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HomeMy WebLinkAbout1 Kasheta Lane (3) Electric_# "��< APPLICATION FOR BUILDING PERMIT Plumbing# W3,7 1 Ka she to Lame HVAC # 6 2 7 4 8 2 Date: l� /S� � Sprinkler# No. FNU AppREstimated Cost vU� Building vl Us. COMPLETE RED BOXED AREAS Permit Fee $ rR5 Engineering TYPE OR PRINT ONLY Occupancy Fee $ � Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee $ �S TO BUILDISIC'DEPARTMENT,TOWN OF SOUTH WINDSOR,CT "itional Cost) $ The undersigned hereby applies to do work according to the following specifications: fob Location n TIZ Lot No. Side of Street Zone Applicant /7/ 2 /Z /T S� / Tel.# ��S Addr ss ckr.Z".D E/V T R Z). S W. Zip D Lic Si ne G�?O Own r Address 04 ArchitectWY tir%5;e_ Owe e.J 18f�d 11, at,� D c Address 7- Sq.Ft.N w Area: 1st FI. 2nd FI. A)a 3rd Fl Total ew Area #Rooms 27 #L vatories #Bathroo s .3 #Garages s of this pe rmit: ��� �� 6 1 ^ Q � Pur ' �'e po r -(; M City Water Well ❑ Septic System ❑ Sewer11 x Ins. H.O. Vor S.P. Cert. Area 30 6 d Basement 6 Garage cQg O Approved by 4LDate Use Croup v`` Construction Type Revi.d 1197 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 the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which building and its use is all Signed l.�.. I hereby apply for a Certificate of Occup cy for the worLiescribed in t s application for the permit. Oigne DO NOT WRITE BELO HIS LINE INSPECTION COMMENTS Location of Job: AFFIDAVIT Additional Fee$ 338 . 00 State of Connecticut ss.South Windsor County of Hartford ) e Owner I �LU'54/l) Z: HZ—T� of Agent for the building erected Contractor under Permit No. 2 7 4 8 2 issued by the Building Department of the Town of South Windsor being duly sworn,make oath and say that the actual cost of the comppleted work authorized der said permit did n t exceed the most current accepted BOCA value of S 19 8, 16 0.6 0 Sign Subscribed and sworn to before me this O) h day of Q Q.D.206 Estimated Cost$ 172, 370 .00 Difference: $ 25r790 .60 Notary Public Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-27482-B 150,000 B09 OTHER 01/11/01 CJD A OWNERS CONCERN OVER GROUND WATER @ EXCV. FOR FTGS. ADVSD TO SET UP CRTN.DRN.AS PER ENGN.PL B01 FOOTING 01/16/01 CJD D PUMPING WATER/FORMS NOT READY B01 FOOTING 01/17/01 JFF A WITH OWNER AN CONTRACTOR B02 FOUNDATION 02/13/01 CJD A W/ED KASHETA- SPRAYED WTR. PRF OK P03 ROUGH 05/04/01 CJD A W/PLUMB. B03 FRAMING (ROUGH) 05/17/01 CJD A W/CONTRC. VALLEY RAFTER NEEDS SUPPORT AT FRON HOUSE B05 FIREPLACE/CHIMNEY 05/21/01 CJD A W/MASON E03 ROUGH 06/12/01 CJD A W/OWNER-RUNWAY, OTLT,LIGT.AT SERVICE EQUIP. IN ATTIC, HEADER @ STAIRS TO ATTIC, LGHTSBTHR E02 UNDERGROUND 06/14/01 CJD A TRANSFORMER TO HOUSE. HOUSE TO GARAGE OK B04 INSULATION 06/15/01 CJD A LEFT TICKET E01 SERVICE 06/15/01 CJD A LEFT TICKET B10 FINAL 10/01/01 CJD A W/OWNERS B10 FINAL 10/01/01 CJD A CLOSED OUT. **-11071-H 5,000 **-10737-P 8,000 **-17216-E 9,370 Total Est Value 172,370 Dwelling 3,060 147,736.80 Basement 2,686 38,141.20 Garage 828 11,757.60 Smoke Det 7 525.00 BOCA Value 198,160.60 Difference 25,790.60 Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-27482-B 150,000 B09 OTHER 01/11/01 CJD A OWNERS CONCERN OVER GROUND WATER @ EXCV. FOR FTGS. ADVSD TO SET UP CRTN.DRN.AS PER ENGN.PL B01 FOOTING 01/16/01 CJD D PUMPING WATER/FORMS NOT READY B01 FOOTING 01/17/01 JFF A WITH OWNER AN CONTRACTOR B02 FOUNDATION 02/13/01 CJD A W/ED KASHETA- SPRAYED WTR. PRF OK P03 ROUGH 05/04/01 CJD A W/PLUMB. B03 FRAMING (ROUGH) 05/17/01 CJD A W/CONTRC. VALLEY RAFTER NEEDS SUPPORT AT FRON HOUSE B05 FIREPLACE/CHIMNEY 05/21/01 CJD A W/MASON E03 ROUGH 06/12/01 CJD A W/OWNER-RUNWAY, OTLT,LIGT.AT SERVICE EQUIP. IN ATTIC, HEADER @ STAIRS TO ATTIC, LGHTSBTHR E02 UNDERGROUND 06/14/01 CJD A TRANSFORMER TO HOUSE. HOUSE TO GARAGE OK B04 INSULATION 06/15/01 CJD A LEFT TICKET E01 SERVICE 06/15/01 CJD A LEFT TICKET B10 FINAL 10/01/01 CJD A W/OWNERS B10 FINAL 10/01/01 CJD A CLOSED OUT. **-11071-H 5,000 **-10737-P 8,000 Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-17216-E 9,370 SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 1 KASHETA LANE LOT_## Reviewed By (En ering) SUSAN KASHETA Date Reviewed /o/7 d Approved enied 95 IDENT ROAD,SOUTH WINDSOR,CT Reviewed By anning) BP_#_27482_ Ph_##_528-3902 Date Reviewe d ppro d/Denied Date Submitted 00/00/00 ***** FOR of 0 Ic As required in the Zoning and/or Subdivison 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 include: Approved Denied N/A 1. Approved building permit plan I/ 2. Finish grading per approved building permit plan 3. Site work; i.e. trees, shrubs, dumpsters, required parking 4. Utility location; a. sanitary sewer/se ` ' stem b. foundation drain c. electrical & telephone d. water e. other 5. Sewer connection charge paid 6. Appropriate certification 7. Bonding 8. Planning & Zoning/ Inland Wetlands Considerations A. Lighting B. Signage Freestanding Wall C. Fee in lieu of Open Space Sewer Permit No. �73//_ Pavement Excavation No. COMMENTS: RECEIVED OCT 16 2001 SOUTH WINDSOR ENGINEERING DEPT SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 1 KASHETA LANE LOT_# Reviewed B (En ineering) SUSAN KASHETA Date Reviewed p A rove enied 95 IDENT ROAD,SOUTH WINDSOR,CT Reviewed By (Pla BP_#_27482_ Ph_#_528-3902 Date Review J 47:]ICippr ve Date Submitted 11/17/00 ***** FOR U LD NG PE ***** n acc rdanc with the Voni g and/or Subdivision Regulations, prior to the building of any structure on a lot, a Topographic Plot Plan shall be submitted for approval. The minimum requirements shall include: Approved Denied N/A 1. Name, address & phone number of owner/applicant 2. Name, address & phone number of plan preparer 3. Zoning Information - i.e. zone, open space, floodway, street address. 4. Plot Plan at 1" = 40' scale a. Subdivision reference, abutting properties, etc b. Easements of record C. Lot description, bearings, building lines, distances, area, etc. d. Contours, existing & proposed, 1 or 2 ft. interval where appropriate e. Building location with dimensions. Elevations of proposed finish floor, garage floor & centerline of road at driveway f. Elevations of gravity drainage systems, sanitary / & foundation drain at the house and the street V . Tentative utility location as water, g Y (g , electric, septic system, etc.) h. Title block with name and address of preparer, date, appropriate certification, live seal and live signature consistent with the Board of Registration requirements. (P.E. & L.S.) 5. Sedimentation and erosion control 6. Special Planning & Zoning, Inland/Wetlands considerations (Plans on file w/Town Clerk) COMMENTS: DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR M2 l BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 U/ Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job:s / K� h ,g $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT C APPLICANT ADDRESS �p wry j� APPLICANT PHONE# z�f&0— —7 q ?" q Y LP O �--� W N $ OWNER j51 D IC OWNER k ^� q� OWNER ADDRESS k OWNER PHONE O E.► C ESTIMATED COST$ t`��'y. `�'� IS THIS A CONTRACT COST? Yes 0 No FEE ENCLOSED$ /S© TYPE OF JOB: SOR-CD 13 New Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION?09 YES ❑NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY C (� ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME PHONE _ ❑FACTORY ❑ STORAGE ADDRESS ❑GARAGE ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD /�16—tt> L�76(J°-e, SIZE OF SERVICE i? SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS - REMOTE DISCONNECT REQUIRED? ❑YES ANO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES 4-1J? NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT 1 c, DATE J 'C9 �O 1 [John Collins-CRS,ApproVaTC6 ation: Pequest NO. 17M Page From: <clpsvc@nu.com> To: <COLLIN@SOUTHWINDSOR.ORG> Date: 6/18/01 9:18AM Subject: CRS Approval Confirmation: Request No. 172811 CRS Work Request M 172811 House No: 1 KgSke-{ - Lqnt Lot No: Str t Name: Inspector: JOHN COLLINS Approval Date: Jun 18,2001 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: Z©93 BUILDING DEPARTMENT 1540 SULLIVAN AVENUE Bldg.Permit# nfDate OVifldml' 644-2511 ext. 230 nspector Application must be printed or typed Location of Job: FEE SCHEDULE I � �- $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT Ul k)11j�--l1 APPLICANT ADDRESS +� 0 APPLICANT PHONE# C�&0c3 G-ci 5 I Aa W N S OWNER # �-MCA ��Q OWNER ADDRESS c-t S -G • OWNER PHONE �;�' //- �o O O OESTIMATED COST$ 0 a IS THIS A CONTRACT COST? 13 Yes EMo 41 } CJ FEE ENCLOSED$ S,OR-C O�� TYPE OF JOB: [-New Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A C33/ESIDENTIAL BUILDING PERMIT APPLICATION? ❑YES ❑NO R ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY n ❑MERCANTILE FUTURE USE AND OCCUPANCY K4 ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME PHONE ❑FACTORY ❑ STORAGE ADDRESS ❑GARAGE ❑MIXED USE CITY STATE ZIP (Other please specify) nn TYPE OF INSTALLATION SIZE OF MAIN DRAIN 4 NO.OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS A SIZE 3 AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW 9 YES ❑NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER 341 WATER HEATER: TYPE a l er wvAAV— MANUFACTURER ��'�r y f DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. �d1,�)3y i�- CONTRACTORS LICENSE NO. TYPE S ATE SIGNATURE OF APPLICA i�w, V V\CAM.._ DATE `� ? • DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# J/o?(- Applicatio TOWN of SOUTH WINDSOR ppli 0 BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE 2 644-2511 ext.230 Date Building Inspector Application must be printed or typed Location of job Street No. Street W No. FEE SCHEDULE Floor Apt No. $o - $11,000 - $12.00 Over $1,000 Street I Floor F—F $12.00 per$1,000 OWNER Se -v or any fraction thereof ADDRESS CIS— vAv., OWNERS PHONE# rX k APPLICANT 0* N ADDRESS 11%k ESTIMATED COST $ 0 IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ J ., 0 0 OR-CO TYPE OF JOB: Original Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR RVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAL A/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT LOSS(BTUH) (HAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) TYPE OF FUEL OIL-GPM GAS-INPUT ELECTRIC-KW OIL TANK SIZE&LOCATION INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY AIR CONDITIONING DESIGN TEMP. OUTSIDEF INSIDE_710"'F DIFFERENCE I-r F TOTAL HEAT GAIN(BTUH) (HAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.) Set � I SAS I -% tiL A %I c lO cJ_U GO TONNAGE S� COOLING CAPACITY(BTUH) co a VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. S- t 3 j S-S- 3 3 g.,�� ✓F Lz�.✓ STATE LICENSE-NO.NAME&TYPE SIGNATURE OF APPLICANT PHONE NO. $'I • SS'a c� DATE � G Form No RCDU2-1_11 S-16-12-69 Job No. Date'"'G LENNOXRESIDENTIAL COOLING DATA SHEET Outside Design Temp.DB 6 WB Inside Design Temp.-2-r-Daily Range �.S O �Ln ` /�� �G� VN Design Temp.Diff. latitude HEATING CONTRACTOR ADDRESS rT ^� �V S PllV Floor Area 1_B f NAME OF JOB '�`�S LT ADDRESS 1'��s F'�+�'� `c., t" 1✓"�`'� 1. Room Use and Floor Level j w ?^ 1. 2 a �,(�, 3 -,� 4,1 , '� 6 2. Room Length and Width '•; ,"7t�'• •F . 14 O 11 11 X I S X 3 Area Area Area Area Area Area Area Area Type and Direction 6'f TABLE Btuh Btuh Btuh Btuh Btuh Btuh Btuh Btuh E xposure NUMBER HTM or Gain or Gain or Gain or Gain or Gain or Gain or Gain or Gain No. No No No No. No No No NORTH Exposed Wall Length •-+ t.;;�j"•M, _ ;y,f: �'',v_ ' IOR SHADED) Ceiling Height y •. S•t" r !9 .�. 3 Wall and Glass Gross Exposed Wall sir. t ;}*, ;;:i;,.•r�:, i- `,�.,< �+, M ' • •�:• a • :r (Solar& Sq Ft Glass Area 7-0 Conduction) Net Exposed Wall L EAST Exposed Wall Length VAMP I !�, :.t'.� ,.��., � '- +• ;� �•; :;4! y1t`'•• 'r_ Ceiling Height ►•..., .•n. `f, -�':,�:. ` .�. � ..`, FY a' �1.�• Q �,�, •.(N 4. Wall and Glass Gross Exposed Wall ! ,c�. �. �•�' :i+• ;•_• •e /'-/ :;s�. •' (Solar& Sq Ft Glass Area )LQ' /a lrOd__ Sa 2�na G ov Conduction) Net Exposed Wall I ff it � L SOUTH Exposed Wall Length ;fit' }f;;: r,;:"" "'i:7� ~�''�= •� �'' y •� ''� • �'•�• Ceiling Height a �•t:%`'•'c.' r� :� �.,..r• •��''� ���'+ .9`ii fi '~� .�-' >r��1 WON 5 Wall and Glass Gross Exposed Wall ��,•• ;' i` ;fL; •.��• •r:�-,y, +••sya' �� .; '`.•:; ,-a`• ••r: '+�. i�,;:i� (Solar& Sq Ft Glass Area Conduction) Net Exposed Wall Z� WEST Exposed Wall Length t•Aw ,�. ',• �8• i' "1:�;'.' G ���:, .t;• ,�,"�:;%w.+ •.� t + .. Ceiling Height , �� 'a• :>' 3 r •+'r �Y1 ..��' ' �;. �.,�, r ' "�+� is w 6. Wall and Glass Gross Exposed Wall ;1►-�►icL�" /t `•:";+:�,• �� ';• 7O .','•�•' •% �+ '�� •�,+� •� '- (Solar& Sq Ft Glass Area p ) DSO Conduction) Net Exposed Wall 1• Q'S3 G lCL t, GD 7.Wood Doors 8 Warm Partition oe 9.Warm Ceiling &U - 10 Warm Floor 11 Appliances- Kitchen (Sensible) •? 00 12.People(Sensible( V,1 Coo 1 S OO 3�e 13 Outside Air or Infiltration(Sensible) /,,f 17 ZLOr 14 Sub-Total-Sensible `` -F� •.;;��. :�� +, ;•� ;y�'•' �'' �' � y 15 Duct Allowance °% 16.Total Sensible ;.��''��r p :ri •; 17 Total Latent 3 x Tot Sensible , .i 18.Total Sensible& Latent .�• ;• �d f, ;•�, t Z 19.Theoretical cfm ;y 20. Delivered cfm ' •' r CAP.MULTIPLIER (For F Swing) ILENNOX Equip. Btuh Cap.__ of M.IN.EQUIP.CAP. ARI Rating Cfm Rpm Air Chang s S/T Ratio S.P. litho U.S.A. . . 71. Elm .. • Gain Gain Gain Gain NMI ah ���� • • .Gain or or . _�'YS�•JJ_��•�,Yr • . .. •. ��k���a�S�'�'YRY_�r�i. •�._�'�"i�►�17►•_L 1�3:Y.'Ll'r_ .rY��,I7A_�r��:ASS_fi�� _•'�-73f.Qt�_J6:�:+-i,\'T` Ulf .� .. •. �����5�_ ..ikk���3�_�5��•.�■ai:�'��^a4�c■[Ji�a� �.� Y,* _��,�3_:`�'ryi� : • .. m— MIA •. 5�ir_-•7'I�1'w. �-:_ 'v=.LS•.l vtil_Yl'�'/'.;X(f[.7a � _5r _�I�' jIY.Cr.4]_`:�'"r'f'� WK MUM ... . �■.� �� �� ■�r;���� ��. tea;-�� ����� • ''y�.:Y�.��'`Id"ii��:.y���u[�./cif►Sj.�S.�I_n�6�:'r{����(]'[?j�-�h]Ri�`-�j�.lj'Y.��q -�t.��'_tJ�-S;'.�i.+.�h('��31-•Wi.��f'.�'-1/��!,L��Y{�'Y�}}�w(�C- . . '�:�''�J6�i•�;'211.1'lc(�-t���l.�_�z'J�.''-�JtJ.�.1L-�"�'�-��'W�-y.�_V.'L_"l'.._ FTMENT DECISION APPLICATION FOR HVAC PERMITPERMIT# lication is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# (i� 644-2511 ext. 230 9/0 Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE I �M SL'2� C. �Q lu�. $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT U ���� �`�+►% d. E b � APPLICANT ADDRESS '3� t s S�e k a� lea,4 tW� Ci- o 6t0q) APPLICANT PHONE# C,6 b O l �$Ck-Ck 5 l I N $ OWNER C�� a,4, C-c, kASLQt w I 1 '� �q� OWNER ADDRESS L k Q Vt e 14 OWNER PHONE Sa ca - C •� ESTIMATED COST$ St' 9 O C)O.CA 'U IS THIS A CONTRACT COST. O Yes M-Iqo' G�J FEE ENCLOSED$_ f1�r� �� TYPE OF JOB: SCR'CD 0 New Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR HVAC PERMIT (Continued from reverse side TYPE OF SY EM: TYPE OFF B�DING: EATING U RESIDENTIAL ❑A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. O'HYDRONIC ❑ WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE_tp _F INSIDE g'O OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) �ba °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) •000 GROSS HEATING CAPACITY(INPUT—BTUH) ET RATING(OUTPUT—BTUH) O TYPE OF FUEL &OIL—GPM L25%IL TANK LOCATION:C'INSIDE❑ OUTSIDE CAPACITY l 41� - ��5�� ►�S ❑ GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW AIR CONDITIONING DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. �5 d so t S -0- -:s. 0-.+, CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLI "Alep�� DATE b �, �() l P UMBING SUPPLY, I.N.C. - 14 FRANCIS AVENUE as 8 R CALCULATION SHEET 1503 (Modern Method) HARTFORD, CT 06106-21011 T OWNER- /�f�l�l� 1q Jt� rt�m �t,d �. �/trp o y a ADDRESS = 'r DESIGN TEMPERATURE DIFIFIkkENCE F. bAtlt COL.A COL.B COL.C COL.D CO L.E COL.IFCOL.CA 1 'ROOM cc ,Bq A � AM 60*1 /v D O O H L W H L W H L W H L W H L IN Design Wilar temp. /r 2 ROOM DIMENSIONS,FT. V j- O O STUN bar Peet of 3 LENGTH EXPOSED WALLS,FT. Q 6 R�diitl li Silectid-- 4 WINDOW AND OUTSIDE DOOR AREA LL O 11TUN BTUH BTUH BTUH BTUH =? 5 WALL CONSTRUCTIONROOM LIN. f �.�/ (Table 9,Line 3 x H) J -7 0 0 3 00 ! d O 3 00 totALS 0211A ;I Aa4 6 TYPE OF GLASS FROM LINE (Bottom of table used i r Lins 5 13 1f S� SCT (d,:• 7 CEILING CONSTRUCTION C.rx b r7 (Table 9,,L x W) 300 A 0 V 3 00 S O 0 el e FLOOR CONSTRUCTIONt b d0 ITabf 9,L x W or Lin. Ft.) al d d 9 COLD PARTITION CONSTRUCTION +- F d� , c ITable 9,L x H) �•. ,� 10 s c 1 Wall(With Openings) o 2 Walls(With Openings) X Q v O O d 0 0 1: 3 Walls(With Openings)or Ent.Hall � j �O� A 11 TOTAL BTUH AT 7OF TEMP.DIFFERENCE* D 0 %t 8 0 U O o U S o o 12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE 0 3 �a K f 6' 0'- F "r L COL.A COL.8 COL.H COL. I COL.J COL.K COL.L TOTAL IITUH tdjA i ROOM r fchc� refit ,(�� t�h. AA 4/t c/sn U►� L/1 k�Vd of Buwt INd srco.ECt g_ O H I L I W H L W H L W 14 L d I ftlftftw. W H L W DESIGN TEMP-6 2 ROOM DIMENSIONS,FT. U H bIFFERENCE A , ' 3 LENGTH EXPOSED WALLS,FT. d JAI �,3 �Q 4 WINDOW AND OUTSIDE DOOR AREA WL BTUH BTUH BTUH BTUH 8TUH S WALL CONSTRUCTION &INCREASE BATHROOM (Table 9,Line 3 x H) 00 (/ O U v 00 TOTAL 20% 6 TYPE OF GLASS / /� 1 (B ttom f table used for L Ins 51 X11 / 00 3000 O d -+� O 0 7 CEILING CONSTRUCTION 1FOR CbNCRETE OLOOR ON (Table 9,L x W) d GROUND OR FILL AT S d O G 0 G GRADE LEVEL,USE LINZA0 8 FLOOR CONSTRUCTIONt FEET OF EXPOSED EbGE (Table 9,L x W r Lin. Ft.) �' --r •.+ 9 COLD PARTITION CONSTRUCTION �► (Table 9,L x H) 10 .. 1 Wail 1WIth Openings) ii/j, cZ 2 Walls IWith Openings) o 0 D 3 Walls(With Openings)or Ent.Hall 11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' o f7 A d 0 t/ D d 'j p V 12 TOTAL 8TUH AT DESIGN TEMP.DIFFERENCE 4 O r-* -y O V .I`b(J 3 O D i� _} ` _�.,'`aN" �, ALLIED,PLUMBING SUPPLYj INCH 14 FRANciS AVENUE lil/V! : CALCULATION SHEET 1503 (Modern Method) HARTFORD, CT 06106-21011 Wmam- ADDRESS 6/j)j/jj#- DESIGN TEMPERATURE DIFFERENCE—M. DATE .24 COL.A COL.8 COL.C COL.0 COL.E COL.F COL.a I ROOM cc 0 H L w H L W H -1 L W H L I W H L I W Design Waist Ter"P. 2 ROOM DIMENSIONS,FT, V I// _J I r1 /1 lip r IS 1 /6 BTUH 0 3 LENGTH EXPOSED WALLS, FT. Raditill IN Selected CA 41 WINDOW AND OUTSIDE DOOR AREA U. S BTUH BTUH BTUH BTUH STUH 9 *ALL CONSTRUCTION 00 ROOM U14.FT r IT&We 9,Lin 3 x H) 0 0c) 900 d 3 00 TOTALS RADJAVIQ!q`�."' 6 TYPE OF GLASS - FROM LINE it SIKLKCTKP (Butt m of tabi used f r Line 5) >K .7 a CP c7a co 3 o U I CEILING CONSTRUCTION C—?,Po (Table 9.L x W) -3 1/ 07) 8 FLOOR CONSTRUCTIONt D d? (Tabi 9.LxWorLlmFQ E 9 COLD PARTITION CONSTRUCTION (Table 9.L x H) 10 Lc I Wall(With Openings) 417 03 Air 00 wok 0 0 0 7 2 Wall$(With Openings) 2 X k _j 3 Wells(With Openings)or Ent.Hall )e I TOTAL BTUH AT 70F TEMP.DIFFEREIN;CE' 33ov e>YSOe2 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE fil C2 0 0 0 K Yr - r—z j L 3101"' C L.A 1COL.8j COL.H COL.I COL.J COL. K COL.L I Room totAL 6tUi4 TbJA A? W q fA X, OF BUILbINd a 0 H I L W H L w H L W H L W H L W DESIGN 14�4'0.6 2 ROOM DIMENSIONS,FT. DIFFERENCE 3 LENGTH EXPOSED WALLS,FT. WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION *INCREASEaATHROOM (Table 9,Line 3 x H) TOTAL20% 6 TYPE OF GLASS Mott rn of table used for Lire 5) 7 CEILING CONSTRUCTION I FOR CONCRETE FLOOR ON (Table 9.L x W) GROUNP OR FILL AT a FLOOR CONSTRUCTION I GRADE LEVEL.USE LINEAR FEET OF EXPOSED P_DGF_ (Table 9,L x W or Lin.Ft.) 9 COLD PARTITION CONSTRUCTION : (Table 9.L x H) 110 1 c I Wall(With Op nings) 0 c- 2 Wells(With Openings) zx / 3-0 13 Wells(With Openings)or Ent.Hall 1.0-_j F I I TOTAL BTUH AT 70F TEMP. DIFFERENCE* 40 0 1121 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE