HomeMy WebLinkAbout120 Wood Pond RoadZ /Y.z3
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
PLAN EXAMINATION ANDTO" OF SSOVTH W P DSM Com BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX.O
ZONING e-I• AT (LOCATION) / DISTRICT
LOCATION NO.) STREET)
OF BETWEEN 4!/Jy AND O 4
BUILDING CROSS STREET) CROSS STREET)
3 LOT
SUBDIVISION ivy LOT BLOCK SIZE O?0 ,•
NII. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
o
A. TYPE IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T
1 New building Residen al Nonresidential
2 Addition(1/residential, enter number 12 One family 18 Amusement, recreationalofnewhousingunitsadded, if any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13)
number of units— — — — -- 20 Industrial3 Alteration (See 2 above)
4 Repair, replacement
14 Transient hotel, motel,21 Parking garageordormitory — Enter number
5 Wrecking (ll multifamily residential, o units ------- — -- 22 Service station, repair garage
enter number of units in building in 15 orage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional6 Moving (relocation)
17 O 25 Public utilityOther — SpeciJy7 Foundation only
26 School, library, other educational
B. OWNER I P 27 Stores, mercantile
8 Private(individual, corporation, 28 Tanks, towers
nonprofit institution,etc.) 29 Other — Specify
9 Public(Federal, State, or
local g vernment)
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 f improvement,,,,,,,,,,,,,,,, OOv 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.)............
11. TOTAL COST OF IMPROVEMENT $ gQ dG6
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 M my(wall bearing) 40[ 'ublic or private company 48• Number of stories................
31 W od frame 41 Private(septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .................... j y
33 R inforced concrete H. TYPE
50. Total land area
F WATER SUPPLY
s34 Other — Specify 42 Public or private company q' ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIP TYPE OF HEATING FUEL1. TYPE OF MECHANICAL 51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 44 Yes 45 dhlo 53. Number f bedrooms.............
38 C al
39 Other— Specify Will ther b an el vator? 2
54. Number f Full..........
46 Yes 47 dNo bathrooms
Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b compl t d by all applicants
Nam Mailinipaddr ss — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee
j
2.
Contractor
3.
Architect or
Engineer
The own r of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of pplicant A44ress Applications dot
00 NOT WRITE BELOW THIS LINE
PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
P rmit or Approval Check ObDta!ed Number By Permit or Approval Check ObtDa ned
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
Building
P rmit number 12869
Bui Iding
Permit issued Aug. 19 19 82
Bui Iding
Permit Fee $ 480.00
roved b
e,W
TITLE
NOTES' Vill. ZONING PLAN EXAMINERS
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Aug. 19 19 82
Fee Paid $. 480.00 Est. Value $8.0-9.000.00
Permit No 12 8 6 9
on the side of
Lot #3 Wood Pond Road Street
Street No. 120
Owner LaCava Construction Co.
Applicant r nrjZe T.a Cava
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 6093
Fee Paid $ 3.00
CLASSIFICATION
Dwelling
BUILDING PERMIT
oMCE of
N° 12869 .
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Aug. 19
14is is to gerfif-U, That LaCava Canis tructinn Cn.
is hereby granted permission to Dwelling
at estimated value At
on the side of Lot #3 Wood Pond Rnad Street on Wad
owned by LaCava,Cona traction Co.
Said Work to be as described in Application
143169 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR-
Issued 84.
a
wilding 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 compelled to reason therefor."
Dwelling Lot #3 Wd. Pds. 11 8/19/82
LaCava' Construction Co.
120 Wood Pond Road Permit # 12869
Electrician Garber-Doran 7 7 7 1
Heating Contr. D. Bartone 5521
Plumbing it D. Bartone 6010
Oil Burner
Certificate of Occupancy 46083
Plot plan apprd. per Engr.
Y
3/rl/
INSPECTIO )REPORT j
Permit # Jo4
1 Footing<4L- 8 i
2 Foundatiorq—,q^
3 Framing l P-- 2_
4 Wiring C) A-1 9-
5 PlumbrtnUO?7 nml 2
6 Heating
7 Lathing
8 C.O. ,
Permit N'o. .°TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit 6083
Certificate of Occupancy
TRM,49JO CWTIFYi the the e
at No.4 , r" f
f'
the To of South Windsor, Connecticut, has
been erected and completed in accordance with the Bui ding Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved for occupancy.
Inspector
Owner, Builder
Fee Paid Date 19
BEING LOT # 3 ON A MAP ENTITLED: WOOD PONDS SECTION II
SOUTH WIT'-a)SCR,CT
PNOKRTY MAPPED FOR
LeCAVM CONSTRUCTION COMPANY
TOWN OF SOUTH WI NDS OR
OPEN SPACE
N86°35'oo''W-r
194.00'
3
W3OFOUNDATIONSHOWN
AS LOCATED 9-21-82
O I,
2 M 2440• rn$
4
N FOUNDATION M 30.E
s
So
0
89.oo
d 6°27 34"
L 45./O
i
z
8"S.dN SEWER— eq 7W311PUCT/GN^AN
WOOD POND R OAD
LUCHS i KCKERMAN
CIVIL ENGNKERS • PLANNERS • IAND SURVEYORS
GLASTONBURY,CONN.
11lMLA
CiATM A i lY cm CT-
ACCURACY
1 r=40 r GATE- 9-2 3-82
ACCURACY CLASS A-2. E- 80-68- 3
A P P R Q V E D
TOWN OF SOUTH WINDSOR
ENGINEERING DEPARTMENT
DATE:v
ti
BUILDING DEPARTMENT
TOWN OF SOUTH WINDSOR, CONNECTICUT
APPLICATION FOR BUILDING PERMIT
STAFF SIGN-OFF SHEET
Application # Applicant:o Date: / t-PP
Location: Zone: lee
s
Type of Improvement: 00V l
Proposed Use:
Kindly review the above building permit application, and if all Commission/Departmental
requirements have been met, sign-off below*.
Signature Date
Town Sanitarian:
Comments :
Fire Marshal:
Comments:
Engineering Bureau:
Comments:
Planning Department:
Comments: R b - sa . I.AA. 1
Kindly review the above improvement, for which a Certificate-of-occupancy has been requested,
and if all Commission/Departmental requirements have been met, sign-off below*.
Town Sanitarian:
Comments:
Fire Marshal:
Comments:
Engineering Bureau:
Comments:
Planning Department:
Comments:
Pollution Control Superintendent:
Comments:
Additional comments may be attached on a separate sheet.
5/28/82 PRD
7771
ELECTRICAL APPLICATION
Application No. 8882
on the side of
Lot #3
IW food fA_ Street
Street No. 120
Owner Lo-(itl/C.
Electrician 6a-46 ` - /.Joy" -
FILED IN OFFICE OF
The Building Inspector
Sept. 21 19 82
INSPECTION.
t)-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.
bq
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK.
No. . ....8.83.2......... ....
Permit No.
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application to. 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.
S sSouthWindsor, Conn., 19 xSign here
Address es a C, Tom," ...... Ck 1 cr.•i Gh e'S Ter
b G Np
Location 140 Side ofod I......... ...............
Nature of Building Res'. ... . How many stories ............ ......2.
New or old Building Ve w How many families ..................I................................................ .. .............
Kind of Installation How many Stores
LaCAVA COS`ST. AddressOwner285.StLAS-DEAF,,E g166 ,ivr F.......... ...
Architect WE THE RSFIEL-D,CT.061o9... . . Address
Builder GABBER-DORAN;ice. .
Address
000 GarpenTe ,c .
Electrician mmcmEsTEa,-CT. 0. .
Address .. . ..........................................................................................
Size of Main Wires .. ... ....Z
No. of Light Loops .. ...7 ...... No. of Heat Loops . No. of Power Loops ........................_._.........
No. of Light Outletsb No. of Heat Outlets . No. of Power Outlets ........
NoO of Light Circuits N . . . 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 . .........3.5... ..Total Wattage Size of Power Circuit ..
11
Total Horsepower
No. of Straight Electric Fixtures ......... .. ..C. ............ ..... ... No. of Combination Fixtures .....
No. of Receptacles ................ :. ..... .. .. .... ...................... No. of Cord Drops .....
COI 1 7 1
0.
r l C i/ _ ..."'.................Remarks: For other kind of Installation ..... ............ ............. .............. .. ........ .. .......................
Estimated Cost ..... ..°Z.00(-)..-.yJ
6010 j-
PLUMBING APPLICATION
lyQt;on ,, 6 7 8 8
on the _...___ aidc of
d,s
Plumber _
Filed in Office of
The &&&g Tnspecooc
Oc t. h 19_8,2
No person stall commuct, add to or ab or ay
portion of the drainage system of ash bwl&og
except to repair leaks) unit a Be ig grasroed
by the Building Ins maw.
Application No. . ... .6-7-8.8............. Permit No. I......
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application to perform plumbing according to detailed description below. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether
specified herein or not.
South Windsor, 4-.19 9F Sig. here . . ... ....
Address ................ ............................................... ........................................
SiLocation1'3... de of ....... .... ......................... .. ............................................ Streetr-
Natureof Building How many stories .. ................................................. ..................................
Owner ... ........ Address .
SArchitect ........ '**"*" i
Address ..... . ................... ............................................................ ...................-
Address .................Budder ....oe A_-C 0 C/.6,
Plumber Address 6.&.1.f0GCj
DRAINAGE
CESSPOOLS, How many Where located . ... ..... ..................................................................
Are they water tight Of what materials are they built ..... . ........ ........ .-.... .......
Size of pipe from house to cesspool Kind of pipe - -- ............................................................................... ..
MAIN DRAIN IN CELLAR, Material Diameter ................................................................................ ....................
Aboveor below cellar bottom . .. ..... ...........................
SOIL PIPES, Material Diameter CI.........................................................................................
WASTE PIPES, Material . Diameter
TRAPS,Type proposed to use is
RAIN WATER LEADERS, where do they run to
REFRIGERATORWASTES, where do they run to .. .. .. .............. ............................................................................. ...............................
TANK OVERFLOWS, where do they run to
FIXTURES
WATER CLOSETS, How many .. .........3.. .. . ........ Where located
Distance from trap to vertical soil pipe ....................................... Pattern
WASHTRAYS, How many . . ....... .................................... Where located ....... .......................... .................................................
SINKS, How many ..- ...... -- .. ...........................I.................................... Where located .........................................................................................
BUTLER'S SINKS, How many ........................................................ Where located. ...................................................................................................
REFRIGERATORSINKS, How many . ................................... Where located .................................................................................................
LAVATORIES, How many ......................... .............................. Where located ......................................................................................................
BATHTUBS,How many....... ................ Where located ...................................................................................................
URINALS, How many ....... - . ...... ................................... Where located . .... .........................................................................................
Are water closets and urinals to be local vented If not, is there a window in outer wall
ofroom where same are to be located I........................
Estimated Cost
r
PERMIT
6 6 2 2ApplicationFor 5 5 21dDEPARTMENTDECISION
w Heating Permit
O3E APPLICATION Is HERESY:
o DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
c a 10/5/82
00 DATE tffIEF-I ISPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER HE BELOW
O
1. LOCATION OF JOB
o
4J
Cd G NO. STREET
cd w
JV2
C LOT NO. FLOOR APT. NO.
O O
N
79
Iv O
1_
A E 2. OWNER r/Sd.rajzn
S, 1-4
0 3 a. ADDRESS IraJC
4tjar&-,
s.FHONE
Cc
Cc
S. APPLICANT - i -
ors ad
6. ADDRESS
4a
6 d 2 '31 7.PHONE 23r ctz
S. LICENSE NO.
a4S
4-4 B. EXPIRATION DATE OF LICENSE
c C7'
10. ESTIMATED COST
11. IS THIS A CONTRACT COS" Np
y 12. FEE ENCLOSED S Permit 12869
se
uvi is. TYPE OF BUILDING:
W
C bo RESIDENTIAL COMMERCIAL
3 14. TYPE OF JOB: INDUSTRIAL
Fr ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued it m Reverse side)
11. LOCATION OF JOB c2 QAX2dl;17 a Cl /?0,/1
NO. IF STRE T FL OR APT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
0—'SAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. R eR GQ B.T.U. OR SQ. FT. NETZ001 B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED QR— NEW OR OLD BUILDING N eL~J INSULATED — YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION/
AVG. SYSTEM WATER TEMP. ) o U B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE y 0 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. A. 4
DESCRIPTION OF WORK
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE IN AREA - SQUARE FEET B.T.U. S.T.U. I-D
AND DOORS VOLUME TOTAL TOTAL a <
DISTRIBUTION INSTALLED
4
ROOM NO. 6 GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j I- RAD.
REGISTER
L W N AND C TEMP. TO F f TYPE AND SIZE OR LEADER
SIZE < WALL
f'LTO INFILT.)
DIFF. F O N SO' FT' FREE AREA
TOTALS
A. HEAT LOSS FROM BUILDING• 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:
NAME ADDRESS
SUBCONTRACTORS AND
te. 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.
Z
DA E SIGNATURE OF APPLICANT
IbOaacf PO/Ict fc4 ,
I = B = R CALCULATION SHEET 1503 (Modern Method)Copyright 1977 by The Hydronics Institute
E
OWNER ADDRESS DESIGN TEMPERA DIFFERENCE F. DATE
COL.A COL.0 COL.C COL.D COL.E C COL.G
1 ROOM a i'lx 1 f` t1
O H L/ H W H W H H yy Design Water Terrtp.
ROOM DIMENSIONS, FT. 6 t- b BTUH p r Fo It ofVr, 3 Radiation Selected
s LENGTH EXPOSED WALLS,FT. Q a
4 WINDOW AND OUTSIDE DOOR AREA U. 3
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION p- Q ROOM LIN,FT.OF
Table 9, Line 3 x H) f)O p V U r
U 0 TOTALS RADIATION
F
r;
FROM LINE 12 SELECTED
6 TYPE OF GLASS
Bottom of table used for Line 5) 17
1 CEILING CONSTRUCTION C 41ZL
Table 9, L x W) D _? O V 0 .._.S
g F-LOOK CONSTRUCTION; d
Table 9,L z W or Lin. Ft.)
E \ i'JG3
9 COLD PARTITION CONSTRUCTION F
t Table 9, L x HI
I i 0 1 Wall (With Openings) 000 U x ti U
H So O v
0 3 x 7C;P
2 Walls(With Openings)— DXJ
3 Walls(With Openings)or Ent. Hall Ip i 0
I I TOTAL BTUH AT 70F TEMP` DIFFERENCE' Fj , U G)iJInvO
K
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE r7177
L
COL.A^— COL.B COL.H COL.1 COL.J COL. K COL.L TOTAL BTUH TOTAL
t i ROOM --'2 yc,_ l4 r " OF BUILDING RADIATION
AT SELECTED
O H W H Ljor' H W H W H DESIGN TEMP.°
DIFFERENCE
2 ROOM DIMENSIONS, FT. U r
3 LENGTH EXPOSED WALLS, FT. Q 1 r
4 WINDOW AND OUTSIDE,DOOR AREA LL 1. - 6
1
BTUH BTUH BTUH BTUH BTUH
L INCREASE BATHROOM5WALLCONSTRUCTIONT(J e vU TOTAL 209(.
1 able 9. Line 3 x H1
6 TYPE OF GLASS
IBattom of table used for Line 5) AK 7 C ' oil,— tFOR CONCRETE FLOOR ON
I CEILING CONSTRUCTION GROUND OR FILL AT
kJable9, L x W) fii, Q U O v Q GRADE LEVEL, USE LINEAR
S f LOOK CONSTRUCTIONt
FEET OF EXPOSED EDGE
Table 9, L x W or Lin. Ft.)
r s
9 COLD PARTITION CONSTRUCTION
1 Table 9, L x H)
I IU c: 1 Wall(With Openings) C K S 0 0 700
o
Z lam--, i ,
v
i
e 2 Walls(With Openings)R J f1 '-_' r
3 Walls(With Openings)or Ent. Ha!I H
11 i TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE
FORM 1503
T iii, tnrm is available from The Hydronics Institute, 35 Russo PlacO Berkel.Aj,Heights, N J. 07922
I - B = R CALCULATION SHEET 1503 (Modern Method)i Copyright 1977 by The Hydronics Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE-20—F. DATE
COL.A COL.B COL.C C L.O COL.E COL.F COL.G
1 ROOM
cc
x
Design Water Temp. .O AIM" H H L W H L W H L W
7 ROOM DIMENSIONS, FT. U 1: p 'Y
BTUH per Fo t of
3 LENGTH EXPOSED WALLS, FT. Q O Radisti n Selected
4 WINDOW AND OUTSIDE DOOR AREA LL Z_
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION ROOM LIN. FT.OF
Table 9, Line 3 x H) 0 O 7
TOTALS RADIATION
b TYPE OF GLASS n
FR M LINE 12 ELECTED
Bottom of table used for Line 5) Z}
7 CEILING CONSTRUCTION(
Table 9, L x W) VOOJIS—! C,
D '41
B FLOOR CONSTRUCTIONt
Table 9, L x W or Lin. Ft.)
9 COLD PARTITION CONSTRUCTION F
Table 9, L x H)G
10 _c 1 Wall(With Openings) C
3 H .; " ,1 J7
2 Walls(With Openings)A X D Q 2 V D
1
3 Walls(With Openings) or Ent. Hell F-
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' 00 Y
11 10TAL BTUH AT DESIGN TEMP. DIFFERENCE
K
COL.A COL.B COL.H COL.1 COL.J COL.K COL.L TOTAL BTUH TOTAL
ROOM AT
BUILDING RADIATION
AT SELECTED
O H L W H L W H L W H L W H L W DESIGN TEMP.*
2 ROOM DIMENSIONS, FT.
DIFFERENCE
2 f _
t LENGTH EXPOSED WALLS, FT. Q
a WINDOW AND OUTSIDC DOOR AREA aL
BTUH BTUH BTUH BTUH BTUH
WALL CONSTRUCTION INCREASE BATHROOM
i (Taule 9, Line 3 x H) TOTAL 20%
Cb TYPE OF GLASS
11ottom of table used for Line 5)
t1CEILINGCONSTRUCTIONGROUND OR FILL AT
CONCRETE FLOOR ON
tTable 9, L x W)GRADE LE EL,USE LINEAR
g FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
iTable 9, L x W or Lin. Ft.)
i 9 COLD PARTITION CONSTRUCTION
i (Table 9, L x H)
0 1 Wall(With Openings)
3
c 2 Walls(With Openings) X
J
3 Walls(With Openings) or Ent. Hall
t t TOTAL BTUH AT 70F TEMP DIFFERENCE'
L12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE
FORM 1503
Tt)is forrrs is available from The Hydronics Institute, 35 Russo Placm, Berkaloy Heights,-N. J. 07922
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT 0 #
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE
644-2511 ext. 230
Date Building 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 OWNER Er M!!O
or any fraction thereof
ADDRESS /020 C,•OO yy- d
OWNERS PHONE# 606 O'
APPLICANT —fie c ro
W NN S ADDRESS • /v 3
f
tij .:: ESTIMATED COST
C r IS THIS A CONTRACT COST?
YES NOftftw
CJ FEE ENCLOSED $
l v
TYPE OF JOB:SOR*CO Original Installation
Alteration/Addition/Repair
Revised 10/96
APPLICATION FOR PLUMBING PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION YES
RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL
INSTITUTION
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO. OF TOILETS STYLE NO. OF URINALS STYLE
NO. OF BATHTUBS NO. OF SHOWERS NO.OF LAVATORIES
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 YES/NO
SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER
TYPE MANUFACTURE
TANKS SAFETY DEVICES
TEMPERATURE
CAPACITY O RELIEF VALVE
TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE
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 CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
J—c c
00 ?o 3 or,.
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
PHONE NO.S-6o—8)S 69'4).2- DATE /—S
wY"'d,.q,,,+M..,^Y`wawa'r„'.vntidy'^'w+p,eyr±Al ?'+,.^r."_"'d,r'+r., _ „' - _
INSPECTOR DATE f fC TIME
LOCATION I2,ei o U cv
INSPECTION: DE: RESULT(D/A) :
BUILDING:
I
ELECTRICAL:
0
ty
5R PLUMBING:
4'
HVAC
OTHER:
eectric# APPLICATION FOR BUILDING PERMIT
Plum6ing# 120 JAKW PQND ROAD
HVAC #26 412
Dat l n"
Sprinkler# N0'
FINAL PPROV Estimated Cost $ 4 753
Building COMPLETE RED BOXED AREAS Permit Fee
Engineers TYPE OR PRNT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SM
Appr.for CO.Total Fee
TO BUILDING DEPARTM NT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned h re6y applies to do work according to the followin specifications:
Job Location k _=L O load lot No. Side of Street Zone
Applicant Go rr Tel# RW- 8
Address I- U Zip O 1 Lic.# S y
Owner Address ti 4 r0(.Dl-j
Architect Address
Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit:
Add A-A.A Ljaj j azx JL -40 lAk A V.Ll
Gty Wat Well 0 Septic System Sewer
Ins. H.O. Cert. Area i I Basement Garage
Approved 6y J, Date l Use Group Construction Type
Rov6*d 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 afteration 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 b 'Iding and=isall
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
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
99-26412-B 4,758
B10 FINAL 01/18/00 JFF A