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HomeMy WebLinkAbout212 Foster RoadFVNAL 1NSPEC I S: Building APPLICATION' FOR BUILDING PERMIT Plumbing HVAC Date: Sprinkler Lot #2, 212 Foster R a Electric Estimated Cost $7,od Zoning Permit Fee$ '7/O . Affidavit NO.17746 Occupancy Fee $ Eng. Dept.i 4d COMPLETE RED BOXED AREAS.Fire Dept. TYPE OR PRINT ONLY Total Fee $ Health Dept. Approved for CO: / f0 c/ 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. Q Side of Street Zone Applicant p p Tel. # 9G1-CW, Address r/T/N Ct—l r.,- 11 lr 4^' SLd'"irp 0fo01'¢ Lic.# STREEJ CITY STAT Owner 41.4J,4t 3— Address Architect Address Size New Area: Ft. Front Overal Ft. Deep Overall 6-- Total Area Garages No. of Families No. of Stories Construction —Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line Dist. from Side Street Line d Purpose of this Permit c^JlN cM dwt fir' 4.vS r •c/ City Water Well Septic Sewer Approved by cfxc Date 6 13D1A 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 and required distances from all other zones and is located in a zone in which this building and its use is allowed. Signed- zoo I hereby apply for a Certificate of Occupancy for the work described in this p atio for p mit. Signed 1v r f/ DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footin hf-7 Framing Foundation Fireplace/Chimney Insulation 7_`L 7-7 Plumbing Permit# Inspections: HVAC Permit# o? Inspections: Electrical Permit# 6 V-A-L 4 Inspections: Sprinkler Permit# Inspections: y BUILDING INSPECTION-DEPARTMENT SOUTH WINDSOR, CONNECTICUT FEE PAID: $3.00 i CERTIFICATE OF OCCUPANCY a ZONE: DATED 7/1 Z 19 g This is to certify that 212 Foster Road Erected under permit No.1774E conforms substantially to the requirements of the building ordinances and the zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below. Approved for Occupancy— New single family dwelling -- Lot# 2 Use Group: R 4 Constr. Type: 5B Building Official Notice:If this certificate is lost or destroyed, a duplicate should be obtained immediately from the Buil a Any change or extension of the use herein approved requires a new cernheat ofppqe occu P CERTIr'ICATE OF OCCUPANCY CHECK LIST 7 r Applicant Manna&ino Certificate of OccupancyAddressBldg. Permit No. 177 Lot No.a4 en I RD Date Submitted 7-5- Project Reviewed By Date As required in the Zoning Regulations, no certificate-of-occupancyshallbeissueduntilgradingplanshavebeencompliedwithandapprovedbytheTownEngineer. The minimum requirements shallinclude: 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 b. foundation drain c. electrical & telephone d. water e. other r 5 Appropriate certification 6. Bonding Sewer Permit No. Pavement Excavr. No. COMMENTS: SCAI t w BUILDING PEPLIT CHECK LIST O'er Applicant r /AQ,?04,-,-n0 Building Permit No. Address 310 dLanmo4d OLAw h-ql S•Cv. Qr Date Submitted V 22 `, Lot No.4d, 11 d Reviewed by Project T,, 6.1 Date rV%,I V 5f A4~3 In accordance with the 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. 2. Name, address & phone number of plan preparer. 3. Zoning information - i.e. zone, open space, floodway, etc. y 4 . Plot plan at 1" = 40' scale. a. Subdivision reference, abutting properties, etc. b. Easements of record. c. Lot description, bearings, distan s, building lines, 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 & center line of road at driveway. f. Elevations of gravity drainage systems, sanitary & foundation drain at the house and the street. g. Tentative utility location gas, electric, water, etc. h. Title block with name and address of preparer, date appropriate certification, 3l live seal and signature. 5. Sedimentation and erpsion control. I G rv&A2^ eli<< r-o in[' cl ors r v.1 4 *A a Pp cc t" 6. Special Planning & Zoning, Inland/Wetlands considerations. (Plans on file w/Town Clerk) BUILDING DEPT. PZC IWA/CC WPCA OTHERS COMMENTS: L-f z Ao'oN ac .... Amok r T_a 01e 1540 SULLIVAN AVENUE SOUTH WINDSOR, CONN. 06074 0 '.coN AREA CODE 203/644-2511 March 7, 11709 I`Ir w J()-, kph Mariari na Vint•,ngt• t•I(-.)mpS7,, Ir)r_. 50 f"c)nr ec:t i c:t_tt Avenue? i. i-r-y r S cA t k.I) W i.n d s r)r•- , [11" C)6074 f't!i ,t t,ir)t• t:c:) c)t..tr t.wc) cc..)nvvr•r.-,a t.:i ons r..nrir.er-n:i ng cJrai.nage on Fo ter- Road; one 201 19139 at the sit-e and ane by telephone March 77 19897 1 underrtrtnclUlf, f!l1 I-nt'ji ng.. 1. « 'rviv? Tr-win of SOLIth Wi ric-In .)r wot_tl ci provi dr- the mAteri al s necessar-y to cot--r-ect: I d,?r1yF-!r-cXIs anti unsicihtly drainage pr-tablem in front of and on Lot 2. 2. 'TT)F? materials wnul d bp those nPc-essary to construct one catch b,-_Ic.i.n inI"'nst.mr nozid and IC)() feet: plus or n)i rtt..ts, of: Atria 1 5" diameter- pipe todi. nc.•har-ge. t:he welter- to beyond the t:)ar_E:: o-f any hnus_-' r_c-)nstrt..tctecj on Lot. 2. Y011 wcyul d pr-ovide an easr1(nent to the Town of South Windsor- with dr-ai n,ayc? I••i clhts along the portheel y proper-ty line of Lot: ;`. Vc tt vint..tld r)r•ovicle tl'ie ins(-,rati •,Ati.an of said c:atc.h b<•-A sin and pipe within t:h e F t'tsu,fnPrit_w r eanr?mc n't; and di-•ai nago improvements would t.)a s'-jI1c.)wn C:)I1 tho subdivision w1.atl aIici an the p.ltot• plan pr-ic3r- tO being issued a building per-mi t for- Ltol-. Yc7t! rttivi. et:i m t•h'at. You wn1.11ri hi-we yrlt..tr Engir)eer r..h+c•t:: the grade in the Sl:ree:?t:and Hit?- gr-ade at the proposed d i schar-ge point to deter—mine if pre--cast basin r..r)t.tl d be t..t ed. I ndv1*. 41F-r•I that. I wottld choczk: with the 'Town Engineer about e-rosion treatmer)t at:.thr? d i s:ch arge end of the El i pc•?. r L•.e a ci, 4;ttr.a(:Mr•1 nt•t?ndant: of St:r-c?pi: Ser-v.ic:es I'll F,1;/c I c-1c: 1er'ry Iz:tz et:t,, Town F=ngi nee.r• I'lar-r..i a k:anat_h , Di.r-ec:tur- of I'l l ann i nyMic::havl (74-nnt i.c.k , Di I''F?c•k.0r• of F'ubl i.r Wcar k:s PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby : TOWN OF SOUTH WINDSOR APPROVED' D BUILDING INSPECTION DEPT. 644-2511 Ext. 230 A lication must bepp printed or typed. Date Building Inspe 1. LOCATION OF JOB 407 jep FEE SCHEDULE No. Street 0 - $19000 -10 .00 Floor Apt. No. Over $19 000 -10 .00 2 . OWNERper $1 , 000 or fraction thereof 3. ADDRESS oZ G T Sd G/ 4. APPLICANT ;/Oc l 71 4C 5 . ADDRESS 7 jF°;G,/kl 6 . ESTIMATED COST 7 . IS THIS A CONTRACT COST Yes No 8 . FEE ENCLOSEDf 7 7`l0 9 . TYPE OF BUILDING: VRESI DENT IAL COMMERCIAL 10 . TYPE F JOB : Original Installation Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11. LOCATION OF JOBA/ c;)-- NO. STREET APT. NO, 12 . TYPE OF INSTALLATION 13. SIZE OF MAIN FEEDER -mow 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 t'10 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 0162 30. A/C LOAD 31 . SIZE OF POWER FEEDERS 32 . NO. OF FIXTURES ' 33 . TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : LICENSE NO. SIGNATURE OF APPLICANT DA E PHONE NUMBER: 7-,;,-,7'-7 7 Lot No. Building Permit 07 74L Temporary Seryice Permanent Service Pursuant to Permit This Certifies that the Electrical Work for which the above named Permit was granted has been duly inspected and is hereby approved. IANOwnerrPAk\ dt4j&-AA Electrician A Street Bulibng n Wctor PERMIT NO. DEPARTMENT DECISION i A P P L I C A T I O N F O R APPL CATION IS HEREBY: PLUMBING PERMIT APPROVED DISAPPROVED TOWM OF SOUTH WINDSOR BUILDING INSPECTION DEPT. 644-2511 Ext. 230 ATE 7PLUI NSPECTOR Applicationppication must be printed or typed. 1. LOCATION OF JOB: 2. OWNER: 3. ADDRESS: 1 FEE SCHEDULE G .A) 0 - $1,000 - $10.00 4. APPLICANT: ,• b( S c CS. '`L \C l Over $1,000 - $10.00 5. ADDRESS:( per $1,000 or Fraction Thereof t 6. EST. COST: $ 7. IS THIS A CONTRACT COST? YES ' NO 8. FEE ENCLOSED: $ 7 7 9. TYPE OF/UILDING: RESIDENTIAL COMMERCIALf` K 10. TYPE OF JOB: RIGINAL ALTERATION INSTALLATION ADDITION REPAIR BD 2A 11/88 APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side) 0%11. LOCATION OF JOB: \- p GENERAL PLUMBING 12. KIND OF INSTALLATION: I& V\ 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS _STYLE5 15. NO. OF URINALS STYLE 16. NO. OF BATHTUBS ( 16A. NO. OF SHOWERS 1 17. NO. OF LAVATORIES 18. NO. OF SINKS 1 19. DISPOSAL 19A. DISWASHER 1 20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE 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? /Q 27. SIZE OF WINDOW ;13 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK? 31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS 32. REMARKS AND FURTHER DETAILS WATER HEATER 33. TYPE v,c s55 Cp 34. MANUFACTURER TANKS SAFETY DEVICES TEMPERATURE 35. CAPACITY 39. RELIEF VALVE 36. TEST PRESSURE LBS. 40. MANUFACTURER 37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE 38. TYPE 42. MANUFACTURER LICENSE NO. I DA E SIGNATINE OF APPLICANT PHONE NO. 4 1 FOR &&ICE USE ONLY APPLICATION FOR HVAC F MIT DATE: No. Uto Il T:OF SOUTH VMSOR EST.4A BLDG. PERMIT N0. 744 1540 SULLIVAN AVENUE FEE 41MSOR CT 06074 FEES:6 w 0 - $1,0d0 == $10.00 e 644-*2511 — Ext. 230 1000 or fraction LOCATION OF BUIL# thereof - $10.00 OWNER ADD TOWN PHONE N0. DbD45 C68 HV CON 'RA ADI?RES$ WN PHONE N0. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONI C-i/ 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 Z.S LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE3() °F INSIDE_Z_°F DIFFERENCE_°F TOTAL HEAT LOSS (BTUH) -,I%QjBI C'HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): 4 k A.= W ZROISS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) ciao IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE F TOTAL HEAT GAIN (BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.): TONNAGE COOLING CAPACITY (BTUH) 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: STATE LICENSE - NAME & TYPE #bA SIGNATURE APPLICANT 714 PROVED DATE s---- 1 -- - . BD 4A 11/88 I - B - R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by Th Hydronks Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL.A COL.8 COL.C COL.D COL.E COL.F COL.G 1 ROOM O H L W H L W H L W H L W H L IN Design Water Temp. 2 ROOM DIMENSIONS, FT.U BTUH per F of of 3 LENGTH EXPOSED WALLS,FT. Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA IL 8TUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION ROOM LIN.FT.OF Table 9,Lone,3 x H) TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED Bottom f table used for Line 5) 7 CEILING CONSTRUCTION C Table 9.L x W) g FLOOR CONSTRUCTIONt D Table 9, L x W r Lin. F t) E 9 COLD PARTITION CONSTRUCTION F Table 9, L x H)G 10 _c 1 Wall(With Openings)O; H 2 Wails(With Op nings) e0 Xa 1 3 Wells(With Openings) or Ent. Hall l.. 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K COL.A _ —COL.B COL.H COL.1 COL_J COL.K COL.L TOTAL BTUH TOTAL 1 ROOM OF BUILDING RADIATION AT SELECTED O H L W H I L W H 1 L I W H I L W H L W DESIGN TEMP.- 2 ROOM DIMENSIONS,FT F' DIFFERENCE U 3 LENGTH EXPOSED WALLS, FT. 4 WINDOW AND OUTSIDE DOOR AREA U. STUN BTUH 8TUH BTUH BTUH 5 WALL CONSTRUCTION INCREASE BATHROOM Table 9, LIne 3 x H) TOTAL 20% 6 TYPE OF GLASS Gott m of table used f r Line 5) 7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ONGROUNDORFILLAT Table 9, L x W)GRADE LEVEL,USE LINEAR 8 FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE ITable 9,L x W r Lin Ft.) 9 COLD PARTITION CONSTRUCTION Table 9,L x H) 10 -0 1 Wall(With Openings)C 2 Walls(With Openings) e XO 3 Wells(With Openings) or Ent. Hall le J 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE This form Is available from The Hydronics Institute,35 Russo Place,Berkeley Heights,N.J. 07922 FORM 1503 I ARGO CALCULATPP4 SHEET OWNER ADDRESS k DATE DEALER KIND OF BUILDING 1 .' v i t CHIMNEY SIZE CONSTRUCTION: WyALL WINDOWS- Ill ROOF OR CEILING BASEMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF COL.1 2 3 4 5 6 7 6 1 9 10 11 12 13 14 15 16 1 17 18 ROOM SIZE WINDOWS AREA.SO. FT. FLOOR VOLUME ETOTAL I0 S CARDSANDDOORS SEE MOTE) CU.FT.TOTAL CONNECTED ACCESSORIESROOMNuenGROSSGLASSNETWALLCEILINGOZAT7oIWATERLENs:TN R TEIrF. TO nr.L W H ow AREA WALL O 18 DOFF. y^11 M ENCLOSURE FINfI:E F 1 R S I.0 MIS_07 007 1 0 J oi,7 Tc... oIFF. FT TUBE qj L 1 S G1100o0900oa 3 VOO 0 l io 19 DD J060 Q 5 800 G00 a b' oo o 0 1 0o y000 /,57f J I 8 S ' 600 300 5-00 / q00 /Goo 19 t- 5'780010000 60 0fl no coo 5,4yo0Al& Ano 3on )3oo- /i o I I TZ: F R C NCRET[FLOOR ON GROUND R FILL AT GRADE LEVEL.USE LINEAR FEET OF 9XPOORD EDGES TOTALS O /DFORALLTNERFLORSUSESQUAREFEETOFAREA. M v!6 9 PERMIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 1vl3 Application is hereby: Ifie TOWN OF SOUTH WINDSORAPPROVEDSAPBUILDINGINSPECTIONDEPT. 644-2-i11 Ext. 230 Date Building respect Applications must be printed or typed.4 r I. LOCATION OF JOB FEE SCHEDULE No. Street x r. Floor Apt. No. 00 ,— $10000 — 10.00 Over $1,000 - 10.00 2. OWNER OC j5 7- per $1,000 or fraction thereof 3. ADDRESS ,7 CT A Vdr- So/ TE 4. APPLICANT r 5. ADDRESS_, 70 G-- S 7— J ACTUAL COST $ FEE $ 6. ESTIMATED COST $ ESTIMATED COST $ 17EE $ 7. IS THIS A CONTPLACT COST? Lid' YES Q NO FILE COMP. BY BALANCE $ 8. FEE ENCLOSED $ 9. TYP OF BUILDING: Rr,SIDENTTAF, 13 CO,%'.%IERCIAL 0. TYPE OF J06: 0434GINAT, t- ALTEPwri.)y IVSTA1.T.ATT()ti u t1DDITION REPAIR APPLICATION FOR ELECTRICAL Pf,-PA Continued trvm icevarse Side) 11. LOCATION OF JOB Z' - /`- ~' NO. STREET FLOOR APT. NO. 12. TYPE OF INSTALLATION_ V 1W 13. SIZE OF MAIN FEEDER 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 M 20. NO. OF CONVENIENCE OUTLETS -/021. NO. OF HEAT CIRCUITS_ 22. NO. OF POWER CIRCtRTS_ 23. NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25. NO. OF 11-10TORS 26. NO. OF PANELS 27. TOTAL WATTAGE 28. N0. OF POWER PANELS 29. NO. OF SWITCHES 4ZO 30. A/C LOAD 31. SIZE OF POWER FEEDERS_ 32. NO. OF FIXTURES z' 33. TOTAL HORSEPOWER 34. NAMES OF SUBCONTRACTORS AND THEIR TRADES 35. REMARKS AND FURTHER DETAILS: o17 LICENSE;N0. SIGNATURE OF APPLICANT DA PHONE NUMBER: 7 NOV-04-1996 17:22 FROM KELLY ASSOCIATES TO 5633402 P.02 wy..w.,...•. .........•. > X tc:.'7f'ti''°p°K'3 y1 hs •n• y 0 y y. .y{S• Sl t D 3 v.w..•., TM i4 It >ax I0 DAYS ONIMODIVVI h311046Yf t Reoouce THIi Cd4R7'IFICATE M WOLIED AS A MATTER OF INFORMATION ONLY AND CO{IIFIIRS NO RIGHTS UPON THE CERTIFICATE I HOLDER. THIS CERTIFICATE DOES NOT AMEAM, EXTEND ORKELLYASSOCIATES, INC. ALTER THE COVERAGE AMRDED BY THE POLICIES BELOW. 970 FARMINGTON AVE, SUITE 202 COMPANIES AFE2WING COVIM911 WEST HARTFORD, CT 06107 COMPANY 860) 561-5662 FAX: 561-9784 A GREAT AMERICAN INSURANCE COMPANIES u+Ia;RinEo COMPANY Town o iL, INC.s 786 S ILAS DEANS HIGHWAY COMPANY WETHERSFIELD, CT 06109 C COMPANY D w.•..•w•• x' L i 'Sn wi4 fx k« • x f +c i' x?t: OZONEY fk ire« x a f. k THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIRBAENT.TERM OR CONDITION OR ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 19 SUBJECT TO ALL THE TERM$, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.UMIT$SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. co LTR TYPE OR INSURANCE POLIgV I>tYMf1ER DATE(MMlOOMO POLICY LVMTM DA,n OTION LIMITS GENERAL LIABILITY GENERAL AGGREGAW *1 000 000 X COMMERCIAL GENERAL LIABILITY PRODUCTS-COM'iOt AQQ sl 0 0 O 000 CLAIMS MADE Q OCCUR PERSONAL&ApV IN,IWRY 41, 0001000 A OWNER-S IV CONTACTOR-S MOT PAC 8 8 9—0 6—21—0 0 1111196 11/1/9 7 EACH OCCURRENCE s1 000, 000 FIRE DAMA4E(My em fire) t 504000 MID lXP Ow ero owswO $51000 AUTOMOINLE LIABIUTY ANY AUTO COMBINED SINOU LIMIT s110001000 X ALL OWNEO AUTOS BODILY INJURY SCHEDULED AUTOS fM/owN A X FIIR ED AUTOS CAP 8 8 9-06-2 2-0 0 11/1/9 6 11/1/9 7 BODILY INJURY X NON-OWN90 AUTOS rw"Owwnt) PROPERTY DAMAOE 1 OARtA4E LL04MLITY AUTO ONLY•EA ACCIDENT f~ ANY AUTO OTHER THAN AUTO ONLY: ••t{''.;<.y::V.x+ EACH ACCIDENT t AGWQATE 9 MEUUMMELLAUABNUTY EACH OCCURMNCE 1 000 000 AFORM UMB 8-89-06-24-00 11/1/96 11/1/97 AGOMOATE S1, 000, 000 OTHER THAN UMBRELLA FORM WC STATU- QTI41' WORKERS COMPD"T10N AND EiMPLOYERC'UAt VrV El EACH ACCIDENT ffJ O O OO O TH6 PROPRIETOw INCL WC 8 8 9-0 6-2 3-0 0 11/1/9 6 11/1/9 7 @L DISEASE-POLICY LIMIT S5 00 00 0PARTNERGAXECVTIVE OFFIGERS ARE:EXCL DISEASE-EA PLOYEE $500, 000 OTHER DL&CFIPTION OF OPEIATI Ili &OCATIONSNEMICUi MPIOIAL ITYMfi G :x• C' momm SWWL9 ANY OF THE AWW DEBORRIBm P'OUCIN N OANO&M SEI M T}IE STATE OF CONNECTICUT WIRATION DATE "Wft'. TIN MWINO COMPANY WILL eNDEAVOIe TO DEPARTMENT OF CONSUMER PROTECTION 1L w n wram Honor,To m qp R T. 165 CAPITOL AVENUE BUT TO MAL WOH MOTICK HARTFORD, CT 06106 P Ad ISINO U ON THE lvv A1JTH0 T FOR OFFICE U Y F0K1T WMSOR g in..irrwr BLOC. P IT NO 1540 stvalot T SOM SOi s CT 06674 000 1-A.00611 - Xxt. 230 1' " 1000 or fraction LOCATION OF BUILDING 12 vs7r` thereof - $4ioo CA^i js L e e-- OWNER ADDRESS TOWN PHONE NO, HVAC CONTRACTOR ADDRESS TOWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL L A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS, HIGH PRESSURE LIMIT LBS. HYDRONIC WARAIR 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 F 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 95- °F INSIDE 75_ OF DIFFERENCE Z o OF TOTAL HEAT GAIN (BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.): Gfl CA,5-5-3 4 TONNAGE 3 COOLING CAPACITY (BTUH) 4©vo 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: l•tlsr- Ccr,r l Ale- A-, 44V *'wo/'le '/ ` Tt L• 7' gt C"A117, L s 4o4xC/'- sl z ve jeeeasL 01 j yTc/^G a C ,//,rIle . 3 0337 Y s—/ 14-9-P 7 a=2L STATE LICENSE - NAME & TYPE #DATE IGNATURE OF APPLICANT SAPPROVEDDATt I - 8 - R CALCULATION SHEET 1503 (Modern Method)Copyright 1971 by The Hydronks Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL.A COL.6 COL.C COL.D COL.E COL.F COL.G I ROOM cc O H L IN H L W H L W N L W H L W Design Water Temp. 2 ROOM DIMENSIONS, FT.eruN pv f t of 3 LENGTH EXPOSED WALLS,FT. t Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA to BTUH BTUH eTUH STUN STUN 5 WALL CONSTRUCTION ROOM LIN. FT.Of iTable 9.Line 3 x H) TOTALS RADIATION FROM LINE 12 SELECTED 6 TYPE OF GLASS B ttom of table used for Line 5) 7 CEILING CONSTRUCTION C Table 9, L x W) g FLOOR CONSTRUCTIONI ITable 9, L x W r Lin. F t) E 9 COLD PARTITION CONSTRUCTION F Table 9, L x H)G 10 -0 1 Wall With Openings))H 2 Wells(With Openings) O J 1 3 Wells IWilh Openings)or Ent.Hall 1t TOTAL BTUH AT 70F TEMP DIFFERENCE' K 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE L COL.A COLS COL.H COL.1 COL.J COL. K COL.L TOTAL BTUH TOTAL OF BUILDING RADIATION 1 ROOM AT SELECTED O H L W H L W H L W N L W H L W DESIGN TEMP-* 2 ROOM DIMENSIONS,F T DIFFERENCE U 3 LENGTH EXPOSED WALLS. FT 4 WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH STUN STUN STUN 5 WALL CONSTRUCTION INCREASE BATHROOM Table 9, Line 3 x HI TOTAL 20% 6 TYPE OF GLASS IBottom I table used for Line 51 tfOR CONCRETE FLOOR ON 7 CEILING CONSTRUCTION GROUND OR FILL AT Table 9, L x W) GRADE LEVEL,USE LINEAR FEET OF EXPOSED EDGE B FLOOR CONSTRUCTIONt Table 9,L x W r Lin Ft) 9 COLD PARTITION CONSTRUCTION Table 9. L x HI 10 . C 1 Well(With Openings) 2 Wells lWith Openings)OxJ - 3 Wells(With Openings)or Ent Hall 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE FORM 1503 Ttiis form Is available from The Hydronlcs Institute 35 Russo Piece,Berkeley Heights,N J 07922 Page 1 HEATLOSS Vers 5. 0 Copyright 1986-1994, Thomas and Associates, Bellaire, MI 616) 533-8472 TOWN OIL CO. INC. 786 SILAS DEANE HWY. WETHERSFIELD CT 06109 203-529-6813 04-14-1997 LEE 212 FOSTER RD. SO. WINDSOR Heatloss is based on a Design Temp. Difference of 75 Heatgain is based on a Design Temp. Difference of 20 , with a Dark Roof CFM for Heatloss is based on a Temp. Rise within the heat exchanger of 60 LIV CEILING HEIGHT IS 8. 00 FEET, VOLUME IS 2, 496 CUBIC FEET 2 EXPOSED OPEN INGS, TOTAL ING >>>>>>>>>>>>>>>>>>>>>> 52. 4 SQUARE FEET 2 EXPOSED WALLS, not including TOTALING >>>> 243. 6 SQUARE FEET ROOM SIZE IS 24. 0 LONG by 13. 0 WIDE, TOTALING >> 312. 0 SQUARE FEET WINDOW TYPE IS: U-Value = . 551 , Double Pane, Clear Glass WALL TYPE IS: U-Value = . 09, Frame Insulated CEILING TYPE IS: U-Value = . 053, Unconditioned Attic Space Above FLOOR TYPE IS: U-Value = 0, Floor over any Conditioned Space HEATLOSS HEATGAIN Additional BTUH for people, Appliances etc . 600 BTUH The Total BTUH for the outside walls are 1 , 656 512 BTUH The Total BTUH for the Exposed Openings are 1 , 812 1 , 211 BTUH The total BTUH for the ceilings 1 , 248 718 BTUH The total BTUH for the floors 0 0 BTUH The BTUH infiltration for the openings is 3, 486 465 BTUH DUCT LOSS OR DUCT GAIN for this room is 1 , 230 175 BTUH SENSIBLE HEAT GAIN 3, 681 BTUH THE TOTAL BTUH FOR THIS ROOM IS 9, 432 The total CFM of air required for this room is 143 176 CFM DINE CEILING HEIGHT IS 8. 00 FEET, VOLUME IS 1 , 152 CUBIC FEET 1 EXPOSED OPENINGS, TOTALING >>>>>>>>>>>>>>>>>>>>>> 40. 8 SQUARE FEET 2 EXPOSED WALLS, not including open i rigs, TOTAL ING >>>> 151 . 2 SQUARE FEET ROOM SIZE IS 12. 0 LONG by 12. 0 WIDE, TOTALING >> 144. 0 SQUARE FEET WINDOW TYPE IS: U-Value = . 551 , Double Pane, Clear Glass WALL TYPE IS: U-Value = . 09, Frame Insulated CEILING TYPE IS: U-Value = . 053, Unconditioned Attic Space Above FLOOR TYPE IS: U-Value = 0, Floor over any Conditioned Space HEATLOSS HEATGAIN Additional BTUH for people, Appliances etc . 0 BTUH The Total BTUH for the out ide walls are 1 , 028NAATheTotalBTUHfortheExposedOpeningsare1 , 685 The total BTUH for the ceilings 576 1BTUH The total BTUH for the floors 0 0 H Page 2 The BTUH infiltration for the openi /gs s 2, 715 362 BTUHDUCTLOSSORDUCTGAINforthisroomis901134BTUH SENSIBLE HEAT GAIN 2, 818 BTUHTHETOTALBTUHFORTHISROOMIS6, 905 The total CFM of air required for this room is 105 135 CFM KIT CEILING HEIGHT IS 8. 00 FEET, VOLUME I 1 , 152 CUBIC FEET 1 EXPOSED OPEN INGS, TOTAL-ING >>>>>>>>>>>>>>>>>>>>>> 9.0 SQUARE FEET 1 EXPOSED WALLS, not including openings, TOTALING >>>>87. 0 SQUARE FEETROOMSIZEIS12. 0 LONG by 12. 0 WIDE, TOTALING >> 144. 0 SQUARE FEETWINDOWTYPEIS: U-Value = . 551 , Double Pane, Clear Glass WALL TYPE IS: U-Value = . 09, Frame Insulated CEILING TYPE IS: U-Value = . 053, Unconditioned Attic Space Above FLOOR TYPE IS: U-Value = 0, Floor over any Conditioned Space HEATLOSS HEATGAIN Additional BTUH for people, Appliances etc . 1 , 500 BTUH The Total BTUH for the outside walls are 592 183 BTUH The Total BTUH for the Exposed Openings are 372 369 BTUH The total BTUH for the ceilings 576 331 BTUH The total BTUH for the floors 0 0 BTUHTheBTUHinfiltrationfortheopeningsis59980BTUH DUCT LOSS OR DUCT GAIN for this room is 321 123 BTUH SENSIBLE HEAT GAIN 2, 586 BTUH THE TOTAL BTUH FOR THIS ROOM IS 2, 460 The total CFM of air required for this room is 37 124 CFM BATH CEILING HEIGHT IS 8. 00 FEET, VOLUME IS 480 CUBIC FEET 1 EXPOSED OPENINGS, TOTALING >>>>>>>>>>>>>>>>>>>>>> 6. 0 SQUARE FEET 1 EXPOSED WALLS, not including openings, TOTALING >>>>34. 0 SQUARE FEET ROOM SIZE IS 5. 0 LON8 by 12. 0 WIDE, TOTALING >> 60. 0 SQUARE FEET WINDOW TYPE IS: U-Value = . 551 , Double Pane, Clear Glass WALL TYPE IS: U-Value = . 09, Frame Insulated CEILING TYPE IS: U-Value = . 0539 Unconditioned Attic Space Above FLOOR TYPE IS: U-Value = . 048, Floor over Exposed Space HEATLOSS HEATGAIN Additional BTUH for people, Appliances etc . 0 BTUH The Total BTUH for the outside walls are 231 71 BTUH The Total BTUH for the Exposed Openings are 248 246 BTUH The total BTUH for the ceilings 240 138 BTUH The total BTUH for the floors 216 48 BTUH The BTUH infiltration for the openings is 399 53 BTUH DUCT LOSS OR DUCT GAIN for this room is 200 28 BTUH SENSIBLE HEAT GAIN 584 BTUH THE TOTAL BTUH FOR THIS ROOM IS 1 , 534 The total CFM of air required for this room is 23 CFM KI I VNW Page 3 MID BED CEILING HEIGHT IS 8. 00 FEET, VOLUME IS 960 CUBIC FEET 1 EXPOSED OPENINGS, TOTALING >>>>>>>>>>>>>>>>>>>>>> 24. 0 SQUARE FEET 1 EXPOSED WALLS, not including openings, TOTALIN6 >>>>72. 0 SQUARE FEET ROOM SIZE IS 12. 0 LONG by 10. 0 WIDE, TOTALING >> 120. 0 SQUARE FEET WINDOW TYPE IS: U-Value = . 551 , Double Pane, Clear Glass WALL TYPE IS: U-Value = . 09, Frame Insulated CEILING TYPE IS: U-Value = . 053, Unconditioned Attic Space Above FLOOR TYPE IS: U-Value = . 048, Floor over Exposed Space HEATLOSS HEATGAIN Additional BTUH for people, Appliances etc . 0 BTUH The Total BTUH for the outside walls are 490 151 BTUH The Total BTUH for the Exposed Openings are 991 792 BTUH The total BTUH for the ceilings 480 276 BTUH The total BTUH for the floors 432 96 BTUH The BTUH infiltration for the openings is 1 , 597 213 BTUH DUCT LOSS OR DUCT GAIN for this room is 598 76 BTUH SENSIBLE HEAT GAIN 1 , 604 BTUH THE TOTAL BTUH FOR THIS ROOM IS 4, 588 The total CFM of air required for this room is 70 77 '--:FM R F BED CEILING HEIGHT IS 8. 00 FEET, VOLUME IS 880 CUBIC FEET 2 EXPOSED OPENINGS, TOTALING >>>>>>>>>>>>>>>>>>>>>> 24. 0 SQUARE FEET 2 EXPOSED WALLS, not including openings, TOTALING >>>> 144. 0 SQUARE FEET ROOM SIZE IS 11 . 0 LONG by 10. 0 WIDE, TOTALING >> 110. 0 SQUARE FEET WINDOW TYPE IS: U-Value = . 551 , Double Pane, Clear Glass WALL TYPE IS: U-Value = . 09, Frame Insulated CEILING TYPE IS: U-Value = . 053, Unconditioned Attic Space Above FLOOR TYPE IS: U-Value = . 048, Floor over Exposed Space HEATLOSS HEATGAIN Additional BTUH for people, Appliances etc . 0 BTUH The Total BTUH for the outside walls are 979 302 BTUH The Total BTUH for the Exposed Openings are 991 888 BTUH The total BTUH for the ceilings 440 253 BTUH The total BTUH for the floors 396 88 BTUH The BTUH infiltration for the openings is 1 , 597 213 BTUH DUCT LOSS OR DUCT GAIN for this room is 660 87 BTUH SENSIBLE HEAT GAIN 1 , 831 BTUH THE TOTAL BTUH FOR THIS ROOM IS 5, 063 The total '--:FM of air required for this room is 77 88 CFM L R BED CEILING HEIGHT IS 8.00 FEET, VOLUME IS 1 , 3 CUBIC FEET 2 EXPOSED OPENINGS, TOTAL ING >>>>>>>>>>>>>>>>>>>>>> 24 2 EXPOSED WALLS, not including openings, TOTALING >>>> 18 ROOM SIZE IS 13. 0 LONG by 13. 0 WIDE, TOTALING >> 16 WINDOW TYPE IS: U-Value = . 551 , Double Pane, Clear Glass Page 4 WALL TYPE IS: U-Value = . 09, Frame CEILING TYPE IS: U-Value = . 053, Uncondit1oned Attic Space Above FLOOR TYPE IS: U-Value = . 048, Floor over Exposed Space HEATLOSS HEAT6AIN Additional BTUH for people, Appliances etc . 0 BTUH The Total BTUH for the outside walls are 1 , 251 386 BTUH The Total BTUH for the Exposed Openings are 991 984 BTUH The total BTUH for the ceilings 676 389 BTUH The total BTUH for the floors 608 135 BTUH The BTUH infiltration for the openings is 1 , 597 213 BTUH DUCT LOSS OR DUCT GAIN for this room is 768 105 BTUH SENSIBLE HEAT GAIN 2, 212 BTUH THE TOTAL BTUH FOR THIS ROOM IS 5, 891 The total CFM of air required for this room is 89 106 CFM BATH/CLOSET CEILIN8 HEIGHT IS 8. 00 FEET, VOLUME IS 520 CUBIC FEET 1 EXPOSED OPENINGS, TOTALING >>>>>>>>>>>>>>>>>>>>>> 6. 0 SQUARE FEET 1 EXPOSED WALLS, not including openings, TOTALING >>>>34. 0 SQUARE FEET ROOM SIZE IS 5. 0 LONG by 13. 0 WIDE, TOTALING >> 65. 0 SQUARE FEET WINDOW TYPE IS: U-Value = . 551 , Double Pane, Clear Glass WALL TYPE IS: U-Value = . 09, Frame Insulated CEILING TYPE IS: U-Value = . 053, Unconditioned Attic Space Above FLOOR TYPE IS: U-Value = . 048, Floor over Exposed Space HEATLOSS HEATGAIN Additional BTUH for people, Appliances etc . 0 BTUH The Total BTUH for the outside walls are 231 71 BTUH The Total BTUH for the Exposed Openings are 248 246 BTUH The total BTUH for the ceilings 260 150 BTUH The total BTUH for the floors 234 52 BTUH The BTUH infiltration for the openings is 399 53 BTUH DUCT LOSS OR DUCT GAIN for this room is 206 29 BTUH SENSIBLE HEAT GAIN 601 BTUH THE TOTAL BTUH FOR THIS ROOM IS 1 , 578 The total CFM of air required for this room is 24 29 CFM TOTALS VOLUME IS 8, 992 CUBIC FEET EXPOSED OPENINGS, TOTALING 186. 2 SQUARE FEET EXPOSED WALLS, above grade not including openings 949. 8 SQUARE FEET TOTAL SQUARE FEET, of walls below grade 0. 0 SQUARE FEET FLOOR AND CEILING SIZE IS 1 , 124. 0 SQUARE FEET HEATLOSS HEATGAIN Additional BTUH for people, Appliances etc . 2, 100 BTUH The Total BTUH for the walls above grade are 6, 458 j 94~ -RTUH The Total BTUH for the walls below grade are 0 ' The Total BTUH for the Exposed openings are 7, 338AN The total BTUH for the ceilings 4, 496 The total BTUH for the floors 1 , 886 LS 419 BTUH Page 5 The BTUH infiltration for the openings is 12, 389 1 , 652 BTUH DUCT LOSS OR DUCT GAIN 49884 757 BTUH TOTAL SENSIBLE HEAT GAIN 15, 917 BTUH LATENT GAIN 2, 630 BTUH T O T A L B T U H, THIS B U I L D I N G 37, 451 18, 547 BTUH The total CFM of air required 567 762 CFM End of report This is to certify that under the provisions of the General Statutes the following person or firm is licensed or registered. HEATING PIPING & COOLING WORK BOARD UNLIMIThD CONTRACTOR - S1 JOHN J. BONIN 68 OLD COMMON WETHERSFIELD, CT 06109 LIC./REG NO. EFFECTIVE EXPIRES 00303384 9/01/96 8/31/97 SIGNED: -- SCANN + , Cktric# APPLICATION FOR BUILDING PERMIT Plumbing# 212 FOSTER ROAD WAC # 25288 Date: Sprinkler# 11NA1 APPROVALS fimafe Cost o Building COMPLETE RED BOXED AREAS Permit Fee Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. 1 ci 1 Tofial Fee TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) The undersigned hereby applies to do work according to the following specifications: Job Location 0, 6S r ko Lot No. Side of Street_Zone Applicant l'-Tel.# 5 21 — 31 al Address cZ/2 1fd S 4d- I) Zip d6d 7c1 Lic.# Owner nLl rAojelar- f. e L- Address S_h A E/ Architect Address Sq. Ft.New Area: lst Fl. 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages r Purpose of this permit: v n a rl V gob City Water Well Septic System Ins. H.O. S. Cert. Area Basement Approved by fete fq! Use Group U Construction Type Reviled 1197 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which t is building and its use all Signed Q I hereby apply for a Certificate of Occ ncy for the work described in this application for the permit. k Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 98-25288-B 2,400 B10 FINAL 04/01/99 DCJ A NO UNDERGROUND ELEC. , BONDING OKAY, ACCESS PROTECTED 98-14897-E 180 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERNIIT# 19.8 Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bld Perini 1540 SULLIVAN AVENUEAPPRO 644-2511 ext.230 Date Building Inspector Application must be printed or typed i Location ofjob Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 - $11000 - $12.00 Over $1,000 12.00 per$1,000 OWNS or any fraction thereof ADDRESS a `' J OWNERS PHONE# APPLICANT r- W + ADDRESS G ESTIlVIATED COST$ /VO. IS THIS A CONTRACT COST? YES NO CJ FEE ENCLOSED $ Z TYPE OF JOB:SCR•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 RESIDENTIAL BUILDING PERMIT APPLICATION lt5'$ NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY 110M MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS 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 SIGN OF#PLICANT 2 PHONE NO._•` 34'o / DATE N Tiolzon 0-Ye slotitAV&U&OtP4u' 4 1540 SULLIVAN AVENUE•SOUTH WINDSOR,CT 06074-2786 soIt-co' AREA CODE 860/644-2511 FAX 860/644-3781 March 29, 1999 CERTIFIED MAIL Z 419-174-518 Mr. Christopher Lee 212 Foster road South Windsor, CT. 06074 Dear Mr. Lee: Pool season is almost here. I would like to remind you that the Building Permit(s) 25288 for your pool is(are) still open. State Building Codes require the issuance of a Certificate of Occupancy prior to its use. Please contact our office for a final inspection prior to the removal of the winter cover or adding any water to your pool. All permits must be closed by May 1, 1999. Should you have any problems meeting this date please send our office a letter stating the reasons. (The pool still can't be opened). If the pool is opened without the benefit of a Certificate of Occupancy a caveat may be placed in the land records stating there are Building Code Violations on your property. Please call John Collins, Chief Building Official, or myself should you have any questions regarding this. Our office hours are 8-9am. and 1-2pm. The phone number is 644-2511 ext. 232. Iepu truly SIPlasC. Jourdan ty Building Official f c'- ENDER: Complete items 1 andfor 2 for additional services. I also wish to receive the io Complete items 3,4a,and 4b. following services(for an m Print your name and address on the reverse of this form so that we can return this extra fee):card to you. aAttachthisformtothefrontofthemailpiece,or on the back if space does not 1. Addressee's Addr ss write•Refum ReceiptRequested'on the mailpiece below the article number.2. Restricted Deliv ryTheReturnReceiptwillshowtowhomthearticlewasdeliveredandthedate C delivered. Consult postmaster for fee. VL 0 3.Article Addressed to: 4a.Article Number a cc Mr. Christopher Lee 19-174-518 E4b.Service Type 212 Foster Road Registered Certified cc So. Windsor, CT 06074 Express Mail Insured 0 1 I Retum Receipt COD ` I 7.Date of Delivery-3 t9 i 5.Received By:(Print Name) 8.Addressee's Address(Only if requested and fee is paid) g 6.Signatur :fAd7dre or Ag nt) e X PS Form 3811, December 1994 Domestic Return Rec ipt UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid USPS Permit No.G-10 Print your name, address, and ZIP Code in this box • TOWN OF SOUTH WINDSOR BUILDING DEPART M ENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074-2786 i