Loading...
HomeMy WebLinkAbout116 Country View Drive 3� 3 TO THE 1JUIOLDING INSPECTOR of dhe APPLICATION FOR ro" OF SOUTH WINDSOR,CXkME PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX. O r a f I r ZONING I• AT (LOCATION) I DISTRICT LOCATION (NO.) (STitE Q OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) SUBDIVISION &2�LOT�BLOCK LOT-SIZ S N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D —4 A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking"most recent use r" 1 New building Residential Nonresidential 27 Addition(It residential, enter number (� 12® One family 18❑ Amusement, recreational bad of new housing units added, if any, in Part D, 13) 13❑ Two or more family - Enter 19❑ Church, other religious number of units- - - - -► 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 4❑ Repair, replacement ❑ Transient hotel, motel, 21 E] Pocking garage P P or dormitory - Enter number 22❑ Service station, repair garage 5❑ Wrecking (1f multifamily residential, of units ------- --lo- enter number of units in building in 15 5j� Garage 23❑ Hospital, institutional Part D, 13) 16 Carport 240 Office, bank, professional 6❑ Moving (relocation) 25 Public utility 17❑ Other - Specify ❑ Y 7❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile C 8 V Privat (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29❑ Other - Specify 9 ❑ Public(Federal, State, or �J local government) 'r , C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings,e.g.,food Jp processing plant, machine shop, laundry building at hospital,elementary 10. C st 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 /y 30❑Masonry(wall bearing) 40® Public or private company 48• Number of stories................ 31 � Wood frame 41 ❑ Private (septic tank,etc.) �• Total square feet of floor area, all floors, based on exterior �� 32❑ Structural steel dimensions .................... / 33❑ R inforced concrete H. TYPE OF WATER SUPPLY 34❑ Oth r - Specify 42 Public or private company �• Total land area, sq.ft. ........... G 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors........................ 96® Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ El ctricity 44❑ Yes 45 0�j N 53. Number f b Brooms.............. 38❑ Coal 39❑ Oth r- Specify WIII there b an el vat r? 54. Number f Full.......... 46❑ Yes 47® No bathrooms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To b complet d by all applicants Name Mailing addr ss — Number, street, city, and State ZIP code T I. No. Owner or 44 4C &*W Lessee Contractor 3. Architect or Engineer Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signatur of applica t Address A lion ate ` 1Z "9�.Q,EEti�<C 'S�lam! ;/zS 83 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R view Re uired Check Plan Review Date Plans B Date Plans By Notes 9 Fee Started Y Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval I Check Date Number B Permit or Approval I Check Date Number By pp Obtained y pp Obta fined 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 Permit numb r 13214 Bui(ding P rmit issued _May 18 19 R3 Building P rmit Fe $ 312.00 Aprov d y: C I 400,�. cizi TITLE [j U NOTESVill. ZONING PLAN EXAMINERS SIDE YARD SIDE YARD t IX. SITE OR •T PLAN For Applicant .. 01 0.wow■w ■ww ..iww. ■A..l.t�wt.,t,,�.......ww�.,.U.. ..... .....w.�:w..ww�w.wswg ww■w w■w■.■ ■�,■.�w �:.ww w Naww w �i ■ 4■.■ •. Ash • •*..i/ mes mara•e.iwasrae�; eai: e: ::'e;:NN:::::i:s::::�Na::: :sirrgiia•aau:r:N'•'�i r-ir ii Fir ii =4• .S r iM� Barr''■ ir�ia ''• i a`•iws� mam �ei+ia;�„z' 5,,;� a �7iia •sa ar.rrar■ iaa.o rr a+:.:,IN DOMINION u ■ea:R ran. OUR r 'i"'�r • • ■• Qase. -was � a� :Ssr "=I.:o *■aua.