HomeMy WebLinkAbout16 Stevens Road eedr,.# I -7 j_W e APPLICATION FOR BUILDING PERMIT
Plumbing# pIs 16 Stevens Road
HVAC # �{ Date: C�
No. 27906
Sprinkl r#
FINAL APP VALS Estimated Cost $ oc-'oe-)
Building COMPLETE RED BOXED AREAS Permit Fee $ /�6-0Engineering TYPE OR PRINT ONLY Occupancy Fee $
AffidavitSIGN ON REVERSE SIDE
Appr.for CO. Total Fee •ss,
TO BUILDING DEPARTMB'slT,TOWN OF SOUTH WINIDSOR,CT (Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Jo6 Location `~ Lot No. .'/') Side of Street Zone
Applicant mot% TeL# �ZJ A If D—.73
Address T!-;!- PA Zip f 7 Lic.# 7 [�
Owner E�1�'t�=t- ��.�f�l 1�'�� Address
Architect Address
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
#Rooms #Lavatories 3 #Bathrooms '�- --�_ #Garages 3
Purpose of this permit:
City Water Well ❑ Septic System ❑ Sewer
Ins. H.O. S.P. Cert. I/" Area ZO Basement Garage AYa 4/
Approved by J _ Date c, Use Croup Construction Type S 6
Revi.d 1197
I h reby agree to conform to all the requirements of th 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 I ted the Vistance from all street lines,side yard lines,and required
distances from all other zones and is located in whi i uilding a s use is allowed.
Signed
I hereby apply for a Certificate of for t ribed in this application for the permit.
Signed
NOT WRIT IZELO T LINE
INSPECTION C MENTS
Location of Job: AFFIDAVIT Additional Fee$ — 0 —
State of Connecticut
ss.South Windsor
County of Hartford
4 il Owner
�J of Agent for the building erected
Contractor
under Permit No. 27906 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 authorizer nder said ermit did not
exceed the submitted estimated cost
f
Signed
61
Subscribed and sworn to before me this day of UA.D.20 G�
Estimated Cost$ 171 , 200
Difference: $ �1 , 5 5 3) `
Notary Public
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-27906-B 150,000
BO1 FOOTING 06/07/01 CJD A W/JOHN
B02 FOUNDATION 06/15/01 CJD D WTR.PRF. OK, NO FOOTING DRAINS
B03 FRAMING (ROUGH) 08/17/01 CJD D SUPPORT HIP RAFTERS TO BERNG. PARTITION OR
SUPPORT, NEED SPECS FOR LAMS
P02 UNDERGROUND 08/22/01 GRM A PLUMBER PRESENT-WATER TEST OK
E01 SERVICE 08/24/01 GRM A LEFT MESSAGE W/CONTRACTOR
P03 ROUGH O8/24/01 GRM A W/CONTRACTOR-TESTS OK
B03 FRAMING (ROUGH) 08/24/01 GRM D HIP ROOF FRAMING NOT SUPPORTED YET-LEFT
MESSAGE W/SECRETARY ON PHONE 8/24/01
E03 ROUGH 09/21/01 CJD D UPSTAIRS OK. CAN INSULATE 2ND FLOOR
E03 ROUGH 09/24/01 CJD A W/CONTRACTOR
B04 INSULATION 09/25/01 JFF A WITH CONTRACTOR JOHN JACQUES
B05 FIREPLACE/CHIMNEY 10/29/01 GRM A CONTRACTOR LEFT-THROAT & AIR SUPPLY OK
B10 FINAL 11/05/01 CJD D NOT READY
PO4 GAS TEST 11/05/01 CJD A LEFT TICKET
**-11149-H 14,000
**-10813-P 3,000
**-17348-E 4,200
Total Est Value 171,200
Dwelling 2,870 138,563.60
Basement 1,288 18,289.60
Garage 864 12,268.80
Smoke Det 7 525.00
BOCA Value 169,647.00
Difference (1,553.00)
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-27906-B 150,000
B01 FOOTING 06/07/01 CJD A W/JOHN
B02 FOUNDATION 06/15/01 CJD D WTR.PRF. OK, NO FOOTING DRAINS
B03 FRAMING (ROUGH) 08/17/01 CJD D SUPPORT HIP RAFTERS TO BERNG. PARTITION OR
SUPPORT, NEED SPECS FOR LAMS
P02 UNDERGROUND 08/22/01 GRM A PLUMBER PRESENT-WATER TEST OK
E01 SERVICE 08/24/01 GRM A LEFT MESSAGE W/CONTRACTOR
P03 ROUGH 08/24/01 GRM A W/CONTRACTOR-TESTS OK
B03 FRAMING (ROUGH) 08/24/01 GRM D HIP ROOF FRAMING NOT SUPPORTED YET-LEFT
MESSAGE W/SECRETARY ON PHONE 8/24/01
E03 ROUGH 09/21/01 CJD D UPSTAIRS OK. CAN INSULATE 2ND FLOOR
E03 ROUGH 09/24/01 CJD A W/CONTRACTOR
B04 INSULATION 09/25/01 JFF A WITH CONTRACTOR JOHN JACQUES
B05 FIREPLACE/CHIMNEY 10/29/01 GRM A CONTRACTOR LEFT-THROAT & AIR SUPPLY OK
B10 FINAL 11/05/01 CJD D NOT READY
PO4 GAS TEST 11/05/01 CJD A LEFT TICKET
B10 FINAL 11/07/01 GRM D NO REAR DECK, NO HOUSE #,INSULATE BASEMENT
CIELING
B10 FINAL 11/07/01 GRM A W/JOHN-ALL ITEMS CORRECTED
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
B10 FINAL 11/07/01 GRM A CLOSED OUT.
**-11149-H 14,000
**-10813-P 3,000
**-17348-E 4,200
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
16 STEVENS RD LOT_#50 Reviewed By rlgineering)
JACQUES CONST. LLC Date Reviewed / A prove /Denied
67 RIDGE ROAD,SOUTH WINDSOR,CT Reviewed B •A 31 lanning)
BP_#_27906 Ph_#_432-1823 Date Reviewed i� / prove enied
Date Submitted 00/00/00 ***** FOR f O *****
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
V 2. Finish grading per approved
building permit plan
3. Site work; i.e. trees shrubs
dumpsters, required parking
4. Utility location;
V a. sanitary sewer/septie sy-stem
b. foundation drain
v C. electrical & telephone
d. water
e. other
y 5. Sewer connection charge paid
l/ 6. Appropriate certification
7. Bonding
8. Planning & Zoning/
/ Inland Wetlands Considerations
A. Lighting
B. Si na e
g g
Freestanding Wall
C. Fee in lieu of Open Space
Sewer Permit No. 72 y 7
Pavement Excavation No.
A -7�-,�
COMMENTS:
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
16 STEVENS RD LOT_##50 Reviewed By eb �t`p L� =ove
ring)
JACQUES CONST. LLC Date Reviewed C76 0 D enied
67 RIDGE ROAD,SOUTH WINDSOR,CT Reviewed By ning)
BP #_27906 Ph # 432-1823 Date Review g enied
Date Submitted 06/05/01 ***** ,0 BU L ING PERMIT *****
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:
Approv d Denied N/A
1. Name, address & phone number of owner/applicant
2. Name, address & phone number o plan preparer
3. Zoning Information - i.e. z ne, ope ,
/ fleedway, street address.
4. Plot Plan at 111 = 401 scale t�
!/ a. Subdivision reference, abutting properties, etc
Y b. Easements of record �zf& c C.�ep'a-
c. Lot description, bearings, building lines,
distances, 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 & centerline of road at driveway
f. Elevations of gravity dra' ms, sanitary
/ & foundation drain at the house and the street
V /g. Te}�tative utility location g water,
elecl�ric, tc.)
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.)
5. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS:
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: j
BUILDING DEPARTMENT M 3 k
APPROV .D J 1540 SULLIVAN AVENUE i
Bldg.Permit#
644-2511 ext. 230 a � 9� ,
Date Building Inspector
i
Application must be printed or typed
,
Location of Job:
FEE SCHEDULELl
$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation A t.No.
P
i
APPLICANT
APPLICANT ADDRESS ?
APPLICANT PHONE#
OWN St OWNER - 'zjr—n `
OWNER ADDRESS
OWNER PHONE
ESTIMATED COST$ A)'g d Q ,D d
�`;�'► IS THIS A CONTRACT COST? D(Yes O No
FEE ENCLOSED$ .. G p
TYPE OF JOB:
SOR.CO
0 Original Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
❑RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
r
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS f NUMBER OF DISCONNECTS AND RATINGS f p
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑ 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
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
&l.J
/9 M P
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
Id- 33� 9 6 )E�: / (2b ;-7
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT LJ 0��4 DATE I
Shirley Wilhelm-CRS Approval Confirmation: Request No. 181714 Page 1
From: <cipsvc@nu.com>
To: <WILHEL@SOUTHWINDSOR.ORG>
Date: 8/31/01 12:56PM
Subject: CRS Approval Confirmation: Request No. 181714
CRS Work Request M 181714
House No:
Lot No: 50 ((o S4eu'e''5
Street Name:
Inspector: JOHN COLLINS
Approval Date: Aug 31, 2001
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: O
BUILDING DEPARTMENT
APPROVE 1540 SULLIVAN AVENUE Bldg.Permit#
ZS '3 6 C 644-2511 ext. 230
D to Building Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE ` aAcz N l .n C
$0-$1,000=$13.00 Street No. } 1 Street Lot No.
Over$1,000
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
I
APPLICANT �� C-
APPLICANT ADDRESS S
APPLICANT PHONE# C
OWN S Fq OWNER o
let . OWNER ADDRESS (775
OWNER PHONE
C ESTIMATED COST$ C�
IS THIS A CONTRACT OST? Yes 0 No
FEE ENCLOSED$ G
l� TYPE OF JOB:
OR Co
)(New Installation j
0 Alteration/Addition/Repair Revised 8/99 I
i
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITVNO
RESIDENTIAL
BUILDING PERMIT APPLICATION? ❑ YES
BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL ENGINEER'S NAME PHONE
❑FACTORY
❑STORAGE ADDRESS
❑GARAGE
❑MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION 22—, 2 SIZE OF MAIN DRAIN kj
NO.OF TOILETS_ -9) STYLE 1, o NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES
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 WINDOVOYES ❑NO
SIZE OF WINDOW Z x 2 IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS QE
E OR SEPTIC TANK
SIZE OF WATER MAIN , � SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE �e ft _� MANUFACTURER S
DESCRIPTION OF WORK
ri
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT �k vL DATE 1 O
-r-
r
� r
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT ///y l
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
9,J-6U 1 644-2511 ext. 230
-7 Q(o
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
(�
a �a
$0-$1,000=$13.00 FTenant
. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof esignation Apt.No.
A
APPLICANT L 2 5 5'Q(L d iL l m 'f ear. C.. L. C. ;
a
APPLICANT ADDRESS g L e cih a-tz ct �.2,d a
a anv-n CT- 0(,oxy4 _
APPLICANT PHONE#
00,11 ,11,1111111111
OWN 3� OWNER Tae�ue S C��suc,fi�-,
q� OWNER ADDRESS (o -7 -at d
V
2 J�4
tk -' OWNER PHONE (2(00) '13 A
ESTIMATED COST$
�J U
IS THIS A CONTRACT COST? )d Yes 0 No
FEE ENCLOSED$ z ,
':,2
TYPE OF JOB: F
soR.Co )(
New Installation
13 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUILDING:
P1 HEATING 4 RESIDENTIAL
q A/C ❑COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
(3 STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑HYDRONIC )4 WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
17 OF
DESIGN TEMP. OUTSIDE d OF INSIDE 5 OF DIFFERENCE
TOTAL HEAT LOSS(BTUH) U , °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING QUIPMENT(INCLUDING MAKE&MODEL O.)
U cj(Z,
GROSS HEATING CAPACITY(INPUT—BTUH) a� NET RATING(OUTPUT BTUH)—d-7 C, U
TYPE OF FUEL
❑ OIL—GPM OIL TANK LOCATION :❑INSIDE❑OUTSIDE CAPACITY
GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW
AIR CONDITIONING �
DESIGN TEMP.OUTSIDE �� OF INSIDE �� °F DIFFERENCE S °F
TOTAL HEAT GAIN(BTUH) C (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 ��- ,.� ��I,�l ► G� n ��C
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE>gV-
TYPE STAT
DATE
7
SIGNATURE OF APPLICANT
S/N RSR213 4 6 RIGHT-J SHORT FORM 1/8/01
File name: WRIGHT-1.RSR
Abb#: Stevens Way Htg Clg
For: Jacques Construction Outside db 0 95
67 Ridge Road Inside db 78 70
South Windsor CT 06074 DesignTD 78 25
860-432-1823 Daily Range - M
Inside Humid. - 50
By: Lessard A/C & Heating, L.L.C. Grains Water - 33
81 Leonard Bridge Rd. Method Simplified
Lebanon CT 06249 Const.glty Best
8 6 0-2 2 8-15 7 9 Fireplaces 0
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Trade Trade
Efficiency 80.0 AFUE Efficiency 0.0 EER
Heating Input 0 Btuh Sensible Cooling 0 Btuh
Heating Output 0 Btuh Latent Cooling 0 Btuh
Heating Temp Rise 0 Deg F Total Cooling 0 Btuh
Actual Heating Fan 1934 CFM Actual Cooling Fan 1934 CFM
Htg Air Flow Factor 0.036 CFM/Btuh Clg Air Flow Factor 0.053 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 89
ROOM NAME AREA HTG CLG HTG CLG
SQ.FT. BTUH BTUH CFM CFM
Family Room 300 6530 4705 235 252
Breakfast 180 3378 1412 121 75
Kitchen 195 2343 4513 84 241
Lav 36 1105 438 40 23
Entry/Closet 54 219 69 8 4
Living Room 188 4755 3182 171 170
Foyer 163 2372 764 85 41
Dining Room 156 2759 1537 99 82
Bathroom 1 178 3576 1512 128 81
WIC 81 327 103 12 5
Bedroom 1 138 2549 1361 92 73
Bathroom 2 98 1162 450 42 24
Bedroom 2 138 2549 1361 92 73
Laundry 99 1508 3010 54 161
Master Bedroom 278 4270 3044 153 163
Hallway 130 525 165 19 9
Upper Foyer 169 2712 1517 97 81
Bedroom 3 188 2862 1868 103 100
Bonus Room 580 8349 5156 300 276
Entire House d 3346 53848 36169 1934 1934
Ventilation Air 0 1375
Equip.@ 1.0 0 RSM 37544
Latent Cooling 4495
TOTALS 3346 53848 42039 1934 1934
MANUAL J:7th Ed. Right-Suite:V4.0.07