The URL can be used to link to this page

Home My WebLink About20 Simcka DriveT BUILDING INSPEMR APPLICATION FORofd" PLAN EXAMINATION AND TOWN OF SOUTH WEIMSM C MC BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.O e A ZONING A I• AT (LOCATION) 1~CK DISTRICT LOCATION Ce 'AV/y 13 d 14 0 STREET) A ` r'• l OF BETWEEN / _ T a L -AND / + 1(J.---- BUILDING A ( CROSS STREET) CROSS STREET) 32. LOT SUBDIVISION V L7O/`LL LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v Im A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use rn 1 CKNew building Residential Nonresidential 2 Addition(If residential, enter number 12)j One family 18 Amusement, recreational of new housing units added, if any, 13 Two or more family - Enter 19 Church, other religious in Part D, 13)number o units- - - - -f 20 Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, 21 Parking garage 4 Repair, replacement or dormitory - Enter number 5 Wrecking (If multifamily residential,of units ------- - - Service station, repair garage enter number of units in building in 15 Garage 230 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional 6 Moving (relocation) 25 Public utility17 Other - Specify 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 28 Tanks, towers 8 5Z Private (individual, corporation, 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,elementary 10. Cost of improvement,.•,•...,....... 3 3oa o 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 9 Q V r, a. Electrical...................... c, V A b. Plumbing ...................... l 0 U c. Heating, air conditioning.........Z300 d. Other(elevator, etc.)............ G 11. TOTAL COST OF IMPROVEMENT $ 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 48. Number of stories................ 30 Masonry (wall bearing) 40 Public or private company 41 Private (septic tank, etc.) 49. Total square feet of floor area, 31 Wood frame all floors, based on exterior 32 Structural steel dimensions ..................... 33 Reinforced concrete H. TYPE OF WATER SUPPLY 50. Total land area, sq.ft. ........... 34 Other - Specify 42 Public or private company 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES Z51. Enclosed ....................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 Gas Will there be central air 52. Outdoors....................... 261744S. 36 X] Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 NO 53. Number of bedrooms.............. 38 Cool 39 Other- Specify Will there be an elevator? Full..........Z 54. Number of 46 Yes 47 bothro ms 1NoPartial....... J NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing addr ss — Number, street, czty, and State ZIP code Tel. No. owner or t 4 4-fA 00"/ AIIA&k 4AI' - 1!/. D 4!//,7 2,33 3 4 8 Lessee Contractor 04-IMPAI dov"ley SW 3. Architect or Engineer The owner Qkthis building and th undersigned agree to conform,to all applicable laws of this jurisdiction.401 Signature 7-h- nt Address.,- Appli atio date1pel 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date PlansPlansRviewRquiredCheckFeeStartedByApproved BY Notes BUILDING s/ $ Almmem I-- f PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Date Number ByObtainedNumberByPermitorApprovalCheckObtaned 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 8173 r Permit number Bui Iding Permit issued 8-8-73 19 Bui Iding Permit Fe $ 228.00 plus $3.00 for C.0 . Approved by: t T LE VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use 710, y/!^ t z _ n. v 9. 1__, §g„ , a ift- s i f -` n a( c s e °-q x-S¢_.p-h s` a y_d s s_s.aa§ a -_ `•g .-1„ _ 6 s.3 r-f -a PkS , i • e-i--9, r F _....- a 3 a at=°' a a a a; s a f'a,"i a' ;.-•--',t >t-ai ,,ga a ;}. .t -t g 6 h,xn.---§ _ a-a_w a„t••a ..-.,y.d..,p-w q r - a.,, tea. .}.wa _, _ »_-a•- t A.,» .. } Y g_- >-,> '- ,t dsE A^ "_ ; aa .' m az '' y-as •F 6 r-q 5.. } ®&,i }S t'p "1• ' t} '"1 4 F- L ,`5,f b"f" t3 -s „ 9 a s-4.,3 8 t.s --"'q a.y P_`& xt r a-• > Y-iw a y.' 4 5 ._;r b- , .,:-a i .s 'r L.z : 4 p- x gi<+;, b-e-. 44k, It p $-M_ i r d;-..4 T - I I r 'Y g"".- t.7'. -a -, •7 i s_ S° }-: b„ a ^,t®mpre44 =Yv• j'tvg - i-%& ° ''`.'{Y. •_,_n ..-a €w..i t - a T a<a,. t + ¢+t ra. . {s ie -&- Y-r " a'v............ ,`n #-a q-q-+ §- f r a i i -p"' a # r i i "_-, .;.: f c-•v ;. e, ,'{ mA...a_a.a. b -I.,.,fid -a>m j--r- 4 f} t+}r --}#t~ tF '+,z t'::g} w--a y 4+ a-1 #ir-#{# t ,.3 d i,..+,{',}"'a ¢' p"-- `+k^' tb a-° {,•_ (® :_I.x a'''-jt-`+ Y A }kj}-fit-{ -qr- a{d :-§ -t-E dr-, g -L :- -4a.; bda r--{ rs^ t gi- s. +e 6day q._ I k a;--•-}}$§¢-{! off' j-Y f-i{ 4° t t i a p® s .-}, *a f "Y-^` f a.•-,. p"•..a' '- f- 9[- d"" s"' „ -'m- s-<.r-.3..-. wi 1 M--,.-E -•=-f-'` - a t,b 1 ¢^-i- - t•+s i-r i-+ §r i i ham+ i F 15 a - d-.a-' -i f .%l-« a- g-4 4 a T,l -'T j i-s y- s§- a d.6 s a f S ' TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Aug. 8, v 19 ?3 Fee Paid $.228.00 Est. Value $ . 3a.9000 i Permit N?8173 on--the side of 4imcka Drive Street Street No. Lot #32 Owner Alan Klein Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. 4384 Fee Paid $ 3.00 CLASSIFICATION Dwelling BUILDING PERMIT Xd 8173 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. AUS` 8' 1973 Marto to to Terftfy, That Alan Klein is hereby granted permission to Dwolling at estimated value of $ 380000 on the side of SIACksk Drive, Lot #32 Street on land owned by Alan Loin Said VOrk to be as described in Application No. $ and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issupk Avg• 7, 73 Mil 'eg 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 CONNECT ICUT: "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." INSPECTION REPORT jPermit # Sf 7 3 Job 1 Footing 7 3 2 Fou ndation ---7 2.) Zp 3 Framing 4 Wiring , *17-3 I- 7/ S-3yL 5 Plumbing CZ 6 Heating 7 Lathing 8 C.O. G. d WINDSOR TOWN OF SOUTH CONN. permit No. b SOUTH WINDSOR Q permit N 4384 of 0 cupa"cy o7 .Certif icate i ar s`• frf, ' Windsor, Connecticut, has CE1I IFY the in Town of Sou zoning regulations of THIS TO Code and Z with the Building ancy• i at No.completed in accordance roved for occup f j comp and is hereby approved been erected and Windsor, 7% ' Ul mg Inspector the Town of S9 Bul 19 Owner Builder s Date j t Fee Paid i 44' N S ail 26744-. SO FT- PLAN PREPARED FOR ALAN KLEIN SI M CK A DRIVE SOUTH WINDSOR ; CONNECTICUT o earfo_. y N i ; W 40 NOTE LOT INFORMATION FROM TUDOR HILL SUBDIVISION PLAN NO ZONING REGULATIONS VIOLATED i h f m FOUNDATION LOCATED 8-27-73 to E Z f w 1 N 1 10o-",AT 9.L. 611 3e4l 36 w IO2.oa SIM CKq DRIVE 3 A. BOWEN DAVIES & CO.lc I HEREBY CERTIFY THIS PLAN LAND SURVEYORhTOBESUBSTANTIALLYCORRECT 96 RIDGEWOOD ROAD GLASTONBURY, CONN. 06033 MGM R 4 REV. SCALE J.aTE rnUJ. Nu. 3URV'{ O 8.26-73 1" s 40' 5-111-73 73-132-39-32 5342 ELECTRICAL APPLICATION Application No. 5653 on the side of r Street Street No. Lot #32 # Owner Electrici 16.1 L.Levesque FILED IN OFFICE OF The Building Inspector 9-17-73 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 fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORD. gNo. .....>.....65.3...................... Permit No. ....534....2....................... 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, Buildi By-Laws, shall be mplied with whether specified herein or not. South Windsor, Conn., 19./C.7 Sign. ..................... 1 Address Location,ocatio Side of .............................. Nature of Building ......I ..... How many stories ................................................. Newor old Building .............................W..feu............................. .. How many families ................._......................_..................................................... Kind of Installs on ... ... .......... ................................... How many St es .................................. Owner Addresslp .... Architect ........... Address ............ _ .... . ..... .. ........................_..............._...._.._._............. Builder ...... Address .... ................ ...... I&.. .C AddressElectrici /' 1 . . . . Size of Main Wire?-2s cd.................. No. of Light Loops ........................................... No. of Heat Loops ........... .... . No. of Power Loops ....................J.......... No. of Light Outlets ..........f U............. No. of Heat Outlets ...... ............. .. . ...... No. of Power Outlets ..................................... No) 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 ...............10................. ... Total Wattage ....................................................... Size of Power Circuit ............... . ......... Total Horsepower ................... ........ ............ No. of Straight Electric Fixtures ..... ............J. ............................. No. of Combination Fixtures .............. ........................... ... .............. No. of Receptacles ............................ ............................... . .......... No. of Cord Drops ............. ........................ ............................ ................ r PRemarks: For other kind of Installation 4.1-U41 .!Lac.1t- ............... ..r.. 0EstimatedCost .J..'!.............................. ....... 4438 PLUMBING APPLICATION Application Nm 4227 on the ......_..._..._ side of Simcka Drive Saeet Street No. _...... Lot #32 wr Owns Alan Klein Plumber George Kraw shuc k Filed in Office of The Buikling 9-2 0-?3 19 nRc o. No person,ball concoct, add tin or alter any portion of the drainage symm of my buiL iog except to repair lea6) until a Pleres;t is granted by the Building Inspector. 4438ApplicationNo.......... 221.............................. Permit No. ... TO THE BUILDING INSPECTOR of the r iTOWNOFSOUTHWINDSOR, 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 W' or, .............................. ....... .......... 19 .. Sign here1 h Address I.... Location ..{ .......................................... ''..... `............................................ side of ...................................................................................................... Street Nature of Buildm* ............ Howo man stories Owner ` 'Address E. Address ..Architect Ulm M Add .......................................... Builder Address ... ....... .... ............ . .. Plumber ............... ..........................................n.......................................................... Address ....................................................................................................................... DRAINAGE CESSPOOLS, How many . ....... . ..................... .. ................ Where located .................................................................................................... Are they water tight . . . .......................................................................... Of what materials are they built ..................................................... Size of pipe from house to cesspool .... 07 . . ... ...... ..... Kind of pip4. ..............MAINDRAIN IN CELLAR.1 ....................... ...... Diameter ................................................................................................................ Aboveor below cellar botto ,,... SOIL PIPES Material . .... K...................... ................... Diameter WASTE PIPES, Material .. ... b . ....... Diameter ............................................................................................................. 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 2rd WATER CLOSETS, How many . ........... . .Where to K. ... .„.............................................................................. Distance from trap to vertical soil pipe ........................................ Pattern WASH TRAYS, How r"jAk................................................ Where located . .. .... '. ".. ................................................ SINKS, How many ........................................................................................ Where located . ...... ....................... BUTLER'S SINKS, How many ...................................................... Where located.. .............................................................................................. REFRIGERATOR SINKS, How luny...................................... Where located ... ...... ..... ::?.'......... * .......................... LAVATORIES, How many A.... e-werw.....t..... b.. Where located .. ..... BATH TUBS, How many Where located URINALS, How many ............................................................................ Where located ................................................................................................... no Are water closets and urinals to be local vented If not, is there a window in outer wall ofroom where sam boated ....... Estimated Cost ...................... ............... ....... 4641 PERMIT # Application For 4420 Cd DEPARTMENT DECISION Head Permit y O 3 F. APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR 10/31/?9r<51bro;:a4 -- 00 DATE CHIEF OR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O 1. LOCATION OF J08 o o v STREET 4) rn LOT NO.FLOOR APT. NO. 0 O LV R 2. OWNER O O 3. ADDRESS be l c l j 4.PHONE r ' S. APPLICANT' i o go s. ADDRESS 7.PHON '..( s. LICENSE NO. 4-3 D. EXPIRATION DATE OF LICENSE d O w 10. ESTIMATED COST s t t. IS THIS A CONTRACT COST?Im YES NO d be FEE ENCLOSED : Pejai t 4420 is. TYI1E,OF BUILDING b0 r REfIDENTIAL COMMERCIAL O A d 14. TYPE OF JOB: INDUSTRIAL f N 3 ORIGINAL ALTERATIONx -+ INSTALLATI N ADDITION REPAIR 1 i APPLICATION FOR HEATING PERMIT (C utinued tr m Reverse Sidel 11. LOCATION OF JOB Z s: N0. TREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE 1 7 t LOCATION SIZE SIZE Jay 13. OF TANK 1 ' OF TANK OF FILL 21_1 OF VENT / 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO I'l i T-'R$NNET 4::- FIRING RATE /6 BOILER OR FURNACE MAKE AND N0. B.T.U. OR SQ. FT. NET/ /r B.T.U. OR SQ. FT. GROSSFIRING RATE FLOORS TO BE H!, TED NEW OR OLD BUILDING C'yc- INSULATED — YES OR NO TYPE OF WALL` t INSULATION ROOF OR CEILING ' INSULATION TEMP. B.T.U./SQ. FT./HR. EMISSIONAVG. SYSTEM 4TE INDOOR-OUTDOOR TEMPERATURE DIFFERENCE r FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTO;tS, OR C.I.. ADIAT OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: c, i ,.cam, Is. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): R oM SIZE WINDOW" AREA — SQUARE FEET S.T.U. S.T.U.DISTRIBUTION INSTALLEDANDDOOR" VOLUME TOTAL TOTAL ttROOM L W N ANO-ND W GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j MAD. REGISTER WALL SO INFILT.) TEMP. TO f O TYPE AND SIZE OR LEADER SIZE DIFF. F )-®0 Q. FT. FREE AREA TOTALS A. HEAT LOSS FROM BUILDING l `; B.T.U./HR. s B. DOMESTIC HOT WATER DEMAND f ' 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 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.f Je ram:; : DATE SIGNATURE OF APPLICANT Form MC-1407-1170-A> WEIL-MCLAIN HEAT LOSS CALCULATION SHEET * l v- ESTIMATED BY OWNER ADDRESS 4 d DATE I YPE OF BUILDING 7 cl CONSTRUCTION ESI.GN TEMPERATURE DIFFERENCE-OF. AVERAGE WATER TEMPERATURE OF. s COL. A COL. B COL. C COL. D COL. E COL. F 1 Room w ec H L W H L W H L W H L W H L W Z R m Dimensions, Ft. BTU/HR rZQ BTU.'HR BTU/HR BTU/HR' BTU/HR ROOM 3 Length Expos d Walls, Ft. TOTALS 4 Gros; Wall Ar a, Sq. Ft. REQUIRED O REQUIRED j REQUIRED fEQUIRED Z., REQUIRED FROM LINE 11 t 3 7 sSaZ7 36av f'/ o Y 5 Glass Area, Sq. Ft. 6 Net Wall Area, Sq. Ft. i0 R QT) 3— 3dv 3 i Ga B 7 C fling Area, Sq. Ft. o ga 0 Z2 35 10 Q t _ 0 C S Floor Area, S . Ft. t U a 4/ 17.E d.. 2-?t a OZ 9 Ro m Volume For LL t' TAk.Infiltration 27... 1... - T- 1 , .... l . Cu. Ft. _ c .7 tal BTU/HR At 70F Temp. Difference e 1 i Q Q E.7 1 Total BTU/HR At D sign Temp. Difference 6 Gy heat Distributing Units GY'r3 GL- OL. A COL. C, COL. H COL. I COL. J COL. K 1' -Ro m H wo H L W H L W H L W H L W H L W 2 Room Dimensions, Ft. Z. Z 3 I 3 L ngth Expos d Walls, Ft. Z BTU/HR BTU/HR BTU/HR 9 BTU/HR BTU/HR 4 Gross Wall Ar a, 5.1. Ft. REQUIRED zREQUIREDREQUIRED Z REQUIRED REQUIRED J UO i S Glass Ar a, Sq. Ft. Z 30 6 Net Wall Area, Sq. Ft.O 0V f E 3Ov K iJ 7 Ceiling Area, Sq. Ft.0(Jj/ 8 Flo r Area, Sq. Ft. t U Totaf/BTU/N 9 Ro m Volume For Q u7 / .. -• az U... u_ ---------1.0 -...-.-.... Buildingc Infiltration Design 0 Cu. Ft. Difference 0010TotalBTU/HR at 70F Temp. Difference e 11 T tal BTU/HR at Design Temp. Difference v r 12'' Heat Distributing Units 7 e I i This heat loss calculation and estimate sheet is for the use of heating contractors Incr as Bathroom Total 20%and wholesalers. Weil-McLain Co. assumes no responsibility for the design or 1F r concrete floor on ground or fill at grade level, use linear f et f exp sod edge. operation f th heating system based on the calculations contained on this sheet. F r all other floors, use square feet of area. FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: N0, TOWN OF SOUTH WINDSOR EST.COST: BLDG. P RMIT NO.1540 SULLIVAN AVENUE FEE O.Ol SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 0 - $19000 - $10.00 1000 or fraction thereof - $10.00 LOCATION OF BUILDING Rn-VoN,0 OWNER ADDRESS TOWN PHONE NO. TLCC t Cj`f- cedc aw __kP4- 6.0 HVAC CONTRACTOR ADDRESS TOWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL v A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC V WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM125 GAS IN-PUT ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION INSIDE_ OUTSIDE CAPACITY m LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE F TOTAL HEAT LOSS (BTUH) Q HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIP T (INCLUDING MAKE & MODEL NO.): GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE F TOTAL HEAT GAIN (BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.): TONNAGE COOLING CAPACITY (BTUH) IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT) : TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM) PLAN MUST ACCOMPANY APPLICATION) The undersigned hereby applies for a permit to perform the following work and is to comply with all local ordinances and State of Conn. Building Codes in the performance of such work. FURTHER DESCRIPTION OF WORK: STATE LICENSE - NAME & TYPE #DATE G ATURE OF APPLICANT APPROVED DAT I - 8 - R CALCULATION SHEET 1503 (Modern Method)Copyright 1977 by The Hydr n(cs Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL.A COL.0 COL.C COL.D COL.E COL.Is COL.G 1 ROOM p H L W H L I W H L W H L W H L W Design Water Temp. 2 ROOM DIMENSIONS, FT. U STUN per P of of 3 LENGTH EXPOSED WALLS.FT. A Radiation Selected d WINDOW AND OUTSIDE DOOR AREA IL STUN STUN STUN STUN STUN 5 WALL CONSTRUCTION Table 9,Line 3 x H)ROOM LIN.FT.OF TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED Bottom of table used for Line 5) 7 CEILING CONSTRUCTION C Table 9,L x W) g FLOOR CONSTRUCTIONt O— Table 9.L x W r Lin. F t) E 9 COLD PARTITION CONSTRUCTION F Table 9,L at H) 10 C 1 Wall(With Openings)0 G c 2 Wells(With Openings) e X H D 3 Wells IWrth Openings)or Ent.Hall he•J 1 11 TOTAL t1TUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K L COL.A _ __-COLS COL.H _— COL.1 COL_J COL.K COL.L TOTAL BTUH TOTAL 1 ROOM OF SUILDING RADIATIONtATSELECTED p H L W H L W R L W H L W H L W DESIGN TEMP.• 2 ROOM DIMENSIONS. FT I.' DIFFERENCE U 3 LENGTH EXPOSED WALLS. FT. t d WINDOW AND OUTSIDE DOOR AREA li STUN STUN STUN BTUH BTUH 5 WALL CONSTRUCTION INCREASE BATHROOMTable9,Llne 3 x HI TOTAL?0'K 6 TYPE OF GLASS IB ttom f table used lot Line 5) 7 I CEILING CONSTRUCTION IFOR CONCRETE FLOOR ON Table 9. L x W) GROUND OR FILL AT GRADE LEVEL.USE LINEAR 6 FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE Table 9,L x W it Lin Ft 1 9 COLD PARTITION CONSTRUCTION Table 9,L x H) 10 c 1 Well(With Openings)0 2 Walls(With Openings) G X 3 Wells(With Openings) or Ent Half e.J — 11 TOTAL STUN AT 7OF TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE This form Is ererlebre it m The Hydronlcs Institute,36 Russo Piece,Berkeley Heights,N J 07922 FORM 1503 01/19/96 10:06 FAX 8605282241 AUTOMATIC TLC 12 002 r•.1 69 f e r O Znf For 1 = 20 F.,L # tvr P 4 r C 1: 1;'r;'rfr Ili I„1—1 i {;;,,n i T S. 3t.fi11?I y p L- 4 r,y T { r J T 4r i r f. L Ir! 'b?, t_•1i_•1 ".!-1 q- ER1 r11}., ti'Ir ,1.. _'i• ,.L Y"•- ,:i-! 1,"inl'L e r t:I I:^ . ,.1- S 'L lr l r r'' 1 J i••l I rIt r^'- - 1! ''.n g t LL t_ f't:i'" _i_14,, h,. J ;Eo'fls y J_ 1"'Ills?' ^ Cz 5,0 1 Ei• B ;•_ c i mil•_y i i y i-^.---•-----._-.....-.._.......r.n..r ---------.Z111R1 11tl:1111`i.-------.,.. ..rinn ri ••_-------..._.._•--------- 7-1 t..'_." C-5Z; r4.I, i ng r,n e.M.r.err isi_..===mac.--=.—.....-..,- .•..._.--••- i 01/19/96 10:06 FAX 8605282241 AUTOMATIC TLC 1?003 Pr=. r.=RLCmSS.-Sri s ECIECTFResidentialOil a ft Gka9ed or Knockdown Natural Daft Vented Flame Retention Burner CAST IRON BOILERS Steam or Hot Water Boller Optional Tankleas Coll i1'Y' i4 1 Fnewly designed top flue vented oil r is our highest efs7clency product witt>< FUE rating between 88%and 8Ta/o which significantly exceeds the Federal Enemy standards. r The new swing out door, on packaged units, and top car side clean out finatttrPa, r o ,.' on both psdkaged and knockdown units, allow for easy cleaning, insuring highest j operating efficiency. O The larger water content of the EG/EGT series EC boiler section makes it ideal for dif icuit steam applications. o Both the ECIECT hot water boilers provide a tionai tankless domestic openings.P pe s.9 1 a The ECT designation indicates that an optional larger tanidess domestic high volume hot water coil can be Installed in its specially designed rear section for steam or large volume domestic hot water Peerless provides Beckett burners as standard equmrnent Saris lECT appIICB#IOnS. Contact factory for availability and approval of Wayne,camira and nialla burners. fflallill!'11 ai DOE Heating Cap. Seasonal Efficiency Water Content Burner input MBH Net I=B=R Ratings APUE) Min. Bolter Gross output Combundon Efficiency praR Model Steam Steam Waver seq. .Number GPH MBH Water Steam $4.Pt. MOH MBH Water StRarn Watar Steam W.G. ECIECT-03 0.75 106 92 91 263 68 80 86.6 85A 17.40 14.16 -.03 ECJEG'T-03 . 0 14n 191 12Q 375 go 105 85.3 04A 17.40 14.1$ -.04 EMCT-03 0 166 1" 142 446 107 125 03.9 82.9 17.40 14.16 - -.05 ECJECT-04 175 175 152 161 471 113 132- 01 8.`,.1 21.77 17.26 -.03 ECIECT-04 1.50 210 181 190 663 135 157 952 84.5 21.72 17.28 -.04 ECl6CT 04 1.76 245 2W 200 orpo 1 M0 1 182 94J5 83.8 21.72 17.28 -.05 ECIECT-05 1.76 245 214 212 $63 159 186 86.2 85.6 26.04 20.40 -.03 EclEcT O6 2.00 280 241 240 700 190 210 852 4.0 26.04 ZU.4U -.04 EMCT-05 2.50 350FEENEROGNIENVA 286 280 696 216 249 84.1 84.1 26.04 20.40 -.05 GC/CCT-00 2.75 000 321 1 321 1004 Z41 279 MA 84.4 SU-M I 23.r.12 -.U4 ECIECT-06 3.00 420 347 1 347 1093 261 302 $3.7 63J 30.36 23-52 -.05 Hsdng awdly NIGH toed an 13.9%CO~,and-,02'water MUM ftR in fir,bos. TNe Nd 1-11-R Ru*cn ahwm Include wbwanee fw normal Piping anti W.k ifi urn Thp wo*ftr.vm0 vm hi-ad on apiping and pek-L**J=wRnW friar of 7,1e_rkHrn rdkb are bm*d on wtwwan sof143, Burns igN1 is bared w a fuel of wilh a resting value of 140MID BTU per paten Bunter i,pA based on maxhum al LMS of Z000!L-for other 04udes cen&A bd&y.