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HomeMy WebLinkAbout109 Hilton DriveApplication No. .......... Permit No. .....2.3.9Q................ TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. u F hereby make application for a permit to (erect 6 etleeraei n o c) 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. SouthWindsor, Conn., ............................................................ 19............ Sign here?/e w / ". .7t.t.. rx ............. Address r '.., ... 3.... R ..r.. fit, k' ,Location? ........f....f+'. ..............................................................................side of. .............r.............i.O!'.'............................................................. Nearest cross street? .. f. e........................Street No. ................................................... Lot No. ../.A.....;................ Owner of land t f.. r"`.... . ..,fi x. ... ...&J.7.4...... Owner of building is? ..'..'...fj Address « r. " Architectis? .................................................`..........................................................Address .Ir..........., . Builderis? . ....................#V.....................'......................•...................' ...............Address `...............................".................................................................................... Dimensions of buildin ?/,a.;.r!'.#.11.........Feet front? ................. Feet rear? .$. a... ........... Feet de Extreme height to highest point of roof? ..... ............................ .... ... .......... No. of stories in height?/............... v°,,i.•, No. of stores? '••.•'".."`Purpose of budding is. 5- 00 Howmany families? ............0(. :.............. ............................No. of rooms? .... ..... ............................................................................... Distancefrom street line is? ..................................................................from building line s. ..... ............................................................................ ADDITIONS AND ALTERATIONS4dGiveBriefDescription) I........................................................................................... .................... MapNo. .............................. If of steel frame, what is exterior construction? ...... What kind of columns used? ..................................... ..............Size of columns used? . ...... ....... ... ............ What length of columns used? ..... .. .......... . .......... .....How protected? .. . ... ...... .... ........... ...................... . .......... ... What kind of beams or girders? Size of beams or girders? . ............ ... ........... ........................... Longest span of beams or girders? . ....... These rest on? Roof construction is? . ..................... ..........................................................Roof covering is? The floors are of . .... ............. ............... construction and are calculated to carry a safe load of ... ............... ........... lbs. per square foot. See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Ofwhat material will walls be constructed? ........ ... . . . ... ... ............ ................................................................................................ ................. Compositionof mortar? ......................................................................................................................................................................................................................... Height and Thickness of Walls Height Stories Front walls Side Walls Rear Walls Partition Walls Basement, I...................................................-.................................................................................................................................................I.......................................... 1st Story 2nd I'd 3rd " I........................................................................................................................................................................................................... 4th 'd I....................................................................................................................................................................................................................................................................................................... 5th 11 11...............................................I.........................I........................ ................................................... 6th Old 7th is I............................ ............. .................................................. ................................................... 8th (IF I.............................................t.............................................. .............................................. ....................................................... 9th I' 10th .;................. '.......... ................................ .......... .......... ......................... ................... ................................................. .......................................................I I I Material of Front? ................... . ............. . ......... ...........................If stone, what kind? Thickness of Ashlar? .......... . ...... ................ ........... .......................Thickness of Backing? Backed up with what? . .....Arches or lintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GIRDERS COLUMNS Floors Size Longest Span Centres Bridging Size Longest Span Centres Size Lengdt Centres 1s...t Floor V............ ........ x............................................................./' A 3 'r d O r 2nd 4 ......... ..........I... .................................. Size of outside studs. ............. ........................... Distance on centres. ............................................... Size of sill? ...c02 ............................ 4441? 6.................. Distance on centres?.............. ...............................Size of rafters. ...................... Size of plate? ...................................................... Size of ledgers or girts? .................................................................................Size of deck rafters? ...................................................................... ............... Distance on centres? Size of studs in partitions.?......................................................................................... bearing partit.ons? .................................................. MISCELLANEOUS w Style of roof, flat, pitch, Mansard, or hipped? ... . fireplaces?Q 10 lLF' es. ...... .......................................... i »+ i.S..Material of Cornice?Material of roof covering? ..... xi~........................ L...... ....l..h... ................................... How is building heated? . ..1..T.!9.T .............Lining of flues? ... ............. .01... .............. Thickness of shell of flues? ................. ..J.............................................Any elevators or lifts? ............... .............................................................. What kind? How many? Any hoistways? How protected? ............................................................................. ..................Total Value of Building ..... ..*..d . When will work be commenced? ... / o eLy I................ The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli- cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the Town of South Windsor since 1949.14i Applicant , 2390 BUILDING APPLICATION Application No. ..2-6-50......................................................... on the .... i......' 'e side of 42 6 POM............ Street. Street No, Owner .. ..... .......... . ............. Applicant CLASSIFICATION Dwelling L1-21x241 Permit issued on above Application. Date, .....Jul Y.. .1To........ 19......58 iy t TOWN OF SOUTH WINOSOR BUILDING PERMIT k Date 19 58 b Fee Paid .."s-00,n Est. Value 11 000 r a } 11 ° 2390Perms a d on the North side of H i t tan Drive Street a f Street No. Lot #12 Oivner Pleasant Valley Estates, Inc. r.Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. 1433 t Fee Paid $ 3,m 00 CLASSIFICATION Dwe lling 42 1 x24 t a 4 s'- BLHLDING PERMIT N° 2390 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Jul vim-1-7V 19 53 alas t'' to Ticrfif#, That FIS&Lsan t V g i l e v -sa tite 8, Tno is hereby granted permission to at estimated value of $ 1 ,00 on the Borth side of Hilton Drive .jot k12 Street on land owned by Fle asant Valley E®titte a s Inc. Said Work to be as described in Application No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINQSOR_ Issued J 7 19 58 Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers dur- ing 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? 1433 Certificate of Occupancy TH IS TO CERTIFY that the A. at No. ..,..-- • ''r-. =I in a Town of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. BUILDING INSPECTOR OWNEP., B Fee Paid Date g T, 19 , 1. 0 TO THE BUILDING INSPECTOR of the APPLICATION FOR TO" OF MUM wipwsm COS. PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to crWete all items in ctions: 1, 11, III, IV, and IX.O I, T 1 ZONING rAT (LOCATION)R.i. DISTRI O LOCATION I NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOTSUBDIVISIONLOTBLOCKSIZE II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use Q1f1 1 New building Residential Nonresidential 2 Addition(I/residential, enter number 12 One family 18 Amusement, recreationalofnewhousingunitsadded, if any, in Part D, 13)13 Two or more family - Enter 19 Church, other religious number of units- - - - - 20 Industrial3 Alteration (See 2 above) 14 Transient hotel, motel, 4 Repair, replacement 21 E:] Parking garageordormitory - Enter number 5 Wrecking (If multifamily residential, of units ------- - -- 22 Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutionalPastD, 13) 6 El Moving (relocation) 16 Carport 24 E] Office, bank, professionalZ6jg, 7 Foundation only 17® Other - Specif25 Public utility 26 School, library, other educational B. OWNERSHIP e-464 27 Stores, mercantile 8 Private(individual, corporation, 1 28 Tanks, towers nonprofit institution, etc.) Z X/n 29 Other - Specify 9 Public (Federal, State, or local government) C. COST Omit cents) Nonresidential - Describe in detail proposed use of buildings,e.g., food lop processing plant, machine shop, laundry building at hospital, elementary10. Cost of improvement,,,,,,,,,,,,,,,, school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant.To be installed but not included If use of existing building is being changed, enter proposed use.in the above cost a. Electrical...................... b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT s 0- III. SELECTED CHARACTERISTICS OF fiUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 Masonry(wall bearing) 40 Public or private company 48• Number of stories................ 31 Wood frame 41 Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior32Structuralsteeldimensions .................... 33 Reinf rc d concrete H. TYPE OF WATER SUPPLY 34 Other - Specify 42 Public or private company 50. Total land area, sq. ft. ........... 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors....................... 36 Oil conditi ning? L. RESIDENTIAL BUILDINGS ONLY37 Electricity 44 Yes 45 No 38 Coal 53. Numb r of bedr ms.............. 39 Oth r- Specify Will th re be an elevat r? Full.......... 54. Number of 46 Yes 47 No bathrooms Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, qzty, and State ZIP code Tel. No. 7Owneror0 Lessee 2. Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application datet 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans Fee Started y Approved BY Notes BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Check Date Number BObtainedObtained y BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit numb r 11149 Building P rmit issued Oct. 3 19 79 Building Permit Fe $ 6.00 Approved by: TITLE ZONING DISTRICT FRONT SIDE YARD SIDE YARD REAR • OR •For •• 11 i: • • Sf a•i•==main :sas one a if. : ougHleas Owedrt =3i: : i ss . .. ...... .s s.. .. . . r 1 • r • r. s .r •• r • tt• • •r.•.tt !! • • !. is a i::I • .:=..lit •.•:ms r.r.tr mr ir==m•.!•.rmr.ttm . r•i Elf gas as a s=s:: Bull Milan = 's=: :s = : :eke Hinisl:s I Pa:s::9 mWUH: :ss:u sa=./ a : :a r N . • .r • • .t N uNN u. ru Nlss1a. s i : : t: . :a#sm :.ss: aaas •N:1s:•r::;::.;ttr•.ml:: s • : a' as 1 Him: a . sr. fa: s•• sa .a:::.•::.. :s;::::;:::::.•a s !! Naaiisaa.. : .. ..sit...s...::s.:s.r.s...t...=.N...:,.......s..:...s •ii _iia .ii f memo, I: •mm•N •t m f messes . f.• r f •• • . a sjim_ : : s:.i ;: ••:: :m .a.t:f:m:l:.: a s s :s':sae::: t;:sse=:e :: s's .logo . 1101. 11i1 331ul ==:=i=: =s ='s= ===eHIIIH je =nlj!!'':=:assess : se :ems•"s a ° .. p s:s s:• sN : : .s sas fi s : ••s: •••••• • .• ••... •.•. $ss• ::• •as•• : ENO - a :s 's i=•.::=a i=i==•i=== it--- : __:11 u ;mic :=::ii=:::llm::nuu: •:l::_1::_ml :=;:=:rl::al!l __••_ ---s _!!---;i:-:-:::iS i TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Oct. 3 19 79 Fee Paid $. 6.00 Eat. Value $. .700.00 Permit N° 1114 9 on the aide of Hilton Drive Sava Street No. 109 Owner R p r Me rri 11 Applicant Roger Merrill CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Framed Tool Shed BUILDING PERMIT N? 11149 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. CC t; 3 19 79 94'to is fit Tertify, That Roumor Merri 11 is hereby granted permission f x 16' Shed at estimated value of $ 700,Q on the side of 109 Hilton- Drive Street on land owned by Roger Merrill Said Work to be as described in Application No. 11449 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued 1979 4/'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" rNeSPECtTi%0N REPORT A7,-'x/4 Permit #,111l1f Job D { Al e 1 Footing 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. TO THE BUILDING INSPECTOR of the APPLICATION FOR TOWN OF SOUTH WINQSOK COS. PLAN EXAMINATION A N D BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.o ZONINGI• AT (LOCATION) -- O DIISTR CTZ!K ' LOCATION NO.) STREET) OF BETWEEN AND BUILDING CROSS ST EET) CROSS STREET) LOT SUBDIVISION T LOT 2"' BLOCK SIZE H II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 1 New building Residential Nonresidential 2 Addition(If residential, enter number 12 One family 18 Amusement, recreational of new housing units added, if any,Two or more family EnterinPartD, 13)13 T f l E 19 Church, other religious number of units— — — — --o- 20 Industrial3 Alteration (See 2 above) 14 Transient hotel, motel 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (1/multifamily residential, of units ——————— — --i 22 Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, instituti nal Part D, 13) 16 Carport 24 Office, bank, professional6Moving (relocation) 17 Other — Specify 25 Public utility7 Foundation only 26 School, library, other educational B. OWNERSHIP rdvc 0-W27 Stores, merconfile 8 KI Private(individual, corporation, 28 Tanks, towers n nprofit institution, etc.) L'` ''' ( 29 Other — Specify 9 Public(Federal, State, or local government) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement•,•••...,,,,,,•• S .I school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical....................... b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 Masonry(wall bearing) 40 Public or private company 48• Number of stories................ 31 W ad frame 41 Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions ..................... 33 Reinf reed concrete H. TYPE OF WATER SUPPLY 34 Oth r — Specify 42 Public or private company 50. Total land area, sq. ft. ........... 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors....................... 96 Oil conditioning?L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 N 53. Number f bedr ms. 38 C al 39 Other— Specify Will th re b an elevat r? Full.......... 54. Number f 46 0 Yes 47 N bothr ms Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To b c mpl ted by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. N 1. sOwneror01 Lessee 2. Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application dot 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By NotesqFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS DatePermitorApprovaICheckobttaaineedNumberByPermitorApprovalCheckobtained Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit number 11960 Bui lding Permit issued I)ec. 8 19 _80 Building P rmit Fee $ 4.00 Approved by: TITLE liq 5y r. me do 8 rr rrr rr rrrr r. arrr rrrrrr rrrr rrr rr • r rrrrr• a w *l xjrMa..xr[=nii::a : a;i: ra a :s:•=ii:iii:a::gsi:::a i•••i•aaia ri xa n. _ i • • ss'as'3L'aaM n3 aaa=iea::=•as:::se' i:i:a: :3:a a=•:in::33:ia 'iia+ [ i Siir[ R:`N C e •,,n :iisNi• :ii:i i • Rs: i": •1,i ie [ :i 1a !=•a / ` •sow • r N®R r. laa ar3 ai33: a;: ii: n• aaiiia a am Use, r n a : .'a3' a•a:: sa r:are s/i3t3 a a•ani:f SIR Ta• SsoOfaamrm[a x SnIR • M aiS !!f n!S is Is a p.sa 33 . 'ems: sn aaia:.is: N e 01041 x : a ease .9 s.eaa:S: et tlf[ S"a Riss: + r.lTiO__: . !sea •• .o:3 'i ir a'ii •see .... .... a:is• 3 s:: • aess s as 111MOM In a i Is M /M a aS • f •a•fa nae aseiN+•3==aaiaa'S• ; a; a Name x N an•rrsaaax_ an 'axai i a• n n . is:$1g li n:::: 's si s's ' ' love- # ' 3:xa::=s=iriii$:3::: r:s::= a; _ Z.'i`i as r r s: n=3t3 :=i e ;;nn;;ae;3 x• • e e .. i a f= i si i lea . .aii - som_• : 3:iamongNNQ .iii i 3i3 f oa ::; •::n :a% fa3mmosse IS on aM r.a.. nNxala`x f: a jr4`.: a:`/ se"m tl..: rim a a . eIs iisin Zs11 ::ea•e :: .$smei;/;.a•/ear a. we* one was; re•ee.•;a:is/;a•s eaa..is ssslassa;s.s S swon Sriaea•= ones:::::: _l!:l:3:::::n::::a:::s:'3:::::::::n:::=iaiiia:s:33aiiaaQiaaa3=+`_ a:=' nn :: 1 • is= i ' x i33 j•• se: =•r/a/a •i••e••/e eaee=ra 3•a.ar•a •/ee/eee:.aa=.i/ = 3 3:• iSr e=r ai./ /a i Soso i_ a al 3 e • ii: •_ •/ara;a:: ;;ii'3n3iiiii:::isisiii:isi iii=iii:::iiiii:=n:3 i= s=r' '=a an3:si=Siiiiriri:inii sniii a x iisi= s::•:•s:ss:::ai:ss's:=isss=::=es=::::::::::'s:e::::e:e:::Uffl::ee::=ee's:::e's: s=ie:=='ae=s: ss`::i:n3' s! s i' s ; •'": s;;sss;..g :.. .... _.. ;. e N.:S a s .. s;i niFRYi83::es= =; 3 3 ; S • visa.aee e.eee era rasa •so •me •a.oa•e aere e. • • • •rSnsn ii ear a=eiss=si eies'ssee3e'sseeseisss se:==Nos=eeeeseesim: sees: =eEees;c: iis'= ==`psi=.1see i sssesSe=ii.=ell,saesses= :s sss ss e11a !is n-M•x. injUs.;;::::.:M l::issMNa:HH.41:i..=...a=.a..a..sl.x i...i.r.1N sr ssss=isee==:ise;sseelsiesesia oesee==ei=.==e: = e=se e's s e ee s'ss sessssesee saes='si i=sss=== Rs$No" t a '` ' n. x r;=s s: :ss sass s s s s ss ssss s: $s: aas;s=i sa err . • .•.r. • : ea• •...rasa.e..e.....aa. •a •. a ne •e ee: e • •r a ••era ae;...; ..;....;;.xe;a ee;;.a..eer.e;........._;.....;..._......;aa; .;_ ::_: Mn,s 3 s n:.R0 iaa " _!!$';ii==!'=:lS•;...;. .;;_ .•..; ..s. ._....•._;.•... .;_;•=`==i"=i:s ! =;$in= =:ass s.!! i :':a [ s:sas esieee=isle::e =sss=ei.'se a ssesi==es=s's:se'sse e sse's =ns ee 's ce. a='s= 's:aesee a.ees r•is i,...r.•.3: .as::sS+..,• f . aiNeiss' s•...s:s•sa..•s..s....a•a..sae..s•.a a. ...aaa .....a...a.aa.a•..•a r•ssa Nsa../....ass .sat:a sae s s ..l 1MI.\H •a•images z;: s:ss::::s: ::::-----;------------:::: ::s::l:::::::=::::se::t ::::::::::::z:le;:sl::s:::::s:::::;g:ssss:=sss:gss::'-as:rsa:;:sss:: :ael iiin. : i 1 TOWN OF SOUTH WINDSOR BUILDING PERMIT I Date Dec. 8 19 80 Fee Paid $. .4...00 Eat. Value $.300.00, Permit M 11960 on the aide of Hilton Drive StRa i Street No. 109 Owner Roger Merrill Applicant Roger Merrill CERTIFICATE OF OCCUPANCY ISSUED: Date No. I Fee Paid $ CLASSIFICATION Wood/coal stove on porch BUILDING PERNWr N? 11960 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. k 19 80 14io 'to to Cerfif-u, That is hereby granted permission to Instill staxes An ano-I"h at estimated value of 0 on the side of--=o Milten Dvive Street on land owned by a0 Said Work, to be as described in Application No. 12760 and to conform to specifications and plans filed with said Application, and Building By. Laws of THE TOWN OF SOUTH WINDSOR. Issued tec 8 19 80 rr Bull ing Inspector. ti r 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." 0 TO THE RUHDINGINSPECMR of the APPLICATION FOR PLAN EXAMINATION ANDTOWNOF501MWIlMS(K C NK BUILDING PERMIT IMPORTANT — Applicant to complete Vil items in'lectionsl 1, It, III, IV, and IX.O ZONING AT (LOCATION) d DISTRI LOCATION NU STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking•' most recent use 1 New building Residential Nonresidential 2 IX Addition(If residential, enter number 12 One family 18 Amusement, recreational of new housing units added, if any, in Part D, 13)13 Two or more family — Enter 19 Church, other religious number of units— — — — -i 20 Industrial3 Alteration (See 2 above) 14 Transient hotel, motel,21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (If multifamily residential, of units ——————— —-i 22 Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional6 Moving (relocation) 7 Foundation only 17® Other — SpeciJy 25 Public utility 26 School, library, other educational B. OWNERSHIP 27 Stores, merconfile 8 Private(individual, corporation, 0 .0 28 Tanks, towers nonprofit institution,etc.) o 29 Other — Specify 9 Public (Federal, State, or t 7localgovernment) C. COST Omit cents) Nonresident' I — Describe in detail proposed use of buildings, e.g., food processing pl nt, machine shop, laundry building at hospital,elementary 10. Cost of improvement,,,.,,,,,,•,,,,• Q® school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical...................... b. Plumbing ...................... c.Heating, air JLC-eo d d. Other(elevator, etc.).............[_ 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 Masonry(wall bearing) 40 Public or private company 48• Number of stories................ 31 Wood frame 41 Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions .................... 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34 Other — Specify 42 Public or private company 50• Total land area, sq. ft. ........... 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed....................... 35 Gas Will there be central air 52. Outdoors....................... 36 Oil c nditioning?L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 N 53. Number of bedr ms............ 38 C al 39 Oth r— Specify Will th re be an elevot r? Full.......... 54. Number f 46 Y s 47 No bathr me Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To b compl t d by all applicants Nam Mailing address — Number, sheet, city, an State ZIP code Tel. No. Owner or e<etl N!A A:P IM 14;1 47;w 'Alle, 105 r4'3 F Lessee dr O 2. C J 3Contractor 2 0 3. Architect or Engineer The owner of this building and tie undersigned agree to conform to all applicable laws of this jurisdiction. Signatur If applicant Address Application dot ok 01 WIA 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans B NotesFeeStartedyApprovedy BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approva I Check Date Obtained Number By Permit or Approval I Check Obtaiatened Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit number 11713 Bui Iding Permit issued 3111a- R 19 an Bui Iding Permit Fee $4R-nn Approved by: r TITLE i..ww • N •w w w.w w.wwww .s . www . .wwy . wwww w w A M. • s+r= 1•M. !.HHHHHH rtr rN H• !N MN f•r Off •N% i •Iif San aSoo Ok :. r p ar •MUD•.• r_ r : !i 1k wenews IN a Be age mesons: p A MOM usNi H as assume* M .sp !.LI m in w$005: 0.: :5 ar . r a ! P in t usn r0mum2apern:omwiognon on NEE .• r i nib on 101,311H111 11" :: ssQ!r:t:Lq• sss;ss;;UHI• i..f fY.pM :•:::`:::::\:ripe. : p p: San • t. f. ;••:1s•aMr•::::•:::::.8 : s•:i •ga: :::a H t.' iii = •ils: !• •! ! ;.;=:;;ra se.p a r p. ;..... _ ;. r. e; •• r i ii" p .slgoal .:s. :: :E.s.::..sa::::::::s:e:::;:.::::.:.:s::.::•.s:::.: ?. .,.ss..as:!s,. s e u .;; .r;; ; ;r;;;..e;..l..;.e e..r.s;e i:•: sii .risl iij =:rri s7ii ii• __ e • i=SHH"I=:_o=: J:jf:i=::=s i:::••s::.::::::r::::inniii;;;:s:=i•::=: s { ::: ;isn i . ; :'i, i • 'S 3 , f. 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Z_4,4_ wf_- C a •_' '-` j i CFI v vf y _ •/ .1', rr. .'Gr. •' „'.• ,!.\b4•:- ' j`r 'F.. _ '\ 'f• V,ra _ w:r. - • l y..'': Trµ•. ff - tea.,r _ Y^ fir tJrr, r.-- - , r - _ 1 r _ 1' _,.-• c:'-' y t.'.r - e 4- - .t r r `` _ W r•` -~ - r • - - Y J- 1 •K Yt.rJ t.•h .:-'. .. • rrf . 3 J1A 111... i 4.•.-Jf 5 ''' ''M1. --i _ :, 11._ __ .'. `- , ' t .r?^`r.-S• ,. •',a. r,''•r•{'..•__ y,Rk_• r r_.3 `_ _` ._ ri'lN_ ,. y \ r•V;'s-., I]-. t .• N. y r A - I _. _ 33 _ ! P Fes'Q I t- -•_ ,'`' r. 71 Jr ACV lie 41 r +-.-•iit{ of -:..- - Y lox Val! s.a'';• •:•- '.- 4 '.tr.' i'i": j } . rs a. z r c• , f -'},:. ., r . C r 1 _ `t • - c ` r F J`.Jam. TOWN OF SOUTH WINDSOR BUILDING PERMIT Date At o. 8 1980 Fee Paid $. .48.00 Eat. Value $1,700.00 Permit NO 1171 f on the aide of Hilton Drive Sava t Street No. 109 Owner Roger Merrill Applicant Roger John Merrill CERTIFICATE OF OCCUPANCY ISSUED: Date x No. Fee Paid $ CLASSIFICATION Enclosed porch i I BUIIDING PERMIT I i N_ 11713 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Aug. 8 1980 I X#io to to Certify, That I is hereby granted permission to Enclogled porch on roar of dwel l.in& 18' Y. 18' at estimated value of $--7,;ZAq.00 on the side of 1C19II s 1 ton Drive Street on land owned by I i Said Work to be as described in Application No. 12013 and to conform to specifications and plans filed with said Application, and Building By Laws of THE TOWN OF SOUTH WINDSOR. i Issued. Aug. 8 19 80. flvl ilding Inspector. Streetsand sidewalks obstructed b excavations or building materia must be guarded barriersY88 by during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or obstacle in highway or an sidewalk) either with or without aiorkeepbuildingmaterials, any obsta a any gh ay ( y u 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." i i ASIDiCTION/AMORT oaV fX/ Permit # Job 1 Footing A&J- 2 Foundation T-fr O00-1 3 Framing ,a? L — _ U — a.- 4 Wiring2a 5 Plumbing 6 Heating 7 Lathing 8 C.O. 7259 ELECTRICAL APPLICATION Application No._ A 9 71 on the side of Hilton Drive Street Street No. _ 109 Owner R & R Buildersders Electrician Homeowner TQger Merrill FILED IN OFFICE OF The Building Inspector Oct. 6 19 80 INSPECTION. t)-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. WORK. No. 2.2.E 3.............. ........ Permit No. . 2 5 9. ..... ... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application tq perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. South Windsor, Conn., Z .. 19 A§ign here c Address i.c. t. .... . .R....`...........'- Location Al Side of ... Nature of Building How many stories .........l J.. ....................................... ................ New or old Building How many families ............laL ........................................................... Kind of Installation How many Stores Address .v.....................:.............ic...... ..._'!f?.............Owner Architect ... Address rBuilderG Address Electrician ............. ... ......... ......:% ...Address J . ..... ..... .1 ..... r... ,dl•'RS Size of AJn Wires .. ................................................. No. of Light Loops . ..... ........ No. of Heat Loops .. No. of Power Loops ........................_._......... No. of Light Outlets .....t-13 No. of Heat Outlets . ... No. of Power Outlets ................ ........... NoO of Light Circuits .... ..-42 ..... .. ..... No. of Heat Circuits .. No. of Power Circuits .. . No. of Sockets . . . .. ./. . .. .. . No. of Heat Receptacles No. of Motors No. of Panels ..................... ...... . Size of Heat Circuit No. of Power Receptacles No. of Switches .......... ..... ............. .. Total Wattage Size of Power Circuit .. . . Total Horsepower N . of Straight Electric Fixtures ... . No. of Combination Fixtures .... No. of Receptacles ................................. ....... ......................... . No. of Cord Drops ...... ............................................... .................. .. Remarks: For other kind of Installation . ........................................ ..t................ ... ............................. a ............... 1A&j.............. d fJ f....... . ....... ...... .... ...._.... .. ....e......................................................... ...... ... ....... Estimated cost _Z.... .............. ..... 0.............................. PERMIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 3 jlb Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 7j1j1f--644-2511 Ext . 230 a e Building Inspector Application must be printed or typed 1 . LOCATION OF JOB FEE SCHEDULE No . Street 0 - $10000 - 10.00 Floor Apt . No. Over $1,000 - 10.00 2 . OWNERper $1 ,000 or Z fraction thereof 3. ADDRESS 4. APPLICANT - 5. ADDRESSc' (J/ 6. ESTIMATED COST 7 . IS THIS A CONTRACT COST Yee No 8. FEE ENCLOSED $ 9. TYPE OF BUILDING: YRESIDENTIAL COMMERCIAL 10. TYPE OF JOB : Original Installation k-Alteration/Addition/Repair RD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB NO. STREET APT. NO , 12 . TYPE OF INSTALLATION 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 : 7 LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER: INSPECTOR- DATE TIME LOCAT ION G INSPECTION: CODE: RESULT /A) : BUILDING: r ELECTRICAL: Z Ifoy PLUMBING: t HVAC: OTHER: r eectric# APPLICATION FOR BUILDING PERMIT Humbiq# 109 HILTON DRIVE No. 24697SprWer# FIM Estimated Cost $E g(as Bw1d COMPLETE RED BOXED AREAS Permit Fee d TYPE OR PRINT ONLY OccupancyFee $ Affidavit SIGN ON REVERSE SIDEAppr.for CO.Total Fee a$ TO BULDM DRARTMEW,TOWN OF SOUTH WNDSOR,CT LAAdtional Cost) $ The undersigned hereby applies to do work according to the following specifications: 1o6 Location / r Lot No. Side of Street Zone Applicant O ,L d4'-Tel#40 ' -, Addr ss R kocd DI-. 4 Zip 7 Lic Own r t-l'¢, y- i; ,o Address-? x-- r- Architect Address Sq.Ft.N w Area: 1st FL 2nd FL 3rd Fl. Total New Area Rooms avator'es Ba hrooms Garages Purpose of this permit:J// Ji e, City Water Well Septic System Sewer Ins. H.O. S.P. Cent. l BaseR, * Game Approved by Date / L Use Group Construction Type RvibW 1197 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 4wh* is buikrirngandft use is Signed 1 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 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERNII75)T# 17 A, Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT BldgP ' # APPR VE 1540 SULLIVAN AVENUE K 0 i J—644-2511 ext. 230 4 Date Building Inspector Application must be printed or typed Location ofjob F a'C' L - Street No. Street Lot No. FEE SCHEDULE 0 - $1,000 - $12.00 Floor Apt. No. Over $1,000 12.00 per$1,000 OWNER Se W or any fraction thereof hl4e-0-1- ADDRESS &7 e OWNERS PHONE# APPLICANT OW N s ADDRESS 4( ESTIMATED COST IS THIS A CONTRACT COST?U S NO FEE ENCLOSED OR-CO OF JOB: LirgeinrW Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAL r/ A/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT LOSS(BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) TYPE OF FUEL OIL-GPM GAS-INPUT ELECTRIC-KW OIL TANK SIZE&LOCATION INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY AIR CONDITIONING DESIGN TEMP. OUTSIDE F INSIDE_7,5F DIFFERENCE L5 F TOTAL HEAT GAIN(BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INC jLYDINNGG MffE&MODEL N .)6,, c TONNAGEc ! COOLING CAPACITY(BTUhI)-Y VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. STATE-LICENSE-NO. NAME&TYPE SIGN Ell APPLICANT PHONE NO.p2o2 R-:G ' 0 DATE a TR1160 RIGHT-J SHORT FORM 3-22-97 Job 4:Htg Clg For: Roger Merrill Outside db 0 90 109 Hilton Dr. Inside db 70 75 S.Windsor Design TD 70 15 Daily Range M Inside Humid. - 50 By: CENTRAL HEATING COMPANY Grains Water - 35 Const. Quality a 4 of Fireplaces 0 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Model Model Type Type Efficiency / HSPF 0.0 COP/EER/SEER 0.0 Heating Input 0 Btuh Sensible Cooling 0 Btuh Heating Output 0 Btuh Latent Cooling 0 Btuh Heating Temp Rise 0 Deg F Total Cooling 0 Deg F Actual Heating Fan 1526 CFM Actual Cooling Fan 1526 CFM Htg Air Flow Factor 0.034 CFM/Btuh Clg Air Flow Factor 0.053 CFM/Btuh Space Thermostat Load Sensible Heat Ratio 91 ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss ROOM NAME AREA HTG CLG HTG CLG SQ.FT. BTUH BTUH CFM CFM ssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss hole thing 960 32058 20219 1096 1081 sunroom 132 12555 8313 429 445 s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s Entire Hause 1092 44613 28532 1526 1526 Ventilation Air 0 0 Latent Cooling 2682 ssssssssssssssssssssssssssssssssssssssssssssssssss ssssssssssssssssssss TOTALS 1092 44613 312157 1526 1526 MANUAL J: 7th Ed. RIGHT-J: V1 . 63 6ecoic# APPLICATION FOR BUILDING PERMIT Plumbing# 109 Hilton Drive HVAC # Nit : 113101 Sprinkler# No. 27949 FINAL OV Estimated Cost $ S,o o Building, 17 COMPLETE RED BOXED AREAS Permit Fee ng z/ v TYPE OR PRNT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO.Total Fee 779 TO BUI1W1G DEPARTMENT,TOWN OF SOUTH WNDSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location 101 F4 1+o-. b`, Lot No. Side of Street Zone_ Applicant /h. PZcvX (o ^ 5 Tel# f)-9- Y6(,o Address 7 4 A nnc y 5+- 4. N. Zip t-)6/o? Lic.# S z l g 9/ Owner A.9 Address S Architect Address Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit:__ ^+•c C x%t t'Y 14,jtcrs oIC S 4 j'-j ks. Tn 1 tt I cr s A,'c /d f'e.1+ Uer,, Vcn f City Water Well Septic System 0 Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by J Date 0 t Use Group 001— Construction Type Revbed 1197 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 is allowed. Signed D,=' 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 Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27949-B 5,200 B10 FINAL 07/19/01 JFF A B10 FINAL 07/19/01 JFF A CLOSED OUT. DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby:TOWN OF SOUTH WINDSOR v q q BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# to s 644-2511 ext. 230 VA liate ding Inspector Application must be printed or typed FEE SCHEDULE 9'ir/0 Location of Job: r 0 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. r APPLICANT OrL rlPrlO APPLICANT ADDRESS `BOO S/P•Z F s T I r ` l APPLICANT PHONE# r-/.3f OW N SFq OWNER et r OWNER ADDRESS l0 Wd Oo? t OWNER PHONE C ESTIMATED COST$ vaO. 1 U IS THIS A CONTRACT COST?Yes D No ICJ FEE ENCLOSED$ 3 TYPE OF JOB: soR.Co O New Installation VAlteration/Addition/Repair Revised 8/99 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITVOBUILDINGPERMITAPPLICATION? El YES RESIDENTIALDENTIAL BUSINESS CURRENT USE AND OCCUPANCY (es , / A• ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY STORAGE ADDRESS GARAGE MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO.OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK Ile,e lVes-te 2 4e- L tf 1 - 4 1 /ova v; , a 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. o? U37 2 CONTRACTORS LICENSE N TYPE STATE SIGNATURE OF APPLICANT DATE • "-`