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HomeMy WebLinkAbout195 Krawski Drive (4)EK,Vic# Z 9L so* APPLICATION FOR BUILDING PERMIT Plumbing# 10107pi 195 KRAWSK I DRIVE HVAC # o a z i 4 Date: No. 25033 Sprinkler# FINAL APPR V LS Estimated Cost $ 000. oc Building 8W, Vc—x- COMPLETE RED BOXED AREAS Permit Fee Engineering TYPE OR PRINT ONLY Occupancy Fee $ co Affidavit SIGN ON REVERSE SIDE Appr.for CO. S Total Fee 9 7'. TO BIALDWC'DEPARTMENT,TOWN OF SOUTH WNDSOR,CT Additional Costs o The undersigned hereby applies to do work according to the following specifications: Job location Lot No. ! Side of Street Zone Applicant a C Q e— s i c v-41 0 N. Tel# fl6 U S6 3- 3 211 Address 17 S S S k s iO Q 4i P "w ti x)e-Ayrs T I-eu Zip D 6 1 D"1 lic.# Owner 5 qvl Q Address Architect Address Sq. Ft.New Area: 1st FI. ACO 8' 2nd Fl )o2 n 3rd Fl Lid Total New Area Rooms Lavatories Bathrooms v2 Garages Purpose of this permit: ['o n s+ru c-4 .S -, ' 1 1e :&ft./4o h e City Water Well Septic System Sewer ®---' Ins. H.O. S.P. Cart. Area 00 Basement 14155 Garage 76P& Approved by f Date 4151q95 Use Group Construction Type Rev6ed 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 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 wh' this buildin nd its use is allowed. Signed 1 hereby apply for a Certificate of Occupa for ri13T-"CIA in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Location ofJob: AFFIDAVIT Additional Fee S 2 4 . 0 0 State of Connecticut ss.South Windsor of Hartford V Owner I L C— n-IC-0t i'"ft -t,t D f of L'Of etl y/l (zb Ageat for the building erected Contractor under Permit No. 2 5 0 3 3 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 anthorized under s ' permit did not exceed the most current accepted BOCA value of S 1 5 4 . 1 s 1 _ 0 0_ Signed Subcribed and sworn to before me this day of A.D. 19--v Estimated Cost S 153 , 10 0. 0 0 Difference: S 11051 . 00 4taty Ti% ,s Inspection / Approval Date By Appl Code Description Due Whom Code Comment 98-25033-B 141,000 B01 FOOTING 04/13/98 DCJ A B02 FOUNDATION 04/29/98 JFF A E01 SERVICE 06/08/98 DCJ A RELEASED TO N.U. B05 FIREPLACE/CHIMNEY 06/08/98 DCJ A P03 ROUGH 06/19/98 DCJ A B03 FRAMING (ROUGH) 06/23/98 DCJ D ANCHOR BOLTS, SCUTTLE IN GARAGE, J. HANGERS- STAIR OPENING, CHIMNEY IN BSMT, SCUTTLE E03 ROUGH 06/23/98 DCJ D NAIL PLATES B04 INSULATION 06/25/98 DCJ A B10 FINAL 08/12/98 DCJ D BARE BULBS IN CLS. CLOSETS, WRONG #IS ON HS. WINDOW IN BASEMENT 98-10221-H 4,600 98-10171-P 3,600 98-14865-E 3,900 Tbtal Est Value 153,100 Dwelling 2,660 108,847.20 Basement 1,415 17,546.00 Garage 766 9,498.40 Smoke Det 7 525.00 BOLA Value 154,150.76 ( jailDifference050.76 g 11 J V SITE COMPLIANCE CHECKLIST tl TOWN of SOUTH WINDSOR, CONNECTICUT 195 KRAWSKI DRIVE LOT #20 Reviewed BY M*Jeerin )LACAVA CONSTRUCTION CO. Date Reviewed pp 185 SILAS DEANE HIGHWAY,WETHERSFIELD,C Reviewed By nningBP # 25033 Ph # (203)563-3711 Date Reviewed ' r3 f ppDenied Dat Submitted 04/07/98 FOR C o 0A;;/s&-b o i s/98 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 buildingppg permit plan V 2. Finish grading per approved building permit plan 3. Site work; i.e. trees, shrubs, dumpsters, required parking 4. Utility location; a. sanitary sewer/septic system 9 IDb. foundation drain 11c. electrical & telephon d. water m "AUG 1 1999 e. other E14G.DEPT 5. Sewer connection charge p i V 6. Appropriate certification 7. Bonding 8. Planning & Zoning/ Inland Wetlands Considerations Sewer Permit No. &R 74? Pavement Excavation No. 2 444 COMMENTS: Nok A PP SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 195 KRAWSKI DRIVE LOT #20 Reviewed B f ineering) LACAVA CONSTRUCTION CO. Date Revie ed pro 185 SILAS DEANE HIGHWAY,WETHERSFIELD,C Reviewed By Planning) BP_#_25033_ Ph_#_(203)563-3711 Date Review prov /Denied Date Submitted 04/07/98 FOR BUI NG PE In accordance with the Zon ng nd/-'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 tc- 0f. 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: 0-¢ iAa L a g -'fli1'?o s;3 DEPARTMENT DECISION PE APPLICATION FOR ELECTRICAL PERMIT PERMIT 4 PO(as Application is hereby:TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVYp6 1540 SULLIVAN AVENUE 644-2511 ext.230 Date Building Inspector Application must be printed or typed Location ofjob d- W Z DOVE Qo Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 - $11,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER )WAZIA aWSYkZ dh'or any fraction thereof ADDRESS/kLT '5//-,4,S &CAK)G:&dWft 011 OWNERS PHONE# &Q APPLICANT O-ARAFQ 0012 AV .2 00, 0 1 S ADDRESS qJ) 4( r4 ESTIMATED COST$ IS THIS A CONTRACT COST? YES NO IL FEE ENCLOSED $ OR-CO TYPE OF JOB: ginal Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL 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 OCJ A mD NUMBER OF METERS_ NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS c NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES I S' NUMBER OF HEAT CIRCUITS /NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK co 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. A 3 o S i i "1) NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. Co IcJ"l"S 7 DATE INSPECTOR C.3 DATE a TIME i G LOCATION tom` INSPECTION: CODE: RESULT D/A : BUILDING: ELECTRIC e PLUMBING: HVAC: OTHER: PEDEPARTMENTDECISIONAPPLICATIONFORELECTRICALPERMIT 3 Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPR VED 1540 SULLIVAN AVENUE k 644-2511 ext.230 T024 Date Building Inspector Application must be printed or typed Location ofjob Street No. Street Lot No. FEE SCHEDULE Floor Apt.No.- 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER or any fraction thereof ADDRESS !9 5 wie q w ssk OWNERS PHONE# APPLICANT W N S ADDRESS d' G Sl !7 7 S T IWI&14 C/j ESTIMATED COST$ y C IS THIS A CONTRACT COST? YES NO r C FEE ENCLOSED f TYPE OF JOB:OR-CO Original Installation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL 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 NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK O M L (,OBI 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. k aA//ff 1A NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. 4 G" J/ DATE I~ PLIMPTON & HILLS CORP. Z z SECO.V,D ,LoQ.Q PETE COWLES,T.L.D.,M.D.T. B= R CALCULATION SHEET 1503 (Modern Method) d ' s - '- a i- (—6fQA A u soPlace,Berkeley et07922 BIER C9VA ADDRESS r DR."SO,w/N Q" DESIGN TEMPERATURE DIFFERENCEO Q F. DATE COL.A COL.B COL.C COL.D COL.E COL.F COL.G ROOM 2 O Hy L 4 W H L O H L O W d H LU W H L W Design Water Temp. 40 ROOM DIMENSIONS,FT. U v 0 9 S 0 D U BTUH per Foot of 6O LENGTH EXPOSED WALLS, FT. Q Radiation Selected WINDOW AND OUTSIDE DOOR AREA tL BTUH BTUH BTUH BTUH BTUH WALL CONSTRUCTION 0ROO LIN.FT.OF Table 9,Line 3 x HI S f16 00 O 600 goo 0 TOTAL0S RADIATION FROM LINE 12 SELECTED TYPE OF GLASS Bottom f table used f r Line 5) V$C. x- J Uv J 00 0 CEILING CONSTRUCTION C Table 9,L x W)_ O D V 700 SQ0 p FLOOR CONSTRUCTIONI ETable9, L x W or Lin. Ft.) 461COLDPARTITIONCONSTRUCTIONF Table 9, L x H)sG 44 c 1 Wall (With Openings) - -- — —-- o 0/Z H 0 a c, 2 Walls(With Openings) X 0/8 0 0 l D00 00 3 Walls(With Openings) or Ent. hall tW J OZ TOTAL BTUH AT 70F TEMP. DIFFERENCE' C 00 Q K 2 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE 7200 O Q COL.A COL.B COL.H COL. 1 COL.J COL. K COL.L 70TAL BTUH TOTAL 1 ROOM CC F D,,QM.- 3- AT OF BUILDING-RADIATION O • DESIGNTEMP.0.SELEY04--,CTEJZ p H L W H L W H L W H L 'W H L W 2 ROOM DIMENSIONS, FT. f" DIFFERENCE - ..-.- 3 LENGTH EXPOSED WALLS, I-T. Q 3 WINDOW AND OUTSIDE DOUR AREA LL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION INCREASE BATHROOM Tabs 9, Line 3 x H) OFj TOTAL 20% 5 TYPE OF GLASS Bottom of table used for Line 5) 7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON GROUND OR FILL AT Table 9, L x W) 06 700 GRADE LEVEL,USE LINEAR g FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE Table 9,•L x W or Lin. Ft.) 9 COLD PARTITION CONSTRUCTION Table 9, L x H) 0 ,e 1 Wall(With Openings) _Q Z •—+ S 4 2 Walls(With Openings) D X 0/8 17010 s•,` 3 Walls(With Openings) or Ent. H311 J 0s7 1 TOTAL BTUH AT 70F TENAII. 01r•FF"rtF NICE• PERMIT NO. DEPARTMENT DECISION APPLI CAT I O N FOR Application is hereby : PLUMBING PERMIT TOWM OF SOUTH WINDSOR APPROVED DISA PROVED BUILDING INSPECTION DEPT. 1 3 14,6 1 0 644-2511 Ext. 230 Date ilding Inspector Application must be printed or typed. 1. LOCATION OF JOB: a1s L - e:4 K jOr-, FEE SCHEDULE 2. OWNER: bay C- It-ICU1 0 - 1 0 0 0- - 3. ADDRESS: `S j x J' Over $1 ,000 - per $1 ,000 or 5 I-(4. APPLICANT: a-r G W+ fraction thereof 5. ADDRESS: Q t- 4% 6. EST. COST: 7. IS THIS A CONTRACT COST? `o YES NO D 8. FEE ENCLOSED: $ 4 9. TYPE OF B ILDING: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: V1 ORIGINAL ALTERATION INSTALLATION ADDITION REPAIR BD 2A 11/88 APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side) 11. LOCATION OF JOB: Zot- a yrc,-A Dr; GENERAL PLUMBING 12. KIND OF INSTALLATION: .Qv S n,, 'y. 13. SIZE OF MAIN DRAIN f 14. NO. OF TOILETS STYLE 15. NO. OF URINALS STYLE 16. NO. OF BATHTUBS /16A. NO. OF SHOWERS l 17. NO. OF LAVATORIES 18. NO. OF SINKS f 19. DISPOSAL_ 19A. DISWASHER 20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS l SIZE 311 22. AREA OF ROOF 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? Y--P- S 27. SIZE OF WINDOW 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK? 5 O-er' l > 31. SIZE OF WATER MAIN ! 31A. SIZES OF WATER PIPING & RISERS 32. REMARKS AND FURTHER DETAILS U0,') S Z/l`r do WATER HEATER 33. TYPE lS 34. MANUFACTURER TANKS SAFETY DEVICES TE1,11PERATURE 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 T` /S GNATURE OF APPLICANT PHONE NO. DEPARTMENT DECISION PERMIT#APPLICATION FOR HVAC PERMIT Application is hereby:TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE 644-2511 ext.230 adding InspectorDateuiInspector Application must be printed or typed Location ofjob Street No. Street Lot No. FEE SCHEDULE 0 - $1,000 - $12.00 Floor Apt.No. Over $1,000 12.00 per$1,000 OWNER Z-4? or any fraction thereof ADDRESS s;l s Z-1)? OWNERS PHONE# 3 37P APPLICANT N ADDRESS A* ESTIMATED COST $ cc) IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ OR-COS 7 OF JOB: Original Installation Alteration/Addition Repair Revised 11/95 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-v7' 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.) lam./ ` p/O' L'` ' 17 GROSS HEATING CAPACITY (INPUT-BTUH)/ NET RATING (OUTPUT-BTUH) TYPE OF FUEL OIL- PM 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 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. s-7 STATE LICENSE-NO. NAME&TYPE SIGNATURE OF PLICANT PHONE NO. C / DATE9-(?- i,¢SJ-2----t-- --- — PE1'E COWLES,,m-p.,m-U.T. B = R CALCULATION SHEE__T 1503 (Modern Method) dr i sl t' 'to I- -- fGA A- u-so )ac Berkeley Heights.NJ079 Q ADD E5 1- © A '_ / uG GN TEMPERATURE DIFFERENC O p F. DATE 90 IER COL.A -^ COL.B CCL.C COL. D COL.E COL. F COL.G Q ROOM cc_..----- - --• O 4//,t/G 1?00rt4 7 D..A. E.%IlY• /t O H L W/ H L d H// ll L H L e> W H LVI yy Design Water Temp. ROOM DIMENSIONS, FT - _-- U CJ C/ el K Z 3 BTUH per Foot of 60 LENGTH EXPOSED WALLS, FT. Q Radiation Selected WINDOW AND OUTSIDE DOOI'1 Ali[_A IL Bf U14 BTUH BTUH BTUH BTUH WALL CONSTRUCTION p 3QO D ROOM LIN.FT.OF OTable9,Line 3 x H) C /OD DOO TOTALS RADIATION FROM LINE 12 SELECTED TYPE OF GLASS 1600 1 0 Bottom of table used for Lme 5) O u B C T O C e) CEILING CONSTRUCTION Ob O 600 OO G O C Table 9,L x W) 9Vt D EFLOORCONSTRUCTION;- T& 0 3 Table 9, L x W or Lin. Ft.) COLD PARTITION CONSTRUC"TIUt: F Table 9, L x H) G 1 Wall(With Openings) - --- - --- o H cq 2 Walls(With Openings)_ J O/B 13c>0 3 Walls(With Openings) or Ent. Hall OZ7 OCR Soo / DOU D l TOTAL BTUH AT 70F Tr:y I1!ft::111'. t _Pjc - K r TOTAL BTUH AT DESIGN r f-Mf. Dil F LNENCt D 0SOU OU F COL.F1 COL.B COL.H COL. I COL.J COL. K COL.L TOTAL BTUH TOTAL ROOM M14STe)L BD.PM, FTn OF BUILDING RADIATION srE7L ,8ar AT SELECTE O H LO W H L W H L W H L W H L W DESIGNTEMP.° X5DIFFERENCE ROOM DIMENSIONS, FT. -- -_U `'i7' y pojt-¢ 41 U 3 LENGTH EXPOSED WALLS, 1-1. Q Z 2 t WINDOW AND OUTSIDE DOOR Ali( A LL44 BTUH BTUH BTUH BTUH BTUH 3 WALL CONSTRUCTION INCREASE BATHROOM L- t 8 /OQ DTable9, Line 3 x H) TO'rAL 20/o 3 TYPE OF GLASS B ttom of table used for Ling:5) - L6DUl L -Il O 600 tFOR CONCRETE OR ON 7 CEILING CONSTRUCTION GROUND OR FILL ATC Table 9, L x W) I QQ GRADE LEVEL,USE LINEAR 3 FLOOR CONSTRUCTION( 1 FEET.OF EXPOSED EDGE Table 9, L x W or Lin. Ft-)- ---- ' —'-` f -- ADD e. 9 COLD PARTIT ION CONST Hu riON I I Table 9, L x H) 7 / 9a:6ao 0 I1 nin1Wa (W th Opo gs) 101 Z s 4 2 Walls(With Openings) J Q/8 2000 0 3 Walls(With Openings) or Cnt !kill f}55UAAIAI, G iuC/ ^ 1 TOTAL BTUH AT 70F TEl tf' t 1FFt!3;=NCk' 2 2 TOTAL BTUH AT DESIGN Tf_MI' Dll:F 1-ZENCE I FORM 1503 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMITs4 Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# PROVE 1540 SULLIVAN AVENUE 6 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of job J 9' k cU4 r DtQP Street No. Street Lot No. FEE SCHEDULE 0 - $1,000 - $12.00 Floor Apt. No. Over $1,000 12.00 per$1,000 OWNERoranyfractionthereof ADDRESS Era V"P 5 0S5 OWNERS PHONE# I /si APPLICANT _ 01 1 W N at ADDRESS C q< ESTIMATED COST $ 4rg P/0 C IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ OR-CO TYPE OF JOB: Original Installation XAlteration/Addition/Repair Revised 11/95 i z/9aIs /V 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 FD_IATION 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. OUTSIDEMF INSID<s F DIFFERENCE 3'15 F TOTAL HEAT GAIN(BTUH) g3jl0u 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 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.PDfLDING CODES IN THE PERFORMANCE OF SUCH WORK. Sowy STATE LICENSE-NO. NAME&TYPE SI ATURE CIF APPLICANT PHONE NO.&()` V /e1 c DATE `v S/N . . . . RIGHT-J SHORT FORM Job #:Htg Clg~ For : MATTHEWS Outside db 0 90 195 KRAWSKI Inside db 70 70 S WIMD CT Design TD 70 20 Daily Range M Inside Humid. - 50 By: AUTOMATIC TLC Grains Water - 35 64 OAKLAND AVE EAST HARTFORD CT Const . Quality a of Fireplaces 0 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Model Model Type Type Efficiency / HSPF 0. 0 COP/EER/SEER 0. 0 Heating Input 0 Btuh Sensible Cooling 0 Btuh Heating Output 0 Btuh Latent Cooling 0 Btuh Heating Temp Rise 0 Deg F Total Cooling 0 Deg F Actual Heating Fan 1846 CFM Actual Cooling Fan 1846 CFM Htg Air Flow Factor 0. 031 CFM/Btuh Clg Air Flow Factor 0. 048 CFM/Btuh Space Thermostat Load Sensible Heat Ratio 84 ROOM NAME AREA | HTG C. HTG | CLG SC!. FT. | BTUH BTUH | CFM | CFM LIVING ROOM 183 | 5461 | 3083 | 170 | 147 FAMILY 294 | 9339 | 4617 | 291 | 221 EAT KIT 391 | 12534 | 9298 | 391 | 445 ENTR LAUN 66 | 2956 | 1391 | 92 | 67 DINNING 143 4862 | 3043 | 152 | 146 FOYER 64 | 3176 | 673 | 99 | 32 SE( FLOOR 0 | 0 | 0 1 0C MAST BED 208 | 4986 2 | 156 | 1813 BEDROOM 2 183 | 3727 | 3375 1 116 | 161 HALL 185 | 470 | 295 | 15 | 14 BEDROOM 3 159 | 3547 | 3296 | 111 | 158 WALK CLOSET 30 | 76 | 48 | 2 | 2 BEDROOM 4 169 | 4128 | 2602 | 129 | 125 WALK IN 2 30 335 | 135 | 10 | 6 BATH 2 4 CLOS 224 | 3565 \ 2902 \ 111 ( 139 Entire He 2329 | 59164 | 38591 |ous 1846 | 1846 Ventilation Air 0 | 0 | Latent Cooling 7183 | TOTALS 2329 | 59164 1, 45774 1846 MANUAL J: 7th Ed. RIGHT-J: V1 . 63 LOT 57 N/ F LACAVA CONSTRUCTION CO. N 65005# 1 la W 74. 67• LOT 58 252` i N/ F N/ F LACAVA 250--. N " 40' R YARDD — TOWN OF SOUTH WINDSOR CONSTRUCTION CO. as \ OPEN SPACE 04 W WAYNE MATTHEW GINEA ANN VAGOSTINO VERHANG co o/ o ao p ..' clq A. UNDERGROUND z o• A4y 30• 7 248 ELECTRIC SERVICE fir o7 1 O 246 1 DOMESTIC 244 WATER S 242 WG FL= 236. 0t a i 0U 1LL LU1N13 iJI F—,ilk 11