HomeMy WebLinkAbout12 Virginia Circle FINAL�SP,-2_: 9) L APPLICATION FOR BUILDING PERMIT
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HVA 7-26-2( �i Date: Zf
HV riQkler 12 VIRGINIA CIRCLE
Electra - Estimated Cost $ f2
Zoning Permit Fee$ / 2 cc'
Affidavit NO. 18852 Occupancy Fee $ 3
Eng. Dept �
COMPLETE RED BOXED AREAS. Total Fee $ _/k�0,3
Fire Dept. TYPE OR PRINT ONLY
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO. 7 -I 4 J/�— (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location e- Lot No Side of Street Zone
Applicant 4eile Tel. #
�Q �-r✓� ���: Zip 06 b�® Lic.#
Address EET
CITY STATE
Owner Address
Architect gr*'.4YJ�� Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area 'Z 1 #Garages 2
!- Lavatories
No. of Families ��'No. of Stories '2- Construction �—Bathrooms Rooms lst-,X-2nd '5` 3rd
Size of Lot 04(2 73,3 -S•r Dist. from Stet Line Dist. from Side Street Line
Purpose of this Permit /E' ^'M"l llr
City Water Mk"' Well 0 Septic 0 Sewer
Approved by - Date 70 BD1A"/�
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 a zon in which this building and its use is allowed.
Signed
1 hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
—DO NOT WRITE BELOW THIS LINE—
�� _i �a ( INSPECTION RECORD
Footing �� �, Frami i i - 'L� `�1 y
Foundatio�TJ ����c�4 �� Fireplace/Chimney Insulatio �'ZS-q� —.-
Plumbing Permit# -7 Inspections: t G%
yh
HVAC Permit# Z13 ���� Inspections:
Electrical Permit# Inspection`+
Sprinkler Permit# Inspections:
rTE s erc ra+ �s�•.i�w�., »t1�.., n w ty' ."�',. �a.gtq
BUILDING INSPECTION DEPARTMENT
SOUTH WINDSOR, CONNECTICUT
FEE PAID: $3.00
CERTIFICATE OF OCCUPANCY
ZONE: DATED „�r,'' -� 19
This is to certify that 12 Virginia Circle
Erected under permit No. 15952 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— New single family dwelling -- Lot #5
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 or extension of the use herein approved►squires a new certificate of occupancy.
CERTIFICATE OF OCCUPANCY CHECK LIST O
U&R Construction Certificate of Occupancy
Applicant
Address _—??_yi 11} },�. Q.i .e Bldg. Permit No.
Lot No. _5• Date Submitted
Project Rstates Reviewed By
Date
As required in the Zoning 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
inlcude:
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
foundation drain
C. electrical & telephone
d. water
e. other
5 . Appropriate certification
6 . Bonding
Sewer Permit No.
Pavement Excay . No.
COMMENTS: _
-W 'f.��'7'�' 7.?�2 tea"
a
CERTIFICATE OF OCCUPANCY CHECK LIST
PP
A licant U & R Certificate of Occupancy
t
Address Bldg. Permit No.
Lot No. 5 (12 Virginia Circle 1 Date Submitted 6-19-91
Project O Reviewed By
Date
000
As required in the Zoning 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
inlcude:
Approved Denied N/A
Af
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
b. foundation drain
C. electrical & telephone
d. water
e. other
5 . Appropriate certification
6. Bonding
i
i
Sewer Permit No.
Pavement Excay . No.
COMMENTS:
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Applicant V49- Go�8'tr. (a`�3 '�551' Building Per : I1o. 4r/ve.5
Address q t=7 Date Submittc
Lot No. /'l Reviewed by J14"
Project rd ��' Date ifs/9+G
In accordance with the Subdivision Re�-ulations, prior to the building of
any structure on a lot, a Topographic Plot Plan shall be submitted for
approval. . The minimum requirements sh411 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,
fl oodway, etc.
/ 4 . Plot plan at 1" = 4 0 ' scale.
a. Subdivision reference, abutting
properties , etc.
/ b. Easements of record.
c. Lot description, bearings, distances ,
building lines, area, etc.
d. Contours, existing & proposed, 1 or 2 ft
interval where appropriate.
f 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.
