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HomeMy WebLinkAbout101 Clearview Drive J 0 THE IRU"ING INSPEMR iI3 of the APPLICATION FOR J T10 OF SOUTH WIPM50k COW PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O I• ZONING AT (LOCATION) "�r�- ���� u�� V� DISTRICT LOCATION 0.) (STREET) OF BETWEEN ~L � AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION 40M.V LOCK SIZE 33 �•� 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 T 1 New building Resid tial Nonresidential 2 Addition(1 residential, enter number ❑ f 12 One family 18.❑ Amusement, recreational o/new housing units added, i/any,in Part D, 13) 13❑ Two or more family — Enter 19❑ Church, other religious number of units— — — —-i 3 ❑ Alteration (See 2 above) 20❑ Industrial 14❑ Transient hotel, motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5 El Wrecking (1/multifamily residential, of units ——————— —-i 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 (relocation) 17❑ Other — Specify 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile 8 ❑ Private(individual, corporation, 2130 Tanks, towers n nprofit institution,etc.) 29❑ Other — Specify 9 ❑ Public(Federal, State, or local g vernment) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, .g.,food processing plant, machine shop, laundry building at hospital,elementary 10. C st of improvement,,•.,,..,.,,.,, 176, 50 O school, secondary school, college, parochial school, parking garage for, departme store, rental office building, office building at industrial plant. To be installed but not included If use xisting b • ing is being changed, enter proposed use. in the above cost a. Electrical...................... .2 .S—000 b. Plumbing .................... O c.Heating, air conditioning...... f:z" d. Oth r(elevator,etc.)............. Q 11. TOTAL COST OF IMPROVEMENT s BSac��o 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❑Masonry(wall bearing) 40 dPublic or private company 48• Number of stories................ Total square feet of floor area, 31 WWo d frame 41 ❑ Private (septic tank,etc.) 49. all floors, based on exterior 32❑ Structural steel dimensions .................... 33❑ R inforced concrete H. TYPE OF WATER SUPPLY 34❑ Oth r — Specify 42 dPublic or private company 50. Total (and area, sq.ft. ........... 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 2 F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air rat. Outdoors........................ 36 Rf Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ El ctricity 44❑ Yes 45 P!�N 53. Number f bedr ms.............. 38❑ C al 39❑ Oth r— Specify Will th re be an elevot r? 54. Number f Full.......... 2 46❑ Yes 47 No bathrooms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To be comp) ted by all applicants /� Nam ` -- , Q Mailing addr ss —PNumberr, street,...cay, and State ZIP cod Tel. /��Tel. No. 1. Owner or 1l*4je c�f7w�L'I�i�/ L C C.�/1-1P*d�,./iIv/�(�s!'CrJ��`i� C% �?^�7 V 1o't3 Lessee 2. Contractor 3. Architect or Engineer Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signatur of applicant Address Application dot w � 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL is OTHER $ —t I VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS P rmit r Approval Check Date Obtained Number By Permit or Approval Check Ob ate Da ned 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 P rmit number 12683 Building P rmit issued May 3 19 82 Building P rmit Fe $ 510.00 ro y: TI NOTES FRONT__VIII. 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" s:=�s•�:. a ii"■m333 i..i3lmga3mm•■m::mr•■s!■s•t."..:H m.ws""■lt,...t•w.•s•msm.",.m.s.■,s:a..•as■"■rw!"sS'�.•■allgmmw ■4=:..1� ■"■a'si.m_ ou r..:.ni.a:"m/•�ii 11m: = ii 3:iml l;im = is3=ig:::=t:::l�=M"I':::S:::::_::=::::s:::::::::::::!!s" 53.• •■ !!�!'�_•;; • �� "�i slon �� _�sn. isz==.s: =:: s:e=:sssee...=:::'s===s:e'sees:::s:'s9's::f a:::=s:...........e='3z:e=all =sssss''sa's:�'sl:.a Lq ■a .13:1■■a 3L ""said ■r■ "u::mSee • ss =en s=oe:'sz�i���ss=m�=:=".veil=:i!s.,'i�z " .s"a••3:s:m•:l,.,r.ta■,!■,mtte:3t■■•:•m,■:wam..,t.s...■■..■ttt..t..■...e■.t.■..■.■...•s amen s=one s..........ssei:s:...s..ii:..�..=: i■3.�ais.si.. :s=ss: ::s:::ss:;c------- ------- :::;---------- -l------------:g:::----- l-------�-----=a�:s------ --- ---s�- TOWN OF SOUTH WIN6SOR BUILDING PERMIT Date May 3 19 820 Fee Paid $. . .510.00 Est. Value $$5.,.000.00 Pertnit N0 12683 on the side of Lot #60 Clearview Drive Strew Street No. 101 Owner U & R. Cons true t i nn Applicant U & R construction CERTIFICATE OF OCCUPANCY ISSUED: Date No. 6034 Fee Paid $ 3.00 CLASSIFICATION Dwelling BUILDING PBRbffr OFFICE OF N° 12683 THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. MMX 3 94is to to Certt0g, That U & R Construction is hereby granted permission to Dwe 1 I{nQ at estimated value of 000.00 on the side of Let #60 CltsrVI A31 Drixa Street on land owned by U & R Construe-1-4 nn Said Work to be as described in Application NoIZ983 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued may 3 , a . _,�Y4 'ding Inspector. Streets 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, t wn or borough all costs and damages which it shall sustain, or be compelled to reason therefor." Dwelling - Lot #60 Tim.Rdg. 5 5/3/82 U & R Constnuction 101 Clearview Drive Permit 412683 Electrician DuBaldo Electric # 7707 /CH ating Contr. A&yB govato Cooling & Htg# 5467 Plumbing " J J'Veoat #55 IOil Burner # C rtificate of Occupancy # 6034 Plot plans apprd. per Engr. • INSPECTIO REPORT Permit # 2,6' 3 Jo �D 1 Footing - �$ 2 Foundations- 3 Framing s,2p?—8 4 Wiring ,6- (I- 5 Plumbing 6 Heating 7 Lathing 8 C.O. �3Gf P rmit 140. o/X-3 TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit lr U 6034 Certificate of Occupancy ! THIS O CER Y that the at No. d in the Toa of South Windsor, Connecticut, has been erected and completed in accordance with a Bu' irg Code and Zoning Regulations of the Town of South Windsor, and is hereby appro d f r ccup n�._ � ,� S i t Building Inspector s f F wner, Builder Q Fee Paid Date 19 8 u & PETERSON ASS0C1AA�S OLD POS) ROAD —fOLLAND, GONNECM-,. ; ,•:, __-_ R I tea)4 1ES�'T ao 0 3�4.q 336.G 33e •Z 33'r.3 ��•'� 348•o r Q 338.8 93a q 33V.1, Q - M N `rw -644.*1 , ,n 3.43•a Al N rn 343 La3.4 3 4 4 m M 343 •` 343•A 343 - L ��w MORTGAGE SURVEY ®R LOT #60, "TIMBER RIDGE", SECTION V 00 TOWN OF SOUTH WINDSOR,, CONN. SCALE: 1" = 40' I hereby certify to Connecticut Attorney's Title Guaranty Fund, Inc. and Savings Bank of Rockville that the location of the building as shown is substantially correct and that there are no zoning violations of the - I same. i L.S. #10839 July 29, 1982 PROFESSIONAL ENGINEERS LAND SJJRVEYORS �� f t 450 Pto 0( ` 6R�3� g`G.: 7707 ELECTRICAL APPLICATION Application No. 8 818 on the side of Lot #60 Claarview Drj.. Street Street No. 1 Q1 Owner U & R Constructi on Co. Electrician DuBa I do Electric Co. , In FILED IN OFFICE OF The Building Inspector July 12 19 82 -•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 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. ..........81.8........ ...... Permit No. . ....7...70.7....... .. . 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 complied with whether specified herein or not. South Windsor, Conn., ... J u I y 6, 1982 Sign here Address ............... .... ..... ........... �..........._.... Location .Lot W, .Timber..R i dge. Side of .. ............................................. Nature of Building ... Res i dent i a I How many stories . ........ New or old Building .. ...... New . .... . ....... .... How many families .A......................... ...................................................... .. Kind of Installation . ... ... How many Stores . ................................................................................................ Owner .........U. A...R. hous..1n.g .Corp................... ....... ._.... Address .P...O......Box..248 Maeches-tar.__............_...... Architect Address . . . ..... ... .... ..................................._................ _..__....._....._._.... Builder ....... .. . . .... .. Address P.O....Box.248.,.. .,.Ma.n.ch.e.s.ter._....._ .... .... Electrician D.uQ.a.f.d.0..E..I ectr..Lc...Cfa..,.Inc..... . Address .44 .Pur••ne.l••1.....P•a•aces,•....Ma-nc-h'&S*er..._._... Size of Main Wires 440A L No. of Light Loops .. L..... ... No. of Heat Loops . ..... No. of Power Loops ......................... No. of Light Outlets .30.... . ........ No. of Heat Outlets . No. of Power Outlets ................. .......... Nob of Light Circuits .8.... ... ...... ..... No. of Heat Circuits . . . No. of Power Circuits .. No. of Sockets ... . . ... .... No. of Heat Receptacles No. of Motors ............ .. . No. of Panels ................. . Size of Heat Circuit No. of Power Receptacles No. of Switches ...29 Total Wattage Size of Power Circuit .. .. Total Horsepower No. of Straight Electric Fixtures .20 . No. of Combination Fixtures ... No. of Receptacles .......5.0.......... ........ .. ..... .. .......... . ... . No. of Cord Drops . .. ...... ...... ...... .................... ....... .. .... .. Remarks: For other kind of Installation ectr.l.c••••Range .......................................................................................................................................... ........................................................................................................... . .. . .... ...... .. ........ ......................................................................................................................................_................ _.................................................................................................... .................................................................... ...... ... ............................................ . ......... ..... . Estimated Cost ...250000 . ................ .................. 5959 PLUMBING APPLICATION App&atiw,NkL 673� on the_ -"of N-� I �.. 1._ � Swat No. �� O Owner ........Z • u ' - - ` plumber L � 1 Filed in The Bu1dmg Impactor J ne 25 19_$.2 II�i�Cl',O�lr. j No person,ball oowmact, add os or aher MW portion of the dminar s'sacm of say balieg (e=ept to repair kab) untl a Pp in Smwed by the Building Impecoor. p 11"d t-' U1� Application No. ......6.7.3.1................. 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 n Itz— South Windsor, kse'!�- Sip here P.- ... ... .................r1a�. ....................................... Address . .... ...... .................................................................................... ..... ............................. Street ....... .... .. ................................................. side of ...............Location C-) o21 Nature of Buildm' . . . . . ..............I......... . . ... How many stones . ................................................ .................................. Owner '(..... ....................................... .. . ................................... Address ..... ...... .. . .....C.-A'g Architect .............. . ........... . ..... ... ...... ........................ ................. Address ..... .................................................................... Builder . ..... .........................I.................... Address ............ ... . . ............... . ..... .......... ."".................... Plumber .. ........................................... Address ...... ...... .......................... DRAINAGE . ... ..... .— 7 .1? - ..-�u CESSPOOLS, How many .. .... ........ . .. Where located .. ...... . . ........ ............................................................... Are they water tight Of what materials e they,built ...... .................. .... .. .... Size of pipe from house to cess I /-/. .... Kind of pipe ......*...... ............. .............. ... MAIN DRAIN IN CELLAR, Material Diameter ... Above or below cellar bottom SOILPIPES, Material - A .7.. .................. ...... ......... Diameter I/................. .................................................................................... WASTE PIPES, Material IC Diameter —. 5.................................................................................................. TRAPS,Type proposed to use is . ... . ........ ....................................................................................................I................. RAIN WATER LEADERS, where do they run to ........ ...... . . ................................................................................................................. REFRIGERATORWASTES, where do they run to . .. .. . ....... .................................................................................... ............................... TANKOVERFLOWS, where do they run to ... .... ........................................................................................................ FIXTURES WATER CLOSETS, How many ... .... Where located ..... ........................................I........ Distance from trap to vertical soil pipe ................................. Pattern .......................................................... WASH TRAYS, How many .. . . ...... ...................... .......... ... Where located ............. ............ . ............................................... SINKS, How many ./........................................................ Where located . ........................................................................... BUTLER'S SINKS, How many ........................................................ Where located................................................................................................. REFRIGERATOR SINKS, How many ...................................... Where located ................................................................................................... LAVATORIES; How many .............................................. Where located Z ...2....................................................................... BATHTUBS, How many................../............................................... Where located ......... ................................................................................... URINALS, How many ...... ............... ............................................... Where located ........ ......................................................................................... Are water closets and urinals to be local vented If not, is there a window in outer wall ofroom where same are to be located . ....... . . ...................................................................................................................................... Estimated Cost .. ................................ PERMIT # Application For 6568 5467 DEPARTMENT DECISION Heating Permit C 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N UAPPROVED ❑ DISAPPROVED WINDSOR c TOWN OF SOUTH ... 1 164 6/21/82 .:'o 0 00 y DATE LIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE SEL M O o1. LOCATION OF JOB 101 CLIBarview Drive � o NO. STREET +, O v 66 w LOT NO. FLOOR APT. NO. O LV c :. OWNER ¢ d u s i r� Corp, _ 16, Ce O S. ADDRESS 14::� Ce-nvAe r l' 0 bo 3 mawc� e_ster 4.PHONE b q 1-9 5SS 00 >% s. APPLICANT Iq P. a►� Cc o a'G2 s. ADDRESS a> J/ fe*,- Cc Q/1'I c k e $ 7.PHONE w � / -3 ©© '7 ( 6. LICENSE NO. +; S. EXPIRATION DATE OF LICENSE �0 v' 10. ESTIMATED COST S �6Q0 ©o O � •C 11. IS THIS A CONTRACT COST? YES 0 NO bo 12. FEE ENCLOSED S PA rm i t 12 6 8 3 Q13. TYPE OF BUILDING: W RESIDENTIAL ❑ COMMERCIAL b4 14. TYPE OF JOB: ❑ INDUSTRIAL ,� ^3 RIGINAL ❑ ALTERATI N r-i F--+ EL INSTALLATION ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB l �'7 �p�" ' NO. STREET FL OR AFT. NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS /`��g� I' uC�Vr/aYl� 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. NET B.T.U. OR SO. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - 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 °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 I 15. TO BE DONE: ►7lYj V) llC� O r" t.l�Ll.1^ �f�Y E'-c C l r Q r � 16. HEAT LOSS SCHEDULE. BE INCL16DED FOR ALL JOBS). ROOM SIZE WINDowS AREA - SQUARE FEET B.T.U. B.T.U. F O AND DOORS VOLUME g< DISTRIBUTION INSTALLED < TOTAL TOTAL yl ROOM NO.L W N AND W GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j LL LL REGISTER E TEMP. TO F F Q TYPE AND SIZE RAD. OR LEADER SIZE < WALL 'Lt0 (INFILT.) O SO. FT. f DIFF. •F F m N 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: f l O vi NAME ADDRESS SUBCONTRACTORS AND IS. 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. , kPPLICATION TO BE COMPLETELY FILLED IN. DATE GN TURE OF A► ICANT z PERMIT # Application For 6599 5498 � m DEPARTMENT DECISION Heating Permit O 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS 1.4 N CAPPROVED C1 DISAPPROVED TOWN OF SOUTH WINDSOR 0 8/5/82 o0 0) DATE CM INS ECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W O C -g 1. LOCATION OF JOB o 101 earn ew D 'V I~ Cd 9 NO. STREET -6j O Cd C.) G 1 LOT NO. FLOOR APT. NO. O N ---,�E � O 2. OWNER '' 0 0 O S. ADDRESS y y 4.PHONE���1�✓' � t!1 S. APPLICAN Cd S ca. ADDRESS, "�z 2 Pa 1w 7.PHO— w � .a B. LICENSE P10. 67 3 Co a B. EXPIRATION DATE OF LICENSE -j O w a to. ESTIMATED COST : IS THIS A CONTRACT COST? ❑ YES 6—N bo it. FEE ENCLOSED S Po rm i t 12683 IS. TYPE�Fs�u1LDINf� noLJ 2982DENTIAL ❑ COMMERCIAL El 14. TYPE OF JOB' INDUSTRIAL 4) 3 INSTALLArTINALTI N ❑ ADDITION REPAIR s APPLICATION FOR, HEATING PERMIT (Continued it m Reverse side) 11. LOCATION OF JOB � ��� � U �j NO. STREET FL OR AFT.NO. 12. TYPE OF INSTALLATION: 2. OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER 0 GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS ^ IDENTI SIZE LOCATION SIZE /� SIZE 13. OF TANK / (J OF TANK jezz2aLd OF FILL V` OF VENT 14. B.T.U. EQUIP. AT REGISTER4W�NACE MAKE AND N AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO B.T.U. OR SQ. FT. NET_Zaf_l&b.T.U. OR SQ. FT. GROSS��FIRING RATED / FLOORS TO BE HEATED 2- NEW OR OLD BUILDING_114eir'L/- INSULATED - YES OR NO TYPE OF WALL L INSULATION Id ROOF OR CEILING INSULATI AVG. SYSTEM WATER TEMP. f) ' C0 B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE Q -- 2 O a FAHRENHEIT MAKE OF RADIATION: BA EBO COPPER CONVECTORS, OR C.I. RADI TION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. - U r DESCRIPTION OF WORK 15. TO BE DONE: t s. MEAT LOSS . --14Er X_ (TO AE r j IIooY A AMO 09^ ARIA SQUARE FEE - �...�-.-�. .l4 B.Y. F a DISITP!! r- Va_tw! rorAl. T.T aar I <r OUTlON IlIA� f ROOM 6 N AMO GROSS O�4� '"�T MALL CAILITICI FLOOII GtL PT. AT V0'P OPLtlICT •IZL• WALL <IRWILT.f Ta►►• TO �; TYI�t AM!lf.SR 1 e- •�il�0 ill :., 1 • - � y a�+, 1144 �^"f —iJT �....(-�_ - -_ ..��[I G t r .� •Y � �r�J �V �/1. _ "`'`�Y..�1 '` ., _- - X -- ? j Ak- 71 .�_ �v- �� � ¢�• /4 �`x,� �� �,rt�)�e� t�_�1__r�- ____--.. ..L.�l� ,,� Z C 3 V I J�f -� ..'`~, \'.f TT c eA OL.c_�:�.J.�X °��� �.s= -- -- --t �•,-? ___ _' __1 ¢ Mgt, ` 1 4[ .J i I I. T , - 1.r d - • yw LD ! r K �-f j I i 'y."s®_s`•,a�w...s�m�r�. '�a�.•Y.__--dF.Y.+.eri.__z#..�a-t.••.z�.. i�� _ as�.• _. f r= � `a �,,� �✓'�Y9 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: NAME ADDRESS SUBCONTRACTORS AND 1e. 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. i APPLICATION TO BE COMPLETELY FILLED IN. dz a DATE SIGNATURE OF APPLICANT