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HomeMy WebLinkAbout120 Chapel Roads P TO THE BUILDING INSPECMR of the APPLICATION FOR I,i0" ( F Soum WIFUMAK CA)m PLAN EXAMINATION A N O BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O G A ZONINGI• AT (LOCATION) DISTRICT LOCATION NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N 11. TYPE AND CPST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 1 New building Residential Nonresidential 2 Addition(If residential, enter number 12 One family 18 Amusement, recreational of new housing units added, if any, i Part D, 13)13 Two or more family — Enter 19 Church, other religious number of units— — — — - 20 Industrial3Alteration (See 2 above)14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (If multifamily residential, of units ——————— — -i 22 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) 25 Public utility 7 Foundation only 17 Other — Specify 26 School, library, other educational B. OWNERSHIP 27 Stores, merconfile 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 proposedbse of buildings,e.g., food processing plant, machine shop, laundry building of hospital,elementary 10. Cost of improvement,,,,,,,,,,,,,,,, le l 00 C)O 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.)............ L 11. TOTAL COST OF IMPROVEMENT $00'Q G 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................ 31 XW ad frame 41 r_'_1 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 E] Publicor private company Total land area, sq.ft. ........... 43 Vo 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 conditi ping?L. RESIDENTIAL BUILDINGS ONLY 37 El ctricity 44 Yes 45 No 53. Number f bedrooms.............. 38 C al 39 Other— Specify Will th re be an elevator? 54. Number f Full.......... 46 Y s 47 No bathrooms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To b compl t d by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. 1. Owner or Lessee So 2. Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of oppUcantlAddress Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R view Required Check Plan Review Date Plans B Date Plans B Notes9FeeStartedyApprovedy BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER s VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check ObDta ate ned Number By Permit or Approval Check ObtDained 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 P rmit numb r 10511 Building 78PrmitissuedSept. 27 19 Building Permit Fe $ 36.00 Approved by. T E ZONING PLAN EXAMINERS NOTES DISTRICT FRONT YARD SIDE - .SIDE YARD I X. SITE OR PLOT Applicant Use a Iwo HE 1 0. ...' r 1' : j .. .. __!/. sf ._ !_!_• ao! !door=lua: aslfi: .a a: • a i . Is f as.00ssafraaa. •/ ftf • riot faa• as /of a ao •/.•Ir ' ''$• ' : +$ l l $ l':::'ri :: :::' :t irrr: r: larlii:i!'!1 man l • /a•.. 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Value $ 6,,000.00 Permit N° 1.0511 on the side of Chapel Road Saba i Street No. 120 owner John J. Lawton Applicant John .J_ Lawton CERTIFICATE OF OCCUPANCY ISSUED: Date No. 5232 Fee Paid $ 3.00 CLASSIFICATION Al -erati on,q to dwP1 1 in¢ BUn DING PBRMIT N° 10511 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Cann. South Windsor, Conn. Sept. 27 19 78 94is to to Certify, That John J. Lawton is hereby granted permission to Alterations to awe l l ing at estimated value of $ 6,000.00 on the side of 120 Chapel Road Street on land owned by John J. Layton Said Wo 1k to be as described in Application No.and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Iss Sept. 2 7 --,? 19 78. iildin ctor. 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 coats and damages which it shall sustain, or be compelled to reason therefor." Ila 17,R 7e--/-: 20*f INSPECTION REPORT Permit # Job,t zzd- 1 Footing rre 2 Foundation 3 Framing Al 4 Wiring &- a-x 5 Plumbing 6 Heating 7 Lathing 8 C.O. " r Petmlt-To 144 JEW TOJAN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit to 5232 Certificate of Occupancy THIS IS TO RTIF that e at No. in the Town of South Windsor, Connecticut, has been erected andf;j pleted m accordance with_the Building Code and Zoning Regulations of the Town of Sou ndsor, and is hereby approved for occupancy. eASA 11511cung Inspector E caner, Builder Fee Pai "' Date •+ 19 APPLICATION FOR PERMIT TO DO ELECTRICAL WORIKS No. ......6.9.29................... Permit No. .......6.6.2.9.................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR9 CONN. ZA1006 hereby make application tct perform Electi 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. e7 South Windsor, Conn.. ................a 19.10 Sign here ... .............. ... ...................... . ......................... .... .............. Address a3e,...*.... ....... ......8K?........'g......... ............. Location .... I...... ..............Side of ..................................................... Natureof Building ................................t....................................................... How many stories ............... ................................................................ New r old Building ....................................How many families ............................................................................. 4 Kindof lnstTalyllaatu in ............ ............................................................ How many Stores ............... ............................... ........................ Address LZIDOwner ......... .... ..... ...I... ............................. ................ Architect ......................................................................... ................................................ Address ............................................................... Builder ............ .... ........... .......... ..................-4.............................I.................. Address ................................................................................................. I E'Iectri cian ....... .......................... ....................... ........ .. .. ................ ... Address ......................5 e......................... Sizeof Main Wires ...................................................... No, of Light Loops ............................................ No. of Heat Loops ............................................ No. of Power Loops ................... No. of Light Outlets ....................................... No. of Heat Outlets ................. ................... No. of Power Outlets ...................................... NoOof Light Circuits ................... ................. No. of Heat Circuits ........ ............ ... . ......... No. of Power Circuits .................................. No. f Sockets ........................................................ No. of Heat Receptacles ........................ No. of Motors ......................................................... No. of Panels .......................................................... Size of Heat Circuit ................. ............. No. of Power Receptacles ........................ No. of Switches .................................................... Total Wattage ........................................................ Size of Power Circuit ............................... Total Horsepower ............................................ No. of Straight Electric Fixtures .......................................................... No. of Combination Fixtures ................................................................. No. of Receptacles ............................................................................... ............... No. of Cord Drops ................................................................................................ RemarF. r other kind of Installgtion ............ .............. ............................................................................................................................................................ ipllw....................................... Iz1ole................... 57EstimatedCost . ELECTRICAL APPLICATION Application No. 6928 on the side of Chape 1 Road Suact Street No. 120 Owner John Lawton Electrician Chris Cunningham FILED IN OFFICE OF The Building Inspector Oct. 4 19 78 INSPECTION. Cis 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 tops (if of wood) are installed, without a special permit from the office of the Building Inspector. N 3424 x U TaP ICAL APPLICAT Application No. ...3 7 `.................................................. . ........_ Northontic siat of Chapel Rd. 120StreetNo. z Owner J.A.Jurg e t a s w X' Electrician D.U1 i t 9c.h n AILED IN OFFICE OF The Building IMpector,iW i 25-6 . ..... . .... 19 . . k f yf IL INSPECTION. y; _V r`J... vrNo Electrical Work shall be`started until a-Per.' mit is granted by the Building Inspectot In New Buildings no wiring shall bo, started until the plumbingand heapipes, stops (if of wood) are installed, withoutna special permit from the office of the Building Inspector. f APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. . 3725 . .. 3424 Permit No. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH W INDSOR, 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. r111 South Windsor, Conn., ... (_ 19 4 Sign here e4 - ... Address ......f` " /.`. f.P. l'.......... % r'...........a c Location Side of ......7... Nature of Building .....How many stories ... ...... . ................... ................................. ............... New or old Building .. .. .... How many families .................1.. ............................... ............................ . Kind of Installation V e.! 1 C...e-. How many Stores . ......................... .. ......................................................... cC rv lC L Owner ........... . .... ......... v.. 69 c7S......... ..... ...... .. ... Address ......... ... . . .. . . .. ........ .................. .............................................. Architect Address .. Builder ....... .......... . ....... ... .. Address Electrician wc?.'.!. .... ,1/, GJ'Tt'c ./ Address I'V rdr•Iljr.........+/..!../'rf, Size of Main Wires . ..Y...t 4................-i,....... No. of Light Loops .. No. of Heat Loops . No. of Power Loops . .... ......... .................... No. of Light Outlets No. of Heat Outlets No. of Power Outlets .... ... .. No. of Light Circuits No. of Heat Circuits No. of Power Circuits No. of Sockets No. of Heat Receptacles No. of Motors No. of Panels ... ... ........ .. f. Size of Heat Circuit No. of Power Receptacles No. of Switches .. . . :'`. Total Wattage Size of Power Circuit Total Horsepower No. of Straight Electric Fixtures .. No. of Combination Fixtures . No. of Receptacles .. ........ . No. of Cord Drops Remarks: For other kind of Installation .. ......... .. . may`....................IIIi.`7.1....1.. . v l! G,<., .r1. '. . . .... ........ . d Estimated Cost ..... /... ...Q. .... .. .. .. . 2869 9 Application For 86RYMIT2869 DEPARTMENT DECISION 090 0 3 Heating Permit 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR cd 10-7-64 00 0) DATE CH IN§FIMOAJ APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW W J w El c 1. LOCATION OF JOB 0 tb2Cd0NO. STREET vcd ti d LOT NO. FLOOR APT. NO. O V 0 2. OWNS W ' cd 00 G 0 8. ADDRESS 29ZZ'Z 4.PHONE cc Go S. APPLICA c t;. ADDRESS G r z cc 7.PHONE 3 1213 e. LICENSE NO. o P4 a' E w 9. EXPIRATION DATE OF LICENSE v W 1o. ESTIMATED COST O o I 1 t. IS THIS A CONTRACT COST?CI YES NO t 2.00 12. FEE ENCLOSED S 0 1!. OF NG: allo RESIDENTIAL COMMERCIAL rilO r. as y 14. TYPE OF JOB: INDUSTRIAL RIGINAL ALTERATION INSTALLATION ADDITION REPAIR Continued fr m Revers Side1S APPLICATION FOR HEATING PERMIT ( 11. LOCATION OF JOB Z'zc, h L l` N0. STREET FLOOR APT. N0. 12. TYPE OF INSTALLATION: OIL BURNER HEATING SYSTEM VENTILATION SPRINKLER r' V GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION - j `j SIZE SIZE 13. OF TANK OF TANK G OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTERZ FURNACE MAKE AND N 71 S_ 4'A BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE H ED NEW OR OLD BUILDING C INSULATED - YES OR NO TYPE OF WAL 412, INSULATION `)fY== ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE U O FAHRENHEIT MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE; 15. HEAT LOSS SCHEDULE, (TO BE INCLUDED FOR ALL JOBS); ROOM SIZE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U. E H D AND DOORS VOLUME O<F DISTRIBUTION INSTALLED TOTAL TOTAL n LL ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL REGISTER L W H AND K TEMP. TO f f TYPE AND SIZE RAD. OR LEADER SIZE < WALL ALtO TEMP. DIFF. F O m N SQ. FT. FREE AREA f TOTALS A. HEAT LOSS FROM BUILDING T 'B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING, OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY; `_1 97 4/ J NAME ADDRESS SUBCONTRACTORS AND 18. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. r1 DATIF SIGNATURE OF rPLIC Building APPLICATION FOR BUILDING PERMIT Plumbing HVAC r r Q Date: Cie I c, l 4EX Sprinkler Electric - Estimated Cost $ .S. U Burners 17336 Fee Affidavit NO.Occupancy Fee $ Eng. Dept. Fire Dept. roVrL $ S3 Health Dept. Approved JJ J" #Vxc - Additional Cost $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT 57;3,77/1Theundersigned, hereby applies to do work according to the following specifications: I No. E0,vil Lot No. Side of Street Zone Owner of Building rt C ',n Address O (f,44poerz A.VC1 Builder G a r r ddress ' P4 Q4:1 IfIn t Architect Address Size Main Building: Ft. Front Overall s Ft. Deep Overall Net Area Y.Garages Lavatories Oil C No. of Families No. of Stories Construction Bathrooms Rooms 1st -2 2nd 3rd Size of Lot Dist. from Street Line Dist. frrlm Side Street Line Purpose of this Permit Wt1 S`1. _ a tv City Water Well Septic P3 Sdwer Approved by Jf?_ Date Dist. from lot line E. W. S. N. Dist. nearest Bldg. P. Height of stories -cellar 1st 2nd 3rd 4th 5th Found depth below grade Above grade Material for footing Size footing Material for found. Found. thickness Roof No. of stairways Size of girders Material for Side Walls Size of pier found. Floor joists, size: 1st 2nd 3rd stories. Dist. on center Longest span of floor joist: 1st 2nd 3rd If not wood joist const. what type of floor? Size of Roof Rafters Longest span on center Chimneys, size of flues How many? Where does the start? v4umbing contractor, Permit No. Oil burners, Permit No. Plot Plan Rec'd: Zvl I ating contractor, Permit No. 2G Z Checked by Eng. Dept. ; ectrical Permit No. 0 7 Signed by Engineer: Sprinkler Permit No. 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 azone in which this building and its use is allowed. hereby apply for a Certificate of Occupancy for described in the a ve application for permit. Signed BUILDING INSPECTION DEPARTMENT SOUTH WINDSOR, CONNECTICUT FEE PAID: $3.00 CERTIFICATE OF OCCUPANCY ZONE: DATED 2/2 2 19 89 This is to certify that 120 Chapel Road Altered under permit No. 17336 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— Residnetial two—story additioxi- 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. A0 IZ/ff1 Z $TGR yA Drsi DW TIAL INSPECTION REPORT Permit # 173 Job Apt Q-G 1 Footing p,( 3 2 Foundat o/(S-V—T-QOsg fq AM 3 F ram i n 4 Wiring _ is73 II 5 Plumbing xv?.3b 6 Heating 76 1 b a C.o. 1-7 3 3L pL c) 1 w . ` •i .• +tip.}, i . ..r Iry '; v' •i„;- 1 '.`•. 'k A;N.Faye . To AD WA 4 0 W V J N` Cul;,. 2 Z a I hereby Cer!iry th'st this Map is su*;:antialfy co!' ect. Property Of ADELE H, JURGELAS i y 1 120 Chepel Rd. South Windsor Scale 111-20' Oct 20, 1977 J March 1, 1988 120 Chapel Road South Windsor, Ct. 06074 Ms.Marcia Banach Town Planner Town of South Windsor 1540 Sullivan Avenue South Windsor, Ct. 06074 Dear Ms. Banach: Thank you for the time you and the assistant planner have spent walking my wife and I through the town zoning regulations. We are very impressed with the attention you have given our inquiries. When we met February 29, you indicated we could proceed without the need for a zoning variance provided the variance granted in 1977 included a setback variance and provided we followed the A-40 side line and rear line requirements than 20 feet to the side lines 50 feet to the ! was er than the house already is to the front lin checking ou = cords I found the application (No. 1223-77) wh approved, was for a square foot variance, front foot setback of 6&illrk 6t d lot frontage. Based on those facts, and qux-,apngerndat"ns, I understand we can add on to our house provided e, 4f .gpprse. 9t yji26'feet from the side lines, 50 feet from the rear lfne and that we not add on at all between the front of the house and Chapel Road. If I am incorrect, please let my wife or I know as soon as possible. I may be reached in the daytime at 954-2995 and my wife may be reached at 548-5662. Our home number is 289-8096. Very truly yours, Mark R. Franklin OCT U 6 1986 South Windsor8UTIDINGDEPARTMENT 10 THE This certifi d th-t this plan and specific tl:ns re true copies of the proposed building or alterations to be arected at j p Street tog^tf-er er I , •ft,, st.'t,d in applic tion an(' filed •-,ith ,, i •i d r,r c to comply with 11 zoning Bull,; ry t t: s a d s-ic h orders as <hall be iss,-., r „ p 1),partmc,nt d inng pendency of t'Lls ,f,p; -tion and final Issuance of a building permit. Signeo mil+ liThisplani5r ^.r..vc d subject to thr condition that orders --;id nrdi, .ncrs r.guliting building shall bF Cornplied with Qpnditionallt, Approved These tiled with a.<jW— iWaIng Inspector Cfer PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 0 7,vR Application is hereby : TOWN OF SOUTH WINDSOR APPROVED D ROV BUILDING INSPECTION DEPT. 644-2511 Ext . 230 1 Application must be printed or typed . Date Building Insp or 1 . LOCATION OF JOB i as OL,II,( FEE SCHEDULE No . Street 0 - $19000 -10. 00 Floor Apt . No . Over $1 ,000 -10 .00 per $1 ,000 or 2 . OWNER /I,C.. -7-4 fraction thereof 3 . ADDRESS 1(90 050 07 4 . APPLICANT oGA4; 5 . ADDRESS od 6 . ESTIMATED COST $ • 7 . IS THIS A CONTRACT COST x e®s No 8 . FEE ENCLOSED $ U I 75 9 . TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB : Original Installation X- Alteration/Addition/Repair f BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB NO. STREET APT. NO, 12 . TYPE OF INSTALLATION cqj G T-,y --c- 13 . SIZE OF MAIN FEEDER t/0 C 14 . NO. OF LIGHT LOOPS 0 15 . NO. OF HEAT LOOPS V 16 . NO. OF POWER LOOPS y 17 . NO . OF LIGHT O,UTIL T 18 . NO. OF HEAT CIRCUITS 19 . NO . OF POWER OUTLET Z 20. NO. OF CONVENIENCE OUTLETS /G) 21 . NO . OF HEAT CI ITS ^ " 22 . NO,, OF POWER CIRCUITS 23 . NO. OF GHT CIRCUITS 24. SIZE OF HEAT CIRCUITS NO . OF MOTORS - '- 26 . NO. OF PANELS 27 . TOTAL WATTAGE 28 . NO. OF WER FEEDERS , 29 . NO. OF SWITCHES 30. A/C OAD C `- 31 . SIZE OF POWER FEEDERS 32 . NO. FIXTU ES 33 . TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES /t/6/_-L 35 . REMARKS AND FURTHER DETAILS : 2, lll IV LICENSE NO. SIGNATURE OF APPLICANT DATE PHONE NUMBER: 6qq 7 71k PERMIT NO DEPARTMENT DECISION q APP CATION IS HEREBY:A P P L I CAT I O N F O R PLUMBING PERMIT APPROVED DIS PROVED TOWN OF SOUTH WINDSOR 2 BUILDING INSPECTION DEPT. DATE PLUMB INSPECTOR 6 4 4 -2 511 Ext. 230 Application must be printed or typed. 1. LOCATION OF JOB: Z02 o 4462 e FEE SCHEDULE 2. OWNER: 0 - $1,000 - $10.00 3. ADDRESS: 1,20 Over S1,000 - $10.00 av per $1,000 or Fraction Thereof 4. APPLICANT: SOU7(-( 5. ADDRESS: Z Or!/>Cy'G L./ Iva l 36i/ w a.., o dG4 /'7 zl 6. EST. COST: $00. D y 7. IS THIS A CONTRACT COST? DYES NO 8. FEE ENCLOSED: $ L B 9 3b 9. TYPE OF BUILDING: O RESIDENTIAL COWIERCIAL 10. TYPE OF JOB: ORIGINAL ALTERATION INSTALLATION ADDITION REPAIR y1.AIL1J iuL, 11. LOCATION OF JOB: / uZ O GENERAL PLUMBING 12. KIND OF INSTALLATION: lej 1-44 J 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS STYLE i}n/c 15. NO. OF URINALS STYLE 16. NO OF BATHTUBSS_17. NO. OF LAVATORIES_ _18. NO. OF SINKS_19. DISPOSAL e 16A. NO. OF SHOWERS___ 19A.DISHWASHER_ 20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS-=SIZE -? r' 22. AREA OF ROOF r 23. NO. OF CATCH BASINS 24. N0. OF FLOOR DRAINS 25. NO-OF OTHER FIXTURES KIND 26. ARE TOILET COMPAFMMNTS VENTILATED TO OUTER AIR BY A WINDOW?Y P s 27. SIZE OF WINDOW 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?z• , K-' 29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK? Jeo -'_ 31. SIZE OF WATER MAIN P. 31A. SIZES OF WATER PIPING b RISERS 32. REMARKS AND FURTHER DETAILS 14.1 aWe WATER HEATER 33. TYPE 7°C 34. MANUFACTURE 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 f c2 0,; D 02 -off 0 LICENSE NO. DATE VGN PHONE NO CAN FOR OFFIC 7SE ONLY APPLICATION FOR HVAC PERMIT DATE: NO. TOWN OF SOUTH WINDSOR EST.COST: p BLDG. PERMIT NO. 73 3 1540 SULLIVAN AVENUE FEE p SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 0 - $19000 - $10.00 1000 or fraction LOCATION OF BUILDING 1r2 0 C thereof - $10.00 OWNER ADDRESS TOWN PHONE NO. 1L." e sr al,IQ Toad& JHVACCONTRACTORADDRESSTOWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT_,?_o LBS. HYDRONIC WARM AIR UNIT RADIA T HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM .?0 GAS IN-PUT ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE_ CAPACITY 0 LPG TANK - CAPACITY EXISTING RADIATION 20 ADDITIONAL RADIATION_ oe TOTAL RADIATION ' S DESIGN TEMP. OUTSIDE_°F INSIDE°F DIFFERENCE OF TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.) : GRO S 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 & 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: 117 000" 3© 2/90 P 02-.?,2-8 STATE LICENSE - NAME & TYPE #DATE S G R 0 AP ANT j pl;:m_2_ APPROVED DATE 8D 4A 11/88 I - B - R CALCULATION SHEET 1503 (Mod rn Method) Copyright 1977 by The Hydronics Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL.A COL.B COL.C COL.D COL.E COL.F COL.G 1 ROOM IL p 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 F t of 3 LENGTH EXPOSED WALLS,FT. Q Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION ROOM LIN.FT.OF Table 9, Line 3 x H) TOTALS RADIATION FROM LINE 12 SELECTED 6 TYPE OF GLASS Bottom of table used for Line 5) 7 CEILING CONSTRUCTION C Table 9, L x W) g FLOOR CONSTRUCTIONt Table 9, L x W or Lin F t) E 9 COLD PARTITION CONSTRUCTION F Table 9, L x H) 10 c 1 Wall(With Openings) O 0 e N r 4 2 Walls(With Openings) X 3 Walls(With Openings) or Ent. Hall H 11 TOTAL UTUH AT 70F TEMP DIFFERENCE- K 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE COL A COL.B COL.H COL. 1 COL J COL. K COL.L TOTAL BTUH TOTAL k'3 OF BUILDING RADIATION ROOM AT SELECTED O H L W H L W H L W H L W H L W DESIGN TEMP.° ROOM DIMENSIONS. FT DIFFERENCE U LENGTH EXPOSED WALLS, FT Q 41 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 ON 7 CEILING CONSTRUCTION GROUND OR FILL AT Table 9, L x W) GRADE LEVEL,USE LINEAR g FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE Table 9,L x W r Lin Ft) 9 COLD PARTITION CONSTRUCTION Table 9, L x H) e 10 c 1 Wall(With Openings) O a e 2 Walls(With Openings) J 3 Wells(With Openings)or Ent Hall 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE This form is available from The Hydr nics Institute,35 Russ Place,Berkeley Heights,N J 07922 FORM 1503 C L.A COL.1e COL,e COL.* COL.t CDt..IF cart. I ROOM H L W H L. W H L w H L W H L iM Desyn Wa#ef Tsiup. 2 ROOM DIMENSIONS,FT. 7f!'E BTU"per Foot of 3 LENGTH EXPOSED WALLS,FT. f/ Radlatton Selected 4 WINOOW ANO OUTSIDE DOOKAREA w' MCl BTU" BTU" STUH BTu" BTUM r S WALL CONSTRUCTION ROOM LIN.FT.01w Tablo 9,Lin 3 x H) L17 TOTAL1i RADIATION TYPE OF GLAD FROM LINK 12 SELECTED Bottom of table used for L1nie-S)g 40 lr Q CttLiNG CONSTRUCTION C ScG Tabte 9,L x W) t1G Ado- a 7" toaa CONSTRUCTt i# Af+ 4 zfTs,Lx W or Lim Ft.) 4 0 COLD PARTITIONt CONSTRUCTION F ttebl* ,LxW F3VW*ft WNI(With f /© IINH tW lift Of l @ MI WI* I i t HTTOALTU AT Iei TEMP.OfFfER A*fN AVR. tfJ z 40 f COL-^- 104- N 1 Cam.fi COL:4, Ct11:.K 81lL.LTAT 03 Utl TOTALi ROC" r / OF BUJILDMG RADIATION K ram JAL .R At SELECTTED O M L W N L W M L W K L W- M L W 06SIG N TI Msa" n DfFFE NCE ROOM DIMENSIONS,FT. 3 LENGTH EXPOSED MIfIRLLSY FT. 4 WINDOW ANO OUTS106 DOOR A"" p'g•-a STUB VITUN BTU" BTi1M BTUH B WALL CONSTRUCTION INCREASE BATHROOM Table 9, Line 3 x H) 117 a G 0 TOTAL 2t)!! 6 TYPE OF GLASS aa 0BottomftableweedfatLSQ(J a© tFOR CONCRETE FLOOR ONYCEILINGCONSTRUCTION w„__ GROUND OR FILL AT r- Tahie 9,L x.W) D J® 0 d GRADE LEVEL,USE LINEAR B FLOOR cvNSTRUCT10Nr FEET OF EXPOSED EDGE.." p 4 DTsW99, L x W or L In.Ft) p Q Cj 11I COLD PARTITION CONSTRUCTION_ 0 3 1 Watt-(With Openin/t4 Zs 3 W#Os 4W?h OpeMt)or Hat Haft Jtw TOTAL BTU"AT 74W TOW:r0101FIE RgNCa •jy'rtt 4 a.d v a ee Z-40 0 3d O 1 Tt4TAL BTUH ATr~ Dl f i1'['-M4".DifitEl 0 E i FORMi`ThIs"w"Is avallabl from The HVdiofties test e,38 RuWOPUM Berkeley Hel&ts,M.i Sectric# 19 VEa) APPLICATION FOR BUILDING PERMIT Plumbing# 120 Chapel Road HVAC # Date: /z i/-zav Sprinkler# No.27540 FSK APPROVALS Estimated Cost Building COMPLETE RED BOXED AREAS Permit Fee eriEngineng TYPE OR PRWT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO.Total Fee TO BULDW DRARTMM,TOWN MOM WNDSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant Tel Addr ss /&46 Zip Lic.# 3 8S8175 5-1 Owner/rJA.t t Address /oZo 15 Ail i a'sey Architect Address Sq.Ft.N w Area: 1st Fl 2nd Fl 3rd Fl Total New Area Rooms lavatories Bathrooms Garages Purpose of this permit: o,7 eZ, c City Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area Basement Garape Approved 6y Dot Use Group Construction Type Rowed 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 open distance from all street lines,side yard lines,and required distances from all other zones and is located in which this and its 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