HomeMy WebLinkAbout170 Garnet LaneTO THE BUILDING 'INSPECTOR
D of the APPLICATION FOR
PLAN EXAMINATION ANDTOVMOFSotmiWUMSOOKCOW' I I
BUILDINGILDIN PERMIT
NPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and It o
I. AT (LOCATION) 4 ieij6-r ZONINGDISTRICT
LOCATION I"O•) STREET)
OF BETWEEN V L-d—AND
BUILDING CROSS STREET) CROSS STREET)
p LOT l `.`
SUBDIVISION LOT BLOC K SIZE 7
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D 4
aA. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
M
1 KNew building ReFfamilyl Nonresidential
2 Addition(If residential, enter number 12 18 Amusement, recreationalofnewhousingunitsadded, if any,
in Part D, 13) 13 or more family — Enter 19 Church, other religious
number of units— — — — --s• 20 Industrial3 Alteration (See 2 above)
14 Transient hotel, motel, 21 Parking garage4L.__: Repair, replacement or dormitory — Enter number
5 Wrecking (If multifamily residential, of units ——————— — -.ON. 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutionalPartD, 13)
16 E] Carport24 Office, bank, professionai6ElMoving (relocation)
7 Foundation only 17 Other — Specify 25 Public utility
26 School, library, other educational
B. OWNERSHIP 27 Stores, mercanfiIs
8 6Private (individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 Public (Federal, State, or
local government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary10. Cost of improvement,,,,,,,,,,,,,,,, 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.)............
11. TOTAL COST OF IMPROVEMENT 3 V
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(wail bearing) 40 ublic or private company
48• Number of stories................
31 ood frame 41MPrivate (septic tank, etc.)
49. Total square feet of floor area,
all floors, based on exterior32LIStructuralsteeldimensions .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 Public or private company
50. Total land area, sq. ft. ...........
LJ
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed .......................
35 Got Will there be central air 52. Outdoors.......................
36 Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY37 Electricity 44 Yes 45 No 53. Numb r of bed o ms..............38 Coal
6
39 Other — Specify Will th re be an elevat r?
54. Nu &
Full..........
46 Yes 47 EXNO bat
11'. 'IVENTIFICATION — To be comp) t d by all applicants
Name Mailing address — Number street, c:t>, and State ZIP code Tel. No.
Ohner Or
LV ` (3
Lessee ram- 610/ g 4%0
2.
V ` s
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B NotesqFeeStartedyApprovedy
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date
Obtained Number By Permit or Approval Check ObtDa
ate
ned Number By
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
VII. VALIDATION
Building
Permit number
Building
Permit issued 1,j ,fy 19
Building
Permit Fee $
rov d by:
IV8INA
I
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date June 2 8 19 84
Fee Paid $. 4.6 8..0 0 Eat, Value $. .7 7 15 6 0
Permit M 13922
on the aide of
Lot #28 Garnet Lane Strom
Street No. 170
Owner Southridge Estates, Inc.
Applicant Rene Ve i 1 leux
CERTIFICATE OF OCCUPANCY ISSUED:
Date
Ww No. 13922
0
i Fa Paid $3. 00
CLASSIFICATIONI;
Dwelling
M
I
P
BUnDING PERMIT
N 13922
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. June 28 19 84
94is is to Certifij, That Southridge Estates R Inc.
is hereby granted permission to Dwelling
at estimated value of $ 77,560
on the side of Lot 028 Garnet Lane Save on land
owned by Southridge Estates, Inc.
Said Work to be as described in Application
No. 11972 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
I",.
7.
u d Jun 28 19 84.
f
Building 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 p1m
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."
Dwelling - Lot #28 So.Rid.S 6/28/84
Southridge Estat4es, Inc.
170 Garnet Lane Permit # 13922
ectrician A. Mozzicato 8458 L
Ming Contr. Ace Mello 5950
1 bing " Ace Mello, Jr. 6468
Burner
ificate of Occupancy 6818
Sewer Penn it
Plot plan apprd. per Engr.
f Permit No. TOWN OF SOUTH WINDSOR
i SOUTH WINDSOR, CONN.
I
I
I
I
Permit
1` a 6818
Certificate of Occupancy
I
I TO CERTIYX that the
at N in thefuil n of South Windsor, Connecticut, has
I been er and completed in accordance with the rg Code and Zoning Regulations ofI
I the f South Windsor, and is hereby appro ed r ccupan
I
I Building nspecto
I
Icaner, wilder
Fee Paid Date ':v2 6 0j19
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r.c ri L.i c, - I/!I! I1i1111\11\
o e Estates
T loa_r, r ` rs noa0. Soutl-. 1
i C, gip-in. Fr_li LTT. T_t1C ek r 1 •lfl ,vi,
sccip. s . ..cafe . 1"- ` t GARNET LANE
ckecd : r.T .T.. r ro 1 ect SsW,w
F
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Pronerty o' vout• rifir'e '7states
Tot ?lo. << iarn.et Vane cout'- TA in sor , Cr,
LUCEK ENGINEERING ASSOC. INC. -
NO. REVISIONS DATE
SCALE
I ` =v ; DATE r
CONSULTING ENGINEERS I FF6 ZI°Z T4 L-SO S-VD-6N
490 BUCKLAND ROAD
Z S 1LT DRAWN ?9,0 CHECKED FT"n,
SOUTH WINDSOR. CONN.
203-6440550 pJECT7 _fJ SHEET
1
I HEREBY CERTIFY THAT THIS- MAP AND SURVEY WERE PREP IN ACCO
STANDARDS OF A CLASS A-2 SURVEY AS DEFINED IN T
FOR STANDARDS OF ACCURACY OF SURVEYS AND MAPS". DOPTED' T CTICUT
ASSOCIATION OF LAND SURVEYORS INC. FC''.
IGa
8458
ELECTRICAL APPLICATION
Application No. 9864
on the side of
Lot 428 Garnet Lane Street
Street No.170
Owner Smut ri dge Estates
Electrician A- Mo z z i cat-n
FILED IN OFFICE OF
The Building Inspector
July 9 84
19
INSPECTION.
m 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.
Electrical Permit No. .............. .ys ......................._
Master License No. ......_........105392....................................
TOWN OF SOUTH WINDSOR Building Permit No. ,/.V4a. ........................
BUILDING DEPARTMENT
Date Filed . .. rJIfl ..f.............. ...................................
DateFinal Approval .................... ...........................
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
JOB LOCATION: Garnett Lane Lot #28 JOB OWNER: .. Ve.i.11e. x.. &...Sons
Sideof Between ... ... and .................................................................................
Name of Building Owner Ve i l l eux & ,.S.ons................ Address .. 675...Oa.kwp.Qd. Ave..,. .j!1.......Ht fd,.,..., C t.
If work is for Lessee—Give name Address .................... ............................................. . ..................
Building now occupied as (unless new) New No. of family units now
Building to be occupied as .. . Residential Number of family units to be ..... .. ..................
Is this work included in a Building Permit? ye S Permit Fee .............
If no Building Permit)
Permittee A. MOzzicato & Sons Business Address . 290 Pierce Rd. Telephone 6 '.9758
COST OF INSTALLATION: 1800. 00
TO BE FILLED OUT BY PERMITI'EE
TO BE WIRES) 14 EXISTING APPLIANCES
Number of light outlets to be installed
Number of convenience outlets to be installed0 Number of present Appliance Circuits ..... ... .............................
Number of switches to be installed . . .5 Do these include Range Water Heater Number of appliances to be installed
as listed below) Dryer Air Conditioner Oil Burner
TYPE RATING NO.
Range 8 Dish Washer Gas Burner
Well Pump Elec. Heaters
Range Top . . . . . .
Oven . . . . . . . . REMARKS:
Water Heater . .
12
Clothes Washer . . . .
Clothes Dryer . . . .
10
New Home
Dish Washer . . . . . .
12
Air Conditioning Motor .
Oil Burner Motor . . . .
Gas Burner . . . . . .
l
Circulator Motor . . . .
Attic or Large Fan , , ,
Well Pump . . . . . .
Electric Heat . . . . .
Other . . . . . . .
Number of new Lighting Circuits 5.......................Number of new Appliance Circuits . . . .............................
Number of Heating Circuits . . . . . . ............................
Number of Motor Circuits . . . . . . . ...._........._...--
Size of present service ....10.0 -Amy.Size of service to be .... .... ...... ..... ........_..........................
6468
PLUMBING APPLICATION
ppaQtiom No. 7 2 4 7
on the »....__. side of
Lot #2 8 Garnet Lane
Street Na ...._170
Owner Southridge Estates
plumber Ace Mello, J r.
Filed in Office of
T6 Bvldmg Inrpectoc
i
Jul-y 9 19 4
i
z
No add m at Aw a y
Port m othe &ainap watem of ay bwl m6
except to repair leab) until a Plermit is gRanted
by the Building Inm xow.
9
F
1
Application No._37 Y. ...................... Permit No. -#0 .................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
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.
South Windsor, . .......... 19ffY. Sign here
Address ... ...... ...... C'
Location . .... 164.44..........4. .. side of ... .................................. ...... ........................................... Street
Nature of4uildiing .... .. How many stories . ...................CLP.................... ..................................
Owner ............ vCA34,.4... .. Address .
Architect .... Address ..... . .............. ... ....................................................... ....................
eq."'j
ce
Builder Address
Plumber ...A 7.A........................................ Address 4&,Iy........('1-m........ CT-
DRAINAGE
CESSPOOLS, How many Where located ........ .......................................................................................
Are they water tight Of what materials are they built .... ...................... ... ........
Size of pipe from house to cesspool Kind of pipe ....... ... .......................................................... .................
MAIN DRAIN IN CELLAR, Material Diameter ............ ....................................................................................
Above or below cellar bottom Ei"'****'*"**"-""*****"**""*'******"*'.... ......
SOILPIPES, Material Diameter
WASTE PIPES, Material . P. Diameter ...........=".....:!.... ..../ -7*-*'---...--"-**-.......
TRAI>S Type proposed to use is
RAIN WATER LEADERS, where do they run to
REFRIGERATOR WASTES, where do they run to . . .. ........ ....................... ........................................................ ......I.......................
TANK OVERFLOWS, where do they run to
FIXTURES
WATER CLOSETS, How many ....... .........3......... ....... Where located
Distance from trap to vertical soil pipe ....................................... Pattern
WASHTRAYS, How many .. .... ... ................................... ... Where located . . .................. ............... .................................................
SINKS, How many .......... ... ........./.................................................... Where located . a* e.4't..t......................................
BUTLER'S SINKS, How many ....................................................... Where located. .. ................................................................................................
REFRIGERATOR SINKS, How many...................................... Where located ................................................. .................................................
LAVATORIES,How many ...... .............3............................... Where located ..........
BATH TUBS, How many....1:7/A44......./. - 1-vr-t... Where located ..............1*15.....
URINALS, How many ............. ......................................................... Where located ....................................................................................................
Are water closets and urinals to be local vented -If not, is there a window in uter wall
of room where same are to be located ....... I....................................................................
Estimated Cost
PERMIT #
Application For 6341 5950
DEPARTMENT DECISION Heating Permit
0
t
3E APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONSOa
N R1 APPROVED DISAPPROVED
c +j TOWN OF SOUTH WINDSOR0
1~
o " 7/23/84 Thomas P. D' Auria
00 O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W
O
C 1. LOCATION OF JOB 170 Garnet Lane
o
0
NO. STREET
O
Cx
v
LOT 0. FLOOR APT. N .
0 O
79 Q
av 0
C 2. OWNER X" -dc-&e
Cd
Cd 0
00 0 3. ADDRESS
4J
4.FHON T
I!
En s. APPLICANT Z ZROMN
s. ADDRESS A
w
i 7.PHONE d
B. LICENSE NO. cry a .l
Y
C w 9. EXPIRATION DATE OF LICENSE
10. ESTIMATED COST saq
11. IS THIS A CONTRACT COST? YES NObo
12. FEE ENCLOSED s P _rTn i t 1 -1992
y a
19. TYPE F BUILDING:
C
rn
b R[SIDENTIAL COMMERCIAL
cis 3 14. TYPE OF JOB: INDUSTRIAL
ORIGINAL ALTERATIONsINSTALLATINADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued it m Reverse side)
11. LOCATION OF JOB— 40 4ew & 1pd I
0. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION; OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MNI ND 0. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE A N SQ. FT. NE ' T.U. OR SQ. FT. GROSS FIR RATE
FLOORS TO BE HE D NEW OR OLD BUILDING &&&&Z INSULATED - YES OR NO
TYPE OF WALL I S&TION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./S.Q HR.AMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE f
1 f0 FAHRENHEIT
MAKE OF RADIATION: BASEBOA COP R CON CTORS IOR C.I. VDIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U.
DESCRIPTION OF WORK eo,
15. TO BE DONE;
6_tf f-
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. S.T.U.DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALul
ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL LL
REGISTER
L W H AND W TEMP. TO F TYPE AND SIZE RAD. OR LEADERitONFILT.) F
SIZE <f'Gt0 DIFF. F O O
OF SQ. FT.WALL 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:
NAME ADDRESS
SUBCONTRACTORS AND
1s. 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. `
DATE SIGNATURE F APPLICANT
16 8= R CALCULATION SHEET 1503 (Modern Method)
11,
Copyrlyht1977 by The Hydr nks Institute/WNER 0T` ADDRESS d Lj T`/ "r +1 /1 4" DESIGN TEMPERATURE DIFFERENCE-2-0F. DATZ
COL.A COL.S COL.C COL.D COL.E COL.F COL.G
1 j ROOM A G A/£ >•tE
O H H W H W H y/ H [ Desl n Weter TeN p.
2 ROOM DIMENSIONS, FT. V 77 .f; v pb S STUH per F t of3LENGTHEXPOSEDWALLS,FT. 4k Z Radlatl a Soleetoo
4 WINDOW AND OUTSIDE DOOR AREA W'
O
STUN STUN STUN STUN STUN
6 WALL CONSTRUCTION
Table 9, Line 3 x H) 1 0 U J C? L(v ` s ] D 0 ROOM LIN.FT. F
T TALS RADIATION6TYPEOFGLASSFROMLINE12SELECTED
Bottom of table used for Line 5) C CJ U b !U J 0 OV
7 CEILING CONSTRUCTION
C O v 17Table9, L x W) 00
a FLOOR CONSTRUCTIONt D O U
Table 9, L x W or Lin. Ft.) 1
E O G CJ
91 COLD PARTITION CONSTRUCTION
F /jj p U
Tabl 9, L x H)
0 V
10 _0 1 Wall(With Openings) X O D X v0 h v
4 2 Wells(With Openings)X
3 Wails(With Openings) or Ent.Hell Fp
Q v111TOTALSTUHAT70FTEMP. DIFFERENCE*
i 0 U O V S.
J
U12TOTALBTUHATDESIGNTEMP. pIFFERENCE K
J7COL.A COL.B COL.H COL.I COL.J COL. K COL.L TOTAL STUH TOTAL1ROOM
ir It/r' '
f/ OF BUILDINQ RADIATI N
AT SELECTEDOHHWHVHHLWJWDESIGNTEMP.-
2 ROOM DIMENSIONS, FT. U I jZye' 3 r
DIFFERENCE
3 LENGTH EXPOSED WALLS,FT.
4 WINDOW AND OUTSIDE DOOR AREA LL
D y
i
STUN STUH STUH STUN STUN
6 WALL CONSTRUCTION
INCREASE BATHROOMTable9, Line 3 x H) U U 3 UJ I CJ C) o TOTAL 20%
q i'YP OF GLASS
m of table used f r L Ine 5) p/ 0 0q'% J cs i L? G L) C." J
7 C(h qlNG CONSTRUCTION tFOR CONCRETE FLOOR ON
j IT
Iable 9, L x W)j V S OR FILL AT0UUGRADEDLEVEL,USE LINEARa -.q0OR CONSTRUCTIONt FEET OF EXPOSED EDGE
Tibl 9, L x W or L In. F t.) r
CCI PARTITION CONSTRUCTION
9, LxH) I
1 all(With Op nings)
L.` DLL
o
00)
alls(With Openings)X
JioIts(With Openings) r Ent.Hall h
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE
u
This form is evailabl from The Hydronics Institute,35 Russo Place, Berkeley Heights, N.J. 07922 FORM 1503
01
I = B= R CALCULATION SHEET 1503 (Modern Method)
A ,
C pyright 1977 by The Hydronics Institute
OWNER ADDRESS L& T f r 7 DESIGN TEMPERATURE DIFFERENCE.L+F. DAYS
COL.A C L.S COL.C COL.D COL.E COL.F COL.G
1 ROOM
IC d h 3 G C USt A tA
O H W
i t,/ H IL/ H W H Design Water Temp.d2ROOMDIMENSIONS, FT. U G S STUN per F t f
3 LENGTH EXPOSED WALLS, FT. 4 L Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA U. a
STUN BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION
Table 9, Line 3 x H) C J v L" J , D o') TOTALIS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
Bottom of table used for Line 5)
r 7 CEILING CONSTRUCTION o CJ
Table 9, L x W) y ' C ` V Li it 4' V U O (J
8 FLOOR CONSTRUCTIONt D
Table 9, L x W or Lin. F t.) E Y
7
y av
9 COLD PARTITION CONSTRUCTION F
Table 9, L x H) p
t0 c 1 Wall(With Openings) k chi?0 J H
2 Walls(With Openings)m X
3 Walls(With Openings) or Ent.Hall Ila J 1
11 TOTAL BTUH AT 70F TEMP DIFFERENCE' L
l 12;TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K
L C> u
COL.A COL.B COL.H COL. I COL.J COL. K COL.L
TOTAL BTUH TOTAL
1 ROOM OF BUILDING RADIATION
AT SELECTED
O , H L W H L W H L W H L W H L W DESIGN TEMP.°
2 ROOM DIMENSIONS,FT. V DIFFERENCE -.111.
3 LENGTH EXPOSED WALLS, FT. 4 7
4 WINDOW AND OUTSIDE DOOR AREA LL b J
BTUH BTUH BTUH BTUH STUN
5 WALL CONSTRUCTION INCREASE BATHROOM
LIns 3 x H) TOTAL 20%
6 GLASS
of table used for Lin@ 5)
7 JJC j'- CONSTRUCTION tFOR CONCRETE FLOOR ON
Tet)tl# L x W) GROUND OR FILL AT
GRADE LEVEL.USE LINEAR
6 FLt3i R ONSTRUCTIONt FEET OF EXPOSED EDGE
T , LxWorLin. Ft.)
9 601 ARTITION CONSTRUCTION
1`felf L x H 1
1D, U all(With Openings)
all$(With Openings)a XEsA4J
ells(With Openings)or Ent.Hall If.
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE'
12 TOTAL STUN AT DESIGN TEMP. DIFFERENCE
This form is available from The Hydronics Institute, 35 Russo Place,Berkeley Heights, N.J. 07922 FORM 1503