HomeMy WebLinkAbout18 Porter GreenFItM SL INSPECTIONS:
Building APPLICATION FOR BUILDING PERMIT
il AD
Plumbing Date:
HVAC 18 PORTER GREEN
Sprinkler
Estimatedimated Cost $
S 3! Permit FeesZoning
Affidavit NO, 21186 Occupancy Fee $
Eng. Dept.COMPLETE RED BOXED AREAS.
Total Fee $Fire Dept.TYPE OR PRINT ONLY
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO• Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, b tiedo workjccording
Job Location Lot No. Side of Street Zon
Applicant Tel. #
AddressA ip Lic.#
T EE CITY ST
Owner Address
Architect Address So rirA p
Ft Front Overall Ft. Deep Overall Total Area. Z 9g #Garages
Size New Area Lavatories
Size of Lo Q
I
96S Dist. from Street Line Rnthrn MS Rooms lst-2-2nd13-3rd
pen'112/aPurposeofthisPermit41" -
j L
City Water Well 13 Septic 0 Sewer
Use Group f Construction Type Z-/;z
3 ZlApprovedbyDate 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 lin s,side yard li and required distances from all oth r zones and is
located in a zone in which this building and its use is allowed.
Signed
Cto, f
I hereby apply for a Certificate of Occupancy for the work described in this pplication for perm t.
Signed
n 1DONOTWRITEBELOWTHISLINE- (-os—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
MPlumbingPermit# 13 Inspections:
HVAC Permit# u a% Inspections:
Electrical Permit# L2 1 Inspections:
Sprinkler Permit# Inspections:
Location of job AFFIDAVIT Additional Fee .$4 0...0 0. .
State of Connecticst
County of Hart:ord
ss.
I.. ... V................ ...of C c F-."IcolnRcto
for buuL:.;erected uacer
r
Permit No. issued by the Dept of 3u—,Id!n of the Town of Souc'a Windsor bein dui:swor=--.4e oath
and say that the actual ccs: cf the ccm;!eted wc.-k aut tcrized order said Fem;it did nct exceed the most curr< acczpted ECCA
value cf . $.'.8 2,•453•.•00 lSired ........ ., ........... ....................
Subscribed and sworn to before me cis .......-•-' ............day of A,D.14 ...4.
l
Estimate Cost:3 -7a, 0 0 0. 0 Q_
Difference.- S 3, 4 5 3 . 0 0 lv P.
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
94-21186-B 70,000
B01 FOOTING 04/06/94 JFH A
B02 FOUNDATION 04/11/94 JFH A
B05 FIREPLACE/CHIMNEY 04/21/94 JFH A
E01 SERVICE 04/21/94 JFH A RELEASE ISSUED
B03 FRAMING (ROUGH) 04/26/94 JFH A
E03 ROUGH 04/26/94 JFH A
P03 ROUGH 04/26/94 JFH A
P02 UNDERGROUND 04/27/94 JFH A WATER TEST
B04 INSULATION 04/27/94 JFH D NOT READY
B04 INSULATION 04/28/94 JFH A
PO4 GAS TEST 05/23/94 JFH A AIR TEST
94-9372-P 3,000
94-8836-H 3,000
94-12969-E 3,000
Total Est Value 79,000
Dwelling 1, 598 59,413.64
Basement 768 7,641 .60
Garage 484 5,687 .00
Smoke Det 3 225.00
BOCA Value 82,452.98
Difference 3,452.98
CERTIFICATE OF OCCUPANCYo;, UPA CHECK LIST
Applicant 3 Certificate of Occupancy Oe //
Address 8PaT41& ti Bldg. Permit No.
Lot No. Date Reviewed
Project Remiaxed By
Date Submitte 5 q 4 (:!P Approve Denied
As required in the Zoning Regulations, no Certificate-of-Occupancy shall he
issued until grading plans have been complied with and approved by the Town
Engineer. The minimum requirements shall include:
Anuroved Denied N/A
1 . Approved building permit plan .
2 . Finish grading per approved
building permit plan.
3 . Site work; i .e . trees, shrubs ,
dulnos`ers, required park i nc,
4 . Utility location
a . Sanitary sewer
b. foundation drain w
c. electrical & tele I-cne
d. water
e. other
5 . Sewer connection charee paid.
6 . A=cropriate ce-rtif ica t__i or:
7 . Bonding
mQL
4C 8 . Planning & Zoning
Sewer Permit No. 1 9
Pavement Excavation No. ,6i
CONLMENT
VG.S /30 iTL - ~`75 33''
v bv,h GI!'i tc^ i r1 C,oh n1 hu w crE n e PIQVI
d c,Mj n L,ss&vy l y ,1ol r
D a t e 3 =/ ----------
TO : Town of South Windsor
Attention : Engineering Dept .
1540 'Sullivan Ave
South Windsor , CT 06074
RE : LOT # Ion REDFIELD DEVELOPMENT , South Windsor-
To whom it may concern:
I/We are the homebuyer ( s ) of the above
referenced lot at the Redfield development in South Windsor , CT .
I /We herby give permission to Clark Realty Inc . , J .M . J .` Construc-
tion Co . Inc , (Builders ) and or the Town of South Windsor to enter
onto my property to complete work that needs to be done in order
to be in compliance with the approved plot plan for my property .
examples of the work to be completed : gradi6g , seeding , tree plant-
ing etc .
c
Homebuyer
sTle P n s Nancy Jacque Ia s
Notary Publ c
Homebuyer My commission expires 3/ 95
BUILDING PERP4IT CHECK LIST
Applicant [_1 a rk RPa l t-v Tn; Building Permit No. _ 1118 6
Address 6-98 Ellington Rd _ Date Submitted 0 94 p.m. )
Lot No. 72 #l R porter C;rPPn Reviewed by
Project Redfield Subdivisinn Date
31fo
In accordance with the Subdivision Re ions, 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. 20
4 . Plot plan at 1" = 4'0-' 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.
U f. Elevations drainage systems,
sanitary & foundation drat at the
house and
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 Z C 1) Q&2C Cam,*V, c"r n 11bIWA/CC
9 aa; (\ R4 c J Co Am 41te. .- 4f n 4"C'I- f v"-e. ,
I
WPCA
OTHERS N'-eJ 6J -ar o'It.s.e , C CeAd. V"'d [e-4 McSscy,
falf (l)wn C 11 ,nne
COMMENTS:
PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT b
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
C,/
Date ding Inspector Application must be printed or typed
1 . LOCATION OF JOB
t,er --Iy Rmlcc-
FEE SCHEDULE No . Stre
0 - $19000 - 10.00 Floor Apt . No.
Over $1,000 - 10.00
2 . OWNEROJ 4.1 3=ffAiZ:tper $1 ,000 or
fraction thereof
3. ADDRESS 615'5 JLi t NG-TDnI
4. APPLICANT
5 , ADDRESS
rp C.,
6, ESTIMATED COST $_ Q
1
7 , IS THIS A CONTRACT COST
Yes No
8. FEE ENCLOSED $ ne-
9. TYPE OF BUILD G:
CA&SIDENTIAL COMMERCIAL
10. TYPE OF JOB :
riginal Installation
i
Alteration/Addition/Repair
i RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB LOTF 71 -?c) c ef1
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION e-,p
13 . SIZE OF MAIN FEEDER 1coP4--
14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16 . NO . OF POWER LOOPS S 17 . NO. OF LIGHT OUTLETSt y
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS
20 . NO. OF CONVENIENCE OUTLETS 3 21. NO. OF HEAT CIRCUITS 1
r--
22 . NO. OF POWER CIRCUITS 1 23 . NO. OF LIGHT CIRCUITS_
24. SIZE OF HEAT CIRCUITS SA- 25 . NO. OF MOTOR§`
26 . NO . OF PANELS '27 . TOTAL WATTAGFQ ()
28 . NO . OF POWER FEEDERS 1 29 . NO. OF SWITCHES L
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:
INSPECTOR F4- DATE I TIME
7=
LOCATION Z
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
6
ELECTRICAL:
l
nl L J
PLUMBING:
HVAC:
OTHER:
rERT IT ^:0.
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Application is hereby :TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.APP DISAPPROVED
1540 SULLIVAN AVENUE
644-2511 Ext. 230
DfatJr Building Inspector Applications must be printed or typed
1. LOCATION OF JOB:
ZZ
FEE SCHEDULE 2. OWNER:
0 - $1 ,0 0 0 - 10.0 0 3. ADDRESS: J11A;C TD
Over $1 ,000 10.00 D • k), )' ,/,Q, 0i oCo 0-7
per $1 ,000 or
fraction thereof
4. APPLICANT:
5. ADDRESS: C. "A
C.y AV 0),q-C)/
n, 7 C) to d 7
6. EST. COST: $
7. IS THIS A CONTRACT COST? YES NO
8. FEE ENCLOSED: $ 50 o0
9. TYPE OF BUILDI :
RESIDENTIAL 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: /C 0- 7,z
GENERAL PLUMBING
12. KIND OF INSTALLATION: A)E-tc) 13. SIZE OF MAIN DRAIN `7
14. NO. OF TOILETS -,5 STYLE 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS 62 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES 3
18. NO. OF SINKS / 19. DISPOSAL I 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 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 R SEPTIC TANK?
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS 3
32. REMARKS AND FURTHER DETAILS OOC_)4 01
WATER HEATER
33. TYPE --54 V)t L E SS C®i t 34. MANUFACTURER 1;4M 71 NEw
TANKS SAFETY DEVICES
TEMPERATURE
35. CAPACITY OX li,¢1- 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER to-r/S
37. WORKING PRESSURE /LBS. 41. PRESSURE RELIEF VALVE
38. TYPE T um:2nE 42. MANUFACTURER
LICENSE NO. DATE SIGNATUREA PPLICANT
PHONE NO. 0,5 acl-67SY67
FOR OFFICE USE ONLY APPLICATION FOR RVAC PERMIT DATE:i f
TOW OF SOUTH WINDSOR EST.COST.-Q3 o--rBLDC. PERMIT NO. .• J 0 15 40 SULLIVAN AVENUE FEE
SOUTH WINDSOR, CT 06074
644-2511 - Ext. 230 0 - $19000 - $10.00
1000 or fraction
LOCATION OF BUILDING 4,07 7z T ,
thereof - $10.00
Nt_ Got euc
OWNER ADDRESS TOWN PHONE NO.
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 IAR
UNIT RADIANT HEATER (INCLUDING WOOD COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM_ GAS IN-PUT/oo 000 ELECTRIC RW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION_ ADDITIONAL RADIATION TOTAL RADIATION_
DESIGN TEMP. OUTSIDE FOFINSIDEFDIFFERENCE
TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MU TT ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE A MODEL NO.):A A4 7/E,q TNM,¢-j<E7
EE k T-7.4-GwEJ o s s Div eF_-7-
GROSS HEATING CAPACITY (INPUT-BTUH)Iob,onD_ NET RATING (OUTPUT-BTUH) &.00 C_)
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE F INSIDE OF DIFFERENCE F
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 of such work.
FURTHER DESCRIPTION OF WORK:
STATE LICENSE'- NAME & TYPE # DATI IG 0 LI T
zz_ 3 i? ,!v
APPROVED DATt
8D 4A 11/88
I - B: R CALCULATION SHEET 1503 (Modern Method)Copyright 1971 by The Hydr nice institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COLS COL.C COL.D COL.E COL.F COL.G
1 ROOM cc
p H I L I W H L W N L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS,FT.U I STUN per Fo t of
3 LENGTH EXPOSED WALLS.FT. Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA LL
STUN STUN STUN STUH STUN
5 WALL CONSTRUCTION ROOM LIN. FT.OF
Table 9,Line 3 x H) TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
IBott m f table used for Line 5)
7 CEILING CONSTRUCTION C
Table 9,L x W)
g FLOOR CONSTRUCTIONt
D_
Table 9. L x W or Lin. F t) E
9 COLD PARTITION CONSTRUCTION F
Table 9,L x H)
10 .
Q 1 Wall(With Openings)O
2 Wells IW ith Openings) x
1
3 Walls IWilh Openings)or Ent.Hall p.
J
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K
C L.A COLS COL.H COL.1 COL.J COL.K COL.L TOTAL STUH TOTAL
OF BUILDING RADIATION1ROOMQATSELECTED
p H L W H I L W H I L I W H L I W H L W DESIGN TEMP.-
2 ROOM DIMENSIONS. FT 10' DIFFERENCE
U
r LENGTH EXPOSED WALLS, FT.
WINDOW AND OUTSIDE DOOR AREA LL
STUN STUN STUN STUN STUH
5 WALL CONSTRUCTION INCREASE BATHROOM
Table 9,Line 3 x HI TOTAL 20%
6 TYPE OF GLASS
18ottom of table used f r Line 51
7 CEILING CONSTRUCTION
tFOR CONCRETE FLOOR ON
Table 9 L x WI
GROUND OR FILL AT
GRADE LEVEL,USE LINEAR
S FLOOR CONSTRUCTIONI FEET OF EXPOSED EDGE
Table 9. L x W or Lin Ft.)
9 COLD PARTITION CONSTRUCTION
ITable 9,L x H)
10 _c 1 Well(With Openings)
C; 2 Wells(With Openings) p X
3 Wells(With Openings)or Ent.Hall
11 TOTAL STUH AT 70F TEMP DIFFERENCE*
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
FORM 1503
This form Is availabie from The Hydr nice Institute 36 Russo Place,Berkeley Heights,N J 01922
w WM CZWAt
IPR 1C IE()AIIIrAMN #13fM 06/09/93
UEY 41ER :M WB CL-Nav11U R :CM WMY
ffPK+TJ BY :PE:IER xe I; N f S
Cr.M # K'fM aW IXIM RIM.91a: BtU HIS Pr MtEam)
1 R-M 2 A)C 0)( 6 3403.82 5.7
2 DINIK; 3.00 8X llX 12 3328.64 5.5
3 Mx 4.00 8x 8x 5 1715.28 * 2.9
4 KM EN 5.00 ac 1.2X 9 M.96 3.8
5 C A'ECX M 6.00 AX 13X 24 11699.24 19.5
6 FEarcm 7.00 gd2.!PX 11 4452.35 7.4
7 MRXM 8.00 EX 1].X 11 4130,42 6.9
8 PA711 9.00 8X FX 8 26M.30 4.5
9 :Aal i•*t.xgl t 10.00 FAX & P 2272.03 3.8
10 MPMER IEIM 11.00 8X 13K17.5 6142.15 10.2
V, 3 42090.19 70.21
EUXI, FBI- S;).Fr ICr,.).Fr af.Pr M.FP
1 13 35 0 0 2BB 6
2 166 16 0 0 1056 132
3 93 6 0 0 320 40
4 84 12 0 0 ffi4 108
5 34-2 58 0 0 2496 312
6 172 16 1.17.5 0 1100 137.5
7 1.60 16 121 0 8 121
8 52 12 644 0 512 64 1
9 36 12 48 0 384 48 i
to 22B 16 227.5 0 1820 227.5
ZCt1ALS 1353 199 598 0 m 1226
Flat tm ux-I r
WIT,ILA C I SS an;M, runt 3m nm771N IOAL Bru
1 91.00 2768.50 0.00 0.00 544.32 MM.82
2 1176.00 M.60 0.00 0.00 887.04 3328.64
3 823.20 %9.52 0.00 0.00 322.5E 1715.26 =_
5 2JUN 10 '9a' 14:47 0.00 0.00 MA ,11699.24 C C AA jCP•4i41204.00 3Y.5.64 IM8.75 0.00 924.04 4452.35
2 U76.00 1265.60 O.G0 0.00 819.04 3:ti .64
3 823.20 %9.52 0.00 0.00 322.56 1715.2E
5 2 JUN 10 '9a 14:47 0.00 0.00 4717.44 11699.24
C t A j<P.4/4
6 1204.00 lYb.FO 1MB.75 0.00 924.00 4452.35
7- 1120.00 M.60 1.931.70 0.00 813.12 4130.42
8 436.80 1139.04 591.36 0.00 516.10 2663.30
302.40 11.19.04 443.52 0.00 3B7.07 2M.03
lb 15%.00 1265.60 1751.75 0.00 1528.80 6142.15
IMIALS 9731.40 162L5.50 4777.08 0.00 11366.21 42090.19
CF RUT.23 39 11 0 27 100
1E AVMKE siv RR aI.Fr. (I'LN M AON 1S 4.29
MUS tRD nN CAMMUM
ltAfr!'
11.00 0.10 1.13 0.11 0.09 O.OZ7 600 70
11.00 0.10 1.13 0.11 0.09 0.012 600 70
11.00 0.1.0 1.13 0.11 0.09 0.012 600 70
11.00 0.10 1.13 0..11 0.09 O.OJ2 600 70
11.00 0.10 1.13 0.11 0.09 0.027 600 70
11.00 0.10 1.13 0.11 0.09 0.012 600 70
11..Da 0.10 1.13 0.11 0.09 0.012 600 70
11.00 0.1.0 1.13 0.11 0.09 0.012 6w 70
1 0.10 1.13 0.11 0.09 0.012 600 70
I.,A) 0.10 1.13 0.11 0.M 0.012 600 70
epctxic# APPLICATION FOR BUILDING PERMIT
Plumbing# 18 PORTER GREEN
HVAC #4 25604
Date:
Sprinkler# No.
FINAL APPROVALS Estimated Cost $
Building COMPLETE RED BOXED AREAS Permit Fee 10.aft
Engineering TYPE OR PRINT ONLY Occupancy Fee iDa
Affidavit SIGN ON REVERSE SIDEAppr.for CO. 47` g-,Z- Total Fee
TO BUILDM DEPARTMENT,TOWN OF SOUTH WMSOR,CT Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Job LocationA 14 mot, Lot No. Side of Street Zone
Applicant A f' w-'V!Tel#
Address Zip i2e! Lic.#
Own r i Address 6' . , u Z
Architect Address
Sq.Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpos of this permit: Q ct
bid i 1
City Water ell Septic System Sewer
Ins. H.O. P. Cert. kli:tea I A Basement Garage
Approved by Date 9 b&S UflIIseGroupConstructionType
Revued 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 th proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which is b ' ing s use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for wo escnbed in is application for the permit.
SignedD
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
98-25604-B 8,600
B03 FRAMING (ROUGH) 09/29/98 DCJ A
E03 ROUGH 09/29/98 DCJ A
B04 INSULATION 09/30/98 DCJ A
B10 FINAL 10/15/98 JFF A APPROVED FOR CO & CLOSEOUT
98-15075-E 1,000
98-10279-H 1,200
I
1
r
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
P
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT BldVPermitAPPROVED1540SULLIVANAVENUE
644-2511 ext.230
2
Date wilding Inspector Application must be printed or typed
Location ofjob
9, Qpo
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER S'
or any fraction thereof
a v e tZ i
ADDRESS Tr-TQ r QC?q
OWNERS PHONE# 1 L
APPLICANT
ADDRESS
Li
07
ESTIMATED COST$
C ' IS THIS A CONTRACT COST?
YES NO
FEE ENCLOSED $ I
TYPE OF JOB:SCR CO Original Installation
i 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 a
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/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
Qn 1.9
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.
C, 4aCla3!;UA?-5-1 J,4-nx
NAME SATEf LICENSE NO. TYPE SIG A OF LICANT
PHONE NO. d o 9 8 7bATE
PERDEPARTMENTDECISIONAPPLICATIONFORHVACPERMIT g#
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPR VED > 1540 SULLIVAN AVENUE
644-2511 ext.230
Date Building Inspector Application must be printed or typed
Location ofjob
treet No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER je J
or any fraction thereof
ADDRESS
6OWNERSPHONE# C '7 04i,
APPLIC
WS ADDRESS 3l a
O
Ca
ESTIMATED COST $
O
C IS THIS A CONTRACT COST?
YES NO
C! FEE ENCLOSED $
1
TYPE OF JOB:R-C Original Installation F
Alteration/Addition/Repair
Revised 11/95
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM
BEATING
OF BUILDING
HEATING RESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS.
HYDRONIC I WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION_ADDITIONAL RADIATION ,?:I TOTAL RADIATION 9Z l
DESIGN TEMP. OUTSIDEW F INSIDE U F DIFFERENCE F
TOTAL HEAT LOSS(BTUH)
HEAT LOSS SHEET MUST ACCOMP APPLICATION)
ag
DESCRIBE ALL HEATING E IPMENT (INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY (INPUT-BTUHPO MNET RATING (OUTPUT-BTUH)UZ1Z>
TYPE OF FUEL
OIL-GPM GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
TOTAL HEAT GAIN(BTUH)
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
TONNAGE COOLING CAPACITY(BTUH)
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 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 CODES IN THE
PERFORMANCE OF SUCH WORK.
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STATE LICENSE-NO. NAME&TYPE SIGNA OF PLI
PHONE NO. J DATE
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B= R CALCULATION SHEET 1503 (Modern Method 1 Copyright 2977 by The Hydronics I stitute
WNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE,
COL.A COL.B COL.C COL.D_ COL.E COL.F COL.G
1 ROOM
It
O H L I W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS,FT. F T BTUH per F ofAV
3 LENGTH EXPOSED WALLS,FT.Q Radfatl n Selected
4 WINDOW AND OUTSIDE DOOR AREA U.
5 WALL CONSTRUCTION
BTUH BTUH BTUH BTUH BTUH
JTable9,Line 3 x H)2 ROOM LIN.FT.OF6UTOTALSRADIATION6TYPEOFGLASSFROMLINE12SELECTED
B ttom of table used for Line 5) b
7 CEILING CONSTRUCTION
C 3Table9,L x W)l
B FLOOR CONSTRUCTIONt a D
Table 9, L x W or Lin. FL) E (J'j-74) 16
9 COLD PARTITION CONSTRUCTION
F lli
Table 9,L x H)
G10 _c 1 Wall(With Openings) 03 iUf /
Hco2Walls(With Openings) a X .G)
3 Walls(With Openings)or Ent.Hall F a 1
11 TOTAL BTUH AT 70F TEMP.DIFFERENCE' 0-0 U-0 J
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K
L
COL.A COL.B I COL.H COL.1 COL.J COL.K COL.L TOTAL BTUH TOTAL1ROOMOFBUILDINGRADIATION
AT SELECTEDOHLWHLWHLWHLWHLWDESIGNTEMP.°
21 ROOM DIMENSIONS,FT.
U
DIFFERENCE
U31LENGTHEXPOSEDWALLS,FT.Q
41 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH BTUH5WALLCONSTRUCTION
INCREASE BATHROOMTable9,Line 3 x H) TOTAL 20%
6 TYPE OF GLASS
Bolt m f table used for Line 5)
7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON
Table 9,L x W)GROUND OR FILL AT
GRADE LEVEL.USE LINEARBFLOORCONSTRUCTIONtFEETOFEXPOSEDEDGE
Table 9,L x W or Lin.FL)
9 COLD PARTITION CONSTRUCTION
Table 9,L x H)
10 _c 1 Wall(With Openings) C3
a 2 Walls(With Openings) 2 XJ3Walls(With Openings)or Ent.Hall
11 TOTAL BTUH AT 70F TEMP.DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE
This f rm is available from The Hydronics Institute,35 Russ Place,Berkeley Heights,N.J.07922 FORM 1503
s
INSPECTOR 'S DATE Il_TIME
LOCATION 2)CS f(u n
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL:
PLUMBING:
HVAC: U
OTHER: