HomeMy WebLinkAbout111 Rockledge Drive w
3
4 THE BUHDING INSPECTOR
of the APPLICATION FOR
� 0 r TO" OF SOUTH,.111f .(c'l6jlL PLAN EXAMINATION A N D
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. o
ZONING
I• AT (LOCATION) / ��" DISTRICT
LOCATION (NO.) (ST ET)
0F BETWEEN /c ' lil%� .�/� AND
BUI LDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION ��"Z "� LOT 0 BLOCK SIZE
10,
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D :1 �'� +�% " '}- Y#`��
�o
A. TYPE 0 IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use T
1 New building Reside I Nonresidential
2❑ Addition(!/residential, enter number 12 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- - - - -� 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 l Transient hotel, mote ,
❑ 21 ❑ Parking garage
4❑ Repair, replacement or dormitory - Enter number
5 ❑ Wrecking (1J multifamily residential,
units ------- - -� � Service station, repair garage
enter number of units in building in 15 Garage 23 ❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
17❑ Other - Specify 25❑ Public utility
7 ❑ Foundation only 26❑ School, library, other educational
B. OWN E HIP 27❑ Stores, merconfi le
8 Private (individual, corporation,
28 E] 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.)............
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 o2
30❑g
sonry(wall bearing) 40�blic or private company 48• Number of stories................
31od frome 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions .................... as 7cl
33❑ Reinforced concrete H. TYPE 0 WATER SUPPLY
50. Total land area, sq. ft. ........... Q �
34❑ Other - Specify 42 Public or private company 3
43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES ^�
'
F. PR7Gcs
51. Enclosed ....................... C`AL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL L/
35 Will there be central air 52. Outdoors....................... 7
36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45 lJr
53. Number f b dro ms..............
38❑ Coal
39❑ Oth r- Specify Will there be an elevat r? Full.......... 02
54. Number F
46❑ Y s 47 No bothr oms 1
Portiol.......
IV. IDENTIFICATION — To b completed by all applicants
Nam Mailing address — Number, street, city, and State ZIP code Tel. No.
I. WVA CONSTRUCTION COMPANY
Owner or
Lessee WE MSFIELD, CONN. 06109
2 LaUVA CONSTRUCTION COMPANY
Contractor
WMIERSIFIELD.
3.
Architect or
Engineer
The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applic Address Application date
L* s N CO. s� 71.2 ?y
DO NOT WRITE BELOW THIS LINE
V. 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 $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Obtained Date Number By
ned 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
VII. VALIDATION
Building _
Permit number
Building
Permit issued 19
Building pU
Permit Fee $ �9
A roved b
TITLE
G!
4
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date July 12 1984
I
Fee Paid $. 4 9 8 .0 0 Eat. Value $8 3,0 0 0
k
Permit M 13955
t
k on the aide of
r
Lot #8 Rockledge Drive Street
Street No. 1 1 1
Owner LaCa va Construction Co._
1 Applicant G. A. LaCa ya
{
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 6828
Fee Paid $ 3. 00
CLASSIFICATION
nwe1I ing
BUH DLNG PERMiT
N? 13955
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. July 12 104
94is is to Terftfij, That LaCava Construction Co.
is hereby granted permission to Dwelling
at estimated value of $8 3 r 0 0 0
on the side of Lot #8 Rockledge Drive Street on land
owned by LaCava Construction Co.
Said Work to be as described in Application
No. 14225 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Jul 2 1$4.
�,.•Building Inspector.
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 compelled to reason therefor."
T '
Dwelling - Lot #8 Say.Wds. 1 7/12/84
LaCava' Construction Co.
111 Rockledge Drive Permit # 13955
Electrician David S. Garber # 8520 V
Heating Contr. D. Bartone P & H #6031
Plumbing it J. Bartone P & H #6523
Oil Burner #
C rtificate of Occupancy # 6828
Sewer Permit
Plot plan apprd. per Engr.
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit
Certificate of Occupancy 6828
THIS I)Ty TO =ER at the
at No. # in the T of South Windsor, Connecticut, has
been erected and completed accordance with the B ildirg Code and Zoning Regulations of
the Town of South Windsor, and is hereby appr ed f r ccupancy.
t
Building Inspector
LOT A0 161
Q e. Builder
Fee Paid Date p -�o v��-� 19,8 4--
'`'�� °moo r� �.'1�?• �cQf trot � �- ��z 4 ire- `�,•� ;
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ham. �r. � { s "X` ,f�• n��!V ,"0 _, ^ rr •�?
� 'fin.• a �`y" � r ``� 4�3 �� ��~'�r � �+ � .
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PROPERTY CIF
OE
r MERrar CfRT/Ir!' .
roAT TA/IS MAP IS j'NRI.:rA#r/AL L r coRRECri�^-Z)
AND zoivlmf Pre At MS ARf MOT VIOL ATE&
SCALE }, IN.ZlOFT. DA TE. (r � f
Y
8520
A
ELECTRICAL APPLICATION
Application No. 9 9 3 2
on the sidc of
Lot #8 Rockledge Drive Street
Street No. ill
1
Owner LaCa ya C'_nnstrur.ti_on__
Electrician David Garber
FILED IN OFFICE Or
The Building Inspector
Sept. 10 19 84
INSPECTION.
M 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
stops (i f of wood) are installed, without a special
permit from the office of the Building Inspector.
Electrical Permit No. 2,1-czo....................
Master License No.
TOWN OF SOUTH WINDSOR Building Permit No. ........................
BUILDING DEPARTMEN'r Date Filed '411-01welr4l.- .. ............... .... ......
Date Final Approval ...... ...........................................
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
JOB LOCATION: ..... JOB OWNER: .....��''...'.s ..........................................
............... ......................... �.... ......�R...... ... ......
Side of Between . .. ............. ........... .. ... and .........
Name of Building Owner W-2 7?oe-S f
... . ..... ....... ......... Address . . .. .............. .. . ...... ............. ...................
If work is for Lessee--Give name ...... Address ............................ ................................ ....... .................
Building now occupied as (unless new) . . . No. of family units now .......
Building to be occupied as ....... Ps i ck -e ...... ...... Number of family units to be ...... /..................
Is this work included in a Building Permit? IeJ Permit Fee .. ...... .................. . ............... .................
(If no Building Permit)
Permittee Business Address Garber-Doran,inc. 'elephone ............... . ........
kl/ So Carpenter Rd.
COST OF INSTALLATION: 0,0 .......................... . ..........I...... 11 Manchester,CT 06040 ........................................................
TO BE FILLED OUT BY PERMITTEE
TO BE WIRED I EXISTING APPLIANCES
Number of light outlets to be installed
Number of convenience outlets to be installed Number of present Appliance Circuits .... .... .................. .......
Number of switches to be installed Do these include Range E] Water Heater E]
Number of appliances to be installed
(as listed below) Dryer ❑ Air Conditioner E] Oil Burner F]
TYPE RATING NO.
Range . . . . . . . . Dish Washer ❑ Gas Burner
❑
Well Pump E] Elec. Heaters ❑
Range Top . . . . . .
Oven . . . . . . . . REMARKS:
Water Heater
Clothes Washer . . . .
Clothes Dryer . . . . .
Dish Washer . . . . . .
Air Conditioning Motor
Oil Burner Motor . . . .
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan . . .
Well Pump . . . . . .
Electric Heat . . . . .
D
Other
Number of new Lighting Circuits
Number of new Appliance Circuits
Number of Heating Circuits . . . .
Number of Motor Circuits
Size of present service .............. ..................
Size of service to be . ....... ...........L oo.............
..............
6523
PLUMBING APPLICATION
Application No. 7301
on the_.--- aide of
-......Lot- Stet
Street No. _ cF
Owner '.f� 69Lj,-
Plumber ......,J...j G�t�
Filed in Office of
The Bin- Lrpecoor
-Sept. 4 19_U
No person shall add m or aher ay
portion of the drams Waumn of any bu&6 g
(eaoept to repair 66) until a Pleaoit s granted
by the BuMn Ldpectw.
APPLICATION FOR PLUMBING PERMIT (C ntinued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB z �'q"A zz
E T FLOOR APT.NO.
GENERAL PLUMBING
12. KIND OF INSTALLATION e[.C2 shla��� _ 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE 15. NO. OF URINALS STYLE
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES _18. NO.OF SINKS�_ 19. NO. OF WASHTUBS
20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS _SIZE
3`'
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? P 27. SIZE OF WINDOW 3 �
28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? yS
SIGNATURE
ADDRESS J�
LICENSE NO. Q'J3-2-O 2 ESTIMATED COST d d - _TELEPHONE
OWNER ADDRESS
WATER HEATER
31. TYPE 32. MANUFACTURER
TANK SAFETY DEVICES
33. CAPACITY 37. TEMPERATURE RELIEF VALVE
34. TEST PRESSURE_ 38. MANUFACTURER
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE
36. TYPE 40. MANUFACTURER
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY
AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
r
V Zia
CD962 DATE SIGNATURE OF APPLICANT
PERMIT #
Application For 6422 6031
DEPARTMENT DECISION Permi
t
e t
0
cAPPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
� a
N IR APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
:~ Cd
1.4
o p, 10/26/84 Thomas P. D' Auria
DO O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W
O �
E ^C 1. LOCATION OF JOB
O v
o
i. O
CLI 1: NO. REST
Cd O
C)
� rn
„[ O LOT NO. FLOOR APT. N .
� O
lV
2. OWNER YG �
O
o s. ADDRESS
bo 3
In `d 4.PHONE -f .3 21/
4J >
Cc
APPLICANT
42&1&e
.0 s. ADDRESS �S l
ff
_ PC
a� 4)
237.PHONE
B. LICENSE NO. �� �'2-6 Z
Q _
C w S. EXPIRATION DATE OF LICENSE
,G C 10. ESTIMATED COST s �s-�"
bo 11. IS THIS A CONTRACT COST? LJ YES 0010
I:. FEE ENCLOSED s Permit #13 9 5 5
a�
v IS. TYPE OF BUILDING:
bo b L�--RESIDENTIAL ❑ COMMERCIAL
O f~
Cd .) 14. TYPE OF JOB: ❑ INDUSTRIAL
3
ORI ALLATION El ADDITIONALTERATION
REPAIR
APPLICATION FOR HEATING PERMIT, (Continued it m Revere side)
11. LOCATION OF JOB Z/,Z �L&jeze -.e 1-d
O• STREt FLOOR APT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND N0 k1 B.T.U. OR SQ. FT. NET "f - B.T.U. OR SO. FT. GROSS FIRING RATE
FLOORS TO BE HEATED �-- NEW OR OLD BUILDING /'UP C j INSULATED - YES OR NO
TYPE OF WALL rk INSULATION 3 '/ L- ROOF OR CEILING- z- INSULATION
AVG. SYSTEM WATER TEMP. C) B.T.0 j. SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE C� - '7O °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. �j �..,.42
DESCRIPTION OF WORK
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA - SQUARE FEET S.T.U. S.T.U. 1-D
AND 000Rs VOLUME <� DISTRIBUTION INSTALLED
TOTAL TOTAL q
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j F'LL REGISTER
L W N AND C TEMP. TO F F Q TYPE AND SIZE RAO. OR LEADER
WALL t� (INFILT.) O
SIZE f'� DIFF. •F F m m SQ. FT. FREE AREA
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:
NAME ADDRESS
SUBCONTRACTORS AND
18. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN. J-2 S
DAT ISIGNATUlR OF APPLICANT
.e•a�KN•vE.s R..,....-.»-..►.-.n--n..w.. ..., .�.. _ ._ _ _ - _ ... -_- -. "a....w..arraew+�..+4w.�MYM.�wu,'W.x.g�!p
• a!i
: ILLATION SHEET I (Modern Method) covr►IrIV
flt i977 Tnli w ,fniltlRu.
ADDRESS It DESIGN TEMPERATURE DIFI*EIIENCE
.� COL.A COL.B COL.C COL.D COL.E COL.F COL.G
i ROOM L
O -4 Lie (�u► H W 2fil'
� w M uW N Deft"water Taelt9. ......
Cy
2 ROOM DIMENSIONS,FT. ~ �6 y 1 (/ 1/3 r I r ,`
RU14 RN FNf of
y'( Radlatloalslas/M
03 LENGTH EXPOSED WALLS, FT, Q 3
t WINDOW AND OUTSIDE DOOR AREA 6
STUN STUN STUN STUN STUN
5 WALL CONSTRUCTION '7 d 7 �•-- v �(J ROOM LIN.FT. P
((Table 9,Llne 3 x H) o/ O d j � `� TOTALS RADIATION
PR M LINE 12 SELECTED
6 TYPE OF GLASS O d D {) 0 0 � �(J
(**"am of table used for Line 5) C Z.7 Oc
7 CEILING CONSTRUCTION r
ITebte 9,L x W) U 1 v v (7 0 D ? d y
e FLOOR CONSTRUCTIONt ----- E 3 r4ry
(Table 9,L x W or Lin. Ft.) w . Al
0 COLD PARTITION CONSTRUCTION F
(Tabu 9,L x H)
to #Q 1 Wall(With Op nines) , b/Srale .Z v� '-� ✓ Z ° s/ O O H �„��
2 W Its(With Op nines) °x
3 Wells(With Op nines)or'Ent.Hell
1
11 TOTAL STUN AT 70F TEMP. DIFFERENCE' 7 d v x- 6 O O
� � K
1Z TOTAL STUN AT DESIGN TEMP DIFFERENCE O •.3 rOO U 0 � O L O
/1y 00
00L.A COL.9 COL.H COL.I COL.J COL.K COL.L T TAL BTUH T TAL
1 DOOM J y1 o Q r L�✓ G OJ F BUILDING SELECTED
O H Vlif H �/ W H H H Vj W DIF ERENCE
Z ROOM DIMENSIONS,FT. U V / 4.4 '7161 -n d 71( 't'6 'd .Z O � 0 �
3 LENGTH EXPOSED WALLS, FT. Q 0
S WINDOW AND OUTSIDE DOOR AREA U. �-O CP
BTUH STUN STUN STUN BTUH
5 WALL CONSTRUCTION O C� 00 Z v Q INCREASE SAtHMIOOMI
IT*W 9,Line 3 x H) / TOTAL 201i
i TYPE OF GLASS --��..�
(Bottom f table used for Lins,5) X1 (� 700 V O
tFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION o GROUND OR FILL AT
iV S - �"' '5 GRADE LEVEL,VSE LINEAR
(Tebi 9,L x W) FEET OF EXPOSED EDGE
B FLOOR CONSTRUCTIONt �--
! (Tabs 9,L x W or Lin. Ft.)
9 COLT?PARTITION CONSTRUCTION
(Tabu9.LxH)
10 Aj 1 Wall(With Openings) 0;Fal
/S— d is no
2 wells(With Openings)
ex0.171
3 Wells With Op nines) r Ent.Han V 2. a
I TOTAL STUN AT 70F TEMP. DIFFERENCE* Q Q ,3 a y 6 6 .Z O o 010
1Z TOTAL STUN AT DESIGN TEMP, DIFFERENCE a O J O O / 1 1
-FORM IS03
Thie form is available from The Hydronics institute,35 Russo Place,9 rkeleV Heights,N. J. 07922
„.....,,..o.«,.r+9�•v+.o.*wws.a,r-,,.,. c....e.+r.... ,...,...,.._.. .�.,,,,.. 'r--...,.•-- ,._._.�_ _ �,.. .+ .., _,_. _.« ++�.w,.-...=a-w:.:-,a.�_�awy�---v+•. th�El �lt 2�!
. jJ1)
' � CALCULATION SHEET 16M (Modern M od) Copyright is77 by Tn.H �. Ics Imlbtuf
N - ADDRESS DESIGN TEMPtAATURE OIFFtIIENC[--F. DAT! --
COL.A COL.B COL.C COL.D COL.E COL.F COL.O
1 ROOM t` p H H L H N W H Onion Water TMraw. �......
2 AOOM DIMENSIONS,FT. V -71 bVIC Jr .6 17 8TUI4 00 O"t 111
3 LENGTH EXPOSED WALLS, FT. Rarlatl a SM -
a, 4 WINDOW AND OUTSIDE DOOR AREA d� 6
BTUH STUN BTUH BTUH BTUH
5 WALL CONSTRUCTION v f 6 d g �j a d ROOM LIN.!R.00
s R _ / / p T TAILS RADIATION
(TWI 9,Lins 3 x N) Lo7
$ TYPE OF GLASS PR M LINE 1! SELECTED
(Gotta of table used for Lino 5) G v v G a o /�' 6 a� / �' a U
.,
7 CEILING CONSTRUCTION
f7able9,LxW) US” • � V ; vv 6 Utz 00 600
D 2 � 0 0
�^ G FLOO14 CONSTRUCTIONt
..ram ------r- E e�� d 0 �
(Table 9,L x W or Lin. Ft.)
9 COLD PARTITION CONSTRUCTION F t
' (Table 9, L x H)
so 1 Wall(With Openings) o ✓ o ✓ 6 a
rgsl r S �/V N �._..r-
ol; 2 Wells(With Openings)
J1017 ✓� _ °
—P 3 Wells(With Opening%)or"Ent.Han
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' �G 0 0 0 d y O 63 00
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE d O d VG 0 C 4 K
d 0 L J too is
COL.A COL.B COL.H COL.I COL.J COL.K COL.L TOTAL&UH TOTAL
OF UILOINO AAD1AT1ON
1 ROOM Q AT SIELECTEO
p H L W H L W H L W H L W H L W dES1ARTEMR�'
DIFFERENCE
2 ROOM DIMENSIONS,FT. ~
C)
3 LENGTH EXPOSED WALLS, FT. U.
Q
S WINDOW AND OUTSIDE DOOR AREA
imam
BTUH BTUH BTUH BTUH GTUH
;`- 5 WALL CONSTRUCTION *INCREASE�l4TliI1bOM
TOTAL 90%
(Tab) 9,LIne 3 x H)
d TYPE OF GLASS
(Bottom of table used for Line d) x I fFOR CONCiIETIIE FLOOR ON
J*7 CEILING CONSTRUCTION GROUNDOR FILL AT
'` (Table G,L x W) GRADE LEVEL,USE LINEAR
FEET OF EXPOSED EDGE
FLOOR CONSTRUCTIONt
fTable 9,L x W r Lin. Ft.)
' G COLD PARTITION CONSTRUCTION
(Tab) 9,L x H)
10 1 Well(With Openings)
2 Walls(With Openings) X
wJ
3 Walls IWith Openings)or Ent Hall F
WOMEN
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE '
This form Is available from The Hydr nies Institute,35 Rua Place,Berkeley H Ights,N. J. 07922
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
TOWN OF SOUTH WOMSOR, CCWM PLAN EXAMINATION A N D
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. G
ZONING
I• AT (LOCATION)
ko C DISTRICT
LOCATION (NO.) (STREET)
plr—
OF BETWEEN V S 4 AND A26 ;,4 .
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION ! r���� LOT BLOCK —SIZE
H
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T
%
1 New building Residential Nonresidential
2 Addition((/ residential, enter number 12❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Parl D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious
number of units— — — — --iii- 20❑ Industrial
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (1l multifamily residential, of units ——————— — i ❑ Service station, repair garage
enter number of units in building in 15 Garage 23 ❑ Hospital, institutional
Part D, 13)
16 ❑ Carport 24 F7 Office, bank, professional
6 ❑ Moving (relocation)
17 Other — Spec:/y 25 ❑ Public utility
7 ❑ Foundation only
A ��� � n�� 26❑ School, library, other educational
B. OWNERSHIP /C 27 Stores, mercantile
8 ❑j Private (individual, corporation, • 28 ❑ Tanks, towers
nonprofit insti+ution, 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................ DO• 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.)............
11. TOTAL COST OF IMPROVEMENT r$ �Y&4 1'6
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
30❑Masonry (wall bearing) 40❑ Public or private company 48• Number of stories................
31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .....................
33 F7 Reinf reed concrete H. TYPE OF WATER SUPPLY
34❑ Other — Specify 42❑ Public or private company Total land area, sq. ft. ...........
43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 Gas Will there be central air 52. Outdoors.......................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44 0 Yes 45❑ Na 53. Number of b drooms..............
38 Coal
39 0 Other— Specify Will there be an elevator? 54. Number of Full..........
46 Yes 47 No batter ms
Partial.......
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing addr ss — .Number, street, city, and State ZIP code Tel No
WAI ZA4411S /P
Owner or
Lessee
2.
Contractor
3. U
Architect or
Engineer
The owner of this build i and t-he undersigned agree to conform to all applicable laws of this jurisdiction.
Signs re of applicant Address Application date
041,�5
/001,
NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans Review Required Check Fee Started BY Approved BY Notes
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval I Check Date Number B Permit or Approval I Check Date Number ' B
pp Obtained Y pp Obtained Y
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
VII. VALIDATION
Building
Permit number
Building
Permit issued 19
Building
Permit Fee S
Ap roved b
10 P.
'd
TITLE
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� = scA E• ��= Fr, DATE: 1&%/94
�.
RxA4pF 'w AS IBUI(.T 13-146-e4• r
M ••
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WR-4DSOR -�c33-7
BUILDING DEPARTMENT
PROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
l / � L L
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT C ��f
APPLICANT ADDRESS l 3
6(6-S4 0,6ur
APPLICANT PHONE# G SY—-3 4t a
W
N S OWNER . Ke-ex S'� C r
Fq� OWNER ADDRESS
`AC6.,
OWNER PHONE
O * #.
C ESTIMATED COST$
IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$
TYPE OF JOB:
�sOR-Co New Installation
Alteration/Addition/Repair
Revised 4/01H2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑YES ❑NO
` SIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD ���� o d v
P
SIZE OF SERVICE 40-f SIZE OF MAIN CONDUCTORS o
NUMBER OF METERS I NUMBER OF DISCONNECTS AND RATINGS °
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES KO
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
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.
/9,3 ke
C-4-1-
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE -S �'
Shirley Wilhelm - CRS Approval Confirmation: Request No. 215203 Page 1
From: <clpsvc@nu.com>
To: <WILHEL@SOUTHWINDSOR.ORG>
Date: 6/14/02 2:35PM
Subject: CRS Approval Confirmation: Request No. 215203
Your approval of the following CRS Request has been successfully processed.
CRS Work Request#: 215203
House No: 111
Lot No:
Street Name: ROCKLEDGE DR
Town Name: SOUTH WINDSOR, CT
Inspector: JOHN COLLINS
Approval Date: Jun 14, 2002
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT#
Application is hereby: TOWN OF SOUTH VaNDSOR
BUILDING DEPARTMENT
APPR 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
D to Building Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE
d
$0-$13,000=$13.00 treet No. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT �xj,%�
APPLICANT ADDRESS h
APPLICANT PHONE#
�O W ,q N S F OWNER / �
u < OWNER ADDRESS �2: •xa
O `` OWNER PHONE 7
C ESTIMATED COST$
�, '�► IS THIS A CONTRACT COST? M-Y-e—s 0 No
l� G FEE ENCLOSED$_/�r-aa
TYPE OF JOB-
dsOR,Cps
"ewtallation
13 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF B G:
❑HEAT G U4tESIDENTIAL
❑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 OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) °F(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 OIL TANK LOCATION:❑INSIDE❑ OUTSIDE CAPACITY
❑ GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE qS _OF INSIDE 7—OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH)� d (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
34 h
TONNAGE _ COOLING CAPACITY(BTUH) l/
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 CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE TYPE STATE
SIGNATURE OF APPLICAN DATE
8 �-
S
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17!
S 0 IF71. T Z.
Lin sm
C L i'];-
odel bloc!
T y p fe T
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13 E 13 07-
1 10 20 1 15 C,113 i ED Cj
.3 C) 1235 2 3 Es E.
3 A 7 WL
20 1.3
1 2 2 S 0 1 7 122
F-D'T*E 695 I i 2317
L 3 ff, 1 loc. 1 1 .3 CD
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FAM i LY 2 S"C) 4 12 5 2-7 23 17 147
122,7 C)
Vent i 11 at ic-,n Ai-j-
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T 0 A L is 2!,---4 C) 1 2 38'S..., 1 27451 1:.2'7 12 7 0
MANUAL J: 7th Ed. R I 13HT—J: V 1 . 63