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Home My WebLink About139 Murielle DriveTO THE BURDING INSPECTOR of t6r: APPLICATION FOR TOWN OF SOUTH WINDS(K COON. PLAN EXAMINATION A N O BUILDING PERMIT zIMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX.O t ZONING AT (LOCATION)I• TE 40• Q U DISTRICT ~ LOCATION I(NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) f LOT SUBDIVISION LOT / BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D Q v A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use T 1 New building Residential Nonresidential 2 Addition(If residential, enter number 12 CK One family 18 Amusement, recreational of new housing units added, i/any, 13 Two or more family - Enter 19 Church, other religiousirePartD, 13) 3 F-1 Alteration (See 2 above) number o/units- - - - --jo-20 Industrial 14 Transient hotel, motel, 21 Parking garage4Repair, replacement or dormitory - Enter number 5 Wrecking (1/multifamily residential,of units ------- - --P- 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, professional 6 Moving (relocation) 17 Other - SpeciJy 25 Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 [X Private (individual, corporation, 28 Tanks, towers nonprofit institution, etc.) 29 0 Other - Specify 9 Public (Federal, State, or local government) C. COST Omit cents) cc Nonresidential - Describe in detail proposed use of buildings,e.g., food i• processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement................ S 211 OW lf 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.)............ • Car- 11. TOTAL COST OF IMPROVEMENT $• tcb-1 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.) Total square feet of floor area, all floors, based on exterior L, 32 JStructuralsteeldimensions .....................T 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34 Other - Specify 42,K Public or private company Total land area, sq. ft. ........... glp rd 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....................... ... conditioning36OII L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 U) No 53. Numb r of bedrooms.............. 38 Coal 39 Other- Specify Will there be an elevator? 54. Number of Full.......... 46 Yes 47® No bathrooms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Nam Mailing addr ss — Number, street, city, and State ZIP cod Tel. No. 1. L LL ell.— 6dJ Owner or Lessee C.. N(M0 RAD 0 11V 1L- O 2. 1 Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Sign ture f applicant Address a Application date 4ZLQ boo IS 1771 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan FReQview Date StarPlansted By DateApp Plans By Notes BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or ApprovalI Check Date Number B Permit or Approval I Check Date Number BppObtainedypPObtained y 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 V11. VALIDATION Bui Iding Permit numb r 9943 Bui Iding Permit issu d Aug. 30 19 77 Bui Iding Permit Fe $ 126.00 Approved by: I TITLE VIII. Z NING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARI SIDE (ARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use 4 H;ri, tit,t]AOf4-rip WmAhm- Wtilt,01, t10o01ilit=rttzT. 1:1 r 4,4 i, "i'I, I,, 1,10, 2 1,1 A 'I lit MOST:- -1J.1- i 4 7,4.1 1 1 1 Q lit-it Q171 lilt:it, F ugly oil 1 im:014,111 1 0 10,021TwislyWRAPPM0.117113, --WIF 14 1 1,1:W i 1 LEI All .0000:10IhSi1:1;zvl ry 1gyps;q_-, 4 4 li its,1 OIL .1110141. 411 1 4,HIM Qjl-, -1,1 1 Wt t"4 A 4, 11.111,1VIT 4,1 t- 1 j!j:j Al i—W it.14-; * , ;n" 40:14 1 1 "A 41.I. i 1 1 w4JW.V-1 q_1 .,1,1,d"W L114it-& sat A A&I CAI; 4''W_ Q1434" 110 I;q-tiltz 1111110:11" r,s ,1414t,,t4 KitSITf$04 t 4 . C IhyoQ47 40NOW 117i Q:! rtat" Ks litIII&'" I =1 W 1717 71;F 4:TO TV gqn it.yl. 4111 40 Mill N hKad ij,Z; 4407 ;_qoq -j ya:artA,,,,1:1 1rr 1-13 -4 1 10: rg..»... d'" Y..;-+.4.t —r..py-" et« •er®. ,..'a--x b i c a,. K A 1, AP wj. l1 0 lit:011 i ift§1 4114l]111_4__ I- 1414,00,vwl -0 4,1 EPA W 1 Q&T I"W:j_Hf_:11`_ 1+T41 a-{-0 A- till !,1: K A i 4.1 14 4!WIT,it 1=1 -Tq;as_T** 17,11,Tom 011TI,Q. ity it! 1 Y 1 111: :Iq fill Ah. ii"00107 Q. Q i47, J4 AW; 141 -4 1 4, j T:,T 1;71WNx Willa q,-, , 11 W,0a M4still4,111041, ! 4 T 0 to u..,1:0tg 0ip. 1111j : 1,im 1,14 41-1 1 1 1 II fw fwol -- I—— -Ww--1tyj,j. ,,In WK .. An M.Pia lit; 114-410T; i k4-0104 QW1 wftt 140:1""!1: mlynon,, 5 _44_ vv+- 1 1 t 12:unwitWT,JjTVI q j,-J. 14 -4Tr 10UP1:414 J a W: Pill Q ITSWWImIN, W of-It1 T"i,T tTKATrI AW.,jll ada A11-0 wt 11 How JTJ t II UK:71-1 0 tt I t:q--, .4, W."7`07lt 1 11100 MIT: ®, _71'", 1:11 z ya A11m;+jwil'y 70:115 1 V. jK; ;WW::jtit141,11111-1ti-I l , s, T 444 t 4 _;7i 4 TIT&+U;"14 w 0 fill, Pl +it ti- 4 WX1Ito1101101114T 4,1 ji 1V-14i lilt lit", I I I jIIt.tr. SILL 11 T 44 7 110 HE ivil RITt4fQ04, 17 1;&, - 4 : 11 tit 1 TJO 4 MIN lyl T I1 -1 fill t4 141 It IT j47- 4 41_11It irHl, +LIT-1 TOWN OF SOUTH WINDSOR BUILDING PERNIIT Date Auw,. 30 1977 . Fee Paid s. 126..00 Est. Value $. .2•1•1000.00 Permit N 9,9 4 3 on the side of Lot 13 Murielle Drive Street Street No.139 y Owner Chapel Hill B v_ (.n_ Applicant Cha 1pe 1 Hi 11 1) CERTIFICATE OF OCCUPANCY ISSUED: Date No. 5009 Fee Paid $ 3.00 CLASSIFICATION Dwelling BUILDING PERWr N° 9943 OFFICB OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. Aug. 30 77 South Windsor, Conn. 19 Chapel Hill Dev. 94-9 to to Trrftf-gZt,lling is hereby granted permission to Lot r tleVrteve ace of on the side of Street on land Chapel Hill Dev. Co. owned by Work Said to be as described in Application 10243 No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Aug* 30 77, Issue CV di 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 EPORT Permit # y Job r 1 Footing 2 Foundatio . 3 Framing 4 Wiring 9-- 5 Plumbing 6 Heating 7 Lathing 8 C.O. Q Pe':mit..Nv. TOWN OF SOUTH WINDSOR I SOUTH WINDSOR, CONN. Permit 5009I Certificate of Occupancy I I Z S TO C2TIFY that thkil at N inIRTOwn 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 for occupancy. I I Iog ' Building Inspec r 4 ORwner, Builder Fee Paid Date 1977 . TO THE BUILDING INSPECTOR This will Certify that the Property Identified below has been Inspected and Meets Engin ring Criteria for Certificate of Occupancy. Q-/ /-3 1 e G z'r Engin ring Approval Dat N/F KATHRYN a HENRY G. SHECKLEY i,yyp1111k aI1s EEf/jpr,e s Lfriti SI10-47'-09" W 126 y G c-;R 126 114.14_124lot I a NO.$299 At 12012 ff 20, 866.88 SO. FT. 120 — 0.47 Ac. W y 118 LOT 12 LOT 14 LOT 13 0 p N 01 o Iw N — 116 0 I N wry 1 Gores• N O h y 114 56 BUILDING LINE sUM" 4 6 490 _ u37 Foundatio,-) locate,l II showri, no zoning L 39.b6 violation / SAN. MURIELLE Zoo'- 8" SAN. SEWS M.hl DRIVE SgN SEWER8° WATER tilesS 2 lk Property of CHAPEL HILL jT)EVE1,0P'l'ENT, INC. Lot 1.3 lAuri,elle Drive South T ' nds EMIL W . LUCEK ASSOCIATES NO. REVISIONS DATE SCALE DATE CONSULTING ENGINEERS 5 OAKLAND ROAD DRAWN r CHECKED SOUTH WINDSOR, CONN. p,ar203-644-2802 PROJECT SHEET CERTIFIED SUBSTANTIALLY CORRECT - DEGREE OF ACCURACY A_ EMANUEL W. WCEK CONN. REG. LAND 'SURVEYGR 6293 6318 ELECTNICAL APPLICATION s' Application No. 6 6 5 on the side of Lot 13 Murie I le Dr. Scnec Street No. 139 Owner Chapel Hill Dev.. Electrician -Gi 1] e g Ln Roeh 1 1 FILED IN OFFICE OF The Building Inspector Sent. -8 ig_7_7_ 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 y until the plumbing and heating pipes, and the fire tops (if of wood) are installed, without a special permit from the oflgce of,the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. ..........6.6.25............... Permit No. ..........6.3.1.8................. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH W INDSOR, CONN. hereby make application tq perform Electr cal Work according to detailed description below. All prov ons of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. fe .. .... ... 1977 Sign hereSouthWindsor, Conn., P?`,''.... :. ........ Location Address 1 l A c/........J.l ..,p..,....a...........1.... Sideof .................................................................................................................................. Nature of Building i How man stories .................................................................................................y Newor old Building .........KLIeu.t................................... .................. How many families ................._..............................................................._........... Kind of Installation .." . r......./. ''Y ? .. ............ .... How many Stores ........................................._..........._................................_........... 1, 1 Owner J ...lT ..L ..... Address .. .. .. . .... K ..f,, ..,.... Architect ....................................................................... ........................................... Address ..........................................................................._................ yr..._... Address . . ... , . . s . 1.Builder a... 44ElectricianAddressCv . ... Size of Main Wires ... ..........41-.x................ No. of Light Loops ......................................... No. of Heat Loops ........................ ... ........ No. of Power Loops ........................w_........ No. of Light Outlets .....P...... .. ............ 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 ............t ......... ...... .... Total Wattage .............................. ..................... Size of Power Circuit ... ........... . .......... Total Horsepower .................. ........ ....... . No. of Straight Electric Fixtures ......../J..7......................... No. of Combination Fixtures ............. .... ........................ .. .......... No. of Receptacles .................Jo... ......................................... .............. No. of Cord Drops ......................................................................... ............... Remarks: For other kind of Installation ........................................................ ....................................................................................................................................... j q................................... .. ........................................................................................................................ .............. ...... ............ ............ ............................... Estimated Cost .....1.. Si.....)................ 5093 l PLUMBING APPLICATION Application No. 5 8 81 on the _..._...... aide of Lot #13 Murielle Drive 5 ct Street NO. __ 139 Owner Chape l Hi 11 Dev.. Plumber G & R Val ley Filed in Office of The Building I rpecoor Sent_ 13 19= D NEC1NN. No person shall construct, add do or aher ay portion of the drainage system of any bud&g except to repair leafs) until a P hint is granted by the Building Ins xaw. 5881 5093ApplicationNo. .......................................... Permit N .. ...................................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. I(I"C..........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. SouthWindsor, ......f................................................... 19 2..7... Sign here .-c .......(...................... ..... ........................................... Address 71.... Location ....4-e--7....../3....................................C&x..7-—---------------- side of OAL.U."..& ........ Street Natureof Building ................. ...... How many stories .. ........................../....................................................... Owner ... 41. ...........F.z........................ ........ Address.l!...2.4.....4EA.ik;-V S.L...IV, Architect .......................................... ...... ......................................................... Address ......................................... Builder .............................. ......... .... ......... ... .............................................. Address ............................*.............................. Plumber R.....41A..A.A PJ!t;7'...X.......................................... 3Address -,-370....C,6_41.F ..... r DRAINAGE CESSPOOLS, How many . ...................................... ................... Where located ..................................................................................................... Are they water tight .. ............................................................................ Of what materials are they built ..............................I........................ Size of pipe from house to cesspool ................................................ Kind of pipe ................. .................................................................................... MAINDRAIN IN CELLAR, Material ..........C..,..Z....... Diameter ........ r...../............................................................................................... Aboveor below cellar bottom .. ................ rX.................................. ....................................................................................................................... 0e/ r 3acaSOILPIPES, Material . .... ......................... Diameter .... ......../..................................................................................... WASTE PIPES, Material .............. ........A.. 3 r' Diameter A..",.................................................................................... 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 -e........ 6 A:................................................ Distance from trap to vertical soil pipe ........................................ Pattern WASH TRAYS, How many ......................................................... Where located ... . .................. SINKS, How many ..........................................Where located -.-.,kZ7 A41F ....................................................... BUTLER'S SINKS,How many ........................................................ Where located. ..................................................................................................... REFRIGERATOR SINKS, How many.. ................................... Where located ........................................... .................................................. LAVATORIES, How many ..............................A............................. Where located ..... 04............................................................ BATHTUBS,How many............................../................ Where located ..... oY eK.!.................................................. 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 1 PERMIT # Application For 4103 4702 DEPARTMENT DECISION Hea Permit o 3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS N ' IN APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR o 9113/77 00 DATt CNIE SPE OR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN NITN NUMBER ONE SELOW O 1. LOCATION OF JOB 139 Ogled r NO. BTRtR e rn LOT NO. FLOG_AR. NO. 4 O s~ OWNER e h 4 eL4- ca C DF'L/• c ADDRESS 4,2 6 L•l/t_ R D. 0 3 i"i r Il 1•/V)JrQ X 4.PNONE r tj S. APPLICANT o 6. ADDRESS D C—A c ,J A 7 /' f0 IL 7.PNONe f?y'ICF '6 s~ w° x s. LICENSE NO. V 3 3 D o 15 1 17 Q ire Q S w B. EXPIRATION DATE OF LICENSE to. ESTIMATED COST S 01 1 o t 1. IS THIS A CONTRACT COST?YES NO Permit 9943C1t. FEE ENCLOSED S a x tS. TYI OF BUILDING: fX"'I SEs"HINT" COMMERCIALbe 14. TYPE OF JOB: INouSTRIAL T; 3 RICINAL ALTERATION r-+INSTALLATNIN ADDITION REPAIR L APPLICATION FOR HEATING PERMIT (C ntinued it In Reverse Side) G 11. LOCATION OF JOB tj R ft-L L, _ On t y C N0. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC Cl VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZESIZE13. OF TANK S fr/4 OF TANK LOCATION / 5 M f T OF FILL SIZE I OF VENT /'fs 1a. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. (3UQ If AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO.Ae-1 tl FED B.T.U. OR SQ. FT. NET -0 B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING NE k," 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. RADIA ION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. Rv Pc.v a As 7aa4ej S Ted Fz: DESCRIPTION OF WORK 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): NO M slzE AN WINDOWS 000Rs AREA - SQUARE FEET e.T.U. e.T.U. i DISTRIBUTION INSTALLEDVOLUMETOTALTOTAL ROOM NO. 6 GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED -J j RAD. REGISTER L W N AND TEMP. TO TYPE AND SIZE OR LEADER SIZE WALL Gt0 INFILT.)O SQ. FT.p DIFF. F F dl N 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: NAM[ ADDRESS SUBCONTRACTORS AND 18. 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. o -- rlq DATE SIGNATURE OF afpLICANT B=R CALCULATION SHEET 1503 13-- copyright 1965 by the Institute of Boiler and Radiator Mcnufoctur rs OWNER A DRESS DESIGN TEMPEkATURE DIFFERENCE F. DATE COL. A COL. B COL. C COL. D COL. E COL. F COL. G ROOM 1 ROOM TOTALS RADIATION p W W H L W H L W H L W H L W L W FROM LINE 12 SELECTED 2 ROOM DIMENSIONS, FT. O m UQ -- 3 LENGTH EXPOSED WALLS, FT. Q Q Z -- j Cj3iL 4 WINDOW !ND OUTSIDE DOOR AREA le I BTUH - BTUH BTUH BTU- BTUH 5 WALL CONSTRUCTION to cj E 2ft 6 TYPE OF GLASS are — G F7CEILINGCONSTRUCTION 8 FLOOR CONSTRUCTION t G 6 9 COLD PARTITION CONSTRUCTION y H j Q 10, 101 z0 ONE WALL(WITH GLASS OR EXTERIOR DOOR I TWOWALLS Tj o a THRLE WALLS OFi EN TRANCE HALL -" 11 TO7A BTIJHAT70FTEI1P.DIFFFRENCE lOct 0ay 12 To fAL BTUH AT DESIGN TEMP.DI FFERENCE K COL. A COL. B COL. 1+ COL I COL. J COL. K COL. L L 1 ROOM a-,i L J(- 0-1 r-- q JVOwHLWHLWHLWHLWHLWf 2 ROOM DIMENSIONS, FT -- u Q E TOTAL BTUH TOTAL 3 LENGTH EXPOSED WALLS, FT. Q OF B lILDING RADIATIONnZ 01 AT SELECTED 4 WINDOW AND OUTSIDE DOOR AREALL DESIGN TEMPT DIFFERENCE BTUH_ BT_UH BTUH BTUH BTUH 5 WALL CONSTRUCTION 000 co6TYPEOFGLASS 7 CEILING CONSTRUCTION INCREASE BATHROOM TOTAL 20% 8 FLOOR CONSTRUCTION i 9 COLD PARTITION CONSTRUCTION o t FOR CONCRETE FLOOR ON GROUND OR FILL AT GRADE 10 p ONE WALL(WITH GLASS OR EXTERIOR DOOR) LEVEL, USE LINEAR FEET T (7 OF EXPOSED EDGE Z a TWoWALLs -- Q a THREE WALLS OR ENTRANCE HALL • 11 lOTAL BTUH AT7OFTEMF.JIFFERENCE 111TOTAL BTUH AT DESIGN TEMP.DIFFERENCE This form is available from The Hydronics Institute (Formerly The Institute of Boiler and Radiator Manufacturers) 35 Russo Place, Berkeley Heights, N.J.07922 FORM 1503 Copyright 1965, by the Institute of Boiler and Radiator Manufacturers.Form 1503 E S T I MATc q,oUAiNTITY ITEM AMOUNT Boiler No. Net I=B=R Rating or Net SBI Rating* Oil or Gas Burner or Stoker, with Controls I Oil Tan{:, Pipe and Fittings Combustion Chamber or Stoker Hearth Pump Thermostat Low Limit Cor,*rol Reverse Control Extra Controls Draft Regu''c for Flow Control Vaive Pressure Reducing Valve I_kelief ValYe j Air Cushion Tank Domestic—Water Heater and Tank Mixing Valve I Pipe, Valves, Fittings, Hangers j 1 I Pipe Covering I I Herting Units (Radi0iors, Baseboards, Convectors) Radia-?or Enclosures I Sets — Radiator Brackets j Radiator Valves Radiator Union Elbows Radiator Air Valves Main Air Vents Floor and Ceiling Plates Smoke Pipe Foundation Electric Wiring Pounds — Asbestos Cement Paint Freight and Cartage Labor Incidentals d Total Cost Overhead Profit Bid Net I=B-R Rating or Net SBI Rating of Boiler should equal or exceed thetotalheatlossofthehouseplu, proper ailowance for domestic hot water