HomeMy WebLinkAbout181 Kent Lane FINAL I I r
r Buildin 7 9� APPLICATION FOR BUILDING PE Plumb - PERMIT
HVAC
Spri e - 181 KENT LANE Date:
Electric Z21ZEstimated Cost $ /08Lo00
Zonin
Affidavit 9 21195 Permit Fees /c�y
NO.Eng. Oept. Occupancy Fee $ 3
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $
Health Dept. TYPE OR PRINT ONLY
Approved for CO• SIGN ON REVERSE SIDE. dc�
(Additional Cost) S ��
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant_ Hie/.STpI�y�/L �` ��,g �'ah�i•;�s' Tel. # ffdZ-4Sl4
Address I$03 ' A1A)I 5T SO�r+t (,JtN�s�2 CT ZSTREET ip l Qc g Lic.#
Owner�'�i�iS �-(,/.S� �o CITY STATE
�C3i�5 Address_�RISZ MAIN Wi,voS0.Q, & obaa-$
Architect 001- / 1' TVA �r►1 a ddress 11, 1107,
'-
Size New Area: Ft. Front Overal6� -
3�—�
Ft. Deep Overall Total Area #G
f aragesIV r8,52
Size of Lot Dist. from Street Line Lavatories
_ Bathrooms_A Rooms 1st 2nd 3rd
Purpose of this Permit
City Water [/ Well 0 Septic 0 Sewer
Use Group - Construction Type
Approved by �j Date
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 the proper distance from all street lines,side yard lines and required distances all other ones and is
located in a zone in which this building and its use is allowed.
Signed � — ;1
I hereby apply for a Certificate of Occupancy for the work described in this is io for permit.
Sign
—DO NOT WRITE BELOW THIS
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# U Inspections:
Electrical Permit# 12 q 4q Inspections:
Sprinkler Permit# Inspections:
Location of job AFFIDAVIT Additional Fee ..$.6 0..0 9...... . . .
State of Connecticut
ss.
County of Hartford
n/�
. Owner
of . . . . f��✓N Agent for building erected under
Contractor
Permit No. . .2119 5. issued by the Dept of Building of the Town of South Windsor being duly sworn,make oath
and say that the actual cost of the completed work authorized under said permit exceed;the s a r a epted BOCA
value of . .$12.? 014 . 00. . . . . . . . . Signed
Subscribed and sworn to before me this . . .. . . . . . . . .. . . . day of A.D.19 . . .. .
r t
Estimate Cost:$ 1 1 F , 0 0. 0 0
Difference: $ V 1 Ll , 00 0
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
94-21195-B 108,000
BO1 FOOTING 04/04/94 JFH A
B02 FOUNDATION 04/11/94 JFH A
E 0 1 SERVICE 04/11/94 JFH A TEMPORARY SERVICE--RELEASE ISSUED
P03 ROUGH 05/10/94 DDS A
H 0 3 ROUGH 05/10/94 DDS A
B03 FRAMING (ROUGH) 05/12/94 JFH A
E03 ROUGH 05/12/94 JFH A
B04 INSULATION 05/18/94 JFH A
E01 SERVICE 06/10/94 JFH A RELEASE ISSUED
B10 FINAL 07/27/94 JFF D SEEINSPECTIONSLIP
B-10 FINAL 07/28/94 JFF A
94-8894-H 3,000
94-12944-E 400
94-9401-P 3,000
94-12998-E 2, 500
Total Est Value 116,900
Dwelling 2,370 88, 116.60
Basement 1,066 10,611 .67
Garage 768 9.024.00
Smoke Det 3 225.00 A\
BOCA Value 122,014.32 du
Difference 5, 114.32
A
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
181 KENT LANE LOT_# 8 Reviewed B (Engineering)
ROBBINS CHRISTOPHER & LISA Date Reviewed T, 2 Approved d
1803 MAIN STREET,SOUTH WINDSOR,CT Reviewed By— rjilel n' )
BP # 21195 Ph_# ( 203)528-4514 Date Reviewed e- ve Denied
Date Submitted 00/00/00 ***** FOR C of *****
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:
Appr9red 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. Utility location;
a. sanitary sewer/
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
Sewer Permit No. 6 f'�Q
Pavement Excavation No.
COMMENTS: 4 5
a ft.- VEO
JUL 2 8
1994
tl •
i
LA
BUILDING PEP11IT CHECK-LIST _ _ -
Applicant chri stoph _r & Tj sa Rohhi ns Building Permit No.
Address 1803 Main Street So Windsor Date Submitted 3 1 . )
Lot No. 8 # 181 Kent Lane Reviewed by
Project Heather Farms Subdivision Date 3 J Is I A 4 3 i-6 7�-Y if
In accordance with the 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 - S28 " y S
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, etc.
r/ 4 . Plot plan at 1" = 40 ' scale.
a. Subdivision reference, abutting
properties, etc.
r/ b. Easements of record.
ri c. Lot description, bearings, distances,
building lines, 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 & center line of road at
driveway.
f. Elevations of gravity drainage systems,
sanitary & foundation drain at the
house and the street.
g. Tentative utility location gas, electric,
water, etc.
h. Title block with name and address of
preparer, date appropriate certification,
"Aux live seal and signature.
5. Sedimentation and erosion control.
6. Special Planning & Zoning, Inland/Wetlands
considerations. (Plans on file w/Town Clerk)
BUILDING DEPT.
PZC
IWA/CC Pfc-pomz I FrLAvvs) Tyi ov v4� OAAmc 4 °I � 100 Ur M�FE T lLyurlw
WPCA ftLo oc- 'A2,0e0 4 s.c- BOND (.fee s
OTHERS
COMMENTS:
PERMIT Y
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMITJ /a N 4 4
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
ate B g Inspector Application must be printed or typed
1 . LOCATION OF JOB
161 40-0(
FEE SCHEDULE No . Street
$ 0 - $19000 - $10.00 Floor Apt . No.
Over $19000 $10.00
2 . OWNER
Pr $1 000 or V- 6,50 lIS k)h&I'ts
fraction thereof 0 ��/�
3. ADDRESS l D3 1`
u>r.o�tc�sor , C C o2V
4. APPLICANT Z-tsa Aplibu-'2S
5. ADDRESS lBD3 1--nn .P� S�
N- 2
J� o
6. ESTIMATED COST $ T
7 . IS THIS A CONTRACT COST
Yee No
8 . FEE ENCLOSED bi 1,
9 . TYPE- OF BUIL ING:
,RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
.� Original Installation
Alteration/Addition/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB l �[ Ael7l
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION /
13 . SIZE OF MAIN FEEDERZ
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
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 :
\0
/p35 9 �- -x ( )j a (
LICENSE NO. At SIGNATURE OF APPLICANT DATE
PHONE NUMBER: SZ�� �, / y
Lot-N%. '
Building Permit
Eem�pora�ryS�ervl
Permanent Service
Pursuant to Permit Na
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly Inspected and is hereby approved.
Owner Christopher & Lisa Robbins Electrician Lisa Robbins
Stre t
J� 19
-j� no Inspector
Lot 'No.
Building Permit 1 '� �` Telfflif taft
Temporary.Servic
Permanent Service
Pursuant f
This Certifies that the Electrical Work for which the above named Permi
has been duly Inspected and Is hereby approved.
Owner ��0f'rl T j I I t� :,i r. Electrician L 7
Street-
�P-
PERMIT NO.
�col
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Application is hereby :
TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
l�� 644-2511 Ext. 230
D to Building Inspector Applications must be printed or typed
1. LOCATION OF JOB:
. Zej LeP01�f 4b7-4?
FEE SCHEDULE
2. OWNER: (.s ,n
$ 0 - $1 ,0 0 0 - $10.0 0 3. ADDRESS
Over $1 ,000 - $10.00
per $1 ,000 or 4. APPLICANT• C
fraction thereof
5. ADDRESS:Z,2c� �,�ary,as, 5/--
6. EST. COST: $
7. IS THIS A CONTRACT COST? Z�IES NO
8. FEE ENCLOSED: (G:
9. TYPE OF BUI I
RESIDENTIAL COMMERCIAL
10. TYPE OF J, OBy
0 IGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB: k?n e
GENERAL PLUMBING
Ile
12. KIND OF INSTALLATION: �f��w� 13. SIZE OF MAIN DRAIN
14. N0. OF TOILETS STYLE r,--e,5J-�15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS_ 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES
18. NO. OF SINKS 19. DISPOSAL 19A. DISWASHER_�_
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?
c
27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN 111 31A. SIZES OF WATER PIPING & RISERS L. 5:t !-
32. REMARKS AND FURTHER DETAILS
w
WATER HEATER
33. TYPE 34. MANUFACTURER
TANKS SAFETY DEVICES
TEMPERATURE
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
aV
LICENSE NO. ATE SIGNATURE OF APPLICANT
PHONE NO.
