HomeMy WebLinkAbout12 Heatherwood Drive FINAL INSPECT L
Building APPLICATION FOR BUILDING PERMIT
Plumbing I
HVAC Date: DEc�H�M,3�?i9 , 1 99.3
Sprinkler 12 HEATHERWOOD DRIVE
Electric Estimated Cost $ 60, 000 . 00
Zoning 2115 9 Permit Fee$ ��'�0. 0
Affidavit NO. Occupancy Fee $ 3 . 0 0
Eng. Dept. w
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ 1503 . 00
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) $
TO BUILDING DE ARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location t� U UD DRIVE SO. WIiiD.30,R CTLotNo. 92 Side of Street L Zone RR
Applicant :DART REALTY IiiC Tel. # 644--31 37
Address 658 ELL T_NGTON R!) SO.IJIND SOR CT Zip pb07`� Lic.# '��J0355
STREET CITY STATE
Owner I .M.J . C O N S T 0 N C Address ''"`l f4 J
Architect I)!�'�E GOSS4�L,YN Address , ,�ME
Size New Area: Ft. Front Overalls Ft. Deep Overall 194 Total Area 6- #Garages 2
2 3 '1 2 5 Lavatories ,
Size of Lot Dist. from Street Line Bathrooms - Rooms 1st 4 2nd 4 3rd
Purpose of this Permit CONSTRUCTION OF A SINGLE' FAMI%,Y DWE,,LING
City Water ICJ Well 13 Septic 0 Sewer E]
Use Group Construction Type
Approved by y(k Date �� BD1A 11/88
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor
and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree
that this building is to be located the proper distance from all street lines,side yard lines and required distances from all other zones and is
located in a zone in which this building and its use is allowed.
Signed 0AR'T i L L,f, RFA;LTY I1vC 13Y :
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed �)AR'T ;� i;,fJ REA- TY INC 13
—DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# 03S,3 Inspections:
HVAC Permit# sfao Inspections:
Electrical Permit# lei Inspections:
Sprinkler Permit# _Inspections:
.. ... • 1• ,• _.,.•y '7 R:..:+t%:%'t 7t't W.X..'t-X IJX-A"A J�y:t..iT.,. .`.:,:fi.:ga1.L.Tr�71N�.`L�n.1•�\IR.7�rtiid%As.a
`� - t•.� �' �`` •• .A,- yt..e .. . .,. ` :.v_•i�_ V1�`• `• -.� \`F. �{.�et,1�1��,"1;:•S.f�1
' •_ - .. _ ....�__ �.__. -•._.iiY._. .f..._... �_.a...... _��-�:t' � •'`.........�1.J..r.mil.....� _ .._ .__..__...___ ..�.�...:1.__.J.s._,_.i•_�r..���r..j`-•' r`�—yati►W!�S't t -�1.1A7J.
Lacacon of job AFFID:��r'IT Addidoaal Fee..S 3 5.0..0.0.......
SUta of Conneedrut
ss�o . lt�..�.«�•CJ '
Couatp of Hardard
• ...........................off�A.2t tv&A/�,.•TOJA"4�araer for hL c:-3 cec-.ad=d —
I Aep*v- Qac�.•.. A4.i�p ''I e=r
• P: Va ... 211.59................ issL by c�e L'eg't of Sc::7c:.:g of t..e'town of Sfluc4 Wiadsar he:ag c�ti sxor_ oatY
and say that the ac'�---4 ccs.ci the r_:.;:!et_�wcek aut.c:ind urrd_c said perr:it d:d nc. exceed the cries:c:.•:rrat ass_� ECC„
vase c: . .$1.41,3.50.-GO. . . . . . . . .
. . c .a .• .. .............
..ice ... •
Subsc::oed sr•.a swop to before me chis .........��.�......dz. of ... .............. .
