HomeMy WebLinkAbout265 Orchard Hill Driveeo
TOT BUILDING INSPECTOR
of 1116 APPLICATION FOR
PLAN EXAMINATION ANDTOW14OFSOUTHWI1rDSOR, COi il BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in ections: 1, 11, It IV, and IX.0
ZONING
VI• AT (LOCATION) DISTRIC
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISIO za 4. LOT__z_BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 ® New building Residential Nonresidential
2 Addition(1/residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, i/any,
in Part D, 13)13 Two or more family — Enter 19 Church, other religious
number of units— — — — --> 20 Industrial
3 Alteration (See 2 above)14 Transient hotel, motel, 21 parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (1/multifamily residential, o/units ——————— — -i E] Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
6 Moving (relocation)17 Other — Specify 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 W Private (individual, corporation,
28 Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 Public (Federal, State, or
local government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
n 0 4- processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement,•,,...••,...... DO school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical.......................
b. Plumbing ......................
c. Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT 3 2.91a2 0
III. SELECTED CHARACTERISTICS OF BU DIN — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Masonry (wall bearing) 40 Public or private company
48• Number of stories................
31 Wood frame 41 Private (septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
50• Total land area, sq. ft. ........... O 13tr34 Oth r — Specify 42 Public or private company
I
If
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors....................... -`
Oil conditioning?L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 44 Yes 45 W No 53. Numb r f b dro ms..............
38 Coo 1
39 Oth r— Specify Will there be an levator?
54. Number of
Full..........
46 Yes 47 OR No bothr ms
Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mail'ng address — Nu er, s reet, city, and State ZIP cod T I. No.
1.
r MV754s.«i2 0
Owner or 40
Lessee
2.
Contractor
3.
Architect or
Engineer
Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
1 Signature of applica Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check
Ian Review Date Plans B Date Plans B NotesqFeeStartyApprovedy
BUILDING 7
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check ObDtained Number By Permit or Approval Check obDated Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building 8467Permitnumbr
Building
P rmit issued May 16 19
Building
Permit Fe $ 150.00
Approved by:
TITLE
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT 4.:.,
Date May 16 19 74
Fee Paid $ 150..00 Est. Value $. 25.,000.00
Permit N? 8467
on the side of
Orchard Hill Drive Street
Street No. Lot 1
Owner Herbert Wanza
Applicant Herbert Wanza
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 86
Fee Paid $ 3.00
CLASSIFICATION
Dwellinit
BUILDING PERMIT
N.? 8 4 67
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. May 16 1974
94is 'to to Terttf1j, That Herbert Wanza
is hereby granted permission to Dwelling
at estimated value of $ 25,9 000.00
on the side of Lot #1 Orchard Hill Drive Street on land
owned by Herbert Wanza
Said work to be as described in Application
No. 8767 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
I May 16 9 74
4
Builffng Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
INSPECTION REPORT
Permit # Job
1 Footing
2 Foundation 7—le-7
3 Framing X 7^10-7 y
4 Wiringr/) 7--.76- 71K 6,
5 Plumbing e/- 7-1s-7f' Ot =7=26' ,b
6 Heating
7 Lathing R-460I 7y
o
8 C O
y! QLc(17 lei '
f
Permit No.
P
TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit N0 4486
Certificate of Occupancy
THISo,IS TO CERTIFY that the
r
e®
at No.
f
r` r I,- in the wn of South Windsor Connecticut has
been erected and completed in accordance with the Building Code and Zoning Regulations of
I the Town of South Windsor, and is hereby approved for occupancy.
r mg Inspector
Owner, Buil er
Fee Paid , : Date 19
t
5576
ELECTRICAL APPLICATION r
1, Application b-.,87
j on the side ofP
g .1Aird'hard Hill Drive
i P
i ;
r _
r^ i I^! r
St rct r r
rect No. Lit #1
f Owner M bent WeAza
ElectricianFrane i e Ashmore
FILED IN DACE OF
The Building Inspector
August 20 19 34-
INSPFXTION.
f
P
4` p
No Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
1n New Buildings no wiring shall be started
until the plumbing and heating pipes, and the fire
Mops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
x
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM.,
No. .........8 8?......._.........
