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HomeMy WebLinkAbout25 Pheasant WayBNd INSPECTIONS:APPLICATION FOR BUILDING PERMIT PI bin -2 L'- C- HVA -1 2 Date EPTEMBER 19 1 991 Spr' kler 2 5 ' PUASANT WAY El ctri - - Z - Estimated Cost $ 65 , 000 . 00 Zonin Permit Fee $ 650 . 00 Affidavit 1z'-1 NO. 19552 Occupancy Fee $ nn Eng. Dept. Z J, =7 P ` COMPLETE RED BOXED AREAS. 653 . 00FireDept. TYPE OR PRINT ONLY Total Fee $ Health Dept. SIGN ON REVERSE SIDE. qLApprovedfoAdditionalCost) $ v TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location 2t) FHEASANT WAY SO .W I ND S O R Lot No. 3 Side of Street L Zone A 3 0 Applicant DART-HILL- REALTY INC Tel. # 82-0628 Address Zip 06074 Lic.# 0 0356 S STATE Owner SAME Address SAME Architect DESIGN BERIAS INC. Address RALSTON, NE Size New Area: Ft. Front Overall 4 Ft. Deep Overall 140. 41 Total Area 2 3 8 7 Garages 2 No. of Families 1 No. of Stories 2 Construction 2 X 4 Lavatories Bathrooms Rooms 1st 2nd 4 3rd Size of Lot 30 , 900 S. F Dist. from Street Line 5 3 • 1 Dist. from Side Street Line 3 2 . 2 Purpose of this Permit CONSTRUCTION OF A SINGLE FAMILY DWELLING City Water KJ Well 11 Septic 0 Sewer C Approved by Date '" 13131A 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 the plans or specifications of the Building for which this permit is asked,and agree' that this building is to be located th proper distanc 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. Slgned IS I hereby apply for a Certificate of Occupancy for the work described in this application Signed DO NOT WRITE BELOW THIS LINE— t i INSPECTION RECORD Footing Framing Foundatio - fS-\- 7-1 I I!SC--- Fireplace/Chimney Insulation Plumbing Permit# Inspections'I-S-`f I U G- +f 'i7c-t-f i11AG HVAC Permit# ' - 7 Inspections7ElectricalPermit# 1'Inspections. - At I Sprinkler Permit# Inspections: Location of job AFFIDAVIT Additional Fee . .4 7 O.O 0 State of Connecticut County of Hartford Owpfftooff1.'llll I EQ. .. . . g for building erected under fr Permit No. . . . . 19.5 5 2. .. .. . . .. . . . . . . . issued by the Dept of Building of the Zbwn of South Windsor being duly sworn,make oath id not exceed the currentandsaythattheactualcostofthecompletedworkauthorizedundersaidpermitv . . .d.. . . . . . . . . .. . . .. .. . . . . . . . . .. . • . ' 6 3 5 . 00acceptedBOCAVALUEof $120, Signed . . . . . . .. . . .. . . . . e. . . ... . . . . . . . . . . . . Subscribed and sworn to before me this . .. . . .G...(. . .. . . jdayof . . .. ..A NWo-taryPublic.' A.D.19 I. . Esfimate Cost:$ 7 4, 0 Q n -n n Difference: $ 4 6, 6 3 5 .0 0 1) Area of Dwelling Z, W sq. f t. x 37 .18 4Y, 7Pf 7 a 2) Area of Basement sq. ft. x 9 .95 of g7 3) Area of Garage G Z 1 sq.f t. x 11 .7 5 7, 2 4) Smoke Detector @ $ 75 .00 2 2s 5) Sub Total 6 ,7S-C oc 6) CT Cost Modifier x 1 .13 C 3 S 7) Est. Cost (Includes Building Permit, Electrical, Plumbing & HVAC) 8) Difference between Line 6 & Line 7 Q1-17 0 " fJ 114*ANW Wed 6 :+n ' ,-' BUILDING INSPECTION DEPARTMENT SOUTH WINDSOR, CONNECTICUT FEE PAID: $3.00 CERTIFICATE OF OCCUPANCY ZONE: DATED 1124 19., 92 This is to certify that 25 Pheasant Way Er ct d under permit No. 19552 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— New one family residence -- Lot #3 Use Gr up: R4 C nstr. Type: 5B Building Official Notice:If this certificate is lost or destroyed, a duplicate should be obtained immediately from the Building Department. t Any change or extension of the use herein approved requires a new certificate of occupancy. C, CERTIFICATE OF OCCUPANCY CaECK MST y u Applicant JMJ Const. Co, Certificate of Occupancy g Address Bldg. Permit No. Lot No. °Pheasant Way) Date Submitted Project Partridge Meadow Reviewed By Date 1 7 - /2 2 d As required in the Zoning 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 inlcude: Approved Denied N/A I-at, 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 b. foundation drain c. electrical & telephone d. water e. other 5. Appropriate certification 6. Bonding c Sewer Permit No. Pavement Excay. No. COMMENTS: r..— .cywcr'.RC Mrr.•..a!'a -•.t++.!'7`•1R' :tL'+rr....a-1..p. .•s..e•s-M,;;r+. .....q;.z-.• - `+y'1"' BBUILDING PEIUIIT CHECK LIST Applicant Dart Hill Realtv. Inn- Building Permit No. Address 658 Ellington Road. S _ w_ Date Submitted Lot No. 3 #25 Pheasant Way Reviewed by Project Partridge Meadow Date Rk-3A In accordance with the Subdivision Regu ations, prior to tie 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, fl oodway, etc. 4. Plot plan at 1" = 40' scale. a. Subdivision reference, abutting properties, etc. b. Easements of record. c. Lot description, bearings, distances, building lines, 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 & center line of road at driveway. f. Elevations of gravity drainage systems, sanitary & foundation drain at the house and the street. 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 IWA/CC WPCA OTHERS 8y 11 COMMENTS:C} ` A"rik nQt`n 12 W ' PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT hlq o-7 Application is hereby :TOWN OF SOUTH WINDSOR f!AFPPROVE DEISAPPROVEDBUILDINGINSPECTIONDEPT. 644-2511 Ext. 230 Application must be printed or typed . Date Bu ' ding Inspector 1. LOCATION OF JOB FEE SCHEDULE No . Street 0 - $12000 -10.00 Floor Apt . No. ll Over $1,000 -10.00 2. OWNER per $1 ,000 or fraction thereof 3. ADDRESS s 4. APPLICANT S t d-riz 5. ADDRESS IS- eel 6. ESTIMATED COST $ i 7 . IS THIS A CONTRACT COST t Yes No 8 . FEE ENCLOSED $ d d 3t-136- P. T 145 9. TYPE F BUILDING: j RESIDENTIAL COMMERCIAL I 10. TYPE F JOB : Original Installation Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB Q NO. STREET APT. NO 12 . TYPE OF INSTALLATION 4, 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. 18 . NO. OF HEAT CIRCUITS 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 \ SC 25 . NO. OF MOTOR S- 26 . NO. OF PANELS i 27 . TOTAL WATTAGEal14U 28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS 32 . NO. OF FIXTURES a 33 . TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : IL& LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER: r r - ..e,r„„ -- -,-f-w.+,fs-•-•--+...,... -+ • _x n-J-ir -,r*r+'-'rT' L?FF'.•'t -...r+.._--_, ^T. -'rr^-'..r-.;m'rs+m+ .--sue..-o -;p a°74 r7'"r i Int No.,- Building Permit f 2 l E- Tjerfifaft Temporary Service Perm2inent Service Pursuant to Permit No-' - This Certifies that the Electrical Work for which the above named Permit was granted has been duly inspected and is hereby approved. Owner ° 1 # 1 .. i r' Electrician ; Street - Building Inspector PERMIT NO. Z9 DEPARTMENT DECISION A P P L I C A T I O N F O R Application is hereby: PLUMBING PERMIT TOWM OF SOUTH WINDSOR APPROVED DISAPPROVED BUILDING INSPECTION DEPT. Jk L 644-2511 Ext. 230 C 4 ^q Date Bu ding Inspector Application must be printed or typed. 1. LOCATION OF JOB: afi Phea,;.-Ati-- k. 3 FEE SCHEDULE 2. OWNER:-= I n 0 - $19000 - 10. 00 3. ADDRESS: Over $1,000 - 10.00 n A3 a per $1 ,000 or F"JS INC.4. APPLICANT: fraction thereof 054 ENFIELD STS 5. ADDRESS: K0, BOX 233 FIELD, CT 06082 6. EST. COST: $ j 7. IS THIS A CONTRACT COST? , ,--`YES Nd 8. FEE ENCLOSED: $ C PA- i - 9. TYPE OF BUILDING: 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: l.J`T 1 1 Q 13. SIZE OF MAIN DRAIN 14. N0. OF 3TOILETSSTYLEaaNO. OF URINALS STYLE 16. NO. OF BATHTUBS_ 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES 18. NO. OF SINKS_ 19. DISPOSAL _ 19A. DISWASHER4 i 20. N0. OF CONDUCTORS SIZE 21. N0. OF STACKS SIZE 22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES UZ.t,. KIND 1 )6-kl 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. SEWER OR SEPTIC TANK? 31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS 32. REMARKS AND FURTHER DETAILS WATER HEATER 33. TYPE 34. MANUFACTURER TANKS SAFETY DEVICES TRIPERATURE 35. CAPACITY 39. RELIEF VALVE 36. TEST PRESSURE LBS. 40. MANUFACTURER 37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE 38. TYPE 42. MANUFACTURER LICENSE NO. DATE SIGNATURE OF APPLICANT PHON E NO. FS` YV FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: DN J TOWN OF SOUTH WINDSOR EST.COST: BLDG. PERMIT NO. SA 1540 SULLIVAN AVENUE FEE L-ki= *W.Q- SOUTH WINDSOR, CT 06074 FEES: 19 2511 - Eat. 230 o - $19000 - $10.00 1000 or fraction LOCATION OF BUILDINGACja.A,- thereof - $10.00 OWNER AD RESS TOWN PHONE N0. HVAC CONTRACTOR ADDRESS TOWN PHONE N0. TYPE OF SYSTEM: HEATING L TYPE OF BUILDING: RESIDENTIALS A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONC WARM AIR UNIT RADIANT'HEATER (INCLUDING WOOD COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM GAS IN-PUTIF6joUD ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY LPG TANK - CAPACITY EXISTING RADIATION_ ADDITIONAL RADIATION TOTAL RADIATION Kj,-X+ (DZ, DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS (BTUH) Is HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): C C f C 6ftl rao GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE F 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: U STATE LICENSE - NAME & TYPE # ATE SIGNATURE OF APPLICANT APPR VED DATE BD 4A 11/88 I - B a R CALCULATION SHEET ISM (Modern Method) Copyright 1977 by The Hydronks Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL.A COL.6 COL.C COL.D COL.E COL.F COL.G 1 ROOM O H L W H L W H L W H L W H L W Design Water Temp. 2 ROOM DIMENSIONS,FT.F U STUN per F t of 3 LENGTH EXPOSED WALLS,FT. Radiation Selected a WINDOW AND OUTSIDE DOOR AREA kuL. BTUH STUN STUN BTUH STUN 5 WALL CONSTRUCTION ROOM LIN.FT.OF Table 9,Line 3 x H) TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED Bottom of table used for Line 5) 7 CEILING CONSTRUCTION C Table 9. L x W) e FLOOR CONSTRUCTIONt D Table 9, L x W r Lin. F t) E 9 COLD PARTITION CONSTRUCTION F Table 9,L x H) G 10 _C 1 Wall(With Openings)0 2 Walls(With Openings) e X H 3 Wells(With Openings) or Ent.Hall 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K COL.A _ _COLS COL.H COL.1 COL_J COL.K COL.L TOTAL BTUH TOTAL 1 ROOM OF BUILDING RADIATION AT SELECTED O H L W H I L W N L W H I L W H L W DESIGN TEMP.* 2 ROOM DIMENSIONS.FT 16" DIFFERENCE U 3 LENGTH EXPOSED WALLS, FT. Q 41 WINDOW AND OUTSIDE DOOR AREA U. STUN STUN STUN BTUH BTUH 5 WALL CONSTRUCTION INCREASE BATHROOM Table 9,LIns 3 x H) TOTAL 20% 6 TYPE OF GLASS Bottom (table used for Line 5) 7 CEILING CONSTRUCTION I FOR CONCRETE FLOOR ON GROUND OR FILL AT Table 9,L x W)GRADE LEVEL,USE LINEAR B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE Table 9,L x W r Lin Ft.) 9 COLD PARTITION CONSTRUCTION Table 9, L x H) 10 -c 1 Wall(With Openings)C 2 Walls(With Openings) e X0 3 Wells(With Openings) or Ent.Hall J 11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE FORM 1503 This f rm Is available fr m The Hydronlcs Institute,35 Russo Place,Berkeley Heights,N.J. 07922 I = B= R CALCULATION SHEET 1503 (Modern Method) l/ /tea— cop,.i,l,t 2977 by The H,er ,ia Institute_ OWNER ADDRESS DESI NTEMPERATURE DIFFERENCE-2, F. DATE COL.A y COL.B COL C COL.D COL.E COL-F n COL C 7 ROOM L 1 *." i ., J)s._ ., /! /; T>`{ f:':O H L W N L W H L W M L -W N L W kiln Water Temp, 2 ROOM DIMENSIONS,FT. 3 LENGTA EXPOSED.WALLS,FT. y_ _ _ N'TUH per Fo t i Z f Sr y --- itaAtative Selected 4 WINDOW AND OUTSIDE DOOR AREA u. 6 BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION Table 9,'Lirw 3 x H) R M LIN.FT.C L Cam- T TALS RADIATION 6 TYPE OF GLASS FR M LINE 12 SELECTED B ttom of table used for Line 5) x 1 -2- 7 CEILING CONSTRUCTION CTable9,1L x W) g FLOOR CONSTRUCTIONT Table 9,L x W or Lin Ft) c{'L)a D it llZ t Z cr'C3 E S S—GTZ' 9 COLD PARTITION CONSTRUCTION Table 9,'7L x H) 10 ,c 1 Wall(With Openings) c/Y x ti 2 Wells(With Openings)e X 3 Wells(With Openings)or Ent Hall F - v ; J111TOTALBTUHAT70FTEMP.DIFFERENCE* 12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE jj- G-y- V-.Z S` K' L COL.A COL. 9Lli-3COL.. H COL COL..J.. . COL.K COL.L ' TOTAL BTUH T TAL 1 ROOM OF BUILDING RADIATION t r AT SELECTED pL W H L W H L 1Al. N 1 W H L - MI; 1DESItiNTEMP w nIFFERENCE2ROOMDIMENSIONS,FT. LENGTH EXPOSED WALLS,FT. 4 WINDOW AND OUTSIDE DOOR AREA BTUH STUN BTUH BTUH BTUH5WALLCONSTRUCTION INCREASE BATHROOM1Table9,Line 3 x H) ry TOTAL 20% 6 TYPE OF GLASS Bottom of able used for Line 5) 7 CEILING CONSTRUCTION FOR CONCRETE FLOOR ON GROUND OR FILL ATTable9,L x W) GRADE LEVEL,USE LINEAR g FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE TableB.Lx W or Lin.Ft) L Z r L•9 COLD PARTITION CONSTRUCTION Table 9,L x H) 10 _`c 1 Wall(With Openings) c 2 Wells(With Openings)z x 3 Wells(With Openings)J or Ent Hall f. 11 TOTAL BTUH-AT 70F TEMP.DIFFERENCE' L, r, L,-v 12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE T4is form is avallable from The Hydronics Institute,35 Russo Place,Berk ley H fights,N.J.07922 FORM 2503 1 B= R CALCULATION SHEET 1503 (Modern Method) Copyright 2977 by The ydronics Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE f` 7-9/ COL A - .2 _ c*a(/ COL.s COL C COL.D COL.E COL F COL a 1 ROOM c ,, Al,61 /7. 1J/-e- Z f3 1 /13 0 ,i ,4 , / O H L W H L W H L W H L W H L W Design Water Tamp. 2 ROOM DIMENSIONS,FT. v Ff f(„ /3 1? !/ i /-z 3 STUN per Foot of 3 LEN TH EXPOSED WALLS,FT.2 J Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA STUN BTUH BTUH STUN BTU" 5 WALL CONSTRUCTION Table 9.Line 3 x H) p ) (ii G,--` u ROOM LIN.FT.OF L> ti G V / ) Z G T TALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED Bottom of tabs used for Line 5) 7 CEILING CONSTRUCTION Table 9.L x W) egFLOORCONSTRUCTIONt Table 9,L x W or Lin.Ft) yZ 9 COLD PARTITION CONSTRUCTION Table 9,L x H) 10 * o 1 wan(with Openings) 3 0--0 y U 2 Wells(With Openings)zX 3 Walls(With Openings)or Ent Hall J 11 TOTAL BTUH AT 70F TEMP.DIFFERENCE* 12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE rZ K L COL.A COL.B COL H COL.I COL.J COL K COL L T TA1L BTUH T TAL 1 ROOM OF UILDING RADIATION E AT SELECTED p H L W H L W H L W H L W H L W DESIGNTEMP.s 2 ROOM DIMENSIONS,FT. I'DIFFERENCE V 3 LENGTH EXPOSED WALLS,FT. 4 WINDOW AND OUTSIDE DOOR AREA i rC' STUN BTUH STUN STUN BTU" 5 WALL CONSTRUCTION INCREASE BATHROOM Table 9,Line 3 x H) TOTAL 20% 6 TYPE OF GLASS Bottom f table used for Line 5) xl ) L 1FOR CONCRETE FLOOR ON7CEILINGCONSTRUCTIONGROUNDORFILLAT Table 9,L x W) c } J L) GRADE LEVEL.USE LINEAR 8 FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE Table 9,L x W or Lin. Ft) 9 COLD PARTITION CONSTRUCTION Table 9,L x H) 10 r. 1 Wan(With Openings)v/dam y o 2 Walls(With Openings)2 X 3 Walls(With Openings)or Ent Hall 11 TOTAL BTUH-AT 70F TEMP. DIFFERENCE' 12 TOTAL STUN AT DESIGN TEMP.DIFFERENCE t Cry FORM 1503ThisformisavailablefromThHydronicsInstitute,35 Russo Place,Berkeley Heights,N.J.07922 Electric# 3 APPLICATION FOR BUILDING PERMIT Plumbing# 25 PHEASANT WAY HVAC # b 22862 Date: /Z Sprinkler# NO' FINAL 4PR O Estimated Cost $ ` Building COMPLETE RED BOXED AREAS Permit Fee C=j U Engineering TYPE OR PRINT ONLY Occupancy Fee $ 3 Affidavit SIGN ON REVERSE SIDE IIIAppr.for CO. Z Total Fee 4 3 TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $ Th undersigned hereby applies to do work according to the following specifications: Job Location 7r Lot No. Side of Street Zone Applicant Awrl,•) Tel. # bs->- -1900 Address /3S j4=jce! .,4r4ST", 67% Zip 0653; Lic.# S44-741 Own r ::50*i3 2 L. Address 26- 1'i asr,.n' W4.-/ S. W , Architect &1-4 Address Sq. Ft. New Ar a: 1st A. 2nd FI. 3rd FI. Total New Area Rooms 2 Lavatories a Bathrooms a Garages a Purpos of this permit: "/iWS+iaD 2jq.za/YIc-rJT iUy SGC--ep/N G AQ£tYS City Water ` Well 11 Septic System Sewer 2 Use Group Construction Type S(3 Area Basem nt Garage Approved by Date !2 7ff Revisal 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 s!rpi6t lines,side yard lines and required distances from all other zones and is located in a zone in which thi ilding and it s allowed T Signed I hereby apply for a Certificate of Occupancy for the described in this application for the polmit Signed DO N RITE BELOW THIS LINE -- INSPECTION COMMENTS PERMIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 137 r Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT.APPRO DISAPPROVED 1540 SULLIVAN AVENUE 644-2511 Ext . 230 Date Building Inspector Application must be printed or typed 1 . LOCATION OF JOB FEE SCHEDULE No . Street 0 - $19000 - 10.00 Floor Apt , No. Over $1 ,000 - 10.00 2 , OWNERper $10000 or fraction thereof 3. ADDRESS lox 4. APPLICANT S. ADDRESS 2 6. ESTIMATED COST 7 . IS THIS A CONTRACT COST Yes No 8. FEE ENCLOSED $ 9. TYP OF BUILDING= RESIDENTIAL COMME"IAL 10. TYPE OF JOBt Original Installation f/ Alteration/Addition/Repair RD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB NO. STREET APT. NO , 12 . TYPE OF INSTALLATION 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 18 . NO . OF HEAT CIRCUITS 19. NO. OF POWER OUTLETS 20 . NO. OF CONVENIENCE OUTLETS f 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 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_ 34. NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : LICENSE NO .SIGNATURE OF APPLICANT DATE PHONE NUMBER: FOR OFFTLE USE ONLY APPL ATION FOR RVAC PVXIT DATE: t-- ,o k' NO. y Tow OF S%M WINDWR EST.SST: 10vo BLDC, PERMIT so b i5rh0 SUi.LIVA i A 1ST FEE SOOR WI I SOR, CT 06074 Sii - Ext. Z30 19000 - $10.00 64 1000 or fraction LOCATION OF BUILDING o' `" thereof - $10.00 OWNER ADDRESS PHONE NO. 7 14"cops/14 r Of 16 aa,--2Aa A 0 T CTO TOWN HO O. 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 AIR4 UNIT RADIANT HEATER (INCLUDING WOOD COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM GAS IN-PUT WOOD COAL ELECTRIC KW OIL TANK - SIZE b LOCATION: INSIDE OUTSIDE CAPACITY LPG TANK - CAPACITY EXISTING RADIATION,= ADDITIONAL RADIATION TOTAL RADIATIONJIW DESIGN TEMP. OUTSIDE OF INSIDE20 °F DIFFERENCE F TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST ACCOMPANY f LICATION) DESCRIBE ALL HEATING EQUI INCLUDING MAKE & MODEL NO.): y GROSS AEA ING CAPACITY (INPUT-BTUH) NET RATIM (OUTPUT-BTUH) IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE 1 2 °F INSIDE ZQ_°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: STATE LICENSE - NAME b TYPE #DATE , S NA 0 I T VED DATE I - 8 - R CALCULATION SHEET 1603 (Modern Method)Copyright 1971 by The Hydronlcs Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL A COL.S COL.C COL.O COL.E COL.F COL.G 1 ROOM 222p H L W H L W H L W H L W H L W Design Water Temp. 2 ROOM DIMENSIONS, FT.'t- U STUN par F 1 of 3 LENGTH EXPOSED WALLS,FT. Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA LL TUN STUN STUN STUN STUN 5 WALL CONSTRUCTION Table 9, Line 3 x H) ROOM LIN. FT.OF 0A TOTALS RADIATION 6 TYPE OF GLASS ZFROM LINE 12 SELECTED 10 ttom of table used f r L ine 5) V7 CEILING CONSTRUCTION C Table 9, L it W) B FLOOR CONSTRUCTION1 ITable 9, L x W or Lin. F t) E 9 COLD PARTITION CONSTRUCTION F Table 9, L x H) 10 c I Wall I With Openings)O 2 2 Wells(With Openings)e X 3 Well,lWrlh Openings)or Ent.Hal t' I 11 TOTAL tlTUH AT 70F TEMP DIFFERENCE' 12 TOTAL STUN AT DESIGN TEMP. DIFFERENCE K L COL.A - _--- -__ COL.S COL.H COL.1 COL_J COL.K COL.L TOTAL STUN TOTAL 1 ROOM OF BUILDING RADIATION IK AT SELECTED p H L W H L W H L W H L W H L I W DESIGN TEMP.- 2 ROOM DIMENSIONS.FT f' DIFFERENCE U 3 LENGTH EXPOSED WALLS. FT d WINDOW AND OUTSIDE DOOR AREA U STUN STUN BTUH BTUH STUN 5 WALL CONSTRUCTION INCREASE BATHROOM Table 9, Lino 3 x HI TOTAL 20% 6 TYPE OF GLASS IS atom f table used for Line 51 7 CEILING CONSTRUCTION t FOR CONCRETE FLOOR ON Table 9, L x W) GROUND OR FILL AT GRADE LEVEL,USE LINEAR B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE I T able 9,L x W or Lin Ft I 9 COLD PARTITION CONSTRUCTION Table 9, L x H) 10 c 1 Wall(With Openings)O 2 Walls{With Openings)e XO 3 Wells(With Openings)or Ent Hall i. e.J - 11 TOTAL BTUH AT 7OF TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE FORM 1503ThisformIsavailebiefromTheHydronlcsInstitute36RussoPiece, Berkeley Heights,N J 01922