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1117 Main Street
Application No. 5881 Permit No. 5611 ...... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. . ... hereby make application for a permit to 4*reet (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., ,t_�e.Ad..................................... 19. ��, signlure ................���......................................... ...................._........... Address &/7...... �. .1:..- ...... Location? 111'' .... 924..01(......� .......-..........e- SIside of?/.224..iz-.7.... ................................................................................ Nearest cross street? .....................................................................................Street No. .. ............... ............................... Lot No. .............. ............... . Owner of land is? ��sr.nil► .... ......ae.L1� axio4flAddress ..... G.. ..�. ?a. nr...... Ownerof building is? ... . ....... ............................................................Address .. ................................................................................................. ..... Architectis? .. . .. .............. .. .................................................... ......................Address ............................................................................................................... Builderis? k...................................Addrm .................................................................... ........... Dimensions of building?Ae!54A J.'.... Feet front? .40. Feet rear? ................ .......... Feet dap? ....... .. . �extreme height to highest point of roof? ... ................ .. No. of stories in height?,--.100 . . . • Purpose of building is? .0 Q. .. ..No. of stores? Howmany families? ............................................__.._...................................No. of rooms? .... .............................................................................................. Distance from street line is? ... ...../.Z.4.9........ a from building line is? ...... ..o .......,��..................... ......... ADDITIONS AND ALTERATIONS (Gve Brief Description) C\. QS1Je..........C.�4. .s,':�.. ... ........ �?. r�... .m..3. eat- 4.6 9�cti"�.t�S. .......... .. ......�ca.ai..n O.C,.a ...!../..t�; ;!ja ......'" .. .. �/............. ...�7 i_�g 4 7 i9/,6. ................. �........... . .1..........7......................................................................................................... ....... .................................................................. 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? . ... .......... ..................... Roofconstruction is? ......................................................................................Roof covering is? . .......... . ................ ...................... ...... The floors are of .............................................. ........... construction and are calculated to carry a safe load of ... .. ..... N. per square foot. (See Section 14, Budding By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? ... ................... ................. .... ..................................................... ................ ............. .............. Compositionof mortar? . ................................................................................................................................................................... ............ ........................ Height and Thickness of Walls Heltht stories Front Waft Side walls Rear Walls Part;ltlon Walls Basement, ................................................................................................................................................................................................................................................................................. ........ 1st story ..............................................................._""..................................................................................... ................................................................................................................................................. ..... 2nd " ..................................I........................................................................................................................................................ .................................................................... ....................... 3rd " .........................................................................................................................................................................................................'..'................................... .............................................................. 4th Is .........................................................................................................................................I...................................................................................................... .......... .. ..... .........I.......... 5th 11 ................................................ ...................................................................I................................................................................................. ............................................................................... 6th '6 ...................................................................................................................................................... ....................................................................................................................................................... 7th A 6 ............................... .... ............................................................................................................................ . ... ............... ....................................................................................................... 8th 64 ........................................ .........................................................I....................................................................... . .................................... ... ........................................................................ 9th dd ............................................................................................. ..................... .............. ............. ...... .................. ....................... .................. .... ........................ I 10th I I Material.of Front? ...... If stone, what kind? Thickness of Ashlar? .......... ..... .....Thickness of Backing? . .............. Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GIBDFBS COLUMNS Floors Size Longest Span Centres Erldging Rise Longest span Centres size Lengai Centres 1st Floor — a.....,..... .... .................... ........ .»........................... _.........._.. .........». .........»_ ..........»�.... ....,....... .................. .................................. ..................... ............ ...»......»................ _............. ......... ........_...... 4 ....t�.... .......... ................................. ..................... ........_... ._...._...._...»........._ ............. _....... _._...._... .....».......».. Size of outside studs? ...aC�. X''�........................ Distance on centres? ......A4................................ Size of sill? ....... ...................... Size f rafters? a-X1..................... Distance on centres?................/A......................... Size of plate? .........YXY............................. Size of ledgers or girls? ........... ,�i....................................................Size of deck rafters? ............� ............................................. ............... Distance on centres? ...................V ...........................................................Size of studs in bearing partitions? .../11`127.................................. - k*-- s��l rn G� �d: G,z 36. MISCELLANEOUS Style of roof, flat,.pitch, Mansard, or hipped? .......pi--k ..................................... Fireplaces? ....� ,. r .................... Material of roof covering? '. t .f.De...Material of Cornice? ..,�a...................................................................... How is building heated? ....... z -............................................Lining of flues? ... .......- ;L- ......................................................... Thickness of shell of flues? ......... ...................................Any elevators or lifts? .......... .................................... ...................... y . Any hoiS;' y". ...I.................... What kind? ........ 4'................................. How many? ........-r!y 9 .. ..... ........................ ............................... How protected? .....�.... .......................................................... ............ ...Total Value of Building ..../... n.................................................. Whenwill work be commenced? ... 1Y............................................................................................................................................. 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. c-11 o �— Applicant 5611 BUILDING APPLICATION Application No. -5-8-8-1....................................................... ... .......... West onthe ................................................................................ side of .. ................. .Main....S.t.... . .............................. Street. .............. 1117 Street No, . ............... . .... .............. ............................ Donald Bancrof t Owner ......... ... .. .... ........ .............................................. Applicant ........ . Same. . ...... .......... . CLASSIFICATION Addition to existing garage .... .... .. . .... ......... .................... 221x261 . ............. ......... . .. ........ ... .. .................. . . .................... .. ..... . ... ... .................................. Permit issued on above Application. 4-13-66 Date, .. ... ........ 19.......... v TOWN OF SOUTH WINDSOR BUILDING PERMIT Date April 13, 19 66 I 1 . 0 ,000 � Fee Paid �$. .�-. .0 E. st. Value $1 Permit N® 5611 n f e Z f on the West side of Main St. Street Street No. 1117 f Owner Donald Bancroft Applicant Same t CERTIFICATE OF OCCUPANCY ISSUED: ` Date R S 4 No. Fee Paid $ CLASSIFICATION Addition to existing garage 22 S X261 0 BUILDING PERMIT N? 5611 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. April 13, 19 66 T4t'o to to Tertifil.9 That DOngld San©rOf t is hereby granted permission to Additimi t7 existing YBrage 221x26I Side Lft,�! Variance Granted APtaeRI #`519 4--"1-66 at estimated value of $ on the We y t side of MR i n St: -&1i i 17 Street on land owned by I,1neld Bancroft Said Work to be as described in Application No. 5881 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Iss, 4"13—6 f,, --7,4 x 19 F 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." f i PERMIT # 0i Application For 3309 DEPARTMENT DECISION 353o Heatmg Permit o 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N APPROVED ❑ DISAPPROVED .� °' TOWN OF SOUTH WINDSOR Cd 0 12-14-66 - 00 O DATE CH INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W O f o a) 1. LOCATION OF JOB l ;,4 r" Cd 0 NO. STREET CdCd u ls7 W LOT NO. FLOOR APT. NO. j O O lV O q 2. OWNER Cd Cd O b�0 0 8. ADDRESS 1 C Fi 4.PHONE Cd ( s. APPLICANT,—Cd o w .� Is. ADDRESS a� `d ce O ,z 7.PHONE w O B. LICENSE N0. 4-1 f o 44'.4 19. EXPIRATION DATE OF LICENSE lG' L'l v 10. ESTIMATED COST m aq 11. IS THIS A CONTRACT COST? bp YES ❑ NO 12. FEE ENCLOSED s y � E � k Cn 13. TYPE OF BUILDING: bi O 10 RESIDENTIAL ❑ COMMERCIAL� LYJ c 3 14. TYPE OF JOB: ❑ INDUSTRIAL 07'-� �-i RIGINAL IG1 ALTERATION s INSTALLATION IC`J ADDITION I REPAIR APPLICATION FOR HEATING PERMIT (Continued from Reverse Side) 11. LOCATION OF JOBNO. STREET FLOOR APT. N 12. TYPE OF INSTALLATION: ® OIL BURNER 21 HEATING SYSTEM ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE LOCATION -,1 SIZE SIZE 13. OF TANK OF TANK /)sit S��/.�)f�/t,'� OF FILL OF VENT / 14. B.T.U. EQUIP. AT REGISTER // FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND N0.11IP y✓�-�nB.T.U. OR SQ. FT. NETS C00 B.T.U. OR SQ. FT. GROSS FIRING RATE l C'n FLOORS TO BE HEATED NEW OR OLD BUILDING Cl_-e-9C-— INSULATED — YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. / B.T.U./SQ. FT./HR. EMISSION ) cl INDOOR-OUTDOOR TEMPERATURE DIFFERENCE L-fp °FAHRENHEIT MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. .ti FT. OR B.T.U. & - DESCRIPTION OF WORK 15. TO BE DONE• 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U. EO`� DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL u1 LL ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j 4 REGISTER L W N AND Ir TEMP. TO f f TYPE AND SIZE RAD. OR LEADER SIZH < WALL FJyt .�L, / (INFILT.) DIFF. •F O c SQ. FT. FREE AREA ,7z �4 lye 000 4bi� TOTALS A. HEAT LOSS FROM BUILDING 'S17 2- 0� B.T.U./HR. B. DOMESTIC HOT WATER DEMAND ���:�� B.T.U./HR. C. PIPING. OTHER THAN NORMAL / S G C-' ( B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A —B C-) FACTOR L•c f C}<<� 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND 18. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. DATE SIGNATtIRIF OF APPLICANT t 1? \1'�c�� r.�f'• i )70 i i i , f � d 1 � Q i v ; _w t i Application No. 6913. Permit No. 6613 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 thr ugh 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., ... ...... ..................... 1 .�. Sign h ............... .. ...��...... �,� . Address ��T................ .......... ..... .... Location? ......... ............................................. ................side of? .................................................................................................................... f Nearest cross street? ................................... .............Street No. . . . ......... ............................. Lot No. .. ....... ............ . Ownerof land is ... ...... Address ... ........................ .......................................................... .. ........... ...... ..r. ... ... ..✓..' .......Owner of building is9,Di o �4--AK?!��.Ig.T;kddress ` 7 � . ... .o.. �`� �....f 5.,�..c... Architectis? .. .............. . ................................................... ......................Address ............................................................................ ................................... Builderis? ..........................................................................._.............................Address ...................................................................................................... ........... Dimensions of building? ...... . .. . ........... Feet front? ............. .... .. Feet rear? ............ .......... Feet deep? .... . Extreme height to highest point of roof? .............. .... ................. ... ... . . . No. of stories in height?.... ...... Purposeof building is? ............... ...........................................................No. of stores? ......................... .................................... .................................. Howmany families? .................................................._.............,......_...-No. of rooms? .... .............................. ............................................................ Distance from street line is? .. .... ..... .................................... .....from building fine is? ...... ................. .. ............................... ....... ADDITIONS AND ALTERATIONS (Gve Brief Description) .. .. . �...�............... . ........ ....... J ... ........ ... !1 .. ............................................... ................. . .... ................................................................................................................................................................................. ............................................................... 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 Height Stories Front Walls Side Walls Rear Walls Partition Walls Basement, ..........................................._............................................................ .........._..........................-................_................................................................................................................_......... ....... 1st Story ............................. .. .............._.... ................................... .................,..................................................................................................................... .................... ........ ................................ .... 2nd " ..........................................._......._........._....................................................................................................................... .......... ................................................. 3rd " ............................................_... .......................I......................................................................... ......................................... ,........................ ....... .......... .. ........ ....... ..... .... . .. . 4t'h ....................... ......................................................................... ....................................... ......,........................................_............................... ............... ...... ......... . ........ . ........ ... . 5th " 6th " ... ................. ............ ....._.................._.................................... .............................. ............1........._................................................ . .......................................................................... 7th " _......................._..... ........ .......................................... ................ ............. ....I...................... I............ ..... ..... ..... ..... ............................... ......... ............................................... 8th do .................................................................................... ............................................... ..........., . ...... . ....... . ................ ... ................. ..................... 9th do ...... 10th " 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 Bridging Size Longest Span Centres Size Length Centres 1st Floor ......,........ .............. .................................. ........._.. ...._........................................................ ............_. ...................... ._................. 3rd.....��..... .............. .................................. ..................... ............... ........................................................ ..............._. ...................... .4th.... ..... ........... _................... _......... _................_.............. ..._... _..M...._.. _................_. Size of outside studs? ................. .... ............ Distance on centres? .................... Size of sill? Size of rafters? .. .. . .............. . Distance on centres?........ .................. Size of plate? Sizeof 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? . ......Materia of Cornice? ............... ..................................................................... How is building heated? . .. .. ..Lining of flues? . .......... . .............. Thickness of shell of flues? .. ......... ....................... ........................Any elevators or lifts? ..................... .............................. ...................... What kind? . ........ . ...... How many? ... . .. Any hoistwa 3. ............. . .....�.......... . How protected? . . ........ ............ ................... ................Total Value of Building .../r.47.�.C..'................................. Whenwill 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. r Applicant 6613 BUILDING APPLICATION Application No. .........4913................................................. onthe ..........wa-s-t..................................................... side of Main St 0 ............. ....................... . .. .. . .............. Street. Street No, 1117. . . .... . ... .... ... . .......... Owner ..D.onal.d... B.an.crof t. ........... Applicant . Horace CLASSIFICATION Install aluminum siding 3n West ...... ... ..... ........... ................... side of house. ......... ...... ............... . . .. .. .. . ......... .......... Permit issued on above Application. Date, .1-.2.1-69 ....... I TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Jan,Zl, 19 69 Fee Paid s.4,00 Est. Value ©00 Permit N? 6 613 on the we at side of Main St• Street � Street No. 1117 Owner Donald Bancrof t Applicant Horace A.T e traul t CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Install aluminum siding on west side of house, and ground to code. BUILDING PERMIT N° 6613 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Jan"2 v 19 b9 M4is is to Terfif1j, That Iloraae A.Tbtrsult is hereby granted permission to Install eluminu�r& siding on west *id® of house and ground to cods. at estimated value of y$ 1 0 000 on the we at side of Main St• #1117 Street on land owned by Donald Bancroft Said Work to be as described in Application No. 6913 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued< Jan 21� '=�9 69 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." FINAL INSPECTIONS:Buildingr- APPLICATION FOR BUILDING PERMIT Plumbing HVAC Date: `�� Sprinkler 1117MAIN STREET Electric Estimated Cost $ Zoning Permit Fee$ Affidavit NO. 19165 Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS. Fire Dept. TYPE OR PRINT ONLY Total Fee $ H alth D Pt. SIGN ON REVERSE SIDE. Approved for CO: (Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location -7 Lot No. Side of Street Zone Applicant ��- 'j x i ^� Tel # 61 Address f S 3 u Zip Lic.# STREET CITY STATE Owner c�Ic:.�. 