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171 Woodland Drive
Application No. 3698 Permit No. 3438 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. G hereby make application for a permit to (erect (m2ke allwation —1 a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn. i�'!......... .. ...... .. 19. . Sign here WOO®LAND P ,RK,....INC..................... .... .............. 364 WEST MIDDLE TPKE, Address 1IN.CH1=•STER;.-001,41%..... ............ Location? ................ .........side of? .. ..................!U O.! ............................................................ Nearest cross street? . . .. O.A`A.... .........5..7...-.............Street No. V 7. ............ ............ Lot No. ... *�6............. . Owner of land is? WOODLAND....PARK,....INC Address . . ........................................................... ..................... 364 WEST MIDDLE TPKE. Owner of building is? CZ � � Address . .. ...... .....................................................................................CHESTER ;MAN Architectis? Address ........... ........... .......................................... ........... ......... ........ ,gyp Builder is? . Address .............. ............................................................../ `7`" .. ........... Dimensions of building. lJ.......Feet front. . Feet rear. . ... Feet deep. .. l0 C,0 Extreme height to highest point of roof? ...... No. of stories in height? . . �. f� C)0 Pur ose of building is? ..w... . .. ....L..!.�.C.i.........No. of stores? ... .............. F61 How many families? ................Q. 1.... ....................................No. of rooms? ... . .............. ..... ................................................... (v Distance from street line is? ................ .... .....from building line is? ...... ....... ADDITIONS AND ALTERATIONS (Give Brief Description) ............................................. ........................................................... .......................................................................... ........................ ..... .......................................................... ................................................. ..............-..................................................................................................... ...................................... .................. ................ .................................................................... .................................... ......... ... ........................... ....... ........... .......... ........................................ Map No. If of steel frame, what is exterior construction? . .. ............... .. What kind of columns used? ........... .. . ............. . Size of columns used? What length of columns used? .. . . How protected? What kind of beams or girders? .. Size of beams or girders? .. ....... Longest span of beams or girders? These rest on? . . . ..... ... ....................... .. .... Roof construction is? .......... . . ..... .. ... ...................... ...Roof covering is? ... . .......................... The floors are of ........ . ... construction and are calculated to carry a safe load of lbs. per square foot. (See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? .. ........ ..... . ............... Compositionof mortar? . ..... ... .. ... . . ..... ............................................... ............... .......... .................. ...... .......... Height and Thickness of Walls Height Stories Front Walls Side Walls Rear Walls Partition Walls Basement, ..................... . ... .................................................................. ............................................................................ ................................ ............. ........ ....................................._... . .. 1st Story ... ..................... ................................................................. .... ............................................................................................................ . ...... ... . .... . . . ........ 2nd " ... ..................... ................................................. ....... ...................................................................................... ......... ................... .... . ............ .. 3rd 49 .......................... .. ................. ............................... ......... ........................................ ............ ............................ ... .. ...... .. . . ........ .... ..... ... 4th " ... .......... .... ... ............._........................................... .. .. ....................................... ..... .............. .................................. .... ........ .............. . 5th " 6th " .................. ....... .. ......................................................... ..................... ....... .................................... ......................................... ......................................................................... 7th " .......................... .. ....... ..... •............................... . ............ .. .................. �........... .... .... ........ ...... .... ... ...... ......... ............................... 8th " .......................I ..... ................................................. ........ .... ........... ... ...... . .... ....... ........... .. ................... 9th . ....................................................... ...... . .��... .. ....... ..... Material.of Front? If stone, what kind? Thickness of Ashlar? ...Thickness of Backing? Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GIRDERS COLUMNS Floors Size Longest Span Centres Bridging Size Longest Span Centres Size Length Centres 1st Floor ? _ y .k�. .....�3............. .y..o .. ��../(. _ � '.. .. 3 2nd .......... y................................ ....... .. ................_....... ........... 3rd.....�...... ............... .................................. .................. ...... ............ ............... ................................... .................... ...................... Size of outside studs? ... ./`l ..... Distance on centres? . Size of sill? ......... :. .. .......... Size of rafters? Distance on centres? ��. C Size of plate. ...........U`f. '...................... . ....... ? Size of ledgers or girts? .. ...... .. . . ....... . ............ ...... .....Size of deck rafters? .. ....... ............................ ............... Distance on centres? ........ .. ...... .. .. ...................................Size of studs in bearing partitions? ...... . .. ................. MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? C--A,' L. C Fireplaces? ... .. .. . ....................... Material of roof covering? /--.T—....Material of Cornice? ... . .o.... ............. How is building heated? /V D.! . A-)/F.2-..C71.f... Lining of flues? C..&TT/9............. Thickness of shell of flues? ..... .... .......... .... .. .....Any elevators or lifts? . . . .... ........... What kind% How many? Any hoistwa ? How protected? ....Total Value of Building fl When will work be commenced? ............. The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli- cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the Town of South Windsor since 1949. W DLAND PARK, INC. 64 MIDDLE TPKE. C0111 • Applicant 3438 BUILDING APPLICATION 698 ApplicationNo. ........3...... ........................................................ on the North............. . ....... .. . .. ..... side of Woodland Drive . ........ Street. Street No, 171�, Lot. #36.. . .. ..... ... . Owner Woodland Park.,Tnc.. Same Applicant . .. ...... . CLASSIFICATION Dwelling 261*,x48.." .. . .... ........................ Permit issued on above Application. Date, .March. 2 3.jo..... 19. ....61 TOWN OF SOUTH WINDSOR BUILDING PERMIT Date March 2.1 19 61 Fee Paid y$6Q*00) Est. Value $$ 15*00,0 Permit N° 3438 on the N ortYt side of Woodland Drive Street Street No. 171. Lot #36) Owner Woodland Park.Inc i Applicant Sam® ! CERTIFICATE OF OCCUPANCY ISSUED: Date ? No. a Fee Paid $ " CLASSIFICATION Dwelling Z6 t x48 t 3 s BUILDING PERMIT N® 3438 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. March 2-30 19 61- iK4'to 'to ter QTrrfiflj, That Woodland Park .Ino. is hereby granted permission to Dwelling 2699489 at estimated value of $ o@ R on the N orth side of Woodland Drives Lot #36 Street on land a Y owned by XMIZANIXEMM Woodland Park..Ina Said Work to be as described in Application No. 3698 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issue V r gh" 23. , 1961 Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit NO 2102 Certificate of Occupancy THI IS TO CERTIFY that the � I-�7nnf #)7/ at No. :'=� in the To South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. BUILDING INSPECTOR OWNER, BUILDER Fee Paid#J, Date , 19 i Application No. ?300 permit No. 7000 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. 6VC hereby make application for a permit to (erect (make elaerstion to a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn., .................. 19.1 R. Sign here ... .................�.....::......,. Address ' ..........gr4 ........... . ... .... . ........ Location? W . .. ........... ..................................................................side of? .. Nearest cross street? a0a. V....�....... ..................................Street No./.71 .fv . ..... .......... Lot No. .. 3(. .. ........ . wrier of land is?'�. .. .... .Address /2/.LVO.. .. ................... .......... .............. ..... lz�Owner of building is? .. ................. .................. ........... Address Architectis. Address ........................................................................ ............ .................. L Builderis �.. ............................... .. ....Address ..s .°........ .............. .............C41,Vl..... ........... Dimensions of buildin !i f YA V......... Feet front. . . . .. Feet rear. ...... .... ........ Feet deep. .. Extreme height to highest point of roof? ..... .16............ No. of stories in height?. J..... Purpose of building is? e .,a- . -.....��^-�-fs............................No. of stores? ... ............ ............... ................ ............... Howmany families? ..... ...............................................................................No. of rootrs? ... . ...................... .............................. ......................... Distance from street line is? .. . .... �14........... ........ .... .....from building line is? .. ... �. ..... . . .......... ........ ADDITIONS AND ALTERATIONS (Give Brief Description) Ir ........... .......................ae. 'e...... ....... �.../L� ..... 301 ... ......... ............................................. _..... . ...................................................................................................................................... ................ . ...... . ......................... ............................... ........................................ .......... ................ ...... ... ............. ....................................................... ...... Map No. .. ... .......I If of steel frame, what is exterior construction? . N 0` What kind of columns used? .. .. . .. .....Size of columns used? What length of columns used? ... . How protected? What kind of beams or girders? . ... Size of beams or girders? Longest span of beams or girders? .. .. . .. ... .. These rest on? Roof construction is? ....... .... ... .. ......... ...........................................Roof covering is? . The floors are of ... .. . . construction and are calculated to carry a safe load of lbs. per square foot. (See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? . . ........... .. . .................... .. .......... ... Compositionof mortar? ... ... ........ .............. ... ....... ....... ........................... ........................ ............... .. ................... Height and Thickness of Walls He*ht Stories Front Walls Side Walls Rear Walls Partition Walls Basement, .. . ....._................._................_......................... .........._........._................_.............._.......................................................... ........................................................... F i 1st Story X V N o2 'e 1' C. � v l t ........................ .. ................... .................................................... ........................................................................ ..................................._.. ......... ....... ............. ........... 2nd " ... ...................................._......._........._................ ..................................................................................................... ........... ......................... .................. .... ................. .... 3rd " ......................... .................._....................................... ................. ........................................... .......................I................._.....,.......................... ................... ........... ... .............. ....... .... 4th " .. ............ .. . . ................................................................ ..................................... .....,...................................................................... .............. ..... .. ........ ..... 5th " 6th " ... ....... .. ..._.................._.................. ................ ... ................ ....... .. ...... .................... .. .. ........ ............. ... .......................................................................... 7th " .............. .......... ... ..... ........................................... .. ............ .. ....................... ,.................... . . ......... ......................... ................ ............................................... 8th " ...................... ....................._....................................... .............. ....................... . ..... , .... ..... ... .......... ...... .............. ................................................. 9th " ....10t......... ... .. Material.of Front? If stone, what kind? Thickness of Ashlar? ...Thickness of Backing? Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GIED$BS QOLUMNS Floors Size Longest Span Centres Bridging Size Longest Span Centres Size Length Centres 1st F1 r . .......�.... .. ....... :�....,.. ........._.. ........................._........ ._............m. .............. .............._ .........._..... Via............ ............ .................................. .................. ..................... ............... ............................... _....._.._... ................. __.._.._. ............_...... 4 .... .... ................... _........... _................................ ._......_. _..._.... ......_........._.. a• . ........ Distance on centres?Size of outside studs.? ......1..(..... ...... Size of sill? .......... Size of rafters? 4.)(4a........... ..... . . Distance on centres?........14 ...... .. Size of plate? Y.,(V................................. Size of ledgers or girts? ........................ ..... ...........................................Size of deck rafters? ........^................................................ ............... Distance on centres? .. ....................................................Size of studs in bearing partitions? ...........`............................... MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? . . Ptf.--N.... Fireplaces? .................... Material of roof covering? ... .P.WA-k-*.... ..... ............. .. .....Material of Cornice? .......1 . . .. .:.......................................... .............. How is building heated? . ..X Q.0�..........................................Lining of flues? . ................................. ................. ......... . .............. Thickness of shell of flues? .. ..... ...... ........................ ... ...........Any elevators or lifts? ................... ...... ................... .. ...................... What kind? How many? ... . Any hoistways? . .... .... ... . ......... . ........... . How protected? ... ..... .. ........ . ........ ................... . ........ ....Total Value of Buildin ..... 17- �.................................... When will work be commenced? -- ....... .. ............. ..................................................... ................. The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this application, conforms to the zoning regulations of the Town of South Windsor. Town of South Windsor since 1949. Jj w Applicant 7000 BUILDING APPLICATION Application N.. ... ...7.3.0.0................................................... north onthe .................................. ... . ........... ................. side of Woodland Drive ......... ..... ..... ...... . . ........ Street. 171 Street No, ...... ... Richard Pelikan Owner . ..... .... .... Applicant Schneider Builders,Inc e CLASSIFICATION Add attached two car garage 241x241 , add porch on rear of house 121xl6l . ...... ..... . . ... .. ............ Permit issued on above Application. Date, . 4.-22-70 19 '. 0 x ' r TOWN OF SOUTH WINDSOR z BUILDING PERMIT 0 Date April 22, 1 1970 e I Fee Paid 3b.00 Est. Value 0.5 8.00.00 i t Permit N° 7000 1 on the north side of ' Woodland Drive Street a i Street No. 171 Owner Richard Pelikan Applicant Schneider Builders, Inc. CERTIFICATE OF OCCUPANCY ISSUED: Date No. 3950 Fee Paid $ 3.00 CLASSIFICATION Add attached two car garage 241x241 , add porch on rear of house 12fx161 . BUILDING PERMIT N° '7000 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Apri 1 22, do 94'sTierti 3ahnsider Build®ra, Ina. tt to ., That Ad attaehO two ear garage r t , add d is hereby granted permission to pordh on rear of house 12 txl.6l . 5800.00 at estimated value of $ on the North side of Woodland "Dri re #171 Street on land owned by Riehard Pelikan workSaid to be as described in Application No. 7300 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. April 22, -- 1 70 I!S,S�ed 19 Buil tng Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place- or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor" J� INSPECTION REPORT) -a, Permit Job • 1 Footing 5-13-7 0 2 Foundation 5-19-7o 3 Framing 4 Wiring 7- 1 8 5 Plumbing '`/ 6 Heating 7- L S -70 7 Lathing -IS - 70 8 C.O. / 7- 2,0 - 70 Permit No. 7z--92- TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N� 3950 Certificate of Occupancy THIS IS TO CERTI Y that )e at No. riethe Town of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Reg tions of the Town of South P;=, ' d by approved for occupancy. C ' wilding Irfspector �V4-'d Builder Fee Paid Date 19 Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N� 3 9 5 0 Certificate-' of Occupancy THIS IS TO CERTIFY that th -�' y at No. 17/ � .4/ the Town of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Reg tions of the Town of South, Windsor, and is hereby approved for occupancy. uilding I Spector ' Builder Fee Paid , Date "' 19 Ir It Oct 1 12 I �• , '' r / d0 f8/.ay' / ayerg Li • rim . ...• G �4{�• ` , , •' �'�• ' •' PROPLICAY ' : OF +r' •• � �� �•' � r: is ; r • • • :�� r + �• ., i� �,s .. 1�UODSrwItD •DRIYL. •,' �30U♦H. I�11r�7 Gr., GO NU . '�'• •' iic ;�'r Lob •;:o. 36 an .rsu�� entitled "i ;�p of 1:000i.rs:v.� i :l•, 13 r al.`�c:r�r �UUiH ��ill.l�G�t, COii��• rnopert;r of Al. •3L0ZU De'veloper VIL►ZA;- IXCIC 1" reruala 50, kpril " - ' •y .y�� f 9��' ' '�;, `-•den L. 'Gri G-old Gl.n,. r . ! 601,1®. 1 equvl8 50 r. I.• .I , • : 1 ' � �,'•�F i ,,`� `•1'.• ..t • 1•' • ','y',. r', t �' � n r�r• � • f f r. �' r �.1 , ♦, t1 �• •wY�rr•J�it�:.wri l r+.fC•:. +•:•�r�.►a:.L'+II+,.�fil.rir.6l►h4`�1r�s��.1N►.iLi� 11�J„ i,d�t�ir►�v.�id'.•wl�.rww tLa�4M�.�rY .1�.1.►r�.rCL+.0� ti1+�SW+�...r..:►.`AAaa►ri.. M 4675 4 ELECTRICAL APPLICATION ApplicationNo. ...4.9.8.6..................................... ......................... on the ......... .............. . ....... ..... side of Street StreetNo. . ... . ....... ... ............ . .. .. ........ Owner dct a.z! Electrician at6 5-05/<5 ED IN OFFICE OF The Building Inspector A) ... ......... . .... ........ 19 .75 INSPECTION. .......................................................................................................................................... .......................................................................................................... .............................. ......................................................................................................................................... .... AwNo Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. .4675 Permit No. . . 406 6 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application taq perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. South Windsor, Conn., ......... !V -42 L.. 19.�!'�§ign her .......... L. .. .... ,,, �. Address . ... Location .......................................... �...?�. ..�ti,-................... ... Side of l....... .4 Jp. .....L..&.�sJ.. .......................I................... Nature of Building 1..J.S.,c a-Q. i.A1. ......... .. ....... .. .. ... . How many stories ........ ..�..v '--....e............................................ ................ New or old Building ........................ ................................... ... ................ How many families ........r..'.. ...- -............................................................. Kind of Installation ...Q.....r._1........................ How many Stores ......................dz� ....�................................................. .... . L..kcOwner Y\..t.�....Vl... ..lc�...s�................ .... .... ..�1...�V.................. Address �.` .� .oc). . R -!..5�.......................... ... Architect ............ ........... . ... Address . ..... .........................................................._.. ........................... Builder40..'n.........:. ......... . .. ........ .. Address ......... . ............. /tea r/�,v Electrician �T.........................................................� . :...L�: -../.'.. L....... ,. Address .... `....I.�...�cl.S.....1.....d�✓....................................................... Size of Main Wires ... ...;P....... .................#_U Vk_.. No. of Light Loops .. .... . ........... . ... ......... No. of Heat Loops ........ No. of Power Loops ......................................... No. of Light Outlets .................... . ........... No. of Heat Outlets .. .......... No. of Power Outlets .. .......... .. .... .. No. of Light Circuits ............ .. ................ No. of Heat Circuits .. .. ... . .... ....... No. of Power Circuits .. ......... No. of Sockets ......... . .. ......... . ... .. . No. of Heat Receptacles .... . .. . No. of Motors ............. .... No. of Panels ..................................................... .. Size of Heat Circuit No. of Power Receptacles No. of Switches ............ .... ............. Total Wattage .............. .. ........ .... . ..... . Size of Power Circuit . Total Horsepower No. of Straight Electric Fixtures ....... ... ....................................... No. of Combination Fixtures ...... .. .... ................ . ........ No. of Receptacles ....................................................................... .. . . ..... No. of Cord Drops ..................................................................... Remarks: For other kind of Installation � ...`i ................... ....k .... -. ...!......1..... ........... .................. .......... ................................ ... ...... .............._.-- .......................... .s s.. - ................................... ... ....... ............ .........................................i "................................. .... . ....................................................................................... ..................................... .. .......... .......... .................................. .. Estimated Cost .................. .......... ....... FINAL INSPECT APPLICATION FOR BUILDING PERMIT Building Plumbi;9�_;;� HVAC 171 WOODLAND DRIVE Date: Sprinkler �00 Electric Estimated Cost $ Zoning 20937 Permit Fee ��. Affidavit NO. Occupancy Fee $ Eng. Dept. Fire D pt. COMPLETE RED BOXED AREAS. Total Fees Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT 6W S 0 �-Z The and rsigned, hereby applies t do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant `? f Tel. # �� Address Zip ,/-Zi,62� Lic.# TR T CITY STATE Owner -sAddress _!�;q'owr Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages Lavatories Size of Lot Dist. from Street Line —Bathrooms—Rooms 1st 2nd 3rd Purpose of Pis ZyPermi City Water 0 Well 11 Septic 0 Sewer 0 Use Group Construction Type Approved by Date j BD1A 11/88 I hereby agree to conform to all th requirem nts of the Laws of th 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 quired distanc s from all other zones and is located in a zone in which this building and its use is allowed. Signe I hereby apply for a Certificate of Occupancy for the work described in 4sapplication for permit. Signed —DO NUT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 93-20937-B 1 , 500 810 FINAL 08/17/94 JFH D NOT DONE B10 FINAL 02/10/95 JFH A Total Est Value 1 ,500 49ect;c# APPLICATION FOR BUILDING PERMIT Plumbing# 171 WOODLAND DRIVE HVAC # Date: �'j Z ) )g No. 26007 Sprinkler# FINAL RO Estimated Cost 11 9 0a-Z) Building/11`rD COMPLETE RED BOXED AREAS Permit Fee # C4 le �i ing TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE 11 Appr.for CO. Total Fee $ TO BUILDM DEPARTMENT,TOWN OF SOUTH W CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location/7/ 41oollt. el /7/7 . Lot No. Side of Street Zone Applicant eR1,41G s Tel.# GyY-�iiG f/ Addr ss l7/ lLeaj26//�,4, D!Z . .S kt/ e-,15 al0 Zip 5�6 o Lic.# Own r eR,4 IG Address /;>i G���o/%f Z�►/ D i?, S �iti Aso/� Architect Address Sq.Ft.New Area: lst FI. 2nd FI. 3rd Fl. Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit: A/r4,r,, 6.•i io��•-ems .���,/ �//�ytf/�%��s� City Water, Well ❑ Septic System ❑ Sewer Ins. H.O. V S.P. Cert. Area Basement Garage Approved by 'Atc We ql'i2lqj Use Group Cautruction Type R.v:.d 1197 I her by 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 whi�Ahis building and its use is all s Signed i �r 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 ------------------------------------------------------------------------------- 99-26007-B 4,000 B10 FINAL 01/12/00 JFF A DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: ( L"[,-5'06 BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE I � !2 ) C )0 .4 -v--?C, $0-$11000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT qo�CA Vn L^ 1 1 To y-N APPLICANT ADDRESS i� L�3►� Y�l�� APPLICANT PHONE# � Q- 6 W N S OWNER J/�P�-?e- q� OWNER ADDRESS S� AA, OWNER PHONE S 14 k" C • ESTIMATED COST$ � IS THIS A CONTRACT COST? 0 Yes G No FEE ENCLOSED$ TYPE OF JOB: OR C 0 New Installation Alteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (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 ENGINEER'S NAME PHONE ❑FACTORY ❑ STORAGE ADDRESS ❑GARAGE ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE I C�CJ A""I P 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. ) I D �- f CT CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT �' C DATE INSPECTOR . DATE TIME LOCATION INSPECTION: CODE: RESULT(D/A) : BUILDING: ELECTRICAL: ���5�' ©k 14 16�38 PLUMBING: _ 1 HVAC: f. OTHER: r r