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Home My WebLink About125 Ridgefield Drive B NAd nIgNSPEC s APPLICATION FOR BUILDING PERMIT Plumbi �� HVAC Date: Sprinkl 125 RIDGEFIELD DRIVE Electric Estimated Costs 132f6d, ac Zoning Permit Fee ; /3j70- Affidavit V/1175NO. 22010 Occupancy Fee $ 3• 00 Eng. Dept. l2 '�.`.� /3 Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ � 00 H alth D pt. TYPE OR PRINT ONLY Approved for CO: 1i SIGN ON REVERSE SIDE. (Additional Cost) $ TO BUILDI ARTMENT, 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 o� Tel. # 3 P// Address_T�'� j; e � �,rlc ��is %e 1� Qf Zip rQ 6 /0 Lic.# STREET CITY STATE Owner - 56 1A Address Architect 5QA� Address Size New Area: Ft. Front Overall to; ' Ft. Deep Overall 4 Total Area "3q #Garages aK Lavatories Size of Lot Dist. from Street Line —Bathrooms Rooms 1 st-,E2nd-5—r-' 3rd -� Purpose of this Permit Ca ri,C. �n ;j 140a1 City Water Vff"" Well 0 Septic 0 Sewer I� Use Group Construction Type , :�;- Approved by 4e--, Date 6131A 11/88 I hereby agree to conform to all the requirements of the Laws of the Stat of Connecticut and the Ordinanc s 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 4�� LL., I hereby apply for a Certificate of Occupancy for the work described in t ' application for er 563-3711 Signed —DO NOT WRITE BELOW T IS INE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# q532 Inspections: HVAC Permit# l Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: Location of job AFFIDAVIT Additional Fee .. .-0... ......... . . State of Connecticut ss. County of Hartford f� Owner I ��¢ �� 'C.�f!�. of Agent for building erected under ontractor Permit No. 22010. issued by the Dept of Building of the Tbwn of South Windsor being duly sworn,make oath and say that the actual cost of the completed work authorized under said permit as $15 4 ,9 7 5 . 0 0 .. J Signed . L Subscribed and sworn to before me this �� . d�a of Y" A.D.19 Estimate Cost-$ 154 , 975 . 00 —0 Difference: $ ic. , Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 94-2201 0-B 137, 000 B01 FOOTING 12/13/94 JFH A MUST BE COVERED FOR 3 DAYS P B09 OTHER 12/13/94 JFH A CHECK TO MAKE SURE FOOTINGS B02 FOUNDATION 12/22/94 JFH A P02 UNDERGROUND 01 /24/95 JFH A WATER TEST B05 FIREPLACE/CHIMNEY 01 /27/95 JFH D NOT READY E01 SERVICE 01 /27/95 JFH A RELEASE ISSUED B05 FIREPLACE/CHIMNEY 02/01 /95 JFH A B03 FRAMING (ROUGH) 02/03/95 JFH A P03 ROUGH 02/03/95 JFH A H03 ROUGH 02/03/95 JFH A E03 ROUGH 02/03/95 JFH A B04 INSULATION 02/06/95 JFH A B10 FINAL 04/07/95 JFH A 95-9124-H 61375 95-9532-P 41000 95-9162-H 31600 95-13333-E 41000 Total Est Value 154, 975 Dwelling 21734 101 , 650. 12 Basement 11362 13, 551 .90 Garage 484 5, 687 . 00 Smoke Det 7 525 . 00 BOCA Value 137, 197 . 84 Difference (17, 777 . 16) - SITE COMPLIANCE CHECKLIST V / TOWN of SOUTH WINDSOR, CONNECTI;Xj 125 RIDGEFIELD DR LOT_#56 Reviewed By ' LACAVA CONSTRUCTION CO. Date Reviewed �Approve 185 SILAS DEANE HIGHWAY,WETHERSFIELD,C Reviewed By v anning) BP_# 22010 Ph # (203)563-3711 Date Reviewed i pp o Denied Date _ Submitted 04/06/95 ***** FOR C 6f 0 ** 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; r. a. sanitary sewer/septic system b. foundation drain C. electrical & telephone d. water e. other 5 . Sewer connection charge paid 6. Appropriate certification 7 . Bonding 8 . Planning & Zoning/ Inland Wetlands Considerations Sewer Permit No. Gz!zy Pavement Excavation No. COMMENTS: �ec'c� 25ao� bm8 Y-6-Q5- SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 125 RIDGEFIELD DR LOT_#56 Reviewed By (Engineering) ineering) LACAVA CONSTRUCTION CO. Date Reviewed _ ppro /Denied 185 SILAS DEANE HIGHWAY,WETHERSFIELD,C Reviewed By lanning) BP_# 22010 Ph_#_( 203 )563-3711 Date Reviewed /I /Denied Date Submitted 11/18/94 ***** FOR UILDI G PERMIT ***** /l/z914y 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: Ap ro 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, 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 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 . ) 5 . Sedimentation and erosion control 6 . Special Planning & Zoning, Inland/Wetlands considerations (Plans on file w/Town Clerk) COMMENTS: PERMIT 0 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 13-3 Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 3; s— 644-2511 Ext . 230 Date ing Inspector Application must be printed or typed 1 . LOCATION OF JOB -1"C; — /-z--7 41 FEE $CIIEDULE No . Street $ 0 - $19000 - $10.00 Floor Apt . No. Over $19000 - $10.00 2 . OWNER La e-c•,s/ per $1 ,000 or fraction thereof 3. A D D R E S S r PS- S'/ 4, APPLICANT 5 . ADDRESS �7 a" c,h *rJ 4 L 7` oeo 4fa 6, ESTIMATED COST $ 06;6 7 . IS THIS A CONTRACT COST _ Y No 8. FEE ENCLOSED $ `f G r � z0J 9. TYPE OF BUILDING : ✓RESIDENTIAL COMMERCIAL 10. TYPE JOB: Original Installation Alteration/Additi n/Repair RD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB I I-S— 12t4e 4eA� Ot- NO. STREET APT. NO . 12 . TYPE OF INSTALLATION P c,;, �� 13 . SIZE OF MAIN FEEDER y�0 --3 14 . NO . OF LIGHT LOOPS — 15 . NO. OF HEAT LOOPS 16. NO. OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS .2S 18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS 20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22 . NO. OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS _ 25 . NO. OF MOTORS 26 . NO . OF PANELS 27 . TOTAL WATTAGE 28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES 30 30 . A/C LOAD 31. SIZE OF POWER FEEDERS - 32. NO . OF FIXTURES 33. TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES G�r�r•-- �G/� i -ThG �_�rc-Iris .-� 35 . REMARKS AND FURTHER DETAILS : nrz- Jr Gb� cr%" I e" LICENSE NO. SIGNATURE OF APPLICANT DATE PHONE NUMBER: 1� V3 INSPECTOR DATE Z�7 TIME LOCATION �J -b �� Q e�(> INSPECTION: CODE: RESULT(D/A) : BUILDING: ELECTRICAL: (, t4' a PLUMBING: HVAC: OTHER: PERMIT E0. i-53� DEPARTMENT DECISION APPL I CAT I ON FOR Application is hereby : PLUMBING PERMIT TOWM OF SOUTH WINDSOR APPROV DISAPPROVED BUILDING INSPECTION DEPT. 644-2511 Ext. 230 Dat Building Inspector Application must be printed or typed. 1. LOCATION OF JOB: FEE SCHEDULE 2. OWNER: 3. ADDRESS: $ 0 - $19000 - $10.00 r Over $19000 - $10.00 per $1 ,0 0 0 or 4. APPLICANT: -T0 s %. Ste•-Y,c��»►�Q.r0- fraction thereof 5. ADDRESS:/35- P, 6. EST. COST: $ �f�(� r 7. IS THIS A CONTRACT COST? /YE NO 8. FEE ENCLOSED: $ 41,9 •a Q 07;o1� 9. TYPE OF, BUUILDING: v RESIDENTIAL COMMERCIAL 10. TYPE OF JO ORIGINAL ALTERATION INSTALLATION ADDITION REPAID. BD 2A 11/88 APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side) 11. LOCATION OF JOB: �6 l c /'e �cy GENERAL PLUMBING !� 12. KIND OF INSTALLATION: AA� 13. SIZE OF MAIN DRAIN n 14. NO. OF TOILETS STYLE 15. NO. OF URINALS STYLE 16. NO. OF BATHTUBS 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES .S I 18. NO. OF SINKS_ 19. DISPOSAL 19A. DISWASHER 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? 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 0 �� /�z� 34. MANUFACTURER �el--67 TANKS SAFETY DEVICES / TEMPERATURE 35. CAPACITY 5 �S�l(o�. 39. RELIEF VALVE, 5 36. TEST PRESSURE LBS. 40. MANUFACTURER 37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE 38. TYPE 42. MANUFACTURER LICENSE NO. DATE /' SftNATTRE OF APPLICANT / L PHONE NO. 6 , o `�0 �� DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERNUT 4 100?344 Application is hereby: TOWN of SOUTH WINDSOR I BUILDING DEPARTMENT Bldg Pe t# PRO _> 1540 SULLIVAN AVENUE � 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of job 12 F-'5—�41 Street No. Street Lot No. FFEE SCHEDULE /FF $0 - $1,000 - $12.00 Floor Apt. No. Over $1,000 $12.00 per$1,000 OWNER ')I/& 12og) or any fraction thereof ADDRESS l�-6 121�e7/�e,574 -!!Sep Cf 7-1A 7- Z� 1,oV OWNERS PHONE# APPLICANT 17' ovi N a ADDRESS 23/ 171111,,-5rc,196-ej�) 1v0 < 'M o;t- ono LLc-) 011 ESTIMATED COST $ 6- IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ OR- 0 ME OF JOB: Original Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM -,,TYPE OF BUILDING HEATING I/ 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.) GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) TYPE OF FUEL OIL-GPM GAS-INPUT ELECTRIC-KW OIL TANK SIZE&LOC TION INSIDEZ OUTSIDE CAPACITY Z7 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 /.74? 