HomeMy WebLinkAbout12 Jonathan Lane .t FBuildinieni EC Ns: APPLICATION FOR BUILDING PERMIT
Plumbi �3
HVAC 7 s Date: — — `
Sprinkler - 12 JONATHAN UNE
Electric AA Estimated Cost S l O 09099
Zoning 7t 3 2 0 493 Permit Fee$ 1- 4�Ip
Affidavit NO. Occupancy Fee $ --
Eng. D pt. '7 3
Fire D pt. AA,.t COMPLETE RED BOXED AREAS. Total Fee $ �i p
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SION ON REVERSE SIDE.
(Additional Cost) $
TO BUILDIN PARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location �A Lot No._Side of Street Zone
Applicant 6VA1-C70e' Gd.L AVC'. Tel. #6Y3Q 'Vgrsr 7
Address ga 0'e�/T�iI! S /�fi�'ryG's�,�t�J7v= Zip PEL Lic.#
STREET CITY STATE
Owner S�L1 ' Address
Architect & �' Address
Size New Area: Ft. Front Overall ICI_Ft. Deep Overall .S Total Area IgAPI #Garages A
Lavatories
Size of Lot34 o76:S'2+Dist. from Street Line Bathrooms Rooms lst-7-2nd
Purpose of this Permit Oti 61 AO%lc-Y
City Water 11-,� Well 0 Septic 0 Sewer [ems
do
Use Group Construction Type
Approv d by ��- Dat y
BDtA tt/88
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of t le Town of South Windsor
and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this )ermit is asked,and agree
that this building is to be located the proper distance from all street lines,side yard lines and required distances rom 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 permit.
Signed
—DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing_
Foundation Fireplace/Chimney Insulation _
Plumbing Permit# I Inspections:
�/lf ,*c DUCT nroKKON� f t
HVAC Permit# e U eLo Inspections:
'�3l J
Electrical Permit# f�?.�.3 ��� � Inspections:
Sprinkler Permit# Inspections:
Location of job AFFIDAVIT Additional Fee . . . . . 0._. .. .. . . . . . . .
State of Connecticut
ss.
County of Hartford
le've- "' JlOwner
I .. .. ... .�?. . . ..�. !. `.. .!J.. . . . . ....of i�(j, . n for building erected under
on ractor
Permit No . . . . . 20.493. .. . . . ... . . .. .. issued by the Dep't of Building of the Zbwn of South Windsor being duly sworn,make oath
and say that the actual cost of the completed work authorized under said permit was. .$.15.C.r.6.5 0.0 Q.. .. . . .. .. .. . .. . . .. .. ..
1
Signed . ... . . . . . ... . . . . . .. . . .. . . . . . . . . .. .. . . . . . . . . . .. .
Subscribed and sworn to before me this . ... .. . . . . .. ... . .. . . . . ..day of . .. . . . .. . . . . . . . . . .. .. .. .. A.D.19 .
Esf mate Cost:$ 1';0 T6 5 Q - 0 n
Difference: $ —0— o lip
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
93-20493-B 140,000
E01 SERVICE 04/12/93 JFH A TEMPORARY POLE OK/RELEASE ISSUED
BO1 FOOTING 04/14/93 JFH A
B02 FOUNDATION 04/27/93 JFH A
P03 ROUGH 05/07/93 JFH A AIR TEST
E01 SERVICE 05/07/93 JFH A RELEASE ISSUED
P03 ROUGH 05/21/93 DDS A
B03 FRAMING (ROUGH) 05/27/93 JFH A GARAGE & LIVINGROOM CEILING OVER SPANED
E03 ROUGH 05/27/93 JFH A
B03 FRAMING (ROUGH) 06/02/93 JFH A
B04 INSULATION 06/03/93 JFH A
B10 FINAL 07/06/93 JFH A
93-12538-E 4,800
93-12539-E 400
93-9222-P 1,900
93-8667-H 1,650
93-8686-H 1.900
Total Est Value 150,650
Dwelling 1.987 73,876.66
Basement 1,928 19,183.60
Garage 676 7,943.00
Smoke Det 3 225.00
BOCA Value 114,387.93
Difference (36.262.07) -� -
r
•r
- CERTiFICATE OF OCCUPANCY CHECK LIST
Certificate of Occupan �y
Applicant 'U & R Ho s� n C`n_ T„r. �!�
Bldg Permit No.
Address iz. Jonath �
an r, a Date Reviewed
Lot No. Lot 1
Project irc briar Estat Reviewed By
Date Subnu.tte d - 2-9 3 Approved/Dsr�d -6
• Regulations, no Certificate-of-occupancy shall be
As required in the Zoning �
issued until grading plans have been complied with and approved by the Town
Engineer. The minimum requirements shall include: '
Approved Denied N=
1 , Approved building permit- plan
2 . Finish crading per approved
build-ng pe-m i t plan.
3 . cite work; i .e . trees , shrubs,
Ar- ,; red parking,
. Utility location
a. ca.„ tart' sewer
b. -foundation dr a i n
c . electrical & telex moo:==
C. w-sGt�T
e. Other
nn 5 , cewer connection charee paid.
6 , L- ^r0^slate cer%_f1Ca On
7 . g
bOiiC�n
g , planning & Zoning
r
$eWer Permit No.
Pavement Excavation No.
COMMENTS:
11 BUILDING PEPJ1IT CHECK LIST -
Applicant U & R Const. Co. Inc. Building Permit No. �40 L 3
Address E.Center St. Manchester Date Submitted
Lot No. 1 #12 jnnathan Reviewed by
Project7 Birtchbriar Date _z, nj'�
In accordance with the Subdivision Regulations, prior to the building of
any structure on a lot, a Topographic Plot Plan shall be submitted for
approval. The minimum requirements shall include : LadIJ
Approved Denied N/A
1. Name, address & phone number of owner/
applicant.
2. Name, address & phone number of plan preparer.
3. Zoning information - i.e. zone, open space,
floodway, etc.
4 . Plot plan at 1" = 40 ' scale.
_ a. Subdivision reference, abutting
properties , etc.
b. Easements of record.
c. Lot description, bearings, distances,
building lines, area, etc. .
v�✓ d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate.
e. Building location with dimensions.
�.. Elevations of proposed finish floor,
garage floor & center line of road at
driveway.
f. Elevations of gravity systems,
T sanitary & oundation drai��-,�the
house and th �
-Act- g. Tentative utility location gas, electric,
water, etc.
h. Title block with name and address of
preparer, date appropriate certification,
live seal and signature.
5 . Sedimentation and erosion control.
6. Special Planning & Zoning, Inland/Wetlands
considerations. (Plan �' le w/Town Clerk)
BUILDING DEPT.
P Z C !! Qc rL
IWA/CC �`C
WPCA
OTHERS 01?o
�®
o��n0/so
119934
6 £ng of;n°Ztb yrindsor 4
COMMENTS:
� s
v �
�- PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 9
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
Date B Inspector Application must be printed or typed
1. LOCATION OF JOB
/07- 1 .4 /,o, I
c �ifitrJ
FEE SCHEDULE No . Street
$ 0 - $19000 - $10.00 Floor Apt . No.
Over $1,000 - $10.00
p e r $1 ,0 0 0 or
2 . OWNER
fraction thereof
3. ADDRESS
4. AP P L I CANT Y4�oj! ,t��,t/�
5. ADDRESS 61&Wett'r .
/r• (Tle�3r��7�0 /9�� 4 --
6. ESTIMATED COST $ �OL,
7 . IS THIS A CONTRACT COST
Ye No
8. FEE ENCLOSED $ ju,
9. TYP OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
V-15'riiginal Installation
Alteration/Addition/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB i OtvelwH")v
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION
13 . SIZE OF MAIN FEEDER
14. NO. OF LIGHT LOOPS 15 . NO. OF HEAT LCOPS
16 . NO. OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS
18 . NO. OF HEAT CIRCUITS 19 . NO. OF POWER CUTLETS
20. NO. OF CONVENIENCE OUTLETS eNe 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 Q/1�C 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 :
zz
LICENSE NO. SIGNATURE 0 ICANT DATE
PHONE NUMBER:
-�-"-s.'6'�-,t _�----w-,os�r•�.e-.w..-.�-e.._.�.. p nr•• +...r-r.-,rre+ m —w
4� �.1"1�Rw_'�'�'R -- � w 7T+n�._7. v�_ �`°^-c'p�^-.Ta�gC�F.gip.-+��..r s r..,.Pc. o-yr.yw.;4,T�y7--•...��.�.r.�
Lot No.
p
Buil rmit �
Temporary Servic
Permanent Service
Pursuant to Permit No ,�
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
1�/Owner Electrician
Street � N " p N E
k 19
�?�8 Inspector
PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 5
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED - 1540 SULLIVAN AVENUE
644-2511 Ext.l230
�
D t A-
ng Inspector 'Application must be printed or typed
1. LOCATION OF JOB ��.
ow,4Tttr�A. �.
FEE SCHEDULE No . Street
$ 0 - $19000 - $10.00 Floor Apt . No.
Ov r $1,000 - $10.00 2 . OWNER
per $19000 or
fraction thereof
3. ADDRESS
avmg�
7•
- 4. APPLICANT
s' 5. ADDRESS ��� ,�/�l•',EiZ1t�Lt'��.
JU 6?1�S 7--
6. ESTIMATED COST $ 7 FU�
7. IS THIS A CONTRACT COST
Y" N
8. FEE ENCLOSED $ �I�
#a�41
9. TYPE OF
OF BUILDING:
3O RESIDENTIAL COMMERCIAL
j 10. TYPE F JOB:
Original Installation
Alteration/Addition/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Rev=rse Side)
11 . LOCATION OF JOB i /
NO. STREET APT. NO,
12 . TYPE OF INSTALLATIONf�G'�G'�L
13 . SIZE OF MAIN FEEDER D 9.4 EC/
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 CUTLETS
20 . NO. OF CONVENIENCE OUTLETS 5'2 21. NO. OF HEAT CIRCUITS
22 . NO, OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS �v
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS_
26 . NO. OF PANELS aiyC 27 . TOTAL WATTAGE
28 . NO. OF POWER FEEDERS 29. NO. OF SWITCHFS�
30. A/C LOAD 31. SIZE OF POWER FEEDERS
32. NO. OF FIXTURES 33. TOTAL HORSEPOVER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
LICENSE NO. SIGNATURE LICANT DATE
PH NUMBER:
Lot NO.
Building Permit
Temporary_S rvice J
Permanent Service
Pursuant to Permit No.
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
Owner Electrician
Str et
19
spector
M
N
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
1540 SULLIVAN AVENUE
644-2511 Ext. 230
a e g Inspector Applications must be printed or typed
------------
1. LOCATION OF JOB:
FEE SCHEDULE 2. OWNER: w
$ 0 - $19000 - $10.00 3. ADDRESS:
Over $19000 - $10.00
per $19000 or 4. APPLICANT:
fraction thereof
5. ADDRESS:
6. EST. COST: $
7. IS THIS A CONTRACT COST? L
NO
Z<D in J --w-- ,7 .A --
8. FEE ENCLOSED: $ 7;
vz 0'
9. TYPE OF BUILDING:
6-- RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
__Z,,,BRIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD2A11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse S:_de)
11. LOCATION OF JOB:
GEN PLUMBING
12. KIND OF INSTALLATION: 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS - STYLE 15. NO. OF URINALS SY' LE
16. NO. OF BATHTUBS�� 16A. NO. OF SHOWERS 17. NO. 0_- LAVATORIES 3
18. NO. OF SINKS 19. DISPOSAL 19A. DISWASHER (--
20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE
22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES Z KIND l/U•/YJ'
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?
27. SIZE OF WINDOW 13 y Z-
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN fe 31A. SIZES OF WATER PIPING ,Y RISERS
32. REMARKS AND FURTHER DETAILS
WATER HEATER
33. TYPE 34. MANUFACTURER
TANKS SAFETY DE"JICES
TEMPERATURE
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
c Zz a /6 2 6P- le I�y4,�20
LICENSE NO. 0 DATt SIGNATURE 0? APPLICANT
PHONE NO. 6
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: ,S_- 2,fi-g S _
(NO. ) TOWN OF SOUTH WINDSOR EST.COST: e o D
BLDG. PERMIT NO. (' 1540 SULLIVAN AVENUE FEE awe o
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 $ 0 - $19000 - $10.00
$1000 or fraction
LOCATION OF BUILDING thereof - $10.00
t/S's4 Q• st �
OWNER AD15RESS TOWN PHONE NO.
42,
HVAC CONTRACT01 JADDRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL
A/C re, _44 �-t 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 OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN (BTUH)
(HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.): /V�b-sZPr,
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. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK:
� c
It If-clit. lie
,on2/rr
STATE LICENSE - NAME & TYPE # DATE SIGNATURE OF APPLICANT
�If4c 6LAz
APPROVED DATE
__ BD 4A 11/88
I a B - R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hyd(onict Institute
OWNER c ADDRESS C-�ly `" —� SIQN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.S COL.C COL.D COL.E COL.F COL.G
1 ROOM tL
O H L W H L W H L W H L W H L W Design Watef Temp.
2 ROOM DIMENSIONS, FT. ~
_ U BTUH pM F t of
3 LENGTH EXPOSED WALLS,FT. 4 Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH STUN STUN STUN STUN
5 WALL CONSTRUCTION
ROOM LIN. FT.OF
(Table 9,Line 3 x H) TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
(Bottom f table used f r Line 5)
7 CEILING CONSTRUCTION C
(Table 9,L x W)
g FLOOR CONSTRUCTIONt
-- —— D
(Table 9, L x W or Lin. F t) E
9 COLD PARTITION CONSTRUCTION F
(Table 9, L x H)
-_ G
10 C 1 Well(With Openings)
,;2 2; H
2 Wells(With Openings) D X
J 1
3 Walls IW#th Openings) or Ent.Hall f.
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
LK21TOTAL BTUH AT DESIGN TEMP DIFFERENCE K
COL.A — —`-__ _i COL.0 COL.H — COL.1 COL.J COL.K COL.L TOTAL BTUH TOTAL
OF BUILDING RADIATION
ROOM ¢ AT SELECTED
O H L W H L W H L W H L W H L W DESIGN TEMP.-
N3.
ROOM DIMENSIONS, FT F DIFFERENCE
U - —
LENGTH EXPOSED WALLS, FT. Q
WINDOW AND OUTSIDE DOOR AREA U.
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION *INCREASE BATHROOM
(Table 9,Line 3 x H) TOTAL 20%
A TVPF nl:r;l ASS
(Bottom of table used for Line 5)
tFOR
7 CEILING CONSTRUCTION
(Table 9, L x WI GROUND OR FILL AT
CONCRETE FLOOR ON
GRADE LEVEL,USE LINEAR
B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
(Table 9,L x W r Lin Ft)
9 COLD PARTITION CONSTRUCTION
(Table 9,L x HI
10 c 1 Wall(With Openings) G
C+ 2 Walls(With Openings) _x
—
_� eJ -
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•vailabie from The Hydronics Institute,35 Russ Place,BarkeleV Heights,N J 07922
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE 3
(NO. (� ) TOWN OF SOUTH WINDSOR EST. T:
BLDG. PERMIT N0. �O 9 1540 SULLIVAN AVENUE FEE v�
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 $ 0 - $19000 - $10.00
t $1000 or fraction
LOCATION OF BUILDING �� a%��Li�.0 �� thereof - $10.00
OWNER ADDRESS TOWN PHONE NO.
HVAC CONT CT ADDRE TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL
A/C COMMERCIAL
VENTILATION BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS, HIGH PRESSURE LIMIT LBS.
HYDRONIC y WARM AIR_
UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM GAS�PUT poz�jb ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION,.:��,c .
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS (BTUH) ,jjA_0_0 d (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL N0.)
GRO S HEATING CAPACITY PUT-BTUH) NET RATING (OUTPUT-BTUH) �D
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN (BTUH)
(HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.):
TONNAGE COOLING CAPACITY (BTUH)
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. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK:
STATE LICENSE - NAME & TYPE # DATE XIGNATURF OF APPLICANT
�19_ 7 4--?
APPROVED D tr E
BD 4A 11/88
I = B a R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronlcs Institute
r� DESIGN TEMPERATURE DIFFERENCE—2EI I OAT
OWNER ADDRESS
COL.A COL.S COL.C OL.D COL.E COL.F COL.G
1 ROOM S /
O
H L W H L W H L W H L W H L W Design Water Temp.
~ /Z / / //
2 ROOM DIMENSIONS, FT. U BTUH pM P of of
3 LENGTH EXPOSED WALLS, FT. a (� /2? 3 Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA LL L Z S a
BTUH BTUH BTUH STUN STUN
5 WALL CONSTRUCTION �J �O^ �� ROOM LIN. FT.OF
(Table 9, Line 3 x H) o 00 �D %—ol TOTALS RADIATION
FROM LINE 12 SELECTED
6 TYPE OF GLASS 1-2-
O v / D/') / D� D U - 1
(Bottom of table used for Line 51 v C O /O /J
7 CEILING CONSTRUCTION /o y 0,0
— c—D� / `' 106 3 —700 �C.C�t JY(
(Table 9. L x W) _ s_l (/ /L�� (J— O—
g FLOOR CONSTRUCTION► (j O Q
(Table 9, L x W or Lin. F t) E
F SOD Z0�
9 COLD PARTITION CONSTRUCTION tv
'7 /�
(Table 9, L x H) G '/ D y
10 -C 1 Wall(With Openings) �; •0/ /00 ____ 3 D0
�� h �O H ��OO
�+ 2 Wa1ls(Wtth Openings) Dx .DI g DQ Z tJ I S(�D�
eJ
3 Wells(With Openings) or Ent. Hall I. ,�17 00
11 TOTAL HTUH AT 70F TEMP DIFFERENCE' //�� Z S 0 6)
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE U 0 U 0 � K )
" v G%
COL.A COL. COL.H COL. I COL.J COL.K COL.L T TAL BTUH TOTAL
-- — — --------- kTU
----- 3 / -- — r , OF SUIL ING AT SELECTED
1 ROOMlead
O H L W H L W H L W H L W DESIGN TEMP.*
H DIFFERENCE
2 ROOM DIMENSIONS, FT U l A- O �s
3 LENGTH EXPOSED WALLS, FT QJ
4 WINDOW AND OUTSIDE DOOR AREA w 3 _ —�
BTUH BTUH BTUH BTUH
*INCREASE BATHROOM
5 WALL CONSTRUCTION O� v TOTAL20%
(Table 9, Line 3 x H) _— _—_ —
A TYPE OF GLASS > > ♦ — .� wl
(Bott m f table used for Line 5) _ _�tJU_ _�/
__ _ tFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION /� `l hO D '1 O GROUND V FILL AT
(Teb1.9, L x WI �•/L- v C! [J GRADE LEVEL,USE LINEAR
_ — FEET OF EXPOSED EDGE
B FLOOR CONSTRUCTIONt
(Table 9,L x W or Lin Ft 1
9 COLD PARTITION CONSTRUCTION
(Table 9, L x H)
10 C. 1 Wall(With Openings) .0/Z- 60
=o e X --- -- Z �--
2 Walls(With Openings) G x —--- -----
_ J
C± 3 Wails(With Openings) or Ent Hell � AX —_ --�
11 TOTAL BTUH AT 70F TEMP DIFFERENCE' Z��
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE ZSC�� aU �U —
FORM 1503
This form is availebte from The Hydronics Institute,36 Russo Place,Berkeley Heights,N J 07922