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HomeMy WebLinkAbout15 Chase Farm Road (2) Electric# I'kQ APPLICATION FOR BUILDING PERMIT Plumbing# To I wo 15 CHASE FARM ROAD HVAC # e .�ii 25166 Date: Sprinkler# k No. FINAL APPROVALS Estimated Cost 3 G G' Building io 22 'D COMPLETE RED BOXED AREAS Permit Fee $ QZ -4--� Engineering � � YPE OR PRINT ONLY Occupancy Fee ` Affidavit SIGN ON REVERSE SIDE Appr.for CO. ix:7c t o 2zAga Total Fee $ TO BULDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) O The undersigned h reby applies to do work according to the following specifications: Job Location S N-c .*- r WN.- Lot No. Z Side of Street —5 Zone Applicant S-i 5so o- Tel# 6 Address 26 3*3 Zip 060?L/ Lic.# Owner Address Architect Address 2-Z`{ fij l 7- Sq. Ft.New Area: 1st Fl. 2nd Fl. G 9- 3rd Fl. Total New Area -2- `�Z #Rooms #Lavatories #Bathrooms 2-- #Garages "�- Purpose of this permit: VeA tw #14-8 46UWAA" AW 0" ME! V0 19 City Water Well ❑ Septic System 0 Sewer,' Ins. H.O. S.P. Cert. Area 2449 Baunwt 1-791 Garqp 5 3 S Approved by Date '5 f t Use Group 'el" Construction Type 5 RsriW 1197 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 alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to beysb roper 'stff;A11 m all street lines,side yard lines,and required distances from all other zones and is located in ' g a owed. Signed I hereby apply for a Certificate of y for t ork=6ihis application for the permit. Signed DO T WRITE BE THIS LINE INSPECTION COMMENTS Location of job AFFIDAVIT Additional Fee —0— State of Connecticut ss County of Hartford A$� !/�'SSa Owner of Agent for building erected under Contractor Permit No, 25166 issued by the Dep't of Building of the 7bwn of South Windsor being duly sworn,make oath and say that the actual cost of the completed work authorized under said permit was $15 7 1 3 Signed . Subscribed and sworn to before me this .. . . .. . ......... day o A.D.19 Estimate Cost:$ 15 7 , 3 0 0. 0 0 Difference: i —0— _ Notary Pub 'c Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 98-25166-B 131,600 B03 FRAMING (ROUGH) 06/24/98 JFF A NEED ADDITIONAL ATTIC ACCESS E03 ROUGH 06/24/98 JFF A E01 SERVICE 06/24/98 JFF A NOTIFIED NU P03 ROUGH 06/24/98 JFF A H03 ROUGH 06/24/98 JFF A B04 INSULATION 06/26/98 DCJ A PO4 GAS TEST 10/14/98 JFF D 4 AN 21PDS PO4 GAS TEST 10/15/98 JFF A B10 FINAL 10/21/98 DCJ A APPROVED FOR CO (BLDG) 98-10180-P 11,700 98-10115-H 8,000 98-14924-E 6,000 Total Est Value 157,300 Dwelling 2,449 100,213.08 Basement 1,781 22,084.40 Garage 538 6,671.20 Smoke Det 7 525.00 BOLA Value (10, . Difference (10,972 972.1414) Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 15 CHASE FARM ROAD WAC # FOUNDATION ONLY Date: 16 169 4?7 Sprinkler# 24719 PIK APPROVALS Estimated Cost 666 ^ Building COMPLETE RED BOXED AREAS Permit Fee $ Zy La big TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SDE Appr.for CO. Total Fee $ (106 TO BULDW DRARTMIM,TOWN OF SOUTH W 43SM Cr "timi Cost) $ The undersigned hereby applies to do work accorcling to the following specifications: Job Location 644A4 - Lot No. Side of Street Zone Applicant 45CAC-94-e-y TeL# � (4-9—.2°6 Address '2-03 I 1 W Sti Zip 060 7 V Lic.# Owner Address If Architect ux- -Address Z`t �r Z�Ll�C rs w CT Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd FL Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit. f)jyJ- LL City Water CK Well ❑ Septic System ❑ Sewer Ins. H.O. S.P. Cart. Area Basement Garage Approved by J� Da---NFUse Group Construction Type ReAW 1/97 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 alteration in the plans o ifications of the Building for which this permit is asked,and agree that this building is to ted the roper an ro II street lines,side yard lines,and required distances from all other zones and is located in ich 's b ng Zt- I Signed hereby apply for a Certificate o O upancy fort ork described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS SITE COMPLIANCE CHECKLIST SL-(✓ TOWN of SOUTH WINDSOR, CONNECTICUT 15 CHASE FARM ROAD LOT_## 2 Reviewed By p� NA ftro nCHASE ASSOCIATES, INC. Date Reviewed $2033 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By nning) BP_#_25166_ Ph # (860)648-2006 Date Review /a�z Denied Date Submitted 10/21/98 ***** FOR C o O ***** As required in the Zoning and/or Subdivison Regulations, no Certificate of Occupancy shall be issued until grading plans have been complied with and approved by the Town Engineer. The minimum requirements shall include: Approved Denied N/A 1. Approved building permit plan 2. Finish grading per approved building permit plan 3. Site work; i.e. trees, shrubs, dumpsters, required parking 4. Utility location; a. sanitary sewer/septic system b. foundation drain C. electrical & telephone d. water e. other �614s7) Y 5. Sewer connection charge paid 6. Appropriate certification 7. Bonding 8. Planning & Zoning/ Inland Wetlands Considerations Sewer Permit No. Pavement Excavation No. COMMENTS: 96C�Ntx mo5.1 5* Dot-JE ALPJ- -- "S-'7UJJ j (.>pvtwA� !4DC) oF- Lsr 'To SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 15 CHASE FARM ROAD LOT_# 2 Reviewed Bye -� (Engineering) w CHASE ASSOCIATES, INC. Date Revieed Ao /Denied 2033 ELLINGTON ROAD,SOUTH WINDSOR,C'T_ Reviewed By (Pi nning) BP_#_24719_ Ph_#_(860)648-2006 Date Review z l /Denied Date Submitted 10/08/97 ***** FOR B DING PE&V *** In accordance with the Zoning and/or 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 1. Name, address & phone number of owner/applicant 2. Name, address & phone number of plan preparer 3. Zoning Information - i.e. zone, open space, floodway, etc. 4. Plot Plan at 11' =A.0' scale a. Subdivision reference, abutting properties, etc b. Easements of record C. Lot description, bearings, building lines, distances, area, etc. d. Contours, existing & proposed, 1 or 2 ft. interval where appropriate _ e. Building location with dimensions. Elevations of proposed finish floor, garage floor & centerline of road at driveway f. Elevations of gravity drainage systems, sanitary & foundation drain at the house and the street g. Tentative utility location (gas, water, electric, septic system, etc.) h. Title block with name and address of preparer, date, appropriate certification, live seal and live signature consistent with the Board of Registration requirements. (P.E. & L.S.) Ar5. Sedimentation and erosion control 6. Special Planning & Zoning, Inland/Wetlands considerations (Plans on file w/Town Clerk) COMMENTS: DEPARTMENT DECISION PE # APPLICATION FOR ELECTRICAL PERMIT 114"? L4 Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldgr # 1540 SULLIVAN AVENUE 644-2511 ext.230 Date Building Inspector Application must be printed or typed Location of job Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER 6 C,i0-4 f S or any fraction thereof ADDRESS 3 3 4, ZAJ5�0i2, OWNERS PHONE# c 6 APPLICANT ADDRESS < AJ ' 00 ESTIMATED COST$ ee 0 IS THIS A CONTRACT COST? YES NO FEE ENCLOSED OR- 0 TYPE OF JOB: Original Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY ( I� MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD �-Cv--L-r—o SIZE OF MAIN FEEDERS AND RATING OF WIRE USED C� NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS -2w NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS /6 NUMBER OF SWITCHES U NUMBER OF OUTLETS �U NUMBER OF LIGHT FIXTURES ,30 NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. 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 CONN. BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. DATE IFS'PECTOR --Z/DATE TIME LOCATION INSPECTION: CODE: RESULT(R/A) : BUILDING: ELECTRICAL: PLUMBING: HVAC: ,, OTHER: JIM ;tj,e DEPARTMENT DECISION PERMT# APPLICATION FOR PLUMBING PERMIT 10180 Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permi APPRO D 1540 SULLIVAN AVENUE 644-25 11 ext.230 Efate Building Inspector Application must be printed or typed Location of job pain Street No. Stieet, Lot No. FEE SCHEDULE Floor Apt.No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER I _ e' or any fraction thereof ADDRESS OWNERS PHONE# APPLICANT Lj^/1555 6 • ADDRESS AO 6 jA,)L,:5V 0*N viATED COST tij ESTR $ ?0() IS THIS A CONTRACT COST? U YES NO FEE ENCLOSED $ q y OR-C IE OF JOB: O 0 Original Installation Alteration/Addition Repair Revised 10/96 APPLICATION FOR PLUMBING PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION YES 1 NO SIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY EDUCATIONAL INSTITUTION FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP (Other please specify) '- �r TYPE OF INSTALLATION � ,"� SIZE OF MAIN DRAIN t f NO. OF TOILETS_'_3 STYLE TiF�fC—NO. OF URINALS 0 STYLE U NO. OF BATHTUBS NO. OF SHOWERS_� NO. OF LAVATORIES NO. OF CONDUCTORS SIZE NO. OF STACKS(SIZE J AREA OF ROOF NO. OF CATCH BASINS NO. OF FLOOR DRAINS NO. OF OTHER FIXTURES KIND C 1 vla S lC l�✓ S�i�'✓C '�'' �`~� ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDO O SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK 5 SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER 3Ilq WATER HEATER TYPE K MANUFACTURE S TANKS SAFETY DEVICES TEMPERATURE CAPACITYD i1"''J RELIEF VALVE /DUX 2— TEST PRESSURE YL;L-i WORKING PRESSURE f-SZ PRESSURE RELIEF VALVE TYPE MANUFACTURER 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 CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. N-L STATE LICENSE NO. TYPE APPLICANT PHONE NO. v 1s ) 7 DATE DEPARTMENT DECISION PERMIT# APPLICATION FOR HVAC PERMIT 4 Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of job jj5— ��g cg2..,, Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER or any fraction thereof ADDRESS OWNERS PHONE# �'G�C ©'- " APPLICANT ( i f..- ON g ADDRESS /G c 5' d c1 S PA ` C- A-01 .� Uj ESTIMATED COST 00 : .: IS THIS A CONTRACT COST? YES NO ray CJ FEE ENCLOSED $ 6 dsOR COS TYPE OF JOB: Original Installation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAL A/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITION RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE_QF INSIDE DIFFERENCE 2�4 TOTAL HEAT LOSS(BTUH) (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY (INPUT-BTUHMM NET RATING (OUTPUT-BTUH)_,?d' aa C� TYPE OF FUEL OIL-GPM GAS-INPUTkf_QQ ELECTRIC-KW OIL TANK SIZE&LOCATION INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY AIR CONDITIONING DESIGN TEMP. OUTSIDE F INSIDE 7 F DIFFERENCE_,!�5F TOTAL HEAT GAIN(BTUH) p-,,Vr Q (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.) TONNAGE- COOLING CAPACITY(BTUHXL�L C d J VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) O j 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 CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. �J v cy?o STATE LICENSE-NO. NAME&TYPE SI E OF APPLICANT PHONE NO. DATE CEII ING' *::, -1 5 n 91000 # Room # Itj I N! 7 5 # J-417 37 375 # 50 F'L L # 45 # 13 SUBTTL BTUH LOSS 47055 1. 1 p14 E, 15 TOTAL IRTUH L.t-lc;S 807360. 5 GROjrS EXPOSED 70 # Tm C 300 # 17800 # 132 17 SENSIBLE BTUH GAINE1 7 "717. 5 55 1R43 PIR 260 # 20 TOTAL RTUH GAIN 3.1 .056.UB5 C,-1 I IT H 95 3 C. # 30 # 27850 # 6LS DRS(HTG) 38 6 WNDOWS& 70 # 2r7,090 # o [ITHEll' PQ t Ll ROOM # 0 C # 3A3 9 N•ET EXPOSED 14ALI S '7 5 3,665 # 2. 838. 5 HTG 80736LI- c CFM i7148— CLG 317056.OE5 HOME OCCUPATION FORM Minor ZEO Approval Date C> / ASSESSOR'S USE ONLY: Major PZC Approval Date Home Occupation Type Expiration Date Code Name /.J�m.'G s•, A 3e/aro�,' �,�A CC*-e Me fir;X GG C Address of proposed occupation: / ,. g e? Scr1 ,.�� „ CT (X O 7y Telephone FCC 6 may—aC 3 7 Zone WL Description of Occupation: Core 1VIel;�-")r +S Ara-J�fSSikk c_/C e22,2 42=56- C007 / ,hG -fir4r7 cleo,-Ca lees -ko Pro�iicf:�,7— 4r�1''2`✓ �r>> �-- der✓.ceS Gs�c✓ 4�/�i�:or�C r /V Ala sole j 'o ��p a PROPOSED SIGN Please use the boxes or an attached sheet to provide the following. 1. Attach copy of plot plan if applicable. l done 2. Use box A (or attach sketch)to draw proposed signage . 3. Use box B (or attach sketch) to draw the floor plan of the home occupation area. 4. Architectural elevations for any proposed additions or modifications must be provided. B. FLOOR PLAN ( Basement —zlst Floor 2nd Floor) Floor area of dwelling,V00 Floor area of home occupation (oU % of floor area 2-57P I have read the regulations regarding home occupations and intend to comply with said regulations. I understand I must notify the Planning Department in writing upon termination of this occupation at this address. Signature of AppUca.nt Date P-Z Aa/4--7600 Signature of Owner ' Date ,;21;2/.-2000 White = Assessor Yellow = Applicant Pink = Street File