HomeMy WebLinkAbout138 Hillside Drive 7598 7298
Application No. Permit No. '
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (erect (tit a building according <
to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through
word "erect" or words "make alteration to" as the case may require.) ti
All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu-
tion of this work whether specified herein or not.
South Windsor, Conn., /........................ 19. ....1
Signhere . ..................................................... ......................._...........
Address . 'f�. . ................... ........ ..... T....4..J-.....
Location? . ............................side of? G C.... , + "............ ....
.........................
Nearest cross street? /.. .�� ...................Street No. . ... ...... ........................... Lot No. ...... ................... .
..............
Owner of land is? �.� T. `'��0..�2 ........Address off...?..... /- �" -,,. —
Owner of building is? . . ... ...................... . `...........................Address ... ... .^ .....................
Architectis? .. ............. `^.........................................`:(......................Address .. .............A.`................................................"... ................................ 4
�. ilder is? . ...... ................................ ........................................................Address .............. .............................................. ................................. .......``
J.
Dimensions of building?s����.' 4.....Feet front? . Feet rear? �....... Feet deep? ...
Extreme height to highest point of roof? ...... No. of stories in height?. . ........a ��
Purpose of building is? ......................No. of stores? ..... ...........................................................................................
Howmany families? .. .................................No. of rooms? .... ........................... .<.........................................................
Distance from street line is? . .... ....... ,.........................from building line is? ....... .....,,�.... .............. .................... .. .....
ADDITIONS AND ALTERATIONS
(Give Brief Description)
.............................................. ........................................................ fCI�:...S�t�.. Y1�E'1i'�..........................
MDO
EP
..................................................................................................................... ............_............................................. RSL`�......�Y.....SA 'tTA�tY.....QF..
IN ACCO►RDM4CE WITH TOWN OF
................ ............................................................................................... .. .. ................. S INDSOR O ANCE N
Map No. ....... .......
SAMiTARY OAM
If of steel frame, what is exterior construction? ....... ....
What kind of columns used? ............ . . . ..........Size of columns used?
What length of columns used? ..How protected?
What kind of beams or girders? ........... Size of beams or girders? .. .. ......... .... ... .......
Longest span of beams or girders? ... ....... These rest on?
Roof construction is? ...................................... ............................................Roof covering is? . ...... ......
The floors are of ....... . .......... ...... construction and are calculated to carry a safe load of
lbs. per square foot.
(See Section 14, Building By-Laws.)
BRICK CONSTRUCTION.
Of what material will walls be constructed? . ......... ..... . ........... .... ....................... ....................... ... .......... ...
Compositionof mortar? . .......... ... .............................................................................................................. ........... ... .............
Height and Thickness of Walls '
Iffelatt stories Front Walls Side Walls Re" Walls PwIltion Walls
Basement,
....................................................................................................... ...................................................................... .................................. ............................................................ .. .....
1st Story
............................ .. ...................... .....................................................................I............ ............................................................................................. ....... ....................
2nd "
........................................................................................................................................................................... ........... .........................................I.............. ........ . ..............
3rd "
.................................................................................... .................................................................... ......................................... ............................ .......................................... ........... .....
4th 's
........................... .. ................................................................................................................................................................................................................ ......I.... .......... ................
5th 's
....................... ......... ............................................... ................................................................................................................................. .......................... ...................................................
6th dd
.. .............. .............. .......................................... ................. ................. ...... .............. ...............................................................................................................................................
7th '6
................................ ...................... ...............I...................................... ............ .. ...................................................... ...................................................
8th Is
.................................................................................. ......................................................... ......
9th d'
.. .......................................................10th .................... ....... ... ................ . ........ ... .......... ............... ......................... ...................... .............................
-J
Material.of Front? ...If stone, what kind? . . .........
Thickness of Ashlar? Thickness of Backing? . ...........
Backed up with what? Arches or lintels over openings?
WOOD CONSTRUCTION.
Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns
J011879 G=DZRS COLUMNS
Floors Sim Longest Span Centres, Bridging Size Longest Span Centres, Size Length Centres
1st Floor 0
1.. .............. 47'- 12---------- ................. ........................ ....................
.............................................................................. ......................... -IfrQ4. ............................. .... .................. ......................
....... ............................... .................... ............. ........ ......F'**..........
Size of outside studs? .... Distance on centres? ............./.9��x.................. Size of sill? ........... ..... .....11.......
Size of rafters? ...... Distance on centres?.......... .................. Size of plate.? ..............�& .......
Size of I dgers or girts? .................... .. ..... ...........................................Size of deck rafters? .... ............................................................... ...............
Distance on centres? ............. ........................................................................Size of studs in bearing partitions? ...........P.,
MISCELLANEOUS
Style of rooC fiat,pitch, Mansard, or hipped? ..................... Fireplaces? ............1.1?11....... . ....................
Material of roof covering? ..... �.el—... 7.........Material of Cornice? ...............As ..Q.. ........................................
How is building heated? . ..... .....le............../... /..&...........Lining of flues? . ............ ............... .............
7 ..............
Thickness of shell of flues? ................................... ...........Any elevators or lifts? ..................................................... .....................
What kind? . ........ How many? . .. . ............ Any hoistwrays? .. ..... .... ..... . .. ............ .
CIO
How protected? .................. ..........Total Value of Builcd6ing ..)..- 15.......................
I .. . ....... ... . .................When will work be commenced? .............9-0--r-
'd......... ... ..
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this
application, conforms to the zoning regulations of the Town of South Windsor.
Town of South Windsor since 1949.
Applicant
7298
BUILDING APPLICATION
C)'q
Application No. ... .7.....7..I...................................................
east
on the ..................... . . ....... ...... side of
Hillside Drive
...... Street.
Street No,
Hubert Morrow
Owner
S arn-e
Applicant
CLASSIFICATION
Dwelling 54'x261
Permit issued on above Application.
Date, 4-2-71 19 ..
s
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date April 2, 1971
Fee Paid 1$12 6.00 Est. Value $ 21.,000
REM SEPTIC PAYMENT L- 20. 00
Permit N? 7298
on the east side of
Hillside Drive Street
Street No.
Owner
Hubert Morrow
Applicant Same
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 4051
Fee Paid 3.00
CLASSIFICATION
pLatling 54'x261
BUILDING PERMIT
N° '7298
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. April 2• 19 71
94is is to Terfif1j.9 That Hubert Morrow
is hereby granted permission to Dwelling 54'x26'
at estimated value of $ 21 a 000
on the east side of Hillside Drive Street on land
owned by Hubert Morrow
Said work to be as described in Application
No. 7598 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Iss April 2, 1971
Bui ng Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECT I C UT: `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."
?V1 INSPECTION REPORT
s Permit Job
1 Footing
2 Fou ndation s 3- -- ,3=i7-71 v-- 7.6 - 7,,' F,-�_?i
3 Framing /- 7-7/ 1147-, 7 - -7/
4 Wiring&D�4&/
5 Plumbing C/ 9-/,s=7/ &T'M-/S-7
6 Heating o7-2 y 7 2--
7 Lathing a?-s- 7�
8 C.000-' ,�" �' z 5/ 7 z -
Permit No. TOWN OF SOUTH WINDSOR
t SOUTH WINDSOR, CONN.
i
i
Permit N� 4051
i
Certificate of Occu ancy
d� O 13
YTHIS I T th �
at No. in the To "f South Windsor, Connecticut, has
been erected and completed in accordance with the Bui ing Code and Zoning Re tions of
the Town of South Windsor, and is hereby approved for occupancy. ,
` Building Inspector
weer, Builder
Fee Paid _ Date `` 19
HILLSIDE DRIVE
MON, 1072. 0' R = 708.21 '
LOT 41
54 40
26 LOT 4 3
19
r1, 9
N / F
N/F
DANIEL J.
a
ARMAND M. KATHELEEN E.
a CULHANE
CECI LE D. j
BARD
- PPQRO�'r
N
O
9T C�
Q'
CO O
N
LOT 42
n:
V CPO
*r�rrrrrrrr* �
CQMN .
p F • �� O
A.
60.92# Qu'
LOT
No.5032
�yfG1SiER%V 1' ���` 36 LOT 35 _
�Apd Sao it:
rrirMw'"
I HEREBY CERTIFY THIS MAP TO MAP FOR
BE SUBSTANTIALLY CORRECT AND
IN ACCORDANCE WITH CLASS D ,
CODE OF CONN. TECHNICAL COUNCIL INC. H U B E R T MORROW
w HILLSIDE DRIVE SOUTH WINDSOR
SCALE 1 = 40' AUGUST 1970
WILLIAM J. CARRINGTON , REG. L.S.
4935
ELECTRICAL APPLICATION
Application No. ..............5......246.........................................................
.. ........
on the ............x"t.........e.ast................................... side of
...........6........................................ ................... Street
Street No. . . ...
'64- 4V 'fe 0
It 00
I � 0 1 1 llii.11 %
Owner ..r** 4.4.. .... ...............
H11-40 j�t... 6r,7
Electr
ician n . ... ....... ........... . .. .. ....
FILED IN OFFICE OF
The Building Inspector
1-11-72
...........................................................I......... . . 19 ... .... .
INSPSMON.
..............................................................................................................................................
.................................................................................................................................................
...............................................................................................................................................
MrNo 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.
1�f APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK.
No. ..........5..2 b ..... ...
Permit No. .......49 ..
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
................. hereby make application to. perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with
whether specified herein o not. 1417
r Conn. �,.... . ... ... ... .... .. ..... . .. .. 19 4i, here %�f -� ^+, n........ - ` '' ,:.........`.........South Windso , 2 � .......................... tee-...
Address .i ` .......................................................
�....
Location ................pl.:..........1.................. .. ... ... .................. .................. Side of .................................................................................................................
�1
Natureof Building ...... ......... ......'`......... .................. ....................... How many stories ................................................................................ .................
Newor old Building l' ... ... ......... .. How many families ...............................................................................................
Kind of Installation ....... ::�'`"`..`:.'."�-�- . .. .... How many Stores
.... ........ ......... ......................................................................................................
Owner ............. ............. Address
Architect ............ ...................................... ... .. ............. ..................... . ... Address ..... ...................................................................................._.............................
Builder ................ ...... � Addr
ess .. .. .. ...... ............ ................... ....... ..................
Electrician .. ......... ..... . ... .............................. Address ... ..................................................................
,
.....
Size of Main Wires ... .... .............................
No. of Light Loops .................... .. .. ........ No. of Heat Loops ................ ... .. .... No. of Power Loops ............................_...........
No. of Light Outlets . .. ........ . No. of Heat Outlets .... ', No. of Power Outlets ............................. .
No. of Light Circuits ... ..... .. ...........
... No. of Heat Circuits ..... ...... No. of Power Circuits . . . : .......... ..
No. of Sockets ... .... . ... .. ... . .. .... No. of Heat Receptacles 7-woo-,, o. of Motors ............................. .................
No. of Panels ....................l............ ... ..... Size of Heat Circuit .. . No. of Power Receptacles ...... ........ ...
.0�. �� ize of Power Circuit .. .. .r. . ... ....
No. of Switches ........................... .. .... . Total Wattage .... .......... ..... .... .
r�� Total Horsepower ........ ... ....... ........
No. of Straight Electric Fixtures ......../v.. ................... No. of Combination Fixtures ... .. .... .... . .............. .. . ..........
No. of Receptacles ........ ...... . ....... . . . .. . .... No. of Cord Drops ....... ......................................... .................................
Remarks: For other kind of Installation ... ............................................... ................... .............................................. ........................................................
............................................................................................ ........ ............. ......... .............. ... ................................................................. ....... ... ............................ ..........
.................................................................................................. .... .......................... ..............._.................................................................................................................................... .... ....... .
............................................................................... �.. ... .................................................................................. ..... ................ ....... . . .
Estimated Cost ....../0_0..
41 U5 �-
PLUMBING APPUCATION
Application Noy. 3894
on the -------------....__...... - side of
.........................Hillside Drive Stet
Street No _..._....
Owner Hubert Morrow
Plumber Sylvi o Paradi s
Filed in Office of
The Buihfing Inepcctor
_.._ 9-14-71 19
n�s Rr low.
No person AA construct, add w or aher day
portion of the drainage system of any bwl&og
(eaoept to repair leaks) until a Plermit is Sraaoed
by the Building bWecoor.
Application No. .....3.19.4.................... Permit No. ....4.1.05.................
...... ....... ...............
�,+ce e TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
..... .....hereby make application to perform plumbing according to detailed description below. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclust e, shall be with whether
specified herein or not.
South Windsor, .......././................................ . ................... 19;� Sign here ........ ... .... ....... ...... ....................................................
mcus e ........................
Address . ........... �. ...x2_0... .... ....../.& z a/ ....S.
::0 ......... ......
Location'�Y..4.c ..Ie. af- .Y..... .....0...e........ side of .................................................................................................... Street
f Building Nature o ..................... How many stories .........................................................................................
- / - ' / .7
Owner /6/4�1 47..e.a..—� r a �.. L r✓ ` C✓
............. C>
........ Address ..................
Architect .................................... ........................................................................... Address ......................................................................................................................
Builder f ......... ..... ..i......... Address ............................................. �..`�.. ....... .................��
. ..........
........... Address J ................................... ........
Plumber . .... ........ ................
DRAINAGE
CESSPOOLS, How many .. .......................................... ................... Where located .....fe,4..........................................................................
Are they water tight ............. . Of what materials are they built
Size of pipe from house to cesspool ................ ..... Kind of pipe ........... ....................
MAIN DRAIN IN CELLAR, Material ...... ?V:n... Diameter ..........�K-/!.........................................................................................
Above or below cellar bottom z.��oA-V .",
. ..................................... ...................I...........................................................................................I..........
SOILPIPES, Material ................................................................................................................ ......... ...................................... Diameter ........
WASTEPIPES, Material ..&A JT-Zi�................................... Diameter ...............................................................................................
TRAPS,Type proposed to use is .. ..... ................... .... .. ..... .......................................................................................................................................
RAINWATER LEADERS, where do they run to .. .....................................................................................................................................
REFRIGERATORWASTES, where do they run to .. ............................................................................................................... ...............................
TANKOVERFLOWS, where do they run to . .. . .................................................................................................................................
FIXTURES
WATER CLOSETS, How many .. ............................................... Where located
Distance from trap to vertical soil pipe ........................................ Pattern ................................................................
WASHTRAYS, How many ....... ............................................... Where located . .. ................................................................................
SINKS, How many ................. ... ./........................................................... Where located ..-.. ...... ...............................................................................
BUTLER'S SINKS, How many ........................................................ Where located...................................................................................................
REFRIGERATOR SINKS, How many....................................... Where located ..........
LAVATORIES, How many ................ ............................................ Where located 47..� .........�'?.........BATH TUBS, How many................./............................................... Where located .... ......... ...........
...........................................................
URINALS, How many ................................................................................. Where located .... . .......................................................................................
Are water closets and urinals to be local vented )e"*-e -f - If not, is there a window in outer wall
ofroom where same are to be located ........... Xr� r.. ... ............................................................................................I......................................
EstimatedCost... ..................................................
g
PERMIT #
Application For
DEPARTMENT DECISION .
o �-Heating Permit s 3
3 APPLICATION IS HEREBY:
DEPARTMENT OF LICENSES AND INSPECTIONS
N AAPPROVED ❑ DISAPPROVED r,
.� � TOWN OF SOUTH WINDSOR
o �, /— —
•�J_i
00 O DATE CHIEF INSP APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O
c 1. LOCATION OF JOB
- kcll,
K .
NO. STREET
� to
LOT NO. FLOOR APT. NO.
O 0
'j N
1 2
4) O
0 2. OWNER
0 /
0 3. ADDRESS
bo
15
D 4.PHONE
r 17
S. APPLICANT
W s. ADDRESS
e
co
C 7.PHONE'
c s. LICENSE N0.
a -4' /
c w s. EXPIRATION DATE OF LICENSE
C 10. ESTIMATED COST 3 r
� o
11. IS THIS A CONTRACT COST? ❑ YES NO
bA
12. FEE ENCLOSED s
.r
13. TYPE OF BUILDING:
Cb RESIDENTIAL ❑ COMMERCIAL
Cd 14.
0 TYPE OF JOB:
❑ INDUSTRIAL
ORIGINAL ALTERATI
3
r--i ❑ INSTALLATION ❑ ADDIT ONON
REPAIR
Continued from Reverse Side
,� APPLICATION FOR HEATING PERMIT
, ( )
1 y
` Jai/ .�.�,� /(I �, C.buu_-,�-�
11. LOCATION OF JOB
NO. ��/ STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: 93 OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE D U LOCATION // SIZE < �r SIZE
13. OF TANK 37 OF TANK _-Q�C��...X✓ OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO.20-/`/� VS B.T.U. OR SQ. FT. NET ✓B.T.U. OR SQ. FT. GROSS/A,:") FIRING RATE
FLOORS TO BE HEATED 2__ NEW OR OLD BUILDING yam` INSULATED - YES OR NO
TYPE OF WALL `�'�" '� INSULATION 6/_ ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. 8%) B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 6 - (5-V °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER C NVV-EC/XORS, OR C.I. RADIATION. 0 TPUT P /��CTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. i DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL y
_ LL
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J U.7 REGISTER
L W N AND lC (INFILT.) TEMP. TO O F O TYPE AND SIZE BG AF OR LEADER
SIZE < WALL f'Cto DIFF. v •F m N FREE AREA
���.1 v � �.i � t tf� G G
`' 3
r
zs 9 d< y= c}� 73/ 0 � 3
RAF 1 ' ✓, _
S eLl (i
) a 3�.D
[TOTALS
A. HEAT LOSS FROM BUILDING )27 v 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
(z -
17. ELECTRICAL WORK BY: � ` '� _
NAME ADDRESS
SUBCONTRACTORS AND
18. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
r,
APPLICATION TO BE COMPLETELY FILLED IN.
DATE r SIGNATURE OF APPLICANT
r
I
1
I
I
TOWN OF SOUTH WINDSOR
License No. ... ................ Office of Permit N� 3853
BUILDING INSPECTOR
I
I PERMIT is hereby granted to
Iof
of -
r�?
� to do Heating Work at _
I
Property owned by
I
Special Conditions
l Cost of Work under this Permit $lotir:4)
This permit is granted upon the express condition that every person acting under the
same shall conform to the representations of the application therefor, to the foregoing
terms, and to the ordinances of this town and the Statutes of this State, applicable to the
I subject matter thereof. It may be revoked at any time for a breach of its conditions.
l _
I Dated, Town Lot—
Bf6lding uth Windsor A. D. 19
I .
I Fee Paid, $
I
Inspector.
I
I
I
FO� %ir- L E USE ON ICY APPLICATION FOR HVAC PERMIT DATE:
(NO. TOWN OF SOUTH WINDSOR EST.COST: O o
BLDG. PERMIT NO. NA 1540 SULLIVAN AVENUE FEE ,, Lex,-�
SOUTH WINDSOR, CT 06074 FEES:
644-2511 — Ext. 230 $ 0 — $10000 — $10.00
$1000 or fraction
LOCATION OF BUILDING ) 38 Lj
dj-.7(s1IJ�J thereof - $10.00
fflf Q) 601Y614.9
OWNER ADDRESS TOWN PHONE NO.
14
12\ -4 � I-am 2 4 k4EATfAf Cq Ttvt 6,0 0 C TR Sr c/9'6)4
HVAC CONTRACTOR ADDRESS' TOWN M RAjLO - ONE NO. )33b
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL
A/C COMMERCIAL
VENTILATION BUSINESS
INDUSTRIAL
IF HEATING: STEAM AW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC V 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 N0.): q
\j77 CA,4'-� 9 J211S
GROSS HEATING 4APACITY (INPUT-BTUH) 600 NET RATING (OUTPUT-BTUH) 0 O-v
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE °F DIFFERENCE OF
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 Co Building Codes in the performance of such work.
44
FURTHER DESCRIPTION OF WORK: r 3
STATE LICENSE - NAME b TYPE # ATE SIG R F APPLICANT
0 9
APPROVED DATE
I - 8 - R CALCULATION SHEET 1503 (Modern Method) Copyright 1971 by The Hydronks institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL. A COL.O COL.C COL.D COL.E COL.F COL.G
I ROOM
cc
O H L W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS, FT. ~
-- U BTUH per Pool of
3 LENGTH EXPOSED WALLS,FT. ` Radiation Selected
d WINDOW AND OUTSIDE DOOR AREA LL
BTUH I1TUH OTUH BTUH BTUH
5 WALL CONSTRUCTION
(Table 9, Line 3 x HI NOOM LIN.FT.OF
TOTALS RADIATION
6 TYPE OF GLASS
FROM LINE 12 SELECTED
IB ttom of table used for Line 5)
V7 CEILING CONSTRUCTION C
(Table 9, L x W)
8
FLOOR CONSTRUCT ION t - D-
[Table 9. L x W or Lin F t) E
9 COLD PARTITION CONSTRUCTION F
(Table 9, L x H)
10 0 1 Wall 1 With Openings) O
-
H
c 2 Wells(With Openings) D X
3 Wells(With Openings)or Ent.Hall J I
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K
— L
-_ COL.A —_ COL.III COL.N - COL.1 COL^J COL. K COl-•L TOTAL BTUH TOTAL
1 ROOM OF BUILDING RADIATION
- AT SELECTED
O H L W H L W H L N
H L W H L W DESIGN TEMP.*
2 ROOM DIMENSIONS. FT 10-
DIFFERENCE
U _
3 LENGTH EXPOSED WALLS. FT
4 WINDOW AND OUTSIDE DOOR AREA LL
•TUN 6TUH BTUH BTUH 6TUH
5 WALL CONSTRUCTION "INCREASE BATHROOM
[Table 9, Line 3 x HI TOTAL 20%
d TYPE OF GLASS
16 [tom f lable used for Line 51
7 CEILING CONSTRUCTION
�- - - - IFOR CONCRETE FLOOR ON
( GROUND OR FILL AT
Table 9, L x WI
GRADE LEVEL,USE LINEAR
g FLOOR CONSTRUCTION1 FEET OF EXPOSED EDGE
(Table 9. L x W or Lin Ft 1
9 COLD PARTITION CONSTRUCTION
(Table 9. L x H)
10 c 1 Wall(With Openings) G --
0 '; ------ -- ----- ---- --- -- - - --------- — -
2 Walls(With Openings) G x -- --- - - —`
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 16 available from The Hydr nice Institute 35 Russo Piece,Berkeley Haight$.N J 01922
IN�Pk:CR f DATE 1)2e'�' T I M
LOCATION
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL:
PLUMBING:
f `
xvAc.
7
OTHER:
:.a+rsyt.r=,rti.:.�Zs-�...,a:,?-�c��F:.n...�.rfi��t.�.:�✓,..n�:N.�hs'r=:.v,�...r.mw^,,.:n....ds�.w..+.+...r..�;a..e v.v..�".�n.;;..:��.�a-�\, ....-..
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 138 Hillside Drive
f-fv,o,C # Date: */3-- 26
Sprinkler# No. 23613
FINAL APPROVALS Estimated Cost $
Building COMPLETE RED BOXED AREAS Permit Fee $ /o
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $ l4
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location ,^ Lot No. Side of Street Zone
Applicant H •cv; e ZIC. Tel.# 15"A 9 9 SD O
Address ,`C )i s CT Zip 0607V Lic. #
Own r 2o SP Pene Z Address / 3ff M&ri/_f a ,1�2 hG�Sd2
Architect Address
Sq. Ft. New Area: Ist FI. 2nd FI. 3rd A. Total New Area
#Rooms # Lavatories #Bathrooms #Garages
Purpose of this permit: 'O x-cP yQ 1° Po iw D.�s-�2Q se dt' 6 ) sro
/" City Water ` Well 11 Septic System ❑ Sewer
Use Group ^4 Construction Type Area / Basement Garage
Approved by Date /
Revised 6/95
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration 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.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit
Signed
-- DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS