HomeMy WebLinkAbout23 High Street4399 4139
Application No. Permit No.
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (erect (make alteration to) a building according
to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through
word "erect" or words "make alteration to" as the case may require.)
All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu-
tion of this work whether specified herein or not.
South Windsor, Conn., ,SE„C Q. ..: Z. 19..E
Sign her
Address Y Y...!s?A.c...&......S.,r..............r.......
Location? Lam'.......... .. ....... .i -'et..,f.i!.etc.......i.S.............side of? S... 7 ..............................................
710Nearestcrossstreet? f ..L.:.c..t? :....... ..........Street No. Lot No.
Owner of land is? Address r..A.............,.. .:.........t:......1(`%.... .,lJ
Owner of building is? ... .... Address
R
Architect is?Address i g.!..... a.........S..r`........ .,.....
Builder is?/.2-If Addres:: A...1...............7...............e........1,.......
g
w.
aC W..Kteet front? ..... , `Ll, ... Feet rear? . ...`...... Feet dap? . "..... ..unensions of building?
Extreme height to highest point of roof? ......No. of stones in height. .... .... ...
Purpose of building is? A No. of stores?
Howmany families? ... .............(................................-...........-............-_....-No. of rooms? .... .... ........................................................................................
Distance from street line is? . / ................. from building line is? ......;I ..... ...... ............................................
ADDITIONS AND ALTERATIONS
Give Brief Description)
RM). '[PTMC PAYM' IT .... ....:.:. .—:,:..
r
ENDORSED BY SAMITARY OFFICEII
IN ACCORDANCE WITH TOWN OF
Map.No. . S TH WIN RDINANCE NO. 6
NITARY OFFICER
If of steel frame, what is exterior construction? .
What kind of columns used? ......... .. . .... . ..... Size of columns used?
What length of columns used? ... . How protected?
What kind of beams or girders? . . . Size of beams or girders?
Longest span of beams or girders? . These rest on?
Roof construction is? .................. .. ....... ........................... ....Roof covering is?
The floors are of .... .. .. .. .... construction and are calculated to carry a safe load of
lbs. per square foot.
See Section 14, Building By-Laws.)
BRICK CONSTRUCTION.
Of what material will walls be constructed? . .. .... ....... . ... ............ .......... ......... ..... . .. ....
Compositionof mortar? . .. ....... ...... ................................. ...... ..... . ................................................ ............. ..
Height and Thickness of Walls
Helsht Stories Front Walla Side Walls Rear Walls Partition Walls
Basement,
I........................... ...
1st Story
2nd "
3rd "
4th "
5th 11
6th "
7th "
8th
I... ........ .. ....... .
9th dd
10th............
Material.of Front? If stone, what kind?
Thickness of Ashlar? Thickness of Backing?
Backed up with what? Arches or lintels over openings?
WOOD CONSTRUCTION.
Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns
JOISTS GIRDERS COLUMNS
Floors Size Longest Span Centres Bridging size Longest Span Centres size Length Centres
1st Floor r a
2nd
a.....;.....
4 .... ..... 11
Distance on centres.?Size of outside studs? Sue of sill? 'f ..
Size of rafters? ...._-..........V. C. Distance on centres? Size of plate?
Size of ledgers or girts. ................... ...... ... ....... .............................Size of deck rafters? ... ................................................................ ...............
Distance on centres. ............. .......................... ........................................Size of studs in bearing partitions? ..................................................
MISCELLANEOUS
1' 7`"' X/Style of roof, at,.pitc , Mansard, orhipped? . .. .......f.... Fireplaces? ......................`..............................
r
Material of roof covering? A y..t ....7.........//./Av ./Material of Cornice? ............... .. . =...............................................................
How is building heated?Lining of flues? L Z
r
Thickness of shell of flues? ............Any elevators or lifts? ....../......`... .............................. ......................
What kind? . ..... ... ...... . .. .. ... How many? .. . .. Any hoistways? ........ . .......... .. ........... .
How protected? . .. ..... Total Value of Building ..............`s 1.. .............................................
When will work be commenced? .. Gl,- .1/6--/f
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this
application, conforms to the zoning regulations of the Town of South Windsor.
P
J 7)
Town of South Windsor since 1949. e'
Applicant
BUILDING APPLICATION
4399
IEast
ApplicationNo. .. ...I................................................................
onthe ........................... ....... ......... .. ...... ..... side of
Street.
Street No,
Owner -1ic"hp.1.sD.n 7c.elty. Inc . .
S a c
Applicant
CLASSIFICATION
D C) 1 —
2Wei1iaL6
Permit issued on above Application.
