HomeMy WebLinkAbout262 SCOTT DR E:-ccric #t I a7s APPLICATION FOR BUILDING PERMIT
Plumbing# 262 Scott Drive Date: - S
HVAC #
S rinkler#
PFINAL APPR V S
B - 310 4 3 _ Estimated Cost $ 3 S d°*
uilding < < COMPLETE RED BOXED AREAS Permit Fee $
Engineering l Occupancy Fee $ /
TYPE OR PRINT ONLY P
Eng. Ins . Fee $
Affidavit
A r. for CO. ► SIGN ON REVERSE SIDE / 00
PP - - -- Total Fee $ 390,
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant C4elri.d e GLLLocation of Work I(r A Ske Zr_ G Lot No.
Applicant's Address ,-;Z79 6✓aST S`C': Tel.# cs_tlo sl�&-76 3
Town Zip D k-16 O Lic.# ���7y6 f
Owner r _e- %Whitect $.) /9
Owners Address 3_-G2'T — Architect's Address N
Scc,&, A . i nie nc. ZioQ&Q74( Zip
Sq. Ft. New Area: 1 st FI. ems2 vela 2nd FI. ,A// 3rd FI. & Total New Area c� YO
Purpose of this permit X;A�S ZA // 162 'K .)"C I Sv�J Pcetil a,J A "IV >?z
City WaterK Well❑ Septic System Sewer❑
Ins: HO Area Basement Garage
Approved by Date Use Group Construction Type
Revised 6102
I hereby agree to conform to all the requirements of the laws of the StMe of Connecticut and the Ordinances of the Town of
South Windsor and to ratify the Building Inspector of any alteration in the plena or specifications of the Building for which this
permit is asked,and agree that this building is to be located the ptnpar d ance from all street lines,side yard lines,and required
distances from all other zones and is located in which thi and js is allowed.
Signed
I hereby apply for a Certificate of Occupancy or the work in this application faf the permit.
7
Signed
DO NOT WRITE BELOW THIS LINE` J
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-31043-B 23,510
BO1 FOOTING 10/13/04 PJP A REC'D COPY OF CONCRETE DELIVERED IN FILE
B03 FRAMING (ROUGH) 11/01/04 PJP A RAISE GRADE @ PIERS FOR FROST PROTECTION
E03 ROUGH 11/01/04 PJP A
B10 FINAL 11/15/04 PJP D NEED TO GRADE SOIL AWAY FROM FOUNDATION
**-19275-E 1,000
ENGINEERING NOTE 00
Four Seasons is not responsible for the design of the 3 p
connections of the room to the structure,or any associated foundations. , r
The design professional is also required to take into account any additional
design provisions required to satisfy snow drifting and wind loads or site
specific structural concerns. k
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ENGINEERING NOTE CO
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ENGINEERING NOTE
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ENGINEERING NOTE
Four Seasons is not responsible for the design of the p
connections of the room to the structure,or any associated foundations.
The design professional is also required to take into account any additional
design provisions required to satisfy snow drifting and wind loads or site
specific structural concerns. k
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' ENGINEERING NOTE 00
Four Seasons is not responsible for the design of the p
connections of the room to the structure,or any associated foundations.
The design professional is also required to take into account any additional
design provisions required to satisfy snow drifting and wind loads or site
specific structural concerns. a
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,EIEERING NOTE
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Four Seasons is not responsible for the design of the € 4—
connections of the room to the structure,or any associated foundations. , � CO �
The design professional is also required to take into account any additional
design provisions required to satisfy snow drifting and wind loads or site
specific structural concerns.
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(2) !/4"x3" LAG BOLTS ;
AND AT ± I G" O.C. MAX. BETWEEN
OUTSIDE CLOSED SILL IN51DE
2x BLOCKING OF OF
IF REQUIRED FOR LAGS ROOM (A'7C5) ROOM
#8x 1/2"TEK SCREWS CAULKING AT BOLT
PLYWOOD FLOOR SHEATHING (7- 150) @ 1 G"O.C.
