HomeMy WebLinkAbout104 Carriage DriveTO THE BUILDING INSPECTOR
of the APPLICATION FOR
a- TOwIN OF MUM w lmsm K
PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all 'terns in sections: 1, It, III, IV, and IX.O
A ZONING -I• AT (LOCATION) !t%DISTRI
LOCATION NO,) STREET)
OF BETWEEN AND
BUILDING ROSS STREET) CROSS STREET)
LOT
SUBDIVISI LOT47 BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use
rn
T
1 New building Residential Nonresidential
2 Addition(1/residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any,13 Two or more family - Enter 19 Church, other religiousinPartD, 13)
number of units- - - - -o. 20 Industrial3 Alteration (See 2 above) 14 Transient hotel, motel,21 Parking garage4 Repair, replacement or dormitory - Enter number
5 E] Wrecking (1f multifamily residential, of units ------- - -- 22 E] 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 - SpeciJy 25 E] Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, merconfile
8 Private (individual, corporation,28 0 Tanks, towers
nonprofit institution, etc.) 29 0 Other - Specify
9 E] Public (Federal, State, or
local government)
C. COST Omit cents) Nonresidential - Describe in detail proposed use of buildings,e.g., food
processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement,,,,,,,,,,,,,,,, school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical......................
b. Plumbing ......................
c.Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $
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 Wood frame 41 Private (septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterioro32 Structural steel dimensions .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other - Specify 42® Public or private company
0 Total land area, sq. ft. ........... P`7,11 Ju
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors.......................
36 Oil c nditi ning?L. RESIDENTIAL BUILDINGS ONLY
37 El etrieity 44 E] Yes 45 W po 53. Number f bedrooms........ .....
39 Coal
39 Other- Specify Will th r be an levator?
54. Number of
Full..........
46 Yes 47 D4 N bathrooms
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b compl t d by all applicants
Nam Mailing 21tess — Number, st et, city, and State ZIP code Tel. N
Owner or
Lessee 4-rP o
2.
Contractor
JOIN
3.
Architect or
Engineer oa1
The owner of this building and the undersigned agree to con orm to all applicable laws of this jurisdiction.
Signature of applicant Address Application date4:' iv2jz
ro O NOT WRITE BELOd THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans B Date Plans By NotesqFeeartedyApproved
BUILDING i
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A rova I Check
Date Number By Permit or Approval I Check Date Number BypPObtainedObtained
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
AIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
P rmit numb r 10247
Bui Iding
Permit issu d MRY 5 19 7_
Bui Iding
Permit Fe $ 180.00
Approved by:
f
TITLE
ZONING
FRONTDISTRICT
SIDE YARD SIDE r
REAR r
NOTES
IX. SITE OR PLOT PLAN For Applicant
now 11H. US
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P t
TOWN OF SOUTH WINDSOR
BUILDING PERMIT ramx
Date May 5 19 7 8
1$0,00 Est. Value 30. 000.00FeePaid
Permit TQ 10247
on the side of
Lot #17 Carriage Drive Saver
Street No. 104
Owner RSK ontractors
APPlicant RSK Contrar— ors
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 5129
Fee Paid $ 3.00
CLASSIFICATION
Dwe11inz
Q
RECD. SEw t
BUILDING PERMIT
NOW 10 24.7.
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
May 5 780
South Windsor, Conn. 19
RSK Contractors
94is 'to to Tertify, That
Dwelling
is hereby granted permission to
AAA 00
estimated value of $
Lot ; Carriage rive
on the side of Street on land
RSK Contractors
owned by Work
Said to be as described in Application
10547
No. and to conform to specifications and plans filed with said Application, and Building By.
Laws of THE TOWN OF SOUTH WINDSOR. M9LV 78
Issue r'`19
Building 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 compelled to reason therefor."
INSPECTION REPORT
Permit # Job
I
1 Footing4
2 Foundation - 16 -7j
3 Framing Ss-
4 Wiring 4-13-YA
5 Plumbing g-- -
6 Heating
7 Lathing
s C.0.
P t Nod TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit wd 5129
Certificate of Occupancy
THIS O CERT Y that the b
at No. in the of South Windsor, Connecticut, has
been er cted and completed accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved for occupancy
0 Id A AVY, Z,"L
j g InspectorX,06
Owner,- Buil er
e Paid 13 Date 144 cao lg zP
N/F PATSY BREGLIO
34, 649.3,
i
O,
a I
I
Z3 1
I
1 LOT IS
00, LOT IT I
LOT 16 43O 999.33 SQ.FT.
ma`
s
9 01
e NI
I
00 eo
1
Lot information comes
from division`r subdivisionn plan of \\
Sand Hill Estates
Foundation located 5-06-78
No Zoning Regulations Violated \
I
o cl
coSU
M ECli
lilt lilt
PROPERTY OF R.S.K. CONTRACTORS INC
LOT 17 CARRIAGE DRIVE SOUTH Wes• COMM.
MIL 'W . LUCEK ASSOCIATES
NO. A SCALE 1is.401 DATE E_ 14' 17MO
CONSULTING ENGINEERS
S OAKLAND ROAD DRAWN A.V.H. CNECKED
S UTN WINDSOR.CONN.
203.044-2__= sirROlECT .
CERTIFIED SUBSTANTIALLY CORRECT - DEGIMIt, OF ACCURAGY
EMANUEL W. LUCEK CONIC. REG. LAND SURVE4on 6293''
y
r
A P P R E ®
TlJWNII
DATE'
7480
ELECTRICAL APPLICATION
t
Application No. 8592
on the side of
Carrie Drive StMt
Street No. 104
Owner Lee Sackmqn
Electrician Homeowner
FILED IN OFFICE OF
The Building Inspector
July 16 ig 81_
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.
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK.
No. .....95.92......... .......
Permit No. . 4$ ......... .
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, sh be complied with
whether specified herein or not.i
South Windsor, Conn., .. 19 6/Sign he
Address 6
LocationSide of . . . . . . . .. . ................. ...... ........... ... .. ........ ..............
Nature of Building How many stories . ....... .............. ....................................I.... .................
New or old Building How many families ..........................................................................................
Kind of Installation ....... ... .. . . ..... . How many Stores ...................................................................
Ownerl..G.![m. .........02. .. :K:............... .. _... .. . Address
Architect ......... ............ Address
Builder ......... . ......Address
Electrician Address . .... ........ ...............................................................................
Size of Main Wires .. .................................................
No. of Light Loops .. ...No. of Heat Loops . ..... No. of Power Loops ........................_._...._....
No. of Light Outlets ............... No. of Heat Outlets . .. No. of Power Outlets .............. .. .............
NoP of Light Circuits ... ... .. ........ .... 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 .......... . ..... . ......Total Wattage ... ............ Size of Power Circuit .. .
Total Horsepower
No. of Straight Electric Fixtures .. .. . No. of Combination Fixtures .... . ... ...
No. of Receptacles ........................ ........ ........ ........... ........ . No. of Cord Drops ...... ....... ...... .................. ..... ........ ... ... ..
Remarks: For other kind of Installation .. .. ........... ........ ..................... ............ .. .... ................................ ... ... .. ..... ... .... .......... ... ........
f ............... .. ... .. ...
Estimated Cost .. / . .... ........... ......I...........
6483
ELECTRICAL APPLICATION
Application No.6789
on the side of
Lot #17 Carriage Drive Sttyet
Street No. 104
Owner RSK Cnntrnctnrs
Electrician PPtprcPn Fl ert-_ri,C
FILED IN OFFICE OF
The Building Inspector
June 6 19
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.
I o APPLICATION FOR PERMIT TO DO ELECTRICAI, WORK.
No. ........6....7...96.73.9... .
Permit No. ......... ..6..4..8..3..............
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., ........... p... . .. 19.. . Sign here
O Address A .. . C
Location ...............!Q i i w. 10.&A.......Side of ..........
Nature of Building ... of How many stories .................................................................................................
New or old Building ..... 1..0.00,........................... ... ... ..... How many families
Kind of Installation . ..0&)V. AC.,k... How many Stores ......................................................................................................
Owner C..JV...Address ...........T...4?.!10W. ?!//fir .....L4v!r.e.....
Architect .................................. ........ .......... ... .. . .... ........ ............ Address . .....................................................................................r...__....._....
ecBuilder 5.. `...ONtI off.. Address ..... . .................. .............................................I..........._...........
Electrician .404..V4.A95. .....4.46C t.... ....... Address ..............................................................................................................
Size of Main Wires .. VV..42$4.00!
No. of Light Loops ....... .. ........I No. of Heat Loops ..... ... . No. of Power Loops
No. of Light Outlets . ......./040.... .... No. of Heat Outlets ...... No. of Power Outlets ....................................
Nod of Light Circuits .........4..... .... 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 .......... ...... ............ Total Wattage .... ............. ...... .......... . .... Size of Power Circuit .............. ..
Total Horsepower . .. ... .... ....... .......... .
No. of Straight Electric Fixtures .. .No. of Combination Fixtures ....... .... .......................... ...........
No. of Receptacles ................No. of Cord Drops ...................... ............ ....................................................
Remarks: For other kind of Installation .. .. .. /V T*11414........&I/or.40-A&.....Qlc................................
Gv.. Ameyrrf..., ............ G., .........C,#.G ........... . t,
a® . . .... ......................................................................................................... ..... ... ....... ...........................................
Estimated Cost .... SQ....... wo w, ..
5210
Q
I'
PLUMBING APPLICATION
AppL'cation No. 5996
aide of
Lot 17
Street NO. 104
Owner ...r S k
Filed in Office of
The Building
June 14 19 7 8
nNs3 Ncnox.
No paaon shall constnrt, add to or alder my
portion of the drainage system of my hoUft
except to repair 66) until a Pleoit is goosed
by the Building Inspector.
Application No.....5.9.9.6...................... Permit No. ...5..2.1.0..................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application to perform plumbing according to detailed description below. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether
specified herein or not.
South Windsor, _.... ...........4..:77n/3............................. 1971-1. Sign he
Address Jif"2 f.. Cd.........
Location .....................................W....................................................................... side of ....... Street
Natureof Building How many stories .. ....... ..................12..............................................................
Owner .........Ae.5k...... Address.,V....
Architect ........Address .....................................................................................................................
Builder .............. Address ..............................
Plumber ... .. .. . ..... Address ......2!.....'k o W ...........................................................
DRAINAGE
CESSPOOLS, How many .. .... .... ./.......................... .................. Where located ......... ... .... ..... .........................................
4
1 . ..............Are they water tight Of what materials are they built
t c spool
oc
Size of pipe from house o I.................................. Kind of pipe .......d.
MAINDRAIN IN CELLAR, Material .......&..3Wvv%_Diameter ................ ......3.......................................................................
Aboveor below cellar bottom
SOILPIPES, Material . ... ...0...........-')........................................... Diameter . ... .......... .. ........ ......................................................................................
WASTEPIPES, Material . .... Diameter .....112.1...........................................................
TRAPS,Type proposed to use is ..........................A.. ... .... .. ..........................................................................................................................................
RAINWATER LEADERS, where do they run to ................... ..................................................................................................................
REFRIGERATOR WASTES, where do they run to ... .................................................................................................. ...............................
TANKOVERFLOWS, where do they run to
FIXTURES
WATER CLOSETS, How many . ..............-.-..3............... .......... Where located ... . ..................................................................................
Distance from trap to vertical soil pipe ........... .................... Pattern
WASHTRAYS, How many .............................-"*--'-...*******..... Where located . .. ....................................................................................
SINKS, How many ........................................Z......................I.................... Where located ..................................................................................................
BUTLER'S SINKS, How many ........................................................ Where located. ...................................................................................................
REFRIGERATORSINKS, How many............. .................... Where located ....................................................................................................
LAVATORIES,How many ............................ ................................ Where located ..................................q
BATH TUBS,How many..............................0 D.............................................Where located .....(
URINALS, How many ....................................6 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 ............
c4c..
Estimated Cost rj...............
PERMIT
Application For coos 4804DEPARTMENTDECISION
A permit
APPLICATION IS HEREBY:
0 DEPARTMENT OF LICENSES AND INSPECTIMS
N IkAPPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
o 6 14/78
DATE F SPECTOR
O APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE onjBW
p 1. LOCATION OF JOB
104
c NO. sTREtT
LOT NO. FLOOR APT. NO.
o O
J
O
2. OWNER Ar
cc
O
be g S. ADDRESS
4.PHONE
ad
S. APPLICANTasad L--...
oa. ADDRESS - 1 A41i.,40A•iC! ((.iC
r..
o 7.PHONE y"a f
w
B. LICENSE NO.3ey —q 2--a» s
pQ cws. EXPIRATION DATE OF LICENSE - e
cc.
g 10. ESTIMATED COSTcqLw
ram.
rz be i t. IS THIS A CONTRACT COST? YES Iq
4
1t. FEE ENCLOSED s Permit 10247
w 13. TYPE OF BUILDING
boC IW REf1OENTIAL COMMERCIAL
3 14. TYPE F JOB: INDUSTRIAL
ORIGINAL ALTERATI NINSTALLATIONADDITION
REPAIR
f
APPLICATION FOR HEATING PERMIT (c ntinu a fr m Rev rw sae)
11. LOCATION OF JOB N0. { 8T T FLOOR APT.NO.
12. TYPE OF INSTALLATION: L!I OIL BURNER ELECTRIC VENTILATION SPRINKLER
6AS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFT
SIZE I SIZE
OF TANKSIZES
LOCATION OF FILL OF VENT 1 li
18. OF TANK
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE ANDRod ry B.T.U. OR SQ. FT. NET)Q Wl B.T.U. OR SQ. FT. GROSS FIRING RATE L•
FLOORS TO BE HEAT D 2- NEW OR OLD BUILDING =:f ! L-I SULATED - YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WAT R TEMP. T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, C.I. RADIATION. OUTPUT P R SE TION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
f
DESCRIPTION OF WO 315. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
WINDOWS AREA - SQUARE FEET e.T.U. IS.T.U.
TOTAL TOT
DISTRIBUTION INSTALLED
R OM SIZE VOLUME ALANDDOORS r LL
NO. << GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j REGISTER
R OM W GROSS TEMP. TO f TYPE AND SIZE RAD. OR LEAD[R
L W N AND
Q (INFILT.) OtFF. F in a O. FT. FREE AREA
SIZE WALL 11.11197- . /a
Of
LbL1 q S /7
L
k 7& 12
6 ryo jn_F 31fv 7ov 77ro1J y (
Qtv 6 I({ r 3 k__try v - -
Kf t
l 3 9 1/ i O3l"D 7 2UL
0
I 6 3 S'6L
Liu!IU d 1 L ' d o t 0 7kW 6 '
lyiv3 J y
T 3 I riv, n aw asay
e*y L , 1
6` U
TOTALS
A. HEAT LOSS FROM BUILDING 7 076 B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING.OTHER THAN NORMAL 1 Q B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY:NAME ADDRESS
SUBCONTRACTORS AND f)
16. 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. / /3f
DATE 1 NATURE OF APPLICANT
PERMIT #
Application ForPp 6461 5360DEPARTMENTDECISION
Heatingpermito
3 APPLICATION IS HEREBY:
DEPARTMENT OF LICENSES AND INSPECTIONS
N IR APPROVED DISAPPROVED
W TOWN OF SOUTH WINDSOR
0 W
a 7113181 gAti_DAT
0
CNI F INSP TOR APPLICATIONS MUST RE PRINTED OR TYPED. BEGIN WITH NUMBER ONE B
o 1. LOCATION OF JOB
s~
4,, O NO. STREET
cS v
R LOT NO. FLOOR APT.
