HomeMy WebLinkAbout11 Heron Nest (Lakewood) �U ---•
-Zoocb
TO THE BUIELDING INSPECTOR
ofthe APPLICATION FOR
PLAN EXAMINATION AND
WINK BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O
I• AT (LOCATION) // Aria &71: ZONING
DISTRICT
LOCATION (NO.) (STREET)
p1hOF BETWEEN AND
BUILDING V
j( ROSS STREET) (CROSS STREET)
LOT
LOT
SUBDIVISION ��/frl. --I&-BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use rn
1 Q New building Residen iol Nonresidential
27 Addition(It residential, enter number
12 One family 18 E] Amusement, recreational
of new housing units added, i/any,
in Part D, 13) 13 ❑ Two or more family — Enter 19 � Church, other religi us
number o/units— — — — -0- 20❑ Industrial
3 Alteration (See 2 above)
14 Transient hotel, motel, 21 parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (1/multifamily residential, of units ——————— — —! 22 ❑ Service station, repair garage
enter number of units in building in 157 Garage 23❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24 Office, bank, professional
6 Moving (relocation) E:] Public utility
17� Other — Specify 25
7 ❑ Foundation only
26❑ School, library, other educational
B. OWNERSHIP 27 7 Stores, mercanfiIs
8 E�Privat (individual, corporation, 28 0 Tanks, towersS
nonprofit institution, etc.) 29❑ Other — Specify
fy
9 ❑ Public (F deral, State, or
local g v rnment)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, .g., fo d
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ A21h school, secondary school, college, parochial school, parking garag 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. H sting, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BU LDING — 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❑Mas my(wall bearing) 40 Ef Public or private company 48• Number of stories................
31 [ ' o d from 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 f7 Structural steel dimensions .................... (�
33❑ Reinf reed concrete H. TYPE OF WATER SUPPLY
34❑ Other - Specify 42 ublic or private company `�• 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 a Gas Will there be central air 52. Outdoors....................... /
% Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 452 N 53. Number f bedr me.............
39❑ C al
39 Other- Specify Will there be an levat r? 54. Number f Full..........
000'
46❑ Yes 47 0^ bothr me
Partial*.......
IV. IDENTIFICATION - To b compl t d by all applicants
Name Mailing address — Number, street, czty, and State ZIP code Te:No.
Owner or 63e. --x�2&0 Mal 'aa& -S U-) — �& -
Lessee
2.
Contractor
3.
Architect or a Aso k /
Engineer Aj P a/ '!�U) (f(/_4e
Th owner of this buil4trig and t-he undersigned agree to con orm to all applicable laws of this jurisdiction.
Signature of applicant Address Application dot
700 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Review R wired Check Plan Review Date Plans By Date Plans By Notes
q Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Number B Permit or Approval I Check Date Number By
Obtained y pp Obtained
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit number
Building
Permit issued �'�G `� 196
Building
Permit Fee $
Ap oved
TIT
T
TOWN OF SOUTH WINDSOR
BUILDING PERNUT
Date May 13 9 19 8 6
Fee Paid $. .3 8 4 .0 0 Est. Value $.6.4,0 0 0
Permit Ne 15073
on the side of
Heron Nest Street
Street No. 1 1
Owner RSK Ke 11 r n_I ne.
Applicant Carol S. Kelley
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 7 E 0 8
Fee Paid $ 3-..00
CLASSIFICATION
Dwe 1 1 i n a
BUILDING PERhffT
M 150'73
OFFICE OF
THE BUILDING INSPECTOR ,
of the
Town of South Windsor, Conn.
South Windsor, Conn. may 13 1986
M#is is to gertify, That RSx-Kellco Inc.
is hereby granted permission to Dwelling
at estimated value of
on the side of ron NAst Street on land
owned by RSK=Ke11cn Tnc-
Said Morti to be as described in Application
No.1,S� and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued May 1 3 1986
� - Building Inspector.
Streets and sidewalks, obstructed by ezcavations 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,Fosts and damages which it "ll sustain, or be compelled to reason therefor."
V
Dwelling - Lot 11 LKWD 5/13/86
RSK-K011co Inc .
11 Heron Nest Permit # 15073
Electrician Michael Finnegan #9294
Heating Contr. Mellen Energy # 6494
Plumbing it Mellen Energy # 7054
Oil Burner #
Certificate of Occupancy # 7608
Sewer Permit
Plot plan apprd Per Engr.
J n /(1•t1 o eee' '� 21e--�W 1,211ai
f-'__-'------.��-.--,..�----'s'-.-�`-_.--_---•--sr_�..__..-a�_r-r�.a-<__t-+.�--.__-_..-._.e-..-.,-�.��--------.-�.---"--.�.--��_-��t r-----�-�+-r- -. +.-r--r._,._..�...«�.z�_ _'6�-xT3h-\
1
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
i
M
Permit 1q O 7608
i
Certificate of Occupancy
r TH1,SM TO CERTIFY that the
at No `� � in the �4n of South Windsor, Connecticut, has
been erected and completed in accordance with Bruildirg Code and Zoning Regulations of
the Town of South Windsor, and is hereby approve roccupanc
1 !
1 '
Building nspector
Ix
1 )0w er, Builder n
I Fee Paid , Date �� Q ,mac 19
I
#9294
ELECTRICAL APPLICATION
Application No,1 0 8 0 6
on the side of
Street
Street No. Lot 11 Lakewood
Owner RSK
Electrician Michael Finnegan
FILED IN OFFICE OF
The Building Inspector
July 14 86
19
INSPEGT10N.
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 Are
stops (if of wood) are installed, without a special
permit from the oAice of the Building Inspector.
Electrical Permit No. .......
Master License No. ............
TOWN OF SOUTH WINDSOR Building Permit No.\...IS........... A.... ..... ......
BUILDING DEPARTMENT Date Filed ......... ............................................................
Date Final Approval .................... ............................
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
JOB LOCATION: ........... JOB OWNER: ... ....... ........P ..............................................................
. Side of . ........ ......... . . ... .. Between ............ ......... ................................................. and ...............................................................................
Nameof Building Owner ... . ...... ...................................... . . ........ Address .. ..... ................................... .... ................................................
If work is for Lessee—Give name . ......... .......... ............... Address .................................................................................................
Building now occupied as (unlp ne ................. ...... . No. of family units now ..... ..........................
Building to be occupied as . .... .......... ......... ....... Number of family units to be ..... /....................
Is this work included in a Building Permit? E,-Cy Permit Fee ............... ............ ......... .........................................................I................
(If no Building Per7mt)
Permittee A�Iil:�I"E-e .... usiness Address ... Telephone
C ......................
COST OF INSTALLATION: . ..... C;p...........4.,
.......... ... .........................................................................................................................................
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 . . . ...... ........ ...... Do these include Range ❑ Water Heater
❑
Number of appliances to be installed . . . ....... .....................
(as listed below) Dryer C] Air Conditioner ❑ Oil Burner C:]
TYPE RATING NO.
. . . . . . . . Dish Washer ❑ Gas Burner C]
Range
Range Top . . . . . . Well Pump F1 Elec. Heaters
❑
Oven . . . . . . . . REMARKS:
Water Heater
Clothes Washer . . . .
Clothes Dryer . . . . .
Dish Washer . . . . . .
Air Conditioning Motor
Oil Burner Motor
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan . . .
Well Pump . . . . . .
Electric Heat . . . . .
Other . . . . . . . .
Number of new Lighting Circuits
Number of new Appliance Circuits . . . ...........................
Number of Heating Circuits . . . .
Number of Motor Circuits . . . . .
Size of present service .............. ....................................................
Size of service to be . ................................... ...........
7054
PLUMBING APPLICAT14N
Application Nm 6125
on the ...... V cede aE
......._...r..E.�.s?�+ ►'I/G s�`' Sam
Street No. _ lncll
2,0
Plumber . .
� 9-a�
Filed in Office of
The amag Lrpocsor
__ July 11 19�6
II�I�Oi�Olr.
No person shall commuct, add to cc aloes MV
portion of the drainage s'saem of any bol ft
(ezmpt to repair 66) until a P pank is smaed
by the Building •
APPLICATION FOR PLUMBING PERMIT (Continu d from R verse Side)
TOWN OF SOUTH WINDSOR, CONN.
IL/ _
11. LOCATION OF JOB zcy 7-_,* 11-e � /L /per �e S
NO. STREET FLOOR APT.NO.
GENERAL PLUMBING
12. KIND OF INSTALLATION 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE 15. NO. OF URINALS _STYLE
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS�_ 19. NO. OF WASHTUBS _
20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE
22. AREA OF ROOF 23.NO. OF CATCH BASINS .._ 24. NO. OF FLOOR DRAINS —
25. NO. OF OTHER FIXTURES j KIND
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WIN W? 27. SIZE OF WINDOW ,44
47
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIGNATURE ADDRESS__/4� 94944944ZOr 4,142 - -
LICENSE NO. 3 �� ESTIMATED COSTS `� TELEPHONE l
OWNERS r�� /� � ADDRESSLa.
WATER HEATER
31. TYPE 32. MANUFACTURER
TANK SAFETY DEVICES
33. CAPACITY 46 37. TEMPERATURE RELIEF VALVE
34. TEST PRESSURE_ 38. MANUFACTURER_
35. WORKING PRESSURE , y 39. PRESSURE RELIEF VALVE y"
36. TYPE 40. MANUFACTURER �/LxCJ
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.
—7 46
CD962 DATE SIGNATURE OF APPLICANT
PERMIT #
Application For 6292 6494
DEPARTMENT DECISION Permit
Heating
O
3 APPLICATION IS HERESY: DEPARTMENT OF LICENSES AND INSPECTIONS
APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
CIS ,
Au r-
00 D CN
T f1401rc rds APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O eN
ao �
g1. LOCATION OF JOB
_ 1� 77Pie(M V1��5
cc C NO. STREET
4.) 0Cd _.
//
LOT NO. FLOOR AFT. NO.
0 s. OWNER °' L
O s. ADDRESS
_ i
4.
V) '= S. APPLICANT ' �--
ao a~0
s. ADDRESS /0J~'itsS
�. 7.PHONE2f�41`J f
w �
0 A III. LICENSE NO.
a 4`2
o w s. EXPIRATION DATE OF LICENSE
8
.9 � 10. ESTIMATED COST
� •8
Et 1. IS THIS A CONTRACT COST1 91 YES 13 NO
b0
75
R
•'" ts. FEE ENCLOSED s it 15073
is. TYPE OF BUILDING:
v Ja RESIDENTIAL ❑ C MMERCIAL
O .R ❑
Cc 14. TYPE F JOB: INDUSTRIAL
•�: ORIGINAL ❑ ALTERATION
INSTALLATI N ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued it m R v no Side)
11. LOCATION OF JOB Za/ l/ Lffg�1 Ives
NO. STREET FLO R An. N .
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC Cl VENTILATION ❑ SPRINKLER
GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE _....r• LOCATION ._,_..,,. SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER VFUFNACE AKE AND N0. AT BONNET FIRING RATE
`+ _
t
BOILER OR FURNACE MAKE AND N0. 0 B.T.U. OR SQ. FT. NET 61AI B.T.U. OR SO. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO
TYPE OF WALL �+ '' '�'A INSULATION_ �'+ ROOF OR CEILING. ' INSULATION'.'
AVG. SYSTEM WATER TEMP. B.T.:U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE ;��� °FAHRENHEIT
MAKE OF RADIATION: B,ASEBO RD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION R LINEAL OF RADIATION. SQ.
�. 7 c J
FT. OR B.T.U. r �..«
vi
DESCRIPTION OF WORK -
1s. TO BE DONE: i `rS 1 1 Wy "; r r:..«). 1 �f T•2 i ''
•J� �
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
RD M SIZE WINDOWS AREA - SQUARE FEET e.T.U. E.T.U. i 0 DISTRIBUTION INSTALLED
AND OOORf VOLUME TOTAL TOTAL RD M NO- GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j t L REGISTER
L W N AND [� TEMP. TO F TYPE AND SIZE MAD. OR LEADER
SIZE < WALL f'�tC (INFILT.1 DIFF. •F 0 w SO. FT. FREE AREA
TOTALS /�
A. HEAT LOSS FROM BUILDING ,`T/-107 B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING. OTHER THAN NORMAL p, B.T.U./HR.
ALLOWANCE FOR HEAT VALVE O'F" FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY: r, .:�-. i r t°`-_.r''J� '_��. - �� �." �, .�L...✓
NAME ADDRESS
SUBCONTRACTORS ANDr
IS. THEIR TRADES y•'` cr`I� �•+'
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.
d DATE SIGNATURE OF APPLICANT
= B= R CA, ULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronics Institute
OWNER RJ )` k�G `�2 J ADDRESS �14w '` 10"' '"�v" ,VQS DESIGN TEMPERATURE DIFFERENCE-?Id-F. DATE ACOL.A COL.B COL.C COL.D COL.E COL.F COL.G
1 'ROOM cc I tj 106I? 1) ► q'- Fok ni iL - ;2\ Design Water Temp. l�Q
O H LL W yH L 1W Hsi L W H L W H JL W
2 ROOM DIMENSIONS,FT. U 1 3 O / a / BTUH per Foot f
71
3 LENGTH EXPOSED WALLS, FT. Q a L I Radfati n Selected
4 WINDOW AND OUTSIDE DOOR AREA U. L
BTUH BTUH 13TUH BTUH BTUH
5 WALL CONSTRUCTION ROOM LIN. FT. F
(Table 9,Line 3 x H) � Q d /o1 O C7 / 9 ,0 0 3 900 TOTALS RADIATION
6 TYPE OF GLASS �i FROM LINE 12 SELECTED
le tt m f tabl used for Line 5) , / 0 Q� `� Q
7 CEILING CONSTRUCTION - a� � a2 O O C �Q Q
(Table 9,L x W) i
D �{lO�
g FLOOR CONSTRUCTIONt /► /� -'
(Table 9,L x W r Lin. Ft.) Ems`=
9 COLD PARTITION CONSTRUCTION F OQ
(Table 9, L x H) G
10 c 1 Wall(With Openings) ?/ 3�3 H�'O Oi�J
e 2 Walls(With Openings) X /� 7 d Q O I
3 Walls(With Openings)or Ent. Hall J /
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' ,6 Q Q 6 DO OO Q'� 02 0�j
00
J /O O
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE V 6 Q eD / Q Q J�OO I O a en F-
L
Al/ 90 o
COL.A COL.B COL.H COL. 1 COL.J COL. K COL.L TOTAL BTUH TOTAL
1 ROOMAl-E..j 2 S. yyI , OF BUILDING RADIATION
AT SELECTED
O H L• W H L W H L W H L W H L W DESIGNTEMP.°
2 ROOM DIMENSIONS,FT. U O Q » DIFFERENCE
31 LENGTH EXPOSED WALLS,FT. Q ;02. I
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION *INCREASE BATHROOM
(Table 9,Line 3 x H) Q Q Q Q ` Q Q 1 170 0 TOTAL 20%
6 TYPE OF GLASS rr
(Bott m of table used for Line 5) f a Q Q 3o o J Q 0 /6 d o
tFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION ^^ �,/ / GROUND OR FILL AT
(Table 9,L x W) Q Q o�d Q / 0-o goo Q GRADE LEVEL,USE LINEAR
B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
(Table 9,L x W or Lin. Ft.)
9 COLD PARTITION CONSTRUCTION
(Table 9,L x H) r�
10 ,c 1 Wall(With Op nings) c / Q
2 Walls(With Openings) .0X p2 QQ 00 / O Q
" 3 Walls(With Openings) r Ent.Hall F
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' D Q O , 02 Q Q S D 00
it
12 1 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE Q 310 Q
FORM 1503
This form is available fr m The Hydronics Institute,35 Russ Place,Berkeley Hoights,N,J.07922