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HomeMy WebLinkAbout109 Hillside Drive (2) Application No. 3,996. Permit No. 3736) . 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., 4)i G AV �.rf 19...<r Sign here ..... 3.. .. . ,.,,...e...........�� �.c. Address ....,/� � ....k..,f.. �.........5.7.:........... Location? ... r........45.T.............side of? Alv Z........S.i..D.1.........a r........ . Nearest cross street? ......3.7c,5J?.......14.z.I................................Street No. ............ ... ... Lot No. .. .......... . Owner of land is?l i 1Y.a!sez ar...fZe-;.V..4.7 y.,..fir.-.C..Address ...... ..........S-.2.............�.: .. 1 . r 1 t • << Ownerof building is. .................... ...................................Address . ........ .... ................................................................................... ... //r o . ? T l/,�vy r'v 7�Z Z - r S T- C o.dt1 � Architect�s. .. . ............ ....�............................................ ......................Address .l��S. �'�/ ..�..,Fl..r�..-�......... . ...... .... ......%..Fly. Builder is? ...... ........1?r�!.4-. zr..-�Address t1/....... !1. ................... :...../4....../..� Dimensions of building?,�Y X.. Feet front? Feet rear? yam.. `..."Feet deep? ..�'.�.. J Extreme height to highest point of roof? .......�.O. .. ........ No. of stories in height? . ...../...... Purpose of building is? - ...No. of stores? ............................. ............................... Howmany families? ................. .......................... ...._..................................No. of rooms? ... .... ............................................... ............ I............... Distance from street line is? . ���. .... .................................from building line is? ...../.....�... ..... . ....................... ........ .... ADDITIONS AND ALTERATIONS (Give Brief Description) ... ... ... .............................................. .................................................................................................................................................................. ........................................................................................................................ .......................................................................................................................................................... ................ ................................................................ ........................................................ ............ ........................................ ........ ..... ................................................... Map No. . ..... ........ 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? . Roof construction 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. Of what material will walls be constructed? Composition of mortar? . . ......... ... ........ . .. . .. .... ... . ........ ..... ............. ........ Height and Thickness of Walls Height Stories Front Walls Side Walls Rear Walls Partition Walls Basement, ....................... ...... ........................................................................,..........-........................................................................................I.............. ..................................................... . . 1st Story ........................... ............................................................ .................................................................................... .... ........................... ......... 2nd " ... ................... ..................-.................................... .... .........r.................................................................. .. ...... ......... ........... ........... ......... .... .. ....... .. . 3rd " ................ ................................................... ............. .......................................... ............................................. 4th " ....... .... . ................................................................ ...................................... ... .........................................._..... ... ................ ...... ....... .... ... 5th Is 6th " ... ... ....... .. ......... ......_.......................................................................... ...... ................................. ........................................... ....................................... ................................. 7th " ................I........ ... ..... ........................................... .............. ...... .... .. ... ................. .... . . ..................................... ..... .......... ......... ... ............................ 8th " .................................................................................................................... ............... ..........., .............. .... . ...... . . . ... ..... .... ............... . ................... 9th id .. .... ................-..................... ....... ........ ........ .......... 10th Material.of Front? If stone, what kind? Thickness of Ashlar? ......Thickness of Backing? Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns dolm GnWZRS COLUMNS Floors Bite Longest Span Centres Bridging Bite Longest Span Centres She Law* Centres 1st Floor . ......'� . .....f .�. ...... ../.. .. .. / 'X 3"' �' �" _.. K .........._w ..ate., 2tid " ....... .._ _. ..... �..._..__..... ................. ... ................................. _......_.......... ..................... _....._.. .._.._.... _._... _.. ._...__.._ .4th.... ..... ....................................................... .......... _..............._........._ ..._..._... .......... ._.._....^.. ..._............ Size of outside studs? ...`.... Distance on centres? .............L6....................... Size of sill? x....4........If.... �� � r L a Size of rafters? .K ``Distance on centres?................ G a X /.............................. Size of plate. ..................................................... Size of ledgers or girts? ......................... ...... ............................................Size of deck rafters? .................................................................... ............... Distance on centres? .....................................................................................Size of studs in bearing partitions? ..!�R.....`........... ..... ....�`... MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? . /�1.1 . f'`. ............................ Fireplaces? ............. ............. ........................... Material of roof covering?A.5.PA-7:,!%..f�r.........:h+.x#" .1'..E.....Material of Cornice? ....k1. .. ... ..................................................... How is building heated? 1.--�v t ... Tr2.....��t.. ':...Lining of flues? ... ..... L ' .. .............. ...........................�... ......... ... ......... Thickness of shell of flues? .......................1.........................................Any elevators or lifts. ....!V................................. ........ ...................... What kind? .... ..... . ...... . .............. How many? ..... . . . ... .... ........ Any hoistways? . ..... .. Howprotected? . . ... . .............. ........... .................... ................Total Value of Building .......... ............................ When will work be commenced? .. . ......6 C.Z-4?-Z....FcR.................. The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this application, conforms to the zoning regulations of the Town of South Windsor. Town of South Windsor since 1949. ±'4e,-, Applicant 3736 BUILDING APPLICATION ApplicationNo. .. :99.6..........................I.....................I....... on the ..West ... ......... ... . ......... .. ..... .... side of ... .. .. ... Hillside Drive Street. Street No, Lot #80 ....... Owner _Nicliol.son: Realt..y Inc. Applicant Same CLASSIFICATION Dwelling 261�x4616" ......... ....... Permit issued on above Application. Date, 10-18-61. 19 . . 1 i TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Oct.18! 11961 .,0 15 -000, Fee Paid �$.600 Est. Value �. � . t Permit N9 3736 on the West side of Hillside Drive Street Street No. Lot #80 l-eg/ Owner N icholson Realty Inc. s Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. 2264 Fee Paid $ 3.00 \- CLASSIFICATION Dwelling 261461`6" BUILDING PERMIT N? 3736 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. yc t s, 1961 94is to to Terttf1j.9 That Nicholson Fealty Inc, is hereby granted permission to T;welling 2617J. 616" at estimated value of 1$ lbe DO on the ,rest side of Hillside Drive Lot MIL 80 Street on land owned by Nicholson 11ealty Inc. Said Work to be as described in Application No. 3996 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Oct"- & ,a 1961 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." Application No. 7 767 . Permit No. 7467 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. herebyOk__ make application for it r! perm to (erect ( ) 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., rJ........................... 19.. ..� Signh ..... . . .... ............... .............. ......... .. .. Address /..�...................... .......................... ................ .... /� / Location? . l�.� S �i -- P�.................side of? la-��. ..................................................................................... Nearest cross street? . . .......................Street No. .e!�.,.'............................ Lot No. ... .. ... .... .... . Owner of land is. d .. t �' (� 6 d �+ `s o.. � � . ...... ... ......,G.. .........................Address .. .........,�'......1.`z��,� ..� ....Pi........ ..... Owner of building is? ............................................Address Architect is? .. .... ..... ... .................................................... ......................Address ............................. ............................................ .......... . ..... ........... ........... y� j f Builder is? ! l� dl,�? •�' �. o .J.........Address a Jr ..�� .:.......�G►�r�K.......... ......... �''�J Dimensions of building? .?y X-7.2.Fa .t front? .. W 3.Z. Feet rear? -F..Z. ......... Feet ? .. _5`47. .. c xtrcme height to highest point of roof? ........... ..... ..�o No. of stories in height?.... ZPurpose of building is? .......4........P f-4/.No. of stores? .... ................. ....................... Howmany families? ..... `..............................._....................................No. of rootrs? .... . ......................... ....... ............ ..... ............... .............. Distance from street line is? .. .... ..... ........................ ..........from building line is? ...... ....... .... .... .......................... ....... ..... ADDITIONS AND ALTERATIONS (Give Brief Description) Ir' . ..... ....... .._................... ......... .. ... ............... .. ..........._. .. . .. ....._ . ............_........ .................................................... ........................................ ........................................ ................ ... ......................................................... ................ ................................... .. ....... .......................................... .............. ... ................................... ...... Map No. . . . ........ 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? Roof construction 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. Of what material will walls be constructed? . . .... ... . . ......... Composition of mortar? . ........... . ... ............ ..... ........................ ...... . .. .... Height and Thickness of Walls Height Stories Front Walls Side Walls Rear Walls Partition Walls Basement, ....__................._..1st.Story............ ........_........................... ........................ .................. ....................... ......... ......... _....... ... ............... . . ..................................................... ....................................................................................... ..............................._. .. .......... ... ... . 2nd " .. ................ ._.................._........._...... ... . ........................................_................................. .... .. ........ ................................. .... .... ................ . ...... 3rd as ................... _. .. . .........._.......................................I.......I........ ......................................... ........................................_... ,.................... ............ ...... ... ... .. ........... 4t'h " .................. _..................................... ... ........ ........................ .......... ... .,................................................ .......... ... . ....... ... . 5th de ...................................... ................ .......... .... ................. ,.................. ......... ............. ..................... .... ................ .................. ......................... 6th fig _................_.................. . ... ............. ........ .... ...... .............................. .. ..... ................................. ......................................................................... 7th " .. ....... . ........ . . .................................... ....... ,........... .... . ........................ ......... ... .... .. . ............. .............................. 8th ........................ ..... ....._...._.. .... .. ............. ....................... 9th ............................. loth " Material.of Front? If stone, what kind? Thickness of Ashlar? Thickness of Backing? Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS 11 GMI&DESS COLUMNS Floors Size Longest Span Centres Bridging She Longest Span Centres Size Length Centres 1st Floor — ............ ...... ................... . _.. _................................. .................. ............_. .......... ..............._ ` ...... ..........._...._.........w_ _.....w.._. .._.... __... ..........._.... 3rd 4 .... ..... ............. .............. .................. _......._. .............................. ............ _.........._.._. Size of outside studs? ....�,YPAI. ............ Distance on centres? .......1..��...... ....... ...... Sue of sill? .......X .................. l/ /If Size of rafters? :�X.1................ Distance on centres?..........��ler....�/.............. Size of plate? /,.6 . .. Size of ledgers or girts? ..........✓. ............................................Size of deck rafters? ........... -........................................... ............... Distance on centres? .. ....... . Size of studs in bearing partitions? MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? ... �C� ` Fireplaces? Material of roof covering? .1.. 1.. ....... ..........Material of Cornice? ......!`"r'J. .................................................... How is building heated? 7���/�1. ................................Lining of flues? Thickness of shell of flues? . ..................................... ..................Any elevators or lifts? .................. .. ...................... What kind? 'y ? ? How many. '�.. . .. . Any hoistwa '" . ......... ............ . How protected? . ... ... Total Value of Building 0..... ......'............................... When will work be commenced? . .. ,� --Z ................. ................................ ................. The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this application, conforms to the zoning regulations of the Town of South Windsor. Town of South Windsor since 1949. � l Applicant 7467 BUILDING APPLICATION Application No. .. . ..7.6 7................................................ on the .......w.e.s t............ ... . side of ......... K.11s.ide. Dri.ve.. Street. Street No, 10.9 Ohms Guy We i dli ch Applicant Rudolph. G. Eliasson CLASSIFICATION Construct two car garage & .............. porches. 24'x32 t . .. .. ............ ........ Permit issued on above Application. Date, 9-20----71 19 . TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Sept. 20, 1 19 71 Fee Paid $.18.00 Est. Value $.3.p.000 Permit N? 7467 on the west side of Hillside Drive Street Street No. 109 Owner Guy We i dli ch Applicant Rudolph G. Elias son CERTIFICATE OF OCCUPANCY ISSUED: I I Date No.4095 Fee Paid $ 3.00 CLASSIFICATION Construct two car garage & porches 24'x32t BUILDING PERMIT N° '7467 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 3 eR t.20, 1971 dr4io to to Terfify, That Rudolph Go Eliasson is hereby granted permission to Construct two Car garages & porches 2 O X321 at estimated value of y$ 3 a 000 on the west side of 109 Hillside Drive Street on land owned by Quy Wei dli Ch Said Work to be as described in Application No. ??67 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. I Tvc wild g 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." INSPECTION REPORT Permit # Job 1 Footing -L - 7/ A/I oe 2 Foundation /d—,"—7/ ` 3 Framing /D- /,5 7/ 4 Wiring la -/S 7 1' /® - Z,'- 5 Plumbing 6 Heating 7 Lathing 8 C.O. Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N. 4095 Certificate of Occupancy THIS IS TO CERTIFY that the at No.z I in the Town of South Windsor, Connecticut, has 1 been erected and completed in accordance with the Building Code and Zoning Regulations of the To of South Wind or, a d is hereby approved for occupancy. G ,� Building Inspector Builder Fee Paid Date 19 i Permit No. TOWN OF SOUTH WINDSOR V. SOUTH WINDSOR, CONN. r - - Permit 141 4095 i Certificate of Occupancy 4006 THIS IS TO CERTIFY at the at No.- in the Town of South Windsor, Connecticut, has y been erec ed and completed in accordance with the Building Code and Zoning Regulations of the Town of South Wind or, and is hereby approved for occupancy. t )64/0 A 1 j j Building Inspector 4--/-)' r Builder Fee Paid Date 19 1 6800 PLUMBING APPLICATION No. 6571 on the ...__.. side of f' Sic street NO. 1 y Owns .......___. Plumber _.. Filed in Office of The Buikrmg�specoor Oct. 4 1985 II�TB�P�G1�. ............................ No person shall construct, add to or alder sty portion of the drainage s'soem of any baddmg (except to repair leaks) until a Permit is granted by the Building hWector. t 00 S3 , Application No. .k—..71..................... Permit No. .................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. . ... .....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, r....................................... 19 ..- Si here ....... ............................................ . ........... . ..... i� 1U Address ...., ... .......... .................................... Location ............ /..U... .........l !.1/ 1.. �?............................. side of .............. . ... ..-................................................. Street Natureof Building .......&.1.0 �� ..................................................... How many stories .. ....�.......................................... .................................. Owner ............ ..... .... ...... .... .......... ............................................... ........ Address .................................................................................................................... Architect ............. .................... ...../....... ......................................................... Address .................................................................................................................... . Builder . W. A..3..d .................. Address .�u,�,�./�`1...��'"..��-.................................. Plumber .. A7... ..T....'.., ................... Address ...... ...................................... .............................................................. DRAINAGE CESSPOOLS, How many . ... .. ......... ...................... ............... . Where located ..................................................................................................... Arethey water tight . .. .. ......................................................................... Of what materials are they built ...................................................... Kind of pipe ............. Size of pipe from house to cesspool . .................. ............. . .. .................................................................................... MAINDRAIN IN CELLAR, Material .................... ..... is eter ........................................................................ ,...........t:...................... Above or below cellar bottom .. ........ - f/ .................... SOILPIPES, Material . .. ........................................... ............... Diameter .. ............................................................................................................ WASTEPIPES, Material . ........... .................................. .............. Diameter ............................................................................................................. TRAPS,Type proposed to use is ............ ................... . .. ... . ......... ........................................................................................................................ RAINWATER LEADERS, where do they run to ............................................................................................................................................ REFRIGERATORWASTES, where do they run to . ..... ... .................................................................................................. .............................. TANK OVERFLOWS, where do they run to . .. ........ ...............................................................-...................................................... FIXTURES WATER CLOSETS, How many . ............................. . ... .. Where located ... . .. ................................ ................................................. Distance from trap to vertical soil pipe ....................................... Pattern .. . ................ .................................................................. WASHTRAYS, How many .... ................................................... Where located . ... .................................... .................................................. SINKS, How many ........................................................................................ Where located .. .. ......................................................................................... BUTLER'S SINKS, How many ........................................................ Where located.................................................................................................... REFRIGERATORSINKS, How many....................................... Where located ................................................................................................... LAVATORIES, How many .................................................................. Where located ..................................................................................................... BATHTUBS, How many ........................................................................ Where located ..................................................................................................... URINALS, How many ............................................................................... Where located .................................................................................................... Are water closets and urinals to be local vented If not,is there a window in outer wall ofroom where same are to be located . .... . .................................................................................................................................. Estimated Cost..� o D ....... ......................... = B • 1� C col 03 (ZhO - l 2 00.00" PIA opo M'fl,,4;*-N L `V � �� f� -I ' -� ! N� SON 4891 Ar ELECTRICAL APPLICATION ApplicationNo. .....5202................................................................................. onthe........................................................... ... ................. side of Hillside Drive .. ........... ........I. .......... . .............................................. . . Street Street No. ... .. ... .109 09.. .................... .............. ..... .............. Owner ....Guy..Weid.li..ch... .................. ...... . .... H.D.Lane Electrician ..... .. .... ................ FILED IN OFFICE OF The Building Inspector 10-15-71 ............................ ........... ...'... ........ ........... . INSPFCTION. .................................................................................................................I........................... ................................................................................................................................................ .............................................................................................................................................. 92rNo 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. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORII. 5202 No. 4 '1 Permit No. . 891 TO THE BUILDING INSPECTOR. of the f TOWN OF SOUTH W INDSOR, CONN. l / ......./....... hereby make application tot 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. South Windsor, Conn., .......... 19.2. Sign here Address .! ................/...t.!�>..........�.... Location .. ...... .. ....... . Side of ..... .c?.�.............../7�i t c-�::�.P&......ram.....�'.:................. Natureof Building ................... .............. ................................ ....... How many stories .............................................................................. ................. Newor old Building ......................... ....... .......... .. .... ... .... .. How many families ............................................................................................... Kindof Installation ............ ............................ ... ................................... . How many Stores ..................................................................................................... Owner �t..............( 1G7.. ...1.. `1... ..........................._................ Address 1.0.f............./�,1"` `-.......S.l... =.........,.r r..�r............. G L� Architect .../.�........ ................. ................. .. .. ... ... ........ ... ................ . .. Address ....,.,..1... ........................ ..................................................._....................�...... Builder ....... C,G�Q ..............r GI. .�,,s.ar ..... ..... .......... .. Address u�..i ' ?......... ......./1'C,�............J .......:..� ELECTRICAL ERVI %Mectriciah ...........©1�VrS....H�....L.Q.NE.I.... ....... ......... ......... Address ..... ............................................................................................................... 1080 AVERY STRf fT of Main Wires ... ...................................................... WAP�'ING, CONN. 06087, No. of Light Loops ............... . ........ No. of Heat Loops ...... ... ... .. No. of Power Loops ......................................... No. of Light Outlets ............. .. No. of Heat Outlets .. . No. of Power Outlets .............. .. ..... ....... No. 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 ......................... ........ .. ..... . .. .. .... . .. No. of Cord Drops ..... ..... ....... . . .. .............. .... .. ... Remarks: For other kind of Installation .. . ................. .4!............... ..w/'(A'E...................1{r. , `-.............r4.49402................./."Ga.:%�-;......... .... ..... /, /'!. ..1..14?, ..,,. ............................................................. .. ........ . ...................................................................................................... .. ........................ ............ _............................................ .............................................................. .. .................... ....... . ....................................................................................................... ................................................................. .............. .... ... ........ . ...... .......... . Estimated Cost ......./...f.i ?........`.:=.. ........ ...... TO THE BUILDING INSPECTOR d dw APPLICATION FOR TOWN (W SOUM WI1MSM WINK PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, /it, IV, and IX. O 1 �� ZONING I• AT (LOCATION) DY l DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE VN II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D 4 X A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use OR 1 ❑ New building Residential Nonresidential 2 ❑ Additi n(I f 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 religi us in Part D, 13) ❑ ❑ number of units— — — — —► 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5 ❑ Wr cking (1l multifamily residential, of units ——————— — -� 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23❑ Hospital, institutional Past D, 13) 16 24❑ Office, bank, professional ❑ Carport 6 ❑ M ving (rel cation) 25 Public utility 17 El Other — Specify ❑ y 7 ❑ Foundoti n only woo t �j 26� ❑ School, library, other educational w B. OWNERSHIP o v ��27❑ Stores, mercanfi le ❑8 ❑ Private(individual, corporation, 28 Tanks, towers�• �"r' n npr fit institution, etc.) 29❑ Other — Specify 9 ❑ Public (F d ral, State, or I cal g v rnment) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, .g., f ad processing plant, machine shop, laundry building at hospital, elementary 10. Cost f improvement,,,,,,,,,,,,,,,, 190 o' vb 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...................... b. Plumbing ...................... c. H ating, air conditioning......... d. Other(el vator, etc.)............ 11. TOTAL COST OF IMPROVEMENT s j0 O 0 1 0D 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 (well bearing) 40❑ Public or private company 48. Number of stories.........''''''' 31 ❑ W ad framl 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions ..................... 33❑ Reinforced c ncrete 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 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outd rs........................ %❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ El ctricity 44❑ Y s 45❑ No 53. Number of bedrooms............. 38❑ C el 39❑ Oth r— Specify Will there be an I vator? 54. Number f Full.......... 46❑ Yes 47❑ N befhreerms Partial........ IV. IDENTIFICATION — To b c mpl t d by all applicants Nam M ilinip eddr ss — Number, street, city, and State ZIP code Tel. No. 1. 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. Sonatu of applicant e/ Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Plans R vi w Required Check Fee Started BY Approved BY Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Check Date Number ByR Obtained 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 Bui Iding Permit number Bui Iding - Permit issu d %��� del 19 Bui Iding Permit Fee $ Appr ved � TITLE 0 TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Feb. 2 5 9 19 86 Fee Paid $.6...0.0 Est. Value $I..O.Q i Permit N° 14898 on the side of Hillside Drive Street Street No. 109 Owner Guv Weidli eh Applicant .111 d i t-h We i cl l i c-h CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Wood stoNfe/metal chimney i BUIIDING PE UWr �j 14898 i OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. I,eb 25 1986 i` I ` 94is to to (fertifg, That Pipe Dream it is hereby granted permission to 4 I , at estimated value of $ I on the side of 109 9 1 1 a;A-a nr a XM Street on land I owned by Gum Kei-Mich I Said Work to be as described in Application I No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR i Issued 198 6 u'ding Inspector. I Streets and sidewalks, obstructed by ezcavations or building materials, must be guarded by banieif during the day and by both barriers and colored j fights t.SECTION 1343, GENERAL STATUTES OF CONK CTICUT: "When any Person. shall P1m 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." I I 1 TO THE BUILDING INSPECTOR of ttie APPLICATION FOR PLAN EXAMINATION AND 7'�OWN OF SOUTH W �OM BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, It, 111, IV, and IX. O tD ZONING • AT (LOCATION) ` '�— DISTRICT LOCATION (NO.) (STREET) OF BETWEEN V `II Q cRA ANDOQ ` BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT- BLOCK SIZE N 11. TYPE AND COST OF MULDIN — All applicants complete Parts A — D �o A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use � 1 ❑ N building Reside al Nonresidential 2 Addition(1/residential, enter number 12 One faMi ly 113 ❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13❑ Two or more fomily — Enter 19❑ Church, other religious number of units— — — — —! 20❑ Industrial 3 Alteration (See 2 above) 14 l l t h i Transenote , mote , ❑ 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (l/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 ❑ M ving (relocation) 25❑ Public utility 17� Other — Speci/y 7 ❑ Foundation only 26❑ School, library, other educati nal B. OWN SHIP d 27❑ Stores, merconfiIs 8 Private (individual, corporation, 2130 Tanks, towers n npr fit institution, etc.) 29❑ Other — Specify 9 ❑ Public (Federal, State, or I cal gov 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,,,,,,,,,,,,,,,, J040 school, secondary school, college, parochial school, parking garag 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 � ; / i�j/ a. Electrical...................... b. Plumbing ...................... c. H ating, air conditioning......... d. Oth r(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ 0©a 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 F SEWAGE DISPOSAL J. dIMENSIONS 30❑�sorry(wall bearing) 40 Public or private company 48• Number of stories................ 31 C W ad frame 41 ❑ Private(septic tonk, etc.) 49• Total square feet of floor area, all floors, based on exterior / 32❑ Structural steel dimensions .................... (Q 33❑ Reinf reed concrete H. TYPE RIF WATER SUPPLY 34❑ Other — Specify 42 Public or private company �• Total loud area, sq. ft. ........... ^� 43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES ---F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑Gas Will there be central air S2. Outdoors........................ 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Y s 45± N 53. Number f b dr oms............. 36 ❑ C al 39❑ Other— Speci/y Will there be an I valor? 54. Number f Full.......... 46❑ Y s 47 gKN bathrooms Partial........ IV. IDENTIFICATION — To b compl t d by all applicants I ( C, Nam Mailing addr ss — Number, street, city, ana State ZIP code T I. No. 1. Owner or Lessee 2. Contractor .S 3. Architect or Engineer Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. nature o ap ica t Address Application dat CO '41 �J DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R view Re wired Check Plan Review Date Plans B Date Plans B Notes q Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obtained Number By Permit or Approval Check Obtained 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 z�667 Bui Iding ��LL Permit issued ,�1 /?� 19 Building P rmit Fee $ pprov y: c 111:1f- LE U U TOWN OF SOUTH WINDSOR BUILDING PERMIT Date_ =t- 18 , 1985 Fee Paid $.90.0.0 Eat. Value $. 15,000 Permit N° 14667 on the aide of Hillside Dri xe Street Street No. 10 9 Owner (,lv WP i tid i crh Applicant —B-3dy .E1 iassnn CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION 14' x 24' Addition-Family roan 1 I BUII.DLNG PERMiT Nil 1466'7 OFFICE OF I THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. • 18 1985 i � t t" tlt �P1'ft � 'fit E13asaon is hereby granted permission to kmit4 cm — 14' ac.-24' at estimated value of $16,goo on the side of '102 S >>QS AM r,L% Street on land I owned by ram.;aa4..a, Said _Work to be as described in Application No. 1490 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issucdw Has �-Building Inspector. i 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 paaon 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, jtown or borough all costs and damages which it shall sustain, or be compelled to reason therefor." I I i I I I I I I I I I I I 9001 ELECTRICAL APPLICATION Application No. 10516 on the side of Hilside Drixe Street Street No. 109 Owner Guy Weiddich Electrician Robert A. Robin FILED IN OFFICE OF The Building Inspector Q/4/85 19 INSPECTION. m 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. Electrical Permit No. ....................... Master License No. .l0i.....1.7..�,9 . TOWN OF SOUTH WINDSOR Building Permit No. 1y� ,~�........................ BUILDING DEPARTMENT Date Filed ....,/ /,�`.. ..::5 ............................... Date Final Approval .................................................. APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOBLOCATION: . ................................................................................... JOB OWNER: ...... ..... ........ . ...................................................... Sideof ... ....... ,.. B tween ................ ..... ........................ .................... and i... ..................................................... Name of Building Owner ��.....7G�� �...... ....... .. Address �CJ . ..........................._...................... If work is for Lessee--Give name .......... ....... .. ........... . Address .................................................................................................. Building now occupied as (unless new) --- W No. of family units now ...... .......................... Building to be occupied as ............. to i.." sz....... . ................. ......... Number of family units to be ....... .......................... Is this work included in a Building Permit? .. . ..... Permit Fee ............... .......... .........................................................................................._..... (If no Building Permit) Permittee .. Business Address 7,— ` .. ..... -..�a.W... Telephone 6.��... �:.�/...;�.5~ COSTOF INSTALLATION: ...... ......................................... ..... .................. A.V.. .................................................................. TO BE FILLED OUT BY PERMITTEE TO BE WIRED I 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 . . . . • • • • Well Pump ❑ Elec. Heaters ❑ Range Top . . . . . . REMARKS: Water Heater �� C Clothes Washer . . . . `•' Clothes Dryer Dish Washer . . . . . . r _ Air Conditioning Motor . 4- 3 Oil Burner Motor . . Gas Burner . . . . . . Circulator Motor . . . . 3 Attic or Large Fan , , , j G I ' , Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . dr Number of new Lighting Circuits . . . . � Number of new Appliance Circuits . . . Number of Heating Circuits . . . . . . ............................. Number of Motor Circuits . . . . . . . ._........_... Size of present service ................ ... ........_............................_............ _..._ Size of service to he ..........................................._...._............._..._. p/ TO TIRE BUILDING INSPECTOR of16 APPLICATION FOR TOW14 OF SOUM W�,50K CORN. PLAN EXAMINATION ANO BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX. O ZONING • AT (LOCATION), 0 AZL V-e DISTRICT LOCATION (N0. (STRE 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 �v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking' most recent use T 1 New building Residential Nonresidential 2❑ Addition(It residential, enter number 12 One family 18 ❑ Amusement, recreational of new housing units added, i/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 E:] Parking garage 4❑ Repair, replacement or dormitory — Enter number 5[:1 Wrecking (1/multifamily residential, of units ——————— — -i Service station, repair garage enter number of units in building in 15❑ Garage 23❑ Hospital, institutional Part A 13) 16❑ Carport 24❑ Office, bank, professional 6❑ Moving (relocation) 17 Other — Specijy 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP / 27❑ Stores, mercantile 8 Private(individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29❑ Other — Specify 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food �j processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, SoC r 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 $ 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❑Mae my(wall bearing) 40❑ Public or private company 48• Number of stories................ 31 [j?rW d 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❑ 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 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ No 53. Number of bedro me.............. 38❑ Coal 39❑ Other— Specify Will there b an el vator? 54. Number f Full.......... 46❑ Y s 47❑ No bathrooms Porti o I....... IV. IDENTIFICATION — To b compl t d by all applicants Nam Mailing address — Number, street, c:tv, and State ZIP code Tel. No3 . ' 8 -6 Owner or Lessee 2. Controc+or 3. Architect or Engineer The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction. gnat re of applica t Address Application date Ay /3 Y DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Plans Review Required Check B Fee Started y Approved By Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date Permit or Approval Check Obtained Number By Permit or Approval Check Obtained Number By PLUMBING BOILER 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 Bui Iding Permit issued � 19 Bui Iding Permit Fee $ Appro d by: TITLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Ap r i 1 14 19 8 7 Fee Paid $. .l 2.4 0 Eat. Value $2.0 0 0 Pest N° 15740 on the aide of Hillside Drive Street Street No. 109 Owner Guy/Judith Weidlich Applicant Judith E. Weidlich CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Shed BUILDING PER>f'r N=' 15740 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Ap r i 1 14 1987 94is is to aTerttf-u, That Bilt/Rite is hereby granted permission to Shed 10' x 121 at estimated value of S?•0 0 0 on the side of 109 Hillside Drive Sam on land owned by Guy/Judith Weidlich Said Work to be as described in Application No. 16040 and to conform to specifications and plans filed with said Application, and Building By- laws of THE TOWN OF SOUTH WINDSOR. Jssued Apri 14 07 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" t e. 1,01 03 fZA � E rl r y KI r SOVT e, a _ t Y„ Jti FINAL SPECTIONS: Building 'Z-- I -q o APPLICATION FOR BUILDING PERMIT Plumbing Sprinkler 109 HILLSIDE DRIVE Date: -2 P El ctric Estimated Cost $ 0�gd D• y 0 Zoning Permit Fee$ •a# Affidavit NO., 18130 Occupancy Fee$ Eng. Dept. COMPLETE RED BOXED AREAS. Total Fee $ °' Fire Dept. TYPE OR PRINT ONLY Health Dept. Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, here y pp" s to 11 do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant Tel. # 6y_1I. d� O- Address 0 S' elZ)r v� tzip 00 Lic.# STREET CITY STATE Owner Sat rn 'e Address SIG ✓✓1 `ems Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line Dist. from Side Street Line Purpose of this Permit )�&"CC- &e- i1 44Ae City Water ❑ Well ❑ Septic ❑ Sewer ❑ Approved by J Date &l BD1A 11/88 I hereby agree to conform to all th requirem nts of the Laws of the State of Conn cticut and th Ordinances of th 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 line nd required distances from all other zon s and is located in a zone in which this building and its use is allowed. J� Signed I hereby apply for a Certificate of Occupancy for the work described i6 risapplication for permit. Signed —DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: IL 0 Alp • e�r 11 � �� 1. .�'•,t � e n' t i r l NA v Aj i3o �+ , �-, U IQ f IT VFW e� r. t y ,,�•�'r�• •- Vim` •' _' . C—A 4G 1,i :3 V +' / � -•�V / I { c A-r A 1 `x.+. `� 0 c 341, l�G NOV 1 1989 South Windsor BUILDING DEPARTMENT icy i4ic Th1s r- rti£ied tnat this plea ano t c pt,s of the proposed building or -iiurra.6rl,::. erected at /09 t i ier " ,f, -iinendme is st_!: J 10 ,il, r sill I,i_n an•7 1 ,igr-(: to o ;,fy v a ,c' ,t'. I'+YS end r l ns m,d by t?w t3uildin; 1)ep•ertrr..-nt during n, t ibis pp cation and find issuance of a buridit r.,r m i x ;Igned ills is npnroved sub!sci to the cond,tion tha, *d s nd rdmances regulating hug dins; s;,ail be :0 c a v r.h �onditl,onally Approved These filed with li E Building Inspector Clerk DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: n BUILDING DEPARTMENT qo l POO PPROVED 1540 SULLIVAN AVENUE Bldg.Permit# f � ��� 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: d e $0-$1,000=$13.00 .Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT ©AA) f f fci LP1-q P j— APPLICANT ADDRESS q(� f>4 j; S hF� CT a(0i/rP APPLICANT PHONE# G7 6 9`d 6P D O W N S F OWNER b y f,,C1 r,,J 1 � C 4 OWNER ADDRESS 1 O`7 ' Will.S j d C✓ OWNER PHONE L/c( a `� O � ESTIMATED COST$ 7 / 5 IS THIS A CONTRACT COST? ;a Yes 0 No �A FEE ENCLOSED$ /3. OR-CO TYPE OF JOB: S 0 Original Installation gAlteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ❑RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES Wj NO ❑BUSINESS CURRENT USE AND OCCUPANCY 7 J�� ❑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 `I jo AL— SIZE OF MAIN FEEDERS AND RATING OF WIRE USED L11 o 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 a UD IA Vh,P !SC 4- t"I're c�k- vla e 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 1 aU o n o ins- pprova on Irma ion:-Request No. 192979 Page-q From: <clpsvc@nu.com> To: <COLLIN@SOUTHWINDSOR.ORG> Date: 12/6/00 9:53AM Subject: CRS Approval Confirmation: Request No. 162873 Your approval of the following CRS Request has been successfully processed. CRS Work Request M 162873 House No: 109 Hi I K A e, Lot No: Street Name: Inspector: JOHN COLLINS Approval Date: Dec 06, 2000