AW
5 . Sedimentation and erosion control .
X S;1i r.*AfA Sk*JJ log 0@,Aj4^11ecl %I SUew% .
�4 6. Special Planning & Zoning, Inland/Wetlands
considerations. (Plans on file w/Town Clerk)
BUILDING DEPT.
P ZC _.r
IWA/CC
WPCA
R
OTHERS
COMMENTS:
C!' LJ S_l:
15,E Building
Applicant tj$K Co�Srtr. &`f3 1 g Permit i,Io.
Address C C�E. �ST. rt-Nc�f�t-try Date Submitted Address
�G
Lot No. /� 1/� ��� C�^c Reviewed by - _q
Project O X rd �.f' Date Ls
In accordance with the Subdivision Re�--ulations, prior to the buiedi g of
any structure on a lot, a Topographic ?lot Plan shall be s
approval. .,.-,The minimum requirements shz.11 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,
fl oodway, etc.
4 . Plot plan at 1" = 4 0 ' scale.
a. Subdivision reference, abutting
properties, etc.
/ b. Easements of record.
c. Lot description, bearings, distances ,
building lines, area, etc.
d. Contours, existing & proposed, 1 'or 2 ft
—�� interval where appropriate.
f 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.
5 . Sedimentation and erosion control .
.r S;I} F•wct Skejj be 43 tueww .
44 6. Special Planning & Zoning, Inland/Wetlands
7 considerations. (Plans on file w/Town Clerk)
BUILDING DEPT. -
PZC
IWA/CC
WPC A
OTHERS
COMMENTS:
PERMIT �E
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby: '
TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644 -2-11 Ext. 230
Date lding Inspector
Applications must be printed or typed.
1. LOCATION OF JOB
,far
FEE SCHEDULE No. Street
i
Floor Apt. No.
0 - $19000 - $10.00
Over $1,000 - $10.00 2. OWNER
per $19000 or p
fraction thereof 3. ADDRESS
I , 4. APPLICANT
5. ADDRESS,p7�y ��yc�vGaL�r
ACTUAL COST $ FEE $ 6. ESTIMATED COST $
- ESTIMATED COST $ FEE $
7. IS THIS A CONTRACT COST? Q YES NO
FILE COMP. BY BALANCE $ 8. FEE ENCLOSED $
9. E OF BUI LDINX:
j RESIDENTTAi. C1 COMDIERCIAL
10. TYPE 01 j0c):
i
ORIGIN;;T, ALTEP,A'rIov
tt�----��rr
i
1.ySTA].T.�TTc)ti C3 ADDITIO
REPAIR
APPLICATION FOR ELECTRICAL PE1Arr(Continued tcom t:everse Side)
11. LOCATION OF JOB /�N� 6�✓'��''�� C���
NO. STREET FLOOR APT. NO.
12. TYPE OF INSTALLATION `S
13. SIZE OF MAIN FEEDER
14. NO. OF LIGHT LOOPS 15. NO. OF HEAT LOOPS 16. NO. OF P'ORR LOOPS
17. NO. OF LIGHT OUTLETS-5 / 18. NO. OF HEAT CIRCUITS Od-,19. NO. OF POWER
20. NO. OF CONVENIENCE OUTLETS.5�'/21. NO. OF HEAT CIRCUITS&':22. NO. OF POWER CIRCUITS
23. NO. OF LIGHT CIRCUITS '7 24. SIZE OF HEAT CIRCUITS��25. NO. OF ;IOTORS
26. NO. OF PANELS &4/J& _— 27. TOTAL WATTAGE 28. NO. OF POWER PANELS
29. NO. OF SWITCHES �rI 30. A/C LOAD _ 31. SIZE OF POWER FEEDERS_
32. NO. OF FIXTURES �� 33. TOTAL HORSEPOWER
34. NAMES OF SUBCONTRACTORS AND THEIR TRADES _
35. REMARKS AND FURTHER DETLLS:
910
LICENSE;NO. SIGNATORE F APP DALE
PHONE NUMBER:
Lot No. .
Building Permits �QttP
Temporary Service /
Permanent Service
Pursuant to Permit No.
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
Owner 1 Electrician )lZe-
Street n ��//'�^ice (_ //I.
L- r
19
Building inspectdr
PERMIT NO.
f76 7
DEPARTMENT DECISION A P P L I C A T I 0 N F O R
Application is hereby: PLUMBING PERMIT
TOWM OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
/m 644-2511 Ext. 230
Date B ding Inspector Application must be printed 4ortyped.
1. LOCATION OF JOB:
FEE SCHEDULE 2. OWNER: U e
$ 0 - $1 000 - $10.00 3. ADDRESS: � � �� �
Over $1 ,000 - $10.00
per $1 ,000 or
4. APPLICANT: i
fraction thereof
5. ADDRESS: 46�� f
V
6. EST. COST: $
7. IS THIS A CONTRACT COST? YES fiNO
8. FEE ENCLOSED:
9. TYPE OF BUILDING:
_RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
9P�-MIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Rever Sidle)
r -
11. LOCATION OF JOB:
GENERAL PLUMBING
12. KIND OF INSTALLATION: r 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYL e/ 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS / 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES 3
18. NO. OF SINKS I 19. DISPOSAL 19A. DISWASHER ll�-
20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS`L_SIZE
22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND h/ .M
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? �f
27. SIZE OF WINDOW S x
�--
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN z 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
1:,20 a/G v
LICENSE NO. DATE SIGNATURE OF APPLICANT
ONE NO.
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: -7 �.9 y�
(NO. ) TOWN OF SOUTH WINDSOR EST.COST:
BLDG. PERMIT N0. ��'7 1540 SULLIVAN AVENUE FEE N
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 $ 0 - $19000 - $10.00
• $1000 or fraction
LOCATION OF BUILDING /� �� �•+�' thereof - $10.00
�? V,3- 5
OWNER ADDRESS TOWN PHONE N0.
'_7 (!-e
HVAC CONTRACTOR ADDR TOWN PHONE N0.
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: INSIDEI OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE Q OF INSIDE Fd OF DIFFERENCE 06 OF
TOTAL HEAT LOSS (BTUH) , �� d (HEAT LOSS SHEET MUST ACCO� APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): /
� z2f0_;L
-
GROSS HEATING CAPACITY NPUT-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:
STATE LICENSE - NAME & TYPE # FGNATURE OF APPLICANT
APPROVED DATE
BD 4A 11/88
I - B a R CALCULATION SHEET 1W3 (Modern Method) Copyright 1977 by Th Hydronics Institute
nn ��(( u /
OWNER �DDRESS DESIGN TEMPERATURE DIFFERENCE/9 DATE L
COL.A COL.B COL.C COL.D COL.E COL.F COL.
1 ROOM ¢ Z—/tl
O H L W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS, FT. ~ �p
U BTUH per F t of
3 LENGTH EXPOSED WALLS,FT. < 6-e7 Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA IL �pG �-
