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HomeMy WebLinkAbout17 BROOKHAVEN LN o� fff p < O 4> APPLICATION FOR HVAC PERMIT r- 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: 1-700 45- APPROVED: BLDG.PERMIT NUMBER: DATE INSPECTO LOCATION OF WORK: �2� (C J G Ve y\ ZC2 APPLICANT: OWNER: TYPE OF STRUCTURE: -/ _/ J r ' 0 NEW BUILDING NAME: �C.7 Gt/gR� t� 57�7/Oy� NAME: ^Q r e r W 1 C Kc1Q y1 VX� Cl ADDITION PHONE NUMBER: �PJ-7Sa ����o PHONE NUMBER: 9-l/D •� r - 3 71T 4, PE}QSTING BUILDING ADDRESS: 9J C_ d ^�L f 11!jlC- ADDRESS:12 r—ook�gjlekj X T e TYPE OF USE: IL—o e�'ttEsmENTIAL o COMMERCIAL HVAC INFORMATION: FURTHER DESCRIPTION OF WORK: r t TYPE OF SYSTEM: o HEATING ❑A/C Rep lae<- F- ~ST/ U let— HEATING: TOTAL HEAT LOSS(BTUH) °F (HEAT LASS SHEET REQUIRED) DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): ESTIMATED COST: AIR CONDITIONING: DESIGN TEMP:OUTSIDE °F INSIDE °F DIFFERENCE P FEE ENCLOSED: TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED) 1� DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.): 1 FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS$1.00 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 WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: 3 O 3 TYPE: S ' STATE: C SIGNATURE OF APPLICANT: DATE: 11 O 130� VUILDIJTG PMW STATE OF CONNBC17CUT WORKERS'Q0MPBNSA111*COUMSSION • ' Bailft Pam*Affidavit for Property Drraen or Sole Proprietors (Cann.-GaL Stet:$31.286) Piopcglocatedat /"� 1� ��nl���, t/P� 1� v► �� In the town of �✓ v� o i` • Name of binding permit applicant:_e�*r e,— -IM ie' 1 e-as as Pleme check one: ' I-q6tamn Se owner of the above propaty. Z. am the sole_pr+opciator of a basia�. 2A.Name of bi8111Etf.S s�4/•D� L�.�'►�i3i a c3 -r�- T�c� ��ry 2B.Fcdetal$mplgy�tMo tifcatiaaNmnbw(FBDQ ! N.......1..............1.....1.1.......•11/1.....1..I....N......N....................I..........�...I...I�IM... Pus�t to�31-286b,'�i.pr+opaty awibr o�aok proprietor[who].intimds to act as a gonoral GoPftwIcrOrPfhwPqlCmpIqyO proy sidwacatificate ofwarlmW eompensation fi ursatw or a Nw"A notariaod sadi&...sts ing that ha will inquire pt+oof of wad' oompansatioit inamusnoa for all 00V anployed OR the jpb site in soeadance with this chapter." Please cheek 1.L I do not intand to so as a go ieral for or principal empl6yw. [ *Nddep harel Sigoatm+o of ipplicant 2._I to not wa gumpt or principal employer.Applicant must ei8xr —%f Ni l`b a opti8ceto of*arloers'won insacance or sign&a affidavit liblow. ......N................•.....1../..1....I......I...I f.....1......11....�...1../1....I...I I.....................NI. AWdsvit I hmvbyswear and attest dmt I will require proof of wcdw&ooprpeaatioa i duranc a far every oonhsotor,sabcontdscboy a otiea• bafoe+e belalta a "in wadc o4 the abovo property is aocacdaaco i digWaio 4 won Ad-(Quptd►5W I laWmtsad flat pursmmot td f 31-iU CO.S;affioics of a corporation and partners in a __ panne ' alert to betiduded from co by waiv_erwi&the appt*riate soot a sole proprietor-- a basim=is not ragnired to have comp w1m be----— • Signature ofandicant Sabsaibed and swmn to before me thin day of ,200 (Notary Pablicl Commissioner of the Superior Court) APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 1-1 n c-2 1 APR ED 1540 SULLIVAN AVENUE Bldg.Permit# ; i 644-2511 ext. 230 Date l Building Inspector Application must be printed or typed FEE SCHEDULE n Location of Job: $041,000= $15.00 ` J3 roo K,a yw Z,,-, I')-( Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS ! n APPLICAN S PHONE# OWNER K a��r� -M � n�C-- "tO 4 OWNER ADDRESS n OWNER PHONE 0 ESTIMATED COST$ ou ..�j U IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ ° ° TYPE OF JOB: it I.3 / I �SOR,COS New Installation Alteration/Addition/Repair 4 A Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: ❑ HEATING 13 RESIDENTIAL 15 ABC ❑ COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL'. ' HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LA41T LBS. ❑ HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT.HEATER EXISTING RADIATION ADDITIONAL RADIATION `'TOTAL RADIATION DESIGN TEMP.OUTSIDE OF INSIDE °F DIFFERENCE °F TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACTTYIINPUTBTUH)- 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 SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) _ FURTHER DESCRIPTION OF WORK/(o rn ulg- a-t ,n)Q Lp _ (]LA' , 6A 1 cp THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECI'ICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK Hm. 4160a 4?a , �sm �:: CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE_ 13 Pro ect Summary Job: . � '1 Date: Jun 12,2017 By: Custom Ventilation • - • • For: LaCava Construction L1(r- P I^ J 1 (185 Silas Dean Highway, Wethersfield, CT 06109 Notes: 17 Design Information Weather: Hartford, CT, US Winter Design Conditions Summer Design Conditions Outside db 8 °F Outside db 88 °F Inside db 70 °F Inside db 75 °F Design TD 62 °F Design TD 13 °F Daily range M Relative humidity 50 % Moisture difference 26 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 53294 Btuh Structure 23500 Btuh Ducts 2665 Btuh Ducts 1175 Btuh Central vent(0 cfm) 0 Btuh Central vent(0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 55959 Btuh Use manufacturer's data n Rate/swing multiplier 0.93 Infiltration Equipment sensible load 23022 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 0 Structure 3242 Btuh Ducts 0 Btuh Heating Cooling Central vent 0 cfm) 0 Btuh Area(ftz) 1971 1971 Equipment latent load 3242 Btuh Volume (ft3) 17739 17739 Air changes/hour 0.80 0.40 Equipment total load 26264 Btuh Equiv.AVF (cfm) 237 118 Req. total capacity at 0.70 SHR 2.7 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond AHRI ref Coil AHRI ref Efficiency 80 AFUE Efficiency 0 SEER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 °F Total cooling 0 Btuh Actual air flow 1320 cfm Actual air flow 1320 cfm Air flow factor 0.024 cfm/Btuh Air flow factor 0.053 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 0.88 Calculations approved by ACCA to meet all requirements of Manual J 7th Ed. wri htSOft 2017-Jun-12 13 59 04 .� 9 Right-Suite®Universal 2017 17.0.08 RSU02405 Page 1 /�� Projectl.rup Calc=MJ7 Front Door faces: N Jun 13 17 05:30p custom ventilation 8604292805 p.1 4 •J - O)o1 (7 on CAAI?t� 2(IP.I') �.rn y!�.� �/cSi G�.�it,�' �� C US�✓r� ��� �Gc,�-7�i1 �. C ' IAarz-k- R +Sbor �'Y� #.s IY1,pzp,��' � L, q�,a t�,� p Laac OaAl- Y(00 q& .3 e-1 79P A,,,K ��, C��dp-✓�� `{,A?A Flo �L 1000-A 1 N A-ZO RE511DENATIAL ZONE SEA = I Co, (o35 5Q F-F. "- N / F 5T ELLA PET ERSON Cv5" 3Co' 4 E N / F- I'AVA CONSTRUCTION ° L9 W 16 O,� COMPA IV Y � 17 / I' I_ECHW OOD FARMS / titihP�� LA SE.CTICKI a P' tiQ "4 nb 9h �jL� s �6. 