HomeMy WebLinkAbout161 Oxford DriveBuilding APP LICATION FOR BUILDING PERMIT
Plumbing 4e - 1
7HVACDate: IC
Sprinkler 161 OXFORD DPTVE
Electric Estimated Cost $ *'
Zoning Permit Fee$ 6:2'
r 460
Affidavit NO.17495 Occupancy Fee $
Eng. Dept.
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ f iY`'3
Health Dept. TYPE OR PRINT ONLY
Approved Z Z7 SIGN ON REVERSE SIDE.
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work ccord•ng to the following specifications:
Job Location ®xX- Lot No. Side of Street Zone
Applicant 44PS eQ' fiyC Tel. # 6413-V,5'j
Address qE-eL?F4'r V `lA,•ic'w 9• •'c Lic. # Zip
Owner, SQ•Sr Address
Architect C-'+'jeF- Address
Size Main Building: Ft. Front Overalls Ft. Deep Overall y0 Total Are 2— Garages 2-
Lavatories
No. of Families No. of Stories Construction Bathrooms ooms 1st_A_-2nd 2 3rd
Size of Lot 3 3 Q &E Dist. from Street Line S Dist. from Side Street Line
Purpose of this Permit New single family dwelling
City Water QY Well Septic Sewer Lex
Approved by Date '
Dist. from lot line E. W. 55 , S. ' N. - Dist. nearest Bldg. ft.
Height of stories -cellar 1st 2nd 3rd 4th 5th
r r r
Material for footingFounddepthbelowgradeAbovegradeg
Size footing 6 4eqrl
Material for found. `-1't'1 F Found. thickness
Roof 4_`-_A W4V7_ of stairways Size of girdersi
Material for Side Walls Size of pier found. Z
Floor joists, size: 1st ' '`` 2nd 4 3rd stories. Dist. on center
Longest span of floor joist: 1st 2nd 3rd If not wood joist const. what type of floor?
Size of Roof Rafters Longest span on center
Chimneys, size of flues How many? Where does tile start?
Plumbing contractor, Permit No. Oil burners, Permit No. Plot Plan Rec'd:
Heating contractor, Permit No. Checked by Eng. Dept. ;
Electrical Permit No.f D x Signed by Engineer:
Sprinkler Permit No.
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 otherzones and is located in azone
in which this building and its use is allowed.
hereby apply for a Certificate of Occupancy for
described in the above application for permit.
Signed-4-/-1-
Paw IMMOMIRM IV
BUILDING INSPECTION DEPARTMENT
SOUTH WINDSOR, CONNECTICUT
FEE PAID: $3.00
CERTIFICATE OF OCCUPANCY
ZONE: DATED 2/2 7 19 90
This is to certify that 161 oxford Drive
Erected under permit No. 17495 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.
Use: R4
r
r6led N Occupancy— New single family dwelling -- Lot# 24
Building Official
Notice:If this certificate is lost or destroyed, a duplicate should be obtained immediately from the Building Department.
Any change or extension of the use herein approved requires a new certificate of occupancy.
FINAL INSPECTIONS:
Buildings -- - 'APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date:
Sprinkler 161_QXRORD DRIVE
Electric Estimated Cost $
Zoning Permit Fee $ 2-4
Affidavit NO.1 2:7 o Q Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.
Fire Dept. TYPE OR PRINT ONLY Total Fee $ Z•O
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned,, hereby applies to do work according to the following specifications:
Job Location ar Lot No. Side of Street _ Zone
Applicant Oar a fa Y' CS b r t CL2 C-K S Tel. #
Address /H o Q S s • C Zip Lic.#
STRE T CITY 6ST/1TE I
Owner J,f h Address / o '' r
Architect 0 a SQ I tS f f d P--t- Address Q y
Size New Area: Ft. Front Overalll—!Ft. Deep Overall S' Total Area Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from S reet Line D st. from Sid Street Line
Purpose of this Permit d Co r7 S Iq 5!:A:e41 c P) v c4e C Co r C nC;
4 Qra tvl P
City Water Well Septic Sewer
Approved by a" Date U 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 th 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 lin s,side yard lines and required distan s from all oth r 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
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:_
2I_3 j sl
INSPECTION REPORT a'''G1"1'141
Permit # Job
1 Footin 3-I C- 'z,?-"4 e G 7-16
2 Foundatio ,3_27_7-
Iov
3 Framing
4 Wiring
5 Plumbing -,
tt77Q
6 Heating
s C.O. 7 i!;
CEKfYIFXCN2t Or' OCCUPANCY CHECK IIST
Applicant U & R Certificate of Occupancy / 7!6PP
Address Bldg. Permit No. / 7 f 9S
Lot No. oxford Drive Date Submitted 2_2U-9U
Project oxford Esta es Reviewed By
Date Z- zz.-
As required in the Zoning 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
b. foundation drain
c. electrical & telephone
d. water
e. other
5. Appropriate certification
6. Bonding
Sewer Permit No.
