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
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