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Home My WebLink About14 Porter GreenFtNAL INSPE v9 ATIOS qnn Building P CATION FOR BUILDING PERMIT Plumbin HVAC Date: Sprinkle 152 14 PORTER GREEN Electric Estimated Cost $ Zoning 21888 Permit Fee$ Affidavit y NO.Occupancy Fee $ Eng. Dept. 7 b COMPLETE RED BOXED AREAS. r 3FireDept. TYPE OR PRINT ONLY Total Fee $ Health Dept. Approved for CO:SIGN ON REVERSE SIDE. Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT T The undersigned, hereby applies to do work according to the following specifications: A Job Location Lot No. Side of Street Zone ApplicantC,JVk' Tel. it Addressjoll Zip Lic.#4 47it E Y ST E Owner Address !S Architect ddress Size New Are Ft. Front Overall Ft. Deep Overall Total Area Garages ELavatoriesSizeofLotDis . from St eet Line Bathr ms____Rooms* F1 LA 1 t 2n 3rd Purpose of this Permit City Water Well 0 Septic 0 Sewer Use Group Construction Type L411-101y Q A PP Yrovdb Date ad 1 A° BDlA >>i i I hereby agree to contorm 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 located the proper distance from all street lines,side yard lines and required distances from all other zones and is located in a zone in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this a lication for e i Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# 57 Inspections: HVAC Permit# Inspections: Electrical Permit# 1 7-4 Inspections: Sprinkler Permit# Inspections: Loadoa d job AFFIDAVIT Additimal Fes .—h............... tat.of Connecticut Countyof Hartford ss cI. ...4-rl..1.of...`.. VIC (2eal-( for budding erected under for Permit Ya ,,218 8 8•..•.•..,..,..,.•,. issued by the Dept of Building of the Town of South Windsor being duly swom make oath and say that the actual cost of the completed work authorized under said permit did not exceed the most current accepted BCCA value of . . . $S 0, 3 5 0:0 0. . . . . . . . . . . . YlSigned Subscribed and sworn to before me this dayof it(A.D.a.D.19 Estimate Cost:s 8 0 3 5 0. 0 0 J Difference: S 0— 1Vo PU41ic. Inspection / Approval Date By Appl Code Description Due Whom Code Comment 94-21888-B 68,000 BO1 FOOTING 11/07/94 JFH A B02 FOUNDATION 11/10/94 JFF D NOT READY B02 FOUNDATION 11/10/94 JFF A E01 SERVICE 12/07/94 JFH D NOT DONE P02 UNDERGROUND 12/13/94 JFH A WATER TEST E01 SERVICE 12/30/94 JFF A NOTIFIED NU P03 ROUGH O1/10/95 JFH D NOT READY P03 ROUGH O1/10/95 JFH A WATER TEST B03 FRAMING (ROUGH) 01/12/95 JFH A E03 ROUGH O1/12/95 JFH A H03 ROUGH O1/12/95 JFH A B04 INSULATION O1/13/95 JFF A PO4 GAS TEST O1/18/95 JFH A AIR TEST 810 FINAL 02/17/95 JFH D BALLASTERS CELLAR STAIRS GARAGE STAIRS HS# B10 FINAL 02/21/95 JFH D NOT READY B10 FINAL 02/21/95 JFH D NOT READY B10 FINAL 02/24/95 JFF A REINSPECTION APPROVED FOR CO B10 FINAL 02/24/95 JFF A 94-9516-P 3,000 94-9095-H 6,850 94-13275-E 2,500 Total Est Value 80,350 Dwelling 1 ,488 55,323.84 Basement 564 5,611 .80 Garage 460 5,405.00 Smoke Det 6 450.00 BOCA Value 75,473.42 Difference 4,876.58) .6— SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, C NNEC®®TICUT 14 Porter Green LOT_#71 Revi w 4 a'f-fA E ineering) CLARK REALTY, INC . Date Reviewed t- / 7_ pprov Denied 658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By Planning) BP # 21888 Ph_# ( 203 )528-6054 Date Reviewed ve /Denied Date Submitted 02/16/95 FOR C of 0 **** 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: Appr ed 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/se em b. foundation drain C . electrical & telephone d. water e. other 5 . Sewer connection charge paid 6 . Appropriate certification 7 . Bonding Z,Lk /8 . Planning & Zoning/ Inland Wetlands Considerations Sewer Permit No. G203 Pavement Excavation No. xlle4 COMMENTS : Lu z/zy1y'.r ir7 s a a4 C 1 a I 471 4 ow Q4t A^11 I 1 1 a dL toe or ev.k%-kr o,6o%& . 11roexr J a'e' 4L South Vvindsor BUILDING DEPARTMENT I SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECT CUT 14 Porter Green LOT_#71 Reviewed B neering) CLARK REALTY, INC. Date Reviewed Approve 0 d 658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By anning) BP # 21888 Ph # ( 203 )528-6054 Date Reviewed a pprove /Denied Date Submitted 10/13/94 FOR BUILDI G PE 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: ro 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 " = 4W 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 oun& dation ra at Ya ho se and the treet Ao 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 considerations (Plans on file w/Town Clerk) COMMENTS: jaml/ r PERMIT 0 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 1112-jh4 644-2511 Ext . 230 ate ui nspector Application must be printed or typed 1. LOCATION OF JOB k 71 24 FEE SCHEDULE No . Street 0 - $19000 - 10.00 Floor Apt, No. Over $1,000 - 10.00 per $1 ,000 or 2 . OWNER ey-db'9;w— &A,9A-/ fraction thereof 3. ADDRESS 4. APPLICANT 5. ADDRESS 6, ESTIMATED COST $ 7 . IS THIS A CONTRACT COST V _ Y e N I 8. FEE ENCLOSED $ 9. TYPE BUILDING: ESIDENTIAL COMMERCIAL 10. TYPE OF JOB : Original Inetallati n Alteration/Addition/Repair Rn 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB C, /-I) NO. STREET APT. NO , 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER 14 . NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS 16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS Cs-t-5- 18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS c 20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22 . NO. OF POWER CIRCUITS <i'' 23 . NO. OF LIGHT CIRCUITS 0 24. SIZE OF HEAT CIRCUITS_,L/-? 25 . NO. OF MOTORS 26 . NO . OF PANELS j 27 . TOTAL WATTAGE,/f l-() 28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES 30 . A/C LOAD 31. SIZE OF POWER FEEDERS- 32. NO . OF FIXTURES 33. TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : ZL4", LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER: INSPECT OR FY DATE Z b TIM ty? LOCATION INSPECTION: CODE: RESULT(D/A) : BUILDING: ELECTRICAL: BLS 3a7 PLUMBING: HVAC: OTHER: rMIT NO. b DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT Application is hereby:TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT.PPAROV DISAPPROVED 1540 SULLIVAN AVENUE Ylyt, j lec-- 644-2511 Ext. 230 Date Building Inspector Applications must be printed or typed 1. LOCATION OF JOB: G/'Pf':ex-) 70 F E E SCHEDULE 2. OWNER: ,:f.00:r 3. ADDRESS:0 - $19000 - 10.00 Cj Over $1 ,000 - 10.00 per $1 ,000 or 4. APPLICANT: fraction thereof f-/ f a rt 5. ADDRESS: 6. EST. COST: $ O®p r 7. IS THIS A CONTRACT COST? YES NO 8. FEE ENCLOSED: $ 9. TYPE OF BUILDING: g g 9 RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: V RIGINAL ALTERATION INSTALLATION ADDITION REPAIR BD 2A 11/88 APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side) 11. LOCATION OF JOB: GENERAL PLUMBING 12. KIND OF INSTALLATION: 13. SIZE OF MAIN DRAIN 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 z _ 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? 27. SIZE OF WINDOW 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. SEWE OR SEPTIC TANK? 31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS 32. REMARKS AND FURTHER DETAILS yjf C 1 WATER HEATER 33. TYPE',C KL S'--pig.- p,G i,e 34. MANUFACTURER A 11 Z TANKS SAFETY DEVICES TEMPERATURE 35. CAPACITY p, 39. RELIEF VALVE / 4O? r v c 0TIIQ 36. TEST PRESSURE LBS. 40. MANUFACTURER 37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE 38. TYPE X10,,4 4,/, 42. MANUFACTURER Gt 77f LICENSE NO. DATE SIG&ATUtE 0 PLICANT PHONE NO. R 0FF1 -PSt O ,Y APPLICATION FOR HVAC PETIT 12/12/94 N0. TOWN OF SOUTH WINDSOR EST4. ST. BLDG. PEF441T ND.1540 SULLIVAN AVENUE . FEE 5ovTo vxnga. CT 06074 FEES: 644-2511 - Fact. 230 1000 or fraction LOCATION OF BUILDING Lot 71, 14 Porter Green thereof - $10.00 Clark Realty, Inc. , 658 Ellington Road, South Windsor, CT 648-9038 OWNER DRESS TOWN PHONE NO. R & E Heating & Cooling, Inc. , 310 Nutmeg Road South, South Windsor, CT 06074 282-7782 HVA CCONTRACTORADDRESSTOWNPHONENO. TYPE OF SYSTEM: HEATING X TYPE OF BUILDING: RESIDENTIAL_ A/C x - COMMERCIAL VENTILATION - BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIRS_ UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM GAS IN-PUT X ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY LPG TANK - CAPACITY_ EXISTING RADIATION_ ADDITIONAL RADIATION_ TOTAL RADIATION DESIGN TEMP. OUTSIDE 0 OF INSIDE 70 OF DIFFERENCE 70 OF TOTAL HEAT LOSS (BTUH) 45.625 0 HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): HpiiNTI=7_„_ire GROSS HEATING CAPACITY (INPUT-BTUH)75,000 NET RATING (OUTPUT-BTUH) f;7,_90n IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE 88 OF INSIDE 70 OF DIFFERENCE_ 18 °F TOTAL HEAT GAIN (BTUH)28,897 HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.): HPi 1 C-ASSM17KA r•nnHPncPr- HPi 1 P-PA5516 cni 1 TONNAGE A COOLING CAPACITY (BTUH) 30,000 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: Installation of heating and air r-nudi t-i nni ncr --;Z-t-em sized for 2 tons of_ cooling, Cr D1-305874 12/12/94 STATE LICENSE - NAME & TYPE #DATE SIGRATUITE 0 ICANT APPROVED DATE I - B- R CALCULATION SHEET 1503 (Modern Method)Copyright 1971 by The Hydrontcs institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL A COL.@ COL.C COL.D COL.E COL.F COL.G 1 ROOM C O H L W H L W H L W H L W H L W Design Water Tamp. 2 ROOM DIMENSIONS,FT.1" U @TU11 per P of I 3 LENGTH EXPOSED WALLS,FT. Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA It. STUN STUN @TUH STUN BTUH 5 WALL CONSTRUCTION Table 9, Line 3 x HI ROOM LIN. FT.OFTOTALSRADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED IBottom I table used for Line 5) 7 CEILING CONSTRUCTION C Table 9,L it W) B FLOOR CONSTRUCTIONI O— Table 9,L x W or Lin. F t) E 9 COLD PARTITION CONSTRUCTION F Table 9,L x H) G10C1Wall(With Openings) 0 2 Wells(With Openings) e X H a 3 Walls IWilh Openings)or Ent.Hall J 1 11 TOTAL flTU11 AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K L COL.A - -_-- COL.@ COL.H -- COL.1 COL_J — COL. K COL.L TOTAL BTUH TOTAL 1 ROOM OF BUILDING RADIATION AT SELECTED O H L W H L W H L W H I L W H L W DESIGN TEMP.* 2 ROOM DIMENSIONS,FT f' DIFFERENCE U 3 LENGTH EXPOSED WALLS. FT 4 WINDOW AND OUTSIDE DOOR AREA LL @TUH @TUN @TUH BTUH BTUH b WALL CONSTRUCTION INCREASE BATHROOM Table 9,Line 3 x HI TOTAL 20% 6 TYPE OF GLASS Bottom I table used for Line 51 7 1 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON Table 9. L x WI GROUND OR FILL AT GRADE LEVEL,USE LINEAR g FLOOR CONSTRUCTION( FEET OF EXPOSED EDGE Table 9.L x W or Lin Ft) 9 COLD PARTITION CONSTRUCTION Table 9,L x H) 10 c 1 Well(With Openings)O 2 Wells(With Open-ngsl O X 3 Wells(With Openings) or Ent Hall r J II TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE This form Is ererleDle Ir m The Hydronlcs Institute. 35 Russo Place,Berkeley Heights,N J 01922 FORM 1503 DETAILED REPORT FOR ENTIRE HOUSE. Prepared For : Prepared By : Clark Realty R P 658 Ellington Rd R & E Heating & Cooling South Windsor Ct 06074 Job Name : 195-071 EXPOSURE GLASS NORTH NE/NW EAST SOUTH SE/SW WEST HORZ . TOTAL AREA 108 ; 0 ; 24 ; 78 ; 0 ; 12 ; 0 ; 222 ; COOLING ; 1 ,450 ; 0 ; 1 ,042 ; 1 ,671 ; 0 ; 521 ; 0 ; 4 ,684 ; HEATING ; 4 ,333 ; 0 ; 963 ; 3 ,129 ; 0 ; 481 ; 0 ; 8 ,907 BELOW WALLS NORTH NE/NW EAST SOUTH SE/SW WEST GRADE TOTAL AREA 351 ; 0 ; 424 ; 434 ; 0 ; 3511 0 ; 1 ,560 COOLING ; 243 ; 0 ; 293 ; 300 ; 0 ; 243 ; 0 ; 1 ,078 ; HEATING ; 994 ; 0 ; 1 ,200 ; 1 ,229 ; 0 ; 994 ; 0 ; 4 ,416 ; w_w__w_____-_____________-__w_____----_____-_-_-___-_______-__-_ DOORS NORTH NE/NW EAST SOUTH SE/SW WEST TOTAL w--_-_____-__-________-__-___-_-__..-___-_______-_w_-_-_______________ AREA 21 : 0 ; 0 ; 0 ; 0 ; 21 :42 COOLING ; 66 ; 0 ; 0 ; 0 ; 0 ; 66 ,132 HEATING ; 271 ; 0 ; 0 ; 0 ; 0 ; 271 ;543 ; FLOOR AREA COOLING HEATING 1616 0 ; 0 CEILING AREA COOLING HEATING 1616 736 ; 1 ,352 MISCELLANEOUS COOLING LOADS People Sensible Load 2 ,700 Latent Load 6 ,365 Lights & Appl . Load 7 ,509 Latent Safety Btuh 318 Ventilation Load 2 ,530 Duct Heat Gain 1 ,298 Infiltration Load 550 Sensible Safety Btuh 996 TOTAL SENSIBLE LOAD 22 ,214 TOTAL LATENT LOAD 6 ,684 Air C ha nges/Hour 0 .50 Temp . Swing Mu l t . 1 .00 K* Total Cooling Load 28 ,897 BTUH Or 2 .41 Tons MISCELLANEOUS HEATING LOADS Infiltration Load 7 ,483 Ventilation Load 17 ,204 Duct Heat Loss 3 ,725 Safety Btuh 1 ,995 Total Heating Load 45 ,625 BTUH * SUMMARY REPORT Prepared For : Prepared By : Clark Realty R P 658 Ellington Rd R & E Heating & Cooling South Windsor Ct 06074 Job Name : 195--071 DESIGN CONDITIONS OUTDOOR INDOOR SUMMER WINTER SUMMER WINTER Dry Bulb 88 0 78 68 Wet Bulb 75 60 Daily Range 22 Daily Swing 3 .0 Latitude 41 Elevation 1100 Safety Factor C p ) 5 Latent Factor ( % ) 30 Room Heating Heating Cooling Cooling Name BTUH CFM BTUH CFM Living Room 7 ,195 158 4 ,518 203 Kitchen 9 ,898 217 5 ,023 226 Dining Room 3 ,081 68 2 ,285 103 Bedroom 1 11 ,768 258 4 ,319 194 Bedroom 2 2 ,985 65 11855 84 Bedroom 3 2 ,435 53 1 ,787 80 Bathroom 8 ,264 181 2 ,427 109 45 ,625 11000 22 ,214 1 ,000 HEATING DELTA T 41 .5 COOLING DELTA T 20 .2 NOTE : *** Calculated Airflow is based upon load requirements . Verify that airflow calculated is compatible with selected equipment requirements . *** 1p r r S [T7 Electric# 4:Z 9v APPLICATION FOR BUILDING PERMIT Plumbing# 14 PORTER GREEN HVAC # No 24050 Date:q , q-2 Sprinkler# FINAL APPROVALS Estimated Cost aco,(5,6 Building COMPLETE RED BOXED AREAS Permit Fee Z f Engineering TYPE OR PRINT ONLY Occupancy Fee $ S" Affidavit SIGN ON REVERSE SIDEAppr.for CO. 1 OR Total Fee Z I TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location e z ell, Lot No. Side of Street Zone Applicant Tel. # Address ILI Pirl 2 e- Lic. # Owner Ot Address p0je. (Z Archite-AE Address 7 J lc 1 t Sq. Ft. New Area: 1st A. 2nd FI. 3rd FI. Total New Area C Rooms 02 Lavatories Bathrooms I Garages Purpose of this permit: City Water C Well 0 Septic System ED Sewer J Use Group Le 4f' Construction Type Area Bas m nt Garag Approved by Date G Reveal 6/95 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 located the proper distance from all street lines, side yard lines and required distances from all other zones and is located in a zone in which this building and its use is allowed. Signed ---- - . I hereby apply for a Certificate of Occupancy for the work described in this application for the permit Signed DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 97-24050-B 2,000 B03 FRAMING (ROUGH) 04/22/97 JFH A E03 ROUGH 04/22/97 JFH D NOT READY B04 INSULATION 04/24/97 JFH A E03 ROUGH 04/24/97 JFH A B10 FINAL 02/19/98 DCJ A B10 FINAL 05/21/98 JFF D WITH OWNER NEED CELLAR SMOKE B10 FINAL 09/15/98 JFF D NO ACCESS LEFT DOOR TAG B10 FINAL 08/19/99 DCJ A APPROVED FOR CO & CLOSEOUT 97-14290-E 300 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT lq-;k9-9a Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bld P5 t# APPROVED 1540 SULLIVAN AVENUE Jr 644-2511 ext. 230I-K/F-7 Date ding Inspector Application must be printed or typed Location ofjob Street No. Street Lot No. FEE SCHEDULE Floor Apt. No. 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER or any fraction thereof AD15RESS OWNERS PHONE# C'> G `t S — APPLICANT Pam-U. w a , W N S ADDRESS 12 -- ESTIMATED COST$ C a IS THIS A CONTRACT COST? YES O FEE ENCLOSED $ f TYPE OF JOB:R C Original Installation Alteration/Addition/Repair Revised 11/95 - APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED ITH AVRESIDENTIALBUILDINGPERMITAPPLICATIONSNO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP Other please spccify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED ac) I1/1,IE NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS_ §REMOTE DISCONNECT REQUIRED?"ES)/NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES q NUMBER OF HEAT CIRCUITS 0 NUMBER OF A/C CIRCUITS 0 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. NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. &Y"E~02 5 7 9 DATE t -b j l C0 ERTMENT DECISION APPLICATION FOR ELECTRICAL PERMITPERMIT# lication is hereby:TOWN OF SOUTH WINDSOR jbXA-110BUILDINGDEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Ing Inspector Application must be printed or typed Location of Job: FEE SCHEDULE 7" poe-—er 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT TOL;- 5 fV Ate 4-?-,, APPLICANT ADDRESS !F %d r i"c-T 4re-P /l APPLICANT PHONE# Z 9-7 Jc OWN S OWNER 5ZL,M-e-- q OWNER ADDRESS i OWNER PHONE :<6L `r C ESTIMATED COST$ UU a IS THIS A CONTRACT COST. 0 Yes 0<0 ICJ FEE ENCLOSED$ 3 TYPE OF JOB: sOR CO 0 New Installation M-1'Iteration/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? YES NO 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 SIZE OF SERVICE SIZE OF MAIN CONDUCTORS 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 SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK l 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. y CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT CG DATE DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT Application is hereby:TOWN OF SOUTH WINDSOR t® Z??> BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 ate ing Inspector Application must be printed or typed Location of Job: FEE SCHEDULE 1 L re- P /1 0-$1,000-$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 0eA-,-t !°' `Z APPLICANT ADDRESS r/ f-if n APPLICANT PHONE# 2-9 7 W N S OWNER O q OWNER ADDRESS C 1 0 OWNER PHONE 6-6-- ESTIMATED COST$ Zoo IS THIS A CONTRACT COST? 0 Yes Mo'N* o FEE ENCLOSED$ , TYPE OF JOB: 0 New Installation M/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 EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY STORAGE ADDRESS GARAGE MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO.OF TOILETS STYLE NO.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 MANUFACTURER DESCRIPTION OF WORK V1 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. Vchyl--c 0 w At/,"- CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT 29ta DATE o