HomeMy WebLinkAbout10 Debbie Drive (4)APPLICATION FOR BUILDING PERMITElectric#
Plumbing#
10 DEBBIE DRIVE
HVAC # Date: S Q
No. 22562
Sprinkler#
FINAL APPROVALS Estimated Cost $ tjo O
Building COMPLETE RED BOXED AREAS Permit Fee A D, O o
Engineerin y T TYPE OR PRINT ONLY Occupancy Fee $ 3. 00
Affidavit 5 t,gps SIGN ON REVERSE SIDE
Appr.for CO. Total Fee A
TO BUILDI PARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $ 0 3'1'f
Th undersigned hereby applies to do work according to the following specifications:
Job Locatio Lot No. Side of Street Zone
Applicant Tel.# it ja— 10 2r
Address Zip Lic.# 65:Q6 ,43 6
Own r _ Address AjaAd o
Architecto,Address=
Sq. Ft.N w Area: 1st FI. 2nd FI. [[. i) 3rd FI. Total New Area eTd2 fi
Rooms Lavatories Bathrooms Garages
Purpose of this permit4n"tzArL3,,, J'f
City Waterer Well 0 Septic System 0 Sewer ',L
Us Group Construction Typ -6-B Area OfWC1 / Basem nt !kW7 Garage
Approved by Date Z
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 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 a zone in which this building and its use is allowed.
y
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit
Signed
DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS
Loatm djob AFFIDAVIT
810. o 0AddftfaoaiFie
State of Conaeetioat
Co=tydHastiord
of for baUbg asesad under
UCCW
Permit Yo. ...2?.5 6.2................. issued by the Dept of Budding of the Tawn of South Windsor being dniy Sworn.make oath
and say that the actual cost of the completed work authorized ceder said permit did not exceed the most current ac=pted SCCA
Value of • • • • • • • • • •0•0
S' d Y'`j'.:''. . T r•'T' • . /.
Subscribed and sworn to before me this . .. . . ..l?d'l. . .day of . . A.D. 19 757.
Escimace Cosc$ 86, 800. 00
Difference: S 8 0, 51 7. 0 0 NO P1 lip
Y
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
95-22562-B 80,000
B01 FOOTING 09/06/95 JFF A
B02 FOUNDATION 09/14/95 JFH A
E01 SERVICE 10/05/95 JFF A NOTIFIED NU
P02 UNDERGROUND 10/05/95 JFF A
B05 FIREPLACE/CHIMNEY 10/10/95 JFH A
B03 FRAMING (ROUGH) 10/16/95 JFH D NEEDS TRUSS INFO
P03 ROUGH 10/16/95 JFH A
E03 ROUGH 10/19/95 JFF A
B03 FRAMING (ROUGH) 10/19/95 JFF D CHECK TRUSSES FOR BRACING/BRACES NOT PER SPEC
B03 FRAMING (ROUGH) 10/25/95 JFF D ADD TRUSS BRACING
B03 FRAMING (ROUGH) 10/26/95 JFF A
B04 INSULATION 10/27/95 JFF A
PO4 GAS TEST 11/16/95 JFH A AIR TEST
B10 FINAL 12/13/95 JFH D NEEDS LETTER FOR DECK PIERS
B10 FINAL 12/13/95 JFH A REC'D LTR REQUESTED OK FOR CO (BLDG)
95-9642-P 1,900
95-9363-H 1,900
95-13667-E 3,000
Total Est Value 86,800
Dwelling 2,889 118,217.88
Basement 1,887 23,398.80
Garage 484 6,001.60
Smoke Det 6 450.00
BOCA Value 167,317.16
Difference 80,517.16
F
1
a
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
10 DEBBIE DRIVE LOT_#28 Reviewed By 1)'75P (Engineering)
DART HILL REALTY, INC. Date Reviewed 17,-13perov Denied
658 ELLINGTON ROAD,SOUTH WINDSOR„CT_ Reviewed By Planning)
BP # 22562 Ph_# (203)644-8137 Date Revie 2 3 Approved Denied
Date Submitted OR d 0(f 0rJ211Ai2fzL/1-6
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;
6 Z-s3 s
a. sanitary sewer/semis-system
b. foundation drain
c. electrical & telephone
d. water
e. other
Y 5. Sewer connection charge paid
6. Appropriate certification
7. Bonding
S. Planning & Zoning/
Inland Wetlands Considerations
Sewer Permit No. G
Pavement Excavation No.
COMMENTS:
r
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, C NNECTICUT
10 DEBBIE DRIVE LOT_#24 6EJ ingDARTHILLREALTY, INC. Date Review — nied
658 ELLINGTON ROAD,SOUTH WINDSOR„CT Reviewed By Planning)
BP #_22562_ Ph_# (203)644-8137 Date ReviewL4 5T pprov Denied
Date Submitted 08/25/95 FOR BU LDING PERMIT *****
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:
Appr ed 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" = 40' 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, sanitary9Y
foundation drain at the house and the street
g. Tentative utility location (gas, water,
electric, s 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.)
5. Sedimentation and erosion control
437 6. Special Planning & Zoning, Inland/Wetlands
Vr/ considerations (Plans on file w/Town Clerk)
COMMENTS:
10/27/1997 09: 37 8608700759 INVITATIONS INK PAGE 01
y 7ZTO)
Date: October 22, l 997
To: Mike Cantick
Town of South Windsor
From: Robert and Darlene Goldenthal
10 Debbie Dive
South Windsor, CT 06074
860) 648-2860
Dear Mike:
Per our conversation, we, Robert and Darlene Goldenthal, wiu take full responsibility for
any damage which may occur while using the access located on Dart HW Road, to
construct our pool.
We thank you for allowing us to use this access and for your timely response.
Sincerely,
Robert and Darlene Goldenthal
PERMIT N
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
i0
644-2511 Ext. 230
ate nspector Application must be printed or typed
1 . LOCATION OF JOB "Q
FEE SCHEDULE No . Street
0 - $10000 - 10.00 Floor Apt . No.
Over $1,000 -10.00
2 . OWNERper $1 ,000 orqowethz xzzz &-z9z24-;e
fraction thereof Q- IA?7)3 . ADDRESS S
7
4. APPLICANT :22)
5 , ADDRESS JP19
e4 a.,w jzw
6. ESTIMATED COST $ c3=
7 . IS THIS A CONTRACT COST
Yea, No
8 . FEE ENCLOSED $ O'er
9 . TYPE OF BUILDING :
SIDENTIAL COMMERCIAL
10. TYPE OF JOB:
r19inal Installation
Alteration/Addition/Repair
an 3a 11i88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB Al'o/ J-
N0. STREET APT. NO ,
12 . TYPE OF INSTALLATION p •
13 . SIZE OF MAIN FEEDER
14 . NO . OF LIGHT LOOPS a 15 . NO. OF HEAT LOOPS
16 . NO . OF POWER LOOPS - 17 . NO. OF LIGHT OUTLETS
18 . NO . OF HEAT CIRCUITS / 19 . NO. OF POWER OUTLETS c '
20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS J
22 . NO . OF POWER CIRCUITS Z 23 . NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS --
26 . NO . OF PANELS 1 27 . TOTAL WATTAGE lic)
28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES
30 . A/C LOAD 31. SIZE OF POWER FEEDERS A -
32. NO . OF FIXTURES 33. TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
lc)5012n 2
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: '
PERMIT NO.
DEPARTMENT DECISION
A P P L I C A T I O N F O R
APPLICATION IS HEREBY:
PLUMBING PERMIT
APPROVED DISAPPROVED TOWM OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
644-2511 Ext. 230
DATE PLUMBING INSPECTOR Application must be printed or typed.
1. LOCATION OF JOB:
2. OWNER:
3. ADDRESS:
FEE SCHEDULE
0 - $1,000 - $10.00 4. APPLICANT:
Over $1,000 - $10.00 5. ADDRESS:
per $1,000 or
Fraction Thereof
6. EST. COST: $
7. IS THIS A CONTRACT COST?
YESj&A_4
f/1G
8. FEE ENCLOSED: $ !3ilk
9. TYPE OF BUILDING:
4-- RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB:
GENERAL PLUMBING
12. KIND OF INSTALLATION: 13. SIZE OF MAIN DRAIN -z
14. NO. OF TOILETS)STYL 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS 16A. NO. OF SHOWERS f 17. NO. OF LAVATORIES -
18. NO. OF SINKS / 19. DISPOSAL 19A. DISWASHER r
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 k,ln '
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?
27. SIZE OF WINDOW 2,
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN Z// 31A. SIZES OF WATER PIPING & RISERS ]`
32. REMARKS AND FURTHER DETAILS
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
LICENSE NO. DATE SIGI ATU E OF APPLICANT
PHONE NO.
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE:
NO. TOWN OF SOUTH WINDSOR - EST.COST: /9 O D
BLDC. PERMIT 240. J 1540 SULLIVAN AVENUE FEE
SOUTH WINDSOR, CT 06074 FEES
644-2511 - Ext. 230 0 - $10000 - $10.00
1000 r fraction
LOCATION OF BUILDING '`o260 d thereof - $10.00
r
OWNS ADDRESS TOWN PHONE NO.
L,.,6 4
HVAC CONTRAC R SS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL v
A/C COMMERCIAL
VENTILATION _ BUSINESS _
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT_LBS.
HYDRONI_b--- WARM AIR
UNIT RADIANT HEATER (INCLUDIpG WOOD COAL BURNING STOVE)_
TYPE OF FUEL: OIL-GPM_ GAS T ELECTRIC Kw_
WOOD COAL
OIL TANK - SIZE & LOCATION INSIDE_ OUTSIDE_ CAPACITY_
LPG TANK - CAPACITY
EXISTING RADIATION_ ADDITIONAL RADIATION_ TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE F
TOTAL HEAT LOSS (BTUH) IsHEAT LOSS SHEET MUST A CQ APP ICATION)
DESCRIBE ALL HEATING,EQUIPMENT (INCLUDING MAKE & MODEL N0.): C
7/
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
IF 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 b 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 Sta a of Conn. Build g Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK:
3Uo2367 s 9j C z
STATE LICENSE - NAME b TYPE # DATE S TURE OF APPLICANT
JW-- 12-fa Af
APPROVED DATE
Bo as 11/88
I = B= R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The HYdfOnigs Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE 140 F. DATE
COL.A COL.S COL.C COL.D COL.E CrOL.F - COL.G
1 ROOMcc
Design Water Temp.O H L W H L W H L W H L W H L W g D•
2 ROOM DIMENSIONS,FT. 1- Zd L STUN P F of ofr, M
3 LENGTH EXPOSED WALLS,FT, Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA a 210 v
STUN STUN STUN STUN STUN
5 WALL CONSTRUCTION ROOM LIN.FT.OFTable9,Line 3 x H) D 600 t v U 600 0X0 U TOTALS RADIATION
6 TAPE OF GLASS
V v 0`, goo 19DO
FROM LINE 12 SELECTED
t m of table used for Line 5) U
NG CONSTRUCTION C
4 :die 9,L x W) 0-5 O U DgFLOORCONSTRUCTIONt
Table 9,L x W r Lin.Ft.l r E 0 /0
9' OLD PARTITION CONSTRUCTION F
Table 9,L x H)
G
1() c 1 Wall(With Openings) C 0/Z 3D0 H
S
2 Wall[(With Openings) DX r /9 Z OU LZOU 1 Dv 9eJ3Wens(With Openings)or Ent.Hall
11 -OTAL 8TUH AT 70F TEMP DIFFERENCE' 3oCj 7> 7oG Dd eD
K12O7ALOTUHATDESIGNTEMPDIFFERENCE0DDDFOO00
L
Ou
LA G%CO COL.B COL.H - COL. COL.J COL.K COL.L TO AL BTUH TOTAL
w OF BUILDING RADIATIONQATSELECTED
O H L W H L I W H L W H L W N L W DESIGN TEMP.'
C/2 ROOM DIMENSIONS,FT — U g /G / / J a y Q
DIFFERENCE
Q
3 LENGTH EXPOSED WALLS, FT.9,Q
4 WINDOW AND OUTSIDE ODOR AREA 3iQ-
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION J INCREASE BATHROOM
TOTAL 20%ITable 9,Line 3 x H)
5-
6 TYPE OF GLASS
Gott m of table used for Line 51 ---o
7 CEILING CONSTRUCTION iFOR CON FLOORFLOR ON
GROUND OR FILLTable9,L x W) cos GRADE LEVEL,USE LINEAR
B FLOOR CONSTRUCTION?FEET OF EXPOSED EDGE
Table 9,L x W r Lin Ft.)1
9 COLD PARTITION CONSTRUCTION
Table 9,L x H)
10 :c I Wall(With Openings) o; D/Z / O U 1500
2 Walls(With Openings) n x ,p/ J
3 Walls(With Openings)or Ent.Hall
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' 3 IQ 6 G
1? TOTAL BTUH AT DESIGN TEMP DIFFERENCE 300
This form It available from The Hydronks Institute,35 Russ Place,Berkeley Heights,N.J 07922 FORM 1503
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Aft`*3 136
APPLICATION FOR BUILDING PERMIT
Plumbing# 101 20 10 DEBBIE DRIVE
HVAC #
No. 24740
Sprinkler#
FINAL APPROVALS x Estimated Cost $
Budding DcS Co g COMPLETE RED BOXED AREAS k Permit Fee U
n TYPE OR PRINT ONLY Occupancy Fee $ S
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. ®c5 95 Total Fee 3C)
TO BMW DEPARTMD-4,TOWN OF SOUTH'WHZM CT Additional Cost) S
The undersigned hereby applies to do work according to the following specifications:
Job Location /e D"1414r AIVO- Lot No.-- 4t Side of Street es;" Zone
Applicant Tel.i FO 4-Z3-8'drr
Addr ss i(/ew 13&,Pc.c 3 p AGv l G Lic.# o3 9W Z
Owner &60X GQc o&r-c Address A6 13l C- PALo P ' . WL o s%f ef-
Architect Address
Sq.Ft.N w Area: lst Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit:AIS 174Z G"1104 u (y" 1141(5 Laa swliy,r i s r
Gty Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by 49— Date 0 Use Group CJ Construction Type y -'
R#YbW 1197
I hereby agree to conform to all the requirements of the Laws ofthe State of Connecticut and the Ordinances ofthe Town of
South Windsor and to notify the Building Inspector of any afteration 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 wh' is build use is allowed.
a
Signed
I hereby apply for a Certificate of ncy f described in this applicat' for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
97-24740-B 25,000
B03 FRAMING (ROUGH) 11/05/97 JFF A NEED CHAIRS OR BRICK FOR 2IN CLEARANCE
WILL SUBMIT PHOTOS
PO4 GAS TEST 04/01/98 DCJ A TEST ON UNDERGROUND GAS LINE FOR POOL HEATER
E10 FINAL 04/06/98 DCJ A BONDING AND UNDERGROUND ELEC. O.K.
B10 FINAL 06/09/98 DCJ A APPROVED FOR CO & CLOSEOUT
97-14637-E 2,000
98-10120-P 2,000
DEPARTMENT DECISION PERNIIT#
APPLICATION FOR ELECTRICAL PERMIT
Applitation is hereby:TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
gtAPPROVED 1540 SULLIVAN AVENUE
Z4e 644-2511 ext. 230
Date Building Inspector Application must be printed or typed
Location of job
10 Dphhip Dr.
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt. No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER Mr- & M-rs - g-ObQct Cn1dPnthn11
or any fraction thereof
ADDRESS 10 1F)P-hbi P- Dr.
S. Windsor, CT
OWNERS PHONE# 648-2860
APPLICANT Kariden RIP-r--trin, Tnc--
040 N ADDRESS 64 Field Rd , Siii tp 4T)
CSomers,, T 06071
ESTIMATED COST$ 2,000.00
C `, IS THIS A CONTRACT COST? X
YES NO
IN
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 APPLICATION ASSOCIA H A
RESIDENTIAL BUILDING PERMIT APPLICATIO YE / NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
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 IH HA tv,`r '— c- coo
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED --V C6 'Ttiff f-f
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO
NUMBER OF LIGHT CIRCUITS_L NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES Z_NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES r2-
NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS
SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
a j
6,/-A*_I_ LIca LIS
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WOR4SRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF COUIL
PERFORMANCE OF SUCH WO rfn,
Alan Lanouette 104982 E1LAUt
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
PHONE NO. 7 4 9-4 4 0 6 DATE 10/16/9 7
INSPECTOR ATE TIME l
LOCATION
INSPECTION: CODE: RESULT(D/A) :
BUILDIN :
v 56A,
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7 /
ELECTRICAL: Z j
Of w
PLUMBING:
Z-
HVAC:
OTHER:
r
DEPARTMENT DECISION ownAPPLICATIONFORPLUMBINGPERMIT
Application is hereby:TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPRO 1540 SULLIVAN AVENUE 44-7 14 Lj
644-2511 ext. 230
lop
Date ding Inspector4Uil
Application must be printed or typed41
Location ofjob
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER
or any.fraction thereof
ADDRESS_LQ
OWNERS PHONE#
APPLICANT S -S
N ADDRESS l IS fi
0 2f
ESTIMATED COST$
IS THIS A CONTRACT COST?
Q YES NONow
FEE ENCLOSED $ 242S--
OR-CO TYPE OF JOB:
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
ASSEMBLY CURRENT USE AND OCCUPANCY
MERCANTILE FUTURE USE AND OCCUPANCY Gjot N
EDUCATIONAL
INSTITUTION
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO. OF TOILETS STYLE NO.OF URINALS STYLE
NO. OF BATHTUBS 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 WINDOW 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 MANUFACTURE
TANKS SAFETY DEVICES
TEMPERATURE
CAPACITY RELIEF VALVE
TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE
TYPE MANUFACTURER
DESCRIPTION OF WORK
kiz-1
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.
P
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICAW
PHONE NO. DATE 3
C
G i 9 y 9
t 'Z ebb:
y r T-awn ap S d&U&Otc
1540 SULLIVAN AVENUE • SOUTH WINDSOR. CONN. 06074
osoR-co AREA CODE 203/644-25U
TO: All applicants for inground swimming pools
FROM:John R. Collins, Chief Building Official
DATE:May 16, 1988
SUBJECT: FENCING REQUIREMENTS
All pools are to be totally enclosed by at least some type of
temporary fencing prior to filling the pool. Failure to do so
will result in an immediate order to empty the pool by the
South Windsor Building Department.
I have read this notice and will comply.
04*7
hie Pool Applicant Date
1,6
Wi1
HOME OCCUPATION FORM
Minor ZEO Approval Date ASSESSOR'S USE ONLY:
Major PZC Approval Datey-K Home Occupation Type
Expiration Date Code
Dame DoIlLIm C—i) 1 &nAQt 0-9A Ut if7 y IS l7
Address of proposed occupation: o Dee bb i o
Telephone 6 V*7'a 9(o 0 Zone
Description of Occupation:
J Pro-p.
A. PROPOSED SIGN
Please use the boxes or an attached sheet to provide the following:
1. Attach copy of plot plan if applicable.
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. N 4 1
4. Architectural elevations for any proposed additions or modifications
must be provided.
B. FLOOR PLAN ( Basement 1st Floor 2nd Floor)
Floor area of dwelling
Floor area of home occupation &D
of floor area 6016
I have read the regulations regarding home occupations and intend to comply with said regulations. I understand I
must notify the Planning D me t in writ' up terminati of this occupation at this ad es .
Signature of Applicant Date
Signature of Home Owner Date 7
White = Assessor Yellow = App icant Pink = Street File
DEPARTMENT DECISION lEAPPLICATIONFORHVACPERMITa4
Application is hereby:TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit
APPROVE 1540 SULLIVAN AVENUE
644-2511 ext.230
Date Building Inspector
Application must be printed or typed
Location ofjob
ra 01 R I a 1StreetNo. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER kO6kAT &:;04QfA;7-11A1,
or any fraction thereof
ADDRESS A9 14 DWI Vi
600Tw W,/,,)P6 a P,
OWNERS PHONE#
APPLICANT t"5210 ro6*
0WNS ADDRESS 90 Y, 3 Z OT-jC A)DO
4(
D623
CIO ESTIMATED COST 3
IS THIS A CONTRACT COST?
YES NO
FEE ENCLOSED $
OR-CO E OF JOB:
Original Installation
Alteration/Addition Repair
Revised 11/95
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
J
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 ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
TOTAL HEAT LOSS(BTUH)
HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
TYPE OF FUEL
OIL-GPM GAS-INPUT 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 CAP proTerh
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUL Fuel Oil - Plumbing - Heating - Electrical - Air Conditioning
HARRYJENSEN
ONE CALL DOES IT ALL"
860)742-6999
TOTAL SIZE OF SYSTEM(CFM) F P.O. BOX 329, RTE 6 800)699-SERV(7378)
PLANS MUST ACCOMPANY, ANDOVER,CT 06232 860)871-2873(HOME)
FURTHER DESCRIPTION OF WORK f JU lj r/q t1 A /YID NE D AJ NO - VEu r6 D
NAr i. G s G z 4 NVA!; 7o. ,ppo R r u
of
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.
30 6 o - S-7- o A.)rthct'o4 s
STA LICENSE- O. AME&TYPE G O APPLICANT
PHONE NO. J 7.Z 40,DATE
INSPECTOR G DATE Z TIME
LOCATION
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL:
PLUMBING:
HVAC:
OTHER:
i
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT ri=i #
2AFESK--
Application is hereby:TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
7PRIO 1540 SULLIVAN AVENUE
23 f _
644-2511 ext.230
Date Building Inspector Application must be printed or typed
Location ofjob Q00
149 V E 8A i I R I VK
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 /o DL0614: PR1 Ve
C60, w,.VD5a R#r'• D'(P o
OWNERS PHONE#
APPLICANT
OW S ADDRESS 0• ARY, 329 r• to
Fq
ADo V,EA 7 D 6 3 Z
ESTIMATED COST $ 3D0
C V.
IS THIS A CONTRACT COST?
YES NO
FEE ENCLOSED $ foZr
OR-CO 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 t/
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 F INSIDE F DIFFERENCE F
TOTAL HEAT LOSS(BTUH)
HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
oNE66CAJ V09 14Nd .0 (A)SaRVER A09r. G.45 60.yoo 4ry j4. Teo oG
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
TYPE OF FUEL
OIL-GPM GAS-INPUT 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
AN S
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
0CaurR.44r,P4 PERFORMANCE OF SUCH WORK.
306 a --5-r A&W &AWW,
STATE LICENSE-NO. N E SI OF APPLICANT
PHONE NO. DATE eP.L ' 1"ff
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR
PERMIT#
Application is hereby: 1-7OgBUILDINGDEPARTMENT
ROVE 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
ate Building Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS
APPLICANT PHONE#
OWN S OWNER1rT"
q< OWNER ADDRESS
T g
r-.
OWNER PHONE 5I,
C ESTIMATED COST$
r 5b O
U
IS THIS A CONTRACT COST? 0 Yes 0 No
FEE ENCLOSED$
TYPE OF JOB:
SOR&C 0 New Installation
it Alteration/Addition/Repair Revised 8/99
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? YES NO
RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY
EDUCATIONAL
INSTITUTIONAL ENGINEER'S NAME PHONE
FACTORY
STORAGE ADDRESS
GARAGE
MIXED USE CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBNHTTED.
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.
6Pvwoer'
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby:
TOWN OF SOUTH WINDSOR I 100-1
BUILDING DEPARTMENT
App O 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230 n& _
ate Building Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE Lki¢, Dri{,
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANTo men 7f a,1
APPLICANT ADDRESS
Sou-fjl
APPLICANT PHONE#
001 OW N S At
OWNER
OWNER ADDRESS An-,-e_
OWNER PHONE s
0
C ESTIMATED COST$ 6 23 O
IS THIS A CONTRACT COST? O Yes 0 No
FEE ENCLOSED$
TYPE OF JOB:
Roc 0 New Installation
Alteration/Addition/Repair Revised 8/99
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL
BUILDING PERMIT APPLICATION? YES NO
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY
EDUCATIONAL
INSTITUTIONAL ENGINEER'S NAME PHONE
FACTORY
STORAGE ADDRESS
GARAGE
MIXED USE CITY STATE ZIP
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO.OF TOILETS STYLE NO.URINALS STYLE
NO.OF BATHTUBS 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 WINDOW 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 MANUFACTURER
DESCRIPTION OF WORK
Plo.,A2(n o f', sham --- w4n4n
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.
1 6-,p 0 W A e"-
CONTRACTORS LICENSE NO. TYPE STATE
FSIGNATUREOFAPPLICANT DATE
D
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South Windsor
BUILDING DEPAR i tiIf_N C-
TO THE BUILDING DEPT. TOWN OF SOUTH WiNDS0,
This certified that this plan and specifications are tru
copies of the proposed building or alterations to b•
efected at
atQr.. ..a , , Stn•,
together with amendments stated in application x
Piled with plan and I agree to comply with all zonin
Building and state laws and such orders as shall P
issued by the Building Department during pendent
if this applica ion and f' al i nce of a buildin,
permit.
Signed
This plan is approved subject to the condition that
orders and ordinances regulating building shall be
complied with.
Conditionally Approved These filed with
Building inspectot Ple J1
RMS Pig
CERTIFICATON off` ZONING COMPLfANCE
Proposed bu;4lding(s), use's) and/or structure(s)
s shown on this p!an appear(s) to be in
nfiorniance vi'th current "nt it h V ind
gulations. Vat iances and special exceptioi
Tay apply.
ate s
ins _ _orQemWt Offj= -
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