HomeMy WebLinkAbout141 Beelzebub Road (2) 51 0 T BUILDING INSPECTOR
pb'
of 1i�lit APPLICATION FOR
TIOWN OF SOUTH WODSOR,COMPE PLAN EXAMINATION ANO
BUILDING PERMI
T
IMPORTANT — Applicant to complete all items in sections: 1, it, lilt 1 and IX. O
I, AeL x0z ZONING
AT (LOCATION) DISTRI
LOCATION NO') STREET)
OF BETWEEN AND ,
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use Im
M
1 New building
Residential Nonresidential
2 Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational
of new housing units added, i/any,in Part D, 13) 13 Two or more family — Enter 19 ❑ Church, other religious
❑
number of units— — — — --)P. 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 E-:] Transient hotel, motel,
4❑ Repair, replacement 21 ❑ Parking garage
or dormitory — Enter number
5 ❑ Wrecking (If 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 El Moving (relocation)
17❑ Other — Specify 25 ❑ Public utility
7 ❑ Foundation only
26❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
8 W Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 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,,,,,,,,,,,;,,,, $ ap,ZAW12 school, secondary school, college, parochial school, parking garage for,
71 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 BU L ING — 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 Public or private company 48• Number of stories................
31 Wood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 77 s
❑ Structural steel dimensions .................... i
isr-
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other — Specify 42❑ Public or private company
50. Total land area, sq. ft. ........... 060
43 R 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........................
36rE� Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45 No 53. Number of bedrooms........... •
38 ❑ Coal
39❑ Other— Specify Will there be an elevator? !
Full..........
54. Number of
46❑ Yes 47 X No bathrooms
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing addr s — Number, st et, city, d State ZIP code Tel. No.
1. A ,,►
Owner or "of
A)ff r
Lessee
Contractor
3.
Architect or XV61404a J
t
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Addres mr / � ,.Application date
r e /
01 7 73
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Dote Plans B Notes
Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number By Permit or Approval I Check Date Number B
Obtained Obtained y
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 I�8 v � � NY ff !Y 0
119
Permit number *4 ACCOPMANKS WI'Vri TOWN
Of
Building
Permit issued 7-3—?3 19 SC3M WINDSOR, ORD`k" ANCE NO. 6
Building
Permit Fee $ 162.00 plus $3.00 for C.O.
&OWTA&I
Approved by: f
TITLE
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
N
L
e.P m. r�•}
n
a
f
�:a..;,.�.,z a,,.§§_s c i:•_y". s,a'.}¢s.m{_ t€,�%-r a { .., r a rv..s $ r• 2..R�. «? 's .s t` {,e §, a �' � �� >� ',...� -..-a�-.a >....>
f,,:n..z a<t$d;.:
h fir, q4
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_..:.. a-a-«.,y...,.� �e-}-� .i t.,..,.y »a.._ ..?�a a}......... .._+t....# t ,_..#,. ,.;, .< �..;. a.'.�..�_.,-. -;-�.,-r } M:q, .°�� {< ra d,r Yt �y4 p a .t }.$ .q.; .; . ..«{ } ,� 3° b }ts.{ att! # y.><
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.
{ 3
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date July 31 1973
Fee Paid $.162.00 Est. Value $.27 s 000
e��f
Permit W, 8119
on the side of
Beelzebub Rd. Street
Street No. 141
Owner John W. Tene za
Applicant Same
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 4371
Fee Paid $ 3.00
CLASSIFICATION
Dwelling
BUILDING PERMIT
' 8119
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. 'may. 3 a 1973
is to Trrttf1j, That John W, Tsnaza
is hereby granted permission to Duelling
----at estimated value of $2 7 a 00
on the side of 141 B'a Z zabub Rd. Street on land
owned by Join. W. T enc za
Said work to be as described in Application
No. 8 La9 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
�.;��,fly �; � 973
Iss �
uil :ng 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 compeller: to reason therefor."
` INSPECTIO REPORT
Permit #
Job
11—
1 Footing -2 y-73
2 Foundation
3 Framing
4 Wiring j -a7-T a—//- 7�/ 7y
5 Plumbing Co //-.2 -73
6 Heating -- /3 -7cl
7 Lathing y-7=
8 C.O. 7--i - 7 Al d
. I�
i
Pe i rra t Na TOWN QF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit N� 4371
Certificate of Oc upancy
THIS IS TO CERT y {� t th
'
` at No.
i in the
been erected and com wn of South Windsor, Connecticut, has
d in accordance with the Building Code and Zoning
the Town of South W�cor, and is here
b a Regulations of
Y approved for occupanIle
t;
i
i ��- �;�,,,,,,,,�+� �`• Bui g Inspector
Owner, Builder
Fee Paid
Date /r' 19 '""�
�. IP SEEL.ZEBUB R04D SEWER LATERAL
175.54 '18,
oo 0 1 P
o.
0
LOT OB !'
1.0Acf
N/F
A&J. p t�w�` N/F
PETERSON o ,f N L.W. & L.B.
LOT N M WHITE
oN
24.5 8' 14' 56'
40.5' 28' 14' 34' 40'
94.5
O WELL
�,o
1900 175.00' 900
I P 1 P �Ofi
1.8 Act
to
oF�c,0�k �� TOTAL 2.8 Ac
F 9 'U-)
�Q
No. 5032 �j� '►
all
DnSURun�O +A �0 175.25 A
IP ERARDINO 8' MCNAMAR
NSF pIB
I HEREBY CERTIFY THIS MAP TO
BE SUBSTANTIALLY CORRECT AND
IN ACCORDANCE WITH CLASS D „ MAP FOR
CODE OF CONN. TECHNICAL COUNCIL; INC.
JOHN iH. TENCZA
BEELZEBUB ROAD SOUTH WINDSOR
SCALE 1"= 50' FEBRUARY 1973
WILLIAM J. CARRINGTON L.S.
5424
ELECTRICAL APPLICATION_
Application No. 5734
on the side of
Beelzebub Road Street
Street No. 141
Owner John W. T e nc z a
Electrician John W. Tenc z a
FILED IN OFFICE OF
The Building Inspector
December 28 1973
INSPECTION.
"'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.
� a5`/ 9
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORD.
No. ......5'7 3?�........................
1 Permit No. 542
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH W INDSOR, CONN.
z ...... 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., ... £ .. 20.......................... 1J.7 3 Sign here ..... ..................�............. ................... ............................
................ ....
pSJG6
Address .1R... *� .... 5.A �` � 9
Location I�� 'g " " .................. Side of CAS-7
Natureof Building ......�.�................................ .................................................. How many stories ..................................................................................................
Newor old Building ............. 4' ............................................................. How many families ................. ......................_.....................................................
Kindof Installation .........../? .................................................... How many Stores ......................................................................................................
Owner `7a. !A!.......Gf!'..........1...... .Z..1.9.............. ................ Address D l......Bo7........5..If..A....._..4V)... .r Lt i,VG TUv
Architect ..................0 W NE. ............................................................................ Address ............................S ./1!.�......................................
_..._.�.._....�.�.....
Builder ......................d W N.�:..!�.....................................................I................... Address .............................5.�M�......................................_. ......................
0 W N � SAM�Electrician ................ . ..................................................................... ............. .. .. . ..._...._..............................._.......__............
Size of Main Wires ....... , .........A.L.................._
No. of Light Loops ...............�......................... No. of Heat Loops .................... No. of Power Loops
No. of Light Outlets ........3....L.................. No. of Heat Outlets ............................................. No. of Power Outlets .......................................
NoO of Light Circuits .................................... No. of Heat Circuits ......................................... No. of Power Circuits ...................................
No. of Sockets ......................................................... No. of Heat Receptacles .............................. No. of Motors .........................................................
No. of Panels ............................'L........................ Size of Heat Circuit No. of Power Receptacles ..........................
No. of Switches ..................3..0...................... Total Wattage ........... ..k.W....................... Size of Power Circuit ..................................
Total Horsepower ...............................................
No. of Straight Electric Fixtures ..................3..0............................ No. of Combination Fixtures ......... .................................................
No. of Receptacles .......................... 70............................................................. No. of Cord Drops .................................................................................................
Remarks: For other kind of Installation ....................................................................................................................................................................................................
1..a... ....... .P.......... .0 .a.....v.. ..........S. e..u�. ..E.....................R �G.. tR....L-�. tT�.NG� AND
..... ......... ... . ............................................
..0W6766N cY....PANS L............)r i.. E"A......... ........el-RAY! r........fro ...... 1. .E.... .2G Env�y
6 .P".t�1.k...........................................................................................................................................................................................................................................................................
Estimated Cost ' .1..7..Q.Q.+..........................
4503
J
PLUMBING APPLICATION
A�PPlintion Na 4�92
on the....�_. 5,o 071-1 ide a�
�EEELZ&BUS AaA9
Strat 1qo. ...... /4/
O ,a .. ✓ 'RA/ A/ � Pr IC14 L. TnlczA
Plumber _..?-oH•✓ L�/, TEAyc zl
Filed in Office of
The Bin I�rpee�oe
Jan. 8 1974
1 SCION.
............................._.._..._.....
No person shall construct, add do ew abee my
portion of the drainage symm of any buldOg
(except to repair leaks) urA a Permit is grmoed
by the Building In:pww.
Application No. ...4292...................... Permit No. ........4.5....0. 3..............
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
.............r...........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.
SouthWindsor, ...... N(�.... ............................ 19� ... Sign here �1. ........ ............. .. -.................................
Address ..... #i ,8v�sy,� l✓ �✓i ...�.rv� T��v. T...R..... ......... .............. ............ ....... �.... ..
Location ...1..4.1....$EEL..���JB.....�a�{A so�rfl side of ................................................. ..... Street
.... r..............
Nature of Building ......... ................................... How many stories .......0&4.............................__...................................
Owner ....�aNN......G. ,)✓.... ......f'f..�.T.i4?zcm..4........T NCZ,9... Address R .#/....40' ....SYt.1.... .........
Architect ....N04� .C............................................................................................. Address ........................................................................................................................
Builder ..........ter-! /..ICE! ........................................................................................ Address .................S..Ah ...................................................................................
ASE
Plumber ......Q w/..t�Er ........................................................................................ Address ...............S.........................................................................................................
DRAINAGE
CESSPOOLS, How many ...................... ............................................... Where located .....................................................................................................
Arethey water tight .......................................................................................... Of what materials are they built ........................................................
Size of pipe from house to cesspool ................................................... Kind of pipe ...... .. ...:... ................................................................................
MAIN DRAIN IN CELLAR, Material .....C.,..Z............... Diameter ............... .../.. / ...........................................................................
Aboveor below cellar bottom ...........0 4�4'o�✓......................................................................................................._......................................................................
SOIL PIPES, Material ..........................k. .S..................................... Diameter .'-lAlc q
..................................................................................
WASTE PIPES, Material .$S'................................... Diameter z .... ... .. ?...��/«..............................................
..... . ..... .....
TRAPS,Type proposed to use is ............ ................................................................................ ...............................................................................................
RAINWATER LEADERS, where do they run to ..........Pe! ,Y.l rJ..g..............................................................................................................
REFRIGERATOR WASTES, where do they run to ...........................
TANKOVERFLOWS, where do they run to .. ... .. ..............:.............................................................................._......................................................
FIXTURES
WATER CLOSETS, How many z Where located ..f/ S:T....F�... ..... .7-/ASS'...................
.........................................
. S d N .TAT
Distance from trap to vertical soil pipe ........2,.......<.�..? ....... Pattern .......................y...p...t�.P.............................................................................
WASHTRAYS, How many ........0........................... Where located .....................................................................................................
SINKS, How many ................................ Where located ../C/ '�S T..F4.Q�Oi .... /T��!l ...................
..........................................................
BUTLER'S SINKS, How many ....................�............................... Where located .....................................................................................................
REFRIGERATORSINKS, How many....0............................... Where located ......................................................................................................
LAVATORIES, How many ................................z............................... Where located . iiE'S ".... Ldd!�'......eft-17&-d........................
BATHTUBS, How many................................... ................................. Where located ........'...........................................................................................
URINALS, How many ..........................................0................................... Where located .....................................................................................................
....
Are water closets and urinals to be local vented ..... . .....No............................. If not, is there a window in outer wall
ofroom where same are to be located ..............xz.s....................................................................................................................................................................
Estimated Cost.. Q.............................I........
PERMIT #
Application For 4188 E j.
cd DEPARTMENT DECISION 4410 $eat permit
0
1
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N +' XI APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
1cd
~ 1/8/74
00 O DATE HIE �INWC F r APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O
79 1. LOCATION of JOB
O
ROAD
NO. STREET
cc
� v
LOT NO. FLOOR APT. NO.
O p
[J
/�
2. OWNER ✓Offil/ W. Pf1T/e/C/A L, /�l CZF1�
o S. ADDRESS
g
P/i 11I/LL11V67?/V CONN. (2L27,9a.PHONE 4-2 Z-
S. APPLICANT
00 a. ADDRESS SArYI
.7.PHONE
w
•. LICENSE NO.
a +�
s. EXPIRATION DATE OF LICENSE
10. ESTIMATED COST
11. IS THIS A CONTRACT COS"
rz be ❑ YES �No
12. FEE ENCLOSED S Permit 8119
d IS. TYPE OF BUILDING
FA
owl! b0 IT RESIDENTIAL ❑ COMMERCIAL
O 9:
❑
►rr 3 14. TYPE OF JOB: INDUSTRIAL
r+i A i ORIGINAL ❑ ALTERATION
1 LL11 INSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued from Reverse Side)
11. LOCATION OF JOB
�� NO. STREET FLOOR AFT.NO.
r
'J l�
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
Ell"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 BONNE' FIRING RATE
BOILER OR FURNACE MAKE AND N0.`✓�/L Alc AIN OB.U.. OR SQ. FT. NET 9-74dU
B.T.U. OR SQ. FT. GROSS/2�FIRING RATE
FLOORS TO BE HEATED OME NEW OR OLD BUILDING NEW INSULATED - YES OR NO YFS
TYPE OF WALLs/S/EET/f00k INSULATION R-11 ROOF OR CEILING CE/L11.G INSULATION/7
AVG. SYSTEM WATER TEMP. 1700
B.T.U./SQ. FT./HR. EMISSION -5 9832 'BTU ToMf- LOSS
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 70 °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U.TPEk&.121-cRoA4eD 520161L1 11 C Z B4tSE864R0 .S/U 8741 fo Cry RCCEdSSFD c0*l1&G7-,qR-
DESCRIPTION OF WORK TiUSTA(-L UAS F/Rt-P raR6ED HoT H/AT� Two PM-5- REVa'SE- , iSTMeit/ SyST&I.
15. TO BE DONE: -
COMW 1-MSrBMWIN BWbn4z, C,l, RECESS C04141AC-C7,0,e S /At BATH 10 TC#6AI BASF&j 1qR'q'1w
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): L///1i16 9oOM 3 ZoA;i�S
Roow slzE WINDOWS AREA - SQUARE FEET S.T.U. S.T.U. 0 DISTRIBUTION INSTALLED
AND DOORS I VOLUME TOTAL TOTAL
ROOM
NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j L REGISTER
L W N SZE WALL Lto (INFILT.) OEM' TO .F F f: TYPE AND SIZE RAG. OR LEADER
t►' F 0 SQ. FT. FREE AREA
Ac
TOTALS
A. HEAT LOSS FROM BUILDING 54 832 B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND AUTO, 69S kZILKA? A=AT&-z 40 6A4.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: 7ZyAl W. T,�7VCZA s��q j✓, AM-LIi16MY, Mudd
NAME ADDRESS
THEROTRESRS AND
18. THEIR A014/k,
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.
,7;4V, If 74 Z-0,�-4
ATE SIGNATURE OF ILICANT
'.'cars A.
�..�•+ +1 i/.1•( �j r* {n`
r~i Lr La'iL.. 0.i r♦YY I�.+V.Y �••li 11 �.�i. ..
FOR; / "vj f r1 <" LOCATiO.V I DATE '
USE No. STORIES DESIGN s INSIDE. OUTSIDE
_ TiEM.PCRATL RE: (Ti) OF (To) OF (Ti-To) OF , DO
TYPE OF CONSTRUCTION HEIGHT ABOVE GRADE DEPTH BELOW GRADE
INSULATION: WALLS CEILING // FLOOR DOORS WINDOWS �
7
COZFFICIENTS• CEILING FLOOR GLASS: GAS 2.0 STU'S—
(3Tt:'s�r'Nitts/Sa.Ft./Td): WALLS Int./Ono Air Chanco ELEC.0.37 WATTS—
-A LOSS CALCULATION
%A:.;E OF ROOM / /tolri
_ROOM SIZE s'V/1.Vt-
CEILING HEIGHT
LINEAL FEET— EXPOSED WALL-
GLASS
SOURCES OF COEFFICIENT Area BTU's r Aroa BTU's or Aroa STU'o or Area BTU's or Aroa BTU's or Area BTU's or Aroa 8TU's or Area C T U'.or i
HEAT LOSS (BTU's-Watts/Sq.Ft. or .Virttf or Watts or Watts or YVatts or Watts or Watts or 'Watts or Watts ,
or Cu.FL)• Volume Loss Volume Loss Volume Loss Volume Loss Volume Loss Volume Loss Volume Loss Volume Loss A03:.1 Vo.UPAZ: !
Ct):iiC FEET
. ObL )L�f 9.7
GROSS WALL AREA.
SQUARE FEET
GLASS AREA 1017
Z1 �, `
SQUARE FCET
*%E1' WALL AREA SQUARE FEET • t+�- r
FLOOR AREA ,
SQUARE FEET • D�3 �'t,�` _
CEILING ARIA c •' j } • �' ;
SQUARE FEET • �' / I�I S I f
_ r �
TOTAL HEAT LOSS WATTS OR BTU's �"j 1� A r J �'3. 741
KWHR/YR AVERAGE RATE A $
ESTIMATED ANNUAL ELEC. USE KW LOSS X DEGREE DAYS X ICY2 e X as I
-
TO
MCF/YR. AVERAGE RATE ANNUAL COST
ESTIMATEO ANNUAL GAS USE s M ETU LOSS X DEGREE DAYS X 24 s X
TO x HEAT OF FUEL x EFF.
CI.`''t:n. SzIJ-o3 w~. 7 �' �� �,J;1"'� d =�i� EST��-� J� `��.
,,or.r,7c. t 011:-•:Vc.t s ! V i s .►i. L a .. i♦ :f Y� It.r�/"�r �.. At
FOR: LOCATION DATE
777t/C 7-4:7
�;U;i.V;N,G USE i No. STORIES OkSIGN • INSIDE. OUTSIDE t
t TTEM.PERATURE. (Ti) •F (To) 'r (Ti-To) •F { 00
TYPE OF CONSATRUCTION :� �+ /,� HEIGHT ABOVE GRADE DEPTH BELOW GRADc
INSULATION: WALLS; J t/ CEILING / // FLOOR DOORS �Q t�� � WINDOWS
[.O �.,,� .....
COZFFICIENTS* CEILING FLOOR GLASS: GAS 2.0 BTU'S—
(3 T U's or Watts/Sa.Ft./Td): WALLS Int./One Air Chanro ELEC.0.37 WATTS—
H EE ! LOSS CALCULATION
,NAVE OF ROOM r vl
ROOT/ SIZE
CEILING HEIGHT
LINEAL FEET— EXPOSED WALL
GLASS
COEFFICIENT Area ofW. r Area BTU's or Area BTU's of Area BTU's of Area BTU C
's of Area BTU's or Area BTU's or Area ;U':of
SounecS, or
HEAT LOSS (BTU's-Watts/SQ.F,t. or IV" Of �"Jatts of Watts or Watts or wktc. of Watts, of Waits or Watts
or Cu.FLU* Volume Loss Volume Los Volume,� Less Volume Loss Volume Lass Volume Loss Volume toss Volume Loss
F,00..1 VOLUME Q s I
Ct1uIC FEET • �d� ! .7
GROSS WALL AREA.
SQUARE FEET l •
GLASS AFiEA // ' I
SQUARE FZET • 7 .Z�e •� 'y '
NET WALL AREA •" O / 1 ,,:
SQUA,1E FEET • G 7 f
• #t.
FLOOR ARZc
SQUARE FEET • ��J � � � I I
CEILING ARIA 'r • �• ,
SQUARE FEET
I
TOTAL HEAT LOSS WATTS OR BTU's'}
• KWHR/YR AVERAGE RATE ANNUAL COST
ESTIMATED ANNUAL ELEC. USE ■• KW LOSS X DEGREE DAYS X 1012 X
TO •
MCF/YR. AVERAGE RATE ANNUAL COST
ESTIMATED ANNUAL GAS USE M BTU LOSS X DEGREE DAYS X 24 =: X "
TO 9 Ha AT OF FUEL x EFF. —� 1
S
f
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: I
BUILDING DEPARTMENT t
APPROVE 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
3
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$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT t Q t0, Q 1, � C 6 .
APPLICANT ADDRESS
7 Z:
APPLICANT PHONE# `j 2
W N S F,1 OWNER r1 ] o .,^s_2 C3,
OWNER ADDRESS
n
OWNER PHONE
0 #• E�
ESTIMATED COST$
U
",�► �� IS THIS A CONTRACT COST? 4es 0 No
,rid
FEE ENCLOSED$ 2
OR CO TYPE OF JOB:
D Original Installation
Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF UILDING:
HEATING ;41RESIDENTIAL
❑A/C ❑ COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
A HYDRONIC ❑ WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
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 OF INSIDE 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
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.
5�) C,\ � :3 - 3 C�_7
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT �`��.�, ���- DATE
Electric# APPLICATION FOR BUILDING PERMIT
Pl=bing#- 141 Beelzebub Road
HVAC # tqo_ 28138 Date:
Sprinkler#
—
FINAL APPROVALS Estimated Cost oo.oU
Building 030-o/ =SIGN
BOXED AREAS Permit Fee $ 4Engi °3.
Ming RINT ONLY Occupancy Fee $
Affidavit EVERSE SIDE
Appr.for CO. Total Fee
TO BUILDM DEPARTMENT,TOWN OF SOUTH WII)SOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Jo6 Location J¢/ 8 f?•b , Lot No. Side of Street Zone
Applicant J 014 N PJ, T'CAI C 2 A Tel#_ 6 22 O'7
Address SA me Zip (1 6 0 7¢ Lic.#
Owner .5 A rrn a Address S od m>r
Architect Address
Sq. Ft.New Area: lst A. 2nd FI. 3rd FI. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit:_ JAB 5 3 30 --,A L o/L. ZA' Wk Al SA CMeA)7-
City Water ❑ Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date - Use Group �"—' Construction Type
Rovk*d 1197
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any 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 which this building and its use is allowed.
Signed
1 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
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-28138-B 400
B07 TANK INSTALL/REMOVE 08/28/01 CJD A W/OWNER
B10 FINAL 08/30/01 CJD A CLOSED OUT.