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Home My WebLink About170 Hillside Drive (3) Application No. 494 .. . Permit No. .522. ....... . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH VINDSOR, CONN. hereby make application for a permit to (erect (make alteration to) a building according t 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., , /',�. ....... '. ..... 19. ..�. Sign here ................. °.--::'::'.' .................:::G............ _ Address ...............6... `.-......../...:y.:.`.fr.�..... ..::r'�'.. . Location. . ........................... ... 1 '.-.................................side of? . ....�..��.c...�X..�;............�,��... ....... ... . ,. ...................... Nearest cross street? .... ...��.�..........'ed..........................Street No. .................................................. Lot No. .........�q......... Ownerof land is? ..... ........ : .. c�c. ..............Address ....................... -l..F?.. . ....................................... ...................... 1 /Owner of building is? ... .............................................................................Address ... ...................................I............................................................................. I� Architect is? .. .... .............. .................................................... ......................Address ............................................................................................................... eris. ............................................................................_..............................Address .................................................................................................................... Lf e Dimensions of building Feet front? ............1�...i„�.. ...... Feet rear? ...... ......... Feet dap? .... Extreme height to highest point of roof? .............. ............ .... .. .. ... .. No. of stories in height?.......Z l,'.-. . Purpose of building is? . .. [ c,l '.,ll...l..n ............................No. of stores? ................................................................................................. Howmany families? ......................4ILe .......................------No. of rooms? .... .................�........3--........................................................ Distance from street line is? ................. ................................from building line is? .............. /....................................................... ADDITIONS AND ALTERATIONS (Gve Brief Description) ..........................................................................................................._............ ................. ............................................... ............................:.........:.......................... . ................. ... .... MI;tM. .....BY......SATI-TARY.....OFFICER Map No. .. ................. INJGORD CE WITH TOWN OF 1 DI R O DIN NCE NO. 6 T v�v SANITARY OPMC11k If of steel frame, what is exterior construction? ............. ....... ................. What kind of columns used? ............................................... ............Size of columns used? What length of columns used? ... ...... .. .......... .. .... .... ........How protected? ............ . ..................I.................. 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? . . ............... .. ........... .... .......................... ..................... . ... ......... .... Compositionof mortar? . ............ ...................................................................................................................................... ....... .... ... ... ... ..... ... .. ........... Height and Thickness of Walls Iffetht stories Front Walls Side Walls Bear Walls Partition Walls Basement, .......................................................................................................................................... ......................................................................................................................................... ... ... Ist Story ....................................................................................................................................................................................................................................................... ............................... ... .... 2nd " ........................................................................................................................................................................... .......... .......................... ................ ... ................. ................ 3rd " ..................... ...................................................I......................... . ......................................................................................'..'......................................................................... ............. 