HomeMy WebLinkAbout176 Margaret Drive (6) A3q` l �c5a 9
TO THE BUIULDING INSPECTOR
� of rhf; PPLICATtON FOR
OF S4l)M W MSM C.)W PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. ZONING
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• AT (LOCATION) ■ ` DISTRICT
LOCATION I
(NO.) `l (STREET)
OF BETWEEN L ` `�� v AND
BUILDING 1 (CROSS STREET) (CROSS STREET)LOT
/•�
SUBDIVISION
n�/ �Y Y `�ifiVYL Pi LOT _BLOCK —SIZE ��,�F �� s f�I
N
II. TYPE•AND COST OF BUILDING — All applicants complete Parts A — D —�
�v
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use T
1 New building Residential Nonresidential
2 Addition(It residential, enter number 12 One family 18 E] Amusement, recreational
of new housing units added, if any.
in Past D, 13) 13 Two or more family - Enter 19 ❑ Church, other religious
number of units- - - - -�
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 ------- - -�1 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 - Specify 25 E] Public utility
7 ❑ Foundati n only
26 ❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, merconti le
8 [`Private (individual, corporation, 28 ❑ Tanks, towers
J1�onprofit institution, etc.) 29❑ Other - Specify
9 ❑ Public(F deral, State, or
I cal government)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement,,,,,,,,,,,,,,,, S school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical......................
b. Plumbing ......................
c.Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT S CrA57W
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30❑Masonry(wall bearing) 40 Public or private company 49. Total square feet of floor area,""'.
31 Wood frame 41 Private (septic tank, etc.) 48. Number of stories.........
all floors, based on exterior
32 Structural steel dimensions ....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Oth r - Specify 42 Public or private company 50. Total land area, sq.ft. ...........
r
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....................... �--�
96❑ Oil' conditi nine? L. RESIDENTIAL BUIL6IN6r'6N1Y
37❑ Eleetei4lty` 44❑ Y s 45 No 53. Number f bedr me.........:...
38❑ Cool
39❑ Oth r- Specify Will,there b an I vat r? 54. Number F Full..........
46❑ Yes 47 XNo bathr me J
Partial....... ! /
IV. IDENTIFICATION — To b complet d by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee
2. E L ►.
Contractor
3. 1� 1� 1.L �� l 1 1 1 1► f✓t
Architect or �1
Engineer
The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction.
Si tur of applicant Address Application date
f
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R view 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
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained 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 13356
Building
Permit issued Ju1V 13 19 R-3 —
Building O
Permit Fee $ � U
3 . vU <t" a
A rov ed b
Mae/
T I T L(j
TOWN OF SOUTH WINDSOR
BUILDING PERMIT .
Date July 13 , 19 83
Fee Paid $. 9 6..00 Est. Value $..6 5.}7 00
Permit M 13356
on the side of
Lot #141 Margaret Dr, Street
Street No. 176
Owner JMJ Construction
Applicant JM`T Con s truc t i on
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 6436
Fee Paid $ 3.00
CLASSIFICATION
Dwelling
i
BUIIDING PERMIT
N? 13356
OFFICE OF
i
THE BUILDING INSPECTOR
I
of the
Town of South Windsor, Conn.
South Windsor, Conn. July 13 19 83
94is is to (f ertif-gi That Jbi conatruo t ion
is hereby granted permission to Dwelling
I
I
i
at estimated value of
i
on the side of Lot #141 Margaret Drive Street on land
I
owned by JMJ Construction
Said Work to be as described in Application
No. 13656. and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued 19836
( f 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."
Vern it No. 1`� � TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit 6436
Certificate of Occupancy
j THI T CERT Y that the 1���`=
at No. f ' in the wn of South Windsor, Connecticut, has
been erected and complOed in accordance with the ing Code and Zoning Regulations of
the Town of South Windsor, and is hereby appr ed or occup c`y
� r 1
Bui ing Inspector
j,14
C/ ner, Builder
Fee Paid Date ( 19
1'
Ike h a Z, is A�soaia�s
Civil Enginem �3a
Gia stonbwy t1 Connecticut
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Lot 11me ftram map an file in
CAVE
?am Clerk*a 0lfl" entitled, NPIet P]m I ►r
section -1 P'leesadt val1ay Nomw
Smth WIWOWO corm."
9aa1s 14• hOl Date S-(o-S L A-20 tON E
ft It 220-.76-IT Raw* --- by Rei no E.
Hyyppa & As soc i a tes Glastonbury, CT.
pQEPAR E O FOR
I twreby certify that this map and survey were prepared Iii PLEASANT VALLEY WO M LS
mcordance with the standards of a Class A-2 survey as defined
h the Code of Pre-tics for Standards of Accuracy of 50 UTN W I NDSO2% C OW N•
~ and Maps, adopted by the ConAec*jA Asaocietkm of SCALE 1 40. D ATP- S-Z 4-S'3
am sulveyOfl. 1llC.
lit
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Q3--1c►-141
P
T' ' "-"INDSOR
am .
