HomeMy WebLinkAbout12 Darlene Driver
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
OF SOUTH WI1WGM C011ft PLAN EXAMINATION A N D
BUILDING PERMIT
zIMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
AT (LOCATION) /L DONIN CT
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET)
r,
CROSS STREET)
LOT 7 -r 1SUBDIVISIONIt/ L LOT, BLOCK S Z
if/
E '• S
NII. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use
1 New building Residential Nonresidential
2 Addition(I/ residential, enter number 12[0 One family 18 Amusement, recreationalo/new housing units added, i/any, 13 Two or more family - Enter 19 Church, other religiousinPartD, 13) Y
number of units- - - - 20 Industrial3 Alteration (See 2 above)
14 Transient hotel, motel,
4 Repair, r placement 21 Parking garageppordormitory - Enter number
5 Wrecking (1/multifamily residential, of units ------- - -- 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional6 Moving (r location)
17 Other - Specify 25 Public utility7 Foundation only
26 School, library, other educational
B. OWNERSHIP 27 Stores,'merconti Is
8 Privat (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 Other - Specify
9 Public (F deral, State, or
local government)
C. COST Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
0 - L 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......................
nnb. Plumbing ......................
c. Heating, air conditioning.........
d. Oth r( levator, etc.)............
11. TOTAL COST OF IMPROVEMENT a?7 y2.
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
Z30Masonry(wall bearing) 40 Public or private company
48• Number of stories................
31 Wood fromZ 41 49. Total square feet of floor area,Private (septic tank, etc.)all floors, based on exterior
32 Structural steel dimensions .....................
33 Reinf reed concrete H. TYPE OF WATER SUPPLY
34 Other - 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 Gas Will there be central air 52. Outdoors.......................
36 Oil c nditi Wing?
L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 44 Y s 45[Z] No 53. Number of b dro ms.
38 C of
39 Oth r- Specify Will th re be an elevator? Full..........
54. Number f
46 Y s 47 6 No bathr me
Portlal.......
IV. IDENTIFICATION — To b compl it d by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
C, -1 z
Owner or
Lessee
2.
Contractor
3.
Architect or
Engineer
The own r of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application dot
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans Notes
Plans Revi w Required Check Fee Started By Approved By
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
rove I Check Date Number B Permit or A rova I Check Dote Number ByPermitorAPPObtainedYPPObtained
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
Building
Permit issu d 1909
Building L1PermitFe $
p,prov d y: i
I E
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Jan. 26 19 87
Fee Paid $. . 4.6 8 .0 0 Fsst. Value $. .7.7.,.4 2 5
Pest N° 15610
on the aide of
Lot #2 9 Darlene Dri tie Street
Street No. 12
Owner TT f, R ('nn-q t-r1ie-t if]n Ca.-
Applicant U & R Construction Co.
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 7RR0
Fee Paid $ 3 .00
CLASSIFICATION
Dwelling
BURDj NG PE Rlufrr N`? 15 610
OFFICB OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
Sou& Windsor, Conn. Jan. 26 147
dr#io to to Tertifg, That R & R Construction Co.
is hereby granted permission to Dwelling
at estimated value of 17 P 4 2 5
on the side of Lot #29 Darlene Drive Street on land
owned by u & R Construction Co.
Said Work to be as described in Application
No.15910 and to conform to specifications and plans filed with said Application, and Building Br
Laws of THE TOWN OF SOUTH WINDSOR.
Iss Jan. 2fi, 107
a '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."
Dwelling - Lot #29 Rbn.Hls. 1/26/87
U-, & R"Construction Co.
