HomeMy WebLinkAbout137 Jacques Lanei TO THE BUHDING INSPECTOR
APPLICATIONotheCTION FOR
TOWN OF SO IM WHADSM COIN, PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, rand IX.o
1• AT (LOCATION) c /`- i.7 P L4l_ ZONING
DISTRICT
LOCATION NO.) STREET)
OF BETWEEN y` y y AND
BUILDING
r
CROSS STREET) CROSS STREET).
n x /`0
SUBDIVISION `- wYlp LOT 1 BLOCK SIZE
LOTCry
4
11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
1 New building Residential Nonresidential2MAddition(If residential, enter number 12[R One family 18 Amusement, recreationalofnewhousingunitsadded, if any,
in Part D, 13)13 Two or more family — Enter 19 Church, other religious
number of units— — — — -i 20 Industrial3 Alteration (See 2 above)
14 Transient hotel, motel,21 Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (If multifamily residential, of units ——————— —-jo. 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 utility7 Foundation only
26 School, library, other educational
B. OWNERSHIP 27 Stores, merconfile
8 Z Private(individual, corporation, 28 Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 Public (Federal, State, or
local government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, .g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,.,,,,,•,,,,,, $14,000 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 3 L-)Q6
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 N 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 Reinf rced concrete H. TYPE OF WATER SUPPLY
42 Public or company
50. Total land area s ft. ...........34 Other — Specify private cam an q-
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 ff Oil conditioning?L. RESIDENTIAL BUILDINGS ONLY
37 El ct icity 44 Yes 45 0,N 53. Number f bedrooms..............
38 C al
39 Oth r— Specify Will th re be an elevator? Full..........
54. Number f
46 Y s 47W No bothr me
Partial........I
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or C`r1 L
Lessee l.Do cJ—LJ
2.
Contractor
1
3.
Architect or
x
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this iLrisdiction.
pSigZnatf,
applicant Address Application date
4al A S-x2>in6nLR Q 9 Lo-S'I
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans
By Date Plans By NotesqFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval I Check Date Number B Permit or Approval I heck 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 number
Building
Permit issued 19
Building
Permit Fee $ OC)
3 c--3 LD v
r7 o c)
A roved y:
C
TIT LE
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date-- July 2 1984
Fee Paid $.4 A 4.. 0 0 Eat. Value $7 4 c 0 0 0
Permit NY 13928
on the aide of
Lot #16 2 Jacques Lane Street
Street No. 13 7
Owner JMJ Construction Co.
Applicant JMJ Construction Co.
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 6824
Fee Paid $ 3 .0 0
CLASSIFICATION
njol:lling
BUH DING PERMIT
N' 13928
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
SUth Windsor, nn, Ju lv 2 1984
ir4iz to to Certify, That JMJ Construction Co.
is hereby granted permission to Dwelling
at estimated value of $ 7 4,0 0 0
on the side of Lot #16 2 Jacques Lane Street on land
owned by JMJ Construction Co.
Said Work to be as described in Application
No. 14 4 2 8 and to conform to specifications and plans filed with said Application, and Building By.
Laws of THE TOWN OF SOUTH WINDSOR.
Iss d July 2 ig 840
f,' l
J uilding Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must Eye 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."
r 3S'Permit'No: TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
1
Permit
N 6824 1CertificateofOccupancy
1
THIS JV TO CE IFY that th
at No in th
B
own of South Windsor, Connecticut, has j
been erected an om eted in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby ap oved o occupancy.
1
Building Inspector j
Oner, ui der
WI6FeePaidDate19
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Tom Cl+ kl o Office eetitW o "Pam
swum 8 P'iwsrat vall.7 smom o a N er 3-a4
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Sam* dw'o Cam,* ac= ol +'Tw.S
ft&U P*r b0' Da to 3'z g-83 4-20 TONE
Grp We 2206-76-iu mw, -- by Rol no E.
ltyyppe i As soc l atas Glastonbury, CT.
pRr—pwzF—o FOR
I twrebtr ewift th'It try era sited SWAN wen p"wed In PLE A5A NT VALLEY uO M E3
iecoo danca with the standards of a pass A-2«sfvW as defh*d
iu Vw wbft Code of fto*ce for S>onda & of Aocwwy of SO UT1a W I NDSOR, COWJN-
ft my and Maps, by vo of SCAtE "•Ao* p A-re
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8515
ELECTRICAL APPLICATION
Application No. 99 2 7
on the side of
Lot #1 62 Lane Street
Street No.1 17
Owncr JMJ Cnnstrurtinnsn.
Electrician Richard Barrett
FILED IN OFFICE Or
The Building Inspector
Sept. 7 19 84
INSPECTION.
MNo 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.
Electrical Permit NO. ........?....
Master License No. d,
TOWN OF SOUTH WINDSOR Building Permit No. ......
Date Filed .........—t5
BUILDING DEPARTMENT 6... .... ............
Date Fir-al Approval ................... ..........................
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
Ct
JOB LOCATION. S. JOB OWNER:
Sideof Between . and .......................
Name of Building Owner Address ...
Ifwork is for Lessee---,Give name Address ............... ........... ...................... ...... ...... ................
Building now occupied as (unless new) No. of family units now .... C). ......
Building to be occupied as Number of family units to be ...... .....................
Is this work included in a Building Permit? Permit Fee .. .. .... . )....... . ... ...... .. ...............
xn itIfnoBuildingPqrPermitteel:6" .'3 Il-*—
Business Address-,- .A C,T.. ..... Telephone
COSTOF INSTALLATION: .,X)GO.cr6......................... .................... ....................................................................................................................
TO BE FILLED OUT BY PERMITTEE
TO BE WIRED EXISTING APPLIANCES
Number of light outlets to be installed . . . ..10
Number of convenience outlets to be installed Number of present Appliance Circuits ................................ .....
Number of switches to be installed Do these include Range E]Water Heater
Number of appliances to be installed rr.
as listed below) Dryer Air Conditioner Oil Burner E]
TYPE RATING NO.
Range . . . . . . . .
Dish Washer Gas Burner
Well Pump Elec. Heaters
Range Top . . . . . .
Oven . . . . . . . . REMARKS:
Water Heater VEC,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 be ...................ajz
6512
PLUMBING APPLICATION
Application Nm 7 2 g o
on the_ side of
Lot #16 2 Jacques Lane Sect
greet NO. - 137
JMJ Const. Co.owner -
ply So.Windsor Plb. & Htg.
Filed in Offwe of
The Building Isrpectoc
Auc. 20
No person dell oor Ir r-, add to or aloes ay
portion of the deainw wstem of ay bold6g
e mpt to repair leaks) untl a Pcmk is yawed
by the Building L pemc.
APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB 162 Jacques Lane
NO. STREET FLOOR APTAO.
GENERAL PLUMBING
12. KIND OF INSTALLATION_/1/1uV 1 le t.d G„r /,'at, 13. SIZE OF MAIN DRAIN
y
14. NO. OF TOILETS_, STYLE -l;Q/yk n4 z 15. NO. OF URINALS STYLE
16. NO.OF BATHTUBS 01 17.NO.OF LAVATORIES_, 18. NO.OF SINKS_L_ 19. NO. OF WASHTUBS
20. NO.OF CONDUCTORS — SIZE 21. NO. OF STACKS -2 SIZE 7
22. AREA OF ROOF 23.NO. OF CATCH BASINS — 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND 2 S110I&/•
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?j 27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 4Zl e/L6
ye 129. SIZE OF DUCTS S 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?_
SIGNATURE ADDRESS P• 0. Box 129 South Windsor
LICENSE NO. cRQ,.?QiCR ESTIMATED COST L?f`yU- o d TELEPHONE 528-4413
OWNER JMJ Construction Co . , InADDRESS 658 Ellington Road South Windsor
WATER HEATER
31. TYPE 32. MANUFACTURER
TANK SAFETY DEVICES
33. CAPACITY 37. TEMPERATURE RELIEF VALVE dyo
34. TEST PRESSURE_ Z V 38. MANUFACTURER_ f
35. WORKING PRESSURE 1:22Z t 39. PRESSURE RELIEF VALVE
36. TYPE f 1 n vG, 40. MANUFACTURER
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY
AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
CD962 DATE SIGNA' OF APPL T
6379
1
PERMIT
Application For
8DEPARTMENTDECISION
C Heating PermitOO
3 APPLICATION Is HERESY:
DEPARTMENT OF LICENSES AND INSPECTIONS
tA 11APPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
oo
c 8.490484
A
rhnma S P.-L' A i1r is
CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BELOWOC/I
p Cu 1. LOCATION OF JOB
0 =
O
137 Jacques Lane
4j v
NO. STREET
Cd
a 162
LOT NO. FLOOR AR. NO.O O
V
a 2. OWNER JMJ Construction Co. , Inc.
O S. ADDRESS 658 Ellington Road
be 3
South Windsor 4.i'HONE 528-6054
n s. APPLICANT South Windsor Plumbing
rA
G. ADDRESS P. 0. Box 129
oZa South Windsor 7.PHONE 528-4413PC
s. LICENSE NO.
a
p w B. EXPIRATION DATE OF LICENSEs,
op 10. ESTIMATED COST S 3 yv o v
a
7
bo 11. IS THIS A CONTRACT COST? XQYES Np
12. FEE ENCLOSED s Permit 13928
x
CD IS. TYPE OF BUILDING:m
O C RESIDENTIAL COMMERCIAL
ace O
14. TYPE OF JOB: INDUSTRIALi3
ORIGINAL ALTERATIONIMSTAt3AT10NADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued it m Revere side)
11. LOCATION OF JOB Lot #16 2 Jacques Lane
NO. STREET FL OR APT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC Cl VE14TILATION SPRINKLER
ICI GAS BURNER STACK INCINERATOR V1 MISCELLANEOUS_ 1_ .--T'r'
IDENTIFY
SIZE LOCATION SIZE SIZE
VENT13. OF TANK OF TANK OF FILL OF
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. &A (AiAt B.T.U. OR SQ. FT. NET ?rt0_-e"B.T.U. OR SQ. FT. GROSS — FIRING RATE
FLOORS TO BE HEATED IZVO NEW OR OLD BUILDING "W INSULATED -• YES OR NO—T
ke r
TYPE OF WALL Ft.eA L INSULATION_d, Ceei ROOF OR CEILING K —INSULATION 6lJ_e- X
AVG. SYSTEM WATER TEMP. U B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE d"Rv FAHRENH.IT
MAKE OF RADIATION: ASE OAR . COPPER CONVENORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. y a
DESCRIPTION OF WORK 115,
eL 4 c c 171)A)15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE wlNoows AREA — SQUARE FEET S.T.U. S.T.U.DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL Sn
NO'GROSS GLAS! NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED -J j I- RAD
REGISTER
ROOM
L W N AND K INFILT.) TEMP. TO F F Q TYPE AND SIZE
SO FT
OR LEADER
SIZE WALL 'Gt0 DIFF. F F.SI 0 FREE AREA
f
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND 'T Gli 11,L e B.T.U./HR.
C. PIPING. OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (AA B C) FACTOR
17. ELECTRICAL WORK BY:
NAME ADDRESS
SUBCONTRACTORS AND
1e. 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. v lw&
ATE rIc. W OF A L NT
DEALER W 1^A Sd cv' 1 -- KIND OF BUILDING Co1a,/¢ y!/=•
CHIMNEY SIZE
CONSTRUCTION: WALL
WINDOWS-- rhtrN ROOF OR CEILING
BASEMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF
COLA 2 3 4 5 1 6 7 13 9 10 11 12 13 14 15 16 17 1
ROOM SIZE WINDOWS AREA-SO. FT.FLOOR VOLUME I DAZE OARDS
AND DOORS CU.FT.TOTAL TOTAL
S[[NOT CORRECTED ACCESSORIES
GLASS NET WALL CEILING AT 70 F WATER LENGTHROOMNUMBERTOGROSSTEMP. T1:Mp AF,
L W H 8i=[ AREA WALL F 0 DIFF. F ENCLOSURE FIN E R S I.0 MISC.66 I 0 0 1 0 TEMP DIFF. FT
TUlE
0 3(Go 7
IV 9
3 a
3 26 yoo 3A8 3 U 08
m )a a3 s dloo oo 0 o
n Ij o
Ain 00 0 Zaoo d5lo S'
L totyKr2
a3 I 8 I D y000 '/ 0 e07S
K VA 18 9 ° 3900 cA300 / 700 lkop /y500 /6 750 30
R F all
i3 1 noogoo - J400 Y300 y9/D
e b /3 IA 1000 2oo goo co Y,?od
I
300 o p 300 0o 13D0 /y o
ve
300 doo 300 2, 0 //Do /,Z 10 13
t SG m0 y 14.33 Z
00gib /> >3. 8 Go 140 o t/d 5 yo Z
NOT[: FOR CONCRETE FLOOR ON GROUND OR FILL AT CRAG[LEVEL.USE LINEAR FEET OF ER:POSED EOOE.TOTALS 11FORALLOTHERFLOORSUSESQUAREFEETOFAREA. V
FINAL INSPEC_ TI 10, S: 7 g
P LI/ATIsCON FOR BUILDING PERMITBuildin
Plumbing
HVAC Date:
Z
Sprinkler I 'J AC 6 ac-S P'VEI e-
Electric 10 'j3 Estimated Cost $V11-1 Z u U
cZoningPermitFee $1e20 —_
Affidavit NO. 17479 Occupancy Fee $
Eng. Dept.
COMPLETE RED BOXED AREAS.Fire Dept.
TYPE OR PRINT ONLY Total Fee $
Health Dept.
SIGN ON REVERSE SIDE.Approved for CO:
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, here applies to do work according to the following specifications:
Job Location I d7 d A N Lot No. Side of Street Zone
Applicant NLr RR1- 1, d)VS Tel. #
Address 0 ge's Zip D 971 Lic.#
Owner ddress J !44 Q Q 14 2Vd
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavaiories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
e-0 4 s r JV) eoyPurposeofthisPermitrmw Ae& /,40V
T` 7 )7:DOC
City Water Well Septic Sewer
Approved by Date BD1A 11/88
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Tb,vnn ofSouth Windsor
and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree
that this building is to be located the proper distance from all street lines,side yard es and required distances from all other zones and is
located in a zone in which this building and its use is allowed.
Signe
I hereby apply for a Certificate of Occupancy for the work described in t is appl ation for permit,
Sign d
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Foundation Insulation_
Plumbing Permit# Inspections:
HVAC Permit# '7 7 4 S Inspections:
Electrical Permit# Inspections:
7
Sprinkler Permit# Inspections:
7 ff
ELECTRICAL APPLICATION
Application No.
on the side of
Street
Street No. 13 7 S14-C 6Z u C—S LA.M E
Owner —6E7-7TY Mo RG-4/y
Electrician MC WE4441 46 C-1-46CMIC
FILED IN OFFICE OF
The Building Inspector
L2 1910
INSPECTION.
mNo Electrical Work shall be started until a Per-
mit is j&anted by the Building Inspector.
In New Buildings no wiring shall be started
until the plumbing and heating pipes, and the fire
stops (if of wo d) are installed, without a special
permit from t office of the Building Inspector.
S _
F'
t
Electrical Permit No,
Master License No.
TOWN OF SOUTH WINDSOR Building Permit No.
Date Filed
BUILDING DEPARTMENT
Dater i ---ov-v-aT
APPLICATION FOR ELECTRICAL WORK
Electric tor
au6S.. I.A. JOB OWNER: JOB LOCATION: 13 7 -"94
Between and ............. .................................................. 0,77,Side of WS-.4 -170W
a 4-T7- m oR6r A Ad................. Address /J7.J*4496- '
Name of Building Owner Address ................ .. .............................
If work is for Lessee—Give name No. of family units now
Building now occupied as (unless new) Number of family units to be
Building to be occupied as 40 11)
Permit A*10 Permit Fee 0440
Is this work included in a Building P 51 . Telephone&..2-'..--ff.7
e Business Address 2.e141CPermitt X/ 0 0 .................................. .. .. ........... .......... ............. .......
COST OF INSTALLATION:
waw TO BE FILLED OUT BY PERMITTEE
TO BE WIRED EXISTING APPLIANCES-
7
Number of light outlets to be installed Number of present Appliance Circuits
Number of convenience outlets to be installed I P
Water Heater [:1
Number of switches to be installed Do these include Range 4
Number of appliances to be installed Dryer IN Air Conditioner 11 Oil Burner BSI
as listed below)
RATING NO. Gas Burner 0
TYPE Dish Washer 91
Elec. Heaters
Range Well Pump 1:1
Range Top REMARKS:
oven
3'+,-
UA- P6
Water Heater
P
rfll PLAWIA-
Clothes Washer dAo,,,A- w*---
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 . . . . . . . ...71ji.;'
Size of present service .............. .................................
Size of service to be .....
PERMIT NO.
DEPARTMENT DECISION
A P P L I C A T I O N F O R
A ATION IS HEREBY:
PLUMBING PERMIT
APPROVED DISAPPROVED TOWM OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
644-2511 Ext. 230
DATE PL NG INSPECTOR Application must be printed or typed.
1. LOCATION OF JOB:
3 7 ^,9LC7yfP-P LA/
2. OWNER:- '• M
3. ADDRESS: 137 f4 Cy+v 1 ,L iy,
FEE SCHEDULE re. edlwc6}
0 - $19000 - $10.00 4. APPLICANT: 1qn e! ? d-H
Over $1,000 - $10.00 5. ADDRESS:0?7 441
per $1,000 or
Fraction Thereof l tF rd 'rC pso;ly'
6. EST. COST:
7. IS THIS A CONTRACT COST? AYES NO
8. FEE ENCLOSED: $
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
ORIGINAL ALTERATION
INSTALLATION '-ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB: A? 7 cT/fC 7 w Pr / A,
GENERAL PLUMBING
12. KIND OF INSTALLATION: Oak" 13. SIZE OF MAIN DRAIN
p,
14. NO. OF TOILETS STYLE 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS 16A. NO. OF SHOWERS _ 17. NO. OF LAVATORIES
18. NO. OF SINKS 19. DISPOSAL 19A. DISWASHER
20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE
22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 1 0`•
27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? J'lf N
29. SIZE OF DUCTS y 30. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS Y-ao
32. REMARKS AND FURTHER DETAILS iI tz-r a, 6.rc F ''
WATER HEATER
33. TYPE 34. MANUFACTURER
TANKS SAFETY DEVICES
TEMPERATURE
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
c20.3 $<?f 31cpleff 1 IZA
LICENSE NO. DATE SIGNATURE OF APPLICANT
PHONE NO.
FOR -OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE:
NO. TOWN OF SOUTH WINDSOR EST.COST: /aco
BLDG. PERMIT N0. )7y-7 1540 SULLIVAN AVENUE FEE /4 ..-
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 0 - $12000 - $10.00
1000 or fraction
LOCATION OF BUILDING 7 TQe-,Vpeletr ,L*,, thereof - $10.00
L P. N I'
OWNER ADDRESS TOWN PHONE NO.
lo27 74;4o 06V
HVAC CONTRACTOR ADDRESS TOWN 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.) :
GROSS HEATING CAPACITY (INPUT-BTUH) //,,SCO NET RATING (OUTPUT-BTUH) 10al 'oo
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN (BTUH)
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.) :
TONNAGE COOLING CAPACITY (BTUH)
IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT) :
TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM)
PLAN MUST ACCOMPANY APPLICATION)
The undersigned hereby applies for a permit to perform the following work and is to comply
with all local ordinances and State of Conn. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK: 9JJ 30 6/!'P,6C t kh4lo 'AOZ /w -84fevOmW
2 v., 4
STATE LICENSE - NAME & TYPE # -- DATE SIGNATURE OF APPLICANT
6
A PROVED DATE
8D 4A 11/88
I = B= R CALCULATION SHEET 1503 (Mod rn Method) Copyright 1977 by The Hydronics Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.B COL.C COL.D COL.E COL.F COL.G
1 ROOM Q
O 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 F of of
3 LENGTH EXPOSED WALLS,FT. Q Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION ROOM LIN.FT.OF
Table 9, Line 3 x H) TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
Bottom of table used for Line 5)
7 CEILING CONSTRUCTION C
Table 9, L x W)
g FLOOR CONSTRUCTIONt
Table 9, L x W or Lin Ft) E
9 COLD PARTITION CONSTRUCTION F
Table 9, L x H)
tU c 1 Wall(With Openings)C
H
2 Walls(With Openings) DXeJ 1
3 Walls(With Openings) or Ent Hell H
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 RADIATION
1 ROOM 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
U
3 LENGTH EXPOSED WALLS. FT Q
41 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION INCREASE BATHROOM
Table 9, Line 3 x H)TOTAL 20%
6 TYPE OF GLASS ---
Bottom of table used for Line 5)
FnP rnNr'PF7c c nnp nry
7 CEILING CONSTRUCTION GROUND OR FILL AT
Table 9, L x W) GRADE LEVEL,USE LINEAR
g FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
Table 9, L x W or Lin Ft)
9 COLD PARTITION CONSTRUCTION
Table 9, L x H)
10 r 1 Wall(With Openings)
0 iX2Walls(With Openings)0 J
3 Wells(With Openings) or Ent. Hall
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE Ixt
This form is available from The Hydronlcs Institute,35 Russo Place,Berkeley Heights,N J 07922 FORM 1503
L
1 • B s R CALCULATION SHEE 1503 (Modern Method) copyright 1977 oy The Hydronles Institute,
OWNER Cd/i4r aA ADDRESS 3T2zodr r S
DIZ:IONTtMrtRATulte OIIPFEIISNCs R. DATE
C L.A JCOL.S COAL.C COI..O COL.E COL.F COL.a
1 'ROOM K QA4ge".,Ii: dw
H L W H L W M L W H L W H L WO Deslga Water Tarwp- w —.
F 2 ROOM DIMENSIONS,FT. v aZ / ' a f S STUN PW F tot
3 LENGTH EXPOSED WALLS, FT. 0 hZ.Radlo"m selected S
4 WINDOW AND OUTSIDE DOOR AREA 41
BTUH BTUH BTUH STUH STUH
5 WALL CONSTRUCTION
Table 9,Line 3 x H) 06 yQQ it 0O QQ few TOTALS RADIATI N
6 TYPE OF GLASS FROM LINE 12 SELECTED
Batt m f table used f r Line 5)XI'300 300 r
7 CEILING CONSTRUCTION C 2di
Tabl 9,L x W) Q
B
O
FLOOR CONSTRUCTIONt
Table 9, L x W or Lin. Ft.) OT 7 00Q 4140d QQQ 1E is/O Al
9 COLO PARTITION CONSTRUCTION P
Table 9, L x H)O
10 _c 1 Wall(With Openings)S S Q o 0t7 0 a e70 M
2 Walls(With Openings) J 1
3 Walls(With Openings)or Ent.Hall
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' 00 Iiso0 f3OO yam
K
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE QQ
L
COL.A COL.S COL.H COL.I COL.J COL.K COL.L TOTAL BTUH TOTAL
1 ROOM
OF BUILDING RADIATION
it AT SELECTEO
O H L W H L W H L W H L W H L I W DESIGN TEMP.*
2 ROOM DIMENSIONS,FT. 1"
DIFFERENCE
u
31 LENGTH EXPOSED WALLS,FT. lJ
4 WINDOW AND OUTSIDE DOOR AREA IL V __
BTUH BTUH BTUH BT STUH eT
5 WALL CONSTRUCTION INCREASE BATHROOM
Table 9,Line 3 x H) TOTAL 20%
6 TYPE OF GLASS
B tt m f table used for Line 5)tFOR CONCRETE FLOOR ON
7 1 CEILING CONSTRUCTION GROUND OR FILL AT
Table 9,L x W)GRADE LEVEL,USE LINEAR
FEET OF EXPOSED EDGE
g FLOOR CONSTRUCTIONt f
Table 9,L x W r Lin.Ft)
9 COLD PARTITION CONSTRUCTION
Table 9,L x H)
10 0 1 Wall(With Openings) O;
2 Walls(W Ith Openings) X
y J
3 Walls(With Openings)or Ent.Hall h
11 TLOTAL BTUH AT 70F TEMP. DIFFERENCE*
12 TAL BTUH AT DESIGN TEMP. DIFFERENCE
FORM 1503
his form is available from The Hydronics Institute,35 Russo Plac ,Berkeley Heights.N. J. 07922
September 10, 1993
Ms . Morgan
137 Jacques Lane
South Windsor Conn. 06074
Dear Ms . Morgan;
OPEN PERMIT:
I have contacted your household either by a phone call to your home
or I have dropped off a door tag. This was done to remind you that
you have an open BUILDING PERMIT. I have had no response to this .
According to our records you still need either an intermediate or
final inspection. Would you please contact me and let me know the
status of your project. If your project is finished please call and
schedule a final inspection. Please be advised that occupancy of a
structure that does not have a CERTIFICATE OF OCCUPANCY is a
VIOLATION of STATE STATUTE # 29-265 .
Please contact this office within one week of receipt of this letter.
I am in the office Monday through Friday 7 : 30 - 9 : 00 am and 12:30 -
2 :00 pm: . Please call me at 644-2511 ext. 232 .
Very truly yours,
John F. Hogan, Assistant Building Official