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Home My WebLink About140 Chapel Road 3507'Application No. ....... Permit No. ........?. ....................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. .................... . hereby make application for a permit to (erect (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., . ......................................................... 19............ Signhere .. .................... ..... .....I....... � 1. A/�s .... .... ... ................................... Location? . .... .............. ..................................................................................side of? ................... . Nearest cross stree . ........................................................................................Street No. .................. Lot No. Ownerof land is? .............................................................................................Address .............................................................................................. ...................... Ownerof building is? ...................................................................................Address ... ................................................................................................................. UArchitect is? ......... ................................................................................................Address ...................................................................................................................... �� uilder is? . ............................................... ............................................................Address Dimensions of building? ................................Feet front? ............. ... ........ Feet rear? .............. ........... Feet deep? ....... ... .............. Extreme height to highest point of roof? .............................................. ... .... . ... No. of stories in height?. ................................... Purposeof building is? ....................................................................................No. of stores? .................................................................................................... Howmany families? .................................................._.................................No. of rooms? .... ............................................................................................... Distancefrom street line is? .................................................................from building line is? .................................................................................. ADDITIONS AND ALTERATIONS (Giv Brief Description) ... . ............................................................ ......................................................................,............................................. ...................... .D...�.�...... o .. ........................... ........ ..3 .....X. .. ......................� .......�... ...... .. ..... 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 lbs. per square foot. (See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? .............. ........ .... .. . .... ......................... ............. Compositionof mortar? . ... . .. ........... .... ....... ........ ..... . .............................................. ........................... .......... . ......... .............. Height and Thickness of Walls Height Stories Front Walls Side Walls Rear Walls Partition Walls Basement, ..................... ... ............................................................... ... ........................................................................................................................... ......................................................... . 1st Story . .................. . . .................................................... ... ................................................................................................................................ . ........... .......... ................. ........ .. Znd " . .......... . .............._..................._.................. ................................................................................................... ........... .......................... ............... .... .................... .. . 3rd " .......................... ................ .............................................. ............................I.............. ............................................I............................................... ........... .............. .......... .... 4th " . .......... .. . .. ....... ....._............................................ ......... ,....................:............................................................................................. ....... ......... .... ....... . ................... .... . 5th 11 .. ..... .............. ................................................ ......................................... .................... ...................... .............................................. . ............................................ 6t.. (i ..... ........... .. ... .... .................................................................................... ........ ............................... .. ................................... ............................................................................ 7t " ............................ .... .. .. ..... .................................. ...........I... r................. ....... . ............................................................ ................................................... 8th " ............................................_......................................................... ......... .... ....... ............ ........................ ...................... ............................................ 9th " .............................................................10th............ ............. .............. .I....... ... . ..... ...... ..... . .. . .......... ...... ................ . ............................ 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 JOISTS GMDIM COLUMNS FIoors Size Longest Span Centres Bridging Size Longest Span Centres Size Length Centres 1st Floor 2nd....... .............. .................................. ................... ....I..._........_.......................................................... ................_...... .................... 3rd.....��..... .............. .................................. ................... ..................... ................ .-................................ ...-............... ................ .............__.. ..,...................... 4 .... .... ........... ................................. ................... ..................... ..._........... .-........................................_......... ...................... Size of outside studs? ....................................... Distance on centres? ........ ......... ......... .......... Size of sill? ............................................. Size of rafters? ...... . ......................... Distance on centres?... ........... .......................... Size of plate? ............................ .......................... Size of ledgers or girts? ................................................................................Size of deck rafters? .................................................................. ............... Distance on centres? ............. ........................... ..........................................Size of studs in bearing partitions? ............................................... O MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? ...... ........... ....... ............... .......... Fireplaces? .... ............................................. Materialof roof`covering? ........ .........................................................Material of Cornice? .............. ............................................. .............. .... .....................Lining of flues. .. .......... How is building heated? .. .... .. g � .............................................. ....... . .............. ..................................... Thickness of shell of flues? .....................................................................Any elevators or lifts? ................................................ ..................... What kind? . . ........ . ....... .... ............. How many? ...... ... . ....... I ...... Any hoistways? .. .... .... ... ........... ......... .... . Howprotected? ................ ................................... .................. .................Total Value of Building . ...... ............................................... ......... Whenwill work be commenced? .. ... . . ... .. .................. ........................................................................................................ ................. The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli- cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the Town of South Windsor since 1949. Applicant 3247 BUILDING APPLICATION Application No. .... ...35-0.7.................................................. onthe ....................... .................. .......................... side of .. ...............Chapel Rd.. .............. ........... Street. Street No, 140 ................ . . ............. . John Jurgelas Owner ... ...... .................... Applicant Same. .. .... ................. . ......... ...... CLASSIFICATION Demoli.s.h tob.acc.o.-Sh.e.d. .32..'..XI44' It Warehouse 201 x201 . .............. .. ...... . .. . .. ......... . ..................... H Poultry .. . .................... .. ... ....... .. . ............................... Permit issued on above Application. Date, July 25 t. .......... .. 19......60 TOWN OF SOUTH WINDSOR Y ' BUILDING PERMIT :h Date July 2i 1960 Fee Paid $l,.0G Est. Value . . . . . i r Permit 10 3247 on the side of £` .ems Chapel Rd Street =y . Street No. 140 < John Jur e 1 as _ = Owner 8 f, some Applicant - CERTIFICATE OF OCCUPANCY ISSUED: , Date No. Fee Paid $ CLASSIFICATION Demolish tobacco shed 32IX22- (Malone propertyl Warehouse 2O t X0 t (Broderick prop rtg) Poultry hou6 BUILDING PERMIT No 324'7 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Jt,1 v 2 5, 1960 C14t'o to to QTrrt'tfgl That John Jurgelas is hereby granted permission to Den, ol i sh ` 'ot a e c:o Sh e d 321 x224 1 (l-ai one p r 0;��e r ty) Warehouse 20 t x20 t (Broderick property) Foal try h.ou s e " it at estimated value of $ on the side of Cha rr i. Street on land owned by John Jury c l a s Said 1'i ork to be as described in Application No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Iss cd Ju ly42 . 1960 r 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." is Application No. �079.. . ..... Permit No. .. 480.9... .. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to 4anK (make alteration to) a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a fine 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., .,U/.............................. Signhen .... ....... . ... .. .... ........... ... .......... .. .a........ . . . ..... . .... .. .... .. Location? . ...... .............................. .................... ....". Z04....side of? ........ ........................................U4......................................6.0. ..................... Nearest cross street? ...... .........................Street No. ................ ............................. Lot No. ........ ov =7 �/V......... ...... Owner of land is ...........Address Owner of building is? ....................................................................Address ... ....... . .......................................AV .....................I.............................. Architectis? ............. ......."........................................a.4.. ......................Address ...................&�........................................4P......................................404......... Builder is? . ......................................................................................................................... Add. ........................ot....................................4%. ................................................... Dimensions of building? ... . ....... .............Feet front? ............ . ........ Feet rear? ..... ...... .......... Feet deep? ......... Extreme height to highest point of roof? ................................... No. of stories in height. Purposeof building is? Xd.............No. of stores? ...... .................. ........................................................................ Howmany families? ........................"L15-0 ............. —-----No. of rooms? .... ................................................................................................ Distance from street line is? ... ... ........ ..............................................from building line is? .................... ...I....................................................... ADDITIONS AND ALTERATIONS (Give Brief Description) ........... .......... e.. ........ .�_10 ............ ...... ...........�oe ............ewe.., ! ............... ...........0.... .................... .. 7. ............0 ............................... .......... ....................................... .... ..... ...... ............. MapNo. ........................ If of ste I 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 lbs. per square foot. (See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? . ...... . .. . . ... ..... .... ....................... .. .......... .. ..... ... ....... Compositionof mortar? . ................ ... ......................................................................................................... ............................. ....................... Height and Thickness of Walls Height Stories Front wans, Side walls Bear Walls Partition Wails Basement, ............................... .................................................................... .................................... ................................................................................................ ................................... ....... 1st Story .......................................................................................................................................................... ....................................................................................I........... ......I........................ ... . ..... 2nd " .............................................................................................................................................................................. .......... ............................................................................. ...... ......... 3rd " ..................................................................................... .................r.............................................. ................................................'..'.............................................. .............. .......... ............ ..... 4th It ... ...................... ................................................................................................................................................................................................................... ......... .................... ........ 5th so ................................. ........... ................................................................ ... .....................................................................I..................................................................................................... 6th 46 .................. I............. ......................................................... ......................................... ...................................................................................................................................................... 7th 46 ...................... ....................................................................... ...... ................... .................. .. .................. .............................................. ....................................................... 8th 's ........................................................................_...............I....... ................ ................. .......... ...... . ......... ................. .................. .... .............................................................I....... 9th dd .. .................................................................................. . ............ .......... .........10th ...................... ... ..........I........................................................... Material.of Front? If stone, what kind? Thickness of Ashlar? ....Thickness of Backing? Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GMDEBS OOLUMNS Fioors SIM Longest Span Centres Bdit ng SIM LOP965t Span Centres SIM Length Centres Ut Floor — a.....,,.... .............. .................................. .................. .................... ......._ _.........»..........._...»..........».......... ........».._. «.....».»_ _...»».__..._ .. .....N..... .............. ... ............. .....»........». ......»....... .....».« .........._.... ... 11 »4 ....��.... .... .......».._..._......».._. ...«......». _...«...... ._...»...._. _............. _ 11 Size of outside studs? .. Distance on centres? ..... Size of sill? ....................................... .......................................... .............................................. Size of rafters? ..................................... ... Distance on centres?................................................. Size of plate? ..................................................... Size of ledgers or gu ......................... .. ts? ................................................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 covering? .................................................. .................Material of Cornice? ....................................................................................... Howis building heated? ............................................................................Lining of flues? ... ............................................................................................. Thicknessof shell of flues? ........................................................................Any elevators or lifts? ........................................................... ...................... What kind'' ....... How many? y hoistw ys? How protected? ........... .. ............................................... Total Value of Building ....�.....42..o...e�.................................... When will work be commenced? .. -'4.?. . .. .. ...... ........ . .'.1....1............,1,��............ ,C'G.. .1.. e„c� 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. Applicant 4809 BUILDING APPLICATION ApplicationNo. .........5........079......................................................... onthe .....North........................................................................ side of .... .............Chap.e.l..Rd... ..................... ... Street. Street No, .... .. ..... .. ......... John Jurgelas Owner .. . .. ... ... ... ... ... .......... Appficant . CLASSIFICATION Wenovation of . kitche.n. A.n........ existing dwelling. . ......... . ... .. . ......... ............... . . .................. . . .... .. . . . ... . ..... ...................... Permit issued on above Application. Date, -5-12?-64 19. TOWN OF SOUTH WINDSOR BUILDING PERMIT ' Date Ma 12, , 104 Fee Paid j$.4:,0.0-N Est. Value $.1.s 00 0 �T a Permit 1�I 4809 on the North side of Chapel Rd, Street j Street No. 140 Owner John Jurg e 1 a s Applicant same CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Renovation of kitchen in existing dwelling. BUILDING PERMIT N? 4809 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. May 12• 19 64 T4t-s is to Tertt113.9 That John Jurgule a is hereby granted permission to enOV&tIOU of kitvaeu in existing dwelling at estimated value of $ 1,000 on the e�flt side of 1, 0 pol Rd, Street on land owned by Job► Said Work to be as described in Application No. 5079 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Iss IJ 1��' �. 64 _ 0000,0- )1Ui1j6Kg 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 CONNECT I CUT: "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." 2959 PLUMBING APPLICATION 2448 on the ....__..ZV4 A ?6� - slide of Street No. �¢-..� �- - 140 Cha p e 1 Rd. Plumber k&—reA—P 4,C) 194-9Glo Filed in Office of The Bud&g fspeceor Ir ' v `l 19 II�TCII01�. No penm shall crosuuct, add do or moor any portion of the drainage system of any bo (except to repair lea6) until a Pl mok is ganftd by the Building Ina maw. G ' 244$ 2959 4 4yplicattion No. .. Permit No. . ...................... ......... TO THE BUILDING INSPECTOR fh o 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, ...,21A..4/.....//........... ...... ........ 194r�. Sign here ..... ? v....... r �4,�............................ Address . �E�.. .. � . .1..1.�1t�.... ..S ...... ' 5 '��.cy Location f Y.8 ..�. �F-P....�� G............................................ .................. ......................... .. side of .. ...�I�a/�.��Y.. ... ...... Street Natureof Building . Z--,,0 o.lo.. ................................................. . ... How many stones 1...... .. '........................................................... OwnerV..-X...G'lf- , ,6_:. '............................. ... ... Address ..........4' %teZ''............ ............. .. ...................................... Architect _ ................... Address ..................................................................................................................... Builder .. . .__ ... .. . .............. ................................................. Address ..... .............. .. .............................. ........ .............. ............ Plumber . , j- .......br- .o.................................. Address ..lo... ... ', ..� .G.....5.7.........G�' DRAINAGE CESSPOOLS, How many .. ........... .......................... ... ..... ... Where located ....... ............ ................................................................... .. . Are they water tight ......................... .......................... ............. Of what materials are they built ............................. ..... ......... Size of pipe from house to cesspool .. ..................... ............ Kind of pipe .. ........ ................................................................................ MAIN DRAIN IN CELLAR, Material . ....... . Diameter ........................... ....................................... ..... .... .......... .. ...... Aboveor below cellar bottom . . ................................................................................................................... SOILPIPES, Material ..o./� ...... ............. Diameter ............................................... ................................................ WASTE PIPES, Material ...... �'l... f-........... ... Diameter TRAPS,Type proposed to use is .. . . !� ....5..P-.1J,-lC4/ ..P`- Et1.i...P/c......le..�,=...�....�.......................... .................................. RAIN WATER LEADERS, where do they run to . . ........ ... ..................................................... ..................... .. ....... REFRIGERATOR WASTES, where do they run to . ... .... ............. ............................. ... ....... ....... ..........I.. .............. TANK OVERFLOWS, where do they run to . . ... ............ ........................................................................................ FIXTURES WATERCLOSETS, How many . .... ...........I............ .. ....... Where located .. F 1,/e.5......7... /=4-............ ....................... Distance from trap to vertical soil pipe .....2....... .... ............ Pattern . .... ........................ WASH TRAYS, How many .. .. ...... ...................... .... Where located ........ ... .. .. . ................................ SINKS, How many ..... . ..1.. . .... . Where located . ` /.T. 7—.!Y........ ... BUTLER'S SINKS, How many .................................................... Where located, . ........ ................ ........................................... ... REFRIGERATOR SINKS How man Where located ........... ............................................................................... LAVATORIES, How many . ... .... .............../......................... . Where located .. . ...13.14 zr�./..i? lz-t ....�= BATH TUBS, How many Where located ...... (....... r URINALS, How many . . .... .......... .................................................. Where located ..... .................................................................................. Are water closets and urinals to be local vented If not, is there a window in outer wall of room where same are to be located . ..V ,�� . . . . ........... .................................... Estimated Cost O.D . .......... .............. • , ,':�,; - - �`J.�:-�.. -rr� e'-,aC„�;°�^-�,p,a�'�,, '� ,r' sy,.\ - �. ,.a`,x�vc�5. 'fir 7::.. S,„%^,r' ';•�, Y� •�=, r'3'S" fl,K ��'".; .m�•, iii.:^ - ;,R. �°'wx'�e� ,.,-.'s•` .,. -- rm0 w=1 ,;vy. AppLu ' NO. -i.....nnd lit ylR_ k•y.• .��a.... UIL,ING of the TOWN OF SOUTH WINDSOR, CONK, • a building according ....... ...... .... . hereby make application for a permit to to the following detailed statement of the specifications and plans herewith submitted. (Draw a Lae through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Lars (Sections 2 to 32 inclusive) shall be Cooaphed with in the elmu- tion of this work whether specified herein or not. South Windsor, Conn., ... .. -.- here ........ /w....... Address :p............. r . .. .., ..... ' ••••....... 14 ` 04 Location? . ...... ............... .Q.2 ...............side of? ......... ............................................'.................. .................................... Nearest cross street? p.t,�.. ... ... Street No. Lot No. .............. .Address ....... Owner of land .t� U..l�'... 1 .� ,t G—'-......... .... 5 ............ Owner of building ;s? Address .. ................................................................................................................. ! .. ..... Architectis? ......... .............. ....................................................... ......................Address .................................................................................................................. r Builderis? . ....... ...................... t...... ......4..........._............................Address .................................................................................................................... Dimensions of building? .. .. .. ..Feet front? ........ .. . . ........... Feet rear? ...... ... .. ........... Feet deep? .. ... .. ... Extreme height to highest point of roof? ................................... . No. of stories in height. . ............. . Purposeof building is? ....No. of stores? ................... ...................................................................... Howmany families? ............................................................................._......No. of rooms? .... ............................................................................................. Distance from street line is? .. . ....• •••• •..^•-•••-•.•........ from building line is? ....... .................. ............... ............................ ADDITIONS AND ALTERATIONS (Give Brief Description) ice.,, ,f�- ..........1�5....... z�..........,. / .a. „J. '.... ............................ ..........7� �-"........ ,..r. ... ........... 010 �. 'l Z�c y........................... . ... ........... Map No. 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 lbs. 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 Height Stories Front Walls Side Walls Rear Walls Partition W Us Basement, ....................... .... . ............................................................ ... ............................................................................................. .......................... ......... ....................................._........ . 1st Story .. .................. .. ......................................................... .. ... ............................................................................. ...................I............. . ........ . . .. 2nd " .. _..................._................ .. ................................................................................... .......... .......... 3rd " ... .................... .. .................................................. .............. ....................................... ........................................ .................... . 4th " ........._...........................I.... ......... ..... ,................................... ...... .................................................... .. . ... .. ..................... ... ..... 5th 11 6th " . ................................................................... ................... ....... ......................... . .................... ..I............ ..................................... ................................. 7th " ........... ............. .. ... . ..... ................................ .. .......... . .. .............. ... ..... . ..... ......... .. .. ............. ......... 8th 11 .................... .................................................. ........ .......... ... ... ...... ......,.. .. .. . . ........... . ... ... ..... ..... 9th 11 .. .. ......................................... ............. .... .... . . .. ........ .... . 10th 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 JOISTS 11 GMI)IMS COLUMNS Floors I Size Longest Span Centres Bridging Size Longest Span Centres Size Length Centres, 1st F1 or ..... .2nd............. ................................................... ................... ..................... .............................................................................. ............................................................... ............ ........... ........................ 3rd ...... ......................... .................... ................... .......I................................ ........... ................................._.... ........................ 11 Size of outside studs? ............. Distance on centres?. .... ..... Size of sill.? ....................... .................. Size of rafters? Distance on centres?....... .. ....... . . .......... Size of plate? .................................................... Size of ledgers or girts? ........ . ............... ........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 covering? . .. . . ....... ... .......... . .....Material of Cornice? ....... . ................. ................. ... .................. Howis building heated? .. . . ... ...............................................Lining of flues? .. .. .......................... ........ .. ... . . .............. Thickness of shell of flues? ... . .. ...... . ................... ..... . . ......Any elevators or lifts? ....... . ..... . . ............ . ................... What kind How many? Any hoistways? . .... .... Howprotected? . .. . .... . ....... .... .. ....................... ........... ...Total Value of Building .. .... ............. . . .......... ...... ............. Whenwill work be commenced? . . .......................... ...... .................. . .............................. ................. The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli- cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the Town of South Windsor since 1949. Applicant 3489 BUILDING APPLICATION Application No. .. 37t-I-9 ................................................................... on the ....N9r'.th . ...... ......... .. ........... side of ......Chapel: -Rd. Street. Street No, 140, Owner John Jurgel._as Applicant Sane CLASSIFICATION Demolish tobacco shed 241 X47 1 Permit issued on above Application. Date, Apri 1 24„ 1961. TOWN OF SOUTH WINDSOR ' BUILDING PERMIT - Date April 21�, 19 r Fee Paid 2'GO Est. Value $ � " . _��17 r Permit N? 3489 iWN £ on the No rt:h side of Chapel Rd. Smec `� Street No. 1414 Owner John Jurgelaa - Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: I Date No. Fee Paid CLASSIFICATION Demolish tobacco shed 241 ZA 1 I BUILDING PERMIT N° 3489 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. April 24. 19 61 auto to to Terttf1j, That _ John Jurgei&s is hereby granted permission to + +7 1 at estimated value of $ on the 1 L r t side of G h a i'c 1 Street on land owned by Said 01'tc to be as described in Application No. %I).`% and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued4 1961 Building Inspector. Streets and sidewalks, obstructed by excavatio.as 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." TO THE BUILDING INSPECTOR of Ili APPLICATION FOR PLAN EXAMINATION AND TOWN OF S4VTH WI1rDS�OIt,CO�II�. BUILDING PERMIT z IMPOR7AN — Applica complete al •tems ins ns. I, It, III, IV, and IX. O JAZONING • AT (LOCATION) Q DISTRI O LOCATION (NO.) / 7 (sT E T) OF BETWEEN AND (CROSS STREET) BUILDING (CROSS STREET) LOT SUBDIVISION LOT 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 M Im —I 1 ❑ New building Residential Nonresidential 2❑ Addition(It 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— — — — --0- 20❑ Industrial 3 ❑ Alteration (See 2 above) 14❑ Transient hotel, motel, 21 ❑ Pocking garage 4❑ Repair, replacement or dormitory — Enter number 22 5❑ Wrecking (If multifamily residential, of units ——————— —-i ❑ Service station, repair garage enter number of units in building in 15❑ Garage 23 ❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) 25❑ Public utility 17❑ Other — Specify 7 ❑ Foundation only 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile 8 ❑ Private (individual, corporation, 28❑ Tanks, towers n nprofit 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,••••..•.•....., S 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 g building is being changed, nter propo ed use. A in the above cost , %. a. Electrical............... b. Plumbing ..................... oO c. Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT 3 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❑ Oth r — 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 c nditi ning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Y s 45❑ No 53. Number f bedr ms.............. 38❑ Coal 39❑ Oth r— Specify Will there be an elevator? 54. Number f Full.......... 46❑ Y s 47❑ N bathr ms Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants ZKa11 ailing addr s= Number, trees, ty, nd Statue ZIP cod Tel No. Owner Lessee 2. Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of his jurisdiction. Si r of applic Address 9 Application date / o 00 NOT WRITE BECOVil THIS LINE V. PLAN REVIEW RECORD — For office use Date Plan Plans Revi w Required Check PlanFeeeview D Starteddns BY Approveds BY Notes BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval I Check Date Number B Permit or Approval I 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 OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building 8?90 P rmit numb r Building Permit issued March 7 19 75 Bui Iding 5.00 Permit Fe Approved by: 6 4;�w TITLE VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use , 4- e TOWN OF SOUTH WINDSOR BUILDING PERMIT =. Date March 7 19 75. t Fee Paid Est. Value $. . 4 t+� Permit N 0 8790 on the side of Chapel Road Street Street No. ].40 Owner John Jurgelas Applicant John Jurgel as CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Demolish tobacco shed. BUILDING PERMIT , 8790 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. March T 19 75• X#io to to Terftf1j, That John Juraelas is hereby granted permission to Demolish tobacco shed at estimated value of $ —— on the side of 140 Chapel Road Street on land owned by John Jurge l as Said work to be as described in Application No. 9090 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. I March 7 1975 Buirafilng 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." INSPECTION REPORT, Permit * K N Job Aa� 1 Footing Y12o6 7,5=iV0 2 Foundation ell- 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. 7 5— 3833 ELECTRICAL APPLICATION 434 Application No. ...... 1 ............................................................................. north onthe......... ....... .... ............... .................... ................ side of ... .. ...... . ..Ch.ap.el....Rd d .......... ..... ................ Street StreetNo. ..140.. . .. . ... . .......... ...... ........ .. .. ........ Owner John. ju.rg.ela..s..... ...... Lane Electric Electrician FILED'IN OFFICE OF The Building Inspector 3.23-66 ....................... ........ .......... ........... INSPWTION. ..............................................................................................................I............................... ............................................................................................................................................... ........................................................................................................................................... AwNo 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. C APPLICATION FOR PERMIT TO DO ELECTRICAI. WORII. No. 4134 Permit No. 3833 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. ............... hereby make application to. perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. ;/,, LANE ELECTRIC -'��.. .�. 19 d 6 Sign here .. . South Windsor, Conn., ..... . .. .. .. .. �431�...E�L�LI�NGTO�N ROAD Address .,,.:... . .... .. ... ................... .......... .... .. ....................... Location A/e-ok ! Side ' ' SOUTH WINDSOR, CONK. Nature of Building ............ .. How many stories 'Z' New or old Building G How many families .................................................................. Kind of Installation .......... .a ...... .... . ................. .. How many Stores ................................................................................................... Owner /�...o .. .. ...... ......... Address ........ 7Q.... .......... ...... ...5.. ........................... �#�• Architect ....... .... . . .. . . ....... Address .LANE.. ELFC.TR.IC......................................... Builder Address 431 ELLS NOTON....ROA.D. ...........................I... Electrician .......��"�- . ...�!�-��. . Address SOUTH WINOS . 4R0....Cnn;N.. ................................ 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 ......... ... . ... . No. 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 .. . .......... . .. ...... .... . . ....I... . . ... .. ......... ...... To...........c,,,t'.;e.......... � �-..... , ..�. ....... .. ....... . ... .. .. ... .. .. . . ............................................ .................................. ........... .. . ...... ....... ................. . . ....... ................. ................................................................. ........ . ....... ................. ........ .... ......... .. .... .......... . ... Estimated Cost ..`3 .... .... .......... � J 7872 ELECTRICAL APPLICATION ApplicationNo. ..............8.9-83........................................................ onthe ......... ................................ ................. ... ................ side of ...............................Chapel.. Road ................ ... Stmet StreetNo. 140 ....... ............... ................. .. .............. Owner Donald...Fornwalt...................... .... Electrician ....Joseph....Sauve.'........... . .... ... FILED IN OFFICE OF The Building Inspector . .............I...... F.e.b.......2-......................... . .... ....... . 103 INSPECTION. ............................................................................................................................................ ................................................................................................................................................ ................................................................................................................................................ ArNo 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. .......89.83....... .. Permit No. . . .. 8.7.2. ......... . 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 co plied with whether specified herein or not. `` cc� South Windsor, Conn., ......... . ...... ... ./..�... ....... ... 19 4Uign here ......... ................... ..... ... .......... ,p Address ...(P........... ......... ........................ ..... . .............. Location J `/D If. /......... ............. /C L Side of ................ Nature of Building ............ S/.Q ... . .�.. ...... How many stories ...................�................................................... ........I........ New or old Building How many families Kind of Installation s 7�/!.v�GL� Cl i�/1/ How many Stores .................................................................................................... Owner ......A.g.k. ...... 0.. - ..r...._............... Address ............ a.....G /`r-04 4 ��1 J ................................................................................ Architect ..................................................... . ........ ... .... ....... ...................... ..... Address .. ............................. . .............................. Builder .......................... ....................... ............ ..... ......... ........................ .. Address .. . . ... .. ......... ......... ................ .............................................. Electrician J03 /4 ff �, U r/E ....... Address ..3�... .�..T �..............................I.............. ............. /AFT ................................ ........................ ... ... ....... ...... ....... .. 99 Size of Main Wires ... ;". 3 S� No. of Light Loops ............ ..... . ......... No. of Heat Loops . ........ .. .. No. of Power Loops ......................................... No. of Light Outlets ............... .. ........... No. of Heat Outlets ..... .... ... No. of Power Outlets .............................. . No. 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 .......................... .. ........................................ .... ....... n / .�' Q!/'l G �' Remarks: For other kind of Installation ............... .1".... .. .. .. ./Z.fl'...................................�[ .......... �.......................... O ............. ....D... .. .. ..G-..................1......... .. --. .............Fo...��.... _......w.. ..�5.r .� .-........../J - � . ,.. Estimated Cost ................. ......... v a TO Tim 411 i01e APPLICATION FOR go" OFsaTlH �i PLAN EXAMINATION AND BUILOING PERMIT 1MI.ORTAHT- AMR~ to amploh oil Items 1A sewlens: It fit Illy i11, and IX. &OW1• AT (LOCATION) l 7 d 0,jqA r04'L- R OISTMOCT LOCATION `"'•� l s'essTl 0!t ,eTwss,t /�]�l� S T ANo /e7 �., � GILDING (arms @Toss*) lows• slot l I.OT SUNIVISION I.OT SLOCX SI Zt He TYPE AND COST OF BUILDING — All oppliconts complete Ports A - D A. TYPE OF IMPROVEMENT 0. PRO sap Use — Pm."Wftewwgi"most As•tM wm 1 ❑ taw building Reel *lei Nemmidemlel 2❑ Adririen(1/residential. ewtw msswbw 12 Owe fa mIV Is Assessment, recreational / now bossing mats adwer, i/4111!►. 13❑ Two or mete featily - Eager1!S Church, other religious IN Pit D. Is) ws>wsb"m/writs——— —-0. =0 Indremel s ❑ Alteration (See 2 above) 14❑ Transient hetml.motel, 21 ❑ Pstkiwg getage a❑ Ropeir, replecomgnt of donaltery - Enter nomber S❑ rtwking(1/mtsilti/a Lily resilendel. of SOWS& ——————— — n❑ loo oo . Institutional stolen. repair geese 2s Msepitel, iwetitutiewml twtw stwtbw o/mats <w 6aitrlrsp in is❑ Gategs ❑ Oates. bwk. ptsfNsiancl Pere 0. 13) 14❑ Carport Z• S❑ Aleving (relegation) Irj;�Dow - Spect/y 7 25❑ fsublis utllify 7 G i; eriaw only U❑ Saheol, library. oche orwationel B. OWMERSNIP 27❑ stems. morsawtilg • I)Q fttivstm(iwdividwi, �atporstiow, n❑ Tanks. topes nonprofit institution,sta.) a❑ OMe - Syeelty R Q public(Ferstel, States or local government) C. COST (Omit cows) Newresihntiel — Describe in detail proposed vso of buildings. .g.. peer Q processing plow. machine shop, leuwiry bueldlwg of hospital. lomontety 10. Cast of improvement............... D C� sshmoi. secondary school. callis", patmshigl�shoel. panting geregs for dopmMmewt stets. rental office building. effles building at induettisi plant. T be instatter but not snctuded If vas of existing building to being changed. enter proposed we . in lbe aba►t cost s. ltlowneal...................... � b. plumbing ...................... t.Meeting, sit conditioning......... d. Other(elova►er, ohm.)............. 11. T TAL COST OF IMF V M NT IS 1000 We SELECTED CHARACTERISTICS OF BUILDING - for now buildings and otlditions, contplet* Ports E - L; for wrecking, complete only Part J, for oil ot#ws skip to We a. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 20 l J Mssewry(malt becring) 40 Public or private company r• Numbe of erode•................ I" rod keme •1 privet.(•optic tank,eft.) r. Trial square feet of floe.area. ❑ oil floom based on exterior 32❑ Stfvstwol stool dimensions ..................... 3❑ Reinforced sonvote N. TYPE OF HATER SUPPLY sa A2 34❑ Other — Speei/y ❑ Public orprivatcompany �. Taal Igwd armor se. N. ........... aR❑ fttiveta(well, siotetw) K. NUMBER OF OFF-STREET PARKING SPACES P. PRINCIPA4 TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 35❑ Ciao Will Mote be sentrel sit 92. Outdoors........................ U❑ 011 soaditleniwg? L. RESIOEIiTIAL BUILDINGS ONLY 37❑ electricity Y❑ Yss ❑ M 33. Numbst of bedrooms.............. U❑ Coal to❑O*W- Specify rill Nrotm be an slosNw! 9L Mn■.ber of full.......... ❑ Yee 47❑me bethtesais Pam I........ IV. IDENTIFICATION — To be cornpl tad `y all applicants Naive Mailing oddr ss - Number. strret. c:tr. and State ZIP cede Owner or Lessee 4 �A�2 Sc- iv/A) 2. C aw rr�t•er 3. Archtreet or En�rweer Th owner f this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature f applicant Address Application date L) 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Cheek Plan FeeReview S.rPlans By Ate Plans By Notes ppreved BUILDING $ PLUMBING $ MECHANICAL S ELECTRICAL S OTHER _ S VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS 410 ate Permit r Appr vol Chock Oboe r,.d Number By Permit or Approval Chock) OEooi�d � Numb r 3 BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRAOES i GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER II. VALIDATION Buy Iding �� ?e�Permit numb r Bui Iding Permit issu d Sui Iding P rm i t F S Ap v d y: TITL n TOWN OF SOUTH WINDSOR BUILDING PERMIT Date 5/5 , 19 E8 Fee Paid $. 6.-Q 0 Eat. Value $1 ,0 Q 0 Permit N2 16702 on the aide of Chapel Road Street Street No. 140 Owner Barbara Francis Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Above ground pool BUILaiNG pERMffr N Q 16702 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 4 5 i9 88 94to t,,$ to (ffrrfff#, That Barbara Francis is hereby granted permission to -install an above ground pool at estimated value of $ 1 00 0 0 on the side of 140 Chapel Road Street on land owned by Same as above Said Work to be as described in Application No. 16938 and to conform to specifications and plans filed with said Application, and Building By Laws of THE TOWN OF SOUTH WINDSOR. Issued 5 5 9 8 8 O--Mg'q o Building Inspector. Streets and sidewalks, obstructed by ezcavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person 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 RE ORT Permit #14 74 a Job/ igPEj I�ORI� 1 Footing BA !31%Rk 4mkhpfL AnrCtS 2 Foundation 3 Framing 4 Wiring �dS6 5 Plumbing 6 Heating 7 Lathing AV 8 C.O. �o ti �b N/ F ADELE H. JURGELAS r�D 105.00' Pool 12.3 dip ' V. 327 GAR. ENCLOSED-- v w _0PORCH \ o O 0 \ 4.1 0 HATCHWAY BIT. WALK 0 6 12 52 5d B.L. m `gym _ o 8.5 HOUSE It! W N � NOTE DRIVEWAY N N p ENCROACHMENT N 12.5 26�t - 14.2 r� 0.P. i �?J — � LEGEND 0.P OPEN PORCH 41 FLT=WALK - CID GAR. GARAGE N BIT. BITUMINOUS 105.00 , CHAPEL ROAD 1 /a ELECTRICAL APPLICATION Application No. on the side of (3A A PE I—-, go 0 7 Steret Street No. Owner BA9baRA4-91C,6A' �ANG rS Electrkw* n G FILED IN OFFICE OF The Building IMPWtor - 19 11�18!!�C'i'ION. sw No Electrical Work shall be started until a Per. mit is granted by the Building Inspector. In New Buildings no wiring shah be started until the plumbing and heating pipes and the Are stops (if of wood) are installed, without a special permit from the MOM of the Building Inspector. TOWN OF Master License No. r4 r�'� ..�...�. SOUTH WINDSOR Building Permit No. Ea...'r..��.._. BUILDING DEPARTMENT Date Filed ........_....... ....._.....,................. Date ro t ....._...APPLICATION FOR ELECTRICAL WORK •� �' Electri pectoc B LOCATION: ............... ...........4A�104 G ___... .._._...... JOB OWNER: .........................._.._..._.[_..l.Q.fl_._... IY..P..IfT71K. Side of .................... .......&P............. Between .....C'l..o.v.T... ........s................................... and Name of Building Owner ..............................._......_. .A�. P.r,�.._...!c..R��Y ..1 s.... Address ..Y...`1'a......4e H..r.�. .... '..o...._..._.._.._..._..._...r..._.._... If work is for Lessee—Give name .............................................._........_.........._....._................... Address ..w...._._...w_..�.......__....�....._..__._ .�..._ Building now occupied as (unless new) .........................._........_....................................._............................. No. of family units now ........... Building to be occupied as ....__......_........................................._................._.........................._................. ._.. Number of family units to be ..__............. . Is this work included in a Building Permit? .............. Permit Fee ....N�A_................_......._.. _......._._.....�....�_..�„_,,,.�.,, y (If no Building Permit) f o. !y/N,o fig Permittee 0[. � ,.� .3 <i -o........................... .......... ............. .... /._..._ Business Ad r �"L �v r'��v p. d� �_. d ess .._./..........._.........f.........�'.i......................... Telephondf! ...... COST OF INSTALLATION. ....3....�......................_..___ ^ TO BE FILLED OUT BY PERMITME 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 Ran Number of appliances to be installed . . ....�........._.........., ge ❑ Water Heater ❑ (as listed below) Dryer Q Air Conditioner ❑ Oil Burner ❑ TYPE RATING NO. Range Dish Washer ❑ Gas Burin ❑ Range Top Well Pump ❑ Mec. Heaters Q Oven . . . . . . . . REMARKS Water Heater . . . . �-'o !y 1 C f o�' 7�G/D D 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 Applianc Circuits . . . Number of Heating Circuits . . %. . , , Number of Motor Circuits . . . . . , , Size of present service ....._.._....._._...... Size of service to be ._...�......._._.,.