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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