MAX BETWEEN
2x8JOI5T5 @ I G" O.C. 2 7/8"THK.
WALL PANEL
GABLE ATTACHMENT DETAIL
- - - - - - - - - - - - - - - - - - COUNTER FLASHING
#8 X 1/2"TEK SCREW \
(G) ON TOP t BOTTOM OF PANEL
(2) 1/4"X 3" LAG BOLTS
@ I G"O.C. (G PER PANEL)
(2) 114"x3" LAG BOLTS —a
SILL TO DECK CONNECTION DETAIL I @ I G"O.C. BETWEEN TO BE
CENTERED ON JOISTS =
F--
z
ROOF PANEL---' -
4 I/1 G"THK.
4 1/4" RIDGE
�-UNIT HEIGHT
RIDGE DETAIL
Z3o SISgb C•,47,V
914mr BECK FlooR Sys iEM
CL t I>
x r o 5T (PT)
l ' ANCHOK. 80LT /L
sL opt
3f6'�
i�" SQN.�• TIN, 6 E
EXISTING 3/8" X 4" Lag Bolts
HOUSE 24" O.C.
STRUCTURE
l I
I I 14AIL OR SCREW
• s
318" x 6" Lag bolts
v 240 O.C.
CUT BOTTOI�t �
0. S. B.
2 x 4, 6 x 6 P.T. Post
a
LEDGER Z X 10
Beam (3) 2 x 8 P.T.
L SPAN W/ '/z"Plywood between each
GIRDERS CAN BE
SPACED AS NECESSARY
TO ACHIEVE REQUIRED
LOADING
2x6 JOISTS AT
' :•- '� PANEL SEAMS
FLOOR PANELS
LEDGERS
LOCALLY ENGINEERED
UNDER STRUCTURE
SMART DFC X FLOOR SYS TEM
® 230 SUN & SHADE ROOM: CATHEDRAL DESIGN
0 4� ` ! ROOF PANEL: 4-1/4" O.S.B./ALUM. (NO H-BEAMS)
• 1 LB. EPS FOAM PANELS
5005 VETERANS MEMORIAL HWY. ENGINEERING & STRUCTURAL LOADING INFORMATION
HOLBROOK N.Y. 11741 EFFECTIVE DATE 6-0,
MAXIMUM MAXIMUM MAXIMUM END WALL PROJECTION-ALLOWABLE LOADING CHART
FRONT WALL LIVE LOAD ROOF LOAD IN PSF (WIND LOAD EXPOSURE B(RESIDENTIAL) IN MPH)
LENGTH GOVERNED .
BY 10 FT 11 FT 12 FT 13 FT 14 FT 16 FT 16 FT 20 FT 22 FT 24 FT
12 FT A)7-ALUMINUM BEAM 98 (155) 80 (145) 60 (145) 50 (145) 40 (125) 25 (110 18 ( 95 13 ( 85 ) 10 ( 80 ) 6 ( 65 )
FOR EXPOSURE D WIND B)r*IWINUIJI&STEEL "98 155)! 98 - 155 98 145 98 (145) :8D (145 55 1.145)' -35 {140.,. :25 (130)� 20 (115 15 (7t0).
REDUCE MPH BY 50 C)1r ALUMINUM BEAM 98 (155) 98 (155) 9B (145) 98 (146) 98 (160) 95 (155) 65 (145) 45 (140) 35 (130) 28 (125)
14 FT A)7'ALUMINUM BEAM 88 (140) 70 (140) 55 (140) 45 (140) 35 (125) 23 (110) 16 ( 95 ) 12 ( 80 ) 9 ( 80 ) 7 ( 65 )
FOR EXPOSURE D WIND B)r ALUMINUM A STEEL 88 (140-) 88,:-1 140)' 88 140 -85 (140) 70-_(140) 45 ,(140 -:30 (140'. 23 (130). 18 (115) 13 110)
REDUCE MPH BY 45 C)17 ALUMINUM BEAM 88 (140) 88 (140) 88 (140) 88 (140) 88 (140) 80 (140) 55 (140) 40 (140) 30 (130) 24 (125)
16 FT A)7'ALUMINUM BEAM 79 (130) 65 (130) 50 (130) 40 (130) 30 (125 20 (110) 14 ( 95 ) 10 ( 80 ) 8 ( 70 ) 6 ( 65 )
FOR EXPOSURE D WIND s)rALu►wwm C sTEEL 79 (130)' 79 {130 79 (130) 75 130) 65 ,(130) 40 '(130 28 130` 20, (125 15 -(110) 12 (100)
REDUCE MPH BY 40 C)I ALUMINUM BEAM 79 (130) 79 (130) 79 (130) 79 (130) 79 (130) 70 (130) 50 (130) 37 (130) 28 (130) 21 (125)
18 FT A)7-ALUMINUM BEAM 72 (125) 60 (125) 45 (125) 35 (125) 26 (115) 18 (100) 13 ( 85 ) 9 ( 80 ) 7 ( 70 ) 6 ( 65 )
FOR EXPDSURE D WIND B)r ALUMINUM STEEL 72.'4125) 72 y 125 72: (125) 70 (125 60 125).- 38 (125.)- 26 125 - 19 -115)' 14 ,(100 11 95
REDUCE MPH BY 40 C)1r ALUMINUM BEAM 72 (125) 72 (t 25) 72 (125) 72 (125) 72 (125) 65 (125) 45 (125) 33 (125) 25 (125) 20 1125)
20 FT A)7 ALUMINUM BEAM 65 (110) 55 (110) 43 (110) 33 (110) 25 (110) 17 (100 12 ( 85 ) 9 80 ) 6 ( 70 ) 5 ( 65 )
FOR EXPOSURE D WIND a)r ALUMINUM a STEEL ''65 (110) 65 (110) -65 1110), 65 (110) 55 ,(110) 35 :(110:)'. -25 (110) 17'.(110.)'. ,13 (.100). 10:...( 95)
REDUCE MPH BY 35 C)12'ALUMINUM BEAM 66 (110) 66 (110) 66 (110) 66 (110) 66 (110) SD (110) 42 (110) 30 (110) 22 (110) 17 (110)
22 FT A)r ALUMINUM BEAM 60 (100) 50 (100) 40 (100) 31 (1 DO) 24 (100) 16 ( 95 ) 11 ( 85 ) 8 ( 80 ) 6 ( 70 ) 5 ( 65 )
FOR EXPOSURE D WIND 8)r JLLUMMUM i STEEL- -60 (100) 60 `(100) 60 (100) -60 (100) 50-(100) 33`-(100 N
- 16' (100-'LO (
'9 -:1 85')'
REDUCE MPH BY 30 C)1r ALUMINUM BEAM 60 (100) 60 (100) 60 (100) 60 (100) 60 (100) 50 (100) 28 (100) 0) 16 (100)24 FT A)r ALUMINUM BEAM 52 95 ) 48 ( 95 ) 37 ( 95 29 95 23 ( 95 ) 15 ( 95 7 ( 80 ) 4 ( 65FOREXPOSUREDWINO a rAWMmum a STEEL 52 ( 95" 52 95 52 95 52 ' 95 AS 4 95 30 95 15` 95 ) 8 ( 85REDUCE MPH BY 30 C)1r ALUMINUM BEAM 52 ( 95 ) 52 ( 95 ) 52 ( 95 ) 52 ( 95 ) 52 ( 95 ) 45 ( 95 ) 25 ( 95 ) ) 15 ( 95 )
ALUMINUM T 2-TUBE BEAM t/2'WIT
2 3/8- ALUMINUM PN 7TB r ROOF
TT ov-
TUBE BEAM 3.97 Ibt
PN 7TS PPr FT TUBE i'�ROOF PANEL
3.97 bs STEEL TUBE BEAM
7 1/8- per FT INSERT
X 6 XR 3116 12" 1 r BEAM POST BEAM POST A 5 78P732U
IS GOOD FOR 57 PSF
WALL 9A O2 bs PN 12LW HEIGHT F �
ON 24'X 24'ROOM.
