U. EQUIP. AT REGISTER RNACE MAKE AND N0. �� AT SONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. R.T.U.OR SQ. FT. NET—_B.T.U. OR SQ. FT.GROss__FIRING RATE FLOORS TO RE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. I LT.UJSQ. 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. SQ. FT. OR R.T.U. OOC'RIlTIOM OR WORK 1:. 70 BG 1e. MRAT LOU SCHCOULL (TO BE INCLUDED FOR ALL JOB$): woloom �.T.it �.T.Y. < p1iTA1WT10N INSTALLtD stem liar. ANG A �� RtR VOL1 TOT&` TQRAL ' i J 11pNTSN tie" Msl• S`Ar iST aN.IM A�� OY.R. T�� t` T�►"AND Mar. A~ ON 68AO ii AilO wAL� faw%TJ i g N. VT. POM ANSA ass •A r LS TA A. HEAT LOSS FROM BUILDING - LT.UJNL W DOMESTIC NOT WATER DEMAND B.T.UJHL C. PIPING.OTHER THAN NORMAL LT.UJHL ALLOWANCE FOR NEAT VALVE OF FUEL (A B C) FACTOR 17. DMIXICAL W RK BY. A�sssss Iws SIIBCONTRACTON AND Is. TMEIR TRADES ALL WORK COVERED BY THIS APPUCATIONI HAS BEEN AUTHORIZED BY THE(OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE PLICATION TO BE COMPLETELY FILLED IN. I � � - - - - - ---------- H L w H L w H L w 2 Room Dimensions, Ft. 2 H w H w 3 Length Exposed wells, Ft. BTU/HR BTU/HR Z BTU/HR BTU/HR BTU/HR ROOM 4 Gr of well Area, Sq. Ft. ,3 REQUIRED REQUIRED REQUIRED REQUIRED REQUIRED TOTALS wwmwn� FROM LINE 11 Glass Ara $ Ft. Op <m CTb . CTU b Not well Area, S . Ft. O �.3 �U 7 Collins Ar , Sq. Ft* O " �- �- e Floor Area S . Ff, t Re m V lama For U. ........................ j'f �J / ......... Q... Infiltratl n f.'D Z' ... l...f*. !' 1.. Z.,[ ............. ... ...0 .... ........... Cu. f t. � ...... .............. _sees D 10 Total BTU/MR At 70F Temp. Dlffororice • o O o2--_��0 �c� .7 O E it Total BTU/MR At Design Tomp, Difforenc• C3v .7 —�j 12 Host Distributing Units .f C Q COL, A COL. G COL. H COL. i COLS J COL, K i R m H H L w H L w H L w H L w H L w 2 R• m Dimensions, Ft, O O 1 2 Length Exposed walls, Ft. BTU/HV p BTU/HR 'BTU/HR BTU/HR BTU/H d Grass w 11 Area, Sq. Ft, REQUIRE .3`�p REQUIRED REQUIRED REQUIRED REQUIRED S Glass Ara S Ft. ()-Tj f �V 6 N t well Ar a, S,. F t. N �- 8' U7� K 7 Calling At a. S . Ft* a 0 O t orU 6b • floor Area, _q. Ft, t ►- / t Ite►nf Volume For �. .. .l .. ...,, . ..r( .. .0. U d Totol U/HB Infiltration � sees ..� ... ........ sees.. ... .. ... ... .. , BT Cu* t. ................ .............. ..�,7. .v�.7 feu n Tempo at • .�..... ..'�.. Oosl w Tsar*. sees .. .. sees .. .. .. . .. . sees . 10 Total •TU/HR of 70F Tomp. Difference • 011/craws s o 1 2- a a 11 Totel BTU/HR at Deslgri Tomp, Differonc• oD 12 How Dlstelbuting Units a Iwsrass •athreom Total 20% ' This heat less calculation and estimate shoat Is for the use of hooting contractors end wholesalers. woll•McLain Co. assumes no responsibility for the design or ♦ftor"*stet*floor ON #round or fill at grade level, use linear foot of exposed edge. operation of the hosting system based on the calculation•contalned-on this sheet• For Al o4or floors,ao*aquota Iset 01 ores. �Ut-. LUL a COL COL, D COL. E COL. F 1 RNm H I L W H L W H L W H L W H L w 2 Re m Dimensions, Ft. Y r q K 1Z. S Length Expes d Wells, Ft, 3 BTU/HR BTU/HR BTU/HR BTU/HR BTU/HR ROOM 4 Gr so well Area, Sq. Ft. REQUIRED oJ6 E REQUIRED REQUIRED REQUIRED REQUIRED TOTALS Glass Area, Sq. Ft. H&o 6V FROM LINE 11 6 Not Well Area, S . Ft. p aU Z a V B N Coiling Ar a, Sq, Ft. m0 (� �U �j Floor Area i . Fts t pP gg C S Room V lume For u. ......�. f.$.... o .... .f�........ Infiltration 10 T tol BTU/HR At 70F Temp. Difforerice e d Q g—pzj E 11 Total BTU/HR At Design Temp. Difference 12 Heat Distributing Units IL Ir d COL. A COL, G COL, H COL. 1 COL. J CO . K 1 R w H H L W _ H L W H L W H L W H L W 2 Re m Dimensions. Ft. 1 3 Length Exposed Wells, Ft. BTU/HR BTU/HR 'BTU/HR BTU/HR BTU/HR I Or on Well Area, Sq. Ft, REQUIRED REQUIRED REQUIRED REQUIRED REQUIRED S Gloss Area Sq. Ft. 6 N t Well Area, Sq. Ft. H K 7 Coiling At e, S . Ft. o • Flew Area, S . F t. t �- u - 0 Room V Igoe For < Total BTU/HR Iwfiltrstiea U. .................. .................... .................... ... ......... _., f Building Ca.ft. .................. ................. ................. .................. ................». ....»........... ..................»... 0.B re Tar s O I Irlsrew s 10 T tal BTU/HR at 70F Temp. Difference e 11 Total BTU/HR at Doolgn'Temp. Difference 12 Heat Distributing Units ' Inarooso Bathroom Total 20% • This heat loss calculation and estimate shoot Is for the wee of hosting contractors and wholesalers. Well-McLain Co. assumes no responsibility for the design or tire#sows/ate FIN#on ground or fill at grade level, use Ilneor feet of exposed edges operation of the heating system'hosed on the calculations contained-on thli shoot. •• Pet. 11 tlror floors,we* sure feet of area. DATE APPLICATION-FOR HVAC PERMIT TOWN OF SOUTH WINDSOR m' cm' FOR OFFICE USE ONLY 1540 SULLIVAN AVENUE (NO* SOUTH WINDSOR, CT�.0 6 0 7 4 � -� BLDG. PERMIT NO. _ $ 0 -$1000 - $10.;00 644—2511.-£XT.230 $1000 or fraction LOCATION OF BUILD I thereof - $10.00 C- k:�*?BUM ' P80NE NO. ADDRESS TOWN Lf PxoNE No. BVAC CO!T CTOR ADD=3. TOWN TlPE OF SYSTEM: HEATING TYPE OF Bumnas R rr F-1 TIAL A/C CD' vEN�rn m- BVSz�ss IF 8E►TIZIGs STEAK... PRESSURE LZIQT=!• RIGB PRSSMM LIlQ?=• gTDRONZ= i�TAAK AIS__ UNIT RIANT HEATER(INCLUDING WOOD/COAL BUNG STOVE)__ AD Tug 07 Ft L: OIL-GPK CAS IN-PUT *..LECTRIC EW_ WOOD COAL �-. OIL TAN[ - SIZE 6 LOCATION: INS � OWSIDL__ CAPACI'1'!�_ LpG TAM — CAPACITY_, MOM RADIATIgU� TOTAL ESZSTzxc RADIANT - OUTSZDE F INSIDE F D T DESIGN TEMP. (BEAT LOSS S$EET I�TST ACCOMPANY A!lLICATION TOTAL BFJT LOSS (STUN) DESCRIBE ALL SEATING EQUIPMW (IIQCLUDING MAZE i 1�DEL 1i0.) GROSS SEATING CAPACITY (INPUT-BT08) NET RATngr, (OQlM-BTOB) ° °F IF All DI1`IONII4G: DES-10 ;Mg. OUTSIDE__�F IM IDE F TOTAL HEAT GJ1TN (BEAT GA S im m MUST ACCM0MT 9M- ICATION) DESCRIBE ALL COOLING EQUIPMENT (mCLUDI g MAZE i MODEL NO.): TONNAGE COOLING CAPACITY(STUB) IF ��M: DES CRIBE ALL AIR-HJlNDLING �� (INCLt1DZNG ZI1'G1� E7O�AUST � ) TOTAL SIZE OF SYSTEM (CFM) FM AM INTAKE (CFi� (nm MmT AccmeAM1 APPLICATION) undersigned hereby applies for permit to perform the follcuin= VO* and is t The v all local ordinances aad State of Coon. Building Cod's in the pes rmaac comply with Of such work. FURTBER DESCRIPTION OF WORE: TATE LICE1lSE-NAME 6 TYPE DATE SI(:1ATURE 0 APPLICANT DATE j� 1 j {j I=B=R CALCULATION SHEET 1603 (Modern Method) Cepyrlght 1977 by The H'ydronks institute OWNER ADI3RESS DESIGN TEMPERATURE DIFFERENCE-F. DATE COL.A COL.B COL.C COL.D COL.E COL.F COL.o 1 ROOM 9; O; H L W N L W H L W H L W H L W Design Water Temp. F, 21 ROOM DIMENSIONS,FT. U: BTUH per Feet of <il RNIat1eN1 SelesMd 3 LENGTH EXPOSED WALLS,FT. 41 WINDOW AND OUTSIDE DOOR AREA I BTUH BTUH BTUH BTUH STUN S WALL CONSTRUCTION ROOM LIN.FT.OF ITab1e 9,Line 3 x H) TOTALS RADIATION FROM LINE 12 SELECTED 6 TYPE OF GLASS (Bottom of table used for Lone 5) 7 CEILING CONSTRUCTION C (Table 9.L x W) D / FLOOR CONSTRUCTIONt ;� E (Table 9.L x W or Lint FL) 9 COLO PARTITION CONSTRUCTION F ITable 9.L x H) G 10 r 1 Wall IWIth Openings) O Q H • 2 Walls(With Openings) x;�J 1 3 3 Walls(With Openings)or Ent.Hall n- 11 TOTAL BTUH AT 70F TEMP.DIFFERENCE* K 1121 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE L COL.A COL.B COL.H COL.1 COL.J COL.K COL.L TOTAL BTUH TOTAL OF BUILDING RADIATION 1 ROOM ` AT SELECTED O: H L W M L W H L W H L W H L W DESIGN TEMP.• DIFFERENCE H' 2 ROOM DIMENSIONS.FT. U 3 LENGTH E XPOSED WALLS,FT. < 4 WINDOW ANO OUTSIDE DOOR AREA BTUH BTUH BTUH BTU" BTUH •INCREASE BATHROOM WWALL CONSTRUCTION TOTAL 20% ITable 9,Line 3 x HI 6 TYPE OF GLASS 1 IBottom of table used for Llne 61 ?FOR CONCRETE FLOOR ON 7 CEILING CONSTRUCTION GROUND OR FILL AT (Table 9.L x WI GRADE LEVEL,USE LINEAR FEET OF EXPOSED EDGE B FLOOR CONSTRUCTION? ITable 9.L x W or Lin.FL) 9 COLD PARTITION CONSTRUCTION (Table 9.L a H) 10 1 Well(With Openings) s F t 1 i o; 2 Well*tWith Openings) $x _ J >s 3 Wails IWhh Openings) r Ent HMI p. 11 T TAL BTUH AT 70F TEMP.DIFFERENCE' 12 T TAL BTUH AT DESIGN TEMP.DIFFERENCE FORM 1503 This form is wagable from Th Hydroniss Inaitute.36 Russo Flom Berkeley Heights,N.J.07922 INSPECTION REPORT woozy �wsee� Permit # -?46Y Job�6� JgTSJ��1 _F Q'1_ 1 Footings 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 Heatinh I/ 7 Lathing 8 C.O. I � 1 i t i Pursuant to Permit No. 7664 1 This Certifies that the Wood/Coal Stove installation for which the above named Permit was granted has been duly inspected and is hereby approved. a Owner Adam Swierbutowic z Street 161 Natsisky Farm Road Ja nuarr2 0 Building sector