HomeMy WebLinkAbout25 Heritage DriveElectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 25 HERITAGE DRIVE
HVAC # Date:
Sprinkler# No. 23 812
FINAL APP OV Estimated Cost $Budding] v 7 COMPLETE RED BOXED AREAS Permit FeeEngineersg114f2>1 TYPE OR PRINT ONLY Occupant Fee $yAffidavit
Appr.for CO. r 7 SIGN ON REVERSE SIDE
Total Fee Q 3TOBUILDINGDEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $ Vj y
Th and rsigned hereby applies to do work according to the following specifications:
Job Location P 40z ! r- C; , j,s- rs Lot No. 4 Side of Street=Zone
Applicant
Addr ss_ I7y c' `
A Zip Lic.#
Own r Address
Architect Address C" C' r' -vat
Sq. Ft.New Area: 1st A. 2nd FL ZIS=3 3rd FI.fatal New Area__ /G,Rooms Lavatories / Bathrooms Garages_?Purpos of this permit: A&'42 La r Y f-, , o +? - CL7 rjaf 06;*r#"
City Water Well 0 Septic System 0 Sewer 8-'
Use Group 4 Construction Type Area Bas nt 960 Garage 'Approved by Date
Revised 6/95
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked, and agree that this building is to be located the proper distance from all street lines,side yard lines and required
distances from all other zones and is located ina in which this building and its use is allowed
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit
Signed I'V"r ,-/J eJ"j
DO NOT WRITE BELOW THIS NE --
INSPECTION COMMENTS
Location of Job: AFFIDAVIT Additional Fee
State of Connecticut
ss. South Windsor
County of Hartford
I S of f .TnL gent or the building erected
Contractor
under Permit No. 23812 issued by the Building Department of the Town of South Windsor beingdulysworn,make oath and say that the actual cost of the completed work an rized under said permit did notexceedthemostcurrentacceptedBOCAvalueofS136 ,5 2 9 . 0 0.
Signed
Subcribed and sworn to before me this day of SA.D. 19
Estimated Cost S 10 5 , 10 0. 0 0
U
Difference: $ 31 , 429 . 00
Notary lie
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
96-23812-B 98,500
B01 FOOTING 11/18/96 JFF D MUCK OUT/FROST-REVFOOTING/NEEDS WINTER
PROTECTION
B01 FOOTING 11/18/96 JFF A REINSPECT/OK FROST REV FTNG/OK MUCK OUT/
OK WINTER PROTECTION-HAY FOR PROTECTION
B02 FOUNDATION 12/03/96 JFH D NOT READY
B02 FOUNDATION 12/03/96 JFH A
E01 SERVICE 01/07/97 JFH A RELEASED OK
B03 FRAMING (ROUGH) 02/06/97 JFH A
B09 OTHER 03/11/97 JFH A FRAMING QUESTION
P03 ROUGH 03/19/97 JFH A
PO4 GAS TEST 03/20/97 JFH A AIR TEST
P02 UNDERGROUND 06/27/97 JFH A
B10 FINAL 10/02/97 JFF A APPROVED FOR CO & CLOSEOUT
97-9906-P 1,900
97-9902-H 1,900
97-14227-E 2,800
Total Est Value 105,100
Dwelling 2,478 101,399.76
Basement 960 11,904.00
Garage 564 6,993.60
Smoke Det 7 525.00
BOCA Value 136,529.27 3 gy °°
Difference 31,429.27 d
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
25 HERITAGE DRIVE LOT_# Reviewed By 1 -^
w
Engineering)o
RSK-KELLCO, INC. Date Revieed A e Denied '
1744 ELLINGTON ROAD,SOUTH WINDSOR,CT_ Reviewed By ,y Planning)
BP_#_23812_ Ph_# (203) 644-8761 Date Reviewed /J rov /Denied
Date Submitted 09/30/97 FOR C of ****
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;
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
C_ 8. Planning & Zoning/
Inland Wetlands Considerations
Sewer Permit No.
Pavement Excavation No.
COMMENTS:
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
25 HERITAGE DRIVE LOT ## 4tr Reviewed B 007 -
y/. Engineering)RSK-KELLCO, INC.Date Reviewed S" 96 ov 1--al1744ELLINGTONROAD,SOUTH WINDSOR,CT_ Reviewed By lanni
BP_#_23812_ Ph_##_(203) 644-8761 Date Review i/ 6 Appro /
Date Submitted 11/04/96 FOR BUI NG PERMIT
In accordance with the Zoning and/or Subdivision Regu ations, 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 & :hnnP niimher of
2. Name, address & phone number of plan preparer
3. Zoning Information - i.e. zone, open space,
6rl floodway, etc.
4. Plot Plan at 1" = 40' scale
a. -—ivision reference abutting properties, etc
b.- rffasements of record
J C. Lot description, bearings, building lines,
distances, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate
e. Building location with dimensions.
Elevations of proposed finish floor, garage
floor & centerline of road at driveway
f. Elevations of gravity drainage systems, sanitary
foundation drain at the house and the street
g. Tentative utility location (gas, water,
electric, septic system, etc.)
h. Title block with name and address of preparer,
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements. (P.E. & L.S.)
02 5. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS:
ra
At
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg P rmit#
APPROVED 1540 SULLIVAN AVENUE
6.4-2511 ext.230
Date 2Bding Inspector
Application must be printed or typed
Location ofjob
141C/a c,e .0/-/v-e-
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER
or any fraction thereof
I
ADDRESS ` I `—}i rt ck-
OWNERS PHONE#
T—
co*
APPLICANT
SAN ADDRESS 3 c)
ACknCkes4 -r C 0 (0c> c7
ESTIMATED COST$
C IS THIS A CONTRACT COST?
YES NO
C!FEE ENCLOSED $ `Xa
TYPE OF JOB:sOR-CO X Original Installation
Alteration/Addition/Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATE TH A
RESIDENTIAL BUILDING PERMIT APPLICATIO 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
Othcr please spccify)
TYPE OF INSTALLATION/WIRING METHOD V C-
4SIZEOFMAINFEEDERSANDRATINGOFWIREUSEDC> L-
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/0
NUMBER OF LIGHT CIRCUITS 5' NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES '2C, NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES 2
NUMBER OF HEAT CIRCUITS_ NUMBER OF A/C CIRCUITS
SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
W -L/ Z a
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.
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
PHONE NO. DATE zz
INSPECTOR D JATE D 7 TIME
LOCATION 41 13
INSPECTION:CODE: RESULT(D/A) :
BUILDI -
17
ELECTRI
PLUMBING:
HVAC:
OTHER:
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PEqyo
Application is hereby-: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE 07 39) 2—
644-2511 ext. 230
Date Building Inspector Application must be printed or typed
Location ofjob
Street No. Sudet Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER X,P- -
or any fraction thereof
ADDRESS
OWNERS PHONE#
APPLICANT 4
S ADDRESSOWNF
ESTIMATED COST$ O
O 41F t
C IS THIS A CONTRACT COST?
i•j V YES NO
ftw
do
G FEE ENCLOSED $ y
TYPE OF JOB:
OR-CO Original Installation
Alteration/Addition/Repair
Revised 10/96
APPLICATION FOR PLUMBING PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION YES / NO
RESIDENTIAL
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCY
INSTITUTION
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION 7A y SIZE OF MAIN DRAIN
NO. OF TOILETS 3 STYLE NO.OF URINALS STYLE
NO. OF BATHTUBS_NO.O 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 I2/- // -
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
GG
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 SUC I
NAME STATE LICENSE NO. TYPE IGNATURE OP APPLICANT
PHONE NO.,/ DATE
FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE:
NO. 9 Ef Daz H ) TOWN OF SOUTH WINDSOR EST.COS
BLDG. PERMIT NO. 3 I o), 1540 SULLIVAN AVENUE FEE
SOUTH WINDSOR, CT 06074 FEES: z
644-2511 - Ext. 230 0 - $19000
1000 or fraction..
LOCATION OF BUILDING thereof - $W.00
ilk
OWNER ADDRESS TOWN PHONE NO.
Aj - C%/J
HVAC MNTRACTOR DRES , 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 ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION_ ADDITIONAL RADIATION TOTAL RADIATION_
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE F
TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE 6 MODEL NO.):
GROSS HEATINC CAPACITY (INPUT-BTUH) NET KATING (OUTPUT-BTUH)
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE F 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:
3 6 2 ,1
STATE LICENSE - NAME b TYPE # 11AT2 1CNATURE OF APPLICANT
APPROVED DATE
8D 4A 11/88
I - B- R CALCULATION SHEET 1503 (Modern Method)Copyright 1971 by The Hydr nlcs Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.B COL.C COL.D COL.E COL.F COL.G
1 ROOM --- L. 'r1t'r1 i e ri e e
O H L W HH L W H L W H Lf W id L W Design Water Temp.
2 ROOM DIMENSIONS, FT.U 0 is / d / cJ /1 @TUN pair F t of
3 LENGTH EXPOSED WALLS,FT. t Q Sp 3V Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION ROOM LIN. FT.OF
Table9,Line 3x H) i0 0 Q0 l Rd 0 po0 d0 vv TOTALS RADIATION
6 TYPE OF GLASS fJ
FROM LINE 12 SELECTED
III
e
ttom of table used for Line 5) A 0 0 T 0 0 J-VA0 Rooo 0
c /;V O
7
7 CEILING CONSTRUCTION y C 0, 000 /
ITable9,L x W)la OD Fd0 y6j V FOO QCoo /,R x-;2
B FLOOR CONSTRUC
IE Ct7 !TIONI
Table 9, L x W r Lin. F t) E
9 COLD PARTITION CONSTRUCTION fr 4(, too 7
Table 9,L x H) G 0(d •
10 c 1 Wall(With Oponln0a) U l UV H S/god L
2 Wells Openings) X 6 $ Q 3 a
1 5! pQ
3 Wells IWsIh Opening)or Ent.Hall H
11 TOTAL BTUH AT 70F TEMP DIFFERENCE' v G 4190 d
P12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE 00(7 c"d0 V o Q dC) K
L
COL.A COL.B COL.H COL.1 COL.J COL. K COL.L
1_
TOTAL/TUH TOTAL
1 ROOM Q TGr C1.7 p? OF BUILDING RADIATION
Q AT SELECTED
O H 1 L I W H L W H I L I W H L I W H L W DESIGN TEMP.*
2 ROOM DIMENSIONS. FT g' / p d
DIFFERENCE
U 1
3 LENGTH EXPOSED WALLS, FT. 41 a
41 WINDOW AND OUTSIDE DOOR AREA u
BTUH TUN BTUH BTUH BTUH
5 WALL CONSTRUCTION n aa INCREASE BATHROOM
Table 9,Llne 3 x H) 7 tJ vV 7 Q 0 41 00 TOTAL 20%
6 TYPE OF GLASS
IB tt m f table used for Line 51 DU _ ll Dd y 0-
IFOR CONCRETE FLOOR ON7CEILINGCONSTRUCTIONGAT
Table 9, L x WI es- ov O D Q GROUND FILL
GRADE LEVEL.USE LINEAR
B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
T able 9.L x W r LIn F 1.1
9 COLD PARTITION CONSTRUCTION
Taible 9,L x H)
10 •
G
1 Well(With Openings)i(JIO 00 --- - ( 6)0 -`-oO- - -------
2 Walls(With Openings) o x
3 Walls(With Openings) or Ent. HallJ
11 TOTAL BTUH AT 70F TEMP DIFFERENCE' U 4 l d 0 f
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE - 0 O
FORM 1503
This form 1s available from The Hydr nlcs Institute 35 Russo Piece,Berkeley Heights,N J 07922