Loading...
HomeMy WebLinkAbout1726 Ellington Road EA9 '`soy ev 3 0-0 7 TO THE BUELDING INSPECTOR f7) of the APPLICATION FOR TOWN OF SOUTH WINDSM COM PLAN EXAMINATION A N D BUILDING PERMIT IMPORTANT - Applicant to complete all items in sdctions: 1, It, /it, IV, and IX. o ZONING I• AT (LOCATION) DISTRICT LOCATION (NO.) RE ) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) a LOT SUBDIVISION LOT BLOCK SIZE II. TYPE AND COST OF BUILDING - All applicants compete Parts A - D �v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T 1 P<New building Residential Nonresidential 2 Addition(1f residential, enter number L1 12❑ One family 16 ❑ An►trsimant, r*cr*orional Of new housing units added, if any, 13❑ Two or more family — Enter 19❑ Church, other religious in Part D, 13) number of units— — — — —► 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 Transient hotel, mote ❑ T h l motel, 21 ❑ Parking garage 4 ❑ Repair, replacement or dormitory — Enter number 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 — Specify 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, mercantile 8 jePrivote (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 existing building is being changed, enter proposed use. in the above cost a. Electrical...................... Ae I J.1-LI,4114',.4 -,A-1 b. Plumbing ...................... c.Heating, air conditioning......... i d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT s 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 6Wood from* 41 ❑ Private (septic tank,etc.) 49. Total square feet floor area, all Floors, based an exterior 32❑ Structural steel dimensions ..................... . T 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Specify 42�Public or private company `-�• Total land area, sq.ft. ........... 43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclos*d ....................... Qt 35❑ Gas Will there be central air 52. Outdoor.3//M.............. (� 36jjj?011 conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 4400'Y*s 45❑ No 53. Number of bedrooms.............. 38❑ Cal 39❑ Other— Specify Will there be an*I vator? 54. Number of Full.......... 46❑ Yes 47kg."N`o bothr ms Partial........ IV. IDENTIFICATION — To b compl ted by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner orL �(7a� Lessee C — Contractor - 3. Architect or 61YC4. S?r — /� Engineerj� The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction. ((�� Signature applicant Address Application date� / J , G J----DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans By Notes y Fee Started Approved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Obtate ained ned Number By Permit or Approval Check ObDat tained 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 WRE'--KN4G OTHER OTHER VII. VALIDATION Building Permit number / Building Permit issued / 19 Building Permit Fee $ i ove by r` TI r TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Oct. 11 198 4 Fee Paid $. 5 0 4 .0 0 Est. Value 8 4.,,0 0 0 Permit NY _ 14127 on the side of Ellington Road Sava Street No. 1726 Owner Richard S. Kelley Applicant Carol S. Kelley CERTIFICATE OF OCCUPANCY ISSUED: Date No. 6901 Fee Paid $ 3 .0 0 CLASSIFICATION Professional Building BUILDfNG PERMIT .N- ' 14127 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Oct. 11 19 84 94ija is to Tertt-fil, That RSK Contractors, Inc. is hereby granted permission to professional Building at estimated value of on the side of 1726 Ellington Road Street on land owned by Richard S. Kelley Said work to be as described in Application No. 14427 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Oct. 1 19 840 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 coats and damages which it shall sustain, or be compelled to reason therefor." Professional Building � 10/11/84' 1726-Ellington Road RSK Contractors, Inc. R jE,4 R 13 j D G., 4t$ Permit # 14127 Electrician Petersen Electric #8598/--*04 Heating Contr. Mellen Energy Cp. # 6051 Plumbing it Mellen Energy Cp. # 6576 Oil Burner # Certificate of Occupancy # 6901 Sewer Permit INSPECT N RlffPORT Permit # Job 1 Footing 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit 7,7' �♦ - Certificate of Occu ncy THIS IS TO C TIFY that the �o A at No. in the Town of South Wirgsor, Connecticut, has been erec ed and comp ted in accordance with theYfr,,o' ccupancy. ing Code and Zoning Regulations of the Town of South W ndsor, and is hereby appra� Building Inspecton 4e ,w ui der Fee Paid `� Date 8598 ELECTRICAL APPLICATION Application No. 10009 on the side of R 1 1 i n cs _o n Road Street Street No. 1796 (rP a r R 1 d cr_ ) Owner RSK Cclntractors Electrician 'a t:e r c e n- FILED IN OFFICE OF The Building Inspector Dec. 5 19 84 INSPECTION. I&No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. Yn 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. Electrical Permit No. ....... ......... Master License No. ..../ SOS&........ TOWN OF SOUTH WINDSOR Building Permit No. /z/­/�.7................. BUILDING DEPARTMENT Date Filed ........................... Date Final Approval ...... ....... .................. APPLICATION FOR ELECTRICAL WORK Electrical Inspector (P A5�5_ 6:4.4./A'C'—;rO/V ........................ JOB OWNER: .. .................'�<.................................................................... JOB LOCATION: Sideof Between ... . .... ..... and ................................................................................. Name of Building Owner Address .-113�24!5 41 76W. ...X .......... If work is for Lessee--Give name Address .............................................................. .. .. ................. Building now occupied as (unless new) No. of family units now .. .. . .......... Building to be occupied as ..... -.. ;Dor, 5 ...... Number of family units to be ..... . ............... Is this work included in a Building Permit? Permit Fee .. .. . ....... ........ . ............................ ......... ........... ... ........... (if no Building Permaj, Permittee /qr,5W,5 eV 124Z,_ Busines Address 464eA!5Z,.Z4t*�Pi54AMephone .....6.... ..... ...... 1V ........ .. ........................................................................................................................... COST OF INSTALLATION: .. .............. TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed Number of convenience outlets to be installed Number of present Appliance Circuits . ... .... . ........ ............. .... Number of switches to be installed Do these include Range E] Water Heater ❑ Number of appliances to be installed (as listed below) Dryer E] Air Conditioner ❑ Oil Burner E] TYPE RATING NO. Dish Washer E] Gas Burner ❑ Range . . . . . . . . Well Pump ❑ Elec. Heaters ❑ Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater Clothes Washer . . . . Clothes Dryer . . . . . Dish Washer . . . . . . Air Conditioning Motor Oil Burner Motor Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan . . . Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . Number of new Lighting Circuits . . . . .............................. Number of new Appliance Circuits . . . ........................... Number of Heating Circuits .............. Number of Motor Circuits Size of present service ........ Size of service to be ..... . ................ ..................................... 657#7 PLUMBING APPLICATION Application p&6 7351 an the side of s- Sa.t f4.. owner munler Filed in Office of Theme Boldiog gn 19A A ................... No person" aosre add 2D CC abW SW portion of the &aimp wsum of my bolft (e=Vt to repair 66) una a Ppmk is gmmd by the Building I=pmw. APPLICATION FOR PLUMBING PERMIT (Continued from R v rse Sid ) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB � �' f�'��L 8� NO. STREET FLOOR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION 13. SIZE OF MAIN DRAIN !Jrl 14. NO. OF TOILETS STYLE C/ 15. NO. OF URINALS_STYLE 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS d SIZE 21. NO. OF STACKS SIZE 3 22. AREA OF ROOF �- 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS(- 25. NO. OF OTHER FIXTURES KIND 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOW 28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? SIGNATURE ADDRESS_.d 7 LICENSE NO. l d �� ESTIMATED COST o� �� (� TELEPHONE d)-r/ OWNER JeW ADDRESS Z2V V Lgulj' � WATER HEATER 31. TYPE � 2 32. MANUFACTURER C_� TANK SAFETY DEVICES 33. CAPACITY �50 37. TEMPERATURE RELIEF VALVE kk_�� 34. TEST PRESSURE 38. MANUFACTURER 35. WORKING PRESSURE I ��/ 39. PRESSURE RELIEF VALVE 1� 36. TYPE 40. MANUFACTURER ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. CD962 DATE SIGNATURE OF APPLICANT PERMIT # Application For 6442 6051 DEPARTMENT DECISION w Heating Permit 0 3L-ii�w APPLICATION IS HEREBY:o DEPARTMENT OF LICENSES AND INSPECTIONS a� N APPROVED El DISAPPROVED TOWN OF SOUTH WINDSOR <D p, 11/20/84 Thomas P. D' Auria 00 DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W O r» � 0 1. LOCATION OF JOB � S 122 Cd C NO. STREET -4-4 v cd W w LOT NO. FLOOR APT. NO. O 0 � N O 2. OWNER ` � 1� Ce O : 0 S. ADDRESS a C �6 CD 0 l ,� CPHONE Ds � S. APPLICANT::21-IZZ& rA� e Sri � 6. ADDRESS 7.PHON w 'c / S. LICENSE NO. U!�Y/ S. EXPIRATION DATE OF LICENSE v 10. ESTIMATED COST f �l F> ,o2 � N ~ 11. IS THIS A CONTRACT COSTY YES ❑ No 12. FEE ENCLOSED s —� Permit 14127 x 0 13. TYPE OF BUILDING: b0 ❑ RESIDENTIAL COMMERCIAL 41 Cd 3 14. TYPE OF JOB: ❑ INDUSTRIAL ORIGINAL ❑ ALTERATION INSTALLATION ADDITION r REPAIR APPLICATION FOR HEATING PERMIT (Continued it m R v no Sid 11. LOCATION OF JOB NO. STREET FL OR AFT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER M ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS A 1 12 C014 C IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK QE FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT IONNET 17F,307) 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 WA ER TEMP. B. U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 4jjJ °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 K. 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWa AREA — SQUARE FEET B.T.U. B.T.U. f D AND DOORS VOLUME TOTAL TOTAL a DISTRIBUTION INSTALLED ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j RAD REGISTER L W N AND E TEMP. TO f: TYPE AND SIZE OR LEADER f SIZE < WALL 'Cto (INFILT.) DIFF. •F C, SQ. FT. FREE AREA °OI TOTALS A. HEAT LOSS FROM BUILDING - if- vo 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 CC)) FACTOR 17. ELECTRICAL WORK BY: (e K&4jwm Cry NAME ADDRESS SUBCONTRACTORS AND / � j /�Q� O174- // 18. THEIR TRADES r ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR 7(ANT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN, DATE ....TURt OF APPLICANT l�3 ,d TO THE BUILDING INSPECTOR of the APPLICATION FOR TOWN OF SOUTH WMIDSSOK C )W PLAN EXAMINATION A N O BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, It, 111, IV, and IX. o I. ZONING AT (LOCATION) DISTRICT LOCATION (NO.) STREE OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) i" LOT �- SUBDIVISION LOT BLOCK SIZE N 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(I/residentiai, enter number 120 Cone family 18 ❑ Amusement, recreational o/new housing units added, i/any, in Part D, 13) 13❑ Two or more family - Enter 19❑ Church, other religious number o/units- - - -- 20❑"Industrial 3 Alteration (See 2 above) ►14 Transient hotel,motel, 4 ❑ Repair, replacement 21 ❑ Parking garage P P or dormitory - Enter number 5❑ Wrecking (1/multi/amily residential, o/units ------- - --� 22 Service station, repair garage enter number o/units in building in 15❑ Garage 23❑ Hospital, institutional Part D, 13) 16❑ Carport 24� -�{fics, bank, professional 6 El Moving (relocation) 17❑ Other - SPeci/y 25❑ Public utility 7❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, merconfile 8,&�Private (individual, corporation, 28❑ Tanks, towers nonprofit institution,etc.) 29❑ Other - Speci/y 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.q., 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 existing building is being changed, enter proposed use. in the ab ve cost - a. Electrical...................... ' b. Plumbing ...................... e.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT III. SELECTED CHARACTERISTICS OF BU DING — 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� od from* 41 ❑ Private (septic tank, etc.) �• Total square feet floor area, all floors, based on exterior �� �. -�- 32❑ Structural steel dimensions ..................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other - Speci/y Public or private company 50. Total land area, sq.it. ........... 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclos*d ....................... 35❑ Gas Will there be central air 52. Outdoors....................... 96❑ Oil conditionin � L. RESIDENTIAL BUILDINGS ONLY 37 Eleetriclty 44 Yes 45❑ Na 53. Numb r of bedrooms.............. 38❑ Cal 39❑ Other- $Peci/y Will there be an (evat>47 '-N r? 54. Number of Full.......... Q 46❑ Y s o bethr ms Partial........ IV. IDENTIFICATION — To b compl t d by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or Lessee 2. Contractor D�G 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signatu a of applicant A4ddrss3 Application dote 4Z2 /3--1?,5' DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans B Notes q Fee Started y Approved Y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number B Permit or Approval Check Date Number B pp Obtained y pp Obtained Y BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS 0;1- BURNER KRECKiriu OTHER OTHER VII. VALIDATION Building Permit number Building Permit issued CAFE4, 19 �� Bui Iding Permit Fee $ prov d by: G 0jC c TI t r TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Feb. 2 0 1985 Fee Paid $. .12 0 .0 0 Eat. Value $.2 A,D 0 0 Permit M 14242 on the aide of Ellington Road Street Street No. 1726 Owner Joseph Rios Applicant RSK Contractors CERTIFICATE OF OCCUPANCY ISSUED: Date No. 6993 Fee Paid ,$ 3 .00 CLASSIFICATION Office can lower 1PT7Q1 BUR DING PERMIT 14242 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. -Feb. 20 19 85 M#io to to Crrfi fo, That btutractors,—Tac. is hereby granted permission to Off ice apace nn lower le va 1 - at estimated value of $-2 0 r.g$p on the side of Street on land owned by .7n uen=h Rion Said work to be as described in Application No. 14-.54 2 and to conform'to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issu094 1985 .,e,4t4uilding 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 cats and damages which it shall sustain, or be compelled to reason therefor." r P rmit No. C,-- TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. i Permit j r Certificate of Occupancy THIS IS TOM IFY that the at No. �� ' in the TcVwn of South Windsor, Connecticut, has been erected and com ted in accordance with the Building Code and Zoning Regulations of th Town of South Windsor, and is hereby approved for,occupancy. " "7 `T'— f uilding nspector j � / Builder Fee Paid Date 1 8646 ELECTRICAL APPLICATION Application No. on the side of 7-.-�--E 11n g t n n R n a rl Stmt (Lower Floor) Street No. 1726 Owner Jos ph Rios Electrician A FILED IN OFFICE OF • The Building Inspector 4 s Jan. 30 1985 INSPECTION. i m No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. a 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. Electrical Permit No. .....................- *Master License No. 5.......... ......... TOWN OF SOUTH WINDSOR Building Permit Ae" o. Date Filed J BUILDING DEPARTMENT' . . ...."5 ....... .................... ........... Date Final Approval ..... ......... .......... ............ APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOBLOCATION: 7 ..... . ............. ............................ JOB OWNER: ........................... Side of Between ........ . . and ............................... "7 Name of Building Owner --VV5v4 ................ Address ......... ..........fit,..... If work is for Lessee—Give name Address ........................... ................................ ................ Building now occupied as (unless new) No. of family units now ... ........... e Building to be occupied as ...... ./r/10 /0 ..' � Ife(-ess,Z' .4-N Number of family units to be ...... ..... .................. 0 .. . ....... ....... Is this work included in a Building Permit? A,/,P Permit Fee .. ................................. ............ ...... ........... (If no Building Permit) Permittee es.- ko n's, Business Address ,<--,, -...........Wd Telephone�. COST OF TNSTALLATION7: , 1— 5 Uo I .............................. .. ................. . ....... ......................................................................................................... TO BE FILLED OUT BY PERMITTEE I TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed Number of convenience outlets to be installed Number of present Appliance Circuits ..... ... ................ ........ ...... Number of switches to be installed . . . Do these include Range ❑ Water Heater ❑ Number of appliances to be installed . . . .. ... (as listed below) Dryer ❑ Air Conditioner ❑ Oil Burner ❑ TYPE RATING NO. Dish Washer ❑ Gas Burner E] P�ange . . . . . . . . . Well Pump ❑ Elec. Heaters ❑ Range Top . . . . . . O,veil . . . . . . . . REMARKS: Wate Heater Clothe Washer . . . . Clothes ryer . . . . . Dish W Disa her . . . . . . V0'A' ir Conditioning Motor Oil Burner Motor . . . . Gas Burner . . . . . . %/. Circulator Motor . . . . Attic or Large Fan . . . Well'Pump . . . . . . Elotric Heat . . . . . Other . . . . . . . . Number of new Lighting Circuits Number of new Appliance Circuits Number of Heating Circuits Number of Motor Circuits Size of present service pC, A Size of service to be .. .. ........ .................. FINAL INSP O S: Building APPLICATION FOR BUILDING PERMIT Plumbing HVAC Date: 6l 9 v Sprinkler 1726 ELLINGTON ROAD El ctric Estimated Cost $ 1c; Zoning 18 3 9 7 Permit Fee$ Affidavit NO. Occupancy Fee $ Eng. Dept. Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ v v J Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location '72-9'-17s'k C .>6 Lot No. Side of Street Zone Applicant RD e) elf Tel. #'''6y Address �7�6 �f��'�if�.. /2 J S• U✓��Jso.� Zip 06 07V Lic.# STREET 7 CITY STATE _� Owner l �f ' ` Address 1.2 5� —�-���K�'� ��( .� LG�,c��'-� - Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages Lavatories No. of Families No. of Stories Construction athrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line Dist. from Side Street Line Purpose of this Permit -5 9 �� �a� City Water ❑ Well ❑ Seqtiq ❑ Sewer ❑ Approved by Date BD1A Hiss I h reby agre to conform to all th requir m nts of the Laws of the Stat of Connecticut and th 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 th proper distance from all street lin s,side yard lines and required distances from all oth r zones and is located in a zone in which this building and its use is allowed. / Signed -S I hereby apply for a Certificate of Occupancy for the work described in this application for permit. Signed —DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: f3ectri.;# APPLICATION FOR BUILDING PERMIT Plumbing# 1726 Ellington Road Date: /� / � �- dl HVAC # 1%, 27594 Sprinkler# FINAL OV Estimated Cost 4a, Wadi COMPLETE RED BOXED AREAS Permit Fee 3 • TYPE OR PRINT ONLY Occupancy Fee $ Affidavit Appr.for C SIGN ON REVERSE SIDE Total Fee TO BIALDM DEPARTMENT,TOWN OF SOUTH WM SOR,CT Mitional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location A O( Lot No. Side of Street Zone ApplicantI. � Tel# Address G. - / Zip 0 In 2 Slic# r3,?3 7 O Owner Address Architect Address Sq.Ft.New Area: 1st Fl. 2nd Fl 3rd Fl Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit: 40.4 City Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cart. ✓Area Basement Garage Approved by Dat Ua6 Use Group Construction Type R@YW 1/97 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 which this building nd its use is allowed. "_D vk Signed 1 hereby apply for a Certificate of Occupancy for the work described in t application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS i Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- > **-27594-B 4,300 B10 FINAL 02/07/02 JFF A B10 FINAL 02/07/02 JFF A CLOSED OUT.