HomeMy WebLinkAbout1 Chapman Circle6ec'tric# APPLICATION FOR BUILDING PERMIT
Plumbing# ICC57 1 CHAPMAN CIRCLE
HVAC #4 24677 Date: -a3
Sprinkler#ram.
FKAPPROVALS 3 Estimated Cost o-ary
Building a COMPLETE RED BOXED AREAS Permit Fee
Fnginootg j TYPE OR PRWT ONLY Occupancy Fee $ S
Affidavit SIGN ON REVERSE SIDEAppr.for CO. 57 Total Fee 904<
00-
TO BULDW DEPARTMWT,TOWN OF SOUTH WNDSOR,CT Gadditional Cost) $ 5'1016!U2
The undersigned hereby applies to do work according to the following specifications:
Job location /CAa.D/12A,^- Lot No._L1 Side of Street Zoned
Applican S cz-TG. Tel# 99 705-5-
Addr ss Zips 02 lic.#
Owner r,,....c Address
Architect jt!±,Address eFokw%t
Sq.Ft.N w Area: 1st FL (o - 2nd FL 6 S Y 3rd FL Total New Area /3S 1
Rooms o Lavatories 2 Bathrooms 12 Garages
U";Purpose of this permit: Pam/, CAM` 11 t/t1G Ulr
City Wate Well Septic System Sewer
Ins. H.O.— S.P. Cert. Area Basement c/ Garage 2-66
Approved by R— Date Use Croup Xf Construction Type
RwiW V97
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 be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in whic is building and its use is Mowed.
C.
Signed
I hereby apply for a Certificate of Occupancy for the work described in t is application for the permit.
Signed
D NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Location of Job: AFFIDAVIT Additional Fee S 7 2 . 0 0
State of Connecticut
ss. South Windsor
County of Hartford
N
Own r
ToI 0 D I r l A ev ('"c of 14' t N gent the building erected
ontractor
under Permit No. 2 4 6 7 7 issued by the Building Department of the Town of South Windsor being
duly sworn,make oath and say that the actual cost of the completed work;au and said permit did not
exceed the most current accepted BOCA value of S 91 , 4 0 4 . 0 0 .
Sign
Subcribed and sworn to before me this / day of A.D. 19
Estimated Cost S R r 'RAIL
Difference: S 5,604 . 00
Notary Public
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
97-24677-B 75,000
B01 FOOTING 09/26/97 JFH A
B02 FOUNDATION 10/02/97 JFF A
E01 SERVICE 10/21/97 JFF A NOTIFIED NU
P02 UNDERGROUND 10/21/07 JFF A
B03 FRAMING (ROUGH) 10/23/97 JFF A
E03 ROUGH 10/23/97 JFF A
P03 ROUGH 10/23/97 JFF A
B04 INSULATION 10/24/97 RAN A
PO4 GAS TEST 11/14/97 RAN A PIPING & TEST OK
B10 FINAL 12/16/97 DCJ A APPROVED FOR CO (BLDG)
97-10037-P 6,000
97-9920-H 2,000
97-14613-E 2,800
Total Est Value 85,800
Dwelling 1,673 68,459.16
Basement 696 8,630.40
Garage 264 3,273.60
Smoke Det 7 525.00
BOCA Value 91,403.62
Difference 5,603.62
Q
12-
11
17,pq)4
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
1 CHAPMAN CIRCLE LOT_#17 Reviewed E eering)
MANNARINO BUILDERS INC. Date Reviewed z r':r /Denied
1169 ELLINGTON ROAD,SOUTH WINDSOR,CT_ Reviewed By lanning)
BP_# 24677 Ph 860)289-7055 Date Reviewe 7 77-'e Denied
Date Submitted 12/10/97 FOR C 0 *****
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
5. Sewer connection charge paid
6. Appropriate certification
7. Bonding
8. Planning & Zoning/
Inland Wetlands Considerations
Sewer Permit No.
Pavement Excavation No.
P
1
COMMENTS:
c
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
1 CHAPMAN CIRCLE LOT_#17 Reviewed By Engineering)
MANNARINO BUILDERS INC. Date Reviewed Denied
1169 ELLINGTON ROAD,SOUTH WINDSOR,CT_ Reviewed By Planning)
BP_#_24677 Ph_#_(860)289-7055 Date Reviewed Approv d/Denied
Date Submitted 09/23/97 FOR BUILDING PE
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 1" =scale
ZO
a. Subdivision reference, abutting properties, etc
T
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.)
rv1 L 5. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS:
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERNIIT#
1 L4 16 12..;,
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE FLI L-7-7
644-2511 ext.230A2
Date Building Inspector
Application must be printed or typed
Location ofjob
C&2cz Z
Street N7. 1 F o. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $11,000
12.00 per$1,000 OWNER
or any fraction thereof
ADDRESS
OWNERS PHONE#
APPLICANT 7—
ovi K $t4 ADDRESS 5-70
V, <
ESTIMATED COST$
IS THIS A CONTRACT COST? —AZ
YES NO
CI FEE ENCLOSED $
OR.CO ME OF JOB
Original Installation
Alteration/Addition Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATIONVASSOCIATED TH A
RESIDENTIAL BUILDING PERMIT APPLICATION YES '/ NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCY ' f. %`" •-
INSTITUTIONAL
FACTORY
STORAGE ENGINEER'S NAME PHONE
GARAGE
MIXED USE ADDRESS
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS ( NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YE /NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS 2--
NUMBER OF SWITCHES SL! ,NUMBER OF OUTLETS TC)
NUMBER OF LIGHT FIXTURES
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. J ', DATE le /-
INSPECTOR(/ DATE' CDL' TIME N1
f LOCATION
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL: U
PLUMBING:
HVAC:
OTHER:
DEPARTMENT DECISION PERMIT#
APPLICATION FOR PLUMBING PERMIT
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE 24Ln-7 .
T7
644-2511 ext. 230E4
Date Building Inspector Application must be printed or typed
Location ofjob
7
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt. No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER
or any fraction thereof
ADDRESS J
CT 7 Y
OWNERS PHONE# )L
APPLICANT 5L
ADDRESS
cluJkC;
000ESTIMATEDCOST$ 0 ()
C IS THIS A CONTRACT COST?
YES NO
1 =- C FEE ENCLOSED $00
f
r.
s• TYPE OF JOB:R C 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 / NO
RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCYASSEMBLY
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
NO. OF TOILETS_STYLE NO. OF URINALS STYLE
NO. OF BATHTUBS I _NO. OF SHOWERS NO.OF LAVATORIES
NO. OF CONDUCTORS SIZE NO.OF STACKS SIZE '
AREA OF ROOF NO. OF CATCH BASINS NO.OF FLOOR DRAINS
NO. OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDO YES NO
SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER
TYPE ( G • MANUFACTURE
TANKS SAFETY DEVICES
TEMPERATURE
CAPACITY r l G' RELIEF VALVE
TEST PRESSURE WORKING PRESSURE 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.
7))C/ /, I e,
e I
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
PHONE NO. s-G " Z:>7,DATE l O '/G —,y 7
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT P14UA014
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVE 1540 SULLIVAN AVENUE m-7-1
M 644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
Location ofjob
C7
Street No. Street Lot No.
FEE SCHEDULE
0 - $1,000 - $12.00
Floor Apt. No.
Over $1,000
12.00 per$1,000 OWNER 11Nv-
F
or any fraction thereof
ADDRESS
OWNERS PHONE#
APPLICANT CSC I
N ADDRESS
09
V..••
o
CT
ESTRAATED COST $
C)
IS THIS A CONTRACT COST
YES NO
FEE ENCLOSED $
OR-CO TYPE OF JOB:
Original Installation
Alteration/Addition Repair
Revised 11/95
APPLICATION FOR HVAC PERMIT(Continued from rcvcrsc 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 ZWARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADI4TI.PN /c7Q_
DESIGN TEMP. OUTSIDE T INSIDE 'a DIFFERENCE ,VO F
TOTAL HEAT LOSS(BTUH)
HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
0,Z 6_k L)c
GROSS HEATING CAPACITY (INPUT-BTUH)7 S NET RATING (OUTPUT-BTUH) S~
TYPE OF FUEL
OIL-GPM GAS-INPUT Ee ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
TOTAL HEAT GAIN(BTUH)
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
TONNAGE COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF 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.
STATE LICENSE-NO. NAME&TYPE SIGNATURE OF APPLICANT
PHONE NO. 5'/ 7:1 y 17!7 DATE /, b j.-JS' '5? '7
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