12 Darlene Drive
Permit #15 610
Electrician Milton C. Plouff # 9558 V
Heating Contr.~S. 1/-*JngA-o 77`t
Plumbing " ' 7. V.. 13 3
Oil Burner
Certificate of Occupancy g #7880
Sewer Permit
Plot plan apprd. per Engr.
r
I
i Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
I
1
r
r
Permit N? 7880i
r Certificate of OccupancyI
t THI S TO CERT Y th t the
r at No in the Ziilding
of South Windsor, Connecticut, hasr
been erected and completed in accordance wit the Code and Zoning Regulations of
I the Town of South Windsor, and is hereby appr ed occupancy.r
Builaing Inspector
n
ner, udd
erIFeePaiDate19
i
r
CERTIFICATE OF OCCUPANCY CHECK LIST
Applicant Certificate of Occupancy
Addr ss Bldg. Permit No. s-61 0
Lot No. Date Submitted
Project ,/ ,cam go w >4s Reviewed By
Date
As r quired in the Zoning Regulations, no certificate-of-occupancy
shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall
inlcude:
Approved Denied N/A
1. Approved building permit plan.
2. Finish grading per approved
building permit plan.
s
3 . Site work; i.e. trees, shrubs, dumpster:
required parking
4. Utility location
a. sanitary sewer
b. foundation drain
C. electrical & telephone
d. water
e. other
r/ 5 . Appropriate certification
6 . Bonding
Sewer Permit No.
Pavement Excav . No.
COMMENTS :
f
GARDNER & PETERSON ASSOCIATES"''"ffe AV FM TLJNP1lQE TOLLAND, CONNECTICUT GM
1 l5•%7'ZV E
2D A6
SE\Er92 dia
F4 2---r 147.7
95F• .°q L 14r7•s a-7 L w P
l F•il
46 A y
147.4 latj.) 4
do
A-)A
o 4y'4-d p X
N
98
K,1745.100
J Rs 3' ODD WV
p,RLENE R VE
MORTGAGE SURVEY
NOTICE
LOT #29 - RAINBOW HILLS Reproductions of this plan are invalid if they do
PREPARED FOR U & R CONSTRUCTION CO. , INC. not bear the impression seal of the undersignef
TOWN OF SOUTH WINDSOR CONNECTICUT Land Surveyor and/or Professional Engineer.
SCALE: 1" = 40'
I hereby declare that the location of the building as shown is substantially
correct and that there are no zoning violations of the same.
CLASS A-2: I also hereby declare that this map and survey were prepared in
accordance with the standards of a Class A-2 Survey as defined in the Code of
Practice For Standards of Accuracy of Surveys and Maps, adopted December 10,
1975 as ame ed b th onnecticut Association of Land Surveyors, Inc.
DA y 9, 1987 L.S. #10839
REFERENCE: Revision to Subdivision Rainbow Hills Town of South Windsor,
Conn. Gardner & Peterson Associates-Tolland) Connecticut Scale 1" = 40'
Date 5-31-85 Revisions 7/30/85 8/8/85 11/29/85 8/27/86
PROfESS/ONAL ENGINEERS LAND SURVEYORS r7/
4
1 A"
A P P R O V E D
TOWN OF SOUTH WINDSOR
ENGINEERING DEPARTMENT
DATE: O!
SIG.:
a1./1LL11VV rL'nl•111 `.riLL.i L171
Applicant 40fZ/Li uilding Permit No.
Address. Date Submitted 7
Lot No. L Reviewed by
Project /,Z j, j ,c f Date
In accordance with the Subdivision Regulations, prior to the building of
any structure on a lot, a Topographic Plot Plan shall be submitted for
approval. The minimum requirements shall include :
Approved Denied N/A
y Name, address & phone number of owner/
applicant. 87/ vge)
2. Name, address & phone number of plan preparer.
3. Zoning information - i.e. zone, open space,
floodway, etc.
4 . Plot plan at 1" = 40 ' scale.
y a. Subdivision reference, abutting
properties , etc.
b. Easements of record.
c. Lot description, bearings, distances ,
building lines, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate.
e. Building location with dimensions .
Elevations of proposed finish floor,
Idarage floor & center line of road
rivewa
f. Elevations of gravity drainage systems ,
sanitary & foundation drain at the
house and the street.
g. Tentative utility location gas, electric,
water, etc.
h. Title block with name and address of
preparer, date appropriate certification,
live seal and signature.
5 . Sedimentation and erosion control.
6. Special Planning & Zoning, Inland/WetlandsP5g
considerations .
BUILDING DEPT.
P ZC
IWA/CC
WPCA T
OTHERS v Z'
400 l
COMMENTS:
9558
ELECTRICAL APPLICATION
Application No. 11067
on the side of
Lot #2 9 Darlene Drive Street
Street No. _ 12
Owner U & R C_on strtic-t i can Co.
Electrician Mi 1 t-nn r, P 1 ntif f
FILED IN OFFICE OF
The Building Inspector
Feb 1 1 19_&7
INSPECTION.
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. .......F .. ................
Master License No. .....
TOWN OF SOUTH WINDSOR Building Permit No.
BUILDING DEPARTMENTDate Filed
Date Final Approval .... ........ ........ . ...........
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
JOB LOCATION: Ale............................... JOB OWNER: . 1/...?L..... ..'!s -e.`.,cc.o.J....e, e......
Side of Between . and .................................
CH&T r&r2-Name of Building Owner Address AJ............ ..........
If work 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 ....
Is this work included in a Building Permit? Permit Fee .. . - - ....... ........ .. .......................... .................. ........ ...........
If no Building Permit)
Permittee j rlR-. Business Address Telephone
COST OF INSTALLATION: 0'314"0.. .. ...... ........................ 'Al 6:4
V,.I...........................................................
TO BE FILLED OUT BY PERMITTEE
TO BE WIRED EXISTING APPLIANCES
Number of light outlets to be installed 7
Number of convenience outlets to be installed 6- Number of present Appliance Circuits ............... ........... ..... .....6'
Number of switches to be installed Do these include Range Water Heater E]Number of appliances to be installed
as listed below) Dryer Air Conditioner F] Oil Burner
TYPE RATING NO.
Range . . . . . . . .
Dish Washer E] Gas Burner
Well Pump E] Elec. Heaters
Range Top . . . . . .
Oven . . . . . . . . REMARKS:
Water Heater
Clothes Washer
Clothes Dryer
Dish Washer . . . . . .
Air Conditioning Motor
Oil Burner Motor
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan . . .
Well Pump . . . . . .
Electric Heat . . . . .
Other PAI 5r7 t-- ' * '
Number of new Lighting Circuits
Number of new Appliance Circuits . . . ......'?.................
Number of Heating Circuits
Number of Motor Circuits . . . . . . . ............—...--
Size of present service ......... .. . ..................A...............Size of service to be .. ..... ...... ................... ...................
7353
PLUMBING APPLICATION
Apph; ram. -7 1
an au_.._.. side of
Street No.
Owner .... Z/, r
Plumber
ZiaFiledin
The Bing Inrpecoor
19
No person shall construct; add m or aloes my
portion of the drainage system of my bmld6g
ezoept to repair 66) uncoil a Plermit is mooed
by the Building Inspeoow.
APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
4,1 va,
11. LOCATION OF JOB
NO. STREET FLOOR APTAO.