�:ra•gr�i ra:a■rrm.m=u.rmaaasr .at �i �,i M *w R �i r I� ■ ay�i *paa ■� i ■• MR•r aaR/M � .■■��a•rr•.N::N:emf*�R�/rN �}):•r:�■■ R/::1f1 ar���:�•■ /f ■ ; ■ • fa ! Nf a '� NN MR•s ■/ '■;..;� •■■ ■PopN 11�■rA.� In •.■ �'■�M#;�Nr•�a.*N��i•:��r■�. a' r ■R ■ MR a ■ as ■amim ■ we ■■ o ;r M■r ;r*; u ■ ii:::iilrm;�ar•N; ear ri :: e:i:a •::::a is i r * si::.e1ita • : r:: ::u i . • ■ u ■ r ar as :�ri'• • aiNs '_::Ili• sr �iinii'=j■ i S I� �i; t . ■ as•�iria srn R : m amm r ■ am ■ :: � u� e� ■;� i ii:r �� •':rue• a • ���■r:: : R � as ss ■ u ■ aa. •.au r r r m� ,. :a:.11 a as i ••ur��i W.H : rIs IBM tar sale a m ■ •r :aa a■R am.of a s • aaNw : ar Rr11;saa a .� N ■ •� • a. u r. ru s * uu ■, ■a era a a }� r� tM ■.■ ■faaa• N •p•. ■ a ••m • LIrallo out 0.Rai RSA:: +rsw is ar '�•• ' ' a• s r.ia� ■aa • re ■� ■ • reu r r m ■ • ■ as•e .m . r ■r ■ rwr�+� wr ■ i ■ a ::: ��5 '�'- � �ia` ■ r '� ■ ease u` eu ■r • • ea a■a u •.r ■ oa • .asu u00 as . r sa ■a■aa • e rm•su a ■r.ra a : sue ras • u ua • ■ a io s a •rrase a am• a a• ua:.R is u: raa / r • • ■ a�.a •,+�.�N a •Rll6WORMS ra•■.N �a■/Ran • ■ et . • m�•u=t�r•a • ■aarNr�. • ast�s a s11:5110 a■rrr / / IN: i r • R i ■ ua• r .ms. as ■ r ..o■ .aamru eras •a • a .e_ a e; r : .srr� ■'s:i i ■0::0asNiui ran ■• a s •r a• a a aaare •■ so • e ii• s�tN:: a+�.as so: SO ���0 ■ is as •�ma •�liiso: a sasses aas a:/ a ■sa • ■ aa■ ■!r ate■•au Rm:N Ms�a ■ • m /a * • ;:::i■as ::s ;■a=mr■au=ar■t�r■:r■:ts s aa; •�■■• s is rrs a■�. a a ■ i. arau.�mango r.■rri�r wii as air ' ■■ • rs .a r.■.a.0 ae •s .rrarrmur ■area • o■ a a a rssa. go so u ■�ta•�t�ema..; � ::i ::aiia;'Hoo s�"�'$�"� '�.'• • • • ■as/ sa=i•rtt=s sans a N= : r R: ■ � pad u■.. •ras ■■u • ■ ar o ■•ua ■r■ •ara•aaaa :: sr u rrrauwgm :amongsoma as Nr 'r/ •sRaera■ii; --_:a�'t�R: "UH: :�i;R■a='Rr�sasR■�=s+��� ra •_ �: r :�� s Re r.•■rmraer mar rr.. rar.■a■ wwwam • tuts■ ra.s.a•m.a.a ■aa■orre.ua■w m.ra. a ■■■ area. iarrr'means ■ra'60:1111 9"�■;sosemur t i� • '.r.e f:rr. .:a.:: ':=N.N:"..�1e4i=i'�ea� �:R-�tt N ■ • � • • mm' a • :Nee ;pea ■r% :::N�R#1� N�.R.■•%1eq r a - ■ r a �:issi��Tiiii_m:u:::N:•w'r- moo:::ooI r :A ■ _ •a • :: •s= .:ass '�rIN i.. ta;... :sN�s ••�iQi a _ iN�i ii N se"�_ia ■ ' :* aaNi:On Bra _ i meal i • • wy a•irR••u�i'•aras■aMe raa� a.•s as •a a r sa ar ■ :a. aai :N.a::si :" Nsals. .. s 3 s s : s sN .' s.'. s:=1 lessu;s11111 �s:�sIsI Winsss1.,d s�� =r a a i s : I st m;i■i = iyyyps 'sZl:Nigi'am:: ii Sr as i=r�a�i'.•i:ome 0 '1riON �'sN: s's/ ■ ar:ai i:■ N r.■; as M_ � r ;N7�fNat .r:s a.r.mr • Na ! _i i ■ Zr =a ra: a:==iir�:ia*a#:::::i::i;.: =fit=a i■' =�r�R•r!'tri'Us t�iN= r r�:�r N 'ri6't � �r �s =� �sH 'g='ss�.: i =' S. ::::..a.'. s`s= :Sa =;::s:a » :. . •s :: :a. a .a. , .: sN .: s e eomoomm ;_ . ss: :1::=as= s: sss$:az::=::::N:as'�.R a NsNasN::Ng�: .Was"Is. �_� F s ': � � �'�9�'�s I."SjriR_ =;e;i e'Se=:= �__11m:::i�:Ni::::::::::::a:::::: ::e: ::::e;i;i::anou�si:es ales 111112V ii�"ar�a i�Ri : �"�■'a■ ' =r =_ ::�i=r+�s■a ;fit : :=a sir ■ ; S_i_i�:_s1si:=•isir�;n::_:oml:: :_=�=s::::::Z:::i::::::►:::;::::::_:_......_: ::_::::::=:G•�s ;asN$:::_:l�e:s:iis. s I�'u'a�isiia� �i-`s��ia:as���_,�: ;/ma: �_ :iN:� ::aN� i';:::=5=:::N:::::::::NN::'::N:N:::::_: :::_':assNUffi S=i :�;": a �i�:u:f:i m: Its: itestt■:: a sinaoN:NS 06 :Ni :ma�::...: _: ==:r=/r;as;rss■arssraam■.sam.■set■:■aai.•R■■.sr=■..•/a:■ri�g �iss/•;.;a:•is�i:= a;. a@nuiv.; :igi.s .a.:../:�.�i:: • irZ s ... ran■■ ear !• ■■ • •.■■rrmm■■maa■■am■■r■r■■■■■a■aa■at■■ ■■ara.aa■I anu rant` • rasrara sa�■�a ■■o■ erns memo mom ■tR•a.■ ■■ ■aa ii� ii==:g'=:i:=:i::'= r . . �' :::i.= ew.:rwas /:;5::a .' 401 DamonlIsa=:::::: Mae::mem=:=::::_::::::::::::::::::::::::::::::::::e::::a::::::: :_:::::: :::::'::::a :M=::=::G ::smssels::i: ::5::=.Sia :i: Ni=ia■se = area In :===:"is= ':='r��::"_ _:' ==:i::: '::..:::.::::::.::'::::::_:::::::is:ii::=::::i'::::::;i:i::: is '::Ni'i:at�'i:::RSAhg /�=e a:i rma Qellifs � : : : ■:: Steps/ R= ■y=' :::.:::_■■ : :..::l:.•::::a::::: :l:• :e:.;:::::.:::::::::a:ss::::::::::::::::::::::::r�:::: sl:■iss;:::s:::aN:::s�■esre..r::.,ss� . _ sus== e:== =:s�=Es:== =: = sss:=:"c'sE ea=� z := i s�=s:=:s :e°ems=:::1010 Iss a ■I��^° sa ssMe : ` ;s.■i .. �� � 's's�:.a.=ai■r.a::.ar::seam===■as=:•mmaa.as=:.fia:raam.:.■amm■■R■ueraa.•■agar■aa■:ar:m■r:■ass::.iiiRa■a::earaiTsi:�i=�iii� asiNNG�i��ema:RiiiRa srraae =s =:==__ == sasi ='s== ee : = ''s=Ees =: =_ =='s=�:�as�=s;�;:ses�==3=: .' s� sris :� as OQ:egsas ;:e s•u!:l=a=:: ...:•:.■m::mre.:sRaaassmmr.■■m:l.seen:■amsuse a■ .mam::■ma■a■m.a■:man:::as.iiis Sau:=a=:�=l:.aN . : �Niown iii ■ae:rai:ii.i+ma�■.s:: onto':s= ='s�:: s:eii=e:===e: :=a :: 'sz='s ::3'sss 's:= sE'se=z � �==��e :Es ==o::'s� 'sm �= :==sg" :=: ;:=sesss�e =ss .a• ma■:■:•a:::am■a.:■ma:■■aas■:=.maaa..ea�iasm■.era:.a■r■am.■m■m■aRmmm■aa■mm■■a.■■■err.:■■.a::mai=raarwimamiN: ii=s.rIs : .aNii•S.�u=■■�.a=:slit=■a■aa ::=:s:9::s:::;s=;:::: :s:;::s::: l ;:3=:l::g=i;:se::g:=:::e:c�:: l:=:s=:ass::�::a::�ss:�:ss�;::a:� TOWN OF SOUTH WINDSOR BUILDING PERMTT Date May 18 , 19 83. Fee Paid $. .312.00 Est. Value $.5 2 t 000 Permit N° 13 214 on the side of Lot #19 Country View Dr,Street Street No. 116 Owner T & M R-u i_Ld 113 Q C..n Applicant Roy i i t-c h f i a],el CERTIFICATE OF OCCUPANCY ISSUED: Date No. 6347 Fee Paid $ L 00 CLASSIFICATION Dwelling BUII M PBRNIIT I oMcE Cr N° 13214 I THE BUILDING INSPECTOR Of Ae Town of South Windsor, Conn. South Windsor, Conn. May 18 fig 94is is tit Certify, That T & M Rl,i 1 tj inQ is hereby granted permission to Dwelling at estimated value o$ on the side of- Lot #19 Country View Drive Street on land owned by T & M Building Co. Said _ Work to be as described in Applicatioa No. 13 5 14 and to conform to specifications and plans filed with said Application, and Building By. Laws of THE TOWN OF SOUTH WINDSOR. Issued May 18. Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barer during"the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall p1m 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, t wn or borough all costs and damages which it shall sustain, or be compelled to reason therefoc." - - Lot19 Cty.Vw.1 5/18/83 Dwelling T .& 14 Building CO,, 116 Country View Drive permit ## 13214 Electrician Milton Plouff # 7970 � H ating Contr. Norman Lutzen # 5718 It Norman Lutzen # 6166 Plumbing # Oil Burner # 6347 Certificate of occupancEn r• Plot plans apprd• perg Permit NB. J; TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. I 4 Permit M 6347 ► I Certificate of Occupancy THIS TO CERTI Y that the I at No. the of South Windsor, Connecticut, has been erected and completed, n accordance with xiitl .g Code and Zoning Regulations bf the Town of South Windsor, and is hereby appro d f_' ccupan �_ Building Inspector I I gwner, Builder n 19 Fee Paid ✓ Date 7 AA T 'OPEN SPACE Cr i N 07'-27 -29 E LOT 18 N 180.00 0 ..ram. " ' +r • , 0 �• 0 , t W 0 i N / ---- t �- a r J330 50 — now bldg. un• t LOT AREA "` " 199665.9 S.F 9 �0 0 , � 3 .2 � __.. � 28 � ~' 55.00 • • Y YY- 'Yi/ •Y • iY ViI •lei � 1 REFE6ENCE: ' AS BUILT Plot PIan,Country View Dr. LOT Country View Estates, Phase One Property Of T8M Building Co. CQuntryView EstatesSouth Windsor, Conn, Nov., 1980 Rev. 3 2s—eI Itt=ao' South Windsor, Conn. Certified Class A 2 By A. R. Lombardi Associates, Inc. PROPERTY OF TaM BUILDING CO. I HEREB JULY S, 198� SCALE: I"•40' T/f THIS MAP ;5F TI ALL C RRECT. r— Hobert T. Dayton, Conn. L.6. 8157 A P P R O V E D TOWN OF S'MJTa WINDSOR ENGINEERING D-ZPARTMENT DATE: S �45�3 7970 ELECTRICAL APPLICATION Application No. 9081 on the side of Lot #19 Co 1untry View EStmet Street No. 116 Owner T & M Building CO. Electrician Milton P1 O f f FILED IN OFFICE OF The Building Inspector June 9 19 83 INSPECTION. m No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. ` In New Bulldings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. .. ... �..l�l.................. Permit No. . , .%�1...... ....... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. . 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, coTp!iid with whether specified herein or not. South Windsor, Conn., �V��'rtr /�s 19 _3 Sign heref / c . - .............. Address � �}�G . ......... D:........_.... _ / 06(�✓s � �1� Side of .. . C� Location .. ...( .( ......... ............ .......... ............................... Nature of Building How many stories .....1..� � .. . ..... ......................................... ................ /� New or old Building /"£Lc�. ... . . ....... How many families .....4 .L...................................................... ............ Kind of Installation How many Stores .................................................................................................... Owner ¢/�'� C!/G��iJlr C,d. _........... . Addressd/� �P.. .....l..U. ..........._...._..........._....................... .. .. .. ... ............... Architect Address . . .. .......... ... .. .................................................. �..__._.._....._._.... Builder �! ��l iL 106- 4, Address � �� .._...._.....__......... Electrician f� l t�Dti1..C... D6�����P�. .. .. Address F�"v�. .. �j�✓'��t..LL��,��........ Size of Main Wires ..K 3. �'.�, No. of Light Loops . ... . .... No. of Heat Loops ...., No. of Power Loops ......................... No. of Light Outlets . . l. No. of Heat Outlets . . .� � No. of Power Outlets ............. .. ........... NoP of Light Circuits ...... No. of Heat Circuits . a� No. of Power Circuits .. i 4 No. of Sockets K'C. No. of Heat Receptacles No. of Motors ............. .. . . .. ........ No. of Panels .................ate .. Size of Heat Circuit ! No. of Power Receptacles 7 No. of Switches . .3- 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 ....�/U.!'�t t �fPLt ' .. �,'"" �D�/ . ........ ............... � ' /C. ........ it�..... /G... ..... ?� ...... .. ............ .................... .................................................................... ............... ... ..... . ..... . .............................................................................................................. ................................................................................................................................................. Estimated Cost . I PLUMBING APPUCATION gpp6a96 R Na 6945 on the_._......_. adc of Lot #19 Country Vw. Dr. S- p- sunt No. 116 Omer T & M Building pig ^ Norman Lutzen Filed in O$ioe of The Bml&og Jun= 2 Q 19$3- non ocr n No pmm dull coasI a f- add 0 or aloes ay portion of the dmiaW qm m of any bola (cwgn to repair 66) nod a Pensk is graaoed by dw BWWingbWmw. Application No. ............... Permit No. .................. TO THE BUILDING INSPECTOR 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 %3 Sign here .7-4 "0................ . ...... .. ......................... Address .... ............... t.... 5. ........... ............. Location - 4-04......Lc7...... ............................................................ side of ............................................................................................... Street Nature of Building ................ .......... How many stories ........ Owner ............. J7 ........ Address e).........:�- .(..... Architect ........ .. . / .. .................... .................... Address ....... ................/.............../........................................... / �.. .. ........ Builder ........................ .. .... .. ...................... .................... Address ........................... ............................................................. .......... .0, 74 Plumber ....A-)e�. .. .......... ........ Address ............. - ........ 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 C--' Diameter ..�............................................................................................ ...... Aboveor below cellar bottom .......... ... . ....... . ...................................................... ....... ....... SOIL PIPES, Material ........ Diameter WASTE PIPES, Material t5.7 .. ... ....... . Diameter .................................. TRAPSyType proposed to use is .. . ... ....... ....... ................................................................................................................ RAINWATER LEADERS, where do they run to . . . ..... .. ................I................................................................................................... REFRIGERATOR WASTES, where do they run to . -............................................................................. ........ ............................... TANKOVERFLOWS, where do they run to .... . .................................................................................................................. FIXTURES WATER CLOSETS, How many . .... .................'Z . ..... Where located .. ................................................................................... Distance from trap to vertical soil pipe .................. Pattern .. ........................................................... WASH TRAYS, How many .. ............................/................ Where located . .. ................................................................................ SINKS, How many ... .. ......... ....................... ........ Where located ............................................. .........................6............ BUTLER'S SINKS, How many ..................6..................................... Where located. ......................6.......................................................................... REFRIGERATOR SINKS, How many.. ................................... Where located ...................................................6.............................................. LAVATORIES, How many ..................................... Where located ............6...................6.............................................6.6...........6...... BATHTUBS,How many....................................................................... Where located ...................6................................................................................ URINALS, How many .......... ............ ..............!77-:7:......................... Where located ..........................................................................6....................... Are water closets and urinals to be local vented If not, is there a window in outer wall of room where same are to be 1�%ed e- . . ...................................................................................................................6............... Estimated Cost ... ......................... �y PERMIT # Application For 6818 5718 DEPARTMENT DECISION Heating Permit rA O 3 E APPLICATION IS HEREBY: O DEPARTMENT OF LICENSES AND INSPECTIONS N +' XX APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR a Cd .� 1.4 c a 8/26/83 Thomas P. D'Auria 00 O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BEL W O V2 0 C 1. LOCATION OF JOB o 116 a caw �`/r Cd p NO. STRECT � 0 Cd ,(I) LOT NO. FLOOR APT. NO. O lV 79 CD O a. OWNER Cd l l� � O S. ADDRESS a f — a 4.PHONE > ar� IB s. APPLICANT 6. ADDRESS. ��Y �� 7.PHONE S. LICENSE NO. D Z +J B. EXPIRATION DATE OF LICENSE O w ! to. ESTIMATED COST f ,Cl-v � Cv7 11. IS THIS A CONTRACT COST? ES 0 No bo 12. FEE ENCLOS :- Permit 13 214 ai is. TYPE BUILDING: bo R[f10[MT ❑ COMMERCIAL O C 14. TYPE OF OB: ❑ INDUSTRIAL � � 3 ORIGINAL ❑ ALTERATION INSTALLATION ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued it m R verse side) � n 11. LOCATION OF JOB ��vwf v NO. STREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION; _,OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE i- LOCATION SIZE SIZE 13. OF TANK C/ �' OF TANK ✓/ -C OF FILL .� OF VENT / 14. B.T.U. EQUIP. AT REGISTER—FURNACE MAKE AND NO. tcoAT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. —3 B.T.U. OR SQ. FT. NET R B.T.U. OR SO. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING �e ti INSULATED — YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. IV-0 B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE G ---- k(, °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER 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: 3 C 16. HEAT LOSS SCHEDULE. (TO BE INCL DED FOR ALL JOBS): ROOM SIZE wINDowS AREA - SQUARE FEET e.T.U. e.T.U. I-D AND DOORS VOLUME TOTAL TOTAL N< DISTRIBUTION INSTALLED NO. F' GROSS D 4 ROOM GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J RAD. REGISTER < L W N AND E TEMP. TO F F TYPE AND SIZE OR LEADER SIZE < WALL t0 (INFILT.) DIFF. •F O m N SO' FT' FREE AREA 75< TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY; ` vt�k /4,, NAME ADDRESS SUBCONTRACTORS AND 18. 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. .23 0 �� DATE SIGNATURE OF AP&MANT ARGO CALCULATION SHEET OWNER 7-9t' bn ADDRESS DATE 7_ DEALER Or MA AJ � v�LC� KIND .OF BUILDING _CHIMNEY SIZE I( CONSTRUCTION: WALL �� K WINDOWS r r k" ROOF OR CEILING 13/K BASEMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF COL.1 2 3 4 5 6 7 1 8 1 9 1 10 11 12 13 14 15 16 17 18 ROOM SIZE WINDOWS AREA•SO. FT. FLOOR VOLUME BASEBOARDS AND DOORS TOTAL (S[[NOT[) CU.FT. TOTAL CORRECT[O ACCESSORIES GLASS NET WALL CEILING AT 70 F WATER LENGTH ROOM NUMBER GROSS . O/1 To TEMP. T1:M/ ear. L W H OM AREA WALL G l 8 DIFF. 80 ENCLOSURE FIN Size ,r F TUBE L R S I.0 MISC. • �i 0 • O 7 • O� TEMP DIFF. FT. 6 r 18 1q , aAbo 0 00 /3 00 / 10o 4,�00 0 13 Alto 36 A /Soo /00 it 00 I50o 5100 5930 >/ a �72 o 10 --oo y o 500 00 / 800 Z060 L 00 0 1 o00 0 0 oo 0 9 168v /U u 0 y io 880 0o D 5o n o 70 D © � o 00 37 � / /0 //0 gg0 11 /0 8 1060 300 goo Y00 Too o?g00 3310 6 J.A V — 't LKvau 9 ` 8 .300 300 a0 0 0 /;? 00 1370 Y NOTE: FOR CONCRETE FLOOR ON GR UND OR FILL AT GRAD[LEVEL,US[LINEAR FEET OF EXPOSED[DOE. TOTALS ya 90 F R ALL OTHER FLOORS USE SQUARE FEET OF AREA. (p