HomeMy WebLinkAbout154 Gail Lane I10
11
N_ i
TO THE BUILDING- INSPECTOR
of the APPLICATION FOR
TOWN CW' PLAN EXAMINATION AND
50l)'tH WIIrDSOR,CO BUILDING PERMIT
z
IMPORTANT - Applicant to complete all items in sections: 1, 11, ill, IV, and IX. 0
ZONING
• AT (LOCATION) Jry DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
?AusoalLOT
SUBDIVISION v/ LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D
�v
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
1 New building Re si ential Nonresidential
2 Addition(If residential, enter number 12 One family 18❑ Amusement, recreational
of new housing units added, if any,
in Past D, 13) 13❑ Two or more family — Enter 19❑ Church, other religious
number of units— 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 ——————— — -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 — Speci/y 25 E:] Public utility
7 ❑ Foundation only 26 0 School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
8 � 1Rrivate28❑ Tanks, towers(individual, corporation, 29 Other — Specify
nonprofit institution,etc.) ❑ p fy
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cen s) Nonresidential — Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ • �Q 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,fS 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 PION32❑ Structural steel dimensions ....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Oth r — Speci/y 42,R 5o. Total land area, sq.ft. ...........Public or private company o/300
43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... d�-
35 R] Gas Will there be central air 52. Outdoors.......................
36❑ oil c nditioning?
L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45K No
53. Number of be
38❑ C al
39❑ Other— Specify Will th to be an elevator? GNA
54. Number f
46❑ Yes 47,M.No bathrooms Partial...
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b compl t d by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
-RpOwner or E5 64P& (�
Lessee sov
• C�• (.0�7 a -co.5q
2. J"M,J', Ca iv stiz. 0 2
Contractor /
3.
Architect or
Engineer
Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
S' ature o applicant Address Application dot
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
9 Fee Started y Approved y
BUILDING
PLUMBING $
MECHANICAL $
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date
Obta 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
P rmit number 12159
Bui Iding
Permit issued Mu 4 19 81
Bui Iding
P rmit Fee $ j6MUM 408,00
Ap oved
TITL nz:i k.4� F—Lj
• . .. •
.. w.. .. . ............ . ..... ....... .......... w w wa. w . w w • •.r aw
a. ■.�isZa.. I er:t�is :so • is�•NoNew•::sarl'�•slow st�ss i� •GGnot: a
��■■++■ws
�■w: wrlr l.�i i.1r3Sar.::11 razes s.;
iu . ..fs a '�"a!■■. u ■ ■l, " ■! .l lruw • . r
�•• •: • r • •r�f•s:••S• l •i.cr ■ rm■r ;a■f�a at a of
;.r. sr:•. ■ 1�•s:•`�i •■1. : •i.i ■• ira�Ti soon[ �w
fa ss��t.r.s�t;■..� •;;f; f.■■. .�s ur ._ ..l�iiii �n• a
. N ! � • �.sa ;� ! . �rsi: a . art .
wad.. :Z:ass ■ :
., ;. all a ;
a lime
a Us: oil
■ .f a I;; ii wr "w � ■
• . :: i:�rwa: r :::s ■
■. M. ■. of ■.:r.i■•!_•_■■�� �t
s ; agar;• s
an
• .: HIM
: � :::::11M:sea:
a ..R r ■. • r .. wa. /
:� ;■fiaa s r a
of no Rwas si. ■:
rNa w wa s.. .■■. i.r■�i ■u s� r r
• . •s Base
aas ft�■■�, a a s s age mass:■■:a , s s
�■uf�■G�itZi.N�infii u
• :: •:i ;�aa r: i far
r .■ got as ■■ ro■■ a■ aa...aaurf •■..aps
a rRR r■
pu
0:0
on I log
•s a■ ■ ■us ■ as ... .aur �t�.■ •
� . . a i�QIt ras
�R�s:''"�.:sso H:84RRS sue.=$ffi•:
:: $ ! Us
a U a nui a
:i_.. $=ss::gs�$s sas:i:�::: .:l $••• saR■: $ 5. $
=sa as=;=sHSH;IMIMI ==u:u..r•..S s: • ■■i.a■=sii.rrs ■
u / ■. a■ u■uou..uf ■as a w ■u /■■ ■.■ .. ws r w ■
u r;;.f ;.a �_ /. ;/•y. • i•• s saa■ ■!. ■au. of.■ ■e. fs ■. R�R■ ra r
11/` ■a .:s$ • S:. gnaw.rsa.i■■f.t.sas=e:5•: ■ : •:::o■�% R ■:.:� � fi• � � i ■
ICf = S■■== ■ N ■■==��i fufr.■f.■■s.;■■■urur.;.:r=•3us.Ius.fr/NO Sst! It s•'jI!, • � ` ii _
�■. a r.faa ■s ■ a■ . ■... ■.a■■■s■■■ .■.■.■■w// ■■saw .a as rflraaf.r a ■r■ a■■ • ..,�.=a a.
.`e i=:.r�= � :=: :i=:: t::':= No
::mana0121014110:'$_s:�r=: "=a=`S= Ss =�l3 i:N::=�� ; irri.: =s 3 ISMI:.�.:/ ■ .`�.. : .f.. rw .ifa:.il.■■aa.f/■.■■fa..■f..■..a■•r•a/ ■■a/.:■■f/fC�:.f ::.u=r.■■�:ar-■ .Jf�■ ■ass a .fr�� ■ ■ i r rr:
�:_ •�=sii•:•�i• •_::••:__• ==••:s=:••:::::•::5:::::S:ss ::::s:::•:::::::::::::::•ss:•••: •••: :••:•s::::::•`sme ■■ •• aR■ .a a■ • an ■ j�R.o-me
$ =ii:.I some
■r:== fSi r■■3:fs■..:.■■.aar■■•..a■r■■.■r.la■/r■..aa..■.a■:.r :::.=:St =.S:■ ..i. .lz�: ':�Si�l �1�. C =t�a_'iil�•
es ■.s:R=.�.=M": .:.;;;■� ;;;s..==■a.=..■ff.fa/.■.;....ss■•s•.a•s•so..r..■■■..■..:■;■.■.�;o�:r;;;.�R.■■1i=�.;■i=s. �i==:•+lsa ;�=R; ■ :�■■_;
•`a` � = s$e $s$■seS•'$ �='s= =:s ==:si$ ss /sl ■ sso :saftessu$•e:ie ■$ ee ::_ :S_ _ __: $ss■=■+■■r '■s■ �r�!sss.= =s� =.'a•■`••■ss■•`R:..f..rRN/./ ;,_ .:_•S ` �e�aain•``��a:``ti.■`•i
i■�:%son:: ��.:■ :��■. ���:_ $ =�i: .•i::::: /: ss:::::: :::::s:�::: .+�r:�i:lt■•s:s�i:: ssr11■■a■$f!! `f �■ f lR��:■.iN:.
_�::•$s:s::==�s:•�`:::�::•i :�� • $s:■ i i •:.R:•�:s: f�:R•i:::::::::::::�• :S�:S:•i`a�=�•� q■f`s: _�•:��ng� f��■aa s '�` ur r. yi ::::'
::.::::.:::: :::::=a::$:::::: :::_::::::::::;::::;_0:::::$s .•iss=a l=:'�.g=iZii:: =ii � ai . i `�•i:i::Za.
�:..■=S�.r.■=:.fr::s..■==:..
� ss s=sa; ==ssse$:$=$::'ss"s9Ess:s:ee$::=ees's::s8s°sesse9�s$$s$$$s��.s'e=:s ullsRIM
..::;
':.u$:ss. ::l..■::::/.s:...:: ...•Saf.wsro■:S■a•:■:■.as...s..$..f.::■a/■a■■■■:su•=::■■■S:S�iI=:SL.$l:s.$ �is..sj n ! asR! i
ss:=:::::ss ==:s:$::s::::::::.::::•sangs::s:s•::s:s=::S::$::s:r:•ss$s:su==:$s:=sUS0, $ 1 :ai"�•$::s `skis uum:ss
ss HIM.`::...sss::sss::sss's::s:s::=ee:ss$:sc'ss$=es:se'sees=ee6se:esa's:9se:eEse::es=:s:�=:s=cs.:` $::::$9:zs�=�:: s�e$=:3:$:s��..�:$�.:$�s=$sssMs::=ss
ze::sis:sec;:::::---- ----==-s:�:-=:L--a�:--: :t=
4
r 1
5;
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
f_
Date May 4 $ 19 81
Fee Paid s.4.08..00 Bet. Value $. 88.,.000.00
Permit 12159
on the side of r �
Lot #81 Gai I Lane Save
Street No.
Owner JKJ COMUMCUOn CO.
Applicant Jean -Marc .Iacque s
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 5882—
Fee Paid $ 1-00—
CLASSIFICATION
,1M
R
BUILDING PERMIT
N° 12159
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. May 5 19 ]
94io to to Crrtifg, That JMJ Construction Co.
is hereby granted permission to We 11 inb
at estimated value of $ 681,000.00
on the side of Lo c #d 3 Ga-? Lane Street on land
owned by J1 3 Construct ion Co.
Said Work to be as described in Application
No. 12459 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued May 5 1981
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."
As-lotCTION REPORT
Permit # '' Jo
1 Footing
atio � -
S"N ing� _� 13
1!4'lt
g
bing1ng
ng
8 C.O. �- �°�
f �5
Permit No. �-'` TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
p
Permit lr�T� 5889
Certificate of Occupancy
TO CERTJ;Y_that the f l�
at � ,-�: � r��
in the zolwn of South Windsor, Connecticut, has
be ed and completed in accordance with the B ilding Code and Zoning Regulations of
th of South Windsor, and is hereby app ve r occup
,f Building Inspector
Owner, Builder
Fee Paidc / Date 19
� y
REINO E o H IPPA & A SS OC IAmis
ell-
Civil IIZvinee rs
Glastonbury, Conn.
N,F
10,
�J W
0
o�.
\moo o AAA=10,30,�
,od) `��
+ao
J''� «q •N 8Z
9 ri:0�
p TF=1y�3-SZ- i
-T
J �en
U ► i, 1 Pczoo. + � ,2�
o_a►opoo'oo"__ � __ - -�
to'
- -
��,
5 24°24'4O"WJ 2 s.00' _f
C�AlL 1_AN� �ti�
tJo zoNuv vlo�os�o►a5
1=ouN�A,T%0" l-o LA S0 kj SNoW N 5-11-81
.MOTE: Lot -lines from map on file.in
Town Clerk's Office entitled, "Plot Plan
Section 5 Pleasant Valley Homes
South Windsor, Conn."
Scale 111= 401 Date
Map No. 220-78-12 by 2e. no E.
t-IYYpPa #e NSS0C.i a1P-s Ca IZStonburY 1 L0nn.
PR)fP RED FOR
hereby certify that this maoand survey'were prepared in PL..Ep'54kN7 VALLEY HOVf-5
c;cordance with;the standards of a Class A-2 survey as defined
i the existing Code of Pra�-ti,--e for Standards of Accuracy of SO UTI- W I NDSOTZ, [pN N.
urveys and Mapi, adopted by the Connecticut Association f
and Surveyors,4= SCALE- t'_40' p ATE 4-1 cv-- 3+=
43-1':1- 83
;li
A P P OV =-
TOWN OF SOU'i'`-{ a fe*��SOR
ENGINEERING DEPARTIA ANT
DATE: /
SIG.:
7452
ELECTRICAL APPLICATION
Application No. 8564
on the side of
i
Lo t #8 3 Gai 1 Lane Street
Street No. 154
i
Owner JM_j ConStr»cti on Co
Electrician G i I I en' LaRoche Ile
i
FILED IN OFFICE OF
The Building Inspector
June 12 19 81
INSPECTION.
r3r No Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
In New Buildings no wiringshall be started
' until the plumbing and heatin i p g g pipes, and the fire
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
,t
I
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK.
No. ..85.6..4....... ... ......
Permit No. . . 4 5.2.. ..... ......
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH W INDSOR, CONN.
hereby make application taq perform Electr cal Work according to detailed description below. All
provis ons of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with
whether specified herein or not. ,
South Windsor, Conn., 19 71 Sign here e
21
Address :/ ..... .....
_....
Location . V. Side of ... .
Nature of Building How many stories ......... ....... .... ............................................ .................
New or old Building , jam How many families .. .
Kind of Installation How many Stores ..................................................................................................
A /
Owner -.... . ate...-. ..... .. ... . _... .. Address � .�......�` . .......... . .................� ��'....:.._..... d......!'�'
.......
Architect ...... ... ... .. Address . .. .. ... ... .... . ..................................................
w..__....._....._._....
Builder ... . ib Address . . . ............. . ............................
Electrician -t:....` ......Address � . .. ......__...
.
t 14 L
Size of Main Wires ... ....�..................................._
No. of Light Loops ... .... No. of Heat Loops . No. of Power Loops .........................
No. of Light Outlets . . ...0. .. .... No. of Heat Outlets . .. No. of Power Outlets ................ .............
NoP of Light Circuits .. .... V. . ..... 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 ..........�.v......... .......... ................ ...... . No. of Cord Drops ....... ....................................................... . .... .... ..
Remarks: For other kind of Installation ...... .. ...... . ... ................... .. ................ ..... ......... .....................
....................................... . -..........
........................................... ................................... .......... .......... ............ ......................... _............................................................................................................ ........... .... . ... .
................................................................................... ....... .. ... .. ......................................................... ..............
Estimated Cost
5835
PLUMBING APPLICATION
Applicacim N6. 6614
on the................. 2W of
..........Lo"S--i rai I lane Seraet
Owner .... Construction Co
Plumber -..--So.Wind-,snr Big-
Filed in Cffice of
T6 &dl&mgIorPecaoc
July 6
H 0 u r Tum.
..................................
.........................
......................................
No permn shall construct, =W w or altar my
portion of the drainage system of any buMmg
(except to repair leaks) until a Peank in smued
by the Building I=p=w.
Application No.......6.619................. Permit N . ......5.8.35...............
TO THE BUILDING INSPECTOR
of the
15-0, 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 e... Sign here ...
................... . .. ..... . ......... .................
Address ....A0 I' ----W- f el je...... ...... .......................................................
Location .... ........................................................ .. side of .............64 (........./Aff..'e........................................... Street
Nature of Building .......... ............. How many stories .. .....................a............................................................
L�......A 4' ....
Owner ............I^_ '.r. r......................................... ......... Address...... A� ...............................S........ ;�� e.........
Architect ................... ............ .............. ..... ................................................. Address ................................ ...................................................................................
Budder ....................................... .. .................................................................... Address .....................................................................................................................
Plumber .........tolsl, //r(. ....1 Address ..................9......
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 ........... ........... ............................................ ...................
0 A01
MAIN DRAIN IN CELLAR, Material 614Ar-71AA Diameter ....... . .........................................................................................
Aboveor below cellar bottom . ...... ..... ......... . .. .. .... ........................................................................................................................
SOIL PIPES, Material .. .......... Diameter ........ ..........3......................................................................
WASTE PIPES, Material 11/1.5.. .. .... Diameter ......... .7
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
13
WATER CLOSETS, How many . ..................***........ Where located .4?-! .......zJ61 .
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...............................................................................................
REFRIGERATORSINKS, How many...................................... Where located .................................................................................................
LAVATORIES, How many ....................................3........................ Where located .. .......r ........
BATHTUBS,How many ................................I.................................... Where located .........,�- -jrY�......6Fe..-..............................................
URINALS, How many ............................................................................ Where located ...... ........................................................................................
Are water closets and urinals to be local vented - -V�-.. If not, is there a window in outer wall
ofroom where same are to be located ........ f . ..........................................................................................................................................
Estimated Cost P.... .................
PERMIT #
Application For 6449 5348
DEPARTMENT DECISION Heating Permit
C3 w
O
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
RXAPPROVED DISAPPRO D
/ TOWN OF SOUTH WINDSOR
o Cd 7/6/81
00 DATE HIEF46SPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BLOW
O
-C 1. LOCATION OF JOB
O a; /
154 L .' / Lori t
Cd 9 NO. STREET
-0
v
CO
y 163
LOT NO. FLOOR APT. NO.
0 O
N
2. OWNER
cc it
� o
0 o S. ADDRESS jc dt
b0 `
4v (1) _%O[J rL0 ald Ll J � 4.PHONE
>
Co j C//J S. APPLICANT-(.f9. 4dal re/ 10/5
0 B. ADDRESS
_ 'C
a a°�i �U •n 1�/ 7.PHONE
w � 3o �� yo
A S. LICENSE NO.
w B. EXPIRATION DATE OF LICENSE
0
v
to. ESTIMATED COST i
/ov,v o
� o
^ 11. IS THIS A CONTRACT COST? YES 0 No
12. FEE ENCLOSED S Permi r_ 12159
� y 13. TYPE OF BUILDING:
W RESIDENTIAL ❑ COMMERCIAL
'� ❑
cis a� 14. TYPE OF JOB: INDUSTRIAL
ORIGINAL ❑ ALTERATION
INSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING ' PERMIT (Continued it m Revene Side)
11. LOCATION OF JOB ��r� bit / v a/1 e
NO. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC Cl 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/fW FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND N0.HfJ*SSf11J12i B.T.U. OR SQ. FT. NET v7 B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HE TE i L2 NEW OR OLD BUILDING —INSULATED - YES OR NO TG f
TYPE OF Jrl`-vtv INSULATION of ROOF OR CEILING_ 3X h INSULATION
AVG. SYSTEM WATER TEMP. JAW B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURDIFFERENCE 0'Bo °FAHRENHEIT
MAKE OF RADIATION: PP OPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE: 1.42 IL4 ,a� , II fV .
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U. 1-D
AND DOORS VOLUME TOTAL TOTAL N < DISTRIBUTION INSTALLED
LL
ROOM NO. 6 Ogpgg GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j 4 RAD REGISTER
L W N AND C TEMP. TO FF f; TYPE AND SIZE OR LEADER
SIZE < WALL Ito (INFILT.) O O SO. FT.
f' DIFF. •F I..O b FREE AREA
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND S 6a GK l B.T.U./HR.
C. PIPING, OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE /
OFFl t,FUEL (AB C) FACTOR
17. ELECTRICAL WORK BY It !'�O 6 _ I �/re:;r 0
NAME ADDRESS
SUBCONTRACTORS AND
Ia. 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. _�7
DATE SIGNATURE OF LICAN
AKCAL�,.-ULA '1100\1 SILItZ. 1
f
A D D Fi
LEALErz — i-1'__' ✓ �'JY �)•�` T _ —_ —Y_K1ND CST=
j CONSTRUCTION: WALL
W i N D O wy S OR
_-
II E3AZEMENT HEIGHT ARCVE GRADE i3EL47PW GRAi'i" DESIGN WA—.ER TEI•ArERATURE:. 1)F_5P-,N TEM-P n-IFF I
U'_ 1 -3 d _ g 13 1.4 j 15 ]-a i 17IF3
+ ----
ROviA �7i:E wlr.n�us AREA j`Z -i s �(70R �,�7 tf'�n BASU,C)ARDF 1
• /,�tC n!-sCRS .t C NOTF1 I-- _-_ 'tC-T,>'` j 4L.
P `.� AT I CO"ECT" WATER i IENGTt+ -..�_,�,�� 7j, '�5n" j
^ GLASS F�ET`1'�LL f ILIIN G I ---------- ---- ---
R'�C�ha —�— j TC
I TEMv, ('��r l• I nF I 4 I 1
1 L W j N ni I AREA I `HALL �C.J jht!`!�S.I4F
SILT. I 1 ---_.__F , I Tllnr: i -
} 97 ! e .. I . f I 1 JS / I I T=N(` L)IFr. I fT
I{ ! r e _ I �I �.�1�t'„ 81 I /,t`; �..! —� .� S—! —1— j /►S � �f; I 1 I 1 I t
! I I
IM-)
I
i r'•.'\ I %ie ' /I, � I —�� I �,j �� r(w,l I � -r' �� � h���J� ' �i 1!L-)� i �' ! -� e i � � I
1 r� � I !� ' } �' ' C.I 1 - ---__ ``mil �1[f:,✓�� j �--°L� —I I 1 y��rl !'6 j �j�i �1(«) 1 �.� `�,`7 t�j � I � I
n I
k F
I 1, i '-'. II ---- ,� � I l--LL-{�-�. U--�----- _i1�.=__._�--_--___ 1 � -�'�_.__I-y ='r_•,�'-�—�_ I I 1 ":. i i !
17
r I n—l i �• � I I �� c�(,.� �-�� � ��>J I � l D CJ G ` �)�:.:' t I i c' ! rJ� j , -�e.' 1
,� I 1 ' I ' 1 �C h`� I F i I I' I` —.'�. ; e•,.� r, i+= "} } I � ) -• I ' '�,� ( I
1{� v 1 1 � 1�' 1� � .�� �"`( 1 l.'1,� I ' t�1�� � "j A��y."'.✓ ?+ �.,/ f I (, ,t.J 'J,�.. ' I
__tY .— �_—.—_—__-_____—
1 k_4
►"Jy t !�• j
\ I
� J I I ,/`_�I) I t �f �! i ��I �'e^ �i — � ' d'�f� f ! f`7�"� �� � t� � , � '� �`• I ' � i
Dry
I Y �
CTF1) (71)NCti6'C'.UClp npi.lu-:l) CR ILL r,l GFAr, !-FVEI 1;S 1.�`IC-�s; FECT OF ExpF ,SEC) EOGU- `rOTAL^ I i
F--f, ALL OTI•FR FL(,nR4 L';r_ SQUARE �FCT OF ARF+1 ! 1 {