HomeMy WebLinkAbout138 Gail Lane TO THE BUILDING INSPECTOR
hnt of theAPPLICATION FOR
PLAN EXAMINATION AND
OF S�Ot) WINDS�OR,C' BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O
ZONING /_4_.i
1• AT (LOCATION)
DISTRICT
LOCATION (NO.) e;2���
(STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
� V\ LOT
SUBDIVISION OT�_BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use �
1 New building Residential Nonresidential
2 Addition(It residential, enter number 12 PSOne family 18❑ 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— — — — --0- 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garage
4❑ Repair, replacement or dormitory — Enter number
5❑ Wrecking (If multifamily residential, of units ——————— — —! 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 — SpeciJy 25❑ Public utility
7 ❑ Foundation only 26❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercanti le
8 Private (individual, corporation, 28❑ Tanks, towers
nonprofit institution,etc.) 29❑ Other — Specify
9 ❑ Public(Federal, State, or
local gov rnment)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food
processing plant, machine shop, laundry building at hospital,elementary
10. Cost f improvement,,,,,,,,,,,,,,,, school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed,enter proposed use.
in the above cost
a. Electrical......................
b. Plumbing ......................
c.Heating, air conditioning.........
d. Other(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;�Public or private company 48• Number of stories...............
31 Wood frame 41 ❑ Private (septic tank,etc.) 49• Total square feet of floor area,
all floors, based on exterior M/-
32❑ Structural steel dimensions .................... 'f(Q
33❑ R inforced concrete H. TYPE OF WATER SUPPLY 00
34❑ Oth r — Specify 42�Public or private company 50. Total land area, sq.ft. ...........
43 0 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
3$ Gas Will there be central air 52. Outdoors........................
c nditioning?
96❑ 011 L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Y s 45 KNo 53. Numb r f bedr ms.............
38❑ C al
39❑ Oth r— Specify Will there be an elevator? 54. Number f ull..........
46❑ Yes 47�K No bathrooms
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 cod Tel. No.
1.
Owner or
,, EX4;2�0� 7T-�3md
Lessee
G° -(oo q
2. m"T, Oo nws-r,
Contractor �o ,�/C'f /U
3.
Architect or
Engineer
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
gn ture of a pl cant Address Application dot
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R vi w Required Check Plan Review Date Plans B Date Plans B Notes
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
P rmit r Approva I Check obtained Date Number By Permit or Approval Check QbDa ned 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 12823
Permit numb r
Bui Iding
P rmit issued July 15 19 82
Building 384.00
Permit Fee $
Appro d by:
T3M 1101-
IT1
FRONT--Vill. ZONING PLAN EXAMINERS NOTES
DISTRICT
SIDE YARD SIDE
REAR YARD
IX. SITE OR • Applicant
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14
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date July 15 , 19 82
Fee Paid $. 3 8 4..00 Est. Value $64,.000 �
Permit ° 12823
on the We of
Lot #81 Gail Lane Sweet
Street No. 138
Owner Jacques
s
Applicant PP .Tp,gn Marc Jacques
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 6192
m A Fee Paid 3.00
} CLASSIFICATION
Dwelling
M
0
li BUILDING PERMM
i
OFFICE OF
N° 12823
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. 1111 v15_ 19 82
i
94is is to gertifg.9 That -RL7 Construction Co-
is hereby granted permission to Dwe l l in&
i
i
at estimated value of .00
on the side of Lot—#81 Ga i 1 Lome Street on land
owned by -loan blare jacques
Said Work to be as described in Application
No. .1-31�-9 3— and to conform to specifications and plans filed with said Application, and Building By-
Lam of THE TOWN OF SOUTH WINDSOR.
Issued July 1 S ^ 19 82
_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 costa and damages which it shall sustain, or be compelled to reason therefor."
i
i
Permit ,lo. _% TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit O 6192
Certificate, of Occupancy
I 0 CER.T3FY th e
a / _ in the, own of South Windsor, Connecticut, has
er ted and complete4 in accordance with th Rui.JA .g Code and Zoning Regulations of
w of South Windsor, and is hereby approv f ccupa „� r
Buil ing Inspector
-y-
j wner, Builder
Wpa. 1 Date 16-
19
� i
LINO E o HrYPPA,' iSSa:IIIT9s
Civil Engineers
Glastonbury9 C elfin o•
SQ. Ira
to
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OD gfr. !
JfLC
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p
01
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1UP g0
e Q r Ici
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.00
E
tia
'°'•(�i 20 -
F�..�. L..oc.�-rev An. 5µow" 1-14-8z.
"a Zo�..►��.tC. V+oc.AT�ONS
MOTE: Lot lines from map on file in
Town Clerk's Office entitled, "Plot Plan - %24 Fo= Fo�l►.wA-C�ot.1 �tN
Section S - Pleasant Valley Homes
South Windsor, Conn."
Scale ]."- 401 Date c%-gal-So �,• 70 11011JE.
Piap No. 220-78-IR by Qc%no E'.
µyyPPa$ IX,ssoc%ateg G I as�onbt3ry, Conn.
PPE PAR E.t.)
hereby c•e;tify that this map and survey were prepared iri ♦: u�• L cJ-
:cordance with the stardards of a Class A-2 survey as defined PLEASANT V4.L LE ,.:
the existing Code of Pranti.--e for Standards of Accuracy of 50 UTN VWI N DSO IZ, GOWN.
nveys and Maps, adopted by the Connecticut Association of
od Surveyors, Inc. SCALE I '
":40 p Gil"E. G-Z3-SZ
)-
43- q-+$j
i
A p
Taw Rav
^' of
CN � D
Gt1VEFRtIV� H WINDSOR
°AT£: � 'ems -�� e�A•4Tr,�En�r
s�
771b
ELECTRICAL APPLICATION
Application No. 8827
on the side of
Lot #81 Gail Lane Street
Street No. 138
Owner JMJ Construction
Electrician Giles LaRoche 1 le
FILED IN OFFICE OF
The Building Inspector
July 19 19 82
INSPECTION.
i
mNo Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
ti In New Buildings no wiring shall be started
until the plumbing and heating pipes, and the fire
y� stops (if of wood) are installed, without a special
,� permit from the office of the Building Inspector.
J �� APPLICATION FOR PERMIT TO DO ELECTRICAL WORK.
1 �
No. .............. ,......
Permit No. 77;.E�-. Ml .
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
V.- . 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., 19 902Sign here •.............
GG 1 Address .... ... �...........
.4. ... ... .' e' c2-k'L� Side of ... .. .. . .... ...... ......... ......... ..............................................
Location T- f
Nature of Building ...V..... How many stories . . ....... ....... ... ... ... .. ............................ ................
New or old Building .. ..., How many families ........................../............................................................
Kind of Installation How many Stores
n 6 � G �.....................�...............................................r ...S'..
;e'<-�
Owner -....��'r. ..' .......... .`?'p -?.'... .. ... . ........ . Address . ... ..... .. _...................
Architect .... . .... .. Address . . ......................................................
__..__....._....._._....
An ' Address
Builder .. ..,�.'.l '..... ...�.C1�' . ..'. .... .. ................._...._....._...... ....
GILLES LaROCHELEE
Electrician ....`... ................ ................. ........ .. Address
24 Wham��g�Road
EAST HARTF(5�R>3 C7..06.11-8.................._......._....
. ...
'����- ........................._Phone 568-1044
Size of Main Wires ...... ................
No. of Light Loops . .... .... No. of Heat Loops . .... No. of Power Loops ........................_._.........
7
No. of Light Outlets . . .......�^... .... No. of Heat Outlets . No. of Power Outlets ............. .. ............
G
Nob of Light Circuits ..... .... . ... . .... No. of Heat Circuits . No. of Power Circuits ..
No. of Sockets ... . . No. of Heat Receptacles No. of Motors ......... ...
No. of Panels .... .... Size of Heat Circuit No. of Power Receptacles
....................... ....
No. of Switches ... ...... .. ... Total Wattage .... .. ........ . . . Size of Power Circuit ..
Total Horsepower
No. of Straight Electric Fixtures ..... No. of Combination Fixtures ...
No. of Receptacles ...... ......... ..... No. of Cord Drops .... .. ... .............. ... ........................... .... .... ..
Remarks: For other kind of Installation .. ... ............ .............................. ................ ... .............................. ..... ....... .. ...... .......... .... .......
........................................................................... ............... ...................... .......... ....................... ........................ ...... ....................................................... .... ........... ........
...................................................................................................................... ........................... ........................................................................................................
................................................................................... ...... .. ... ... ............................................. ........
Estimated Cost . .. •`••• .....•.•
Dyis
d
PLUMBING APPLICATION
A—L,— ►on Nk,. 6752
on the_.___.._- - aide of
. ..Lot #81 Gail Lane S.,
Street No. ._... 138
Owner ..,,_ MJ Constr. Co.
plumber _So-Windsor Plg. & Htg.
Filed in Office of
The Bmildmiginapectoc
Ju lv 2 0 ig JU
CD .......... _
0
.................__..._._...
No pe-moa shall oo or- add 10 or alder aaq
portion of the drainage watem of any 6a'1&g
2! (except to repair k26) ass a Ple a g1:11,11W
ME by the Building lnq)am r.
Application No....... ...6.75.2............. Ppr it N . .59-73..................
TO THE BUILDING INSPECTOR
cZo3o &O 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.
South Windsor, 19 .�2 Sip here .. .... .. ... ... ...... ............ .... .............
Address ..... .1.........Vew..�Ces... ..... ......t/....... . .. ... ...
Location ......zo..r. ............ .....................................I................... . side of ..................6 .....J......4a,,,,4................................. Street
Nature of Building How many stories .. .........oZ......
Owner .........J'M' .J' ................ Address ........... ..................jo.
Architect ........... ...... ........... ... .. .. ... ........................................ Address .. . .. ..... ........ .. ....................................................... ...................
Budder . .......................... .. .. . . . ......... ... ............................................ Address ........ ............................................................. ............
Plumber ......PTN4- Address 4e-o.-x4fQx.......A�...I.........JP.q 7'If 4 4 As
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 pipe . .. . ................................................... ........................
MAIN DRAIN IN CELLAR, Material -6f rir/04 Diameter .............1/..........................................................................................
Above or below cellar bottom . .. ...... & hw .............................'y.............. .................................................................
SOIL PIPES, Material 64-S.(..1.L.. Diameter :7....3.......V.......**"*....... ......
WASTE PIPES, Material . Ittl 10143 Z. Diameter .......... ......................................................................
TRAPS,Type proposed to use is .... ..................................................................................................................
RAIN WATER LEADERS, where do they run to . . ... ... ..................................................................................................................
REFRIGERATOR WASTES, where do they run to .. .. .. ...................................................................................... ........ ...............................
TANK OVERFLOWS, where do they run to ... ........... .....................................................................I.................................
FIXTURES
WATER CLOSETS, How many ... ............ Where located C-7t?C 41!�.l....r4W.J....1tocad
Distance from trap to vertical soil pipe ...... ............. ................ Pattern .. ................... ...............................................................
WASH TRAYS, How many . . .. .. ....................... .... ... ... Where located ................................. ...............................................
SINKS, How many 'J'T - ............................................. .....................................I........................ Where located F... . ......1
BUTLER'S SINKS, How many ....................................................... Where located. . ......................I........................................................................
REFRIGERATOR SINKS, How many.. ................................... Where located ................ ..............................................................................
....fii�J
LAVATORIES, How many . ...............................3........................ Where located 017 jetat If/
BATH TUBS, How many.......................................I........................... Where located ........Jk4y.'L.)....../��� .................*.'.*.".*.'***........
URINA&S, How many ......... .................I.......................... Where located ..--J'r. ........ .........................................
Are water closets and urinals to be local vented Ye If not, is there a window in outer wall
of room where same are to be located . YC I.... .....................................................................................................................................
Estimated Cost ...31-20Q...0.0............
N7
Heat loss schedule must be complete for all jobs. System guaranteed to heat all rooms to 800 in zero weather.
Dwellings exceeding 1260 sq. ft. to be heated shall have two or more zones controlled by separate thermostats.
s �
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v = �
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iT
'.� "�,.^' R� 4n€�, ��e.e°V u�f�`s M° �� I Sr s,� �'a_ F...�+'• ���.
P
APPLICATION FOR HEATING PERMIT (C ntinued tr m Reverse side)
11. LOCATION OF JOB Z')
N0. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK 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.H-6- SAJ: B.T.U. OR SQ. FT. NET dJ<I B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATE NEW OR OLD BUILDING 4-lew INSULATED - YES OR NO �C 1
TYPE OF WALL��� INSULATION TaG��a s ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. Ltd o B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE L1"' U °FAHRENHEIT
MAKE OF RADIATION:laaZA COPPER�NVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. U l le,i2jf2
DESCRIPTION OF WORK �
r� A r Gt T- 2 j �,�e
15. TO BE DONE: - -
T T
m HEAT LOSS S HEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM slzE wINDowS- AREA - SQUARE FEET e.T.U. e.T.U. O DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL m
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED J j LL LL REGISTER
L W N AND TEMP. TO Ff TYPE AND SIZE RAG' OR LEADER
SIZE < WALL f'LtG (INFILT.) DIFF. •F O m N SO. FT. FREE AREA
TOTALS
I- I I ::
A. HEAT LOSS FROM BUILDING ,/ / B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND Ty GPI �6n T�/✓� B.T.U./HR.
C. PIPING. OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR f ` �J
17. ELECTRICAL WORK BY: L4 Al/_'�t�� I u / &x 7TJ G�
NAME ADDRESS
SUBCONTRACTORS AND
te. 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. �,2 J
DATEaIONATURE,OroCANT
< i
ARGO CALCULATION SHEET
OWNER —�__�_ ADDRESS __ �. _ DATE
DEALER e W N �4r r y rr KIND OF BUILDING �� � —CHIMNEY SIZE
CONSTRUCTION: WALL S ;C 5 / •
WINDOWS_NO SjdYm ROOF OR CEILING-
BASEMENT HEIGHT. ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP DIFF
COL 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
ROOM SIZE wINDows AREA•SO. FT. FLOOR VOLUME BASEBOARDS
AND DOORS CU. FT TOTAL TOTAL �j
(SEE NOTE( CORRECTED ACCESSORIES
ROOM NUMBER GROSS GLASS NET WALL CEILING AT 7o F WATER LENGTH
• TEMP. TO I TTMP I nF. I -,
L W H Dw AREA WALL o 0,1 ) DIFF. ( C) F ! (ENCLOSURE FIN E R I S IC MISC.
SIZE I ; �. 13 • 07 1 Q -) I . O)/ r 03 .1 TEMP DIFF i F-r. TUBE
i - l` U
DOO 7�0 I.200 ,.S9DO
8
10� dC oo 9200 od �u-
( � I , 0 I r" 5710
)000 o I ��o o ,, 000 j
a boo yob /6 00
SOU
�30 s i
� � I o l� l 18! D i rf
�,� N�II a000 l000 �T� fl �` °��I n
a ao lo00 1 GO ��oo - ,200 5,� 30
177
13 90o co �? DO 7 �/00 � r�60
a ! ;
a ' n 190o Do $oo lloo
c
6 V 50
4� 7 5,00 00 700 l8 Do 060
O C Y J I
o o 'y 500 V00 ivo0 700 c201( 0
3600 0700 00 5- o s^�ov /9000
*.0 00 '
NOTE: Fop CONCRETE FLOOR ON GROUND OR FILL AT GRADE LEVEL.USE LINEAR FEET OF EXPOSED EDGE. TOTALS
F R ALL OTHER FLOOR%USE SQUARE FEET OF AREA.
FINAL INSPEC IONS: APPLICATION FOR BUILDING PERMIT
�Building �
Plumbing
HVAC yam' J) Date:
Sprinkler 138 GAIL LANE
Electric ��� 31 S 4� Estimated Cost $1'_�
Zoning Permit Fee $ j
Affidavit NO. 19243 Occupancy Fee $ 3
Eng. Dept. COMPLETE RED BOXED AREAS. ca
Fire Dept. TYPE OR PRINT ONLY Total Fee $
H alth D pt. SIGN ON REVERSE SIDE.
Approved for CO: 1 (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location IL L Lot No. Side of Street Zone
Applicant J o "o. 12"O S E. Tel. # Z85 ,3cao Z
Address 3 $ CjA/L L^J- Zip 060>y Lic.#
ST ET CITY STATE
Owner -�� c> a -Address-
ArchitectS e-
Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit �'�^'�S�'1�'J G SSM� Laame- t -. , e ct s tZ�o�
i(.b7` -X) !(.6 S' �jL-d�a
City Water ❑ Well ❑ Septic ❑ Sewer ❑
Approved by L Date -F -n it�^7 1 BWA 11/88
F
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 lin s,side yard lines and required distances from all other zones and is
located in a zone in which this building and its us is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in th' pli on for mit.
Signed
-DO NaT WRITE BELOW THIS LIN -
INSPECTION RECORD
Footing _P//!!!�! Framing T 2- h �-
Foundation�Z� Fireplace/Chimney Insulati n�!- �'Cj( �--
Plumbing Permit# Inspections:
HVAC Permit# O�q74 Inspections
Electrical Permit# /)7 9 7
Inspection
Sprinkler Permit# Inspections:
BUILDING IN U G S PE TI C Off DEPARTMENT
SOUTH WINDSOR, CONNECTICUT
FEE PAID: $3.00
CERTIFICATE OF OCCUPANCY
ZONE: DATED 3/5 19 93
This is to certify that 133 Gail Lane
a.i c--rPc7 under permit No. 19243 conforms substantially to the requirements of the building ordinances and the
zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below.
Approved for Occupancy— Finished ;-iasement -- not to 13e a bed.roon
USE GROUP: R4
C,ONSTi%. TYPL: 5B
Building Official
Notice:If this certificate is lost or destroyed, a duplicate should be obtained immediately from the Building Department.
Any change or extension of the use herein approved requires a new certificate of occupancy.
NED
PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT lj,7g-7
Application is hereby:
TOWN OF SOUTH WINDSOR
�PPROVED DISAPPROVED
BUILDING INSPECTION DEPT.
644-2511 Ext. 230
C 7--91 Application must be printed or typed .
Date B lding Inspector
1. LOCATION OF JOB
I#fS &,6U_7L lie
FEE SCHEDULE No . Street
$ 0 - $19000 - $10.00 Floor Apt . No.
Over $1 ,000 - $10.00 •--rr�(„ _ ��
2 . OWNER
per $1 ,000 or �I V-v�SL_
fraction thereof 3. ADDRESS 1 ,M
4 . APPLICANTN�r
5 . ADDRESS
6 . ESTIMATED COST $
7 . IS THIS A CONTRACT COST
Y e s N d _
8 . FEE ENCLOSED $ .00R
l �a�-3
t� 9 . TYP OF BUILDING:
SIDENTIAL COMMERCIAL
1 �
10 . TYPE OF JOB :
I -
Original Installation
Iteration/Addition/Repair
KI-CL
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB
0 . STREET APT. NO
12 . TYPE OF INSTALLATION
'k 1-�-
13 . SIZE OF MAIN FEEDER /°�K—
14 . NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16 . NO. OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS
20. NO. OF CONVENIENCE OUTLETS _ 21. NO. OF HEAT CIRCUITS
22 . NOo OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS
24 . SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS
26 . NO. OF PANELS 27 . TOTAL WATTAGE
28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES
30. A/C LOAD 31. SIZE OF POWER FEEDERS
32 . NO. OF FIXTURES 33. TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
le
LICENSE NO. IGNATURE OF APPLICANT DATE
PHONE NUMBER:
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: Al
(Ion, � +_) TOWN OF"SOUTH WINDSOR EST.COST: t9 0 0
BLDG. PERMIT NO. 1540 SULLIVAN;,AVENUE FEE �� .-
_pv&.ve
SOUTH WINDSOR, CT 06074 FEES
644-2511 - Ext. 230 $ 0 - $1'000 - $1p qq
$1000 or fraction
G , thereof - $10.QU
LOCATION OF BUILDING Q
a d Z 220a. Gri/.-ydJ S AR �' 'Peo :Z
OWNER ADDRESS TOWN PHONE NO.
G 57P29,,yl EY h a Soo/^e�% A1,,/,4,
HVAC CONTRACTOR ADDRESS 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 WARM AIR
UNIT RADIANT HEATER (INCLUDING WOOD COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM el AS �IN-PU 4"VELECTRIC KW
WOOD 126AU
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION'_Zago o ADDITIONAL RADIATION ' �p TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS (BTUH) 4 (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 °F DIFFERENCE F
TOTAL HEAT GAIN (BTUH)
(HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.):
TONNAGE COOLING CAPACITY (BTUH)
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 SIGNATU E OF APPLICANT
4111 APPROVED DATE ISCANNED1
.�.
BD 4A 11/88
I - B- R CALCULATION SHEET IN3 (Modem Method) Copyright 1977 by The Hydronics Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.B COL.C COL.D COL.E COL.F COL.G
1 ROOM Q
O H L W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS, FT. ~
_ U STUN per F t of
H4
3 LENGTH EXPOSED WALLS,FT. A Radiation Selected
WINDOW AND OUTSIDE DOOR AREA LL
BTUH STUN BTUH BTUH STUN
5 WALL CONSTRUCTION
ROOM LIN.FT.OF
(Table 9, Line 3 x H) TOTALS RADIATION
6TYPE OF GLASS FROM LINE 12 SELECTED
(Bottom of table used f r Line 5)
7 CEILING CONSTRUCTION C
(Table 9. L x W)
_ — D
g FLOOR CONSTRUCTION?
(Table 9, L x W or Lin. Ft) E
9 COLD PARTITION CONSTRUCTION F
(Table 9, L x H)
G
10 _C 1 Wall 1WIth Openings) O
H
r X
+ Z Wells(With Openings) D
I
3 Wells(With Openings)or Ent.Hall F
J .
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K
COL.A _ — — COL.B COL.H _ COL.I COL.J COL. K COL.L TOTAL BTUH TOTAL
1 ROOM OF BUILDING RADIATION
AT SELECTED
O H L W H I L W H I L W H I L W H L W DESIGN TEMP.-
2 ROOM DIMENSIONS. FT U DIFFERENCE
3 LENGTH EXPOSED WALLS, FT.
1 WINDOW AND OUTSIDE DOOR AREA U.
BTUH STUN BTUH BTUH BTUH
5 WALL CONSTRUCTION *INCREASE BATHROOM
(Table 9,LIns 3 x H) TOTAL 20%
6 TYPE OF GLASS —
(Bottom of table used I r Line 5)
7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON
( GROUND OR FILL AT
Table 9, L x W)
GRADE LEVEL,USE LINEAR
9 FLOOR CONSTRUCTION? FEET OF EXPOSED EDGE
(Table 9,L x W or Lin Ft.)
9 COLD PARTITION CONSTRUCTION
(Table 9,L x H)
10 -C 1 Wall(With Openings) C
CZ 2 Walls(With Openings) O x
3 Walls(With Openings)or Ent.Hall f.
11 TOTAL BTUH AT 70F TEMP DIFFERENCE*
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
This form is available from The Hydronics Institute,35 Russo Place,Berkeley Heights,N J 07922 FORM 1503
I B s R CALC.U.-ATION SH55T 15Q3 (Modern Method) G PtTE Cocv►IOn: 19VP The►+roronlCs Institute
Ot fER ADDRESS DESION TEUVERATUptr DIRf*ERENCE� F. DATE S -7_9
COL.A a,! COL.C CO-D I CO"E COL.F I COL G
1' 1toov = I �Qr .11lsJ►rT' I
I i '
C N L w 1+ • L W fr L W N L W N ! L I M Dauer tkatr Taa>1R
2;ROOM DIMENSIONS.rT.
VTUN a.►Poet r' S�y^
i 3'LENGTN Ex OSED WALL:. �T i < 9y , Raaertse"sa.s.e
s I WINDOW AND OUTSIDE DOOR AREA. r 4n �
1 1 1 • lf�1PI STUN STUN STUN STUN I
+t 6 WALL CONSTRUCTION
tTsoft 9.Lr»3 t M1 iL.cZT' j D(D Soo. ' . 1 , TOTALS RAOIATI004
i'TYPE OF GLASS PROM LINE 12 SELECTED
t S�rw+Of talbla ew0 9w Lem 6: S.N fi-k-�
7 CEILING CVNSTRUCTtow + —
�y�6�
I iTaMa 9,L:wn j � � ,
1
t! FLOOR CONSTRUCTIONS D
MOM 9.L a W air Lift F i.) 'c) i ' L{J I j E
9 COLD PARTITION CONSTRUCTION ,RaMa 9.L a 941 1 F
c •Wall twro+oe.mwpsl le
, ,-3: N
2 walls(with Oa+ninga, X
3 Vmft tWm Oewwnow wr E+"L*"all
t t/TOTAL STUN AT 7SF TEMP.DIFFERENCES �L 1 J
1 i i
1 72 1 TOTAL BTU"AT DESIGN TEN".Diraf ItENCE K
i
COL A COS.• COL 01 COS i ! COL.J I COa"K I COS.L
TOTAL 8rL M TOTAL
ROOM1 OF WJILDMAG RADIATICM
AT SELECTED
p N I L >x « i 1 N I 91 L I w l 91 L I M► j M I L N 1 DEstO It Tcov.•
Z li)pM D1YENitOri.tR. +' ( OtPPERENCE
� ii91s1'9t 116LL3i.ie"E. .e( ,fir
"'S �+M/llaOlE 1>S�R JI,AiA a;
STNM *'tiT3/M I ITYM S'!i/1+1 i
Tt2TAL tt'�
'tY13.,Islr>E�
Aw
*PON LONCIRI1 fIAOR cm
VcKT OPT�DIEO fOIOE
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asO1 'lam �>\rap►laoa.tlaraalav l,l�IseL A.: D7S:: <OIty 25