GENERAL PLUMBING
12. KIND OF INSTALLATION L 13. SIZE OF MAIN DRAIN
lr
14. NO. OF TOILETS STYLE L-f 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 / SIZE
22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND 4
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?27. SIZE OF WINDOW
28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIGNATUR ADDRESS
LICENSE NO.O2ea14 2--ESTIMATED COST '!)• D'G TELEPHONE
OWNER
G
ADDRESS
WATER HEATER
31. TYPE 32. MANUFACTURER
TANK SAFETY DEVICES
33. CAPACITY 37. TEMPERATURE RELIEF VALVE
34. TEST PRESSURE_ 38. MANUFACTURER
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE
36. TYPE 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 SIGNATURE OF APPLICANT
PERMIT #
Application For
x DEPARTMENT DECISION Co-79
d
Heating Permit
3 APPLICATION IS HERESY: DEPARTMENT OF LICENSES AND INSPF"10.NS
4' APPROVED DISAPPROVED
TOWN OF SOUTH WI NDSOR
w
O
00 DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ME BELOW
O
d1 A
tE t. LOCATION OF JOB
g
ee C NO. e s BEET
0 LOT NO. FLOOR AK. NO.
O
E OWNER
cs
00 0
S. ADDRESS
4.PHONY`S J
b NO
S. APPLICANT
s. ADDRESS
t. 7.PHON
w 'c
40 O. LICENSE NO. 7 3
6 SCL
F. w B. EXPIRATION DATE OF LICENSE ,Z(l A??
10. ESTIMATED COST s 4tz=:Q
1. Is THIS A CONTRACT COST/YES
be
t!. FEE ENCLOSED s
du
19. TYPE OF BUILDING-
pp L.r BEBIDENTIAL COMMERCIALOR
C 3 14. TYPE F Jos: INDUSTRIAL
MN ALTERATIO' STALLATION ADDITION
N
REPAIR
APPLICATION FOR HEATING PERMIT (Continued it m Reverse Sid )
11. LOCATION OF JOB
NO. STREET
U/
FLO R APT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK Cl INCINERATOR MISCELLANEOUS
f L r-
IDENTIFY
1. SIZETANK ` J / OFCTANKN OF FILL OF VENT `
14. B.T.U. EQUIP. AT REGISTER FURNA MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO / B.T.U. OR SQ. FT. NET L B.T.U. OR SO. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW 011,01 D BUILDING INSULATED — YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING 1 LATIO
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION G
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHE T
MAKE OF RADIATION: SEBO . OPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE-
Ia. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS);Da
WINDOWS AREA — SQUARE FEET T•U. S.T.U. a i h DISTRIBUTION INSTALLCD
ROOM BIZ[ AND DOORS VOL U.t TOTAL TOTAL T w[ouTERa
NO. OLA>t• HILT WALL G[ILIN6 FLOOR GU.FT. AT 70'F GOnw[GT[O j r MAD. OR LRAO wOno" TYPIE ANO Size
w OOM
L W N AND K WALL t O
TK"r• O F O. FT. FR[[ AREA
o IINFILT.1 i
f12[ i
GcLaa s o Gyro
Go n
00
y-
el l l,3 3
o
00 5ao0 4
S 1a 8 yX3 3 o
yi-3 3 U000
9 /a ' 3 G o
S WX
w, ?37 T
TOTALS
j},I:U.l.HR--
A. HEAT LOSS FROM BUILDING
o. womESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING. OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A 8 C) F TO
17. ELECTRICAL WORK BY:
NANE 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
FOR OFFICE USg ONLY APPLICATION FOR HVAC PERMIT DATE:
NO. TOWN OF SOUTH WINDSOR EST.COST: &Jqo—
BLDG. PERMIT NO. / 1540 SULLIVAN AVENUE FEE S `_v PDX
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 0 - $12000 - $10.00
1000 or fraction
LOCATION OF BUILDING f , 0oqr)eojC. '
thereof - $10.00
A649- . r ,y ti a
O iNER ADDRES TOWN PHONE N0.nruTME fn cNAN3CA1., SERVICE,*,-T
zcAi li d zxo 6 3--o?d
HVAC CONTRACTOR ADDRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL
A/C L 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 OF
TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.):
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE°F INSIDE 7r OF DIFFERENCE,:Zr °F
TOTAL HEAT GAIN (BTUH) dZa, a 7 K
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.): IOU/A--0X 11S29— 0VA10 IAVI,
TONNAGE COOLING CAPACITY (BTUH) O z u J
IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT) :
TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM)
PLAN MUST ACCOMPANY APPLICATION)
The undersigned hereby applies for a permit to perform the following work and is to comply
with all local ordinances and State of Conn. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK: A
STATE LICENSE - NAME b TYPE #DATE SIGNACURE OF APPLICANT
q7 5-
ED DAT
I - 8 - R CALCULATION SHEET 1503 (Modern Method)Copyright 1977 by The Hydr nice Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.B COL.C COL.D COL.E COL.F COL.G
1 ROOM Q
O H L W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS, FT.U BTUH Pw P of of
3 LENGTH EXPOSED WALLS,FT. Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA IL
STUN BTUH BTUH BTUH STUN
5 WALL CONSTRUCTION ROOM LIN. FT.OF
Table 9,Line 3 x H) TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
I Bottom of table used 1 r L ins 5)
7 CEILING CONSTRUCTION C
Table 9,L x W)
g FLOOR CONSTRUCTION11
O
Table 9,L x W Or Lin. F t l E
9 COLD PARTITION CONSTRUCTION F
Table 9,L x HI G
10 C 1 Wall(With Openings)O
c+ 2 Wells(With Openings) j 1
3 Wells lWrlh Openings)or Ent.Hall
11 TOTAL f7TUH AT 7OF TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K
COL.A _ '-_COL.ill COL.H COL.I COL_J COL. K COL.L TOTAL BTUH TOTAL
OF BUILDING RADIATION1ROOM
I[ AT SELECTED
O H L W H L W H L W H L W H L W DESIGN TEMP.•
2 ROOM DIMENSIONS. FT
DIFFERENCE
U
3 LENGTH EXPOSED WALLS. FT
4 WINDOW AND OUTSIDE DOOR AREA to
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION INCREASE BATHROOM
Table 9,Line 3 x HI TOTAL 20%
6 TYPE OF GLASS
Gott m of table used for Line 51
CONSTRUCTION tfOR CONCRETE FLOOR ON7CEILINGCONGROUNDORFILLAT
Table 9. L x GRADE LEVEL,USE LINEAR
B FLOOR CONSTRUCTIONI FEET OF EXPOSED EDGE
I T able 9.L x W or Lin Ft I
9 COLD PARTITION CONSTRUCTION
ITabla 9,L x H)
10 c I Wall(With Openings)C
0
2 Walls lWith Openings) O x
3 Wells(With Openings) or Ent Hall r J —
11 TOTAL BTUH AT 7OF TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
FORM 1503
This form Is available from Tne Hydronics Institute, 35 Russo Psece.Berksley Heights,N J 07922
SIN 3357 RIGHT-J SHORT FORM 4-24-95
Job #: Htg ClgFor: Michael and Carol Goodwin Outside db 0 100
12 Darlene Dr. Inside db 70 75
South Windsor Ct 06074 Design TD 70 25
648-0770 Daily Range M
Inside Humid. -50
By:Nutmeg Mechanical services inc. Grains Water -35
132 Pine Street
Manchester Ct 06040 Const. Quality a
643-2042 of Fireplaces 0
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Model Model
Efficiency / HSPF 0.0 COP/EER/SEER 0.0
Heating Input 0 Btuh Sensible Cooling 0 Btuh
Heating Output 0 Btuh Latent Cooling 0 Btuh
Heating Temp Rise 0 Deg F Total Cooling 0 Btuh
Actual Heating Fan 1320 CFM Actual Cooling Fan 1320 CFM
Htg Air Flow Factor 0.026 CFM/Btuh Clg Air Flow Factor 0.053 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 91
ROOM NAME AREA HTG CLG HTG CLG
SQ.FT. BTUH BTUH CFM CFM
bedroom 192 6803 2753 177 147
bedroom 144 5439 2396 142 128
bedroom 120 5016 2323 131 124
kitchen 120 4314 3135 113 168
eating area 144 5697 2722 149 146
family area 120 5718 2831 149 151
dining area 144 6141 2904 160 155
living room 200 11482 5626 300 301
Entire House 1184 50609 24690 1320 1320
Ventilation Air 0 0
Equip. @ 1.05 RSM 25925
Latent Cooling 2353
TOTALS 11841184 50609 28278 1320 1320
MANUAL J: 7th Ed. RIGHT-J: V1.73
INSPECTOR DATE 2G TIME
LOCATION 1-2
INSPECTION: CODE: RESULT(D/A
BUILDING:
v
L
5
i
ELECTRICAL: y
PLUMBING:
HVAC:Hlro
q07 C
OTHER: