HomeMy WebLinkAbout1305 Main Street (2)6082
ELECTRICAL APPLICATION
Application No. 6 3 9 2
on the side of
Main Street
Street No. 1305
Owner Arthur Roe
Electrician Lane E e c t r i c. Co-
FILED IN OFFICE OF
The Building Inspector
19 IL--
INSPECTION.
1
ve 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. WORM.
No. ...........63.9.2................
Permit No. ...........6. 8.3.................
TO THE BUILDING INSPECTOR
of the
7 7 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.
c LANE ELECTRICSouthWindsor, Conn., ............... .............. .... ......... ..... ....... 19 .. Sign here ...................................- 31"ETM NCTCYN...RO&Ag..
Address .....................................SQ.,..j.N...NDSQR, CONN. 06074
PHONE: 528-010
h-l..`.:........... Side o! ... .. .. .'.? ...,(1.........l..ht....................................Location ................................................................................................ ........
Nature of Building e- ...................... How many stories ..........
Newor old Building ........................................................... . ............... .. How many families ......... ...._....................._.........._.........._................_...........
Kindof Installation ............ How many Stores .........................................-......................_...._.............._...........
Owner ............ . gk-..........................................._................ Address .......k...E.L... 1. w
Architect .................................................................. ... .... ............................. ...... Address ..........................................._..................................._...--._._._-......._....
Builder .......:r. ....E;i Cr-RIC.................................................... Address ......... .............................................................................__........................
Electrician 43i L... GTON ROAD Address .... ...................................................._...._...._.........._...-....r...-..............-...
SO. WiiVDSCR, CONN. 06074
PHONE: 528-010f;ize 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 .....................................
NoO 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: /F'or other kind of Installation ........................................................ .......................................................................................................................................
J fr.... rL.......................................... G......... ..............................................................................................................................
T................................................. .
Estimated Cost ....... ...°...v
ALIBldingNSPECTI N •
APPLICATION FOR BUILDING PERMIT
Plumbin
HVAC ,reDate:
Sprinkler
1305 MAIN STREET
Electric Estimated Cost $
Zoning Permit Fee$ < -
Affidavit No•2 0 3 0 2 Occupancy Fee $
Eng. Dept.COMPLETE RED BOXED AREAS.
Fire Dept.TYPE OR PRINT ONLY
Total Fee $ • p
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 Locatio VV\ Lot No. Side of Street Zone
Applicant !\S Tel. # 15 11
Address 3 Zip Lic.#
STREET CITY STATE
Owner v1D Z-' Address I' y'a 4 s c CT
Architect NAt Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
Size of Lot Dist. from Street Line Bathrooms Rooms 1st 2nd 3rd
Purpose of this Permit b J
City Water 0 Well 0 Septic 0 Sewer 0
Use Group Construction Type
Approv d by Date 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 d nc rom all other zones and is
located in a zone in which this building and its use is allowed
Signed
1 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:
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Pursuant
to
Permit
No.
20302
This
Certifies
that
the
Wood/
Coal
Stove
installation
for
which
the
above
named
Permit
was
granted
has
been
duly
inspected
and
is
hereby
approved.
1
Owner
David (-
I, ('
hahnt (
Mr-_ )
Street
1305
Main
Street
a
09/
21
19-
q-
3-
i 1
i
pector
1j 6!tI
W N Sr,(
ter'' ...i ../ 1' S V+r / rtiV' ii7 6.•r^'c+\
1540 SULLIVAN AVENUE SOUTH WINDSOR, CONN. 06074
AREA CODE 860/644-2511tiOSOR,CO
July 23, 1996
CERTIFIED #Z262392687
Ms . Kelly Anne Kasheta
1305 Main Street
South Windsor, CT 06074
RE: Appl. #2323-96 - Kelly Anne Kasheta
Dear Ms . Kasheta:
At the July 11, 1996 meeting of the South Windsor Zoning Board
of Appeals, the Board approved your request for two variances:
1) a variance to Section 3 . 10 . 3 to allow expansion of a
non-conforming structure; and 2) a 40 ' variance to Section 10 .2
to allow an addition to be 10 ' from the front property line at
1305 Main Street, A-40 Zone.
The Board concluded the hardship to be that the property
pre-dates zoning regulations .
The Board also wanted to note that even though they have
approved the above two variances, they have in no way approved
the front yard setback and the non-conforming size of the house.
Any new building, or alterations/additions to existing buildings
require a building permit prior to start of construction.
This action is effective upon your filing the enclosed form in
the Town Clerk's office at your own expense.
Very truly yours,
V-a C tu`_n
seph J. Ca ino, Chairman
Zoning Board of Appeals
JCC:dr
Attmt.
cc: Building Department
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Electric# 1 r APPLICATION FOR BUILDING PERMIT
Plumbing# 1305 MAIN STREET
HVAC # clskf Date:
Sprinkler# No.23441 jig qfo
FIN*
ng
P O Estimated Cost $ C,
Buildin COMPLETE RED BOXED AREAS Permit Fee v
Engine Occupancy Fee $3TYPEORPRINTONLYY
Affidavit SIGN ON REVERSE SIDEAppr.for CO. Total Fee
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications: C p1/ 7 1y f-7
Jo6 Location +g as 0`1 01 n Lot No. Side of Street W Zone -
Applicant Tel. # al;q 1{a
Address Zip q Lic. #
Owner Address
Architect Address
Sq. Ft. New Area: 1st FI. Hal 2nd FI. 3rd FI. — Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: bV I
i
C
Q' jk JAL City Water Well Septic System Sewer !
Us Group Construction Type 56 Area Baserp nt Garage
Approved by 910,Date--ItC36(%
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 zone in which this building and its use is allowed.
Signed -",
I hereby apply for a Certificate of Occupancy for the work Acribed in this application for the permit
Signed . 0 0 , 4,
DO NOT1WRIE BELOW THIS LINE --
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
96-23441-B 20,000
B01 FOOTING 08/05/96 JFH A
B04 INSULATION 08/12/96 JFH A FOUNDATION INSULATION
H02 UNDERGROUND 08/12/96 JFH A
B01 FOOTING 09/03/96 JFF A FRONT PORCH PIERS
B05 FIREPLACE/CHIMNEY 09/03/96 JFF A
B03 FRAMING (ROUGH) 10/24/96 JFH A
E03 ROUGH 10/24/96 JFH A
B04 INSULATION 11/04/96 JFF A
B10 FINAL 05/26/98 JFF D NO ACCESS LEFT DOOR TAG
B10 FINAL 05/28/98 JFF A APPROVED FOR CLOSEOUT & CO
96-9581-H 1,200
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South Windsor
BUILDING DEPARTMENT
TO THE BUILDING DEPT.
This certified that this plan and speufic.itions arc ;r.
copies of the proposed building or alterations tu I
erected 5 Str
together with amendments stated in applicationBledwithplanandIagreetocomplywitha1tzonrrBuildingandstatelawsandsuchersassh-)Issued by the Building Depart ent dunng nci. .,of cation and final issuance tf aulllj'inlit.
1 Signed
This plan is a ved subject to ttie condrtio Via.orders ordinances regulating building shall beCompliedwith
Conditionally Approved These filed with
Building Inspector Clerk
ate J Ll
CERTIFICATION OF ZONING COMPLIANWe
Proposed building(s), use(s) and/or structureW22 -as shown on this plan appear(s) to be,.,in ,,
fr-onformance with current South Windregulations. Variances and special
nay apply.
Date r
7_:..i:a E=fr•;-;-.,;t Off=cam - .
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Iq I 4L
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bld Permit7A
1540 SULLIVAN AVENUE
peat
APPROVED
644-2511 ext. 230
2-
6ate ding Inspector Application must be printed or typed
Location ofjob
Street No. Street Lot No.
FEE SCHEDULE I Floor Apt.No.
0 - $1,000 - $12.00
Over $I,-000
12.00 per$1,000 OWNER
or any fraction thereof
ADDRESS
OWNERS PHONE#
APPLICANT
N S FADDRESS A11A,1A C.Z-Ago
Lit_ZZ AIK
A EST114ATED COST
0 -
IS THIS A CONTRACT COST?
U4w
0
FEE ENCLOSED $
R-Co TYPE OF JOB:
Original Installation
Altewatio<A ' o I Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION 6— 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 E
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YE N y
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
SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
L
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
e-'z4:L::-c
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
PHONE NO 70 F, Ic DATE 1,9
T r
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: Id t 4&
NO. _ g5h I TOWN OF SOUTH WINDSOR EST.COST: app, 00
BLDG. PERMIT NO.1540 SULLIVAN AVENUE FEE 00
SOUTH WINDSOR, CT 06074 FEES!
644-2511 - Ext. 230 0 - $19000 - $10.00
1000 or fraction
LOCATION OF BUILDING ?jas (1V C((ti S:-f thereof - $10.00
dam* 4c l6 Ilan" M^iv,
OWNER ADDRESS TOWN PHONE NO.
HVAC CONTMACTOR ADDRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL
A/C COMMERCIAL
VENTILATION BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR
UNIT RADI T HEATER (INCLUDING WOOD/COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM I,w GAS IN-PUT ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
r
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE ' OF DIFFERENCE F
TOTAL HEAT LOSS (BTUH) y gI S(r7 'Pt6i HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE 6 MODEL NO.): Le tv S vtrc-
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE F
TOTAL HEAT GAIN (BTUH)
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.):
TONNAGE COOLING CAPACITY (BTUH)
IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT) :
TOTAL SIZE OF- SYSTEM (CFM) FRESH AIR INTAKE (CFM)
PLAN MUST ACCOMPANY APPLICATION)
The undersigned hereby applies for a permit to perform the following work and is to comply
with all local ordinances and State of Conn. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK: AJI
s '
s-'7 o$ 3 a
TTA7t LICENSE - NAME & TYPE #DAV SI NATURE OF APPLICANT
J0- r/q6-:3,
APPROVED DATE
I as B - R CALCULATION SHEET 1503 (Modern Method)Copyright 1971 by The Hydronics institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.S COL.C COL.D COL.E COL.F COL.G
1 ROOM
H L W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS, FT.U OTUH pN Pool of
3 LENGTH EXPOSED WALLS. FT. Radiation Selected
d WINDOW AND OUTSIDE DOOR AREA LL
STUN STUN STUN STUN STUN
5 WALL CONSTRUCTION
Table 9,Line 3 x HI ROOM LIN. FT.OR
TOTALS RADIATION
6 TYPE OF GLASS PROM LINE 12 SELECTED
Bottom of table used for Line 5)
7 CEILING CONSTRUCTION C
Table 9,L it WI
6 FLOOR CONSTRUCTIONt
D_
Table 9, L x W r Lin. F t) E
9 COLD PARTITION CONSTRUCTION P
Table 9, L x H)
G
10 G 1 Wall 1 With Openings)
2 Wells(With Openings)e
xis
H
o
3 Walls lWith Openings)or Ent.Hell
J 1
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K
COL.A — -__-_— COL.B COL.N COL.i COL_1 COL. K COL.L TOTAL BTUH TOTAL
OF BUILDING RADIATION1ROOM
IL AT SELECTED
O H L W H L W H L I W H L W H I L W DESIGN TEMP.*
2 ROOM DIMENSIONS,FT I.' DIFFERENCE
U
3 LENGTH EXPOSED WALLS. FT
4 WINDOW AND OUTSIDE DOOR AREA la
BTUH BTUH BTUH BTUH STUN
5 WALL CONSTRUCTION INCREASE BATHROOM
IT able 9, Llne 3 x H) TOTAL 20%
6 TYPE OF GLASS
bottom f table used f r Line 51
7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON
GROUND OR FILL AT
Table 9, L WI GRADE LEVEL,USE LINEAR
8 FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
Table 9.L x W r Lin Ft 1
9 COLD PARTITION CONSTRUCTION
Table 9, L x H)
10 c 1 Wall(With Openings)G
2 Walls(With Openings)e x
3 Wells(With Openings) or Ent Hall Ise.
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
FORM 1503ThisformIsavailablefromTheHydronlcsInstitute35RussoPiece,Berkeley Heights.N J 01922
HVAC LOAD ANALYSIS
for
I
RHVACRESroEMULANDUGHTCOMMERCIALHVACLOADS
Prepared By:
John Przybylski
Hi Point Heating&Cooling
71 Edwin Road
South Windsor,CT 06074
860)291-0181
05-25-2001
lip ii
Project:Company: Hi Point Heating&Cooling
Client: DON KASHETA Representative: John Prtybylski
Address: 1305 MAIN ST. Address: 71 Edwin Road
City: SOUTH WINDSOR,CT.06074 City: South Windsor,CT 06074
Phone: 860-289-8899 Phone: 860)291-0181
Fax: Fax: 860)291-0020
Project Name:
R ference City: Hartford,Connecticut
Daily Temperature Range: Medium
Latitude: 41 Degrees
Elevation: 19 Feet
Elevation Sensible Adj. Factor: 1.000
Elevation Total Adj.Factor: 1.000
Elevation Heating Adj. Factor:1.000
Outdoor Outdoor Indoor Indoor Grains
Dry Bulb Wet Bulb Rel.Hum. Dry Bulb Difference
Winter: 7 N/A N/A 72 N/A
Summer: 88 73 50% 75 33
Total Building Supply CFM: 834 CFM per square foot: 0.673
Square feet of room area: 1,240 Square feet per ton: 624.665
Total heating required with outside air: 44,825 Btuh 44.825 MBH
Total sensible gain: 18,342 Btuh 92 %
Total latent gain: 1,609 Btuh 8 %
Total cooling required with outside air: 19,951 Btuh 1.663 Tons(based on sensible+latent)
1.985 Tons(based on 77%sensible capacity)
Calculations are based on 7th edition of ACCA Manual J.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads.
Component Area Sen. Lat. Sen.Total
D scription Quan Loss Gain Gain Gain
1A Window Clear Glass Wood Frame 150 91651 0 9,602 9,602
1 OD Door Wood Solid Core 63 1,884 0 481 481
12C Wall R-11 + 1/2"Gypsum(R-0.5) 1,531 8,956 0 2,287 2,287
16D Ceiling R-19 Insulation 800 2,756 0 1,569 1,569
20D Floor Over Open Crawl Hardwood+R-19 800 2,704 0 333 333
Subtotals for structure: 3,344 25,951 0 14,272 14,272
Active P ople: 0 0 0 0 0
Inactive People:0 0 0 0 0
Appliances: 0 0 0 0 0
Lighting: 0 0 0 0 0
Ductwork: 0 7,471 0 3,057 3,057
Infiltration:Winter CFM: 159.6,Summer CFM:70.9 213 11,403 1,609 1,013 2,622
Ventilation:Winter CFM:0.0,Summer CFM:0.0 0 0 0 0 0
Sen ible Gain Total: 18,342
Temperature Swing Multiplier: X1.00
Building Load Totals: 44,825 1,609 18,342 19,951
Total Building Supply CFM: 834 CFM per square foot: 0.673
Square feet of room area: 1,240 Square feet per ton: 624.665
Total heating required with outside air: 44,825 Btuh 44.825 MBH
Total sensible gain: 18,342 Btuh 92 %
Total latent gain: 1,609 Btuh 8 %
Total cooling required with outside air: 19,951 Btuh 1.663 Tons(based on sensible+latent)
1.985 Tons(based on 77%sensible capacity)
Calculations are based on 7th edition of ACCA Manual J.
All computed results are estimates as building use and weather may vary.
Be sure to select a unit that meets both sensible and latent loads.
SON t ATAPPLICION FOR HVAC PERMITfkryys ,. ;,
ye.
w yr; PERMIT#11T. = TOWN OF SOUTH WINDSORx..
M,BUILDING DEPARTMENT
1540 SULLIVAN AVENUE Bldg.Permit#g.644-2511 ext.230
Application must be printed or typed
Location of Job:
ga °lh__ #
F sY. _. St eset NO. Sheet Lot NO.
Tenant Designation Apt.No.
R.
APPLICANT
5" APPLICANT ADDRESS h
INR3I
APPLICANT PHONE# oZ 1 !7! l
OWNER
z
OWNER ADDRESS
t
OWNERPHONE
bF_` ESTIMATED COST$0 00 0 0
IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$ 4
TYPE OF JOB:
Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
HEATING U.RESIDENTIAL
gf-A/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.)
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUTBTUH)
TYPE OF FUEL
OIL-GPM OIL TANK LOCATION:INSIDE OUTSIDE CAPACITY
GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE '? °F INSIDE 7- °F DIFFERENCE o`er OF
TOTAL HEAT GAIN(BTUH)/ HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
04elca-Ten z"A`r6/
TONNAGE 2- 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 7 C
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.
3o3tgo C T
CONTRACTORS LICENS TYPE S .ATE
SIGNATURE OF APPLICANT DATE v