19 SHOW t J AS 60✓ �- / \ 9 \ 1 ED 2-5 - al0 ` • v ` 0° gl'5Co 59 0 \"N'� �.. gp.r11 G L • 21.q(o' bo �b °2LP P- 1 o A � 4 PLAN PREPARED FOR LAC AVA CON 5TRUCT ICKI COMPANY OOK HAVEN LANE 50UTH W 1 NID50R P'EBRUAR`( 7, iq° BE11,1G LOT 17 AS 5HOW N ON A MAP F—m-r 1T LE-D " BEECH W OOD F'ARM`- SECTtOt`1 Z , 00A.RRY &ROOK DRIV E. f 5ROC >KHAVEfA LANE , SOUTH W I N1D SOR, CT " 5CALE 1" _ 40 5 - 23 30 REV. TO 5 - 7 - 8? 13y FUSS c O NE-ILL LACAVA COI�ISTRUCT ION COMPAIV�/ lay 51LAS DEAt`1E HIGHWAY , WET HERSFIELD, COIVIVECTICUT,O(n10q (203)- 5(o 5 11 n`nn MAY GJtrc South Windsor BUILDING DEPARTMENT 10 THE s:[Yi. j ,,' ;:)hill WINVNV* Th,♦.-...4•aj tr,al tills plan end .;,c;fications are tru �pl•� of ih9 pry:pc aeC tw,l.iri�! or alterations to be stree• an, '!t 1 ,lh Ili zoning v,r,,n,: — .i-r; as shall b, s .,, c, J-ing pendencN n _ pl�i-.is i. end ',u.., iz,aan-e of a twiddlnF Ili ;'1,n ,•. ,,i. ..� the —.4.2ion that Ord rs :rd a rtl i•.ar�er•s rtgutetmg building shall be �.. u.re21 ,r.r,nnnrlly Approved These filed with uV, � OWN 1iICiV OF ZONING COMPLIANCE Proposed building(s), use(s) and/or structures) a, shcwj, on this plan appear(s) to be in ,,,;.,iII:,.niance wJh current South Windsor i il3tions. Va,-ia.nces and special exceptions 1 Cv-C :.�u� apply. �. Date a Zoning Enforcement Officer i o� LOT IN A- 20 RESIDEN_ITIAL ZONE F STELLA AREA OF LOT 17 = 1Co,(o-55 S.F. _V)8 'P '.E STOr-K 0 LACAVA CONSTRUCTION COMP 84Y— (9� gE ECH WOOD FARMS SECT- I.L. P w0 Q 17 Z h\ T tie titi Q, Zlv' w 3 QIre �l q = ILI 91 �. eo _ 15 S J J 0j / U l 7'9 1 �— w Gy 1 / MUST U5E MECHAN.IICAL SYSTEM FOR FOUMDAT ION -DRAT N_l a-yZ PROPERTY MAPPED FOR LACAVA CON STRUC-T 10N COM PAt�1Y SR00KH4.VE,_1 I-ANE SOUTH W IAIDSOR, CON(V SCALE 1" = -10, MAY 1Co 1q8» SEIIOG LOT 17 ONJ A MAP ENTITLE'D ` P,yEECN W00-D FARMS SECTIOKI I CIUAP-P" PJROOK DR . F BROOKH AV EN LANE SOUTH W I► A�SOR , CON N -I EC.T 1 CUT SLALE 1" = 40' 5 -2-5 - 60 REV . TO 5 - 7- S? L3y FUSS 1 0' NE1L_L . LACAVA COt`1STRUCT'I0N COMPANY 185 51LAS DEANS HIGHWAY WETHERSFIEL.U, CON►.lEC-rkCUT 0(fli0q 2.03- 5 Cv'S - 571 I I hereby declare that this map is substantially correct. This map and survey were prepared in accordance with the standards of a Class A-2 survey as defined in the "Recommended Standards own.,•..,, for Surveys and Maps in the State of Connecticut" as prepared ' %ICON _ C%11 1. . and adopted by the Connecticut Association of Land Surveyors, �';I���GE R• sf�ssl;)' Inc.,on ptember 13, 1984. J ►•i LAW RENCE R. GEISSL ER JR 1.S. 12 32 e No 12327 ��� L No certification is expressed or implied unless this map bears 'v,tio UavE'1o�••� the original signature and embossed seal of the above named •'••.,,V„•„0+�''' land surveyor. o. p,M,••,,,,� 41 F C0NO 1i1 •J �' _ . �3 r�• � No. 6294 �1 �_' WILLIAM D. O'NiEILL P.E . Co 14Co HART 70%M RD . 205 1" FUSS&O'NEILL O consulting engineers MANCHESTER , CONNECTICUT 8q -q10 - T-) f �V f I i { all, JUN 15 1988 Soutlj Windsor BUILDING DEPARTMENT, C� THE BUILDING d€vfi: TOWN Ot WOR WINKS This ceftltled that this Plan and sDet rl r efeflentto to ' (ogles of the Proposed building efeoted at 4t � ✓� ' whether with emendmPnts statea 10 Application and ll Wed with Oled Ahd I adtee io cdmply'alth all Zonlnh, hulldlnd end slate laW! in8 such older{ of B � enetl sne _ 'lfued by the ulldin� Departmeflt aurini it thill eNtleetlon end Ilnel Hseenw of d tlulldlht Itdr+nli. Tilt6 piee to 400"1e4 lwiblect to the twritflFlon th.+ dfAsr! ehd Ordlnen"# fetlul.tind wwlidlllw HteIF o� - jomplwd with. :ondltldeeQy A/NMOO TNeN 1Me� MIiM /�K (M�eMtlf LOT IS ItQ A-20 RESIDENTIAL ZONE LOT AREA = I Co,(o35 50, FT. NI / F- 5T ELLA PET ERSON P Cos I � :4/ 1 N / F P P I LACAVA CONSTRUCT►ON P�1-9 COMPANY h / O � O s BEECH`"OOD FARMS — / titiho-�� ZA SEC T I O t3 TL / '" '"' c�P�0 p 6 (DECK Ph a � •L / �o 'v° �J HOUSE SHOW N AS 60,1 LOCATED ' 2-5 - qO v \41 SAS.\ p 5Go 5 � �' �.. p�IG R° 30.00' s `� L 21 g(o �yh0 80 T ` I I .50 I t% i I �2 o 79 200 Iq / ar✓/ PLAN PREPARED FOR LAC AVA CONSTRUCT ►0KI COMPANY BROOKH,LkVEN LAfVE SOUTH WIQD5OR ,CT SCALE I "= 40' FEBRUARY 7 , tctg0 BEING LOT 17 AS SHOW N O► A A MAP EMT IT LE_D M BEECHWOOD FARMS SECTION T , aUC Rk BROOK •DRIV E E 5 ROOK H AA/E.N LANE , SC)UTH W I tvDSOR, CT " SCALE C' = 40' 5 - 2S - 30 , REV. TOE 5 - 7 - 8-7 B`/ FUSS c O'NEI LL LACA\lA CONSTRUCTION COi`�PAfV�/ 185 51LAS DEA►vE HIGHWAY , WE-THE.RSFEL-D, COIVNECTICUT-, 0(n)0q (Z C) 5 Co 3 - 3? I 1 I hereby declare that this map is substantially correct. This map and survey were prepared in accordance with the standards of a Class A-2 survey as defined in the "Recommended Standards F CONS`- ,, for Surveys and Maps in the State of Connecticut" as prepared o,,....._Fc•,%, and adop by the Connecticut Association of Land Surveyors, '4p ���,E P sfis�l G Inc.,on a ember 13, 1984. • < 12347 FENCE R . GEISSLER JttL.S. 1232 , < 4 /C *.'0 No certification is expressed or implied unless this map bears q�O�ENB�yOQ. the original signature and embossed Beal of the above named Z.O. M, 0� land surveyor. 14(, HAR-rF-OR OA 203 GA o ,A Iffil FUSS&O'NEILL Oconsulting engineers mooMANCHESTER , CONNECTICUT 8q - ZAIG - D South Windsor BUILDING DEPARTMENT his certified that this plan and specific^tlons are true �pies of the proposed building or alterations to be ,flej at � 0 / -ther with amendments stated n pniic,tion awr -1 with plan and I agree to comply will ,11 zoning. .;ding and state laws and such orders as shall tot .:ed by the Building Department during pandenev this application and final Issuance of a bulldint rmit. •ned s plan Is approved subject to the condition that (� 1 rs and rdlninces regulating building shall be ,proved Th�41 r GJ p hbulkting 1naP.ctor G1erk �Z7 9 Oarb, No. N a L �� r LOT 15 IN A-20 RESIDENTIAL ZONE LOT AREA = I Co Co 35 SQ F7- NUJ / F- 5 T E L L A P ET F R SO 1N • P —-. Cos' 'Xo' A"E. 87Iy' — I NA LACAVA CONSTRUCTION P�S ` —+- 1 COMPA N y 17 / s l3EECt-{WOOD 1=ARMS / / 1' h' 2A N s SECT ION,,-1 TL K4 � De) �0'< /sue 16 HOUSE SNOW Nam! AS LOC AT ED ' 2-5 - RO \ \ R ° 30.00' L. - 21.q(D T I I .50 / �b e2L9 1 P vP o �Q J 79 O PLAN PREPARED FOR LACAVA CONSTRUCT ►ON COMPAt�1Y BROOK HAVEN LANE. SOUTH W IKjDSOR ,C T- SCAI_E I "= 40' FEBRUARY 7 , IggO BEING LOT 17 AS SHOWN ON A MATS ENQT IT LE-D BEECH W 00'D FARMS 5ECTIONI T , OUARRY BROOK DRIB/ E > BROOKHAVE-NA LANE , SOUTH W ►N 30 SOR, CT " SCALE I " = Ac) 5 - 23 30 , REV. TO 5 - 7 - 87 BY FUSS c O'N AE-ILL LACAVA CONSTRUCTION COMPANY 185 51LAS DEP�t,.iE HIGHWAY , WETHERSFIEL-D, COMNAE-CT ICU7-10(010q (z03)- 5(03 37I 1 I hereby declare that this map is substantially correct. This map and survey were prepared in accordance with the standards of a Class A-2 survey as defined in the "Recommended Standards �w,,,y for Surveys and Maps in the State of Connecticut" as prepared 0 o S271"�F�••.• and adopte by the Connecticut Association of Land Surveyors, Inc.,on S p mber 13, 1984. ►• LAW RENCE R GEISSL.ER .1eL.S. }f t 2?, 7 No 1232.7 ,'� <y /cENBE40/. Ri � o certification is expressed or implied unless this map bears ti "' o gin signature and embossed seal of the above named •• •e0., the original ;;;.E'''� land surveyor. -z7?/01 o A(o HARTP-OR ROAD 20'S (o4(o q(o f' FUSS&OFNEILL Oconsulting engineers moo MANCHESTER , CONNECTICUT rg 1st1996 South Windsor BUILDING DEPARTMENT �. iowr of sot" WIMS4 errfiN a That t71s plan and speameation Mtn rif th mposod building or altars Mad i amendments stated in appifeatbw r0 9 *ikh rwl and I agree to comply with aA zowia& "AjV4 aed state laws and such orders as shall be ,,ha ply till! Ouliding Department during peMewoy t:t1A ip,Q,{i@aUa% and final Issuance of a bonding pvrn.tl. signt47 this Olb'b 'P- approved subject to the condition tkirl ordefa grid rdinances regulating building shdll he complieb Conditfbhjtr, +ap^tveG rnese file [3 wilding lnr, �l7.0 Ek.oANNEO, as N F L gip. roc ( LOT I M A- 20 RE.S 1 D E-NJT I A l_ z0 ICI E NA / F STE�L_A PETERSON AREA OF LOT 1-7 = ICo,(D55 S.F. / 82 Cc5" (.D' E N/F P� LACAVA CONISTRUCTION COMPAB y— 30 gE ECH WOOD FARMS SECT. SL �P Q� 0 S PAP _ _ s h � ti XZ 0r ,A. A3 8 O /s ? EFFORT T02>E GIVEN TO MAXIMIZE T{ZEE PRESERVATIOty . / , \ ,F uk / J P 79 MUST U5E MECHANICAL 5`I5TEN\ / 4 FOR FOU►V UAT ION DRAI M PROPERTY MAPPED FOR LACAVA COti1 STRUC.T IOKA COMPANI`/ 13ROOKHAVET`l L-AIKIE SOUTH WII -DI 5C)R, CONIVI . SCALE 1" = -40' MAY BEING LOT IT O1-I N. MAP EINTITLE'D � ' PJEE.CH WOO-D FARMS" 5ECTIOI-I T- ©UARR\I bROOK 'DR - 4 pROOKHAV EM LAME SOUTH W I NXD50R , CAN t\--1 EC-T 1 CUT ' SCALE : 1- = -40' 5 - 2-5 - 60 REV . TO 5 - 7- S? Bi 1=USS 4 O'IVEIL-L LACAVA CONSTRUCTION COMPANY 185 SILAS DEAt`IE HIGHWAY WETNERSFIELU, C0IQN1ECTICUT OCflIOq 203- 5(D3 - S?11 I hereby declare that this map is substantially correct. This map and survey were prepared in accordance with the standards of a Class A-2 survey as defined in the"Recommended Standards ^,,,,,,,,,,,,,�• for Surveys and Maps in the State of Connecticut" as prepared 40 F co►v,y •,��� and adopted by the Connecticut Association of Land Surveyors, A• sE/� -%: Inc.,on tember 13, 1984. J � + LAWREPICE R. GEiSSLER JR.L.S.�f 123 No 12327 i } No certification is expressed or implied unless this map bears qti - o .• the original signature and embossed seal of the above named �• ° s u R v ••°•• land surveyor. •,�II/YI,1I••• %P • WIL.LIAM `D. O ►-IEILL P.E . (D2gq No. 6299 Elk 14 Co HART V7OR'D RD . z (p (p q FUSS&O'NEILL Oconsulting engineers MANCHESTER , CONNECTICUT 8 q -41 O - 1> ',,-J1, JUN 2 9 19tu South Wind,,-�r BUILDING DEPAR i MENT 464-� TO THE IUKOVK 09T. TOWN GF S" NRN M This certified that this plan and soecificetlone re MO coples of the proposed buifding or aiteratin areT at tifto together - 110 filed with �ln� Ilullding - it Issued by •nry of this ap, Alllr permit. Signed This plan 1 :hat orders anci tl� con-.plied i f)efldleg 1nsp,ctor / 7d�� �aae he. (JY Electric# APPLICATION FOR BUILDING PERMIT Humbing# 17 Brookhaven Lane HVAC # 28805 Date: S/i/o Sprinkler# No. FINAL APPRQVALS Estimated Cost $ . Building .4 Fh," _ COMPLETE RED BOXED AREAS Permit Fee $ y� Engineering _ TYPE OR PRINT ONLY Occupancy Fee $ i�!• Affidavit ��"SIGN ON REVERSE SIDE- Appr.for CO. " 1-Q L- Total Fee $S TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) The undersigned hereby applies to do work s according to the following specification Job Location 1 �� u�e < ' l -!i l Lot No. Side of Street Zone Applicant tea c1 ��L on C, Tel. # ? 3 Address Z O hU.�F In Zip (0() t/ Lic. # Owner c z� i t C t_.r Address Architect Address Sq. Ft.New Area: 1st FL 2nd FI. 3rd FL Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit: V) \ (u" & L- .1& y f Z. r City Water D-' Well 0 Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. Area Basement Garage Approved by Date s -Y-0 L-Use Group ' Construction Type S Revised 9/01 • III 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 wh7 this building and its use is allowed. Signed r. ; ,, , b c UZ� I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed A ra- ti' n1c DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- +*-28805-B 2,500 BO1 FOOTING 05/15/02 WNB D PIER FILLED WITH WATER LEFT NOTICE TO REINSPECT B01 FOOTING O5/17/02 WNB A WITH OWNER B10 FINAL 05/31/02 CJD A B10 FINAL 05/31/02 CJD A CLOSEOUT - ti DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Applicati s her TOWN OF SOUTH WINDSOR 5S9 Z y BUILDING DEPARTMENT OVED 1540 SULLIVAN AVENUE M B�F.Permit# 644-2511 ext. 230 s aNCIO3 Date Auild' g Inspect r Application must be printed or typed FEE SCHEDULE Locatio of Job: FTenant G✓CQ$0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT APPLICANT ADDRESS c- r 3 APPLICANT PHONE# 6 �2 O - 7 �L-2 2�fZ SOW N 3f,q OWNER 'l vI OWNER ADDRESS �o Oo ,r OWNER PHONE ��iy C ESTIMATED COST$ D S6 � � V IS THIS A CONTRACT COST? _Yes _No FEE ENCLOSED$ 61, Q' f��SO. • O�� TYPE OF JOB: R C New Installation I,XAlteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A UVk/ESIDENTIAL BUILDING PERMIT APPLICATION? ❑YES D NO ❑BUSINESS CURRENT USE AND OCCUPANCY O ASSEMBLY 0 MERCANTILE FUTURE USE AND OCCUPANCY 0 EDUCATIONAL D INSTITUTIONAL U FACTORY ENGINEER'S NAME PHONE O STORAGE U GARAGE ADDRESS ❑MDCED USE CITY STATE ZIP (Odier PIS specify) TYPE OF INSTALLATION/WIRING METHOD 7 P&wteX SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES 040 NUMBER OF LIGHT CIRCUITS�_NUMBER OF POWER CIRCUITS I 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 Als S2 a/Z �vn w.4 go 26o alLl- nZLI174, 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. STATE SIGNATURE OF APPLICANT G' DATE �6 i�� Electric# ���Z`' APPLICATION FOR BUILDING PERMIT ti-lumbik�g# 17 Brookhaven Lane Date: -.'G G HVAC # Sprinkler# 30483 FINAL APPROVALS EL -- Estimated Cost Od vBuilding PLETE RED BOXED AREAS Permit Fee UEn neerin Occupancy Fee $ zO Affidavit g TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr. for CO. N ON REVERSE SIDE 1 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 ' ,;zn z ��Ck P6()r,\ 'location of Work' -7 ( 1110 ha�fo Ln Lot No. Applicant's Address 1 -7 (3rcc,r 1Iu..-, U r Ael.# 9lo0 Yy-SS>3 Town VA0 5U t Zip Lic.# Owner S G Y__ -� Architect Owners Address Architect's Address Zip Zp Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit - �, W fix,5 e f t c,1 - 2 7 6 5 y City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group Construction Type f. Revised 6102 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 which this building and its use is allowed Signed_� c% I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed Cc.ur-4 C � DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-30483-B 6,400 E03 ROUGH 05/18/04 CJD A B04 INSULATION 06/04/04 PJP A B10 FINAL 07/19/04 PJP A B10 FINAL 08/11/04 PJP A CLOSEOUT **-18920-E 850 a� r�� Poo R .. k.X .. �.1 our 2�10 Ct.t►3BT Roo 9 5 A t j I ! t� APR ? 0 2W4 South Windsor BUILDING DEPARTMENT TO THE NI1DW6 9W. T4UW* of SHUTII W11495k This certifjud that this plae and eprCiflastions ,, n, cops" of the proposed WA4ing x altsrstwns to b. _rectsd at ,ogether with amendments stated In application an, 'iled with plan and I agree to comply with all zoning i:nlding and state laws and such orders as shall b, ssued by the Building Department during pendent) I this application and final Issuance of a building Jermlt. Il Signed ((,.� nil_. rhis pi an Is approved subject to the condltlon that irders and ordinances regulating bullding shall be . -plod wrth .:ondi on 1 Approved Ttsaae is" 11101111111 iota � 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 1 '7 In the town of , yaa& Name of building permit applicant: j]4 / QS Please check one: 1. I am the owner of the above property. 2 I am the sole proprietor of a business. 2A.Name of business f P 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._I do not intend-to act as a genml contractor or principal employer. [Sign an here] Stinature 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 o e p 'et f a business is not required to have coverage unless he files his intent to acre t rag Signature of appli Subscribed and sworn to before me this day of ,200_. (Notary Public/Commissioner of the Superior Court) • Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 17 Brookhaven Lane HVAC # 800012 Date: Sprinkler# FINAL PR -- - Estimated Cost $ ' Buildin , Permit Fee $ Engine e` g COMPLETE RED BOXED AREAS Occupancy Fee $ TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr. for CO. I SIGN 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 10+9 Location of Work a✓Q" Lot No. Applicant's Address 4, 13 Tel.# 0.2 qk, Town ,)%rM Z PAd%O C17Lic.# ,S 60f?,3 t/ Owner 5 A Architect Owner's Address G Architect's Address Zip 062 Zip Sq. Ft. New Area: 1 st FI. I 2nd FI. 3rd FI. Total New Area Purpose of this permit l' LIA v.,Oi— City Watero Well❑ Septic System❑ Sewero Ins: HO SP Cert. Area Basement Garage Approved by to j 16 'on, Use Group Construction Type Revised 6102 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 which this building and its use is allowed. Signed 1 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 I 1700445 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 09/27/2017 GIS ID: 15000017 FEE: 90.00 MUNIS APPLICATION# 201701308 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: STARON PLUMBING AND HEATING CO. ADDRESS: 17 BROOKHAVEN LANE ADDRESS: 19 COYOTE TRAIL OWNER: MCKENNA BRIAN A&KAREN A HIGGANUM,CT 06441 . 17 BROOKHAVEN LANE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACE EXISTING GAS BOILER WITH NEW GAS FIRED BOILER. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 9/27/2017 3:55 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700234 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 06/19/2017 GIS ID: 15000017 FEE: 135.00 MUNIS APPLICATION# 201700708 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: CUSTOM VENTILATION LLC. ADDRESS: 17 BROOKHAVEN LANE ADDRESS: 76 LUSTIG ROAD OWNER: MCKENNA BRIAN A&KAREN A WILLINGTON,CT 06279 17 BROOKHAVEN LANE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REPLACING A/C. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WIT11 THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 6/19/2017 2:32 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE