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HomeMy WebLinkAbout198 Norton Lane (2)TO THE BUILDING INSPECTOR of the APPLICATION FOR TOWN (IF PLAN EXAMINATION AND MUMWIirD50R,COS BUILDING PERMIT z IMPORTANT - Applicant to complete all items in sections: 1, 11, 111, IV, and IX.0 J ZONING I• AT (LOCATION)orto" La n e-DISTRICT LOCATION NO.) STREET) L_AND b OF BETWEEN kCh e- Q -Le BUILDING CROSS STREET) CROSS STREET)) j SUBDIVISION 1 1 n"1 I h I LOT BLOCK SIOZE O SC1 J H II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking' most recent use 1 5gNew building Residential Nonresidential 2 Addition(If residential, enter number 12 4 One family 18 Amusement, recreational of new housing units added, if any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13) 20 Industrialnumberofunits— — — — 3 Alteration (See 2 above)14 Transient hotel, motel, 21 E:] Parking garage4 Repair, replacement or dormitory — Enter number 22 5 Wrecking (1J multifamily residential, of units ——————— — -i E:] Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 240 Office, bank, professional 6 Moving (relocation) 17 Other — Specify 25 Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Cg Private (individual, corporation, 28 Tanks, towers n npr fit institution, etc.) 29 Other — Specify 9 Public(Federal, State, or local government) C. COST Omit c nts) Nonresidential — Describe in detail proposed use of buildings,e.g., food processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement,.•.•..,•,....., S school, secondary school, college, parochial school, parking garage for, of 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 ; III. SELECTED CHARACTERISTICS OF IL ING - 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(wall bearing) 40 S Public or private company 48• Number of stories................Z 31 KWood frame 410 Private (septic tank, etc.) 49• Total square feet of floor area, 1tk5allfloors, based on exterior 32 Structural steel dimensions ..................... 33 Reinforc d concrete H. TYPE OF WATER SUPPLY 34 Other — Specify 42 Public or private company Total land area, sq.ft. ...........S6V 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ...................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 Gas Will there be central air 52. Outdoors....................... 36Oi1 c nditi ping? L. RESIDENTIAL BUILDINGS ONLY R3Electricity44 Yes 4.S"® No 53. Numb r f bedr ms........ J 38 Cal 39 Other— Specify Will there be an levator? 54. Number of Full.......... 46 Yes 47f 51`N bathro me Partial....... Off NOTES and Data — (For department use) s IV. IDENTIFICATION — To b comp/et d by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or "' h Y% n 0G7917C) Ll s Lessee 2. Contractor Ax 3. t Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signat r of applicant Address Appli ion ate 4- 04A 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By NotesFeeStarted,,,-Approved BUILDING 40 PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approva I Check Date Obtained Number By Permit or Approval Check Ob ate ed 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 VI1. VALIDATION Building Permit numb r 10809 Building Permit issu d Imatr 1 A 19 7— Building P rmit Fe $ 10809 Approv d by: i TITLE ZONING FRONTDISTRICT r IX. SITE OR •T PLAN For Applicant r one: 4w an uHI! no i Hii 0 memo 410 a ffi, i s 1,11111HIMs,N e.•u! s r.•. N. ..... •..N• jut No as _• lamenwas_ ...: nomi .Z 0 22painail. MH1111U,......•... 4084 ::.=:a.= somoom. i='•••'ii i' = E f ii •i•:_ cI. as•: =.:'i ::=i•s ss°ssi:se'se::i:'s8 :ii:e::iii::'ina' =i'i: s: .. .....: : ee _ ss::::: : ::a: ees: ess:=:::e:::::::::::::::::::::::•:::::•:=a ::i: ::$": ' : .=i: :tii• 1.:s:=.liea= = = eess=eui:11 ii sip=:,=; :_:e$sa:s ': :_===::a, :g= :sIts: :s . ji is' . ss : 1. .. :. u i :a:iia•a ii':sai z:= iss i•:ss•:'sie sa aa•i:s se eaaia a:s a=.=s :eeesUm, .eseis:s:s.:s:::.:::..e .i....../s: _ s ss` ee s:a=:s s=:.N1ia.r1.==• .. r • .... .mums.•.... =e: ::ii::::: :: ;_: .. N asr i• is s:••: :ta•:::=•:i ••_::=s:: ;/Iffiliffin"i::: :: :si:: •_ •: aam a i=. aa.H Mi.s:s iiffl ::g=es Iffigsl:s:se= :::='s:::e:'s'sr.'s: =e':=':s:s 's::s9=! ='sa:==itss =:ia: a ...saa iiii _::e;••s:e;»:;eii=sss...aia's' iiEs:=:::':::i....i..».._.": :"n=ii .E'se 4: 's: ..0 .= e:. a HE.i' a::• ::: : : : • .S•.l.SEH.S:: :..:..::...»..•...N.m...ea:..a\•Ns.. H.• e: psi a .Fa:...S.HHSim,• Isusas;::a:=:;s::s:;HHHe::s=•r•==.,::.s,:::.l:: -::s;s:;s:::!l:;:::s::::: s:l::: :..:sls:::: _:. :_ • • .._ la l. S; .:sCl:: ::::=s i TOWN OF SOUTH WINDSOR BUILDING PERMIT w Date May 16 19 79 Fee Paid $. 27.Q.00 Est. Value $..45,000*©0 Permit N 9 10809 on the side of Lot #37 Norton Lane Sueet Street No. 198 Owner T & M Buildinn, CO. a App(icant T & M Building Cn CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid 3.00 CLASSIFICATION Dw _lli n i BUILDING PERMIT r N? 10809 OFFICE OF THE BUILDING INSPECTOR li of the I I Town of South Windsor, Conn. South Windsor, Conn. 1979 Trio io to Tertify, That is hereby granted permission to DW 1 1 I Ma at estimated value of _ 00 I on the side of Street ° land owned by Said War to be as described in Application No. I 1109 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued f 19 79 u :ng ass ctor. I Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barrios during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person Shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay Said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." I i I i I I I I I INSPECTION REPPermit # REPORT Job 1 Footing - f r 7 2 Foundatio v 3 Framing 4 Wiring fl5Plumbing 6 Heating 7 Lathing 8 C.O. Permit 14o. TOWN OF SOUTH WIND$OR SOUTH WINDSOR, CONN. Permit d 5339 Certificate of Occupancy THI S TO CER FY at the f at No 47 in th wn of South Windsor, Connecticut, has be n erect'd and completed in accordance with the uilding Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. f Building R95Wtor Off P er, B011depf Fee Paid Date of. 19 t ` 6779 t = ELECTRICAL APPLICATION Application No. 7 n R 5 on the side of Lot #17 Norton T ane Street Street No. _ 19 8 Owner Tic M Build in n- Electrician Mi I t nn P I m i f f FILED IN OFFICE Or- The Building Inspector May 24 19 79 INSPECTION. eA'r 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 ere stops (if of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. ...7.08.5................ ....... Permit No. .......6.7.79 ............... TO THE BUILDING INSPECTOR of the C.0 l03/74 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. South Windsor, Conn., ....... ! f 19 Sign here 911'cAddressfD / tlt...a,. s4.t..... /91 •: Location /... r..... r 3/ /O f'io./ ?. ....... Side of ...... Nature of Building 3iDc7 i..A.—...... ....... . .. How many stories .......................................................... N w or old Building .... How many families ......., t Kind of Installation .... How many Stores Owner 9 1.....E ,11t--...... .z?.:..........................__...... . .. Address 'z`.......f...........T!c'cwCa ,w6! .. Architect . ....... ........... . .... .. ...... .. Address .... . ............ ........................................................... 7 9* /13iiss-lim;! . Q 1v -- E''lAl-T+AJ 6iVN.Builder Address e ,x.:.. . .. , ................................. ......_ .._...._...... Electrician Address Size of Main Wires .. ............l7 L.a................._ No. of Light Loops .. ..e.. ..... .. ... No. of Heat Loops ......,...No. of Power Loops ......................... No. of Light Outlets .. .. .......... No. of Heat Outlets ..... No. of Power Outlets .......7.— ..... Nod of Light Circuits ......y... ........ ..... No. of Heat Circuits .. No. of Power Circuits ...v... ..... No. of Sockets ..... . .......... . No. of Heat Receptacles .. No. of Motors ......... ... ....... ... ........... No. of Panels ........... Size of Heat Circuit No. of Power Receptacles .. . No. of Switches . ..........gf..............Total Wattage ........ .. .. .......... ....... ... Size of Power Circuit .. . ...... . .... .. Total Horsepower .. .. /... ..... ........ No. of Straight Electric Fixtures ............... . .................... . No. of Combination Fixtures ..... No. of Receptacles .......7......:... .... ... .. ..... ............. .. .. . ...... No. of Cord Drops .... .. ......................................................... ................. Remarks: For other kind of Installation .. .z%E't......... ...c?M/ ................................................ ...... ......... ............. .................. Estimated Cost 5398 PLUMBING APPLICATION Appliotion No. 6182 on the of LQ—t._#3.7 Norton Lane S-1 Street No. ....__._. 198 owna ._T& M Building Co. plumber _Norman Lut zen Filed in Office of The Boil&g hospecoor dune 15 1919 n se ecaair. No person shall construct, add to cc ahm any portion of the drainage sysoem of any haul&og except to repair leaks) until a Permit is graooed by the Building InVecoor. 618 2 Permit No. 5.3. .$Application No. 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. W. -z'South Windsor, . ....... ..... ./....................................... 19 7.7.. Sign here Address ..... 9...1................. !r- .......................... Location . ............... 7. 3.......2.............................................. side of Street Nature of Building ...... l!"'G..l......' ..,..................................... How many stories .. ......-ate...- .......................... a................................ Owner ........................... ... .....I......... .. .. ...r.. .................... Address..........>.. -.....io..........6....>................ j. ...!...r. Architect .... 1................. Address ...................-/. ..................................................................f...... Builder ............... `........... .......... ....................................................................... Address C Plumber ......... .........d.Y.. .....f. ............. Address .... R.c1....1.............. <1...w..............t.......... DRAINAGE CESSPOOLS, How many .. ......... Where located ..................................................................................................... Are they water tight ...Of what materials are they built ........................................................ Sizeof pipe from house to cesspool .............................................. Kind of pipe .................. .................................................................................... MAIN DRAIN IN CELLAR, Material Diameter ......... ................................................................................................. Aboveor below cellar bottom ... ............/ I.q.c........................................................................................_.................................................................... SOILPIPES, Material ... . ...........ram..-IT.......S...................... Diameter ....3..........0.1.............!.../..-........................................................... WASTE PIPES, Material .. ...., ./., ......5................. Diameter ... f........._2v..............I......L:?. .................................................. TRAPS,Type proposed to use is .... .............. RAIN WATER LEADERS, where do they run to REFRIGERATOR WASTES, where do they run to ............... TANK OVERFLOWS, where do they run to FIXTURES WATER CLOSETS, How many ...........................-................ Where located .... .. .. ..................................................................................... Distance from trap to vertical soil pipe ........................................ Pattern WASHTRAYS, How many ....... ....................................... Where located .. .. ....................................................................................... SINKS, How many ...................................................................................... Where located .. ............................................................................................. BUTLER'S SINKS, How many ...................... Where located . .................................................................................................. REFRIGERATOR SINKS, How many.. ........ Where located ................................................................................................... LAVATORIES, How many Where located ..................................................................................................... BATH TUBS, How many......................................../............................Where located ..................................................................................................... URINALS How man Where located ..................................................................................................... Are water closets and urinals to be local vented If not, is there a window in outer wall Gofroomwheresamearetobelocated ........ ..e.,... . a Estimated Cost, ................................. i PERMIT # Application For 6113 5012 DEPARTMENT DECISION cc W Heatmg Permit 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N M APPROVED Cl DISAPPROVE TOWN OF SOUTH WINDSOR 0 7/18/79 DATE F INSPECTOR APPLICATIONS MUST RE PRINTED OR TYPED. DEGIN WITH MUMMER ONE BELOW O ts7 PC 1. LOCATION of JOB0 o XiwdQK 3R kk 198 NortonCdNO• STREETv 37 LOT NO. FLOOR APT. NO. ON O Q 2. OWNER O N- t o a 0 S. ADDRESS 0 3 4.PHONIC DO S. APPLICANT a. ADDRESS 7.PHONIC 7 s. LICENSE NO a C w 9. EXPIRATION DATE OF LICENSE 10. ESTIMATED COST seq b0 11. IS THIS A CONTRACT CASK YES NO C,t 2. FEE ENCLOSED s Permit 10809 is. TYP BUIUMN& O R bo COMMERCIAL C O 14. TYPE O JOB: INDUSTRIAL a 3 ALTERATIONINSTALLATIONADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued it m Rev ne Sid 11. LOCATION OF JOB 4 NO. e_ STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: L.J OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION e Cl SIZE SIZE 1 /J 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE M KE AND NO. T NNET FIRING RATE BOILER OR FURNACE MAKE AND NO. t B.T.U. OR SO. FT. NET —B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING W e INSULATED - YES OR NO `''f TYPE OF WALL INSULATION 'y ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. / U B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE P1 — s-0 FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. r'1 r ,. DESCRIPTION OF WORK r C/z 14 s 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): R OM SIZE WINDOWS AREA - SQUARE FEET D.T.U. E.T.U.DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL LL REGIST ER ROOM L W N AND GROSS GLASS NET WALL CEILING FLOOR (NF'FT.) AT Ate'F CORRECTED i F TYPE AND SIZE SQ.Q AR R LEADER SIZE < WALL 'Gto DIFF. F f O a FREE AREA P TOTALS A. HEAT LOSS FROM BUILDING ` -R23 2a 0 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:i'a c / L_-14 c Y/G roraJ NAME ADDRESS SUBCONTRACTORS AND IS. 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. 2 _ / 4 _ ) / DATE SIGNATURE OF APPy5ANT ARGO CALCULATION SHEET OWNER- /m ADDRESS o DATE S DEALER -IV h1 d Tom{r KIND OF BUILDING--_CHIMNEY SIZE CONSTRUCTION: WALL << WINDOWS N 0 Sao r ROOF OR CEILING ( c K BASEMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF COL.1 2 3 4 5 6 7 I3 9 10 11 12 13 14 15 16 17 16ROOMSIZEWINDOWSAREA-SO. FT. FLOOR VOLUMEANDDOORS Cu.FT. TOTAL TOTAL SA EBOARDSSEENOTE) ROOM NUMBER GLASS NET WALL CEILING p AT O F WATER LENGTH ACCESSORIESCORRECTEDGROSSTEMP. TO T1:MP nr.L W H ow AREA WALL o 0,?_) OIFF. ENCLOSURE FIN512E 13 7 0 7 o s a,tic TEMP. DI FF. TUBE l R S LC MISC. T. tov o b oo 00 floo Y9oo 5,600 jo 10 o Zyoo K 6 io d600 NCO Do 8100 o V 3'0 oon 700 180in 19200 lyOofrr o oYDKlr /o 3 g 19 po ,o 00 1300 o 0 1/800 3 ? 300 o Sao 0?000 -.21 10 y 30Q t Or 00 a0O D 3 y o ao AL /60 00 1y o 6e D lG /3 8 d Do /000 /co 00 3100 00 G e OD 600 4606 o?y00 7,5oo 8S o r b I. 8 _ D D Do o o 0o 'y2oo 70 G IL 1100 NOTEI FOR CONCRETE FLOOR ON GR UND R FILL AT GRADE LEVEL,USE LINEAR FEET OF EXPOSED EDOs.F R ALL THER FLOORS USE$QUARK FEET OF AREA. TOTALS O Electr;x# APPLICATION FOR BUILDING kRmrr Plumbing# 198 Norton Lane HVAC # Date:d 27376 Sprinkler# FINAL APPROVALS Estimated Cost $ Building vj-"101 ?1,C COMPLETE RED BOXED AREAS Permit Fee 13• Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit Appr.for CO. IGN ON SE SIDE Total Fee 13. TO BULDM DEPARTM 4T,TOWN OF SOUTH WN)SOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location A Lot No. Side of Street Zone Applicant _ C / , Tel# Addr ss / r a Zip 66'CV'c) Lic.# Owner r'cx <,r—Address 2 1 Architect 1- 11 Address Sq.Ft.New Area: lst FI. 2nd FI. 3rd Fl. Total New Area Rooms Lavatories Bathrooms i #Garages Purpos of this permit:Y-- City Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by j L-C— Dat K) lv 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 or spec of the Building for which this permit is asked,and agree that this building is to be located the pr ce all lines,side yard lines,and required distances from all other zones and is its use is I hereby apply for a Certificate of Occupancy for the work in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27376-B 995 B10 FINAL 06/21/01 JRC A CLOSEOUT Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 198 Norton Lane HVAC # 27760 Dat Sprinkler# No. FINAL APPROVALS Estimated Cost $ Binding 6 COMPLETE RED BOXED AREAS Permit Fee vo Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO.Total Fee TO BUILDM DEPARTMENT,TOWN OF SOUTH WlNDSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location Z Lot No. Side of Street Zone Applican Tel. Addr - 09 Zip Lic.# 3/> Q,,,,n Address Architect If Address Sq.Ft.N w Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages PyLpose,of stWt<t permit: City Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area F Basement Garage Approved by 11A— Dat dI Use Group Construction Type RevkW 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 Inspect f any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located' wh' is ing and its use is Iowed. Signe I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS r>,' f'^"-.Kt.+r y,r {,+ r ' t.,. j e ram. DEMON APPLICATION FOR HVAC PERMIT PERNIIT# TOWN OF SOUTH WINDSOR 1stirlBUMD]NG DEPARTMENT 1540 SULLIVAN AVENUEf Bldg.Permit# 644-2511 ext. 230 Iw1f Application must be printed or typed tr§'Y' Location of Job: me Yp, rQO Street No. Street Lot No. Tenant Designation Apt.No. 01 Y•„ri`Y.wiw(Y`.'a4rJil.a':.`36 ' `r u a., a' , <-,_a., , e APPLICANTPVffii P"`I,*/ i e• APPLICANT ADDRESS APPLICANT PHONE# PO 1i- 'jv• OWNER G OWNER ADDRESS zyw- h e 4 tt Sor f 6d:'11;4-x C-r OWNER PHONE ESTIMATED COST$ Glbo-0 O IS THIS A CONTRACT COST? L/Yes No FEE ENCLOSED$ IOS ,00 TYPE OF JOB: t/New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: 5/C EATING SIDENTIAL 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 OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) F(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 OIL TANK LOCATION:INSIDE OUTSIDE CAPACITY GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW AIR CONDITIONING DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) ey,"ccu, S a m 7TtioWle,- 7k-/E D?o Pl?c a ool1tk.!!r9?.42d;0,4<000 ,Q TONNAGE ,;Z l/Z COOLING CAPACITY(BTUH) -?Oi°a o 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 CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 3`d 10G S 1 C1 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT G DATE 6 - C?•DZ 60 G?S - 21 s7 RIGHT-J SHORT FORM Entire House Hom st ad Fuel Inc Job: 7-16-02 100 West Rd Unit II,Ellington,CT 06029 Phone:870-8700 Fax:870-7731 Project • . • For: Mr+Mrs Rowe 198 Norton lane,South Windsor,CT Design Information Htg Clg Infiltration Outside db(OF) 0 95 Method Simplified Inside db(OF) 70 75 Construction quality Average Design TD (OF)70 20 Fireplaces 0 Daily range M Inside humidity(%) 50 Moisture difference(gr/lb) - 11 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Trade Trade Efficiency 80.0 AFUE Efficiency 0.0 EER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Heating temperature rise 0 OF Total cooling 0 Btuh Actual heating fan 1223 cfm Actual cooling fan 1223 cfm Heating air flow factor 0.025 cfm/Btuh Cooling air flow factor 0.053 cfm/Btuh Space thermostat Load sensible heat ratio 93 % ROOM NAME Area Htg load Clg load Htg AVF Clg AVF ft2) Btuh) Btuh) cfm) cfm) Dining Room 146 5925 2722 148 146 Kitchen 146 5981 5164 149 276 Living Room 315 13374 4414 334 236 Bath 1 63 2489 1020 62 55 Bedroom III 180 8589 4510 215 241 Bedroom 11 150 6192 2695 155 144 Bedroom 1 144 6401 2352 160 126 Entire House d 1144 48950 22877 1223 1223 Ventilation air 0 0 Equip. @ 1.00 RSM 22877 Latent cooling 1732 TOTALS 1144 48950 1 24608 1223 1 1223 Bold4tallc values have been manually overridden Printout certified by ACCA to meet all requirements of Manual J 7th Ed. wrightsoft Right-Suit Residentialm 5.0.28 RSR27407 2002-Jul-16 09:26:37 Projectl.rsr Page 1