The URL can be used to link to this page

Home My WebLink About146 Homestead Drive A 56 THE B ING INSPECTORAO APPLICATION FOR J— �� PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all 'tams in sections: 1, 1 , 111, IV, and IX. O ZONIN I• AT (LOCATION) . � DISTI LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT ZO BLOCK —SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D �v A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use � 1 New building Residential Nonresidential 2 Addition(I/residential, enter number 12 One family 18 0 Amusement, recreational of new housing units added, if any, 13 Two or more family - Enter 19❑ Church, other religious in Part D, 13) number of units- - - - -jp- 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 4❑ Repair, replacement ❑ Transient hotel, motel, 21 ❑ Parking garage P P or dormitory - Enter number 5 ❑ Wrecking (If 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❑ Carport 24❑ Office, bank, professional 6❑ Moving (relocation) 17❑ Other - Specify 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile 8 � Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution,etc.) 29❑ Other - Specify 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings,e.g., food ,.n processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement................ S mP 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....................... n b. Plumbing ...................... c. Heating, air conditioning......... d. Oth r(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Masonry(wall bearing) 40 X1 Public or private company 48• Number of stories................ GC1'am 31 rV Wood frame 41 ElPrivate(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions .................... 1 V10 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Oth r - Specify 42 R1 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....................... c nditi ning? 36 6 Oil L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45 09 N 53. Number f b drooms.............. 38❑ C al 39❑ Other- Specify Will there be an elevat r? Full.......... 54. Number f 46❑ Y s 47[K No bothr me Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To b c mpl t d by all applicants Nam Mailing address — Number, street, city, and State ZIP code T I. No. — Owner or2�ddzdlllw Lessee f , 2. Contractor 3. Architect or Engineer K 'r The own r of this building and the signed agree to conform to all applicable laws of this jurisdiction. Signatur of,aQplicy}t f - Address Application dot o� Ocr:�s•MQ 6e 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 a $ lfP 40 .00 PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained Number By Permit or Approval Check Obtained Date Number By 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 number 11810 Bui Iding Permit issued Oct. 1 19 . 80 Bui Iding Permit Fee $ 354.00 Approved by: TITLE • • r • • MOM .. +asa www www ww w!. aw w a..ww.w wwwwa w..r ww.ww ww.www. www w ww. w w www w w w w !. • an a a MISS: of H ■f NS■fiui" :' ir�i+'�ii � :i':ars fi�::ii'R:�'iar'�:i •■ �:r'��iffs�i'��S�jS■ t �■ii. � a • /. • •t■ pope no •NNrf Nf • • iii : •aisw �N r ' � ■■tips sf`r / i ■� l.. ! `•. (lap •M f rr • N■u• "a a 11 •. ' � r e N# i � r •s Nl�rin r •• i as is as I r� Y �p� + •pw■`r •irMil �■■�� f�•t _ laseONE NO i■■■ f■f• •��■i .fi�r ■ ■. �ai■r • • _ �ii in'R aiii' Qi'•:: '_ ' • •N • •/■• i\r as ■ • ■ ■f■ so" Pon IS long IN*'a 81111 Lin • N■N MaiN at ■t'a Nfs So ■ eft• ■•/ ■'�:: ls' :_ _ s w • :alas lase :i••,rsa. r:::•.$ S�:S' ss:s$ . r •N .. . us . f ., r■ cs: :a ��$ lass::'=s:s= sss':g:naawasso�ss ■ { 2p9t•:� r .a ■ = �;ass$Hass:=::::::::::i:Nr::i : N:::::: a:ea �• I: • r ■•� ,. Sa•••.•••r kU-jP:-u1" ine aasaa■�r/::::i:::::::ir'r::::a:':Tii':: :: ' :�i . ' •lass�' :■:$ • �• r i■/Ns•r/r/rf••::HnU:�s=■: •N �■ i. �M/t .f•=rHIHI:: s•:N a:N:Nr•//■a■eew:aN:•:' • r;■• •1: •s■ 9 .• it Egg :1/ rNN NN a/ /•• • //■ •f■ ■/ /r■ • • . � is====: ii�•_$:�=:: a:ai ss_i=i�;ii:is=i:ii s=ii:ii=isi:ii:s=::ii:=i=i•/:i�iiii�i=jolulliiiiii-�i HMI He � � � ■f n in r�iaa ,af1/a: He IN! iss•::aa:::lass::::::::::::::::::•r::::::::s::::::ases ' :a:: aas$a:'$$::� as: ' s:a •': is _ =:saa:::l:$::■= r•/� ■e$::�/':::::::::::::::::: ::::::: '::i:::::::::::i■�:":;maps so :•■:'::ii:a :So183131 ■• r N • ■ aaaa a:;; a : ss _ s ss ass�.== s: :$ I s ss ■ � /eea/•re•r/•eeae•a■re■e■ea• •■e■ee/ae•s■•e■ fr ... . ■aS■.•a=• • $ iG' � $s • �e la • ::f / f / u •a■ f •/• ••/ ■•/// /e//f• ■fr//ease/•ease//■/•/•s•••/ss/:• ■/s ■ as / ■■ ■f • ■ ,.�t�....Na. .s:..... f■•sas■.r$ssr//s ...s.....s......:................M..... .........s... .stsss••tsfMUS!f$$f 1•s..a:asa sl•sas:•':a s:a =::aa/:::: :ss :ss': :::::::•::::'ia as//'/':::law ss/: ■:\ /„ •/ st/r:■ :. tf : Na.rt•a;. ,s ,..s. . $ss ;;as. .s: .lase ..s . :_ .s. ..s.: .s. •_ `sans//a...$..:.a:.:s ■sss= s:= ssZ 3as::: 1/1aee■e:•leai: ••lase•aa:■a:::rr� .:s. : .r,,.....$ was .•/=is�a.■s`....u.......•..a....s.)r�r./■f s`•f iir.■s�..■EHill a:s:s$ss'lassai:::lass== aU01 =::==a's==$$as:=e ::H'sa= =: ::=''s== $ e E $ :$__:=: a9aaa$;earsaIII=sa .$$ :says 'a�' t ••s e ss s:.s s a : : s $s =$a:: ss $ : •lass 'a .:/r/s\a//■/saf/rs:.•r•asar• ■//e/•/f •sere/■ ■r•/r••/eA•f//■ r/•/•ae/t •• •■• •/r■ •/ rs Y• • ■ ■ N • ••i■ • 6=aa a::$ $s"a $$a'a::ss'::as=::alas•as:ssaa:a::s$$$:sE::a's9::assE's$a::se:s:::s::a=e$$::aa"sa •/'ar ;:s • is s: _ : Ss s: as: •e $: as s: = sa t::s' �S■ $ss!$$ f■ a: = �a:u$:sae sa eee::::ee:s :s=/ f•• •sr ; /fsf/;•t/;/••;//�irs/r;;aasr•a■ ::' 'lass" t::::tss�a$a:i•: :: M .■i • ■■ i r• ■■• ■/•/ ■:• iis/ i::•r.sai•:'i/ iiisi■ii=/iii:iiriiii/■ ■'ii•/i•i■ i■��'/• ■• i• i: •�■�f � _guise = =af r•�/•a, , •: :$::af=::a$==:: axis::aai •__ •a :•ass: i:: '::: :':la��:ii:::::a=s::i::s:=a:i.0nguisss�:: a• � � tt r • _ r�i �i��•�■• ff aare;a• ;arse .�a.s..�.sa.r■saf�..s�.•.s..�./:f me@ease.////rrff/....ss.=..s.�s.s.�..a....:o.:: sf/. s . a�:• in •�IS s11as• ■s•/as:. rr■ ere■.■ ere■ ear■ ■•■ ■a• .•care ■arr•aaaraarareaeaaaaawr■ae• ■ae■ ■N ■e■rreee/• r •■t r t • ■ N •• • treat ISHUHINU=:;::lass::=e=;:::lass:;=ss::::::;:lass :::::::lassN=e::t�:lass::::c::3=:l:;z=l;:s:g;:::e:::;:�:::�!= =r: : s:l::s�:s-s:�e:�;;s:�:l :_-:::------- TOWN OF SOUTH WINDSOR BUILDING PERMIT Date nr fi. , 1980. Fee Paid V . 354.00 Est. Value $.59.,000.00 Permit N9 i 181 b on the side of Lot #20 Homestead Drive Saw Street No. 148 Owner 11 & R Hrnisi'nII C:nrn Applicant IT & R Housing Corp - CERTIFICATE OF OCCUPANCY ISSUED: Date No. 5783 Fee Paid $ 3.00 CLASSIFICATION Dwelling I BUILDING PERMIT N2 V 11810 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Oct- 1 19 80 � i t' �► tlt (felttfij, That it & R_Hnusting CprAb is hereby granted permission to Dwe 11 ing at estimated value of $ .00 on the side of Lot_#20 Homestead I zi vet Street on land owned by -11 & R HIM201 M& Corp Said Work to be as described in Application No. —12 110 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issue , Oct. 19 80, Building 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 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." Dwellings - Lot #20 lim.R31-d.#4 10/1/80 U & R Housing Corp 148 Homestead Drive Permit #11810 Electrician DuBaldo Electric #7329 Heating Contr. p & B Cooling & 10 5271.E Plumbing It J, Vedovato # 5720 Oil Burner # C rtif i cate of Occupancy #5 7 83 Plot plans apprd. per Engr. r�• 6y3-Ass� INSPECTION REPORT Permit # D Job J 1 Footing N�zs - 2 Foundation j b67 - 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit M 5783 Certificate of Occupancy THIS'T CERT FY that e at No. 4theB of South Windsor, Connecticut, has been erected and completed in accordance witrg Code and Zoning Regulations of the Town of South Windsor, and is hereby dpccupancy. Ruilding InspecFor Owner, Buivrr Fee Paid Date 19 GARDNER PETERSON ASSOCIATES 576 OLD POST ROAD TOLLAND, CON ECTICUT 06064- lZ 13 14 r N 2d io co 3ti3.9 �49.8 3,4.4 3„•Z 0 ^y IS• 312.3 3G•5 3 4 � � 3144 a PR 'err N • 3T' 23•S L 3 1•G 3�v•o �• Q • 3'1`I 5 311.4 3�c• 3"11 S 31�.1 3�c•3 • 5 S} 3"[g•4 31.• H O N1'E Ste'E Ab R,v MORTGAGE SURVEY LOT 20 TIMBER RIDGE SECTION IV TOWN OF SOUTH WINDSOR, CONNECTICUT SCALE: 1 " = 40' I hereby certify that the location of the building as shown is substantially correct and that there are no zoning violations of the same. { ,ate"� L.S. # 10839 March 49 1981 PROFESSIONAL ENGINEERS LAND SURVEYORS i �G �A7E:� 7329 ELECTRICAL APPLICATION Application No. 8343 on the side of Lot #20 Homestead Dr* Street Street No. 148 Owner U & R Hous ins Corp Electrician Mal& Electric Co. FILED IN OFFICE OF The Building Inspector Jan. 6 i9 81 INSPECTION. 93'r 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. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. .8.3..43.......... ... ..... Permit No. . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application tq 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 or not. South Windsor, Conn., ... [)eg -70, 19 Sign here 6�' - ,�c; L .............. Address . .... ....... ............. ..... ....._.............. _.... LocationQt.. Z.0..T l..f.?b. .r...fZ i dcle Side of ..... .......... .... .............. ............. Nature of Building ..Re s i de n ce How many stories .......... ............. ............................................ ................. New or old Building n.�W. How many families one ...................................................................... Kindof Installation . ..... .. ....... ......... How many Stores ..................................................................................................... Owner ..................... . ... ........... ............. ...... .. . ........................._....... . Address . ...... ..... . .. ........ ...............................__.._........._..._......_....._...... Architect ........ ......... .. ... .. .... .... . .. Address . .. . ......................... .................................................. __..__....._....._._.... Builder U �x fZ Flous i r.iq Corp. Address P.O. 13ox 248 Hanchester, Conn. Electrician U u i...I d oElectric Co. 44 Purn e Address ... . . ...... II Place Manchester,..................................._........................... ......� onn' Size of Main Wires .. .....ZO0...A No. of Light Loops ... ..... I.... ........ No. of Heat Loops . ...,. No. of Power Loops ......................... No. of Light Outlets ...... No. of Heat Outlets . . No. of Power Outlets ................ .......... . NoO of Light Circuits ..5.. No. of Heat Circuits . 8 No. of Power Circuits . . ..... . ...... .. No. of Sockets ... . No. of Heat Receptacles 20 No. of Motors ........._... ....... I 20A No. of Panels ................. .. ..... . ... .. Size of Heat Circuit No. of Power Receptacles .. . No. of Switches ......2.5.............. .. Total Wattage .... .. ....... . Size of Power Circuit ... .... . ... Total Horsepower I HP No. of Straight Electric Fixtures ..... No. of Combination Fixtures ... . No. of Receptacles .........................45... .......... ....... .. ......... . ...... No. of Cord Drops ..... ........ ... . ....... ............... .. .... . .... ... .. Remarks: For other kind of Installation .. . ........... ....... .................. .. ................ ..... ................................. ....... .................. ............ .................. ...................................................................................................................................... ..............._....................................................................................... ......... . . ......... .. ..... .. .............................................................................. ............................................................... ...._............................................................................................ ........... . ........................................................................ .......... ....... .... . ............ .................................................. ........ Estimated Cost ...3.r..000............... ................. W1V PLUMBING APPLICATION qpp• b499 . on the......_...._.. aids of _................., S- aec Street No. 148 Owner ...— Plumber Filed in6L of The Bwl&og Inspecmc _ Nov. 6 ig 80 n�4 -mcao.11 . No person shall aomtro:r, add w or alder my portion of the drainage system of my bolding (ezmpt to repair lealm) until a Plermit is vm tad by the Building Inspemw. Application No.......6.4.9.9................... Permit N . .....5.7,2.0............... 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 inclusive, shall be complied with whether specified herein or not. h South Windsor, ... ............. /� ... . .................... 19 d C.). Sign here ..... �� ' .. G .. ... Add .....e�r...��.....�........................................ Location ..................................................... .................. side of ..............., I-el..... ......... ...........�............................. Street Natureof Building .... .... .. .... .... ................................................... How many stories .......�..................................... .................................. Owner ............ ...... ..c.............. .. G'Z �. ................ .... .. Address ....... ... c.t �..,............................................... Architect ..................... Address ....................................................................................................................... Builder ............ ....................... Address ..................................................................................................................... Plumbe .................................................... Address ..... ............. y�. ... DRAINAGE CESSPOOLS, How many ..... .... .. ...... Where located ......... .... .. . ..................................................... Are they water tight .................................................. .. ..... .. Of what materials are they built .................................................. Size of pipe from house to cesspool ... .... ...... ....... ... Kind of i '.. -................................................................................... PP P _ ppe .... ... ....... Diameter .....�................. MAIN DRAIN IN CELLAR, Material ................................................................................... ..... ........... Aboveor below cellar bottom .. ........................ ............ .......................................................................................................................... SOIL PIPES, Material . ..............' `........... ............... Diameter ................................................................................................................ WASTEPIPES, Material . ............ °/ e................... 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 WATERCLOSETS, How many ..............�.'3.......................... Where located ..../4� ..�.......................................................... Distance from trap to vertical soil pipe ........................................ Pattern . ... .......................................................................................... WASHTRAYS, How many ..... .................................................... Where located . . .......................................................................................... SINKS, How many ..................... Z......................................................... Where located .......t ........................ ...................... BUTLER'S SINKS, How many ........................................................ Where located ................................................................................................... REFRIGERATORSINKS, How many...................................... Where located .................................................................................................... LAVATORIES,How many ......... ... ... ........ Where located ...... l,�r— ..f.......y............................................................ ..... ............................ . BATH TUBS, How many..................... Where located .Z .................................................................6...................... .. URINALS, How many ................. ......... ................................................. Where located ..................................................................................................... Are water closets and urinals to be local vented ... If not, is there a window in outer wall ofroom where same are to be located ......... . .. ........................................................................................................................................... Estimated Cost ./•••J............................................. PERMIT # Application For 6372 5271 DEPARTMENT DECISION rA Heating Permit 3 rz APPLICATION IS HEREBY: 0 � DEPARTMENT OF LICENSES AND INSPECTIONS N APPROVED ❑ DISAPPROVED .� W TOWN OF SOUTH WINDSOR Cd o 12 22/80 DATE O ¢ NIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BEL W / to � p 1. LOCATION OF JOB � O Cd 0 14cme head Dr . —7-1m ,6ey R1d9e -4j v NO. STREET co 4) C*,2 LOT NO. FLOOR APT. NO. O O � [V 0 2. OWNER - ti O C•� a bo 3 a. ADDRESS ( l 67q, / �e �7c r 5Ntr- 4j _ a.r✓c.61 e 5 T'til� 4.PHONE 6 c( 3- Cc Cn s. APPLICANTAM O m Do " 'L7 a. ADDRESS �CoOh��S vY. 64 Q��QSfe l� 46Q/ 0 - 7.PHONE v +� S. LICENSE NO. R O 0472 IV O. EXPIRATION DATE OF LICENSE / —O v Qp 10. ESTIMATED COST = So O r 00 11. IS THIS A CONTRACT COST? 09 YES ❑ No 'O 12. FEE ENCLOSED � K M 0 IS. TYPE OF BUILDING: O C �I R[fID[MTIAL ❑ COMMERCIAL C Ce 14. TYPE OF JOB: ❑ INDUSTRIAL 3 Z ORIGINAL ALTERATION INSTALLATION ❑ ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued it m Reverse side) 11. LOCATION OF JOB P�4�/" e�''Gd do r, S cn4` h ""'c/S`yr NO. STREET FLO R APT.N 12. TYPE OF INSTALLATION: ❑ OIL BURNER Cl ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR MISCELLANEOUS /, e<-r"- A0ct.'`I'a IDENTIFY SIZE LOCATION SIZE SIZE OF VENT 13. OF TANK OF TANK OF FILL 14. B.T.U. EQUIP. AT REGISTER U GU FURNACE MAKE AND N AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED 7= NEW OR OLD BUILDING INSULATED - YES OR NO I'Ll TYPE OF WALL Co INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION /-IINNDDOOOOR- UTDOOR TEMPERATURE DIFFERENCE �? 'FAHRENHEIT MARE RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. 0 R B.T.U. DESCRIPTION OF WORK�r�STDLL o�ti ^� T a' �� evr=fsSgr 15. TO BE DONE: T�OL'�� eot �� 0 � 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. S.T.U. O 0 DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL �n LL ROOM NO. GROSS OLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j 4 RAD. REGISTER FF TYPE AND SIZE OR LEADER L W N S1Ze WALL 'Gt� (INFILT.) DE TO .F O m N SO. FT. FREE AREA f :O 19126 $� S/ 6 _ 0 6 3 .�, er 3 1 1 z 11976 O111-IALRAVAUirrk -dz- 47— Z! /O /Z Z OLS 2.76.••rye 1() 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; Aa"-S NAME ADDRESS SUBCONTRACTORS AND IS. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. DATE SIGlNAfUR9 OF APPLICANT