HomeMy WebLinkAbout108 Mark Drive "
Application No. 4846 ... Permit No. ., 4586
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
.. hereby make application for a permit to (erect -It"asaien- 0) a building according
to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through
word `erect" or words "make alteration to" as the case may require.)
All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu-
tion of this work whether specified herein or not.
South Windsor, Conn., , . .._.. .../s............. 19..... �►�
Sign here ..... ..... .................. .._...
Location? ..... ........................... .....................................................................side of? .. .......... .................... ... ..•-�:�'../�... _..��-;�
Nearestcross street? ................................................................... ..........Street No. ......... ... ............................. Lot No. . ..`��........ .
t
Owner of land is j-/' � ./ 102.1...//0MA,41x4.Address .... ........ ........... ......... .. ........ee_977. . ......
Owner of building is? ~` Address `ti ....................................................
3 rc is? ..... ...
�.. .�....... ....c.., ., ........Address
l 3 d Builder is?,,5 711./..�, ...A��. : .' . .....Address ...... .. ., ...W�.......... 7 . ...........
G
? ...... ......� Feet deep? ..
Dimensions of building. .. ,�,,�,�.��...Fat front. ......V.7.1-... Feet rear. .......... dap ��...... ...
r
Extreme height to highest poin of roof? ..................... ...7........ No. of stories in height? ... ` .
Purpose of building is? .. ... 't... ... m4Z 15.............No. of stores? ..... ............................................................................................
... . iHow man families? .......... �.. .vl ........... . _....No. of rooms? .... ... ...........<0P....................................................................
Distance from street line is? .................. .. .... .....................from building line is? ................. ...................................................
ADDITIONS AND ALTERATIONS �ej
(Give Brief Description)
b c�PTIC pAYMIENT �... U.
... . .... ... ...............................................................................................................................................................................................................
........................................................................................................................ .............._.............................................................................................................................................
ENDORSED BY SANITARY OFFICER
................. ....... ....... ............................................................................................................. ............ ...................................................... ..................................................
IN ACCORDANCE WITH TOWN OF
Map No. . . . ................... ZUTH WI SOR INANCE NO. 6
e ,
NITA'YOFFICER
If of steel frame, what is exterior construction? . ....... . . . . ..... . . ......... . .... ................. .
What kind of columns used? .............. . ..... .. .......Size of columns used?
What length of columns used? ... ....... . ......... ........How protected? . ....... ........... ..............................
What kind of beams or girders? ........... .... . ........ . Size of beams or girders? .................... ... .......................... ...
Longest span of beams or girders? .. .. ............... ...... .... These rest on? . . ............. ...... ............ ..................................
Roofconstruction is? ......................................................................................Roof covering is? . . .. ........ .. ... ......... .. ............ ... .......
The floors are of ........................................ construction and are calculated to carry a safe load of .
lbs. per square foot.
(See Section 14, Building By-Laws.)
-BRICK CONSTRUCTION.
Of what material will walls be constructed? . ......... .. . .................. ........... ......... ...... .......... ....
Compositionof mortar? .................... ................................................................................................................................ .. ......... ............ ........................
Height and Thickness of Walls
Height stories Front Walls Side Walls Bear Walls Partition Walls
Basement,
........................................................................................................ ..........................................................................................................................I............I...................................... ....
1st Story
............................ ............................................................................................................................. ................................................................................................ .............................. ........... .....
2nd "
..........I........................................................................ ...........I.............................................................................. ........... ..................................... ............................ ......................
3rd "
...............I..................................................................................................................................... ......................................... ..........................................................................................
4th 19
.............................. ................................................................................................................................................................................................................... .............. ......... ......................
5th go
................................. ............ ............................................................................................. ............................................. .............................................. ....................................................
6th do
.... ..... ......... ............. ........................... ................... .............I............................. .......................................................................................................................................................
7th is
...................... ........................... . .............. ............ ...................... ................. . ................ ............................................... .... .................................................
8th 16
.................................................................................. ................I...........................................1.......................... .............................................................. ...................................................
9th 44
.. ..................................................................................... ..............-.1..... .. ........... .. .. ......... ....... .... ........ ......................... ...............I.............................................................
10th
Material.of Front? If stone, what kind?
Thickness of Ashlar? Thickness of Backing?
Backed up with what? Arches or lintels over openings?
WOOD CONSTRUCTION.
Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns
JOINTS GIZD=S COLU"S
Floors BIM Lo®test Apia Ceatses Erldging Bice Longest Bpsn Gmtres She Leng b Centres
lat Floor / •`
.... .. �...... �X3..........
_ram .. ___ ......_..._....._
2nd
3rd.....0.... .............. .................................. ................ _....... ........_.. .................._....._ _........._.. ............. ...... ....._....._...._
.4 ....��.... ................... .._.......... ............................._. ._.._._. _..._.. _..._........... ..................
_
r1 r� .........
Size of outside studs? ..�.:X:... .:.............. Distance on centres? � Size of sill? x°
10
Size of rafters? ....'I,,< .�2.. Distance on centres?.................., .�c�...."..... Size of plate? ........... J /x ...�...'...
Size of ledgers or girt:? ................................. .............................................Size of deck rafters? .................................................................... ...............
Distance on centres? ........................................................................................Size of studs in bearing partitions? ......... -.X...�, ...t......
MISCELLANEOUS
.
Style of roof, flat, pitch, Mansard, or hipped? .. . ......�. �e .................. Fireplaces? ....... 't.—+��...................
Material of roof covering? . .... .....5-.. .. .... . T.........Matertal of Cornice? ....... ................ -�! .....
How is building hea ... ....� �.......... .........Lining of flues? .. .......CA—...
Thickness of shell of flues? . ...................................Any elevators or lifts? ........................................................... ......................
Whatkind? .................................................. How many? ............... .. ... ......................... Any hoistways? ...................... ......... ................
How protected? ................Total Value of Building ..... ,,.. ..... '.... ......... ................................................. .. . ......................
� t
When will work be commenced? ... ....'t. .,... ¢ ,(............ .. ............
,. 14.......... .. .C. ...
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this
application, conforms to the zoning regulations of the Town of South Windsor.
a--
Ap licant
45b6
BUILDING APPLICATION
Application No. ...4-8.46.......................................................
..............
onthe ............................................................................... side of
Mark
........ .......................... .. . . ... ......... ....... .. Street.
...
Lot #12
StreetNo, . .. ..... ....... ...... .......... .
Owner Medallion...H.o.me.s.s..Inc........
Same
Applicant .... ... .. ..
CLASSIFICATION
Dwelling 47..'..x2.6 .. .... ... ....... ...................
. ........... . ...... ........
.......... ........ ... ........ ... ... ................... ........
Permit issued on above Application.
Date,
9
TOWN OF SOUTH WINDSOR r :
BUILDING PERNIIT
Date 0c t.18 63
0 19 ----
Fee Paid $. O.•0 0 Est. Value $. .15..9.0Q0
RECD. SEPTIC PAYMENT $......2Q
Permit N° 4586
on the side of i x
Mark Road Street '
/D
Street No. Lot #1?
Owner Medallion Home s,I'ne.
Applicant Same
CERTIFICATE OF OCCUPANCY ISSUED: ,a
Date ,4
No. 2699 w
' n
Fee Paid �$ 3-00 °
pt
�v.
t
CLASSIFICATION
t Dwelling li7 x26, - - -
t
it T
t
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4
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BUILDING PERMIT
N° 4585
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. 0 C t•18' 19 63
Tots is to TerMIJ, That iJie d al 1_.�ri H�3me s, Inc.
is hereby granted permission to T)w e 1 1 i n,— - 1 i 7 s x2fi l
at estimated value of y$ 1 m U
on the side of Mark Road, L7t4112 Street on land
owned by `'Pr3 Al 1 ion Home s.Tne .
Said War to be as described in Application
No. and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Oct.18, f" iq 63
Boding 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."
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN
Permit N° 2699
Certificate of Oc u nc I�$ AZ
THIS IS TO CER that the
at No. in the Town of South Windsor, Connecticut, has
been erected and completed in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved for cy.
�- ` � Bui��ldi Ong Iimepector ,
C1�
Owner, Builder
Fee Paid Dam__ �`_�. i , 19
2874
PLUMBING APPLICATION
Applicamn Nee 2663
on the... -- side of
_................. Mark Rd. s-
Street No. .__. L t #12
owner . .Medall ion Homes
Plumber .... Wm.Po t of f
Filed in Office of
i
The Building Impocoor
12-10-63 19
......................................
i
............................................. .___
No person AA 000struct, add do or alder my
portion of the draiaw system of any bamWng
(emmpt to repair leaks) until a Pea= is geamd
by the Building bVecow.
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Application No. ... .2..?.63.................. Permit No. ..............74:............
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR. CONN.
.... ..hereby make application to perform plumbing according to detailed description below. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether
specified herein or not. A Z::� N y
f
South Windsor, ............... 4.u!.. ..7.,..... ...... 19 Sign here ..........
Address .........3i..a- ..C/�,2.c.�... .�. ...........~....
Location . .......�.... ......./. ......... 7 / .... . . side of ......... .. .. ..... ..... ........ .. . . ................. .......... ........ Street
Nature of Building ... ... ........ How many stories . l..xlr........................... ... .. ......................
Owner .. ....... .. e c�,�//,e .. �...................... .. ... Address .... 3...SM. �z7......�...........� .........
Architect ................................................................................................................... Address .....................................................................................................................
Builder .... ...... ......... ....... Address . ... . .... .. . ... ....................
Plumber /4.... .�u.��,.. ...., .�. .....,r�e:I.r..... ............ Address ...3./,Z. .. C.. .v. .. .. ......�-.... ......../.. .........
DRAINAGE
.... .... ... .. I. .........................................................
ey.. ...
CESSPOOLS, How many . . ...... ....../............ .... Where located ............,�.
Are they water tight . . ....................`19w............................. Of what materials are they built ....... ......
Size of pipe from house to cesspool . `f.".... ...... .... Kind of pipe ........... .....C..-4........................... ............. ................
MAIN DRAIN IN CELLAR, Material ... ......... Diameter ...................Y. "................................... ......... .............. ...........
Above or below cellar bottom ... 9e l q
SOILPIPES, Material . . ................C-1 ....... .. .......... Diameter ......... ....``............ ...............................................
WASTE PIPES, Material . � Jct. ....T.y ...L...... Diameter .. ..... .��......�.. ........5..'................................. . . ............
TRAPS,Type proposed to use is .. ...... .. ......... ........ .........................................................................................................................
RAIN WATER LEADERS, where do they run to . ............................................................................................... ............
REFRIGERATOR WASTES, where do they run to ..... .. ................................................... .......... ........ .............. . ...........
TANK OVERFLOWS, where do they run to ............. ......................................................................................................
FIXTURES
WATER CLOSETS, How many ..... .............?. .... . Where located 2...... . ......./.�� ..C' ... .......
Distance from trap to vertical soil pipe ................ .. . ............. Pattern . ..... ............ .........................
WASIfT-AYS, How many ...... ........... ... Where located . . .. .. .... ...................................
SINKS, How many ... ...... . .... .................................../..................... Where located .. . .................. .............. ..............All........
BUTLER'S SINKS, How many ...................................................... Where located, . ..................................................................................
REFRIGERATOR SINKS, How many . .... .................... .... Where located ......... . .................... .... . .........................................
LAVATORIES, How many . ......... .......L ..... Where located ..... ✓ i'
..................... .................................................
BATHTUBS, How many .........................................r........................ Where located ....... .................................................................... .........
URINALS, How many ............ .. ..... ............................... ............ Where located ... . .......................................................................... ....
Are water closets and urinals to be local vented If not, is there a window in outer wall
ofroom where same are to be located ...... �eJ . ..... . ............................................................... ........... ..... .....................
a�
Estimated Cost ........ .............
l�
TO THE BUICELDING INSPECTOR
of the APPLICATION FOR
OF SOUTH PLAN EXAMINATION AND
WI�SOlt, BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX. ZONING
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I• AT (LOCATION) 109 ,r n rK ri Y(_ DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
17 N w building Residential Nonresidential
2❑ Addition((/ residential, enter number 12❑ One family 18 ❑ Amusement, recreational
of new housing units added, if any, 13❑ Two or more family — Enter 19❑ Church, other religious
in Part D, 13)
number of units— — — — -i 20❑ Industrial
3 ❑ Alteration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4❑ Repair, r placement or dormitory — Enter number
5 ❑ Wrecking (If multifamily residential, of units ——————— — i ❑ Service station, repair garaq
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 CE Other — Specify 4(y)l nh 25❑ Public utility
7 ❑ Foundat( n only
26 ❑ School, library, other educational
B. OWNERSHIP 18 x I(D 27❑ Stores, mercantile
8 ❑ Private (individual, corporation, 28 ❑ Tanks, towers
n nprofit institution, etc.) arc- 29❑ Other — Specify
9 ❑ Public (F deral, State, or
local g vernment)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., f d
processing plant, machine shop, laundry building at hospital, el m ntary
10. Cost of improvement................ school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building of 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. H ating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30❑Masonry(wall bearing) 400 Public or private company 48• Number of stories................
31 ❑ W d frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions ....................
33❑ R inf rc d concrete H. TYPE OF WATER SUPPLY
34❑ Other — Specify 42❑ Public or private company 50. Total land area, sq. ft. ...........
43❑ Private(well, cistern) K. NUMBER OF OFF-STREET
_ PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ......................
35❑ Gas Will there be central air 52. Outdoors.......................
36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ El ctricity 44❑ Yes 45❑ N 53. Numb r f bedrooms..............
313❑ C el
39❑ Other— Specify Will there be an elevat r? 54. Number f Full..........
46❑ Yes 47❑ N bathrooms
Partial........
IV. IDENTIFICATION — To be completed by all applicants
Nam Mailing address — Number, street, city, and State ZIP cod Tel. No.
Owner or rle- A . l X Mil' bri v c 0 [yin ` " &IV3 I
Lessee
00 q
Contractor
L' Y '
3.
Architect or
Engineer
Th owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Revi w Required Check Plan Review Date Plans By Date Plans By Notes
q Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval I Check Date Number B Permit or Approval I Check Date Number B
pp Obtained y pp Obtained y
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
Building
P rmit issu d 19 —�
Building
Permit Fee $
Approved by
TITLE
q_1
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Aug, 1 , 1985
Fee Paid $. 12...0 0 Est. Value $1,6.0 0
Permit N° 14575
on the side of
Mark Dri im Street
Street No. 1 ()R
Owner MariP A - Kowalski -
Applicant Elaine M. Bezzini
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Tool Shed
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BUILDING PERMrr
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NY 145'75
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Aug• 1 19 85
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94is to to OTerttfo, That xioter Fsmma Carriage Shop
is hereby granted permission to
Install tool shed 10' x 16'
at estimated value of
j on the side of 108 Mark Dr i -IM Street on land
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owned by Ma r�o Ynma 7 str i
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Said Work to be as described in Application
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No. 1 7 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
issped Aug. 1 1985
Building Inspector.
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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
I
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all coats and damages which it shall sustain, or be compelled to reason therefor."
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PERMIT #
Application For 6321 6523
/ I
DEPARTMENT DECISION Heatingpermit
14
0
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
+' APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
o p, 8 f 11186 Thanas P. D' Auria
00 O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O
c 1. LOCATION OF JOB
0 .-.
/08 /far Dr.
Cd 141 NO. STREET
+, O
CO v
LOT NO. FLOOR APT. NO.
O O
� N
O
2. OWNER AMrs.
Cd c S. ADDRESS,
8 "/Q r K D r.
4' S , �I 4 -37�
a) 4.PHONE
Cd
t! s. APPLICANT e O �• d PL
Ca 31 f3u rn w� Se ,
.� s. ADDRESS
Cd
Cd
'O
$, �' ` ! " 7.PHONE
0 'g
S. LICENSE NO.
� o
w B. EXPIRATION DATE OF LICENSE 97
0
.Q C 10. ESTIMATED COST = , a o a
bA 11. IS THIS A CONTRACT COST? Lam"YES ❑ NO
m �
12. FEE ENCLOSED s
� v
ai 13. TYPE O LDING:
bo
1I0 RESIDENTIAL ❑ COMMERCIAL
O �
14. TYPE OF JOB: ❑ INDUSTRIAL
❑ ORIGINAL /ALTR
INSTALLATION LJ ADDETAONONL--'
REPAIR
APPLICATION FOR HEATING PERMIT (Continued from Reverse side)
11. LOCATION OF JOB z o,? r.
NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
9f GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS )BC: ISC-'E-'n?4eI'I'
IDENTIFY
SIZE w--�� LOCATION IZE ��- SIZE -
13. OF TANK OF TANK F�/FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. r' AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NEM 0100 B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED OLD BUILDING INSULATED - YES OR NO
TYPE OF WALL /305112- INSULATION ROOF OR CEILING Mysk INSULATION
AVG. SYSTEM WATER TEMP. f ROO B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. B 8 - 3.4-4
DESCRIPTION OF WORK jQ r,`p ,t e Ce eno v f to de r Stee Gets
15. TO BE DONE:
A/ewf Va,,//a n *,1- 120 8<si i ro v, as hvi fer- /oi U�� A6w /Vet-
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).j 2 0 000 X.1
,
R OM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. a DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL �n
R OM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL REGISTER
L W N AND TEMP. TO F TYPE AND SIZE RAD. OR LEADER
SIZE WALL F'�tC (INFILT.) DIFF. •F m N SO. FT. FREE AREA
75<
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING. OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY:
NAME ADDRESS
SUBCONTRACTORS AND
18. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN. /
���� g, ",
ATE SIGNATot OF APPLICANT
FINAL NSPECTIONS:Building APPLICATION FOR BUILDING PERMIT
�Z�—/ --
Plumbing
HVAC Date: S
Sprinkler 108 Mark Drive
El ctric Estimated Cost $ c 229W
Zoning 18546 Permit Fee$ 30
Affidavit NO. Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.
Fire Dept. TYPE OR PRINT ONLY Total Fee $ �3
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: to
Job Location Lot No. Side of Street Zone j
Applican Tel. # �
Address r� i��� Ale �G'/� �T Zip& �'��� Lic.#
OwnerL � /�� AleEu� �� /V cIry Address_/ TE %/}/c'/� �iP �. /!/,l� yk' C'/
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 °
City ater 0 Well 0 Septic 0 Sewer 0
Approved by Date s^�� "qd BD1A 1 1/88
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 alt ration in the plans or specifications of the Building for whic this permit is asked,and agree
that this building is to be located the proper distance from all street lines,side yard lin s and required dis nces from all other zones and is
located in a zone in which this building and its use is allowed.
r �
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
Footin 6` ZZ-- Framing c
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
PERMIT 0
3
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
ate Bui di Inspector Application must be printed or typed
1 . LOCATION OF JOB
j
FEE SCHEDULE No . Street
$ 0 - $10000 - $10.00 Floor Apt . No.
Over $1 ,000 - $10.00
per $1 0000 or 2 . OWNER
fraction thereof 3. ADDRESS 9-
/yli y d/L
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4. APPLICANT.�ri✓ li✓�/�/
5. ADDRESS o'-)0 0s+1C S
6. ESTIMATED COST $ %rO 0
7 . IS THIS A CONTRACT COST ✓ _
v
Yee No
8. FEE ENCLOSED $ ��o
9. TYPE OF BUILDING%
P // RESIDENTIAL COMMERCIAL
10. TYPE OF JOBS
Original Installation
✓Alterat ion/Add it ton/Repair
aD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB /0 <- /77AA- 4 5r-
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION
13 . SIZE OF MAIN FEEDER -1
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 :
���5 L S�2cJL e.t �b�, �S 1C � �Q O fir►-tao �'>2G✓r T /J�c-t�-'�CG/�S
LICENSE NO . tl SIGNATURE OF APPLICANT DATE
PHONE NUMBER: ('-17' S96zl
INSPECTOR DATE TIME /,a•�/� '
LOCATION D S
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
r
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ELECTRICAL:
PLUMBING:
HVAC:
OTHER:
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