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HomeMy WebLinkAbout154 Rosemary Lane �i6 i 5�0'T0 THE BUELDING INSPWMR of the APPLICATION FOR PLAN EXAMINATION AND TO" (IF �H WIPWSM COrK BUILDING PERMIT IMPORTANT — Applicant to complete all items in sect' ns: 1, 11, III, IV, and IX. O ZONIN • AT (LOCATION) DIST Q LOCATION (N0.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D �v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T 1 X1 New building Residential Nonresidential 2 ❑ Addition(If residential, enter number 12 One family 18 ❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13 Two or more family - Enter 19❑ Church, other religious number of units— — — — 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory - Enter number 5 ❑ Wrecking (1/multifamily residential, o/units ------- - - 22❑ Service station, repair garage enter number of units in building in 15❑ Garage 23❑ Hospital, institutional Part D, 13) 16❑ Carport 24❑ Office, bank, professional 6❑ Moving (relocation) 25 Public utility 7 ❑ Foundation only 17❑ Other - Speci/y ❑ Y 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile 8 ® Private (individual, corporation, 28❑ Tanks, towers nonprofit institution,etc.) 29❑ Other - Specify 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g.,food processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement,,,,,,,,,,,,,,,, 7 40099 school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical...................... b. Plumbing ...................... c.Heating, air conditioning......... r d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF UILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Masonry(wall bearing) 40 Public or private company 48• Number of stories................ 31 Wood frame 41 ❑ Private(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior s��� 32❑ Structural steel dimensions .................... Jazz; 33❑ Reinf reed concrete H. TYPE OF WATER SUPPLY a Z /,v V 34❑ Other — Specify 42 Public or private company `� Total land area, sq.ft. ........... 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES ... F. PRINCIPAL TYPE OF HEATING FUELI. TYPE OF MECHANICAL 51. Enclosed .................... 35❑ Gas Will there be central air 52. Outdoors....................... 36�Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 XYes 45❑ No A 53. Number f bedr me.............. 38❑ C al �f 39❑ Oth r- Specify Will there be an elevat r? 54. Number f Full.......... 46❑ Yes 47%No batter me / Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To be complet d by all applicants Nam Mailing address — Number, street, city, and State ZIP code Tel. No. 1. Owner or Lessee 2. Contractor 3. Architect or Engineer Th owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Ad4f res__s Application date DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Revi w R wired Check Plan Review Date Plans By y Date Plans B Notes q Fee StartedApproved BUILDING or $ _.30, PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ Vi. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approva I Check Dot Number By Permit or Approval Check Obtned Date ai Number By re Obta Obtained BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building 10858 P rmit numb r Building Permit issu d June 8 19 79 Building Permit Fee $ 558.00 Approved by: TITLE r • ' • • •• • w.ssr.ss.ssss sss aas.... a. s e�........s. sa....s....s.....s ssaas..sa s ss sU a■�sasa_ aas.a sa{tt�.. a.wa.. as `•sa■u /• �•�•a:�:�f.•' :�•i:SE: aaa�:ssr::a:■ �i::fS': �N:�:ief i:`:=:a�N::• i\ :: rw■F•� Sol\t! : 1�•■ .s* Ya*!. ! �� #S # •s MUM aa■ as "ass• ass «mma■b�Sa.s:ae • �■/5.a/ •amass Mr ■H ■ •/ • •• ■ • r. as ■ r SisN�■. •■ \■asr.1HrH a ■M. afa. • 1rM Y ■ • r• ••trk.:iiN • a U•ii 1■s ■RH•:i::N/N■�■Ra Ma111ai1•i�i:aMi :=•�eiis mass ■� a • ' • �i ■ `�aa..i ,s. r�■!! •• :'Ir11�•r�rlra• Basis ss•insMa.�• % r+.iipr :iiii / r• •nio ■ sw • r• iy■••��, •r• ll 'rl:S:i •■•■aar a l Ha ■:\•.. :■t■i ■■H•aN ■ •r••..wrFi H/a■ r�ia• • itr an a � �'s •��■s ■r• sUpgo�iit,Rsaa�i:, •ws:loss•: ���� •oii"r�i:aa•rIts 8: s:a • • •�i:s p N • :an s�'s �i::•s:iariia•:••• a:� ■ : � ••�■ 0 ears • esrsN ■ r ■ • a sa an 0 me sswoa■■ mr aH�aa sago" "aeons a■ ■.a/-ii'i� his • as■�s� a is • • : \ "-�TirrsMAS am!•��.ii N •/ R■ .. ;0r• # • ■aim sa ME: � 'u • s• r•► r�is,-asia0 • a••a•i�irs�: : a• , / a r a • ■ri sa a as Nsu�■ as w•a ..• . a■� • •■I ■ s \. r r rr ems \ • '�•: ,i,,,�°�3i iaa �re : Ni� a•;arQsSa •. • : a= : • ' .air w,sa�:a■s r :aaas:i :"ass •ions � ea n "*% � R •�■� ��iInstu r• .RH ■.aHr• uuY.60 so s. a ■ • e w\�i ■ss• • =i•' aS.-Wirisri�ii:lrwrtr=�riii•=i�.�=rim i Me"m rse i"�"w"'i i= i:':•�a'SL"`' 'i•/Har'�ws9i :/•'!: .ir�•spa" H ' ■ • •_ : :i: i aa■rj .•. s a �aiiaHNo■sas seep�i��i� a-iii - •. s p • NSe M r■N.R ■• .■ aaa ■a a/ ato ••//.. a • as iie..si: :is'91 11i;eassess :_:•/• :u�'rasa p ■H as •* is •��:•:Mans: a/■•ri� ::::$:::i:Z+•s =ra,�•i� aan" a • �j� ■ s• sae ■• aa.■m■.a ■rr\.■Hso• "j: • man 0 : us • . = ii \ . a a:�o�a�:: ses:\•,flags" =s::•�i■•si ••ii---a � • : / • • Malsos :p• .�.:. • raR.:i0 ••mr�' 'Gw.:�:usa•w�is:•Ns:ras ■■ •� H • Mas�s�•�. 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Value $ 9 3.,.000.00 Permit N9 10858 F ` on the side of s Lot #8 Rosemary Lane Street Street No. 154 Owner RSK Contractors, Inc. Applicant RSK Contractors , Inc. CERTIFICATE OF OCCUPANCY ISSUED: Date No. 54nn a t Fee Paid $ 1.nn f CLASSIFICATION Dwelling t f C BUILDING PERMIT NO 10858 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. JUMP S 1979 94!o 'to to Trrtifg, That RSK Gont;rgntnre.TT�?�. is hereby granted permission to Dwe 11 inz it at estimated value of 00 on the side of Lot �08 Rosma= lime Street on land owned by RSK Contractors, Inc, Said Work to be as described in Application No. 11158 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued June 8 1979 )-���Z--,Bwilding 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." 61�/7q 7F,4.' 6y4,p--,Fv/ . INSPECTION EP ORT Permit # AF" ,Job c- 1 Footingz---I /-17 M�Fs 2 Foundation 3 Framing Z., 7 -2 i�� 4 Wiring 5 Plumbing --. — 7 6 Heating 7 Lathing - 8 C.O. X) Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit x-� 5400 Certificate of Occupancy _ T C IFY that th 1`� z at No in the To of South Windsor, Connecticut, has ; been erected and completed n accordance with the Building Code and Zonin Regulations of the Town of South Windsor, and is hereby approved for occupan ».-.- 401f WIPE oft-.0,0 c44�;�Ittilding Insp ctor _QWher, Builder s a Fee Pad Date 19 6838 ELECTRICAL APPLICATION Application No. 7 843 on the sick of Lot #8 R n s P n ry T.a rt P Strwt Street No. _ 194 Owner R�K QnUt-rac fors Electrician Petersen Electric FILED IN OFFICE OF The Building Inspector July 16 19 79 INSPECTION. s No 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. WORM. C� Permit No. . .....63 3.8................ TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. ............... hereby make application tq perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building -Laws, shall be complied with whether specified herein or not. South Windsor, Conn., 19 Sign here '`^'.: ...I..... . ........ ..,.� �� A s Address of,,� �?! .... ........ ......... .... .. .............. . .6.4..tZ.� Side of ... . ... ..Location ............... �!.�t..'�.. !��..�*�F .. ..... � .............. .... ............................................................................ Nature of Building .....X* 6 :)Ac u 1-040 ... How many stories ............................/............................................................... New or old Building How many families ............................................................................................... Kind of Installation ....... / �..k........ How many Stores ...................................................................................................... Owner ..�.\.?.. .................... .. ........ . ............................. __...... ...... Address . .............. ...................................................._.._._......._._............__...... Architect .......... .......... .. .. .. ..... .. Address .........................................................................._....__....._....._....... Builder Address _._......_........... ElectricianP-E, . .��. ..l .. ...u�.'�.... Address ... .... ....................................................................._........._......._...._.__. Size of Main Wires ... -t..... . ... ......RLOff' No. of Light Loops .. ....... ..1..... .. ..... No. of Heat Loops .......... No. of Power Loops .................... No. of Light Outlets ..... ... .... . ........ No. of Heat Outlets .... No. of Power Outlets ................................. NoP 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 ...........67-0.......... 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�f`` Installation .. . /.......... .........iy..................... .................(... . .r........................... ..... ............ ........ ........................ ................... 00 ......................................................................NPR..... ..r�.�. ,� WC:.i�/..... ........... L.. .. .yn ..+71�Mc.............d..wc...iY�:.............,M.'.x. .'71c�f...........i.... ............................................ ........................................................................................................... ._......................................................................................................... .................................. ... ................................................................................................... ..................................................... .......................................................... ......... ..... .. ...... ............. .. Estimated Cost / 5416 PLUMBING APPUCATION q— . . No. 6199 on the ...... UTI�- side of _............... A 5-42 r,n E u L iad" e, .q- Street Igo. ...... -- L',T P- Owner ----._--.��- C��*-cTa�2 � Plumberv1�,d•— �a-LS � Filed in Office of The Build'mg isspecoor July 10 19-29 No person shall ooustnact, add to cr alder my pordon of the drainage symm of any brning (emzpt to repair lea6) until a Plensk is Smaed by the Building Lapecow. U9 . ................. .................. . .Application . ... . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. .. ...............I.......hereby make application to perform plumbing according to detailed description below. All provis ronss of the Rules for Sanitation, By-Law3, Sections 33 to 47 inclusive, shall be complied with whether specified herein or not. .................. South Windsor, ...................................... 1912-1... Sign here....................... .. ...... Address 10.2....... ....4........ Location ....................... . ... ......................................................... side of ......... ...................... Street . .... ...... .. Nature of Building . .. .... ........................ How many stones .............................................. ......................... . .. ......... Owner ......... ....... .................................... ........ Address ..V!a... . ......4................................ Architect ..................... ............ ...................................................................... Address ....................................................................................................................... Budder ........... . . .......... ... ...... .................................................................. Address ................................................................................................................... Plumber . ....... .. 4- 0................. Address........C2!r 4 ............................................................................. DRAINAGE CESSPOOLS, How many ... .... ............... ...................... .... ............ Where located ..................................................................................................... Arethey water tight .. ...... ........................................................................ Of what materials are they built ....................................................... Sizeof pipe from house to cesspool ............................................. Kind of pipe ................. ..................................................................................... MAINDRAIN IN CELLAR, Material ...jC-!....c(i.............. Diameter ........4..re................................................................................................ Above or below cellar bottom ................................................................... SOILPIPES, Material . .. ........C..........1..................................... Diameter ...... ....................................................................................... WASTE PIPES, Material .......#�.. ..... .......... ............ Diameter .....5....n...)... �.i.................................................................. TRAPS,Type proposed to use is ............... ..............0. ... .. ......................................................................................................................................... RAIN WATER LEADERS, where do they run to . ....- .... ..................................................................................................................... REFRIGERATORWASTES, where do they run to .. ........................................................................................................ ............................... TANKOVERFLOWS, where do they run to .. . ........................................................................................................................... FIXTURES WATERCLOSETS, How many ...............�3............................ Where located ... .................................................................................. Distance from trap to vertical soil pipe ......................................... Pattern .. .. ..... ............ ................................................................... WASHTRAYS, How many ..... ...................................................... Where located . .. ....................................................................................... SINKS, How many ....................... ...................4........................................ Where located ............................. BUTLER'S SINKS, How many ........................................................ Where located, REFRIGERATORSINKS, How many...................................... Where located .................................................................................................. LAVATORIES,How many ..............................V..................I............. Where located ..................................................................................................... BATHTUBS,How many...............................13.................................. Where located ..................................................................................................... URINALS, How many ........................................0................................... Where located ..................................................................................................... Are water closets and urinals to be local vented .. .. ....... .. If not,is there a window in outer wall of room where same are to be located ........... zA/"3 Estimated Cost t.....Y.46.....S. ............................. PERMIT # Application For 6105 5004 DEPARTMENT DECISION Heatmg Permit 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR /7 n n 00 DATE 7 CALRI&IhSPECT R APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W O en C "� 1. LOCATION OF JOB Cd O NO. STREET � D PCd .� LOT NO. FLOOR APT. NO. O 0 � v prz2. OWNER O Cc 0 S. ADDRESS q, �be 4.PHONE w � � S. APPUCANT a. ADDRESS -/ $4 - G• T.PHONEZ D �I w S. LICENSE NO. C- 2-- a q S. EXPIRATION DATE OF LICENSE v C7' C, .� 10. ESTIMATED COST � •o 11. IS THIS A CONTRACT COST? 0 YES ❑ NO b4 Permit 10858 12. FEE ENCLOSED S d v ai 13. TYPE OF BUILDING: CrA b RESIDENTIAL ❑ COMMERCIAL 3 14. TYPE OF JOB: ❑ INDUSTRIAL RIGINAL ~ )5--INSTALLAT1 N ❑ ADDITIONON REPAIR APPLICATION FOR HEATING PERMIT (C ntinu d tr m R v ne Side) 11. LOCATION OF JOB NO. STREET f FLOOR AFT.NO. 12. TYPE OF INSTALLATION: ® OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER 0 GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE --► LOCATION SIZE of SIZE , �L 13. OF TANK c i.5 d OF TANK OF FILL CA OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NOgt&d 1605115B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS_FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING =2 Xw" I SULATED - YES OR NO TYPE OF WALL INSULATION atl ROOF OR CEILING INSULATION �1 AVG. SYSTEM WA ER TEMP. / ea B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE kc) °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTP T PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. DESCRIPTION OF WORK 1S. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS); RO M SIZE WINDOWS AREA - SQUARE FEET S.T.U. S.T.U. o DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL NO. FT ROOM GROSS GLASS NET WALL CEILING FLOOR CU. . AT 70•F CORRECTED t j RAO. REGISTER L W N AND TEMP. TO TYPE AND SIZE OR LEADER ' t SIZE Z WALL c0 (INFILT.) DIFF. •F m uai SC' FT' FREE AREA f 1Q ed� to ,ro park Pify l 3 frUv • 1�u,1b o i� M Y3elV k i org- o S l ov �vu WV 13 OV 3 e ! I Z 3 -a49N Y ` Fo L Gl z v «� 2t" y t Im PINJ/1v6 /L 1 S �U oL f'o rU ?dD I /4 d ?t6w 2U7J , I TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING, OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 117. ELECTRICAL WORK BY; NAME ADDRESS SUBCONTRACTORS AND 1e. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE(OWNER) OR (AGENT) OF THIS PROPERTY AND WILL SE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. DATE SIGNATURE OF APPLICANT PERMIT # Application For DEPARTMENT DECISION W Heating Permit O 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N ;' ❑ APPROVED ❑ DISAPPROVED TOWN OF SOUTH WINDSOR O cd 00 O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O t» � C 1. LOCATION OF JOB x+ o4-3 1.4 - cd O NO. STREET � O 6 .� LOT NO. FLOOR APT. NO. O N O p 2. OWNER Cd O s. ADDRESS bo 3 E (v > 4.PHONE a� IS S. APPLICANT 6. ADDRESS 45 w 7.PHONE S. LICENSE NO. 0. 4S C w 9. EXPIRATION DATE OF LICENSE 10. ESTIMATED COSTaq : � •o 11. IS THIS A CONTRACT COST? ❑ YES ❑ NO be y 12. FEE ENCLOSED s a� � v 13. TYPE OF BUILDING:. b ❑ RESIDENTIAL ❑ COMMERCIAL O � C 3 14. TYPE OF JOB: ❑ INDUSTRIAL .-i RIGINAL ❑ INSTALLATION ElADDITIIONON REPAIR APPLICATION FOR HEATING PERMIT (C ntinued it m Revene Side) 11. LOCATION OF JOB N0. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE M E AND N0. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS). R OM SIZE WINDOWS AREA - SQUARE FEET e.T.U. Ill.T.U. DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL r ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED -J j RAD. REGISTER L W N AND TEMP. TO f TYPE AND SIZE OR LEADER SIZE WALL f'�tC (INFILT.) OIFF. •F O m SQ. FT. FREE AREA vF7,Ir� '1 I S' ? 3dz) vav gIli i 20 1f , 3 7 )3 Yl7 ov g907� 16 r n g12 L 13 l ff v 16fy Pita TOTALS 9� A. HEAT LOSS FROM BUILDING rf B.T.U./HR. B. DOMESTIC HOT WATER DEMAND l S-6r" B.T.U./HR. C. PIPING. OTHER THAN NORMAL 2-570 U d B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: dtd NAME ADDRESS SUBCONTRACTORS AND 1e. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. � SJ� DATE NATURE OF APPLICANT Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 154 ROSEMARY LANE Date: IZ/I/9i HVAC # No. 23908 Sprinkler# FINA?L1 PRO Estimated Cost $ �iUyc) Building4 COMPLETE RED BOXED AREAS PermitFee $ `36 Enginee V TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. A Total Fee $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ Th and rsign d hereby applies to do work according to the following specifications: Jo6 Location �� I` 1)e-MG f- L(A^R.- lot No. Side of Street Zone Applicant bZ.x n y Tel. # S.Z- t/66 o Address Z H �.�n�G�c 51 1=4s t �14��-F9 rc� Zip O Lic.# Owner /✓l4-i l yr+ /`'jf`e)Z Address Architect Address Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area #Rooms # lavatories #Bathrooms #Garages Purpose of this permit: RCrz J Xis f A;)e f City Water Well Septic System D Sewer Use Group Construction Type Area / Basement Garage Approved by Date Reveed 6/95 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 a zone in which this building and its use is allowed. Signed D-9-A- /—V;I— 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