per FT I WITH AMAXIMUM
A QPRIMED IN FELD a POST HEIGHT OF LA c j g1f�rt
v .ELECTRIC-H P,`.pl�
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ALABAMA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE FLORIDA GEORGIA IDAHO ILLNOIS
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`IX KANSAS ITUCKY LOUISIANA MANE MAFFVLAIA MASSACHUSETTS MICHIGAN MINNESOTA• MISSISSIPPI MISSOURI
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MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLNA NORTH OAKOTA OHIO OKLAHOMA
NOTES:
W.
V-;f:"- �: Y-ram-'• 1 '-4+F'4 !�
"� \�,3'�-gk ""T'a:a-01� S«*'✓-yam/ �P 1) RIDGE BEAMS TO BE 7T8,7T8 WITH STEEL,OR 12LW
� a� ��� •' 2)ALUMINUM ALLOY IS 6005-T5
OREGON PENNSYLVANIAPUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA 3) DEAD LOAD OF ROOF SYSTEM IS 2.37 PSF
4)WIND SPEEDS ARE BASED ON EXPOSURE B VELOCITY PRESSURES.
(O SUBTRACT 10
FOR EXPOSURE C (20)mph FROM PROVIDED WIND SPEED.
�M>►�'1 �-_W�'� ��� "" T' =��. X� 5)ALL UNITS SHOWN ON THIS PAGE ARE ACCEPTABLE FOR CONSTRUCTION IN
1 � 1• arc.. r•- �,,� t SEISMIC ZONE 4.
6)A LOCAL PROFESSIONAL ENGINEER SHOULD DETERMINE THE SITE SPECIFIC
LOADING AND PERFORM ANYADDRIONAL NECESSARY CALCULATIONS,WHICH
TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON MAY INCLUDE:MINIMUM DESIGN LOADS REQUIRED BY LOCAL MUNICIPALITIES,
t� OR ANY DRIFTING OR UNBALANCED SNOW LOADS PRODUCED BY ADJACENT
0,G
STRUCTURES.
7)THIS SUMMARY PERTAINSTO THE STRUCTURAL INTEGRITY OF OUR UNIT U
THE CONNECTIONS TO THE EXISTING STRUCTURE AND/ORANY NEW
CONSTRUCTION.THE CONNECTIONS TO THE EXISTING AND/ORANY NEW
WEST VIRGINIA WISC S WYOMING D.C. CONSTRUCTION MUST BE ANALYZEDACCORDING TO CONDITIONS SPECIFIC TO
EACH JOB,BY A LOCAL PROFESSIONAL ENGINEER.
8)ENGINEERS CERTIFICATION:I LAWRENCE FISCHER CERTIFYTHAT THESE
ENGINEERING SPECIFICATIONS HAVE BEEN PRER4RED UNDER MY DIRECT
SUPERVISION AND THAT I AM AREGISTERED PROFESSIONAL ENGINEER IN THE
STATES SHOWN.
FILE:ROFENG34.CDR 89
SMART DECK INSULATED FLOORING SYSTEM
r ALLOWABLE LIVE LOADS
5005 VETERANS MEMORIAL HIGHWAY EFFECTIVE DATE: 1-01
1170
RECOMMENDED ALLOWABLE MAXIMUM ALLOWABLE
PANEL TYPE SPAN LIVE LOAD LIVE LOAD
DEFLECTION = L1600 DEFLECTION=Ll360
PSF KG/M' PSF KG/M'
6 FT 11.83 M] 203 991. 203 991
7116" OSB 7 FT 1 2.13 M) 159 776 174 849
5 5/8" EPS (1 LB PER CU/FT) 8 FT 12,44 M] 108 527 152 742
7/16" OSB 9 FT 1 2.74 M] 76 371 130 635
10 FT 1 3.05 M] 55 269 95 464
NOTE: FOR HARD SURFACE FLOORING 11 FT 1 3.35 M] 41 200 71 347
WE RECOMMEND PLYWOOD, 12 FT 1 3.66 M] 31 151 54 264
OR WONDERBOARD,BE 13 FT 1 3.96 M) 24 117 42 205
STAGGERED ON TOP OF OSB SURFACE 14 FT 1 4.27 M] is 88 33 161
USING GLUE AND SCREWS 15 FT 1 4.57 M] 14 68 27 132
USE L/600 DEFLECTION LOAD VALUES 16 FT 1 4.88 M] 11 54 21 103
t'6-i 10K OR!=N-EL SiRHNI
GIRDERS CAN BE 2 ARc iCF ANJ BOTiON
SPACED AS NECESSARY
TO ACHIEVE REQUIRED
LOADING
j I
r•:i�
2 x 6 JOISTS AT
PANEL SEAMS L 10 CU/FT EPS FOAM AVAILABLE WITH
yy� 1"1 (NOT SUPPLIED) ALUMINUM SKIN
LEDGERS FLOOR PANELS A/AILABLE IN
FLOOR PANEL ON ONE SIDE
4'x FOR 4'xIF. CROSS SECTION
LOCALLY ENGINEERED
UNDER STRUCTURE
GIRDER DESIGN BY OTHERS (POSTS AND GIRDERS)
✓- a. _ �y„a erg •.•. 4 _C.'
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ALABAMA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNEC_TICUT DELAWARE FLORIDA GEORGIA IDAHO ILLINOIS
�� 4arr' ♦`'' ly[� ,M1�� /.[ �M` rM /,tp�•yv.. ,�...�.�.�.�. J'� ,J.Y+''4.
_
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KANSAS KENTUCKY LOUISIANA MANE MAiIYLMID MASSICHUSETTS MICHIGAN MINNESOTA MISSISS"I ►ISSS+OURI
it.q'u� � MLC f .�M W� �tML[, .,f s r'ti> 'r •���
+���yS
MONTANA NEBRyA!{SK�A NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO OKLAHOMA
� -){t ..1���1-�•. IAffCICE NbO �Ft.`�'^�••
t... .t.!_. ..a- i w'm' I (,K R►s f+ lcx MATERIALS:
POLYSTYRENE CORE:
• i �'m"� y `i' 1 -TENSILE STRENGTH-18-20 psi.
OREGON PENNSYLVANIA PUERTO RICO RHODE ISLAND SO C�AROLINA SOUTH DAKOTA SHEAR-18-22 pa.
SHEAR MODULUS(Ge)-280.320 psi.
N�'>[� � s� ,.r'^�'r+ti, MODULUS OF ELASTICITY-180.220 psi.
'�y owENTEo STRAND BOARD(OSB)
j rj}� MODULUS OF RUPTURE-844 psi.
MODULUS OF ELASTICITY-n31110 psi.
1�a�n+ T r r�{ MOR.AD M-e00 SERIES ADHESIVE:
` l ' ' �.'� •r' '�:.;,,� TENSILE SHEAR BOND-30 pr.
TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON NOTES:
1�.t_^'"�.. .✓u s 1)DEAD LOAD: 13.5 psl-PANEL CONSTRUCTION.
p
�: ~`�, [ � �� � � 2)A LOCAL PROFESSIONAL ENGINEER SHOULD OETERMHNE THE SITE SPECIFIC
'_-.� LOADING AND PERFORM ANY ADDIT IONALNECESSARY CALCULATIONS,WHICH
u .'-✓" 1 r MAY INCLUDE:WNWM DESIGN LOADS REQUIRED BY LOCAL MUNICIAUTIES.
OR ANY DRIFTING OR UNBALANCED SNOW LOADS PRODUCED BY ADJACENT
WEST VIRGINIA WISCONSIN WYOMING STRUCTURES.
