HomeMy WebLinkAbout24 Stevens Road (2)Electtiic# /9 S/ APPLICATION FOR BUILDING PERMIT
Plumbing# 24 Stevens Road Date:HVAC #j- y17
Sprinkler# 31656
FINAL APPROVALS Estimated Cost 411a e_ -,
Building Permit Fee 5/&, ev
Engineering COMPLETE RED BOXED AREAS Occupancy Fee $ /—
Affidavit
g TYPE OR PRINT ONLY Eng. Insp. Fee $
Appr. for CO. 9 of CJp SIGN ON REVERSE SIDE /
Total Fee
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant hC cllzgwz; ? A'a v Location of WorkU1Y a r'i s ic J, Lot No.
Applicant's Address /..7 l Tel.# o - 25,-g- .1Gs.27
Town Div FX ex'J CT, Zip 06ap,z tic.#
Owner-X'ely7—l„iyi vn,y Architect 44/:!
Owner's Address 77/Si n s . Architect's Address
S. Zip _.c- V Zip
q. Ft. New Area- 1st FI. 9% 2nd FI. 3rd Fl. Total New Area
Purpose of this pt,
City Water®--' Well Septic System El SewertrY
Ins: HO SP Cert. Area Basement Garage
Approved by Date SCrQ Use Group Construction Type
Revised 6102
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 described in this application for the permit.
N Signed .10 e=)
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
31656-B 33,412
B03 FRAMING (ROUGH) 05/26/05 CJD A
E03 ROUGH 05/26/05 CJD A
B04 INSULATION 05/27/05 CJD A
B03 FRAMING (ROUGH) 05/26/05 CJD A
E03 ROUGH O5/26/05 CJD A
P03 ROUGH O5/27/05 CJD A
H03 ROUGH 05/26/05 CJD A
PO4 GAS TEST 06/02/05 CJD A
B10 FINAL 09/14/05 CJD A CLOSED OUT.
12497-H 6,000
11963-P 3,500
19594-E 3,250
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR IPERMMT#
Applicatio ' hereby: l,BUILDING DEPARTMENT l 63
rAOPRo 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.Permit#
Date B dinglnspedor
Application must be printed or typed
FEE SCHEDULE Location ofJob:
0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT d/y p
1
fc t fie h
APPLICANT ADDRESS 7 /`71J rl le 04?,-Ill e
APPLICANT PHONE#
OWN 3F OWNER Lf'"e ,,da!c 7 g w X i h n
i
4 OWNER ADDRESS y sf e v P h s rf o r /
e
fo r f L+ I/by S G b'O.7 5/
E.. OWNER PHONE r'> o 24aOESTIMATEDCOST$
IS THIS A CONTRACT COST? 1 Yes _No
FEE ENCLOSED$
bsOR CO TYPE OF JOB.
New Installation
V Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? U1 YES O NORESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCYr,,ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY 1j MEDUCATIONAL50 2
INSTITUTIONAL
J
FACTORY ENGINEER'S NAME PHONE
E STORAGE
GARAGE ADDRESS
MIXED USE
Other please specify)
CITY STATE ZIP
TYPE OF INSTALLATION SIZE OF MAIN DRAIN el
NO.OF TOILETS STYLE NO.URINALS , STYLE
NO.OF BATHTUBS l NO.OF SHOWERS D NO.OF LAVATORIES
NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE/
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
l
NO.OF R--MXTURES / _._K ,
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW DYES Q'd 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 y6 g c 11- iffl 5rS MANUFACTURER
DESCRIPTION OF WORK
THE UNDERSIUNED 1-1 MSrMAP RFO-IMTHE WORK DESCRIBED MM 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 S—I S"O S
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application TOWN OF SOUTH WINDSOR PERMIT#
i
BUILDING DEPARTMENT
APP D 1540 SULLIVAN AVENUE
Bldg.Permit#644-2511 ext. 230
S( G i
Date Building Vpector
Application must be printed or typed
FEE SCHEDULE Location of J :
0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT d 1 r 71 '
APPLICANT ADDRESS 1t t-
eL o 1
APPLICANT PHONE#S(C?
W N 3 F,q
OWNER _Mon'C'uN r:J'rc a 2 lA
OWNER ADDRESS
r. OWNER PHONE
ESTIMATED COST$
IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$ ` (.00
R Co
TYPE OF JOB:
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
BUILDING PERMIT APPLICATION?)f YES ElNO
BUSINESS CURRENT USE AND OCCUPANCYASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL
INSTITUTIONAL
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
Other please specify)
CITY STATE ZIP
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE T'yI 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
Y onA,
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. E STATE
SIGNATURE OF APPLICANT DATE f
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is he•
BUILDING DEPARTMENT Id o _
APPRO 1540 SULLIVAN AVENUE Bldg.Permit#644-2511 ext. 230
Date Building Insp for
Application must be printed or typed
FEE SCHEDULE Location of Job:
D1 y PcJ s- c S, G .DSO0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS®
APPLICANT PHONE#
0W N 3F OWNER /rr rYT
q OWNER ADDRESS
e/ 1,70L Q 7 y
0 OWNER PHONE
C ESTIMATED COST$ Co, p, pc.)
IS THIS A CONTRACT COST? _Yes _No
FEE ENCLOSED$ O
OR-Co
TYPE OF JOB:
New Installation
X Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR NVAC PERMIT (Continued from reverse side)
TYPE OF YSTEM: TYPE OF BUILDING:
HEATING kkESIDENTIALLlA/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 OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
D SCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
C'wr tr Ma%L G3.o '"TAr , LW/1 s
GROSS HEATING CAPACITY(INPUT BTUH) NET RATING(OUTPUT—BTUH)
TYPE OF FUEL
OIL—GPM OIL TANK LOCATION:INSIDE 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. TYPE STATE
SIGNATURE OF APPLICANT c% DATE