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HomeMy WebLinkAbout2 Sedgewick CircleElectric# l01 APPLICATION FOR BUILDING PERMIT Plumbing# 2 SEDGEWICK CIRCLE HVAC # fl, Dot : 5-1-4 - q- Sprinkler# No. 2 4 315 FIK Estimated Cost $ 1A o o o Building COMPLETE RED BOXED AREAS Permit Fee Sys Engi ng TYPE OR PRINT ONLY Occupancy Fee $ a Aida"t SIGN ON REVERSE SIDE Appr.for CO. `7Wct Total Fee S 0 TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $ _ d The undersigned hereby applies to do work according to the following specifications: Job Location --2 5 E A 6,e w#c. lC C j 4-C-L& Lot No. o Side of Street Zone 'b QZ Applicant M a n n a r i n o B i nde.rs :rn G. TeL# (.o Y cl — 4 o o o Addr ss ell Oa 4/a net kc(.S. CA) ncssa e Cz. Zip o(,*o-:-4 Lic.# Owner Addresses Architect 5, -L_ Address Sq.Ft.New Area: 1st FL to 7 Z 2nd FL 12-S 3rd FL W O Total New Area 4 0 0 Rooms a Lavatories L 1 # Bathrooms Garages ! Purpose of this permit: Al" .S/n/6-LF IL City Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area 06 Basement &7a2 Garage Approved by J_ Date 7Use Group Construction Type RovbW 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 which this building and its u is a Sign I hereby apply for a Certificate of Occupancy for t work described in this application for the permit. C Signe DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Location of Job: AFFIDAVIT Additional Fee S 0- State of Connecticut ss.South Windsor County of Hartford Ow I '"of A.A14-44tft Agent for the building erected Contractor under Permit No. 24315 issued by the Building Department of the Town of South Windsor being duly sworn,make oath and say that the actual cost of the completed work authorized under 'd permit did dot exceed the the submitted estimated cost $g 2 9 0 0. 0 0. Signed64 Subcribed and sworn to before me this day of c/! A.D. 19 Estimated Cost Difference: $ 0- Notary Public Inspection / Approval Date By Appl Code Description Due Whom Code Comment 97-24315-B 72,000 B01 FOOTING 06/02/97 JFF A B02 FOUNDATION 06/10/97 JFH A P02 UNDERGROUND 07/03/97 JFF A B03 FRAMING (ROUGH) 07/09/97 JFF A E01 SERVICE 07/09/97 JFF A NOTIFIED NU E03 ROUGH 07/09/97 JFF A P03 ROUGH 07/09/97 JFF A B04 INSULATION 07/10/97 JFH A PO4 GAS TEST 07/28/97 JFH A B10 FINAL 07/29/97 JFH D NO WATER OR WASTE 97-9805-H 2,000 97-14304-E 100 E01 SERVICE 03/17/97 JRC A RELEASED OK 97-9969-P 6,000 97-14429-E 2,800 Total Est Value 482,900 Dwelling 1,400 57,288.00 Basement 672 8,332.80 Garage 264 3,273.60 Smoke Det 7 525.00 BOCA Value P8,443.92 Difference 4,456.08) SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTI{CUUT 2 SEDGEWICK CIRCLE LOT_#10 Reviewed By vCa/1akge— (En ineering) MANNARINO BUILDERS INC. Date Reviewe -2D2f1P7 pprove Denied 41 OAKLAND ROAD,SOUTH WINDSOR,CT Reviewed By lanning) BP_#_24315 Ph_#_(860) 644-9000 Date Review<d ro /Denied Date Submitted 07/31/97 FOR C afflO ***** As required in the Zoning and/or Subdivison Regulations, no Certificate of Occupancy shall be issued until grading plans have been complied with and approved by the Town Engineer. The minimum requirements shall include: Approved Denied N/A R 1. Approved building permit plan u 2. Finish grading per approved building permit plan er\ 3. Site work; i.e. trees, shrubs, dumpsters, required parking 4. Utility location; Ra. sanitary sewer/septic system b. foundation drain D C. electrical & telephone d. water e. other v SE) 5. Sewer connection charge paid 6. Appropriate certification 7. Bonding 8. Planning & Zoning/ Inland Wetlands Considerations Sewer Permit No. C 3 Pavement Excavation No. COMMENTS: SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 2 SEDGEWICK CIRCLE LOT_#10 Reviewed By r Dzan4 e_ eering) MANNARINO BUILDERS INC. Date Reviewed ICApproved Denied 41 OAKLAND ROAD,SOUTH WINDSOR,CT Reviewed By lanning) BP_#_24315_ Ph_##_(860)644-9000 Date Reviewed oil 7 ppro /Denied Date Submitted 05/28/97 FOR BUILD N PERM ***** In accordance with the Zoning and/or Subdivision Regulations, prior to the building of any structure on a lot, a Topographic Plot Plan shall be submitted for approval. The minimum requirements shall include: Approved Denied N/A 1. Name, address & phone number of owner/applicant k D 2. Name, address & phone number of plan preparer o 3. Zoning Information - i.e. zone, open space, floodway, etc. 4. Plot Plan at 1" = 40' scale go a. Subdivision reference, abutting properties, etc RDb. Easements of record 1. C. Lot description, bearings, building lines, distances, area, etc. d. Contours, existing & proposed, 1 or 2 ft. n interval where appropriate y e. Building location with dimensions. Elevations of proposed finish floor, garage PP floor & centerline of road at driveway f. Elevations of gravity drainage systems, sanitarygYgYY foundation drain at the house and the street g. Tentative utility location (gas, water, electric, septic system, etc.) h. Title block with name and address of re arerPP date, appropriate certification, live seal and live signature consistent with the Board of Registration requirements. (P.E. & L.S.) 5. Sedimentation and erosion control 6. Special Planning & Zoning, Inland/Wetlands considerations (Plans on file w/Town Clerk) COMMENTS: w DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 143U i Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE l L 644-2511 ext. 230 Date g Inspector Application must be printed or typed Location ofjob Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER i,c/Q 2fn/' .Q! or any fraction thereof i ADDRESS D OWNERS PHONE#G" /!a 0 APPLICANT NSOW ADDRESS ,o I'7-f 4 Gy ,4/ ESTIlvIATED COST$ C r IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ Pi TYPE OF JOB:SQR'CO Vbgiginal Installation Alteration/Addition/Repair e Revised 11/95 i 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 Ala '' MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY 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 Z— 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 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. ; 0 DATE . INSPECTOR DATE TIME Pq LOCATION GF -,,,'LC j INSPECTION: CODE: RESULT(D/A) : BUILDING: ELECTRICAL: V 3 i PLUMBING: i i I HVAC: OTHER: DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# 49 a9 Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permi" 4APEPR20VEDDAV 1540 SULLIVAN AVENUE 25 ) 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location ofjob oel C<.-I ICOr-- C- Street No. Street Lot No. FEE SCHEDULE Floor Apt. No. 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER,# or any fraction thereof ZYZ fZ ZAJ(, ADDRESS JIZ 01,Ie4,4?A14 oa,4 OWNERS PHONE# APPLICANT ADDRESS 2' 7e f7A*r su^, ESTIMATED COST IS THIS A CONTRACT COST? V psi YES NO FEE ENCLOSED rd OR 0 TYPE OF JOB: V-Original Installation 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 a V MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY — t/C« INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP Othcr please spccify) TYPE OF INSTALLATION/WIRING METHOD Aol SIZE OF MAIN FEEDERS AND RATING OF WIRE USED Z S d 4```/0 NUMBER OF METERS l NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES(5y NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES. NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES 1.5" NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. 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. NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. 6 / 7 CK DATE C L/ w.;.w.s;'...++""'".",.y...}'Yrv'r5''+`Y"km w+wr'+^+.n.-.5w rw.•rr l"4t"",„+n„,,,,k.yb{rw.=Mt w,w`yy`a'^.s^rr+;rmr++._...'s+"tx. INSPECTOR DAE 7 `7 TIME LOCATION o f Z3 v c , f Z INSPECTION: CODE: RESULT(D/A) : BUILDING: r ELECTRICAL: d PLUMBING: HVAC: T OTHER: DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT P Application is hereby_-: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit,# PROVED 1540 SULLIVAN AVENUE 41 g7 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location ofjob AD Street No. Street Lot No. FEE-_SCHEDULE Floor Apt. No. 0 - 14000- - $12.00 Over $1,000 1200 per$1,000 OWNER 1 c rt & or an-fraction thereof ADDRESSS eC(,2 6er OWNERS PHONE# YY 00D APPLICANT' C_ ADDRESS C ESTIMATED COST$ O 40 C - IS THIS A CONTRACT COST? YES NO C FEE ENCLOSED f S0R*CO 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 SIZE OF MAIN DRAIN y NO. OF TOILETS STYLE NO. OF URINALS STYLE NO. OF BATHTUBS / NO. OF SHOWERS NO. OF LAVATORIES NO. OF CONDUCTORS SIZE NO. OF STACKS SIZE 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 SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER y p CAI(, -WATER HEATER TYPE (, MANUFACTURE "l ol<c 4 t. TANKS SAFETY DEVICES TEMPERATURE CAPACITY RELIEF VALVE TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE TYPE MANUFACTURER 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. NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT c PHONE NO. n DATE s DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMPLiu Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Mda Perrrjjx.#APPRO 1540 SULLIVAN AVENUE CIF I 1 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location ofjob S JIG cav Street No. Street Lot No. FEE SCHEDULE Floor Apt. No. 0 - $1,000 - $12.00 Over $1.000 12.00 per$1,000 OWNER v t p"or any fraction thereof ADDRESS Ml OWNERS PHONE# APPLICANT j N ADDRESS JQM ESTEMATED COST C IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ C) C SOR CO TYPE OF JOB: Original Installation Alteration/Addition/Repair Raised 11/95 APPLICATION FOR HVAC PERMIT(Continued from rcvcrsc side) TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAL A/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS. HYDRONIC_M WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION /c2 0 DESIGN TEMP. OUTSIDE F INSIDEF DIFFERENCE-F TOTAL HEAT LOSS(BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) 0v)v\,W-r 6 D GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT—BTUH) 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. STATE LICENSE—NO. NAME&TYPE SIGNATURE OF APPLICANT flPHONENO. DATE a N v 7 t 0 1. , t 1 r t, tti( •• 4 h r o v w v , `, '', i:, Y' i ;•' 1 i I. l , s, tJ 4 ri ) Ii) ) h' () I ) c. f 9 Ali 1! 0, 4 to 0. 0 X1 y Y c9 _ N v_.._ j d` ti• v i1 a. It z VI i