HomeMy WebLinkAbout17 Karen Way (2) y� day,
TO THE BUILDING INSPEMB
ash day APPLICATION FOR
PLAN EXAMINATION AND
T� �� BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.
Z NIN�i
• AT (LOCATION) /� Q r F �� V OIST)i ��
LOCATION (NO.) (ST ET)
OF BETWEEN i�a h�� l➢r►l/ AND
BUILDING 1 (CROSS STREET)
y (CROSS STREET)
LOT �-p `
SUBDIVISION �! G ������ �7,"� e� LOT_�BLOCK SIZE Z0 4/ by s
N
11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wracking" most recent use
1 Now building Residential Nonresidential
2 Additi n(I/residential, enter number 12 QZ One family 18❑ Amusoxent, recreeti nal
/new housing snits added, i/any, 13❑ Two or mete family — Enter 19❑ Church, other religious
in Part D, 13)
nw"ber Of units— —— ——► 20❑ Industrial
3 ❑ Alteration (See 2 above)
14❑ Transient hotel, motel, 21 ❑ Poking garage
4❑ Repair, replacement or dormitory — Enter number
5❑ Wrecking (I/multifamily residential. o/ units ——————— —i ❑ Service station, repair garage
enter number o/units in building in 15❑ Garage 23❑ Hospital, instituti nal
Part D. 13) 16❑ Carport 24❑ Office, bank, prof ssional
6❑ Moving (relocation) 17❑ Other — Specify 25❑ Public utility
7 ❑ F undation only
26[3 School, library, other edueoti nal
B. OWNERSHIP 27❑ Stores, merconfiIs
8 W Private(individual, corporation, 29❑ Tanks, towers
nonprofit institution,etc.) 29❑ Other — Specify
9 ❑ Public(Federal, State, or
cal government)
C. COST (Omit cents) Nonresidential — Describe in detai I proposed use of buildings, .g., f d
processing plant, machine shop, laundry building at hospital, elementary
10. Cost f improvement............... 0 Z 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
2 S-0 t?
a. E I ctri co I..
.....................
b. Plumbing ...................... 3 C100
c.H ating, air conditioning......... J 0
d. Other( (evetet, ate.)............
11. TOTAL COST OF IMPROVEMENT S B
III. SELECTED CHARACTERISTICS OF BUI DIN — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to /V.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30❑Masonry(well boating) 40 Public or private company 415- Number of stories................
31 Wood from 41 ❑ Private(septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions ....................
33❑ R inforced concrete H. TYPE OF WATER SUPPLY
owl Pub private company 50• Total land ores, sq. ft. ........... ZO 597.4 0
34❑ Other — Specify 42 l:.'�I Public or p
43❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES 2,
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35❑ Gas Will there b central air 52. Outdoors........................
conditioning?36 Oil L. RESIDENTIAL BUILDINGS ONLY 2
37❑ Electricity 44❑.Yes 45 N 53. Number f bedrooms.............. J
38❑ Coal
39❑ Other— Specify Will there be an el vator? 54. Number of Full.......... 3
46❑ Y s 47 R N bethroome
Partial........
IV. IDENTIFICATION — To b c mpi t d by all applicants
Name�/ Meiling eddress — Number, street, city, and State ZIP c de Tel. N
Owner or rL-Cr le/e �.(1 �41�( '� ew i..t e'v7 C �L'. Q//� 6a
Lessee 6
2. ev..3
Contractor
c e k d be o�
Architect or
Engineer A 5)t c/q r
The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
$ignatur f cc plicagt A441ress Applicati n dot 00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
q Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
P rmit or Approval Check ObtDa o Number By Permit or Approval Check Obtained
ned Number I By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Bui Iding _
Permit numb r
Bui Iding Permit issu d 19 ?V
Bui Iding
P rmit Fee $ �
AppAkyed .1
T.J
TITLE
A
TOWN OF SOUTH WIMSOR
BUILDING PERMIT
Date 1117 , 19 86
Fee Paid $.6.8 4..0 0 Est. Value $- 11.4,0 0 0
N° 15535
on the side of
Lnt 9 Karen Way Save
Street No. 17
Owner all ;o.� R131 d'r s
Applicant Adr ie n Picard
CERTIFICATE OF OCCUPANCY ISSUED:
Date
Nola12
Fee Paid $ 3 .00
CLASSIFICATION
Dwelling
BUHDj NG PERNO T N? 15535
OFFICB OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Nov. 7 106
94is 'to to (fertitu, That Allied Builders
is hereby granted permission to Dwelling
at estimated value of -14,0 0 0
on the side of Lot #9 Karen Way Street on land
owned by Allied Builder's
Said Work to be as described in Application
No. 15935 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Laced r NAv. 7 1986
�= 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"
Dvi a l l ing -- Lot #9
B1.Spr• 11/7/86
Allied Builders
17 Karen Way Permit #15 5 3 5
v
Electrician Frank Nicotera #9595# 6711
Heating Contr. Paul Guarino
��
Plumbing Paul Guarino # 7269
#
Oil Burner # 7849
Certificate of Occupancy
Sewer Permit r
Plot plan aPPd. per Engr.
Permit No. ��� TOWN OF SOUTH WINDSOR
1 SOUTH WINDSOR, CONN.
I
Permit N? 7849
Certificate of Occupancy
I 1 TH S TO CERTIFY that the
at No. f% in the 6fown of South Windsor, Connecticut, has
been erected and completed in cordance wi the B ' irg Code and Zoning Regulations of
the Town of South Windsor, and is hereby ap oved or occupancy
i
M
Building Inspector
�wner, Builder
nn ®
Fee Paid -� Date o� 19Cl
CERTIFICATE OF OCCUPANCY CHECK LIST
Applicant /�7kLA&2> 15 y1 2� 5 Certificate of Occupancy
Address 1 1? LI-97i��✓ f-v� Bldg. Permit No.
Lot No. `Y Date Submitted - z;>- '"
Project Reviewed By ,0�10
Date &= Zg- 0 7
As required in the Zoning Regulations, no certificate-of-occupancy
shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall
inlcude:
Approved Denied N/A
1. Approved building permit plan.
�y 2 . Finish grading per approved
/ building permit plan.
3 . Site work, i .e. trees , shrubs, dumpster_
required parking
4 . Utility location
a. sanitary sewer
b. foundation drain
C. electrical & telephone
d. water
e. other
5 . Appropriate certification
6 . Bonding
Sewer Permit No.
Pavement Excay . No.
COMMENTS :
Aj
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1 F16;�
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ry `� okk
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8
BLUE SPRE= ES'BkTES&
OT 9 -
//1/��i. ', iA TAkE/V Fi40M
Alf,4,41 Z-lVr/TL6-D Bcl-UE SPRU(fE
TATifS, A AA-30 OP61V SPACE
SUBS/I//S/O/V, TOPO G'/QA4YI C e,.....am
oY�/V C� cif/2 Z)X7Z-� 7-/S- of coN
I>AA INS 7-b 0.46
No 6m
=YBU?Ilders ,
4,
P.O. Box 11156 %'u�k�� .u�uu����
Newington, CT 0611.1
one $ 6AA_1808 �.�U�CO HEC c
�2_ E r
Scale 1" = 40
so
i�RE BY RTIFY THAT THIS MAP AND SURVEY WERE PREPARED IN ACCORD NCE WITH THE
':'T.�PtU h:�� c�F A C1_fISS - SURVEY AS Dlk' D IN THE TING OF PRACTIC
� . pc••, ED ® E CONNECTIC.Lf
,R S!A�. A RDS OF ACCURACY Of SURVEYS �►
A"'iSC CiAfif' N OF LAND SURVEYORS INC.
xF,WSICW: ?AGE
1. As-built 4-13-87
iNGI-EERING 1750 ELLINGTON ROAD
INC. SOUTH WINDSOR CT 06074
203 644-4691
A
P.
To�-nvN o,;r
ERING LD
DATE:: LENT
SIG.:
9595
ELECTRICAL APPLICATIOR
Application No. 11104
on the Side of
Lot #9 Karen Wav Street
Street No. 17
Owner Allied Baui rI _rs
Electrician 'sank N-i r-ntprA
FILED IN OFFICE OF
The Building Inspector
3/13 1987
INSPECTION.
mNo 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 ofilce of the Building Inspector. I
Electrical Permit No. .....`.....y..........................._
Master License No. ....�. y 6 6
.................................
TOWN OF SOUTH WINDSOR Building Permit No. ,�3"�5, >`�..................
BUILDING DEPORTMENT
Date Filed %J,l ............................................
Date Final Approval .................. .......... ......_.....
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
JOB LOCATION: �� Y W . . ... ........ ...................... ...........................................................
A .. .....!`' A JOB OWNER: I l e l g P 3
........................... .
Sideof ...... Between ..... .. . .................. .......... .. .. and ...............................................................
�1 p ... ...
Name of Building Owner 1�.�.� ..... . ... ........... ..................... Address . .. .................. . ..........y.._......................
Ifwork is for Lessee—Give name ......... ........... Address ..............................................................................................
Building now occupied as (unless new) .... . No. of family units now . ...... . .............
Building to be occupied as .,k e'v �" Number of family units to be ...... f.......................
Is this work included in a Building Permit? Permit Fee .. ......... ..........L;...o�.�............ ... ....................................................._.....
(If no Building Permit) - �'R'
Permittee v 1� /U�.. `"�. �'' Business Address�...y(- . .. 0 Q y..!'/.......... Telephone`.........:..............
COST OF INSTALLATION: ........................................ ... ................................................................................................................................................
_w
.f
TO BE FILLED OUT BY PERMITTEE
TO BE WIRED 0 EXISTING APPLIANCES
a
Number of light outlets to be installed �. . Number of resent Appliance Circuits .. ............................................
Number of convenience outlets to be installed p pp
Number of switches to be installed Do these include Range ❑ Water Heater ❑
Number of appliances to be installed
(as listed below) Dryer ❑ Air Conditioner ❑ Oil Burner ❑
TYPE RATING NO.
Dish Washer ❑ Gas Burner ❑
A
Range
Well Pump ❑ Elec. Heaters ❑
Range Top . . . . . .
Oven . . . . . . . . REMARKS:
Water Heater
Clothes Washer
Clothes Dryer . . . . .
Dish Washer . . . . . . }
Air Conditioning Motor . .
Oil Burner Motor . . . .
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan , , ,
Well Pump . . . . . .
Electric Heat . . . . .
Other . . . . . . .
Number of new Lighting Circuits _... ........._.....
Number of new Appliance Circuits . . . .............................
Number of Heating Circuits . . . . . . ............. .............
Number of Motor Circuits . . . . . . . ..
Size of present service .............. ... ......_............................_............
_..._
Size of service to be . ................... . ...
7269 Iq
PLUMBING APPLICATION
ppp. . N6. 6938
on the ................. sde
s�
Street No. ° ''�— 17 Karma h7aY
t
Owner t..464 u c, ,
eal25
Plumber ..... U
Filed in Office of
The
-- Mar,. 5 19�Z
No pawn:ball coostract, add w or aloes asy
portion of the drainage :'stem of my bul&og
(except to repair 66) umd a Plenak is graooed
by the Building Ingx ow.
i
APPLICATION C AT I O N FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
A
11. LOCATION OF JOB Zo/ �-
O. STREET FLOOR APTAO
GENERAL PLUMBING
12. KIND OF INSTALLATION /v/" 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS 3 STYLE 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 . ? :2--
i
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? AA) 27. SIZE OF WINDOW
28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? sfll�J'7
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIGNATURE ADDRESS C-)
r
LICENSE NO. _ ESTIMATED COST k TELEPHONE
�5
a r �
OWNER ADDRESS �/ Aj
WATER HEATER
31. TYPE 32. MANUFACTURER
TANK SAFETY DEVICES
33. CAPACITY 37. TEMPERATURE RELIEF VALVE
34. TEST PRESSURE_ 38. MANUFACTURER_
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE
36. TYPE 40. MANUFACTURER
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.
CD962 DATE SIGNATURE OF APPLICANT
PERMIT
Application For 6792 6 711
DEPARTMENT DECISION Heating Permit
3 E APPLICATION IS HEREBY:
O DEPARTMENT OF LICENSES AND INSPECTIONS
N +' IR APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
3/16/87 Thomas P. D' Auria
DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O W
-+-) >-,
e» �
-p 1. LOCATION OF JOB 17 Karen Way
o n
o AV xxxx;F,)Ip X4 vs
NO. STREET
O
v
cn
O
LOT N0. FLOOR APT. N0.
O 0
� O
lV
s~ �
2. OWNER 1 L� L1 I IeA6
cc a c a. ADDRESS
bo
G �
d w 4.PHONE
>, Cc
Cn S. APPLICANT'CZ" i L
e»
'
o ccs. ADDRESS
<< S .
9 >'.PHONE
w n00,
s. LICENSE NO. 3 0 1
�d
4-4 !. EXPIRATION DATE OF LICENSE-
0
c�
C'
A 10. ESTIMATED COST
^ 11. IS THIS A CONTRACT COST? � YES ❑ NO
bo
12. FEE ENCLOSED s Permit 15535
axi IS. TIRWOF BUILDING:
bo
RESIDENTIAL ❑ COMMERCIAL
14. TYPE OF JOB: INDUSTRIAL
3�
ORIGINAL ALTERATION
INSTALLATI N ❑ ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued tr m R v ne side)
Al n
11. LOCATION OF JOB Rlue,
•
NO. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ❑ ELECTRIC Cl VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE SIZESIZE
13. OF TANK 'Z& OFCTANKN 4AI Ue � eei.OF FILL 2 f 1 OF VENT ' ( �•
14. B.T.U. EQUIP. AT REGISTER FURNACE.MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. ,P B.T.U. OR SQ. FT. NET��•c�+cD B.T.U. OR SQ. FT. GROSS 16:7 FIRING RATE
FLOORS TO BE HEATED 02 NEW OR OLD BUILDING N' / INSULATED —(0011 NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. j I-cl 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. ��....77
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. B.T.U. O< DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL REGISTER
L W N AND W TEMP. TO ��j f TYPE AND SIZE RAD. OR LEADER
SIZE WALL f'Lt0 (INFILT.) DIFF. •F F di ci SO' FT' FREE AREA
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING, OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY-
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. (� : 0,
DATE SIG LIRE OF APPLICANT
ARCS® CALCULATION SM-_ET
It �� 1 %`0 irS ADDRESS 0 DATE_.� 0 U 7
OWNER ,%
DEALER_ KIND OF BUILDING CHIMNEY SIZE
CONSTRUCTION: WALL � '/
WINDOWS /�' �r \ ROOF OR CEILING A� •, �L"
13ASEMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF
COL.1 2 3 14--5-7 6 7 1 8 1 9 1 10 11 12 13 14 15 1 16 1 17 1
WINDOWS AREA-SQ. FT. FLOOR VOLUME BASEBOARD$
ROOM SIZE
AND DOORS CU.FT. TOTAL TOTAL
(i[[NOT[1 AT 70/ co TO
WATER LENGTH ACCESSORIES
ROOM NUMBER GROSS GLASS NET WALL CEILING �'l 3 Tcmp. To el
L W H Ow AREA WALL o Qp 7 D1FF. `� I TEMP ENCLOSURE TU E E R S LC MISG
Size O O Q t /_ TEMP DIFI. R.
J v
ieI^0 5260 /o
�a �( 1300f ��
� �OQ
1,va,� b' l� �' 1 l 0 0 170 0 o a oo
_ ; O 30 /` o57
1 0
13 3`00 377L
)3 13 ()0 1
.��. >. I,Z r?C?n� ao�a qDD "' 00 GDD l�
D
1 15
300 eyoo pD o 0
� c c.
O 36 a r
lie 7.L
, , t 1200 o6) l
NOTE: FOR CONCRtTE FLOOR ON GR UND R FILL AT GRADE LEVEL.U E LINEAR FEET OF EXPOSED COGM TOTALS •� I
FOR ALL OTHER FLOORS USE ssaUA"FEET OF ARIA. / L/ (�
G' 7
FINAL Q
BuildinggINSPECTIONS:A 67 APPLICATION FOR BUILDING PERMIT
�
Plumbing
HVAC Date:
Sprinkler 17 KAREN WAY
Electric Estimated Cost $
Zoning Permit Fee $ 30 L d a
Affidavit NO. 7.15 Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS. d
Fire Dept. TYPE OR PRINT ONLY Total Fee $
Health Dept.
Approved for CO: 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 Aq Lot No. Side of Street Zone
Applicant W-71_,dPv? rc g0q—_x¢g5" &311 Tel. #
Address a /SaA /y2, c5D Lci<kosvr Zip 0407 Lic.# E6 y 6 (�
STREET CITY STATE
Owner A;�47/yQT �!io Address K nc'.e w�4 u c7
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 G a w.tg:,Aol Zx5'7.,szc 9-/2 Pyo%4 S-7 A ZA�C_'
S
01
City W ter Well ❑ Septic ❑ Sewer a-'
Approved by 4= Date j 2'L�� 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 b located th proper distance from all street lines,sid yar1linquired distances from all er zones and is
located in a zone in which this building and its use is allowed.
Signe
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:
FINAL INSPECTIONS: R BUILDING PERMIT
Building FOR O V
Plumbing Date: #Z I
HVAC
Sprinkler 17 KAREN WAY
Electric Estimated Costs 04 0 6 V
Zoningoop
Permit Fee$
Affidavit NO. 21492 Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.
Fire Dept. TYPE OR PRINT ONLY Total Fees 3
Health D Pt. SIGN ON REVERSE SIDE.
Approved for CO: l� (Additional Cost) $
TO BUILDI PARTMENT, 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 �o �-�`� Tel. # 7Ay_
Address �� Yo-Z ��i9rZr C� Zip��2-�—Lic.# may`/
S EET ` CITY STATE
Owner 4 ddress �� ` ^
Architect Address
Size New Area: Ft. Front Overall �Ft. Deep Overall /ol r Total Area O S #Garages
Lavatories
Size of Lot Dist. from St re t Li Ba rooms Rooms 1 st 2nd 3rd
Purpose of this Per
mit "�"� �
c
City Water ❑ Well ❑ Septic ❑ Sewer ❑
04
Use Group Construction Type 50
Approved by Date Gil cc, 13131A 11/88
I hereby agree to conform to all th requirements of the Laws of the Stat of Connecticut and th O ces of the Town of South Windsor
and to notify th Building Inspector of any alteration in the plans or specifications of the Build' 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 an equir dista es from all other zones and is
located in a zon in which this building and its use is allowed.
:Z e c-�
Signed C
I hereby apply for a Certificate of Occupancy for the work described in thi appy ti for permi
Signed
—DO NOT WRITE BELOW THIS LI —
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By A p p I
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
94-21492-B 10,000
B03 FRAMING (ROUGH) 06/17/94 MAB A
E03 ROUGH 06/17/94 MAB A
B04 INSULATION 06/23/94 JFH A WATCH CEILING VALUES
B10 FINAL 08/05/94 JFF D DECKRAILSPACINGOVER8IN
B10 FINAL 08/10/94 JFH A
94-13037-E 500
Total Est Value 10, 500
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Prop:tr y of:
A11ieQ Builders
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P.O. Box 11156
Newington, CT 06111
Phone L Y�, �'j�►J�
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Scale 1" = 40 `
y� RU04F �
. ''�nrisuiaa '
THAT ,THIS. MAP. AND. SURVEY WERE PREPARED IN ACCORD NCE WITH THE
OF PRACTiC
a :n ;,a, �� A C i.kSS -- SURVEY AS D>:.F D 1N THE TIIG
FD 8 E CONNECTICL T
(�F ACCURACY Of SURVEYS N APB".
A �,r,�� r'.r LAND SURVEYORS INC.
PEv1SICNS: ?AGE
1. As-built 4-13-87 ENGINEERING 1750 ELLINGTON ROAD
?c INC. SOUTH WINDSOR CT 06074
203 644-4691
r_ {
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�Gu i 1�Jir��;s.
BUILDING DEP I-%T ME'-NT
f0 THE BUILDING DEPT. TOWN OF
This certified that this plan and specific:.tions are true
copies of the proposed building or alterations to be
erected at
Ka,�� W Street
together with amendments ted in app ication and
filed with plan and I ag to comply with all zoning,
Building and state I s an such orders as shall be
issued by the Bt ding D par ent during pendency
of this applica n fina issuance of a building
permit
Signed L `
This pi is approve subie the condition that
orders rid ordmanc s regulating 1 rig shall be
complie ith,
Conditionally Approved These filed with
13uilding Inspector Veit
Uate No. m)11
CERTIFICATION OF ZONING COMP
Proposed buildin s uses an COMPLIANCE
as shown on this
�' use(s) and/or structure(s?
::onformance with PU r appear(s) to be in
regulations. Variances and ns South Wind
may apply. pedal exceptions
Date to 'Id q
Zoning Enforcement Officer
PERM
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT a0:3T
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT. _
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
(911 ylq(l I 1 644-2511 Ext. 230 e
a e Buil in nspector Application must be printed or typed
1 . LOCATION OF JOB
19
FEE $CHEDULE o . S t rti et
$ 0 - $19000 - $10.00 Floor Apt . No.
Over $1,000 - $10.00
per $1 ,0 0 0 or
2 . OWNER
fraction thereof
3. ADDRESS L-C,�X4y
4. APPLICANT
5, ADDRESS
6. ESTIMATED COST $ AOL
c
7 . IS THIS A CONTRACT COST
Y s N
8 . FEE ENCLOSED $
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
✓Original Installation
Alteration/Addition/ Repair
R D 3A 11i88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB 12
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 ,� 2c) ✓,PT5- 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 :
LICENSE NO. SIGNATURE OF APP CANT DATE
PHONE NUMBER: e� S-3-- 0 & 3 !�
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I HEREBY CERTIFY THAT THM MAP AND SURVEY WEK nMpM= IM ACCORD WE PRACTICEWITH
STANDARDS OF' A CLASS A.�-- SURVEY AS 0 THR � OF
FOR 'STANDARDS OF ACCURACY OF SURVEYS E CONNECTICUT
ASSOCIATION OF LAND SURVEYORS INC.
MMI ?AGE
ENGINEERING 1750 ELLINGTON ROAD
INC. SOUTH WINDSOR CT 0607•
203 644-4691
South Windsor
BUILDING DEPARTMENT
t. tf<i tt f�:A i IOi� OF ZONING Lo:.IrLWA CL
Proposed building(s), use(s) and,or structure(sl
as shown on this plan apt-- f o be i'�
conformance with currcn► 'h •`�.�c�.
regt,lations. Variances and
may apply.
5 28 oZ
Date ___�_ - -- - ----
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