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HomeMy WebLinkAbout12 Darlene Drive r� TO THE BUILDING INSPECTOR of the APPLICATION FOR OF SOUTH WI1WGM C011ft PLAN EXAMINATION A N D BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O • AT (LOCATION) /L� � �� �� ���/ ��_ DONIN CT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS ,STREET) r, (CROSS STREET)LOT ) 7 -�r 1 SUBDIVISION �� �It/� L LOT, BLOCK S Z if/E '�• S N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -♦ �v A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use � 1 New building Residential Nonresidential 2 ❑ Addition(I/ residential, enter number 12[0 One family 18 ❑ Amusement, recreational o/new housing units added, i/any, 13 Two or more family - Enter 19 Church, other religious in Part D, 13) ❑ Y ❑ number of units- - - - 20❑ Industrial 3 ❑ Alteration (See 2 above) -►14 ❑ Transient hotel, motel, 4 ❑ Repair, r placement 21 ❑ Parking garage p p or dormitory - Enter number 5 ❑ Wrecking (1/multifamily residential, of units ------- - -- 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 (r location) 17❑ Other - Specify 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores,'merconti Is 8 ❑ Privat (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29❑ Other - Specify 9 ❑ Public (F deral, State, or local government) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food 0 -� L processing plant, machine shop, laundry building at hospital, elementary 10. Cost of 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...................... nn b. Plumbing ...................... c. Heating, air conditioning......... d. Oth r( levator, etc.)............ 11. TOTAL COST OF IMPROVEMENT a?7 y2. 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 Z 30�Masonry(wall bearing) 40 � Public or private company 48• Number of stories................ 31 Wood fromZ 41 ❑ 49. Total square feet of floor area, Private (septic tank, etc.) all floors, based on exterior 32❑ Structural steel dimensions ..................... 33❑ Reinf reed concrete H. TYPE OF WATER SUPPLY 34❑ Other - Specify 42 Public or private company 50. Total land area, sq. ft. .'''''''''' . 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....................... 36 Oil c nditi Wing? L. RESIDENTIAL BUILDINGS ONLY -� 37❑ El ctricity 44❑ Y s 45[Z] No 53. Number of b dro ms. 38❑ C of ............ 39❑ Oth r- Specify Will th re be an elevator? Full.......... 54. Number f 46❑ Y s 47 6 No bathr me Portlal....... IV. IDENTIFICATION — To b compl it d by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. C, -1 �z Owner or Lessee (` 2. Contractor 3. Architect or Engineer The own r of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application dot 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Notes Plans Revi w Required Check Fee Started By Approved By BUILDING PLUMBING $ MECHANICAL $ - ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS rove I Check Date Number B Permit or A rova I Check Dote Number By Permit or A PP Obtained Y PP Obtained 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 Building Permit issu d ° ✓ 1909 Building / L1 Permit F e $ p,prov d y: ' i I E TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Jan. 26 , 19 87 Fee Paid $. . 4.6 8 .0 0 Fsst. Value $. .7.7.,.4 2 5 Pest N° 15610 on the aide of Lot #2 9 Darlene Dri tie Street Street No. 12 Owner TT f, R ('nn-q t-r 1ie-t if]n Ca.- Applicant U & R Construction Co. CERTIFICATE OF OCCUPANCY ISSUED: Date No. 7RR0 Fee Paid $ 3 .00 CLASSIFICATION Dwelling BURDj NG PE Rlufrr N`? 