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HomeMy WebLinkAbout10 Highview Road (3) a 1 Application No. 2.4$.3............................. Permit No. ........22-23 ................. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. ::........... ....:hereby make application for a permit to (erect (make alteration to) a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive)'shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn., X�Oe/-,/........� .......... 19...gLIP Sign here .. .... ....f�.......:. .................` .t�.......... ddiess .�. . ..I........ Location? ....................... y.......................... . ............ .. ........................side of?...............L ................................................................................................ Nearest cross street? .1 .... � :....... �'....Street No. ..................................................... Lot No. .........`... .J...L-:..... Owner of land is? �� ... ..... '. .% .......Ad4ess .....`, /. 1 e,;.ill,�'....��'��....... .G�`/.....�� Ownerof building is? ....:....................... ..........�.......:.........-.........`:Address .............................�...................T.................:..................(................... _. Architect is? ' z 2-4, e .... r1' � (T ..........................!'. L............. _ ........................ Builder is? .......%.....i� ... ... . ...........Address ...... 1:...... .................................................. '....................`..............`......'. / f .................. Feet rear. ..... �'C �-�... Feet d . ............:. ... Dimensions of building? ...................................Feet front? .........:....'� ? .... deep? �-- .... Extreme height to highest point of roof? ............................................................. ... No. of stories in height? ...................... :....` .� Purpose of building is? .�....................No. of stores? .............................................0............ ............................... Howmany families? .............................a. `. :.................................No. of rooms? .... ......................................6. ...................................................... Distance from street line is.? .. f.. from building line is? ............................... �../.................................... ADDITIONS AND ALTERATIONS (Give Brief Description) .................... ......................................................................................................................................................................................................................................................................... ......................................................................................................................... ...................................................................................................................................................................... ....................................................................................................................................................................................................................................................................... ....................... MapNo. ............................, If of steel frame, what is exterior construction? ............ .... ........ ... .. ....................... ................................................................................... What kind of columns used? ................................................................Size of columns used? . . ............ ....... .................. ............ ............. What length of columns used? .......... .................. ............. .........How protected? ... ......................... .................................... ................... What kind of beams or girders? ................. ..Size of beams or girders? ......................................................................... Longest span of beams or girders? ....... ............... ..... These rest on? .. ....... ... ... ....................................................................... Roofconstruction is? .......................................................................................Roof covering is? .. ... ............................................................................... The floors, are of .............. ............................................ construction and are calculated to carry a safe load of...... ...................... lbs. per square foot. (See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Ofwhat material will walls be constructed? .... ................ . ... .................. ................................................................................................ ................. Compositionof mortar.? . .................... ............................................. .................................................................................................................................................. Height and Thickness of Walls Height Stories Front Walls Side Walls Bear Walls Partition Walls Basement, ............................................................................................................. ......................................... ....................................................................................................................................................... 1st Story ........................................................................................................................................................... ............................................... ................................................ ..................................................... 2nd " ........................................................................................................................................................................................................................................I..............I......................................I..........I......... 3rd " ................................................................................................................................................................................................................................................................ ................................................... 4th Is ...........................................................................................................................................................I.....................I....................... ......................................................................................................... 5th dd ................................................. .......................................................................................................................................................................................................................................................... 6th is ...................................................................................................................................................................................................................................................................................................................... 7th 44 ..............................................................................................................................................................r............................................ ............................................... ....................................................... 8th It ...........................................................................................................I............................................... ............................................... ............................................... ....................................................... 9th is .....................................................10th4'......................................I.......I............... ......................... ................................................ ......................................................................................................... Materialof Front? ..................................................... .................................If stone, what kind? .......... .. . .. ........................... ............................. Thickness of Ashlar? .. ..... .... ..... ................. ...... .......................Thickness of Backing? ........... . .............................................. Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists.. Girders and Columns J0I878 GIBDIM COLUMS Floors Size Longest Span Centres Bridging Size Longest Spun Centres Bite Length Centres 1st Floor Z �� x. ................................... ..........�.. �1/�,� �l 3� ? 'o '' .4 ....��.... .................................. .......................... ..................... .._.._ ............._......_ _.... .. _.......».._.... _..._.._......... Size of outside studs? .................. ....... Distance on centres? ................................................ Size of sill? ............................................... Size of rafters? ..........�-..X................ Distance on centres?....................... . ..... .......... Size of plate? ............`.....-.X....��................... Size of ledgers or girts? .................................................................................Size of deck rafters? ...................................................................... ............... Distance on centres? .........................................................................................Size of studs in bearing partitions? .......... ..f�.................. MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? ........................................................................�� Fireplaces? ................./V........ Material of roof covering? ...........' �......��...n. ..........Material of Cornice? ......... � ............................. .... D Howis building heated? .............................................................................Lining of flues? ... .............................................................................................. Thickness of shell of flues? ........................................................................Any elevators or lifts? ............................................................ ...................... Whatkind? ..................................................... Haw many? ....................................................... Any hoistways? ........................................................... , How protected? ............................................................................. .................Total Value of Building .... /.... 1....!...L-9 e->.®............ Whenwill work be commenced? ........................... .......................... .................../............................................................................................................. The applicant warrants that the lot for residentia purposes, shown on a plot plan accompanying this appli- cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the Town of South Windsor since 1949. h Applicant 2223 BUILDING APPLICATION Application No. .2.03.......................................................... on the ...................Wast.............................................. Side of .... ............... B.e.n..e.di..c.t.....Dr........................ Street .......... .......... .... . Street No, .......LQ.t.1.156............................................... Owner ....Ayp.;r y....#.g.ight S Co........................... ........................... Applicant -5.ame...... ... ............................................................ CLASSIFICATION dwelling. -421.....x...2.4.1............... ..................... ... . . . ................. ............ . ... .... ............... ............................. .................................................................................................................... Permit issued on above Application. Date, ........ TOWN Of SOUTH WINDSOft BUILDING PERMIT Pate Apr-11 1_5_, 19 58 Fee Paid $4400 Est. Value $ .11.9.000 r i Permit 2223 z on the We st side of Y/ems R-ORD — -- , Street Street No. -Lot #1 56 #lb Owner Avery Heights Co; Applicant S a me CERTIFICATE OF OCCUPANCY ISSUED: Date No. 1297 Fie Paid •00 CLASSIFICATION dwelling 421 x 241 BUILDING PERMIT N9 2223 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Agri 1 15- 19 58 ti M#ot f Tgrtif1j, I f Avon Heightiq Cn- ® ® ► LU -1 w t is hereby granted permission to dwell 11gag 2-tt24t X p��,� n IQ O � O A �-i � .w r TV 9­4 at estimated value of 118 000 on the —w side of Bene d is t- Dr—L4t #I,k S et on land O owned by Avery 7eighte Co. CA 00 Said i Ork to Eff'as described in Application Itl a�-f No. 211'g3 e;to conform to specifications and plans filed with said Application, and Building By- ���QO Laws of THE TOW?-4 OF SOUTH WINDSOR. Issued Apra 1 1 19 r r•, '� Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers dur- ing the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." Permit No.��.?.,.�' . TOWN OF SOUTH � S WIND,4©R SOUTH WINDSOR, CONN. Permit 1297 }), Certificate of �cc TH 4w Xl hl&RtD -up_anc IS IS TO CERTIFy that the at No. ` has been erected and completed in a / • the Town of in the "To South accordance vvith the Buildi of South'Windsor Windsor, and is hereby a $ Code and Z Connecticut, PProved far occup�nc oning Regulations of i y. OVirIYEk !BUILDER Fee Paid r UrLDrNG INSPECTpg 8t �� ,r TO THE BUILDING INSPECTOR of iw APPLICATION FOR TOWN OF SO UM WUWS()K COW PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O I. ZONING AT (LOCATION) 1 DISTRICT LOCATION �,�q (NO.) (STREET) OF BETWEEN �"� �k ,` f T& AND ,G� �kVT_ BUILDING ROBS STREET) � (CROSS STREET) LOT SUBDIVISION AVEAY M9161+ts W��y^e ! !6 LOT , BLOCK —SIZE t& II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D �v A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use m m 1 ❑ New building Residential 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 Past D, 13) ❑ ❑ number of units- - - - -p- 20❑ Industrial 3 f--] Alteration (See 2 above) 14 ❑ Transient hotel, motel, 4❑ Repair, replacement or dormitory - Enter number 210 Parking garage 5❑ Wrecking (If multifamily residential, of units ------- --► 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) df_& *r G 0 5 Public utility 17�' Other - Specify IJ��Fh' ❑ 7❑ Foundati n only 26❑ School, library, other educational B. OWNERSHIP T� 2.f1 .ZiQ . 27❑ Stores, mercantile 8 ❑ Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution,etc.) 29❑ Other - Specify 9 ❑ Public(F deral, State, or local g v rnment) 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 00 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 J O AQ a. Electrical...................... b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT E 1 • iD0 III. SELECTED CHARACTERISTICS OF BUILDI — 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 steel dimensions .................... 33❑ Reinf rc d concrete H. TYPE OF WATER SUPPLY 34❑ Other - Specify 42❑ Public or private company 50. Total land area, sq.ft. ........... 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... 96❑ Oil c nditi ning? L. RESIDENTIAL BUILDINGS ONLY 37❑ El ctricity 44❑ Yes 45❑ No 53. Numb r f bedrooms.............. 38 C al 39❑ Oth r- Specify Will there be an levotor? 