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HomeMy WebLinkAbout25 Vincent Circle (2)Electric# 13 1-2 25 vIN APPLICATION FOR BUILDING PERMIT Plumbing# CENT CIRCLECE HVAC # q j --IV —.A '(, Dot Sprinkler# g5'1g1<H1 No. 23053 FINAL PRO Estimated Cost $ S v Buil T 9' ! y`"` COMPLETE RED BOXED AREAS Permit Fee Enginee in Zy ./ TYPE OR PRINT ONLY Occupancy Fee $ t3"00 Affidavit o/ SIGN ON REVERSE SIDE Appr.for CO. Vil Total Fee TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $ 1,6. The undersigned hereby applies to do work according to the following specifications: r Job Location Lot No. Side of Street_Zone Applicant Tel. # &V41- VA Address Zip D 6 Lic. # Owne Address Archit ct Address Sq. Ft. New Area: Ist FI._ Y 2nd A. 3rd FI. Total New Area Rooms Lavatories I Bathrooms Garages Purpose of this permit: 4 City WaterX Well 0 Septic System 0 Sewer X Use Group Construction Type Area f / Base;'iltl)v 32 Garage Z 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 in a zone in which this building and its use is allowed. Signers I hereby apply for a Certificate of Occupancy for the work described in this application for the permit Signed DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS a VWI, 1"usm Location of Job: AFFIDAVIT Additional Fee S 110.. 0 0 State of Connecticut ss.South Windsor County of Hartford I A4((R i lE L TACCLJ P& ofig9Efd I LL- tt'l Agent for the building erected Contractor under Permit No. 2 3 0 5 3 issued by the Building Department of the Town of South Windsor being duly sworn,make oath and say that the actual cost of the completed work authorized under acid permit did not exceed the most current accepted BOLA value of S 113 , 7 2 9 . 0 0. Signed Subcribed and sworn to before me this 1 S day of J-ff A.D. 19 Estimated Cost S 10 2, 8 0 0. 0 0 Difference: S 10 ,9 2 9. 0 0 Notary Public 111SJJe L1U11 / APPLUVdl UdLt!Jay APP1 Code Description Due Whom Code Comment 96-23053-B 95,000 B01 FOOTING 04/17/96 RAN A P02 UNDERGROUND 05/17/96 JFF A E01 SERVICE 05/30/96 JFF A NOTIFIED NU P03 ROUGH 06/03/96 JFF A B03 FRAMING (ROUGH) 06/05/96 JFH A E03 ROUGH 06/05/96 JFH A B04 INSULATION 06/13/96 JFF A PO4 GAS TEST 07/23/96 JFH A AIR TEST B10 FINAL 07/26/96 JFF A 96-9473—H 1 ,000 96-9750—P 1 ,900 96-9519—H 1 ,900 96-13925—E 3,000 Total Est Value 102,800 Dwelling 1 ,994 81 ,594.48 Basement 1 ,032 12,796.80 Garage 462 5,728.80 Smoke Det 7 525.00 BOCA Value 113,728.94 Difference 10,928.94 R 10 a 1 SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 25 VINCENT CIRCLE LOT_# 3 Reviewed By 00-1 En ineering) DART HILL REALTY, INC. Date Reviewe Denied 658 ELLINGTON ROAD,SOUTH WINDSOR„CT_ Reviewed By nning) BP_# 23053 Ph_# (203)644-8137 Date Revie ? 4 6 Approv Denied Date Submitted 07/23/96 FOR C f 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: 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 v - 6. Appropriate certification 7. Bonding 02 8. Planning & Zoning/ Inland Wetlands Considerations Sewer Permit No. GHt Pavement Excavation No. COMMENTS: SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 25 VINCENT CIRCLE LOT # 3 Reviewed By Engineering) DART HILL REALTY, INC. Date Revio pprov Denied 658 ELLINGTON ROAD,SOUTH WINDSOR„CT_ Reviewed Planning) BP 23053 Ph (203)644-8137 Date Revi prov /Denied Date Submitted 04/09/96 DING PE ***** 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: Appro 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. d. Contours, existing & proposed, 1 or 2 ft. interval where appropriate r 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.) 01 5. Sedimentation and erosion control 6. Special Planning & Zoning, Inland/Wetlands considerations (Plans on file w/Town Clerk) COMMENTS: PERNIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 2415 644-2511 Ext . 230 ate ng Inspector Application must be printed or typed 1 . LOCATION OF JOB ,zS FEE SCHEDULE No . Street r 0 - $19000 - 10.00 Flo wr Apt . No. Over $1 ,000 - 10.00 per $1 ,000 or 2 . OWNED fraction thereof 3: ADDRESS' 79' 4. APPLICANT S• ADDRESS ? S' Z1--1'*2 , 6. ESTIMATED COST $ can 7. IS THIS A CONTRACT COST e N S. FEE ENCLOSED $ 30oC 9. TYPE OF BUILDING& clwfs" IDENTIAL COMMERCIAL i 10. TYPE OF JOB : Ll-rtginal Installation Alteration/Addition/Repair R D 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB NO. SIT kEET APT. NO , 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER 14 . NO . OF LIGHT LOOPS (a 15 . NO. OF HEAT LOOPS 16 . NO . OF POWER LOOPS_ 17 . NO. OF LIGHT OUTLETS 49' 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 25 . NO. OF MOTORS 26 . NO . OF PANELS 1 27 . TOTAL WATTAGE'ZI.Le-tt 28 . NO . OF POWER FEEDERS f 29 . NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS.*-- Z 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: INSPECTOR DATE TIME LOCATION INSPECTION: CODE: RESULT(D/A) : BUILDING: QELECTRICAL. r PLUMBING: HVAC: OTHER: INSPECTOR DAT E TIME LOCATION t rQ^ INSPECTION: CODE: RES T(D/A) : M BUILDING: r$ ELECTRICAL<---- fP PLUMBING: HVAC: OTHER: F 0. 9-SD DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT Application is hereby :TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT.APPROV DISAPPROVED 1540 SULLIVAN AVENUE C• lC J`' 644-2511 Ext. 230 Date Building Inspector Applications must be printed or typed 1. LOCATION OF JOB: FEE SCHEDULE 2. OWNER: G 61 0 - $19000 -10.00 3. ADDRESS: OKI; Over $1 ,000 - 10.00 per $1 ,000 or 4. APPLICANT: fraction thereof 5. ADDRESS: 6. EST. COST: $ Z 2:Q O 7. IS THIS A CONTRACT COST? YES 8. FEE ENCLOSED: $ 9. TYPE OF BUILDING: G,--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: 13. SIZE OF MAIN DRAIN -7/ 14. NO. OF TOILETS_ STYLE 15. NO. OF URINALS STYLE 16. NO. OF BATHTUBS tl 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES - 18. NO., OF SINKS 19. DISPOSAL L 19A. DISWASHER 20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS__SIZE 22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND/_7b - 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOW -3 X 7i 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?1 31. SIZE OF WATER MAIN z 31A. SIZES OF WATER PIPING & RISERS 32. REMARKS AND FURTHER DETAILS r Z K WATER HEATER 33. TYPE 34. MANUFACTURER TANKS SAFETY DEVICES TEMPERATURE 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 PHONE NO. S 3 FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE:96 NO, TOWN OF SOUTH WINDSOR EST.COST: 000 BLDG. PERMIT NO. ;Z:565 3 1540 SULLIVAN AVENUE FEE SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 0 - $19000 - $10.00 1000 or fraction LOCATION OF BUILDIN thereof - $10.00 G , f/VC/i/j OWNER ADDRESS TOWN PHONE NO. CVVTmc, -At lcralcevlC 3Z yiNt ,S` /I c`J I'- Gi ObD oAL HVAC CONTRACTOR ADDRESS 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 OF TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN (BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) SCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.): jcrr :6L Fa-Ta e h]c 1::5_i6_r TONNAGE I COOLING CAPACITY 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: S! I - 303z(O 3-9fo D STATE LICENSE — NAME & TYPE #DATE SIGNATU OF APPLICANT A 1<;6- Stv44f_A-) APP A E I - B a R CALCULATION SHEET 1503 (Modern Methods Copyright 1971 by The Hydronics institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL. A COL.9 COL.C COL.D COL.E COL.F COL.G 1 ROOM Ix O H L W H L W H L W H L W H L W Design Water Temp- 2 ROOM DIMENSIONS, FT.U BTUH per f 1 of 3 LENGTH EXPOSED WALLS.FT. Radlatlon Selected 1 WINDOW AND OUTSIDE DOOR AREA LL STUN STUN BTUH STUN STUN 5 WALL CONSTRUCTION ROOM LIN.FT.OF Table 9.Line 3 x H) TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED IBottom of table used 1 r Line 5) 7 CEILING CONSTRUCTION C Table 9.L x W) g FLOOR CONSTRUCTIONt O_ Table 9. L x W or Lin. Ft) E 9 COLD PARTITION CONSTRUCTION or Table 9, L x HI G 10 c 1 Well I W Ith Openings)O Hi0s; c 2 Wells(With Openings) D X 3 Wells lwllh Opening.l or Ent.Hall J 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K COL.A _ COL.B COL.H COL.1 COL_J COL. K COL.L TOTAL BTUH TOTAL 1 ROOM OF BUILDING RADIATION Cc 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' DIFFERENCE U 3 LENGTH EXPOSED WALLS. FT WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION INCREASE BATHROOM Table 9, LIne 3 x H) TOTAL 20% 6 TYPE OF GLASS IBottom f table used lot Lone 51 7 CEILING CONSTRUCTION IFOR CONCRETE FLOOR ON Table 9. L is W) GROUND OR FILL AT GRADE LEVEL,USE LINEAR B FLOOR CONSTRUCTION1 FEET OF EXPOSED EDGE Table 9,L x W or Lin Ft 1 9 COLD PARTITION CONSTRUCTION Table 9,L x H) 10 c 1 Wall(With Openings)C O 2 Walls IWlth Openings)D X 3 Wells(With Openings)or Ent Hall fe J - 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE FORM 1503 This form Is available If m The Hydronlcs Institute,35 Russo Place.Berkeley Heights,N J 07922 FOR, QI.CE USE ONLY APPLICATION FOR HVAC PERMIT DATE: TOWN OF SOUTH WINDSOR EST.C : BLDC. PDXIT NO. oZ 36 1540 SULLIVAN AVENUE FEE SOUTH V=SOR, CT 06074 FEES: 644-2511 - Ext. 230 0 - $19000 - $10.00 W5" 1000 or fraction LOC 1TIDN OF BUILDING. C`_yt, thereof - $10.00 ADDRESS TOWN PHONE NO. DRESS TOWN PHONE NO. TYPE. OF STST'EM: REARM TYPE OF BUILDING: ..,-RESIDENTIAL A/C OMMERCIAL _ BUSINESS INDUSTRIAL TF,,, T 1G.: ST, LOT PRESSURE LI1iIT LBS. 0* PRESSURE LIMIT_LB S. HYDRONLC WARM AIR UNIT RAD 1_ HE4,TERi (INCLUDING W00D COAL BURNING STOVE) TYPE OF FUEL: one GAS III-PU' ELECTRIC WOOD COAT. OIL TANK - SIZE & LOCATION INSIDE OUTSIDE CAPACITY LPG. UK - CAPACITY masmG RADIATTON ADDITIONAL OWIATION TOTAL RADIATION_ DES1411 TEMP. O S,; , I'F =SIDE_OF IFERENCE F' TOTAL MT LOSS BT ') HEAT LOSS SHEET_ ACCOMPANY APPLICATION) DIS0 1 ALL P (INCLUDING MAKE 6 MODEL NO.): GROSS 'IIEATING 'COPS ' TIC FUT-BTUR) NET RATING (OUTPUT-BTUR) IF .A.IR.,CONDITZQNING: D!RSIGN TIC. OUTSIDE OF INSIDE OF DIFFERENCE F TOTAL HEAT GAIN (BTUH) RAT GA7BTvSRM MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLIM EQU PST (INCLUDING MAKE & MODEL NO.): TQE COOLING CAPACITY BTUH) F VENTTI,ATIQN: DESK ALL AIB-HANDLING EQUIPMENT (INCLUDING KITCHEN E703AUSE EQUIPMENT) STZZ,©F' ST _FRESH AIR INTAKE (CFM) MUST ACC AWAPPLICAT`ION) lea,undes; ed hereby applies for a permit to perform the following Work and is to compty wAE.t;h a.U,,:1aca1 ordinances and State of Conn. Buildij Codes in the performance of such work. 1 J+ F IPTION OF iADIK: N 41 .. 1 DATE i' q GNATURE OF APPLICANT APPROVED DATE BO 4A 11/88 as B R CALCULATION SHEET 1503 (Modem Method) Copyright 1977 by TM Hydronics Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. .DATE COL.A COL.S COL.C COL.D COL.E COL.F COL.G 1 ROOM 1 i? a 7i/7 jCa Z O H L W N L W H L W H L WiaLe Design Water Temp. 2 ROOM DIMENSIONS.FT. S Zd L STUN per foot f3LENGTHEXPOSEDWALLS,FT.t j 11 Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA O Naa STUN STUN STUN STUN STUNSWALLCONSTRUCTION Table 9,Line 3 x H) f ROOM LIN.FT.OF4dgoo00 s 0 U TOTALS RADIATION6TYPEOFGLASSFROMLINE12SELECTEDIBItmftableusedforLinea) 1,SO0 1Ov Q007CEILINGCONSTRUCTION j Q/)/ C Zia 0e)7 D Table 9,l a W) 7-00 goo D iC.liX a FLOOR CONSTRUCTIONt ITable 9,L x W or Lin.Ft) 9 COLD PARTITION CONSTRUCTION Table 9,L x H) G dQD c rto _c 1 well(with openings) 300 H Q2Wells(With Openings) GX 70 00 J 1od3Wells(With O enirVs)or Ent.Hall C7H 11 TOTAL FJTUH AT 70F TEMP DIFFERENCE 300 70'5 7oG f d J fir-)100 — 12 TOTAL OTUH AT-'DESIGN TEMP DIFFERENCE Q DD0 Q O K L t tJ -7COL'A-— _- _ , _-- COL.B —COL.H -_ _— COL. 1 COL.J COL.K COL.L. TO AL BTUH TOTAL1ROONfl6e-el ? s ei Aa 4 OF OUIL•DING RADIATIONv AT SELECTED O H L W H L W H L H L W H L W DESIGN TEM.• 2 ROOM DIMENSIONS,FT DIFFERENCE8103LENGTHEXPOSEDWALLS,FT.8' D4WINDOWANOOUTSIDEDOORAREAI` 3 TUH STUN STUN BTUH BTSWALLCONSTRUCTION INCREASE BATHROOMTable9,line 3 x H) 11007S400 D -- j o TOTAL 20% 6 TYPE OF GLASS LC/ Bottom /table used for line BI 7 CEILING CONSTRUCTION w FOR CONCRETE FLOOR ON Table 9,L it W) 0S U 1 GROUND OR FILL ATDVJcoGRADELEVEL.USE LINEARBFLOORCONSTRUCTIONfFEETOFEXPOSEDEDGE ITable 9,L x W r Lin FL) 9 COLD PARTITION CONSTRUCTION Table 9,L x H) ter. ter 10 _ G 1 Wall(With OP•n rho) Q 2 Walls(W&th Openings) G X ,0/O 3 Wells(With Openings) or Ent.Hall e J I1 TOTAL STUH AT 70F TEMP, DIFFERENCE' 3 d O 12 TOTAL BTUH AT DESIGN TEMP.DIFFERENe& 00 t-:Ocio- T\#%is t rm Is available from The Hydronics Institute,36 Russo Place,Berkeley Heights,N. J 07922 FORM 1503 i DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WIlVDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT PRO 1540 SULLIVAN AVENUE Bldg.Permit# 14uI 644-2511 ext. 230 3 (3f Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: Ir 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT r APPLICANT' ADDRESS OL r S7 -,t r D e,0 vO APPLICANT PHONE# gz o 5? to cS 1 Vr N S OWNER t i 1 O Fq OWNER ADDRESS OWNER PHONE l0 3 C ESTIMATED COST$ U IS THIS A CONTRACT COST? 44-Yes No FEE ENCLOSED$ Q TYPE OF JOB: 1 OR-C New Installation Alteration/Addition/Repair Revised 5101 i APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YES NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY STORAGE ADDRESS GARAGE MIXED USE CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE 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 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. R / Sq67 q G7 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE Bestfit,,# APPLICATION FOR BUILDING PERMIT Plumbing# 25 Vincent Circle HVAC # 2 8 8 4 4 Date: Sprinkl r# No' FINAL PP V Estimated Cost $ 7 Ol Buldi COMPLETE RED BOXED AREAS Permit Fee j U End ng TYPE OR PRINT ONLY Occupancy Fee $ /0 Affidavit WSIGN ON REVERSE SIDE Appr.for CCU O Total Fee TO BLA TO SOUTH WWSOR,,CT Additional Cost) $ Th undersigned he y applies to do work according to the following specifications Job Locati 7 C114CO W Lot No. Side of Street Zon Applicant 4&a Tel# Address 1 7 Zip Lic# Owner t 7'/ Address Architect Address Sq.Ft.N w Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area ffRooms Lavatories Bathrooms Garages urpose of this permit: S 112,uvat,e:;Q Z City Water Well 0 Septic System 0 Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by g. Date-) -Zd--u ?— Use Group Construction Type Revised 9/01 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 locate n which this buildi dnd its use is allowed. Signed I hereby apply for a Certificate o ccupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 28844-B 1,700 B10 FINAL 05/22/02 JFF A WITH OWNER B10 FINAL 05/25/02 JFF A CLOSEOUT f