HomeMy WebLinkAbout160 Quarry Brook Drive (2) Ile'� TOTHE BUHDING INSPECTOR
of iw APPLICATION FOR
PLAN EXAMINATION AND
1'iOWl�t OF SOUTH WIl11DSOlt, CONS S U I L O I N G PERMIT
z
IMPORTANT — Applicant to omplete all items in ctions: 1, 11, III, IV, and IX. �^ O
ZONING q-J+0
I• AT (LOCATION) /�1(1 DISTRICT
LOCATION (N0.) st RE )
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION ,(� U t`'L LOT L� BLOCK SIZE
V1
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 rn
rn
1,K New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 X One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Past D, 13) 13❑ Two or more family — Enter 19❑ Church, other religious
number of units— — — — --)P- 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garage
4❑ Repair, replacement or dormitory — Enter number
5❑ Wrecking (If multifamily residential, of units ——————— — -- Service station, repair garage
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 16 ❑ Carp ort 24❑ Office, bank, professional
6 ❑ Moving (relocation)
17❑ Other — SpeciJy 25❑ Public utility
7 ❑ Foundation only
26❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
8 ❑ Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29❑ Other — Specify
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food
processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement,,•.•..•••..,.., school, secondary school, college, parochial school, parking garage for,
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
a. Electrical......................
b. Plumbing ......................
c. Heating, air conditioning.........
d. Other(elevator, etc.)............ 1
11. TOTAL COST OF IMPROVEMENT
III. SELECTED CHARACTERISTICS OF BUILDING 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 j Vzy
30❑Masonry (wall bearing) 40 N Public or private company 48• Number of stories................
31 [Z Wood frame 41 Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions ....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other — Specify 42A Public or private company 50• Total land area, sq.ft. ...........
43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ...................... I
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35❑ Gas Will there be central air 52. Outdoors....................... I
96� Oil c nditioning?
L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44 0 Yes 45X No 53. Number of bedro ms..............
38❑ Coal
39❑ Other— Specify Will there b an elevot r? Full....
54. Number of
46❑ Y s 47 W No bathr ms
Parflal........
NOTES and Data — (For department use)
V. IDENTIFICATION — To be completed by all applicants
Nam p/Mailing addr ss — Number, street, city, and State ZIP cod Tel. No.
caner or L0RS' /!� Q/`uLt� ST• 'T L v �GNII/. ClL770 �� / /G >7C�?}�
essee
ontractor —J
rchitect or
ngineer f_
fhe owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
>ign ur� of applica t Addre Application date
, �0
DO NOT WRITE BELOW THIS LINE
f. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $ /�-
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
(I. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Date Number By
Obtained Number By Permit or Approval Check Obtained
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
'II. VALIDATION
Building
Permit number 9241
Building
Permit issued Mar. 19 19 76
Bui Iding
P rmit Fe $ 114.00
Approved by:
1
TITLE
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
r§-1 i a� ,,{{'�. 5 i�a 1 � �.a � � .�° j, r� 4 y 9„ i F . b 3 a e� 'R �r � _ , d e z i ., • 4 e�a...r .,
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
•r
Date Mar, 19 19 76.
Fee Paid $ 1.14..00 Est. Value $ 19.9.000.00 f
Permit X'? 9 2 4 f
on the side of
Lot #17 Quarry Brook Dr. Street
Street No. 160
Owner -T & M Bl_1ilderS
Applicant T & M Builders
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 4753
Fee Paid $ 3.00
CLASSIFICATION
Duxa3^
BUILDING PERMIT
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. M&X' 19 19 76•
'to to Terfif1j, That T & M Bui lefors
is hereby granted permission to Dwelling
at estimated value of •OQ
on the side of Lot #17 Quarry Break Drive Street on land
owned by T & M Su i lder s
Said Work to be as described in Application
No. 9541 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Ar. 14 19 76.
Building Inspector.
W
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 compeller: to reason therefor."
P rmit 0. ✓ TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit ' 4753
Certificate of Occupancy
THIJP IS JO C IFY that the
at No. 7
in the of South Windsor, Connecticut, has
been erected and completeo in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved for occupcy an . ,�
"f=!
