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Home My WebLink About190 McGrath RoadApplication No. 494. Permit No. 41*4....... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. 4)eo hereby make application for a permit to (erect *elm sit n—W a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall, be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn., 19....a Sign here ... Address A.. aa .. 0Location? side of? A-w....dr-0......14.....-A.................................. Nearestcross street? ......I..................................Street No. ................ ............................... Lot No. 2.0............ Owner of land is? 14fim. ........//4P.*.f4 ..............AddressPp-.0...174A...... 1N-4;0-04C"1; 0_ Ownerof building is? 9......................................... I...................... 0, 60 1 d* f to itectis? ............. Address ......................................................................... ........... .................. Builderis? ............................... e..................................Address ................................................................................................... .......... IXDimensionsofbuilding? )LfXSe ifeet front? Feet rear? 2-Feet deep? .. 2- C Extreme height to highest point of roof? ...... A............ No. of stories in height?. O.Al 4:ew Purposeof building is? C..:!!;t.....................No. of stores? ......................... ... ..................................................................... How many families? .. ......... ...#7.......e.............................................No. of rooms? 0-1 Distance from street line is? Y.3 . ... .................. ... .....from building fine is? ....... ......... A$...... .......... ............ ... ........ ADDITIONS AND ALTERATIONS Gve Brief Description) 7) S"77.` PAYMENT I...........ENDORSED--BY-*SANITARY _OFFICER Map No. IN ACCORDANCE WITH TOWN OF S UTH WINDSORaDINANCE NO. 6 SA ARY OFFICElk If of steel frame, what is exterior construction? . What kind of columns used? .............. ................ Size of columns used? What length of columns used? .. How protected? What kind of beams or girders? . ... Size of beams or girders? .. . Longest span of beams or girders? . . These rest on? Roof construction is? ... ............ ..Roof covering is? The floors are of ........ .construction and are calculated to carry a safe load of lbs. per square foot. See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? . Compositionof mortar? . .............. .. ............ ................. ................................................................ . . ...... .. . Height and Thickness of Walls Height Stories Front Walls Side Walls Rear Walls Partition Walls Basement, 1st Story 2nd " 3rd " 4th " I......... 5th 6th " 7th as 8th 9th " 10th Material.of Front? If stone, what kind? Thickness of Ashlar? Thickness of Backing? Backed up with what? Arches or lintels over openings? R J"N I"Nuo, 1- 44, 4 Oct,", Q"Sisot 4"im""a of Jaw C&Aftj-*ad le- Fift" SIM Lee"*Veakft FAmme "M 0406M aft XAM#ft Iit mo--W 07 1 A- 4ft. 1%ft f outside studs? .......Z.A.-Y............ Diamam 4&................... so*of We Size of rafters? Distance on centres?..................L........................Size of plate? Size of ledgers or girts? ................................................................................Size of deck rafters? .................................................... . ............ J Distance on centres? ............................................................................ of studs in bearing partitions? .......................... MISCELLANEOUS Style of roof, flat,.pitch, Mansard, or Wqqmd? ... Fireplaces? ............... .................................... Material of roof covering? ... Material of Cornice? How is building heated? .4.1.......*0i.....0-P-1-Y........Lining of Rues? ... ..40101-/"a...................................................................... Thickness of shell of flues? /.....*................................................Any elevators or lifts? ............................................................ ...................... Whatkind? .............. .... ............ ............ How many? ..... ... Any ho' " ? .................... .............. ...................mt; z ciD.............How protected? .......... . ................. ............................... .. ...............Total Value of Building ..... .: ."'70AP..q..Ar...... When will work be commenced? The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this application, conforms to the zoning regulations of the Town of South Windsor. Town of South Windsor since 1949. V C Applicant 4644 BUILDING APPLICATION Application No. ..49.04.. ................................................... on the ..Nor th side of McGrath Rd. Street. Street No, Lot #20 Nutmeg Home s Inc.Owner Applicant same .. ..... CLASSIFICATION Dwelling 26 t x58*1 Permit issued on above Application. Date, 11-29-63 19 TOWN OF SOUTH WINDSOR BUILDING PERMIT k w Nov. 290 63DateI 4 , Fee Paid $.6.0.9.00 Eat. Value $. .15,0 RECD. SEPTIC RAYNtrNT ...,,20.04 a 1 Permit N. 4644 on the North side of McGrath Rd. Suez N« IF k , 20StreetNo. Lot Owner Nutmeg Home a IUG• r-, Applicant game T CERTIFICATE OF OCCUPANCY ISSUED: Date, No. 2729 Fee Paid $ 3.00 CLASSIFICATION Dwelling 26 ta58*r BUILDING PERMIT N? 4644 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 19 94io to to Terfff1j That is hereby granted permission to at estimated value of 1$ i on the side of r Street on land owned by Said to be as described in Application No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued ' 19 BuiMing 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." I Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONNI Permit N? 2729 I Cer"'r qte of Oc uponcy 1 1 oCITHISISTOtth1,0 I at No. 1G in the To f South Windsor, Connecticut, has been erected and completed in accordance with the Build Code and Zoning Regulations ofI 1 th Town of South Windsor, and is hereby approved for occt"ncy. y I I for der I Fee Paid Datela, - x9 br e¢," - prx R =r-_ a._yt i'Jgr' ;lYq perrr; 9Ii,'. ?r t xc:•,Y?!ax^ 1, T t . ' • V m f s FOR eUIC DINS PURPOSES r I'D 69" SES pNCY J . WA ,` J, - ' e _ fie p y, Z rx R - u t .m-,{fir` i Ri 3Y wi .n 4`,,'`'l,t,^ ''N`. iE t + - ',_„ r . .• ., r"` +fit„ w ? t .° e 3 IFS .r• y''T C,j. y r s, y `,„, e n 4f'Frf ` Ft S• yp,' 4 f l",1`'f WaJ :",11'•1 y'`s}r t,,,:'` , .t.a'y,,,,pr , ;,> .. -,,.' yx;P=.'f"t; a.iS; ,',," ram, :4•"as r r qy y;+, W pv g` .•J': a" fib Fl. ^-'- _ dyes. 'Y - " y' _r.,..`"_^ y ,'`'e p 'V _ r fa;T.' LLp,- s ' i s 'n_ • 4 `y-` y`' as i 4• e6 ri' y"k'i YY1 J. r d " • .. ,. fie r dl- J q' r sir +R`fir i 1 ' k ."i '>',fs` ",.' INI 41 s INN s,1.. x 5 t•' Jam' "4 } C ?.OkV COY erg fR0 P9 RTT OF 536 ' No. XaGrath Road. South Windsor, Conn.b„ 3.o t; t s . 20' o nap entitled "Subdivisiop Map Property of Mcarath hsta%*. Sovt°h Windsor, Conn. Oct. 229 1960 Scale 10 w 401 Morton S. Fine 'Civil Znjineer" Sheet 2 of 2 Scal 1e 40 r Z3: /,, 0/ Hayden L.Orisxold C.R 2928 PLUMBING APPLICATION 2717 AppficadmNO. on die North ade of McGrath Rd•. Se ec Sum No.20 McGrath Ltd. Y N Nutmeg Homes Inca Vwm ...._...... phiobw J_ es,x4g€ te. -Rockville 3hoet -Metal Ion;. Filed in Me of he 15-6l S 7 No p==shill Oonsau[t; add m or abz! my poctioa of the &aide system of any bwl og rsoept to repair Tema) uaa a PAmit is granted y_• by the 2717 2928 Application No. ... .......................... Permit No. ..... ............... ......... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application to perform plumbing according to detailed description below. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether specified herein or not. South Windsor, 19 Sign here . ..... ......................................... J-1 Address .... ...........V.......................... Location side of Street Nature of Building Aftlllft..............................How many stories Ono.. ......................................................... Owner .. .. ...4013dell_.114.. ........................................ Address ...... ............ . .. .. ............................... ....................................... Architect . .. ....... ............ .. ... .... .......... ...................... .................... Address ........... Builder 4010*11 poed.. . ........................... ... .......... Address Plumber 1&,MAt...Xwtal....IA'e4p........ Address . ......113 --V#J Wzl....Avc-i* 116-akV.1116-s Cons* DRAINAGE CESSPOOLS, How many Where located ... ..... ..... .. .................................................................... Are they water tight I..... Of what materials are they built -.... ......... ...... ....... ......... Size of pipe from house to cesspoo, V.......... Kind of pipe MAIN DRAIN IN CELLAR, M rial -Cepi)-a. Diameter 3:!.....0-Pe-L........................................... ... .......... Aboveor below cellar bottom I...................................... SOIL PIPES, Material Cz. XA.. b* k-V' *7...... Diameter 11. ........... ....................... ....... .....-.......... .............................. WASTE PIPES, Material 0*1)*5P.. ........ Diameter UP-0.... 2..... ...... .... ........ .. TRAPS,Type proposed to use is I. tVap*.- UL -W.. ............................................................................ ...................... .............. RAIN WATER LEADERS, where do they run td;I ....................... .......... REFRIGERATOR WASTES, where do they run 4 TANK OVERFLOWS, where do they run to I................. MTURES WATER CLOSETS, How many ... Where located Bath Distance from trap to vertical soil pipe . .......... . Pattern WASH TRAYS, How many .. ............... ............... A. Where located SINKS, How many ... .. - I...............................................Where located KitbbM. .... .. . ............................ . BUTLER'S SINKS, How many .....................................Where located. I........ ..................... REFRIGERATOR SINKS, How many .. .........**....Where located LAVATORIES, How many . ........ ................................. 0....... Where located ...ftl*........... E*tbBATHTUBS, How many . . ... ....................... ..................... Where located . .. . .............................. ..... ...... ... ...... URINALS, How many ....... ..... ... . .... ...... .............. ... .. .. Where located . ... ... ............................... ..................... .... .... ... Are water closets and urinals to be local vented If not, is there a window in outer wall of room where same are to be located Estimated cost 460ik.00.. .......... ............. PERMIT # Application For 2761 DEPARTMENT DECISION 2983 0 Heating Permitcd 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N +'APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR d 4-15-64. 00 O DATE CHIEF INS PPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O400 o 1. LOCATION OF JOB o P CD 9 NO. STREET O cd 17 J O LOT NO. FLOOR APT. NO. O 0 N O 2. OWNERaz4& 1, Nutmeg Ho a Ina 0 0 O e. ADDRESS 4.PHONE C% S. APPLICANT O m e. ADDRESS 7.PHONE S. LICENSE NO. w 9. EXPIRATION DATE OF LICENSE C) a c to. ESTIMATED COST o o T" i i. IS THIS A CONTRACT COST? M-YES 0 NO 12. FEE ENCLOSED S_ Permit'ji16W1 0 t9. TYPE 0 BUILDING: RESIDENTIAL COMMERCIAL O G 14. TYPE OF JOB: INDUSTRIAL C IRIGINALNSTALLATION ADIT ONON REPAIR APPLICATION FOR HEATING PERMIT (Continued it m Revers side) C1 1. LOCATION OF JOB N`rr'ra th Rd. NO. STREET FL OR APT.NO. 12. TYPE OF INSTALLATION: OIL BURNER HEATING SYSTEM VENTILATION SPRINKLER GAS BURNER STACK 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. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NoDej j_.nDGH8 U. OR SQ. FT. NET U. OR SQ. FT. GROSSBOAMIGRATE FLOORS TO BE HEATED_3 NEW OR OLD BUILDING xeS INSULATED — YES OR NO Yet'. TYPE OF WALW()E)d r0pa o INSULATION3 —3/211 ROOF OR CEILING t1 INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE a 0 10 An 1 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 15. TO BE DONE: ncf-mil a+! o r.f ,,.ais Plpe a F933nad T_, r heatsystam J 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U. <I- DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALmLL ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED <j REGISTERLLRAD. L W N AND TEMP. TO F TYPE AND SIZE OR LEADER SIZE < WALL zo INFILT.) DIFF. 0 •F O m w SQ. FT. FREE AREA 0 50 b.00 22 2576 P r4r_5) TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. 