40 70AV _ W t _ 0� i, i G C-7 P14- f 12-o ru $r1 N0 Lo,V,2 I 2-1 r-r iZC-2O x55'v 791 403 r3r O Ngto zOME, yoBoo 13f'0 T-orrAL LdAAD `83, 4000ra THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. LDING CODES IN THE PERFORMANCE OF SUCH WORK. 22 STATE LICENSE-NO. NAME&TYPE SIGNAItRE OF APPLICANT PHONE NO. 5'&�J— ?_ 3 DATE `I —1: f FO-k OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: (NO. J,97,14 ) TOWN OF SOUTH WINDSOR EST.,COST: BLDC. PERMIT NO. 1540 SULLIVAN AVENUE FE SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 $ 0 - $19000 - $10.00 $1000 or fraction LOCATION OF BUILDING �� ,5 thereof - $10.00 laif' Ceclld� r a aar4o?� ;" �.3 7�� OWNER ADDRESS TOWN PHONE NO. 2do HVAC CONTRACTOR A DRESS TOWN PHONE NO. 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: INSIDE OUTSIDE_ CAPACITY LPG TANK - CAPACITY EXISTING RADIATION_ ADDITIONAL RADIATION TOTAL RADIATION_ DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE °F TOTAL HEAT LOSS (BTUH) (HEAT LOSS SHEET MUST ACCO APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): -If GROSS HEATING CAPACITY (INPUT-BTUH (OUTPUT-BTUH) IF AIR CONDITIONING: DESIGN TF3r1P. OUTSIDE INSIDE °F DIFFERENCE2 F TOTAL HEAT GAIN (BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.): Ahe f ` o n� C iLDY_j� LL—airr �Lfjnjlavl L vleu_n Cf TONNAGE o COOLING CAPACITY (BTUH) OC)O IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN ECHAUSE 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: e yljr-p r �, C_ ��vyh a-Z 1 c, 6 CA"1-N PP� Iv, STATE LICENSE - NAME & TYPE # DATE Si NA OF APPLICANT "'1 R- _ / 3 //T- APPROVED bATE BD 4A 11/88 I - B- R CALCULATION SHEET 1603 (Modern Method) Copyright 1971 by The Hydronic•institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL.A COL.8 COL.C COL.D COL.E COL.F COL.G 1 ROOM Q O H L W H L W H L W H L W H L W Design Water Temp. 2 ROOM DIMENSIONS, FT. ~� eruH per f 1 of 3 LENGTH EXPOSED WALLS,FT. < Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA U. STUN BTUH STUN STUN STUN 5 WALL CONSTRUCTION ROOM LIN.FT.Of (Table 9.Line 3 x HI TOTALS RADIATI N _ FROM LINE 12 SELECTED 6 TYPE OF GLASS (Bottom of table used for line 5) 7 CEILING CONSTRUCTION C (Table 9,L x W) B FLOOR CONSTRUCTIONt (Table 9, L x W or Lin. F t) E 9 COLD PARTITION CONSTRUCTION IF (Table 9,L x H) G 10 c 1 Wall(With OpenlrtOs) H `t! 2 W ells(With Openings) Ix _ J 1 " 3 Wells IW@th Openings)or Ent.Hall pe. 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' - K 12 TOTAL STUH AT DESIGN TEMP. DIFFERENCE COL.A COL.8 COL.H COL.1 COL.J COL.K COL.L TOTAL BTUH TOTAL — "'--- --"— ---- - -- — OF BUILDING RADIATION 1 ROOM Q AT SELECTED O H L W H L W H L W H L W H L W DESIGN TEMP.* 2 ROOM DIMENSIONS. FT r- DIFFERENCE U — 3 LENGTH EXPOSED WALLS, FT. 4 WINDOW AND OUTSIDE DOOR AREA to BTUH STUN STUH STUN BTUH 5 WALL CONSTRUCTION 'INCREASE BATHROOM (Table 9,Llne 3 x H) TOTAL 20% 6 TYPE OF GLASS (Soft m f table used for Line 51 fFOR CONCRETE FLOOR ON 7 B CEILING CONSTRUCTION GROUND OR FILL AT (Table 9,L x W) GRADE LEVEL,USE LINEAR FEET OF EXPOSED EDGE FLOOR CONSTRUCTIONt ITable 9.L x W or Lin Ft.) 9 COLD PARTITION CONSTRUCTION (Table 9,L x H) 10 c 1 Well(With Opening*) O - - -- - — — ------ — 0 e; ------ --—--- ---- -- 2 Wells(With Openings) p X --- ---- — ------ — ---- — _� aJ 3 Walls(With Openings) or Ent.Hall F. 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE FORM 1501 Thus form Is avaolabie fr m The Hyde nice Institute 36 Russ Place,Berkeley Heights,N J 07922 S/N ! ! ! ! RIGHT-J SHORT FORM 12-09-94 Job #: Htg Clg For : LACAVA CONST Outside db 17 91 LCC 941 SP LOT 56 RIDGEWOOD Inside db 70 75 SOUTH WINDSOR CT Design TD 53 16 Daily Range - M Inside Humid. - 50 By: AUYO TLC Grains Water - 36 64 OAKLAND AVE EAST HARTFrORD CT Const . Quality a 568-1200 # of Fireplaces 0 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Model Model Type Type Efficiency / HSPF 0. 0 COP/EER/SEER 0. 0 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 Deg F Actual Heating Fan 1938 CFM Actual Cooling Fan 1938 CFM Htg Air Flow Factor 0. 036 CFM/Btuh Clg Air Flow Factor 0. 053 CFM/Btuh Space Thermostat Load Sensible Heat Ratio 86 ROOM NAME | AREA HTG CLG | HTG | C L G* � SQ. FT. | BTUH | BTUH | CFM | CFM ============================================================================ LIVING ROOM | 168 | 5260 | 3586 | 191 / 192 FOYER / 151 | 3063 | 449 | 111 | 24 DINNING | 182 | 4504 | 3043 | 164 | 163 FAMILY ROOM 5918 | 4090 | 215 | 219 KIT EAT | 322 | 4937 | 6194 | 180 | 331 BATH HALL 132 / 3854 | 1471 | 140 | 79 LAUNDRY | 99 / 3678 | 1783 | 134 | 95 SECOND FLOOR | 0 | 0 | 0 | 0 | 0 BEDROOM 1 | 286 | 3137 | 3361 | 114 | 180 BEDROOM 2 | 96 | 1478 | 1283 | 54 69 BEDROOM 3 | 182 | 4119 | 3864 | 150 | 207 BEDROOM 4 | 169 | 2216 | 1609 | 81 / 86 BATH � 88 / 1388 | 1243 | 51 | 66 MAST BAT JAC | 180 | 3232 | 2658 | 118 | 142 SITTING | 308 | 6478 | 1606 | 236 | 86 ============================================================================ Entire House | 2587 | 53263 36� 241 | 1938 | 1938 Ventilation Air | | 0 | 0 | | Latent Cooling | | | 6144 � | TOTALS | 2587 | 53263 | 42385 | 1938 / 1938 MANUAL J: 7th Ed. RIGHT-J: V1 . 63 v FOR OFFICE USE ONLY ^ APPLICATION FOR HVAC PERMIT DATE: lf-(NO. ) TOWN OF SOUTH WINDSOR EST.COST: f 0L.,. BLDG. PERMIT NO. U/L) 1540 SULLIVAN AVENUE FEE j SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 $ 0 - $19000 - $10.00 / $1000 or fraction LOCATION OF BUILDING ��,. f' �I thereof - $10.00 OWNER ADDRESS TOWN PHONE NO. CONTRACTOR ADDRESS TOWN PHONE NO. 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_YOP_ WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM V 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) �5 c, 0� (HEAT LOSS SHEET MUST A OMP� APPLI1 ON L HEATING EQUIPMENT INCLUDING MAKE & MODEL NO.): c?fZ 3 S - DESCRIBE AL HEATI Q ( _ 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) 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: �� r�,S'�'r. .7 ZL �' STATE LICENSE - NAME & TYPE # DATE SI TURE OF APPLICANT APPROVED DATE I - B a R CALCULATION SHEET 1503 (Modern Methods Copyright 1971 by The Hydr nics institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL A COL.S COL.C COL.D COL.E COL.F COL.G 1 ROOM _ E p 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 foot of 3 LENGTH EXPOSED WALLS,FT. < Radiation Selected d WINDOW AND OUTSIDE DOOR AREA LL STUN STUN STUN STUN STUN 5 WALL CONSTRUCTION (Table 9, Line 3 x H) ROOM LIN. FT.OF _ TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED IBott m f table used I r Lin*5) 7 CEILING CONSTRUCTION C (Table 9, L x W) B FLOO CONSTRUCTIONt — O—R ITable 9, L x W r Lin. F t) E 9 COLD PARTITION CONSTRUCTION F (Table 9, L x H) --- G 10 -C 1 Wall(With Openings) c we 2 Wells(With Op nings) X N 3 Wells(With Openings)or Ent.Hall J 1 11 TOTAL. fdTUH AT 70F TEMP DIFFERENCE* J 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K L -- COL.A COLS COL.H _— COL.1 COL_J _ COL.K COL.L TOTAL BTUH TOTAL 1 ROOM OF BUILDING RADIATION Q — - — AT SELECTED p H L W H L W H L I W H L W H L t W DESIGN TEMP.• 2 ROOM DIMENSIONS.FT f' DIFFERENCE U -- 3 LENGTH EXPOSED WALLS, FT d 4 WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH STUN 5 WALL CONSTRUCTION "INCREASE BATHROOM (Table 9, Line 3 x HI TOTAL 20'x 6 TYPE OF GLASS IBott m f table used for Line 51 7 1 CEILING CONSTRUCTION -- — — - IFOR CONCRETE FLOOR ON (Table 9. L x W) GROUND OR FILL AT GRADE LEVEL,USE LINEAR S FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE (Table 9.L x W Or Lin Ft 1 9 COLD PARTITION CONSTRUCTION (Table 9,L x H) 10 r 1 Wall(With Openings) O -- 2 Wells{With Open-n9s) e x - _ O 3 WN1s(With Openings)or Ent Hall �J — -- -- - -- ---- — ------- -- — 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE — This form Is available from The Hydronlcs Institute 36 Russ Place,Berkeley Heights,N J 01922 FORM )503 J- A iti� F P- �V�T -HE 'i h3s # c-,trac! _,uyer urch--,se order ar,d/or contract ,nd contqiris ,he cn ire a9"e,,E1me,,'fl betvleelrl �he parties, T,,-�,,m s 2'o 10,-1 Pros,. . t 0 Buyer shall pay a late charge at the highest rate of interest WIO Jed by law on all balances unnaid after the 25th day of the mciith following shipment. Claims of any kind or nature, except laient defects are specificaily barred unless made in �,vriting within Vlventv days after receipt Of goods by Buyer. Claims on latent defects -are barred unless p're- sentedwithin nincty days after date of invoice, No claim or allowance hall b- made for goods after they have been processed or changed from original stale, of delivery. /',ny action for breach of contract with respect to this ourchase and sale must be commenced within one year after date 6' shipment, The limit of liability of Seller for a hrr-ach of any of the terms, cond4ions and/or provisions of this contract shall be in the case of defective goods the difference in valuo,on contract date of delivery betweer, goods specified- and goods actually delivered, and in the case of late or non-delivery the diffe,ence between the contract price of the goods and the ;narket value on contract delivery dare. In no insta�ice shall BLJy-�r be entitled to claim conseque-Wiai damages, piotit, or loss of nrofit on contemplated use, or profit, Or loss of P )f3p of ar-1, description. j "1- 1- - 1 eg, �Os 1 -sts ar:d exr�;enses: 'ncluding attorneys* fees, incwred in -,,he enfor4,,ernerit of this cor4ract and the co!lecti'01111 of any amounts due Seller hereunder, This invoice shall constitute a written contract for the supply of materials under M,G.L Chapter 254, § 4, and the completion date of said contract shall be OLD days from the date oar this invoice. Vt 1 Vil'I PA N,I' x..;. Vt TH4. k(04 I 1-T, izi Vt fit"i Vt IA 0" 4. V,V1, vj. Vt Vi. G 1/17 CT Vt. 07 1j.1 171 L 0 Vt� 6 I'.' 0� (.,rl., 0.1 o_/ 0. (A 5 VI. 1 1/1" Vi 1 7 7. 1/j fit. r� VIVI Vt. Vt'/ Q'I. b -I Vt VI 0. vj bVI ','j L Vt Vj Z Ij.1"J 1, 1/1 Vt Vt� 0 r 0 Vt. fA 0. 0 0. i 0 lij. 0 -A tit .to 00 0 0'/ Vt, 0-1, 0 0 7 vj., G I,- I 014'I Vt. Vt. 0'1 0. 0 Vt MATERIALS PURCHASED HEREON ARE SUBJECT TO TERMS AND CONDITIONS ON BACK HEREOF. OP-002-2, REV 0 TERMS OF SALE This contract shall be construed under the law of Massachusetts. THERE ARE NO WARRANTIES OF ,v ERCHANTARILITY OR FIT- NESS EXPRESSED OR iMPUED, IN C;ONNECTI ^i WITH J I iE ITEMS LiSTED IN THIS INVOICE. This contract supersedes BUyer'u purchase order and/or contract and contains the entira agreemerit between the part,es. Terms 20,/c 10th Prox, Net 30. Buyer shall pay a late charge at tl-te highest rate of interest allowed by law on all oalances unpaid after the 25th day of the month following shipment. Claims of -iny kind or nature, except latent defects are 3 ecifically arred unless made in writing �vjth,n twenty days afar recent of goads by Buyer. Claims nln latent defects are Marred unless pre- sentcd within ntr e'y days seer date of invoice. Nc,.;laim or allowance be rnade for goods after they have been faro(essed or changed f;'orn orrgirial state, of deliver'<<°. Any action tot breach of contract vat*,li as peso =o #rats purchase, and sale rest tle ccmme.acaj within r he rite . €af ,ialD Sc;,' r fr,r, a r. of t-.fry of t f i e terms, cc-,,d ii*:L'3{r3))s yyr`3.ir�t� rr�^{�$D�l ,3 ,or°s ("i tyh��s. vgl'�rtry .i/��y+$hal! b- (`r,y�'h+�e C:�.(i,,e of L,daf-u-tive g�-,o`,s he ,offar "`a l?e". ;n Y�y /C L3ki co trac!oate,of e.Belive-y between goco,- sec fr .d anri (oQdS aCtUctz a' deiivered, arrt in trie --as' of �'> ss - n-ff°''I4'£ry tr e a f i r t r?t b et.ve'en t�e ',ontrcac, nice of the goo, s and the market ,':Jue oi, comract delivery date. �'t no instanco sc I Buyer ba Ito Claim consequential darpage,s, pro"il. or ,oss of ,arufrt or; Conterrp1w,✓'d or ;r? it. or €oss of �roftt • z a-, 62�`n ripi`onl ''.AyCeF a'�! 'cjst,, a,,'i,.b ,6se."ia 'ncf irding alto e4.-Yti.°• lha it i'ii,, coretiac .,"c -,'no collecl,o n i any arr€ou. tts F.ore :yeller 3aerejiEd,-t, 1. 1 0;.. \✓l.i,Ss F L Ln f, .. AOst ,c✓ 8 e..3.''Y("lv P " �c.' the aVon iliac of i1.:,i k c.J; x' `c! ,p'✓ .,G}'.`3 b, 0' Uw- C I.ABJIf f I hl I 1""i., Ovi y iJ1)1JAl-j 1.1,110ki 1,6x Ptic Ilvi V10 X ,1 X I 'Iff C--'i 7-Z.. .I VI, c-"�3"X -4 CI X L I i.l i 0-!)l" VI 1/1 8,X J VIX %L'4. VI VI X ;3x f f.". vlo b X' i i X Vj 6 4. E.",l2J r. 9. 0-10 B X 13X -L 7 4 1-1 (f I I i j(/I, (A VI 8 X J.b X 1.0 Zt. f,,. 40 1. 00 "3 X 1 X 1.11) i. j 0 VI b X 1. 1 x I [it 1,,. 13 1.311 X IA I OX I -t 11 il'; Wd', 1 ,11-A"r T%E' LH I WC,IJ-, 1) 'HA f-11 I (IW I F" i.>1-1 N,i-') l 11L i-I I I I-d I-,-(-fI I ., FA f I (A.I. F-1 RM -1r fi 1 ;,11 11 .`CI ' I '..'X 17, V1 fit VI 4 1A t ZY el I ovi I kvi W111 I I J O'l I fl M�,TWjA,�PUR�Kk$f.q,%fREON ARE, XCT TOTE[ CONDITIONS,QN,q GK HEREOF.,, 0/1",W,?-2-,REV 0 185 SILAS DEANE HIGHWAY ram CONS TRUC TION a COm WETHERSFIELD,CONNECTICUT 06109 BUILDERS AND DEVELOPERS TELEPHONE: (203) 563-3711 April 3, 1995 Town of South Windsor 1540 Sullivan Avenue South Windsor, Connecticut 06074 Reference: Lot #56, Ridgefield Drive, South Windsor Dear Sir: c I zT) We, the undersigned, give to the Town of South Windsor and its agents and/or assigns permission to go onto the proper- ty to inspect the site work upon its completion, and, in the event it becomes necessary, to complete the work. Very truly yours, Rona d J. Albert 1A I V/-ru A_ ,x./i Karen L. Albert S f Nerary Publi j"W.MADIGAN,JR. NOTARYPUBLIC W COMm.DXP.MAR.31,1995 THE SYMBOL OF HOME BUILDING EXCELLENCE ..... Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 125 RIDGEFIELD DRIVE HVAC # Date: 5 Sprinkler# No. 22579 FINAL APPROVALS Estimated Cost $ 23 of Building Z� ' COMPLETE RED BOXED AREAS Permit Fee $ u 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) $ The undersigned hereby applies to do work according to the following specifications: Job Location 1 252 P-l'26ap, F( 7 12 • Lot No. Side of Street Zone Applicant Tel. # (O—U&L(o Address 12S e cD(a�( it(�� S� Zip 7 Lic. # Owner 6� L,YZti�T Address Architect • Address- Sq. Ft.New Area: 1st Fl. 2nd FI. 3rd FI. Total New Area #Rooms # Lavatories #Bathrooms #Garages Purpose of this permit: _Ib No City Water ❑ Well ❑ Septic System ❑ Sewer Use Group Construction Typ Area / Bas m nt 01 Garage Approv d by Date ' S' Revised 6/95 c 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 h ch this building ano its use is allowed. Signed --- �----� 1 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 ------------------------------------------------------------------------------- 95-22579-B 2,300 BO1 FOOTING 09/26/95 JFF A B10 FINAL 09/29/95 JFH A Total Est Value 2,300 i � ElecNic# APPLICATION FOR BUILDING PERMIT Plumbing# 125 RIDGEFIELD DRIVE pat •ZZ •�►'(� HVAC # No. 22995 Sprinkler# FINAL APPROV Estimated Cost $ 2700 Building F,[: SIGNON MPLETE RED BOXED AREAS Permit Fee $ Engineeri TYPE OR PRINT ONLY Occupancy Fee $ -� Affidavit REVERSE SIDE Appr.for CO Total Fee $ .� TO BUILD14KEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location ZS R-t4st jiA :W Lot No. Side of Street Zone Applicant 1z%>M V ) 4%oy&cm-r Tel. # 6 g% 66 L G Address V 4ruAA Zip C407 4 Lic. # Owner Address Architect Address Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area #Rooms # Lavatories #Bathrooms #Garages Purpose of this permit: mp� 430*4 *!fx� X 0�� peraA � p d.�• City Water ❑ Well ❑ Septic System ❑ Sewer Use Group V Construction Type Z C— Area / Basem nt Garag Approved by Date 1 Z Revised 6/95 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 ich this building a its use is allowed. Signed __- I hereby apply for a Certificate of Occupancy for the work described in this application for the permit Signed Pj4t4..L lu -- DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS 111SPeUL lU11 / MPPL-UVdl ud Le ny HP[Jl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 96-22995-B 31700 E02 UNDERGROUND 03/29/96 JFH D UG TRENCH NOT DONE E02 UNDERGROUND 05/21/96 JFF D TRENCH COVERED NEED TEST HOLE E03 ROUGH 05/21/96 JFF A B10 FINAL 08/20/96 JFH A 96-13846-E 800 Total Est Value 4,500 PERMIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT J� Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT . APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 3 zi S� 644-2511 Ext . 230 ate i g Inspector Application must be printed or typed 1 . LOCATION OF JOB 1�5 3�± FEE SCHEDULE No . IJ T Street $ 0 - $10000 - $10.00 Floor Apt . No. Over $1 ,000 - $10.00 r--- p e r $1 ,0 0 0 o r 2 . OWNER jL4>P4&,,0q ,.) �Q.,C.'Z�N� fraction thereof 3 . ADDRESSw4tq 4 . APPLICANT _ F.M.0 � 6,A4- 5 . ADDRESS. VZS (Z,4, 5. w.4wv- 6. ESTIMATED COST $ 7 . IS THIS A CONTRACT COST Yes so 8 . FEE ENCLOSED $ 1.0t" ,A4- 9 . TYPE OF BUILDING= RESIDENTIAL COMMERCIAL 10. TYPE OF JOBt Original Installati n Alteration/Addition/Repair R D 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB l.1� g t T) <461(2�� pe NO. STREET APT. NO , 12 . TYPE OF INSTALLATION C 13 . SIZE OF MAIN FEEDER 14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS 16. NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS 18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS 20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22 . NO. OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS 26 . NO . OF PANELS 27 . TOTAL WATTAGE 28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS 32. NO. OF FIXTURES 33. TOTAL HORSEPOWER 34. NAME OF SUBCONTRACTORS AND THEIR TRADES C tA.S 7—CM c_ 35 . REMARKS AND FURTHER DETAILS : el V, \At 4V- Z- Z. Ll Olea-, „- jw a� LICENSE NO. SIGNATURE OF APPLICANT DATE PHONE NUMBER: �''�Q�Q(Q�• Electric# 125 RIDGEFIEL #PDP4,ATION FOR BUILDING PERMIT Plumbing# Date: HVAC # 23201 Sprinkler# � • Z�—�� No' FINAL APPROVALS Estimated Cost $ J as Building COMPLETE RED BOXED AREAS Permit Fee $ ZIQ Engin ng TYPE OR PRINT ONLY Occupancy Fee $ Affida ' SIGN ON REVERSE SIDE Appr.for CO. 1: Total Fee $ IZ40 TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned here6y applies to do work according to the following specifications: Jo6 Location 115 ' l ( - Lot No. Side of Streeti Zone Applicant ZD lrL'� c Tel. # - Address k77 P,0 S• U Zip (0 -? Lic. # Own r Address rL Archit ct Address Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area #Rooms # Lavatories #Bathrooms #Garages - Purpose o this permit: , P&z7L 1 0 0" 5 -'&Zk City Water C Well 0 4Jptic System ❑ Sewer J Use Group Construction Type N Ar / Basem-nt Garage Approved 6y Date .S 1( Revsed 6/95 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 f m all street lines,side yard lines and required distances from all other zones and is located in a zone i hi this building an i s use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit Signed 00i -- DO NO ITE BELOW THIS LINE -- INSPECTION COMMENTS lilSPeULlUil / RPP1.-UVdl UdLe ny APPI Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 96-23201-B 1 ,500 B01 FOOTING 08/10/96 JFH A B10 FINAL 08/20/96 JFH A Total Est Value 1 ,500 T v 'Q�1 tr �`9� }5 APPLICATION FOR BUILDING PERMIT 125 RIDGEFIELD DRIVEPlumbing# a HVAC # bb Date: ) No. 25048 Sprinkl r# FINAL P R Estimated Cost � Building °� COMPLETE RED BOXED AREAS Permit Fee $ 34. Engineer TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee TO BULDISIG DEPARTMENT,TOWN OF SOUTH WK)SOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location Z < AM Lot No. Side of Street Zone Applicant c. :-—k TeL# .",b--L Y q -- G L�6 Addr ss • Z �� . C� Zip Z`� Lic.# Owner iLh�j A-r,� -Address- Architect /V le Address Sq.Ft.New Area: 1st Fl. 2nd FI. 3rd FL Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpos of this permit: _f�w� t wAJ d 6aeso V { s City�)gQter ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. Area Basement Garage Approved by Date Use Group Construction Type Revised 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' use is allowed. Signed I hereby apply for a Certificate of Occ cy 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 Comme)1t ------------------------------------------------------------------------------- 98-25048-B 2,400 B03 FRAMING (ROUGH) 04/28/98 DCJ A E03 ROUGH 04/28/98 DCJ A P03 ROUGH 04/28/98 DCJ A B04 INSULATION 06/26/98 DCJ A B10 FINAL 10/09/98 JFF D WITH OWNER PROGRESS B10 FINAL 12/30/99 JFF D NO ACCESS LEFT DOOR TAG WITH DAUGHTER B10 FINAL 08/08/00 JFF A WITH OWNER B10 FINAL 08/08/00 JFF A CLOSED OUT. 98-14798-E 650 98-10093-H 1,000 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PIR�M17T# Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPRO 1540 SULLIVAN AVENUE r� 644-2511 ext.230 Date Building Inspector Application must be printed or typed Location of job '2 ol�e A.,,elol fit, ve- Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. $0 - $1,000 - $12.00 Over $1,000 / $12.00 per$1,000 OWNER �-(�&-x- or any fraction thereof / J ADDRESS S ! ql C A OWNERS PHONE# Cp Ll 7 - 6 APPLICANT /Lt -e-C-jLr < <- '` ADDRESS 3 � C �? rd. w`f 1TI C I O -To a- C-T (a T�- WN S� ESTIMATED COST$ o�— C ' IS THIS A CONTRACT COST? YES NO j� .` ::= �C► FEE ENCLOSED $ f 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 Ha S �- MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY s' A— INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD .6 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 L— 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 r � bcL � e G-t < + 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 CODE IN THE PERFORMANCE OF SUCH WORK. sly NAME STATE LICENSE NO. TYPE SIGNATURE OF APKIgA54T PHONE NO. <r 7 DATE DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APP 1540 SULLIVAN AVENUE Bldg.Permit# /d lo Z ji/-e 644-2511 ext. 230 02 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 74 ,e IJ De, $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT A) APPLICANT ADDRESS .3� ��►�-,ti� ,�fr iv ew�(n,t-to vt•, APPLICANT PHONE# of A b— OWN S F OWNER Z b�.°7_' '4� OWNER ADDRESS / OWNER PHONES C ESTIMATED COST$ a s y y IS THIS A CONTRACT COST? Yes 20 No FEE ENCLOSED$ ,3 G TYPE OF JOB: OR-CO New Installatio Alteratio Additio epair I 9 Revised 4/01//2002 ' 1 I APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATE WITH A BUILDING PERMIT APPLICATION? YES ❑NO � RESIDENTIAL LL33 BUSINESS CURRENT USE AND OCCUPANCY jC�e-s 14e-,TI.9.1 `-e- ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY 40 5 rtc{ ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER OF LIGHT CIRCUITS _NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES f NUMBER OF OUTLETS G NUMBER OF LIGHT FIXTURES .3 NUMBER OF HEAT CIRCUITS _ NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK ^-w j Gt>1 / D c�, ��'TS d G�l✓ L�.l !?-riL Ot.� -{� O✓ti Id-✓-C k r �YV /U2-cCJ .SC.�YJ ,l �l l W�"d'✓4�� /9'w(;� w►ns-� �l.�J � S'tJ y�: �i`�G[d�'� ��.� /#Okilam/ 4 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 DATE f p? I lj-- ® 2