OF Ff
-NGINEERN"Ir -*t-'A'.TMENT
tSUL/
ELECTRICAL APPLICATION
Application No. 9138
on the side of
Lot #141' Margaret Dr. Street
Street No. 176
Owner JMJ Constr.
Electrician Richard Barrett
FILED IN OFFICE OF
The Building Inspector
July 15 19 83
INSPECTION.
ter No Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
In New Buildings no wiring shall be started
until the plumbing and heating pipes, and the fire
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM.
No. 1�111!_......... ......
Permit No. . �Da.rJ ..........
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
. herebymake application tc1 perform Electr cal Work according to detailed description below. All
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provisions of the Rules for Electrical Installation, Section 48, Building By-Law shall be com lied with
whether specified herein or not.
South Windsor, Conn., l 19 Sign here
Address' ` ('�- ..
Location '�`-!. '.. ... H.I. .. t)C Side of ..
How many stories .......... ...... .......................................... .................
Nature of Building
New or old Building ... .....�2 11 How many families ............. t.. ..... .......................................................
Kind of Installation . ... e al.J. How many Stores ............................. .......... .... ....................... ............ .........
Owner co .......... _..... Address . # [...1......... '.L.�...... _......
Architect Address .... . ........... . ...... . ..................................................
_..__....._....._._....
l `
L `
Builder . . ... Address ... . ... .. ........4. ... .._.......
_.... ....
n� Cj\ �'.. ..... . .. . Address .`. ..... .................Vok .�.0
Electrician1 ...............
Size of Main Wires ...�r.l L"
No. of Light Loops No. of Heat Loops .. No. of Power Loops ........................._._.........
No. of Light Outlets . .. .... .. . . No. of Heat Outlets . No. of Power Outlets .............. .. ............
No) of Light Circuits No. of Heat Circuits . No. of Power Circuits ..
No. of Sockets No. of Heat Receptacles No. of Motors ................
No. of Panels .......................... . . . . Size of Heat Circuit No. of Power Receptacles
No. of Switches .. ..... .... . .. .. Total Wattage Size of Power Circuit .. .
Total Horsepower .... .....
No. of Straight Electric Fixtures ..... . No. of Combination Fixtures .... .
No. of Receptacles ........................ ........ .. ...... ....... ....... ...... . No. of Cord Drops
" .......�............... .. ... ............................... ... .... ..
Remarks: For other kind of Installation ... .. .....46.......... -.......1.9'7 ......... .... ... . . .... ............ ............
................................................................................. ....... . ... .................... ......... ..............._........................ .......... ............................................. ......... .. . . . ....... .. .......
........................................................................................................... ..................................... ._.................................. .................................................................. ... ....
........... ... . ... .
......................................................................... .......... . . . .... ....................................................... ......I.... ...... . . .......................... . ... ...
Estimated Cost .. ............ .................
bLLL
PLUMBING APPLICATION
Application No. 7001
an the nick of
........_.Lai; #141 Margaret Drive Saver
Surat No. -. 17 6
owm . JMJ Construction
phmdw South Windsor P & H
Filed in Office of
The Bum I�pecmr
Aug. 4 19 83
4 -MKJtm n a
......................
No pmm ommuct, mW w cw aloes my
portion of the dmimo "mm of auy bwldkg
(ezcqn to repair kdm) uma a Bermit in gmmftd
by the BWWing Inq)K:tw.
APPLICATION FOR PLUMBING PERMIT (Continued from Revers Sid
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB / r
NO. STREET FLOOR APTAO.
GENERAL PLUMBING
12. KIND OF INSTALLATION .y/c �= -bJ-Lis 13. SIZE OF MAIN DRAIN �•
14. NO. OF TOILETS 3 STYLE 7��/IC <<�✓t 15. NO. OF URINALS - STYLE
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS 19. NO. OF WASHTUBS
20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE L?
22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
All25. NO. OF OTHER FIXTURES KIND ✓ mow/
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. C ���.C
lzex 70"
29. SIZE OF DUCTS �_30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? Y J
SIGNATURE
ADDRESS k!L�Sell� r` v
LICENSE NO. p10 3 06J!� -ESTIMATED COST �00' O 'D TELEPHONE .I -S'S'/2
•WNER ADDRESS ' , L
WATER HEATER
31. TYPE c, 32. MANUFACTURER
TANK SAFETY DEVICES
p
33. CAPACITY 37. TEMPERATURE RELIEF VALVE _ 49 c2!�
34. TEST PRESSURE-4 ro4 S 38. MANUFACTURER_ "2; 1
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE z co- I�
36. TYPE ��-f/1L�_l� 40. MANUFACTURER (N/ r
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY
AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
�+ 7J
CD962 DATE IGNATU APPLICANT
Heat loss schedule must be complete for all jobs. System guaranteed to heat all rooms to 800 in zero weather.
Dwellings exceeding 1260 sq. ft. to be heated shall have two or more zones controlled by separate thermostats.
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APPLICATION FOR HEATING PERMIT (Continued it m Reverse side)
11. LOCATION OF JOB 19l ,// zx C G/ /' r—
NO. STREET FL OR APT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
0 GAS BURNER ❑ STACK ❑ INCINERATOR ® MISCELLANEOUS�,f ��r t r�
IDENTIFY
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. 1 B.T.U. OR SQ. FT. NET QdOD B.T.U. OR SQ. FT. GROSS - FIRING RATE
FLOORS TO BE HEATED LWO NEW OR LD BUILDING /����'4iJ INSULATED - YES OR NO f
TYPE OF WALL A�wn /%Ikc INSULATION ROOF OR CEILING !� INSULATION
AVG. SYSTEM WATER TEMP. r( 1D B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE �'�8y` °FAHRENHEIT
MAKE OF RADIATION ASEBO . COPT CqNYECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. 't le q� -
DESCRIPTION OF WORK
15. TO BE DONE:
18. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA — SQUARE FEET B.T.U. S.T.U. DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL .e
ROOM NO GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j 4 ILREGISTER
L W N AND C (INFILT.) TEMP' TO <F F TYPE AND SIZE RAD. OR LEADER
SIZE < WALL tO DIFF. •F O O a SO' FT' FREE AREA
TOTALS
A. HEAT LOSS FROM BUILDING B.T.UdHR.B. DOMESTIC HOT WATER DEMAND �l.1 f 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;
NAME ADDRESS
SUBCONTRACTORS AND
1s. 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. p
C/ j
DATE 8 GNAT OF A►►LICA
ARGO CALCULATION SHED
' OWNER - _ DATE �
ADDRESS _ .
• -
DEALER-- 5J LJ �� off' PY' �`� KIND OF BUILDING. _CHIMNEY SIZE
CONSTRUCTION: WALL- y UI K
WINDOWS_Ak ROOF OR CEILING 6 � x
BASEMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF
COL.1 2 1 3 4 5 6 7
8 9 10 11 12 13 14 15 16 17 18
ROOM SIZE WINDOWS AREA-SO. FT. FLOOR VOLUME TOTAL BASE99ARDi
AND NDDOODOORS (SEE NOTE) CU.FT. TOTAL
ROOM GLASS NET WALL CEILING NUMBER GROSS O�p ACCESSORIES
WATER LENGTH
C AT 70 I CORRECTED
TEMP. TO TIM/ nr.L W H SIZE
AREA WALL c DIFF. ENCLOSURE
SIZE h O� $� F FIN L I R S I.0 MISC.
• 3 ► ( ,O TEMP. DIFF. TUBE
131
i-I o /y i / oo ` 6 00 5 6C� /D
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aSao 13DO 3 boo -' Soo
8 70
C� 3 e 6
3 000 /Soo 6000 /0500 102000 1 c,?Z
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S o o ) 00t � 1100 Lr 9
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C�'tD o __ 1300 lr oo j-5300 17600 3, _
� R 0 150 00
1700 500 Soo 1.5 Q �p 5 p0 51 yp
6� < 0 ,
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s 00 C�00 ��l D
0600 16Q0
S�n�JP✓ 5 10 0 I ��
300 pp 560 /300 lqq p 4
6 33 ;L- 075 02 o i
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oPeoo » W /3'03o 2 y ;
Soo i� g
0 00
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NOTE: FOR CONCRRE FL OR ON GROUND OR FILL AT GRADE LEVEL,USE LINSAR FEET Of EXPOSED tDox. TOTALR e
FOR ALL OTHER FLOOR$USE SQUARE FEET OF AREA. Q 7/I O {
d /Y&
now woman
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FMAL INSPECTIONS:
Building - - I APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date: C—6/..91
Sprin er 176 MARGARET DRIVE _
Electric 1 Estimated Cost $
Zoning Permit Fee$ 3 C
Affidavit NO. 19258 Occupancy Fee $ -�
Eng. Dept. COMPLETE RED BOXED AREAS.
Fire Dept. TYPE OR PRINT ONLY Total Fee $
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: l (Additional Cyst) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location -t Lot No. Side of Street Zone
Applicantg�h �uS\ Tel. #
1 .Address ( So-WASA7 C.T Zip n(on�7`7l Lic.#
STREET CITY STATE JJ
Owner S ddress I n to m u c-4 a rP-� l.�R �.l, CT
Architect ddress
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1 st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit A 3D V9' OAD u At C> Pm o L.,
City Water 0 Well 11 Septic 11 Sewer O
Approved by Date -`y' I BD1A >>iea
I hereby agree to conform to all the requirements of th Laws of the Stat of Connecticut and the Ordinances of the Town of South Windsor
and to notify the Building Inspector of any alteration in th 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.
Signed
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# 7 y Inspections: -9 1 4 C-
Sprinkler Permit# Inspections:
[r ���X4���Fl�i4$'f"'aY'��C�v;.l(4hx r �N ffnlbr�.jr•w9F°4 i'uf t ? � 3! � <�;
BUILDING INSPECTION DEPARTMENT
SOUTH WINDSOR, CONNECTICUT
FEE PAID: $3.00
CERTIFICATE OF OCCUPANCY
ZONE: P _a DATED 6.14 1991
This is to certify that 176 Margaret Drive
erected under permit No. 19 2 5 8 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— Above ground pool
USE GROUP: U
CONSTR. TYPE: 2C
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.
Hyym & Asawlefts
CWH Engineers � a
Glastonbury, Connecticut
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�'��•7�`-ocAz�.o a: /�t�a. �� r�-z�-gam - - ti�o.00c'� --
.XOTE: Lot lines from sap on file in ,
Torn Cl We Office entitled, sePlot P1m RG zrZ T ;z1VE
1 :r
See tim -1 Pleaaaat Valley Hoses
South windeor, Conn."
Scale 111m b0I Date
map No 220-78-IT Res. ;by Reino 4& �..
Hyyppa a Associates Glastonbury, :GTt
' PPEP4kRE0 FOR
1 hereby certify thit this moo and. Ur_vey.were..prre;w ic► PLEASANT VALLEY WO V E5
accordance with the standards of a Class A-2 survey as defined
In the existing Code of Pre-five for Standards-0-Accurrscy of 50 UTI4 WIN DSO i2, C pN N.
keys nd Maps, adopted by the Connecbmit Association of
LOW &Nwyars„ InL 5GAt.E. ►".40' D ATe 5-z 4-S-
v
43--1c�-141
JUN 4
South Windsor
BUILDING DEPARTMENT
4pDrove fElesk le W{ fr
vo 1. 9 s
"IRTIFICATION OF. ZONING COMPLIANCE
V4 Proposed bullding(s), use(s) and/or structure(s)
Q6,j,e - as shown on this plan appear(s) to be in
sc lVIj conformance with current South. Windsor
Poo reguiabons. Variances and special exceptions
may apply.
Date u-,e `y-,Q, -1.
19q f
r-EnforcLhment Officer
PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 7
Application is hereby :
TOWN OF SOUTH WINDSOR
APPROV DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
IS'-"?/9 Application must be printed or typed.
Date Agi
lding Inspecto
1. LOCATION OF JOB
76
FEE SCHEDULE No . Street
$ 0 - $19000 - $10 . 00 Floor Apt . No.
Over $1 , 000 - $10.00
per $1 ,000 or 2 . OWNER COS
fraction thereof
3. ADDRESS
4 . APPLICANT rr.� rt.
j 5 . ADDRESS
r
so •�iO.So� G
6 . ESTIMATED COST $ �,
7 . IS THIS A CONTRACT COST y
Yes No
8 . FEE ENCLOSED $ )/) %)AJ
9 . TYPE OF BUILDING:
1- !`ESIDENTIAL 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
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 :
twv �;,40cllv 0 _AQ
- PC --- �"� -- - ---
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LICENSE NO . SIG TURE OF APPLICANT DATE
PHONE NUMBER: 61
B ilding SZqA( �kq 'PECTIO APPLICATION FOR BUILDING PERMIT
Plumbing
et
HVAC 176 MARGARET DRIVE Date: ��
Sprinkler
Electric Estimated Cost $ ZOd
Zoning Permit Fee $ 2.4�
Affidavit NO. 19277 Occupancy Fee
Eng. Dept. 2
COMPLETE RED BOXED AREAS.
Fire Dept. TYPE OR PRINT ONLY Total ee
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 wor ac ording to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant 1 Tel. # 6 y6—O0 3 Z
Address P.Q.80K W01 Zip Lic.# S_366
Owner ASS wester. CT 064d��TY ddress I�T�E/�Jcr%r?�c_r
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 e,.e le z� e>`� AO 7
City Water ❑ Well ❑ Septic ❑ Sewer ❑
Approved by Zf Date ����`{ BD1A 11/88
I h reby agree to conform to all the requirem nts 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 th proper distanc from all street lines,sid yard lin s and required distanc s from all oth r zon s 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 permit.
Signed
—DO NOT WRITE BELOW THIS INE—
Footin� 2"`� INSPECTION RECORD Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections: