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Home My WebLink About1055 Main Street Application No. 5204... . Permit No. . .4934...... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (~ (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., . ....... 19.. ../. Signhevez1..& .................................................. ............... Address/0..e5T.. .......... ... ---.- . .............. 410- Location? . ..........................................................( .. ...C.-St................side of? ...................................................................................................................... Nearest cross street? .....". . ............... ........ ..... ...Street No. . ................ ............................. L,0tNo. .............. ........... . Owner of land is? ...Address ........... ..................... Ownerof building is? .............................................................Address .. .................................................................I.................................. Architectis? ... .... ............. ................................................. ......................Address ... .............................................6............. ........................ .................... IBuilder is? .................Address Aw <;� .... ...4- ...Afto.k........W�......... Dimensions of building? . . . ...........Feet front? ............ . ....... Feet rear? ....... . . ........... Feet deep? Extreme height to highestjPO 0 roof? ..f f? ( No. of stories in height? ............... V txAA-z4-.v.......... Purposeof building ....... ..........X0. of stores? .... .................. ....................................................................... Howmany families? .. ..............................................................................No. of rooms? .... . ......................... ........................................... ................. Distance from street line is? ....... ...... ...........................................from building line is? .................. ..... . .. ........................................ ADDITIONS AND ALTERATIONS (Give Brief Description) 0.4p.4 -2 za.zr.......... e-<,0.............. .............. ....... ..... IA. ..... .. .... .............. ..............1......... ............ .t................ . ........... ............ ..tZz................ ................ ......................................................................................................... ........... ......................................... ............ ............. ... ............................. Map No. . ........ ........ 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 Iffelatt; stories Front Waft Side Wags Rear Waft Partition Walls Basement, ....................................................................................................... .................................... ................................I................................................................................................... ...... 1st Story ........................... .. ........................................................................................................................... ............................................................................................ .......................... .... ..... 2nd " ......................... . .................................................................................................................................... ....I..... ........... ............................................. .... I................. .......... . ........ ..... 3rd " ..................................................................................................................................................... ....................................................................................... .......... .... ............................. 4th 91 .. ............... ......................................................... ........................................................................................................ .................................. ..... ..... ...... 5th 'd .............................. ................................................. ........................................................................................................................................................... ................. ............................... 6th of .......................... ............................................... ......................................................................................................_1....................................................... 7th go ........... .. ............... ..... ....................................................................... ........................ ............ ..... ......... ........................................................... ................................................... 8th 'I ................................................................................. .......................................... .... ..... .... .. .............I....... ... ................... ................................................. 9th dd ....... ........................................................ ........ ........ .. ............. .................... ...................... ................. .. ......I....................... 10th Material.of Front? . ......If stone, what kind? . Thickness of Ashlar? ....Thickness of Backing? ........ Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GIRDERS DOLU MNS FIoors Size Longest Span Centres Bridging Size Longest Span Centres Size Length Centres 1stFloor...... ............. .................................. .......__ .................................. ...................... _........___....... ............................ .................................. ..._....._.. _..............._........_. _...._..._.. ......._ ......_....._.... _ 4 .... ..... .............. ...................... _.......... ............................ ..._. ._........ _......... ._._........... .................�. Size of outside studs? ......................................... Distance on centres? ..................... Sue of sill? Size of rafters? ..................................... .. Distance on centres?................................................. Size of plate? ...................................................... Size of ledgers or girts? ..... .................... .............................................Size of deck rafters? .................................................................... ............... Distance on centres? ......................................................................................Size of studs in bearing partitions? .................................................. MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? ................................................................ Fireplaces? ...................................................... Materialof roof covering? ..................................................... ..........Material of Cornice.� .................................................................................... Howis building heated? .. ... .. . ........................................................Lining of flues? . ............................................................ ............. .............. Thicknessof shell of flues? ......................................................................Any elevators or lifts? ........................................................ ...................... What kind? ................................. .. ........ How many? ......... .. ... .... ..... ............... Any hoistwai ......... .... ... ..I........... ... ............ . Howprotected. ............... ...................................................... .................Total Value of Building ...............�p..Q... ................................... When will work be commenced? ...... . ... ................... . ,. -4>....................... .. .. ........ . 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. Applicant 4934 BUILDING APPLICATION ApplicationNo. ........5.............204...................................................... on the .....W.e.st................................... ........... ..... side of .............. Main .... ............ ...................... .... ... ........ Street. Street No, 1055 . ......... Lillian Lasbury Owner .. .... . .... ...... ............. Applicant Same ... ....... CLASSIFICATION Convert existing breezeway into .... ...... ........... .................. den. . ........... ............... . .. ... ............. .......... Permit issued on above Application. 7-6-64 Date, . .. TOWN OF SOUTH WINDSOR BUILDING PERMIT Date duly 6,, , 19 64 Fee Paid $.3.'.®® � Est. Value .6®®'®o Permit N? 4934 on the West side of Main Street Street No. 1055 Owner Lillian Lasbur� Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid y$ CLASSIFICATION Convert existing breezeway into den. BUILDING PERMIT N° 4934 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 4TU17 6' 19 64 94is to to Tertiflj, That Lillian Lasbur? Canvert ouisting base goxa3 into 40ILo is hereby granted permission to at estimated value of on the West side of 1055 Maim Bt` Street on land owned by Lillian La sbtw7 WorkSaid to be as described in Application No. 5204 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. s d J'u17 6! 19 64 B ding 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 # Application For 2901 DEPARTMENT DECISION 12 3 -Reating Permit Cd APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS 13 APPROVED ❑ DISAPPROVED ,`� 1 TOWN OF SOUTH WINDSOR "" 11-19-64�� ct..t 0 cd 0 00 (D DATE INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O C ^� 1. LOCATION OF JOB C~d �9 NO. STREET 4j O C v LOT NO. FLOOR APT. NO. -0 O rg 4) 0 _aAt 2. OWNER Cd Z 0 tea! MR/ 3. ADDRESS �f� b �`� 3 bo 4.PHONE m cd to s. APPLICANT rri � O w a. ADDRESS .,.., PO y 7.PHONE 0 0 S. LICENSE NO. 9. EXPIRATION DATE OF LICENSE 10. ESTIMATED COST S M; l S'J$ 0 � o IS THIS A CONTRACT COS" ❑ YES NO bA Permit #4934 b12. FEE ENCLOSED S � v � k is. TIE UILDING: RESIDENTIAL ❑ COMMERCIAL bo O .9 ce 14. TYPE OF JOB: ❑ INDUSTRIAL 3 ❑ RIGINAL LTERATION INSTALLATION ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB / Aw� el NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ HEATING SYSTEM ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS D NTIFY 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. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO TYPE OF WALL j'r—id'-fl INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATIO ASEBOARD, COPPER CO VE S. OR I. RAC)ION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. i•� DESCRIPTION OF WORK 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS). ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. o<� DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL y NO. LL ROOM GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED �j LL RAD. REGISTER L W H AND K TEMP. TO f I-: TYPE AND SIZE OR LEADER SIZE ` WALL FpGt� (INFILT.) DIFF. •F O ID H SO. FT. FREE AREA 02F wow, 75< 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. —T DATE SIGNATURE OF APPLICANT PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN OF SOUTH WINDSOR APPROVED DISAPPROVED BUILD1Nv INSPECTION DEPT. -)Y_ 76 L 644 -2-)11 Ext. 230 I Date B ildin Inspector 8 p Applications must be printed or typed. 1. LOCATION OF JOB 1055 MAIN STREET _ FEE SCHEDULE No. Street I _ Floor Apt. No. $ 0 - $1,000 - $10.00 Over $1,000 - $10.00 2. OWNER STEVE & BETH GRIGORIAN per $1,000 or 3. ADDRESS1055 MAIN STREET fraction thereof SOUTH WINDSOR , CT. 06074 A WALTER -DOWNEY (W.E.D. ELECTRIC) I � 4. APPLICANT ,_- -- _-�_-- __--_ 5. ADDRESS 18 HOLLAND STREET EAST HARTFORD . CT. 06108 i ACTUAL COST $ FEE $ 6. ESTIMATED (AST S_ 2,000.00 ESTIMATED COST $ FEE $ 7. IS THIS A CONTP,%C F COST? t::3 YES CI NO FILE COMP. BY BALANCE $ 8. FEE ENCLOSED $ 20•00 9. TYPE OF BUI I,IIINC: F1 Rr.S7DENTTAi C0:!:`iERCIAL 10. IYPE OF J{►u: ORIGI i, 1� ALTERATION iV5'Tr11.1 �TTt�ti 1L`:�1 ADDITION REPAIR APPLICATION FOR ELECTRICAL- PfrRft r(Continued trom tcevarse Side) 11. LOCATION OF JOB 1055 MAIN STREET NO. STREET FLOOR APT. NO. 12. TYPE OF INSTALLATION SERVICE CHANGE & MISC. RENOVATIONS KITCHEN & BASEMENT_ 13. SIZE OF MAIN FEEDER 4/0 SER ALUM _ 14. NO. OF LIGHT LOOPS 15. NO. OF HEAT LOOPS 16. NO. OF P(')i.!RR LOOPS 17. NO. OF LIGHT OUTLETS 18. NO. OF HEAT CIRCUITS 19. NO. OF POWER 20. NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22. NO. OF POWER CIRCuTTS 23. NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25. NO. OF :10'1ORS 26. NO. OF PANELS 27. TOTAL WATTAGE 28. NO. OF POWER PAMALS 29. NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS 32. NO. OF FIXTURES 33. TOTAL HORSEPOWER 34. :NAMES OF SUBCONTRACTORS AND THEIR TRADES 35. REMARKS AND FURTHER DETAILS: SERVICE CHANGE FROM 60 AMP TO 200 AMP RELOCATING SERVICE FROM SOUTH SIDE TO NORTH SIDE WITH OUTSIDE METER SOCKET,INSIDE MAIN SWITCH & FEEDER TO NEW CIRCUIT BREAKER PANEL. KITCHEN MISC. RENOVATIONS: 2-APPLIANCE GFI CIRCUITS WITH OUTLETS,1-REFRIGERATOR CIRCUIT WITH OUTLET,,1-MICRO WAVE CIRCUIT WITH OUTLET,1-DISHWASHER CIRCUIT,1-RANGE4-WIRE CIRCUIT, 1-DI20SAL CIRCUIT. RASFMFNT: 1= (A.SHFR CTRCIITT wTITH nUTI,FT Ar 1-nRTFR 4-nITRF CTRCUTT.WITH OUTLET. E1-103556 MARCH 9, 1990 LICENSE;NO. SIGNATURE OF APPLICANT DATE PHONE NUMBER: 289-0 88 's • Lot No. �D S�" �►'ll�i,U Si Building Permit Tle d.0 96%&JC& Temporary Service ne`nt Servic c Lr Pursuant to Permit No. This Certifies that the Electrical Work for which the above named Permit was granted has been duly inspected and is hereby approved. Owner S V -7t ( �{/�!��"� Electrician . Street o S�' At 19 Building Inspector { 1 1 Carrier 01 1. WINDOWS EXPOSED 1 TO SUN X :1 : •1 ■� (Use only one exposure: select the , one that gives the largest result) 2. ALL WINDOWS NOT INCLUDED IN ITEM 1 3. WALL EXPOSED TO SUN (Use only the wall with the exposure used in Item 1) 4. ALL EXTERIOR WALLS NOT INCLUDED IN ITEM 3 X '� 5. PARTITIONS X 1 1 1 6. CEILING & ROOF • (Use only one) 1 �� 7. FLOOR X .� (Includes allowance y �� 8. PEOPLE for ventilation) 9. LIGHTS AND ELECTRICAL EQUIPMENT IN USE X 10. DOORS OR ARCHES CONTINUOUSLY X �■� OPEN TO UNCONDITIONED SPACE 1/ INSTALLATION DATA DOUBLE HUNG WINDOW CASEMENT WINDOWS TYPE— 1 TYPE—2 TYPE—3 TYPE—4 IE- E D--� IRk K H M EN 00 �—N A TYPE—1 ❑ TYPE—2 ❑ 3 ❑ 4 ❑ A C D E DIME INIONS C D E G H J K L M N P INCHES , . ; t 2. Current characteristics: - .....,.. t 2 2 Volts —Phase Cycles t t 3. Phantom Voltag T st Yes No C t ,a , w service ' � '• � • t t t , s 5. Special requirements- - 6. Wall Construction t ' t u,,,, ,,,,,,,,,,,,,,,,,,,,, 7. Acc ssories _.__.,....._..,, ,_•,......_...,,....... _.. ,... .. _..__. ..... ............ , ,,,. Wide panels t t t t 8. Storm sash on window e/ACT ? „ ��, ,,, a,,,,,,�,, .,a�,,,� � ,,, ,,, ,,,,,,,,�W ,,w,,,,,,,,�,�,,,�,,,,,�,,,,,,,,�,,,,�,,,� ,�,,, ,,,�,,,,, a,�,,,,,,,,,,,,,,,, ,,,,,,,,,,,,,,,,,,,,,,,,,,•, All year? t 4-C -J 9. Heating M thod: _ AL B�ld SPE TI APPLICATION FOR BUILDING PERMIT Plumbing HVAC Date: Sprinkler 1055 MAIN STREET Electric Estimated Cost $ 4S uy Zoning Permit Fee$ 2v '�- Affidavit NO. 18450 Occupancy Fee $ Eng. Dept. Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ 20 Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH VINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location L Lot No. Side of Street -Zone Applicant - Tel. # 1 - � Address W a'D �5 `� '\J\ ip Lic.# STREET CITY STAT Owner v 1 Address q=::�SA le, - 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 �-[� , 20�a� City Water ❑ Well ❑ Septic ❑ Sewer ❑ Approved by Date BD1A 1 lies 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 lin s,side yard lines and required distanc s 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 p r it. Signed -DO Nor WRITE BELOW THIS LINE- INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: 11 d 0 L9 � 70 !ayIlta -W�' zZ (�7t�/ or o'er (5;v s o,-A � A y 1 � I e2 ti 1 .=Ivq )R 341990 South Windsor BUILDING DEPARTMENT i. ,'i J *hat this plan and srw,' ifw .i•7 ,' the proposed budding( or aiteraii„ns r !•er •w,th amendments stated In )pp1ir.?:,,,r, ,0'i pion and I arree tc eumply with ,it nrrjj +inn and state laws and such orders as strait i -_•i by the Buridinq Departm Ott during pa •l 5 -,u lication and final is uanae of a hull;:: r mit. I,o I. approved subieCt o th cond' n 01 anJ ordinances regula ina? bu! g shal ttonoliy Approved These tiled wi+h .nti+� Inspcctot Cler+s A B i FINAL nggSPECTIO s: APPLICATION FOR BUILDING P R IT Plumbing HVAC 1055 MAIN STREET Date: Sprinkl Electric Estimated Cost $ ? ��•�V Zoning 19371 Permit Fee$ Affidavit NO. Occupancy Fee $ •� Eng. Dept. COMPLETE RED BOXED AREAS. Fire Dept. TYPE OR PRINT ONLY Total Fee $ H alth Dept. SIGN ON REVERSE SIDE. Approved for CO: L (Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: 93Yot Job Location s- \ Lot No. Side of Street Zone Applicant ��n � ,_� Qx\n '�7 t!7 �C.� Tel. # Address to �� d I # STREET CITY STATE Owner'.! vv� aS, i1`�1�� Address Architect Address Size New Area: Ft. Front Overall 3 Ft. Deep Overall Total Area 4'�4 #Garages Lavatories No. of Families �No. of Stories Z Construction i5a Bathrooms Rooms 1st 2nd 3rd Size of Lot is . from Street Line Dist. from Side Street Line Purpose of this Permit / 9�r oQIt fzon � 2- City ee S }�!( p `17' Water dET-' Well ❑ Septic ❑ Sewer Approved by Date !S BD1A 11/88 I hereby agree to conform to all th requirements of th Laws of th Stat 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 th proper distanc from all street lin s,sid yard li es and required distanc s fr all oth r zon s and is located in a zone in which this building and its use is allowed. 1 X Signed I hereby apply for a Certificate of Occupancy for the work described in this pL n for permit. v v Signed - \1 N A —DO NOT WRITE BELOW THIS LINE / U — INSPECTION RECORD \\ Footing Framing '�I-�-C411 v Foundation Fireplace/Chimney Insulation�`�-2 Plumbing Permit# eC Inspections: ?- - I 40 HVAC Permit# 7 Inspections: Electrical Permit# l Ins ections:� — �- Sprinkler Permit# Inspections: ;. BUILDING INSPECTION DEPARTMENT SOUTH WINDSOR, CONNECTICUT FEE PAID: $3.00 CERTIFICATE OF OCCUPANCY ZONE: DATED 3/2 3 19 93 This is to certify that 1055 Main ST re et Altered under permit No. 19371 conforms substantially to the requirements of the building ordinances and the zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below. Approved for Occupancy— Residential addition--2 bedrooms & full bath USE GROUP: R4 CONSTR. TYPE: 5L Building Official Notice:If this certificate is lost or destroyed, a duplicate should be obtained immediately from the Building Department. Any change or extension of the use herein approved requires a new certificate of occupancy. PERMIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT I Application is hereby: TOWN OF SOUTH WINDSOR APPROVED DISAPPROVED BUILDING INSPECTION DEPT. 644-2511 Ext . 230 c--�Ct Application must be printed or typed. Date Bu ding Inspector 1. LOCATION OF JOB los-3— ,�vogj ST-1 FEE SCHEDULE No . Street $ 0 - $19000 - $10.00 Floor Apt . No. Over $1,000 - $10.00 t per $1 ,000 or 2 . OWNERf�/��% /�� fraction thereof 3. ADDRESS f&1 ,;S 4. APPLICANT Y 5. ADDRESS- / D G S s 6. ESTIMATED COST $ ?.,pOD.Dl7 7 . IS THIS A CONTRACT COST Ye N�o 8. FEE ENCLOSED $ o?d� 9. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB : Original Installation Alteration/Addition/Repair BD 3A 11/88 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 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 20A6�qr 25 . NO. OF MOTORS 26. NO. OF PANELS 27 . TOTAL WATTAGE 28. NO. OF POWER FEEDERS 29 . NO. OF SWITCHES 30. A/C LOAD 30 31. SIZE OF POWER FEEDERS 32. NO. OF FIXTURES 33. TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : 1 ` .�7`1�200/21 0 3 5�6 LICENSE NO. SIGNATURE OF APTICICANT DATE PHONE NUMBER: PERMIT NO. DEPARTMENT DECISION APPL I CAT I O N FOR Application is hereby : PLUMBING PERMIT TOWM OF SOUTH WINDSOR APPROVED DISAPPROVED BUILDING INSPECTION DEPT. A (, 644-2511 Ext. 230 Date _B_ukl(Tinr Inspector Application must be printed or typed. 1. LOCATION OF JOB: t s 11- .�/J i .� J �L FEE SCHEDULE 2. OWNER: - $ 0 - $l,000 - $10.00 3. ADDRESS: Q� Over $1,000 - $10.00 per $1 ,000 or 4. APPLICANT. _.Z/lxw�ie fraction thereof 5. ADDRESS* Y,e4le - 6. EST. COST: $ 7. IS THIS A CONTRACT COST? YES tl 8. FEE ENCLOSED: $ 9. TYPE OF BUILDING: J,� /g-3Zf PRESIDENTIAL COMMERCIAL 10. TYPE OF JOB: ORIGINAL ALTERATION INSTALLATION ADDITION REPAIR BD 2A 11/88 APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side) 11. LOCATION OF JOB: GENERAL PLUMBING 12. KIND OF INSTALLATION: ,�J 0 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS ` STYLE.; _ 15. NO. 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 KIND 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOW �lgx �- 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK? 31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS 32. REMARKS AND FURTHER DETAILS WATER HEATER 33. TYPE 34. MANUFACTURER TANKS SAFETY DEVICES TEMPERATURE 35. CAPACITY 39. RELIEF VALVE 36. TEST PRESSURE LBS. 40. MANUFACTURER 37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE 38. TYPE 42. MANUFACTURER LICENSE NO. DATE / SIGNATURE OF APPLICANT HONE NO. SE FOR OFFICE U ONLY APPLICATION FOR HVAC PERMIT DATE: (NO. ) TOWN OF SOUTH WINDSOR EST.COST: 3 S BLDG. PERMIT NO. 1540 SULLIVAN AVENUE FEE SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 $ 0 - $19000 - $10.00 $1000 or fraction 'LOCATION OF BUILDING S / yam' 'V thereof - $10.00 41, ) 4,� 9S 7 OWNER ADDRESS TOWN PHONE NO. s �- L"�j 0;74&,� HVAC CONTRACTOR ADD SS TOWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL A/C 7,� COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM GAS IN-PUT ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS (BTUH) a (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 S^°F INSIDE 7eS' °F DIFFERENCE/7 F TOTAL HEAT GAIN (BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.): dc- /JO z 6- 1-/(f v /tic, 5 4 (,/"a/' 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. �j FURTHER DESCRIPTION OF WORK: STATE LICENSE - NAME & TYPE # DATE SIGNATURE OF AP,yJ&MT APPROVED DATE BD 4A 11/88 I - B a R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronics Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL.A COL.B 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 BTUH per F t of 3 LENGTH EXPOSED WALLS,FT. q Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION (Table 9,Line 3 x H) ROOM LIN. FT.OF TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED (Bottom f table used f r Line 5) 7 CEILING CONSTRUCTION C (Table 9, L x W) g FLOOR CONSTRUCTIONt D (Table 9, L x W or Lin. F t) I 9 COLD PARTITION CONSTRUCTION F (Table 9, L x H) 10 c 1 Wall(With Openings) G =0 H c+ 2 Wells(With Openings) D X eJ 1 3 Walls(With Openings)or Ent.Hall 1. 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K L —_ COL.A _ _ _ COL.B COL.H COL.I COL.J COL. K COL.L TOTAL BTUH TOTAL 1 ROOM E OF BUILDING SELECTED AT ECTIO O H L W H 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( A WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION *INCREASE BATHROOM (Table 9, Line 3 x H) TOTAL 20% 6 TYPE OF GLASS �— (Bottom of table used for Line 5) 7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON (Table 9, L x W) GROUND OR FILL AT B FLOOR CONSTRUCTION( GRADE LEVEL,USE LINEAR FEET OF EXPOSED EDGE (Table 9, L x W or Lin Ft 1 9 COLD PARTITION CONSTRUCTION (Table 9, L x H) 10 1 Wall(With Openings) C+ 2 Walls(With Openings) eX ` 3 Walls(With Openings)or Ent.Hall J a11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE This form is available tr m The Hydronics Institute,35 Russo Place,Berkeley Heights,N J.07922 FORM 1503