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Home My WebLink About160 Gilbert Lane oectric iF /A4 a J / Nrr rVK DU1L1J1111V rCKMI 1 Plumbing# o. ( 160 Gilbert Lane WAC # L 26747 Date: Sprinkler# NO• FINAL APPROVALS Estimated Cost Building COMPLETE RED BOXED AREAS P rmit Fee Engineering 716 o C TYPE OR PRINT ONLY Occupancy Affidavit '7 h �c_� Fee =5'--��p Appr.for CO.=Cie-, .fib SIGN ON REVERSE SIDE Total Fee TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location /&o lip SA�� Lot No.�_Side of Street_ Zone Q Applicant , . Tel. # (o 49-dk. q a Address Zip 0�= 1V Lic. # 47.1. 00_SU'n ,- Owner Address Architec Address Sq. Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area - #Rooms g #Lavatories / #Bathrooms 'Z #Garages o2.. Purpose of this permit: I 1P Vq City Waterer Well ❑ Septic System ❑ Sewer Ins. H.O. S.P. Cert. " "Area W 4:�? Basement 1425 Approved by YL'� Date i Use Group k7l Construction Typ Rev6sd 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 Inspector of any afteration 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 which this building and its use is allowed. Signed j� I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Location of Job: AFFIDAVIT Additional Fee S 598 . 00 State of Connecticut ss.South Windsor County of Hartford Owner ' I ofC�C a-1-01Agen r the building erected 2 6 7 4 7 ----Contractor under Permit No. issued by the Building Department of the Town of South Windsor being duly sworn,make oath and say that the actual cost of the completed work authorized under said permit did not exceed the most current accepted BOCA value of S 169 ,000 . �Cign Subscribed and sworn to before me this day of et- A.D.20 C Estimated Costs 12 4 , 0 0 0 . 0 0 46 000 . 00 Difference: $ , T Notary Public Inspection / Approval Date By Appl Code Description Due Whom Code Comment , ------------------------------------------------------------------------------- **-26747-B 110,000 B01 FOOTING 03/07/00 JFF A WITH CONTRACTOR B02 FOUNDATION 03/13/00 DCJ A ADD STONE TO TOP OF FOOTING DRAIN E01 SERVICE 03/30/00 DCJ A RELEASED TO N.U. (VOICE MAIL) P02 UNDERGROUND 03/31/00 RAN A B05 FIREPLACE/CHIMNEY 04/07/00 RAN A P03 ROUGH 04/13/00 DCJ A B03 FRAMING (ROUGH) 04/26/00 DCJ D MISSING TRUSS AND LVL SPECS, HEADER JOIST IN KITCHEN, TRUSSES CUT IN BATH E03 ROUGH 04/27/00 DCJ A B04 INSULATION 05/01/00 JFF A 2ND FLOOR ONLY NOT 1ST B04 INSULATION 05/02/00 JFF A WITH CONTRACTOR PO4 GAS TEST 05/25/00 DCJ A LEFT STICKER **-10569-P 3,000 **-10784-H 5,500 **-10765-H 3,000 **-16637-E 1,875 E01 SERVICE 05/15/00 DCJ A RELEASED TO N.U. (VOICE MAIL) Total Est Value 123,375 Dwelling 3,043 124,519.56 Basement 1,425 17,670.00 Garage 517 6,410.80 Smoke Det 7 525.00 BOCA Value 168 511.66 Difference 45 136.66 A4- o), L I Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-26747-B 110,000 B01 FOOTING 03/07/00 JFF A WITH CONTRACTOR B02 FOUNDATION 03/13/00 DCJ A ADD STONE TO TOP OF FOOTING DRAIN E01 SERVICE 03/30/00 DCJ A RELEASED TO N.U. (VOICE MAIL) P02 UNDERGROUND 03/31/00 RAN A B05 FIREPLACE/CHIMNEY 04/07/00 RAN A P03 ROUGH 04/13/00 DCJ A B03 FRAMING (ROUGH) 04/26/00 DCJ D MISSING TRUSS AND LVL SPECS, HEADER JOIST IN KITCHEN, TRUSSES CUT IN BATH E03 ROUGH 04/27/00 DCJ A B04 INSULATION 05/01/00 JFF A 2ND FLOOR ONLY NOT 1ST B04 INSULATION 05/02/00 JFF A WITH CONTRACTOR PO4 GAS TEST 05/25/00 DCJ A LEFT STICKER **-10569-P 3,000 **-10784-H 5,500 **-10765-H 3,000 **-16637-E 1,875 E01 SERVICE 05/15/00 DCJ A RELEASED TO N.U. (VOICE MAIL) I Total Est Value 123,375 Dwelling 3,043 124,519.56 Basement 1,425 17,670.00 Garage 517 6,410.80 Smoke Det 7 525.00 BOCA Value 168,511.66 Difference 45,136.66 � S i - z , �c�ft•�v�� l SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT ��asJ 160 GILBERT LANE LOT_#84 Reviewed By En ineerin ) CLARK REALTY, INC. Date Reviewed :fAirpro We.658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By Planning BP_#_26747_ Ph_#_(860)528-6054 Date Review pprov Denied Date Submitted 00/00/00 ***** FOR C o 0 ** ,OPe . olr2c 'off 0/4:�/pa As required in the 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: Approved Denied N/A 1. Approved building permit plan 37 2. Finish grading per approved building permit plan 3. Site work; i.e. trees, shrubs, dumpsters, required parking z) 4. Utility location; z) a. sanitary sewer/septic system b. foundation drain C. electrical & telephone d. water e. other 5. Sewer connection charge paid 3113/1.000 6. Appropriate certification 7. Bonding 8. Planning & Zoning/ Inland Wetlands Considerations A. Lighting B. Signage Freestanding Wall C. Fee in lieu of Open Space Sewer Permit No. 71 X 1 3 /fit ecl 6'/�Ql s� 7' Pavement Excavation No. 3� �ti 7`"�/fs d �� ! O T �C7 /1®✓ T`j , /�z�/��/�,5 �'Sy r R'�'�,l r / COMME S: CE�VED � JUN 13 �o�. SSG✓ ^ yC SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 160 GILBERT LANE LOT_#84 Reviewed By �• VeVLMA 'neering) CLARK REALTY, INC. Date Reviewed Z 25 0� Approved enied 658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By a ing) BP_#_26747_ Ph_#_(860)528-6054 Date Reviewe a, prow Denied Date Submitted 02/25/00 ***** FO BU L NG PERMIT ***** In accordance with the Zoning and/or 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: Appr ved 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, 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 gravity drainage systems, sanitary & foundation drain at the house and the street g. Tentative utility location (gas, water, electric, septic system, etc.) h. Title block with name and address of preparer, 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: R�c�ivEO FEB 2 5 2000 .-o OR i 1 f (060 DEPARTNENT DECISIONAPPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Pe* APPROVED 1540 SULLIVAN AVENUE 7 L4, 644-2511 ext.230 Uj Date Building Inspector j` �! Application must be printed or typed z Location of job /� ��. ;' ----------- Street No. Street Lot No. V le� vt FEE SCHEDULE I .' ' A' 'i Floor Apt.XTi. $0 - $12000 - Over $1,000 $12.00 per$1,000 OWNER or any fiaction thereof ADDRESS OWNERS PHONE# APPLICANT ' H~ ADDRESS ESTIMATED COST$ IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ OR-CO IE OF JOB: V--�,Origiinal Installation Alteration Addition Repair -Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING / IS THIS APPLICATION ASSOCIATED WITH A V RESIDENTIAL BUILDING PERMIT APPLICATION S / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD o rfe-)/ SIZE OF MAIN FEEDERS AND RATING OF WIRE USED 7l°W-- —� r NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES 607 NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES 23 NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE BEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK S 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 COD IN PERFORMANCE OF SUCH WORK. NAME STATE LICENSE NO. TYPE SIGNATURE OF AP PHONE NO. a/Zg3 LF' DA -� � /1�1-0 w+9r ^' : INSPECTOR /DATE -!