HomeMy WebLinkAbout163 Gilbert LaneAPPLICATION FOR BUILDING PERMITelectric# 63 0(090
Plumbing# 45 ;% 163 GILBERT LANE
HVAC # o Q A\
2 617
Date: u.nP 3r4 /9 9 9
Sprinkler# Ie14 No.
FWAL APPROVALS Estimated Cost $ 801 d d
Building OGPS J301 luo COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee
Affidavit I I SIGN ON REVERSE SIDE
Appr.for CO. 5Q 61iD C6 Total Fee d
TO BIALDNC DEPARTMENT,TOWN OF SOUTH W14l)SOR,CT Additional Cosh $
The undersigned hereby applies to do work according to the following specifications:
Job Location rho G / aae— Lot No. Side of Street Zone - 3
Applicant CkI r Ofa-14-fj 6,4 Tel#(C b&?6`_dig
Addr ssD•Zip Lic# CO.35(0
Own r-, Q I')'L2_Address 3 Q
Architectl4drY`e-,P1QnS.n?G'Address-P I ct Q A-2 • 1206"V4 - "
Sq.Ft.New ea: 1st FI. 75 2nd Fi.bl 6 3rd Fl. Total New Area42
Rooms Lavatories i Bathrooms Garages
Purpose of this permit: I s ri cg&(-/u
City Water,0 .rl
Well Septic System Sewe
Ins. H.O.Cert. Area Z411 Basement 22
Approved by Date Use Grew r '
Rw's.d 1/97
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 b0ecated the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in whic t ' building and its use is allowed
OilSigne
1 hereby apply for a Certificate of Occup cy for the wo scribed* this application for the permit.
Signed
DO NOT WRITE BELOW S LINE
INSPECTION COMMENTS
Location of Job:AFFIDAVIT Additional Fee S 429 .00
State of Connecticut
ss.South Windsor
a County of Hartford
T
Owner
I ut'f dn of c7X,7{/ d cS gent for the building erected
2 617 7 Contractor
ks 4 under Permit No. issued by the Building Department of the Town of South Windsor being
tie duly sworn,make oath and say that the actual cost ofthe completed work authorized under said permit did not
exceed the most current accepted BOCA value of S 132, 000. 00
Signed
a.s,.'.
Subscribed and sworn to before me this day of A.D.20
C31 timated Cost S 99F000. 00
Difference: $ 3 3,0 0 0 . 0 0
Notary Public
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
99-26177-B 80,000
B01 FOOTING 12/03/99 DCJ A
B02 FOUNDATION 12/10/99 DCJ A
P02 UNDERGROUND 01/12/00 DCJ A
E01 SERVICE 01/27/00 DCJ D PROTECT PANEL, ROOF NOT COMPLETE
E01 SERVICE 01/28/00 DCJ D CORRECTIONS NOT MADE
E01 SERVICE 01/31/00 DCJ D CORRECTIONS NOT MADE
E01 SERVICE 02/01/00 DCJ A RELEASED TO N.U.
B05 FIREPLACE/CHIMNEY 02/22/00 DCJ A
P03 ROUGH 03/09/00 DCJ A
E03 ROUGH 03/28/00 DCJ A
B03 FRAMING (ROUGH) 04/04/00 DCJ A ADD PLYWOOD TO CANTILEVERED TJI'S, GARAGE
TRUSS SPECSMQ
B04 INSULATION 04/06/00 DCJ A
PO4 GAS TEST 04/25/00 JFF A LEFT STICKER NOTE CORRECT ADDRESS NO 163
GILBERT
B10 FINAL 06/28/00 DCJ D DRYER VENT, NO BATH RECEPTICLES GFCI PROTECTE
DRIP LEG FOR BACKFLOW PREV. ON BOILER
B10 FINAL 06/30/00 DCJ D CORRECTIONS NOT MADE
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
B10 FINAL 06/30/00 DCJ A 2:30PM REINSPECT
B10 FINAL 06/30/00 DCJ A REINSPECT GFI, TP VALVUE PIPE
10538-P 3,000
10766-H 3,000
10752-H 5,500
16636-E 3,000
16690-E 4,500
TOP
mom
a / t
1,Ado a
dSITECOMPLIANCECHECKLISTio/
TOWN of SOUTH WINDSOR, CONNECTICUT f-Vae
j'!' rA,rL163GILBERTLANELOT_##70 Reviewed By - n ineering)CLARK REALTY, INC. Date Reviewed 0® 658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By lanning)BP_#_26177_ Ph_##_(860)528-6054 Date Reviewed pprove eniedDateSubmitted06/03/99 FOR C O *****
As required in the Zoning and/or Subdivison Regulations, no Certificate ofOccupancyshallbeissueduntilgradingplanshavebeencompliedwithandapprovedbytheTownEngineer. The minimum requirements shall include:
Approved Denied N/A
1. Approved building permit plan
3 2 2. Finish grading per approved (,(J
building p planpermit1 hw
3. Site work; i.e. trees, shrubs,
dumpsters, required parking
4. Utility location;
a. sanitary sewer/septic system
1 L b. foundation drain
C. electrical & telephone
d. water
e. other
5. Sewer connection charge paid ijk4jij
6. Appropriate certification
7. Bonding
44,
AhZ 8. Planning & Zoning/
Inland Wetlands Considerations
A. Lighting 1'woB. Signage
Freestanding Wall
C. Fee in lieu of Open Space
Q,Q Sewer Permit No. 01
Pavement Excavation No.
cto to Pt 6 ll9 p a''
COMMENTS: kitEwE0P
D- .S v w.s o sod' f-.it,S pr s'r i`/ri^/ r r 4 a/"4. /'-• r
Ls e,a i•- r `s o ALL 2000
i'm- .o s sPOEM ppOSOR
c15s rdaw
I/'Ci I4 B CIS ' T s
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
4-6-T GILBERT LANE LOT_#70 Reviewed By •,• 5P-JJAe Engineering)
CLARK REALTY, INC. Date Reviewed Approve nied
658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By lanning)
BP_#_26177 Ph_#_(860)528-6054 Date Reviewe prov Denied
0DateSubmitted 6/03/99 FOR'IBUIL41tNG 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:
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.
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: 3
V N 3 999
wVA
WWI"
ers.oe
o v
Town Of South Windsor
Engineering Department
1540 Sullivan Avenue
South Windsor,CT 06074
To Whom It May Concern:
We,the Buyers of Lot#70 also known as 16A CIILLRERT LANE
located in the
Deming Hill Estates,in South Windsor,CT,on this 30"H, day of JUNE 512000,
hereby
grant permission to the Town Of South Windsor and its agents or assigns,and J.M.J. Construction Co.,Inc.
Seller)to enter onto above said property for the purpose of completing any and all site work,per Town
Specification,such as grading,raking,seeding,driveway,etc.
4' - '1X0
DYER N VrA'RY''
BtrYER SELLER ov
DEPAR'I'MNT DECISION APPLICATION FOR ELECTRICAL PERMIT PE
Application is hereby:TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Pe '
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE I^
Location of Job: 6(/,3
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or sny fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS P 0 X
Z&:K iv 0 A)
APPLICANT PHONE# 81p0— vZ 8
N OWNER /¢,_,
Oq OWNER ADDRESS QJ C1
f
OWNER PHONE 0 93
ESTIMATED COST$ SOD U
U
IS THIS A CONTRACT COST? 0 Yes G No
G FEE ENCLOSED$ •y
TYPE OF JOB:
ew Installation
0 Alteration/Addition/Repair Revised 8/99
t iE;
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? YES NO
RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY
EDUCATIONAL
INSTITUTIONAL ENGINEER'S NAME PHONE
FACTORY
STORAGE ADDRESS
GARAGE
MIXED USE CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD Q.
SIZE OF SERVICE c;i -.11;0 ) SIZE OF MAIN CONDUCTORS D
V
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS Dv
NUMBER OF PANELS_ REMOTE DISCONNECT REQUIRED? YES NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHESO O NUMBER OF OUTLETS
3 ; NUMBER OF LIGHT FIX'I'LME hER`OF4HEAT'CIRCIA'i'S
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
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.
z—11 iY l e G)' C q
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE aIyka
P.O. Box 145
Vernon, CT 06066
872-8928
Town ofSo.Windsor
Building I-P%IIJL.
1540 Sullivan Ave.
So. Windsor,CT 06074
April 3,2000
To Whom It May Concern:
1111s is to 110t11y tuC J"Lful It-M i1U J! E7tt11u1i1L,uwpw L111C11t mat Luc!Hill wu K at ut 1V 1:1i1101C
Way by M-W Electric,Inc.is the electrical service. We performed no other work within the house.
Sincerely,
Michael Wearne
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PE690R
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVE 1540 SULLIVAN AVENUE o. 7 7
644-2511 ext.230
zo Coo r
ate ding Inspector Application must be printed or typed
Location ofjob
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $19000 - $12.00
Over $12000
12.00 per$1,000 OWNER
or any fraction thereof
ADDRESS
OWNERS PHONE# gi " z 0
APPLICANT
W N ADDRESS p1 f y zGC Po
to
ESTIMATED COST$
IS THIS A CONTRACT COST?
YES NO
FEE ENCLOSED $
OR-Co OF JOB:OnEginal Installation
Alteration/Addition/Repair
Revised 11/95
i
3
i
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
VZRESIDENTIAL BUILDING PERMIT APPLICATION YES / 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
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED 7 v f9
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED 7 YES R
NUMBER OF LIGHT CIRCUITS Co NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES
NUMBER OF HEAT CIRCUITS D'`J NUMBER OF A/C CIRCUITS e-
SEPERATE BEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
Z11//,4— ,/ lel.
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN ING CO THE
PERFORMANCE OF SUCH WO
NAME STATE LICENSE NO. TYPE SIGNATURE OF
PHONE NO./ ` TE
INSFzCTOR DATE--Z TIME Ati
LOCATION _ LQT 70 ` eT I v
INSPECTION: CODE: RESULT(D/A) :
o i77
BUILDING:
ELECTRICAL:
r
PLUMBING:
HVAC:
OTHER:
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Application is hereby:TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
12 00 644-2511 ext. 230 G -1-
at uilding Inspector
Application must be printed or typed 2_ -
FEE SCHEDULE Location of Job: /&3
Lo7 --A
0-$1,000=$13.00 Street No Street Lot No.
Over$1,000=
13.00 per$1 000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT r e c C 1,1j •c C(
APPLICANT ADDRESS
APPLICANT PHONE#UA\A 2 S
OW N S OWNER X
f OWNER ADDRESS
OWNER PHONEE
ESTIMATED COST$ C
V
IS THIS A CONTRACT OST? &Ves O No
FEE ENCLOSED$3 .
TYPE OF JOB:so
er New Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A'
BUILDING PERMIT APPLICATION? YES
WITH
RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY
EDUCATIONAL
INSTITUTIONAL ENGINEER'S NAME PHONE
FACTORY
STORAGE ADDRESS
GARAGE
MIXED USE CITY STATE ZIP
Other please specify)
I
TYPE OF INSTALLATION 2 G 1 SIZE OF MAIN DRAIN
NO.OF TOILETS_ STYLE NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES -3
NO.OF CONDUCTORS SIZE `1r 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 YES NO
SIZE OF WINDOW Z IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK S Q uJ e
SIZE OF WATER MAIN
4
SIZE OF WATER PIPING&RISER Z)
WATER HEATER: TYPE U S MANUFACTURERe-
DESCRIPTION OF WORK
r
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.
2- U S C\ U
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE q C\
DEPARTNIENT DECISION
r
APPLICATION FOR.IAA PE
Application is hereby: TOWN of SOUP vilasm.,
BUILDING DF.PMTMM
APPRO 1540 SULLIVAN AVE"
Coo 4-2311 cxL 230
Date ding Inspector
App&afiou Q4*, ,#
Street No.
FEE1 SCHEDULE
Flout
o - $1,000 - $12.00
Over $1,000
12.00 per$1000OWNERoranyfractionthereof
r-e-.. - S- za•;gym-_
ADDRESS
zap.,-,.-'.dr._y nr._xs,,b;l, r`'
OWNERS PHONE
y
pW N SFq ADDRESS gib _a A-- a
f
ESTH"TEU COST $
IS THIS A CONTRACT COST?
y
e
Y'+,.,
r;t;v".4;
j;:
ems^"
s,.,' .,'•.`
2
4` 'r"
s..-
y FEE ENCLOSED $
140
1.
1.
f • ii` N' x.&li ^S= Y
sc'Sim Y:I@JFum
OR CO APE OF JOB:ifs< .L
W,,,y _,,,,.m Ongi l Insulation
e;raw a e
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM TYPE OF BUILDING
HEATING RESIDENTIAL
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 F INSIDE F DIFFERENCE F
TOTAL HEAT LOSS(BTUH)
HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
QAA
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 C O rr e
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.
o
STATE LICENSE-NO.NAME&TYPE SIGNATURE OF APPLICANT
PHONE NO.Z DATE c,
I = e= R CALCULATION SHEET 1503 (Modern Method) c404yrlgM 1977 by The Nyd.onlce institute
WNRA ADDRESS CC OESI N TEM BRATURE DIFFERENCE—F. DAT[
C L.A COL.•COL.C COL.D COL.[ COL.F COL.G
1 ROOM J-//9 X171n Cif 1)eoo7 c Z
O N L W H L W H L 1N N L W N I L I IN aeMis watew Temp.
2 ROOM OIMENSI MS.FT.- V Lb L t3 /.Z STUN per,Feet of3LENGTHEXPOSEDWALLS,FT.
1. d Rsetattae SM•cbX
4 wtNDOW-Amo OUTSIDE DOOR AREA t` O a
STUN STUN STUN BTU" TUNSWALLCONSTRUCTION
Tebte!.Llwe 3 a NI Roche LON.P'T.OFOl(p00 1.xod goo OQ O U TOTALS RADIATION6TYPEOFGLASSFROMLINO12SELECTED
1/Osten of taOse used f r L ina 6) 1sD0 900 8007CEILINGCONSTRUCTION
G Q /Q C 7Table!.L a Wl 05 oO U oL/ v(/ U 4 sq.006FLOORCONSTRUCTIONtO
ITaWe!.L a W or Lin.FLI E G
C LO PARTITION CONSTRUCTION
F /DOITable!.L a NI 1
10
cy
1 Wall Iwhb opwaned 0;
0. ,p/ OD2WellsMobXOZoU N
c
3weltsIweaOpenMlelarE fit.Nall'
J
10001
LZOU I Q 7
11 I TOTAL BTUM AT 70P TEMP.DIFFERENCE' C 30
12TTAL STUN AT DESIGN TEMP. DIFFERENCE O Q OEK D 10 K
L
COL.A iCOL.S COL.N COL.1 COL.J COL.K COL.L TO AL t LSTNTOTAL.t ROOM
i
OF GUIL ING RA IATIONE
N L IN M
S
L/ W N L' W N L
4
W N L W DESIGN TEMP•I AT SELECTED
O
2 _ROOM DIMENSI NS.FT. DIFFERENCE
U J Z p p
3 LEN TH EX OSED WALLS.FT.g O4WINOWANDUTSIOEDOORAREA3
STUN STUN TUN STUN STUNSWALLCONSTRUCTION INCREASE S^THROOMITebJle9.Line 3 a NI r / SQ0 D j1 TOTAL 20%
6 T ASS Q
B t used toe Line 61
7 CE Szz 1-0
TRUCTION 5
tFOR CONCRETE FLOOR ON
tT W)j 0r) GROUND OR FILL AT
Q V CJ GRADE LEVEL.USE LINEARgFLOTRUCTION? FEET OF EXPOSED EDGEITWorLinFL) r
t 9 C /II, TtON CONSTRUCTION
lT•
10 T
UrAT
nieysl O D/ O tJa
en,ngy X ,p
en,n«)Or Ent Hall
J
h•
111 T ALF TEM.DIFFERENCE• 3 4po(j O121TTALSTUNATDESIGNTEMP. DIFFERENCE Q 00
TO*t ten Is a.aiabte train Tne Hygr nice Institute.36 Russo Plate.Berkeley Heights.N.J 07922 FORM 1303
4
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT#
Application is hereby:TOWN OF SOUTH WINDSOR 7
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
LU Ud 644-2511 ext. 230
c(of 7-7
baw Building Inspector
Application must be printed or typed
FEE SCHEDULE 3 Location of Job:
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 7,'— ,F
oe
APPLICANT ADDRESS
APPLICANT PHONE# ZZz
OWN S OWNER
4< OWNER ADDRESS
OWNER PHONE ep"
ESTIMATED COST$ 5`
IS THIS A CONTRACT COST? OrVes 0 No
FEE ENCLOSED$
TYPE OF JOB:
jt C
rNew Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUILDING:
H ATING LIRESIDENTIAL
C3Z COMMERCIAL
VENTILATION INDUSTRIAL
TING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT L
ONIC WARM AIR UNIT RADIANT HEATER
EXISTING IATION ADDITIONAL RADIATION TOTAL RA ON
DESIGN TEMP. IDE OF INSIDE OF DIF NCE OF
TOTAL HEAT LOSS(B OF(HEAT LOSS SHEET MUST MPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIP T(INCLUDI MODEL NO.)
GROSS HEATING CAPACIT UT—BTUH) NET RATING TPUT BTUH)
TYPE OF FUEL
GPM OIL TANK LOCATION:INSIDE OUTSIDE CAPACITY
GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE 75'? OF INSIDE '7D OF DIFFERENCE_!'' OF
TOTAL HEAT GAIN(BTUH)53 (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
Ilezz zg1de.)e-p- 6,,zl_ -
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 U<OrAwl elf—
OU C Fi c— 3 T Ald 12,0AJC1d'A1 cr
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.
D - / C 7
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE 3 —
Lof `70, 1(04 Gr16,pr4 I.a.re
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: 243-070
EXPOSURE
GLASS NORTH NE/NW EAST SOUTH SE/SW WEST HORZ . TOTAL
w__-___w______________-______-__-______-_____,____________-
AREA 36 : 0 ; 102; 12 ; 0 ; 103 ; 0; 253
COOLING ; 483 : 0 ; 4 ,429 : 257, 0 ; 4 ,473; 0; 9 ,642:
HEATING ; 1 ,444 , 0; 4 ,092 ; 481 ; 0; 45132 : 0 ; 10 ,150
w______________-______-_____-___-_________________________________
BELOW
WALLS NORTH NE/NW EAST SOUTH SE/SW WEST GRADE TOTAL
AREA 463 ; 0 ; 530 : 463 ; 0 ; 559 ; 0 ; 2 ,015
COOLING ; 320 : 0; 366 ; 320 : 0; 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
w-______-_______________________--________________
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 :
w___
FLOOR AREA COOLING HEATING
M-_______________________-___w_____-w_______________-___
2130 0 ; 0
CEILING AREA COOLING HEATING
2130 2 ,006 ; 12 ,653
MISCELLANEOUS COOLING LOADS
r__
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 333,551 TOTAL LATENT LOAD 105,086
Air Changes/Hour 0 .50 Temp . Swing Mult . 1 .00
Total Cooling Load 435,637 BTUH Or 3 .64 Tons ***
MISCELLANEOUS HEATING LOADS
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Infiltration Load 9 ,521 Ventilation Load 15 ,708 _
Duct Heat Loss 3 ,476 Safety Btuh 2-,739
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--070
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
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Living Room 3 ,781 99 30593 171
Family Room 2 ,793 73 3 ,226 154
Foyer 827 22 734 35
mud room 1 ,329 35 674 32
Dining Room 2 ,584 68 20607 124
Living Room 17 ,787 467 5 ,985 285
Kitchen 8 ,140 214 59,646 269
Bedroom 1 10 ,004 262 3 ,977 190
Bedroom 2 3 ,005 79 20407 115
Bedroom 3 2 ,241 59 2 ,065 98
Bathroom 8 ,505 223 21,636 126
60 ,995 1 ,600 330551 19600
HEATING DELTA T 34 .7 COOLING DELTA T 19 .1
NOTE: *** Calculated Airflow is based upon load requirements .
Verify that airflow calculated is compatible with
selected equipment requirements . ***