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Home My WebLink About192 Krawski Drive 7) - " TO THE BUILDING INSPECTOR of the APPLICATION FOR EX t U TOWN OF SOUTH WMIDOit,r S COMC P LAN B U I L D AATION N G N PERMIT AND z IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, 1V, and IX. ZONING jo AT (LOCATION) e, .00ATION (No.) (STREET) )F BETWEEN .��d 41�-e AND WILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION /�-�'fu/ LOT_/,Z—_BLOCK SIZE J? --- H I. TYPE AND COST OF BUILDING — All applicants complete Parts A — D X m A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn 4 1 EEl New building Residential Nonresidential 2 ❑ Additi n0/ residential, enter number t2 One family Is ❑ Amusement, recreati nal of new housing units added, i/ any, 13 ❑ Two or more family — Enter 19 ❑ Church, other religi us in Part D, I3) number of units— — — — -i 20 ❑ Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number u Service station, repair garoge nits ——————— — -r15 ❑ Wrecking (1/ multifamily residential, 23 ❑ Hospital, institutional enter number of units :n building in 15ZGO/ aroge Part D, 13) 16 ❑ Carport 24 ❑ Office, bank, professional 6 ❑ Moving (relocation) 25 ❑ Public utility 17 ❑ Other — Speci/y 7 ❑ Foundation only 26 ❑ School, library, other educati nal B. OWN HIP 27 ❑ Stores, merconfile 28 ❑ Tanks, towers 8 Private (individual, corporation, 29 ❑ Other — Specify nonprofit institution, etc.) 9 Public (Federal, State, or I cal g vernment) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., fo d processing plant, machine shop, laundry building at hospital, elementary 10. C st of improvement,,,,,,,,,,,,,,,, QBo 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 ...................... c. Heating, air conditioning......... d. Other (elevotor, etc.)............ 11. TO L COST OF IMPROVEMENT S 1o?aoL� III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Ports E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 4$. Number of stories............... 30 n sonry (wall bearing) 40 D Public or private company 49. Total square feet of floor area, 41 ❑ Private (septic tank, etc.) 31 Wood frame all floors, based on exterior 32 ❑ Structural steel dimensions ...............•..•.• 33 ❑ Reinf rc d concrete H. TYPE OF WATER SUPPLY 50. Total land area, sq. ft. ........... 34 ❑ Other — Specify 42 [� Public or private company 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ...................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 ❑ as Will there be central air 52. Outd rs....................... Y 36 il conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 ❑ Electricity 44 ❑ Yes 45 U No 53. Number f bed► oms.............. 39 ❑ Cal 39 ❑ Other — Specify Will there be on elevator) Full.......... 54. Number of 46 ❑ Yes 47 7:; No bathrooms IV. IDENTIFICATION — To be completed by all applicants Nome Moiling address — Number, street, c:t>, and Stare ZIP code Tel. No . [.aCAY CONSTRUCTION COMPANY 56 - 7 / 0»ner or "'Lessee �TFiERS,i=IE Dy Qklll:hE. Q61 2. LaCAVA CONSTRUCTION COMPAN.X Contractor 185 SILAS DEANP- HIGHWAY ONN. 061 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdixtion. Signature f applicant CT ION CO. Ad4ress Application dote LA CAV DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Dote Plans Pions Review Required Check Fee Started BY Approved BY Pimtes BUILDING PLUMBING MECHANICAL S ELECTRICAL S OTHER I, V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Ob�c tee Number By Permit or Approvol Chec4� O��o t�eC Number B,. BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING { ' I OTHER I OTHER j VII. VALIDATION Building Permit number 7 Bui Iding Permit issued 19 Building :b. Permit Fee S S l /7/9 A rove y: Cz or 2� ;T TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Ate r i l 1 , 19 85 Fee Paid $. .5.5 2 .0 0 Est. Value $.9.2,.0 0 0 pit 9 _ 14298 on the side of Lot #12 Krawski Drive St Street No. 192 Owner LaCava Construction Cn _ Applicant T c)r QP A_ L a C_a va CERTIFICATE OF OCCUPANCY ISSUED: Date No.7029 Fee Paid $ 3 .00 CLASSIFICATION Dwelling BUILDING PERMIT N? 14298 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. April l 1985 is to (fPrfff#, That LaCava Construction Co. is hereby granted permission to Dwelling at estimated value of $ 9 2.0 0 0 on the side of Lot 12 Rrawski Drive Street on land owned by LaCava Construction Co. Said Work to be as described in Application No. 14598 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Isuued Ap r i 1,,l 19 85 :lding Impector. 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." Dwelling - Lot #12 Kraw.Est. 4/1/85 LaCd;a Construction Co. 192 Krawski Drive permit #14298 Electrician David Garber # 8752 ti Heating Contr. D. Bartone P & H# 6157 plumbing it D. Bartone P & H # 6684 Oil Burner # Certificate of Occupancy # 7029 Sewer Permit Plot plan apprd. p r Engr. P rmit No. ZW�'/ TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. I I I Permit v 3' M I Certifica"Occucy THIS T CERT FY thatat No - f South Windsor, Connecticut, has been erected and completed in accordance with a Building Code and Zoning Regulations of I the Town of South Windsor, and is hereby appr ed f occupancy I Building Inspector r, Buil er Fee Paid,�j�""� Date 19 I qd f -o E. NYYPPA G ASSOCATIS CIVIL thW"IER S LA" 3u11VIiVt t$ fri,AS T OfrSUW, CORN. p•41'Z4'Sv .. xv �� N Fo•a � OQ 48 LV zzb C, O e / O M E Ls't �w�a �� e�aw �►ur..-c�-�ticc� �� \ 2rd �t�.y of V�l��.a�w� ► G�, � No►Zauw�► Vw ,�rro.�� ` T� W 1�•10�SQQ Gs t n 'KALi_ t.►�4►Q' 8752 ELECTRICAL APPLICATION Application No. 1016 6 on the side of Lot #12 Krawski Drive Street Street No. 192 Owner LaCa va Constr.. Co. Electrician Da vid S. Garber FILED IN OFFICE OF The Building Inspector June- 5 19 INSPECTION. ram'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 fire stops (if of wood) are installed, without a special permit from the office, of the Building Inspector. Electrical Permit No. .. ..8..7..52..................... Master License No. ..... 03.03 1 TOWN OF SOUTH WINDSOR Building Permit No. ..14.298... .............. BUILDING DEPARTMENT Date Filed 6.1..51.E ........... ............ Date Final Approval ............... .. ..................... APPLICATION FOR ELECTRICAL WORK Electrical Inspector LsCAVA OONST. 185 SILAS DEANE HIGHWAY .. WETHERSF IELD, ........CT.061 JOB LOCATION: �-vT ' /utiS l l r��Lo JOB OWNER: .... ............. .................og ................... ............... .... Sideof Between .. .. . and ............................................................................... Name of Building Owner ..'-ACAVA CONST. .. . ............... Address . ..... . ............ ............. . ... If work is for Lessee--Give name ..... ... . .. . . Address ............... ... ....... ............... ...... ....... ... . .............. Building now occupied as (unless new) `` No. of family units now Building to be occupied as ....... ... �S.�d. ce ....... Number of family units to be ....... /...................... Is this work included in a Building Permit? Permit Fee . (If no Buildi Permit) Permittee � !✓ G Business Address ,INM ..... Telephone ...��...`�:3`r.�3r.. ��e n j-e ,�► COSTOF INSTALLATION. 0 .. ......................... �mR;.CT..Now......................................................................... TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed 3 Number of convenience outlets to be installed 5-0 Number of present Appliance Circuits ..... Number of switches to be installed . . . Do these include Range ❑ Water Heater ❑ Number of appliances to be installed . . . (as listed below) Dryer ❑ Air Conditioner ❑ Oil Burner ❑ TYPE RATING NO. 6 Dish Washer ❑ Gas Burner ❑ Range _ _ Well Pump ❑ Elec. Heaters ❑ Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater Clothes Washer . . . . Clothes Dryer . . . . . y' S �d Dish Washer . . . . . . 2 `� Air Conditioning Motor . Oil Burner Motor . . . . �' O Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan , , , Well Pump . . . . . . Electric Heat . . . _ Other !J Number of new Lighting Circuits . . . . ...........�.............. Number of new Appliance Circuits 3.............. Number of Heating Circuits . . . ^... .......... Number of Motor Circuits . .._.."..�... _. Size of present service ......... .. _ Size of service to be ................ ....... ........._....._. ................------ ----- 6684" PLUMBING APPLICATION Apphadion No, 6458 on the_ aide of _,._Lot #12 Krawski Drive Street NO. 19 2 Oar ._IL,9- ya Construction Co. phmjm _ Dartone Plbg. & Htg Filed in Office of The Bang I�rpacmr ` May 23 i9,85 IIUBI�Cl�lf. No peraoa aha11 cow add to or abet eery portion of the deaimp qst m of my ho g (ezapt to repair leans) motif a Pkaoit is ramod by the BuMM Lupamw. APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB Z9 z__ tSc S ' 1 �, ip ff 4o l-j z NO. STREET FLOOR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION o (J 4u� 13. SIZE OF MAIN DRAIN / 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 -311 22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES / KIND S h0U,)C' ' 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? Ya'' 27. SIZE OF WINDOW 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? \, 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? 1 e s SIGNATURE ADDRESS S U" f&l/ �4�' SO , J&1 �� 0 J LICENSE NO.')U o _ " 3-3 ESTIMATED COST` 00- i TELEPHONE OWNER CCt;/Cl ':�� }< < ADDRESS�;1. e �! t r"� > > �( �;./.P'A ' / 01 WATER HEATER 31. TYPE `J Y�� ' " ✓ 32. MANUFACTURER TANK SAFETY DEVICES 33. CAPACITY 37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE 38. MANUFACTURER 35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE �yf .a 36. TYPE 40. MANUFACTURER (.� ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. .S �d y5 /,40�— CD962 D E SIGNATURE OF APPLICANT PERMIT # Application For 6547 6157 DEPARTMENT DECISION Heating Permit 3E APPLICATION IS HEREBY:o DEPARTMENT OF LICENSES AND INSPECTIONS a� N APPROVED ❑ DISAPPROVED .Ei Cd TOWN OF SOUTH WINDSOR >~ (= a 5/22/85 Thomas P. D' Auria DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ME BELOW O t» � O w 1. LOCATION OF JOB O � o L7% CQ No STREET CIS LOT NO. FLOOR APT. NO. O � ♦, O lV 2. OWNER -1121 Cd it C :5 O !. ADDRESS bo 3 • 72 — 4.PHONE Cc S. APPLICANT m � .0 PC •�+ ,� a. ADDRESS 7.PHONE{" w ''C d. LICENSE NO. -- � Q p w *- EXPIRATION DATE OF LICENSE PO 10. ESTIMATED COST O � C�V ~ 11. IS THIS A CONTRACT COST? 1s YES ❑ NO bo 0 12. FEE ENCLOSED : Permit #14 2 9 8 PC w x 00 W 1 a. TYPES O.FF BUILDING: L..J C4 b4 RESIDENTIAL ❑ COMMERCIAL O .0 C a14. TYPE OF JOB: ❑ INDUSTRIAL i 3 L ❑ ALTERATION �--1 INSTALLATION ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued from Rev no Side) 11. LOCATION OF JOB Z7 Z� ` ' NO. ��.. STREET FLOOR A".NO. 12. TYPE OF INSTALLATION: UI L BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE LOCATION / SIZE /� SIZE / 13. OF TANK QP 9 OF TANK �� [ OF FILL 17 __ OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND N ,oilim .' ft B.T.U. OR SQ. FT. NET aB.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEED 2--- NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL-C.d—INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. I k B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE n !�?() °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. O DESCRIPTION OF WORK / 15. TO BE DONE: tuer"] Art e 18. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): Room SIZE wlNDows AREA - SQUARE FEET S.T.U. S.T.U. I.- f DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL Sn ROOM NO.AND 6GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j LL RAD. REGISTER FF TYPE AND SIZE OR LEADER L W N SIZE < WALL 'Ltd (INFILT.) TDIFF• TO F O m N SQ. FT. FREE AREA f 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: NAM[ ADDRESS SUBCONTRACTORS AND 1e. 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. .r DATj9 SIGNATURE OF APPLICANT �- a� R dAL CULATION SHEET 1503 (Modern Method) 9zt copyright 1977 Th• dm�nlcs Ifts0tute OWNER ADDRESS DESIGN UMPERATURE DIFFERENCE:�MIst DATIK f, COL.A COL.0 COL.C COL.O COL.E F COL.G ROOM O H L Orr H L W H L W H L W H L W � .w8w crow . - •..M,► 2 ROOM-QIMENSIONS,FT. U I ! �� , STUM pee 1!!)#It of't 3 LENGTH EXPOSED WALLS, FT. Q Radlelt On - 4 WINDOW AND OUTSIDE DOOR AREA STUN STUN STUN UH STUN ' 5 WALL CONSTRUCTION ROOM iLMI. (Tebie 9,L Ine 3 x H) ;_ 807 f v tU 7 c� i � ToTAui �t�es>w►� ; a TYPE QF gLi�sS FROM 1,100 it 1 Bott on of table and for L ino 5) ` .. 7 CS(L Nt O CONSTRUCTION (Terri•-'90 L x v _ • D`'O oT� O"C� t� °""�"""' "'M"" :. 