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T 0 THE BUILDING INSPECTOR 351
of the APPLICATION FOR
PLAN EXAMINATION AND
TOWN OF SOUTH WIIrDSOR, COHH. BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and 1X. O
/ ZONING
I• AT (LOCATION) �QI/_ -1�`�� DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN 94316 !' Ind 11 AND (CROSS STREET)
BUILDING (CR SS STREET)
�,J LOT
SUBDIVISION DPW add LOT S BLOCK SIZE
N
ll. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
m
1 New building Residential Nonresidential
2 ❑ Addition(l/residential, enter number 12 One family 18 ❑ Amusement, recreational
o/new housing units added, if any, 13❑ Two or more family - Enter 19 ❑ Church, other religious
in Part D, 13) number o/units- - - - --p- 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 E] Service station, repair garage
enter number of units in building in 15❑ Garage 23❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24❑ Office, bonk, professional
6❑ Moving (relocation)
17❑ Other - Speci/y 25❑ Public utility
7 ❑ Foundation only
26❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
8 Private (individual, corporation, 28 E:] Tanks, towers
nonprofit institution, etc.) 29❑ Other - Specify
9 ❑ Public (Federal, State, or
local government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, school, secondary school, college, parochial school, parking garage for.
01 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...................... L
b. Plumbing ...................... ✓
e.Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $
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 L J Masonry(wall bearing) 40 ''Public or private company 48• Number of stories................
31 �' and frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors,based on exterior //
,,. 32❑ Structural steel dimensions .................... A fD
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other — Specify 42 'Public or private company 50• Total land area, sq. ft. ........... ZA
43❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES 1
51. Enclosed ...................... r
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL
35 Q'Gos Will there be central air 52. Outdoors........................ /
96❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45 t-t ^a 53. Number-of bedrooms..............
38 ❑ Coal
39❑ Other- Specify Will there be an elevator? 54. Number of Full..........
46❑ Yes 470 No bathrooms T
Partial....... V
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or R�L Wltnn Zw.- 4 a A 6,1
Lessee F/q
2.
Contractor
3
Architect or e E4aT _ a� 1,1� 6yy—
Engineer ,11
(091
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signotur of applicant AdJress Application dote
41-2
00 NOT WRITE BELOW THIS LINE
V. PLAN R EVI EW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans B Notes
y
Fee Started Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL $ ,
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval I Check Dote Number B Permit or Approval I Check Date Number By
pp 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 ��`� 19 �B
Building
Permit Fee
rov by:
c �
TITL • `
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date June 25 19 8 6
Fee Paid $. 3A 8 .0 0 Eat. Value ,0 0 0
Permit N? 15223
on the aide of
Lot #32 Pintail Circle Sant
Street No. 32
Owner RSK Kellco Inc.
Applicant Carol S. Kelley
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 7665
Fee Paid $ 3 .0 0
CLASSIFICATION
Dwelling
BUHDj NG PERMIT
N" 15223
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. June 25 106
T#19 'to to Certify, That ,
is hereby granted permission to Dwelling
at estimated value of
on the side of 3.Q4- 21�4. =ta_' C d C-G l e Street on land
owned by 22KmKoll ao Xag
Said work to be as described in Application
No. and to conform to spedfications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued suers 25 1986
-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."
z,
Dwelling - Lot #32 LKWD �/25/86
RSK Kellco Inc .
32 Pintail Circle Permit #15223
Electrician Michael Finnegan #9560
Heating Contr. Mellen Energy Corj# 6647
Plumbing It Mellen Energy Corp. #7201
Oil Burner #
Certificate of Occupancy # 7665
Sewer Permit
Plot plan apprd. per Engr.
I
I
I
j Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
I
I
I
I
I
I
Permit N4 7665
I
I
Certificate of Occupancy
THIS 15 TO CERT-VY th9it the - �-
at No. in the, own of South Windsor, Connecticut, has
been erected and completed in accordance with the Bui ing Code and Zoning Regulations of
the Town of South Windsor, and is hereby appr8ved f r occupancy.
I
Building Inspector
I owner, Builder -,
r _,AI"
Fee Paid Date Z 7
P
9560
ELECTRICAL APPLICATION
Application No. 11069
on the side of
Lot #32 Pintail Circle
Street
Street No. 32
Owner RSK Kellco Inc .
Electrician Michael Finnegan
FILED IN OFFICE OF
The Building Inspector
Feb. 11 19 87
INSPECTION.
cw 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.
Electrical Permit No. ....... ..•S..........................................
Master License No. .../._. ...7... ..............
TOWN OF SOUTH WINDSOR Building Permit No. ....r.5... J�....................
BUILDING DEPARTMENT Date Filed .................... .............................
DateFinal Approval ..........................................._.....
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
JOBLOCATION. ....... .. .................... JOB OWNER: ..............j�........................................................................................
Sideof . Between ......... . ........................................... ...... and .................................................................................
Nameof Building Owner T-'� ........ Address . ..................................... ... ......................._.......................
Ifwork is for Lessee—Give name . ..... .. .. .......... ........... ............. Address ...................................._...........................................................
Building now occupied as (unless new) ................. ....... No. of family units now ..... . .. 7.............
Building to be occupied as ......... 1.. .. Number of family units to be ....... ...�............... ... .. ..... .................
Is this work included irLa Buildin Permit ...... Permit Fee ............... ......................................................................................................_.....
(If no Building Permit)
Permitte Business Address .�
•.... Telephone L ? ..,.� - Zr._... S
COST OF INSTALLATION: 7. ....... ....................................
.....
v ........�r � ...... .....6
.1? .�u............................................................
_
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 ❑ Air Conditioner ❑ Oil Burner ❑
TYPE RATING NO.
Dish Washer ❑ Gas Burner ❑
Range . . . . . . . . Well Pump ❑ Elec. Heaters ❑
Range Top . . . . . .
Oven . . . . . . . . REMARKS:
Water Heater
Clothes Washer . . . .
Clothes Dryer . . . . . C
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 .............................................................._...... ----
7201
PLUMBING APPLICATION
wppbadm Nm 6 8 71
on the idc of
Street i4o.
Plumber
Filed in Offwe of
The Bold6g b qn mr
Degember 9 j936
II�11 wry NIL
No person OW aort om add ID w aloes ay
portion of the dabuW Wma of aw bald'iag
(ezapt to repair le 6) oa&a Plerait is gcm�d
by the Building b pamr-
APPLICATION FOR PLUMBING PERMIT (Continu d from R v rs Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB Z, / 3,2, Pzt, l2x! ,�- (L1,P-s- le-
NO. STREET FLOOR APT.NO.
GENERAL PLUMBING
12. KIND OF INSTALLATION 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS .2= 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 COD SIZE 21. NO. OF STACKS _SIZE
22. AREA OF ROOF 23.NO. OF CATCH BASINS 4. 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
Z- Y-'�
28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. ARE SEWAGE AN WATER FACILITIES AVAILABLE?
SIGNATURES ADDRESS
v V
LICENSE NO. o?03)'// ESTIMATED COST TELEPHONE 2- d}�/
OWNE -k� ADDRESS
WATER HEATER
31. TYPE - 32. MANUFACTURER-A F:22YI-a/Lt
TANK SAFETY DEVICES
33. CAPACITY Lo 37. TEMPERATURE RELIEF VALVE i
34. TEST PRESSURE -3 G/l/ 38. MANUFACTURER
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE
36. TYPE 40. MANUFACTURERS
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.
C0962 DATE ATURE OF APPLICANT
PERMIT #
Application For 6445 6647
6 DEPARTMENT DECISION $e8t$� Permit
g
0
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
at
APPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
c �, �9 —R 6
OD 0 DATE ciati, wastmv APPLICATIONS MUST OE PRINTED 00 TTPED. DECM WITH MYMDEN ME BELOW
O to
4j >b
A
1. LOCATION OF JOB
o
3
o� LOT NO* FLOOD
0 s. OWNER
a E
o
a. ADDRESS
�'—JSJINONE4V4
a
bob .� •. APPLICANT
ADDRESS
•^
s.PHONE��U�
w �
s. LICENSE NO. ) 7
4q
9 *. EXPIRATION DATE OF LICENSE 1&--/
5r 10. ESTIMATED COST s 3 d
11. IS THIS A CONTRACT COSTI YES No
be
Perm-i;,15223
O 12. FEE ENCLOSED s
y 1a. TYPE_0 u1LDING:
P1 �'MEsroENT1AL ❑ CON1414CIAL
O R ❑
d 14. TYPE OF C JOB: INDUSTRIAL
G MSTALLATION ❑ ADDITIIONON
REPAIR
APPLICATION FOR HEATING PERMIT (Continued from Rev no Side)
11. LOCATION OF JOB ` 1AyTAl1L C
N STRLST FLOOR AFT.M .
12. TYPE Of INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ valmATION ❑ SMdNKLER
ILd'GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IOSNTIFT
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
t B.T.U. EQUIP. AT REGISTER_ e p CE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. - B.T.U. OR SQ. FT. NET B.T.U. OR SO. FT. GROSS FIRING RATE
FLOORS TO BE HEAT D - NEW OR OLD BUILDING M'PC4 Ily ULATED - YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WAT R TEMP. B. .U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE lez) *FAHRENHEIT
MAKE OF RADIATION: 8 SEBO RD. COPPER CONV TORS. OR C.I. RADIATION. OUTPUT PER CTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U. `�
DESCRIPTION OF WORK
15. TO BE DON
is HEAT LOSS SCHEDULE, (TO BE INCLUDED FOR ALL JOBS):
WIND
ROOM slZs AMC "S AREA — SQUARE FEET �� a•OT•LL 0•T•U. i DISTRIBUTION INSTALLED
COOLAM TTAL TCTAL 2. t
R Y M0• 3 ORCY O OR LAU NKT WALL CUILINO FLO CU.FT. AT M'F CORRECT90 J j R<CIST<R
L W N AND t MALL to IINFILT.) Tt~. TC • It f O TVFt ANO!IZ< !O AO O. R"AOtR
III Zt < �'C OIFF. R F • FRKS AR<A
TOTALS
A. HEAT LOSS FROM BUILDING S B.T.U./HR.
8. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING.OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A 8 C) FACTOR �� O
17. ELECTRICAL WORK BY: 6-
NAN9 AO01119Si
SUBCONTRACTORS AND
1 s. 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.
ATS SIGN RS OF APPLICANT
I
I r
I = B= R CALCULATION,SHEET1503 (Modern Method) Copyright 1977 by The Hydronics Institute
AWN El _3L w•A' c•1 O 1'4 C(i[/V [ir ` S�
ADDRESS L/J DESIGN TEMPERATURE DIFFERENCE�F. DATE --""
COL.A COL.B Ir r COL.C COL.D COL.E COL.F COL.G
1 'ROOM f'd� C T` %'l"Y!J '�.'�J ' i1�1 -) )' kin rrit�cs . L? R+
O H L W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS, FT. ~ �� ��' v I Cl � ' l t' k ��
U BTUH per Foot of +^
3 LENGTH EXPOSED WALLS, FT. Q '� 33 � Cf Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA LL u7 (, 3
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION ROOM LIN. FT.OF
(Table 9, Line 3 x H) .�� V V v Q d0 np2 / D d 3 04 TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
(Bottom of table used for Line 5) 3 1-'OQ f J C) o o a C_�� O `�
� r
EILING
7 (CTable 9, L CONSTRUCTION C
)TRUCTION 'U; 3oa 00
� ,t' r ^' �
D a
B FLOOR CONSTRUCTIONt
C)U
(Table 9, L x W or Lin. Ft.) E "� L)d
9 COLD PARTITION CONSTRUCTION F ')0 Q f
(Table 9, L x H) �j
G
10 _c 1 Wall(With Openings) 3 ;/- H 3LOCI
C a 2 Walls(With Openings) D J
3 Walls(With Openings) or Ent.Hall 1 J
M /� /
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' V �;o G a '7' v U (O `
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE / (� ✓f 17 r, a
L
COL.A COL.B COL.H COL. I COL.J COL. K COL.L TOTAL BTUH TOTAL
7 OF BUILDING RADIATION
1 ROOM X I 7 ° ~4 i', 1t► �.i1' AT SELECTED
O H L W H L W H DIFFERENCE
L W H L W H L W DESIGN TEMP.'
2 ROOM DIMENSIONS, FT. U a - L ' f i J
220
3 LENGTH EXPOSED WALLS, FT. Q if Q
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION *INCREASE BATHROOM
(Table 9, Line 3 x H) 3 D Q Q O �_ 0 o TOTAL 20%
6 TYPE OF GLASS
(B ttom of table used for Line 5) .5 O O I 3 °� 7 J.
7
tFOR CONCRETE FLOOR ON
CEILING CONSTRUCTION
(Table 9, L x W) -' GROUND OR FILL AT
QD v f 0 QQ 900 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)
10 c 1 Wall(With Openings) C Q �Q
=o
7
c q 2 Walls(With Openings) D X Sao
3 Walls(With Openings) or Ent.Hall J
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' 3 QQ Qd 3 U
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE �IxQ Q
FORM 1503
This form is available from The Hydronics Institute,35 Russo Place,Berkeley Heights, N.J.07922