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HomeMy WebLinkAbout239 Lefoll Boulevard00 e( sq 4 4or--91( 7,5 0a HE BUIULDING INSPECTOR of the APPLICATION FOR PLAN EXAMINATION ANDWcowBUILDINGPERMIT PORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.p 14I• AT (LOCATION). av DISTRICTCTLOCATION401) STREET) OF BETWEEN CkL4z w AND BUILDING I CROS4 STREET) CROSS STREET) LOT 0 I tSUBDIVISIOLOTBLOCKSIZE 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D vA. TYPE OF IMPROVE ENT D. PROPOSED USE — For"Wrecking"most recent use M 1 New building Residential Nonresidential2 Addition(1/resi ential, enter number 12:.One family 18 Amusement, recreationalo/new housing units added, i/any, in Part D, 13)130 Two or more family — Enter 19 Church, other religious number o/units— — 203 Alteration (See above) Industrial 14 Transient hotel, motel, 21 Parking garage4 Repair, rsplacem nt or dormitory — Enter number 5 Wrecking (1/mu ti/amily residential, o/units ——————— —-i 22 Service station, repair garage enter number oj units in building in 15 Garage 23 Hospital, institutionalPartD, 13) 16 Carport 24 Office, bank, professional6 Moving (relocati n) 17 Other — Speci/y 25 Public utility7 Foundation only 26 El School, library, other ducational B. OWNERSHIP 27 Stores, merconfiI* 8 Privat (individu I, corporation, 28 Tanks, towers nonprofit institut on,etc.) 29 Other — Speci/y 9 Public(F deral, State, or local gov rnment C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food processing plant, machine shop, laundry building at hospital, elementary10. C st f improvement.,,,,,,,,,,,,,, Doi 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 colt a. Electrical....................... b. Plumbing ....................... e.Heating, air c nditioning......... d. Oth r(elevato, etc.)............ 11. TOTAL COST 0 IMPROVEMENT $ p'p III. SELECTED CHAR CTERISTICS 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 0 FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 Mas my(wall be ring) Public or private company Number of stories................ 31-Wood frame 41 U Private(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior32 Structural steel dimensions .7 330 R inforeedeoner to H. TYPE OF WATER SUPPLY 34 Oth r — Speci) 4 Public or private company 50• Total land area, sq.ft. ........... 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES cF. PRINCIPAL TYPE 0 HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35 C:2L-6os Will there be central air 52. Outdoors....................... 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY37 El ctricity 44 Yes 45 38 Cal N 53. Number f b dro ms........... 39 Other— Specify Will there b an levat r? Full..........54. Number f 46 Yes 47[ 1 bathrooms T` Partial........ NOTES and Data — (For department use) IV. IDENTIFICATIO — To b comp/ ted by all applicants Nam Mailing addr ss — Number, street, city, and State ZIP code T I. No. Owner or FAR/c Lessee 2. Contractor t r r 3. Architect or Engineer The owner of this buil ling and the undersigned agree to conform to all applicable laws of this jurisdiction. g ature of applicant Address Application date DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW R CORD — For office use Plans R vi w R uire Check Plan Review Date Plans Date Plans B NotesqFeeStartedyApprovedY BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS P rmit or Approval I Check Date Number B Pit or ApprovalI Check Da}e Number BYppObtainedyPermitObtained BOILER PLUMBING CURB OR SIDEWALK UT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building P rmit number ::13037 Building P rmit issued 19 89- - Bui lding g o P rmit Fe $r 0 c3 .o0 • o 7,o d AX rove by Tl FRONTVIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE SIDE - .SIDE YARD REAR YARD NOTES IX. 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HHHH:i. _::: s:=es:s s:s.P.s.s...s:....ss............s:r....s.......s.. ..,.:s..........s...is:...s:;e;ss...:ssa.s=:..!l .a s6 Nssw.r.e:.sso"111. 1e:::ssei eeeee==eie eee=e:ee=eeeesee:= eee eeeeeee:=eeeeeee:eEeee=e=:e eeae: 'se s==e's if m,# e3asa'a =si'i=e:s=:=:n; sa:s's:ees:Sssa•rm •::arse: Asa:tm.:mmg samemosesse rsg H g:t ... . .. a• r,.•a=:=,\.::moose=a.=gooses=s\,Sam,ago=.r sa:.•aa.r.ewes•a.•.•a,,.,•,,.aa,asea.s:•a:a..,sra:ii===.•was::s:s:sa:i N!\eN!ss=:::sass.,, ms-s:a::e:;:::::::-----;l------l-----=s;:s::=s:a;:asp;:e:::::::::;:: TOWN OF SOUTH WINDSOR BUILDING PERMIT Date 1 Dec. 12 1982 Fee Paid ,$. .384.00 Est, Value $.649 000.00 Permit N° 13037 on the side of Lot #116 LeFoll Blvd, Sayer Street No. 239 Owner Jean Marc Jacques Applicant Jean Marc Jacaue s CERTIFICATE OF OCCUPANCY ISSUED: Date No. 6256 Fee Paid $ 3.00 CLASSIFICATION Dwelling BUILDING PERMIT N° 13037 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. i South Windsor, Conn. Dec. 12 19 82 t is to (fertify, That M 1 Construction G4. Dwelling I is hereby granted permission to at estimated value of 00 on the side of Lot #116 P Fn 11 B l ud- Street on land owned by Jean Marc ._.jgCrlle s Said Work to be as described in Application No. 1 -3-3-37 . and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued 1982 A L—Building Inspector. Streets and sidewalks, obstructed by ezcavations 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 costa and damages which it shall sustain, or be compelled to reason therefor." i YNSPECTION EPORT Permit # Job 1 Footing 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. 6 Permit No. iV TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. I Permit N 6256 Certificate of OccupancyI TH C RT F at the at Nof in the Town o South Windsor, Connecticut, has l been erected and completed in accordance with the Bu' i.g Code and Zoning Regulations of the Town of South Windsor, and is hereby appro ed occupancy. I rir But1ding Inspector I qw r, B der I Fee Paid Date 19 Refao E Hyyppa & Aasoclaas CiVu E er s Glastonbury, C nneeit,lcut ri F PLE AS1a t lT A. y PAP 456 ,2LE r.. EA..T1t' tiiC.. vn I ` 00 A VA = 7-01cn o S.F.) 1 3 W b 0 s1 oa„ Imp do 41UK!'SE L ZF• E5 3i.5 v1 1 40 1SU1t.L1N( I rtfL11.rC J J164a I tab Moto t 0 LAT%cm is Fc>jwcY.T%o 4 u:,cATED At, s"ow.1 i-24-133 LE Fa,L NOTE: Lot lin a from map on file in Town Clerk's Offic entitled, "Plot Plan Section P1ea8 t Valley HcmeeSouthWindsor, Con ." Scale 1"• 401 Da c-z-afl A-20 SONE w{ Map No. 220-78-t5 ftw, -z--2-aZ by R e i no E. Hyyppa b Associates Glastonbury, CT. PQEPARED FOR i hereby certify that thi mao and survey were prepared iri PLEASANT VALLEY WOMESaccordancewiththestanddsofaClassA-2 survey as defined in the existing Code of Pr -tire for Standards of Accuracyof SOuTN wlNosOR, COVj h4•keys and Maps, adopte J by the Connecticut Amociation of LOW &wwyom Inc. SCALE I LLO" DATE 10 Wrw A P R O V E TOWN OF SOUTH WI DNTOR ENGINEERING DLPAR DATE: r SIG.: isb'9 ELECTRICAL APPLICATION Application o. 8980 on the side of Lot tA11h P.eFn 1 1 R 1 yd. Street Street No. _ 239 Owner JMJ Construction CO.Electrician Richard Barrett FILED IN OFFICE OF The Building Inspector Jan. 25 1983 INSPECTION. m 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. 1 APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. 8.4.8.Q........ .. ...... Permit No. . 7 8.6.9 . ..... .. . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application to. perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether speci$ed herein or not. 1 I South Windsor, Conn., l— Sign here f C l / f liti A.Address .. r j .. . ..... . . . . .. . ...... ... Location .. .. .. f Side of ... Nature of Building How many stories ........... .... ............................................ ................ New or old Building How many families .............. .............. ......................................................... Kind of Installation .. . .How many Stores ................................. OwnerMAU !t...Address ArchitectAddress 1Buildery . . ... . . .. . Address .. C.... t5. " Y. '!. Address L. _..Electrician .. . A L)Size of Main Wires .. No. of Light Loops .. .. . No. of Heat Loops . ...,. No. of Power Loops ........................_._.......... No. of Light Outlets . .. .. ... No. of Heat Outlets . No. of Power Outlets ............. . .......... Nog of Light Circuits . . .. No. of Heat Circuits . No. of Power Circuits . No. of Sockets No. of Heat Receptacles No. of Motors No. of Panels . .................. Size of Heat Circuit No. of Power Receptacles No. of Switches .......... . .... .. ... .. .. .. . . Total Wattage .... .. .. .......... . ... .. Size of Power Circuit .. Total Horsepower No. of Straight Electric Fixtures .. ..No. of Combination Fixtures .... No. of Receptacles ................................ ...... ........... ........ No. of Cord Drops ....... .............. ............................. ....... . ... ... .. Remarks: For other kind of Installation .. . .... ".°................. ........ ... ... .............. ftf 0. . . ....... ...f Estimated Cost .... . f.. 6090 EPI i iuniWCZ Ana ICwrnwi gpp Na 6869 on the _._ side of Lot. #116 LeFoll Blvd.S Street No. .__ 239 o .JMJ Construction Co. plumber .So. Windsor Plbg. & Htg. Filed in Office of i The BuUM Feb. 25 ig 83. WNW. No Fuson shall con- add ft or abw ay portion of the &abwp qm m of my bong campt to repair leaks) una a Bermit is ymmod by the Building Ingwmr. Application No. 6-869................... Permit No. ...6.09.0.............. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. T.... 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, I Feb.. ..2 2, 19 Sign here e....... ... ..... Address 19.1....N.ewb.e r.y.........o.a.d ...So.uth....Wind sor Location ..Lo-t #-116.....L.e.f.o 11....B.1.v.d..................... side of .. ...le..6.11.........fJ.1P.JO................................ Street Nature of Building Res id.ential........................ . How many stories . .................a......................... .................................. Owner ... JMJ Construction....... ........................ Address ...626... E-11ingtan....Road....................................... Architect .... .... . .. ............... .... .. ......................... .................... Address ..... . ................. .... . ......... ......... ......................... ................... Budder ... ,game—as. ..owner .. . ............................. ......... Address . ............ .. .. .. ....... ...... ........ ................................. .......... PlumberSpqth Windsor Plumbing............................. QWindsor. .................Plumbing........ Address QP9r99 ...I Qa-d- Wind.sar......... DRAINAGE CESSPOOLS, How many Where located ... ... ...... . . ........................................................................ Are they water tight Of what materials are they built ........................... Size of pipe from house to cesspool . ..... Kind of pipe ....... ......................................................... ................ MAIN DRAIN IN CELLAR, Material -114.s T,1%,n Diameter ........ ...........1V*'*-...... Aboveor below cellar bottom . ... - --Arh w...... .I.......... SOIL PIPES, Material Diameter 2..."*........................................................... I.............WASTE PIPES, Material . ,1.963 Diameter ...........I... ................. .. - TRAPS,Type proposed to use is RAINWATER LEADERS, where do they run to .. .... .. .. . ...................................I...........I........................................ .... ............... REFRIGERATORWASTES, where do they run to . .. ... ................................................................... ........................ .............................. TANKOVERFLOWS, where do they run to FIXTURES WATER CLOSETS, How many ... .........3.......... ....... Where located 0,VAF F#"'c-4JFloo Distance from trap to vertical soil pipe ...................................... Pattern WASH TRAYS, How many . ......................................... ... Where located SINKS, How many ...... ...... ...................................... ........................ Where located F/'0'0.?7.................................................. BUTLER'S SINKS, How many ....................................................... Where located. . .. ................ .............................................................. REFRIGERATORSINKS, How many...................................... Where located ................................................................................................. LAVATORIES,How many ................................I...................... Where located BATHTUBS, How many..........................................I......................... Where located ......... 0....................................... How many ....... . .......... ...................../....................... Where located Sel-#-&A...........fz.0 Je Are water closets and urinals to be local vented Ye 4 If not, is there a window in outer wall ofroom where same are to be located ...... Ye S . . ................................................................................................................................... Estimated Cost JQZPQ I.q:;?.. ............... PERMIT # Application For 6685 5584 DEPARTMENT DECISION 0 Heating Permit0 3E APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONSoa N X1 APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR Of3./8 3 0o O DATE t F IT#tPEtTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O O w 1. LOCATION OF JOB 0sw Lot #116 Le to// !`G'd G NO. STREET r LOT NO. FLOOR APT. NO. O O tV R 2. OWNER 0 0 S. ADDRESS a, /7 Spti 4.PHONE ad S. APPLICANT y y 11: GrJ l r/S TG as a~d o° s. ADDRESS C r1l w,' U 7.PHONE w s. LICENSE NO. 0 2/90 a 0 w 19. EXPIRATION DATE OF LICENSE /0 e ca 10. ESTIMATED COST =o2 aV 0.®C 0 GV 11. IS THIS A CONTRACT COSTS YES Nob0 12. FEE ENCLOSED s_ Permit 13037 13. TYPE OF BUILDING: Crjj RESIDENTIAL COMMERCIAL C3 14. TYPE OF JOB: INDUSTRIAL ORIGINAL ALTERATIONINSTALLATIONADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued tr m Revene Side) 11. LOCATION OF JOB i L r C ,! NO. STREET FLO R AFT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER 1p GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. &-d f/177A.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED C2 NEW OR OLD BUILDING A/EW INSULATED - YES OR NO J TYPE OF WALL &IaOe Z/Ah -1 INSULATION (T A t " ROOF OR CEILING e"e +-I a INSULATION AVG. SYSTEM WATER TEMP. `,Qo B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE e- eo FAHRENHEIT MAKE OF RADIATION: ASEBOARD COPPER COf VECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U.- le ,"q DESCRIPTION OF WORK / / c/ J,J j rl15. TO BE DONE: L - / -{1Ty !N G j ti( Jam./ -c.-, zi .1 ,moor T, ;2L/L)h m HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS); ROOM SIZE wlNDowa AREA — SQUARE FEET B.T.U. 9.T.U. i 0 DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALy R OM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED -J j 4 LL REGISTER L W N AND TEMP. TO TYPE AND SIZE RAD' OR LEADERgWALLSDINFILT.) F O 0. FT.SIZE `F'c DIFF. P F Sl a FREE AREA TOTALS 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 1s. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. c>r1,3 DATE SIQNATlJ APPLICANT w? r ARGO CALCULATION SHEET DATEOWNEl.__L' DEALER D s0 r-- es KIND OF BUILDING— f Q ) CHIMNEY SIZE CONSTRUCTION: WALL 7 tt l I WINDOWS S 04< ROOF OR CEILING BASEMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF COL.1 2 3 1 4 5 1 6 7 1 8 I 9 10 11 12 13 14 15 16 17 18 ROOM SIZE WINDOWS AREA.SO. FT. FLOOR VOLUME AT 70 F WATER SAS RD AND DOORf C .FT.TOTAL TOTAL GLASS NET WALL CEILING AT Not<1 CORRECTED• ACtESSOR{EsLENGTHROOMNUMBERGROSS0I1TEMF. TO TEMP per.L W H O.e AREA WALL o 018 DIFF. O ENCLOSURE FINSIZEo L R S LC #AW—017 O 0 A , TEMP. DIFF. TUBE l ? vo 89 d 17 oID 10 0 1400 Da a3 0 8 Aloe 07Ga 3 3 0 15 1300 0o W0 J50o0 t)o A a8 1 r g l0 3900 )VOL00 Y3 00 1900 112 00 t'. 75 100 1000 0o 330,0 31?0 4 l iS 8 Ji o 1000 Coo , '210 to o x- ion oo *00 l00 3800 Y3y0 Rco 7g ew - s ' loco 00 ao 00 -a500 4'0? p bg_ y 300 boa 000 o 6 y 5"v 0 0 Q 3o 0 3oo 0 0 1y00 )900 I/0D 60 0 700 l000 36 oo 8 Air p I/o cro oo 3900 '11Y6 lEv 41 Ail1 x- 0 o YO 0 0 l,s'o d , 0 Y000 NOTE: FOR OMCRLT[FLOOR ON GROUND OR FILL AT GRADE LEYSL.USE LINEAR FEST OF SXPOKD EOOE. FOR ALL OTHER FLOORS USE"UARE FEET OF AREA. TOTALS G aG 5 11;67 PMAL INSPE I N Building APPLICATION FOR BUILDING PERMIT Plumbing HVAC Date: /O Sprinkler 239 LE FOLL BLVD. Electric Estimated Cost $ 2b Ut7 Zoning Permit Fee$ Affidavit NO. 18093 Occupancy Fee $ Eng. Dept.COMPLETE RED BOXED AREAS.Fire Dept.TYPE OR PRINT ONLY Total Fee $ 2?12C5 Health Dept. f0 SIGN ON REVERSE SIDE.Approved for CO:Additional Cost) $ TO BUILDING D PARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location Lot No. I I Co Side of Street Zone - Applicant Tel. # 2-9 8'Z' Address 0 J W CZip 0607( Lic.# 7 STREET CITY STATE Owner E Address 2Aq LE-Pnc_t_ (31u ArchitectAddress J Size New Area: Ft. ront Overal l I( Ft. Deep Overall " o`Total Area Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot b 5+- Dist. from Street Line 14 Z' Dist. from Side Street Line Purpose of this P rmit -tv C)C?.-,o Q Cit Water Well 0 Septic 11 Sewer Approved by Date 13D1A 11/88 I hereby agree to conform to all the requirements of the laws of the State of Connecticut and the Ordinances of theTown of South Windsor - and to notify th Building Inspector of any alt ration in th plans or specifications of th Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side ya lines and required distances from allot r zones and is located in a zone in which this building and its use is allowed. Signed 1 r hereby apply for a Certificate of Occupancy for the work described in is a p 'cation for permit. Signed- DO NOT WRITE BELOW THIS LINE INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation 1I-I.j ^r Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: T +l;FN: AC.'l R' frt 1 y' 1• ^h, f - Y ' r .44 e .1 ' . r vim:YrYv?; . F. a4" t v f 9, t BUILDING INSPECTION DEPARTMENT SOUTH WINDSOR, CONNECTICUT FEE PAID: $3.00 CERTIFICATE OF OCCUPANCY ZONE: DATED 315 19 90 This is to certify that 239 Le Foll Boulevard Altered uncle permit No. 18 0 9 3 conforms substantially to the requirements of the building ordinances and the zoning regulations of he Town of South Windsor and is hereby approved for occupancy as indicated below. Approved for Occupy cy— Residential addition -- Bedroom _over c Building Official Notice:If his 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. PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby : TOWN OF SOUTH WINDSOR APPROVED S BUILDING INSPECTION DEPT. 644-2511 Ext. 230 Application must be printed or typed . 1. LOCATION OF JOB 3 FEE SCHEDULE No . Street 0 - $19000 -10.00 Floor Apt . No. Over $1,000 -10.00 2 . OWNER uper $1 ,000 or fraction thereof 3. ADDRESS, 3 Z) 5,J cot/ Ih" d's 4. APPLICANT 5 . ADDRESS 6d1 ifkli- 6. 7 ESTIMATED COST $ 7 . IS THIS A CONTRACT COST s No 8 . FEE ENCLOSED $ 9. TYPE OF BUILDING: t""*RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: Original Installat 'on alteration/Addit/ion/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB 3 Ld 7-d J/ 14("W NO . STREET APT. NO 12 . TYPE OF INSTALLATION 13. SIZE OF MAIN FEEDER T 14 . NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS 16. NO. OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS y 18 . NO. OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS 20. NO. OF CONVENIENCE OUTLETS Iq 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 ?i 33. TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : 5 UU f99 11 3 LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER: a— , U FOR OFFICE USE OYLY APPLICATION FOR HVAC PERMIT DATE: // NO. 7Q TOWN OF SOUTH WINDSOR EST.COST. Gv 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 23 q thereof - $10.00 O Cv OW44 R 4 e u 3 5 AU - ,Q ! 7OWNERADDRESSTOWNPHONENO. rS' tt-t PO 176 1,kv,L, 0 s- 1/1 s 7 HVAC CONTRACTOR ADDRESS TEIWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL c/ A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYE RONIC__,,, WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUE : OIL-GPM GAS IN-PUT ELECTRIC KW WOOD COAL OIL TANK - EIZE & LOCATION: INSIDE OUTSIDE CAPACITY LPG TANK - CAPACITY 10/I,•K EXISTING RA IATION ADDITIONAL RADIATION//,?00 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.) : GROSS HEATI CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) IF AIR CONDITIONI G: 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. ) : 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 A COMPANY APPLICATION) The undersigned h reby applies for a permit to perform the following work and is to comply with all local or inances and State of Conn. Building Codes in the performance of such 'work. FURTHER DESCRIPTI N OF WORK: o H caj 'ro k 41-,cOjt a r+n n u-c d d d('l`!d K s7 - o oO r 7 ISP STATE LICENSE - NAME & TYPE #PATt SIGNATURE OF APPLICANT APPROV D ffDATE 8D 4A 11/88 B = R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronics Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL.A COL.B 1 COL.C COL.D COL.E COL.F COL.G 1 ROOM cc p H L W H L W H L W H L W H L W Design Water Temp. 2 ROOM DIMENSIONS, FT U BTUH per F of of 3 LENGTH EXPOSED WALLS, FT. Q Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA I tl BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION ROOM LIN. FT.OF Table 9, Line 3 x H) TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED Bottom of table used for Line 5) x I 7 CEILING CONSTRUCTION C Table 9 L x W) y FLOOR CONSTRUCTIONt Table% L xWor Lin Ft) E 9 COLD PARTITION CONSTRUCTION F Table 9, L x H) 10 c 1 Well(With Openings)C 0 -- o r m 2 Walls(With Openings) X e J l 3 Wells(With Openings) or Ent Hall F. J 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' K 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE L COL A COL B COL.H COL. 1 COL J COL. K COL.L TOTAL BTUH TOTAL OF BUILDING RADIATION ROOM tZ AT SELECTED O H L W H L W H L W H L W H L W DESIGN TEMP.°k2-,3 ROOM DIMENSIONS. FT U DIFFERENCE 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 of table used for Line 5) tFOR CONCRETE FLOOR ON 7 CEI—L-ING CONSTRUCTION GROUND OR FILL AT Table 9, L x W) GRADE LEVEL,USE LINEAR g FLOOR CONSTRUCTIONI FEET OF EXPOSED EDGE Table 9, L x W or Lin Ft) 9 COLD PARTITION CONSTRUCTION Table 9, L x H) 10 c 1 Wall(With Openings) 0- O e c a 2 Walls(With Openings)X e J 3 Walls(With Openings) or Ent Hall F- i 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE This form is available from The Hydronics Institute,35 Russo Place,Berkeley Heights,N J 07922 FORM 1503