4th 'a ........................... . .................................................................... ............................................................................................................................................... ....... . ....... ........ 5th 's ................................................ ............................... ..........I.................................................................................................. ................................................. .................................................... 6th " ............ ............................................................................ ............................................. ...................................................................................................................................................... 7th " ....................... .......................... ................................................................................ ................................................................................... .............I...... Sth 4& ........................................................................ ............................................................... ........ ............. .............................. ........................ ................................................... 9th 11 .. .......................................................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. Give Size, Longest Span and Distance Between Centres, of JoWs,Girders and Columns Jomm GMDMM 00LUX" F10= 1 ffim XAMCwt Span Centres ffift span COMM ffift lAngo cmtm lest Floor ...... ........................................................ ....................... E;j �-Z' 15.. ............ ...........Z5.1-1............ .... ...4t!...... ...... ......... ......I.............................................................................................. Size f outside studs? ........c�-.A- 'V- Distance on centres? ............../Z...................... Size of sill? .............4.q... ....................... .................... Size of rafters? ...?7?L4................. Distance on centres?...................4K.........I........... Size of plate? .................. .............. Size of ledgers or girts? ................................ .................................Size of deck rafters? ....................... .(.. . ............... ..... ...................... ............... ......... .... Distance on centres? ................./j�......rl......................................................Sin of studs in bearing partitions? ............ ............. MISCELLANEOUS Style of roof, flat,.pitch, Mansard, or hipped? (.................................. Fireplaces? ............ ................ Material of roof covering? ........... ........Material of Cornice? ............. ..... ....4......................................................... "V..X, How is building heated? .........................Lining of flues? .. ...................C....... Y..................................I. .............. Thickness of shell of flues? .............. ..............................Any elevators or lifts.? .............../,-/.o.......................... ...................... What kind? ...................'7777.............. How many? ..... ... ... . ....`7....................... Any hoistways? Howprotected? ............ ............................................ .................Total Value of Building ......... ...... . ........................... When will work be commenced? ..........&A e k.t............ I/................4(1............. .......... 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. Applicant 5224 BUILDING APPLICATION Application No. ......54-94..................................................... ..................... side of on the ..................... ...... ....... i...1................. Street. Street No, ............... Owner ....... . ......... Applicant ........... ........... CLASSIFICATION Dwell Lag....2.6 ............ ................... ............ . ....... .. . . .. .............. .. .......... ................... .... ............. .. ...... ... .............................. Permit issued on above Application. Date, . 4,2 0,65. ........ 19.... . .. w TOWN OF SOUTH WINDSOR BUILDING PERMIT Date April 20, 2, 19 65 Fee Paid $. 60.0 0 Est. Value $. i5 0 0 b RECD. SEPTIC PAYMEn nn Permit 5 2 2 4 on the South side of Hillside Drive Street Street No. Lot #46 IP'11'D Owner Allen Brown Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. 3 063 Fee Paid $ 3 .0 0 CLASSIFICATION nwelling 201 A8r BUILDING PERMIT N° 5224 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Apr it 20! 19 65 Marto to to Terfif1j, That Allen Rrown is hereby granted permission to Dwelling k8 l a261 at estimated value of $15j,000 on the S=th side of Hillside DriVl,9 .rot #46 Street on land owned by A11ea Tyr Said Work to be as described in Application No. 5494 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. hued April 20, 19 64 r�r -- 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." i Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. I i i Permit NQ 3063 I l� Certificate of Occupancy 7 THIS IS TO CERTIFY t the "s'r atram;!`f` - '` '__ in the flown of South Windsor, Connecticut, has been erected and completed in accordance �witl i the Building Code and.,Zoning Regulations of the Town of South Windsor, and is hereby Lppko�ed for occup4nndy. t 4 8irg NInspector Owner, Builder Fee Paid �""""` Date c�rp 19 � �7 y _ 3721 ELECTRICAL APPLICATION ApplicationNo. ......4022........ ................................................................... th on the .......... side of Hillside Drive ...... ...... .. ... ............. .. ....... ................. .............. .. Street Street No. Lot.. #4.6....... ... .. .. .. ......... Owner Allen Brown........ . ....... Electrician C.Colangel.o. FILED IN OFFICE OF The Building Inspector .....8723765.. ... . . . . . . 19 . INSPFCTION. .................................................................................................................. ........ ................ ............................................................................................................................................. ...................................................................................................................................... VrNo 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. r'X1 No. . V22 7 Permit No. .3.721. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR9 CONN. hereby make application tq 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 South Windsor, Conn., 19YS Sign here . .. ........ Address .. ...A- Location / ..... ....... Side of ............................. ... ...................................................................... r Nature of Building ...... How many stories ...... .. . . ..... ...... .................................... ................. New or old Building ... ......... How many families ........... ... ............................................... ................. Kind of Installation ..... � . .. How many Stores ........ ............ .......... .......................................................... Owner &�,J Y?........,fit S U ....-............ .. ........ .. . Address 6 ;- ,.../..... f� G............................... .../........ Architect .......... . ... ... Address .. ... ... . Builder �,yC/.�.., �� Address . � ..�!. ..� ............ ......d!� Electrician .......0;41—N 1!..1 ...... L•''.� /G.. Address �..La.l��.......P�....... Size of Main Wires ... ... ...........3 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 ,f No. of Heat Receptacles Z No. of Motors No. of Panels .............. ... ` Size of Heat Circuit �� V3 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 .. ............. .. r No. of Cord Drops .. Remarks: For other kind of Installation .. l. .... - . G .......................... .......I... ........... ... . ... ... . .. .. .... .. ........ . .......... .... . .... ............................................................ ................ ........ . . . .. . ... ... .......... ....... ......................... . ....... ......... ................. . ..... .. . . . Estimated Cost 3 234 PLUMBING APPLICATION Application Na 3923 on the -aide of Street No.owner 7 i4'o Plumber Fled in Office of The ?-13—65 - 19 II�iB�Cs� No pe am shall omstroct, add m or alder any portion of the draimp symm of any 6oMfimg (except to repair leaks) unta a Plot is 110:1110oed by the Budding Impactor. j �YT V Application No. ...........3.023............... Permit No. . 3 234 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. SouthWindsor, ..................... ... ... 19 �.- Sign here ` :'' ' - .................................................................... Address ... y:'..... :....� ............ Location s.�/.�`' . side of ....../4. 107e.. ............r`.1 . ............ .... Street Nature of Building ... How many stories . " ........................................................... Owner .................. ............ ... .. ........................... ....... Address .... ......... .....f........ ....................................... Architect ................ . .......... ..................................................................... Address ....................... .. ......................... .. ....................... ................... Builder -'..... . _ .... Address . ........ . ... , ............. ....... ... . . . ........ ................. Plumber . . � ......��- �.-�`. .�'.... ............................................................... Address .......��.z.....:!�r........ .. ............ ........................................ DRAINAGE CESSPOOLS, How many . ....... ... ........................ . .............. Where located ... . ................ ....................................................................... . . ...................... . ............................................ Of what materials are the Are they water tight y built ........ ........................................ Size of pipe from house to cesspool . .. ..................�f..ti;;........... Kind of pipe ....... .� ... ..,:`. .....-....................................... MAIN DRAIN IN CELLAR, Material . ' `........... .. Diameter, .............�.......`....` ....................................................... .......... .......... Above or below cellar bottom .. .............................. SOIL PIPES, Material ....... ��{ ,: ."�...:".�`.:....".`..... ...!. Diameter %........................................ ............ ....................................... r� .... ......... WASTE PIPES, Material . ....... ........ " ` . Diameter� . .. ... .. . TRAPS, Type proposed to use is .. ............................................ RAINWATER LEADERS, where do they run to ''" - . .......... ................................................................................I.. .............. REFRIGERATORWASTES, where do they run tom"'. ,....r.... .................................................. ............ ........ .............. ............ TANK OVERFLOWS, where do they run to . .. .. ......... ................................................................................................... FIXTURES law- �11w yd� �• WATERCLOSETS, How many .. ..... Where located "> ..' . .. . .�. . ....� .................-........1.`"�, `.................................. .. Distance from trap to vertical soil pipe .................................... Pattern i 4 .1'.. : . . ...................... ........................ WASH TRAYS, How many.... ........... . .:`. ..:: Where located C'. . .. ...................................... SINKS, How many ....... ..... ... .......................................................... . Where located . .......................... BUTLER'S SINKS, How many ....4'' ..'f. .... .... Where located, . ........ . REFRIGERATOR SINKS, How man !? ` ......... Where located . ............ ........................................................................ LAVATORIES, How many Where located r.. .. BATH TUBS, How many Where located .....................................,......, ,.......................................... .................... ................................................. URINALS, How man 4010. `' .C.m.................... ............ Where located .. Are water closets and urinals to be local vented 41011 If not, is there a window in outer wall ofroom where sa e are to be located . .... ...... .................. ...................... . ........... . ................ .................... 41;). r,a Estimated Cos .. ................................................... ' PERMIT # t Application For 3o6o cd DEPARTMENT DECISION 3282 Heating Permit � o APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N +' APPROVED DISAPPROVED - TOWN OF SOUTH WINDSOR o cd 7.13 5, , r, 00 DATE CHIEF INSP-9 s APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W O m .d JI. LOCATION OF JOB cd O NO. STREET cd v ,.C." LOT N0. FLOOR APT. NO. C N / 2. OWNER Jl f wi. . f`f � cd v O S. ADDRESS be t? ;_4.PHONE +� D 00 CO to s. APPLICANT o w 6. ADDRESS •--, ro 7.PHONE 4.Kg .° O A rp B. LICENSE NO. 0 w s. EXPIRATION DATE OF LICENSE 10. ESTIMATED COST S e 42ta - O � c • 11. IS THIS A CONTRACT COST? IDS ❑ NO t�Di 9 Permit #5224 12. FEE ENCLOSED S 13. TYPE OF BUILDING: an W 1'J 4 ESIDENTIAL ❑ COMMERCIAL O ❑ 14. TYPE OF JOB: INDUSTRIAL ce INAL ALTERATION --� NSTALLATION ❑ ADDITION REPAIR ','l APPLICATION FOR HEATING PERMIT (Continued from Reverse Sid ) / 011. LOCATION OF JOB NO. STREET FL OR APT.N 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ HEATING SYSTEM ❑ VENTILATION ❑ SPRINKLER L'J GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS I ANTIFY SIZE f LOCATION �1 f I SIZE �f SIZE �#f 13. OF TANK A , -- OF TANK ... OF FILL A F� '. OF VENT '°" %4 (• 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 SQ. FT. NET -B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED J NEW OR 9teD BUILDING— INSULATED — YES OR." TYPE OF WALL — INSULATION R e"R CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE ,_ ' C FAHRENHEIT MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK -Y -- 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. TO BE INCLUDED FOR ALL JOBS). ROOM SIZE WINDOWS AREA — SQUARE FEET e.T.u. B.T.u. D AND DOORS VOLUME O<F DISTRIBUTION INSTALLED TOTAL TOTAL y) ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70°F CORRECTED �j U.LL RAD. REGISTER L W H AND E TEMP. TO f F TYPE AND SIZE OR LEADER SIZE < WALL �'tto (INFILT.) DIFF. '� F M y SQ. FT. FREE AREA 1' r ' . 7) , . 777 yri s f r'' Y. / H r.�d.• �C iL Z U171 TOTALS t , A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING, OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: ' NAME ADDRESS SUBCONTRACTORS AND 18. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. DATE /SIGNATURE OF APPLICANT Application No. 7979. . Permit No. . 7679... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (eeeet (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. .0-1 %, s South Windsor, Conn., ......Z4.................. 19.. ....� Signhere ... ........................ .......... ..........V.... ..... .... ....... Address-, .. ......./ /� .1f�11.. 1....f?� Location? . .. ........ ..................................................... 