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HomeMy WebLinkAbout147 Cambridge Drive (2) TO THE BUILDING INSPECTOR Of the APPLICATION FOR . .OWN OF SOUTH WiNDSOlk CON. PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O AA-3 ZONING • I• AT (LOCATION) /� t3DISTRICT LOCATION (STRE tr OF BETWEEN AND "1 BUILDING (CROSS STREET) OSS STRE T O CAMBRIDGE ESTATES '� LOT a �'� Xl .7a-.yr SUBDIVISION LOT BLOCK SIZE Vs II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D �o A. TYPE OF IMPROVEMENT D. PROPOSED 14SE — For"Wracking' most recent use in -f I'X New building Residential Nonresidential 2❑ Addition(It residential, enter number 12R5,One family 18❑ Amusement, recreational o/new housing units added, i/any, in Part D. 13) 13❑ Two or more family — Enter 190 Church, other religious number o/units— —— — -� 20❑ Industrial 3 Alteration (See 2 above) 14❑ Transient hotel,motel, 21 ❑ Parking garage 4 Repair, replacement or dormitory — Enter number 5❑ Wrecking (i/multi/amity residential, o/ units ——————— —-- 22 ❑ Service station, repair gar 9 enter number o/units in building in 15❑ Garage 23❑ Hospital, institutional Part D, 13) 16❑ Carport 24❑ Office, bank, professional 6❑ Moving (relocation) 17❑ Other — Speci/y 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educati nal B. OWNERSHIP 27❑ Stores, merconfile 6 M Private(individual, corporation, 28❑ Tanks, towers nonprofit institution,etc.) 29❑ Other — SpeciJy 9 ❑ Public(Federal, State, or I cal government) C. COST - (Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., fo d 7d 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. Oth r(elevator, etc.)............. �yJ 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 48. Number of stories................ 30 El Maemy(wall bearing) 40� Public or private company 49. Total square feat of floor area, 31`�Wo d frame 41 Private (s•pttc tank,etc.) all floors, based on exterior Q s 32n Structural stool dimensions ..................... I 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY /� 34❑ Other — SpeciJy 42 Public or private company `'0. Total land area, sq.ft. ........... 1 � 0 9 43❑�Privat•(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ....................... 13 F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 35 Gas Will there be central air 52. Outdoors........................ %❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ N 53. Number f bedrooms.............. 38❑ C of 39❑ Oth r— SpeciJy Will there b on levator? Full.......... 54. Number of 46❑ Yes 47❑ No bathrooms Portlol........ IV. IDENTIFICATION — To b complet d by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Miller Realty Inc . 658 Ellington Rd . So . Windsor , Ct . 06074 282-0628 Owner or Lessee 2. Same Same Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signatur f applicant Address Application date 2!:f= 1 DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Dare Plans By Date Plans By Notes Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Obtained Number By Permit or Approval Check Obttaained 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 I S K 7U Bui Iding P rmit issued rn�N ` CR Building Permit Fe $ 6,3C7 `0c, 00 r d by: tA--t c � TITLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date May 18 Fee Paid $. .630..00 Eat. Value $10.5%Q00.00 Permit No 15870 on the side of T.o #1 3 .amhri dgPT)ri ue Tr;* Street No. Owner M'11 sir Real ty Tur Applicant s�.. —zb4YA CERTIFICATE OF OCCUPANCY ISSUED: Date May. 18, 11987 No.81 79 Fee Paid $ 3.00 CLASSIFICATION New hiii 1 di ng BUILDING PERIVIIT N a' 15 87 p OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. May 19 1ST? 94is to t� �P1'fi That M4 1 1 er Realt;,x Zuc• is hereby granted permission to new building at estimated value of It 0 5 0 p on the side of Can =rid.ge_.U-1•i.ue, _Tot 013 Street.on land owned by Mil]er R=attyinC. Said =rk to be as described in Application No. 1.6I61 and to conform to specifications and plans filed with said Application, and Building Br Laws of THE TOWN OF SOUTH WINDSOR. Iss 107 uil ing 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." 9Y'67 J)WE-LL,AIG C •bc; � p�.;�e d.a+ i3 Permit #Isig70 Electrician Heating Contr. Qwpq /iv MPK # Plumbing it 57 w wdsor a 1p(�. # 7351 Oil Burner # Certificate of Occupancy ,,� #�(`la Sewer Permit IASI* r ow r INSPECTION REPORT Permit # d Job '�°} -/y7 1 Footing kt 2 Foundation 3 Framing �Wiring C� 7 3 LR r 5 Plumbing 7 351 S. k) 03 6 Heating T 7 Lathing A ' ► Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. I !► Permit ® 8172 I Certificate of Occupancy THIS IS TO CERTIFY that the 1 ' 1 �1'�' � Yr at No. J C ;' '�L±Lli in the Town of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby appt ve fo"r occupancy Ok Building Inspector Owner, Milder Fee Paid Date CERTIFICATE OF OCCUPANCY CHECK LIST i Applicant Certificate of Occupancy Address '/ �� ������ ��� Bldq. Permit No. w Lot No - 3 Date Submitted Project Reviewed By Date As required in the Zoning Requlations, no certificate-of-occupancy shall be issued until grading plans have been complied with and approved by the Town Engineer. The u=a requirements shall inlcude- Approved Denied N/A 1. Approved building permit plan. 2. Finish grading per approved —"— building permit plan. 3 . Site work; i.e. trees, shrubs, dumps required parking 4 . utility location a. sanitary sewer b. foundation drain C. electrical a telephone d. water e. other S . Appropriate certification 6 . Bonding Sewer Permit No . Pavement Excay . No. COMMENTS : BUILDING F9RM1' CHECK LIST Applicant Building Permit No* Address Date Submitted ,4 Lot No. 3 Reviewed by /` /7> - Proj ect i=o/.&'3 �/i� -��� Date In accordance with the Subdivision Regulations, prior to the building of any structure on a lot, a Topographic Plot Plan shall be submitted for approval. The minimum requirements shall include: Approved Denied N/A S�27 1. Name, address & phone number of owner/ —'—"" applicant. 2. Name, address & phone number of plan preparer. 3. Zoning information - i.e. - zone, pen s floodway, etc. 4 . Plot plan at 1" = 40 ' scale. r/ a. Subdivision reference, abutting properties , etc. b. Easements of record. c. Lot description, bearings , distances, building lines, area, etc. d. Contours , existing & proposed, 1 or 2 ft. interval where appropriate. e. Building location with dimensions . Elevations of proposed finish floor, garage Boor & center line of road at driveway. f. Elevations of._gr,_gvity drainage systems, - --- foundation drain at house and the street. g. T ive utility location gas, electric , water etc. h. Title block with name and address of - preparer, date appropriate certification, live seal and signature. S . Sedimentation and erosion control. 6 . Special Planning & Zoning, Inland/Wetlands considerations . (Plans on file w/Town Clerk) BUILDING DEPT. PZC IWA/CC wPCA f1 s was- s OTHERS 1 3/� �3G COMMENTS: q-73so ELECTRICAL APPLICATION Application No. Zy on side of Street Street No. Owner Electrician �d�nn11 FILED IN OFFICE OF The Building Inspector 19 INSPECTION. sw 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. Electrical Permit No. ....... .................... ..... ..... Master License No. ..... TOWN OF SOUTH WINDSOR Building Permit No. ........ —..&....70..... BUILDING DEPARTMENT Date Filed ........................... Date Final Approval .................. ......................... APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION. ... .. ...... .................. JOB OWNER:"�N.....1. s.............(..L.14) ..........1.6.0. ............ .. ...... ............. kIP4 Side of we en ...%.v\�CS... ............................00V...... and ....... ........... . ........ ............. ..................... Name of Building Owner . ...... ................. .. ..... Address . .. ....11Z If work is for Lessee—Give name .. .... . ......... Address .............................. ............................................................ Building now occupied as (unless new) ............ No. of family units now . .. ..... Building to be occupied as ........... ..... 'I .. ........... ..... ..... ......... ..... Number of family units to be ....... ... ................. ....... ..... ............................................................................. (If no Buildin erl I0 Is this work included in a Building Permit? Permit Fee .............. ................ O_g P 4 4-�elephone ..0-).—..S)2,--,-3 ao ......... . .... ....... Permittee Business Address COSTOF INSTALLATION: W-50. w.4 ............................... . . ...................... ....................................................................................................................... TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed . . .. ..D'�!..... Number of convenience outlets to be installed Number of present Appliance Circuits ....... ...................................... Number of switches to be installed Do these include Range ❑ Water Heater ❑ Number of appliances to be installed (as listed below) Dryer ❑ Air Conditioner ❑ Oil Burner ❑ TYPE RATING NO. Dish Washer ❑ Gas Burner ❑ Range . . . . . . . . Well Pump ❑ Elec. Heaters ❑ Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater 'r`� �S ��c,,p.� G� S !�1 Clothes Washer Clothes Dryer . . . . . ��C Dish Washer . . . . . . Air Conditioning Motor . . Oil Burner Motor . . . . Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan , , ) Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . Number of new Lighting Circuits ............ Number of new Appliance Circuits. . . . ........... ........... Number of Heating Circuits . . . . . . .. Number of Motor Circuits . . . . . . . .. Size of present service ................ ... .......-.4 .... ........... Size of service to be . ............. PLUMBING APPLICATION ISO sum $tr+�et owm Filed in The Api 3 i No person&A mums, add m or slat aW portion of the &gimp "mm of an! boun (ezoept to repair 66) mma a pha.ic is sawed bydhe APPLICATION FOR PLUMBING PERMIT (Continu d from R v rs Sid TOWN OF SOUTH WI TOR, CONN. C'�m3F, I �G� R ) Y� 11. LOCATION OF JOB710e �'� NO. STREET FLOOR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION �t��a s. /,ec tl 13. SIZE OF MAIN DRAIN �e 14. NO. OF TOILETS ._STYLE ,.T ��� 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS�_17.NO.OF LAVATORIES _18. NO.OF SINKS�_ 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS OZ SIZE t? 22. AREA OF ROOF 23.NO. OF CATCH BASINS _ 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND .y a0 A'e s 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? ZL- 'ae of 29. SIZE OF DUCTS , 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? 2!�Lz ��t / c SIGNATURE h ADDRESS y ����,�hz t�' LICENSE NO. e-90j n6B ESTIMATED COST TELEPHONE OWNER t r ` ADDRESS G : G� ��` d. WATER HEATER 31. TYPE 4At 1 / '�G�'� 32. MANUFACTURER P TANK SAFETY DEVICES 33. CAPACITY 37. TEMPERATURE RELIEF VALVE E7Zlo 0 34. TEST PRESSURE A t 38. MANUFACTURER 35. WORKING PRESSURE 90/6 f 39. PRESSURE RELIEF VALVE 36. TYPE �17411 A_e 40. MANUFACTURER ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. ?t2�_/lrf�_4e�7 C0962 DATE SIG E OF APPLIC �3-30/ PLUMBING APPLICATION on the ............... A&of Sam No. f)-- Owner ....lar- I IiUd 9.4 Plumber L L64--CU t- P/Q. Filed in Ofice of T6 &A&g 19 ............................... ............................. ................................. No pawn AA commmn, add w or aim my pomon of the &anw "m of aw bmum (ezmpt to repair 66) until a Pe it is gmmftd by the Building Inqnctw. APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Sid ) I4+1 TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB Lot #13 Cambridge drive NO. STREET FLOOR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION Residential 13. SIZE OF MAIN DRAIN 4 � 14. NO. OF TOILETS 3 STYLE tank 15. NO. OF URINALS 0 STYLE 16. NO.OF BATHTUBS 1 17.NO.OF LAVATORIES 3 18. NO.OF SINKS 1 19. NO. OF WASHTUBS 0 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS 1 SIZE 3 22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES 2 KIND 5-2' whirlpool' and 3811 corner shower stall 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? Yes- 27. SIZE OF WINDOW 28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? electric vent fan 29. SIZE OF DUCTS 311 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? yes SIGNATURE ADDRESS 524 Burnham Street South Windsor LICENSE NO. 203068 ESTIMATED COST 914"00-9 y TELEPHONE 528-4413 OWNER Miller Realty Inc. ADDRESS 658 Ellington Road WATER HEATER 31. TYPE g(as fired 32. MANUFACTURER A. O. Smith TANK SAFETY DEVICES 33. CAPACITY 50 gallons 37. ,TEMPERATURE RELIEF VALVE dl0' 34. TEST PRESSURE—Ty�v S 38. MANUFACTURER 35. WORKING PRESSURE 419dA r 39. PRESSURE RELIEF VALVE /�y 36. TYPE /� ,r /,-" � 40. MANUFACTURER (�/��1 ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. chi CD962 ATE N R F A (CANT 2 9 PERMIT # Application For ���3 Cd I DEPARTMENT DECISION Heating Permit 0 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS &1 � ❑ APPROVED ❑ DISAPPROVED TOWN OF SOUTH WINDSOR ,~ o � 0 00 DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGHI WITH NUMBER NE BEL W O +j >b art � g� 'E 1. LOCATION OF JOB s+ O NO. BTREET � " 1 i •� LOT NO. tFL0001 AK. N . 19 a. OWNER ADDRESS01 41 71, C FHONE 6� e0 � � /� r I. APPLICANT 1=Q/4 0. ADDRESS q - c� � 16. G 6G 7Y 7.PHONE _9�� S. LICENSE NO. U Z U C1. 49 9. EXPIRATION DATE OF LICENSE /W p -7 to 10. ESTIMATED COST ~ 11. Is THIS A CONTRACT COS" 00 YE.S ❑ NO ts. FEE ENCLOSED s al 12. UILDING: y L RESIDENTIAL ❑ COMMERCIAL cc ❑❑ INDUSTRIAL a) MAL ALTERATION ATION ADDITION REPAIR I APPLICATION FOR HEATING PERMIT (Continu d from R v roe Side) 11. LOCATION OF JOB cqin o/' ?-,Icj N STREET FL R AFT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER {d GAS BURNER ❑ STACK ❑ INCINERATOR 0 _W CELLANEOUS 2/r - 109NTI►T SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 1a. B.T.U. EQUIP. AT REGISTER Z-��`�' FURNACE MAKE AND NO. 'La AT BONNET '7f e4i) FIRING RATE 2 4 J BOILER OR FURNACE MAKE AND NO. 0" C" B.T.U. OR SQ. FT. NET B.T.U. OR SO. FT. GROSS — FIRING RATE - FLOORS TO BE HEATED 2 NEW OR OLD BUILDING p INSULATED - YES OR NO yf I - TYPE OF WALL INSULATION 'f- ROOF OR CEILING /?-3:L- INSULATION 7 -PS AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE -7 T v 0 FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. ` DESCRIPTION OF WORK 15. TO BE DONE- ^1 ��d��c e ) T27 3 /LO CGe 11 PC PII4r /7�✓�� 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): woorr SIZE wlNoow• AREA - SQUARE FEET 0.T.U. E.T.U. g o AND DOORS VOLUME TOTAL TOTAL i~ DISTRIBUTION INSTALLED R OM NO. S GRDSS GLASS NET ISALL CEILING FLOOR CU.FT. AT A•F CORRECTED J [ ` R[ ISTER L IS N ANO TEMP. TO f IL TYFE AND SIZE RAO. OR LEADER SIZE MALL ►Gt� (INFILT.) DIFF. •F M SO. FT. FREE AREA /mil u f7 TOTALS A. HEAT LOSS FROM BUILDING /v r ��Y 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 AOORESS 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. 2-3 (,?r-7 / DATE SIGNATURE Or APPLICANT r i 6: ] 2MJ 3 - --CALML =� SaOUTH WINDSOR CT 06074 E 17 i - 'R�ALCULATIONS ENTERED BY GERRY KURTZMAN AND CONFIRMED BY GERALD KURTZMA ***FACTOR USED FOUND I] --- ------ --- --------- , AME LENGTH WIDTH HEIGHT EXP. W1 �k'ALL 3 17 - ip EDROOM 16 12 9 171 12 9 ; i 198 LATH 6 12 OSET 6 +„_; 12 8 144 Ta-_& HALL-- - - 21 - - 8 8 232 OSET 15 DROOM 20 16 8 160 --- 13 12 8 - 200 I UD --- --------- -�- -- - - ------ ----- -�-gam- - TH 11 6 8 48 13- - - 15 - 16 208 VING 25 16 - - 798- - '� NI NG 13 16 $ 232 K-;!TCHEN- - 20 16 8 160 r'iiI LY 27 16472 ��.. --------------------------------------------------------------------- .r AL I , asel �S ATED US ING--70 - DEGREE TEKP RI SE -- CALCULATED USING 20 MILE WIND APPROVED BY( } N - STATE LICENSE # 301283 'J MANUEL J*** kLL GLASS CU. FT ----- --BTU DaORS 408 816 0 - - - 412-0 0 16 2304 5744 0 576 0 1152 0 5-76 - - -- -- - - 11-5-2 10 1344 3638 0 960 1920 16 - 2560- - --- --- - -- --11-47 0- 42- - - 32 1248 5536 0 - --- - - - ---- ---- ------ --- �- ------ -- 13 2 0 --- 5055 21 0 528 - -- 106 0 32 3120 10915 21 18550 0 60 _ 1664- - - - - -- - - 9028 -0 10 2560 10900 42 3456 14512 0 i ------------------------------------------------a----- ± 105564 BTU Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 147 CAMBRIDGE DRIVE HVAC # Date: 41110 91s Sprinkler# No. 22703 FINAL APPROVALS Estimated Cost $ OCR d Building 70117AC— COMPLETE RED BOXED AREAS Permit Fee $ �Q — Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. 1[:: Total Fee $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ Th and rsigned hereby applies to do work according to the following specifications: Job Location / 6 -?f Lot No. Side of Street Zone Applicant0:) — A Tel.# S pZ�!W o Address '7 kc4orlex -cl jgl:-d Zip 0 /C:;/. Lic. # Own r lOAl (J'Z-fe fT; ► r i.,i4 Address Architect Address Sq. Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area #Rooms # Lavatories #Bathrooms #Garages Purpose of this permit: Re,�'os d l/c(' I L-oq y e V— City Water C Well 0 Septic System 0 Sewer J Use Group Construction Type Area / Basem nt Garage Approved by Date 0(v E R.vs.d 6/95 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any altera' in theessallowed. s of the Building for which this permit is asked, and agree that this building is to be located proper dlines, side yard lines and required distances from all other zones and is located in a zone i ch this build Signed I hereby apply for a Certificate of Occupancy f r the work described in this application for the permit Signed -- DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WIlVDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPR VED 1540 SULLIVAN AVENUE Bldg.Permit# fL/-7 �-�� 644-2511 ext. 230 A/A Date Building Inspector Application must be printed or typed FFEESCHEDULELocation of Job: $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT r1qC T�CC N r5 APPLICANT ADDRESS P 3 9, 6-f- � AA)P0LEE (OT, ob2.32- APPLICANT PHONE# PP OWN S OWNER .17 z 1 K-1 E U) Z q� OWNER ADDRESS 141 Cdmftiw V e 1✓E 0 OWNER PHONE C ESTIMATED COST$ 3D0 IS THIS A CONTRACT COST? res O No f �CJ FEE ENCLOSED$ � ©O �� TYPE OF JOB: s�R CO ®'New Installation 13 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR HVAC PERMIT (Continued from reverse side TYPE OF SYSTEM: TYPE OF BUILDING: 0 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 OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) kAru2,9ti (5;96 VE_Eti rF,D GoJ.L)_ru BLo0Aj_r �� e00 L.06 GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL ❑ OIL-GPM OIL TANK LOCATION :❑INSIDE❑OUTSIDE CAPACITY ❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF 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 WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 30 6,5 5- C'r. CONTRACfORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# TOWN OF SOUTH WINDSOR Application is hereby: D Lg SNry BUILDING DEPARTMENT (:APPROVED 1540 SULLIVAN AVENUE Bldg.Pe -t# 2 �fqct �� 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE /17 $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT Pzprccy SCRYI&C6 APPLICANT ADDRESS l•0. 9p yC 32 9 A fiyoof'l2 6 , DG23z APPLICANT PHONE# 7� 2 -1p Q f 9 OWN S F OWNER n o#14 S 'b 21 K t r Wj C z OWNER ADDRESS m g p G Lc DR i ya: �S -f O ``OWNER PHONE �O 4 y — 9 4 86 C ESTIMATED COST$ 3 0 0 o IS THIS A CONTRACT COST? Yes 0 No FEE ENCLOSED$, TYPE OF JO OR CO New Installation 13 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR HVAC PERMIT (Continued from reverse side TYPE OF SYSTEM: TYPE OF BUILDING: U HEATING O RESIDENTIAL ❑A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC ❑ WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) 4�;ok o A) e9 0 A) NR r,' G'�6 VIF aJ r_�eb go��� ? B r GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT BTUH) TYPE OF FUEL ❑ OIL-GPM OIL TANK LOCATION:❑INSIDE❑ OUTSIDE CAPACITY ❑ GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINAL,AND CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. ;;TT L1 S-306570 s R.375753 CONTRACTORS LICENSE NO. E� 0w STATE SIGNATURE OF APPLICANT DATE �•Z "/ �/ ti/F MYRA, l _. MORRt501� 244o 25o 254 244 /1 /OS 252 / 7% jS8 I e 5 CA IL ARZAI 4k,409/� i 2410 � I \ 1 . tj r 40 /' U.S. t d I � t i �%ult .3 z i � 1 2(64 I it G.L.&t? uT�uzY 1 � �` THEN-t 1. tV fl'S' eErr EiCtJw..� tow z�2 L54 �S to 5 s3 Z(ao E1'S-cA y P Patjt.4. NA%".cx tiJn.li�SoR. �.ANN:' bt R.��►.to S. 1A4-?PPA, it MAP Na �1- -►G LOT UMFES FROM MAP Opt Pil-E `T\TL.ED *PLO`T PLA.VA C AMSRIO&E ES''CATES PREPA-REfl FOR JVJ GO"STRUC TtOtl CO. SOUT" '.WIMO%OR, C014N." BY REINO E. HYVPPQ � A$S00NTE1S scAA.E V. 40' LOT 13 UhTE 2-2-8fo MAP No. -7-9(o-IS su EE_- 4 OF 1-7 REV T"JkU 2-%%-a-7 CAMBRI DGE ES TATES PREPARED FOR FvN. Loc,nap An MILLER REALTY �° 7 `"x" 1f14t.11T`°►�:� �'`"-r"i SOUTH W IN DSOR, CONN. Qg`.�P Ex.T Tp �v�W�NCa �lX f4"TIC+J 1 hereby-declor that this map is substantioNy correct. This mop nd survey Wert prepared in accordance with the standards of a QE.v. s-2"►-8"I A-2 Iroo�p Cla s Ate. survey as defined in-the "Recommended Standards for �tU. 3 Zb-e-1 E•Asov �oarrRa.. Surveys-and U"s in the, State of-Connecticut"' as prepared and adopted by the Connecticut Association of Land Surveyors, Inc.. REINO E. HYYPPA ASSOCIATES on September 13, 1904. CIVIL ENGINEERS S LAI40 SURVEYORS f /; GLASTOM'My. CONN. APPROV � D TOE'JN 0.= FO UTH V`o S :Z31SOR ET��If`d%.ERI:cG DEPARTMENT DATE: Z— SIG.: