HomeMy WebLinkAbout187 Clinton Drive Application No. 5829 Permit No. 5559 . . .
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (erect (fir-s11--nerasko 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., 'Y 19..fp.... �.8'�. �d O�S S i I' �' C .. O RAT I O
Signhen .............................................................. ..................................._...........
Address•YT... 7` ..,s .T...e....�.�,�r.�
Location? .............................................. ..... .....o.��. ,d.0 side of? ..C'r� .�.r. . .•....• .
Nearest cross street? ........ ........................... ..................... . Street No. .. . Lot No.
, ' ...Owner of land is? ......Address �,3�. . .. ... .. r�7.•.`. ...-�«��..
l'V Owner of building is? .... .........................................................................Address ... ...........�................................................`.e
' Architect is? .......................................................................... ......................Address ................`.Y`................................................................................................
Y " Builder is? . ................................................................_............ ......................Address ..................'`............................................ ...........................................
Dimensions of building? 4. 7x a--7.•Feet front? ......0 .7...� �...... Feet rear? ....it ...7.... -..... Feet dap? ......1 .7... ..
Extreme height to highest poi t of roof? ........ ........ o... No. of stories in height?..........w�..
Purposeof building is? .......... ...... ........... .........No. of stores? ......................................................................................................
How many families? ....................................... ...._..............
. ......
......
No. of rooms? .... ...........7..............................................................................
Jr
Distance from street line is? ................ r ......................from building line is? ........... ........................................... ....
ADDITIONS AND ALTERATIONS
(Give Brief Description)
1!.L �.9_ !u cA , F-"v 1. �;J [� .ra eS.ivoebae.etasortsxa
......................................................................................................................... ................................................................................................................................................................
ENDORSED BY SANITARY CHICK
................. .. ........................................................................................................................... ............ ...................................................................................................................
IN AQ __MvCEWITH TOWN OF
MapNo. .. ....................
w son ORDITNCE NO. 6
___� SANITARY OFFICER
If of steel frame, what is exterior construction? ............... ... I. ............. ...................... ......................
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
16. per square foot.
(See Section 14, Budding By-Laws.)
BRICK CONSTRUCTION.
Of what material will walls be constructed.? ....................... . ...................... ......................... ........................... ....................... ........... ...............
Compositionof mortar? ......................................................................................................................................... ................................. ............... ...........................
Height and Thickness of Walls
1016*bt stories Front Waft Side Walls Rear Walls Partition Walls
Basement,
......................................................................................................I.............................................................................................................................................................................. ........
1st Story
............................................. ......................................................................................................................................................................................... ............................... .................
2nd "
....................................................................................................I..................................................................................... ............................................. ........I...............................................
3rd "
..........................................................................................................I...........................................................................................I..,...........................................................................I..............
4th of
.......................................................................................................................................................I................................................................................................. ............. ....I................
5th Of
................................................ ....................................................................................................................................................................................................................................................
6th as
.......................................................................................................................................................................................................................................................................................................
7th do
................................................................................... ................ ............................................ .......................................................................................................................................................
8th do
.......................................... ..................................................................................................... ......................... ................................................................................................................
9th 11
.............................................................loth................... . .............................. .. ............. ................. .... ....... ....................... . ............I..............................................................
of
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 GUMMS DOLUMNS
Floors Bice Lonsest 8paa Centres Size ngest Span Centres She Lena16 Centres
J
1st Floor .. � d (o �► ' /�� �it �
.............. �.... .... Woo
................ ... ... .. gyp' " l� .._........... .,,l�I»... .. ..
a.....N.......
..... ... ........ ..................... ..........................._ ............._.. ........_.. ......... .__...._.....
.4 ....��..... ............. ........................... ................... .............. .._.. ................._..._...._. .�....... ...........�. _.............._
Size of outside studs? ..... .. f..... Distance on centres? ............../.1;.....�.......... Size of sill? ......!�..x........ ............
Size of rafters? ......... G........ Distance on centres?...................ZG. .....`............. Size of plate? ........�...�...e*............
Size of ledgers or girt:? .................................................................................Size Vof deck rafters? .................................................................... ...............
Distance on centres? .........................................................................................Size of studs in bearing partitions? ..........!n...................
MISCELLANEOUS
Style of roof, flat,.pitch, Mansard, or hipped. .... .... ................... Fir laces? ...........
... .Material of Cornice? ..... ....
Material of roof covering. .................. .. ..... .. .cr... ...................................
? 7:�.....c. .— Lining of flues? ... .... .How is building heated`. ,���. ......... ining ............................................. ..............
Thickness of shell of flues? ........................................................................Any elevators or lifts? .......................................................... ......................
Whatkind? .............. ................................... How many? ...... .............................. ........ . Any hoistwa ?. . ..................................... ..................
How protected? ................. ............................................ ........ ..............Total Value of Building .. .9...0..0?....a..........................
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.
U.&R. HOUSING CCU,-.
i
Applicant
5559
BUILDING APPLICATION
Application No. ........... .5829................................................
onthe ......mor.th..................................................... side of
Clinton Drive
...... ............................................... ................................ Street.
Street No, ...L.ot.#27... ................. .......................
U & R Housing Corp.
Owner ............. .. ................................................................
ApplicantSame....... ............. .. ....................
CLASSIFICATION
Dwelling 671x27'
. . . . ..... . ... ...................... ....................
.......... ......... . . .. .......... .. .. ............ .....
. . ................... . ........ .... ... ....... .. .................................
Permit issued on above Application.
2-21-66
Date, . .. . . .......... .. 19..........
v J
TOWN OF SOUTH WINDSOR
BUILDING PERM r
Feb. 21, 66
Date 19
Fee Paid ,$.7.6.00 Est. Value $.19,000
20.00
n KnTIr P,A, ►SENT $....�. .... c. � ,r.
�'�E�E.A ��-- �0 5 5 5 9
Permit
I
on the North side of
E Clinton Drive Street
Street No.
Lot27 #Jk7
Owner U & R Housing Corp.
Applicant Same
CERTIFICATE OF OCCUPANCY ISSUED:
I
Date
No. 3 276
Fee Paid $ 3.0 0
CLASSIFICATION
Dwelling 671x27t
BUILDING PERMIT
N? 5559
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. 'Feb. 21,# 19 66
ig#to to to Terttf1j, That TJ & R Housing Corp.
is hereby granted permission to titrel1ing Lot 1
1
;_7--67 tx27 t
n at estimated value of 190000
on the !1-yr tll side of C1 i nt= Dr iys, Lot #27 Street on land
owned by U & R HItising Grp'
Said f-3rk to be as described in Application
No. 5'29 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Feb. 21 a 19 66
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."
241-66 INSPECTION REPORTbwelling tot 07
Permit # 5559 Job U & R-Clinton 'nriv f.4
1 Footing '
2 Foundation
3 Framing
4 Wiring �i��G �- 2y ~ [� —��— y1A 116 y lQ
5 Plumbing P
6 Heating
7 Lathing
s C.O. #3276 ---
Permit No. TOWN ,OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit NQ 3276
Certificate of Occupancy -
�is HIS IS TO CERTIFY at the
at No. he To of South Windsor, Connecticut, has
been erected and completed in accordance with the Building Code and Zoning ReP�ons of
the Town of South Windsor, and is hereby approved for occ pancy.
I
I - Building Inspector
Owner, Builder
Fee Paid "-''''� Date + 19 ,
I
0 r �ou
411
So' a L
FOR BUILDING PURPOSES ONLY,
PROPERTY OF
NO. CLINTON DRIVE SOUTH WINDSOR, CONN.
B ing Lot No. 27 on map entitled "Map of OAK RIDGE ESTATES
^
Foster St . South �windsorr, Conn. Scale : I" -40' Sept. 5, 1965
Hayden L. Griswold C. E . Sheetl"
Scale I " = 40' 1711��
HAYDEN L. GRISWOLD C. E.
3853
Ll
ELECTRICAL APPLICATION
Application No. .........4-1.54.............................. ...........................
.......... ...
north
onthe ............... ... ........ ................ ....... side of
Clinton Drive
..................... .. . . ... .... ................. ............ . Saw
Smet No. Lot #..2 . .........
Owner U & .R Hou.si.ng....Co.r.pe
Electrician W.Z.emanek
FILED IN OFFICE OF
The Building Inspector
4-1-1-16
.. ....... ...... .......... ....... . ..... .. ...... . 19
INSPRCTION.
........................................................................................................................ ..... .........
......................................................................................11....................................................
.............................................................................................................................................
"'No Electrical Work shall be started until a Per.
mit is granted by the Building Inspector.
In New Buildings no wiring shall be started
until the plumbing and heating pipes, and the fire
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORII.
N 4154
Permit No. 3 853. . .. ...
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH W INDSOR., 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.
South Windsor, Conn., ... .. . 19`.6 Sign here '?a'!�'..... .... � ;1
Address .............. . ... . ................. ... ........ .......... ........ ........
Location Side of
Div}�..... ,! ...... . ..... ..........................
Nature of Building ..... 'h . . . How many stories ...............
/�
New or old Building ......... How many families . .....................................................................................
�Kind of Installation ........ ..` ......... ... . . How many Stores .................................................................................................
Owner ............. ........ . . ......................... ...... .... .................. ...... ............ .. Address .. ...... ...................................... ............................... ...............
Architect .......... .... . Address .. .. .. .... .................................................................................
Builder ... ..... Address / '.. -� '.... ... .�
Electrician /!.rrG? G....... Address ..... � � . ..%
Size of Main Wires .. . L................. ...................
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
r�
No. of Sockets No. of Heat Receptacles No. of Motors ............. ...............
No. of Panels ............... Size of Heat Circuit �� No. of Power Receptacles
No. of Switches ........... .V.. .. Total Wattage .... ... .. .� .. . ... Size of Power Circuit ..
Total Horsepower
No. of Straight Electric Fixtures .. j2. No. of Combination Fixtures ..
No. of Receptacles .. ................ �/o. ... No. of Cord Drops ... ...
Remarks: For other kind of Installation .. . .......... ......... . . ........ ..... .....
................................I........ I... ........ ......... .. .. ....... .. .... ...... .. . ......
............................................................. ............. ...... ....... ... ........... ............ ................. .......... .... .
............................................................................ . .. . .......... ........ .... .... ... .
Estimated Cost ....G... 1!..'. . ...
3377
wosh�
PLUMBING APPLICATION
Appliatfim NkL. 3166
an the-Lt side of
Street Na.
Plumber
Fled in Office of
The Bwl&og
3-28 66 iy
in 42 lrvr.
.....................
No peon shall consmuct, add w or aim my
portion of the &ainage "m of my buildiog
(ezoept to repair lealm) undil a Pkemit is vomd
by the Building Lapeaw.
r
I
3166 3377 Application No. ... .......... Permit No.
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
_hereby make application to perform plumbing according to detailed description below. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether
specified herein or not.
South Windsor, ere . . ................................
.......... ........... 19 .... Si
Address ...K............... ........ ........ .. .... :........ ...........................
Location ../.................................................................................... side of .. .... . . ........... ........ Street
Nature of Building ........... .... s,. �. ................. How many stories .. ..........................................
Owner .. ... ...... . ...Q........t-:...c::...`.. ....... Address .......F. .... L ... .......... ........... ,
` ..........
Architect ......... Address ........ ................................. ......................................... ..... .............
Budder .......�.... ,,....,,............... ................. ....................... . ... . .......Plumber . : . ........... AddressGG . ..... .... ............................
.......
DRAINAGE
CESSPOOLS, How many . .. .... .............. . Where located .. ........... ...........'::: .............................
......
Are they water tight . . .. . .................................. .�t'"? ................... Of what materials are they built ........C.., '.....
�e
Size of pipe from house to cesspool ...... ........... Kind of pipe . •
.. ... .........................................................
j;
MAIN DRAIN IN CELLAR, Material . `. ..... .. Diameter ............... ............�' ........................................................................
Aboveor below cellar bottom . :....`..... . .................................................................................................................
.
SOILPIPES, Material . ......... �...,..�..,...... ..... . ............ Diameter ............................. ........................................................................
WASTEPIPES, Material ........... �_j,t =-L...r.............. Diameter ....................v2..11............................................................ .............
TRAPS,Type proposed to use isa..., :; .....................................................................................................
RAIN WATER LEADERS, where do they run to
. . ..................................................................... .........................................
REFRIGERATOR WASTES, where do they run to .. .. .. ..................................................................... ............. ........ ..............................
TANKOVERFLOWS, where do they run to .. .......................... ................................... ......................................................
3 FIXTURES
WATER CLOSETS, How many ........ .................... ... ............. Where located ... . . ..... . ........ . . ........... .......................
Distance from trap to vertical soil pipe ............... ......... Pattern � <.;..e i.., - ..............................
WASH TRAYS, How many .. ......................................... Where located
SINKS, How many ....... .... ... .................................../..................... Where located . .. ..... .
BUTLER'S SINKS, How many ....................................................... Where located. . . .............................................................................
REFRIGERATOR SINKS, How many.. ........................... .... Where located . ...... . . .......................................... ................................
LAVATORIES, How many . ..3 ............. Where located ..... ............
BATH TUBS, 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
ofroom where same are to be located ...... ` ...................................................................................... .. ........... ........
Estimated Cost.. a............. V
l !V
P�L�T2#
Application For
DEPARTMENT DECISIONCd Permit
3424 Heating er
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
tQ APPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
4CC
0 19 66
00 (D DATE CHIEF INSPIECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE -BEL Of
O U2
4-3
C 1. LOCATION OF JOB `
� 0 1n
_ is G G ��
1-4 Cd r, NO. STREET
+, O
Cd v JC
LOT 0. FLOOR APT. NO.
-4-A O
N
O �
2. OWNER
Cd ;
O
0 0 3. ADDRESS L ,A
4-1
4.PHONE
0 Cd
S. APPLICANT �- � 64
rri �
ow s. ADDRESS 0
Cd 7.PHON
.G e. LICENSE NO.
O
a +'
w s. EXPIRATION DATE OF LICENSE
O
v
10. ESTIMATED COST 3
O
02 o �,
= 11. IS THIS A CONTRACT COST? ❑ YES Id"NO
bA Permit #5559
z 12. FEE ENCLOSED s
� 0
rA t3. TYPE OF BUILDING:
( L�J RESIDENTIAL ❑ COMMERCIAL
O .9
cis 14. TYPE OF JOB: ❑ INDUSTRIAL
3
r-r IGINAL ALTERATION
INSTALLATION ❑ ADDITION
REPAIR
9� I
I APPLICATION FOR HEATING PERMIT (Continued fr m Revers Side)
LOCATION OF JOB lG��
NO. STREETS FLOOR APT.NO.
12. TYPE OF INSTALLATION: OIL BURNER I(d"HEATING SYSTEM ❑ VENTILATION ❑ SPRINKLER
❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS
IDENTIFY
i
SIZE LOCATION L t 6G�,2U-f�� SIZE " SIZE
13. OF TANK OF TANK /C 6G OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE IAAK14 N'D` 4/jO< /'i J 'B.T.U. OR SQ. FT. NEZ92 4T.U. OR SQ. FT. GROS11 e!FI 21_ RING RATE�_O
FLOORS TO BE HEP�ED - NEW R�OLD QJJILDING ��Ll INSULATED — YES OR NO a
TYPE OF WALL /' / 'INSULATION - Z G ROOF OR CEILING INSULATION
0
AVG. SYSTEM W TER TEMP. T B.T. SQ. FT./HR. EM SION
c
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE c C�, °FAHRENHEIT
MAKE OF RADIATION: BASEBOARD�OPPER gONVECTORS. OR C I. RADIATION. OUTPUT PER S CTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. '' ' (� 1 / G " l<< t
DESCRIPTION OF WORK
15. TO BE DONE: ""C C-<
I�
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS).
ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. I,_
F DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL m
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED J j LL IL REGISTER
L W H AND TEMP. TO <f H TYPE AND SIZE RAD. OR LEADER
SIZE < WALL f'oto (INFILT.) DIFF. 'F O m SQ. FT. FREE AREA
13 26 act' I IL 06a
1-7
i 2 r' 1 ° �c� /7ov S/3v
61-YeD 2-3
LI S to c? S- 3 '
+I< 4'/, 7- 3 0 3 v 2 3 3 /YCZ' •2 0 c c 3
7 / 3 20 .�f3 3oa v7/o - -- --- 7 ,.
ern p CYT iL)iCYI / y
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING, OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY;
NAME /' ADDRESS
SUBCONTRACTORS AND l�
18. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN. �j Z./�_-�,(,
DATE SIGNATURE 5MPPEfCANT
2022
t
OIL BURNER
OR
FUEL STORAGE APPLICATION
Application No. 2033 Permit No. 2022
on the North side of
C 1 i nt o n Drive Street
Street No. Lot #27
Owner
U & R Housing Corp.
Application H•Schulze
CLASSIFICATION
Crane NR4132
Permit Issued on Above Application
4-19-66
Date 19
Fee Paid $ Permit #5559
i
TOWN OF SOUTH WINDSOR
APPLICATION TO INSTALL RANGE AND FUEL IL BURNERS
EQUIPMENT AND TANKS
PERMIT N .
2022 DATEI`
The undersigned hereby applies for a permit for the installation of range and fuel oil burners, equipment and
tanks of the following description:
Address. e �Z L 1st floor — 2nd floor __.___3rd floor
Character of Building: Frame Brick
Owner of Burner Owner 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 Burner_� ��-e-� Model Number �
Purchased from �^
r
Name of Tank '2 Gauge of
Where is Tank Located Size of Tank
Size of Motor 1(.i, Size of Wire �/
Will other heating equipment be installed?
If so, by whom -
Name of Part Makin Installation_
Na Y t - T
Address
i,
Electrician � ��7� � ?
Address
Si f APPLICANT
All provisions of Ordinances of this Town Regulating Oil Burner Equipment and Fuel Storage (Sections 1-23 in-
clusive) and Underwriters' Code applicable to the subject matter of same shall be complied with in execution of thie
work whether specified herein, or not.
—1 —
Application f r e mit received and
Estimated Cost $� �� _
Permit No. issued—
ermit
Permit Fee Paid P_ #5559 Approved~
13UILDING INSPECTOR
HOME OccvPAnw FOB D�Da 9
/Z y 1 cJ ASSESSOR'S USE ONLY:
Minor ZEO Approval Date
Major
pZC Approval Date Home Occupation Type
Expiration Date Code
Name Dr,
Address of proposed occupation: C n
Telephone T� �� D 6 — Zone —
Description of Occupation: 1
c T�
A. PROPOSED
SIGN
Please use the boxes or an attached sheet to provide the following:
1. Attach copy of plot plan if applicable.
2. Use box A (or attach sketch)to �draa proposed
floor plan of the home
3. Use box B (or attach sketch) o
occupation area.
4. Architectural elevations for any proposed additions or modifications
must be provided.
B. FLOOR PLAN ( Basement _1st Floor 2nd Floor)
Floor area of dwelling 2eoc� r
Floor area of home occupation SZ)
% of floor area
�p
/\J
' ns regarding home occupations and intend to comply with said regulations. I
I have read the regulations g 8 on termination of this occupation at this
understand I must notify the Planning Department in writing upon
address. Date
�1
Signature of Applicant
#
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT P=-s
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Peer ' #
APPRO 1540 SULLIVAN AVENUE
644-2511 ext.230
1 ,12 alai
Date g Inspector a Application must be printed or typed
Location of job
&.2 chn tOn
Street No. Street Lot No.
FEE SCHEDULE Floor Apt.No.
$0 - $1,000 - $12.00
Over $1,000
$12.00 per$1,000 OWNER r
or any fraction thereof ADDRESS 4P 4 YKZW�2& 474�,A�
OWNERS PHONE#
APPLICANT
0* ADDRESS 2 2
i' ��
Jq
ESTIM[ATED COST$
0
IS THIS A CONTRACT COST? Ae'00�
•,1 ` YES NO
FEE ENCLOSED $ 12
OR-Co TYPE OF JOB:
Original.Installation
Alteration/Addition Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
MERCANTILE
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
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS f�
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 CODES IN THE
PERFORMANCE OF SUCH WORK.
,ee5 /���te,Z0 1 if
NAME STATE LICENSE NO. TYPE SIGNATURE OF AP ICANT
PHONE NO. f? ��/ DATE 7
INSPECTOR //ZDATE_2�fq TIME S
LOCATION JR rf,tt-lA Dl -
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL: - o
PLUMBING:
HVAC:
OTHER:
-lectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 187 Clinton Drive
,J IVAC # Date:
Sprinkler# No. 27636
FO?7�
Estimated Cost $ �� � e�
Buildi � COMPLETE RED BOXED AREAS Permit FeeO TYPE OR PRINT ONLY Occupancy Fee $
Appr.for CO. SIGN ON REVERSE SIDE
Total Fee $
TO BLALDIIG DEPARTMD-4,TOWN OF SOUTH WH)SM CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location 7 c •,v /��'� �li'� Lot No. Side of Street Zone
Applicant /Z. Tel.# 4 '-/ Z-/ 5`0 .75f
Addr ssTt—3 fo T9 2 Zip n o Lic.#u -7 Q' 3 1
Own r Address '7 e--'
Architect Address
Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit:I e- VACo C,-F
City Water 0 Well ❑ Septic System 0 Sewer ❑
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by Date Use Croup Construction Type
Rersed 1197
r
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and s usl is allowed.
Signed , I
I hereby apply for a Certificate Occupancy for the work described in this application for the permit
Sig d
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
• A
L
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-27636-B 4,400
B10 FINAL 02/19/02 JFF A
B10 FINAL 02/19/01 JFF A CLOSEOUT