HomeMy WebLinkAbout15 Rugby LaneBMAL,IINSPECl APPLICATION FOR BUILDING PERMIT
Plumbing DateHVAC
Sprinkler
15 RUGBY LANE
Electric Estimated Cost $ 2(00
Zoning `' ).a r 19 22153 Permit Fee $
Affidavit I NO.Occupancy Fee $ 3
Eng. Dept. 6 COMPLETE RED BOXED AREAS.
Fire Dept.TYPE OR PRINT ONLY Total Fee $ _ 3
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO:.. 5 J Additional Cost) $ 14
1
95
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location 1149-4-Ae Lot No. Side of Street Zone
Applicant r Tel. #
Address 7 T2C.•c' 9. 4%r ys• i Zip 2,Lic.#
STREET CITY STATE
Owner /M .s Address 7!F- S t
Architect f.'r' - s- Address i"'.--. ._S' u= ,•.'
Size New Area: Ft. Front Overall Ft.Deep Overall Total Area Garages
l Lavatories
Size of Lot Dist. from Street Line S/ Bathrooms Rooms 1 st_!' _2ndf_3rd
Purpose of this Permit
City Water Well 0 Septic 0 Sewer Wp
Use Group Construction Type
3?3ApprovedbyDate Mc«cNj BD1A 11/88
Z
I her by 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 permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
r -1
Plumbing Permit#_ Inspections:
HVAC Permit# Inspections:
Electrical Permit# J7 Inspections:
Sprinkler Permit# Inspections:
ocation of Job: AFFIDAVIT Additional Fee S13 0. 0 0
State of Connecticut
ss.South Windsor
County of Hartford
Owner
I of .G '' Agent for the building erected
Contractor
under Permit No. 2 215 3 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 authorized under said permit did not
exceed the most current accepted BOCA value of S 1 n R t S q r; _ n n_
Signed
Subcribed and sworn to before me this day of A.D. 19 l
Estimated Cost S g F f 1 0 0_ 0 0 J
Difference: S 12 , 495 . 00 11?
otaT 1}ic -
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
95-22153-B 85,000
B01 FOOTING 04/03/95 JFF A
B02 FOUNDATION 04/12/95 JFH A
E01 SERVICE 05/02/95 JFH A RELEASED
P02 UNDERGROUND 05/17/95 JFH A WATER TEST
P03 ROUGH 05/17/95 JFH A WATER TEST
H03 ROUGH 05/17/95 JFH A AIR TEST
B04 INSULATION 05/24/95 JFF A
PO4 GAS TEST 09/13/94 JFH A
PO4 GAS TEST 09/13/95 JFH A
B10 FINAL 04/26/96 JFF D ANCHOR BOLT NUTS THROUGHOUT
B10 FINAL 05/06/96 JRC A ANCHOR BOLT NUTS INSTALLED PER CONTRACTOR
95-9568-P 3,800
95-9189-H 3,800
95-13424-E 3,500
Total Est Value 96,100
Dwelling 1,926 78,811.92
Basement 952 11,804.80
Garage 400 4,960.00
Smoke Det 7 525.00
BOCA Value 108,594.94
Difference 12,494.94
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
15 RUGBY LANE LOT J 1 Reviewed By. Engineerin
WILMAR CONSTRUCTION Date Review Z prov
878 STRONG ROAD,SOUTH WINDSOR„CT Reviewed By Planning)
BP_ —22153_ Ph # (203)528-3564 Date Revi 4 y Jl Approv Denied
Dat Submitted_04/25/96 FOR o 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:
Approved Denied N/A
1. Approved building permit plan
J 2. Finish grading per approved
building permit plan
3. Site work; i.e. trees, shrubs, PC
dumpsters, required parking
UU
4. Utility location;
a. sanitary sewer/septic system
J b. foundation drain
c. electrical & telephone
d. water
e. other
5. Sewer connection charge paid
6. Appropriate certification
7. Bonding
8. Planning & Zoning/
Inland Wetlands Considerations
a
Sewer Permit No. 626565
Pavement Excavation No.
COMMENTS:
1
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
15 RUGBY LANE LOT_# 1 Reviewed ineering)
WILMAR CONSTRUCTION Date Revie e!prove d
878 STRONG ROAD,SOUTH WINDSOR„CT Reviewed By
BP # 22153 Ph # ( 203 )528-3564 Date Reviewed pprov Denied
Date Submitted 03/21/95 FOR BUILDING 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:
App owed Denied N/A
1 . Name, address & phone number of owner/applicant
i
2 . Name, address & phone number of plan preparer
3 . Zoning Information - i.e. zone, open space,
floodway, etc.
1
4 . Plot Plan at 1" = qr0''' 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 Elev tions of gravity drainage systems, sanitary
foundation rai at the house and the street
wad"
g. Tentative utility a gas, water,
electric, sjep:L y-at-em, 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:
1 2
RECEivEO
iC MAR 2 2 1995
SOUTH Wli%2=1,
iNG.KEPT. f
PERMIT
11
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
ate ing Inspector Application must be printed or typed
1 . LOCATION OF JOB
FEE $CHEDULE No . Street
0 - $19000 - 10.00 Floor Apt . No.
Over $1 ,000 - 10.00
2 . OWNER
per $1 ,000 or
fraction thereof 33. ADDRESS C>712
4. APPLICANT
5 , AD D R E S S; s' rg,51' r''. r
6 . ESTIMATED COST $
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $ C1
9 . TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
A7-original Installation
Alteration/Addition/Repair
RD 3A 11iee
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION
13 . SIZE OF MAIN FEEDER
14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
r
16 . NO. OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS
20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS
22 . NO,, OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS
26 . NO. OF PANELS 27 . TOTAL WATTAGE
28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES S
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 :
O o Ao,-vtlo c I/
LICENSE NO.SIGNATURE OF APPLICANTS DATE
PHONE NUMBER:
r j
INSPECTORQ F) DATES TIME
P
LOCATION
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL:
U'
l yz.14 E
PLUMBING:
r-
HVAC:
OTHER:
PERMIT NO.
q SLY
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Application is hereby :TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.APPROVE DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
Date Building Inspector Applications must be printed or typed
1. LOCATION OF JOB:
IS T
F E E SCHEDULE 2. OWNER: LV
C
0 - $19000 - 10.00
3. ADDRESS: I 2 L51?z
Over $1 ,000 - 10.00 CcJ o S 64 C
per $1 ,000 or 4. APPLICANT: C
fraction thereof
5. ADDRESS:
xy
6. EST. COST: $ d
7. IS THIS A CONTRACT COST? 1YES N
Q-u
8. FEE ENCLOSED: $
9. TYPE OF BUILDING:
C mDENTIAL COMMERCIAL
10. TYPE OF JOB:
GINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB: u c6Y L#
r
GENERAL PLUMBING
12. KIND OF INSTALLATION: 13. SIZE OF MAIN DRAIN
14. N0. OF TOILETS STYLE 1 N0. 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 I KIND L/J ----J//
C t
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?
27. SIZE OF WINDOW '9 y j r2
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 6z/cl
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN Z 31A. SIZES OF WATER PIPING & RISERS
32. REMARKS AND FURTHER DETAILS / Tj
wx 2 d
WATER HEATER
33. TYPE CAS 34. MANUFACTURER_
TANKS SAFETY DEVICES
TEMPERATURE
35. CAPACITY 39. RELIEF VALVE Q
36. TEST PRESSURE O C>LBS. 40. MANUFACTURER 7-S
37. WORKING PRESSURE / "' LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
LICENSE NO. DATE es ATURE OF APPL CANT
PHONE NO. eZ-
FOg OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE:
NO. TOWN OF SOUTH WINDSOR EST.COST:
BLDG. PERMIT NO.1540 SULLIVAN AVENUE FEE C
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 0 - $12000 - $10.00
r
1000 or fraction
LOCATION OF BUILDING J y y jj '
thereof - $10.00
w L c'0 41 ti o S. G ier/D sd cr s3 e
OWNER ADDRESS TOWN PHONE NO.
HVAC CONTRACTOR ADDRESS TOWN ®40 4/ PHONE NO.
TYPE OF SYSTEM: HEATING D ,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 6(600ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE e2 OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS (BTUH)z Q HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): '1l F6 SZIfXllr
Y 65_
0''/
9S 6/L-a0 idSc/ 6619S "40
710-,
GROSS HEATING CAPACITY (INPUT-BTUH) drdd NET RATING (OUTPUT-BTUH) cva
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:10 Ay/C
s 5 d s
s -30,!(56 r-
STATE LICENSE - NAME & TYPE #DATE SIGN RE OF APPLI T
J2.C- sip
APPROVED DATE
BD 4A 11/88
I B a R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronics Institute
s
OWNER (,Jj Lj / Cow` /-i+ ADDRESS OKCl/6,6 DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A
j
COL.C COL.D COL.E COL.F COL.G
1 ROOM 1 O r
H L W H L W H L W H L W H L W Design Water Temp. /——
2 ROOM DIMENSIONS, FT.
O
BTUH pen F of of3LENGTHEXPOSEDWALLS, FT. Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA 2 dBTUHBTUHBTUHBTUHBTUH
5 WALL CONSTRUCTION
0 0O OTable9, Line 3 x H) U U ROOM LIN. FT.OF
TOTALS RADIATION
6 TYPE OF GLASS 0
1, O
FROM LINE 12 SELECTED
Bottom of table used for Line 5) J l/ 0 I/
7 CEILING CONSTRUCTION C V v
Table 9, L x W)
g FLOOR CONSTRUCTIONt O
Table 9, L x W or Lin Ft a F/ V 0 300 d 0 E 0
9 COLD PARTITION CONSTRUCTION fr
Table 9, L x H)G
10 c 1 Wall(With Openings) t Q! r S tJ D t',J 0 0Ho
2 Walls(With Openings) D J s0
3 Wells(With Openings) or Ent. Hall
11 TOTAL BTUH AT 70F TEMP DIFFERENCE' cJ d Q Ga
1P7
J vIro
2 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE Q U, QO 400
COL.A - -_ - _— COL.B COL.H COL.1 COL.J COL.K COL.L TOTAL BTUH TOTAL
OF BUILDING RADIATION1ROOM
a: 1C AT SELECTED
O H L W H L W H L W H L W H L W DESIGN TEMP.°
2 ROOM DIMENSIONS. FT F
U I IX t'j DIFFERENCE
3 LENGTH EXPOSED WALLS, FT Q 3 S "114- 2
41 WINDOW AND OUTSIDE DOOR AREA U.
BTUH BTUH BTUH BTUH BTUH
5 WALL(
Table 9OLIne 3 x HIION d )_NCR
TOTAL 20%
OOM
6 TYPE OF GLASS
Bottom f table used for Line 5) T-6CK&_14 V/v — ' — V a V O
tFOR CONCRETE FLOOR ON7CEILINGCONSTRUCTIONGROUND
r a 1 OR FILL AT
Table 9, L x WI v O d S D GRADE LEVEL.USE LINEAR
B FLOOR CONSTRUCTION( FEET OF EXPOSED EDGE
Table 9, L x W or Lin Ft 1 rr
9 COLD PARTITION CONSTRUCTION
Table 9, L x H)
10 -c 1 Wall(With Openings)C !t7/
CZ 2 Walls(With Openings( X
3 Wells(With Openings) or Ent. Hall
11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 00 C/ G- GU
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE O cl)O 3900
FORM 1503ThisformIsavailablefromTheHydronicsInstitute.36 Russo Place,Berkeley Heights,N J 07922
R CALCULATION SHEET 1603 (Modern Method)
h// ryL,/, Q y
Copyrl t iTl7T ty Tq Nydronics lneiituU
Owr E R L--
L-
f f• ADDRESS - U"' DESION TEMPERATURE DIFFERENCE_F_ DATE
COL. A COL.9 COL.C COL.D COI.E COL.F
I COL.G
t° ROOM
O H L I W H L W H L W H L W H L W 005120 Water Ternp.
ROOM DIMENSIONS. Ft
BTUH 1 M foot of3LENGTHEXPOSEDWALLS,FT 4Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA fi
BTUH BTUH BTUH BTUH BTUH
5 vVALL CONSTRUCTION
s Table 9, Line 3 x N) 1617 ROOM LIN. FT.OF
6 :YPE OF GLASS TOTALS RADIATION
Bottom of table used! r L
FROM LINE 12 SELECTED
one 5i
7 i-EILING CONSTRUCTION
IT able 9 L x WI V Ido C 00
6 f LOOR CONSTRUCTINtO p
Tabs•9, L x W or Lin Ft) E
9 ---OLD PARTITION CONSTRUCTION
Table 9, L x H) F
10 c 1 wall(W.tn Op•ningaJ a
h i 2 Welts(V -n Op•mngs) DK H
J
3 Walls IW.th Openings)or Ent Hall
11 `TOTAL UTUH AT 70F TEMF GiFFEREEN E, J
12 'YOTAL 11TUH AT DESIGN TEMP DIFFERENCE K
L
COL A — COL B COL.H COL. 1 COL J COL K COL.L TOTALBTUH TOTAL1a±UOM OF BUILDING RADIATION
AT SELECTEDOHLWHLWHLWHLWHLWDESIGNTEMP.-
2 ROOM DIMENSIONS, FT I- DIFFERENCE
U
3 LENGTH EXPOSED WALLS FT Q
4 WtNDOW AND OUTSIDE ODOR AREA
BTUH BTUH BTUH BTUH BTUH5WALLCONSTRUCTION
1 able 9, Line 3 x H) INCREASE BATHROOM
TOTAL 20%
6 TYPE OF GLASS ---
Bott m of table used for Lints 51
7 CF(LING CONSTRUCTION tFOR CONCRETE FLOOR ON
I able 9, L x W) GROUND OR FILL AT
j—B GRADE LEVEL,USE LINEARFLOORCONSTRUCTIONtFEETOFEXPOSEDEDGEIIable9.L x W or Lin Ft)
t 9 COLD PARTITION CONSTRUCTION
i 1 able 9, L x H)
10 c 1 Wall(With Openings) 0
c A Z Walla(With Op•n,npa)X
3 Wells IWIth Open-n9a) or Ent Hail f.
11 TOTAL BTUH AT 10F TEMP DIFFERENCE'124 10TAL BTUH AT DESIGN TEMP DIFFERENCE
This fur-n is available from The Hydronics Inat,tute, 35 Russo Place,Borx•ley H-eights,N J 07922 FORM 1503
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