(-)-TIME , (Y1 LOCATION a r+ L U+ INSPECTION: CODE: RESULT(D/A) : c -7V7 BUILDING: k ELECTRICAL: Fo I E i t PLUMBING: HVAC: F OTHER: t f r DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT'# Application is hereby: TOWN OF SOUTH WINDSOR (J 5 BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# kid 1A k-Q, 644-2511 ext. 230 �7 Date Building Inspector Application must be printed or typed 160 Location of Job: FEE SCHEDULE 1 1 9 � �l $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT =�,(- �Oe s } 1 , APPLICANT ADDRESS A�\ APPLICANT PHONE# O N 3 F OWNER OWNER ADDRESS Vim) OWNER PHONE � c C ESTIMATED COST$ 2) C> U 0 IS THIS A CONTRACT OST? Yes 0 No { FEE ENCLOSED$ l TYPE OF JOB: �SpR.CO New Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WI A 04� BUILDING PERMIT APPLICATION? ❑ YES O SIDENTTAL ❑BUSINESS CURRENT USE AND OCCUPANCY qeS� ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY �S a ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME PHONE ❑FACTORY ❑ STORAGE ADDRESS ❑GARAGE ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION ) �� SIZE OF MAIN DRAIN NO.OF TOILETS STYLE ` . NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE 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 4 YES LINO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK 5�\-K-Q ec$; SIZE OF WATER MAIN �1 SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALC LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 2-c 2 6 0 0 _ tip' �::�� .` � „�• DEPARTMENT DECISION APPLICATION FOR H'V'AC-PERMT L b Application is hereby: ` ,TOWN of SOUM WDOSM BUILDINGDEPAR'I'INENT APPRO 15Q SUII"M ACE < � "4-2511 ext.230 Inspector A licauon mast r�or x ...;. - Street No. Stmct FEE SCHEDULE Floor ' $0 - $1000 - $12.00 Over $1000 � $12.00 per$1,000 OWNER or any fraction thereof ADDRESS $ \ r Ck--T* 77, x ` OWNERS PHONE# y � .ts � {' _ "i' 'X _ . -�s•t�' __g..u_ _ r"A APPLICANT Y jti W N S - ADDRES F I I I TV e I , .a ESTIM[ATLD COST $ IS THIS A CONTRACT COST? ftw YES Ix £ E 1 d 1� C� FEE ENCLOSED $ O C TM OF JOB: �s �� R ✓Original Inatallationwr Alteration/ Repair Addis� 4�'�, .tea y APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING � RESIDENTIAL A/C COMA ERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC t/ 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.) GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)= �1 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 o c,\-e c 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. �t- -2- DATE c, v A. .- . wF'PLICATLON FOR HVAC. PERl111' DATE: ` 9 ENO• ) TOWN OF SOUTH WINDSOR EST"�O T: y BLOC. PERMIT NO. 1540 SULLIVAN AVRWE, FEE SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 $ 0.- $19000 - $10.00 $1000 r fraction 2 LOCATION OF BUILDING thereof - $10.00 G;/ ADDRESS TOUNI PHONE N0, HVAC NTRACTO SS TOWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL A/C COMMERCIAL VENTILATION _ BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. SIGH PRESSURE LIMIT LBS. * HYDRONI_ WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD COAL BURNING STOVE) TYPi OF FUEL: OIL-Gm_ GAS I5-PUT ELECTRIC EW WOOD COAL OIL TANK - SIZE & LOCATION INSIDE OUTSIDE CAPACITY LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION 74 DESIGN TEMP, OUTSIDE jF INSIDE 8 DIFFEt�ENCE� F TOTAL SEAT LOSS (BTUH) O d SEAT LASS SHEET 14UST ACCOMPANY APPLICATION) DESCRIBE ALL 'HEATING EQU CLUDING MAKE i MODEL 50.):1141, Yke 4 GROSS HEATING CAPACITY INPUT-BTU$ -NET RATING OUTPUT-BTUH IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE _F INSIDE_ 'F DIFFERENCE_ F TOTAL BUT GAIN (BTUB) (RUT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING-TAKE-:i MODEL NO,): TONNAGE COOLING CAPACITY BTUH) IF VENTILATION: DESCRIBE ALL AIR-HANDLING DQUUI= (INCLUDING KITCHEN EXHAUSE EQUIPMENT): TOTAL SIZE OF SYSTEM (CFM) FRESH..AIR,,PffAKE,(CFM) (PLAN MUST ACCOMPANY APPLICATION) The undersigned hereby applies fora petit to perform the following work and is to comply with all local ordinances and State Conn. Bu ding Co as in the performance of such work. FURTHER DESCRIPTION OF WORK: _ ,�z rye( STATE LICENSE --NAME b TYPE '{tr NATORE OF APPLICANT Y APPA ` �`� �K pVED y:. , ,• - e . - .G''f-�! y yy��. ., LMifl � '.�" : '�Uy L.Y"+yF:a. .Y. w .. 1 BO 4A 11/88 s 8= R CALCULATION SHEET 1503 (Moder n Method OWNER ��1 ) - ADDRESf Cool►rIM1 1»>by TM Hydronks Instit C L.A ute COL.D 1 ROOM C L,B OL.C DESIGN TEMPERATURE DIFFERENCE DATE COL.E COL.F COL.G ? ROOM DIMENSIONS,FT." O H L W H 3 LENGTH EXPOSED L W WA GI L 1M H L yre water Tema WALLS,FT, La L � wlnlOOw-ICND OUTSIDE ODOR AREA � � (j / d /� . I z 0 _ •0�0 � STUN per Foot of S WALL �Fo O Raalauew Selectee CONSTRUCTION &TUH a (Table 9,L&I 3 a N) ■TUH BTUH O STUN 6 TYPE OF GLASS ��QQ BTUH� goo (Bottom of COWusep for Lino 61 (DOD �D U ROOM LIN.FT,OF 7 CEILING CONSTRUCTION � Q� /�JS /�D� TOTALS RADIATION V�/ �Ov FROM LINE 12 SELECTED (Table 9,L:w) � •D� nrOO - f) FLOOR CONSTAUCTIONt _ �O/) �y�D j� 17ab1e 9 iiiiii (!! a U� 8 C:2f�t.- i 7 Lin.F LI 9 COLD►ARTITION CONSTRUCTION `— D J (Tepee 9,L s HI �� •!- E �--/ to _c t w.a twlol oo.n) /6'�-- _ `c ?Welts(with ODemn9p 3 v oOO 3 W iss 1W$th Openings)or E X O O 00 G nt.Hall �'II I TOTAL&TUH AT 7OF TEMP. ~ LZOU H Q 12 TOTAL ST UH AT ''I'llDESIGN TEMP. DIFFERENCE10111, 0000 706 d , C2 ADD _ _ o o K • _ COL.A — 1 ROOM - __•_ _�� COL.B COL.H — L COL.1 _ COL.1 COL.K . • _ ¢ - _—s �r COL.L G�Cr p TO AL&TUH TOTAL ? ROOM DIMENSIONS,FT O H L w H r 4 OF&UIL-OING RADIATION ~ L W H L W AT 3 LENGTH EXPOSED WALLS, FT. U �� /_ H L W H L W DESIGNTEtrIP.• SELECTED 4 WINDOW AND OUTSIDE DOOR ggEq J /Z DIFFERENCE 8• 0 5 WALL CONSTRUCTION STUN ITabte 9,Line STUN 3 H) STUN ,&TUH 6 TYPE OF GLASS - r .5"Oa BTU" IB ttonl t table u"Cl for Line 0) D /L�� TO�l1L 20%•INCREASE BATHROOM ! 7 CEILING CONSTRUCTION —'- ---- (Table 9.L a W) J LOOK CONSTgUCT10Nt -- — '0s 8O/> (FOR CONCRETE FLOOR ON Table 9,L a W or Lin FL) v GROUND OR FILL AT + COLD►ART1Tj —' GRADE LEVEL.USE LINEAR ON CONSTRUCTION - �- �� FEET OF EXPOSED EDGE Table 9,L a H) _ . O I Wall(With Openi l�Msl ° D/ 2 MIs(with open.now ^; 00 D 3 polls 1w/111 Open.ngy or Ent.Hall a x •D/ 1 STUN AT?OF TEMP. ~ DIFFERENCE. -3 BTU"AT DESIGN TEMP.DIFFERENCE O T r 00e) �• 4W•Iron(Tne NygrOnks Inat�tuta,36 Rus10 Piece,Berkeley H eights,N.J 07922 • FORM 1503 I DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR 7 - BUILDING DEPARTMENT �z �"P 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 F c cI 0 7 q�7 Building Inspector A o Application must be printed or typed Location of Job: P EE SCHEDULE _ G'.�1,6 -$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 ny fraction thereof Tenant Designation Apt.No. � t 5� APPLICANT APPLICANT ADDRESS `3/O Al[J 7 e ��• Sw 4-" APPLICANT PHONE# 0 N S OWNER q� OWNER ADDRESS ,S8' 101, S'a ayl'y �/;r/Q/�Sdr IWO OWNER PHONES r7 ESTIMATED COST$ '► IS THIS A CONTRACT COST? Yes 0 No FEE ENCLOSED$ 7 �" TYPE OF JOB: C M<ew Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR HVAC PERMIT (Continued from reverse side TYPE OF SYSTEM: TYPE OF BUILDING: ❑HEATING J(RESIDENTIAL N A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HE TING STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LB ❑ RONIC ❑ WARM AIR ❑UNIT RADIANT HEATER EXIS TIN IATION ADDITIONAL RADIATION TOTAL RAD N DESIGN TE UTSIDE OF INSIDE OF DIFF CE OF TOTAL HEAT LOS ) °F(HEAT LOSS SHEET MUST AC ANY APPLICATION) DESCRIBE ALL HEATING E PMENT(INCLUDIN &MODEL NO.) GROSS HEATING CAPACITY( —BTUH) N TING(OUTPUT—BTUH) TYPE OF FUEL ❑ OIL M OIL TANK LOCATION:❑INSIDE❑ OUTSID CAPACITY S—INPUT LPG TANK CAPACITY ELECTRI KW AIR CONDITIONING DESIGN TEMP.OUTSIDE S$ OF INSIDE 7e9 OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) 6W (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 WORK6/jJIF I'll r� THE UNDERSIGNED REBY 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. '36 Y Z�' .b -i Cam" CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT �� DATE Lof 160 DETAILED REPORT FOR ENTIRE HOUSE Prepared For : Prepared By: Clark Realty R P 658 Ellington Rd R&E Heating & Cooling So Windsor , Ct 06074 Job Name: 243--084 EXPOSURE GLASS NORTH NE/NW EAST SOUTH SE/SW WEST HORZ . TOTAL ___________________________________________________________________________ AREA ; 36 , 0 ; 102 , 12 , 0 ; 103 , 0 ; 253 COOLING 483 , 0 ; 4 ,429 : 257 , 0 ; 4 ,4731 0 ; 9 ,642 HEATING ; 1 ,444 , 0 ; 4 ,092 : 481 : 0 ; 4 ,132 ; 0 ; 10 ,150 --------------------------------------------------------------------------- BELOW WALLS NORTH NE/NW EAST SOUTH SE/SW WEST GRADE TOTAL --------------------------------------------------------------------------- AREA 463 ; 0 ; 530 , 463 ; 0 ; 559 , 0 ; 2 ,015 COOLING i 320 , 01, 366 , 320 , 01, 386 : 0 ', 1 ,393 HEATING ; 1 ,311 ; 0 ; 1 ,500 ; 1 ,311 ; 0 ; 1 ,583 , 0 ; 5 ,704 --------------------------------------------------------------------------- DOORS NORTH NE/NW EAST SOUTH SE/SW WEST TOTAL --------------------------------------------------------------------------- AREA ; 21 : 0 ; 0 ; 21 ; 0 ; 42 , ; 84 COOLING 66 , 0 ; 0 ; 56 , 0 ; 132 , ; 254 HEATING ; 271 , 0 ; 0 ; 228 : 0 ; 543 , ; 1 ,042 --------------------------------------------------------------------------- FLOOR AREA COOLING HEATING 2130 ; 0 ; 0 _______________-_____________________________-_______________________w_____ CEILING AREA COOLING HEATING --------------------------------------------------------------------------- 2130 ; 2 ,006 ; 12 ,653 --------------------------------------------------------------------------- MISCELLANEOUS COOLING LOADS --------------------------- People Sensible Load 5 ,625 Latent Load 9 ,606 Lights & Appl . Load 8 ,703 Latent Safety Btuh 480 Ventilation Load 2 ,310 Duct Heat Gain 1 ,386 Infiltration Load 700 Sensible Safety Btuh 1 ,532 TOTAL SENSIBLE LOAD 33 ,551 TOTAL LATENT LOAD 10 ,086 Air Changes/Hour 0 .50 Temp . Swing Mult . 1 .00 * Total Cooling Load 43 ,637 BTUH Or 3 .64 Tons *** MISCELLANEOUS HEATING LOADS __-______-__-_-__-_______-_ Infiltration Load 9 ,521 Ventilation Load I °7 Q Duct Heat Loss 3 ,476 Safety Btuh *** Total Heating Load 60 ,995 BTUH *** SUMMARY REPORT - ______________ Prepared For : Prepared By: Clark Realty R P 658 Ellington Rd R&E Heating & Cooling So Windsor Ct 06074 Job Name: 243-084 DESIGN CONDITIONS _________________ OUTDOOR INDOOR SUMMER WINTER SUMMER WINTER Dry Bulb 88 0 78 68 Wet Bulb 75 65 Daily Range 20 Daily Swing 3 .0 Latitude 41 Elevation 1100 Safety Factor ( % ) 5 Latent Factor ( % ) 30 Room Heating Heating Cooling Cooling Name BTUH CFM BTUH CFM Living Room 3 ,781 53 3 ,593 171 Family Room 2 ,793 39 3 ,226 154 Foyer 827 12 734 35 mud room 1 ,329 19 674 32 Dining Room 2 ,584 36 2 ,607 124 Living Room 17 ,787 249 5 ,985 285 Kitchen 8 ,140 114 5 ,646 269 Bedroom 1 103004 140 3 ,977 190 Bedroom 2 3 ,005 42 2 ,407 115 Bedroom 3 2 ,241 31 2 ,065 98 Bathroom 8 ,505 119 21636 126 60 ,995 853 33 ,551 1 ,694 HEATING DELTA T 65 .0 COOLING DELTA T 19 .1 NOTE: *** Calculated Airflow is based upon load requirements . Verify that airflow calculated is compatible with selected equipment requirements . ***