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116 Lisa Drive
-n . qCr T O THE BUILDING INSPECTOR ofd APPLICATION FOR PLAN EXAMINATION AND TOWN OF SOUTH WINDSOR,C�OHN. BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. O I ZONING/ . • • AT (LOCATION) DISTRICT�� LOCATION (N REETJ OF BETWEEN a"-IdAND BUILDING V (CROSS STREET) (CROSS STREET) FLT SUBDIVISION [y ' �;�y ~ LOT30 BLOCK SIZE II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D �o A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking"most recent use m 1 ErNew building Reside tial Nonresidential 2❑ Additi n(1/residential, enter number 12 One family 18❑ Amusement, recreati nal o/new housing units added, iJ any, 13 Two or more family — Enter 19 Church, other religious in Part D, 13) ❑ ❑ number o/units—— — —-0'— 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel,motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (1l multi/amily residential, o/ units ——————— —•i 22❑ Service 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❑ M ving (relocation) 17❑ Other — Speci/y 25❑ Public utility 7 ❑ Foundation only 26❑ School, library,other educati na) B. OWNERSHIP 27❑ Stores, mercantile 8 U Private (individual, corporation, 28❑ Tanks, towers nonprofit institution, etc.) 29❑ Other — Speci/y 9 ❑ Public(F deral, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g.,f d processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement,,,,,,,,,,,,,,,, Mao school, secondary school, college, parochial school, parking garage f r. 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.Heating, air conditioning......... d. Oth r(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BOILL ING — 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 L J Masonry(wall bearing) 40 'Public or private company 48• Number of stories..*.o*....... tories............. 31 p W ad from 41 ❑ Private(septic tank,etc.) 49. Total square feet of floor area, all floors, based on exterior �� 32❑ Structural steel dimensions ..................... 33❑ R inf rced concrete H. TYPE OF WATER SUPPLY 50. Total land area, sq. ft. ........... 34❑ Other — Speci/y 42 Public or private company �© ©Q 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Ericlosed ....................... 35 0 Gas Will there be central air 52. Outdoors.#...e..*........e...... %❑ Oil c nditi ning? L. RESIDENTIAL BUILDINGS ONLY 37[] Electricity 44❑ Yes 45[]a'N 53. Number (bedrooms.............. 38❑ CaI 39❑ Oth r— Speci/y Will ther b on el vat rT ..... 54. Number of Full..... 46❑ Yes 47 VN bathrooms Partial........ 1`. IDENTIFICATION — To b compl t d by all applicants Nome Mailing address — Number, street, city, and Slate ZIP code Tel. No. I Owner or Dart Fill Realty Inc. 658 Ellington Road Lessee South W 2. Same Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signotur,c of applicant Address Applic tion dote toe 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Plans Review Required Check Poo Started By Approved By Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check o Date btained Number By Permit or Approval Check ObtDa Dote 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 . 3� Bui Iding P rmit issued 19 �____ Building /r�� roC� Permit Fe $ `� -3roo cm, i r q 5 Old av d y: . A TOWN OF SOUTH WIMSOR BUILDING PERMIT Date No V. 7 , 19 8 6 Fee Paid $A 9.2 .0 0 Eat. Value 0 0 Permit No 15537 on the side of Lot #90 Lisa Drive Sam Street No. 116 Owner Dart Hill Realty Inc . Applicant Muriel Jacques CERTIFICATE OF OCCUPANCY ISSUED: Date No. 7R51 Fee Paid $ 3 _n n CLASSIFICATION Dwelling BUILDING PERNOrr N16 " 15537 OFFICB OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Not.. 7 1§6 94ia is to gertif1j, That Dart Hill Realty Inc. is hereby granted permission to Lot 19 n Lisa nr i va Dww 1 1 I ng at estimated value of 0 2..._ on the side of Lot #9 0 Lisa Dr i vie Street on land owned by Dart Hill Realty Inc. Said Work to be as described in Application Nol 5 8 3 7 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued No V. 7 106 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 - Lot 00 Mtn.Vw.3 11/7/86 Dart Hill Realty Inc . 116 Lisa Drive Permit #15537 Electrician Richard Barrett # 9541 Heating Contr.Gaeton Grondin #6701 Plumbing it Gaeton Grondin # 7230 Oil Burner # Certificate of Occupancy #7851 Sewer Permit Plot plans apprd. per Engr. Permit No. -�� / TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. I It Permit N'P 7851 Certificate of Occupancy THIS S TO CEROFY that the11114� �1/- at No.( Z' r� � in the Town,of South Windsor, Connecticut, has been erected and completed in accordance with-4 e Buil 4rg Code and Zoning Regulations of the Town of South Windsor, and is hereby appro d fo cupancy. r (/� j• ���>/ Building Inspector Owner, Builder Fee Paid Date .-� `j 19, 7 r CERTIFICATE OF OCCUPANCY CHECK LIST lJ�T-3 9 Applicant � J Certificate of Occupancy Address L� L� Bldg. Permit No. Lot No. D Date Submitted 'Y -13 -257 41 - P, Project i�iN V/ Reviewed By Date 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. 2 . Finish grading per approved building permit plan. 3 . Site work; i.e. trees, shrubs, dumpsters , required parking r/ 4 . Utility location a. sanitary sewer b. foundation drain C. electrical & telephone d. water e. other 5 . A PP P ro riate certification V 6 . Bonding Sewer Permit No. Pavement Excay . No. COMMENTS: REINO E. HYYPPA e► ASSOCIATES Wk EMS s uwo WAKE GASTONSURY, CONK E15A-- oar .s r w:'� T�•3�5.3 s.s v Ilk : zt' o 0 2 � 9Q AREA- 2000O S.F Xo0.00' m aa;09 3 w LOT LIMES FROM MAP ou FILE TIT�EO, OTHER LAND OF DART HILL REALTY, INC. `oft 5mrf. 5vw\lIsloQ A-30 ZMA PL= ftAN SECTION 3 MOONTANV E-W Retwo E.}"Pm#Assm tAT Es.5cAt.F �l r=40' 0An:#-23-t35 Mw No.180-83-iL 5HfVt Z. of q 5KETS REV. -Zt-B(o PREPARED FAR mow,. �►� � w s-Z-�'1 DART HILL REALTY ING CERTIFIED SMSIANTIAuy CORRECT SOUTH WINDSOR, CONN. 5CAr`E: 1"-40' OATE: Ati-St-IM0 30,E �v U ell 9541 ELECTRICAL APPLICATION Application No. 11052 on the side of Lot #90 Lisa Drive Street Street No. 116 Owner Dart Hill Realty, Inc_ Electrician Ri c-hard Rarre _t FILED IN OFFICE OF The Building Inspector 1/20 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 ofllce of the Building Inspector. Electrical Permit No. 12 .V.... Master License No. ..... 1 �.�� TOWN OF SOUTH WINDSOR Building Permit No. ..�,!......' /�.................. BUILDING DEPARTMENT Date Filed .......... ....... ... .............................................. Date Final Approval .........................................._..... APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION k(� . . ``l��'�. ` JOB OWNER: ..) 1, J Side of .t'�l. 1�.. ...' .... Between.1... ..� .�. ..... .. :.............na...........'-.......................,.............................. _. ' _ .... Name of Building Owner .J�},....� .Q. . .. ........ Address .. ...►.�... ...... ................................. If work is for Lessee—Give name .. ... Address ...................................._........................................................... ......... .. ........... . ............ . Building now occupied as (unless new) NIA:F— L3. ................ . .... . ........ ........ No. of family units now ........_........................ Building to be occupied as ........ 1 ..�<<�. Number of family units to be ...... J...... ................ Is this work included in a Building Permit? ..... Permit Fee .. .... .................... ........^._............................................................._..... (If no Building Pe it) f ' Permittee �.0 �......` .� Business Address ........Ck. Telephone —��� COSTOF 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 ❑ Air Conditioner ❑ Oil Burner ❑ TYPE RATING NO. Dish Washer ❑ Gas Burner ❑ Range �C Well Pump ❑ Elec. Heaters ❑ Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater f Per Clothes Washer . . . . Clothes Dryer . . . . . NEC, Dish Washer . . . . . . Air Conditioning Motor . Oil Burner Motor Gas Burner . . . . . . I 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 f_................. Number of Motor Circuits . . . . . . . .. Size of present service ........... ............... _ Size of service to be ................ .......... 7230 PLUMBING APPLICATION Application Noy. h 9 0 n on the .................____ side of .... 5?. .....Lq.Q._.Ilia a Dr i vp Street No. ...... F Owner ..... Realty Plumber .....—_._.G.ac t o n G r cm cl i n e Filed in Office of The BWk6g Tnspecmr _. �Tp n - h 19�Z n�raP�c,�ox. No pawn shall construct; add to or abw ash portion of the drainage ryst m of ay baild'iog (except to repair lab) until a Pkaoit is granted by the Building Lupocaw. f I APPLICATION FOR PLUMBING PERMIT (Continu d fr m Reverse Side) ' TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB v r �n z/' J NO. STREET FLOOR APTAO. GENERAL PLUMBING 12. KIND OF INSTALLATION /!���� 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS STYLE ZIEL 6 a /T 15. NO. OF URINALS STYLE a 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 :R /l 22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES SS6�a !ti c �°? KIND Z"S' 1 4 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOW 28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? G� S I G N A T U R ADDRESS v S11qe'v z D/Z -SD LICENSE NO. <; J c7 6 ( ESTIMATED COST LZ q) &'0 TELEPHONE OWNER Sr CDi!/%?LrZ_VdADDRESS 6/: 9? �-'�/�IfSl^Oti /Z WATER HEATER 31. TYPE C _S 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 B THE OWNER OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING C E. CD962 DATE SIGNA LIRE OF APPLICANT PERMIT # Application For 6782 6701 c o DEPARTMENT DECISION o Heating Permit $ E APPLICATION IS HERESY: 0y � DEPARTMENT OF LICENSES AND INSPECTIONS Il `� APPROVED ❑ DISAPPROVED A. � TOWN OF SOUTH WINDSOR 6 a 3/3/87 -_Thomas P. D' A lr;n 00 BATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED ON TYPED. BEGIN WITH NUMBER ONE BELOW O eh � $E 1. LOCATION Of JOB CIS r - v NO. STRICT 90 r. LOT NO. FLOOR APT. NO. to c E s. OWNER o / 0 S. ADDRESS b SA AF.Z 1//U G rO ti �D SQ G Tlob ip/ /i�l� 4 a.MHONE s. APPLICANT (2a2FZ-5t 4. ADDRESS w � �G c/ T.L,/ �f0//ls�SD 2 V.PHONE �T y� •S`'� G. LICENSE NO. p. S ) 0 w V. EXPIRATION DATE OF LICENSE tl 10. ESTIMATED COST s � U .44 -8 r.00 11. If THIS A CONTRACT COST YES ❑ NO .� i 1 s. FEE ENCLOSED V P P m; t 15537 I>I. TYPE OF BUILDING: ja COMMERCIAL C � REBIBtNT1AL ❑ , ..+ 3 14. TYPE OF JOB: ❑ INDUSTRIAL r-+ ❑ RMINAL ❑ ALTERATION INSTALLATION ADDITION REPAIR i APPLICATION FOR HEATING PERMIT (Continued tr >m Rev no Side) ` 11. LOCATION OF JOB .Z- y r 90 1-11SI4 NO. STREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK Cl INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE G LOCATION J SIZE // SIZE 13. OF TANK OF TANK S Z:72 AEe2 OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SO. FT. NET B.T.U. OR SO. FT. GROSS FIRING RATE « FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO TYPE OF WALL L INSULATION ,1�Z ROOF OR CEILING -)X 4 INSULATION I�l� AVG. SYSTEM WATER TEMP. � B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 1 FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: 1 s. NEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM sli[ WINDOWS AREA — SQUARE FEET •.T.U. E.T.U. g i o DISTRIBUTION INSTALLED AND DOORS VOLUr� TOTAL TOTAL ROOK NO' S GROSS CLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORR[CT[D J j RE ISTER L W N AMC ` T[w. TO F TYPE AND SIZE RFD' R LEADER SIZE < WALL .'LEG IINFILT.1 DIFF. •F M f0. 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 1s. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. •--. DATE ANT 0 BURNHAM CORPORATION Heats & Cools Division - Irvington, N.Y. (�• t �� � n6F6 1=d=R CALCULATION SHEET 1503 copyright ms by the Institute 1 Seiler and Rodiet r Manufacturers. 393 S.v.nth Avo..Now Y rk.N.Y. 10001 OWNLR ADDRESS 4. 6-0 9,0 1101 TEMPERATURE DIFFERENCE F. DATE COL. A COL.B COL.C COL.D CO .E COL. F COI..6 ROOM 1 now It TOTALS RADIATION O W W N I L r • If L W M L M N I L I N H• I L M FROM LIKE 12 SELECTED 2 ft"DIMENSIONS. FT. � n fop E LiNOTN EXPOSED WALLS. FT. t 0. 2 C I 6 �IIOOW AND OUTS/O[DOOR AREA IL TYN TUN BTU" sTv1+ o �� •� s >MLL CaISTRUCTIo/l �� f N5 ®� //06 Ea 7 CEILING CDIISTRYCTION O FLOOR CONSTRUCTION t (� 6 ATOTTCA"L ARTITION CONSTRUCTION EMALLIWITN KASS OQ EATNION NO) •p1 WALLSREE WALLS R ENTRRANCE MALLBTUNAT70FTCUP.DIFFERENCE•STUN AT DESIGN TEMP.DIFFERENCE (y K COL. A COL. B COL. N COL.1 COL.J COL.K I COL. L L 1 ROOM O W W N L W N L M N L M M L M IN L V (� 2 ROOM DIMENSIONS. FT. ~ O m s TOTAL STUN T T AL E LEN TH EXPOSCO WALLS. FT. < IL 2 OF BUILDING RADIATION IL Z AT SELECTED WINDOW AND OUTSIDE DOOR AREA Akq DESIONTEYP. DIFFERENCE STUN BTU" STUN STUN STiiN 6 WALL CONSTRUCTION '6P7 .;200 6 TV PC OF GLASS 7 CEILING.CONSTRUCTION •INCREASE BATHROOM d T TAL 20% go FLOOR CONSTRUCTION t Now COLD PARTITION CONSTRUCTION 1 F R CONCRETE FLOOR Ox GROUND OR FILL A T GRA OE LEVEL. USE LINEAR FEET 10 J ONE WALL IWITH GLASS 0A EXTE11101I 000R) •O/ - F EXPOSED EDGE �_ TWO WALLS • sU'I T14RCEWALLS OR ENTRANCE HALL• a 11 TOTAL STUN AT7OFTEMP.OiFFERENCE• 12 TOTAL STUN AT DESIGN TEMP.DIFFERENCE G •�_��. . ���:_ -- �. �, _ �b� FORM IS02 - - - IIIwi1119I ., �r BU NH to I R AM CORPORATION Heating & Cooling Division - Irvington, N.Y. C I=d=R CALCULATION SHEET 1503 C"yri,ht 1963 by dw institute I boiler and Radiator Manufacturers, 393 Sew nth Ave., New Y wk.N.Y, 190 O1 OAIIER AppRESS ' DESIGN TEMPERATURE DIFFERENCE F. DATE � COL A COL.E OOL.C COL.D COL.E CAL. Ir COL.O 1 �� • O f// TOTALS RADIATION O W w M L • N L • M L • II M N• L M ' FROM LIME 12 SELECTED 2 ROOM DIMENSIONS, FT. n O m — /--.•� l 2 LENOTN EXPOSED WALLS. FT V 4 o • 2 KTC /O D 4 WINDOW AND OUTSIDE Dom AREA L s rALL ODNSTRUCTIDN BTWTUN + N STUN D i Try of GLASS /sad � , 7 CRILIN COMST '7OQ NUCTMN F • FLOOR COWT V"f ` t C6LO PARTITIO "STRUCTN311 N 10 J rITN*ztwALLs NEWALLIWITM GLASS ancx;wl R 000111 �© sZn a gnr WALLS " .�! .ram—• ,sue �....r. I R ENTRANCE MALL • 1/ TOTAL STUNAT70FTEMP.DIFFERENCE 12 TOTAL STUN AT DWON T[MP.Dior FERENCE K COL. A COL. a CAL.N COL.1 COL.J COL.K COL. L 1 BOOM / O W W N L • N L M N L M N L M N L M (�� 1p 2 ROOM DIMENSIONS. FT. � 2 L[NOTN EXPOSEp WALLS. FT. t fj 4� J of BUILAL°DING RADIATION Z 4 WINDOW AND OUTSIDE DOOR AREA L DESIONTEMp. SELECTED STU11 STUN STUM STUN STUN DIFFERENCE S WALL CONSTRUCTION 6 Tr Ps OF GLASS Sao Q 7 C[ILINO.CONSTRUCTION r.�� •INCREASE EATNROOM A ON FLOOR CONSTRUCTION t TOTAL 20'R D COLD PARTITION CONSTRUCTION 1 F R CONCRETE FLOOR OW #0414 ROUNDOR FILL AT GRADE 10 LEVEL. USE LINEAR FEET � [WALL IwITN GLASS OR t1tT[AIOR OM) .G� � OF EXPOSED EDGE K Tw WA L LS • • �� —� TMREEWALLS OR ENTRANCE MALL• a...., ^� 11 TOTAL STUN AT7OFTEMP.OfFFERENCE• 12 1 TOTAL 9TUNATOESIGN TEMP.DIFFERENCE •' ..i FORM 1503 1111110 Building APPLICATION FOR BUILDING PERMIT Plumbing HVAC �- Date: o' ` Sprinkler 116 'Uo (� Electric Estimated Cost $ Burners Fee $ Affidavit NO. 17234 Occupancy Fee $ Eng. Dept. $ Fire D pt. $ Health Dept. $ Approved Additional Cost $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: No. ,42/a I S, R 1 1f Lot No. Side of Street Zone '4q Owner�of BuildingJAM5� +'PALL.A MAC'pH ddress /16 L16& 7DZ Builder) ME_L: &dUJFf\ Addresss!5t5_ Architect �� Address Size Main Building: Ft. Front Overall Ft. Deep Overall -:L ) Net Area $ Garages . of Stories Lavatories No. of Families No Construction ���E Bathrooms Rooms 1st_L_2nc_,6_;'-3rd� Size of Lot AO)(��� Dist. from Street Line Dist. from Side Street Line Purpose of this Permit A75DOD 15uAJ ��600^ City Water Well ❑ Septic ❑ Sewer I,g► Approved by 446e- Date ;;&/-Or/ �Dist. from lot line E. r��� , W. �� ' " , S. , N. , Dist. nearest Bldg. ft. Height of stories -cellar 1st 2nd 3rd 4th 5th Found depth below grade Above grade Material for footing �� 1f Size footing /& Material for found. �o't-1C��� Found. thickness Roof LY_ No. of stairways —� Size of girders �f- Material for Side Walls LANinCD AAA�I Size of pier found. Floor joists, size: 1 st C6V nd 3rd stories. Dist. on center Longest span of floor joist: 1st 2nd 3rd If not wood joist const. what type of floor? Size of Roof Rafters Longest span � on center— Chimneys, size of flues How many? Where does the start? Plumbing contractor, Permit No. Iyak�E Oil burners, Permit No. Nokla Plot Plan Rec'd: Heating contractor, Permit No. Checked by Eng. Dept. ; Electrical Permit No. � � ����� Signed by Engineer: Sprinkler Permit No. 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 be located the proper distance from all street lines,side yard lines and required distances from all other zones and is located in azone in which this building and its use is allowed. hereby apply for a Certificate of Occupancy for described in the above application f rmit. Signed IISA DRIVE 711-- 116 08' 3o" E loot So' BL m uNe ya• N �uzapc = F m, f�I a � z h a �co Z A5KED cb MAP 5t)Z M1 'TE:D 13Y 7Ar M THE BJIL3ING DEPT. TOWN OF SOUTH Nf dilx'7i This rer'i i U:)t t:iis pi,in ind specific dons ,re t►cra Copi,s r I pr-p,,sed bu:lding or alterations to D,- erected it 4/J A ?_rl V is street tog,tt—r m •ts st.,tfc] in ap,lic ti.,,n 1,(1 illed 11 �,1^ t;• clor,pf,r wrtm 1, 1-nine. But t s .-ii" _ ,I rd,rs s -, it t+i ISsi ,i i ,I.' - I),'p.ir"nF.n• 1•irl ig p`ndenty of t I., ,gyp. tv.n J final is,,nct of a b-Odfn[ berm it Signed This p1 n i ] �uliy c: µ, t" ^. ld tip i thct.r ord r b ildmg shill bK. ,ondi.io•i y rr.ved fhFsE isl d i JIGS Building �nap,.ctor l )ate / /r� __ '40 1_