HomeMy WebLinkAbout17 Jeffrey Drive TO THE BUHDING INSPECTOR
d the APPLICATION FOR
PLAN EXAMINATION AND
OF WS�O�,CA)IM BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX. O
1 c ZONING
• AT (LOCATI ON1 ` �{ a.IJ DISTRICT
LOCATION 1. (NO.) (STREET)
OF BETWEEN AND
(CROSS STREET)
BUILDING (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D -4
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking"most recent use T
1 ❑ N w building Residential Nonresidential
2❑ Additi n(1 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————i 20❑ Industrial
3❑ Alt ration (See 2 above)
14❑ Transient hotel,motel, 21 E:] Parking garage
4❑ Repair, r placement or dormitory — Enter number
5❑ Wrecking (1f multifamily residential, of units ——————— —-•1 Service station, repair garage
enter number of units in building in 1S❑ Garage 23❑ Hospital, instituti nal
Part D, 13) 16❑ Carport 24 FZOffice, bank, professi nal
6❑ M ving (relocation) 17❑ Other — Specify 2S❑ Public utility
7❑ F undati n only
_ 26❑ School, library, other dueati real
B. OWNERSHIP 27❑ Stores, mercontiI
8 ❑ Private(individual, corporation, 28❑ Tanks, towers
nonprofit institution,etc.) 29❑ Other — Specify WJ14'0�_
9 ❑ Public(Federal, State,or `
I cal government) dO"ti�, -
C. COST (Omit cents) 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............... I G school, secondary school, college, parochial school, parking garage f r,
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 ...........0..........
c.H ating,air .......... 7
d.Oth r(elevator,etc.)............. -
11. TOTAL COST OF IMPROVEMENT I5—D 60
III. SELECTED CHARACTERISTICS OF BUIILDING — 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❑Mas my(wall bearing) 40❑ Public or private company 48• Number of stories................
31 ❑W 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 �• 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 conditi ning4 L. RESIDENTIAL BUILDINGS ONLY
37❑ El etricity 44❑ Yes 45❑ N 53. Number f bedrooms..............
36❑ Coal • - --
39❑Other— Specify Will th re be an elevator? Full..........
_ 54. Number of
46❑ Y s 47❑ N bathrooms
Pertiel........
IV. IDENTIFICATION — To b compl t d by all applicants
Nam Mailing addr ss — Number, street, city, and State ZIP code T I. No.
. �LP�S c=�� -1 zd 3 TH �.►� 10�.�.a�;v Cc,N Q
Owner or
Lessee
JContractor
$t✓1�..nlUC� cjvlSTlrK �t]r2.ftOQ. Cv►.�+..1
3.
Architect or
Engineer
Th ner of thi uilding and the undersigned agree to conform to all applicable laws of this jurisdiction.
Sig a re of a li an
Jres4sATvVvL 3vltD`lvc� �> `�T�t'\� Appli ati{�n dot
LUV 11 S S )_�Dy�2 D T t-t T�D C-v�,�: 9 O
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R vi w R quired 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 Approvo I Check Date Number By Permit or Approval I Check Date Number By
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 numb r ,lam 3
Building
a_
Permit issu d � 19
Building �D �
P rmit Fe $
A roved y-
TIT
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Feb. 17 , 19 87
Fee Paid . 15,0 0 0 Eat. Value $. .9A. 00
Pet°ut N° 15634
on the aide of
Jeffrey LNE StIpet
Street No. 17
Owner H. R. Delaseo
Applicant Architectural R1 dg, .ystem
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Of f i nP AltPra t inn c
BURDLNG pERMrr N 15634
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Feb. 17 1$7
94is is to (9jelttfy, That Architectural Building Systems
is hereby granted P��d ion to office alterations
at estimated value of J,5 r 0 0 0
on the side of 17 Je f f rey Lane Street on land
owned by H. R. De lasco
Said Work to be as described in Application
No. 15 9 3 4 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued,.-, Feb. 17 1037
- 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"
INSPECTION REPORT _
Permit # j JobA
1 Footing
2 Foundation r
3 Framing
4 Wiring r
5 Plumbing
6 Heating
7 Lathing
8 C.O.
9568
ELECTRICAL APPLICATION
Application No. 11077
on the IE46_77 side of
e R—L Z 1 Street
Street No. 17
Owner LS Corp
Electrician big,t1kX \ -4 C,"/U
FILED IN OFFICE OF
The Building Inspector
19 Y7
INSPFXr[ON.
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 ere
stops (it of wood) are installed, without a special
permit from the office of the Building Inspector.
Electrical Permit No. ...................
Master License No.
.. .............................
TOWN OF SOUTH WINDSOR Building Permit No. ......................
Date Filed .. -..7- F� 7
BUILDING DEPARTMENT . .... . .............. ....................................
Date Final Approval ..... ........... ............ .............
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
JOB LOCATION: 1.!7 j(Z�. 4� ?
.........................
JOB OWNER:.. . ..................................... ...............................................................
Side of 9:'Y90 77.. Between ..... .......Iel . and .................................................................................
Name of Building Owner ............ ..................... Address .. ....... . . ...............................................
If work is for Lessee—Give name ......... . ........... . Address 1.7......1-e... ......L.�41.q..e..................
Building now occupied as (unless new) ....... .... No. of family units now .. . ...... ............
Building to be occupied as ....... - - ..... .... ........... ... ...... . ........ Number of family units to be ...... .......................
Is this wo included in a Building Permit? ...... Permit Fee............. ........... .......... ...............................................................................
A P-A i(f C- kt<6--V�Z I C- (If no Building Permit)
PermitteeZot-tiCt Business Address -.4..T.-�',S 0—
Telephone,2 ...............
COSTOF INSTALLATION ........................... .................................. ...................................................................................................................
TO BE FILLED OUT BY PERMITTEE
TO BE WIRED EXISTING APPLIANCES
Number of light outlets to be installed . . - . /6
Number of convenience outlets to be installed Number of present Appliance Circuits ...... .........................................
Number of switches to be installed
Number of appliances to be installed Do these include Range ❑ Water Heater
❑
(as listed below) Dryer ❑ Air Conditioner ❑ Oil Burner ❑
TYPE RATING NO.
Dish Washer 0 Gas Burner [3
Range . . . . . . . . Well Pump E] Elec. Heaters E]
Range Top . . . . . .
Oven . . . . . . . . REMARKS:
Water Heater t?f2tq Nq
Clothes Washer . . . .
Clothes Dryer . . . . . A' 7
Dish Washer . . . . . .
Air Conditioning Motor
70U11`
Oil Burner Motor . . . . Z:> 7—
Gas Burner . . . . . . c--2 T5
Circulator Motor . . . .
Attic or Large Fan . . . VVX-O 0--e—
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 . ....................................... .....................
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
P� �#
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPRO 1540 SULLIVAN AVENUE
644-2511 ext.230
1 2p ?a8
Dale 'ding Inspector Application must be printed or typed
Location of job
7 J� ,ik"-�F-42
treet No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
$0 - $1,000 - $12.00
Over $1,000
$12.00 per$1,000 OWNER C- /� �
or any fraction thereof
ADDRESS
OWNERS PHONE#
APPLICANT e I l C L
•-•W�••� ADDRESS61-27 O ro Z 7
ESTIMATED COST$ �CT-o
p 40.
IS THIS A CONTRACT COST?
YES NO
IPA CDrc
j� ; { �C► FEE ENCLOSED $
OR-Co /TYPE OF JOB:
r 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 L)
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED 7 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.
NAME STATE LICENSE NO. TYPE SIGNAtURE OF APPLICANT
PHONE NO. l��� �� DATE 12-0 f