15 610 OFFICB OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. Sou& Windsor, Conn. Jan. 26 147 dr#io to to Tertifg, That R & R Construction Co. is hereby granted permission to Dwelling at estimated value of 17 P 4 2 5 on the side of Lot #29 Darlene Drive Street on land owned by u & R Construction Co. Said Work to be as described in Application No.15910 and to conform to specifications and plans filed with said Application, and Building Br Laws of THE TOWN OF SOUTH WINDSOR. Iss Jan. 2fi, 107 .a '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." Dwelling - Lot #29 Rbn.Hls. 1/26/87 U-, & R"Construction Co. 12 Darlene Drive Permit #15 610 Electrician Milton C. Plouff # 9558 V Heating Contr.~S. 1/-*JngA-o # (77`t Plumbing " ' 7. V..� � # '13�3 Oil Burner # Certificate of Occupancy g #7880 Sewer Permit ' Plot plan apprd. per Engr. r I i Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. I 1 r r Permit N? 7880 i r Certificate of Occupancy I t THI S TO CERT Y th t the r at No in the Zii�lding of South Windsor, Connecticut, has r ' been erected and completed in accordance wit the Code and Zoning Regulations of I the Town of South Windsor, and is hereby appr ed occupancy. r Builaing Inspector /'n ner, udd erIFee Pai Date \ 19 i r CERTIFICATE OF OCCUPANCY CHECK LIST Applicant Certificate of Occupancy Addr ss Bldg. Permit No. s-61�0 Lot No. Date Submitted Project ,/ ,cam go w �>4s Reviewed By Date As r quired in the Zoning 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 inlcude: Approved Denied N/A 1. Approved building permit plan. 2. Finish grading per approved building permit plan. s 3 . Site work; i.e. trees, shrubs, dumpster: required parking 4. Utility location a. sanitary sewer b. foundation drain C. electrical & telephone d. water e. other r/ 5 . Appropriate certification 6 . Bonding Sewer Permit No. Pavement Excav . No. COMMENTS : ��f ` GARDNER & PETERSON ASSOCIATES"''"ffe AV FM TLJNP1lQE TOLLAND, CONNECTICUT GM ►1 l5•%7'ZV E 2D A6 / SE\�Er92 dia F4 2---r 147.7 95 '�' F• .�°q L 14r7•s a-7 L w �P l F�•il � �46 A �y 147.4 _ latj.) / 4 do ,A-)A � o � 4y'4- d p X � � N .98 K,1745.100 •� �J Rs 3' ODD WV �p,RLENE �R�VE MORTGAGE SURVEY NOTICE LOT #29 - RAINBOW HILLS Reproductions of this plan are invalid if they do PREPARED FOR U & R CONSTRUCTION CO. , INC. not bear the impression seal of the undersignef TOWN OF SOUTH WINDSOR CONNECTICUT Land Surveyor and/or Professional Engineer. SCALE: 1" = 40' I hereby declare that the location of the building as shown is substantially correct and that there are no zoning violations of the same. CLASS A-2: I also hereby declare that this map and survey were prepared in accordance with the standards of a Class A-2 Survey as defined in the Code of Practice For Standards of Accuracy of Surveys and Maps, adopted December 10, 1975 as ame ed b th �onnecticut Association of Land Surveyors, Inc. DA y 9, 1987 L.S. #10839 REFERENCE: Revision to Subdivision Rainbow Hills Town of South Windsor, Conn. Gardner & Peterson Associates-Tolland) Connecticut Scale 1" = 40' Date 5-31-85 Revisions 7/30/85 8/8/85 11/29/85 8/27/86 ' PROfESS/ONAL ENGINEERS =_._,..._LAND SURVEYORS /r7/ 4 1 A" A P P R O V E D TOWN OF SOUTH WINDSOR ENGINEERING DEPARTMENT DATE: O!� � SIG.: , a1./1LL11VV rL'nl•111 `.riLL.i� L171 Applicant 40fZ/Li uilding Permit No. Address. Date Submitted 7 Lot No. L Reviewed by Project /,Z��j, j� ,c�f�� Date In accordance with the 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 : Approved Denied N/A y Name, address & phone number of owner/ applicant. 87/ vge) 2. Name, address & phone number of plan preparer. 3. Zoning information - i.e. zone, open space, floodway, etc. 4 . Plot plan at 1" = 40 ' scale. y a. Subdivision reference, abutting properties , etc. b. Easements of record. c. Lot description, bearings, distances , building lines, area, etc. d. Contours, existing & proposed, 1 or 2 ft. interval where appropriate. e. Building location with dimensions . / Elevations of proposed finish floor, (/ Id arage floor & center line of road / rivewa f. Elevations of gravity drainage systems , sanitary & foundation drain at the house and the street. g. Tentative utility location gas, electric, water, etc. h. Title block with name and address of preparer, date appropriate certification, live seal and signature. 5 . Sedimentation and erosion control. 6. Special Planning & Zoning, Inland/Wetlands P 5 g considerations . BUILDING DEPT. P ZC IWA/CC WPCA /T OTHERS v Z' �400��� l COMMENTS: 9558 ELECTRICAL APPLICATION Application No. 11067 on the side of Lot #2 9 Darlene Drive Street Street No. _ 12 Owner U & R C_on strtic-t i can Co. Electrician Mi 1 t-nn r, P 1 ntif f FILED IN OFFICE OF The Building Inspector Feb 1 1 19_&7 INSPECTION. MNo Electrical Work shall be started until a Per. mit is granted by the Building Inspector. In New Buildings 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. Electrical Permit No. .......�F .. ................ .... Master License No. ..... ... ........................ TOWN OF SOUTH WINDSOR Building Permit No. .................... BUILDING DEPARTMENTDate Filed . ................... ............ Date Final Approval .... ........ ........ . ........... APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION: Ale............................... JOB OWNER: . 1/�...?L..��... ..��'!��s -�e.`.,cc.�o.J....e, e...... Side of Between . and ................................. C H&T r&r2- Name of Building Owner ... ... .. ................. ... Address AJ............ .......... If work is for Lessee--Give name Address ........................... .... ........................ ... .. ... ............. Building now occupied as (unless new) ... .. ..... .... No. of family units now .......... Building to be occupied as .. ... ...... .... ...... ......... .... Number of family units to be .... Is this work included in a Building Permit? Permit Fee .. . - - ....... ........ .. .......................... .................. ........ ........... (If no Building Permit) Permittee j rlR-. Business Address Telephone COST OF INSTALLATION: 0'314"0.. .. ...... ........................ 'Al 6:4 .................. ..................................V,. .......I........................................................... TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed 7 Number of convenience outlets to be installed 6- Number of present Appliance Circuits ............... ........... ..... ..... 6' Number of switches to be installed Do these include Range ❑ Water Heater E] Number of appliances to be installed (as listed below) Dryer ❑ Air Conditioner F] Oil Burner ❑ TYPE RATING NO. Range . . . . . . . . Dish Washer E] Gas Burner ❑ Well Pump E] Elec. Heaters ❑ Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater Clothes Washer Clothes Dryer Dish Washer . . . . . . Air Conditioning Motor Oil Burner Motor Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan . . . Well Pump . . . . . . Electric Heat . . . . . Other PAI�5r7 t-- ' * 'Number of new Lighting Circuits ............... Number of new Appliance Circuits . . . ......'?................. Number of Heating Circuits ............ Number of Motor Circuits . . . . . . . ............—...-- Size of present service ......... .. . .................. 'A............... Size of service to be .. ..... ...... ................... ................... -7353 PLUMBING APPLICATION Apph; ram. -7 1 an au_.._�.. / side of Street No. Owner .... Z/, r Plumber Zia Filed in The Bing Inrpecoor _ 19� No person shall construct; add m or aloes my portion of the drainage system of my bmld6g (ezoept to repair 66) uncoil a Plermit is mooed by the Building Inspeoow. APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) TOWN OF SOUTH WINDSOR, CONN. �. 4,1 - - va, 11. LOCATION OF JOB NO. STREET --FLOOR APTAO. GENERAL PLUMBING 12. KIND OF INSTALLATION �L 13. SIZE OF MAIN DRAIN lr 14. NO. OF TOILETS STYLE `L-f 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS / SIZE '! 22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND 4 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOW 28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? SIGNATUR ADDRESS LICENSE NO.O2ea14 2-- ESTIMATED COST '�!)• D�'G TELEPHONE OWNER G � -ADDRESS WATER HEATER 31. TYPE 32. MANUFACTURER TANK SAFETY DEVICES 33. CAPACITY 37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE_ 38. MANUFACTURER 35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE 36. TYPE 40. MANUFACTURER ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. CD962 DATE SIGNATURE OF APPLICANT PERMIT # Application For x DEPARTMENT DECISION Co-79� d Heating Permit 3 APPLICATION IS HERESY: DEPARTMENT OF LICENSES AND INSPF"10.NS 4' ❑ APPROVED ❑ DISAPPROVED TOWN OF SOUTH WI N DSOR w O 00 DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ME BELOW O d1 A 'tE t. LOCATION OF JOB g , ee C NO. e s BEET .0 LOT NO. FLOOR AK. NO. O E :. OWNER ' cs 00 0 ° S. ADDRESS _ 4.PHONY`S�J b NO S. APPLICANT s. ADDRESS ` t. 7.PHON w 'c 40 O. LICENSE NO. 7 .3 6 S CL F. w B. EXPIRATION DATE OF LICENSE ,Z(l A?? 10. ESTIMATED COST s 4tz=:Q 1. Is THIS A CONTRACT COST/ ❑ YES be t!. FEE ENCLOSED s du 19. TYPE OF BUILDING- °' pp L.r BEBIDENTIAL ❑ COMMERCIAL O R C 3 14. TYPE F Jos: ❑ INDUSTRIAL MN ~ ALTERATIO' STALLATION ❑ ADDITION N REPAIR APPLICATION FOR HEATING PERMIT (Continued it m Reverse Sid ) 11. LOCATION OF JOB NO. STREET U/ FLO R APT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK Cl INCINERATOR ❑ MISCELLANEOUS `� f L�� r-� IDENTIFY 1�. SIZE TANK �` J / OFCTANKN OF FILL OF VENT ` 14. B.T.U. EQUIP. AT REGISTER FURNA MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO / B.T.U. OR SQ. FT. NET L B.T.U. OR SO. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW 011,01 D BUILDING INSULATED — YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING 1 LATIO AVG. SYSTEM WATER TEMP.��� B.T.U./SQ. FT./HR. EMISSION G INDOOR-OUTDOOR TEMPERATURE DIFFERENCE �, 'FAHRENHE T MAKE OF RADIATION: SEBO . OPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. - �- DESCRIPTION OF WORK 15. TO BE DONE- Ia. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS); D � a \ WINDOWS AREA — SQUARE FEET ••T•U. S.T.U. a i h DISTRIBUTION INSTALLCD ROOM BIZ[ AND DOORS VOL U.t TOTAL TOTAL T ► w[ouTER a NO. OLA>t• HILT WALL G[ILIN6 FLOOR GU.FT. AT 70'F GOnw[GT[O j r MAD. OR LRAO�w Ono" TYPIE ANO Size w OOM L W N AND K WALL t O�TK"r• O F �O. FT. FR[[ AREA o IINFILT.1 •/ ,.i f12[ ♦►� i �GcL ✓ �aa� s� o Gyro =' Go /n 00 �- �y-� �- -el l l,3 .3 o 00 5ao0 4 S 1a 8 yX3 3� o yi-3 3 U000 � 9 /a �' 3 �G o S WX� w, ?37 T TOTALS j},I:U.l.HR-- A. HEAT LOSS FROM BUILDING ------- o. womESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A 8 C) F TO 17. ELECTRICAL WORK BY: NANE ADDRESS SUBCONTRACTORS AND te. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. DATE SIGNATURE OF APPLICANT FOR OFFICE USg ONLY APPLICATION FOR HVAC PERMIT DATE: (NO. ) TOWN OF SOUTH WINDSOR EST.COST: �&Jqo— BLDG. PERMIT NO. / 1540 SULLIVAN AVENUE FEE S `_v PDX SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 $ 0 - $12000 - $10.00 $1000 or fraction LOCATION OF BUILDING f , 0oqr)eojC. ��' thereof - $10.00 A649- �� �. �r�� �,y�ti /a O�iNER ADDRES TOWN PHONE N0. ((nruTME fn cNAN3CA1., SERVICE,*,-T zcAi ©li d zxo 6�3--o?d HVAC CONTRACTOR ADDRESS TOWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL A/C _ L COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM GAS IN-PUT ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF 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) IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE�°F INSIDE 7r OF DIFFERENCE,:Zr °F TOTAL HEAT GAIN (BTUH) dZa, a 7 K (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.): IOU/A--0X 11S29— 0VA10 IAVI, TONNAGE COOLING CAPACITY (BTUH) O z�u J IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT) : TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM) (PLAN MUST ACCOMPANY APPLICATION) The undersigned hereby applies for a permit to perform the following work and is to comply with all local ordinances and State of Conn. Building Codes in the performance of such work. FURTHER DESCRIPTION OF WORK: '- A STATE LICENSE - NAME b TYPE # DATE SIGNACURE OF APPLICANT q7 � 5- ED DAT I - 8 - R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydr nice Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL.A COL.B COL.C COL.D COL.E COL.F COL.G 1 ROOM Q O H L W H L W H L W H L W H L W Design Water Temp. 2 ROOM DIMENSIONS, FT. ~ _ U BTUH Pw P of of 3 LENGTH EXPOSED WALLS,FT. ` Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA IL STUN BTUH BTUH BTUH STUN 5 WALL CONSTRUCTION ROOM LIN. FT.OF (Table 9,Line 3 x H) TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED I Bottom of table used 1 r L ins 5) 7 CEILING CONSTRUCTION C (Table 9,L x W) _ g FLOOR CONSTRUCTION11 - O (Table 9,L x W Or Lin. F t l E 9 COLD PARTITION CONSTRUCTION F (Table 9,L x HI G 10 C 1 Wall(With Openings) O c+ 2 Wells(With Openings) :j 1 3 Wells lWrlh Openings)or Ent.Hall 11 TOTAL f7TUH AT 7OF TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K _- COL.A _ '-_ COL.ill COL.H - COL.I COL_J - COL. K COL.L TOTAL BTUH TOTAL OF BUILDING RADIATION 1 ROOM I[ _ _ _ AT SELECTED O H L W H L W H L W H L W H L W DESIGN TEMP.• 2 ROOM DIMENSIONS. FT � DIFFERENCE U - 3 LENGTH EXPOSED WALLS. FT 4 WINDOW AND OUTSIDE DOOR AREA to BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION *INCREASE BATHROOM (Table 9,Line 3 x HI TOTAL 20% 6 TYPE OF GLASS (Gott m of table used for Line 51 CONSTRUCTION - tfOR CONCRETE FLOOR ON 7 CEILING CON ( GROUND OR FILL AT Table 9. L x GRADE LEVEL,USE LINEAR B FLOOR CONSTRUCTIONI FEET OF EXPOSED EDGE I T able 9.L x W or Lin Ft I 9 COLD PARTITION CONSTRUCTION ITabla 9,L x H) 10 c I Wall(With Openings) C --- -0 '; ;; —---- - ----- ---- --- ---- - ---------— — — 2 Walls lWith Openings) O x -- ------ - ---- ----- — 3 Wells(With Openings) or Ent Hall r J — - - — 11 TOTAL BTUH AT 7OF TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE - FORM 1503 This form Is available from Tne Hydronics Institute, 35 Russo Psece.Berksley Heights,N J 07922 SIN 3357 RIGHT-J SHORT FORM 4-24-95 Job #: Htg Clg For: Michael and Carol Goodwin Outside db 0 100 12 Darlene Dr. Inside db 70 75 South Windsor Ct 06074 Design TD 70 25 648-0770 Daily Range - M Inside Humid. - 50 By: Nutmeg Mechanical services inc. Grains Water - 35 132 Pine Street Manchester Ct 06040 Const. Quality a 643-2042 # of Fireplaces 0 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Model Model Efficiency / HSPF 0.0 COP/EER/SEER 0.0 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 1320 CFM Actual Cooling Fan 1320 CFM Htg Air Flow Factor 0.026 CFM/Btuh Clg Air Flow Factor 0.053 CFM/Btuh Space Thermostat Load Sensible Heat Ratio 91 ROOM NAME AREA HTG CLG HTG CLG SQ.FT. BTUH BTUH CFM CFM bedroom 192 6803 2753 177 147 bedroom 144 5439 2396 142 128 bedroom 120 5016 2323 131 124 kitchen 120 4314 3135 113 168 eating area 144 5697 2722 149 146 family area 120 5718 2831 149 151 dining area 144 6141 2904 160 155 living room 200 11482 5626 300 301 Entire House 1184 50609 24690 1320 1320 Ventilation Air 0 0 Equip. @ 1.05 RSM 25925 Latent Cooling 2353 ---------------------TOTALS 1184 1184 50609 28278 1320 1320 MANUAL J: 7th Ed. RIGHT-J: V1.73 INSPECTOR DATE 2G TIME LOCATION 1-2 : INSPECTION: � CODE: RESULT(D/A BUILDING: -------------- �v L ` 5 i ELECTRICAL: y PLUMBING: HVAC: Hlro q07 (C OTHER: