HomeMy WebLinkAbout118 Gilbert LaneElectric# 0qL i$ APPLICATION FOR BUILDING PERMIT
Plumbing# /1 118 Gilbert Lane
HVAC #I i_ A ` 11 S(,7 Date:
Sprinkler# No. 28971
FINAL APPROVALS Estimated Cost $ m
Building C 11-12'a v COMPLETE RED BOXED AREAS Permit Fee
Engineering'EngineeringTYPE OR PRINT ONLY FeeOccupancy O
Affidavit SIGN ON REVERSE SIDE<
Appr.for CO.Total Fee no
TO BUILDING DEPARTMENT,TOWN OF SOUTH WMSOR,CT Additional Cost) $
Th and rsigned hereby applies to do work according to the following specifications: JS' /iL-7 v Z
Job Location Lot No. gQ Side of Street_Zone
Applicant Tel.# (a 49-D A ja
Addr ss Zip Lic.#liOwner Address
Archit Address
T
S%Ft.New Area: 1st Fl.S T 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories I Bathrooms Garages dt,
Purpose of this permit: 4 9d "gp&4
City Water @ Well Septic System SewerW
Ins. H.O. S.P. Cert. Area 3 0 ly Z, Basement Garage 7
Approved by 30— Date Use Group jeY Construction Type S'a
Revised 9/01
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its use is aiiowed.
Signed Z 111101W I
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Location of Job:AFFIDAVIT Additional Fee$ 510. 00
State of Connecticut
ss.South Windsor
County of Hartford
Owner
I of 6/ & z P 17 rlil.2y&ent for the building erected
Contractor
under Permit No. 28971 issued by the Building Department of the Town of South Windsor being
duly sworn,make oath and say that the actual cost of the completed work autho rized under said ermit did not
exceed the most current accepted BOCA value of$ 17 5 ,8 4 9 .Signeq -",01-,L - =--,O
Subscribed and sworn to before me this day of A.D.20
Estimated Cost$ 142F800.
Difference: $ 3 3, 0 4 9 .
Notary Public
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28971-B 125,000
B01 FOOTING 07/31/02 WNB A WITH CONTRACTOR
B02 FOUNDATION 08/08/02 JFF A WITH CONTRACTOR WATERPROOFING AN PERIMETER
FOOTING DRAINS OK
E01 SERVICE 09/04/02 WNB A LEFT STICKER
P02 UNDERGROUND 09/09/02 WNB A WITH RODGER
B05 FIREPLACE/CHIMNEY 09/11/02 CJD A
E03 ROUGH 09/23/02 CJD A
P03 ROUGH 09/24/02 JFF A WITH CONTRACTOR
B03 FRAMING (ROUGH) 09/27/02 WNB A WITH RODGER,TO PROVIDE SPECS
B04 INSULATION 10/02/02 CJD A LEFT TICKET
PO4 GAS TEST 10/25/02 WNB A LEFT STICKER
11132-P 3,000
11567-H 3,000
11560-H 7,000
17948-E 4,800
Total Est Value 142,800
Dwelling 3,092 149,281.76
Basement 1,258 17,863.60
Garage 576 8,179.20
Smoke Det 7 525.00
BOCA Value 175,849.56
Difference 33,049.56
3 I
L
3
i
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28971-B 125,000
B01 FOOTING 07/31/02 WNB A WITH CONTRACTOR
B02 FOUNDATION 08/08/02 JFF A WITH CONTRACTOR WATERPROOFING AN PERIMETER
FOOTING DRAINS OK
E01 SERVICE 09/04/02 WNB A LEFT STICKER
P02 UNDERGROUND 09/09/02 WNB A WITH RODGER
B05 FIREPLACE/CHIMNEY 09/11/02 CJD A
E03 ROUGH 09/23/02 CJD A
P03 ROUGH 09/24/02 JFF A WITH CONTRACTOR
B03 FRAMING (ROUGH) 09/27/02 WNB A WITH RODGER,TO PROVIDE SPECS
B04 INSULATION 10/02/02 CJD A LEFT TICKET
PO4 GAS TEST 10/25/02 WNB A LEFT STICKER
B10 FINAL 11/12/02 CJD A W.RODGER
B10 FINAL 11/12/02 CJD A CLOSED OUT.
11132-P 3,000
11567-H 3,000
11560-H 7,000
17948-E 4,800
SITE COMPLIANCE CHECKLIST 62002
1 ll .ef TOWN of SOUTH WINDSOR, CONNECTICUT
GILBERT LANE LOT_#89 Reviewed By
y =DT
eerin
LARK REALTY, INC. Date Reviewed (I g oa Approve
658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By lanning)
v BP_#_28971_ Ph_# (860) 528-6054 Date Reviewe // , pro enied
Date Submitted 00/00/00 FOR of 0 ****
As required in the Zoning and/or Subdivison 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
1. Approved building permit plan
1 2 . Finish grading per approved
building permit plan
3 . Site work; i.e. trees, shrubs,
dumpsters, required parking
4. Utility location;
a. sanitary sewer/septic system
b. foundation drain
C. electrical & telephone
d. water
t` e. oyez G 5
S. Sewer connection charge paid
6. Appropriate certification i1pZ Sb
7. Bonding
8. Planning & Zoning/
Inland Wetlands Considerations
A. Lighting
B. Signage
Freestanding Wall
C. Fee in lieu of Open Space
Sewer Permit No. Pav Exc #
COMMENTS: Status:
ROGERS SASH & DOOR PAGE 02/02
09/20/2002_ _08:53 860-667-2087 r eti-r -07 10: 4 an
Master Order#_ 22OG801038L
C?RVF._A_—HGKN.4ll.. JI Order Dot a: 5`23/02
Page: 1
Said-To: 60046 Ph: (960)666-5623 sii i p-f 0: 60046 Ph: (OGO)GGG-5623
ROGERS SASH L DOOR r-U4PANY 130nC-R5 SASH & DOOR COMPANY
ATTN: PEGGY KARSONIC ATTN: PEGGY KPROONIC
e- ;TAMM ROAD 385 STAMM ROAD
CT 06111-NEWINGTON, CT 061.. !=•.,
Salesperson: TOM WOODS Request Dale: 06/27/02 ,
Gh i p Via; GNETCD Promise Date': 06/27/02 ,--I
r--w--r nl w-r-— r r r—ti-r r———--————————-------—
F. Y REF : 2206803 LIST. DISC EXTENDED
w-----r---w---------- — r---------.-.--..--—_---w.r 1
r •,i F
1 i 2 VETTER DH STD MOD HALFRND - DIRSET, pay1WIH, Z&r-
a'
4 / RCat , size)
EPSASYCQC IRE CLAP WHITE E?(T/NATURp!_ I NT c, 6,jTEMPEREDHIPR04GLASS
tPRPIRIESTYLEGIAGRILLE - WHITE,
Special 3W4H, 12•Colonial Lites. g I
4-9/16" JB - PINE (313C.- APPLIED)
2-1/4" WM355 TRA0ITIONRL RADIUS INTER
TRIM - PINE (SHIPPED l_OQSE)
PayellGB'4" (R.O. Size)
a-'9"Xe,8" Ent , Size RD)
P.O.#: 24850, Job#:4713, Drag#:NA,
Tag:JMJ(LOT 60)
LOAD FACTOR: 24.31 CIAC
1 VETTER DOUBLE HUNG, 2WIWI
2 POP XGr 2" (Cyt . Pa i za)
EASYCARE CLAD WHITE EXT/NATURAL INT
HIPRO4 GLASS
PRAIRIE STYLE GIA GRILLE - WHITE,
Special 3WZH, 24-Colonial Lites.
CLRY HPRDWARE ANb SANOTONE JAMB SRLRN[
NO .SCREEN
4-9/16" JB - PINE
STACKED UNIT
5'7-7/1r"'xG"-5/8" (P.O, Size)
2'8"X5'2" (Ent . Size CT)
P.O.*: 24850, Job*:4713, Orwg#:NA,
Teg:JMJ(L0T 60)
LOAD FACTOR: 19.32
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
o2O
118-GILBERT LANE LOT_# Reviewed By ngin ering)
CLARK REALTY, INC. Date Reviewed Z c pprove enied
658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By 4jjg&Planning)
BP_#_28971_ Ph_#_(860) 528-6054 Date Reviewe dz rov Denied
Date Submitted 06/28/02 FOR BUILbING PERMIT *****
In accordance with the Zoning and/or 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:
Appr ed Denied N/A
1. Name, address & phone number of owner/applicant
V 2. Name, address & phone number of plan preparer
3. Zoning Information - i.e. zone, open space,
floodway, street address.
r 4. Plot Plan at 1" = 4010 scale
a. Subdivision reference, abutting properties, etc
b. Easements of record
C. Lot description, bearings, building lines,
distances, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate
1
e. Building location with dimensions.
Elevations of proposed finish floor, garage
floor & centerline of road at driveway
f. Elevations of gravity drainage systems, sanitary
foundation drain at the house and the street
g. Tentative utility location (gas, water,
electric, septic system, etc.)
h. Title block with name and address of preparer,
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements. (P.E. & L.S.)
r 5. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS:
So c'U"e. 4; C CIS ct-, ,o Q k. ,u3
Town of South Windsor
Assessor's office
Attn: Mr. Charles Danna HAND-DELIVERED
RE: CHANGE OF STREET ADDRESS FOR LOT#89 GILBERT LANE
Dear Mr Danna:
This is a follow up to our conversation of a couple months ago pertaining to the above
lot in the Deming Estates. The Buyers of this property had me inquire about having
the street address assigned to lot#89,which is 120 Gilbert Lane, changed to 118
instead. I then contacted you and you indicated that they would'nt be any problem
but you needed to have the request in writing.
So on behalf of Mr. & Mrs Liu buyers ofthe above property and following up with this
written request as we will be closing soon, and,we would like all closing documents
to reflect the correct street address.
V4Thankyouinadvanceforouranticipatedcooperation.Y Y P Pe
0
Very truly yours,
1
eanne Huppe,Agent
CC: Mr. &Mrs Liu
File
DEPARTMENT DECISION PERMIT#APPLICATION FOR ELECTRICAL PERMIT
Applicati reby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Penu}t#
APPR 1540 SULLIVAN AVENUE
644-2511 ext.230
Date B ' g Inspector
Application must be printed or typed
Location ofjob
Street No. Street Lot No. I
FEE SCHEDULE
0 - $11000 - $12.00
Floor Apt.No.
Over $12000
12.00 per$1,000 OWNER
or any fraction thereof
G
ADDRESS 47 c'7 ''
C77-
OWNERS PHONE#
APPLICANT
O WN$ ADDRESS
ESTIMATED COST$
C f IS THIS A CONTRACT COST?
1Z YES NO
FEE ENCLOSED $
SOR Co E OF JOB:
Original Installation
Alteration/Addition/Repair
Revised 11/95
1
1
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCY
INSTITUTIONAL
FACTORY
STORAGE ENGINEER'S NAME PHONE
GARAGE
MIXED USE ADDRESS
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS 19
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED 7 YES
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS y
NUMBER OF LIGHT FIXTURES
NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS
SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
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 CONN.BU DIN CODES
PERFORMANCE OF SUCH WORK.
NAME STATE LICENSE NO. TYPE IGN OF APP
PHONE NO. f" J TE o
Shirley Wilhelm -CRS Approval Confirmation: Request No. 225321 Page 1
From: clpsvc@nu.com>
To: W ILHEL@SOUTHW INDSOR.ORG>
Date: 9/5/02 9:39AM
Subject: CRS Approval Confirmation: Request No. 225321
Your approval of the following CRS Request has been successfully processed.
CRS Work Request#:225321
House No:120
Lot No: 89
Street Name: GILBERT LN
Town Name:SOUTH WINDSOR, CT
Inspector: JOHN COLLINS
Approval Date: Sep 05, 2002
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR
PERMIT#
Application is hereby: BUILDING DEPARTMENT I f 3cZ
APPRO 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
L
0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Q CC)
APPLICANT ADDRESS
u, C-7-
APPLICANT PHONE# t>y r 2 S 3
OW N 8 OWNER
q OWNER ADDRESS
M OWNER PHONEtot
ESTIMATED COST$ con
O
IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$
p U U
TYPE OF JOB:
OR-Co ew Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
LJ
5/'
ESIDENTIAL
BUILDING PERMIT APPLICATION? YES !kO"
R
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE
FUTURE USE AND OCCUPANCYEDUCATIONAL
INSTITUTIONAL
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO.OF TOILETS -:3 STYLE 1 • NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS \ NO.OF LAVATORIES 3
NO.OF CONDUCTORS SIZE_ A _ NO.OF STACKS SIZE
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOACLI ES NO
SIZE OF WINDOW 2— 2 IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER R SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER 3
WATER HEATER: TYPE G 1 MANUFACTURER o-
DESCRIPTION OF WORK
1
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND is TT'
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT , , `Q w, DATE a 2
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT#
Application is hereby:TOWN OF SOUTH WINDSOR toBUILDINGDEPARTMENT
APPRO 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230 X q 7 1
Building Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
0-$1,000=$15.00 Street No. Street Lo ZtN
Over$1,000=
15.00 per$1,000
or any&action thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS d c
APPLICANT PHONE# F&D , --2-k-Z -7Zd4LZ"-5
se OWNER
OWNER ADDRESS
lot OWNER PHONE -%P6 D— 2jpIz:®
r`7 ESTIMATED COST$
r IS THIS A CONTRACT COST? V es No
FEE ENCLOSED$ /p6
TYPE OF JOB:
s R'c New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
HEATING RESIDENTIAL
UwC COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT S.
HYDRONIC WARM AIR UNIT RADIANT HEATER
E ING RADIATION ADDITIONAL RADIATION TOT IATION
DESIG MP. OUTSIDE OF INSIDE OF IFFERENCE OF
TOTAL HEA SS(BTUH) F(HEAT LOSS SHEET ACCOMPANY
APPLICATI
DESCRIBE ALL HEA QUIPMENT(INC ING MAKE&MODEL NO.)
GROSS HEATING CAPACITY UT—BTUH) N TING(OUTPUT—BTUH)
TYPE OF FUEL
OIL--G OIL TANK LOCATION:INSIDE OUTSIDE ACITY
GA UT LPG TANK CAPACITY ELECTRIC—
AIR CONDITIONING
DESIGN TEMP.OUTSIDE B_OF INSIDE 24 OF DIFFERENCE Ig OF
TOTAL HEAT GAIN(B HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE —6 COOLING CAPACITY(BTUH)_-6—00
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., S',pp i .,yQTJ/ e--L .
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 LIC STATE
SIGNATURE OF APPLICANT`` -DATE
RIGHT-J LOAD AND EQUIPMENT SUMMARYI . Entire House
R & E Heating & Cooling, Inc. J b:243-089 120 Gilbert Lan
9-26-02
310 Nutrneg Road South,South Windsor,CT 06074 Phone:860-282-7782 Fax:860-282-7701
Project •
For: Clark Realty
658 Ellington Rd South Windsor, CT 06074
Phone: 282-0628
Notes: 243-089 120 Gilbert Lane
Desiqn Information
Weather: Hartford, Brainard Field, CT, US
Winter Design Conditions Summer Design Conditions
Outside db 6 OF Outside db 88 OF
Inside db 70 OF Inside db 70 OF
Design TD 64 OF Design TggD 18 OF
Relative humidity 50 %
Moisture difference 38 gr/lb
Heating Summary Sensible Cooling Equipment Load Sizing
Building heat loss 0 Btuh Structure 33200 Btuh
Ventilation air 0 cfm Ventilation 0 Btuh
V ntilation air loss 0 Btuh Design temperature swing 3.0 OF
Design heat load 0 Btuh Use mf.data n
Rate/swing multiplier 0.93
Infiltration Total sens.equip. load 30876 Btuh
Method Simplified Latent Cooling Equipment Load Sizing
Construction quality Average
Fireplaces 1 Internal gains 4600 Btuh
Ventilation 0 Btuh
Heating Cooling Infiltration 4225 Btuh
Area(ftz) 0 2710 Total latent equip. load 8825 Btuh
volume(fr) 0 24622
Air Changes/hour 1.4 0.4 Total equipment load 39701 Btuh
EgrJiv.AVF(cfm) 0 1C4
Heating Equipment Summary Cooling Equipment Summary
Make n/a Make Heil
Trade n/a Trade Heil
n/a HAC060
FCP60
Efficient n/a Efficiency 10.0 EER
Heating input 0 Btuh Sensible cooling 42000 Btuh
Heating output 0 Btuh Latent cooling 18000 Btuh
Heating temp rise 0 OF Total cooling 60000 Btuh
Actual heating fan 0 cfm Actual cooling fan 2000 cfm
Heating air flow factor 0.000 cfm/Btuh Cooling air flow factor 0.060 cfm/Btuh
Space thermostat Load sensible heat ratio 79 %
Printout certified by ACCA to meet all requirements of Manual J 7th Ed.
40— wnghtsioft Right-Suite ResidentialTu 5.0.28 RSR27412 2002-Sep-26 09:20:42
AM C:WIy Documents%Wrightsoft HVAC1243-089 120 Gilbert Lane.rsr Page 1
77 -
PW-WDECISION APPLICATION FOR HVAC PERMIT PERMIT#
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT S(o
d 1540 SULLIVAN AVENUE
r Bldg.Permit#
k _,Nr y • _ 644-2511 ext. 230 c
BanIMPectord
01
Application must be printed or typed
f$
Location of Job:
F
Lc 80 bp41
r
0-Slow.415.00 S o. Street Lot No.
tea:
1'5.00 per S,1.000
TM Tenant Designation Apt.No.
APPLICANT S Q C
APPLICANT ADDRESSPaa
S u C\
n ti - • APPLICANT PHONE#
OWNER
OWNER ADDRESS
OWNER PHONEI
ESTDAATED COST$
IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$
TYPE OF JOB:
yNew Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
001HEATING RESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
LWYDRONIC WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE F
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
NQ 1-(LAr Cv C C,-
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUTBTUH) 1
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)
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.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT Q, J1,DATE C\ /2 1, /0 L
I - 8- A CALCULATION SHEET 15W (Modern Method) cover A 1977 by rko"Yefeams Institute
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