Loading...
HomeMy WebLinkAbout1169 Ellington Road8192 7892 Application No. Permit N . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (one (make alteration to) a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn.,9 gg Sign hem Address 1 .AoreeYX&z. ....... ..........11.. . Locaten. . .... .................................................. side Of? 7_Rd / Nearest cross str 7`" r k.............Street No. . .4.3.................. Lot N . .......... . ...... r Owner of land is? ) E. D..Qla. l Ad p lam.. P.., „rr!l.... dress / . . Owner of building is? ..' . Address M.............................. . .. ..... .. k,r.. ..... 6Builderis? f. - t.... i .L. A. .!! At.........Address c J.... i Dimensions of building? . . . ...........Feet front? .... ...... . Feet rear? ..... ...... ........... Feet dap? ... . . ... .1 Extreme height to highest point of roof? ...........,Z/....... ... No. of stories in height? Purpose of building is? ......F ~"r,,,................................No. of stores. ..... ................ ...................................... ........... ............. How many families? ............................................------•No. of rooms? .... .. ........ ...... ..... . .......................... . ......... ... ........ A Distance from street line is? ........ ......C7..........................from building line is? ....... ..... ^ ADDITIONS AND ALTERATIONS Give Brief Description) f .... ........... ....... ..... .... ..t'.....t.....4,(?.. 4....Q2............ . 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 1b,s.per square foot. See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? Composition of mortar? I......... ... ....... Height and Thickness of Walls Heltht Stories Front Walls Side Walls Rear Walls Partition Walls Basement, 1st........Story........ ... .........._.........._...._..........__..I. ........_............. ...... ....... i. ............nd 3rd " 4th do 5th of 6th " 7th " 8th " 9th " loth so 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 d01878 G=DZRS OOLUNNS Floors Slse Longest Span Centres ErU40ng Slse Longest Span Centres Slse I.engW Centm lst FI or Via.....,..... 4 .... .................... ................................. Size of outside studs? ........................................ Distance on centres? ................................................ Size of sill? .............................................. Size of rafters? .................................... . Distance on centres?................................................ Size of plate? ..................................................... Size of ledgers or girls. ................................ .............................................Size of deck rafters. .................................................................... ............... Distance on centres? .......................................................................................Size of studs in bearing partitions? .................................._............. MISCELLANEOUS Style of roof, flat,.pitch, Mansard,or hipped? ..... . ..............Fireplaces? Material of roof Material of Cornice? ....................covering? ...................................................... . Howis building heated? .........................................................................Lining of flues? ... .............................................................................................. Thickness of shell of flues? .............. ........................................................Any elevators or lifts? .......................................................... ...................... Wha Any hoistway:.t kind?How many? ........... .. . ........................ ry ......................................................... How protected? ................. ................................................. Value of Building ..... .. ......... Q.. .............. When will work be commenced? ........ dooe The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this application, conforms to the zoning regulations of the Town of South Windsor. Town of South Windsor since 1949. t Applicant 7892 BUILDING APPLICATION ApplicationNo. ... ...8192............................................... on the .........south....... side of Ellington Rd. Street. Street No, 1169 Owner ..Ri chard. Gri. gori an Applicant S ame CLASSIFICATION Renovation to building at 1169...Ellington Rd. Appeal #902 Permit issued on above Application. 11-9-72Date, 19 . TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Nov. 99 1972 Fee Paid $ 120.00 Est. Value $. .2 9.0 000 Permit N 0 7892 on the South side of Ellington Rd. Street Street No.1169 Owner Richard Gri8 orian Applicant Same i CERTIFICATE OF OCCUPANCY ISSUED: i Date No. 4306 Fee Paid 3.00 CLASSIFICATION Renovation to building at 1169 Ellington Rd. Appeal #902 BUILDING PERMIT N°7992 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Nov. 9 1972 X4'to 'to to Ter#tf1j, That Richard Grigorian is hereby granted permission to Renovation to building at #1169 Ellington Rd. Appeal #902 at estimated value of 200000 on the south side of Ellington Rd. #1169 Street on land owned by Richard Gri g on an Said work to be as described in Application No. 8192 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issue Nov .9 1 2 i.X. r . ildi 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." A INSPECTION REPORT Permit # Job 1 Footing 2 Foundation 3 Framing /2-13-7 4- 7.3 4 Wiring3-9-T3 y-73 y 3- y,,3 2-fffi 5 Plumbing 03-e 1-73 6 Heating O/Z6-73 7 Lathing 113o-73 s C.0. 3 os241 Permit No. TOWN OF SOUTH WIN" SOR SOUTH WINDSOR,'t,vlv.L.: Permit N 4306 Certificate of Occupancy THI5 JS TO CERTIFY that ei at No. in the Town of South Windsor, nnecticut, has been ervectlrd and complq0A in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. O Bulicimf Inspector Owner, Build 41-0000, Fee Pa' Date 7-o 1 r r w W LL/PJG 7-0AJ /,0,4,0 OvTE 3a APPROX E046 PAVC-plc-wr + ram.. r .r ..r• SAa SA J 2Oo ' 4s' a S 8 1 o, i CHO cc% Is.1. r f s' • AR aRc-, 0.7ZAct Ae aft A. Zee ,• q SG h 7 n J Q 5O• i. a ou 17 14'- s E Z co rzi ISODAYQocKcsE-evo a, N/F IKCYSronvE LDCJC4.dPkl6WT" CpFLPOR A?/cam/ uouwew,vMnuii y Qn pp F c a N ti 4 0000 0'/. CA R,' FC4 s rQ; APP644L#T Z 2755 R`T Nor . 0326 SUR E + 1rmrasir S!TE DEVEL0Pr'IE f47' P1 4/V I HEREBY CERTIFY THIS MAP TO Fop- BE AM._SUBSTANTIALLY CORRECT A lC 2 f G-NINACCORDANCEWITHCLASSID „ CODE OF CONN. TECHNICAL COUNCIL INC. 4 FLLINCCTON R0A0 SOUTH kIlIV0 'a2 i 7H10 Fo o T' Ca N Ta clk lAj TE,t''t/A Li W 1 t L1 A M J. CA C R 1NCr-r,0 N y L. $. Y y a'. '.J- S r,r,''i^r.- v,.v sue .... _,> 4_r j - -rd,.r`;-.. •t,.w `{ xia;.7 1•"••'r, = `,t'O°l••'_-u~' ..- a.M' } ..'.;',',f' ax:•+ti a; r m r*. o?r-`. -.+."'i"q'+_- :X~' 24 3.,J<` i- r; `..^ ,r,•_.. .:. r z S+•. jr.FX:-s- a. + `r< rn g k- _ v"'S' +t' `'^." r " -' .T• - u `q,' 1,+7.,k;• VIn 14 sP-. ,,+#rrmay':.5}E.:Kc+q«$w;#,=r&^ar,`kMP,£•# r"der,c..Y ,rx ;b,:I.e)f 2• 4- A A'..st`-- t.. k A'i-.+ *i,}-- i', i'. 1i t` - eie>` ,y$: - S`'J'. V. 4v F' ti_i1.M .'k:e+ _ram ;%4 a a ,_r,-,phi,. 'ba ,•' € •, tLL_,. - _ -A'w.,-- 41yam. z'S+ s .. F,' 1 -sr f __ a,<• ,9 ."nr+.'t^T•Y,p"r .k... µF" ° x''^ .> . s.: ern'' _ w.rS" . ``, r -; I w y - Y` - '• i pie. ?, Y+ Y•`?Yr'," ^V'd.'rp'°a_ y1NY .-• I^ _ r 4 - a p . j'. .. - _ _ P .^ '"` -Y e` ry • v( OY J(}`M7' r F iYY _ 'r • 3 _ } __}{4e ,`L`.-. .'- . - • \ *'.• JJI - 1 {+ I r • v '• Z. fir r i' T -` - 4Y.= _ _ - li,. - Aj Property Of 1'104c.) Me z rDwellingnoncour.o t. '!.o 44 3'-r.-e>Y,K«::,.-+;?,.,.¢ ....... ..r-.+.,,-.•ear,,. r„ _ e-.ys.. . ..-.'de-.w..,q.,.*y- a'.rA'4S'.d-,..r.+r'-rFas _'-i.-wsr.,.•. .ba'.a.n'` .«.....;.-s,..,^<.,e+r,l.l4au...-* bra!':>..1`'...`'.•'¢Y_ x_ v.a •- . -...W' A",2-r•.Ar`.....:.•>-4:.a.Pr.r:ifi_'i.r""7 se']}',,a..'+-..`—"S+xa.:'is ^L.c:'.-'~:.S:uti:.:x"-.. `c.3rs fi 5129 P' ELECTRICAL APPLICATION Application No., 5440 on the side of Ellington Rd. Street Street No. 1169 Owner Richard Grigorian Electrician Harold Libin FILED IN OFFICE OF The Building Inspector 11-17-72 19 INSPF=10N. ra 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 Are stops (if of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM. 5440f,e No. ................... ................. Permit No. .............5.129.......... . 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. SouthWindsor, Conn., ......... .. !/.. ..... .... .5.... ....112 19....... Sign here ...................................................... .............................................................. Address ................ ............................................................................................. Location .1... ....,cl..........r.... .. -..N .... .d.,1000Y...../dAide of ................................................................................................................................ Nature of Building ......v...!.... C....z`.................................. How many stories .2....... .................................................) New or old Building VHow many families Kind of Installation ...fa..lyl....a.. .................................... . . How many Stores ........................................._......................_......................_........... Owner /..c'.l.. a.,,r./_ .. Address ....CA-..a..>I-i'............_..., G1._......-..5 .. CAC-1 Architect ........................................... .................... ..... ... ................................... . Address .........................................................................._................ Builder ........../............. ....................................... ..................................................... Address ......... .............................................................................. .__......._..... Electrician !.. .. .. ...... .b..,r.. ................................... Address .`1..` ..... l?.d.. ..,J..I..- .. .... -'v l`_'.. 31 Size of Main Wires ...(/Ip......................................- No. of Light Loops ... No. of Heat Loops ... No. of Power Loops No. of Light Outlets j.P........ . . No. of Heat Outlets No. o! Power Outlets NoO of Light Circuits/ ....... .......... ..... No. of Heat Circuits ..... . .. .... . ......... No. of Power Circuits .....2................. No. of Sockets ................ ....... ... ............... .... No. of Heat Receptacles ..... ... . ..... . No. of Motors ............................................ N . 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 .... ..0. .. ............................... No. of Combination Fixtures .............. .............................. .. .......... No. o! Receptacles .......,..a.................................................... . ........... No. of Cord Drops ....................................................................... J...................... Remarks: For other kind of Installation ...... P...GcJ.... P S. c 1 .F.. ..tP..a-... ? .... .... ,...(............-Se...,..v 1.. .f.................... ........L.r..4...t........ !....................................................... 114 EstimatedCos /d'.......................................................... 4310 R PLUMBING APPLICAT10N Application Na 4099 on the w...__... Cl ade of Stet street No. ..._ ...z1 r,f Owner .... u Plumber yFiledin,0of The 2—28—?3 —19— M Aft no No petsoa:hall commuct, add to or altar my portion of the drainage system of my bwl&og inept to repair leafs) until a Rev- & is gtaotad by the Building Lopeaw. 4099 4310ApplicationNo........................................... Permit No. ...................................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application to perform plumbing according to detailed description below. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether specified herein or not. South Windsor, 42..... ................... 197J.... Sign re ..... Address ... N.... .........q zzJ.......... ... ... . .. e.1 ....................... Location k..j. ........A,`.............. side of ................... Street Nature of Building How many stories .. ....... ........................................................................ Owner ....6C... .9........... Address ..... ZI!:-4. Architect .................................... .......... ................................... .................... Address ..................................................................................................................... Budder Address ...................... ........................................ ................................................... Plumber r................................... Address ... DRAINAGE CESSPOOLS, How many ... ......... Where located .................................................................................................. Are they water tight Of what materials are they built .............................................. 4Sizeofpipefromhousetocesspool . ....... Kind of pipe ....a...................................................................................... MAIN DRAIN IN CELLAR, Material ....Diameter ......... Above or below cellar bottom SOIL PIPES, Material Z.r4-a-4L Diameter ...";....................................................................................................... WASTEPIPES, Material (/1'Diameter .............................................................................................. .............. TRAPS,Type proposed to use is .................... RAIN WATER LEADERS, where do they run to . .. . . ................................................................................................................ REFRIGERATOR WASTES, where do they run to . .... .... ................................................................................................ ............................... TANK OVERFLOWS, where do they run to FIXTURES WATER CLOSETS, How many ..... ............. .. ........ Where located Distance from trap to vertical soil pipe ........................................ Pattern WASH TRAYS, How many .. ........./...................................... Where located SINKS, How many ..................... ................................................................ Where located . . .. .. ............................................................................... BUTLER'S SINKS, How many ...................................................... Where located. .. ... . ....................................................................................... REFRIGERATOR SINKS, How many.. ................................... Where located .................................................................................................. LAVATORIES, How many .............__'2............................................ Where located BATHTUBS, How many....................................................................... Where located ..................................................................................................... URINALS, How many ........................ ................................................ Where located .................................................................................................... 7 . - Y'0 ,Are water closets and urinals to be local vented 2 If not, is there a window in outer wall 24) ...... ..................................................................................................................................of room where same are to be located ....... Estimated Cost . .....*0.. ..... .... ........ f' PERMIT # Application For x DEPARTMENT DECISION Permit Ohs4292 3 O APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIOVB N 4j ti APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR ca 00 (D DATE CHIEF I;PNCV06J APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER HE BEL W O r» 9 1. LOCATION OF JOB 0 NO. BTREEY G v y LOT NO. FLOOR APT. N . 0N O 2. OWNER O O S. ADDRESS 4.PHONE a4 cc s. APPLICA ao a~dV/-/ -kz,r/", zooa. ADD pS.bt T.PHONE( Y Y IJ 2 s. LICENSE NO. 7 jg r: B. EXPIRATION DATE OF LICENSE U/ w D 1o. ESTIMATED COST s a 11. 18 THIS A CONTRACT COST YES NO be 12. FEE ENCLOSED s P e rml t p X 1S. ILDING:a U C MMERCIALba O .- 14. TYPE OF JOB: INDUSTRIAL r40i RIGINAL iA IERATION INSTALLATION L_7 ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued from R v no Sid 11. LOCATION OF JOB NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. S.T.U. 1..DANDDOORSVOLUMETOTALTOTALH< DISTRIBUTION INSTALLED ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED j L tL RAD. REGISTER L W N AND S TEMP. TO f TYPE AND SIZE R LEADER SIZE < WALL to INFILT.) DIFF. F O» SO. FT. FREE AREA L i ov as TOTALS D A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND Ia. THEIR TRADES All WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE(OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. D E SIGNATURE OF APPLICANT PERMIT # Application For d DEPARTMENT DECISION o Heatuig Permit c APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS I APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR O cd 00 DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL w O 8 1. LOCATION OF JOB I p C~ 4-31 Od O NO. STREET cd v LOT NO. FLOOR APT. NO. ON it O y is a. OWNER ad fir O S. ADDRESS 4.PHONE ac Go S. APPLICANT aid 0 s. ADDRESS a o 7.PHONE w A S. LICENSE NO. 4" ,Sa o w s. EXPIRATION DATE OF LICENSE v 10. ESTIMATED COST s ago 11. IS THIS A CONTRACT COST?YES Nob0 IV A 1 s. FEE ENCLOSED spvPC 13. TYPE OF BUILDING: d1 RESIDENTIAL COMMERCIALOA d 14. TYPE F JOB: INDUSTRIAL as 3 x MIGINAL INSTALLATION ADDITION ALTERATION REPAIR a APPLICATION FOR HEATING PERMIT (Continued it m Reverse Side) 11. LOCATION OF JOB NO. STREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOATIO/l)o U OFCTANKN OF FILL OF VENT SIZE SIZE 13. OF TANK 14. B.T.U. EQUIP. AT REGISTER URNACE MAKE AN NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND 0. 4 B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS- FIRING RATE /• -J FLOORS TO BE HE TEQ NEW OR OLD BUILDING INSULATED — YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM ATER TE P -U -J--U-T> B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE —/d T 7v FAHRENHEIT MAKE OF RADIATION: BASEBOARD, COPPER CONV CTORS, R C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. f B U/ T U DESCRIPTION OF WORK 15. TO B DONE: GE' m HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOW, AREA - SQUARE FEET S.T.U. S.T.U. 9 i o DISTRIBUTION INSTALLEDANDDOOR, VOLUME TOTAL TOTAL 16 ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL REGISTER L W N AND K TEMP. TO FF; TYPE AND SIZE RAD. OR LEADER SIZE < WALL F'LtG INFILT.) DIFF. F O IO to SO.FT. FREE AREA 5%D 4, C) ob /you as G a o 8 14 / C? oz 4fqov s036 1 a a a Y/ 9- / 2 1 &6 S ps y -0v je760 PoG/ 9 /SG 1 00 oa 8a io e s Iq /3 y 3 7,X boa cv az 0 11IF24 ad o3a as aa l / 79 O Gca oa a cp 112 /3 >0 y 7V 9yr 1300 a G aov TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A 9 C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND te. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE 77/73 CODE. APPLICATION TO BE COMPLETELY FILLED IN. C1,4,4 / // DA SIGNATURE OF APPLICANT PERMIT # Application For 4060 DEPARTMENT DECISION 4282 Heating Permit 3 O APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS N +'APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR Cd 3_9__73 00 DATE CHIEF INSPECT APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN wITN NUMBER ONE BEL w A 1. LOCATION of Joe NO. STREET v LOT NO. FLOOR APT. NO. O J Z. OWNER cln'` 0 11 b 5 III CA5d(9 , \Cy a o s. ADDRESS b4 3 4.PHONE j S. APPUCANTT aA _I 1 c, 1 a6 ad o a. ADDRESS v , J I~'/S Avc 6) !-, n 7.PHONE G. LICENSE NO. C -' Q 4 w s. EXPIRATION DATE OF LICENSE n! 11 1 3 pp to. ESTIMATED COST s L' 44 O 11. IS THIS A CONTRACT COSTS De YES Or"E 12. FEE ENCLOSED s Permit #7892 PC XblCD is. TYPE OF BUILDING; 00 KSIDENTIAL COMMERCIAL 44 y 14. TYPE F JOB: INDUSTRIAL cc 4) ri amfinAL ALTERATIONx+ NSTALLATION ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued tr m Reverse Side) 6, 11. LOCATION OF JOB j/ (.'1 K I I , %I !, n NO. STR ET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. DESCRIPTION OF WORK rE' J^ - i-C I w0 i 1` nITOBEDONE:J `t u +-\ f i, ' I o a\Y' 2;i< IcI ,1 14 s 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOW/ AREA - SQUARE FEET e.T.U. 9.T.U. F DAND000RsVOLUME DISTRIBUTION INSTALLED TOTAL TOTAL FFROOMNO. pgpgg GLASS NET WALL CEILING FLOOR CU.FT. A CORRECTED 4 RAO.L W N AND Q TO OR LEAD RRhFTYPEANDSIZE SIZE < WALLLL F' ' INFILT.) TEMP DIFF. F F m N SQ. FT. FREE AREA 75< 75< TOTALST7_ A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING, OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND 18. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE(OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. r`;; „„ •,j DATE SIGNATURE OF APPLICANT TOWN OF SOUTH WINDSOR License No. .. Office of Permit -s, i 4060 BUILDING INSPECTOR PERMIT is hereby granted to 410,z of d to do Heating Work at Property owned by Special Conditions Cost of Work under this Permit $62 This permit is granted upon the express condition that every person acting under the same shall conform to the representations of the application therefor. to the foregoing terms, and to the ordinances of this to,,vIl and the Statutes of this State. applicable to the subject matter thereof. It may be revoked at any time for a breach of its conditions. Dated. Town of South Wi sor A. D. 19,12 Fee Paid, 00 lding Inspector. TO THE BUHDING INSPECTOR of am APPLICATION FOR TO" OF SOUTH WIPWSOR,CONK PLAN EXAMINATION A N O BUILDING PERMIT IMPORTANT — Applicant to complete all items i sections: 1, 111 111 IV, and IX.O ZONING I• AT (LOCATION) DISTRIC r LOCATION IN .) 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 A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use Im Im 1 New building Residential Nonresidential 2 Addition(If residential, enter number 12 One family 18 Amusement, recreational of new housing units added, if any, 13 Two or more family — Enter 19 Church, other religiousinPastD, 13) number of units— — — — --)P.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, professional 6 Moving (relocation) 17 Other — Specify 25 E] Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Private (individual, corporation, 28 Tanks, towers nonprofit institution, etc.) 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,,•••••,,•.•.•., 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 ting building is being changed, enter proposed use. in the above cost77a. Electrical...................... V.I&Z b. Plumbing ...................... eT.0 A06 k— , k-A c. Heating, air conditioning......... a 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 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 Oil conditioning? L. R-ESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 No 53. Number f bedrooms.............. 38 Coal 39 Other— Specify Will there be an elevator? 54. Number of Full.......... 46 Y s 47 N bothr ms partial..... . NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing addr ss — Number, street, city, and State ZIP code Tel. No. Owner or ZgW Lessee 2.Ir Contractor 3. Architect or Engineer Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signat of op an Address Application date2 DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R vi w Required Check Plan Review Date Plans B Date Plans B NotesqFeeStartedyApprovedy BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER 1 1$ V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit r Approval Check obtained Date Number By Permit or Approval Check Obta ned Date 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 8121Permitnumber Building Permit issued 7-3-73 19 Building Permit Fe $ 10.00 Approved by: TIT E VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use gg°> r .. P ,..-,-E. .- °.,p x- .a t 1 a a-• gffiqv+ i a_., ,, _ > d, e R"-a--<..,-p.a 4 y. .W',.,«. -, .a.•.,' .. ...>. .„ -....-.r.,... - -a,. ,.,,.._.3,,.a. ., ,p^,b-w .oL®...y.»...:.,,a.s•. ...€ -.....a L.. ;_', _ §'•",, *{£ ,,r ..,- w..g t Iq! w k r.:. •d a f_ .se - ?dq ti e '? ... q q, mk., $ ._-b. _•,-d$f F e.... -3 r#*s*d is a., }t ria r*«+; a<e}-- t' q..;'a«a' y. .. ,pa4 i•. - }}- a>}m s-a F #rY- ;vim 3 a1 s fEEv e d L w d -ro- a 1--.-r @ q,.s .1- & A f*-P 4 L;1 4 i®kY #3 wi <-b r +ii--"$ '''-b Y od 8#k ..e}..s }w brr --`cy d g 11 rc {{ $ b s¢• rp 46$ 4`.S q,:a...T p 4 6 +a d}¢¢ . f}}f ti ¢ -t p t i+# ,_ q -}} j qt aT i4'by t a $ .{+ _' a j«# .#-# 1 r4 4Ft t<d 4 sY;1 .. rri -1--Y ,,,.. ti •4 •Y•- ^f'1a #,t• 44 T-*j- '§ y-y g s Ia;g Ey yy.. jTT]] t t i- ? -M g i+ a n <i' e{.y., dic;@+ir bf^- 1}t YEa 3- . .F#e -a.IR q.a $5 +-- ^k'-t TOWN OF SOUTH WINDSOR BUILDING PERMIT Date July 3, 19 73 Fee Paid 10.00 Est. Value $ Fee Schedule Permit No 8121 on the east side of Ellington Road Street Street No. 1169 Owner Richard Grigorian Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Sign to be placed at #1169 Ellington Road. BUILDING PERMIT OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. July 3, 1973 94is 'to to Trrttf1j, That Richard Grigorian is hereby granted permission to Sign to be placed a t 116 9 Ellington Road at estimated value of $ on the east side of Ellington Road #116 9 Street on land owned by Richard Grigorian Said Work to be as described in Application No. 8421 and to conform. to specifications and plans filed with said Application, and Building By. Laws of THE TOWN OF SOUTH WINDSOR. Issu July 3, 19 73 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 compeller: to reason therefor." 1 1 i L/iv ToN oAD /2oe TE 30 i D415 PA E19H 6 AJ ell 103.45' 0 8 J 8S o.72Ac t 14 h Z8• In Sra RY 3 y 1 It 4 IL Azr IlkiGavo6vzz •V .4-41 raNzTT T a T it 50 N/F KcYSroN lD Vice—aPiyEn1'T Cof2.pate A?'/an/ t ttx;fN4aANN//////// Q0%. 4 c 13 N tiyy 9q s tt q eAaO#ii r J• R,Q' Q ti;c- S.c. Z B.A. ApPF 9az I No.5032 Z U15C Or9TN p= RGISTER i 1 i# ND SU RNO.gPLLpd/,you S !•TE DE VELOPM 147 PL AIV I HEREBY CERTIFY THIS MAP TO i BE SUBSTANTIALLY CORRECT AMID IC,f. 21 CTINACCORDANCEWITHCLASSD , CODE OF CONN. TECHNICAL COUNCIL INC.x i i E-LL11,J66-T0/Y P6.90 SOUTH WIIV95432 l S C/LE !" D JAAIUAjQ Y0' 0 ? 3 7"•vJ p Fo 7- CG nt-7-o c1,t. /l7Ek'UA L lW L LIAM a r r ,_,,,_, 1 4 , F ` d I t l l; :.:., .., c I j 1 ` J w.... f _ Y f _ tt,, 1// Y 1,~'' „ N I J. f ,-+., 1 t 1 r I y I f F` 1 I j - ` -' _. _ . 1. f. . t j 1 " , I i I I , i I PERMIT # Application For 6385 5284DEPARTMENTDECISION Cd Heating Permit y O 3 APPLICATION IS HEREBY: o DEPARTMENT OF LICENSES AND INSPECTIONSa N +- 91 APPROVED DISAPPROVED Cd TOWN OF SOUTH WINDSOR 0 S-. o Cd119918100WE Q IEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ME BEL WO O w 1. LOCATION OF JOB OL1., ~O Cd or.NO. STREET Cd O L7 LOT NO. FLOOR APT. NO. O 04-D [V 79 w O A E 2. OWNER- Cd r~ Cd O i 0 S. ADDRESS C 4.PHONE Cd S. APPLICANT 0 no v 6. ADDRESS f elo, 7.PHONE f3 6. LICENSE NO. 6a 34 7 Q c w 9. EXPIRATION DATE OF LICENSE 10. ESTIMATED COST S lJ 00 11. IS THIS A CONTRACT COST?YES NO as 12. FEE ENCLOSED S 6.00 k O t S. TYPEOF ti1LDING: W C b r—i ENTIAL lYs COMMERCIAL cis 3 14. TYPE OF JOB: INDUSTRIAL ORIGINAL tTI:RATION INSTALLATION Z ADDITION REPAIR C ntinued it m Reverse SideAPPLICATIONFORHEATINGPERMIT (C 11. LOCATION OF JOB Xat/_wG N0. STREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER D GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): WINDOWS B.T.U. S.T.U. Q F D ROOM SIZE AREA - SQUARE FEET O I- DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL 24 ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j 4 LL REGISTER L W H AND E TEMP. TO F TYPE AND SIZE RAD. OR LEADER SIZE < WALL f'Lt0 INFILT.) DIFF. F O O N SQ. FT. FREE AREA TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING, OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: 4L(- NAM[ ADDRESS SUBCONTRACTORS AND te. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. DATE SIGNATURE OF APPLICANT DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT Application is herebyTOWN of SOUTH V nMsm BUH DING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE 644-2511 ext.230 Date Building Inspector 4r Application must be printed or 14 Location af a .+titStreetNo. FEE SCHEDULE Floor o. Over $1,000 x 12.00 per$1'000 or any fraction thereof OWNER C` ADDRESS C 1 "N- k OWNERS PHONE# — `-- l._ 4, APPLICANT cC 6. 0001 O* N S ADDRESS S G77 ESTIlAATED COST $ 2 U U cEms' r IS THIS A CONTRACT COST? NOOtt FEE ENCLOSED $ 2 0 CO TYPE OF JOB: Origi tlInstallation Alteration/Addition/Repair x APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAL 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 INSIDE-)INSIDE ) L_F DIFFERENCEl1 `_F TOTAL HEAT LOSS(BTUH) HAT 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 F DIFFERENCE F TOTAL HEAT GAIN(BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) 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 WORKRe-Z1 c lm1C) G , 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. c)7 2 S S._ 3 STATE LICENSE-NO.NAME&TYPE SIGNATURE OF APPLICANT PHONE NO. U\-A` - 2 S ')g DATE CAcj Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 1169 ELL INGTON ROAD HVAC # 23746 Date: Sprinkler# NO' FINAL APPROVAL Estimated Cost $ D O Building COMPLETE RED BOXED AREAS Permit Fee U Engineer i TYPE OR PRINT ONLY Occupancy Fee $ Affidavi SIGN ON REVERSE SIDE Appr.for CO. Total Fee o TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location 114 Lot No. Side of Street Zone Applicant Tel.# ro 4lVca J-:5-P Address W Zip Lic. # 3063,?-96 9 S / Owner iP. Address s Architect Address Sq. Ft.New Area: Ist FI. 2nd FI. 3rd FI. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: 1 C City Wa r C Well 0 Septic System Sewer CL4 AZItsGroupConstructionTypAreaBasemntGarage Approved by Date /v /1 (-V 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 I hereby apply for a Certificate of Occupanc _?rthe work described in this application for the permit Signed DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 1169 ELLINGTON ROAD HVAC # 23980 Date: /Ah-7 Sprinkler# FINAL P R Estimated Cost $ a I C1 Buildin 7 0 COMPLETE RED BOXED AREAS Permit Fee Enginee ng TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. ETotal Fee TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: lob Location 116`7 Lot No. Side of Street Zone Applicant o?• EjTel.# r" y`V Address f C Zip Lic. i Own r lc 1C 61- Syc Address 12 S S L„' Architect Address Sq. Ft.New Area: lst Fl. 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpos of this permit: I"1` a'' ' r 4 10 n mod,h 1,4 tgo LI-40 J1 City Water C Well 0 Septic System Sewer Use Group Construction Typ r'' Area Basement Garage Approved by c.1 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 pl s or specifications of the Building for which this permit is asked,and agree that this budding is to be located the proper nce from all street lines,side yard lines and required distances from all other zones and is located in a zone in which mg 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 ectric# APPLICATION FOR BUILDING PERMIT Plumbing# 1169 ELL INGT_ON ROAD HVAC # Dat No.2437 i ' FW APPRO Estimated tAL e Building 7744SIGNONMPLETERED BOXED AREAS Permit Fee S f Enpneering TYPE OR PRWT ONLY Occupancy Fee $ Affidavit REVERSE SIDE Appr.for CO.Total Fee 1 TO BULDNG DEPARTMENT,TOWN OF SOUTH W 4)SOR,CT Add'tional Cosh The undersigned hereby applies to do work accor&v to the following specifications: 7JobLocatioLatQ11 Lot No. Side of Street Zone Applicant Tel# 4-16 0 ---)q Addr ss20,-W, - V t0-A/L. Zip Lic.# of a 7 C Own r c. LLg&0 C;KjGejKoA Address 1 6, 1 P1 A -f S'W Architect Address Sq.Ft.N w Area: 1st FI. 2nd FL 3rd FL Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: Ape 7 7c—m-A U SAL Of OLL rA \)r City Water Septic System Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by J INL--Date I/ Use Group Construction Type r---_ Rw's.d1197 I hereby agree to conform to all the requirements of the Laws ol the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any afterfilon in a plans or specifications of the Building for which this permit is asked,and agree that this building is to be ted t pro istance from all street lines,side yard lines,and required distances from all other zones and is located i his ing d' is allowed. Signe I hereby apply for a Certificate of Occ y fo work described in this application for the permit. Signed zl DON WRITE BELOW THI LINE INSPECTION COMMENTS