HomeMy WebLinkAbout20 Ridgefield Drive (3)TO THE B I SPEMR
of the APPLICATION FOR
PLAN EXAMINATION ANDIVDTOWNOFSOUTHVtKBUILDINGPERMITS
IMPORTANT — Applicant to complete all items in sections: 1, /it lilt 1V, and IX.E
t I• AT (LOCATION) 2_i61io DISTRICT-
LOCATION
NIN
NO•)`_
L
STREET)
OF BETWEEN Gc/tom. l!/ AND
BUI LDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT--::BLOCK
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
a
A. TYPE IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent useri
r.
1 New building Residen ' I Nonresidential
2 Addition(If residential, enter number 12 One family 18 Amusement, recreationalofnewbousingunitsadded, if any,
in Part D, 13) 13 Two or more family - Enter 19 Church, other religious
num 20berofunits- - - - -3 Alteration (See 2 above) Industrial
14 Transient hotel, motel,
4 Repair, replacement 21 Parking garagepPordormitory - Enter number
5 Wrecking (1/multifamily residential, J units ------- - - 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 E] Office, bank, professional6 Moving (relocation)
17 Other - Specify 25 Public utility7 Foundation only
26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 dPrivate (individual, corporation, 28 Tanks, towers
nonprofit institution,etc.) 29 Other - Specify
F 9 Public (Federal, State, or
I local government)
C. COST Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., foodiprocessingplant, machine shop, laundry building at hospital, elementary
10. Cost of improvement.••...••,••,,,, Al dad 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.F in the above cost
a. Electrical......................
b. Plumbing ......................
e. Heating, air conditioning.........
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $ 90QGE'
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 onry (wall bearing) 40 Public or private company 48. Number of stories................
31 Wood frame 41 49. Total square feet of floor ores,Private (septic tank, etc.)
all floors, based on exterior
32 Structural steel dimensions ..................... WJ-06 Id
33 Reinf rced concrete H. TYPE OF WATER SUPPLY
34 Other - Specify 42 Public or private company 50. Total land area, sq. ft. .•••••••••• -22 /fib
43 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed .......................
35 gs Will there be central air 52. Outdoors........................ y
36 [:=
u
il conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Number of bedrooms..............
38 C al
3g Other- Specify Will there be an elevator? Full..........54. Number f
46 Yes 47 Z No bathrooms
Partial.......
IV. IDENTIFICATION — To be completed by all applicants
Name and State ZIP code Tel. No.
Owner or
185 SILAS DEANE HIGHWAYO
Lessee WETHERSFIELD. C N
Z LaCAVA CONSTRUCTION COMPANY
Controcror
THERSFIELD. CONN. 06109
3.
Architect or
Engineer
The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of ap 'cant Address Application date
LA RUCTION CO.
00 NOT WRITE BELOW THIS LINE
V. N REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans By Date Plans By NotesqFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or ApprovalI Check Date Number B Permit or Approval I Check Date Number ByppObtainedyppObtaned
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
Bui Iding
Permit issued f % 19 - 7",/
Bui Idin
Permit Fee $
pprov d by:
T
r
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Mar. 17 ig 86
Fee Paid $5 4 0.0 0 Est. Value $.9.Q,.0 0 0
Permit N° 14 917
on the side of
Lot #30 Ridgefield Dr. Street
Street No. 20
Owner LaCava Construction Co.
Applicant La C_a ya Cons _r m-t-j on Co.
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 747-4
Foe Paid $ 3 00
CLASSIFICATION
Dwelling
I
I
BUILDING PERMIT
I
N 1491'7
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Ma x+mh 17 1986
I
94io to to Tertifg, That LaCavn Construction Co.
is hereby granted permission to Dina Z 1 i na
i
at estimated value of
j on the side of Street on land
I
owned by rn
Said Work to be as described in Application
I
No. 15217 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issed. 1986
r
Building Inspector.
I
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,jtown or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
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Dwelling - Lot #30 Krw.Est. 3/17/86
LaCa va `Construction Co.
20 Ridgefield Drive
Permit #14917
Electrician David S. Garber 9168
Heating Contr. J. Bartone 6413
Plumbing it J. Bartone 6966
Oil Burner
Certificate of Occupancy 7473
Sewer Permit
Plot plan apprd. er Engr.
r
U
e
p
P rmit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
M
p
M
N Permit NO 7473
p
Certificate of Occupancy
THLSjP TO CERTIFY that
I at No in the jWwn of South Windsor, Connecticut, has
been erected and corMlsor,d in accordance witl"e iu- ding Code and Zoning Regulations of
p the Town of South W and is hereby appr ed r)occup cy.
Bui ing Inspector
Owner, Builderp
p Fee Paid .- Date
I J IIL _ i T
r E : 1 " = 40' L A` ',I C01 :7;;C•11(" ''CC p'Y CO. IEC , I CUT
OT E)30 FPUAR.Y 1'? , 1936
R APRIL 21 , 19°6
T.F,-279.2
ems. F.L.=27 5.14
L<--c.a.
r" F L,`Zl 3.O
6r R t p v E FEEL
Rs 3'L5.5
1 p3 C
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p' \VIA-F.Lr27L•D
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NIF—GA GAVAf y ti' 3 i O i5 , —GB.
CoN-Ru--TION Go. - Z
T- 0_ n T•F=Z77•0
i,oT 3o S 1"Water G, So.,. M•u.
M• - 1K.LlL6G.p
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0
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G Q 19 j
z LoT 2q ell
N F LA G;-.v^
IGON57RUGTiON
CON"¢ I hereby certify that this Plan,
E`;' VOUN DA-'IONc' wh ich shows locationion of building
4,jA, Ci is substantially correct, and that zoning
regulations are not violated.
T
Na.d4.14 2 CLOSE, JENSEN & MILLER
04' Civil Engineers & Surveyors
By
J
I
rn
APIPROVED
TOWN OF SOUTH WINDSOR
ENGINEERING DEPARTMENT'
DATE:
SIG.:
f
ELECTRICAL APPLICATION
Application No.\8 SP
on the side of
a ^O c•1e- Street
Street No J O ZI k -A
Owner Coy V Cx C i) C •
Electrician c V
FILED IN OFFICE OF
The Building Inspector
19 K D
INS PECHON.
mNo 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 fire
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
Electrical Permit No. ........` ...%.........._.......
Master License No. ...1..
TOWN OF SOUTH WINDSOR Building Permit No. A.L\q\ n.......................
BUILDING DEPARTMENT
Date Filed ................... ....
Date Final Approval ..................................................
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
JOBLOCATION.30.. ......................... ..`................................................... JOB OWNER. .. ..... `-cx Cc"`2.........
Sideof .. ... .Between ........................................................................... and ......... ..................................................................
k C c.r C<n s/>' Address /?,- .....5..42,-r-... =u..... '.......... : ..Name of Building Owner ........... .... ................. ...................................... v,s
If work is for Lessee—Give name ...Address
Building now occupied as (unless new)No. of family units now .......-........................
Building to be occupied as ........... s'de'Ic a Number of family units to be ...............................
Is this work included in a Building Permit? /11 JS Permit Fee ............... ................. . ......................................................................................
If no Building Permit)4Permittee . . .. ? ... ... Business Address ....... ........ .,. . ........'.................... Telephone
COST OF INSTALLATION: --. ...!Z r a''...................................................... "Alv", ..r-.T:-'.............UG 4o
TO BE FILLED OUT BY PERMITTEE
TO BE WIRES EXISTING APPLIAN
Number of light outlets to be installed
Number of convenience outlets to be installed Number of p esent Appliance Circuits ..................................................
Number of switches to be installed f Do these inclu a Range Wate Heater
Number of appliances to be installed . . . ....... ..................
as listed below) Dryer A Conditioner Oil Burner
TYPE RATING NO.
Z Dish Washer Gas urner
Range
w_ Well Pump Elec. Heaters
Range Top . . . . . .
Oven . . . . . . . . REMARKS
Water Heater
4.15
Clothes Washer . . . .
Clothes Dryer . . . . . G
Dish Washer . . . . . .
Air Conditioning Motor .
Oil Burner Motor . . . . a`
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan , , ,
Well Pump . . . . . .
Electric Heat . . . . .
Other pis sw . 5—
Number of new Lighting Circuits
Number of new Appliance Circuits 3
Number of Heating Circuits
Number of Motor Circuits . .
Size of present service ...............1.674..41_ ..............._............Sueof service to be ..........................................._..._............._......._____.._.___._
6966
PLUMBING APPLICATION
Applicofm pq6- 6 7 3 7
on the ......_.. of
zu Stteet
O
Street No. LdCG
Owner
Plumber
Filed in Office of
The Burg Impecmc
April 22 19 86
II TBP C'1'101.
No person shall oo ddonct; a 0 or alder eery
portion of the drams system of any bwl&og
except to repair lalo una a Plermit a gadded
by the Budding Impecow.
APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB
A
vt J
NO. STREET FLOOR APT.NO.
GENERAL PLUMBING
12. KIND OF INSTALLATION f72&,Ly 13. SIZE OF MAIN DRAIN 7 !'
14. NO. OF TOILETS -3 STYLE 15. NO. OF URINALS STYLE
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 3 18. NO.OF SINKS--I 19. NO. OF WASHTUBS
20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE _3
22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? :!/2 27. SIZE OF WINDOW 3!C -
28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIGNATURE ADDRESS - f,&,AMVIIZ 0 3
LICENSE NO.c l ESTIMATED COSTg D° °. TELEPHONE b _3- 3
OWNER raoa 00911
ADDRESS
WATER HEATER
31. TYPE 32. MANUFACTURER CJCsz il
TANK SAFETY DEVICES
33. CAPACITY 37. TEMPERATURE RELIEF VALVE
34. TEST PRESSURE 38. MANUFACTURER
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE
36. TYPE 40. MANUFACTURER C•C/L2'z'J
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.
G
CD962 ATE SIGNATURE OF APPLICANT
PERMIT
Application For 6 212 6 413
DEPARTMENT DECISION
o Heating Permit0
3 APPLICATION IS HEREBY:
o DEPARTMENT OF LICENSES AND INSPECTIONSas
N APPROVED DISAPPROVED
3 TOWN OF SOUTH WINDSORc
Thanas P. D' Auria
00 E CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O
O v 1. LOCATION OF JOB
O
14 ...O
NO. STREET
i., 0
U
Uai
LOT NO. FLOOR APT. NO.
O 0yN
1-4
p E 2. OWNERCd
O
o ADDRESSbe
4J
4.FHONE 69:? 3 7/(
Cc 4P
S. APPLICANT-- r/-4 i(
ai
w a. ADDRESS
a 2
Cd
o 7.PHOWE 217" 39,121
w
6. LICENSE NO. -300 Q ?-
1Z
E
O w 11. EXPIRATION DATE OF LICENSE 10-- I— P6
v CJ'
G 10. ESTIMATED COST
4J •G
11. IS THIS A CONTRACT COSTS 13 YES 0 NObo
D 12. FEE ENCLOSED =
d
x
O t!. TYWOFUILDIN6:
DENTIAL COMMERCIAL
C 3 14. TYPE OF JOB: INDUSTRIAL
GINAL ALTERATION
INSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued tr m Revere side)
11. LOCATION OF JOB Z 30
NO. arSTREET FL OR AFT.NO.
12. TYPE OF INSTALLATION: COIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION n SIZE ^<< SIZE
13. OF TANK OF TANK (lL a4 OF FILL 6k OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND N0./?E-2/ B.T.U. OR SQ. FT. NET 2id00 B.T.U. OR SQ. FT. GROSS9/QO0 FIRING RATE
FLOORS TO BE HEATED Z-NEW OR OLD BUILDING J?00Ab INSULATED — YES OR NO
TYPE OF WALL Aalktd INSULATION i4elal 3 1[Z- ROOF OR CEILING INSULATION a
AVG. SYSTEM WATER TEMP. D a
B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE O - 7d FAHRENHEIT
MAKE OF RADIATION: BAS OARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. O
DESCRIPTION OF WORK '
J /15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
wooM slzE AND AREA - SQUARE FEET VOLUME
e.T.u. e.T.u.DIooDwsSTRIBUTION INSTALLEDTOTALTOTALy
ROOM
L W N ANO.ND W GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL 4
REGISTER
g WALL t INFILT.) TEMP. TO 66 F TYPE AND SIZE RAD. OR LEADER
SIZE `f c DIFF. F O m b SO' FT' FREE AREA
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
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.
DATE SIGNATURE OF APPLICANT
s.
I = B= Fr CALCULATION SHEET 1503 (Modern Mediod Copyright 1977 tnf-TI» s
OWNER. ADDRE" r 's DESIGN TEMPERATUR[OIFFERENCEr&F. DATS
COL.A OL.S COL..C COL.D COL.E COL..F COL.A
1 ROOM
Q Lf t t c. fliA.AL I
O H 0 H W N W H PC
2 ROOM DIMENSIONS,FT. V r` t! 16 Z 6 2""per FMt of
3 LENGTH EXPOSED WALLS,FT. y p j/ aitaftLM liMW '
4 WINDOW AND OUTSIDE DOOR AREA
STUN STUN STUN BTUH STUN
5 WALL CONSTRUCTION
f V d pa ROOM L"FT. F
Table 9,L ins 3 x H) , O 1 i 3 TOTALS RAOIATIOl1
6 TYPE OF GLASS r 1,/
FROM Ltlrt 1! StLECTtO
9 ttom f table used for Line 5) v 0 t
7 CEILING CONSTRUCTION C
Tabl 90 L x W)
g FLOOR CONSTRUCTIONt
Table 9, L x W r Lim F t.)
T E O 9 COLD PARTITION CONSTRUCTION
Table 9,L x H)
r.._.._.._ r` r`"`p
10 1 Wall(with openings) ip.; . 7 -_
c
M
2 Wells(With Open X O
3 Wells(With Opal or'Ent.Halt
11 TOTAL BTUH AT 7OF TEMP.DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE a d S fro O dV 64'= .P4'= r `. A`
ff
COL.A OL..S COL.H COL..1 COL.)a
4
1 ROOM royr' Ri d{ATION r
O H H Or M- i I M
Y '
2 ROOM DIMENSIONS,FT, U ' lor
3 LENt3Ttf EXPOSED WALLS,FT.
IL
4
4 WIN W AND OUTSIDE DOOR AREA
STUN STUNUFI ST L114
5 WALL CONSTRUCTION uL INCREASE BATHROOM
Table 9,Lin 3 x H) 1 / U 3 d TOTAL 101L
6 TYPE OF GLASS
8 tt m of table used for Line 5) 3 3 1 d o 6
tFOR CONCRETE FLOOR ON7CEILINGCONSTRUCTION
Table 9,L x W) U J' s' 00 6 GROUND
V
FILL I
GRADE LEVEL.USE LINEAR
8 FLOOR CONSTRUCTIONt FEET OF EXPOSED ECOE
Table 9, L x W r Lin. FL)
9 COLD PARTITION CONSTRUCTION
Tab( 9,L x H)
10 _C 1 Well(with OPWAVO o/ ly ob D0 6 6 v
2 walls(With Openings)r,is r C j)
3 Walls(With OpeningN or Ent.Hall I.., o f 6 't
11 TOTAL STUN AT?OF TEMP. DIFFERENCE* y/ d p f OO Ot5 G
12 TOTAL TUN AT DE IGN TEMP.DIFFERENCE 7 O S O a 0 tS 00 1
FO#M 130J
This form is available from Th Hyd onbs institute,35 Russo Place,Berkeley Heights,N.J.07922
1
I = 8= `CALCULATION SHEET 1503 (M Methodf ceorlPt 19!!77 IEt(I TIM
OESIO
r
N TEMPERATORE D#VMMIK F. DAn
WHEN ADDRESS
COL.A OL.B COL.C COL.D COL.E COL.V COL.
1 ROOM
L 3
H H H ff N N L W WaIW TSHW .,..... _
2 ROOM DIMENSIONS, FT. V [ 3 16 3',t 1c I VOt Poet of
31 LENGTH EXPOSED WALLS,FT.
41 WINDOW AND OUTSIDE DOOR AREA Z26Z
BTU" STUN STUN BTUHi-
5 WALL CONSTRUCTION
ROOM LwL FT.or f
Table 9,Line x H)J TOTALS RAtitA"000 g
FR M LIM 12'SiLtCT" =
6 TYPE OF GLASS QQ CJSttomoftableusedforLineS) S— 6c O q 00 6
F
7 CEILING CONSTRUCTI N
Table 9,L x W) w D
B FLOOR CO
Tab( 9.L x W or Vft Ft.) 6
9 COLD PARTITIO NSTRUCTION
F
Tabh9,L x H)
10 _r 1 wall(With Opowfvd
2 Walls(With 01106+In6s) X 01 N 00
J
3 Walls(With OPenkVd OfAnt Hall 1.
11 TOTAL TUH AT 70F'rEM.DIFFERENCE
12 TOTAL STUN AT DESIGN TEMP. DIFFERENCE O O d '.
COL.Cam..H ME 1 COL. : cart..K COL.
1 ROOM Fi, 3- AT O
O H 4 W H L W N L w N L w H L w
2 1100M DIMENSIONS,FT.
1 V
3 LEN H EXPOSED WALLS,FT. 4(
4 WINDOW AND OUTSIDE DOOR AREA am
BTU" STUN STUN BTU" BTU"
INCREASE BATHROOM
5 WALL CONSTRUCTION TOTAL!O'!6
Table 9,Line 3 x H)
6 TYPE OF GLASS
S ttom of tab( used f r Line 5) tF R CONCRETE FLOOR ON
7 CEILING CONSTRUCTION GROUNDOR FILL AT
Table 9,L x W)
GRADE LEVEL•USE OMAN
FEET OF exposeq EDGE
g FLOOR CONSTRUCTIONt
Table 9,L x W or Lin.Ft.)
9 COLD PARTITION CONSTRUCTION t
TOM 9,L x H)
10 49 1 WON(With 090MOW 3
2 Walls(With OPenlnV X
J
3 WMls(With Open Inky or Ent.Hall
11 TOTAL STUN AT 70F TEMP.DIFFERENCE'
12 TOTAL STUN AT**SIGN TERW.DIFFERENCE
This form is ovaHar h from TM Hydronlcs Its,35 Rumo Plac ,Berk lay Heights N.J.07922
PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT )14c7a-
Application is hereby:
TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext . 230
7 cio Application must be printed or typed.
Date Bu ding Inspector
1 . LOCATION OF JOB
1) JL
FEE SCHEDULE No . Street
0 - $19000 - 10. 00 Floor Apt . No .
Over $1,000 - 10.00
2 . OWNER /7 13 D Vj,per $1,000 or
fraction thereof
3. ADDRESS Q 121
4. APPLICANT OL 0 17 /-) &A-c2
5 . ADDRESS / (4 Ob qS' 97
U 4 7 H4 /L C40 /2- 0 C i 46iOL
6. ESTIMATED COST $ j 0)
7 . IS THIS A CONTRACT COST
Yes No
8. FEE ENCLOSED $_ Q c7
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
s60riginal Installation
yAlterationlAddition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11. LOCATION OF JOBr
NO . STREET APT. NO
12 . TYPE OF INSTALLATION
13. SIZE OF MAIN FEEDER l(
14. NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16. NO. OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS
18. NO. OF HEAT CIRCUITS 19. NO. OF POWER OUTLETS
20. NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS
22 . NO. OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS
26. NO. OF PANELS 27 . TOTAL WATTAGE
28. NO. OF POWER FEEDERS 29 . NO. OF SWITCHES
30. A/C LOAD 6 4 31. SIZE OF POWER FEEDERS
32. NO. OF FIXTURES 33. TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
TO
LICENSE NO.SIGNATURE F APPLICANT DATE
PHONE NUMBER: G f f / 9 z
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: s 'jam
NO. TOWN OF SOUTH WINDSOR EST.CO : 4,00 p
BLDG. PERMIT N0. 1540 SULLIVAN AVENUE FEE Q—
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 0 - $19000 - $10.00
1000 or fraction
LOCATION OF BUILDING Aot .G„ ,, F 4..., l._ thereof - $10.00
4o6L%If L En, f.1t,
OWNER I ADDRESS TOWN PHONE NO.
s 1
HVAC CONTRACTOR ADDRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL V
A/C COMMERCIAL
VENTILATION BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR
UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM GAS IN-PUT ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.):
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE p °F INSIDE OF DIFFERENCE / F
TOTAL HEAT GAIN (BTUH) o$"3
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.):
C,,9"-6 _C. :? 3—J ha. _.."(_ C'q r-. C a cv*
TONNAGE , COOLING CAPACITY (BTUH) X67 0
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:
k-o4
STATE LICENSE - NAM TYPE #DATE SIGNATURE OF APPLICANT
11"VED ATE
BD 4A 11/88
I - B a R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronks Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
C L.A COL.S COL.C COL.D COL.E COL.F COL.d
1 ROOM
O H L W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS,FT.
V STUN per F t f
3 LENGTH EXPOSED WALLS,FT. Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA U.
STUN STUN STUN STUN STUN
5 WALL CONSTRUCTION
Table 9,Line 3 x H) ROOM LIN.FT.OFTOTALSRADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
Bottom of table used for Line 5)
7 CEILING CONSTRUCTION
C
Table 9,L x W)
g FLOOR CONSTRUCTIONt
Table 9, L x W r Lin. F t) E
9 COLD PARTITION CONSTRUCTION F
Table 9, L x H)
10 _C 1 Wail(With Openings)O G
2 Wails(With Openings) ZX H
3 Wells(With Openings) or Ent.Hall I
11 TOTAL BTUH AT 70F TEMP DIFFERENCE' J
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K
L
COL.A _ _COLS COL.H COL.1 COL_J COL.K COL.L TOTAL BTUH T TAL
1 ROOM OF SUILT SELECTED
ING ADIAON
O H L W H L W H L W H L W H L W DESIGN TEMP.*
2 ROOM DIMENSIONS,FT DIFFERENCE
u
3 LENGTH EXPOSED WALLS, FT.
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH STUN BTUH
5 WALL CONSTRUCTION INCREASE BATHROOMTable9,LIns 3 x H) TOTAL 20%
6 TYPE OF GLASS
Bottom of table used for Line 5)
7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON
Table 9, L x W) GROUND OR FILL AT
B FLOOR CONSTRUCTIONt
GRADE LEVEL,USE LINEAR
FEET OF EXPOSED EDGE
Table 9,L x W r Lin. Ft.)
9 COLD PARTITION CONSTRUCTION
Table 9,L x H)
10 1 Wall(With Openings)
0
2 Walls(With Openings) e Xp
3 Wells(With Openings) r Ent.Hall
J
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
This f rm Is available fr m The Hydronics Institute,35 Russo Place,Berkeley Heights,N.J.07922 FORM 1503
Form N RC0 682-L11 S-16-12-69 Job No. Date
LENNi7XRESIDENTIAL COOLING DATA SHEET outside
Design
Temp oeiwB.._.
Inside Design Temp.paily Range
Design Temp.Oiff._Latitu
r ADDRESS Floor Area BHEATINGCONTRACTORtY
NAME OF JOB ADDRESS
1.Room Use and Floor Level 1` •„ 1 I V,ry 2 i,.t•3 c 1 c, t 4 6.l 7. Z Z, 8.
2.Room Length and Width I': K g (G s
Area Area Area Area Area Area Area Area
Type and Direction 6f rNUMBERBLE Btuh Btuh Btuh Btuh Stuh Btuh Btuh Btuh
or
Exposur
HTM or Gain o
Gain
o
Gainor f Gain
o
Gain
o
Gain
co
Gain
o
Gain
No. No. No. No. No. No. No. No.
NORTH Exposed Wall Length 05.1<<
OR SHADED) Ceiling Height r`' r-a Y
3. Wall and Glass Gross E xposed Wall e, ,. _L3f
Solar& Sq Ft Glass Area 0 00 L
Conduction) Net Exposed Wall
EAST Exposed Wall Length eS t'•T. t=•, 34'i x'+'`
Ceiling Height i:I c c'~ 91 wi
4. Wall and Glass Gross Exposed Wall 1.,T±f` SO¢. .r''I•r_: +....4
Solar& Sq Ft Glass Area G
Conduction) Net Exposed WalI
SOUTH Exposed Wall Length tl• sly% +,;.- T.
Ceiling Height t ti• • : r,: i•3+i y h i:.t n:`•`t y 1\
5. Wall and Glass Gross Exposed Wall M•` "'
l+ L iftp: e.;• t: r•;.t: -'VL 4' r i
Solar& Sq Ft Glass Area
Conduction) Net Exposed Wall 2-
WEST Exposed Wall Length ri. ',' :. ti`::• ti f,t r=•ice a 0
Ceiling Height p ',•;:i''• wrr 4' i,. a;
6. Wall and Glass Gross Exposed Wall k•ry.c i:.1;Y i x ( }` Z
Solar& Sq Ft Glass Area O XI Vol
Conduction) Net Exposed Wall
7.Wood Doors
8.Warm Partition
9.Warm Ceiling
01' 2_ ''7G 7 ?1 Z O-W 2 1L
10 Warm Floor
11. Appliances— Kitchen(Sensible) da "''' 00 :•s
12.People(Sensible) 1 d De 4 Od a d a 1 30 a
13.Outside Air or Infiltration(Sensible) 4 T C, IJrC. 2 k C L
14.Sub-Total-Sensible ys. i s" sat: L{.
15. Duct Allowance 96 ft t,• to:' Y s`t
16.Total Sensible x\s-:?. •.•. '
17.Total Latent .3 x Tot.Sensible Ct-. pEr
18. Total Sensible&Latent 6 4 ' ' Cs 7 i Gr '"='• G` "'
19. Theoretical Urn L 1.
20.Delivered cfm t"¢. t••; A : K
CAP.MULTIPLIER Btuh Cap. OF
For----?F Swing) LENNOX Equip.
MIN.EQUIP.CAP.@ARI Rating Cfm Rpm Air Changes
4S/
T Ratio /S.PP.Litho U.S.A. 6 O 3 (q/I^-•p..
1
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSORPERMIT#
lication is hereby: C( ?
BUILDING DEPARTMENT(
C APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Building Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
Z()116(4--e'relefal
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
i
APPLICANT Q,c ,S46 Q+
APPLICANT ADDRESS S'4S U
APPLICANT PHONE# P 7 3 d 7
W N S OWNER
T'1lj '/t'1/t r ct VT •PG
q OWNER ADDRESS C h/
OWNER PHONE
C 3 ESTIMATED COST$ 7-0 y O--—
IS THIS A CONTRACT COST? Yes
6b WNo
FEE ENCLOSED$ c-.2 -
1
TYPE OF JOB:
New Installation
Alteration/Addition/Repair Revised 5101
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
eRESIDENTIAL
BUILDING PERMIT APPLICATION?/ S NO
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
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
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
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
r
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.
n0/4P3 6 2 .6 Z-/ C'7,
CONTRACTORS LICENSE NO. TYPE STATE
CSIGNATUREOFAPPLICANTr
t
DATE / — -7—G/
VD/VU/ZVVI 11).Lo uuln wir,L,r r\cr-v
O r 1 /LE: I" = 40' L, ' COi'STR;,CT1C'' C('''oA';Y C4.' '-..TICUT aG Rcd
e-F(ci,LOT 30 FEt3Rl:tiRY 1?9 1 BE R ' APRIL
21 , 19806 i.L:
27 5.14 :. ...0••W
a ter, -- Mr- F
L-- ,` `T`,.ar
V
p J 16
p.
ros92'"
G R 25.00 A- 1 nI a „
2.ce'Lz3v13
Z
516mr
LIN 0 O •00
a P.
tA-
LoTiON
lRJG••
IOW Cam. C vti o p ,r,s".! '`' ' 0 r
r .L.:r•- d SIA00 Lor-
30
of C7
I
t iJ Lo
2Q
t•Co 7'
RUG iON CO, -„• l 1
f
con,
ti I hereby certify that this ` Plan,d'. 0'''•"
c which shoes location of VouNyAYiom building r is
substantially correct, and that z ning C regulations
are not violated.No. 1472
CLOSE, JENSEN b MILLER Civil Engineers &
Surveyors MAY 08
101 10:15 8606447280 PAGE.01
Fr
South 1ll+ndsor
BUILDING DEPAR r POENT
ro THE 6UILD11K DEPT. TOWN Of SOW7k WINDSO
This certifle4 that this plan and --vecltieations are trc
06ples of th• propeseid bwlding or alterations to b•
Proctod at
N
Sir•
together with nd..ents st filed in application
filled with
a
plan nn I agree to comply with all zonlr
3uilding ana state laws ai,d slich ordets as shall
gss+i-d by the Building Department during pendenr
l this aUon and final Issuance of a buildln.
ermit.
G._.t ..
hi,. pt', i app w ed subject to the condition ths'
drrs i urdwances regulating building shell be
n:utn d with
Condit l ally Approved These tiled with
Building In eetcttoor/
1rvu 1/clec
flat 6 1 PC 32 ! IIIIIIII/UUUUw
V- -
CERTIF-ICATION OF ZON!NG COMPLIANCE
Proposed buildino,,$), users) and/or structure(s!
Is shown on this plan app--ar;s) to be I.,
mformance with cup ,e.nt S.).ith Wind
Hlations. Variances and special exceptl0i.
ray apply.
ate
Enf rc m.ent Officer