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Home My WebLink About104 Carriage Drive } TO THE BUILDING INSPECTOR of the APPLICATION FOR 'a- TOwIN OF MUM w lmsm�K PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all 'terns in sections: 1, It, III, IV, and IX. O /A ZONING - I• AT (LOCATION) !t% � DISTRI LOCATION (NO,) (STREET) OF BETWEEN AND BUILDING ( ROSS STREET) (CROSS STREET) LOT SUBDIVISI LOT47 BLOCK SIZE N II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use rn T 1 ❑ New building Residential Nonresidential 2 ❑ Addition(1/residential, enter number 12❑ One family 18❑ Amusement, recreational of new housing units added, if any, 13❑ Two or more family - Enter 19❑ Church, other religious in Part D, 13) number of units- - - - -o. 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 Transient hotel, motel, ❑ 21 ❑ Parking garage 4❑ Repair, replacement or dormitory - Enter number 5 E] Wrecking (1f multifamily residential, of units ------- - -- 22 E] Service station, repair garage enter number of units in building in 15❑ Garage 23❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional 6❑ Moving (relocation) 17❑ Other - SpeciJy 25 E] Public utility 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27❑ Stores, merconfile 8 ❑ Private (individual, corporation, 28 0 Tanks, towers nonprofit institution, etc.) 29 0 Other - Specify 9 E] 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...................... b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30❑Masonry(wall bearing) 40 Public or private company 48• Number of stories................ 31 Wood frame 41 Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterioro 32❑ Structural steel dimensions ..................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other - Specify 42® Public or private company `-0 Total land area, sq. ft. ........... �P`7,11 Ju 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors....................... 36 Oil c nditi ning? L. RESIDENTIAL BUILDINGS ONLY 37 El etrieity 44 E] Yes 45 W po 53. Number f bedrooms........ ..... 39❑ Coal 39❑ Other- Specify Will th r be an levator? 54. Number of Full.......... 46❑ Yes 47 D4 N bathrooms / Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To b compl t d by all applicants Nam Mailing 21tess — Number, st et, city, and State ZIP code Tel. N Owner or Lessee 4-rP o 2. Contractor JOIN 3. Architect or Engineer �� o a 1 The owner of this building and the undersigned agree to con orm to all applicable laws of this jurisdiction. Signature of applicant Address Application date 4:�' �iv 2�jz ro�O NOT WRITE BELOd THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Date Plans B Date Plans By Notes q Fee arted y Approved BUILDING -?i • PLUMBING $ MECHANICAL $ ELECTRICAL OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or A rova I Check Date Number By Permit or Approval I Check Date Number By pP Obta ined Obtained BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS AIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building P rmit numb r 10247 Bui Iding Permit issu d MRY 5 19 7_ Bui Iding Permit Fe $ 180.00 Approved by: f TITLE ZONING FRONTDISTRICT SIDE YARD SIDE r REAR r NOTES IX. SITE OR PLOT PLAN For Applicant now 11H. US r I • • • iss • �N • • \ . N ■■. :.ee■s.eem "a::\. 'it• .. .■ a IS •■■ .■ seems so .■ ■ • s ssg'ss sgsag'ss: .ssi . ::=ss:=:::::__::�=:: 3: : 'ss :. s: . : $ s': .. •.■ i• • ��• �■i■i■.r. 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N "Hill : s sss seas: sees ss= s•• ss:aggag::::s:: g•:::s:•lgs::a.gg;s:nin g :!s =a_ � INN ; iff,we"Hi l �_� • gss�s��g �'■re'=g.:1==fg.=slis.a=l.=.seen :i:.Isgr.=;al:r=s•sal�=asi.sls.US s�ssiL".ga :i�ii i� s �'�sa� �!!■■• . .....■.. ■■. ■ •a■ . as as omen .a" ■a■ ■. •a ■. i' Is f =!■ slim■. .a. are=s!a•■•= ••■sgg\f==as.s■■s.■=■■■.rr.s■na■=s■mll=sea.as\a::s .•s : •• :�s= !!•R :\': • ss•ass :gg =r■a:s=.=■_.•: a•egs:• iiag a:::•as:s•aa••:::a:::.a:: .a::s.:a: a iis. ..sa ■I�i i •: inns'ago 'ss ':s:: :ss•s:sgg• .gees!!: s l l: :sCg s s! : sl:: ! s :gss•g:.=a. ..s ...was wasat�g ' � �� :ss..a:a. • • e■ .a.■ • .. • • • rs .•■ ■■ ..r.■a.srs. sa■fa ■aa■ a =Ss::::=_- -11- !lass:=a:l--am1-1111as=::: :::: la:l ---- :is: �1 =IS__ Ho's :: ::: i P t , TOWN OF SOUTH WINDSOR BUILDING PERMIT .ram x Date May 5 , 19 7 8 $.1$0,00 Est. Value 30. 