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Home My WebLink About130 Debbie Drive TO THE BUILDING INSPECTOR Of the APPLICATION FOR PLAN EXAMINATION AND � �� W�SOR, ems- PLAN PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) 3044Lt� DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LT SUBDIVISION Q2 �% t ✓`t-�r"� r l ' LOT�BLOCK SIZE N 11. 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 [e ew building Residential Nonresidential 2❑ Addition([/ residential, enter number 12 'One family 18 ❑ Amusement, recreational of new housing units added, if any, 13 Two or more family - Enter 190 Church, other religi us in Part D, 13) number of units- - - - -.)P- 3 � Alterati n (See 2 above) 20� Industrial 140 Transient hotel, motel, 21 ❑ Parking garage 47 Repair, replacement or dormitory - Enter number 5 ❑ Wrecking (1/multifamily residential, o/ units ------- - -! 22 ❑ Service station, repair garage enter number of units :n building in 15 �aroge 23 ❑ Hospital, institutional Part D, 13) 16 0 Carport 24❑ Office, bank, professional 6 f7 Moving (relocation) 17 F7 Other - Specify 25❑ Public utility 7 Foundation only 26 ❑ School, library, other educati nal B. OWNERSHIP 27 Stores, merconfile 8 [ t rivate (individual, corporation, 28 ❑ Tanks, towers n npr fit institution, etc.) 29 Other - Specify 9 ❑ Public (Federal, State, or local g v rnment) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., fo d I — processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, S4 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. El etrical...................... b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ 4 III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 E Masonry(wall bearing) 40 CZ;AA61ic or private company 48• Number of stories................ 31 Ct;j�od from] 41 ❑ Private (septic tank, etc.) 49- Total square feet of floor area, all floors, based on exterior 32 F7 Structural steel dimensions ..................... 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Oth r — Specify 42❑ Public or private company SO. Total {and area, sq. ft. ........... 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ....................... WS F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 35 7 Gas Will there be central air 52. Outdoors....................... conditi Wing? 96 ll L. RESIDENTIAL BUILDINGS ONLY 37 E1 ctricity 44 es 45❑ No 39 53. Numb r f bedr ms.............. Coal 39 Other— Specify Will there be an e1 vator? Full...P.�.... � 54. Number of 46❑ Yes 47 OL bathrooms Partial....... •IV. IDENTIFICATION — To b compl t d by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or Lessee 2. vW' . 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. Si ature of applicant Address Application dot 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R vi w Required Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Do te Date Permit or Approval Check Obtained Number By Permit or Approval Check Obtained Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit number A124VI' Bui Iding Permit issued ,�� / Ap 19 Building Permit Fe $ 4ro : 4-1-414-104 1 A 01-IN r �1 TIT�/ / i TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Oct. 1 , ig 85 Fee Paid $.3 9 0..0 0 Eat. Value $6 5,0 0 0 Permit N° 14716 on the aide of bee8b le 6 Dr i ve Street Street No. 130 Owner Jean Noel Jacques Applicant Jean Noel Jacques CERTIFICATE OF OCCUPANCY ISSUED: Date No. 7 16 2 Fee Paid $ 3.0 0 CLASSIFICATION Dwelling BUILaiNG PERMPP N�' 14716 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. g_--3— 19g 5 94is is to (font fg, That Jaccmen srcth®rs is hereby granted permission to Dwelling at estimated value of 06 R n n n on the side of t.e.- #16 nabb ics nr f ve Street on land owned by, Jean Noel Jacaues Said Work to be as described in Application ,r No. 15016 . and to conform to specifications and plans filed with said Application, and Building By Laws of THE TOWN OF SOUTH WIIVDSOR. Issued } 1985 { �:_-Buildding Inspector. Streets and sidewalks, obstructed by ezcavations 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" 1 � Dwelling - Lot #16 Mtn.Vw 1 10/l/85 Jacques Brothers 130 Debbie Drive Permit # 14716 Electrician Richard Barrett # 8988 Heating Contr. Crest Plbg. &Htg. #6287 Plumbing it Silvio Breglio #6849 Oil Burner # Certificate of Occupancy #7362 Sewer Permit Plot plan ap rd. per Engr. Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. � d, � Perm Nit ► a . I Certificate of Occupancy Z_�'TOCT thatti+�at in the can of South Windsor, Connecticut, has been erected and completed in accordance with the uilding Code and Zoning Regulations of the Town of South Windsor, and is hereby appxoved or occup cy. i �lBuilding spec tor i Owner, Builder t � 'JP 'J�� Date Fee aid 1 { REHVO E. HYYPPA 8 ASSOCIATES CIVIL ENGINEERS A LAND "VEYO'RS GLASTONBURY, CON?* DR gBIE ...... SMN ----� ;� e , _ 9 194 29p' LAJ I I 50 r CIL 1 QA ��r s 3At• I 1 17 0 _ o - , � N 2 90 294'�� i 16 w a / v O :22,936 — S.F. S c, 1 LOT l.INE.5 FROM Ir1pP O►.1 F:LE T"'L-E-•, OPEN 'OAK SP44E 5UW41' Ow A-30 Zoe SPACE 2Aa PL-Or Puaw 5ECTION ! MotfNTaMviEw 2(30 E"ATES SxRH WINC--OR,CDI-N•`8Y Rr`iwo E. Hrrrm 0 Ass m w Es 5c14.F rt40' 5-i4-85 LUp lJO.iS?.8?.ICE 5HEET 3 0=145"EEr5 Rr.v G-30-es PREPARED FOR FAa- tocA-t eo Hew►.i ►!�-14-SS N o zOW r WG V►OLATOW.5 DART HILL REALTY INC CERTIFIED 5UB5T�tTIALIY C,ORREC; SOUTH WIND5OR& CONN. SCALE : 1",,40' DATU Q-k(a S la DATE: - r SIG.. 8988 ELECTRICAL APPLICATIOR Application No. 10503 on the side of Lot #16 Debbie Drive Street Street No. 130 Owner Jacques Brothers Electrician Richard Barrett FILED IN OFFICE OF The Building Inspector Nov. 14 19 85 INSPECTION. M No 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 Are stops (if of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit No. ......F-ff-,y............ Master License No. to.q.....0Z._........... TOWN OF SOUTH WINDSOR Building Permit No. l.6101 ........................ BUILDING DEPARTMENT Date Filed ........................... APPLICATION FOR ELECTRICAL WORK Date Final Approval .................................................. Electrical Inspector JOB LQ ATION:�� Vo. . .b-60 kE.......Ir.................. j .... ........ . KOB OWN kt\\14...A ........ .... .. �5Wkk Side of Betweenl� .... I�AN.................... ............. and ....... ....... ...... .......... Name of Building Owner .....�oes.............. Address 4.0k Ifwork is for Lessee---Give name .... ...... . . ............ ............. ................ ... Address ............................................................................................ Building now occupied as (unless new) 'kML3................ .... ...... No. of family units now ............................. Building to be occupied as .... ........... ..... ...... Number of family units to be .........I...................... Is this work included in a Building Permit? Permit Fee . ........ ......... . .......................................................................................... (If no Building Permit). ... Business Address7�0k� Permittee aZ) Telephonelt= COSTOF INSTALLATION: S.CR)uk,. .. ...................................... ........................................................................................................................................ TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed . . ' .... I Number of convenience outlets to be installed Number of present Appliance Circuits ..... .......................................... Number of switches to be installed Do these include Range C3 Water Heater E] Number of appliances to be installed (as listed below) Dryer C] Air Conditioner ❑ Oil Burner C] TYPE RATING NO. . . . . . . . . Dish Washer ❑ Gas Burner ❑ Range Range Top . . . . . . Well Pump Elec. Heaters C:] Oven . . . . . . . . REMARKS: Water Heater . . Qe-� 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 . . . . . . . . Number of new Lighting Circuits . . . . ...... ._...._.....I.................... Number of new Appliance Circuits Number of Heating Circuits ................ Number of Motor Circuits . . . . . . . .. Size of present service ................ ... .....T!�'W— ................._............_...- Size of service to be . ............:2,Z)o.....11S............. 6849 PLUMBING APPLICATION No. 6620 on the ....._........ mi&of Debbie Drive Stj sty No. - 130 Owner Jacques Brothers ......_ Phnnber _ Silvio Bre g l i o Filed in Office of The Bin Inepecmr No v. 12 ig.$,L IIUBPl�L`i'lO�lr. No person shall oonstrum, add 0 or alter my portion of the drainage system of any bAfing (except to repair lealm) until a Be®it is granted by the Building Inspector. 6620 6849 ApplicationNo........................................... 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 iphere ....... ......... I R......... .................. Address ... ................................ ...................../ 6.. I...,o IV 9Z 4 side o f ...................................................................................................... Street Location Natureof Building ...... ............................ How many stories ............................................................................. Owner ................... ... .......................... Address ........ ...... .............................................. Architect ..........................................4� ......... ..... ......................... Address ...................................................................................................................... .. . ...`... . . _P'...6Bulder 4 �......... .............. 6rem ...... �.' ..................................................... ..... Plumber - . e .. . .. ...v................. Addressve l..... " ..3�. .P / 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 ... ............ .................................................................................... e. *1' A-1 A MAINDRAIN IN CELLAR, Mate *al ................... ....... Diameter .................................................................................................................. e Above or below cellar bottom .. ...... .........el....0--7L .... ....... ............................................................................................................................................................... �4 ... ........ Diameter ............. ........... SOIL PIPES, Material -, e0�000 ......................*7.. ............................................................................. ..... ... 4;.. ... ... WASTE PIPES, Material 5............................ Diameter ........1..... .... ........ ....... ........_.-z.... !A*16.r................... TRAPS, Type proposed to use is ........................................ ....... .. ....................................................................................................................................... RAINWATER LEADERS, where do they run to . .............................................................................................................................................. REFRIGERATOR WASTES, where do they run to .. ..... ........................................................................................................ ............................... TANKOVERFLOWS, where do they run to . - .... . .................................................................................................................................. FIXTURES WATER CLOSETS, How many ........................I................... Where located .... ............/............... ....................... ... Distance from trap to vertical soil-pipe ......................................... Pattern .. ........ ....................... ............ WASH TRAYS, How many ...... ..... ....... ............. Where located . ...... ....... ...... -/.........X ..SINKS, How many ............./..................................................................... 'Mere located ........... --...................I....... BUTLER'S SINKS, How many ........................................................ Where located,..................................................................................................... REFRIGERATOR SINKS; How many...................................... Where located ...... LAVATORIES,How many ....................... f. ..................................... Where located ....... ................ BATH TUBS,How many............/............I........................................ Where located .......... ....... ......... .................................... URINALS, How many ...........$........ ..... Where located .............. .................................... .....V........ 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 located . .....:1` -... . . .............................................................................................................................I................ Estimated .......eor................. ......... ......... PERMIT # 74 Application For 6688 6287 DEPARTMENT DECISION 0 Heatmg Permit 3 E APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N EXAPPROVED ❑ DISAPPROVED •� TOWN OF SOUTH WINDSOR 0 IM 11/12/85 Thmas P. D' Auria DATE CHIEF INSPECTOR O APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE MEL W 0 78 1. LOCATION OF JOB 130 Debbie Drive Q /NO. STREET O LOT NO. FLOOR APT. N . lV a7 O 2. OWNER i <. cc t~ � be 3 a. ADDRESS �l �X &//" �✓' ai > cc � •.PHONE S. APPUCANT 0i cc —Z&gn2z/(-:�-, j� o no a. ADDRESS 7.PHONE B. LICENSE N0. a O ''' B. EXPIRATION DATE OF LICENSE ��/I � �7�_ 10. ESTIMATED COST = OV N be 11. IS THIS A CONTRACT COST? YES ❑ MO .� .0 a� 12. FEE ENCLOSED :-- Permit 14 716 x W is. TYPE F BUILDING: _ ❑ O ESIDENTIAL COMMERCIAL Cd 3 14. TYPE F JOB: ❑ INDUSTRIAL ~ RIGINAL INSTALLATI N 11 ALTERATION ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued it Ion Reverse Side) 11. LOCATION OF JOB_�II <� ezd?'�l4 �� Es 64--s NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. N T B.T.U. OR SQ. FT. GROSS FI I IG RATE FLOORS TO BE HEAT D NEW 2 OLD BUILDING INSU TED - YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE /76---O °FAHRENHEIT MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. DESCRIPTION OF WORK - - //� / �t� ��S ru0 mc) A��Q�r fit/�', ts. TO BE DOME:- /Ns_S T e � / (.�(/u f/✓I at� -,Q Ic ew't-e- — 6ul 1 41-4 3 7-6-A) VCk"i/I/.44 <f oo4 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA — SQUARE FEET S.T.U. S.T.U. ¢¢ F D AND DOORS VOLUME TOTAL TOTAL N<~ DISTRIBUTION INSTALLED ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED j j 11 LL RAD. REGISTER L W N AND E TEMP. TO F TYPE AND SIZE OR LEADER SIZE < WALL tc (INFILT.) DIFF. •R m N SQ. FT. FREE AREA �QCi'1'f /2 'ecs �0 k A. HEAT LOSS FROM BUILDING I �'" B.T.U./H R. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALfjE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME 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 APPLI PAGE IL N. N.4L r-A-r otjMp NIA A T R TIONING. C A' R R I CONDI R E 2, 1 D E- llll� T I A L L C' A D E S T I M A P r y -N! JA C 0 E S C R E S P & H 14 !Jl E w N 2,_--85 MO UN TA i 0' 5 St a WINDSOR-, C T. eu t15QZ D 001D t J- me - '7 " 12 ?82I 16 A C', T itt1 0 N 9) SUMMER WX G N C D E OUTSIDE TEMP P_l-TA"ruR�-- 17)IF G 95 . �:'`�A.e �� +�«,?��,�',µy. ; . _�+. NS I DE T E M F; 0 R!E !: 75'D F. ) DAILY TEMPER A RANGE (DEG. Fa 15-45 in r )SUMME WPNIG P D—.G. F. 3.0 T,!l /2"' Fry I.J IL D i NG-1 I-V PP p S-INGLE-SDTORY F R;'ME v - I q EX-f-ER10F,! WALJ_ j, 6 INCHES' R WINDOWS: DOUBLE PANE WEATHERSTRIPPED' ,,"',"-�,"-'-.'-4-:"" 7" CASEMENT 4fA WINDOW SHAD IN' VENETIAN BLINDS OR_DkA 'ES, WOOD DOOR9 WEATHERST',DOORS: R IPPED"`AN011-V,(I FIRST FLOOR: OVER COND11-D)NIE-D SPACE INSULATION: NONE ,rl RooF7/CETl"INGS: ROCIF COLOR IS DARK' UNDER VENTED ROOF OR UNCONDTTIONED • Crr ILING -INCH lN8Vt.,ATl0Nv R = 35 • INGULATIOP I , j 4 .2. - "1�. H T* DUCT LOCATED 1,.iN 0-ND I T I OP-l-ED SPACE WITH OR WIT ()Ul 1-Vqt3,AuLAT,.l 4 * NUMBED{ K':_:.ATED AND COOLED: e. 3 P A (P14% E H F� A T I N, G -8, C '6_0 L I N_ _1-5 7_ tW Al�' NO. NAME im ARC A HEAT- LOSS Hw_ lly_ pr,SST ENT BASEM w1l NIDOWS D 2 1074 78 w - I.." -,:,, 0,.- A�_.LS 1 Y2.48 11301 4` 7- 1 FLOORS • 14 W� q(")(W,'1 CETL ING 0 -v S J 2, TOTAL 1 18 7', i Y5 C FA CToR 4! I. ------- ---- TOTALS 1 t 218 79' 50 a,7" v� STM �tl W, - tp A� `, _`. -' .... .. .. ' . - . wal ` ` �� ~� ' ' AREA - HE AT L0SS o. R0�� ME� -ITE� c ^ (S& FT) (8 TU/HR) (�' ' ^�/r/R) ** %NG' WINDOWS 48 2, 928 3, 408 ' DOORS. 0 0 0 - ' WALLS 208 650 +�2 ' FLOORS l68 0 0 ROOF/CEILING 0 0 0 INTERNAL LOAD __00 T0TAL 168 3, 578 �, �50 ` H/C -FACT OR 1 . 0477 0. Y10 TOTALS A. 3, 744 3 FAMILY '^WINDOWS 48 2, 928 3, 4 @B ]78 ' 00RS 21 � , 9/4 WALLS 256 800 �+4 FL00RS 252 0 0 ROOFr/CEILING 25�� 504 4� 8 . T07�L 52 2 6, 206 ` ~ ' H 047 TOTALS 30 orlm 4 ** FOYER WINDOWS l2 732 ' D00RS 2l 3, 59l 378 WALLS 96 300 ' FLOORS l86 0 � R00F/CEILING l66 372 3^� ` '^ SUB T0TAL 18b 4095 0 + H/C FACTOR TOTALS �� x�m »�'� ^~^�� . ' ,~,,°�� ,` "° « ��»~ry 5 ** KITCHEN � WINDOWS55 3, 355 WAL�S FL R� ROOF/ CE l L ING 0 � IN)*"ERP4AL LOAD SUB TAL H/C ' ACT0R z . v 7 TOTALS 336 7^ �9'' � ` '7�7 g~-5~' ^ ` 2quc~ " ' PAGE 3 , H R I C A R R I EAT 'A R COND ITI ONNG D E 1`4 A t E L 0 A D E S T I M A NC . PCOM NAME M AREA HEAT LOSS H T �� .?'`, =�: �y. rv� A;..,i4�. SO FT) (e.TU/HR) (Lk 6 ## LAV W I D C)W S 488 0 WALLS 128 400 L Cy 0 R ES 64 0 k0 "COF/rEl, 0 0 SUB `OTAL 64 Hf/C FACTOR 1.041 ---------- 3 I CITALS 64 9.4 I'l BATH IST CFA 0 WINDOWS 10 61 DO )RS 0 WALLS 7 2 22 5 72, 0 C I L I N 0 0 ROOF -------- --------- ------- -r()TAL 7 2' 835 513 0 R 1.047 T(JTALS 72 8 M. BEDROOM • q WT 1`4DOWS 2'4 lv464 DO')RS 0 anEw WALLS 875'" FLOOR g52 ROOF "CEIL ING 225 2 4 5 — ---------- SiUB TOTAL 252 2 H/C FACTOR 047, TOTALS 252 /S7 1 Pp 7r, p7w Ir iwm HOUSE >_ 01 W'INDOWS 2 5 l3s72 A 5, 84apt, WALLS 2t4E71 FLOORS t 5 49"'', R(,)(..'F CE I L I NG 690 W ;'N f E RNAL LOAD TOTAL Zo-548 Hi FACTOR TOTALS 2s548 519, Flog- jr 4% 41 -A H -A-k-X k Aq- -1-7`_41 -A- R, EAT f"Ji4l" 2ND A" E ) H _ -- ..- I ��,�N, T 'r A L L D 17. excl,us,, I f-cl r i- P r p r ed ri,-, JEAN "JACQUES CREST F & H LOT 1,4-' MOUNTAIN,.YJE�W i 0 1' 5 B5 SO. WINDSQR:� '(;,T.,' Date : M. , t I MDI'7'102 09@2 1612-1 �- T "r T C) 1%4 C., �A E W D E. �r 3 1 G, N C 0 N D 9m * oUTS'r DE" TEMPE RE k3 0 � A� 11 f (DES. * INSIDE '-"-,--TEMP TURE (DEG. F. ) 75 * DAILY ttHPERA_f" RE RANGE (DEG., F. ) 1.5-X'--'5 * SUMMER SWING TEMP (DEG. 2 BUILZINC7. TYPE: f_3 IN G L E-IS T C)15-i"Y' EXTERIOR WALLS: FRAMEi 6 FL:',%I'C * ZjOUBLE PANEI w;EAj -L*v::J l i�`'l rr_-:,_!.'WINDOWS:, ',. CASEMENT * S OR D,`RAPlE__,S W`INWOW VENETIAN SLINDI-d * D60'kt: * FIRST F—Lc;OR: , OVER CONDITIONIE-1) SPACE I, N P%41 E'*:'-- i 'jR)OF "E"i INGS: R C;C)F C"'()i-,,- :7 . _... 4 L ("I"I U!*,,; "y_ .j ' J.'Ji Z_," CE L.2'NG UNDER' VET�Tc, 'r N E-:UL AT I C-)N N C 1--: 0 L e"'i'l-I I--%i T UCT LOCATED IN: A' T 1 L..f 'Wl A I L,L 1. N UMS E R OF SfIACES -HEATED AND COOLED: T' C) C% A T .3 NO. R 0 CA4 L GA T N F NAME, -' 'ITEM A -H Hr.ti IL G, BEDROOM N l E. R l(-:3 0 W L L R()Cp*F rl Wcrl /00 c PAGE C A R R I E-- HEA T F)UMP AND AI R CONDI T11 ONING E S I D E I A L L 0 A D S T I M A T N(). FRO)()M NAME AREA HEAT LOSS HEAT GAIN f�` F T (BTU/HR) (BTV/j4R) 2 rw PEDR()C)M No. 2 0V WINDOWS '44 21-684 0 DOOF -104 950 WALLS F OR"L( 308 0 el CC T ROOF/ L-4 L.I NG 308 616 c C R;J::. TO TAL 308 4v250 -7.20 TX-"El nV 3 BATH/CLOSET 0 0'Ell 650 442 5 96 0 0 ING ?6 192 E'UB 96 174522 H J t. A 1.207 C)7ALL'.!- 96 19753 E I R E H"trT E i4d o0fl- e. Woo NDOWS 76 4 6360- RS 0 D WALLS 7 A-2(3 27275 1 lt!547 0 ROOF'/CEILING 6213 1, INIERNAL LOAD SUB TOTAL gv'167 F A C T C)R 1. '2-'0 7 --------- k4 TOTALS 62NEl !04" 41 JAI TO THE BUIELDING INSPECTOR of the APPLICATION FOR PLAN EXAMINATION AND SOUTH `1VI14DSOIL►M BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. ZONING O 1• AT (LOCATION) /3 o se.w I rV b 130 A C` D STR CT0- 3en LOCATION (NO.) (STREET) �Q Q OF BETWEEN 7�fi/)f�i H/I IV BUILDING I -- BUI LDING (CROSS STREET) (CROSS STREET) r_ LOT SUBDIVISION SILL LOT BLOCK —SIZE N 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking' most recent use � 1 ❑ New building 9 Residential Nonresidential 2❑ Addition(!/residential, enter number 12❑ One family 18❑ Amusement, recreational of new housing units added, if any, 13❑ Two or more family — Enter 19❑ Church, other religious in Part D, 13) number o units— — — — —► 3❑ Alteration (See 2 above) f 200 Industrial 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (If multifamily residential, of units ——————— — i E] Service :lotion, repair garage enter number o/units in building in 15 ❑ Garage 23❑ Hospital, institutional Part D, 13) 16❑ Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) 17 ther — Specify , 25❑ Public utility 7❑ Foundation only � 26❑ School, library, other educational B. OWNERSHIP t �� V tub A, 27❑ Stores, mercantile 8 [�.I�rivate (individual, corporation, /r Q 28 ❑ Tanks, towers nonprofit institution,etc.) D Ba d� �f? /� 11/�'Q 29❑ Other - Specify 9 ❑ Public(Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food 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...................... b. Plumbing ...................... c.Heating, air conditioning......... J. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $J. 0en) 111. SELECTED CHARACTERISTICS OF IfUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 D Masonry(wall bearing) 40❑ Public or private company 48• Number of stories................ 31 ❑ Wood fram4 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structuralsteel dimensions .................... 33❑ R inf rc d concrete H. TYPE OF WATER SUPPLY 34❑ Other — Specify 42 E] Publicor private company `�• 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....................... %❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ No 53. Number f bedro ms.............. 38❑ C al 3't 39❑ Other— Specify Will th re be an I vat r? 54. Number F Full,,.•,.,.,. 46❑ Yes 47❑ No bathr ms Partial........ IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. 1. Owner or Lessee �1 / 2. O t G r!�l GUI Contractor 3. Architect or Engineer The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction. S' ature f c n � Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans B Date Plans Plans Review Required Check FCe Started Y Approved BY Notes BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obtained Number By Permit or Approval Check Obtained Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Bui Iding Permit number Building � 19 Permit issued _ t T/ / Building � Permit Fee rov e YAJ } TITLE i TOWN OF SOUTH WINDSOR BUILDING PERMIT Date--M3y 9 19 86 Fee Paid $. .6 .0 0 Eat. Value $. .1.,.0 0 0 Permit Ne 15 0 5 3 on the aide of Debbie Drive Saw Street No. 130 Owner Jean Noel Jacques Applicant Poo]man Pools CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Above ground pool 9 BUILDING PERMIT M 15053 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. May 9 19 86 94is is to (fierfifv, That sk n-'la sloe', is hereby granted permission to In sets 1 2 41 x 4 9 ahow grimand flw1 at estimated value of $ on the side of 330 Debbie � Street on land owned by eAn A 001 TseQ -2s0s Said — Work to be as described in Application No. 1 S 3 S and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued HA 9 1986 I•i �' :fli — ,��uilding 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 costa and damages which it shall sustain, or be compelled to reason therefor." INSPECTION REPORT Permit #103,173 Job 1 Footing 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. REINO E. .HYYPPA ASSOCIATES CIVIL ENGINEERS A LAND SURVEYORS GL.ASTONBURY, CONIC p RtV ` AN —� — CN �9• f '' _-_ � � + 1 2,94 z9?) ` r W I C) 1 o ' O rl cv ' - n Z Z4 � 290 16 Lu a 22 9 36 S F 2q2 / � 1 LOT UmE5 FROJ A MAF .*j FtLE r-,t-EC, OPEN 1' 60ftm SPACE 5Lwvlslow A-30 Z m ?�a SPA CE yea Pt_m PLAN 5EC-Tfo►.1 I Mop p4TAoj tEw EcTATES 5CK-n H WI NL"_nR C-'*N 8Y Rtwo E. NrfPPk 4 As!j m w u 5cALE r=40 Gc,TE 3-i4-85 ti� �10.i51 8�`-!G 5ME T 3 o-145w EET5 REv (,-30"-85 PREPARED FOR ��, b_ DART HILL No ZowwG VsoLAT+oWS REALTY INCI , CERTIFIED SUBSTANTIALLY C.JRREC; SOUTH WINDSOR, CONN. SCALE '. 1"-40' PATE: alto-8� v8- 85- ICo t f0 THE S:: MN, OPT. TG+NN J )v.T:l ";7i4Y This eertlfi d that ttiis pl-n and sprctfle tin- re tru. Copies of the proposed building or alterations to be erected at ' ])-r,/")() �W Streei together v,th ar" ^- .rrts st°tr d in -ipnlrc tin nr filed .•,Ith pl i a^ grc- to co-1ply wlt,i I. —ing Starting nd A t I Ns and s rh -r 1•rs II b, Issued ry vie 1 :Jing Departm^nt during p ni,!ncy .1t this ;ppl,:ati,n and final Issuance of a 'wilding oermit. Signed rhls of , r' ;it—rt t� t'r c that ord ►; r gul iir I-i,ng sn�I be Cor Cond.n i d Th,sc Ill,-d with Building Insp ctor Cleric Date No C7 Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 130 DEBBIE DRIVE HVAC # Date: 7- 7' fS' Sprinkler# No. 22435 FINAL AP P OVALS Estimated Cost $ f b� 61* Building C COMPLETE RED BOXED AREAS Permit Fee $ /70_ Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. 11 Total Fee $ 7U TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ Th undersigned hereby applies to do work according to the following specifications: Job Location 13 a as to b I ie, 1)r(v(e, Lot No. Side of Street Zone Applicant at U1 t IDCA,J 16 S < Tel.# A?3—70 70 Addr ss .:�,S Nf1w Sn Ain &i;e, U nI m U Zip Ur 6 Lic.# 5`1 1 V q S` Owner n i G h a r-j kjt E J:S Address 130 tJdo bff, De(V i. Architect Address Sq. Ft.New Area: 1st A. 2nd A. 3rd A. Total New Area #Rooms # Lavatories #Bathrooms #Garages Purpose of this permit: keymue. l Q A e(w �Jihyl 'stdl City Water 0 Well 0 Septic System ❑ Sewer S Use Group Construction Type N A Area / Bas7-vqr t Garage Approved by Date Revised 6/95 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 alteration 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 yar es and required distances from all other zones and is located in a zone in which thi building and its u i allow rtSigned .. -- I hereby apply for a Certificate of Occupancy for the work described in this application for the permit Signed t ;led le -- DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 130 DEBBIE DRIVE HVAC # 23274 Sprinkler# No. FINAL APPR S Estimated Cost $ 04 .— Building '6 COMPLETE RED BOXED AREAS Permit Fee $ Enginee ' g TYPE OR PRINT ONLY Occupancy Fee $ Affid SIGN ON REVERSE SIDE Appr.for CO. [: Total Fee $ �-o TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ Th and rsigned hereby applies to do work according to the following specifications: Job Location DP It e, D,r'. Lot No. Side of Street Sa. Zone Applicant .y lu ,�s f, `�- Tel. # 'J�'` -��-- Addr ss d�� . ��-.�� Zip '? Lic. # � � Own r j f 16 z 1lq A Address Archit ct Address Sq. Ft.New Area: 1st A. 2nd FI. 3rd FI. Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit: AvAdW J K `L_44 ,4_s g e i9 ca , City Water V Well ❑ Septic System ❑ Sewer Use Group Construction Type / Base nt Garage Approved by Date Reveal 6/95 MINPIT 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 alteration 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 a zone in which this building and its use is allowed. Signed _._. 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 111SPeC LlUll / APJJ1'UVdl UdLe lay Ajljjl Code Description Due Whom , Code Comment ------------------------------------------------------------------------------- 96-23274-B 11900 B01 FOOTING 06/13/96 JFF A B10 FINAL 06/24/96 JFH A APPROVED FOR CLOSEOUT REINO E. HYYPPA ASSOCIATES CIVIL ENWNEERS 0 LAND "VEYOft GLASTONBURY, CONM • � lei D "• �• '• _ SMN �EBB►E saw•, • . �,��:_:...�.� ;� _ ► R'Sr->a O• -3p' O 4 6s y �• , `l - N 4.00 ' ,��pa'4 0( l 1 f 1 R C,C.E � t Ole it ` ; 1 294 r LLJ V 5� 8 Ltlb 60 lb NE u. �e-4'j '•�'t� ,� i' (n 1 3 .10 if op �Z•_ . �? Odo, �N 10 f�q• 16 W CL - REA z22,9,36 o 2q2 '-F. 7�94, S Z 43• 27.. .E LOT LIMES, FROM WAF -Oj FtLE 77,t_E' OPEN 2� 1 *09E►+SPA4E 5LyWVls 0%: A-30 zom zqa SPA C ;•. PLOT PLAw4 SECSfOW l Nl0u4TAJW tEw ESTATES 5OMH Rttwo E. N-naFxa!A5s m iAT ES 5CALF R `.µ i"=40' Dt•TE:3-14-$5 MAP NO 5HEET 3 C-145w E.ETS Rev `-30-SS a Fcpm Loc.►zEo+4� Now+-� b-�o-�� • �i !INo ZoN1►.tG V►e�TroNSDART -HILL REALTYINC CERTIFIED SU15:51 LNTIAL0 CJRRECi SOUTH WINDSOR, COON. SCALE. 1"-40' PATE- JUN 1 2 1996 South Windsor BUILDING DEPARTMENT CERTIFICATION OF ZONING COMPLIANCE Proposed building(s), use(s) and/or structure(s) as shown on this plan appear(s) to be in conformance with current South Windsor regulations. Variances and special exceptions may apply. Date ✓ 6,4 r�Y. Zoning Enforcement Officer This certlfi-d :',it Inis plan and speaifleritiones pre l(w Topies of the proposed building or alterations tp br erected at St►en" together with amendments stuted in application on-' filed with plan and I agree to comply with all zonin`. Building and state laws and such orders as shall be issued by the Building Department during pendencv of this application and final issuance of a build) permit, Sign Thi pia is 'pp ed s lect to the condition at ord rs nd ordinances regulating building shall be complied with. Conditionally ApprovMd These filed with poildina Inspectgg clerk Pun [ro: 7 ,8ectric# I o APPLICATION FOR BUILDING PERMIT Plumbing# 130 Debbie Drive HVAC # Date: 1�-� -vJ 2 7 4 71 Sprinkler# No. FINAL APPROVALS Estimated Cost ' Building �-�� COMPLETE RED BOXED AREAS Permit Fee $ Engineering TYPE OR PRINT ONLY Occupancy Fee 'yo Affidavit SIGNON REVERSE SIDE Appr.for CO. Total Fee $ 8 3 0 O TO WLI)t% [)ITM M M,TOWN OF SOUTH WWSOP,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location (' Lot No. Side of Street Zone Applicant mac- Tel# Addr ss 3 z� e- 'I)t - Zip o -4 Lic.# Own Address Architect Address Sq.Ft.N w Area: 1st FI. 2nd FI. ((P-y 3rd Fl. Total New Area #Rooms I #Lavatories #Bathrooms #Garages Purpose of this permit: All—zy\oyx m.)o City Water 0 Well ❑ Septic System ❑ Sewer ❑ Ins. H.O.. S.P. Cert. Area Basement Garage Approved by C 411==== Dat 1/-64y= Use Group Construction Type SA Revsed 1197 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Tam of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which thi 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 -•�� I hereby apply for a Certificate of Occupancy for work described in this application for the permit. Signed -� DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-27471-B 6,000 B03 FRAMING (ROUGH) 11/28/00 CJD A W/OWNER E03 ROUGH 11/28/00 CJD A W/OWNER-CHECK LIGHT IN CLOSET H03 ROUGH 11/28/00 CJD A W/OWNER B04 INSULATION 12/11/00 CJD A W/OWNER B10 FINAL 02/09/01 CJD A W/OWNER B10 FINAL 02/09/01 CJD A CLOSED OUT. **-17034-E 100 **-10944-H 50 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# TOWN OF SOUTH WINDSOR Application is hereby: BUILDING DEPARTMENT /7 D Y APPROVED 1540 SULLIVAN AVENUE 4Buil 644-2511 ext. 230 Bldg.Permit# 1-�-va _ ��y 7( Date Lpeaor Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT PHONE# �Q 3 O%4 N S F OWNER . ., OWNER ADDRESS OWNER PHONE C ESTIMATED COST$ l0 U - U U IS THIS A CONTRACT COST? 13 Yes �No FEE ENCLOSED$ o 0 OR,COS TYPE OF JOB: S 0 Original Installation IAlteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION?AYES ❑ NO ❑BUSINESS CURRENT USE AND OCCUPANCY � ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY Spy w` ❑ EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME PHONE ❑FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD ljo 1,�-e SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS r— NUMBER OF PANELS 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 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. 145 O"j^CY— CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT 7 c DATE �� C,¢ DEPARTMENT DECISION APPLICATION' FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: La BUILDING DEPARTMENT fty APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 ate Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT "C'-e.(� ,� Gp eo r L i APPLICANT ADDRESS 3 y e � (' _ S_ (,J'�• �c� i APPLICANT PHONE# C Ci 3 N S OWNER Off_ 1ER ADDRESS r i ; OWNER PHONE C F ESTIMATED COST$ �-o (j J IS THIS A CONTRACT COST? 0 Yes I,LNo �J FEE ENCLOSED$_1� 1 O�� TYPE OF JOB: OR C• 0 Original Installation PLAlteration/Additicn/Repair Revised 8/99 APPLICATION FOR HVAC PERMIT (Continued from reverse side TYPE OF SYSTEM: TYPE OF BUILDING: ,HEATING -RESIDENTIAL .Q�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.) A-C�..� k.p 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 INS DE OF DIFFERENCE _ OF 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 e /4b&-C . 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. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT L DATE l r -(