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Home My WebLink About105 Scott DriveApplication No. 6499 Permit No. 6229 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. r hereby make application for a permit to (erect (make slap- 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. ,-V- 19.4 . Sign here 26...rr.../:1.. Adams ....9... .......... ........ . ... a...... Location? . ....... Nearest cross street?.... E.....7'".....l.... Street No. . /...Q.. ................ Lot No. ....,,r/..,...tom.... . Owner of land is?L/,, i//.r' ...4P ('.......Address 9,Q .. ,iYr-r .•.....5...T.. / . ,,'rr Owner of building is? f Address . ....... . `41. 1' Architect is? Address ... ............................................................`r.................. .................. w hBuilder is? . ..............................K.......................................................................Address ..................................................................................................... ........... Dimensions of building? Fat front? ...Feet rear? ...... Feet dap? ... ?... Extreme height to highest point of roof? ...... No. of stories in height? Tw.® . Purpose of building is? No. of stores? .. . .......... .. . ....... ......................... .............. ............... How many families? .... ............... No. of rooms? .... . ............. 7............... ............................ ............... Distance from street line is? . ,.... .............. ..........from building line is? ....... ........ .... ` ...—'....................... ..... ADDITIONS AND ALTERATIONS Give Brief Description) H.4:.......w ..a a....... ......I:IR4s. l M-RSF1D......13Y 5AM1TARY ..®FI=BCER Map No. IN ACC0R:_)A1N1rc %.AfI `H TOWN OF 5 U W N F .--..r ,a.r ai tit 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? ....... ... . . ....... .... ...................... . Composition of mortar? . Height and Thickness of Walls Hetht Stories Front Walls Side Walls Rear Walls Partition Walls Basement, 1st Story 2nd " I................ . ...... 3rd as 4th 5th 11 6th " 7th " I....................... ,.................. .... ............................................................... .................................................. 8th " I............_............................................. ............................... ........... ............, . ....... . . 9th " Material.of Front? ...If stone, what kind? Thickness of Ashlar? Thickness of Backing? Backed up with what?Arches or lintels over openings? WOOD CONSTRUCTION. Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GIRDERS OOLU MNS Floors Size Longest Span Centres Bridging Size Longest Span Centres Sire Length Centres K 1st Floor w r Wm Q0 % P.. l...Z................. ..,1........... w o0 0.... ............... _................_....._..._._ _....._..._.. 8rd " 4 ......... 4 i pr 4 Y... . ... Distance on centres? kSizeofoutsidestuds. . Size of sill. M Size of rafters? ... .., '.., ..... . Distance on centres?........ Ag....................... Size of plate? X Size of ledgers or girts? ... .............. . .. ........ . .............................Size of deck rafters? ... Distance on centres? Size of studs in bearing partitions? ...................... .................. MISCELLANEOUS D Style of roof, flat, pitch, Mansard, or hipped? . .. .r...7`- C:.A .......... Fireplaces? ............ Material of roof covering? . ,5..1,t ..,ST...r .. ......Material of Cornice? ............. How is building heated? .A/10.T....!..C.G2, Try'.......Lining of flues? Thickness of shell of flues? . ... .(.j46:9.....,rrtce1.Y........Any elevators or lifts? ..................... ............................. ..................... What kind? .. How many? .. . . Any hoistwa ? .. .. How protected? ... .... . . .............................. .................Total Value of Building . . When will work be commenced? W. 1`#`i+!/... f.:ir'.rr,.,...!'...../.,.5 .......f^' 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. Town of South Windsor since 1949. applicant 6229 BUILDING APPLICATION 6499 ApplicationNo. ............................................................................ on the .........s..qulh....... .......... ........................... side of Scott Drive Street. Street No, .. L.-P.t U&-R Housing Corp.Owner Applicant Same .. .. ....... CLASSIFICATION Dwelling 64tx251 Permit issued on above Application. e-1-24-61Date, 19 . TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Jan.24, 19 68 Fee Paid . 9 2.•.0 0 Est. Value $. . .2 ,000 20.00 Permit N 6229 on the s Guth side of Scott Drive Street Street No. L c t #115 ' r le'5 Owner U & R Housing Corp. Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. 3596 Fee Paid $ 3 .00 CLASSIFICATION E Dwelling 64 1x25' 1 BUILDING PERMIT N° 6229 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Jan 19 68 94is is to Terftf1j, That U & R Housing Corp. we .1 in ; 64 l x25'is hereby granted permission to at estimated value of $23 i 000 on the South side of So-D t t '`ir t-T e y Street on land owned by II & R lousing Carp. Said Work to be as described in Application No. 6499 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issul fly s 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." 1724-68 INSPECTION REPORTI)We ing t rti SPermit # c Job usi Cyr p. 1 Footing X Sett Drive 2 Foundation AIF . 3 Framing 4 Wiring 2 5 Plumbing 2 6 Heating 7 Lathing s C.O. #3596 1 Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. I I j Permit N 3596 Certificate of 0ccLLDancy THIS I TO CERTIFX that the at No. in the own of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Reglgations of the Town, of South Windsor, and is hereby approved for occupancy Building Inspector Owner, Builder w Fee Paid Date 19 (o' 1z z i tea, o o 0 000 o of 0 22' 3o'f za 40' i- - 50 k 4 I l 00' I Scc>-7 -r DpuvE- PE-KKA! -T PLAN LCT 11=,, "31RCh hli'r EjTATES"; SECTION 5, OF 6C,(:Th 4YI.IDSON, CONNTECTICkT. Z3-coin Rockville, C:,Inri . TO THE BUILDING INSPECTOR of 1w APPLICATION FOR TO" OF SO M WIHDSM COIIDr.PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX. ZONING AT (LOCATION) DISTRICT LOCATION NO.) STREET) OF BETWEEN CROSS STREET) AND CROSS STREET)BUILDING LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use M 1 N w building Res tial Nonresidential 2 Addition(!/residential. enter number 12 FOna family 18 Amusement, reereati nal Of new housing units added. i/any, 13 Two or more family — Enter 19 Church, other religi usinPartD, 13) Rumber Of units— —— —-i 3 Alt ration (See 2 above) 20 Industrial 14 Transient hotel, moral, 21 Parking garage4EZZRepair, r placement of dormitory — Enter number 5 Wrecking (i/multifamily residential, o/ units ——————— —— 22 Service station, repair gareg enter number o/units in building in 15 Garage 23 Hospital, institutional Part D. I31 6 Moving (relocation) 16 Carport 24 Office, bank, professional 17 Other — Specify 25 Public utility 7 0 Foundati n only 26 School, library, other educational B. OWN E SHIP 27 Stores, merconti le 8 Private(individual, corporation, 2130 Tanks, towers nonprofit institution,etc.) 29 Other — Specify 9 Public(Federal, State, or 1 cal g vemment) C. COST Omit terns) Nonresidential — Describe in detail proposed use of buildings, .g.. f d processing plant, machine shop, laundry building at hospital, elem ntary 10. Cost f improvement...............school, secondary school, college, parochial school, parking gang 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 ebe above cost a. EI ctricoI...................... b. Plumbing ...................... e.H ating, air conditioning......... d.Other(elevator, etc.)............ti 11. TOTAL COST OF IMPROVEMENT Is 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 1V. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS Z- 30 Lewo s my(wall bearing) 40 Public or private company 48• Number of stories............... d f em 41 Private (septic tank, etc.)31 49• Total square feet of floor area, all floors, based on exterior 32 Structural steal dimensions .................... 33 Reinforced concrete H. TYPE OF WATER SUPPLY 42 Public or private company Total lend area, sq. ft. ..11..34 Other - Speci/y P 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ...... ............ 35 doolo, G s Will there be c ntrel air 52. Outdoors........................ 361 c nditioning?L. RESIDENTIAL BUILDINGS ONLY 37 E1 ctticity 44 Yes 45 N S3. Number f bedrooms.............. 30 Coal 39 Other— Specify Will there be on levetor? 54. Number of Full.......... 46 Yes 47 N bathrooms Portlel........ IV. IDENTIFICATION — To b c mpl t d by all applicants Name Mailing address — Number, street, city, and State ZIP cod T I. No. Owner or Lessee 2. dSU 2 Contractor 3. Architect or Engineer Th owner of this building and O!,94ndersived agree to conform to all applicable laws of this jurisdiction. Signatur p Ic Address Application dot 40e A-Z— Icy lJ C41--3--tr O v 2 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R view Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS P rmit or A rova I Check Date Number B Permit or A rova I Check OtQ Number 6yppObtainedyppObtained BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER V11. VALIDATION Building P rmit number Building P rmit issued /MY 19 Bui Iding Permit Fe $ Approv d by: G TITLE f A TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Nn v_ 1 1986 Fee Paid . 12...0 0 Eat. Value $2 ,A 0 0 N° 15526 on the aide of Scott Drive St i Street No. I n S s Owner rdgar S_Awa11 Applicant Edgar Sewa11 CERTIFICATE OF OCCUPANCY ISSUED: Date j No. Fee Paid $ CLASSIFICATIONASSIFICATION Vinyl Siding BUILDING PERMrr N 15526 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Nov. 3 1#6 94is to to gerti fg, That David Sweet is hereby granted permission to Install vinyl siding at estimated value of on the side of 1 a 3 Sea tt Dr i ve Street on land owned by Edgar Sewall Said Work to be as described in Application No. 1-5 8 2 6 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued No v. 3 06 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." 4218 ELECTRICAL APPLICATION 4529ApplicationNo. ..................................................................................... on the ....... south side of.... ......... ....... Scott Drive Street Street No. L t #115 Owner U&R Housing Corp. Electrician R.•Kre.pe io FILED IN OFFICE OF The Building Inspector 3—6-68 19 INSPFCTION. AwNo Electrical Work shall be started until a Per. mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORII. lG Permit No. . ..421.8. . . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR.., CONN. t.••.•...... 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., ......' t' 15 fSign here r.-W........... ...... Address LocationSide of ..... ..... ............. .............................................................................................. Nature of Building W How many stories ............. New or old Building How many families ............. ....... .................................................................... Kind of Installation . ... .' ....... ..' ' ,. ! '.. .. . How many Stores ..................................................................................................... y,,° fOwner .......G/.. f .. ... ...... Addreas ......................:....eel.. ...:....:.`...:: :&::..... r...:t.......... Architect Address ... . . . ........ ............................. Builder Address Electrician G °' ::...;, .' " .N:FA.. `. .. . .. Address a =:... : $' :«,.., ...... r; k F 00'Size of Main Wires ... .............. ........................ No. of Fight Loops .. ... ... .. el . . No. of Heat Loops .. ..No. of Power Loops ........................................ No. of Light Outlets ........2. .. .... No. of Heat Outlets . No. of Power Outlets ....... ... No. of Light Circuits No. of Heat Circuits No. of Power Circuits .. ... . . ..... No. of Sockets lr No. of Heat Receptacles No. of Motors ............ . ....... ... ......... No. of Panels .................... Size of Heat Circuit No. of Power Receptacles No. of Switches ................. .. ..Total Wattage .. .. ... ...... .....''''` ... Size of Power Circuit .. . ... .. . Total Horsepower No. of Straight Electric Fixtures .. . " .. ... No. of Combination Fixtures No. of Receptacles .. ... ... No. of Cord Drops . Remarks: For other kind of Installation .. .......... .. . ................... ............... .... .............. ........... ... Sd Z.' /Y.•1/w•i il.iw... ... .. ........... w.. .................. .. .................................. .... .. .... ......... .. a•'T Estimated Cost ....., ... ................. .. ... 3 657 PLUMBING APPLICATION AWlicationr 3446 on the ......_...._._--------------- ade of Scott Drive Street No. _..._._.... G c %.f I Plumber Filed ' of The Bui Iorpoctior 3—6-68 19 No persm shall construct, add m cr altar my portion of the drainage sysum of any builfiog except to repair leaks) until a Permit is giramd by the Building Inspector. Application No....................3.4-4.6..... Permit No. ........3.65.7............ 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 witia whether specified herein or not. Q__2 oSouthWindsor, 19 ..... SiEgpn he .. ..... _z........ eAddr ...... ................................... ..... .......................................................... Location ............. ......................................side o ......................................... Street Nature of Building ................ . ..................;;- 21—How many stories .. ............................................ ........................................ here?.................................... I&Address...... .......&;Oze- Owner ......... /(a—Z - Architect ........ ... ........ .................. Address ........ x e4Builder . .. ..... . ............. .Address ........ e-]... ... 4-e-ee, Address ............!FPlumber .... ....... ..............cz.. ....................... DRAINAGE CESSPOOLS, How many . ........./........................ .................... Where located ............ Are they water tight . ...... Of what materials are they built ........ Size of pipe from house to pool ... .......el......................... Kind of pipe MAIN DRAIN IN CELLAR, Material e--'Z.. .... .. Diameter ...... .............................................................................................. Aboveor below cellar bottom ... ...z ..4_ ..... . ....... ... ..... .................I...........................................................I.......................................... SOIL PIPES, Material el............... Diameter Z.......................................................................... WASTE PIPES, Material . ......... Diameter ...........:? -:;?- / /I--61.X. - TRAPS,Type proposed to use is - RAIN WATER LEADERS, where do they run to REFRIGERATORWASTES, where do they run to .. ... ..................................................................................................... .............................. TANKOVERFLOWS, where do they run to FIXTURES WATERCLOSETS, How many .............................................. Where located Distance from trap to vertical soil pipe ......... ................... Pattern WASHTRAYS, How many . . . ........................................... Where located ...... ..... .. .............. ............................................... SINKS, How many .................... 11*1111"/**"","**,**"""*,******",*............... Where located BUTLER'S SINKS, How many ....................................................... Where located. . .... .... .................................................................................. REFRIGERATORSINKS, How many....................................... Where located . ............ ............................................................................... LAVATORIES, How many ..........................3 Where located ....../ — __>_ BATHTUBS, How many ............................ ...... ........... Where located ...............2............................................................................... 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 -------................................. Application For PERMIT 3488DEPARTMENTDECISION09 CIS 3 7 Heating Permit O 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS L4).1 APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR I o Cd 5-10-68 J- 00 DATE CHIEF I dTOIt APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W O 1. LOCATIQjV OF JOB o° W O So Scott Drive A NO. _ S REET LOT NO. FLOOR APT. NO. O O Q 0O J _ cad 2. OWNER 1' fZ G`";C c y 11-4 oCd O S. ADDRESS 4.PHON , S. APPLICANT v Cd 0 a. ADDRESS a cd J•r 7.PHONE^ w y S. LICENSE NO. c 4-49. EXPIRATION DATE OF LICENSE v Q C tO. ESTIMATED COST S_ / CQ o t t. IS THIS A CONTRACT COSTT YES NO bA Permit #6229 a) 12. FEE ENCLOSED S C) C 13. TYPE OF_BUILDING: CL..d RE8IDENTUIL COMMERCIAL INDUSTRIALC314. TYPE OF JO RIGINAL ALTERATION INSTALLATION ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued from Reverse side)r,7al 1. LOCATION OF JOB 1NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: n OIL BURNER 2 HEATING SYSTEM VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK i` S OF TANK OF FILL C _OF VENT O 14. B.T.U. EQUIP. AT REGISTER RNArr MA E AND NO AT PONNET FIIRING R TIE BOILER OR FURNACE MAKE AND NO B.T.U. OR SQ. FT. NET,&.z E3.i':U. OR SQ. FT. GROSSr_ R G RATE= FLOORS TO BE HEAT D NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL INSULATION 2 ROOF OR CEILING INSULATION AVG. SYSTEM W ER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE L0 0 Ci FAHRENHEIT MAKE OF RADIATION: SEB RD, COPPER CONVECTO , OR C.I. RADIATION. INPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. 1 DESCRIPTION OF ORK 15. TO BE DONE; c 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AND DOORS AREA — SQUARE FEET VOLUME B.T.U. B.T.U. F DF DISTRIBUTION INSTALLED TOTAL TOTAL y ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j F a: REGISTER L W N AND K TEMP. TO F I.: TYPE AND SIZE RAD. OR LEADER SIZE < WALL f'LSO TEMP. DIFF. F O a SQ. FT. FREE AREA i Z v C 671 Z v v 1 3 r 1 ' l/ /ev Zv LJ U A, all, 5 -?v 0 -zl 1 ' fr y u``-V h TOTALS A. HEAT LOSS FROM BUILDING- J 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:_ t ke C-4— NAME AD ESS 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. s L DATE SIGNATURE OF APPLICANT i 217? OIL BURNER OR FUEL STORAGE APPLICATION Application No. 2188 Permit No. 177 on the side of o tt Drive-,,<Drive-,,' Street Street No. i Owner I Application J.Vedoyato CLASSIFICATION American Std. AR2 Permit Issued on Above Application Date 5-10-68 19 Fee Paid $ Permit ##6229 TOWN OF SOUTH WINDSOIZ-__ APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS EQUIPMENT AND TANKS PERMIT N 2177 DATE The undersigned hereby applies for a permit for the installation of range and fuel oil burners, equipment and tanks of the following description: Address 1st floor 2nd floor 3rd floor Character of Building: Frame `ter Brick Owner of Burner Owner of Building_ c 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_ /,, - Model Number f Purchased from 611 ,A 617 Name of Tank C Gauge of Tank Z Where is Tank Located_ c Size of Tank Size of Motor Z Size of Wire fit` Will other heating equipment be installed? If so, by whom L Name of Party Making Installation Address— Electrician l f Addresses f — Signe APPLICANT All provisions of Ordinances of this Town Regulating Oil BB r Equipment and Fuel Storage (Sections 1-23 in- clusive) and Underwriters' Code applicable to the subject matter, o same shall be complied with in execution of thi, work whether specified herein, or not. Estimated Cost $ "Application for Permit, received 5—8—6 8 and Permit No. 21 issued_ —10-68 Permit #6229 Permit Fee Paid ____.___ _____ _______ Approve 6f'LDI G N4PECT ter„ DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby:TOWN OF SOUTH WINDSOR 12BUILDINGDEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 ate Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: Sc a TT P iz- 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT ITF C'CTi r C L, APPLICANT ADDRESS S CGb 71 APPLICANT PHONE# G_ 7G 3— 000 7 O N S OWNERlot i q 01 OWNER ADDRESS 0 OWNER PHONE C ESTIMATED COST$ Z'e QD 13 IS THIS A CONTRACT COST? -kl Yes No FEE ENCLOSED$3.OZ C OR-CO TYPE OF JOB: New Installation Alteration/Addition/Repair Revised 5/01 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION? YES,4NO BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY STORAGE ADDRESS GARAGE MIXED USE CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE 1fDs4•-yr r 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 LC .1--U.lL iQs C / 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. Z-1oc'e,21s r -1 c- CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT G'—DATE LILhn Collins-CRS Approvalon irmation: equest o. age From: clpsvc@nu.com> To: COLLIN@SOUTHWINDSOR.ORG> Date: 5/23/01 8:47AM Subject: CRS Approval Confirmation: Request No. 166660 CRS Work Request#: 166660 _1_House No:105 5C&4-T Lot No: Street Name: Inspector:JOHN COLLINS Approval Date: May 23,2001