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HomeMy WebLinkAbout20 Lisa Drive (2)r TO T BUILDING INSPECTOR Of the APPLICATION FOR PLAN EXAMINATION AND TOWN OF SOUTHWI1rDR, C BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.G ZONING A—3 0I• AT (LOCATION) DISTRICT LOCATION 0.) STREET) OF BETWEEN Avd- AND le_SS G BUILDING CROSS STREET) CROSS STREET) MOUNTAINVIEW ESTATES LOT SUBDIVISION LOT BLOCK SIZE 926 00%5 V II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D 70 A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M 1 ETNew building Resido tial Nonresidential 2 Addition(1/ residential, enter number 12FOne family 18 Amusement, recreational o/r)ew housing units added, i/any, i Part D, 13)13 Two or more Family — Enter 19 E] Church, other religious number o/units— — — — --l. 20 Industrial3 Alteration (See 2 above) 140 Transient hotel motel 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (1/multi/amily residential, o/ units ——————— — --jp- 22 Service station, repair garage enter number o/units in building in 15 Garage 23 Hospital, Institutional Part D. 13) 16 Carport 24 Office, bank, professional6 Moving (relocation) 17 Other — Speci/y 25 E] Public utility7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Private (individual, corporation,28 Tanks, towers nonprofit institution, etc.) 29 Other — Speci/y 9 Public (Federal, State, or local government) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food processing plant, machine shop, laundry building of hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,,, S school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building of 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 L$:9:11 (qm 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 Masonry (wall bearing) 40 Public or private company 48• Number of stories................ 31 Q 49. Total square feet of floor area,Wood from* 41 Private (*optic Conk, etc.) all floors, based on exterior G32 Structural steel dimensions ..................... A o 33 Reinforced concrete H. TYPE OF WATER SUPPLY 50. Total land area, sq. it. .r34C] Other — Speci/y 42 Public or private company ig0J 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .................. 35© Got Will there be central air 52. Outd re....................... 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 WNo 53. Number of bedr am*.............. 38 C al 39 Other— Speci/y Will ther b an elevat r? 54. Number of Full.......... 46 Yes 47[allo bathr am* Partial........ IV. IDENTIFICATION — To be completed by ull applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Dart Dill Realt Inc . 658 EllingtonOwneror Lessee South Windsor,n 2. Same Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Si nature of applicant Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Date Plans By Date Plans By Notes9FeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number B Permit or Approval Check Dat` rHumber ByObtainedyppObtafined 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. VALIDATION Building Permit number _ ,'_r Bui(ding Q Permit issued zn 19 Building 51 b Permit Fee App v ed b r 1 iz TOWN OF SOUTH WINDSOR BUILDING PERMIT Date 10/20 1987 Fee Paid $. . . . .546.00 Eat. Value 41•;800 Permit N° 16332 on the aide of T,0 P 2m H+r.4 bs StrCe! Street No. g n Owner Applicant -- CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ 3.00 CLASSIFICATION dwelling q ti BUILDING PERMIT N° 16332 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 10/2 0 1987 M#is is to Crrtifg, That DArt Hill Realty, Inc. is hereby granted permission to Pa i ld- c;„g at estimated value of $ 91 f4.00 on the side of Lot 157 —— Lisa Drive (#2 0) Street on land owned by Same as above Said Work to be as described in Application No. 16 6 3 0 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issukin ILIU A tj Q QQ 1987 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 plus 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." d•7 TLL OWr L.L J A16; INSPECTION REPORT Permit #6. -Job l SR 1 1 Footing 2 Foundation 3 Framing 4 Wiring `p6Q 9 C A 5 Plumbing 6 Heating 7 S P.mr 4 m ram' 7 Lathing a c.o. j o SS(A o ao/7- 1 n/ 57 07!//r 1/r. Permit #f6 Electrician R CHARD 8ARRFT T H ating Contr. L-ARj-rov P 76)7 Plumbing " &R row PZt7r boy 4 c. # 7552r Oil Burner C rtificate of Occupancy ;-ssu&D, # Z36q Sewer Permit ZIZ618 or F-.AJ APPao Acre E Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit 8 R 6 9 Certificate of Occupancy TH IS TO CERTIFY,that at Now in the To of South Windsor, Connecticut, has been erected and completed in accordance with the B ildirg Code and.Zdhing Regulations of the Town of South Windsor, and is hereby approved for aecupancy." J; f Building Inspec or Own Builder Fee Paid Date 19 L CERTIFICATE OF OCCUPANCY CHECK LIST Dart Hill Realt Certificate of Occupancy 3b9 Applicant 3 Address 20 Lisa Drive Bldg. Permit No.TL -3 -1 6 Lot No. 157 Date Submitted 12-15-88 Project Mountainview Estates Reviewed By Date Z-5 As required in the Zoning 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 inlcude: Approved Denied N/A 1. Approved building permit plan. 2. Finish grading per approved building permit plan. 3 . Site work; i.e. trees, shrubs, dumpster: required parking 4 . Utility location a. sanitary sewer Pr2;'L" b. foundation drain c. electrical & telephone d. water e. other 5 . Appropriate certificationP 6 . Bonding Sewer Permit No. Pavement Excay . No. COMMENTS : REINO E. HYYPP4 8 SOCIATES CIVIL ENGS 6 L GLASTONBURY CONP" Ll 5k 1 l N ry rs. 4'~irkq, r 1 t 1 49 in J ti TA Z 4 tau WrCR N MAY BE SMELT o 0 ii TO VARIOUS U l i1.11 Q t \\ • Ic.i i 0 4 OIL RELOAD AS MAY APPEAR. N _w Iwo,i64 imover 041VortiLlallosto rllt tl4li Into e tctr,hes ww, a,Ir- 1 8" oP' gyp•, Q,e"l."r ""'5,4 tw,lta I,rot.A'''O J M tJ iT,'..1'1.1 v'I "'T r: LOT LIMM FROM VAP ON FILE'tM_EOj 60ftM SAair-1 &POM s OM A-3 yDM R..m PLAm 5.czia4 MouaA v,EW ESTATES 5OUTH M s SCALEE. , AS rr.40• wo.1•80-'a3-1P C. 0. PLOT PLAN 5HMT , of ,rr SWEETS PREPARED FOR DARTDILL REALTY INC Mx.",ft...bv ...A« tit twt. .., . .r.a.,t.&kY .:. t. . SOUTH 1NINDSOR CONK.j or*" w prof# to as,edrdswN with %%a sts"ard* it# iilrl lA RM e.!tom st C ww itl t #nAf,i}es! w MI 1r M !1 '5GALE . 1"-40' DATE* (o-5 8 oEc 1 q 8 DEC 1988 South Windsor BUILDING DEPARTMENT his Coll 1 rw, to be rrCtcd t cqO-J13A YrStrPei t lgr•f hr•( rc Ie d •,Ii i 1({H Uil tl If; Iss lc d }• yrrIlls n= permlt IKnc d his pl,m I3t u drtlo,i d I h, It d w1-h tswldlnt ,, ;,r C lork Mtn N APPR0VED _ TOWN OF SOUTH WINDSOR ENGINEERING DEPARTMENT DATE:5 SIG.; t StTILDIW IM MIT C: IZCK LIST Pplicast 2- suiI ding, Pena t lea. /6 3 address 7e Ais- Date Sukoitted Z 7 ot No. Reviewed by rO ect Date to acc a 14th the' gubdivision Regulations, prior to the bul Iding of any° sttt tv=e oa •a lotp a Topographic Plot Plan shall be submitted for 3pprovaZ The ={"{ - requirements shall include: Approved Denied NIK L. Hamer. address, & phone- number of owner/ applicant. Z: Name r address & phone number of plan prepare,. 3. Zonfnq information — i.e f zone, open space, floodwayi, etc. 4.w plot plan at LR = 40 ' scale, a. Subdivision reference, abutting properties, etc. b. Easements of record. CO. Lot description, bearings, distances, buildinq 1ines, area, etc. d-. Contours, existing & proposed, 1 or Z interval where appropriate.. e. Bui Ldinq Location with dimens ions. Elevations of proposed finish floor, garagw floor a center line of road. at driveway. f. Elevations of gravity drainage systems sanitary & foundation drain at the house and the street. q. Tentative utility location gas, electr. water, etc. h. Title block with came and address. of preparer, date appropriate certiff catsc live seal And signature. S. sedimentation and erosion control. 6. Special Planning s Zoning, Inland/Wetlands considerations. (Plans on file w/Town Clerk) BUILD ZUG DEPT. FZC rwA/cc WPCA t OTHERS ELECTRICAL APPLICATION Application No.t -).[D- on the SW E kl)T S;! Di) r Sara Street No. Owner IJ ART- - FR 1--T-f, SnlC. Ekctrkian R R TC FILED IN OFFICE OF The Building lopector JJ INSPUCTIOIN. t+No Electrical Work shall be started until a Per- mit Is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the Ore stops fit of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit N66 Master License No. TOWN OF SOUTH WINDSOR Building Permit No Date Filed BUILDING DEPARTMENT Date Final Appr val APPLICATION FOR ELECTRICAL WORK Electrical WNER ZJ B LOCATION: .... TOR O and4.5V V-Side of ...... Between ..... . Name of Building Owner ... -M-a......_..... Address If work is for Lessee--Give name ...-...............Address Building n w occupied as (unless new)No. of family units now Building to be occupied as Number of family units to be -—-----L Is this w rk included in Building Permit? ......... Permit Fee If no BuAding P Business Address TelephonePermittee COST OF INSTALLATION: ..........2.6..M.. at TO BE FILLED OUT BY PERMIT TEE TO BE WIRED e)-6 EXISTING APPLIANCES Number of light outlets to be installed Number of present Appliance CircuitsNumberofconvenienceoutletstobeinstalled Number of switches to be installed .Do these include Range [3 Water Heater [3 Number of appliances to be installed . as listed below) Dryer [3 Air Conditioner Oil Burner E3 TYPE RATING No. Dish Washer Gas Burner J_-] Range . . . . . . . . Well Pump Elec. Heaters [3 Range T p . . . . . . Oven . . . . . . . . R7MARIFe: Water Heater - - PClothesWasher . . . . Clothes Dryer . . . . . AlL-C Dish Washer . . . . . . Air Conditioning Motor Oil Burner Motor . . . . Gas Burner . . . . . . Circulator M for . . . . Attic or Large Fan . . . Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . 7NumberofnewLightingCircuits Number of new Appliance Circuits . . . Number of Heating Circuits . . . . . . T Number of Motor Circuits . . . . . . . Size f present service Sim of service to be — PLUMBING APPLICATION on the... l ..L .7..._ )us jo sa" Owner ..,1 1)-L 1AIC Plumber ..1, i111 rr• 1 7.m G. H 7 G. Filed in OEice of T6 .""" Inveme xBl No person AA a mmunct, add so w abw ay portion of the drainage sym of any 6Afing empt to repair lab) umd a Pksit is pu and by the Building Inr a2w. APPLICATION FOR PLUMBING PERMIT (Continu d fr m Reverse Sid ) TOWN OF SOUTH WINDSOR, CONN. t o DR1VL 11. LOCATION OF J013 i /r7 y NO. STREET FLOOR APTAO. GENERAL PLUMBING 12. KIND OF INSTALLATION f!'P,l-'C%„/ r 13. SIZE OF MAIN DRAIN T 14. NO.OF TOILETS z _STYLE r'1' C4 ,0,e 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS L 17.NO.OF LAVATORIES 18. NO.OF SINKS 19. NO. OF WASHTUBS r 20. NO.OF CONDUCTORS=SIZE 21. NO. OF STACKS SIZE 22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS L<25. NC. 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. ARE SEWAGE AND WATER FACILITIES AVAILABLE) SIGNATURE ADDRESS LICENSE NO. rZ 0020(09 ESTIMATED COST 410 TELEPHONE Y? OWNER i t - •J ADDRESS WATER HEATER 47- 31. TYPE I i -f r c 32. MANUFACTURER TANK SAFETY DEVICES 33. CAPACITY LV lt//ah i 37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE_4--o 9 J 38. MANUFACTURER 35. WORKING PRESSURE ?/o A 39. PRESSURE RELIEF VALVE j 36. TYPE e.' 40. MANUFACTURER lz2d/r-Y 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,, A2 `/- e7 107 C0962 GATE GNAT E f APPLI T L29/PERMIT # Application For DEPARTMENT DECISION 7 4J a Heating Permit 3 APPLICATION IS HERERT: DEPARTMENT OF LICENSES AND INSPEMONS APPROVED DISAPPROVED 4J TOWN OF SOUTH WI N DSOR DATE CNwv ww9CTOR API•LICATIONS MUST DE 1`801HO OR TYOEO. DECNI AITN MUMMER ONE BELOW 4 r1 E 1. LOCATION OF JOO cA5ADR Y a a 4 snEET 8 W LOT NO. FLOOR MT. N . 49 c s. OWNER '' 0 O ADDRESS S. APPUCANT y u T GiJ• i.; %/G_ fC O. ADDRESS - o.f;c T r A V.PHONE M 'a LICENSE NO._ U 71 f d Q w O. EXPIRATION DATE OF LICENSE /0 5r 10. ESTIMATED COST •r U• 10 z> 1. IS THIS A CONTRACT COSTI YES 0 NO be 1s. FEE ENCLOSED • l6 3 of Is. F DOWN& A iEtaEMTaL COMMERCIAL 0 3 14. TYPE F JOB: INDUSTRIAL x Q ORIGINAL ALTEIIATI N MISTALLATNNI ADDITION RIPAMLO APPLICATION FOR ATI G ej&hkj: k1m Kever" blue) 11. LOCATI N OF JOB Na STRUTsR FLOOR MT.NO. IL TYPE OR INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPUNKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS l J 9Z IOLMTWT l SIZE LOCATION F SIZE ILL OF VENT 13. OF TANK OF TANK 14. B.T.U. EQUIP. AT REGISTER-,-FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND N0. 0724,1 B.T.U. OR SO. FT. NET,6'` r_ '`' B.T.U. OR SQ. FT. GROSS-FIRING RATE FLOORS TO BE HEATED _.:a/0 VIEW R OLD BUILDING ld LC) INSULATED - YES OR NO BS TYPE OF WALL Iaalkd) i'IA`§e. INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATE DIFFERENCE _C FAHRENHEIT MAKE OF RADIATION: ASEBOMW COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. fu i,I Le a DESCRIPT1 N OF WORK irc` c F_ Is. TO BE DON NEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): wOor slst wlNOOws AREA — SOUARE FEET 9.T•U. w•T•U. a DISTRIBUTION INSTALLED ANO DOORS VOLIRt TOTAL TOTAL ! ROOM GISTRR NO' 3 OROr OLAY NIM w CMUND FLOOR CY.FT' AT 7a R j Tv t ANO•1st FAO. OR LtOtR L w N fit WALL AAt IINFILT.1 TtN. TO F : Q 8: FT. FOUR AMC^ TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. S. DOMESTIC HOT WATER DEMAND VO ` 4/6 B.T.U./HR. C. PIPING.OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A 9 C) FACTOR 17. ELECTRICAL WORK BY: c NAN6 AOORW SUBCONTRACTORS AND Is. 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. PPLICATION TO BE COMPLETELY FILLED IN. f•.DEALER r }-' f/ f -- - KIND OF BUILDING r CHIMNEY SIZE QCONWRUCTION: WALL l , WINDOWS hI'_r ROOF OR CEILING BASEMENT HEIGHT. ABOVE GRADE BELOW GRADE DESIGN WATER II_MPERATURE DESIGN TEMP DiFF t I COL 1 2 3 L4 5 6 7 4 8 j 9 - 10 11 2 13 14 i5 1t> 1 17 la vviNnOrrs AREA-SQ. FT.VOLUME DASEGOARDSROOMSIZEFLOOR AND DOORS CU. FT. TOTAL TOTAL I jSEENOTE t GLASS NET WALL CEILING AT 70 F CORRCCTED •r A',R LE cTH ACCESSORILS 0 / J,ROOM NUMBER GROSS TEMP, TO i tM nr L W H 1 Ow AREA WALL i DIFF. C> - ENCLOSJRE s C MISC.SIZE 1 J_v'F i I J ?I TEMP D'FF F'Y. i.• s L I- r E-/V / c' i.' .''. _..J_ vr1- J`J` I - i l•-i ------' O( /t r, r 00 900 i t/ ---- ` rJ.J l J J v J J 70 1 1 I Y I t,r rr` p 0 t I I + J I NOTE: FOR CONCRETE FLOOR ON GRCJID OR FILL AT GRADE LEVEL,USE LINEAR FEET OF EXPOSED EDGE. T,. w FOR ALL OTHER FLOORS USE SQUARE FEET OF 4REA. TOTALS I i r// t/J) t f DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby:TOWN OF SOUTH WINDSOR 6!EqBUILDINGDEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# t 3 q 644-2511 ext. 230 ate i mg Inspector ZY-A Application must be printed or typed FEE SCHEDULE Location of Job: L.a. fir. 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. APPLICANT APPLICANT ADDRESS Y APPLICANT PHONE# $(90 ' $72— Z/2- 001, Z OWN s F,q OWNER t 2 -15rw s 21ri r R OWNER ADDRESS Z. j OWNER PHONE j 3 0 C ESTIMATED COST$ U IS THIS A CONTRACT COST? 0 Yes M No crt J FEE ENCLOSED$ 3 TYPE OF JOB: SpR.CO 0 New Installation iffooA' lteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH AA BUILDING PERMIT APPLICATION? YES I N 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 SERVICE Z CU- SIZE OF MAIN CONDUCTORS 'fO q Z-- NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES 0<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 o-wN 4 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. 7/ t CONTRACTORS LICENSE NO. _TYPE STATE SIGNATURE OF APPLICANT DATE 6 INSPECTOR DATE TIME (S LOCATION U k ik f INSPECTION: CODE: RESULT(D/A) : C BUILDING: f f ELECTRICAL: • t C LA PLUMBING: n f UyLY f HVAC: i OTHER: DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT POsT - Application is hereby: TOWN of SOUTH WINDSOR BUELDING DEPARTMENT Bldg Pe it# APPROVED 1540 SULLIVAN AVENUE 6.14-2511 ext. 230 Date Building Inspector Application must be printed or typed Location ofjob 2 o L.iS4 L Street No. Street Lot No. FEE SCHEDULE 1° Floor Apt. No. 0 - $1,000 - w-m.. Over $1,000 15$ 2-00 per$1,000 OWNER e itoranyfractionthereof ADDRESS O S o a. OWNERS PHONE# 4 - ss a r APPLICANT 14d mac.s r aa^ v c'l . c. . OW N ADDRESS wt S r Qa( V14V + PW ESTIMATED COST $ #a 9N o 0 0 IS THIS A CONTRACT COST? YES NO f FEE ENCLOSED $ OR COS TYPE OF JOB: Original Installation Alteration/Addition/Repair Revised 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 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) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) 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 9s F INSIDE -'s F DIFFERENCE 2 o F TOTAL HEAT GAIN(BTUH) .33 ,0 w 8 HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.) i yN l 1L N S r o t.Z hv Y!2 /1 dd y zQ. nG•v 0 S 11.'i. DD D /J" .STONNAGECOOLINGCAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) PLANS MUST ACCOMPANY APPLICATION) Noma FURTHER DESCRIPTION OF WORK v vA z 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 PHONE NO. DATE 1 r:. Dr. RIGHT-J SHORT FORM 8-13-99Filename: SHARMA.BLD Htg ClgarmaOutsidedb495 a Dr Inside db 70 70WindsorCT06074DesignTD6625H-644-5301/W-871-2636 Daily Range M Inside Humid. -50 By:Homestead Fuel Inc Grains Water -29100WestRdUnitIIMethodSimplifiedEllingtongCT06029Const. glty Average870-8700 Fireplaces 1 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Model Model eEficiency / HSPF 0 . 0 COP/EER SEER 0 .0 Heating Input 0 Btuh Sensible Cooling 0 BtuhHeatingOutput0BtuhLatentCooling0Btuh Heating Temp Rise 0 Deg F Total Cooling 0 BtuhActualHeatingFan1696CFMActualCoolingFan1696CFMHtgAirFlowFactor0 . 024 CFM/Btuh Clg Air Flow Factor 0 . 053 CFM/Btuh Space Thermostat Load Sensible Heat Ratio 91 ROOM NAME AREA HTG SQ.FT. BTUH BTUH CFM CFM Living Room 270 10938 3762 259 201DiningRoom18087193321207178Kitchen2183550431384231FamilyRoom3651280359643033191/2 Bath 40 1041 281 25 15GarageEntry723185335975180FrontEntry1699112233316772661692ndFloor0000BedroomI18244432079105111Bathroom504742441113BedroomII15642301964100105Master-Bedroom 280 9439 2830 224 151Master-Bath 80 1530 434 36 23 Entire House d 2062 71576 31719 1696 1696VentilationAir00 Equip. @ 1 . 00 RSM 31719 Latent Cooling 3329 TOTALS Q! 2062 71576 3 048 1696 1696 MANUAL J: 7th Ed. RIGHT-J: V2 . 17 Electric# 20 LISA DRIVE PPLICATION FOR BUILDING PERMIT Plumbing# HVAC # 23452 Date:Aft, Sprinkl r# Na. FINAL 4PP OV Estimated Cost $ Building j1 1-7 56 COMPLETE RED BOXED AREAS Permit Fee 5p _ Engineeri TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee TO BUILDING DEPARTMENT, TOWN OF SOUTH WMSOR,CT Additional Cost) $ Th and rsigned hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant Tel. # jug elo k Address Zip d bo-z Lic. #}q'l0 olr Owner c r.4;j Address2 o /, jj 122 Architect Address- Sq. Ft.New Area: 1st FI. 2nd FI, 3rd A. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: Fa4 (,,e City Water C Well 0 Septic System 0 Sewer J p_ Construction Type Area Basem t Garage Approved by Date Remed 6/95 I 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 budding is to be located the p oper distance from all street li ,side yard lines and required distances from all other zones and is located in a z m whi this Zildingai7us s ed Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit Signe DO NOT WRITE 8EL0 IS LINE -- INSPECTION COMMENTS