HomeMy WebLinkAbout16 Perrin LaneFINAL INSPECTIO
sS APPLICATION FOR BUILDING PERMITBuilding
Plumbin G z s1
PERRIN LANEHVACLF DateEBRUARY 19 , 1991
16
Sprinkler
Electric s3 — Estimated Cost $ 91 9000 . 00
Zoning Permit Fee$ 910 . 00
Affidavit NO. 19 019 Occupancy Fee $ 3 . 00
Eng. Dept. COMPLETE RED BOXED AREAS.Total Fee $ 913 . 00FireDept. TYPE OR PRINT ONLY
Health Dept. SIGN ON REVERSE SIDE. aq/Approved for CO:T
Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location 1 6 SWINDSOR D}okr lR 2 Side of Street 1. Zone A-3 0
Applicant DART HILL REALTY INC Tel. # 282-0628
Address 658 ELLINGTON RD SO . WINDSOR CT Zip 06074 Lic.# 500356
STREET CITY STATE
Owner SAME Address SAME
Architect STEVE MICHAUD Address SAME
Size New Area: Ft. Front Overalls-Ft. Deep Overall 3 n _ 1 n Total Area 2 1 0 7 Garages 2
Lavatories
No. of Families 1 No. of Stories2 Construction 2 X 4 Bathlooms Rooms 1st 4 2nd 4 3rd
Size of Lot 28, 125 Dist. from Street Line 115511 Dist. from Side Street Line It 2811
Purpose of this Permit CONSTRUCTION OF A SINGLE FAMILY DWELLING
City Water In Well El Septic 0 Sewer 61
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 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 appl cation for permit.
Signed- ".AddAz x
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing 2-17"' 'Framing
mot;A lS-S-ccl cLL'
Foundation tvIt,Fireplace/Chimney Insulation 'ZZ `t I
Plumbing Permit# Inspections\3 --(1I qc )
HVAC Permit# f G Inspections:
Electrical Permit# Inspection s: 3-
Sprinkler Permit# Inspections:
Location of job AFFIDAVIT Additional Fee ..$.10 0..0 0........
State of Connecticut
County of Hartford
ss.
I...... !r!!v 'pp................ of Dart Hi11•.R1. A
er
for building erected under
ctor
Permit No. .19.01.9................... issued by the Dept of Building 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 6CCA
value of , $10 9.918. . . . . . . . . . . . . . : . .
Signed .
Subscribed and sworn to before me this ......day of .....JIk n e ••••••••.••....... A.D.i9
Estimate Cost:S 10 0 8 0 0
Difference: S Notary Public
1) Area of Dwelling IJO-7 sq. ft. x 37 .18 77
2) Area of Basement 1 Z2_ sq. ft. x 9 .95 131- p SJ'^
3) Area of Garage (/6 sq.ft. x 11 .75 7 Z ` 0 0
4) Smoke Detector @ $ 7 5 .0 0 4 1 0y
5) Sub Total
6) CT Cost Modifier x 1 .1$
7) Est. Cost (Includes Building Permit,
Electrical, Plumbing & HVAC) lU o GO Svc,
8) Difference between Line 6 & Line 7 f T C70
BUILDING INSPECTION DEPARTMENT
SOUTH WINDSOR, CONNECTICUT
FEE PAID: $3.00
CERTIFICATE OF OCCUPANCY
ZONE: A--3 0 DATED Time 30 19 92
This is to certify that 16 Perrin Lane
Frrected under permit No.1 gn 14 conforms substantially to the requirements of the building ordinances and the
zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below.
Approved for Occupancy— Single Family Residence Lot
i
Us Group: R4
Constr. Type: 5 g
Building Official
Notice:if this certificate is lost or destroyed, a duplicate shou d be obtained immediately from the Building Department.
Any change or extension of the use herein approved mquims a new certificate of occupancy.
I
CERTIFICATE OF OCCUpANCY CHECK LIST
ificate of Occupancy 9
Applicant Dart Hill Realt Inc.certificate lBldg. Permit No.
Address ing on R . , S.W.
in ane Date Reviewed
Lot No. Reviewed By
Project DART HILL ESTATES Approved/
Date Submitted 6-29-93
RegulationsI no Certif icate-of-Occupancy shall be
P_s required in the Zoning
issued untilgrading
Town
radin plans have been complied with and approved by the To
Engineer. The minimum requirements shall include:
Approved Denied N/A
1 . Approved building permit plan.
2 . F'1n15n grading per approved
building permit plan.
3 . c -e work; i .e . trees , shrubs ,
d•una ps ters, required parking,
4 . li`i 1;tv location
a. can'; tary sewer
b. foundation drain
C , electrical & tele:)-on e
d. water
e . other
5 , cewer connection charce paid•
6 , A----o--ria-e certification
7 . ponding
8 • planning & Zoning
Sewer Permit No. q Q/
pavement Excavation No.
39
COIMENTS:
BUILDING PERMIT Cf-ECK LIS
lApplicantDartHillRealty, Tn,, Building Permit No.
Addres Date Submitted 2/1 A Q 1
Lot No. 2 b r'E2R zReviewed by
Project5art Hill Estates U?Kte Date
In accordance with the 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.
v 2. Name, address & phone number of plan preparer.
3. Zoning information - i.e. zone, open space,
fl oodway, etc.
4 . Plot plan at 1" = 40 ' scale.
a. Subdivision reference, abutting
properties, etc.
b. Easements of record.
c. Lot description, bearings, distances,
building lines, area, etc. 10
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate.
e. Building location with dimensions.
Elevations of proposed finish floor,
garage floor & center line of road at
driveway.
y f. Elevations of gravity drainage systems,
sanitary & foundation drain at the
house and the street.
g. Tentative utility location gas, electric,
water, etc.
h., Title block with name and address of
preparer, date appropriate certification,
live seal and signature.
5 . Sedimentation and erosion control.
6. Special Planning & Zoning, Inland/Wetlands
considerations. (Plans on file w/Town Clerk)
BUILDING DEPT.
P ZC i¢ -rWI
IWA/CC 7/zJ/l%uJ/"2' s L'T 771-4
WPCA
OTHERS
Ap
COMMENTS:
air
PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Z
Application is hereby:
I TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
l 644-2511 Ext. 230
3- 11-q1 Application must be printed or typed .
Date Bui ding Inspector
i
I
1. LOCATION OF JOB
Lam ? r)4 zez--zR'1 /%J- /-A
FEE SCHEDULE No . Street
0 - $19000 - 10.00 Floor Apt . No .
Over $1 ,000 - 10.00
2 . OWNER R I L L per $1 ,000 or
fraction thereof
3. ADDRESS 7'0 ,j G!
4. APPLICANT
5. A D D R E S S j
i
6. ESTIMATED COST
a
7 . IS THIS A CONTRACT COST
Yes No
8. FEE ENCLOSED
9. TYPE F BUILDING.
ESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
L--O-r--iginal Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB L/. oT 2 R ) /1j L
NO . STREET APT. NO ,
12 . TYPE OF INSTALLATION U%/GCS/O fN i i, L
13 . SIZE OF MAIN FEEDER /00 /9- '-*a /q L-
14 . NO . OF LIGHT LOOPS C 15 . NO. OF HEAT LOOPS `-
16 . NO. OF POWER LOOPS 17 . NO. OF LIGHT OUTLETSo;S
18 . NO . OF HEAT CIRCUITS ( 19 . NO. OF POWER OUTLETS a
20. NO. OF CONVENIENCE OUTLETS S 21. NO. OF HEAT CIRCUITS
22 . NO. OF POWER CIRCUITS A 23. NO. OF LIGHT CIRCUITS_
24 . SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS
26 . NO. OF PANELS 27 . TOTAL WATTAGEO [,<
28 . NO. OF POWER FEEDERS_ 29 . NO. OF SWITCHES ( <
30. A/C LOAD 31. SIZE OF POWER FEEDERS C
32 . NO. OF FIXTURES a 5 33. TOTAL HORSEPOWER l
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: <6- r() - S9 a 'S>
Lot No.
Building Permit-2, LI
Temporary S rvice
Permanent Service
Pursuant to Permit No.
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
Owner Electrician A4 1AJ
Street
Building Inspector
PERMIT NO.
DEPARTMENT DECISION APPL I CAT I O N FOR
Application is hereby : PLUMBING PERMIT
TOWM OF SOUTH WIND SOR
A D DISAPPROVED BUILDING INSPECTION DEPT.3PP
OV
4;- 4v 644-2511 Ext. 230
Date Bu ng Inspector Application must be printed or typed.
1. LOCATION OF JOB*/
O
zez
FEE SCHEDULE 2. OWNER: p er°L7`'
3. ADDRESS:00 - $19000 - 10.00
Over $19000 - 10.00
per $19000 or 4. APPLICANT: Lryl i• r¢-?/.ter
fraction thereof
5. ADDRESS: f
6. EST. COST:3 4 Dr UD
7. IS THIS A CONTRACT COST? ES NO
8. FEE ENCLOSED: $ - e
9. TYPE OF BUILDING:
1/ iSIDENTIAL 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: D- . /`gyp 4 zw.
GEN ERAL PLUMBING
12. KIND OF INSTALLATION: X, 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE 774fe 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES _3
18. NO. OF SINKS 19. DISPOSAL 19A. DISWASHER //
20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE --3
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. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS
32. REMARKS AND FURTHER DETAILS y G O sy! l
F'
WATER HEATER
33. TYPE J'7`i / 7/ v 34. MANUFACTURER fj lj 5
TANKS SAFETY DEVICES
TEMPERATURE JIZ-f35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE zz LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
LICENSE NO. DATE SIGNATURE OF APPLICANT
PH E NO.
OFF U , ONLY APPLICATION FOR HVAC PERMIT DATE:
NO. j TOWN OF SOUTH WINDSOR EST.COS`T:—
BLDG. PETIT NO. 1540 SULLIVAN AVENUE FEE O
3 •
SOUTH WINDSOR, CT 06074 FEES: It
644-2511 - Ext. 230 0 - $19000 $10.00
1000 or fraction
LOCATION OF BUILDING thereof - $10.00
X%l 57 elaP7 F1,3
OWNER ,
Q
AD RESS TOWN PHONE NO.
40oc T
HVAC CONTRACTOR ADDRF&T TOWN PHONE NO.
TYPE OF.SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL 4
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.) :
Zf Ile-0/ V g7owe., k4h4cS
GROSS HEATING CAPACITY (INPUT-BTUH)/ft 0 04P N T RATING (OUTPUT-BTUH)
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.
000
FURTHER DESCRIPTION OF WORK:
c
4;W)6 4,W1zj_rh
STATE LICENSE - NAME & TYPE #DATE SIGNATURE APPLICA
A_ y ff-A
APPROVED bATt
BD 4A 11/88
B= R CALCULATION SHEET 1503 (Modern 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
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 per Foot 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)
y FLOOR CONSTRUCTIONt
D
Table 9, L x W or Lin Ft) E
9 COLD PARTITION CONSTRUCTION F
Table 9, L x H)
10 r 1 Wall(With Openings)
o ex H
2 Walls(With Openings) D J
3 Walls(With Openings) or Ent Hell
1
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL 13TUH AT DESIGN TEMP DIFFERENCE K
COL A COL B COL_H _- COL. 1—_COL J COL. K COL.L TOTAL BTUH TOTAL
OF BUILDING RADIATION1ROOMATSELECTED
O H L W H L WP L W H L W H L W DESIGN TEMP.*
DIFFERENCE
2 ROOM DIMENSIONS. FT
3 LENGTH EXPOSED WALLS FT Q
4 WINDOW AND OUTSIDE DOOR AREA u
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 tine 5)
tFOR CONCRETE FLOOR ON7CEILINGCONSTRUCTIONGROUNDORFILLAT
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 c 1 Wall(With Openings) C
e 2 Walls(With Openings) z XqJ
3 Walls(With Openings)or Ent Hall H
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
This form is available from The Hydronics Institute, 35 Russo Place,Berkeley Heights,N J 07922 FORM 1503
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BNAdL,gNSPECT ONS:APPLICATION FOR BUILDING PERMIT
Plumbi
HVAC Date: L
Sprinkler 16 PERRIN LANE
Electric S'1 Estimated Cost $ d
Zonin Permit Fee$ k7
Affidavit NO. 21394 Occupancy Fee $
Eng. Dept.
Fire Dept.COMPLETE RED BOXED AREAS.Total Fee $
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $
TO BUILDIN ARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Locatio nL Lot No. Side of Street Zone' s
Applicant—rn4W Tel. # /y- 2 29
Address /6 Perr!t7 Qne ScfL U)'rclsor T _Zip D(oG 7 Lic.#
STREET CITY STATE
Owner t " Address
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Lotal Areas Garages
toe
Size of Lot Dist. from Street Line Bathrooms-Rooms 1 st 2nd 3rd
Purpose of this Permit If n 5 A Y)
City Water 0 Well 0 Septic 0 Sewer 0
Use Group took Construction Type IC
Approved by Date -S ' BD1A 11/88
I hereby agr to conform to all the requir ments of the Laws of the Stat of Connecticut and the Ordinances of th 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.
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed iN,u,
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
PERMIT 1
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 3 Z
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
s:-/LAY 644-2511 Ext. 230
16 a e B ng Inspector Application must be printed or typed
1 . LOCATION OF JOB
FEE SCHEDULE No . Street
0 - $19000 - 10.00 Floor Apt . No.
Over $1 ,000 - 10.00
per $1 ,000 or 2 . OWNER l nni 4,3'1,h 41)/S i e
fraction thereof
3. ADDRESS (p /-.e_er; rl 6a/IP
i.r ,rleSo r ' 61a 07
4. APPLICANT _A nls
5 , ADDRESS
Gc 'Li GrJi'/1G SD r 0"T 06 O 7
6. ESTIMATED COST $ 16Q
7 , IS THIS A CONTRACT COST
you N
8 . FEE ENCLOSED U cl/
9. TYPE OF BUIL NI:
T
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
06t RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB ' l', • lj/J
NO. STREET APT. NO .
12 . TYPE OF INSTALLATION 2 .
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
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
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 :
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
16
nowtaae.bonlAtsiwi.
Aw.
14rr e"Aws let,* 7
ALLXXJLRL Pr ILA A,
IASW
cry
mops"doolm pop Va.,
i F__ - --
sow
mop
sue:_*,.- - __ :
O
w_
olRead_-
cr
00
3ao
aY BE sue MT t ;
Y EASE
Y I PPE 1Fi.
4
Plan ano
it"Is to
StreetfliedwithV, ro 'I(J4 1 Wic'tion andGuilastte ,-d S
tCd
If! zonina,tssuad b C
fs as S&IF111 Lc
this PP troll119 Pendenco
of a blildinzi
N
Signed
this
IT
ith sh 11 Ja
Approved These filed
Wicifng InsPtctor
Clark
L),VirLIIMc;E
Proposed bul'IdNID"gis), users) and/or structure(s)
as shown Orl this plan appe-ar(s) to be in
conformance with cuirrent SOLIth Windsor
regulations. Variances and special exceptions,
May apply.
Date Lh LL
7ZI4
019Z orce't ——Officeri71mentOfficer
DEPARTMENT DECISION PER]MIT#
APPLICATION FOR ELECTRICAL PERMIT I/,Q 6*)
TOWN of SOUTH WINDSORApplicationishereby:
BUILDING DEPARTMENT Bldg Permi #
APPROVE 1540 SULLIVAN AVENUE
644-2511 ext.230
Date Iwilding Inspector Application must be printed or typed
Location ofjob
LA .
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER q
or any fraction thereof
ADDRESS i'il
7
OWNERS PHONE# Co q q-r Z 2
APPLICANT
ON S,0 ADDRESS
40%
4(
ESTIMATED COST
4#
IS THIS A CONTRACT COST? V/
Y.YES NO
FEE ENCLOSED $
OR-CO TYPE OF JOB:
Original Installation
L.,-'Alteration/Addition Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE 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
INSTITUTIONAL
FACTORY
STORAGE ENGINEER'S NAME PHONE
GARAGE
MIXED USE ADDRESS
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS / NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/0
NUMBER OF LIGHT CIRCUITS I NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS I
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
decjy I C 5a,7 roofi-'
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. '`,J
NAME STATE LICENSE NO. TYPE SIGNATURE PLICANT
PHONE NO. 1,%y—/Z! DATE
A
i
I
i
rDlate
RTMENT DECISION APPLICATION FOR HVAC PERMIT
plication is hereby:TOWN OF SOUTH WINDSOR
PERMIT#
BUILDING DEPARTMENT
PROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Building Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE 9w,N
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Wtew-xbt t
APPLICANT ADDRESS 30' DI`
fYaa cln r. C/r 0C..)o
APPLICANT PHONE# fog3- ZZ)4Z
010 N OWNER NS eW16TL -
4 OWNER ADDRESS
i" OWNER PHONE
C ESTIMATED COST$ Cp a w
r
U
IS THIS A CONTRACT'COST? -*Yes 0 No
FEE ENCLOSED$ /
TYPE OF JOB:
sOR CO 0 New Installation
AIteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUILDING:
HEATING RESIDENTIAL
4i.k/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
OIL-GPM OIL TANK LOCATION:INSIDE OUTSIDE CAPACITY
GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW
AIR CONDITIONING
DESIGN TEMP. OUTSIDE I D-D OF INSIDE OF DIFFERENCE 2 S OF
TOTAL HEAT GAIN(BTUH HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
S2ci q2- 0-o A,,tp - U v vr CZ29f4l— l6oe-r (JK/(Ir
TONNAGE COOLING CAPACITY(BTUH) La J
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 WOR< p c
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.
3032co7 S_I Cis
CONTRACTORS LICENSE TYPE STATE
SIGNATURE OF APPLICANT DATE
RS R2 3 8 9 7 RIGHT-J SHORT FORM 0 3/15/0 0
lame: Projectl.rsr
J0o#: ENTWI STLE Htg Clg
For: JANIS ENTWISTLE Outside db 7 100
16 PERRIN LANE Inside db 70 75
SO.WINDSOR CT 06074 DesignTD 63 25
6 4 4—12 2 9 Daily Range M
Inside Humid. 50
By: NUTMEG MECHANICAL SERVICES INC. Grains Water 35
130-3 UTOPIA ROAD Method Simplified
MANCHESTER CT 06040 Const. glty Average
6 4 3—2 0 4 2 Fireplaces 1
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Trade Trade
Efficiency 80.0 AFU E Efficiency 0.0 E ER
Heating Input 0 Btuh Sensible Cooling 0 Btuh
Heating Output 0 Btuh Latent Cooling 0 Btuh
Heating Temp Rise 0 Deg F Total Cooling 0 Btuh
Actual Heating Fan 1834 CFM Actual Cooling Fan 1834 CFM
Htg Air Flow Factor 0.000 CFM/Btuh Clg Air Flow Factor 0.053 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 91
ROOM NAME AREA HTG CLG HTG CLG
SQ.FT. BTUH BTUH CFM CFM
BED ROOM ONE 139 0 1787 0 96
BED ROOM TWO 120 0 1784 0 95
BED ROOM THREE 157 0 1443 0 77
MASTER BED ROOM 189 0 2324 0 124
MASTER BATH 40 0 426 0 23
HALL BATH 51 0 403 0 22
FAMILY ROOM 247 0 3868 0 207-
FOYER 144 0 956 0 51-
DEN 234 0 1868 0 100
KIT/DIN. AREA 259 0 5518 0 295
SUN ROOM 215 0 12203 0 653
DINING ROOM 131 0 1723 0 92
Entire House d 1926 0 34304 0 1834
Ventilation Air 0 0
Equip.@ 1.05 RSM 36019
Latent Cooling 3507
TOTALS 1926 0 39526 0 1834
r
MANUAL J:7th Ed. Right-Suite: V4.1.27
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 4 a
Application is hereby: TOWN of SOUTH WII JDSORApplication
BUILDING DEPARTMENT Bldg Permit#
1540 SULLIVAN AVENUEAPPROVED
644-2511 ext.230
Date Building Inspector Application must be printed or typed
Location ofjob
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
11,000 - $12.00F$O
Over $1,000 1
12.00 per$1,000 OWNER 5 rt L
or any fraction thereof
ADDRESS
OWNERS PHONE# y 7 r ;22
APPLICANT THE MAIN CONECTIC
DMD
WELLINGTN RD.,S8O0UBTRO WSKI
I 060U0*4 PWNE 8W282-1199
CT E-1 LIC 183M
ESTIMATED COST$
IS THIS A CONTRACT COST?
YES NO
0 ci
FEE ENCLOSED $
OR-CO TYPE OF JOB:
Original Installation
Alteration/Addition Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE 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
INSTITUTIONAL
FACTORY
STORAGE ENGINEER'S NAME PHONE
GARAGE
MIXED USE ADDRESS
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED 7 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
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 CODE IN THE
PERFORMANCE OF SUCH WORK.
NAME STATE LICENSE NO. TYPE SAGNATURE OF'APPLICANT
PHONE NO. DATE