0-9-24-6r
Date, . ..
I TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Sept.24, 19
62
Fee Paid
0.0 0 15.9at. Value $.
000
2 0.0 0 --SEPTIC PAYMENT $..:.::.. ::::
Permit N? 4139
on the
East side of
H igh S t. Street
Street No. Lot #7 3
Owner Nicholson Realty Inc.
Applicant S eme
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 470
Fee Paid $ 3 .0 0
CLASSIFICATION
Dwelling 26 tx4,6 t0"
BUILDING PERMIT
N° 4139
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
Sept.24' 2
South Windsor, Conn. 19
Nicholson Realty Inc.
94,is t, toTPrftf1,3. , That
is hereby granted permission to Dwelling 261 xL616"
at estimated value of $ 1 000
on the East side of High St.Lot #73 Street on land
owned by ISicholson Realty Inc.
Said ark to be as described in Application
No. 4399 and to conform to specifications and plans filed with said Application, and Building By.
Laws of THE TOWN OF SOUTH WINDSOR.
Sept.24, 19
62
Issued)
i
Buil zng Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: `When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
1668
OIL BURNER
OR
FUEL STORAGE APPLICATION
Application No. _1679 Permit No. 1668
14
on the East side of
High Street
Street No. Lot #73
Owner Nicholson Realty Inc.
Application Ben Weiner
CLASSIFICATION
Permit Issued on Above Application
Date May 16, 19 63
Fee Paid $ Permit #4139
n
J
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TOWN OF SOUTH WINDSOR
APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS
EQUIPMENT AND TANKS
PERMIT N . 1668 DATE
The undersigned hereby applies for a permit for the installation of range and fuel oil burners, equipment and
tanks of the following description:
Address 1st floor 2nd floor 3rd floor
Character of Building: Frame Brick
1
Owner of Burner 11-G-Q Owner of Building__ t
Lessee or Tenant
RANGE BURNERS
Capacity of Tank at Range in cellar outside
Name of Range Burner Purchased from
POWER BURNERS A 4
Name of Fuel Oil Burner__ Model Number
Purchased from
Name of Tank Gauge of Tank
Where is Tank Located-,A-X Size of Tank S
Size of Motor Mir PCSize of Wire 94
Will other heating equipment be installed?
If so, by whom
Name of Party Making InstallationIV1
Address
Electrician
Address
Signed APPLICANT
All provisions of Ordinances of this Town Regulating Oil Burner Equipment and Fuel Storage (Sections 1-23 in-
clusive) and Underwriters' Code applicable to the subject matter of same shall be complied with in execution of thi-
work whether specified herein, or not.
1 - 3
Estimated Cost $ oo Application for Permit received and
1668 5-16-63PermitNo.issued—
Permit Fee Paid Permit 44139 Approved
BUILDING INSPECTOR,
Application No. 5163 Permit No. 4893
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (erect (n+ek*slaesatierto) a building according
to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through
word "erect" or words "make alteration to" as the case may require.)
All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu-
tion of this work whether s ecified herein or not.
South Windsor, Conn., . ..... ........... .................. 19... ...
Sign here ............................... .. ......... .................. ...
Address 7El...!
Location? . .... .......................... .......................,RT..... ..2............side of? ....... ..7'........ ...........................
Nearest cross street?,s. . ..... .r. °.l c .................... ,..............Street No. . ............ .......... ................. Lot No. ..... ...
Owner of land s.3 ,, , '. is? r.a.. . ....
1 Owner of building is? Address
Architect P.O. Address...,.... .... . .. r..t............
uilderis? . ........ .'
4.....................................K..................._..............................Address ................................... ............................................................... ...........
I
Dimensions of building? .. . . ..... ............Feet front? ............ . ....... Feet rear? ............. ......... Feet deep? ... ....
Extreme height to highest point of roof? ............. .. .................. .... ...No. of stories in height?................
Purpose of building is s, .. . ...... ..CC.. ...No. of stores? .... .................... ..........................................................................
Howmany families? .................................................._...................................No. of rooms? .... .............................................................................................
Distance from street line is? .............................................................from building line is? ..............................................................................
ADDITIONS AND ALTERATIONS
Give Brief Description)
c ....«
a.......... . . ............... J.............. ............. ....... r mac. .... .........
r
a ... ... .......... . z..,
f
4 h................. ...........
00,
Map No.
ti
If of steel frame, what is exterior construction? .
What kind of columns used? ....... ... . ...... ....... Size of columns used?
What length of columns used? ... ... How protected?
What kind of beams or girders? Size of beams or girders?
Longest span of beams or girders? . These rest on? .
