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HomeMy WebLinkAbout104 Gordon Drive (5)J f l 1 Application No. 6039. Permit No. 5769 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (erect (fnn6 v evoges-w) 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, Co . . .... .... .......Z.?........... 19.... SignEft A Adds I........... Location? ...................................................................... . iside of? ......t.t1. Nearest cross street?mil.G,.. No. .................................................. Lot No. .. ............... .... 7Zkstreet Owner of land Address , Au o d Ownerof building is? ... ....................................`.........................................Add" ...........`.....................................`..................... ..................... '.. G chitect is?" % /,.t' .......I4.....r4! J ..................Address ........ ....... C..... ds.o,•i, udder is. rl..E'................Address ... '........ l PI w a Dimensions of building?r..l.X.Ys.. .....Fact front? ... iZ ......... Feet rear? ................. ....... Feet deep? ... '.. ... Extreme height to highest point of roof? .............. ..f... .. ... .. No. of stories in height.? Purpose of building is?w /. .oe.d ................No. of stores? ..... .................. ......................................................................... How many families? ............................. ?- ........ of rooms? .... ......../a................................................................................. r Distance from street line is? ... ... ........ .................................from building line is? ......... .................................................................. ADDITIONS AND ALTERATIONS Give Brief Description) Map No. ENDORSED BY SANITARY OFFICER IN ACCORDANCE WITH TOWN OF z U W D R ORDI ANCE 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? ... ......... .... ............ ........... .............. 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 Reltht stories Front Was Side Was Rear W&Hs Partition W&Hs Basement, 1st story 2nd " 3rd " I.............................................. '..'.......................... ... .......... .............................. . ....... ..... 4th Is 5th 44 I................................................ ........................ ......................... 6th Of 7th ds 8th is I........... .. ........... ........ ................ ... ....................................................................... 9th 'd 10th Material.of Front? Jf 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 0TSDffit8 OOLUMNS Floors Size Longest Span centres Brident size Longest span centres Sire Lm4r& centres ist Floor L*ib*A C) 7fQ-,-4- r N.w.....w..... ...................... Size of outside 3tU&? .....110Z-?!;--f... e.'f Distance on centres? .................. Size of sill? ........... Size of place? ................Size of rafters? Distance on centres?.............. Sizeof ledgers or girts? ................................. .............................................Size of deck rafters.? ..................................................................... ............... Distance on centres? .............. .........................................................................Size of studs in bearing partitions? ....... MISCELLANEOUS Fireplaces? ..........Style of roof, flat,pitch, Mansard, or hipped? .... 7 Material of roof covering? ...... Z ........Material of Cornice? .......eec,->...C.P.....'n...C;;;............................................. How is building heated7. ./,-/4/p ........ Lining of flues? F4,x Thickness of shell of flues? .............rl....................................................ikny elevators or lifts?. ...............................I......................... ...................... Whatkind? .............. ................... ............ How many? ..... ....... .. .... .................. Any hoistwa .9 ................... .............................. . L'L 1 1 How protected? .............. ......................... Total Value of Building ........./7.......Q...C>....gv.......................... When will work be commenced? yrr.......... 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 5769 BUILDING APPLICATION 6.Applicatim No. ............ ........39............................................... on the ............n.o.r..th.............................................. " of I-'ordon DriveDrive Stmet. Lot #20StreetNo, ................ . . ...... ............................... Owner ....Jamrz....MillUP............... ........... SameApplicant .. ......... CLASSIFICATION Dwe,1-.irig LOV.M ..... .... ...... ................... 52fx241 Permit issued on above Application. Daft, . 9-19-66 ......... 19 ........ TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Sept. 19, 2 1966 Fee Paid $6 8..0 0 Est. Value $. .1:1 s,000 LPTIC PAYMENT $.,.20.00 Pertnit N° 5769 on the north side of Gordon Drive Street lStreetNo. Lot #20 Owner James Milkie Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. 33 74 Fee Paid $ 3.0 0 CLASSIFICATION Dwelling 521x24+ BUILDING PERMIT N? 5769 OFFICE OF THE BUILDING INSPECTOR of the i Town of So uth Windsor, Conn. South Windsor, Conn. Sept.l9 i 19 66 Mot' to to Terfif1j.9 That Jame• Milkie is hereby granted permission to DWRIU122 9 2*x& at estimated value of $ 1 000 on the 12arth side of Gordon Drives Lot #20 Street on land owned by James Milkie Said WOrIc to be as described in Application No. 6039 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued sspt i 19 2 1966 Puilding 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." Q-19-66 INSPECTION REPOR75welling t-nt o Permit # 5769 Job Mil,kie-Gordon Drive 1 Footing 2 Foundationq/zo/66 —oe 3 Framing 4 Wiring 5 Plumbing WAG 6 Heating 7 Lathing s C.0. #337 Permit No. 4V TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit 3374 Certificate of Occupancy . THIS IS TO ERTIFY that the w at No. in the TbA of South Windsor,Conpecticut, has been erected and completed in accordance with the Building Code and Zoning Regula s of the Town of South Windsor, and is hereby approved for occupancy. .* O) guilding Inspector Owner, Builder t fr Fee Paid_ Dater- 19 j i J Allr J r-777 f 43 COD 1536 P "OPERTY OF SL'RN'-'v; NO. ALAN DRIVE SOUTH W I NDSOR, CONN Being Lot No. 20 on map entitled "Property of Rolling Park Home , Inc. South Windsor, Conn. Scale 1 " = 60' January 10, 14S7" Scale I " = 40' HAYPEN L. GRI SWOLD C. E. FOR BUILDING PURPOSES ONLY 3993 ELECTRICAL APPLICATION ApplicationNo........4.2-9.4........................................................... northonthe .. ..... .. ........ ........... . ................ . ............... side of Gordon Drive Street Lot 20li .. .. . .Street No. 4 Owner Jame s Milkie Electrician Lane Electric FILED IN OFFICE OF The Building Inspector 1-173..0-.6.6. 19 INSPECTION. fiffNo 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. No. .. .. L....:.............. Q? Permit No. ..... 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. r r_) .± South Windsor, Conn., ........ Y 19<< Sign here i?:...... . ............... ............ ..... ..... .. ......... ........ ....... Address 4.3.'.... '"a d Location G;•;y`..Side os' SOUTH.... LN n n R, CAP,N. Nature of Building How many stories .............................................................................. ................. New or old Building How many families .......... ....... n Kind of Installation How many Stores ..................................................................................................... Owner ............ .a» .....:Address Architect ........... . ... ............ .. Address . . . . ........ ........... .... ......................................................................... Builder Address J ' Electrician Address 4 3.1.....E Y_t F•i 4 (l' Size of Main Wires ... ... N n ti R, ( ..................................... SOUTH 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 ... . ... .. . ... ... No. of Heat Receptacles No. of Motors ......... .... .. .... .................. No. of Panels .................... ....... Size of Heat Circuit 741 No. of Power Receptacles No. of Switches . .. . ... ..v Total Wattage Size of Power Circuit ... .'Y Total Horsepower No. of Straight Electric Fixtures No. of Combination Fixtures No. of Receptacles ... .No. of Cord Drops ... . . Remarks: For other kind of Installation .. . ......... ...... .................. ............. ... ............................... ... . ................................ .. ........... rlv...................ti-<..ti........H- -....... I.. ............. ... ..... . Estimated Cost ... y`' 3476 PLUMBING APPLICATION ApplicatianNo. 3 265 on the _......South ade of Gordon Drive Street Na .__._Lot #2 0 t), 0 Owner James Milkie Plumber _. R.J.Heber t Filed in O$icc of The Buildmg Tn pecaor 10-25-66 19 w. No penm:ball cooww: add m or abet my pordoa of the drainage system of aw bwl&g ezoept to repair leafs) unod a Anak is grasmed by the Building Lapecaw. 3476ApplicationNo..326.5........................ 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. 001-1a0 South Windsor, ...........(5-V.................... 196',6. Sign here Address ......... Location .......40............ ...................0.6.............. side of .... .. . ...... A............... Street44 .......... ........ Nature of Building 1..................... ... How many stories - ...................................................................... Owner 01!!=............... Address 7..,I.r..CZ.-AA-.1400.......4..7.—.Za.1,1Y Architect ................... ............................................................................................ Address ................1!............................................................/I.. .................. Builder Address . ..... .......< <.. .............. ............. ......... Plumber 7....................... Address,,5-.-d._z-,yvo./)r&....))-A.. ... DRAINAGE CESSPOOLS, How many .. . .................................. .. ............... . Where located ..JE4./.......................................................... Are they water tight . ..................................................................... Of what materials are they built ...... . .... ... ............. . .. ............ e e..................... Kind of pipeSizeofpipefromhousetocesspool ... ....5 00....... MAIN DRAIN IN CELLAR, Material ..... Diameter .....&---/-4-0'' r............................................................ ........... .......... Aboveor below cellar bottom ..004= 4-0...W............... SOILPIPES, Material . Diameter c?..... ................. &.............................................................. WASTEPIPES, Material -9,0.000E Diameter ..../ A.. .........A....................A TRAPS,Type proposed to use is .... .07.w. ... ... ..................................................................................................................................... RAIN WATER LEADERS, where do they run to REFRIGERATOR WASTES, where do they run to TANKOVERFLOWS, where do they run to I........I................................................................................................................ FIXTURES WATER CLOSETS, How many ........ ...Z-.'... ........ .... .. Where located Distance from trap to vertical soil pipe ....../Sr ................... Pattern ZcrtO 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 ..................21................................... Where located jle Oale.... ......................................... BATHTUBS, How many ...................................................................... Where located/ tr..Ivhaf. ..... 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. 4.Q..a-0................................. PESIIiJ13ApplicationForj DEPARTMENT DECISION 3 53 4 Heating Permit o APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR c cd 12-22-66 00 O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O e arl .0 o LOCAT ON OF JOB 0 o D Gordon Drive, Lot #20 Cd A NO. STREET cd p 4) &0) LOT NO. FLOOR APT. NO. N W. A 4 2. OWNER A cd O 3. ADDRESS R boo 3 4.PHON D r U) S. APPLICANT c Z'Arl)e. ADDRESSo ' a co 7.PHONE 161*0S o .o S. LICENSE N0. t a d P B. EXPIRATION DATE OF LICENSE O a c to. ESTIMATED COST f ^. b0 11. 13 THIS A CONTRACT COS"b YES N10 z12. FEE ENCLOSED $- Permit #5769 c ai 13. TYPE OF BUILDING: bo RE8IDEMTIAL COMMERCIAL O A crs a u. TYPE OF JOB: InOUSTRIAL ORt INAL ALTERAT INSTALLATI N ADDIT REPAI APPLICATION FOR H ATING - PERMIT (C ntinued tr In Reverse Side) 7;'SLOCATIONOFJOB ETredNO. rnrn STRE FLOOR APT.NO. J iZ. TYPE OF INSTALLATION: IC9 OIL BURNER HEATING SYSTEM VENTILATION SPRINKLER OW BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE OF FILL OF VEN LOCATION /SIZE 13• OF TANK S OF TANK ^J 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE D NOh"jd d B.T.U. OR SQ. FT. ND1 B.T.U. OR SQ. FT. 6 FIRING FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED YES OR NOJr TYPE OF WALlk0_0. 9F&Z?JE:- INSULATION y ROOF OR CEILING INSULATION,rY AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION , INDOOR-OUTDOOR TEMPERATURE DIFFERENCE a - p FAHRENHEIT MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U.! C O d'. J ) U DESCRIPTION OF WORK c r, WZ ZT .142 /215. TO BE DONE: Is. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U.F DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL y R M NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED J j LL LL RAD. REGISTER L W N AND TEMP. TO F F TYPE AND SIZE OR LEADER SIZE < WALL SO INFILT.) DIFF. F OF m h %7 SQ. FT. FREE AREA U boa `a0. 066 6 00 6 a06 7 iiS- 7A o AcAf?66 VS-6 O o A O o 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 1s. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. DATE SIGNA E OF APPLICANT 2083 OIL BURNER OR FUEL STORAGE APPLICATION Application No. 2094 Permit No. 2083 on the side of Gordon Drive Street Street No. Lot #20 Owner James_Milkie Application R•J•Hebert CLASSIFICATION enn M80 Permit Issued on Above Application Date 12-22-66 19 i Fee Paid $ Permit #5769 TOWN OF SOUTH WINDSOR APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS EQUIPMENT AND TANKS PERMIT N . 2083 DATEp4V?_/,IZ The undersigned hereby applies for a permit for the installation of range and fuel oil burners, equipment and A tanks of the following description: Addressv 1st floor 2nd floor _--__ 3rd floor Character of Building: Frame 1 _Brick Owner of Burner LE44 lL /2F Owner of Building AN 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 C,t Model Number ,k-r Purchased from 06r !I j/ Name of Tank ZZ /11 kJZ1gW 4<04t—_ Gauge of Tank Where is Tank Located 77 Size of Tank Ste' Size of Motor ori'/t` Size of Wire Will other heating equipment be installed? If so, by whom Name of Party Making Installation Address— Electrician Address Signed 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. 12-17-66 Estimated Cost $ e7J Application for Permit received and Permit No. 2081.. issued 12-22-66 Permit #5769PermitFeePaid _____________________ Approved UILDING-IiVSPECTOR Application No. 6874. Permit No. 657W ....... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to 4aeact (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., 1, .../a................... 19_4 Sign here i Address .!f .... R....... ....a....... .. • Location? ........ ........................................................... t...............side of? . ..................................................................10......................................... Nearest cross street?Street No. .................. ................................ No. ............................... . Owner of land is? J.1.Of.t.[ti rV.P. 04.,e..............Address/.!?...,f........, axe......... ........0.. ........... Ownerof building is? .........`.............................. ..........'......................Add ress ... ....K....................................................................................................... Architectis? ... .... .....................A........................................... ......................Address ............. ........................................&C......................................I............. Builderis? . .........................a...............................................°`.........................Address ............`.`......................................... ......................................... ............ Dimensions of building? .. . ....... ............Feet front? ................ ....... . Feet rear? ..... ....... ........... Feet dap? .......... .. . Extreme height to highest point of roof? .................. .................... ... .... . . . No. of stories in height?................. Pse of building is? .e. r.A2aa..ea.................................No. of stores? .................................................................................................. t How many families? ...... ..... ................... ............_..................No. of rooms? .... ............................................................. ......................... from building uu s?Distance from street line s.? ADDITIONS AND ALTERATIONS Give Brief Description) t t tea... t. ....... ...,/,Z.4iLA-/-J 7. 1...... a. ......... l........• .... .............. ............... ........... :L.............. .."... 0............... .. ... . ...'A........................................................................................ ....................... .................................................................................. 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, Budding 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, I.......................................................................................................... .......................................... ................................................... .................................. 1st Story 2nd " 3rd " I.......... .. . ....... 4th 19 5th 11 6th do 7th 46 8th 4' I.......................... ..... ...... .............. . ... .............. ........... . ... ............... .. ............... ... ................... 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. Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOIS78 G=DERS OOLtMNS Floors Size Longest Span Centres Brl%, Size Longest Span Centres Sim Length Centres Ut Floor a........... .............. .................................. ................... 4th.......... .............. 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? ...................................................... ...........Matena of Cornice? ...................................................................................... Howis building heated? ........... ...........................................................Lining of flues? ... ........................................................................................... Thickness of shell of flues? .....................................................................Any elevators or lifts? .......................................................... ...................... What kind? ...... ...... ..... .......... ......... How many? . . Any hoistwa How protected? .......... ... .............................................. ....... .................Total Value of Building ......1Q.0..&I..............'.................... 0 When will work be commenced? ... ... . . Mc,..4.......... 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. Ar A plicant 6574 BUILDING APPLICATION Application No. .......0.7.4................................................. east onthe ................................................................................. Side of G.o.r..d?.n....Dr.i.v.e ............................. Street. StreetNo, Owner ........William... . . ..T.......Sup.Rl.e.......... . Applicant . .......... ......5 amp...... ............... ... ........ ..... CLASSIFICATION Basement playroom approx. 1200 sq.ft. Permit issued on above Application. 11-18-68 Date, 19 ........ f G TOWN OF SOUTH WINDSOR BUILDING PERMIT g P Nov.18, 68Date19 i Fee Paid s 4.00 Est. Value $11 0 00 F Permit N° 6574 on the east side of Gordon Drive Street Street No. 104 Owner William T.Supp 1 e Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No.3 7 76 Fee Paid $ 3 .00 CLASSIFICATION Basement playroom approx.1200 sq.f t. BUILDING PERMIT N° 6574 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. IWOy'18 0 19 68 aria 'to to Ter#tf1j, That William T.Supple is hereby granted permission to Alterati3n of existing basemwat Inta playroom Approx,1200 sq.ft. at estimated value of $10 000 on the e a at side of 104 Gordon Drive Street on land owned by Williaid T.Supple Said Work to be as described in Application No. 69 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Is gd N av.18,19 68 Buffing 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." Permit No. / TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N 3776 Certificate of Occupancy THIS IS MICERTIFY that the at No. in the Town of South Windsor, Connecticut, has been erecteh and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. Building Inspector Owner, B ' d Fee Pai v' Date 19 Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N? 3776 Certificate of Occupancy THIS IS TO CERTIFY that the at No. A ;3;; in the Town of South Windsor, Connecticut, has been ere and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. Building Inspector Owner, B Fee Paid Date 19 PERMIT Application For 4012DEPARTMENTDECISION4234HeatingPermit O O 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AIND INSPECTIONS N APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR Cdo 12-21-72 DATE CftEfflwEC;F00f i APPWCATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL WO a» c 1. LOCATION OF JOB 0 6)Ll 0-X-j Cd NO. STREETvC O 'rn LOT NO. FLOOR APT. NO. ON Qa 1 r vim,4?, s~ 2. CWNER Cd 0 3. ADDRESS 4.PHONE 5o 14 C' 07 cd s. APPLICANT k6: v cc 0 ,an s. ADDRESS 45 1 a`i ZeI`L i/\ 7.PHONE L S. OCENSE N0. i Yoq 45a c w 3. 9XPIRATION DATE OF LICENSE c 0 O 10. ESTIMATED COST n o Cv 11. Ii THIS A CONTRACT COST? YES NOb4 O b 12. FEE ENCLOSED S._ )00 r 13. TYPE OF BUILDING: CA RESIDENTIAL COMMERCIAL 14.O TYPE OF JOB: INDUSTRIAL 3 IRIGINALNSTALLATION ADITIONON REPAIR APPLICATION FOR HEATING PERMIT (Continued from Reverse Side) l v g 00rj v v, Qc 4 J SC3 , 1 w Cc vl t 11. LOCATION OF JOB NO. STREET FL OR APT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS `/'L C r C =tY— llee(_ IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORKt` 'l(1 l )G (,( lt5. TO BE DONE:4 t 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): R OM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U.F DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL RO M NO.GROSS GLASS NET WALL CEILING FLORO CU.FT. AT 70•F CORRECTED J j IL RE ISTER L W N AND TEMP. TO TYPE AND SIZE RAD. OR LEADER SIZE < WALL f'LSG INFILT.) DIFF. F m a SO' FT. FREE AREA CI Z 0 7 19 D d I L) 4 d Z © 3a 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 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. DATE LSIGNATUR9 OF AP (CANT Oectric#' I--(- ')OUPPLICATION FOR BUILDING PERMIT Plumbing# 46fi 4 104 GORDON VRIVE ' Sprinkl r# No. 22477 FINAL APPROVALS Estimated Cost $1&0•00 Building COMPLETE RED BOXED AREAS Permit Fee 10 Engineeri TYPE OR PRINT ONLY Occupancy Fee $ -A Affidavit SIGN ON REVERSE SIDE Appr.for CO. 6 Total Fee I TO BUILD DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $ Th undersigned hereby applies to do work according to the following specifications: E Job Location Aq Go<-cAoy\ D r, Lot No. Side of Street_Zone Applicant Acmck*vy 0• oc o. Lo-Co ) e Tel. # .re2g"- &1 71 Address j U CsOY cle A Or, S oytt-t UJ i ad S o Zip c Lic. #i Owner Address k Architect Address Sq. Ft. N w Area: 1st FI. 2nd FI. 3rd FI. Total New Area Rooms Lavatories Bathrooms Garages Purpos of this permit: CL O e 00 VA Pod F City Water Well D Septic System Sewer D Use Group Construction Type Area Basement Garage Approved by Date 4— g !Revised 6/95 I 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:.n 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 a zone in which this building and its use is allowed. J Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit Signed DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS 1115EJCC UIU11 / tiupi uvd l Ud IC Icy 1APP1 Code Description Due Whom Code Comment 95-22477-B 1 ,000 E10 FINAL 10/03/95 JFF D SEE INSPECTION SLIP FOR COMMENTS B10 FINAL 06/07/96 JFH D GFCI OUTLET/FENCING/GRADING B09 OTHER 06/10/96 JFH CLOSED WITH A CAVEAT 95-13545-E 300 Total Est Value 1 , 300 R 111bPeU 1U11 / HNNLUVdl UdLe zy APP.L Code Description Due Whom Code Comment 95-22477-B 1 ,000 E10 FINAL 10/03/95 JFF D SEE INSPECTION SLIP FOR COMMENTS B10 FINAL 06/07/96 JFH D GFCI OUTLET/FENCING/GRADING B09 OTHER 06/10/96 JFH CLOSED WITH A CAVEAT B10 FINAL 07/02/96 JFF D GATE NOT SELF CLOSING AN LATCHING BONDING WIRE NOT SECURED TO MOTOR B10 FINAL 08/06/96 JFH A CAVEAT RELEASED 95-13545-E 300 Total Est Value 1 ,300 e vy5: " yF'•r• s' i r S ;ter a r' A?ntF t!' •i Ll r.. :/ w w Itr.• c e_+. ttK •, ....i .. s • ',' -fir, :: 00 I I bos V.^/ sE" v vGrD j Ivh r 3-, d 2- 4 6— J fr ri• t,Co.) C U y9/ P .0PERTY OF NO. ALAN O I YE SOUTH 1411rDSOR, CONN'Being Lot No. 2G on map entitled "Property of Ro I I inc Park Homes,Inc. South Windsor, Conn, Scale I " = 60' January IG, 1957"Scale 1 " _ 40'r HAY!" E` L. GPI SVIOLD C. E.FOR BUILDING PURPOSES ONLY CER A (CATION OF ZONING COMPLIANCE Proposed building(s), use(s) and/or structure(s) 3s shown orl this plan appear(s) to be in znformance with current South Windse+ egulations. Variances and special exceptions nay apply. Date AS— ZoWd/&for-c(*nt 4ffieer 1995 South tV;ndsor uUILGiNG DEPARTMENTTOTHEBUILDINGDEPT. TOWN OF SOUTH WINDSO(. This certified that this plan and specifications are true copies of the proposed building or alterations to beerectedat Streettogetherwithamendmentsstatedinapplicationand J I }I j U, filed with plan and 1 agree to comply with all zoning. Clbuildingandstatelaws,and such orders as shall b( Propose I f -d bui(d;ng s) ce(s) issued bY the Building Department during pendency 7 f this application and 'final issuance of a buildingPermit. Jiltl i i:j,ar:-l; Signed / li;?It;i:. V..: . i this pia is approved subject to the condition that may apeyordersandordinancesregulatingbuildingshallbe i Complied with. J3f E'Z —Conditionally Approved These tiled with di Ins ect r Zoning Enforci- miltClerk ate : ?1 No. O e?`1 77 2&95 f PERMIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 5 Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 644-2511 Ext . 230 Date i g nspector Application must be printed or typed 7 1 . LOCATION OF JOB Oy- 0-r a . FEE SCHEDULE No . Street 0 - $19000 - 10.00 Floor Apt . No. Over $1.000 - 10.00 2 . OWNER at-Mcjper $1 ,000 or fraction thereof 3. ADDRESS /U i-/ Dr 4, APPLICANT 0 Co yv7 S. ADDRESS C,a 4 /V 6. ESTIMATED COST $ Qy 7 . IS THIS A CONTRACT COST Yee No 00 8. FEE ENCLOSED $ 1477 9. TYP,E OF BUILDING; RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: k""Original Installation Alteration/Addition/Repair RD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB l v CW (JOVI J yrr NO. STREET APT. NO , 12 . TYPE OF INSTALLATION .1(' p,(' , 13 . SIZE OF MAIN FEEDER 14 . NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS 16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS 18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS 20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22 . NO. OF POWER CIRCUITS 23 . NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS 26 . NO . OF PANELS 27 . TOTAL WATTAGE 28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS 32. NO . OF FIXTURES 33. TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : 1 1 C) LICENSE NO. SIGNATURE OF APPLICANT DATE PHONE NUMBER:A3)5) J6-I 0Vj N SE,l C r oi&S 1)&zd460tC7 V 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074 OR-Co s AREA CODE 860/644-2511 April 18, 1996 CERTIFIED MAIL Z 260-736-833 Mr. Armand LaCombe 104 Gordon Drive South Windsor Ct. 06074 Dear Mr. LaCombe: Pool season is almost here. I would like to remind you that the Building Permit(s) # 22477, for your pool is (are) still open. State Building Codes require the issuance of a Certificate of Occupancy prior to its use. Please contact our office for a final inspection prior to the removal of the winter cover or adding any water to your pool. All permits must be closed by May 24, 1996. Should you have any problems meeting this date please send our office a letter stating the reasons. (The pool still can't be opened) . If the pool is opened without the benefit of a Certificate of Occupancy a Caveat may be placed in the land records stating there are Building Code Violations on your property. Please call me or John Collins, Chief Building Official, should you have any questions regarding this. Our office hours are 8 - 9 a.m. and 1 - 2 p.m. the phone number is 644-2511 ext. 232. Very truly yours, 0J Hogan uilding Official Comte items 1 and/or 2 for additional services.I also wish to rec ivs the Complete items 3,and 4a&b. following services (for an extra Print your name and address on the reverse of this form so that we can fee).return this card to you. Attach this form to the front of the mallpiece,or on the back if space 1. Addressee's Address does not permit. Write"Return Recelpt Requested"on the mallpiece below the article number. 2. Restricted DeliveryeTheReturnReceiptwillshowtowhamthearticlewasdeliveredandthedate delivered. Consult postmaster for fee. 3. Article Addressed to: 4a. Article Number Mr. Armand LaCombe Z 260-736- 3 4b. Service Type104GordonDriveRegistered Insured south Windsor, CT 06074 ® Certified COD Express Mail IN Return R fef 7. Date oflejrmrX SMure (Addressee) S. Addressee's rtjo 110if requeew and fee is paid) 4 Signature (Agent) PS Form December 1991 *UAW&.Iota-a 12.7t4 DOMESTIC RETURN RECOWT UNITED STATES POSTAL SERVICE Official Business PENALTY FOR PRIVATE USE TO AVOID PAYMENT U.S.MAIL OF POSTAGE, $300 Print your name, address and ZIP Code here TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 06074-2786 Bectric#- APPLICATION FOR BUILDING PERMIT Plumbing# 104 Gordon Drive HVAC # Date: 6 U C27132 Sprinkl r# FOM APPROVALS Estimated Cost Building COMPLETE RED BOXED AREAS Permit Fee 3 Engineering TYPE OR PRINT ONLY Occupancy Fee Aida"rt SIGN ON REVERSE SIDE Appr.for CO.Total Fee 0 TO BU ILDfl1IG DEPARTMB-fT,TOWN OF SOUTH WWSOR,CT Additional Cost) The undersigned hereby applies to do work according to the following specifications: Job Location a q 60,96 Lot No. Side of Street Zon Applicant ArmuAl Tel# Address ple i to Zip e u-7 1J Lic.# Owner A on Address /o V Architect Address Sq. Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpos of this permit: 4WIV Ge .2.r c1 v w/ S/"E 10C/t`77a^ /Lis&v ?ad City Water Well Septic System 0 Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by S Date[.-Gfbn Use Group Construction Type R•vs.d 1/97 6 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 its use's allowed. Signed I hereby apply for a Certificate of Occupancy for the work descri this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27132-B 475 B10 FINAL 06/30/00 CJD D NEEDS TO CORRECT DECK HGT.,VERICALS,ACCESS, NEEDS LOCKING PLUG,POOL SENSOR, PUMP TIMER B10 FINAL 05/02/01 CJD A CLOSED OUT. Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27132-B 475 B10 FINAL 06/30/00 CJD D NEEDS TO CORRECT DECK HGT. ,VERICALS,ACCESS, NEEDS LOCKING PLUG,POOL SENSOR, PUMP TIMER B10 FINAL 05/02/01 CJD A CLOSED OUT. s 1540 SULLIVAN AVENUE SOUTH WINDSOR, CONN. 06074 AREA CODE 860 /644-2511l OSOR-CO March 31, 2001 CERTIFIED MAIL Mr. Armand Lacombe 104 Gordon Drive South Windsor, CT 06074 Dear Mr. LaCombe: Pool season is almost here. I would like to remind you that the Building Permit(s) 27132 for your pool is(are) still open. State Building Codes require the issuance of a Certificate of Occupancy prior to its use. Please'contact our office for a final inspection prior to the removal of the winter cover or adding any water to your pool. All permits must be closed by May 1,2001. Should you have any problems meeting this date please send our office a letter stating the reasons. (The pool still can't be opened). If the pool is opened without the benefit of a Certificate of Occupancy a caveat may be placed in the land records stating there are Building Code Violations on your property. Please call Christopher J. Dougan,Deputy Building Official, or myself should you have any questions regarding this. Our office hours are 8-9am. and 1-2pm. The phone number is 644-2511 ext. 230. Very truly yours, John Collins, Chief Building Official UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fegs Paid USPS Permit No.G-10 Sender: Please print your name, address, and ZIP+4 in this box • TGV1N OF SOUTH 'WINDSOR 1540 Sullivan Avenue South Windsor, Connecticut 08074 II,I,,I„I,III,,fill Iloilo,lilt lilt,,,II„I SENDER: COMPLETE THIS SECTION m uomplete items 1,2,and 3.Also complete A Received by(Please Print Clearly) B. Date of Deliver item 4 if Restricted Delivery is desired. of Print your name and address on the reverse so that we can return the card to you. C Signatur Attach this card to the back of the mailpiece,X Agent or on the front if space permits. Addresse D. Is eli ddress different from item 1? Yes 1. Article Addressed to: If YES,enter delivery address below: No Mr. Armand LaCombe 104 Gordon Drive South Windsor, CT 06074 3 Service Type ertified Mad Express Mail Registered PI'leturn Receipt for Merchandise Insured Mad C.O.D 4. Restricted Delivery?(Extra Fee) Yes 2. Article Number(Copy from service label) 704'F 3 y0G yGOs S7a3 M32- PS Form 3811,July 1999 Domestic Return Receipt 102595-99-M-1789 4 pW N Sf,C y rOwn 019 S-0 V&U&0tO G U 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074 SOR•co' AREA CODE 860/644-2511 June loth, 1996 Mr. Armand LaCombe 104 Gordon Drive South Windsor Ct. 06074 Certified mail Z260-736-967 Dear Mr. LaCombe: The office of the South Windsor Building Inspector has placed a Caveat in the land records for your home in the Town Clerks Office. This Caveat will be in place until the Building Code Violation(s) have been fixed or removed. Once the violations have been resolved you will be responsible for picking up the Caveat Release from this office and filing it with the Town Clerks Office. There will be a fee for the filing. Please call me or John Collins, Chief Building Official, should you have any questions regarding this. Our office hours are 8 - 9 a.m. and 1 - 2 p.m. the phone number is 644-2511 ext. 232. Very truly yours, n F. Hogan Building Official Enclosures NOTICE OF BUILDING CODE VIOLATION 003157 The Town of South Windsor hereby gives notice to all persons of building code violations on property owned by: Nadine& Armand LaCombe Which property is located at 104 Gordon Drive Re: Permit#22477 Said property being more particularly bounded and described in an instrument recorded in Volume 541 at Page 85 ofthe Town of South Windsor Land Records, reference to which is hereby made. The violation(s)pertain to the following section(s) of the Building Code: 1990 Connecticut Basic Building Codes And, the particulars of said violation(s)are more specifically as follows: Article 1 Section 113.2 The code shall be complied with Artcle 1 Section 119.1 Certificate of Occupancy required before use Article 1 Section 115.2 Intermediate inspections required Dated at South Windsor, Connecticut this 7Th day of June, 1996 TOWN OF SOUTH WINDSOR 119 By cFr& ,v F d F. Hogan Its Building Official 01u'if'ba 222, P&Yforegoing'/Uas cknowdle ed thisag day of at South Windsor, Connecticut, before me. L n I 1Z .y FOR RECORD 7 1ill(0 Notary Public p j C 1^1 My Commission Exp::cs: FCOR+DEQcD1 IN SOUTH WINDSOR UNITED STATES POSTAL SERVICE First-Class Mall111111Postage&Fees Paid USPS Pewit No.G-10 Print your name,address, and ZIP Code in this box• TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 06074-2786 c- SENDER: g Complete items 1 and/or 2 for additional services. I also wish to receive the Complete items 3,4a,and 4b. following services(for anPrintyourourrnameandaddressonthereverseofthisformsothatwecanreturnthisextrafee): a Attach this form to the front of the mailpiece,or on the back if space does not 1. Addressee's Address 2 d Write'Retum Receipt Requested'on the mailpiece below the article number.2. Restricted DeliveryTheReturnReceiptwillshowtowhomthearticlewasdeliveredandthedate delivered. Consult postmaster for fee. . 0 3.Article Addressed to: 4a.Article Number a Mr. Armand LaCombe E E 104 Gordon Drive 4b.Service-Type- 0 Registered L Certified IcSouthWindsorCT06074cExpressMailInsurd . o IN Return Re—.,COD a 7.Date of Deli ry 5.Received By:(Print Name) 8.Addressee's Address(Only if requested W and fee is paid) r g 6.Signak dMssAgent) w X tiQ PS Fo 381 December 1994 Domestic Return Receipt a VOI. 897 PACE NOTICE OF BUILDING CODE VIOLATION 003157 The Town of South Windsor hereby gives notice to all persons of building code violations on property owned by: Nadine& Armand LaCombe Which property is located at 104 Gordon Drive Re: Permit#22477 Said property being more particularly bounded and described in an instrument recorded in Volume 541 at Page 85 of the Town of South Windsor Land Records, reference to which is hereby made. The violation(s)pertain to the following section(s) of the Building Code: 1990 Connecticut Basic Building Codes And, the particulars of said violation(s) are more specifically as follows: Article 1 Section 113.2 The code shall be complied with Artcle 1 Section 119.1 Certificate of Occupancy required before use Article 1 Section 115.2 Intermediate inspections required Dated at South Windsor, Connecticut this 7Th day of June, 1996 TOWN OF SOUTH WINDSOR By OFF N. rA.6 2 F. Hogan Its Building Official 222, Th'ioreg'oingMwas / i9-Al acknow edged this da of 197Y at South Windsor, Connecticut, before me. y RECEIVED FOR RECORD 199(0 Notary PjabfiL a7 8 0 S C_t My Commsic n Expires: f. 1 91 q RECORDED IN SOUTH WINDSOR CORDS VO . PAGE S°( K C ASS:TOWN CLERK a'Lk t V601 191 it a rnOV u r . Uri' L'f;u DEf-'Ail J-P q3 1 a 1, r'r I I.L ,c.•i s i I t.. -:'r 1 _./.„v C_ DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WII TDSOR PERMIT# Application is hereby: r c6q(QBUILDINGDEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Perw 't# d 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE d 4ec Si-- 0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= 15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS YO a S. APPLICANT PHONE# l L W N S OWNER . A/ corn Fq OWNER ADDRESS 7 70 y St OWNER PHONE C ESTIMATED COST$ IS THIS A CONTRACT COST? 54—Yes No FEE ENCLOSED$ S TYPE OF JOB: OR-Co w Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YES NO RESIDENTIAL L3 BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTIONAL FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS 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 SEPARATE 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 CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. YPE STATE SIGNATURE OF APPLICANT DATE