000.00 Fee Paid �• ,• Permit TQ 10247 on the side of Lot #17 Carriage Drive Saver Street No. 104 Owner RSK ontractors APP licant RSK Contrar— ors CERTIFICATE OF OCCUPANCY ISSUED: Date No. 5129 Fee Paid $ 3.00 CLASSIFICATION Dwe11inz Q RECD. SEw�t .; . BUILDING PERMIT NOW 10 24.7. OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. May 5 780 South Windsor, Conn. 19 RSK Contractors 94is 'to to Terti fy, That Dwelling is hereby granted permission to AAA .00 estimated value of $ Lot ;� Carriage rive on the side of Street on land RSK Contractors owned by Work Said to be as described in Application 10547 No. and to conform to specifications and plans filed with said Application, and Building By. Laws of THE TOWN OF SOUTH WINDSOR. M9LV 78 Issue r'` ' ` 19 Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." INSPECTION REPORT Permit # Job I 1 Footing4 2 Foundation - 16 -7 j 3 Framing Ss- 4 Wiring 4-13-YA 5 Plumbing g-- - 6 Heating 7 Lathing s C.0. P t Nod TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit wd 5129 Certificate of Occupancy THIS O CERT Y that the �b at No. in the of South Windsor, Connecticut, has been er cted and completed accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy 0 Id A AV Y, Z,"L j g Inspector X,06� 'Owner,- Buil er �e Paid 13 Date 144 cao lg zP N/F PATSY BREGLIO /34, — 649.3�, i O,a� � I I \ Z3 1 I \ 1 LOT IS 00, LOT IT I LOT 16 43 O ,999.33 SQ.FT. \\ma`s �9 01 ,e NI I -\\00 eo 1 Lot information comes from division`r subdivision \n plan of \\ � Sand Hill Estates Foundation located 5-06-78 \ \ No Zoning Regulations Violated \� � I o cl coSU M�ECli lilt lilt PROPERTY OF R.S.K. CONTRACTORS INC LOT 17 CARRIAGE DRIVE SOUTH Wes• COMM. MIL 'W . LUCEK ASSOCIATES NO. A SCALE 1is.401 DATE E_ 14' 17MO CONSULTING ENGINEERS S OAKLAND ROAD DRAWN A.V.H. CNECKED S UTN WINDSOR.�CONN. 203.044-2__= si rRO�lECT �. . CERTIFIED SUBSTANTIALLY CORRECT - DEGIMIt, OF ACCURAGY� EMANUEL W. LUCEK CONIC. REG. LAND SURVE4 on 6293�'' y r A P P R E ® TlJWNII DATE' 7480 ELECTRICAL APPLICATION t Application No. 8592 on the side of Carrie Drive StMt Street No. 104 Owner Lee Sackmqn Electrician Homeowner FILED IN OFFICE OF The Building Inspector July 16 ig 81_ INSPECTION. ")-No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. .....95.92......... ....... Permit No. . 4$ ......... . 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, sh be complied with whether specified herein or not. i� South Windsor, Conn., .. 19 6/Sign he . . .. . .. . ......... . Address �6 LocationSide of . . . . . . . .. . ................. ...... ........... ... .. ........ .............. Nature of Building .... ........ ..... How many stories . ....... .............. ....................................I.... ................. New or old Building How many families .......................................................................................... Kind of Installation ....... ... .. . . ..... . How many Stores ................................................................... Ownerl..G.![m. .........02. ..� :K:............... .. _... .. . Address ....... ................................._................. _....._...... Architect ......... ............ Address . ..... ....... .. ................................................. �..__....._....._ .... Builder ......... . ...... Address .... .. ... ...... .. . ............... ................._._._.................... Electrician Address . .... ........ ............................................................................... _.... . ... Size of Main Wires .. ................................................. _ No. of Light Loops .. ... No. of Heat Loops . ..... No. of Power Loops ........................_._...._.... No. of Light Outlets ............... No. of Heat Outlets . .. No. of Power Outlets .............. .. ............. NoP of Light Circuits ... ... .. ........ .... No. of Heat Circuits No. of Power Circuits .. No. of Sockets ... No. of Heat Receptacles No. of Motors ........ . .. . No. of Panels .................... Size of Heat Circuit No. of Power Receptacles No. of Switches .......... . ..... . ...... 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 .. .. ........... ........ ..................... ............ .. .... ................................ ... ... .. ..... ... .... .......... ... ........ .... .... . . ........... ... ..... .............. ............................... ..............._.... ... ........ .... ................................................... .......... ................................................... .f ............... .. ... .. ... ... ........._.......................... ........... .......... ... . .. .......... .. .. . . . . Estimated Cost .. / . .... ........... ......I........... 6483 ELECTRICAL APPLICATION Application No. 6789 on the side of Lot #17 Carriage Drive Sttyet Street No. 104 Owner RSK Cnntrnctnrs Electrician PPtprcPn Fl ert-_ri,C FILED IN OFFICE OF The Building Inspector June 6 19 INSPECTION. No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. I o APPLICATION FOR PERMIT TO DO ELECTRICAI, WORK. No. ........6....7...9 6.73.9... . Permit No. ......... ..6..4..8..3.............. 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. South Windsor, Conn., ........... p��...� . .. 19.. . Sign here ..... ....................... O Address A .. . �C�� ... �.... Location ...............�!Q �i� i�w�. 10.&A....... Side of .......... ................. .............................................................................................. Nature of Building ... of ... ....... How many stories ................................................................................................. New or old Building ..... 1..0.00,........................... ... ... ..... How many families Kind of Installation . ..0&)�V. AC.,k... ... . How many Stores ...................................................................................................... Owner .. .....C.�.JV... Address ...........T...4?.!10W. ?!//fir .....L4v!r.e..... Architect .................................. ........ .......... ... .. . .... ........ ............ Address . .....................................................................................r...__....._.... ........ ec Builder �5�.. `�...ONtI� off.. .... ........ . .. Address ..... . .................. .............................................I..........._........... Electrician .404..V4.A95. .....4.46C t.... ....... Address .............................................................................................................. Size of Main Wires .. VV..42$4.00! No. of Light Loops ....... .. ........I No. of Heat Loops ..... ... . No. of Power Loops No. of Light Outlets . ......./040.... .... No. of Heat Outlets ...... No. of Power Outlets .................................... Nod of Light Circuits .........4..... .... No. of Heat Circuits .. . .. . . .... No. of Power Circuits .............. .............. No. of Sockets .......... . ....... .... .. ... ... No. of Heat Receptacles ... . . . .. No. of Motors ...................................................... No. of Panels ........................... . ....... Size of Heat Circuit No. of Power Receptacles ..... .................. No. of Switches .......... ......�� ............ Total Wattage .... ............. ...... .......... . .... Size of Power Circuit .............. .. Total Horsepower . .. ... .... ....... .......... . No. of Straight Electric Fixtures .. . No. of Combination Fixtures ....... .... .......................... ........... No. of Receptacles ................ .. ....... ....... ....... ... . No. of Cord Drops ...................... ............ .................................................... Remarks: For other kind of Installation .. .. .. /V T*11414........&I/or.40-A&.....�Qlc................................ Gv.. Amey rrf.�.., � ............ �.. G., .........�C,#.�G� ........... . ......... t�, .. ... .................................................................................................... . .. .................... ............ ._................................................................................................................... ..................... ............. ......................................................................................a® . . .... ......................................................................................................... ..... ... ....... ........................................... Estimated Cost .... �SQ....... wo w, .. 5210 Q I' PLUMBING APPLICATION AppL'cation No. 5996 aide of Lot 17 Street NO. 104 Owner ...r S k ��.��►� Filed in Office of The Building June 14 19 7 8 nNs3 Ncnox. No paaon shall constnrt, add to or alder my portion of the drainage system of my hoUft (except to repair 66) until a Pleoit is goosed by the Building Inspector. Application No.....5.9.9.6...................... Permit No. ...5..2.1.0.................. ... .......... 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, _.... ...........4..:77n/3............................. 1971-1. Sign he ......... ................... Address Jif"2 f�.. C d......... Location .....................................W....................................................................... side of ....... ...... ........................... Street Natureof Building .......................... How many stories .. ....... ..................12.............................................................. Owner .........Ae.5k...... ................................... Address.,V.... ............................................... Architect ........ ....... Address ..................................................................................................................... Builder .............. ...... ... .. . .. .......... ............... Address .............................. .................................................................... ....... ...... ... ......:....... Plumber ... .. .. . ..... ........ Address ......2!�.....�'k ""o W ........................................................... DRAINAGE CESSPOOLS, How many .. .... .... ./.......................... .................. Where located ......... ... .... ..... ......................................... 4 1 . �.............. Are they water tight . ................................................... Of what materials are they built t c spool ...oc� Size of pipe from house o ..........I.................................. Kind of pipe .......d. ................................................. MAINDRAIN IN CELLAR, Material .......&..3Wvv%_Diameter ................ ......3....................................................................... Aboveor below cellar bottom .......................... .......... ......................................................................................................................... SOILPIPES, Material . ... ...0...........-'�)........................................... Diameter . ... .......... .. ........ ...................................................................................... WASTEPIPES, Material . .... ........ Diameter ..... ...�..�-/112.1........................................................... TRAPS,Type proposed to use is ..........................A.. ... .... .. .......................................................................................................................................... RAINWATER LEADERS, where do they run to ................... .................................................................................................................. REFRIGERATOR WASTES, where do they run to ... .................................................................................................. ............................... TANKOVERFLOWS, where do they run to ............................................................................................................................... FIXTURES WATER CLOSETS, How many . ..............-.-..3............... .......... Where located ... . .................................................................................. Distance from trap to vertical soil pipe ........... .................... Pattern . .. ..................... ................................................................. WASHTRAYS, How many .............................-"*'...*******..... Where located . .. .................................................................................... SINKS, How many ........................................Z......................I.................... Where located .................................................................................................. BUTLER'S SINKS, How many ........................................................ Where located. ................................................................................................... REFRIGERATORSINKS, How many............. .................... Where located .................................................................................................... LAVATORIES,How many ............................ ................................ Where located .................................. ............... .q BATH TUBS,How many..............................0 D............................................. .................................. Where located .....( URINALS, How many ....................................6 ........................................... Where located .................................................................................................... Are water closets and urinals to be local vented . . ........ . . .. If not,is there a window in outer wall ofroom where same are to be located ............ . ................................................................................................................ ...................... ........ -.....c4c�..Estimated Cost rj............... PERMIT Application For coos 4804 �, DEPARTMENT DECISION $A� permit $ APPLICATION IS HEREBY: 0 DEPARTMENT OF LICENSES AND INSPECTIMS N Ik APPROVED ❑ DISAPPROVED .� TOWN OF SOUTH WINDSOR o 6 14/78 DATE F SPECTOR O APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE onjBW p 1. LOCATION OF JOB 104 c NO. sTREtT LOT NO. FLOOR APT. NO. o O [J �O 2. OWNER Ar cc O be g S. ADDRESS 4.PHONE � ad S. APPLICANT as ad � L�--�..►. oa. ADDRESS - 1 A41i.,40A•iC! (�(.iC� r.. o - 7.PHONE y"a�f w B. LICENSE NO. 3ey —q 2-- •a» s -■— pQ c w s. EXPIRATION DATE OF LICENSE - —� e� cc.g 10. ESTIMATED COSTcq = L w ram. rz be i t. IS THIS A CONTRACT COST? YES ❑ Iq .., 4 1 t. FEE ENCLOSED s Permit 10247 w 13. TYPE OF BUILDING bo C IW REf1OENTIAL ❑ COMMERCIAL � 3 14. TYPE F JOB: ❑ INDUSTRIAL ORIGINAL ALTERATI N ❑ INSTALLATION ADDITION REPAIR f APPLICATION FOR HEATING PERMIT (c ntinu a fr m Rev rw sae) 11. LOCATION OF JOB ' N0. �{ 8T T FLOOR APT.NO. 12. TYPE OF INSTALLATION: L!�I OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ 6AS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFT ,� SIZE /I SIZE OF TANK SIZE S LOCATION OF FILL OF VENT 1 li 18. OF TANK 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE ANDRod ry B.T.U. OR SQ. FT. NET)Q Wl B.T.U. OR SQ. FT. GROSS FIRING RATE L• FLOORS TO BE HEAT D 2- NEW OR OLD BUILDING =:f ! L-I SULATED - YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WAT R TEMP. .T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, C.I. RADIATION. OUTPUT P R SE TION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. f DESCRIPTION OF WO 3 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): WINDOWS AREA - SQUARE FEET e.T.U. IS.T.U.TOTAL TOT DISTRIBUTION INSTALLED R OM SIZE VOLUME AL AND DOORS r LL NO. << GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j REGISTER R OM W GROSS TEMP. TO f TYPE AND SIZE RAD. OR LEAD[R L W N AND , Q (INFILT.) OtFF. •F in a $O. FT. FREE AREA SIZE WALL 11.11197- . /a Of LbL1 q� �� /S� /7� L k 7& 12 6 ryo jn_F 31fv 7ov 77ro1J •y ( ,, Qtv 6 I({ r 3 k__ try v� - - Kf t l 3 � �9 1/ i �O3l�"D 7 2UL 0� I 6 3 S'6L Liu!IU d 1 L �' d o t�0 7kW /6 ' lyiv3 J y �T 3 I ,riv, n aw asay �e*y L , 1 �6`� U TOTALS A. HEAT LOSS FROM BUILDING 7 076 B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING.OTHER THAN NORMAL 1 �Q �� B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND f) 16. 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. / /3 f� DATE 1 NATURE OF APPLICANT PERMIT # - .� Application For Pp 6461 5360 DEPARTMENT DECISION Heatingpermit ` o � 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS `- N IR APPROVED ❑ DISAPPROVED •� W TOWN OF SOUTH WINDSOR 0 W a 7113181 ^gAti_ DAT 0 CNI F INSP TOR APPLICATIONS MUST RE PRINTED OR TYPED. BEGIN WITH NUMBER ONE B o 1. LOCATION OF JOB s~ 4,, O NO. STREET cS v R LOT NO. FLOOR APT. e u-r 2. OWNER 10VU 3 bo s. ADDRESS f 0 q > 4.PHONE ca s. APPLICANTIT 4 o � n a. ADDRESS - b � OyC 1 w ► W a N b 1A IQt it, 7.PHONE rJ s. LICENSE N0. Q 0 ''"' $- EXPIRATION DATE OF LICENSE .o °0 g 10. ESTIMATED COST S •�D y i C+l do 11. IS THIS A CONTRACT COST? 13 y 12. FEE ENCLOSED S X W 13. TYPE OF BUILDING: C .� ENTIAL ❑ COMMERCIAL ce >�- 14. TYPE OF JOB: ❑ INDUSTRIAL ~ ORIGINAL ( ALTERATI N INSTALLATION ADDITION REPAIR 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 Cl 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 m TO BE DONE: - m HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA - SQUARE FEET IS.T.U. IS.T.U. F DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL N ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j it LL RAD. REGISTER L W N AND S TEMP. TO F TYPE AND SIZE OR LEADER SIZE ` WALL ;' O (INFILT.) N DIFF. •F m 3a. FT. FREE AREA TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: ,' NAME ADDRESS SUBCONTRACTORS AND 19. 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. DATA -" SIGNATURE OR POCAN ' i {b t PERMIT # Cd Application For 6668 5567 DEPARTMENT DECISION o Heating Permit 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPEC Irl APPROVED ❑ DISAPPROVED 4 Cd TOWN OF SOUTH WINDSOR o A, _ 1/24/83 00 DATE V�1 IEF INSPEC OR APPLICATIONS MUST RE PRINTED OR TYPED. BE IN WITH NYMDER ONE D[ ' o a, 1. LOCATION OF JOB o 2 O � �.a 0 NO. � LOT NO. FLOOR A►T. N ., 79 CI 0 ( v c 2. OWNER $4 a► 0 ` bo 3 S. ADDRESS 1 A76iYGo r £3 sv a� �/, � — 4.PHONE kW-02� , C/1 s. APPLICANT- W► l l Aw, . vy%"C Y. vk, o cc / x PCs. ADDRESS 2 a- �/l� ( ry(iL V 0 �.PHONE 9- o s. LICENSE N0. s. EXPIRATION DATE OF LICENSE y .c 10. ESTIMATED COST s be I t. IS THIS A CONTRACT COST? YES 12. FEE ENCLOSED s_ 'Oo CJ x .. IS. TYK OF BUILDING 0 •SZ - RESIDENTIAL ❑ COMMERCIAL L 0 a � 14. TYPE of Jos: � ❑ INDUSTRIAL ❑ RIT (�J ALTERATION INfTALLALLATNl11 yd�ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued tr m Reverse Side) 41 11. LOCATION OF JOB �Q ��/?/� �� N0. STREET FL OR AFT.NO 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR C� MISCELLANEOUS 6/ 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 SO. FT. NET B.T.U. OR SO. 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. 0 R B.T.U. N DESCRIPTION OF WORK �"�5-7.,4 k L ��.7--/2 U Is. TO BE DONE: ., 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM slzE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U. i DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL �n 4 REGISTER Room NO' GROSS GLASS MET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED j LL RAO. TEMP. TO F TYPE AND SIZE OR LEADER L W N AND C (INFILT.) O F O SO. FT. FREE AREA SIZE < wALL 'Gto DIFF. •F F 01 N 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 OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: 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