Pavement Excav-. No.
COMMENTS:
BUILDING PER11IT CHECK LIST
Applicant U & R Building Permit No.
Addres 161 Oxford Dr. Date Submitted 2-15- 9
Lot No 24 Reviewed by 29 3
Project Oxford Estates Date s-1, -Og
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.
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, distances,
building lines, 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 & center line of road at
driveway.
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
te preparer, date appropriate certification,
Sm0d ns ec-. live seal and signature.
f {s_
5 . Sedimentation and erosion control.
6. Special Planning & Zoning, Inland/Wetlands
considerations. (Plans on file w/Town Clerk)
BUILDING DEPT.
PZC
IWA/CC
WPCA
OTHERS
COMMENTS:
r ,
DATE z
INSP OR
z.k3
LOCATION
TIME DAY
TYPE OF INSPECTION :
FOOTING PLUMBING
FOUNDATION HEATING/AC
FRAMING ELECTRICAL
INSULATION FINAL
OTHER
PERMIT 4
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
10
Application is hereby: i
TOWN OF SOUTH WINDSOR
APPROVED S BUILDING INSPECTION DEPT.
644 -2A1 Ext. 2300-1
Date Building nspecto
Applications must be printed or typed.
I. LOCATION OF JOB
FEE SCHEDULE No. Street
I Floor Apt. No.
0 $19000 - 10.00
Over $1,000 - 10.00
2. OWNER /
per $1,000 or
fraction thereof 3. ADDRESS
4. APPLICANTLi
5. ADDRESSSy %r'YtXJt LC
1 ('RoSy 7yo,PDi9GcC. •2.j
ACTUAL COST $ FEE $ 6. ESTIMATED COST $_,
ESTIMATED COST $_ FEE $ 7. IS THIS A CONTRACT COST? Q YES NO
FILE COMP. BY BALANCE $ 8. FEE ENCLOSED
9. WE OF BUI LDI. -
LM Rr.SIDENTIAi. C1 COM.MERCIAL
10. TYPE OF J06:
0;tIGI\;;1, ALTERATION
INSTALLATTUti
C3 ADDITION
REPAIR
APPLICATION FOR ELECTRlCAJ, PffRd 'r(Continued from t:evarse Side)
Al
11. LOCATION OF JOB
NO. STREET FLOOR APT. NO.
12. TYPE Of INSTALLATION & &
13. SIZE OF MAIN FEEDER
14. NO. OF LIGHT LOOPS 15. NO. OF HEAT LOOPS 16. NO. OF P(')•tER LOOPS
17. NO. OF LIGHT OUTLETS 3 _ 18. NO. OF HEAT CIRCUITS d,`'z: 19. NO. OF POWER O;TLL'."S
20. NO. OF CONVENIENCE OUTLETS5321. NO. OF HEAT CIRCUITS 22. NO. OF POWER CIRCUITS
23. NO. OF LIGHT CIRCUITS 24. SIZE-OF HEAT CIRCUITS/s 25. N0. OF i1OTORS
26. NO. OF PANELS 27. TOTAL WATTAGE 28. NO. OF POWER PANELS
29. NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS
32: NO. OF FIXTURES Z 33. TOTAL HORSEPOWER
34. NAMES OF SUBCONTRACTORS AND THEIR TRADES
35. REMARKS AND FURTHER DETAILS:
01
LICENSE:NO. SIGNATURE OF APP. DATE
ONE NUMBER:
Lot No.
r
Bunding Permit 1LI !E Tie - 'Jcvft
Temporary Service
j Permanent Service-
i
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
V1
t
Street
1 I r7 19 p ui l I r
Y3,OA
PLUMBING APPLICATION
N
on the......
Ot
Sam
J:V
st et 61ram. 4-
owns X
Plumber ....._._
Filed in 096 of
T6bw«m
a reescrJLM e
No person " awnu *, add o0 or alder a'
portion of the dntow spsum of my bang
ezmpt to repair leaks) uma a pe ib is wMand
by the . .
APPLICATION FOR PLUMBING PERMIT (Continued fr m Revers Sid
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB V V
O. ST E .FLOOR APTAO.
GENERAL PLUMBING
12. KIND OF INSTALLATION (>o/irL 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS STYLE 15. NO. OF URINALS STYLE
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS 19. NO. OF WASHTUBS
20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE
22. AREA OF ROOF 23.N0. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES ,! KIND u/ ' .10
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. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
r
SIGNATU ADDRESS-
7
LICENSE NO.cPM /4 2, ESTIMATED COST h TELEPHONE
OWNER ADDRESS
WATER HEATER
31. TYPE 32. MANUFACTURER
TANK SAFETY DEVICES
33. CAPACITY 37. TEMPERATURE RELIEF VALVE
34. TEST PRESSURE_ 38. MANUFACTURER_
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE
36. TYPE 40. MANUFACTURER
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY
AND WILL B DO STRICT ACCORDANCE WITH THE BUILDING CODE.
C0962 DATE SIGNATUR OF APPLICANT
APPLICATION FOR HVAC PERMI`i 310 oEST. COSTI-2
FOR OFFIGE USE ONLY TOWN OF SOUTH WINDSOR FSE
1540 SULLIVAN AVENUENO. .
PERMIT NO. SOUTH WINDSOR, C7.06074 FEES:
1000 $10--m
00 644 -2511 -EXT.230 1000 or fraction
LOCATION OF BUILDING C6 f ay 'r - thereof - $10.00
9 L
OWNER ADDRESS TOWN PHONE N0.
lk4 to
HVAC CONTRACTOR RESS TOWN PHONE NO.
TYPE OF BUILDING: RESIDENTIAL_
TYPE OF SYSTEM: HEATING CONMCIAL
MA/C hor,tI" cr"11y BUSINESSVENTILATIO `INDUSTRIAL
IF SEATING: STEAM LOW PRESSURE LIMIT LBS. RICH PRESSURE LIMIT_____ZBS•
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 b LOCATION: INSIDE OUTSIDE CAPACI__
LPG TANK - CAPACITY
EXISTING RADIATION_ ADDITIONAL RADIATIOoN ____ TOTAL RADitI
DESIGN TEMP OUTSIDE F INSIDE
DFAT
DI
LOSS SHEET ACCOI ANy APPLICATION)
TOTAL HEAT LOSS (BTUH)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO-):
GROSS HEATING CAPACITY (INPUT-BTUH)NET RATING (OUTPUT-BTUH)__„________
IF AIR CONDITIONING: DESIGN TEI. OUTSIDE oF INSIDE_F DIFFERENCE of
TOTAL HEAT GAIN (BTUH)
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
UIPMENT (INCLUDING MARE b MODEL NO.): 'DESCRIBE ALL COOLING EQ
TONNAGE COOLING CAPACITY(BTUH) G O lu'Y'
T•
IF VENTI LATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUST EQUIPMENT):
TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM)
PLAN MUST ACCOMPANY APPLICATION)is toTheundersignedherebyappliesforapermittoperformthefollowingtherkaerformance
comply with all local ordinances and State of Conn. Building Code P
of such work.
FURTHER .DESCRIPTIO OF WORK: dK
e,
S,L4 5 fe444-
STATE LIC J -NAME & TYPE DATE ATOF AP CANT
DATE
I 8•R CALCULATION SHEET 1503 Wadwn I qdW) 1977 117 The HwrowMr IMUtUt_
OWNER Q st u cfi' F'" AooRsss - h'` Sf !yla chi e s'fP.. DM14W,TEMPERATURE DIFFERENCE F. own -r S-gp g
COL.A OL.S OL. OOL..O COL.E COL.F COL.O
1 ROOM t a Water Temp.O M L W N L W N L W N L W N L W Ds"
2 ROOM DIMENSI NS.FT, u STUH par Foot of
3 LENGTH EXPOSED WALLS,FT,t R"Mtmo ialeatM
41 WINDOW AND OUTSIDE DOOR AREA e.
NOW
STVM STUN BTU" STUH mTum
i WALL C NSTRUCTI N TTROOy LIMi/T.OF
Table S.Lkw 3 x H) TOTALS UAOIATHM
i 1 TYPE OF LASS FROM LINE 12 ON&SCTED
Motown f table used for Line it
7 CEILING CONSTRUCTION C
Table t.L x WI O
S FLOOR CONSTRUCTI Nt
ITobloS,L x W r Lln.Ft.)E
S COLD PARTITION CONSTRUCTION F
ITable 9.L x Nl O
10
Id 1 Wall IWIM Openlned H
Irg 2 Wells IWM Openings)
D 3 Wells(With OpsningQ or Ent.Hall I..
J
11 T TAL STUN 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 STUH TOTAL
OF WILDING RADIATION1IIOOMtATSELECTED
O H L W H L W H L W H L W N L W DESIGN TEMP-
2 ROOM DIMENSIONS,FT. u
DIFFERENCE
3 LENGTH EXPOSED WALLS,FT.
WINDOW AND OUTSIDE DOOR AREA I
STUH STUH lium STUN STUN
5 WALL CONSTRUCTION INCREASE BATHROOM
ITeble S,Line 3 x HI TOTAL 20%
i TYPE OF LASS
Isottern f tablo used for Lino i)
tFOR CONCRETE FLOOR ON7CEILINGONSTRUCTIONGROUNDORFILLAT
Table9.L x W) GRADE LEVEL,USE LINEAR
S FLOOR COIr>aTRUCT10Nt S FEET OF EXPOSED EDGEn#/
Tables.L x W or LNL Ft) 3 ;::w. r
Y• Y .. (. t•i..COLD PARTITION CONSTRUCTION
10 1 Wall IWh%OpwAngd
2 WeNs IW11h Opmkw X
3 Welts(With OPwbkW l w Eat.Hall l..
11 TOTAL STUH AT 70F TEMP.OIFFERENCEd
12 TOTAL STUN AT DESIGN TEMP.DIFFERENCE
This forrq ii a""from The Hydr nbs Instltu%%38 Rum Pleea,Berkeley Hayhts.N.J.on=
r ` '•'•.
r
f`'iyam' ,. +r
r',` r FORM 1503 /
n •,y;y,S,,;,,44•?.iAF'rftlR"+w IF`i•lA.v. :f'3 Ay .r• J... _...,. _ oa lY`!
FOR OFF110E USE-ONLY APPLICATI FOR RVAC P MIT DATE: w2-'/ 4V—f 0
N07 0 TOWN OF SOUTH WINDSOR EST.COST:
BLDG. P 41T 1 1540 SULLIVAN AVENUE FEE
SQ SOks, & 06074 FEES:
4-2511 — act' 230 0 " $1• ", $10.00
1 4 1000 or friction
w to 0i aref the of - $1Q.00LOCATIONOFBUIL
UIA laida
OWNER ADDRESS,, a WN,w' PHONE NO.
HVAC7CONTRACTO JADDRESSTOWN ONE N0.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING:' EEMENTIAL
A/C COMMMIAL
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 F
TOTAL HEAT LOSS (BTUH)
a
HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.):
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE°F INSIDE°F DIFFERENCE d'3 F
TOTAL HEAT GAIN (BTUH)
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.): Weil eo d&W K4
TONNAGE $' COOLING CAPACITY (BTUH)
IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT):
TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM)
PLAN MUST ACCOMPANY APPLICATION)
The undersigned hereby applies for a permit to perform the following work and is to comply
with all local ordinances and State of Conn. Building Codes in the performance of s,u[[c``h work.
FURTHER DESCRIPTION OF WORK:
STATE LICENSE - NAME & TYPE #DATE SIGNATURE APPLICANT
APPROVED DArfE
BD 4A 11/88
I - B- R CALCULATION SHEET 1503 (Modern Method)
OWNER if= " ADDRESS 1Q eftfe.''
Copyright 1977 by Th Hydronks Institute
DESIGN TEMPERATURE DIFFERENCE-2 F, DATE 02—Iy^7tu0CL.A COL.S COL.C COL.D COL.9 COL.F COL.G1ROOMT7WPG
O H L I W H L W H L W H I L I W H L W Design Water Temp.2 ROOM DIMENSIONS,FT.Z `/U 413LENGTHEXPOSEDWALLS,FT. t STUN p«F t f
Radiation Selected4WINDOWANDOUTSIDEDOORAREAf1
5 WALL CONSTRUCTION
STUN STUN STUN STUN STUN
MTable9, Llne 3 x H) v 9 594 ROOM LIN.FT.OF
6 TYPE OF GLASS 7 V TOTALS RADIATION
Q OBottomoftableusedforLine5) 1. p S r FROM LINE 12 SELECTED
7 CEILING CONSTRUCTION J
Table 9.L x W)
x 1160 006 C
9 FLOOR CONSTRUCTIONt
s
Table 9, L x W or Lin. F t) i for
D
6:w J464y E /8 ,$-r'9 COLD PARTITION CONSTRUCTION
Table 9, L x H)
10 _0 1 Wall(With Openings) ( fir O
2 Wells(With Openings) `Q D•X f/ H
J3Wells(With Openings) or Ent.Hall e
F
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' Q 3 J r6
1 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE 78 s. K
L 2m53-4r/
COL.A COLS COL.H COL.1 3L-COL.J COL.K COL.L1ROOM
OF OUILOING RADIATIONL
O N L W H L W H L W H L W H
AT • SELECTED
L W DESIGN TEMP.2 ROOM DIMENSIONS,FT
U 8 Z d 2.Z Z DIFFERENCEuJ3LENGTHEXPOSEDWALLS, FT.
3914WINDOWANDOUTSIDEDOORAREAU.
STUN STUN BTUH BTUH BTUH5WALLCONSTRUCTION
Table 9, Line 3 x H)
v j+INCREASE BATHROOM
6 TYPE OF GLASS 0 y7 cl TOTAL 20%
Bottom of table used for Line 5) 11,,MJ
7 CEILING CONSTRUCTION
iFOR CONCRETE FLOOR ONTable9, L x Q C GROUND OR FILL AT9FLOORCONSTRUCTIONtV! b 7
FEE
GRADE LEVEL.USE
EXPOSED EDGE
AR
ITable 9,L x W r Lin Ft.) t Ci 09COLDPARTITIONCONSTRUCTION
6 i
Table 9, L x H)
10 -0 1 Wall(With Openings)
2 Walls(With Openings) X a Qo 33Walls(With Openings) r Ent.Hall J
H
11 TOTAL BTUH AT 70F TEMP DIFFERENCE*
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE
F 49/
This form Is available from The Hydr nics Institute,35 Russo Place,Berkeley Heights,N.J.07922 FORM 1503
Electric#
16], OXFORD DRIAPPLICATION FOR BUILDING PERMIT
Plumbing# Date: 7-WAC # 25508
Sprinkler#
FSW Esfimated Cost $o-DO
Buildings ?? COMPLETE RED BOXED AREAS Permit Fee
ne TYPE OR PRINT ONLY Occupancy Fee
Affidavit SIGN ON REVERSE SIDE
Appr.for CO.Total Fee
TO BUILDNG DEPARTMENT,TOWN OF SOUTH WINDSOk CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
lob Location /I// OK7tO en +? Lot No. Side of Street Zone
Applicano/ync-3 Y'" Coo lc- Tel#
Addr ss / D iClO K 0 Zip0600 _ Lic.#
Owner AWtI * lk/+u N 1 Address/&/ 6et* r/.) tO/L s &0A/4)_Vj&
Architect K l u tee- Forms Address
Sq. Ft.New Area: 15t FI. 2nd FI. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpos of this permit:_/U 1x'/(0 5#-C-,vA
City Water Well Septic System Sewer
Ins. H.O. Cert. Area Basement Garage
Approved by Dot I Use Group Construction Type
ReviNd 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 is all ed.
Signet A;'
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
0 NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS