HomeMy WebLinkAbout127 Homestead DriveTO THE BUILDING INSPECTOR
1
of the APPLICATION FOR
TO" (WMUM WIPWWK cow PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant op complete all items in sections: 1, 11, 111, IV, and IX.O
ZONINGAT (LOCATION) 17, D IS T R IWA
LOCATION NO.) STREET) J
m:::
OF BETWEEN AND
BUILDING VROSs STREET) CROSS STREET)
LOT
SUBDIVIS LOT BLOCK SIZE
II. TYPE AND COST OF BUILDING — Al applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking"most recent use T
1 gNew building Residential Nonresidential
2 Addition(It residential, enter number 12jK One family 18 Amusement, recreationalo/new housing units added, if any,
in Part D, 13)13 Two or more family — Enter 19 Church, other religi us
number of units— —— — -p- 20 Industrial3 Alteration (See 2 above)
14 Transient hotel,motel, 21 Parking garage4E] Repair, replacement or dormitory — Enter number
5 Wrecking (1/multi/amily residential, of units ——————— —-i 22 Service station, repair garage
enter number o/units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional6ElMoving (relocation)
17 Other — Specify 25 Public utility7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 rW Private(individual, corporation, 28 Tanks, towers
n npr fit institution,etc.) 29 Other — Specify
9 Public(Federal, State, or
local government)
C. COST Omit nts) 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,,,,,,,,,,,,,,,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.........
i
d. Other(elevator,etc.)............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF 1411 DING — 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 F "a
30 Mas my(wall bearing) 40 Public or private company
48• Number of stories................ s'7
31 ® W ad frame 41 Private(septic tank,etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .................... v OD
33 R inf reed concrete H. TYPE OF WATER SUPPLY
34 Oth r — Specify 42 Public or private company 50. Total land area, sq. ft. ...........
43 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 U Oil c nditi ning?L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 44 Yes 45® N 53. Number f bedrooms..............
38 C al
I
39 Oth r— Specify Will th r b on levat r?
54. Number f
vFull..........
46 Y s 47® N bathrooms Partial........
NOTES and Data — (For deportment use)
IV. IDENTIFICATION — To be complet d by all applicants
Name , ailing ddr ss — Number, street, ity nd State ZIP cod Tel. No.
Owner or AAM
Lessee
2.
Contractor
df
3.
Architect or
Engineer y
The owner of this building"and the unigned agree to conform to all applicable laws of this jurisdiction.
Signature of q.ppli n i Address Application date
i
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R view Required Check Plan Review Date Plans BY Date Plans By NotesFeeStartedApproved
BUILDING 0f $ vetav
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A rova I Check Date Number B Permit or Approval I Check Date Number ByppObtainedyppObtained
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit numb r 11527
Building
Permit issued May 7 19 A0.-
Bui Iding
Permit Fee $ 504-00
Approved by:
r
14"y
TITLE
ZONING
FRONT YAR
SIDE - .SIDE YARD
REAR YARD
IX. SITE OR •T PLAN For Applicant
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date May 7 19 80
Fee Paid $. .504.00 Eat. Value s.$4 9 000.00
Permit N° 11527
on the aide of
Lot #33 Homestead Drive Street
Street No. 127
Owner U & R Housing Corn
Applicant U & R Housing Corn
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 5664
Fee Paid $3.00
CLASSIFICATION
Dwelling
4
w
BUn DING PERMIT
N° 11 IS 7
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. b1mv 7 1980
94io 'to to Certify, That tt X_ u,..,_.,., camas
is hereby granted permission to DMI I.Init
4
at estimated value of $ 100
on the side of t o* #3 3 H _e e t e a nws ye Street on land
owned by R Himising Corp
Said workk 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.
Issued 7 1980
Building 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."
owilazig - Lot #33 Tim Rid, IV 5/7/80
U )k R ,14ousing Cxorp
127 Homestead Drive Permit # 11527
Electrician Aldo Pavan 7163 60'
Heating Contr. A & B Cool.&Htg. # 5176
Plumbing " J. Vedovato 5642
Oil Burner
Certificate of Occupancy 5664
Plot plans apprd. per Engr.
Co.. Q'e
INSPECTION EPORT
Permit
1 Footing Js
2 FoundatiorL--
3 FramingZ-J6
4 Wiring so
Plumbing
6 Heating
7 Lathing
8 C.O. '
31
Hermit No.g TOWN OF SOUTH WfNDSOR
SOUTH WINDSOR, CONN.
Permit No 5664
Certificate of Occupancy
THI. To t
at in the
i
Of South Windsor, Connecticut, has
been erected and completed in accordance with the wilding Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved for occupancy.
4o11uilder/l
t
Owner,
Fee Paid 3 Date 19
t
GARDNER Et PETERSON ASSOCIATES— ` 06 OLD POST ROAD----TOLLAND, CONNECT/CUT 06084
oqq
I 6. 9+
I
I 2 g, all —
3y
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it
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31D1 O
D
MORTGAGE SURVEY
LOT #33 TIMBER RIDGE SECTION IV
TOWN OF SOUTH WINDSOR, CONNECTICUT
SCALE: 1" = 40'
I hereby certify to First Federal Savings & Loan Association
that the location of the building as shown is substantially
correct and that the are no zoning violations of the same.
L.S. #10839
August 1 , 1980
PROFESSIONAL ENGINEERS LAND SURVEYORS
Tofi ' ERINGDEPAR-TMN
pTE'
7163
ELECTRICAL APPLICATION r
Application No. 8177
on the side of
Lot #33 Homestead DriveStnet
Street No. _ 127
Owner U & A Housintz Corn
Electrician Aldo Pavan
FILED IN OFFICE OF
The Building Inspector
Jubne 23 19 80
r
INSPECTION.
3'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.
APPLICATION FOR PERMIT TO DO ELECTRICAL WORK.
f
No. ........... .17..7.................
Permit No. . ..... .7163..... ..
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application tq perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with
whether specified herein or not.
South Windsor, Conn., ... U tJ. I` 19c'P Sign here elG .—. ............
Address 7 Gi.yV.... . .....7 ._.!1%41 oz,
Location 5f''r.. Q Side of ..
Nature of Building - t ! How many stories
New or oId Building 7e How many families ..
Kind of Installation How many Stores ...............E'.. •.
J....
L..!L .. 1 S Address /•.r 's.. Cr'`/e_
Owner ..........
Architect ...... Address .. ........ ..... .....................................................
Builder G Li S r... Address :/,. .. /.... 6 r z . .................. 4.h(p1- `.S
Electrician .../C.G.cy ... Q 1iq..Ll... ......may. Address ? . ..... ...f. e ccr.e.... ........ =......._.
Size of Main Wires
No. of Light Loops .. ... . ../. . ........ No. of Heat Loops ... r No. of Power Loops ........................_._.........
d c jj
No. of Light Outlets . . .No. of Heat Outlets . . I gr/ No. of Power Outlets ............. .. ............
NoP of Light Circuits .. No. of Heat Circuits , /2,'>10Lr No. of Power Circuits ..
C''"fli,"
No. of Sockets ... . No. of Heat Receptacl Z No. of Motors
No. of Panels ................................ .. Size of Heat Circuit // 3No. 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 W.1! ..!. .. ... .........470-Y....... ... 2
4j5................ Y............ .................. ..../.. ... .......... ................_..................................................................................... .... . .......
Estimated Cost
r
5642
PLUMBING APPLICATION
AppL'catim N L 6423
on the _._ side of
Street No. 3 3
Owner ...
Phmmber
RW in 24of
The Bul&og I pecoor
July 9 ig_,$0
II mWilC"na
No pmon shall construct, add m or aher my
portion of the drainage system of any bml&g
ampt to repair leaks) until a P c mk is pored
by the Building hupeaw.
Application No......G423.................... Permit No. ....5642.................
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 t.
p
SouthWindsor, ....... p9 6...... Sign here .............
Ad C_x...................
Location ........... .(...................................... ........................................................ side of .............Street
Nature of Building ... .... . L,*................................... How many stories .. .........?,'......................................................................
Owner ........ .. .......................... . . ........................................................ Address.......... u............... . ...... ........................................
Architect ..................Address.........................................................................................
Builder ........ ...... ................................. ................................................ Address .................................. ................................... .......................................
Plumber ... ......1 ................................................. Address ...GI...Z1.......
DRAINAGE
CESSPOOLS, How many . ....... Where located ........ ......
theyyAretheywatertight2..................................................... Of what materia are built ......................................
Size of pipe from house to lesspool . A/............................. Kind of pipe ... ...:.....4......................................................................................
1 ....0.2................ Diameter , .......................................................................................................MAIN DRAIN IN CELLAR, M7at r
Aboveor below cellar bottom .. ..... fir ......................... .................................
SOILPIPES, Material . Diameter ...............................................................................................................
WASTEPIPES, Material . ..... Diameter 3..............................................................................................................
TRAPSyType proposed to use is ................................... . .. ..... ...............................................................................................................................................
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 ........................................ Pattern
WASHTRAYS, How many ........ ................................................... Where located . .. .........................................................................................
SINKS, How many ..............................z...................................................... Where located .. ..A'// :........................................................................
BUTLER'S SINKS, How many ........................................................ Where located....................................................................................................
REFRIGERATORSINKS, How many...................................... Where located ....................................................................................................
LAVATORIES,How many..................... ............................................ Where located ..f f.. -...............................................................
BATH TUBS,How many Y` ...........................................................................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 ........
Estimated Cost
PERMIT #
Application For 62 7 7 517 6xDEPARTMENTDECISION
W Heating Permit
3 APPLICATION IS HEREBY:
DEPARTMENT OF LICENSFS AND INSPEMON&
N +' 11 APPROVED Cl DISAPPROVED
TOWN OF SOUTH WINDSOR
it r
a00O DA E t INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O
1. LOCATION OF JOBo _
R
ca O NO. STREET •
ai v 70
v f-e y /C l
LOT NO. FLOOR APT. It.
OV
O
2. OWNER
cd
c
o s. ADDRESS I - (2P wTe y 7
4-a
t%Qwc_L, sMe r (ay-VW 4.PHONE 4 Y3-%Lrl
cd
RA6 C a LS. APPLICANT il!'
at? ad
04
0 IA
6. ADDRESS /Q/ 4 eogm/_r J /
C o#-N ce jI,r .Q r 7.PHONE 4 9"f6 7/
w
s. LICENSE NO.
Q *
p w B. EXPIRATION DATE OF LICENSE 0 "'0/'eFl
e
10. ESTIMATED
COSTbo
Q O
11. IS THIS A CONTRACT COSTT YES NO
7 12. FEE ENCLOSED S Permit 11527
v
1)13. TYPE OF BUILDING:
rA
C R[fID[NTIAL Cl COMMERCIAL
c 3 14. TYPE OF JOB: INDUSTRIAL
x RIGINAL ALTERATIONElNADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued tr m Rev no Side)
11. LOCATION OF JOB- LuT 3 rf m 6 e'.' R I d r p 1 Z>7 A/C11-7
NO. STREET If FLOOR AFT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS 96&cf 7 u O -
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK A/C' OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTERED nOG FURNACE MAKE AND NO.a SONE. V FIRING RATE
BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ.T Sot B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED ' NEW OR OLD BUILDING a'`, INSULATED - YES OR NO y P S
TYPE OF WALL raM to INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. 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. SO.
FT. OR B.T.U.
DESCRIPTION OF WORK O
15. TO BE DONE: t sT LL /,1 e T 0 ct Qt r v a °r P S s a v y c cTiv
N 2 a s p -I a•T lam/ 77, u c i r- s sTe 0--7 `nt o k Li c T r e
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): F'be rS I°:5 3 -s"-pp y
Gal V4 zA r-e.t or"
WINDOWS B.T.U. B.T.U. 1-D DISTRIBUTION INSTALLED
ROOM SIZE AREA - SQUARE FEET
AND DOORS VOLUME TOTAL TOTAL ul LL
ROOM NO.GROSS GLAS! NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED -J j LL RAD. REGISTER
L W N AND E INFILT.I TEMP. TO <f a TYPE AND SIZE
SO.
O. OR LEADER
SIZE < WALL 'CtG DIFF. F F m H FREE AREA
f
t
I 0 _ 11
30 2
g S s 8'8
I 12 ' Z s `t Z 6
T 1 2U Z 13yYo
2v Z.y 18Y32
I/S 23 73 Z
r Z- 30 7 2sT . 1 2 3- 0
ta.•wd o— Z 3 ivy
cr I! 5 `O- Z y7SL
TL q 1 51 N
I L l f 36 2 8 Z y
JgJq.*t2 )q 12 elf
8R'*3 A 1111 I'M- LIf I 1 2- o7.5.4
TOTALSTF 12 3, S6
A. HEAT LOSS FROM BUILDING 2 3 i 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: IA"S S,!f oYh a'rS .
NAME ADDRESS
SUBCONTRACTORS AND
1a. 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.
p aDATEO
SIGNATURT OF A 1CANT
3/ c cT Vr—C_ ,
s .r!
cAPPLICATION FOR BUILDING PERMIT
Plumbing# D J'L,ss
12 7 HOMESTEAD DRIVE
HVAC # / S6qZa 14762 Date
Sprinkler# No. 2 s r,4 7
FRM APPROV Estimated Cost $
E
nginee t 13 9 COMPLETE RED BOXED AREAS Permit Fee
An '"g TYPE OR PRINT ONLY Occupancy Fee o4ff'd°r't SIGN ON REVERSE SIDE
pprA .for CO. i Total Fee
TO BUILDING DEPARTMENT,TOWN OF SOUTH W1 I)SOR,CT G4dditional Cost) $
The undersigned hereby applies to do work aficorcling to the following specifications:
Job Location Pama 57,4 do dlk,, Lot No.A4 7• Side of Street _Zone
Applicant L+ Tel#
Addr ss W Zip S'a
It S-3
Architect Address 0 IfJ ry
Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl Total New Area
Rooms ' Lavatories Bathrooms Garages
Purpose of this permit: 1122slctovi Cl S t a l 60 el
City Water ell 0 Septic System Sewer
Ins. H.O. P. Cert. - r Area I I Rosemont Garage
Approved by Date 9 " Use Group Construction Type
RrAmd1197
I hereby agree to conform to all the requirements of the Laws of the State of Connectic d the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration i e plans ors ifi tions of the Building for which this
permit is asked,and agree that this building is to be locat th distance fr all reet lines,side yard lines,and required
distances from all other zones and is located in which ft nd its us 's
I hereby apply for a Certificate of Oc th ork desc application for the permit.
Signe
DO NOT E BELOW THIS LINE
INSPECTION COMMENTS
5h 7 x,
Sn
S S
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
98-25647-B 40,000
B01 FOOTING 10/30/98 DCJ A
B03 FRAMING (ROUGH) 11/30/98 DCJ A
E03 ROUGH 11/30/98 DCJ A
B04 INSULATION 12/01/98 DCJ A
P03 ROUGH 12/11/98 DCJ A
B10 FINAL 08/18/99 JFF D BEDROOM SMOKES NEED HVAC PERMIT CALLED CONTRA
CONTRACTOR LEFT MESSAGE
B09 OTHER 08/19/99 JFF A SPOKE WITH PICARD TO REVERSE INSULATION AN
GET HVAC PERMIT
B10 FINAL 10/20/99 JFF D NO ACCESS LEFT DOOR TAG
B10 FINAL 11/02/99 DCJ A APPROVED FOR CO & CLOSEOUT
99-10569-H 2,500
98-10298-P 600
98-16040-E 750
I j
r
GARDNER & PETERSON ASSOCIATES-5M OLD POST ROAD-TOLLAND, CONNECTICUT O&W
kA
i.
y
ti
3Z
311., 0
N T
j 382 Z
3aa.
a-%-t q
j 3i 3•t 30' R
Cl
38,
as, 1p
2y. TW 383•" H•5
V 2e• q•
d
ABU
2•G 2• 4Z
3s 0
0
d
I
Q r•
MORTGAGE SURVEY
LOT #33 TIMBER RIDGE SECTION IV
TOWN OF SOUTH WINDSOR, `CONNECTICUT
SCALE: 1" = 40'
I hereby- certify to First Federal Savings & Loan Association
that the location of the building as shown is substantially
correct and that the are no zorting violations of the same.
L.S. #10839 ljAugust1 , 1980
JPROFESSIONALENGINEERSLANDSURVEYORS
t,Cr IJ
10 THE BUILDING DEhf. IONN
This certified that this plan and specificalic—i are iii
copies of the proposed building or alterations to I).
erected at
t,wal 'y J'1/{_— 9Rt re e,
together with amendments stated in application ar.
filed with plan and I agree to comply with all zoninL.
Building and state laws and such orders as shall o
issued by the Building epartm during penden
of this application an anal ante of a bu'
permit.
Sign d
Por
This p Is ve sub)ect to the condition th,,
orders an o ces regulating building shall bF
complie h
Condit ally Approved These filed with
Building Inspector cleri
Date No,
Proposod building(s), use(s) and/or structure(s)
as shown on this plan appears) to t,y i,'-1
conformance with current !ath
regulations. Variances and special excep:icns
may apply.
Date
Zcninl7 Enforcement Off;cer
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Application is hereby:TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE iz -Z5 4--f
644-2511 ext.230
Date wilding Inspector Application must be printed or typed
Location ofjob
Street go. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER
or any fraction thereof
ADDRESS /2-2f
COAZA4
OWNERS PHONE#
APPLICANT M404 J goz, <0,dl
OWN ADDRESS
L
ESTB4ATED COST$
O
IS THIS A CONTRACT COST?
YES NO
VIA&
FEE ENCLOSED
OR-CO TYPE OF JOB:
Original Installation
L,,,"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 / NO
RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY 44? iASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY e A/C g
EDUCATIONAL
INSTITUTION
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION 1,/ 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 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.
AME STATE LICENSE NO. TYPE GNXTiKE OF AP IC
PHONE NO. DATE f/
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT i 64o
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE
644-2511 ext.230
it 1 g
Date l,,p7wding Inspector
Application must be printed or typed
Location ofjob
1.27 11-h eST,eace
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OVER
or any fraction thereof
ADDRESS 11 Al #074 re xTca d 1W.
cc, L.wolSor elm D 60'7y
OWNERS PHONE# C> 'I I l 9 3,3
APPLICANT R p to -e i S oc,i << o no
SOWN S ADDRESS X V 9 (3 r o o k #P-e(ct 1.
4(
Scgt 1 LA)yAjd CT. Oho yY
G ESTIMATED COST$ 17 5 O. 0
C IS THIS A CONTRACT COST?
YES NO
FEE ENCLOSED $ 2---
TYPE OF JOB:SCR CO Original Installation
i/ Alteration/Addition/Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
t/ RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY L
MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCY ek v,,.
INSTITUTIONAL
FACTORY
STORAGE ENGINEER'S NAME PHONE
GARAGE
MIXED USE ADDRESS
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES
NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS
SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
Ro -R.^t ti Ut 3 6 F-J S.4
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
PHONE NO.-6 Vq-3/3 DATE f l 7 2 e
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR
PERMIT#
Application is hereby:
BUILDING DEPARTMENT
PROD 1540 SULLIVAN AVENUE Bldg.Permit#
Q(2-,*
644-2511 ext. 230
ate Building Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE
Street No.Lot No.0-$1,000=$13.0o f4o S;"eAD 0Vt"
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT RkAaa y-tA S 4
APPLICANT ADDRESS Co`O S -
1
APPLICANT PHONE#
oW N s F
OWNER Ku R" u L A S U a i YYA , RAW : 1 T L
q< OWNER ADDRESS 1 Q ME S T'CAS
O _ OWNER PHONE
C ESTIMATED COST$a!0 0.- 00
IS THIS A CONTRACT COST? L'YYes 0 No
FEE ENCLOSED$ 3q•O y
TYPE OF JOB:
S R CO 0 New Installation
Ef"Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF YSTEM: TYPE OF BUILDING:
HEATING RESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC Q'WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
P 41 U n .+p cwr rev,+ .-lAV o G.C. - yloc,-l cl S'y&tet
GROSS HEATING CAPACITY(INPUT—BTUH) 1LJO1 000
NET RATING(OUTPUT—BTUH)
TYPE OFFL
OIL—GPM OIL TANK LOCATION :INSIDE OUTSIDE CAPACITY
GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW
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)
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
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
yb3yasW9 VAC, 2 -r
CONTRACTORS LICENSE NO. TYPEI a e
STATE
SIGNATURE OF APPLICANT I ( DATE 8 c3(40