The URL can be used to link to this page

Home My WebLink About212 Kent Lanedresz APPLICATION FOR BUILDING PERMITBectric# y53 7 j Plumbing# /CZS6 WAC # job%l* 24547 Date: s r 477 Sprinkler# FIM APPROVALS Estimated Cost $Izq "7 D Building COMPLETE RED BOXED AREAS Permit Fee s,o Engineering o TYPE OR PRINT ONLY Occupancy FeeAffidavit A CO. z SIGN ON REVERSE S®E Tot lAppr. al Fee S TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cosh C2 e The undersigned hereby applies to do work according to the following specifications: Job Location ` V-r Z-1 X' Lot No. _Side of Street Zone Applicant Gt/ fir/ C?)% C/tlC_ Tel# 6 VS-6-7 Addr ss '`q 5,-7-, 1-14K 'CyA.jZAgat Zip 0.60 Yo Lic.# Ownei,A uL w Address 147:- W lti g fro& C/ 6b0— 4;2 3'36g 2 Architect Gl Address Sq.Ft.N w Area: lst FL 60 2nd FL 12— S'!2 3rd FL Total New Area 2 7 Rooms '9 Lavatories Bathrooms Z Garages .3 Purpose of this permit:Wa VE/ 0, D N'c r-A rKt L,-( R E S)j>t nr CE City Water *"' 0. Well Septic System 0 Sewer Ins. H.O. S.P. Cert. Area 1-71 Basement I 9 4 Garage rt 6 Approved by Dare Use Group !2 f Construction Type L d RoviW 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 this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work desc in this plication for the permit. i Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Location of Job: AFFIDAVIT Additional Fees 1 9 2 _ o 0 State of Connecticut ss. South Windsor County of Hartford Owner x2 of c, *for the building erected Contractor under Permit No. 24547 issued by the Building Department of the Town of South Windsor being duly sworn,make oath and say that the actual cost of the completed work authorized under said pe it did not exceed the most current accepted BOCA value of S 171 , 0 6 7 . 0 0 . 6 v` 1 Signed Subcribed and sworn to before me this day of A.D. 19..1 Estimated Cost S 15 5, 8 4 7 . 0 0 L Difference: S 15 , 2 2 0 . 0 0 Acf-IF fmmd No Public Inspection / Approval Date By Appl Code Description Due Whom Code Comment 97-24547-B 139,750 E01 SERVICE 08/15/97 JFH A RELEASED OK TEMPORARY POLE SERVICE B01 FOOTING 08/28/97 JFH D NOT READY B01 FOOTING 08/29/97 JFH D NOT READY B01 FOOTING 09/02/97 JFH A E01 SERVICE 09/10/97 JFF A TEMP SERVICE RELEASED OK B02 FOUNDATION 09/17/97 JFH A B05 FIREPLACE/CHIMNEY 11/06/97 JFF A P02 UNDERGROUND 11/20/97 JFF A B03 FRAMING (ROUGH) 12/08/97 DCJ D NUTS ON ANCHOR BOLTS, J HANGERS 0 ATTIC ACCES GARAGE, BRDGING MIDSPAN OF JOISTS FOR KITCHEN E03 ROUGH 12/08/97 DCJ A P03 ROUGH 12/08/97 DCJ D NOT READY H03 ROUGH 12/08/97 DCJ D NOT READY B03 FRAMING (ROUGH) 12/10/97 DCJ A P03 ROUGH 12/10/97 DCJ A B04 INSULATION 12/15/97 DCJ D VAPOR BARRIER NEEDED ABOVE WINDOWS AND DOORS B04 INSULATION 12/16/97 DCJ A B10 FINAL 01/30/98 DCJ D IS ON HOUSE, BRACKET ON JOIST IN BASEMENT SECURE REAR DOOR, GFCI IN FRONT NEEDED B10 FINAL 02/05/98 DCJ A APPROVED FOR CO & CLOSEOUT 97-9973-H 7,362 97-10056-P 1,900 98-10036-H 1,900 97-14537-E 535 97-14652-E 4,400 Total Est Value 155,847 Dwelling 2,971 121,573.32 Basement 1,546 19,170.40 Garage 816 10,118.40 Smoke Det 7 525.00 BOCA Value 171,067.45 p Difference 15,220.45 SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 212 KENT LANE LOT # 3 Reviewed B r Y s`sv Engineering) U. & R. CONSTRUCTION CO, I Date Reviewed Approved/Denied 99 EAST CENTER STREET,MANCHESTER„CT_ Reviewed By Planning) BP_#_24547_ Ph_#_(203)643-9551 Date Reviewe t" _ prove /Denied Date Submitted 02/02/98 FOR C ofb ***** 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 44- 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 5. Sewer connection charge paid 6. Appropriate certification 7. Bonding 8. Planning & Zoning/ Inland Wetlands Considerations r Sewer Permit No. u Pavement Excavation No. r47 COMMENTS: ram s.. ,r A 00 v-- .• •- s, " • L mow js o Lsr r<-/f f og fr el G/., C' 4 6._ 6'9Z _/3 pis/ r J/w e. SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 212 KENT LANE LOT ## 3 Reviewed By el er n ) U. & R. CONSTRUCTION CO, I Date Reviewed pproved enied 99 EAST CENTER STREET,MANCHESTER„CT_ Reviewed By Planning) BP_##_24547_ Ph_##_(203) 643-9551 Date Reviewed rove /Denied Date Submitted 08/05/97 FOR BU L ING PER rs 7 In accordance with the Zoning and/or Subdivision Regulatio s, 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 Q 3. Zoning Information - i.e. zone, open space, floodway, etc. 4. Plot Plan at 1" = 40' scale a. Subdivision reference, abutting properties, etc Rb. Easements of record C. Lot description, bearings, building lines, R 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 r v'g a ity drainage systems, sanitaryY foundation drain at the house and the street g. Tentative utility location (gas, water, electric, septic system, etc.) 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: DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE d kf7 644-2511 ext. 230 Date Zlding Inspector Application must be printed or typed r Location ofjob Street No. Street Lot No. FEE SCHEDULE' 7-6fh CoR AS-1IFFloor l a Apt. No. 0 - $1,000 - $12.00 1 Over $1,000 12.00 per$1,000 OWNER t -" 0 Two ee or any fraction thereof ADDRESS 0e vCh r3izJC 1y0 f 4 t OWNERS PHONE# APPLICANT L ADDRESS /Y t;'J6LGe— . iZ.s s ESTIMA TED COST$ IS THIS A CONTRACT COST? Y NO aof CI FEE ENCLOSED $ Ia "-" OF JOB: Original Installation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE F BUILDING IS THIS APPLICATION ASSOCIATED WITH A 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 NUMBER OF DISCONNECTS AND RATINGS / ' 2 aA. NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS 0 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.BUIL ING COD I THE PERFORMANCE OF SUCH WO Cr NAME STATE LICENSE NO. TYPE SIGNA OF AP PHONE NO.6 y/ - DATE 10 7 r•^„, , ,. _ -_.. , ...,. rt., - . -tea,.— -_-,_ T l lio< INSPECTOR DATE I f TIME qn-r LOCATION INSPECTION: CODE: RESULT(D/A) : BUILDING: T ELECTRICAL:'11 PLUMBING: HVAC: OTHER: X :p yy yry yy,,=';.'rS ^J.7"__"!T- "n'\i o+A- i. s.->("' s i A - ... t I t Y.. '•"a..iIIIIIIIMIIPIIIIw•uI,rrl?I I^ 'ila DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PE Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bld Permit# APPROVED 1540 SULLIVAN AVENUE 644-2511 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$1,000 OWNER `-ss,Ti or any fraction thereof ADDRESS i v&-Trwe 6-- ®Goya OWNERS PHONE# 3 APPLICANT ikr'0W WN i•t' E/O• O Sf ADDRESS COD ESTIMATED COST$ T C f' IS THIS A CONTRACT COST? YES NO C FEE ENCLOSED $ V,-Co E OF JOB:Ojt inal Installation Alteration/Addition/Repair Revised 11/95 - APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A i/ 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 d RL i u Ootq. NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS I REMOTE DISCONNECT REQUIRED?YES< O NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES . NUMBER OF OUTLETS G^3 NUMBER OF LIGHT FIXTURES 9- NUMBER OF HEAT CIRCUITS®A 6' NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK r THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING C S IN THE PERFORMANCE OF SUCH WORK11471 NAME STATE LICENSE NO. TYPE SIGN TURF O CANT PHONE NO.(,DATE // z INSPECTOR TIME 1 b3 LOCATION INSPECTION: CODE: RESULT(D/A) : BUILDING: E TRCICAL: qT-.!7 (Lars) 1 g494 PLUMBING: HVAC: OTHER: t K DEPARTMENT DECISION c L#APPLICATION FOR PLUMBING PERMIT Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Penn # APPRO 1540 SULLIVAN AVENUE I:rl 644-2511 ext.230 Date Building Inspector Application must be printed or typed Location ofjob 1 F Awjg 50 (22 Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER or any fraction thereof ADDRESS OWNERS PHONE# APPLICANT (! CL96 c-*, 0* N ADDRESS ESTIMATED COST$ _Z qelm IS THIS A CONTRACT COST? YES NO FEE