5576
PermitNo. ...........................................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
X... hereby make application to.perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with
whether specified herein or not.
South Windsor, Conn.,1 Sign here .. 1I1 d
raj......r'r Address i.L,.........&XVr .................r.(..........
Location ..........................lazhpr ............................................................. Side of ..................................................................................................................................
Nature of Building VR ................................. . How many stories ................... .........................................._............_.._........
Nw or old Building ........1.E .............................................................. .. How many families .................I...................._........................................_...........
Kind of Installation ......1`.l!'r.................................................................... ..... How many Stores .................. .........._.........._...........................................
Owner ..........h'Z op......1Y.O.V4. ........................................_................ Address ........................................................r..........
Architect ........................................................................ ..................................... .... Address ............................................._......................_...._..................._....._.............
Builder ....... Address ..........................................................................................
Electrician ybpi...... . .................... Address
Size of Main Wires .........11,3........................
No. of Light Loops ........................... .............. No. of Heat Loops ..................................... .. No. of Power Loops ......................._......._.....
No. of Light Outlets ........t.-9................ No. of Heat Outlets ................... ... ...... . No. of Power Outlets .....................................
Nod of Light Circuits ..........,..'................... No. of Heat Circuits ...... .....f. .. ........... No. of Power Circuits ................ ..
No. of Sockets ................................................ . No. of Heat Receptacles ......... ............ No. of Motors .......................................................
No. of Panels ...................../.......................I.... ... Size of Heat Circuit ....A... No. of Power Receptacles .........................
No. of Switches .............../ ............. ........... Total Wattage Size of Power Circuit ................................
Total Horsepower ......................................
No. of Straight Electric Fixtures ....... ........ ................................. No. of Combination Fixtures ........ ............................... ...................
No. of Receptacles ........04.......... ....................................... . ............... No. of Cord Drops ...............................................................................................
Remarks: For other kind of Installation k,S i.......... 402611(4.001
0 ........ Xt..4................................................................................ .............._...........................................................................................................................................................
Estimated Cost ....C7
4582 for
I
PLUMBING APPLICAT10N
App . No.
4371
on the ....__...__... side of
Orchard Hill Drive
Sa+e+et
Street NO. _ Lot #1
i
Herbert Wanza,Jr.Owner
Plumber .....same
Filed in Office of
The Build'mg Inrpecaoc
8_T_74 19
INS C'1 m.
No person" constmxt, add to cc alter aty
portion of the drainage system of any buil&ng
eaoept to repair kalcs) until a Plecmit is gRa td
by the Building InRxxtnr.
6 Application No.....43.7..1........................ Permit No. ....458-2...................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application to perform plumbing according to detailed description below. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether
specified herein or not.
South Windsor, ...7-/ hereV1.`........... I..... ............... 19 ...... .... Sign ...... ............................................. ..........
Address ..........7.6t............................................................................................
Location ......O T...........................I.......... 141 Wide of .........14A.WN............................................................ Street
Natureof Building ...........X"l.m......................................... How many stories .......................z...........................................................
Owner ........kJA.I).,T.A...... M- pa-Gr1.0.00 Address ......................................................................................................................
Architect .................................... ....................................................................... Address ...................................... .................................
Builder A. .... .. . . Address
Plumber ....A.'.P.,.Z..f"I.-Ir........ ZJ'Z........ Address .......................................................................................................................
DRAINAGE
CESSPOOLS, How many .. ...........WON........ ................. Where located .....................................................................................................
Are they water tight Of what materials are they built
Sizeof pipe from house to cesspool ......................... .................. Kind of pipe . ............. ....................................................................................
MAINDRAIN IN CELLAR, Material .. '. ...... Diameter ..............4.''....
Aboveor below cellar bottom .. .....13
SOILPIPES, Material . . .T............. 900.......... Diameter .....y.M............................... .............................................................
WASTE PIPES, Material ...Pvrv-j.......................................... Diameter ......111-20. 3..
TRAPS,Type proposed to use is .............. .............. ... .. .. .. .............. ..........................................................................................................................
RAIN WATER LEADERS, where do they run to ...Sr.P..-1..4+A. ......:TA............4.J. .le...................................................
REFRIGERATORWASTES, where do they run to ... ....N.0.0.%............................................................................... ...............................
TANKOVERFLOWS, where do they run to IliMIL.........................................................._......................................................
FIXTURES
WATER CLOSETS, How many .................. r........................ Where located . '..... 1 T .......... .......v*.....................
Distance from trap to vertical soil pipe .......1-6........................ Pattern M.0jue ..................................................................
WASH TRAYS, How many 1... rV ........ Where located . .........NO 1414.. ..................................................
SINKS, How many ....................................................t.................................. Where located .. ............K1.T•C,.14.6.10.........................................
BUTLER'S SINKS, How many ................W-0.0.04............... Where located.....................
REFRIGERATOR SINKS, How many.......i ll.......... Where located ......................W.A.IV ......................................................
LAVATORIES,How many ................................+r........................... Where located ...............:I ATV......f......L.A4 ........................
BATH TUBS, How many I.................................. Where located ..............M1. .1.l1 ...........1S..1..1............................
Where located ..................lV.4fURINALS, How many ............................ .
Are water closets and urinals to be local vented If not, is there a window in outer wall
ofroom where same are to be located
Estimated Cost . . .... .n.v..,.....=......
i
I
Application For 449977DEPARTMENTDECISIONHeatuPermit
3 APPLICATION IS HEREBY:
DEPARTMEIYI' OF LtCF1MSES AND IF
t LTAPPROVED DISAPPROVED
TOWN OF SOUTH WINS
O
0 11/5/74
DATE CHI TOR 6or APPLICATIONS MUST SE PRINTto ON TYPED. 1"140 •ITN NUOtER OMt
o ' 1. LOCATION of
0
1.4 Lot #1 ope-kmrd
NO.
LOT NO. FLOOR AfR. M&
Herbert Wanza
s. OWNER
a o S. ADDRESS Igo Park Avenues Windsor
4•PNONE
s. APPLICANT Herbert Wan z a
0 00
s. ADDRESS SAD1e
p 7.PHONK
w
LICENSE No.
a $
p w Is. EXPIRATION DATE OF LICENSE
c
10. ESTIMATED COST = 10500.00
eq
b0 11. Is THIS A CONTRACT COST?121 TES
Permit 84671Is. FEE ENCLOSED s-
53 0
0i s. TThOF MAN&
O COMMERCIAL. DIAL
c 3 14. TYPE OF JOB: INDUSTNIAL
x A AMIMSTAf.U1T10N AODITWfI°
N
REPAIR
APPLICATION FOR HEATING PERMIT (C ntinued it ni Reverne Side)
11. LOCATION OF JOB L07- o/ DrCl-loot -6 " ALL VIZ-
NO.
CJ(
STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY
SIZE LOCATION 8 y`)' A,)r SIZE
FILL
l F SIZE
VENT V e4
13. OF TANK Z 7 S OF TANK
ING RA
14. B.T.U. EQUIP. AT REGISTER-FURNACE MAA BT.U. OR SQ. FT. NETJ 13.Q B.T.U. OANDNO. f ESQ. FT. GROSS IRL SL!-FIRING TE
BOILER OR FURNACE MAKE AND NO.I
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO
TYPE OF WALL If2- INSULATION El Bt-X-( Ltl'i ROOF OR CEILING I/ tl
INSULATION a l &W
AVG. SYSTEM WATER TEMP. g y B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS,RR C.I. RAPIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR D.T.U. rF le-I-IIVS 7 Co 07
DESCRIPTION OF WORK
15. TO BE DONE:
ts. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).
Room SIZE WIND AREA AREA - SQUARE FEET e.T.U. 0.T.U. g F DISTRIBUTION INSTALLED
R M
AND DOO`f VOLUME TOTAL TOTAL
W
r ,
NO. GROG GLASS NET WALL CEILING FLOOR CU. AT 70•F CORRECTED j MAD.
REGISTER
L W N AND FF TYPE AND SIZE OR LEADER
SIZE WALL 'ct0 INFILT.) CIF TO
F F 0 0• FT. FREE AREA
40
o
rTOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING. OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY: Al
NAME ADDRESS
SUBCONTRACTORS AND
te. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN.
DATE SIGNATURE OF A LICAN
A Continued Rever" ffitie)rING FER MIRMIT ued fromArPLICATION' FOR HKA L
3Good- Hill Rd Lot`11. LOCATION OF JOB—
NO. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: IL-BURNER ELECTRIC VENTILATION SPRINKLFX
GAS BURNER STACK. INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE SIZE SIZE
13. OF TANK OF TANKLOCATION OF FILL' OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NOV-21 130 B.T.U. OR SQ. FT. NET113.0— . . 74OR SQ. F-r. GROSS 13Ck. AMIOATE
FLOORS TO BE HEATED - 7wa.- NEW &"-"D BUILDING 6.1aw-0 INSULATED — YES Oa"U" VICA
TYPE OF WALL_' o!jft 2" -INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. 12 B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE t2 10 our 3 1&a FAHRENHEIT is a I&J!sa in c
mMAKS-OF-RADIATION:SAS EBOA RD; COPPER CONVECTORS;OR RA DIATIO N.-.-- OUTPUT PER SECTIdh OR LINEAL OF-RADIATION.-_SQ.
lop
DESCRIPTION OF WORK
15. TO BE DONE-
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL-JOBS);,
0 WS AREA - SQUARE FEET T.U. T.U.ROD"Size A
W.'0N $ 1 11, I- DISTRIBUTION INSTALLEDDOORVOLUMETOTALTOTAL. a 1:
R0 'M GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70*Or COR1RffC'fK0 -A:j 7 ME LISTERtMN, A840 TEMP. TO
c TYPE AND SIZE MAD. OR LEA UR
W., INFILT.) 8 1.:6 FT.size p; DIFF. -01_)Dla IF FAZZ AREA
2 0 714, r
COOL
7' ls'7rn 7.9
44 7-7
Zld4
41><co 7, 11 zrl 00
IZZ 0
15 51,
IN,
31
4
13 1441,g7
VAi 7__ 11b 4 1-1 A_n_
Tj e
TOTALS 04V
A. HEAT LOSS FROM BUILDING B.T.U./NR.- 07fL
B. DOMESTiC HOT WATER DEMAND B.T.U./HR. 17
C. PIPING, OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A 9_C) FACTOR
17. ELECTRICAL WORK BY% Aj M
NAME ADDRESS
SUBCONTRACTORS AND
THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE(OWNER) OR (AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
ICATION T0 BE COMPLETELY FILLED IN 10-10-73
QATI 314MATURE OF APPL-4tAW
INSFINAL ,
Q KTI s:<
QBuildingg QA0 APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC
Sprinkler 965 ORCHARLLHILL DRIVE
El ctric Estimated Cost $ 1 Z G
Zoning 18 6 8 3 Permit Fee $2 e
Affidavit NO.Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.Fire Dept. TYPE OR PRINT ONLY Total Fee $
Health-Dept. SIGN ON REVERSE SIDE.
Approved for CO: Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location c L/- K- Lot No. Side of Street Zone
Applicant ..1 dt4,0 ' S fhL:1,05 Tel. # & 44-(o-S-q 4-
Address ZtoS' 64ClA4?II"4D M"' 0"t- Zip Q&'o7¢ Lic.#
STREET CITY STATE
Owner . k 1._ Address
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
No. of Families NNo. of Stories Z Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit g r l 9U t o •, a a,
City Water Well Septic Sewer
Approved by
y
Date '" BD1A 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 Buildin f which this permit is asked,and agree
that this building is to be located the proper distance from all street lines,sid yard lines and distanc s from all other zones and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in thi pplication for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
HOME OCCUPATION FORM
Minor V ZEO Approval Date s Z0 Qy ASSESSOR'S USE ONLY:
Major PZC Approval Date AfA- Home Occupation Type
Expiration Date Code
Name
Address of proposed occupation:CD 0
Telephone (D L44 2(Oa(D Zone A4 3 O
Descriptio of Occupation:
o S ALL-S -vb TlAKC P LA co T2a n1 Tbfc if o v S(: A"G
No CV S-TV NtOra _VI4 %C SQcQGHT -M _ HC t-bySC
A. PROPOSED
SIGN
Please use the boxes or an attached sheet to provide the following:
1. Attach copy of plot plan if applicable.
2. Use box A (or attach sketch)to draw proposed signage . Nf
3. Use box B (or attach sketch) to draw the floor plan of the home
occupation area.
4. Architectural elevations for any proposed additions or modifications
must be provided.
B, -FLOOR PLAN ( Basement 1st Floor 2nd Floor)
Floor area of dwellin 0
Floor area of home occupation
of floor area
a,
r
I have read the regulations re arding home occupations and intend to comply with said regulations. I
understand I must notify the lanning ar ent ' writing upon termination of
dthisccupation
at this
address.
Signature of Applicant Date q
HOME OCCUPATION FORM
Minor ZEO Approval Date ASSESSOR'S USE ONLY:
Major PZC Approval Date Home Occupation Type
Expiration Date Code
Nam e , t'Y_(?_4;,e4 ry-)n r-\
Address of proposed occupation: cD(p,S (CV-(+)n Y--Cf <
Telephone (CA14- '(o e Zone
Description of Occupation:
na Z.2614fj2a_Jr)n-7-1 I-nG CiCa.42C' C,
uJtr
A. PROPOSED SIGN
Please use the boxes or an attached sheet to provide the following:
1. Attach copy of plot plan if applicable.
2. Use box A (or attach sketch)to draw proposed signage .
3. Use box B (or attach sketch) to draw the floor plan of the home
occupation area.
4. Architectural elevations for any proposed additions or modifications
must be provided.
B. FLOOR PLAN (__Bement 1st Floor 1K 2nd Floor)
Floor area of dwellings 7
Floor area of home occupation 1 D-
of floor area
I have read the regulations regarding home occupations and intend to comply with said regulations. I
understand I must notify the Planning Department in writing upon termination of this occupation at this
address.
Signature of Applicant Date Z,421
Signature of Owner Date I 9
White = Assessor Yellow = Applicant Pink = Street File
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WIIVDSOR
PERMIT#
Application is hereby: f j 14BUILDINGDEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE 2
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fiaction thereof Tenant Designation Apt.No.
APPLICANT rcn. Q 1 V m r C 6
APPLICANT ADDRESS O\A S v a
S 13 x r h C CSC
APPLICANT PHONE# 2
Cad OWNER
4< OWNER ADDRESS CAX
OWNER PHONE
ESTIMATED COST$_—tea—U >>
U
IS THIS A CONTRACT C T? Yes 0 No
C FEE ENCLOSED$
TYPE OF JOB:
S0 a GO O New Installation
AAlteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF YSTEM: TYPE OFBUILDING:
HEATING RESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
rRONIC WARM AIR UNIT RADIANT HEATER
E ING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
s.S -- Imo \ Clc ::
GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) 1
TYPE OF L
AOIL—GPM OIL TANK LOCATION.4INSIDE OUTSIDE CAPACITY
GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW
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)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK e e e C
aAac J U D
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PE.RfzORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE