HomeMy WebLinkAbout17 Cheshire Drivel r 3
7 TO T BUELDING INSPECTOR
APPLICATION FOR
TOWN OF SOUTH WODS K COPK
PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, /it, IV, and IX.
ZONING
C
I• AT (LOCATION)DISTRICT
LOCATION N0.) STREET)
C- C 4d -OF BETWEEN AND
BUILDING CROSS STREET) CROS TREET)
LOT
SUBDIVISION a LOT• ` V BLOCK S12E /
r 11. TYPE AND COST OF BUILDIN — All applicants complete Parts A — DPPP a
A. TYPE IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use n
1 New building Reside_P4,101 Nonresidential
2 Addition(If residential, enter number 12 M One family 18 Amusement, recreational
o/new housing units added, if any,130 Two or more family — Enter 19 Church, other religi usinPartD, 13)
cnumber of units— — — — 20 Industrial3 Alteration (See 2 above) 147 Transient hotel, motel,
4 Repair, replacement
21 Parking garageppordormitory — Enter number
o/units ——————— — i 22 Service station, repair garage5 Wrecking (If multifamily residential,
enter number of units in building in 15 Garage 23 Hospital, instituti nal
Part D, 13)
16 Carport 24 Office, bank, professional
6 M ving (relocation)
17 Other — Specify 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, merconfile
8 ErPrivate (individual, corporation,
28 Tanks, towers
nonprofit institution,etc.) 29 Other — Specify
t 9 Public (Federal, State, or
local government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
b processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement,,,,,,,,,,,,,,,, IJ 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.)............
11. TOTAL COST OF IMPROVEMENT S r J
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
48. Number of stories.........
30 Wwosonry (wall bearing) 40 Public or private company
49. Total square feet of floor area, •.•
31ood frame 41 Private (septic tank, etc.)all floors, based on exterior
32 Structural steel dimensions .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 ublic or private company Total land area, sq. ft. ...........
43 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRIP;;'
Gas
L TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
ti.
35 Will th re be central air 52. Outdoors....................... r
36 Oil conditi ntng? L. RESIDENTIAL BUILDINGS ONLY `!
37 Electricity 44 Y•s 45 E100No 53. Number of bedrooms............. /
38 Coal
39 Other— Specify Will there be an elevator? Full..........
54. Number of
46 Yes 47 bathrooms
Partial.......
I
IV. IDENTIFICATION — To b complet d by all applicants
Nome Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or
Lessee
Contractor
3.
Architect or
Engineer
The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applica t Address Application dote
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD -- For office use
Plans Review Required Check Pion Review Date Plans
By
Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
atePermitorApprovalCheckObDtoned Number By Permit or Approval Check Obtained Number j By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING j
ELEVATOR SEWER j
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
i
GRADING USE OF PUBLIC AREAS i
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit number
Building
Permit issued 46777 19
Building
Permit Fee $
prove b
t
7iT
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date June 3 1985
Fee Paid $A 17 .0 0 Est. Value $.6 R,5 0 0
Pest M 14435
on the side of
Lot #9 8 Cheshire Drive Street
Street No. 17
Owner T & M Builders
Applicant Mark Dn vi
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.7107
Fee Paid $ 3 _n n
CLASSIFICATION
Dwelling
BUR DING PERMIT
N? 14435
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. June 3 1985
94is is to Crrtifg, That T & M Builders
is hereby granted permission to Dwelling
at estimated value of $ 0
on the side of Lot #9 8 Cheshire Drive Street on land
owned by T & M Builders
Said Work to be as described in Application
No. 14735, and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WIMSOR.
I J 19 85
uilding 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."
1
Dwelling Lot #98 Cty vw• 4 6/3/85
T & M Builders
17 Cheshire Drive Permit #14435
Electrician Richard Lei ven 8956
Heating Contr. Norman Luton 6315
plumbing " Noninan Lutzen 6841
Oil Burner 7107
Certificate of Occupancy
Sewer Pann apPlotpprd. per Engr..
Permit No.
f
TOWN OF. SOUTH WINDSOR
SOUTH WINDSOR, CONN.
ry
Permit Y
I Certificate of Occupancy
I
I THIS TO CERTIFY At the
at No. in the T 4 of South Windsor, Connecticut, has
been erected and completed in accordance with the B ilding Code and Zoning Regulations of
I the Town of South Windsor, and is hereby ap roved occupan
I
I
Building Inspector
yner, Builder
I Fee Paid Date
I
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REFERENCE A!5 8 U -r F O W N DA.-r oN
PLOT PLAN,G ES u r e pl lvr
LOTCOUNTRYVIEWESTATESsPHASEFOUR D 5
PROPERTY OF TOM BUILDING CO.
Country View EstatesSOUTHWINDSOR, CONN. y
MAY 9 198+9 ROV.11-e-94 South Windsor Conn.CERTIFIED CLASS A-2 BY
A.R. LOMBARDI ASSOCIATES, INC. PROPERTY OF T8N BUILDING CO.
JUWF- t4l t98S SCALE : 1"= 40'
l HEREBY CERTI THIS MAP
S ST TIA Y CORRECT
DAYTON ASSOCIATES
Robert T. Dayton Conn. LS. 8157 51 Tallwood Dr. Southington, Conn.
F
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LECTMIAL AFFMA1101 xz.
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Lot #98 Cheshire give
1.7 m 'fi K;_ g.J:
C it lib.
aY•P
Owntt T & M ,Builders
Eltfttiei h Richard Le,ive-n e
4 Pr ,
FILE IN OFA
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ldtl Liectritltl 11`otlrhg tf 1tlttted ltittii leti Wt, k K '*`ns?a y3 a t°> w :` " fie: r', Js e r
trait is at*nttd bar tht Building tnooktot. p IN..y_y"':
a-
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until the 1pluthbinj and heiltul blest. and title J%`, iFl1-a t.rf • r
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ertHif Mont the o 6t the 1buildint thbOWbt. Ntk 6 .,
4' •=•t yy f`.sue¢-•,' A:.a y'
Electrical Permit Na ....
Master License No.
TOWN OF SOUTH WINDSOR Building Permit No.
BUILDING DEPARTMENT Date Filed ........G,/.,
Date Final Approval .....................
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
B LOCATION: ............71.... ............. AJOBOWNER: ..........
Side of ................................. Between ...................................................................... and
Name of Building Owner .......... _./V......A.3 Address ..........
If work is for Lessee—Give name .................................................................................................. Address ......
Building now occupied as (unless new) .....................................................................................................- No. of family units now ...........
Building to be occupied as, Number of family unit s to be
Is this work included in a Building Permit? ................................... Permit Fee .......................................................................
If no Building Permit)
r fPermittee - I........ Business Address r eehoaCn
COST OF INSTALLATION: ... 6"4 61 ........... ................... .....................................
TO BE FULLED OUT BY PERMITTEE
TO BE WIRED EXISTING APPLIANCESNumberoflightoutletstobeinstalled
Number of convenience outlets to be installed .......J-azw....... Number of present Appliance Circuits ............................
Number of switches to be installed Do these. include Range Q Water- HeaterNumberofappliances,to be installed
as listed below) Dryer Q Air Conditioner Q Oil BurnerTYPERATINGNO.
Range . . . . . . .. . .v
Disb.-Washer C2 Gas-Burner
Range Top . . . . . .
Well Pump [2 Elem I-leaters
Oven . . . . . . . . REMARKS:
Water Heater .
Clothes Washer
Clothes Dryer . . .
1 .
cJ
Dish Washer
Air Conditioning Motor'.
Oil Burner Motor-.
Gas Burner . . . . . .
Circulator Motor
Attic or,Largw- 72n:
Well,-Pump,
Mectri4r_ Heat
Other.-.'.,
Number of new,Lighting Circuits
Number .of- ne-*APPUMTI Ce C,4rCUit&
4NumberofHeatingCircuits-1
Number of Motor Ciicuitw.,
Size of. resent serviceP
0WSizeofsetvtag.be Z2
6841
PLUMBING APPLICATION
Application Noy 6.19
on the sick of
Lot 98 Cheshire Drive $
Street No. ._._ 17
Owner T. & M Builders
ply _Norm an Lut zen
Filed in O$im of
The Buil&gI pe000r
11/1 1985
II iBP C 11lr.
r
No person,hall coaatsuct, add m or abw my
portion of the draimge system of any bung
except to repair lab) until a Peen '- is gtaated
by the Building Inpector.
APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN,
11. LOCATION OF JOB y
NO. STREET FLOOR APTAO.
GENERAL PLUMBING
12. KIND OF INSTALLATION A G40 AeA.1', 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS v STYLE 15. NO. OF URINALS STYLE
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES J 18. NO.OF SINKS 19. NO. OF WASHTUBS /
20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE
22. AREA OF ROOF 23.NO. OF CATCH BASINS NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 2 27. SIZE OF WINDOW 03 0
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
t10
SIGNATURE ADDRESS
LICENSE NO. oz l Z S ESTIMATED COST 4 TELEPHONE 50 3 S z
OWNER ADDRESS c
WATER HEATER
31. TYPE G3 32. MANUFACTURER_ CIA- a
TANK SAFETY DEVICES
33. CAPACITY GL f 37. TEMPERATURE RELIEF VALVE L/ y
34. TEST PRESSURE 38. MANUFACTURER
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE
36. TYPE C 40. MANUFACTURER &oJee L
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY
AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
CD962 DATE SIGNATURE OF APPLICAN
PERMIT #
Application For 6116 6315
DEPARTMENT DECISION Heating Permit L----------------j
ad r
O
3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS
MW APPROVED DISAPPROVED
Cd TOWN OF SOUTH WINDSORc
c a k3t912/6/85 Tbanas P. D'Auria
00 O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O
p 1. LOCATION OF JOB
O v
c 17 Cheshire Drive
NO. STREET
Cd 0
y LOT NO. FLOOR APT. NO.
O
N
4) O e2. OWNERA
cd0ad
a O S. ADDRESS
O 3
4.PHONE
U' P VdY ' u7 uC/1 . s. APPLICANT
I» as
0
o Go a. ADDRESS ' 4
70(7.PHONE
A S. LICENSE NO.
0 w B. EXPIRATION DATE OF LICENSE
c
Cr
10. ESTIMATED COST :
o
11. IS THIS A CONTRACT COST? YES NO
b0
12. FEE ENCLOSED S_ Permit 14435
y ai is. TYWRIESIDINTIMALILDING:
COMMERCIAL
O =
Cd 14. TYPE OF
fJ
INDUSTRIAL
IONLLATION ADDITION
GINAL ON
REPAIR
APPLICATION FOR HEATING PERMIT (Continued from Reverse side)
11. LOCATION OF JOB I g
NO. STREET FLOOR APT.NO.
12. TYPE O INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK Cl INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. 0 BONNET FIRING RATE
BOILER OR FURNACE MAKE AND N0. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING E'er INSULATED - YES OR NO `' "
TYPE OF WALL I?SULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. ./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK s15. TO BE DONE: J
m HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS);
ROOM slzE wINOOWS AREA — SQUARE FEET B.T.U. B.T.U. <0 DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALMLL
ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70-F CORRECTED t j I- RAD REGISTER
L W N AMO E TEMP. TO f TYPE AND SIZE OR LEADER
SIZE < WALL
f'Lt0 INFILT.) DIFF. F m N 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
1s. 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. f 2 , I( p 6—- -.14
DATE SIGNATURE OF AP LICANT
8 R CA•altATlON MEET nos(Nb dlrtr Mmk<5 rrdrd
CaPI t 1l77 N1i OnlcOmpa r!tu••.
AOORpf
DESIGN TKUPURATUAt DIRItRt t..PIC .R. DATEADCOL.C COL.O COL.E
EA
j..
COL.tR COL.
OOMLWMLWMLWNLWMLWDai11NWINrTOM&ONE,LAT. F 1-7HEXEpWALLS.FT. Y
W AND OYTSIOE ODOR AREA ILRodblown
COIM I MiCTION E* BTU" fTW1 UMTaMe%Lho i a NI
TV Of OLAM IIOOM LIN.IT.OI
TOTALS RADIATIONIMwiwfitaNaWN/Lowy w FROM LINE 12 SELM=aQ7CEILINGCONE'r
ITatIM E,L x WI
f LOOII C
ITAft 06 L a W as Llw Pt) D
s coLo A Ti CON1T s 1
ITa f,L a lot k Dp n101WIWIMI
O.....
K::Wang fwkb
H Z
E Wally IwM O aM&W M Ewt Man
t1 TOTAL 10TUH AT 7/M TEMw.DIprERENCE•
J O lo12TOTALWMINAT060MMT` w-DIpfERENCE
COL.A
I'
i."...iii..
1 A00M
O f H 1 COL.J COL.K L
TOTAL DTNH TOTALNOFBILMNGRADIATION
AT SELECTED2ROOMDIMENSIONS.•T. 1- ~
L W H L W M L M L W 11 L W OtSIGN TS•IP.1,
Y Ou"atNCtfLENGTHlllrOSEOWALLETFT.
1 WINOQw AND OUTSIDE 00Ow I AEA LL
Arm p0
S WALL COMET 9TUH
GM—ATHOMMOMMM
ITeMs E,Lbo i a 00
Trpe oM GLAEE Tar^Ln1.«t of w.N@W tr Limw
7 CEILING co«sTIweTlor
ITOI*96 L is WO tFOR CONCRETE FLOOR N
FLOOR CONSTAWCTIO0161 aAOUNA3 ON FILL AT
MINIM R L a W«Llw,Intl GR E ip A
f GOLD AIITIT14N QDIMTAYCTION
IT809 66 L a IN
lam,, 1 Wan IWMOpeak 00112waftIWMx
a Wane IWak op&Wp4p 1 or Era.Man gy g) Z a
11 TOTAL STUN AT 74P TEMIp.DIffERENCE• L 47-101)
12 TOTAL IITUH AT OMON T mp.DIrpaRENCE
TAN*M N bawl The"V*Omn lawkft ftwN rIaK E+a*4fty Hokkl ,N.JAL.07g2 roltfN is"
t
t 0 8 O R MCA16-1VULATHM OnLIT "09 Mhwwrlr Capyr4ht 1977 by In'iyalonus:r••,•. .e
OWNER ADDRESS - OEsiON TEM'ERATYRE OIRPtRENCt-.F. OATR
COL.A S C66 C' COL.O COL.E COL.T COL.O
F
O M L Iw N L J ,W M L W " L w " L W Dow"Www Twy.
Rom towwa,,PT. 1•qa
s LENGTH oxPOstO wALLs,'T.
Y
Ra/ImTw w rem 0#
AtNs4WINDOWANDOUTSIDEDOORAMArL
tl~TYM STY" BTU" BTU" STY"i WALL 000ISTRUCTION
ITS l6 Lbw S MH,Room LUL IT.Ow
Tow RADIATIONCP"N LINS 1R Si.o CTEOfM10fIrOMwMNrL10y
aN
C 4—
s O
tT019 I L uw r Lkk PR!
s
waftEMS Iw11A 0011 w oM.MMI 1 •
11 TOTAL STUN AT 74111 Taw.DIppoROMCoe
12 1 T TAL STYII AT DSSION TSW.OIPPsMNC! K
L
COL.A COL." COL.1 COL.i COL.K COL.L
t ROOM TOTAL srrY" TOTAL
O SlIILDIMO RAOIATIMr)K AT liLiClO " L w II W " L w N L w " L M W TIMMO
2 fla DllrtwloNs./T.
L OD1nslunts
i Lve""IMP IMALLAL PT.
Y
4 mMADOw AM OUTSIDE 00011 AREA a
oiRIN1 STY"6 w/LL TIOM
ITW9 R Lbw S s 00
wTm STUN
M"M OM
S GLASS
4091010 C/rl.wr~tV LIr w
tFOR CONCRETE FLOOR ONILI
1TOM 6.L R 10 GROL M13 OR PILL AT
oRAOK LXVI L.uos LINEARKFEETORExpos"as"IT*bRLawrLbLPU
s twRTrT1oM a oMSTNUCTION
T+1Ma 0.L a
10 1 WON 4WftkOpwAwfd
w.II.ItOM IS49noORw&41d M SM NMI411TOTALOTUl/AT 7a TSW.DIppoRONCs•
12 TOTAL WKIN AT 04816N TEaI'.6101fERENCE
TAb MNm b wwRnMM*WA TM NVolmowIM IwwwtL n RwM PIaW Gwkel"Moo,%N..L OM2 ioAM 1s"
FINAL INSPECTIO -
Buir"ding APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date:
Sprinkler 17 CHESHIRE DxIVE
Electric Estimated Costs Co Cjd
Zoning Permit Fee$
Affidavit NO. 22397 Occupancy Fee $3
Eng. Dept.
Fire Dept.COMPLETE RED BOXED AREAS.Total Fees
Health Dept. TYPE OR PRINT ONLY
Approved for CO: 4 SIGN ON REVERSE SIDE. Additional Cost) $
TO BUILDIN D ARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersig , hereby applies to do work according to the following specifications:
Job Location e CWK. Lot No. Side of Street Zone
Applicant Q A V T M Tel. # 05 f-OZ41.3
Address b 3 Woo& c1 cnLK H t (a,5 n sb Zip d 6a9 Z- Li # 5.21331
TREET CITY STATEOwnerLayUrtAddressl4C"e 7
Architect Address
Size New Area: Ft. Front Overall '---Ft. Deep Overall Total Area Garages
Size of Lot Dist. from treet Line
Lavatories
Bathrooms —Rooms 1 st 2nd 3rd
Purpose of this Permit e c j O o ft--*, n
lea eP,e k ' e
M K e+ec+0P'S + e
City Water 0 Well 11 Septic 0 Sewer O
Use Group _ Construction Type
Approved by Date Z Z BD1A 11/88
I h reby agree to conform to all the requirements of the Laws of the State 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.
Signed—acu"- /
I hereby apply for a Certificate of Occupancy for the work described in this a plication for permit.
Signed—L"'
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# , Inspections:
Electrical Permit# / 3.r' Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By Appl
Code Description Du Whom Code Comment
95-22397-B 6,000
B03 FRAMING (ROUGH) 06/30/95 JFH A
E03 ROUGH 06/30/95 JFH A
B10 FINAL 08/08/95 JFF D BOILR RM NEEDS LOUVR DR/SMO
B10 FINAL 08/31/95 JFH A APPROVED FOR CO & CLOSEOOUT
95-13515-E 600
95-9235-H 600
PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
71.
644-2511 Ext. 230
ate g Inspector Application must be printed or typed
1 . LOCATION OF JOB
e-s-Xt4 ,
FEE SCHEDULE No . Street
0 - $19000 -10.00 Floor Apt-. No.
Over $1,0 0 0 -10.0 0
2 . 0 WN ER C
per $1 ,000 or
fraction thereof
3. ADDRESS /7 C_, ,"S' 1/',
4. APPLICANT
5 . ADDRESS ft-al Im or--`7
O GJ21
6, ESTIMATED COST $ JD
7 . IS THIS A CONTRACT COST
o-J Y e s No
8. FEE ENCLOSED $ rd
9. TYPE OF BUILDING:
a
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
71ZAlteration/Addition/Repair
Rn 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
Jl11 . LOCATION OF JOB
N0. STREET APT. NO ,
12 . TYPE OF INSTALLATION
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 TRADE
35 . REMARKS AND FURTHER DETAILS :
LICENSE NO. GNATURE OF APPLICANT DATE
PHONE NUMBER: `f
r FOR-JFFICFQ USE ONLY APPLICATION FOR HVAC PERMIT DATE: SAS
NO. TOWN OF SOUTH WINDSOR EST.COST. rQ O
BLDG. PERMIT NO. I 1540 SULLIVAN AVENUE FEE
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 0 - $19000 - $10.00
1000 r fraction
LOCATION OF BUILDING/ 7 Cfi L::S)IJR F 1)R I VeL thereof - $10.00
Mr-y-mrs L.. A C, h Oil"Cat D-999
OWNER ADDRESS TOWN PHONE NO.
e 6 0 5- aA,Lel 5 t l ro 01Ca a l - yf 1 3 3
HVAC CONTRACTOR ADDRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING 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 X, ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION_ ADDITIONAL RADIATION TOTAL RADIATION_
DESIGN TEMP. OUTS OF INSIDE F DIFFER.ENCE F
TOTAL HEAT LOSS (BTUH)
10
SEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL SEATING EQUIPMENT (INCLUDING MARE b MODEL NO.):
GROSS HEATING CAPACITY (INPUT-BTUR) p4 0 NET RATING (OUTPUT-STUB) 7-j .O
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE F INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN (BTUH)
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE b 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 off such w rk.
FURTHER DESCRIPTION OF WORK: mo 1 R rp,1 (1 1 oI'At
71) r/ os' s
STATE LICENSE - NAME TYPE # DATE SICNATURE OF APPLICANT
0 TE/
L
BO 4A 11/88
I - B- A CALCULATION SHEET 1503 (Modern Method)Copyright 1977 by The Hydr nice Institute
WHER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.S 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 STUN OM F of of
3 LENGTH EXPOSED WALLS,FT. Radiation Selected
1 WINDOW AND OUTSIDE DOOR AREA LL
BTU64 STUN STUN STUN STUN
S WALL CONSTRUCTION ROOM LIN. FT.OF
Table 9,Line 3 x H) TOTALS RADIATION
8 TYPE OF GLASS FROM LINE 12 SELECTED
Bottom f table used for Line 5)
7 CEILING CONSTRUCTION C
Table 9,L x W)
9 FLOOR CONSTRUCTIONt
O—
ITable 9, L x W or Lin. F t) E
9 COLD PARTITION CONSTRUCTION F
Table 9, L x H)G
10 _
Q 1 Wail IWlthOpenings)O
2 Wells(With Openings) X
3 Wells IWrth Openings)or Ent.Hall
J
11 TOTAL STUH AT 70F TEMP DIFFERENCE'
12 TOTAL 13YUH AT DESIGN TEMP. DIFFERENCE K
COL.A — -- -_` COLS COL.H COL.1 COL_J COL. K lCOL•L TOTAL STUH TOTAL
OF BUILDING RAOIATIO141AOOMATSELECTED
O H L W H L W H L W H L W H L W DESIGN TEMP.-
2 ROOM DIMENSIONS.FT 1 1,- DIFFERENCE
U
3 LENGTH EXPOSED WALLS, FT.
41 WINDOW AND OUTSIDE DOOR AREA a
STUN STUN STUH STUH STUH
5 WALL CONSTRUCTION INCREASE BATHROOM
Table 9,Line 3 x H) TOTAL 20%
6 TYPE OF GLASS
IB ltom f table used f r Line 51
7 CEILING CONSTRUCTION IFOR CONCRETE FLOOR ON
Table 9, L x W)
GROUND OR FILL AT
GRADE LEVEL,USE LINEAR
B FLOOR CONSTRUCTION, FEET OF EXPOSED EDGE
Table 9,L x W r Lin Ft.)
9 COLD PARTITION CONSTRUCTION
Table 9,L x H)
10 c 1 Wall(With Openings)O
2 Walls(With Openings) e XOb
3 Walls(With Openings)Or Ent.Mall
J
11 TOTAL STUH AT 70F TEMP DIFFERENCE'
12 TOTAL STUH AT DESIGN TEMP DIFFERENCE
FORM 1503
This form Is eraitabie fr m The Hydronics Institute 36 Russ Place,Berkeley Heights,N J 01922
WEIL -McLAIN IiEAT LOSS CALCULATION S11EET
ESTIMATED BY S
DATE
ADDRESS
OWNER
TYPE OF BUILDING CONSTRUCTION
DESIGN TEMPERATURE DIFFERENCE F. AVERAGE WATER TEMPERATURE F.
COL. A COL. 8 COL. C COL. D COL. E COL. F
Room
li L W li L W H L w H L W H L. w
2 R am Dimensions, Fl. BTU/HR BTU/HR ROOM
BTU/ifR BTU/NR BTU/HR TOTALS
3 Length Exposed Walls, Ft. REQUIRED REQUIRED REQUIRED FROM LINE 1
REQUIRED REQUIRED
Grass Wall Area, Sq. Ft.
57 Glass Area, S . F1.B
Nat Woll J1reo, Sq. Ft.
L4
7 Calling Area, Sq. Ft. tY
O C
fl Floor Area, S Ft. t "
9 Room Volume For D.
G.
Cu. Ft. E
10 Total BTU/HR At 70F Temp. Difference .
Il Total BTU/HR At Design Temp. Difference F
12 Hoot Distributing Units
1 S G
COL. ( COL. J COL. K
COL. A COL..G COL. H
H
1 Room W H L W
H L w H ]EEL w H L w H L
2 Room Dimensions, Ft.BTU/HR BTU/HR BTU/HR
Length Exposed Walls, Ft. BTU/HR BTU/HR
4 Gross Wall Also, Sq. Ft.REQUIRED REQUIRED REQUIRED REQUIRED REQUIRED J
S Gloss Also, Sq. Ft.K
6 Net Wall Area, Sq. Fl.
7 Calling Area, Sq. Ft. O
8 Floor Area, Sq. Ft. t t-
U
9 Room Volume For t
Total
Building
m
Infiltration Difference
Cu. Ft.
10 Total BTU/HR at 70F Temp. Difference •
11 Total BTU/HR at Design Temp. Difference
12 Heal Distributing Units 11 This heat lose calculation and estimate sheet is for the use of heating contractors
t Increase Bathroom Total 207, and wholesalers. Well-McLain Co. assumes no tesponslblllty for the design of
alculatlona contained on this sheet.
tFor concrete float on ground or fill at grade level, use linear feet of exposed edge. operation of ilia heating system based on the c
For.oll other floors, use square feel of area.
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Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 17 CHESHIRE DRIVE
HVAC # 2 351 Date: 2
Sprinkler# No.
FINAL APPROVA S yU
Estimated Cost S
Building v COMPLETE RED BOXED AREAS Permit FeeEngZy
Affidavit TYPE OR PRINT ONLY Occupancy Fee S
Affidavit
Appr.for CO. SIGN ON REVERSE SIDE Total Fee Z
TO BUILDING DEPARTMENT,TOWN OF SOUTH WWSOR,CT Additional Cost) $
Th and rsigned hereby applies to do work according to the Following specifications:
Job Location 06ES-1difur. D of No. Side of Street Zone
Applicant Tel. # 4 Y(I .-gF-aJ-
Address Ai.9--g- Zip t/ Lic. #
Own r Add0044 —7ress a^ ' - 1'y S l bZ R cS
Architect Address
rr'-
Sq. Ft.New Area: Ist FI. 2nd FI. 3rd FI. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit:
S City Water Well C3 Septic System Sewer n
Use Group Construction Type Area Basem Garage
Approved by Date t/ 5
R*vWW 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 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 a is allowed
Signed
I hereby apply for a Certificate of Occupancy for the work de edins application for the rmit
Signed
DO NOT WRITE;Oe'OWTHIS LINE --
INSPECTION COMMENTS