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HomeMy WebLinkAbout25 Evans Crossing (2)15 THE BUILDING INSPECTOR APPLICATION FORofthe PLAN EXAMINATION ANO b TOV01 OF SO COWBUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX. O I. t yjQ,Al 0,< . •(, ZONING AT (LOCATION) N s DISTRICT LOCATION I NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) SUBDIVISION WJ LOT BLOCK SII E 2. 's iH II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 1 [jrNew building Residential Nonresidential 2 Addition(IJ residential, enter number 12,One family 18 Amusement, recreational o/new housing units added, i/any, Two or more family — Enter 19 Church, other religious i in Part D, 13) 13 number of units— — — — 3 Alteration (See 2 above) 20 Industrial 14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (1/multifamily residential, of units ——————— — -->• 22 Service station, repair ga ag enter number o/units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, prof ssional 6 Moving (r location) 7 Foundation only 17 Other — Speci/y 25 Public utility 26 School, library, other educati nal B. OWNERSHIP 27 Stores, mercantile 8 [:r Private(individual, corporation, 4 28 Tanks, towers n nprofit institution, etc.) 29 Other — Specify 9 Public (Federal, State, or local gov rnment) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., f d processing plant, machine shop, laundry building at hospital, elem ntary 10. Cost of improvement................ school, secondary school, college, parochial school, parking gorog f r, 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 OHOa. Electrical....................... b. Plumbing .................. c.Heating, air conditioning....... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT 1$109. 000 III. SELECTED CHARACTERISTICS OF BOIL 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 2 30 Mas my(wall bearing) 40 Public or private company 48• Number of stories................ 31 W d frame 41 Private(septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior. 32 Structural steel dimensions .................... '©3sc- 33 Reinf reed concrete H. TYPE F WATER SUPPLY 34 Other — Specify 42 Public or private company 50. Total land area, sq. ft. .....t..... 22 43 F-1 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors....................... Oil conditioning?L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Y s 45 No 53. Number f bedrooms.............. 38 Coal 39 Other— Speci/y WIII there be an el vatorVN 54. Number f Full.......... 3 46 Cl Yes47 bathrooms Partial........ IV. IDENTIFICATION — To b compl t d by all applicants Nam Mailing addr ss — Number, street, city, and State ZIP code Tel. No. r Owner or Lessee U S3 2. Contractor 3. Architect or Engineer Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signatur of ap (icant Address Applicati n date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Revi w Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained Number By Permit or Approval Check Date Obtained 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 P rmit numb r Bui Iding Permit issu d 19 Building P rmit Fee $ Approv d by: i C7117 LE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Aug. 1 1985 Fee Paid $.6 5.4..0 0 Eat. Value $1 0.9.r.0 0 0 Permit N° 14571 on the aide of Lot #4 Evans Crossing_ Street Street No.25 Owner U & R Con strLeti on Co. Applicant 17 & R construction Co. CERTIFICATE OF OCCUPANCY ISSUED: Date No.7 221 Fee Paid $ 3 - 00 CLASSIFICATION Dwelling BUILDING PERMIT N) 14571 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Aug_ 1 1985 X#is is to Certify, That U & R Construction Co. is hereby granted permission to Dwelling at estimated value of $10 9 E 0 0 0 on the side of Lot #4 Evans Crossing Stet on land owned by U & R Construction Co. Said Work to be as described in Application No. 14871 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Aug. 1 1985 Building 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." Dwelling - Lot #4 E vans.Crsg. 8/1/85 U & R Construction Co. 25 Evans Crossing Permit # 14571 Electrician 1'4,Wvlf 88k L, Heating Contr. J. Vedo vato 6326 Plumbing " J. Vedovato 6798 Oil Burner Certificate of Occupancy 7224- Sewer Permit Plot plan ap rd. per Engr. I jPermit No. f TOWN OF SOUTH WINDSOR FI SOUTH WINDSOR, CONN. Permit Certificate of Occupancy THISAS TO C TIFY that at N . in the Tow/ ng South Windsor, Connecticut, has been erected and completed in accordan with the Build Code and Zoning Regulations of the Town of South Windsor, and is her y app owed occupancy. Building Inspector caner, ui der I Fee Paid Date ? 1 . I GARDNER PETERSON ASSOCIATES—" SX OLD POST ROAD""" TOLLAND. CONNECTICUT 06M Vc O 1_ ti 0 fT o p q t N r Is N d VA O M 7 Y a q 3h. 1.to CL-449 6-ZrAT• L p ri 7- Id 121a w. iRatilS 2q' ,C 0 C C MORTGAGE SURVEY c' W LOT 4 - EVAN'S CROSSING L - TOWN OF SOUTH WINDSOR, CONNECTICUT c• ` oSCALE: 1" = 40' o I hereby certify that the location of the building as shown is tosubstantiallycorrectandthattherearenozoningviolations of the same. Novenberl 7, u., U .. L. S. # 10839 0 c985z REFERENCE: Evan's Crossing Plot Plan Property of Evan's CrossingAssociatesAveryStreetSouthWindsor, Conn. Lucek EngineeringAssoc. Inc. Scale 1" = 40' Date 8-19-84 Revisions 9-24-84 6-8-85 7/l/85 PROFESSIONAL ENGINEERS LAND SURVEYORS i AP P COVED r AM ELECTRICAL APPLICATION Application No. Al y y on side of L Street Street No. Owner Electrician FILED IN OFFICE F The $uilding Inspector CIIIJ 19 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. Electrical Permit No. kTF13..................... Master License No. ...)A.3.1...Z.6... .... TOWN OF SOUTH WINDSOR Building Permit No. Axf-,71....................... BUILDING DEPARTMENT Date Filed Date Final Approval .... ....... ..... .............. APPLICATION FOR ELECTRICAL WORK Electrical Inspector OBLOCATION: /r — 51A-r6. J J Side of . Between .. . . and ............................... 4--*--**...Name of Building Owner firAddresst75F4, C STD, 11*1 11-1-1 If work is for Lessee—Give name Address ................ .............. .......................... ... .. ... ..... ...... Building now occupied as (unless new) No. of family units now . . ...... .. Building to be occupied as ...f,6-T1,0c>-,77 Number of family units to be .....&4......... Is this work included in a Building Permit? Permit Fee .. ..... ....... ... ..... .. .................................................... ..................... If no Building Permit) Permittee Address 06) Telephone W-4....OBusinessxFO COST OF INSTALLATION: TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed Number of present Appliance Circuits ... ....... .. .... .......... ....Number of convenience outlets to be installed 60 Number of switches to be installed . . . el Do these include Range E] Water Heater E]Number of appliances to be installed . . . . 7" as listed below) Dryer Air Conditioner Oil Burner TYPE RATING NO. Dish Washer Gas Burner E] Range Well Pump E] Elec. Heaters Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heate..r Clothes Washer . . . . Clothes Dryer . . . . . Dish Washer . . . . . . Air Conditioning Motor . . Oil Burner Motor . . . . Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan . . . Well Pump . . . . . . Electric Heat . . . . . Other 9/P,Sfi Z-- * * ' Number of new Lighting Circuits Number of new Appliance Circuits P"'- Number of Heating Circuits Number of Motor Circuits Size of present service .............. ........................................ Size of service to be . ....................... .........................Z 6798 PLUMBING APPLICATION N0.6569 7ontheo-4---- - aide of Steer 25 Street No. _. Owns Plumber .. Filed in of The Bing Inspecaor n r-t - 19.$L5— No person shall coastn ct, add 0 or aber any portion of the dmimge systan of any bml&mg except to repair leaks) uoW a Beimit is granoed by the Building LWo mw. APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) OWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB a'e NO, STREET FLOOR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION G 13. SIZE OF MAIN DRAIN n 14. NO. OF TOILETS STYLE , 15. NO. OF URINALS STYLE v 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS L_SIZE -y 22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND R_1 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? f% 27. SIZE OF WINDOW-2K r 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? 0 SIGNATURE(-a- ADDRESS LICENSE NO. on.? l0e, Z ESTIMATED COST TELEPHONE OWNER ADDRESS 2 G WATER HEATER 31. TYPE 32. MANUFACTURER TANK SAFETY DEVICES 33. CAPACITY 37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE_ 38. MANUFACTURER_ 35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE 36. TYPE 40. MANUFACTURER ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. CD962 i DATE SIGNATURE OF APPLICANT r®. PERMIT # 19 Application For 6127 6326 DEPARTMENT DECISION Cd I W Heating Permit APPLICATION IS HEREBY: o DEPARTMENT OF LICENSES AND INSPECTIONS N APPROVED DISAPPROVED Cd TOWN OF SOUTH WINDSOR 0 Cdop 1,2/131 85 _ Thcrnas P. D' A ariaooODATECHIEFINSPECTOR O APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE DEL W D7 p v 1. LOCATION OF JOB O =O 25 6va,, CrossingCdCNO. STREET Cd v O LOT NO. FLOOR APT. NOO T Z/,2. OWNER Cc O O 3 s. ADDRESSCO 4.i'HONE 11937 J Cc PCC/1 S. APPLICAN a a0 a. ADDRESS O o 7.PHONE b(/Vol S. LICENSE NO Q 3 a p w 1 9. EXPIRATION DATE OF LICENSEc n 10. ESTIMATED COST s CV be I I. IS THIS A CONTRACT COSTS YES LTNp p 12. FEE ENCLOSED : Permit 14571 x 13. TYPE.OF UILDING:rA C bio RESIDENTIAL COMMERCIAL cis 3 14. TYPE OF JOB: INDUSTRIAL ESTALLL ALTERATIONINSTALLATIONADDITION REPAIR APPLICATION FO HEATING PERMIT (Continued tr m Reverse Side) 11. LOCATION OF JOB L NO. - y STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: L1"OIL BURNER ELECTRIC VENTILATI SPRINKLER tL G GAS BURNER STACK INCINERATOR MISCELLANEOUS ID TIFT SIZE LOCATION SIZE SIZE cZc F FILL -OF VENT13. OF TANK OF TANK 14. B.T.U. EQUIP. AT REGISTER MAKE AND NO.1A AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND N0. B.T.U. OR SQ. FT. NET-B.T.U. OR SQ. FT. GROSS FIRING RATE S2FLOORSTOBEHEATEDNEWOROLDBUILDING L-f INSULATED — YES OR NO TYPE OF WALL 19 INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP.ZX(J r"_Q B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE Q-20 FAHRENHEIT MAKE OF RADIATION: ASEB COPPER CONVECTO S OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U.c'..J' DESCRIPTION OF WORK Lts. TO BE DONE: t6. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): v w[cta j[- wasutaw Aw0 81311E MAD. On L[AO[A L r M AMP 11wI117.1 7[M. TO six WAI 3 8 •s_'o no 0 0 00 6000 00 p s- i/ Z_ -S.q onC CEO 00 U42 d 7 x G. o s 2-5- 1-OF to ,25G Z0 ice on r, i o o O T_-[ ly 6- 7 0 C, 7tlol 4;00 le, q az 12— 9& o 17 C- i0 _Y z- ` moo 00 .%D 0 I 12-00 TOTALS A. HEAT LOSS FROM BUILDING__y y 9 T-II IWO 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) FA17OR 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 FINAL INSPECTIONS: Building APPLICATION FOR BUILDING PERMIT Plumbing HVAC Date: Sprinkler 2 5 EVAN'S CROSSING El ctric Estimated Cost $ a Zoning UPermit Fee$ !o y Affidavit NO. 18144 Occupancy Fee $3 Eng. Dept. COMPLETE RED BOXED AREAS.Fire Dept. Total Fee $ 0 3 Health Dept. TYPE OR PRINT ONLY Approved for C_ d d SIGN ON REVERSE SIDE.Additional Cost) $ 0O0 TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT L. "i' AV T- s 7--2 ' The undersigned, hereby applies to do work according to the following specifications: _ _r4 4 ,,, G Job Location Lot No. Side of Street Zone Applicant Tel. # Address f' J' zip Lic.# STREET CITY S AT Owner o Address '247 1164A r Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall 2 15' Total Area Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Str Line Dist. from Side Street Line Purpose of this Permit E`y,UCA le/3 d' City Water 0 Well 0 SepticIf- 0 Sewer 0 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 prop r distance from all street lines,side yard lines and required distanc s rom all oth r zon s and is located in a zone in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for permit Y Signed DO NOT WRITE BELOW THIS LI — Footing INSPECTION RECORD Framing j f_ 1/4FoundationFireplace/Chimney Insulation Plumbing Permit# e V Inspections: a HVAC Permit# j 1 r1I Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: ao Location of job AFFIDAVIT Additional Fee State of Connecticut ss. County of Hartford Owner I .. . .. il/ f. . .. .... . ' N 0 F. .... . . .... . . . ...of . ./!.'..~c. ...... . . . A annt. for building erected underContractor Permit No. issued by the Dep't of Building of the lbwn of South Windsor being duly sworn,make oath and saythat the actual cost of the completed work authorized under said 2 Ud0 P permit was. . . ...../. . .. . . .... . .. . . . . . ... . . . ... . . . . . . . Signed .. T Subscribed and sworn to before me this . .. ... 3... .. . . ... . . . day of . . . d vt A Estimate Cost:$ IUiC) y ZU v UDifference: $ / Notary Publfc. BUILDING INSPECTION DEPARTMENT SOUTH WINDSOR, CONNECTICUT FEE PAID: $3.00 CERTIFICATE OF OCCUPANCY ZONE: DATED 10/11 19 90 I I This is to certify that 25 Evan 's Crnssinc Altered under permit No. 18144 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—Finished basement (Revised) E Use Group: R4 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 of extension of the use hetwo approved rlegwvs a new certificate of occupancy. I PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT l// Application is hereby: TOWN OF SOUTH WINDSOR APPROVED D PRO BUILDING INSPECTION DEPT. i 644-2511 Ext. 230 Application must be printed or typed. Date Building Inspector 1. LOCATION OF JOB FEE SCHEDULE No . Street 0 - $12000 - 10.00 Floor Apt . No. Over $1,000 - 10.00 per $1 ,000 or 2 . OWNER fraction thereof 3. ADDRESS a '>Z 7!/ S'vdOQ W1-k-4n, z 4. APPLICANT Z—ee"', 5 . ADDRESS /:;L D2c>e-L 4:-2 1, t- (d Cwf- odo$ 6. ESTIMATED COST $ P06, 7 . IS THIS A CONTRACT COST Yes No 8. FEE ENCLOSED $ "iA' r W,- 9. TYPE OF BUILDING: 4 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 JOBS S 2 OS/ NO . STREET APT. NO 12 . TYPE OF INSTALLATION c n'"L tff 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 : 10 Aq d ' LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER: PERMIT NO. DEPARTMElST DECISION APPL I CATION FORf Application is hereby: PLUMBING PERMIT TOWM OF SOUTH WINDSOR APPROVED DISAPPRO ED BUILDING INSPECTION DEPT. QD 644-2511 Ext. 230 ate Bu ng Inspector Application must be printed or typed. 1. LOCATION OF JOB: FEE SCHEDULE 2. OWNER: ,//9/ i 1idL/4 0 - $19000 -10.00 3. ADDRESS; Over $1 ,000 -10.00 per $1 ,000 or 4. APPLICANT: 016 P w-m ' e T `fraction thereof 5. ADDRESS: ,?0/ 6. EST. COST: $ p SOD Da 7. IS THIS A CONTRACT COST? JYES NO 8. FEE ENCLOSED: $bD3 9. TYPE OF 7 ILDING: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: ORIGINAL ALTERATION INSTALLATION ADDITION REPAIR ti BD 2A 11/88 APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side) 11. LOCATION OF JOB: Z s GENERAL PLUMBING 12. KIND OF INSTALLATION. 13A7-01 13. SIZE OF MAIN DRAIN y 14. NO. OF TOILETS STYLE r le 15. NO. OF URINALS STYLE 16. NO. OF BATHTUBS --16A. NO. OF SHOWERS f 17. NO. OF LAVATORIES 18. NO. OF SINKS 19. DISPOSAL 19A. DISWASHER -' 20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE 22. AREA OF ROOF - 23. NO. OF CATCH BASINS wo 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?V 0 27. SIZE OF WINDOW 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK? l-5 o 31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS 32. REMARKS AND FURTHER DETAILS Al 16'S SC-r .-0T WATER HEATER 33. TYPE 34. MANUFACTURER TANKS SAFETY DEVICES TEMPERATURE 35. CAPACITY 39. RELIEF VALVE 36. TEST PRESSURE LBS. 40. MANUFACTURER 37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE 38. TYPE 42. MANUFACTURER 203653 LICENSE NO. DATE GNAT E OF APPLICANT PHONE FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: &l/to -if--/ NP. 17 ly TOWN OF SOUTH WINDSOR EST.COST: P490,00 iLDG. PERMIT NO. 1540 SULLIVAN AVENUE FEE T OD SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 0 - $19000 - $10.00 ILI 1000 or fraction LOCATION OF BUILDING ,5__ 600e"'Si thereof - $10.00 loe7 ex/ OWNER ADDRESS TOWN PHONE NO. HVAC CONTRACTOV 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 Zo., WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM GAS IN-PUT 0000' ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY LPG TANK - CAPACITY 00007EXISTINGRADIATIONADDITIONALRADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE F INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST ACCOMPANY, PPLhCAT ) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.) :Yo GROSS HEATING CAPACITY (INPUT-BTUH) NET ATING (OUTPUT-BTUH) IF 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.) : 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: L", ` r//l'/r to Of.AE 4 f STATE L NSE - NAME & TYPE #DATE NATURE15F APPLIC T APPROVED DATE 8D 4A 11/88, I = 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 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 pu Fo t of 3 LENGTH EXPOSED WALLS, FT. Q Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA a1 BTUH BTUH BTUH BTUH BTUH 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) xi 7 CEILING CONSTRUCTION C( Table 9, L x W) g FLOOR CONSTRUCTIONt D— Table 9, L x W or Lin F t l E 9 COLD PARTITION CONSTRUCTION F Table 9, L x H) G 10 c 1 Wall(With OpeningiJ 0 o; H 2 Walls(With Openings) D XJ 3 Walls(With Openings) or Ent Hall 1° r11 TOTAL BTUH AT 70F TEMP DIFFERENCE' J 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K COL A COL B COL.H COL. 1 COL. J COL. K COL.L TOTAL BTUH TOTAL 1 ROOM OF BUILDING RADIATION AT SELECTED p H L W N L W H L W H L W H L W DESIGN TEMP.° 2 ROOM DIMENSIONS. FT DIFFERENCE 3 LENGTH EXPOSED WALLS, FT Q 4 WINDOW AND OUTSIDE DOOR AREA U. 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) 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 or Lin Ft) 9 COLD PARTITION CONSTRUCTION Table 9, L x H) 10 c 1 Wall(With Openings) o 3 2 Walls(With Openings) D X 3 Wells(With Openings) or Ent Hall J 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE This form is available from The Hydronlcs Institute,35 Russo Place,Berkeley Heights,N J 07922 FORM 1503