HomeMy WebLinkAbout117 Dart Hill RoadelA TO THE BUILDING INSPECTOR
of III APPLICATION FOR
PLAN EXAMINATION ANDTOWNOFSOUTHWINDSMCONKPLAN
U I L D I N PERMIT
IMPORTANT —Siplicant to complete all items in secti 9":\11, 111, IV, and IX.o
ZONING
AT (LOCATION) DISTRICT o
LOCATION 0.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V1
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
M
1 New building Residential Nonresidential
2 Addition(If residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, it any,
in Past D, 13)13 Two or more family — Enter 19 Church, other religious
number of units— — — — ••-) 20 Industrial
3 D?,Alterotion (See 2 above)14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (If multifamily residential, of units ——————— — -i Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13) 16 Carport 24 Office, bank, professional
6 Moving (relocation)
17 Other — Specify 25 Public utility
7 Foundation only 1 26 School, library, other educational
B. OWNERSHIP x 27 Stores, mercantile
8 Private(individual, corporation,
28 Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 Public(Federal, State, or
local government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food
oa processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement................ O 0. school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical......................
b. Plumbing ......................
c.Heating, air conditioning.........
d. Other(elevator, etc.)............
o
11. TOTAL COST OF IMPROVEMENT oo
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Masonry (wall bearing) 40 Public or private company
48• Number of stories................
31 Wood frame 41 Private (septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 Public or private company Total land area, sq. ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors.......................
3654011 c nditioning? L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 44 Yes 45 No 53. Numb r of b dro ms..............
38 C al
39 Other— Specify Will ther be an elevator?
54. Number of
Full..........
46 Yes 47 No bothr oms
Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
ame Mailing a dress — Num r, street, city, St a ZIP code Tel. No.
Owner or
Lessee
2.
Contractor
Q
3. l
Architect or
Engineer
The own r of.this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Sign qf—qre of p icant Address
t Application date
zz
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R vi w R quired Check Plan Review Date Plans
By Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check ate
ObDa ned Number By Permit or Approval I Check ObtDaalned Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building 8751Permitnumber
Building
P rmit issued Jan 9 19 75
Bui Iding
Permit Fee $ 4.00
Approved by:
Z"
ITLE
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
4-
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Y,
Date Jan 9 19 75.
Fee Paid $4'00 Est. Value $. . 00.00
Permit N O 8751
on the side of
Dart Hill Road Street
Street No. 117
Owner Joseph Bouf f erd
Applicant Joseph Bouffard
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Rea room in basement
BUILDING PERMIT
N?8151
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Jan 9 1975
t t to Tertiful That Joseph Bouffard
is hereby granted permission to
121 x 241 reo room in basement.
at estimated value of $ 500.00
on the side of 117 Dart Hill Road Street on land
owned by Joseph Bouff and
Said work to be as described in Application
No. 9051 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Jan 9 1975
l/,,
0**-'\*ui14Kg Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compeller to reason therefor."
Ah"INSPECTION REPORT,
Permit # Job /1
1 Footing
2 Foundation
3 Framing _?3-
4 Wiring (/
5 Plumbing G'4RTNp`
6 Heating
7 Lathing
8 C.O.
I
5659
ELECTRICAL APPLICATION
Application No 5970
on the Side of
Dart Hill Road Street
Street No. 1i7
Owner Joseph Boufford
b
Electrician Gartner Electric
FILED IN OFFICE OF
The Building Inspector
Jan 8 19 75
INSPSMON.
to No Electrical Work shall be started until a Per-
mit is granted by the By#ding Inspector.
In New Buildings no wiring shall be started
until the plumbing and heating pipes, and the fire
tops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM.
CPNo.9.7 .............................
659CPermitNo. ..... ...................................
r• TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application tq perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied
whether specified herein or not.
South Windsor, Conn., ......... .............. ................ .......... Sign here
Address '+ ........ . ice 2 ..............d 6
Z.04..... Side of ..... ........... . . ... .........................................................................Location
pp
Natureof Building ............... .. .......)... . AAA... . ............ . ....... . How many stories .................................................................................................
Newor old Building ......................................11....................... .... .............. .. How many families ................................................................................._...........
Kindof Installation Ivy... .. How many Stores ......................................................_............................................
Owner JN.... .... Address vl b
Architect ............. ............. .. ..... . ........ ... ................................. . Address ..... ..................................................................._...............
Builder ......................... ........................................................................................... Address ......... ........../............................... ...................... .._......._...............
Electrician Address ...4.-o....LY.. c- ^.._
Size of Main Wires ..............;f..e.z........................
No. of Light Loops ...........I......... ... .......... No. of Heat Loops .......... ... . .No. of Power Loops ......................._..._..._...
No. of Light Outlets ...........I...... ........... No. of Heat Outlets ...... ....... No. of Power Outlets .....................................
Nod of Light Circuits ................. ......... ..... No. of Heat Circuits ........ .. .. . ........... No. of Power Circuits ................ .................
No. of Sockets ............................ .. ..... ....... No. of Heat Receptacles ... . ... ..... .. No. of Motors .......................................................
No. of Panels ..................................... .............. .. Size of Heat Circuit .. .... ........ ... ........... No. of Power Receptacles .......................
No. of Switches 1 Total Wattage .......................... ..... ...... ........ Size of Power Circuit ... ........... ..........
Total Horsepower ........................... .......... .
No. of Straight Electric Fixtures ..... . .. .... .. ....... ........... .... No. of Combination Fixtures .... ....... .... .................... .. ..........
LI
No. of Receptacles ........................ ........ .............................. ......... No. of Cord Drops ...............................................................................................
Remarks: For other kind of Installation ..................... ................................. .......................................................................................................................................
6..0..... ..-....... f'............................. ....
1 ^
w.
Estimated Cost ..... ?.. .:..1. .. ..................
D
T4 JAL BUILDI NG INSPECTOR
of the APPLICATION FOR
PLAN EXAMINATION ANDT' 50t)'IH w BUILDING PERMIT
IMPORTANT — Applicant to co5pkle all items in sections:4. 11, 111, IV, and IX.O
ZONING
AT (LOCATION) DISTRIC
LOCATION N .) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D v
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T
1 New building Residential Nonresidential
2 Addition(1J residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any,
in Past D, 13)13 Two or more family — Enter 19 Church, other religious
number of units— — — — — 20 Industrial3 Alteration (See 2 above)14 Transient hotel, motel, 21 parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (1/multifamily residential, of units ——————— ——! 22 Service station, repair garage
enter number of units in building in 15 fV Garage 23 Hospital, institutional
24 Office bank professionalPartD13)
16 Carport P
6 Moving (relocation)
17 Other — Specify 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 aj Private (individual, corporation, 2130 Tanks, towers
nonpr fit institution,etc.) 29 Other — Specify
9 Public(Federal, State, or
local government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food
processing plant, machine shop, laundry building at hospital,elementary
10. C st of improvement,,,,,,,,,,,,,,,, school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed,enter propos d use.
in the above cost
a. Electrical...................... i
b. Plumbing ......................
c.Heating, air conditioning.........
i
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT S
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Mas my(wall bearing) 40 Public or private company
48• Number of stories................0209-10
31 [N W ad frame 4110 Private(septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinf reed concrete H. TYPE OF WATER SUPPLY
34 Oth r — Specify 42 Public or private company
Total land area, sq.ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
36% Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 @0 N 53. Numb r f b dr ms..............
38 C al
39 Oth r— Specify Will th re b an elevator?
54. Number f
Full..........
46 Y s 47® No bathrooms
Parflal.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b compl ted by all applicants
am Meiling eddr ss — Number, street, city, and State ZIP cod T I. No.
Owner or rf-!!
Lessee
2. tG
Contractor
3.
Architect or
Engineer
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signet a of icant Address Application date
Glrj 00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R view Re uired Check Plan Review Date Plans B Date Plans B NotesqFeeStartedYApprovedy
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit r A rova I Check Date Number B Permit or Approval I Check Date Number ByppObtainedyppObtained
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building 10888Permitnumber
Bui Iding
Permit issued June 22 19 79
Bui[ding
Permit Fe $ 90.00
Approv d by:
Z n
TITLE
as*
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date June=2 2 19 79
Fee Paid $. 9 0..00 Est. Value $15 000.00
Permit N° 10888
on the side of
Dart Hill Road Street
Street No. 117
Owner bir-i 1 1 P Rrniffard
Applicant I. Rou£f and
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Addition
BUILDING PERMi'T
10888
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. TM-2$— 1979
94is is to (f erftfy, That i,sc f I Q. Bcal f fartl
is hereby granted permission to hddit ion of &arage and room over sane,—
at estimated value of $ 00
on the side of 117 l]ar t: Hi11 Reach Street on land
owned by Luc 11 le Bouf fgrd
Said Work to be as described in Application
No. 1118S and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Iss 197 9
Bu' ag Inspector.
Streets and sidewalks, obstructed by emvations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or a without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
INSPECTION REPOI T
Per)! # Job
1 Footing
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O.
7028
ELECTRICAL APPLICATION
Application No.. 8042
on the side of
Dart Hill Road Street
Street No.117
Owner James Muf fa rd
Electrician Pahl Gartner
FILED IN OFFICE OF
The Building Inspector
Jan. 11 19_8.0.
INSPECTION.
No Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
In New Buildings no wiring shall be started
until the plumbing and heating pipes, and the fire
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
VVV
100 APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM.
No. ......7'.Yz..................
Permit No. ...:742g ...................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application tq perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with
whether specified herein or not.
South Windsor, Conn., ........ ....19SP Sign here .............................
Address .... 2.c......... f=,.
Location ... .....I.:.t. 4.........................L... .......................... ......... Side of ..............................
Natureof Building ............. :.r.. ...!. ......1.-.... .CJ............. How many stories ......................................................................................._........
Nw or old Building ..................... How many families .................j...........................................................................
Kindof Installation . ............... r.'.. ......................................... How many Stores ....................................... _............................................_...........
Owner 1. ...`..rt ..i...... .............__............... Address ............................1.-1 : ..1.. ....._....:.._al _.W.. 1
Architect ...........................
U...tk.
Address .............................................................................................~
AddressBuilder
J-
Size! .. .. ` .;.' . ....)
v......?.............................. Address 6% G' i'/.f 11 l:`.(.Electrician ... 1
of Main Wires ........................................................_
No. of Light Loops ........................... ............ No. of Heat Loops ............ .. .. . .No. of Power Loops .......................__....
i
No. of Light Outlets .............::: . No. of Heat Outlets No. of Power Outlets
NoO of Light Circuits ............. .. ................. No. of Heat Circuits ....... No. of Power Circuits ............... .................
No. of Sockets ............................ ...... ....... No. of Heat Receptacles ... ... .......... No. of Motors ......................................................
No. of Panels ........................................................ Size of Heat Circuit ....... ....... ..... ........... No. of Power Receptacles ..... ..................
No. of Switches ...................3......... . .. .... Total Wattage .................................................... Size of Power Circuit ..................
Total Horsepower ....................................... .
i
No. of Straight Electric Fixtures ..... ......... .. ... ....................... No. of Combination Fixtures ............. ........................ ... ............
No. of Receptacles ......................... -$... ........... ......................... .... ....... No. of Cord Drops ...............................................................................................
Remarks: For other kind of Inst llation ................:....................................... ......................................................................................................................I.................
WA..Q 1..i
0
Estimated Cost ........ .. ..1"...: 3'..I.........................
FINAL INSPECTIONS:
Buildings APPLICATION FOR BUILDING PERMIT
Plumbing • `r --t a (4)ITHVAC — _ Date: 3' "
Sprinkler 117 DART HILL ROA
9 —`fi c, `i 1 ovCaElectricEstimatedCost $ 4
Zoning Permit Fee $ •y'D
Affidavit NO. 17531 Occupancy Fee $
Eng. Dept.
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE.
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location f A 14T L_L- Lot No. Side of Street one rho
Applicant 0 5C--pH a. l?o v F-Tel. #
Address 7q as w Sr:5•argf-j c Zip Lic.#
Owner ddress 1Sf>i 64-OLN S i
Architect Address
0
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavaiones
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit V(iJYL 1 a#-D t t--TER co IL ALteC*t%op-0
ekv- Qltf-d
City Water Well Septic Sewer
Approved by Date BD1A 11/88
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 b locat d the prop r distanc from all street lines,side yard lines and r quired distances from all other zones and is
located in a zone in which this building and its use is allowed.
Signed 11, Z"
4 1 -
I hereby apply for a Certificate of Occupancy for the work described in s application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Foundation Insulation
Plumbing Permit# J go-Iza Inspections:
HVAC Permit# 7 Inspections
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
70 ,
WO
Ole
t0
Tv
37
0
8 10 .30 No O N
o. G
AV U v
i
i
PLpT PLf-N
I certif;r t^st the SNOW/NG
house Is locate I as LO C A?-/O.V Cr- NO U S E
shn,vn :'rc.; ;o zon-ng r0 13E LJI L-r ON
Violations exist.L07 "P3v OY'
Sure
QUALITY 31J1LT }-{ON CS 1NC
p R-' klILL ' R 0 4D
SDC,r 7 wlmo 50R, C O/V/v.
SC Ai L E / o AUG /9 5G?
C. . y-. 7r C. E-
C
MAR 15 1989
prod C/;r/O
South Windsor
as a N
F
BUILDING DEPARTMENTBSc
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11
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Da.-7-
perm it
fivallin" i.t
ESul dln in.;
PERMIT NO.
DEPARTMENT DECISION
A P P L I CAT I O N F O R
APPL CATION IS HEREBY:
PLUMBING PERMIT
TOWM OF SOUTH WINDSORAPPROVEDDISAPPROVED
BUILDING INSPECTION DEPT.
644-2511 Ext. 230
19 6fl
DATE PLUMBI INSPECTOR Application must be printed or typed.
1. LOCATION OF JOB:
ZZ noV r
2. OWNER:
3. ADDRESS: / cZ'/L S /
FEE SCHEDULE StncdA UJ h 4'SO e t-i
0 - $19000 - $10.00 4. APPLICANT: h eI
Over $1,000 - $10.00 5. ADDRESS: qq C,C'OOd/,# h cl A v
per $1,000 or r /
Fraction Thereof Oyi1i Q C 74-c O
6. EST. COST: $_ y o p
7. IS THIS A CONTRACT COST? YES NO
8. FEE ENCLOSED: $
9. TYPE OF BUILDING•
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: Fja t-A, 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS "l STYLE 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS_ 16A. NO. OF SHOWERS /ti f,.6 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
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?
27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN r3,e4l ( 31A. SIZES OF WATER PIPING & RISERS y
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
Ua Z 0 a-e_
LICENSE NO. DATE SIGNATURE OF APPLICANT
PHONE NO. AL/ .- C' -z v2- 'J
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT ` DATE:
NO.1 ) TOWN OF SOUTH WINDSOR EST.COST: -1him 0001
BLDG. PERMIT NO. -7651 1540 SULLIVAN AVENUE FEE
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 0 - $19000 - $10.00
1000 or fraction
LOCATION OF BUILDING dcz thereof - $10.00
OS
OWNER ADDRESS TOWN PHONE NO.
05 C./ // D 5. C-' 11 &,-bad 4,0/ A v e A loaoonJ2#'Q (2/s a— 9
HVAC CONTRACTOR ADDRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL X
A/C COMMERCIAL
VENTILATION BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC__,X _ 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 OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE F INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS (BTUH)HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.) :
d cld o h OP d f Po 1- h e.w vo ^ .
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE F 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)
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. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK: a241 :20 h'k o P HQ d- f 0 J, h t w 34ui 6 Oh 1
S ! 30C)35 0 Leo4J4 go 9 2 vr, Z P'
STATE LICENSE - NAME & TYPE #DATE IGNATL E OF APPLICANT
A
A OVED DAT
BD 4A 11/88
I = B R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronics Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.8 COL.C COL.D COL.E COL.F COL.G
1 ROOM IL
O H L W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS, FT U BTUH per Foot of
3 LENGTH EXPOSED WALLS, FT Q Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA LL
STUN BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION ROOM LIN. FT.OF
Table 9, Line 3 x H)TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
Bottom of table used for Line 5)
7 CEILING CONSTRUCTION C
Table 9. L x W)
y FLOR CONSTRUCTIONt
D
O
Table 9, L x W or Lin Ft) E
9 COLD PARTITION CONSTRUCTION F
Table 9, L x H)
10 c 1 Wall(With Openings)C
0 --
r m 2 Walls(With Openings) X
eJ 1
3 Walls(With Openings) or Ent Hall f.
r12 TOTAL BTUH AT 70F TEMP DIFFERENCE'
TOTAL BTUH AT DESIGN TEMP DIFFERENCE K
COL A COL B COL.H COL. 1 COL. J COL. K COL.L TOTAL BTUH TOTAL
OF BUILDING RADIATION
1 ROOM— a: AT SELECTED
O H L W H L W H L W H L W H L W DESIGN TEMP.*
DIFFERENCE
2 ROOM DIMENSIONS FT U
3 LENGTH EXPOSED WALLS FT Q
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION INCREASE BATHROOM
Table 9, Line 3 x H)TOTAL 20%
6 TYPE OF GLASS
Bottom of table used for Line 51
tFOR CONCRETE FLOOR ON7CEILINGCONSTRUCTIONGROUNDORFILLAT
Table 9, L x W) GRADE LEVEL,USE LINEAR
g FLOOR CONSTRUCTION? FEET OF EXPOSED EDGE
Table 9, L x W or Lin Ft)
9 COLD PARTITION CONSTRUCTION
Table 9, L x H)
10 c 1 Wall(With Openings)0
o 03
c 2 Walls(With Openings) L XeJ
3 Walls(With Openings) or Ent Hall l'-
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
This form is available from The Hydronics Institute,35 Russo Place,Berkeley Heights,N J 07922 FORM 1503
ARGO CALCULATION SHEET
DATE
OWNER
C
ADDRESS
DEALER La 'Yam?KIND OF BUILDING Q CHIMNEY SIZE
CONSTRUCTION: W LL [ " "'
WINDOWS i r ROOF OR CEILING
BASEMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF
COL.1 2 3 4 S 6 7 8 9 10 1 1 12 13 14 15 16 17 1
ROOM SIZE WINDOWS AREA•SO. FT. FLOOR VOLUME BASEBOARD
AND 000lls Iscc NOTsI CU. FT.TOTAL co
TOTAL ACCESSORIESACCESSORIES
GLASS NET WALL CEILING T to .
WATER LENGTH
ROOM NuMScR GROSS TCN. To nr.
L yy H or AREA WALL I A ? OIRI. r
TEMP
ENCLOSURE FIN R S I.0 MISG
ISMS D I T[ur OIRF.
iLIRE
pn Doa
ly I d a4611 Roo 060 coo 33
NOTUs FOR CONCRITi FLOOR ON GROUND OR RILL AT GRACE LEVEL,USL LINEAR FEET OF EXPOSED EDGE+ TOTALS
FOR ALL OTHER FLOOR!USE SQUARE FEET OF AREA.
1
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
ED 1540 SULLIVAN AVENUE
644-2511 ext. 2304ity _
Date Building Inspector
Application must be printed or typed
Location of job
117
Street No. Street Lot No.
FEE SCHEDULE
0 - $1,000 - $12.00
Floor Apt.No.
Over $1,000
12.00 per$1,000 OWNER
or any fraction thereof ADDRESV U
OWNERS PHONE#
APPLICANT
OW Sf1 ADDRESS
q4
GOD , . _. ESTIMATED COST $ / O
C IS THIS A CONTRACT COST? l/
YES NO
r FEE ENCLOSED $ 2 !
OSOR COS TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
Revised 11/95
APPLICATION FOR RVAC 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 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_O GAS-INPUT ELEC C-
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 0, Ct G
cL
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 WO
3 6 2 ,1 i
STATE LICENSE-NO. NAME&TYPE r S ATURE OF APPLICANT
PHONE NO. DATE // /.3
aid&#
A--&31to IT XMICATION FOR BUDDING PERMIT
Plunbi v#
117 DART HILL ROAD
HVAC # Date:
Sprinkler# t`b.24374
FINAL APPROVALS Estimated Cost $ l 30o
cJT COMPLETE RED BOXED AREAS Permit Fee
TYPE OR PRW ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO.Total Fee 1.19
TO BULDM DEPARTMENT,TOWN OF SOUTH W 4DSOR,,CT Additional Cost) $
The undersigned hereby applies to do work accorduq to the following spodkahom
Job Location ,I 17 Lot No. Side of Street Zone
Applicant 6/Q nn A`Di C10 S U+^ Tel# ey r-974'L
Address 1/-7 Q&C7'!i// e10 Zip ot o74 Lic#
Owner 6' anr7 DJCXJSO tiJ Address_ 117 .afJIZT A'J 1
Architect Address
S%Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit:
City Water Well Septic System Sewer
Ins. H.O. S.P. Cart. Area Basement Garapa
Approved by Data 0, A 7 Use Group U Corotruction Typ
Rwied 1/97
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 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 which this building and lt se is allowed.
Signed l
z
I hereby apply for a Certificate of Occupancy for the wo=inion for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
97-24374-B 1,300
B10 FINAL 04/27/98 DCJ A APPROVED FOR CO & CLOSEOUT
97-14442-E 200
r
i
loo ,
N170
1D1
40
7/9 w
n1
37
86? r0& 30'
r.jt.7•• .I JryYF
r
PLpTPLHN
Icertil"ytle
house 'slocateia3LaC,q-7-/ 0V
n..,.rfir;-:; nozonen:;
Violationsexist* LG-7- - vOy'
uL:.':z19- 57
1UALJrVL-5L)ILTNDti1StN
DART' HILLR
SOC..,TNwl,' OSOR , CONN
AUG
ARJ,5L/L-rC- E•
South Windsor
BUILDING DEPARTMENT
CERTIFICATION OF ZONING COMPLIANCE
Proposed building(s), use(s) and/or structure(s)
as shown on this plan appears) to be In
onformance with current S;,jth V,ind,or
1
TO THE BUILDING DEPT. TOWN OF SOUTH WINDS04i :gLJlationS• Variances and spccr I exceptions
certified that this plan and specifications are truemayapply. copies of the proposed building or alterations to b,erected at
Date L Z7 7
7 / I1-7 Strew
together with amendments stated in application an,
Zoning Enforcement Officer tiled with plan and I agree to comply with all zoning,Building and state laws and such orders as shall be
issued by the Building Department during pendencyofthisapplicationandfinalIssuaneo1440C•(-1)J J v l permit.f a buildingq
Jr
LICSigned i
I This p1 r approved subject to the condition that
orders and ordinances regulating building shall lkcompliedwith.
Conditionally Approved These filed Mriitl k
Building Inspector
we
Datd
DEPARTMENT DECISION PEPUNIIT#APPLICATION FOR ELECTRICAL PERMIT L4 44 L4 zw
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE
Z- 644-2511 ext.230
7
Date 4f'ng Inspector Application must be printed or typed
Location ofjob
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000
0rs OWNER
or
CZ& d2oranyfractionthereof
ADDRESS 11 7 T-14,11 t?0
OWNERS PHONE#-
APPLICANT
q
ADDRESS
pliq
ESTIM[ATED,COST$
IS THIS A CONTRACT COST?
ws— NO
FEE ENCLOSED $ j
r
OR-CO TYPE OF JOB:
Original Installation
Alteration/Addition Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from rcvcrse side)
TYPE OF BUILDING
1S 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
Othcr plcasc spccify)
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.
NA?N STATE LICE NbSE NO. TYPE IGNATURE OF APPLICANT
PHONE NO..p —DATE . '