HomeMy WebLinkAbout107 Natsisky Farm Road TOT BUILDING INSPECTOR
4 the APPLICATION FOR
TOWN CONK PLAN EXAMINATION AND
��SOUTH � +� BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. O
I. ZONING A—3 0
AT (LOCATION) DISTRICT
LOCATION (No•l ET)
OF BETWEEN AND
BUILDING (CROSS STREET) ICROSs STREET) ��77
SUBDIVISION MOUNTAINVIEW ESTATES LOT_1_Q�BLOCK SIZE
��
II. TYPE AND COST OF BUILDING — All applicants complete Ports A -'D �
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wreckln P most recent use M
rn
1 ErNew building Reside tial Nonresidential
2❑ AdditianU/ residential, eriter number 12 One family 18❑ Amusement,recreational
o/new bousing units added, i/any,
in Part D. J3) 13❑ Two or more family — Enter 19❑ Church, other religious
number o/units—————► 20 CD Industrial3 Alteration (See 2 above) 14ED Transient hotel,motel
21 ❑ Parking garage
4❑ Repair, replacement or dormitory — Enter number
5❑ Wrecking (1/multifamily residential, o/ units ——————— —--y 22❑ Service station, repair garage
enter number o/units in building in 15❑ Garage 23❑ Hospital, institutional
Part D, J3) 16❑ carport 24 CDOffice,bank, professional
6❑ Moving (relocation)
7 ❑ F undotion only 17❑ Other — Specijy 25 CD Publicutility
26❑ School, library,other educational
B. OWNERSHIP 27❑ Stores, mercantile
8 Ef Private(individual, corporation,
!' 28❑ Tanks, towers
n nprofit institution, etc.) 29❑ Other — Specijy
9 ❑ Public(F deral, State, or
I cal government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of bulldings,a.g.,f ad
processing plant, machine shop, laundry building of hospital,elementary
10. Cost of improvement,,,,,,,,,,,,,,,, -7 6 V//��d school, secondary school, college, parochial school, parking garage for,
department state,rontgl office building, office building of 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.)............
It. TOTAL COST OF IMPROVEMENT S 17,0cc)
Ill. 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 P
30 n Mes my(well bearing) 40 0 Public or private company 413• Number of stories................
31 p W d frame 41 ❑ Private(septic tank,etc.) 49. Total square feet of floor sloe,
❑ all floors, bused on exterior .
32 Structural steel dimensions ...... ..........
33[D Reinforced concrete H. TYPE OF WATER SUPPLY
34 C] Other — Specify 42 Public or private company 50. Total land area, sq. it. ........... E�QO
43❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
1". rKINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Eticlased .......................
35 JZ Gas Will there be c ntra) air 52. Outdo re........................
36❑ 011 conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45 COIN 53. Number 1 b ilea ets.......0......
36❑ C of
39❑ Other— Specijy Will there b on levefort Full.,........
54. Number of
46❑ Yes 47 VN bathtsoms
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. N
I'Owner or Dart Fill Realty Inc. 658 Ellington gnarl
Lessee South Windsor.
2. Same
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Siqnat?rx of applicant Address Appl'coti date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
Fee Started y Approved
y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $ r•
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit r Approval Check Date Obtained Number By Permit or Approval Chec Obtained
Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SE ER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
V11. VALIDATION
Building
P rmit number
Bui Iding
Permit issu d 19 _
Building —��� r�
Permit Fe $
t �
11TLE
TOWN OF SOUTH WIMSOR
BUILDING PERMIT
Date atsue to 19 01
Fee Paid $. 468-.00 Est. Value $.y7.,.W.00
Permit N° 15961
on the side of
street
Street No.. tar
Owner aaw, B411 =a"Wy
Applicant - - " -,L e
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $--3.89
CLASSIFICATION
4
BUILDING PERMT
N° 15961
OFFICB OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. June 10 19 87
94t's is to Certifij, That Mart Hi 11 RF.aI t3'
is hereby granted permission to build
at estimated value of 0
on the side of Lot #105 Natsisky Farm Road Sam on land ,
owned by Dart Hill REalty
Said woark to be as described in Application
No. 16252 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WIMSOR.
I6sued Jun-0 I Q 19 87
Y a �
Building nspector.
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 persm 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"
16/f 1-c1.*1dY-;-6(.Cgv
INSPECTION REPORT
Permit # Jobdwe(1 'ri
1 Footing ;t
2 Foundation
3 Framing
4 Wiring 9 a�� 1< U
5 Plumbing — 39-2
& - q,"vy► R H
7
6 Heating &
N I11
7 Lathing
8 C.O. ,(. ��
6�toy'S7 iyD��f�,
o� 7
(tr)
/aS rvt,� g (K-( Permit # 15 q(o
Electricians i c.�.pvs ter. ;r #
Ef*tY'1 RO-TEC)i
Heating Contr #b
I,o1�
Plumbing R R 1� Z�v7'1"� )VI aY r 2 #
Oil Burner #
Certificate of Occupancy # fla k
Sewer Permit ��z�)�o
1 �J
I Permit No. TOWN OF SOUTH WINDSOR
I SOUTH WINDSOR, CONN.
I
I
I
Permit
I
' Certificate of Occupancy
THIS IS TO CERTIFY that the _ .P t_ P�
at No. , `: �.' � . '�:-�. `� , in the Town of South indsor, Connecticut, has
l
been erected and completed in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby ap ved r occupancy.
I
I
Ming nspector
I Owner, Builder
Fee Paid Date ' 19
I �
REM10 E. 14YYPPPA IS ASSOCIATES
CIVIL ENGMZERS & LAND SURVEYORS
Q ASTONSURY, CONK
3bZ Spy
/ 1 I
OPEN SPAGE
J "'A
�24" � � p5 30g
sc
30Z - -_ -- - - - - -
MH
44,49 W.
IOO.OQ• ,
/ r
�AREA1= 1-7,500 SF �
� DIa
� r
30(o'
3►4 to co 310
4:1
.'t
0
2Z'
Z LINE*
100.00,
g
S 06 44' 419, E
NATSISKY ' IF RM LOAD
LOT UWF-5 FROM MAP ON F iLE TITLE — -
r
"OPF-m SAacF- 5u�owvtsoom A-3O ZONE \
PLOT PLAN SECTION 4 M6uNTAM1VIEw 3ftp
ESTATES 5ouTH W IND50R,Co►,N."BY
RElwo E. H-mpm!AssmiAl ES.5CALE
1"=40' DATE-4-9-840 MAP WO.180.83-1 N
SHEET-5 OF 13 SHEETS REV. t0-G-S!o PREPARED FOR
V'� Zo",oja vloL^?%o--m DART HILL REALTY INC.
QeSvfx.-r --ra to%jat.ols'4d i
CERTIFIED `055TANTIALLY CORRECT SOUTH WINDSOR, CONN.
SCALE ; 1"c40' C)ATE: SA5-67
ar
REv. -�-a'1 F,N. E�sv.its., 58-SS-1QS
A .P P R 0 V E D
TOWN 07 17,-%!
� - I VVIN DSO R
EN'C-*lf,,'Z_'-_7rlNG D'EPA72ITMENT
DATE:-.
SIG.:
Permit # 9806
ELECTRICAL APPLICATION
Application No. 1 131 2
on the side of
Lot # 105 -- Natsisky Farm Roa*tit
Street No. 107
f
Owner JMJ Construction Co.
Electrician Richard Barrett
FILED IN OFFICE OF
The Building Inspector
7/27 19 87
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 (if of wood) are installed, without a special
permit from the office of the Building Inspector.
1 '� )'9
Electrical Permit No. .............................................
Master License No. .....462(......C2�-
TOWN OF SOUTH WINDSOR Building Permit No. I........................
BUILDING DEPARTMENT Date Filed .......I- ........................
Date Final Approval ............... .. .........................
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
JOB LOCATION C-:5
0-15 OWNER: ........(I ................................
j
...... ...............
VOet�A- Side of Betwe .... ......��Le........... .............. and .......... .......................
Address Gb ....... ..............
Name of Building Owner ...............C .19 ..................
If work is for Lessee--Give name ....... ........... Address .......................................................................... .................
Building now occupied as (unless new), .... ..... No. of family units now . ... ............
Building to be occupied as ......... ..�'.
........ ... ....... ........ ... Number of family units to be ....... .... ..................
Is this work included,in a Building Permit? Permit Fee ............. .................... ..... .............................................................................
(If no BW1 Permit)
Permitte3e �"&- Business Address Telephone
COSTOF TNSTALLATION: --x..CCD.................. ... ..................................................................................................................................................
TO BE FILLED OUT BY PERMITTEE
TO BE WIRED
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
❑
Number of appliances to be installed Do these include Range ❑ Water Heater
(as listed below) Dryer ❑ Air Conditioner ❑ Oil Burner ❑
TYPE RATING NO.
