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Home My WebLink About1139 Main Street (4)7119 A ELECTRICAL APPLICATION Application No. 8133 on the side of Main Street Street No.1139 Owner Russell Levack Electrician Paul Tranchina FILED IN OFFICE OF The Building Inspector May 15 1980 INSPECTION. 93),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. Gj APPLICATION FOR PERMIT TO DO ELECTRIGAI. WORK. No. ..8.1.3.3............ Permit No. .. ...7119.. ....... 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. c`' sSouthWindsor, Conn., C 19.rign here G, Address O.. r .. ............ Location / /.J.. ...... S 7 Side of .. Nature of Building How many stories ... ...Z'......... ........................................... ................. New or old Building ... How many families .. .....t.............................................................................. Kind of Installation ,S.'e'/- /j —.."a eV.-m How many Stores ... ........................................................................................... Owner ,r/5. L............ 46Jr .. ............. ....... .... ... Address ..... ........... ........... ................................__..............._..............._...... Architect ........ ....... Address ... ................ .... .. .................................................. Builder J... / '.]. i. .... Address Electrician ,N". .(.............U•...•.......-7-49 *./!!'l Address"? ..C..aF....i±...f..,._.L................. ....w ... Size of Main Wires . ........n... .....4 Z........ No. of Light Loops . ....No. of Heat Loops . No. of Power Loops ........................_._......... No. of Light Outlets ........ No. of Heat Outlets . No. of Power Outlets ................. ......... No) of Light Circuits ... .... .. ... .. ..... No. of Heat Circuits . . . . No. of Power Circuits .. No. of Sockets ...... . . ... .... .. .. . .. No. of Heat Receptacles No. of Motors ............. No. of Panels ..............I.. .. ............ ...... 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 ...... ............. ....... ........... ...... ....... ... ... .. i"l... Remarks: For other kind of Installation ...... ............ ...... ..... G.24 q...................................................................................... ................_.............................__........................................................................ ..... ...... .. ....... Estimated Cost .. .. Y y DATE : /Q-20-9 2 APPLICATION -FOR HVAC PERMIZ TOWN OF SOUTH WINDSOR E• T' g30 FOR OFFICE USE ONLY 1540 SULLIVAN AVENUE q,NOS SOUTH WINDSOR, C7.06074 FEES: Z(t_ BLDG. PERMIT NO. 0 -$1000 - $10.:00644—2511 -EXT.230 1000 or fracti n LOCATION OF BUILDING 113 YYIQ-f J S.'`f 10.00Cam• thereof - mwsm ADDRESS TO PHONE NO. OWNER bov a PHONE so. CONTRACTOR ADDRESS. TYPE OF SYSTEM:HEATING C_ TYPE OF BUILDING: RESIDINTIAL. A/C CO TIO= BUszNas INDUSTRIAL IF HEAT'IItG: STEAD LOW PRESSURE LIriI LBS. RIGR PRESSMM LIM LBS• SYDRONI= WAM AIR -- UNIT RADIANT REATER(INCLUDING WOOD/COAL BUNG STOVE)___ TYPE OF may; on-am GAS 12-PIIT ELECTRIC M_ WOOD = OIL TAN[ - SIZE i LOCATION:ODUTSIDE__ CJIPACITt,_ LPG TAM - CAPACITY.. DITIONAL ItADIATI TOTAL MST= HADIATI DESIGN TEMP. OVISIDB__ F INSIDEHEAT LOSS SSEE? MAST ACCOI'lPAi! APPLICA?IOI TOTAL LOSS (BTU) DESCRIBE ALL SEATING EQUIPMENT (INCLUDING MAIMi MODEL NOS): GROSS SEATING CAPACITY (IN1=-BTUR) O 'er NET RATIRGo(0 B?) oF IF AIE CONDITIONING: DESIGN TEMPS OUTSIDE_F INSIDE__ F D TOTAL HEAT GAIN (BTUR) VT CHIN SSSET MUST ACCMVANY AFoT.ICATIOb) DESCRIBE ALL COOLING EQUIPM W (mC unc MAEE i MODEL NO.): TOtfl A CE COOLING CAPACITY(BTUS) TON: DESCRIBE ALL AI t-8A1fDLIpG EQUIPi N (INCLUDING I ITCiEN EQUI T) IF QEMiTII.AT'I TOTAL SIZE OF SYSTEM (CIM)FREES AIR MAKE (C1R'!) Pa xwT ACCOIpANY APPLICATION) applies rk for a permit to perform the following Wo and is The undessiped he to seb lies c 1 with all local ordinaacss and State of Coca. Building Codes in the pest smance P F f such work. FURTHER DESCRIPTION OF WORK:1- 5;40 v 47- g TATE LICENSE-NAME: & TYPE S AP LICANT P 1 rj j I =B= R CALCULATION SHEET 1503 (Modwn Ifiethod)Copyright 1977 by The Hydr nits Institute A06RESS DESIGN TEMPERATURE DIFFERENCE F. DATE OWNER COL.A COL.• COL.C COL.D COL.19 COL.F COL.• PF t,l O' H L w H L W H L W H L W H L W Design Water Temp. STUH per Feet ofIMENSIONS.FT. UR.dleuew ss+.sw EXPOSED WALLS.FT. AND OUTSIDE DOOR AREA BTUH STUH STUH BTUH STUN ONSTRUCTION ROOM LIN.FT.OF TOTALS RADIATION Table 9,Line 3 x HI FROM LINE 12 SELECTED 6 TYPE F GLASS IB ttorn f table used for Line 5)C 7 CEILING CONSTRUCTION 47 able 9.L x W) D S FLO R CONSTRUCTION? r Table 9.L x W or Lin.FL)F 9 COLO PARTITION CONSTRUCTION Table 9.L x H) G 10 _Q 1 Well 1WithOpenings) H e Vww--8-1111s(With Openings) X• twlth Ovningsl or Ent.Hall 1- J 11 T TAL BTUH AT 70F TEMP.DIFFERENCE* K 12 TOTAL STUH AT DESIGN TEMP.DIFFERENCE L COL.H COL.1 COL.J COL.K COL.L COL.A COL.S TOTAL STUH TOTAL OF BUILDING RADIATION AT SELECTED I ROOM 1f O; H L W H L W H L W H L w H L W OESIfiN TEMP.* OIFFERENC[ H 2 ROOM DIMENSIONS,FT. U 3 LENGTH EXPOSED WALLS,FT. WINDOW AND OUTSIDE DOOR AREA BTUH STUN STUN STUH STUN INCREASE BATHROOM 5 WALL CONSTRUCTION TOTAL 20% Table 9,Line 3 x H1 6 TYPE OF GLASS B ttom Ot table used for Lin@ 5) tFOR CONCRETE FLOOR ON AT 7 CEILING CONSTRUCTION GR FILL GRADE ROUND LLEVEVEL.USEE LINEAR Table 9.L x W) FEET OF EXPOSED EDGE FLOOR CONSTRUCTION? Table 9.L x W or Lin.Ft.) 9 COLD PARTITION CONSTRUCTION Table 9,L a,H) O . 10 _ 1 Well IWith Openings) i 2 Wells(With Openinsd eX 3 Wells(With Openings) r Ent.Hall r 11 TOTAL STUH AT 70F TEMP.DIFFERENCE* 12 1 TOTAL STUH AT DESIGN TEMP.DIFFERENCE FORM 1503 This form is available from Th Hydronke Institute.36 Ruea Place.Serkeley Heights,N.J.07922 v/z j/fe- F12,f INSPECTION REPORT Permit # j/pc ILL Job Af 1 Footing AA - 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 HeatinZ f'f y -C h 7 Lathing 8 C.O. GIBRALTARO (Model CFI) The GIBRALTAR with a The GIBRALTAR with 1 The STANDARD in Coal/Wood Fireplace Inserts CoaUWood Grate a Wood Grate The Gibraltar produces from 27,000 BTU's to 70,000 BTU's per hour enabling you Coal and Wood Burning Versatility 1110 to heat up to 20,000 cu.ft.in an efficient, Why a combination unit?Coal gives a longeconomicandelegantmanner.* steady burn that wood cannot duplicate.It is Air tight,plate steel,solid welded easier to handle,easier to store,requires no construction seasoning,and leaves no creosote residue.On Designed to burn coal and wood the other hand,many people outside the met- Long burn time:up to 30 hrs.with coal; ropolitan areas enjoy an abundant supply of overnight with wood inexpensive hardwood.Also,there are many Large ash pan with folding carrying handle occasions in the fall and spring when you don't Unique air wash system for glass need a long burning coal fire—when acrack- Installs easily into most masonry fireplaces ling wood fire is exactly what you want. Thermostatically controlled blower system Whether you select this Gibraltar with the 96 available lb.cast iron shaker grate for burning both fuels 1.Convection Chamber 7.Primary&SecondaryAdjustableshieldsinthreesizesorthe50lb.cast iron grate for wood burning, 2.Coal Grate Air PortsChoiceoftraditionalblackorlightmetallicyouareinvestinginasuperbheater.3.Ash Pan 1.Convection Chamber 7.Primary Air brown finish 8.Air Wash 2.Wood Grate 8.Air WashHandcraftedBeauty4.Baffle 9.Air Vanes/Heat Exchg. 3.Ash Pan 9.Air Vanes/Heat Exchg.15 year limited warranty Enhanced to Your Individual Taste 5.Damper 10.Coal Banking Plate 4.BaffleEconomicalSensibleHeatingBeautifulcastirondoorshavebeenhand6.Firebox Coal cap.85 lbs.(nut/pea) Log size 20"5.Damper Weight 550 lbs.This is an ideal fireplace insert for heating a crafted by a master pattern maker.Each comes Weight 650 lbs. 6.Firebox medium size home or condominium.We share standard with high impact ceramic glass tested your concern of rapidly escalating conven- to withstand 1400*continuous and 2000*inter- Super/Flo tional energy costs,as well as your desire to mittent operation.The etching of the glass, Convectionprovidethesecurityofawarmhome.This medium shield&trim,and solid brass hinge Gibraltar is a proven product developed to pins are also standard.A thermostatically economically meet your home heating controlled,variable speed,dual blower system requirements. and hand polished solid brass doors are avail- Efficiency through Super/Flo Convection able options.Incidentally,your Gibraltar in most cases will extend only 7"from the faceThisairtightGibraltarfireplaceinsertallowsofyourfireplace. 23s/4" 23W you to transform your masonry fireplace and Your Investment is Built to Last jflueintoarealheatingdevicewhilenotsac- rificing living space.Overall efficiency of in Only the finest plate steel and gray iron cast-9 is determined by the factors of controlled ings are used in the manufacturing of Gibral- combustion and heat transfer ability.Your tar inserts.Engineering is so precise and qual- Fes—30V2" 24" — Gibraltar excels in both areas.The arched cast ity control so rigid that movable parts can actu- iron door seal frame uniformly compresses the ally be interchanged.Except for periodic paint fiberglass rope in the door to insure that com- touch up,your Gibraltar will be virtually i bustion air is always under your control.A maintenance free. 11 Front Elevation Side Elevation plate steel baffle,internal cast iron damper, and firebrick lining further squeeze precious Authorized Dealer: BTU's from your fuel for optimum combus- tion efficiency.Secondly,Gibraltar presents state of the art"Super/Flo Convection"to Shields:MED.42"w x 32Y4"h LG.48"w x 33V4"h EX.LG.54"w x 37y4"h maximize heat pick up and transfer to the living area.This is achieved by the carefully PHELPS & SONS, 17,`^ Minimum Installation Clearances... engineered steel convection chamber which Height• Width • Depth Top Elevation1258HARTFORDTU:1^i:1fZcompletelysurroundsover2000sq.in.of heat radiating firebox surfaces.Eight methodically VERNON, CT C-300:,3 shieldadesignedandpositionedairvanes/heat 203) 871-21 18 exchangers weldedwelded to the firebox assist in heat production and transfer.Super/Flo is further Flue 5t/2"x 7'/z" fincreasedbytheoptionalblowersystem. 31" 24 24„ 16„These ratings can vary depending on quality,type and condition of fuel as well as Mfg.by:J.A.B.Heating Co.,Ltd.architectural design,construction and regional location of your home.Specifi- cations and materials subject to change without notice.This Gibraltar Model CFI 2000 Erie Blvd. East 12t/2" 12t/Y" has been tested to Underwriters'Laboratories Standard 1482 and Proposed Stan-Syracuse,N.Y. 13224 dard 907 by Arnold Greene Testing Laboratories,Inc.,Natick,MA 01760.U.S. 315)476-1926 30t/y"—^ Patent#DES 276,180.We wish to express appreciation to the Manor House, Dewitt,N.Y.for their cooperation. e !UIBRAL I Au%, Coal/Wood Fireplace Insert 1 afi 1E F41 FINAL INSPECTIONS: Building /a APPLICATION FOR BUILDING PERMIT Plumbing H nkler 1139 MAIN STREET Date: Electric Estimated Cost $ j Zoning Permit Fee $ Affidavit NO. 18 Occupancy Fee $ Dept. Fire COMPLETE RED BOXED AREAS.Fire Dept. TYPE OR PRINT ONLY Total Fee $ Health Dept. SIGN ON REVERSE SIDE.Approved for CO: Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant _ff Myer Tel. # Address 11 A(41 S/- VD'401A)Mae CT Zip C&O Lic.# n STREET D CITY STATE Owner /L/(Jq /rnti% ,rL J 6.) A ddress SA-1c Architect Address 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 NDl-i?7A7(J — lSN1 1'?L ,Q-A) 04D j6AAA/ City Wa er Well Septic Sewer Approved by Date Zd l S-1: BD1A 11/88 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 ' nd required distanc s fr all other zones and is located in a zone in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in t 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: Bding-Z, INSPECTIONS: APPLICATION FOR BUILDINGz C HERMIT Plumbing HVAC Date: Sprinkler 1139 MAIN STREET El ctric Estimated Cost $ r i 6_17 Zoning Permit Fee$Q' Affidavit NO. 18136 Occupancy Fee $ Eng. Dept. Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ Health Dept. TYPE OR PRINT ONLY Approved for CO: r If f" , 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 Lot No. Side of Street Zone : Applicant J-0 z N 4- Tel. # Address 113 q 14441A) ST 15 0/IJad&677 Zip 040 jA_/ Lic.# S111F ET CITY STATE Owner JCL iN y 4fAft-T -Address— Architect Address 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 CiV Water Well Septic Sewer Approved by Date A" -' BD1A 11/88 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 th Building Inspector of any alt ration in the plans or specifications of th Building for which this p rmit 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 zon in which this building and its use is allow d. Signed- I hereby apply for a Certificate of Occupancy for the work described in this a li ation for permit. Signed k-L DO NOT WRITE BELOW THIS LINE INSPECTION RECORD 7jFootingVi-— Framing I L - Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: 3_ax1 po vvp g Electrical Permit# Inspections: Sprinkler Permit# Inspections: rf :,'i s rc'9.an.w•w.rw74.*^m.rmr..r^^^'• ;y r•'.. €•; .- i,•' "` i`Re^r,S "i- •• `c Sao' .V"` "4 ... . . r s'.L" a•, I BUILDING INSPECTION DEPARTMENT SOUTH WINDSOR, CONNECTICUT s CERTIFICATE OF OCCUPANCY FEE PAID: $3.00 ZONE: DATED 12/2 9 19 99 This is to certify that 1139 Main STreet Erected under permit No. 18136 conforms substantially to the requirements of the building ordinances and the zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below. Approved for Occupancy— New barn P Building Official Notice:If this certificate is lost or destroyed, a duplicate should be obtained immediately from the Building Department. Any change or extension of the use herein approved requires a new certificate of occupancy. PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN OF SOUTH WINDSOR APPROVED DISAPPROVED BUILDING INSPECTION DEPT. 644-2511 Ext . 230 Application must be printed or typed. Date B ding Inspector 1. LOCATION OF JOB FEE SCHEDULE No . Street 0 - $19000 - 10.00 Floor Apt . No. Over $1 ,000 - 10.00 2 . OWNER 0 '¢ /c Qeper $1 ,000 or JJfractionthereof 3. ADDRESS ST wlkp)sbg Cr 4. APPLICANT 5. ADDRESS 6. ESTIMATED COST $ 7 . IS THIS A CONTRACT COST Yes No 06 8. FEE ENCLOSED $ 9. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: Original Installation Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side ) 11 . LOCATION OF JOB l 0 I IQ, NO. STREET APT. NO 12 . TYPE OF INSTALLATION 13. SIZE OF MAIN FEEDER 35`L, (`Q 'jL l4Z? Amp 14 . NO. OF LIGHT LOOPS j— 15 . NO. OF HEAT LOOPS 16. NO. OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS S 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 l 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 : LI ENSE NO.SIGNA RE OF APPLICANT DAT PHONE NUMBER: S — (O PERMITNO. Gd5?r/ DEPARTMENT DECISION APPLI CAT I O N FOR Application is hereby : PLUMBING PERMIT TOWM OF SOUTH WINDSORAPPROVEDDISAPROVEDBUILDINGINSPECTIONDEPT. 644-2511 Ext. 230 Date B ding Inspector Application must be printed or typed. 1: LOCATION OF JOB: 1 Hg, FEE SCHEDULE 2. OWNER: 0 — $1 ,0 0 0 —10.0 0 3. ADDRESS:. . Over $1 ,000 — 10 .00 per $1 ,000 or 4. APPLICANT:fraction thereof 5. ADDRESS: 6. EST. COST: $47" 7. IS THIS A CONTRACT COST? YES NO 8. FEE ENCLOSED: $ O . 9. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: YORIGINAL ALTERATION INSTALLATION ADDITION REPAIR BD 2A 11/88 APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side) 11. LOCATION OF JOB: l24 " GENERAL PLUMBING 12. KIND OF INSTALLATION: 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS `- STYLE 15. NO. OF URINALS STYLE 16. NO. OF BATHTUBS 16A. NO. OF SHOWERS `` 17. NO. OF LAVATORIES 18. NO. OF SINKS 19. DISPOSAL 19A. DISWASHER 20. NO. OF CONDUCTORS SIZE r-- 21. NO. OF STACKS SIZE 22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOW 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK? 31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS r 32. REMARKS AND FURTHER DETAILS WATER HEATER 33. TYPE 34. MANUFACTURER TANKS SAFETY DEVICES TUIPERATURE 35. CAPACITY 39. RELIEF VALVE 36. TEST PRESSURE LBS. 40. MANUFACTURER 37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE 38. TYPE 42. MANUFACTURER LICENSE NO. t DA E SIG URE OF APPLICANT PHONE NO. NATURE SAVERTN FAX MEMO 01616 Date pages To FromL- Co/Dept.co'-jl Jocelyn Pierce AudetPhone# Phone#GqLt-d,5 1139 Main Street Fax# 5- Fax#3 7 South Windsor, Ct 06074 Planning and Zoning Office Town of South Windsor June 21, 1994 South Windsor, Ct. 06074 note: please place in file of 1139 Main Street)VN 2 1 1994 So.wrndW Planning Dept. To Whom It May Concern,s 4 This is to put on record that at the time of my purchase of 1139 Main Street in June of 1986 there were horses present on the property and that according to local residents there had been horses on this parcel going back before zoning regulations were put into effect by the town therefore granting "grandfather clause" status to the property and making it legal to have horses on the parcel. It was with this understanding that I built a horse barn in 1991, approved by the town, to replace the existing structure which was in poor repair. Sincerely, t CSz E Not June 20, 1994 12 Planning and Zoning Office 1 South Windsor,Ct. D ECEIVEO r J#N 2 1 1994 a So.Mndw L To Whom It May Concern, This letter is to have on record that I, Russell Levack, kept horses on my property, 1139 Main Street, while I was owner and resident there and that horses were present on the property previous to that. I have grown up on Main Street and can remember horses being on this parcel going very far back, before there was any zoning. This puts 1139 Main Street under the "Grandfather" clause for horses. Sincerely, For inclusion in file of 1139 Main Street Property) MAL INSPE S: Building 1t APPLICATION FOR BUILDING PERMIT Plumbing HVAC Date:Z 1 g Sprinkler 1139 MAIN STREET 00 Electric Estimated Cost $ 700 Zoning Permit Fee$ 3a 00 Affidavit NO. 91652 Occupancy Fee $ Dept.COMPLETE RED BOXED AREAS. 30 FireFire Dept. Total Fee $ Health D pt. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE.Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The and rsigned, hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant Tel. # 45 7—ci l Address 6LINs et CT" Zip 0:607:5 Lic.# STREET CITY STATE Owner MM& f1o e>.."PtUPK--T ` Addr ss 1«9 Mflii.t Asir. _So• (xJ1b=6x. (a': Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories Size of Lot Dist. from Street Line Bathrooms Rooms 1st 2nd 3rd Purpose of this Permit 1"b*. -TA*Q. M IA Vts~s44. OF: =&QQ rZ-N IC d Z e.i.. o i, c tty t cs tso y nc p 15mby-wGp. -rj%.c k:S City Water 0 Well 0 Septic 0 Sewer 0 Use Grou jUlk Construction Type n Approved by Date < BD1A 11/88 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 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. Si ned9 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: B NdnggSPECTIONS:APPLICATION FOR BUILDING PERMIT lumbinPDate.-I Sprinkler 1139 MAIN STREET Electric If Zf Estimated Cost $ 12. Co cJ Zoning Permit Fee$ tLc. Affidavit NO. 219 6 0 Occupancy Fee $ Eng. Dept.COMPLETE RED BOXED AREAS. Fire Dept.TYPE OR PRINT ONLY Total Fee $ l ZO Health Dept. SIGN ON REVERSE SIDE. Approved for CO: Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location S Lot No. Side of Street Zone Applicant Tel. # Address 1 $ Gz'air S" Lt/i/,.o.z1/c' c Zip Lic.# .57s l STFE CITY STATE Owner . cvc pif r Gv/ir Address- Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories Size of Lot Dist. from Street Line / Bathrooms Rooms 1 st 2nd 3rd Purpose of this Permit c-t'lc lC i C ft q G I Yzt- Cc City Water Well Septic Sewer Use Group k Construction Type s=' Approved by J-- Date ` a Bo1A 11/88 I hereby agree to conform to all the requirem nts of the Laws of the State of Connecticut and th Ordinances of th 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 a zone in which this building and its use is allowed. v AV Signed I hereby apply for a Certificate of Occupancy for the work described in this application for permit. Signed Or AZ'111-e DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# 1 J Inspections: Sprinkler Permit# Inspections: Inspection / Approval Date By Appl Code Description Due Whom Code Comment 94-21960-B 12 , 000 B03 FRAMING (ROUGH) 11/08/94 JFH A E03 ROUGH 11/08/94 JFH A B04 INSULATION 11/08/94 JFH A B10 FINAL 11/28/94 JFH A 94-13252-E 1 ,000 Total Est Value 13,000 PERMIT u DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 13 Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT.APPROV DISAPPROVED 1540 SULLIVAN AVENUE 1 3 4-y JA!X- 644-2511 Ext. 230 D to Building Inspector Application must be printed or typed 1 . LOCATION OF JOB FEE $CIIEDULE No • Street 0 - $19000 - 10.00 Floor Apt . No. Over $1,0 0 0 - 10.0 0 per $1 ,000 or 2 . OWNER Sk4eUe Cm ,l ft fraction thereof 3. ADDRESS 4. APPLICANT P S crh'i CW 5. ADDRESS lad z,v1,v ,,1-s,,, 66 0 9,57 6. ESTIMATED COST $ ye) 7 . IS THIS A CONTRACT COST ?C 11:310 ee J". .-8. FEE ENCLOSED $ 9. TYPE OF BUILDING: RESI DENT IAL COMMERCIAL 10. TYPE OF JOB : Original Installation Alteration/Addition/Repair APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB 3 t/ /n i i NO. STREET APT. N0 , 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 : 717e:;-,l LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER: e 8-7 Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 1139 MAIN STREET HVAC # Date: _ l.Iq, [_ Sprinkler# NO• 2 Z 7 FINAL A P OV Estimated Cost $3, Building COMPLETE RED BOXED AREAS Permit Fee q Engineerin TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location &j A? G;A . S . Lot No. Side of Street Zone Applicant Tel.# E- Address ft rC7, Zi Lic. # .S4 (-6-F6 OwnerS- Address / 3 2 &/y .s J-, Architect Address Sq. Ft. New Area: Ist FI. 2nd FI. 3rd FI. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: l/er Xg,4W City Water 2 Well 0 Septic System Sewer J Use Group Construction Type Area Basem nt Garag Approved by Date Zr 6407--*Revised 6/95 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 a zone in which this building and its use is allowed Signed 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 95-22571-B 3,600 BO1 FOOTING 08/29/95 JFH A LEAVE TAG B10 FINAL 09/08/95 JFF A APPROVED FOR CLOSEOUT Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 1139 MAIN STREET HVAC # N 2 2 916o. Date: Sprinkler# FINAL APPROVALS Estimated Cost so'*Q=" Building 7/,6 COMPLETE RED BOXED AREAS Permit Fee Engineerin TYPE OR PRINT ONLY Occupancy Fee $ Affidavit ::— SIGN ON REVERSE SIDE Appr.for CO. Total Fee TO BUILDING DEPARTMENT,TOWN OF SOUTH Wt4DSOR,CT Additional Cost) $ Th and rsigned hereby applies to do work according to the following specifications: Job Location JA 3 9 Lot No. Side of Street Zone Applicant &ftC,6 Ti rlEs 13.+ rn'gV_ir i c- - T„ Tel. # d G/ Zg2 Addre" - 52 Omel4a Road -Broad Brook=CT 01501r5 , Cic. # 13 s-2 3i Owner rn/[)IA, ,/g.. -7- Address /A`3 9 Architect Address Sq. Ft.New Area: 1st FI. 2nd Fl. 3rd FI. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit:,6,AV-ada Arx;2,0 City Water ` Well Septic System Sewer Use Group N Construction Type Al Area Bas ment Garage Approved by Dat / 'F6 RevmW 6/95 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of th Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of th 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 whjthis buil a is use is allowed. 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 f Electric# /, eq— APPLICATION FOR BUILDING PERMIT Plumbing#1139 MAIN STREET HVAC # Date:N^G, ,Z,f ?( Sprinkler# No.- 23011 FINAL APPROVALS Estimated Cost Building F/COMPLETE RED BOXED AREAS Permit Fee ciy Engineeri TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee TO BUILDI EPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $ The and rsigned hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant Tel. 3 — J SU 4' Addr ss o2 6u CC4 0 E Zip 0 Lic.# Owner da Address Architect Address Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area Rooms Lavatories Bathrooms / Garages Purpose of this permit: City Water ` Well [I Septic System Sewer D Us Group Construction Type Area Basement Garage Approved by Date 3 2 ? R.vs.d 6/95 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 a zone in which this building and its use is allowed 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 Inspection / Approval Date By Appl Code Description Due Whom Code Comment 96-23011-B 81500 B03 FRAMING (ROUGH) 03/26/96 JFH A E03 ROUGH 03/26/96 JFH A P03 ROUGH 03/26/96 JFH D OK BUT NO PLB PERMIT B10 FINAL 05/16/96 JFH A 96-13848-E 850 Total Est Value 91350 PERMIT DEPARTMENT DECISION APPLICATION 3gFORELECTRICALPERMIT Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT.APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 6If6 644-2511 Ext . 230 Date fgaipector Application must be printed or typed 1 . LOCATION OF JOB J/IS Q-- FEE SCHEDULE 06 . Street 0 — $19000 — 10.00 Floor Apt . No. Over $1 ,000 — 10.00 p e r $1 ,0 0 0 or 2 . OWNER r - ,ryl S r , ; r1 ,''j fraction thereof Tr 3. ADDRESS e)t A)-" 4 . APPLICANT !pL S • ADDRESS 6, B WIAI d<,) w 6. ESTIMATED COST $ S S O 7 . IS THIS A CONTRACT COST Ye No So FEE ENCLOSED $ z ol! 9. TY E OF BUILDINCs RESIDENTIAL COMMERCIAL 10. TYPE OF JOB : Original Installation Alteration/Addition/Repair On 3A 11188 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB f3 1 f7 ' l'1/ 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 : Le Z- 5. LICENSE NO .SIGNATURE OF APPLICANT DATE PHONE NUMBER: go7) Electric# 1 1 APPLICATION FOR BUILDING PERMIT Plumbing# 1139 Main Street HVAC # 23682 Date: Sprinkler# No. FINAL,AP RO Estimated Cost $ I- vK,U Buildin COMPLETE RED BOXED AREAS Permit Fee 2ay co Enginee ng TYPE OR PRINT ONLY Occupancy Fee $ 12 Affidavit Ic SIGN ON REVERSE SIDE Appr.for CO. J Total Fee 2,21 W TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $ Th undersigned hereby applies to do work according to the following specifications: le-) 7",,yf-7 Job Location 1/,3 f PRl/1 s _ Lot No. Side of Street Zone Applicant Tel. # Address9 Zip Lic. # Owner 5teye jAf it 6,0 Address f 1-5. ikl4.el-010- Architect Address Sq. Ft. New Area: 1st FI. 9 2nd FI. 3rd FI. Total New Area ?Y Rooms Lavatories Bathrooms Garages Purpose of this permit: A 10 Li, a-c'Ovo F x K City Water @ Well Septic System Sewer Use Group Construction Type S'. Area Basem nt Garage Approved by Date Revised 6/95 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 a zone in which this building and its use is allowed. Signed fv to 7 1 hereby apply for a Certificate of Occupancy for the work described in this application for the permit Signed A61.6r ,d. :;r Ir r /01/ IF I -IF - DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 96-23682-B 23,000 BO1 FOOTING 10/01/96 JFH A B03 FRAMING (ROUGH) 10/15/96 JFF A E03 ROUGH 10/15/96 JFF A B04 INSULATION 10/18/96 JFH A B10 FINAL 08/20/97 JFF A APPROVED FOR CO & CLOSEOUT 96-14134-E 200 PERMIT a DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT.APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 644-2511 Ext . 230 Date ng Inspector Application must be printed or typed 1 . LOCATION OF JOB FEE SCHEDULE N Street 0 - $19000 -10.00 Floor Apt . No. Over $1,000 -10.00 per $1 ,000 or 2 . OWNER p 1 fraction thereof 3. ADDRESS 118 9 MAI SaV Ni2, \. i ry %a r . L+ 11 4, APPLICANT ?6 LA-0-t 5 . ADDRESS 6. ESTIMATED COST $ LOC% 7 . IS THIS A CONTRACT COST Yee N 8 . FEE ENCLOSED $ 10.. 9. TYPE OF BUILDING : 319 RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: Origin 1 Installation Y Alteration/Addition/Repair an 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB v S I dv Lqog' NO. STREET APT. NO . 12 . TYPE OF INSTALLATION SQeU Zc A-A Ova, 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 : rV 9110 YyL 6Oco N L/A/ 4,A 0 / LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER: DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby:TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT So? APPRO 1540 SULLIVAN AVENUE Bldg.Permit# r 4 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 3q t9 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT L'C`T/Zj 6 APPLICANT ADDRESS e0A S 7- A,1;T e 06 357 APPLICANT PHONE# T6 OWN S OWNER M 1-2- ' fil LA 11 4< OWNER ADDRESS v A OWNER PHONE ESTIMATED COST$ G d.ad ti IS THIS A CONTRACT COST? Yes No y f FEE ENCLOSED$ g Vo C0 TYPE OF JOB: New Installation Alteration/Addition/Repair Revised 5101 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YES NO RESIDENTIAL 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 METHODS 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 2— NUMBER OF SWITCHES NUMBER OF OUTLETS ! NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS ` 7 446 UQ NUMBER OF A/C CIRCUITS_j SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK tt R 2A 5412-a 6-t EA-6 X4 -A 1,66 -Tq nR I fl—U =s 1 6 A C)& *4 42 f-z aj o-yb !G L7' •j--21f Q 45A?1 cc-cl 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. TYPE STATE SIGNATURE OF APPLICANT DATE 1/ ,6 p CJ hirley Wilhelm- R Approval Con irmation: Request No. 200718 Page—'-' From: clpsvc@nu.com> To: WILHEL@SOUTHWINDSOR.ORG> Date:1/22/02 4:21 PM Subject: CRS Approval Confirmation: Request No. 200718 Your approval of the following CRS Request has been successfully processed. CRS Work Request#:200718 House No: 1139 Lot No: Street Name: MAIN ST Town Name:SOUTH WINDSOR, CT Inspector:JOHN COLLINS Approval Date: Jan 22, 2002 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: Q S BUILDING DEPARTMENT A 1540 SULLIVAN AVENUE Bldg.Permit# 0t Jk 644-2511 ext. 230 Y c? 3 ate Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 13 S r 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS L% C> APPLICANT PHONE# W N S OWNER O q OWNER ADDRESS OWNER PHONE ESTIMATED COST$ IS THIS A CONTRACT COST?Yes O No Q FEE ENCLOSED$_ o 6Z VOR.CO TYPE OF JOB:d O New Installation teration/Addition/Repair Revised 8/99 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YES NO RESIDENTIAL 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 1 3TYPEOFINSTALLATION_ L'i 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 U S 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 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 WORK1000 70 2 CONTRACTORS LI NSE NO. TYP STATE SIGNATURE OF APPLICANT DATE / r