0S.Cside of? . ......... ......... .,................. t Nearest cross street? ...... .......... ................... .................................Street No. . . ........ .......... .. .....�.....�Lot No. Owner of land is? �.G.r........... ....- ... ...t..........Address —.7 ..... Owner of building is? ...... ....................... '"...............................Address . ....... .......... .................................. ` 't.... ...... ..... Architectis. . . ............... . .................. ..... ............ ... ........ ...........Address .. ........ .. , Builder is? . / '.t�!!,1.. .�u '!..!1E+�... ..,�.....,Addreas �...a.c ��./f?► 1......... .c.. Dimensions of building? . ...... Feet front? ...... Feet rear? ....... Feet deep? .... Extreme height to highest point of roof? ..... . . .... ........... No. of stories in height? .... . .... . Purposeof building is? ......... ..................................................................No. of stores? .. ................. ................................................. . ............. Howmany families? ...................................................._................................No. of rooms? .... . ........ .... .. ..... ......... .......... Distance from street line is? .. . ..... .... ....................... ..........from building line is? . .. ........ .... .. ... ADDITIONS AND ALTERATIONS (Give Brief Description) >� �.... ..... f.. ... v. � �. ........... ... ...... ..... ................ ..... . .................... ..:79 � , -........, ,, ..�., .. .......... , ,...... . ..... s 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 Helsht Stories Front Walla Side Walls Rear Walls Partition Walls Basement, ....__....... ......_..1st.Story.............. .........._........._................_ ......................... ................................................................... .................................. .... ................. .. ...... .................................................... .......... ........................................................................ ... ......................... ....._..... . ................ .... ......... ........ 2nd " ... .............. __.................._........._..... .... ............................................................................ .... .... ......... ......................... ............. 3rd " .................. .. ..... .............. ......................I........ ................ ............................................... ......................................... I...................... ... .. ...... ........... ....... ..... ...... . ... 4th " ................ . _.......................................... .......... ......................... ........... ... .,....................................................... .................. .............. ..... .. ........ ..... 5th " 6th " _..............._............... .................. ............... ..... ................................ . ................................... . ............................. .......................................... 7th " _.......... . ...... ..................._................. ..... .... . .... . ...... ...... ................ .............................. 8th 16 ......................... ............._...._.... ... ......... . ......,. .. .. .......... ........ . . . ................ ..................... 9th 11 ................_.................... 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. Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GISDZUS COLUMNS Floors Size Longest Span Centres Bridging Size Longest Span Centres Size IAM96 Centres 1st Floor .............. .... 2nd .................... ........._.. ........................................ ................. .............. ................ _..._.......... .�a..... ..... .............. .................................. .................. ............_...._........._. ..........._....... ....... ................. _ 4 ....::.... ............. ................................. ................... ...................... _.......... ................................. ........_. ..... ......._........ ................ _. Size of outside studs? .............. .......... ............ Distance on centres? Size of sill? Size of rafters? ............ ................... Distance on centres? ..... Size of plate? ......... ............................. ..................................................... 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? . ... ......... . . . . ......... .......... Fireplaces? ...................................................... Material of roof covering? ............... ........Materia o Cornice? ..... ....... .................... .................................................................................... How is building heated? . ....Lining of flues? ... ... ..... ........... Thickness of shell of flues? ............. ...................................................Any elevators or lifts? ............ . .... ............................ ..................... What kind? .......... ... ....... ... How many? .... . Any hoista . .. ............. . ........ ............. . How protected? . .. ..... ................Total Value of Buildin �................... ............. When will work be commenced? . ..... ,..�....... ..................... 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. Applicant 7679 BUILDING APPLICATION ApplicationNo. ... .7979.... .......................................................... eas on the .......................t ........ ....... side of Hillside Drive .. .......... Street. Street No, 17.0 ......... Eli Cohen Owner . . . Applicant Edward P. Therion ... .. .... CLASSIFICATION Install aluminum siding on existing dwelling. To be grounded as per regulations. Permit issued on above Application. Date, . 5-26-7? M TOWN OF SOUTH WINDSOR BUILDING PERMIT Date May 26, 19 72 Fee Paid $. .18.00 Est. Value $3?000.00 �.w Permit N 05 7679 on the East side of Hillside Drive Street Street No. 170 Owner Eli Coen Applicant Edward P. Theri on CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Install aluminum siding on existing dwelling. To be grounded as per regulations. BUILDING PERMIT N° 7679 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. May 26, 72 South Windsor, Conn. 19 i 'to to Tertif1j, That Edward P. Theri on Install aluminum siding on existing is hereby granted permission to .dwelling, To be grounded as per regulations. -- 3000.00 1 at estimated value of �$ east Hillside Drive #170 on the side of Street on land owned by Eli Cohen work Said to be as described in Application No. 7979 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. IKay 26, 72 Issue 19, eorr NudilvinsPector. 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 dry, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." �z INSPECTION REPE;fiT � p Permit # Job 1 Footing 2 Foundation 3 Framing 4 Wiring - 02?- ? L 5 Plumbing 6 Heating 7 Lathing 8 C.O. 0 TO THE BUILDING INSPECTOR of11116 APPLICATION FOR TO" OF SCHUM WUMSM COW PLAN EXAMINATION A N O BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O • AT (LOCATION) -7D q,I)k;de � R ZONING DISTRICT LOCATION IN0.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D �v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 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 E:] Church, other religious in Part D, 13) number of units— — — — -jp- 3 ❑ Alteration (See 2 above) 200 Industrial 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (11 multilamily residential, of units ——————— — -i 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) ��( �� 17❑ Other — Speci/y 25❑ Public utility 7 ❑ Foundation only k!tyijl 26❑ School, library, other educational B. OWNERSHIP c vk e 27❑ Stores, mercantile — S4 28 0 Tanks, towers ( 8 ESYPrivate (individual, corporation, Co Q � `` 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 �6® processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, 40 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❑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❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Specify 42❑ Public or private company `-� Total land area, sq.ft. ........... 43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... 36❑ Oil conditi nine? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ N 53. Number of b dr me............. 3B❑ Coal 39❑ Other— Specify Will there be an elevator? 54. Number of Full.......... 46❑ Y s 47❑ No bathrooms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To b compl ted by all applicants Name Mailing address — Number, street, city, and State ZIP cod T I. No. Owner orFJ " ��1e A0 �(\ I I t\`1L° ��. e). lK/�'�SO t� Lessee IZ Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Si ature of licant Address nn Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R vi w Required Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING PLUMBING $ MECHANICAL ELECTRICAL OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS P rmit or Approval Check O Date bta ned 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 VII. VALIDATION Building 9690 P rmit number Building Permit issued Mar. 15 19 77 Building Permit Fee $ 4.00 AID ed by: 1 I LE VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use t�' '�a"-<-.»., ,. p.s � a o�.-A ry,.�y .. s � a - x 1 - e-♦ _ � $b s�6 fi.g-, a� � a 8 v S P� • t�x �e�o-a 4 � x . a e n n e e � .. ., z e o -. � _-. e 4 - g r x .,.. n$ TOWN OF SOUTH WINDSOR BUILDING PERMrr Date Mar. 15 , 19 7 7 Fee Paid s. .4.00 Eat. Value $.5.8 0.00 ;�• Permit _ 9690 on the aide of Hillside Drive_ Street Street No. 170 Owner El i r nh en Applicant T c 1l®r- CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Metal chimney and wood htvroing stave- BUILDING PERMIT N° 9690 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. Mar. 15 77 South Windsor, Conn. 19 J. Simler 94'to 'to to Certify, That Install metal asbestos chimney and is hereby granted permission to wood burning stove. 580.00 _ at estimated value of $ 170 Hillside Dive on the side of Street on land Eli Cohen owned by Work Said to be as described in Application 9990 No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Mar. 15 77 Issue Aildidi, 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' Z dll�'�z Permit # �V�Q Job l �p� • r zt 1 Footing 2 Foundation 3 Framing 4 Wiring7-7 5 Plumbing 6 Heating 7 Lathing 8 C.O. i J TO THE BUILDING INSPECTOR Of the APPLICATION FOR TO" OF SO UM WUMSM CON. PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. o I• AT (LOCATION) �y 1714L,�%� /TVI; ZONING DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 1 New building Residential Nonresidential 2� Addition(If residential, enter number 120 One family V18 ❑ Amusement, recreational new housing units added, i/any, in Part D, 13) 13 Two or more family — Enter 190 Church, other religious :n number o/units— — — — -i 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 4❑ Repair, replacement 21 ❑ Parking garage or dormitory — Enter number 5 g multifamily of units ——————— — --� 22❑ Service station, repair garog ❑ Wrecking (1/multi anvil residential, enter number of units in building in 15❑ Garage 23 0 Hospital, institutional Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) 17❑ Other — Specify 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile 8 [� Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution,etc.) 29❑ Other — Specify 9 ❑ Public(Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement,,••,••••,,•,,,• o school, secondary school, college, parochial school, parking garage for, F1' 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 ctri ca I....................... b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Masonry(wall bearing) 40❑ 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❑ Reinforced concrete H. TYPE OF WATER SUPPLY s 34❑ Other — Specify 42❑ Public or private company 50. Total land area, q• ft. ........... 43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors........................ 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44❑ Yes 45❑ No 53. Number of bedrooms.............. 38 C al 39❑ Oth r— Specify Will there be an elevot r? 54. Number f Full.......... 46❑ Y s 47[A No bothr me partial........ IV. IDENTIFICATION — To be comp) t d by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. ' eo ll� /7O /�iGG 5//mac= X llo Owner or ' Lessee 5 . VI/, 2. ZR c 04 - 5a- So S ,D �U 241 - Contractor f ON u0-r-"oN wt: i7 fa T (J 3. Architect or Engineer The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant AdJress Application d to 3�. ��o-rsFor�v A✓ems 3� �� Rta�F-u,4VDO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use PlanReview Date Plans Date Plans Plans Review Required Check Fee Started By Approved BY Notes 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 numberBui (ding �A7 19 Permit issued Building Permit Fee $ pr Lby: LE r , M" OF SOMM VVMSM BUILDING PBRNIIT Date 3/7/87 19 Fee M $. 6 0...0 0 BoL Value $ 10 t 0 0 0 N° 15656 an the side of Hillside Drive Street Street No. 170 owner Eli/Frances Cohen Applicant John Ridgeway CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Addition BunDi vG pMUWr N'' 15656 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Mar. 6 Pp7 94is is to Certify, That Ridgeway-►S)U al l rnniqtriiction is hereby granted permission to Addition at estimated value of $ on the side of 170 Hillside Drive - Street on land owned by E i /Franr_c+-q Cohen Said Work to be as described in Application Nol 5195 6 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Mar- 6, 1987 `-` —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 coats and damages which it shall sustain, or be compelled to reason therefor." ;P/- a yy-cz/y-7- INSPECTION REPORT Permit # 6� Job 1 Footing 2 Foundation ' 3 Framing 4 Wiring 6 5 Plumbing 6 Heating 7 Lathing - .g 8 C.O. 9618 6} ELECTRICAL APPLICATION Application No. 11127 on the side of Hillside Drive Street Street No. 170 Owner Eli Cohen Electrician Mark Kinq FILED IN OFFICE OF The Building Inspector Apr. 3 19 87 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. Z '-/.��Z............ TOWN OF SOUTH WINDSOR Building Permit No. .................. .. /. * . BUILDING DEPARTMENT Date Filed - - -/. -/- 7**........ ........Date Final Approval ..... ................... APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION: t ?O ao t;�,T-A-) . ... ... ..... ........................ JOB OWNER: .6,0.1,zjet1\�5.................................................. Sideof Between . and ................................................................................ ......... ........ Name of Building Owner C-4910CIV ...................... Address .. i ?�?----/6 -.6( ...... ............... . If work is for Lessee—Give name ....... Address ................ .... ...................... ............... .... ................. Building now occupied as (unless new) No. of family units now . .. . ........ Building to be occupied as ........ .. . .... ... .. .. .............. ... ......... Number of family units to be ...... . ................ Is this work included in a Building Permit? Permit Fee ....... .... .............. .................. . .. ............ M)q)Z-04e 19. IZJIV(5-� (If no Building Permit) Permittee Business Address S-6 S,./11,0fiN. 1VW. Telephone COSTOF INSTALLATION: . —i'LR.... ................ ........... ...... ............................................................................................................ TO BE FILLED OUT BY PERMIT-rEE TO BE WIRED 3 EXISTING APPLIANCES Number of light outlets to be installed Number of present Appliance Circuits .. ..... ............. ............ Number of convenience outlets t,o be installed (9 Number of switches to be installed Do these include Range E] Water Heater Cj Number of appliances to be installed . . . (as listed below) Dryer ❑ Air Conditioner E] Oil Burner ❑ TYPE RATING NO. Dish Washer ❑ Gas Burner ❑ Range . . . . . . . . Well Pump ❑ Elec. Heaters ❑ Range Top . . . . . . Oven . . . . . . . . REMARKS: 60 112 6 �D e)/ 1-/V/\-J 7V Water Heater Clothes Washer . . . . Clothes Dryer . . . . . Dish Washer . . . . . . Air Conditioning Motor . - Oil Burner Motor . . . . Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan . . . Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . Number of new Lighting Circuits . . . . ......... .. ............. Number of new Appliance Circuits . . . ............................ Number of Heating Circuits . . . . . . ................ ........... Number of Motor Circuits . . . . . . . .............—...— Size of present service ......... - .. ........................................... Size of service to be . .................. ...... ........ ............................ Electric# n APPLICATION FOR��,,,�;�# BUILDING PERMIT WAC # — nRTVF Sprinkler# No. 26056 Dote: 2 7- g q I'DW APPROVALD12)41 Building 'IF COlY1PLE1'E RED BOXED AREAS Permuted Cost Engineering it Fee $ 3 C� Affidavit TYPE OR PRINT ONLY Occupancy Fee Appr.for CO. c. SIGN ON REVERSE SIDE TO BIALDING WMTM",TOWN pF SpU�••I W Total Fee The undersigned herebya �'JDSOR.CT (Additional Cost) � applies to do work according to the following specifications: Job Location_ 1'7o m/1 s i cI, ri ye S 4 W�-/s a r Lot No. Side of Street__Zone Applicant *16 ji" 14 G Tel.# Address � V � -' e ' ��J T Zip (Pk0_.!i R jc.# .5,59 --q 3 7 . 11-30-9 i Owner ro �� Iraea Address 170 Al 1slWe- ro�h et e l; s oArchite r, T Address Sq.Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area #Rooms #Lavatories #Bathrooms #Gar Purpose of this permit: e— ges a rtouna oo� InS 4 42%oh City Water 0 Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. Area � Q Basement Approved by A 0_ Dat _ Garage Use Group Construction Type • Revi.d 1197 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 which this building and its use is allowed Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit --jL Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 99-26056-B 2,797 E02 UNDERGROUND 06/15/99 JFF A E03 ROUGH 06/15/99 JFF A B10 FINAL 07/16/99 DCJ D PROTECT LATCH (WITHIN 1811) B10 FINAL 07/23/99 DCJ A APPROVED FOR CO & CLOSEOUT 99-16305-E 100 L T # 46 14 I L LS I D E DRIVE S UTR W IM000R*CONka THERE ARE N VIOLATIONS Or T?+E ZON IM•a LANDS Or THE TOWN Or SOUTH WINDS OR• LOT AREA = 2IvIffi4 Sore Oi ' t W �I !O - J . 1 N a V. -S W I LLS I OE DRIVE MAP REFERENCEI GRAmw ESTATES- P' ROPEJtTV Or ft LAYOUT w _ �' a" '• 4URRAY HOMES t*Co SOWTH WINDS R _ "K - C,ONX COK TRUCTIOK 8CCT IoM # 4 'tR OWN LOTS ;E �45 f54t 62-66 w-oui'H w t"sSoR*coNw 4 SCALE '40 111to; FINE c.c APR I L 12s 1959 ,; TO 14E it' '.'M. TOWr 7h�ci-rtific d th-a I V-- —J co ;,-s o: Ike prap,-,,-,-o t;f erected it -76 t t— 11 api-11, fi.-i --th ;,l n a ' - I. I ," .)z I) z.,, 1: ,_z , rid st I i-, .J r i I,-�' '! t-'y the 1-1''J ).,t - r; cljring pLnr', ir )! i j-, jr,pli"tion ,i fw, l issu-rce of a IbLt.ding Pe.'-,it. S 1glic'd "ell Thin plan i ari r v-d subject- 'V,�-t h that ord,rs 924r6o �' ices rcgulatfng bUriding shall tie cows-lwd with Conditionally App-Gved These tiled with Building Inspector Clerk Datq CERTIFICA-riON OF ZONING COMPLIANCE Proposed building(s), use(s) and/or structure(s) -s shro, ca this plan appear(sl t be in -jafc;,,. .,,ice with cu,rent S.).:',ii f- Icci-x'r .'"lu -t,( - -. Ill:lions. Variances and speci--Ad exceptions iiayy. Date C/7-6hing Edfurcement Officer DEPARTMENT DECISION PERNUT# APPLICATI(Yi'*; FOR ELECTRICAL PERMIT i Application is hereby: TOWN of SOUTH WINDSOR Bldg Permit# BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE 644-2511 ext.230 6410 Date Building Inspector Application must be printed or typed Location of job 1-70 �(side I,- Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 F OWNER Te d'rO J V e Ins9 a e 3, or any fraction thereof ADDRESS J-7 0 P i I I 1;0A Wl,ndssr OWNERS PHONE#-(9 6-D� (6 b—t)-7 3 9 APPLICANT 'fedro :T. Veflq -sqor-3 T C/ 0* ADDRESS 1-10 Hillside 1>1- -4 < II C)UJ k W)n C, LO ESTIMATED COST$ 100 - 00 IS THIS A CONTRACT COST? YES — FEE ENCLOSED $ OR TYPE OF JOB: Original Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED 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 SEPERATE 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 CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. F NAME STATE LICENSE O. TYPE SIGNATURE OF APPLICANT PHONE NO. `t G 3 y DATE C� "