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HomeMy WebLinkAbout1571 Main Street -ti rk _a OTO THE BUMDING INSPFXMI[t aftw APPLICATION FOR TO PLAN EXAMINATION AND OF SOUTHW COl�1�. BUILDING PERMIT z IMPORTANT — Applicant to complete all items�n sections: 1, 11, Ill, IV, and IX. C ZONING A I• AT (LOCATION) j�Z/ - Il�U � ` V '-r DISTRIC LOCATION , (NO.) STREET) OF BETWEEN -�rallljf'LAND BUILDING (CROSS STREET) 61 (CROSS STREET) LOT J06 C04 SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. OPOSED USE - For"Wrecking" most recent use 1 ❑ New bui Iding Re idential 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- - - - -► 3 ❑ Alteration (See 2 above) 20 Industrial 14 ❑ Transient hotel, motel, 21 ❑ parking garage 4❑ Repair, r placement or dormitory - Enter number 57 Wrecking (If multifamily residential, of units ------- - i ❑ Service station, repair gorag enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional 6 ❑ M ving (r location) 17❑ Other - Speci/y 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, oth r ducats nol B. WN E RSHI P 27 ❑ Stores, merconti Is 8 Private(individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29 Other - Specify 9 ❑ Public (Federal, State, or local g v rnmont) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., fo d S' processing plant, machine shop, laundry building at hospital, el mentary 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 ...................... e. Heating, air conditioning......... d. Other( I vator, etc.)............ 11. TOTAL COST OF IMPROVEMENT S 6 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. . PRINCIPAL TYPE OF FRAME G. T E OF SEWAGE DISPOSAL J. DIMENSIONS 3 Masonry (wall bearing) 40 Public or private company 48• Number of stories................ 49. Totals square feet of floor area, 31 W d framl 41 ❑ Private (septic tank, etc.) q all floors, based on exterior 32❑ Structural steel dimensions .................. 33 F7 R inf rced concrete H TYPE OF WATER SUPPLY 1'0 34❑ Other - Specify Public or private company 50. Total land area, sq. ft. ........... C 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ....................... F. PRINCIP L TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 as Will ther be central air 52. Outd rs....................... 36 Oil conditi ving? L. RESIDENTIAL BUILDINGS ONLY />J ,37❑ Electricity 44❑ Y s 45 0 N 53. Number f bedro ms............. 30 ❑ C el "Ov 39❑ Oth r- Specify Will there be an (evatorLNo 54. Number f Full.......... 46❑ Y s 47 bathrooms Ports o I....... IV. IDENTIFICATION — To b comp/et d by all applicants Nam Mailing address — .Number, street, city, and State ZIP code T I No. Owner or Lessee 2. Contractor 3. Architect or Engineer Th own r of Ms buil ing and the undersigned agree to conform to all applicable laws of this jurisdiction. Sig to of p c t Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review R uired Check Plan Review Date Plans By Date Plans By Notes q Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS F Permit or A rova I Check Date Number By Permit or Approval Check Date Number j B•, PP Obtained Obtained BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING i ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER I 11—OTHER VII. VALIDATION Building Permit numberBuilding Permit issued �� 19 Building ) ,q i Permit Fee $ Appr ed by ,�� �� a TITLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Dec. 18 , ig 85 Fee Paid $.3 3 0..0 0 Fit. Value 0 0 0 Permit N° 14849 on the - side of Main Street Street No. 1571 Owner H. D. Lindquist Applicant Richard Lindquist CERTIFICATE OF OCCUPANCY ISSUED: Date No, 7422 Fee Paid $ -i -n n CLASSIFICATION Dwelling i BUMDING PERHM Ni l 14849 OFFICB OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. I South Windsor, Conn. Dec. 18 -5 I I 94is 'to to Crrttf#, That Richard Lindquist is hereby granted permission to Dwelling I at estimated value of $ 5 5• 000 j on the side of 1571 Main Street on land I owned by H_ D_ Lindcuiat I Said work to be as described in Application i No.1%1 44 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. I I ued Dec• 18 198 5 I `e Building Inspector. I 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 I I I I Dw elling 12/18/85 Richard Lindquist/H. D. Lindquist 1571 Main Street Permit #14849 Electrician Gilles LaRochelle # 9053 Heating Contr. Gaeton Grondin # 6375 Plumbing " Gaeton Grondin # 6925 Oil Burner # Certificate of Occupancy #7422 Sewer Permit Plot plans apprd. per Engr. I I Permit No. �/� TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. i I i I Permit t° 1 f i Certificate of Occupancy + I f THIS IS TO CERTIFY I � I at No. r� in the T of South Windsor, Connecticut, has I 11 been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby appr ved f occupancy. f �{ I � ! I ` Building nspector, I wner, Builder I I Fee Paid j Date 19 ! I j I 9053 ELECTRICAL APPLICATION Application No. 10508 on the side of Main Stmt Street No. 1571 Owner Richard/H.D.Lindquist Electrician Gilles LaRochelle FILED IN OFFICE OF The Building Inspector Jan. 14 19 85 INBP11=110N. tw 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 Are stops (if of wood) are installed, without a special permit from the oflice of the Building Inspector. Electrical Permit Nm ... � ..-�. ......�.... .. Master License No. ....j .;- .. .7. .._........._ TOWN OF SOUTH WINDSOR Building Permit No. ......�,?..�.f.�.................... BUILDING DEPARTMENT Date Filed ...... ...`.....�...`'....................... APPLICATION FOR ELECTRICAL WORK Date Final Approval ............................................_..... Electrical Insp ctor OB LOCATION: 1. r I'7 OB OWNER. NM.... .. .....` ......... ... ......................... ... .. ..:...l�c... .. .... ._....._ ..... ..... ...... Side of .............................................................................. Between ................................................................................ and ...... ................. .. �..� Name of Building Owner .......... .............................................................................. Address o........�..� ....5�:.... ...�.... ...... ._ Ifwork is for Lessee--Give name .............................................................. .................................. Address ...._..............................._.............................��..... ......:.?� Building now occupied as (unless new) ....................... ............... .......................................... No. of family units now .............. .... ......... ..... Building to be occupied as .....-i.... .. .................................................................. Number of family units to be .............. ....._........... Is this work included in a Building Permit? .................................... Permit Fee ............................................................................................................................_..... //�� (If no Building P t) Perm `....;i ✓.... r�...... -.. .............. Business Address , ..y. . ......�.. . .. .` ... Tele hon ...=�.............. y� COST OF INSTALLATION: . .�'.` ..... i ..... p .......................... .... . ..... ................................... ....... ... TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed ....... Number of convenience outlets to be installed ..........31-01- Number of present Appliance Circuits ................................................... Number of switches to be installed . . . ..........3 0...... Do these include Range ❑ Water Heater ❑ Number of appliances to be installed . . . ..............& .. (as listed below) Dryer ❑ Air Conditioner ❑ Oil Burner ❑ TYPE RATING NO. / L Dish Washer ❑ Gas Burner ❑ Range Range Top . . . . . Well Pump ❑ Elec. Heaters ❑ Oven . . . . . . . . REMARKS: Water Heater Clothes Washer . . . ,,Z Clothes Dryer . . . . . /C'' Dish Washer . . . . . . Air Conditioning Motor . Oil Burner Motor ' Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan , , , Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . Number of new Lighting Circuits ...._ ...... _. Number of new Appliance Circuits ......... .._.... Number of Heating Circuits ...._...�.............._ Number of Motor Circuits . . . . . . . Size of present service ...._.:�.�::� ,.. .w.�..r Size of service to be ........_.. 6925 PLUMBING APPLICATION A,pp . No. 6696 on the ... side of _............_..�.. Main Sit Strat No. __...._1571 owner .. H. D. Lindquist Ply Gaeton Grondin Filed in Offim of The BuddingInspecmr Feb. 7 ig 86 II�TBP'�L`l'l0►1�. ............................_..._..... No pe m shall oomamt; add m or aloes ash portion of the drainage sysoem of my 6wl&mg (except to repair leaks) nod a Plermit is gcmftd by the Building Ingm aw. APPLICATION FOR PLUMBING PERMIT (Continu d from R verse Side) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB /S"Z ✓v J S?(/ay�� /"tl'6 �-ole NO. STREET FLOOR APTAO. W GENERAL PLUMBING 12. KIND OF INSTALLATION 1 / S SIZE OF MAIN DRAIN el 14. NO. OF TOILETS STYLE 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 3 22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOW c� yX3 28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? SI G N ATU R a2=gj � ADD RESS,� Q 2 soyTy ��ti�_S'Q2 LICENSE Na a03 c"10 7 ESTIMATED COST 0 6 y TELEPHONE 0WNER�I �P.�L�i�/2 L/�iD�G'is�aDDREssRd X JC �_ C WfV- 19 WATER HEATER 31. TYPE 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 C DE. CD962 DATE SIGNATURE OF APPLICANT nU"14nisla %;vx%rvns,L Avn Gea 4�, Z.._ � ,G.+ (w� ry Beating & Cooling Division - Iington, N.Y. Vb F—cco 1=d=R CALCULATION SHEET 1503 Ce"dSht 1%3 by Institute of Seiler and Redieter Mon„iecwr.rrs. 393 Seventh Awo..New Y ri.N.Y. 10001 O711E� ADDRESS--- - DES1011 TEMPERATURE DIFFERENCE.'76 _F. DATE COL.A �•D COL.C COL. D COL.E COL. F COL.G " ROOM 1 now �' L 1 if S[ f . TOTALS RADIATION O W W it • N L 'L� ~r� M L M L W H L W FROMLINE 12 SELECTED 2 F00M DIMENSIONS. FT. �' V c 1 V e LINGTIM EXPOSIO WALLS. FT. < 4 i 1 �-- ^� C a r7cc R WINDOW AND OUTSIOI DOOR ARIA TYM STUN STM STUH STUN D i R MLL CONSTRUCTION '/ /� , . 3 Id- ,�� CJ C% 900 -7o C% -Soo E R e TV PC F GLASS Do G"6 ' 7 CstLIM ODNSTIWCTI N / rf t , K^ �� S���� . 9 FLooR CoNsTRucTION t 3aC� ACV COLD PARTITION CONSTRUCTION M �� 10 GNt NALLIMITN KAtli OA[XTLAIOA OOOA) .C — '�j �/ r7 TWO wA L LS • r / �"'. �-- 1 lJ TNwEIMALLS R ENTRANCE HALL -1 TOTALBTUNAT7OFTEMP.aIFFERENCE• i3 TOTAL STUN AT DESIGN TEMP.01F►ERENCE C , K COL. A COL. B COL. H COL.1 COL.J COL. It COL. L L 1 :ROOM 2 O W N• L W H �L M H L M H L 11 H L 2 DIMENSIONS. FT. O V � ? OTAL STUN TOTAL 3 L KNGTH EXPOSED WALLS. FT. < Z Of S AITDING RADIATION SELECTED S WINDOW AN OUTSIDE DOOR AREA _ OEM GH TEMP. STUN STUN STUN STUN STUN 8 IWALL CONSTRUCTION e ITYPC F GLASS 7 CILILIN ,CONSTRUCTION ( /� 1 •INCREASE BATHROOM C) Gi T T A L 20% • FLOOR CONSTRUCTION 1 :G E COLD PARTITION CONSTRUCTION 1 FOR CONCRETE FLOOR ON GROUND OR FILL AT GRADE 10 J ON It WALLIWITtt*LASS ON EXTENION DOOR) OFVEL EXPOSED EDEEp FEET TWO 1SA L LS s 1 THREEwALLS OR ENTRANCE HALL• T� — f 11 TOTAL.BTU14AT70F TEMP.OfF►ERENCE• •��`�"a�U 12 TOTAL BTUN AT DESIGN TEMP.OI►►ERENCE Q (0� room 1S03 D V rt it A is AMl tt jr v n,sa a a v all Heating A Cooling Division - Irvington, N.Y. 1 S �G2 1=d=R CALCULATION SHEET 1303 Copyright ms ioy the Iwstituft I Ulm end Redleter Msnulectwers, 393 Seventh Ave.,New York,N.Y. 1 61 Otrll[E AODREU DESIGN TEMPERATURE DIFFERENCE F. DATE a� S COL.A COL.D COL.C COL. D COL.E COL. F COL.G ROOM i now M IAT ZR{ LJ Ur /L' TOTALS RADIATION O W It W H L r H L W H L • H L 11 N L R FROULIME 12 SELECTED 2 ROOM DIMENSIONS. FT. ~ v m '� j j a ( 1 1492 R L[NOTN EXPOf[D WALLf. FT. t = fI 0 C R JWWOOV AND OUTSIDE DOOR AREA L zc�� J_(C�Orj TUN STUN TUN STUN STUN D : MALL CDM3TIl61CTtOM � Yj-1 IU Is .621 lo©C) I C__2nC., 36c� tSion s TlrP[or OLAfs 1 C' eZ3�� 7 COLIN CONSTRUCTI N l� F �W`�� R FtOOR Cptg7 RV CT 10N 1 G S ODLD PARTITION C001STRUCTION 10 onaWALLIwITl1 GLASS OR CXTUIOA DOOM O� - 3 I oo TM WA L L.S • --�-- i Z THREEMALLS OR ENTRANCE HALL • ,�� _ ,� ram_ �_�J 11 TOTALBTUNAT70FTEMP.OIFFERENCE• , � aza D 12 TOTAL'J?TUH AT DESIGN TEMP.DIF/ERENCE - K COL. A COL. S COL.H I COL.1 COL.J COL. K COL. L L 1 RDOM C O W W H L W H L M N L W H L 1r H L >K �q 2 RDOM DIMENSIONS. FT. ~ V a M �' TOTAL STUN TOTAL 3 L;N TH EXPOSED WALLS. FT. t z a OF S A1�01NG s�LECTED S VANDOM AND OUTSIDE ODOR AREA � I �- DIFFERENCE STUN STUN STUH STUH STUN S WALL CONSTRUCTION 2 IS ra j ! �� ` �'o d Tr PE F GLASS, .,\u U��� •Go El p� 7 COLIN .CONSTRUCTION �It ! �L •INCREASE BATHROOM TOTAL 20% • FLOOR CbMSTRUCTION 1 0 r / �� iRDo 11 COLD PARTITION CONSTRUCTION 1 FOR CONCRETE FLOOR ON GROUNOOR/ILL AT GRADE LEVEL. LINEAR FEET 10 J ON VIALLIWIT14$LASS OR 9IT[A1011 DWI �/.�. �-- OF EXPOSED EDGE : TV MALLS _ • .ol �G� r THREE WALLS OR ENTRANCE HALL• -oRf71r- f TOTAL.BTUNAT70F TEMP.DIFFERENCE • hw2" TOTAL 9TUN AT DESIGN TEMP,DIFFERENCE D , FORM ISO] - Heating Cooling Division - Irvington, N.Y. C�C� 1=d=R CALCULATION SHEET 1503 ��M CoPrr1o1/1%S�tb Iae1ltllte 1 doil«en1 Rediotor Monufeclurers, 9 Sevend► A•e.,Ne.Y rk,N.Y. 100 1 OtS1E ADDRt:S DESIGN TUPRRATURE DIFFERENCE '�_F. DATE a COL.A COL.D COL C COL.D COL.E COL F COL.G ROOM I ROOM M ItL • FROM L ME 12 SELECTED O WW H M I W N L W N L M H L � 2 ROOM DIMENSIONS. PT. V <0 0 S L.tNOTN EXPOS D WALLS. PT. t 4 2 9- C 1 / f01 S WINDOW AND OVTUDIE DOOR AREA L — TW1 STUN TUH BTVN eTUM 3 S WALL CONSTRUCTION ; ; �� x67 c-,,c s ITYPR OF GLASS E 7 Cmum CousTIWCTION F 9 FLOOR CbNST1111CTNk1 t 'V �ce G OOLO PARTITION CONSTRUCTION H 1ATOT;A;LSTUH ONIEWALLIWITM SLA"OR[XT[RIOA 0000) O AMA L LS REE WALLS OR ENTRANCE HALLitTTUHAT70FT[YP.OIFFER[NCti ATDESION TEMP.DIFFERENCE U K COL. A COL. s COL. H COL.1 COL.J COL.K COL. L L t ROOM of / O W W H L M N L M N L M N L M H L M 2 ROOM DIMENSI 04S. FT. ~ m TOTAL bTUH TOTAL u � � S LtNGTH EXPOSED MALLS. FT. t Z QF dUA1T01MG SELECTED s WINDOW ANO OUTSIDE DOOR AREA DE SIGH TEMP. BTVH BTVN BTUN STUN BTUN DIFFERENCE S MULL CONSTRUCTION d TY Ps Or GLASS 7 CKILIN .CONSTRUCTION .INCREASE •ATHROOM T TAL 20% FLOOR Cm"TRUCTION t E COLD PARTITION CQNSTRUCTION I FOR CONCRETE FLOOR ON ROUND OR FILL AT GRADE LEVEL,USE LINEAR FEET 10 J LTmZ EMALLItIrITN KASS OR ticT[RIOR DOOR) OF EXPOSED EDGE O WA L LS ' REtWALLS OR ENTRANCE HALL• f It TOTAL&TUNAT70F'TEMP.DIFFERENCE • 12 TOTAL&TUN AT DESIGN T[YP.OIFr[RENCE FORM ISO3 Application For PERMIT 6176 6375 DEPARTMENT DECISION Heating Permit C 0 3E APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS APPROVED � DISAPPROVED c � TOWN OF SOUTH WINDSOR o p, ?/7/$6 Thrmas P. T)'Auria 00 O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE OIL W O t» � 1. LOCATION OF JOB o a� /S Zt,&d/tis St" Sd 11T•A/ � NO. STREET 4j v LOT NO. FLOOR APT. N 0 O LV L • E 2. OWNERcc a C S. ADDRESS 0 x L/S tyl��s Q R be 3 _ 4.PHONE Cs S. APPLICANTJI,�;de L9A41 G 216/U16/ma1. - N 0i W o ta a. ADDRESS,2 17 tM ZI 1r>/— 01 .50 Jf S'(9R 7.PHONE 7 7 YS w �a ��' r(1 S. LICENSE N0. 3 Q ezaz 0 w S. EXPIRATION DATE OF LICENSE-Iz�;*Z e, lo. ESTIMATED COST i Ll -0 O � •C 11. IS THIS A CONTRACT COST? YES NO b0 12. FEE ENCLOSED =.P I-AQ A Q 0) 13. TYPE OF BUILDING: W 91 RESIDENTIAL ❑ COMMERCIAL El 14. TYPE OF JOB: INDUSTRIAL ►w: : ORIGINAL ALTERATION ' ❑ INSTALLATI N ❑ ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB NO. STREET FLOOR AFT. NO. 12. TYPE OF INSTALLATION: 5Q OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE LOCATION �J SIZE SIZE 13. OF TANK ���c�rl OF TANK ,(azfos/c O(,//I//) OF FILL OF VENT Az 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. All-z «B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS " FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALLS y INSULATION 3 2,f ROOF OR CEILING c-1C INSULATION ,! AVG. SYSTEM WATER TEMP._,��AQ B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS). ROOM SIZE WINDowa AREA - SQUARE FEET B.T.U. B.T.U. DISTRIBUTION INSTALLED g 1-D AND 000Rs VOLUME TOTAL TOTAL H F ROOM NO. Ggpgg GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j� REGISTER L W N AND E WALL (INFILT.) TEMP. TO F F TYPE AND SIZE RAD. OR LEADER SIZE i►•C DIFF. •F O m a $0. FT. FREE AREA TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY- 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 ' SIGNATURE OF APPLICANT TOWN -OF SOUTH WINDSOR, CONNECTICUT HISTORIC DISTRICT COMMISSION CERTIFICATE OF APPROPRIATENESS Ctf. No. .� 7 Date Issued • Z l This certificate of appropriateness is issued for work described in application for Certificate f ppropriateness Number a dated (c on property located at Location of Propertek L y Owner %XA. Person doing work U-to This certificate is issued under the conditions hereinafter indicated: Application approved as submitted Application approved with stipulation(s) or modifications (s) as noted below:Comments:(at 10XJ6�aAJ; Q. a cX w-q j if Ot�+.Q-e �l ` _�"'' � -�• �� � h ��+i/�+ (7 Q 73 -9-�M C-Zt;Z41 I> Signed: .Clerk, Historic District Commission This block for Building Inspector use only. This certifies that the work herein described has been completed -in compliance with the terms specified. Attest Date 6f Inspection Building Inspector Date