HomeMy WebLinkAbout11 Juniper Lane 0 THE BURDING INSPECTOR
�GI of t6 APPLICATION FOR
PLAN EXAMINATION AND
TOWN OF � W CONN. BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
f/ s ZONING �ZV
I• AT (LOCATION) Seri 1 r La n e DISTRICT
LOCATION (NO.) s (STR ET) '
OF BETWEEN a JdAryff w t)rl we AND saw ny I f Cane,
BUILDING (CROSS STREET) (CROSS STREET)
LOT SUBDIVISION�� Ir KhO I LOT BLOCK SIZE I�E ).Low"
01
11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
�v
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn
1 New building Residential Nonresidential
2 Addition(1/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 religious
number of units— — — — --1 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, mote ,
❑ T h l l 21 ❑ Parking garage
4❑ Repair, replacement or dormitory — Enter number
5 ❑ Wrecking (1/multifamily residential, o/units ——————— — -i 22❑ 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)
17❑ Other — SpeciJy 25❑ Public utility
7 ❑ Foundation only
26❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, merconfile
8 $4 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 proposed use of buildings,e.g., food
processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement................ S 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......... t
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT S
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) 40tK Public or private company 48• Number of stories................
31 59 Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area, ' t
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. ........... �1 S
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed .......................
35❑ Gas Will there be central air 52. Outdoors.......................
36'*5 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44 0 Yes 451% No 53. Number of bedrooms.............. 3
38❑ C al
39❑ Other— Specify Will there be an elevator? 54. Number f Full..........
46❑ Yes 47 No bathrooms
........F
••••
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b completed by all applicants
Nam Mailing address — Number, street, city, and State ZIP code Tel. No.
1. 1
Owner or Ct 00
Lessee 4f06�90
2.
Contractor
3.
Architect or aeod C4 f
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signet of applicant Address Appli ation date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans Date Plans B Notes
q Fee tarted y Approved y
BUILDING $ -�
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approva I Check Date Obtained Number By Permit or Approval Check ObDa tned Number By
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 numb r 10213
Bui Iding
P rmit issu d Ar)ri 1 2 1 19 _78
Building
Permit Fee $ 1 26.00
Approved by:
TITLE
VIII. Z jNING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARi
SIDE (ARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date April 21 , 19 78
Fee Paid $.12.6.00 Est. Value $. 21,.000.00
Permit N° 10213
on the side of
Lot 9 Tiroinpr—r manP Street
Street No. 1
Owner T & M Bi l i 1 d i n g Coo
Applicant T & M R,,i Ming r r%
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 5115
Fee Paid $ 3,00
CLASSIFICATION
Dwelling
BUIIDING PERMIT
1-0213
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
April 21 78.
South Windsor, Conn. 19
T & M Building Co.
ig#is is to farrtifu, That
ewe l l ing
is hereby granted permission to
0010 00
at estimated value of $
Lot #9 ,Itu:iper Lane
on the side of Street on land
T & m Bui a ing Co.
owned by
Said to be as described in Application
3.0513
No. and to conform to specifications and plans filed with said Application, and Building By-
laws of THE TOWN OF SOUTH WINDSOR.
Ap-rl1 �1 78
Building Inspect r.
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 CONNECT I CUT: "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."
lb INSPECTION PORT
Permit #A;7- Jzoe
1 Footir#—c�`/ 79- .0�
—
2 Foundationf,/—
3 Framing
4 Wiring -�
5 Plumb;lng,(-Oqc-
6 Heating — (, —7F
7 Lathing P
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit lVd 5115
Certificate of Occupancy
THI S TO ERTIFY that th
at No in the Town South Windsor, Connecticut, has
been erected A conpleted in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved for occupancy.
Building Insp, ctor
caner,- BuJ1A6r
Fee Paid, """�� Date
6522
ELECTRICAL APPLICATION
Application No. 6828
on the side of
In t #9 hin i n r Tanp Street
Street No. 11
Owner T & M Building Co•
Electrician L.J.Electric Co.
FILED IN OFFICE OF
The Building Inspector
July..-5 19 78
INSPECTION.
c*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.
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM.
No. ..6 82 8.........................
Permit No.6 5 2 2...........................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application tq perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with
whether specified herein or not.
South Windsor, Conn., ............. Z. ........................ 19.7.d Sign here �.......-�.....1.. :�—... �.... -e:..:t.:.....`...;�n...
i
/4
Address Z
7... . .. . 4..........
Location L -'f..............9........, .N�rf'{.'�.. �`�-...... Side of ..............................
Nature of Building G?.. d'..... .�li��l.�Y. How many stories ................1............................................................................
Newor oId Building ....................i' ..¢...! ............................................. How many families ............. ._....................._.....................................................
Kindof Installation .....�. .fit .-er........��....................................... How many Stores ........................................._..........._.........w................................
Owner ........ . ...�`�.:. `.. ........................................_................ Address A6.�.............Sf....4.............t_. .rr_�!`l �a�1�� e A/J1ej
�,
Architect ..........S...r'�. .�...E=.............................. .... .......................................... Address ....................................N ........................M._.w_......._....
Builder ............................................................................................................................... Address .................................... .............................._.._..._......._.....
L N C'. s ¢'71 IF �.e.�. L.p.'.Eiectrician . / : ... . . .::f'�
Size of Main Wires ....... l..f.u! ..........'.
No. of Light Loops .............I....1....................... No. of Heat Loops ............. .... .. ... ....... .. No. of Power Loops ........................................
No. of Light Outlets .........�! �.�.�................ No. of Heat Outlets ...... ...... No. of Power Outlets ..................
NoO of Light Circuits ................?................ No. of Heat Circuits ....... ...... . ..... ............ No. of Power Circuits ................ ..
...........
No. of Sockets ..................../.... .................... No. of Heat Receptacles ......... .......... . No. of Motors ..................................
...
No. of Panels .......................................................... Size of Heat Circuit ..................................... No. of Power Receptacles ...... ...............
No. of Switches ..............6 ............. Total Wattage ......... Size of Power Circuit
......... . .............................................. ................ ...............
Total Horsepower ............................. ............
No. of Straight Electric Fixtures ........ ....�.................................. No. of Combination Fixtures ........................................... .............
No. of Receptacles ......'.. ,, ...... ......................................... . ............. No. of Cord Drops .....................................................
.......................................
Remarks: For other kind of Installation ........ee :: "` ............ `'...�............�'.%f:..........�.. _.............:'`....................& ..11...�:`.f��'.l C�_
..... .i.., ,?. -5.1. . .. ..........'. r" .... ,.....,,...........�.�.... . .................................................................................................................................................................
............................................................................................................ ............................... ............................................................................................................................................................ ...............
............................................................CC.................................... ........................................................................................................................................................ .........................................I...................
Estimated Cost .......Z--r- ' 0-0...................................
5199
PLUMBING APPLICAl10N
App]�adan No. 5 9 8 5
on the
.Lot #9 Juniper Lane S,�
Street No. .-._ 11
Owner T�& M Building
Plumber Norman Lut zen
Filed in Office of
The Bwld6gvrpecaor
Jtien 13 19_ZS
011
..............................
No person shall cwsau:c, add to or Am my
portion of the drain® system of any bmlog _
(except to repair labs) umil a Pienak in gcwted
by the Building Lupecaw.
Application No. ...5.9..8..5 Permit N . 519 9
..... .. .......................... .....................................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
....... .............. ......hereby make application to perform plumbing according to detailed description below. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied whether
specified herein or not.
-- l
South Windsor, .................. ...................................................... 19 7....... Sign Isere ..... .......................................................................... ........... .....
/ 1 Address .........4 ...s............... .. ... ... ..........s- ...........t -. �
Location ............. .. d... ..�f. ....... 4"si e of .................................................................................................... Street
Nature of Building ............. ... . rc.,t .... .......................... How many stories ..............Z-................. ................................. )
Owner ........... ......... '...'. ,�!j,. .r►-t...�.. ........ Address........ ..rx.....D...............�...�.............. .7�.�
Architect ,l .................... Address ................ ................................ .. ......................... .. ....
l � lelBuilder ........... Address ...................................................................................................... .................................................. ............................................. //-- /
Plumber .......... ''l. .................... . .Z.� ..... Address......f. .. ................az..��r.mil............. . ........�1�!•��—r
DRAINAGE
CESSPOOLS, How many .. ............................................ .... .. ....... Where located .................................................................................................
Are they water tight ....................................................................... Of what materials are they built
r ..... Kind of i ....
Size of pipe from house to cesspool ........................................... pipe ............. ................. .................................................................
MAIN DRAIN IN CELLAR, Material ....(f.....I....r..... Diameter ........ ...................................................................................................
Aboveor below cellar bottom .. .... ......... ... .v. ..................................................................... _..........
SOIL PIPES, Material .. .� .... ...................... Diameter J�.. ..... ................�........ ................................................
