HomeMy WebLinkAbout129 Lefoll Boulevard (2) 00
3�
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TO THE ]BUILDING INSPECTOR
of the APPLICATION FOR
TO" CW 50V'M VIB DSM COA. PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
c
9 n* ZONING an
• AT (LOCATION) DISTRICT
LOCATION O.) (STREET)
OF BETWEEN AND
BUILDING (CROSS ST EET) (CROSS STREET)
9jen oe LOT
SUBDIVISIO LOT_S2Zk_BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All appli is complete Parts A — D
�o
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
1 ® New building Residential Nonresidential
2 n Addition(l/residential, enter number 12 L?n One family 18 ❑ Amusement, recreational
o/new housing units added, if any, 13❑ Two or more family — Enter 19❑ Church, other religious
in Part D, 13) number o/units— — — —-•�
20❑ Industrial
3 ❑ Alteration (See 2 above) 14❑ Transient hotel, motel, 21 ❑ Parking garage
4❑ Repair, replacement or dormitory — Enter number
5❑ Wrecking (1l multifamily residential, o/units ——————— — -i 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❑ Public utility
7 ❑ Foundation only
26❑ School, library, other educational
B. OWNERSHIP 27❑ Stores, mercantile
8 Z Private(individual, corporation,
28 ❑ Tanks, towers
n npr fit 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,,,,,,,,,,,,,,, I M,60 a school, secondary school, college, parochial school, parking garage for,
Or 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 FW3, 0"
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❑Mas my(wall bearing) 40® Public or private company 48• Number of stories................
31 ® W ad 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
34❑ Other — Specify 42,N Public or private company `�• Total land area, sq.ft. ........... — 0.3
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 c nditi Wing?
L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45[M No 53. Number of bedrooms..............
38❑ C al pt
39 E] 54. Number f
Oth r— Specify Will th re b on levat r? Full.......... C;(
46❑ Y s 47,EPT No bathrooms /
Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b c mpl t d by all applicants
Nam Mailing addr ss — Number, street, city, and State ZIP code Tel. No.
Owner or
7 !LIM J G 0 N 51Y Cr 7- Ifl)
Lessee 9- 79�
Contractor
3.
Architect or
Engineer
The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signatur of applicant Address Application date
011.7zl�t r_4fj___ 40 0/ oc_zj_)N&70 N R 's
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R vi w Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit r Approva I Check Date Obtained Number By Permit or Approval Check ObDta ned ate 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 11487
Building
Permit issu d April 22 19 8_
Bui Iding
Permit Fee $ 328,00_
Approv d by:
Atz
TITLE
ZONING
•
SIDE YARD SIDE YARD
REAR r
F NOTES
Ix. SITE OR PL•T PLAN For .. • } f
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--- �-----------:==:llms=:-=1•� -
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date April 22 19 80
Fee Paid $. 3 7 8.00 Eat. Valle $6 3.,000.00
Pertnit NO i i 4 8?
on the side of
LOt #28 LeFoll Blvd. Sava
Street No. 129
Owner JMJ Cons true t i on Co.
Applicant .1KJ Construction Co.
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 5658
Fee Paid $ 3.00
CLASSIFICATION
Tlyte 11 ing
BUILDING PE bffr
N2 11487
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Arri1 22 19 80
That
is hereby granted permission to Dwelling
at estimated value of $ 00
on the side of Lot d2 8 7.0 IEO 11 Baulextard Street on land
owned by Mil Construction
Said Work to be as described in Application
No. 11-787 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued. AlDr,..1 22 19800
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."
v >�
� `� INSPECTION REPORT
Permit # Jo -.
1 Footing
2 Foundation )4-lib 3ft
3 Framing
4 Wirings-l�-)qx
0
5 Plumbing
6 Heating
7 Lathing
8 C.O. •�-� ��
135-
_JNFY TCMM CW Soo= mr%,na
SOUMK wi r 'R n a. CX)MW
N9 5658
cedificate)of OccWancy
Sad Me
at NcL7?7!! bw
been4 rpFrith _dingCbde and Zoning. of
The Tovm of South Wm- dmw. and is berdV appmwed jw
dip
-Na Bkddftg
qwner. Builder
Fee Paid Date e< 19
J
$LI110 E. HYIP'PA & ASSOCIATES
Civil Ewineera .
Glaatonbury, Coati.
r'
�.l
010
ISO, `
NU l,L
n -TF OD
r+
CiCx
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- 1
PLEASa'.'T �,/�i�--•y' KE,c-..L''Y' INC.. .
Loc, .TEL, aS `-Now"
NOTE Lor L/NES FapM Nip f-A/T/TLf1j ` PLOT PLQA/
+4-00 47OA/E
SEC rbN - PL EASAwr V/A1[EY I-10MA5, 5o4lrsw AIWO50R,ego v."
.I^A[E /'=40, Z2Arr .v , A'14P A0b- ZZO-746 RZv. % ;y fjY
MEGS&V e AAYYP/ri,CV/C FAvy/,VEERS, �*A5r4W6u?Y,Z10AW P 2 EPAR E TD P-O R
I hereby certify that this map and survey were prepared iri PLEA5Ati1T W\LLE.`( WO M E5
K=dance with the standards of a Class A-2 survey as defined
in the existing Code of Practice for Standards of Accuracy of 50UT w WIND SO Q
kwwys and Maps, adopted by the Connecticut Association of
Lmw om kv. SCALE i"-40' V A.T E
f
A P P R 0 V E D
TOAAM'41 OF SOI"T % V�i.N )SOR
E N G I IN E"E R I N G Q L P A R"r mg T
DATE: (,- Z"5--,90
SIG.:
7123
ELECTRICAL APPLICATION
Application No. 9137
on the side of
Lot #28 LeFnll Blvd Street
A
Street No. 129
Owner N JM_T Constr. CO-
Electrician Gillen LaRochelle
FILED IN OFFICE OF
The Building Inspector
MA3r 2O _-19_$-
INSPECTION.
"r 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.
1101 APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK.
No. . 8137
..... ..............................
Permit No. . 123.. .. ...... .
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
I7C........ herebymake application taL perform Electr cal Work according to detailed description below. All
PP
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with
whether specified herein or not.
_ / G
South Windsor, Conn., 19 Y Sign here L
Address . ... .. .. ... ....
Location /10. . ... ...f� .. . . L �Y Side of .. .......... ............. ...........................................................
Nature of Building . ...... How many stories ............ ............... ........ .................................. .................
How many families .. /
New or old Building .......................................................................................
Kindof Installation ....... ....... ....... . How many Stores ...................................................................................................
........................._... ...... Address Co. .�...... �`............ ,.................._...GJ �.._._ �?.
Architect ....... ... ... ... Address ... ........................ .................................................._..__....._.....__....
Builder ..'... V.. � 'J.. .... ... .... . ..... .... Address ... ...
....... . .. . .f �j.. ....... ....'..... .....�j�.�.....
Electrician Q... .. Address
Size of Main Wires .
No. of Light Loops .. .. .. ..... No. of Heat Loops . .,.. No. of Power Loops .........................
No. of Light Outlets ..d. .... .... No. of Heat Outlets . .. No. of Power Outlets ................. ......... ..
NoP 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 ...................�'3...L. ...... ...... .......... .. No. of Cord Drops ...... ................................................... ....... . ... .......
Remarks: For other kind of Installation .. .. ............ ......... .................. .. . .................... ................................. ..... ................ ............ .................
........... ......�.......,.................... _ .................. .................................... ............... ... .. .........
............................................ .......................................... ............... ........ .... ................... ._.....................................................................................
.. ....... ..
.................................................................................. . ..... .... ...... ... ...................................... . ......... ......... .. .............. .. ...... ........... ...
Estimated Cost . ...� D
........... .......... .......
5617
PLUMBING APPLICATION
Application Na 6,39 B
on the ._.__.._.. aids of
_............-L-Qt_#28 LeFoll Blvd, S—
&rftt No. _ 129
O.m .JM.T Constr. Co.
plumber _ So. Windsor Plbg. Co.
Filed in Ofim of
The &nag Inrpecmc
June 5 19im
Old.
No person"a =m&uc4 add to or alder aiy
on of the
i porn drainage sysaem of ,may bwVg
(m=pt to repair leafs) until a Ppnnk is pmmd
by the Building Impostor.
Application No..../ R..................... Permit No. I.............
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
...... -:Z-- ......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.
South Windsor, 6..... 19�Q-- Sign here .......... ... ... . . ........ (oq
+ -Fto #ddress 2.... . ...... . ......... ..... . .. ..... ...............................
Location .. .................................0%
...9............. .......q.........Ze..F .104de of ...................................................................................................... Street
Nature of Building ........&.°s.zd. .......................... How many stories .....'-*2................................................................................
Owner ................:...................................... .... .......................................................... Address .......................................................................................................................
Architect ................................................................................................................. Address ......................................................................................................................
Builder . ........I.Tiq....7-co..;d,........................................................... Address ........................................................................................................................
Plumber .... P .14.......................... Address ....P.-P....... ................:so!.....
DRAINAGE
CESSPOOLS, How many .. .. ..................................... .......... ...... Where located .....................................................................................................
Are they water tight .. ...................................................................... Of what materials are they built .......................................................
Size of pipe from house to cesspool . ..................................... ..... Kind of pipe ................. ....................................................................................
MAIN DRAIN IN CELLAR, Material Aja..6711 ?-JI)iamet4 ...ZY.//....................................................................................................
Aboveor below cellar bottom .. ......................................................... ............... ..........................................................................................................................
SOIL PIPES, Material ..................................................... Diameter 19
..............................................................................................................
WASTEPIPES, Material ..4...a.5........................... ................ Diameter ....:;;k.1..................................................................................................
TRAPS,Type proposed to use is .. ................................. .. . ... ... .........................................................................................................................................
RAIN WATER LEADERS, where do they run to ..............................................................................................................................................
REFRIGERATOR WASTES, where do they run to . ............................................................................................................. ...............................
TANKOVERFLOWS, where do they run to - - -. . - .................................................................................................................................
FIXTURES
WATER CLOSETS, How many ..............1.t......................... Where located ........ ..........................................................................................
Distance from trap to verticalsoil pipe ......................................... Pattern .... .............................................................................................
WASHTRAYS, How many ............................................................. Where located .. ...............................................................................................
SINKS, How many ......................I &... ..K........... Where located .....................................................................................................
BUTLER'S SINKS, How many ........................................................ Where located......................................................................................................
REFRIGERATOR SINKS, How many....................................... Where located ....................................................................................................
LAVATORIES,How many...........I L.................................................. Where located .....................................................................................................
BATHTUBS,How many.............I....................................................... Where located .....................................................................................................
URINALS, How many ................................................................................. Where located .....................................................................................................
Are water closets and urinals to be local vented le . .......... .. ... . .. If not, is there a window in outer wall
of room where same are to be located ......... .............................................................................................................................................
Estimated Cost.... ................
/� 111�
PERMIT #
Application For 6265 5164
DEPARTMENT DECISION 0 Heating Permit
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
O W
N 11 APPROVED ❑ DISAPPROVED
.0 0
TOWN OF SOUTH WINDSOR
I~ ,
I"&;A.
C U�Q—
DATE 1 NSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O Cn
G
C "� 1. LOCATION OF JOB
I'll 19 lC(
Cd O /^NO. STREET
r d v �-f J
.0 LOT NO. FLOOR APT. NO.
78
� O
cu
[V
O
q � 2. OWNERcis
� O
: 3 s. ADDRESS
_ 0,1;:d50F
Pf-
cc
4.PHONNE
S. APPLICANT��k
.� 6. ADDRESS d 7(' ��� *[.V/ ��►�
w 7.PHONE
6. LICENSE NO. '2 / IS - 7
a �
C w s. EXPIRATION DATE OF LICENSE 18) —a 1
v
v'
C 10. ESTIMATED COST : /sL7,0IO'Cy
11. IS THIS A CONTRACT COSTS 13 YES ❑ NO
bo
12. FEE ENCLOSED = pgrni t--#11_4$
ai ts. TYYRIESIDIENTIAL
BUILDING:
Cn
b ❑ COMMERCIAL
O .0
cis
3 14. TYPE OF JOB: ❑ INDUSTRIAL
~ ❑ ORIGINAL
INSTALLATION ❑ ADDITIONON
REPAIR
APPLICATION FOR HEATING PERMIT (Continued it m R verse side)
11. LOCATION OF JOB Gcpt wu��'e al z D Z
NO. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
ErGAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
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. I AT BONNET���--'' FIRING RATE
BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. 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.
DESCRIPTION OF WORK
15. TO BE DONE:
1e. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
wooM slzE wlNDowS AREA - SQUARE FEET B.T.U. B.T.U. i DISTRIBUTION INSTALLED
AND DOORS VOLUME
TOTAL TOTAL (n LL
wOOM NO. 6 GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j W RAD. REGISTER
L w N AND K TEMP. TO OR LEADER
TYPE AND SIZE
SIZE < WALL f'Lt0 (INFIIT.I DIFF. •F m N SQ. 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. �j
DATE 47 SIG RE OF APPLICANT
ARGO CALCULATION SHEET
OWNER K y U P s ADDRESS Z. r DATE_
DEALER �O_ '� =L��/ L�/Jt Sin */7/el � KIND OF BUILDING �C CHIMNEY SIZE
o
CONSTRUCTION: WALL •l���•
WINDOWS T__tft ROOF OR CEILING G
BASEMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF
COL.1 2 3 1 4 5 1 6 7 1 S 9 10 11 12 13 14 15 16 17 1
WINDOWS AREA-SO. FT. VOLUME BASE RDS
ROOM SIZE FLOOR
AND DOORS CU.FT. TOTAL TOTAL
(SEE NOTE) CORRECTED ACCESSORIES
GLASS NET WALL CEILING AT 70 F WATER LENGTH
ROOM NUMBER GROSS 9 W TEMP. TO TEMP [)F.
L W H OH AREA WALL • DIFF. Q ENCLOSUREFIN
SIZE F TUBE L R S Lc MISC.
TEMP. DIFF. FT
�iAIR?
� 1
�+� I
00 >� 00 f�1
R �R
qw
Rr
!) a � (gyp �s`t�4> �
7 ?ass G
ALA 8 B "d 4�40 3 D D o* Aoo711/00
r,
NOTE: FOR C NCRETE FLOOR ON GROUND OR FILL AT GRADE LEVEL,USE LINEAR FEET OF EXPOSED EDOW.
FOR ALL OTHER FLOORS USE SQUARE FEET OF AREA. TOTALS t� � �
�3
TO THE BUHDING INSPECTOR
of the APPLICATION FOR
PLAN EXAMINATION AND
� ; WI1rD50�t,C BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O
ZONING
I• AT (LOCATION) � -
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
1 ❑ New building Resid tial Nonresidential
2❑ Addition(If 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— — — — --p-
3 ❑ Alteration (See 2 above) 200 Industrial
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4❑ Repair, replacement or dormitory — Enter number
5❑ Wrecking (l/multifamily residential, of units ——————— — -i 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 FZ Other — Specify 25❑ Public utility
7 ❑ Foundation only
26❑ School, library, other educational
B. OWNERSHFP Al 27 0 Stores, mercantile
8 ❑ Private (individual, corporation, 28 ❑ Tanks, towers
nonprofit institution,etc.) ��/����✓C �� 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,,,,,,,,,,,,,,,, S y2oo 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 ,M;00
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 48• Number of stories................
31 ❑ Wood frame 41 ❑ Private(septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural dimensions ....................
33❑ Reinforced concrete H. TYPE OF WATER SUPPLY
34❑ Other — Specify 42 E] Publicor 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 conditi ning?
L. RESIDENTIAL BUILDINGS ONLY
37❑ EI ctricity 44❑ Yes 45❑ Na 53. Number f b drooms..............
39❑ C al
39❑ Oth r— Specify Will there be an el vator? 54. Number of Full..........
46❑ Yes 47❑ No bothr ms
Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b compl t d by all applicants
Nam Mailing addr ss — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee
2.
Contractor
3.
Architect or
Engineer
Th own r of this building and the 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 Review Required Check Plan Review Date Plans By y
Date Plans B Notes
q Fee StartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval I Check Date Number B Permit or A rova I Check Date Number By
pp Obtained Y pp Obtained
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 numb r 1.2037
Building
P rmit issu d Feb. 24 19 _Al
Building
Permit Fe $ 3.00
Approved by:
jgo�
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Feb. 24 19 81
Fee Paid Eat. Value $.2 00.04
t
i
Permit N° 12037
on the side of
LeFoll Blvd. Street
Street No. 129
Owner Gai 1 GibersOn
Applicant ,Gm ihibeisou
CERTIFICATE OF OCCUPANCY ISSUED:
Date
1
No.
Fee Paid $
4
CLASSIFICATION
i
Wood stove/existin& chimney
P
t
i
BUILDING PERMIT
N? 12037
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. ftb 0 24 1981
454is is to gertifu, That Gail Giberson
is hereby granted permission to T=M k o l 1 '�gind a u j `••
at estimated value of $ no.eo
on the side of 129 ImFoll Boulevard Street on land
owned by Cam 1 CA berm,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 %9MSOR.
Issued V fth 94 1981
: 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 puce
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."
1
TO THE BURDING INSPECTOR
of do APPLICATION FOR
PLAN EXAMINATION AND
'lam 4F S KM W BUILDING PERMIT
s
IMPORTANT — Applicant to complete all items in sections: 1, It, Ill, IV, and IX. C
ZONING
1• AT (LOCATION) Ce / /V DISTRICT �0
LOCATION (no.) (STREET)
OF IIIETWEEN / /!44 h L/G/(�y 1�Q AND
BUILDING (CROSS !T tT1 (CROSS STREET)
LOT .20
SUOOIVISION LOT�9LOC9 SIZE
11. TYPE AND COST OF BUILDING — All applicants complete Ports A — D
A. TYPE OF IMPROVEMENT 0. PROPOSED USE — For"wrecking" most recent use rrr
1 ❑ Now building Residential Nonresidential
2❑ Addition(I/residential. enter number 12❑ One family is❑ Amusement, racreati nal
Of now housime writs added' i/my. 13❑ Two at more family - Enter 19❑ Church, other religious
inPart D. 13)
rrenrbes Of units— — — — --► 20❑ Industrial
3 ❑ Alteration (See 2 above) 14❑ Transient hotel, motel, 21 ❑ Parking garage4 0 Repair, replacement or dormitory - Eater number
o/ units ------- -i 22❑ Service station, repair garage
S ❑ Wrecking(I/imulti/a�ly residential. 23❑ Hospital, institutionel
enter number o/units in building in is❑ Gerege P art D. 13) 16❑ Carport 24❑ Office, bank, professional
6❑ Moving (relocation) 2s❑ Public utility
17® Ofl+er - Spec:/y
7 ❑ Foundation only 215❑ School, librar
y, other educational
B. OWNERSHIP ro-jqkee e-C 27❑ Stores, morcontila
28❑ Tanks, towers
a a] PrivMs(indfviduei, corporation,
nonprofit institution,etc.) 29 E] Other - Spec:lY
9 ❑ Public (Federal, State, or
cel government)
C. COST (O'mrt cents) Nonresidential - Describe in detail proposed use of buildings, .q., food
processing plant, maehins shop, laundry burldiing at hospital, elementary !
10. C at of imprevamant,,,,,,,,,,,,,,, V• school, secondary school, college, perachial'schooi, parking garage f r
deportment 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.
i
in the above cost
a. Eleetrieel......................
f'
b. Plumbing ......................
c.Hosting,air
d. Other(elevator, ate.).............
11. TOTAL COST OF IMPROV MENT
III. SELECTED CHARACTERISTICS OF BUILDING — For now buildings and additions, complete Ports E — L;
for wrecking, complete only Port J, for all others skip t IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30❑Mosenry(wall boating) 40 Public or private Company 46• Number of stories................
31 ® Weed frame 41 Private(septic tank, etc.) 49• Total square feet of floor area,
all floors, based an exterior
32❑ Structural steel dimensions ....................
33❑ Reinforced conereto H. TYPE OF WATER SUPPLY
34❑ Other - Specify 42❑ ts Public or prive company �• Total land area, sq. it. ...........
ly
43❑ Private(w011. cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL- TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ......................
35❑ Goa Will there be centre) air 32. Outdoors.......................
36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑,Y s 45 25 me 33. Number f bedrooms..............
38❑ Csel r
39❑ Other- Speci/Y WIII there be on eieveter? si. Number of Full..........
46 0 Y s 47�He bethreems
Partial.......
N�
IV. IDENTIFICATION — To be compl ted by all applicants d
Nam Mailing eJdress — Number, street. city, and State ZIP code Tel. N
1 MIG Owner or �1 `
ersCi'A ZL Ld
Lessee So,-1 4L.11,. C dG(1 7/
Conrrac•or
S �� OGO
3.
Arch fact or
Engineer
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. 4
Signatur of applicant A44iress Application dot
.20 �� �k Lam„ S', wti s -2 S f8
DO 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
Fee Started Approved
BUILDING
PLUMBING
MECHANICAL S
ELECTRICAL S
OTHER IS
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval I Check Date Number B Permit or` Approval Check Dote Number 3y
PP Obtained y Obro�ned
i
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD i
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER j
VII. VALIDATION
But Iding /
P rmtt number
But Iding
P rmit issued 19
Building
Permit Fee
rov ed
TIT
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date 9/21 , 1987
Fee Paid $. .18 .0 0 E., Value $.3,0 0 0
Permit N° 16275
on the side of
LQ Fnl—Rl try Stet
Street No. 119
Owner Michael Giberson
Appliuntlichael R. Zebeaeo
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Repair neck
Bun DING PBRMIT
N° 16275
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. 9/21 19 87
M#ia t s to OTerfif-U, That Michael R. Zebedeo/Deck Appeal Inc.
is hereby granted permission to _Repair A-deck
at estimated value of $ 3.0 0 0
on the side of 129 Le Fo l l Blvd, Suva on land
owned by Michael
Said Work to be as described in Application
No.16 5 7 3 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Iss A A 9/21 1987
u'ding 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 coats and damages which it shall sustain, or be compelled to reason therefor."
1�) A 7 TtL. At b 44-,5440/ f3,FPQ;2 DFCK
INSPECTION REPORT
Permit # 6,27 5 Job k�
1 Footing /YI iH A L . 7- C Eo Otc
2 Foundation /1n l c I.(Q F L C/*BCE6',2L)
3 Framing
4 Wiring
5 Plumbing
6 Heating rZ4 33
7 Lathing
S vr- r;
rv� 1 - p•y.fv k;= `at' +i' , '. �.. 1. 'f+l7M i'w P"(v
vex.,`;' `,. ';�l+k�fP,` '' ' �;= :ecdw';'.�:� ". '# �' '^fit*+,',1',:,":�``a-. •' r Y
.,T _ sp.,,i s'���,r� 'w.+`,'3°�:~ t "L• -�w y,- y.,{y..-
, ';I"'I-
.,'+Jw,1'. S•.M,J r '�- ' + x '<,' ".sdf�! t-'�' �'*, ,r�'� ±`;,- -u-".•'k' ,' a'rt's }
rn , >,�'�'� s Y ,w' •1is+,ro*z""` f
!' :"Ej:��.'-LS „ `, `A(y" ;.r±,,'vR,�.:;',p•y�K ,'.x- :dk°.:; ,:',ryf h�' w.�_�, ,� .%Y�i,„,s",.. ''}p�.w'�'7� " .r _
rlow
� •^},'"•,lM ',�' _°4:". .�Ze,�fyf-.7s
4
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f,��'�,1. s - uw�r �_ - t-..�-tlH� s. J Slv- "- v _.'-d,.��. ��. �• i
t Ea 'TF a C oC
r , .. 'S .�;Yill'it;h^•rl-'. 1 it 4 • _—�_* / - a f a�;' - (may+°.'n` .
� � � of -. � �' �i..�r•h yL�Yy..-. -... .t. � � k r a
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tefbial
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.� // -7
'
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I r c 1 r ii his aid smrv�e�►VAM PF"w ed ire
ooze with ire ssndsr&of a Om 1 as defined -EA S .�I�T' V� "LL E'S
be•� Code Practim for of Acmucy of 15OU T1#
� ,apr�dy ate ScAt.E 1"s 40' yDr►. - .p
d kw. � '1,•n 'moo
• ''rr' •`, a c' p, ,,
r5^�'���y.", �"'n�_�'`�'-'� ., . `'�,'��i'' '^*',•7��;,e�� ':k '""�=x�sw„z -:#"`A�- • �,_ .*7 -.`i. -,,K .,�s-��,�"i� - , �'�""'r;'„�"- "y�.i,:".-,�'- .��
DATE
APPLICATION -FOR HVAC PERMIZ �Q ee
TOWN OF SOUTH WINDSOR �' ��'
FOR OFFICE USE ONLY nm 1� ° —
N0. ) : � 1540 SULLIVAN AVENUE FEES:
WINDSOR, CT-.06074
BLDG. PERMIT NO. $ 0 41000 - $10.40
644-2511 -£XT.230 $1000 r fraction
thereof - $10.00
LOCH?ION OF BUILDING !
xl'� ADDRESS T�
PONE no*
awm L�Z�'
RY C
a ADDRESS. TOWN PRONE N0.
TI OF S'TSTEM: NZATING . commCIAL
TYPE OF BUILDING: RESIDEZ�IAL
AJC
�L�TI= a0 USTRI
. IsTUAi.
STUN LOW YRESSURE LMT_. RIGS PR109WM LIIQ?_�•
I! G VM AIR_,_ .
g=D�1IC v
�? RADIANT HEATER(INCLUDING WDOD/COAT. BUNG My �___
. CAS 1!1_11 T1�da Q CTRIC EW_
Ttpe OF DEL: OZL-ems_.
WOOD 'COAL ---
-- CApACI1?__,
OIL TASK - SIZE b LOCAnOX: INSIDE_ OUTSIDE_.._
LpG TAM - CAPACITY
STD �� o o d DITIOlgAL RADLITI���G TOTALiii IS
EZt OUTSIDE 4F INSIDE F D AZlLIC►TZOa
DESIGN TEl�. �,o (BLEAT LOSS 88EET 1ST ACCWAU
TOTAL ? LOSSBEATING EQ (IIQCLUDING MJ1EE i MOIL NO*):
DESCRIBE ALL
2", a
CAPCT NET RA=G (OMM-DTI)
GROSS B
° o p
INS IDES_ f �—
I? AIR CONDITIONING: DESIM -,;me- OVrSIDE__ F
TOTAL HEAT GAIN (ST010 —
(AT GAIN gHERT MOST ACCONpma Ap"°'LICATIOS)
DESCRIBE ALL COOLnW EQUI FKW (INm== MARE i MODEL NO-):
COOLING CAPACITY(BTUS)
IF 0li. DES=Z ALL
- � E�01p T (nMUDING EITCM �T � )
OF SYSTEM TOTAL SIZE
(C m) FRESB AIR INTAEE (CFM)
(PLAN MUST AIFAN? ApnICATIOH)
work and is to
a lies for permit to perform the following ce
The undersiSned hereby pp Codes in the pest rmsn
comply with all local ordinances and State of Conn. Building
f such work. _
FaTBES DESCRIPTION OF VORE: AIL4a�L_ "D
3
D 4� S T iw�APLICANT
TATE L NAME b TYPE G
DATE
I,
I B as R CALCULATION SHEET 1503(Modwn(Method) CoPyrISht 1977 by The Hydr nits institute
OWNER ADDRESS DESIGN TEMPERATURE OIFFERENCE F. OAT[
COL.A COL.• COL.C COL.O COL.E COL.Is COL.O
1 ROOM fL;� •Watts Temp.
H L W H L W M L W H L W H L W O"
2 ROOM DIMENSIONS,FT. U
H J
STUH per F t of
�
3 LENGTH EXPOSED WALLS,FT. <jl Radiation Se1eem
41 WINDOW AND OUTSIDE DOOR AREA A' 3
j STUH STUH STUH STUH STUN
6 WALL CONSTRUCTION
RO III LIN.FT.OF
IT able 9,LIna 3 a H) /�®L TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
IS ttom f table used for Line 5) �V'
60,
7 CEILING CONSTRUCTION O C
(Table 9,L■W) Q G
O
S FLOOR CONSTRUCTIONI
(Table 9.L a W or Lon.F L)
9 COLO PARTITION CONSTRUCTIONS F
(Table 9,L■H)
O
R12
_4 1 Well(With Oponings) O
_; H
2 Walls iwith Openings) x
J I
_3 3 Walls IWM Openonp)or Ent.Hall $_
TAL STUN AT 7OF TEM►.DIFFERENCE•TOTAL STUN AT DESIGN TEMP.DIFFERENCE K
L
COL.A COL.S COL.H COL.1 COL.J COL.K COL.L TOTAL STUN TOTAL
OF SUILOING RADIATION
1 ROOM C' AT SELECTED
O; H L W H L W H L W H L W H L W DESIGN TEMP-'
? ROOM DIMENSIONS.FT. U DIFFERENCE
U --- --
3 LENGTH EXPOSED WALLS.FT.
4 WINDOW AND OUTSIDE DOOR AREA
STUN STUH STUH STUN STUN
5 WALL CONSTRUCTION *INCREASE BATHROOM
(Table 9.Line 3 a H) TOTAL 20ri
6 TY►E OF GLASS
IS ttom f.table used for Line 51
tFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION GROUND OR FILL AT
(Table 9.L at WI GRADE LEVEL,USE LINEAR
S FL OR CONSTRUCTION?
FEET OF EXPOSED EDGE
ITable9.LaWor Lin.FL1
9 COLD PARTITION CONSTRUCTION
(Table 9,L a H)
10 +� t WNI(With Openlnpl
O
2 Wells(With Openings) Xx
S 13W*IlslWith penings) r Ent.HNI ►-
II TOTAL 6TUH AT 7OF TEMP.DIFFERENCE'
12 T TAL STUN AT DESIGN TEMP.DIFFERENCE
This form is available from The Hydronks Institute,36 Russo Place.Serket"Heights N.J.07922 FORM 1303
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
TO" CW PLAN EXAMINATION AND
�� W�SOR, COS BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, H, III, IV, and IX.
AT (LOCATION) �a 9 r�-. F �! rJ, ZONING
I. � Q / E 1j/ DISTRICT
LOCATION (NO.) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SI2E
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
Q1f1
1 ❑ New building Residential Nonresidential
2 �R] Addition(// residential, enter number 12 One family 18 ❑ Amusement, recreational
o/ new housing units added, i/any, 13 ❑ Two or more family - Enter 19 ❑ Church, other religious
in Part D, 13) number o/ units- - - - -i 20 ❑ Industrial
3 ❑ Alt ration (See 2 above)
14 ❑ Transient hotel, motel, 21 ❑ Parking garage
4❑ R pair, replacement or dormitory - Enter number
5 ❑ Wrecking (1/multifamily residential, of units ------- - i ❑ Service :lotion, repair goraq
enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, instituti nal
Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation) 17❑ Other - Specify 25 ❑ Public utility
7 ❑ Foundation only
26 ❑ School, library, other educoti nal
B. OWNERSHIP 27 ❑ Stores, mercanfi le
28 ❑ Tanks, towers
8 X Privat (individual, corporation,nonpr fit institution, etc.) 29 ❑ Other - Spec:/y
9 ❑ Public (Fed ral, State, or
local g vernment)
C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, .g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, (j 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. El ctrical...................... v r
9L if
b. Plumbing ...................... /
l
c. Heating, air conditioning......... •—�
r d 4
d. Other(el vator, etc.)............
11. TOTAL COST OF IMPROVEMENT $
O dv O
how 00 Tip
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❑Mas my (wall bearing) 40 Public or private company 48• Number of stories... .......
19
49. Total square feet of floor area,
31 ® 1M d framj 41 Private (septic tank, etc.) all floors, based on ext,jti,o►
32 F_j Structural steel dimensions ........ _.4.....
33❑ Reinf rced concrete H. TYPE OF WATER SUPPLY
34❑ Other — Specify 42 Public or private company Total loud area, sq. ft. ...........
43 N Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35❑ Gas Will there be central air 52. Outdoors.......................
% Oil c nditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 n El ctricity 44❑ Yes 45 L-AI No 53. Number of b drooms..............
38❑ C al
39❑ Oth r- Specify Will there be an elevator? 54. Number f Full..........
46❑ Y s 47 F No bathrooms
Partial.......
IV. IDENTIFICATION — To be comp) t d by all applicants
Nam Mai ling eddr ss — Number, sheet, city, and State ZIP code T I. No.
LP Fo a/ s/
Cwner or
Lessee �1-be So h u ; d,, r c
2. cdr-ealrve (f /M,0 V-/ &it�z
Contractor
yr _ 06 0
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant A44ress Application dot
E 1114 r-1 7/7/?e
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plan Review Date Plans B Date Plans Notes
Plans Revi w R quired Check Fee Started y Approved By
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date
Permit or Approval Check Date Obtained Number By Permit or Approval Check Obto, ed Number j B•,
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 /��!�
P rmit number
Building �//L
Permit issued 19
Building
P rmit Fee $
Approv d by:
V
TITLE
7/ Z.) 1-4ff 4L.ro•10?89-s/V3
INSPECTION REPORT ����
Permit # 0 Job p
1 Footing -fQ--_� A a`
2 Fo ndation
3 Framinilk,
4 Wiring
5 Plumbing
6 Heating
7N_ 6A/N �-/q_�Y'
8 C.O.
7^ S •
PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:
APPROVED DISAPP TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
-� - 644 -2-)'11 Ext. 230
Date Building MInspecto
Applications must be printed or typed.
1. LOCATION OF JOB
�Z � 1,eico`� BLVD
FEE SCHEDULE No. Street
I
Floor Apt. No.
$- 0 - $10000 - $10.00
Over $1,000 - $10.00 2. OWNERRtt-4AEL SIBERSON
per $1,000 or 11
fraction thereof 3. ADDRESS (2 L.�
- .S D U 7-14
4. APPLICANT TC.)J' 67 •� �L �'
5. ADDRESS-2—IS _MA-PL�=— S 7"
�-S 7-- _*7-�=!C, C�--
ACTUAL COST $ FEE $ 6. ESTIMATED COST $ 5-0 0. d o
ESTIMATED COST $_ FEE $ 7. IS THIS A CONTRA 'I' COST? C] YES 5-NO
FILE COMP. BY BALANCE $ 8. FEE ENCLOSED
--- --- ____ 9. TYPE OF BUI 1,1)1\1 :
Rr:STDEr,TTAi COM.HERCIAL
10. TYPE OF JOB:
ORIGLINA1, ALTERATION
IVSTA1.1 ATT()N t DITIO\
REPAIR
APPLICATION FOR ELECTRlCAI, FErR rr(Continued t cona t:evarse Side)
11. LOCATION OF JOB C Z 9 Z-FFa L L 13 L VC>
NO. STREET FLOOR APT. NO.
12. TYPE OF INSTALLATIONND���1 _ C) 1. rl 2- __ 4 _
13. SIZE OF MAIN FEEDER
14. NO. OF LIGHT LOOPS _ 15. NO. OF HEAT LOOPS 16. NO. OF PC'w,T R LOOPS
17. NO. OF LIGHT OUTLETS_L_ 18. NO. OF HEAT CIRCUITS_ 19. NO. OF POWER
20. NO. OF CONVENIENCE OUrLET6_21. NO. OF HEAT CIRCUITS_ 22. NO. OF POWER CIRCUITS_
23. NO. OF LIGHT CIRCUIT 24. SIZE OF HEAT CtRC[J
S ITS 25. NO. OF MOTORS
26. NO. OF PANELS 27. TOTAL WATTAGE 28. NO. OF POWER PANELS
29. NO. OF SWITCHES 30. A/C LOAD _ 31. SIZE OF POWER FEEDERS
32. NO. OF FIXTURES 33. TOTAL HORSEPOWER _
34. NAMES OF SUBCONTRACTORS AND THEIR TRADES
35. REMARKS AND FURTHER DETAILS:
Ky t R I N( eD AD
LICENSE. N0. IGNATURE OF AP LICANT DATE
INE NUMBER:
DEPARTMENT DECISION PERMIT#
APPLICATION FOR PLUMBING PERMIT t)e)�3
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Pe t#
APPROVED > 1540 SULLIVAN AVENUE
f? , 644-2511 ext. 230
Date Building Inspector Application must be printed or typed
Location of job
fQ II Live
Street No. Street Lot No.
FEE SCHEDULE
$0 - $1,000 - $12.00 Floor Apt.No.
Over $1,000
$12.00 per$1,000
r OWNER ��
or any fraction thereof /''� e �- i �e(L� �N
ADDRESS L- s f v a j 9 L V b
S p i t LA t,-/ fit . <2 6 c.74-�
OWNERS PHONE# ' s l Ct,3
APPLICANT A .4IJ J ( �'
ADDRESS �' ( ( v f �/�(r<
ESTIMATED COST$ (� •
p * �►
C IS THIS A CONTRACT COST?
NO
r+ � FEE ENCLOSED $
�SOR COS TYPE OF JOB:
Original Installation
A,**' 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 C If
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY
EDUCATIONAL
INSTITUTION
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION 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 / ��' s MANUFACTURE .s f A t L �'r , , • c
TANKS SAFETY DEVICES
<- TEMPERATURE
CAPACITY ` J'' RELIEF VALVE
TEST PRESSURE —" WORKING PRESSURE 4S PRESSURE RELIEF VALVE
TYPE MANUFACTURER
k / �
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. r :� DATE