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110 Robert Drive
TO THE BUHDING INSPECTOR Of the APPLICATION FOR PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX.0 I• AT (LOCATION) RO17-&1- P2C;/V ZONING DISTRICT LOCATION NO.) STREET) OF BETWEEN CROSSANDBUILDINGSTREET) CROSS STREET) 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 1 New building Residential Nonresidential 2 Addition(1/l+esidential, enter number 12 X3 One family 18 0 Amusement, recreational of new housing units added, if any,13 Two or more family — Enter 19 Church, other religious in Part D, 13) number of units— — — — — 20 Industrial 3 Alteration (See 2 above)14 Transient hotel, motel, 21 Parking garage 4 Repair, replacement or dormitory — Enter number 5 Wrecking (1/multifamily residential, of units ——————— — i Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional 6 Moving (relocation)17 K Other — Specify 86Y 25 Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP C-f2a0ND /Do0e- 27 Stores, mercantile 8 Private (individual, corporation, 1 28 Tanks, towers nonprofit institution,etc.) Y pew 2t QL'(4 29 Other — Specify 9 Public(Federal, State, or local gov rnment) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g.,food V processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,•..•..,........ school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building of 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 is 7d-49 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 410 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 Oth r — Specify 42 Public or private company Total land area, sq. ft. ........... 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ...................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 Gas Will there be central air 52. Outdoors....................... 36 011 c nditi nine? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 No 53. Number of bedro ms.............. 38 Coal 39 Oth r— Specify Will th r b an I vat r? 54. Number f Full.......... 46 Y s 47 No bathrooms Partial........ NOTES and Data — (For d partment us ) IV. IDENTIFICATION — To b compl t d by all applicants Nam Mailinj addr ss — Number, street, city, and State ZIP cod `Tel. No. Owner or C Prower C vV4,e— Les see 0124ilV MW 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 w Address Application dot 14?0UtY?r 1J2. J /Od/ 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 NotesqFeeStartedyApprovedy BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER s VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS P rmit or Approval Check O Date btained Number By Permit or Approval Check Ob ateDaned 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 numb r 12730 Bui Iding Permit issu d May 25 19 82 Bui Iding Permit Fe $ 6.00 Appro d by TITLE NOTESVIII. ZONING PLAN EXAMINERS FRONTDISTRICT SIDE - .SIDE YARD REAR YARD NOTES Ix. SITE OR • Applicant r.r, i.w.a.. ... .aw... iwr ,N NqI Se•MI•.N f•IM•/•••' a 11iaw`*.. a...•.N..w....... . ......f..c..:.:.• aa.;*'.•'. r..sw.` aww'.'.a • fara•+.•.•..•a:qwa r r . S a `. r. w yaaa.1a1Mw •s• q\ S`aw•. w " a w lay® w owaa as5 :: r name rN • •.s p wru• Ni •\rrr w _ rumw MH w• Nr Manlwas: I - -, 011 is a I r• •• • •fit \ flrS it M i•R:• :r• r i r A• t i i i•r r ii"iii s r a t"' i raa ••=`• • fa:••1 ar • : Ij _ i\s i 1lIRr= w • M"_I. ••• " I r i ua +..N .. .. it aa r • fsis; a **a*s :"is'S sons ' •:"'r :,i:0 is f• _ • w r y . rIa•i s` riii":r iri i r a + tq` . 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Fee Paid Eat. Value $.7 7,6..00 Permit N° 12730 on the aide of Robert Drive Street Street No. 110 Owner Rpvep Brainard Applicant Royce_ Brainard CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Above ground pool BUILDING PERMIT I N° 12730 OFFICE OF I I THE BUILDING INSPECTOR of the I Town of South Windsor, Conn. i South Windsor, Conn. M--Mxx 'S- V2 94is is fa p fu, That Royce Brainard j is hereby granted permission to Above ground „ool 219 X-4' I I i at estimated value of 0-0- on the side of 110 Rnbstrt Driva Street on land i owned by Royce Brainard I Said Work to be as described in Application and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued May 25 182. f4WIding Inspector. Streets and sidewalks, obstructed by ezcavations 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." I Y INSPECTION REPOR Permit # '' Job f y 1 Footing 2 Foundation 3 Framing 4 Wiringi'6. 5 Plumbing 6 Heating 7 Lathing 8 C.O. 7662 ELECTRICAL APPLICATION Application No. 8773 on the side of Robert Drive Street Street No. 110 Owner Royce Brainard Electrician Homeowner FILED IN OFFICE OF The Building Inspector May 25 19 82 INSPECTION. r3r 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 ELECTRICAL WORK. No. r Permit No. . ,.... ....... 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., 19 Sign here Address 0 Location lL.. vim« Side of Nature of Building POOL....... ..... How many stories ......................................................................... ................. New or old Building . ........... .... . .. . . ...... How many families ...................................................................................... . Kind of Installation ........... ..How many Stores ................................................................................................... Owner .................... .... ......................... ...... . ............................ .... . Address Architect ....... .......... .... ....... ... ... .. .. . .. .. ... .......... Address .... . ............. ... ......................................................_..._......._....._._.... BuilderAddress Electrician .... V ... ..... .... .... . .. .. Address .... .... ........ ...................................................................... Size of Main Wires .. .................................................. No. of Light Loops No. of Heat Loops .. ..,.. No. of Power Loops ......................... No. of Light Outlets . ........ .. No. of Heat Outlets . ... No. of Power Outlets .................. ......... Nob 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 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 .. . ........................................... .................. ... .................................... ........... ........... ... ............. ................ G...-Fz............... ... . ° ........ ... ©. .................................................................. ....... .... ..... .... . .. ... ..... ........ Estimated Cost ... , av.0 O B i dngSS '2g',: 7,0 1' 0'/as APPLICATION FOR BUILDING PERMIT Plumbing HVAC Date: S Sprinkler 110 ROBERT DRIVE Electric Estimated Cost $ Qo- v Zoning Permit Fee $ /,615 Affidavit NO. 18268 Occupancy Fee $ Eng. Dept. Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE.Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location 1 io fi"oB-T 0/3 Lot No. Side of Street Zone Applicant 84 KCo I-N L Tel. # -203 6 2_3-'7x?rl Address 7J Oc,d Gov X-Ac" &LIE 2ov ule,"09"e-" cT Zip OG o 94, Lic.# J-,2 Y fja,;, STREE CITY STATE Owner Y E 1 s L,6-v O'c/N-b Address %i v 2'015 a -T' D,r— 5. Architect SA- c-o anv'r- 7wc - Address 73 ato e.ovvgy 0-0 KJt/y DSO IL Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line Dist. from Side Street Line Purpose of this Permit VjV!:fL SJVIA/— AeWL-fC-,L-7 A4&'7v7 w yyt wS 'q ooF City Water Well Septic Sewer Approv d by Date BoiA 11/88 I hereby agree to conform to all the requirem nts 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 lin s,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. Signed hA-rns+,o I hereby apply for a Certificate of Occupancy for the work described in this application for permit. Signed DO NOT WRITE BELOW THIS LINE- INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT#TOWN OF SOUTH WINDSORApplicationishereby: BUILDING DEPARTMENT 7((//6 PP 1540 SULLIVAN AVENUE Bldg.Permit#644-2511 ext. 230 Dat Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: C 6 c;Z , - 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 APPLICANT ADDRESS 1711,e s elk S T- so 412 ex5cl rc APPLICANT PHONE# F60- j5 Yy 6 SS OW N SF,q OWNER Rov c OWNER ADDRESS y Ro r J vtcoolsU1Z Cl o (!JZY OWNER PHONE L/L S (> ESTIMATED COST IS THIS A CONTRACT COST? 0 Yes o FEE ENCLOSED$1,3. TYPE OF JOB:SOR.C011 0 . 0 Original Installation 149lteration/Addition/Repair Revised 8/99 I Ai APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WI A ESIDENTIAL BUILDING PERMIT APPLICATION? YES NO R BUSINESS CURRENT USE AND OCCUPANCY 1?-rj -CAl 7 ru l 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/WIRING METHOD. 'f e 611 C e Ch U d, GOble SIZE OF MAIN FEEDERS AND RATING OF WIRE USEDe ? NUMBER OF METERS I 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 Ae/Z l0G4 Iro& Gov,l ze ,a,047 C3xA— ,'-U S. . o jr2o/'I Al rw oG4f1-(,0A1 74y x07 S ScRv fc e-1y 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. 1'Tz 91 50"5 5 / C 7 CONTRACTORS LICENSE NO. T E STATE SIGNATURE OF APPLICANT DATE —' l Shirley Wilhelm-CRS Approval Confirmation: Request No. 188478 AA Page 1 From: clpsvc@nu.com> To: WILHEL@SOUTHWINDSOR.ORG> Date: 9/26/01 8:53AM Subject: CRS Approval Confirmation: Request No. 188478 CRS Work Request#: 188478 House No: 110 K6 ,erg" Lot No: Street Name: Inspector:JOHN COLLINS Approval Date: Sep 24, 2001