HomeMy WebLinkAbout186 Dogwood Lane r
Application No. 4013 Permit No. 3753
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
IA/�" hereby make application for permit to erect i according Gr y pp pe ( ) a building cco g
to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through
word "erect" or words "make alteration to" as the case may require.)
All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu-
tion of this work whether specified herein or not.
South Windsor, Conn., ..... ........
Sign here ..................... -.................
Address ... ....... .. ►'✓...1 ....'% ....�-. W/"d�''�
Location? . ... . .......................... ....4!i!!FQ..�?`'...............................................side of? . P.0..� ,C��?. ... .. ?.. ......................
............... .. .. ....... .
Nearest cross street? ...... V�...................Street No. . ... ....... ............ .............. Lot No. .... 7. ....... .
Owner of land is? ,Q'/'�..G. .1 /�a� ...Address , /....&C',iJ.J.4V. ..... .. ..
Owner of building is? .. !I'�. ..................................Address ... .................... '1.�...... ....................................
� V
Architect is? ���.. � . �4..v ....... ......................Address ®01 f..t?.��.�..r'............�+7..�......
P' Builder is? . Q.h.C�ft.�57'kor.....gX4................... �P ..AIC441 /'IrC.....4 ..... �. ��
11
Dimensions of building? ... �o.... ...leet front? ,,)r �G ....... Feet rear?_!�3.7-�........ Feet deep? ..
f
Extreme height to highest point of roof? ./S... ............. No. of stories in height?. l....
Purpose of.building is? .......... ..:1 e l...�..!. .......................No. of stores?..... ...... ............... .. ..................................................................
How many families? .........................
I................_...._..............._..................No. of rooms. ... ...... ...... .. .......................... ................
Distance from street line is? . ............ ....................from building line is? ... . .��. ..!
ADDITIONS AND ALTERATIONS
(Give Brief Description)
. .. ... . ... ...................................................................................................................................................................................................................
............................................................................................................._......... .............._...................................................................................................... .........................................
................ ... ...................................................................................................................... ............ ... ........................... ......................... ..................................................
Map No. .. ... ......,
If of steel frame, what is exterior construction? .
What kind of columns used? ....... ........ . .... .. ....Size of columns used?
What length of columns used? ... .. ..How protected?
What kind of beams or girders? .. .. Size of beams or girders? ..
Longest span of beams or girders? . These rest on? .
Roof construction is? .... .. .. .. .... ...... ........ ...............................Roof covering is? . . ... .....
The floors are of construction and are calculated to carry a safe load of
lbs. per square foot.
(See Section 14, Building By-Laws.)
BRICK CONSTRUCTION.
Of what material will walls be constructed? . . .... ... ... ... ........... . .. .. ...
Composition of mortar? . ......... ....... ................ ..... . ............. ............................ .
Height and Thickness of Walls
Height Stories Front Walls Side Walls Rear Walls Partition Walls
Basement,
....................... ...... ............................................_.......................... ...........-................................... ................................................................... .........................................
......_........ .. .
1st Story
........................... .............................................................................................................................._....................... ................................I......... .......
2nd "
.................. .................._.................................... ................................................................................. . ... . .......... .....I................I.. ............. ... ..............
3rd "
..........................................._......................................................... ........................................... .......................................... ........................ .. ... .. .. ........ ..
4th "
......................... ... .............................................................................................................................................................................................. .......
. .
5th "
6th "
.............. ....................._......................................................................................................................................................................... ...........................................................................
7th "
.................................................... ................................................... ............... ..................... ,.................... . ........ ....................... ................ ........... .... ..............................
8th "
.....................I..................._......................................................... ........................................., .. ... .. .. ... ..... .... ............ . .... ..................
9th "
.. ....... .............................................lOth.....«.. ... .. . .........._. . . .....................
Material.of Front? . ..If stone, what kind? .
Thickness of Ashlar? ....Thickness of Backing? ..
Backed up with what? Arches or lintels over openings?
WOOD CONSTRUCTION.
Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns
JOISTS GMDli:BS C OLU MS
Floors Size Longest Span Centres Bridging Size Longest Span Centres Size Length Centres
1st Floor /
g.... ./.I.�./...Q.'�. 1'�...�.. ��.3.. �.�.. __.��.... _............._.... .._ _....7___ .....�.
.._ ....
2nd "
3rd..... ...... .............. .................................. .................. ..................... _....... ._.........._....__......._ _.....�.._... _...... ............._....._
a
4 ............... .................. ........... .. _........................
.._. _.._.... _...___. _......_... ....................
Size of outside studs? ..�Zx. .............. Distance on centres? ......//.... ...................... Size of sill? .......� ... ................
Size of rafters? ..f. --�...... Distance on centres?............. .1.......................... Size of plate? ............................4---�.............
Sizeof ledgers or girts? .......................... ... ............................................Size of deck rafters? ... ................................................................ ...............
Distance on centres? ' ' ?.............. ........................ ...........................................Size o studsin wring partitions. .................................................
MISCELLANEOUS
Style of roof, flat,.pitch, Mansard, or hipped? .... pt��... ............................ Fireplaces? .......'..�-...........................
Material of roof covering? ZIP.�..�.s....�S�6.N.Material of Cornice? ...WO.oe7.:......if.......05;..1.1!......9.J.)H-er-
How is building heated? G-4-. .......................Luting of flues? .. .... x.�.. ......�
Thickness of shell of flues. C4Y)k. ........... i......¢.........1.�. .. ny elevators or lifts? ...................... ........................... .. .....................
What kind? .......... .... ....... ..... ... How many? .... . `_'... ............ Any hoistways?� ..��.... ...........
How protected? �— ..Total Value of Building ...... . .. ............................
When will work be commenced? . ® �
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this
application, conforms to the zoning regulations of the Town of South Windsor.
Town of South Windsor since 1949.
Applicant
3753
BUILDING APPLICATION
Application No. ... 4.01-3.....................................................
f East
onthe ....................... ...... . .......... .. ..... .... side of
Dop�wood Lane Street..... ......... ......
Street No, Lot ff 90.
J-.R.Stich Assoc .
Owner
Applicant S anie . ... .. ..
CLASSIFICATION
Dwelling 5316."x391.
. .......... ........
Permit issued on above Application.
Date, 10.--31-61
19 ..
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Oct- 31 ) 1961
Fee Paid 60.!00,,, Est. Va1ue 15=000'
Permit N9 3753
a
on the East side of
Dogwood Lane Street
r
Street No. Lot #90
Owner I.R. Stich Assoc.
i
F Applicant Same
E •
CERTIFICATE OF OCCUPANCY ISSUED:
i
Date
No. 22 72
Fee Paid y$3.00
l
CLASSIFICATION
Dwelling 5316nx3.91
s
i
1
si
I
f
BUILDING PERMIT
N? 3753
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Oct• 31* 19 61
C14ta4 i 4
s to Tprft�1,3, That __I& h. .--.tich Assoc,
is hereby granted permission to Dwelling 53 1 6"R39 1
at estimated value of
on the Last side of Dogwood Lane Lot #90 Street on land
owned by I.R. Stich Assoc.
Said art'or k to be as described in Application
No. 4013 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued 0c,t , 1 1961
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."
r'
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit NQ 2272
Certificate of Occupancy
THIS IS ,TO CERTIFY that th
in the To of South Windsor, Connecticut,
has been erected 'nd completed in accordance with the Building Code and Zoning Regulations
of the Town of South Windsor, and is hereby approved for occupancy.
R
ri
Building Inspector
Owner, Builder
Fee Paid Date ` , 19 .
A"014
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9.
i
.j TO THE BUILDING INSPECTOR
' of d6 APPLICATION FOR
TOWN OF SOUTH WUWSOR,COW PLAN EXAMINATION A N O
BUILDING PERMIT
IMPORTANT — Applicant to complete all item sections: 1, 11, ll IV, and IX. O
I. ZONING y
AT (LOCATION) 4U194nonwo DISTRICT
LOCATION ( O.) (STRE I
T)
OF BETWEEN AND
BUILDING /� STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
CA
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 ❑ New building Residential Nonresidential
2 ❑ Addition(!/residential, enter number 12❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13❑ Two or more family — Enter 19 ❑ Church, other religious
number of 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 (I/multifamily residential,
of units ——————— — -• 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) 25 Public utility
7 ❑ Foundation only 17❑ Other — Specijy ❑ Y
26❑ School, library, other educational
B. OWNERSHIP 27 ❑ Stores, mercantile
8 [l Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution, etc.) 29 N 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,
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 $ QQ
III. SELECTED CHARACTERISTICS OF ILDI G — 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 ❑ Wood 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
34❑ Other — Specify 42❑ Public 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❑ Gas Will there be central air 52. Outdoors.......................
36❑ oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY ,
37❑ Electricity 44❑ Yes 45 ❑ No 53. Number of bedrooms..............
38 ❑ Coal
39❑ Other— Specify Wi II there be an elevat r? 54. Number of Full..........
46❑ Yes 47❑ N bathr ms
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing addr ss — Number, str , ity, and State ZIP code T I. No. it;
Owner or 2 Z
Lessee
2.
Contractor
3.
Architect or
Engineer
Th owner of this building and the undersigned agree to conf Ito all applicable laws of this jurisdiction.
Sig ture f applicant Address Application date
00 NOT WRITE BE OW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans Date Plans
Plans R view Required Check Fee Started By Approved By Notes
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approva I Check Do te Obtained Number By Permit or Approval Check Obtained Date 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
P rmit number 803 5
Building
Permit issued 5-18-73 19
Bui Iding
Permit Fe $ 4.00
Approved by:
Ap
t �
TIT
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
4
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b-
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ai Y+s��dJ+1fa.;t< 1tt4F•*S+ 4a 4 '-�}¢p: qy�.4} o#
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date May 18, , 19 ?3
Fee Paid $.4.•.00 Est. value s.400.00
Permit No 8035
on the side of
Dogwood Lane Street
Street No. 186
Owner Lloyd Dame
Applicant
Same
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Install above ground pool
181 diameter 41 deep
BUILDING PERMIT
T49 8035
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn, Xay 18- 193
94is ti to Terfif1j, That�'l d .
is hereby granted permission to Install ebe$e $ pool
18 s diamte! deep
at estimated value of $ 400'00
on the side of 186 mood LaW Street on land
owned by Lloyd e
Said WOT*k to be as described in Application
No. 8335 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
May 18, -� . ,;� 73
Issued
uild `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 CONNECT I C UT: "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."
S, -7J
INSPECTI0 EPORT
Permit # .5.5- Job
I
1 Footing ��
2 Foundation
3 Framing 6--PO-73
4 Wiring &I/('— 41f)c'l &"X a crze.44,+�
5 Plumbing
6 Heating
7 Lathing
8 C.O.
I
ELECTRICAL APPLICATION
Application No.,
on the z4C--*A side of
k'-A e)n Lq nc, Street
Street No.
Owner
Electrician A6. 04�
FILED IN OFFICE OF
The Building Inspector
19
INSPFZTION.
sa 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 office of the Building Inspector.
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM.
No. ..............................................
PermitNo. ............................................
a TO THE BUILDING INSPECTOR
Of the
TOWN OF SOUTH W INDSOR, CONN.
-+.. hereby make application tct 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. y
South Windsor, Conn., A q.. ........4.............. ......... ... 19.1,2Sign here ....................
..............................................................................................
I pp/
Address �..D....�J..........D.. ........... ....._....
Location ..................................�.0......................... ....................... ........................... Side of ......✓ -Lv— .�.............................................................................................
Natureof Building ...................................... .............................................. How many stories .................................................................................................
Nw or old Building ............................... .............................. .... ................. How many families ................._..............................................................._...........
Kind of Installation �....
......................C._................................... How many Stores ................................................................._......................_...........
Owner ............................................................. .................................................._................ Address ................................................................................
_.......__-......_..._......
Architect .............. ............................................... ... ... ........................................ Address .............................................................................................
__..._._......_....
Builder ........................... ........................................ ............................ ...................... Address .............................................................................................. ___....._.............
Electrician ............ ........................................................................ Address 1.... ...........�� .�Jd-°-��... �...._......._....._.w�.
Size of Main Wires ... .....................................................
No. of Light Loops .. ......... ........ ............. 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 ................................... ......... . 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 .. .. Y.).s.. ..... . .........4.Q.......... .....4... ........�.�.ko...1/0............... --a..........................
.........x..a., .-.. ............ .......:�.j..l...!1?.X_............ ..r .. .�0.,9..n..................
�-�2.L.r.i..� �... . ..
1
..........�.r,.......... ..........W'..Jn..........f/J. opc'.r.. ......... .p. .► ... ...................................................................................................................... ...............
......................................................................................... ......................................................................................................................................................... .... ......................................................
Estimated Cost .... ....0 .0.P............. ............
FINAL s;ECTIONS:7
Buildingo APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date:
Sprinkler 186 DOGWOOD LANE El ctric Estimated Cost $ _4 e
Zoning Permit Fee$ —
Affidavit NO. 1 R 7 4 9 Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS. d�
Fire Dept. TYPE OR PRINT ONLY Total Fee $
H alth D pt. SIGN ON REVERSE SIDE.
Approved for CO: (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location lk4g Ve6:G'oel d 4 X 5,0 u- Lot No. Side of Street Zone
Applicant Ao Md=/ t? L C4 4E If Cr Tel. # g
Address P0CcWvc-a 4 Sd ly,Ki/141klr!? c Zip o do 7/ Lic.#
STREET CITY STATE
Owner beAf,4- �� LK 1,6e,16 e� Address /£r� Doc&-&&� �C 4 SV &,,,'A ,lSd �
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit S 1 DIN 6.:— 1/44EE5 --_,ba JAZnlSR0,11 i 5.
City Water ❑ Well ❑ Septic ❑ Sewer ❑
Approved by Date `Z-��d 8D1A 11/88
I hereby agree to conform to all the requirem nts of the Laws of the State of Connecticut and the Ordinanc s of the Town of South Windsor
and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree
that this building is to be located the proper distance from all street lin s,sid yard lines and required distanc s from all other zones and is
located in a zone in which this building and its use is allowed.
Signe
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
—DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
B fld�ggSPECTIO S: APPLICATION FOR BUILDING PERMIT
1L z
Plumbin
HVAC / LL Date: —
�a+ 186 DOGWOOD LANE
Sprinki r
Electric L L1�.1¢- Estimated Cost $3�
Zoning Permit Fee$ 311
J 21949 Occupancy Fee $ 5
Affidavit NO.
�_.�
Eng. Dept. COMPLETE RED BOXED AREAS.
Fire Dept. TYPE OR PRINT ONLY Total Fee $ 3 03
Health Dept.
Approved for CO: / SIGN ON REVERSE SIDE.
(Additional Cost) $ -
TO BUILDIN ARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location - 4' Lot No. Side of Street Zone
7Applicant Tel. # lv VS/-- .��
Address 0r Z ip /)j(o d 7el/ Lic.#_S_40 IA l
STRE CITY STATE Owner `' e/77 �`
--Address
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages
Size of Lot Dist. from Street Line LavatoriesBathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit BU I Z14Z _C2?5!!�
o -
2 r-
City Water ® Well 13 Septic +K Sewer 0
Use Group "`( Construction Type r
Approved by j1fQ__ Date 8o1A 11/88
I h reby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town pf South Windsor
and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree
that this building is to be located the proper distance from all street lines,side yard lin s and r Q ances from all other zones and is
located in a zone in which this building and its use is allowed.
�r Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for pe mit.
rk-Signed
—DO NOT WRITE BELOW THI NE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# / ` Inspections:
HVAC Permit# qoql Inspections:
Electrical Permit# 1`: -7 1 Inspections:
Sprinkler Permit# Inspections:
Location of job AFFIDAVIT Additional Fee ..$1.0...0.0 . .. . . . . .
State of Connecticut
ss.
County of Hartford
Owner
I of . . . . . Agent for building erected under
Contractor
Permit No. 219.49 issued by the Dep't of Building of the lbwn of South Windsor being duly sworn,make oath
and say that the actual cost of the completed work authorized under said permit was .$.3 1. • 0 0.•
Sign -mot
Subscribed and sworn to before me this ... . . . n
�9 .. . . . .. . . . . of . . . . . . . . .. . ..-�-C��. . . . .. A.D. 19
EsEmate Cost:$
1r 000. 00 . . . .
Difference: $ of P ���1
•w�.111� P _ 7 .�� a a 4 � •r
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South Windsor
BUILDING DEPARTMENT
To THt s1.lux".;. U,,'pi fv.c•r - I,i °ibii,Y•
(This certified that ;his plan and specih(, It n%are+ 'a
(Copies of the proposed building or a'te.u,•ens to t)'e
ioIected at
�66cJa db stree+
together with amendments state3 in application ane
tiled with plan and I agree to :xrnyl/-i+1 , i roping,
Building and state laws and sz,c, ovler� .a shall De
issued by the Build' Uenar•;ent d,.ring .,endehey
of this applicatio and nal issuance of a building
permit.
x Sign
Thi p n is approved sub c• to t•,•_ ,nniil•.•n that
or r and ordinances r gu!,t.,3 wi,a,+g shall be
C plied with
(Conditionally Appro.ed These filed with
Building ,nspec.,Dr C.11Jf!
date
b �d use(s) andjor ::ii�
p'
�hn oil
this "an a pP ear(s) to be is
(�nf®1�rr�an� with cul rent South �:°'"s�;�s��`
cy v
t ur r;,gulations. Variances and special exceptions
may apply..
Date
I Zoning Enforcement Officer
PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
to ding Inspector Application must be printed or typed
1 . LOCATION OF JOB
186 Dogwood Lane
FEE SCHEDULE No . Street
$ 0 - $19000 - $10.00 Floor Apt . No.
Over $1,000 - $10.00
per $1 ,000 or 2 . OWNER John & Tina Clark
fraction thereof
3. ADDRESS 186 Dogwood Lane
S. Windsor, CT
4, APPLICANT McCARTHY Electrical Svcs. , Inc.
5. ADDRESS P.O. Box 0884
Meriden, QT 06450-0884
6, ESTIMATED COST $1500.00
7 . IS THIS A CONTRACT COST X
Yee N
8 . FEE ENCLOSED $ 20.00
9. TYPE OF BUILDING:
X RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Origin 1 Installation
X Alteration/Addition/Repair
A0 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB 186 Dogwood Lane
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION --- two floor addition 20 ' X 24 '
13 . SIZE OF MAIN FEEDER 4/0 Aluminum
14 . NO. OF LIGHT LOOPS 3 15 . NO. OF HEAT LOOPS______
16 . NO . OF POWER LOOPS 7 17 . NO. OF LIGHT OUTLETS 3
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS 2
20 . NO . OF CONVENIENCE OUTLETS 24 21. NO. OF HEAT CIRCUITS
22 . NO. OF POWER CIRCUITS 2 23. NO. OF LIGHT CIRCUITS 3
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS_
26 . NO. OF PANELS 2 27 . TOTAL WATTAGE 1440
28 . NO . OF POWER FEEDERS 7 29 . NO. OF SWITCHES_
30 . A/C LOAD 31. SIZE OF POWER FEEDERS_
32. NO. OF FIXTURES_ 33. TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
E-1 # 125455 /� 1 1 /28/94
LICENSE NO. SIG ATURE OF APPLICANT DATE
PHONE NUMBER: ( 203) 238-2504
-INSY'ECTOR DATE TIME
LOCATION bloc �.�
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
54A
Z�
ELECTRICAL: Fo
-71
r PLUMBING:
5
HVAC: f
OTHER:
PERMIT N!0.
9.56 f I
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
1540 SULLIVAN AVENUE
h 644-2511 Ext. 230
a e ector Applications must be printed or typed
1. LOCATION OF JOB:
CCJODC�
FEE SCHEDULE 2. OWNER:
$ 0 - $19000 - $10.00 3. ADDRESS: o
Over $1 ,000 - $10.00 5� � GZi`4-eAA&�r
per $1 ,000 or 4 APPLICANT: `l / �
. `
fraction thereof
5. ADDRESS:
6. EST. COST: $
7. IS THIS A CONTRACT COST? YES
6%)
8. FEE ENCLOSED: $
9. TYPE OF BUILDING: �1��
PRESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
ORIGINAL ALTERATION
INSTALLATION L,, bITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB: till
DO
GENERAL PLUMBING
12. KIND OF INSTALLATION: 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS :7 STYLE 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS 16A. NO. OF SHOWERS 1 _ 17. NO. OF LAVATORIES ,Z
18. NO. OF SINKS_ 19. DISPOSAL 19A. DISWASHER /
20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE
22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?
27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS
32. REMARKS AND FURTHER DETAILS i t�•J cis
WATER HEATER
33. TYPE 34. MANUFACTURER
TANKS SAFETY DEVICES
TEMPERATURE
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
IC N E N . DATE SI59tURE OF APPLICANT
PHONE NO. s lci3 0 2--
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE:
(NO. LID 1-1 ) o TOWN OF SOUTH WINDSOR EST.COST: ' cO,:9-a
BLDG. PERMIT N0. /g 1 1540 SULLIVAN AVENUE FEE
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 $ 0 - $19000 - $10.00
$1000 or fraction
LOCATION OF BUILDING o S ov Q thereof - $10.00
e `e,4 / 4claa ' ec-
OWNER ADDRESS TOWN PHONE NO.
c._, :4_ : 1 w�� 1^ L )RLi � `j 1%^ se,i`
HVAC CONTRACTOR DRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL
A/C COMMERCIAL
VENTILATION BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR
UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE)
,
TYPE OF FUEL: OIL-GPM GAS IN-PUT(.,' G '
ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE °F INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS (BTUH) (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): -is��
IS s Llm_ a,, /3.c i I r-w-- _WJJ� d,"d- 41-tt,4 atij 'iyttJen"
GROSS HEATING CAPACITY (INPUT-BTUH) U vro NET RATING (OUTPUT-BTUH)
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE -IG OF INSIDE 7L °F DIFFERENCE dFV OF
TOTAL HEAT GAIN (BTUH)
(HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) �'
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.):
TONNAGE COOLING CAPACITY (BTUH)
IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT) :
TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM)
(PLAN MUST ACCOMPANY APPLICATION)
The undersigned hereby applies for a permit to perform the following work and is to comply
with all local ordinances and State of Conn. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK: Jel- /V-- _qcV,h? �
STATE LICENSE - NAME & TYPE # DATE ISIG-9ATORE OF APPLICANT OVED DATE
I for 8 - R CALCULATION SHEET 1503 (Modern Method) Copyright 1971 by The Hydronks Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL. A COL.0 COL.C COL.D COL.E COL.F COL.G
1 ROOM
_ Q
O H L W H L W H L W H L W H L W Design Water Tamp.
2 ROOM DIMENSIONS—I-- , FT. ~
U STUN per F t 1
3 LENGTH EXPOSED WALLS,FT. <
Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA to
STUN STUN STUN STUN STUN
S WALL CONSTRUCTION ROOM LIN. FT.OF
(Table 9.Line 3 x H) TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
(Bottom f table used 1 or Line 51
7 CEILING CONSTRUCTION C
(Table 9.L x W)
e
FLOOR CONSTRUCTION? D—
(Table 9. L x W or Lin. F t l E
9 COLD PARTITION CONSTRUCTION F
(Table 9, L x H)
G
10 0 1 Wall(With Openings) O; H
c 2 Wells(With Openings) 2 X
i
3 W all s I W r1h Openings)or E nt.H all f.J 1
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K
-_ COL.A — —_ COL.S COL.H — COL.1 COL_J COL. K COL.L TOTAL STUH TOTAL
OF SUILDIN RADIATION
1 ROOM Q _ _ AT SELECTED
O H L W H L W H L W H L W H I L W DESIGN TEMP.-
2 ROOM DIMENSIONS. FT I- DIFFERENCE
U -
3 LENGTH EXPOSED WALLS. FT <
4 WINDOW AND OUTSIDE DOOR AREA LL
STUN STUN STUN STUN STUH
5 WALL CONSTRUCTION •INCREASE BATHROOM
(Table 9, LIns 3 x HI TOTAL 20%
6 TYPE OF GLASS
(Sort m 1 table used for Line 51
7 CEILING CONSTRUCTION (FOR CONCRETE FLOOR ON
( GROUND OR FILL A7
Table 9. L x WI
GRADE LEVEL,USE LINEAR
S FLOOR CONSTRUCTION? FEET OF EXPOSED EDGE
(Table 9.L x W r Lin Ft I
9 COLD PARTITION CONSTRUCTION
(Table 9,L x H)
10 c 1 Well(With Openings) C ---
=0 ^; ------ -- --------- --- -- - - - - ------- — —
2 Wails(With Openings) O X -- ----- -- ---- ----- -
3 Wells(With Openings) or Ent Hall
11 TOTAL STUH AT 70F TEMP DIFFERENCE*
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
FORM 1503
This form Is available If m The Hydronlcs Institute 36 Russo Piece,13erkeley Heights,N J 07922
51M 2206 RIGHT-J SNORT FORM 9-06-94
Job t: Htg Clg
For; Outside db 4 8B
Inside db 70 75
Design TD 66 13
Daily Range - M
Inside Humid. - 50
by: Grains Water - 29
Const. Quality a
# of Fireplaces 1
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Model Model
Type Type
Efficiency / HSPF 0.0 COP/EER/SEER 0.0
Heating Input 0 Btuh Sensible Cooling 0 Btuh
Heating Output 0 Btuh Latent Cooling 0 Btuh
Low Output Basebrd 570 Btuh/Ft Total Cooling 0 Btuh
Total Low Basebrd 61 Feet Actual Cooling Fan 0 CFM
High Output Basebrd 800 Btuh/Ft Clg Air Flow Factor 0.000 CFM/Btuh
Total High Basebrd 43 Feet
Space Thermostat Load Sensible Heat Ratio 0
ROOM NAME I AREA I HT6 I CL6 I BSBRD FT I CL6
I SQ.FT. I BTUH I BTUH I LOW HIGH I CFM
FIRST FLOOR 1 432 1 18813 1 0 1 33 24 1 6
BATH 1 48 1 2199 1 0 1 4 3 1 0
SECOND FLOOR 1 480 1 13759 1 0 1 24 17 I 0
Entire House 1 960 1 34772 1 0 1 61 43 1 0
Ventilation Air I 1 0 1 0 1 1
Equip. 10.95 RSM I I 1 0 1 1
Latent Cooling I I 1 0 1 1
TOTALS 1 960 1 34772 1 0 1 61 43 1 0
MANUAL J: 7th Ed. RIGHT-J: V1.67