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Home My WebLink About123 Hilton Drivea Application No. .....2.+652....................... Permit No. ......Z39.2......... ....... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. X. . hereby make application for a permit to (erect ( rmii i a 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., .......................................................... 19............ Sign here G.&4.4--4-AV7"...VA.4..L4.t..Y-L 747.Z Address ..A., ..../..........1'1id4. Location? . AZv--jvr.Y..................................... PX1.V5 side of? .......///..C,-V ..I ...... . .[.1/ ......................................... Nearest cross street? ,a-Al.;PA....... Street No. .................................................... Lot No. Owner of land is? ?1(X^-S-4AT.VAL(,6j- .AE1;rATff..Address J(....../.3... ......l' ?!1.. co"..6'l Owner of building is? .. 11 Address 0 Architectis? ....................................................................................I........................Address ...........................................`........................ .. ......................................... Builderis? .......................................................... ............................ ...................Address ...........................................I.......................... ........................................ Dimensions of building? .., .,,$14a .Feet front? ..........VPZ........ . Feet rear? ...... «........... Feet deep? ....]a../........... Extreme height to highest point of roof? ........./.il. .................. ... .. No. of stories in height? ...... ......... ........ Purposeof building is? ...W.... W.d/..0...........................No. of stores? ........................................................................................................ Howmany families? ........................../.......................................................No. of Distance from street line is? ........ .................................................from building fine is? ......... ................................................................... ADDITIONS AND ALTERATIONS Give Brief Description) ti 3 a..................................................................................................................................................... ......................................................................................................... ..................... MapNo. ... ......................... If of steel frame, what is exterior construction? What kind of columns used? ........... ........ ........................ .............Size of columns used? What length of columns used? How protected? What kind of beams or girders? ... ... ... Size of beams or girders? . .... ........ ......... ............... ...................... Longest span of beams or girders? These rest on? . .... . .. . ........... .................. ...................................... Roof construction is? ........................... .......................................................Roof covering is? .. ... .. .. ........ ........ .................................... The floors are of ........ . .. .......... construction and are calculated to carry a safe load of .... . .................. lbs. per square foot. See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? . ..... ... .... ...................... ............................................................................................ .............. Compositionof mortar? ................ ...... ........................ ............................... ............. .................................. ............................................................................... Height and Thickness of Walls Height Stories Front Walls Side Walls Rear Walls Partition Wans Basement, 1st Story I..... ..................... ..........I..... .................................................................................................... ................................................... 2nd f4 3rd " I................ ........................................................................................................I...............................................I...................................................................................................... 4th 'd I....................................I................................. ..........................................I................................................ ............................................... I.................................I................... 5th 91 6th 'd 7th If I.................................................. ...............................................................................................I.................................I............... ..............................I..................... 8th 'd I................................I................................................................................7.. ............... .. .......... ...... ....................................................... ............................................... 9th is 10th ..................... .................................................................. .. .................... ....................... ........................................................................................................ 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 IJOISTS GIBDIMS COLUMNS Floors Sim Longest Span Centres Bridging Size Longest Span Centres Size IA%gtb Centres 1st Floor i I...... 4....... Y6dto1.0.1................ Vx tr 0 WORL W/AM 0W I Size of outside studs? ..Q2..A ,.Y................. Distance on centres? ..... Size of sill? .........a..X00................. Size of rafters? ......o7-.X...6.............. Distance on centres?.................../4 4f................... Size of plate? .............VXX V.................. 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? Fireplaces? ..0.. Material of roof covering?AAP A T.... of Cornice? How is building heated? .....,.-10..T......vpa.m. ...................Lining of flues? ........C...4A.Y............................................................. Thickness of shell of flues? ............/........................................................Any elevators or lifts? ...........A.69...................................................... Whatkind? ...................................................... How many? ......................................................... Any hoistways? ........................................................... How protected? ............................................................................. ..................Total Value of Building ......4f.. 40 0 0 'P a 0 Whenwill work be commenced? ............A--77- ............ 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 th Town of South Windsor since 1949. Applicant 2392 BUILDING APPLICATION Application No. :_..?, 52 on the ......N. side of Street No, . .4.47— Owner P/-O AT V441,".f—'.SrAr9J, X-,VC- - Applicant ..S r ............................................... CLASSIFICATION Dwelling 24tx42V Permit issued on above Application. Date, - ---Ju1-Y...1-7--,v........ 19......58 3 r' i TOWN OI' SOUTH WINDSOR BUILDING PERMIT Date July 17, iq 58 Fee Paid $;. ,*.00 Est. Value $ 11 t 000. Permit_ N U 2392 on the North side of Hilton Drive Street Street No. Lot #14 is 3 Owner Pleasant Valley Estates, Inc. Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. 1435 Fee Paid $ 3-00, CLASSIFICATION Dwellings 42-1 BUILDING PERMIT N? 2392 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. JW Y 17, 19 58 T4'to to to Tertif1j, That Pleasant Valley Estata®, Inc is hereby granted permission to DWel l ing at estimated value of $ 11.000 on the I"orth side of H U1 t on Drive I-ot #14 Street on land owned by Pleasant Valley Eatatf,a, lxo Said Work to be as described in Application No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued JU1 y 17 a 1958 19 Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers dur- ing the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." t Permit No. ,a:f. ,,. TOWN OF SOUTH WINDSOR i SOUTH WINDSOR, CONN. Permit N?1435 Certificate of Occupancy THIS IS TO CERTIFY that t e fi at No/ 21 te-L-' in the Town of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. BUILDING INSPECTOR OWNER, BUILDER Fee Paid : , Date , y 19 / TO THE BUILDING INSPECTOR of illy APPLICATION FOR TOWN OF SOMH WUMSOR,CAAK PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to com ete all items se ions: 1, 11, III, IV, and IX.oi ZONINGI• AT (LOCATION) 717,1, AN;e DISTRIC LOCATION NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE V1 II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D a A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m 1 New building Residential Nonresidential 2 Addition(1 residential, enter number 12 One family 18 Amusement, recreational of new housing units added, if any, in Part D, 13)13 Two or more family — Enter 19 Church, other religious number of units— — — — --p- 20 Industrial3 Alteration (See 2 above) 14 Transient hotel, motel, 21 Parkin4 Repair, replacement or dormitory — Enter number g garage 5 Wrecking (If multifamily residential, of units ——————— — -i 22 Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional6 Moving (relocation) Other — S e7 17 ciJy 425 E] Public utility Foundation only 26 School, library, other educational B. OWNERSHIP drVz3Pr&4&f 27 Stores, mercantile 28 Tanks, towers8 [X Private (individual, corporation, nonprofit institution, etc.) 29 Other — Specify 9 Public(Federal, State, or I cal g v rnment) C. COST it 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,,.,,...