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HomeMy WebLinkAbout22 Clover Drivef t7 H T V 0 THE BUELDING INSPECTOR Of the APPLICATION FOR TOWN CIF SOOIIM W ADS A PLAN EXAMINATION AND r'11* 1 CONK\ BUILDING PERMIT IMPORTANT — Applicant omplete1141.1 items in section • 1, 11, 111, IV, and IX.O t ZONINI• AT (LOCATION)GIST LOCATION No.) STREET) r OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND GOST OF BUILDING — All applicants complete Parts A — D v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking"most recent use ftfl 1 1 New building Residential Nonresidential 2 Addition(1/residential, enter number 12K] One family 18 Amusement, recreational of new housing units added, if any,13 Two or more family — Enter 19 E] Church, other religiousinPastD, 13) number of units— — — — -•-o- 20 Industrial3 Alteration (See 2 above) 14 Transient hotel, motel, 4 Repair, replacement 21 Parking garage P P or dormitory — Enter number 5 Wrecking (1/multifamily residential, of units ——————— — -i 22 Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional 6 Moving (relocation) 7 Foundation only 17 Other — Specify 25 Public utility 26 School, library, other educational B. OWNERSHIP 27 Stores, merconti Is 8, ® Private (individual, corporation, 28 Tanks, towers nonprofit institution,etc.) 29 Other — Specify 9 Public (Federal, State, or local government) C. COST Omit cents) Nonresidential — Describe in detail proposed pee of buildings,e.g.,food processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement,•••••••••••••,, p school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical...................... b. Plumbing ...................... c. Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $jJ' III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 Masonry(wall bearing) 40 Public or private company 48• Number of stories................ QC 31 Wo d frame 41 Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions .................... 33 Rsinf rced concrete H. TYPE OF WATER SUPPLY 34 Other — Specify 42® Public or private company 50 Total land area, sq.ft. ........... 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be control air 52. Outdoors....................... 9624011 conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 up No 53. Number f bedrooms.............. 38 C al 39 Oth r— Specify Will there be an elevator? 54. Number f Full.......... 46 Y s 47 No bathrooms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To be comp/et d by all applicants Na a Mailing address — Number, street, czty, and State ZIP code Tel. No. 4 s'f Owner or Lessee 2. Contractor 3. Architect or Engineer Ar The owner of this building and un ersi9n agree to conform to all applicable laws of this jurisdiction. Signature of pp01ca v / Address Application date DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Date Plans By y Date Plans B Notes9FeeStartedApproved BUILDING lopw PLUMBING MECHANICAL ELECTRICAL OTHER js VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check ObDtaineate d Number By Permit or Approval Check ObtDained Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit number 10406 Building Permit i s s u d ,13113Z 2 7 19 79 Building P rmit Fe $ 210.00 Approved by: TITLE NOTESVIII. ZONING PLAN EXAMINERS FRONTDISTRICT SIDE - .SIDE YARD REAR YARD NOTES IX. SITE OR • Applicant Use i ' S :i f i=. • • i.a/r •. it :. ss lilunlu:a . s rasaSs:: Seaga . a t . _• messages** i / 4 anIsiiiai= P .r •. ijul $i .. S..r•S /Sf-/S.. 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South Windsor, Conn. 41 1 T2 7 19 78 94is is to Qrtrft, That U & R Housing Coris is hereby granted permission to Dwelling at estimated value of $ QQQ.00 on the side of Lot #42 Clover Drive Street on land owned by --- U & R Housing Corp Said Work to be as described in Application No. 10706 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued y/ f / 7 19 78. 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." Pert moo:-` TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. I; Permit d 5193 Certificate of Occupancy THI sle TO CERT that Cato 1. 9a I Agal:e at No in the eildingof South Windsor, Connecticut, has been er cted and completed in accordance with the Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. g Inspector Oer, '1 er Fee Paid Date 19 EVERETT O. GARDNER & ASSOCIATES 576 OLD POST ROAD TOLLAND, CONNECTICUT 06084 I fy i v C F OIV\S ' I. Zvi 1 J• •,• APILN J f 1• i I I I MORTGAGE SURVEY N%A. ,c'' R. PFrF LV LOT #42 HIGHGATE ESTATES - SECTION III TOWN OF SOUTH WINDSOR, CONNECTICUT No. 10839 SCALE: I " = 40 eUR I hereby certify to Savings Bank of Manchester that the location of the building as shown is substantially I correct and that there are no zoning violations of the x. same. r I September 22, 19A For Everett--b. Gardner & Associates t PROFESSIONAL ENGINEERS LAND SURVEYORS S3G: 6558 ELECTRICAL APPLICATION Application No. 6864 on the side of Lot #42 Clover Drive Street Street No. _ 22 Owner tl & R Hnit,i n z C:nr Electrician I111 Rq 1 ci n F.1 P r_t ri r FILED IN OFFICE OF The Building Inspector At 1 Z_ 19 19__28_ INSPECTION. r4 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. o C APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM. No. .....6.8.6..4..................... P rmit No. .....6 5.5.8.................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. I...... 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. i Conn. 197u Sin here C .......6?aj .......................South Windsor, g Address ................. ........ .......... ....................................................................... Location r... ..............0 Side of.. ... r Nature of Building .... .. i 1 5.....R. . .............. How many stories ................................................................................................. New or old Building .................... How many families ................._......................-........................................_........... Kindof Installation......... .......... .................................................... .. . How many Stores ...................................................................................................... Owner Address ... a 1._.A._...... Architect .................... ....... ............ ........ .... .. Address .........................................................................................._......._.... 77. AddressBuilder Electrician 1. 6..... Address Size of Main Wires ....C....1...L-...........1C1.C1... No. of Light Loops ................/... .. .. ....... No. of Heat Loops ........... .... . No. of Power Loops ......................... No. of Light Outlets ..........3 ...... .... No. of Heat Outlets .... . .. No. of Power Outlets .................................... NoO of Light Circuits .........9. .......... .... 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 ...........c ............ ..... . . 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 ....... .................... ...................... ....................... ............................................................................................................. Estimated Cost .... d.Q.. . ...... 5245 PLUMBING APPLICATION gpp};ra No. 6030 on the w..w of lo Z-1n2 Sa+eec Saut No. ._.w 2 2 C l ove r Drive Owns . w i Plumber Filed Im of The BoUng Sept 11 KNINECUDIL No person AA construct, add to ew alder my portion of the drainage system of my bml&g ezoept to repair lead) until a Permit is grasped by the Building Inspemor. Application No.............6.03.0.............. Permit No. .5245................... 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. .......... 192 ... Sign li-ere . ....... Add Z............................... Location side of ..... .... .... .. ....... .. .. ................................... Street Natureof Building .... 0..... .. ...... a.-:.?n.-x. ..................................... How many stones .. .... ............................................................................... Owner .........Z/ 11)"..................................... ....... Address Architect ........... .... ............... .. .......... ......................................................... Address . ............... ................................................................................................. Builder ....... Address ................................ ............................ ............ hie .jl Iv, ...... 4PlumberAddress DRAINAGE CESSP LS, How many .. ......I ..... ....... .. Where located ........ ............... .....2................................................................. Are they water tight . ......................... ................................. ...... Of what materia/are they built ................... ........................... Size of pipe from house to cesspool . --Kind of pipe MAIN DRAIN IN CELLAR, MVateri Diameter ....../ Above or below cellar bottom SOIL PIPES, Material Diameter WASTEPIPES, Material 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 WATER CLOSETS, How many . ..... Where located .140464.2........................................................... Distance from trap to vertical soil pipe ................. .................... Pattern WASHTRAYS, How many .. . ........ ....................................... Where located ...............................I ................................................ SINKS, How many .................../............................................................... Where located .. ..1 BUTLER'S SINKS, How many ....................................................... Where located . ..... ...................................................................................... REFRIGERATOR SINKS, How many. ................................... Where located .................................................................................................. LAVATORIES, How many .............I...&........................................ Where located ..... BATHTUBS, How many............../................................................. Where located .........-2...................................................................................... URINALS, How many ............................................................................ Where located ..................................................................................................... Are water closets and urinals to be local vented If not, is there a window in outer wall of room where same are to be located ....... Estimated Cost - 12zf e.. ......... ... ars PERMIT # Application For 5069 4868 c DEPARTMENT DECISION Heat' Permit 0 3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS d +' MPPROVED DISAPPROVED TOWN OF SOUTH WINDSOR 0 Cd 10/4/7 8 00 DATE CHIEF FEC APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE OIL M O C 1. LOCATION OF JOB 22 NO. STREET v LOT NO. FLOOR APT. NO. ON O 2. OWNER cc 0 0 s. ADDRESS bo 3 4.PHONE 3 9J'f_/ ata 02 S. APPUCANT 0 Is. ADDRESS' y vG 7.PHONI w III. LICENSE NO. G w B. EXPIRATION DATE OF LICENSE 0 10. ESTIMATED COST 11. IS THIS A CONTRACT COST?YES NO be 12. FEE ENCLOSED = Permit 10406 ai 12. TYPE Or BUILDING: bo LJ RESIDENTIAL COMMERCIAL 14. TYPE OF JOB: INDUSTRIAL INSTALLATI N El ADDITIONALTERATI REPAIR d4 dF s APPLICATION FOR HEATING PERMIT (C ntinued from Reverse Side) 11. LOCATION OF JOB NO. STREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: E 'OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE FILL SIZE VENT13. OF TANK OF TANK 14. B.T.U. EQUIP. AT REGISTER FURNA E MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND N a_1 B.T.U. OR SQ. FT. NET,.lGGO B.T.U. OR SQ. FT. GROSS FIRING RATE J FLOORS TO BE HEATED V NEW OR OL/D BUILDING i' INSULATED — YES OR NO TYPE OF WALL - INSULATION o ROOF OR CEILING INSULATEO AVG. SYSTEM WATER TEMP. Z 0 - 2--e-t B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE Q - 20 FAHRENHEIT MAKE OF RADIATION ASEBOARD. COPPER CONVECTORS. OR C.I. RA ION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. r FT. OR B.T.U. U DESCRIPTION OF WOR 15. TO BE DONE: Z t6. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): iE to g 7 o to mat 9i o 9'S O f-- OO 717 0 NY Wr 71 cyo Y'13 0 iL lip 0 9sv el A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING, OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND te. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. DATE SIGNATURE OF APPLICANT F;NAL INSPECTIONS- Building _rsL APPLICATION FOR BUILDING PERMITPlumbing HVA Z - Date: Sprinkler 22 CLOVER DRIVE Elect Estimated Cost $ o Zoning Permit Fee$ 44% Affidavit NO. 19162 Occupancy Fee $Eng. Dept. Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ C3 sUlw- Health Dept. TYPE OR PRINT ONLY Approved for CO: y SIGN ON REVERSE SIDE. TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location voemoe Lot No. Side of Street Zone Applicant d%e5. 1 Address 2,.5 Z S . % G " ST.E 2 ei Tel. # l©.-7 2 l h Zip 666`16 Lic.#_5'K0r Owner R,6Address ZZ L`'4oV4,_-< Architect 'i9 Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages LavatoriesNo. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rdiSizeofLotDist. from Street Line Dist. from Side Street Line Purpose of this Permit •`IC.EL T Ofc'C 4 62'e/ /--, /IXI y, cs w 1 oti /,&e Ght City Water Well Septic Sewer Approved by Date BD1A 11/88 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 ' tances from all oth zones and is located in a zone in which this building and its use is allowed. Signed 7 I hereby apply for a Certificate of Occupancy for the work described in this a do per it. Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing I aG - Foundation Insulations C— Plumbing Permit# ZA Inspections: HVAC Permit# e `' 4-9, Inspections:<_ 0 1l 746 VCElectricalPermit# Inspections: S I Sprinkler Permit# Inspections: Y°1Ni..rp y5'ty,. j''S W/n F u . . , .ryT{j -r.r •.r++r .a as! 1' WRV 197i%977,AP"' • t BUILDING INSPECTION DEPARTMENT SOUTH WINDSOR, CONNECTICUT FEE PAID: $3.00 CERTIFICATE OF OCCUPANCY ZONE: DATED 6 f 2 4 19 91_ This is to certify that 22 Clover Drive Altered under permit No. 19162 conforms substantially to the requirements of the building ordinances and the zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below. Approved for Occupancy— Remove existing porch and' cons7t ne with casement USE GROUP: R4 windows on porch CONSTR. TYPE: 5B Building Official Notice:if this certificate is lost or destroyed, a duplicate should be obtained immediately from the Building Department. Any change or extension of the use herein approved requires a new certificate of occupancy. IATES 76 OLD POST ROAD--_TOLLAND, CONNECTICUT G8 •. r .+L•: y Sy is e s tiy,.;;•-.;eL+.3 1. on'i.; t"f Y•.,•+vt;a•ti4' r „w,, •, r i+. R.I•, +, 9 i,1:tt, a `•!' a..'',';;.t n + r' -•, MY• w' "' 'o.,.,; '.-••i " Ritz.•`• 1....' !5`..:"' '. :: o,'S''w. `a i7. •..y'•S._sA;l,,,++:v[f' d'.. . +, t';.1}t:a S.y,•t:1. + r"4 r''a.r at.- 7f1• '!'I•i!` . i,,,('• t IY7 Ist.c'. y$f l\ '+ S:j,••.L!*uQE:;I; y`4 Y,;' / 11"C ' f,`'e L•ii''t +• 1`.•. ,k,r,•r. r•rr'., . Sx l L:. -Y' ''', t ti: 1i.Li :'[y * `.IS'•`+e2., d'•`P•.'da 9,J 7d:,ifYley-.'.' .Sf,`,4•"F. -. `.• ''tt's. f:,p's.r, S.` _.l' _ =s_ J••> , _ •C. S a£q l• c i' .I e T a1,.1:...n r w f -.'P Rj' .•y'j',1'! F.' J n: ',, G.r,A 7'' '; .'11 '> •': ,.. .r L L. y' 1' •}Hi'Y YL'r F.Zr 4"!: £. '+'r"` P,1'•d. -,, ..fie#, : ,BT r•N'-_L1t P',l`'. a `>l+r i, '•: .. y''ti'k.. 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"`' •C .'!rR 1'F.y :•,'• +,f 7w.:'i.s• S .i ,r- \' 'iL.,..i- 1-n.•ri7 t s`' '. N,',4 ky1,°.•1,',•' y/, .1' r ti +I -}5 1':• '', tr.. 1` fI , 4':• i'' •'9•'t+. Y-s it > -.`;f .:,i.:... .+.^••'f. •'•:,,;.. _ l r r',-+ , Y•••'/{ :'\"Rj Ir,,;.w7+t' -n :t..a ':{:, - .w• r '<<• . i.n+...'.,i f.:-,• :r'.,'i.i.,;r...__i'. ", .. r Y 4;,.'.>,•. •,1• jL ' 1' , k''.• f z(yam 72 wti-•'s:.at\>;e.>!` - •ff,k i i • F•4 }.+, - +. a). T• i , •? 4 S ! a T«;Z;• r j T::'t:` j. l~ ,T .,,,,c,,•; t 4 f.:t' n, Y•'• • F ~.,.' I 1( 0deck ZJ 16 r 1 d 2 A1 IV MORTGAGE SURVEY N,A. , R• pf;FtiQ1 it LOT #42 HIGHGATE ESTATES - SECTION III c CY j: TOWN OF SOUTH WINDSOR CONNECTICUT t = No.1oa39 SCALE: I" = 40'a sTeAci of t6 i C BURvg.y I hereby cert*Ify to Savings Bank of Manchester that the VAtita (Aq1qtrWzbtjtTding as shown is .substantially WCA,;$j&Wq)6Mqe,%are no zoning violations of the k; or ; u: Q SOff! Ace nw VS I L. S. 10839 1 j •- vere t. Gardner & Associates - r` 1 PROFESSIONAL ENGINEERS LAND SURVEYORS ty la . a,=wA iyfA 1.'. 'J, .A 6+1'l 1 MAY 0 1 1991 South Windsor BUILDING DEPARTMENT D APR 1991 u th ndsor 3 DIN EPARTMENT 2. C r. 7 •at sac .- ., WnFICATJGN OF ZONING CQMP'Lf AtrGc Deck w bWft(SL US*Q and/or structuro(s) t2'-I.(6 al Shown 04 th1% pkn aPpWs) to be I n CoM0ISM& M1101 aurrer#t South Windsor re of IL Y4fknM and Special exceptions may appik DPAO,, c fng Enforcement Mcer PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT t? Application is hereby:IrkTOWNOFSOUTHWINDSOR APPROVED DISAPPROVED BUILDING INSPECTION DEPT. 644-2511 Ext. 230 G Application must be printed or typed. D to Building Inspector r 1. LOCATION OF JOB p o2 GI YCR. D. FEE SCHEDULE No . Street 0 - $12000 - 10. 00 Floor Apt . No. Over $1,000 -10.00 p e r $1 ,0 0 0 o r 2 . OWNER fY1 i I G ,-r fraction thereof 3. ADDRESS p.-t CloytA_ DID Sao•W-k rndsoe, , cr 0(.01q 4. APPLICANT FkA\'Q 4encL 5. ADDRESS 3;R9 8enecf1cr so. trU rldsd 2 Ci D°i'1 6. ESTIMATED COST $ '700.00 7 . IS THIS A CONTRACT COST Yes No 8. FEE ENCLOSED $ 9. TYPE OF BUILDIN : RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: Original Installation Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB 0? CIoyuz- 1 2, &c,. 0fk--, NO . STREET APT. NO 12 . TYPE OF INSTALLATION IgAfY 13 . SIZE OF MAIN FEEDER 14 . NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS 16. NO. OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS 18 . NO . OF HEAT CIRCUITS 19. NO. OF POWER OUTLETS 20. NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22 . NO. OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS 26 . NO. OF PANELS 27 . TOTAL WATTAGE 28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS 32 . NO. OF FIXTURES 33. TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER: 0-"4;it,,`f 2 FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: S"'. L y/•J/ NO. TOWN OF SOUTH WINDSOR ST.COST: v. a BLDG. PERMIT NO. 9 1540 SULLIVAN AVENUE EE 0. 0 SOUTH WINDSOR, CT 06074 ES: 644-2511 - Ext. 230 0 - $19000 - $10.00 1000 or fraction LOCATION OF BUILDING ^ Gl d thereof - $10.00 OWNER ADDRESS TOWN PHONE NO. lqn 14 A?OTIYERS 71 W-MAW Sf-' Rvc,!vj (-(-tr LIA)L HVAC CONTAAtTOR ADDRESS TOWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC f WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM GAS IN-PUT ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): Zr 1 e GROSS HIZATINO 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: v/o 5 G tr S ZS'S4"STATE LICENSE - N E & TYPE #DATE NA RE OF APPLICAN i(ram Cf3 s APPROVED DA E BD 4A 11/88 I - B - R CALCULATION SHEET 15W (Modern Method) Copyright 1977 by The Hydronlcs Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE C L.A COL.B COL.C COL.D COL.E COL.F COL.G 1 ROOM O H L W H L W H L W H L W H L W Design Water Temp. 2 ROOM DIMENSIONS, FT.UV BTUH per F t of 3 LENGTH EXPOSED WALLS,FT. t Radiation Selected 41 WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH STUH 5 WALL CONSTRUCTION ROOM LIN.FT.OFTable9.L ina 3 x H)TOTALS RADIATION 6 TYPE OF KASS FROM LINE 12 SELECTED B ttom f table used for Line 5) 7 CEILING CONSTRUCTION C Table 9,L x W) g FLOOR CONSTRUCTIONt Table 9,L x W or Lin. F t) E 9 COLD PARTITION CONSTRUCTION F Table 9,L x H) G 10 C 1 Wall(With Openings) 0 H c i 2 Walls(With Openings) DX 3 Wells(With Openings)or Ent.Hall J 1 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K L COL.A _ _COL.B COL.H COL.1 COL_J COL.K COL.L TOTAL BTUH TOTAL 1 ROOM OF BUILDING RADIATION AT SELECTED O H L W H L W N I L I W H I L W H L W DESIGN TEMP.• 2 ROOM DIMENSIONS, FT f' DIFFERENCE u 3 LENGTH EXPOSED WALLS, FT. 4 WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION INCREASE BATHROOM Table 9,LIne 3 x H) TOTAL 20% 6 TYPE OF GLASS Bottom f table used for Line 5) 7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON Table 9, L x W) GROUND OR FILL AT GRADE LEVEL,USE LINEAR B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE Table 9,L x W r Lin. Ft.) 9 COLD PARTITION CONSTRUCTION Table 9,L x H) 10 0 1 Wall(With Openings) 2 Walls(With Openings) o X 3 Walls(With Openings)or Ent.Hall 11 TOTAL BTUH AT 70F TEMP. DIFFERENCE* 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE This form Is available from The Hydronics Institute,36 Russo Place,Berkeley Heights,N.J.07922 FORM 1503 FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: NO. TOWN OF SOUTH WINDSOR EST.COST: BLDG. PERMIT NO.1540 SULLIVAN AVENUE FEE SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 0 - $19000 - $10.00 1000 or fraction LOCATION OF BUILDING 22 Clover thereof - $10.00 ADDENDUM TO PERMIT FILED 5/24/91 Conti OWNER ADDRESS TOWN PHONE NO. Heating -Hany Brothers , Inc. 170 West Main St. , Rockville 872-4706 HVAC CONTRACTOR ADDRESS TOWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM GAS IN-PUT ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY LPG TANK - CAPACITY BTUs BTUs EXISTING RADIATION 87,000' ADDITIONAL RADIATION 16 250 TOTAL RADIATION 103 , 250 BTUs DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS (BTUH) a HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): New zl orker Model AP-780 GROSS HEATING CAPACITY ( pTtt WNPl X-BTUH)14 2 ,0 0 0 NET RATING (OUTPUT-BTUH) 12 3 ,5 0 0 IF AIR CONDITIONING: DESIGN 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: 101046 Heat i_na S 1 STATE LICENSE - NAME & TYPE #DATE SIGNATURE OF 4APPLICA`2!/*_'1_ APPROVED DATE BD 4A 11/88 I - B- R CALCULATION SHEET IN3 (Modern Method) Copyright 1977 by Th Hydronlcs Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE C L.A COL.S COL.C COL.D COL.E COL.F COL.G 11 ROOM p H L W H L W H L W H L W H L W Design Water Temp. 2 ROOM DIMENSIONS,FT.H V STUN per Foot of 3 LENGTH EXPOSED WALLS,FT. Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA STUN STUN STUN STUN STUN 5 WALL CONSTRUCTION ROOM LIN.FT.OFTable9,Line 3 x HI TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED IS ttom of table used for Line 5) 7 CEILING CONSTRUCTION C Table 9.L x W) g FLOOR CONSTRUCTIONt D Table 9,L x W or Lin. F t) E 9 COLD PARTITION CONSTRUCTION F Table 9,L x H)G 10 _c 1 Wall(With Openings)O 2 Walls(With Openings) D X 3 Walls(With Openings) or Ent. Hall F J I 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K COL.A — —COLS COL.H COL.1 COL_J COL.K COL.L TOTAL BTUH TOTAL 1 ROOM OF BUILDING RADIATION AT SELECTED p H L W H L W H L W H L W H L W DESIGN TEMP.* 2 ROOM DIMENSIONS.FT DIFFERENCE U 3 LENGTH EXPOSED WALLS, FT. 4 WINDOW AND OUTSIDE DOOR AREA u. STUN STUN BTUH BTUH BTUH 5 WALL CONSTRUCTION INCREASE BATHROOM Table 9,Line 3 x H) TOTAL 20% 6 TYPE OF GLASS Bottom of table used f r Line 5) 7 CEILING CONSTRUCTION IFOR CONCRETE FLOOR ONGROUNDORFILLAT Table 9,L x W)GRADE LEVEL,USE LINEAR B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE Table 9,L x W r Lin Ft.) 9 COLD PARTITION CONSTRUCTION Table 9,L x H) 10 C 1 Wall(With Openings)C 2 Wells(With Openings) e XO 3 Wells(With Openings) r Ent.Hall J 11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE This form is available fr m The Hvdronlcs Institute,36 Russo Place,Berkeley Heights,N.J. 07922 FORM 1503