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HomeMy WebLinkAbout117 Wentworth DriveJ- INSPECTORTOTHEBI11TG of the APPLICATION FOR lrovm PLAN EXAMINATION AND OFF W SOR,BUILDING PERMIT z IMPORTANT — Applicant to complete oil items in sections: 1, 11, 111, IV, and IX.0 ZONING 1. AT (LOCATION) / rAj7 4 Af! Q j iG DISTRICT LOCATION O') STREET) stOFBETWEEN—BjeonEg ell. ( CROSS STREET) AND ooL ( CRO IC L SS STREET) BUILDINGLOT SUBDIVISION EN'r't" 6rATCs LOT_J6?_BLOC K SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking"most recent use 1 (N New building Residential Nonresidential 2 Addition(It residential, enter number 12V One family 18 Amusement, recreational of new housing units added, if 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) r 14 Transient hotel, motel, 421 Parking garage4 Repair, replacement or dormitory — Enter number 5 E] Wrecking (If multifamily residential, of units ——————— — i 22 Service station, repair garage enter number o/units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional 6 Moving (relocation) 7-4 46-<- 25 Public utility17 Other — Specify7 Foundati n only 1 26 School, library, other educational L 74 Lo r a sB. OWNERSHIP 27 Stores, mercantile a Private (individual, corporation, 28 Tanks, towers nonprofit institution,etc.) 29 Other — Specify 9 Public(Federal, State, or VV7 local gov rnment) L 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............... Q® 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 buildin is being changed,enter proposed use. in the above cost ja. Electrical......................t7C" b. Plumbing ...................... 41 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'S Public or private company 413• Number of stories................ 31] W d frame 41 Private(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 1920a32 Structural steel dimensions .................... /[ 33 Reinf rc d 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 I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 0 Gas Will there be central air 52. Outdoors....................... conditioning?36 011 L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 UK No 53. Numb r of bedrooms.............. 38 C al T39 Other— Specify Will th re be an I vat r? 54. Number f Full.......... 46 Yes 47] Q No bathrooms Partial........ NOTES and Data — (For department use) R IV. IDENTIFICATION - To b compl ted by all applicants Nam Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or Z.lEXAV,0" 1A)C 02 Cx Lessee 50cY7—Aj 2. g Contractor A s. a c TArchitector Engineer The owner of this building and xhe undersigned agree to conform to all applicable laws of this jurisdiction. u of applicant Address Application date x?-,/j 7 1 DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD - For office use Plans Review Required Check Plan Review Date Plans B Date Plans B NotesqFeeStartedyApprovedy BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS P rmit or Approval Check Obta ned Date Number By Permit or Approval Check ObtDa ned ate Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit numb r 12878 Bui Iding Permit issued Aug. 26 19 82 Bui Iding P rmit Fee $ 372.00 App TITLE j _U ZONING FRONTDISTRICT REAR YARD IX. SITE OR •T PLAN For Applicant wat..i........... .... ..............a....a............................... ......a...a..+ .lna. . .................... . ..............noil.0.0....max 0 soon In sss:as:el:::*./aYss: .es:r•,. •,m:sesseeHemHss: fs • . s//\iH•.\w::r:'.N.: :`/\.NaItis•aa:s•:oa:'Melel.:/:.!:M :„•... 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Value $..61,6 00.00 Pertnit N o 12878 on the aide of Lot #48 Wentworth Drive Stet Street No. 117 Owner R.J.Alexander, Inc. Applicant R• J. Alexander CERTIFICATE OF OCCUPANCY ISSUED: Date No. 6086 Fee Paid $ 3.00 CLASSIFICATION Dwelling i BUILDING PERbffr i i N° 128'78 oFFICB OF THE BUILDING INSPECTOR Of the Town of South Windsor, Conn. South Windsor, Conn. Aug. 26 0 That R. J. Alexander, Ins. Dwellingisherebygrantedpermissionto at estimated value of on the side of Lot #48 Wentworth Drive - Street on land R. J. Aleamder, Inc.owned by SaieTork to be as described in Application No. 13178 and to conform to speafications and plans filed with said Application, and Building Br Laws of THE TOWN OF SOUTH WINDSOR. Issued Aust. 2 f-'<.$uilding nspector. Streets and sidewalks, obstructed by ezcavations 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." IX4kUlAg Let Ag VbAty ttb Est, W6J92 - R.J.Alexander, Inc. 117 Wentworth Drive Permit #12878 Electrician Garber-DOran 7770 Heating Contr. J.Vedovato 5523 Plumbing " J. Vedovato 6004 Oil Burner Certificate of Occupancy 6086 Plot plans apprd. per Engr. A 17L X AC- INSPECTION.flEPORT viePermit #Job- r 1 Foot ing ' - 2 Foundation 3 Framing 4 Wiring 5 Plumbing //,J' it- ,y 6 Heating 7 Lathing 8 C.Q. Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit M 6086 Certificate of Occupancy THIS IS TO CE TIFY that the IV411 le,a_ e at No. kz- in the T#Cn of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved fo ccupancy. uil mg Inspector CAvner, Builder Paid Date / i 19Fee a Gj r L COT 49 z LOT 4B IND QQ CJ tn\ IT rJ Y• P i j 1HY p r wY n T 4t' J it S` is ,A,. 1 w._ ,4,.. T 47 MF MAP: Wtt' lNvY)RT H ESTATES aSEC. 3 DATED —31-7q FNT RT-H i.:1.ro h'T+ .sGA.tA.4 A•, a cu low 10 PLOT PLAN o!,, +,• z e . 'PR o P e R T Y O F s•3t11 t P t av T t JTiN i ESv4F_N T\,JORDDT 48 fffr EEUT/o'r To . 5oC.%%3-j Pdr-. SOUTH \A 14 V c-)C)R ,, CIT. AAA* LAMPS AM NOr IWAAr KA w. .-. SCAt C. 1 IN. - 40 FT. DA7°E. G,-<?- A P ROVED Ds TOWN tOF SOS1 AVhNDSoRN ENGti',,r_EFZtf. DATE:r SIG 7770 ELECTRICAL APPLICATION Application No. 8 8 81 on the side of Lo 48 a,l l 1.voe Dor' Street Street No. 117 Owner P-'J- /¢1AX r",G GARBER-DORAN,INC. Electrician FILED IN OFFICE OF The Building Inspector Sel)t. 21 19_$2 INSPECTION. m No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. Permit No. . . 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. S South Windsor, Conn., .. ` / 19 Sign here GARBER-DORAN INC. Address C-a. '.Y'.... . MAI+K IE R,CT 06040 Location 44,7.. 0.7 .. `'?' !' .r.. Side of Nature of Building pS ®'''C.C.... .. .... How many stories ......... ................ ....................................... ................ New or old Building . .....Ne`4--' How many families .. Kind of Installation . . ./'COV ... ... .. How many Stores ........ ..................................................................................... Owner !`C. .. J. P1 !'o'"' '^'.G. .....__. . . Address a.Iq.. 6'.'..!... `"!.......&. .....!! . .14-,' JSor Architect Address Builder ... . `2'''e Address . . . .. . . ....... ... . . . ............. . ................._...._....._............. GARBER-DORAN,INC.f Electrician .......... ... .......... Address MANCHESTER,CT OWO ZSizeofMainWires .. .................................................. No. of Light Loops .. .. No. of Heat Loops . No. of Power Loops ........................._._...._.... No. of Light Outlets . . 3!d No. of Heat Outlets . No. of Power Outlets ............... .. ............ Not of Light Circuits . . .. ... .... . . .... No. of Heat Circuits No. of Power Circuits .. No. of Sockets Z S^ . .No. of Heat Receptacles No. of Motors ......... . . No. of Panels ............................ . . . . Size of Heat Circuit No. of Power Receptacles No. of Switches ... .... d........ .Total Wattage .... .. ...... .. ...... .. .. Size of Power Circuit .. .. r Total Horsepower No. of Straight Electric Fixtures .............13.................... ... No. of Combination Fixtures .... . ... .. No. of Receptacles .....................No. of Cord Drops ....... .......................................................... . ......... ... Remarks: For other kind of Installation .. CG' 'r`' . ..as aT........ Estimated Cost ..... ./. 6;!5 .ICd.............. 6004 PLUMBING APPLICATION Appyafm N6. 6 7 8 2 on the............_.... side of 1,o /. -T.Ot 4 Street NO. .....1,.7 Owner Plumber _.. Filed in of The Building Isrpecmc No person shall causnui, add w or alter sty portion of the drainage systan of any bolding ezoept to repair leans) until a Plennk is gamed by the Building Inspector. 6782ApplicationNo. Permit No. .6004.................... 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 South Windsor, rl... y...... ................. ..... Sign here . Address Location .. ................................................. ..... .... ... ......................... side of .......................`i Street Nature of Build' g ...... How many stories .. ......-:... Owner ....... Address ...... ...................................................................I....................................... Architect Address .............................. .................................................................................... Builder ........... .. ...42,.xrt ......... ................................................... Address ............................................................... ................................................... Plumber ......t. .................................................. Address ... 1................................................... ....................... DRAINAGE CESSPOOLS, How many Where located ............................ .................. ............................................... Are they water tight Of what materials are they built ........C--1 ............................ Kind of 1Sizeofpipefromhousetcesspool . ... ..1..... pipe .. MAIN DRAIN IN CELLAR, Material .. Diameter .............IV................................................................................................... Aboveor below cellar bottom .. ... ...`, . ...................................... . . ... ................................................._..................................................................... 1...SOIL PIPES, Material . .. .C... ........... .......... ... .......... Diameter WASTEPIPES, Material .......... 0BS.................................. Diameter ...... ................................................................................... .............. TRAPS,Type proposed to use is .. ...... ........ ... RAINWATER LEADERS, where do they run to REFRIGERATORWASTES, where do they run to . .... .... ......................................................................................... ........ .............................. TANKOVERFLOWS, where do they run to FIXTURES WATER CLOSETS, How many . Where located . .... Distance from trap to vertical soil pipe ........................................ Pattern WASH TRAYS How man Where located ......................................................................................... SINKS, How many .....................1.............................................................. Where located BUTLER'S SINKS,How many ........................................................ Where located• . ............................................................................................... REFRIGERATORSINKS, How many.. ................................... Where located ................................................................................................ LAVATORIES,How many . .........2............................................ Where located ....7................................................................ BATH TUBS,How many.........../........................................................ Where located .......:-...................................... URINALS, How many ................................................................................ Where located .................................................................................................... Are water closets and urinals to be local vented If not, is there a window in outer wall ofroom where same are to be located ......... Estimated Cost .. I 6 RMIT # Application For 66 'Po.z 3PP DEPARTMENT DECISION Heating Permit 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONSO N +' IR APPROVED El DISAPPROVED x7TOWN OF SOUTH WINDSOR 0 c aOA fDk-Tt MHIEY-IAOECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL M ip 0 C 1. LOCATION OF JOB 117 v CO O NO. STREET v4 0 LOT NO. FLOOR APT. NO. O p O 2. OWNER Cc it Cc o G p s. ADDRESS bo 3 E w > 4.PHONE Cc n s. APPLICAN vi 4 a. ADDRESS o 7.PHONE J S. LICENSE NO. Q O. o w 2. EXPIRATION DATE OF LICENSE c c 10. ESTIMATED COST i :)9 a .(--) C 11. IS THIS A CONTRACT COST?YES Obo 12. FEE ENCLOSED S Permit 12878 is. TYPE bo b L..J 4ESIDENTUUL COMMERCIAL cis 3 14. TYPE OF JOB: INDUSTRIAL l ONINSTALLATIONADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued it m Reverse side) 11. LOCATION OF JOB T NO. STREET FL R AFT.N 12. TYPE OF INSTALLATION; R ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS VERY- SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FQ RNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO.g jl-O B.T.U. OR SQ. FT. NET _- mil)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: ASEBOAR . COPPER C NVECTORS, OR C.I. RADIATIO UTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. v DESCRIPTION OF WORK 15. TO BE DONE; 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): U O30 n`iti "ROOM•SiZEr°%a wiNvows i .;.;+ c yti A x c_ M .' SQUARE'FEE, 7 YOLl11 a ' o DISTRIBUTION 1NSTALLED 'T AND DOORd T 6RO3 NETCINO ILOOR TOYAtp t ATc7D-7 CORRECTED t j- y.;jq•.`,.}"c1..z RAU.ti REO18Tl x. TOFz o J w, 'r, + `. 4 f TYPE°'AMDfIZC '> t0'..FT'.T OR LEAD R S MALL t kr. .j r, `IINII T':1'"4 F,d; i -t•,t_..c...r. iw r fIZE I•4,r±h"'': , 7 a`-j,- .-, ,d'Y_i s.. e'.iy 'DlrRrx"` •xii." .' J."i a ' 't:."'4h - _fR!l,,A A 7.,-c 'i. r;c:'' 'd -../' r'j w-s`, ,c.a a;' S jZ;. 'p?- Q', r`3 ,.r y.J. qe` _ .: t! r 1;_. „ ' :t,, `,.a'• it, t: OD '0 0 17t .5 a:,_ r , - 7, :, f "t,cr .,' -? ,-arm. •7 I x ` Q r },"'y• 3*i+` fx• "a'^t's:,' "- r, .... Y 4 //.v,• •7:'Tft;d•.z ;,c, p r, p a,S. T{,. A +rtt" r. r," d.tx.''"'r A'1F3' -"3= d f3dD Y4. 'Jf.kCp' /O y '•°' , :. rr,.: , ss.=.ti..C7 t ; n, _ s!• y . x i y_s., - l 'o- _a.»-' -< R„„ k v,fil rth' i a Too s l70` 8 00 oa oo 0 o -rdo a fi- a / f,:j,: .. J,. "e,i,;• ,.,SF O J. O 0, •+ 1,.• r': `•' ;';,ray - `;a;'.' O `.. oD O 'Cao P w 'Jt l3 i an Sao o ov l r ,- • 1_ :L i ',s Z q`x. n' . Q a.' " yr. T i• .. a 1 s1n r e+ rr'- ,'y '- ! .... '`,•" :*a,-r0. 4d, _ -"". n-O tYt,-•, r., h c,rn/•„r: _}.,.wC° v'; `':- ^. _ c tii '=Y•y 7 3 -, 771fo/'! i ee V, [/ 'a, i" ( r r ,i9 it`•„ V'1 +5 .!'.$•`} i,e Jib W,, "! '" • J' t ,,..',`K .iq - > J• r`,1 V : avv 1 .••F• 05 o T Yf. I ryi ,'_,p.. r r •-'i„4 .1• `j i 4' y ,-r`. ',' '; 4:'• :© '.t ".1 °•'AWr S kc•.:b'„' Ys i"k"S ••Ar:' 1.rf .'EM.h• ElkJA i l y*y :w, r,~.`' e k., "'5.. f- .i i •7`~ +s, ' '•Cii.:•Y h., ue l A. EAT LOSS FROM BUILDING Lo 3 U- 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 is. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE B ILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. Z DATE SIGNATURE OF APPLICANT Eledric# 131a.2 APPLICATION FOR BUILDING PERMIT Plumbing#1.17 WEN'T_'WO_R_TH DRIVE Dote:HVAC #a vC Sprinkler# No. 22572 FINAL APPROVALS Estimated Cost $ 156,(7C)Cj, Building COMPLETECOMPLETE RED BOXED AREAS Permit Fee 7y-0 Engineerin io • , TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. I Total Fee TO BUILDI DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $ The and rsigned hereby applies to do work according to the following specifications: Jo6 Location 01 Lot No. Side of Street Zone Applicant ,Q c -c..,.; 1, Tel.# a,%CA "7 SC1.G Address Zip S(*Q lL-1 Lic. # E;L13 L t\ Owner i c-\)C n t,v 1\ c - Address \ ;c 1 •; Architect Address Sq. Ft.New Area: 1st FI. 2nd FI. 5 C(i 3rd FI. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: o Q)e,&Cyv M City Water 2" Well [I Septic System 0 Sewer Use Group Construction Type i Area Basement Garage Approved 6y Date 1 Revised 6/95 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 a z e i which this bull and its a is allowed. 9Si ned A I hereby apply for a Certificate of Occupancy for the work described In this application for the permit J Signed 14 1,7- DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS Inspection / Approval Date By Appl Cod Description Due Whom Code Comment 95-22572-B 18,000 603 FRAMING (ROUGH) 08/31/95 JFH D NOT READY B04 INSULATION 08/31/95 JFH D NOT READY B04 INSULATION 09/01/95 JFH A FLOOR INSULATION ONLY BO1 FOOTING 09/06/95 JFH A PIER IN GARAGE B03 FRAMING (ROUGH) 09/13/95 JFH A E03 ROUGH 09/13/95 JFH A H03 ROUGH 09/13/95 JFH A B04 INSULATION 09/14/95 JFH A B10 FINAL 10/10/95 JFH A 95-13625-E 500 95-9267-H 600 Total Est Value 19,100 PERMIT 0 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application ie hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT.APPROVED DISAPPROVED 1540 SULLIVAN AVENUE f 644-2511 Ext . 230 ate in& Inspector Application must be printed or typed 1 . LOCATION OF JOB AV orc FEE SCHEDULE No . Street 0 - $10000 - 10.00 Floor Apt . No . Over $1,0 0 0 - 10.0 0 2 , OWNERper $1 ,000 or fraction thereof 3. ADDRESS LAJ Ca APPLICANT (',w,.0 5. ADDRESS ' if;ig pz e Sl` 6. ESTIMATED COST $ 7 . IS THIS A CONTRACT COST Y e N 8 . FEE ENCLOSED $ 9 . T OF BUILDING i ESIDENTIAL COMMERCIAL 10. TYPE OF JOB: Original Installation Alteration/Additi n/Repair RD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB JG ' NO. STREET APT. NO , 12 . TYPE OF INSTALLATION ., 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 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 PANELS 27 . TOTAL WATTAGE 28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS 32. NO. OF FIXTURES 33. TOTAL HORSEPOWER 34. NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : K0;46 Z7 A Rzeee T'9 1 5--y V-t- LICENSE NO .SIGNATURE OF APPLICANT DATE r PHONE NUMBER: S-u/ 3 o IK',,Y FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: NO. TOWN OF SOUTH WINDSOR EST.COST: BLDG. PERMIT NO.1540 SULLIVAN AVENUE FEE J — SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 0 - $19000 - $10.00 1000 or fraction LOCATION OF BUILDING 00'thereof - $10.00 S-CMG• T ,/ OWNER ADDRESS TOWN PHONE NO. VAC CONTRACTOR ADDRESS TOWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL 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 OF INSIDE OF DIFFERENCE F TOTAL HEAT LOSS (BTUH) 4 HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): aC GROSS HEATING CAPACITY (INP T-BTUH) NET RATING ( U T-BTUH) IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE_L_°F INSIDE JO OF DIFFERENCE`8F 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 ch work. FURTHER DESCRIPTION OF WORK: i STATE LICENSE - NAME & TYPE #DATE SIGNATURE OF APPLICANT APPROVED DATE I - 8 a R CALCULATION SHEET 1603 (Modern Method)Copyright 1971 by The Hydronks Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL A COL.8 COL.C COL.D COL.E COL.F COL.G 1 ROOM R O H L W H L W H L W H L W H L W Design Water Temp. U STUN par Pool of2ROOMDIMENSIONS, FT.F- 3 LENGTH EXPOSED WALLS,FT. Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA U. STUN BTUH BTUH BTUH STUN 5 WALL CONSTRUCTION ROOM LIN. FT.OF Table 9,Lind 3 x H) TOTALS RADIATION FROM LINE 12 SELECTED 6 TYPE OF GLASS Bottom I table used for Line 51 7 CEILING CONSTRUCTION C Table 9,L x W) 8 FLOOR CONSTRUCTIONt ITablo 9.L x W or Lin. F t) E 9 COLD PARTITION CONSTRUCTION F Table 9,L x HI G 10 c 1 Wall 1 With Openlnoe)C H c we 2 Wells(With Openings) O J 3 Wells(With Openings)or Ent.Hell 11 TOTAL UTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K COL.A COL.8 COL.H COL.I COL.J COL. K COL.L. TOTAL BTUH TOTAL OF SUILDING RADIATION 1 ROOM AT SELECTED O H L W H L W H L W H L W H L W DESIGN TEMP.* 2 ROOM DIMENSIONS. FT f' DIFFERENCE U 3 LENGTH EXPOSED WALLS. FT 4 WINDOW AND OUTSIDE DOOR AREA U. STUN BTUH STUN STUN BTUH 5 WALL CONSTRUCTION INCREASE BATHROOM ITablo 9,Line 3 x H) TOTAL 20% 8 TYPE OF GLASS Bottom f table used for Lin•51 tFOR CONCRETE FLOOR ON CEILING CONSTRUCTION GROUND OR FILL AT Table 9. L x V11) GRADE LEVEL,USE LINEAR FEET OF EXPOSED EDGE 9 FLOOR CONSTRUCTION1 ITablo 9,L x W r Lin Ft 1 9 COLD PARTITION CONSTRUCTION ITeble 9. L x HI 10 1 Wall 1W1th Opening*)O z0 a; 2 Walls(With Openings) D XJ - 3 Wells(With Openings) Or Ent Hall 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL 8TUH AT DESIGN TEMP DIFFERENCE FORM 1503 This form Is available fr m The Hydronlcs Institute.35 Russo Place, Berkeley Heights,N J 07922 v V V V • HEAT LOSS ZLO61dw= Tom Ir xr a Da2230 Ad& Ii s!Y.oss CaJd f DhA Pw lootof 580 PJO at Avws Wabw TOMPCfee, MinirdgM 2 Q = t I 1 2 X CUINGAM ILNWI Sol 4-caoROAUIM AN" 7s L VANOOVXoRooM i ARM . oT i3 1 813wsao.rwAvo &qj Z loom PkWA6mrioggiftM& 2pl 1 2 3 1 2 3wa"Ne'l"ttjlMs14 3 1 2 3 t 3 = 2. A*wl AMM CDet Q N 3. Tom eM COW a ow -xOq souuww AWOM0M IL moloom OR OF t c sC am S bow WNM q77 IL 7otJLL s„b rMes