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HomeMy WebLinkAbout15 Rugby Lane BM AL,IINSPECl APPLICATION FOR BUILDING PERMIT Plumbing Date HVAC Sprinkler 15 RUGBY LANE Electric Estimated Cost $ 2�(00 Zoning `�' ).a r 19 22153 Permit Fee $ Affidavit I NO. Occupancy Fee $ 3 Eng. Dept. 6 COMPLETE RED BOXED AREAS. Fire Dept. TYPE OR PRINT ONLY Total Fee $ _ 3 Health Dept. SIGN ON REVERSE SIDE. Approved for CO:.�. 5 J (Additional Cost) $ 14 1 95 TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location /1149-4-Ae Lot No. Side of Street Zone Applicant r Tel. # Address 7 T2C�.•c'� 9. 4�%�r✓ys�•� �'i� Zip ��� 2, Lic.# STREET CITY STATE Owner /�M��� ��.��s Address 7!F- S t Architect f.����'�r' � �-�� s�- Address ��� �i"'���.--�. ._S' u= ,��•.��'�� Size New Area: Ft. Front Overall Ft.Deep Overall Total Area #Garages �, �l Lavatories Size of Lot �� Dist. from Street Line S/ Bathrooms Rooms 1 st_!�' _2ndf_3rd Purpose of this Permit City Water Well 0 Septic 0 Sewer Wp� Use Group Construction Type 3?3 Approved by Date �Mc«cNj BD1A 11/88 ��Z I her by 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 permit. Signed —DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation r -1 Plumbing Permit#_ � Inspections: HVAC Permit# Inspections: Electrical Permit# J7 Inspections: Sprinkler Permit# Inspections: :.ocation of Job: AFFIDAVIT Additional Fee S13 0. 0 0 State of Connecticut ss.South Windsor County of Hartford Owner I of �.G� �''� Agent for the building erected Contractor under Permit No. 2 215 3 issued by the Building Department of the Town of South Windsor being duly sworn,make oath and say that the actual cost of the completed work authorized under said permit did not exceed the most current accepted BOCA value of S 1 n R t S q r; _ n n_ Signed Subcribed and sworn to before me this day of - A.D. 19 l� Estimated Cost S g F f 1 0 0_ 0 0 :' J Difference: S 12 , 495 . 00 11? otaT 1}�ic - Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 95-22153-B 85,000 B01 FOOTING 04/03/95 JFF A B02 FOUNDATION 04/12/95 JFH A E01 SERVICE 05/02/95 JFH A RELEASED P02 UNDERGROUND 05/17/95 JFH A WATER TEST P03 ROUGH 05/17/95 JFH A WATER TEST H03 ROUGH 05/17/95 JFH A AIR TEST B04 INSULATION 05/24/95 JFF A PO4 GAS TEST 09/13/94 JFH A PO4 GAS TEST 09/13/95 JFH A B10 FINAL 04/26/96 JFF D ANCHOR BOLT NUTS THROUGHOUT B10 FINAL 05/06/96 JRC A ANCHOR BOLT NUTS INSTALLED PER CONTRACTOR 95-9568-P 3,800 95-9189-H 3,800 95-13424-E 3,500 Total Est Value 96,100 Dwelling 1,926 78,811.92 Basement 952 11,804.80 Garage 400 4,960.00 Smoke Det 7 525.00 BOCA Value 108,594.94 Difference 12,494.94 SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 15 RUGBY LANE LOT J 1 Reviewed By. (Engineerin WILMAR CONSTRUCTION Date Review Z prov 878 STRONG ROAD,SOUTH WINDSOR„CT Reviewed By (Planning) BP_ —22153_ Ph # (203)528-3564 Date Revi 4 y Jl Approv Denied Dat Submitted_04/25/96 ***** FOR o 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 J 2. Finish grading per approved building permit plan 3. Site work; i.e. trees, shrubs, PC dumpsters, required parking UU 4. Utility location; a. sanitary sewer/septic system J� 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 a Sewer Permit No. 6265 65 Pavement Excavation No. COMMENTS: ., 1 SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 15 RUGBY LANE LOT_# 1 Reviewed ineering) WILMAR CONSTRUCTION Date Revie e! - prove d 878 STRONG ROAD,SOUTH WINDSOR„CT Reviewed By ) BP # 22153 Ph # ( 203 )528-3564 Date Reviewed pprov Denied Date _ Submitted 03/21/95 **** FOR BUILDING PE ***** 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: App owed Denied N/A 1 . Name, address & phone number of owner/applicant i 2 . Name, address & phone number of plan preparer 3 . Zoning Information - i.e. zone, open space, floodway, etc. 1 4 . Plot Plan at 1" = qr0''' 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 Elev tions of gravity drainage systems, sanitary & . foundation rai at the house and the street wad" g. Tentative utility a (gas, water, electric, sjep:L y-at-em, etc. ) 1 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: 1 2 RE CE�ivEO iC MAR 2 2 1995 SOUTH Wli%2=1, iNG.KEPT. ' f PERMIT 11� DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 644-2511 Ext. 230 ate ing Inspector Application must be printed or typed 1 . LOCATION OF JOB FEE $CHEDULE No . Street $ 0 - $19000 - $10.00 Floor Apt . No. Over $1 ,000 - $10.00 2 . OWNER per $1 ,000 or -- fraction thereof '3 3. ADDRESS C>712 4. APPLICANT 5 , AD D R E S S; s' �rg�,51�' r''�.� r 6 . ESTIMATED COST $ 7 . IS THIS A CONTRACT COST Yes No 8 . FEE ENCLOSED $ ��C1 9 . TYPE OF BUILDING: �/� RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: A7-original Installation Alteration/Addition/Repair RD 3A 11iee APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB NO. STREET APT. NO , 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER 14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS �r 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 S 30. A/C LOAD 31. SIZE OF POWER FEEDERS 32. NO . OF FIXTURES 33. TOTAL HORSEPOWER` 34. NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : O o Ao,-vtlo� c I/ LICENSE NO. SIGNATURE OF APPLICANTS DATE PHONE NUMBER: r j �� INSPECTORQ F)� DATES TIME # (^ P LOCATION INSPECTION: CODE: RESULT(D/A) : BUILDING: ELECTRICAL: U' l �yz.14 E PLUMBING: r- '- HVAC: OTHER: ' PERMIT NO. q SLY DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVE DISAPPROVED 1540 SULLIVAN AVENUE 644-2511 Ext. 230 Date Building Inspector Applications must be printed or typed 1. LOCATION OF JOB: IS T F E E SCHEDULE 2. OWNER: LV C $ 0 - $19000 - $10.00 3. ADDRESS: I 2 L51?z Over $1 ,000 - $10.00 ® CcJ o S 64 C� per $1 ,000 or 4. APPLICANT: C fraction thereof 5. ADDRESS: xy 6. EST. COST: $ d 7. IS THIS A CONTRACT COST? 1YES N Q-u 8. FEE ENCLOSED: $ 9. TYPE OF BUILDING: C�mDENTIAL COMMERCIAL 10. TYPE OF JOB: �>' GINAL ALTERATION INSTALLATION ADDITION REPAIR BD 2A 11/88 APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side) 11. LOCATION OF JOB: /�u c6Y L# r GENERAL PLUMBING 12. KIND OF INSTALLATION: ,- 13. SIZE OF MAIN DRAIN 14. N0. OF TOILETS _STYLE ,1 N0. OF URINALS STYLE 16. NO. OF BATHTUBS 16A. NO. OF SHOWERS �_ 17. NO. OF LAVATORIES 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 I KIND L✓/J ----J��//C�t 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOW '9 �y ,j r2 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 6z/cl 29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK? 31. SIZE OF WATER MAIN Z 31A. SIZES OF WATER PIPING & RISERS 32. REMARKS AND FURTHER DETAILS / Tj��� /wx _,2 d � WATER HEATER 33. TYPE CAS 34. MANUFACTURER_ �� TANKS SAFETY DEVICES TEMPERATURE 35. CAPACITY _ 39. RELIEF VALVE ]Q 36. TEST PRESSURE �O C> LBS. 40. MANUFACTURER �7-S 37. WORKING PRESSURE / "' LBS. 41. PRESSURE RELIEF VALVE 38. TYPE 42. MANUFACTURER �� LICENSE NO. DATE es ATURE OF APPL CANT PHONE NO. e Z- FOg OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: (NO. ) TOWN OF SOUTH WINDSOR EST.COST: BLDG. PERMIT NO. 1540 SULLIVAN AVENUE FEE C SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 $ 0 - $12000 - $10.00 r $1000 or fraction LOCATION OF BUILDING J y y �jj� �' thereof - $10.00 w L c'0 41 �ti� o S. G�ier/�D sd cr &�s3�e OWNER ADDRESS TOWN PHONE NO. HVAC CONTRACTOR ADDRESS TOWN ®40 4/� PHONE NO. TYPE OF SYSTEM: HEATING D , 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 �6(600ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE e2 OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS (BTUH) z Q (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): '1l F6 SZIfXllr Y 65_0''/9S 6/L- ?, a0 idSc/ 6619S "40 �- _710-, GROSS HEATING CAPACITY (INPUT-BTUH) drdd NET RATING (OUTPUT-BTUH) cva IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF 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: /10 Ay/C s 5 d s s -30,!(56 r- STATE LICENSE - NAME & TYPE # DATE SIGN RE OF APPLI T �J2.C- sip APPROVED DATE BD 4A 11/88 I B a R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronics Institute s OWNER (,Jj Lj / � Cow` /-i+ ADDRESS OKCl/6,6 DESIGN TEMPERATURE DIFFERENCE F. DATE COL.A j COL.C COL.D /COL.E COL.F COL.G 1 ROOM /�1 O r� H L W H L W H L W H L W H L W Design Water Temp. /—�— 2 ROOM DIMENSIONS, FT. ( O BTUH pen F of of3 LENGTH EXPOSED WALLS, FT. Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA 2 dBTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION / 0 / / � 0O O / /� (Table 9, Line 3 x H) U U `/ ROOM LIN. FT.OF TOTALS RADIATION 6 TYPE OF GLASS � � � 0 ^/1, ���O �� �� FROM LINE 12 SELECTED (Bottom of table used for Line 5) '/�//J l/ (�/0 /� I/ 7 CEILING CONSTRUCTION C V v (Table 9, L x W) g FLOOR CONSTRUCTIONt /� O (Table 9, L x W or Lin Ft a F/ V 0 300 d 0 E 0 9 COLD PARTITION CONSTRUCTION fr (Table 9, L x H) G 10 c 1 Wall(With Openings) t Q! r S tJ� D t',J 0 0 H o ,; �+ 2 Walls(With Openings) D J s0 3 Wells(With Openings) or Ent. Hall 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' cJ d �Q Ga 1P7 J v�Iro 2 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE Q U,� QO 400 COL.A - -_ - _— COL.B COL.H COL.1 COL.J COL.K COL.L TOTAL BTUH TOTAL / OF BUILDING RADIATION 1 ROOM a: 1C AT SELECTED O H L W H L W H L W H L W H L W DESIGN TEMP.° 2 ROOM DIMENSIONS. FT F U I IX t'j DIFFERENCE 3 LENGTH EXPOSED WALLS, FT Q 3 S "114- �2 41 WINDOW AND OUTSIDE DOOR AREA U. BTUH BTUH BTUH BTUH BTUH 5 WALL(Table 9OLIne 3 x HIION -- !� �� d )_ •(NCR TOTAL 20% OOM 6 TYPE OF GLASS (Bottom f table used for Line 5) T-6CK&_14 V/v — ' — V a V O tFOR CONCRETE FLOOR ON 7 CEILING CONSTRUCTION GROUND r a� '1 OR FILL AT (Table 9, L x WI v O d S�D GRADE LEVEL.USE LINEAR B FLOOR CONSTRUCTION( FEET OF EXPOSED EDGE (Table 9, L x W or Lin Ft 1 rr 9 COLD PARTITION CONSTRUCTION (Table 9, L x H) 10 -c 1 Wall(With Openings) C !t7/ ���-- — -- -- CZ 2 Walls(With Openings( X 3 Wells(With Openings) or Ent. Hall 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 00 C/ G- GU �� 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE O cl)O 3900 FORM 1503 This form Is available from The Hydronics Institute.36 Russo Place,Berkeley Heights,N J 07922 R CALCULATION SHEET 1603 (Modern Method) -- h// ryL,/, �Q �y Copyrl t iTl7T ty Tq Nydronics lneiituU Owr�E R�L--L-�f f• ADDRESS - U�"' �- DESION TEMPERATURE DIFFERENCE_F_ DATE COL. A COL.9 COL.C COL.D COI.E COL.F I COL.G -- --— t° ROOM O H L I W H L W H L W H L W H L W 005120 Water Ternp. ? ROOM DIMENSIONS. Ft BTUH 1►M foot of 3 LENGTH EXPOSED WALLS,FT 4Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA fi BTUH BTUH BTUH BTUH BTUH 5 vVALL CONSTRUCTION s Table 9, Line 3 x N) 1617 (ROOM LIN. FT.OF 6 :YPE OF GLASS TOTALS RADIATION (Bottom of table used! r L FROM LINE 12 SELECTED one 5i (� 7 i-EILING CONSTRUCTION IT able 9 L x WI V Ido C 00 6 f LOOR CONSTRUCTINtO — p ,Tabs•9, L x W or Lin Ft) E 9 ---OLD PARTITION CONSTRUCTION Table 9, L x H) F 10 c 1 wall(W.tn Op•ningaJ a h i 2 Welts(V� -n Op•mngs) DK H J 3 Walls IW.th Openings)or Ent Hall 11 `TOTAL UTUH AT 70F TEMF GiFFEREEN E, J 12 'YOTAL 11TUH AT DESIGN TEMP DIFFERENCE K L � �- -,-----`COL A — COL B COL.H COL. 1 COL J COL K COL.L TOTALBTUH TOTAL 1 a±UOM _ --- --" --.---- --.— ------------ ----_--- OF BUILDING RADIATION AT SELECTED ---_-- _--__-- -- O H L W H L W H L W H L W H L W DESIGN TEMP.- 2 ROOM DIMENSIONS, FT I- DIFFERENCE -- U -- -- 3 LENGTH EXPOSED WALLS FT Q - -4 WtNDOW AND OUTSIDE ODOR AREA BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION (-1 able 9, Line 3 x H) 'INCREASE BATHROOM TOTAL 20% 6 TYPE OF GLASS --- --- — — --- ---- --- ---- ----- ----- - (Bott m of table used for Lints 51 7 CF(LING CONSTRUCTION —! -- - tFOR CONCRETE FLOOR ON (I able 9, L x W) GROUND OR FILL AT j—B ---- - GRADE LEVEL,USE LINEAR FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE I I able 9.L x W or Lin Ft) t 9 COLD PARTITION CONSTRUCTION — i 1 able 9, L x H) 10 c 1 Wall(With Openings) 0 _ c A Z Walla(With Op•n,npa) X 3 Wells IWIth Open-n9a) or Ent Hail f. 11 TOTAL BTUH AT 10F TEMP DIFFERENCE' 124 10TAL BTUH AT DESIGN TEMP DIFFERENCE This fur-n is available from The Hydronics Inat,tute, 35 Russo Place,Borx•ley H-eights,N J 07922 FORM 1503 -r s