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HomeMy WebLinkAbout107 Trumble Lane eectric# 146- APPLICATION FOR BUILDING PERMIT Plumbing# Q O 7 107 TRUMBULL LANE WAC # I 24754 Date: J0 1 1-7 1617 Sprinkler# NO• FINAL AP R Estimated Cost $ O, OOD Buildi COMPLETE RED BOXED AREAS Permit Fee $ O Engin ing 31 3 $ TYPE OR PRINT ONLY Occupancy Affidavit Fee � SIGN ON REVERSE SIDE ap Appr.for CO. �► jq8 Total Fee TO BLALDIIG DEPARTMENT,TOWN OF SOUTH WINMR,CT (Additional Cost) I 4 The undersigned hereby applies to do work according to the following specifications: Job Location o Lot No.-_Side of Street t— Zon A'30 Applicant JCS Co .'Xn C, Tel# 5—Z'6'�Q Addr ss p c &; ic.#SCz-1,Yk Own r Address Architect h O Address Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area 4-117 a #Rooms #Lavatories #Bathr ms OZ #Garages Purpos of this permit:-"'TO S l iryj City Water Well ❑ Septic System ❑ Sewer Ins. H.O. S.P. Cert. Area o217 O Basement t 311 Garage 610 Approved by Ja— Date Use Group r Construction Type 67 Revked 1197 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be boated the proper distance from all street lines,side yard lines,and required distances from all other zones and is bcdted in this building and its use is allowed. Signed 4,o-,1L--N I hereby apply for a Certificate of Occupancy for Uwork descri in this application for the permit. Signed &A DO NOT WRITE BEaW THIS LINE INSPECTION COMMENTS Location of Job: AFFIDAVIT Additional Fee S 612 . 0 0 State of Connecticut ss.South Windsor County of Hartford (� Ojn I Ival, 1_of��� 9�1. Afor the building erected C under Permit No. 2 4 7 5 4 issued by the Building Department of the Town of South Windsor being duly sworn,make oath and say that the actual cost of the completed work authorized ender said permit did not exceed the most current accepted BOCA value of S 12 6, 9 2 r; _ n n _ SiTMOLAIVP Subcribed and sworn to before me this �� day of ` Y:�U' A.1D. 1q Estimated Cost S 7 6 . 8 0 0 . 0 0 Difference: S. 50, 125 . 00 $�31�1-7 Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 97-24754-B 70,000 BO1 FOOTING 10/23/97 JFF A B02 FOUNDATION 11/07/97 RAN A FOOTING DRAINS WILL BE INSIDE FOOTINGS E01 SERVICE 11/25/97 JFF A NOTIFIED NU B03 FRAMING (ROUGH) 01/22/98 DCJ D JOIST HANGERS MISSING OR WRONG SIZE, TURN PLATES ON COLUMNS TO SUPPORT ENTIRE BEAM E03 ROUGH 01/22/98 DCJ A P03 ROUGH 01/22/98 DCJ A B04 INSULATION 01/28/98 DCJ A B05 FIREPLACE/CHIMNEY 01/28/98 DCJ A PO4 GAS TEST 02/11/98 DCJ A LEFT STICKER B10 FINAL 03/10/98 JFF A APPROVED FOR CO & CLOSEOUT (BLDG) 97-10070-P 1,900 98-10061-H 1,900 97-14669-E 3,000 Total Est Value 76,800 Dwelling 2,170 88,796.40 Basement 1,345 16,678.00 Garage 510 6,324.00 Smoke Det 7 525.00 BOCA Value 126,925.44 Qb Difference 50,125.44 �( j 3 SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 107 TRUMBULL LANE LOT_## 7 Reviewed By S Q h. Bering) JMJ CONSTRUCTION CO. Date Reviewed I 114 A rovje ODenied 658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By Planning) BP_##_24754_ Ph ##_(203)282-0628 Date Review : 13Q r /Denied Date Submitted 03/12/98 FbR C dfJo ***** As required in the Zoning and/or Subdivison Regulations, no Certificate of Occupancy shall be issued until grading plans have been complied with and approved by the Town Engineer. The minimum requirements shall include: Approved Denied N/A .� 1. Approved building permit plan 2. Finish grading per approved building permit plan 3. Site work; i.e. trees, shrubs, dumpsters, required parking 4. Utility location; a. sanitary sewer/septic system b. foundation drain c. electrical & telephone V/ d. water e. other ICCAAs-) 5. Sewer connection charge paid 6. Appropriate certification 'J 7. Bonding 8. Planning & Zoning/ Inland Wetlands Considerations Sewer Permit No. 1 Pavement Excavation No. COMMENTS: W.— ov 6cojc> tipfswatrk @ AR.IVCww/ 11AvOL-Id SP- %@4LA444?. SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 107 TRUMBULL LANE LOT_## 7 Reviewed By (Engineering) JMJ CONSTRUCTION CO. Date Reviewed rove***D* enied 658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed B (P nning) gppoveBP_#_24754_ Ph # (203)282-0628 Date Review Denied Date Submitted 10/21/97 FO In accordance with the Zoning and/or Subdivision Regulations, prior to the building of any structure on a lot, a Topographic Plot Plan shall be submitted for approval. The minimum requirements shall include: Approved Denied N/A 1. Name, address & phone number of owner/applicant 2. Name, address & phone number of plan preparer 3. Zoning Information - i.e. zone, open space, floodway, etc. 4. Plot Plan at 1" = 40' scale a. Subdivision reference, abutting properties, etc b. Easements of record c. Lot description, bearings, building lines, distances, area, etc. d. Contours, existing & proposed, 1 or 2 ft. interval where appropriate G-� e. Building location with dimensions. Elevations of proposed finish floor, garage floor & centerline of road at driveway f. Elevations of gravity drainage systems, sanitary & foundation drain at the house and the street g. Tentative utility location (gas, water, electric, septic system, etc.) h. Title block with name and address of preparer, date, appropriate certification, live seal and live signature consistent with the Board of Registration requirements. (P.E. & L.S.) JA- 5. Sedimentation and erosion control 6. Special Planning & Zoning, Inland/Wetlands considerations (Plans on file w/Town Clerk) COMMENTS: DEPARTMENT DECISION PE RI # APPLICATION FOR ELECTRICAL PERMIT MIT Application is herebv: TOWN of SOUTH WINDSOR I---- BUILDING DEPARTMENT Bldg P & PROVED 1540 SULLIVAN AVENUE I tf�Lq-1 - 40— 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of job 'F F Z 77?QM6z,1-L--- -4-1- /()-7 90 Street No. Street Lot No. -FEE SCHEDULE Floor Apt. No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 - 7e7= I or any fraction thereof OWNER_hja���t � ADDRESS OWNERS PHONE#- Fr13 77 APPLICANT eW-JJ * N at A- ADDRESS 0 to -4 ESTIMATED COST$ 0 IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ CO TYPE OF JOB: Original Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY N 0 MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS ._ CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD Oe LO SIZE OF MAIN FEEDERS AND RATING OF WIRE USED ()14l,- /!'t NUMBER OF METERS I NUMBER OF DISCONNECTS AND RATINGS 'd NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YE i NUMBER OF LIGHT CIRCUITS (0 NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES' NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS ! NUMBER OF A/C CIRCUITS l SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. Of NAME STATE LICENSE NO. TYPE ATURE OF APPLICANT PHONE NO. t?70)—,t3y DATE 57 PERMIT NO. j c)G-76 DEPARTMENT DECISION A P P L I C A T I O N F O R APPLICATION IS HEREBY: PLUMBING PERMIT APPROVED DISAPPROVED TOWM OF SOUTH WINDSOR BUILDING INSPECTION DEPT. 644-2511 Ext. 230 (2 S A P MB NG INSPECTOR Application must be printed or typed. 1. LOCATION OF JOB: 2. OWNER: • L 3. ADDRESS: FEE SCHEDULE 12.©c) 0 - $19000 4. APPLICANT: ( c4 c/a7�7' 9 Over $1,000 - 5. ADDRESS: per $1,000 or Fraction Thereof . G� 6. EST. COST: 7. IS THIS A CONTRACT COST? YES _tle�O SY 8. FEE ENCLOSED: $ 9. TYPE OF BUILDING: Z,—RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: ORIGINAL ALTERATION INSTALLATION ADDITION REPAIR BD 2A 11/88 APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side) 11. LOCATION OF JOB: GENERAL PLUMBING 12. KIND OF INSTALLATION: �,�� ,, ���b 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS STYLE . 15. NO. OF URINALS STYLE 16. NO. OF BATHTUBS 16A. NO. OF SHOWERS �_ 17. NO. OF LAVATORIES 18. NO. OF SINKS_ 19. DISPOSAL 19A. DISWASHER C, 20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS _SIZE 22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND lei/ tN 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOW �---- 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?_ 31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS 32. REMARKS AND FURTHER DETAILS 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 o (�C;2 /to r-->2 t/0 LICENSE NO. + DATE SIGNATURE OF APPLICANT l PHONE NO. f DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERNUT4 166 W Application is hereby TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldu Permit# APPROO 1540 SULLIVAN AVENUE AW 644-2511 ext.230 Date r 1/building Inspector Application must be printed or typed Location of job I---- z 7 Street No. Street Lot No. FEE SCHEDULE Floor Apt. No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER or any fraction thereof ADDRESS OWNERS PHONE# APPLICANT OWN S� ADDRESS < 6,11 &0 ESTM4ATED COST $ IS THIS A CONTRACT COST? YES NO /* FEE ENCLOSED $ OSQ K TYPE OF JOB: 6--&-ginal Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAL A/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT LOSS(BTUH (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) (6Z� cc 15/ GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH); TYPE OF FUEL OIL-GPM GAS-INPUT ELECTRIC-KW OIL TANK SIZE&LOCATION INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY AIR CONDITIONING DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK 1_,2v," ' THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. STATE LICENSE-NO. NAME&TYPE S NATURE OF APPLICANT PHONE NO. J"3 DATE ,--3 I =B R CALCULATION SHEET 1503 (Modern Mothod) Copyright 1977 by The 14ydroMu I tltut WHER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. .DATE ` C L.A COL.•I COL.C COL.O COL.E COL.F COL.G . I Roots /Yi� ri7 ' � � Z Detl�n Water Temp.p L W H L W H L W H L W H L W 2 ROOM DIMENSIONS,FT. ~ Lb d �� / tJ Radiation Selected oot f 3 LENGTH EXPOSED WALL(,FT. < d •a2.p d WINDOW AND OUTSIDE DOOR AREA Is. o? STUN STUN BTUH •TUH STUN S WALL CONSTRUCTION UO ROOM LIN.FT.OF (Table 9,Line 9 x H) goo,0 ��00� �0 U TOTALS RADIATI N 6 J TYPE OF GLASS �) FROM LINE 12 SELECTED I Bottom of table used for Line 61 ::i o-V 4?00 4900 7 CEILING CONSTRUCTION .�J `O� �U� �� � C /7�X� ITable 9,La T -- d Jo - e FLOOORCONSTRUCTION? � (Table 9,L x W or Lin Ft.) '_�- �r E 46,040 9 COLD PARTITION CONSTRUCTION F (Table 9,L x HI G 10 _c 1 Wall(With Openings) o ,p/ OD �; H 2 Walls(Wits OpaningaI aX �� 0 Z oO ZZ0(, J 3 Wells(With Openings)or Ent.Hall 1 it TOTAL ETUH AT 7OF TEMP DIFFERENCE' 30 70�> 7QG Y 12 TOTAL OTUH AT DESIGN TEMP DIFFERENCE Q QQQgo- U K « ' L z���--r-s--_ --- ----- Q L% VOL'A - -- - - _- COL.9 COL.H _ - COL.1 COL.J COL.K COL.L TO AL STUN TOTAL 1 ROOMS OF•UIL•DING RADIATION tL RS C/ a A AT SELECTED __ O H L W N L W H L W N L W H L W DESIGN TEMP.* c, 2 ROOM DIMENSIONS DIFFERENCE ,FT U 8 /L� / Ja �Z 0 3 LENGTH EXPOSED WALLS,FT. et 0 4 WINDOW AND OUTSIDE DOOR AREA t` 3� •TUN STUN ETUH .•TUH 1T S WALL CONSTRUCTION n *INCREASE BATHROOM (Table 9,Line 3 x H) r 1 S40D TOT^L 20% 6 TYPE OF GLASS (Bottom f tabl used f r Line -�" tFOR CONCRETE FLOOR ON 7 CEILING CONSTRUCTION GROUND OR FILL AT (Table 9,L x W) .OS O©Vy—jQ6) GRADE LEVEL.USE LINEAR 0 FLOOR CONSTRUCTION? FEET OF EXPOSED EDGE (Table 9,L x W or Lin Ft.) 9 COLD PARTITION CONSTRUCTION ITable 9,L x H) �'- 10 _C 1 Wall(With Open-ros) �_ Q/L O 0 O C z 2 Wall$(With Openongs) e X ,Q/ �J 3 Wally(With Openings) r Ent.Hall 11 TOTAL STUN AT 7OF TEMP,DIFFERENCE' 3 t4 6 IVA00 17noti 12 TOTAL ETUH AT DESIGN TEMP.DIFFERENS& Q oUQ Tnu f rnt IS available from The Mydr nk•Institute,35 Russo Place,•arkelay H IOhtr,N. J.07922 FORM 1503 Electric# g �� APPLICATION FOR BUILDING PERMIT Plumbing# 107 TRUMBULL LANE HVAC # O 25080 Date: LA - \ Sprinkler# No. FINAL APPROVALS Estimated Cost $ i 2 Building I COMPLETE RED BOXED AREAS Permit Fee $ Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. G � / Total Fee $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ Th undersign d hereby applies to do work according to the following specifications: Job Location \CM t-4-zi P,\\ .t. Lot No. Side of Street Zone Applicant {����> � �;,;,�5 Tel. # l:Ga� dress �y y '\+a\ csC�C.j<\\� \)ess�v-� �- Zip C ,y- U Lic. # �S k- S S ner ,� LS,i Address \v-1 IF - chit ct Address- -I191q Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area #Rooms # Lavatories #Bathrooms #Garages Purpose of this permit: "41'�\\ k-.>�`n * o City Water Well ❑ ptic System ❑ Sewer Use Group Construction Type Area / Bas m nt Garage Approved by Date Revised 6/95 hereby agree to conform to all the requirements of the Laws of the State of C n ecticut and the Ordinan of the Town of South Windsor and to notify the Building Inspector of any alteration in the r specifications of the ' ing for which this permit is asked, and agree that this building is to be located the pr d' a e fro all street lines,s( yard lines and required distances from all other zones and is located in a ne in w t its Signed I hereby apply for a Certificate of Occupancy for the w nbed in this appli io or the permit Signed -- DO NOT WRITE BELO IS LINE -- INSPECTION OM NTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 98-25080-B 12,000 E02 UNDERGROUND 06/02/98 DCJ A TRENCH AND BONDING E10 FINAL 06/09/98 DCJ A H10 FINAL 06/09/98 DCJ A B10 FINAL 04/01/99 DCJ A 98-14866-E 450 98-10139-H 900 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPRO D 1540 SULLIVAN AVENUE 046-080 644-2511 ext.230 Date Building Inspector Application must be printed or typed o 7 Location of job Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER 0 or any fraction thereof p ADDRESS ) D q -r1\Ol 6UL 1^'A 0 SO, O R GT OWNERS PHONE# APPLICANT OW NSt ADDRESS 9 W lk CIO) ESTIMATED COST$ Dy C IS THIS A CONTRACT COST? k YES NO jam : G FEE ENCLOSED $ d OR-CO.� TYPE OF JOB: S ��d� Original Installation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED A RESIDENTIAL BUILDING PERMIT APPLICATION ftS / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY 6 MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD h s� SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED 7 YES/NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK 1 � t `�0r ► t� v A d THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. Q. ?o NAME STATE LICENSE NO. TYPE N TURE OF APPLICANT PHONE NO. 0 7 J b DATE 1540 SULLIVAN AVENUE•SOUTH WINDSOR,CT 060742786 R.cO AREA CODE 860/644-2 5 1 1 15% FAX 860/644-3781 March 29, 1999 CERTIFIED MAIL Z 419-174-533 Mr. Andrew Dean 107 Trumball Lane South Windsor, CT. 06074 Dear Mr. Dean: Pool season is almost here. I would like to remind you that the Building Permit(s) #25080 for your pool is (are) still open. State Building Codes require the issuance of a Certificate of Occupancy prior to its use. Please contact our office for a final inspection prior to the removal of the winter cover or adding any water to your pool. All permits must be closed by May 1, 1999. Should you have any problems meeting this date please send our office a letter stating the reasons. (The pool still can't be opened). If the pool is opened without the benefit of a Certificate of Occupancy a caveat may be placed in the land records stating there are Building Code Violations on your property. Please call John Collins, Chief Building Official, or myself should you have any questions regarding this. Our office hours are 8-9am. and 1-2pm. The phone number is 644-2511 ext. 232. Very trul /spurs, o as C. Jourdan eputy Building Official SENDER: I also wish to receive the :Complete items 1 and/or 2 for additional services. a ■complete Items 3,4a,and 4b. following services(for an ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. 10 ■Attach this form to the front of the mailpiece,or on the back If space does not. , p Addressee's Address ` permit. Z ■Wnte'Retum Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted D livery ■The Return Receipt will show to whom the article was delivered an :; deliv red. IQonsult postmaster for fee. c 3.Article Addressed to: _,46.Arp lu r a Mr. Andrew Dean �v ,Z, 41971174-533 3 4b,t 4rvice T r 107 Trumbull Lane � t3�F4glste�zdC., Certified W So. Windsor, CT 06074 � p Insured .I ipt COD � 7.Date of Delivery 5.Received By:(Print Name) 8.Addressee's Address(Only if requested and fee is paid) 6.Signature:(Addressee or Agent) a°. X a PS Form 3811, D rn r 1994 Domestic Retum R ceipt UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid USPS Permit No.G-10 • Print your name, address, and ZIP Code in this box • TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 060 74-2786 I I Electric# APPLICATION FOR BUILDING PERMIT. 107 TRUMBULL LANE Plumbing# Date: li -- 02 —9 i-' WAC # 0 No. HVAC # 1013 9 H Sprinkl r# FINAL APPROVALS Estimated Cost rya- ad Building COMPLETE RED BOXED AREAS Permit Fee $ Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee $ a TO BUILDWG DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned h reby applies to do work according to the following specifications: Job Location /j 7j—o im In cu/ I /—,,!�L ty r-'Lot No. Side of Street Zone Applicant h P"a h j- !Aura r-A21= a::j C' Tel# / G kele- Address_ jq J J Q R aL W 1 N p SD F, C' Zi p r Lic.#a2 D 7 3G Owner j3 -,o�,&j ,P,T_ /Dc-%q R Address ZDT�'2ze,o, 6 c-1 41 L,t Az Architect Address Sq. Ft.New Area: lst FI. 2nd FI. 3rd Fl Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpos of this permit: -7,o [n s-a L l "Oc,4 7-4c j1:7,ro&7 i h e do n 0 7f' City Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. Area Basement Garage Approved by Date 2 1 qA Use Group Construction Type R•v:.d 1/97 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 distances from all other zones and is located in which this building and its use is allowed. Signed ;0'e 01 I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERNUT 4 �14 Application is hereby TOWN of SOUTH WINDSOR BLUDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE 6 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of job Street No. Street Lot No. FEE SCHEDULE a- $0 - $1,000 - $12.00 Floor Apt. No. Over $1,000 $12.00 per$1,000 or any fraction thereof OWNER vvu ADDRESS 10-7 7f"& % Vt./. OWNERS PHONE# APPLICANT 0 VN a k-4 ADDRESS < ESTIMATED COST $ IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ OR CO TYPE OF JOB: Original Installation Alteration/Addition Repair ReNrised 11/95 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAL A/C COMMERCIAL VENTILATION INDUSTRIAL IDEATING STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT LOSS(BTUH) (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) TYPE OF FUEL OIL-GPM GAS-INPUT ELECTRIC-KW OIL TANK SIZE&LOCATION INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY AIR CONDITIONING DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. STATE LICENSE-NO. NAME&TYPE SIGNATURE OF APPLICANT PHONE NO. DATE