e u-r2. OWNER 10VU
3bo s. ADDRESS f 0 q
4.PHONEca
s. APPLICANTIT 4
o n
a. ADDRESS - b OyC 1
w W a N b 1A IQt it, 7.PHONE rJ
s. LICENSE N0.
Q
0 ''"' EXPIRATION DATE OF LICENSE
o °0
g 10. ESTIMATED COST S •D y i
C+l
do 11. IS THIS A CONTRACT COST? 13
y 12. FEE ENCLOSED S
X
W 13. TYPE OF BUILDING:
C . ENTIAL COMMERCIAL
ce 14. TYPE OF JOB: INDUSTRIAL
ORIGINAL ALTERATI NINSTALLATIONADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued it >m Reverse Side)
11. LOCATION OF JOB
NO. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC Cl VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. 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. SO.
FT. OR B.T.U.
DESCRIPTION OF WORK
m TO BE DONE:
m HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA - SQUARE FEET IS.T.U. IS.T.U.F DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL N
ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j it LL
RAD.
REGISTER
L W N AND S TEMP. TO F TYPE AND SIZE OR LEADER
SIZE ` WALL ;' O INFILT.)NDIFF. F m 3a. FT. FREE AREA
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: ,'
NAME ADDRESS
SUBCONTRACTORS AND
19. 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.
DATA SIGNATURE OR POCAN
i
b
t
PERMIT #
Cd
Application For 6668 5567DEPARTMENTDECISION
o Heating Permit
3 APPLICATION IS HEREBY:
DEPARTMENT OF LICENSES AND INSPEC Irl
APPROVED DISAPPROVED 4
Cd TOWN OF SOUTH WINDSOR
o A, 1/24/83
00 DATEV1 IEF INSPEC OR APPLICATIONS MUST RE PRINTED OR TYPED. BE IN WITH NYMDER ONE D[ '
o a,1. LOCATION OF JOBo2O
a 0 NO.
LOT NO. FLOOR A T. N .,
79
CI 0 v
c 2. OWNER
4 a0
bo 3 S. ADDRESS 1
A76iYGo
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3
sv a
4.PHONE kW-02 ,
C/1
s. APPLICANT- W l l Aw, . vy%"C Y. vk,
o cc xPCs. ADDRESS 2 a- /l ( ry(iL V
0 PHONE 9- o
s. LICENSE N0.
s. EXPIRATION DATE OF LICENSE
y .c 10. ESTIMATED COST s
be I t. IS THIS A CONTRACT COST? YES
12. FEE ENCLOSED s_ 'Oo
CJ x
IS. TYK OF BUILDING
0 •SZ RESIDENTIAL COMMERCIAL
L
0
a 14. TYPE of Jos: INDUSTRIAL
RIT J ALTERATIONINfTALLALLATNl11ydADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued tr m Reverse Side)
4111. LOCATION OF JOB Q
N0. STREET FL OR AFT.NO
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR C MISCELLANEOUS 6/
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 SO. 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. SO.
FT. 0 R B.T.U. N
DESCRIPTION OF WORK "
5-7.,4 k L .7--/2 UIs. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM slzE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U. i DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL n 4 REGISTER
Room
NO'GROSS GLASS MET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED j LL RAO.
TEMP. TO F TYPE AND SIZE OR LEADER
L W N AND C INFILT.) O F O SO. FT. FREE AREA
SIZE < wALL 'Gto DIFF. F F 01 N
f
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:
NAM[ ADDRESS
SUBCONTRACTORS AND
te. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN.
DATE SIGNATURE OF APPLICANT