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION ROO LIN.FT.OF
n
(Table 9,Line 3 x H) 16 gj/�V(/ o t/ on o TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
(B ttom of table used for Line 5)
7 CEILING CONSTRUCTION �( /) �/ /l/ !) C lo. 0 1-7
(Table 9, L x W) .0 D-6 Q CJ O`-' Q OV O v 00
9 FLOOR CONSTRUCTIONt D O
(Table 9, L x W or Lin. Ft) E
9 COLD PARTITION CONSTRUCTION F
(Table 9, L x HI
G 000
10 _c 1 Well(with Openings) �; .01 /(o o / p v 3
H
c i 2 Wells(With Openings) -X Q Q �� Z ZO U
3 Wells(With Openings) or Ent.Hail J
11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 00 - 1/-76 s 0 , rZ
/
1Z TOTAL BTUH AT DESIGN TEMP. DIFFERENCE (� rod(� K
L �
COL.A _ _ _ COL. COL.H COL. COL.J COL.K COL L In A TOTAL BTUH T TAL
1 ROOM OF BUILDING RADIATION
10 40
AT SELECTED
fV
O H L W H L W H L W H L W H L W DESIGN TEMP.*
2 ROOM DIMENSIONS. FT F' / /O U p� DIFFERENCE
_ U �L C�
3 LENGTH EXPOSED WALLS, FT. 4 � d
1 WINDOW AND OUTSIDE DOOR AREA U. '1/
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION �) /`� �p *INCREASE BATHROOM
(Table 9,Line 3 x H) ,D ���(J -7V bU 0 TOTAL 20%
6 TYPE OF GLASS �) /�
(B ttom f table used for Line 51 �)_ _ O v (� (/ v O tFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION AT
/)
(Table 9, L x W) 10 V 80 U b 7 �) GROUND OR FILL�!—CJ V 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 Op nines) C Q/ 5-�
I± 2 Walls(With Openings) aX
3 Wells(With Openings) r Ent. Hall J
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' Q / 0-0
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE
FORM 1503
This form is available from The Hydr nice Institute,35 Russo Place,Berkeley Heights,N.J 07922
FOR OFFI E USE ONLY APPLICATION FOR HVAC PERMIT DATE: / - 9 - 9 /
(NO. c>f/3 TOWN OF SOUTH WINDSOR EST.COST: 02 ,fdd =-
BLDG. PERMIT NO. 1540 SULLIVAN AVENUE FEE jA/Q
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 $ 0 - $19000 - $10.00
$1000 or fraction
LOCATION OF BUILDING �,®�' � . f,g )//J?62'Ni4� thereof - $10.00
I�C�L�`
ff ���-�f,
OWNER ADDR SS TOWN PHONE N0.
14 1-B "/• Heafn,
yMatte•
HVAC CONTRACTOR ADD SS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL ✓
A/C r o— - n orb I Y 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
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.):
GROSS HEATING 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)
s
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.): Alp P to e,6_t
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:
4 , C S s leyn .
S / Soo -7/ F /-�-�/
STATE LICENSE - NAME & TYPE # DATE SIGNATURE O^v APPLICANT
PROVED DAT
BD 4A 11/88
I - B = R CALCULATION SHEET ISM (Modern Method) Copyright 1977 by The Hydr nits Institute
OWNER ua� Ccril5tr ilCre'irt ADDRESS �• ~���� ' l'�? K�I,eS v DESIONTEMPERATURE DIFFERENCE C tltl DATE ��f
C L.A COL.S COL.C COL.D COL.E COL.F COL.G
1 ROOM
tC
O H L W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS,FT. ~
U STUN per F t of
3 LENGTH EXPOSED WALLS,FT. < Radiation Selected
d WINDOW AND OUTSIDE DOOR AREA IL
STUN STUN STUN BTUH STUN
5 WALL CONSTRUCTION ROOM LIN.FT.OF
(Table 9,L one 3 x HI
TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
(Bottom 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 H
2 Walls(With Openings) D X
3 Walls IWith Openings) or Ent.Hall F J 1
11 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
O H L W H L W H I L I W H I L W H L W DESIGN TEMP.*
2 ROOM DIMENSIONS,FT U DIFFERENCE
_ —
3 LENGTH EXPOSED WALLS, FT. <
4 WINDOW AND OUTSIDE DOOR AREA u.
STUN STUN BTUH BTUH BTUH
5 WALL CONSTRUCTION *INCREASE BATHROOM
(Table 9,LIns 3 x H) TOTAL 20%
6 TYPE OF GLASS
(Bottom f table used for Line 51
7 CEILING CONSTRUCTION
--- tFOR CONCRETE FLOOR ON
( GROUND OR FILL AT
Table 9, L x Wl
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 -G 1 Wall(With Openings)
± 2 Walls(With Openings) X
3 Wells(With Openings) or Ent.Hall Fe J
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE
This form Is available fr m The Hydr nice Institute.36 Russo Place,Berkeley Heights,N.J.07922 FORM 1503
''dect ic'# APPLICATION FOR BUILDING PERMIT
Plumbing# 12 VIRGINIA CIRCLE
HVAC # Dat Cl
-7
Sprinkler# No. 24443
FINAL APPRO A A Estimated Cost $ 2, t�
Building COMPLETE RED BOXED AREAS Permit Fee $ (z
Wn�i TYPE OR PRINT ONLY Occupancy Fee
Affidavit SIGN ON REVERSE SIDE
Appr.f r CO. Total Fee $ /Z—
TO BUILDNG DEPARTMENT,TOWN OF SOUTH WNDSOR,CT (Additiorwl Cost) $
The undersigned hereby applies to do work according to the following specifications:
Jo6 Location /c,? U r Lot No. Side of Street Zone
Applicant C Tel# CI/YZ
Address Zip 0607 Y Lic.#
Own r S c%, . Address
Architect Address
Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: o
C/l��T? 1`c��U ��cl A t er
City Watvld Well ❑ Septic System 0 Sewer`s
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date 7 Use Group ^ Construction Type
Revs.d 1197
I hereby agree to conform to all the requir m nts of the Laws of the State of Connecticut and th Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the pl ns or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper dis ne from all street lines,side yard lines,and required
distances from all other zones and is located in which this building an it is allowed.
Si ned -
1 hereby apply for a Certificate of Occupancy�therk described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
97-24443—B 200
B10 FINAL 09/08/97 JFH A APPROVED FOR CLOSEOUT
� e
eactnt l�a1� APPLICATION FOR BUILDING PERMITS—
Plumbing# 16 12 VTRC;TNTA CTRC'_T.F
Date:
HVAC # 194 25324
Sprinkler# No.
FIN:q:
LRO Estimated Cost D o0 0
BuildinAD COMPLETE RED BOXED AREAS Permit Fee $ 12-y
"� TYPE OR PRINT ONLY Occupancy Fee
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee /02
TO BUIU)M D&MTMff4,TOWN OF SOUTH WMG0k CT (Additional Cost) $
The undersigned h re6y applies to do work according to the following specifications:
Job Location /vZ Y to O i A)/A C of c .,�5 Lot No. Side of Street Zone
Applicant M&SlZr A f,1xKA 4 - C-at e Tel# (o`19• q1 Al2--.
Address c' 6 Zip Lic.#
C>vner �M 6;;7 Address
Architect Address
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: gm� 6gAe
/'YIQ�,"�'
City Water Well ❑ Septic System ❑ Sewer
Ins. H.O. S.P. Cart. Area Basement Garage
Approved by 3(ZJZ--- Date 2 z it Use Group �� Construction Type
R•vs od 1197
I h reby 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 i owed.
Y Signed
I hereby apply for a Certificate of Occupancy f he work described i application for the permit.
�- Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Commenv
-------------------------------------------------------------------------------
98-25324-B 10,000
P02 UNDERGROUND 07/01/98 DCJ A LEFT STICKER
B04 INSULATION 07/24/98 DCJ A EGRESS WINDOW
B03 FRAMING (ROUGH) 07/22/98 JFF A
E03 ROUGH 07/22/98 JFF A
P03 ROUGH 07/22/98 JFF A
H03 ROUGH 07/22/98 JFF A
B10 FINAL 02/03/00 JFF D WITH OWNER COMPLETED EXCEPT BEDROOM SMOKES
WILL INSTALL AN CALL
B10 FINAL 04/24/00 JFF A WITH OWNER SMOKES INSTALLED
B10 FINAL 04/25/00 JRC A CLOSED OUT.
98-10196-H 1,500
98-10183-P 2,200
98-14971-E 2,500
• DEPARTMENT DECISION PE��#�
APPLICATION FOR ELECTRICAL PERMIT
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE 253A1
712A 644-2511 ext.230
Date Building Inspector Application must be printed or typed
Location of job
I;L V I V �j I w .-- �b ,,- -1
FEE SCHEDULE Street No. %J Street Lot No.
Floor Apt.No.
$0 - $1,000 - $12.00
Over $1,000
$12.00 per$1,000 OWNER
or any fraction thereof
ADDRESS
OWNERS PHONE#
'��APPLICANT CVkA-
OW S� ADDRESS 9 144r s f S%0(
W C4
tij ESTIMATED COST$
IS THIS A CONTRACT COST?
DZ) YES NO
FEE ENCLOSED $ Jb
OR C 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 ffITH A
RESIDENTIAL BUILDING PERMIT APPLICATION / NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
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 IL
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS 1 NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO
NUMBER OF LIGHT CIRCUITS 3 NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES 15 NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES
NUMBER OF HEAT CIRCUITS 0 NUMBER OF A/C CIRCUITS d
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.
AME STATE LICENSE NO. TYPE SIGN OF APPLINMf
PHONE NO. Y6' 87 7 DATE 7 O 1�
JCM ELECTRIC
8S7 Foster Street
South Windsor,CT 06074
(860) 644-016S
Date
To whom this will concern:
I T65Wt1 V%Ac%rt %!Sj,: on behalf of JCM Electric Co., hereby
authorize J st.n h ►NLc.4,71,,,.,,t,: , to obtain an electrical permit for
the follow job:
lob name: 1 V V-5 i KA, (-
address : S�.,�. L.J ►J ire.- [T in G ?
Rya►d4..TS
phone : C,�I6• $?�2,
Authorized Signature
Licensed # 101671
job cost:
Start date:
0
Project:
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT Rrs
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE �5 3
644-2511 ext. 230
Date Building Inspector Application must be printed or typed
Location of job
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
$0 - $1,000 - $12.00
Over $1,000
$12.00 per$1,000 OWNER
or any fraction thereof
ADDRESS
OWNERS PHONE#
APPLICANT 't4t X
OWN S F ADDRESS
elor
ESTIMATED COST$
IS THIS A CONTRACT COST?
YES NO
FEE ENCLOSED $
OR-Co TYPE OF JOB:
Installation
Alteration/Addition/Repair
Revised 10/96
APPLICATION FOR PLUMBING PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION / NO
� RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY
EDUCATIONAL
INSTITUTION
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
(Other please specify)
y
TYPE OF INSTALLATION 'S SIZE OF MAIN DRAIN
NO. OF TOILETS�_STYLE NO.OF URINALS STYLE
NO. OF BATHTUBS NO. OF SHOWERS NO. OF LAVATORIES /f
NO. OF CONDUCTORS SIZE NO. OF STACKS( SIZE
AREA OF ROOF NO. OF CATCH BASINS NO. OF FLOOR DRAINS
NO. OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES/NO
SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER BEATER
TYPE MANUFACTURE
TANKS SAFETY DEVICES
TEMPERATURE
CAPACITY RELIEF VALVE
TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE
TYPE MANUFACTURER
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.BUILDI COD IN THE
PERFORMANCE OF SUCH WORK.
1,0- / 0�(1 3 /l
NAME STATE LICENSE NO. TYPE IGNATURE OF APPLICANT
PHONE NO.� DATE
DEPARTMENT DECISION AppLICATION FOR HVAC PERMIT PERMIT#
II>I
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE S 3
24 644-2511 ext.230
Date wilding Inspector
Application must be printed or typed
Location of job
14
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
� l
ADDRESS �f
OWNERS PHONE# �' y / Y
APPLICANT
W N�`' ADDRESS S�
t q4(
ev-
G� ESTIMATED COST
p
C IS THIS A CONTRACT COST?
YES NO
l� � » ` C► FEE ENCLOSED $ oZ
OR-CO CQ TYPE OF JO: B
S .
Original Installation
Alteration/Addition/Repair
Revised 11/95
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM OF BUILDING J
HEATING RESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC a-' WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE`O F INSIDE_;7o F DIFFERENCE_d F
TOTAL HEAT LOSS(BTUH)
(HEAT LOSS SHEET MUST ACCOMPA APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
Af 13 Slftz+
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
TYPE OF FUEL
OIL-GPM L/ GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE e--�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.
S -3 0 0 0 F5 -//j U
STATE LICENSE-NO. NAME&TYPE SIGNATURE OF APPLICANT
PHONE NO.a�3 3-36,C f DATE 7-�--- 9'K
rr t /�a--
U/ L0 L u/ w
07 1 12, .� 2 l
zz
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Q
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