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166 Norton Lane
( � r ; 0 THE BUHAMING INSPECTOR of 11116 APPLICATION FOR L � PLAN EXAMINATION AND TOWNOF � WINDSOR,� BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O I ZONING I• AT (LOCATION) /� &r La h � DISTRICTOLO,P LOCATION (NO.) •',(STREET) OF BETWEEN a f y/e I,J rI II AND QQ • BUILDING (CROSS STREET) (CROSS STRLOT EET) SUBDIVISION I bo, h0 1 LOT�l BLOCK SIZE I��.�� r Ym jj' N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M 1 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— — — — --p. 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 l l h Transient hotel, mote , ❑ 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (If multifamily residential, of units ——————— — -i 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) 17❑ Other — SpeciJy 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile 8 1K 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................ 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....................... n b. Plumbing ...................... F 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❑Masonry (wall bearing) 4016 Public or private company 48• Number of stories................ 31 V Wood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior L 32❑ Structural steel dimensions ..................... mok — 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY t 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 F. PRINCIPAL TYPE OF HEATING FUEL i. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors.......................? `� conditioning 36 ',Oil L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 451<No 53. Number of bedrooms.............. 38 ❑ Coal ` 39❑ Other— Specify Will there be an elevator? Full.......... 1 54. Number of 46[� Yes 47 No bothr omrs 2 Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To b complet d by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or • • IJo• Co. • toa6aftC- a�O Lessee L� 2. Contractor 3. Architect or Engineer Th own,,r9of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signatu applicant Address Appli i n date DO NOT WRITE BELOW THIS L NE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By Notes Fee arted Approved BUILDING 0( PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approva I Check Date Obta ned Number By Permit or Approval Check Obtained Date 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 10214 P rmit numb r Building Permit issued April 21 19 78 Bui Iding Permit Fe $ 126.00 Approved by: TITLE VIII. Z jNING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE (ARD SIDE YARD REAR YARD NOTES IX. 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Yfi4 11 ++b�' 4 a4 $,- d ? i rq> r rsc ¢t?" r t k �.< f.. b> b•r,•+ . ,• -4-c..i-bar_-s-4 *-r...{..^'^,^�.'_.� ,«.m�.z a ..r...� t f qq!'Yp �-g { t$-6 g-{ # `+' t"n d ro¢¢¢ a p S{j .R-t-s:t-¢ viol♦4�- s+ �, .i,.,r.-i i$ -'a s {- t +-+3 �--i^ ., +, 1l}is df--�.I-+1 � ,tf .., s1'�`'t< �ar ,�� !0 1 ' �t -,,:irF ..ax_ S - � 114 41 ST IN''t Uffit", i+fl l iy(o-t i1 Y t,4 °� fort ke yj tii' to T � 1 1y t+ 3 {D i e 4 r itfiiiiittH I I .lT(.. ;0 3t -f �{-.{- l 41g �j a... - 1 r P• �f< rl A �4 �' 1�h � + $ t { t ? SY TOWN OF SOUTH WINDSOR BUILDING PERMIT ; Date April 21 _, 1978 Fee Paid $ 12 6.00 Eat, Value $.?l,000.00 ; Permit N° 10214 on the aide of Lot 439 Norton Lane Street Street No. 166 Owner Applicant T & M R„i 1 d i ng—rn. CERTIFICATE OF OCCUPANCY ISSUED: Date No. 5116 Fee Paid $ 3.00 CLASSIFICATION Dwelling c BUILDING PERNO T N° H214?. OFFICE OF { THE BUILDING INSPECTOR of the Town of South Windsor, Conn. April 21 78 South Windsor, Conn. 19 & lei Building Co. 94is is to Certitu, That Dwelling is hereby granted permission to 0 0.00 at estimated value of $ Lot #39 Norton Line on the side of Street on land T & 11 Building Co. owned by WorkSaid to be as described in Application 10514 No. and to conform to specifications and plans filed with said Application, and Building Br Laws of THE TOWN OF SOUTH WINDSOR. April 21 78 Iss 19 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." x/c.7-Mv 7r-z=ye9-f�9 INSPECTION QJEPORT Permit-* Job 1 Footing 2 Foundation 3 Framing 4 Wiring ��- 5 Plumbing 6 Heating 7 Lathing 8 C.O. Pe�liiiit`1�Fd. f TOWN OF SOUTH WINDSOR r SOUTH WINDSOR, CONN. f Permit Nd 5116 f i Certificate of Occupancy THI O CER Y at ��'� I at N RIL in the 71ding Windsor, Connecticut, has been erected and completed in accordance with the u Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for oc ancy. I r uding Inspector Owner, Buil r Fee Pa' Date 19 652A ELECTRICAL A"LICATIOR Application No. on the side of Lof 39 hbrtnn Lane Street Street No. -ACk 166 Owner T & M Building Electrician WElectriC CO. FILED IN OFFICE OF The Building Inspector July 5 i9 78 INSPECTION. r*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 ~tops (if of wood) are installed, without a special permit from the office of the Building Inspector. 1 G� (� APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. .................. Permit No. .�,fs, 23....................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. ..��.... hereby make application to.perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, sh be complied with whether specified herein or not. South Windsor, Conn., .............. .. ..�. GT....................... 19/YSign here U. ............................................ Address A Location ..3..1..... ........ ..................................... Side of ............................................................................................................................... Natureof Building ....... ...... How many stories ........................................................................................_........ .. ... .. . .��.JJ JJ... ...... .. ... .. Newor oId Building .............. G.. ... ..................................... .............. How many families ................._..............................................................._........... Kindof Installation .. ................................................ ...... How many Stores .................................... �................... ......... G Owner �-�...,.�.�.... .. . .. . ................... __............... Address f",.� .... ...__.. ... Architect - '................ .... ........................................... Address .......................................... . .........................._....._...__._._.....�......_.... Builder Address .._�.... _........ ......... Electric .. . �� ... � .. Address �.... � .... If ... _.._._. Size of Main Wires &.?(L ..... No. of Light Loops ..................I.................... 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 ........ ......... ......",1�.......... ...... No. of Combination Fixtures ................................................ ............. i No. of Receptacles ................................... ..............p ..�............. ............ No. of Cor_0 Drops .................. ......... .............................................. ............ Remarks: For oth kind of Installation ... ............. '.................................. ................. ........... 7 .......(. . .. ..................................................................... ..................................................................................................................................................................... ................................................................ ......0 v.... ............................................................................................................................................................. ....................... . Estimated Cot s Cl.�) ................................. 5195 PLUMBING APPLICATION Application No,, 5981 on the ......_......._ ——"of _........Lot._tj Nvrton Lane Spec Street No. w.16 6 Owner . T & M Building Plumber _..Norman Lut zen Filed in Office of The Bwldmg Inspocoor _June 7 19 8 No person shall coosaum, add to ac alder my portion of the drainage system of my bml&og (czmpt to repair leafs) until a Bermit is Stoned by the Building Inspector. Application No. 5 9 81 Permit N 519 5 .................................... . ...................................... 1 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. SouthWindsor, .............. ................. ........................... 19 2...�( Sign here .... ........... J ....... . ...................... -- Address .... .`................ 1. ..f�,r...........5.:�............/.''. p..�V!A Location ....... Q..... ..'......�... ............ .. side of ..................................................................................................... Street Natureof Building ............f ........................................ How many stories ...................................................... .................................. Owner ...................... .H-c... .....a.................... Address .Z!...Q.........�i.......7.................�. �..r-,t... �.. Architect ,/............................... Address ................ ............... ........................................ ................ ....................... _ Builder ..................... Address ........... ............. ....................................................................................... ........... ......... ........... .... . .... .......... ................1.............. Plumber .......... Q.Y.. �+...N................. .v ..2c.'' ................ Address ..... .9.. ...........* . ..........s.l�............h"'�i--� 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 .............. ................................................................................... MAIN DRAIN IN CELLAR, Material -C....... .... Diameter ............ .................................................................................................... Above or below cellar bottom .. .... ..... .. ....e...L.v.!s.. .. ........................ SOIL PIPES, Material . ... ......k.Z)..................�1..�1..1�............ Diameter ..�A................................... ..fr .......................................... WASTE PIPES, Material ...............F........ .. .................. Diameter .........�....�... ....(.. -......................................... TRAPS,Type proposed to use is , J.rG D RAIN WATER LEADERS, where do they run to J_................................................................................................................. REFRIGERATOR WASTES, where do they run to ........ ............ ..................................................................... ...................I........... TANKOVERFLOWS, where do they run to . . .........................................................................._...................................................... FIXTURES WATER CLOSETS, How many ...................... ....................... Where located .... ................................................................................. Distance from trap to vertical soil pipe ............... :.. ....:.... Pattern .. .. ...... ............. ................................................................ WASHTRAYS, How many .......................................................... Where located ... ...................................................................................... SINKSyHow many .....................................................1.......................... Where located ....... ........................................................................................... BUTLER'S SINKS, How many .................. .................................... Where located .................................................................................................... REFRIGERATOR SINKS, How many................. ..... Where located .................................................................................................... LAVATORIES,How many ...........................................f.................. Where located ..................................................................................................... BATHTUBS, How many..........................................z........................ Where located ..................................................................................................... URINALS, How man .................... / .... . .............................. . Where located .................................................................................................... Y f........ 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 ........... . .. . .............................................................................................................................I................ Estimated Cost . Z ........ ARGO CALCULATION SHEET OWNER �'2 ADDRESS �'I -+ I sr� •,"j ` DATE DEALER J20r n;• ,�t� v r n� KIND OF BUILDING ^ r ' - CHIMNEY SIZE CONSTRUCTION: WALL WINDOWS ROOF OR CEILING BASEMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF COLA 2 3 1 4 5 6 7 8 1 9 10 11 12 13 14 15 16 1 17 1 18 WINDOWS AREA-SO. FT. VOLUME BAs BOARDS ROOM SIZE FLOOR AND DOORS CU. FT. TOTAL TOTAL (SEE NOTE) AT 70 F CORRECTED WATER LENGTH ACCESSORIES ROOM NUM ER GROSS GLASS NET WALL CEILING p / 'If TEMP. TO �Mp nF. L W H 0B AREA WALL c b , DIFF. �t� F ENCLOSURE FIN E R S I.0 MISC. SIZE O ---� 1. 13 . I3 I�, � � ?� TEMP. DIFF. FT TUBE j nl I '� ° „ no aoo 000 1)80101 3aoo VD 003 a5oo ooa o G $oo 7 �o y �/oa � 0 3 0 3.00 60 / o 19a l S ot oo Soo a aoo /00 ,S30 1 000 3720 Id F0 to �' /yoo 000 boo aoo . 0 G yoo /Z � l� v l� 00 00 �00 /�o `/,3D0 �> 500 0o yoo -2o oDo a 1 70 I���J ►3 ij S oo 0'oo moo 12CO o to aoo 2 iG3a �7 f 00 /000 to oa .mo 6 �00 Y To 0 doo '20 O ,ov /Y00 oo y Ce I c1 a000 NOTE: FOR CONCRETE FLOOR ON GROUND R FILL AT GRADE LEVEL.USE LINEAR FEET F EXPOSED EDaE. TOTALS /D F R ALL OTHER FL ORS USE SQUARE FEET OF AREA. 0 00 s v �,• F � T N ., 5 % gumR • r; s, It,TVK 0 INSTALLATIOW. ff� WBMBR ❑ ELECTm ❑ 11wN.ATl011 ❑ amomm ❑ GAS iumm ❑ STACK ❑ INGATOIt ❑ 13. OF SIZE ANK -�;� �� TANK OF FILL LOCATION Stu �- OF OYQIT„ . 14. B.T.U. EQUIP. AT REGISTER F RNAC MAKE AND NO. ONNET 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 �EW OR OLD BUILDMG INSULATED - YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. 29: 0 B.T.U./SQ.q,/H&EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 1__� 'FAHRENHEIT MAKE OF RADIATION: BASEBOARD. WPER CONVECTORS.02 C.I. RADI ION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 1 15. TO BE DON . 34 Is. NEST LOSS SCHEDULE (TO BE INCLUDED FOR ALL JOBS): ROOM slat WINDOW! AREA — SQUARE FEET IL T.u w•T•tL <ID- DISTRIBUTION INSTALLED ANO DOOR! VOLIl� TOTAL TOTAL � L ROOM NO• GRC•S GLASS NUT WALL CEILING FLOOR CU.FT. AT 70-F 011RLCT <j t MAD. REGISTER (INFILT.I L W N AND TKW. TO F R TYPE AND SIZE O LEADER SIZE WALL f'ct DIFF. -F �• FT' FREE AREA 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 F. � 17. ELECTRICAL WORK BY: I Ee C-k/ L I'd" 0 NANE ADDRESS SUBCONTRACTORS AND 1S. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE(OWNER) OR (AGENT) OF THIS PR PERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. e DATE SIGNATURE R APPLI T PERMIT # Application For 5037 4836 DEPARTMENT DECISION Heating Permit C 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS IX APPROVED ❑ DISAPPROVED TOWN OF SOUTH WINDSOR o 0. 8/18/78 /_0 00 DATIE SPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W O -p 1. LOCATION OF JOB o a ° 166 D�/ U✓` �d� c�tr' Cd A NO. STREET z c� d LOT NO. FLOOR APT. N 0 O 4) 0 /Le-,i&j it 2. OWNER C Cd 0 � o S. ADDRESS °0 3 E 4 4.PHONE CnC= t �"!Zf ' S. APPLICANT �� ��ef - -- -- Cd C ws. ADDRESS 1 °d Gtl-� -✓1 7.PHONE d. LICENSE N0. 3��T D +� >i. EXPIRATION DATE OF LICENSE w 10. ESTIMATED COST S GO o 0 ''' 11. IS THIS A CONTRACT COST? YES ❑ NO bo 12. FEE ENCLOSED : Permit 10 214 y 13. TYPE OE _ DING: RLJ ESIDENTIAL ❑ COMMERCIAL O R C 3 14. TYPE OF JOB' ❑ INDUSTRIAL GINAL El L IN ATI N ADDITION REPAIR ff PERMIT # Application For 6295 5194 DEPARTMENT DECISION HeatingPermit Cd 0 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS O a) N APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR 7/9/80 o Cd 00 DATE IEF SPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O � to E -p 1. LOCATION OF JOB ° a, o ~ Cd 0 NO. STREET -4j v Cd y LOT NO. FLOOR AR. NO. � O LV S � 79 O G = 2. OWNER /4 Cd $4 �. Co O O s. ADDRESS- be 3 L1 1 a 4.PHONE > as Cn S. APPLICANT m � c G F-7/ rAV#1*Lif s. ADDRESS ff` i YC �� f11d, /t/ •7.PHONE w s. LICENSE NO. .�d.t 41C 7 a w D. EXPIRATION DATE OF LICENSE 6 ° ov " c C 10. ESTIMATED COST : IS THIS A CONTRACT COSTT YES ❑ NO � QO a' U d 12. FEE ENCLOSED 8— is. TYrwaSIDKKTIAL BUILDING: bo ❑ COMMERCIAL ce 14. TYPE OF JOB: INDUSTRIAL �IONSTALLATI N ElADDITIONON REPAIR e0 APPLICATION Continued it m Reverse Side C ON FOR HEATING PERMIT rs 11. LOCATION OF JOB ! (%�'' ,Jn %l)yy A/+'U NO. STREET FL OR AFT.N . 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY i SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK 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. 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): ROOM size AND o S AREA — SQUARE FEET VOLUME B.T.U. B.T.U. FD- DISTRIBUTION INSTALLED WIN TOTAL TOTAL y ROOM NO. Ggpgg 6LASs NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j� RAD. REGISTER L W M AND G TEMP. TO O F O TYPE AND SIZE OR LEADER SIZE < WALL f'LSO (INFILT.) DIFF. •F P m N SQ. FT' FREE AREA 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 17. ELECTRICAL WORK BY: �/' �� •Ci c '.1/.L NAME ADDR S SUBCONTRACTORS AND le. 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. _�-� / - �'� V_e ATE SIGNATURE OF A ANT TO THE BUILDING INSPECTOR of I6 APPLICATION FOR TOWN OF 501M WINDSM WOK PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O ZONING • AT (LOCATION) Mmryp-o� oolN-C 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`Q Addition(/J residential, enter number 12'E] 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— — — — -o- 3❑ Alteration (See 2 above) 20❑ Industrial 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 0 Garage 23❑ Hospital, institutional Part D, 13) 16❑ Carport 24❑ Office, bank, professional 6❑ Moving (relocation) 17❑ Other — SpeciJy , 25 E] Public utility 7 ❑ Foundation only l 26❑ School, library, other educational B. OWNERSHIP ! �x 004( #4�#%Oj r�w me 27❑ Stores, mercantile 8'Q Private(individual, corporation, �� � dA✓ Ras 28 ❑ Tanks, towers n npr fit 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 d0 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 a. Electrical...................... b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ 5pod 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`E Public or private company 48• Number of stories................ 31"EE 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 421C Public or private company 50• Total land area, sq.ft. ........... 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES • F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 0 Gas Will there be central air 52. Outdoors....................... 95'0 Oil c nditl ning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ N 53. Numb r f bedrooms.............. 38❑ C al 39❑ Oth r— Specify Will then b an elevat r? 54. Number of Full.......... 46❑ Y s 47❑ N bathrooms Partial........ IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or Lessee 2. VAPIC44-A20 s� , w W� .Aj (0`•Zs, Contractor 3. Architect or Engineer The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction. Signature of a licant Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By y Date Plans B Notes 9 Fee StartedApproved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check ObDate tained Number By Permit or Approval Check ObtDate a ned 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 13235 Building Permit issued May 26 19 83 Building Permit Fe $ 54.00 rov d by: E ` � 1 TOWN OF SOUTH WINDSOR BUILDING PERMIT Date-May 26 , 19 83 Fee Paid $. 54..00 Eat Value $9,000.00 '� •. Permit N 13235 on the aide of Norton Lane Steed Street No. 166 Owner Guy Senia Applicant Vadella Cnrnnratinn CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Rear porch 15'x 18'6" BUILDING PERMIT N? 13235 OFFICB OF THE BUILDING INSPECTOR i of the Town of South Windsor, Conn. i South Windsor, Conn. Mav 26 19 830 That The Vadella Corporation is hereby granted permission to Rear Porch 15' x 18'6" i at estimated value of $ 000.00 on the side of 166 Norton Lane Street on land owned by Guy Senia Said WO k to be as described in Application No. 13 5 3 5 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR Issued I`'MaV 26 19 83 i r Building Inspector. excavations or building materials, must be guarded barriers Streets and sidewalks, obstructed by ding ls, guard by 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 INSPECTION REPO T Permit 1 Footing 2 Foundation 3 Framing 4 Wiring --v2 5 Plumbing 6 Heating 7 Lathing 8 C.O. �3 APPLICATION FOR PERMIT TO DO ELECTRICAL WORK.' No. ........../-/ .................... Permit No. ....... r y.................. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. �.......... hereby make application to. 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., ... q�. �.� 191 3 Sign here ............Z7. ................ . Address 6 S . v``...... ...../'`1G/C.............. `vo SO� Location .. ....... ........ ........................ .. . . . ...... . . . Side of ... .. .. .. ... ................................................................................. . .......... �5 � �A� Natureof Building ....... . ............ ... ................................. ....... How many stories .............................................................................. ................. New or Id Buildin How many families ...................................I.........................._............................ 174 Kind of Installation .... Q.. ...L..!`.......1- .�. 1.. How many Stores ....................................... .............. Owner A..R�.....�U..y.......� .... __......... Address �.�.�..... N.Q.Rt ;!q....... L�..�.-...____.... Architect ............................... .. .... ......... ........... Address .... ..............................................................._................ _..__._.._....__.... Builder ...................... .................... . ... .... ..... ............ ...... ... ........... Address ...................... ..............................................____....._...I......-.e(� AElectrician ' ! .. ...`.. � .Q.......... Address �..J.......1,t`' -. .... �1 ..N.�.�.. .... w 1+� so i 03 Y 0'� Size of Main Wires .. .................................................... No. f Light Loops ................ .. .... ... No. of Heat Loops . ....... No. of Power Loops .........................._...._.... No. of Light Outlets ................. . ........... No. of Heat Outlets .... No. of Power Outlets ............... .. .............. Nob 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 ........... ... L a l.c? C, . ..........L-.1.bNSA .........�.........P �. ............ .. - C.. ............. ..:N........... 1..Q,.. ...........'Po c� ...........UA�X 1..0... -...................................................... ......... .........................................................................................................................................._..._................................................................................................................................... .................... ...... .... ...................................................... ..... Estimated Cost 7989 ELECTRICAL APPLICATION Application No. 9100 on the side of Norton Lane Start Street No. 166 Owner Guy Senia Electrician Harry Dan BOyko FILED IN OFFICE OF j The Building Inspector June 21 19 83 INSPECTION. r3r No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Bulldings 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. f TO BIJUADING INSPECTOR d die APPLICATION FOR 'WWN(W30U= WINO MM PLAN EXAMINATION AND Re BUILDING PERMIT IMPORTANT— AWi=w to comIMe all items in sections: 1, 11, M, IV, and IX. ZONING C 1• AT (LOCATION) zd - OtiT111CT�� LOCATION tne.t (ST1198TI OF , ^ IltTWe" AND BUILDING tC>t0e!lTnstTt MINUS lTutT) L0'r iNSDIVIiION i.OT BLOCK SIZE 11. TYPE AND COST OF BUILDING - All applicants complete Ports A - D X A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wmghlws".weer rowan,use � t7!' 1 ❑ era.bri lding ReeldawNei Nawsoeidwtt•Isil 2❑ AAM"an(I1 resslentiol. *MOP nssnber 120 Owe fomfly 1B❑ Amues eewt, rsaroorienel /now bewiwp wits MU04 if my. 13 Two or owe lowly - Esher 19❑ Church, sthor religious in Pare D, t 3) wrwior o/unsts-- - -i 20 Q Industrial 3 Q AlteMien (Sao 2 wbovo) 14❑ Transient hotel,moral. 21 ❑ Parking v«a go 4❑ Repair. ► olesessew or dwasitery - Ewer rucwbn S❑ wreaking(If xmisi/awsly resids"ded. Of wets ------- --��� 3❑ servicesptsl, institutional repair gaffer enter nssnber o/wets sn be il/kne in 15 Gwor 2 ❑ Hospital, Part 0. 13) 14 Q Carver• 24❑ Offlse, beak, praeowewei @❑ mwing (toieeotisn) 17(z Other - Spect/y 25❑ Public utility 7 M Foundation only � U❑ School, library, other educational B. OWNERSHIP 5 T/,�S� `S/' v❑ States, mwewmI* • ❑ Private(individual, eervow on. /G 'X /S/i 28❑ Tenks, towers neoproiit institution,on.) 29 E._.i Other - Specify 9 ❑ Public(federal. State.w local government) C. COST (Onnt cents) Hawrosi4entiol - Ooseribo In detail proposer use of buildings. e.g.. feed processing plow, machine shoo. leuwdry buiiding or hospital. olementery 10. Cost of imprerement............... ' school, sees dwp school. cello". pereehioi'scheol, porfttng verege for dopartmewt stew, ►swtol office bui Iding, office bum(ding at industrial plant. To be itsstmller bstt not inciaded If use of existing building is bong changed, enter proposer use. in the above Cost s. Eleetrieel...................... b. PlumMng...................... a.MoeNwg.sir cowdi•fawing....0.... d.Other(elevator,of.)............. 11. TOTAL T OF I V M NT St az6 ' 111. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Ports E — L; for wrecking, complete only Port J, for all other skip to IV. I.. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 n Masonry'(well bowing) Public se private Company 48• Number of stories................ 31 ❑ weed frame 41 Privwo(sevNc town, etc.) 40• Total souoro feet offloor ores. ell flows, based an exterior 3Z❑ Structural stesi dimensions ..................... 33 r7 Roiwforssd cowarote N. TYPE OF WATER SUPPLY company❑ Olhw - Spoci/y A2❑ Public er privets so. Total loved eras. so.It. ........... 34 43❑ Private(well, cistern) K. NUMBER OF OPP-STREET PARKING SPACES P. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 35❑ roe will there be central sir 32. Outdoors....................... 3i❑ Oil ionditioning? L. RESIDE19TIAL BUILDINGS ONLY 37❑ Elostrialty 44❑ Yes ❑ No 53. Number of bedrooms..... 38❑ Coal ........ 39❑ Other,- Specify will there be on @low~? x. Nuobsr of full.......... As 0 Yoe 47❑ N IV. IDENTIFICATION — To be completed by all applicants Name AAailinjj addr sit — Number. strut. city. and State ZIP c de Tel. No. Own • or Lessee 2. Con•ree•er � n �� L� 3. Architect of Engineer The of this building and she ur#ersignei agree to conform to all applicable laws of this jurisdiction. Sig r F applicant Address L� Application dot i/ DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Chock Plan Revi 06to Plans By Data Plans By Notes Fee Started A pproved BUILDING PLUMBING S MECHANICAL S ELECTRICAL S OTHER IS VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Pern,st or Approval Check Ob001* Number By Permot or Approval Checktain ) Qb�Oined f��n+b t 3v 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 But Iding P rm i t t s s u ed ,//G'� 19 L_ But Iding Permit Fe S / prow by: Tt TOWN OF SOUTH WINDSOR BUILDING PERMTT Date 11/03/97 919 Fee Paid •00 Eat. Value ;2- 00 Permit N° 16368 on the side of v.&J66& .ft r -- Street Street No. 166 Owner 9mY 8. Suaa Applicant . 9400 X� CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION 8t©rage Shad BUILDING PERMIT N° 16368 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. 11/03 87 South Windsor, Conn. 19 94is is to (gerfifig, That Guy S. Senia is hereby granted permission to Bu i 1 d a storage shed at estimated value of $1 P Q Q- �0 on the side of 16 6 Norton Lane Street on land owned by Same as above Said Work to be as described in Application No. 16666 and to conform to spedfications and plans filed with said Application, and Building By. Laws of THE TOWN OF SOUTH WINDSOR. Issued 11/0 3 , 1987 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." Electric n APPLICATION FOR BUILDING PERMIT Plumbing# 166 NORTON LANE HVAC # 25108 Sprinkler# Date: 4 -Ay 'Q No. FINAL APPROVA Estimated Cost 00o s • Building be d Z �1 COMPLETE RED BOXED AREAS Permit Fee $ 3!o ao Engineering TYPE OR PRINT ONLY Occupancy Fee $ 5 aO Affidavit SIGN ON REVERSE SIDE Appr.for CO. V� 2 Total Fee $ 41 TO BUILDNC'DEPARTMENT,TOWN OF SOUTH WHDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location k 6(o lq 6 rro m �-a r e Lot No. Side of Street Zone Applicant SLtsan 9 6uu '0� Tel# 6 4 LA _Q 36 3 Addr ss e.- Zip Lic.# Own r e y c,Q C)u u qe n l OL Address l to to K o r � ka n C . r Architect Address Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl Total New Area #Rooms I #Lavatories #Bathrooms #Garages c2 . Purpos of this permit: i 1n S-�Q 11 O'bou e, a roy n A f7= 1 Ci- Water 3,"' Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. &P Cert. AreaI I Basement Garage Approved by Date Use Group Construction Type RwiNd 1197 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is lowed. Signed I hereby apply for a Certificate of Occupancy for the work described'n 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 ------------------------------------------------------------------------------- 98-25108-B 3,000 ` E03 ROUGH 05/19/98 JFF A LADDER NEEDS ENCLOSURE B10 FINAL 04/28/99 DCJ A APPROVED FOR CO CLOSEOUT 98-14819-E 400 t w M +c+ � u 4 1540 SULLIVAN AVENUE•SOUTH WINDSOR,CT 06074-2786 R.co�' AREA CODE 860/644-2511 FAX 860/644-3781 March 29, 1999 CERTIFIED MAIL Z 419-174-534 Mr. Guy Senia 166 Norton Lane South Windsor, CT. 06074 Dear Mr. Senia: Pool season is almost here. I would like to remind you that the Building Permit(s) #25108 for your pool is (are) still open. State Building Codes require the issuance of a Certificate of Occupancy prior to its use. Please contact our office for a final inspection prior to the removal of the winter cover or adding any water to your pool. All permits must be closed by May 1, 1999. Should you have any problems meeting this date please send our office a letter stating the reasons. (The pool still can't be opened). If the pool is opened without the benefit of a Certificate of Occupancy a caveat may be placed in the land records stating there are Building Code Violations on your property. Please call John Collins, Chief Building Official, or myself should you have any questions regarding this. Our office hours are 8-9am. and 1-2pm. The phone number is 644-2511 ext. 232. Very trul s, glas C. Jourdan eputy Building Official (- SENDE : ■Complete items t and/or 2 for additional services. I also wish to receive the a ■Complete items 3,4a,and 4b. following services(for an ■Print your name and address on the reverse of this form so that we can return this extra fee): card to you. ■Attach this form to the front of the mailpiece,or on the back if space does not 1. ❑ Addressee's Address ` ■WWnte''Retum Receipt A uested'on the mail ' �below the article number. ■The Return Receipt will show to whom the article was delivered and the date 2. ❑ Restricted Delivery delivered. Consult postmaster for fee. 3.Article Addressed to: 4a.Article Number Mr. Guy Senia Z 419-174-534 c a y 4b.Service Type �3 166 Norton Lane ❑ Registered EX Certified CCSo. Windsor, CT 06074 c ❑ Express Mail E Insured a =04 [$Retdm Receip COD S 7.Date of livery "V- n-m-e- f a°• 5.R ro By:(Print Na ) 8.Add ssee s Address(Only if requested C and fee is paid) a g 6. ature:(Addressee,orAgent) Ps Form 3811,December 1994 Domestic Return Receipt UNITED STATES POSTAL SERVICE First-Class MailPostage&Fees Paid USPS Permit No.G-10 • Print your name, address, and ZIP Code in this box • TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074-2786 i I i DEPARTMENT DECISION PERMIT# APPLICATION FOR ELECTRICAL PERMIT t4KI� Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# 4WAPPRO 1540 SULLIVAN AVENUE J 9A 644-2511 ext.230 Date Inspector/%UiI g I Application must be printed or typed Location of job C)r+o Y-) ko,n FFEE SCHEDULE Street No. Street Lot No.Floor Apt.No. $0 - $11,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER GUS4 SASOLn Sen(a, or any fraction thereof ADDRESS 0(-A-o Y-\ ka n T OWNERS PHONE# 44 - q3s3 APPLICANT USA SUSOL 0 I..) 0* N ADDRESS tko\o NocA-� ka-y-\e-, 14 ESTMATED COST$ 40o IS THIS A CONTRACT COST? V.-A ,` YES NO FEE ENCLOSED t2 cDO )SOR- 0 TYPE OF JOB: Original Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED 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 SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK tr n OL 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. Kb me c)w ne- r AjAj4-," -t A NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO.to T DATE — Bectric# APPLICATION FOR BUILDING PERMIT 166 NORTON LANE Plumbing# Date: .� q HVAC # No 26017 Sprinkler# FIM I 0 Estimated Cost $ k,0*, dT� Building jp i 7 COMPLETE RED BOXED AREAS Permit Fee $ �ineeri TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee $ TO BUILDNG DEPARTM W,TOWN OF SOUTH WNDSOP,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location 146 ND 12 fiy Iy �i�}-I+� Lot No. Side of Street Zone Applicant Tel# fe6 o- 6.4 s,k -&7 Addr ss �(, •4 h.b TJ fZ, Zip Lic.# d d Y p 7 7 9 7 Own r/h R,MKS i:%,K Se-ti A- Address 16 ( /L D R f o,�, Al 4 A. e -S' AV, Architect ll Address Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpos of this permit: V t' Ae JI, -6- s„ „,,"er9 t_ be replaced once job comnletea City Water ❑ Well ❑ Septic System 0 Sewer ❑ Ins. H.O. S.P. Cert. Area Basement Garage Approved by Dat cl Use Group — Construction Type ` Rev6ed 1197 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and s use is allowed. Signed 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