HomeMy WebLinkAbout1 Shadbush LaneFINAL INSPECTIONS: Y'le"4eeBuildingc o APPLICATION FOR BUILDING PERMITPlumbingc7n
HVAC Date: 16
Sprinkler 1 & 3 Shadbush LANE
Electric ` Estimated Cost $ /(,!, Doo
Zoning Permit Fee $ /+/o•s
Eng. Dept.
Affidavit NO. 17747 Occupancy Fee $ 6,00
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ /6/6.odHealthDept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE.
j / Additional Cost) $
TO BUILDING PART ENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant n 1*
11
JAJh&1 uo Tel. #
Address .3/o Ajolo"d-c Rd S. S W i-AJdR C.T
AT CITY Lic.#STR ET CITY STAOwner r/bvlr Nwl Cr yy Address Tn"1
Architect Address
Size New Area: Ft. Front Overall 70 Ft. Deep Overall 4W Total Area 3100 S•f #Garages OkLavatoriesNo. of Families 42 No. of Stories a2 Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit Two "'62-n^s(y dbU f p/dT fig,J
City Water Well Septic Sewer
Approved by Date BD1A 11/88
I hereby agree to conform to all the requirem nts 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 lin s,side yard line nd requ'ed 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 a lication for p rmit.
Signed
DO NOT WRITE BELOW THIS LINE—
r INSPECTION RECORD
Footing ` Framing
Foundati, 'x - Fireplace/Chimney Insulatio
j
At/ 10-4-8,7
Plumbing Permit# 3 g3 a Inspections:
17
HVAC Permit#Ye'7 6 Inspections:
Electrical Permit# D b Inspections:
Sprinkler Permit# Inspections:
BUILDING INSPECTION DEPARTMENT
SOUTH WINDSOR, CONNECTICUT
FEE PAID: $3.00
CERTIFICATE OF OCCUPANCY
1 ZONE: DATED 18 19 90
w This is to certify that 1 Shadbush Lane
Erected under permit No. 17747 conforms substantially to the requirements of the building ordinances and the
zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below.
Approved for Occupancy— Single family dwelling attached -- Lot # 31 only
Use Gr up: R4
Constr. Type: 5B
Building Official
Notice:if this certificate is lost or destroyed, a duplicate should be obtained immediately from the Building Department.
Any change or extension of the use herein approved requires a new certipcate of occupancy.
trL1111L'ApplicantMannarino Certificate of
Occupancy Address Bldg. Permit No.
i7 2 47 Lot No.31/32
Shadbush Date Submitted 12 20/89 Project Reviewed By Date
As required in
the
Zoning Regulations, no certificate-of-occupancy shall be issued until
grading plans have been complied with and approved by the Town
Engineer. The minimum requirements shall include:Approved Denied N/
A
J 1. Approved building
permit plan.2. Finish grading per
approved building permit plan.3.
Site work; i.
e. trees, shrubs, dumpsters ;required parking 4. Utility
location a.
sanitary sewer b.
foundation drain c.
electrical & telephone d.
water e. other
rl 5.
Appropriate certification
r/ rv p Q
Ga•r 6. Bonding Sewer Permit No.Pavement
Excay . No.COMMENTS:
J f
BUILDING PERMIT CHECK LIST
Applicant DQo L /I1r-2-zz 9,G Building Permit No. Grp
Address 3/0 ti << oo&,J S. Date Submitted 77v
Lot No. 3//sz t13 r, 4*,-e, Reviewed by
Project_y.;o.-V r Date
In accordance with the Subdivision Regulations, prior to the building of
any structure on a lot, a Topographic Plot Plan shall be submitted for
approval. The minimum requirements shall include :
Approved Denied N/A
1. Name, address & phone number of owner/
applicant.
y 2. Name, address & phone number of plan preparer.
3. Zoning information - i.e. zone, open space,
floodway, etc.
4 . Plot plan at 1" = 40 ' scale.
a. Subdivision reference, abutting
properties, etc.
b. Easements of record.
c. Lot description, bearings, distances,
building lines, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate.
e. Building location with dimensions.
Elevations of proposed finish floor,
garage floor & center line of road at
driveway.
f. Elevations of gravity drainage systems,
sanitary & foundation drain at the
house and the street.
g. Tentative utility location gas, electric,
water, etc.
h. Title block with name and address of
preparer, date appropriate certification,
live seal and signature.
