HomeMy WebLinkAbout14 Kingsley DriveElectric# APPLICATION FOR BUILDING PERMIT
Plumbing# llS So 14 KINGSLEY DRIVE
HVAC # 1 4} 26032
Date: X D ( S
Sprinkler# NO'
FINAL O Estimated Cost 9
iudidingr 9 COMPLETE RED BOXED AREAS Permit Fee
i a7 o./ Occupancy Fee 1 —E TYPE OR PRINT ONLY
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. I C1. _Total Fee
TO BULDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location 1 Lot No. Side of Street_ Zone
Applicant QV)cL<,.e Tel# [off" aOpCo
Address aO Zip Lic.#
Owner A EnEU Address
Architect 'ZI,arcW Address
Sq. Ft.N w Area: 1st FI, LP Lo 2nd Fl. al 3rd Fl. Total New Area
Rooms i Lavatories ) Bathrooms 3 Garages
Purpose of this permit: NQ 1C0
City WatePk Well Septic System Sewer
Ins. H.O. S.P. Cert. Area t 2(c&-Z Basement 12.o(b Gar O
Approved by J - Date 7 Use Group Construction Type 15G
Reused 1197
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be locajqd the proper distanc rom all street lines,side yard lines,and required
distances from all other zones and is located in which i buil g an s i(allowed.
Signed- U
I hereby apply for a Certificate of Oc c fort ork n this application for the permit.
Signed
DO NO kRITEBE /WTHISLINE
INSPECTION COMMENTS
Location of job AFFIDAVIT Additional Fee —0—
State of Connecticut
SS.
County of Hartford
tl c Owner
I d C l + of kr building erected under
Contras,tor r
Permit Na 26032. issued by the Dep't of Building of the lbwn of South Windsor being duly sworn.make oath
and say that the actual cost of the completed work authorized under said permit was $206,000.0.0.
Signed . . . . . . . . .
y
Subscribed and sworn to before me this . . ...... [ ...... day of A.D.19 . .
EsCimate Cost:i 206 p 000,00
0—
Difference: i Notary Public
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
99-26032-B 184,000
B01 FOOTING 07/16/99 DCJ D NO FORMS IN PLACE
B01 FOOTING 07/19/99 DCJ A
B02 FOUNDATION 07/28/99 DCJ A
B03 FRAMING (ROUGH) 11/09/99 DCJ A
E03 ROUGH 11/09/99 DCJ A
P03 ROUGH 11/09/99 DCJ A
H03 ROUGH 11/09/99 DCJ A
B04 INSULATION 11/12/99 JFF D SEE INSPECTION REPORT
B04 INSULATION 11/15/99 DCJ D ROUGH INSP. CORRECTIONS NOT MADE
B03 FRAMING (ROUGH) 11/16/99 DCJ D
E01 SERVICE 11/17/99 DCJ A RELEASED TO N.U.
B03 FRAMING (ROUGH) 11/18/99 DCJ A
B04 INSULATION 11/18/99 DCJ D INSULATION OVER ROOM ADJACENT TO GARAGE NEEDS
TO BE BLOWN IN.
99-10631-H 9,000
99-10501-P 7,000
99-16519-E 6,000
Total Est Value 206,000
Dwelling 2,662 108,929.04
Basement 1,206 14,954.40
Garage 550 6,820.00
Smoke Det 7 525.00
BOCA Value 148,288.14
Difference 57,711.86)
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
14 KINGSLEY LOT_#16 Reviewed B r--gtJA ineering)
CHASE ORCHARDS LLC Date Reviewed Z -z c) Approve enied
2033 ELLINGTON ROAD,SOUTH WINDSOR,CT_ Reviewed By nning)
BP # 26032 Ph_#_(860) 648-2006 Date Reviewed Denied
Date Submitted 12/23/99 FOR C o O ***
As required in the Zoning and/or Subdivison Regulations, no Certificate of
Occupancy shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall include:
Approved Denied N/A
1. Approved building permit plan
2. Finish grading per approved
building permit plan
3. Site work; i.e. trees, shrubs,
dumpsters, required parking
4. Utility location;
a. sanitary sewer/septic system
b. foundation drain
c. electrical & telephone
J d. water
e. other C was
5. Sewer connection charge paid $JZ7NS
6. Appropriate certification
7. Bonding
8. Planning & Zoning/
Inland Wetlands Considerations
Sewer Permit No. -7 5
Pavement Excavation No.
COMMENTS:
LAW'0j SS-TAAusNA4.14r CVVW-D uNprW. sU6prv stba -5 o,.
w A 1®l 1
AL,G CTrfr' I.o l o lSrZ.. E fDS To BE E,E.
c
P(vAZ- G''f'''' ;'"' s-L'r`r off- a -Tu E sMi,."
Ep
D EC 3 1999
SOUTH WINDSOR
DEPT fie9r
0
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
14 KINGSLEY LOT_#16 Reviewed B PE(ZNA n ineering)
CHASE ORCHARDS LLC Date Reviewed Approve enied
2033 ELLINGTON ROAD,SOUTH WINDSOR,CT anReviewedByning)
BP_#_26032_ Ph_#_(860) 648-2006 Date Reviewe pprove enied y
Date Submitted 04/30/99 FOltBUftbING PER
In accordance with the Zoning and or Subdivision Regulations, prior to the
building of any structure on a lot, a Topographic Plot Plan shall be submitted
for approval. The minimum requirements shall include:
Appr ed Denied N/A
1. Name, address & phone number of owner/applicant
2. Name, address & phone number of plan preparer
3. Zoning Information - i.e. zone, open space,
floodway, etc.
4. Plot Plan at 1" =f ' scale
a. Subdivision reference, abutting properties, etc
b. Easements of record
C. Lot description, bearings, building lines,
distances, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate
e. Building location with dimensions.
Elevations of proposed finish floor, garage
floor & centerline of road at driveway
f. Elevations of gravity drainage systems, sanitary
foundation drain at the house and the street
g. Tentative utility location (gas, water,
electric, septic system, etc.)
h. Title block with name and address of preparer,
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements. (P.E. & L.S.)
5. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
011 considerations (Plans on file w/Town Clerk)
COMMENTS: 1
Afolf
8 j999
s wa,
ti
C
ennox, Objective C3 ui de to 2 nstal l ati on comparison
LOGIC Software Group
Lennox Industries Inc .
Dallas , TX
1 -800-527--3506
10/06/96 LOGIC 1000,.R•E52NTTAL'`..`,LOADS' ANALYSIS PAGE 1
PREPARED BY : LA RRIE, MEYER / C .A. S .
FILE TITLE : DORAN2
DESIGN TEMPERATUREp; (DEGREES F)
WINTER INSIDE 72 WINTE,R OUTSIDE 0
SUMMER INSIDE 75 SUMMER OUTSIDE 90
DAILY TEMPERATURE RANGE INDICATOR M
DESIGN GRAINS RELATIVE HUMIDITY 42
DEGREES NORTH LATITUDE 41
SUMMER AIR CHANGES PER HOUR 1 . 0
WINTER AIR CHANGES PER HOUR 0 . 7
AREA BTUH BT11Id
SQ FT LOSS GAIN
ROOM µ1 FAMILY ROOM IN ZONE 1 19 X 17
MALL 12J3 R--19 + 1/2 OR 3/4 INCH EXTR POLY 107 385 100
WINDOW 3A DOUBLE 'PANE CLR GLASS WOOD FRM FACING-N 45 11785 540
TINT-TINTED SHADING-DRAPES HALF DRAWN
SHADING COEFFICIENT = 1,
WALL 12J3 R'- 19 + 1/2 OR 3/4 INCH EXTR POLY 136 490 126
OVERHANG = 1 . 0
1- 0
19A HARDWOOD OR VINYL FLOOR + NO INS 289 1416 0
2WINTERINFILTRATION31CFM 8
SUMMER INFILTRATION 44 CFM SENSIBLE GAIN 72".)
LATENT GAIN 11246 L
1300SENSIBLEGAINPEOPLE6
LATENT GAIN 1380 L.
DUCT LOSS MULT= . 10 GAIN MULT= . 10 832 29
TOTAL -OR ROOM 1 2 , 584 CU FT 323
SENSIBLE 9 , 1,56 3 , G 1 4
LATENT 21626 L_
s. .r i;syr`r. ., .. F .,si>`.,, .^S'3§.^r"-^.,c'° n r x. P&'LT.a ?rt„r4Mi(T'a-;,..r •' ,.., .. r, ,.. _^r' .. {
10/06/96 LOGIC 1000 RESIDENTIAL LOADS ANALYSIS PAGE 2
WOODBRIDGE
LOT #9
AREA BTUH BTUH
SQ FT LOSS GAIN
ROOM - 2 KITCHEN IN ZONE 1 26 X 13
FALL 12J3 .R- 19 + 1/2 OR 3/4 INCH EXTR POLY 163 587 152
OVERHANG = 1 . 0
DOOR 0 SLDNG DR , 2 PN CLR GLASS , METAL FACING N 36 11879 396
TINT-TINTED SHADING-DRAPES OR BLIND
3-HADING COEFFICIENT = 1
C 357 108
WINDOW 3A DOUBLE PANE CLR GLASS WOOD FRM
HALF DRAWNTINT-TINTED SHADING-DRAPES
SHADING COEFFICIENT = 1 REVEAL = 1,• 0
338 3 , 796 0
FLOOR 19A HARDWOOD OR VINYL FLOOR ,+ NO INS
2 ,418
WINTER INFILTRATION 31 CFM
SENSIBLE GAIN 720
UMMER INFILTRATION 44 CFM 1 , 246 L.LATENT GAIN
i VENTILATION 50 . 0 CFM
31960 826
MEuHANI ,AL 1 800
PEOPLE 6 SENSIBLE GAIN
1380 LLATENTGAIN
1200
APPLIANCE` 11300
y
520
C,UCT LOSS MULT= . 10 GAIN MULT= . 10
2 , 7g4 CU FT
w_.
338
TOTAL FOR ROOM 2 SENSIBLE 14 , 297 51720
LATENT 41054 L
ROOM - 3 DINING ROOM IN ZONE 1 13 X 15
86 310 8a
WALL 12j3 R'- 19 + 1/2 O-R 3/4' •INCH EXTR POLY
OVERHANG = 1 . 0
t 1INDOW 3A DOUBLE PANE CLR GLASS WOOD FRM FACING--N 1 8 7 '14 216
TINT-TINTED SHADING-DRAPES HALF DRAWN
SHADING COEFFICIENT = 1
120 432 112
WALL. 12•J3 R- 19 + 1/2 OR 3/4 INCH EXTR POLY.
OVERHANG w 1 . 0 191 2 , 190 0
FLOOR 19A HARDWOOD OR VINYL FLOOR + NO INS
967
MINTER INFILTRATION 12 CFM
SENSIBLE GAIN 288
SUMMER INFILTRATION 17 CFM 498 LLATENT• GAIN
SENSIBLE GAIN 1800
PEOPLE 6 1380 L.LATENT GAIN
10f)
APPLIANCES 461
D J uT L.0SS MULTw . 10 GAIN MULT= . 10
t
10/06/96 LOGIC 1000 RESIDENTIAL LOADS ANALYSIS PAGE 3
WOODBRIDGE
LOTA9
AREA BTUH BTLl11
SQ FT L.0ISS GAIN
TOTAL FOR ROOM 3 1 , 560 CU FT 195
SENSIBLE, 51074 41065
LATENT . r 1 1 878 L
ROOM - 4 LIVING ROOM IN ZONE 1 14 X 13
WALL 12J3 R- 19 + 1/2 OR 3/4 INCH EXTR POLY 82 295 70
OVERHANG w 1 . 0
WINDOW 3A DOUBLE PANE CLR GLASS WOOD FRM FACING-S 30 11190 475
TINT-TINTED SHADING-DRAPES HALF' DRAWN
SHADING COEFFICIENT = 1
WALL 12,13 R- 19 + 1/2 OR 3/4 INCH EXTR POLY 120 432 112
OVERHANGS = 1 . 0 a
FLOOR 19A HARDWOOD OR VINYL FLOOR + NO INS 182 2 , 044 0
WINTER INFILTRATION 20 CFM r 11612
UMMER INFILTRATION 29 CFM SENSIBLE GAIN 480
LATENT GAIN 830 L.
PEOPLE 6 SENSIBLE GAIN 1800
LATENT GAIN 1380 L
APPLIANCES 1200
DUCT LOSS MULT= . 10 GAIN MULT= . 10 557 414
TOTAL FOR ROOM 4 1 ,456 CU FT 182
SENSIBLE 6 $ 131 41557
LATENT 2 , 210 L
Rn0r7 q - 5 FnyE R IN ZONE 1 8 X 20
WALL_ 12•_i3 R--- 19 + 1/2 OFF 3/4- INCH EXTR P'OL 32 i 15 30
OVERHANG 1 . 0
WINDOW 3A DOUBLE PANE CLR GLASS WOOD FRM FACING-S 14 555, 238
TINT-TINTED SHADING-DRAPES HALF DRAWN
HADING COEFFICIENT = 1
DOOR , 10H PANEL & WOOD STORM 18 467
WINTER INFILTRATION 22 CFM 11719
SUMMER INFILTRATION 31 CFM SENSIBLE GAIN 512
LATENT GAIN 886 L
PEOPLE 2 SENSIBLE GAIN 600
LATENT GAIN 460 L
APPLIANCES 1200
DUCT LOSS MULT= . 10 GAIN MULT= . ro 286 270
l -_' k. _ E+•s5r i v rw• a, r' 'J+d; '..k'k Wi0'.-8c v- 4,+.yy N`°{`-i
r-` t . i ram ,`3""J-u'4'",°_'.'si``,i••
i`s`,.::""`.. ."„'-,h. ,, ^_' _ fs"'t,'FC"", x, "'''r"`
1 0/06/96 LOGIC 10QO RESIDEKcTT ,A.1. ROADS, gNALYSIS PAGE 4
WOODB,RIDGE
LOT #9
AREA BTUR BTUld
SQ FT LOSS GAIN
TOTAL FOR ROOM 5 1 , 280 CU FT 160
SENSIBLE 31142 21970
LATENT 11346 L
ROOM - 6 DEN IN ZONE 1 11 X 13
WALL 12J3 R- 19 + 1/2 OR 3/4 INCH E TR POLY 58 209 54
OVERHANG = 1 . 0
WINDOW 3A DOUB-LE PANE CLR GLASS WOOD FRM FACING-S 30 1 , t90 475
TINT-TINTED SHADING-DRAPES HALF DRAWN
SHADING COEFFICIENT = 1
FLOOR 19A HARDWOOD OR VINYL FLOOR + NO INS 143 11606 0
WINTER INFILTRATION 20 CFM 1 11612
SUMMER INFILTRATION 29 CFM SENSIBLE GAIN 480
LATENT GAIN 830 L
PEOPLE 4 S.ENSIBLE GAIN 1200
LATENT . GAIN 920 L
APPLIANCES 1200
DUCT LOSS MULT= . 10 GAIN MOLT= . 10 462 341
TOTAL, FOR ROOM 6 1 , 144 CU FT 143
SENSIBLE 51079 31750
LATENT 11750 l
ROOM - 7 BATH IN ZONE 1 7 X 8
FLOOR 19A HARDWOOD OR VINYL FLOOD + NO INS 56 629 0
WINTER INFILTRATION 0 CFM 0
SUMMER INFILTRATION O .CFM
x ,.'
SENSIBLE GAIN 0
LATENT GAIN 0 L
PEOPLE 1 SENSIBLE GAIN 300
LATENT GAIN 230 L
DUCT LOSS MULT= . 10 GAIN MULT- . 10 63 30
TOTAL FOR ROOM 7 448 CU FT 56
SENSIBLE 692 330
LATENT 230 L
ROOM - 8 M .B . R . ICJ ZONE 2 18 X 17
WALL 12J3 R- 19 + 1/2 OR 3/4 INCH EXTR POLY 99 356 92
OVERHANG = 1 . 0
t
I
10/06/96 LOGIC 1000 RESIDENTIAL LOADS ANALYSIS PAGE 7
WOODBRIDGE
LOT #9
AREA BTUH BTUH
SG; FT LOSS GAIN
SHADING COEFFICIENT = 1
WALL 12J3 R- 19 + 1/2 OR 3/4 INFH EXTR POLY 48 173 45
OVERHANG = 1 . 0
CEILING 16G DARK R-30 INSULATION 143 340 184
WINTER INFILTRATION 20 CFM 1 , 612
SUMMER INFILTRATION 29 CFM SENSIBLE GAIN 480
LATENT GAIN 830 L
PEOPLE 2 SENSIBLE GAIN 600
LATENT GAIN 460 L
DUCT LOSS MULT= . 10 GAIN MULT= . 10 352 184
TOTAL FOR Rr)OM 12 1 , 144 CU FY 143
SENSIBLE 31876 21021
LATENT 1 + 290 L
ROOM — 13 BONUS ROOM IN ZONE 3 11 X 22
WALL 12i3 R- 19 + 1/2 OR 3/4 INCH EXTR POLY 73 263 68
OVERHANG. = 1 . Q
WINDOW 3A DOUBLE PANE CLR GLASS WOOD FRM FACINGS 15 595 38
TINT—TINTED SHADING—DRAPES HALF DRAWN
SHADING COEFFICIENT = 1
WALL 12J3 R- 19 + 1/2 OR 3/4 INCH EXTR POLY 128 461
OVERHANG = 1 . 0
WALL 12J3 R- 19 + , 1/2 OR 3/4 INCH EXTR POLY 128 461 119
OVERHANG = 1 . 0
CEILING, 16G DARK R-30 INSULATION 242 575 311
FLOOR 19A HARDWOOD OR VINYL FLOOD + NO INS 242 21718 0
WINTER INFILTRATION 10 CFM 806
SUMMER INFILTRATION 15 ' CFM SENSIBLE GAIN 240
LATENT GAIN 415 L
PEOPLE 4 *•SENSIBLE GAIN 1200
LATENT' GAIN 920 L
DUCT LOSS MULT= . 10 GAIN MULT= . 10 588 22ra--58
r—
s
TOTAL FOR ROOM 13 1 , 936 CU FT 242
SENSIBLE 61466 2 , 524
LATENT 1 $ 35 L
y 'F4ri ,'it„ ;AS • rd. -,4 ,,3•vik +, 'TY ' N7. , a ,
i
r 4
10/0,6,j96 LOGIC 1000 R9S.IDENTXAL LOADS ANALYSIS PAGE 8,
WOODBRIDGE
LOT #9
STRUCTURE TOTALS 2 1 , 240 CU FT 21 655
SENSIBLE 77 , 818 39 , 32'Q'
LATENT 24 , 050 L
MINIMUM Cooling Capacity needed is 63 , 379 btu
at 90 degrees outside and 75 degrees inside
Maximum Desired Coral i ng' Capacity is 72 , 885 btu
1 1 596 of .Tots 1 Load)
y
Version 92 . 12
This Heating and Cooling Load Computati ors.: was produced using the procedures `
and tables of the Ai r Conditioning Contractors of America ' s Manual •_i ,
Seventh 'di ti on . The accuracy of the cal cul ate'd loads depends upon the
accuracy of the data used and the accuracy of the Manual U load calculation
oc dr r.r r`e':~ for` the cii ven conditions . No warranty, either` expressed or
p e
i mp1 i ed i ,j i v e n by I..e;nnox Industries Inc . with respect to tile acc,lrr`,=jc;y
dnd/or, jffi ci ency of the information p rovi dad fey thi r repot
K
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR
PERMIT#
Application is hereby:S
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
ate Building Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Saner
APPLICANT ADDRESS e
Z
APPLICANT PHONE# 0 63 7 V
WN .S OWNER
O
w; -
4 OWNER ADDRESS
OWNER PHONE 6
C ESTIMATED COST$ co
IS THIS A CONTRACT COST? Yes O No
FEE ENCLOSED$
l TYPE OF J B:
OR-CO New Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION?O'Y"ES NO
5-RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY
EDUCATIONAL
INSTITUTIONAL ENGINEER'S NAME PHONE
FACTORY
STORAGE ADDRESS
GARAGE
MIXED USE CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD tea
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS.5P fl
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES Id'NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES ` C NUMBER OF OUTLETS-Z-F
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
1
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
w 4
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.
l02
CONTRACTORS LICENSE NO. TYP STATE
SIGNATURE OF APPLICANT DATE b l7
a'ri F+i.,.,r^,.t.r:4i L j-}`A,.yZ,`^'-<•gaA+.sa.r.1 '744°i 9:ki;W'F>i 3 R i
r—
INSPECTOR DATE 17 TIME A m
LOCATION i
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL: U
V
V
f
PLUMBING:
HVAC:
k
OTHER:
4155ate'
ARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby:TOWN OF SOUTH WINDSOR f Did lBUILDINGDEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
ilding Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE
14 Kingsley Drive Lot#16
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Frank Mauri
APPLICANT ADDRESS 29 Bissell Street
East Hartford, CT 06018
APPLICANT PHONE# 860 289-9511
O W N S F OWNER Chase Orchards LLC
q
F OWNER ADDRESS 2033 Ellington Road
Windsor CT 06074South
m
OWNER PHONE 860 648-2006
C ESTIMATED COST$ 9}6i
IS THIS A CONTRACT COST? O Yes 0 No
r FEE ENCLOSED$ 91.00
TYPE OF JOB:
OR-Co Y New Installation
0 Alteration/Addition/Repair Revised 8/99
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
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY SINGLE FAMILY DWELLING
EDUCATIONAL
INSTITUTIONAL ENGINEER'S NAME PHONE
FACTORY
STORAGE ADDRESS
GARAGE
MIXED USE CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION ORIGINAL SIZE OF MAIN DRAIN 4"
NO.OF TOILETS 3 STYLE SIPHON JET NO.URINALS STYLE
NO.OF BATHTUBS 1 NO.OF SHOWERS 1 NO.OF LAVATORIES 4
NO.OF CONDUCTORS SIZE NO.OF STACKS 1 SIZE 3
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES.— KIND WHTRT p=
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW j7 YES NO
SIZE OF WINDOW 3 X 3 IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK SEWER
SIZE OF WATER MAIN 1"SIZE OF WATER PIPING&RISER 314" & 1/2"
WATER HEATER: TYPE GAS MANUFACTURER AMRR T AN
DESCRIPTION OF WORK
COMPLETE PLUMBING FOR SINGLE FAMILY DWELLING
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.
201334 P-1 CT
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLIC)Cj;j DATE 11/1/99
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH W NDSOR
PERMIT#
Application is hereby: 1)(7, 1 tqBUILDINGDEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
at u' mg Inspector
Application must be printed or typed
FEE SCHEDULE
t c,Ll_Location of Job:
0-$1,000=$13.00
Tenant
treet No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Designation Apt.No.
APPLICANT cce S zo J1,lit C_
APPLICANT ADDRESS G <<,
r
Jj d s' ,O it lG c=
APPLICANT PHONE# j0,3 IS,-ir, /9 D 6
gillOWNSOWNER zf. ;x5 C-/ S'S 0
q OWNER ADDRESS
f J
OWNER PHONE D O
C ESTIMATED COST$
ma'
s IS THIS A CONTRACT COST? WYes 13 No
r ICJ FEE ENCLOSED$
TYPE OF JOB:
SpR.CO A&ew Installation
E3 Alteration/Addition/Repair Revised 8/99
e
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUILDING:
1KHEATING ESIDENTIAL
W A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC T WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE_Q F INSIDE 7.?--°F DIFFERENCE? 2 OF
TOTAL HEAT LOSS(BTUH)od°F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
ce
GROSS HEATING CAPACITY(INPUT—BTUH) oL Ga NET RATING(OUTPUT—BTUH)/2 aO O
TYPE OF FUEL
OIL—GPM OIL TANK LOCATION:INSIDE OUTSIDE CAPACITY
GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE 9 O OF INSIDE y OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) cb U (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.
a '? u 0 ed L -Z__
CONTRACTORS LICENSE NO. E STATE
SIGNATURE OF APPLICANT DATE d-T Jc