HomeMy WebLinkAbout21 Wells LaneBecWt# APPLICATION FOR BUILDING PERMIT
Plumbing# _
t
21 WELT,ES LANE
HVAC # 43 T f
No. 25546 Date:
Sprinkler#
FINAL APPR VALS Estimated Cost ow
Building COMPLETE RED BOXED AREAS Permit Fee
ring - TYPE OR PRINT ONLY Occupancy Fee
Affidavit ig" SIGN ON REVERSE SIDEAppr.for CO. Ck v%l Total Fee aS--c,
TO BUILDM DEPARTMENT,TOWN OFSOUTH WHDSOft,CT Additional Cost) t I
The undersigned hereby applies to do work according to the following specifications:
Jo6 Location Wel ec t..1 4- Lot No. SideSide of Street 12 W1 Zone VM9
Applicant Mci A+'1U,(',0 0 0
f-
1 ller TA)C'- Tel.#9-60-r,'S- lass
Address /!(o`'t C—LU AJ0A1 e S-Lkh yam C_f Zip 68 Lic#
Own rVMQr*UtC-No `l3;A(, trs,rAK-• Address if(I ELLI AX5bA) S• (,v> C! 0,60w
Architect 1_ Address
Sq. Ft.New Area: 1st FI. 4137 2nd FI. /000 3rd Fl. Total New Area "7 7
Rooms Lavatories — 0 ' Bathrooms 3 Garages 3
Purpos of this permit: l.INJ T7 M f
City Water7 Well Septic System Sewer Z,
Ins. H.O. S.P. Cert. Area 2 Basement 3 Garage (10
Approved by Date R Use Group 1214 Construction Type 5 E
R•v6ed 1/97
r
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in whiph this building andits is allowed.
ITSigned
I hereby apply for a Certificate of Occupancy
up
for the
wWd in this application for the permit.
Yv%4
Signed
DO N T WRITE BELOW HIS LINE
INSPECTION COMMENTS
Location of Job:AFFIDAVIT Additional Fee$ 12 • 0 0
State of Connecticut)
ss.South Windsor
County of 1jartford }
weer
I of Agent for the uilding erected
Contrac
under Permit No. 25546 issued by the Building Department of the Town o dsor being
duly sworn,make oath and say that the actual cost of the completed work authorized permit did not
exceed the most current accepted BOCA value of$ 16 h , 9 91 . 0 0 .
Sig
Subscribed and sworn to before me this 1 day of A.D.19 J
Estimated Cost$ 16 6 ,8 0 0 . 0 0
Difference: $ 191 . 00
No blic
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
98-25546-B 150,000
B01 FOOTING 09/15/98 DCJ A
B02 FOUNDATION 10/07/98 DCJ A
B03 FRAMING (ROUGH) 12/22/98 DCJ D NO MICROLAM SPECS.
E03 ROUGH 12/22/98 DCJ D NOT READY
E01 SERVICE 12/22/98 DCJ A RELEASED TO N.U.
P03 ROUGH 12/22/98 DCJ A
P02 UNDERGROUND 12/22/98 DCJ A
H03 ROUGH 12/22/98 DCJ A
B03 FRAMING (ROUGH) 12/24/98 DCJ D MICROLAM SPECS NEEDED FOR GARAGE BEAM, FAMILY
ROOM BEAM, AND RIDGE BEAMS
E03 ROUGH 12/24/98 DCJ A
P03 ROUGH 12/24/98 DCJ A
B04 INSULATION 12/30/98 DCJ A BEAM IN FAMILY ROOM TO BE BOLTED
B03 FRAMING (ROUGH) 01/12/99 DCJ A BOLTING OF MICROLAM (4 MEMBER)
98-10371-H 6,000
98-10309-P 6,900
98-16065-E 3,900
Total Est Value 166,800
Dwelling 2,948 120,632.16
Basement 1,463 18,141.20
Garage 684 8,481.60
Smoke Det 7 525.00
BOCA Value 166,991.36
Difference 191.35 p
Y 7
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C o - sSSve-c
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
21 WELLES LANE LOT_#10 Reviewed ByA Engineering)
MANNARINO BUILDERS INC. Date Review Approv Denied
U169 ELLINGTON ROAD,SOUTH WINDSOR,CT_ Reviewed By anning)BP_#_25546_ Ph_#_(860)289-7055 Date Review Approv Denied
Date Submitted 11/22/99 FOR C of O ****
As required in the Zoning and/or Subdivison Regulations, no Certificate of
Occupancy shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall include:
Approved Denied N/A
1. Approved building permit plan
2. Finish grading per approved
building permit plan
3. Site work; i.e. trees, shrubs,
dumpsters, required parking
4. Utility location;
a. sanitary sewer/septic system
b. foundation drain
C. electrical & telephone
d. water
e. other 660%s7
5. Sewer connection charge paid
6. Appropriate certification
Lz 7. Bonding
8. Planning & Zoning/
Inland Wetlands Considerations
Sewer Permit No. 6694 E CS'76 f/osq
Pavement Excavation No. 2355'
COMMENTS:
1
Aft,,
99 ,
Edo
W L
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
21 WELLES LANE LOT_##10 Reviewed By
5(
En ering)MANNARINO BUILDERS INC. Date Reviewed e enied
1169 ELLINGTON ROAD,SOUTH WINDSOR,CT_ Reviewed By Planning)BP_#_25546_ Ph_##_(860)289-7055 Date Review P I' Denied
Date Submitted 08/31/98 FOR BUI D NG PER
In accordance with the Zoning and/or Subdivision Regulations, prior to the
building of any structure on a lot, a Topographic Plot Plan shall be submitted
for approval. The minimum requirements shall include:
Approved Denied N/A
1. Name, address & phone number of owner/applicant
V 2. Name, address & phone number of plan preparer
3. Zoning Information - i.e. zone, open space,
floodway, etc.
4. Plot Plan at 1" = 40' scale
a. Subdivision reference, abutting properties, etc
b. Easements of record
c. Lot description, bearings, building lines,
distances, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate
e. Building location with dimensions.
Elevations of proposed finish floor, garage
floor & centerline of road at driveway
f. Elevations of gravity drainage systems, sanitary
foundation drain at the house and the street
Tentative utility as water,g Y location (g
electric, septic system, etc.)
N h. Title block with name and address of preparer,
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements. (P.E. & L.S.)
5. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS: 1 2 3
N 4RECEIVED
AUG 31 1998
SOUTHWNDSDR
ENG.DEPT. p
y
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PE #
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPRO 1540 SULLIVAN AVENUE NJ4
t, R$ 644-2511 ext.230
Date Building Inspector
Application must be printed or typed
Location ofjob
z 1 Fez
Street No. Street Lot No.
FEE SCHEDULE 46-/n/o°R R RY
Floor PO W eP,. e t*A L 45 Apt.No.
Over $1,000
12.00 per$1,000 OWNER /Y!/ A1AokeZ/Aooeo 4egale-4 46>.71 j 77- t c roranyfractionthereof
ADDRESS
OWNERS PHONE#v2
APPLICANT r C - 7y C
WN$ADDRESS _,5 70 e
q<
cS C3 c/T—•/ C4-Ji6 zq.Sd 4..
ESTIMATED COST$ o70a. a-.v
0
C IS THIS A CONTRACT COST? V
YES NO
FEE ENCLOSED $Z
r
S0 CQ TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
V RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCY
INSTITUTIONAL
FACTORY
STORAGE ENGINEER'S NAME PHONE
GARAGE
MIXED USE ADDRESS
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS l NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED 7 YES/NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS w7-
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES
NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS
SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
100 4e/I
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.
J, XIA,111, z--/- /0 Z9
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
PHONE NO. of 7-2 7460' DATE
INSPECTOR- C---3 DATE. TIME
LOCATION bi
INSPECTION: CODE: RESULT(R/A.) :
BUILDING:
ELECTRICAL:
A2_1
PLUMBING:
HVAC
OTHER:
1I #DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PE ZJ
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bl Pe t
APPROVE 1540 SULLIVAN AVENUE
6. 4-2511 ext. 230
Date Building Inspector Application must be printed or typed
Location ofjob
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt. No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER"AaA,4 144
or any fraction thereof
ADDRESS 4F Q
OWNERS PHONE#
APPLICANT 7
NS ADDRESS
ESTIMATED COST$ 3 '7
C > IS THIS A CONTRACT COST?
YES NO
Avg"' CJ FEE ENCLOSED $
o TYPE OF JOB.R C Original Installation
Alteration/Addition/Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
V/ RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCYir/'C
INSTITUTIONAL
FACTORY
STORAGE ENGINEER'S NAME PHONE
GARAGE
MIXED USE ADDRESS
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD /2
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED 2 0 Ai w+-
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES
NUMBER OF LIGHT CIRCUITS 2 b NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES Y 0 NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES _
NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS
SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
PHONE NO. to q ll 3 4 71' DATE // 2 3 7
y
INSPECTOR C+ DATE I2 ZZ TIME
LOCATION O-T 10 WELI,S #ZI
INSPECTION: CODE: RESOLT(D/A) :
2 54
BUILDING:
ELECTRICAL:
co
PLUMBINGz
mac:
OTHER:
f
k
DEPARTMENT DECISION f JITAPPLICATIONFORPLUMBINGPERMIT0-1101
Application is hereby:TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE a5 5 41&
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
Location ofjob
za L t /0
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER IV
or any fraction thereof
ADDRESS l h
OWNERS 0 #
APPLIC:a(_9
0* N g ADDRESS
Loor
ovu
ESTIMATED COST$oe
x, IS THIS A CONTRACT COST?
VIA
V100'
Q YES NO
V
FEE ENCLOSED $ C L 7
OR-CO TYPE OF JOB:
Original Installation
Alteration/Addition Repair
Revised 10/96
APPLICATION FOR PLUMBING PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION YES / NO
RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCYASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY
EDUCATIONAL
INSTITUTION
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO. OF TOILETS 3 STYLE NO. OF URINALS STYLE
NO. OF BATHTUBS/NO. OF SHOWERS NO. OF LAVATORIES
NO. OF CONDUCTORS SIZE NO. OF STACKS/SIZE 3 11
AREA OF ROOF NO. OF CATCH BASINS NO. OF FLOOR DRAINS
NO. OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW /NO
SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK <
SIZE OF WATER MAIN Y SIZE OF WATER PIPING&RISER Y
WATER HEATER
TYPE N ckJ V4- f MANUFACTURE
TANKS SAFETY DEVICES
J,,\ TEMPERATURE
CAPACITY 60 RELIEF VALVE
TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE
TYPE MANUFACTURER
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
NAME STATE LICENSE NO. TYPE SIGNA APPLICANT
PHONE NO. DATE
DEPARTMENT DECISION PERMIT#APPLICATION FOR HVAC PERMIT 16371
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPRO D 1540 SULLIVAN AVENUE ss
644-2511 ext. 230
IZ
Date wilding Inspector
Application must be printed or typed
Location ofjob
o ( we(ler't, A LOU /0
Street No. Street Lot No.
FEE SCHEDULE
0 - $1,000 - $12.00
Floor Apt.No.
Over $1,000
12.00 per$1,000 OWNER_&(AAA({ (UU boranyfractionthereof
ADDRESS
S cJ
OWNERS PHONE#
APPLICANT a
OW N$f ADDRESS Yq l,(Jo,0A, 0 kc
00 ESTIMATED COST $
C IS THIS A CONTRACT COST? X_
YES NO
o0FEEENCLOSED $ 2 -
sOR CO TYPE OF JOB:
x Original Installation 1
Alteration/Addition/Repair
Revised 11/95
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM TYPE OF BUILDING
HEATING RESIDENTIAL
A/C X COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR x UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE C) F INSIDE 70 F DIFFERENCE 70 F
TOTAL HEAT LOSS(BTUH) 37i 2 3
HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPME (INCLUDING MAKE&MODEL NO.)
v o ox 62 v
GROSS HEATING CAPACITY (INPUT-BTUH) /o2U NET RATING (OUTPUT-BTUH)1 8 U
TYPE OF FUEL
OIL-GPM GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDE qj<'F INSIDE ?J F DIFFERENCE 1.5 F
TOTAL HEAT GAIN(BTUH) YZ /
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
Uh r z g,A sNA DA414 Ad SE_ip QLA /#D"
1)#W 74 D n 7 4
TONNAGE y COOLING CAPACITY(BTUH) 4 O&
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 CA!l U44A A4!g,_ WA Al
cau"01,7c- f lc )C:4- 4- l-iccy Dec, rx G
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BUIL ING CODES IN THE
PERFORMANCE OF SUCH WO
a63o7 0_ i
STATE LICENSE-NO. NAME&TYPE SIGNATURE OF APPLICANT
PHONE NO. p{L— S DATE d- GI
i
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