Building Inspector
Jl Owner, Builder
Fee Paid/ Date "07! / 19
t
r
5968
ELECTRICAL APPLICATION
Application No. 6279
on the side of
Lot #17 Quarry Brook DrStrret
Street No. _ 160
Owner T & M Builders
Electrician L_F1 ct i C Co_.
FILED IN OFFICE OF
The Building Inspector
April 27 19_7_6_
I
INSPECTION. j
09 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
,tops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
q1 APPLICATION FOR PERMIT TO DO ELECTRICAI. WORD,
6279
Permit No. .........5 9.6.8................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
*...... hereby make application tq perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be mplied with
whether specified herein or not.
South Windsor, Conn.,
....` . 19......... Sign her ... .. ... ...... . .......... y
Address /4J.......... .. . ............ .............. .... ..
d
Location . . .......�... ..,. ........... ... ............ ........ ...................... Side o ....... �.. .. . ..y... ... ......................................_.
s
Nature of Building . . .......... ...... . ................................... How many stories ....................
/....
........................................................................
Newor old Building ....... ... . ..................................... ......... .. How many families ............../....................._.........._............................_...........
Kindof tallation .............................. ... . How many St res ...p.................................._......................w....................._....... .
Owne �......� . ... ............................................................_................ Address .c1�..4 ,. .�.......�..... .. '.. .....
Architect ....... ..... ...... .... ... ............... ............ ...... Address ................................ _....._...�..._._..__....._......
Builder ..... / ............... ...................... Address ........ ..... ................... _....�...._........
Electrici ......... ......... ........ Address ... .. .. .. ........ ..
Size of Main Wires ...... �:-�...�..._
No. of Light Loops ....................... ............. No. of Heat Loops ........... ....... ... ....... No. of Power Loops ......_..............._..._...._....
No. of Light Outlets . No. of Heat Outlets . ... . No. of Power Outlets .....................................
NoO of Light Circuits ......... ......... ..... No. of Heat Circuits ........... . . ... . ......... No. of Power Circuits .................................
No. of Sockets ......................... ................. No. of Heat Receptacles ......... ...... ... No. of Motors .......................................................
No. of Panels ............................�.............. ....... Size of Heat Circuit .. ................... ......... No. of Power Receptacles .......................
No. of Switches ..................Z. .. ...... .. .. Total Wattage ....................................................... Size of Power Circuit .................................
Total Horsepower .................. ..................
No. of Straight Electric Fixtures ... . ....... ......... ..... No. of Combination Fixtures .......... .... ..................... .. ..........
No. of Receptacles ................................... .................................... . .... ...... No. of Cord Dr ps ............................................................................................
Re rks• For oth r kind o Installation
..................................... f... ....... .. j...
Ll......... .-,e� .......... .. ..... ...... ..............................................................................................................................................
..,4. . .. ..............
.....
f.....
........................................................................................................ ............................ ........................................................................................................................................................................
......................................................................................................... ..................................................................................................................................... .....................................................................
�.
Estimated Cost ........��.��.....................................
4tS/.i
PLUMBING APPLICATION
Appl No. 4669
on the- - --"at
.Lot #17 Quarry Brook Dr. Street
j saut No. .... 160
Owner ...T..& M Builders
jPlumber .....,,_.N.Q n Lutzen
Filed in Office of
The Building Inspecooc
ADri 1 5 19-2f5.
n�R I ErTom.
No person:hall construct, add to or abw sty
portion of the drainage system of my bung
(except to repair leaks) until a Pp s weaved
by the Building Lupecaw.
. .....487
Application No. ...46.6.2...................... Permit N ......... 3..... ..............
9�
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
... ......hereby make application to perform plumbing according to detailed description bel w. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied A whether
specified herein or not.
South Windsor, -.
......- .............�2.............................. 19 Sign here 0.11,....... ...... .......... .. .................................
Address ........ .....................4!Y..::1.b........ ................L�.......
Location ......... ..... ........... ..................................... .. side of ...... ................ Street
Nature of Building ..... ......//7;;qkx,....e..................................... How many stories .. ..................__21...................................................
....... ....... ..................
Owner ..............i.........--k...v1........ >........... ......... Address............................Ao 1..—rzi wS e. ..................................
Architect .. ........... ....... ................................................................. Address .............
Builder . . ........... rl.. ...............tq
..................... Address .............
Plumber .......... ...... .......J..4.Jb:Sv .............. Address ....lfk.............. 7...............5.
DRAINAGE
CESSPOOLS, How many .. ................ ........I........ ........ Where located ..................................................................................................
Are they water tight .. . ............................. ................. Of what materials are they built ...................................................
Size of pipe from house to cesspool . ............... - Kind of pipe ...... ............... rO A
...... . .......... ......)..........................
ae
MAIN DRAIN IN CELLAR, Material 4 Diameter ................q.............................................................................................
Aboveor below cellar bottom ... ....... ........... .............................................................................................................................................
SOILPIPES, Material . ...................... 5................ Diameter ...3......... ...........�!/z..................................................
WASTE PIPES, Material ............... ..........R...13....5;1............. Diameter .... .......................................
TRAPS,Type proposed to use is .. ..................../ .. . .......................................................................................................................
RAIN WATER LEADERS, where do they run to ......................................................................... ...............................
REFRIGERATOR WASTES, where do they run to .. .. .... ...... ..........................................................I.... ...............................
TANK OVERFLOWS, where do they run to ..........I......................................................................................................
FIXTURES
WATER CLOSETS, How many . ....................../......................... Where located .... .. .. ...................................................................................
Distance from trap to vertical soil pipe ........................................ Pattern .. .........................................................................................
WASHTRAYS, How many .. . ..................................-.7................ Where located . . . .........................................................................................
SINKS, How many ..................................................../............................... Where located ...... .........................................................................................
BUTLER'S SINKS, How many ...................... ................ Where located...................................................................................................
REFRIGERATOR SINKS, How many.. ............... Where located ....................................................................................................
LAVATORIES,How many ................................../
................................ Where located .....................................................................................................
BATHTUBS,How many..................................... .............................. Where located .....................................................................................................
URINALS, How many ..........................................—. ....................... Where located ....................................................................................................
Are water closets and urinals to be local vented If not, is there a window in outer wall
ofroom where same are to be located .......... .. ... ...................................................................................................................................
EstimatedCost.. .......
Pj
PERMIT # .
Application For 4705 4504
DEPARTMENT DECISION $eatmg Permit
0
3 APPLICATION IS HEREBY:
1~ DEPARTMENT OF LICENSES AND INSPECTIOINS
N 4' APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
0 17 6 76� 1
� / /
00 DATE C OWECT APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O
to p
-e� 1. LOCATION OF JOB
O a,
o
1" 160 Quarry Brook Drive
J NO. STREET
cd
Q) LOT NO. FLOOR APT. N .
O
lV
d O
2. OWNERcis
O
O s. ADDRESS / 2 Q
ba
3
E y e 4.PHONE
ago
t% s. APPLICANT /y d V Q UPC
art cc
C
ZZ/ :2
B. ADDRESS
T.PHONE '3
B. LICENSE NO.
a
w B. EXPIRATION DATE OF LICENSE
v
10. ESTIMATED COST
1. IS THIS A CONTRACT COSTT U YES ❑ NO
� b0
y t s. FEE ENCLOSED s Permit 9241
P= v
w is. TYPE 0 ILDING:
by LJ R[fIDEMTIAL ❑ COMMERCIAL
_O A
i'' 14. TYPE OF ❑ INDUSTRIAL
a�i 3
IINSTALLATION ❑ ALTERATIO ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (COntinu a tr m Reverse Sid )
11. LOCATION OF JOB J 7
N0. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE Z
13. SIZE
TANK 2OF TANK )3L+ �' e C- OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. � BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. 66 B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING 4; INSULATED — YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING // INSULATION
AVG. SYSTEM WATER TEMP. ) �'C B.T.U./SQ. FT./HR. EMISSION G )— /�_V
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE e° Vic- °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS OR C.I. RADI TION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE:
i 4 L
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
INOOWS w oM slzE AND 000ws AREA - SQUARE FEET VOLUME e.T.U. G.T.U. F DISTRIBUTION INSTALLED
TOTAL TOTAL r
ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j REGISTER
(INFILT.)
L W N AND TEMP. TO 6F F TYPE AND SIZE RAD. OR LEADER
SIZE WALL p' 10 DIFF. •F .Ol 0 SQ. FT. FREE AREA
175<
TOTALS
A. HEAT LOSS FROM BUILDING 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) FACTOR /
17. ELECTRICAL WORK BY: �4e�`
NAME ADDRESS
SUBCONTRACTORS AND
1S. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE(OWNER) OR (AGENT) OF THIS PRO AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN.
DATE OF APPLICANT
4
SHEET f
ARIGO ' CALCULATION
OWNER ..'L M ADDRESS DATE
DEALER 98r,im- • ,J 1 a t Ltir� KIND OF BUILDING CHIMNEY SIZE .
CONSTRUCTION: WALL
WINDOWS ROOF OR CEILING
BASEMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF
COLA 2 3 1 4 5 6 7 1 91 1 9 1 10 11 12 13 14 15 16 17 18
ROOM SIZE WINDOWS AREA-SQ. FT. FLOOR VOLUME TOTAL t�SES AND
AND DOCLRS CU.FT. TOTAL
ts[[won) AT 701 coww[cTtD WATER LENGTH ACCESSORIES
ROOM Nu ER GROSS GLASS NET WALL CEILING i8
L W H ow AREA WALL o r G� ' p FR tiQ• r TEMPCIOSURE SIN L R S LC MISC.
fI=[ 111.3 • 7 �0 2 r • Q TEMP. RIFF. �. TUBE
rk 00 ago t off
�M ry j5 8 0 0 llko0 5 0 /yfoa 19000 .�
8�
r
vs
� $ goo
9 o
ofl
70- jo 5 G yd
I61Do 3oo 300 00 3000 3y30 6
Lou r 123A 408
e, 1,. i,� t 8 19 on i e o 0 000 0 6 000 6 860 /3
boar i8 JS8
A 800 goo ) boo Y000 V6 ?0 8
�y G � I / es
KI"r #1 „� $ /_- 0 300 70o oo `/aao y80o q
Q 1f $ bD ao 0 00 AA00 095/0
QYo IN ►t 8 0 700 o 1;300 4900 7010 /3
L F _ l5 /42 /a t 9e8
$r II II 800 6o %0,0 Moo S300 GoGD l/
F VA — 76 11'0 no3loa
a-tT) 1) 10 8 0 0 3 5 yD 7Moms F R c NCRETi FLOOR OM ROUND R FILL AT GRADE LIVEL#USI LINEAR FEET OR EXPOSED 1062. TOTALS �3 U v F R ALL OTHER FLO RS UBE SQUARE FEET OF AREA.
fo'syo � 6 7./ro
'INAL INS3E 7
Building APPLICATION FOR BUILDING PERMIT
j-C/ I/ I
Plumbin
HVAC 16 C QUARRY BROOK DRIVE I Date: A OV, U
Sprinkler
El ctric Estimated Cost $
Zoning 23852 Permit Fee $ /�-
Affidavit NO. Occupancy Fee$
Eng. Dept. COMPLETE RED BOXED AREAS. Total Fee $
Fire Dept. TYPE OR PRINT ONLY
Health Dept.
Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT /
The undersigned, hereby applies to do work according to the following specifications:
Job Location ar r Lot No. Side of Street Zone
Applicant -Cu t's Tel. # UgL0-3 3q 3
Address 362 511 I,t. ' C- -Zip 0(aQ`{o Lic.# 3o �8o 3
STREET CITY STAT
Owner rnr '� (1'l(S kh(��u�. (SaW Address Wo a/a� Ar .: . sm*k lvi 5c/
Architect ddress
Size New Area: Ft. Front Overall Ft.Deep Overall Total Area #Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit
vn c)-75
0`IjOity Water Well ❑ Septic ❑ Sewer 0;�'
Approved by Date G Bo1A 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 alt ration 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 uir dist ces fro all other zones 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.
Signed
—DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
STATE OF CONNECTICUT
This is to certify that under the provisions of the General Statutes
the following_pI PINGfir& COOL INregistered.
e WORK BOARD HEATING, P
LIMITED CONTRACTOR - B3
PAUL M GOMPPER
4 SCHOOL ST
STAFFORD SPGS, CT 06076
LIC./REG. NO. EFFECTIVE EXPIRES
003077991 9/01/96 8/31/9
SIGNED:
STATE OF CONNECTICUT
This is to certify that under the provisions of the General Statutes
the following erson or firm is licensed or re is ered.
HEATING, ?IPING & COOLI�NG �J�RK BOARD
LIMITED CONTRACT OR
PAUL M GOMPPER
4 SCHOOL STREET
STAFFORD SPRINGS, CT 06076
LIC./REG. NO. EFFECTIVE EXPIRES
00308803 9/01/96 8/31/97
SIGNED: V
-- - - -.-"`._.- - --
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 160 QUARRY BROOK DRIVE
HVAC # 23857
Date: •(n •C[ !o
N°'Sprinkler#
FINAL APPROVALS Estimated Cost $
Building COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
Th undersigned hereby applies to do wor0biccording to the following specifications:
Job Location t kD(7 !&Wt< Lot No. Side of Street Zone
Applicant Tel. # 4. h
Address Zip Lic. # `f'�-Z�p�16
Owner (' a..r'sA Address 1 Q00 (3N .✓e,"_61n �
Architect Address
Sq. Ft. New Area: lst FI. 2nd FI. 3rd FI. Total New Area
#Rooms # Lavatories #Bathrooms #Garages
Purpose of this permit:
1,czo 61t fie City Water ❑ Well ❑ Septic System ❑ Sewer
Use Group Construction Typ X1 Area / Basem nt Garage
Approved by V Date ��
R.ve.d 6/95
t
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 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 the permit
Signed
-- DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS
PERNUT 0
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
1540 SULLIVAN AVENUE _
644-2511 ext. 230
Date Building Inspector J Application must be printed or typed
Locati of job
n
Street No, Street Lot No.
FEE SCHEDULE
Floor Apt. No,
$0 - $1,000 - $12.00
Over $1,000
S 12.00 per SUM OWNER • fv
or any fraction tberoof
} ADDRESS H V A&A 6
JVe Qh 0-fig �!
OWNERS PHONE#
)eq LJ��
APPLICANT
4
ADDRESS
AO w N Sk 4
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{`•••'•�fF f� �'I�
- ESTDAATED COST S
C . ' =r IS THIS A CONTRACT COST? `
YES NO
' FEE ENCLOSED s K4b
�-
�` .ems ��' _, •
`SCR'CO TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
Revised i i/95
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM TYPE OF BUILDING
HEATING No'
RESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC--k_ WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE •hO F INSIDE-F DIFFERENCE F
TOTAL HEAT LOSS(BTUI�
(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
orn
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'� a P ]`
04 7�/,
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.
3Dz
STATE LICENSE-NO. NAME&TYPE SIG TURF OF APPLICANT
PHONE NO. �CvI DATE O '
I=B=R CALCULATION FORM IbU4 vu~���~� 1JU.*.Beck.1 y Hetyhis,yNJ 07922
HEAT LOSS
Customer
r(� _ Telephon Da-1
C
A Tess Q2d r
Name
'� C•� Mutt per toot of Bas board:
Heat Loss Calculated By at Average Water T rrtp:
Design Temperature:
Room: RoomAve,"
TRm: Room: Room:
Difference: �0 ��� l°�
Line factor lent Wit "eight Btu Len l Wit Nei t Btu th Wit Hei t Btu Len th Wi t Hei t Btu Lent Wit Hei t 1 Btuh
2 3
0/ S /� 1. 2 OE - �r e. 1 2 1 2 3 1 2 3
1. INFILTRATION VOLUME e
Number I outside walls 2 a [�^ o6 ROOM
with openings(L x W x 1i) �1 7w �s
TOTALS
O f' FROM
2. CEILING AREA
(L x W) a� LINE t
x
3. FLOOR AREA(L x W)
or SLAB(lineal feet
exposed edge len th
4. COLD PARTITION AREAIN.J6
(partition L x H)
S. WINDOWS OR DOORS
6. EXPOSED WAIL AREA �)� lI'/` •. ��n 6� � �Q��
(exposed L x")
7. OPENINGS
(line S factor minus i Y� /.f k
ling6(actor) / J
B. TOTAL Btuh O
It
fiase6oard Len th
(Add 20%for Bathrooms)
Room: Room: Room: Room:
Design Temperature: Room: `
Difference:
Line Factor lent Wit t Ilei t ;12
Lan t Wit Itei t 81u Len th Wit Hei t Btu Lent Wit Ilei t Btu Lent Wit Ilei t 1 82 3 ! " �t✓
1 3
1 2 3 1 2 3 1 2 3
1. INFILTRATION VOLUME ,
Number of outside walls 2
with openings(L x W x H) 3 A00� ��O
a
L CEILING AREA TOTAL Ntuh
fL x W) t OF BUILDING
3. FLOOR AREA(L x W) AT DESIGN
or SLAB(lineal feet '} TEMPERATURE
exposed edge length) Y a DIFFERENCE
4. COLD PARTITION AREA
(partition L x H)
S. WI
NDOWS OR DOORS 6
6.EXPOSED WAIL AREA
(exposed L x H) f
7. OPENINGS 11. sa.it, -sq.It.
(line S factor minus
line 6 factor
• T/lT A r 0►..L _
•Hectric'# 160 Qum BRoof IRCATION FOR BUILDING PERMIT
Plumbing#
WAC # 26263 Date:�!U NC �^ 19�f 9_
Sprinkler# NO'
hmat s 0
� o00
Building er T COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee $ -G
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee
TO B LDW DRARTMM,TOWN OF SOUTH WNDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location„ (6 O Q y AR R V Rao)N_pR. Lot No. Side of Street Zone
Applicant M G . j 0 S T A R E L L 1 1 Tel# 9
Addr ss Ini G AR 0 EIV ST• F . 'H ARTF0 RID . C.I. Zip 1 G Lic.#,500 C0 8 7
Owner(AR I-MRS U `l C-ALZ Address 11,0 Q U X R R V9 R 00 K O R.
Architect Address
Sq.Ft.New Area: 15t Fl. 2nd Fl 3rd Fl Total New Area
#Rooms #Lavatorim #Bathrooms #Garages
Purpose of this permit: {QTo Cjj ST 1 N fo DEC-it !0,4 X 1 y "0 Poo F
City Water ❑ Well 0 Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Dat Use Group Construction Type
R•vW 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 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 ..� .
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
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
99-26263-B 3,000
BO1 FOOTING 06/28/99 JFF A WITH CONTRACTOR
00/00/00
B10 FINAL 07/02/99 RAN A APPROVED FOR CO & CLOSEOUT
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10 THE BUILDING DEPT. TOWN OF SOUTH W4iti'.4' t
phis certified that this plan and sp.C► POOPgs 9t�V!`
Isopies of the proposed building or alfl'r@49gs 18 elf
kected PA
LC,
together with amen me stated in 900*4fPA?
filed with plan and I agree to W vgh io
Building and state Tars and §(ukVk' ArOr4##�*0 �3
issued by the Buildiag IRS AWi13W
of this aPAlicatfim am0 Ai"' i ilW a
Permit-
lttrt6s giRrn iie aq�nxwesi squid tt t€P tW }�}f}{�t"'t
QS12R�65�rtctf ardtnauro�s5 rC4AMh4WW MfbaffW "I' AF
cq,mct+iixkt mtth
cc�,,aatla�a�t��Pw� ;rNz%%e ffod VMR'
B, ijadlgg ineppccavr s 64ty
hate, P&P ---''F
f o_.
146 1,UMHUANCE
al�dlor struct�►+'es)
�Uiiding(s)� u$e(s)tt;lam app
r plan ear(s) to be in
ils :.�,�� crt P South Windsor
;O.7 , snare with Curren s ecial excePtions
3t,ors. Varlances and P
MCAY apply.
Date
9 Frtfo cement Officer