HomeMy WebLinkAbout12 Victorian Woods Lane TO THE BU11DING INSPEMB
APPLICATION FOR
•ZOWN (W W94DSM C 01 L PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT— Affficieat >ti emie
pleft all itma in SmWens: 1, 11, lll, IV, wd IX.
1• AT (LOCATION) =E 6t'4&
0 iT1�11CT�A—�
LOCATION f Ne.i (STRUT)
OF WTWCU ay 0 ANO 6 MiW u/6'4 (f/k
BUILDING lelto Tell
?I (CROSS •Teti?)
I s llflslom swo l h LOT L Kock U* Ije o
slli
11. TYPE AND COST Of BUILDING - All applicants complete Parts A - D
A. TYPE OF IMPROVEMENT 0. PROPOSED USE - fer"Wr•efsing"meet Meant woo
1 maw building Residsntiel Nawrasidantiei
2 Addition(// residential. ewer wssmbe► 12 f,One fenny t6❑ Amusement, recreational
/ now bosssity emus added. if my.
in Pwt D. 13) 13❑ Two w more family — Enter 19❑ Church, other religious
wtrRs641 o/Units— — — — �.� m ladus
❑ triel
3 ❑ Alteration I'SII 2 above) 14❑ Transient hotel, m wel, 21 ❑ Puking gerago
4❑ R pair, replacement or dernitery - Enter#ti mber
s❑ wrecking 11/multi/daily residetatial. o/ uwits ——————— —.ep 22❑ swviee station. repair/ersp
enter xtwtbe►at writs sm buildina in Is[3—Gcress 23❑ Hospital. institutional
Pant D. 13) 16❑ Corpert 24❑ Office, bank. professional
6❑ AAeving (►olocstion) 29❑ public utility
17❑ Other — Spies/y
7❑ ftoundoNon only 39❑ School, libreryr, other odu•etionei
d. OWNERSHIP 27❑ Stores, msrow"i i
• Q Privot (individual, swpe►ation, U❑ Tanks. towers
]c nonprofit instlhnion, •ts.) 29❑ Other - Specify
9 ❑ public(Federal. State, or
col g vernmtent)
C. COST Mast Cents) Henresidential — Describe in detail proposed was of buildings. .g.. food
processing plant, machine shop, loundry bwiding of hospital, elementary
10. C of f improvement,,,,,,,,,,,,,,, 4 school, secondary school. Celle". pwoshiol•school, parking gorege for
deportment store, rental office building, office building or industrial plant.
To be installed but not included If use of existing building is bung changed, enter proposed use.
in the above cost •/ D'
a. Electrical......................
b. plumbing ...................... zot
C."acting, air cottditlening.........
d. Other(•I s ter, ots.).Z
11. TOTAL T OF IMPR V 110111INT 7 a C6 ;Cc. : 3 7o7 -L 3 IMl
III. SELECTED CNARACTERIS►TICS OF BUILDING - For now buildings and additions, complete Parts E - L;
for wrecking, complete only Part J, for all o►liers skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 n Masonry(mall bowing) 40 Public or rivete company As. Number of srerios................
31 Z Need home 41 Privefs(segue tank, eta.) 49• Total square feet offloor woe.❑ all flows, based on exterior..•... 1
32 Strusturol steel dimensions .
33❑ Reinfarced concrete H. TYPE OF WATER SUPPLY 30. Total land woe. sq. it. ........... ! 00
34❑ Other - Specify 42 Public orprivote company
43 Private(well, cistern) K. NUM61R OF OFF-STREET
PARKING SPACES
P. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. tnelesed .......................
35 M Ga• Will there be central eir 32. Outdoors.......................
S6 Oil e•wdlNawiwg>'
L. RESIDWIT1AL •UILDINGS ONLY
37❑ Eloatticity ❑ Y • i6� N 33. Number of bsdma ms..............
38❑ Coal
31❑ O*w— Specify Will there be on skmeter" 94. NnwMr of Pull..........
46❑ Yee 47[ZNe baMtt.p.e L
ParMal........
IV. IDENTIFICATION — To be compieted `r ail applicants
memo Mailing eddr ss — Number. strael. ccty, and State ZIP a do T 1. N
Owner or
2.
canrr.e• .
3.
Archlreet Or
V3 W44
En9ineet iS L.A)(VJ—'R� �JC a
Th owner of this building and the undersitned agree to conform to all applicable laws of this jurisdiction.
59 F applicant Address Application date
C1'1r�"ftxt C,►2Qs� /
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R vi w Required Check Plan Review Date Plans Date Plans By Notes
Fee Started By App►oved
BUILDING
PLUMBING S
MECHANICAL S
ELECTRICAL S
OTHER _ S
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
!dum r 9
Permit or Approval Check Dote Obtained Number By Permit or Approval Check) Oat b
Obtained
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARO
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
F
ALIDATION
ing / 7
Permit numb r
Bui Iding
Permit issu d O 19
SuiIding
P rmlt F S
Appr v d by: r
CJ�
TITLE
w7 f--L.�-1'A)q Oc TQk I A A) /moo
f-RI)tj K lr tov)ORi ND °d Sdn�S Permi t # J7,1 7'f
"i2 d�
� r
Electrician #106S76
Heating Contr.0,e rOLLE/I-rAI'C, # 7 ,�
Plumbing ►►�1,�/� Y�iZL�� „�/�C• #��/a
Oil Burner #
Certificate of Occupancy n # J 7/ 7 ,, G
Sewer Permit � `'
PLO T P"1\1 A PPRo rED fi s W67
INSPECTION REPORT
c--
Permit # 7 7 q Job127--51
1 Footing No
2 Foundationel
3 Framing
— 1 �(
4 Wiring '/DS7(-�
5 Plumbing
6 Heating
7- +*g C)—c� ��
BUILDING INSPECTION DEPARTMENT
SOUTH WI N DSOR, CON N ECTICUT
FEE PAID: $3.00
CERTIFICATE OF OCCUPANCY
ZONE: DATED September 29, 1988
This is to certify that 1e'Jictori6l1 Woods Lane
Eracted under permit No. 17174 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— Single family dwelling
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.
BUILDING PERMIT CHECK LIST
Applicant 11 1(1010'-Irf. -4. '7-y, k Building Permit No. 7) 7�-{
Address �y�, .;�,�, ��, -;_,� Date Submitted f7 l-r.-z. i dy
Lot No. -:V - Reviewed by
Pro j ec !, - r 1.k'-v')_ !-4Qv1C Date
MOM a
In accordance with the 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 :
Appro ed 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, distances,
-71 building lines, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate.
e. Building location with dimensions.
Elevations of proposed finish floor,
garage floor & center line of road at
driveway.
f. Elevations of gravity drainage systems,
sanitary & foundation drain at the
house and the street.
g. Tentative utility location gas, electric,
/ water, etc.
h. Title block with name and address of
preparer, date appropriate certification,
live seal and signature. 1
5. Sedimentation and erosion control.
6. Special Planning & Zoning, Inland/Wetlands
considerations. (Plans on file w/Town Clerk)
BUILDING DEPT.
PZC -
IWA/CC kr
WPCA
OTHERS
COMMENTS: �
I�+ A-a n Tk3 rti►� S. r
ELECTRIGAL APPLUTION
Application No.
on the S�ci�� tide.f
Za
t �el
Strcet No.
Owner
Electrician
FILED IN OFFICE OF
The Suiming IMtpectar
19
INSIPSCl ION.
sw No Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
in New Buildings no wiring aW be started
until the plumbing and heating pipes. and the Are
stops tit of wood) are installed. without a special
permit from the oMce of the Building Inspector.
Ill
Fledricsl Permit Noy .L..� �'76
• Muter License Nm 9
TOWN OF SOUTH WINDSOR Building Permit Nm f. Z• -«�--
Date Filed �-�••�
BUILDING DEPAWMENT o
APPLICATION FOR ELECTRICAL WORK
n i
OB LOCATION: 4✓adlo JOB OWNER: .1�1!.
�SQ 'T ... Side of .�C..7°n.�"q"_moo 0......... Between ............................... �?._._..... _.._ and c�
L. T G C- c" Address 3- c T /y v�._..:5'o
Name of Building Owner ..._ •-•••••••w •••••••-••••••---•• '�
If w rk is for Lessee-Give name ..... .-.••-..••-•- Address �1
Building now occupied as (unless new) . .�....���f No. of family units nowBuilding to to be occupied as s/� . • ,••�� � •.mod ov�. Number of family units to b
Permit?
Is this work included in a Building •... :f•-•••..-• Permit Fee ....._.._.....-
;� (Ii no BuAdioe Peewit)
Permittee !�! �.,� ... .......� !'• •................. _ Business Address s?o_ o sTc°� ST Tslephona
COST OF INSTALLATION ._.. ........::......-
•I'O BE FILLED OUT BY PERMIT TEE
TO BE WIRED EXISTING APPLIANCES
Number of light outlets to be installed Number of present Appliance Circuits _.....•
Number of convenience outlets to be installed .......••••
Number f switches to be installed ••• •�. -••••••• Do these include Range ❑ Water Heater ❑
Number f appliances to be installed ..• ... -•---
(as listed below) Dryer ❑ ?sir Conditioner ❑ Oil Burner ❑
TYPE RATING NO' Dish Washer ❑ Gas Burner ❑
Yo /
Range . . . . . . . . Well Pump ❑ Elec. Heaters ❑
Range Top . . . . .
Oven . . . . . . . . REMARKS
Water Heater . . .
Clothes Washer . . . •
O
Clothes Dryer .
�o
Dish Washer . . . . . .
Air Conditioning Motor .
Oil Burner Motor .
Gas Burner . . . . . . "
Csrculator Motor . . . .
Attic or Large Fan
Well Pump . . . . . .
Electric Hest . . . . .
Other . . . . . . . •
Number of new Lighting Circuits
Number of new Appliance Circuits . . .
Number of Heating Circuits . . • •
Number f Motor Circuits . -----
Size of present service . .--••.-�•..- --- •------ -
Sise of service to be ... -
PLUMBING APPLICATION
i
App4catioo Na
on the ......_........_ Side of
Sam
,
Strat
Owner
Number .... ._
Filed in Office of
The Building Lrpecaw
II�reeso�o�
No person " emsttuct, add is or alas a'
portion of the dcaime qw= of ay bal&g
(except to t+epsir lab) until a Bess" is wama
by the Bull M Impec e.
APPLICATION FOR PLUMBING PERMIT (C ntinu d from Rev rs Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB
p, STREET FLOOR APTAO.
GENERAL PLUMBING
n H
12. KIND OF INSTALLATION rl a L' ) 13. SIZE OF MAIN DRAIN '7'
14. NO. OF TOILETS ' STYLE 23 6,a 15. NO. OF URINALS STYLE
16. NO.OF BATHTUBS 2 17.NO.OF LAVATORIES 18. NO.OF SINKS�_ 19. NO. OF WASHTUBS
l�
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
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? �,S 27. SIZE OF WINDOW
28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? YZ70S
SIGNATURE ADDRESS 2Z -
�?
LICENSE NO. ® ��ESTIMATED COST 619 TELEPHONE
OWNER ADDRESS
L1
WATER HEATER
31. TYPE 32. MANUFACTURER Oe r
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.
�/z 64wztv��
C0962 DATE SIGNATURE OF APPQ14T
• Application For
DEPARTMENT DECISION
Hd�WOMB P rmit
AFMCATION Is NEMV:
DBPI1wTMM OF I.IC� AND 11�9!'®CTIO ,
�A!<�OtlEO E3 01lA!'A011q
.� TOWN OF SOUTH WIN DSOR.
oQ -
W M1t 61 owscm Apfts" N-M N vmm M em on"
•� 1. LOCATNNI oaf
d2x All)
Lw w. now M
a. owNEII
S. AMOM
,Z)
12
.. AoDMS
�J"V/,&"
•
�� ? �.rNONE
9
.. Lwl N Na
.. ix�IAATION OATS of ucE
.s Ir �. pTN�IATEe oosT • ,2' Dt,7 61• '00
�. W TM A ooNTI W Me! ❑ ON
OIL m alaom 7/?
Is. Tm of @OLD"
M �IA� ❑ CwM�wC1AL
❑
++ v 14. 7YK Of JOB:
n aWW!L__ n µTtiu►roM
APPLICATION FOR HEATING PERAUTc fx i- lte.w"/) I �
IL LOCATION W IZ rwm APT.IM.
o ,IENTIL.ATIO�II c� S�LIIELae
I=.� TVK OF NWALLATUM ❑ oIL mma .3 0japic
to .m BIIm= Q am= D urCINBRATOR ❑ ms nLu
SIZE
12. OF 'A F" OF VNI
t R.T.U. EQUIP. AT REGISTER RNACE MAKE AND NO. AT BONNET FIRING TE
BOILER OR FURNACE MAKE AND NO. R.T.U. OR SQ. Fr. NET 0 p00 R.T.U. OR SQ. FT.GROSS / FI NG RATE
FLOORS TO RE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO P
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. 12nd LT.UJSQ. FT.mR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. L�
OfiCEPI ON OF Ill a
Is. TO 119 DON
Is. MEAT LOOT SCHO)ULL (TO BE INCLUDED FOR ALL JOW:
weir was AAtA - SCPJ* I RRT "06� OflTM OUTON INwo"KD
Tara t'OrAL J t ,� _
QO��1 NIL Mr SVANI ANT YfILN1Y �LOO�1 wrem
VA R. IR N•1 `j TrN;AIN Nft A~' 00 AOSA
V M � NMRTJ �. TO • S M. IT. priS &MA
TOTALS
A. HEAT LOSS FROM BUILDING LT.UJHR.
L DOMESTIC HOT WATER DEMAND B.T.UJHR.
C. PIPING.OTHER THAN NORMAL LT.UJHR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY-
Mots weRsss
SUBCONTRACTORS AND
is. THOR TRADES
ALL WORK COMED BY THIS AFPUCATION HAS BEEN AUTHORIZED BY THE IOWNER) OR (AG&M OF THIS PROPERTY AND Wtu
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
DPLICATION TO BE COMPLETELY PILLED IN.
O wN t R
LAI C-76
Cie, LIST
AOOREis100,
T YPE P 84MLOING DATE �-
• CONSTRUCTION
DESIGN TEMPERATURE DIFFER[NCt •'. AVERAGE WATER TEMPERATURE
C L. A •
i floodsCOL. 0 COL C COL. O COL. E L. '
EleL w N L � 111 Rom Oiftewslews, Foe / l /� L w
I/ Z3 Z
l Long$% Imposed • Ilse //. / BTU/MR _ZL 2_ BTU/Hit BTU/HitMe MORMON
AOOM
s G..• well Also, $q. F►. S BTU/N R B T U/M A
l 76 REQUIRED /`76 REpU1AE0 .33 REQUIRED LID REQUIRED REOUIREDI TOTAL$
72
Oleo* : 'i. b Z. ZZ�o p0 FROM LINE 11
• ++.► well A. �. o 7�0 /b/ goo Z 9 i 2—
C.111, A.N. f to ~ C by . 6 66 o
v goo
tro • F ies• A. /1. t
�l • Reeve V Iwo• N« 49
.....,.cw . .... .....3 ?.. z- ..IC�..O........jj Z ®o Z C op
Iw N11v.11M ..02 7 ... `.»l�...... .............. ...........•..•...••..
ce. roe , 6 ....Z. .!f`? o l3Soo
10 TM 1 B TU/IIA A► 7Of T.wy. OIHedrewse • a ......................
•10100 MENGC
1 i Total BTU/MR At 0 sign Temp. 011lerewse 4 6 pp E t'I 3��
/3S 01✓
17 Nee/ 01601$eHwR Units `//
COL. A COI. G COL. N � COL. 1
0 15`6 b
'IG
COL. J COL. K
L w N L w N L w M L. 0lwewslow Ff. 8 .�� L w
rA E■pes.d wells. R►. /O S ZO1 _= f
U/NR Z U/ U/N U/NA U• well 4ee. $4. 't. lrp REQUIRE -S(6 AEOUIREO 2. REQUIRED REQUIREs A. $ f1. 6 REQUIRED 20fp
ap12all A. Sq. f►. ~ �0 7 Z � 0 30 pa JGt7
• Flow
A. f►. ♦ , Z's. oo / 3 S G b Z�rs Z6o S� 6�
• Room V leas F« .4 Q
IwNhr•N.w .....f.�. '�.... E
��. �......2 .. ...$..Bo �.Z '. �.... .�d caofl • Ui
Co.F1. .. ...... Ts•.1 T N w
O 6 I tell�w.s •.
` 0 T.►.I BTU/NR es 70' Tsie'. Dlllesews• • pp - OOli1w Tws.
MM,
I�1 T ►el BTU/NR N Design Tempe7�
OIH«ewe. / /STD 2aSo Noe/Olssri�r►IwR Uwi• 401c>
Z Y2L' /�' C, 3�i ' ONE
• IwpN 1106►eow Teel !eve • This In as I on s.lswl4►1ew .qd e•►lie.► sA of 1• !.. the 'Ws of h .11w• sM1.N*•I•
and
TF•. $$veers# hoer so Ir.ewd or 1111 M erode 1 Vol. ea Ilwe« 1 at 1 ••�.s.d dEo. mpor.tlowl 1 the bee�1•Imp•tew based sw�1�•s Isel•1 w• s.wlf♦Iw.1 eve this *hove N
E '.
N o11$rhos Now%see•,rs# low 1 ergs. oa.