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127 Homestead Drive
'� -� TO THE BUILDING INSPECTOR 1� of the APPLICATION FOR TO" (WMUM WIPWWK cow PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant op complete all items in sections: 1, 11, 111, IV, and IX. O ZONING • AT (LOCATION) ::17, D I S T R IWA LOCATION (NO.) (STREET) J� m::: — OF BETWEEN AND BUILDING � VROSs STREET) (CROSS STREET) LOT SUBDIVIS " LOT _BLOCK SIZE II. TYPE AND COST OF BUILDING — Al applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking"most recent use � T 1 gNew building Residential Nonresidential 2❑ Addition(It residential, enter number 12jK One family 18 ❑ Amusement, recreational o/new housing units added, if any, in Part D, 13) 13❑ Two or more family — Enter 19❑ Church, other religi us number of units— —— — -p- 20 Industrial 3 ❑ Alteration (See 2 above) ❑ 14 ❑ Transient hotel,motel, 21 ❑ Parking garage 4 E] Repair, replacement or dormitory — Enter number 5❑ Wrecking (1/multi/amily residential, of units ——————— —-i 22❑ Service station, repair garage enter number o/units in building in 15❑ Garage 23❑ Hospital, institutional Part D, 13) 16❑ Carport 24❑ Office, bank, professional 6 ElMoving (relocation) 17❑ Other — Specify 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile 8 rW Private(individual, corporation, 28 ❑ Tanks, towers n npr fit institution,etc.) 29❑ Other — Specify 9 ❑ Public(Federal, State, or local government) C. COST (Omit nts) Nonresidential — Describe in detail proposed use of buildings,e.g., f ad processing plant, machine shop, laundry building at hospital, elementary 10. C st of improvement,,,,,,,,,,,,,,, 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......... i d. Other(elevator,etc.)............ 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF 1411 DING — 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 F "a 30❑Mas my(wall bearing) 40 Public or private company 48• Number of stories................ �s'7� 31 ® W ad frame 41 Private(septic tank,etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions .................... v OD 33❑ R inf reed concrete H. TYPE OF WATER SUPPLY 34❑ Oth r — 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 U Oil c nditi ning? L. RESIDENTIAL BUILDINGS ONLY 37❑ El ctricity 44❑ Yes 45® N 53. Number f bedrooms.............. 38❑ C al \ _ I 39❑ Oth r— Specify Will th r b on levat r? 54. Number f v Full.......... /46❑ Y s 47® N bathrooms Partial........ NOTES and Data — (For deportment use) IV. IDENTIFICATION — To be complet d by all applicants Name , ailing ddr ss — Number, street, ity nd State ZIP cod Tel. No. Owner or AAM Lessee / 2. Contractor df 3. Architect or Engineer * y The owner of this building"and the�unigned agree to conform to all applicable laws of this jurisdiction. Signature of q.ppli n i Address Application date i DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R view Required Check Plan Review Date Plans BY Date Plans By Notes Fee Started Approved BUILDING 0f $ `• vetav PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or A rova I Check Date Number B Permit or Approval I Check Date Number By pp Obtained y pp Obta ined BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit numb r 11527 Building Permit issued May 7 19 A0.- Bui Iding Permit Fee $ 504-00 Approved by: r / 14" y TITLE ZONING • FRONT YAR SIDE - . SIDE YARD REAR YARD IX. 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South Windsor, Conn. b1mv 7 1980 94io 'to to Certify, That tt X_ u,..,_�.,., camas is hereby granted permission to DMI I.I nit 4 at estimated value of $ 100 on the side of t o* #3 3 H _e e t e a nws ye Street on land owned by & R Himising Corp Said work k to be as described in Application No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued 7 1980 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." owilazig - Lot #33 Tim Rid, IV 5/7/80 U )k R ,14ousing Cxorp 127 Homestead Drive Permit # 11527 Electrician Aldo Pavan #7163 60'� Heating Contr. A & B Cool.&Htg. # 5176 Plumbing " J. Vedovato #5642 Oil Burner # Certificate of Occupancy # 5664 Plot plans apprd. per Engr. Co.. Q'e INSPECTION EPORT Permit 1 Footing Js 2 FoundatiorL-�- 3 FramingZ-J6 4 Wiring -so Plumbing 6 Heating 7 Lathing 8 C.O. ���'� 31 Hermit No. "g TOWN OF SOUTH WfNDSOR SOUTH WINDSOR, CONN. Permit No 5664 Certificate of Occupancy THI. To t at in the i Of South Windsor, Connecticut, has been erected and completed in accordance with the wilding Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. 4o11uilder/ l t ! Owner, Fee Paid 3 Date 19 t GARDNER Et PETERSON ASSOCIATES— ` 06 OLD POST ROAD----TOLLAND, CONNECT/CUT 06084 oqq I�6. 9�+ I I 2 g, all —� 3y 3� 1''� S it �N 3,`t.i 0 ( T 'C'A-A 38$,1 V1 i 3 as.z 9' ��, ��ti• �� W 383.Q 'V v z e, CC 1.5•Zy•45 !.•3` �di ��� 3 2.7 3s a So• 3a . � 31D 1 � O D MORTGAGE SURVEY LOT #33 TIMBER RIDGE SECTION IV TOWN OF SOUTH WINDSOR, CONNECTICUT SCALE: 1" = 40' I hereby certify to First Federal Savings & Loan Association that the location of the building as shown is substantially correct and that the are no zoning violations of the same. L.S. #10839 August 1 , 1980 PROFESSIONAL ENGINEERS LAND SURVEYORS T of i ' �ERING DEPAR-TM�N �p►TE' % 7163 ELECTRICAL APPLICATION r Application No. 8177 on the side of Lot #33 Homestead DriveStnet Street No. _ 127 Owner U & A Housintz Corn `Electrician Aldo Pavan FILED IN OFFICE OF The Building Inspector Jubne 23 19 80 r INSPECTION. "3'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. . „� APPLICATION FOR PERMIT TO DO ELECTRICAL WORK. f _ . No. ........... .17..7................. Permit No. . ..... .7163..... .. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, 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 not. South Windsor, Conn., ... �U�tJ�. I`� 19c'P Sign here elG �.—. ............ Address 7 ����Gi.�yV.... . .....7 ._.!1%41 oz, Location . ....... ,/.5f''r.. Q Side of .. Nature of Building - t�� !� �'?�.�•,�` How many stories --- .. ........ ..... ....... .......................................... ................. New or oId Building /7e How many families .. /....................................................................................... Kind of Installation How many Stores ............... .. ... �.`.���E'.. •. ........................ ' ..........-.......................................,..�...J.... .-�- �L..!L .. �`�-1 S Address /•.�r 's.. Cr'`�/e_� Owner .......... ..... ......... .......... ...... _... .... . _..........._.._..... ............. Architect ...... Address .. ........ ..... ..................................................... __..__....._....._._.... Builder !G �Li S r... Address :�/,. .. /.�... 6 r z . .................. 4.h�(p1- `. S� Electrician .../C.G.cy ... Q 1iq..Ll... ......may. Address ? . ..... ...f. e ccr.e.... ........ =......._. Size of Main Wires ............... No. of Light Loops .. ... . ../. . ........ No. of Heat Loops ... r No. of Power Loops ........................_._......... d�c ��jj No. of Light Outlets . . . .... .. . No. of Heat Outlets . . I gr/ No. of Power Outlets ............. .. ............ NoP of Light Circuits .. �� No. of Heat Circuits �,� /2,'>10Lr No. of Power Circuits .. � C''"�fli�,�" No. of Sockets ... . . . . ... No. of Heat Receptacl Z No. of Motors No. of Panels ................................ .. Size of Heat Circuit //� 3No. 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 ..................W.1! .�.!�. .. ... .........470-Y....... ... 2 �_4j .....................: .5................ Y............ .................. ..../.. ... .......... ................_..................................................................................... .... . ....... ........................................................................................................... ................................. ...._........................................................................................................... .. .......... ... . ... . . .................................................................................. . ........ .... .. .......................................... . ................... .... ........... . . . . .... ......... ... Estimated Cost �..�..................... . r 5642 PLUMBING APPLICATION AppL'catim N L 6423 on the _._ side of Street No. � 3 3 Owner ... , Phmmber RW in 24of The Bul&og I�pecoor July 9 ig_,$0 II mWilC"na No pmon shall construct, add m or aher my portion of the drainage system of any bml&g (ampt to repair leaks) until a P c mk is pored by the Building hupeaw. Application No......G423.................... Permit No. ....5642................. 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 t. p SouthWindsor, ....... ..�................................. p9 6...... Sign here ............. .. ......................................... Ad ..... �' ............... . . .... .'C_x................... Location ........... .(...................................... ........................................................ side of ............. ' ............ ............... Street Nature of Building ... .... . .-L,*................................... How many stories .. .........?,'...................................................................... Owner ........ .. .......................... . . ........................................................ Address.......... u............... . ...... ........................................ Architect .................. Address......................................................................................... ........................................................................................................................ Builder ........ ...... ................................. ................................................ Address .................................. ................................... ....................................... Plumber ... ...... . .......... !1 ................................................. Address ...GI...Z1....... , ..................................... DRAINAGE CESSPOOLS, How many . ....... �- ............... Where located ........ ......�theyy ........ ................................................................. Are they water tight .2..................................................... Of what materia are built ...................................... Size of pipe from house to lesspool . A/............................. Kind of pipe ... ...:.....4...................................................................................... . 1 ....0.2................ Diameter , ....................................................................................................... MAIN DRAIN IN CELLAR, M7at r Aboveor below cellar bottom .. ..... -fir ......................... ................................. .._..................................................................... SOILPIPES, Material . ... .......................................... Diameter ............................................................................................................... WASTEPIPES, Material . ..... .................................... Diameter 3.............................................................................................................. TRAPSyType proposed to use is ................................... . .. ..... ............................................................................................................................................... RAINWATER LEADERS, where do they run to ............................................................................................................................................... REFRIGERATORWASTES, where do they run to .................................................................................................................. ............................... TANKOVERFLOWS, 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 ..............................z...................................................... Where located .. ..A'// :........................................................................ BUTLER'S SINKS, How many ........................................................ Where located.................................................................................................... REFRIGERATORSINKS, How many...................................... Where located .................................................................................................... LAVATORIES,How many..................... ............................................ Where located ..f �f.. -............................................................... BATH TUBS,How many ....:Y` ........................................................................... .........../....................................................... 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 ............ PERMIT # Application For 62 7 7 517 6 x DEPARTMENT DECISION W Heating Permit 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSFS AND INSPEMON& N +' 11 APPROVED Cl DISAPPROVED .� TOWN OF SOUTH WINDSOR it r a 00 O DA E t INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O 1. LOCATION OF JOB o _ � R � ca O NO. / STREET • ai v� 7 0 —# /�v f�-e y /C l LOT NO. FLOOR APT. It. � O . [V O 2. OWNER cd c : o s. ADDRESS � I - (2P wTe y �7 4-a t%Qwc_L, sMe r (ay-VW 4.PHONE 4�Y3-%Lrl cd . RA6 C��a L � S. APPLICANT /il!' . at? ad .04 0 IA 6. ADDRESS /Q/ 4 eogm/_r J / C �o#-N ce jI�,r .��Q �r 7.PHONE 4 9"f6 7/ w s. LICENSE NO. Q *� p w B. EXPIRATION DATE OF LICENSE 0 "'0/'eFl e� 10. ESTIMATED COSTbo = • Q O ~ 11. IS THIS A CONTRACT COSTT ® YES ❑ NO 7 12. FEE ENCLOSED S Permit 11527 � v (1) 13. TYPE OF BUILDING: rA C � R[fID[NTIAL Cl COMMERCIAL c 3 14. TYPE OF JOB: ❑ INDUSTRIAL x ® RIGINAL ALTERATION El N ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued tr m Rev no Side) 11. LOCATION OF JOB- LuT� 3 `rf m 6 e'.' R I d r p 1 Z>7 A/C11-7 NO. STREET If FLOOR AFT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ® MISCELLANEOUS 96�&cf 7 �u O - IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK A/C'� OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTERED nOG FURNACE MAKE AND NO. ~ a SON E. V FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. T Sot B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED �' NEW OR OLD BUILDING a�'`, INSULATED - YES OR NO y P S TYPE OF WALL raM to INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. DESCRIPTION OF WORK O 15. TO BE DONE: �+'t sT LL /,1 e�T 0 ct Qt r✓v a� �°r P S s a v y �c cTiv�✓� N 2 a s p -I a•�T lam/ 77, u c i r- s sTe 0--7 `nt�o k Li c T r e 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): F'be rS I°:5 3 -s"-pp y Gal V4 zA r-e.t or" WINDOWS B.T.U. B.T.U. 1-D DISTRIBUTION INSTALLED ROOM SIZE AREA - SQUARE FEET < AND DOORS VOLUME TOTAL TOTAL ul LL ROOM NO. GROSS GLAS! NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED -J j LL RAD. REGISTER L W N AND E (INFILT.I TEMP. TO <f a TYPE AND SIZE SO. O. OR LEADER SIZE < WALL 'CtG DIFF. .F F m H FREE AREA f �' t� I � 0 _ 11 30� 2 g S s�8'8 I 12 ' Z s `t Z 6 #T� 1 2U Z 13yYo 2v Z.y 18Y32 I/S / 23 73 Z r Z- 30 7 2 sT .� 1 /�� 2� ► 3- 0 ta.•wd —o— Z 3 ivy cr I! 5 `O- Z y7SL �— TL q 1 51 N I L l�f 36 .� 2 8 Z y JgJq.*t2 )q 12 elf 8R'*3 A 1111 I'M- LIf I 1 2- o7.5.4 TOTALSTF 12 3, S6 A. HEAT LOSS FROM BUILDING 2 3 i ---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: IA"S S,!f oYh a'rS . NAME ADDRESS SUBCONTRACTORS AND 1a. 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. (p aDATEO SIGNATURT OF A► 1CANT <3/� � -c cT �Vr�—C_ ,s . � r! � cAPPLICATION FOR BUILDING PERMIT Plumbing# D /��"J'L,ss 12 7 HOMESTEAD DRIVE HVAC # / S6qZa 1476 "� 2� Date Sprinkler# No. 2 s r,4 7 FRM APPROV Estimated Cost $ E nginee t 13 �9 COMPLETE RED BOXED AREAS Permit Fee $ An '"g TYPE OR PRINT ONLY Occupancy Fee , ©o '4ff'd°r't SIGN ON REVERSE SIDE ppr A .for CO. ►► i Total Fee TO BUILDING DEPARTMENT,TOWN OF SOUTH W1 I)SOR,CT G4dditional Cost) $ The undersigned hereby applies to do work aficorcling to the following specifications: Job Location ,P ama 57�,4 do dlk,, Lot No.A4 7• Side of Street _Zone Applicant L+ Tel# Addr ss W -� Zip # -S'a It S-3 Architect - _ Address 0 IfJ�ry Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl Total New Area #Rooms ' #Lavatories #Bathrooms #Garages Purpose of this permit: 1122slctovi Cl S t a l 60 el City Water ❑ ell 0 Septic System ❑ Sewer ❑ Ins. H.O. .P. Cert. - r Area I I Rosemont Garage Approved by Date 9 " Use Group Construction Type RrAmd1197 I hereby agree to conform to all the requirements of the Laws of the State of Connectic d the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration i e plans ors ifi tions of the Building for which this permit is asked,and agree that this building is to be locat th distance fr all reet lines,side yard lines,and required distances from all other zones and is located in which ft nd its us 's I hereby apply for a Certificate of Oc th ork desc application for the permit. Signe DO NOT E BELOW THIS LINE INSPECTION COMMENTS 5h (7 x, Sn ��� S S �?'� ;. Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 98-25647-B 40,000 B01 FOOTING 10/30/98 DCJ A B03 FRAMING (ROUGH) 11/30/98 DCJ A E03 ROUGH 11/30/98 DCJ A B04 INSULATION 12/01/98 DCJ A P03 ROUGH 12/11/98 DCJ A B10 FINAL 08/18/99 JFF D BEDROOM SMOKES NEED HVAC PERMIT CALLED CONTRA CONTRACTOR LEFT MESSAGE B09 OTHER 08/19/99 JFF A SPOKE WITH PICARD TO REVERSE INSULATION AN GET HVAC PERMIT B10 FINAL 10/20/99 JFF D NO ACCESS LEFT DOOR TAG B10 FINAL 11/02/99 DCJ A APPROVED FOR CO & CLOSEOUT 99-10569-H 2,500 98-10298-P 600 98-16040-E 750 I j r GARDNER & PETERSON ASSOCIATES-5M OLD POST ROAD-TOLLAND, CONNECTICUT O&W kA i. y ti - � � 3Z '311., 0 �N T j 382 .Z „, ! 3aa. a-%-t q j 3i�3•t 30' R � Cl 38,as, 1p '� 2y. TW 383•"� H�•5 V 2e• q• �d ^_ ABU 2•G 2• 4Z 3s � 0 0 d I � _ Q r• MORTGAGE SURVEY LOT #33 TIMBER RIDGE SECTION IV TOWN OF SOUTH WINDSOR, `CONNECTICUT SCALE: 1" = 40' I hereby- certify to First Federal Savings & Loan Association that the location of the building as shown is substantially correct and that the are no zorting violations of the same. - -- L.S. #10839 lj� August 1 , 1980 JPROFESSIONAL ENGINEERS LAND SURVEYORS t,Cr IJ 10 THE BUILDING DEhf. IONN This certified that this plan and specificalic—i are iii copies of the proposed building or alterations to I). erected at t,w al �'y�J�'1/�{_— 9Rt re e, together with amendments stated in application ar. filed with plan and I agree to comply with all zoninL. Building and state laws and such orders as shall o issued by the Building epartm during penden of this application an anal ante of a bu' permit. Sign d Por This p Is ve sub)ect to the condition th,, orders an o ces regulating building shall bF complie h Condit ally Approved These filed with Building Inspector ^cleri Date No, ✓� �Proposod building(s), use(s) and/or structure(s) as shown on this plan appears) to t,y i,'-1 conformance with current !ath regulations. Variances and special excep:icns may apply. Date - Zcninl7 Enforcement Off;cer DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE iz -Z5 4--f 644-2511 ext.230 Date wilding Inspector Application must be printed or typed Location of job Street go. Street Lot No. FEE SCHEDULE Floor Apt.No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER or any fraction thereof ADDRESS /2-2 f COAZA4 OWNERS PHONE# APPLICANT M404 J goz,� <0,dl OWN ADDRESS L ESTB4ATED COST$ O IS THIS A CONTRACT COST? YES NO VIA& FEE ENCLOSED OR-CO TYPE OF JOB: Original Installation L,,,"Alteration/Addition Repair Revised 10/96 APPLICATION FOR PLUMBING PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION YES / NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY 44? i ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY ,e A/C g EDUCATIONAL INSTITUTION FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION �1,�/� SIZE OF MAIN DRAIN NO. OF TOILETS STYLE NO. OF URINALS STYLE NO. OF BATHTUBS NO. OF SHOWERS NO. OF LAVATORIES NO. OF CONDUCTORS SIZE NO. OF STACKS SIZE AREA OF ROOF NO. OF CATCH BASINS NO. OF FLOOR DRAINS NO. OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES/NO SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER TYPE MANUFACTURE TANKS SAFETY DEVICES TEMPERATURE CAPACITY RELIEF VALVE TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE TYPE MANUFACTURER 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. AME STATE LICENSE NO. TYPE GNXTiKE OF AP IC PHONE NO. DATE f�/� DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT i�6 4o Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE 644-2511 ext.230 it 1 g Date l,,p7wding Inspector Application must be printed or typed Location of job 1.27 &®11-h eST,eace Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OVER or any fraction thereof ADDRESS 11 Al #074 re xTca d 1W. cc,� L.��wolSor elm D 60'7y OWNERS PHONE# C> 'I I l 9 3,3 APPLICANT R p to -e i S oc,i << o no SOWN S ADDRESS X V 9 (3 r o o k #P-e(ct 1. ..� 4( Scgt �1 LA)yAjd CT. Oho yY G� ESTIMATED COST$ 17 5 O. 0 C IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ 2--- TYPE OF JOB: SCR CO Original Installation i/ Alteration/Addition/Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING / IS THIS APPLICATION ASSOCIATED WITH A t/ RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY L MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY ek v,,. 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. Ro -R.^t ti Ut 3 6 F-J S.4 NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO.-6 Vq-3/3 DATE f l 7 2 e DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT �PROD 1540 SULLIVAN AVENUE Bldg.Permit# Q(2-,* 644-2511 ext. 230 ate Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE Street No. Lot No. $0-$1,000=$13.0o f4o�S;"eAD 0Vt�" Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT RkAaa y-tA S (4 APPLICANT ADDRESS Co`O S - > 1 APPLICANT PHONE# o W N s F OWNER Ku R" u L A S U a i YYA , RAW : 1 T L q< OWNER ADDRESS 1 ��Q ME S T'CAS O _ OWNER PHONE C ESTIMATED COST$ a!�0 0.- 00 IS THIS A CONTRACT COST? L'Y Yes 0 No FEE ENCLOSED$ 3q•O y TYPE OF JOB: S�R�CO 0 New Installation Ef"Alteration/Addition/Repair Revised 8/99 APPLICATION FOR HVAC PERMIT (Continued from reverse side TYPE OF YSTEM: TYPE OF BUILDING: HEATING ❑RESIDENTIAL ❑A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC Q'WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) P 41 U n .+p cwr rev,+ .-lAV o G.C. - yloc,-l cl S'y&t et� GROSS HEATING CAPACITY(INPUT—BTUH) 1LJO1 000 NET RATING(OUTPUT—BTUH) TYPE OFFL OIL—GPM OIL TANK LOCATION :❑INSIDE❑ OUTSIDE CAPACITY ❑ GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW AIR CONDITIONING DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. yb3yasW9 VAC, (2 -r CONTRACTORS LICENSE NO. TYPEI a e STATE SIGNATURE OF APPLICANT I ( DATE 8 c3(4 0