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Home My WebLink About134 Norton Lane10 3 f rO THE BURDING INSPECTOR of dw APPLICATION FOR PLAN EXAMINATION ANDTO" OF S4UTH WI111DSOR,COS. BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, 1V, and 1X.O ZONING I• AT (LOCATION) DISTRIC LOCATION N0•) T) 01. BETWEEN Sa.«Yhl d'ht—AND -etV-%I#i ) DrILAe— Bl ILDING T CROSS STREET) CROSS STREE ) a SUBDIVISION ,I A 0' LOT LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D o A TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 115&4ew building Resid ntial Nonresidential 2 Addition(If residential, enter number 12 One family 18 Amusement, recreational of new housing units added, if any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13) number of units— — — — --jo. 3 Alteration (See 2 above) 20 Industrial 14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (If multifamily residential, of units ——————— — — 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) 7 Foundation only 17 Other — Specify 25 Public utility 26 School, library, other educational B. OWNERSHIP 27 Stores, merconfiI* 8 x Private (individual, corporation, 28 Tanks, towers nonprofit institution, etc.) 290 Other — Specify 9 Public (Federal, State, or local government) 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. Cost of improvement,,,,,,,,,,,,,,,, S d 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......... r d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $00 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 Masonry(wall bearing) 40 S 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 32 Structural steel dimensions .................... 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34 Other — Specify 421K Public or private company 50. Total land area, sq. ft. ........... 93 12`7G 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 451W No 53. Number f b dr oms.............. 3 38 Coal 39 Other— Specify Will there be an elevator? 54. Number of Full.......... , 46 Yes 47!PQ No bathrooms Partial........ NOTES and Data — (For department use) c 4 IV. IDENTIFICATION — To be completed by all applicants Nam Mailing addr ss — Number, street, city, and State ZIP code Tel. No. Owner or ' 1BUJA k 41-.. 010-J4 o y81-9SA Lessee 2. Contractor 3. Architect or Engineer Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signat a of applicant Ad ss Appli tion ate 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R vi w Required Check Plan Review Date Plans By Date Plans By NotesFeeartedApproved BUILDING 0,0 PLUMBING MECHANICAL ELECTRICAL OTHER Is I VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approva I Check Ob Date ta ned Number By Permit or Approva I Check Obt Date a ned 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 10228 Building Permit issued April 25 1q 78 Building P rmit Fee $ 126.00 Approv d by: TITLE VIII. Z jNING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARi SIDE (ARD SIDE YARD REAR YARD NOTES IX. 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Value 21 000.00 t `Fee Paid rs Permit N 10 2)8 6 1 on the aide of Lot #42 Norton Lane Street i r Street No. 134 l Owner T & M Building Cn_ Applicant T & M Bui lci i ng Cn_ CERTIFICATE OF OCCUPANCY ISSUED: Date No. 51 23 f Fa 3.00Paid CLASSIFICATION To 1 l inh BUILDING PERMIT N9, 1022S OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. April 25 78 South Windsor, Conn. 19 That r & M Biti id ing Co. Dwelling is hereby granted permission to i0M.0.d0 at estimated value of $ Tit #+2 Norton Line on the side of Street on land T & M Building Co. owned by WorkSaidtobeasdescribedinApplication 10528 No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSM April 25 78. Issue`'ya 19 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." INSPECTION REPORT Permit # Job 1 Footing , 4 Z 2 Foundation - -- 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. Perigi't No. ZA22 TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. I Permit N?5123 r'Certificate of Occupancy_ THISAS TO CER FY that they at No. in the Toeing outh Windsor, Connecticut, has been erected and completed in accordance with the Bu Code 'and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. j I` Iding nSpeCtO her, Builof Fee Paid Date 19 i 6533 ELECTRICAL APPLICATION Application No. 6839 on the side of Norton Lane -Lot 442 Street Street No. 134 Owner T cG M R»i t ci i n 2 Electrician T. J F.1 e r t ri CCn _ FILED IN OFFICE OF I The Building Inspector I 111 v 1 7 19]-_ INSPECTION. I I I 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 fit of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAL WORK* No. ......6.a3.9...................... Permit No. ......6.5.3.3.................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR9 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. South Windsor, Conn., .............7.....7/4...... Sign here ........ Address Location nhn.........4 Side of ....................... Nature of Building 1 x'4i-*4 How many stories .......... Newor old Building ...........I......... ........ . .................................................... How many families ........................................................................... Kind of Installation How many Stores .................................. Owner a4'a.............Address Architect ..................................................................................................................... Address ......................................................................................... Builder Address ........... 4............kL.. ........ Electrician Address %9.. .... ... . ........ Size of Main Wires ../"q2r........ No. of Light Loops ........................................... No. of Heat Loops ............ .. .... ............... No. of Power Loops ........................ No. of Light Outlets ....J.Y.................... No. of Heat Outlets ......... ......... ... ....... ... No. of Power Outlets ..................................... N0 of Light Circuits ..........15... ................. 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 ................... ... ........... Total Wattage ........................................................ Size of Power Circuit ............................ Total Horsepower .................................... No. of Straight Electric Fixtures ..................14.1-/........................ No. of Combination Fixtures ......................................... ............. No. of Receptacles .................................J.....()............................ . ............. No. of Cord ops ............................................... RemaFor other kind of Installation 4 ........................ ... ............... ....... ................. I...................... ............................................................................................................................................ .................................................. ................... Estimated Cost . ..,N CO..., 5196 PLUMBING APPLICATION pppy N6. 5982 on the _..___.._.- _ side of Loy....#4 Norton T.an P Street Street No. 134 Owner _T.& M Building„ Co. Plumber _..Torman Lutzen Fled in Office of The Bmilding Iospectoc June 7 ig18 IITSincy-no No peraoa shall coostruct, add 0 Cr aloer sty portion of the drainage system of my bm"ldiog except to repair ka6) until a A mit is swooed by the Building Lnapecoor. Application No....aT. .f..!..z............... Permit N . S/...9...1............... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application to perform plumbing according to detailed description bel w. 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 ... .................................... .. .. ... Address ........`f......................Li..........'.f:.. .ct.w i Location .... .o -...... .. .. e.. ......... side of .................................................................................................... Street Nature of Building ............ %.r m...................................... How many stories .............Z-..................... .................................. Owner ....................: '...-...1 .......... ...w?... .....zs:............... . Address.............I .`......D......I..... . `? To...t4...31. ......... Architect ...f...I............................ .................1../...................................... Address ....................0.............................................. ......................................... Address ......................................................................................................................Builder .................. ................y'.'.1..... .... ..`'-s.....l 17Plumber ............. ..... .. ............ ..v... ..` ........ Address .......z..`.....k............. <..a.. ..........S ..........Y'1 w RAINAGE 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 ....C.t5- '.,w)Diameter ............ .................................................................................................... Above or below cellar bottom .. ................. .. I.c............ . ...... ............................................r,................................................................ SOIL PIPES, Material . ..... LJ..... .......... Diameter ....`/...or................. l..f/........................................................... WASTE PIPES, Material ... Diameter ..2............ ...............................................` TRAPS,Type proposed to use is ... ...........................ram ?'1.. ... .......................................................................................................................... RAINWATER LEADERS, where do they run to ------..................................................................................................................... REFRIGERATORWASTES, where do they run to .. ...... ........ ........................................................................ .............................. TANKOVERFLOWS, where do they run to . . . .. ....................................................................._...................................................... FIXTURES WATERCLOSETS, How many ........................`.2............. Where located ..... ....................................................................................... Distance from trap to vertical soil pipe .....1......................... Pattern . .. . .................... ................................................................. WASH TRAYS, How many ............................ Where located . .................................... . .............................................. SINKS, How many ........................................................1........................... Where located ....... ..................... BUTLER'S SINKS, How many ......................- Where located.................................................................................................. REFRIGERATOR SINKS, How many......... Where located .................................................................................................... LAVATORIES, How many ..................................../,................. Where located ...................................................................................................... BATHTUBS, How many...........................................,1.......................... Where located ..................................................................................................... o e....... .......... URINALS, How many S ............... ... 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 1 y.. . .......................................................................................................................................... Estimated Cost-Z PERMIT Application For 5057 4856 U2 DEPARTMENT DECISION Hegtin permit 0 30 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIOVS N +'APPROVED El DISAPPROVED TOWN OF SOUTH WINDSOR o A 9/18/78 00 O DATE CI INSPEC APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O to C 1. LOCATION OF JOB 0 G Cd NO. STREET O v L Z LOT NO. FLOOR AFT. NO. O N O 2. OWNER G P v O 0 s. ADDRESS bo 3 22 Z L=::!:) 4-PHONE S. APPLICANT ! Ud ri*,L4 r y `C74- PC 19 L s. ADDRESSPC a aei KJ @ 1 T.PHONE 6 S. LICENSE NO. pa E w B. EXPIRATION DATE OF LICENSE 1 0 to. ESTIMATED COST :2y)rz 1 $ IS THIS A CONTRACT COSTS 9-16 NObe t:. FEE ENPLoSED S Permit 10228 P 9 is. TYPE OF ILNNG: y by RESIDENTIAL COMMERCIAL O 4J 14. TYPE OF INDUSTRIAL c as 3 rALTEORIGINAL NSTALLATI011 ADOITIAONON REPAIR APPLICATION FOR HEATING PERMIT (Continued from Reverse Sid ) 11. LOCATION OF JOB 0 z A)'>)/- /'# I L NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: P OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK Cl INCINERATOR MISCELLANEOUS IDENTIFY SIZE OF SIZE SIZE3,,',--/ Y OF FILL OF VENT L 13. OF TANK F TANK 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE ND N0. B.T.U. OR SQ. FT. NET B.T.U. OR SO. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDINGL INSULATED - YES OR NO Y e TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. / k CJ B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 6 — Y 6 FAHRENHEIT MAKE OF RADIATION: BASEBOARD. CpPPER CONVECTORS, OR C.I. RQ DIA 0 OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. Y' 6 Q -- DESCRIPTION OF WORK le le- 61215. TO BE DONE:—/ , 1 4 18. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM size wINDOwS AREA — SQUARE FEET E.T.U. E.T.U.F DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL R OM NO. GROSS OlAS3 NET WALL CEILING FLOOR CU. AT 70•F CORRECTED t j n REGISTER TYPE AND SIZE RAO. OR LEADERLwNANDINFILT.) TEMP. TO f:O SQ. FT. SIZE WALL F'ttu DIFF. F F O O 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 t 7. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND 1a. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROP AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. 75 94 DATE SIGNATURE OF APPLICANT ARGO CALCULATION SHEET OWNER ADDRESS O 1 L r fr. DEALER r;cr l,." ^! i KIND OF BUILDING DATE CONSTRUCTION: WALL CHIMNEY SIZE WINDOWS— S'u fAt BASEMENT HEIGHT: ABOVE GRADE ROOF OR CEILING BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFFCOL.1 ZLN 6 7 8 9 10 11 12 13 14 15 16 17ANDDOORS WINDOWS AREA•SO. FT.18OORSFLOORVOLUME ROOMGLASS NET WALL CEILING (SEE NOTE)CU.FT. TOTAL TOTAL BASEBOARDS GROSS AT 70 F CORRECTED ACCESSORIESWATERLENGTH SIZE AREA WALL TEMP. TO T1 MP rfF,° 1113 0 2 F ENCLOSURE FINO ? O J O,j G TUBE L R S I.0 i MISC.TEMP. DIFF. r/ 17 FT. 00 300 300 000 JAoo 34Go 73 / C2 oo o 600 lye 00 BIGoI o?5 0o 00 700 1600 5,200 G S10• r i 0- 1a 9 a G S g 8 y d 6 C>?o c oo G oo 0 G / 70 moo 00 30o Goo /Gao /830 y 500 00 405 a A as I iJr J 00 1/00 LIDO c-900 c 300 1200 96`a y o op yooT l°Do co 00 00 00 1000 yS ;?O ff lYOo C",500 200 Sao l 16 0 0)1,; 13--1-- oo 7Q GoO Ja000NOTESFORCONCRETEFLOORONGROUNDORFILLATGRADELEVEL,USE LINEAR FEET OF EXPOSED EDGE. I p FOR ALL OTHER FLOORS USE SQUARE FEET OF AREA. TOTALS f r vfl 1 TO THE BUMDING INSPECTOR of the APPLICATION FOR TO" OF SOUTH w Sm C )m PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O 3 sole r ZONINGI• AT (LOCATION) X-lQje reAop ` vC DISTRICT LOCATION NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE 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 Residen al Nonresidential 2 Addition(1J residential, enter number 12 One family 18 Amusement, recreational of new housing units added, if any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13) number of units— -- — —2003 Alteration (See 2 above) 140 Transient hotel, motel,4 Repair, replacement or dormitory — Enter number 21 Parking garage 5 Wrecking (If multifamily residential, of units ——————— — -- 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)f • lo_ 25 Public utility17Other — SpeciJy Y 7 Foundation only 26 School, library, other educational B. OWNERSHIP 3)QtK RrAIL 27 Stores, mercantile 8 Private(individual, corporation,28 Tanks, towers nonpr fit institution,etc.) 29 Other — Specify 9 Public (Federal, State, or local government) 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. Cost of improvement,••,,,,,,,,,,,,, 1 04 s0 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 ....................... 74 c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT S I S 0 0 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 Masonry (wall bearing) 40 Public or private company 48• Number of stories................ 31 Wood from* 41 Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions .................... 33 Reinf rced concrete H. TYPE OF WATER SUPPLY 34 Other — Specify 42 Public or private company Total land area, sq. ft. ........... 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. Number of b drooms.............. 38 C al 39 Oth r— Specify Will there be an elevat r? 54. Number f Full.......... 46 Yes 47 N bathr ma Partial....... AV. IDENTIFICATION — To b completed by all applicants Name len Mailing address — Number street, city, and State ZIP code Tel. No. Oct Owner or Lessee 40640 7V 2. Controcto Y 3. Architect or Engineer The ow r of this building and t-he a signed agree to conform to all applicable laws of this jurisdiction. nature of applicant Address Application date DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans NotesPlansReviewRequiredCheckFeeStartedByApprovedBy BUILDING PLUMBING MECHANICAL Is ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check 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 Permit number /y/'Yle Bui ldin Permit issued 19 Building Permit Fee s .1.2 Y TITLE r TOWN OF SOUTH WINDSOR i BUILDING PERMIT Oct. 23 84Date19 Fee Paid $. 12.0 0 Eat. Value 0 0 Permit N V 14144 on the aide of Norton Lane Stet Street No. 134 Owner Terry Capshaw i Applicant Terry Capshaw CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Deck BUILDING PERMIT N ' 14144 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Oct. 23 1984 14is 'to to Terfifg, That John Kupotas is hereby granted permission to Deck 14' x 18' — rear of residence at estimated value of - S n n on the side of 13 4 Norton Lane Sic on land owned by Terry Capahaw Said Work to be as described in Application No. ?a a,-.AA— and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued 15840 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." Auz, rAIIyNSOECTIONREPORT x Permit # Job 1 Footing&ts 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT 1 a T 4 f Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 15.10 SULLIVAN AVENUE 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location ofjob NO Mg Street No. Street Lot No. FEE SCHEDULE Floor Apt. No. 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER n or any lwacm tbcr d ADDRESS 13 dD n LanP W"--leL>OWNERS PHONE# U/ APPLICANT rOt nerd N g ADDRESSkZ17 4- . < C stir ESTIMATED COST $ 4^ IS THIS A CONTRACT COST? V YES NO Cr FEE ENCLOSED $7 y 00 TYPE OF JOB:R a cO Original Installation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAL A/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER EXISTING RADIATION DITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE n, F INSIDE"A2 F DIFFERENCE >O F TOTAL HEAT LOSS(BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) I rYkIIOS4 GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) TYPE OF FUEL OIL-GPM 16 GAS-INPUT ELECTRIC-KW OIL TANK SIZE&LOCATION INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY 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 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. Oo o -6 STATE LICENSE-NO. NAME&TYPE SI TURE OF APPLICANT PHONE NO._Y Z L DA E