8 FLb R I ONS'1 JIIUCTIONt _ D ITa6le 9,1,It W of Lin. Ft.) E = •� 9 CtIt,Q PY11lITf 'I�pN OONSTFiUCTION „•:._ F � � r d (Tab) B,I.x H f is Well 4W1th Openings) ° .0 1/ ( oti1n " " 3 Wolfs Mth Openings) -fie X I pZ m 3 widis(With Openings)or Ent. Hall ~J 11 TOTAL:9TUH AT 70F TEMP. DIFFERENCE' -Q an S� 12 TOTAL STUM AT DESIGN TEMP. DIFFERENCE l71B ''�� Pub K `— COL.A i COL.S COL.H COL. 1 COL.J COL.K COL.L T Td1L STVH TOTAL 1 ROOM �► L �' OF BUILDING RADIATIO" V r~` AT 5KL9CT9D " O H L W H L W H L W H I L H L ' W DESIGN TEMP.- 2 ROOM DIMENSIONS, FT. l ,p� - �' �f DIFFtREMR 3 LENGTH EXPOSED WALLS, FT. Q i, -1 1' / ! WINDOW AND OUTSIDE DOOR AREA U. BTUH STUN STUN UH STUN 5 WALL CONSTRUCTION •INCREASE BATHROOM (Table 9, Line 3 x H) r 4� ,fJ O-+� TOTAL ZQAk 6 7 YPE OF GLASS - — (Bottom of tabl used for Line 5) - `` `—"' .. tFOR CONCRETE FLOOR ON 7 CEILING CONSTRUCTION FOR CGROU DOS!FILL O (Table 9, L x W) r O �� ;�Mt.; Gr'� GRADE LEVEL,USE LINEAR B FLOOR CONSTRUCTIONt - -- - FEET OF EKPOUD EDGE (Tabl 9, L x W or Lin. Ft.) 9 COLD PARTIT`ON CONSTRUCTION , (Table 9, L x H) ' 10 c 1 Wall(With Openings) - C 3 _ - — — _o w 2 Wells(With Op nrngs) D X a --- �r,`rf; 7 J - — 3 Walls(With Op nings) or Ent. Hall l it TOTAL 9TUH AT 70F TEMP. DIFFERENCE' -L12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE27M — Th+s form is available from The Hydronics Institute, 35 Russo Place,Berkeley Heights, N.J. 07922 -FOR"l9" r�, _, _ __ i--. ,. .. .n_ w{BrJf,-.,,,e1:. .-. _ - N -. ,.s, ,., o F .ye,3 •.pr-•g'a" ..�s,g�; r ,• W EP R.CALCULATION SHEET 1503 (Modern Method)" Copyright 1977 _TIy! OWNER ADDRESS D" TEMPERATURE DIFFERENCE 19:F, QvirE' COL.A COL.• COL.C COL.D COL.E COL.F C L.O 1 ROOM O H L W H L W H L W 14• 4• W H L W Dal"W~ 2 ROOM DIMENSIONS,FT. U ETU1#ow Roo of 3 LENGTH EXPOSED WALLS, FT. Q r Rely ` 4 WINDOW AND OUTSIDE DOOR AREA I<TUH BTUH STUH N STUN �`;� r� b WALL V° �` ' L CCINSTRI.ICTION (Table 9,Line 3 x H) s1DTOTALS A7 ^ ". a 6 TYPE OF GLASS IrItID .10 � „ i 113 ttom of table used for Line 5) 7 CEILINQ CONSTRUCTION (Table 9,L x W) 903 g FLOOR CONSTRUCTION ti D (Tab( 9, L x W or Lin. Ft.) E • -'s, 9 COLD PARTITION CONSTRUCTION F (Table 9.L x H) ;k 10 1 well(With Openings) O; 4 a 2 Wells(With Openings) •X OZ H 3 Wells l With Openings) or Ent.Hall e ,y a r 11 TOTAL BTUH AT 70F TEMP. DIFFERENCE. �►� d"Sti r,'��J 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K L mono COL.A COL.S COL.H COL. 1 COL.J COL.K COL.L T TAL STUH TOTAL 1 ROOM OF BU kLT IGIO "l D O H L W H L W H L W H L W H L W DESIGN TEwI►.• , — DIFFERENC19 2 ROOM DIMENSIONS, FT. U _ a 3 LENGTH EXPOSED WALLS, FT. Q —4 WINDOW AND OUTSIDE DOOR AREA LL l BTUH BTUH BTUH BTUH STUH 6 WALL CONSTRUCTION *INCREASE•ATHROOM (Table 9, L Ine 3 x H) TOTAI,.20% i 6 TYPE OF GLASS — (Bottom of table used for Line 5) ! --- - — tFOR CONCRETE FLOOR ON 7 CEILING CONSTRUCTION GROUND OR FILL AT (Table 9, L x W) _ 8 FLOOR CONSTRUCTIONt GRADE LEVEL,USE LINEAR —- ----' - — FEET OF EXPOSED EDGE (Table 9, L x W or Lin. Ft.) 9 COLD PARTITIpN CONSTRUCTION , (Tabl 9, L x H) 10 C 1 Wall(With Openings) — # r-o -- ----- s 4 2 Walls(With Openings) b _ — ---- -- ----_----^ 3 Walls(With Openings)or Ent.Hall 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' ; 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE This form is available fr m The Hydronics Institute,35 Russo Plac ,Berkeley Helghts, N.J.07922 FORM 150 a . g 3;:. • _ - ,r - ,.. T5 ' .- : .".♦..a,4 i14ts�f�fi3-=�`_'SL h- - _ .ry z. rkN4'Y +-•.-•�RY.,.:J i'_ -pi 00 TO THE 1BUffiDING INSPEMR of the APPLICATION FOR TOWN OF SOUTH WI MISM COIN. PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. ZONING O 1• AT (LOCATION)I 9 !� A Y y r•-' W ( 'ZD"R ( Y%,C— DISTRICT LOCATION (N0.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D �o A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use � 1 New building Reside al Nonresidential 2 ❑ Addition()/ residential, enter number 12 One family 18 ❑ Amusement, recreational of new housing units added, i/ any, in Part D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious number of units— — — — -� 20 ❑ Industrial 3 Alteration (See 2 above) 14 Transient hotel, mote , ❑ T l 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (1/multifamily residential, of units ——————— — -i 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 ❑ C 25 Public utility port 24❑ Office, bank, professional 6 ❑ Moving (relocation) 17 Other — Specify ❑ y 7 ❑ Foundati n only 26 ❑ School, library, other educati nal B. OWNERSHIP 27 ❑ Stores, mercantile 8 ❑ Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29 ❑ Other — Specify 9 ❑ Public (Federal, State, or local g vernment) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food processing plant, machine shop, laundry building at hospital, elem ntary 10. Cost of improvement,,,••..,.....,., S 4�60r�— school, secondary school, college, parochial school, parking garag 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 ...................... c. Heating, air conditioning......... d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ 111. 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. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Mas my(wall bearing) 40 ❑ Public or private company 48• Number of stories................ 31 ❑ W d frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,all floors, based on exterior 32❑ Structural steel dimensions ..................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Specify 42 ❑ Public or private company 50. Total land area, sq. ft. ........... 43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ No 53. Number of bedr ms.............. 38❑ Coal 39❑ Oth ►— Specify Will ther b an elevator? 54. Number of Full.......... 46❑ Yes 47❑ N bathr oms Partial........ IV. IDENTIFICATION — To b compl t d by all applicants Name Mailing addr ss — Number, street, city, and State ZIP a ZIP code /^Tel. No. 1. (� Owner or � • ( J��1 J V Lessee 2. W Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application date 00 NOT WRITE BELOW THIS LINE V. 'PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval I Check Date Number B Permit or Approval I Check Date Number j By pp Obtained y pp Obtained BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit numb r I S006 Bui Iding i,_a 1 36 Permit issu d Y 19 Building 4 . 00 Permit Fe d TITLE ,Y / )T) _j TOWN OF SOUTH WINDSOR BUILDING PERMIT Date_May 1 , 1986 Fee Paid $.4...0 0 Est. Value $. 6.OP..0 0 Permit N° 15006 on the aide of Krawsk i Dri ye $tteet Street No. 1 9 2 Kra wsk i Dri v Owner Susan Sigal Applicant S y s a- ti S i ga l CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Enlarge Deck BUILDING PERMIT M 15006 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. an Y l 19 86 94is is to Certifil, That is hereby granted permission to Enlarge rmack at estimated value of on the side of i�ra sk J nriue Street on land owned by 5unan Sisal Said wnrlc to be as described in Application No. V%3 0 6 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued MAY 1986 Building Inspector. Strata 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 costa and damages which it shall sustain, or be compelled to reason therefor." Sk0(J.1 t S ("If IL C►•V•-t c pt s ► %...WL, %-J"j .•efts ce s,.� VLAb 7 ONBUFIY, CONN Iv 00 01 y V �p �r rrD� � �b• ~ ` tY 2 ' .a ti �doe f � . dow doe lk 0 7 r F IA , r4 LaT titve� �� r+•p as cautr z.T,�E.o � :.Z� - 1� � - � � � � �•1� �ti.T Q�aP� �.�Or.JTy� 1fl 11J Q',.O tC�GW�rJ� J�`�� \ �� . 4.4 sF"� (iw T++c.J 1-tt•d� eY C+�aa.�S I I C_e :t►�-.C� �. :'y.��t�,..�y LcL tied-T i i I I r ' ✓ �n s \t,r tiQ n t^ ,s -oPtes 4t )� o `i ed N..e �•,,o �t � ,Sd t\nit \s � 8�\\"` � t•e t� �� an twat \ d 5%gned Jan J Ond 00. I �_a�g FINAL INSPECMW Building w � APPLICATION FOR BUILDING PERMIT Plumbing ��.".— HVAC 192 KRAWSKI DRIVE Date: Sprinkl �t-Ktl �Af 26 CM. Electric Ste_ S t01 Estimated Cost $ Zoning Permit Fee; G NO. 2 0 3 5 4 Occupancy Fee Z Affidavit Eng. Dept. COMPLETE RED BOXED AREAS. 2- Fire D pt. Total Fee � 12 Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location y +� �- Lot No. Side of Street Zone Applicant C MI S S i� A S6� _VNC- Tel. # Address ( � D2C,4ARP s7 -41111 j C'i'I zip C(/ STREET CI V STATE e- Owner ORA M25 9l&AL Address 19Z 0?,AwJ9A A� Architect Address 0 Size New Area: Ft. Front Overall Ft. Deep Overal I Lotal Area re es #Garages Size of Lot Dist. from Street Line Bathrooms Rooms 1st 2nd 3rd Purpose of this Permit A2VJ-L2L'J �-m O F HOSE 01—F -PAM/LA/ "12 City Water 0 Well 13 Septic 0 Sewer 0 Use Group Construction Type Approv d by Date `3 BD1A 11/88 I h r by agree to conform to all the requirements of the Laws of the Stat of Conn cticut and the Ordinanc s 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 a zone in which this building and its use is allowed. `/ X Signed I hereby apply for a Certificate of Occupancy for the work described in this application for n Signed 0 /0 i Z 4J."p, —DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# 4.3y Ji Inspections: Electrical Permit# 16;�4 Inspections: Sprinkler Permit# Inspections: , i POSSIBLE BEAM CHOICES CHOICE NUMBER OF DEPTH NUMBER PIECES (In) A 1 14.000 B 2 11.250 or 1 Piece 3.5" Billet Beam C 3 9.250 USE THE f KEY OR THE 1 KEY TO SELECT THE DESIRED BEAM ONCE THE BEAM IS SELECTED PRESS THE Enter KEY FOR ADDITIONAL OUTPUT FA M)bl I TecWare (TM) Beam Sizing Software Version 1.3 (c) Copyright 1991, 1992 by Tecton Laminates Corporation 16:35:47 12-04-1992 Job Name: TUSSIN GABLE BEAM Input Summary Design Information ------------------ Tributary Width: 1 Ft 0.000 In Duration of Load Factor: 1.150 Stress Adjustment Factor: 1.000 Dead Load Deflection Limit: L/640 Live Load Deflection Limit: L/240 Total Load Deflection Limit: L/180 Beam is laterally supported. Beam is side loaded. Beam is not a repetitive member. Pattern loading option selected, 3 load cases were checked. Span Lengths and Uniform Loads ------------------------------ Uniform Load Length Live Dead Span 1 13 Ft 0.000 In 0 plf 100 plf Concentrated Loads ------------------ Load No. Live Dead Location Span 1 1 2223.00 Lbs 1312.00 Lbs 2 Ft 0.000 In Job Name: TUSSIN GABLE BEAM PAGE 2 Output Summary Beam selected: TecLam (2.00E) , 1 Piece(s) 1.75, Inch Thickness, 14.00 Inch Der ---------------------------------------------------------------------------- Reactions and Required Bearing ------------------------------ Support Live Load Dead Load Total Load Req'd Bearing Number Reaction Reaction Reaction Length 1 Left 1881.00 Lbs 1801.10 Lbs 3682.10 Lbs 2.81 In 2 Right 342.00 Lbs 892.80 Lbs 1234.80 Lbs 1.50 In Maximum Shear, Moment, and Deflection ------------------------------------- --------Shear---------- --------Moment---------- -------Deflection------ Actual Ratio Location Actual Ratio Location Actual Ratio Location (Lbs) (Ft) (Ft-Lbs) (Ft) (In) (Ft) 3551 0.66 1.23 7152 0.47 2.00 0.27 0.660 6.00 --Live Load Deflection- 0.11 0.173 5.50 Notes 1. Beam weight is added to listed loads. 2. Load locations given are measured from the left end of the span 3. Locations of maximum shear, moment and deflection are measured from the left end of the member. 4. Bearing across full width of beam is required. 5. Structural adequacy of supporting members must be confirmed. 6. Bearing lengths required may be limited by bearing stress on supporting member. 7. A negative reaction indicates that the beam must be fastened to the support to resist uplift. 8. An asterisk next to a reaction indicates that an uplift force may occur at this support. 9. For technical assistance, contact Tecton Laminates Corporation at 1-800-825-8120. POSSIBLE BEAM CHOICES CHOICE NUMBER OF DEPTH NUMBER PIECES (In) A 1 14.000 B 2 11.250 or 1 Piece 3 .5" Billet Beam C 3 9.250 USE THE t KEY OR THE 1 KEY TO SELECT THE DESIRED BEAM ONCE THE BEAM IS SELECTED PRESS THE Enter KEY FOR ADDITIONAL OUTPUT -FAM J L TecWare (TM) Beam Sizing Software Version 1.3 (c) Copyright 1991, 1992 by Tecton Laminates Corporation 16:32:58 12-04-1992 Job Name: TUSSIN HEADER Input Summary Design Information ------------------ Tributary Width: 1 Ft 0.000 In Duration of Load Factor: 1.150 Stress Adjustment Factor: 1.000 Dead Load Deflection Limit: L/640 Live Load Deflection Limit: L/240 Total Load Deflection Limit: L/180 Beam is laterally supported. Beam is not side loaded. Beam is not a repetitive member. Pattern loading option selected, 3 load cases were checked. Span Lengths and Uniform Loads ------------------------------ Uniform Load Length Live Dead Span 1 it Ft 0.000 In 300 plf 170 plf Concentrated Loads ------------------ Load No. Live Dead Location Span 1 1 1575.00 Lbs 940.00 Lbs 7 Ft 0.000 In Job Name: TUSSIN HEADER PAGE 2 Output Summary Beam selected: TecLam (2.00E) , 1 Piece(s) 1.75, Inch Thickness, 14.00 Inch Depi -------------------------------------------------------------------------- Reactions and Required Bearing ------------------------------ Support Live Load Dead Load Total Load Req'd Bearing Number Reaction Reaction Reaction Length 1 Left 2222.73 Lbs 1311.47 Lbs 3534.20 Lbs 2.69 In 2 Right 2652.27 Lbs 1567.83 Lbs 4220.11 Lbs 3.22 In Maximum Shear, Moment, and Deflection ------------------------------------- --------Shear---------- --------Moment---------- -------Deflection------ Actual Ratio Location Actual Ratio Location Actual Ratio Location (Lbs) (Ft) (Ft-Lbs) (Ft) (In) (Ft) 3635 0.68 9.77 13011 0.85 6.77 0.39 0.703 5.92 --Live Load Deflection- 0.25 0.446 5.92 Notes 1. Beam weight is added to listed loads. 2. Load locations given are measured from the left end of the span 3. Locations of maximum shear, moment and deflection are measured from the left end of the member. 4. Bearing across full width of beam is required. 5. Structural adequacy of supporting members must be confirmed. 6. Bearing lengths required may be limited by bearing stress on supporting member. 7. A negative reaction indicates that the beam must be fastened to the support to resist uplift. 8. An asterisk next to a reaction indicates that an uplift force may occur at this support. 9. For technical assistance, contact Tecton Laminates corporation at 1-800-825-8120. POSSIBLE BEAM CHOICES CHOICE NUMBER OF DEPTH NUMBER PIECES (In) A 1 14.000 B 2 11. 250 or 1 Piece 3 .5" Billet Beam C 3 9.250 USE THE 1 KEY OR THE 1 KEY TO SELECT THE DESIRED BEAM ONCE THE BEAM IS SELECTED PRESS THE Enter KEY FOR ADDITIONAL OUTPUT 1D6& TecWare (TM) Beam Sizing Software Version 1.3 (c) Copyright 1991, 1992 by Tecton Laminates Corporation 16:27:40 12-04-1992 Job Name: TUSSIN RIDGE Input Summary Design Information ------------------ Tributary Width: 7 Ft 0.000 In Duration of Load Factor: 1.150 Stress Adjustment Factor: 1.000 Dead Load Deflection Limit: L/640 Live Load Deflection Limit: L/240 Total Load Deflection Limit: L/180 Beam is laterally supported. Beam is side loaded. Beam is not a repetitive member. Pattern loading option selected, 3 load cases were checked. Span Lengths and Uniform Loads ------------------------------ Uniform Load Length Live Dead Span 1 15 Ft 0.000 In 30 psf 17 psf Job Name: TUSSIN RIDGE PAGE 2 Output Summary -------------- Beam selected: TecLam (2.00E) , 1 Piece(s) 1.75, Inch Thickness, 14.00 Inch Dept ---------------------------------------------------------------------------- Reactions and Required Bearing ------------------------------ Support Live Load Dead Load Total Load Req'd Bearing Number Reaction Reaction Reaction Length 1 Left 1575.00 Lbs 939.75 Lbs 2514.75 Lbs 1.92 In 2 Right 1575.00 Lbs 939.75 Lbs 2514.75 Lbs 1.92 In Maximum Shear, Moment, and Deflection ------------------------------------- --------Shear---------- --------Moment---------- -------Deflection------ Actual Ratio Location Actual Ratio Location Actual Ratio Location (Lbs) (Ft) (Ft-Lbs) (Ft) (In) (Ft) � 1 2103 0.39 13.77 9430 0.62 7.50 0.52 0.693 7.50 --Live Load Deflection- 0.33 0.436 7.50 Notes 1. Beam weight is added to listed loads. 2. Load locations given are measured from the left end of the span 3. Locations of maximum shear, moment and deflection are measured from the left end of the member. 4. Bearing across full width of beam is required. 5. Structural adequacy of supporting members must be confirmed. 6. Bearing lengths required may be limited by bearing stress on supporting member. 7. A negative reaction indicates that the beam must be fastened to the support to resist uplift. 8. An asterisk next to a reaction indicates that an uplift force may occur at this support. 9. For technical assistance, contact Tecton Laminates Corporation at 1-800-825-8120. 1 PERMIT .7 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT �� Application is hereby: TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 644-2511 Ext. 230 Date i Inspector Application must be printed or typed 1 . LOCATION OF JOB FEE SCHEDULE No . Street $ 0 - $19000 - $10.00 Floor Apt . No. Over $1,000 - $10.00 per $1 ,000 or 2 . OWNER fraction thereof P �/7 3. ADDRESS I V 4. APPLICANT 5. ADDRESS J�ZC `A-)Cr' a, C 6. ESTIMATED COST $ C) 7 . IS THIS A CONTRACT COST c7 Y s No 8. FEE ENCLOSED $ l V 9. TY�P,E, OF BUILDING: PRESIDENTIAL COMMERCIAL 10. TYPE OF JOB: Original Installation 'Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB �0,4., NO. STREET APT. NO , 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER 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 C/k I U-SS//j x,-SG^j 35 . REMARKS AND FURTHER DETAILS : , AJ 0 L) 1pi cr- (`1 cE LICENSE NO. SIGNATURE 0 APPLICANT DA E PHONE NUMBER: 6 Dy - ( 9D3 r FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: (NO. ) TOWN OF SOUTH WINDSOR EST.COST: Leda BLDG. PERMIT NO.dQ 3 1540 SULLIVAN AVENUE FEE & SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 $ 0 - $19000 - $10.00 $1000 or fraction � _ ) LOCATION OF BUILDING �Z � !` �'�- !.y 6 �,� C� thereof - $10.00 5,,-,'--4":", / sc�_,'Je , OWNER ADDRESS TOWN PHONE NO. e G HVAC CONTRACTOR ADDRESS TOWN PHONE NO. TYPE OF SYSTEM: HEATING _ cam_ TYPE OF BUILDING: RESIDENTIAL X A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADII T HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM GAS IN-PUT ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION -�:1 6' TOTAL RADIATION DESIGN TEMP. OUTSIDE 0 OF INSIDE r10 OF DIFFERENCE 70 OF TOTAL HEAT LOSS (BTUH) d (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): 13 o ,-le, l D_o, voo i� /00 oa y (0 Coo 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. 7illding Codes in the performanc of such work. FURTHER DESCRIPTION OF WORK: AW �G "2 e STATE LICENSE - NAME & TYPE # VATE SIGNATURE OF APPLIC APPROVED 'DATE 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.B COL.C COL.D COL.E COL.F COL.G 1 ROOM cr O H L W H L W H L W H L W H L W Design Water Temp. 2 ROOM DIMENSIONS, FT. H U BTUH per F t of 3 LENGTH EXPOSED WALLS,FT. a Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION ROOM LIN. FT.OF (Table 9, Line 3 x HI TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED (Bottom of table used for Line 5) 7 CEILING CONSTRUCTION C (Table 9, L x W) g FLOOR CONSTRUCTIONt D (Table 9, L x W or Lin Ft) E 9 COLD PARTITION CONSTRUCTION F (Table 9, L x H) G 10 _C 1 Wall IWlth Openings) G H 2 Wells(With Openings) D X 3 Wells(With Openings) or Ent.Hall f. 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K -- COL.A — —_--_ -- COL.B COL.H _ COL.1 COL_J COL.K COL.L TOTAL BTUH TOTAL OF BUILDING RADIATION 1 ROOM ¢ AT SELECTED O H L W H L W H L W H L W H L W DESIGN TEMP.° 2 ROOM DIMENSIONS, FT U DIFFERENCE - - 3 LENGTH EXPOSED WALLS, FT Q 41 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 (Bottom f table used f r Line 51 --- - — -7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ONGROUND OR FILL AT (Table 9, L x WI _ GRADE LEVEL,USE LINEAR B FLOOR CONSTRUCTION? FEET OF EXPOSED EDGE (Table 9, L x W r Lin Ft) 9 COLD PARTITION CONSTRUCTION (Table 9, L x H) 10 1 Wall(With Openings) 2 Walls(With Openings) °X 3 Wells(With Openings) or Ent. Hall 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE This form Is available from The Hydronics Institute,36 Ruts Piece,Berkeley Heights,N J 07922 FORM 1503 C&N MICHANKAL PO.Box 1O5 VK Granby,CTO6}9] 2]3165]499 6AX:G53-5813 192 KRAWSKI RD. SOUTH WINDSOR. . ROOM NUMBER 1 2 '-', 4 5 ROOM NAME SUNROOM STUDIO HEIGHT 10. 0 8. A 0. 0 0. 0 0. 0 LENGTH 13. 0 10. 0` ' 0. 0 0. 0 0. 0 � WIDTH 15. 0 EXPOSED WALL LENGTH 30. 0 4��. 0 -�{}."�0 0. 0 0. C. # OF WALLS WITH OPENINGS 3. 0 2. 0 0. 0 EXPOSED 6LASS AREA 140. 0 84. 0 0. 0 0. 0 0. 0 BASEBOARD FEET @ 180 36. 4 27. 5 0. 0 ROOM # 1 FACTOR WALL 0. 05 640 / '1104 0 0 0 GLASS 0. 56 6272 3763 0 0 0 CEILING 0. 02 3�2 320 0 0 0 FLOOR SQUARE FT 0. 53 8268 13480 0 0 0 SLAB LI�EAR FT COLD PARTITION 0. 00 0 0 0 0 0 INFIL�RATION 0. 036 5616 2304 0 0 0 TOTAL BTUH LOSS @ 80 DES. TD 21108 15971 0 0 0 6AI1\1 12248 8479 0 0 0 TOTAL HOUSE LOSS 21108 B T U H @ 80 TD TOTAL HOUSE GAIN 12248 BTUH WALL FACTOR ? ` IF ECALL 2 3SAVE 4 5PRINT 6 7HELP 8 9QUIT 10 ' .^ Plumbing ' ` ' ^ � ' °Heating°Sprinkler Systems°Process Piping°Industrial°Commercial°Residential Service FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: 'f-Z,I-ff (ISO. ) TOWN OF SOUTH WINDSOR EST.COST: .Q b BLDG. PERMIT NO. 1540 SULLIVAN AVENUE FEE ,,9Q ... •n- SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 $ 0 - $19000 - $10.00 $1000 or fraction LOCATION OF BUILDING 9 lite��,� thereof - $10.00 OWNER ADDRAHA TOWN PHONE NO. HVAC CONTRACTOR ADDRESS TOWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING• ��0Z RESIDENTIAL A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM 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) (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE l °F INSIDE 7S� OF DIFFERENCEL_°F TOTAL HEAT GAIN (BTUH) Q &0(� (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL N0.): ��/v t,� h4s4?,3- Ze Co•.� A_,g� 6 *bW w ft-� T NNAGE COOLING CAPACITY (BTUH) pd v IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT) : TOTAL SIZE OF SYSTEM (CFM) 5004qFfok 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: " C")'f0 ��1 w4-� IV, /T V—d Closed CLI �3 0 3 2 6 "? 5- 1 -Z S -7(/ STATE LICENSE - NAME & TYPE # DATE SIGNATURE F APPLICANT 2�A DATE BD 4A 11/88 I - B- R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydrontcs Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL.A COL.B COL.C COL.D COL.E COL.F L.G i ROOM tC O H L W H L W H L W H L W H L W Design Water Temp. V BTUH per F Ot o/ ? ROOM DIMENSIONS, FT. H 3 LENGTH EXPOSED WALLS, FT. a Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA IL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION ROOM LIN. FT.OF (Table 9, Line 3 x H) TOTALS RADIATION FROM LINE 12 SELECTED 6 TYPE OF GLASS IBottom f table used for Line 5) 7 CEILING CONSTRUCTION C (Table 9, L x W) 8 FLOOR CONSTRUCTIONt Q (Table 9, L x W or Lin F t l C E 9 COLD PARTITION CONSTRUCTION F (Table 9, L x HI G 10 C 1 Wall(With Openings) G 77 :O _�; c+ 2 Wells(With Openings) D J I 3 Wells lwith Openings)or Ent.Hall J 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' K 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE ----- —' L COL.A COL.B COL.H COL.1 COL.J COL. K COL.L TOTAL BTUH TOTAL --- — "---- --- OF BUILDING RADIATION 1 ROOM ¢ AT SELECTED O H L W H L W H L W H L W H L W DESIGN TEMP.° DIFFERENCE :: ? ROOM DIMENSIONS, FT U - 3 LENGTH EXPOSED WALLS, FT Q 4 WINDOW AND OUTSIDE DOOR AREA U. BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION *INCREASE BATHROOM (Table 9, Line 3 x H) TOTAL 20% 6 TYPE OF GLASS (Bottom of table used f r Line 51 fFOR CONCRETE FLOOR ON 7 CEILING CONSTRUCTION GROUND OR FILL AT (Table 9, L x W) GRADE LEVEL,USE LINEAR FEET OF EXPOSED EDGE 8 FLOOR CONSTRUCTIONt (Table 9,L x W r Lin Ft 1 9 COLD PARTITION CONSTRUCTION (Table 9, L x H) 10 c 1 Wall(With Openings) Oe 3 — - ----- --- ------- -- c i 2 Walls(With Openings) 10.X -- — _--_-- -- J 3 Wells(With Openings)or Ent Hall 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE _ FORM 1503 This form Is evailabie from The Hydr nice Institute, 36 Russo Place,Berkeley Heights,N J 07922 # of Fireplaces 0 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Model Model Type Type Efficiency / HSPF 0.0 COP/EER/SEER 0.0 Heating Input 0 Btuh Sensible Cooling 0 Btuh Heating Output 0 Btuh Latent Cooling 0 Btuh Heating Temp Rise 0 Deg F Total Cooling 0 Btuh Actual Heating Fan 455 CFM Actual Cooling Fan 455 CFM Htg Air Flow Factor 0.021 CFM/Btuh Clg Air Flow Factor 0.053 CFM/Btuh Space Thermostat Load Sensible Heat Ratio 87 ROOM NAME AREA HTG CLG HTG CLG SQ.FT. BTUH BTUH CFM CFM. family room 240 5868 2031 122 109 great room 240 9400 3868 195 207 craft room 200 6607 2604 137 139 Entire House 680 21875 8503 455 455 Ventilation Air 0 0 Equip. @ 0.95 RSM 8078 Latent Cooling 1308 -------------------------------------- TOTALS 680 21875 9386 455 455 MANUAL J: 7th Ed. RIGHT-J: V1.73 SIN 3357 RIGHT-J SHORT FORM 4-29-94 Job #: Htg Clg For: Outside db 17 91 Inside db 70 75 September 10, 1993 Mr. Sigal 192 Krawski Drive South Windsor Conn. 06074 Dear Mr. Sigal; OPEN PERMIT: I have contacted your household either by a phone call to your home or I have dropped off a door tag. This was done to remind you that you have an open BUILDING PERMIT. I have had no response to this . According to our records you still need either an intermediate or final inspection. Would you please contact me and let me know the status of your project. If your project is finished please call and schedule a final inspection. Please be advised that occupancy of a structure that does not have a CERTIFICATE OF OCCUPANCY is a VIOLATION of STATE STATUTE # 29-265 . Please contact this office within one week of receipt of this letter. I am in the office Monday through Friday 7 : 30 - 9 : 00 am and 12 : 30 - 2 :00 pm: . Please call me at 644-2511 ext. 232 . Very truly yours, John F. Hogan, Assistant Building Official FINAL INSPECTIONS: 'r/ F.-.l4 6 loft/SS Bui1ding APPLJCATION F R BUILDING PERMIT Plumbing HVAC 192 KRAWSKI DIRVE Date: «- 3��- Sprinkler Electric v Estimated Cost $ ie� Zoning Permit Fee$ 4Q Affidavit NO. 20356 Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS. Total Fee $ �Q Fire Dept. TYPE OR PRINT ONLY Health Dept. 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 152- K144USK-r— Lot No. 1 Z Side of Street Zone Applicant ST-t^P2.A) 3 - '2_T_CftA-IL- Tel. # Address 192, -,Qgw.S,tz C.,lJc_ -S-WoC;4)p4jpe Zip 0007`{ Lic.# STREET CITY IF STATE Owner A41PI.sc T- Address Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages Lavatories Size of Lot Dist. from Street Line Bathrooms Rooms 1st 2nd 3rd Purpose of this Permit K37i'C4FN e 4 00AT'SwYA City Water 0 Well 0 Septic 0 Sewer 0 Use Group PY4 Construction Type /t,� Approv d by Date 8D1A 11/88 I h reby agree to conform to all the requirements of the Laws of th State of Connecticut and the Ordinances of th 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 a zone in which this building and its use is allowed. )4,Signed. "I& I hereby apply for a Certificate of Occupancy for the work described in this application for permit. Signed -DO NOT WRITE BELOW THIS LINE- INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# / > Inspections: Sprinkler Permit# Inspections: Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 92-20356-B 1,000 B10 FINAL 09/20/93 JFH D NEEDS GFI RIGHT OF SINK--NO OUTLET ON PENINSU B10 FINAL 10/06/93 JFH A 92-12433-E 50 Total Est Value 1,050 PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT /.24 3 Application is hereby: TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. SPROV DISAPPROVED 1540 SULLIVAN AVENUE 3 644-2511 Ext. 230 D to Building Inspector Application must be printed or typed 1. LOCATION OF JOB l72- KiA-U51cx-- FEE SCHEDULE No . Street $ 0 - $19000 - $10.00 Floor Apt . No. Over $1,0 0 0 - $10.0 0 2 . OWNER 5r4t fin! S.��Jtz< per $1 ,000 or fraction thereof 3. ADDRESS t 7 L (G44w S rcs-- )4myw. 4. APPLICANT SA,y 5. ADDRESS 6. ESTIMATED COST $ 7. IS THIS A CONTRACT COST _t s 8. FEE ENCLOSED $ /dd� 9. TYPE OF BUILDING: a�� RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: Original Installation ,/Alteration/Addition/Repair 80 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB l Cl L PAWSx- W- S�✓T-A-- &J �Scr� Crr NO. STREET APT. NO , 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER 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 : V � (, "tL (3( �z- LICENSE NO. SIGN TURE OF APPLICANT DATE PHONE NUMBER: (P (C(—�� 8ectnc# 55 APPLICATION FOR BUILDING PERMIT Plumbing# 192 KRAWSKI DRIVE HVAC # o m Date: �•2-`�g 24885 Sprinkler# FIK APPROVALS Estimated Cost $ Q CV0 Building d 9 a16 COMPLETE RED BOXED AREAS Permit Fee 13 2 Engineering TYPE OR PRINT ONLY Occupancy Fee $ o` Affidavit SIGN ON REVERSE SIDE Appr.for CO. oc-� C� 9b Total Fee $ 1?J 7 0 0 TO BUILDNG DEPARTMENT,TOWN OF SOUTH WIISIDSOR,CT (Additional Costs The undersigned hereby applies to do work according to the following specifications: Job Location I q: (,JS4 1 -I>1 Z-- Lot No. Side of Street Zone Applicant C' • ��/�i'/<'� �- •� Tel#5ZL - L? -��5�►'� Address 1�Z 41'r'1tl) 0�' 1, Lic.# 3 Own r S/ Address N t Z- I�'! `•ca�i'�Gj /�T� Architect &.ya- moat✓ Address f -V)6Q )l- Sq. Ft.New Area: lst Fl. 3"S 2nd Fl. 3rd Fl. Total New Area -02� #Rooms #Lavatories #Bathrooms #Garages Purpos of this permit: AD rr7�,� - �--0 City Water ❑ yell ❑ Septic System ❑ Sewer ❑ Ins. H.O. P. Cert. Area Basement Garage Approved by Date 1 2 Use Group Construction Type Revi.d 1/97 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 whichhtth-is building and its use is allowed. Signed C r7 I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed e� DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 98-24885-B 10,500 B01 FOOTING 01/27/98 DCJ B03 FRAMING (ROUGH) 02/19/98 DCJ A E03 ROUGH 02/19/98 DCJ A H03 ROUGH 02/19/98 DCJ A B04 INSULATION 02/20/98 DCJ A B10 FINAL 04/08/98 DCJ A APPROVED FOR CO & CLOSEOUT 98-14735-E 750 98-10049-H 1,000 Total Est Value 12,250 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# 425 Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bld P t# APPRO 1540 SULLIVAN AVENUE QL�= 644-2511 ext.230 wilding Inspector 4Date Application must be printed or typed Location of job Street No. Street Lot No. . I I FEE SCHEDULE Floor Apt.No. $0 - $1,000 - $12.00 Over $1,000 L $12.00 per$1,000 OWNER or any fraction thereof ADDRESS OWNERS PHONE# APPLICANT 0* N ADDRESS z4L1,zek, , Jq ESTIMATED COST$ 0 IS THIS A CONTRACT COST? YES NO FEE ENCLOSED PZ OR-C0 TYPE OF JOB: .Original Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATIONC:!P/ NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP (Other please specify) mmond TYPE OF INSTALLATION/WIRING METHOD �'��/ SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO NUMBER OF LIGHT CIRCUITS / NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES 6 NUMBER OF OUTLETS�d NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE 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 CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO.�� DATE M�tir9'�f1/\/rPt`Yr'�r-r��+w.+.��.... ._....r.._...rr.�r+►�.vv►.�..-..--.r�..�..� ry rr�v�PU�r.ir y J STATE OF CONNECTICUT 11/21/97 DEPARTMENT OF CONSUMER PROTECTION 165 CAPITOL AVE • HARTFORD CT 06106-1630 Be it known that C TUSSIN & SON INC 12 ORCHARD ST AVON, , CT 06001 Is hereby certified by the Department of Consumer Protection as a registered HOME IMPROVEMENT CONTRACTOR Designee: CAL TUSSIN DBA: ,Registration Number: 00539374 .",ffectiue Date: 12/01/97 Mark A. Shiffrin ll xx ration Dater 11/30/98 ^^�^ QW.,FW t ety ,t Aeum M�a o TeeravveleeisGro pT COMMERCIAL EXCESS LIABILITY (UMBRELLA) , INSURANCE POLIC THE AETNA CASUALTY AND SURETY COMPA HARTFORD, CONNECTICUT 06183 The declarations, schedule, coverage part, conditions and endorsements c NAMED INSURED AND MAILING ADDRESS DENNIS GUERARD ELECTRICAL COMPANY 007 XS 26020068 TWA 24 OLD VILLAGE LANE UNIONVILLE POLICY PERIOD CT 06085 FROM 07/01/97 TO 07/01/98 12:01 am STANDARD TIME AT THE INSUREDS ADDRESS STATED HEREIN FORM OF BUSINESS: CORPORATION In return for the payment of the premium, and subject to all the terms of this policy, insurance is provided to YOU by the Stock Insurance Company specified above, for which a Coverage Form is attached. LIMITS OF INSURANCE COVERAGES LIMITS OF LIABILITY AGGREGATE LIMITS OF LIABILITY $1,000,000 Products/Completed Operations Aggregate $1,000,000 General Aggregate COVERAGE A - Bodily Injury and Property $1,000,000 any one occurrence subject to the Products,' Damage Liability Completed Operations and the General Aggregate Limits COVERAGE B - Personal and Advertising $1,000,000 any one person or organization subject to the Injury Liability General Aggregate Limit of Liability RETAINED LIMIT $10,000 any one occurrence or offense FORMS APPL CABLE TO THIS COVERAGE TITLE NUMBER SEE ATTACHED SCHEDULE POLICY PREMIUM PREMIUM BASIS EXPOSURE RATE MINIMUM PREMIUM FLAT CHARGE Advance Premium $V� • Total Advance Premium $ This premium may be subject to adjustment COUNTERSIGNATURE This policy is not valid unless countersigned by a duly authorized Agent of such company. Authorized Agent Countersignature Date Signed for the above CompanyL a insurer by: Secretary Executive Vice President DC012 (ED.01-86) (Rev. 9-96) The Aetna Casualty and Surety Company r -' Members orTrave1" `any— WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY - RENEWAL CERTIFICATE- INFORMATION PAGE (Attach this Renewal Certificat6 AETNA CASUALTY COMPANY OF CONNECTICUT to your Workers Compensation HARTFORD, CONNECTICUT 06156 and Employers Liability NCCI COMPANY NUMBER 27405 Insurance Policy) POLICY NUMBER 007 CB 0026020068 TXN PRIOR POLICY NUMBER 007 CB 0025541678 TXN A Stock Insurance Company 1. NAMED INSURED AND MAILING ADDRESS LEGAL ENTITY DENNIS GUERARD ELECTRICAL COMPANY 24 OLD VILLAGE LANE CORPORATION UNIONVILLE CT 06085 OTHER WORKPLACES NOT SHOWN ABOVE AGENCY/BROKER JONES RAPHAEL & OULUNDSEN INC. 4980 ISSUING OFFICE ISSUE DATE HARTFORD CT 05/12/97 ID NUMBER TBD FEIN .2. RENEWAL.MUCY PERIOD From 07/01/97 12:01 A.M. to 07/01/98 12:01 A.M. Standard Time at the Insured's mailing address. . A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: CT B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $100,000 each accident Bodily Injury by Disease $500,000 policy limit Bodily Injury by Disease $100,000 each employee C. Other States Insurance: Part Three of the policy applies to the states listed here: ALL STATES except Nevada, North Dakota, Ohio, Washington, West Virginia, Wyoming, states described in 3.A. of the Information Page SEE ATTACHED SCHEDULE D. This policy includes these endorsements and schedules: Forms applicable at renewal. Current editions of forms are attached if the earlier editions were revised during the previous policy period. WCOOOOOOA WC000311 A WC000414 WC060301 WC060303B WC060401 WC990601 The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information re uired on the attached extension of Information Pa a is subject to verification and change by audit. MINIMUM I DEPOSIT I TOTAL ESTIMATED PREMIUM PREMIUM ANNUAL PREMIUM THE PREMIUM ADJUSTMENT PERIOD FOR THIS POLICY IS ANNUAL. This policy is not valid unless countersigned by a duly authorized Agent of the above company. *4, 0 6-(g_q 7 Authorized Agent Countersignature Date Signe for the above CoPgRany a surer for any section of this insu ce b � - Secretary Executive Vice President WC000001 B(ED.09-90) PRINTED IN U.S.A. DEPARTMENT DECISION PERNUT4 APPLICATION FOR HVAC PERMIT 1drC34A Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Blda PermiL# APPROVED 1540 SULLIVAN AVENUE , 644-2511 ext.230 j Date Building Inspector Application must be printed or typed Location of)ob 9� � Street No. Street Lot No. F FEE SCHEDULE $0 - $1,000 - $12.00 Floor Apt.No. Over $1,000 $12.00 per$1,000 OWNER or any fraction thereof ADDRESS C--7 OWNERS PHONE# APPLICANT ADDRESS-- OVA -4 < L ESTIMATED COST $ V. IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ OR-CO TYPE OF JOB: Orixinal Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR HV C PERM IT(Continued from reverse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAL A/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM W PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS, HYDRONIC WARM AIR UNIT RADIANT HEATER EXISTING RADIATION 3 U ADDITIONAL RADIATION /U TOTAL RADIATION Z CU DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT LOSS(BTUH) (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) Avlel GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)`®z� TYPE OF FUEL OIL-GPM foO GAS-INPUT ELECTRIC-KW OIL TANK SIZE&LOCATION INSIDE ( OUTSIDE CAPACITY LPG TANK CAPACITY AIR CONDITIONING DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F 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 I-Yl 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. STATE LICENSE-NO. NAME&TYPE *A� E OF AP ICANT PHONE NO.��i� 3-53t9 J DATE - FEB 17 '98 89:39AM CUNNINGHAM SUPPLY WEST HAPTFDRD P.2/2 _ r' CUNN I N�`HAM SUPPLY INC" IDF, Heat Loss C"alc:ula.tic)n #103,524 C)2f1 G8 )ho I esa, 1 er p C5I 11,ar c--izt0,r- Al\1A FT)I..F3 ::T Zoof # Room Name F 0.r;,t f.)r- R"-.7G.)ITI ^j i ;"ra G"t �;.�_,�:s��.:a,r•r 33, rr�F� i igN 33-.? imensi.ona], Data. Sq. Ft. Sq w r't o sq a Ft n Sq w Ft o C,u r Ft Sq n F5/. t"7ofTi* Ne't Wca 11 G I a..i S p V?i E.,,;p F}.r:)c.r 1)C)I ufT!e I-.i V h.ncs rr wx wx wr wu.w wu w•w wx wr nw.nw M ww ww.ww wr.+w x•.•..•n.•+n•—..—--.—...��—��,.�..�_�•.._wu"u m u rr•eu w.r x"xn•ur n u.on ..�w uw u.. 3. 45 S 72,R. 71. 420 4117,2 BTLJ Heat Loss Data Rarm# Wa l x LOSS E z: CP i X a.rr-�a 1 or,tv, TrigJ ;! tr,at? trl;( RTt! xw.Ir.M nw wl.IWI W.ar Y W M r IM"W n.r x.-xw.IR rm�r AM x�-w•.--•x-.-.-��.�.--��.-�...�.��.--..- % 4 4 Thee am(ver••agep ETU per, rl K F't n o-r I-A v J nc; �4r, A J c; � a The aver'': qp— STU per f:4(,. Ft-,. a"s-r Ar a ra is 5 F'rS{-t f--)r s used in H e cw t L t c;s �`c�.��::+...� � c-!• �1.4:�f'1 F a c,t a r# Vial ;L C t'•ass C."sp x, :L i r)8 F"I.nvr, n-t j i. r z.c)r, �,n�"f,.! i,+..�t P+• L Yu