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HomeMy WebLinkAbout1 CHURCH WAY DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is h eby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT �PRO 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 ate 0 uilding Inspector Application must be printed or typed F Location of Job:FEE SCHEDULE k(l I► ql�$0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000or any fraction thereof gnation Apt.No. APPLICANT Air Control Mechanical Services, Inc. APPLICANT ADDRESS 105 Windermere Avenue Ellington, CT 06029-3858 APPLICANT PHONE# (p 0 7 I • (.P CI7 g-Co 0 W .N S F,q OWNER S'I rn �2( E Al 1� < OWNER ADDRESS B$'7 I I I'nq o N oa OWNER PHONE C = ESTIMATED COST$ IS THIS A CONTRACT COST? 11 Yes _No FEE ENCLOSED$ 13J. 100, TYPE OF JOB: rY'OSO R-C o New Installation 7L Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: 11 HEATING *RESIDENTIAL ❑A/C ❑ COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. V HYDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION DC ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE °F INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) Y, IGC E 7 L�e i L'Yl CIG� ` e �twter h uye i L, (ck i Y Id -Pl u s GROSS HEATING CAPACITY(INPUT—BTUH) ! NET RATING(OUTPUT—BTUH) TYPE OF FUEL 0 OIL—GPM OIL TANK LOCATION:❑INSIDEO OUTSIDE CAPACITY lk 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 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.81 �r�`�" i l ��n Fehr C c.Ct- CONTRACTORS LICENSE O. YPE STATE SIGNATURE OF APPLICANT DATE :UILDING DEPARTMENT g' Oran oIe South VindAo t 1540 Sullivan Avenue South Windsor,CT 06074-2786 Mr. Friend 887 Ellington Road Plot Plan--Will Pick up 25� due C Opp-, impow V-- F ♦1v`1A QAe_KAU5K% Z"oNPA :50N Ao !l�4% 0. , S2, l24 06 00_ � 50 03 _ R o w �ti P A= of CONlyf a 10, 291 S.F. ` ,P��a�L w, lic cv AREA s i 8, 029 S. F. ���T� ZI { d z •4''''waruttu►aw 21 fu ►n — e� w z .cr w z 0.90 40 t3 A:. f t?6A8 A-Zo Lo;Z • CNVoaL � 0 1�/o� { " 4 0.90:-1^' . , 121 —— _, �5�;. .,, 50.96�� 0 �P 96.4i 'ewb Rs 126.02•' CC"O_cN0 = z?3.0' cwotss r E L I_ I A.& Cr To f�L , t t .PROPERTY OF KATHLEEN M. RICHARD ' .887 ELLINGTON .ROAD SOUTH_ WINDSOR, CNN. LUCEK ENGINEERING ASSOC. INC. NO. REVISIONS DATE SCALE 1rr=40' DATF5/12/82 CONSULTING ENGINEERS I ' ST21 IZErAtmEb P,Y Q.S. • 0-31-8z 400 BUCXLANO ROAD LN anE ow CWA)E(L »� 3r-B DRAWN dbl CHECKED ewl SOUTH WINDSOR. CONN. 203-644-2474 PROJECT •8221 SHEET I HEREBY CERTIFY THAT THIS MAP AND SURVEY WERE P PARED IN ACCORDAN WIT THE .STA.NDARDS.,OF' A-. CLASS ...��' SURVEY AS DEFINE N E EXI G D P TICE FOR'' STA'NDARDS'­6 ACCURACY OV SURVEYS "k ' D B CON TICUT ArmnrIATION . OF LAND SURVEYORS INC. D E C F V ( 0 JUL 18 ZOU6 South Windsor BUILDING DEPARTMENT t'biv AN. .t.Y .i A6UTH WINDSON ..s car Uii..d that tnis plan vne ap.eifieatiens are true �pi�s of the proposed yullding or alterations so be �s r Li ko- Street ,ngeth.tr with ame ndmeAr tated in application and i,cd with plan and I agree to comply with all zoning. :o;lding and state laws and such orders as shall be .t,ur.d by the building Department during pendency r this applica final is of g �ermit fined L ill S plan is approved sub, to the condition that irdors and ordinances regulating building shall be ;nn plied with. m ( y�y�� 'onditionally Approved These filed with 7l�oo \ �}-� I Building Inspector Cfork ( ,.to N�o. — 190 I / CERTIFICATION OF ZONING COMPLIANCE Proposod bui1(4in-r,). as shown on in .,A ri. : nor rep;. ons. W1 -- u.. o �;:. _._., �:... _ -r m, Y. ��- inajanfomernent Officer bUlLL1NU rJreUvIlT STATE OF CONNECTICUT ✓? �7�� WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. /Gen.Stat. § 31-286b) Property located at -7 In the town of C.�e4-D Name of building permit applicant: Please check one: 1. am the owner of the above property. 2._I am the sole proprietor of a business. 2A.Name of business 213.Federal Employer Identification Number(FEIN) .................................................................................................................... Pursuant to§ 31-286b,"a property owner or sole proprietor[who]intends to act as a general contractor or principal employee"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: 1. I do not intend to act as a general contractor or principal employer. [Sign and stop here] Signature of applicant 2. ✓ I intend to act as a general contractor or principal employer.Applicant must either provide a certificate of workers'compensation insurance or sign the affidavit below. .................................................................................................................... Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers'Compensation Act(Chapter 568). I understand that pursuant to§31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. (��- �- , �_0 Signature of a p icant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court) Town Of South Windsor Building Department Location Z 1 -Z Z ` �" Building Permi t# � SWIMMING POOL—REQUIREMENTS: .This list is not all inclusive;please refer to pool packet. 15A 48"barrier will be provided to protect the pool access. Includingto fen ce for iaground pools prior to filling.. a o 0 Access gates will be self closing and self latching(if less than 54"high they shall be on the pool side and be protected within 18"of release mechanism). "oors providing direct access to the pool shall either have an al t latching device 54"above the floor,or a safety cover over the pool, a self closing self c o receptacles within 10'of pool.