HomeMy WebLinkAbout25 Chase Farm RoadElectric#j 4 s APPLICATION FOR BUILDING PERMIT
Plum6ing# q q,7.Q 25 CHASE FARM P•.OAD
HVAC # E l Date: LJ12
Sprinkler# No. 24021
FINAL APPROVAL Estimated Cost $ /2-2 76 v
Building COMPLETE RED BOXED AREAS Permit Fee
Engineerin TYPE OR PRINT ONLY Occupancy Fee $
Affidavit 7 SIGN ON REMSE SIDEAppr.for CO. e Total Fee A g
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cos $ ,7'i
Th and rsigned hereby applies to do work according to the following specifications:
Jo6 Location C k& Lot No. 3 Side of Street aJe Zone
Applicant Tel.#
Address 25 3 5 r/ t'-4DC' )ea Zip 066 3 Lic.#
Owner ( so ni la• Address Zo 3 3 Z4
Architect %x/ ,.e,/ ' Address
Cop
Sq. Ft.N w Area: 1st Fl. // 3 2nd FI. /3 w 3rd FI. Total New Area /Sy
Rooms 4 K Lavatories Bathrooms —2 Z Garages
Purpose of this permit: /V w S-c-
City Water Well 0 Septic System 0 Sewer7K
Use Group Construction Type Area 7 Bas-ment Zoo Garage
Approved 6y ) 'L Date W14 el
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 sjRet lin s,side yard lines and required
distances from all other zones and is located in a on in w h t and its us Ilowed.
Signed
I hereby apply for a Certificate of Occupancy or a work described in this application for the permit
Signed
NOT WRI BELOW THIS LINE --
INSPECTION COMMENTS
Location of Job:AFFIDAVIT Additional Fee$ 12. 0 0
State of Connecticut
ss.South Windsor
County of Hartford Owner
I Q p J of A S S Agent for the building erected
Contractor
under Permit No. 24021 issued by the Building Department of the Town of Sou ItW' dsor being
duly sworn,make oath and say that the actual cost f the co7plet0eOwork aut d e a' p rmit d' t
exceed the most current accepted BOCA value of S 14 Signed
1, Q
Subcribed and sworn to before me this day of A.D. 19 "!7
Estimated Cost S j a 1 6 n n, n n
Difference:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
97-24021-B 122,700 ti
B01 FOOTING 02/28/97 JFH A
B02 FOUNDATION 04/17/97 JFF A
E01 SERVICE 06/26/97 JFH A RELEASED
P03 ROUGH 07/15/97 JFF A
PO4 GAS TEST 07/15/97 JFF
B04 INSULATION 07/22/97 JFH A
B10 FINAL 09/04/97 JFH A
97-9972-P 5,900
97-9839-H 8,000
97-14301-E 5,000
Total Est Value 141,600
Dwelling 2,544 104,100.48
Basement 1,200 14,880.00
Garage 495 6,138.00
Smoke Det 7 525.00
BOCA Value 141,977.13
Difference 377.13 / —
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
25 CHASE FARM ROAD LOT_# 3 Reviewed By ! / :::::
7 '
7 (Engineering)
CHASE ASSOCIATES, INC. Date Review d m 4EjZ!K3WDenied
2033 ELLINGTON ROAD,SOUTH WINDSOR,CT_ Reviewed By Planning)
BP_#_24021_ Ph_#_(860) 648-2006 Date Review pprov /Denied
Date Submitted 09/03/97 FOR C of 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:
Approved 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;
Z a. sanitary sewer/septic system
b. foundation drain
c. electrical & telephone
d. water
e. other
5. Sewer connection charge paid
6. Appropriate certification
7. Bonding
B. Planning & Zoning/
Inland Wetlands Considerations
Sewer Permit No. 1
Pavement Excavation No.
COMMENTS:
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
ka25CHASEFARMROADLOT_# 3 Reviewed By E eering)
CHASE ASSOCIATES, INC. Date Reviewedyno pprove enied
2033 ELLINGTON ROAD,SOUTH WINDSOR,CT_ Reviewed By nning)
BP_#_24021_ Ph_##_(860) 648-2006 Date Reviewe 4UWT prove Denied
Date Submitted 02/19/97 FOR BUILDIING PERM
z 1 7_'019 7
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,
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.
L d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate
f
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 re arer,P P
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements. (P.E. & L.S.)
5. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS:
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTIe.CUUT
25 CHASE FARM ROAD LOT 3 Reviewed By k9440- t)OAQJV: (Enginee )
CHASE ASSOCIATES, INC. Date Reviewed t 4 7 Approve Denie
2033 ELLINGTON ROAD,SOUTH WINDSOR,CT_ Reviewed By Planning)
BP # 24021 Ph_# (860) 648-2006 Date Revie 9 ro /Denied
Date Submitted 02/19/97 FOR BUILDING PERMIT *****
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
D_ 1. Name, address hone number of owner/applicant
CD 2. Name, address & phone number of plan preparer
3. Zoning Information - i.e. zone, open space,
floodway, etc.
ID4. Plot Plan at 1" = 40' scale
90 a. Subdivision reference, abutting properties, etc
b. Easements of record
RDC. Lot description, bearings, building lines,
distances, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate
I 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
RO g. Tentative utility location (gas, water,
electric, septic system, etc.)
h. Title block with name and address of preparer,
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements. (P.E. & L.S.)
5. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS:
I I f-019 er `
1S San,`7aty sewer '0as-ernes f' a ron w es " `
n of n d-e J
RMIT 4DEPARTMENTDECISIONAPPLICATIONFORELECTRICALPER
PE
MIT A
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE a
644-2511 ext. 230
Date Cwilding ector Application must be printed or typed
Location ofjob
C1a-!s e fAY +&S
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER CI&aS F' ASf CX-' L °
or any fraction thereof
3ADDRESSG Ell,
Cad a t l S oln'-
OWNERS PHONE# a /( z
APPLICANT
OW S ADDRESS G a
C
ESTIMATED COST$
0
XISTHISACONTRACTCOST?
YES NO
CJ FEE ENCLOSED $
TYPE OF JOB:SOR•C0 Original Installation
Alteration/Addition/Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE 01; BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
C_RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY 6;,t,
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 iy t t, 7
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 37 NUMBER OF OUTLETS '
NUMBER OF LIGHT FIXTURES r_3
NUMBER OF HEAT CIRCUITS I NUMBER OF A/C CIRCUITS 1
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 ODES IN THE
PERFORMANCE OF SUCH WORK.
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
J
PHONE NO. (0-5-7-3/01 DATE 1
INSP ACTOR DATE A,C TIMEG
LOCATION to
INSPECTION: CODE: RESULT(D/A) : -
v
BUILDING:r
ELECTRICAL:
nor
E
3v f
PLUMBING:
HVAC:
OTHER:
4
DEPARTMENT DECISION PERMIT 4
APPLICATION FOR PLUMBING PERMIT ctill
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit 4
APPROVED 1540 SULLIVAN AVENUE
tt 7 644-2511 ext. 230
JDateldingInspector Application must be printed or typed
Location ofjob
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt. No.
0 - $1,000 - $12.00
Street
Floor
Over $1,000 F1
12.00 per$1,000 OWNER Clk!e cc—
or any fraction thereof
ADDRESS S -110A L
OWNERS PHONE#
PLICANTA t1 tvLk- MA-u12--N.
pSt ADDRESS ;O!L
ESTIMATED COST$
IS THIS A CONTRACT COST?
YES NO
70ZFEEENCLOSED $
OR- 0 TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
Revised 10/96
APPLICATION FOR PLUMBING PERMIT(Continued from rcvcrse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION YES / NO
v' RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY to
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY JkA
EDUCATIONAL
INSTITUTION
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION OIL SIZE OF MAIN DRAIN Q t
NO. OF TOILETS STYLE NO. OF URINALS STYLE
NO. OF BATHTUBS NO. OF SOWERS NO. OF LAVATORIES
NO. OF CONDUCTORS SIZE NO. OF STACKS I SIZE 3'
AREA OF ROOF NO. OF CATCH BASINS NO. OF FLOOR DRAINS
NO. OF OTHER FIXTURES I KIND bL.. l f 12no I
ARE TOILET COMPARTMENTS VENTILATED T OUTER AIR BY A WINDOW YES/W(!r
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 3 t
ti
WATER HEATER
TYPE OA4— MANUFACTURE 4V `Q 2.LCA 0
TANKS SAFETY DEVICES
TEMPERATURE
CAPACITY 0 oQ RELIEF VALVE
TEST PRESSURE 3 00 WORKING PRESSURE &0 PRESSURE RELIEF VALVE
TYPE MANUFACTURER UJAJt S
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 .
oo ( 33 M
NAME STATE LICENSE NO. TYPE SIG A URE OF APPLICANT
PHONE NO.III A-(S(1 DATE 'I 1 Q~T
DEPARTMENT DECISION PERMIT 4
APPLICATION FOR HVAC PERMIT 99,310
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE aL I
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
Location ofjob
0A 3
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt. No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER Mex,,6 ae-c
or any fraction thereof
ADDRESS
OWNERS PHONE# 0 C/P -a./6
APPLICANT_C.,,-,C,e 0 t9 t
OW 840 ADDRESS I'Kcv(,e 15 A 7,v-r-,;c,
At 4
9v 7 Co
ESTIMATED COST $ e-0 C7 G1---0-&
0
IS THIS A CONTRACT COST?
YES NO
bC9
9 LFEEENCLOSED $
SCR CO TYPE OF JOB:
Original Installation
Alteration/Addition Repair
Revised 11/95
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM TYPE OF BUILDING
HEATING RESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
11 EATING
STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIRS UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE d F INSIDE F DIFFERENCE_22F
TOTAL HEAT LOSS(BTUH) *d o C C
HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY (INPUT-BTUHY NET RATING (OUTPUT-BTUH) as 0
TYPE OF FUEL
OIL-GPM GAS-INPUT/eV ELECTRIC-KW
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDEZ_F INSIDEPl F DIFFERENCE F
TOTAL HEAT GAIN(BTUH);g f cap D
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 MUS4 ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
STATE LICENSE-NO. NAME&TYPE 110N E OF APPLICANT
PHONE NO. 03 -"S3 j D DATE 9,
1 F;'.Lrhi
a
Room
t
E.
i .
GROSS EXPOSED 1,
4 C5 nWALLSy'Lam;LE
L;
5c
55
900 # 860
1
k'•
C 2C1U # 1 't? #
b INDQ 15&GLS DR { N:U 1 163
E.50 7t7 #
30 # 1 u1L
f 1 '00 #
6 WNDONS&GLS DR (HTG) 126 tE
7t7 # 1 GC., n
r_. 10 #
9 NET EXPOSED WALLS 4c 0
M 5 #9 NET E.XF'175ED WALLS 957
r
5 #f. 785
r• cLf -TuL5 # LJ
L.392IC? E" ' `
L{ #1 2CiL+ #
1 5 # t aaowv
1 *SQU # y
18-513SURTTLBTUHLOSS
15 TOTAL BTUH LOSS 207449 1L OU0 #
1713 SUDTTL BTUH LOSS 10=55 5
el # 1 .1 P1`t
15 TOTAL RTUH LOSS 4`t a 610. 5
300 #
1 , 500500 #r r
17 SENSIBLE BTUH GAIN 10,355 c
1.43 F'18 3010
EQ TOTAL BTUH 6A I N 147850. 55
CI'll 17 SENSIBLE BTUH GA INlL . 362. 5
30 # 1 .4'3 F'1'
CO TOTAL BTUH GAIN 17,67R.315
R L I rl # c
S
ROOM
r
Hrc 44
CFM
t41L,L L H TG
GFM 915-
CFI*
1-