HomeMy WebLinkAbout11 Evergreen Lane 3 • T� s rTG rj �
of the APPLICATION FOR
PLAN EXAMINATION AND
�� - BUILDING PERMIT
EMR
z
IMPORTANT — Applica -to cbmplete all items in sections: 1, 11, III, IV, and IX. O
ZONING
I• AT (LOCATION) ,0/4,., "w-ee DISTRICT
LOCATION O.) (STREET) /� /J
OF BETWEEN [ //y /.F �/�/✓.0 AND qpe w"4z
BUILDING (CROSS STREET) (CROSS STREET))
LOT
SUBDIVISION LOT�BLOCK SIZE. �y '
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D
A. TYPE 0 IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T
1 New building Residen ' I Nonresidential
2❑ Addition(If residential, enter number 12 One family 18❑ Amusement, recreational
of new housing units added, if any, 13 0 Two or more family — Enter 19❑ Church, other religi us
in Part D, 13)
number of units— — — 200 Industrial
3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 Parking
4❑ Repair, replacement or dormitory — Enter number ❑ ar g garage
5❑ Wrecking (If multifamily residential,
of units ——————— ——! �❑ Service station, repair garage
enter number of units in building in 15❑ Garage 230 Hospital, institutional
Part D, 13) 16❑ Carport 24❑ Office, bank, professional
6 I1 M ving (relocation) 25❑ Public utility
17❑ Other — Specify
7❑ Foundation only 26❑ School, library, other educati nal
B. OWN E I P 27❑ Stores, merconfi le
28❑ Tanks, towers
8 Private(individual, corporation, 290 Other — Specify
nonprofit institution,etc.)
9 ❑ Public(Federal, State, or
local g vernment)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food
S4O processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement................ 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......................
101,
b. Plumbing ......................
c.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❑ my(wall bearing) 40 Public or private company 48• Number of stories................ V
31 Wood from* 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior /��O
32❑ Structural steel dimensions ....................
33❑ Reinforced concrete H. TYPE qp WATER SUPPLY
34❑ Oth r — Specify 42 I��/Public or private company `�• Total land area, sq. ft. ........... 10�51#w
43❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ......................
35 Vs Will there be central air 52. Outdoors........................36 c nditi ning? �-, e L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Y s 45 LAN 53. Number f b dr ms -3.............
38❑ C al
39❑ Oth r— Specify Will th r b an levat r? Full..........
54. Number of
46❑ Y s 47 N bathrooms
Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b compl t d by all applicants
Nam Mailing address — Number, street, city, and State ZIP code Tel. N
1.
Owner or
Lessee
2.
Contractor
3.
Architect or
Engineer
Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signatur plicant 000, Address Application dot
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By y
Date Plans B Notes
q Fee StartedApproved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Appr vaI Check Date Obtained Number By Permit or Approval Check ObtDaitned 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 number 11207
Bui Iding
Permit issued Oct_ 25 19 7
Building
Permit Fee $ 360.00
Approved by: -f
t
ITLE
Vill. ZONING PLAN E_XAMINERS NOTES
FRONT YAR
REAR YARD
IX. SITE OR PLOT PLAN For Applicant
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Oct. 25 , 19 79
Fee Paid $.W.-00 Eat. Value $. 59.2.500.00
Permit N° 11207
on the aide of
Lot #211 Evergreen Lane Street
Street No. 11
Owner E Cava Construction Co.
1 Applicant orjZP L.aCava
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 5583
Fee Paid $ 3.00
CLASSIFICATION
BUILDING PERMIT
N? 11207
OFFICS OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Or-fr. 75 19 79
94is to to Crrtifu, That cav a-e stva..ti e Go,
is hereby granted permission to Dwe 1 1 1 n c
at estimated value of $ 59 IF 500.00
on the side of Lot- #71 1 Fve+rgreen Lane Street on land
owned by LaC;;•zg ConStrzhc on CO.
Said TJor to be as described in Application
No. 1-1-407 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Oct. 2:) -" ' 1979,
f
' udding Inspector.
J
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."
I
f ��
INSPECTIO EPORT
Permit #/ 7 Jo
1 Footing Z-,�2-po
2 Foundation
3 Framing
4 Wiring
5 Plumbing.,,1
6 Heating
7 Lathing
8 C.O. 3
r
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit N 0 5,583
Certificate of Occupancy
TH O CER Y that the %&
at Now �f �'' 7 m the To of South Windsor, Connecticut, has
been erected and compl d in accordance with the Bu ding Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved for occupancy.
14 ,Cd
Building Inspector
Owner, Builder
Fee Paid "ter Date �� 19 X�
fF@ RJSS8taNEILL consulting ngineers
8 70 -5p
U 6*5 -59%-5-7 "W
133.'7'7 '
21�
7/10scs a
L Zo c azzec� �/5�e� `•
3 z�2
s
O N
tj lyouse � �
0D 2V. % 2� , a�
� n
r. ,CIO'
19 L=40"
R= 254.42 6 7
era �e
PROPERTY MAPPED FOR
LaCAVA CONSTRUCTION COMPANY
EVERGREEN LANE SOUTH WINDSOR, CONN.
SCALE: 1"=40' DATE: May 14, 1980
Being lot *211 on a map entitled, "Subdivision Plan, Tudor Hill Section II, property,
of George J. Achenbach, South Windsor, Connecticut, April 22, 1974".
•061i6■0880%
�i
A Of C�hh�►.�
i t'e'--bY Ce!"Y this map to be ♦��1P�/�~�D���Ec�iy'•.
��• y�1��1'M ONO .
,t and that no �if�� '�';�►
are violated. r44
�►
William D. O'Neill L.S. 6299 , '•.RED g3Pss ♦♦�
210 main street/manchester, conn. 06/(2013)646-2469
-78-e4E.
i
��
X----
A P P R O VED
TOWN OF SCNUTH WiNDSOR
ENGINEERING DEPARTMENT
DATE:
SIG.:
6985
ELECTRICAL APPLICATION
Application No. 7999
on the side of
Lot #211 Evergreen Lane Stna
Street No. 11
Owner LaCava Constr. Co.
Electrician J. Zingare l l i
FILED IN OFFICE OF
The Building Inspector
Oct. 31 19 79
INSPECTION.
13r 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. WORK.
No. ......
Permit No. .
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., ,mod �. 1V Sign here �Z,,,i.. .. .. .. .. .........
. .
Addr CQ .... . ... ..............
_ -
i� . .............
Locati ...... ... .�-�?.. . ..... � � e of ... .. .... ... .......... . . .. .. . .
Nature of Building 2 How many stories .. ... .............. ... .......................................... .................
New or old Building How many families ....................................._.........._........................................
Kind of Installation .. . .. .. ...... . ....... ........ . How many Stores ....................................................................................................
Owner ..................... .. ........................ ... .. .. .. ........ .......... ....... ..... .... Address ....... ..... ... .. ........................................__.._......._.._......_....._......
Architect ....... .... ... Address .................
Builder ... ....... ....... ...... Address ......
>'�. .. ,
Electrician .... .. .......... ....C.........4.... ......... . ......... ............ . . . .. Address ..... .......... ..`.:�.......
Size of Main Wires . ... .............................................
_
No. of Light Loops .. ....r.... No. of Heat Loops .. No. of Power Loops .........................
No. of Light Outlets �J. No. of Heat Outlets . . No. of Power Outlets .............. .. ...........
Nob of Light Circuits .f�� .. ........ ..... 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 ... .... .-.. .. . . . 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 kin of Installation ...�................ .. ....... . ................. ...............
.............................................................................................................................I.......................... _...................................................................................................... ........ .... ....... .... .......
. .
........................................................................./......�.. ... .. ..........................._............................................ ...... ............... ........ ... . . ....... ......... .
Estimated Cost .... . ........
5622
PLUMBING APPLICATION
N.. 6403
on the - side of
SR
Street No. L f L 6 T //
Owner . �.. �l s 7 CIO
Plumber C/an e-
Filed in Office of
The B u"Ldrmg Inspeceoc
,June 11 ig�Q
No person shall ootistror-, add to or alter W
portion of the drainage system of my beiLlog
(ezoept to repair leans) until a Plermit is smosed
by the Building Lupeawc.
Application No. ............6403............. Permit No. .......5.6.22..............
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 with whether
specified herein or not.
SouthWindsor, ..............................................�� ....`1�.............. 19 !Yd... Sign here ....I..... < ...... .....................................
Address c2.rl..1...C( r:A.....f.../.....I... G........�1
Location ..��.. lil'� �''L., �c.�l.. ....... side of ................ . :. .............................................................. Street
Natureof Building ............. . Aa.cY�...t................................................. How many stories .. .....Z-..........................................................................
Owner .......... c1_Ccl.4!.G....... G.1.ST.......... .0T............... ........ Address z.c.... ..... 7 .........
Architect ............. ........................... . ......................................................... Address ........ ........................... ........................... ........... ....................._
Builder . / .... Address ............................................................................................
Plumber ....7,)..r.....�(.3.ar :d.!?-e.................................................................. Address� .. IP—C&....l� i..��.1...�e.��.......(�`�G?sr
DRAINAGE
CESSPOOLS, How many ...................... .. ............... . ............. . Where located ...................................................................................................
Are they water tight .................................................................... Of what materials are they built ........................................................
Sizeof pipe from house to cesspool . ................................ .... Kind of pipe .. ............ .....................................................................................
MAINDRAIN IN CELLAR, Material ............................... Diameter .................................................................................................................
Aboveor below cellar bottom .. ............................................................ .......... ..................................................._............................................. .......
SOILPIPES, Material .-NA 4 b........................... Diameter y.............................................................................................................
..... Diameter .. .....ap.:3 y
WASTE PIPES, Material ....... ..... .............................................. ...................................................................................
TRAPS,Type proposed to use is . ................. ........ ... .. .. .. ..........................................................................................................................................
RAINWATER LEADERS, where do they run to ................ ....... ..................................................................................................................
REFRIGERATORWASTES, where do they run to ......... ......................................................................................................... ...............................
TANKOVERFLOWS, where do they run to . . .. ........................................................................_......................................................
FIXTURES
WATERCLOSETS, How many ............�.............................. Where located .................................................................................................
...... Pattern
Distance from trap to vertical soilpipe ... .................................................................................................
..................................
WASHTRAYS, How many ...... .................................................. Where located .. .... .........................................................................................
SINKS, How many ......................... ............................................................. Where located ....... ..........................................................................................
BUTLER'S SINKS, How many ........................................................ Where located-...................................................................................................
REFRIGERATOR SINKS, How man Where located .....................................................................................................
.
LAVATORIES,How many .. .-�.......................................... Where located ......................................................................................................
............
BATHTUBS, How many...............1...................................................... Where located .....................................................................................................
URINALS, How many ............................................................................... Where located .....................................................................................................
Are water closets and urinals to be local vented ...... . ... If not,is there a window in outer wall
ofroom where same are to be located . ...... . f�' .. . .............................................................................................................................................
Estimated Cost.- 0 o
A
s
• �7
PERMIT #
Application For 6269 5168
DEPARTMENT DECISION
W Heating Permit
3 APPLICATION IS HEREBY:
O DEPARTMENT OF LICENSES AND INSPECTIONS
N +' � APPROVED ❑ DISAPPROVE
TOWN OF SOUTH WINDSOR
c +�
... Cd
1~
00 � 6 1 ATE C F INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BELOW
O
4
0 1. LOCATION OF JOB
O ^"
�+ O
1~ ` L yec- cree ry
NO. STREET
O
tj
LOT NO. FLOOR APT. NO.
4j O
LV
d o 2. OWNER �C` co ci C. rn S /01
R
� rd l
Ce
O s. ADDRESS
be
3
d4j
d _ 4.PHONE
S. APPLICANT-,
or1 a~d c s. ADDRESS0Qi-C!/Q,-),(
PHONE
w 'G
4J
e. LICENSE NO. So Q p
a
C w s. EXPIRATION DATE OF LICENSE l D r
v'
t0. ESTIMATED COST s ' C) O
.4j .o
11. IS THIS A CONTRACT COSTY 0--TES ❑ NO
bo
Permit 11207
12. FEE ENCLOSED s
.0 v
ai is. TYPE__OFF BUILDING:
I» b0
LSRESIDENTUIL ❑ COMMERCIAL
O � ❑
+� INDUSTRIAL y
a� 14. TYPE OF JOB:
aiORIGINAL ALT
3
❑ IINSTALLATI N ElADDETIONON
REPAIR
,Ay
APPLICATION FOR HEATING PERMIT (Continued from R verse side)
11. LOCATION OF JOB ( U t'i Ore-r- <
NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ❑ ELECTRIC Cl VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
/' /` SIZESIZE �S� —OF TANKIt—E'!/Q OF FILL f _ OF VENT
13. OF TANK
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNETA*forxi FIRING RATE Z I-1
BOILER OR FURNACE MAKE AND NO.1-IfIC14 ra13F3 B.T.U. OR SQ. FT. NET/oyOoc' B.T.U. OR SQ. FT. GROSS L-'O/°O FIRING RATE
FLOORS TO BE HEATED -3 NEW OR OLD BUILDING N ('---= INSULATED — YES OR NO 4 C S
TYPE OF WALL f LQ►r)C INSULATION 3/L ROOF OR CEILING O � INSULATION -K S
AVG. SYSTEM WATER TEMP. ld") B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 20 'FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. Ft2C O 6G Se U Oa.ci f
DESCRIPTION OF WORK ,
15. TO BE DONE: (\j c
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL �n
NO. LL
ROOM GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j 4 RAO. REGISTER
L W N AND (INFILT.) TEMP. TO F F Q TYPE AND SIZE 3Q FT.
OR LEADER
SIZE < WALL f'Lt DIFF. 'F F m b FREE AREA
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING. OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY:
NAME ADDRESS
SUBCONTRACTORS AND
1a. THEIR TRADES
}t
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.
6
APPLICATION TO BE COMPLETELY FILLED IN. Z�,-( Zd
G ✓
ATE SIGNATURE OF APPLICANT
Lot' 1 .!
t =8 CALCULATION SHEET 1503 (Modern W"th ) Copyright 1977 by The Hydronics Institute
,� I` 1 " -- ' r!1, k-3 ` l
OWNER a ADDRESS 1"�"r�r � , ���P � n DESIGN TEMPERATURE DIFFERENCE—.�1.F. DATE �^�
COL.A COL.B COL.C COL.D COL.E COL.F COL.G
I 1 ROOM ��_
Design Water Temp.
O H H W H `,aP/ H W H
! 2 ROOM DIMENSIONS, FT. U .Z 1. f G
Radiation Selected
i' LENGTH EXPOSED WALLS, FT. 4 Z 3
4 WINDOW AND OUTSIDE DOOR AREA U. Z_ L
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION y O t j ` / j ROOM LIN.FT.OF
(Table 9, Line 3 x H) ���{ �: 4 �" TOTALS RADIATION
6 TYPE OF GLASS ��� ' N FROM LINE 12 SELECTED
(Bottom of table used for Line 5) (� +' t. `
7 CEILING CONSTRUCTION `J i - C /
(Table 9, L x W)
D ,y
g FLOOR CONSTRUCTIONt / L}
(Table 9, L x W or Lin. Ft.) v 3 ✓ 100 � � O � E
9 COLD PARTITION CONSTRUCTION F
(Table 9, L x H)
10 c 1 Wall(With Openings) 0 3 ' > d Q L> ✓ L�.' 41s000r
U H ? +
0 2 Walls(With Openings) 2 X
3 Walls(With Openings) or'Ent Hall feJ
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' t tJ ►� C! •j ti t'! O r cJ f} �j [��"� Z
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE +.? i� l' c' +� — �. K
L
I COL.A COL.B COL.H COL. I COL.J COL. K COL.L TOTAL BTUH TOTAL
1 ROOM �/-_'_" _r ✓'ti OF BUILDING RADIATION
01 AT SELECTED
O H H --W H _H H W00010 DESIGN TEMP.°
vw / DIFFERENCE
2 ROOM DIMENSIONS, FT. U rb V 3 Z• (, bZ-
3 LENGTH EXPOSED WALLS, FT. 4 3 � C
41 WINDOW AND OUTSIDE DOOR AREA LL Z Z Z
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION r �l ` *INCREASE BATHROOM
(Table 9, Line 3 x H) U 7 U �/ U :, v J / L' �� ( � �) (_� TOTAL 20%
6 TYPE OF GLASS
(Bottom f table used for Line 5) i C +f/ ^�
iFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION `r i �� / �� GROUND OR FILL AT
(Table9, L x W) �� <.. J �, GRADE LEVEL,USE LINEAR
FEET OF EXPOSED EDGE
g I FLOOR CONSTRUCTIONf _ ,- L
/
, (Table 9, L x W or Lin. Ft.) ,} / ���� Y � �s'' / ,� � �
9 COLD PARTITION CONSTRUCTION �� �,r►— �,r. ,
I (Table 9, L x H)
10 c 1 Wall(With Openings) O r Q v� �� v 0 ll t
0 .-3 �
C.� 2 Walls(With Openings) 2 J
3 Walls(With Openings) or Ent. Hall Fe-
11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 3 t G V ;' ,� 4' 1 t V „ LA-�
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
FORM 1503
n.s form,s available from The Hydronics Institute, 35 Russo Place, Berkeley Heights,N.J. 07922
1
' I =.F - R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronics Institute
OWNER 1 ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.B COL.C COL.D COL.E COL.F COL.G
1 1 ROOM - V
F—
O
H I VA H L W H L W H L W H L I W Design Water Temp.
I 2 ROOM DIMENSIONS, FT. ~ 6 1
STUN p 3 LENGTH EXPOSED WALLS,FT. Q Radlatin S leated
4 WINDOW AND OUTSIDE DOOR AREA LL Cj
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION ROOM LIN.FT.OF
ITable 9, Line 3 x H) TOTALS RADIATION
6 TYPE OF GLASS V FROM LINE 12 SELECTED
(Bottom of table used for Line 5)
7 CEILING CONSTRUCTION C J ,/ p C,
—�+ }
(Table 9, L x W)
B FLOOR CONSTRUCTIONt D
(Table 9, L x W or Lin. Ft.) E
9 COLD PARTITION CONSTRUCTION
ITable 9, L x H) F
G
10 C 1 Wall (With Openings) C
^� H
A 2 Walls(With Openings) �X
3 Walls(With Openings) or Ent.Hall
J
� 11 TOTAL BTUH AT 70F TEMP.DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE 7 K
L
COL.A COL.B COL.H COL. 1 COL.J COL. K COL.L TOTAL BTUH TOTAL
1 ROOM OF BUILDING RADIATION
¢ AT SELECTED
O H L W H— L W H L W H L W H L W DESIGN TEMP.°
2 ROOM DIMENSIONS, FT. U DIFFE�R�ICE
r' S
3 LENGTH EXPOSED WALLS,FT. Q
4 WINDOW AND OUTSIDE DOOR AREA
LL
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION *INCREASE BATHROOM
(Table 91 Line 3 x H) TOTAL 20%
6 TYPE OF GLASS
(a ttom of tabs used for Line 5) X1
� 7 CEILING CONSTRUCTION
tFOR CONCRETE FLOOR ON
(Tab( 9, L x W)
GROUND OR FILL AT
GRADE LEVEL,USE LINEAR
B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
(Table 9, L x W or Lin Ft.)
9 COLD PARTITION CONSTRUCTION
(Tabl 9, L x H)
10 c 1 Wall(With Openings) G
=0
2 Walls(With Openings) X
— J
3 Walls(With Openings) or Ent. Hall
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE
FORM 1503
n.S form is available from The Hydronics Instit.,te,35 Russo Place, Berkeley Heights,N.J. 07922
f7�
N
TO THE BUMDING INSPEMR
of the APPLICATION FOR
PLAN EXAMINATION AND
TOWN OF SOITtH WINDSO�t,�CONK. BUILDING PERMIT
IMPORTANT - Applicant to complete all items in sections: 1, 11, III, IV, and IX. O
• AT (LOCATION) G/� fG JV .49Aj ZONING
DISTRICT
LOCATION - (Na., (STREET)
OF BETWEEN AND
BUILDING �1(CROSS STREET) (CROSS STREET)
SUBDIVISION 11 s/D� L��Z/1 �O� LOT
LOT BLOCK SIZE
N
11. TYPE AND COST OF BUILDING - A11 applicants complete Parts A - D
�o
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use �
1 ❑ New building Residential Nonresidential
2 ❑ Addition(If residential, enter number 12 jK One family 18 ❑ Amusement, recreational
of new housing units added, i/any, 13❑ Two or more family — Enter 19 ❑ Church, other religi us
:n Part D, 13) number of units— — — —
3 ❑ Alteration (See 2 above) 200 Industrial
14❑ Transient hotel, motel, 21 ❑ Parking garage
4"FXI Repair, replacement ,tJ6WD664&- 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 0 Garage 23 ❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional
6 ❑ M ving (relocation)
17❑ Other — Speci/y 25❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
8 JZ Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution,etc.) 29❑ Other — Specify
9 ❑ Public (Federal, State, or
local g vernment)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
pro ssing plant, machine shop, laundry building at hospital, elementary
10. Cost f improvement,,,•,.,,,.....,, 2 •oo ool, 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.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT S ,700,0016
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) 40❑ Public or private company 48• Number of stories................
31 CZ W ad from4 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
34❑ Other - Specify 42 ❑ Public or private company so. Total land area, sq. ft. ...........
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.......................
%❑ 011 canditi ving? L. RESIDENTIAL BUILDINGS ONLY
37❑ El ctricity 44❑ Yes 45❑ N 53. Number f bedr me.............
38 ❑ C al
39❑ Oth r— Specify Will there be an elevator? 54. Number f Full..........
46❑ Yes 47❑ N bath► me
Partial.......
IV. IDENTIFICATION — To be completed by all applicants
Nam Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or 06011
z6f
Lessee
2. •,-, OOP Co .�,Fg fi�kO 5�/ � � �P� �?� /'"
Contractor 1/�
Soo
3.
Architect or
Engineer
The ner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Sig t r of a i ant Address Application date
r I �"�Od—�'q e5t., F4—)
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
q Fee Started y Approved y
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Obtained Number By Permit or Approval Check Date Number By
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 numb r
Building
Permit issued 19
Bui Iding
Permit Fee $
A rove by:
r
TITLE
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date gin r i 1 7 , 1986
Fee Paid $. . 18.0 0 Est. Value $.2.,7.0 0
Permit N° 14973
on the aide of
Evergreen Lane Street
Street No. 11
Owner Standley/Janet Hoch
Applicant Roaer Moore
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Deck
BURDiNG PERbffr
NV 1497'3
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Ai ril 91986
94is is to Crrtifig, That R. L. Moore Co.
is hereby granted permission to rank 12 x 16
at estimated value of $
on the side of 11 Evergreen Lane Street on land
owned by
Said Work to be as described in Application
No. 15172 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued ARr it 9 1986
'T. 4�--!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 coats and damages which it shall sustain, or be compelled to reason therefor."
►mot �3�S9 _7 "W
133.?-7
z loci
c�
Cy 212
0
400 �o z-t s c to .c
to
(D Z�1 � o,
P
1:1 ell
a
PROPERTY MAPPED FOR
LzCAVA CONSTRUCTION COMFANY
SOUTH WINDS , COIN.
DATE: Mai 14, 1980
i 2'-inq lvr _ 1 1 on a rnc3p C�ntitk,d, "Subdivision F'lc�n, Tudor
Hill Section II
of , �_,outh %N►ndsor, Connecticut, April 22, 1974", , property
j
{� y.
cot
• 'L�/�
mp
M 1,.
J.
• r
William D. O'Neill, i_,S. 6299 4P.0 fU U:Iu 0
000-4•,,,,01'ell • '
210 main street/manchester, Conn. 05M/(203)64&24469
rue
wo
This c
erecter UL tr
lo, feeo any
toge
nw
tesued UY
14 this
permit
I,tj�n thO
Signed --- hall tK
rhis Plan
ci I,,
ceders ' These Owd
red
ed
condition i�
pats