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106 Gail Lane (3)
I TO THE BURDING INSPECTOR . of the APPLICATION FOR PLAN EXAMINATION AND TOW14 OF SOUTH W WSM COCK. BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O 44 19A*r ZONING� • AT (LOCATION) Ay DISTRICT LOCATION (NO•) (STREET) y OF BETWEEN Cwwwl. AND BUILDING (CROSS STREET) (CROSS STREETLOT SUBDIVISIONW4010WI/414AXt OMfS LOT BLOCK —SIZE,211•70 X IIIIJ&y= N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T rn 1 54LNew building Residential Nonresidential 2 Addition(If residential, enter number 12 RL One family 18 ❑ Amusement, recreational of new housing units added, if any. 13❑ in Part D, 13) Two or more family — Enter 19❑ Church, other religious 3 ❑ Alteration (See 2 above) number of units— — — — --► 20❑ Industrial 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (If multifamily residential, of units ——————— — i ❑ 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 — SpeciJy �5❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 8 J4 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,,,,,,,,,,,,,,,, SSA *a* 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................ L 49 Total square feet 31 Wood frame 41 ❑ Private (septic tank, etc.) • floor area, all floors, based on exterior �tJ J� 32 Structural steel dimensions .................... T( 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Oth r — Specify 42� Public or private company `-� Total land area, sq. ft. ........... ,� 7/3 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ...................... 35 .Gas Will there be central air 52. Outdoors....................... 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44 N Yes 45❑ No 53. Numb r of b dro ms.............. 38❑ Coo 1 39❑ Oth r— Specify Wi I I there be an I vator? k�. F I , s� * 54. Number 46❑ Yes 477�" 0 bothro tns NOTES and Data — (For department use) IV. IDENTIFICATION — To b compl t d by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. 1. • Owner or Lessee Sr • 66074 soa%-&0 2. 3P.M.1 Contractor C�• 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Si nature of a licant Address Application dot 4 2(o �Rj f S I.-O-Isl-g 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By y Date Plans B Notes 9 Fee StartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained 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 1�577 Permit numb r Bui Iding P rmit issu d Dec. 28 19 81 Building Id Permit Fe p 318.00 �pprovjd Ly: � f ritiUAN Mimi t r wwwwarwww woo ww11M. •■ ww.w w.www■■.ww... w..ago ....w w ■■�. ww.w■ w■■ww •N ww■wsw■ ■ w ■ w ww�w■ w ..• •.ii■J H Ni fiiM rMSR` ! �**ifs!!*■�i i::l=r.t■itllrR SIR l �sS:%bi■S .r:iNr• ■N s ■� i wi * f t • /■i N■ R ',Rl�'r�! !! ! •i.M UN i�■ibrf■ - R S•• !.■i■��■ •/■#•i■ ■N, • fii•• M was" • !!■■•! f :oi:R1■■rR!!!•�RC\ ■ `•f::■rri.•S■■iii.N Is" : 11rr��■iF lil ■i.R N \ .f�i�liM� �r�! 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Value $.5.3 1 000.00 Permit N0 12577 on the side of Lot #7 7 Gail Lane Street Street No. 106 Owner Mil $on S t 1'uS t i onso. A licant pp .lean Mares Jacques CERTIFICATE OF OCCUPANCY ISSUED: Date No.6007 Fee Paid $ 3.00 0 CLASSIFICATION Dwelling z i I i BUILDING PBRIMM i I I' �T° 125'7'7 ' OFFICB OF I THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. De G• 29 I 94to to to (fPrttf-g, That -nu onstnaction ice. llna � is hereby granted permission to Dwel - I i at estimated value o on the side of Lot #7 7 Gail Time s' Street on land i owned by.n"iJ Construction Co. Said Work to be as described in Application N12877 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Dec-, 211 K. l r Building Inspector. Streets and sidewalks obstructed excavations or building materials, must be guarded by barriers by ��g during the day and by both barriers and colored lights by night,. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person, shall p6m 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, i town or borough all coats and damages which it shall sustain, or be compelled to reason therefor." ' INSPECTION EPORT Permit # Jo 1 Footing ? ' I?Fnl ation - g �- a �15'1�PM,I.Ubing AK 40ing �� Lat?�ing 8 C.O. �� Permit No. - J ' TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit Q 6007 Certificate of Occupancy TG;p `r_� � TO CERIFYhat,the .. in the T of South Windsor, Connecticut, has n- a ected and completed in accordance with,the Buipiing Code and Zoning Regulations of n of South Windsor, and is hereby appro ed $br occupancy. Building Inspector Owner, Builder Date ��-u dt r kt19 s' r . ,� "". �Si rPa: .' ' .. •-e vy ± .R { O�t• .'al' y �` • .�y -#' "Al -0 ',4 � y dry,° . • •Y,•. � rS R 1 i, CA. _ civil �ry 01A%6tM , Conn, k? R�Y*►O*t0 KRAW�S�� ET A"--• Q„ /00 / /�� / Ile a'QE a Ile loe 24,,1'J S.F'' / i i r -� � / ;tn r14, lollo oe — 0 / 0 d / x - tik Mo cu TF = 2Z.0 i / Zo NNW A4 iA i i 8 ^'-- / N�Ir 2 / IOU FO1-4-L0CA- %J> A� ` Wwo.1 Z-Z-$Z \�i \� A� \l _`'- •��. .MOTE: Lot lin a from -map on t 1•).e i.:.• t2o 1i°" Tom Clerk's' Office entitled ';'Plot PIM't `;eotdion S Pleasan♦. South Windsor, Conn" Scala 1"• hOl Date 0%-TIN-so ?_0 .►i p No. 220-78-M. :r; kot'i no E. �Y�pa �p►5'����teb �t84�C�nbur�� C,ca�n. PPE P,AREO FOR? I hereby certify that this mac and swvey wer.: N;eNasa,, } : .�'�AjAN t� VALLEYr-•i`, � L� accordance with the standards of a Class A•2 sury�y as det;ned In the existing :ode of Prarfl-e far Standards of Accuracy cf `50 l}7P IM NDS0121 0 IQ►`I. Sumeys and Mapr, adopted by the Connecticut Association of L&W Surveyors, #roc: SG��C ►"L A.C' -ATE- 12_ g-81 rr REV 12-14-$1 A p E o: � D 'uD SOR r 7598 r ELECTRICAL APPLICATION Application No. 8 710 on the side of Lot 477 Gail Lane Street Street No. 106 Owner ,JMj Construction Electrician Gilles LaRochelle FILED IN OFFICE OF The Building Inspector Jan. 13 19 82 l i I INSPECTION. c�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. , i a rn I I I. WORK. (� APPLICATION FOR PERMIT TO. DO ELECTRIC AL 8710 No. . ... .................... ...... Permit No. . .. 7..5.9.8........... . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application to. 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. �L:��-C�C,a. . South Windsor, Conn., .. � /f 19�.�Sign here • ... . .cc . ............... Address7 . . Location ! ter'',[ ���z"t�. Side of ... ... . ... . ... .. ........ .............. �`�'u-� tir. -C How many stories ......... Nature of Building ...... .. . ..... ........ ........................................ ................ New or old Building 'I,l:'' .. . How many families .. ................../ ........................................................ Kind of Installation .. . .. ..14 How many Stores .................................................................................................. Owner i . '�"�....�..... �.... ...... .!'�-C`�......... .. _...... .. Address Architect ......... ............ Address .... .. . ....... ........ .....................f...............................w..__....._/...._._.... Builder r j)1.1 Address '.. .(Et .- ►��..r5 p...... Electrician ,J.,,). .. ':.. . Gi.,J�'c u.' �,r .�......... Address - .......... ...... .. .....: .c.... .. ,..... :`/y� Size of Main Wires .. ... -...r - ...=....... No. of Light Loops .. No. of Heat Loops . ... . No. of Power Loops ........................_._......... No. of Light Outlets . . . ..... . No. of Heat Outlets . No. of Power Outlets ............. .. ........... NoP of Light Circuits ...- No. of Heat Circuits No. of Power Circuits .. ... .. . .... .. . No. of Sockets .. ... .... ... .. .. .. .... No. of Heat Receptacles No. of Motors No. of Panels ................. ../.... . .. . .. Size of Heat Circuit No. of Power Receptacles No. of Switches .. ..... ...5... .... . 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 .. . .................. ..................... ............... ... ................................... .............. ............... .............. ................. ............................................................................................... ..... ......................... ...................... ......................... ........................................... ...... ......... . .. .. ........ ............................................ .......... ...... ................................. ....................................... .. ._................................ ................................................................. . .... ............... .. ... ........................................................................ ........... ...... .. . . .................................................. . . ......... ..................... .. ...... .. ...... .. Estimated Cost ... .f..:...... ............................ . . 5898 i i PLUMBING APPLICATION Noy 6677 on the _..___.. "of _...........__.-Lot #7 7 Gail Lane S Street No. _ 106 Cwner ..JMJ Construction Plumber South Windsor Plbg. & Htg. Filed in O$ia of 71e Nov. 25 ig 82 nos men=. .......................... No person shall coasaJn f-, add m or ahw ay `~ portion of the dcainw symm of my bwl■B •y� (ezmpt to repair leans) until a Plersoit is ymm ed `F by the Burg Imp nw. Application No. ................. Permit No. . 5.8.9.8................ TO THE BUILDING INSPECTOR ® (o 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. 1-- South Windsor, U90..... ... . ...... 19 Sign here ...................Ir............. . ...... .......... Address ...A/......We.,41Sx.,,1r... ........ .... ................................ ...... Location .... .. side of ... ............... Natureof Buildmi ...................... How many stories . ................ ............................... .................................. Owner ........ ... ........................ Address 7/4-, 7d_A.......... 16xd.................................... Architect ...................... ............... ....... ...................................................... Address ...... .. ................................. . ..... Builder -661 7,.-q--I.......................................... Address ........XO Plumber ...... Address .. 10.0....&A......AZI........ DRAINAGE CESSPOOLS, How many . . .. . ......... .. Where located .. ............ ... .................................................................... Are they water tight Of what materials are they built ........................... . .... ... Size of pipe from house to cesspool . .. ........ Kind of pipe . ........................................................................... MAIN DRAIN IN CELLAR, Material Diameter ........ .....k. ...................................................................................... Above or below cellar bottom ....... ... .. ... . ..............I...................................................................................................... SOIL PIPES, Material tj4i 7.....//".r/-.c.... .... .... Diameter . ...... ......................................................................... WASTE PIPES, Material ..... ..../.O/-f 1. L. Diameter .......I.. .........63./f....................................................... .............. TRAPS,Type proposed to use is .. ... . .......... ....................................................................................................................... RAIN WATER LEADERS, where do they run to .. ................................................................................................................. REFRIGERATOR WASTES, where do they run to . ............................................................................................ ........ ............................... TANK OVERFLOWS, where do they run to ................................................................................................................. FIXTURES WATER CLOSETS, How many .............3....................... Where located . .......... Distance from trap to vertical soil pipe .................. .................... Pattern . .. ....... ........... ............................................................... WASHTRAYS, How many . . . ...... ....................... ............ Where located .................................. ................................................ SINK How many ........ ....... .. ..................../ ............................................ Where located .. .;gA.J .......1-_kc':f�...................................................... BUTLERSSINKS, How many ....................................................... Where located. . ... ........................................................................................... REFRIGERATOR SINKS, How many...................................... Where located . .............................................................................................. LAVATORIES, How many . .........................*J...................**..... Where located ......../....... BATH TUBS, How many .............................................I..................... Where located ...........<2_-i.k�...... ................................................ tMWIALS, How many ......... ........... ............../................................ Where located .........;2.rn...d.........J..Zeoz.................................................. Are water closets and urinals to be local vented - Y`� ... . . If not, is there a window in outer wall of room where same are to be located .......... yf..5............................................................................................................................. Estimated Cost ... ...... ............. 3 N N7VY70 S Heat loss schedule must be complete for all jobs. System guaranteed to heat all rooms to 800 in zero weather. Dwellings exceeding 1260 sq. ft. to be heated shall have two or more zones controlled by separate thermostats. n m Z o v H M = D X 3 M O v 30 M In < r^ o O Z r • -ti �� • w alk : - r 'e [y 'r :.iv�'�r.. � y+y +�_ � S_ �,.Y. k9r-- 'k• e � � �a R - k�' • - i •a+.nH'm'.�n �. ak.4 ba.} ..^�,.. JtEWn ' ✓;' ,l 1 �` 3. =F'1, f "tF�` .+h=*. �Al �1-.w�} �f' �, _- e',*f �46�A ;;d ,v' •." ,�� :.' .z t`. °���� If �"' risk*•4 'r €.. - TM`,+Y .{"'" o"N" '4x%l= t"t, '�,.r, ,». .i 1211, _ �� na:.�"'"'fir' �f�"- r- S '• �' ?:u. *�"� :fi,�.'G''�, Fa APPLICATION FOR HEATING PERMIT (C ntinued it m Reverse Side) 11. LOCATION OF JOB `d /' -," / 7 6A, l L A,n P NO. STREET FL OR AFT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER 1�9 GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 1a. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. &I +fA j h B.T.U. OR SQ. FT. NET Gw•1 J' B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED c2l NEW OR OLD BUILDING &C'W INSULATED — YES OR NO Ye 1 TYPE OF WALL VaVal 6t?/fa,- INSULATION f'&e-r;X& I ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. ff�y B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATE DIFFERENCE y ` P?c;� °FAHRENHEIT MAKE OF RADIATION: ASEBO COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. - �U•1 e rt./! DESCRIPTION OF WORK 15. TO BE DONE: � �a P J L" 1 '"i ��l 18. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WIN AND DOORS DOWS AREA - SQUARE FEET VOLUME B.T.U. B.T.U. g DISTRIBUTION INSTALLED TOTAL TOTAL ul IL NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j REGISTER L W N AND R TEMP. TO F<f TYPE AND SIZE RAD' OR LEADER SIZE < WALL f'Lt0 (INFILT.) DIFF. •F F O N SQ. FT. FREE AREA FTOTALS A. HEAT LOSS FROM BUILDING / B.T.U./HR. B. DOMESTIC HOT WATER DEMAND !feO Gti B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U.IHR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: zt ,`t'4 / ��r/17— NAME ADDRESS SUBCONTRACTORS AND 1e. 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 S16NATU A►►LICAN < . ARGO CALCULATION SHEET OWNER ", 4�n v ADDRESS ° DATE S- dO-,:"O DEALER S� u),PrJ KIND OF BUILDING CHIMNEY SIZE CONSTRUCTION: WALL— y M o f' h• WINDOWS—._!20 S O r rr,S ROOF OR CEILING O f ,J l X, BASEMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF COL.1 2 3 4 5 6 7 8 9 10 11 12 13 14 1 5 16 17 ;ACCESSORIES ROOM SIZE WINDOWS AREA.SO. FT. FLOOR VOLUME TOTALBASE�ARDS AND DOORS CU.FT. TOTALISfE NOTE/ CORRECTED GLASS NET WALL CEILING 0AT 7o F WATER LENGTH ROOM NUMBER GROS$ D J TEMF. TO �F. L W H OK AREA WALL DIFF. T1 MP ENCLOSURE FINSIZE O TUbE MISC. I Q I r}1 O TEMP. DIFF. FT 131 / 00 / 0 I 8 c2900 13D0 3 Yoo SOo 8 :970 (, c2 98 30D0 /soo 600a /0500 ,�Dpo �2 Z ` $ p 1Q�1 ��✓ �� �; so O 1 p 00 1300 < <I I v 4 30 Ioo J �5 3 00 MOD 3�. i � s _ — 00 s a� 11 /?Do 900 eoo o?300 S900 47y0 o o �r s ,� - 1700 500 1500 11600 1 L/D D < o I o 5� 1 oo boo 0 boo 800 l6DO -4� y Y--- o p p s�o��pr 5 ,o g 3 o J 00OD l 3 00 I'll0 o �. 3 6 3 3 3 pr l r, S ;1- a s o Ir �?qQv o �{ o0 11 �00 /3D3o 2y 1 13 S;L o0� o Soo 1700 qo oo NOT C NCRETE FLO R N G1�OUND OR FILL AT GRADE LEVEL,USE LINEAR FEET OF EXPOSED EDGE. TOTALSQ L • OTHER FLOORS USE SQUARE FEET OF AREA. r / low TO THE BUIlDING INSPECTOR of the APPLICATION FOR PLAN EXAMINATION AND CAN- BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. 0 / ZONING I• AT (LOCATION) 1D( GQILn n E DISTRICT LOCATION (NO.) (STREET) OF BETWEEN (CROSS STREET) AND (CROSS STREET) BUILDING LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D �o A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use -1 1 ❑ New building Residential Nonresidential 2 Addition(1/residential, enter number ❑ 12 One family 18❑ Amusement, recreational of new housing units added, if any. 13❑ in Past D, 13) Two or more family - Enter 19❑ Church, other religious number of units- - - --i 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 E] Parking garage 4❑ Repair, replacement or dormitory - Enter number 5❑ Wrecking (If multifamily residential, of units ------- ---i► 22 ❑ Service station, repair garage enter number of units in building in 15❑ Garage 23❑ Hospital, institutional Part D, 13) 6❑ Moving (relocation) 160 Carport , 24❑ Office, bank, professional 17 X] Other - Specify �� 060VE, 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP Arovni_ pool 27❑ Stores, mercantiI 8 ❑ 28 E] Tanks, towers Private(individual, corporation, 29 Other - Specify nonprofit institution,etc.) ❑ p fy 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 f improvement,,,,,,,,,,,,,,• b 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 $ ODU•oo 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❑Mas my(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❑ Reinf reed concrete H. TYPE OF WATER SUPPLY 34❑ Other - Specify 42❑ Public or private company 50. Total land area, sq. ft. ........... 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... 96❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ N 53. Numb r of b dr oms.............. 38❑ C al 39❑ Oth r- Specify Will there be an elevat r? P 54. Number 46❑ Yes 47❑ No bathr ms partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To b completed by all applicants Nam Mailing address — Number, street, city, and State' ZIP code Tel. No. Owner or 0,r r� 0(oo7q -7,3" Lessee In Gail &Y1 2, lmI Contractor # 50OUF 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application date DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Revi w R uired Check Plan Review Date Plans By y Date Plans B Notes q Fee StartedApproved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained Number By Permit or Approval Check obtained DoteNumber 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 P rmit number 12738 Bui Iding Permit issued June 1 19 82 Bui Iding P rmit Fe $ 6,00 Approved by: p-rYta.p TITLE FRONTVill. ZONING PLAN EXAMINERS NOTES DISTRICT SIDE - . SIDE YARD _IX. 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Value t$. 1,000.00 Permit N0 12738 on the side of Gai 1 Lnp Street Street No. 106 Owner B-arba-r-jam Kn i d Applicant Barbara Ka i da CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Above ground pool i BUILDING PERbffr i i i i N° 12'738 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Jh=s 1 4 t' is to gertif � 'fit Wi 11 ism Delude is hereby granted permission to Install jobays ,.around pee x I at estimated value of on the side of 106 Gall Lana Street on land i owned by Barbara ,Ka j da SaidWork to be as described in Application r,k3038 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. IssuedJune I920 ;Tjuilding 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 persm 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." eL NSPECTION REPORT Permit # Job ting ndation G a ing gam'" ing CIN 6 ig 7 g 8 C.O. irtiQ E. NYYPPA & ASSOCIATES Civil Engineers Glastonbury, Conn. N IF R4Y&, NJP / 2AYMONU KRAW FSV: ,ET AA- e7.At, V'A r ' AQE A - 24t-1 13 S F. 1 r.r jq 0 Otia .•--- l� it /? �a 1�D PROPOSED itW r HOVSE TF= 12-1 .0 W I TL l20 �-yo ° WN a-Z SAIL tte tie :VOTE: Lot Lines from map oil 'mown Clerk l s' Off ice entitled y "'Plot t'3axt. Sec Lion 5 Pleassan; Valley.1j;1nes South Windsor, -Connor Scale 1"= h0I Date • q-2q-So Nap No 220-?$_I:R Revs, by Pe_;no G. A• 20 z0NI' HYYPPa t AS506ates Glastonbun y l Conn. .PREPARED FOR 1 Ftrreby certify that this map and survey were; Prepared if.- accordance with the standards of a Class A-2 survey as defined �1-�-ASA N�' VALLEY --.IQ�� ;,j ki she existing Code of Pra^tire for Standards of Accuracy of 50 UTH � rve and Ma adopted W 1 N DSO Rt C OM N � PS: p by the Connecticut Association �g Lwid Surveyors, ulrro: SCALE ►"x 40' D ATE: 12.- 8-8 t tic 7750 ELECTRICAL APPLICATION Application No. 8861 on the side of Ga i 1 Lane Street Street No. 106 Owner St+nhen P. Ka i da Electrician Homeowner FILED IN OFFICE OF The Building Inspector Aug. 17 1982 i i INSPECTION. ♦n 83),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. r APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. . ...8 8.6.1....... ... Permit No. . .77.50... .... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application tct perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. South Windsor, Conn., �/ �• .�� 19 VSign here (,� ........ ... . Address . ....................... Location Side of .lab ......4.1f., ..e......... .. ........ .............. Nature of Building How many stories ......... ........ ... . ...................................... ................ New or old Building ..... How many families .............................. ........................................... .......... . Kind of Installation . . .. .. Roo How many Stores ................................................................................................ OwnerFAddress . ...... ..............................._...._.............._......_....._...... Architect ....... ....... Address . Builder ....... ...... . Address . ............... . ........................... _.... .... Electrician SY-1p.hleN.... Address �d 8 C ..............4 1�k.cl......................._._... Size of Main Wires ................... ............................. _ No. of Light Loops . ... ........ No. of Heat Loops .. ..... No. of Power Loops .................... No. of Light Outlets . . ........ No. of Heat Outlets . . No. of Power Outlets ................. ............ NoO of Light Circuits ..... No. of Heat Circuits No. of Power Circuits No. of Sockets .. .... No. of Heat Receptacles No. of Motors No. of Panels . ..... ............. .. . .. Size of Heat Circuit No. of Power Receptacles . .. No. of Switches ......... ... ....... . Total Wattage Size of Power Circuit .. Total Horsepower No. of Straight Electric Fixtures ...... .. ...... ....... .. No. of Combination Fixtures ... . .. . No. of Receptacles .................................. ....... . .... ....... .... No. of Cord Drops .. . ............. ....... .. ...... .. ............. .... .... ... Remarks: For other kind of Installation .. . ..................... ................... ........... ... ... ................................. ... .. ...... .. . ........ ..... ........ ...............v�r. . ........ �3 ..v ......... '.,r�. N .......PQa. .... ... ..............p.. � �.........�',.F,T. .. . .. . .... ... ........................................... ................................... ...... ... ........ .. . ............. .. _............................ ....................................................... .. .. . . . ................................................... ....d......... .. ... .. . .......... ........ ....... .................... ............ ... ........ .... .... ..... ........... . .. .. . . . ...... .......... ... Estimated Cost .... . .aoo... ..... Application For 66 41 �5 0 PP r DEPARTMENT DECISION �� Hutting Perini 3 APPLICATION IS HEREBY: DEPARTMEM OF UEMM AND Imo ; N )M APPROVED ❑ DISAPPROVED .� Cd TOWN OF SOUTH WIN_bSOR0 co }r C. ..� o a - a; 00 I DAft IEF INSPECTOR AFFUCATION: RUST BE PRINTED OR TTPED. 8940 WM r_U>lkit 01k to � c tea, I. LOCATION OF JOB o /13� c� p No. LOT NO. OL00 AM M` O s. OWNERcis NM fy 4 • ` O 0 /•�•��., _w 0 3 S. ADDRESS-1,6G r,W s.,41;710-� 4.BNB • .� S. APPUCANT ad Cc cs. ADDRESS wi.+J a ovw. 7.PHONE Q t. LICENSE NO. Q S. EXPIRATION DATE OF LICENSE O w 10. ETNATED COST 4 10 � 4 .�F 4V > C- bo t t. 18 THIS A CONTRACT COO ❑ Tim r13 No z °= •� `= t2. FEE ENCLOSED s 12.©0 t a. TYPE OF BIAL0016c 0 b KAOEItTiAL ❑ CONNERCIAL IN IItRRtAL � 3 14. TYPE OF Jam: ORIGINAL ALTIFNATION IIISTALLATION ❑ AOOITIOM - w .0 APPLICATION FOR HEATING PERMIT (Continued it m Rev roe side) 11. LOCATION OF JOB xe z NO. T' STREET FL OR AFT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR El MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 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 NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL 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. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: _z'_6A< 7,4[L/4 7/10n) a /�;I 7 ZJ�2 IS. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS). ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. F DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL m ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED -J j 4 4 REGISTER L W N AND TEMP. TO TYPE AND SIZE RAD. OR LEADER 312E < WALL f'�to (INFILT.) DIFF. •F m m SQ. FT. FREE AREA TOTALS 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 IS. 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 TO THE BUMDING INSPEMR of the APPLICATION FOR (W SCIUM WIld)sm Cow PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) 106 AJ ,4-1(le— DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE 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 � 1 ❑ New building Residential Nonresidential 2❑ Addition(If residential, enter number 12[XOne family 18❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13❑ Two or more family — Enter 19 E:] Church, other religious number of units— — — — --p. 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 4❑ Repair, replacement or dormitory — Enter number 21 ❑ Parking garage 5❑ Wrecking (If multifamily residential, of units ——————— — —► 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) 17 Other — SpeciJy e l 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,,,,,,,,,,,,,,,, 00 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 $ ©,Cc I 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 50. 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 c nditi ping? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ No 53. Number of b dr oms............ 38❑ C al N 39❑ Oth r— Specify Wi I I then be an elevot r? u 54. Number of 46❑ Yes 47❑ No batter oms IV. IDENTIFICATION — To be completed by all applicants Nam Mailing address — Number, street, czty, and State ZIP code Tel.]No.o � - Owner or C Lessee 2. Contractor 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 Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By Notes q Fee StartedApproved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained Number By Permit or Approval Check ObtDained ate Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit number 13448 Building Permit issued Aug. 30 19 83 Building Permit Fee $ 4.00 Approved by: ITL TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Aug. 30 , 19 83 Fee Paid $. .4.-00 Eat. Value s.a5 0.00 i Permit 0 13448 on the aide of Gail Lane Sava Street No. 106 Owner Stephen Kajda Applicant Stephan Ka j da CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Shed a i BZJIII)IIVC PERMIT I I OFFICE OF N° 13448 I THE BUILDING INSPECTOR Of the Town of South Windsor, Conn. I I'I South Windsor, Conn. Aue• 30 93 i I 94is to to gertflu, That Stephen Ka i dA i is hereby granted permission to Shed 10' x 9' I i at estimated value of $-A v) nn on the side of 106 Gail Lane Street an land I . owned by Stephen P. KA i da Said Wo rk to be as described in Application No13748 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued_ _ Al i.Z—30 03 Building Inspector. i Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said ci% town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." I 03NNVOS Heat loss schedule must be complete for all jobs. System guaranteed to heat all rooms to 800 in zero weather. Dwellings exceeding 1260 sq. ft. to be heated shall have two or more zones controlled by separate thermostats. s � < p v = 0 N M M D X • 3 M Z � v N > M n cn AC .No _ o O e Z �i VIP Pt IN , w � r N r O • e� w �. r N 0 CON �;'a "�Fi� r d ",� W"g�S - - _ .,,,�'� a•ai@ fji�^._.Y. A�^� i - '�*'�, f.a�' ��`; aF'. Y•,=. 'h fit, ''Y .'f.Y. yZ i.�,A"+ - �'r kaiA �. +�y�,� y -#h, r�iY r �Y"y'^` 'n } a"u,•§ ���r.e,,, r) �[- f`}A M,{k� " c ^U Y• -aQ��� ,a,. ^�^, "'�.. .Y^R3�A3 •k__r" ��'}, q� d,'.-"ex� ,$� �y Jt.. '=6'''`t F,'.- _ka'} `i et t_$,Pk�� „�r�e, tld'.�,--x;+�X. +M,!�d, "'A'�.?"`l`��'1/°i'. .,,k .5� � 'i- [•�' tF '�'�.n:�;+��:,=;,"tx to„+� ;",�`''�d�� (� .3v•, x3"..x .>r p,�;`„�9,.', r �N,., 'r; '"�,hi- ,�, ��" ;�„ ,� m,�,'4^d•,p'• .�y�a " �"�� � c{r" ,� -T 9 +�y"s�n x «54�= tY.���F"�•• ,�f �"�,� ';t" w"*,ire- :",�+x.•`+�yr,��,.>-sep" �.,, ,d. ;.��f*�. � •.nx-,v.;' ,�=',a{� r��'�.:".. � °a_�'�'wvr i�^f - �"" �. �, ^ �•� ode.;.�1�r, ^+�� ., �-a" " =ws«, .-E .1.d e a^'b yn•`N'"��,tir APPLICATION FOR HEATING PERMIT (Continued tr m Reverse Side) 11. LOCATION OF JOB L o r NO. X STREET FL OR AFT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER 2 GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO.L,rn/LIE B.T.U. OR SQ. FT. NETS",fU B.T.U. OR SQ. FT. GROSS E00_FIRING RATE FLOORS TO BE HEATED 6�� e� EW�OR OLD BUILDING INSULATED < Y OR NO TYPE OF WALL D?��y INSULATION S ROOF OR CEILING G SULATION .. AVG. SYSTEM WATER TEMP. /rtU B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE a sry °FAHRENHEIT MAKE OF RADIATION- BASEBOARD, COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. � �C731 DESCRIPTION OF WORK 15. TO BE DONE: f 16. HEAT`40SS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM slzE wlNDowa AREA - SQUARE FEET e.T.u. e.T.u. g F DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL �n Room NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED <j IL 4. RAD. REGISTER L W N AND TEMP. TO F I_: TYPE AND SIZE OR LEADER SIZE < WALL f' 10 (INFILT.) DIFF. •F O m a SO' FT' FREE AREA TOTALS 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 FU.E�L- (A B C) FACTOR 17. ELECTRICAL WORK BY: NAM[ 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. C96 �.v X/ A�_./l,/r� DAM It SIGNATURE OF APPLICANT , Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 10 6 GAI L LANE WAC # 2 6121 Dat : S fi�4 y Sprinkler# No. FINAL F RO �Stimat �d �d Cyst � Building 7 9 COMPLETE RED BOXED AREAS Permit Fee Wnee ng Occupancy Fee TYPE OR PR�IT ONLY cy Affidavit SIGN ON REVERSE SM Appr.for CO. Total Fee $ 2 It TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location fob 6 I Lot No. Side of Street Zone Applicant Tel.# SL f-y6 6 o Address 7 q /z4n� 0- ,(4. Zip /0 Lic.#_ >D/I t Owner Address Ste. Architect Address Sq.Ft.New Area: 1st FL 2nd FL 3rd FL Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit: c w k ,�. (��r. Iz lLk� &,rk City Water ❑ Well ❑ Septic System ❑ SevANNhU i Ins. H.O. P. Cert. Area Basement Approved by Dat !g Use Group Construction Type Rws«J 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 t 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. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS