HomeMy WebLinkAbout1169 Ellington Road 8192 7892
Application No. Permit N .
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (one (make alteration to) a building according
to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through
word "erect" or words "make alteration to" as the case may require.)
All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu-
tion of this work whether specified herein or not.
South Windsor, Conn., 9 gg
Sign hem ...............
Address 1 .AoreeYX&z. ....... ..........11.�. .
Locaten. . .... .................................................. .......side Of? .........................
"7_Rd / Nearest cross str . 7`" r k.............Street No. . .4.3.................. Lot N . .......... . ......
� � r
Owner of land is? ) E. D..��Qla. l Ad p� lam.. ,
�.� �P.., „rr!l.... dress �/ . . , .�.
Owner of building is? ..�' . .....Address ......... .........M.............................. . .. ..... .. k,r.. .....
6 Builder is? f. -� t.... i .L. A. .!! At.........Address � . c�J.... i
Dimensions of building? . . . ...........Feet front? .... ...... . Feet rear? ..... ...... ........... Feet dap? ... . . ... .
1 Extreme height to highest point of roof? ...........,Z/....... ... No. of stories in height?
Purpose of building is? ...... F� ~"
.r,,,.�.�..............................No. of stores. ..... ................ ...................................... ........... .............
How many families? ............................................------• __.
�� ..... __.No. of rooms? .... .. ........ ...... ..... . .......................... . ......... ... ........
A
Distance from street line is? ........ ...... C7..........................from building line is? ....... ..... ^
ADDITIONS AND ALTERATIONS
(Give Brief Description)
... ............ .............� ....... .......... ... ......
... .. ......................... ._... ........... ... ....f ..�.. ........... ....... ..... .... ..t'.....t.....✓4�,(?�..
4.... ....�'Q2............ .
................ . ............ . ....... .....................
MapNo. . ........... ........
If of steel frame, what is exterior construction?
What kind of columns used? .. .. . .. . Size of columns used?
What length of columns used? How protected?
What kind of beams or girders? Size of beams or girders?
Longest span of beams or girders? These rest on?
Roof construction is? . .. .. .......... .. ..Roof covering is?
The floors are of construction and are calculated to carry a safe load of
1b,s.per square foot.
(See Section 14, Building By-Laws.)
BRICK CONSTRUCTION.
Of what material will walls be constructed? ......
Composition of mortar? ......... .... ... .........I......... ... ....... .. . .... ... .. ..........
Height and Thickness of Walls
Heltht Stories Front Walls Side Walls Rear Walls Partition Walls
Basement,
...__....... ........1st........Story........ ... .........._.........._...._..........__..I. ........_............. ...... ....... _........ .
... .......... . .......... ....................... ........ .. ......... ............ .............................i. ............
.nd .. ... _.. . ............ ...
3rd "
4th do
__....... .............._ .. .. . .. ........................ .......... .......................................................... ..... . . ................ . ..... . ..... .. ...... ....
5th of
6th "
.._................_................. ............ .... .............. ... .. ...... .........._......... ..... .............................. .. .........................................................................
7th "
_........ .... ._........._................ .... ... ............... ... .... ....... ........ .... ............................
8th "
...................... .... ......_...._.. ......................._..... ... ... ... .. . ................. .......................
9th "
loth so
Material.of Front? If stone, what kind?
Thickness of Ashlar? .Thickness of Backing?
Backed up with what? Arches or lintels over openings?
WOOD CONSTRUCTION.
Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns
d01878 G=DZRS OOLUNNS
Floors Slse Longest Span Centres ErU40ng Slse Longest Span Centres Slse I.engW Centm
lst FI or
Via.....,..... .... .......................... ....... .......... __........_..._....._.._ .._..__. _..._.._ _...._._....... .......
............................. _.._............ ........_.. _.........._...._.__.. ........_..
.4 ....�� .................... ................................. .... _......._.._.. ........... _.. ....._..._....
Size of outside studs? ........................................ Distance on centres? ................................................ Size of sill? ..............................................
Size of rafters? .................................... . Distance on centres?................................................ Size of plate? .....................................................
Size of ledgers or girls. ................................ .............................................Size of deck rafters. .................................................................... ...............
Distance on centres? .......................................................................................Size of studs in bearing partitions? .................................._.............
MISCELLANEOUS
Style of roof, flat,.pitch, Mansard,or hipped? ..... . .............. ........... Fireplaces?
.............................. ........................................................
Material of roof ...........Material of Cornice? ....................covering? ...................................................... . ...................................................................
Howis building heated? .........................................................................Lining of flues? ... ..............................................................................................
Thickness of shell of flues? .............. ........................................................Any elevators or lifts? .......................................................... ......................
Wha
............................ . Any hoistway:.
t kind? .................... How many? ........... .. . ........................ ry .........................................................
How protected? ................. ................................................. ......... Value of Building ..... .�. ......... Q.. ..............
When will work be commenced? ........ dooe
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this
application, conforms to the zoning regulations of the Town of South Windsor.
Town of South Windsor since 1949.
t
Applicant
7892
BUILDING APPLICATION
ApplicationNo. ... ...8192...............................................
on the .........south....... side of
... .. ....
Ellington Rd.
. .. ....... Street.
Street No, 1169
Owner ..Ri chard. Gri. gori an
. . . ... . ..
Applicant S ame
CLASSIFICATION
Renovation to building at
#1169...Ellington Rd. Appeal #902
Permit issued on above Application.
11-9-72
Date, 19 .
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Nov. 99 1972
Fee Paid $ 120.00 Est. Value $. .2 9.0 000
Permit N 0 7892
on the South side of
Ellington Rd. Street
Street No.
1169
Owner
Richard Gri8 orian
Applicant Same
i CERTIFICATE OF OCCUPANCY ISSUED:
i
Date
No. 4306
Fee Paid 3.00
CLASSIFICATION
Renovation to building at
1169 Ellington Rd. Appeal #902
BUILDING PERMIT
N° 7992
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Nov. 9 1972
X4'to 'to to Ter#tf1j, That Richard Grigorian
is hereby granted permission to Renovation to building at #1169
Ellington Rd. Appeal #902
-at estimated value of
200000
on the south side of Ellington Rd. #1169 Street on land
owned by Richard Gri g on an
Said work to be as described in Application
No. 8192 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issue Nov .9 1 2
i.X. r .�
ildi 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."
A�
INSPECTION REPORT
Permit # Job
• �-
1 Footing
2 Foundation
3 Framing /2-13-7 4- 7.3
4 Wiring3-9-T3 -/y-73 y�3-� y�,,3 /2-f
ffi
5 Plumbing 03-e 1-73
6 Heating O/Z6-73
7 Lathing 11 3o-73
s C.0. -- 3
os241
Permit No. � TOWN OF SOUTH WIN" SOR
SOUTH WINDSOR,'t,vlv.L.:
Permit N� 4306
Certificate of Occupancy ,
THI5 JS TO CERTIFY that e
i
at No. - in the Town of South Windsor, nnecticut, has
been ervectlrd and complq0A in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved for occupancy.
O
Bulicimf Inspector
Owner, Build ,
41-0
` 000,
Fee Pa' �� Date 7-o
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I HEREBY CERTIFY THIS MAP TO Fop-
BE AM._SUBSTANTIALLY CORRECT A �lC���� �2 f G-����N �
IN ACCORDANCE WITH CLASS ID „
CODE OF CONN. TECHNICAL COUNCIL INC. 4
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5129
P'
ELECTRICAL APPLICATION
Application No., 5440
on the side of
Ellington Rd. Street
Street No. 1169
Owner Richard Grigorian
Electrician Harold Libin
FILED IN OFFICE OF
The Building Inspector
11-17-72 19
INSPF=10N.
ra 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 Are
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM.
5440
f,e - / No. ................... .................
Permit No. .............5.129.......... .
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.
SouthWindsor, Conn., ......... .. !/.. ..... .... .5.... ....112 19....... Sign here ...................................................... ..............................................................
Address ................ .............................................................................................
_....
Location �.1... ....,cl..........r.... .. -..�N �.... .d.,1000Y...../dAide of ................................................................................................................................
Nature of Building ......v...!.... C....z`.................................. How many stories .2....... .................................................) .................
New or old Building VHow many families
Kind of Installation ...fa..lyl....a.. .................................... . . How many Stores ........................................._......................_......................_...........
Owner /..c'.l�.. .... .
�a.,,r./_ .. Address ....CA-..a..>I-
... -�i'............_..., G1._......-..5 .. �� CAC-1
Architect ........................................... .................... ..... ... ................................... . Address .........................................................................._................
_...._....._....._.......
Builder ........../.�............ ....................................... ..................................................... Address ......... .............................................................................. .__......._.....
Electrician !.. .. .. ...... .b..,r.. ................................... Address ��.`1..` ..... l?.d.. ..,J..I..- .. .... -'�v l`_'�.. 31 ✓
Size of Main Wires ...�(/Ip......................................-
No. of Light Loops ... ....... No. of Heat Loops ... . ... No. of Power Loops
No. of Light Outlets j.P........ . . No. of Heat Outlets .. No. o! Power Outlets
............. ...... .... .... .. . ... .....................................
NoO of Light Circuits/ ....... .......... ..... No. of Heat Circuits ..... . .. .... . ......... No. of Power Circuits .....2.................
No. of Sockets ................ ....... ... ............... .... No. of Heat Receptacles ..... ... . ..... . No. of Motors ...............�.............................
N . 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 .... ..0. .. ............................... No. of Combination Fixtures .............. .............................. .. ..........
No. o! Receptacles .......,�..a.................................................... . ........... No. of Cord Drops .......................................................................J......................
Remarks: For other kind of Installation ...... P...GcJ..�..� P S. �c ' , /
.............. ..................
1 .F.. ..tP..a-... ? .... .... ,...�(............-Se...,�..v 1.. .f.................... ........L.r.�.�4...�t........ !.......................................................
....
.......................................................................................................... .............................. ..........................................................................................................................................................................
............................................................................................... .......................................................................................................................................... ......................................................................
114�
EstimatedCos /d�'..........................................................
4310
R
PLUMBING APPLICAT10N
Application Na 4099
on the w...__... Cl ade of
_................ Stet
street No. ..._ ...z1 r,f
Owner .... �u
Plumber y
Filed in, 0of
The
2—28—?3 —19—
M Aft
no
No petsoa:hall commuct, add to or altar my
portion of the drainage system of my bwl&og
(inept to repair leafs) until a Rev- & is gtaotad
by the Building Lopeaw.
4099 4310
ApplicationNo........................................... Permit No. ......................................
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 not. )
South Windsor, ...42..... ................... 197J.... Sign re ..... ......................................................
.
Address ... N.... .........q
% .' zz
. ...J.......... ... ... . .. e.1 .......................
Location k..j. ........
,.—;... ..A,`.............. side of ................... ....................................................... Street
Nature of Building ........................................ How many stories .. ....... ........................................................................
Owner ....6C... .9........... .. ............................................ ....... Address ..... .........ZI!:-4. ..............................
. - `�
Architect .................................... .......... ................................... .................... Address .....................................................................................................................
Budder
.... . .................... ............;;................................ Address ...................... ........................................ ...................................................
Plumber
. ... .. ...... r................................... Address ... ..................................
DRAINAGE
CESSPOOLS, How many ... ......... ........ ................. Where located ..................................................................................................
Are they water tight ........................... ................................ ...... Of what materials are they built ..............................................
.4
Size of pipe from house to cesspool . ....... Kind of pipe ....a......................................................................................
MAIN DRAIN IN CELLAR, Material .... Diameter .........Above or below cellar bottom ................ . .. .....
SOIL PIPES, Material Z.r4-a-4L
......... Diameter ...";.......................................................................................................
WASTEPIPES, Material (/1' .............. . .. ............ Diameter .............................................................................................. ..............
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 ..... ............. .. ........ Where located ....................................................................
Distance from trap to vertical soil pipe ........................................ Pattern . ....... ......... ..................................................................
WASH TRAYS, How many .. ........./...................................... Where located
.. . ............. ..............................................
SINKS, How many ..................... ................................................................ Where located . . .. .. ...............................................................................
BUTLER'S SINKS, How many ...................................................... Where located. .. ... . .......................................................................................
REFRIGERATOR SINKS, How many.. ................................... Where located ..................................................................................................
LAVATORIES, How many .............__'2............................................ Where located ..........................................................................
BATHTUBS, How many....................................................................... Where located .....................................................................................................
URINALS, How many ........................ ................................................ Where located ....................................................................................................
'7 . - Y'0 ,
Are water closets and urinals to be local vented !2 If not, is there a window in outer wall
'"24) ...... ..................................................................................................................................
of room where same are to be located .......
Estimated Cost . .....*0.. ..... .... ........
f'
PERMIT #
Application For
x � DEPARTMENT DECISION $� ' Permit Ohs
4292 '
3 O APPLICATION IS HEREBY:
DEPARTMENT OF LICENSES AND INSPECTIOVB
N 4j �^ ti
APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR
ca
00 (D DATE CHIEF I;PNCV06J APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER HE BEL W
O �
r» �
.9 1. LOCATION OF JOB
$ 0
NO. BTREEY
<G
v
y LOT NO. FLOOR APT. N .
0
N
++ O 2. OWNER
O
O S. ADDRESS
4.PHONE
a4 cc
s. APPLICA
ao a~dV/-/ -kz,��r/", zo
o a. ADD
pS.bt T.PHONE(� Y Y IJ 2
s. LICENSE NO. �`- 7
jg r: B. EXPIRATION DATE OF LICENSE U/�
w
D
1o. ESTIMATED COST s �a
11. 18 THIS A CONTRACT COST ❑ YES NO
be
12. FEE ENCLOSED s P e rml t
'p
X 1 S. ILDING:
a�
U C MMERCIAL
ba
O .- ❑
+' 14. TYPE OF JOB: INDUSTRIAL
r�40i RIGINAL �'�iA IERATION
❑ INSTALLATION L_7 ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued from R v no Sid
11. LOCATION OF JOB
NO. STREET FLOOR APT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ 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. 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. SO.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. S.T.U. 1..D
AND DOORS VOLUME TOTAL TOTAL H< DISTRIBUTION INSTALLED
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED j L tL RAD. REGISTER
L W N AND S TEMP. TO f TYPE AND SIZE R LEADER
SIZE < WALL to (INFILT.) DIFF. •F O» SO. FT. FREE AREA
L
i ov as
TOTALS
D
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
Ia. 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.
D E SIGNATURE OF APPLICANT
PERMIT #
Application For
d DEPARTMENT DECISION •
o Heatuig Permit ,
c APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
I
❑ APPROVED ❑ DISAPPROVED
TOWN OF SOUTH WINDSOR
�
O cd
00 DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL w
O
"8 1. LOCATION OF JOB
I� p
C~ 4-31
Od O NO. STREET
+'cd v
.� LOT NO. FLOOR APT. NO.
O
N
it
O
y� is a. OWNER
ad fir
O S. ADDRESS
4.PHONE
ac �
Go S. APPLICANT
� aid
.0 s. ADDRESS
a
o 7.PHONE
w
A S. LICENSE NO.
4" ,S
a
o w s. EXPIRATION DATE OF LICENSE
v
10. ESTIMATED COST s
ago
11. IS THIS A CONTRACT COST? ❑ YES ❑ No
b0
IV
A
1 s. FEE ENCLOSED s
p v
PC
13. TYPE OF BUILDING:
d1 ❑ RESIDENTIAL ❑ COMMERCIAL
O A
d 14. TYPE F JOB: ❑ INDUSTRIAL
as 3
x ❑ MIGINAL INSTALLATION ❑ ADDITION ALTERATION
REPAIR
a
APPLICATION FOR HEATING PERMIT (Continued it m Reverse Side)
11. LOCATION OF JOB
NO. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
SIZE LOATIO/l)o U OFCTANKN OF FILL � OF VENT
SIZE SIZE
13. OF TANK
14. B.T.U. EQUIP. AT REGISTER URNACE MAKE AN NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND 0. 4� B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS- FIRING RATE /• -J
FLOORS TO BE HE TEQ NEW OR OLD BUILDING � INSULATED — YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM ATER TE P -U -J--U-T> B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE —/d T 7v °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD, COPPER CONV CTORS, R C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. f B U/ T U
DESCRIPTION OF WORK
15. TO B DONE: GE' -
m HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOW, AREA - SQUARE FEET S.T.U. S.T.U. 9 i o DISTRIBUTION INSTALLED
AND DOOR, VOLUME
TOTAL TOTAL 16
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL REGISTER
L W N AND K TEMP. TO FF; TYPE AND SIZE RAD. OR LEADER
SIZE < WALL F'LtG (INFILT.) DIFF. •F O IO to SO.
FT. FREE AREA
�5% D
4, C) ?ob /you as G a o
8 ,
14 /
C?
oz 4fqov s036
,1 a a�
a Y/9- /� 2 1� &6 S� ';ps y -0v je760 PoG/
!9 /SG /
/.1 00 oa )8a� io
�.� e / s
Iq /3 y 3 7,X boa cv az� 0 11IF24 ad
o3a as �aa -
�l / 79 O Gca oa a�c p 112 /3 >0 y
'7V 9yr 1300 a G
ao
v
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 9 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 77�/73
CODE.
APPLICATION TO BE COMPLETELY FILLED IN. C1,4,4 / //
DA SIGNATURE OF APPLICANT
PERMIT #
Application For 4060
DEPARTMENT DECISION 4282 Heating Permit
3 O APPLICATION IS HEREBY:
DEPARTMENT OF LICENSES AND INSPECTIONS
N +' APPROVED ❑ DISAPPROVED '' -
TOWN OF SOUTH WINDSOR
Cd 3_9__73 !'
00 DATE CHIEF INSPECT ,� APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN wITN NUMBER ONE BEL w
A
.� 1. LOCATION of Joe
NO. STREET
v
LOT NO. FLOOR APT. NO.
O
[J
�
Z. OWNER cln'�`�
0 11 b 5 III CA 5d(9 , \Cy
a o s. ADDRESS -
b4 3
4.PHONE
�j S. APPUCANTT�a A � _I �1 c,
� 1
a6 ad
o a. ADDRESS v , J I~�'/S Avc
-
6) !-, n 7.PHONE
G. LICENSE NO. ��C -�' Q
4
w s. EXPIRATION DATE OF LICENSE n! 11 1 3
°pp to. ESTIMATED COST s L'
44 O
11. IS THIS A CONTRACT COSTS De YES Or"
E �
12. FEE ENCLOSED s
Permit #7892
PC X
bl CD is. TYPE OF BUILDING;
00 ❑ KSIDENTIAL COMMERCIAL
.-44 y ❑14. TYPE F JOB: INDUSTRIAL
cc
4) ri amfinAL ALTERATION
x+ NSTALLATION ❑ ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued tr m Reverse Side)
6,
11. LOCATION OF JOB j/ (.'1 K I I , %I !, n
NO. STR ET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC VENTILATION ❑ SPRINKLER
❑ 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. 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. SO.
FT. OR B.T.U.
DESCRIPTION OF WORK rE' `J^ -i-C •� I �w0 i 1` n
I TO BE DONE: J `t u +-\ �"� 'f i, �' I o �� a\Y' �2;i<� � IcI ,1�14
s
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOW/ AREA - SQUARE FEET e.T.U. 9.T.U. F D
AND 000Rs VOLUME < DISTRIBUTION INSTALLED
TOTAL TOTAL FF
ROOM NO. pgpgg GLASS NET WALL CEILING FLOOR CU.FT. A CORRECTED 4 RAO.L W N AND Q TO OR LEAD RR
hF
TYPE AND SIZE
SIZE < WALLLL F' ' (INFILT.) TEMP DIFF. •F F m N SQ. FT. FREE AREA
75<
75<
TOTALST7_
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
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. �? �, % )r`��;;� „�„ �•,� j�
DATE SIGNATURE OF APPLICANT
TOWN OF SOUTH WINDSOR
License No. .. Of fice of Permit -s, �i 4060
BUILDING INSPECTOR
PERMIT is hereby granted to 410,�z
of
d
to do Heating Work at���
Property owned by
Special Conditions
Cost of Work under this Permit $62 ��
This permit is granted upon the express condition that every person acting under the
same shall conform to the representations of the application therefor. to the foregoing
terms, and to the ordinances of this to,,vIl and the Statutes of this State. applicable to the
subject matter thereof. It may be revoked at any time for a breach of its conditions.
Dated. Town of South Wi sor A. D. 19,12
Fee Paid, .00
lding Inspector.
TO THE BUHDING INSPECTOR
of am APPLICATION FOR
TO" OF SOUTH WIPWSOR,CONK PLAN EXAMINATION A N O
BUILDING PERMIT
IMPORTANT — Applicant to complete all items i sections: 1, 111 111 IV, and IX. O
ZONING
I• AT (LOCATION) DISTRIC r �
LOCATION IN .) (STREET)
OF BETWEEN AND
BUILDING (CROSS STREET) (CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
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 Im
Im
1 ❑ New building Residential Nonresidential
2 ❑ Addition(If 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 religious
in Past D, 13) number of units— — — — --)P.
20❑ Industrial
3 ❑ Alteration (See 2 above) 14 Transient hotel, motel,
❑ 21 ❑ 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) 16 ❑ Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation)
17❑ Other — Specify 25 E] 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,,•••••,,•.•.•., 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 ting building is being changed, enter proposed use.
in the above cost77 "
a. Electrical......................
&V.I& Z�
b. Plumbing ......................
_eT.0 A06 k— , k-A
c. Heating, air conditioning.........
a
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................
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 `� Total land area, sq. ft. ...........
43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35❑ Gas Will there be central air 52. Outdoors.......................
36❑ Oil conditioning? L. R-ESIDENTIAL BUILDINGS ONLY
37❑ Electricity 44❑ Yes 45 ❑ No 53. Number f bedrooms..............
38 ❑ Coal
39❑ Other— Specify Will there be an elevator? 54. Number of Full..........
46❑ Y s 47❑ N bothr ms
partial..... .
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing addr ss — Number, street, city, and State ZIP code Tel. No.
Owner or
ZgW
Lessee
2. Ir
Contractor
3.
Architect or
Engineer
Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signat of op an Address Application date
2
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R vi w Required Check Plan Review Date Plans B Date Plans B Notes
q Fee Started y Approved y
BUILDING $
PLUMBING
MECHANICAL $
ELECTRICAL
OTHER 1 1$
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit r Approval Check obtained Date Number By Permit or Approval Check Obta ned Date 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 8121
Permit number
Building
Permit issued 7-3-73 19
Building
Permit Fe $ 10.00
Approved by:
TIT E
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
. gg�°> ' ... ,. .„ , - �.r .. P � ,..-,-E. .- °.,p x- .a t � 1 a a-•gffiqv+ � + _ . i a_.,� ,, _ >
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Iq!
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a>}m s-a ^F #rY- ;vim 3 a1 s fEEv e '{' {¢ $- �d
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i®kY #3 wi <�-��b «r � �+ii�--"$ ''�'-b Y od�8#k ..�e}..s }w brr --�`cy
d g 11 rc {{ � $ b s¢• rp 46$ 4`.S
q,:a.�..�
T p 4 6 +a�
« d}¢¢ .f}}f ti ¢ -t p >-t i+# ,_q -}} }j .qt a }'
+T �i4'by t a $ .{+ _' �a j«# .#-#� 1 + -}� �r4 4Ft t<d 4�sY;1 .. � rri -1--Y ,,,..
ti • �> 4 •Y•- ^f'1a #,t• 44 -T-*j- ��'§� � y�-y� g s� Ia;g ' �
Ey yy.. jTT]]
� �•� t �t � � �-i-� �� ?� -M �-.g� i+ a n <�i'� e{.y.,� dic;@+ir�� ��bf�^�- 1}�t YEa� 3- . .F#e -a.IR ��q.a� $5� +-- �^k'�-t
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date July 3, , 19 73
Fee Paid 10.00 Est. Value �$ Fee Schedule
Permit No 8121
on the east side of
Ellington Road Street
Street No. 1169
Owner Richard Grigorian
Applicant Same
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Sign to be placed at #1169
Ellington Road.
BUILDING PERMIT
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. July 3, 1973
94is 'to to Trrttf1j, That Richard Grigorian
is hereby granted permission to Sign to be placed a t 116 9 Ellington Road
at estimated value of $
on the east side of Ellington Road #116 9 Street on land
owned by Richard Grigorian
Said Work to be as described in Application
No. 8421 and to conform. to specifications and plans filed with said Application, and Building By.
Laws of THE TOWN OF SOUTH WINDSOR.
Issu July 3, 19 73
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 compeller: to reason therefor."
1 '
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I HEREBY CERTIFY THIS MAP TO
i
BE SUBSTANTIALLY CORRECT AMID �IC,��f.� �21 CT�����
IN ACCORDANCE WITH CLASS D �, `•
CODE OF CONN. TECHNICAL COUNCIL INC.
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PERMIT #
Application For 6385 5284
DEPARTMENT DECISION
Cd � Heating Permit
y O
3 APPLICATION IS HEREBY:o DEPARTMENT OF LICENSES AND INSPECTIONS
a�
N +- 91 APPROVED ❑ DISAPPROVED
.� Cd TOWN OF SOUTH WINDSOR
0 S-. -
o Cd1199181
00 WE Q IEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ME BEL W
O
O w
1. LOCATION OF JOB
OL�
1., ~
O
Cd or.� NO. STREET
Cd
O L7
LOT NO. FLOOR APT. NO.
O 0
-4-D [V
79 w
O
A E 2. OWNER-
Cd
r~
Cd O i
: 0 S. ADDRESS C
4.PHONE
Cd
S. APPLICANT
0 no
,v 6. ADDRESS f
elo,� 7.PHONE ���f3
6. LICENSE NO. -;?6a 34 7
Q
c w 9. EXPIRATION DATE OF LICENSE
10. ESTIMATED COST S lJ
~
00 11. IS THIS A CONTRACT COST? ❑ YES ��NO
as �
12. FEE ENCLOSED S 6.00
k
O t S. TYPEOF ti1LDING:
W
C b r—i ENTIAL lYs COMMERCIAL
cis 3 14. TYPE OF JOB: ❑ INDUSTRIAL
�-+ ❑ ORIGINAL �tTI:RATION
INSTALLATION Z ADDITION
REPAIR
C ntinued it m Reverse Side
APPLICATION FOR HEATING PERMIT (C )
11. LOCATION OF JOB &Xat/_wG
N0. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER
D 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. 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:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
WINDOWS B.T.U. S.T.U. Q F D
ROOM SIZE AREA - SQUARE FEET O I- DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL 24
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j 4 LL REGISTER
L W H AND E TEMP. TO F TYPE AND SIZE RAD. OR LEADER
SIZE < WALL f'Lt0 (INFILT.) DIFF. •F O O N 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: 4 L(-
NAM[ 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.
DATE SIGNATURE OF APPLICANT
-
DEPARTMENT DECISION
APPLICATION FOR HVAC PERMIT
Application is herebyTOWN of SOUTH V nMsm
BUH DING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
644-2511 ext.230 ��
Date
Building Inspector ' 4r
Application must be printed or 14
Location af . .^ >:
_a .+tit
Street No. � � �'
FEE SCHEDULE ,
Floor o.
Over $1,000 x
$12.00 per$1'000 - ; -
or any fraction thereof
OWNER C`
ADDRESS C�
1 "N- k ;*_
OWNERS PHONE# �— `�-- '-l._ = 4,
APPLICANT
cC 6. �."�.:.
0001 O* N S ADDRESS
S G77
ESTIlAATED COST $ 2 U U c�
' '• Ems' ' ,
r IS THIS A CONTRACT COST?
NOOtt
FEE ENCLOSED $ 2
0 CO TYPE OF JOB:
Origi�tlInstallation _
Alteration/Addition/Repair x _,.
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM TYPE OF BUILDING
HEATING � RESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC ✓' WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE INSIDE-)INSIDE ) L�_F DIFFERENCEl1 `_F
TOTAL HEAT LOSS(BTUH)
(HAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
TYPE OF FUEL
OIL-GPM GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY
AIR CONDITIONING
DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F
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 WORKRe-Z1 c lm1C��) �G �,
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.
�c)7� 2� S S._ 3 `�.�,� ��-
STATE LICENSE-NO.NAME&TYPE SIGNATURE OF APPLICANT
PHONE NO. U\-A` - 2 S '�)g DATE CAc j
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1169 ELL INGTON ROAD
HVAC # 23746
Date:
Sprinkler# NO'
FINAL APPROVAL Estimated Cost $ D O
Building COMPLETE RED BOXED AREAS Permit Fee $ �U
Engineer i TYPE OR PRINT ONLY Occupancy Fee $
Affidavi SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $ /o
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location 114 Lot No. Side of Street Zone
Applicant .� Tel.# ro 4lVca J-:5-P
Address _ W Zip Lic. # 3063,?-96 9 S /
Owner iP. Address
s
Architect Address
Sq. Ft.New Area: Ist FI. 2nd FI. 3rd FI. Total New Area
#Rooms # Lavatories #Bathrooms #Garages
Purpose of this permit:
1
C City Wa r C Well 0 Septic System ❑ Sewer
CL4 AZIts Group Construction Typ Area / Basem nt Garage
Approved by Date /v /1 (-V
Revised 6/95
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 a zone in which this building and its use is allowed.
Signed - -
I hereby apply for a Certificate of Occupanc _?rthe work described in this application for the permit
Signed
-- DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1169 ELLINGTON ROAD
HVAC # 23980 Date: /
Ah�-7
Sprinkler# �
FINAL P R Estimated Cost $ a I C1
Buildin� �7 0 COMPLETE RED BOXED AREAS Permit Fee $
Enginee ng TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. ETotal Fee $
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
lob Location 116`7 ���� � Lot No. Side of Street Zone
Applicant o?��• EjTel.# �r" y`�V
Address f C Zip Lic. `-i
Own r �lc 1C 61- Syc Address 12 S S
(/,L„'
Architect Address
Sq. Ft.New Area: lst Fl. 2nd Fl. 3rd Fl. Total New Area
#Rooms # Lavatories #Bathrooms #Garages
Purpos of this permit: I"1` ��`a�''��� '�� r� /4
10
n mod,h (.1,4 tgo
LI-40 J1 City Water C Well 0 Septic System ❑ Sewer
Use Group Construction Typ r'' Area / Basement Garage
Approved by c.1 Date
Revised 6/95
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 pl s or specifications of the Building for which this
permit is asked,and agree that this budding is to be located the proper nce from all street lines,side yard lines and required
distances from all other zones and is located in a zone in which mg 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
ectric#
APPLICATION FOR BUILDING PERMIT
Plumbing# 1169 ELL INGT_ON ROAD
HVAC # Dat
���# No. 2437
i ' �
FW APPRO Estimated t
AL e�
Building 7744SIGNON
MPLETE RED BOXED AREAS Permit Fee S f
Enpneering TYPE OR PRWT ONLY Occupancy Fee $
Affidavit REVERSE SIDE
Appr.for CO. Total Fee $ 1
TO BULDNG DEPARTMENT,TOWN OF SOUTH W 4)SOR,CT (Add'tional Cosh
The undersigned hereby applies to do work accor&v to the following specifications:
7
Job Locatio L a tQ 11� Lot No. Side of Street Zone
Applicant Tel# 4-16 0 ---)q
Addr ss20,-W, �- V t 0-A/L. Zip Lic.# of a 7 C
Own r c. LLg&0 C;KjGejKoA� Address 1 6, 1 P1 A ►� -f S'W
Architect Address
Sq.Ft.N w Area: 1st FI. 2nd FL 3rd FL Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: Ape
—7�7c—m-�A U (SAL Of OLL
;rA \)r
City Water ❑ ❑ Septic System ❑ Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
_
Approved by J INL-- Date I/ Use Group Construction Type r---_
Rw's.d 1197
I hereby agree to conform to all the requirements of the Laws ol the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any afterfilon in a plans or specifications of the Building for which this
permit is asked,and agree that this building is to be ted t pro istance from all street lines,side yard lines,and required
distances from all other zones and is located i his ing d' is allowed.
Signe
I hereby apply for a Certificate of Occ y fo work described in this application for the permit.
Signed zl
DON WRITE BELOW THI LINE
INSPECTION COMMENTS