�3. ... . !...............Z—
WASTE PIPES, Material ............... .........}- �,�...S........ .... Diameter ..... ........cr�..�.......... ...... ...................
TRAPS,Type proposed to use is .... .............................. .............................................................................................................
RAIN WATER LEADERS, where do they run to ...........................................................................................................................................
REFRIGERATOR WASTES, where do they run to .............................................................................................................. ...............................
TANK OVERFLOWS, where do they run to . .. ...... . .......................................................................................................................
FIXTURES
WATERCLOSETS, How many ...................... ......................... Where located .. .. ... ...................................................................................
Distance from trap to vertical soil pipe ..............Z....................... Pattern . .. . . ..................... .................................................................
WASH TRAYS, How many .. Where located ........ ...................... ...............................................................
SINKS, How many .....................................................1.............................. Where located ........ .........................................................................................
BUTLER'S SINKS,How many ........................................................ Where located....................................................................................................
REFRIGERATOR SINKS, How many....................................... Where located ..................................................................................................
LAVATORIES,How many .......................................vim.......................... Where located .....................................................................................................
BATHTUBS,How many................. ................/............................. Where located .....................................................................................................
URINALS, How many ...............,.��....t................................................... Where located ....................................................................................................
Are water closets and urinals to be local vented If not, is there a window in outer wall
of room where same are to be located . ................................................................................................................... .......................
Estimated Cost.......g ......
PERMIT # ,
Application For 5 018 4 817
DEPARTMENT DECISION •
0
Heating Permit
3E APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N + KI APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
�
00 O 7 AT 7 8 EF rECTOR APPLICATIONS MUST BE PRINTED OR TYPED. SE61N WITH NUMBER HE BEL W
O
1. LOCATION OF JOB
O
it-f
C NO. STREET
+� v
LOT P10. f FLOOR AR. NO.
0 O
N
0
it
4-1 Cw A
2. OWNER e
O
bb0 3 s. ADDRESS
i
y a � lh �i "✓
4.PHONE
ad
� l �I
In s. APPLICANT; �d✓'/2 I� G Z�
•° 00 a. ADDRESS 17
'a 44 !�
T.PHONE / 32
g�
s. LICENSE NO. Q y D 5
a4S
B. EXPIRATION DATE OF LICENSE J O —
10. ESTIMATED COST
be
11. IS THIS A CONTRACT COST? L=T YES ❑ .
.8 72 12. FEE ENCLOSED s- PP rm i i' 1 n 2 1 3
m �
is. ILDING: r
C •� yEfiDEMT1AL
❑ COMMERCIAL r'
w 3 14. TYPE OF .
❑ INDUSTRIAL
xi R161NALLL ❑ ALTERATION
NSTAATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (C ntinued from Reverse Side)
2 -1- -- ey �:Tu- er�,� e---
11. LOCATION OF JOB d
N0. STREET FLOOR AFT.M0. ,
12. TYPE OF INSTALLATION: P-10-1`LB URNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY
SIZE SIZE �
SIZE �0-� _OF TANKI�LJ l �/ OF FILL OF VENT
13. OF TANK
14. B.T.U. EQUIP. AT REGISTER F RNACE MAKE AND NO.- WONNET FIRING RATBOILER OR FURNACE MAKE AND NO. lV�.T.U. OR SQ. FT. NET . OR SQ. 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./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE A FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADI TION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. And
DESCRIPTION OF WORK-
15. TO BE DONE:
/t/ ,, -6,
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).
w ow slzE wlNDows AREA — SQUARE FEET e.T.U. 0.T.U. DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL yn
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED �j RAD. REGISTER
L W N SAND IZE WALL ' t0 (INFILT.) pE�' TO •F F m N TYPE AND SIZE SQ FT. FREE OR AADER
REA
O
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:
NAM 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.
DATE SIGNATURE OF APPLICANT
0
_ ARGO CALCULATION SHEET
OWNER I C/ ��1 ADDRESS__ o / �S t JfIz, C�/ DATE
DEALER t>cr I►•'
KIND OF BUILDING CHIMNEY SIZE
CONSTRUCTION: WALL
WINDOWS-- S"' r/t ROOF OR CEILING
BASEMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF
COLA 2 3 4 5 6 7 8 9 10 11 12 13 =14 =15 16 17 18
ROOM SIZE WINDOWS AREA-SO. FT. FLOOR VOLUME BASEBOARDS
AND DOORS (SEE NOTE) CU.FT. TOTAL TOTAL
CORRECTED ACCESSORIES
ROOM NUMBER GLASS NET WALL CEILING q AT 70 F WATER LENGTH
GROSS �0�o TEMP. TO or,
L W H OH AREA WALL TEMP
Size p d 7 DIFF. 8v ENCLOSURE FIN
' r p O J F L R S IxMISC.
0
� p`j C TEMP. DIFF. FT. TUBE
c r la 400 3oo 300 /000 JAoo 3660 7
a?0 31 a3 A 02,d4s
31 185 * l'/z I /,2 26
a500 00 ?00 16-00 5200 6510
98 1A 94
'7 l a= l a 9 an 00 700 14 oo !r/00 6 / 20 I/
� o G 3 - 60 o
r ► �oo d oo 300 Oo Da1830
ao '� o 3,70
— -- d 1/0 f 8 12 !!!
>< l/ 00 1/00 iioo 6)00 0�300 6200 9660 �y
�� r► A 00 00 200oa .9000 5,6 oo Z yoo l�
Jo00 ly o0 200 00 0 r000 Y5 70
Moo C 500 i ?00 )doo Id 800 lyL30
cQ /00 n
0 1.5 0 o yq oro 502�o a /D
D � la000
NOTE: FOR CONCRETE FLOOR ON GROUND OR FILL AT GRADE LEVEL,USE LINEAR FEET OF EXPOSED EDGE. TOTALS
FOR ALL OTHER FLOORS USE SQUARE FEET OF AREA. ✓
V /
TO THHE BUILDING INSPECTOR
Cd d6 APPLICATION FOR
TO" CW C )m PLAN EXAMINATION AND
SOUTH W BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX. '
/ � DISTRICT_
;
1• ZONING
AT (LOCATION) /` ���/ �e� /, .40
LOCATION ("O.) (STREET)
i
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use
1 ❑ N w building Residential Nonresidential
2❑ Addition(/f residential, enter number 12 GE?16ne family 18 ❑ Amusement, recr ati nal
Of new horsing units added, if any. 13❑ Two or more family — Enter 19 ❑ Church, other religious
in Part D. 13)
number of units- - - - -i-- 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ Parking garages
4 2rRepair, r placement or dormitory - Enter number
5 ❑ Wr eking (if multifamily residential, of units ------- - i 220 Service station, repair garage
enter number of units :n building in 15 ❑ Gerais
23 Hospital, institutional it
Part D. 13) 16 ❑ Corps" 24❑ Office, bank, professional
I
6 ❑ 17❑ Other Specify e-t,M vino (relocation) �� 25 ❑ Public utility
—
7 ❑ F undotion my 26 ❑ School, library, that educational i
I,
B. OWNERSHIP 27 ❑ Stores, merconfiIs
8 Private(individual, corporation, A ♦ �j 28 ❑ Tanks, towers
n nprofit institution, ate.)
ey y i�-e/4� X !Ot 29 ❑ Other — Specify
9 ❑ Public (Fed ral, Stbte, or
local government) j
C. COST (Omit cents) Nonresidential — Describe in deta(rproposed use of buildings, e.q., fa d
processing plant, machine shop, laundry building at hospital, el mentary
10. Cost of improvement............... school, secondary school, college, parochial school, parking gorag for
department store, rental 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. El etri cal...................... , la )( /,31 &E Gv p Jck4e'
b. Plumbing ......................
c. Heating, air conditioning.........
d. Other(elevator, etc.).............
11. TOTAL COST OF IMPROVEMENT �Q 40
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❑Mae n►y(wail bearing) 40❑ Public or private company 46- Number of stories................
31 ❑ W d 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
50. Total lend area, sq. ft. ...........
34❑ Other — Specify 42❑ Public or private company
'
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 that be central air 52. Outdoors.......................
36❑ Oil c nditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45 ❑ No 53. Number f bedr ms..............
38 ❑ Coal
39❑ Other— Specify Will th r be an elevator? Full..........
54. Number of
46❑ Y s 47 0 No bathrooms Partial........
IV. IDENTIFICATION — To b c mpl t d by all applicants
Nam Mailing eddr ss — Number, street, c:tv, and State ZIP c de Tel. No.
Owner or
Lessee
2. .514/y1 r
Contrac+or
3.
Architect or
Engineer
Th owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction.
Signatur f applicant Address Application date
�f ol:W
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans R vi w Required Check Fee Started BY Approved By Notes
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Perrnit or Approval Check Obtained Number By Permit or Approval Check, Obtained
Number sy
BOILER PLUMBING i
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS i
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION _
(ding Pe l,4 Izz
Permit number
Bui(ding ?f 19
P rmit issu d
Building
Permit F e
'Croy:
TITLE '
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date 8/14 , 19 $7
Fee Paid $. 4 00 Est. Value $.!10;Q0
Permit N° 16188
on the side of
t104Mr LAM street
Street No. 1�
Owner
•
Applicant sue. u abwe
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
BUnDiNG PERMIT
N° 16188
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. 8/14 1987
94is is to Crrtifg, That Richard B. Morse
is hereby granted permission to R e11 a c P q deck
at estimated value of $980.00
on the side of- 1-L Juniper Lane Stet on land
owned by Same as above
Said Work to be as described in Application
No. 16486 and to conform to specifications and plans filed with said Application, and Building By.
Laws of THE TOWN OF SOUTH WINDSOR.
Issu 8 14 1987
n. .
udl tng ns ctor.
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 plum
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"
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PZMT 4
LN5-) I
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
PROVED 1540 SULLIVAN AVENUE
21 4.,� 644-2511 ext. 230
Date Building Inspector Application must be printed or typed
Location of job
Zq
Street No. f Street- Lot No.
FEE SCHEDULE Floor Apt.No.
$0 - $1,000 - $12.00
Over $1,000
$12.00 per$1,000 OWNER 6 f,.e OL"J
or any fraction thereof ADDRESS
OWNERS PHONE#
APPLICANT
ADDRESS
< Az
ESTIMATED COST
0
IS THIS A CONTRACT COST?
YES NO
FEE ENCLOSED
OR.CO TYPE OF JOB:
Original Installation
��ter�afion/Addition Repair
Revised 11/95
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM PE OF BUILDING
HEATING RESIDENTIAL
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_F INSIDE ,,- DIFFERENCE`_F
TOTAL HEAT LOSS(BTUH) Z 3 f/
(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH/_s;0 0 0
TYPE OF FUEL
OIL-GPM GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
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 WORKR l�
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO P ORM THE WORK DE ED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STA E OF CONN.BUILDIN CO S IN THE
PERFORMANCE OF S CH WORK.
STATE LICENSE-NO. NAME&TYPE SIG E O APPLICANT
PHONE NOvf-5r4-Sl ' DATE �-f� -97
,;- I=B=R CALCULATION FORM 1504 Copyright 1989,Th Hydronics Institute,Inc.
HEAT LOSS Berkeley Heights,NJ 07922 ,
Custom r Telephon Date
Name Add; s -
2
J Btuh per foot of Baseboard:
H at Loss Calculated By at Average Water Temp:
Design Temperature: Room: Room: Room: Room: Room:
Difference:
ain W)f if A
Line (, Factor Length Width Height Btuh Length *Width Hei t Btuh Length lWidth Height Btuh Length Width HeiRh1l Btuh Length Width Height Btuh
1. INFILTRATION VOLUME
Im
Number of outside walls 2 2
with openings(L x W x H) 3 f 3�oa ROOM
2. CEILING AREA Xf10 TOTALS
FROM
((//
(L x W) LINE is
3. FLOOR AREA(L x W)
or SLAB(lineal feet DW i 3oa
exposed edge length)
4. COLD PARTITION AREA h
(partition L x H)
5. WINDOWS OR DOORS �' ..
.ter.
6. EXPOSED WALL AREA Q
(exposed L x H) 6 50 8ao '
7. OPENINGS scl.ft. s .ft. -'Q.ft.
(line 5 factor minus •C/ 060
line 6 factor I(
8. TOTAL Btuh 0
9.
Baseboard Len th (t. ft. ft. it, ft.
(Add 20%for Bathrooms)
Design Temperature: Room: Room: Rooni: Room: Room:
Difference:
Line factor LengiV Width Height Btuh I en t Width Hei ht Btuh Len th Width Height Btuh Length Width Height Btuh Length Width Hei ht Btuh
1 1 2 3 1 2 3 1 2 3 1 2 3 1 2 3
1. INFILTRATION VOLUME
Number of outside walls 2
with openings(L x W x H) 3 2 y
2. CEILING AREA
(L x W) t TOT L Btuh
3. FLOOR AREA(L x W) OF BUILDING
or SLAB(lineal feet AT DESIGN
exposed edge length) TEMPERATURE
4. COLD PARTITION AREA DIFFERENCE
(partition L x H)
S. WINDOWS OR DOORS
6. EXPOSED WALL AREA
(exposed L x H)
7. OPENINGS s .ft. h. -SQ.ft. s .It. s .ft.
(line S factor minus
line 6 factor
a- TOTAL Btuh
9.
Baseboard Length