HomeMy WebLinkAbout1693 John Fitch Boulevardq V
TO THE BUILDING SPEMR
dthe APPLICATION FOR
PLAN EXAMINATION ANDCOIN. BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.o
ZONINGI• AT (LOCATION) v ( ti " DISTRICT
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
NN
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
1 New building Residential Nonresidential
2 Addition(11 residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any,13 Two or more fc mily — Enter 19 Church, other religiousinPartD, 13)
number of units— — — — —
3 Alteration (See 2 above)
20 Industrial
14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory Enter number
5 Wrecking (If multifamily residential, of units -- ---- — —! 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital,'institutional
Part D, 13)
16 Carport 24 Office, bank, professional
6 Moving (relocation)
17 Other — Specify 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 Private (individual, corporation,
28 Tanks, towers
nonpr fit institution, etc.) 1A10 7LA 29 Other — Specify
9 Public(Federal, State, or
local gov rnment)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food
00 processi ig plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,• S 2 0 o school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed,enter proposed use.
in the above cost
a. Electrical......................
b. Plumbing ......................
c.Heating, air conditioning.........
d. Other(elevator,etc.)............
a' a
11. TOTAL COST OF IMPROVEMENT
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Masonry(wall bearing) 40 Public or private company
48• Number of stories................
31 W d frame 41 Private(septic ton , etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinf reed concrete H. TYPE OF WATER SUP DLY
34 Other — Specify 42 Public or private company 50• Total land area, sq.ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
96 Oil c nditioning? L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 44 Yes 450 N 53. Number f bedrooms..............
38 C al
39 Oth r— Specify WIII there be an I vator?
54. Number f
Full..........
46 Yes 470 No bathrooms
Partial,.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b c mplet d by all applicants
Nam Mailing addr ss — umber, street, city, and State ZIP code Tel. No.
Owner or 3 O 7 y " •t.z6
Lessee
2. l l
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of plicant Address Application dot
0 NOT WRITE BE. LOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B NotesqFeeStartedyApprovedy
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
P rmit r Appr va I Check Date
Obta ned Number By Permit or Approval Check ObtDa ned
ate Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
P rmit number 10555
Building
P rmit issued Oct. 19 19 78
Bui Iding
Permit Fee $ 4.00
Approved by:
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TOWN OF SOUTH WINDSOR
BUILDING PERIWIIT
Date Oct. 19 1978
Fee Paid $- A-00 Est. Value $.3.00..00
Pemit N° 1_0555
on the side of
John Fitch Boulevard Street
Street No. 1693
Owner Talcott I Clapp
Applicant Ta l c o t t I. CLapp
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
t
Fee Paid $
CLASSIFICATION
Wood burning stove
i
0
BUILDING PBttMIT
N" 10555
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Cann.
South Windsor, Conn. Oct. 19 1978
94is to to CrrttfV, That Talcott 1. Clapp
is hereby granted permission to Wood burning stove
at estimated value of $ 300-Q4
on the side of 169". John Fitch Blvd, Street on land
owned by Aalcott l. CA.apn
Said Work to be as described in Application
No. 10855 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Iss t. 19 7 8.
Building Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
A
PERMIT
Application For 6662 6262
DEPARTMENT DECISION
O Heatuig Permit
3E APPLICATION IS HEREBY:
O as DEPARTMENT OF LICENSES AND INSPECTIONS
N 91 APPROVED El DISAPPROVED
Cd TOWN OF SOUTH WINDSORc
1.4
o p, 10/10/85 Thanas P. D' Auria
00 O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL w
O
V1
O w 1. LOCATION OF JOB
O
O
O NO. STREET
0 v
O cn
x LOT NO. FLOOR APT. NO.
O 0rjN
1C r, 1A7
O
q 2. OWNER
w
o
PO
0 s;!. ADDRESSO3
S. APPLICANTPCJL ` I,J^<+CJi
ADDRESS
a
7.PHONE 33v
B. LICENSE N0.d 7v 6y
0
0 w B. EXPIRATION DATE OF LICENSE
O 10. ESTIMATED COST S o" 0
IS THIS A CONTRACT COST?E(YES NObo
12. FEE ENCLOSED S_
k
Col IS. TYPE OF BUILDING:
Cbo RESIDENTIAL COMMERCIAL
c3 14. TYPE OF JOB: INDUSTRIAL
ORIGINAL ALTERATIONINSTALLATIONADDITION
APPLICATION FOR HEATING PERMIT (Continued it m Rev me Sid
11. LOCATION OF JOB Z[ 1 / x`j e la te
NO. STREET FL OR AFT. N
12. TYPE OF INSTALLATION: t OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
O-
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. QUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
O1LE OR FURNACE MAKE AND NO, B.T.U. OR SQ. FT. NET B.T.U. OR SO. FT. GROSS FIRING RATE
RS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TE PERATURE DIFFERENCE FAHRENHEIT
MAKE OF RADIAT ` BASE/BO,4D.e cw P PER,-C gZZ6 7- C.I.TIO Nn Q JT U ER r- )q "
Ofyr l
LINEALf)0 RADIATION. SQ.
FT. OR B.T.0 /iL/L/'' /,
t1fJ JO" SG l 2,t J
DESCRIPTION OF WORK
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
DOWSROOMSIZEANDooORs AREA - SQUARE FEET
VOLUME
a.T.U. 0.T.U. a f O
TOTAL TOTAL 'ADISTRIBUTION INSTALLED
LL
ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED -J jIL RAD. REGISTER
L W M AND TEMP. TO tF f TYPE AND SIZE OR LEADER
SIZE < WALL
f'cto INFILT.)
DIFF. F F m d SO' FT. FREE AREA
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING. OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY:
NAME ADDRESS
SUBCONTRACTORS AND
IS. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN.oc,-- O 5—
DATE 14NATURE OF APPLICANT