HomeMy WebLinkAbout22 Fitch Meadow LaneElectric# APPLICATION FOR BUILDING PERMIT
Plumbing#
22 FITCH METZOW LANE
FOUNDATTON ONLY Date:HVAC #
S rinkler#
No. 2 3 7 31
P
FINAL APPROVALS Estimated Cost $ 300 0•
Jaw
Building COMPLETE RED BOXED AREAS Permit Fee 30,
Engineering /0/17 TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee 73 CO.
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location 2 2 Fi f'c. , )'''1 P.A J e w L.4 e. Lot No. 3 Side of Street Zone
Applicante+ Tel. # 4-4- _ Ze; fS
Addr ss S' SA N d/a 5-. (,J i ,.j 4r o R. Zip O6<2-7 4- Lic. #
Owner s a Address
Architect Address
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit:
G i! 6?e City Water 2' Well [3 Septic System 0 Sewer 2
Use Group Lill Construction Type Area Bas m nt
rt
Approved by Date r7 cJ
Revised 6/95
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or 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
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
1
Electric# 9 6` APPLICATION FOR BUILDING PERMIT
Plumbing# 11040 22 FITCH MEADOW LANE
HVAC # rQ
No 23942 Date: Z 1 I b
Sprinkler#
FINAL APPROVALS Estimated Cost $3.s''&V"%
Building 17 S 7 J COMPLETE RED BOXED AREAS Permit Fee a o.
Engineering 7 TYPE OR PRINT ONLY Occupancy Fee $ k.
Affidavit I 19 I SIGN ON REVERS IDEAppr.for CO. b 7 Total Fee 4-2 S.
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $L4f pu
The undersign d hereby applies to do work according to the following specifications:
Job Location Z7- Fl'"• - ++o o IL^...s-c Lot No. .. Side of Street Zone
ApplicantG+l-G ]e,vel'.,.f1 AILAL VAptico Tel. # 4 44 1..FJ.e
Address SS S. Zip06 0?'r Lic. #
Owner s,4 Address C'
Address )3 0 D 1 C-% S41- k-t h fn,e s t CA.
Sq. Ft.New Area: 1st FI. `?3 ti 2nd FI. -7 o y 3rd FI. Total New Area 1 43 4v
Rooms 6 Lavatories X Bathrooms f Garages 1 G,aA_ A
Purpose of this permit:
r6;,J P&e.4 j [T- 07,t' C.b.v
City Water Well Septic System Sewer-Z
Use Group Construction Typ hfS Area ITX7/ Bas m nt
Approved by Date t 177
Revised 6A95
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 Ic L7e:L•
2'.'.
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
Location of Job : AFFIDAVIT Additional Fee S 250. 00
State of Connecticut
ss.South Windsor
County of Hartford
e"•+-c De v@ IrepAP-Ats
Owner
I P- N H . 1Q-s .{ of ,M.s, . t.s Agent for the building erected
Contractor
uunder Permit No. 2 394? 1 l 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 permit did not
E exceed the most current accepted BOCA value of S 7 0 3 5 F _ n n ,
Signed
Subcribed and sworn to before me this !day of A.D. 1 9
Estimated Cost S 4 5 ,7 0 0. 0 0
Difference: $ 24 , 656. 00
ary Public
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
96-23942-B 35,000
P02 UNDERGROUND 02/28/97 JRC A
E01 SERVICE 04/02/97 JFF D NOT PROTECTED WATER
E01 SERVICE 04/09/97 JFH A RELEASED OK
B03 FRAMING (ROUGH) 05/13/97 JFH A
P03 ROUGH 05/13/97 JFH A
PO4 GAS TEST 06/24/97 JFH A
B10 FINAL 06/26/97 JFH A APPROVED FOR CO & CLOSEOUT
97-9900-P 3,000
97-9711-H 3,000
97-14295-E 1,700 FArowboN- -*
Total Est Value 42,700
Dwelling 1,436 58,761.12
Basement 0 0.00
Garage 240 2,976.00
Smoke Det 7 525.00
BOCA Value 70,356.20
Difference 010
P i 12 tq
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
22 FITCH MEADOW LANE LOT_# 3 Reviewed By ti(Aktt n ineering)
C & C DEVELOPERS/MARSH ENT Date Reviewed qM pprove /Denied
55 SANDRA DRIVE,SOUTH WINDSOR,CT Reviewed By Planning)
BP_#_23942_ Ph_#_(860)644-2815 Date Review Approved/Denied
Date Submitted 00/00/00 FOR clog 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:
Apyyproved Denied N/A
1)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;
KKO— a. sanitary sewer/septic system
b. foundation drain
c. electrical & telephone
d. water
e. other
0) 5. Sewer connection charge paid
D6. Appropriate certification
7. Bonding
8. Planning & Zoning/
Inland Wetlands Considerations
Sewer Permit No. 6S-73
Pavement Excavation No.
COMMENTS:
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
22 FITCH MEADOW LANE LOT_## 3 Reviewed By Engineering)
C & C DEVELOPERS/MARSH ENT Date Reviewedd Denied
55 SANDRA DRIVE,SOUTH WINDSOR,CT Reviewed By Planning)
BP #_23731_ Ph_# (860) 644-2815 Date Reviewe s rov /Denied
Date Submitted 10/10/96 FOR BUILD PERMIT *****
eauN-D,aT,aA( aWiy
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
2. Name, address & phone number of plan preparer
3. Zoning Information - i.e. zone, open space,
Y", 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
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.)
S. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS:
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT pl'q'Yk
TOWN of SOUTH WINDSORApplicationishereby
BUILDING DEPARTMENT Bldg Permit 4
APPROVED 1540 SULLIVAN AVENUE 2 3Q
644-2511 ext. 230
Date B g Inspector Application must be printed or typed
Location of job
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt. No.
0 - $1,000 - $12.00
Over $1,000
7
FL,
oft
12.00 per$1,000 OWNER v e/e R!i"eou 7-
or any fraction thereof
ADDRESS
0607V
OWNERS PHONE#
APPLICANT
VJ ADDRESS 4oQ JS
7. <
r ESTMATED COST$ C
O
IS THIS A CONTRACT COST?
YES NO
A*
ICI FEE ENCLOSED $ c2 O"c
OR 0 TYPE OF JOB:
C.,"O'Original Installation
Alteration/Addition/Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED H A
RESIDENTIAL BUILDING PERMIT APPLICATION S' 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 RX
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED U r-n
NUMBER OF METERS f 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 c
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 WO
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
PHONE NO.,2 --DATE
INSPECTOR DATE TIME__;,
LOCATION
INSPECTION: CODE: RESULT(D/A) : ,
BUILDING:
ELECTRICAL:
P5
PLUMBING:
HVAC:
n
OTHER:
J.
r
d
Fr
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT Poo
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVE 1540 SULLIVAN AVENUE 3q
644-2511 ext. 230
7 f
Date Building Inspector Application must be printed or typed
Location ofjob
dot
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt. No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER
or any fraction thereof
ADDRESS
OWNERS PHONE# iC%6
APPLICANT
OWNSf ADDRESS 254z loo
ESTIMATED COST$
40
C IS THIS A CONTRACT COST?
S NO
C FEE ENCLOSED $
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 OCCUPANCY
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL
INSTITUTION
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION Ii / SIZE OF MAIN DRAIN
NO. OF TOILETS 02- STYLE NO.OF URINALS ~'-- STYLE
NO. OF BATHTUBS_ NO. OF SHOWERS NO.OF LAVATORIES
NO. OF CONDUCTORS --- SIZE -- NO.OF STACKS SIZE_Zay
AREA OF ROOF - NO.OF CATCH BASINS -r- 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
N N
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER
TYPE MANUFACTURE
TANKS SAFETY DEVICES
TEMPERATURE 41-
CAPACITY RELIEF VALVE
TEST PRESSURF,/,WORKING PRESSURE/ PRESSURE RELIEF VALVE
TYPE MANUFACTURER AIW7-71_5
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 THE
PERFORMANCE OF SUCH WORK.
SAME STATE LICEW NO.x
NE
xefi 14 ,&—DATESIGNA
OF APPLI
PH N•
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT 4
Application is hereby TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPRO 1540 SULLIVAN AVENUE 3Ct 4;L
a4ff77 V
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 -
0
12.00 per$1,000 OWNER
or any fimction thereof
ADDRESS
OWNERS PHONE#
APPLICANT
ADDRESS
of
ESTIMATED COST $
0
C IS THIS A CONTRACT COST?
YES NOmaw
ICJ FEE ENCLOSED $
TYPE OF JOB:Reco V Original Installation
dd Alteration/Addition Repair
Revised 11/95
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM TYPE OF BUILDING
HEATING RESIDENTIAL >
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
TOTAL HEAT LOSS(BTUH)
ST ACCOMPANYAPPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.
GROSS HEATING CAPACIT INPUT-BTUH) NET RATING (OU UT-BTUH)
TYPE OF FUEL
IL-GPM GAS INPUT 7 ELECTRIC-KW
OIL NK 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 DESCRIB ND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.DING COD IN
PERFORMANCE OF SUCH Wol.
STATE LICENSE-NO. NAME&TYPE SIQKATURE OF PLICA
PHONE NO. %J'9`DATE '
O/
cli
ERGO CALCULATION SHEET
W
OWNER Q " ' f ADDRESSly L DATE
CL
DEALER— KIND OR BUILDING CHIMNEY SIZE
CONSTRUCTION! WALL
WINDOW ROOF OR CEILING
BASEMENT HEIGHT ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DOFF
COL.1 2 3 4 S 6 S 9 10 11 12 13 14 t5 16 1-7 la
ROOM SIZE wi..wow!AREA-SO. FT. FLOOR VoLu.dc BASESOAwOs
ANO Doom! CU.v"T.TOTAL a'A
ct MOTH CowwcC7c0 ACCESSOtIn
J GLASS NET WALL CEILING 1 O IA •*7o r wAiE[ l[MGTM
L ROOM Nuowcw Gwosf
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nor'
X C O
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Po 17400 176, 3cm
0r+ rao carcwerc weer er oevws OR rn.L AT ewwsw asVs[.uww Lintmw sacr or c:rossio imss TOTALSaiPOWALLOVUMr4.00109 Ywt 84MAM ril<T or AwwA.