HomeMy WebLinkAbout141 Miller Road TO THE BUMDING INSPEMR
of 16 APPLICATION FOR
PLAN EXAMINATION AND
TO" OF s�ouT�'i W BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O
ZONING
I• AT (LOCATION) Z41 `C DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
V►
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 M
1 ❑ New building Reside tial Nonresidential
2 ❑ Additi n0f residential, enter number 127 One family 18 ❑ Amusement, recreational
of new housing units added, if any,
in Past D, 13) 13 ❑ Two or more Family — Enter 19 ❑ Church, other religi us
number of units— — — — --p- 20❑ Industrial
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4 ❑ Repair, replacement or dormitory — Enter number
5❑ Wrecking (i f multifamily residential, of units ——————— — —► 22 ❑ Service station, repair garage
enter number of units in building in 15 ❑ Garage 23❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional
6 ❑ Moving (r I cation)
17� Other — Speci/y (k 5 e_X4 25 ❑ Public utility
7 ❑ Foundati n only 26❑ School, library, other educational
f
B. OWNERSHIP / 20 - T-af-,� F'Il 27 ❑ Stores, mercantile
8 ❑ Private (individual, corporation, Q1 28 ❑ Tanks, towers
nonpr fit institution, etc.) 11 X /0 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 00 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 ......................
7
c. Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $ f 00 ,
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part 1, 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 ❑ Wood from( 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions .....................
33❑ R inforced concrete H. TYPE OF WATER SUPPLY
34❑ Oth r — Specify 42 ❑ Public or private company Total land area, sq. ft. ...........
43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51• Enclosed .......................
35❑ Gas Will there be central air 52. Outdoors........................
%❑ 011 conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ El ctricity 44❑ Y- s 45❑ No 53. Numb r f bedro ms..............
38❑ Coal
39❑ Oth r— Specify Will there be an el vator? 54. Number of Full..........
46❑ Yes 47❑ N bathr ms
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.
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Addross / Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R view Required Check Plan Revi*w Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A rova I Check Date Number B Permit or Approval I Check Date Number j By
pp Obtained y pp Obtained
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit numb r
Bui Iding _
Permit issued 19 —
Bui Iding
Permit Fee $ �
A roved y: i
-Tx
d
TITLE
y
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date May 17 19 85
Fee Paid $.3 Q Q Eat Value 1 Q,0,
i
Permit M 14 412
on the dde of
Miller Road Sty
Street No. 141
jOwner English/Bradley
Applicant James Bradley
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Shed
BUIIDING PERMrr
N� 14412
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. May 17
94t's is to Crrtifi;, That James Bradley
is hereby granted permission to Tool Shed 8' x 10'
at estimated value of -0 0.0 0
on the side of 141 Miller Road Street on land
owned by Joseph English/Marion Bradley
Said Work to be as described in Application
No. 14 12 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR
I.—A I .—A Mhq 17 h5
-� 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."
N.
TOT BUMDING INSPECTOR
of t6 APPLICATION FOR
PLAN EXAMINATION AND
�t COW
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, ill, IV, and IX.
ZONING
I• AT (LOCATION) ly- OISTRICT�
LOCATION ("o.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
sA
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wracking" most recant use �
1 ❑ New building Residential Nonresidential
2❑ Addition(!/residential, enter number 12❑ One family 18❑ Amusement, roereati nal
o/new housing units added, i/any, 13❑ Two or more family — Enter 19❑ Church, other religi us
in Part D. 13)
3❑ Alterati n (Ste 2 above) nsareber o/units— — — ——► 20❑ Industrial
14❑ Transient hotel, motel, 21 ❑ parking garage
4❑ Repair, replacement or dormitory — Enter number
5 El Wrecking (if multifamily residential, o/ units ——————— —-i 2 23❑ Hospital, instituti na)
Service station, repair garage
enter number o/units in building in 15 Garage oL d � �. 0 ❑ Hospi
Part D. 13)
16 Carpet 24❑ Office, bank, professional
6❑ Moving (r location) 17 Other — Specify 25❑ Public utility
7 ❑ F undation only
26❑ School, library, other dueetional
B. OWNERSHIP X 1 �— 27❑ Stores, mercantile
8 * Private(individual, corporation, 29❑ Tanks, towers
nonpr fit institution, etc.) 29❑ Other — Specify
9 ❑ Public(F deral, State, or
eel gov rnment)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, .g.. f d
processing plant, machine shop, laundry building at hospital, elementary
10. Cost f improvement,,,,,,,,,,,,,,, school, secondary school, collage, 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 $
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❑Mae my(well bearing) 40❑ Public or private company 46• Number of stories................
31 ❑ Wo d from* 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
❑ 50. Total lend area, sq. ft. ...........
34 Other — Specify 42❑ Public or private company
43❑ Private(wall, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL St. Enclosed .......................
35❑ Gas Will there b central air 32. Outdoors........................
96❑ Oil conditioning?. L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Y s ❑ N 53. Number f bedrooms..............
36❑ Coal
39❑ Outer—'Specify Will there be an el water? 54. Number of Full..........
46❑ Yes 47❑ No bethroo me
Partial........
IV. IDENTIFICATION — To b compl t d by all applicants
Nam Meiling eddress — Number, street, city, and State ZIP code T I. No.
1. `
Yb
7 i
Owner or
Lessee
2.
Contractor
3.
Architect or -T F
Engineer
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application dot
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R vi w Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
P rmit or Approval Check QbDa need Number By Permit or Approval Check ObDta ned ate Plumber 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
Bui Iding
P rmit numb r
Building
Permit issued 19
Bui Iding
Permit Fe $^�C
Ap ved
TIT
TOWN OF SOUTH WINDSOR
ry
BUILDING PERMIT
Disc Oct. 20 , 19 86
Fee Paid $. 1.0..0 0 Est Value
Permit No 15484
on the aide of
Miller Road Statiet
Street No. 141
Owner Marion Bradley
Applicant Marion Bradley
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Demolish garage, two sheds
BUnDlNG PE�rr N ' 15484
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Oct. 20 1$6
Xhis to tl� �P1'�t '*� That Marion Bradley
is hereby granted permission to Demolish garage 20' x 20' shed 12' x 171
shed 81 x 8'
at estimated value of $N
on the side of 141 Miller Road Sit on land
owned by Marion Bradley
Said Work to be as described in Application
No. 15784 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Oct. 20 106
'r
T14`�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."
TO THE BUM D INSPECTOR
of fie APPLICATION FOR
PLAN EXAMINATION AND
'1 - BUILDING PERMIT
s
IMPORTANT- Applicant to complete all items in sections: 1, It, III,•IV, and IX. G
ZONING
�• AT (LOCATION)
G• jC. . 0 STR!CT
LOCATION (NO.) (iTRtRT) d 7
OF KTWIEKN AND— -
BUILDING (CROSS STRUT) lCROs! iTR[tTl
LOT
SUMIVISION LOT BLOCK SIZ[
tI'
II. TYPE AND COST OF BUILDING - All applicants complete Parts A - D x
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use rr
1 ❑ Now building Residential Nonresidential
2❑ Addition(l/residential. enter Nssmbev 12❑ Ono femiIV 18❑ Amusement, roereatR nal
/New housing units added. i/arsy, 13❑ Two er more family - Eater 19❑ Church, other religious
in Part D. 13)
number o/units- - - - -► 20❑ Industries
3 ❑ Alteration (See 2 above) 14❑ Transient hotel, metal, 21 ❑ Parking savage
4❑ Repair, replacement or dormitory - Enter nurnber
5 FRj'*`Wrocking (if Rtulti/artily residential. of units ------- -- 22❑ Service station, repair grope
enter Number of wits in building in 15❑ Gwap 23❑ Hospital, institutional
Part A 13) 16❑ Carper 24❑ Office, bank, professional
6❑ Moving (r location) T � +�i 23❑ Public utility
17� Other - Specs/y
7❑ F undation only ,, 26❑ School, library,
C%/G �.l�e , oti+ar educationalB. OWNERSHIP 27❑ Stores, morcentiI*
2 Tanks, towers
A ❑ Private(individwi, corporation, ❑
nonprofit institution, etc.) 29 Other - Specify
9 ❑ Public(F deral, State, at
eel government)
C. COST (Omit tenets) Nonresidential - Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary !
10. Cost f imprevament,,,,,,,,,,,,,,, school, secondary school, college, parochial"school, parking garage for i
deportment 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
o. Electrical......................
b. Plumbing ......................
c.Meeting, air conditioning.........
d.Other(elevator, ate.)............
11. TOTAL COT OF IMPROVEMENT
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Port J, for all others skip t IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
301J
^ 4e. Number of stories...............
Mason►y(wail bowing) 40 CDPublic or private company
31 ❑ Weed frame 41 ❑ Private(septic tank, etc.) 49' Total square feet of floor area,
all floors, based an exterior
32❑ Struetwal stool dimensions .....................
33❑ Reinforced coneroto H. TYPE OF WATER SUPPLY
34❑ Other - specify 42[2 Publicor private cempeny so. Total land woe, 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.......................
36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑Yoe 4S❑ N 53. Number f bodrooms..............
38❑ coal '
39❑ Other- Specify WRII there bi on I voter? 54. Number of Full..........
bathrooms
• •4Ra.❑ Yes �❑ He Partial........
it
IV. IDENTIFICATION — T b comp/ ted by all applicants
Nam Mailing eddress - Number. street. city. and State ZIP code T I. No.
Owner Or �
Lessee �L)eA147 `')e` diet
2.
Contractor J��n e,
3.
Architect or
Engineer
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signatur of applicant A-ddress -77 f � ��' Application date
DO NOT WRITE RELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started A pproved
BUILDING $
PLUMBING S
MECHANICAL S
ELECTRICAL S
OTHER S
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obtained Number By Permit or Approval Checkj ObtOained (dumber 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
P rmit number �02
Bui Iding // 19 Z_
P rmit issued
Building
P rmit F
A ve
OF
t L
TITLE
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date 9/1 919117
Fee Paid $S...0 0 Est. Value ,$MIA►.
Permit N° 16222
on the side of
I11114r Road street
Street No. 141
Owner Edward i Maria.Bernat
Applicant Maria Bernat
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Dwolish Chicken House
BUII.a1NG PERMIT
N° 16222
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. 9/1/ 1987
X#iz to to Tertif-U, That Maria Bernat
is hereby granted permission to Demolish a chicken House
at estimated value of $ N A
on the side of 1 Al M i 1 1 e r Road Street on land
owned by -adwar-d Z D4a r i a 13Q rn a-F-
Said ;T to be as described in Application
No.1 6,5 2 0 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued 9/1 in87
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."
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
NATION AND
AMI
TOWN OF SOUTH WINDSOR, CONN. BUILDING PLAN EXAMINATION PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, and IV. O
�. ��.J ZONING #0 3
I• AT (LOCATION) DISTRICT
LOCATION (NO.) (STREET)
ZD
OF BETWEEN /y F �}S RO AND ` ` Z 8 t'
BUILDING (CROSS STREET) (CROSS STREET)
/�
O LOT jg7 ' X q6o
Q
SUBDIVISION LOT BLOCK SIZE
C^
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D 4
Po
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T
1 CK New building Residential Nonresidential
2❑ Addition(If residential, enter number 12 X One family 18❑ Amusement, recreational
of new housing units added, i/any, 13❑ Two or more family — Enter 19❑ Church, other religious
in Part D, 13)
number of units— — — — -'0'- 20❑ Industrial
3 ❑ Alteration (See 2 above)
14❑ Transient hotel, motel, 21 ❑ Parking garage
4❑ Repair, replacement or dormitory — Enter number
5❑ Wrecking (1/multifamily residential, of units ——————— — -- 22❑ Service station, repair garage
enter number o/units in building in 15❑ Garage 23❑ Hospital, institutional
Part D, 13) 16❑ Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
7 ❑ F undation only 17❑ Other — Specify 25❑ Public utility
26❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
28❑ Tanks, towers
8 ❑ Private(individual, corporation, 29 Other Specify
n nprofit institution,etc.) ❑ — p fy
9 ❑ Public(Federal, State, or
I cal government)
C.COST (Omit cents) WORK DESCRIPTION:
10.Cost of improvement. . . . .,,?: . . . . . . . . . $4%7. L S d V
V 4 '
a. El ctrical �4. . . . . . . . . . aM
b. Plumbing . . . .0. . . . . . . . . . . . � r
c. H VAC . . . . . . . . . . . . . . . . . . . . . a l oc.�J
d. Sprinkl r . . . . . . . . . . . . . . . . . . . . 1� C-INA
e. Garag s. . . . . . . . . .z . . . . . . . . . O00
f. Oth r
Fee:
11. TOTAL $a�,�� (p 0 CO Fee: 3 Tota I: � 6 3
SU U � /
III. SELECTED CHARACTERISTICS OF BUILDI G — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPLE TYPE OF CONSTRUCTION G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
40❑ Public or private company �• Number of stories.............
30 ❑T 1: ❑A ❑B 49. Total square feet of floor area,
YP 41 Private(septic tank, etc.) all floors, based ontL/fO
31 ❑Typ 2: ❑A El ❑C
dimensions .....•
32 ❑T 3: ❑A ❑B H. TYPE OF WATER SUPPLY aa.J /A� /�
YP 50. Total land area, sq. ft. a.7 Ks�Q , QSO
33 ❑Type 4 42❑ Public or private company
YP 43 r:�q Private(well, cistern) K. NUMBER OF OFF-STREET
34 ❑Type 5: ❑A ❑B PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed .......................
35❑ Gas Will there be central air 52. Outdoors.......................
36® Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44 0 Yes 45❑ No 53. Numb r f b dro ms...... '�......
38❑ C al
39❑ Other— Specify Will ther be an elevator? Full....1r.....
54. Number f
46❑ Yes 47® No batter oms
Partial.A.....
IV. IDENTIFICATION — To be completed by all app4carits '
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
. ONq�-Q c3-EAF) 14 Z/ kI A)G S i s. `✓�n�oso,2 ci p�6o7y� Z •04S8
Owner or
Lessee M S t�7RIv Q-r 78o
2.
Contractor
3.
Architect or
Engineer
The owner of this building nd the un ersigned agree to conform to all applicable laws of this jurisdiction.
Sig r of app ' nt Address Application date
-7 dC/
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Obtained Number By Permit or Approval Check ObDained 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 / �� 9 7
Permit number
Building
Permit Issued ! 19
Building
Permit Fee $
Approved by:
J�
TITLE
R
Permit # /7/q 7
Electrician # /d 7 ?-,�
Heating Contr. # 1050
Plumbing It # YaP-96
Oil Burner #
Certificate of Occupancy # / 7/ 7tQ--(
Sewer Permit
FI-O i RZIVAJ A��o ICJ /OS J:�57 e eWf
REP
Permit # INSPECTION �'i"rG�� �"i9M,►..�
ORTt-r�L
Job
1 Footing E� SOT
2 Foundati�
3 Framin
4 Wiring
5 Plumbing
6 Heating
v
8 C.o. I 7
CERTIFICATE OF OCCUPANCY CHECK LIST �/ �� 4 -a t1 4
• Ed & &ria Bernat Certificate of Occupancy 2D
Applicant i er Roa Bldg. Permit No. 7 /47
491
Address
Lot No. Date Submitted - -
Project Reviewed By
Date
As required in the Zoning Regulations, no certificate-of-occupancy
shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall
inlcude:
Approved Denied N/A
1. Approved building permit plan.
2. Finish grading per approved
building permit plan.
3. Site work; i.e. trees, shrubs, dumpsters,
required parking
4. Utility location
a. sanitary sewer
b. foundation drain
c. electrical & telephone
d. water
e. other
5 . Appropriate certification
6 . Banding
r
Sewer Permit No.
Pavement Excay . No.
COMMENTS: '4�
d
DATE ` Lshq
INSPECTOR
LOCATION 1 402le 67/
TIME 1' W DAY
TYPE OF INSPECTION :
❑ FOOTING ❑ PLUMBING
❑ FOUNDATION ❑ HEATING/AC
❑ FRAMING ❑ ELECTRICAL
❑ INSULATION AFINAL
❑ OTHER
Aep 4UG 00%f
i,,ne
wrwa yfa5 w*r %'M."W •'W.vy+f,"^' '�yw'°akw..4/p,:werrriM* !�''+ewN'w+rh'v.+."w.aaa�+rns.,yr"'."^'.r^
BUILDING INSPECTION DEPARTMENT
SOUTH WINDSOR, CONNECTICUT
FEE PAID: $3.00
CERTIFICATE OF OCCUPANU
ZONE: DATED 4/1? p 19 91
This is to certify that 141 Miller Road
Erected under permit No. 17197 conforms substantially to the requirements of the building ordinances and the
zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below.
Approved for Occupancy— New single lily dwelling -- toot #18
Use Gr up: R4
C nstr. Type: 58
r Building Official
Notice:If this certificate is lost or destroyed, a duplicate shout obtained immedlately from the Building Department.
Any change or extension of the use herein approved requires a new certificate of occupancy.
.r „Y _ .�"iLk'1!';ny�- :^..tSk=P .ti s..:.,n �.5:•:.,.� , ...i.,. _ R, -! .«,n ,. .., . - , ,w ., .
BUILDING PEP,11IT CHECK LIST
Applicant Bernat Building Permit I-6.
Address 141 Miller Road Date Submitted - -88
Lot No. Reviewed by
Project Date
In accordance with the Subdivision Regulations, prior to the building of
any structure on a lot, a Topographic Plot Plan shall be submitted for
approval. The minimum requirements shall include :
Approved Denied N/A
1. Name, address & phone naer of owner/
applicant.
2. Name, address & phone number of plan preparer.
3. Zoning information - i.e. zone, open space,
floodway, etc.
4 . Plot plan at 11' = 4-V scale.
a. Subdivision reference, abutting
properties, etc.
b. Easements of record.
c. Lot description, bearings, distances,
building lines, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate.
e. Building location with dimensions.
Elevations of proposed finish floor,
�y garage floor & center line of road at
driveway.
f. Elevations of gravity drainage systems,
sanitary & foundation drain at the
house and the street.
g. Tentative utility location gas, electric,
water, etc. --
h. Title block with name and address of
preparer, date appropriate certification,
live seal and signature.
5 . Sedimentation and erosion control.
6 . Special Planning & Zoning, Inland/Wetlands
considerations. (Plans on file w/Town Clerk)
BUILDING DEPT.
PZC
IWA/CC Vft.-W
WPCA
OTHERS
COMMENTS:
PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR
APPROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
Date Building Inspecto
Applications must be printed or typed.
I. LOCATION OF JOB
14/ c12 . k 42
FEE SCHEDULE No. S
Floor NO.
S O - $19000 - $10.00
Over $1,000 - 2. OWNER �=/)�!� ��=a2'r�•�}� j
�10.00
per 1,000 or
fraction thereof 3. ADDRESS 76?/ 4.),, Ok°
i
4. APPLI CANT
5. ADDRESS 7:,1/
i
i
ACTUAL COST $ FEE $ 6. ESTIMATED COST $ 0,
ESTIMATED COST $ FEE $ 7. IS THIS A CONTRACT COST? [Q YES- Q NO
FILE COMP. BY BALANCE $ 8. FEE ENCLOSED $ j
9. WE OF BUILDING:
RESIDENTTA'. I3 CO1rL,iERCIAL
10. TYPE OF Joel:
0XICtNAL ALTERATION
INSTALLATTO N .- ADDITION
REPAIR
APPLICATION FOR ELECTRICAL. PlEft 'r(Continued t ccm xeverse Side)
JOs
11. LOCATION 6T l NO. STREET FLOOR APT. NO*
12. TYPE Or INSTALLATION �L _
*13. SIZL OF MAIN FEED!
14E. NO. OF LIGHT LOOPS S 15. NO. OF HEAT LOOPS 16• NO. OF POWER LOOPS
17. N0. OF LIGHT OUTLETS_ /d 18. NO. OF HEAT CIRCUITS `Z- 19. NO. OF P%''ER ours l"S_S-
M
20. No* OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22. NO. OF POWER CIRCUITS_
23. NO. OF LIGHT CIRCUITS_ 24. SIZE OF HEAT CIRCUITS 20 25. NO. OF ;11TORS
26. N0. OF PANELS _ 27. TOTAL WATTAGE 28. NO. OP POWER PANELS 91oo ArL
29. N0. OF SWITCHES 30. A/C LOAD 31. SIZZ OF PgfMR FEEDERS
i
32; N0. OF FIXTURES 33. TOTAL HORSEPOWER��
34. NAMES OF SUBCONTRACTORS AND THEIR TRADES
o /0 y y /V 4,FiZ
35. REMARKS AND FURTHER DETAILS:
�J
�a
LICENSE)NO. 'f SIGNATURE OF APPLICANT DATE
` PHONE NUMBER:-
7 ool 41—
PERMIT NO.
DEPARTMENT DECISION A P P L I C A T I O N F O R
APPLI ATION IS HEREBY: PLUMBING PERMIT
APPROVED DISAPPROVED TO OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
644-2511 Ext. 230
DATE ING INSPECTOR Application must be printed or typed.
1. LOCATION OF JOB:
1.e.1/ Inl4Zee le.6
2. OWNER: S,dW1ge,6 $ :X_ NET
3. ADDRESS: 7,;L/ klAl,(: Sr
FEE SCHEDULE s0. LA/1N�Sl�,e Ci� oeeD7�
0 - $1,000 - $10.00 4. APPLICANT:
Over $1,000 - $10.00 5. ADDRESS:
per $1,000 or
Fraction Thereof
6. EST. COST: $ o '�
7. IS THIS A CONTRACT COST? YES NO
8. FEE ENCLOSED: � oxw; �#r 7/97
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB: AZ// M/LLc-7Z Ad
GENERAL PLUMBING
12. KIND OF INSTALLATION: Ale 13. SIZE OF MAIN DRAIN r
14. NO. OF TOILETS J!" STYLE T,✓,K 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS__ 16A. NO. OF SHOWERS 1 17. NO. OF LAVATORIES
18. NO. OF SINKS_ 19. DISPOSALS_ 19A. DISWASHER f
20. NO. OF CONDUCTORS aZ SIZE 'y ' 3` 21. NO. OF STACKS _SIZE 3""
22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES 7_ KIND f "//-/heeAe0L j-.1,8
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? rC s
27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 1W11 F,t'f�i9�f� /�!' Di✓� y�-�3 1�
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK? ���/G
r
31. SIZE OF WATER MAIN / 31A. SIZES OF WATER PIPING & RISERS /0 ;� 3/io(
32. REMARKS AND FURTHER DETAILS
WATER HEATER
33. TYPH(a3 40 GfiS `/,ec'-b 34. MANUFACTURER �ID.e�Gd
TANKS SAFETY DEVICES
TEMPERATURE
35. CAPACIT-f-2) p G,¢LLDA) 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE V
38. TYPE 42. MANUFACTURER
/-/9-- P9
LICENSE NO. DATE SIGNATURE OF APPLICANT
PHONE NO.
4,,
��' 14�q'x7li'P1�Qi,,+Rey ":i' .Fi: '.i�-gin, ,�' - ;e' s :F. 'fir- _ •
h � ;,4'. � , .,.i:3"•s• a-*{, "; d , - _ _ y��"-s:,7' has _ r _ •
AVURUE
41
-00
LO ATIMCbF BUILDING' . F " rec�
ADDRESS TOWN . PHONE NO,
HVAC C0�M TOR ADDRESS TOWN PHWE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL
A/C COMMERCIAL
VENTILATION BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR
UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM GAS IN-PUT&f ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE��°F INSIDE�°F DIFFERENCEgo _ °F •�/� 6�0
TOTAL HEAT LOSS (BTUH) 1 2&175r (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPIP (INCLUDING MAKE & MODEL NO.) :
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE �;,t,5'°F INSIDE >,5—°F DIFFERENCE ��F
TOTAL HEAT GAIN (BTUH) '7� &I ,Z
(HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.) :
A�,d Y e� 6,v,/Cfi75,%! 3rO9I� Aell 6o47' ,i o s. t
TONNAGE COOLING CAPACITY (BTUH) 7 , �j�'�
IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT) :
TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM)
(PLAN MUST ACCOMPANY APPLICATION)
The undersigned hereby applies for a permit to perform the following work and is to comply
with all local ordinances and State of Conn. �BAuilding Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK: Z;7 4 I 17fW4 / 19aal 00/7r
STATE LICENSE - N & TYPE # DATE SIGNATURE OF A
AP R D DATE
BD 4A 11/88
I - B- R CALCULATION SHEET 1503 (Mod rn Method) Copyright 1977 by The Hydronics Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.8 COL.C COL.D COL.E COL.F COL.G
11 ROOM
Q
O
H L W H L W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS, FT. ~
U BTUH pwF tof
3 LENGTH EXPOSED WALLS,FT. Q Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA U.
STUN BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION
ROOM LIN.FT.OF
(Table 9, Line 3 x H) TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
(Bottom of table used for Line 5) xf
7 CEILING CONSTRUCTION
C
(Table 9 L x W)
B FLOOR CONSTRUCTIONt D—
(Table 9, LxWorLin Ft) E
9 COLD PARTITION CONSTRUCTION F
(Table 9, L x H)
10 -C 1 Wall(With Openings) C
H
c e 2 Walls(With Openings) -X
e J I
3 Walls(With Openings) or Ent Hall
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K
COL.A COL.B COL.H COL. 1 COL.J COL. K COL.L TOTAL BTUH TOTAL
- - ----- -- ----------- ---------- ------
- ------- ------------ - - - - - -_ --- - -- OF BUILDING RADIATION
1 ROOM a: _ AT SELECTED
' O H L W H L W H L W H L W H L W DESIGN TEMP.°
2 ROOM DIMENSIONS. FT DIFFERENCE
3 LENGTH EXPOSED WALLS, FT Q
4 WINDOW AND OUTSIDE DOOR AREA U.
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION *INCREASE BATHROOM
(Table 9, Line 3 x H) TOTAL 20%
6 TYPE OF GLASS -- --------- ---- --- ----- ---- ----- ------ ------- --
(Bottom of table used for Line 51
-- - -- - - - ------- -- - - - - - tFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION GROUND OR FILL AT
(Table 9, L x W)
_ _ GRADE LEVEL,USE LINEAR
g FLOOR CONSTRUCTION? FEET OF EXPOSED EDGE
(Table 9,L x W or Lin Ft)
9 COLD PARTITION CONSTRUCTION
(Table 9, L x H)
10 c 1 Wall(With Openings) -- - C —
=0 e3
e 2 Walls(With Openings) G X -- - - -
eJ
3 Wells(With Openings)or Ent.Hall H
11 TOTAL BTUH AT 70F TEMP DIFFERENCE*
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
This form is available fr m The Hydr nice Institute,35 Russo Place,Berkeley Heights,N J 07922 FORM 1503
Verify that airflom calculated is compatible mith
selected equipment requirements. ***
'
'
/
'
. .
***************************************************************************
Room Heating Heating Cooling Cooling
Name BTUH CFM 8TUH CFM
_--------
FOYER 6, 526 91 2, 032 103
-iving Room 31931 55 1 , 626 82
IASTER BEDR00M 99978 140 31092 156
1STR BATH AREA 8, 105 113 2, 762 140
-I8RARY 31230 45 11206 61
�amil� Room 151473 216 69955 351
5REENH0USE 31 , 476 440 22, 289V/ 1 , 126
(ITCHEN/BRFST 9, 425 132 9, 153 462
'AV/LAUNDRY 4, 968 69 1 , 849 93
^�
)ining Room 41561 64 1 , 2O7 w' 61
'edroom 1 81733 122 67778 342
'edroom 2 91272 130 67975 352
EDR00M 4 6, 251 87 21514 127
edroom 3 61251 87 2, 514 127
128, 179 11793 70, 952 3, 583
EATING DELTA T 65. 0 C00LING DELTA T 18.0
� ���� �� »�� &� x � x�&�
���� ������ �� ��� �� �� ���
� � ` . v
,°
000
NOTE: *** Calculated Airflow is based upon load requirements.
—
�
.��.
`
SUMMARY REPORT
Prepared For : Prepared By:
R AND K SHEET METAL KEITH
12 Main Street P0RTLAND WINAIR
MIDDLET0WN , CT 06457 Job Name: R AND K
***************************************************************************
DESIGN C0NDITI0NS
0UTD00R IND00R
SUMMER WINTER SUMMER WINTER
Dry Bulb 95 -10 75 68
Wet Bulb 75 60
Daily Range 22 Daily Sming 3. 0
Latitude 41 Elevation 15
Safety Factor (%) 10
- ' - Latent Factor (%) 27
•Bectric# _1622i APPLICATION FOR BUILDING PERMIT
Plumbing# 141 DILL_ER�RQAa
WAC # Date: Lt - Zq —`\
Sprinkler# No. 26050
FINAL APPROVALS Estimated Cost
Building COMPLETE RED BOXED AREAS Permit Fee $ /3 Z
�Wni"g TYPE OR PRINT ONLY Occupancy Fee
'�'d S —
°"'t SIGH ON REVERSE SIDE
Appr.for CO. Total Fee
TO BUILDING DEPARTMENT,TOWN OF SOUTH WH)SOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant _ _ C _ Tel# goc� - 'fig 'k. ^ 2 SS' S
Addr ss Ut 1.Aw-e_ ` R c� Zip o 6 3 Q Lic#_ �&S' (o k. �-
Owner `C� q Address
Architect Address
Sq.Ft.N w Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: 'F w <%,4
City Water ❑ Well ❑ Septic System 0 Sewer ❑
Ins. H.O. S.P. V Cert._ Area Basement Garage
Approved by kc-, Date Use Group Construction Type b
ReYW 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 ich this building and its use is allowed.
-*Signed
AD�-
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed L2,Q_t A
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
99-26050-B 11,000
B03 FRAMING (ROUGH) 05/06/99 JFF A WITH CONTRACTOR
E03 ROUGH 05/06/99 JFF A
B04 INSULATION 05/11/99 JFF A WITH CONTRACTOR
B09 OTHER 06/23/99 JFF A NOTIFIED TODD KENNEDY AN GARDINER ELECT THAT
PERMITS REQUIRED ORIGINALPERMIT CANCELLED
B10 FINAL 09/11/00 JRC CLOSED OUT WITH LETTER.
99-16224-E 4,000
Iotant Construction Services
! 888 3iWer Lane
Box 380410 l�}�
East tlArttQro, CT Q0138 LAM 2 1 1499
1400.3934555
South Windsor
BUILDING DEPARTMENT
mfy-j
(�ric�
w � �
J
V
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 'IT,
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPR VE 1540 SULLIVAN AVENUE z fmo so
ko— 644-2511 ext.230
-qLlq� si .
Date Building Inspector Application must be printed or typed
Location of job
StreeStreet No. Street Lot No.t]N
t
1 0
FEE SCHEDULE jiii
Floor Apt.—No.
$0 - $1,000 - $12.00
Over $1,000 F
$12.00 per$1,000 OWNER TV\(I C
or any fraction thereof
ADDRESS
OWNERS PHONE#
APPLICANT
1�Ile
OWN ADDRESS crr 6 44 0
40%
(c,
< r
Ck- CA
ESTIMATED COST$ qo()C)
IS THIS A CONTRACT COST?
YES NO
FEE ENCLOSED $
OR-Co TYPE OF JOB:
Original Installation
Alteration/Addition Repair
Revised I V95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
-'4* 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
L S f3 Pf S
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. n
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
PHONE NO. �� r35'� 2 S DATE \t "Z� 'c� 1
E1^ctric#. 9 141 MILLER R0ADAPPLICATION FOR BUILDING PERMIT
Plumbing# Date: ay,`lc1
WAC # No. 26260
Sprinkler#
FINFa
R Estimated Cost $ 2�6
Buiidi 99 COMPLETE RED BOXED AREAS Permit Fee
TYPE OR PRIM Occupancy Fee $
T ONLY
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. s 4" Jam— Total Fee S
TO BLALDM DEPARTMENT,TOWN OF SOUTH WWSOR,CT CAdditional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location_ _�_ 9/ )W l e&a Lot No. Side of Street Zone
Applicant I-Jv Go Tel# 7y2 Z S N
Address Zip by0 3�;— Lic.# v a
Owner ant!a- ct,41"Ld Address / --7 3 Z
Architect d s Kw a, Address
Sq. Ft.New Area: 1st FI. 3 DQ&0 2nd FI. 3rd FL Total New Area
#Rooms #Lavatories -�� #Bathrooms #Garages =--
Purpose of this permit: Te C c t rcrerc s-r"r0
CJ�AC f� iZ1 �'S-ee G-v�KCL1
City Waterp Well Septic System EX Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Off--- Date 4 n Use Group 1?`( Construction Type
Revised 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 thi
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 allowed.
Signed
I hereby apply for a Certificate o ccupancy for the work described in this application for the permit.
-)C Signed ::�
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
99-26260-B 2,000
B10 FINAL 08/19/99 JFF A WITH CONTRACTOR
APPROVED FOR CO & CLOSEOUT
99-16379-E 2,000
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERT#
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT B #
APPROVED 1540 SULLIVAN AVENUE '
4 T / 644-2511 ext.230 r 0
Date Building Inspector Application must be printed or typed
Location of job
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
$0 - $19000 - $12.00
Over $1,000
$12.00 per$1,000 OWNER —^uej
or any fraction thereof ,
ADDRESS
OWNERS PHONE#
APPLICANT ` IA-4 4-t N ��'''�LG-1'�an► �t/i�t d 'J� o hrstc
W N Ste'' ADDRESS 91 Y u�AS G �O
5or cy-k +/y t A)Q.soR, ?`' BGo 7(/
C� ESTIMATED COST$
.49
C f IS THIS A CONTRACT COST?
YES NO
l� C1 FEE ENCLOSED $ ,Z z
�SQR��Q� TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
Revisod IIM
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATEDMQTH A
RESIDENTIAL BUILDING PERMIT APPLICATION NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY d E c
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/<IED
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES 2d NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES
NUMBER OF HEAT CIRCUITS 7 NUMBER OF A/C CIRCUITS
SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED,
DESCRIPTION OF WORK
s'4.11 0,7`c �D
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.
f F-3 6 8�-
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
PHONE NO. ��S ((`t�' DATE �"-
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing it 141 Miller road
`� Date: l01
HVAC #
No.
Sprinkler#
FINAL APPR VALS Estimated Cost $
Building �D/ COMPLETE RED BOXED AREAS Permit Fee $
i� TYPE OR PRINT ONLY Occupancy Fee
Affidavit SIGN ON REVERSE SIDE
Ate.for CO. Total Fee $
TO BUILDING DEPARTME214,TOWN OF SOUTH WlN1DSOR,CT (Additional Cost)
The undersigned hereby applies to do work according to the following specifications:
Job Location 1 ti l / tr (--C.>Ctj Lot No. Side of Street Zone
Applicant — C L Tel.# 502 S;--{ 6 G c�
Address Zip o G/oS�--' Lic.# S O&t /
Own r 4LC4,C2, C- .z W► v Address S�
Architect Address
Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd FL Total New Area
#Rooms #Lavatories #Bathrooms #Garages�e Purpose of this permit: � S ` Tf-`'✓ �/� Tt l/
yC'
c
City Water ❑ ell ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Qrt. Area Basement Garage
Approved by — Date ! 'OCR Use Group Construction Type
Rwiad 1/97
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 jhe proper d' ce all street lines,side yard lines,and required
distances from all other zones and is located in which this ilding and' Ikiwed.
Signed
I hereby apply for a Certificate of panty for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-27513-B 15,000
B10 FINAL 09/14/01 GRM A
B10 FINAL 09/17/01 GRM A CLOSED OUT.