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123 Gail Lane (2)
r TO THE BUHDING INSPECTOR r of the APPLICATION FOR TO OF' PLAN EXAMINATION AND NTH WjI�IDSOR,C0 - BUILDING PERMIT 1�06R7ANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O ZONING V �� D STR CT Q"�C AT (LOCATION) y fL- LOCATION (NO.) (STREET) OF BETWEEN AND (CROSS STREET) BUILDING (CROSS STREET) P Fi¢S�A1l U/�GL Fe C �� SUBDIVISION GM c 5 LOT BLOCK S�ZE /0� X �� 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 � —I 1 © New building Residential Nonresidential 2 ❑ Addition(1/residential, enter number 12 Eja One family 18 ❑ Amusement, recreational of new housing units added, if any, 13❑ Two or more family — Enter 19❑ Church, other religious in Part D, 13) number of units— — — — --lo- 3 ❑ Alteration (See 2 above) 20 Industrial ❑ 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 22 5 ❑ Wrecking (If multifamily residential, of units ——————— — --! Service station, repair garage enter number of units :n building in 15 ❑ Garage 23❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) 17❑ Other — Specify 25❑ Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile 8 [S 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 p0 0 processing plant, machine shop, laundry building at hospital, elementary 10. Cost 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......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ 7Z1J7,U 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 � t' 7-3fl.a 34❑ 50. Total land area, sq. ft. ........... Other — Speci/y 42�Public or private company 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES e0-- F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35® Gas Will there be central air 52. Outdoors....................... 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY J 37❑ Electricity 44 -Yes 45❑ No 53. Numb r of bedrooms.............. / 38❑ Coal 39❑ Other— Specify Will there be an elevator? 54. Number f 46❑ Yes 47�0 N bathr me gGAN-60J1-v NOTES and Data — (For department use) IV. IDENTIFICATION — To b compl t d by all applicants Name Mailing addr ss — Number, street, city, and State ZIP code Tel. No. '. l¢�GLv FS 16 EL.L I N! oN 1�-' Owner or �f Lessee .SD W SQL , c�g�o4S Contractor r/ 3. Architect or Engineer Th own r of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction. Signatur c, plicant Address Application dote 9f= 24, EL L. /VJ to/V RD. So. CU� ���D.Sae ;2/ 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD - For office use Plans R view Required Check Plan Review Date Plans B Date Plans B Notes 9 Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approva I Check Date Obtained Number By Permit or Approval Check ObtDa ned 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 Vll. VALIDATION Building 12158 Permit number Building P rmit issu d May 4 1981 Bui Iding � 462.00 Permit Fee $ Ap rov d iLftl;PAM. .i.. sees ... ... .. sees ............ .. sees.. sees... ......... . seas . . . . M .� iR:e ■■ a :w�■"r.": Soso :•::s.►:aw�r�i� a _�S;a $ • .iNa 3• ■fqr = w�j ul� ■ _ Rr w.o + •■ a » ■i " i M aar.: •�' a. ■■r roar■ a.Eft .aaas\■.■.era . 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U .� Fee Paid 3.00 CLASSIRCAnONe Dte 11 igg c{ a_z, it P^Y BUILDING PERMIT N? 12158 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. May 4 1981 94is is to Certif1j, That j`IJ Ccnstruct.ion Co. is hereby granted permission to Wf--11 ing at estimated value of 7 7 s 000.00 on the side of Lot #88 Gail Lane Street on land owned by JMJ Construction Co. Said Work to be as described in Application N;?4 5 is and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued May 4 -� 1981, IA Building Inspector. Streets and sidewalks, obstructed by ezcavations 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 shaU 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." - INSP TION REPO paAe Permit # '- Job71-1 2 Fqf ation 3 F 'ng , 4 ing ng 7 Lathing 8 C.O. ' lam. f �J Permit No. ,t��` . TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N? 5888 ' Certificate of Occupancy w � S TO ERTfFthat aao , ' BW �' '' in the wn of South Windsor, Connecticut, has rected and completed in accordance 'th the 'lding Code and Zoning Regulations of wn of South Windsor, and is hereby a v f oc c h 01 �I 9 ,' �- Bull ing Inspector i O ner, Builder Fee Paid ✓ Date ;, n i 19 I f REINO E. HYYPPA & ASS(XIAM-9 Civil Engineers Glastonbury, Conn. L✓p` t�E � r► � i ti3.5 Z� titi s _ - � �" 0 , q0 E i 1 0" r r 0d�`�'' O \ac 1 A E N tole _ v 1.� LOtJ�nlc� !,/tO�bTt01.►S �,---�S\t' 4'1.�� _ \o(jo " oPEr�s caPA•LE FovNpLl,j toN �bCATEp AS SHpW nl 5-1t-�� ,COTE: Lot lines from map on file in 'down Clerk's Office entitled, "Plot Pl•ari Section S Pleasant Valley Homes ,-�outh Windsor, Conn." Scale 111- 40' Date �-z•0%-8 d Map No. 220-78-t R. b>j CLei no E, -I.�Yppa Assoc�a�es Glasto^bjrj , Cohn, PRER8R E 0 FO R I htreby certify th-it this map and survey were prepared ill PLEASANT- VAL LF-Y WO M E S accordance with the standards of a Class A-2 survey as defined n the existing Code of Prwtice for Standards of Accuracy of SOUTI-I WtNDSOR, CONN Surveys and Maps, adopted by the Connecticut Association or Ad Surveyors, Inc. SCALE V'=QO' p ATE 4-Z'l-81 q3-�C) Sa 7-IT 0--- p` P R .., � VWiN'7)�-SOR T��"�JT' ,�F � ���H LN',::li`lEERIN DEPARTPJIENT DATE: BIG.: 7451 ELECTRICAL APPLICATION Application No. 8563 on the side of Lot OR Gail Lane Street Street No. _ 123 I Owner -IM,I C:ongtr_ Co. l Electrician Gi 1 1 e S L8Rpchp 1 1 FILED IN OFFICE Or— The Building Inspector JI.Ma 12 19$� INSPECTION. 13 No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. 01 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. z M i APPLICATION FOR PERMIT TO DO ELECTRICAI, WORK, No. . ..... ..8b3........... Permit No. . ... ..7451..... . .. 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. n - South Windsor, Conn., � 9/Sign here �1J g � • J4• � ••••.••...•• Address o2,.. ....................... c� Grp- ' Side of ... ...... . .. ... ........ .............. Location � .. �.... .. ... .. . ... ... ........... ....... .. .... Nature of Building .. . ... . . . .... .. How many stories ............ .......................... . ......................... ................ New or old Building ........ How many families .. .................................................................................... Kind of Installation .... How many Stores . ......................... .................................................................. -. f ...' .... ... .._........ Address �?� 6. r... ............ ... .._ ........ _......_....._...... �O . Owner .......� � . .. ....U...� . ..... Architect -�j.. Address ... ......... .. ........................................................ __..__....._....._._.... Builder ...... . ........ Address _...._....._.... .... /�Q� ✓u1:.. .... ...........G -` Address ................. ... /. Electrician `. ..c.J ... Size of Main Wires .. ............... No. of Light Loops .. . .. No. of Heat Loops . ...,. No. of Power Loops ......................... No. of Light Outlets 1..... . .. .... No. of Heat Outlets . No. of Power Outlets .............. .. .......... Nob 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 .. . ........... ....... ................. .. . ............ .. .... ........................... .... .. .. . ., �....... ....... ............. ............................................ ...................................... ......... ........... ................................ .. _................................................................................................. . .... ........... ... .. .. . .......................................................................................... .... .................................................................. ........... . ............. . . .. ...... ......... .. Estimated Cost . '. .�(/..'.. .0-1)... 5816 PLUMBING APPLICATION pppyQti=M. 6 5 9 5 on the ..................._. aide of _..........Lat..#$.$ Gail ne Street No. ......_..12 3 owner .........JMJ—.LQnstr. Co. Plumber 500 indsor Mg. & Htst. Filed in Office of The Building Impecaor __. June 1 19._$1 ..................................... ............................................_._.__.._. No person" aoosr:uet, add to or ahn my portion of the drainage system of any buiUng (except to repair leans) until a Permit is gmaed i - by the Building Im pector. A.� i Application No..............6.5.9.5............ Permit No. .........5.ai.6............ TO THE BUILDING INSPECTOR 0 3 04 6 of the TOWN OF SOUTH WINDSORs 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. South Windsor, ...........1/270t .. ..................... 19 .&L Sign here . ..... ... ....... ...... .......... 'y............... Address ....../�/....... ......... le..... ..40..... Location . .............Zor.........ao............................................................... side of ................&.11..........4o.-i-f....................................... Street Natureof Building ............. ............................... How many stories .. ................J................................................................. Owner ................ . IL 0t-4 r' ........................................ ........ Address ................elli; -r-4.. ..... ........d A..40................. ........ - - Architect ............................................ .......... .......................................................... Address ................................................................................................................... Builder . ......................................... ......................................................................... Address ................................................................................................................... Plumber S,,Q....... ..../006... I"X, Address ...... . ........ .........? ...*J4 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 ............. ................................................................................. MAINDRAIN IN CELLAR, Material .,C%YrZ..,.ADiameter .................. .................................................................................... Aboveor below cellar bottom . ....... ... .-el.fiue................... . . ......... ......................................................................................................................... SOILPIPES, Material ........... Diameter .. ......... ....., .'".................................................................... WASTE PIPES, Material -19ei.......... ............. Diameter ........... ..................................................................... TRAPS,Type proposed to use is ... ................. ........ ... .. ... .. ..................................................................................................................................... RAINWATER LEADERS, where do they run to ......................................................................................................................................... REFRIGERATORWASTES, where do they run to ....... ...................................................................................................... ............................... TANK OVERFLOWS, where do they run to ........ ...........I......................................................................................................... FIXTURES WATER CLOSETS, How many ....................:3..................... Where located 4?A.e....../i.. .....4A Distance from trap to vertical soil pipe ........................................ Pattern . . . .............. ............................................................... WASHTRAYS, How many .......................................................... Where located . . ............................... .................................................. SINKS, How many .................. ......................... ....................................... Where located F;&..r......FIR g..!............................................... BUTLER'S SINKS, How many ........................................................ Where located. .................................................................................................... REFRIGERATORSINKS, How many....................................... Where located ................................................................................................... LAVATORIES,How many ........................................3...................... Where located ........40-Ir.......A-Z'....... .Fl-e-t%...j.......a.....7-cq-n- 41 BATHTUBS,How many...........................................f......................... Where located .............'244.�......................................................................... 'f4we,- How many .............................................../.............................. Where located ...........a-'ad.......................................................................... Are water closets and urinals to be local vented NO .. .. If not, is there a window in outer wall ofroom where same are to be located ......... . ...................................................................................................................................... Estimated Cost ........................ PERMIT # Application For 6443 5342 DEPARTMENT DECISION Cd W Heating Permit O 3 E APPLICATION IS HEREBY: ° DEPARTMENT OF LICENSES AND INSPECTIONS N QZ APPROVED ❑ DISAPPROVED °' TOWN OF SOUTH WINDSOR it O 00 DAT GCHIEF NSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O C 1. LOCATION OF JOB O O 1 Z 3 Cai 1 Lane cd O NO. STREET w .>~ LOT NO. FLOOR AFT. NO. � O lV 79 -1 0 2. OWNERPO- A 0 0 - � -�1 mow s ° ZG ��L�No N� e�� 3 a. ADDRESS ; oS Cd C S. APPLICANT ,M--,'1 A CIeLd- P St.a IOeSk � az 0 cc .r, 6. ADDRESS /400gn, �Q -1�1GL�a �i ),, 0-4 A Sfljk- C �• 7.PHONE S�' 1 S. LICENSE NO.�v U o w B. EXPIRATION DATE OF LICENSE- IOZIZLl 10. ESTIMATED COST f 11. IS THIS A CONTRACT COST? YES ❑ NO 1 'C 12. FEE ENCLOSED :- Re Y'131 i t 12158 C'n 12. E OF BUILDING: anRESIDENTIAL ID COMMERCIAL c3 14. PE OF JOB:10 El INDUSTRIAL ,--, ALTERATI ORIGINAL INSTALLATI N ❑ ADDITIIONON REPAIR i APPLICATIO FOR HEATIN PE T (Continued it m R v roe Sid 11. LOCATION OF JOB NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS G4 A'Cb�1- IDIENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO.*'A-a,av%f AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO.(rU 130 B.T.U. OR SQ. FT. NET J-30ld B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED Z NEW OR OLD BUILDING W CW INSULATED — YES OR NO )f TYPE OF WALL �� uwkt- INSULATION 9'/9 ROOF OR CEILING K— 21 INSULATION AVG. SYSTEM WATER TEMP. B.T.U./S,% FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE Of d 0 °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 ,]. I n (1 15. TO BE DONE: tr a S 'f"1 �.r�A C1__ Lo ` ! r•.4 1'c 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. I-1,- DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL ` yl ROOM L W N AND W GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT F CORRECTED t REGISTER IL TYPE AND SIZE G OR LEADER SIZE WALLf'�t0 tINFILT.) DIFF. •F m N '�'T' FREE AREA 2(o,o Y?�4Xrz �� 1$ . 7-19 , s2 28o Z tx rz L./L 7 1 z 8 2 efO zO!E 143 L 6 z3 nz�T%r .t�1C "Is r 12 0 7i 1 1$ oq rils too �fX m iL z 30 o /0745 1° /o 1 1 /!o iao o qz? l'10 $jm /2-- )2- S Z- 3,0 1 Volw 3 IZ /Z 8 Z- 3c) O 8 xl -� fd Z- 70 &x 6 g-z g 17- Z g'a G X b SS Z (0o Zt7,t)f1b A. HEAT LOSS FROM BUILDING R,�Z•''I.OoO 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 te. 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. ,s C� �A 0 !��" .ATE` \vV� SIGNA URE OF APPLICANT i PERMIT # Application For 6416 5315 DEPARTMENT DECISION Heating Permit 3 APPLICATION IS HEREBY:o DEPARTMENT OF LICENSES AND INSPECTIONS N APPROVED ❑ DISAPPROVED r o TOWN OF SOUTH WINDSOR 0 5/6/81 P-4 10 DATE HIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W O C )1. LOCATION OF JOB Cdo +.� NO. STREET v Cd 9 gu//If LOT fO. FLOOR APT. NO. tq 79 1� o �)t7c• '� C�11IIf�� ��r''�? ��� � i f A / ' 0 2. OWNER c / 0 6'd be+ 3 j a. ADDRESS r + �P/ '� `� ' v a.PHONE Cd Cn � �i I ,1el/ I S. APPLICANT � ��� ' � a� ad ,C s. ADDRESS as , cc � ) o J~ 7.PHONE B. LICENSE NO.- 0 B. EXPIRATION DATE OF LICENSE c� p 10. ESTIMATED COST s v �� • W .� . IS THIS A CONTRACT COST? ❑ YES NO . bo 12. FEE ENCLOSED : 4.00 1 s. TYPE OF BUILDING: �( ❑ RESIDENTIAL ❑ COMMERCIAL O .0 Cie 3 14. TYPE OF JOB: ❑ INDUSTRIAL �-+ RIGINAL ❑ ALTERATION INSTALLATION ADDITION REPAIR �J APPLICATION FOR HEATING PERMIT (Continued it m Reverse Side) 11 LOCATION OF JOB ��`�' ��`/�� hc�I NO. STREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER r (1 ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS y IDENTIFY / �' I �'? LOCATION SIZE o/ r SIZE �/— ��.` � � SIZE / 13. OF TANK OF TANK OF FILL 2.1 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: m HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM slzE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. F DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL 4 ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j LL REGISTER L W H AND Q TEMP. TO TYPE AND SIZE RAD. OR LEADER SIZE < WALL t� (INFILT.) DIFF. •F m a SQ. FT. FREE AREA F 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 OFF FUEL (A B C) FACTOR - - - 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND t8. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (O"111R) OR (AGE�I THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. DATE SIGNATURE OF A LICANT Wk"'CONDRIOND STATED BELOW HAS BEEN CORRECTED,CAL.L OR NOTIFY- —7� � TELEPHONE NUMBER r LU YANKEE GAS,Customer Service Center (( {S STREET � TOWN ` FLOOR Tw- I 3 Ln. 5au W1n = W CUSTOMER NAME,T COST SIGNATURE n I 0 !-APPLIANCE APPLIANCE LOCATION z Fvr r,►.cle, G DUE TO A HAZARDOUS CONDITION,THIS APPLIANCE OR SECTION OF GAS LINE HAS BEEN SHUTOFF. J DO NOT USE IT UNTIL THE CONDITION(S) NOTED BELOW HAVE BEEN CORRECTED. m Q TAGGED-TI AND DATE REINSPECTED-TIME AND DATE per `" lq—i)_D I ❑OK ❑RETAGGED r CONDITIONS TO BE CORRECTED: Lk e I Lq i` METER/SERVICE PERSON INITIALS IS \j []CONDITION NOT CORRECTED OP551 METERS-SERVICE 1,�EPT. FILE o 69983 fi 3 D A x m N z Y- Bectric# APPLICATION FOR BUILDING PERMIT Plumbing# 123 Gail Lane (s, HVAC # Date: �. 28643 Sprinkler# FINAL PRO Estimated Cost $ �-L Building9�9 v� COMPLETE RED BOXED AREAS Permit Fee $ Engi TYPE OR PRINT ONLY Occupancy Fee $ C� Affidavit 14SIGN ON REVERSE SIDE :� G Appr.for CO. Total Fee $ TO BUILDING DEPARTMEW,TOWN OF SOUTH WMSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location 1--;La G AI L -DIZW F-- Lot No. Side of Street Zone Applicant Tel.# 71 Address o2ko V400C_ Sr. W s 1lk-� CX- Zip®6 1 (O Lic.# ' 15 Owner,!K Ahn jn_Address E b Q0IA-'1 L `�Vf- Architect H/a Address Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit: F OF-r— )C City Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. V Area Basement Garage Approved by Use Group Construction Type Revised 9/01 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in"thisg ransZuse 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