•...•.•• e- school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed,enter proposed use. in the above cost a. Electrical...................... b. Plumbing ...................... c. Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT 1$ O 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 Reinforc d concrete H. TYPE OF WATER SUPPLY 34 Other — Specify 42 Public or private company 50. Total land area, sq.ft. ........... 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors....................... 36 Oil c nditi ning?L. RESIDENTIAL BUILDINGS ONLY 37 El etrieity 44 Yes 45 No 53. Number of bedrooms.............. 38 Coal 39 Oth r— Specify Will there be an elevatbr? 54. Number f Full.......... 46 0 Yes 47 0 N bathr ms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Nu ber, street, ci , an State ZIP code Tel. No. Owner or F Lessee 2. Contractor 3. Architect or Engineer Th prer of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Si a Address Application date I/C j DO NOT WRITE BELOW THIS LINE V.j PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By y Date Plans B NotesqFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check 0 Do te taied Number By Permit or Approval Check ObtDained Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit numb r 9597 Building Permit issued Nov. 10 19 76 Bui Iding P rmit Fe $ 4.00 Approved by. TITLE VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use q 1 may, . ., r- q fdr e'" g t...-4f t'--es4--.,f-.-i*ze .- a1s 2p-s«.a¢¢a•n - 4 r.w-A, _ gw_5fr>< _%Y`P'-_wm_.$ "fie. -„ a9a _fir- _`- ., iv -. s-sgs_,.:a' V r i I TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Nov. 10 19 76. Fee Paid $.4,0.0 Est. Value $ .60.0.00 Permit 9595 on the side of Hilton Drive Street Street No. 123 Owner James Clyburn Applicant James Clyburn CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Stove and Chi mV BUILDING PERMIT Ire 9596 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Nov, 10 19 76. a4is is to Crrrttfij, That Orange irnproveMeLlt:S is hereby granted permission to Wood— bumd—ne stave and ehimney at estimated value of $ on the side of 123 u i l t-- E)r ye Street on land owned by jams CIEmixJDA"arma Said W4)r- to be as described in Application No. 9 89 5 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issuall Building Inspector. l 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 CONNECT ICUT: "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." INSPECTION REPORT Permit # Job E 1 Footing 2 Foundation 3 Framing 4 Wiring00 5 Plumbing r 6 Heating 7 Lathing 8 C.O. 0VLex 3 Ge ti-.Pi.}r- TO THE BUILDING INSPECTOR of the APPLICATION FOR TO" CW SSOV'rA VVUMSM WINK PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.O I• AT (LOCATION) ZONING DISTRICT LOCATION NO.) STREET) OF BETWEEN RON bA- AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE 100 /fv ZO0 N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M 1 New building Residential Nonresidential 2 Addition(11 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 religi usinPartD, 13) number of units— — — — — 3 Alteration (See 2 above) 20 Industrial 14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (/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 ejamalEr 25 Public utility 7 F undati n only 26 School, library, other educational B. OWNERSHIP 4W&Z7 Stores, mercantile 8)<Privet (individual, corporation, 28 Tanks, towers n npr fit institution,etc.) If 29 Other — Specify 9 Public(Federal, State, or 49De I GIB e I cal government) C. COST mit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., f ad processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement...............school, secondary school, college, parochial school, parking garag for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed,enter proposed use. in the above cost a. Electrical...................... b. Plumbing ...................... c.H ating, air conditioning......... q,sp ab d.Other(elevator, etc.)............ III. TOTAL COST OF IMPROVEMENT TD 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 Mas my(wall bearing) 40 Public or private company 48• Number of stories................ 31 W d frame 414K Private(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions .................... 33 R inf rc d concrete H. TYPE OF WATER SUPPLY 34 Other — Specify Public or private company Total land area, sq.ft. ........... 43T jPrivate(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gos Will there be central air 52. Outdoors........................ O 96 EOil conditioning?L. RESIDENTIAL BUILDINGS ONLY 37 El ctricity 44 Y s 45;K N 53. Number f bedroom*..0........... Q 36 C al 39 Oth r— Specify Will th re be an el vator? 54. Number f Full.......... V 46 Y s 47 W No bathrooms Partial....... NOTES and Data — (For department use) r Ob r • r r t e ti w i IV. IDENTIFICATION — To b completed by all applicants Name Mailing addr ss — Number, street, city, and State ZIP c d Tel. No. 1. C w Owner or Lessee 2. s 4. Contractor N 3. Architect or rf Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application dot 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R vi w R quired Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS P rmit or Approval Check Obtained Date Number By Permit or Approval Check obtaineded ate Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING I t I USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. 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Sam ones.s..........s............a.fl...oass....ra.ss.s..=.t.;..s.a.sz.=s`emsHH saw=\m;.s izzSaos==ag:l=. news ._; a .. ssee;---- :-::: :s=:------------- ;:: s; ;:stss: ::-s ::;:::::::::;:: TOWN OF SOUTH WINDSOR BUILDING PERMIT Date June 13 19 83 Fee Paid s 30.,.00 Eat. Value $A,.500 Permit N° 13280 on the aide of Hilton Drive Stnec Street No. 123 owner James C/Helene H. Clyburn Applicant James C 1 yburn CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Enclose garage/add garage & deck BUILDING PERMIT N° 132 0 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, cow. June 3 19 8 3 t, il to[ P1`ft That Amp^C,_>Tburn is hereby granted permission to Enclose existing_garage to famisle room add garage and deck at estimated value of on the side of 123 Hi 1 ton Drive Street on land owned by James C.,[Helene H. _-Clyburn Said Fork to be as described in Application No. 13580. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Ama 1 . / 19 830 Iz madding Insptctor. 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." i I INSPECTION REPORT Permit # Q Job 1 Footing 2 Foundation 3 Framing 4 Wiring 5 Plumbing Al'Y 6 Heating 7 Lathing 8 C.O. N/F BURNHAM S54!42'Sa" loo.o' NORTH a r v N 201 Drainage Right of Way I NIP NIF Robert J & Barbara Jm John Be & Dolores S. TRANTOLO L BARIBAULT O ao0 ,(ti 0 M a IsC o N M 5W_6" 0 O 0 N a 42`-oN 401 Pole and anohor N Building Line asement to Conn. CpKArr. Light and Power Co. 41' IOo-o' S 54 42= So" HILT ON DRIVE PROPERTY of JAMES C. and HELENE He CLYBURN . 123 Hilton Drive South Windsory Conn. Scale I" = 40' June 15. 1976 I hereby certify to the HERITAGE SAVINGS AND LOAN ASSOCIATION that this survey was madeonthegroundonJune15. 1976 and that it and the bounds and measurements shown hereon are substantially correct; that title lines and lines of actual possession are the sam ;the building is located as shown; there are no Zoning Regulations or Restrictive Covenantsvioletd.; and there are no easements or encroachments affecting this property' except asnotd ' corrHFC4,z t' t zv-W. Gj jg r Gc, w 140b 6293 msrE' 14 it cek n Reg L D aun TO THE BUELDING INSPECTOR of the APPLICATION FOR TOWN OF SOIT H W'IlW K COW PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.O ZONINGI• AT (LOCATION) /3 DISTRICT LOCATION NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use 1 New building Residential Nonresidential 2 Addition(1/residential, enter number 12[]]4ne family 18 Amusement, recreational of new housing units added, if any, in Part D, 13)13 Two or more family - Enter 19 Church, other religious number o/units- - - --go- 20 Industrial3Iteratin (See 2 above) 14 Transient hotel, motel, 21 Parkin4Repair, r placement or dormitory - Enter number g garage 5 E] Wrecking (1/multifamily residential, of units ——————— - -i 22 Service station, repair garage enter number o/units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional6 Moving (relocation) 17 Other - Specify 25 Public utility7 Foundation only d 26 E] School, library, other ducational B. OWNERSHIP At4WIAJ04 CS/Q/CT—27 Stores, mercantile 8 F:k rivat (individual, corporation, 28 Tanks, towers nonprofit institution,etc.) fno 29 Other - Specify 9 Public(Federal, State, or local gov rnment) C. COST Omit cents) Nonresidential - Describe in detail proposed use of buildings,e.g., food y000 Processing plant, machine shop, laundry building at hospital,elementary 10. Cost f improvement,,,,,,,,,,,,,,,school, secondary school, college, parochial school, parking garog for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. El ctrical...................... b. Plumbing ...................... e.Heating, air conditioning......... d. Oth r(elevator,etc.)............ 11. TOTAL COST OF IMPROVEMENT $ W000 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) 400 Public or private company 48• Number of stories................ 31 W d frame 41 49. Total square feet of floor area,Private(septic tank,etc.) 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 50. Total land area, sq.ft. ........... 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors........................ 36 Oil conditioning?L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 N 53. Number f bedr ms.............. 38 C al 39 Other- Specify WIII th r been I vat t? 54. Number f Full.......... 46 Y s 47 N bathrooms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To b compl t d by all applicants Nam Mailing address — Number, street, city, and State ZIP code T I. No. AM e-S CL Bu 11,,17vAJ 44 o. wt'i-oSv4— O?oo9-697Owneror Lessee 2. 00AITIf Moe CoA)sT; SQueeri fj 6 i 67 Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Sig ture of appIic t U Q Address Application dot DGy 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R vi w R quired Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS P rmit or Approva I Check Obta ned Date Number By Permit or Approval Check ObtDa ned ate 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 13450Prmitnumber Bui Iding 83Permitissud $ept• 2 19 Bui Iding P rmit Fee $ 24.00 A4v;ed TITLE ZONING FRONTDISTRICT SIDE - .SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN For Applicant rararir..r.a. raw ...w..r....i..........•....w................w..r...........rw.w.r.a...... .r r.1111..w. rrr.rrr.•.ra r*•e * •rr•.••.•.•r• N••a.w••r.t• r.# rrprs• •rtS•/•../:rNr.NNNN.•..•rN/:r#flee.S.itNanr\•...s•N•Ns•w:$asae•.lproi,.ri•!:•irrYa.i,•rril.:•ta.e.lt,.r.•i•I.Reir••a f•.• s, .. 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Ise: jt:::e ::..:.:.::::r:::: :piss ::: a :IM:.:poop pp:p:rp:::crop:p..:p:::e: ::.p:::a• r: p:.::::u =eS.:iul•: :S`Nil:::::S:eS:e`aSSS:=rr• ::..e:..p::::• a : :.:.:.ZZ.:::::\: :..:: pops %:.::: :..::.:..• .a:::::p...:..::::::::... .:.:..::H1.3 :.:. moo:: :t::e:t:::t:t:owe 1:: #:::::::::::p: • pp- ------------------- TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Sept. 2 1983. Fee Paid $. .94 00 Est. Value $4 000 Permit N° 13450 on the aide of Hilton Drive Street Street No. 123 Owner James Clvburn Applicant Ronald Go shi CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Aluminum Siding BLTILDM PERhUr office of N° 13450 THE BUILDING INSPECTOR Of the Town of South Windsor, Conn. South Windsor, Conn. Sept. 2 @93. 14iz to to Certify, That reel In t t: lazirle C+4'lS r ruc t Lin is hereby granted permission to Install aluminum siding at estimated value of on the side of- 12-1 Hi 1 ton air i vP Street on 6nd owned by .Tame g C lvz j2u rn Said Wo r x to be as described in Application No 13 7 5 0 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOLYM WINDSOR. Issued Sp n.L. 2 930 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 dmefor from the city or borough in which such higtiway 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." 8367 4, ELECTRICAL APPLICATION Application No.9773 on the side of u i 1 f c)n DrivevP Street Street No. _ 1 9 3 Owner Ja e s C 1Tburn Electrician r,r i PL P S Rj p +-r i FILED IN OFFICE OF The Building Inspector May_ 10 1984 INSPECTION. M 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. Electrical Permit No. ....f... r,................._ Master License No. ... TOWN OF SOUTH WINDSOR Building Permit No. .. . 7 .................... .. BUILDING DEPARTMENT Date Filed Date Final Approval ....... ........ ......................... APPLICATION FOR ELECTRICAL WORK Electrical Inspector CO j JOB LOCATION: l.3 J T(r + JOB OWNER:`.. 'J .. .f,1......................r..l l.`'.IZ..A-....... Sideof Between . and ................................................................................. Name of Building Owner 01). vjZ.tJ....... Address If work is for Lessee--Give name Address ................ ........................... ............. ....... ................ Building now occupied as (unless new)1 Y14. 1• 4 No. of family units now j'... ............ Building to be occupied as ..... Number of family units to be . .. . . .. ........ ... Is this work included in a Building Permit? Permit Fee ... ..... ......... ...... .. ... ................................................................._..... If no Building Permit) Permittee iPPi iC C-C'+ R kr. yI3 Business Address Cat/ .:kN Telephone;Z COSTOF INSTALLATION4WO TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light 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 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 be . ... ................... ..........._...._......................_..___.._.____ 9T O THE B ING INSPECTOR of the APPLICATION FOR TO" OF SOUTH WIPIDSM COS PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. ZONING O I• AT (LOCATION) fl/j DISTRICT LOCATION NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use 1 New building Residential Nonresidential 2 Addition(f residential, enter number 12 One family 18 Amusement, recreationalofnewhousingunitsadded, if any, in Part D. 13) 13 Two or more family - Enter 19 Church, other religious 3 Alterati n (See 2 above) number of units- - - - -i 20 Industrial 14 Transient hotel, motel, 21 Parkin e4 Repair, replacement g garage or dormitory - Enter number g 5 Wrecking (If multifamily residential, of units ------- - -•! 22 Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 24 Office, bank6 Moving (relocation)16 Carport professional 17 Other - Specify 25 Public utility7 Foundation only 26 School, library,other educati nal B. OWNERSHIP 0 x r N 27 Stores, mercantile 8 JE j Private (individual, corporation, 4 28 Tanks, towers n npr fit institution, etc.) 29 Other - SpeciJy 9 Public (Federal, State, or I cal g vernment) C. COST Omit cents) Nonresidential - Describe in detail proposed use of buildings, .g., fo d processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, CJ Cj school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant.To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical...................... b. Plumbing ...................... c.Heating, air conditioning......... d. Other( levator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ 111. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 Masonry(wall bearing) 40 Public or private company 48• Number of stories................ 31 W d from 41 Private(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions .................... 33 Reinf rced concrete H. TYPE OF WATER SUPPLY 42 Public or private company50• Total land area, sq. ft. ...........34 Oth r Specify p 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors....................... 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 El ctrielty 44 Yes 45 No 53. Number of b dr ms.............. 38 Coo I 39 Other- Specify WIII there be an I vat r? 54. Number f Full.......... 46 Y s 47 N bathrooms Partial........ IV. IDENTIFICATION — To b complet d by all applicants Nam Mailing addr ss — Number, street, city, and State ZIP cod Tel. No. I 1Owneror Lessee 2. Contractor 3. Architect or Engineer Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signatur of applicant Address Application dot 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedAppr'oved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approva I Check Date Obtained Number By Permit or Approval Check ObtDaineate d 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 Bui Iding P rmit numb r Bui Iding Permit issued ' J` 19 Building Permit Fee $ roved y: TITLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date July 10 19 85 Fee Paid $.9 0..0 0 Eat. Value $. 14,.5 0 0 Permit N° 14530 on the aide of Hilton Drive Street Street No. 123 owner James Clyb lrn Applicant W i l f rP d IF i c1P n b rnc3 CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Addition BUILDING PERMIT NY 14530 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. July 10 1985 14is To to Mertt fu, That wa 7 f re-d s i avabrod is hereby granted permission to Additinn 10' a 191 at estimated value of on the side of 123 Hilton Drive Street on land owned by James Clyburn Said Work to be as described in Application No. 14830 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Jttly 1985 Building Inspector. Streets and sidewalks, obstructed by ezcavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall p1m 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." INSPECTION REPORT Permit # 53d Job 1 Footing 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. 7793 ELECTRICAL APPLICATION Application No. 8904 on the side of Ni i fi_an nr-i vP Street Street No. 121 Owner .lame srlyhurn Electrician Joseph Dumas FILED IN OFFICE OF The Building Inspector Oct. 18 19 82 INSPECTION. rAr No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK, No. ./Q, r "8904 Permit No. . ....7 7.9.3......... . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application taL perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. South Windsor, Conn., 19 8.2-Sign here .• Addresses. i `.• . ..-.... Location 1. ..7Y Side of Nature of Building ...Q How many stories ...........,/....... ... .......... .. .......................... .............. New or oId Building ....How many families .......11........................................................................... Kind of Installation 427V iA-) 1e— How many Stores ............................................................................................ .. Owner L , f '. ......C/1 Address Architect . .......Address . . . . ..... .. . . ..................................................... Builder Address Electrician V Address Size of Main Wires .. .............. ...1` 1, No. of Light Loops .. .. No. of Heat Loops .. No. of Power Loops ......................... No. of Light Outlets ... .. ..... No. of Heat Outlets . . No. of Power Outlets .............. . ........ Nob of Light Circuits ...No. of Heat Circuits No. of Power Circuits . . .. .. . .... .. No. of Sockets No. of Heat Receptacles No. of Motors ............ ... No. of Panels ....................... ........ . . . Size of Heat Circuit No. of Power Receptacles No. of Switches .......... . .... ........ .Total Wattage ............. ....... .. ... . Size of Power Circuit . Total Horsepower No. of Straight Electric Fixtures ... . No. of Combination Fixtures ... . No. of Receptacles ....................... ....... ....................... No. of Cord Drops ...... ..... ........... ... ............................. .. ... .. Remarks: For other kind of Installation .. `z7, x. .r..•.••• QQ•f1.L.f••.••"7••,f• •••• •••• Q.... ,....... 1-t .......... .............._..... ................. .... .......................................... ......... . .. . .... ..... .. ....... Z Estimated Cost X........ 6746 PLUMBING APPLICATION Ll- No. 6 517 on the ....__....... aide of Hilton Drive Street No. ......_..__123 ownw ....___._ James C1ybu rn plumber Ronald Capobianca Filed in Office of The Bakfing Aug. 8 19 85 No person:hall commum add 0 oc moat ay porcioa of the drainage system of my bonding ezaq t to repair leab) uma a Pkrmit is gmued by the Building Lapeaw. APPLICATION FOR PLUMBING PERMIT (Continued from R vers Side) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB 1--2 .3 7 / 70"v p!_ xy9/I NO. STREET FLOOR APTAO. GENERAL PLUMBING 1 12. KIND OF INSTALLATION/11101Z ji N S' 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS -STYLE 0,14 15,2 2L 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES -2 18. NO.OF SINKS_1 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS Z _SIZE I 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? f s^ 27. SIZE OF WINDOW 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? v 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? SIGNATURE LC/ir'ADDRESS L2 J7;6 NS XA 15 sr Z, lrlel -'T 7'h C' 7- LICENSE NoJ0 3 ESTIMATED COST /,y 00 ? TELEPHONE 2 (u OWNER 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. CD962 DATE SIGNA_TUO OF APPLICANT F INSPECTIONS: BuiIdi APPLICATION FOR BUILDIN G HERMIT Plumbing HVAC 123 HILTON DRIVE Date: Sprinkler Electric Estimated Cost $ Zoning 17871 Permit Fee$ R10 Affidavit NO.Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS.Fire Dept. TYPE OR PRINT ONLY Total Fee $ Health Dept. SIGN ON REVERSE SIDE.0 0ApprovedforCO: Additional Cost) $ 0 TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location r'. Lot No. Side of Street Zone r Applicant rn G S C• C Lu bU" Tel. # 2 g 6 q Address LZ3 L L-1-OA S. wwkasrnr C t'' 2ip O C9 OZ Lic.# STREET CITY STATE Owner Address Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages LavatoriesNo. 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 x 10 k v,4e, (a City Water 1:1 Well 0 Septic 0 Sewer 11 Approved by Date "c BD1A 1 vss I hereby agree to conform to all the requirements of the Laws of the State of Conn cticut and the Ordinanc s 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 b located the proper distanc from all street lin s,side yard lines nd required distances from all oth r zones and is located in a zone in which this building and its us is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this placation for permit. Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framin Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: 1.a wly NIF BURNHAM i SS47 421 So" NORTH I 201 Drainage Right of Warr NIF NIF f I Rob rt J & Barbara Jm John B. & Dolores S. TBANPOLO w BARIBAULT o f u• fq 101 k o' to X S4'-We I a O N N 42-0"401 Pole and. anchor t Building Lire_;iF[,!v^, asem nt to Conn. Light- and Power Co. 411 itit t lOo.o' HILTON DRIVE c; PROPERTY of JAMES Co 9n&*HEi 123 Hilton Drive South Windsorq-"Lonn. Scale I" = 40 VOI)NQ: ft, 1976 I hereby certify to the HERITAGE SAV= IwiON that this survey was mad on th ground on June 159 1976 itd `thait M•a Ud measurements shown hereon are substantially correct; that title lines and lines ofeectual possession are th same; th building- is located as shown; there. o Zoning Re u ations or Restrictive Covenants violat d.; and there are no easemeijjN1`4t. nC a afi6ting this propertyq xcept as noted ' j. `....'" .,, •.. Of CONNEC? A W e C wi r A pp, 6293 1 W c ek In R g L. n auaY r,EjR-fIR(;ATION OF ZONING COMPLIANCE Proposed building(s), use(s) and/or structure(s) 1N3W12 Vd30 ON14iIns Q° joS u M yl as shown on this plan appears) to be in p noS conformance with current South Windsor n regulations. Variances and special exceptions 6961 may apply. II 9Date T a Z ng Enforcement Officer To MWLWWDW. T4Wl1 OF SOUTH WINDSOR of gw PAPF apd spsr/flaatlons are trueTAMoer th QC alterations to beaoptesoft# prolod Alt LL r`ve— Street fta l 1. appNeation and tppatt w A vPbl wit*sit zoning, 110dBY a aid w` nrw oan0ers as shall be awl" pendency 1#gWW bl/ of a building of tots two J fi8atwd, 6D 0. dondltlon that hM « IYiAMg shall be orders an no ins Map f r 7 8832 ELECTRICAL APPLICATION Application No. 10247 on the side of Hilton nr i ve Street Street No. 123 Ownfr James C lyburn Electrician Homeowner FILED IN OFFICE OF The Building Inspector Aug. 8 19 85 INSPECTION. rw 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 ere stops (if of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit No. ...f............._ Master License No. TOWN OF SOUTH WINDSOR Building Permit No. .,/.30-1-11C1........................... BUILDING DEPARTMENT Date Filed .i,/.f.yo ............................................... Date Final Approval ............................................_..... APPLICATION FOR ELECTRICAL WORK Electrical Inspector 23 +f ( C,K VV iJOBLOCATION: ... . .......................................................................................... JOB OWNER: ....... .. ............ ...........................................f?zaffiii.......... Side of ...Between and .................. Name of Building Owner 4 Address '3..... !.L ...-. ...... ................. ... Ifwork is for Lessee—Give name ..Address .................................................................................................. Building now occupied as (unless new)No. of family units now ................................... Building to be occupied as ........ ...... .............. . ........ ............ ... . .... ...... Number of family units to be .................................. Is this work included in a Building Permit Permit Fee ............ ............ ........ ........................................................_..................._..... If no Building Permit) Permittee D Business Address Tele hoa COST OF INSTALLATI N: .V d .... .................................. ... TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed I Number of convenience outlets to be installed Number of present Appliance Circuits .. .............................................. Number of switches to be installed . . . Do these include Range Water HeaterNumberofappliancestobeinstalled as listed below) Dryer,Q Air Conditioner Oil Burner TYPE RATING NO. Dish Washer Gas Burner Range . . . . . • • • Well Pump Elec. Heaters Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater Clothes Washer . . . . Clothes Dryer . . . . . Dish Washer . Air Conditioning Motor . Oil Burner Motor . . . . Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan Well Pump . . . . . . Electric Heat . . . . . Other . nttraa vet, Number of new Lighting Circuits Number of new Appliance Circuits . . . ......I._...._........... Number of Heating Circuits . . . . . . ............................ Number of Motor Circuits . Size of present service ...............` --- .............. Size of service to be ........................... DP 6 •78 1I:1'•Ii'fG i l-J f I1iE!'i.•Ff TIFIGr TF S \ P.. CONNEC:TICUT LIGHT & POWER C041A1Y WORK REQUEST NUMBER 5E:401 176 JOIN LOCATION i ?,3 HILTON DRIVE SOUTH WIND SOR. . ; A A . . . ; . A . A A A R A A LOT NUMBER TOWN SOUTH WINDSOR CUSTOMER INFORMATION Cl...YDOURN A . . . . . • . A A L A . • . . . . 1JAME:S. A • A A • • A • L TELEPHONE Nt.1MBER. 123 HILTON DRIVE A A L i i A . • A A • A . i A i i i SOUTH WINDSC)F 6 i L i L L i L L L L L A i . L L L L / TYPE OF SERVICE: CHANGE NUMBER OE' METERS i PHASE DESIGNATION i VOLTAGE 120/240A SWITCH SIZES 4 ) 00100 SERVICE CONDUCTOR SIZE TYPE LOAD TO 1_.I GHT I NG 00005 AIR CONDITIONING EL.E:CTR I C HEAT OTHER MOTOR LOAD 00014 BE ADDED HEAT PUMP WATER HEATING NET LOAD 00019 SERVICE LOCATION DESIGNATED BY COMPANY REPRESENTATIVE H CLISBY. . . . . AAAAAA ; AA ; • L . . . . . . . . . . . . . • SERVICE LOCATION APPROVED BY COMPANY REPRESENTATIVE THE: UNDERSIGNED CERT I E'I ES THAT WORK WILL BE DONF_. IN ACCORDANCE WITH LOCAL. & NATIONAL. ELECTRIC CODES AND THE CONNECTICUT LIGHT & POWER COMPANY OR WESTERN MASSACHUAS'ETTS ELECTRIC COMPANY REGULATIONS ELECTRICAL CONTRACTOR STATE LICENSE PHONE u XST, MTV NO CRIPPS ELECTRIC CO. A A A . . . • . A . . . . A L L A A A A A 103701 2 0 3'--2,89---016 3 r.j(. (/ xn645 ,JOHN F I TCH .LPL Y D A A A A A A • A • A A AfA A A SOUTH W I NDMJ A A i A L • A ; A 6 i • A A A ; ; • • 4 4 V U Y , 6 IN4M ND L.00AL. AUTHORITY APPROVAL. DATE SE--VICE TYr: OH F_ B UG 0 H-DB STATEMENT CRIPPS ELECTRIC CO. 203)289-0163 645 JOHN FITCH BLVD. SOUTH WINDSOR, CONNECTICUT 06074 A14 r- TERMS: NET 30 DAYS PLEASE DETACH AND RETURN WITH YOUR REMITTANCE$