Range . . . . . . . . Dish Washer 0 Gas Burner C]
Well Pump E] Elec. Heaters ❑
Range Top . . . . . .
Oven . . . . . . . . REMARKS:
Water Heater C
Clothes Washer . . . . ;>
Clothes Dryer . . . . . j�� ��
Dish Washer . . . . . . .
Air Conditioning Motor . .
Oil Burner Motor . . . .
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan . . .
Well Pump . . . . . .
Electric Heat . . . . .
Other . . . . . . . . I
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 . .............................. . ...... ...
Permit 1 7392
PLUMBING APPLICATION
mjic,fimW 7060
on the ...... side
of
_............Lo t_1._..4..5 Stsect
Sant No. ._._107 Natsisky Farm Road
owner .Dart rHill Realty Inc.
Plunder ...Carl. 7-P.tzleme.r
Filed in Office of
The Buikfing
7/16 19 87
II�T��(Di�Olw
No pawn shall construct, add 0 at abW ay
portion of the drainage system of any bu&leg
(except to repair lea6) un it a Permit is wed
by the Building Inspocooe.
APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB Lot #105 Natsisky Farm Road (NO. 107)
NO. STREET FLOOR APTAO.
GENERAL PLUMBING
12. KIND OF INSTALLATION Residential 13. SIZE OF MAIN DRAIN 411
14. NO. OF TOILETS 3 STYLE tank 15. NO. OF URINALS 0 STYLE
16. NO.OF BATHTUBS 1 17.NO.OF LAVATORIES 3 18. NO.OF SINKS 1 19. NO. OF WASHTUBS 0
20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS 1 SIZE 3"
22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES two KIND 3' shower stall and 5' whirlpool
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? yes 27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? electric vent fan
29. SIZE OF DUCTS 3 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? yes
SIGNATURE ADDRESS 52 Connecticut AvenLxi
LICENSE NO. 203068 ESTIMATED COST eyd- L'D TELEPHONE 528-4413
OWNER Dart Hill Realty Inc. ADDRESS 658 Ellington Avenue, South Windsor
WATER HEATER
31. TYPE gas fired 32. MANUFACTURER A. O. Smith
TANK SAFETY DEVICES
33. CAPACITY 75 gallons 37. TEMPERATURE RELIEF VALVE 210
34. TEST PRESSURE_ 150 38. MANUFACTURER_ Watts
35. WORKING PRESSURE 80 39. PRESSURE RELIEF VALVE 150
36. TYPE glass lined 40. MANUFACTURER Watts
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.
CD962 ATE IGNA R F APPLI ANT
PERMIT #
Application For
DEPARTMENT DECISION
A Heating Permit
3 APPLICATION IS HERESY: DEPARTMENT OF LICENSES AND INSPECTIONS
O DISAPPROVED O APPROVED TOWN OF SOUTH WINDSOR
oQ �
W �1 DATE CHIEF NISPECTOR APPLICATIOMS MUST BE PRINTED ON TTPED. BEGIN WITH NUMBER NE BEL IN
O
4-P 71
.� 1. LOCATION OF JOB p'le'7
Z--,Lof-,.f e;P—w.
•a NO, STREET
LOT NO. FLOOR AR. NO.
0 OWNER
:.
s. ADDRESS T��G •
_ � ��QJltiOs d/e 4.PHONE
APPLICANT-
0 a •. ADDRESS
7.PHONE I- 8�
JO .� Q
D. LICENSE NO. / U ?7
C D. EXPIRATION DATE OF LICENSE raj -7
p5r 10. ESTIMATED COST • e- s�y
11. IS THIS A CONTRACT COS" WYES 0 No
� 00
p 1!. FEE ENCLOSED S
is. TYPE O BUILDING:
SN1fENT1A< ❑ COMMERCIAL
ire
+� 14. TYPE F JOB: INDUSTRIAL
g OVAL ALTERATION
.�. L=TIMSTALLATION ❑ ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued from Reverse side)
11. LOCATION OF JOB 07—-"'/0,5 44 SIS A 7 Z
NO. STREET FLOOR AFT.N .
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ElINCINERATOR Rl MISCELLANEOUS '?r 6N6 1W
IDENnFr
SIZE LOCATION SIZE SIZE
12. 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 NO. B.T.U. OR SO. FT. NET B.T.U. OR SO. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SO. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE _ 0 FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U.
DESCRIPTI N OF WORK SC.,�r— 70 7—,rj
IS. TO BE DONE•
. oirr CMG �2 07U./y�
16. NEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): cAle_
-mac-uO� Jam'
sr
Room S12[ WINDOWS AREA — SOUARE FEET w•T•LL ••T•U. DISTRIBUTION INSTALLED
AND DOORS VOLursa
TOTAL TOTAL
IL
Room No. GwoSS GLASS NET WALL CEILING FLOp1 CU.FT. AT 70•F CORR[CT[D <j MAD. REGISTER
L W N AND ` TEMP. TO rr r T�rF[ AND SIZE OR LEADER
SIZE < WALL f��fo 11NFILT.) DIFF. •F F w SO. FT. FR[[ 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
ELECTRICAL WORK BY:
NANE ADDRESS
SUBCONTRACTORS AND
is. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OW tER) R ( ENT) OF THIS PROP AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
r
►PPLICATION TO BE COMPLETELY FILLED IN. — �5 —x�,
:z D /. _ PERMIT
Application For
� 41 DECISION �g�1
DEPARTMENT DELIS O �Iwi
g PermitAPPLICATION IS HEREBY: TMENT LICENSES AND INSPECTIOM
DEPAR
❑ APPROVED � DISAPPROVED
TOWN OF SOUTH Wi N DSOR
a� x DATE Claw wwICT" APIPLICA"wo MOST DE rRNITED OR TTIPED. DEGO wIT11 MOMDER One DELOW
1. LOCATION OF in
1Is. emu
LOT NO. FLOOR MT. me.
. , .OWNER S�ev� lac k-20
9 1 -
!. ADDRESS
zd -elo,5 s�k�
S ' I►� C�- 6yy-���1
� _ W O.I,NONE
G. APPLICANT Or In y
A .
•. ADDRESS O S
Hhgcrffc+-,.PHONE 66 -3 s
0. LICENSE NO.
Q40
•. EXPIRATION DATE OF LICENSE Q
Ir 10. ESTIMATED COST • �00 -
i (3 ND
IS TINS A CONTRACT COSTT YES
• u. FEE ENCLOSED • 1 (r
TV" OF NKNN&
01INDsNIML ❑ COMMERCIAL
.+ 14. TYPE OF SOD: ❑ INodSTR1AL
ORIGINAL n ALTERATION
APPLICATION FOR IG 9"vz_ y c�
PERMIT c hum lw" sue)
11. LOCATION OF JOB
No. iTR[[T PLO" wt.".
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ YENTILATIOM ❑ SPwINKLER
�
�
❑ GAS BURNER ❑ STACK ClINCINERATOR MISCELLANEOUS Ape n%"�I t�o l ev2
w9mms"
SIZE ,__ ��� LOCATION SIZE SIZE VENT
13. OF `^-�" �' OF TANK OF FILL
u^►T
1 B.T.U. EQUIP. AT REGISTER��_FURNACE MAKE AND NO. ATj BONNET --FIIRII��NgqG MIRING
BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET 33G� ��� B.T.U. OR SQ. FT. GROS9�1� RATE
FLOORS TO BE HEATED NEW OR •L! BUILDING w INSULATED — YES OR NO y�5
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION -
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 'FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
iA/c
l
DESCRIPTION F WORK Ile11a' �' ` ►�k CO✓�C,��v�51'� U►�t,l" o P 1��� 1�Q
1s. TO BE DON •` Azaej
j ` I __
ate
[f_le (/)�A6 MoLmW
de 6M. PIDIVICA le�
C)-
ts. NEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS}: 1 r
A 1�.� � 1 �� 3
wOp1 SIZE wNo wOO�ows AREA - SGUARE FRET Ias s• •�• s• OIfTR1OUT10N INfTALLEO
?MAC ! a
No. 3 oI.ASS ow mum meow CIS.". AT w or �i� wwo. flu ISTEw
woor �� Tvws ANO SIZE ow 6RADUR
L N ~ SIZE
Z 00 .a•• II.MI�T.1 a ��� ��� ao. RT. PPwsE AREA
4
ly o D
%• I t ��S
t
A 2 O�l�
�A , � 940
VIA I
WA
b a o 36
A. HEAT t^ FROM BUILDING
B. DOMESTIC HOT WATER DEMAND B.T.UJHR.
C. PIPING. OTHER THAN NORMAL B.T.UJHR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
-J y� 1� / 1 '
ELECTRICAL 17. WORK BY: • �! Cil�lSf Rc.%��i�►'�
NAr[ ANOR[tis
SUBCONTRACTORS AND
1 t. THOR 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.
PLICATION TO BE COMPLETELY FILLED IN.
PERMIT #
Application For
DEPARTMENT DECISION Heating Permit
a�
0
3 APPLICATION IS HERESY: DEPARTMENT OF LICENSES AND INSPECTIONS
♦'
O APPROVED ❑ DISAPPROVED TOWN OF SOUTH WINDSOR
0
00 DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TTPED. BEGIN WITH NUMBER HE BEL W
O
er1 �
1. LOCATION OF JOB
A
w 1 147 Natsisky Farm Road
00 1~ 00. STREET
♦' 0 105
.0 0 LOT NO. FLOOR APT. NO.
o Dart Hill Realty Inc.
:. OWNER
0 658 Ellington Road
a o R. ADDRESS
00 �
ay _ South Windsor 4-PHONE 644-8137
�
a
s. APPLICANT South Wi nd-snr P1 lyrbi na
M
s. ADDRESS 524 Burnham Street
72
South Windsor 7.PHONE 528-4413
G. LICENSE No. 307190
a �
o !. EXPIRATION DATE OF LICENSE 10/1/87
c�
10. ESTIMATED COST s 1,2
•S
11. IS THIS A CONTRACT COS" ® YES MO
00
0 /
12. FEE ENCLOSED s l•� Ct�
H is. TYPE OF BUILDING
® RESIDENTIAL ❑ COMMERCIAL
O R _
Cc a► 14. TYPE OF JOB: ❑ INDUSTRIAL
� 3
® ORIGINAL ALTERATION
INSTALLATION ❑ ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued it m Rev roe Side)
11. LOCATION OF JOB Lot #105 Natsiskv_ Faun Road
NO. STREET FLOOR APT.N .
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
15 GAS BURNER ❑ STACK ❑ INCINERATOR MISCELLANEOUS &1J47- 2 i� w°
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 NO. yrlCia -B.T.U. OR SO. FT. NET�e"B.T.U. OR SO. FT. GROSS - FIRING RATE
FLOORS TO BE HEATED Two NEW OR OLD BUILDING A)AL42 INSULATED - YES OR NO Y16
TYPE OF WALL W0010 bra,^! INSULATION j6:Sf-,:1Af/ ROOF OR CEILING ^Lil..0 INSULATION_ i.
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMP ATURE DIFFERENCE �'"��G' °FAHRENHEIT
MAKE OF RADIATION: BOAR COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. k- L.rlt..
DESCRIPTION OF WORK . `
15. TO BE DONE. d r c k 74
2�Ao��
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
wooM SIZE wINDOwG AREA - SQUARE FEET S.T.U. 8.T.U. g F DISTRIBUTION INSTALLED
ANo 000w5 VOLUMETOTAL TOTAL r �
no M NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j IL REGISTER
L W N AND f, TEMP. TO TYPE AND SIZE RAD. OR LEADER
SIZE ` WALL tC (IMFILT.) DIFF. •R o M SQ. FT. FREE AREA
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND rr ��>�ld�►-� 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 8Y: dd
NAME ADDRESS
SUBCONTRACTORS AND
19. 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.
mi;_1
DATE 516 ATIJRE 0► LICANT
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Electric# APPLICATION FOR BUILDING PERMIT
107 NATSISKY FARM ROAD
Plumbing# Date:
HVAC # No 23256
Sprinkler#
I'll L P R Estimated Cost $
Building 7 - ,/h COMPLETE RED BOXED AREAS Permit Fee Zd
Engineer ng TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $ -�v
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
Th and rsigned hereby applies to do work according to the following specifications:
w
Job Location S jk7d. Lot No. Side of Street Zone
Applicant Tel. #
Address Zip d O Lic. # .6t17
Own r r r )d,4&Sn Address f Q �d�.S�- 4 �/ �/mS Az j
Architect Address
Sq. Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms # Lavatories #Bathrooms #Garages
Purpose of this permit: Ob
Z"el -f - =DPL
City Water C Well ❑ Septic System ❑ Sewer ❑
Use Group Construction Type Area / Basement 09. Garage
Approved by Date
R.vr.d 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 distan ce-lrsfft-al tree lines, side yard lines and required
distances from all other zones and is located in a zone in which thi
Signed -
I hereby apply for a Certificate of Occupancy r the work desortbed in this application for the permit
Signed
-- DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS