HomeMy WebLinkAbout14 Peachbrook DriveBudLnINSPEC s- APPLICATION FO BUILDING PERMIT
PI u m bin D P% •
HVAC l' 93 Date: o'2-
Sprinkler' 14 PEACHBROOK DRIVE
Electric Y Estimated Cost $ 400
Zoning Permit Fee;c 0
Affidavit -S NO. 2 0 4 2 7 Occupancy Fee ; 3
Eng. Dept.
Fire Dept.COMPLETE RED BOXED AREAS.Total Fee ; 3
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location k Lot No. Side of Street Zone DB7_
Applicant Brom Builders Inc. Tel. # 889-7106
Address 207 West Town Street, Norwh, CT Zip 06360 Lic.# 500339
STREET CITY STATE
Owner Brom Builders Inc. Address Same
Architect A W Mastronunzio Address 36 Pleasant View, Jewett City,, CT 06351
Size New Area: Ft. Front Overalls Ft. Deep Overall 40` Total Area t5-IN Garages
Lavatories
Size of Lot 071 S F Dist. from Street Line Bathrooms2_Rooms 1st 3 2nd 3 3rd
Purpose of this Permit Construct a 3 bedroom single family dwelling
City Water C& Well 13 Septic 1 Sewer W
Use Group ` t Construction Type
Approved by Date a
8
BD1 A 11/88
I hereby agr a to conform to all the requir ments 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 Aze
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# 1x) Inspections:
HVAC Permit# 6 3 Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Location of job / <t7i'o s c Dom, AFFIDAVIT Additional Fee . . -0 ... ........ ...
State of Connecticut
ss s'
County of Hartford
6
Owner
of Or-..I-, . ''' Agent for building erected underContractor
Permit Na ... o...-7........... issued by the DeQ't of Building of the Thwn of South Windsor being duly sworn,make oath
and say that the actual cost of the completed work authorized under said permit was. .Gi.. . .N. ••.e-X c -e ' e r
Signed .... ... ...... ....
Subscribed and sworn to before me this day of .. . A.D.19
EsEmate Cost:$ 7 -_3Q11.Q0
LIND L it
NO TDifference: $ —0— ARY pp Public
MY COMMISSION EXPIRES AUG.31. 1997
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
93-20427-B 66,000
B01 FOOTING 03/03/93 JFH A
B02 FOUNDATION 03/07/93 JFH A
B03 FRAMING (ROUGH) 04/05/93 JFH A
E03 ROUGH 04/05/93 JFH A
E01 SERVICE 04/05/93 JFH A RELEASE ISSUED
P03 ROUGH 04/05/93 JFH A AIR TEST
H03 ROUGH 04/05/93 JFH A AIR TEST
B04 INSULATION 04/06/93 JFH A
B10 FINAL 05/14/93 JFH A
93-9200-P 4,000
93-8632-H 3,900
93-12525-E 2,400
Total Est Value 76,300
Dwelling 1.540 57,257.20
Basement 495 4,925.25
Garage 249 2,925.75
Smoke Det 3 225.00
BOCA Value 73,826.52
Difference 2,473.48)
i
i
CERTIFICATE OF OCCUPANCY CHECK LIST
Brom Builders v7o•
Applicant 207 west Town street Certificate oNoOccupancy
Address Norwich CT Bldg. Permit
Lot No. 14 Peachbrooke Date Reviewed s-zo-q3
Project FLACHBROOKE Reviewed By
Date Submitted 5-18-9 3 Approved/Dew-i-ed
As require d in the Zoning Regulations, no Certificate-of-Occupancy shall be
issued until grading plans have been complied with and approved by the To wn
Engineer. The minimum requirements shall include.
Approved Denied N/A
1 . Aooroved building permit plan.
2 . Finish grading per approved
building permit plan.
3 . Site work; i .e. trees, shrubs ,
du.-nos ters, required parking,
a_ , utility location
z• Sanitary sewer
b. foundation drain
C . electrical & telex O:'ie
d. water
e. other
5 . Sewer connection charee paid.
6 . Aoorooriate certification
7 . Bonding
L S . Planning & Zoning
Sewer Permit No. 59c
Pavement Excavation No.
COMMENTS:
BUILDING PERMIT CHECK LIST —
Applicant- Brom Builders, Inc .Building Permit No. oto 4
Address Q;oXnDate Submitted 2/17/93 (a.m. )
Lot No. Peac roo Reviewed by
Pro]ect pAa nhhrnnl;_:„, .z-y_i.s-jop Date
Z- /7- 9.3 )9 qt-01
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
1. Name, address & phone number of owner/
applicant.
2. Name, address & phone number of plan preparer.
3. Zoning information - i.e. zone, open space,
floodway, etc. f.o
4 . Plot plan at 1" = 60 scale.
a. Subdivision reference, abutting
properties, etc.
b. Easements of record.
c. Lot description, bearings, distances,
building lines, area, etc. 19
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate.
e. Building location with dimensions.
Elevations of proposed finish floor,
garage floor & center line of road at
driveway.
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/Wetlands
considerations. (Plans on file w/Town Clerk)
BUILDING DEPT.
PZC
IWA/CC
WPCA RECEI VE6 11OTHERS
FEB 1 7 1993
Town of South Windsor ?COMMENTS: EngineeringDept,
4
Gv N
UNIT LANDSCARNG PLAN-
PEACHBROOKE
e
b
4
LOT # 4
HOME STYLE:
PLANT LIST
QTY CODE BOTANICAL NAME COMMON NAME HGT. CAL.MATURE
A ACER PLANTANOIDES NORWAY MAPLE 10' 2" 80-90,
B FRAXINUS P. MARSHALL'S SEEDLESS ASH 10" 2" 50-60'
C GLEDITSIA T. SHADEMASTER HONEY LOCUST 10' 2" 80-90'
D BETULA PAPYRIFERA CLUMP PAPER BIRCH 6' 1.5" 30-40'
E CORNUS FLORIDA FLWRG. DOGWOOD 6' 1.5" 15-20'
F SOPHORA JAPONICA PAGODA TREE 6' 1.5" 30-40'
G JUNIPERUS VIRGINIANA RED CEDER 5' 25-30'
H PICEA ABIES EXCELSA NORWAY SPRUCE 5' 50-60'
J PINUS STROBUS WHITE PINE 5' 75-100'
K THUJA O.•NIGRA DK AMER ARBORVITAE 5' 20-25'
L AZALEA DEL. VAL. WHT. WHITE AZALEA 18-24" 3-4'
M JUNIPERUS WILTONII BLUE RUG JUNIPER 15-13" 6-8"
N RHODO. NOVA ZEMBLA RED RHODODENDRON 18-24" 5-6'
P TAXUS HICKSII HICKS YEY 18-24" 4-5'
o THUFA O. WOODWARDII GLOBE ARBORVITAE 18-24" 5-6'
UNIT LANDSCAPtNO PLAN
PEACHBROOKE -
c
Od/
d
b
4
LOT #
HOME STYLE:
PLANT LIST
OTY CODE BOTANICAL NAME COMMON NAME HGT.CAL. MATURE
A ACER PLANTANOIDES NORWAY MAPLE 10' 2" 80-90'
B FRAXINUS P. MARSHALL'S SEEDLESS ASH 10" 2" 50-60,
C GLEDITSIA T. SHADEMASTER HONEY LOCUST 10, 2" 80-90'
D BETULA PAPYRIFERA CLUMP PAPER BIRCH 6' 1.5" 30-40'
E CORNUS FLORIDA FLWRG. DOGWOOD 6' 1.5" 15-20'
F SOPHORA JAPONICA PAGODA TREE 6' 1.5" 30-40'
G JUNIPERUS VIRGINIANA RED CEDER 5' 25-30'
H PICEA ABIES EXCELSA NORWAY SPRUCE 5' 50-60'
J PINUS STROBUS WHITE PINE 5' 75-100'
K THUJA 0.•NIGRA DK AMER ARBORVITAE 5' 20-25'
L AZALEA DEL. VAL. WHT. WHITE AZALEA 18-24" 3-4'
M JUNIPERUS WILTONII BLUE RUG JUNIPER 15-18" 6-8"
N RHODO. NOVA ZEMBLA RED RHODODENDRON 18-24" 5-6'
P TAXUS HICKSII HICKS YEY 18-24" 4-5'
O THUFA 0. WOODWARDII GLOBE ARBORVITAE 18-24" 5-6'
PERMIT
EDEPARTMENTDECISION APPLICATION FOR ELECTRICAL PERMIT
I
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
a e B di g ector Application must be printed or typed
1. LOCATION OF JOB
Z.,
No . Street
FEE SCHEDULE
Floor Apt. No.
0 - $19000 - 10.00
Over $19000 - 10.00 2 . OWNER
per $1 ,000 or
p
fraction thereof 3. ADDRESS a7 lc EsTT
G1. e4,,/ fi/
4, APPLICANT
5. ADDRESS
6. ESTIMATED COST $
00
7. IS THIS A CONTRACT COST _/.
Y e s -
8. FEE ENCLOSED $
oRD4(a'7
9. TYPE F BUILDING:
RESIDENTIAL COMMERCIAL ,
10. TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION lcJ
13. SIZE OF MAIN FEEDER 2z
14 . NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16 . NO. OF POWER LOOPS 3 17 . NO. OF LIGHT OUTLETS
18 . NO. OF HEAT CIRCUITS 19. NO. OF POWER OUTLETS
20. NO. OF CONVENIENCE OUTLETS S 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 J 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 :
LICENSE NO. SIGNATURE OF APPLICANT ATE
PHONE NUMBER: — /g
s
Lot No.
Building Permit 1 9jerfiftC t#e
Temporary Service
Permanent Service
Pursuant to Permit Na ,W
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
r
Owner i'i `'"' =- " Electrician C)s
Street
Building Inspector
PERMIT NO.
a boo
DEPARTMENT DECISION APPLI CAT ION FOR
Application is hereby : PLUMBING PERMIT
TOWM OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
Date Building Inspector Application must be printed or typed.
1. LOCATION OF JOB:
FEE SCHEDULE 2. OWNER:
0 - $19 000 -10.00
3. ADDRESS: Rol TQ ; '}-.
Over $1 ,000 - 10.00
o Z-t,i O
per $1,000 or 4. APPLICAN fft4;-k--
fraction thereof
5. ADDRESS:,
4 O I fl
6. EST. COST: $oo() ,
7. IS THIS A CONTRACT COST? YES NO
8. FEE ENCLOSED: $ qc) ®
O
A 4 a-7
9. TYPE OF BUILDING:
V/RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB:
GENERAL PLUMBING
12. KIND OF INSTALLATION: Fp/K IV&W //OMC 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE OT-1/ 15. NO. OF URINALS - STYLE
16. NO. OF BATHTUBS_ 16A. NO. OF SHOWERS 1 - 17. NO. OF LAVATORIES
18. NO. OF SINKS_ 19. DISPOSAL 19A. DISWASHER_
20. NO. OF CONDUCTORS a SIZE ;7," / dZ 21. NO. OF STACKS SIZE 3
11
22. AREA OF ROOF r 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND
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. SEWER OR SEPTIC TANK?15674/t5-1Z
31. SIZE OF WATER MAIN y 31A. SIZES OF WATER PIPING & RISERS
32. REMARKS AND FURTHER DETAILS
WATER HEATER
33. TYPE hol-galc 34. MANUFACTURER
TANKS SAFETY DEVICES
TEriPERATURE
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
LICENSE NO. DATE SIGNATbIE OF APPLICANT
PHONE NO. C..V
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE:
NO. TOWN OF SOUTH WIND20K EST.COST: Qp 00
BLDG. PERMIT N0. A014a7 1540 SULLIVAN AVENUE FEE Q Jv
SOUTH WINDSOR, CT 06074 FEE
644-2511 - Ext. 230
0 - $19000 - $10.00
1000 or fraction
LOCATION OF BUILDING
thereof - $10.00
OWNER AD RE S JfOWN
VV
PHONE NO.
64a-99qL
11VAC CONTRACTOR A DRESS I 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-GPJV GAS IN-PUT ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE V/ OUTSIDE CAPACITY
LPG TANK - CAPACITY i
EXISTING RADIATION p n e.. ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE f_°F INSIDE "X OF DIFFERENCE G_°F
TOTAL HEAT LOSS (BTUH)ST HEAT LOSS SHEET MUS TA COMPANY APP ICATION)
DESCRIBE ALL HEATING EQUIPMEN (INCLUDING MAKE & MODEL NO.): /
GROSS HEATINC CAPACITY (INPUT-BTUH) D ooa NET RATING (OUTPUT-BTUH) 0c O00
11
IF 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)
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:
03os_67(o s-i
STATE LICENSE - NAME & TYPE #DATE SIGNATUM OF APPLICANT
3 LLcl 4F_3
APPROVED ATE
BD 4A 11/88
I - B - R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hyd onlct Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.B COL.C COL.D COL.E COL.F COL.G
i ROOM
O H L W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS, FT.
U STUN per Po t of3LENGTHEXPOSEDWALLS, FT. a Radiation Selected4WINDOWANDOUTSIDEDOORAREALL
BTUH STUN STUN BTUH BTUH
5 WALL CONSTRUCTION
Table 9,Line ROOM LIN. FT.OF3xH)
TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
Gott m of table used for Line 5)
7 CEILING CONSTRUCTION C
Table 9,L x W)
g FLOOR CONSTRUCTIONt D
Table 9, L x W or Lin Ft) E
9 COLD PARTITION CONSTRUCTION F
ITable 9, L K H)
10 1 Wall(With Openings)O
G
o
2 Walls(With Openings)
1.0 X H
e J 13Wells(With Openings)or Ent.Hall p.
11 JTOTALBTUHAT70FTEMPDIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K
L
COL.A _ —_ _ _— COLS COL.H COL.I COL_J _ COL.K COL.L TOTAL BTUH TOTAL
i ROOM OF BUILDING
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 Q
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH STUN
5 WALL CONSTRUCTION
INCREASE BATHROOM
Table 9,Line 3 x H) TOTAL 20%
6 TYPE OF GLASS
Bottom of table used f r Line 51 xi
7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON
Table 9, L x W)GROUND OR FILL AT
g FLOOR CONSTRUCTIONt
GRADE LEVEL,USE LINEAR
FEET OF EXPOSED EDGE
Table 9,L x W r Lin Ft 1
9 COLD PARTITION CONSTRUCTION
Table 9, L x H)
10 r 1 Wall(With Openings)
c i 2 Walls(With Openings) e Xo
3 Wells(With Openings)or Ent. Hall Fe J
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
This loan it aysilabie from The Hydronict Institute,35 Russo Piece,Berkeley Heights,N J 07922 FORM 1503
7
B= R CALCULATION SHEET 1503 (Modern Medod) Copyright-9 ro $: N_ •
cooyri llt 1s77 tom The i fyarontas ttrttltulo
NIER M - ADDREU a lamTEMPEW' RATURS'DIFFERENf E-V—F. DATE
COL.A COL.S I COL C COL.O COL.[ COL.F COL O
1 ROOM " Q VI)w
O N L W N L W H• L W M I L W H L W Destsr Water Temp.
2 A OM DIMENSIONS.FT. v I BTU"per Foot ofRadSsD
3 LENGTH EXPOSED WALLS,FT.iation Selected
4 WIND W AND OUTSIDE DOOR AREA U6
f STUN STUN STUN STUN BTU"
r
5 WALL(
Table 9,Lline 3 x H)
ION h 0 0 O(J^ D 0 0 RO M LIN.FT. F
V TOTAL( RADIATI N
6 TYPE OF GLASS
FROM LINE 12 SELECTED
lBottorm of table used for Line 51 100 2 QV. y 0 0
I :'' 7 CEILING CONSTRUCTION C 00
Table 9.L x W) Z D .3 9c
FLOORtt
Table 9CL x W orULim FL) Q 0 100 AE CTION? a
9 COLD PARTITION CONMUCT10N F & ZD D
Table 9.L x H) V O 1h r 0
10 C 1 Wall tWith Openings) 017i N /-T V
2 Wells With OpeningO x a D 0 1 Z Z A oJ23Wells(Whh Openings)or Ent Hall OV7 41J
11 T TAL STUN AT 70F TEMP.DIFFERENCE• Q So - p D gt a O
12 TOTAL BTUH AT DESIGN TEMP.,DIFFERENCE XQ'Q 1?19LIDO
COL.A COLS I COL H COL f COL J COL.K ' COL L TOTAL STUN T TAL
1 ROOM
tC
t W,
OF BUILDING RADIATI N
AT SELECTED
O H L W H L W N L W H L. W N Olw
DESI N TEM/.-
2 ROOM DIMENSIONS.FT. g IN
DIFFERENCE
3 LENGTH EXPOSED WALLS.FT.
4 WINDOW AND OUTSIDE DOOR AREA 2= MIN
STUN BTU" STUN STUN STUN
5 WALL CONSTRUCTION INCREASE BATHROOM
z Table 9,Line 3 x H)ale Soo 3 ob TOTAL 20%
6 TYPE OF LASS h O 0
T
Bottom of table used for Line S)V f
FOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION GROUND OR FILJ_AT300sZ0 GRADE LEVEL.USE LINEAROZTable9.L x WI
S FL OR CONSTRUCTION?
kAIA
FEET OF EXPOSED EDGE
Table 9.L x W r Lin.Ft)
9 C LD PARTITION CONSTRUCTION(
Table 9.L x H)
10 c 1 Wall(with Openings)0 toov2Walls(With Opening) ZXD3Wells(Whh Openings)or Ent Hall F
11 TOTAL STUN AT 70F TEMP.DIFFERENCE' ZpU Oa Z Z-O
12 TOTAL STUN AT DESIGN TEMP.DIFFERENCE p D 3 C 0 C!
FORM 1503
This fore is avewebfe from The Hydronies Insthutsi,35 Russo Flaee.Berkeley Heights.N. L 07922
x.G ,7a7L',:, i' '•'_x:..R I,= :.?.Y':.•.. -
4 d. . ti t s .v:.. s _ t•._,.7,ri4•.R- -• :--.i.:. ._ ^
war r•1. -^-:_ ::.' y_.•"a,_''
voi
J s g= R CALCULATION SHEET 1503 (Modern Method) Wdt: _ _,._,:
Z-:_:, _ 4. ,•...
Cidp1"7"• by
r
1,77 TM+MYdronles Imttltuta
WNER ADDRESS DESIaN TEMPERATURE DIPMR9N E-F. DATE
COL A COLS COL.C COL D COL-E. COL.F COL O
1 ROOM Q
O N L w N L w H L w N L W N L w Oeba water lrmP-
2 ROOM DIMENSIONS.FT. V STUN per Feet of
3 LENGTH EXPOSED WALLS.FT.Raalatl a SMaetal
WINDOW AND OUTSIDE DOOR AREA 1
BTU" STUN STUN STUN STUN
5 WALL C NSTRUCTION RID M LIN.FT. F
Table B.Line 3 x HI TOTALS RADIATION
FROM LINE 12 SELECTED
6 TYPE F GLASS
Bottom"f table u»d for Line 5)0 d v
b
7 CEILING CONSTRUCTION
r11-n
C
Table B,L x W) V v D
a FLOOR CONSTRUCTION? oOTableO.L x W or Lin.Ft) OS E
B COLD PARTITION CONST'f1UCT10N F
E Table B.L x H) G
10 0 1 Wall(With Openings) fiqE0010 H
z 2 Wells(With Openirgd I
3 Walls(Whh Openings)or Ent Hall
11 TOTAL STUN AT 70F TEMP.DIFFERENCE•
J
K
12 T TAL BTUH AT DESIGN TEMP.,DIFFERENCE
L
G
COLA COL.B COL.H COL I COL.J COL K COL.L TOTAL STUN T TAL
1 ROOM
OF BUILDING RADIATION
Ic AT SELECTED
O N L W H L W H L W N L W H L w DESIGN TEMP••
2 R OM DIMENSIONS.PT.
DIFFERENCEE
eelsuq"5 po." .i
3 LEN TH EXP SEO WALLS.FT.
4 WINDOW AND OUTSIDE DOOR AREA TOML T
BTUH BTU" STUN STUN BTU"
5 WALL C NSTRUCTION INCREASE BATHROOM
Table B,Line 3 x H) TOTAL 20li
6 TYPE OF LASS
E Bottom of table used for Line 5)
tFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION GROUND OR FILL AT
Table B.L x W) GRADE LEVEL.USE LINEAR
B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
Table O.L x W or Lin.Ft)
B C LD PARTITION CONSTRUCTION
Tab) B.L x H)
r
t t0 _0 1 Wall(With Openings)
2 Wads(Whh Openinp) b X
L 3 wells(Whh OpeningS or Ent Hell F J
11 I TOTAL BTUH AT 70F TEMP.DIFFERENCE•
1121 TOTAL STUN AT DESIGN TEMP.DIFFERENCE
FORM IS03
This form Is avellable from The Hyd onks Inathuu.35 Plusso Plate.Berkeley Heights,N.J.07822
a' _ l+r- -. ''~ __'_ -•1. ir.'1' s 7 s .• • -3' _ _ .___•,';..•"C•_
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