HomeMy WebLinkAbout170 Orchard Hill Drive1
ex TO THE BUELDING INSPECTOR
of&C APPLICATION FOR
PLAN EXAMINATION AND
TOWN OF SOVTH WINDSOR,COrtN. BUILDING PERMIT
z
IMPORTANT — Applicant to co to all items in ections: 1, 11f4yr Ix and IX.0
ZONING ,
I• AT (LOCATION) O DISTRIC 'r t
LOCATION N0.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 0 New building Residential Nonresidential
2 Addition(1/residential, enter number 12 XOne family 18 Amusement, recreational
of new housing units added, i/any,
in Part D, 13)13 Two or more family — Enter 19 Church, other religious
number of units— — — — --)P- 20 Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel,21 Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (I/multifamily residential,of units ——————— — i Service station, repair garage
enter number o/units in building in 15 Garage 23 Hospital, institutional
Part D, 13) 16 Carport 24 Office, bank, professional
6 Moving (relocation)
17 Other — Speci/y 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, merconfile
8 ® Private (individual, corporation,
28 Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 Public (Federal, State, or
local government)
C. COST Omit ce ts) Nonresidential — Describe in detail proposed use of buildings, e.g., food
d processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement,•.............. CC 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......... Wle
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT
III. SELECTED CHARACTERISTICS OF B01LDING — 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
O-7rj
30 Masonry(wall bearing) 40 Public or private company
48• Number of stories................
31 Wood frame 41 Private (septic tank, etc.)
49. Total square feet floor area,
all floors, hosed on exterior
32 M Structural steel dimensions ..................... .G• 40i
33 Reinforced concrete H. TYPE OF WATER SUPPLY
Q
34 Other — Specify 42 Public or private company Total land area, sq. ft. ...........
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.......................
96 Oil conditioning?L. RESIDENTIAL BUILDINGS ONLY
37 n Electricity 44 Yes 45 r No 53. Numb r of bedrooms..............
38 Coal
39 Oth r— Specify Will there be an elevator?
54. Number f
Full..........
46 Yes 47 be No bathrooms
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATIO. — To be completed by all applicants
Name Mailing address -Number, stree city, z o St a ZIP cod T I. No.
IIA i!2' 0Owneror
Lessee
2.
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of th s jurisdiction.
Signature of applic nJt Address Application date
01
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review R uired Check Plan Review Date Plans By y
Date Plans B Notes9FeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obtained
Date Number By Permit or Approval Check ObDained 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 87 2Permitnumber
Building
Permit issu d Jan• 3 19
Building
Permit Fe $ 204•00
Approved by:
TITLE
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
F-,Y_ • y. a
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
t
Date Jan 3 19750
Fee Paid $.?0l1...00 Est. Value $- 34,9.000.00
Permit No 8762
on the side of
Lot #11 Orchard Hill Dri yeStreet
Street No. J170
Owner Herbert Wanza
Applicant Herbert Wanza
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 4552
Fee Paid $ 3.00
CLASSIFICATION
Dwelling
BUILDING PERMIT
N?8762
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Jan 23 19 T5•
94is is to Terfif1j, That Herbert Wanea
is hereby granted permission to
gelling
at estimated value of $349000000
on the side of Lot #11 Orchard Hill Drive Street on land
owned by $erbert Wanza
Said Work to be as described in Application
No. 9062 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Jan.23 19 75•
i
uil ' g 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."
i
i Permit No. TOWN OF SOUTH WINDSORi
SOUTH WINDSOR, CONN.
Permit NO 4552
Certificate of Occupancy
i
THIS IS,TO CERTIFY that the 017a
at No: I '
F `
i •' ' ' ' ' ' s 'i, =`` in the Thwn of South Windsor, Connecticut, has
be n erected and completed in accordance with the Building Cbde and Zoning Regulations of
the Town of South Windsor, and is hereby approved for occupancy.
Nuilding Inspector
Owner, Builifer
j
Fee Paid Date 19 'T
5766
ELECTRICAL APPLICATION
Application No.6077
on the side of
Lot 11
Orchard Hill Drive Street
Street No. 170
Owner Herbert Wanza
Electrician Joseph Zingare l l i
FILED IN OFFICE OF
The Building Inspector
iJuly9_ i9 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
until the plumbing and heating pipes, and the fire
tops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
Ey APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM.
No. ..........6.o..17..................
Permit No. .........57.6.6............. ..
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application to. perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with
whether specified herein or not. Z j AV a!fie L.4 i
South Windsor, Conn.. ............. ...... ...... ............................. 1. Sign here ..... .........
Add ftss ................. .......
Location ....................... ...... ........ ....................... .... . ........ de of .............................................................................................
Natureof Building ....... How many stories .................................................................................................
Nw or old Building ............. How many families ................._......................_........................................_...........
Kindof Installation ....................................................................................... .... How many Stores ........................................._........................._.................._...........
Owner ........
11 ........ Address .................................................................................wM_...._.........._.__......
Architect ......................1.....................................(..... ............................................ Address ............................................................................_..........__._..-_•__......._....
Builder ............................. ............ .......... .......... ............................................... .. Address .........................................................................................._..
Electrician ...... ................ ........ ...........................................................-Address. ........77
Size of Main Wires ........................................................
No. of Light Loops ..................... .............. No. of Heat Loops ............. ..... .. No. of Power Loops .......................___.
No. of Light Outlets .a? ...... ............ No. of Heat Outlets ..... No. of Power Outlets .....................................
Z
NoO 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 ... ......................................... Total Wattage ............................... ...................... Size of Power Circuit ................ ..............
Total Horsepower ........................................
No. of Straight Electric Fixtures .... ..G................................ No. of Combination Fixtures ........ .................................. .............
No. of Receptacles ...................... No. of Cord Drops ..............................................................................................
Remarks: For other kind of Installation ... .............................................. ........................................................................................................................................
1' . J..... .................... ....................................................................... ...
I..............
Estimated Cost
5689
ELECTRICAL APPLICATION
6000
Application No.
on the side of
Orchard Hill Drive Street
Street No. 170 Lot #11
Owner Herbert Wanza
Electrician J.Zingarelli
FILED IN OFFICE OF
The Building Inspector
3-25-75 19
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
until the plumbing and heating pipes, and the Are
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORD,
No. ..........5..6 89.................
Permit No. .........6ODD............ .
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application tq perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with
whether specified herein or not. e.2 '-7-7 S"
South Windsor, Conn., ............ ................. 4........... 19.2SSign he;.
eAddress .
Z...... ........ .................. Side ofLocation
Natureof Building How many stories .........................
r ..................._..............................._........
Nw or old Building .................. How many families .................................._.........._............................_...........
Kindof Installation ............... .............................. ........................ ...... How many Stores ........................................._.........._.........._._.................._...........
Owner .................................................................................................................__............... Address .........................................................._.........._.._.._....................._...___....
Architect ........................................................//............... ............................................. Address ..............................
Builder G/................ Address /.....p.............................................. dl
Electrician Address ,T ....
Size of Main Wires ...
No. of Light Loops ..............1.. .... ............. No. of Heat Loops ................ ..... .. . .... . .. No. of Power Loops ..........._....._....
No. of Light Outlets .. `71.... ............ 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 ......3..6.................. ........ .. Total Wattage .................................................... Size of Power Circuit .............................
Total Horsepower ...................................... .
No. of Straight Electric Fixtures .....,/... ................................. No. of Combination Fixtures .............................................. .............
No. of Receptacles ............... . ..................................... . ............. No. of Cord Drops ......................................................................................... ...
Remarks: For other kind of Installation ......... 0. ................................... ....... ......................................... .
EstimatedCost..::............a.r...................................................................................................................................................................................................................................
4705 7q
PLUMBING APPLICATION
4494
I
on the ------_...._.. Side of
Lot #11 Orchard Hill Drive Street
Street NO. ..17 O
Owner . Herbert Wanza
plumber Herbert Wan z a
Filed in Office of
The Building
May 12 iy 75
n se c o r.
i
No person shall coosama, add tD or alder my
portion of the drainage system of any bu&og
except to repair leaks) until a PFmits granted
by the Building Impeaw.
914,?V-4
Application No......4494.................... Permit No. ................4.7.0.5....
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, .. .........07AVY................ ..Z/................ 19 .7sr. Sign hem ....... r. ....................
Ad dress ......HS......0.4c.1;#4 44....A. .......$tc eA
Location .. 4-or.............a...vxcwof oo.#?At4.........Z.....W...... side of ... ...5-0-V. ..P.-#................................................................. Street
Natureof Building ........ How many stories .. ..........T.W. ...0.........................................................
Owner ........IJAA ZA.........C-dA-Mf—................C.V.!.................... Address ..........LTC........ q4t.........It...
Architect ................................ ... . . ............................................................ Address ........................................................................................................................
Builder ...... C0.0y.1 ............C-.Ce....................... Address ...........0........................................................................ ..............k......... 4.
Plumber ........hZeE"-- 1--!kW..r........I./A.... Address ..............................................64.......................................a...................
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 ..........4;!..Xo..... Diameter .....41..8e..............................................................................................
Above or below cellar bottom .. ........
SOIL PIPES, Material ....-CASr.........1-12.9AJ..... ............... Diameter ....... .......--**--'*-*--...... ................................................
0...................... .
WASTE PIPES, Material ...P-4 4-5ff'.4............ ................. Diameter ...... 91,...I z of...... .....
j.
TRAPS,Type proposed to use is
RAIN WATER LEADERS, where do they run to 1154...................................................
REFRIGERATOR WASTES, where do they run to ....... ...
TANK OVERFLOWS, where do they run to N.........de
FIXTURES
WATER CLOSETS, How many .........................*- -a............ ......... Where located .... . 9 .........0......^Ixr,
Distance from trap to vertical soil pipe ...........1.8................. Pattern 4.04-1.1... ............ .. .............................................................
WASH TRAYS, How many ...... ......... Where located . . .................... ................................................................
SINKS, How many .........................................I............................................. Where located .. X-i--rc..#116vo....................I.................................
BUTLER'S SINKS, How many .............A. ?...0.....0...J....C....................... Where located. .. ................................................................................................
REFRIGERATOR SINKS, How many.......6".V..... Where located ...................................................................................................
LAVATORIES, How many .....................Z......................................... Where located ........^4Afq...........44. ..r.../V............. 1..........40,1010pr4W
BATH TUBS, How many.......................I.............................................. Where located ................"............................"
URINALS, How many ....................../ V.qC.......................... 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 ...........
f?--
Estimated Cost A-i-70.......................................
Pm T #
Application For 4611 4390
j -4-21 1DEPARTMENT DECISION Ipermit
O r
3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPWMLNS
APPROVED C1 DISAPPROVED TOWN OF SOUTH WINDSOR
0 Cd 9/17/7
00 W DATE CHI ECT APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O W
1. LOCATION OF JOB
o _
170 Orchard Hill Drive
4.2 NO. STREET
Q Lot #11
LOT NO. FLOOR AFT. NO.
OlV
4) c s. OWNER Herbert Wanza
S. ADDRESS 170 Orchard Hill Drive
3
I 4.PHONE
rn S. APPLICANT Herbert Wanza
a
oa. ADDRESS
7.PHONE
B. LICENSE NO.
a?Q
o w B. EXPIRATION DATE OF LICENSE
to. ESTIMATED COST :
19500.00
11. IS THIS A CONTRACT COST? b YES oNO 1be
63 Permit $8762Js1s. FEE ENCLOSED S
y is. OF BUILDING:
w W RESIDENTIAL COMMERCIALba
d 14. TYPE OF JOB: INDUSTRIAL
4+ORIGINAL El ADDITIONNISTALLATHMI ADDITION
REPAIR -
k APPLICATION FOR HEATING PERMIT (Continued tr m Reverse Side)
11. LOCATION OF JOB
NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: BOIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE I SIZE I t
13. OF TANK - , ~" OF TANK' - OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT 0 NET FIRING RATE
BOILER OR FURNACE MAKE AND NO.80(Z /i`I1 Al St FU. OR SQ. FT. NET ,Z• T-OR SQ. FT. GROSS O VAG' RATE 1.-Z i;pq
FLOORS TO BE HEATED 4EW OR-G BUILDING N- 'J INSULATED - YES 04-PIO
TYPE OF WALL rk- df` 9 INSULA L lit'c L t '' ROOF OR CEILING a
1
FI k . INSULATION
AVG. SYSTEM WATER TEMP. ,20 0
B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE O ° OU r ';, 6- FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. S L r r
DESCRIPTION OF WORK
15. TO BE DONE:
is. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
III oM slzE WINDOWS AREA - SQUARE FEET e.r.u. e.T.u. i DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALL
ROOM NO- GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 701 F CORRECTED J j t RAD. RE ISTER
L W N AMD TEMP. TO <F TYPE AND SIZE OR LEADER
SIZE WALL f' 10 INFILT.)
DIFF. ®•F F m u0i Q' FT' FREE AREA
p 'Io 410 , !a
LI $J(f azo it 2-0Z '/ as/ Zftq
Ji S o SOU gv ) S!0
60 I
00
4,
IZ ISS 4,b
to IZ P Izo n C) ` zoo
8 PIZ t4 4
1 1',F:` ZZ Zoo - ! `; . -to o
7F v I -"G P.OGQ
46
TOTALS 0 8 Cf
A. HEAT LOSS FROM BUILDING B.T.U./HR. G R. , 52 4
B. DOMESTIC HOT WATER DEMAND B.T.U./HR. 1 49
C. PIPING. OTHER THAN NORMAL B.T.U./HR._ST- u
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY:_j Z 4 4- - "'.C G 1'/l /J.'-C/ tr.°.- C Gk'A-)
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. 0 11 •
DATE SIGNATURE OF APPLICANT
FINAL I
t_2!:i
ONS
Building - APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date:
Sprinkler 170 ORCHARD HILL DRIVE
Electric X Estimated Cost $
Zoning Permit Fee $ -3 U
Affidavit NO. 22010 Occupancy Fee $
Eng. Dept.
Fire Dept.COMPLETE RED BOXED AREAS.Total Fee $ U
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 l Lot No. Side of Street Zone
Applicant 7"-Tel. #
Address f` Zip -t> Lic.# Cr 0 1
ST EET CITY S`_A1E'
Owner r 4&g Z_ Address
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
Size of Lot Dist. from Street Line Bathrooms Rooms 1st 2nd 3rd
Purpose of this Permit
a a/ot"' G U e`_'-t 0-Xm S??>,v S 4e,.?,e!W
Z iv .fie& 0-.,4 T&Ir /?" J
City Water 0 Well 0 Septic 0 Sewer D
Use Group Construction Type
Approved by i Date I BD1A 11/88
I hereby agree to conform to all th requirements of the Laws of the State of Connecticut and the Ordinanc s 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 distanc from all street lines,sid 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
I 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# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
DEPARTI EW DECISION - APPLICATION FCR ELECTRICAL PERMIT
Application Whereby: TOWN OF SOUTH WINDSOR PERMIT#
7MaBUILDINGDEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
a AV 644.2511 ext. 230
ate Building Inspector
Application must be printed or typed
FEE SCHEDULE ovation ofJo :
7 d 0 Fn I(c
0-$1,000=$13.00 Street No. Street Lct No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT O^A/ 1/4 I&Y
APPLICANT ADDRESS 3 9 Z TU
i S %,4(.t.z
APPLICANT PHONE#
OW N 84t OWNER
4< OWNER ADDRESS _/ 0 O X C WA
jVl + i.•
Y
U 7- 0,0e
OWNER PHONE
ESTIMATED COST$ G G
V
IS THIS A CONTRACT COST? )dYes O No
FEE ENCLOSED$ Z G
TYPE OF JOB:
O New Installation
gAlteration/Addition/Repair Revised 8/99
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
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES NO
NUMBER OF TIGHT('TR.f-"!TV Y rr:fqER OF PC"N'T";R CHCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
i aJ C ,s k'S l•c,/ HOC') f'S/cs v1 /a G /M
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.
CONTRACTORS LICENSE N TYPE STATE
SIGNATURE OF APPLICANT tt DATE `'71,?G O C
INSPECTOR' ' Q DATE TIME l 1
LOCATION t r
INSPECTION: CODE: RESULT(D/A) :
I 1-3
BUILDING:
ELECTRICAL: I
t> QoOS
f Pf +)S ;-)PL+
PLUMBING:
HVAC:
OTHER:
V-2c4,,,,(c n
INSPECTOR i PAT TIME
LOCATION /7
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL:
PLUMBING:
HVAC:
OTHER:
DEPARTMENT DECISION PERNUT 4
APPLICATION FOR HVAC PERMIT
Application is hereby TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPR 1540 SULLIVAN AVENUE
LCJCJ 644-2511 ext. 230
Date Building Inspector Application must be printed or typed
Location ofjob
l7 o D PC ie-o i c
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt. No.
0 - $1,000 - $12.00
Over $17000 1
12.00 per$1,000 OWNER MICHAe-L- 61(A P414
or any fraction thereof
ADDRESS f-7 0
SIMT14 W,609641 Ct 660I
OWNERS PHONE# SLZ-(
APPLICANT
VJ N ADDRESS
s- fh s 1 CT 08
ESTIMATED COST 7pq;3-
IS THIS A CONTRACT COST?
YES NO
FEE ENCLOSED $
OR 0 TYPE OF JOB:
Original Installation
Alteration/Addition Repair
Revised 11/95
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.)
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
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 7S F DIFFERENCE 2P F
TOTAL HEAT GAIN(BTUH) Z
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DES RIBE AL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
WlE2 t-1 T/1W V R
TONNAGE ,3 Y COOLING CAPACITY(BTUH)AM
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 rA1 ji L T/ 6++ Ct wl . W7&fl,
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. /' DATE Da
01-01--80
60601903. 15
DETAILED REPORT FOR ENTIRE HOUSE
Prepared For: Prepared By:
Mike Murrin D. J. Symolon
170 Orchard Hill i`asden Fuel Company
South Windsor , CT 06074 Job Name: Murrin
EXPOSURE
GLASS NORTH SOUTH EAST WEST NE/NW SE/SW HORZ. TOTAL
AREA 150.1 601, 45 .1 15 : 0 .1 01. 01. 270
COOLING 3,510 1, 1 ,8841 2,5381. 846 S 0! 0! 0: 8 778
HEATING 1 8,404 , 3,362 f 2,521 1, 84011 c_r; 01, of 15112711
SELOW
WALLS NORTH SOUTH EAST WEST NE/NW SE/SW GRADE TOTAL
AREA 3091, 399 : 2751, 3051. 01. 01. 01. 1 ,288.1
COOLING ; 496 . 641 1' 4411 49011 01. 01. o l, 2,068
HEATING 1 1157711 2,03611 1 ,4031' 115561' 01, 0.1 011 615711,
DOORS NORTH SOUTH EAST WEST NE/NW SE/SW TOTAL
AREA 11 21 .1 21 .' 01, 011 01. 01.1, 42
COOLING 1 2921. 29211 011 0.1 01, 01, 58511
HEATING 0 9291 9291, 0: 01, 011 01 1 ,185811
FLOOR AREA COOLING HEATING
2108 11 0 ! 8,932
CEILING AREA COOLING HEATING
2108 S 7,303 11 12.449
MISCELLANEOUS COOLING LOADS
People Sensible Load 0 Latent Load 5.447
Lights & Appl . Load 0 Latent Safety Btuh 0
Ventilation Load 0
Duct Heat Gain 0
Inf i 1 trati on Load 1 ,442
Sensible Safety Btuh t7
TOTAL SENSIBLE LOAD 20. 176 TOTAL LATENT LOAD 5.447
Summer ACH 0. 23 Temp. Swing Mul t. 1. 00
Total Cooling Load 25,623 BTUH Or 2. 14 Tons *
MISCELLANEOUS HEATING LOADS
Infiltration Load 10,814 Ventilation Load 0
Duct Heat Loss 0 Safety Btuh 0
Winter ACH 0.47
Total Heating Load 55,751 BTUH
01-01-80
60601903. 15
SUMMARY REPORT
Prepared For: Prepared By:
Mire Murrin D.J. Symolon
170 Orchard Hill Kasden Fuel Company
South Windsor CT 06074 Job Name: Murrin
DESIGN CONDITIONS for South Windsor
OUTDOOR INDOOR
SUMMER WINTER SUMMER WINTER
Dry Bulb 95 5 75 70
Wet Bulb 75 62
Daily Range 21 Daily Swing 3.0
Latitude 41 Elevation 700
Safety Factor (%) 0
Latent Factor ("/.) 27
Sensible
Room Heating Heating Cooling Cooling
Name BTUH CFM BTUH CFM
Complete House 55.1751 780 20, 176 11019
55,751 780 20,1176 14019
HEATING DELTA T 65. 0 COOLING DELTA T 18.0
NOTE: *** Calculated Airflow is based upon load requirements.
Verify that airflow calculated is compatible with
selected equipment requirements. * *