HomeMy WebLinkAbout126 Country View Drive (4)t%
0 THE BUILDING INSPECTOR
of the APPLICATION FOR
elm" (W 50UM WIPIDSOR,CONIC. PLAN EXAMINATION A N D
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O
ZONING
AT (LOCATION) Q DISTRICT O_
LOCATION NO.) STREET) O/OEN. r
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION
1
LOT BLOCK SIZE O7OL DfZ S.
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
1 New building Residential Nonresidential
2 Addition(If residential, enter number 12,® One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13)13 Two or more family — Enter 19 Church, other religi us
number of units— — — — - 20 Industrial3 Alteration (See 2 above)
14 Transient hotel, mote ,T i h l l 21 Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (1/multifamily residential, o/units ——————— — •-s 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, professional6 Moving (relocation)
17 Other — Specify 25 Public utility7F__j Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 Ej Private (individual, corporation,28 Tanks, towers
n npr fit institution,etc.) 29 Other — Specify
9 F-1 Public(Federal, State, or
local government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., f ad
processing plant, machine shop, laundry building at hospital,elementary
10. C st of improvement................ S 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
AAa. El etri ca I......................
a..
b. Plumbing ......................
c.Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $
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 o2
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
D32Structuralsteeldimensions ....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY u
50. Total land area, sq.ft. ........... OZ 7
34 Oth — Specify 42® Public or private company ow
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® No 53. Numb r f b dr ms..............
38 C al
39 Oth r— Specify Will there be an I vat ?
54. Number f
Full..........I
46 Y s 47 r2P N bothr ms
Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — T b compl ted by all applicants
Nam Mailing addr ss — Number, street, city, and State ZIP code Tel. No,
Owner or
Lessee
2. SOW^it
Contractor
3.
Architect or CS
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
of applicant Address dVOA-,* Application dot
7 4 ' 1, rt/ a c/
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Revi w R uired Check Plan Review Date Plans B Date Plans B NotesqFeeStartedyApprovedy
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
P rmit or A rova I Check Date Number B Permit or Approval I Check Date Number ByppObtainedyppObtafined
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
II. VALIDATION
Building
P rmit number 12979
Building
Permit issued Nov, 3 19 „82
Building
Permit Fe $ 366sOO
A ov by:
TI TtAl
Vill. ZONING PLAN EXAMINERS NOTES
r
FRONT
IX. SITE
r
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M .
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Nov. 3 19 82
Fee Paid $. 366. .00 Ear. Value 61,,000
Permit N° 12979
on the awe of
Lot #1 6 Country View Dr. Stem
Street No. 196
owner T & M Building Co_
Applicant Roy T.i tch f i e l d
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 6152
Fee Paid $3.00
CLASSIFICATION
L1We11ina
BUILDING PERMIT
N? 12979
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Nov. 3 19 82.
94is is to (Nertify, That T & M R„; ,d 4 ng r-o.
is hereby granted permission to Dwelling-
at estimated value of 00
on the side of Lot 4 16 Country View Dri ve Street on land
owned by T & M BuiIding Co
Said Wo rk 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 WIMSOR.
Issued Nou 3 19 820
dz'
g Inspector.
it
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."
I
I
Dwelling - Lot #16 C.V.Est. 11/3/82
T & M•Building Co.
126 Country View Drive Permit # 12979
Electrician Milton C. Plouff #783b
Heating Contr.Milton C. Plouff #
Plumbing " Norman Lutzen 6040
Oil Burner
Certificate of Occupancy 6152
Plot plan apprd. per Engr.
Permit # NSPECTION EPORT
JobFooting
2 Foundation '
Y
3 Framing
4 Wiring 1b
5 Plumbing
66Heating
7 Lathing
8 C C'
Permit No. r TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit 6152
Certificate of Occupancy
THISA9 T9 CER 'Y that the f /
OF'l
at No. ,f% in th own of South Windsor, Connecticut, has
been erected and complelVd in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved for occupancy.
f' A/ Alf ui ing InspectorA `
Owner, Builde
Fee Paid Date 19
OREN SPACE
aN070— 7 - 9
192. 23
324 00eOT AREA
42 S.F.
LOT 1.5 Aim GA,* f. ,LOT 17
w
taO s s a..o
326aff IMA _
328
M
50 blft One 41A 16 3L
332
330
rk Lie
tjLFL51 CE„ AS BUILT
Plot PIan,Country View Dr. LOTCountryViewEstates, Phase One
Property Of TSM Building Co. Country View EstatesSouthWindsor, Conn.
Nov., 1980 Rev. 3-26-81 1"=40' South Windsor, Conn.Certified Class A-2 9y
A. R Lombordi Associates, Inc. PROPERTY OF T&M BUILDING CO
HEREBY a'RT/Y THIF MAP
1 1 / 1 6 / 6 2 SCALE: I•4 0'
r
M SC ZMrrA '77A ; C' itRir.T.
Robert T. Doyton, Conn. L.S. 8157
APP v
PARTMENTDATE. _ i )_C
rSJG.:
7836
ELECTRICAL APPLICATION
Application No. RRAR 8947
on the side of
Lot #16 Country View Dr stmt
Street No. 126
T M BuildingOwner1#Q]CU&xx11xxR Elf:,
Electrician Milton C. P1 ouf f
FILED IN OFFICE OF
The Building Inspector
Dec. 27 19 82
INSPECTION.
M No Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
In New Bulldings 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.
r
APPLICATION FOR PERMIT TO DO ELECTRICAI, WORK.
No.
PermitNo. . ... ........ .... ..... .
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.
LL.South Windsor, Conn., .. 1JL'L Sign here
Address D l N ...... .......... D,......_............_....
Location Aij CC c.c>i7'` .. ...Side of ~
Nature of Building How many stories
New or old Building ....... How many families ......... ..........
Kind of Installation .. o How many Stores .. .................................................................................................
Owner /LD/e' • Address x..g ......
Architect ......... Address
Builder Address
Electrician LiO Address i-r ........................................................................
i
Size of Main Wires .. 11L1 f
No. of Light Loops .. .. .... No. of Heat Loops .. No. of Power Loops .................. ..........
No. of Light Outlets . ... No. of Heat Outlets .. No. of Power Outlets .............. . ..........
i
NoP of Light Circuits ... ..Jf... .... ... .... No. of Heat Circuits ( No. of Power Circuits .. .. ..
No. of Sockets No. of Heat Receptacles No. of Motors ........... ...
t Size of Heat Circuit No. of Power ReceptaclesNo. of Panels ............. .....
9 1.2,..3No. of Switches .. .... .!... Total Wattage Size of Power Circuit.... .....
Total Horsepower
No. of Straight Electric Fixtures ... .No. of Combination Fixtures ... . . .
No. of Receptacles .....V.......... .... ... ....... .. ..... ... ........ ...... No. of Cord Drops ...... .. ............ ... ... ............................... ..... ... ..
Remarks: For other kind of Installation .. 'Il/ '. ..... '1/.' tt....sC..... ' .. .'". .......!`
L/tT/,
Estimated Cost, /.....I O
1 l
THERMA-RAY HEATING SYSTEMS HEAT LOSS CALCULATION
T A/DATE PHONE
CUSTOMER
JOB VA-9 BLDR.
INSULATION
WALLS CEILING FLOOR BETWEEN FLOORS DOORS GLASS I SLAB INSUL. ARCHITECT
DESIGN TEMP DEGREE DAYS HEAT LOSS HEAT INSTALLED LOCAL ANNUAL ELEC. COST(AVERAGE) ANNUAL OPERATING COST(APPRX.)
ROOM F nr> leircow 01010cr jib401r- i`rH wr./Ye:v /34m
DIMENSION C j X/z lZ.X 1/+ / ! X 1Z yY 7 o .too /3 12./ ! lyls `•
T
AREA AREA AREA AREA AREA AREA AREA AREA AREA AREAHEATLOSSRWATTSWATTSWATTSWATTSWATTSWATTSWATTSWATTSWATTS WATTS
SOURCE OR LOST OR LOST OR LOST OR LOST OR LOST OR LOST OR LOST OR LOST OR LOST OR LOST
S VOL. VOL. VOL. VOL. VOL. VOL. VOL.
CEIIN
VOL. VOL. VOL.
SQL FT. r / vz ,221 fY I3v 132. 11 1 Wo /9y 1Qf ,q 1 ZO IQ + 1 Z(/V l/ Jb 1101 ` 15
SQFT 2 z 22? lqy /30 13Z //I 214 1g lob v z4 Z qo g 240 23` 1?S 159 .161 V.
INFILTRATION
I QI qQ, y ) ` j J f Q( j
ROOMJ.FTUME t3 // /O S2 q03 /054 294 17,z Isq jisq 3a2 22-4 b 3 ?Z '202. gao J 1YW 3 2,1ILOO 3(O/
WALL SQ.FT. l v 2a v
G LASS less ` less lless less les les less +' less less less I-IY2.SQ. FT. 13 lj/S 2. /G.! A31 z< 7J 5 2- 7. 2y 22. 0-
OUTSIDE DOOR
LI .Q A
les less les less le j le '-00000 le les leooe
VENTED FAN J
FIREPLACE
NET
FT. 3 2 2- 274t O 9•S //G 1L3 Ax 2 i r .2go 1sb 20-3 30 1 ? .20, 3 1?c 0 12
xo"
237
010,
HEAT LOSS 1 9i y STOTALIq7/ n p 9ts x 3 10 S 166-7 119 /1130
TOTAL WATTAGE 5 I 2? / /` !7 !3y I! 1'Z o qy9 9 0 S7 x o Qll ssqj `INSTALLED j 7u 0 lo7V , I3 3 I3 r3do
7_/oc3z.5' 5-7819s ` -1113ZO `7-11/3ZYO yo Z„5ra2o5 .24c240 r--10C32 .,1oc32
3y
ESTIMATOR . . . . . . . . . . . . . . . . . . . . . . . . . . . COMPANY NAME & ADDRESS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6040
PLUMBING APPLICATION
gppliion Na 6819
on dw AW of
Lot #16 Country View Dr. Suet
Street jqo. _._ 126
Owner T & M Building
phmdw Norman Lutzen
Filed in Office of
The Boung
Nou.19—.&2
1 4 R C WWN.
No pp-mmim " ? - - IMM mu 0 or abor any
portion of t6 &aimp qmm of my bold6g
ezeept to repair 66) uma a Pet it is gmmftd
by die Building lnqmctw.
6040IApplicationNo. 6 819............ Permit No. ...................................
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, . ....19 .$ .... Sign here 4C..... .............. .............
Address . .. ...... ........ .......... ..............
Location side of .... .. .............. . . . !` .. ... .......... Street
Nature of Building ... How many stories ..........................................
Owner ............ .... ..... ^.L G.1''...5 Address F........................ .....................'.....`..' '
AddressArchitect ......... . ..../..... . . ......................... ..................1 .l . .. . ........... ,........................... ....................
Builder . ........................ . ...AAddress . .......... ..... ..,... ..... .
a......G......................Plumber .............. f 44--.f .. !Address
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 .. i-3 Diameter .......
Aboveor below cellar bottom G...
SOIL PIPES, Material Diameter `7'. ..........3..........-............
WASTE PIPES, Material ... ,. . .. . ..Diameter .`............ ........................................ ..'Z
Type PoTRAPS,T e proposedsed to use is r.................................................................................................................
RAINWATER LEADERS, where do they run to
REFRIGERATORWASTES, where do they run to . .. . .. .... .................................................................................... ...............................
TANKOVERFLOWS, where do they run to
FIXTURES
WATER CLOSETS, How many ... .......................... .......... Where located ... . ..............................................................
Distance from trap to vertical soil pipe ................. . :'.7........ Pattern
WASH TRAYS, How many . ......................../.......... .. Where located .. ..... ..........
SINKS, How many ........ ..... Where located . . ... ...........................
BUTLER'S SINKS, How many Where located. . ...............................................................................................
REFRIGERATOR SINKS, 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
f.of room where same are to be l
Estimated CostA
Ir
TO THE B,UIU)ING INSPECTOR
of tw APPLICATION FOR
TOWN (W
PLAN EXAMINATION ANDCOiN. BUILDING PERMIT
zIMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and 1X.
1. AT (LOCATION)
Z NING
41 1 DISTRICT
LOCATION NO.)r__Nft9tT)
OF BETWEEN zzanz AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking"most recent use M
M
1 N w building Resid tial Nonresidential
2 Addition(It residential, enter number 12 7One family 18 Amusement, recreati nal
of new housing units added, if any,13 Two or more family - Enter 19 Church, other religiousinPartD. 13)
number of units- ---i
3 Alt rats n (See 2 above) 20 Industrial
14 Transient hotel,motel, 21 Parking garage4 Repair, r placement or dormitory - Enter number
5 Wrecking(it multifamily residential, of units ------- -- 22 Service station, repair gerag
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13) 16 Carport 24 Office, bank, professional
6 M ving (relocation)
17 Other - Specify 13X 6 25 Public utility
7 Foundation only 25 School, library, other educational
B. OWNERSHIP V , "G' 27 Stores, mercantile
8 g Private(individual, corporation,
28 Tanks, towers
nonpr fit institution,etc.) 29 Other - Specify
9 Public(Federal, State,or
local g v rnment)
C. COST Omit cents) Nonresidential - Describe in detail proposed use of buildings, .g., fo d
cA processing plant, machine shop, laundry building at hospital,elementary
10. Cost f improvement,,,,,,,,,,,,,,, S school, secondary school, college, parochial school, parking garog for,
department store, rental office building, office building at industrial plant.
To be installed but not included C/o If use of existing building is being changed,enter proposed use.
in the above cost
a. El ctrical......................
b. Plumbing ......................
c.Heating, air conditioning.........
d.Other(elevator,etc.).............
11. TOTAL COST OF IMPROVEMENT $ D
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 l J Mas my(wall bearing) 40O Public or private company
48• Number of stories................
31 Wood frame 41 Private(septic tank,ate.) 49• Total square feet of floor area,
all floats, based on exterior
32 r I Structural steel dimensions ....................
33 R inforced concrete H. TYPE OF WATER SUPPLY
34 Other - Specify 42 Public or private company Total lend area, sq.ft. ...........
Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
36 Oil c nditionin9$ L. RESIDENTIAL BUILDINGS ONLY
371aEleettieity 44 yes 45 No 53. Number of bedrooms..............
38 Coal
39 Other- Specify Will theta be on levotor4 Full..........
54. Number of
46 Y s 47 N bethroome
Pertiel.......0
IV. IDENTIFICATION — To b compl t d by all applicants
Nam Mailing addr ss — Number, street, city, and State ZIP cod Tel. No.
i. I216 If Aj 1 k—
Owner or l
Lessee
2.
Contractor
3.
Architect or
Engineer
Th ow f this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Si ature applicant Address Application date
2.
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans B Date Plans B NotesPlansReviewRequiredCheckFeeStartedyApprovedy
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date
P rmit or Approval Check Ob
Dare
Obtained Number By Permit or Approval Check Obtained 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
Bui Iding
P rmit issu d 19 z 6
Building
P rmit Fee
A ov e b C g
a /0 '-p 01
T I TL 71-'/,
A
TOWN OF SOUTH WIMSOR
BUILDING PERMIT
Date No v. 13 1986
Fee Paid $. .E 0...0 0 Est. Value $.10.1.0 0 0
Pest N° 15549
on the side of
Country View Drive Street
Street No. 126
Owner Debbie DiMugno
Applicant Ronald Gaffney
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Enclosed porch
BUILDjNG PERbffr No 15549
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. No V. 13 6
94is is to Crrtff;, That Arrow Remodeling
is hereby granted permission to
Construct enclosed porch 13' x 16' at rear
of dwelling
at estimated value of 0,0 0 0
on the side of 126 Country View Drive Street on land
owned by Debbie DiMugno
Said Work to be as described in Application
No. 15 S 4 9 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
ued,Nov. 13 1#6
Building Inspector.i
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."
INSPECTION REPORT
Permit # ,-Job6 y
1 Footing
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O.
9525
ELECTRICAL APPLICATION
Application No. 11036
on the side of
Country View Drive Street
Street No. 1 2 6
Owner Debbie DiNuQno
Electrician Paul Tranchino
FILED IN OFFICE OF
The Building Inspector
1/13 1987
INSPECTION.
m 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 Are
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
Electrical Permit No. .....
c. f..........
Master License No. l_......................_`^.5.......
TOWN OF SOUTH WINDSOR Building Permit No.
BUILDING DEPARTMENT Date Filed .......,/..... . ..,1. ...........................................
Date Final Approval ............................................_.....
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
JOB LOCATION.I Z.6. Gr.. .4. 1..T.R. ............. ...G........ JOB OWNER. Q.... ......Q...f'..v.....'... ..N..`...............................
Side of ... ....... .............. .... ...... . ..... Between ............ ... .. ........................................ ....... and .................................................................................
Name of Building Owner S'. ...o-L f.. Address .... . .. ...................................... .. ..........................._.......................
If work is for Lessee--Give name Address ....................................._...........................................................
Building now occupied as (unless new) 6 5....... ................ No. of family units now ....-E........................
Building to be occupied as ......... .... ... Number of family units to be .....I.............................
Is this work included in a Building Permit? ....... .. .. ... ...... Permit Fee ................ .......................... ..............................................................................._.....
If no Building Permit)119 4-A`
Permittee .. .. 7-( ... C if.IN i). ......... Business Address ..gS(;;.....C' .......AO.. Telephone ..$' !.!.. c'
COSTOF INSTALLATION: ..1^d... . ........................................ ........................................................................................................................._..................................__.
TO BE FILLED OUT BY PERMITTEE
TO BE WIRED EXISTING APPLIANCES
Number of light outlets to be installed
Number of convenience outlets to be installed .... Y... Number of present Appliance Circuits .................................................
Number of switches to be installed . . • ....... '....... Do these include Range Water Heater Number of appliances to be installed . . . ....... .............. ..
as listed below) Dryer Air Conditioner Oil Burner
TYPE RATING NO.
Dish Washer Gas Burner
Range
Well Pump Flee. Heaters
Range Top . . . . . .
Oven . . . . . . . . REMARKS:
Water Heater . .
Clothes Washer . . . .
Clothes Dryer . . . . .
Dish Washer . . . . . .
Air Conditioning Motor . .
Oil Burner Motor . . . .
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan
Well Pump
Electric Heat . . . . .
Other . . . . . . . .
Number of new Lighting Circuits
Number of new Appliance Circuits . . . ..........._...._...........
Number of Heating Circuits . . . . . . .............................
Number of Motor Circuits . . . . . . . .................
Size of present service ............... . ............_............................_............
Size of service to b-e ..........................................._...._...................... __.._._.
FOR 1JFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: 1p
NO. 7 TOWN OF SOUTH WINDSOR EST.COST: 9do jJ
BLDG. PERMIT N0. 1540 SULLIVAN AVENUE FEE
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 0 - $19000 - $10.00
1000 or fraction
LOCATION OF BUILDING /(J v 1 thereof - $10.00
OWNER ADDRESS TOWN PHONE NO.
4::f F3-) C;L /t/ z,4,1j1UD1-11y14 Z/- S-5 _/q/r
HVAC CONTRACTOR ADDRESS rOW9 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 LBS.
HYDRONIC 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 OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.) :
Dal- 1 4/{-2yr?-MOO41' Al ff t-0 " /
GROSS 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 f Conn. Building C des in the performance of such work.
FURTHER DESCRIPTION OF WORK:
r
STATE LICENSE - NAME & TYPE # AT SIGNATURE OF APPLICANT
4, F, q -
APPROVED DATE
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.B COL.C COL.D COL.E COL.F COL.G
11 ROOM
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 pw Foot 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.OFTable9, Line 3 x H)TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
Bottom of table used for Line 5) X1
7 CEILING CONSTRUCTION C
Table 9. L x W)
B FLOOR CONSTRUCTIONt D
Table 9, L x W or Lin Ft) E
9 COLD PARTITION CONSTRUCTION F
Table 9, L x H)
10 _C 1 Well(With Openings)G
H
e;
m 2 Walls(With Openings) DX 1
3 Walls(With Openings) or Ent Hall 151
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 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 RADIATION1ROOMATSELECTED
p H L W H L W H L W H L W H L W DESIGN TEMP.°
2 ROOM DIMENSIONS, FT
DIFFERENCE
O
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 5)
7 CEILING CONSTRUCTION 1FOR CONCRETE FLOOR ON
GROUND OR FILL
Table 9, L x W)
AT
GRADE LEVEL,USE LINEAR
B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
Table 9, L x W or Lin Ft)
9 COLD PARTITION CONSTRUCTION
Table 9,L x H)
10 1 Wall(With Openings)
0 e3
e 2 Walls(With Openings)X
3 Wells(With Openings)or Ent Hall H
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
This form is available from The Hydr nits Institute,35 Russo Place,Berkeley Heights,N J 07922 FORM 1503
r -
t
y
MENDOTA HEARTH SPECIFICATIONS
a Model SHHW-1
BTUH. . . . . . . . . . . . . . . . . . . : . . . . . . . 15,000 Minimum D. E. Q. MODEL:
27,000 Normal 27,060 Minimum
60,000 Maximum 49,300 Maximum
HEAT EXCHANGE AREA. . . . . . . . . . . . 59. 4 SQ. FT.
FLUE PIPE. . . . . . . . . . . . . . . . . . . . . 6" Diameter, Certified HT "all fuel"
Chimney (See Appendix A)
FIREBOX. . . . . : . . . . . . . . . . . . . . . . . 20-1/4" W x 14-1/4" H x 12-1/2" D
D. E. Q. MODEL: 20-1/4" W X 11-3/8" H X 12-1/2" D
SUPPLEMENTAL,,OUTSIDE Y
AIR INTAKE KIT. . . . . . . . . . . . . . . . 4" Diameter--Optional (See Fig. 11)
CLEARANCE- TO
COMBUSTIBLES. . ... ... . , . . . . . . . . . .. •Sides and Back to Stand-offs,
Top - See- Figure 8
TOTALWEIGHT::'':::'r. .' 470# (485# DEQ Unit)
LISTINGS. . . . . . . . . . . . . . . . . . . . . . Omni Envi0onmental Services
Tested to:
Oregon D. E. Q.
Colorado -- D. 0. H.
Warnock Hersey, Inc.
Tested to:
U. L. Standard #737
I. C. B. 0.
EMISSIONS;
2. 94 Grams per Hour Particulate Weighted Average (D. E. Q. )
5. 3 Grams per Hour Particulate Weighted Average (D. 0. H. )
197. 4 Grams per Hour Carbon Monoxide Weighted Average (D. 0. H. )
v
i IV. FIREPLACE FRAMING
Mendota Hearth fireplaces are of "zero-clearance" design which
allows combustible (wood) framing close to the cabinet. Note
that the framing cannot actually contact the fireplace, but is
held away from it by triangular stand-offs.
DO NOT use combustible framing tight against the cabinet. Study
L 1 the following diag ram closely-NO VARIATIONS ARE PERMITTED:
at
In
11
e-
us
SHEEMM OR
PANELLING
rou
t o •• • •E • • TYPICAL STUD PLACEMENT
FOR REFERENCE ONLY
SHEETROCIC OR
PANELUNG d 1/2".MAX. 2X6
pp
DppIME NSyION .
4 ..sr.r 'v ,.1 .. {n.., aw .p•.T N. 'J. t, i r• R i•:f• _ - .r l'•'• • .. 'y.r. : . - .+.,LUMBER MW,
any NO FRAMING
The IN THIS AREA
and;. •'. 1•: w _- >•:. V..,.'.:... L....
TOP R
est 7MAIISTAND-OFF
TOP
love . - .. Ja.: ',. .I r 4 y
1 V. .y.1 4.jr.te ..
CONVENTIONAL.STAND-OFT
ame FRAMING
t.,,., . .•.,• ,. i,; ;. ri.• :,. m ti: LUMBER
DE'STAND-OFF 'y.' .. SIDE
TYP. BM SIDES STAND-OFFS
be
Fors
the
to IL
id, a
place FIGURE 8
uded
Fireplace facing materials MUST BE NON-COMBUSTIBLE and of low
conductivity. Approved materials are standard bi'vick, sliced or
thin brick, ceramic tile, veneer or "real" stone, marble and
U. L. listed non-combustible sheet stock. .Only these materials
can be placed on the fireplace front. Only non-combustible
mastics (non solvent-based) can be used to adhere these
materials.
8
2/0$1kk rAt3R 1GR rtD
YAC INSPECTION REPORT F
Permit # g3 Job u IC E'
1 Footi M
2 Foundation ST A onJ lwvr,
3 Framing\1 Z_ „-V
4 Wiring
5 Plumbing
6 Heating )DfR 1 4
7 ""WW 61 i
8 C.O.
Pursuant to Permit No. 7683
This Certifies that the Wood/Coal Stove installation for which the above named Permit was
granted has been duly inspected and is hereby approved.
Owner— Dennis Dim ngo
126 Country View Dri w
Street South T—,.inusor-T CT. 06074
2/13 _19
Building Inspector 1
JT
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PE A LL
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE
0 l 644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
Location ofjob
IA6 Coo y-t2y Utz 12
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt. No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER -J h d )7 S ,17, U ba.or any fraction thereof
ADDRESS t 6 C 4 t, V rZ
S k/ !AlD-SO rt-- C— 060? L/
OWNERS PHONE#6 U
APPLICANT Q 6 cfo C3 i2 S 5 C G '
OW N Se ADDRESS_ a C-P s,fi -' 7'
C-T o 6 C 4 G
CIO) ,*. :: ESTIMATED COST $ f 7 51.
C IS THIS A CONTRACT COST?
YES NO
J.
FEE ENCLOSED $ C.
OR-COS TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
c 19 Q rn.PAl-M J--OCvTi S S 1l St'" Revised 11/95
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM TYPE OF BUILDING
HEATING RESIDENTIAL
ABC COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR v-" 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.)
AA o Al c rc 2 1 cc& dZ p c-T- c
f 2 T ri S S y 5 7-/
1 — *
t T c` at 7 6- Q t a 9-u !/ 1'::`'t=c:
CJ 2 0 Af rZ- u <T
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
TYPE OF FUEL
OIL-GPM GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
K- i Y-0/LC/
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 1-G oc 4 Z e c 1— ye
s' f-e 7 7' 1 Q c 2
LA
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO ARFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
STATE LICENSE-NO. NAME&TYPE SIGNATURE OF APPbCANT
PHONE NO.Z6 d & L4 ^q d ;-7 DATE 3 J
INSPECTOR DATE P b TIME
LOCATION
i
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
x
ELECTRICAL:
PLUMBING:
HVAC:
OTHER: