HomeMy WebLinkAbout103 Gilbert Laneeectric#7 5-1 APPLICATION FOR BUILDING PERMIT
Plumbino# /U 9-17 103 Gilbert Road
WAC # 02 A/C Date:
Sprinkler# No. 28247
FINAL APPROVALS Estimated Cost $
Building COMPLETE RED BOXED AREAS Permit Fee S ®o
En0" i"9 TYPE OR PRINT ONLY Occupancy Fee DaAffidavit
SIGN ON REVERSE SIDEAppr.for CO.Total Fee i, S'ba. Do
TO BIALDM DEPARTMENT,TOWN OF SOUTH WNDSOR,CT Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Job Location A1 Lot No.- !Z9 _Side of Street_Zone
Applicant Tel# &Y f= e,, 4 3
Address Zip Lic.# ," b"/
Owner Address
Architect Address
Sq. Ft.New Area: 1st FI, 2nd FI. f0 J 3rd Fl. Total New Area a2 39
Rooms 'l Lavatories Bathrooms 94 Garages r,1J
r
AUPurposeofthispermit:&nd4 f7 jil; V 11JA
City Water.&, Well Septic System Se
Ins. H.O. S.P. Cert. V Area _2 4 rage60
Approved by Dat C o Use Group Construction Type SO
Revked 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 or specifications ofthe 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 which this building and its use is allowed.
Signed 4:)•
I hereby apply for a Certificate of Occupancy for the work ascribed in this application for the permit.
Signed
DO NOT WRITE BELO THIS LINE
INSPECTION COMMENTS
Location of Job:AFFIDAVIT Additional Fee$ 169 . 00
State of Connecticut
ss.South Windsor
County of Hartford
Owner
I of p yC.Xgent for the building erected
Contractor
under Permit No. 28247 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 authorized under said permit did not
exceed the most current accepted BOCA value of$ 14 3, /3 7 .
Signed
Subscribed and sworn to before me this day of A.D.20
t
t d Cost$ 131 , 250 .
ifference: $
12, 487 .
Notary Public
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28247-B 115,000
B01 FOOTING 11/13/01 CJD A W/CONTRCT
B02 FOUNDATION 11/19/01 CJD A LEFT TICKET-GRAY SPRAY
P02 UNDERGROUND 12/05/01 CJD A LEFT TICKET
E01 SERVICE 12/13/01 JFF A WITH ROGER OK TO RELEASE TO NU
E02 UNDERGROUND 12/20/01 CJD D NO COVER, TAPE
B03 FRAMING (ROUGH) 01/02/02 JFF A WITH ROGER RECEIVED MICRO AN TRUSS SPECS
P03 ROUGH 01/02/02 JFF A WITH TIM WATER AN VENT
E03 ROUGH 01/04/02 CJD A 1ST FLOOR BTH.RM./LAUNDRY ROOM. WSHMCH.OUTLET
MUST BE SNGL.OUTLET RECPT.RATED O20AMPS,GFIBL
B04 INSULATION 01/07/02 CJD A W/ROGER
PO4 GAS TEST 01/22/02 CJD A W/PLUMBER
10887-P 3,000
11271-H 5,400
11258-H 3,000
17518-E 4,850
Total Est Value 131,250
Dwelling 2,476 119,541.28
Basement 1,161 16,486.20
Garage 506 7,185.20
Smoke Det 7 525.00
BOLA Value 1 , 7.68
12Difference12,48487.68
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SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
103 GILBERT LANE LOT_#78 Reviewed By e,4 ring)
CLARK REALTY, INC. Date Reviewed D6 oz- rove Denied
658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By Planning)
BP_#_28247_ Ph_#_(860)528-6054 Date Reviewed prov d/Denied
Date Submitted 00/00/00 FOR C of 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/se system
b. foundation drain
c. electrical & telephone
r/ d. water
7 e. other
V/ 5. Sewer connection charge paid
7/ 6. Appropriate certification
7. Bonding
8. Planning & Zoning/
Inland Wetlands Considerations
A. Lighting
B. Signage
Freestanding Wall
C. Fee in lieu of Open Space
Sewer Permit No. 73.7
Pavement Excavation No.
COMMENTS:Z Ic n t L j,//,S
NED1/(r C i i S vo L ,Q.00/•v6 l//e s'C i vC w. `
w
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
103 GILBERT LANE LOT_#78 Reviewed By 9eerin )
CLARK REALTY, INC. Date Reviewed /`p pro d/Denied
658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed Planning)
BP #_28247_ Ph_#_(860)528-6054 Date Reviewed I-3 01 p Denied
Date Submitted 10/09/01 FOR BUILDING PtRMZZT ** **
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:
Appro 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, street address.
LIX
4. Plot Plan at 1" = 40' scale
z a. Subdivision reference, abutting properties, etc
L/ b. Easements of record
i/ c. Lot description, bearings, building linesP59
distances, area, etc.
Y/
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate
v e. Building location with dimensions.
Elevations of proposed finish floor, garage
floor & centerline of road at driveway
I / nC,t_ /'=v/((6 ff'f wed a l c i
f. Elevations of gravity drainage systems, sanitary
foundation drain at the house and the street
g. Tentative utility location (gas, water,
electric etc.)
h. Title block with name and address of re arerPP
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements. (P.E. & L.S.)
5. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS:
0a
OVCAJIW Lit
1^A NNED
i
MENT DECISION AL PERMIT PERMIT#DEPART APPLICATION FOR ELECTRIC
Application is hereby:TOWN of SOUTH WINDSOR i
Bldg Permit#BUILDING DEPARTMENT g 1
APPROV 1540 SULLIVAN AVENUE I
l
644-2511 ext.230 0 f
Date Building Inspector Application must be printed or typed
Location ofjob
Q3 /r3
Street No. Street Lot No.
FEE SCI-IEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER
or any fraction thereof
ADDRESS
F Aw;
OWNERS PHONE# i2
APPLICANT
ADDRESS O s ,/9''`''L[-tOWNSF,4
ESTIMATED COST S
C '. IS THIS A CONTRACT COST?
V YES NO
FEE ENCLOSED $
OR-CO 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
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
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED elFL J LZt
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES 01)
NUMBER OF LIGHT CIRCUITS i NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS 25
NUMBER OF LIGHT FIXTURES
V NUMBER OF HEAT'CIRCUITS* 0 NUMBER-OF A/C CIRCUITS" ''`'°•
J
SEPERATE BEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
f
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 UILDING CO THE
PERFORMANCE OF SUCH WORK. /
Le
NAME STATE LICENSE NO. TYPE SIGNA OF APWQANT
PHONE NO. 'T/"'` ATE // /
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bld Permit#
APPROVE 1540 SULLIVAN AVENUE a
644-2511 ext. 230
Date Building Inspector Application must be printed or typed
Location ofjob
C, 0,Y-1 c-,
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER
or any fraction thereof
r
ADDRESS S 1
o,
x pOWNERSPHONE# UA
APPLICANT
OWNN St. ADDRESS
4
S
Cn ESTMATED COST$ C
C IS THIS A CONTRACT COST?
YES NO
c)0
FEE ENCLOSED $
XX
TYPE OF JOB:OR-Co TYPE OF
Alteration/Addition/Repair
Revised 10/96
APPLICATION FOR PLUMBING PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH
BUILDING PERMIT APPLICATION YES AORESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCYASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL
INSTITUTION
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION I Z S SIZE OF MAIN DRAIN 1
NO. OF TOILETS_STYLE - NO. OF URINALS STYLE
NO. OF BATHTUBS NO. OF SHOWERS , NO. OF LAVATORIES
NO. OF CONDUCTORS 1—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 WIND S/NO
SIZE OF WINDOW 2- (2 IF NONE C.F.M. OF VENTILATOR
SIZE OF DUCTS SEWER R SEPTIC TANK
3SIZEOFWATERMAINSIZEOFWATERPIPING&RISER
WATER BEATER
TYPE 0-.J MANUFACTURE Q--
TANKS SAFETY DEVICES
TEMPERATURE
CAPACITY l C c` RELIEF VALVE
TEST PRESSURE 2-% WORKING PRESSURE M-0 PRESSURE RELIEF VALVEN'At
TYPE— T—- MANUFACTURER U}S
DESCRIPTION OF WORK
q
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.
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
PHONE NO. DATE \2 0 Uy
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
Application is hereby:TOWN OF SOUTH WINDSOR
PERMIT#
BUILDING DEPARTMENT
AP 1540 SULLIVAN AVENUE Bldg.Permit#644-2511 ext. 230 C2 8Q,
Date Building Inspector
Application must be printed or typed
3 Location of Job:FEE SCHEDULE j
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT pe g k.a\ Q
APPLICANT ADDRESS q 1 V\ (.
APPLICANT PHONE#
OW N Se OWNER
q OWNER ADDRESS
OWNER PHONE
0 ESTIMATED COST$
IS THIS A CONTRACT OST. & es 0 No
FEE ENCLOSED$ 3
TYPE OF JOB:SpR.CO
O'Origmal Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUILDING:
SEATING RESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
EJ'HYDRONIC WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
c Cam- - c
GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) l
TYPE OF FUEL
ID OIL—GPM0 GAS—INPUT ELECTRIC—KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
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 2 Z c)Y-, e
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.
0 CA
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE 2: C5
j B= R CALCULATION SHEET 1503 (Modem Method) co.,./.M 1 77 ter The 04ve.enlc.In,tltVt.
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0 frown Tw•t"IrAr nkI IMntYta.36 RVwo Ilata,ia tMaT NalRna.N J 07922 FORM 1303
DERTMENT DECISION APPLICATION FOR HVAC PERMIT
plication is hereby:TOWN OF SOUTH WINDSOR
PERMIT#"
BUILDING DEPARTMENT
1540 SULLIVAN AVENUE Bldg.Permit# .low
644-2511 ext. 230 02 02
bate Building Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE 1,.Ale-
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS
S//& el/l;vdso5k- o 721
APPLICANT PHONE# 2 - z Z P
O%N S, OWNER s- If T
q OWNER ADDRESS
Q E'A OWNER PHONE
ESTIMATED COST$
vt IS THIS A CONTRACT COST? ff es 13 No
CJ FEE ENCLOSED$
TYPE OF JOB:
OR*C
ew Installation
13 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUILDING:
HEATING RESIDENTIAL
AA/C COMMERCIAL
VENTILATION INDUSTRIAL
EATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
RONIC WARM AIR UNIT RADIANT HEATS
EXISTIN DIATION ADDITIONAL RADIATION TO RADIATION
DESIGN TEMP. UTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS F(HEAT LOSS SHEET ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQ NT(INCL G MAKE&MODEL NO.)
GROSS HEATING CAPACITY(I T—BTUH) NET G(OUTPUT—BTUH)
TYPE OF FUEL
OIL— OIL TANK LOCATION:INSIDE OUTSIDE CA ITY
INPUT LPG TANK CAPACITY ELECTRIC—K
AIR CONDITIONING
DESIGN TEMP.OUTSIDE_OF INSIDE_7O OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH)Z HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
4_Z
GC_
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 PERFOfd4 THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE O
RIGHT-J LOAD AND EQUIPMENT SUMMARY
Entire House
z
R & E Heating & Cooling Inc. Job:243-078 103 Glib rt
Lane 1-4-02
310 Nutmeg Rd.South,South Windsor,Ct 06074 Phone:860-282-7782 Fax:860-282-7701
ct Information
For: JMJ Construction
658 Ellington RD, South Windsor, Ct 06074
Notes: 243-078 103 Gilbert Lane
Design Information
Weather: Hartford, Brainard Field, CT, US
Winter Design Conditions Summer Design Conditions
Outside db 6 OF Outside db 88 OF
Inside db 70 OF Inside db 70 OF
Design TD 64 OF Design TD 18 OF
Daily range M
Relative Humidity 50 %
Moisture difference 38 gr/lb
Heating Summary Sensible Cooling Equipment Load Sizing
Building heat loss 0 Btuh Structure 45925 Btuh
Ventilation air 0 cfm Ventilation 0 Btuh
Ventilation air loss 0 Btuh Design temperature swing 3.0 OF
Design heat load 0 Btuh Use mfg. data n
Rate/swing multiplier 0.93
Infiltration Total sens. equip. load 42710 Btuh
Method Simplified Latent Cooling Equipment Load Sizing
Construction quality Average
Fireplaces 1 Internal gains 920 Btuh
Ventilation 0 Btuh
Heating Cooling Infiltration 3819 Btuh
Area(ft2) 0 2782 Total latent equip. load 4739 Btuh
Volume(ft3) 0 22256
Air changes/hour 1.4 0.4 Total equipment load 47449 Btuh
Equiv.AVF(cfm)238 149
Heating Equipment Summary Cooling Equipment Summary
Make n/a Make Heil
Trade n/a Trade Heil
n/a Haco48
Fc8
Efficiency n/a Efficiency 10.0 EER
Heating input 0 Btuh Sensible cooling 336000 Btuh
Heating output 0 Btuh Latent cooling 144000 Btuh
Heating temp rise 0 OF Total cooling 480000 Btuh
Actual heating fan 1600 cfm Actual cooling fan 1600 cfm
Heating air flow factor 0.000 cfm/Btuh Cooling air flow factor 0.035 cfm/Btuh
Space thermostat Load sensible heat ratio 91 %
Printout certified by ACCA to meet all requirements of Manual J 7th Ed.
44- wngtlitsoft Right-Suite ResidentialTM 5.0.28 RSR27412 2002-Jan-04 09:16:55
AM CAMy Documentswrightsoft HVAC\243-078 103 Gilbert Lane.rsr Page 1
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