HomeMy WebLinkAbout24 Walcott GreenFINALg sPEc
s* APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC 11114hf 24 WALCOTT GREEEN Date:
Sprinkle
Electric A& Estimated Cost $ 57,dd U
Zoning Permit Fee $ TO
Affidavit NO. 21416 Occupancy Fee $
Eng. Dept.
Fire Dept.COMPLETE RED BOXED AREAS.Total Fee $ (?
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $
l
TO BUILDING DEPA TMENT, 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 Tel. #
Address $ % Zip Lic.# G Do_!S (rZ
REVCITY S ATE
Owner Address
Architect C 1 'r-2 Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area (39 Garages
Lavatories
Size of Lot 7 ?, Dist. from Street Line Bathrooms I—Rooms 1st 2nda3rd
Purpose of this Permit iPe-
f
City Water Well 0 Septic 0 Sewer
Use Group Construction Type
Approved by Date BD1A 11/88
I hereby agree to conform to all the requirem nts of the Laws of th Stat 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 oth r zon s and is
located in a zone in which this building and its use is allowed.
Signed
1 e Y)
I hereby apply for a Certificate of Occupancy for the work described in t application for permi
Sign d
DO NOT WRITE BELOW THIS LINEOL 2
INSPECTION RECORD
Footing Framing
6
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
C
hlT ,3racT
HVAC Permit# D 7 Inspections:
Electrical Permit# 1 to Inspections:
Sprinkler Permit# Inspections:
Location of j b AFFIDAVIT Additional Fee ...—Q-..............
State of Connecticut
SS.
County of Hartford
Aa.of . . . . . ... . .. . . .... .... n for building erected under
Contractor
Permit No. . .2.1-4•16 . . . . . .. issued by the Dept of Building of the Town of South Windsor being duly sworn,make oath
and say that the actual cost of the completed work authorized under said permi did not exceed the most current accepted BOCA
value of . .$75•1.050...00.. . . . . . . . . . . .Signe
Subscribed and sworn to before me thus li/day of
Estimate Cost:S 750050. 00
Difference:0^ 11f6tary Public.
Inspection / Approval Date By AppI
Code Description Due Whom Code Comment
94-21416-B 65,000
BO1 FOOTING. 05/25/94 DDS A
B02 FOUNDATION 06/01/94 JFH A
E 0 1 SERVICE 06/24/94 JFH A RELEASE ISSUED
P03 ROUGH 10/19/94 JFH A WATER TEST
B03 FRAMING (ROUGH) 10/24/94 JFH A
B05 FIREPLACE/CHIMNEY 10/24/94 JFH A
E03 ROUGH 10/24/94 JFH A
P03 ROUGH 10/24/94 JFH A
B04 INSULATION 10/25/94 JFF A R13 WALLS & R30 CEILING ATTIC
PO4 GAS TEST 11/10/94 JFF A
B10 FINAL 11/15/94 JFH D NOT READY
B10 FINAL 11/16/94 JFH A
94-9487-P 3,000
94-8977-H 4,550
94-13058-E 2,500
Total Est Value 75,050
Dwelling 1,398 51 ,977.64
Basement 682 6,785.90
Garage 440 5, 170.00
Smoke Det 6 450.00
v .
BOCA Value 72, 753.40
Difference 2,296.60)
FIELD CORRECTION NOTICE
LOCATION 24 Wa-ar--ott Green PERMIT NO. Hone
ISSUED TO Ms. Kay Schaff Shaffer
PERMIT HOLDER AND/OR ALL RESPONSIBILE PARTIES.
NOTICE DELIVERED T-8— by 'PAY_t[LMs- Shaffer 291-5319
Upon insp ction, violations of the 19'9-1 ,,CT Codeec. Various were in evidence.
anaThfollowingordersareherebyissuedfortheircorrection: Conn fact i cutGeneral Stattites 29_26 3
Permit required prior to work 29.265 Certificate of use & Occupancy required
to Needs a Building, Plumbing, Heating & Eleetrigal Permit-
Items needing corrections: (1) Stair treads have no nosing. (2) Hand rail
doesn't extend full ength. 3 Improper landing at bottom of stairs. 4)
Sole plate of walls not pressure treated lumber. (5) Hidden cleanout. (+6)
No vent for sink, cleanout blocked. (7) Doorbell Chime transformer burried
in ceiling. (8) Combustion air questions. (9)WVoking clearences around the
furnace. (10)Closet door under stairs hits light fiXture.
PLEASE.CALL FOR INSPECTION WHEN CORRECTIONS HAVE BEEN COMPLETED. ACCEPTANCE AND
APPROVAL BY AN INSPECTOR OF THIS DEPARTMENT IS REQUIRED. ALL CORRECTIONS MUST BE
MADE ON OR BEFORE Sale of house.
ATE 04/30/97 BY r
r C T 0 R
FILE COPY
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNEC I UT
24 WALCOTT GREEN LOT_#94 Reviewed veering)
CLARK REALTY, I C. Date Reviewed - - Denied
658 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed B A s j o Planning)
BP # 21416 Ph # ( 203 )528-6P54 Date Reviewed yI Denied
Date Submitted 11/14/94 Z, -rjn FOR IC of 0 *****
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:
Appr ed Denied N/A
1 . Approved building permit plan
2 . Finish grading per approved
building permit plan
3 . Site work; i .e. trees, shrubs,
dumpsters, required parking
4 . Utility location;
a. sanitary sewer/s m
b. foundation drain
C. electrical & telephone
d. water
e. other
5 . Sewer connection charge paid
6 . Appropriate certification
7 . Bonding
AWL 8 . Planning & Zoning/
Inland Wetlands Considerations
Sewer Permit No. 2 5
Pavement Excavation No. A/,A
COMMENTS:
nu.LLL1NU PERMIT CHECK LIST _Applicant. Claxk Realty Inc.
Building Permit No.
v`
Address ti5R F> > , nciton R S w Date Submitted
21416
Lot No._ 94 # -4 WalcottrGreen Reviewed b
05 19 a.m. )
Project RPaf; Pi d S„hd;T; s;r
y
Date
accordanceInwiththeSubvsionegulatfohs, prior to the building ofanystructureonalot, a Topographic Plot Plan shall be submitted forapproval. The minimum requirements shall include :
Approved Denied N/A
kAAC 1. Name, address & phone number of owner/11 applicant.
2. Name, address & phone number of pla nn preparer.
3. Zoning information - i.e. zone, open space,floodway, etc.
Flo r
4. Plot plan at 1" _ ' scale.
a. Subdivision reference, abuttingproperties, etc.
b. Easements of record.
C. Lot description, bearings, distances,
building lines, area, etc.
d Co._._ ntours, existing & proposed, 1 or 2 ft.interval where appropriate.
e. Buildinglocationn ith dimensi
Elevations of propose finish floor,
garage floor & center line of road atdriveway.
f. Elevations of gravit drainage systems,
sanitary & oun aticn rain at the
house and the
g. Tentative utility location gas, electric,
water, etc.
h. Title block with name and address of
preparer, date appropriate certification,live seal and signature.
5 . Sedimentation and erosion control.
6. Special Planning & Zoning, Inland/Wetlands
considerations. (Plans on file w/Town Clerk)BUILDING DEPT.
PZC lex C o rleIWA/CC 41)
WPCA 4 kv J<
OTHERS
I ivEO
e. a MAY 2 0 19
wCOMMENTS: ; 94
bola
1
e z 3 9 F T+r,0SOUMMM V
1
1
f
PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.APPROVED ;DISAPPROVED 1540 SULLIVAN AVENUE
Z Z 644-2511 Ext. 230
at ng Inspector Application must be printed or typed
1 . LOC ON OF-
Z'U
JOB
FEE SCHEDULE No . Stre
0 - $19000 - 10.00 Floor Apt . No.
Over $1,000 - 10.00
per $1 ,000 or 2 . OWNER
fraction thereof
3. ADDRESS
A/-
4, APPLICANT
5 . ADDRESS
Ao'A0"?' 40P
6. ESTIMATED COST
1 7 . IS THIS A CONTRACT COST
Y a
i 8 . FEE ENCLOSED $ Od
9. TYPE OF BUILDING :
1, 'ESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
PE
Original Installation
Alteration/Additi n/Repai'r
RD 3A 11i88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB & / '
P,5- WQldb 10 0
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION &Za
13 . SIZE OF MAIN FEEDER
14 . NO . OF LIGHT LOOPS _ 15 . NO. OF HEAT LOOPS
16 . NO . OF POWER LOOPS 17 . NO . OF LIGHT OUTLETS Sr
18 . NO . OF HEAT CIRCUITS I 19 . NO . OF POWER OUTLETS
20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS
22 . NO . OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS_
26 . NO . OF PANELS /27 . TOTAL WATTAGEILOJ
28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES
30 . A/C LOAD 31. SIZE OF POWER FEED ERS_]!-#—
32. NO . OF FIXTURES c,33. TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
LICENSE NO .SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
a i i ry may011,W1,101or
INSPECTOR DATE TIME
LOCATION wT cj L./J f r,W C.,l
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL:
PLUMBING:
HVAC:
OTHER:
PERMIT NO.
q487
DEPARTMENT DECISION
APPLICATION FOR PLUMBING PERMITApplicationishereby :
TOWN OF SOUTH WINDSOR
APPROVE DISAPPROVED BUILDING INSPECTION DEPT.
1540 SULLIVAN AVENUE2rf 644-2511 Ext . 230
Date Building Inspector
Applications must be printed or typed
1. LOCATION OF JOB:
FEE SCHEDULE
2. OWNER: J 5 04.
0 - $19000 - 10. 00 3. ADDRESS: 6c-51? zllllx n O/.
Over $1 ,000 - 10.00 V1 el e7
per $1 ,000 or
fraction thereof 4. APPLICANT:
5. ADDRESS: O
f,2'-'>ZW Z1,,z 29 5 1, C o D 7V
6. EST. COST: $ (--7QOQ -
7. IS THIS A CONTRACT COST? Y ES NO
8. FEE ENCLOSED: $ b,oC
9. TYPE OF BUILDING:Z 1 4 t 1
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB:
GENERAL PLUMBING
12. KIND OF INSTALLATION: zllll 13. SIZE OF MAIN DRAIN 7
14. NO. OF TOILETS& _STYLE 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS-,a
16A. NO. OF SHOWERS 17. NO. OF LAVATORIES
18. NO. OF SINKS 19. DISPOSAL f 19A. DISWASHER_
20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKSZ _SIZE
22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?
27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. WE OR SEPTIC TANK?
31. SIZE OF WATER MAIN 1 31A. SIZES OF WATER PIPING & RISERS
32. REMARKS AND FURTHER DETAILS C(c-5
WATER HEATER
33. TYPE l7`PS 1-92z 34. MANUFACTURER f/ C(fC(7C``'
TANKS SAFETY DEVICES
TEMPERATURE 15 d JDSL35. CAPACITY ( 39. RELIEF VALVE le?/Q
36. TEST PRESSURE LBS. 40. MANUFACTURER a ' .
37. WORKING PRESSURE /S LBS. 41. PRESSURE RELIEF VALVE
38. TYPE X` GC Cr 42. MANUFACTURER 4 &:!'
IS,O/7.9?r 9ojeLICENSENO. DATE S ATUR APPLICANT
PHONE NO.
FG1r OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: 8/9/94
NO. TOWN OF SOUTH WINDSOR EST.COST: 4,550.00
BLDC. PERMIT NO. 1&- L 1540 SULLIVAN AVENUE FEE 50.00
SOUTH WINDSOR, CT 06074 FEES:
644-2511 - Ext. 230 0 - $10000 - $10.00
1000 or fraction
LOCATION OF BUILDING Lot 94, 24 Walcott Green thereof - $10.00
Clark Realty, Inc. , 658 Ellington Road, South Windsor, CT 06074 648-9038
OWNER ADDRESS TOWN PHONE NO.
R & E Heating & Cooling, Inc. , 310 Nutmeg Road So. , South Windsor, CT 06074 282-7782
HVAC CONTRACTOR ADDRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING X TYPE OF BUILDING: RESIDENTIAL X
A/C COMMERCIAL
VENTILATION _ BUSINESS _
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONI__ WARM AIR X
UNIT RADIAN HTEATER (INCLUDING WOOD COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM_ GAS IN-PUT 75,000 ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION. INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY_
EXISTING RADIATION_ ADDITIONAL RADIATION TOTAL RADIATION_
DESIGN TEMP. OUTSIDE 0 OF INSIDE 70 OF DIFFERENCE 70 OF
TOTAL HEAT LOSS (BTUH) 52,,311 ' HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): Heil NUGK075DG Furnace
GROSS HEATING CAPACITY (INPUT-BTUH) 75,000 NET RATING (OUTPUT-BTUH) 70,000
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 complywithalllocalordinancesandStateofConn. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK: Installation of heat only with duct work sized for
3 tons of cooling for future A/C.
CT D1 305874 8/9/94
STATE LICENSE - NAME & TYPE # DATE GNA OF1--PL T
g /o
APPROVED A
80 4A 11/88
I - 8 - R CALCULATION SHEET 1503 (Modern Method)Copyright 1971 by The Hydr nice Institute
OWNER ADDRESS DESIGN TEMPERATURE OIFFERENCE F. DATE
COL.A COL.9 COL.C COL.D COL.E COL.F COL.G
1 ROOM IC
O H L W H L W H L W H L W H L W Design Warr Temp.
2 ROOM DIMENSIONS, FT.F-
V STUN pv Fool of
3 LENGTH EXPOSED WALLS,FT. Radiation Selected
1 WINDOW AND OUTSIDE DOOR AREA LL
STUN STUH STUN STUH STUN
5 WALL CONSTRUCTION ROOM LIN. FT.OF
Table 9,Lino 3 x H)TOTALS RADIATION
8 TYPE OF GLASS FROM LINE 12 SELECTED
B ttom I table used lot Line 51
7 CEILING CONSTRUCTION C
Table 9,L x W)
B FLORO CONSTRUCTIONI ' D_
Table 9,L x W or Lin. F t l E
9 COLD PARTITION CONSTRUCTION F
Table 9,L x H)G
10 _c 1 Wall I W Ith Openings)H
i 2 Wells(With Openings) IX
3 Walls(With Openings)or Ent.Hell per,J 1
J
11 TOTAL HTUH AT 70F TEMP DIFFERENCE*
12 TOTAL STUH AT DESIGN TEMP. DIFFERENCE K
COL.A _ --COLS COL.H COL. 1 COL_J COL.K COL.L TOTAL STUN TOTAL
1 ROOM OF BUILDING RADIATION
AT SELECTED
O H L W H I L W H L W H L W H L W DESIGN TEMP.-
ROOM DIMENSIONS.FT 10-
U
DIFFERENCE
r43.
1
LENGTH EXPOSED WALLS.FT.
1 WINDOW AND OUTSIDE DOOR AREA L
STUN BTU" STUN STUN STUN
5 WALL CONSTRUCTION INCREASE BATHROOM
ITable 9, Lin*3 x H) TOTAL 20%
d TYPE OF GLASS
Bottom I table used for Line 51
7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON
Table 8, L x W)
GROUND OR FILL AT
GRADE LEVEL,USE LINEAR
S FL OR CONSTRUCTION( FEET OF EXPOSED EDGE
Table 9,L x W or Lin Ft.)
9 COLD PARTITION CONSTRUCTION
Table 9,L x H)
10 c 1 Wall IWlth Openings)O
0
Z 2 Walls(With Openings) a X
3 Wells(With Openings)or Ent.Hall
11 TOTAL STUH AT 70F TEMP DIFFERENCE'
12 TOTAL STUH AT DESIGN TEMP DIFFERENCE
FORM 1503
This 1 rm Is available from The Hydr nlcs Institute,35 Russ Place,Berkeley Heights,N J 07922
DETAILED REPORT FOR ENTIRE HOUSE
Prepared For : Prepared By:
Clark Realty R P
658 Ellington Rd R & E Heating & CoolingSouthWindsor , Ct 06074 Job Name : 195--094
EXPOSURE
GLASS NORTH NE/NW EAST SOUTH SE/SW WEST HORZ . TOTAL
AREA 36 ; 0 ; 78 , 24 : 0 ; 48 : 0 ; 186
COOLING ; 483 : 0 ; 3 ,387 : 514 ; 0 ; 2 ,084 ; 0 ; 6 ,469
HEATING ; 1 ,444 ; 0 ; 3 ,129 : 963 : 0 ; 1 ,926 : 0 ; 7 ,462
w______--___________-__-_____-_____
w_______w_-_-__
BELOW
WALLS NORTH NE/NW EAST SOUTH SE/SW WEST GRADE TOTAL
W_-_-N_w_-_______-__________-____-____________
AREA 348 , 0 ; 458 ; 323 : 0 ; 395 ; 0 ; 19524
COOLING ; 240 , 0 ; 317 , 223 : 0 ; 273 , 0 ; 1 ,053
HEATING ; 985 : 0 ; 1 ,297 : 914 : 0 ; 1 ,118 ; 0 ; 4 ,314
DOORS NORTH NE/NW EAST SOUTH SE/SW WEST TOTAL
w______-______
AREA 0 ; 0 ; 0 ; 21 : 0 ; 21 :42COOLING ; 0 ; 0 ; 0 ; 56 , 0 ; 56 :112HEATING01, 0 : oil 228 , 0 : 228 ,i 457
FLOOR AREA COOLING HEATING
w_____-__-_____________-____-_________-
M____w______-
1350 0 0
CEILING AREA COOLING HEATING
w__________-__--___-____-_
w-__-______
1350 2 ,006 ; 12 ,653
MISCELLANEOUS COOLING LOADS
People Sensible Load 3 ,150 Latent Load 7 ,226
Lights & Appl . Load 7 ,167 Latent Safety Btuh 361
Ventilation Load 2 ,310
Duct Heat Gain 1 ,386
Infiltration Load 435
Sensible Safety Btuh 1 ,135
TOTAL SENSIBLE LOAD 25 ,223 TOTAL LATENT LOAD 7 ,588
Air Changes/Hour 0 .50 Temp . Swing Mult . 1 .00
Total Cooling Load 32 ,810 BTUH Or 2 .73 Tons ***
MISCELLANEOUS HEATING LOADS
Infiltration Load 5 ,914 Ventilation Load 15 ,708
Duct Heat Loss 3 ,476 Safety Btuh 2 ,325
Total Heating Load 52 ,311 BTUH ***
SUMMARY REPORT
Prepared For : Prepared By:
Clark Realty R P
658 Ellington Rd R & E Heating & Cooling
South Windsor Ct 06074 Job Name: 195-094
DESIGN CONDITIONS
OUTDOOR INDOOR
SUMMER WINTER SUMMER WINTER
Dry Bulb 88 0 78 68
Wet Bulb 75 60
Daily Range 22 Daily Swing 3 .0
Latitude 41 Elevation 1100
Safety Factor ( % ) 5
Latent Factor ( % ) 30
Room Heating Heating Cooling Cooling
Name BTUH CFM BTUH CFM
Living Room 17 ,787 408 5 ,985 285
Kitchen 8 ,140 187 5 ,646 269
Dining Room 2 ,630 60 2 ,505 119
Bedroom 1 10 ,004 229 3 ,977 189
Bedroom 2 3 ,005 69 2 ,407 115
Bedroom 3 2 ,241 51 2 ,065 98
Bathroom 8 ,505 195 2 ,636 125
52 ,311 1 ,200 25 ,223 1 ,200
HEATING DELTA T 39 .6 COOLING DELTA T 19 .1
NOTE: *** Calculated Airflow is based upon load requirements .
Verify that airflow calculated is compatible with
selected equipment requirements . ***
Bect6c# I Lf:5-7
2 4 WALCOTT GREENAPPLICATION FOR BUILDING PERMIT
Plumbing# 3
HVAC #24236 Date: I A7
Sprinkler# NO.
FINAL APPRO Estimated Cost $ 6 v0
Building V5? COMPLETE RED BOXED AREAS Permit Fee
TYPE OR PRINT ONLY Occupancy Fee s
Affidavit S4IGN ON REVERSE SIDEAppr.for CO. Total Fee
TO BLA ARTMENT,TOWN OF SOUTH WINI)SOR,CT Additional Cosh
The undersigned hereby applies to do work according to the following specifications:
Jo6 Location v7 Y' -C/I4 l Lot No. Side of Street Zone
ApplicantL:aOVL f'P/L Tel# (Vd'- -2/ yD
Addr ss c;. q U)i4 lCLO 9/tWW , 64iy6 yx Zip 6 7V Lic.#
Own r (A• cS'2VA Address '9 V G-idU-44
Architect 5*,k,* 4,p .4 to d d-c Address SX.,-e 9"p fiQ&kc
Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms_ G_arages
Purpos of this permit: i f d T gAe`
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date c l7 Use Group 4- Construction Typ
Rev6ed 1197
I hereby agree to conform to all the requirements of the Laws of th 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 i is buil . g and' is allowed.
Signed:;.
I hereby apply for a Certificate of Occupa for the d this application for the permit.
Signed
DO NOT WRITE BELOW THI
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
97-24236-B 3,600
B10 FINAL 05/13/97 JFH A APPROVED FOR CLOSEOUT CO
97-14377-E 400
97-9937-P 300
DEPARTMENT DECISION i4sipAPPLICATIONFORELECTRICALPERMIT 7
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE
644-2511 ext.230
Date ding Inspector Application must be printed or typed
Locatio ofjob
Strwtlqo. Street Lot No.
FFEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER
or any fraction thereof
ADDRESS
OWNERS PHONE#7 0
APPLICANT el-
loOWNSF
LH,
ADDRESS
Jq<
CO ESTIMATED COST$-
0
IS THIS A CONTRACT COST?
YES NO
FEE ENCLOSED
TYPE OF JOB:
iOR-Co Original Installation
Alteration/Addition Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION 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 Imo,
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES
NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS
SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND ISTOCOMPLYWITHALLLOCALORDINANCESANDSTATEOFCONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
l
NAME STATE LIC NSE NO. TYPE SIG A OF APP F"
PHONE NO. DATE Jam'
r
FDEPARTMENT DECISION R PLUMBING PERMIT w3iAPPLICATIONFO
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Pe 't#
APPROVED 1540 SULLIVAN AVENUE
644-2511 ext. 230
77
a g Inspector Application must be printed or typed
Location of job
iZ¢ IyOLGD T`
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER EY
or any fraction thereof s /'ADDRESS
er ri W11VA "41
OWNERS PHONE#
APPLICANT
OW N S F
ADDRESS
4( till
ESTIMATED COST$ d
C IS THIS A CONTRACT COST?
YES NO
FEE ENCLOSED 12
4
TYPE OF JOB:dsO R-C0 Original Installation
Alteration/Addition/Repair
Revised 10/96
f
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 OCCUPANCYASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY
EDUCATIONAL
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 NO.OF 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 MANUFACTURE
TANKS SAFETY DEVICES
TEMPERATURE
CAPACITY RELIEF VALVE
TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE
TYPE MANUFACTURER
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIPM S
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF BUILDING CO THE
PERFORMANCE OF SUC
NAME STATE LICENSE NO. TYPE I AT OF LIC
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