54. Number f Full......... 46❑ Y s 47❑ No bothr ms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To be comp/ ted by all applicants Name Mailing address — Number, street, city, and State ZIP code T I. No. Owner or 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 of applicant Address Application date /rzget!;�� /0 e�ts, ' , ""�• A&-�k At L 9964agt �O 00 HOT WRITE BELOW THIS LINE V.-TPLA" REVIEW RECORD — For office use Plans Review 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 Approval Check Date Obtained Number By Permit or Approval Check ObtDained 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 II. VALIDATION 'Building Permit number 8477 Building P rmit issued M" 21 19 _& Building P rmit F $ 4.00 Approved by: tor TITLE VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use � <� . f _- . ^}��tom# r^>r_ �� ..Y�-j_e' ho- ;., �- a -�..>� i$^5` 4'" �?-a '� � -8"iri y® �§ w-4- . �f� p't - '<_„ ;f �V }�... �.� ;<..,�-> •"a.-E.�.gq r. ,_.� w;}� .. . _. ro -T.T"`# - yr¢o , 1-e-b W�.a{ i�ID i i k? 'i e �-q tm •, d " 4 _-M. b .A„ j a E s E.9#..' a-�_> ya ,".� � _, .-.�L✓--�'� �� .. ..�.��� -���'u�rP �^ o- ��d-, yA --�q-� .jM� ...,` -��,-d..� ,s �3 s " �-�, �dr� _- tt _" €` i ��'<�_ �. 2-� ut v-tea-• .- $ _ ..,.Imi w6 ..'� ",Yx , ., � �.. .+ �-.- - � o-o ' ,__ .. � ^ _ � _�_ "" .� " Y ..-c��a g.W« - .� j "., .� . � ,....�A _„A ., t a. " ,x al,w,�.t t� - •i> . a � � �" -�$ � cS ._._.g ...{., >. . a ��..',�.� ��-{ §_$ .,•we-..cja't spa r >.�. .�. ���- a(..,ega.. da'� ,".� ' �� " ,,. nit -s.:. s a �.y�{ .�+..q� -n; 9 a,a= d,j• �4 �ww^'r� �e S�&a M«�'p���,�w.Y �;•.q,-e>�§'�(w .#.,5<�.,,-„>,-$ ,- vx-„� a. m e ,.�..a � ",_ ., �,, d ..«„s, < <. �"_" " p <"� .; "" - ""�8'-'4 w - r §b a 1§v}Y�-1 5}S -1"f� o f � d �4 ¢s i t P�q'r s >N 4 s-sa $ t r= <�err.�ff�i�^�F"j tad}♦ p i rt §Y a4T }. .<b 1�e '�.a# d m� +� y"s _k>'.�s- .,�� ,.f f -" p. .�a, .. . � g4 -g.. 3 1 ' TOWN OF SOUTH WINDSOR BUILDING PERMIT Date May 21 Ig �4, Fee Paid 4!00 Est. Value Permit Na 8477 on the side of Highview Road Street Street No. 10 Owner Robert H. 'Frost Applicant Robert H. Frost CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Above ground pool 241 di a. BUILDING PERMIT N9 8477 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. I-ay 21 1974 T#'to to to Terfif1j, That Robert H. Frost is hereby granted permission to Above ground pool 241 diameter at estimated value of $410,00 on the side of 14 Hi ghv i ew Road Street on land owned by Robert H. Frost Work Said to be as described in Application No. 8777 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. i"ay 21 0,,74 Iof ,l Bui ing 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 compeller: to reason therefor." INSPECTION REPORT Permit # r' Job p 1 Footing 2 Foundation 4 4/-7V 3 Framing C'- V-T 4 Wiring /- �o Iva- 7 5 Plumbing 6 Heating 7 Lathing s C.O. 400 ' 5507 19 ELECTRICAL APPLICATION Application No. 5818 on the side of High View Road Street Street No. 10 Owner Robert H. Frost Electrician Robert H. Frost FILED IN OFFICE OF The Building Inspector May 16 ig 74 INSPECTION. to 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 ~tops (if of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM. No. ...5818...................... Permit No. ..�5 07..... TO TIRE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. ..... hereby make application to.perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. if South Windsor, Conn., ............. �... . .....J....(o............... 19...71Sign here ...... ...... .. .....................�.� ...................fps/- /70..... Address ......... .,.......... ........11l... 1....... ... Location ................................................................................................................................. Side of .................................................................................................................................. Natureof Building .................... ......... . ......... ........................ How many stories ................................../.............._.......................................... Newor oId Building ................. ! ..... ................ .............. .. How many families ........................................._................................................... Kindof Installation ...... ... .... .................................................... How many Stores ........................................._............................................._........... Owner .......... Z_e.4...r ...........__............... Address ...................................................................... ..........�...__.... Architect ......................................................................... ... ............................. ...... Address .................................................................._........_....._........_..........._......._.... Builder ........................... ............................... ....... .................................... ................ Address ...... ... ..............................................................................._.---......--........... Electrician ................... lGon� ............................................................. Address _...._...................._.... w........._...._.�_ Size of Main Wires ..#1 y No. of Light Loops .......... ............ ........... No. of Heat Loops ..................... ... No. of Power Loops ......_...................._........ No. of Light Outlets .................................. No. of Heat Outlets ....... ........ No. of Power Outlets .................................... NoO 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 ....................f.......... ................................. . . .......... No. of Cord Drops .............................................................................................. Remarks: For other kind of Installation ........................................................ ......Q................................................................................................................................ ................... -�............GIrOT!k .. p .......1. -�t/ ......... A'A'' ...............QfL1.......�L ..OrGc...... 1..[.U1.�.. rt .. ..... ..... ............... ...... ........................................................... !!�. ..........t.,,ke ..... . Estimated Cost .... (!......................................... DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR i � 11� APPRO BUILDING DEPARTMENT VE 1540 SULLIVAN AVENUE Bldg.Permit# UZ J 644-2511 ext. 230 ate Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE 1 I $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 1�-- Vill' �l: r^• APPLICANT ADDRESS 3 2�, ���•� ��-� Q w . . rev t� �:��5� `n , �T • � � o�`I APPLICANT PHONE# O N S F OWNER �T"tp mw�u -4�tm,V%ell' L IL lot A '4� OWNER ADDRESS it y k �^ ,•;ems t, �t '7 r. OWNER PHONE o— C ESTIMATED COST$ IS THIS A CONTRACT COST? 0 Yes M*No FEE ENCLOSED$ TYPE OF JOB: �SOR.Cp11 0 New Installation $Alteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ' BUILDING PERMIT APPLICATION? ❑ YES U�NO CI RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME PHONE _ ❑FACTORY ❑ STORAGE ADDRESS ❑GARAGE ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS�_ NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES �XNO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK vim Owl— THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT�� - / DATE Shirley Wilhelm - CRS Approval Confirmation: FIEbffiie i- From: <clpsvc@nu.co m> To: <WILHEL@SO UTHWINDSOR.ORG> Date: 5/1/02 3:12PM Subject: CRS Approval Confirmation: Request No. 208260 Your approval of the following CRS Request has been successfully processed. CRS Work Request#: 208260 House No: 10 Lot No: Street Name: HIGH VIEW DR Town Name: SOUTH WINDSOR, CT Inspector: JOHN COLLINS Approval Date: May 01, 2002 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT (::APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# (f X0L �� 644-2511 ext. 230 e Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: boV),vv) $0-$1,000=$15.00 Street N . Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT ApAreset4 APPLICANT ADDRESVO )9 9 Ve-r)q om Ci C7 6 066 APPLICANT PHONE# O 6 S v o a N S OWNER . A�U li p Fq OWNER ADDRESS [� Ohs 1 "s', OWNER PHONE - 7(� ESTIMATED COST$ 570 IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ TYPE OF JOB: New Installation -xAlteration/Addition/Repair Revised 4/011/2002 APPLICATION FOR ELECTRICAL 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 ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. 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 CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. j �� ,2... 29� a - E- A, CONTRACTORS LICENSfN. TYPE STATE SIGNATURE OF APPLICANT DATE <? (0 Shirley Wilhelm- CRS Approval Confirmation: Request No. 213111 Page 1 From: <clpsvc@nu.com> To: <WILHEL@SOUTHWINDSOR.ORG> Date: 5/7/02 4:26PM Subject: CRS Approval Confirmation: Request No. 213111 Your approval of the following CRS Request has been successfully processed. CRS Work Request#: 213111 House No: • Lot No: Street Name: I 0-,��-I-r- ti Town Name: SO&H WINDSOR, CT Inspector: JOHN COLLINS Approval Date: May 07, 2002 Z/, %t C� Foundation located as /4 showa hereon. May 81, 1958 Lot numbers refer to map entitled, "Subdivi3ion Map, Section 3, 'Avery Ht5l. ' South Windsor., Conn., Scale V m 501 , October 2., 1957, Certified Substantially Correct, Morton S. Fine) Civil Engineer." PROPOSED LAYOUT 'DIE AVTdIY HEIGHTS COKPANY h c e r t HIGM VIEW ROAD ­u b.,�tan tia.1-1 map L CrH W C)NNUMQUT -1 -)-ninF, UZE -i ' � 50t APRIL 30 195 b(�ci, violate J�NDSOHj C rest azia no i N H' E ti J )Ei i H f 0!%,r L 'C)NN Of SOUTH WINDJw Lhts Plan and specifications are tru• coPILS of the proposed IYUH-1ir-9 or alterations to b# :rested it ek U Street wl together a endrrnents stated in applic.,ti,n a,c led with PI bind I -iFroe to comply with •1:1 zoning 'Iding and s-,,tE, , and Such o,ders as shall b, e d by tl'(� Co 'i -Id' g, Department during pendency "is 'PPI'cJtj0r, and final Issuance of a building !11r-. plan Is 'P,,roved subject to the condition that ,rd,rs and (,rm onces regulating budding shall be pIIPd -,ith ,oridItIOnally Approved These filed with I—LI Proposed building(s), uses) and/or structures; is shown on this plan ap--'�--r(s) to be ,onformance wit"n c'u',rcit gulations. Variances acid sp,--,,-,ial except'10il-- jay apply. )ate UAW�g E*0 cement Officer,