43T82 5 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 18. 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.jee DATE SIGNATURE OF AP CANT V J TO THE BUHDING INSPECTOR of the APPLICATION FOR TO" (W SOUM WUMSM CONK PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O RA We,y o AT (LOCATION) DISTRICT.CT LOCATION N0.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE NII. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking"most recent use 1 New building R* 'd ntial Nonresidential 2 Addition(If residential, enter number 12 FOne family 18 Amusement, recreationalofnewhousingunitsadded, i/any,13 Two or more family — Enter 19inPartD, 13) T f E Church, other religious number of units— — — — -i 20 Industrial3Alteration (See 2 above) 14 Transient hotel, motel,21 Parking garage4 R pair, 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, professional6 Moving (relocation) Evs 25 Public utility17 Other — Specify y7 Foundation only 26 School, library, other educational B. OWNERSHIP W iNG 27 Stores, mercantile 8 Privat (individual, corporation, 28 Tanks, towers nonpr fit institution,etc.) N 29 Other — Specify 9 Public(Federal, State, or local g v rnment) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, .g.,f ad 00? processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement•,,,•,,,,,,•,,, S 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. Oth r( levator,etc.)............ 11. TOTAL COST OF IMPROVEMENT $ ow 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 Mas my(wall bearing) 40 Public or private company 48• Number of stories................ 31 ® W d frame 41 Private (septic tank,etc.) 49• Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions .................... 33 R inf rc d concrete H. TYPE OF WATER SUPPLY 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 OlI c nditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 N 53. Number f bedrooms.............. 38 C al 39 Oth r— Specify Will there b an I vator? 54. Number f Full.......... 46 Yes 47 N bathrooms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To b c mpl t d by all applicants Nam Mailing addr ss — Number, street, c: nd State ZIP cod Tel. No. Owner or Lessee 2. Q '/V s s-C G, rl 20 avi aC r Gib 'J, s fi' ' 7 3.2-iZ c Contractor 3. Architect or Engineer Th owner o his buildin nd the undersigned agree to conform to all applicable laws of this jurisdiction. Si a e of pplicant Address Application dot L(/ DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit r Approval Check Date Obtained Number By Permit or Approval Check Date Number ByObtained 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. 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Anne Air •Asia• .a..l.ri. n.s runs•amaas.ass..aas aesanaarsn.rrr novel was eer.ae. . ..• .ma i• N N ,f seams•• 1 :a Anne .ns aeon i aa o• •\aa •..Air.rna.• aa e e aeae aa.. •onna a r ensue Ana/..• r • •!r• .• \• •!• i •. •\a.\sae nN i===a=Rsr:Rs=mar=•:e.:i e:i r.=fansomesseemens•:ragder* .er.a 3.s sa:_1...r:its=:i-- ------__---_=---a=---------------- TOWN OF SOUTH WINDSOR BUILDING PERMIT Date June l 19 82. Fee Paid $.1.8.,00 Est. Value $. 2,97 5.00 Permit No 12739 on the side of McGrath Road Sweet Street No. 190 Owner T. S taehowiak Applicant Jerry Radeen CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Vinyl Siding I BUH DING PERAM I I OFFICE OF N° 12'739 THE BUILDING INSPECTOR of the Town of South Windsor, Conn. I I South Windsor, Conn. lime 1 1s2. I i 94is is to gertifg, That Bsargan Censtrmintion Cc j is hereby granted permission to Install vinyl sidinit I I I I at estimated value 4 I i on the side of 190 McCrsth RomA Street on land owned by Tadeus$ Stachowiak Said Work to be as described in Application NJ3039 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. i Issued JiLMA I 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" i eectric# APPLICATION FOR BUILDING PERMIT Plumbing# 190 McGrath Road HVAC # 27173 Date: 7— / I ' Zoo(9 Sprinkl r# N0' FINAL O Estimated Cost Building? v-d COMPLETE RED BOXED AREAS Permit Fee 2(0 Engi TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO.Total Fee 31 ao TO BUL I)ING DEPARTM IZ,TOWN OF SOUTH Wlllk-CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location I q 0 M G Gt2 t4TH kor Lot No. Side of Street Zone Applicant K( -rJ-i7 G iz-c6,A1f,4 Tel# Addr ss 9 D M C Cif ATfI IZV Zip&67 Lic.# Own r KEIJ-1 f .Sjf LCEt/ CjZ aV jntt Address f(3 0 M o G xe-r H 9d Architect Address Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpos of this permit: '1 j Ito 11.1 A^j A00a4r C Ito U^J-Q Poo L_ h IVi MCC> City Water Well Septic System Sewer Ins. H.O. Cert. Area 1 Basement Garage Approved by Date 7)11 ov L6 Group U Construction Type C R*YW 1/97 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 this uildi and its use is allowed. Signed 1 hereby apply for a Certificate of Occupanc for t e work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27173-B 1,500 E02 UNDERGROUND 07/17/00 DCJ A TRENCH AND BONDING B10 FINAL 07/17/00 DCJ D PUMP MOTOR NEED TO BE ON DEDICATED CIRCUIT B10 FINAL 07/19/00 JFF A WITH OWNER B10 FINAL 07/19/00 JFF A CLOSED OUT. 16891-E 1,000 Town Of South Windsor Building Department Location Ci C M e6Q Building Permit# c 7 3 SWIMMING POOL REQUIREMENTS: This list is not all inclusive;please refer to pool packet. A 48"barrier will be provided to protect the pool access. Including a temporary fence for inground pools prior to filling. Access gates will be self closing and self latching(if less than 54"high they shall be on . the pool side and be protected within 18"of release mechanism). Doors providing direct access to the pool shall either have an alarm,a self closing self latching device 54"above the floor,or a safety cover over the pool. No receptacles within 10'of pool.(locking type receptacle for pool equipment must be at least 5' from pool and GFCI protected). All metal parts of pool structure,fixed metal parts within 5'of pool,pump motors etc., shall be bonded with a minimum#8 solid copper wire. Convenience GFCI receptacle shall be provided between 10'and 20'from pool. Trench depth for 20 amp.circuit to pool equipment shall be 12"minimum. A surface pool alarm shall be installed pursuant to Public Act 99-140. All swimming pool pumps must be equipped with a time clock. Heated pools require a pool cover unless over 20%of the heating energy is from non-depletable sources. REQUIRED SWIMMING POOL INSPECTIONS: The following is a list of inspections that need to be performed prior to the continuation of work. Requests for inspections can be made by calling the Building Department at 644-2511 ext.230. 1. TRENCH AND BONDING-Electrical trench depth verification and bonding of pool and metal appurtenances / including metal reinforcing for gunite pools. 2. FINAL ELECTRICAL-Location of equipment and GFCI protection. Convenience outlet provided. 3. FINAL-Swimming pool access protection must be provided before pool can be used. Each swimming pool installation requires a Building and an Electrical permit. Additional permits and inspections are required for pool decks. I have read and understand a re ire nt listed above. UApplicantSignature s 7 /I Date Homeowner Signature G Date L f fFOR eUIL I So r ` ' - T URPOSE,OR 1 N1 i UELo dt A Lk Pam,.---•-•--_-.... PROPERTY OF No. McGrath Road youth Windsor, Conn. H ing Lot No. 20 on map entitled "Subdivision Map Property of ",cGrath Estate South Windsor, Conn. Oct. 22 , 1960 Scale 1" = 40 ' *forton S . Fine Civil Zngineer" sheet 2 of 2 Scale 1" = 401 Hayden L.Criswold C.L. 1 JC AC1 c Strecr i•, a,pp,ication <,,i r,!v with ail zoni'l, r;i-rs aS shall U- t during pendcn: ssi-auce of a bwldinn the condition that o,it g building shall b' y ,,,,>_,cvcd These filed with u .eij .• c l 0- ` i__-- — ter•. wo p t f a DEPART DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 e2_7 ( 3 bate Building Inspector Application must be printed or typed f Location of Job: FEE SCHEDULE 9 D ICI G r14 Pd 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. 5 APPLICANT KclU T GzcT-Ai m N APPLICANT ADDRESS M C G 2 e9 K APPLICANT PHONE# Qw OWNER 7 t 4(OWNER ADDRESS fix r•' OWNER PHONE ESTIMATED COST$ IS THIS A CONTRACT COST? 13 Yes 4No caY FEE ENCLOSED$ TYPE OF JOB: ROC ginal Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A 11/ BUILDING PERMIT APPLICATION? YESXNO IN RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY STORAGE ADDRESS GARAGE MIXED USE 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 SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK Ll,u 5 f,1 0 uS C Z ra,Z Iq 9 y J L C(2.,1)^3 D Pb 0 c- -r--t L 7c k?" 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. w_x_owv CONTRACTORS LICENSE NOf TYPE 7/jjSTATESIGNATUREOFAPPLICANTDATE t 4000' INSPECTOR DATE TIME LOCATIONA INSPECTION: CODE: RESULT(D/A) : BUILDING: ELECTRICAL j A zlI iqIq PLUMBING HVAC: OTHER: Off FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: r ;K NO. TOWN OF SOUTH WINDSOR EST.0 ST: /, BLDG. PERMIT NO. 1540 SULLIVAN AVENUE FEE o _co SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 0 - $19000 - $10.00 1000 or fraction qLOCATIONOFBUILDING j thereof - $10.00JOf G ' 2 d eN ! Ga,*--erjtr,&tvJ ` ! 0 m G ca/t7p 500-70 (-J 1 nv QS 0A_ O ? 8 J 1 OWNER ADDRESS TOWN PHONE NO. oLj HVAC CONTRACTOA ADDRESS TOWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL X 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 F INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS (BTUH) 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 OF INSIDE F 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. FURTHER DESCRIPTION OF WORK: KE P L,7LC' L%X`S7"JC, 4/0 C,t;L 6&5 (4,07 F_J&7uRt *en laL 12L=e l STATE LICENSE - NAME & TYPE #DATE SIGNATURE OF APPLICANT V/v S D 6AT9 I - B - R CALCULATION SHEET 1503 (Modern Method)Copyright 1971 by The Hydronics Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL A COL.S COL.C COL.D COL.E COL.F COL.G 1 ROOM Water Temp.npHLWHLWHLWHLWHLWDesign D• 2 ROOM DIMENSIONS, FT.U OTUH per Fo tot 3 LENGTH EXPOSED WALLS,FT. t Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA LL STUN STUH STUH STUN BTUH 5 WALL CONSTRUCTION ROOM LIN. FT.OFTable9,Line 3 x H)TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED IBottom f table used I r Lino 51 7 CEILING CONSTRUCTION C Table 9•L x W) g FLOOR o-NSTWU-ET10Nt O— Table 9, L x W r Lin. F t) E 9 COLD PARTITION CONSTRUCTION F Table 9, L x H) G 10 C 1 Wall(With Openings) H 2 Wells(With Openings) Xi3WellsIWrlhOpenings)or Ent.Hall J 1 11 TOTAL NTUH AT 7OF TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K COL.A _ __-- -__ COL.O COL.H COL.1 COL_J COL. K COL.L TOTAL BTUH TOTAL r-"-ROOM OF OUILDING RADIATION AT SELECTED p H L W H L W H L W H L W H L W DESIGN TEMP.• ROOM DIMENSIONS. F T DIFFERENCE U LENGTH EXPOSED WALLS. FT d WINDOW AND OUTSIDE DOOR AREA U. STUN OTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION INCREASE BATHROOM Table 9, LIne 3 x H) TOTAL 20% 6 TYPE OF GLASS IBottom I teble used for Line 51 7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON GROUND OR FILL AT Table 9. L x WI GRADE LEVEL,USE LINEAR 0 FLOOR CONSTRUCTION? FEET OF EXPOSED EDGE I T able 9.L x W r Lin Ft I 9 COLD PARTITION CONSTRUCTION ITable 9, L x H) 10 c 1 Well(With Openings)O 0 2 Wslls tWith Openings) G J — 3 Wells(With Openings)or Ent Hall I TOTAL BTUH AT 7 F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE FORM )503ThisformIsavaelabrefromTheHydronlcsInstitute,35 Russo Piece,Berkeley Heights,N J 07922 Hectrie# APPLICATION FOR BUILDING PERMIT Plumbing# 190 MC GRATH ROAD HVAC # Dat : 7- 1Y- 17 Sprinkler# 24478 FRW Estimated Cost Dv Build' COMPLETE RED BOXED AREAS Permit Fee 6)gi ing Occupancy Fee $TYPE OR PRINT ONLY pay Affidavit SIGN ON REVERSE SIDEAir.for CO.Total Fee TO BUILDING DEPARTMENT,TOWN OF SOUTH WWSOR,CT additional Cost) $ The undersigned hereby applies to do work accorcliing to the following specifications: Job Location / 9 0 n C G-,a A Ro/Lot No. Side of Street Zone Applicant D on a t W l?Acr Tel.#'r y-7 y,Z.3 L e Addr ss NG An t'.-j»+ 1Qel Co v ehtM y Zip OG X 3 0 Lic# X l7 26 ? Own r /<ewt G r-evA M Ah Address 190 #^?c t 4 K/ Architect Address Sq.Ft.N w Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: e x s t,; G- :,„ 'ft,4*4c A , j , elf X/G 0Y City Water 0 Well 0 Septic System Sewer Ins. H.O. S.P. Cart. Area Basement Garage Approved by Dare l590 lase Group f" Construction Type Revsed 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 use is allowed. ASignedn _Z_ I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 97-24478-B 3,500 B01 FOOTING 07/16/97 JFH A B10 FINAL 07/24/97 JFF A APPROVED FOR CLOSEOUT l FOP PURPOSE.OSE. ONLYe1 1 i 1 J r} LO 1 1 J it U! v v t r (//•+ J 1,,, r PROPERTY OF fA No, McGrath Road South Windsor, Conn. Being Lot No. 20 on map entitled "Subdivision Map Property of ":cGrath Estate South Windsor, Conn. Oct. 22 , 1960 Scale 1" = 40 ' Morton S . Fine Civil ;Agineer" Sheet 2 of 2 Scat 1" = 401 y / Hayden L.Criswold C.L. AS(92311- AA I it I`rIv I SOU•th Windsor CERTIFICATION OF ZONING COMPLIANCE BUILDING DEPARTMENT Proposed building(s), use(s) and/or structure(s) as shown ort this p!an app :-,-(s) to be in conformance with current S:;-;}h Windsc regulations. Variances and sp::cial exception-, imay apply. ,7 1 TO THE BUILDING DEPT. TOWN OF SOUTH WINDSabate This certified that this plan and specifications are tru, copies of the proposed building or alterations to b- Zoning Enforcement Officer erected at pp rar i l Il s Stre j 06 together with amendments stated in application I \filed with plan and 1 agree to comply with all zonio, Building and state laws and such orders as shall u e`v' S't/ issued by the Building Department during pendencyelofthisapplicationandfinalissuanceofabuildinj Pe Rlli:. Thus 0I.aloi iis 49PPrawied suftea to the caondotion 010; rtegluYlaobeg bukdong dial) Pr cap ~ "t'.4 u rr,i fiwan hY lNese llis a WAO 49 eectrit# 4 APPLICATION FOR BUILDING PERMIT Plumbing# 1 a d A 7 190 MC GRATH ROAD 7Date: 0 9HVAC # 24651 Sprinkler# FWAL APPROVALS Estimated Cost co oD Building 2 la rl9l COMPLETE RED BOXED AREAS Permit Fee lfzc Engineering TYPE OR PRINT ONLY Occupancy Fee $ S` Affidavit SIGN ON REVERSE SIDE Appr.for CO. J 7 cT Total Fee TO BULDW DEPARTMEW,TOWN OF SOUTH WN)SOR,CT Gaddifional Cost) The undersigned hereby applies to do work according to the following specificat'= Job Location 194949 4 c ra A Lot No. Side of Street Zone Applicant L of RQ w Tel# `7 -3/(o Address l`f 4, R1 Zip 46,4 3 9 Lic.# S17.2 6 7 Owner K e•,-t 6 r s,r p m o h Address 19 O /k1C 9,,,f4 Architect Address S%Ft.New Area: 1st Fl. I/ 6 2nd FL 3rd Fl. Total New Area Rooms /Lavatories Bathrooms Garages Purpose of this permit: o n 17 c. /G X.L A m00%i e t'r •h•/ i-t_s 7i e , k-,e A n/!i a,% !'-r s;oar r^%.W S" , r/ /t S f* 6" I I w.00/0 w City Water K II 0 Septic System 0 Sewer Ins. H.O. S.P. Area I Basement Garage Approved by Dat `T4 Use Group Construction Type RevW 1/97 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 whic this building and its use is allowed. Signed t I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed aenft.e w DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 97-24651-B 35,000 B01 FOOTING 09/26/97 JFH A B02 FOUNDATION 10/07/97 JFH A E01 SERVICE 10/17/97 RAN A RELEASED OK CL&P LYNN TUES B03 FRAMING (ROUGH) 00/00/00 RAN A E03 ROUGH 10/31/97 RAN A P03 ROUGH 10/31/97 RAN A B10 FINAL 12/03/97 DCJ D ATTIC ACCESS IN BEDROOM CLO B10 FINAL 12/08/97 DCJ A APPROVED FOR CO & CLOSEOUT 97-10027-P 2,800 97-9891-H 5,000 97-14609-E 1,800 fOR eU PURPOSEc pNLY i L.o f J. 4 Z Jy`,} 1< i- s•''1 'tom Lk vJ ref M•' r•. f . r PROPERTY OF No. McGrath Road South Windsor, Conn. Being Lot No. 20 on map entitled "Subdivision Map Property of *:cGrath Estate South 'Windsor, Conn. Oct. 22 , 1960 Scale 1" = 40 ' Morton i . Fine Civil ;:ngineer" 61,eet 2 of 2 Scale 1" = 401 Hayden L .Gristiold C.E. s7 h. s`C TO THE BUILDING DEPT. TOWN OF w,,, This certified that this plan and specific,tinn, copies of the proposed building or alterations to be erected at i c M Street together with amendments stated in applic tion ano filed with plan and I agree to comply with .d] zoning, Building and state laws and such orders as ,hill be issued by the Building Department during pundcncy of this appliCation and final issuance of a building permit. Signed 6YHyt Y' This talafl is App aved subject to the condition th orders and Ordinances regulating budding shall bf complied wylth Condtty®nA!!* 'AppMv" These tiled with 49k%4 Mft 4a sPc¢tW CWk lots! 019. CERTIFICATION OF ZONING COMPLIANCE I e' Y 2 , Proposed building(s), use(s) and/or structuresasshownortthisl conformance with purrenpp al,.(s) to be i n Soclth VVirtd=xfTi-G ,(,c, egulations. Variances and special exc ept or smayapply. date 6 /C/ Zoninl•_:g Enforcementflcer x DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PE/R)NIIT,#Q l Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE 42344 644-2511 ext.230 Date Building Inspector Application must be typedortintedP Location ofjob 242 711 S No. Street Lot No. FEE SCHEDULE 0 - $1,000 - $12.00 Floor Apt. No. Over $1,000 12.00 per$1,000 OWNERA./r any fraction thereof ADDRESS OWNERS PHONE APPLICANT OWN SE. ADDRESS 6;1,--;VY Z67,C-60 ESTIMATED COST$ I9P 0, O IS THIS A CONTRACT COST? YES NO Q FEE ENCLOSED $ o y OR a CQ TYPE OF JOB: Original Installation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from rc%,crse 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 Otlicr please spccify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED j9t 7,-') 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 -e4 NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS I SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK 4f, Y Y I.L' +Z' il•:a e-1 211-era 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. NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. ,,2,- / DATE f -c G DEPARTMENT DECISION PERMIT# APPLICATION FOR PLUMBING PERMIT 16627 Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE 2q o -- 1 7 644-2511 ext. 230 DIq)ae Inspector Application must be printed or typed Location ofjob 110 60 C Street No. Street Lot No. FEE SCHEDULE I 4tt Floor Apt.No. 0 - $1,000 - $12.00 Over $1,000 L 12.00 per$1,000 OWNER C9 Y)n CL or any fraction thereof iiADDRESS10 rn c OWNERS PHONE# J APPLICANT 13 J aN, ny-L,-k CAFt ADDRESS VQA" EST MATED COST$00 IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ 0 SORO C0 TYPE OF JOB: Original Installation Alteration/Addition Repair Revised 10/96 APPLICATION FOR PLUMBING PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION YES / NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCYASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY EDUCATIONAL INSTITUTION FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION b t 1n SIZE OF MAIN DRAIN 3 NO. OF TOILETS_STYLE NO. OF URINALS STYLE NO. OF BATHTUBS I NO. OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO. OF STACKS SIZE 3 AREA OF ROOF NO. OF CATCH BASINS NO.OF FLOOR DRAINS NO. OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES/NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SL SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER TYPE MANUFACTURE TANKS SAFETY DEVICES TEMPERATURE CAPACITY RELIEF VALVE TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE TYPE MANUFACTURER DESCRIPTION OF WORK 1 7 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. NAME STATE LICENSE NO. TYPE SIG ATURE OF APPL PHONE NO. S1 0-- J 3 50 DATE /0 1 DEPARTMENT DECISION p T# APPLICATION FOR HVAC PERMIT Application is herein: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE 04.qS j L 644-2511 ext. 230 Date g Inspector Application must be printed or typed Location of job i Street No. Street Lot No. FEE SCHEDULE 0 - $1,000 - $12.00 Floor Apt.No. Over $1,000 12.00 per$1,000 n,or any fraction thereof OWNER ADDRESS t OWNERS PHONE# APPLICANT ///,; e l 2'A 45 ADDRESS A u/L 4'eJc 40eb. ESTIMATED COST $ Ice= IS THIS A CONTRACT COST? YES NO J QFEEENCLOSED SaR,CO • TYPE OF JOB: Original Installation iAlteration/Addition/Repair Revised 11/95 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM YPE OF BUILDING HEATING RESIDENTIAL A/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS. HYDRONIC v----WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT LOSS(BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) WESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) p d lypr 4b 90t e GROSS HEATING CAPACITY (INPUT-BTUH)O.,NET RATING (OUTPUT-BTUH)27,do/) TYPE OF FUEL OIL-GPM GAS-INPUT 6g DV0 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., STATE LICENSE-NO. NAME&TYPE SORATURt OF AYPLICANT PHONE NO. r'DATE ?112--517