(locking type receptacle for pool equipment must be at least 5'from pool and GFCI protected). metal parts of pool structure,fixed metal parts within 5'of shall be bonded with a minimum#8 solid copper wire, POOL Pump motors etc., d Convenience GFCI receptacle shall be provided between 10'and 20'from L P� EY//Trench depth for 20 ' � ep amp.circuit to pool equipment shall be 12"minimum/, o'A surface pool alarm shall be installed pursuant to Public Act 99-140. `2 ."All sag pool pumps must be equipped with a time clock. o Heated d pools require a pool cover unless over 20%of the heating energy is from non-depletable sources. 04 REQUIRED SWIMMING POOL INSPECTIONS: The following is a list of inspections that need to be performed prior to the continuation of work. Requests for inspections can be made by calling the Building Department at 644-2511 ext.230. I• ?RENCH AND BONDING-Electrical trench depth verification and bonding of pool and metal appurtenances including metal reinforcing for gunite pools. 2• FINAL ELECMCAL-Location of equipment and GFCI protection. Convenience outlet provided. 3. FINAL Swunnung pool access protection must be provided before pool can be used. Each swimming pool installation requires a Building and an Electrical permit. Additional permits and inspections are required for pool decks. I have read and understand the require j�E Applicant Signature Date-, 1� o� Homeowner Signature Date 1LS..�Ilc 6 Qa4GKAUSK1 SoN� �oM o 74 0 , _ s 9 24,06 �O. 50 03 0 A= 109291 S.F, o►y.HECl�c � AREA = 28, 029 S. F. z ' No.6293 LL ,4 1�CrSTf�-,R ..� Q / O w m � N ru -0 ki ♦ L I 1 0.40 4-O 0 ! 176�8 A-20 ZpN�s ' • CWOgL �O�c � O .0/0 / 0.90` 12' _'S6 I 50.96 o•cµ� Rg 126.02.E cc%o-cm0 - 273.0' Cwv03S t PROPERTY OF KATHLEEN M. RICHARD 887 ELLINGTON ROAD SOUTH WINDSOR, CONN. LUCEK ENGINEERING ASSOC. INC. ENO N0. REVISIONS DATE SCALE 1"=401 DATE5 112./8") CONSULTING ENGINEERS I ' STjt1 12ErAINEb 9)Y Q.S. , 11-SI-A 490 BUCXUINO ROAD 2 AY1 G1= oWAJetL DRAWN dbl CHECKED ewl SOUTH WINDSOR. CONN. 203-644.2474 PROJECT .8221 SHEET I HEREBY CERTIFY THAT THIS MAP AND SURVEY WERE P PARED IN ACCORDA WIT THE STANDARDS OF A CLASS A- SURVEY AS DEFINE N E EXI G P TICE FOR STANDARDS OF ACCURACY OF SURVEYS AND 0 B CON TICUT ASSOCIATION OF LAND SURVEYORS INC. ��1�1� "�used accactror,. F .1v�-IA 2—Ae—KAUSKI TOH1► SON 06 0010 50 03 � Z o p� •�� 0 0 41 A A. CON � 1p� 29� ,Pt`�a�L WNfcjic AREA = 28, 029 S. F. S'F to Y� GP Gf { z af No•6293 u Vj N to 0 O � 2 d r� L z 0.90 QCCV f 176.08 `�'O' �•�' 019, • CNOpsi / A-20 LUhili O c /0.90` 12' _ � 5 0.96` �Sy 0-c►+ b RS 126.02•' (c4o-CM0 = 2'73.0• calves E L..L I Ak G TO f-L Q-c a D t PROPERTY OF KATHLEEN M. RICHARD 887 ELLINGTON ROAD SOUTH WINDSOR, CONN. LUCEK ENGINEERING ASSOC. INC. NO. REVISIONS DATE SCALE 1"=40' DATE5/12/82 CONSULTING ENGINEERS I ' sTvzip 12ErAtNtb 95Y Q.s. , 0-31-8z 490 BUCKLAND ROAD AIll E OI- d)WAJGfL ��- 3i-� DRAWN dbl CHECKED ewl SOUTH WINDSOR. CONN. 203-644-2A74 PROJECT 8221 SHEET I HEREBY CERTIFY THAT THIS MAP AND SURVEY WERE P PARED IN ACCORDA WIT THE STANDARDS OF A CLASS A- 2 SURVEY AS DEFINE N E EXI 1 G—= P T-CE FOR STANDARDS OF ACCURACY OF SURVEYS AND D B _ ?,CON' TICOT ASSOCIATION OF LAND SURVEYORS INC. r C,�cr I vJ r1 �o Y S t _ _ t i TOWN OF SOUTH WINDSOR AFFIDAVIT OF ACTUAL COSTS PERMIT NO: ' DATE I 012310� 1%7 The undersigned, being a duly authorized representative of, do by this statement, certify that the actual costs shown below, of the project referenced by the Permit Number shown above,are true and accurate. This statement is being made pursuant to the Town of South Windsor Ordinance, Article II, Section 14-31, (a)thru (e), (see attached). understand that verification for accuracy of actual costs may be made at any time by the Building Official through an appraisal of the work at the expense of the property owner. hereby certify that the actual cost of the work performed under this permit is: $ 00. ()ID Signature of Permit Holder: agg;g�� Name(Please Print) C4441 S Ue—lFpl�.) Date: 1 bl 2,3] O`] ................................................................................. State of Connecticut] ] ss South Windsor Date: /U County of Hartford] Personally appeared , as aforesaid, Signer and sealer of the fo s rument and acknowledged 'the same to be his/her free act and deed, before me. Notary Public Commissioner of the Superior Court My commission expires on BUILDINGS AND BUILDING REGULATIONS §14-31 ARTICLE I. IN GENERAL cable utility shall be submitted to the building official prior to the issuance of the demolition Secs. 14-1-14-30. Reserved. permit. (h) Signs. The permit fee for signs shall be ARTICLE II. BUILDING CODE $15.00 per thousand, or fraction thereof, of the estimated cost of the sign and its installation. Sec. 14-31. Construction and alteration fees. (i) Engineering inspection fees.Where an engi- (a) Generally. The building permit and trade neering inspection is necessary to establish com- permit fees shall be $15.00 per thousand, or pliance with an approved site/plot plan for the fraction thereof, of the cost of the construction. issuance of a certificate of occupancy according to the zoning and subdivision regulations,an inspec- (b) Certificate of occupancy. The certificate of tion fee of $35.00 shall be assessed when the occupancy fee shall be $10.00. request for a site inspection is made. (c) Cost of project. Building and trade permit (Code 1978, §§ 10-201, 10-203-10-205; Ord.No. fees shall be based upon the cost of construction 127,11-9-90;Ord.No.139,§§10-201,10-203-10- and the materials to be supplied in conjunction 205,10-10-96;Ord.No.156,§10-201,7-6-99;Ord. with the project described in the permit. The No. 165,§§ 10-200-10-205,3-4-02;Ord.No. 166, owner or contractor shall supply the building 6-17-02) official_with an estimate of the total job covered under the permit. All trade permits shall have individual costs and fees. (d) Accepted value. The cost of materials and I labor of a project accepted by the building official shall, in no case, be less than the guidelines offered for Connecticut in the latest building valuation data report published by BOCA[Build- ---ing-Officials—Confererice of America] Interna- tional. (e) Affidavit. An affidavit under oath under penalties of false statement of actual final cost for all new structures and major additions shall be signed by the owner, agent or contractor for the project prior to the issuance of a certificate of occupancy; and the fee shall then be appropri- ately adjusted. Affidavits for other construction permit costs may be required by the building official. (f) Moving of buildings. The permit fee for moving a building shall be $15.00 per thousand, or fraction thereof, of the estimated cost of the move.Any additional costs,such as traffic control or newspaper advertising, shall be paid by the applicant in addition to the permit fee. (g) Demolition. The permit fee for the demoli- tion of buildings shall be$15.00 per thousand,or fraction thereof, of the estimated cost of the demolition. Letters of disconnect from any appli- Supp.No.1 CD14:3 /j 2:38p OSEBURG 07 l� 2:33pm FOREST PRODUCTS � loft Itcyaeb a 4300u L•m13cme6r4ra 4.50 is MaIrriall Odur6dm 731 Member data Description: Member Type:Beam Application: Floor Lateral Bracing:Continuous Top Standard Load: Moisture Condition:Dry Building Code:S13C Dead Load: 10 PLF Deflection Criteria: U360 live,U240 total Live Load: 40 PLF Deck Connection: Nailed Member Weight: 8,3 PLF Filename: KYB1 Other Loads 'type Trib, Dead Other (Description) Begin End Width Start End Start End Category Point(LBS) 4' 9.00" 400 0 Live Point LB5 10' 3.00" 400 0 Live l500 2 lsoo Bearings and Reactions Location Type Input Length Min Required CravltyFeaction Gravity Uplift 1 0' 0.000" Wall 3.500" 1.500" 8S'44 — 2 14' 6.750" Wall 3.500" 1.500" V44 - Maximum Load Case Reactions Umd mrapplylnppolni bada(or lhe loadq)to arrft members Dead Live 1 533# 291# 2 533# 2914 Design spans 14' 0.750" Product:2.0 Rigidl-am LVL 1-314 x 9.5 2 ply Component Member Design has Passed Design Checks.'" Design assumes continuous lateral bracing along the top chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 3358.W 13100.'# 25% 7,28' Total load D+L Shaar 778.# 6318A 12% 0101, Total bad D+L Max.Reaction 824A 91881 8% 14.56' Total load D+L TL Deflection 0.2625" 0.72811' U665 7.28' Total bad D+L LL Deflection 0.0809" 0.4554" U999+ 7.28' Total load L Contol: TL Defloctlon ManUradurers lristallaUon guide MUST ba consulted for rnuly.plyconnec1lon details and albarret)ves Alprodadnsmaaamtmdemarkeellhakmoa adlvaalnan �i���y'yj��yFr* Ceal�ltlhl(C)190920abbykoymarkEnlrpdtaa,L1.C,ALLRIANT3REeERVFD. ,(� } t■rlrerennrslLv.b.u• �reubnel aldneUYd tors ibrova T"aeeJr)n�aTa!tl d Inreellellon acbmd"'In I lellre menuiaaurel't t�olfae bnie Leatla Leedhp Crrdlllma,and @panalhtedon"a eheol.)-ha daypnmual br rNlawed by advolMed dabnarordoypn T'd E1.8'ON 9NI2133NIDW3 a—L WdST:z L002'8I'100 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 887 Ellington Road Date: 1 4-2/03 HVAC # I I f — --- Sprinkler# 30287 FINAL APPROVALS -FOO- SIGN -- -- _- -- - -- - -_ — _— Estimated Cost $ 9 "CD 0 Permit Fee $ Building PLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Affidavit ON REVERSE SIDEEng. Insp. Fee $ Appr. for CO. - _ - Total Fee $ TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant Location of Work a97 AZIG -lSlrn-, 4d Lot No. Applicant's Address J3, Ca mm,--e_ [,o" Tel.#_(a2p) /030 Town S a. �C- 7- Zip_Qr-iNN1 Lic.# j ?q 7 a 3 Owner.zh�z zie"k:,DS Architect Owner's Address 8R�7�(a Architect's Address So _ Zip cr-C) Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit K i �c o �'6 c� C` a f�a c _ t-1 c! S-e 7- us City Water❑ Wello Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date 3 Use Group -- Construction Type Revised 6/02 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Towi 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 which thi ing and its use is allowed. / 7 � Signed��L 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 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 887Ellington 731244 Road Date: H �� U7 VAC # S rinkler# pFINAL �Vtql�o - Estimated Cost $ t�D, Du Buildin COMPLETE RED BOXED AREAS Permit Fee $ �yO Enginee TYPE OR PRINT ONLY Occupancy Fee $ to Affidavi Eng. Insp. Fee $ A r. for CO c ► SIGN ON REVERSE SIDE j PP ! - -- --- --- - - Total Fee $—_ TO THE B I DING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant 4 Q i F i d J40Me _TMA20VOYEjocation of Work W-? EcL_i?.xj-Tor,:, (Qb Lot No. Applicagt's Address 0 FC'x�PJ 11>R% _Tel.# 203- Z3�--_735_& Town M CX-)(�>e N Zip u Lic.# I I S-5 5— Owner Ti►m t KAT)41 'F_i CTZ Architect n1BR—AI L Owner's Address iTl ELLi+--Mtj 12-D Architect's Address i� W a�5ol� zip J Zip Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit F��Dm Cx3 Qi 2" Fi obrz BA-THW-00N--_- City WateV4 Well❑ Septic Systemo Sewer,, Ins: HO SP Cert. ea Basement Garage Approved by Date Use Gr onstruction Type Revised 6/02 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 t pro r distance from all street lines,side yard lines,anti required distances from all other zones and is located in w his i d its use is allowed Signed 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 APPLICATION FOR BUILDING PEFMIT Electric# �. Plumbing# HVAC # 887 El l incln Road Date: d 3 � Sprinkler# oa FINAL RO - - --- Estimated Cost O Building�� 7 �� Permit Fee $" f-a En gi nee COMPLETE RED BOXED AREAS Occupancy Fee $ G ' TYPE OR PRINT ONLY Affidavit .� SIGN ON REVERSE SIDE , Eng. Insp. Fee $ ppr. for C POP- pp Total Fee $ - L TO THE B ILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant (l .c6T?aY Location of Work qY-7 ,�lc� cr-►c�ss'� Lot No. Applicant's Address qR'i Tel.# ZS5 --cat4a1 Town tJ.�'�c� Zip CXo -1 Lic.# Owner Architect Owner's Address Architect's Address Zip Zip Sq. Ft. New Area: 1st FIB- 2nd FI. 3rd FI. Total New Area 33�.- Purpose of this permit City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SAP Cert. Area Basement Garage Approved by W Date a Use Group Construction Type Revised 6/02 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town )f South Windsor and to notify the Building Inspector of any afteration 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 d' m all lines,side yard lines,and required distances from all other zones and is located in nd use is I SignE�. '�— I hereby apply for a Certificate of O d7en-b�ed)n this a ion for the permit Signe-91„ -•- DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-29924-B 50,000 BO1 FOOTING 11/18/03 JFF A WITH OWNER 4 12IN PIERS PRE FAB SUN RM WENT OVER SMOKES B10 FINAL 11/19/03 JFF D WITH OWNER NOT COMPLETED TO CALL E03 ROUGH 10/10/06 MR D NEED TO BOND METAL FRAME OF SUNROOM OWNER TO CALL FOR REINSPECTION B10 FINAL 10/09/07 JFF A WITH OWNER SUN RM BONDED SMOKES INSTALLED OK FOR COFO Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 1 hr� HVAC # 88 EEl(1 inton Road Date: q S Sprinkler# _ 29926- Estimated Cost $ l FINAL APPROV S _ L Building FF �� (>s c�3 Permit Fee $ vJ Engineering i COMPLETE RED BOXED AREAS ; Occupancy Fee $ Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ A r. for CO. ► SIGN ON REVERSE SIDE pp Total Fee $ ��^' TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant t d;S Location of Work W7 Lot No. Applicant's Address 7 Tel.# 2Soi-444P7 Town sLau C,,A.��oe Zip Dtoo7 Lic. # Owner 3_ Architect Owner's Address Architect's Address Zip Zip Sq. Ft. New Area: 1 st A. 2nd FI. 3rd FI. Total New Area Purpose of thisperrnr—[-�,,gr.AnL_jme#6.3 amazes �� J. �.A..oMf:6g to c.o City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by LL-i 0-% Date a Use Group Construction Type Revised W02 I hereby agree to conform to al the►equirern nts of the laws of the Stale of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building inspector of any aI ration in on plsm or apscgfcations of the Building for which this permit is asked,and agree that this building is to be located One proper distance "7 yard Ines,and required distances from aw other zones and is located in which imowed Signed 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 Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-29926-B 1,000 B10 FINAL 11/18/03 JFF A B10 FINAL 11/18/03 JFF A CLOSEOUT 'Electric# APPLICATION FOR BUILDING PERMIT 1 ,,`���I�;l;�� , Plumbing# 887 Ellington Road Date: _ � HVAC # Sprinkler# 2 9 9 2 5 CobFINAL APPROV --- - - —--- Estimated Cost Building 'F - V r Permit Fee $ COMPLETE RED BOXED AREAS Engineering Occupancy Fee $ /o Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr. for CO. ► SIGN ON REVERSE SIDE Total Fee $ z'664 TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant Location of Work '97 7 r •a]GTe.J ).Zap. Lot No. Applicant's Address 4SJ ? vuGTd.� l�.c►� TV.# %'95 •4a I4,7 Town a.�z Zip Lic.# Owner gA jWr'- Architect Owner's Address Architect's Address Zip Zip Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area Purpose of this perrMt"(ZE,, ��10� LIB O A2wCAe City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO S,P�—}�—Cert. Area Basement Garage Approved by Date a Use Group Construction Type Revised 6/02 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 dis ce fro all street lines,side yard lines,and required distances from all other zones and is located in i ng use is al Signed �'` / I hereby appty for a Certificate of Occupancy for the 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 ------------------------------------------------------------------------------- **-29925-B 1,000 B10 FINAL 11/18/03 JFF A B10 FINAL 11/18/03 JFF A CLOSEOUT Electric# C' APPLICATION FOR BUILDING PERDIIT �.. 7HVAC #Plumbing# 887 Ellington Road Date: Sprinkler# 32719 / FINAL R ---- - - --- -_-_-_! Estimated Cost $��_ -- - - - - -- Permit Fee $ /Gf1 BuildingJ� g `'L"""�j COMPLETE RED BOXED AREAS Occupancy Fee $ /o - Enidavi ' TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit SIGN ON REVERSE SIDE / Appr. for C 1� ` � � - - -- - -- -- -- - Total Fee $T'I7 1', TO THE B I G DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) ' The undersigned hereby applies to do work according to the following: Applicant c �. -1 Location of Work c i 7 d�,/,_ Lot No. Applicant's Judd ss 'a e Tel.# 2�-6/6 7 Town � Zip Lic.# Owner r _Architect Owner's Address Architect's Address Zip - zip-Sq. Ft. New Area: 1 st FI. _2nd FI. 3rd Fl. Total New Area /JL� Purpose of this permit `�' _, a,( a >�� �x✓ca..� City Water[K_- Well❑ Septic System❑ Sewer Ins: HO SP Cert. -7 Area Baseme Garage Approved by,. Date — /- �L Use Group Construction Type 2_C� Revised 6/02 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances )f the T)wn 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 wh tdisg an its u ir), Signed ( � I hereby apply for a Certificate of Occ paRey-fec2se ork bis application for the permit. Signed 4. 1 DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-32719-B 11,000 E10 FINAL 10/10/06 MR D NEED TO ENCLOSE POOL LADDER OWNER TO CALL FOR REINSPECTION B10 FINAL 10/09/07 JFF A WITH OWNER YARD FENCED DOORS ALARMED E02TEST HOLE SCD40 TIME CLOCK GFCI ALARM BONDING OK Sequence of Operation 144 ,, 6 SERIES 4 / 1 8 GAS Y = I � r \l . BOILER with Direct Vent Water _ __F 7�� r a Net Ratings 53,000 to 133,000 Btu/Hr. � ! ` Gr g n Direct Vent \ r 4 \ � The GV boiler must be vented directly outside—either through a \ wall, through the roof, or through an unused chimney. 5 c Because condensation can occur in the venting system, AL29-4C® stainless steel venting systems must always be used and vent pipe GCM GOLD Control Module° Design Advantages manufacturers must be approved by Weil-McLain—see Venting \ Instructions for details. Control transformer When venting through an unused chimney, the vent pipe must be run a Supply to system (unique Section Design through the entire length of the chimney. The chimney can be used O only as a raceway. Blower b Return from system The combustion area is at the to of the boiler. In addition to higher efficient To simplify condensate removal, a drain connection is located at the 4 g p 9 Y� c Combustion air inlet fitting this design makes sediment in older systems less of a problem. Wide water- bottom of the vent starter drain tee. 0 Air pressure switch ways and larger crown sheets assure greater durability, even in marginal d Flue outlet applications. ��,.4• _ � Limit switch e' Gas valve Modern elastomer sealing rings in the port openings provide a permanent Sealed Com�.n f Pressure/temperature gauge }' watertight seal. The flexibility and elastic-memory of these seals (unlike metal The Weil-McLain GOLD GV is a high- © System circulator push nipples), prevents leaks caused by thermal expansion and contraction. efficient residential as boiler with Y g O g Flueway inspection port cover _ r A special high-temperature sealant between the ground joint sections sealed combustion technology— 7 assures gas tightness. that means using outside air for Bypass circulator n' Sensor hose trap ® combustion. This feature lowers fuel ® Manual air vent Weil-McLain boiler to last 35 years or more. Water temperature And, of course, cast iron means long life—it's not uncommon fora bills by reducing air infiltration and eliminates problems caused by indoor sensor Relief valve air contaminants. Outside combustion air can be used How the boiler works ... when the boiler is vented through a When a room thermostat calls for heat, the GCM starts the system circulator and blower. Premix technology mixes combustion air with the gas before it ignites at side wall or through the roof. To The GCM runs the blower long enough to purge the boiler flue passages, then turns on the igniter and the burner cone, reducing NOx emissions ... and makes the GV boiler provide outside air, use galvanized lets it warm up. more environmentally friendly. The GV boiler is low NOx certified by the or aluminum pipe, dryer vent or P.V.C. After a 15-second warmup, the GCM opens the gas valve, turns the igniter off, and checks for flame. South Coast Air Quality Management District (Rule 1146.2) in California. A patented sidewall vent kit is The flame must come on within 4 seconds or the GCM will shut down and try the full cycle again. The NOx level of the GV boilers is as low as 30 nanograms per joule, furnished as standard equipment. A When the room thermostat is satisfied, the GCM turns off the boiler components and waits for the next well below the SCAQMD limit of 40 ng/J. through-the-roof vent kit is available as call for heat. additional equipment. The GCM indicator lights show normal sequence when the lights are on steady. When a problem occurs, the GCM flashes a combination of lights, which indicates the most likely reason for the problem. 2 3 4 Features • • • Advantages . . . Benefits Ratings DOE Net I=B=R Approx. DOE Vent Boiler III Ell L A.G.A. Heating Water Shipping Seasonal Diameter Water • Easy stand-up service. Components are easy to get to by removing the top jacket panel. � �� Boiler Input Capacity Ratings Weight Efficiency Inches Content • RP fCsP� Model MBH MBH (1) MBH (2) (Lbs.) (AFUE)% (3) (Gal.) ■ Easy to understand. Pictorial wiring diagrams and troubleshooting guide in the top jacket panel. DOE Model 70 61 B 27s 87.5 3 Ga • Fewer parts. Faster, easier service ...more reliable operation. �•� GV-4 105 61 80 270 87.3 3 3.3 • Sealed combustion. Reduces energy usage by eliminating air infiltration. � MNc Lill R `—' 140 122 105 355 87.2 3 5.1 an ISO 9001 Certified Company GV 5 R Y • Built-in bypass circulator system. With sensor for temperature control. �_i� GV 6 175 153 133 410 87.0 3 6.0 • Unique combustion technology. Assures higher efficiency with fewer parts and less complexity. GOLD Achieved through premix technology as and air are thoroughly mixed in the blower before Notes: 1)NetBas I=B=Rratid on ratinard gs baseproced nnetiures stalledrabed yttionhe ofed iciestState Department ofEquine g p gy- g g y 2)Net I=B=R ratings are based on net installed radiation of sufficient quantity for the requirements entering the single burner. of the building and nothing need be added for normal piping and pick-up.Ratings are based on a piping and pick-up allowance of 1.15. An additional allowance should be made for unusual piping and pick-up loads. • GCM GOLD control Module®. Designed for Weil-McLain ... Mistake proof wiring ... 3)GV boilers must be vented directly to the outside. diagnostic indicator lights. Low NOx certified by SCAQMD in California,as low as 30 nanograms per joule. „ A.G.A.design certified for installation on combustible flooring.Tested for 50 PSI working pressure.GV automatically compensates for altitude resulting in O • Simple propane conversion. Just change the orifice plate provided with the boiler- reduced input as follows:2000 ft.-93%;3000 ft.-90%;4000 ft.-87%;and 3%for each additional 1000 ft.For boilers used at altitudes above 5500ft.,a _ � simple to do. high altitude kit must be installed. ` NA, • -Easy to handle. New crate design with the weight at the bottom for easy hand-trucking. Dimensions • � ' Length- Supply Return Gas Crate Dimensions • Factory-tested. Every boiler is tested at the factory to assure dependable operation. L 111 Boiler Inches Size Size Connection (Outside Measurements-In.) 0 Model L Inches Inches Size Inches Height Width Length , • Hot surface ignition. Provides more reliable starts without adjustments. —1,,.," g • New parts approach. Parts furnished in convenient kits with everything needed. i i 44:,, GV-3 30-314 1 1 '/z 33-1/2 22 36 _ 9 GV 4 30 3/4 1 1 1/2 33 1/2 22 36 SERIES 4 • Limited lifetime warranty. Covers cast iron sections. _a _ t ' ' i • Multiple boiler systems. Use two or more high-efficiency GV boilers in place of one large- ® GV-5 37-3/4 1 1 1/2 33-112 22 43 GAS BOILER • Easy power hookup. J-box is located on the outside of the boiler and has pre-stripped wires. - GV 6 37 3/4 1 1 DOOR W/FRESH l2 33 1/2 22 43 s capacity boiler to meet the space-heating requirements of larger buildings. i 'tom' With y > > #� p pp 6" AIR OPENINGS Direct 25/ g ------ � lo„ 1"CLEARANCE , FRESH FFRRONT Vent OPENIINGS FLOOR VENT BOILER J 4„ FRONT F AIR i s„ J wraa �—sv FLOOR 1" ` • Just as the GV GOLD Boiler is a major breakthrough in gas boiler SIDE ELEVATION TOP VIEW Water Net Ratings: 16-A THROUGH WALL • design, the GCM GOLD Control Module®is a major breakthrough —' TOP VIEW Vent Cap is73,ax101% g in boiler controls. It is the first control designed specifically for - 53,000 to boilers—still another Weil-McLain exclusive. � Standard and Additional Equipment � 133,000 The enclosed GCM has: ° Btu/Hr. fivepressure switor lchhflame th power, at showthermostat ro proper ocirculator, eration and make Standard Equipment: 30 50 PSI working SME lief Valve p pressure) (boilersections tested for - p 9 y p p p g Factor Tested Water TemperaturepLimit Switch •'` ' 2°r, Insulated Extended Jacket o troubleshooting easy without complicated add-on wiring. Section Block Temperature Limit Switch _ _ Cast Iron Sections with Built-in Air Separator • plug-in connectors that attach only one way to assure Steel Base Combination Pressure-Temperature Gauge •`�i'' mistake proof wiring if components ever need to be replaced. ■ GCM GOLD Control Module®with Indicator Lights Drain Valve ® Blower Assembly with Observation Port The GCM controls: Gas/Air Manifold Assembly Additional Equipment: .:' s.a nee of operation Gas/Air Orifice Plate for Natural Gas Expansion Tank Package #109-sizes 3 thru 5; Applications: p...�°rONsp"°a. GV • all ignition, operating and safety-related functions. In addition, its - °-°° (separate plate furnished for conversion to propane) #110-size 6.Shipped in separate carton. y ` pp Model 1013-200 microprocessor continually checks itself 60 times each second. If Stainless Steel Burner Cone and Ring Assembly Through the Roof Termination Kit-includes 5"x Commercial • °°°-°'°°ei° 1 i ►� As an ENERGY STAR Partner, -,,.up°,,.,°,. Integrated Boiler Control a situation such as electrical "noise" or low voltage is encount- Negative Regulation Gas Valve 5"x 3"tee,5"cap,flue support,spacer „•p;,"", Weil-McLain has determined that Hot Surface Ignition System clamps,debris screen and hardware.5"Type Residential •°'">'•-°�°•" N , xC C ered, the GCM restarts and retries, eliminating nuisance * Circulators supplied with this product meets the AUTO'ONN SYSI-SANSIP2i20 IOCkOU'tS. Air Pressure Switch B vent pipe and fittings must be furnished by ENERGY STAR boiler cannot be removed guidelines for System Circulator* installer. Multiple Boilers and cannot be used as a y energyefficienc efficiency. • • the flow rate of the system circulator depending on the zone circulator in multiple Built-inn Bypass Circulator System with Sensor for High Altitude Kit Easy to Install and Service •.\WARMgR Q, Temperature Control* W-M 5&10 Year Homeowner Protection Plan .•.....°A„ temperature of the water entering the boiler section. Zone systems. Schools and ❑m UlEll•IIIrLAIN ** Includes inside and Condensate Drain Trap W-M Indirect-fired Water Heaters tq° °x'°°°w °° Other Institutions • the bypass circulator, mixing hot water from the boiler outlet with outside plates,vent cap and Sidewall Vent Termination Kit** W-M MaxifloR Pool Heaters colder return water from the system when needed. By balancing hardware. 40VA Transformer W-M AlumiPex®Radiant Heating Products the flow rates of the system and bypass circulators, the GCM Electrical Junction Box W-M Baseboard Units ❑ Low NOx Certified by South Coast Air Quality • Indirect-fired �l can protect against condensation even if return water is as In the interest of continual improvements in product and performance,Weil-McLain reserves the right to change specifications without notice. Management District (Rule 1146.2) in California Water Heating low as 60°F. And regardless of future control improvements, the GCM design Locate our Sales Offices b visiting our Website: Weil-McLain • Radiant Heating assures newer controls will always fit. g WEIL�m�LA'N www.weii-mclain.com 500 Blaine Street ❑ e wi th Weil-MCLain Quality ... And Much More Michigan City, IN 46360-2388 y 5 ©1999 Weil-McLain Form No. C-834R3(1001) I I 1- �jv,_I^ Q,4GKAU5KI ZIoN^1=0N 0 /�4 O9 ��� 124.06 � 00 soDe 03 - e 0 ��� 0 10b 0 w �ti A A= pE CON = 10, 291 S.F, ��, yy- fct�c AREA = 2 8, 029 S. F- In Yea `G�, { z z LL No.6293 o f' D: 0 �. anv+uumuuawu� S/ ZI\ - _ W In o 7 0.90 ! 176A8 A-20 ZoNFi � Cti10paL �O�c � O\b � \ Oho` �S . 0.90` 12` _' 6 50.96 ` �sy jr 96.4i ��-- �•cK��s 12S.02` (cKo-et"0 = Z'73.o• cravas ` L L 1 AFL Cs TO A-L r PROPERTY OF KATHLEEN M. RICHARD 887 ELLINGTON ROAD SOUTH WINDSOR, CONN. LUCEK ENGINEERING ASSOC. INC. NO. REVISIONS DATE SCALE 1"=40' DATF5I12/82 CONSULTING ENGINEERS I ' SlaIP i2ErAINlb 45Y Q,S. 11-31-az 490 BUCKLAND ROAD 2 bY1E 01- oovuEn »- 151-8 DRAWN dbl CHECKED ewl SOUTH WINDSOR. CONN. 20 -644-2474 PROJECT 8221 SHEET 1 HEREBY CERTIFY THAT THIS MAP 'AND SURVEY WERE P PARED IN ACCORDA WIT THE ATANDARDS.;OF� A•. CLASS A- 2. SURVEY AS DEFINE N E EXl I P TICE FOR*' STANDARDS N I AC URACY� OF SURVEYS AND' D B CON TICUT :.-ASSOCIATION.,.OF...LAND ^.�SURYEYORS _INC. o C�gn�I SEP 5 ?nnj South Windsor BUILDING DEPARTMENT '>zartfflos that this ylah an/sp.cHlc.4bna art tr .piss of the proposal t6Mdirj of alterations to t rastad at sv« together with amendments stated in application or died-with plan and I agree to comply with all aonlnl, ',-;IAlhs end state laws and such orders as shall b .sued by the building Oevart i,, penden f this application and final is:, -t Duil n; ilill I -�► , lU his Plan Is r�gulc to th,building condition the rdafs and ordinances rcgulaUnK building shall Dr (� 0 ;ailed with. "liditlonally Approved These tiled with `4Hdin� Inspector Cleft No. }lu:.•_�1 J:;ilt:ir� j� tise,$) and!or structur-};, shown on ih;s plan to be .mformance v1 ul cr r, .:oulations. V-i, tay apply. ,are 7nn q _ Offirer Location 7 Z71 0_. ,2' Permit # `� �--6 DEMOLITION PERMIT REQUIREMENTS • Hazardous material survey: Asbestos Lead paint • Letters/confirmation of utility disconnect: Electricity 4 Gas VA Water : public reuse abandon � Q W e 1 1 reuse abandon* S ewe public reuse abandon N /Septic Drain layer permit# (if abandoned) reuse abandon* *These require procedures approved by Health Department • Historic District/Commissi Approval Certificate /(� 4 • Demolition License (Single famiCemoiitio s exempted if owner is present for , and assumes all liability. Location �'Y 7 vim.. Permit # >y�� d PMo 1 Cc(,- q/w� DEMOLITION PERMIT REQUIREMENTS • Hazardous material survey Asbestos Lead paint 1,1 • Letters/confirmation o utility disconnect: Electricity At Gas Water : public rouse abandon Well reuse abandon* S ew r : public rouse abandon a Drain layer permit# (if abandoned) N S e p t i c rouse abandon* *These require procedures approved by Health Department • Historic District/Commissio Approval Certificate • Demolition License (Single family house exempted f owner is present for demolition, a assumes all liability. CGS 29-402(c) ) DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Applicatiop,is kerf iy_ TOWN OF SOUTH WINDSOR /�--- —� BUILDING DEPARTMENT Al'PRO j �/�� 1540 SULLIVAN AVENUE Bldg.Permit# 10 20% 644-2511 ext. 230 g Date Building In or Application must be printed or typed FEE SCHEDULE Location of Job: " $0-$1,000=$15.00 FTen-a-mDesignation Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Apt.No. I 'z APPLICANT l V-1��` \1- \ec l le' APPLICANT ADDRESS U9 un r\G)zn QT Moll APPLICANT PHONE# (_ 100 - j(j(D-j -\R� `B OWN S F,Q OWNER TkV`l\ l l \e f- d OWNER ADDRESS CIO) o Er OWNER PHONE 0 C = ESTIMATED COST$ tP IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ 3() f� \ O�� TYPE OF JOB: R C New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A El RESIDENTIAL BUILDING PERMIT APPLICATION? ❑YES ❑NO ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD y SIZE OF SERVICE O�DO a-�P SIZE OF MAIN CONDUCTORS `q l 0 NUMBER OF METERS I 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 �Cg- C Do, CAP ,hohale a`buC&13 - 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. / 03530 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE !!z 01-A &—,) DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# TOWN OF SOUTH WINDSOR Applic s I 2 cJ'0 BUILDING DEPARTMENT D 1540 SULLIVAN AVENUE / 644-2511 ext. 230 Bldg.Permit# � Date ui ing ector IF Application must be printed or typed Location of Job. � 1 .i� FEE SCHEDULE _ �'"� � [ I �� W�1 , $0-$1,000=$15.00 Street No. '-[ l\ Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT \V M1 ' APPLICANT ADDRESS -)( (N(14�; ' C—F 0 (c)(CI APPLICANT PHONE " O W N St-4 t-4 OWNER OWNER ADDRESS Oc OWNER PHONE CCU C ESTIMATED COST$ jC) xb IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ 30 L'� TYPE 10F;JO OS�R.COS w�Inst:a�llation - -VAlteration/Addition/Repair 0 6P�5 Revised 4/01//2002 J APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A *PRESIDENTIAL BUILDING PERMIT APPLICATION? 0 YES ❑NO O BUSINESS CURRENT USE AND OCCUPANCY O ASSEMBLY ❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY O INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD C 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 V 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. CONTRACTORS LICENSE NO. TYPE STATE t SIGNATURE OF APPLICANT DATE C S'0 0��`1 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Appli es re y: TOWN OF SOUTH WINDSOR 655- BUILDING DEPARTMENT APPRO 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 L-V ext. 230 Date ing Inspector � � , 2 4'� Application must be printed or typed FEE SCHEDULE Locati b: F;T�enant c � A7 ��� $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. 1 ^ APPLICANT ( t APPLICANT ADDRESS A J o Sl-t Lz i a,6i 5csf- , APPLICANT PHONE# O W N 3 F,q OWNER OWNER ADDRESS OWNER PHONE C ESTIMATED COST$ .� IS THIS A CONTRACT COST? _Yes IC No o FEE ENCLOSED$ 1, j,�� r��s0 O�� TYPE OF JOB: R C New Installation ,4Alteration/Addition/Repair Revised 4/01//2002 `��� APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ❑RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑ NO ❑BUSINESS CURRENT USE AND OCCUPANCY3 ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE a '")�- SIZE OF MAIN CONDUCTORS - NUMBER NUMBER OF METERS N/d NUMBER OF DISCONNECTS AND RATINGS y4 NUMBER OF PANELS I REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER OF LIGHT CIRCUITS_ I NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES!_ NUMBER OF OUTLETS I?- NUMBER OF LIGHT FIXTURES _NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS_ 6 SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK ,'�ld� � naafi • t�'� 9l `1i` Xis r�l •c I�.S7i r 1r �,a� 1 i 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. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE /I /z'tlo,7 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Ap by: TOWN OF SOUTH WINDSOR Zo3 BUILDING DEPARTMENT — - APPROVE 1540 SULLIVAN AVENUE Q Bldg.Permit# 644-2511 ext. 230 Date m g Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street t No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT PHONE# z Ci - 44 G I O W N 3 F,q OWNER 2c.►. 6, OWNER ADDRESS _ OF OWNER PHONE C = ESTIMATED COST$ IS THIS A CONTRACT COST? _Yes No FEE ENCLOSED$ r��s O�� TYPE OF JOB: O R C -,-New Installation Alteration/Addition/Repair APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? 0 YES ❑ NO ❑ RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY U ASSEMBLY ❑ MERCANTILE FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE 0 STORAGE ❑GARAGE ADDRESS O MIXED USE CITY STATE ZIP (Other please specify) 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. CONTRACTORS LICENSE NO. 3I E STATE SIGNATURE OF APPLICANT ' DATE DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPR VEW,:,, 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 [Tenant o. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof esignation Apt.No. APPLICANT -v APPLICANT ADDRESS =3 APPLICANT PHONE# �e O S" ✓`7 t7 t'v �"f� let OWN s F,q OWNER �K., ;,n , mot, cr OWNER ADDRESS 7 //.,,� �vs, X�z ub. OF, OWNER PHONE 7 C ESTIMATED COST$ S, O D:D , rJ a. IS THIS A CONTRACT COST? _Yes A No FEE ENCLOSED$ l O -COTYPE OF JOB: aI a R �� New Installation Alteration/Addition/Repair R..A 4/01//2M �r7,9-7 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A 21 RESIDENTIAL BUILDING PERMIT APPLICATION?,® YES ❑NO ❑BUSINESS CURRENT USE AND OCCUPANCY y c.S ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY U EDUCATIONAL O INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION /1 c.r SIZE OF MAIN DRAIN 3 NO.OF TOILETS I STYLE NO.URINALS © STYLE NO.OF BATHTUBS / NO.OF SHOWERS / NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS�_ SIZE 3 1 AREA OF ROOF NO.OF CATCH BASINS NO. OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND 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 MANUFACTURER DESC/RIPTION OF WORK of i THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PER ORM THE WORK DESCRI ED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. v�/rg o_-� 6­41� 3J CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANI<i/� �� DATE J�� J O