HomeMy WebLinkAbout1139 Main Street (4) 7119 A
ELECTRICAL APPLICATION
Application No. 8133
on the side of
Main Street
Street No. 1139
Owner Russell Levack
Electrician Paul Tranchina
FILED IN OFFICE OF
The Building Inspector
May 15 1980
INSPECTION.
93),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.
Gj
APPLICATION FOR PERMIT TO DO ELECTRIGAI. WORK.
No. ..8.1.3.3............
Permit No. .. ...7119.. .......
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. �c��`'s
South Windsor, Conn., ^.C 19.rign here .G�,� .
Address O.. r .. ............
Location / /.J.. ...... S 7 Side of .. . ... .. ....... ...... .........................
Nature of Building How many stories ... ...Z'......... ........................................... .................
New or old Building ... . ... . ......... How many families .. .....t..............................................................................
Kind of Installation ,S.'e'/- /j —.."a eV.-m How many Stores ... ...........................................................................................
Owner ,�r/5. L............ 46Jr .. ............. ....... .... ... Address ..... ........... ........... ................................__..............._..............._......
Architect ........ ....... Address ... ................ .... .. ..................................................
__..__....._....._._....
Builder �..J... / '.].� �.i. .... Address . . ...... . ............. . ................_/_�._........_..........
Electrician ,N". .(.............U•...•.......-7-49 *.�/!!'l Address"�? ..C..�aF....i±�...f..,�._.L................. .�...w ...
Size of Main Wires . ........n... .....4 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 ................. .........
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 ..............I.. .. ............ ...... 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 ...... ............. ....... ........... ...... ....... ... ... ..
.�....i"l... ' .
Remarks: For other kind of Installation ...... ............ ...... ..... ���
.......G.24 q...................................................................................... ................_.............................__........................................................................ ..... ...... .. .......
............................................(/..................................................................... ........................... _............................................................................................................ ........... ... .. .. .
......................................................................... ........... ....... .... . ..................................................................... . ....... ................... .. ..... .......... ..
....Estimated Cost .. .. ..� ........"••'..............
Y y
DATE : /Q-20-9 2
APPLICATION -FOR HVAC PERMIZ
TOWN OF SOUTH WINDSOR �E• ��T' g30
FOR OFFICE USE ONLY 1540 SULLIVAN AVENUE q,
(NOS SOUTH WINDSOR, C7.06074 FEES: Z(t_
BLDG. PERMIT NO. � $ 0 -$1000 - $10.:00
644—2511 -EXT.230 $1000 or fracti n
LOCATION OF BUILDING 113� YYIQ-f�J S.�'`f $10.00
Cam• thereof -
mwsm�
ADDRESS TO PHONE NO.
OWNER
bov a PHONE so.
CONTRACTOR ADDRESS.
TYPE OF SYSTEM: HEATING �C_ TYPE OF BUILDING: RESIDINTIAL�.
A/C CO
TIO= BUszNas
INDUSTRIAL
IF HEAT'IItG: STEAD LOW PRESSURE LIriI LBS. RIGR PRESSMM LIM LBS•
- SYDRONI= WAM AIR --
UNIT RADIANT REATER(INCLUDING WOOD/COAL BUNG STOVE)___
TYPE OF may; on-am GAS 12-PIIT ELECTRIC M_
WOOD =
OIL TAN[ - SIZE i LOCATION:
ODUTSIDE__ CJIPACITt,�_
LPG TAM - CAPACITY.. DITIONAL ItADIATI TOTAL ��.
MST= HADIATI
DESIGN TEMP. OVISIDB__ F INSIDEHEAT LOSS SSEE? MAST ACCOI'lPAi�! APPLICA?IOI�
TOTAL LOSS (BTU)
DESCRIBE ALL SEATING EQUIPMENT (INCLUDING MAIMi MODEL NOS):
GROSS SEATING CAPACITY (IN1=-BTUR) O 'er NET RATIRGo(0 -B?�) oF
IF AIE CONDITIONING: DESIGN TEMPS OUTSIDE_�F INSIDE__ F D
TOTAL HEAT GAIN (BTUR)
(VT CHIN SS SET MUST ACCMVANY AFoT.ICATIOb)
DESCRIBE ALL COOLING EQUIPM W (mC unc MAEE i MODEL NO.):
TOtfl�A�CE COOLING CAPACITY(BTUS)
T
ON: DESCRIBE ALL AI�t-8A1fDLIpG EQUIPi�N (INCLUDING I�ITCiEN _ EQUI�T)
IF QEMiTII.AT'I
TOTAL SIZE OF SYSTEM (CIM) FREES AIR MAKE (C1R'!)
(Pa xwT ACCOIpANY APPLICATION)
applies rk for a permit to perform the following Wo and is
The undessiped he to
seb� lies
c 1 with all local ordinaacss and State of Coca. Building Codes in the pest smance
�P F
f such work.
FURTHER DESCRIPTION OF WORK: --1-
�5;40 v�
47- g
TATE LICENSE-NAME: & TYPE
S AP LICANT
P
1 rj
{j
I =B= R CALCULATION SHEET 1503 (Modwn Ifiethod)
Copyright 1977 by The Hydr nits Institute
A06RESS DESIGN TEMPERATURE DIFFERENCE F. DATE
OWNER
COL.A COL.• COL.C COL.D COL.19 COL.F COL.•
PF t,l
O'� H L w H L W H L W H L W H L W Design Water Temp.
` STUH per Feet of
IMENSIONS.FT. UR.dleuew ss+.sw
EXPOSED WALLS.FT.AND OUTSIDE DOOR AREA
BTUH STUH STUH BTUH STUN
ONSTRUCTION ROOM LIN.FT.OF
TOTALS RADIATION
(Table 9,Line 3 x HI FROM LINE 12 SELECTED
6 TYPE F GLASS
IB ttorn f table used for Line 5)
C
7 CEILING CONSTRUCTION
47 able 9.L x W) D
S FLO R CONSTRUCTION? :r [
(Table 9.L x W or Lin.FL)
F
9 COLO PARTITION CONSTRUCTION
(Table 9.L x H) G
10 _Q 1 Well 1WithOpenings) �; H
e V�ww--8-1111
s(With Openings) X•twlth Ovningsl or Ent.Hall 1- J
11 T TAL BTUH AT 70F TEMP.DIFFERENCE* K
12 TOTAL STUH AT DESIGN TEMP.DIFFERENCE L
COL.H COL.1 COL.J COL.K COL.L
COL.A COL.S TOTAL STUH TOTAL
OF BUILDING RADIATION
AT SELECTED
I ROOM 1f
O; H L W H L W H L W H L w H L W OESIfiN TEMP.*
OIFFERENC[
H
2 ROOM DIMENSIONS,FT. U
3 LENGTH EXPOSED WALLS,FT. <
WINDOW AND OUTSIDE DOOR AREA
BTUH STUN STUN STUH STUN
•INCREASE BATHROOM
5 WALL CONSTRUCTION TOTAL 20%
(Table 9,Line 3 x H1 _
6 TYPE OF GLASS
(B ttom Ot table used for Lin@ 5) tFOR CONCRETE FLOOR ON
AT
7 CEILING CONSTRUCTION GR FILL
GRADE ROUND L LEVEVEL.USEE
LINEAR
(Table 9.L x W) FEET OF EXPOSED EDGE
• FLOOR CONSTRUCTION?
(Table 9.L x W or Lin.Ft.)
9 COLD PARTITION CONSTRUCTION
(Table 9,L a,H) �
� O .
10 _ 1 Well IWith Openings) .;
i 2 Wells(With Openinsd eX
>: 3 Wells(With Openings) r Ent.Hall
r
11 TOTAL STUH AT 70F TEMP.DIFFERENCE*
12 1 TOTAL STUH AT DESIGN TEMP.DIFFERENCE
FORM 1503
This form is available from Th Hydronke Institute.36 Ruea Place.Serkeley Heights,N.J.07922
/v/z j/�fe- F12,f
INSPECTION REPORT
Permit # j/pc ILL
Job Af
1 Footing AA -
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 HeatinZ� f'f y -C h
7 Lathing
8 C.O.
GIBRALTARO (Model CFI) The GIBRALTAR with a The GIBRALTAR with 1
The STANDARD in Coal/Wood Fireplace Inserts CoaUWood Grate a Wood Grate
The Gibraltar produces from 27,000 ,
BTU's to 70,000 BTU's per hour enabling you Coal and Wood Burning Versatility __,
1110
to heat up to 20,000 cu.ft.in an efficient, Why a combination unit?Coal gives a long —�
economic and elegant manner.* steady burn that wood cannot duplicate.It is
•Air tight,plate steel,solid welded easier to handle,easier to store,requires no
construction seasoning,and leaves no creosote residue.On
• Designed to burn coal and wood the other hand,many people outside the met-
• Long burn time:up to 30 hrs.with coal; ropolitan areas enjoy an abundant supply of
overnight with wood inexpensive hardwood.Also,there are many .% -
• Large ash pan with folding carrying handle occasions in the fall and spring when you don't
• Unique air wash system for glass need a long burning coal fire—when acrack-
• Installs easily into most masonry fireplaces ling wood fire is exactly what you want.
• Thermostatically controlled blower system Whether you select this Gibraltar with the 96
available lb.cast iron shaker grate for burning both fuels
1.Convection Chamber 7.Primary&Secondary
• Adjustable shields in three sizes or the 50 lb.cast iron grate for wood burning, 2.Coal Grate Air Ports
• Choice of traditional black or light metallic you are investing in a superb heater. 3.Ash Pan 1.Convection Chamber 7.Primary Air
brown finish
8.Air Wash 2.Wood Grate 8.Air Wash
Handcrafted Beauty 4.Baffle 9.Air Vanes/Heat Exchg. 3.Ash Pan 9.Air Vanes/Heat Exchg.
• 15 year limited warranty Enhanced to Your Individual Taste 5.Damper 10.Coal Banking Plate 4.Baffle
Economical Sensible Heating Beautiful cast iron doors have been hand 6.Firebox Coal cap.85 lbs.(nut/pea) Log size 20"
5.Damper Weight 550 lbs.
This is an ideal fireplace insert for heating a crafted by a master pattern maker.Each comes Weight 650 lbs. 6.Firebox
medium size home or condominium.We share standard with high impact ceramic glass tested
your concern of rapidly escalating conven- to withstand 1400*continuous and 2000*inter- Super/Flo
tional energy costs,as well as your desire to mittent operation.The etching of the glass, Convection
provide the security of a warm home.This medium shield&trim,and solid brass hinge
Gibraltar is a proven product developed to pins are also standard.A thermostatically
economically meet your home heating controlled,variable speed,dual blower system ———— ——
requirements. and hand polished solid brass doors are avail-
Efficiency through Super/Flo Convection able options.Incidentally,your Gibraltar in
most cases will extend only 7"from the face
This airtight Gibraltar fireplace insert allows of your fireplace. 23s/4" 23W
you to transform your masonry fireplace and Your Investment is Built to Last j
flue into a real heating device while not sac-
rificing living space.Overall efficiency of in Only the finest plate steel and gray iron cast-
9 is determined by the factors of controlled ings are used in the manufacturing of Gibral- — ——
combustion and heat transfer ability.Your tar inserts.Engineering is so precise and qual- Fes—30V2" 24" —�
Gibraltar excels in both areas.The arched cast ity control so rigid that movable parts can actu-
iron door seal frame uniformly compresses the ally be interchanged.Except for periodic paint
fiberglass rope in the door to insure that com- touch up,your Gibraltar will be virtually i
bustion air is always under your control.A maintenance free. 11 Front Elevation Side Elevation
plate steel baffle,internal cast iron damper,
and firebrick lining further squeeze precious Authorized Dealer:
BTU's from your fuel for optimum combus-
tion efficiency.Secondly,Gibraltar presents state of the art"Super/Flo Convection"to Shields:MED.42"w x 32Y4"h LG.48"w x 33V4"h EX.LG.54"w x 37y4"h
maximize heat pick up and transfer to the
living area.This is achieved by the carefully PHELPS & SONS, 1 7,`^ Minimum Installation Clearances..�.
engineered steel convection chamber which Height• Width • Depth Top Elevation
1258 HARTFORD TU►:�1�^i:1fZ "
completely surrounds over 2000 sq.in.of heat
radiating firebox surfaces.Eight methodically VERNON, CT C-300:,3 shielda
designed and positioned air vanes/heat (203) 871-21 18 —exchangers welded welded to the firebox assist in heat
production and transfer.Super/Flo is further Flue 5t/2"x 7'/z" f
increased by the optional blower system. '
31" � 24 24„ 16„
*These ratings can vary depending on quality,type and condition of fuel as well as Mfg.by:J.A.B.Heating Co.,Ltd.
architectural design,construction and regional location of your home.Specifi-
cations and materials subject to change without notice.This Gibraltar Model CFI 2000 Erie Blvd. East 12t/2" 12t/Y"
has been tested to Underwriters'Laboratories Standard 1482 and Proposed Stan- Syracuse,N.Y. 13224 ——
dard 907 by Arnold Greene Testing Laboratories,Inc.,Natick,MA 01760.U.S. (315)476-1926 �`— —30t/y"—^
Patent#DES 276,180.We wish to express appreciation to the Manor House,
Dewitt,N.Y.for their cooperation.
e !UIBRAL I Au%,� Coal/Wood Fireplace Insert
1
afi
.1E F4 1
FINAL INSPECTIONS:
Building /a� �/'� APPLICATION FOR BUILDING PERMIT
Plumbing
H nkler 1139 MAIN STREET Date:
Electric Estimated Cost $ �j
Zoning Permit Fee $
Affidavit NO. 18 Occupancy Fee $
Dept.Fire COMPLETE RED BOXED AREAS.
Fire Dept. TYPE OR PRINT ONLY Total Fee $
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant _ff � Myer Tel. # -
Address 11� A(41� S/- VD'401A)Mae CT Zip C&O Lic.#
n STREET D � CITY STATE
Owner /L�/(Jq �/rnti%� ,rL J 6.) A��ddress SA-�1c
Architect — Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit NDl-i?7A7(J — �lSN1�1�'?L� ,Q-A) 04D j6AAA/
City Wa er ❑ Well ❑ Septic ❑ Sewer ❑
Approved by Date Zd l S-1:�� BD1A 11/88
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 ' nd required distanc s fr all other zones and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in t application for permit.
Signed
—DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
B ding-Z,INSPECTIONS: APPLICATION FOR BUILDING
��z��� � C HERMIT
Plumbing
HVAC Date:
Sprinkler 1139 MAIN STREET
El ctric Estimated Cost $ r�i 6_17
Zoning Permit Fee$ !Q'
Affidavit NO. 18136 Occupancy Fee $ ?_
Eng. Dept.
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $
Health Dept. TYPE OR PRINT ONLY
Approved for CO: r If f"� �, SIGN ON REVERSE SIDE. (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone :
Applicant J-0�z N 4- Tel. #
Address 113 q 14441A) ST 15 �0/IJad& 677 Zip 040 jA_/ Lic.#
S111F ET CITY STATE
Owner JCL iN y ...� 4fAft-T -Address—
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit
CiV Water ❑ Well ❑ Septic ❑ Sewer ❑
Approved by Date A" -�' BD1A 11/88
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 th Building Inspector of any alt ration in the plans or specifications of th Building for which this p rmit is asked,and agree
that this building is to be located the proper distance from all street lines,side yard lines and required distances from all other zones and is
located in a zon in which this building and its use is allow d.
Signed-
I hereby apply for a Certificate of Occupancy for the work described in this a li ation for permit.
Signed k-L
—DO NOT WRITE BELOW THIS LINE
\ INSPECTION RECORD 7j
FootingV i�-�—�� Framing I L �-
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
3_ax1 po vvp g ,
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
^+�rf �:,�'��i�s�rc'9.an.�w•w.rw74.*^m�.rmr..r^^^'• �;y�r•'�.. €•; .- i,•' "` i`Re^r�,�S� "i- •• `c Sao' .V"`� "4 ... �. .r �� � s'.L" a•,
I
BUILDING INSPECTION DEPARTMENT
SOUTH WINDSOR, CONNECTICUT s
CERTIFICATE OF OCCUPANCY FEE PAID: $3.00
ZONE: DATED 12/2 9 19 99
This is to certify that 1139 Main STreet
Erected under permit No. 18136 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 barn P�
Building Official
Notice:If this certificate is lost or destroyed, a duplicate should be obtained immediately from the Building Department.
Any change or extension of the use herein approved requires a new certificate of occupancy.
PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext . 230
Application must be printed or typed.
Date B ding Inspector
1. LOCATION OF JOB
FEE SCHEDULE No . Street
$ 0 - $19000 - $10.00 Floor Apt . No.
Over $1 ,000 - $10.00 2 . OWNER �0���� '¢ ��/�c Qe�
per $1 ,000 or JJ
fraction thereof 3. ADDRESS ST
wlkp)sbg ► Cr
4. APPLICANT
5. ADDRESS
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST
Yes No
06
8. FEE ENCLOSED $
9. TYPE OF BUILDING: �,
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side )
11 . LOCATION OF JOB l 0 I� IQ,
NO. STREET APT. NO
12 . TYPE OF INSTALLATION
13. SIZE OF MAIN FEEDER 35`L�, (`�Q 'jL� l4Z? Amp
14 . NO. OF LIGHT LOOPS j— 15 . NO. OF HEAT LOOPS
16. NO. OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS S �
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS
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 25 . NO. OF MOTORS
26. NO. OF PANELS l 27 . TOTAL WATTAGE
28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES
30. A/C LOAD 31. SIZE OF POWER FEEDERS
32. NO. OF FIXTURES 33 . TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
LI ENSE NO. SIGNA RE OF APPLICANT DAT
PHONE NUMBER: �S — (�O
PERMITNO.
G
d5?r/
DEPARTMENT DECISION APPLI CAT I O N FOR
Application is hereby : PLUMBING PERMIT
TOWM OF SOUTH WINDSOR
APPROVED DISAP ROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
Date B ding Inspector Application must be printed or typed.
1: LOCATION OF JOB:
1 Hg,
FEE SCHEDULE 2. OWNER:
$ 0 — $1 ,0 0 0 — $10.0 0 3. ADDRESS:. .
Over $1 ,000 — $10 .00
per $1 ,000 or 4. APPLICANT:
fraction thereof
5. ADDRESS:
6. EST. COST: $ &47"
7. IS THIS A CONTRACT COST? YES
NO
8. FEE ENCLOSED: $ O .
9. TYPE OF BUILDING:
� RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
YORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB: /l24 �"��
GENERAL PLUMBING
12. KIND OF INSTALLATION: 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS `- STYLE - 15. NO. OF URINALS STYLE
16. NO. OF BATHTUBS 16A. NO. OF SHOWERS `` 17. NO. OF LAVATORIES
18. NO. OF SINKS 19. DISPOSAL 19A. DISWASHER
20. NO. OF CONDUCTORS SIZE r-- 21. NO. OF STACKS SIZE
22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? `
27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK?
31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS
--r
32. REMARKS AND FURTHER DETAILS
WATER HEATER
33. TYPE 34. MANUFACTURER
TANKS SAFETY DEVICES
TUIPERATURE
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
LICENSE NO. t DA E SIG URE OF APPLICANT
PHONE NO.
NATURE SAVERTN FAX MEMO 01616 Date pages
To From
�L�-
Co/Dept.
co'-� �jl Jocelyn Pierce Audet
Phone# Phone#
GqLt-d,5
1139 Main Street
Fax# _ 5- Fax# _ 3 7 South Windsor, Ct
06074
Planning and Zoning Office
Town of South Windsor June 21, 1994
South Windsor, Ct. 06074
(note: please place in file of 1139 Main Street) 'VN 2 1 1994
So.wrndW
Planning Dept.
To Whom It May Concern,
` s 4
This is to put on record that at the time of my purchase of 1139 Main
Street in June of 1986 there were horses present on the property and that
according to local residents there had been horses on this parcel going back
before zoning regulations were put into effect by the town therefore
granting "grandfather clause" status to the property and making it legal to
have horses on the parcel. It was with this understanding that I built a
horse barn in 1991, approved by the town, to replace the existing
structure which was in poor repair.
Sincerely,
t
�� CSz
E
,. Not
June 20, 1994
12
Planning and Zoning Office
1
South Windsor,Ct. ,`, D �►
ECEIVEO
�r J#N 2 1 1994 a
So.Mndw
L �
To Whom It May Concern,
This letter is to have on record that I, Russell Levack, kept
horses on my property, 1139 Main Street, while I was owner and
resident there and that horses were present on the property
previous to that. I have grown up on Main Street and can remember
horses being on this parcel going very far back, before there was
any zoning. This puts 1139 Main Street under the "Grandfather"
clause for horses.
Sincerely,
(For inclusion in file of 1139 Main Street Property)
MAL INSPE S:
Building 1t APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC
Date: Z 1 g
Sprinkler 1139 MAIN STREET 00
Electric
Estimated Cost $ 700
Zoning
Permit Fee$ 3a
00
Affidavit NO. 91652 Occupancy Fee $
Dept. COMPLETE RED BOXED AREAS. 30 ��
Fire
Fire Dept. Total Fee $
Health D pt. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE.
(Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The and rsigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant Tel. # 45 7—ci l
Address ��� •6LINs et CT" Zip 0:607:5 Lic.#
STREET CITY STATE
Owner MM& f1o�e�>�.." PtUPK--T ` Addr ss 1«9 Mflii.t Asir. _So• (xJ1b=6x. (a':
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages
Lavatories
Size of Lot Dist. from Street Line Bathrooms Rooms 1st 2nd 3rd
Purpose of this Permit 1"b*. -TA*Q. M IA Vts~s44. OF: =&QQ rZ-N IC�d
Z ��e.i.. o i�, c�tty�t�cs�tso y nc�p 15mby-wGp. -rj%�.c k:S
City Water 0 Well 0 Septic 0 Sewer 0
Use Grou jUlk Construction Type
n
Approved by Date < BD1A 11/88
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 lin s,side yard lines and required distances from all other zones and is
located in a zone in which this building and its use is allowed.
Si ned / .
9
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
—DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
B N d nggSPECTIONS: APPLICATION FOR BUILDING PERMIT
lumbin
PDate.-I
Sprinkler 1139 MAIN STREET
Electric If Zf Estimated Cost $ 12. Co cJ
Zoning Permit Fee$ tLc.�
Affidavit NO. 219 6 0 Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.
Fire Dept. TYPE OR PRINT ONLY Total Fee $ l ZO
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: - (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location -S Lot No. Side of Street Zone
Applicant �, Tel. #
Address 1 $� Gz'�air� S�" Lt/i�/,�.o.z1/c' c Zip Lic.# .57s��l
STFE CITY STATE
Owner .� cvc pif r Gv/���ir Address-
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages
Lavatories
Size of Lot Dist. from Street Line / Bathrooms Rooms 1 st�2nd 3rd
Purpose of this Permit /� c�-t'�lc� lC i�C��ft � q��G
I Yzt- Cc
City Water ❑ Well ❑ Septic ❑ Sewer ❑
Use Group k Construction Type s='
Approved by J��-- Date `� a Bo1A 11/88
I hereby agree to conform to all the requirem nts of the Laws of the State of Connecticut and th Ordinances of th Town of South Windsor
and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree
that this building is to be located the proper distance from all street lines,side yard lines and required distances from all other zones and is
located in a zone in which this building and its use is allowed. v AV
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed Or AZ'111-e�
—DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# 1 J Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
------------------------------------------------------------
94-21960-B 12 , 000
B03 FRAMING (ROUGH) 11/08/94 JFH A
E03 ROUGH 11/08/94 JFH A
B04 INSULATION 11/08/94 JFH A
B10 FINAL 11/28/94 JFH A
94-13252-E 1 ,000
Total Est Value 13,000
PERMIT u
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 13��
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROV DISAPPROVED 1540 SULLIVAN AVENUE
1 3 4-y JA!X- 644-2511 Ext. 230
D to Building Inspector Application must be printed or typed
1 . LOCATION OF JOB
FEE $CIIEDULE No • Street
$ 0 - $19000 - $10.00 Floor Apt . No.
Over $1,0 0 0 - $10.0 0
per $1 ,000 or 2 . OWNER Sk4eUe
Cm � ,�l ft
fraction thereof
3. ADDRESS
4. APPLICANT -P S crh'i�C W
5. ADDRESS lad
z,v1,v ,,1-s,,, 66 0 9,57
6. ESTIMATED COST $ ye)
7 . IS THIS A CONTRACT COST ?C
11:310 ee J". .-
8. FEE ENCLOSED $��
9. TYPE OF BUILDING:
RESI DENT IAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB 3 t/ /n��i✓ i --
NO. STREET APT. N0 ,
12 . TYPE OF INSTALLATION
13 . SIZE OF MAIN FEEDER
14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS______
16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS_
18 . NO . OF HEAT CIRCUITS, 19 . NO. OF POWER OUTLETS_
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 25 . NO. OF MOTORS_
26 . NO . OF PANELS_ 27 . TOTAL WATTAGE_
28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES_
30. A/C LOAD 31. SIZE OF POWER FEEDERS_
32. NO . OF FIXTURES_ 33. TOTAL HORSEPOWER_
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
'717e:;�-,l
LICENSE NO. SIGNATURE OF APPLICANT DATE
PHONE NUMBER: e 8-7��
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1139 MAIN STREET
HVAC # Date: _ l.Iq, ����[�_
Sprinkler# NO• 2 Z�7
FINAL A P OV Estimated Cost $
-3,
Building ' COMPLETE RED BOXED AREAS Permit Fee q
Engineer in TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location &j A? G;A . S . Lot No. Side of Street Zone
Applicant Tel.# �E-�
Address ft rC7, Zi Lic. # .S4 (-6-F6
OwnerS- Address / 3 2 &/y .s J-,
Architect Address
Sq. Ft. New Area: Ist FI. 2nd FI. 3rd FI. Total New Area
#Rooms # Lavatories #Bathrooms #Garages
Purpose of this permit: l/er Xg,4W
City Water 2 Well 0 Septic System ❑ Sewer J
Use Group Construction Type � Area / Basem nt Garag
Approved by - Date Zr
6407--*�
Revised 6/95
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked, and agree that this building is to be located the proper distance from all street lines,side yard lines and required
distances from all other zones and is located in a zone in which this building and its use is allowed
Signed
hereby apply for a Certificate of Occupancy for the work described in this application for the permit
Signed
-- DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
95-22571-B 3,600
BO1 FOOTING 08/29/95 JFH A LEAVE TAG
B10 FINAL 09/08/95 JFF A APPROVED FOR CLOSEOUT
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1139 MAIN STREET
HVAC # N 2 2 916
o. Date:
Sprinkler#
FINAL APPROVALS Estimated Cost so'*�Q="
Building /7/�,6 COMPLETE RED BOXED AREAS Permit Fee $ ?,
Engineerin TYPE OR PRINT ONLY Occupancy Fee $
Affidavit ::�— SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $
TO BUILDING DEPARTMENT,TOWN OF SOUTH Wt4DSOR,CT (Additional Cost) $
Th and rsigned hereby applies to do work according to the following specifications:
Job Location JA 3 9 ���;� Lot No. Side of Street Zone
Applicant &ftC,6 Ti�rlEs �13.+� ���rn'gV_�ir i c- � - - T„Tel. # d�G�/ Zg2
Addre" - 52 Omel4a Road -Broad Brook=CT 01501r5 , `Cic. # 13 s-2 3i
Owner rn/[)IA, ,/g.. -7- Address /A`3 9
Architect Address
Sq. Ft.New Area: 1st FI. 2nd Fl. 3rd FI. Total New Area
#Rooms # Lavatories #Bathrooms #Garages
Purpose of this permit:��,6,AV-ada Arx;2,0
City Water ` Well ❑ Septic System ❑ Sewer
_ -
Use Group N Construction Type Al Area / Bas ment Garage
Approved by Dat / 'F6
RevmW 6/95
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of th Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of th Building for which this
permit is asked, and agree that this building is to be located the proper distance from all street lines,side yard lines and required
distances from all other zones and is located in a zone in whjthis buil a is 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
f
Electric# /, eq— APPLICATION FOR BUILDING PERMIT
' Plumbing# 1139 MAIN STREET
HVAC # Date:N�^G�, ,Z,f ?(
Sprinkler# No.- 23011
FINAL APPROVALS Estimated Cost
Building F/ COMPLETE RED BOXED AREAS Permit Fee $ ciy
Engineeri TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $
TO BUILDI EPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The and rsigned hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant Tel. 3 — J SU 4'
Addr ss o2 6u�CC4 0 E Zip 0 Lic.#
Owner /da Address
Architect Address
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
#Rooms # Lavatories #Bathrooms / #Garages
Purpose of this permit:
City Water ` Well [I Septic System ❑ Sewer D
Us Group Construction Type Area / Basement Garage
Approved by Date 3 2 ?
R.vs.d 6/95
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked, and agree that this building Is to be located the proper distance from all street lines,side yard lines and required
distances from all other zones and is located in a zone in which this building and its use is allowed
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit
Signed
-- DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
96-23011-B 81500
B03 FRAMING (ROUGH) 03/26/96 JFH A
E03 ROUGH 03/26/96 JFH A
P03 ROUGH 03/26/96 JFH D OK BUT NO PLB PERMIT
B10 FINAL 05/16/96 JFH A
96-13848-E 850
Total Est Value 91350
PERMIT
DEPARTMENT DECISION APPLICATION � 3g FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
�6If6 644-2511 Ext . 230
Date fgaipector Application must be printed or typed
1 . LOCATION OF JOB
J/IS Q-- //✓
FEE SCHEDULE 06 . Street
$ 0 — $19000 — $10.00 Floor Apt . No.
Over $1 ,000 — $10.00
p e r $1 ,0 0 0 or 2 . OWNER ,r �- ,ryl�S �r� �,✓ ; r1 ,''j
fraction thereof 'Tr
3. ADDRESS
_ e)t A)-"
4 . APPLICANT !pL
S • ADDRESS 6,� B
WIAI d<,) w
6. ESTIMATED COST $ S S O
7 . IS THIS A CONTRACT COST
Ye No
So FEE ENCLOSED $ (�
z�ol!
9. TY E OF BUILDINCs
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
?Alteration/Addition/Repair
On 3A 11188
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB /f3 1 !�>,— f7 '� l'1/�
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION_
13 . SIZE OF MAIN FEEDER
14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS
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 25 . NO. OF MOTORS_
26 . NO . OF PANELS 27 . TOTAL WATTAGE
28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES
30. A/C LOAD 31. SIZE OF POWER FEEDERS_
32. NO . OF FIXTURES 33. TOTAL HORSEPOWER
34. NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
Le
Z�- 5�. �=—
LICENSE NO . SIGNATURE OF APPLICANT DATE
PHONE NUMBER: �go7) ����
Electric# 1 1 APPLICATION FOR BUILDING PERMIT
Plumbing# 1139 Main Street
HVAC # 23682
Date:
Sprinkler# No.
FINAL,AP RO Estimated Cost $ I- vK,U
Buildin COMPLETE RED BOXED AREAS Permit Fee $ 2ay co
Enginee ng TYPE OR PRINT ONLY Occupancy Fee $ 12
Affidavit Ic SIGN ON REVERSE SIDE
Appr.for CO. J Total Fee $ 2,21 W
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
Th undersigned hereby applies to do work according to the following specifications: le-) 7",,yf-7
Job Location 1/,3 f PRl/1 s _ Lot No. Side of Street Zone
Applicant Tel. #
Address9 Zip Lic. #
Owner 5teye jAf it 6,0 Address � f � 1-5. ikl4.el-010-
Architect Address
Sq. Ft. New Area: 1st FI. 9 2nd FI. 3rd FI. Total New Area ?Y
#Rooms # Lavatories #Bathrooms #Garages
Purpose of this permit: A 10 Li, a-c'Ovo
F x
K City Water @� Well ❑ Septic System ❑ Sewer
Use Group Construction Type S'�. Area / Basem nt Garage
Approved by Date
Revised 6/95
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines and required
distances from all other zones and is located in a zone in which this building and its use is allowed.
Signed
fv�to
/7
1 hereby apply for a Certificate of Occupancy for the work described in this application for the permit
Signed A61.6 r� ,d. :;r�
Ir r /01/ IF I -IF -
-- DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
96-23682-B 23,000
BO1 FOOTING 10/01/96 JFH A
B03 FRAMING (ROUGH) 10/15/96 JFF A
E03 ROUGH 10/15/96 JFF A
B04 INSULATION 10/18/96 JFH A
B10 FINAL 08/20/97 JFF A APPROVED FOR CO & CLOSEOUT
96-14134-E 200
PERMIT a
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
Date ng Inspector Application must be printed or typed
1 . LOCATION OF JOB
FEE SCHEDULE N Street
$ 0 - $19000 - $10.00 Floor Apt . No.
Over $1,000 - $10.00
per $1 ,000 or 2 . OWNER p 1
fraction thereof
3. ADDRESS 118 9 MAI
SaV Ni2, \. i ry �%a r . L+ 11
4, APPLICANT ?6 LA-0-t
5 . ADDRESS
6. ESTIMATED COST $ �LOC%
7 . IS THIS A CONTRACT COST
Yee N
8 . FEE ENCLOSED $ 10..
9. TYPE OF BUILDING : �319
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Origin 1 Installation
Y Alteration/Addition/Repair
an 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB (v S I dv
Lqog'
NO. STREET APT. NO .
12 . TYPE OF INSTALLATION SQeU Zc� A-A
Ova,
13 . SIZE OF MAIN FEEDER
14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS
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 25 . NO. OF MOTORS
26 . NO . OF PANELS 27 . TOTAL WATTAGE
28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES
30 . A/C LOAD 31. SIZE OF POWER FEEDERS
32 . NO . OF FIXTURES 33 . TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
rV 9110 YyL 6Oco
/N <L/A/
4,A 0 /
LICENSE NO. SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR PERMIT#
�
BUILDING DEPARTMENT �So?
APPRO 1540 SULLIVAN AVENUE Bldg.Permit#
&% r 4� � 644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
3q t9
$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT �L�'C`T/Zj 6
APPLICANT ADDRESS e0A S 7-
-A,1;T e 06 357
APPLICANT PHONE# T6��
OWN S� OWNER M 1-2- ' fil LA 11
,'4< OWNER ADDRESS
v
;A OWNER PHONE
ESTIMATED COST$ � G�d.ad
�ti IS THIS A CONTRACT COST? Yes ❑ No
y f ` FEE ENCLOSED$ g
�Vo C0� TYPE OF JOB:
❑ New Installation
*Alteration/Addition/Repair Revised 5101
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL ENGINEER'S NAME PHONE
❑FACTORY
❑ STORAGE ADDRESS
❑GARAGE
❑MIXED USE CITY STATE ZIP
TYPE OF INSTALLATION/WIRING METHODS
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS 2—
NUMBER OF SWITCHES NUMBER OF OUTLETS !
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS ` 7 446 UQ
NUMBER OF A/C CIRCUITS_j
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
tt R 2A 5412-a 6-t EA-6 X4 -A 1,66 -Tq�nR I
�fl—U �=�s 1 6 A �C)& �►*4 42 f-z a j o-yb !�G L7�' •j--21f Q 45A?1�cc-cl
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE 1/ ,6 p�CJ�
hirley Wilhelm- R Approval Con irmation: Request No. 200718 Page—'-'
From: <clpsvc@nu.com>
To: <WILHEL@SOUTHWINDSOR.ORG>
Date: 1/22/02 4:21 PM
Subject: CRS Approval Confirmation: Request No. 200718
Your approval of the following CRS Request has been successfully processed.
CRS Work Request#: 200718
House No: 1139
Lot No:
Street Name: MAIN ST
Town Name: SOUTH WINDSOR, CT
Inspector: JOHN COLLINS
Approval Date: Jan 22, 2002
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: Q S �
BUILDING DEPARTMENT
A � 1540 SULLIVAN AVENUE
Bldg.Permit#
0t Jk 644-2511 ext. 230 Y��c? 3
ate Building Inspector
Application must be printed or typed
FEE SCHEDULE � �
Location of Job:
13 " ,S� r
$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS �—
L%� C>
APPLICANT PHONE#
W N S OWNER
O �q� OWNER ADDRESS
OWNER PHONE
ESTIMATED COST$
IS THIS A CONTRACT COST? Yes O No
Q FEE ENCLOSED$_ �o 6Z
VOR.CO� TYPE OF JOB:
d
O New Installation
�teration/Addition/Repair Revised 8/99
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
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL ENGINEER'S NAME PHONE
❑FACTORY
❑ STORAGE ADDRESS
❑GARAGE
❑MIXED USE CITY STATE ZIP
1 3
TYPE OF INSTALLATION_ L'i� SIZE OF MAIN DRAIN
NO.OF TOILETS�_STYLE �� NO.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 U S ❑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 MANUFACTURER
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK1000�70
2
CONTRACTORS LI NSE NO. TYP STATE
SIGNATURE OF APPLICANT DATE / r