O.C. 3)THIS SUMMARY PERTAINS TOTHE STRUCTURAL INTEGRITY OF OUR UNR UP TO
THE CONNECTIONS TO THE EMSTING STRUCTURE ANDIOR ANY NEW
CONSTRUCTION.THE CONNECTIONS TO THE EXISTING ANDIOR ANY NEW
CONSTRUCTION MUST BE ANALYZEDACCORDING TO CONDITIONS SPECIFIC TO
EACH JOB.BY A LOCAL PROFESSIONAL ENGINEER.
4)ENGINEERS CERTIFICATION:I LAWRENCE FISCHER CERTIFY THQ THESE
ENGINEERING SPECIFICATIONS HAVE BEEN PRETwRED UNDER MY DIRECT
SUPERVISION THAT IAM A REGISTERED PROFESSIONAL ENGINEER IN TFf
FILE:FLORENGI.CDR
n �C�gII�
South Windsor
BUILDING DEPARTMENT
p THE Bi:;ID� fliPT. TatrM Of SfNTN MI 1Nux,•
Thla certifl•49 that this Pun and eC•�'ric.ti="'y: �' b
tr
0.".. at the proposed builain� or altrr atl..nsrto •
erected at T\
ftresi
together with amendments stated in aPPlic•tlon and
filed with plan and i agree to _of,)
Ply with �11 tonin f.
be
S,I"n1 and state laws and such orders as sn'tleney
lesue, by the Building 13epartmcnt during P'
of this aPPlicat ion a d final issu nce of a buiidinf
permit.
t«Tu flan on
is ap
p
ro
ved sublet to the condit`hallt 11b•
lN
errs and ordinances regulating building
oawsptled with.
I ^ roved Thes• filed with
„ew11t1or*e:Y N
w11d1nR Ins►ecto► ,� ( 0 C
Pager#
Cell#
Phone# 409 New State Road
Manchester,CT 06040
Call Before (860)646-7687
r
Date `' ° Time 7 -0 >
Name C f a �, ''
Address Sc o t4 b'
d
w A5C-- (,f�'c'Y
' Iz
Yards Ordered Job 5-ow"
Start Pour Finish Pour Meter Reading Mix Design Admix Heated
Yards Delivered Price per yard 8`� Total $
Admix Price per yard Total $
Ht. Wtr. Price per yard ? Total $
I
a' s 'vc� �tc1 Ply �oW+L Delivery Fee $ �v
Labor/Excess Time $
Sub Total $
i
OCash Tax $
Payment Received: OChk# Total $
Driver's License# Amt Received $
•DELIVERIES OF 3 YARDS OR MORE SUBJECT TO ADDITIONAL CHARGES.
•NOTE:10 MINUTES PER CUBIC YARD UNLOADING TIME PERMITTED. ADDITIONAL TIME SUBJECT TO ADDITIONAL CHARGES
•CUSTOMER IS RESPONSIBLE FOR ANY AND ALL TOWING EXPENSES.
•ANY WATER ADDED TO THE MIX ON THE JOB SHALL BE AT THE PURCHASER'S OWN RISK.
•OUR TRUCKS ARE NOT PERMITTED TO GO BEYOND CURB LINE EXCEPT BY OWNERS OR CUSTOMER'S AUTHORIZATION.
I HEREBY ACCEPT ALL RESPONSIBILITY FOR RESULTING DAMAGES.
Signed by:
WARNING: IRRITATING TO THE SKIN AND EYES. Contains Portland Ce-
ment. Avoid contact with eyes and prolonged contact with skin. Wear
rubber boots and gloves. In case of contact with skin or eyes, flush thor-
oughly with water. If irritation persists, get medical attention. Keep chil-
dren away.
Our concrete is designed for a minimum slump of 3" and a maximum
slump of 5" for proper workability and strength. The designation of a mix
by the volumetric proportioning of cement and aggregates such as
"1:2:3" is understood to be purely nominal and not intended to limit spe-
cifically the exact amounts of the quantities actually used. The seller
reserves the right to vary the quantities of the cement and aggregates,
to introduce admixtures, accelerators, and other agents, and to batch
the ingredients by weight, all inconformity with the standard practice
for manufacturing ready mix concrete.
MobileMix Concrete makes no warranty either express or implied. Any
representation, promise or statement, to be valid and binding must ap-
pear on this sales agreement, or be endorsed hereon in writing.
I (We) hereby agree to pay all costs and expenses which may be in-
curred by MobileMix Concrete in collecting any account owed by me
(us) to it including attorneys fees whether or not an action is brought on
any such account, including all sheriff and court costs. Terms: 30 days
net. A finance charge will be added on all accounts over 30 days. The
finance charge is computed by a periodic rate of 1 1/2% per month
which is an ANNUAL PERCENTAGE RATE of 18%
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Applic ' is TOWN OF SOUTH WINDSOR l d 7S
BUILDING DEPARTMENT
PRO 1540 SULLIVAN AVENUE Bldg.Permit#
U 644-2511 ext. 230 6cI
Date Building In ector
Application must be printed or typed
FEE SCHEDULE Location of Job:
F;T�e-nantDesignation
��TT pie,$0-$1,000=$15.00 Street Lot No.
Over$1,000$15.00 per$1,000
or any fraction thereof Apt.No.
APPLICANT
APPLICANT ADDRESS
-re z. o( y/ S—
APPLICANT PHONE# (��p ) S� , Ogg
�DW N SFq OWNER ►4'�'iU�r�.✓c1' .`�c�V1,'G� ['v1�i Dcr�n�
OWNER ADDRESS o� SC,nTT Drt
S. w� tnds m�r—
1 . OWNER PHONE
C 'r ESTIMATED COST$
b
•� IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$
TYPE OF JOB: J
NOR C O� New Installation (N V`.'�t/y c'fi S�,✓ 2 Zl O� �J',
_Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑NO
❑RESIDENTIAL
❑ 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 ❑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.
4:4 z fey S, C-Z C; -7—
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT — DATE
i
M
c
23'
R'
r
Sc'orr
LOT #163, "BIRCH HILL ESTATES"
SECTION #7
TOWN OF' SOUTH WINDSOR, CONNECTICUT
SCALE: 1" 40'
�14395
Rockville, Conn.
------------
---------------
NOV SUVROOM
0" NeW
Gy 09
N
M16 14 R4
-f 6 3
50,
0 —- ------------
bm TER
MORTGAGE SURVEY
LOT #163, "BIRCH HILL' EkATES"
SECTION #7 k•-,j
TOWN OF SOUTH WINMOR','
CONNECTICUT
SCALE: 1" = 401,
Certified substantially correct.
Building located as shown$ zoning regulations
not violated.
L.S. #4395
May
Rockville$ Conn.
South Windsor
BUILDING DEPARTMENT
J IHE Wts6 4 $601H rYWWM
his osrtiti.d V t tcii plan and spciiloatlutss an t~
:oPtee 41 the pruposod building of ottof&UDne to be
arected as
rt� treat
together with 7e.._ndmwnts stated in aODlleatlon •n0
.filed With pt,.n and I agree to comply with sit suing.
°luiMing and sl It, laws and such orders as shall be
.sued by the 9ullding Deportment during pendency
N tills application and final issuance of a building n
permit. 1/. ,/ 0
U•r�ocu[. vf'�'
7( signed
nis Nan Is ap. r.v:d subject to the condltl*W that ,
�rdars end -rdi.iancvs regulating building shall be
,�rnpllad . t�t.
,ondltlonelly nppruved These tilled with
-- Clerk
Quildlag InsP�ct01 � /�,`�w/
No. ✓ 1
CERTjc:1CATvnn1 OF ZONING COMPLIANCE
Prop ., oui .,ing(s1 ,i.=,e(s) end/or structure(s)
as on on This Mart epo,mr(s) to be in
eor -once with curren, South Windsor
variances dilu apeci�-: Jxceptions
ma) ._l:v
Date. ___ -'- dt
,,,,y orcement Officer