HomeMy WebLinkAbout1179 John Fitch Boulevard (3)Application No. .........26.6.8.. Permit No. ..?.49.8.......................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (erect 6- immas) a budding according
to the following detailed statement of the specifications and plans herewith submitted. (Draw a fine 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 whethehred herein or not.
South Windsor, Conn., ....... 19.4:.J9
Siphere ......... . ....................................................................................
Address .....).....................................................................................Al
Location? ..................fl.4.*........P.......7......4.1..............1,r, ..........................................side of? ........................................................................................................................
Nearestcross street? ........ g.........................Street No. ..................................................... Loot No. ...................................
Owner of land is? .......... Address .............f9d;r. F0.R.I................
itOwnerofbuildingis? ...................,Sq. M ...........................................Address .... ..................................................................................................................
Architect is?L......4.....N'...r ................ ...!V L1A 4 0dd.......................Address ........
Builderis? ................ Address ....................................................................................................................
hk 14 #
S I I $I I /
Dimensions of building?tl..'Y..X..............Feet front? ......1.7.....Y........... Feet rear. 7.'.V" rFeetdeep? .................
Extreme height to highest point of roof? .................. ............................................ No. of stories in height?..........................................
Purposeof budding is? ........ No. of stores? .........................................../.........................................................
How many families? .....................N...........o No. of rooms? .... ............................................../....................................................
Distance from street line is? ...........AD..... ..................................from building line is.? .....................Y..4..........................................................
ADDITIONS AND ALTERATIONS
Give Brief Description)
V)
to.................................................................................................................. ................................................................................................................................................................
MapNo. .............................
Af j9 At L v HIfofsteelframe, what is exterior construction?
What kind of columns used?Size of columns used? . ...... ................................................... ..............
What length of columns used? ............... ................;1-..........How protected? .. . ........................... ................................... ............... ...
What kind of beams or girders.? ......... ...... . .; fi-I..................Size of beams or girders? ..........................................................................
Z
Longest span of beams or girders? .... . ........................ .......... These rest on? ......B 9trn.11 . .......
I)
L................................
I........
Roofconstruction is? ..............................................I......................................Roof covering is? .... .......
Q The floors are of ......... construction and are calculated to carry a safe load of....... ...........................
lbs. per square foot.
See Section 14, Building By-Laws.)
BRICK CONSTRUCTION.
4A Of what material will walls be constructed.? ... ........ ........ ............................................................................................................ ................
Compositionof mortar? . .......................................................................................................................................................................................................................
V
Height and Thickness of Walls
Height stories Front Walls Side Walls Rear Walls Partition Walls
Basement,
1st..........Story................................ ..................../.....................Y.-
I......? .....................................................................
2nd "
N
3rd....................................................................................................... ................................................ ................................................. ....................................................
4th Is
5th........................................... .......................................... .........................................................................................................................................................
6th 96
7th 46
Sth
9th+; 496
10th............... .;i.. ......................... ................. ........................ ................... ......................... ....................... ......................... .......................................................
Material of Front.? 13t vC what kind?Y7........ ............ ......trIf stone,
W4
Thickness of Ashlar? .......... . .................... ................ .......................Thickness of Backing? ..... ....... .............. ........................................
vi'Backed up with what? Arches or lintels over openings?
WOOD CONSTRUCTION.
Give Size, Longest Span and Distance Between Centres, of Joists,Girders and Columns
JOISTS, GUDFBS COLUMNS
Floors Size Longest Span Centres Bddging Size Longest Spun Centres Sine Lengft Centres
1st Floor
a.......... .............. ..................................
a.....u.... .............. .................................. ..................... ..................... »_....._..
Size of outside studs? .......................................... Distance on centres? ................................................ Size of sill? ...............................................
Size of rafters? .......................................... Distance on centres?................................................... Size of plate? ......................................................
Size of ledgers or girts? .................................................................................Size of deck rafters? ...................................................................... ...............
Distance on centres? .........................................................................................Size of studs in bearing partitions? ..................................................
MISCELLANEOUS
Style of roof, flat, pitch, Mansard, or hipped? ............... ....I h Fireplaces?
Material of roof covering? ........................................................................Material of Cornice? .......................................................................................
Howis building heated? .................................4............................................Lining of flues? ... ..............................................................................................
Thickness of shell of flues? ........................................................................Any elevators or lifts? ..............................4......
what kind? .................................................... How many? ........................................................ An hoistways? ..........................
How protected? ............................................................................. .................Total Value of Building .... ..6 /.. ... ..............................
When will work be commenced? r...V. .. ............. .....s... .........................................................................................
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli-
cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of
South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the
Town of South Windsor since 1949.
c-
Applicant
2408
BUILDING APPLICATION
Application No. .......2.6.6.8.....................................................
onthe ....... -St............................................................ side of
Rgut.eI...................5.......... ............................... Street.
StreetNo, ........................ ............................................................
Owner ...John Birse Eugene.....Montano
Applicant ......*9,me.. .... . ........................................................
CLASSIFICATION
Garage 171)4"x451
Permit issued on above Application.
5July22., 8Date. ......................... ....................... 19............
I
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date July 22, 1958
Fee Paid $.....24-*00 A Est. Value y$
6 s 000
Permit N O 2408
on the West side of
Route 52 Street
Street No.
OwnerJohn Birse Eugene Montano
Applicant Same
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 1450
Fee Paid $$ 3..00
CLASSIFICATION
l~
Garg,ge 17 t Vx451
P r
1E y
BUILDING PERMIT
N? 2408
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn.July ;,? 19 S
John B irse
Tots i to Tjo f That ie 1`161 t a 0
c rFf. 1 k•t I j1isherebygrantedpermissionto
at estimated value of y$ X
on the '" `
e
side of Street on land
owned by `" ~ Pirf'o E- Eu`._ene 3k`oritano
Said
l k to be as described in Application
No. and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued d Lllt r 1917
Building Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers dur-
ing the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTI CUT: "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
e
OF SOZJTH WINDSPermitNo. ....................... TOWN M)R
4 SOUTH WINDSOR, CONN
perrr it NO 1450
f[
Certificate of OccIfipancy
THIS IS TO PTIFY that the Gf/
at No.in the Town of South Windso , Connecticut,
has been erected and completed in accordance with tie Building Code and Zoning Regulations oftheTownofSouthWindsor, and is ]hereby approve( for occupancy.
BUILDING INSPECTOR
OWNER,ER
Fee Paid . Date 19
4
k
1
Application No. 4956 .... . .. Permit No. . . .
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (erect (made-aka-. :o) 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 Bpilding 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., 41..... 19...1,r....
Sign here ............. '.:t'.l? .........
Address 1
Location? . ........ J ..............side of? er.
Nearest cross street? 1E.tl . ... Street No. . ...... ......... ............................ Lot No. ......... ................... .
Owner of land.... % Z o7.. .f ' E`.Address s a G
Ownerof building is? " Address ... .............................................................................................................
Architect is? Address W........... '.. `...
Builder ix ...... ri..... . 17-Address .,5'., . ...s........
Dimensions of buildin ? 6.......... Feet rear? ...P..l Feet ? ... .g.'`.o...Feet front. ..... ....dap o..Q.. ..
Extreme height to highest point of roof? .............. No. of stories in height?................
Purpose of building is? No. of stores? ...... .................. ..........................................................................
Howmany families. ... ......................................_.----------...._..._....__._...No. of rooms? .... ...............................................................................................
Distance from street line is? .......................................................from building line is? .............................................................................
ADDITIONS AND ALTERATIONS
Give Brief Description)
MD. SOTIC .PAYI1 M 31,
e.
P.........;_...........................:......^
a^'.^...®..s:..w ...
Map No. . ...................... UTi-1 1lJi
ABSI RY OEFiCEa
4696
BUILDING APPLICATION
Application No. ........4.............956
on the NZ-at...................... ...................................... side of
Route #5 Street.
Street No,
South Windsor GarageOwner .... . .. .... ........ .... ..... ............. . ..........
Applicant Eugene M.o..ntano.
CLASSIFICATION
Garage.. 6-6fx60--1
Permit issued on above Application.
Date, . F e..b....19 v ........ 1964..
I
i
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Feb. 19,19 64
Fee Paid $ 10 0.0 0 Est. Value $.?J 00 0
MICR. SVTIC MyMCWT S 20. 00
Permit 4696
on the
We s t side of
Route #5 Street
Street No.
Owner South Windsor Garage
Applicant Eugene Montano
CERTIFICATE OF OCCUPANCY ISSUED:
Date
I
No.2760
Fee Paid $ 3,00
CLASSIFICATION
Garage 66 1x60,
BUILDING PERMIT
N° 4696
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. rob., 19, 19 64
94is is to Trrffffjj That Eugene M®utanoGarage
is hereby granted permission to 'r&rfti%-e 66 f X601
at estimated value of $ 25#000
on the We st side of Route #5 Street on land
owned by South Windsor a'sw&V
Said Work to be as described in Application
No. 4956 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
ed Fob.19. 19 64
0<!5C.
4 0j ding 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."
Permit NO. TOWN 'OF SOUTH WIl'1DSOIi
SOUTH WOR, CONN
f
1
N° 2 7-6 0
Cartifica Of Occupancy
Tc_ TTB'Y that. 7
at ATE in the Town of South Windsor, Connecticut, has
bee®' ennd eted in accordance wNh the Building Code and Zoning Rg boas Of
th South Windsor, and is hereby approved for occupancy.
Building Inspector
lll tA_ 'w_.&loop
Owner, Builder
Fee Paid Date ip
3369
a
µ
ELECTRICAL AFnICATWI
erg Application Ito. ...367 ........................................s...... ..A .
onthe ......
wen.t................... .................. ............ ......... side of
R E Route #5 Streeth
v,. E
11StreetNo 9
Owner South Windsor. Garage..............
rI.
Lace Electric 0o.Electrician
Z FILED IN OFFICE OF
n The Building 1nsp cto _
INSMCTION.Mar
r. ............................................................................................................ ...
asar f
w
T
AwNo Electrical Work shall be started until a PeO
snit is granted by the Building Inspector.
In New Buildings no wiring shall tie stp te'
until the plumbing and heating pipes, and the fly
stops (if of wood) are installed, without a speciA
permit from the office of the Building Inspecta.
1 APPLICATION FOR PERMIT TO DO I;LECTRICAI. WORK.
3670
Permit No. 3369
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.
LANEJyELElM
South Windsor, Conn., Sign here
S D431EL _I .1Address
Location Side of sU.'T ........i. s'
Nature of Building_,,i.s How many stories
New or old Building .. ....... . .. r''''`"'.. How many families . ... .... ............. ................................... ........... ...
Kind of Installation f How many Stores . ................ .. ... ................... ....... ........................
Owner Address . . .. . . ..................................................................... . ......
Architect ..... Address
t L i .....e _L
Builder Address
Electrician...:.. . Address 431 E LL i U i ;, ( riLj
SOUTH Vvl;l SSizeofMainWires . 7`:... a ;. l 0f C :V
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
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
I....... .. .... ................
Estimated Cost °.°
2918
PLUMBING APPLICATION
2707
Application No.
West
on the ...._......_.. aide of
Route #5
Stroct
Street No. ......
Owner ...Sa..W.iad sor Garage
J.C.Bottieello
Plumber ..--..
Filed in Office of
The Building Impactor
4-10-64 19
No person shall construct, add to or alter any
portion of the drrinaw system of my buMmg
escept to repair le 6) until a Permit is pamd
by the Building Inspector.
r'V
2707 2918
Application No. ....................................... 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, ........... . .y. .. 19 .. .. ... Sign here ..y.:-/ .......z.... .... .....!_/............................^
Address ...... l..1..r.--........5..4.............zf: /l/%
Location .... ....... . } . .........,. .................................................. . side of . .......................... .. ... ... . ...................... ............ Street
r
Nature of Building 5... i ......... . ... How many stories ... ..................................................................
Owner ...,5.... /.Z./15"fit'.... t,,G%Address ... ..........
Architect ........... . ........... .... ..... ... ...................... .................. Address ... . ........ ... ....... .. ........................ ........................ ..................
BuilderS/.. .J../ Address ............. .... .. .. ...................... ....... ....... ................. ............
Plumbe f...-..1.... . i y. .............CCoo....................... Address ...,1-.. J/... -% 1%J
DRAINAGE
CESSPOOLS, How many . .. .. ...... ............... .. ... .. ...... Where located ....... ........................................................................................
Are they water tight Of what materials are they built .................... ....... .....................
Size of pipe from house to cesspool . . ............. .. . .... Kind of pipe . ... .... .............. .................................... ..
MAIN DRAIN T'` D, Material ... ... ..... Diameter
Aboveor below cellar bottom e:.
SOILPIPES, Material . . 7....................... . .......... Diameter ..Y. :......................I.................... .............. ............................
WASTE PIPES, Material ....... Z1 ......... Diameter
TRAPS, Type proposed to use is .
RAIN WATER LEADERS, where do they run to U ..
REFRIGERATOR WASTES, where do they run to
TANK OVERFLOWS, where do they run to
FIXTURES
WATER CLOSETS, How many . ..... ........... .... ......... Where located /,"' .- . . 'y1t: ... .....,lt'.....
Distance from trap to vertical soil pipe ................,1............. Pattern
WASH TRAYS, How many . . ................. .......... .......... Where located . . ............... .
SINKS, How many .... .... . ..................................... ................ . Where located
BUTLER'S SINKS, How many ................................................ ... Where located . ...................I.......... .............................................. .
REFRIGERATOR SINKS, How many .. ........................... .... Where located .. ........... ...........................................................................
LAVATORIES, How many ... . ......... ......?................. Where located .... -G ...r--.. ......... rAL-IT......
BATHTUBS, How many .................................................................. Where located ...... ........................................................................................
URINALS, How many .......... ... ......................................... ......... Where located .......... ........................................................................
Are water closets and urinals to be local vented 1"`_5 If not, is there a window in outer wall
ofroom where same are to be located ......
Estimated Cost.. d C)
PERMIT #
Application For
2792rjlDEPARTMENTDECISION3d14eatingPermit
0
3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
N +'APPROVED DISAPPROVED i
sz! TOWN OF SOUTH WINDSOR
o Q, 8-6400ODATE CHI INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O
c 1. LOCATION OF JOB
4
Cd 9 NO. STREET
O
C U
O
LOT NO. FLOOR APT. NO.
O
V
a o
15 2. OWNER IrLG ONe O y i y
8. ADDRESSbo
O 4.PHONE
yyca
U2 s. APPLICANT 7Xfcwe. ADDRESS
11-4 4) 7.PH0NE"3 ko0 x5
w '
S. LICENSE NO.
o
9. EXPIRATION DATE OF LICENSE W
0
G
c
10. ESTIMATED COST S
o
11. IS THIS A CONTRACT COST? YES NO
bo
Permit ##1
as 12. FEE ENCLOSED S
TYPE OF BUILDING:
bo RESIDENTIAL COMMERCIAL
O
a 14. TYPE F JOB: INDUSTRIAL
ce
ORIGINAL ALTERATI
3
INSTALLATION A DITIONON
REPAIR
u I
APPLICATION FOR HEATING PERMIT (Continua it m R v rs Sid
11. LOCATION OF JOB
NO. STREET FLO R APT. NO.
12. TYPE OF INSTALLATION; OIL BURNER HEATING SYSTEM VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION p SIZE SIZE
13. OF TANK OF TANK La t c t A OF FILL OF VENT
14. B.T.U. EQUIP. AT REG TER 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 C'ON'VECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. 0R 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. B.T.U.DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL w
ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED <j LL LL
RAD. REGISTER
L W H AND E TEMP. TO f F: TYPE AND SIZE OR LEADER
SIZE < WALL tO INFILT.) DIFF. F O N SQ. FT. FREE AREA
75<
TOTALS
A. HEAT LOSS FROM BUILDING
I -
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;
f
C G"'
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.
DATE SIGNATURE OF APPLICANT
t
b` TO THE RUELDING Il T P R
of rho APPLICATION FOR
T,OWN OF SOUTH WIPWISM CONK.PLAN EXAMINATION A N O
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. o
ZONING
AT (LOCATION) Folio lid • 72 • DISTRICT
LOCATION NO.) STREET)
OF BETWEEN l r IVIN AND
BUI LDING CROSS STREET) CROss STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — .All applicants complete Parts A — D o
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T
1 New building Residential N onre tia)
2 Addition(ij residential, enter number 12 one family musement, recreational
ir o F new housing units added, i/any,
ca Part D. 13) 13 Two or more family — Enter 19 Church, other religious
number of units— — — — -i 20 Industrial3 Alteration (See 2 above) 14 llhiTransenthotel, mote ,21 Parking garage4 R pair, replacement or dormitory — Enter number
5 Wr ckinq (If multifamily residential, of units ——————— — -- 22 Wrvice station, repair garag
enter number of units in building in 15 Garage 23 Hospital, instituti nal
Part D, I3)
16 Carport 24 Office, bank, professional
6 M ving (relocation)
17 Other — Specify 25 Public utility
7 Foundati n only 26 School, library, other educati nal
B. OWNERSHIP 27 Stores, mercanfiI@
8 Privat (individual, corporation,
28 Tanks, towers
nonpr fit institution, etc.) 29 Other — Specify
9 Public (Fed ral, State, or
I cal g v rnment)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., fo d
nwO processing plant, machine shop, laundry building at hospital, elementary
10. Cost of impr vement,,,,,,,,,,,,,,, 00 school, secondary school, college, parochial school, parking garag 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. El ctrical......................
b. Plumbing ......................
c. Heating, air conditioning.........
d. Other(el vator, etc.)............
11. TOTAL COST OF IMPROVEMENT s OO
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to 1V.
E. PRIM AL TYPE OF FRAME G. TYF SEWAGE DISPOSAL J. DIMENSIONS
30 Me my (wall bearing) 407ublic or private company '
48- Number of stories................
31 Wood fromi 41 Private (septic tank, etc.)
49- Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .....................
33 R inf reed concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 Public or private company
o Total loud area, sq. ft. ...........
43 C] Private (well, cistern) K. NUMBER OF OFF-STR-EET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL
51. Enclosed ........................
35 Gas Will there be central air 52. Outdoors.......................
36 Qil conditi Wing? L. RESIDENTIAL BUILDINGS ONLY
37 g ECeet ieity 44 N
s
Ydi 45 53. Number f bedrooms..............
3s-coal
39 QMwr— Specify W11114thet4 be an levator?
54. Number of
Full..........
46 Yes 47[,:] Ne bethroems
Partial.......
IV. IDENTIFICATION — To b complet d by all applicants
Nam Moilin address — ,Vumber, street, czty, and State ZIP code Tel. No.
L Dom ' 71 /In w
caner or
440 Lessee D D
2.
Contrac•or
3.
rchi test or,
eY" 7
Th owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of plic Address Application dot
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL S
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
DtPermitorApprovalCheckObttained Number By Permit or Approval Check Obtaai ed Number j By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
GiL ouni:ER W4ECV!?j
OTHER OTHER
VII. VALIDATION
Building
Permit number
Bui Iding
Permit issued 6//i 19
Building
Permit Fee Z!Y'l f
A"ovey:
x
TITLE
1
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date June 18 19 85
Fee Paid $.1.4 4..0 0 Eat. Value $. .2 4.,.0 0 0
Permit N° 14484
on the aide of -
John Fitch Blvd. Street
Street No. 1179
Owner Eva Montano
Applicant Eva Montano
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Addition
BURDiNG PERMIT
14484
OFFICE OF
THE BUILDING INSPECTOR
of the
I Town of South Windsor, Conn.,
South Windsor, Conn. June 18 156 5
M#io to to Crrtff#, ThatEva Montano
is hereby granted permission to Addition to repair garage
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at estimated value of $2A,000
on the side of 1179 John* Fftch Boulevard Street on land
owned by Evan Montana
Said Work to be as described in Application
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1 7 to 4 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
i
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Iss 1985
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I Building Inspector.
f
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored fights t.
SECTION 1343, GENERAL STATUTES OF CONK CTICUT: "When any Pmon shall Plm
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,jtown or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
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INSPECTION REPORT
Permit # Job
1 Footing
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O. *Z V
i
Permit No. r TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
1
i
Permit
Certificate of Occupancy
THIS IS T TTI Y t e "11 -rieo
at No. in the Town of South Windsor, Connecticut, has
been erected/and completed in accordance w. h the uilding Code and Zoning Regulations of
the Town of South Windsor, and is hereby ap ve or occu cy.
i117
unumg nspector
wner, Builder
Fee Paid Date 19
8800
ELECTRICAL APPLICATION
Application No. 10 214
on the side of
1179 John Fitch B1yd.Stmt
Street No.
Owner Eva Montano
Electrician Peter Borkiewic z
FILED IN OFFICE OF
The Building Inspector
6/26/ 1985
INSPECTION.
ew 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.
IV ypo Electrical Permit Nb
4--
s.............
Master License No. . ............ ...... ............
TOWN OF SOUTH WINDSOR Building Permit No.
Date Filed
BUILDING DEPARTMENT
Date Final Approval ..........................................._.....
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
OWNER.- 1/4 Qiv a
v.
JOBLOCATION: ....J.......................................................................... JOB o
Side of .C.nr. .1..........1 ..Between ....... and le Z..c............
Name of Building Owner .....a4..vaA..e...........aS ......&..A ... ... ................ Address 7 a9.n'!..P.... ...... .........................._.......................
Ifwork is for Lessee--Give name Address 2'.............
cr1 2 oLBuildingnowoccupiedas (unless new) N now ....................................
Building to be occupied as ...........5'!q.7-q..e...4 ............. . ............................... ......... ....... Numbe: vf-family-ur=its to be ..........................
Is this work included in a Building Permit? ... s Permit Fee ...
If no Building Permit) ...... Jr..3...7_—
Permittee e . lel&G!J l C ... Business Address ,C-Z./-4.S. . ...... Tele hone .....J.r' .a
COSTOF INSTALLATION.
g.,Z .0 . ...................................... .... . . .................................................................................................................................................
TO BE FILLED OUT BY PERMITTEE
TO BE WIRED EXISTING APPLIANCES
Number of lip ht outlets to be installed
Number of convenience outlets to be installed Number of present Appliance Circuits ..................................................
Number of switches to be installed . . . Do these include Range Water Heater Number of appliances to be installed
as listed below) Dryer Air Conditioner Oil Burner
TYPE RATING NO.
Dish Washer Gas Burner
Range . . . • • • • •
Well Pump Elec. Heaters
Range Top . . . . . .
Oven . . . . . . . . REMARKS:
Water Heater
Clothes Washer 7, `1`"`'`
Clothes Dryer . . . . .
Dish Washer . . . . . .
Air Conditioning Motor .
Oil Burner Motor . . . .
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan , , ,
Well Pump . . . . . .
Electric Heat . . . . .
Other . . . . . . . .
Number of new Lighting Circuits
Number of new Appliance Circuits
Number of Heating Circuits
Number of Motor Circuits
Size of present service ................ ... ......_._........................._...........
Size of service to he ..........................................._..._.................... _.
6709
PLUMBING APPLICATION
Application No. 6 4 8 0
on .... side of
01 /
S-
OMaa
Plumber
Filed in of
The Buiding L peceoc
jUn e 2 5 19 2
No person shall ooaatnct, add to or almr ay
portion of the drainage system of ay ba'idmg
c=pt to repair 66) a&a Pow it is grmeed
by the Building Iespemr.
APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB 7 f
NO STREEI FLOOR APT.NO.
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 17.NO.OF LAVATORIES 18. NO.OF SINKS 19. NO. OF WASHTUBS
20. NO.OF CONDUCTORS SIZE 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. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIGNATUR ADDRESS
LICENSE NO.CZOJ h Z ESTIMATED COST ,U d d TELEPHONE
OWNER ADDRESS L C
WATER HEATER
31. TYPE 32. MANUFACTURER
TANK SAFETY DEVICES
33. CAPACITY 37. TEMPERATURE RELIEF VALVE
34. TEST PRESSURE_ 38. MANUFACTURER_
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE
36. TYPE 40. MANUFACTURER
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY
AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
d'.f
CD962 DATE SIGNATURE OF APPLICANT
V/
TO THE IBUMDING INSPEMR
of the APPLICATION FOR
PLAN EXAMINATION ANDT' 11YiNDS OR+ BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, 1 , and IX.O
ZONINGI• AT (LOCATION) r DISTRICT
LOCATION NO.) STREET)
OF BETWEEN AND
BUI LDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
1 New building Residential Nonresidential
2 Addition(If residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, i/any,130 Two or more family — Enter 19 Church, other religiousinPartD, 13)
number o/units— — — —i
3 Alteration (See 2 above) 200 Industrial
14 Transient hotel, motel, 21 Parking garage4XRepair, replacement or dormitory — Enter number
5 Wrecking (l/multifamily residential, of units ——————— — -- Service station, repair garage
enter number o/units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
60 Moving (relocation)17 Other — Specify 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 X 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 f improvement,,,,,,,,,,,,,,,, O C)C5 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 o 'sting building is being changed, enter proposed use.
in the above cost
a. Electrical...................... T
b. Plumbing ...................... Xzc
c.Heating, air conditioning.........
d. Other(elevator,etc.)............ 17
11. TOTAL COST OF IMPROVEMENT s
III. SELECTED CHARACTERISTICS OF ETUILDING — 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 R info ced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify'42 Public or private company 50• Total land area, sq.ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 Gas Will there be central air 52. Outdoors........................
96 OlI conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 44 Y s 45 N 53. Number f bedrooms..............
38 C al
39 Other— Specify Will there be on levat r?
54. Number f
Full..........
46 Yes 47 No bathrooms
Partial,......
NOTES and Data — (For deportment use)
IV. IDENTIFICATION — To be completed by all applicants
Nam Meiling ddr ss — Number, street, city, an State ZIP code Tel. No.
zw a/rrOwneror Sz
Lessee
i
2.
Contractor
JF
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signatu f
arnp
AddApplication date
of
O
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Revi w Required Check Plan Review Date Plans B Date Plans B NotesqFeeStartedyApprovedy
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval I Check Date Number B Permit or Approval I Check Date Number ByppObtainedyppObtained
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 11387
Bui Iding
Permit issued Jan. 24 19 80
Bui Iding
48.OoPermitFe $
Approved by:
r
TITLE
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Jan., 24
1 19 80
Fee Paid $48..00 Eat. Value $.8.P.0P0•00
Permit N° 11387
on the side of
John Fitch Blvd, Street
Street No. 1179
Owner Eva Montano
Applicant R. P. Roushon
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Plywood and shingles on
existing shed.
BUn DING PERMIT
N° 11387
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Jan. 24 19 80
t t to (ferfi f#, That- R. P. Roushon
is hereby granted permission to Plywood and shingles on existing storage
shed.
at estimated value,of ,$8 a 000,00
on the side of 1179 John Fitch Boulevard Street on End
owned by Eva Montano
Said Work to be as described in Application
No. 11687 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Iss Jan 24 19800
Building Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
6550
PLUMBING APPLICATION
App&zthwN . 7326
on the aids of
John Fitch Blvd. S eest
Brat No. 1179
Owner Amoco
p Stp,ven Mastrianna & Sons
Fled in O$im of
The BuUft Impecmr
Oct. 16 19 84
IIU8l C
No person sluM ao rtrar- add to or aloes ay
portion of the diaimp qmm of my b&&g
enzpt to tepsir 66) umg a pkrmic is Smwed
by the BuiUng Impecmr.
YJ3 APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB
NO. STREET FLOOR APT.NO.
C_.? `c'(v0 7"'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 17.NO.OF LAVATORIES 18. NO.OF SINKS 19. NO. OF WASHTUBS
20. NO.OF CONDUCTORS SIZE 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. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SI NATUR ADDRESS l
LICENSE NO. ESTIMATED COST TELEPHONE
OWNER/'T f ADDRESS
WATER HEATER
31. TYPE 32. MANUFACTURER
TANK SAFETY DEVICES
33. CAPACITY 37. TEMPERATURE RELIEF VALVE
34. TEST PRESSURE 38. MANUFACTURER
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE
36. TYPE 40. MANUFACTURER
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY
AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
C
CD962 D TE SIGNATURE OF APekICANT
ALB"dBuilding
SPEC 10_
4w.APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date:
Sprinkler 1179 JOHN FITCH BLVD.
Estimated Cost $ 30/00 C)Electric
Permit Fee $ SCOZoning
Affidavit NO. 18 0 4 0 Occupancy Fee $
Eng. Dept.COMPLETE RED BOXED AREAS. a00FireDept.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 c "' Fack, " Lot No. Side of Street Zone
Applicant / r,Tel.
Address 1> *, ,,; d; Zip Lic.#RO o 2 e; o
U CITY STATE
Owner '1 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 L!'> G/tr ks' ':"' 4T-'
70 e v rr&^-T S'?i4Na 4tfl.t
City Water Well Septic Sewer
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 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 4t ac.,
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:
FINAL gSP C IONS:
Buildingui APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date:
Sprinkler 1179 JOHN FITCH BLVD.
Electric Estimated Cost $ gLOy
Zoning Permit Fee $eD
Affidavit NO. 18086 Occupancy Fee $
Eng. Dept.COMPLETE RED BOXED AREAS.Fire Dept.TYPE OR PRINT ONLY
Total Fee $ ,/ev
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— Tel. # trzf-VD1.5
Address AW t AAAD S. L(/110UD50K Zip Lic.# Zu Sod 1
f STREET CITY STATE
Owner „(La rll K w t SM Address W S
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 ?1WWy*9 t ?-V 4*Z VWjs?r4A& 'D1 e4EA_ - V.W- w{-Y4
Qc 0 C0A4AVQ 45 TI 3 'TV_0C"%.
City Water Well Septic Sewer
Approved by Date BD1A hiss
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 alt ration in the plans or specifications of the Building forwhich this permit is asked,and agree
that this building is to be located the proper distance from all street lines,side yard lines d requ distances fro r 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 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:
PERMIT 0
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
1 26 y
644-2511 Ext . 230
Da a Building.'Inspector Application must be printed or typed
1 1 . LOCATION OF JOB
11 50to I Jck- e L uc
FEE SCHEDULE
No . Street
0 - $19000 - 10.00 Floor Apt . No.
Over $1,000 - 10.00
per $1 ,000 or
2 . OWNER yY1 H, a+tO
fraction thereof
3. ADDRESS P 0 13
S. Wiu%Aor CT
4. APPLICANT
5, ADDRESS P C7 eoA 2 w Z
fo l la "I D60 8'y
6. ESTIMATED COST $ ZOOQ
7 , IS THIS A CONTRACT COST
Yee No
v
8 . FEE ENCLOSED $ ;20
9 . TYPE OF BUILDING:
RESIDENTIAL 0'-- COMMERCIAL
10. TYPE OF JOB :
Origin 1 Installation
Alteration/Addition/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB a go VC •
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 :
p cta C) I M V— if-5;pe pts C! r s a c-AS
Soo !'1 e tt?v4S S49W
wl
LICENSE NO. GNATURE OF APPLICANT DATE
PHONE NUMBER: s77S
PEP01IT NO.
q s
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
Application is hereby :TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.APPROVE DISAPPROVED
1540 SULLIVAN AVENUE
644-2511 Ext. 230
ate Building Inspector Applications must be printed or typed
1. LOCATION OF JOB:
L Sjuj -
F E E SCHEDULE 2. OWNER: 6Za:A 04 D&Ja vt 0
0 - $19000 -10.00
3. ADDRESS: Po 113
SOOver $1 ,000 -10.00 1 r e 06 d 2ypper $1 ,000 or 4. APPLICANT: 6c,Cr-
fraction thereof JIF-
5. ADDRESS: Po 80o< L 6 Z
olla C
0
6. EST. COST: $ QO
7. IS THIS A CONTRACT COST? A YES NO
8. FEE ENCLOSED: $ /CJ a v
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
ORIGINAL ALTERATION
INSTALLATION ADDITION
REPAIR
BD 2A 11/88
APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side)
11. LOCATION OF JOB: n /-I A--L 8 l uj
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 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
32. REMARKS AND FURTHER DETAILS wtd Je l6pellscrS
tel
WATER HEATER
33. TYPE 34. MANUFACTURER
TANKS SAFETY DEVICES
TEMPERATURE
35. CAPACITY 39. RELIEF VALVE
36. TEST PRESSURE LBS. 40. MANUFACTURER
37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE
38. TYPE 42. MANUFACTURER
0 6Saa 7
LICENSE NO. DATE nNATURE OlrAPPLICANT
PHONE NO.