120 /ea Address,c�,� Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line Dist. from Side Street Line Purpose of this Permit &� -r�}'_ City Water ❑ Well ❑ Septic ❑ Sewer ❑ Approved by MontDate S-2--91 BD1A 11/88 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located th proper distanc from all street lin s,sid yard lin s nd required distanc s from all oth r zon s and is located in a zone in which this building and its use is allowed. Signed 1 hereby apply for a Certificate of Occupancy for the work described in pplication for permit. Signed —DO NOT WRITE BELOW THIS LINE— Footing INSPECTION RECORD Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 1117 MAIN STREET HVAC # Date: Sprinkler# No. 22778 FINAL APPROVALEstimated Cost $ Building `/i1 COMPLETE RED BOXED AREAS Permit Fee $ Engineerin TYPE OR PRINT ONLY Occupancy Fee $ Affidav' SIGN ON REVERSE SIDE Total Fee $ / Appr.for CO. MMEEMMa TO BUILDING DEPARTMENT,TOWN OF SOUTH WWSOR,CT (Additional Cost) 3 Th undersigned hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant.5' 1S llF cT t Tel. # g l- Address 41,10 Zip OAQ Z44 Lic.# 7gROPIR7 Owner 11AW Address �� �7 7 Architect Address Sq. Ft. N w Area: 1st Fl. 2nd FI. 3rd FI. Total New Area #Rooms # Lavatories #Bathrooms #Garages Purpose of this permit: l6#7 SIDE- e), City Water 2 Well [I Septic System ❑ Sewer Use Group Construction Type k7ZV I'- Area / Bas m nt Garage Approved by Date 1 W Reused 6/95 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration ' e p ns or specifications of the Building for which this permit is asked, and agree that this budding is to be ated the op di a e from a treet lines, side yard lines and required distances from all other zones and is located in a one ' is thi ui its is allowed. \Signed 1 hereby apply for a Certificate of Occupancy for the work described in this application for the permit Signed -- DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS PERMIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT r� Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE / 6 644-2511 Ext . 230 ate ding Inspector Application must be printed or typed 1 . LOCATION OF JOB FEE $CIIEDULE No . Street $ 0 - $19000 - $10.00 Floor Apt . No. Over $1,000 - $10.00 per $1 ,000 or 2 . 0 WN E R zzx14y—,,g0 fraction thereof 4. APPLICANT 5 . ADDRESS f �T 6. ESTIMATED COST $ �♦ 7 . IS THIS A CONTRACT COST Yee No 8. FEE ENCLOSED $ za 9 . TYPE - OF BUILDING: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB : Original Installation alteration/Addition/Repair R0 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB ///NO. STREET APT. NO , 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER 00�2 14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS 16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS 18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS 20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22 . NO . OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS Z 26 . NO . OF PANELS 27 . TOTAL WATTAGE 28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS 32 . NO . OF FIXTURES 33. TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : r �a r � I LICENSE NO. SIGNATURE OF APPLICANT TE PHONE NUMBER: 4!?Z /�S'L) INSPECVOR � DATE DZ � TIME P/vt LOCATION � INSPECTION: CODE: RESULT D/A : BUILDING: ELECTRICAL: C� PLUMBING: HVAC: OTHER: FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: -. �S. j .' (NO. ) TOWN OF SOUTH WINDSOR EST.COST: BLDG. PERMIT NO. jv� 1540 SULLIVAN AVENUE FEE ,00 SOUTH WINDSOR, CT 06074 FEES: 644-2511 — Ext. 230 $ 0 — $19000 — $10.00 $1000 or fraction LOCATION OF BUILDING 7 thereof — $10.00 Djbnja/cl 105�ic4fl- /J '-) _ 6,�F�Y- OWNER ADDRESS TOWN PHONE NO. /4,b// d.1<`� �j c pe) 3' �&V HVAC CONTRACTOR ADDRESS TOWN PHONE NO. TYPE OF SYSTEM: HEATING / TYPE OF BUILDING: RESIDENTIAL A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC 1/ WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL—GPM /S o 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) d (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQU.;PMENT (INCLUDING MAKE & MODEL NO.): l- /j, ��,l�,- ( S�_' ts rk p l 8D11 /S'a- r,a-11 �-el- e, GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE F 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: h t,-_ h A mac;` / �) � S - 7 ,�' S'• � STATE LICENSE — NAME & TYPE # DATE SIGNATURE OF APPLICANT y U_ G fiA 7 APPROVED DATE BD 4A 11/88 I - B a R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by Th Hydronics Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL.A COL.B COL.C COL.D COL.E COL.F COL.G 1 ROOM O H L W H L W H L W H L W H L W Design Water Temp. 2 ROOM DIMENSIONS,FT. I-V BTUH per F t of 3 LENGTH EXPOSED WALLS,FT. t Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA IL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION (Table 9,Line 3 x H) ROOM LIN.FT.OF TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED (B ttom of table used for Line 5) 7 CEILING CONSTRUCTION C (Table 9,L x W) g FLOOR CONSTRUCTIONt D (Table 9, L x W r Lin. F t.) E 9 COLD PARTITION CONSTRUCTION F (Table 9,L x H) 10 -C 1 Well(With Openings) O G 2 Wails(With Op nings) e X H D 3 Walls(With Openings) or Ent.Hall J I 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K L COL.A _ _ _ COL.B COL.H COL.1 COL_J COL.K COL.L TOTAL BTUH TOTAL 1 ROOM OF BUILDING RADIATION ¢ AT SELECTED O H L W H I L W H L I W H L W H L W DESIGN TEMP.* 2 ROOM DIMENSIONS, FT f' DIFFERENCE 3 LENGTH EXPOSED WALLS, FT. 4 WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION *INCREASE BATHROOM (Table 9,Llne 3 x H) TOTAL 20% 6 TYPE OF GLASS (B ttom of table used for Line 5) 7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON (Table 9,L x W) GROUND OR FILL AT GRADE LEVEL,USE LINEAR B 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) O =0 c i 2 Walls(With Openings) e X b 3 Wells(With Openings) r Ent. Hall H J t t TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE This form Is available from The Hydronlcs Institute,35 Russo Place,Berkeley Heights,N.J. 07922 FORM 1503