HomeMy WebLinkAbout25 LakewoodTO THE BUILDING INSPECTOR
of the APPLICATION FOR
PLAN EXAMINATION ANDTOWNOFSOUTHWIIyDSOR, COHN. BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.0
ZONING
AT (LOCATION) 1z 7) 041/,e, DISTRICT
LOCATION NO.) STREET
OF BETWEEN iLL "JW131194 'DO' 49 151114 ei 2A AND
BUILDING CIROSS STREET) CROSS STREET)
1 )
LOT
SUBDIVISION a LOT__0e ,_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 T
1 New building Residential Nonresidential
2 Addition(l/ residential, enter number 12 One family 18 0 Amusement, recreational
of neu, housing units added, i/any,
in Part D. I31 13 Tyro r more Family — Enter 19 El Church, other religious
number o/units— — — — —e, 20 Industrial
3 Alteration (See 2 above) 14 Transient hotel, motel, 21 Parking goro
4 or dormitory — Enter numberRepair, replacement
on
5 E] Wrecking0/multifamily residential, of units ——————— — •- E] Service stoti , repair garage
enter number o/units in building in 15 Garage 23 Hospital, institutional
Part D. 13) 16 Carport 24 Office, bank, professional
6 Moving (relocation)17 Other — Speci/y 25 E] Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 [T 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
processing plant, machine shop, laundry building of hospital, elementary
10. Cost of improvement................ 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...................... SO/v11AL—T—
b. Plumbing ......................
e. Heating, air conditioning.........
d. Other (elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT S
III. SELECTED CHARACTERISTICS OF BUILDING — 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 ublic or private company
48• Number of stories...............
31 e'vood from@ 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 loud area, sq. ft. ...........
34 Other — Specify 42 ublic or private company
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
52. Outdoors........................35 as Will there be central air
condltloning?360011 L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 o' 53. Number of bedrooms.............. 3
38 Coal
r
39 Other— Specify Will there be an elevator?
54. Number of
Full..........
46 RoYes472 bethr ms
Partial.......
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee
2.
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature f applicant AdJr*ss Applications dote
Jsaka-e_
DO NOT WRITE BELOW THIS LINE
V. FLAr; REVIEW RECORD — For office use;
Plans Review Re uired Check Plan Rtvi*w Date Plans By Date Plans By Notes
q Fee Started Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER Is I
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained (dumber 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
I OTHER OTHER I l I
VII. VALIDATION
Building
Permit number
Building
Permit issued lv 19
Bui Iding
Permit Fee $ 4(217-
Approved
TITLE
i
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date July 16 19 8 6
Fee Paid $. .3 4 2 .0 0 Fwt. Value $.5.7.,Q 0 0
Permit N? 15270
on the side of
Lot 419 Duck Cove Street
Street No. 19
Owner R SK K P 1 1c--n T n r- _
Applicant _Carol R. Ke 1 1 ey
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 7ti7
Fee Paid $ 2 a()
CLASSIFICATION
Dwelling
BURDiNG PERMIT
N9 152'70
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. T••j y i r% 1986
lffPl`ftf j., That -2-sx=94llaa TUC-
is hereby granted permission to Dwelling
at estimated value of
on the side of ZADt 19 n-- CG xM Street on land
l
owned by RSx-Kel1C0 Inc.
Said Work to be as described in Application
M"
No. 15570 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WIMSOR.
Issued July 16 ig 86
f l 1
1
oc"Building 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."
Welling - Lot #19 LKWD 7/16/86
RSK=Kellco Inc .
19 Duck Cove Permit # 15270
Electrician Michael Finnegan 9423
Heating Contr. Mellen Energy Corj# 6589
Plumbing It Mellen Energy Corp # 7147
Oil Burner
Certificate of Occupancy 7675
Sewer Permit
Ap rd. p r Banach/Martel
i
i
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
w
e
Permit j, ? 7675
Certificate of Occupancy
a THIS TO CERTIFY thAt the
at No.,
r
in the To
i dof South Windsor, Connecticut, has
been erected and completed in accordance with the Buing Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved for occupancy.
9
Building Inspector
er,'Builder
f"
Fee Paid Date / "' 19 e?
s
CERTIFICATE OF OCCUPANCY CHECK LIST
Applicant , / G- PEk Certificate of Occupancy
Address Bldg. Permit No. 4$jZ 77_,
Lot No. e 3 Date Submitted
Project 1*40t-77AIw' 4/i 3 Reviewed By h
Date z-10-1-2
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
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
r/ a. sanitary`sewer
b foundation drain
C. electrical & telephone
d. water
e. other
5 . Appropriate certification
6 . Bonding
Sewer Permit No.
Pavement Excay . No.
COMMENTS:
i 9423
ELECTRICAL APPLICATION
Application No. 10934
on the side of
Lot 19 Duck Cove Street
Street No.
Owncr RSF:Kellcb Inc .
Electrician Michael Finnegan
FILED IN OFFICE OF
The Building Inspector
Oct. 24 19$6—
IN81F]M 'it'ION.
A No Electrical Work shall be started until a Per.
mit is granted by the Building Inspector.
In New Buildings no wiring shall be started
until the plumbing and heating pipes, and the ere
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
Electrical Permit No. ........l
Master License No. . W...............
TOWN OF SOUTH WINDSOR Building Permit No.
BUILDING DEPARTMENT Date Filed .-ArAy/./V............................................
Date Final Approval ...............................................
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
OBLOCATION: d e.. A........... OB OWNER: .... .. ........................................................................................................J J
Side of .. . .. ............... ...... . .Between ............. .... ......................................... ...... and ................................................................................
Nameof Building Owner Address .. . . ........................................ .................................................
If work is for Lessee--Give name ... Address .......................................................................... ..................
Building now occupied as (unl&As new) A45tt-)........ No. of family units now ....... .. .............
Building to be occupied as .... tZ . .UCI 5.. ............. ...... . ......Number of family units to be ....../
I.....................
Is this work included in a Building Permit? Permit Fee ............ ......... ........ ..................................................................................
If no Btuildi7 Pe it)
Permittee,;k Business Address Telephone
COST OF TNSTALLATION: 0-0A.W.........
TO BE FILLED OUT BY PERMITTEE
TO BE WIRED EXISTING APPLIANCES
Number of light outlets to be installed
Number of convenience outlets to be installed Number of present Appliance Circuits ..................................................
Number of switches to be installed . . . ...... ....... ...... Do these include Range Water HeaterNumberofappliancestobeinstalled . . . ...... ...... ...........
as listed below)Dryer Air Conditioner Oil Burner
TYPE RATING NO.
Dish Washer Gas Burn-er 0
Range
Range Top . . . . . .
Well Pump E]Elec. Heaters
Oven . . . . . . . . REMARKS:
Water Heater
Clothes Washer . . . .
Clothes Dryer . . . . .
Dish Washer . . . . . .
Air Conditioning Motor . . 77 &-
Oil Burner Motor . . . .
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan . . .
Well Pump . . . . . .
Electric Heat . . . . .
Other . . . . . . . .
Number of new Lighting Circuits . . . . ...........................
Number of new Appliance Circuits . . . ...........................
Number of Heating Circuits . . . . . . ............................
Number of Motor Circuits . . . . . . . .
Size of present service ...................... ..............................................
Size of service to be ..................................... ..................
7147
PLUMBING APPLICATION
Application Nm 6 817
on the......_.._ l'J aids of
Dv--4:-..__ CDd ve, Sa x
street mo. ...... 44- / '7 --P
Filed in Office of
The
October 16 , NEE—
EN
No person :ball emmmuct, add oo ac alder ay
portion of the drainage waa m of ay 6ul&g
except to repair lab) until a Ppmik is graeoed
by the Building Is",ow-
I CATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
ION OF JOB LD 7— W Li D1 G-k
NO. STREET FLOOR APT.NO.
GENERAL PLUMBING
J OF INSTALLATION 044,c gi /13. SIZE OF MAIN DRAIN
I
OF TOILETS STYLE 15. NO. OF URINALS e9 STYLE
OF BATHTUBS 17.NO.OF LAVATORIES__ 18. NO.OF SINKS._ 19. NO. OF WASHTUBS___
r
iO.OF CONDUCTORS SIZE 21. NO. OF STACKS _SIZE _?
AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
NO. OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WIN ?27. SIZE OF WINDOW
S. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
to"
SIGNATURE ADDRESS 44
LICENSE NO. o?M 7 ESTIMATED COST 3 077) , (r-y TELEPHONE 261,oL 1"1
OWNE i k J ADDRESS
WATER HEATER
31. TYPE 32. MANUFACTURER 4
TANK SAFETY DEVICES
33. CAPACITY 37. TEMPERATURE RELIEF VALVE
34. TEST PRESSURE_ T1 38. MANUFACTURER
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE
36. TYPE 40. MANUFACTURER
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY
AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
Q cv-3_./'0,hc-r_Oa'e4-
CD962 D E SIG,APRE OF APPLICANT
PERMIT #
Application For 6 3 8 7 6589
Cd DEPARTMENT DECISION Heating0
3 APPLICATION IS HEREBY:
o DEPARTMENT OF LICENSES AND INSPECTIONSas
N 3a APPROVED DISAPPROVED.
TOWN OF SOUTH WINDSOR
c a 10/16/86 Thomas P. D'Auria
00 O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BEL W
O
o v I. LOCATION OF JOB
l q Duct Co ve-,Cd C 4O• STREET
vco
O LOT NO.FLOOR APT. NO.
O
0
oN
9)
O 63*wi#epwe02. OWNER - r4.4ps
1, 1-
Cc o
bo 3 S. ADDRlti;SS
d 4.PH0NE y
S. APPLICANT
vi a~d
C 6. ADDRESS /67
w
l/
o 7.PHONE ya'j rl
w
s. LICENSE NO.
Q
C w s. EXPIRATION DATE OF LICENSE V 47
v
10. ESTIMATED COST
bq
may,,/
1 I. IS THIS A CONTRACT COS"YES Np
y .A
12. FEE ENCLOSED i )"'17g PAPO'R m l 1if 1 5'j 70
c x
ra W 1s. TYPE BUILDING:
O
bo RESIOEMTIAL COMMERCIAL
P.
C3 14. TYPE OF Os: INDUSTRIAL
C,-r RIGIMAL ALTERATION
INSTALLATI N ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued it m Reverse Side)
11. LOCATION OF JOB `G T -# / !y Do c
NO. 5TREET FL OR AFT.N .
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
PeIGAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE R•...
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO-1 1 It rd.' B.T.U. OR SQ. FT. N B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEAT D NEW OR OLD BUILDING INSULATED - YES OR NO
TYPE OF WALL- 1 INSULATION 94962 ROOF OR CEILING INSULATION
AVG. SYSTEM WATA TEMP. T.U./SQ. FT./HR. EMISSION-
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE F-0 FAHRENHEIT
MAKE OF RADIATI BA EBOARD. COPPER CONVECTORS. OR C.I. RAD ATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.U
DESCRIPTION OF WORK
15. TO BE DONE:-i
16. HEAT LOSS SCHEDULE. (TO BE IN UDED FOR ALL JOBS).
R Ow SIZE WINDOWS AREA — SQUARE FEET IS,T.U. IS.T.U.DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALLL
ROOM NO' 6 1 GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED -J j F'
RAD. REGISTER
L W N AND C TEMP. TO F TYPE AND SIZE OR LEADER
SIZE < WALL
f'cTo INFILT.) DIFF. F m N SQ. FT. FREE AREA
TOTALS
A. HEAT LOSS FROM BUILDING 4/t 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: At/i i9d_..0'
NAME ADDRESS
SUBCONTRACTORS AND
18. THEIR TRADES
ALL WORKWORK 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. r—G
DATE SIGNATURE OF APPLICANT
B= R CA ULATION SHEET 1503 (Modern Method) C pyright 1977 by Th H dronics Institute
OWNER IS'` Cm-rk"-roas ADDRESS .h1QbXJ ` DESIGN TEMPERATURE DIFFERENCE-2aF. DATE
COL.A COL.B COL.C COL.D COL.E
1
COL.F COL.G
1 'ROOM ccW p
IC YA Q i Aj j mi 65 1C.T
e- 1t ni 1LV Q Y 0
O H L W H L W H L W H L W H L W Design Wat r Temp. l Q
2 ROOM DIMENSIONS,FT.i 1 IH
a 1 1 O /U BTUH ip a Selected Q3LENGTHEXPOSEDWALLS, FT. Q 2
41 WINDOW AND OUTSIDE DOOR AREA LL 27
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION j G ROOM LIN.FT.OF
Table 9,Line 3 x H) Q o Q a'0 d 1 9 0 Q 7 0 0 7 0 a TOTALS RADIATION
6 TYPE OF GLASS
i
FROM LINE 12 SELECTED
B ttom f table used f r Line 5) 0 Q Qf0 p 100 d d d
7 CEILING CONSTRUCTION C Q Q
Table 9,L x W) a4`J d i o2 0 10
g FLOOR CONSTRUCTIONt D
Table 9,L x W or Lin. Ft.) E
9 COLD PARTITION CONSTRUCTION F
Table 9,L x H)c aiG
10 _u 1 Wall(With Openings) D Q L S o o H O D Q
w 2 Walls(With Openings) X l 0 Lf Q 3 Q 0 600 1
3 Walls(With Openings)or Ent.Hall
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' 0 0 6 0O QO 0-6 j Q
J 3 o 0
12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE 6 O O J4 .Q C) S-0 0 v
6
K
L
All 90 0
COL.A COL.8 COL.H COL. 1 COL.J COL. K COL.L TOTAL BTUH TOTAL
1 ROOM OF BUILDING RADIATION
2YAPS ' Z AT SELECTED
O H L W H L W H L W H L W H L W DESIGNTEMP.°
2 ROOM DIMENSIONS,FT. rim DIFFERENCE
U
3 LENGTH EXPOSED WALLS,FT. Q 47
4 WINDOW AND OUTSIDE DOOR AREA U.41
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION INCREASE BATHROOM
Table 9,Line 3 x H)w? 760 1{ d Q 0 0 70 0 TOTAL 20%
6 TYPE OF GLASS rBttomoftableusedforLine5) a 0 3 o o J Q 0 0 Q 0
7 CEILING CONSTRUCTION
4100
tFOR CONCRETE FLOOR ON
GROUNOR FILL AT
Table 9,L x W) 4900 d i3"Q p 0 0 GRADEDLEVEL,USE LINEAR
B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
Table 9,L x W or Lin. Ft)
9 COLD PARTITION CONSTRUCTION
Table 9,L x H)
10 c 1 Wall(With Openings) O 0 Oo
c 4 2 Walls(With Op Wings)DX p2 Q Q QQ 10200
3 Walls(With Openings)or Ent Hall j
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' J7O O 0 00
00 -:i7 00 S Q Oo
12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE dx1 rocio I 17oo I 310o
FORM 1503ThisformisavailablefrmTheHydronicsInstitute,35 Russ Place,Berkel y Heights,N.J.07922
HOME OCCUPATION FORM
Minor ZEO Approval Date ASSESSOR'S USE ONLY:
Major PZC Approval Date Home Occupation Type
Expiration Date Code
Name ;l 6r,,i Se b d f ,AL
Address of proposed occupation:P P c S—r LGG(' 5DM24 Gyl 1)SDzz 1i0
Telephone F40) o"'/ Ot!o 7 ZoneC
Description of Occupation:
vns a ics CZZZ
11
J
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 .41111 p sib
3. Use box B (or attach sketch) to draw the floor plan of the home l
occupation area.
4. Architectural elevations for any proposed additions or modifications
must be provided.
B. FLOOR PLAN (_B e t 1st Floor _2nd Floor)
Floor area of dwelling
Floor area of home occupation
of floor area°o -
WTI JY4
61 '`G
I -- 1 aa 6
I have read the regulations regarding home occupations and intend to comply with said regulations. I
understand I must notify the Planning Depar ent in writing upon termination of this occupation at this
address.
Signature of Applicant Date
Signature of Owner Date Xd/, 00 tl
White = Assessor Yellow = Applicant Pink = Street File