HomeMy WebLinkAboutBuilding 20 Mill Pond Drive0-':SHE BuIll INSPECTOR
of the APPLICATION FOR
PLAN EXAMINATION 0'hOWN OF WINDSOR, CONK. BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, It, /it, !V, and 1X.
ZONING MF-A
AT (LOCATION) Mill Pond Dr. — Building No. 20 (identical o R1 _ 1 IL)-- DISTRICT
LOCATION N0.) STREETi
OF BETWEEN Mill Pond Dr. AND Mill Pond Dr.
BUILDING CROSS STREET) CROSS STRCET)
LOT
SUBDIVISION LOT BLOCK size
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wricking" most recent use
1 ® New building Residential J Nonresidential
2 Addition(1/rrtsidential, enter number 12 C] One family 18 Amusement, reereoti nalofnewbousineunits.added, if any, Two or more famil — Enter 19 Church, other reli i usillPastD, 131 - .. 13® y g
number of units— — — —-• 10
20 Industrial3 Alteration'.(See 2 above)
14 llhotel,ote ,mote 21 Parking garage4 R pair, replacement or dormitory — Enter number
5 multi/tanily residential. of units ——————— —-22 Service station, repair gorag
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D. 13)
16 Carport 24 Office, bank, professional6 M vino (r location)
25 Public utility
7 Foundation 17 Other Specify
only 26 School, library, other educatl nal
B. OWNERSHIP 27 Stores, merconfil
rivat e
r•-i-"
a(Individual, corporation,
nonpr fit Institution, etc.) 29 C:] Other — Specify
9 Publie(F%derol, State,or
local g v rnment) r '-
C. COST. ,,,, a (Omit cents) Nonresidential — Describe in detail proposed use of buildings, .g.. f ad
processing plant, machine shep,.laundry building at hospital, of mentery
10. C st f improvement.......,,,,,,,, school, secondary school, col logo,-parochial school, parking garage f r,
dapartment 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 ab ve cost 23 340.0a. Electrical."...0...............
b. Plumbing ..............:.......31 ,800.0
24 300.0f.Heating, air eend1110n1ng.....,,.•
d• Other(elevetor, Ste.)......•...
It. TOTAL COST OF IMPROVEMENT $442 ,820.Op
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 n Mas my(wall boating) 40® Public or private company
49• Number of stories................
31 ® Wo d frame 41 Private (septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ..................... 12 , 650
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 n public or private company
50• Total land area, sq. it. ...........NZA
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ....................... 10
F. PRINCIPAL TYPE OF HEATING FUELI. TYPE OF MECHANICAL
35® Gas Will there be ntral air 52. Outdoors.......................16
36 Oil conditioning? 7 opt i ona 1)L. RESIDENTIAL BUILDINGS ONLY
37 El et ieity 441M Yes 45 No 53. Number f bedro ma.............. 2
39 Coal
39 Other— Specify Will there be an elevat r? Full.......... 12
S4. Number of
46 Y s 47 He bethre me
Partial........ 10
T
IV ENTII-ik-AtiUM — j o oe completed by all applicants
Name Meilinj eddress — Number, street, city, and State ZIP code Tel. No.
1.
Owner or. 06110 7 9 4-
Lessee
2.
Contractor
3.
Architect or Gaetano Ba zano 260 Beezlebub Rd. So. Windsor CT 06074A
Engineer
The own r of this building and the undersigns agree to conform to all applicable laws of this jurisdiction.
Signature of applicantAn over Equitie , I QSddress Application dote
g • r.. 22D Culbro Dr . , W. Hartford, CT
o ert A. marcantonio 06110
Vice-President 00 NOT WRITE BELOW THIS, LINE
V. PLAN REVIEW•RECORD — For office use
Plans Review Required Check Plan Review' Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit 'or A r val Check Date Number B Pit Approval Check Dote Jumber i By
pp N b y Permit orObtained pp Obtained
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
i
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit number
Bui Iding
Permit issued 19
Building
Permit Fe S G
rov d by:
T
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date-_fin r i 1 7 1986
Fee Paid $.2,.6 5 8 Eat. Value $.4.4 2.,8 2 0
Permit N° 14963
on the aide of
Mi 1 1 Pond Dri vP Saw
Street No.R»i l d i n g 90
Owner Andover Equities , Inc.
Applicant _Robert A. Mar antnn i n
CERTIFICATE OF OCCUPANCY ISSUED:
Date
7507
No. 7 516
Fee Paid $ 3 0 .0 0
CLASSIFICATION
Condani_n_i Lmn — 10 Units
BUIM NG PERN[rr
M 14963
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. April 7 1986
M#ia to to &*rtif#,, That Andover Equities Inc.
is hereby granted permission to Condcainiva — 10 Units
at estimated value of
on the side of Building 420 Hill Fend WAVE Street on land
owned by Andover Equities, Inc.
Said Work- to be as described in Application
No. 15263and to conform to specifications and plans filed with said Application, and Building By.
Laws of THE TOWN OF SOUTH WINDSOR.
Issued aril 7 1 6
Building Inspector.
Streets and sidewallcs, 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 paaon shall p1m
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."
ECTIO REPORT
Permit Job
1 Footing
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.o. ?,D - .f
zozq!e
Gondaninim - 10 Units 4/7/86
Andover Equities, Inc.
Bldg. #20 Mill Pond Drive
Permit # 14963
Electrician Frank Nicotera 9508
Heating Contr.Ha vco Inc. 6 6 3 0
Plumbing " Rocco Capobianco 7237
Oil Burner
Certificate of Occupancy R,, DKSewerPermit'
Unit 2001 - 7507 f; c
Unit 2002 - 7508
r
o Unit 2003 - 7509
Unit 2004 - 7510
Unit 2005 - 7511Un
a-Unit 2006 - 7512 1
Unit 2007 - 7513
Unit 2008 - 7514
Unit 2009 - 7515
Unit 2010 - 7516
Permit No. `'','off TOWN OF SOUTH WINDSOR
k SOUTH WINDSOR, CONN.
M
t
Permit N U 7 5,iJ 7
G Certificate of Occupancy
THI IS TO CERTIF thanY
1
T the
at No. ' ' •r i ° in the Town of South Windsor, Connecticut, has
been erected and completed in accordance witl the "Ming Code and Zoning Regulations of
the Town of South Windsor, and is hereby appilqvedl fo occupa ,______— "
6'
Bui ing Inspect-or
Owner, Builder
Fee Paid ` Date f 4
P rmit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
M
C
M
Permit W1 6 7508
i
Certificate of Occupancy
P
THI IS TO CERT
at N
Y thee'
o. i %' -' l in the Town of South Wi sor, Connecticut, has
been erected and completed in accordance with a Bu' ding Code and Zoning Regulations of
the Town of South Windsor, and is hereby appro d r occupancy
Building Inspector
M L)Wners Builder
Fee Paid Date 19
Permit No.
E
TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit NV. 7vA
Certificate Of Occupancy
THI5 IS TO CER FY t - ` i
f
at No. , 3- !` " ' in the Town of South Windy r, Connecticut, has
been erected and completed in accordance with the B ildirg Code and Zoning Regulations of
the Town of South Windsor, and is hereby appr e f r occupancy.
C
Building Inspector
Omer, Builder
Fee Paid Date 19
a
M
f
Permit No. 'TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
i
i
r Permit O 0
r
Certificate of Occupancy
THIS IS TO CERTIF that=%the
at No. in the Town of South Winds Connecticut, has
been erected and completed in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby appr wed o occupancy_
J
y 1 Building Inspector
Owner, Builder
1
Fee Paid Date
1
P
p
Permit No. i f TOWN OF SOUTH WINDSOR
N SOUTH WINDSOR, CONN.
r
r
i
Permit N? 7511r
Certificate of Occupancy
THISp IS TO CERTY the e
at No in the Town of South Windsor, Connecticut, has
been erected and completed in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved for)occupancy.
Building Inspector
jjwner, Builder
i
1
Fee Paid Date - .r X
1
r
r
Permit No.
r J TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit N9 7 512
Certificate of Occupancy
THI IS CERTIF ttte
at N in the Town of South Windsor, Connecticut, has
C been erected and completed in accordance with the Building Code and Zoning Regulations of
1 the Town of South Windsor, and is hereby app gved occupancy.
Building Inspector
i MCA `"
Owner, Builder
e Fee Paid --' Date e— 19
A
M
k
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
r
i
I
e Permit N9 7513r
MCertificate of Occupancy
THI IS TO CERTI Yd t the
J
at No. .'•I '-.1 -W in the Town of South Wind Connecticut, has
been erected and completed in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby appNved fft occupancy.
121
Owner, Builder
r Fee Paid - Date 19
r
r
b
i Permit No. y(/+ -J TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
i
Permit N9 7 514A
Certificate of Occupancy
i
THISL CERTIF thatN
at No. ein the Town of South WI' dsor, Connecticut, has
been erected and completed in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby appr ed f r ccupancy.
Bui ing Inspector
Owner, Builder
Fee Paid Date 19
M
M
Permit No.. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit N9 7515
Certificate of Occupancy
A
THI IS TO-CERTIFY that tb-7'at No. L -/P/-in the Town of South Win4sor, Connecticut, has
been erected and completed in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby appibved fb'x occupancy.
Building Inspector
Owner, Builder
V),
Fee Paid Date 19
P rmit No. /,% TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
1
I
Permit IV? 7 516
Certificate of Occupancy
TI!Ip IS W CERTIF that
at No. l in the Town of South Windior, Connecticut, has
been erected and completed in accordance with the lding Code and -Zoning Regulations of
the Town of South Windsor, and is hereby apprbwd f occupancy.
Building Insp ctor
wne ; Builder
Fee Paid Date 19 13
9508
ELECTRICAL APPLICATION
Application No. 11019
on the side of
Mill Pond Drive StMt
Street No. Bldg. 20
Owner Andover Equities, Inc
Electrician Frank Ni c-ot-Pr
FILED IN OFFICE OF
The Building Inspector
12f1R 19$6_
INSPECTION.
m No Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
In New Buildings no wiring shall be started
until the plumbing and heating pipes, and the fire
stops (if of wood) are installed, without a special
permit from the office, of the Building Inspector.
Electrical Permit N . .....95089508o
Master License No. .......1 D A...9.6..F...........
TOWN OF SOUTH WINDSOR Building Permit No. ...14.9.63 .. ...............
BUILDING DEPARTMENT
Date Filed 1,T-j ................................
Date Final Approval ................ ..........................
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
JOB LOCATION: 4.1.4 9 0,2 0... .M! 1 A 1?0...N...01........A.0-4......... JOB OWNER: A ...07.......A6-.q......... ....... .j .........................
Sideof Between . ...... an ... ..........................................................................
Name of Building Owner 4"do v ex . I*al. q...i.......... N.4.G V-e OL P42........ ....h)tAddressa?.a... l? . .....
If work is for Lessee--Give name Address ................................................................................
Building now occupied as (unless new) No. of family units now .. . . ............
Building to be occupied as P;; a Number of family units to be .. -'0. ..............
Is this work included in a Building Permit? Y G z Permit Fee ........ .......... .... ...... .................................................... .............._.....
2 Z If no Building Permit)
Permittee Business Address$.. R0.3 COL..S!•... .1' .. Telephone
COSTOF INSTALLATION: S`-.
TO BE FILLED OUT BY PERMITTEE
TO BE WIRED EXISTING APPLIANCES
Number of light outlets to be installed t/W .
Number of convenience outlets to be installed 30 v w Number of present Appliance Circuits ...... . .. .... .......... ...........
Number of switches to be installed . . . Do these include Range Water Heater Number of appliances to be installed
as listed below) Dryer Air Conditioner Oil Burner
TYPE RATING NO.
Dish Washer Gas Burner
Range
Well Pump Elec. Heaters
Range Top . . . . . .
Oven . . . . . . . REMARKS:
Water Heater
Clothes Washer . . . . U . J
Clothes Dryer . . . . .
Dish Washer . . . . . . o
Air Conditioning Motor .30 4 J
Oil Burner Motor . . . .
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan , . .
Well Pump . . . . . .
Electric Heat . . . . .
Other . . . . . . . .
Number of new Lighting Circuits he.!7!..
Number of new Appliance Circuits f..
Number of Heating Circuits . . . . . . ............. .. ..........
Number of Motor Circuits . . . . . . . ...............
Size of present service ............. ..._...... . ...........
Size of service to be . 1........'yf
7237
PLUMBING APPLICATION
Applicat Noy. 6907
an the A&of
Wa,
ZO)qc
Street Na. . 240 r
ca
Filed in Offioe of
The Bml&og Impeceoc
1/15 87
No person shall oortrioct; add m or abet ay
poet m of the &aimp wmm of any bolft
ezoept to repair leaks) und a Be is gmmd
by the Building fmpeaw.
APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
C11. LOCATION OF JOB 0 A ` wax/efiAxo O '
NO. STREET FLOOR APTAO.
GENERAL PLUMBING
12. KIND OF INSTALLATION rCl/' J 13. SIZE OF MAIN DRAIN 0L
14. NO. OF TOILETS STYLE e C xP `', 15. NO. OF URINALS STYLE `
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS 0 19. NO. OF WASHTUBS
20. NO.OF CONDUCTORS SIZE
i
21. NO. OF STACKS SIZE L
22. AREA OF ROOF fS 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES ! y KIND
i f
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? r 27. SIZE OF WINDOW Z k 3
28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 50, 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIGNATURE ADDRESS
LICENSE NO.
Z
ESTIMATED COST TELEPHONE
OWNER Pz /- '' ADDRESS
WATER HEATER
31. TYPE liC f 7e-7 ' 7'K"fc-'9 32. MANUFACTURER 0
TANK SAFETY DEVICES
33. CAPACITY 9 Z 37. TEMPERATURE RELIEF VALVE 3
it
34. TEST PRESSURE 'Y ' 1 38. MANUFACTURER
35. WORKING PRESSURE /
J U /
3 J 39. PRESSURE RELIEF VALVE
3 '
36. TYPE 1 f i h e d"' 40. MANUFACTURER it G I/
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.
2ze
CD962 DAIFE SIGNATURE F PLICANT
PERMIT #
Application For 6428 6630
DEPARTMENT DECISION Heatin Permit
4Jo g
3 APPLICATION IS HERESY:DEPARTMENT OF LICENSES AND INSPEMOM
C APPROVED DISAPPROVED F SOUTH WINDSOR
5
TOWN 0
c 12/1/86 Thomas P. D' Auria
00 N DATE CHIEF INSPECTOR APPLICATIONS MUST N[ PAINTED 00 Tfr90. BEGIN WITH NYMDER ON[ BELOW
O ail
i. LOCATION OF JOB
4J
C
NO.
vl LOT NO.FLOOR A". NO.
O s. OWNER A n d s o r Equities T n r- _
E
64
O ADDRESS 9 2 n r»l h r n n r ,
O
Wt-Wit- TNa rt fnrrl 4.PHONE
a
C S. APPLICANT E 3;QQ Try.
p ADDRESS931
Matt nnn P-d
T.PHONE c;7 -.0188
w
w
LICENSE No. 300659
CL 0. EXPIRATION DATE OF LICENSEow
10. ESTIMATED COST f 22 ,000
S
NOV" 11. Is THIS A CONTRACT COS"YES
E
1s. FEE ENCLOSED s Permit 14963
X
d 1!. TYPE OF Du1LDINa
Ill R SID[NT" COMMERCIAL
4-1 14. TYPE OF JOB:
INDUSTRIAL
cc
ALTERATIOAL
or F-i INSTALLATION ADDITION
N
REPAIR
I
APPLICATION FOR HEATING PERMIT (Continued from Rev no aide)
11. LOCATION OF JOB 0t V`k v\'-- V/LA-I Cyl CA
NO. U STIIEET FLOG! AFT.NO.
12. E OF INSTALLATION: OIL BURNER ELECTRIC vainLATION StRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IOENTIFT
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER 115LO FURNACE MAKE AND N0. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND N0.26,0 e-, A.T.U. OR SQ. FT. NET O B.T.U. OR SQ. FT. GROSS NG RATE
FLOORS TO BE HEATED -- NEW ;OLD BUILDING INSU TED - YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCES FAHRENHEIT 70 1't
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U.
DESCRIPTION OF WORK
A-llts. TO BE DONE--r T_ Y eg
W lk<_
14. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM size MINA INS AREA - SQUARE FEET e•T•V• e•T•U. O i DISTRIBUTION INSTALLEDANIONDOORSVMLAK
t
TOTAL TOTAL
RO Y
L [ N AMC GRan GLA" MET MALL CEILING ALOOF CU.FT. AT lee F CORR OCT= i s
A
TGIF[AMC sIZ[ RAG' OR"ACREGISTERR
site < MALL .'`t0 IINFILT.) OIFF. w SQ. FT. FRe[ 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:
NANS AOO ESS
SUBCONTRACTORS AND
Is. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE
7(
0WER) OR (AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN. 2S-f
OATS SICNA RE F APPUCANT
1
FORM J-1T (Transparent)
Copyright by the Plan No.Air Conditioning Contractors
or America" Date
1228 17th suet N.W. Calculated by —Washington,D.C.20036
Printed in U.S-A.
January, 1M
WORKSHEET FOR MANUAL J (nird uftwo
LOAD CALCULATIONS FOR RESIDENTIAL AIR CONDITIONING
For: Name T i6 G 0W;r 1
Address
City and State or Province
By: Contractor
Address
City
Winter Design Conditions
Outside F Inside U F Temperature Difference a Degrees
Insert data below only after all heat loss calculations have been completed)
Total Heat Loss (Btuh) V/O From Line No. 15) Model No. 620 Sa_4
Serial No. Manufactured by
Rating Data: Input D•o Btuh Output at Bonnet D---Btu
Description of Controls
Summer Design Conditions
Outside 0 F Inside 75 F
North Latitude Degrees Daily Range_
Insert data below only after all heat gain calculations have been completed)
Total Heat Gain (Btuh) From Line No.20 or 21, if used)
8"O Z yEquipmentCapacityMultiplierModelNo.
Serial No. Manufactured by
Rating Data: Cooling Capacity j 500 Btuh Air Volume Gfm
Description of Control
Winter Construction Data (See Table 2) Summer Construction Data (See Table 5 )
Walls and Partitions Direction House Fac
Windows and Doors—
Windows and Doors
Walls and Partition
Ceilin
Ceilings
Floors
DO NOT WRITE IN
i Name i Room Entire House j, Z a 2-/1C/1 d L/9 a 7
21 Running Ft Exposed Wall 0 I z
i Room Dimensions,Ft a;2 0 X/ 3 /!>1.3 X 12 7 iyX IZ
eiling Ht,Ft Directions Room Faces
I ME
Ct.HTM Area Btuh Area Btuh Area Btuh Area Btuh Area Btuh rArEea Btuh
Of onaons or or or or or or
EXPOSURENO. Htg Clg Length Htg Clg Length Htg Clg Length Htg Clg Length Htg I Clg Length Htg Clg Length Htg
a Gross a
Exposed b
Walls and c
Partitions d G r a ate 0
i Windows a 7 ,r l0 so7, Z 3.230
and Glass b
Doors(Htg) c
7 Windows North
t
and Glass E&W or NE do NW !"Sr y 70
Doors(Clg) South or SE&SW
s Other Doors lf Z .2 3/
9 N t a 4 1• 3o2 /471 1/i n y /.c / Fl'S 0-3 ` " /-2.5 / 1030 .2
Exposed b
Walls and c
1
Partitions d
1 C ilings a 3, J Z 1S.S kr a. l.,.?2 3
b
l II Floors a 7, G -- G G 3 f ' G / Yz 1
b
RA Ventilationub T tal Btuh Low 7 Z Y3 3S 7
Duct Btuh Loss f
a Total Btuh Loss 2
is People Ca 300 and Appliances 1200 ra D o 0 00
17 Sensibl- Btuh Gain(Structure)
is Duct Btuh GainF. n do 3 G 3
19 Sum of Lines 17 and 18(Clg) 731 2-
T tal Btuh Gain(Line 18 x 1.3)
I Btuh foi Air Quantities l
Area Area Area Area
or oror
Length Length 'Length ;ml Leo h
Jmm,mm
pt
IFi•' Clfl EFIn Fr mmm
mm,
n15iM JIM=
FM m
a gym
m Am m m iml - m m;
FORM J-1T (Transparent)
Copyright by the
Air Conditioning Contractors Plan No.
of America" Date
122817th street N.W. tllcuaeCad bWashington,D.C.20038 y AV—
Printed in U.S-A.
January,1967
WORKSH E ET FOR MANUAL J (Third Eden)
LOAD CALCULATIONS FOR RESIDENTIAL AIR CONDITIONING
For: Name S7 igl.// i/ j(11917— C
Addr
City and State or Province
By: Contractor
Addr
City
Winter Design Conditions
Outside F Inside 70 F Temperature Difference d Degrees
Insert data below only after all heat loss calculations have been completed)
Total Heat Loss (Btuh) 07 5I Foy From Line No. 15) Model No. ro
Serial No. Manufactured by
Rating Data: Input 9oil too y gtuh Output at Bonnet Y0T0y— __Btuh
Description of Controls
Summer Design Conditions
Outside 90 F Inside—Ze _ F
North Latitude Degrees Daily Range_
Insert data below only after all heat gain calculations have been completed)
Total Heat Gain (Btuh) 3 7 From Line No.20 or 21, if used) a eAc.O`kEquipmentCapacityMultiplierModelNo.
Serial No. Manufactured by
Rating Data: Cooling Capacity Btuh Air Volume Cfm
Description of Controls
Winter Construction Data (See Table 2) Summer Construction Data (See Table 5 )
Walls and Partitions Direction House Faces
Windows and Doors
Windows and Doors
Walls and Partition
Ceil' I
Ceilings
Flom
1loors
IT
1.4
DO NOT WRITE IN
1 Name of Room Entire House 1 n' , 2 t/Te a iq T 4 Tc eO
Running Ft Exposed Wall S 3/
a Room Dimensions,Ft p X / X e P 2 X /(r
4 eiling Ht,Ft Directions Room Faces A
TY
F Conat.HTM Area Btuh Area Btuh Area Btuh Area Btuh Area Btuh Area Btuh
EXPOSURE No. Htg Clg Length Htg Clg Length Htg I Clg Length Htg Clg Length Htg Clg Length Htg Clg Length Htg
a Grose a
Exposed b
Walla and c
Partitions d y32 o21IG 3 32
e Wind ws a 70 112 3:Q)0 3>o
and Glass b
Doors(Htg) c
7 Windows North
and Glass E&W or NE&NW '/ Cj' d" Q f i 7.2 U o;
Doors(Clg) South or SE&SW LS
8 Other Doors
9 Net a 2 3 Ti
1
18 3 7
Exposed b
Walls and c
Partitions d
10 Ceilings a Z 710
b
1 1 Floors a 7. , — Q 310 7 Z P17 3 5 G 7 0
b
Ventilation
a Sub Total Btuh Loss q3 9 3
4 Duct Btuh Lose I Q 772, Z 7 37 o 1137
If T tal Btuh Loss a 5 g y frig 531 yo Gy 3-
a People @ 300 and Appliances 1200 0V 1500
7 Sensible Btuh Gain(Structure) s= 307 j?D
18 Duct Btuh GainN j I 3 g•
19 Sum of Lines 17 and 18(Clg)
Total Btuh Gain(Line 19 x 1.3) 1.3 y *=` L 15 Sig 3S0
Btuh for,Air Quantities t I-?(0 1
m mm mArea
FORM J-1T (Transparent)
Copyright by the
Air Conditioning Contractors Plan No.
of America" Date
1228 17th Street N.W.
Washington,D.C.20036 Calculated by
Printed in U.SA.
January,1967
WORKSH EET FOR MANUAL J (aird Edmen)
LOAD CALCULATIONS FOR RESIDENTIAL AIR CONDITIONING
For: Name
Addre
City and State or Province
By: Contractor
Address
City
Winter Design Conditions
Outside F Inside 7 0 F Temperature Difference 7 d Degrees
Insert data below only after all heat loss calculations have been completed)
3TotalHeatLoss (Btuh) a 7 f 3 From Line No. 15) Model No.
Serial No. Manufactured by
Rating Data: Input r, O 0 00 Btuh Output at BonnetBtuh
Description of Controls
Summer Design Conditions
Outside 0 F Inside 7,S F
North Latitude Degrees Daily Range_
Insert data below only after all heat gain calculations have been completed)
Total Heat Gain (Btuh) /5 From Line No.20 or 21, if used)0
Equipment Capacity Multiplier Model No 8'4 G 4l f.
Serial No. Manufactured by
Rating Data: Cooling Capacity / X 1 DO J Btuh Air Volume Cfm
IF
Description of Controls
Winter Construction Data (See Table 2) Summer Construction Data (See Table 5 )
Walls and Partitions Direction House Faces
Windows and Doors F
Windows and Doors
Walls and Partition
Ceilings
Ceilings
Floors
11loors
DO NOT WRITE IN1NameofRoomEntireHousei ,(I >,f1 2 7 e yj s r47p,f L io t/ d / ` 6 A t GASRunningFtExposedWallsyiRoomDimensions,Ft s Xs X
foll
7 x 7 x 4 eiling Ht,Ft Directions Room Faces
TYPE HTM Area BtuhFConat. Area Btuh Area Btuh Area Btuh Area Btuh Area Btuhor
or orEXPOSURE
o'
Htg Clg Length Htg Clg Length Htg Clg Length Htg Clg Length Htg Clg Length Htg Clg Length Htg5Growa
Exposed b
Walla and c
rand
no d 7(i 23Z Z p7 f
s a J 3 30 07 v /539 y
ss b
Doors(Htg) c
7 Windows North
and Glass E&W or NE&NW y t z G-C v 0
Doors(Clg) South or SE&SW a
v l
a Other Doors
f Net s 31F1 1 zi2 /t8 iFl 9 1 S/v 137 ,l v l7(. G sap' iExposedb
Walla and c
Partitions d
11 Ceilings a 3-7 c,
A J3 7 /r4l .r3.3 .3b
11 Floors a 7. L -- 3/.5 ' 1` 5 3 / ` 9 3.•- rb
1.2 Ventilation
2 Sub Total Btuh Loan 7 9 i,Z 3 XYk
7
3-4 Duct Btuh Loan p N 38'°j a 6 3.3 0 7ATotalBtuhLolavZ7733.33
g People @ 300 and Appliances 1200 400 1500
17 Sensible Btuh Gain(Structure)
7 1 3 G g C
1 Duct Btuh Gain
1 Sum of Lines 17 and 18(Clg)
Total Btuh Gain(Line 18 x 1.3) 1.3 I gdo y Yb 3*71 o
Btuh for Air Quantities to,I
mm mm Area
tom
e.' .'. •'c. ' "1€ AI ffi . . .' gym
X, BTO -THE ING IN-SP R
Of the APPLICATION FOR
DOWN OF SOIPM WINDSOR, CO N.
PLAN EXAMINATION A
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and 1X.
ZONING
AT (LOCATION) 2005 MILL POND DRTVF. DISTRICT
LOCATION '. No.) STREET)
OF BETWEEN
sAr
MILLPOND DRIVE AND
BUILDIN•r CROSS STnccT) 11GR OASissTX99T)
11
1 44
SUBDIVISION LOT BLOCK zit
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For••Wrickfng"most recent use
1 New building Residential Nonresidential
2 Addition(1/residential, enter number 12 One family i.t3 Amusomenr, eereati nal
w"bousing units added, i/any, 13 Two or more family - Enter M.i19_p arch, other religious
number o/ units- - - --__ 20 Industrial3 Alteration'(See 2 above)
14 Transient hotel, motel P.Repair,4 Re replacement or dormitory - Enter number
21 Parking garageppacement
5 Wrecking (1/multi/artily residential, Of units ------- - -22 Si ritice station, repair garage
enter number o/units in building in Is Garage 23 Hospital, institutl nal
Part D. 13)
16 Carport 24 Olce, bank, professi nal6 Moving (relocation) 25 El Publte utility17 Other - Speci/y7 [DFoundation only 26 School, library, other educational
B. OWNERSHIP Stores, morcantil
8"®Prlv,ate(individual, 29 Tanks, towersindividual, corporation,
g 29 Other Specifyonprolitinstitution, etc.)
9 Public(F decal; State; of
local g vernment)
C. COSTIji.,%.;.,-,r f e• (Omit cents) Nonresidential - Describe in•detall proposed use of buildings, .g., food
processing plant, machine sli op,"laundry building at hospital, el montary
10..;-Cost f-improvement................ S 2500.00 school;'secondary school, college,.parochial school, parking garage f r,
department store, rental office building;"office building at industrial plant,
SI -To bt.installed but not included,'If use of existing building is being"changed,enter proposed use.
in the ab ve cost
a. Electrical....................... INCL
b. Plumbing ......................
ft&Healing, air COndittening,s„s s s„
I
d.Olhet(elovelat, etc.).............
11'.' TOTAL•COST OF IMPROVEMENT 2500.00
Ill. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Ports E — L;
M'••'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 beating) 40 Public or private company
48• Number of stories................
31 W ,d(ram 41 Private (septic tank, etc.)
49. Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total (and area, Sq. ft. ...........34, Other - Speci/y 42 Public or private company
If 43 Private (well, cistern) K. NUMBER OF OFF•STRE
PARKING SPACES
vF. PRINCIPAL TYPE OF HEATING FUEL51. Enclosed
I. TYPE OF MECHANICAL
35 Gas Will there be central air 52. Outdoors...................
36• 011 conditi Wing?
37-- Electricity 44 Yes 45 No
L. RESIDENTIAL BUILDINGS ONLY
33. Numb r f bedrooms.............
38 C al
39 Othpr Specify Will there be an elevator?
54. Number of
Full..........
46 0 Yes 47 No bethr me
iaa ,.L)Mp,ered vy all appiicanrs t
Nam Meiling eddress — Number, street, city, and State ZIP code Tel
528-5621
Owner or. 06110
Lessee
2•
Contractor
3.
Architect or
Engineer
The owner'of 'this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signs r plicant A44ress Application dote
06110 9/29/86
VVTerrSupleProjectManager DO NOT WRITE BELOW THIS- LINE
V. PLAN REVIEW RECORD - For office use'
Plans Review Required Check y
Plan Review Date Plans B Date.Plans .By Notes
Fee Started Approved ,.
BUILDING
PLUMBING
b!
MECHANICAL„"
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS 'REQUIRED OR OTHER JURISDICTION APPROVALS
Permit ' r'Approval Check Date Number •B Permit or AApproval Check Date Number
Obtained y PP Obroined
BOILER . •• . PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELr:CTRICAL— SIGN OR BILLBOARD
FURNACE' ,STREET GRADES. i
GRADING USE OF PUBLIC AREAS
OIL BURNER • WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit number
Bui Idin§
Permit issued 19
Building C_e4C
Permit F S
i
k
A
0Y
roved
ITLE
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date No v. 6
f 1986
Fee Paid $. .18 .0 0 Eat. Value 5 0 0
Permit N° 15531
on the aide of
M i 11 POn?—nr-i.-pa Street
Street No. 2005
Owner Andover Equities Inc.
Applicant Terry Supple
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Finished basement
BUHDTNG PERbffr NO' 15 5 31
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
south Windsor, Conn. Nov. 6
94is to to (ferttfti, That Andover Equities Inc.
is hereby granted permission to
Finished basement
at estimated value of $2 0 0
on the side of 2005 Mill Pond Drive Street on land
owned by An do ye r Emit i e-q., Inc:
Said Work to be as described in Application
Nol 5 A 11 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
bsued No v_ 6 106
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 pmon 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 aid city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
tie,ra+k.
is ''••:''' r Y,r • 't
PTO:-.THE BUILDING INSPTO'
APPLICATION FOR
PLAN EXAMINATION A'
To of sovrH wins me corm BUILDING PERMIT
IMPORTANT— Applicant to complete all items in sections: 1, It, Ill, IV, and IX.
ZONING
I• ` :' AT (LOCATION) 9.0na MTT LPOND DR i DISTRICT
LOCATION ' NO.) STREET)
BETW99N - MTL,L•POND DR. AND
CnOff sTR[[T)
BUILDINP +tv:•. .•
CROSS STREET)
i'•..; .:.lK eA,. .LOT
SUBDIVISION LOT BLOCK SIZL
It.-TYPE,AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF.IMPROVEMENT D. PROPOSED USE - For••Wrbcklnq••.most'recent use
9 wr • Nonresidential1 N•w bufldtng • Residential •'
2 0!'idd1ilon(1/residential, eater number 12® One family 1 . Amusement, reereatl nal
r I new_Pousing units added. i/any,
ti;`•:.r,' Part'D;'131 1a Two or more family - Enter a•• tCivroh, ethor rolls[ us
number o/units- - - —t_' ,20 Industrial
3 Alt•ro tei+'.(See 2 above) 11.
Transient hotel,motel14 21 Perkins garage4 Repair;rtplaeomont or dormitory — Enter number
x,•»::•+ 22 Sirvice stotl'en, repair garageS Wrecking t'1/multifamily residential, o/units ------- ---- f
enter_ number o/units in building in 15 Garage 23 Hospital, institutl nal
Part D, 13) 16 Carport 24 Olee, bank, professi Mal
6 Movinolral cation)
17 Other Specify Zg Q Public utllity7Feund•fi n enl 26 Scheel, library, Othat educational
Be OWNERSHIP, 127 Stores, morcenfII
TanaPrivate(Individual, corporation,28 ks; tewo s
Itortpro()f inttitutlon,ate.) 29 Other Specify
9 Publla(Radoeer,Stato;or v'`;'•,.t.,' ' •;.:t ;t 7 f.
r lesel government)'
C. COST-vg,,%Vv.}:: ';;'' e• (Omit cents) Nonresidential = Describe'inJitell piopesed use of buildings, .g., f ad
processing plant,mschlii sleep, sundry building et hospital,elere ntery
10,'.:;-C atif-,improvement,,,,,,,,,,,.„, schlof secondery school,a011ege,:pe/Oahe
i •
Child, packing garage for.
a, • ; .• ,$dopertment store, rental office building;—office building at'Industrial plant,
o;4X4-bejristalled but not included,'If use of existing building Is being"changed,enter proposed use...
Y ..1n tbe.ab ve cost NCLElectrical*000*000*eggs 0*0 94906 0
Plumbing ......................
ellrt9t air I LHaondltienlnp.......•.
je 011ie?(aleveler, ale.)............••
I I"-TOTAL COST OF IMPROVEMENT
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additibns, 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. DIMENSI'ONS
30 Mao Aty.(well besting) 40 Public or private company
49• Number.stOeles.......•.•.•••••
31 W od frame 41 Private (septic tank, etc.)
49• Total square lost of floor area,
all floors, based on exterior
32 Structural Steel dimensions •......•.....•.....
33 Reinforced eoncret• H. TYPE OF WATER SUPPLY
42 Public or private company
Total laid.tee, sq. ft. ...........Other — specify
43 Prlvete(well, cistern) K. NUMBER OF.OFF•STRE
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL
51. Enclosed . i,,v': .--0 .....•.
35 Gas will there be central air 52. Outdoors.. ...................
Oil
r
conditioning-?
3 -••- Eleetrtelt 44 Yee N
L. RESIDENTIAL BUILDINGS ONLY
3. Number of b dreams..
30 0•C *I '
39 0 01hpr Specify Will thate be an of valor? Full..........54. Number of
46 Yos 47 NO bathe a
particle'.......
o .oinpierrd Ly all .Tn•Vrie :nrs
Nam MsilinI eddress — Number, street, city, and'State ZIP code Tel.
06110 528-562 _
Owner or•
Les:e•724—
Z• '
y.•"'• to ry S• ar y}
Contractor a.-n•
3.
Architect or
Engineer -.,;,. , • i.
The owner'of.1his building and the undersigned agree to conform to all applicable .laws of this jurisdiction.
Signatur of cant Address Application dote
22D ANDOVER D 9 29 86
TEhtR'Y: . .'1 LE U
PROJECT MANAGER 13.0 NOT WRITE BELOW THIS, LINE
Y. PLAN ItEYlE1N;:.RECORD —.For office use s
Plans Rivi P;Gi"irid Check Plan Review Oaf• Plans By Oate;.Plansk B' NotesFeeStartedApptoved4%,,
BUILDING
PLUMBING ,, .'
MECHANICAL:.;
ELECTRICAL
OTHER A
VI. ADDITIONAL PERMITS'REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date (Jumbo.Permit'':r Appr vol r'' Check Obtained Number 'ey Permit or Approval Check Obtained
8 0 1L E R 7 PLUMBING
T
CURB OR SIDEWALKFCUT: ROOFING
ELEVATM,,, ,a,:ti SEWER
EL'ECTRICAL-4'111 SIGN OR BILLBOARD i
FURNACE ''''; STREET GRADES$'
GRADING.- "x•»USE OF PUBLIC AREAS
OIL •BURNER•.: WRECKING
OTHER OTHER
a.r
VII. VALIDATION
Building ,
Permit number
Bui loin§
Permit issued 1141 19
Building IV-
Permit Fee $ G' 1
A oe'tie• •,,.
A ove b
0.00.4 A.AA
C
i
TITL
V4
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date No v. 6 19 86
Fee Paid $.18,0 0 Est. Value $. 2,5 0 0
Permit N° 15532
on the side of
Mill Pond Drive Sava
Street No. 2008
Owner Andover Equtie s, Inc.
Applicant Terry Supple
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Finished Basement
BUILDING PERNOT N? 15532
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. No v. 6 19186
94is to to (Certifig, That Andover Equities, Inc.
is hereby granted ion to
Finish basement
P
at estimated value of J 0,500
on the side of 2008 Mill Pond Dr. Street on land
owned by Andover Equites, _Inc.
Said Work to be as described in Application
No15 8 3 2 and to conform to specifications and plans filed with said Application, and Building Br
Laws of THE TOWN OF SOUTH WINDSOR.
I sued Nov. 6 1§6•
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 pesos 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."
f'NdAL INSPEC
Building APPLICATION FOR BUILDING PERMIT
Plumbing 0, $_ 9 ZDate
HVAC 2001 MILL POND DRIVE
Sprinkler
Estimated Cost $ 10106Electric
P dZoning20263PermitFee $
Affidavit NO.Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS. y D-6
Fire Dept. Total Fee $TYPE OR PRINT ONLY
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO:I (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location a o Lot No. Side of Street Zone
Applican Tel. # 6 19V- V32
Address o' Sw j,v, Szip 06 07V Lic.# _ 7
STREETf CITY ST
Owner aAddress me 1Q S a 3OrC
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
n
Purpose of this Permit _1St124"_.41 0/'e -S Ae.Jl as sly-enc
City Water Well Septic Sewer El
Approved by Date 0 `7z— BD1A 11/88
I hereby agree to conform to all the requirements of the Laws of th Stat 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 distance from all other zones and is
located in a zone In which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for pera
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC hermit# Inspections:
Electrical Permit# Inspections:
Sprinkler hermit# Inspections:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
92-20263-B 1,000
BO1 FOOTING 10/09/92 003 A
B10 FINAL 10/16/92 001 A APPROVED FOR CLOSEOUT
Total Est Value 1,000
FINAL INSPECT ONS:
rs/a3 APPLICATION FOR BUILDING PERMITgBuilding
Plumbin
HYAC Date: d 3
Sprinkler 2010 Mill Pond Drive
Electric Estimated Cost $ 10 0 d
Zoning Permit Fee $ ;ty.W
Affidavit NO. .0 3 q0 Occupancy Fee $
Eng. D pt.COMPLETE RED BOXED AREAS.Fire Dept. Total Fee $ to
Health Dept. TYPE OR PRINT ONLY G
Approved for CO: SIGN ON REVERSE SIDE.
Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location cl s Yo Lot No. Side of Street Zone
Applicant Tel. # S
Address S ' Zip 6607TZ Lic.#
REET STATE /
Owner
7
ddress /0 fO
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Size of Lot Dist. from Street Line LavatoriesBathrooms Rooms 1st 2nd 3rd
Purpose of this Permit ppenayz e d,or - SAMC Q'
City Water 0 Well D Septic D Sewer 0
Use Group Construction Type e-llleg
Approved by Date Le 3 BD1A 11/88
I hereby agree to conform to all th requirements of th 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 required distan es from all other zones and is
located in a zone in which this building and its use is allowed.
Signed
1 hereby apply for a Certificate of Occupancy for the work described in this application for it.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
93-20740-B 11000
BO1 FOOTING 07/01/93 DDS A
B10 FINAL 08/19/93 JFH A CLOSEOUT
Total Est Value 1,000
f!NAL INM I N
Building APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC 2002 MILL POND DRIVE
Date: 7-K a-y
Sprinkler
Electric Estimated Cost $ /U(J C'
Zoning
215 8 2 Occ pancy Fees lG
Affidavit NO.
Eng. Dept.
Fire D pt.COMPLETE RED BOXED AREAS.Total Fee $ /U
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location d Lot No. Side of Street Zone
Applicant ZDA Tel. #
Address Zip 0160/d Lic.# Sys 9 7,1—
ET CITY STATE
Owner STZ;04&r_Address g2t-*20
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
Size of Lot Dist. from Street Line Bathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit_RT14,-P , c,/_
City Water 13 Well 11 Septic Sewer 0
Use Group Construction Type
Approved by Date ? BD1A 11/88
I h r by agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the TowR 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 lin -at d required distanc from all other zones and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for pe 6K
Signed
DO NOTWRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By AppI
Code Description Due Whom Code Comment
94-21582-B 1,000
B01 FOOTING 07/07/94 JFH A PIERS
B10 FINAL 07/20/94 J F F D ADDFLOORJOIST
B10 FINAL 10/07/94 JFF A
f
e
FINAL g APPLICATION FOR BUILDING PERMIT
Plumb'
HVAC
Sprinkler 2003 MILL POND DRIVE Date: s•Y
Electric Estimated Cost $ Ld 6 0
Zoning Permit Fee$ /J
Affidavit NO. 21583 Occupancy Fee $
Eng. Dept.
Fire Dept.COMPLETE RED BOXED AREAS.Total Fees d
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSO , CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant ;y6Xis 4 Tel. #
Address /'79 /.e'e'/ ,Zip Lic.# 5 Q 9,5
i STREE CITY S AT
Owner /``/,earv tit,eQs Address v,,.•
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
Size of Lot Dist. from Street Line Bathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit Ac e 20ec A
City Water 0 Well 13 Septic 0 Sewer 0
use Group n uc
Approved by Date 7/? f BD1A 11/88
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 I' d required distan es from all other zones and is
located in a zone in which this building and its use is allowed.
7
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for p Nit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
94-21583-B 1,000
BO1 FOOTING 07/07/94 JFH A PIERS
B10 FINAL 07/20/94 JFF D ADDFLOORJOIST
r
FIN `,N T c) APPLICATION FOR BUILDING PERMITg
Plumbi
HVAC Date:
Sprinkler 2004 MTT,T, POND DRIVE
Electric Estimated Cost $ 100 U
Zoning 21584 Permit Fee$
Affidavit NO.Occupancy Fee$
Eng. Dept.
Fire Dept.COMPLETE RED BOXED AREAS.Total Fee $ /d
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant rLL Tel. # 6:E"1-Jr9 rl
Address %y , e NAB go,, ZZip
7T CITY STATE
Owner fe
R&
Rl s t{J Address jtooT5%y!2-
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
Size of Lot Dist. from Street Line Bathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit T I f k
City Water 13 Well 13 Septic Sewer 0
Use Group Construction Type
Approved by V44E, Date BDIA 11/88
I her by agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinanc s of the Town of South Windsor
and to notify the Building Inspector of any alteration in the plans or specifications of t uilding for which this permit is asked,and agree
that this building is to be located the proper distance from all street lines,side yard ' es a required distan from all other zones and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for p r it.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
94-21584-B 1,000
B01 FOOTING 07/07/94 JFH A PIERS
B10 FINAL 07/20/94 JFF D ADDFLOORJOIST
B10 FINAL 07/28/94 JFF A
f
a.
FINAL I
Buildin APPLICATION FOR BUILDING PERMIT
Plum
HVAC Date:
Sprinkler 2005 MILL POND DIRVE
Electric Estimated Cost $
Zoning Permit Fee$ Cd
Affidavit NO. 21585 Occupancy Fee $
Eng. D pt.
Fire D pt.COMPLETE RED BOXED AREAS.Total Fee $ r0
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant Tel. # j 21e P
Address 6 Lic.#C /
CITY STATE
Owner Q Z SZETe& I_
Address
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Size of Lot Dist. from Street Line
Lavatories
Bathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit hc
City Water 0 Well 0 Septic 0 Sewer 0
1.4
Use Group Construction Type
Approved by 1146 Date 7 7 f 13131A 11/88
I hereby agree to conform to all the requir ments of the Laws of the Stat 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 lin and required distances from all other zones and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for emit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
94-21585-B 1,000
BO1 FOOTING 07/07/94 JFH A PIERS
B10 FINAL 07/20/94 JFF D ADDFLOORJOIST
B10 FINAL 07/28/94 JFF A
FINAL I
yr AppUCATION FOR BUILDING PERMITi9ldin
Plumbi
HVAC 2006 MILL POND DRIVE Date:
Sprinkler
Electric Estimated Cost $ IWO
Zoning Permit Fee$ An
Affidavit NO.
215 8 6
Occupancy Fee $
Eng. Dept.
Fire Dept.COMPLETE RED BOXED AREAS.Total Fee $ d
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The and rsigned, hereby applies to do work according to the following specifications:
Job Location 71 Lot No. Side of Street Zone
Applicant Tel. #
Address k99 4z'- s Zip T Lic.# 5'-4ia
STR ET CITY- STA79 n
Owner . 095I Address
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Size of Lot Dist. from Street Line
Lavatories_
Bathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit
City Water Well Septic Sewer
Use Group Construction Type
Approved by V Date r c BD1A 11/88
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 a d required distan from all other zones and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for pe t.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
B 1----
BO1 FOOTING 07/07/94 JFH A PIERS
B10 FINAL 07/20/94 JFF D ADDFLOORJOIST
B10 FINAL 07/27/94 JFF A
r
FINAL IN T
Building APPLICATION FOR BUILDING PERMIT
Plumbi _
HVAC 2007 MILL POND DRIV Date: 7-
Sprinkler
Electric Estimated Cost $ A"
o
Zoning Permit Fee$ /U
Affidavit NO.21587 Occupancy Fee$
Eng. Dept.
Fire Dept.COMPLETE RED BOXED AREAS.Total Fee $
Health Dept. TYPE OR PRINT ONLY
Approved for M. SIGN ON REVERSE SIDE. Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The and rsigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant Tel. #
Address je i`, a Zip e `G Lic.#
NZ2/Wa
CITY T TE
Owner Address
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
Size of Lot Dist. from Street Line Bathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit kr OQI D'e.C
City W ter 0 Well 0 Septic 0 Sewer 0
Use Group onstruc ion Type
Approved by JAk- Date 7 BD1 A >>iae
I hereby agree to conform to all th requirements of th Laws of the Stat 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 a zone in which this building and its use is allowed.
Signed L, ,I-
I hereby apply for a Certificate of Occupancy for the work described in this application for per i .
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By AppI
Code Description Due Whom Code Comment
94-21587-B 1.000
BO1 FOOTING 07/07/94 JFH A PIERS
B10 FINAL 07/20/94 JFF D ADDFLOORJOIST
B10 FINAL 07/28/94 JFF A
FINAL 1
8uildin APPLICATION FOR BUILDING PERMIT
Plum
HVAC 2008 MILL FOND DRIVE Date: — —
Sprinkler
Electric Estimated Cost $ /o
Zoning Permit Fee$
Affidavit NO. 21588 Occupancy Fee $
Eng. Dept.
Fire Dept.COMPLETE RED BOXED AREAS.Total Fee $ ly
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant Tel. #
Address s ip y 0` 6_ Lic.# 5:(a 9 7S
Owner , ..ti,. 55AddressXc-)
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
Size of Lot Dist. from Street Line Bathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit ;2=41 pDr-
City Water 0 Well 0 Septic 0 Sewer 0
Use Group Construction Type
Approved by Date 7 7To Bo1 A >>/88
I h r by agree to conform to all the requirem nts 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 lin nd required distances from all other zones and is
located in a zon in which this building and its use is allowed.
Signed---,J— -
I hereby apply for a Certificate of Occupancy for the work described in this application for a it.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
94-21588-B 1,000
BO1 FOOTING 07/07/94 JFH A PIERS
B10 FINAL 07/20/94 JFF D ADDFLOORJOIST
B10 FINAL O7/28/94 JFF A
FINAL oEc7°" APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC
Date:
2009 MILL POND DRIVE
Sprinkler
Electric Estimated Cost $
Permit Fee$Zoning
NO. 21970
Affidavit Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.
Fire Dept. TYPE OR PRINT ONLY
Total Fee $
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do rk according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant
Tel. #
Address Zip D6a'<1Q Lic.# :2%2 9 75
S EET IT STA E
Owner 40A d Address a 4
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Lotal Area Garages
Size of Lot Dist. from Street Line Bathrooms Rooms 1st 2nd 3rd
Purpose of this Permit _&749
City Water 0 Well 0 Septic 0 Sewer 0
Use Group Construction Type ^'
Approv d by Date Fol 13131A 11/88
I hereby agree to conform to all th requir m nts of the Laws of th Stat of Connecticut and th Ordinanc s 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 lin s and required distances from all other zones and is
located in a zone in which this building and its use is allowed.
Signe
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
94-21970-B 1 , 000
B01 FOOTING 11/08/94 JFH A
B10 FINAL 11/17/94 JFF A
FINAL
Building
INSPECTIONS:
APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC 2001 MILI, POND DRIVE Date:
Sprinkler
El ctric Estimated Cost $
Zoning 23551 Permit Fee$ /y
Affidavit NO.Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.Fire Dept. TYPE OR PRINT ONLY
Total Fee $
Health Dept. SIGN ON REVERSE SIDE.Approved for CO: Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do rk accord' g to the following specifications:
Job Location Lot No. Side of Street Zone
Applicantf_ie < Tel. #Zd
1. i d O Lic.# S573 /9AddressSTRET ! CITY STATE
P
Owner S53ANNe" rH1 k Address l ''` -
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit
City Water Well Septic Sewer
Approv d by Dat 1 L Born 11i88
I h reby agree to conform to all the requirem nts 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 th plans or specifications of ilding for which permit is asked,and agree
that this building is to be located the proper distance from all street lines,side yar nes an required dis c s
s
from all o r zones and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
96-23551-B 900
BO1 FOOTING 08/27/96 JFH A
B10 FINAL 09/18/96 JFF A
Total Est Value 900
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# Bldg j 2 n Mill Pnn a n r i vP
HVAC # Date: O
Sprinkler# No. 23695
FINAL APP O L Estimated Cost $ 70,
Building G COMPLETE RED BOXED AREAS Permit Fee
Engin g TYPE OR PRINT ONLY Occupancy Fee $
Affid SIGN ON REVERSE SIDE
Appr.for CO. Total Fee 2ro
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The and rsigned hereby applies to do work according to the following specifications:
Job Location '15'-ZO 409 Lot No. Side of Street Zone
Applicant Tel.#p'O
Addr ss 9S Zip Lic.
Own r at,c_ .& Address
Architect Address
Sq. Ft.N w Area: 1st FI. 2nd FI. 3rd A. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: Gw e• r `Cvh L/CIRC'C
n City Water 21 Well 0 Septic System Sewer
Use Group Construction Type OIL Area Bas ment Garage
Approved by 4 Date &"
Reused 6/95
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 specification of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all et nes,side yard lines and required
distances from all other zones and is located m a zonZw ' this bu rig anpl iswed.
Signed
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
DEPARTMENT
DECISION
PERMIT#
APPLICATION
FOR
HVAC
PERMIT
ti
o
V:
Fy
Application
is
hereby:
TOWN
of
SOUTH
WINDSOR
W
FI-
BUILDING
DEPARTMENT
Bldg
Permit#
PRO
1540
SULLIVAN
AVENUE
2-
1
gd
4
644-
2511
ext.
230
iDate
Building
Inspector
Application
must
be
printed
or
typed
Location
of
job
0L9
1b
epao
Street
No.
Street
Lot
No.
FEE
SCHEDULE
Floor
Apt.
No.
0 - $
1,
000 - $
12.
00
Over $
1,
000
12.
00
per$
1,
000
OWNER !
111
or
any
fraction
thereof
r
ADDRESS .
Z
OQ /
y
Jill
p0j)
b
CKJ9
OWNERS
PHONE#APPLICANT
Pko
7-
C _
5k7le
Vlef
5
W
N
S
ADDRESS
0•
A)
D
G//
O.
Z
Z.,
EST
MATED
COST $
o
C -
IS
THIS
A
CONTRACT
COST? !/
YES
NO
FEE
ENCLOSED $
OR-
TYPE
OF
JOB:
11
Original
Installation
Alteration/
Addition/
Repair
Revised
11/
95
APPLICATION FOR HVAC PERMIT(Continued from reverse 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 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 AL',7 7-4 8 P LO O fl 5 k'o e, 62PA b F J
9400 T r0, g7_0 JUST, c,, g,5 4:--_k)7_,--b.
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.
t? 7-,e d 6 gaw /_aw
STATE LICENSE-NO. NAME&TYPE IG6ATUAE OF APPLICANT
PHONE NO. 2LfZf DATE