Roof construction is? ................. .. ....... ........ ...................................Roof covering is? .
The floors are of .......... ..... ... ....... construction and are calculated to carry a safe load of
lbs. per square foot.
See Section 14, Building By-Laws.)
BRICK CONSTRUCTION.
Of what material will walls be constructed? .. ........ .. . . . ....... .... ..... ............... .......... .......... . .. ............. ....... .. ... ....
Compositionof mortar? . .................. ................................................. ....................................................... ... ...... ........ ... ... ... ...
Height and Thickness of Walls
Hecht Stories Front Walls Side Walls Rear Walls Partition Walls
Basement,
1st Story
2nd "
3rd "
4th "
5th "
6th "
I .............................................................._............................ ......................._............ ............................................................................................................................
7th "
8th "
I. ... ................ ..............................................
9th "
loth
Material.of Front? If stone, what kind?
Thickness of Ashlar?Thickness of Backing?
Backed up with what? Arches or lintels over openings?
WOOD CONSTRUCTION.
Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns
JOISTS GIBDZBS OOLUMNS
Floors size Longest span centres arwng size Longest span centres Bice Length centres
1st Floor
a.....,,....
4 ........ .............. ................................. _................... ..................... ............. ............_................_ ......_..
Distance on centres?Size o ds.outside stu ..................................... Size of Bill? ..............................................
Size of rafters? ....................................... Distance on centres?................................................... Sue of plate? .....................................................
Size of ledgers or girts? ......... ........... ..................................................Size of deck rafters? .................................................................... ...............
Distance on centres. ......................................................................................Size of studs in bearing partitions? ..................................................
MISCELLANEOUS
Style of roof, flat,.pitch, Mansard, or hipped? ................................ ................................. Fireplaces? ........................................................
Material of roof covering? ....................................................................Material of Cornice? .....................................................................................
Howis building heated? ......... ... ............................................................Lining of flues? .. ............................................................................................
Thickness of shell offlues? .......................................................................Any elevators or lifts? ........................................................... ......................
Whatkind? .............................. ... ............ How many? .................. . .......................... . Any hoistwa . ...................... .......... ............... ..
How protected? Total Value of Buildini ...............................................................
When will work be commenced? ...L.
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this
application, conforms to the zoning regulations of the Town of South Windsor.
Applicant
4893
BUILDING APPLICATION
5163
ApplicationNo. .... .....................................................................
onthe .........Ea............. . ............ .............. side of
High
I.... Street.
Street No,
Owner R.i.chard ..J... Young..... ....
Applicant Same.
CLASSIFICATION
Swimming fool 161X321
Permit issued on above Application.
Date, .67 97 64
F
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date June 9,1964
Fee Paid 8.00 A Est. Value $.1500.00
Permit N? 4893
j on the E8e t side of
P High St. Street
Street No.23
Owner Richard J. Young
Applicant Same
CERTIFICATE OF OCCUPANCY ISSUED:
i
Date
No.
R
Fee Paid
CLASSIFICATION
Swimmikg Pool 16 tx32 t
t
i
A
BUILDING PERMIT
N? 4893
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. June 9.19 64
Ric lord Jo Y4vua
94is t', toTPrftf, That
is hereby granted permission to Swiming Pool 16 tx32t
at estimated value of $ 1500 00
on the East side of High st• Street on land
owned by Rishard J. young
Said Work to be as described in Application
No. 5163 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Jun* 9's 19 64
f
ilditelnspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: `When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
I
r
Permit NO. TOWN OF SOUTH WIINDSOR
SOUTH WINDSOR, CONN
1
I
Permit N° 2470
I
I
Certifkoe of Occu ncy
I THIS IS TO the
I at No. in the Town ;;"u Windsor, Connecticut, has
jbeen erected and mpleted in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved for occupancy.
I Building Inspector
001
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Owner, Builder
I
I Fee Paid Date
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T0 THE BUILDING INSP
of Illy APPLICATION FOR
TOWIN OF SOUTH WINQSM COM PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O
AT (LOCATION) c2 3 '" /1-4e ZONING
DISTRICT
LOCATION NO.) STREET)
OF BETWEEN 06r— 111"/L +
r_J4J'E C /`AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
m
M
1 New building Residential Nonresidential
2 Addition(1/residential, enter number 12® One family 18 Amusement, recreational
o/new housing units added, i/any, 13 Two or more family — Enter 19 Church, other religiousinPartD, 13)
number of units— — — — ••o- 20 Industrial3 Alteration (See 2 above)
14 Transient hotel motel,21 Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (1J multifamily residential, of units ——————— — -10- 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
6 Moving (relocation) W#4 C G 25 Public utility17' Other — Specify Y
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, me canfile
8 Private(individual, corporation,
28 Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 Public (Federal, State, or
local government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food
processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement,,,,,,,,,,,,,,,, ( % n u' school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is.being changed, enter proposed use.
in the above cost
a. Electrical......................
b. Plumbing ......................
t
c.Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $ 44 3
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Masonry (wall bearing) 40 Public or private company
48• Number of stories................
31 Wood frame 41 49. Total square feet of floor area,Private (septic tank, etc.) all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 Public or private company Total land area, sq. ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors.......................
36 Oil c nditi ping? L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 44 Yes 45 No 53. Numb r of b dro ms..............
38 C al
39 Other— Specify Will there be an levator?
54. Number of
Full..........
46 Yes 47 No bathrooms
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address -- Number, street, city, and State ZIP code T 1. No.
wner or
essee
0 C f.,0 !v v2 ,iP ;i.L,iG :. Gc//7->° o 7 z
ontroctor
rchitect or
ngineer
7h own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
igna of a plicant Address Application date
5/ C/ rJ` mod_ 3l- 777
DO NOT WRITE BELOW THIS LINE
PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
I. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date
Obtained Number By Permit or Approval Check Ob
Dateted Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
II. VALIDATION
Building
P rmit number 9133
Building
Permit issued NOV. 6 19 75
Bui Iding 18.00PermitFe
Approved by:
t
TITLE
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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N
6 8 4+A
4 °a k y i e s`f b b s ee- r e e
e
i _ r ¢F a r r r a _ a
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date NOV. 6 19 75. K}
Fee Paid $. 18..00 Est. Value ,$. .2 v.6 9 0.00
Permit No 9133
on the side of
High Street
Street No. 23
Owner Richard Young
Applicant Bergen Construction
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Aluminum Siding
BUILDING PERMIT
N100 9133
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Nov., 6 1975
94-a w to Terfiff1j.9 That Bergen Construction
is hereby granted permission to A 1"m{n'm S id irk
at estimated value of $ 2 69 0 00
on the side of 23 High Street Street on land
owned by Richard
Said Work to be as described in Application
No. 9431 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issu Nov..- 6- 1 75•
Ole "B ildirig'"Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When anyperson halllplace
or keep building materials, or any obstacle in any highway (or any sidewalk) either with without
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compeller: to reason therefor."
INSPECTION REPORT
Permit # 2/,33 Job 23 Jt
1 Footing
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O. 1—'
j/
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
IrOWN (W SOIjM W ADSO&CUM PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.O
k 0 ZONINGI• AT (LOCATION)f DISTRICT
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D o
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use T
1 New building Reside tial Nonresidential
2 Addition(If residential, enter number 12 E7One family 18 Amusement, recreational
o/new housing units added, if any,13 Two or more family - Enter 19 Church, other religiousinPartD, 13)
number of units- - - - -
3 Alteration (See 2 above) 200 Industrial
14 Transient hotel,motel, 21 Parking garage4 Repair, replacement or dormitory - Enter number
5 Wrecking (1/multifamily residential, o/units ------- - -! 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
6 Moving (relocation)
17 Other - Specify 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, merconfile
8 Private (individual, corporation,
28 Tanks, towers
n nprofit institution,etc.) 29 Other - Specify
9 Public(Federal, State, or
local government)
C. COST Omit nts) Nonresidential - Describe in detail proposed use of buildings, .g.,food
processing plant, machine shop, laundry building at hospital,elementary
10. Cost f improvement...............school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included if use of existing building is being changed, enter proposed use.
in the above cost k
a. Electrical...................... 8R k z-
b. Plumbing ......................
c.Heating, air conditioning.........
d. Oth r(elevator,etc.). ........
r•7)
11. TOTAL COST OF IMPROVEMENT Z AV C14 ` ( c U :k
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Mas my(wall bearing) 40 Public or private company
48• Number of stories...............
31 Wood frame 41 Private (septic tank,etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Oth - Specify 42 Public or private company 50• Total land area, sq.ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
96 oil c nditi ning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Number f bedrooms..............
38 Cal
39 Oth r- Specify Will there b an I vat r?
54. Number f Full..........
46 Y s 47 No bathrooms
Partial,.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — T b complet d by all applicants
Nam Mailing addr ss — Number, street, city, and State ZIP code T I. No.
Owner or
s
C
Lessee
2.
Contractor
3.
Architect or
Engineer
The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signet a of applicant Address Application date
non Pt
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R vi w Required Check Plan Review Date Plans B Date Plans By NotesqFeeStartedyApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
P rmit or Approval Check Obtained
Do to Number By Permit or Approval Check ObDa ned
ate Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER L OTHER
V11. VALIDATION
Building
Permit number 12418
Building
Permit issued Sept. 29 19 _81_
Building
Permit Fee $
r
a4
n LE
ZONINGNOTES
FRONTDISTRICT
SIDE - .SIDE YARD
REAR YARD
NOTES
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Sept- 29 19 81
Fee Paid $. .b..00 Est. Value $.97 5..00
Permit N? 12 418
on the side of
High Sam-et
Street No. 2.3
Owner Jame s Ko agy
Applicant Vincent Messina
CERTIFICATE OF OCCUPANCY ISSUED:
i
Date
f
No.
I Fee Paid $
CLASSIFICATION
Brick Chimney
Wood Stove
a
r
i
BUILDING PERMIT
N° 12418
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. — 19 810
14to M t1a (EVVItfo, That Minee Messina
is hereby granted permission to Brick Chimney-
at estimated value of $
on the side of 171 H1 g, Street on land
owned by lame a 'En1 nssv
Said Werk to be as described in Application
No. and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOLJTH WINDSOR.
Issued Sep#--29 19 810
f 1
Barilding Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay :aid city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor"
i
TO THE BUHDING INSPECTOR
of dhe APPLICATION FOR
TO" CF SOWH WINDSM COM
PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O
ZONINGI• AT (LOCATION) ` SIGN STR LT' DISTRICT
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn
1 jNew building Residential Nonresidential
2 Addition(1/residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any,
in Past D, 13)13 Two or more family — Enter 19 Church, other religi us
number of units— — — — -'1' 200 Industrial3 Alteration (See 2 above)
14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (I/multifamily residential,of units ——————— — -- 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
6
Part , 13)(
relocation)
16 Carport 24 Office, bank, professional
Moving
17 Q Other — Specify DC1{ ` 25 Public utility7 Foundation only 26 School, library, other educational
B. OWN E SHIP 27 Stores, mercantile
8 Pr 28 E:] Tanks, towersivate (individual, corporation,
nonprofit institution, etc.) 29 Other — Specify
9 Public(Federal, State, or
local government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., f ad
processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement,,,,,,,,,,,,,,,, school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed,enter proposed use.
in the above cost
a. Electrical......................
b. Plumbing ......................
c.Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT Is
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Masonry(wall bearing) 40 Public or private company
48• Number of stories................
31 Wood frame 41 49. Total square feet of floor area,Private (septic tank, etc.) all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 Public or private company Total land area, sq.ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors.......................
96 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 44 Yes 45 No 53. Number of bedrooms..............
38 C al
39 Oth r— Specify Will th re be an I vator?
54. Number of
Full..........
46 Yes 47 No bathr ms
Partial.......
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or sc»TK o%"Ds C.T
Lessee
2. vw is%ov Cp s-r C'0 °t Mc Q r cA- ow Cn D?3 `1 b3Q1
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signs a of pplic tSign Application date
vk' q Q 1w J (.?-Cb P,CA
00 NOT WRITE BELOW THIS LINE
V. 'PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes9FeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date
Obtained Number By Permit or Approval Check Date Number ByObtained
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER
l'
WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit number c390
Building
Permit issued 19
Building 2
Permit Fee $ loZ
rove
c
TITLE
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date June 19 1984
Fee Paid $. 12 . 0 0 Est Value s l,600
Permit N" 13905
on the side of
Hi gh Street
Street No. 23
Owner Jim/Linda Kology
Applicant Ralphnh Riih i nn
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Replace deck with larger deck
BUIIDiNG PERfvffr
N? 13905
OFFICE OF
THE BUILDING INSPECTOR
of &e
Town of South Windsor, Conn.
South Windsor, Conn. June 19 1984
X#iz is to Certify., That Rubino Construction Co.
is hereby granted permission to Replace 13' x R' deck with ld' x 16'
at estimated value of
on the side of 23 High Street on land
owned by 1Iim./Linda X010e y
Said Work to be as described in Application
No. 14 7- and to conform to specifications and plans filed with said Application, and Building By-
laws of THE TOWN OF SOUTH WINDSOR.
Issue 10 1984
Building Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
I Aj C_ j( Vztaec-)_[FINAL INSPECT o"
Building APPLICATION FOR BUILDING PERMIT
Plumbin
HVAC Date: iv
Sprinkler 23 HIGH STREET
Electric i? S-?' 7' Estimated Cost $
Zoning 18825 Permit Fee$o 0,1
Affidavit NO.Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.Fire Dept. TYPE OR PRINT ONLY Total Fee $
H alth D pt. SIGN ON REVERSE SIDE.
Approved for CO: Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant a hgx+ 11 !'//7,aA&rd 13,o G HInAA-) Tel. # G qy_11f7
Address Z3 y/bl- Sr o5 A),UIh5a4 C77" Zip DG074 Lic.#
STREET CITY STATE
Owner NO fJe. , l/z M7, &COYMgAJ Address 2' y'zd:,y lx)lljosa=— r7
Architect e--14 Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit To A ZIAC II A /41xie' _,>FCK To .3ACx o R-d&S6-
City Water Well 0 Septic Sewer
Approved by Date e! BD1A 11/88
I hereby agree to conform to all th requirements of the Laws of the Stat of Connecticut and th Ordinances of th 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 th proper distance from all street lin s,side yard lin s and required distanc s from all oth r zon s and is
located in a zone in which this building and its use is allowed.
Signed
1 hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing 'S' Framinglop
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
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South Winds
UILDING DEPARTME
irra*h:•t inr^ ol,- .nd SJ'tlir,•t,:.t'S.rr, t'.
oe of tht Dropose0 t=,nkliog or 111erjlwns to
r .e
L^(- with arw%r nc—s stated to n
rth plan ar,d i aLrce t cnmp!:, vita All ,
and st,rte la„, and such
by the !.',.ilcrr,n? IJ,partment during p,;i r
a`i+plrcation and tlnal Issuance Of
3,:Ct t;,., •y`nt!ir:,14 r
Appr;veQ This(, hi d v n
Buy nr C
to
i.wLRTIFICATION OF ZONING COMPLIANCE
Proposed building(s), use(s) and/or structure(s)
as shown on this plan appear(s) to be In
conformance with current South Windsor
regulations. Variances and special exceptions
may apply.
Date
Zoning Enforcement Officer
September 10, 1993
Mr. & Mrs . Bochman
23 High Street
South Windsor Conn. 06074
Dear Mr. & Mrs . Bochman;
OPEN PERMIT:
I have contacted your household either by a phone call to your home
or I have dropped off a door tag. This was done to remind you that
you have an open BUILDING PERMIT. I have had no response to this .
According to our records you still need either an intermediate or
final inspection. Would you please contact me and let me know the
status of your project. If your project is finished please call and
schedule a final inspection. Please be advised that occupancy of a
structure that does not have a CERTIFICATE OF OCCUPANCY is a
VIOLATION of STATE STATUTE # 29-265 .
Please contact this office within one week of receipt of this letter.
I am in the office Monday through Friday 7 :30 - 9 :00 am and 12:30 -
2 : 00 pm: . Please call me at 644-2511 ext. 232 .
Very truly yours,
John F. Hogan, Assistant Building Official
FINAL INSPECTIO
Building APPLICATION FOR BUILDING PERMIT
Plumb'
HVAC Date: i3
Sprinkler 23 HIGH STREET
El ctric J -3 Estimated Cost $ ice ocw
Zoni 18677 Permit Fee$ D
Affidavit NO.Occupancy Fee $
Eng. D pt. COMPLETE RED BOXED AREAS.Fire Dept. Total Fee $TYPE OR PRINT ONLY
Health Dept. SIGN ON REVERSE SIDE.Approved for C z Additional Cost) $
TO BUILDING
O:
EPARTMENT, TOWN OF SOUTH WINDSOR, CT
Th and rsigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone A-
Applicant KCC. T I:'#
p 3..L-2_ r
Address S• MIXAN Ct7 Zip Lic.# Sao
STRE T CITY ITE • Owner ow c gd.Y1 AddressQd
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from treet Line Dist. rom Si a Street ine
Purpose of this PermitC i) %
4" a —p s e
City Water Well Septic Sewer
Approved by Z6-- Date 2- _JTSlo BD1A 11/88
I hereby agree to conform to all the requirements of the laws of the State of Connecticut and the Ordinances of the Town of South Windsor
and to notify the Building Inspector of any alteration in th plans or specifications of the Building for which this permit is asked,and agree
that this building is to be located th proper distance from all street lin s,side yard lin s and required distanc s from all oth r zon s 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 ap lication for permit.
l Signed (AJAJ5--?- R Z
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORDFooting d Framing I S
Foundation lO 41 Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Z / 7 7 -Z, Inspections:
Sprinkler Permit# Inspections:
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BUILDING INSPECTION DEPARTMENT
SOUTH WINDSOR, CONNECTICUT 1
FEE PAID: $3.00
CERTIFICATE OF OCCUPANCY
ZONE: DATED 12/0 3/ 1993 l
I
This is to certify that 23 Hi clh S rP Rob rt. Ra -hman)
erected under permit No. 18677 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— 2—car garage & breezeway
Use Group: R4
Constr. Type5B
Building Official
Notice:If this certificate is lost or destroyed, a duplicate should be ob -09' medlately from the Building Department.
Any change of extension of the use herein approved requires a new certificate of occupancy.
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JUL 2 3 "90
South Windsor
BUILDING DEPARTMENT
To THE "'LDING Dr-IT I
rhia certified that this plpn ar•d
OPIes of thr proposed building or afterrectedat
rulrid'er with rmendments ;ta,E,t
u'
r with Plan and i agrec I,j coriPf)• r;,dnd stair fawn jr such ..)r,l rtr,tt ryy tilt' rluihllnF L?.-aartmaut
r Yry`,,,`
t41d'd:8t17d 'idlrt lanai It;SUAtr,, - a '.,•( .
a' t a lfa7v td laftlert t,l th
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t'ih a?s n'Pata rhk budding shdd
These flied K,tsd
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a
i i-&&CATION OF ZONING COMPLIANCE
oposed buDding(s), uSe(s)-, and/or structure(s)
CZoe K231 ,S shown ort this plan appear(s) to be in
anformance with current South Windsor
gulations. Variances and special exceptionsCIO' v z.o ay apply,
fate
ning Enforcement Officer
PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT f/7 7,Z
Application is hereby :
TOWN OF SOUTH WINDSOR
PPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
Application must be" pp printed or typed .
Date BuXlding Inspector
1. LOCATION OF JOB
Sr
FEE SCHEDULE No . Street
0 - $12000 - 10.00 Floor Apt , No.
Over $1,000 - 10.00
per $1 ,000 or 2 . OWNER
fraction thereof
3. ADDRESS
4. APPLICANT Robed Bachwon
5 . ADDRESS
6. ESTIMATED COST $ I
7 . IS THIS A CONTRACT COST
Yes No
8. FEE ENCLOSED $ > "
Y,77
9. TYPE OF BUILDING:
kg*
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
LAlteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB H S
NO. STREET APT. NO
12 . TYPE OF INSTALLATION auT e T X"D /14 ffr, 7y /0 X/(0 l r7biflo GAei¢L-C
13. SIZE OF MAIN FEEDER
14 . NO. OF LIGHT LOOPS 2 15 . NO. OF HEAT LOOPS Q
16. NO. OF POWER LOOPS 2-17 . NO. OF LIGHT OUTLETS
18. NO. OF HEAT CIRCUITS C? 19 . NO. OF POWER OUTLETS
20. NO. OF CONVENIENCE OUTLETS G) 21. NO. OF HEAT CIRCUITS 0
22 . NO. OF POWER CIRCUITS Z 23. NO. OF LIGHT CIRCUITS Z
24. SIZE OF HEAT CIRCUITS O 25 . NO. OF MOTORS_
26. NO. OF PANELS- 27 . TOTAL WATTAGE
28. NO. OF POWER FEEDERS / 29 . NO. OF SWITCHES
30. A/C LOAD 31. SIZE OF POWER FEEDERS
32. NO. OF FIXTURES 33. TOTAL HORSEPOWER 0
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
D M Q vV'V'C j• 3 9
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: /wf*l/fl
FI NAL
Bing
Ns:
z C/jra,TAPPuCATION FOR BUILDING PERMIT
Plumbi
HVAC
Sprinkler 23 HIGH STREET Date: d
00ElectricEstimatedCost $
Zoning
2 0 3 8 6
Permit Fee; 0-00
Affidavit NO.Occupancy Fee;
Eng. Dept.
Fire Dept. COMPLETE RED BOXED AREAS.Total Fee $ l4`d
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The and rsigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant Rd r+ yC'MAn Tel. #(ao
Address43 H g`h 5-f Zip 06()7'1 Lic.#
TREET
d
CITY ATE
Owner e1'f _'0_li7ri t vw,n Address 23CG
Architect Ro be r+__?)Ocbmai') Address
Size New Area: Ft. Front Overal I Ft. Deep Overal I Total Area Garages
LavatoriesSizeofLott. from Street Line Bathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit 6c;r
City Water O Well 0 Septic 0 Sewer 0
Use Group W Construction ype
Approved by Date / 3 BD1A 11/88
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinanc s of th 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.
X Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
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TO THE MOM DEPT. TOWN OF SOUTH XNXSDF,
This certified that this plan and specifications are true
copies of the proposed building or alterations to be
erected at
f2,,3 A6rl = Strret
together with amendments stated in application air-
filed with plan and I agree to comply with all zoninF„
Building and state laws and such orders as shall I„
issued by the Building Department during pendenc,
of this application and final issuance of a bufldfni-
permit.
Signed b.
This plan is ap ved subject to the condition that
orders and ordinances regulating building shall be
complied with.
Conditionally Approved Tbem filed with
Building Inspectolr
DOO uir; Q
d Lu .lding(s), use(s) and/or struc•t.if
shGwn on this plan appear(s) to be i
e vith c I rent South Wind ..
Vari---races and special except o;,,.
y apply.
e
Zoning Enforcement offi9ex
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: Xlo v. I /114F I/
NO. q ) TOWN OF SOUTH WINDSOR EST.COST:
BLDC. PERMIT NO. A 1540 SULLIVAN AVENUE FEE 3a-6d
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 0 - $12000 - $10.00
1000 or fraction
LOCATION OF BUILDING1 thereof - $10.00
4 o4-er+ T-e-r-s ,4 u '`-f-c h dj
OWNER ADDRESS TOWN PHONE NO.
L.e6 )4wa Ar tf /b?1 e_lli&6&N ty_ so- 6(0 zo
HVAC CONTRACTOR ADDRESS TOWN PHONE NO.
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.
HYDRONIC !/ WARM AIR
UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM GAS IN-PUT> `OQ ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION sd 606 ADDITIONAL RADIATION TOTAL RADIATION 5d, 6D
DESIGN TEMP. OUTSIDE— OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS (BTUH) 6 6 HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): W el"( l-fr Gi<d C 4`- y
6,o 4o41,ow—
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
IF 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)
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:
6-7 Lisp S- 3
STATE LICENSE - NAME b TYPE #DATE SIGNATURE OF APPLICANT
jnda 1(kh
APPROVED 5RfE
I - 8 - R CALCULATION SHEET1503 (Modern Method)Copyright 1971 by The Hydrontcs Institute
O: NKR e"V ADDRESS - an DESIGN TEMPERATURE DIFFERENCE F. DATE /" ~`/
9
COL.A COL.6 COL.C COL.O COL.E COL.F COL.G
1 ROOM----Et QC
Temp.WaternpHLWHLWHLWNLWNLWDesign p•
2 ROOM DIMENSIONS, FT.
n 5-6 n3LENGTHEXPOSEDWALLS,FT. q AaL Radiation elected
4 WINDOW AND OUTSIDE DOOR AREA LL
STUN STUN BTUH BTUH STUN
5 WALL CONSTRUCTION
d ROOM LIN.FT.OFTable9,Line 3 x H)TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
Bott m f table used f r Line S) U/ IJV
q d7CEILINGCONSTRUCTIONC J
TeD1e 9, L x W)bLl
B FLOOR CONSTRUCTIONt
q rrJJ
O-
Table 9, LxW r Lin. Ft)
9 COLD PARTITION CONSTRUCTION F
Table 9, L x H)
10 c 1 Wall(With Openings)
2 N
c- 2 Wells(With Openings) D x •03j/ Q
bb3Wells(With Openings)or Ent.Hell 1
11 TOTAL BTUH AT 7OF TEMP DIFFERENCE* 3a goo
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE b 00 K
COL.A - ---- COL.S COL.N COL.1 COL_1 COL. K COL.L TOTAL BTUH TOTAL
1 ROOM OF SUILDIN RADIATION
Q AT SELECTED
p H L W H L W H L W H L W H L W DESIGN TEMP.* L
2 ROOM DIMENSIONS. FT
DIFFERENCE / CL oP
3 LENGTH EXPOSED WALLS. FT
i 04S
4 WINDOW AND OUTSIDE DOOR AREA is 6 0 I
STUN BTUH STUN BTUH BTUH
5 WALL CONSTRUCTION INCREASE BATHROOM
Table 9, Line 3 x HI TOTAL 20%
6 TYPE OF GLASS
Bottom f table used lot Line 51
7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON
Table 9, L x W) GROUND OR FILL AT
GRADE LEVEL,USE LINEAR
S FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
Table 9, L x W r Lln Ft 1
9 COLD PARTITION CONSTRUCTION Vr` /v
ITable 9, L x H)
10 c I Well(With Openings)O
0
2 Walls(With Openings)
3 Wells(With Openings) or Ent Hall
11 TOTAL BTUH AT 7OF TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
FORM 1503ThisformIsereilebieitmTheHydronlcsInstitute35RussoPiece,Berkeley Heights,N J 07922