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HomeMy WebLinkAbout114 Cody Circle (2)Electric# 374J 114 CODY C I RCL APPLICATION FOR BUILDING PERMIT Plumbing# HVAC # C44U Date: 0/62 Sprinkler# No. 227 FINAL APPROVALS Estimated Cost Building .j/z9 -b COMPLETE RED BOXED AREAS Permit Fee Engineering 312.W TYPE OR PRINT ONLY Occupancy Fee $ Affidavit r SIGN ON REVERSE SIDE Appr.for CO. cl JA 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 Locatioil 14 C Lot No_Side of Street Zone-2 Applicant Tel. # i' Address p ic.# Owner Address Architect Address Q Sq. Ft.New Area: 1st FI. 2nd FI. 3rd FI. Total New Area Rooms Lava ries I Bathroo s Garages RQPurposeofthispermit: co sun 0 Sik City Water Well C1 Septic System Sewer Us Group K Construction Type K15 Area Bas m nt 9'Z Garage 3 Approved by JR. Date L'l R•w..d 6/95 yY I hereby agree to conform to all the requirements of the Laws of the Slate 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 n which this budding and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in t placation for the permit Signed DO NOT WRITE BELOW T LINE -- INSPECTION COMMENTS Location of Job: AFFIDAVIT Additional Fee$ 17 0 . 0 0 State of Connecticut ss.South Windsor County of Hartford CIPKx- Re,;L, I S of Agent for the building ere ed Contractor under Permit No. 22743 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 S 9 5 A 5 8 3 .0 0 . Sign Subcribed and sworn to before me this day of ONA rC c A.D. 19 -1 Estimated Cost$ 7 R 8 0 0 . 0 0 Difference: $ 1617 8 3 .0 0 v otary Public 3 Inspection / Approval Dat By Appl Cod Description Due Whom Code Comment 95-22743-B 72,000 B02 FOUNDATION 11/20/95 JFH A P02 UNDERGROUND 12/05/95 JFF A E01 SERVICE 12/11/95 JFH A RELEASED B03 FRAMING (ROUGH) 12/29/95 JFH D NOT READY P03 ROUGH 12/29/95 JFH A B03 FRAMING (ROUGH) 01/04/96 JFH A E03 ROUGH 01/04/96 JFH D NOT DONE B04 INSULATION 01/04/96 JFH D NOT READY E03 ROUGH 01/08/96 JFH A B04 INSULATION 01/10/96 JFH D NOT READY B04 INSULATION 01/11/96 JFH A PO4 GAS TEST 02/01/96 JFH A AIR TEST B10 FINAL 03/26/96 JFH D NOT READY 810 FINAL 03/29/96 JFH A REINSPECTION APPROVED FOR CLOSEOUT & CO 95-9669-P 1,900 96-9428-H 1,900 95-13763-E 3,000 Total Est Valu 78,800 Dwelling 1,654 67,681.68 Basement 792 9,820.80 Garag 535 6,634.00 Smoke Det 6 450.00 BOCA Value 95,582.72 Difference 16,782.72 -t'9&' 1 1710 SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 114 CODY CIRCLE LOT_#12 Reviewed By tent• (Engineering) CLARK REALTY, INC. Date Reviewed ' rov /,v--,..i si/ v 'a.s 658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By Planning) BP # 22743_ Ph # (203)528-6054 Date Review 7 a 9L Approv /Denied Date Submitted 10/23/95 FOR o 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 sjsr s-L v ,E4 d O.d•''! building permit plan Si 3. Site work; i.e. trees, shrubs, s>.4isHc b dumpsters, required parking i i/y >v.P 4. Utility location; a. sanitary sewer/septic system is C S press/d j/ .Pf O tvP O / b. foundation drain r2SIS c. electrical & telephone d. water e. other 0 p&W.S 5. Sewer connection charge paid 6. Appropriate certification PC 7. Bonding a-1 8. Planning & Zoning/ Inland Wetlands Considerations Sewer Permit No. >a6a Pavement Excavation No. COMMENTS: SITE COMPLIANCE CHECKLIST tl ill y to of SOUTH WINDSOR, CONNECTICUT 3-eCODY CIRCLE LOT_#__Z_o?e Reviewed By /, i Umnal,eering) CLARK REALTY, INC. Date Reviewed /O'-46 pprov /Denied 658 ELLINGTON ROAD,SOUTH WINDSOR,CT_ Reviewed By,Planning) BP_#_22743_ Ph #_(203)528-6054 Date Reviewjw/o dLa qx pprov /Denied BDateSubmitted10/23/95 FOR IL ING 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: Approved Denied N/A 1. Name, address & phone number of owner/applicant 2. Name, address & phone number of plan preparer 1412 3. Zoning Information - i.e. zone, open space, 67 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, sanitary foundation drain at the house and the street g. Tentative utility location (gas, water, electric, septic system, etc.) v 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 6. Special Planning & Zoning, Inland/Wetlands considerations (Plans on file w/Town Clerk) COMMENTS: PERMIT a DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT.APPROVED DISAPPROVED 1540 SULLIVAN AVENUE Z G ite— 644-2511 Ext . 230 a e Building Inspector Application must be printed or typed 1 . LOCATION OF Lam-' 2- FEE $CIIEDULE No • ttreet 0 - $19000 - 10.00 Floor Apt , No. Over $1v000 - 10.00 per $1 ,000 or 2 . OWNER L fraction thereof 3. ADDRESS Z S Z/G101\/ /C,/ 60 -co r v oso - 060 71 4. APPLICANT M 5. ADDRESS —u 6. ESTIMATED COST $ 7. IS THIS A CONTRACT COST Yee No S. FEE ENCLOSED $ 3 '-a-o Lj 7 4-3 9. TYP BUILD C: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: Original Installation Alteration/Addition/Repair RD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB l6r 7 d 7r /J 4 q C' , /z NO. STREET APT. NO , 12 . TYPE OF INSTALLATION d 4 13 . SIZE OF MAIN FEEDER L 14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS r— 16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS_ 18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS o2 20. NO. OF CONVENIENCE OUTLETS t-) 5-21. NO. OF HEAT CIRCUITS 22 . NO. OF POWER CIRCUITS_ 23. NO. OF LIGHT CIRCUITS_ 24. SIZE OF HEAT CIRCUITS t 25 . NO. OF MOTORS_ 26 . NO . OF PANELS 27 . TOTAL 'WATTAGE_!C W 28 . NO . OF POWER FEEDERS ' 29 . NO. OF SWITCHES_ 30. A/C LOAD 31. SIZE OF POWER FEEDERS -*64I_ 32. NO. OF FIXTURES 33. TOTAL HORSEPOWER 34. NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER: 07 y7a-d emo from TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR, CONN. 06074 I TO M-W Electric P. 0. Box 145 DATE 1/24/96 Vernon, CT 06066 L FOLD- SUBJECT: STREET ADDRESS NUMBER C13ANGED MIKE: THIS IS TO NOTIFY YOU THAT DOT 12 FCR CODY CIRCLE SOUTH WINDSOR CT. SHOULD BE #114 (Not #14) AS ORIGINALLY LISTED IN YOUR PERMIT # 13763 ISSUED 12/06/95. SORRY FOR THE ERROR. CORINNE MURRAY SOUTH WINDSOR BUILDING DEPARTMENT By INS ECTQR DATE 12- I TIME /9 LOCATION b r 12,rook 4 INSPECTION: CODE: RESULT(D/A) : BUILDING: ELECTRICAL: p PLUMBING: HVAC: OTHER: PERMIT NO. 0q 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. J 644-2511 Ext. 230 AT PLUMBING INSPECTOR Application must be pri l typ Zy 1. LOCATION OF JOB: C21 2. OWNER: 3. ADDRESS: FEE SCHEDULE 0 - $1,000 - $10.00 4. APPLICANT: U Over $1,000 - $10.00 5. ADDRESS: per $1,000 or Fraction Thereof 6. EST. COST: $ Gf Q(7 7. IS THIS A CONTRACT COST? YES 8. FEE ENCLOSED: $ D , 9. TYPE OF BUILDING: 743 ESIDENTIAL COMMERCIAL 10. TYPE OF JOB: I%6RIGINAL ALTERATION INSTALLATION ADDITION REPAIR BD 2A 11/88 APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side) 11. LOCATION OF JOB: y GENERAL PLUMBING 12. KIND OF INSTALLATION: , a 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS STYLE 15. NO. OF URINALS STYLE 16. NO. OF BATHTUBS 16A. NO. OF SHOWERS /17. NO. OF LAVATORIES 18. NO. OF SINKS 19. DISPOSAL 19A. DISWASHER 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 !O ' p 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOW X - 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK? ilf` 31. SIZE OF WATER MAIN 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 C52 J d LICENSE NO. DATE 61 SIGNATURE OF APPLICANT PHONE NO. J 3 FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: NO. TOWN OF SOUTH WINDSOR EST.C*:.. o BLDC. PERMIT NO. 227 43 1540 SULLIVAN AVENUE FEE SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 0 - $19000 - $10.00 1000 or fraction LOCATION OF BUILDING 0z Z'lk 40N thereof - $10.00 OWN ADDRESS TOWN PHONE N0. HVAC CONTRA R ADDRESS TOWN PHONE NO. TYPE OF SYSTEM: HEATING t1- TYPE OF BUILDING: RESIDENTIALA/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS., HIGH PRESSURE LIMITS. HYDRONI__ WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD COAL BURNING STOVE)__ TYPE OF FUEL: OIL-GPM_ GAS IN-PUT ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE OUTSIDESIDE CAPACITY LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION_ DESIGN TEMP. OUTSIDE jQ OF INSIDE 'F IIFERENCE'F TOTAL HEAT LOSS (BTUH)2 7pd HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATIN EQUIPMENT (INCLUDING MAKE & MODEL NO.): le-,, ",' O D GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING OUTPUT-BTUH) IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE_OF INSIDE OF DIFFERENCE F TOTAL HEAT GAIN (BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MARE & 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 State of Conn. Buildin Oes in the performance of such work. FURTHER DESCRIPTION OF WORK: r 0 3 K. 7 cS STATE LICENSE - NAME & TYPE # DATE 4XGNATURE OF APPLICANT APPROVED DATE I = 8= R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronks Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL.A COL.S COL.C COL.D COL.E COL.F COL. It G 1 ROOM d//9 7// l.v/t 7 Z C O H L W N L W H L W H L W H L W Design Water Temp. 2 ROOM DIMENSIONS.FT. H S zb L d /U STUN per F of f3LENGTHEXPOSEDWALLS,FT.t 7 Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA la O 0" a S WALL CONSTRUCTION BTUH TUH STUN STUN STUN D le OO Ov goo DO ROOM LIN.FT. FTsbl•9,Line 3 t H) w O U TOTALS RADIATION6TYPEOFGLASSFROMLINE12SELECTED IBottom of table used for Line S) a ov 1, ,0o goy QOO7CEILINGCONSTRUCTION v' v C 7 /Table 9,L a w) 05 OrJ Q'/ go L/ r l g FLOOR CONSTRUCTION, D J! r E QTable9.L x W or Lin. Ft.) O 9 COLD PARTITION CONSTRUCTION Table 9,L a HI G10C1Wall(With Openings) O Q Z OD Q2Wails(With Openings) ex /O Z OUGJw•ua(With Openings)or Ent.Hau 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE O OOD O O K L ll COLA- COL.S _COL.H COL.1 COL.J COL.K COL.L 43, TO AL BTUH TOTAL1ROOMOFBUILDINGRADIATIONRSe/a Q AT SELECTED a O H L W H L W H L W H L W H L W DESIGN TEMP.- t- DIFFERENCE2ROOMDIMENSIONS. FT 8 / Z Q Q l 3 LENGTH EXPOSED WALLS. T.0 11 At1WINDOWANDOUTSIDEDOORAREA BTUH BTUH STUN STUH BTUHSWALLCONSTRUCTIONJ INCREASE BATHROOMTable9.Line 3 a H) r / / SOD — O TOTAL 20% 6 TYPE OF GLASS Bottom of table used for Line al 7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON Table 9,L•W) D C 26 O/ yoo GROUND OR FILL AT S FLOOR CONSTRUCTIONt QVV GRADE LEVEL.USE LINEAR FEET OF Ext OSEO EDGE ITabl•9,L a W r Lin Ft! 9 COLD PARTITION CONSTRUCTION Table 9.L a H) 10 _ a 1 Wall(With Openings) O D/Z / p U O T; 2 walls(With Openings) x •D/ 3 Wells(With Opening.!or Ent HMI H 11 TOTAL STUN AT 70F TEMP, DIFFERENCE' 3 Gj (j O 7oo12TOTALBTUHATDESIGNTEMP.DIFFERENCE Q DO Ton form 16 available from The Hydronks Institute`35 Russo Piece.Berkeley Heights.N.J.07922 FORM 1503 4.memo from TOWN OF SOUTH WINDSOR TOWN HALL SOUTH WINDSOR,CONN. 06074 F TO MR. JOSEPH VEDOVATO DATE 1/24/96 IMPERIAL PLUMBING 981 SULLIVAN AVENUE L SOUTH WINDSOR, CT 06074 SUBJECT: STREET ADDRESS CHANGE LOT # 12 CODY CIRCLE FOLD- Joe: This is to notify you that Lot #12 Cody Circle' s Street Address has been changeA from #14 Cody Circle to 114 Cody Circle. Sorry for the error in your original Plumbing Permit#9669. Corinne H. Murray South Windsor, Building Department By DEPARTMENT DECISION PERMJT# APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN of SOUTH WINDSOR DEPARTMENT A BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE 0 7E S-(0 4 644-2511 ext.230 Date InspectorF Application must be printed or typed Location ofjob 2 C:JIZ Street No. Streef Lot No. FEE SCHEDULE Streed 0 - $1,000 - $12.00 F-Floor Apt.No. Over $1,000 12.00 per$1,000 OWNER or any fraction thereof ADDRESS 4e OWNERS PHONE# APPLICANT W S Of ADDRESS Fq< r I.-P ESTIMATED COST$ 0 IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ oz 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 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 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 IGNATURE APPLICANT PHONE NO. ( ~/ "' DATE f 7ApplicationRTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# is hereby:BUILDING DEPARTMENT Q 7 APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# r3 Or ja_ 644-2511 ext. 230 0-7 Date Building Inspector Application must be printed or typed FEE SCHEDULE 1 YrG of Job: 0 C, 0-$1,000=$13.00 Str et No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANTS APPLICANT ADDRESS > S /l.F>- . SOU U/ bsoe Gem APPLICANT PHONE# W N S OWNER 4 OWNER ADDRESS Cld ta) LI%lf C& OWNER PHONE 44 C ESTIMATED COST$v IS THIS A CONTRACT OST? Yes E3 No FEE ENCLOSED$ t C TYPE OF JOB: SOR C C]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 1 y 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 Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO. OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES l 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 )2 YES NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN z SIZE OF WATER PIPING&RISER WATER HEATER: 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 CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 0exp/I,1?E5 A1 10 / C: / CONTRA ORS LICENSE NO. t STATE SIGNATURE OF APPLICANT DATE d 6 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WIl TDSOR PERMIT# Application is hereby: Z&2BUILDINGDEPARTMENT PROVE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 02 1?5(0 ate Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: l l - C04 y 1 0-$1,000=$13.00 Street No. Street LotNo. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 4CA>-A WO Lt,#"t W©Lt44/- C G APPLICANT ADDRESS GOK r-3 -7 i'-*J C-71 o 29' APPLICANT PHONE# 9(eO — 76,* N S OWNER A-Z1'0— q OWNER ADDRESS l C-(2 SCE a YII s s 0 .. - OWNER PHONE C ESTIMATED COST$ 0010 IS THIS A CONTRACT COST? XYes 0 No GCJ FEE ENCLOSED$1 3 coo TYPE OF JOB: SOR-CO 17 New Installation O(Alteration/Addition/Repair Revised 8/99 APPLICATION FOR HVAC PERMIT (Continued from reverse side TYPE OF SYSTEM: TYPE OF BUILDING: HEATING KRESIDENTIAL 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.) 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 qxL57`t44- lti 7lo 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. 45 1- 3o 5-4-Z CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 4 LEGEND IRON PIN TO BE SET o MONUMENT TO BE SET 4-00_ _ EXISTING CONTOUR x 287.3 EXISTING SPOT GRADE w—w— WATER MAIN c—c— GAS MAIN Norte I. 9*0MY 9MOM NVERT 11"ATIONS TAVM MUM FW ION fops T PROVDm DY fir czwn crm 1. AU- fffto DENIM ON THIS FLAN HAVE MEN %MM N TIf rav AS TO LEGATION, 11"ATION AND 3 FiNNL &, P%PINC- NoT' CVMPLe-TC AT' —""IC OF `FRS- 4 GRA'/L' r>R,\ ^'r r., LOT #13 OF "^5- vole-T SV Rvay ts N 23*47'17" E S 177.88' A = 08'47'S cr Tv% L 'Z7.64'TE L j J 2Q,203 s4 Pi" K ,. 2 Ga A ,`O0.46 acres N o oa c*' LU c v-'?5 DPP f I- 15 Un s, 4 wz, to CV Cj I s., i 45 Cq J3mY00N 1Oy, C T V) ti E u o „ - w W to 00 (O w NZ G JRA,WlA&C thSCfAr"T N FA,/D11 Jf Lfff!13 4 re 9 NO>c s N 23'47'17" E Do NWRY *V TOPOeRAPW "vRwnON ME TAQN rVZM Paws 180.00' eNrRLm YOP0eR/ctW FLAN-l MAP 9LVpNl9WW, 91-11tTS .4 TM 'i Or V SGALE r-uW LAST RCVISSNON IVIZ/9" PREPS 15 C.M.P. r Asr+"*r FOR J,AJ GONSTRLIGTION CaeANY, DY DES" 6 1 1 W THIS MAP AND SURVEY WERE PREPARED IN FACCORDANCE TO A-2 F CGiv STIINDARDS OF HORIZONTAL ACCURACY AS DEFINED IN THE l`4 RECOUMENDED STANDARDS FOR SURVEYS AND MAPS IN THE STATE OF CONNEC7ICU'r PREPARED AND ADOPTED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS, INC., SEPTEUBER 24, 1992 a r t o. 11963 TO THE BEST OF MY KNOW-EDGE AND BEUEF THIS MAP IS D SUBSTANTIALLY EC7` S N HEREON. JJ O iSTER' + 12862 Ss MAL 6N RICHARD P. TEE_-- —` UC. No. UW"o sE worm,owwo unmr F"SIONS GRAPHIC SCALE 203) 291-6755 BELD®N Ii STATIES SJEET L=mms As DrM Im son oM ow 1AVALANIDPVNM10M.ALL OUTM uw s 1 3.Z7,9 Avp nivim PP J.p4i'14 40 0 20 40 s n LOT l oo 1 1WOULDKFEDF70 rots slonal Inc. DommovanmraL L ALL 111E=AK 70 K 3TAM N flEf FMLD jrrALwvLMID9UlVEYdtP*IOR 70 JL dPANN er Prej ,A IY lWls-it N`AW UK=RDEW1HE 1 inch = 40 f t cM engineers • plonnom a surveyors BAWD O AL si"TM Na OAtF DESgifPT10N ar 441C govum re highway, south winesor, eonnecticut 08074 SOUTH WINDSOR CONNECTICUT aworm er!RAM a4m 3- yk- t ply tr Cod sor UjLL;.11`v( DEPARTMENT 3t this r'row tl- a th arrc,- t n an" nt¢ cl i:l $ t bE c,y the C, y y ed T, "s pi-111 Is fu• r 't u,ders and cimplled V. Cond tionc—m, h 011din,; Clerk TOWN!, t PARTM O