Esti:aste Cost:s 6 6, 8 0 0. 0 0
34, 550. 00 ... ............1lfaw ........................... •
Pulic
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Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
94-21159-B 60, 000
BO1 FOOTING O1/31/94 JFH A
B02 FOUNDATION 02/23/94 JRC A
B03 FRAMING (ROUGH) 03/21/94 JFH A
E01 SERVICE j 03/21/94 JFH A RELEASE ISSUED
B05 FIREPLACE/CHIMNEY 03/30/94 MAB A FRAMING NOT DONE AROUND CHIMNEY FOR HEADER
B04 INSULATION 04/05/94 JFH A
P03 ROUGH 04/04/94 JFH A
H03 ROUGH 04/04/94 JFH A
E03 ROUGH 04/04/94 JFH A
P02 UNDERGROUND 04/13/94 JFH A
PO4 GAS TEST 05/09/94 JFH A AIR TEST
P03 ROUGH 05/10/94 DDS AIR TEST HAD ALREADY BEEN APPROVED
B10 FINAL 05/12/94 JFH A
94-9383-P 1,900
94-8823-H 1,900
94-12917-E 3,000
Total Est Value 66,800
Dwelling 1,975 73, 430.50
Basement 1 ,040 10,348.00
Garage 484 5,687.00
Smoke Det 3 225.00
BOCA Value 101,350.26
Difference 34,550.26
i \
CERTIFICATE OF OCCUPANCY CHECK LIST
Applicant Dart Hill Realty.. Certificate of Occupancy
Address 658 Ellin ton Road S.W. Bldg. Permit No.
Lot NO. ea erwoo rive Date Reviewed
Project Dart Rill Estates Reviewed
Date Submitted -11-94
_n=n I GriZ-
As required in the la ion - all be
issued until grading plans have been complied with and approved by the Town
Engineer. The minimum requirements shall include:
Approved Denied N/A
1 . Approved building permit plan.
2 . Finish grading per approved
building permit plan.
_ 3 . Site work; i .e. trees, shr::bs,
dummps ters, required parking
4 . utility location
a. Sanitary sewer
b. foundation drain
c. electrical & telex or.e
d. water
e. other
5 . Sewer connection charee o a_d.
_ 6 . Aocrooriate certification
7 . Bonding
S1t4M 8 .
g
Plarnin & Zoning
KJ� 4o Rfr'Soi.VN""C WC6k Sewer Permit No. 6d �O
Noz 6E Pavement Excavation No.-AIM
COMENTS:
0 ►{� le,
0e'&,'s#%6y twok.S '170 1*c, Srv" Al-,u," rv,,�
tq-
CERTIFICATE OF OCCUPANCY CHECK LIST
Applicant Dart Hill Realty.. Certificate of Occupancy
Address 658 Ellin ton Road S.W. Bldg. Permit No.
Lot No. 02 (12 atnerwoocL bir-Ive) Date Reviewed
Project art Hill Estates Reviewed S,
Date Submitted -11-94 Denied Z-
As required in the Zoning Regulations, no Certificate-of-Occupancy shall be
issued until grading plans have been complied with and approved by the Tew;:
Engineer. The minimum requirements shall include:
Approved Denied N/A
1 . Aperoved building permit plan.
2 . Finish grading per approved
building perm-; t plan.
3 . Site work; i .e . trees,
d=ps ters, required
4 . utility location
a . Sanitary sewer
b. foundation drain
c . electrical & telep;-cne
d. water
e. other
5 . Sewer connection charge oa:d.
_
6 . Appropriate certificati--n .
7 . Sonding
AAM 8 . Planning & Zoning
VJpiNE LoG+Tvr0J 0•K • v
� -To Okgmw C& Sewer Permit No.
KJ 6
C6lc,Ns
N01-M 6ELAJ Pavement Excavation No. AIM
COMENTS:
rJ. .
4-
Dra,i^oty r ems.r
C6-1'th f -.yr CO-4- m�- Ott. . V
BUILD NU YZM T c: ltUA, Llb1' _
Applicant DART RILL REALTY Building Permit No. _
92 ( 12 Heathenwood Dn�,ve) Date Submitted 12-29-
Lot No. 92 ( 1 2 H each enwo o d Dtiv e) Reviewed by t
Project7 DART HILL ESTATES Date fz/ /g3
. l
In accordance with the Subdivision Regulations, prior to the building of
any structure on a lot, a Topographic Plot Plan shall be submitted for
approval. The minimum requirements shall include :
Approved Denied N/A
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.
jf 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.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate.
e. Building location with dimensions.
Elevations of proposed finish floor,
garage floor & center line of road at
driveway.
f. Elevations of gravity drainage systems,
sanitary & foundation drain at the
house and the street.
g. Tentative utility location gas, electric,
water, etc.
h. Title block with name and address of
preparer, date appropriate certification,
live seal and signature.
5. Sedimentation and erosion control.
Zblq'�_ 6. Special Planning & Zoning, Inland/Wetlands
considerations. (Plans on file w/Town Clerk)
BUILDING DEPT.
PZC
IWA/CC
WPCA
OTHERS
COMMENTS: j O£ I /L
PERMIT
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
batA ing Inspector Application must be printed or typed
1 . LOCATION OF JOB vto/z
1
L CIa Au4j=Q
FEE SCHEDULE No . Street
$ 0 — $19000 — $10.0.0 Floor Apt . No.
Ov r $1,000 — $10.00 2 . OWNER
per $1 ,000 or
fraction thereof 3 . ADDRESS
4 , APPLICANT —(A) �L� G�l C-
5 . ADDRESS_'--'() (L5
6. ESTIMATED COST $ 0�
7 . IS THIS A CONTRACT COST
Yee N
8 . FEE ENCLOSED $
9 . TYPE OF BUILDI :
UKEESIDENTIAL COMMERCIAL
10. TYPE F JOB :
Original Installation
Alteration/Addition/Repair
R n 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB ''`14OM` V—WOO
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION_ i�
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 c�5
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS t
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 Ilb 25 . NO. OF MOTORS
26 . NO . OF PANELS. 27 . TOTAL WATTAGE_,Q _�,- uJ
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 :
c3 ��
LICENSE NO. SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
Lox No. 92
Building Permit 7il/ Tertiflaft
Temporary Service
rmanent Service
Pursuant to Permit No. 2 !
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
Owner ��I Electrician 14--7
Street
II nspector
Building Permit-2
Temporary Service
rmanent Service
Pursuant to Permit Na 12 CI t
This Certifies,that the,Electrical Work for which the above named Permit was granted
has been duly Inspected and Is hereby approved.
owner 41 A Electrician
Street
,9�
+ qwta
PERMIT NO.
DEPARTMENT DECISION
A P P L I C A T I O N F O R
APPLICATION IS HEREBY:
PLUMBING PERMIT
XAPPROVED DISAPPROVED TOWM OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
(� 644-2511 Ext. 230
D TE PLUMBING PECTOR Application must be printed or typed.
1. LOCATION OF JOB:
w1� ! t?,�
2. OWNER:
3. ADDRESP
FEE SCHEDULE
0 - $1,000 - $10.00 4. APPLICANT:
Over $1,000 - $10.00 5. ADDRESS:
per $1,000 or
Fraction Thereof .
6. EST. COST: $ Z CZ C�5) Q
7. IS THIS A CONTRACT COST? YES YNO
8. FEE ENCLOSED:4N :-.;
9. TYPE OF BUILD
PRESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
(pKIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
i
11. LOCATION OF JOB: ( ��
GENERAL PLUMBING
J-D
12. KIND OF INSTALLATION: �/ �, Q 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS_ .:3_ _STYLE 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS� 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES 3
18. NO. OF SINKS_ 19. DISPOSAL 19A. DISWASHER 4--
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 KIND f
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?
27. SIZE OF WINDOW 7�� -2,-
f
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN 1r 31A. SIZES OF WATER PIPING & RISERS
32. REMARKS AND FURTHER DETAILS
WATER HEATER
33. TYPE 34. MANUFACTURER
TANKS SAFETY DEVICES
TEMPERATURE
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
LICENSE NO. DATE SIGNATURE OF APPLICANT
PHONE NO.
4 a
OAT,t
OW
BLDG. IT I
lt '
SUE - EE .
SOM WVWORS CT"' 06074
664-2511 = Ext. 230 $ 0 - $10000 — $10.00
s $1000 or' f rac.t�inn
LOCATION OF BUILDING � thereof - $10Wv
.00
(qwl�A a�
OWN ADDRESS
'TOWN PHONE NO
' ,;•'
HVAC 001dMCITOR,
TOE PHONE N0. �
TYPE OF SYSTEM: HEATING �-- TYPE OF BUILDING: RESIDENTIAL
COMMERCIAL
VENTILATION BUSINESS
" INDUSTRIAL i
IF HEATING': STEAM LOW PRESSURE LIMIT`S. HIGH PRESSURE,LIMIT LBS.
HYDRONIC WARM AIR
UNIT�RADIANT HEATER (INCLUDING WOOD COAL 'BURNING STOVE)
e7
TYPE OF FUEL: ,' OIL-G GAS _ZZeep ELECTRIC KW
WOOD COAL —"
-OIL TANK - SIZE 6 LOCATION INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION_ ADDITIONAL-RADIATION .."" .' TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OFDIFFERENCE °F
TOTAL SEAT LOSS (BTUH) HEAT LOSS SHEET ST ACCOMPANY LIGATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL
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.):
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 es in the performance of such work.
FURTHER DESCRIPTION OF WORK:
STATE LICENSE - NAME 6 TYPE # DATE IGNATURE OF APPLICANT
APP OVER DATE
80 4A_ 11/88
CULAT! N SHE 1503 (Modern Method) Copyright 1977 by Th.Iirdro"tca Institute
a R- /
' ADDRESS -" l DESIGN TEMPERATURE DIFFERENCE F. D A T
ER - -
A. COL.3 • " COL.
0 ,,CIlOL.D COL.E COL.F COL.G
ROOM tL W H L W H L W H L yy Design Water Temp. /u o
O H L W H L
0 / p7 BTUH per Foot of
ROOM DIMENSIONS,FT. U Radiation Selected
LENGTH EXPOSED WALLS,FT. Q
WINDOW AND OUTSIDE DOOR AREA
BTUH 13TUH 5TUH BTUH BTUH
WALL CONSTRUCTION y f3� ROOFA- LIN.FT.OF
O f� O Q r) D U SLi�/ TOTALS RADIATION
(Table 9,Line 3 x FROM LINE 12 SELECTED
TYPE OF GLASS 0 ✓G d / y / 114
•
(Bottom of table used for Line 5) �Q�Q
C C
L
r CEILING CONSTRUCTION. G O 9� /
(Table 9,L it W) - D
FLOOR CONSTRUCTIONt E z2 Z-9�
lTabte 9,L x W or Lin.Ft.) F d
9 COLD PARTITION CONSTRUCTION C L q Q
'
ITable 9,L x H) -7 �/
0 0 1 Well(with op.nlnfla) °; Q/2 � H !�-�- l 7
2 D x27—G� 7
4 2 Walls(With Openings)
3 Walls(With Openings)or Ent.Hall
1 TOTAL BTUH AT 70F TEMP. DIFFERENCE' K
2 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE ' ' _ L f, O
— -- COL.B COL.H COL.I COL.J COL.K COL.L TOTAL BTUH TOTAL
COL.A _ -- _ F BUILDING RADIATION
AT SELECTED
1 BOO — - ----- CC / j 37
H L W H L W H L i W H L W H L W DESIGfVTEbtP-•
DIFI`ERE1NC:E
2 ROOM DIMENSIONS,FT. U _ -
3 LENGTH EXPOSED WALLS. FT. Q.
4 WINDOW AND OUTSIDE DOOR AREA" -
BTUH BTUH BTUH BTUH BTUH
EASE BATHROOM
5 WALL CONSTRUCTION ® p ,!O �,{� �Q ,O -• C TOTAL 20%
(Table 9,Line 3 x H)
5 TYPE OF GLASS G G, v
(Bottom of table used for Line 51 C%V — tFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION (� /� f GROUND OR FILL AT
(Table 9,L x W1 J �6IOV / ��O ��O Z1OO �S C'JO GRADE LEVEL.USE LINEAR
FEET OF EXPOSED EDGE
g FLOOR CONSTRUCTIONI
(Table 9,L x W or Lin. Ft) -
9 COLD PARTITION CONSTRUCTION
(Table 9,L x H)
10 a o 0
a
c 1 wan(with Openings)
C� 2 Walls!With Openings) pX — -
- aJ
3 Walls(With Openings)or Ent.Hall i.- _
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' O C19- U O ���Dv
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE 3Z
FORM 1503
This form Is available from The Hydronlcs Institute,35 Russo Piece.Berkeley Heights,N.107922
2.
- _---...i...._- _-_.x_-_..__..... ._'".---- -• - is -' _----- -__._-_--__-__ ---- - -- - - --- -- -- - - - - - - ---_
'MIry 'fr ph4�� � _ .. � - i�a.� ,r.r ,'•t �a#h' �b t _- - i .., ....
OIL
rt• ..''� •l .r'`y 4.. '4� r !��La;i �t i••'b'� ,i+'� s� a,� 9 •
EST-. ,
'i *' •r' '.. /' .FEE '
s .WTNDS0R, CT 06074 FEES
k 644- �. 230 3-_� , $. fl - $1' 000;- .$10.00.
$1000 or:fraction
'�
LOCATION OF BUILDING` . ,,.tea ' � -��/ ' thereof - 10.00-
•OWN •"' ' ' i' � ,.. , r . . . r. ;;.. ,} .
ADDRESS , r TOWN ;PHONE: .
HVAC CON CTOR: DRESS .?
TOWN PHONE NO.
TYPE•OF SYSTEM: - HEATING TYPE OF BUILDING: RESIDENTIAL
r COMMERCIALS
VENTILATION I - : � BUSINESS
INDUSTRIAL'
IF HEATING: ST LOW ;PRESSURE LIMIT_LBS. HIGH PRESSURE LIMIT LBS:
HYDRONIC . f WARM AIR,
UNIT RAD HEATER (INCLUDING. WOOD/COAL BURNING STOVE) ;
TYPE 'OF FUEL: r OIL-GPM,'! :-GAS IN-PUT ELECTRIC KW `
' WOOD ! ' COAL z
OIL TANK - SIZE & LOCATION: INSIDE OUTS DE CAPACITY '
LPG 'TANK - CAPACITY
EXISTING RADIATION",ADDITIONAL, RADIATION TOTAL RADIATION =
DESIGN. TEMP. ' +.OUTSIDE `r OF INSIDE F DIFFERENCE OF
TOTAL HEAT.LOSS`.(BTUH).1
(HEAT-'LOSS SHEET-MUST ACCOMPANY APPLICAT N)
DESCRIBE ALL HEATING EQUIPMENV (INCLUDING MAKE &'MODEL NO.):
GROSS HEATING CAPACITY`?(INPUT-BTUH) NET RATING (OUTPUT-BTUH)
IF AIR CONDITIONING: ' DESIGN..'.TEMP0 .' OUTSIDE OF INSIDE OF DIFFERENCE F
_...___.._.. TOTALrHEAT.GAIN•-•(BTUH}.�•_.__��__ ..
(HEAT..,GAIN SHEET MUST ACCOMPANY APPLICATION) '
DESCRIBE ALL COOLING 'EQUIPMENT'; (INCLUDING MAKE & MODEL NO.):
TONNAGE ,',',' COOLING CAPACITY (BTUH)
IF .VENTILATION: DESCRIBE: ALL';:A�IR-HANDLING EQUIPMENT (INCLUDING KITCHEN .EXHAUSE- EQUIPMENT) :
TOTAL SIZE OF SYSTEM .(CFM) 1 'FRESH AIR INTAKE (CFM)
(PLAN, MUST. A000MPANY 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:r ?!
CS/ '
STATE, LICENSE - NAME & TYPE 1 !; ATE NATURE ,OF,APPLICANT•.`.
C24(6 l L-,
APPROVED DATE
I
-fB D 4A 1 IJ 8.S_
1 = g= R CULATI N SNE 1503 (Modern Method) / Copyright 1477 by The Hydro-ka Institute
r^ ADDRESS
OWNER DESIGN TEMPERATURE DIFFERENCE F. DATI.-
A COL.B COL.
0 /C,OL.D COL.E COL.
/F�f COL.G Q
1 ROOM I{/ JJ��
O
H L W H L W H L W H L W H L W Design Water Temp.
F' D / C� / BTUH Pair Foot of
ROOM DI
3 RMENSIONS, FT. U
_ Radiation Selected 3 0 _
3 LENGTH EXPOSED WALLS,FT. Q
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH DTUH BTUH BTUH
5 WALL CONSTRUCTION O D y, 0 !�1 TOTALS RADIATION
ROOM LIN.FT.OF
(Table 9,Line 3 x H) Q U "ii t/
FROM LINE 12 SELECTED
I 6 TYPE OF GLASS �a �-� Ci��
(Bottom of table used for Line 5) / �" GOO �G v /
C
7 CEILING CONSTRUCTION /
(Table 9.L x W) ,S /a— o D l 9�
g FLOOR CONSTRUCTIONt - E
(Table 9,L x W or Lin. F t) F
' r7a r
9 COLD PARTITION CONSTRUCTION / l—
ITabie 9.L x H) G 0
10 r T Wail(With openings) �� Q/2 H
=0 •x -�'? G'a
2 Walls(With Openings) dx I
3 W►ll$IWith Openings)or Ent.Hail F- ,O
_ L J
11 TOTAL STUH AT 70F TEMP. DIFFERENCE' 0 d f•Sr� CI �QD G D K y2�
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE (f C `
-- ------ — - L
O
COL.A lu
COL.H COL.1 COL.J e COL.K COL.L TOTAL BTUH TOTAL
_ ------ ---- OF SUIDINGjRKDAT ECTED
1 ROOMHrm
H L W H L i W H L W H L W DESIGN TEMP.
DIFFERENCE
2 ROOM DIMENSIONS. FT _ '
3 LENGTH EXPOSED WALLS. FT. Q
4 WINDOW AND OUTSIDE DOOR AREA U. -
STUH BTUH BTUH BTUH BTUH
'INCREASE BATHROOM
5 WALL CONSTRUCTION �! O /
S�
/ Q _0 - TOTAL 20%
(Table 9,Line 3 x H) _
6 TYPE OF GLASS — �O O' eel C O
(Bottom of table used for Line 51 _ �f�-
______ tFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION /-� // GROUND OR FILL AT
(Table 9, L x W) s /(1O(./ /00 � goo S DO GRADE LEVEL,USE LINEAR
FEET OF EXPOSED EDGE
B FLOOR CONSTRUCTIONt
(Table 9, L x W or Lin Ft.)
9 COLD PARTITION CONSTRUCTION
(Table 9,L x H)
10 c 1 Wall(With Openings) ° /Z
=o /C; 2 Wails(With Openings) oX —
_ J
3 Walls(With Opening)or Ent.Hall
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' 0 � 0 0
12 TOTAL BTUH AT DESIGN TEMP" DIFFERENCE1 : 32 ZtJ �/ 32 �� . J�✓�v
FORM 1503
This form Is available from The Hydronics Institute.35 Russo Place,Bsr)celey Heights,N.J.07922