ENCLOSED OR CO TYPE OF JOB: Original Installation Alteration/Addition Repair Revised 10/96 APPLICATION FOR PLUMBING PERMIT(Continued from r7ee side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED W 4— BUILDING PERMIT APPLICATION YES / NO v RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCYASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY lEDUCATIONAL 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 _STYLE/A". NO. OF URINALS STYLE NO. OF BATHTUBS -NO. W SHOWERS_/ NO. OF LAVATORIES NO. OF CONDUCTORS SIZE NO. OF STACKS / SIZE 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 YES/NO SIZE OF WINDOW --'? k IF NONE C.F.M. OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN /SIZE OF WATER PIPING&RISER WATER BEATER TYPE MANUFACTURE TANKS SAFETY DEVICES TEMPERATURE CAPACITY RELIEF VALVE TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE TYPE MANUFACTURER DESCRIPTION OF WORK CJ 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 NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. DATE / DEPARTMENT DECISION PERNUT4APPLICATIONFORHVACPERMIT Application is hereby TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPR 1540 SULLIVAN AVENUE j1138644-2511 ext. 230 0 e1*1 j"ec- - Date Building Inspector Application must be printed or typed Location of job *.,/z Ax,rz Street No. Street Lot No. FEE SCHEDULE Floor Apt.No.0 - $1,000 - $12.00 Over $1,000 F _ 12.00 per$1,000 OWNERoranyfractionthereof ADDRESS czcic OWNERS PHONE# APPLICANT VA N 8,e ADDRESS 4 ESTIMATED COST $ 0 IS THIS A CONTRACT COST?Y. YES NO FEE ENCLOSED $ Co TYPE OF JOB: Original Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING f/RESIDENTIAL Li 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_.a_F INSIDE F DIFFERENCE2_F TOTAL HEAT LOSS(BTUH) HEAT LOSS SHEET MUST ACCOMPAW APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)000 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 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 W 0.3 7 STATE LICENSE-NO. NAME&TYPE S ATURE OF APPLICANT PHONE NO. DATE O 8 •R CULATI.``! c4EU 1503 (Modern Method) CoorrIght-1977 Illy The Hyda.•lca institute . wEA (' ADOftESS _ •, f L ESIGN TWFERATURE OIfFER[NCC 4&F. OAT* COL.S C L.C C L.O COL.It COL.F C L.G Roots oQHLWMLWHLWHLWHLWOatlGnWalefTemp. /1o I ROOM DIMENSIONS.FT. 0 O O 3V TUN per Feet et 1 LENGTH Ex OSEO WALLS.FT.It Radtatlen Selectee p 1 VIIINOOW AND OUTSIDE DOOR AREA STUN STUN STUN STUN STUN WALL C"SNSTRUCTION Table S Llne]a Hl 07 0 D O 2C 0 RO TOTAL LID,FT.Of f RADIATION TrPE OF GLASS F111100011,1141912 SEL[CTED ISottorn of table used for Line SI GOO OSoCEILINGCONSTRUCTIONC C/ L ITeble 9.L .W) Q,s 4—C Q 0 C t FLOOR CONSTRUCTION1 O tTable 9.L a W or Lire F t) t 67 Z LSj 1 COLO PARTITION CONSTRUCTION F ITeble 9.L%H) c I WaII IWlth OpenIr%gJ 2 Wa11,(With Openinptl A x 7 Well,IW#In Openings)or Ent.Hall J 1 i TOTAL STUN AT 7OF TEUP. DIFFERENCE' Q Q rj D r.S C' d 70 Q s o I TOTAL STUN AT DESIGN TEMP.DIFFERENCE r K- j2• 7 L O I COL.A COL.S COL.H COL.1 COL.1: COL.K COL•L TOTALSTUN T TAL AOOM Ic 3 L f SU,LTING RADIATIONAW_ J SEL[CTEpHLWHLWHL ', W H L W N L yI/ DESIGNTEPAP.• ROOM DIMENSIONS.FT DIFFERENCE V I LENGTH EXPOSED WALLS.FT. i 1MINOOW AND OUTSIDE ODOR AREA t STUN STUN STUH STUN STUN I WALL CONSTRUCTION INCREASE BATHROOM ITeble 9.Line S=H1 v( 16/O O TOTAL 20% i TYPE OF GLASS v Bottom of table utad for Line SI O O • v t• O CEILING CONSTRUCTION IFOR CONCRETE OR F LL FLOOR ON GROUNDITeble9.L.WI Q 8O0 4100 s O GRADE LEVEL.USE LINEAR I FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE tTable 9.L tt Mi or Lin. Ft.)i I COLD PARTITION CONSTRUCTION ITeble 9.L H) C 1 Well(With OpeninSel O z 6 47,9 o 0 2 Walls tWith Open,notl Ix Walls IWlth Openinto or Ent Hall e H TOTAL STUH A7')OF TEMP.DIFFERENCE• O 0 767 0 0 TOTAL STUN AT DESIGN TEMP.OIFFERENCE F AM 1503rqnI.a-4-lable fro., r-T •Hvdronks Inelttute.30 Russo Piece.setitela„Heights.N.L 0?922 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERWIT:9 i9a)14 Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bld Permit# qAPPROVED1540SULLIVANAVENUE 5 Wv 7 644-2511 ext. 230lQ- Date Building Inspector Application must be printed or typed Location ofjob 2, k;!V+ L a r,e- 3 FStreet No. Street Lot No. FEE SCHEDULE 0 - $1,000 - $12.00 Floor Apt.No. Over $1,000 12.00 per$1,000 OWNER aoranyfractionthereof ADDRESS-9f E.Cejdc. 9-t; kn4kte-he-sLen C--r OWNERS PHONE# APPLICANT N ADDRESS ESTIMATED COST $ 10 IS THIS A CONTRACT COST? voeoo, YES NO FEE ENCLOSED $ t7o 0 TYPE OF JOB: Original Installation Alteration/Addition Repair Revised 11/95 A APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAL A/C Vol 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 v DESIGN TEMP. OUTSIDE 95 F INSIDE_7c2 F DIFFERENCE,:V-3 F TOTAL HEAT GAIN(BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT INCLUDING MAKE&MODEL NO.) YO ohAe-ti 5 P.Y f1(b 3 D 60 5 n C, Zt Je*' Nr9 f1.j ;2,1 0 6 A o 6-'F?)060S40-Ll TONNAGE COOLING CAPACITY(BTUH)OrO 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., - a A c w% 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. 303 6 S--1 STATE LICENSE-NO. NAME&TYPE SIGNATURE OF PLICANT PHONE NO. 0 DATE !I-2-f- 9 7 N0 1 : FDRO0h1 NO. 2 BEDROOM NO. 3 RATH L o r, U_,, t It H, Quantity Htat,ng Ouanl,l Hta'R puantly N F"! HP B1U HR BTU HA ITC I iI i ...-i.® b 3i e J. . ram.• . ate - - ® IEEE COOLING FACTORS i r tiYn 1 iz ndows Heat gain _ Cooling factor Rablela) felt loss — eating fact a5le bT x Quantity Urea in square a H i i Doors oaf 1 wwK WallsHeat gain _rCooling factor(Table 2a) x Quantity(lineal feet of perimeter) =BTUIHRNeafloss — FI-eating , fl'a6fe6T 1 Heat gain _ Cooling factor(Table 3a) eatmg a' a tbT' x Quantity Urea in square feet)= BTUIHRRootHeatloss Aso " f=' 3ZOJ 7 Heat gain _ Cooling factor(Table 3a) x Quantity(Area in square feet)= BTUIHRFloorHeatloss — 'Heabog f_7cVr3 able 3b)''. too3 1 Internal load 4000 2200 Subtotal cooling Subtotal heating Conlin factor -Heating factor'' w: r+ g g x X:: x X x x X • x a1-;:::: Y •'r. YtTotalCoolingLoadTotalHeatingtoad: Cooling CFM Cooling load = 30 Approximate air quantitl s IurnaceHeatingCFIN — Twos 7. ., r RATH ii i k) 8f J HR Afij p tn; LA ffl LJ ROME- m RIO Ugil]!Jamml IN WL m IN 1.,. , WIN WIN m WIN L,I WIN IN OWL& A- a WIN WIN mm1F- m mN M WIN WIN r-J WIN WIN I-I WIN IN El WIN MINNIE MAIN SEWN WIN BEE= NONE limmid-1---immummummu", MAIN TI. i f7 P TYPE1 HOUSEENTIRELIVING1111 indoWs Heat gain Coo_lingfactor"(Table`la)lie X/0i, eat loss eaten facto abler x quantity(Area in square feet)_ /HRqDoorsg: 5D yg jt r a r Walls Heat loss — treat gain _ Cooling factor(Table 2a) x quantity(Lineal feet of perimeter)= BTUIHRrHeaSng`#. ra6 b KM 13 R air Y iwni yA• Heat gain _ Cooling factor(Table 3a)Roof Hat loss-, Featin a6 a x quantity(Area in square feet)=BTU/HR8.max Heat gain Cooling factor(Table3a) .x quantity(Area in square feet)=BTU/HRFloorHeatlossY - F eeafRrifactor a3te36 y Internal load 4000 r_ 1800 Subtotal cooling Subtotal heating Cooling factor Heating factor, x x - Z3 s Total Cooling load Total Heating Load._ Cooling CFM Cooling load + 30 Approxlmat air quantiti s j urnacelTeatingCFM - ' [ - Sectric#S-q APPLICATION FOR BUILDING PERMIT Plumbing# 212 Kent Lane WAC #27810 Date: _ 3 _ Z&X l Sprinkler# NO• FINAL APP ; A Estimated Cost Building oa d COMPLETE RED BOXED AREAS Permit Fee Affidavit g TYPE OR PRINT ONLY Occupancy Fee $15,(fb SIGN ON REVERSE SIDEforCO. Total Fee S IZ. ,0b TO B ARTMEW,TOWN OF SOUTH WNDSOR,CT Additional Cost) The undersigned hereby applies to do work according to the following specifications: Job Location o7Jc2 i&r ko'.1% L Lot No. 3 Side of Street Zone Applicant iJ Tel# 8U-b58-y/SS Addr ss 011 a X(Jr L,$.Zip Oe"'i Lic.# Own r ot)( "%1k) Address of Architect O4htS Address b4-1L Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit:_900 Ag 14awt- 44ow-.4 L. Ir x 33 City Waterj8.. Well 0 Septic System 0 Sewers Ins. H.O. S.P. Cert. Area Basement Garage Approved by 11 Date Use Group Construction Type Rws.d 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 this build'Ind its use is allowed. SignE"4, I hereby apply for a Certificate of Occupan for the wo a ribed in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS e Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27810-B 6,000 B10 FINAL 04/26/02 CJD A OWNER WILL BOND LADDER B10 FINAL 06/05/02 CJD A CLOSEOUT 17287-E 250 E02 UNDERGROUND 07/03/01 JFF A BONDING AN UNDERGROUND ONLY LEFT NOTICE OF APPROVAL Town Of South Windsor Building Department Location a a r Z Building Permit# 6 SWIMMING POOL REOUIREMENTS: This list is not all inclusive;please refer to pool packet. A 48"barrier will be provided to protect the pool access. Including a temporary fence for inground pools prior to filling. Access gates will be self closing and self latching(if less than 54"high they shall be on the pool side and be protected within 18"ofrelease mechanism). Doors providing direct access to the pool shall either have an alarm,a self closing self latching device 54"above the floor,or a safety cover over the pool. No receptacles within 10'of pool.(locking type receptacle for pool equipment must be at least 5'from pool and GFCI protected). All metal parts of pool structure,fixed metal parts within 5'of pool,pump motors etc., shall be bonded with a minimum#8 solid copper wire. Convenience GFCI receptacle shall be provided between 10'and 20'from pool. Trench depth for 20 amp.circuit to pool equipment shall be 12"minimum. A surface pool alarm shall be installed pursuant to Public Act 99-140. All swimming pool pumps must be equipped with a time clock. Heated pools require a pool cover unless over 20%of the heating energy is from non-depletable sources. REQUIRED SWIMMING POOL INSPECTIONS: The following is a list of inspections that need to be performed prior to the continuation of work. Requests for inspections can be made by calling the Building Department at 644-2511 ext.230. 1. TRENCH AND BONDING-Electrical trench depth verification and bonding of pool and metal appurtenances including metal reinforcing for gunite pools. 2. FINAL ELECTRICAL-Location of equipment and GFCI protection. Convenience outlet provided. 3. FINAL-Swimming pool access protection must be provided before pool can be used. Each swimming pool installation requires a Building and an Electrical permit. Additional permits and inspections are required for pool decks. I have read and understand the requirements lis above. Applicant Signature Date S 3 a Homeowner Signature Date 1310 I vERNON POOLMAN v Telephone 860-87 4926 Fax 860-872-8955 540 Talconville Rd Vernon,CT 06066 I Thank you for purchasing a POOLMAN POOL. You will need to obtain a town pool permit. The necessary items are listed below. You will be notified when your installation will begin. The first step is preparing the area for your new pool. Please place a stake or marker where'the center of the pool will be located and the filter locatiok Also,mark the area or draw a diagram of where the extra dirt should be placed. After digging the site,the sand will be delivered for the pool floor. Then the installation crew will arrive to erect the pool. They will need access to electrical power and a working faucet with a garden hose that reaches the pool. As the pool fills we will be checking the progress and finishing the filter and skimmer hook-up. The electrician should be notified and the electrical work completed. When the pool is ready to start up,the accessory package will be delivered and we will instruct you on pool operation and maintenance.i We know you will enjoy many refreshing hours in your new POOLMAN POOL. Please call us if you have any questions at any time. ITEMS NEEDED TO OBTAIN TOWN POOL PERMIT: 1) Poolman's contractor license number- #559872 exp. 11/30 01 2)Copy of pool specs (attached) 3)Filter spec sheet (attached) 4)Poolman's insurance certificate (attached) 5)Plot plan of your property showing proposed location of pool (provide by you) r t CERTIFICATE OF LIABILITY INSURANC ID WI DATE(MMIDOIIIY) DOIICERLM-1 03/23/01 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIONONLYANDCONFERSNORIGHTSUPONTHECERTIFICATEZWJIrish' Insurance Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OREstOfficBx360ALTERTHECOVERAGEAFFORDEDBYTHEPOLICIESBELOW.mchooter CT 06045 none: 860-646-1232 Fax:860-643-4055 INSURERS AFFOSDING COVERAGE uREp INSURER A: Insurance Innovators of N.E. POOLMAN POOLS OF VERNON INSURER B: Peerless 'Insurance Com apyDBAAFFORDABLEFURNITUREINCINSURERC: v540TALCOTEVILRDINSURERD:VERNON CT INSURER E:VERAGES ME POLICIES OF INSURANCE LISTED BELOW MAN BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDINGNYREQUIREMENT,TERM R CONDITION OFANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED ORlAYPERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONX AND CONDITIONS OF SUCHOLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. t TYPE OF INSURANCEPOLICPOLICYNUMBERDATEMM/DD/YY DATE MM/L) LIMITS aff EACH OCCURRENCE GENERAL LIABILITY X COMMERCIAL GENERAL UABIUTY ACC110431 03/23/01 03/23/102 FIRE DAMAGE(Any on.nrn) $500000ENE CLAIMS MADE a OCCUR MED EXP(Any one Peron) 115000 PERSONAL 4,AOV INJURY $500000 GENERAL AGGREGATE $5 00 0 00jEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS•COMP/OP AGO i SOOOOOPOLICYPJECTLOC AUTOMOBILE LIABILITY ANY AUTO EDSINGLE UMITBA916800903/01/01 03/01/92 94loaoldE ont)6500000tl ALL OWNED AUTOS X SCHSDULEO AUTOS j BODILY INJURY i HIREp AUT Per pov") OS NON-OWNED AUTOS BODILY INJURYPKIleoldnt) PROPERTY DAMAGE GARAGE L"UTY IPK ocrJd nt) j i ANY AUTO AUTO ONLY•EA ACCIDENT i OTHER THAN EA ACC $ AUTO ONLY: AGG _L=988 LIABILITY i EACH OCCURRENCEOCCUR CLAIMS MADE AGGREGATE DEQUCTIBLE RETENTION : WORKERS COMPENSATION AND EMPLOYERS'LIABILITY TORY LIMITS ER'igC9395034 03/01/01 03/01/02 E.LEACHACCIDENT $100 000 E.L.DISEASE•EA EMPLOYEI :1 OO 000 OT"m E.L.DISEASE•POLICY UMITIi 500 000 COMM rcial APPlica ACC110431 03/23/00 03/23/01 IIPTION OF OPERATIONNLOCATIONWEMICLESIEXCLUSIONB ADDED BY ENDORSEMENT/SPECIAL PROVISIONSMMINGPOOLS- INSTALLATION SERVICING OR REPAIR - ABOE AND BELOW GROUND r IFICATE HOLDER N I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION POOIMAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN POOLMAN POOLS OF VERNON NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO 00 SO SHALL IMPOSE NO OBLIGATION OR LIABIUTY OF ANY KIND UPON THE INSURER,ITS AGENTS OR • REPRESENTATIVES. The W J Irish Insurance enD26-5(7/97) ACORD CORPORATION 1988 f; ) li 1 Uff XG h 1 ), 1 ) fi) i 1) 1 ), ' ,d 11 '•'1 ))j ',1}I11 i r,;,?`tip ' am STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION 165 CAPITOL AVE a HARTFORD CT 06 1 06-1 630 Be it known that AFFORDABLE FURNITURE INC DBA POOLMAN POOLS 540 TALCOTTVILLE RD VERNON CT 06066 J Is certified by the Department of Consumer Protecton as a registered HOME IMPROVEMENT CONTRACTOR x Contractor of Record: WALTER S KACZMARCZYK Registration Number: 558872 Effective Date: 12/01/2000 l Expiration Date: 11/30/2001 Jam ,Flemlnq,Commiss oner,. I 4 9, 1 1 i r DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby:TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date7 Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 'j,+- ) rJ APPLICANT ADDRESS tf tA-),-JOScVL 0407 APPLICANT PHONE# O L001, Cl W N S OWNER S o` O OWNER ADDRESS OWNER PHONE 76-wG C ESTIMATED COST$ 05z IS THIS A CONTRACT COST"? O Yes [Y-No FEE ENCLOSED$ )3,0(3 c TYPE OF JOB: soR.Co 13 New Installation 0 Alteration/Addition/Repair Revised 8/99 i APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YES NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY STORAGE ADDRESS GARAGE MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBNHTTED. 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 CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 4—M%e 0 C j j I e r,- CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICAN DATE 11OVIN S4r4< 10U 01 O&U/4 0teS'Oc 1540 SULLIVAN AVENUE SOUTH WINDSOR, CONN. 06074 Soe co~ AREA CODE 860/644-251 1 March 18, 2002 Mr. James Dunn 212 Kent Lane South Windsor, CT 06074 Dear Mr. Dunn: Pool season is almost here. I would like to remind you that the Building Permit(s) 27910 for your pool is (are) still open. State Building Codes require the issuance of a Certificate of Use prior to its using your pool. 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 should be closed by April 30, 2002. 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 Use a caveat may be placed in the land records stating there are Building Code Violations on your property. Please call Christopher J. Dougan, Deputy Building Official, or myself should you have any questions regarding this. Our office hours are 8-9a.m. and 1-2p.m. The phone number is 644-251 1 ext. 230. Very truly yours, John Collins Chief Building Official Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 212 Kent Lane HVAC # 27964 Date: Sprinkler# No. FRIAL APPROVALS Estimated Cost $ Building COMPLETE RED BOXED AREAS Permit Fee Engineering TYPE OR PRINT ONLY Occupancy Fee Affidavit SIGN ON REVERSE SIDE Appr.for CO. ( v G CSDS Total Fee TO BUILD DEPARTMBdT,TOWN OF SOUTH Wt4DSOK CT Additional Cost)I K' c• The undersigned hereby applies to do work according to the following specifications: Job Location o`)1 oZ ke.1w L41,k Lot No. 3 Side of Street Zone Applicant S ,&.J Tel# C t!b-OM Address LA%A- Zip 607 Lic.# Own r e 5 .)".*j Address cggj 1 /ze.."T- 1+41-At Architect ;-.--s cJ--b J Address Sq.Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area Rooms Lav tories Bathrooms Garages Purpos of this permit: L ro2 A-6`. City Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by Date - - Use Group Construction Type .S R•vbW 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 this building its use is allowed. SignedQ L,4-4'1 I hereby apply for a Certificate of Occupancy for the=his application for the permit. Signe"" DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Town of South Windsor rFB 1998 1540 Sullivan Avenue South Windsor, CT. 06074 South Windsor U & R Construction Company, Inc. BUILDING DEPARTMENT 99 East Center Street Manchester, CT 06040 Re: Lot 3 Kent Lane, South Windsor, CT Gentlemen: This letter will serve as permission for the Town of South Windsor and U & R Construction Company, Inc. to enter upon the oermises known as Lot 3 Kent Lane, South Windsor, Connecticut for the purpose of performing inspections n cessary to issue a Certificate of Occupancy. V ry truly yours, James W. Dunn ie V. Dunn STATE OF CONNECTICUT ) s s. ScuA W1 pdso County of Hartford ) P rsonally appeared, James W. Dunn and Julie V. Dunn, Signers and Sealers of the foregoing instrument, and acknowledged the same to be their free act and deed, before me. Notarx. Public w Sectric# APPLICATION FOR BUILDING PERMIT Plumbing# 212 KENT LANE HVAC #25380 Date: W ( l q4 Sprinkler# N0' FINAL APPROVA Estimated Cost $ &W°° Building 1 ?S °8 COMPLETE RED BOXED AREAS Permit Fee 4L"' Engineering TYPE OR PRINT ONLY Occupancy Fee Affidavit SIGN ON REVERSE SIDE pprA .for CO.Total Fee 3fo``"' TO BUILD1sIG DEPARTMENT,TOWN OF SOUTH WN SOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location Q jc gC.Jr 4AJC Lot No. Side of Street Zone Applicant W, ,jnJ Tel# 210 ^ 4q8-o l 4y Address o?101 l-eFljr AA^X Zip 060? Lic.# -- Own r Address 011 Z 14 o4JE 5Si14- Ljjlfl awju Architect --J/ Me-, v-,J. Address 5*41vft- Sq.Ft.New Area: 1st FI. 2nd FI. 3rd FL Total New Area AWAV 350 Rooms Lavatories Bathrooms Garages Purpose of this permit: Aw A M ae,, _ ciF 4x)Sg 7 City Water Well Septic System Sewer Ins. H.O. P. Cert. Area j I Basement Garage Approved by Date 7 'i Use Group Construction Type RevkW 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 gropeMt-ince from all street lines,side yard lines,and required distances from all other zones and is located in which s building a u e is allowed. Signe 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 Inspection / Approval Date By Appl Code Description Due Whom Code Comment 98-25380-B 2,600 BO1 FOOTING 07/09/98 DCJ A B10 FINAL 11/02/98 DCJ A APPROVED FOR CLOSEOUT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# TOWN OF SOUTH WINDSORApplicati BUILDING DEPARTMENT 7 APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 C2017- Date Buil ng Inspector Application must be printed or typed Fors2 EE SCHEDULE Location of Job: Qq- 1,000=$15.00 Street No. Street Lot No. Over$1,000= 15.00 per$1,000 ny fraction thereof Tenant Designation Apt.No. APPLICANTS APPLICANT ADDRESS APPLICANT PHONE# N S OWNER . OWNER ADDRESS OWNER PHONE ESTIMATED COST$ IS THIS A CONTRACT COST? Yes x No FEE ENCLOSED$ TYPE OF JOB: SOR.C New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL I BUILDING PERMIT APPLICATION?>4 YES NO BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTIONAL FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: Off-[BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# Z e 644-2511 ext. 230 Date Bu' ng Inspector Application must be printed or typed FEE SCHEDULE Location of Job: C;?) 0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= 15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT PHONE# C q 8-Olct s OW N Se OWNER 1 1 q OWNER ADDRESS 0 :* tat OWNER PHONE C ESTIMATED COST$ IS THIS A CONTRACT COST? Yes No j FEE ENCLOSED$ llir TYPE O JOB: S0R'C0 New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATE WITH A BUILDING PERMIT APPLICATION? YES NO SIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTIONAL 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 STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE 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 YES NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK lt o,o /ep j 609-,d- THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 2 O 2 PWAIUMENr DECISION APPLICATION FOR HVAC PERMIT PERMIT# TOWN OF SOUTH WEVMSORApplicationAshereby. 1 L BUILDING DEPARTMENTx AORO 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 C6 7-5- Application must be printed or typed SCHEDULE Location of Job:FEE$ 0-$1,000 $15.00 Street No. Street Lot No. Ova$loom 1S.00 per$ISOQ,O;; or any fr c*mffi f Tenant Designation Apt.No. APPLICANT A APPLICANT ADDRESS 1 , lLQ,.,.fi' L- e APPLICANT PHONE# OWNER I., OWNER ADDRESS F _ OWNER PHONE EST04ATED COST$ IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ r ? TYPE OF JOB: New Installation Ai n. 4,a Alteration/Addition/Repair Ai4Ay% 1, ;.Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: HEATING a(RESIDENTIAL A/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. JLHYDRONIC WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) F(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 f-OIL--GPM OIL TANK LOCATIONAXNSIDE OUTSIDE CAPACITY GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW AIR CONDITIONING DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF 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 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. OTYPE STATE SIGNATURE OF APPLICANT DATE b Z 3 S Z