HomeMy WebLinkAbout12 Pepperbush WayTO THE BUILDING INSPECTOR
of the APPLICATION FOR
TOWN OF SOUTH WINDSOR, CONN. PLAN EXAMINATION A N D
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, and IV. O
AT (LOCATION)
I-YlDY ZONING
DISTRICT )
LOCATION
y-(
N0.) STREET)
OzApi-4>, L_c<.v Lo (OF BETWEEN AND I
BUILDING CROSS BEET) CROSS STREET)
LOT
SUBDIVISION LOT—A-Y—BLOCK SIZE •?'_
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use T
M
11NewbuildingResidentialNonresidential
2 Addition(If residential, enter number 12[K One family 18 Amusement, recreationalofnewhousingunitsadded, i/any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13) Y
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 ——————— — --i 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutionalPartD, 13)
24 Office bank6 Moving (relocation)
16 Carport professional
17 Other — Specify 25 Public utility7 Foundation only
26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 []LPrivat• (individual, corporation, 28 Tanks, towers
nonpr fit institution, etc.) 29 Other — Specify
9 Public (Federal, State, or
local government)
C.COST Omit cents) WORK DESCRIPTION:
10. Cost of improvement. . . . . . . . . . . . . . . $ 4 16976
a. El ctrical C- SI Ni tb
b. Plumbing . . . . . . . . . . . . . . . . V-
c.IA-ILF:f P o C P (csr P
d. Sprinkler . . . . . . . . . . . . . . . . . . . . .
Garages. . . . . . . . . . . . . . . . . . . . . Zo b0
f. Oth r
11. TOTAL 66 6M Fee: y0 -- CO Fee: c3 Total: 4/0-90-
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. PRINCIPLE TYPE OF CONSTRUCTION G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
48. Number of stories.........40 Public or private company30 Type 1: A B 4110 Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior31 Typ 2: A B C dimensions .....................
32 Type 3: El B H. TYPE OF WATER SUPPLY
42 Public or private company
50. Total land area, sq. ft. ........... S _33 Type 4
43 Private(well, cistern) K. NUMBER OF OFF-STREET
349j:Lype5: A [kB PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I TYPE51. Enclosed .......................1OFMECHANICAL
35 KGos Will there be central air 52. Outdoors........................
36 011 conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No
38 Cal
53. Number of bedr ms..............
39 Oth r— Specify Will th r b an elevator?
54. Number f Full..........
46 Yes 47 4N bothr ms
Partial........
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
17
Lessee
2.
Contractor
3. czla tc%,6 6664-4Architector
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signs re f appl'c Address AppliLl±- /n date
c
uL,&14
DO NOT WRITE BELOW THIS"LINE,)6o4-
V. PLAN REVIEW RECORD - For office use
Plans Review Re uired Check Plan Review Date Plans B Date Plans B NotesqFeeStartedyApprovedy
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER Is i i t
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date
Obtained Number By Permit or Approval Check ObDained
ate 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
Bui(ding
Permit number
Building
Permit issued 19
Building Li Q
Permit Fee $ /
Approved by:
TITLE
INSPECTION REPORT 9inp/EPA„;/Ly
Permit # 7eV Job
1 Footing j
2 Foundation
3 F ram inc j
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O.fit/70
jNGl Yi c ia fz v {'boos
kb 45
AFr)rFe9"sH ffww Permit #/ ZOSa
rrR)oi 1{ IWAxWARJNo`(-9t'5YS-
Electrician nom1;5 6-j tLLD # / b
H ating Contr. R. Y'Ip1, TriC, #75SA
Plumbing R. VAM Py, -rAV. #9YS l
Oil Burner
C rt iti cate of Occupancy 17ofi 2j...Q.
Sewer Permit
P pN APPRa QED /S PE,e i<7'
i
BUILDING INSPECTION DEPARTMENT
SOUTH WINDSOR, CONNECTICUT
FEE PAID: $3.00
CERTIFICATE OF OCCUPANCY
ZONE: DATED ti_/15/R c 19
This is to certify that 12 Pepperbush Way
Erected under permit No. 17082 conforms substantially to the requirements of the building ordinances and the
zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below.
Approved for Occupancy— Single family dwelling -- Lot # 45
e Building Official
Notice:If this certificate is lost or destroyed, a duplicate should be obtained immediately from the Building Department.
Any change or extension of the use herein approved requires a new certificate of occupancy.
CERTIFICATE OF OCCUPANCY CHECK LIST
Applicant Mannarino Certificate of Occupancy 7d
Address Bldg. Permit No.7e
Lot No. 45 /a PePWIF F;USR YJQIDate Submitted6-12-89
Project Victorian Woods Reviewed By
Date
As required in the Zoning 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
inlcude:
Approv d 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 YUtilit location
a. sanitary sewer
b. foundation drain
c. electrical & telephone
d. water
S e. other Q
5 . Appropriate certification
6. Bonding
Sewer Permit No.
Pavement Excavr. No.
COMMENTS :
C vev w Ti 4 /G1% A7 G off" o`--.27 S"/
N -l r eo re.5
buliJI)INU VhKM1'1' C:hhuK L15'1'
Applicant Mannarino & Sons Building Permit No. 1
Address 12 Pepperbush Way Date Submitted
Lot No. Lot Reviewed by
Project Victorian Woods Date Zsi U
In accordance with the 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.
T 3. Zoning information - i.e. zone, open space,
floodway, etc.
f/4 . Plot plan at 1" = 40 ' scale.
Ll a. Subdivision reference, abutting
properties, etc.
b. Easements of record.
c. Lot description, bearings, distances,
building lines, 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 & center line of road at
driveway.
f. Elevations of gravity drainage systems,
sanitary & foundation drain at the
house and the street.
g. Tentative utility location gas, electric,
water, etc.
h. Title block with name and address of
preparer, date appropriate certification,
live seal and signature.
5. Sedimentation and erosion control.
6 . Special Planning & Zoning, Inland/Wetlands
considerations. (Plans on file w/Town Clerk)
BUILDING DEPT.
PZC
IWA/CC
WPCA
OTHERS
COMMENTS:
r3 1?2 6 3 5.z- 7126t9p
4 56fessionaly 27nsfalled ly
Y= WELCH ENTERPRISES INC.
Commercial — Residential 4ndustrial
TO WHOM IT MAY CONCERN :
The bearer of this letter ,
is authorized to sign the building permit as the agent of
the licensed contractor , Welch Enterprises Inc . , 66 Ch"erry
ST . East Hartford , CT 06108 .
JOB SITE : Z ooejwerrDL Goa
WORK TO BE DONE : 6A r0h I in 6
STARTING DATE : 7
NAME OF CONTRACTOR: WELCH ENTERPRISES INC .
LICENSE #: 00545667
SIGNED :
D ID R. WELCH OR SUSAN C . WELCH4
66 Cherry Street • East Hartford, CT 06108 • Telephone (860) 282-9790 • FAX (860) 282-9786
PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2311 Ext. 230
Date Building Inspector Applications must be printed or typed.
1. LOCATION OF JOB
j
l RexA/Ucf/7' Gc//4 y
FEE SCHEDULE No. Street
Floor Apt. No.
1 0 - $1,000 - 10.00r
Over $1 000 — 10.00
2. OWNER
per $1,000 or
3. ADDRESS y- T r4 vFfractionthereof
o Ti'
4. APPLICANT orl
5. ADDRESS r70
S'o ?'hl c j 17so/
ACTUAL COST $ FEE $ 6. ESTIMATED COST $ a 941 d
ESTIMATED COST $ FEE $ 7. IS THIS A CONTKACT COST? 0 YES Q NO
FILE COMP. BY BALANCE $ 8. FEE ENCLOSEn $
9. TYP F BUILDING:
RESTDENTTA . C3 COMMERCIAL
1.0. IYPE OFF JOB:
nGINA1. ALTERATIOBI
E IVSTAL 4TTO N Q iODITION
REPAIR
f.
APPLICATION FOR ELECTRICAL. PEPArT(Continued trom t:evarse Side)
11. LOCATION OF JOB
NO. BEET FLOOR APT. NO.
12. TYPE OF INSTALLATION
13. SIZE OF MAIN FEEDER
14. NO. OF LIGHT LOOPS 15. NO. OF HEAT LOOPS 16. NO. OF POkiRR LC}OPS
17. NO. OF LIGHT OUTLETS 42:e 18. NO. OF HEAT CIRCUITS 19. NO. OF POWER 0'.1 rLL'."S
20. NO. OF CONVENIENCE OUTLETS 521. NO. OF HEAT CIRCUITS_ 22. NO. OF POWER CIRCUTTS
23. NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25. NO. OF ;IO:ORS
26. NO. OF PANELS 27. TOTAL WATTAGE 28. NO. OF POWER PANELS
29. NO. OF SNITCHES d 30. A/C LOAD 31. SIZE OF POWER FEEDERS_
32. NO. OF FIXTURES 33. TOTAL HORSEPOWER
34. NAMES OF SUBCONTRACTORS AND THEIR TRADES
35. REMARKS AND FURTHER DETAILS:
GtJ l//G- `- mil i ii/C C `i9/G Y yo.,
LICENSE;NO. SIGNATURE OF APPLICANT D•I'E
PHONE NUMBER:
PLUMING APPLICA110N
IAA Na
on die ._..._....... Side of
Sam
st.t No. ..1 ..
Owner ...
Filed in Office of
The Building loweaw
i vit&
w-, 01=
eT---Xj
No pawn ja aomect, add to ar abet a'
portion of the &aios®e symn of our bad
except to repair leaks) and s plese it is armed
by the Building bgmw.
APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
tD ope( /
7
11. LOCATION OF JOB a
NO. STREwr FLOOR APT.110.
GENERAL PLUMBING
12. KIND OF INSTALLATION A 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE r 15. NO. OF URINALS STYLE
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES
r _
18. NO.OF SINKS_ 19. NO. OF WASHTUBS=
20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE
22. AREA OF ROOF 23.N0. 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. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIGNATURE ADDRESS `S (1 412-4)4Z r
cy-7--vbo y
9LICENSENO. r I" ESTIMATED COST TELEPHONE
OWNER Rnnj'ADDRESS NQ SOLLI
T 6&07
WATER HEATER
31. TYPE R32. MANUFACTURER eK
TANK SAFETY DEVICES
33. CAPACITY 37. TEMPERATURE RELIEF VALVE
34. TEST PRESSURE_ 38. MANUFACTURER_
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE
36. TYPE 40. MANUFACTURER
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY
AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
1/ 149" 01004
CD%2 DATE SIGNATURE O PLICANT
Application For
DEPARTMENT DECISION He,t Permit
APPLICATION IS 16EW3Y: WWANTIWW CW AM
El msmwnvn
TOWN OF 13OUTH WINDOOK
W M1R cow loomTM M MM1q M TVNa 0 in"WN"40 8@LM
LOCATNN O/ y
g 1245
La va now an. Ow
owNEII fflaAd r-Y n
o
L AMMNE
Z&7
a, APPLICANT
Aeollt
rum
A LICENSE Na s-,34L 17 _
a
L WN11ATION OATt of LICENSE
S R' U.. IMMAIM Cosy •e?. ooa. w
t 1. M Tw A C9II111ACT Comet 0 vu Q
IL M WIC.
IL TM
o
v 14. TM OI .M.o
M
Y jNw wwt yMM
APPLICATION FOR HEATING P cA& fin m Re.em s&)
Vft. LOGTION a a'
IL TVR OF NIRTALLATIOW. OIL RuRNER J3 11JAMM YEIITILATION wINR =
to as Iimiu arm INpNERATOR mwcELLANEous
momrmv
IL MAm OFAnM
ato
L OFOFv"I
14. R.T.U. EQUIP. AT REGISTER T_PU NACE MAKE AND NO. AT SONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. R.T.U. OR SR. FT. NET_ZL?.j.-
4 'LT.U. on SO. FT. GRoSS FIRING RATE
FLOORS TO RE HEATED .2- NEW OR OLD BUILDING INSULATED — YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP.
o
LT.UJSQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
0I15CRIII'll OF wom
Is. TO K DON
Is. NUT I= SCNZDULL (70 BE INCLUD® FOR ALL JOBS):
VIDEO was wi s
NDOM wwtA - SWARE R!!T s.T. L E.T.u. Ste psT;Mau; INSTALLED
weeO Mo.MM •CAM MIT CERAM PuosVI OIL VT. AT W• mommermj ` wssaTsw
ws AM Mss EVI LEADERI* M an UNNLTJ . 10 • i M. IT. Mss AREA
TOTALS
A. NEAT LOSS FROM BUILDING LT.UJHL
L DOMESTIC NOT WATER DEMAND B.T.UJHR.
C. PIPING.OTHER THAN NORMAL LT.UJHR.
ALLOWANCE FOR HEAT VALVE Of FUEL IA B C) FACTOR
17. aECTRICAL won BY•
mme Amen"
SUBCONTRACTORS AND
is. THEIR TRADES
ALL WORK COVERED BY THIS APPUCATION HAS BM AUTHOR BY THE(OWNER (AGEiYT TH PROPERTY AND WILL
BE DONE a sTRlcr ACCORDANCE wrTH THE suno, CODE.
XPLICATION TO BE COMPLETELY PILLED IN.
BE Doom 'm snua ACCORDANCE wffH TH'
7 ,?r
l7 Y"'1GktA WOE `` S d del 4.,-1S TIN ATED a
OWNERAOORESS
T YPE OF BUILDING OAT* 6CONSTRUCTION
DESIGN TEMPERATURE OIr'ERENCE AVERAGE WATER TEMPERATURE r a P.
COL. A COL. r COL. C COL. 0Room COL.-1- CqL. IF
M L W N L r N L r M L r M L WJRoomOimeweiews• ft. O / ( rL ) Length E epee** Wells* ft. Z BTU/Hit 2. rTU/MR BTU/MR BTU/MR ROOMsGressWellAtes,, S. ft. rTU/NRl.I2o REQUIRED S' REQUIRED Z$ REQUIRED Z REQUIRED 3 76 REOUIREpI TOTALS5GlareArmfft. 65' (! SgQD O b R M LINE 11
N # Well Ar f t. 7 0 6 /70C 3 6 Q o 0
N l7 to OVoo 0 pColliallAmer• Sq. fto
e fi or Arm Sk fto t u ,'S Z bt7 3 o0RoomVle. fN t..4•
0 ..... 36
a». ..»....... .... .....5 y .S.Infiltration 3 o
cam. ft. o Oc7
00 Total 11TUmIt At ?OF Tempe, Difference o
11 Total BTU/"It 011lAt0algaTemp,f ws*se Ot7
17 Most Distributing units 2 1
t/
OL. G COL. M COL. 1 COL. J COL. KRs •
N L W M L W M L w M
L4UU,11
L7R• • Dimensions• ft. 2 /Z— $ /0 6 Ss-
L
l Length Esposee well*• ft.U/MR p r U/ U/H UsG•rss tell Area. f•• ft.a REQUIRE 2 REQUIRED REQUIRED cFO R L`o REQUIRED5Glee* A. f Ft.6s' O
s M # Well Arse $4, Ft.
Iwo .c7 2$' /y Zl O /Zoo 6 oO7C6111AtPt. o /6d
o Zo a 70 O O R
Room V te. Rer 145 Z
IwNNrotlew
Co.Poe 0 2 ... ...............a IFS .. ................o Sao 2pe, 9,o Tssa1 r TN iH
O si w T sew p.r4o Total RTU/MR of TOF Temp. Di/fetenae • 01*towes
T #el rTUA1R at peslgw Temp. pIH*rewse pp p f=
t] Meet ple#rlbutlwg Units
Iwatee* Oolhroom Total EOW This beet loss selssletlew pole estimate sh t is for the es• of A olwg sewwosNrs1fwsewstst•heat M
1 arse.eer
and wholesalers, Wail•MsLeiw C•o a sum s a weep nsl Ill#• isr the eeelgw N
Fee ell Mar/1sers,,use•Brews t
green* r
o
et•tree 1 Vol, use Ilw er 1 # 1 •.posse age. operation of th It •tlwg system based am th selsvlesion sentelwoe 00 this sheq.l
eectric# APPLICATION FOR BUILDING PERMIT
Plumbing#
12 PEPPERBUSH WAY
DatHVAC # 2635 a
Sprinkler#
FNAAI Estimated Cost Z
Buildi 901 COMPLETE RED BOXED AREAS Permit Fee AO
neeri TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO.Total Fee
TO BUILM-4G DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location 2- /oWLo,Lot No. Side of Street Zone
Applicant
s
e, Tel.# ?q7--c?7qO
Address Zi JIS Lic.# S 6
Owner Y Address r a
Architect Address
Sq. Ft.New Area: lst Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: -I-n 2 1r7 1 MCAII C V S
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area F Basement Garage
Approved by Date 2_3 Use Group Construction Typ
Reread 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 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 t ' building and' use is allowed.
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
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