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: k — y
(NO. _) TOWN OF SOUTH WINDSOR EST. COS : �c�v
BLDG. PERMIT NO. 1540 SULLIVAN AVENUE FEE 4Ye-
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 $ 0 - $19000 - $10.00
�/I $1000 or fraction
LOCATION OF BUILDING l T ��T thereof - $10.00
OWNIER ADDRESS TOWN PHONE NO.
(/1 Y✓� � L_oy�j� l
HVAC CONTRACTOR ADDREW TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL
A/C COMMERCIAL
VENTILATION _ BUSINESS _
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT_LBS. HIGH PRESSURE LIMIT_LBS.
HYDRONIC � WARM IA R
UNIT RADIAN HEAT TER (INCLUDING WOOD COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM k� GAS IN-PUT ELECTRIC KW
WOOD COAL
OIL TANK - SIZE A LOCATION. INSIDE "OUTSIDE CAPACITY
LPG TANK - CAPACITY_
EXISTING RADIATION_ ADDITIONAL RADIATION TOTAL RADIATION,91 �
DESIGN TEMP. OUTSIDF °F INSIDE °F DIFFERENCE ac °F
TOTAL HEAT LOSS (BTUH) (HEAT LOSS SHEET MUST ACCOMPANY APPLICATIO )
DESCRIBE ALL HEATING EQUIPMENT INCLUDING MAKE & MODEL NO.):
UA- A45fjiqrLvA
GROSS HEATING CAPACITY (INPUT—BTUH) NET RATING (OUTPUT—STUN)
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 4 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 S e of nn. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK: G/x -L C
STATE LICENSE - NAME 6 TYPE # TE SIGNXTURE OF APPLICANT
Qjk- 51-4fAy-
APPROVED /bATE
BD 4A 11/88
I - B - R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronics institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.S COL.C COL.D COL.E COL.F COL.G
1 ROOM Q
O H L W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS, FT. ~
U STUN Poor F 1 of
Radiation Selected
3 LENGTH EXPOSED WALLS,FT.
4 WINDOW AND OUTSIDE DOOR AREA
STUN STUN STUH STUH STUN
5 WALL CONSTRUCTION ROOM LIN.FT.OF
(Table 9.Line 3 x HI TOTALS RADIATION
_ FROM LINE 12 SELECTED
6 TYPE OF GLASS
(eott m f table used for Line 51
7 CEILING CONSTRUCTION C
(Table 9.L a W)
9 FLOOR CONSTRUCTIONS
(Table 9.L x W or Lin. F t) E
9 COLD PARTITION CONSTRUCTION F
(Table 9, L a HI G
10 _c 1 Wail I W Ith Openings) A
C a 2 Wells(With Openings) OX 1
J
3 Wells IWith Openings)or Ent.Hall tom.
J
11 TOTAL dTUH AT 7OF TEMP DIFFERENCE'
_ K
12 TOTAL STUH AT DESIGN TEMP. DIFFERENCE
-- - ------ -- L
COL.A COLS COL.H COL.1 COL. J COL.K COL.L TOTAL STUH TOTAL
-- --- ---" -_---- -- - OF SUILDING RADIATION
1 ROOM f[ AT SELECTED
O H L W H L W H L W H L W H L W DESIGN TEMP.'
_ DIFFERENCE
2 _ROOM DIMENSIONS.FT U
3 LENGTH EXPOSED WALLS. FT.
4 WINDOW AND OUTSIDE DOOR AREA LL
STUN STUN STUN STUN STUN
5 WALL CONSTRUCTION *INCREASE BATHROOM
(Table 9.Line 3 x HI TOTAL 20'x
6 TYPE OF GLASS —
IS itom I table used for Line 51
IFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION GROUND OR FILL AT
(Table 9 L x W) GRADE LEVEL,USE LINEAR
FEET OF EXPOSED EDGE
g FLOOR CONSTRUCTIONS
(Table 9,L x W or Lin Ft.)
9 COLD PARTITION CONSTRUCTION
ITable 9,L it H)
10 C 1 Well(With Openings) -- —-- --- ---- - - ------- —
C 2 Wells(With Openingsl p X --- -------- - ------ - ----
3 Wells(With Openings) r Ent.Hall
I TOTAL STUH AT 7OF TEMP DIFFERENCE'
12 TOTAL STUN AT DESIGN TEMP DIFFERENCE
FORM 1503
This I rm is available from The Hydr nits Institute, 35 Russo Place,Serikeley Heights,N J 01922
I = B= R CALCULATION SHEET 1503 (Modern Method) / Q�
OWNER-a Ids ADDRESS let177 ,�L ��` � � �� DESIGN TEMPERATURE DIFFERENCE.--LdF. DATE
COL.A COL.0 COL.C ,�`j�, COL.D COL.E COL.F COL.G
1 ROOM tt p S � �I �� #1 j?7
O H L.- W H L I W H I L W H I L I W H I L W Design Water Temp.
2 ROOM DIMENSIONS,FT. V J /� /4 113 d 1 a 113 STUN per F t of l v
3 LENGTH EXPOSED WALLS,FT. Q 3 a? a Radiation Selected Sv
4 WINDOW AND OUTSIDE DOOR AREA u.
BTUH BTUH STUN BTUH BTUH
5 WALL CONSTRUCTION ''11 ROOM LIN.FT.OF
(Table 9,Line 3 x H) 0 d 3 0 �Q ed TOTALS RADIATION
6 TYPE OF GLASS a J� FROM LINE 12 SELECTED
(Bottom of table used for Line 5) 1006 000 f 0Qd ��Ov
70 U
7 CEILING CONSTRUCTION o a �O� o C /Q L, O0 C
0
(Table 9,L x W) v [Y D �6 p D
B FLOOR CONSTRUCTIONt _
(Table 9,L x W or Lin.Ft.) .��/ E D �f�
9 COLD PARTITION CONSTRUCTION i F
(Table 9,L x H) G ti
10 4.2
1 Wall(With Openings) e��y
r- 2 Walls(With Openings) 2X ,6
3 Wells(With Openings)or Ent.Hall I,* 1 1 f7
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' /� b� -
/ K
12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE ,70 / Q j7v0 /
L (p
COL.A COL.S COL.H COL.I COL.J COL.K COL.L TOTAL BTUH TOTAL
1 ROOM r P /�s / a ,�� OF t3UlALDING RHLECTEDN
CC AnO H. L I W H I L I W H L W H L W H L W DESIGN TEMP.°
2 ROOM DIMENSIONS,FT. Q /a [] -7 A DIFFERENCE
3 LENGTH EXPOSED WALLS,FT. Q /off- d -I
4 WINDOW AND OUTSIDE DOOR AREA LL /� S
STUN BTUH BTUH STUN STUN �.
5 WALL CONSTRUCTION /' "INCREASE BATHROOM
(Table 9,Line 3 x H) S.� (} �0 0 0� p��d �� I; TOTAL 20%
6 TYPE OF GLASS �1 C�vO ,
(Batt m of table used for Line 5) ^� 6 D /sloe v 3a� ItFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION / OR FILL AT
(Table 9,L x W) .Q D d6 Q O -- GRADE DLEVEL,USE LINEAR
FEET OF EXPOSED EDGE
g ((Table
,L x IN o UCTIONt `� 3 B 0 O 10 / /O e
(Table 9,L x W or Lin.Ft.) '
9 COLD PARTITION CONSTRUCTION
(Table 9,L x H)
10 _c 1 Wall(With Opening:) 0; �D lY pd 6-10 34040 DO Mel: r
c q 2 Walls(With Openings) a X
r` e J r
3 Walls(With Openings)or Ent.Hall f. 1
11 TOTAL BTUH AT 70F TEMP.DIFFERENCE' p� 040 J 3D Ake S D
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE aO QO d /D0 SD
I = B= R CALCULATION SHEET 1503 (Modern Method)
OWNER A j -e7 I /A.S ADDRESS n `
DESIGN TEMPERATURE DIFFERENCE-.L=F. DATE
COL.A COL.8 COL.C COL.D COL.E COL.F COL.G
1 ROOM 1 �- In/Me O H L' W H L W H L W H L W H L WDeslgn Water Temp.
2 ROOM DIMENSIONS,FT. / /� ` ` /3 /
3 LENGTH EXPOSED WALLS,FT. Q BTUH per F of of
LL Radiation Selected
�� o� �v
04 WINDOW AND OUTSIDE DOOR AREA .3a
5 WALL CONSTRUCTION
BTUH BTUH BTUH BTUH BTUH
(Table 9, Line 3 x H) I.-
0*"
O d 6 �Q 3 Q Q O 19 ROOM LIN.FT.OF
6 TYPE OF GLASS TOTALS RADIATION
FROM LINE 12 SELECTED
(Bottom of table used for Line 5) � � � /� � �Q l O Q d
7 CEILING CONSTRUCTION /Qd /D
(Table 9,L x W) _ r_ JIg FLOOR CONSTRUCTIONt a QD(Table 9, L x W or Lin. Ft.) �DO 11 a ��'� (� J/ -DD E A/06
9 COLD PARTITION CONSTRUCTION (/ �Y'O
(Table 9,L x H) F
10 _0 1 Wall(With Openings) dEj
QQ /OQ O /Q Q
�M 2 Walls(With Openings)
3 Walls(With Openings)or Ent.Hall11 TOTAL BTUH AT 70F TEMP.DIFFERENCE'12 TOTAL BTUH AT DESIGN TEMP. DIFFERENC �S'O0 �pp a�� D �`
L
COL.A COL.B COL.H COL.I COL.J COL.K COL.L
1 ROOM TOTALBTUH TOTAL
Q OF BUILDING RADIATION
OAT
H. L W H L W H L W H L W H L W DESIGN TEMP." 'ELECTED
2 ROOM DIMENSIONS,FT. f' DIFFERENCE
U - -
3 LENGTH EXPOSED WALLS,FT. Q _
4 WINDOW AND OUTSIDE DOOR AREA U.
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION 'II�C�REASE BATHROOM
(Table 9, Line 3 x H)
6 TYPE OF GLASS TOTAL 20%
(Bottom of table used for Line 5)
7 CEILING CONSTRUCTION 'FOR CONCRETE FLOOR ON
(Table 9, L x W) 3ROUND OR FILL AT
GRADE LEVEL,USE LINEAR
B FI OOR CONSTRUCTIONt FEET OF EXPOSED EDGE
(Table 9,L x W or Lin.Ft.) i
9 COLD PARTITION CONSTRUCTION j
(Table 9,L x H)
I
10 _c 1 Wall(With Openings) 03
cM 2 Walls(With Openings) -X r
3 Walls(With Openings)or Ent.Hell 10 J
11 TOTAL BTUH AT 70F TEMP.DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE
�-. INSPECTOR -:::—�--
-� DATE TIME
LOCATION
INSPECTION: CODE: RESULT D/A) :
t— _
BUILDING:
ELECTRICAL: '
PLUMBING:
HVAC:
OTHER:
a
s
r v PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT /�9
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
ate g Inspector Application must be printed or typed
1 . LOCATION OF JOB
9/
FEE SCHEDULE No . Street
$ 0 — $19000 — $10.00 Floor Apt . No.
Over $1,000 — $10.00
p e r $1 ,0 0 0 or 2 . OWNER
fraction thereof
3. ADDRESS Ro, &-Y ep
--- t- /j), 0/,
4, APPLICANT Cht S oC /._/0 /CD!�✓Il7S
5 . ADDRESS /0 D
L: r . ,1-$
6. ESTIMATED COST $ "iwd() c5ri
7 . IS THIS A CONTRACT COST _
Yes N
8 . FEE ENCLOSED $ Q. DO
g�
9. TYP OF BUILD NC:
RESIDENTIAL COMMERCIAL
10. TYP OF JOB :
Original Installation
Alteration/Addition/Repair
Rn 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB /a/ 4e/7 T ZaIE
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION�r//)
13 . SIZE OF MAIN FEEDER r) ra00
14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16 . N0 . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS rJ
18 . N0 . 0F H 19 . NO. OF POWER OUTLETS J
EAT CIRCUITS
20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS
22 . N0, OF POWER CIRCUITS �/ 23 . NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS_
26 . NO . OF PANELS I 27 . TOTAL WATTAGE 0
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 O
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS : •
Ay-�
LICENSE NO. NATURE OF APPLICANT ZATJ
PHONE NUMBER.