HomeMy WebLinkAbout15 Heritage DriveElectric# 15 HERITAGE
ICATION FOR BUILDING PERMIT
Plumbing# /00 q 3
HVAC # 3? 24578
Date: 4
Sprinkl r#
No.
FINAL APPROVALS Estimated Cost $
Building 1013114 T 7RC COMPLETE RED BOXED AREAS Permit Fee 4 yn_
Engineering o 3 Iq1 TYPE OR PRINT ONLY Occupancy Fee $
Affidavit 1 j 0 5 1? SIGN ON REVERSE SIDE
Appr.for CO. O 31 Total Fee
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $ o
Th undersigned hereby applies to do work according to the following specifications:
Job Location e- „1 _ /s It?0.0 -b , Lot No._Side of Street Zone ga_
Applicant Tel. &,O) '4
Address Zip Lic.#
Owner S;7 Mfg _ Address
Architect Address
Sq. Ft.N w Area: 1st FI.V0 2nd FI. A 9-O 3rd Fl. -$—Total New Area ezC
Rooms W Lavatories / Bathrooms 09, Garages
Purpose of this permit: &41J jJhwe 0I7 glcc k a)a 7 2 L
City Water,' Well Septic System Sewer
Us Group ¢Construction Type 'C Are Z(G O / Basement i0Y0 Garage S76
Approved by Date z
Revsed&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 budding 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 zo which this budding 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 L --
INSPECTION COMMENTS
Location of Job: AFFIDAVIT Additional Fee S2 7 6 . 0 0
State of Connecticut
ss. South Windsor'
County of Hartford
Ow
Z Agent for the building erected
ontractdr
under Permit No. 2 4 5 7 8 issued by the Building Department of the Town of South Windsor being
duly sworn,make oath and say that the actual cost of the completed work auth d under sa;d permit did not
exceed the most current accepted BOCA value of S12 3, 6 7 5 . 0 0 .
Signed 4,1
Subcribed and sworn to before me this ` dayof A.D. 19
Estimated Cost S 101 , 600 . 00
Difference: $ 2 2 , 0 7 5 . 0 0
Notary Pu iic
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
97-24578-B 95,000
BO1 FOOTING O8/20/97 JFF A
B02 FOUNDATION 08/25/97 JFH A
E01 SERVICE 09/16/97 JFH D NOT READY/NEEDS EP PROCESSING ALSO
B03 FRAMING (ROUGH) 09/22/97 JFF A
E03 ROUGH 09/22/97 JFF A
P03 ROUGH 09/29/97 JFF A
E01 SERVICE 10/17/97 JRC D NO PENETROX
E01 SERVICE 10/22/97 JFF A REINSPECTION PM RELEASED OK
PO4 GAS TEST 10/31/97 JRC A
B10 FINAL 10/31/97 JRC A APPROVED FOR CO & CLOSEOUT
97-10043-P 1,900
97-9937-H 1,900
97-14574-E 2,800
Total Est Value 101,600
Dwelling 2,160 88,387.20
Basement 1,080 13,392.00
Garage 576 7,142.40
Smoke Det 7 525.00
BOCA Value 123,674.66
Difference 22,074.66 1
v'—
i(o I
TOWN OF SOUTH WINDSOR
PLANNING & ZONING COMMISSION
Minut s 9- Octob r 7 1997
If this apple ation is approved, there are no other Plan ng Dept. approval
modifications quested.
Lipe provided for the Commission the following comment,% from the Town Engineer
dated September 1 1997:
We have reviewed th drawings dated 8-12-97 for t e proposed Greenwood Drive
Resubdivision and have he following comments:
1. Sheet 2 of 4: The road i the area of the propose resubdivision was designed for a
future roadway to the ea t. With this propo ed resubdivision, this will not be
possible. The roadway (G nwood Drive) s ould be modified to eliminate the
indented curb line and the ca h basins re cated such that a smooth roadway
curve is the result.
2. Sheet 3 of 4: Street line on Foster St e should be established with monuments
numbered and coordinates shown) and deed.
3. Sheet 4 of 4: Details for Permanen Patc and cleanouts should be per Town
Standards
4. Plans should have the name "Gree wood Drive R ubdivision" as part of the title to
avoid confusion."
Levack requested input from the p blic.
Bob Santucci, of 122 Greenw d Drive, was concerned a ut future subdivisions
involving this property and the urvature of the road with a con ming sidewalk.
Lipe replied that under the rrent zoning there could be no more bdivision of this
property.
Discussion ensued amo g the Commissioners with the following co ments and
concerns:
lot #1 will have a to back yard that fronts on Foster Street
access to properties owned by Minguy and Muller
Replies to the above c mments and concerns:
access to properties owned by Minguy and Muller will be as existing
Levack closed the public hearing at 8:55 p.m.
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
15 HERTIAGE DRIVE LOT_# 3 Reviewed By S. A Engineering)
RSK-KELLCO, INC. Date ReviewedAst pproyeCVDenied
1744 ELLINGTON ROAD,SOUTH WINDSOR,CT_ Reviewed By Planning)
BP # 24578 Ph_#_(203)644-8761 Date Review /-2 pproved/ enied
Date Submitted 10/30/97 FOR
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, Grp
dumpsters, required parking NvvuE4-tic
4. Utility location;
a. sanitary sewer/septic system
b. foundation drain
Jc. electrical & telephone
d. water
e. other (C,A.s7
5. Sewer connection charge paid
6. Appropriate certification
k 7. Bonding
8. Planning & Zoning/
Inland Wetlands Considerations
Sewer Permit No.
Pavement Excavation No.
COMMENTS:
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
15 HERTIAGE DRIVE LOT_# 3 Reviewed By En ineering)
RSK-KELLCO, INC. Date Reviewed r r /
1744 ELLINGTON ROAD,SOUTH WINDSOR,CT_ Reviewed By nning)
BP_# 24578 Ph_#_(203) 644-8761 Date Review pprov /Denied
Date Submitted 08 15///97 FOR B ING PE
In accordance with th Zonin 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:
Approved 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" = 40' 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
S
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.)
1 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:
J
s,DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 1LI F-7'4
Application is hereby: TOWN of SOUTH WINDSOR .
BUILDING DEPARTMENT Bld Permit
APPROVED 1540 SULLIVAN AVENUE
c, /& F7 644-2511 ext.230
Date g Inspector
Application must be printed or typed
Location ofjob
Street No. Str Lot No.
FEE SCHEDULE
Floor Apt.No.rso 1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER R S K
any fraction thereof
ADDRESS (N q 6/i
OWNERS PHONE#
APPLICANT Ei?C 7r-/
ow N sF ADDRESS a r-/(:q
ESTIMATED COST$ 2
p too
IS THIS A CONTRACT COST?
NO
CJ FEE ENCLOSED $
1
OR-CO TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from rcvcrse side)
I'YPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCY J k y S-c,
INSTITUTIONAL
FACTORY
STORAGE ENGINEER'S NAME PHONE
GARAGE
MIXED USE ADDRESS
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD N C-
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS_ REMOTE DISCONNECT REQUIRED?YES/NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES
NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS
SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
w l r Lem) U 5 U C} l r .
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 NATURE OF APPLICANT
PHONE NO 2L DATE 5
INSPECTOR fDATE a TIMEI
LOCATION
IJ
h INSPECTION: CODE: RESULT(D/A) :
BUILDING: r
q
k
ELECTRICAL•
PLUMBING:
OTHER:
b
PERM[lT:9
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Application is hereby TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit 4
PROVED 1540 SULLIVAN AVENUE
644-2511 ext. 230
Date Building Inspector Application must be printed or typed
Location of job
Street No. street Lot NO.
F FEE SCHEDULE:
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000 1 1
12.00 per$1,000 OWNER
or any fraction thereof
ADDRESS ry' JEIL-e-A f
OWNERS PHONE#
APPLICANT
d
OWN s ADDRESS
t 4
0CIO) ESTMATED COST$ e7
IS THIS A CONTRACT COST? 4--
YES NO
FEE ENCLOSED C2
TYPE OF JOB:
OR-C L-&'&W Installation
Alteration/Addition Repair
Revised 10/96
APPLICATION FOR PLUMBING PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION YES / NO
RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCYASSEMBLY
MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCY
INSTITUTION
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
7
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO. OF TOILETS _STYLE NO. OF URINALS STYLE
NO. OF BATHTUBS/NO. OF SHOWERS /" NO. OF LAVATORIES
NO. OF CONDUCTORS SIZE NO. OF STACKS SIZE
AREA OF ROOF NO. OF CATCH BASINS NO. OF FLOOR DRAINS
NO. OF OTHER FIXTURES/KIND (,(/.%V-
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-5
WATER HEATER
TYPE MANUFACTURE
TANKS SAFETY DEVICES
TEMPERATURE
CAPACITY RELIEF VALVE
TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE
TYPE MANUFACTURER
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BUILDING CODES IN THE
PERFORMANCE OF SUCH W
NAME STATE LICENSE NO. TYPE SI ATURE OF APPLICANT
PHONE NO. DATE
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PE ;5,
Application is hcrcb,%-: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE 7
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
Location ofjob
3Z<L o-
Street No. SUedV Lot No.
FEE SCHEDULE
Floor Apt. No.
0 - $1,000 - $12.00
Over S1,000
S 12.00 per$1,000 OWNER
or any fraction thereof
ADDRESS
OWNERS PHONE#
APPLICANT Z-
000,1111,IlilllllllllillillillilI
N S ADDRESSOW
1 Fq
f r r ft..{
GOD ESTIMATED COST $
IS THIS A CONTRACT COST? y
YES NO
C!FEE ENCLOSED $
TYPE OF JOB:OR CO Original Installation
Alteration/Addition/Repair
Revised 11/95
M
B • R foALCULATION SHEU 1503 (Modern Method)
L Copyright 1971 by The MYOCT&CS institute
NER ADORE OESIGN TEMPERATURE OIFFEftENCE 4&F. OACL.S COL.C COL.O COL.R COL.F COL,G
ROOM
O H L W H L W H L W H L Ir—w H L W O•+tt,n Water Temp.1 900M DIMENSIONS•FT,
U tJ d /LENGTH EXPOSED WAILS,FT.STUH par Foot of
A WINDOW AND OUTSIDE DOOR AREA L Radiation S•I•ctad 2 '
STUH STUH STUN STUH STUHSWALLCONSTRUCTION
Table 9.Line 3 n H) v O o o- O 3 a ROOM LIN.FT.OFTYPEOfGLASS
Iv
TOTALS RADIATION19ottomoftableusedforLineSIGFROMLINE12SELECTED
Y CEILING CONSTRUCTION
i GO o o d 01-"
TeDIe 9, L WI CO //>1 1
r,3 FLOOR CONSTRUCTIONr DLV
lTebre 9. L it War Lin.Ft)
2 COLD PARTITION CONSTRUCTION
ITeble 9•L HI F 0
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2 Wells Iwicn op•n,nps) a x S-• 00
H 7
3 wells IW,M OOenin J
1 ZCps)or Ent.Hall
t TOTAL STUH AT 70F TEMP. DIFFERENCE• Ica
2 TOTAL STUH AT DESIGN TEMP.DIFFERENCE a JK1K/
L
L O
COLA COLS COL.H COL.(COL.J COL.K COL.L1ROOM TOTAL STUH TOTALIx3- G F BUILDING RADIATION
O H L W H L W M
J AT SELECTEDLWHLWHLwDESIGNTEMP.*2 ROOM DIMENSIONS.FT F-
U DIFFERENCE3LENGTHEXPOSEDWALLS. FT.
4 V41NOOW AND OUTSIDE DOOR AREA
BTUH STUH STUH _ BTUH STUHSWALLCONSTAUCTION
Table 9,Line 3 a H) 0 O j i
S TYPE OF GLASS o O C?
INcaEASE BATHa00"s TOTAL 2pX
Gott m of table ua.d for Line S)
iJ O O•7 CEILING CONSTRUCTION s vo(
Ts tFOR COCRETE FLOOR ONi/ QO Q
y (J oFLOOR
9,L a
R CONSTRUCTIONt o O OD OO GROUND OR FILL AT
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iCOLDPARTITIONCONSTRUCTION
Table 9.L a H)
3 .c I Well(With Open{r+pslo 1—
j; 2 Wails 1W,Ih Ope%,Met) X
3 Walla(With Op•n,nQs)or Ent Hall Is J
I TOTAL STUH AT 70F TEMP.DIFFERENCE' Ot a O m 11TOTALSTUHATDESIGNTEMP. DIFFERENCE m
3Z 7-0
rm is e.a.l•b$$from Trio Hydronlcs Institute,36 Russo Place.S•rk•f•y Heights.N.J.07922 FORM 1503 1 i
APPLICATION FOR BUILDING PERMITElectric# 15 HERITAGE DRIVEPlumbing# 1
HVAC # 24948
Date: O
Sprinkler# No.
FINAL PR Estimated Cost $ 4
Building 3 lip COMPLETE RED BOXED AREAS Permit Fee
Engines ing TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
Th undersigned hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Streeter Zone
Applicant Tel. #
Address Zip Lic. # .7/ ',
Own r L-.Pjj// S Address
Architect Address
Sq. Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit:
City Water ` Well Septic System Sewer
Us Group Construction Type Area Bas m nt Garage
Approved by Date
Revised 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 treet lugs she yard lines and required
distances from all other zones and is located in a zone in which this buitdti and II d
Signed
I hereby apply for a Certificate of Occupancy f r the w
7escribed
in thi for the permit
Signed4WM-- WRITE BELOW THIS LINE --
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
98-24948-B 3,000
BO1 FOOTING 02/26/98 DCJ A TWO ADDITIONAL PIERS TO BE USED FOR LANDING
AT STAIRS
B10 FINAL 09/01/98 JFF A APPROVED FOR CLOSEOUT
ctric o APPLICATION FOR BUILDING PERMIT
Plumbing# 15 Heritage Drive
HVAC # 26789
Dat 3 %0 Qp
Sprinkler# No.
FINAL APPR! N Estimated Cost $381)090
Building COMPLETE RED BOXED AREAS Permit Fee az
Engineering TYPE OR PRINT ONLY Occupancy Fee $S
Affidavit SIGN ON REVERSE SIDE
Appr.for CO.CC Total Fee 15
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location Ig pen:W,Lot No. Side of Street__Zone
Applicant Tel# to q L[ R&$
Address ear i Zip Lic.#
Own r e_ Address
Architect Address
Sq. Ft.N w Area: 1st FI. 2nd FI. 3rd Fl Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: 1 D
City Water Well Septic System Sewer
Ins. H.O. S. Cert. Area Basement Garage
Approved by Dat 3 to oc Use Group Construction Type ZL'
Revised 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 located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its use is allowed.
Signed--e<<"k I —
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
1 1
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
26789-B 3,800
E10 FINAL 06/08/00 DCJ A
B10 FINAL 06/15/00 DCJ A APPROVED FOR CO AND CLOSEOUT
Location Building Permit# e42 6 7 8
SWIMMING POOL REQUIREMENTS.
This list is not all inclusive; please refer to pool packet.
A 48"barrier will be provided to protect the pool access. Including a temporary fence
for inground pools prior to filling.
Access gates will be self closing and self latching(if less than 54"high they shall be on
the pool side and be protected within 18" of release mechanism).
Doors providing direct access to the pool shall either have an alarm, a self closing self
latching device 54"above the floor, or a safety cover over the pool.
No receptacles within 10' of pool. (locking type receptacle for pool equipment must be
at least 5' from pool and GFCI protected).
All metal parts of pool structure, fixed metal parts within 5' of pool,pump motors etc.,
shall be bonded with a minimum#8 solid copper wire.
Convenience GFCI receptacle shall be provided between 10' and 20' from pool.
Trench depth for 20 amp. circuit to pool equipment shall be 12"minimum.
A surface pool alarm shall be installed pursuant to Public Act 99-140.
REQUIRED SWIMMING POOL INSPE TIONS:
The following is a list of inspections that need to be performed prior to the continuation of work.
Requests for inspections can be made by calling the Building Department at 644-2511 ext. 230.
1. TRENCH AND BONDING-Electrical trench depth verification and bonding of pool and
metal appurtenances including metal reinforcing for gunite pools.
2. FINAL ELECTRICAL-Location of equipment and GFCI protection. Convenience outlet
provided.
3. FINAL-Swimming pool access protection must be provided before pool can be used.
Each swimming pool installation requires a Building and an Electrical permit. Additional
permits and inspections are required for pool decks.
I have read and understand the requirements listed above.
Signed 1-0 Date 3—fQ -d
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT#
Application is hereby:TOWN OF SOUTH WINDSOR dBUILDINGDEPARTMENT
APPRO 1540 SULLIVAN AVENUE Bldg.Permit#
16644-2511 ext. 230
ate Building Inspector
Application must be printed or typed
Location of Job:FFEESCHEDULE r`, Q Q
17000=$13.00 Street No. 7 Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.11
APPLICANT
APPLICANT ADDRESS r
e 10h
APPLICANT PHONE# a o
OWN SF OWNER 1p4 r ,, C—w + S
0000, q OWNER ADDRESS r i 4 Q 1 .
OWNER PHONE
C
ESTIMATED COST$
U
IS THIS A CONTRACT COST? O(Yes 0 No
FEE ENCLOSED$
TYPE OF JOB:
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? 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 'Po O Q t2— d- Cxj r, -
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
O 1\Q IA
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.
0 3s" 9O E i Cow Al
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE l D 0
Eleark# APPLICATION FOR BUILDING PERMIT
Plumbing# 15 Heritage Drive
Dte:HVAC # a _ — ' ' 0
27025
Sprinkler#
FIM APPROVALS Estimated Cost $ JOY.
Building 100 COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. OCA toOCS Total Fee y
TO BUILDM DEPARTM I T,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location 1 644Lot No. Side of Street Zone
e
Applicant T.I.#_ x,175W
Addr ss MA&,ejlel Zip 6 Lic.#`'17
Oven r I D,I.tll S Address
Architect Address
Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
Rooms Lava ories throoms Garages
Purpose of this permit:19 07 0 17)(1
City Water Well Septic System Sewer
Ins. H.O. Cert. Area I Basement Garage
Approved by - Date ZZ Oa Use Group 0 Construction Type
R*v6W 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 nobly 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 all street lines,side yard lines,and required
distances from all other zones and is located in which t iq and its is all
L
Signed
I hereby apply for a Certifi a of y 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
27025-B 2,448
B01 FOOTING 05/26/00 JFF A WITH OWNER 6 PIERS
B10 FINAL 06/15/00 DCJ A APPROVED FOR CO AND CLOSEOUT
r