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140 Clinton Drive
Application No. 572.7 Permit No. 5457 .... . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. 9... hereby make application for a permit to (erect (snake-a6sat ara-to) a building according t the ollowing 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., . .. .!........mil.............. 19....lF.. Signhere ..... ........... .. ....%........... .. .. ... .. . ......... Address ,J;-0, .................... ....... c. .?..... ... ......... Locati n ............................................................ :.0.... ....`.. .............side of? .. �,/.� 1.. 4. ! Nearest cross atrat? .. .. ..........Street No. ................................ ............ Lot No. ...... ......... . or ! .. . Owner of land is. ...C.l9t. � .....Address Ownerof building is? .........` ............................. ....�.......................Addresa . ............................................Y:................................................. 07 Architect is? ......... .......................`...........................................K........................Address ..............K...................................................' ........................................ Builderis? .. .......................... .........................................._K.........................Address ...........v..................................................r.........................................Of Dimensions of building? .?%. Z-6.Feet front? .......g;;� -j............ Feet rear? ...... Feet dap? ......:�4. - Extreme height to highea point of roof? ..................... -... No. of stories in height? ....:74W cZ. . Purposeof building is? 4- ., 1 ...?.......................No. of stores? ....................................................................................................... Howmany families? ............................ ..r�...._........._......No. of rooms? .... ...................%4F................................................................... r F Distance from street line is? ... ............ ..............................................from building line is? ................................. ...................................... ..... ADDITIONS AND ALTERATIONS (Give Brief Description) . ..... ............. . ............................................... ......_.....................................................................................................................E��.... ...... .............................................................................................................._......... .............._............................................CCU:... �.P71C. P'I.►Y�II.................................... ................. ..................................................................................... .......... 4- .0......SY......SANITARY.....OfFICLR Map No. 4IN ACCOR® WITH TOWN OF ... ................... �, UT III ORDINANC NO. 6 If of steel frame, what is exterior construction? ........... .. .... ................ What kind of columns used? ................. .................... .. ..............Size of columns used? What length of columns used? ... .. .. How protected? .......I.. ....... 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 fl ors 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 ........................................................................................................................................................................................................................................................ ...I........................ ........ ..... 2nd " ............................................................................... ..................I.......................................................................... ........... ........................... ............... ................................ 3rd " .................................................................................................................................................... ...................................................................... ......................... ........... ......... . ..... 4th 'A .. ...................... ................................................................. ............................................................................................................................................. ......... . . ..... ......... 5th 11 .................................. .................................................. ................. ............................................ .................................................................... ............................................................................. 6th 46 ... .............. ............ ............................................................ ........................................... .................................................................................................................................................... 7th dA ................I............ ........ . .... ............................... .............................. ....................... ................. .. . .....I..... . ................................................... ............................................... 8th 'd .................................................................................. ...............I.................. .......... ........... .. ....... .... ... ........... . .......... .... ... .................. ... .......................................... 9th dd .................................................... ........10th ..................... ........ .............. .... ... .... .... ....... ..............I... ... ................. ................. ... ....................... is 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 JOIS78 11 G=D$sB OOLUMNS Floors Sim congest Bpsn Centres arUN&C Bite Longest Span Cures Sire Length Centres 1st Floor ... 4, .... ............ .. ���........ w l..Q_ .._.. ..........._..._..... _._......... _. JL ... ...../.. .�........... Z.�....... .. ........_.. _.._......_...._.......... ... u. w..._._.. .....__ .._... ._..._.._...._ 4 ....��.... ................... ................................. ................... .._....._.. _.........._..._.........._.. ._....._._. �..._.... ._......_.... _............... c � '% g ? Size of sill? ............c Size of outside studs? ..........�-x.. ........ Distance on centre. ................. . Size f rafters? ..........Z.X..�¢..... Distance on centres?................. ............................... Size of plate? ./ 5� Size of ledgers or girts? ...............................................................................Size of deck rafters? Distance on centres? ........................................................................................Size of studs in bearing partitions? ..........�-x..�.................. MISCELLANEOUS Style of, P roof, flat,pitch, Mansard, or hi ? ..... . 1.7L ............................ Fireplaces? ................. '` tY eP ........... ? Material of Cornice? Material of roof covering. ............... .................. ........................................... How is buildin B heated? ... ... o`.n........W�'.�........Lining of flues? ... .................. ...........I............. . .............. Thickness of shell of flue? ............ ................................................... ny elevators or lifts? What kind? .................. ............................. How many? ..... . . . ... ... .................. Any hoistwa ? ........ ........... How protected? ................. .............................................. ... ...............Total Value of Building ............. ....d��...ca..�r..e�l...................... � � f When will work be commenced? . .. ... ... ....... . . ......... -�........ ..... 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. Ak licant 5457 BUILDING APPLICATION ApplicationNo. ..............5727........................................................... South onthe ................................................................................. side of .... .................C.1i.nt.o.n.....D.r i.v..e............. ... Street. ...... ............ . . .. ... . .. Street No, ........ t..#3 1 ....... ... .............. Owner ........U. a...Eoua�)ag....0 Same Applicant ... ... CLASSIFICATION Dwell.iag 62.!.x26.1.. . ............ .................... . ............ ......... . .. . . .. ........ . . .. .......... ....... . .................... ... ........ .... . ....... ... ................................. Permit issued on above Application. Date, . ..1.0-2.1-6.5.... 19 ........ TOWN OF SOUTH WINDSOR BUILDING PERNHT Date Oct. 21, 19 65 Fee Paid $. 7?..00 Est. Value $. 18,oo0 i REM SEPTIC PAYMENT 0•Lo--,�., Permit N°` 5457 i on the South side of Clinton Drive Suet Street No. Lot #3l Mild Owner U & R Housing Corp. Applicant S ame CERTIFICATE OF OCCUPANCY ISSUED: Date No. 3 21 Fee Paid $ 3.0 0 CLASSIFICATION Dwelling 62tx26t BUILDING PERMIT N° 545'7 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Oct* 21 j 1965 ig#is is to Tertif1j, That U & R Housing Corp. is hereby granted permission to DKe 11 i test 62 l x26 t at estimated value of on the AOuth side of Clinton Drive. Lot #31 Street on land owned by Q & R ROUS iag GOVD 6 Said Work 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. Issued 00to 21 9 !65 .,-= 'Idingx`nspector. 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." 10-21-65 INSPECTION REPORT welling t.)t ��l Permit # 5457 Job U &4 R - Clinton Drive 1 Footing 2 Foundation . 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing s c.o. 3 213 F Permit No. �� TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit NQ 3 213 Certificate of Oc u�ancy I)IiO! THIS I TO CE TIFY that the at N . I � o. :�"y �' in the Town South Windsor, Connecticut, has I been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. I n Building Inspector Owner, Builders Fee Paid Date 19 E L 07 37 LOT 38 LCrr 39 L,0T 32 'T 3i LC7' 30 v BL a ..goo CON % _rf I V. G �rli% iok 536 0 PROPERTY OF ilk RV'i:adIF. ����u►namur�n�a00 NO. CLINTON DRIVE SOUTH WINDSOR, CONN. Being Lot No. 31 on asap entitled "Map of Oak Ridge Estates Foster St. South Windsor, Conn. Scale : 1" - 40' Sept. 5, 1965 Hayden L. Griswold C. E. Sheet 2 " Scale 1" 40' r, '�► • HAYDEN L. GR t SWO LD C.E. { c` =r' a t�s!KnNSu 3810 ELECTRICAL APPLICATION 4111 ApplicationNo. ......................................................... ..................... South onthe ......... ....... .......... ............................ side of Clinton Drive .. ................. ...... .. . ... ....................... .............. ... Street Street No. Lot #31 Owner U &. .R Ho.u.sing. Co.rp... ...... Electrician W.Mmandk .... ....... FILED IN OFFICE OF The Building Inspector ... .......... .... ... ....... . 19 INSPECTION. ................................................................................................................ ................. .......................................................................................................... ................I............... P. ..................................................................................................................................... OrNo Electrical Work shall be started until a Per. mit is granted by the Building Inspectoi,. 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. 1A APPLICATION FOR PERMIT TO DO ELECTRICAI. WORII. No 4111 Permit No. 3 810 TO THE BUILDING INSPECTOR of the TOWN O F 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. . 1_4':;2; S uth Windsor, Conn., .. /.! 19,vk Sign here < � � Address ... .... .. . Location ......... " Z' �.k�'.l �.... C�-�. �.r'`. . Side of `�4... ..... ................Nature of Building .::.. .. How many stories .. .... . .. .. ............... ................ New or old Building :� .° How many families .. ......... ..........1.......... .............................................. Kind of Installation .... �:' ,�. �`. How many Stores .. Owner ................. .... .......... ........ ... .......... . .... ........... ..... Address ....... .. . .... .......................................................... ............. Architect Address Builder (�'. 4 �-,��;( � v�L.✓� . . .... Address - 1!-� ..... ..y............ .......p... Address 'i L. Electrician ,,. L.. ...... ... . �.%. Size of Main Wires . ...... No. of Light Loops . No. of Heat Loops . No. of Power Loops ............. .... .................... No. of Light Outlets . ...J� No. of Heat Outlets No. of Power Outlets ......... No. of Light Circuits No. of Heat Circuits No. of Power Circuits . No. of Sockets l No. of Heat Receptacles No. of Motors .. ...... No. of Panels ... ........ . .... 4. Size of Heat Circuit 3 No. of Power Receptacles No. of Switches ... . . . ... �..y Total Wattage �1". . Size of Power Circuit . / Total Horsepower No. of Straight Electric Fixtures .. .! Y No. of Combination Fixtures No. of Receptacles ...... ........ ... No. of Cord Drops .. Remarks: For other kind of Installation . . ........ .. . ........................... ........... ............. . .... . ... ......... ..... .... ... . ..... .. .............................................................................. ........ ... ............ .......................... ...... ...... ....... .... .. . ............................. ....... . .... Estimated Cost .. -4- V7..G� 3326 PLUMBING APPLICATION Application No.............3.1.1.5......................... .............. onthe ........................................................................................... side of Clinton DrivelLot #31 .............�.......... ............ Street StreetNo. ........lqt....#31......................................................... U RIL OUB_W Corp, .... ....... ...........Owner .. ............. .................................... ............ Plumber .........;...*... ...................'6............ ........... .. .................... J. - GuastamacaO Filed in Office of The Building Inspector 11-29-65 .................................................................. 19............ INSPECTION. ............................................................................................................................ ................................................................................................................................. ..........................................................................................I....................................... No person shall construct, add to or alter any portion of the drainage system of any building (except to repair leaks) until a Permit is granted by the Building Inspector. . . 3326 Application No. 3115............... Permit No. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. c .:. 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, ........... .............` ... ................... 196,:J... Sign here , ={.......... .... ... Address ..�: Y�..... .....'. ... ..: eeet Location ........4�. ...................... r..ti:`....... ............................................. side of .. S Nature of Building / c"-�.. How many stories ........................... ..... .......................^................. 1 . Owner� 9�./�..........!(��.L...::.-:.........:...................................................... Address . ...... Architect/................................................................................................................... Address .................................................................................................................... C'.. ................... Address .. ........ ... Builder ..��.`.................:fir....:....... .....,.......... ..................... .... .......... .. .. ........... .......... ...... Plumber.' J �� ^, ` ;, ...f z..................... s ..- .. .%.............�1.�'<.............. , -...................... t:....: Addres >ii ` 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 . . .............� ... ......: ........... ............... Diameter ... ......a............... ........ WASTE PIPES, Material .... Diameter �✓ ......................... .............. TRAPS, Type proposed to use is ............ ........ .. .. .... ... ................. .................................................................................................................... RAINWATER LEADERS, where do they run to ....... . . . ..................................................................................................... .............. REFRIGERATORWASTES, where do they run to . ................................................................................ .... ..................I.............................. TANKOVERFLOWS, where do they run to . ................................................................... ................................................. FIXTURES WATER CLOSETS, How many ................�.......................... Where located ....../............................. .. .............................................. Distance from trap to vertical soil pipe ....................................... Pattern .. ........................................................................... WASH TRAYS, How many ....... .......................................... Where located .. .. .... . .. ................................... SINKS, How many �.................................. . Where located . .. ...................-................................... ........ ...... . .......................... BUTLER'S SINKS, How many ........................................................ Where located . .. .. ..................... ..................... ...................... REFRIGERATOR SINKS, How many . ................................ Where located .. ........ . . .... ............. . ... .. .................................. LAVATORIE How many ......... .. ......... ............................ Where located ................. ............................. .. .. , How many ............................../................................. Where located ................................................................................... ........... 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 Gr c. Estimated Cost ...�Wi....................................... PERMIT # 4 0i Application For 3154 DEPARTMENT DECISION 3376 Cd W �$eating Permit c APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N +' FC] APPROVED ❑ DISAPPROVED TOWN OF SOUTH WINDSOR .,.., cd c 11-29-65 tr 00 C) DATE CHIEF SPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O t» � C 1. LOCATION OF JOB �/4}D o Clinton Drive Lot #31 1-4 C13 0 NO. �/j>l �- STREET cri LOT NO. FLOOR APT. NO. N 0 2. OWNER - � o � s.� O 9. ADDRESS bo 3 y ^�� 4.PHONE a►� cd C% S. APP4CAN cLpTa ' x c DO e. ADDRESS z .. .,., y 7.PHONE LICENSE NO. a� �p a O w 9. EXPIRATION DATE OF LICENSE ts' +c 10. ESTIMATED COST s. � o T" 11. IS THIS A CONTRACT COST? ❑ YES 0 bA Permit #5457 12. FEE ENCLOSED S v � 13. TYPE OF ING: RESIDENTIAL ❑ COMMERCIAL INDUSTRIAL � 3 14. TYPE OF JOB:, ❑ 91 AL ❑ ALTERATION INSTALLATION ADDITION REPAIR APPLICATION FOR HEATING PERMIT (C ntinued from Reverse Side) 11. LOCATION OF JOB �' 0f/(k-IRI y e� NO. STREETT FLOOR APT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER 12""H TAE ING SYSTEM ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY / SIZE �/ �� LOCATION f�/, y SIZE �') SIZE 13. OF TANK J_�J OF TANK L X�` z�"��" 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., i�'L)1 "_Z' B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED ='� l NEW OR OLD sBUILDING -�'c!�LZ INSULATED — YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING .z INSULATIO; "-21 ' J� AVG. SYSTEM WATER TEMP. ,� �� B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE (j -16, C FAHRENHEIT MAKE OF RADIATION. BASgBOARD.,COPPER CONVECTORS, OR C.I. RADIATION. �UTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. f c Gi E e DESCRIPTION OF WORK,-! = 15. TO BE DONE: i le-2-. 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS : ROOM SIZE wINDOws AREA - SQUARE FEET B.T.U. B.T.U. o DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL yI ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED -J j LL LL REGISTER L W N AND TEMP. TO F F TYPE AND SIZE RAD. OR LEADER Ir SIZE < WALL f'Gto (INFILT.) DIFF. •F O 'A SQ. FT. FREE AREA -' .57 m 7 -- �'- /J if ' �z' �, ? ,�,; 4mory 0 t , 416 TOTALS U A. HEAT LOSS FROM BUILDING d X� B.T.U./HR. B. DOMESTIC HOT WATER DEMAND ''z� B.T.U./HR. C. PIPING. OTHER THAN NORMAL —' B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A- B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND 18. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWN ) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. t �,eT ATE IGNATURE OF APPLICANT 1990 OIL BURNER OR n FUEL STORAGE APPLICATION Application No. 2001 permit No. 1990 on the side of Clinton Drive Street Street No. Lot #31 U & R Ho ing gorp Owner Application J.Vedovato CLASSIFICATION Crane BS-2 Permit Issued on Above Application 11-29-65 Date 19 - Permit #5457 Fee Paid $ Z ti- �� -� TOWN OF SOUTH WINDSOR APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS EQUIPMENT AND TANKS PERMIT N .1990 DATE/ The undersigned hereby applies for a permit for the installation of range and fuel oil burners, equipment and tanks of the following descri ion: Address 1st floor 2nd floor ____. _3rd floor Character of Building: Frame Brick Owner of Burner//rf• 60 2 1,2Owner of Building_ Lessee or Tenant_ RANGE BURNERS Capacity of Tank at Range in cellar outside Name of Range Burner _ Purchased from POWER BURNERS Name of Fuel Oil Burner41A_ rL —Model Number _— Purchased from 1� Name of Tank %"' Gauge of Tank Where is Tank Located 6fe Size of Tank _ Size of Motor Size of Wire Will other heating equipment be installed? If so, by whom Name of Party Making Installation Address 2L"z c <<� Electrician Address Sig APPLICANT All provisions of Ordinances of this Town Regulating Oil rner Equipment and Fuel Storage (Sections 1-23 in- clusive) and Underwriters' Code applicable to the subject mat of same shall be complied with in execution of thiF work whether specified herein, or not. Estimated Cost $ 1=;4:& Application for Permit received and Permit No. issued Permit Fee Paid _________________—_______ Approved �/TO THE BUELDING INSP R of t6 APPLICATION FOUR MWIN OF SSOI)' H WHI SAM CHOW PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O /4 O Q_L_/�TON ��l�l E ZONING AT (LOCATION) DISTRICT LOCATION .�7 (NO.) (STREET) OF BETWEEN `�� Q OQ 1 1e_0.�' -0\- AND C.ADOd� BUILDING Q (CROSS STREET) (CROSS STREET) SUBDIVISION OAK ���� ��T�TC LOT BLOCK SIZE E LOT /70 /X NN 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 1 ❑ New building Residential Nonresidential 2 N Addition(If residential, enter number 12,M One family 18❑ Amusement, recreational o/new housing units added, i/any, in Part D, 13) 13❑ Two or more family — Enter 19 ❑ Church, other religious number of units— — — — --1► 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 ❑ Parkin 4❑ Repair, replacement or dormitory — Enter number g garage 5❑ Wrecking (I/multi/amily residential, of units ——————— — --► 22❑ Service station, repair garage enter number of units in building in 15❑ Garage 23❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional 6❑ Moving (relocation) 17❑ Other — Specify 25❑ Public utility 7 ❑ Foundation only 26❑ School, library, other.educational B. OWNERSHIPC�ei+Sto'`t 27❑ Stores, mercanfile 8Fur Private (individual, corporation, 28❑-Tanks, towers n nprofit institution, etc.) wilt' $t- /C 6 29❑ Other — Specify 9 ❑ Public (Federal, State, or local government) C. COST (Omit cents) Nonrej4dential — Describe in detail proposed use of buildings,e.g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, G Say— 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 �--o -- a. Electrical...................... b. Plumbing ..................... �•��t c. Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT 3 J ro 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 /O x/S/C" 30❑Masonry(wall bearing) 40❑ Public or private company 48• Number of stories................ OAd4E 31 W ad frame 41 �FXU' Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions ..................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Specify 42© Public or private company 50. Total land area, sq. ft. ........... S�1"•� 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....................... 96® Oil c nditi ning? L. RESIDENTIAL-BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45 C,21 No 53. Numb r f bedr ours.............. 38❑ Coal 39❑ Oth r— Specify Will th re be an elevator? Full.......... 54. Number f 46❑ Yes 47® No bathrooms T' Patfial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To b compl t d by all applicants Name '! Mailing address — Number, street, city, and State ZIP code T I. N Owner or �� - � /vo7 Lessee 2. A RCP, �oo-�s '���c t S ��a~�uF Rc r—tolt Yle Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of pelican Address Application date le—- 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Plans Review Required Check Fee Started BY Approved BY Notes BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER s VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained Number By Permit or Approval Check obtained Date Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER t OTHER VII. VALIDATION Building P rmit numb r 10210 Building P rmit issu d April 20 19 =7 Building P rmit Fe $ 42_00 Approved by: WS TITLE ZONING PLAN EXAMINERS NOTES FRONTDISTRICT L REAR YARD IX. SITE OR PLOT • Applicant Use ■ I I � Ili i a f �pp ,• , • ::•N. �i is _ ■ =f i:f • • . II� : :r:11 ■:SRri .i•• • N• 1;NN�ss • : • is== s .f`N.:!::* :esa I :==e'�=:' _ ' • • Ir � '' :! _•••::: ._\f..S:Sf rf....•f_f•.•R_ ..•_...._..•�■ij�riri�f...NN�---• •��jjj���j .r ■ isi =a Z:•:• a \■t t•NNNNt::.■::\_■� .r1 rI..! S Nia • \ M aS •• a•• r s . as r. ■ + ■ • •f it r : IIIsi:i=.:•� ::1 si=i=: =':i�i1� :'.:::wassawassoNSH' •:' ::se ::$Iiia:: `i: •�•On �. ■: • • M •fr•:�• �ji`fii� ■ . "if nuSt S+SrS•• SHun ��:..:: •■•S•l... •f■. .:..af■r...rra•■:r ..•e: •a 111, ■:R•� �a., .a S ■�� 1: .in ' :r : 1■ •• •:�1puml ��■■a• /!■S�N•• ■.NI.S\■■f..• S;N.■ .5::):•!S:: • . t• • s .• • N•.S: 1 i ski " 'i \ • :� •s! sr�li• �la=a • • • • _! :aH.01, ■ i=:= i • : i r !�_ii • I• •■:s= : = s ::a ::ia i :i� _� : s • ia:a =� ila• = a■ aa. •s: ii�i •�• : ii•i::. 's sn=s i_!i s a=i"Ifluj lgs =z:i=i ss 's,= s=.=: :: _ �Homes s, sa s ' s°= = � . ' al. _..: sia:::m':s "_:�_=a's= is: iiiii'sii:9a'r.:'s':::g**see sumi=:si mu II i s:a s: s =. : i:s.::is.ii' :�s==_ :s: s:s ::=s.s:::sss•saaieiaasla_s..._■_.s:�s.:.ss::�=t== �is�:ii.0 _ s i sa_ :•.1. •s:::s: .a: •. asa .s: •:s.1€F.s.as ••.saailss...=..$a=a•s:\a••ss=s:siil;.ii.•='_ ass.•.:ss: ��w :i�:sSHE Home �:•as:•asses: !•r"He. . ■as=.uses• •a...s■.a.fa•//.srrs/.ff. ■■ ■ •N •.. ■./.■ • •• r■fff : ==i��:=::l !! �I:l::= l:ii: :=:: =:•�unnim= :__ l� i=--�!l1�3� ==�1:::=-l::�--:--- TOWN OF SOUTH WINDSOR BUILDING PERMIT r. Date &ri-I 20 1978 Fee Paid s.42..00 Eat. Value ,$..6.,.350.00 Y Permit N? 10210 on the aide of Clinton Drive Street Street No. 140 Owner Henry Ch en e t t e — Applicant HPDrY CERTIFICATE OF OCCUPANCY ISSUED: Date No. 5114 Fee Paid $ -4-00 CLASSIFICATION Addition BUILDING PBRNIIT Na * 10210 OFFICB OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. April 20 78 South Windsor, Conn. 19 Ar tI?.ur Woods to Terfif1j, That Addition family room - Bay window in is hereby granted permission to dining room. .00 at estimated value of $ 140 C1 inton Drive on the side of Street on land FXnry �Aiene t�r e owned by WorkSaid to be as described in Application 10510 No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. 7 b April20 Issu '� �, -- � / ; 19 14 f 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." = NO• � D TovvNp FSO II SOUTR lw�S R wzNDSOR ' cot 1 I I Certificate 1'errnit NU THIS Is TO to of Occupan S114 at No. O CFRTzpY at th cy been erected 011, and the TOwn of 00t— South omPleted � acc � the _ Windsor, an ordance with TOE of So d here Suil th min by approved °�1n8 Cod$nd d'sOr• Connecticu or oc�Pah�'Y. Zo�g �8'ulatiot, has of Fee P � caner, ai ui 8 InsPector Date 19 --ter PERMIT Application For 4992 4791 DEPARTMENT DECISION Heating Permit O 3E APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS MPPRpVED DISAPPROVED TOWN OF SOUTH WINDSOR 0 A)IIIA 0 1 Zl ,d C 00 � )�DA � C F 1 ECTOR p 78 � APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BELOW 0 r! � A 78 1. LOCATION OF JOB O • r.. ° /V0 CL./�r A NO. STREET +, O v LOT NO. FLOOR APT. N � O LV o FAR �Ce����?'T" 2. OWNER O O s. ADDRESS b0 l` y 4.PHONE 6 T�—/ Cn � IS. APPLICANT .0 P4 ,0 00 s. ADDRESS T.PHONE B. LICENSE NO. C>, C w B. EXPIRATION DATE OF LICENSE v Cp rlL�/7 cy Q 10. ESTIMATED COST : S 2 11. IS THIS A CONTRACT COS" ❑ YES ❑ NO be 12. FEE ENCLOSED sl Permit 10210 pg ai 12. TYPE OF BUILDING:: rba n ❑ RESIDENTIAL ❑ COMMERCIAL O R c N 14. TYPE OF JOB: ❑ INDUSTRIAL c a�i 3 'z' �� ❑ ORIGINAL ❑ ALTERATION INSTALLATI N ADDITION REPAIR j APPLICATION FOR HEATING PERMIT (Continued fr m Reverse Side) 11. LOCATION OF JOB P l- a C L!N ro/1/ m-i v e NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ElYENTILATIO ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTI SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT t4. B.T.U. EQUIP. AT REGISTER—FURNACE MAKE/AND NO.C-W4'V L AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. C iIV Oy"'_B.T.U. OR SQ. FT. NETS&'"Z B.T.U. OR SQ. FT. GROSS/ IRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL 'DhYW.*LL INSULATION 3i, '� ROOF OR CEILING g •� INSULATION! AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: ' /_LL�4 'Lflm'l -� -� ev 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): R Ow SIZE WINDOWS AREA - SQUARE FEET E.T.U. E.T.U. F DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL S" IL ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j t RAO. REGISTER L W N AND c TEMP. TO F a TYPE AND SIZE OR LEADER SIZE < WALL f'Gt0 (INFILT.) DIFF. 20 •F m d iQ' FT' FREE AREA Axe d / to T_U/29?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 F FUEL (A B C) F TOR 17. ELECTRICAL WORK BY: � C AMC ADDRESS SUBCONTRACTORS AND 18. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF T ROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. `p_?P— — _73L DATE I TURE bF APPLICANT Iid TO B ING I1rTSPECTOR of APPLICATION FOR 11M PLAN EXAMINATION AND "!OWN(W SCUM L BUILDING PERMIT IMPORTANT— AWicllldflll to c"Viete all 011111112 is ssetieus: 1r lie life IVr Wd Ix c F�- 1. AT (LOCATION) LOCATION lhn0.1 tsTRttTI OF wrwtsN A#10 (CROSS STRttTI BUILDING (Ct1OSS STRUT) � sluowiSION LOT (LOCK sz�s a: 11. TYPE AND COST OF BUILDING - All applicator complete Ports A - D rr A. TYPE Of IMPROVEMENT 0. PROPOSED USE - Jeer"Wrocking"I~memo use R 1 ❑ New building Residlswtiel Newresidewtiel 2❑ Additien(if residssttial. enter=Mile► 12❑Owe few ly is❑ Amusement, r*orawiOnei Of new bostsing wilts Added. if Airy. 13❑ Two or mere fewily - Enter 19❑ Church, ether religious in Pwt D. t 3) somber of units——— — 20❑ Industrial 3❑ Alteration (See 2 Above) 14❑ Transient hotel.motel. 21 ❑ Perking garage 4❑ Repair, replace- a - of dormitory - Eater Romber 0/utlnts ——————— ——��� �❑ se~I Ce Station, repM N r vate pi' ❑ wrockiw♦(if mmntlti/ansily residential. 23❑ hlespital, Institurlemnel enter metweber o/wets to building in 1 s❑ raofew Part D. 13) 16❑ Carport 24❑ Office.book. professienei s❑ Mwing (relewwwo 17 Co Other — Spect/y 25❑ Public utility I 7❑ FauwdatiM Miy �� �+ W❑ School, librery, other adusetietnai Oro L, ly+�— 27❑ Sterns,nmareonti la B. OMM ERSNI P 2!t❑ Twits, towers a Private(iodividwl, emperetien. 29 other — SpK11y nonprefit institution.aft.) 9 ❑ Public(Federal. Stwo. or local 9wernomwt) C. COST (Onfnt cents) Hentesidentiel — Oessribe in dwell proposed use of buildings. e.g.. food processing plant. machine she*. Iouwdry budding at heapitel, elementary 10. Cost f impfehratRemnt..,............ �O school, secondary school, coils". perechial'scheod, parking garage for ; depatemenf store, mantel office building. office building of industrial plant, i T be installed bat rat included If use of existing building is being changed. enter p.oposad vsa. in the Alrosre cost 0 a. Eleettial...................... b. Plumbing...................... e.Meeting.air conditioning......... d.Other(*lohrefot,eft.)............. rJFE.. pR;jHCIPAL 1. T TA T F IMPROVEMENT � 0 III. LECTED CHARACTERISTICS Of BUILDING - For new buildings and additions, complete Ports E - L; for wracking, complete only Part J, for all others skip t IV. TYPE OF FRAME G. TYPE Of SEWAGE DISPOSAL J. DIMENSIONS 48. Number of stenos................ 30`J Mosenry'(wil booming) 40 M Public at Owego eompamny PNvafe(sepsis rank, etc.) �. Total square feat of flow ergo. 31 ❑wood h 41 rml eave oil floors, based an exterior 32❑ Structural steel dimensions ..................... ..... 33❑ Reinforced conerefa H. TYPE Of WATER SUPPLY 50. Total Iced eraa. s4.h. ........... 34❑ Other — Specify 42❑ Public or private company 43❑ Private(..old. eisfern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ...................... P. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL ❑ S2. Outdoors....................... 35 Gas will there be awmal air is❑ Oil Conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Y s 4S❑ me 53. Number of bedrooms.............. 30❑ Coal 39❑ OMer— Specify will there be an levwsra Full.......... 54. Number of 46❑ Yes 47❑14 bothreoms Partial........ 1 ! IV. IDENTIFICATION — T he completed by all applicants Nome Mailing eddress — Number. strut. city. and State ZIP code T I. No. c ti -7 a.v p rZ own r or Lessee - h 2. Contractor 3. Archi►act or Engeneer Th owner of this building and the undersigned avree to conform to all applicable laws of this jurisdiction. Signature f applicant Address Application dot 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Ian Review Date Plans Date Plans By Notes Plans Review Required Check Fee Started By Approved BUILDING $ PLUMBING S MECHANICAL S ELECTRICAL S OTHER S V1. ADOITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Date ! ;Jamb r 3Y Permit or Approval Check Obtained Number By Permit or Approval Chock obtained PLUMBING BOILER ' CURB OR SIDEWALK CUT I ROOFING ELEVATOR SEWER SIGN OR BILLBOARD ELECTRICAL FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Bui Iding / / 5 P rmit numb r (9 Bui Iding /'v19 )_ Permit issued Bui Iding �9-0 P rmit Fee Apprl�b,ed b /1 l � TITLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date 1 D/20 , 1987 Fee Paid $.4 49 Est. Value $530.. Permit N° 16337 on the We of Clinton Drive Street Street No. 140 Owner Allen No BMh1 Applicant SaM CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid"$, CLASSIFICATION Tool Sh*d BUILDING PERMiT N° 16337 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 10/2 0 1987 X#iz to to iffe1'tt fg, .That Allen H. Bowhls is hereby granted permission to Build a tool shed at estimated value of $ 5 3 0 .0 0 on the side of 140 Clinton Drive Saver on land owned by Same as above Said Work to be as described in Application No. 1 h h 3 5 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Iss&ed 101S2 0/8 7 011 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." IN*` XAP FOP, #;-IR,AGC ORPME LOT 37 LOT 38 LC•-3a JTo•0o �o L:T 32 LOT 31 36 LJT'30 8 X /V I V (Y 53 , 1 n� E CL1 PJ TDh� DF?j yr ILI PROPERTY OF NO. CLINTON DRIVE SOUTH WINDSOR, CONN. Being Lot No. 31 on asap entitled "Map of Oak Ridge Estates Foster St. South Windsor, Conn. Scale : 1" - 40' Sept. S, 1965 Hayden L. Griswold C. E. Sheet 2 Scale 1" = 40' HAYDEN L. GRI SWOLD C.E. ! O-mehy aerhty itas M.ap to L:, VJb51!'ntia9y erect and brat nr Zt:�;IR !fit:i?I'i•.^S a!� ViOioF@'j. _ ff �e Ou • COX t%n to alte T<Ikv- teW IN Tcup O eyeq, - b 5 Odef%C'N Lit ul rJ-g 9 toy, is -se mv, ELECTRICAL APPLICATM Application No. an tl�e siide•E Seaet Strut No. Owner Elw icisn - FILED IN OFFICE OF The Building kq ectoe 19 . ry a+No EbwU cal 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 An stops fit of wood) are installed, without a special_ permit from the of lee of the Building Inspector. Flectsicsl Permit Ida ... — 0 • Master License No. TOWN OF SOUTH WINDSOR Building Permit No. . •-.............. °- Date Filed BUILDING DEPARTMENT Date Final Approval . .. .r.....-----•---•- APPLICATION FOR ELECTRICAL WORK Elecu iW Inspe tw oB LOCATION: Gl! � JOB OWNER: .... P ...................... Side of ..........................._.... .................................... Between ........_..............._....._......._.......... ........... and ......._......__� Address 1. C�_CName of of Building Owner �' If w rk is for Lessee--CAve Address Building now occupied as (unless new) ._.... __....... ........._.. No. of family units now --.- B t be occupied as ._._.--...-.w--•-•�-••-•-.. •••--••-r-•••--. �.�' �'Number of family units to be uilding Is this work i _ ed is a Building Permit? . ........ - Permit(If no BF Pal Permittee ..... .-.. � ... _ Business Address ............ ... ...-... Telephone COST OF INSTALLATION: .......' TO BE FILLED OLT BY PERMIT TEE TO BE WIRED 1 EXISTING APPLIANCES Number f light outlets to be installed •••-•-1••-• -•-•- Number of resent Appliance Circuits � .._.... Number of convenience outlets to be installed .....•. ••••• • p Number of switches to be installed . . •••- Do these include Range ❑ Water Hester Number f appliances to be installed . . . ---• �••-•--- (as list d below) Dryer ❑ Air Conditioner ❑ Oil Burner TYPE RATING NO. Dish Washer ❑ Gas Burner ❑ Range . . . . . . . Well Pump ❑ Elm Heaters ❑ Range T p . . . . . . Oven R c Water Heater . . 14. D + x G-- IN Clothes Washer jD i Clothes Dryer . . . . . S Wa4l; l Dish Washer . . . . . Air Conditioning Motor . . O'` Oil Burner Motor f Gas Burner . . . . . . t Circulator M for . . . . a-�- Attic or Large Fan G Well Pump Electric Hest Other . . . . . . . . 1 . " u< Number of new Lighting Circuits Number of new Appliance Circuits Number of Heating Circuits . . . <� � Number of Motor Circuits . . . . . . • Size of present service --••..--•.. ---�-- - Size of service to be DEPARTMENT DECISION PERMIT# APPLICATION FOR ELECTRICAL PERMIT /L4 2 7 Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg ermit# APPROVED 1540 SULLIVAN AVENUE _ 644-2511 ext. 230 Date Bui1 ng Inspector Application must be printed or typed Location of job 1'7-11)-/1, Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER or any fraction thereof ADDRESS � � ����d� �. OWNERS PHONE# APPLICANT 1111L—IVA) OVA (.,; �B U/� �''• N S ADDRESS A/ a4,-5� ESTIMATED COST$ O C IS THIS A CONTRACT COST? YES NO r�' C► FEE ENCLOSED $ A2, OR-CO TYPE OF JOB: gmal Installation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING 1S THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO WSINESS ISEMBLY CURRENT USE AND OCCUPANCY 'aERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE• GARAGE MIXED USE ADDRESS CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD Y�G� � � f,;W rh3,6 L SIZE OF MAIN FEEDERS AND RATING OF WIRE USED 0/-�L �Y — NUMBER OF METERS l NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CO IN PERFORMANCE OF SUCH WORK.61, ' T �/ 0�'/76 NAME STATE LICENSE NO. TYPE p- SIGN bF PHONE NO. / /��`��U DATE �� �� INOPECTOR — D A(� TIME LOCATION INSPECTION: CODE: RESULT(D/A) : 5;. BUILDING: k ELECTRICAL• PLUMBING: HVAC: OTHER: c' DEPARTMENT DECISION PERUT# APPLICATION FOR HVAC PERMIT 05&014 Application is hereby TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Blda P it# APPROVED 1540 SULLIVAN AVENUE 4 �Xr 6.4-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of job Street No. Street Lot No. FEE SCHEDULE $O - $1,000 - $12.00 Floor Apt.No. Over $1,000 $12.00 per$1,000 OWNER or any fraction thereof ADDRESS OWNERS PHONE#_ a 712, APPLICANT_ OWN Stq ADDRESS /3 ESTIMATED COST $_ IS THIS A CONTRACT COST? ✓ V YES NO FEE ENCLOSED .If OR-CO� TYPE OF JOB: Originallnstallation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR HVAC PERMIT(Continued from rcvcrsc side) TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAL r A/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT LOSS(BTUH) (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) /• ���� i �l7c�oin ' Gd/a' �/vs �i� //�����f -Fi r���/���fc�� ��Q_�-r�- �'GTi�� /moo i/ cnz-we-/ GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) TYPE OF FUEL OIL-GPM GAS-INPUT ELECTRIC-KW OIL TANK SIZE&LOCATION INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY AIR CONDITIONING DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. STATE LICENSE-NO. NAME&TYPE 4IGNATU��EZULIC PHONE NO. ':z 9.6 74 DATE -7, / • 97