HomeMy WebLinkAbout173 Northview Drive Application No. 4288 Permit No.4028
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (erect (make alteration to) a building according
to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through
word "erect" or words "make alteration to" as the case may require.)
All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu-
tion of this work whether specified herein or not.
South Windsor, Conn., July. .16.,...... ....... 19.62.
Signhen ....... .................. .....:..................... ... ..............................
Address ...... .......... .......... .................................................... ....... ............. ...
Location? ..Nor...t....h..... . . ..............................................................side of? . N.o.r.t.hv.i.e.w.....Dri.ve
.................... .... ............................... ................... ........ ........
Nearest cross street? Pl®a.aant Valley Rd-...Street No. . .............. Lot No. Lot 29
.... .
Owner of land is? Bracewood Acres,....tA astead Drive, Wapind . pg
Ownerof building is? . Same. ......................... ...........................Address ... ....... ......S.c: *.............................................................
lr- C"chitect is? .. ......... ... ..................................................... ......................Address ............................. ....................... ...........I.... . ...
Builder is? . .....Sa ¢...................................................................................Address ...............Same........................................................................I...........
Dd
Dimensions of building? 26$48 ...........Feet front? ......4$ ....... Feet rear? .....48......... Feet deep? ... 26 .. .. .
Extreme height to highest point of roof? ....... ..2.A.............. No. of stories in height? . 1...
Purpose of building is? ........DWe.11.1gg.................................No. of stores? ......................... ........................................................................
Howmany families? ... ..............OAS..................._..........................._._...No. of rooms? .... ... ........................................................................................
Distance from street line is? . ... ...51.E......................................from building line is? .........41.1.......................................... .
ADDITIONS AND ALTERATIONS
(Give Brief Description)
... . . . . . ... . .......... ........ ...................................................................................................`EI�tD� .. ....SA I'1"NIZY'..
......................................................................................................................... ............._..............................IN.....ACC.ORDAhICE.....i+Z/ TH....TOWN... OF
SOUTH WINDS �;E
..........................................................._...................................................................... ............................... ..... .................................................
.... t3lf�.���� NO. �
MapNo. . ................... w
NITARY. OFFICER
If of steel frame, what is exterior construction? .
What kind of columns used? ....... ...Size of columns used?
What length of columns used? .. How protected?
What kind of beams or girders? .. .... Size of beams or girders? ... .....
Longest span of beams or girders? These rest on? . . . .. .... ..... ...
Roof construction is? ........... . . ................................Roof covering is?
The floors are of ......... .. .. construction and are calculated to carry a safe load of
lbs. per square foot.
(See Section 14, Building By-Laws.)
BRICK CONSTRUCTION.
Of what material will walls be constructed? . . . . . .. .... .. . ............. . ........
Compositionof mortar? . .................... ................ ....................... ..... .. ........................................... . ....... .....
Height and Thickness of Walls
Height Stories Front Walls Side Walls Rear Walls Partition Walls
Basement,
.......................... ..............................................................................,........................................_.............................. ......... ................................. ......... .........................................
1st Story
.......................... . ........................................................ ...................................................................................... ........................... ........... ..... .. .. ..
2nd "
...........................................-.................._.........-............. ........................................................._...................... ... .... ......... ................................... ...... ... ................. .. . .. .... ....
3rd "
.......................... .................... ................................................. ........................................... ...........................I................ I................................... ...... .. ....... .. .............. ...... ..
4th is
............................ ..........._.............................................................................................. .............................................._.................................... ........ .... ......... . ....... .. ........ ......
5th if
6th is
.... .............. . ............ ...._.................._...........................................................................................................................................................................................................................................
7th
...............». ................................. .............. ...................I...................... .................. ..... . ........ ....................................... . ..............................................
Sth it
..............................................._.... ................................. .............. ................................ ........, ............... .. ... ........... ...................................I.......
9th "
............................................... ....... ............ ... .... .....
Material.of Front? ... . ...If stone, what kind?
Thickness of Ashlar? ....Thickness of Backing?
Backed up with what? Arches or lintels over openings?
WOOD CONSTRUCTION.
Giv Size, Longest Span and Distance Between Centres, of Joists,Girders and Columns
J01M (R=Z= OOLUMM
P11mrs film jum4w 194PW 1101elam Sim Lontmi 8P= centres ffin TAarft Omtm
1st Moor 4 1 6 0X1 81
..... ...... ....2x...........................1......2...........................1.......... 13 8x8 8
..........................
.................................................. .................I.........................
Size of outside 3tU(6? .....ZX4........................ Distance on centres? .....1611.............................. Size of sill? ..........2x6.........................
Size of rafters? ...............Zx4........ .. Distance on centres?..........2-1.................................. Size of plate? ...4x4.....Truss.....Cons t
Size of ledgers or girts? ............................... ..............................................Size of deck rafters? ..................................................................... ...............
Distance on centres? .............. ........................................................................Size of studs in bearing partitions? ............None....................
MISCELLANEOUS
Style of roof, flat, pitch, Mansard, or hipped? .................................. Fireplaces? ........................................................
Material of roof covering? .Asphalt..................................Material of Cornice? •....j.....oxt.......-pl-ywood....................
How is building heated? .......Hot.....Water-WZase........Lining of flues? ... .................Clay....TL1*...... ............. ..............
Thickness of shell of flues? .......8-x12................................................Any elevators or lifts? ........................................................ .....................
Whatkind? ............ .................... ...... How many? . .. . .. .. .... ....................... Any hoistways? ............... . ..........................
Howprotected? . ... ..... ........................... .. ...................... ................Total Value of Building .......... ........................
When will work be commenced? .. S.0.032 ELS Pariult....Is....reeaived,:....................................................... .................
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this
application, conforms to the zoning regulations of the Town of South Windsor.
Town of South Windsor since 1949.
Applicant
BUILDING APPLICATION
4288
ApplicationNo. ... . ...............................................................
on the .. ........ .. .-Nortil. . .. ..-- - -- .... side of
.. .Northv.lew Drix.e. Street.
Street No, Lot. 29
Owner . Bracewood Acres, Inc.
George S. Goldman
Applicant ... . ..
CLASSIFICATION
Dwelling 26148t
......... ........
Permit issued on above Application.
Date, July 16 19 62
r
� q 4
TOWN OF SOUTH WINDSOR
BUILDING PERNIIT _
�s.
Date July 16, 19 62 xw
a�
Fee Paid �$6 0.0 0,,� Est. Value �$15 . 00'-'�
1
N® 4028 '
Permit
North
on the Me of A, �..
Northview DrivB "
Street No.
George Goldman
,Owner
Same ' =
Applicant
CERTIFICATE OF OCCUPANCY ISSUED: '
Date _
No. �421
3.00
Fee Paid
y
CLASSIFICATION
u.r
Dwelling 26'x481
1
4
s P v.
BUILDING PERMIT
N° 4028
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. July 16, 19 62
dr4io to to Terftflj, That George Goldman
Dwelling 26 1A8 1
is hereby granted permission to
at estimated value of $15,000
on the North side of Northview Drive, Lot #29 Street on land
owned by George' Goldman
Said Work to be as described in Application
No. 4288 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issues July!16, /� 19 62
r
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."
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit NQ 2421
Certificate ' d Occupancy
THIS IS TO. CERTIFY that t �
at No ZA1044�� 'V in the own of South Windsor, Connecticut,
has been erected and completed in accordance with the Building Code and Wining Regulations
of the Town of South Windsor, and is hereby approved for oeeu ncy.
1
' ifilil ing Inspector
caner, Builder
Fee Paid . Date , 19 . yr
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DATA ;c A 1'R r G� CtRTIFICO SUBSTANTIALLY CORRUCT
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1601
OIL BURNER
OR
FUEL STORAGE APPLICATION
Application No. 1612 Permit No..1601
on the side of
-ass Dam Street
h
Street No. LM if
Owner rx_ Tom_
Application CAM C=
CLASSIFICATION
Wayne
Permit Issued on Above Application
Date 10-25-62 19
Fee Paid $ G ermit ##4028
TOWN OF SOUTH WI N DSOR
APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS
EQUIPMENT AND TANKS
PERMIT N . 1601 DATE
The undersigned hereby applies for a permit for the installation of range and fuel oil burners, equipment and
tanks of the following description:
LOT�" NORTHVIEW DRIVE
Address 1st floor _2nd floor ______—3rd floor
Character of Building: Frame X Brick
Owner of Burner,BRACEAMD ACMES, INC. Owner of Building BfUCEWOOD ACRES, INC.
Lessee or Tenant
RANGE BURNERS
Capacity of Tank at Range_ in cellar outside
Name of Range Burner Purchased from
POWER BURNERS
Name of Fuel Oil Burner WAYNE Model Number_ f
Purchased from WAYNE HOME Ef�-UIPMENT
Name of Tank AME STEELE Gauge of Tank 12
Where is Tank Located BASEMENT Size of Tank 275 gal,
Size of Motor 1/6 H.P. Size of Wire #12
Will other heating equipment be installed? YES
If so, by whom JAI�IES CUDININGS
Name of Party Making Installation SAl'f!E
Address
Electrician CHESTER ELE CTRI CAL SERVICE
Address SA-VIE
Signed APPLICANT
All provisions of Ordinances of this Town Regulating 0 urner Equipment and Fuel Storage (Sections 1-23 in-
clusive) and Underwriters' Code applicable to the subject matter of same shall be complied with in execution of thiQ
work whether specified herein, or not.
Application for Permit received nd
Estimated Cost $ - l ,1- 1 pp 1601
Permit No. 1 issued
Permit #k028
Permit Fee Paid _______ _______ _ Approved
BUILDING INSPECTOR
HEATING NO.OF PERMIT NO.
UNITS
HOT WATER GRAVITY DEPARTMENT DECISION APPLICATION FOR
HOT WATER FORCED APPLICATION IS HEREBY BUILDING PERMIT
HOT AIR GRAVITY _ Approved Disapproved BUILDING DEPARTMENT
HOT AIR FORCED 1 -DUCT Town of Vernon,Connecticut
HOT AIR FORCED 2-DUCT Date In Application must be printed or typed
spector
SUSPENDED GAS BURNING UNITS
HEATING BLOWERS 1. Location of Job
AIR CONDITIONING ZONE
NO.OF HORSEPOWER FEE SCHED
NO. STREET
ELECTRIC FEE ESTIMATED COST
BURNERS ATT'D OR BUILT IN $2.00 $1 -$50 FLOOR APARTMENT NO.
NO.OF OIL BURNERS $3.00 $51 -$500
NO.OF GAS BURNERS $4.00 $501-$1000
PLUMBING $4.00 PER ADDITIONAL THOUSAND OR FRACTION THEREOF 2. Owner,
-
NO.OF TOILETS �
NO.OF BATHTUBS
BUILDING INSPECTOR MAY DEMAND 3. Address—]
2, ��L�r 1 Jlp uZ
NO.OF LAVATORIES AFFIDAVIT OF ACTUAL COST Tj (a2(� sin L 7�
NO.OF SHOWER STALLS,TILED Telephone ,6_Ag-- /rI t96 r�
NO.OF SHOWER STALLS,METAL 4. Applicant or Builder Z?Dh7'l.P dhS/.
NO.OF COMBINATION SINK AND TRAY ACTUAL COSY. FEE PANO.OF KITCHEN SINKS 5. Address !1[.t' 4 ye.
�,,�.
NO.OF URINALS ESTIMATED COST FEE d� -� I,/ 1ei_442 Cr_
NO.OF URINAL TROUGHS COST ADDTL. Telephone Z L
NO.OF INDUST.WASH SINKS DIFFERENCE FEE g, Fee Covers
NO.OF AUTOMATIC WASH.MACH.
NO.OF AUTOMATIC DISH WASH.
Plumbing Heating Electrical
NO.OF DOMESTIC H.W.HEATERS 7. Type of Job
PERMITNO. Alteration Originial Construction
Addition Demolition
SPRINKLERS XRepair
WET SYSTEM / DRY SYSTEM 8. Type of Building
NO.OF SPRINKLER HEADS Commerical Residential
THIS PERMIT EXPIRES Miscellaneous
APPLICATION FOR BUILDING PERMIT
(CONTINUED FROM THE OTHER SIDE)
9. Size of building (No,of stories) Height— - Depth Front
10. Material of footing c4A-;P4 Depth below grade y 1- Thickness
11. Material of foundation Below Grade (Depth) (Thickness)
Above Grade (Height) (Thickness)
12. Material of chimney Foundation Height Width Depth
13. No. of flues Size Thickness of lining City Sewer Septic Tank
14• MASONRY CONSTRUCTION
FRONT WALL SIDE WALL REAR WALL PARTITION WALL VENEER
BASEMENT
1ST STORY
2ND STORY
15. WOOD CONSTRUCTION
JOISTS GIRDERS COLUMNS OR PIERS
FLOORS SIZE LONGEST CENTERS BRIDGING SIZE LONGEST CENTERS SIZE LENGTH CENTERS FOOTING
SPAN SPAN
1ST 11f If/ / �� �� ►� it i �� " �� r i� Tel
AX S --� 6J�C�
f�
2ND
16. Size of sill Size of outside studs Distance on centers
17. Size studs of bearing partitions Centers Are joists doubled under partitions?
18. Size of plate Size of headers 1V x Y Will firestops be provided?
19. Size of rafters Distance on centers Size of hip or valley rafter
20. Species and grade of framing
Type and grade of sheathing
21. Further Details
.r
g—
22. All work covered by this application has been authorized by the (owner) or (agent) of this property and will be done according
to approved plans and all local codes and regulations. Notice must be given Building Department when job is ready for inspec-
tion and when job is completed.
DATE APPLICANT
1171
INSPECTION REP!)RT
Permit # Q Job 17
1 Footing
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O.
v,�
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
PLAN EXAMINATION AND
TO" aF 50"M WIIrDWK COW BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O
ZONING
AT (LOCATION) /�7_3 NO, LYW DISTRICT.
LOCATION (NO.) (STREET)
OF BETWEEN AND (CROSS STREET)
BUILDING (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND CAST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
1 ❑ New building Residential Nonresidential
2❑ Addition(It residential, enter number 12 Q One family 18❑ Amusement, recreational '
of new housing units added, if any, 13❑ Two or more family — Enter 19 ❑ Church, other religious
in Part D, 13) number of units— — — — -jp- 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 E] Parking garage
4❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — i E:] 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) ,QfQ�l/7!� 25❑ Public utility
17 Other — Specify
7 ❑ Foundation only
26❑ School, library, other educational
B. OWNERSHIP dt`c-A — 1-0 X II 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 proposedOse of buildings,e.g., food
processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement................ Sf'f't� d� 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 $ //OO Ott
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❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other — Specify 42❑ Public or private company 50. Total land area, sq.ft. ...........
43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35❑ Gas Will there be central air 52. Outdoors.......................
%❑ Oil c nditi ping' L. RESIDENTIAL BUILDINGS ONLY
37❑ El ctricity 44❑ Yes 45❑ No 53. Numb r f b dr oms..............
38❑ C al
39❑ Other— Specify Will there be an elevator? 54. Number f Full..........
46❑ Yes 47❑ No bothr me
Partial.... ..
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b compl t d by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
/73 AJo�7h/v�c.� �,� C�1•cJvso� �� —
Owner or
Lessee
70
2. )60AIVE �~/s llv& oe,C vice-r ,Ci 7/ —
Contractor
0 if J-0
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application date
Ll
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 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
VII. VALIDATION
Building
Permit number 10437
Building
Permit issued Aug• 14 19 78
Building
P rmit Fe $ 12.00
Approved by:
ITLE
NOTESVIII. ZONING PLAN EXAMINERS
FRONTDISTRICT
IX. SITE OR PLOT PLAN For Applicant
In I Sol"
,
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ES son
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NO
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT ?`v-14
Date Aug. 14 - 19 78
12 00
Fee Paid . . . Est. value . l 0. .p?0
Permit N° 10437 -
�_;
:.
on the Of
�t A=
Northview Drive Sty
Sue& No. 173 - M
Omer Lawrence Stillman
Apphcant Bohne Construction . X
CERTIFICATE OF OCCUPANCY ISSUED:
Date
Fee Paid $
Replace deck -
a .
BURDING PEEWr
N° 1043'7
OFFICB OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Aug g 1/T- 19 78
94t's is to Crrtifg, That Bohnp rn33 S t=iC j-j^n
is hereby granted permission to Replace existing IQI x 11 1
at estimated value of $ 1,Igg.400
on the side of -3 Nn-rtbV+aW nX;u.% Street on land
owned by X xwrenoe S t i 1 loran
Said Work to be as described in Application
No. I0737 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Au Z. 14 1978.GBuildi 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."
ffQ FUSS&O'NEILL consulting engineers ---- ------
TowN OF E JTH WINDSOR
S rj4�11�ZO E OFF'N SPACE 15Z.7-/
Sc � INLANO
N
WETLANDS
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EXIST. HOUSE.-* d.
V' N 113 N I
� now
Z'KcaOt' OYEQHANG I ,�
s r > 1 V' �.
40e J
11PIPE I
F
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MON• ps 150'
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No�7 H v EW D R J VE
PRCPERTY !MAPPED F=CR
Thomas T.S . & Celia C.C. Li
173 Northview Drive South Windsor, Connecticut
Scale: 1 11=40' Cctober 25, 1984
Peing lot 29 on a map entitled "Northvie%o Heights, Section II, South Windsor,
Connecticut, kale: 1"=60' , Dated November 192 1960 by Primus & Welti".
NOTE: The northeast corner of Lot 29 is affected by Inland Wetlands as shown
on South Windsor's Inland Wetlands and Watercourses Nkap.
`��11III88I..,,* I hereby certify to Connecticut National Bank and
��tc�;F%ON�F�'•.� Connecticut Attorneys Title Insurance Company
t �V-%P wx`o�'.= that this map is substantially correct and that no
zoning regulations are violated with respect to
the house location.
IL
It
a
,;y�N .+• William D. C' eill , . S. No. 6299
210 main street/manchester, cone. 06M/(203)64&2469
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IFZ
i� 2,e1/ ✓
9F7Iy 9
o /7-
=In Im
1989
South Windsor
BUILDING DEPARTMENT
TO THE 3UILDING DEPT. TOWN OF SOUTH WINDSOR
This certified that this plan and specifications are true
copies of the proposed building or, alterations to. b
erected at
/-�L. Street
together wit i amendments Stated in application and
CERTIFICATION OF ZONING COMPLIANCE I led with plan and I agree to Comply with all zoning.
1 Puildinv erd st-ite laws and sueh ;rders as shall be
;st iwd by the Building Ueparfinent during pendency
Proposed building(s), use(s) andfor structure(s) ,f .-,;as Capµllca w and final issuance of a bull ing
Qe� as shown on this plan appear(s) to be In�
permit
Wi
�l�nS conforr`^nee With current Sc�_��h �Ign d �4
Old
regulations. Variances and speciai exceptions tat ,� appre a s.t!,. to the condit thatorders ^(dciances raguler ng building shall be
may apply. C. 11 . A!l
2-0 Cond:Uonuil), Approved These trlid with
Date -
tL Building tnsp ctor
oning Enforcement 'Officer ��
FINAL INSPECTIONS:
Building APPLICATION FOR BUILDING PERMIT
Plumbing
VAnkler 173 NORTHVIEW DRIVE Date:
S —
P
EI ctric Estimated Cost $ Lf 600
Zoning Permit Fee$ qc)
Affidavit NO. 18102 Occupancy Fee $
Eng. Dept.
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ 1C0�
Health Dept. TYPE OR PRINT ONLY
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 17.3 Lot No. Side of Street Zone
A p p I i c a n t T 2) 0� Tel. # q _1' 01 S d
Address 7 !� �rt.,��iti Zip o�Q_Lic.# ss/6 !W 9,(__1
STREET Cory STATE
Owner Z?:?A Address i Z3 A»�"/w/CGv
Architect Address
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 7z!'" CIG6 ZeCA A446
X 1y .;-P,) le-' 's ,/,w-s ,gpqA
City Water 0 Well 0 Septic 0 Sewer 0
Approved by Date 1o�ao��S Bo1A 11/88
I h reby agree to conform to all th requirements of the Laws of the State of Connecticut and th Ordinanc s of th 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 lin s,side yard lines an equir distances from all oth r zon s 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—
J INSPECTION RECORD
Footin\g�` �0- � �L�� Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
7 �FOR OFFI E USE ONLY APPLICATION FOR HVAC PERMIT DATE: ;i
(NO. C9 ) TOWN OF SOUTH WINDSOR EST.COST:
BLDG. PERMIT NO.-�/�'� 1540 SULLIVAN AVENUE FEE
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 $ 0 - $1,000 - $10.00
$1000 or fraction
LOCATION,q BUILDING thereof - $10.00
OWNER ADDRES9 TOWN PHONE NO.
HVA NT CTOR ADDRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTI
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 A— OUTSIDE CAPACITYc-,�
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE DIFFERENCE OF
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)
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:
STATE LICENSE - NAME & TYPE # DATE RGNATURE OF APPLICANT
PROVED DATE
I - B - H CALCULATION SHEET 1503 (Modern Methods Copyright 1971 by The Hydronks Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL A COL.S COL.C COL. D COL.E COL.F COL.G
1 ROOM
O 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. t Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA li
STUN STUN STUN STUN STUN
5 WALL CONSTRUCTION
(Table 9,Line 3 x HI ROOM LIN. FT.OF
_ TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
(Bottom f table used f r Line 51
-7 CEILING CONSTRUCTION C
IT able 9,L x WI
6 FLOOR o-NSTWU-ET I-ON I - D_
(Table 9. L x W r Lin. F t l E
9 COLD PARTITION CONSTRUCTION F
(Table 9, L x HI
_ G
t0 _G 1 Wall(With Openings) O;
c+ 2 Wells(With Openings) e X H
-� �J 1
3 Wells 1 W ilh Openings)or Ent.Hall �.
J
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
1 OTAL2 T BTUH AT DESIGN TEMP DIFFERENCE K
-- COL.A _ COLS COL.N - COL.1 COL.J COL. K ICOL.L TOTAL BTUH TOTAL
1 ROOM OF SUILDING RADIATION
AT SELECTED
O H L W N I L W H L W H L W H L W DESIGN TEMP.*
2 ROOM DIMENSIONS.FT DIFFERENCE
U - —
3 LENGTH EXPOSED WALLS, FT
4 WINDOW AND OUTSIDE DOOR AREA LL
STUN STUN BTUH STUN STUN
5 WALL CONSTRUCTION *INCREASE BATHROOM
(Table 9, Line 3 x H) TOTAL 20%
6 TYPE OF GLASS
(Bottom f table used for Line 51
7 CEILING CONSTRUCTION - IFOR CONCRETE FLOOR ON
( GROUND OR FILL AT
Table 9. L x W)
GRADE LEVEL,USE LINEAR
9 FLOOR CONSTRUCTION1 FEET OF EXPOSED EDGE
I T able 9.L x W or Lin Ft l
9 COLD PARTITION CONSTRUCTION
(Table 9, L x H)
10 c 1 Well(With Openings) - —`-
0 ; ----- - ----- ---- --- -- - -- ---------— — -
2 Walls IWith Openings) e X
3 Wells(With Openings) or Ent Hall J —
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
FORM 1503
This form 1s available fr rn The Hydronlcs Institute 35 Russo Place,Berkeley Heights,N J 07922
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 173 NORTHVIEW DRIVE
HVAC # Date: _�- o?d'96
Sprinkler# No. 22991
FINAL APPROVA 5 Estimated Cost $ _ WOO
Building ! 6 jee-- COMPLETE RED BOXED AREAS Permit Fee $ /J
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. I Total Fee $ ZJ
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
)ob Location # / 7 3 AAeilUe4 J Doe Lot No. Side of Street Zone
Applicant ,��! r;Qa,,� � •2z/�Ce3 r Tel. # S,Rd-9.-00
Address S;t ,` c Zip GRdlJ 7 Lic.#
Owner 7'hA sna s L � Address 7 7 /voile y,c!✓ 40.f- 9-et, C � !26 0'7 4
Architect Address-
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
#Rooms # Lavatories #Bathrooms #Garages
Purpose of this permit: d' ea t e/ s"s
City Water C Well 0 Septic System -3 Sewer El
Use Group A/TFConstruction Type /U Area / Basem nt Garage
Approved by Date 3 L2jT
Rowed 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 which this building and its use i Ilowed
Signed - -- _ - ,`� _Z� 9�
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
[DEPAITMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
plication is hereby: TOWN OF SOUTH WINDSOR ( O -7.7 O
BUILDING DEPARTMENT
APPROV] 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Building Inspector
Application must be printed or typed
i
Location of Job:
FEE SCHEDULE
�l Oc�� y\-Q
$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000= �
$13.00 per$1,000
or any fiaction thereof Tenant Designation Apt.No.
APPLICANT vv'VI z; Q 1 V C
APPLICANT ADDRESS \v 0,Y0
S
APPLICANT PHONE#
N S OWNER hvrcrrlc1.
Q �q� OWNER ADDRESS
OWNER PHONE 2 O \
ESTIMATED COST$
IS THIS A CONTRACT COST? Yes 13 No
�! FEE ENCLOSED$ 2
TYPE OF JOB:
OR.Cp11
O New Installation
AAlteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF$UILDING:
HEATING XiESIDENTIAL
❑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 OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT—BTUH) \ NET RATING(OUTPUT—BTUH)-V 9
TYPE O FUEL
OIL—GPM OIL TANK LOCATION :❑INSIDE❑ OUTSIDE CAPACITY
❑ GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW
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)
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 \ c Qe PCt i c ` 0 �C
�� (3 0 T�j
THE U14DERSIGNED 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 �� A DATE y "2_U y r)