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Home My WebLink About1921 Lakewood V d� G 6 TO T BUILDING INSPECTOR ° of the APPLICATION FOR PLAN EXAMINATION AND OF WIIrDSOft, CONS BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, It, /it, IV, and IX. o ZONING I• AT (LOCATION) •�CX Cnue- DISTRICT LOCATION NO.) (STREET) 1 OF BETWEEN(„�^Lio/uDd� .L7i� 6� E//In n _cL AND BUILDING (CROSS STREET) 16/ - (CROSS STREET)LT SUBDIVISION Lf�l/1d[� LOT/,]1�BLOCK SI ll�iA ZE _�T 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 T 1 New building Residential Nonresidential 2 ❑ Addition(1/ residential, eater number 12 n One family 18 Q Amusement, recreational o/ new housing units added, if any, in Part D. 13) 13 wo or more family — Enter 19 El Church. other religious number o/units— — — — --i'--,-9 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 Transient hotel motel 4❑ Repair, replacement or dormitory Enter number22 21 ❑ r garage 5 ❑ Wrecking (1/multifamily residential, o/ units ——————— —-i ❑ Service ce station, repair garage enter number o/units in building in 15❑ Garage 23❑ Hospital, institutional Part D, 13) 16❑ Carport 24❑ Office, bank, professional 6❑ Moving (relocation) 25❑ Public utility 17❑ Other — Speci/y 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile 8 Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29❑ Other — Specify 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement................ 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...................... S\:r},,,,e. V2& !je �2Pl b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Masonry(wall bearing) 40 ublic or private company 48• Number of stories............... 31 ood frame 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions .................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY ❑ Other — Speci/y 42 u lic or private company `-�• Total land area, sq. ft. ........... 34 — 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ........................ 35 Gas Will there be central air 52. Outdoors........................ 96❑ Oil conditioning? — L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45 L- 9a 53. Number of bedrooms.............. 38❑ Coal 39❑ Other— Specify Will there be an elevator? 54. Number of Full.......... 46❑ Yes 47 p^o bathrooms Perflol........ IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. I. 06d�y Owner or oaJan Lessee 2. Contractor 3. _ Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature f applicant Address Application dote 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans B Notes q Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained Number By Permit or Approval Check D ote Obtained (dumber By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS ' OIL fi iR it R WRFCKING OTHER OTHER VII. VALIDATION Building Permit number Bui Iding Permit issued �� 19 Building Permit Fee $ Appr ed b CA TITLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date July 16 , 19 8 6 Fee Paid $. .6 3 0 .0 0 Est, Value $.10 5,,0 0 0 Permit N° 15268 on the side of Lot 16 F. 17 Duck Cove Sty Street No. 16 & 17 Mick Ca ve Owner RSK Ke l-l co Inc . Applicant Carol S. Kelley CERTIFICATE OF OCCUPANCY ISSUED: Date No. 7673 Fee Paid $ 6_.110 CLASSIFICATION DLp 1 P-x-d.we 11 i n ct BUnDiNG PERMIT M 15268 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. juiy 16 1986 94is is to Crrti fg, That Rsx-milco Inc. is hereby granted permission to Duplex dwelling at estimated value of A on the side of I.0 t 16—&-17 Mick Cove Street on land owned by RSK-Ke11co Inc- Said Work. 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 J MI _lb._ 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." Dwelling (Duplex) Lkwd 7/16/86 RSK Kellco Inc . 016 8,1*117 Duck Cove Permit # 15268 6- 11r.117) Electrician Michael Finnegan #9420 Heating Contr. Mellen Energy Cp #6631 Plumbing it Mellen Energy Cp #7188 Oil Burner # Certificate of Occupancy # 7673 Sewer Permit Aprd. per Banach/Martel 7001 INSPECTION REPORTtill dx �G,r.#1 Permit 1 Footing - 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. 1 Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. j Permit O .A� 7673 M Certificate of Occupancy 1 THIS IS TO CERTIFX that,the p at No. %' ° ' in the Town of S06h 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 appleved�'iDr occupancy. 1 Building Inspector PO 0%vner, Builder--- Fee Paid Date .�� s'�"Z� ,_ _ 19 _ p + 9420 � y -- ELECTRICAL APPLICATION Application No. 10931 on the side of Lcit 16 -17 Durk ( n 3Ze Street n Street No. _ Owner RSK Kellco Inc . Electrician r-icrael Finnegan FILED IN OFFICE OF The Building Inspector Oct. 24 1986 IN81Fla(Ti'ION. 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 Are stops (if of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit No. ......b...... Master License No. .......... TOWN OF SOUTH WINDSOR Building Permit ,No. ......................... BUILDING DEPARTMENT Date Filed .101-fyl ........................................... Date Final Approval ................................................. APPLICATION FOR ELECTRICAL WORK Electrical Inspector Z,17 .................................................................. JOB LOCATION: ........................................................... .1X2i24j0JOB OWNER: Side of . ... . ..... .......... ......Hsk.... Between ........... .. ...... ........................................ ...... and ................................................................................ Nameof Building Owner ..................................... ... ......... Address ........ .................................. ....................................................... Ifwork is for Lessee—Give name . . ........... ......... .. ............ .. Address ................................................................................................. Building now occupied as (unless new) .. .. ... No. of family units now ................................ Building to be occupied as .......... .. .......... ........ ...... Number of family units to be ...... a ............. Is this work included in a Building Permit? Permit Fee ................ .................................................................................................. (If no Building Perxn Permittee IKA Business Address ...... ..... Telephone COST OF INSTALLATION. . .... TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed Number of convenience outlets to be installed Number of present Appliance Circuits ................................................. Number of switches to be installed . . . ....... ...... Do these include Range ❑ Water Heater ❑ Number of appliances to be installed .. . . ...... .................... (as listed below) Dryer [3 Air Conditioner ❑ Oil Burner ❑ TYPE RATING NO. Dish Washer ❑ Gas Burner ❑ Range . . . . . . . . Well Pump ❑ Elec. Heaters ❑ Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater Clothes Washer . . . . Clothes Dryer . . . . . Dish Washer . . . . . . Air Conditioning Motor Oil Burner Motor 7- 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 ..................................... .................. 7188 PLUMBING APPLICATION p— . . No. 6858 on the of #1 0?� _................C,[t..,� �Q y,� & Yr)sa+ect Sweet NO. ,G.. ej Ae dw Owner lee Filed in Office of The BuddingInrpector Dec . 1 19 86 II�L`i'10�1�. No person shall construct, add w or aher mW portion of the drainage system of my boUn (except to repair leaks) u mdl a Pkemit is wed by the Building Lmpeaw. APPLICATION FOR PLUMBING PERMIT (Continued from R verse Sid ) TOWN OF SOUTH WINDSOR, CONN. 11 LOCATION OF JOB /�� / 7' 'tvkipt/ G NO. TREET FLOOR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION J13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS_ STYLE G/ 15. NO. OF URINALS t_STYLE 16. NO.OF BATHTUBS 2 17.NO.OF LAVATORIES _18. NO.OF SINKS _ 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS /�l _SIZE 21. NO. OF STACKS _SIZE 3" 22. AREA OF ROOF 23.NO. OF CATCH BASINS / 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES 92)11✓ KIND 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WI OW? 27. SIZE OF WINDOWO V3 J� 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? f SIGNATURE ADDRESS/,07 &41(444. � LICENSE NO. C20% Z� ESTIMATED COST TELEPHONEI12'02 f/ OWNE f ADDRESS �1 ,! WATER HEATER 31. TYPE 32. MANUFACTURER 090 f-l"41-14 TANK SAFETY DEVICES 33. CAPACITY U 37. TEMPERATURE RELIEF VALVE !�/ 34. TEST PRESSURE_ ti 38. MANUFACTURER 35. WORKING PRESSURE S d 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. - /3 46P - �_ ' h.- - E CD962 DATE S N TURE OF APPLICANT 1 PERMIT # Application For 6429 6631 DEPARTMENT DECISION Heating Permit 0 3 [APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS APPROVED ❑ DISAPPROVED TOWN OF SOUTH WIN DSOR .5 aoo it ?2/1/86 Thomas P. D' A uri„a IV GATE CHIEF wwacTOR APPLICATIONS MUST •E PRINTED OR MID. 6941111 WITN MUMMER ONE MELON! O 41 1. LOCATION OF B NO. STREET LOT NO. FLOOR AR. NO. 48 000 0 a. OWNER 0 2. ADDRESS - S ..PNON 0. APPLICANT b •. ADDRESS T.PHONE4104 Z o1 'g •. LICENSE NO. 3a / 4*.. *. EXPIRATION DATE OF LICENSE 5r 10. ESTIMATED COST s— �3 ��•�� V .8 11. IS THIS A CONTRACT COSTS YES ❑ me Of v � .� 12. FEE ENCLOSED s Permit 15268 k q01 1$. TYPE tt F BUILDING: 0O I.JtVEf10ENTML ❑ COMMERCIAL . .... r. 14. TWE ► JOB: ❑ INDUSTRIAL a, 3 C1' �1 M fCtNAL ❑ ALTERATION 9y fTALlAT10N ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Coatinu d irm Rev nw Side) 11. LOCATION OF JOB w AK DOG v, (!�,l Z/`.,w, NO. STREET FLOOR An.N . 12. TYPE Of INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ YENTLLATION ❑ SPRINKLER GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE .�. SIZE ��,,,, LOCATION �.•� SIZE OF VENT 13. OF TANK OF TANK OF FILL 1 B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO B.T.U. OR SQ. FT. % 'T'JeT�B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING 4� :iXSULATED - YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM W ER TEMP. �-� .T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE �� 'FAHRENHEIT MAKE OF RADIATIQ& BASEBOA . COPPER C NVECTORS. 0 C.l RADIAT N. UTPUT PER SECTION OR LIN AL F RADIATION. SO. FT. OR B.T.U. DESCRIPTION OF WORK74, 13. TO BE DON 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): wooer slip WIMCowf •.r.u. w•T•u. DISTRIBUTION INSTALLED AREA - SQUARE FEET <� AMC OOORf VOLU� TOTAL TOTAL w MtT WALL CUILIM6 RLOOw CU.RT. AT'a'R COR11f:CT20 t L RAO. RFOIfTtR M C 3 �� Tt�. To F TVRt AMC SIZZOw L[AOtRWM ! ` WALL�QLAI"M �0 IIMRILT.) OIRR. •R .Qi so. RT. OWNR A49A < C i TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. S. 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 D 17. ELECTRICAL WORK BY: Cam'' G` MANE ADORE" SUBCONTRACTORS AND 1 s. 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. /� DATE v SIGNATUR9 OF APPLICANT I = B = R C,�.L_CULATION SHEET 1503 (Modern Methoa) l -�^n (�,,�. Copyright 1977 by The Hydronics Institute OWNER C C-11U� / /`c �� ADDRESS 4LT16 �n �+�� DESIGN TEMPERATCRE DIFFERENCE ROF. DATE COL.A COL.B COL.C COL.D COL.E COL.F COL.G 1 'ROOM ]_._ /,D — Q r?_ L,% u e 1`, L i W to hi 14 5 . 13 �y O H L W H L W H L W H L I W H L I W Design Water Temp. 2 ROOM DIMENSIONS,FT. H 7 J �O U1 /6 �I 1 BTUH per Foot of 3 LENGTH EXPOSED WALLS, FT. Q `7 e>? 6 Radiation Selected d 4 WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION (Table 9, Line 3 x H) r "7 01 D O D O 0 Q O ROOM LIN.FT.OF TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED (Bottom of table used for Line 5) 9106 oO 1 V/1 v O O 7 CEILING CONSTRUCTION X1- c_,2916n s— (Table 9, L x W) g FLOOR CONSTRUCTIONt (Table9, L x W or Lin. Ft.) E Q 9 COLD PARTITION CONSTRUCTION F /J 06 J 7 (Table 9, L x H) �� 10 c 1 Wall(With Openings) �_ G ' =o / G I � Ca 2 Walls'(W ith Openings) m X i4 � O Q ?goo H I O 10D 1 3 Walls(With Openings) or Ent. Hall J 11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' �,� QQ Q-� S O O 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE 't Q Q O 9 0 0 K I L COL.A COL,B COL.H COL.I COL.J COL. K COL.L TOTAL BTUH TOTAL 1 ROOM Q -� �f7 OF BUILDING SEL N ELECTED O H i W H L W H L W H L W H L W DESIGN TEMP.- 2 ROOM DIMENSIONS,FT. H DIFFERENCE C: 3 LENGTH EXPOSED WALLS, FT. Q 4 WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION *INCREASE BATHROOM (Table 9, Lin 3 x H) Q / ?00 TOTAL 20% 6 TYPE 8F GLASS (B ttom of table used for Line 5) 3 0 6 1 a V rf O 7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON (Table 9, L x W) GROUND OR FILL AT QO Q GRADE LEVEL,USE LINEAR g FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE (Table 9, L x W or Lin. Ft.) 9 COLD PARTITION CONSTRUCTION (Table 9, L x H) 10 _c 1 Wall(With Op nings).10 / O cM 2 Walls(With Openings) e X Q 3 Walls(With Op nings) r Ent.Hall 11 TOTAL BTUH AT 70F TEMP.DIFFERENCE' a n el Y__T0_A O 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCEIX , Q O This form is available from The Hydronics Institute,35 Russo Place,Berkeley Heights,N.J.07922 FORM 1503 = B = R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronics Institute �� 1� rk 614-1U P- S D D R ESS �G ZILE 17 �*- L•-CI U�^C� G/1 0="=!uEQ A DESIGN TEMPERATURE DIFFERENCE Q.LLF. DATE � COL.A COL.B COL.C COL.D COL.E COL. F COL.G 1 -ROOM i6 9 T t>eF itFOYS-P. L n. G — bul H L W H L W H L W H L W H L W , O Design Water Temp. 1 k6 2 ROOM DIMENSIONS,FT. U j `�~ �` STUN p r Foot f + 3 LENGTH EXPOSED WALLS, FT. Q �.. 8' 97 36 Radiati n Selected 4 WINDOW AND OUTSIDE DOOR AREA LL �' "' " r BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION ROOM LIN.FT.OF (Table 9, Line 3 x H) poll /02 d a 000 4-104 / F V 0 9 010 TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED (S tt m of tab[ used for Line 5) O d 600 O a O U a p p 7 CEILING CONSTRUCTION C 3 Q 61 T (Table 9, L x W) • d I a Q g FLOOR CONSTRUCTIONt D 1 J (Table 9, L x W or Lin. Ft.) E 9 COLD PARTITION CONSTRUCTION F (Table 9, L x H) 10 c 1 Wall(With Openings) •Q� 700 '230 Q 02 ! Q d 4 2 Walls'(W ith Openings) X D D H- q D d 3 Walls(With Openings)or Ent.Hall 11 TOTAL BTUH AT 70F TEMP DIFFERENCE* D 7 d Q t f 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE 120 Q K L COL.A COL.B COL.H COL. I COL.J COL. K COL.L TOTAL BTUH TOTAL 1 ROOM Q OF BUILDING RADIATION V l� AT SELECTED O H L W H L W H L W H L W H L W DESIGN TEMP.' 2 ROOM DIMENSIONS,FT. F' DIFFERENCE Q 3 LENGTH EXPOSED WALLS, FT. Q 7 4 WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION *INCREASE BATHROOM (Table 9, Line 3 x H) y O b TOTAL 20% 6 TYPE OF GLASS (Bottom of table used for Line 5) pIL Q 10 tFOR CONCRETE FLOOR ON 7 CEILING CONSTRUCTION OR FILL AT (Table 9,L x W) Qd GRADE DLEVEL,USE LINEAR B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE (Table 9, L x W r Lin. Ft.) 9 COLD PARTITION CONSTRUCTION (Table 9,L x H) 10 _c 1 Wall(With Openings) C yD0 ! 7 Q 0 C do2 Walls(With Openings) e X 3 Walls(With Op nings) r Ent.Hall J 11 1 TOTAL BTUH AT 70F TEMP. DIFFERENCE' y O Q O 12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE aQ O FORM 1503 This f rm is available from The Hydronics Institute,35 Russo Place.Berkeley Heights.N.J.07922 = Connecticut The Connecticut Light and Power Company �► jj,'',�,�,,t 8c Power P.O.Boa 1232 .,.Su Enfield,CT 06083-1232 1-800-286-5000 The Northeast Utilities System March 11 , 1994 MAR 1 7 1994 Russell P. Hopowiec 21 Duck Cove SOUth Windsor South Windsor , CT 06074 BUILDING DEPARTMENT Account: 884312960 Meter # 297026353 Dear Mr. Hopowiec, It has been brought to my attention that the meter box cover for the above referenced meter needs to be replaced. This is a potential hazard and must be corrected within 30 days to prevent our having to disconnect your service . Please have your electrician rectify this situation. Your may contact me at 627-1210 when th-e--m ,.sr ,box cover has been replaced. Very truly , •' Rona nd' G'.='S y�h e r Manager - Enfield District Business Services RGS/sas 46 Cc: George Parkhurst - CE/MS Technician John Collins - Building Inspector - Town of South Windsor Alvie Ward, Jr. - Supervisor - M/S Diane Yagovane - Supervisor - CIC OS6159 REV.1-04 i DEPARTMENT PERMIT# ARTMENT DECISION APPLICATION FOR PLUMBING PERMIT ao"JQ Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# PROVED 1540 SULLIVAN AVENUE �,1�4? J� 644-25 11 ext. 230 Date Building Inspector Application must be printed or typed Location of job 19 L)uc K cF Street No. Sta Lot No. FEE SCHEDULE Floor Apt. No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER or any fraction thereof ADDRESS/ p u c X G a v e OWNERS PHONE# y --71 3 APPLICANT A /l N S`�`• ADDRESS "P x T 5 3 tjj ' y ESTIMATED COST$ o Q C IS THIS A CONTRACT COST? _ YES NO C► FEE ENCLOSED $ TYPE OF JOB: `FOR C� Original Installation Alteration/Addition/Repair Revised 10/96 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 R C3 r CIJ ^�- ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY 61 A �1,4 C EDUCATIONAL INSTITUTION FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION ��t� ��° - SIZE OF MAIN DRAIN NO. OF TOILETS STYLE NO. OF 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 YES/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 1" A�yRf4 MANUFACTURE TANKS SAFETY DEVICES TEMPERATURE CAPACITY �� RELIEF VALVE TEST PRESSURE 3 WORKING PRESSURE 7 5 PRESSURE RELIEF VALVE TYPE MANUFACTURER ri'�r G_1 ss L. c 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 CONN. BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. $ 7 " S 3��J DATE