HomeMy WebLinkAbout128 Gilbert Lane Bectdc# /(" APPLICATION FOR BUILDING PERMIT
Plumbing# o?91Q 128 Gilbert Lane
WAC # /4 aVl3SA� 27268 Dat
Sprinkler# NO'
FINAL APPROVALS Estimated Cost $ /01 6n
Building COMPLETE RED BOXED AREAS Permit Fee SG. °
Engineering TYPE OR PRWT ONLY Occupancy Fee $ °
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $
TO BUILDW DRARTMM,TOWN OF SOUTH WNDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location/o?oo & Oye ' � l a n E Lot No. g9 Side of Street z e Zone
Applicant 4- A--(-,, Tel# �.��-- 1 S �3
Address C , Zip 7 Lic.# - -/� SO
Own r Address �—
Architect Address
Sq.Ft.New Area: 1st FL off.O S-S- 2nd Fl. 3rd Fl. Total New Area )L E
#Rooms #Lavatories � #Bathrooms #Garages
Purpose of this permit:
City Water Well ❑ Septic System ❑
Ins. H.O. S.P. Cert. — Area Basement age
Approved by 34C- Dat %(J60 Use Group IR4 Construction Type - 5P-5,
Rased 1197
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 In=rSo
or o any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building ted the proper dista from all street lines,side yard lines,and required
distances from all other zones and is located in th' building and its is allowed.
Signe
I hereby apply for a Certifi f Occ y for t d in this application for the permit.
Signed "
O NOT�WE B THIS LINE
INSPECTI COMMENTS
Location of Job: AFFIDAVIT Additional Fee$ — 0
State of Connecticut
� ss.South Windsor
� County of Hartford
I TtZ GQ�U-P— 2> of Owner
,Ta1l�fZ V (-VO4. Agent for the building erected
'� Contractor
oko*l under Permit No. 27268 issued by the Building Department of the wn of South in r being
UtedCosts
duly sworn,make oath and say that the actual cost of the completed work author u er said pe d not
exceed the submitted estimated cost
SiSubscribed and sworn to before me this da ofy 166 ,750 .00
Difference: S 1 ,0 61 . 9 6 .�
Notary Public
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-27268-B 150,000
B01 FOOTING 08/30/00 DCJ D NO APPROVAL YET
B01 FOOTING 09/05/00 CJD D FORMS INCOMPLETE
B01 FOOTING 09/05/00 CJD A W/JOHN JQS.
B02 FOUNDATION 09/08/00 CJD A W/JOHN
P02 UNDERGROUND 10/04/00 DCJ A
E01 SERVICE 10/24/00 CJD D NO UNDERGROUND
E01 SERVICE 10/25/00 CJD A
P03 ROUGH 10/26/00 JFF A WITH CONTRACTOR IMPERIAL
B03 FRAMING (ROUGH) 11/07/00 JFF A WITH CONTRACTOR NEED MICRO SPECS ANCHOR BOLT
NUTS
E03 ROUGH 11/16/00 CJD A
B04 INSULATION 11/20/00 CJD A
PO4 GAS TEST 12/14/00 JFF A WITH CONTRACTOR
B10 FINAL O1/24/01 CJD D HS.#'S,HND.RAIL/GAR.,SWTC.BOT.CEL.STRS,RLG.Q
STRS.TO BNS RM. ,ACCESSTOA.HNDL/LGHT,KI.FLTYGF
B10 FINAL 01/26/01 CJD A W/JOHN JAQ. CORRECTIONS MADE
B10 FINAL 01/26/01 CJD A CLOSED OUT.
**-10657-P 3,000
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-10935-H 6,000
**-10914-H 3,000
**-16944-E 4,750
N
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-27268-B 150,000
B01 FOOTING 08/30/00 DCJ D NO APPROVAL YET
B01 FOOTING 09/05/00 CJD D FORMS INCOMPLETE
B01 FOOTING 09/05/00 CJD A W/JOHN JQS.
B02 FOUNDATION 09/08/00 CJD A W/JOHN
P02 UNDERGROUND 10/04/00 DCJ A
E01 SERVICE 10/24/00 CJD D NO UNDERGROUND
E01 SERVICE 10/25/00 CJD A
P03 ROUGH 10/26/00 JFF A WITH CONTRACTOR IMPERIAL
B03 FRAMING (ROUGH) 11/07/00 JFF A WITH CONTRACTOR NEED MICRO SPECS ANCHOR BOLT
NUTS
E03 ROUGH 11/16/00 CJD A
B04 INSULATION 11/20/00 CJD A
PO4 GAS TEST 12/14/00 JFF A WITH CONTRACTOR
B10 FINAL 01/24/01 CJD D HS.#-S,HND.RAIL/GAR.,SWTC.BOT.CEL.STRS,RLG.Q
STRS.TO BNS RM. ,ACCESSTOA.HNDL/LGHT,KI.FLTYGF
B10 FINAL 01/26/01 CJD A W/JOHN JAQ. CORRECTIONS MADE
B10 FINAL 01/26/01 CJD A CLOSED OUT.
**-10657-P 3,000
**-10935-H 6,000
**-10914-H 3,000
**-16944-E 4,750
Total Est Value 166,750
Dwelling 2,598 125,431.44
Basement 2,117 30,061.40
Garage 681 9,670.20
Smoke Det 7 525.00
BOCA Value 165,688.04
Difference (1,061.96)
3
FV�r'
SITE COMPLIANCE CHECKLIST 6r)',.rV
TOWN of SOUTH WINDSOR, CONNECTICUT
128 GILBERT LANES LOT_##88 Reviewed B E K�'✓�
Y (Engineering)
JACQUEST CONSTR ++ TION LLC Date Reviewed &/ 7o i Approved/Denied
67 RIDGE ROAD,Sa-n-H WINDSOR,CT Reviewed lanning)
BP # 27268 Ph �# 432-1823 Date Reviewed / pprove Denied
Date Submitted 00/00/00 ***** FOR O ***
I
As required in t e Zoning and/or Subdivison Regulations, no Certificate of
Occupancy shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall include:
ApproveA Denied N/A
_ 1. Approved building permit plan
2. Finish grading per approved av",,✓c A15,djo Z
building permit plan *6, �,a„ous�o �vd
3. Site work; i.e. trees, shrubs,
dumpsters, required parking
4. Utility location;
l� a. sanitary sewer/se
Loll b. foundation drain
l� c. electrical & telephone
d. water
e. other -- 6A 65e
5. Sewer connection charge paid
6. Appropriate certification
7. Bonding
8. Planning & Zoning/
Inland Wetlands Considerations
y
A. Lighting
B. Signage
Freestanding Wall
C. Fee in lieu of Open Space
Sewer Permit No. -71&
Pavement Excavation No.
COMMENTS:
V.
q �ie cI�l=fllJw W,4 S
0Q#.)UA
NNE
D
1
Town of South Windsor
Engineering Department
1540 Sullivan Avenue
South Windsor, CT 06074
To Whom It May Qux em:
We, the buyers of Lot # -also known as �Jber� k" located
in theSubdivision, In South Winds
or, Connecticut on
this the.. day f 0�_Vxo p
hereby grant permission to the
Town of South Windsor and its agents or assigns, to enter onto above said pro
PertY
fbr ft Purpose of completing any and all site work, per Town Specifications such as
grading, raking, seeding, driveway, et+c..as requested by the South Windsor
Engineering Department.
BUY NO ARY
S
BUYER
07/20/00 THU os. �R
avw
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
128 GILBERT LANE LOT_#88 Reviewed By �. A (Engineerin
JACQUEST CONSTRUCTION LLC Date Reviewed 8 ?.S Oa p ro D
67 RIDGE ROAD,SOUTH WINDSOR,CT Reviewed By ,
BP_#_27268_ Ph_#_432-1823 Date Reviewed 9 3N v- pp 'ed
Date Submitted 08/22/00 ***** FOR BUILDING PE
In accordance with the Zoning and/or
building of any structure on a lot, a Post-it®Fax Note 7671 Date 8 �� paogts�
for approval. The minimum requirement To -Trr� DEAtAffilL From
-+
gaKJA
Appr ed Denied N/A Co./Dept. Co,_TO o,5,W. SA_6JaQG4,
.� 1. Name, ad Phone# Phone#
-ZS
2. Name, ad Fax# Ve>!-6-7 51 Fax# �ZAjc�o
3. Zoning Information - i.e. zone, open space,
floodway, street address.
4. Plot Plan at 1" = 40' scale
a. Subdivision reference, abutting properties, etc
b. Easements of record
C. Lot description, bearings, building lines,
distances, 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 & centerline of road at driveway
' f. Elevations of gravit
y y drainage systems, sanitary
/ & foundation drain at the house and the street
V g. Tentative utility location (gas, water,
electric, septic system, etc.)
h. Title block with name and address of re arer
P P
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements. (P.E. & L.S.)
5. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS: e
AVXO's -To C-0tuCf ED oN 9LA x-) (ffA
rL.9� &')U-Mr LA0L). 0 EA �PAtz 1)V�
MJS"( aAte CSC r,'L �- souxVI SIZA �CA1JS� o 800fWWft..4�ENO DE;7
-,)CANNED
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR Cj
BUILDING DEPARTMENT
CAPPR dBD 1540 SULLIVAN AVENUE
Bldg.Permit
ce(c,100 -S 644-2511 ext. 230 J�o�
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location 0Job:
$0-$1,000=$13.00 Street No. Street' Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation :AXt.No.
APPLICANT b S�,,.
APPLICANT ADDRESS T C4 e►��►�e
�1 �t-nOh
APPLICANT PHONE# 'F?°7 c), 3 Co G
N S OWNER00,
Q C
OWNER ADDRESS
OWNER PHONE Y 3 c 1 8 a 3
C ] ESTIMATED COST$ /Y 7 5-0 , 0 m
'�► IS THIS A CONTRACT OST9 ldYes 0 No
�! FEE ENCLOSED$ •S.
TYPE OF JOB:
dSOR,�p11
0 New Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑NO
❑RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑FACTORY
❑ STORAGE ADDRESS
❑GARAGE
❑MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATIONIWIRING METHOD 5F— u
SIZE OF SERVICE DR O O SIZE OF MAIN CONDUCTORS/D
NUMBER OF METERS�_ NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS_L_ REMOTE DISCONNECT REQUIRED? ❑YES ❑NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
O Awl
0 rn
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
/6 q3 15�- 90 F � l Q�0",Al
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT o DATE 9 D 0
o n o ms- pprova on irmation: Request o. age
From: <clpsvc@nu.com>
To: <COLLIN@SOUTHWINDSOR.ORG>
Date: 10/26/00 8:43AM
Subject: CRS Approval Confirmation: Request No. 51415
Your approval of the following CRS Request has been successfully processed.
CRS Work Request#: 51415
House No:
Lot No: 88
Street Name:
i
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
TOWN OF SOUTH WINDSOR
Application is hereby: BUILDING DEPARTMENT �6
APPROVED 1540 SULLIVAN AVENUE I
Bldg.Permit#
644-2511 ext. 230
ate ing Inspector
Application must be printed or typed
02 Location of Job:
FEE SCHEDULE \ 4
$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT _�t�c�0 -Q--C x Ct- Q C
APPLICANT ADDRESS 0\
S � 1
APPLICANT PHONE#
ool OWN S F OWNER r L L.
q� OWNER ADDRESSIle"I
�C
OWNER PHONE
C ESTIMATED COST$ C C�
�+ U
�**w IS THIS A CONTRACT COST? OFYe' 0 No
1115 FEE ENCLOSED$ q 0
TYPE OF JOB:
soR.Co ��
ew Installation
D Alteration/Addition/Repair Revised 8/99
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITHA/
BUILDING PERMIT APPLICATION? ❑ YES ❑�O
p'RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL ENGINEER'S NAME PHONE
❑FACTORY
❑ STORAGE ADDRESS
❑GARAGE
❑MIXED USE CITY STATE ZIP
(Other please specify) I
\-
TYPE OF INSTALLATION Z 2. 1'> SIZE OF MAIN DRAIN
NO.OF TOILETS 3 _STYLE 1 b NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES 2)
NO.OF CONDUCTORS SIZE "--\1 NO.OF STACKS SIZE 'H>
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW q CIE�)❑NO
SIZE OF WINDOW �-. IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWE OR SEPTIC TANK
SIZE OF WATER MAIN 1\` SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE C, MANUFACTURER
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
Q-C) S G P \ C77
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE C� C�
DEPARTMENT DECISION .
APPLICATION FOR HVAC PERMIT
Application is hereby: TOWN of SOUTH WMISM
BUI DING DEPARTiVIENT Bus
APPRO 1540 SULLIVAN AVENUE -����`-
_4":
644-2511 exL 230 --
Date ding Inspector
Application m st printed orty .
x
lo� Locadom ofjob
�O� • cc 9 «e ,T�,£
M _' F
S No. Sheet
FEE SCHEDULE _.
Floor
'Xr•
$0 - $17000 - $12.00 g, �
Over $1,000 t . .
W6 _n , _
$12.00 per$10 _
00
OWNER
or a"fraction thereof
ADDRESS
• rMry,erlr.rrr,.... y .wrsr.a ...i ''� `__i-«qJ'�'-
OWNERS PHONE#
APPLICANT n �
W N $ ADDRESS
Oir . r ..rorri+ '3 .za
.:`..' au
6 G� ESTIlVIATED COST $ U C�
C � IS THIS A CONTRACT COST?
� YES
r- •JO
�► FEE ENCLOSED
0�
OF JOB:
Original Installation�` Alteration/Addition/Rqx& _
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM f TYPE OF BUILDING
HEATING RESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
TOTAL HEAT LOSS(BTUH)
(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
��dolt► C C,
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
TYPE OF FUEL
OIL-GPM GAS-INPUT '� ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDE F 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)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
STATE LICENSE-NO.NAME&TYPE SIGNATURE OF APPLICANT
PHONE NO. DATE 2� v
I - B R CALCULATION SHEET 1503 (Modern M@lhod)
`� �'� GMrwyllti 1977 tAr The t'�rseenla IMtItYt1
WIVE R °� AOOAtss > >
0611160111 T[MFEAATUR[Ot/p[RiNCIZ_ Sr. DATE 1O Z uv„
C L A COL.• CO I..C C L.O C L.E C L.fr C L.4
1 ROOM .
dc .Levin X,?,fn &f )I / e
O H L w M L w H L w H L w
a N L w �w W&OW T..*.
W
? ROOM Ot1if10/y.pT., H / d /�
< Q
U GrLm Mr Feet of �a O
LENOTN tx►osao WALLS.FT. p ..
4 WWOOw AND OUTSIDE DOOR AREA R.ww s.I.st.d
O
i WALL CONIT/tNCT1
STUN ovum •TUN STUN •TUN
N
ITobM9.Luw a N! .O /�OQ �/OO AOOY Lift.FT. v
S TYPE 0 GLASS O OO v TOTALS RA #ATt N
(801"M of 98"0 Yrd for L ine,S) wrf) �✓0/) FROM Limit 12 SELECTED
7 CEILING CONSTRUCTION ��v SOO
ITMbl.Ls10 0 �0 O00 0[/ g c aa- /7
a iLOORCONSTAUCTIONt O
ITwjw*L&W4WLila Ft1 ��
� COLalAAT1TZp/SCONSTAV�ION
w: nri�s��a �_ - ,_,,,._ .� �_ �fee •
Z-r11IIls >t M Q'
:; 11rrlili � O Z oU ZOU
. �ISIlew twit Ht+M
rt TES.OIftFERENCt•- 8'30 70� 417O QQ , eD0
. ` 1s IOTA@f1Tt3/1lrATpp/p1�►Tt�;OIi/EAtNCE � K .
=:
L
COL.A _ _ COL.R COL.H COL.1 COL./ COL.K COL.L
�-- 1010
• 1 ROOM ` . K fiTUN TOTAL
. • t O[<•UILDINO RAOIATI N
O H L w M L w H L W H L w M AT SELECTED
2 Room OIMIfts"w L FT. I- L w Oti/GNTW�
� �y / Z O O
a LiNOTM f 7W+OSSOti WALLS.FT. < / O
S M"DOrMANfs OUTSIOE DOOR AREA IL 3a +
S ws"CONSTAUCTION OTUH faTUN STUN .STUH STUH
ITf�t;Law w" O SO♦y O •1NCREASC BATHROOM
S Type F GLAss, '—' I VV - TOTAL 20%
Il�s�ttMJ�abtLinwW
7F
r, ?POR CONCAETE FLOOR N
• ,OS goa
� GROUND OA FILL AT
S AUCTI Nt vGRAZE LEVEL.USE LINEAR
= ILL1r#Or LM PLI FEET OF EXPOSED EDGE
! LDPARTt iiON CONsTRUCTo,;Nb!.L
to `� 1 wwt ow.I.y.I o •D/ U
=_= 2 wrla 1 ills .x .
J
a tADIIr aM wr Ent 14411
is T TAL•TIIN AT 70P TEM►. N F F E AE NCE• 3
12 T TAL•T AT OESI N TEMi,plfi EAENCE
Tf►w tenw I..,r 1rem TPb.M O .
rotenics InngluM aS RYae 11...6 EMtMOr"04ftls.N.J. 07922 FORM 1303
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby:
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Building Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE 1a2 p, / ( / /
O l� l �c�-6 zo-� FE
$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT f a
APPLICANT ADDRESS g /70 naz k-,
I?d Clow 11 q- Y q
APPLICANT PHONE# 0
OWNER -e (-Owl 3 a
4� OWNER ADDRESS
GJ
OWNER PHONE
ESTIMATED COST$ !%apD,o
IS THIS A CONTRACT COST?. di/Yes 0 No
FEE ENCLOSED$ 6
o TYPE OF JOB:
OR-Co Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUILDING:
❑HEATING A RESIDENTIAL
t4 A/C ❑COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑HYDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
❑ OIL-GPM OIL TANK LOCATION:❑INSIDE❑ OUTSIDE CAPACITY
❑GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW
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.)
'zoo'byls-'— ,yy0&l \�-t-df; (qGc)
TONNAGE COOLING CAPACITY(BTUH) t!
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK
00)v uc,
6-7 2&6.11
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
-3 () -�5� ( G
CONTRACTORS LICENSE NO. TYPE STATE
00*
SIGNATURE OF APPLICANT
DATE ���
1,*dke. '--owsC
S/N RSR213 4 6 RIGHT-J SHORT FORM 9/2 2/0 0
File name: JOHNJAN 1.RSR
Job#: Htg Clg
For: J hn Jacques Outside db 0 95
Inside db 78 70
Design TD 78 25
8 6 0-4 3 2-18 2 3 Daily Range - M
Inside Humid. - 50
By: Lessard A/C & Heating, L.L.C. Grains Water - 35
81 Leonard Bridge Rd. Method Simplified
Lebanon CT 06249 Const.glty Best
8 6 0-2 2 8-15 7 9 Fireplaces 0
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Trade Trade
Efficiency 80.0 AFUE Efficiency 0.0 EER
Heating Input 0 Btuh Sensible Cooling 0 Btuh
Heating Output 0 Btuh Latent Cooling 0 Btuh
Heating Temp Rise 0 Deg F Total Cooling 0 Btuh
Actual Heating Fan 1511 CFM Actual Cooling Fan 1511 CFM
Htg Air Flow Factor 0.040 CFM/Btuh Clg Air Flow Factor 0.053 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 90
ROOM NAME AREA HTG CLG HTG CLG
SQ.FT. BTUH BTUH CFM CFM
Bathroom 1/Hall 154 2460 2496 98 133
Bedroom 1 224 3455 1706 137 91
Study 225 4883 4099 194 219
Family Room 289 9382 6792 372 363
Foyer 102 3637 1934 144 103
Kitchen/Bkfast 273 2929 4790 116 256
Dining Room 195 2785 1507 ill 81
Master Bedroom 266 3916 2189 155 117
W/I Closet 54 444 151 18 8
Hall/Stairs/Bath 242 1131 363 45 19
Master Bathroom 117 3078 2237 122 120
Entire House d 2141 38099 28265 1511 1511
Ventilation Air 0 1375
Equip.@ 1.0 0 RSM 29640
Latent Cooling 3448
TOTALS 2141 38099 33088 1511 1511
MANUAL J:7th Ed. Right-Suite:V4.0.07
%.OtANNE
WYORK
CONDENSING UNITS
SPLIT-SYSTEM COOLING
1 TO 5 TONS
INSTALLATION INSTRUCTION supersedes:550.38-N1Y(1093) 550.38-N1Y(994)
MODELS H*DB012 THRU H*D8060 035-10870
(Canadian Models Included)
could result in personal injury, property damage or product
damage.
WARNINGS are given to alert the Installer that severe personal
injury, death or equipment damage may result if installation
procedures are not handled properly.
NOMENCLATURE
Product Category
H=Condensing Unit
Product Generation
1,2-Design Level
9=Canada
GENERAL
Product Identifier
This instruction covers the installation of the following outdoor DB=10.00 SEER Condensing Unit
units: Nominal Cooling Capacity
H 1 DBO12 A,S 06 012=12,000 BTUH 036=36,000 BTUH
H 1 DB018 A,S 06 018=18,000 BTUH 042=42,000 BTUH
H1DBO24 A,S 06 024=24,000 BTUH 048=48,000 BTUH
H 1 DB030 A,$0066 030=30,000 BTUH 060=fi0,000 BTUH
H 1 DBO36 A, Refrigerant Line Connections
H 1 DB042 A,S 06 q=Quick-Connect
H1 DB048 A,S O6 S=Sweat-Connect
�1 DBO60 A,S 6
The outdoor units re designed to be connected to a matching Volta code
evaporator with quick or sweat connect lines. Quick connect 9x 208/230.1-60
units are factory charged with refrigerant for most sold match-
ing evaporator and factory charged line sets are available in LIMITATIONS
various lengths. Sweat connect units are factory charged with
refrigerant for most sold matching evaporator plus 15 feet of The unit should be installed in accordance with all national and
field supplied lines. local safety codes.
Matching evaporators contain an orifice liquid feed sized for the Um itations for the indoor unit,coil and appropriate accessories
most common usage.The orifice size and/or refrigerant charge must also be observed.
may need to be changed for some indoor-outdoor unit combi-
nations,elevation differences or total line lengths. The outdoor unit must not be installed with any ductwork in th
air stream. The outdoor fan is the propeller type and is not
INSPECTION designed to operate against any additional external static pres-
sure.
As soon as a unit is received,it should be inspected for possible
damage during transit. It damage is evident,the extent of the CAUTION.Use a field supplied crankcase heater on 1-2.5 ton
damage should be noted on the carrier's freight bill.A separate units when line set is over 50 ft.
request for inspection by the carrier's agent should be made in
writing. See Form 50.15-NM for more information. The unit should not be operated at temperatures below 45°F.
REFERENCE LOCATION
Use this instruction in conjunction with the instruction for the Before starting the installation,select and check the suitability
appropriat indoor unit,air moving syst m and acc ssori s. of the location for both the indoor and outdoor unit.Observe all
limitations and clearance r quirements.
Installer should pay particular attention to the words:NOTE,
CAUTION and WARNING. The outdoor unit must hav sufficient clearance,for it entrance
NOTES are intended to clarify or make the installation easier. to the condenser c Jl J r air,discharga vd4erl� access.
CAUTIONS identifies procedure which,if not followed carefully, See Figure 1.
--Y -
550.38-N 1 Y
If the unit is to be installed on a hot sun exposed roof or a When installing units on a roof,the structure must be capable
black-topped ground area,the unit should be raised sufficiently of aupporting the total weight of the unit,including a pad,lintels,
above the roof or ground to avoid taking the accumulated layer rails,etc.,which should be used to minimize the transmission
of hot air into the outdoor unit. of sound or vibration into the conditioned space.
Provide an adequate structural support. Isolate the unit from rain gutters to avoid any possible wash out
The unit may be installed at ground level on a solid base that of the foundation.
will not shift or settle,causing strain on the refrigerant lines and Normal operating sound levels may be objectionable if the unit
possible leaks. Maintain the clearances shown below and
install the unit in a level position. Isolate the base from the is placed directly under windows of certain rooms(bedrooms,
structure to avoid noise or vibration transmission. study,etc.).
TABLE 1 - PHYSICAL AND ELECTRICAL DATA
MODELS H1013... 0127 018 024 030 036 042 1 048 1 060
UNITSUPPLY VOLTAGE 2OM30-1-60
NORMAL VOLTAGE RANGE 187 to 252
MIN.CIRCUITAMPACITY 10.8 13.0 16.0 17.7 23.2 2z.2 30.3 37.2
M&DMOURRENT DEVICE AMPS 15 29 25 25 35 40 46 50
COMPRESSORAMPS RATED LOAD 8.0 9.7 12.1 13.5 17.3 20.5 23.0 28.5
LOCKED ROTOR 35.0 540 57.0 68.0 94.0 120 105 169
CRANKCASE HEATER NO NO NO NO YES YES YES NO
FAN MOTOR AMPS RATED LOAD 0.8 0.8 0A 0.8 1.6 1.6 1.6 1.6
LOCKED ROTOR 1.7 1.7 1.7 1.7 3.8 3,8 3.8 3.5
MIN.FIELD WIRE S12E AWG 14 12 12 10 10 10 10 6
6CrC COPPER CONDUCTORS
MAX WIRE LENGTH FEET BASED 2MV 90 115 95 140 106 135 125 115
ON 3%VOLTAGE DROP 230V 100 130 105 155 120 150 140 130
FAN DIAMETER INCHES 18 18 18 18 18 18 18 24
FAN MOTOR RATED HP 1/8 1/8 1/8 1/8 1/4 1/4 1/4 1 1/4
NOMINALRPM 1076 1075 1075 1075 1075 1075 1075 860
NOMIN 50 1960 1950 50 0 2200 2150 0o0
COIL FACE AREA SQ.FT. 9A 9.4 11.3 11 11.3 14.1 17.0
ROWS DEEP 1 1 1 1 1 1 1 1
FIN/INCH 18 16 is 20 20 18 20 18
LIQUID LINE OD 318 3/8 3/8 3/8 3/8 3/8 3/8 3/8
VAPOR LINE OD 6/8 5/8 5/8 3/4 3/4 7/8 7/8 7/8
Utilization range"A"in accordance with AR standard 110. Dual element fuses or HACK circuit breaker.
TO THERMOSTAT WEATHERPROOF
BLOWER DISCONNECT
MOTOR TO POWER SWITCH
RELAY SUPPLY 48"OVERHEAD 12'REAR
NEC CLASS 1 AND
WIRING SIDES'
NEC CLASS 2 I - Sit unit on
WIRING ; r rubber
TO - , i R elevator
COIL K grommets
/ .'o to reduce
.�. noise and
enhance
drainag .
NOTE:ALL OUTDOOR WIRING MUST
BE WEATHERPROOF •��
24'SERVICE
ACCESS
SEAL OPENING(S)WITH PERMAGUM OR EQUIVALENT CLEARANCE •24'for side-by-side multiple unit installations
FIGURE 1-TYPICAL INSTALLATION
2 _Unittyr Products Group
FIF:
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