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Home My WebLink About1015 Pleasant Valley Roado THE BUILDING INSPECTOR a of the APPLICATION FOR TO" CW 50l)m PLAN EXAMINATION ANDcowBUILDINGPERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O L, ZONING AT (LOCATION) t0` DISTRICT LOCATION NO.) STREET OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE 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 In 1 N w building Residential Nonresidential 2 Addition(It residential, enter number 12 One family 18 Amusement, recreational of new housing units added, if any, 13 Two or more famil — E 19 Church, other religi usinPartD, 13) y Enter number o/ units— — — — -jp- 20 Industrial3 Alteration (See 2 above) 140 Transient hotel, motel,4 Repair, replacement or dormitory — Enter number 21 Parking garage 5 Wrecking (l/multifamily residential, of units ——————— — -i 22 Service station, repair garag enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional6 Moving (relocation) 25 Public utility7 Foundation only 17 Other — Speci/y Y 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 [!J-7rivate(individual, corporation, 28 Tanks, towers n nprofit institution, etc.) 29 Other — Specify 9 Public (F deral, State, or local g vernment) 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,,,,,,,,,,,,,,,, S 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 ctrical...................... b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT j$A44,,oDz) 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 Public or private company 48• Number of stories................ 31 W d frame 41 Private (septic tank, etc.) 49- Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions ......... ..•...• 33 Reinf rced concrete H. TYPE OF WATER SUPPLY 34 Oth r — Specify 42 Public or private company 50• Total land area, sq. ft. ........... 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors....................... Oil conditioning?L. RESIDENTIAL BUILDINGS ONLY 37 Electricity as Yes 4S N 53. Number f bedr me.............. 313 C al 39 Other— Specify Will there b an el vator? 54. Number of Full.......... 46 Y s 47 N bathrooms Partial........ IV. IDENTIFICATION — To b comp/ t d by all applicants Nam Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or Lessee 2. Contractor 3. Architect or Engineer Th owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction. Signature of appli ant Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R vi w R uired Check Plan Review Date Plans By y Date Plans B NotesqFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check obtained Number By Permit or Approval Check ObtDaned ate Number I 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 T, Bui Iding Permit issu dv4z 19 Building AP Permit Fee $ C24z pprov y: r TITLE fi TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Sept- 13 1985 Fee Paid $.264...00 Eat. Value $. 44,000 Permit N° 14652 on the side of Pleasant Valley Road Stteet Street No. 1015 Owner i1a to d l-1i 1 1 r IU= Applicant .1. Dutton -- CERTIFICATE OF OCCUPANCY ISSUED: Date No. 727g Fee Paid $ 1_()() CLASSIFICATION Dwelling SEPTIC FEE $20.00 I I i I BURDiNG PERMIT i i N 14652 OFFICE OF i THE BUILDING INSPECTOR of the Town of South Windsor, Conn. I South Windsor, Conn. IS"1985 I I m4io to to (fertifij, That T—wo a Du. I is hereby granted permission to DM1 lina I I I at estimated value of on the side of 1015..Bleasaut VaLlW_Pio r3 Street on land I owned by Dgtt-d-=21r Dutton Said AiOo k to be as described in Application I jNo. 14952 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued SM1r - 13 125 a utldtng htfopcttor. I Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers I 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 coats and damages which it shall sustain, or be compelled to reason therefor." I I I I i I . I I I I I I I I I I Dwelling 9/13/85 Da vid Dutton 1015 Pleasant Valley Road 14652Permit # Electrician Cripps Electric 9017 er v. Heating Contr. A. R. Krawic 6293 Plumbing It Bruce Ohlhof 6905 Oil Burner Certificate of Occupancy 7279 e er Permit, owt plan app a. per Engr/Sara. i I Permit No.TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. j I i d I Permit I Certificate of Occupancy I THIS IS TO q]g ATIFY that the r r at No. / . cfiin the To of South Windsor, Connecticut, hafbeenerectedandcompletedinaccopdancewitthe Ludg Code and Zoning Regulations o I the Town of South Windsor, and is hereby app vedcupy__ 7 Building Inspector Ownef, Builder DateFeePaid 19 1 9017 ELECTRICAL APPLICATION Application No.10532 on the side of Street Street No. tolls Owner iL,, ,U 1 A Electrician c f-'tJQ FILED IN OFFICE OF The Building Inspector Dec. 13 19 85 L INSPECTION. 40 mNo Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit No. Master License No. TOWN OF SOUTH WINDSOR Building Permit No. BUILDING DEPARTMENT Date Filed Date Final Approval .............. . ............ ........... APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION: 1015 Nea53(*V,51(.eq —Ad........................ JOB OWNER: Side of Between and ... Name of Building Owner Address qAa. Ifwork is for Lessee—Give name ... Address ............................................. .................. .......................... Building now occupied as (unless new) No. of family units now . ... . ...... ... Building to be occupied as Number of family units to be ..... ... ......6...... .. Is this work included in a Building Permit? Permit Fee A If no Building Perm' ) IkPermittee044.*4.1r, Business Address6 Vs,.-W- U— Telephonec2.4kY.- COSTOF INSTALLAT104F6 0.1 — 6.........................................6................................. TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed Number of convenience outlets to be installed Number of present Appliance Circuits . .. .. .. ........................ .. Number of switches to be installed Do these include Range R Water Heater Number of appliances to be installed as listed below) Dryer Air Conditioner Oil Burner TYPE RATING NO. Dish Washer Gas Burner E] Range . . . . . . . . Well Pump E] Elec. Heaters Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater Ce Clothes Washer . . . . li-415—t 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 . . . . ........................... Number of new Appliance Circuits . . . ............................. Number of Heating Circuits . . . . . . ............ .............. Number of Motor Circuits Size of present service ......... Size of service to be ............................ ...................................... 6905 PLUMBING APPLICATION Application No. 6676 on the ... adc of Pleasant Valley Road Street No. ...... Owner ....._--.._Da_yid Duf on Ply ..._,,,,_B r u c P Oh 1ho f Filed in Office of The BWI&g 1/17/86 19 ENarmC'1mum. No person shall oomamm t; add to or aloes sty portion of the drainage systean of any btsldiog cocept to repair kalm) una a Bermic is gcmftd by the Building Inopeaw. APPLICATION FOR PLUMBING PERMIT (Continued fr m Reverse Side) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB IL a/ PGser/ NO df STREET FLOOR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION nel w 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS STYLE 2 Gn A_ 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS_19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS c2- 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? h 27. SIZE OF WINDOW 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? / 6l.-/ 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? SIGNATURE ADDRESS LICENSE NO.2-0 3 14 k ESTIMATED COST '_00 7'TELEPHONE771 OWNER ADDRESS /oo/ C-.T yr,1 Acl -5 1" in 5 nS_ WATER HEATER e 31. TYPE 32. MANUFACTURER TANK SAFETY DEVICES 33. CAPACITY z_c 37. TEMPERATURE RELIEF VALVE O 34. TEST PRESSURE 38. MANUFACTURER 35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE 36. TYPE y 40. MANUFACTURER ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. CD962 DATE SIGNATLI OF APPLICANT PERMIT # Application For 6694 6293 DEPARTMENT DECISION Heating Permit0 0 3E APPLICATION Is HEREBY: o DEPARTMENT OF LICENSES AND INSPECTIONSa N 12 APPROVED ElDISAPPROVED a co TOWN OF SOUTH WINDSOR c a 11/19/85 Thanas P. DI Auria 00 DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W O w O 1. LOCATION OF JOB O ^" Cd Or..) NO. iTREET Cd v 07 LOT NO. FLOOR APT. NO. O O c Q 2. OWNERCd6 , E J tc'3t 5;C r 4.PHONE JrZ—LZ9 7 Cc S. APPLICANT Cd cc O ai y ld•j_lLr+ , B. ADDRESS 1 PHONE w B. LICENSE N0. Q C w B. EXPIRATION DATE OF LICENSE v O 10. ESTIMATED COST 11. IS THIS A CONTRACT COST?YES nobe as r 12. FEE ENCLOSED x Permit #14652 W is.TYPrO DUILDING: C D[NTIAL COMMERCIAL ccc 3 14. TYPE OF JOB: INDUSTRIAL r C.;MINAL ALTERATIONINSTALLATINADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued from Reverse Side) 11. LOCATION OF JOBS' '-NO. STREET FLOOR APT.N 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE i LOCATION /j• .r t 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 rt r v i/ B BOILER OR FURNACE MAKE AND Ne'f B.T.U. OR SQ. FT. NEl b''~ e.T.U. OR SQ. FT. GROSS FIRING RATE f FLOORS TO BE HEATED 'c NEW Qg OLD BUILDING ANSULATED - YES OR NO `4':" ` TYPE OF WALL r ldj 1 6'-_ '4NSULATION ROOF OR CEILING f'`'`l INSULATION 7i h y AVG. SYSTEM WATER TEMP. 3 B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE ' x FAHRENHEIT MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. Zy J;VA _ L2rpi i"c DESCRIPTION OF WORK -, 15. TO BE DONE: i <' Al 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): Room slzE wlNoows AREA — SQUARE FEET B.T.U. 9.T.U. F° AND DOORS VOLUME TOTAL TOTAL a DISTRIBUTION INSTALLED ROOM NO' GROSS GLASS NET WALL CEILING FLOOR Cu.FT. AT 70•F CORRECTED -J j 4 4 REGISTER L W M AND TEMP. TO p 0 RAD.TYPE AND SIZE OR LEADER SIZE WALL F"c'0 INFILT.) DIFF. F F m SQ. FT. FREE AREA cy 3 TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. Z 7Z5/ 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 /y0 M&7-l/ 17. ELECTRICAL WORK BY: %!/i` f.. ' `c`c, NAME ADDRESS SUBCONTRACTORS AND 18. 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 SIGNOTURE OF APPLICANT PEAT LOSS CALCULATIONS EPOCH COP"RATION MODEL NAME:HOUSE TYPE CONST.DATE: WATTS = BTU x 293 b ROOM IC IT/ T_ iR A rH BiZ 1 MULTIPLYING FACTOR AREA BTU AREA BTU AREA BTU AREA BTU EXTERIOR DOOR 12.0 TR. GLAZE - . N.._ 23.8 19.2 cn DB. GLAZ$39.4 _ SLIDER 37.3 40•0 1492 NET WALL 5.11 1W•S _9 22 99.1 44 ) 11(o.0 89 8 c @ 376 TEMP DIFF. _ 2.8 ?43:8 1083fo-9 4l4lir'5,5119.9 o @_ IOO TEMP DIFF. _ - 7.7 - --- - ------ - _ CEILING/ROOF 2.7 Z43-$ !05$ 1*o•9 E4 1 EX. WALL-OPNG 9.0 w 2 EX. WALL-OPNG_13.5 243.$ $29 I_ 3 EX. WALL-OPNG 18.0 - STAIR OPNG. TOTAL BTU!S 3 1zs_1 4(,O- TOTAL BTU'S SUPPLIED lS 5 zz f_g 6r TOTAL WATTS Z 19$ 3 8 1350 TOTAL WATTS SUPPLIED zsm SOO LENGTHS 6. o loon Its ROOM L.1 V- RIN 2 3 MULTIPLYING FACTOR AREA BTU AREA BTU AREA BTU AREA BTU ARBA BTU EXTERIOR DOOR 12.0 IDB. R. GLAZE 23.8 23.9 6oq 23.q l 12.0 ZS(o GLAZE 39.4 SLIDER 37.3 NET WALL 5.1 199.2 101 Cp (oq-9 3S(p I(P4.1 84' 8 @ 370 TEMP DIFF. 2.8 219.y (o l cj 150.0 4Z.0 1-!&.p 3?S @ 100 TEMP DIFF. 7.7 S• I Cot. G•3 _ 49 5•co 4*.5 CEILING/ROOF 2.7 Z-4.Co (otcp 15co.3 42Z 1404 S80 F; 1-EX. WALL-OPNG 9.0 Z2?•Co 2.04E I S4.3 1401 140.(0 1?_.Co S w 2 EX. WALL-OPNG 13.5 3 EX. WALL-OPNG 18.0 STAIR OPNG 2551 14 L TOTAL BTU'S 7 Z 3Z23 319 27L 5 TOTAL BTU'S SUPPLIED 18C 0 3GC1D 31000 TOTAL WATTS TOTAL WATTS SUPPLIED loco IOOO LENGTHS 10 3 E 2'e{. G• , FINAL INSPEC 10 Building S: / woddT APPLICATION FOR BUILDING PERMIT Plumbi HVAC 1015 PLEASANT VALLEY ROAD Date: Sprinkler El ctric Estimated Cost $ 6D Zoning Permit Fee$ Affidavit NO. 20273 Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS. Fire Dept. TYPE OR PRINT ONLY Total Fee $ Health Dept. SIGN ON REVERSE SIDE. Approved for CO: Additional Cost) $ TO BUILDING DEPARTMENT, 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 Day W C)U41:v n I Tel. # 5X8 t IRR Address 1015 Pleasa.t ra AV led .901[,R Wr 4SOf CT Zip 000 74 Lic.# STREET CITY STATE Owner Day,<-J, U - cw,`6n Address G Architect Address Size New Area: Ft. Front Overall t D Ft. Deep Overall /Y Total Area Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line Dist. from Side Street Line Purpose of this Permit u D X 1 City Water Well Septic Sewer Approved by Date IB 13^92 Bo1A 11/88 I h reby agree to conform to all th requirements of th Laws of th State of Connecticut and th Ordinanc s of th 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 permit. Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: FINAL INSPEC IONS: s APPLICATION FOR BUILDING PERMITBuilding Plumbin HVAC AV 40 i M4 Sprinkler 1015 PLEASANT VALLEY Electric Estimated Cost $ 1,000 Permit Fees 'J-0 c'(')Zoning 21014 Affidavit NO.Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS.Total FeesFireDept. TYPE OR PRINT ONLY Health Dept. SIGN ON REVERSE SIDE. Approved for CO: Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location '/ Iyawo. I I Lot No. Side of Street Zone ApplicantJJ Tel. # 11Q _.R Address Zip / 7 Lic.# STREET ITY STATE Owner Z Address Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Local Dees Garages Size of Lot Dist. from Street Line Bathrooms= Rooms 1 st 2nd 3rd Purpose of this Permit City Water Well 0 Septic a' Sewer 0 Use Group r 14 Construction Type Approv d by Date iL S BD1A 11/88 I h reby 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 ap Lication for permit. Signed- a2&:'6' DO NOT WRITE BELOW THIS LINE INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: r^T R'75'' tea..---R• ...-r --P--.. Pursuant to Permit No. 2 10 14 This Certifies that the Wood/Coal Stove installation for which the above named Permit was granted has been duly inspected and is hereby approved. Owner David & Jill Dutton Street 1015_ - Pleasant Valley Road 11/02 1993 nspector HOME OCCUPATION FORM Minor i' ZEO Approval Date 1) ( C) ASSESSOR'S USE ONLY: Major PZC Approval Date Home Occupation Type Expiration Date Code Name Jv-44tm%, Address of proposed occupation: 2 Telephone 'a o`l Zone Description of Occupation: 4 17 I-zlo s Nr-)LiJ<-f-0 Me 4Y-a:LG A. PROPOSED SIGN Please use the boxes or an attached sheet to provide the following. 1. Attach copy of plot plan if applicable. 2. Use box A (or attach sketch)to draw proposed signage . 3. Use box B (or attach sketch) to draw the floor plan of the home occupation area. 4. Architectural elevations for any proposed additions or modifications Non must be provided. O G B. FLOOR PLAN 2nd Floor_Basement 1st Floor Floor area of dwelling 15-Do Floor area of home occupation .1 d X i0 of floor area 7 5°],. IL S a 0 YV\r I f I have read the regulations regarding home occupations and intend to comply with said regulations. I understand I must notify the Planning Department in writing upon termination of this occupation at this address. Signature of Applicant Date Signature of Owner Date White = Assessor Yellow = Applicant Pink = Street File Daft EPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT A lic 'TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT APPRO 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 BuK Inspector Application must be printed or typed Location of Job: EE SCHEDULE PlehSM f tOFor1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 ny fraction thereof Tenant Designation Apt.No.. APPLICANT ycr&-% 6 a %1 APPLICANT ADDRESS Z d /5 Plea s a ti 4- V.ZL Q EAJ I'jol dcof— T 676 07y APPLICANT PHONE# lv/!y - Dv& 0 N 4 OWNER 0 OWNER ADDRESS 0 OWNERPHONE 5AI" )a C a ESTIMATED COST$ U IS THIS A CONTRACT COST? 0 Yes UNo FEE ENCLOSED$ 13 TYPE OF JOB: 014'ew Installation 13 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YES O'NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY STORAGE ADDRESS GARAGE MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS /— S,4 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 f ' -Ci O 1Ne w 109 rr` 451!21 CJ /Aoin Q 9 i'o I- P o 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 APPLICANT4a dDATE d LDate RTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# plication ' hereby: 0BUILDINGDEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Bu g Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 104014,Aa 1 (),4//&l 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT L7 0, ,,, l,6 g.• APPLICANT ADDRESS /0 !15- 1-2/e-A Sew 1..4- 44 APPLICANT PHONE# 69 0-00 O 001 OWN SF OWNER 1 OWNER ADDRESS Ot' OWNER PHONE S 4 'E C ESTIMATED COST$ U IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ R O TYPE OF JOB:Sp .C New Installation Alteration/Addition/Repair Revised 5101 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: HEATING RESIDENTIAL UA/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) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) 16n,eri S JaoddGrd ""., dPy,SP/ l- ' 7 / c 2y/4 too^, 9 w,P r,.a °.r C-L. dr. rJ ',- II- of d/,P/ - U;Z v L I qy 6 GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT BTUH) TYPE OF FUEL OIL—GPM OIL TANK LOCATION:INSIDE OUTSIDE CAPACITY GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW 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)-V—:?VDO a 7-C/5 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. ref-a')'t-ev- CONTRACTORS LICENSE NO. TYPE. STATE SIGNATURE OF APPLICAN DATE 7- U` go r For: ALBANY Htg Clg Infiltration Outside db(OF) 8 88 Method Simplified Inside db(OF) 70 75 Construction quality Average Design TD(OF) 62 13 Replaces 0 Daily range M Inside humidity(%) 50 Moisture difference(grAb) - 22 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Trade Trade Efficiency 80.0 AFUE Efficiency 0.0 EER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Heating temperature rise 0 OF Total cooling 0 Btuh Actual heating fan 887 cfm Actual cooling fan 887 cfm Heating air flow factor 0.022 cfm/Btuh Cooling air flow factor 0.053 cfm/Btuh Space thermostat Load sensible heat ratio 90 % ROOM NAME Area Htg load Clg load Htg AVF Clg AVF ftz) Btuh) Btuh) cfm) cfm) KITCHEN 200 9923 5704 1 216 1 305 BATH 72 2801 630 61 34 MASTER 180 9018 2942 197 157 livingroom 120 9571 3482 209 186 bed 1 120 4363 1666 95 89 bed 2 132 4974 2159 109 115 Entire House d 24 40650 16583 887 887 Ventilation air a 0 0 Equip.@ 0.93 RSM 15422 Latent cooling 1748 TOTALS 824 40650 17170 887 887 Printout certified by ACCA to meet all requirements of Manual J 7th Ed. A wnghtsof Right-Suite Residential^'5.0.30 RSR27744 2002-Feb15 08:35:26 Projectl.rsr Page 1