Loading...
HomeMy WebLinkAbout1164 Pleasant Valley Road (2) s 5833 5563 Application No. . Permit No. . 1. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. 7. . . hereby make application for a permit to (erect ( tion-te) 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., . ..... .8.................... 19-6, Sign here ... ......... .......A.. ................. 00, Address . . .. .:... ..... ••;�� Location? ., ................................... ...1...����...................side of? .................................................................................. Nearestcross street? ....... .... ..........................................Street No. ............................................... Lot No. .............................. . �/ .. ....,.� .... Owner of land is?,�.. �..,�. .. ..... ...................................Address .. . ......... ........... ..... ....... ...... Ownerof building is? ... ............................................................Address ..........................................�....................................................... chitect is? ............. ......................Address f ..�.../ -... ... . 1 ..AddressS %.��.� Builder is? ......�....�..-�. ... ......... .............. ... s ? X ..... . ' ,�...... Feet rear? ....y ........ Feet deep. .... ? o ensions of building? .. �'.. ��..o.Feet front. � � Extreme height to highest point of roof? ................./..z.. No. of stories in height?'4 ..... CPurpose of building is? t .�L . ......................................No. of stores? ......................... ....................................................................... Howmany families? ........................ .......__._............_..................No. of rooms? .... .................. ........................................................................ Distance from street line is? ... .... . 6...1G...............................from building line is? ....... �..�U.... ........................... ................. ADDITIONS AND ALTERATIONS (Gve Brief Description) . .... ......... .. . ................................................................... ........................ . ............................................................ .......................... ......................................................................................................................... ........................................................... .� �;..... .r rti q.r,,,.. in.. .. 5"..... ......... y .. ... ENDOR52D BY SANITAV �.�F'IrKHR WITH TOWN OF Map No. . SOR ORDINANCE NO. 6 'n Al SANITARY OFFICER 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? . ............ .................................. Roofconstruction 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 Walla Side Walls Bear Walls Partition Walls Basement, ............................................................................................................................................­.......................................................................................................................................... ....... 1st Story ........................................................................................................................................................... ............................................................................................... .................................. ....... ..... 2nd " ..................................................................................................... ............................................................................ ........... .......................... ..................... .................................... ............. 3rd " ............................................................................................................r............................................... ............................................................................................................................. ....... ....... 4th 149 ............................... . ................................................................. ............................................ I................................................................................................ .............. ......... .......... ......... 5th 11 ................................... ............ ..................................................................................................................................... ............................................... ................................................... 6th 'd ........................I............................................................................................................................. ....................................................................................................................................................... 7th d' ....................... .................................................... ................ ............. ............................ ............................ .. ............................................................. ................................................... 8th '4 .................................................................................. ............................................... .................................. ................. ..........I...... ... ................... .................................I................... 9th ed .. ........................................................10th.......................... .. .............. ... ... ........ . .. ............ .. .. .... ....... .................... . .......................................... ............................ Material.of Front? . ..... ....If stone, what kind? . Thickness of Ashlar? ....Thickness of Backing? Backed up with what? Arches or lintels over openings? %k 11, r x s§S� �;-',, � "�}.,�.• `� ,atf m;i N t .�,' .*e;S'' a, is � `;r o�.'4 •a".°s's';„�%`���e ..,�.n'' ..�,;�',"_'r,'',;"t'""tMzS ,a�,his- r� "�.. ,-,.i tea;, - F r:$' '„�+• '�, '� > •,�,...,k x"" .A, +q,,,ys,P�g-, ,,iM.s�,,r r�RS t, ,at "+' Y't3;,'.4�.f :,§•+„ ''"e ,a � y`t .,,3 , ,x"P�':; :�}�'-,.- ,�.s A�,y:,y "',,r'r�`: �; �"��,.F °o;, ;�; �� �.�+ :�, �'��' �!*,.,:++.,N, :•'a,'a�,;t,',t��:,�,�'- "`v�<%Y, ,`,d. �, 'a��f`�r.., ry ,.yr `��"...n,�rp ,��v,' - (�°�.zP� - �x�� y '�" - V�' '�, §r � r'ti. fie,., ,'.t'f., •i.a1i�,e,t Gr-, .-'�,'' p�'Cr � ,�o,��' 3..,: .� - �r< r -t ? n6 q l�.i�, :3*: `,'a,�"� �44��-- •y. P �' �tk^, �,.. �,��a rye �y°�i ra s'n[;fry �. .?:�';3'�i'9;,1[+',�u�.� f,t+,at r.'f,:',,_ g� �.:�,,,, ,� r.,,; a. .f,`,g; .�, ri;, `-io.�k",,;r�, .� - ,3:."' �� � .,�. a � �- n'�,;.�v.�rr.3" - •.riF"` ::r"' '�,„`�-„ ;..f -,T: �'��`Y 7�'x µ e e�t,, .,.L"`r�._ .9,a ��a�.°p`' �, t, �'� 2�c �t at`� �§,' :si�,.,,,>.t�-'� ??k�,i_ „irk,•< y, 't�, af,r §'c. fia;'+�',�:sz Ma x ,.�<< 14- �-y# �` r, ,�,",;' s4. ,"t� ^t t;,' �,..,c:. �'%�-,,: ',s• :z'ia. ,�i= �y?� x,f. §. ;raj;` e;•,r`' i a. "zY�. `9 1�a'a;, }.• .9.'.'c. 4 r"r. y ivy ,}, '�a,hM" ++v ,., n*�- 4. .,�e• � ���'� �+ d•,'n?� .y4'd(fiat,,4gY, ',aSJ y., ar4,=� �, '�`6tr ,t:f'., `�`% G' ^,�Y�, - -tn • ';.+ ' N ,.,p�,ii:ef '�" i"""a..'ran',f,.�.�'�� c" #rr:,, :.r3•, Ft uv'a `.,v^ fNx dr^"4 �e ,'+'r"',�✓a''•,�..r s,"i ap` >n °SO . L"16"ow 0"" gd#$W lose LONPA amok" ft* X011004�,2nd dos ••' M .. ....w.......«...»........».».... .w.....r.».. w. �.r. w w.r ..........« ............. w.. »....».....««w ....r.....w... ..«...«.».«.«.. .i..............� N Sin of outsiaestuds? ...«., '.y.................. Diatom an oe�tr�ar? ..«..�.t�..yc..��'........... Size of sew ......;�...«.�Xr......«....». Sin of rafters? .k i.at,... , ... Diasoce oo antra?........... Ste of place? . .------«»...»....._....»»..»........._.... Size of leddgen ac t=? ..................................................................«............Sin of deck ratftus? ......................«.................... ......«..»...».». 1p Distance on ceauaI ............................._..........................................»».....»_.Size of studs in bearing partitions? .......... ......................... MISCELLANEOUS Style of roof, gat,pitch,Mansard,or hipped? ... Fireplues? ..., -c................................. Material of roof covering? Material of Cornice? ....,, -!` r; .......«...«................................. How is building heated? ...A....�►..................................................Lining of Rues? ............. ......... ........................................................... Thickness of shell of Rues? ..................�.................................................Any elevators or lifts? ............................................................ ...................... Whatkind? ............ How many? ........................... Any hoistways?......................................... ............................ .......................................................... How protected? ................. .......................................................... .................Total Value of Building ......./1�..G. ......I........................ Whenwill work be commenced? ............ . . . .......................................................................................................I................ 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. Applicant 5563 BUILDING APPLICATION ApplicationNo. ...........5833................................................................. on the ......N--ar-th..................................................... Side of ....... .......Pleasant Valley.....Rd. Street. ...... .... ...... .... ... ...... ........ StreetNo, . ........... ... .... .... ............. ... Francis P. Smith Owner ....... ... ... .... .......... .... ........................... .............. Clifford W. Slicer Applicant ................. CLASSIFICATION Dwelling 48.14."x27.1................... ................... .. .............. . ......... . . . .......... .. .. .......... ...... . ................ .. ............. ... .................................. Permit issued on above Application. Date, -3--2-n6.6 ......... 19...... .. TOWN OF SOUTH WINDSOR BUILDING PERbffr Date Mar eh 2 9 ig 6 6 =y Y Fee Paid s. . .$4.00 Est. Value $- 16 000 Rectd. Septic Payment $20.00 Permit N° 550 on the North side of Pleasant Valley Rd. Sty Street No. Owner Francis P. Smith Applicant Clifford W. Slicer CERTIFICATE OF OCCUPANCY ISSUED: Date No. 3 278 Fee Paid $ 3 .00 CLASSIFICATION Dwelling 48'4" x 271 BUILDING PERMIT M 5563 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. March 2 19 66 94is to to Terttfy, That Clifford W. Slicer is hereby granted permission to Dwelling U 811 11 x 271 at estimated value of $ 16.9 0 0 0 on the north side of Pleasant Valley Rd. Street on land owned by Francis P. Smith Said work to be as described in Application No. 5833 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued March 2, _ ,19 66 4 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." I I _ I Permit No. .`� =_-! c� TOWN OF SOUTH WINDSOR I SOUTH WINDSOR, CONN. I ' I. � Permit NQ 3278 I l� I Certificate of Occupancy THIS IS O CERTIFY that the '�- I at No ',' in the own of South Windsor, Connecticut, has been erected and completed in ac46rdance with the Building Code and Zoning Regula4ons of I the Town of South Windsor, and is hereby approved for occu ancy.e. Building Inspector i' r. Owner,.= i der Fee Paid Date . 19 C� l - 1 i 3848 ELECTRICAL APPLICATION 4149 ApplicationNo. .......... .. ....................................... ........................... on the ...... North side of Plea.s.ant. Va.11e.y...R.d... . Street Street No. ...... .... ..... .. . . .. ........ Owner Clifford. W..Sl.ice.r... Electrician R.Kr.eppio. FILED IN OFFICE OF The Building Inspector 4-.4—.6 6. iv INSPr=10N. ....................................................................................................................... .... ...... .................................................................... ............................................................ ............................................................................................................................ VrNo 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. WORII. No. .. ... 4.149......... Permit No. 3 84 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 By-Laws, shall be complied with whether specified herein or not. F South Windsor, Conn., 19a Sign here A .. � .. .............. ..... Address '� ' "..0 f Location .�t. j Side of ....... ... ... ....... ...................... ............... ...... ................. ............ Nature of Building ..... How many stories ..... . ........ .... ........ ............................. ................. New or old Building ..........., How many families .. ....................... ............................................................ Kind of Installation .. . �.:ram.:.. ...� ".. '' How many Stores ....................... Owner � AV ~�........ .............. . .... Address � :. �... :.. �� Address Architect ......... ... . . . . .. . .. .. .... ..................................... . Builder .... . Address .... . ... ......... . ............................................. Electrician �.... - / Address .fir.n � ' .:;.�. .........Z..`...:. ':.::..... Size of Main Wires .. ............................................... 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 ......... ... ..... .3.. No. of Cord Drops ....... .... ....... Remarks: For other kind of Installation . .......... . .. " Z .... .... ...... . .......................................I............,, . . .... ... . ":../�.................................... ........................................... ...... ...... ...... .. .... . ...................................... ... . ............ ... ...... Estimated Cost .... . ... . ELECTRICAL APPLICATION ApplicationNo. ................ ................................... ........................... on the .. .. ....Al a:.✓ f side of P1e..4 4 -7- d .�ah' . ...1/ Street Street No. ..... .. .. .. .. ......... Owner C/;-Jc Electrician t4rllzlv�_ A dd'`� FILED IN OFFICE OF The Building Inspector . ..... 19 INSPFkVION. ................................................................................................... ................ .... . ...... ................................................................................................................................... ................................................................................................................................. ... 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. �Z,,; APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. VVV Permit No. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR., CONN. is-" ... hereby make application tQ perform Electr cal Work according to detailed description below. All i prov s"ions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. // South Windsor, Conn., .. .. ../�`C Prl C 191P Sign here Address .. ... 1�4�1 ..`�^ .............................. ...... ....... Location AlQ..... h... .... Side of ..... . .. ............ .. .r... ...1( r. ... ......� .. .. . Nature of Building ......G.Cl.A;1 .. �"�..�±.YYt a c How many stories . ....... ..... ..................................................... ................. New or @I&Building ......lY.t..w. ... . . ............. How many families .. ...... .. ... ........................................................................ Kind of Installation .. 1..✓.....+�.� .. . . .. .4.y�''`. ..��.,r.��many Stores ....................... ............................................... ........................ �,1 tl�.G e Address lr Owner . ... .................................................I.......... ArchitectAddress . . .. .. . .. . . .......................................... ................................ Builder ... " Address Electrician /r„ 6✓� A . Address �d . +, . ...... .......................... .................................... Size of Main Wires . . . ................................................ 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 .. ......... .. . ..... ......... . .............. .. ........................................................... ..... ... ......... .. .. .... .. . ...... .. .......... ...... .. ........... ... .... . . .. .. ......... ... ............................................. ... ......................... ....... . . .. .. . ................................. .... ..................... ........ ..... ..... .................................................................. ....... ...'. ................ ........ .. .... .... . ... ........ . .. . Estimated Cost .... . ......... .�. 3384 PLUMBING APPLICATION 3173 Applicadm,No. on the_._.A10 �h - ade of vd Ile Strut Na. . . i eon Plumber v ra w.Slicer Owner .......__.... Pltmaber .... d j Filed in Office of The Bing�mpectioc 3-29-66 II118Pm0i'��. i' i i No person shall 000atsoc-, add to or altrr mw portion of the drainaw system of my baif g (ezoept to repair 1ea6) umg a Pe®it s pond by the Building Lmpoctor. r7 1 • 8 Application No. 3173.................. Permit No. . 3 3 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR. CONN. �..�... . ..hereby make application to perform plumbing according to detailed description below. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether specified herein or not. South Windsor .-c ................................................................... r � ..................... ..............�.. ........... ....... 19 ��..��.. Sign here ..... .. .. .. .... „........... Address ..... ef Location . .....171el ............................................................................. side of ......,...��t.. ....s.... ...�. � ,1... r '.-...... Street Nature of Buildin 1- oa .. /�l'�! �........................ ... How many stories .. .... ............................................................... �� �� .. Address �, ' Owner ............��... ...............�,f'.. ............................................................ ......<<.,�....��,�`�............. ......................................................... Architect Address v ................ ................... Builder .. .�... a .......... ..................................................... Address -- .... .. ...........� ... . .................. Plumber ./u T . Address . c '�'..... ....................................... DRAINAGE CESSPOOLS, How many ................................................. .................. Where located .................................................................................................... Are they water tight ........................ .................................. .. Of what materials are they built ................ ........ ..................... Size of pipe from house to cesspool ......`�..`....... .. ....... .... Kind of pipe ... ;- y`.-......... ....................................... MAIN DRAIN IN CELLAR, Material �' `!yf Wit-... Diameter ...... ................. . ............................................... ........................ Aboveor below cellar bottom .. ..A!�ele.`................. ........ .... . . ................................................................................................................. �'a lei „ , I r Diameter 7 r SOIL PIPES, Material .. . ....................................................................................................... WASTE PIPES, Material ......... Diameter TRAPS,Type proposed to use is .... . .. ........... . ......... .......................................................................................................I................. RAIN WATER LEADERS, where do they run to ....' ............................................ ........................................ REFRIGERATOR WASTES, where do they run to ... ................................................... ............. ....... ............................ TANK OVERFLOWS, where do they run to .. . ............... ................................................................................................ FIXTURES WATER CLOSETS, How many ....... .. .................. ....... Where located S �� /. . ........................................ Distance from trap to vertical soil pipe ........ ....... ............ Pattern P WASH TRAYS, How many .. /yam('......�.��d. s Where located ��° SINKS, How many ........ J.-... ................................................................. Where located .1.................. .... .......................................... ... BUTLER'S SINKS, How many ...... �'y!. '."..................... Where located. . .......... ..... ........................................... ......... REFRIGERATOR SINKS, How many . /�l�.n.. Where located ........ .. . .......................... .............................................. LAVATORIES, How many ..........�................................................. Where located ...�s���.Y............. ............ ............ BATH TUBS, How many ............j........................................................ Where located .....11 fir, .. ............................................................................ ............ URINALS, How many . ....... 1c -- �..... . ... Where located ....... Are water closets and urinals to be local vented /��' If not, is there a window in outer wall ofroom where same are to be located . . >l�� ...... ..................................................................................... ............ ...... Estimated Cost .. .......fdr.- do................................ PERMIT # 14 Application For 3192 Cd DEPARTMENT DECISION 3414 CA Heatmg Permit ° APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS tq +' APPROVED DISAPPROVED �? y TOWN OF SOUTH WINDSOR o p, 3-29-66 01` 00 O DATE CHIEF INSPEOM APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER HE 8E1. w O C 1. LOCATION OF JOB 4 � a�, Cd A NO. STREET �, O Cd v LOT NO. FLOOR APT. NO. O lV ° 2. OWNER S/1,r'qe- Clifford W.Slicer a � cd 0 0 3. ADDRESS d bo y 4.PHONE Cd f U�1 S. APPLICANT AW r Vf/e .0 �O e. ADDRESS � G� •�3E 7.PHONE w � S. LICENSE NO. 4-39. EXPIRATION DATE OF LICENSE O c io. ESTIMATED COST s Q yv W �/ 0 11. IS THIS A CONTRACT COST? 19 YES ❑ NO Io " Permit #5563 12. FEE ENCLOSED S ai 13. TYPE OF BUILDING: � ^J w W IGd' RESIDENTIAL ❑ COMMERCIAL bo -4-' O 14. TYPE' OF JOB: INDUSTRIAL LJ INSTALLATION ❑ ADDETIONON REPAIR •v APPLICATION FOR HEATING PERMIT (C ntinued fr m Reverse Side) 4� 11. LOCATION OF JOB 'p P NO. STREET FL OR APT.NO. 12. TYPE OF INSTALLATION: LJ OIL BURNER 2 HEATING SYSTEM ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE LOCATION a r f/ SIZE SIZE 'X 13. OF TANK '.S OF TANK L.P; ✓, OF FILL -� OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE _ BOILER OR FURNACE MAKE AND NO./7-3-//n SA.T.U. OR SQ. FT. NET `GT B.T.U. OR SQ. FT. GROSSr�i�IRING RATE FLOORS TO BE HEATED NEW OR " BUILDING —INSULATED - YES OR f"r )eaZ:> TYPE OF WALL INSULATION 2- " _W4 OR CEILING if INSULATION AVG. SYSTEM WATER TEMP. 1�6 B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE c-6'U °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. .n--J S- � 13 J'✓ E'i �o.� r DESCRIPTION OF WORK� �/ �� �/ �/✓ �,�� /� / ��l�� 15. TO BE DONE; �i 16. HEAT L SCHEDULE. (TO BE INCLUDED FOR ALL JOBS); ROOM SIZE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U. `� DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL y LL ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED -J j IL REGISTER F TYPE AND SIZE RAD. OR LEADER ixt� (INFILT.) O F SIZE ` WALL FpL DIFF. �� F m N O SQ. FT. FREE AREA ®v !o zcAp.> P / ear 10 l'a '�' o�v �i� 1 �s� gci.> y flay �• �' ara Jca *'uc� 3�u 11u'c7 /'a�.� �--• J- ov aQ-v /G? F�no it !�6 !/ i� p�-�� �j 3eo TOTALS Ef��/ d-� - / Wiz;, A. HEAT LOSS FROM BUILDING Z/ B.T.U./HR. B. DOMESTIC HOT WATER DEMAND J� a<r�►-,�- B.T.U./HR. C. PIPING, OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B lC) FACTOR 17. ELECTRICAL WORK BY: �111-__ ry Br �d NAME ADDRESS SUBCONTRACTORS AND 18. 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. DATE SIGNATURE OF APPLICANT 2013 =,i6�y 1100, OIL BURNER OR FUEL STORAGE APPLICATION Application No. 2024 Permit No. 2013 on the 1410 i-/h side of lle d .7, Street Street No. Owner Application CLASSIFICATION -----American Std. DH5 Permit Issued on Above Application 3-30-66 Date 19 Fee Paid $ Permit #5563 TOWN OF SOUTH WINDSOR APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS EQUIPMENT AND TANKS PERMIT N 2013 DATE ✓ � IVAle The undersigned hereby applies for a permit for the installation of range and fuel oil burners, equipment and tanks of the fo r n Address tit floor 2nd floor 3rd floor Character of Building: Frame_ Brick alf Owner of Burner 7�r !`���' Owner of Building Lessee or Tenant_ RANGE BURNERS Capacity of Tank at Range in cellar outside Name of Range Burner _— — Purchased from POWER BURNERS Name of Fuel Oil Burner Ai P �,6 Nh dy--d Model Number_'K�5 Purchased from 'P 'r t ae Name of Tank Ala 5s��� s e d Gauge of Tank ®a Where is Tank Located C e ��� 1= Size of Tank 1 2 Size of Motor b Aa' Size of Wire _ l Will other heating equipment be installed? If so, by whom t I/ l Jv✓r e 1 _ Name of Party Making Installation /C d V u Ile I— P Address— Electrician e o n _ � l _ alp 01 Address w Signed APPLICANT All provisions of Ordinances of this Town Regulating Oil Burner Equipment and Fuel Storage (Sections 1-23 in- clusive) and Underwriters' Code applicable to the subject matter of same shall be complied with in execution of thiF work whether specified herein, or not. -26-66 Estimated Cost $_ `7�� FApplication for Permit received 3 and o. 20�3 issued_ 3—3 0-66 Permit #5563 Permit Fee Paid ______________—___.___ Approved BUILDING INSPECTOR 7386 r ? r ELECTRICAL APPLICATION Application No. R 400 i on the side of Pleasant Valley Road Street Street No. _ 1164 Owner Frank Coz ehalI Electrician Frank Coggshall FILED IN OFFICE OF The Building Inspector Anril 13 19 81 INSPECTION. i i m 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. 6}� APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. .. 8400 .. . . ................... ...... Permit No. . .1386. ............ 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 By-Laws, shall be complied with whether specified herein or not. South Windsor, Conn., ! 193/Sign here �� � �. Address �.,! ...... .:.... ..._. ....._.... Location Side of .. . �!'� L i�l'.�r... How man stories Nature of Building ..... . ..-. . .. � ....... y .. ....... ............... ..... ..................................... ................. - c old Building How many families ................................................................. .................... Kind of Installation . .. . How many Stores .................................................................................................. Owner ....S-� . ....... �. ....... _......... Address ........ .......... . ....... ................................__.._..........._.._......_....._...... ArchitectAddress . . .. . .... ........... .....................................................r...__....._....._._.... BuilderAddress .. .... r. .. ... ......... ............. . ............................_......... Electrician .......... .. .... ..... . ...... . ......... . Address . ... ... .........................................................._................... _...._._... Size of Main Wires . ......,Z...... ..._ No. of Light Loops .. .. ...... No. of Heat Loops .. No. of Power Loops ......................... No. of Light Outlets . ......... No. of Heat Outlets .... No. of Power Outlets ................. ............. NoO 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 .. . ................. ✓..'Ce ......... �............ ............. .......... ......� ...............................���........�...��.7 _.... ..........��...��..���.��-�-..........Y.�...����- ............................................................................... .......................... ................................ .. _... ........................................................................ ........... .. ..... . .................................................................................... ...... ..... .. .............................................................................. .. . ..... ............... ..... ..... ............ .. Estimated Costc.. "'. ... ..... ......... . .. b TO THE BUILDING INSPEMR of the APPLICATION FOR PLAN EXAMINATION AND �� WI1rD50R, - BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O ��// �y� ZONING I• AT (LOCAT ION)//40; "s;ovwr V,QL E LS/ lRD/AD_,I�ew Wee-ps DISTRICT LOCATION IN0.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m T 1 ❑ New building Residential Nonresidential 2 ❑ Addition(If residential, enter number 12;g:One family 18 ❑ Amusement, recreational of new housing units added, if any, 13 ❑ Two or more family — Enter 19❑ Church, other religious in Part D, 13) 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 (If multifamily residential, of units ——————— — i ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23❑ Hospital, institutional Part D, 13) 16❑ Carport 24 0 Office, bank, professional 6 ❑ Moving (relocation) 17 Other — Specify 25❑ Public utility 7 ❑ Foundation only 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,.,,,••,,....... • O D 0-OD 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......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ Oa III. SELECTED CHARACTERISTICS OF BUILDING — 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 32❑ Structural steel dimensions .................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Specify 42❑ Public or private company 50. Total land area, sq. ft. ........... 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ...................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35❑ Gas Will there be central air 52. Outdoors....................... %❑ Oil conditi ning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ No 53. Number of b dro ms.............. 38❑ Coa 1 39❑ Other— Specify Will th re be an elevator? 54. Number of Full.......... 46❑ Yes 47❑ No bathr ms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To b c mpl t d by all applicants Nam Mailing address — Number, sheet, city, and State ZIP cod Tel. No. fl/lr C S�/At c //G Owner or V'Pi.,CAs ,t/ LSE �(�. So• /A/DSO Gyy� 08' Lessee 2. 5,-V-f1t Contractor 3. Architect or Engineer Th owner of this building and the undersigned agree to_conform to all applicable laws of this jurisdiction. Signature of applicant Address Applicati n date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans B Notes q Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check obtained Date Number By Permit or Approval Check ObtDa ned ate Number By 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 Permit number 12316 Building P rmit issu d July 21 19 8_ Building Permit Fee $ 6_on Approv d by: .tom //T LE • ■ iiw w ww saw ww waw aw. wwwwwawwwwa ww. Mawwlw wwwwwwa �M w waa wawa• w � • ■, iair•iR • a+air ;� r:ra!�H r ;;:i;a•a:;a�;:; �iia•O ■aaigniii +Ti?rSON * rta rH aaa r �ri SUaMa■a1J ■ �• `iirriJr�iaaJ�•■i•aa iiil���� ••a.•• ■H aaaaaa••••••■ �.' a • .a ■ �•N a� a a* #�•�• a !a �4 :ar! }} ■ • : :i ■ r :ram161 a •• S�ra art • Sao ra .a r•■aa r a • ■ ■ � r • a: r �i• s: s =iHL • as ■ IS on0 use _..I ■ a. Was Sam age a" .. _POP :_. : a e� �uee N 1111■ras as a � ■ ■ �•ISO ■ : ■n�•ii:: re,1111:18:06,M]lNl:NaNerr■:: ■■ i Hii�a:�s:r a memo son �! inow ffil Slfllfleia=■as• . ■m■aa 'JIMS �r■ us I NN ■• one R■ • ■N r p amN• ON■rafuN;;:"•;::�N ar•H mR • i=s==•r H • _ •m a r ng ini•i=;a'�aa=•=•rr=•=s•r••■■•••ra•�r`=•i■■r=aj Z■=r"a =�■1r'ii'Biei'�"�i11M,� �i'= .�' U ■ ■ ia• � �■■_ e:.ram _• �� • a a•■S•S■ rS■■. ••NSS■• ■Samar■ was a j� �� ■ aaa !rr� • . !i ■• i=:iii_i=ii:8=:sa'ma=::=ii:ji::sisSsi:::::::::::::::::::ss:::::::::::Z::i �i: :Siii::=a::::■i�i:•'i_=:SS: ss�■■ _ Sa■ • i _�::: _ a••■a_ kr S■ .. _ s ■ _ ■r* ••q� ■ .all ;: :• \ :1:: l_ m:l: ==:i:==:i:::::::a::::::::::::::::::: :5::::;:�:::::::ia:a:=\���/� : •mHtiiia: : �� S•� $ a • t S • •�,a, •ss::s:: :s:ssa:f si:s::fflM: s ::ago ::::::::::::::•:::::•::::::: :Z:::■�i: $sis=: ii;:==:a�i:. iia .■=:iiiii:= �eir.= .his i•- i�ii-=i ;s •riser• S• •■ r •■S_• SS• :::::!as■■S•Sar•■■!�■■S•S •S•_■■ ■:::■:::a• • ■S• ! H •• ■r ■ ■• ■_a ■a • Mawr. :==s ___ :S: :� ___� l:==: ::::e=asa===== 9 ; " H:_:::::=:5=;_�_�=ii===� _�_� ='Hels� s.11■■ _ • ;: 0": i■ =rm •a • on Sm ■• • mar ■r ■ .• rSS•■ •• •■• a ■ aa■ • ■ ii ==:Samr:f =:_ ___ •S•==■ :�i: a•: :::iara■ mm=:; ••_�` ••maS•r••mrSaaaa•Sa= aaam• ■Z ■ : as=: ■ ■;;: :: a•;• ■ ••• u• ■ r ru •H •N ■ ■NaeHa mN •ummere■■easeN■ ia•H•Sa _i_ =•r =■ 1� • a r ■ r a p si=H'esee=zate's4 s::esseeei ==::=:ee==eee=9::=epee:ec=:::e=e==aee6:6::e:m::s::a=:�;' 's: ss:a:is g_� '.ss � s`�aa � sew omesa is ees'a i= ssso! a on==s =s HMI some =E s=sMM"U ' s ens_se_= =es is=�ssa =i==Mi esWe'll�sa= 1e==gee s e:se� # ••:s• ::s;:::::;;.::::.:::::.::•:'::;ssleammue:ss;e:,e::ee;suse�:as�e='� e e f z1 •s�:�s H as !MU •� • ':=====:a:=•ram=a=:aa■ : =e :■=r'r••ra�•eae=raar�=raeeer • ■■=aaaa•=r••■==• ■■_■ ■�••a■=■■•■=ea■ a •r• ■ r a • a •!! _• r■=== � s•i =:s■i• .... . M: • •;■ •_.. =SNr ■•�• ........... ..■.. .... __.. •__. ._.. .... .:�:e' '�:�:; e� ��iri'a��a i: .. ::mass■ ■a■ •Name. r TOWN OF SOUTH WINDSOR BUILDING PERMIT Date July 21 , 19 81. Fee Paid $. 6 9 00 Est. Value $1 9 Q00.00 Permit N° 12 316 on the atide of Pleasant Valley Road Street Street No. 1164 Owner Frank R. Coi gshall Applicant Lucille Co&&nball CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Alum—room Sidin& BUILDING PffiUffr i N° 12316 OFFICE OF I THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. July 21 1981 94is is to Certify, That Frank R. CORKAhall is hereby granted permission to Install Aluminum S id info I at estimated value of $ Q on the side of 1164 Plaasant Valliav Road Street on land owned by Frank R. CojtQehal l Said Work to be as described in Application No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued July 21 19 81. -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 I 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." I i I I I I I I I I I I I I I OY TO THE B IN INSP R of the APPLICATION FOR TO" OF SOUTH WIPWSOI't, COOK PLAN EXAMINATION ANO BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, /it, IV, and IX. ZONING O I• AT (LOCATION) 7 ?4,rgsWVT )'ALLEY Tag j) DISTRICT LOCATION (NO.) (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 � 1 ❑ New building Residential Nonresidential 2 Addition(I/ residential, enter number 12❑ One family 18 ❑ Amusement, recreational o/ new housing units added, i/any, to Part D, 13) 13 ❑ Two or more family — Enter 19 ❑ Church, other religious number of units— — — — --)No20 E:] 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 o/units trt building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) 25 ❑ 17❑ Other — Speci/y Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, merconfile 8 CK 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,,,,•,,,,,,•,,,, S 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 FREE a. Electrical...................... b. Plumbing ...................... c. Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BUILDING — 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❑Mas my(wall bearing) 40 ❑ Public or private company 48• Number of stories................ 31 ® Wo d froml 41 ❑ 49. Total square feet of floor area, Private (septic tank, etc.) all floors, based on exterior 32❑ Structural steel dimensions ..................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 42 Public or private company 50• Total land area, sq. ft. ........... 34❑ Other — Speci/y ❑ p p y 43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... 36❑ Oil c nditi ping? L. RESIDENTIAL BUILDINGS ONLY 37❑ El ctricity 44❑ Yes 45❑ N 53. Numb r of b dro ms.............. 38❑ Coal 39❑ Oth r— Specify Will there be an el vator? Full.......... 54. Number of 46❑ Y s 47 0 N bathrooms Partial........ IV. IDENTIFICATION — To be compl ted by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. 1. Sj q d/K 1\ C06 S/-1/4 L e— �G� I L CA S A Al 7 YA Owner or Lessee 2. Contractor 3. SEA F Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Date Plans By Date Plans By Notes 9 Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval I Check Date Obtained y Date Number B Permit or Approval Check Obtained Number By PP 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 V11. VALIDATION Building Permit number J y7�3 Building Permit issu d 19 Building dY) Permit Fee $ A,roved b 1 TITLE 14 TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Oct. 2 19 85 Fee Paid $. 4.0.0 Eat. Value $. .5 0.0 Permit N° 147 2 3 on the aide of Pleasant Valley Road St Street No. 1164 Owner Fr nk R_ C_oggsha 1 1 Applicant T.13Ci1 le rn�sha 11 CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Addition i I I I BUII.DfNG PERMIT N� 14'723 OFFICE OF I I THE BUILDING INSPECTOR of the Town of South Windsor, Conn. I South Windsor, Conn. Qct- 2 195 I M#io to to Tertif-U, That Frank Coggshall is hereby granted permission to Add$tlon Ipt x 121 i at estimated value of $ j on the side of 1164 PleAsa t Valley Rojad Street on land I owned by Frank R. Coggahall Said _Rork to be as described in Application I No. 15023 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. i Iss�{ed tint 2lie 5 i I °ram/ � I Building Inspector. I 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" I I� I I` I I I I I I I I„ I I I I DEPARTMENT DECISION FOR PLUMBING PERMIT wo— Application APPLICATION is hereby: TOWN of SOUTH WINDSOR BUELDING DEPARTMENT Bldg Permit# VED 1 540 SULLIVAN AVENUE 644-2511 ext. 230 Date Building Inspector Application must be printed or typed F- 4� Location of job I-e Aj AgtYA Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER fINAN f6--11 S St" or any fraction thereof 1� �J ADDRESS /�Ov1101e.6 •fi w OWNERS PHONE# APPLICANT OW N S� ADDRESS e C ° ey ESTIMATED COST$ �v C IS THIS A CONTRACT COST? �� 1 YES NO 's+ C� �� FEE ENCLOSED $ Z Co TYPE OF JOB: OR• Original Installation Alteration/Addition/ epair Revised 10/96 APPLICATION FOR PLUMBING 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 Alf ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY EDUCATIONAL INSTITUTION FACTORY ENGINEER'S NAME PHONE_ STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN --r NO. OF TOILETS - STYLE NO. OF URINALS STYLE NO. OF BATHTUBS NO. OF SHOWERS NO. OF LAVATORIES NO. OF CONDUCTORS SIZE NO. OF STACKS SIZE AREA OF ROOF NO. OF CATCH BASINS NO. OF FLOOR DRAINS NO. OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES/NO SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER TYPE MANUFACTURE TANKS SAFETY DEVICES TEMPERATURE CAPACITY RELIEF VALVE TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE TYPE MANUFACTURER DESCRIPTION OF WORK A THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. "641 c) NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. / ��� DATE