HomeMy WebLinkAbout160 Gilbert Laneoectric iF A4 a J / Nrr rVK DU1L1J1111V rCKMI 1
Plumbing#o. ( 160 Gilbert Lane
WAC # L 26747 Date:
Sprinkler# NO•
FINAL APPROVALS Estimated CostBuildingCOMPLETEREDBOXEDAREASPrmitFeeEngineering716oCTYPEORPRINTONLYOccupancyAffidavit7h c_
Fee =5'--p
Appr.for CO.=Cie-, .fib SIGN ON REVERSE SIDE
Total Fee
TO BUILDING DEPARTMENT,TOWN OFSOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location /&o lip SA Lot No._Side of Street_Zone Q
Applicant Tel. # (o 49-dk. q a
Address Zip 0= 1V Lic. # 47.1. 00_SU'n
Owner Address
Architec Address
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
Rooms g Lavatories / Bathrooms 'Z Garages o2..
Purpose of this permit: I 1P
Vq
City Waterer Well Septic System Sewer
Ins. H.O. S.P. Cert.Area W4:? Basement 1425
Approved by YL'Date i Use Group k7l Construction Typ
Rev6sd 1197
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 afteration 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 allowed.
Signed j
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 S 598 . 00
State of Connecticut
ss.South Windsor
County of Hartford
Owner
I ofC C a-1-01Agen r the building erected
2 6 7 4 7
Contractor
under Permit No. 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 authorized under said permit did not
exceed the most current accepted BOCA value of S 169 ,000 .
Cign
Subscribed and sworn to before me this day of et- A.D.20 C
Estimated Costs 12 4 , 0 0 0 . 0 0
46 000 . 00Difference: $T
Notary Public
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment ,
26747-B 110,000
B01 FOOTING 03/07/00 JFF A WITH CONTRACTOR
B02 FOUNDATION 03/13/00 DCJ A ADD STONE TO TOP OF FOOTING DRAIN
E01 SERVICE 03/30/00 DCJ A RELEASED TO N.U. (VOICE MAIL)
P02 UNDERGROUND 03/31/00 RAN A
B05 FIREPLACE/CHIMNEY 04/07/00 RAN A
P03 ROUGH 04/13/00 DCJ A
B03 FRAMING (ROUGH) 04/26/00 DCJ D MISSING TRUSS AND LVL SPECS, HEADER JOIST IN
KITCHEN, TRUSSES CUT IN BATH
E03 ROUGH 04/27/00 DCJ A
B04 INSULATION 05/01/00 JFF A 2ND FLOOR ONLY NOT 1ST
B04 INSULATION 05/02/00 JFF A WITH CONTRACTOR
PO4 GAS TEST 05/25/00 DCJ A LEFT STICKER
10569-P 3,000
10784-H 5,500
10765-H 3,000
16637-E 1,875
E01 SERVICE 05/15/00 DCJ A RELEASED TO N.U. (VOICE MAIL)
Total Est Value 123,375
Dwelling 3,043 124,519.56
Basement 1,425 17,670.00
Garage 517 6,410.80
Smoke Det 7 525.00
BOCA Value 168 511.66
Difference 45 136.66
A4- o),
L
I
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
26747-B 110,000
B01 FOOTING 03/07/00 JFF A WITH CONTRACTOR
B02 FOUNDATION 03/13/00 DCJ A ADD STONE TO TOP OF FOOTING DRAIN
E01 SERVICE 03/30/00 DCJ A RELEASED TO N.U. (VOICE MAIL)
P02 UNDERGROUND 03/31/00 RAN A
B05 FIREPLACE/CHIMNEY 04/07/00 RAN A
P03 ROUGH 04/13/00 DCJ A
B03 FRAMING (ROUGH) 04/26/00 DCJ D MISSING TRUSS AND LVL SPECS, HEADER JOIST IN
KITCHEN, TRUSSES CUT IN BATH
E03 ROUGH 04/27/00 DCJ A
B04 INSULATION 05/01/00 JFF A 2ND FLOOR ONLY NOT 1ST
B04 INSULATION 05/02/00 JFF A WITH CONTRACTOR
PO4 GAS TEST 05/25/00 DCJ A LEFT STICKER
10569-P 3,000
10784-H 5,500
10765-H 3,000
16637-E 1,875
E01 SERVICE 05/15/00 DCJ A RELEASED TO N.U. (VOICE MAIL)
I
Total Est Value 123,375
Dwelling 3,043 124,519.56
Basement 1,425 17,670.00
Garage 517 6,410.80
Smoke Det 7 525.00
BOCA Value 168,511.66
Difference 45,136.66
S
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SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
asJ
160 GILBERT LANE LOT_#84 Reviewed By En ineerin )
CLARK REALTY, INC. Date Reviewed fAirpro We.
658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By Planning
BP_#_26747_ Ph_#_(860)528-6054 Date Review pprov Denied
Date Submitted 00/00/00 FOR C o 0 **
OPe . olr2c 'off 0/4:/pa
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
37 2. Finish grading per approved
building permit plan
3. Site work; i.e. trees, shrubs,
dumpsters, required parking
z) 4. Utility location;
z) a. sanitary sewer/septic system
b. foundation drain
C. electrical & telephone
d. water
e. other
5. Sewer connection charge paid 3113/1.000
6. Appropriate certification
7. Bonding
8. Planning & Zoning/
Inland Wetlands Considerations
A. Lighting
B. Signage
Freestanding Wall
C. Fee in lieu of Open Space
Sewer Permit No. 71 X 1 3
fit ecl 6'/Ql s 7' Pavement Excavation No.
3 ti 7`"/fs d O T C7 /1® T`j , /z//,5 'Sy r R'',l
r
COMME S:
CE VED
JUN 13
o. SSGyC
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
160 GILBERT LANE LOT_#84 Reviewed By • VeVLMA neering)
CLARK REALTY, INC. Date Reviewed Z 25 0 Approved enied
658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By a ing)
BP_#_26747_ Ph_#_(860)528-6054 Date Reviewe a, prow Denied
Date Submitted 02/25/00 FO BU L NG 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 ved 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, street address.
4. Plot Plan at 1" = 40' 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
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.)
5. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS:
R c ivEO
FEB 2 5 2000
o
OR
i 1
f
060
DEPARTNENT DECISIONAPPLICATION FOR ELECTRICAL PERMIT
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Pe*
APPROVED 1540 SULLIVAN AVENUE 7 L4,
644-2511 ext.230 Uj
Date Building Inspector j` !Application must be printed or typed z
Location ofjob
Street No. Street Lot No.
V le
vtFEESCHEDULEIA' 'i
Floor Apt.XTi.
0 - $12000 -
Over $1,000
12.00 per$1,000 OWNER
or any fiaction thereof
ADDRESS
OWNERS PHONE#
APPLICANT
H~ ADDRESS
ESTIMATED COST$
IS THIS A CONTRACT COST?
YES NO
FEE ENCLOSED $
OR-CO IE OF JOB:
V--,Origiinal Installation
Alteration Addition Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
V RESIDENTIAL BUILDING PERMIT APPLICATION S / 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 o rfe-)/
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED 7l°W--
r
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES 607
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES 23
NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS
SEPERATE BEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
S
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 COD IN
PERFORMANCE OF SUCH WORK.
NAME STATE LICENSE NO. TYPE SIGNATURE OF AP
PHONE NO. a/Zg3 LF' DA - /1 1-0
w+9r ^'
INSPECTOR DATE TIME , (Y1
LOCATION a r+ L U+
INSPECTION: CODE: RESULT(D/A) :
c -7V7
BUILDING:
k
ELECTRICAL: Fo I
E
i
t
PLUMBING:
HVAC:
F
OTHER:
t
f
r
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT'#
Application is hereby:TOWN OF SOUTH WINDSOR J 5
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
kid 1A k-Q, 644-2511 ext. 230 7
Date Building Inspector
Application must be printed or typed
160 Location of Job:
FEE SCHEDULE 1 1 9 l
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT =,(- Oe s 1 ,
APPLICANT ADDRESS A\
APPLICANT PHONE#
O N 3 F
OWNER
OWNER ADDRESS
Vim)
OWNER PHONE c
C ESTIMATED COST$ 2) C> U 0
IS THIS A CONTRACT OST? Yes 0 No
FEE ENCLOSED$ l
TYPE OF JOB:
SpR.CO New Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WI A
04
BUILDING PERMIT APPLICATION? YES O
SIDENTTAL
BUSINESS CURRENT USE AND OCCUPANCY qeS
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY S a
EDUCATIONAL
INSTITUTIONAL ENGINEER'S NAME PHONE
FACTORY
STORAGE ADDRESS
GARAGE
MIXED USE CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO.OF TOILETS STYLE ` . NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES
NO.OF CONDUCTORS SIZE 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 WINDOW 4 YES LINO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK 5\-K-Q ec$;
SIZE OF WATER MAIN
1
SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE MANUFACTURER
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALCLOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE 2-c 2 6 0 0
tip' :: .` „•
DEPARTMENT DECISION APPLICATION FOR H'V'AC-PERMT L b
Application is hereby: TOWN of SOUM WDOSM
BUILDINGDEPAR'I'INENT
APPRO 15Q SUII"M ACE
4-2511 ext.230
Inspector
A licauon mast r or
x
Street No. Stmct
FEE SCHEDULE
Floor
0 - $1000 - $12.00
Over $1000
12.00 per$1,000 OWNER
or any fraction thereof
ADDRESS r Ck--T*
77,x `
OWNERS PHONE# y ts
i' 'X _ . -s•t' __g..
u_ _ r"AAPPLICANTYjti
W N S ADDRES F I I I
TV
e I , .a
ESTIM[ATLD COST $
IS THIS A CONTRACT COST?
ftw YES Ix E 1 d
1 C FEE ENCLOSED $
O C TM OF JOB:s R Original Inatallationwr
Alteration/ RepairAddis
4',
tea
y
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM TYPE OF BUILDING
HEATING RESIDENTIAL
A/C COMA ERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS.
HYDRONIC t/WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
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)= 1
TYPE OF FUEL
OIL-GPM GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
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 o c,\-e c
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.
STATE LICENSE-NO.NAME&TYPE SIGNATURE OF APPLICANT
PHONE NO. t- -2- DATE c, v
A. .- . wF'PLICATLON FOR HVAC. PERl111' DATE: ` 9
ENO• TOWN OF SOUTH WINDSOR EST"O T: y
BLOC. PERMIT NO. 1540 SULLIVAN AVRWE, FEE
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 0.- $19000 - $10.00
1000 r fraction2LOCATIONOFBUILDINGthereof - $10.00
G;/ ADDRESS TOUNI PHONE N0,
HVAC NTRACTO SS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL
A/C COMMERCIAL
VENTILATION _ BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS. SIGH PRESSURE LIMIT LBS. *
HYDRONI_ WARMAIR
UNIT RADIANT HEATER (INCLUDING WOOD COAL BURNING STOVE)
TYPi OF FUEL: OIL-Gm_ GAS I5-PUT ELECTRIC EW
WOOD COAL
OIL TANK - SIZE & LOCATION INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION 74
DESIGN TEMP, OUTSIDE jF INSIDE 8 DIFFEt ENCE F
TOTAL SEAT LOSS (BTUH) O d SEAT LASS SHEET 14UST ACCOMPANY APPLICATION)
DESCRIBE ALL 'HEATING EQU CLUDING MAKE i MODEL 50.):
1141, Yke4
GROSS HEATING CAPACITY INPUT-BTU$ NET RATING OUTPUT-BTUH
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE _F INSIDE_ 'F DIFFERENCE_ F
TOTAL BUT GAIN (BTUB)
RUT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING-TAKE-:i MODEL NO,):
TONNAGE COOLING CAPACITY BTUH)
IF VENTILATION: DESCRIBE ALL AIR-HANDLING DQUUI= (INCLUDING KITCHEN EXHAUSE EQUIPMENT):
TOTAL SIZE OF SYSTEM (CFM) FRESH..AIR,,PffAKE,(CFM)
PLAN MUST ACCOMPANY APPLICATION)
The undersigned hereby applies fora petit to perform the following work and is to comply
with all local ordinances and State Conn. Bu ding Co as in the performance of such work.
FURTHER DESCRIPTION OF WORK:z
rye(
STATE LICENSE --NAME b TYPE tr NATORE OF APPLICANT
Y
APPA KpVED
y:. ,
e . - .G''f-! y yy. ., LMifl '." : '
Uy L.Y"+yF:a. .Y.
w 1
BO 4A 11/88
s 8= R CALCULATION SHEET 1503 (Modern MethodOWNER1
ADDRESf Cool rIM1 1»>by TM Hydronks InstitCL.A ute
COL.D1ROOMCL,B OL.C DESIGN TEMPERATURE DIFFERENCE DATECOL.E COL.F COL.G
ROOM DIMENSIONS,FT." O H L W
H3LENGTHEXPOSEDLW
WA GI L 1M H L yre water TemaWALLS,FT, La LwlnlOOw-ICND OUTSIDE ODOR AREA j d /
I
z
0 0 0 STUN per Foot of
S WALL FoORaalauewSelecteeCONSTRUCTIONTUHaTable9,L&I 3 a N) TUH BTUHO STUN6TYPEOFGLASSQQ BTUH
gooBottomofCOWusepforLino61 DOD D U ROOM LIN.FT,OF7CEILINGCONSTRUCTIONQ JS D TOTALS RADIATIONV/ Ov FROM LINE 12 SELECTEDTable9,L:w)
D nrOOf) FLOOR CONSTAUCTIONt O/) y D
j
17ab1e 9
iiiiii
a U 8 C:2f t.- i 7Lin.F LI
9 COLD ARTITION CONSTRUCTION D JTepee9,L s HI
Eto _c t w.a twlol oo.n)
6'--
c ?Welts(with ODemn9p 3 v oOO3Wiss1W$th Openings)or E
X O O 00 G
nt.Hall IIITOTAL&TUH AT 7OF TEMP. LZOU H Q
12 TOTAL ST UH AT ''
I'
llDESIGN TEMP. DIFFERENCE10111,
0000 706 d C2 ADD
o o K
COL.A
1 ROOM COL.B COL.H L
COL.1 COL.1 COL.K
s r
COL.L
G Cr p TO AL&TUH TOTALROOMDIMENSIONS,FT O H L w H r 4 OF&UIL-OING RADIATIONLWHLWAT3LENGTHEXPOSEDWALLS, FT.U H L W H L W DESIGNTEtrIP.• SELECTED
4 WINDOW AND OUTSIDE DOOR ggEq
J /Z
DIFFERENCE8• 0
5 WALL CONSTRUCTION STUNITabte9,Line STUN3H) STUN TUH6TYPEOFGLASSr5"Oa BTU"
IB ttonl t table u"Cl for Line 0) D
L TO l1L 20%•
INCREASE BATHROOM7CEILINGCONSTRUCTION —'- ----Table 9.L a W) J
LOOK CONSTgUCT10Nt -- — 0s 8O/> FOR CONCRETE FLOOR ONTable9,L a W or Lin FL) v
GROUND OR FILL ATCOLDART1Tj —' GRADE LEVEL.USE LINEARONCONSTRUCTION - FEET OF EXPOSED EDGETable9,L a H)
O I Wall(With Openi lMsl
D/2 MIs(with open.now 00 D3polls1w/111 Open.ngy or Ent.Hall a x •D/
1
STUN AT?OF TEMP. DIFFERENCE. 3BTU"AT DESIGN TEMP.DIFFERENCE O
T r
00e)4W•Iron(Tne NygrOnks Inat tuta,36 Rus10 Piece,Berkeley Heights,N.J 07922
FORM 1503
I
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT#
Application is hereby:TOWN OF SOUTH WINDSOR 7BUILDINGDEPARTMENT z
P 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230 F
c cI 0 7 q 7
Building Inspector A
o
Application must be printed or typed
Location of Job:
P
EE SCHEDULE G'.1,6
1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
ny fraction thereof Tenant Designation Apt.No.
t
5
APPLICANT
APPLICANT ADDRESS `3/O Al[J 7 e • Sw
4-"
APPLICANT PHONE#
0 N S OWNER
q OWNER ADDRESS S8'
101,
S'a ayl'y /;r/Q/Sdr
IWO OWNER PHONESr7ESTIMATEDCOST$
IS THIS A CONTRACT COST? Yes 0 No
FEE ENCLOSED$ 7 "
TYPE OF JOB:
C M<ew Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUILDING:
HEATING J(RESIDENTIAL
N A/C COMMERCIAL
VENTILATION INDUSTRIAL
HE TING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LB
RONIC WARM AIR UNIT RADIANT HEATER
EXIS TIN IATION ADDITIONAL RADIATION TOTAL RAD N
DESIGN TE UTSIDE OF INSIDE OF DIFF CE OF
TOTAL HEAT LOS F(HEAT LOSS SHEET MUST AC ANY
APPLICATION)
DESCRIBE ALL HEATING E PMENT(INCLUDIN MODEL NO.)
GROSS HEATING CAPACITY(BTUH) N TING(OUTPUT—BTUH)
TYPE OF FUEL
OIL M OIL TANK LOCATION:INSIDE OUTSID CAPACITY
S—INPUT LPG TANK CAPACITY ELECTRI KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE S$ OF INSIDE 7e9 OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) 6W (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 WORK6/jJIF I'll
r
THE UNDERSIGNED REBY 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.
36 Y Z' b -i Cam"
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
Lof 160
DETAILED REPORT FOR ENTIRE HOUSE
Prepared For : Prepared By:
Clark Realty R P
658 Ellington Rd R&E Heating & Cooling
So Windsor Ct 06074 Job Name: 243--084
EXPOSURE
GLASS NORTH NE/NW EAST SOUTH SE/SW WEST HORZ . TOTAL
AREA 36 , 0 ; 102 , 12 , 0 ; 103 , 0 ; 253
COOLING 483 , 0 ; 4 ,429 : 257 , 0 ; 4 ,4731 0 ; 9 ,642
HEATING ; 1 ,444 , 0 ; 4 ,092 : 481 : 0 ; 4 ,132 ; 0 ; 10 ,150
BELOW
WALLS NORTH NE/NW EAST SOUTH SE/SW WEST GRADE TOTAL
AREA 463 ; 0 ; 530 , 463 ; 0 ; 559 , 0 ; 2 ,015
COOLING i 320 , 01, 366 , 320 , 01, 386 : 0 ', 1 ,393
HEATING ; 1 ,311 ; 0 ; 1 ,500 ; 1 ,311 ; 0 ; 1 ,583 , 0 ; 5 ,704
DOORS NORTH NE/NW EAST SOUTH SE/SW WEST TOTAL
AREA 21 : 0 ; 0 ; 21 ; 0 ; 42 ,84
COOLING 66 , 0 ; 0 ; 56 , 0 ; 132 ,254
HEATING ; 271 , 0 ; 0 ; 228 : 0 ; 543 ,1 ,042
FLOOR AREA COOLING HEATING
2130 0 ; 0
w_____
CEILING AREA COOLING HEATING
2130 2 ,006 ; 12 ,653
MISCELLANEOUS COOLING LOADS
People Sensible Load 5 ,625 Latent Load 9 ,606
Lights & Appl . Load 8 ,703 Latent Safety Btuh 480
Ventilation Load 2 ,310
Duct Heat Gain 1 ,386
Infiltration Load 700
Sensible Safety Btuh 1 ,532
TOTAL SENSIBLE LOAD 33 ,551 TOTAL LATENT LOAD 10 ,086
Air Changes/Hour 0 .50 Temp . Swing Mult . 1 .00
Total Cooling Load 43 ,637 BTUH Or 3 .64 Tons ***
MISCELLANEOUS HEATING LOADS
Infiltration Load 9 ,521 Ventilation Load I 7 Q
Duct Heat Loss 3 ,476 Safety Btuh
Total Heating Load 60 ,995 BTUH ***
SUMMARY REPORT
Prepared For : Prepared By:
Clark Realty R P
658 Ellington Rd R&E Heating & Cooling
So Windsor Ct 06074 Job Name: 243-084
DESIGN CONDITIONS
OUTDOOR INDOOR
SUMMER WINTER SUMMER WINTER
Dry Bulb 88 0 78 68
Wet Bulb 75 65
Daily Range 20 Daily Swing 3 .0
Latitude 41 Elevation 1100
Safety Factor ( % ) 5
Latent Factor ( % ) 30
Room Heating Heating Cooling Cooling
Name BTUH CFM BTUH CFM
Living Room 3 ,781 53 3 ,593 171
Family Room 2 ,793 39 3 ,226 154
Foyer 827 12 734 35
mud room 1 ,329 19 674 32
Dining Room 2 ,584 36 2 ,607 124
Living Room 17 ,787 249 5 ,985 285
Kitchen 8 ,140 114 5 ,646 269
Bedroom 1 103004 140 3 ,977 190
Bedroom 2 3 ,005 42 2 ,407 115
Bedroom 3 2 ,241 31 2 ,065 98
Bathroom 8 ,505 119 21636 126
60 ,995 853 33 ,551 1 ,694
HEATING DELTA T 65 .0 COOLING DELTA T 19 .1
NOTE: *** Calculated Airflow is based upon load requirements .
Verify that airflow calculated is compatible with
selected equipment requirements . ***