5. Sedimentation and erosion control.
6. Special Planning & Zoning, Inland/Wetlands
considerations. (Plans on file w/Town Clerk)
BUILDING DEPT.
PZC
IWA/CC
WPCA
OTHERS
COMMENTS:
PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT IID 7k
Application is hereby :
TOWN OF SOUTH WINDSOR
APPROVED jDTSA D BUILDING INSPECTION DEPT.
644-2511 Ext. 230
Application must bePP printed or typed.Date Building Inspec or
1. LOCATION OF JOB
k FEE SCHEDULE No . Street
fi
0 - $19000 - 10. 00 Floor Apt . No.
i
Over $1 , 000 - 10 .00
per $1 ,000 or 2 . OWNER
fraction thereof
3 . ADDRESS Slo /v T,,q C-- Q/ v^e7-
5-d aT/1 Z o11A,1 fd-1L
104 . APPLICANT tee o
5 . ADDRESS -5'7'
6 . ESTIMATED COST $
7o IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $ J77T7
9. T OF BUILDING:7SIDENTIAL COMMERCIAL
10. TYP OF JOB :
Original Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11. LOCATION OF JOB ld 11IG.I> S-'V O
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION Alm
13 . SIZE OF MAIN FEEDER
14. NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16. NO. OF POWER LOOPS 17 . NO . OF LIGHT OUTLETS
18 . NO . OF HEAT CIRCUITS 19 . NO . OF POWER OUTLETS
20 . NO. OF CONVENIENCE OUTLETS F O 21 . NO . OF HEAT CIRCUITS
22 . NO,) OF POWER CIRCUITS 23 . NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS .
26 . NO. OF PANELSZ 27 . TOTAL WATTAGE
28 . N .0 OF POWER FEEDERS 29 . NO. OF SWITCHES
30 . A/C LOAD 31 . SIZE OF POWER FEEDERS
32 . NO. OF FIXTURES %34 33 . TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES_______
35 . REMARKS AND FURTHER DETAILS :
40,1
LICENSE NO . SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
n+.+r!+. ram•. ''°'y.'c1" A ,.
w!qT^^i. .,
a'
Lot' No.'
Building Permit
Temporary Seryice
Permanent Service
Pursuant to Permit No.
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
w - \ ElectricianOwner11 + i t
Street
Bui ding nsp ctor
PERMIT NO.
DEPARTMENT DECISION
A P P L I C A T I O N F O R
APPLICATION IS HEREBY:
i PLUMBING PERMIT
L--APPROVED DISAPPROVED TOWM OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
644-2511 Ext. 230
ATE PLUMBIKG INSPECTOR Application must be printed or typed.
1. LOCATI0N. 0 JOB:
AD S
2. OWNER: 1FC aA
3. ADDRESS:
FEE SCHEDULE S
0 - $1,000 - $10.00 4. APPLICANT: nrXs \C,. C
Over $1,000 - $10.00 5. ADDRESS: 6 O pD`.
per $1,000 or
Fraction Thereof C U(,D 9
6. EST. COST: $ JD
7. IS THIS A CONTRACT COST? YES Y NO
8. FEE ENCLOSED:
9. TYPE OF ILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
J RIGINAL ALTERATION
INSTALLATION ADDITION
REPAID.
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
V A11. LOCATION OF JOB: 31 - 4 ft
Ty uk-1 l-')
GENERAL PLUMBING
12. KIND OF INSTALLATION: tw i ;13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE§ 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS 16A. NO. OF SHOWERS 1 17. NO. OF LAVATORIES 3
18. NO. OF SINKS `19. DISPOSAL i 19A. DISWASHER V
20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE
22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?
27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK? EWt
3h31. SIZE OF WATER MAIN V 31A. SIZES OF WATER PIPING & RISERS
32. REMARKS AND FURTHER DETAILS
WATER HEATER
33. TYPE 1 e 34. MANUFACTURER Amy'
TANKS SAFETY DEVICES
TEMPERATURE
35. CAPACITY 0 1 39. RELIEF VALVE
36. TEST PRESSURE 3J LBS. 40. MANUFACTURERgS
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER o`
Zo Z L a
LICENSE NO. DAITE SIGNATUIV OF APPLICANT
PHONE NO. G R)b- 1 lb-1
PERMIT NO.
DEPARTMENT DECISION
A P P L I C A T I O N F O R
APPLICATION IS HEREBY:
PLUMBING PERMIT
APPROVED DISAPPROVED TOWM OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
644-2511 Ext. 230
DATE PLU173 : INSPECTOR Application must be printed or typed.
1. LOCATION OF JOB:
3
2. OWNER:
3. ADDRESS:
FEE SCHEDULE
0 - $1,000 - $10.00 4. APPLICANT: C-i
Over $1,000 - $10.00 5. ADDRESS: `6
per $1,000 or
Fraction Thereof 5 1 C r Ud QS
0
6. EST. COST: $ d
7. IS THIS A CONTRACT COST? YES V NO
8. FEE ENCLOSED: 7 7 4 7
9. TYPE OF
ZLDING:ESIDENTIAL COMMERCIAL
10. TYPE OF JO/ .
V IGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
St sH
11. LOCATION OF JOB:
GENERAL PLUMBING
r
12. KIND OF INSTALLATION: 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS_ STYL 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS , 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES
18. NO. OF SINKS 19. DISPOSAL 1 19A. DISWASHER
20. N0. OF CONDUCTORS SIZE 21. N0. OF STACKS SIZE 3`
22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?
27. SIZE OF WINDOW 3>-)
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK? Sf,03kT,
31. SIZE OF WATER MAIN ' 31A. SIZES OF WATER PIPING & RISERS
32. REMARKS AND FURTHER DETAILS
WATER HEATER
33. TYPE 4"k 34. MANUFACTURER 1
TANKS SAFETY DEVICES
TEMPERATURE
35. CAPACITY 51 39. RELIEF VALVE
36. TEST PRESSURE 3O C) LBS. 40. MANUFACTURER W "-s
37. WORKING PRESSURE \5 LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
a
LICENSE NO. ATE SIGNAT E OF APPLICANT
PHONE NO.c8;g- VS-1b
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE:
NO.TOWN OF SOUTH WINDSOR EST.COST:
BLDG. PERMIT NO.___l 77q 7 1540 SULLIVAN AVENUE FEES
SOUTH WINDSOR, CT 06074 FEES:
644- 5 1 - Ext. 230 0 - $12000 - $10.00
RD$u'SN 1Qrvz 1000 or fraction
LOCATION OF BUILDING 3Z thereof - $10.00
6A t - S O,LiAOWNERADDRESS TOWN PHONE NO.
nos 09z4HALCCONTRACTORADDRESSTOWNPHONENO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL Y
A/C COMMERCIAL
VENTILATION BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC)_ WARM AIR
UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM GAS IN-PUT ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE F INSIDE^OF DIFFERENCE gD OF
TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPM T INCLUDING MAKE & MODEL NO.) :
GROSS HEATING CAPACITY (INPUT-BTUH)_a, NET RATING (OUTPUT-BTUH) jj-,
IF 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)
IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT) :
TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM)
PLAN MUST ACCOMPANY APPLICATION)
The undersigned hereby applies for a permit to perform the following work and is to comply
with all local ordinances and State of Conn. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK:
S-3 j6Sd)-
STATE LICENSE - NAME & TYPE #DATE SIGNATURE OF APPLICANT
APPROVED DATE
BD 4A 11/88
B= R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronlcs Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.B COL.C COL.D COL.E COL.F COL.G
11 ROOM Iz
O H L W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS, FT.O BTUH per Fo t of
3 LENGTH EXPOSED WALLS,FT. Q Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION ROOM LIN.FT.OF
Table 9, Line 3 x H) TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
Bottom of table used for Line 5)
7 CEILING CONSTRUCTION C
Table 9 L x W)
B FLOOR CONSTRUCTIONt
Table 9, L x W or Lin Ft) E
9 COLD PARTITION CONSTRUCTION F
Table 9, L x H)
10 c 1 Wall(With Openings)O
o a;
H
CZ 2 Walls(With Openings) DXeJ 1
3 Walls(With Openings) or Ent Hall f.
i l TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
K
COL A COL B COL.H COL. I COL. J COL. K COL.L TOTAL BTUH TOTAL
OF BUILDING RADIATION
1 ROOM a AT SELECTED
O H L W H L W H L W H L W H L W DESIGN TEMP.°
2 ROOM DIMENSIONS, FT
DIFFERENCE
O
3 LENGTH EXPOSED WALLS, FT Q
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION INCREASE BATHROOM
Table 9, Line 3 x H)TOTAL 20%
6 TYPE OF GLASS --
Bottom of table used for Line 5)
iFOR CONCRETE FLOOR ON7CEILINGCONSTRUCTIONGROUNDORFILLAT
Table 9, L x W) GRADE LEVEL,USE LINEAR
B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
Table 9, L x W or Lin Ft 1
9 COLD PARTITION CONSTRUCTION
Table 9, L x H)
10 c 1 Wall(With Openings) O
0 03
4 2 Walls(With Openings) D XeJ
3 Walls(With Openings)or Ent Hall
g OTAL BTUH AT 70F TEMP DIFFERENCE'
OTAL BTUH AT DESIGN TEMP DIFFERENCE
This form is available from The Hydr nice Institute,35 Russo Place,Berkeley Heights,N J 07922 FORM 1503
L ji AI
ESTIMATE •YTfE ! •UILaNG AOORtssY
CONSTRUCTION oATE f iy
DIEU N TEMPlRATURE p11tPERENCE a •'
AVERAGE WATER TEMPERATURE ! o •'.
C L. A COL. 1 R«. COL. C COL, D COL. ! C4L. '
N L W N L N r7AseoOlswslewe, It. N L W N LILength6ZC N L rE•w •/ Wells, E1.
BTU 3 Tu/NRG.e•e Wall Area, :. Fos U aTU/NR S aTU/NRrREQUIRE" L6 REQUIRED BTU/No ROOMfeesAtE '/ 6 6o REQUIRED o REQUIRED T TAI.>leNotWellA.
I d0 pp REQUIREDslt. o zq 15'a wow L1/1 E lCWolinAreaf/. ' 5p/ tab cf o p 2,3,
It It V•Iww f r 3 Isfoo Z C>
IwNlt+sslee I:r'L... ............... ..110..00 3-s2`?, C Jl7 C7 c>
C.. /. c 363a7 .! 3 d
0 Vogel BTU/Mgt At >'Of Ts n
t y v 0 SOIIIMOnto • s-
1 T tot IITU/NR At Oeel n Tom& p111Mewse
N«1 OI bIMr11w• Units 1 Uc=Dill'
16
OOP
o
COL., A
COL. G 9 5ItowCOL. N COL. I O
P,,t- COL. J COL. K
N L W N L W c GadIs, Olwewel no, pl, N L M N N C>
L tl•wotA EM . 4 Wells. F/.
b 1 l vGressWellAre, =K. f1.
I U/NR aTU/M Z BTU/hitBTU/NotGlossA. f [1 bs
Z REQUIRED i1 REQUIRED g Z REQUIRED 3 G s U/N
Z b v REQUIRE Z REQUIRED g0OWellAreSil. »a 6 C7 /$'"$0 3v /S-Sbr.-p
c tll 1111111111111111,11111111s . f/. o ••Y 4S o
Z C
r K•.• Vole• F r i f13 O U Z 7G ------•w....
Iwltltrailew 6c'... Sam. ,I'.0......... .. S S i Vr 0
79 2 Z•EsGO TM 1 •TV .-
o T*t•1•R T11/NR •/ >•R' T
Sb
1 R.Is...011lerewso • e7v Deli w 1....1•tel IITIl et 0 soon Tee••. Different* /cj Dll s.•w.s
J N.et Do trl etlwo unite
3' oU b
Ins.oaae 110*teen Total !OR2 a /TO I.eet lose s few-lotion grid 0011001 elks 1 le 1 r lire we 1 !.toweret•Meer ew •r loll N •ref •level we Ilw er Is / el .
end Withal eolere. tlno sew#r storewNeergaddoW11•NeL Iw C . even• • n• rs•sow el Illtt 1 r #A• •el•n er
for II li eve •«e.• feet of area. e.etl w f th heallw9 or e/em booed on the selewlell ns sow# Insd ew title lk+sea.
P
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: Z Z--
NO. 7 e7y TOWN OF SOUTH WINDSOR EST.COST:
BLDG. PERMIT NO. 7 4Z 1540 SULLIVAN AVENUE FEE /r
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 0 - $19000 - $10.00
N ANt 1000 or fraction
LOCATION OF BUILDING f _ thereof - $10.00
jnaarW
OWNER ADDRESS TOWN PHONE NO.
4 1Wn1O LO
H AC CONTRACTOR DRESS OWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF LDING: RESIDENTIAL x
A/C COMMERCIAL
VENTILATION BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR
UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM GAS IN-PUT J`ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE__?O_°F DIFFERENCE 90 OF
TOTAL HEAT LOSS (BTUH) t HEAT LOSS SHEET MUST ACC MPANY APPLICATION)
DESCRIBE ALL HEATING EQU ENT (INCLUDING MAKE & MODEL NO.) : AM-ram 1a Y U&
GROSS HEATING CAPACITY (INPUT-BTUH) 0,000 NET RATING (OUTPUT-BTUH) jj ,QD
IF 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)
IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT) :
TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM)
PLAN MUST ACCOMPANY APPLICATION)
The undersigned hereby applies for a permit to perform the following work and is to comply
with all local ordinances and State of Conn. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK:
STATE LICENSE - NAME & TYPE #DATE SIGNATURE OF APPLICANT
Z,?-d
PPROVED DATE
8D 4A 11/88
I = B = R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronics institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.B COL.C COL.D COL.E COL.F COL.G
11 ROOM 2
O H L W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS, FT H
U BTUH paw F t f
3 LENGTH EXPOSED WALLS, FT. Q Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION ROOM LIN. FT.OF
Table 9, Line 3 x H) TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
Bottom of table used for Line 5)
7 CEILING CONSTRUCTION C
Table 9, L x W)
B FLOOR CONSTRUCTIONt O_
Table 9, L x W or Lin F t) E
9 C FOLDPARTITIONCONSTRUCTION
Table 9, L x H)
G
10 c 1 Wall(With Openings)C
0 i; H
c Z 2 Walls(With Openings) DX
3 Walls(With Openings) or Ent. Hall 1°
J
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K
L
COL A COL.B -_COL.H -- COL.1—_ COL_J --- _ COL. K COL.L TOTAL BTUH TOTAL
OF BUILDING RADIATION1ROOMATSELECTED
O H L W H L W H L W H L W H L W DESIGN TEMP.*
2 ROOM DIMENSIONS, FT
DIFFERENCE
U
3 LENGTH EXPOSED WALLS, FT 4
4 WINDOW AND OUTSIDE DOOR AREA Lk
BTUH BTUH BTUH BTUH BTUH
HWALL
CONSTRUCTION INCREASE BATHROOM
Table 9, Line 3 x H)TOTAL 20%
5
6 TYPE OF GLASS --
Bottom of table used for Line 5)
7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON
Table 9, L x WI
GROUND OR FILL AT
GRADE LEVEL,USE LINEAR
B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
Table 9, L x W or Lin Ft)
9 COLD PARTITION CONSTRUCTION
Table 9, L x H)
10 c 1 Wall(With Openings)C
0 0;
e 2 Walls(With Openings) o XaJ3Walls(With Openings)or Ent Hall
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
This form Is available from The Hydr nice Institute,35 Russo Place,Berkeley Heights,N J 07922 FORM 1503
OWNER G U,\k ESTIMATED BY C H.
t YPE P 11 MLOING
ADDRESS
COMSTRUCTION DATE 6/2-
DESIGN TEMPERATURE DIPPERENCE O •',
AVERAGE HATER TEMPERATURE ,e
COL. 9 COL. C COL. D COL. E C.Q L. /
L M L W H L WReeceDlmew$IMO, '1• M L W M L W7Lew11Atw' *ad W Ils, /1. DTU/NR 1 Z S
Goss Well Ar Tu/M11 Z STU/NR Z-q /TU/NR OTU/NR ROOggee• iR' '1. Z REQUIRED ;'Z,, REQUIRED Z 6 REQUIRED 3Z. REQUIRED //Z. R[
S Close A. i '1,
q1.6
j OUIRED TOTAL%
O 6S FROM L IN t 1eNot • 11 Are i . O j 7 2. C QU
C•11Iw Atee. 3 Z .e:G ZZ-b Y Z Op0 S6o0
ROOM V Iwsts f t y
IwMI
d
GO .
Zty.. „3 d
cl 2 ud /t/ OG C 70CItrOAlawJ'i7
LL .Co. 1. O 3 ... 1.... ..."?VI
NNE ZNl6oTotal •TU//IR Al ?OE Tema Dlllorfw
D
T 901 BTU/MR At Design Tewe. Dlllerew••
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