HomeMy WebLinkAbout115 SKYLINE DR DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT P ' --
APPROYEIP, 1540 SULLIVAN AVENUE
Bldg.Permit
644-2511 ext. 230
-
Date BuildiQg.4aspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 40' Cod�v 5ia4 S�e,1T �cTml
APPLICANT ADDRESS
d�D,�29
APPLICANT PHONE#
O Yr N S�q OWNER -
OWNER ADDRESS
C o OWNER PHONE
0
C ESTIMATED COST$ /000
IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$
S O'' TYPE OF JOB:
OR•C New Installation
_L/Alteration/Addition/Repair
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE,OF YSTEM: TYPE OF BUILDING:
HEATING ❑ RESIDENTIAL
❑ A/C ❑ COMMERCIAL
❑VENTILATION ❑ INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑HYDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH)
TYPE OF FUEL
❑OIL-GPM OIL TANK LOCATION :❑ INSIDE❑ 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 SYUEM(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.
1 S g0 Sri �T
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATEj�/G/D�
S/N 12140 RIGHT-J SHORT FORM 3/15/0 7 ~
File name:
Job#: Htg Clg
For: Outside db 4 88
115 Skyline dr Insidedb 70 75
South Windsor ct Design TD 66 13
Daily Range - M
Inside Humid. - 50
By: Grains Water - 29
Method Simplified
Const.glty Average
Fireplaces 0
HEATING EQUIPMENT COOLING EQUIPMENT
Make Make
Model Model
Type Type
Efficiency/HSPF 0 00 COP/EER/SEER 0 00
Heating Input 0 Btuh Sensible Cooling 0 Btuh
Heating Output 0 Btuh Latent Cooling 0 Btuh
Heating Temp Rise 0 Deg F Total Cooling 0 Btuh
Actual Heating Fan 171 CFM Actual Cooling Fan 171 CFM
Htg Air Flow Factor 0 014 CFM/Btuh Clg Air Flow Factor 0.043 CFM/Btuh
Space Thermostat Load Sensible Heat Ratio 75
ROOM NAME AREA HTG CLG HTG CLG
SQ.FT. BTUH BTUH CFM CFM
Living rm 299 4805 2262 69 98
Bed rm 168 5987 1448 86 63
Bath rm 48 1140 228 16 10
Entire House d 515 11933 3939 171 171
Ventilation Air 0 0
Equip.@ 0 95 RSM 3742
Latent Cooling 1284
TOTALS 515 11933 5025 171 171
MANUAL J:7th Ed. RIGHT-J:V3.0.13
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is PERMIT#
hereby: TOWN OF SOUTH WINDSOR ( E�
BUILDING DEPARTMENT
PROVED' 1540 SULLIVAN AVENUE Bldg.Permit#
�11, 644-2511 ext. 230 l ��
DhevWftiglnww
Application must be printed or typed
FEE SCHEDULE Location of Job:
F
$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT Ll ncoi n
APPLICANT ADDRESS 115 SYvy).(W lJv'
S. wdk CT Ocoo7
APPLICANT PHONE# 2,,,0 (o 5f Y 7/Y5'
O W N S jt OWNER Ll r")✓\ -
OWNER ADDRESS —�c,rx.Q
OWNER PHONE
� C
C ESTIMATED COST$ 300- qm
x IS THIS A CONTRACT COST? Yes _No
!� o "' ' ' �j'�G FEE ENCLOSED$ l s-� cc zg
r��sO. •C��� TYPE OF JOB:
R A 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? ElYES ElNO
❑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/WHUNG 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.
/ Q 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. E STATE
SIGNATURE OF APPLICANT DATE
l ..
C i
L_I'r1��, ,.
::LrNr{(i DiPT, TOWN l Liiii f n utUlvr.
hiilcd that this plan and IreeHlc, lons are trre
of.,the prowdN6 or•reaasd at I,alterations be
I ssetnor wlth alne liKreei
nts svt,t In appgcatlon end
`lltd with plan and 1 agrtt to com
:ullding and state laws WY with air toning,
' sued by the Buildingv.d 4' Orden as.hall be
' this +•� nt during pendency
aVWloatlo a liu ssuance of
aarinit, twlNing
+good
..0 Wan Is rove sub Ct to the
,rders and o inn Condit that
t14nlpilsd •.+th. s tegulatlag building shall be
Condtilonally a{ '..
Theme Mad
9vadin't i ftp,ator
�tartl
r
o n P°L
5j'c�t,/�2,0✓ CERTIFICATIopo .•_. ..
�� ''�� "I_IANCE
+o _ Proposed builr
as shown on -ure(s)
conformance, he In
regulation "~ 'ndsor
may apply � 'Ptions
Date to 2Zl0
"I', La r Mont Officer
1
�.. aL' r. 'F' '•}f, 'c'P Yll
Via
rtiil�t t err AO F
Q
8 � ~ � F � �•• � �sy 2� ,t
•
I
to " —1
NO .ZONING VIOLATIONS IF HOUSE
' ERECTED AS SHOWN AND STAKED. %/S SH(G.�nl� c��:L✓c
HEREBY CERTIFY THIS MAP TO BE SUBSTANTIALLY
PROPERTY OF CORRECT AND IN ACCORDANCE WITH CLASS A- 2
OF CODE OF CONNECTICUT TECHNICAL COUNCIL:
N M.
O MNECI�C'y
SKY VIEW ' ,.'
D EVELO PME �ls,IT , C O R P. w. AcFORD �, j
CIVIL L EN �INEER No. 2163 �
< WINDSOR, CONN.
E�Qineel 5
'..�:3'i• �=L' '`" ' -lt-.n r:,-flt )TH WINOSOR,CT. SCALE: 1 IN. =40FT. DATE:A1-19y i91 ✓97`$e
Jun 08 07 10: 44a BALD Machine Inc 1 -860-870-8663 P. 1
Combusfion Air Systems
a��
1 CAS-3 (Oil) and CAS-4 (Gas)
E' ssc -coders are aesigned to provide combustion air for controls. The CAS-4MV is for use with 750mV power pile
oppliances when direct connection to the burner is not gas appliances. Each is designed for optimum safety and
_• !:'c Acco-ding to NF?A 54 and NFPA 31, an includes a proving device that won't allow the burner to
_ a tie ed system such as a CAS-3, 4, 6 or 7 may be engage without the Fan-in-a-Cane operating. Multiple
sed to overcome the lack of air in a confined space. The units or additional controls are required for multiple
-1"AS-3 -s aestgneo Tor use with oil appliances. The CAS-4 appliance installations. Each is equipped with a two
'or use -wilh ges appliances with 24 VAC gas valve speed control for enhanced versatility.
r,
, 4— .
•.(; Intake
Air Hood
1- -- If,r. Ke
Ic:;'
'1'Ya
r
• and •
When the thermostat calls for heat, the Fan-in-o-Con" engages
tti
� and begins drawing air into the structure. When air flow is
't CAS-3 ( 4 established, the pressure switch closes. The CAS sends a signal to
` . CAS a (2aY gas( the appliance, allowing the burner to fire. The Fan-in-o-Cone
I� CAS (150mV gas) diffuses the outside air into the room near the burner to ensure
�? I ' CAS-4P (plugs into gas vent damper)
adequate air for efficient combustion.
►:� \ Appliance
Model Fuel Application Input Components
la
tr�� 4'Intake Air Hood
.� $'—•
(AS•3 Oil Any oil heating See short Fon•in-a Con'Assembly
:. appliance page 39
6'to 4'Reducer
Fc^•in-a-Can' Restridor Plate
r;
t Assembly 24V Gas
t / CAS-4 Gas
/r Appliance
4"Intake Air Hood
750mV Power Pile See chart Fan-in-o Can*Assembly
iF CAS-4MV Gas Gas Appliance PP page 39 6'to 4'Reducer
Boiler with Restridor Plate
5-4P Gas automatic vent
- damper
HI
j Model Description
CK-20FV/FG Additional 30mV gas water heoter control for use with CAS-4 4r
Ei 6C.24 Additional 24 Volt appliance for use with CAS-4, CAS-6 and CAS-7
�! CAC-120 Additional 120 Volt appliance for use with CAS-3, CAS-6 and CAS-7
i17
c : 4CWFIELDCONTROLS Customer Service: 252.522.3031
1
1-
Revised 4/01//2002
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: f
BUILDING DEPARTMENT
APPROV D 1540 SULLIVAN AVENUE
Bldg.Permit#
3 644-2511 ext. 230 �73O(
Da a f Build i or
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000c' aU'✓c�
or any fraction thereof Tenant Designation Apt.No.
APPLICANT C✓ Z-1,V,::;,��✓
APPLICANT ADDRESS //� r SKx Gf�✓� iOr= __
APPLICANT PHONE# r/��� 6Yzy
O W N S F,q OWNER _521 e% A4 3
OWNER ADDRESS
O
E" OWNER PHONE
CA ESTIMATED COST$ CCr�
IS THIS A CONTRACT COST? _Yes No
FEE ENCLOSED$
TYPE OF JOB:
�SOR•COS _New Installation
-,?S,Alteration/Addition/Repair {��
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 OCCUPANCY
❑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/WHUNG METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES P(NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES 0� NUMBER OF OUTLETS !o
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. TYPE STATE
SIGNATURE OF APPLICANT DATE
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Blde Pe rn-jL
APPROVE 1540 SULLIVAN AVENUE l (�
644-2511 ext. 230
Date Building Inspector Application must be printed or typed
Location of job
115 Skyline Drive
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt. No.
$0 - $1,000 - $12.00
Over $1,000
$12.00 per$1,000
�
OWNER Builder: : : Bison Builders C,t' '�� 1. �+` !';,e:
or any fraction thereof
ADDRESS 96 London Road
Hebron, CT 06248
OWNERS PHONE# 559-8682 � C��_ 7/L19
APPLICANT Dale W. Gottier of Warren J. Gottier P&H, Inc.
�0W N $f4 ADDRESS P.O. Box 1000, 107 West St.
< Vernon, CT 06066-1000
0 ESTIMATED COST$ 2,675. 00
C = IS THIS A CONTRACT COST? x
, " YES NO
L� i77.
�CJ FEE ENCLOSED $
45.00
j�bso o TYPE OF JOB: a"
R.C x Original Installation
Alteration/Addition/Repair
Revised 10/96
?ILtZ-
czv
APPLICATION FOR PLUMBING PERMIT(Continued from reverse side)
TYPE OF BUILDING 1S THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION YES / NO
x RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY
EDUCATIONAL
INSTITUTION
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION Finish Bath in Basement SIZE OF MAIN DRAIN 4"
NO. OF TOILETS 1 STYLEwater sblOeflF URINALS STYLE
NO. OF BATHTUBS NO. OF SHOWERS 1 NO. OF LAVATORIES 1
NO. OF CONDUCTORS SIZE NO. OF STACKS SIZE
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 MANUFACTURE
TANKS SAFETY DEVICES
TEMPERATURE
CAPACITY RELIEF VALVE
TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE
TYPE MANUFACTURER
DESCRIPTION OF WORK
Install 48" fiberglass shower, water saver toilet and built-in lavatory to finish
previously installed rough plumbing in basement for new bath, relocate washer
hook up and move water heater to accomodate bathroom fixtures
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.703272 P1 ,�G `*,//A�
NAME STATE LICENSE NO. TYPE SIGNATURE APPLICANT
Dale W. Gott er, President
PHONE NO. g 7 5-o 719 DATE 3/19/0 7
Revised 4/01//2002
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
TOWN OF SOUTH WINDSOR
Application is hereby:
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
e Buildin s ctor
Application must be printed or typed
FEE SCHEDULE Location of Job:
F
$0-$1,000=$15.00 Street Lot No.
Over$1,000$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT �V �1097
APPLICANT ADDRESS
APPLICANT PHONE# C > e '3 8E.57-5-
Ow N sFq OWNER AeT d V1!C,Cy L-A/Crz-�
OWNER ADDRESS
OWNER PHONE 7f
C ESTIMATED COST$ 2p�
IS THIS A CONTRACT COST? _Yes _No
o _
Ili•`
FEE ENCLOSED$
r��sO O�� TYPE OF JOB: I q
R-C New Installation
7 Alteration/Addition/Repair
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? YES ❑NO
RESIDENTIAL l
BUSINESS CURRENT USE AND OCCUPANCY
❑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 SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? O 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.
/S�6'/.3/ / Ci
. CONTRACTORS LICENSE NO. j;YPF
! STATE
SIGNATURE OF APPLICANT 1 DATE CL3/0//O
Town Of South Windsor
Building Department
Location //5 34,1l1" ,t001-
Building Pemut#
SWIMMING POOL REOUIREMENTS:
This list is not all inclusive;please refer to pool packet.
❑A 48"barrier will be provided to protect the pool access. Including a temporary fence
for inground pools prior to filling..
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).
o Doors providing direct access to the pool shall either have an alarm,a self closing self
latching device 54"above the floor,or a safety cover over the pool.
o No receptacles within 10'of pool.(locking type receptacle for pool equipment must be
at least 5'from pool and GFCI protected).
o All metal parts of pool structure,fixed metal parts within 5'of pool,pump motors etc.,
shall be bonded with a mmimum#8 solid copper wire.
❑Convenience GFCI receptacle shall be provided between 10'and 20'from pool.
❑Trench depth for 20 amp.circuit to pool equipment shall be 12"minimum.
17 A surface pool alarm shall be installed pursuant to Public Act 99-140.
o All swimming pool pumps must be equipped with a time clock.
O Heated pools require a pool cover unless over 200/9 of the heating energy is from non-depletable sources.
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.
1. TRENCH AND BONDING-Electrical trench depth verification and bonding of pool and metal appurtenances
including metal reinforcing for gunite pools.
2. FINAL ELECTRICAL-Location of equipment and GFCI protection. Convenience outlet provided.
3. FINAL-Swimming 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 thMquire is listed above.
Applicant SignatureLz Date
Homeowner Signature Date 2
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NO ZONINGVIOLATIONS IF HOUSE4 .
ERECTED AS SHOWN AND STAKED. `. ' at;t " "`' SQL tri/G DP L✓tM1 .
I HEREBY CERTIFY THIS MAP TO BE SUBSTANTIALLY
x Ti,ct PROPERTY 0 F CORRECT AND IN ACCORDANCE WITH CLASS A- 2 4
OF CODE OF CONNECTICUT TECHNICAL COUNCIL. Cl�
N M. 4
b
SKY VIEW a
�O o
D EVELO PME W. M. ALFORD f 21"
NT ., C O R P■ CIVIL ENGINEER '' a
�F6laslot ay
< WINDSOR. CONN. +��►�iMet >r`��
`NfIF--Af%! - r::zr'1l_1TH WINDSOR,CT. SCALE: I IN. =40FT. DATE:Af4Y ♦9o,
AUG 3 1 1993
South Windsor
BUILDING DEPARTMENT
TO THE WILDING DEPT. is:c,..
This certified that this plan and specific t,
copies of the proposed building or alterations to ..
erected at
1 �� SK�(t.ttu % DR SAC 8tree
together with amendments stated in application an,
filed with plan and I agree to comply with all zoning.
Building and state laws and such orders as shall b.
issued by the Building Department during pendency
01 this application and I issuance of building
permit.
Signed
This plan Is • roved subject to the condition that
orders and ordinances regulating building shall be
complied with.
1p-anditionally Approve/ These riled with
fuhding Inspeetog .:.. r - C19ft _
CERTIFICATION OF ZONING
Proposed building(s), use(s) andjor structure,-
as shown ort this plan appear(s) to be ' ,
X 12 conformance with current South Wind.. ...
regulations. Variances and specidl exceptioi.
may apply.
Date 31
o Ing Enforcement,Officer
aft
r
~ Qi +�)481
` /8, 2a 9 �..fir• y �� �
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1?.
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Nb•ZONING VIOLATIONS IF HOUSE
ERECTED AS SHOWN AND STAKED.
I HEREBY CERTIFY THIS MAP TO BE SUBSTANTIALLY
PROPERTY OF CORRECT AND IN ACCORDANCE WITH CLASS A- 2
OF CODE OF CONNECTICUT TECHNICAL COUNCIL. ��pE CONHFl
C�
SKY VIEW � Gj, �=,� � y or
o
DEVELOPMENT CORP. W. M. ALFORD � No. 2163
CIVIL ENGINEER
WINDSOR, CONN. a� 9FCtSIERE'o oa
F49ineer
LOT SKYVIEW-- SOUTH WINDSOR,CT. SCALE: 1 IN. = 40 FT. DATE ^/Ny �9 197-V
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NO ZONING VIOLATIONS IF HOUSE
ERECTED AS SHOWN AND STAKED.
I HEREBY CERTIFY THIS MAP TO BE SUBSTANTIALLY
PROPERTY OF CORRECT AND IN ACCORDANCE WITH CLASS A- 2 pF CONNE
OF CODE OF CONNECTICUT TECHNICAL. COUNCIL. M.
y�P 90 � ell
SKY VIEW
DEVELOPMENT CORP. W. M. ALF6RD �, . 2163
CIVIL ENGINEER
�� 9EC IS I ERE
WINDSOR• CONN. aiFn?meet
LOT is SKYVIEW— SOUTH WIIVOSOR,CT. SCALE: I IN. = 40 FT. DATE:rs,9y iS,19TX
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I HERESY CERTIFY THtS.MAP TO NE SUBSTANTIALLY
PROPERTY OF CORRECT AND IN ACCORDANCE WITH CLASS A-
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co
OF CODE OF CONNECTICUT TECHNICAL COUNCIL
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ERECTED AS SHOWN AND STAKED.
1 HEREBY CERTIFY THIS MAP TO BE SUBSTANTIALLY
PROPERTY O F CORRECT AND IN ACCORDANCE WITH CLASS A. 2
OF CODE OF CONNECTICUT TECHNICAL COUNCIL. �t� QF C�MNfCl
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NO ZONING VIOLATIONS IF HOUSE
ERECTED AS SHOWN AND STAKED.
I HEREBY CERTIFY THIS MAP TO BE SUBSTANTIALLY
PROPERTY OF CORRECT AND IN ACCORDANCE WITH CLASS A- 2
OF CODE OF CONNECTICUT TECHNICAL COUNCIL.
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ILOT SKYVIE.A/- 'TH WINDSOR,CT. SCALE: 1 IN. = 40 FT. DATE: ray y i9 W-9
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 115 Skyline Drive Dater ��f
HVAC #
Sprinkler# 3.1.813
FINAL P R -FOP- SIGN
- — _ - -i Estimated Cost
0� ,v'ti`�1/ —— -- Permit Fee $
Building�l LETE RED BOXED AREAS Occupancy Fee $
Engineeri g YPE OR PRINT ONLY
Affidavit Eng. Insp. Fee $
Appr. for CO. j ON REVERSE SIDE
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 Ocf4 LincoaZocation of Work A3 5&(111x dl s'W Jot No.
Applicant's Address `T Tel.#
Town S 0-AA s K__ Zip OLoo.-? Y Lic.#
Owner V1 00 L /nCc)AU i R /7C6 *AChitect
Owner's Address_-.Xi m2 Architect's Address
Zip Zip
Sq. Ft. New Area: 1st FI. 1,2561T Mgt 2nd FI. 3rd FI. Total New Area
Purpose of this permit
I i qV �n�
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO Cert. Area Base nt Garage
Approve y Date `� Use Group instruction Type
Revised 0102
r
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the,proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in I ng and its use is allowed.
Signed ` ��-
1 hereby apply for a Certificate of O y 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
-------------------------------------------------------------------------------
**-31813-B 900
B10 FINAL 11/21/06 JFF A
Electric # ) APPLICATION FOR BUILDING PERMIT
Plumbing# 115 Skyline Drive Date: U�
HVAC # —
Sprinkler# 31816
-- --- Estimated Cost $ d
FINAL P O - - - _----- - -
Buildin O� ---- - - -------- -------- - Permit Fee $ !S --
P�� COMPLETE RED BOXED AREAS Occupancy Fee $ 0•
Engineeri g TYPE OR PRINT ONLY j Eng. Insp. Fee $
Affidavit IGN ON REVERSE SIDE oa
Appr. for C -- - -- ---- —-- - - - - - - I Total Fee $ o2S �
TO THE B ILD G DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant V ic-U L.4YLC0)/) Location of Work I1S 5�vl j l KQ ✓ Lo�o.
Applicant's Address I 1 s" 1 I I AP D✓ Tel.# 6VV 7/y�
Town 4. L j- S1K— Zip /1&0 z y Lic.#
Owner yl c.ka L/n c v ilk! Architect
Owner's Address_ Sa.rn-P— Architect's Address
Zip Zip
Sq. Ft. New Area: 1st FI. IZ,5V 5.1 b1m2nd FI. 3rd FI. Total New Area
Purpose of this permit
City Water❑ Well❑ Septic System[] Sewer❑
Ins: HO SP Cert. Area Baseme t Garage_
Approv by Date Use Group_ Construction Type
Revised 6/02
I hereby agree to conform to all the requirements of the Laws of the ate of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration n the plans or specifications of the Building for which this
h" p
permit is asked,and agree that this building is to be located ter distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this b ,Idirt and its use isCwed.
I
Signed_
I hereby apply for a Certificate of Occu described iq this application for the permit.
Signed
DO NOT WRI E LOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-31816-B 600
E02 UNDERGROUND 08/19/05 CJD A
B10 FINAL 08/30/05 PJP D GATE NOT SELF CLOSING,CALLED HOME # TO RELAY
MESSAGE TO CALL FOR REINSPECT WHEN GATE SC
B10 FINAL 11/20/06 JFF D GATE CLOSING CORRECTED STAIRS RISE NOT UNIFOR
M ALSO MAINTAIN 4FT TO TOP OF GATE CALLED TAG
B09 OTHER 11/22/06 JFF WITH OWNER WENT OVER REQUIREMENTS
B10 FINAL 12/12/06 JFF A GATE 4FT 18IN AT LATCH SELF CLOSING AND LATCH
ING
**-19660-E 400
Electric # 7,;,*`j t Al APPLICATION FOR BUILDING PERMIT
Plumbing#7 I D r,,2 115 Skyline Drive
Date:
HVAC #
Sprinkler# _ 73-0671------
Estimated Cost $JZ
FINAL APPROV S ; - �--------- - --
Building - --- — — - ' Permit Fee $ o-0 .c.-
COMPLETE RED BOXED AREAS Occupancy Fee $ /G
Engineering TYPE OR PRINT ONLY 1 Eng. Insp. Fee $
Affidavit for C _ i SIGN ON REVERSE SIDE 4 Total Fee $ITT
�1134
TO THE BU LDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional ostV
The undersigned hereby applies to do work according to the following:
Applicant °� L-- M Location of Work 11s 5�11 s-ir v z Lot No.
Applicant's Address CP Lazo« A Tel.# :!:�
Town G7- Zip D& 7-- Lic.
Owner rchitect
Owner's Address ��, �ii/i�re-, DR- Architect's Address
Zip Zip
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd A. Total New Area -�� Sa i"�
Purpose of this permitruS<c� st'
City Waterer Well❑ Septic Systemo SewerFi -
Ins: HO Area Basement Garage
+E!!�:Date
Approved by Use Group Construction Type
Revised 6/02 u'
1`T�
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 ocated the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in is this buildi and 7se71lowed.
Signed
I hereby apply for a Certificate of upancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
' c1 INSPECTION COMMENTS
rsuoZv.-i�f .
,�� c
BUILDING PERMIT
STATE OF CONNECTICUT
WORKERS'COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn.Gen. Stat. § 31-286b)
Property located at ll� cSr�j� �-✓�-' �/�
In the town of L'�:� G�/�.✓�5�/�
Name of building permit applicant:
Please check one:
1. !AI am the owner of the above property.
2._I am the sole proprietor of a business.
2A.Name of business
2B.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 employer"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. &/'*1'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.
Signature of applicant
Subscribed and sworn to before me this day of ,200
(Notary Public/Commissioner of the Superior Court)
Jun 06 07 09: 00a 13&D Machine Inc 1 -860-870-8663 P. 1
q
Combustion Air Systems
CAS-3 (Oil) and CAS-4 (Gas)
i:,cse •ncde,s are resigned to provide combustion air for controls.The CAS-4MV is for use with 75C1mV power pile
,+ appliances when direct connection to the burner is not gas appliances;Each is designed for optimum safety and
Accerd.ng to NFPA 54 and NFPA 31, an includes a proving device that won't allow the burner to
r,c•.r-eered system such as a CAS-3, 4, 6 or 7 may be engage without the Fan-in-a-Cane operating. Multiple
urea tc overcome the !ack of air in a confined space. The units or additional controls are required for multiple
CAS-3 is designed for use with oil appliances. The CAS-4 appliance installations. Each is equipped with a two
for ,se with gas appliances with 24 VAC gas valve speed control for enhanced versatility.
it.}=• Intake
�1 a•..
•il..�.
Air Hood
u
�r •
r1cS �,cr .`-iood
T
i.
1dHow the and •
When the thermostat calls for heat, the Fan-in-a-Can' engages
t1 ;.AS-3 (oil' and begins drawing air into the structure. When air flow is
�l CAS-4 124V gas) established, the pressure switch closes.The CAS sends a signal to
,< the appliance, allowing the burner to fire. The Fan-in-a-Can'
tl ; CAS-4MV(750mV gas)
diffuses the outside air into the room near the burner to ensure
,{
(f CAS•4P(plugs into gas vent damper) adequate air for efficient combustion.
fl
Appliance 3 (a Model duel Application Input Components
r ry
4"Intake Air Hood
f F+ CAS-3 Oil Any oil heating See chart Fon-in-o Con*Assembly
' - I Fon-in-o-Can' appliance page 39 Resiriclor Reducer Plate
i•
Assembly
: CAS-4 Gas 24V Gas
Appliance
4'Intake Air Hood
rt 750mV Power Pile
It See chart Fan-in a Con Assembly
(AS•4MY Gas Gas Appliance PP page 39 6'to 4 Reducer
iBoiler with Restrictor Plote
t - S•4P Gas automatic vent
damper
r
!r Model Descritlition
1� CK.20FV/FG Additional 30mV gas water heater control for use with CAS-4
II M..
Ir CAC-24 Additional 24 Volt appliance for use with CAS-4, CAS-6 and CAS-7 ,
CAC-120 Additional 120 Volt appliance for use with CAS-3, CAS-6 and CAS-7
FIELDC0NTROIS 031
le I
F. r
ii
APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 (PHONE)860-644-2511 EXT.230
DEPARTMENT DECISION PERMIT NUMBER.
APPLICATION IS HEREBY: I R D D S S 1
APPROVED: BLDG.PERMIT NUMBER:
q.-,4-I I li
DATE ' INSPECTOR .-
LOCATION OF WORK:
APPLICANT: VMR: TYPE OF STRUCTURE:
!i O NEW BUILDING
NAME:/11,01VQi.'1iY� t7 NAM,4 ,p ��/+7�AladA"" &4 UP ❑ADDTIION
PHONE NUMMBER:S60 � 00/2 PHONE NUMBF.A�rD >0My G BUIIAIIJG
It,ADDRESS D• I�s��sG[� ADDRESS: //.S J^cL5/GMC Dr"
TYPE OF USE:
e 1 tJ CT- C)lo 0371 �� uU—" n= CT
.SIDENTIAL o COMMERCIAI.
IlLi I)
HVAC INFORM
ATION- FUR R D ON OF WORK:
TYPE OF SYSTEM: ❑HEATING OTC
HEATING:
TOTAL HEAT LOSS(BTUH) °F (HEAT LOSS SHEET REQUIRED)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.):
ESTIMATED COST: v o 0
AIR CONDITIONING: U L
DESIGN TEMP:OUTSIDE "F INSIDE 7 DIFFERENCE F FEE ENCLOSED:S W J
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED) L
D E ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.):
FEE SCHEDULE:$18 PER 51,000 OF THE ESTII1tATED COST.
ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS
SI.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS PART
OF THE PERMIT FEE)
THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WTTH ALL LOCAL ORDINANCES AND
STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: 343 3 a E: Z STATE: e
SIGNATURE OF APPLICANT: DATE: �, �/
INSPECTION FIELD SHEET 07/28/21
Printed by Middleton, Morgan 14 56 40
INSPECTION: 602 FRAMING (ROUGH) PERMIT:
STATUS
APPLICATION: 200700142
LOC: 115 SKYLINE DRIVE
SOUTH WINDSOR
PROPERTY ID: 83100115
OWNER: LINCOLN ARTHUR C & VICKI
CONTRACTOR:
REQUEST BY:
PROD DESC: FINISHED BASEMENT
WORK ORDER:
INSPECTOR: ROSE RESULT: FAIL
REQUESTED: PRIORITY:
SCHEDULED: COMPLETED: 03/19/07
UNPAID FEES: 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS
INCOMPLETE SEE TEXT FOR COMMENTS
NEED TO FRAME BEDROOM TO ISOLATE GAS FIRED UNIT FROM THIS SPACE AND ALSO
FROM BATHROOM.
Reinspection 4099 created on 05/29/2007 by rose
ALL INSPECTIONS
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
03/21/07 ROSE PASS B003 FRAMING (ROUGH)
Created from inspection 602 on 05/29/2007 by rose
03/21/07 ROSE PASS B004 INSULATION
EXTERIOR WALLS
06/05/07 ROSE FAIL BO10 FINAL
SUBJECT MECH UNIT BE TESTED TO INSURE FAIL SAFE OPERATION
need to valitade that mechanical system when fail will ensure that furnace
does not function.
* need for Contr. to make provision to meet requirement for water heater.
Reinspection 5149 created
06/21/07 ROSE PASS BO10 FINAL
FURNACE ROOM DOOR UNDERCUT
AS PER CJD FURNACE DOOR WAS UNDERCUT FACILITATE REQUIREMENT
03/19/07 ROSE PASS E003 ELECTRIC ROUGH
03/19/07 ROSE FAIL H003 HVAC ROUGH
NEED TO ISOLATE GAS APPLIANCES FROM BEDROOM AND BATHROOM
INSPECTION FIELD SHEET 07/28/21
Printed by Middleton, Morgan 14 56 40
NEED TO ISOLATE GAR FIRED APPLIANCE FROM BEDROOM AND BATHROOM
Reinspection 4101 created on 05/29/2007 by rose
03/21/07 ROSE PASS H003 HVAC ROUGH
Created from inspection 4100
NEED TO ISOLATE GAR FIRED APPLIANCE FROM BEDROOM AND BATHROOM
03/21/07 ROSE PASS P003 PLUMBING ROUGH
RECHECK
Created from inspection 612 on 05/29/2007 by rose
03/19/07 ROSE FAIL P003 PLUMBING ROUGH
INCORRECT VENTING OF SHOWER
Reinspection 4102 created on 05/29/2007 by rose
1900551 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 09/05/2019
GIS ID: 83100115 FEE: 72.00
MUNIS APPLICATION# 201901942 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: FIRST RESPONSE ADDRESS: 115 SKYLINE DRIVE
ADDRESS: P.O. BOX 8027 OWNER: LINCOLN ARTHUR C&
115 SKYLINE DRIVE
BERLIN,CT 06037'
DESCRIPTION OF WORK: REPLACEMENT OF CONVERTION FORM R22-YIOA
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY TILE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
9/5/2019 2:35 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE