HomeMy WebLinkAbout1364 Ellington RoadApplication No. 4033 Permit No. 3773,
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (erect (fie-eke 4 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. 194/.
Signhere .. . ................................
Address 1/./...1J9-44 1.. .C. .. ...
Location. 0IM.............side of? .. ..................................................................................................................
Nearest cross street? Street No. . .. ....... ........................... Lot No. ... .......... ........... .
Owner of land is. `Ti / /I11&. rl Address .... /fog...,/ ,/.fl.. C. .., ..
Owner of building is? .. ... .....................Address 41...
h f.lJ,S.. Address1, Ar tect is? S 7y
wilder is?G i /l, L- 9 .... `.f.111..,QiT?.....Address r, 05 7`..................... ...........
Dimensions of building? Feet front? ...4.2 . .. .. Feet rear? ....U . ........ Feet deep? ... .2 .
r Extreme height to highest point of roof? ...... No. of stories in height? .. . ..
Purpose of building is?`&O)C,416.711Z.eV.................No. of stores? .......................................................................................................
Howmany families? ......................................................................................No. of rooms? .... ... ..........................................I............. ...............
i
Distance from street line is? . _64 ...........................from building line is? ......
ADDITIONS AND ALTERATIONS
Give Brief Description)
Map No.
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 Bear Walls Partition Walla
Basement,
1st Story
2nd "
1...... ..............
3rd
I........................ ... ... ...... ........... .. ........ ..... ...... .. ..
4th "
5th "
I........... ...........—. ............................I................... ...........
6th of
7th
8L1. 'd
9th "
10th "
Material.of Front? I f stone, what kind?
Thickness of Ashlar?Thickness of Backing?
Backed up with what? Arches or lintels over openings?
r
WOOD CONSTRUCTION.
Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns
JOINTS 11 GIBDIM COLUMNS
Floors Size Longest Span Centres Erldging Size Longest Span Centres Size Length Centres
1st Floor ..
f.... X
r+ ._. ......». !.r _..._...__.....
2nd
7 rQ_., -..._.. ......
4 .........
i
Size of outside studs? ................X. .......... Distance on centres? ......./....4;....... Size of sill?
s, x .
90
Size of rafters? .G .r1'..ca.
flo
Distance on centres?......... Size of plate? .............. .............. ....................
Size of ledgers or girts? .............................. ............................................Size of deck rafters? .....................................................
r
Distance on centres? .............. ...................................................................Size of studs in bearing partitions? ............ ..'... ...................
MISCELLANEOUS
Style of roof, flat, pitch, Mansard, or hipped. Fireplaces. ........................................................
Y
0pollMaterialofroofcovering? . ...... , ....j ... ... .. ......Material of Cornice? .......
How is building heate . o. .......Lining of flues? .. ..........
f............................... Thickness of shell of flues? ........................ Any elevators or lifts?.
What kind? ... ....... . . .... .... ........ .. How many? .... .... . .. ............. ....... Any hoistways? .. ........ ........ ............ ........... .
How rotected? ... . ....................... . .... Total Value of Buildin O.P... ........................P g
When will work be commenced? . . a...:..... .... /........................................................................... ................
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this
application, conforms to the zoning regulations of the Town of South Windsor.
Town of South Windsor since 1949.
Applicant
3773
BUILDING APPLICATION
Application No. ........40.33.....................................................
on the ...We-st. side of
Ellington Rd. Street.Ellington... .....
Street No,
Owner Arthur Brown
Applicant Beaudoin 1,iilkie
CLASSIFICATION
Dwelling 241x62'1
Permit issued on above Application.
Nov. , 61Date, 19 . .
I
i
I TOWN OF SOUTH WINDSOR
BUILDING PERMIT
i
Date Nov 61
19
60,oa 1 oaaFeePaid $. Est. Value $ .
Permit N4 3773
I
on the West side of
Ellington Rd. Street
Street No.
Owner Arthur Brown
Applicant Beaudoin & Milki.e
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 2286
i
Fee Paid j$ 3,POQ
CLASSIFICATION
Dwelling 6 tx2h_n
I
I
BUILDING PERMIT
N o 3773
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. 14oy.. 6 s 19 61
Tots to to Tertif1j, That Feaudoin L Pfilkle
is hereby granted permission to 1.welling 621x24t
at estimated value of $ 1 J it 00 0
on the '`'e s t side of L 11 ing t on tid, Street on land
owned by Arthur Brown
Said to be as described in Application
No. 4033 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issurv. .
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."
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
F
Permit NQ 2286
Certifica a of OccVpancy
THIS IS TO CERTIFY h the
at No. — in the Yown of South Windsor, Connecticut,
has been erected jWd 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
Al
Fee Paid Date 19 ,
OIL BURNER
OR
FUEL STORAGE APPLICATION
Application No. .....142- Permit No. .140.0
onthe ....We..s.t........................................................... side of
Ra:'.......................... Street
StreetNo. ........ ...................................................................
Beaudoin & Milkie
Owner A,.1:e.A,1............................
B.Weiner
Applicant,SAA.....OR.. V................................
CLASSIFICATION
Eastern D
a.....................................I.....................................................
Permit Issued on Above Application
2-2-62
Date .................................................................................. 19............
Permit #3773FeePaid $ ........................
TOWN OF SOUTH WINDSOR
APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS
EQUIPMENT AND TANKS
11;_60 fPERMITN . DATE.....
The undersigned hereby applies for a permit for the installation of range and fuel oil burners, equipment and tanks
of the following description:
Address ............ .........r...».:....I.4.. 01 1st floor.-&............ 2nd floor.............................. 3rd floor........................
Character of Building: Frame ......,G........... Brick
Owner of Burner x..(. a..1.!.^....................Owner of Building »..».... ..:: ".`..`..». ».»..............».......................
Lesseeor Tenant ..»»»»».............»....»...»»»...».».».»..........».....»......»...»........w.......»»»..».....»»........... ...»....»..».........»........».»»..........».»»»».».».»..»»....».».............
RANGE BURNERS
Capacityof Tank at Range »......»............... ».................................................in cellar »........».»».»........................... outside
Name of Range Burner »........»............».....................».................................Purchased from .»...»..........»....».»....................
POWER BURNERS
Nameof Fuel Oil Burner .. r. .. .......» ......-......I.4:. ..A...Model Number ...., ...............................»......».............. :.......»..»...»»..
Purchasedfrom ..... .> ...5..1,Jt..: ....W.......--................».........................................................................................»................».»...........».....»»....
Name of Tank Gauge of Tank ....L»...
Whereis Tank Located ..... . ..t:.ti!^+.^...t..............................Size of Tank ......ig,. .4...........»..................»....»..............................................
Sizeof Motor .... .,,Ct.......................................................................................Size of Wire ........»......»..................»....................».».............................................
Willother heating equipment be installed? ..........7...................... ............................................................................................................»...............................
Ifso, by whom ...........".1-m....Q................................................................w......................................................................»...........................»....»..................................
Nameof Party Making Installation ......k.. .......... %.......C-s. ...................................................................................................................
Address ............... V... ..........1A-!4..6:........
Electrician .......................................................................................»...............................»..........................................................................................................................................
Address .................................»...................................................................................... .......................................................................................................».....................................
Signed ..5 ....:P......... ..4..........!1.q......"^''...... APPLICANT
All provisions of Ordinances of this Town Regulating Oil Burner Equipment and Fuel Storage (Sections 1-23 in-
clusive) and Underwriters' Code applicable to the subject matter of same shall be complied with in execution of this work
whether specified herein, or not.
F5T Cos Applicationfor Permit received ................................................ andj` 2-2-62
Permit Fee Paid LP M1 t 3 77 3 Permit No. a„.1 LQ.......................... issued ..........................................
4 al t e r '- . T3 urnhamApproved ............ ...........
BUILDING INSPECTOR
1
781-
Application No. 4043,Permit No.
3-
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (erect (make alteration to) a building according
to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through
word "erect" or words "make alteration to" as the case may require.)
All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu-
tion of this work whether specified herein or not.
South Windsor, Conn., .. ............................................. 19.......... .
Sign here ... . ... r
iJ
Location? / - ( fC si a of?
Nearest cross street? ...... Street No. .... ...... . ............................. Lot No. ......... .
Owner of land is?l L.: z l` ::?.LE'cf/. ..............1.Address ....................................................................................... ..............
Ownerof building is? . Address .. ....... ...... .... ...................................................................... .......
iT
Architectis? . . . ............ .................................................... ......................Address ........................... ............................................. ........... ........... ......
uilderis? ........................................................................................................Address .............. ..................................................................................... ...........
i
Dimensions of building? .. . .. . ...........Feet front? ......... .. . . . Feet rear? ...... ...... ......... Feet deep? .. .. ...
Extreme height to highest point of roof? ........... ... ............... . .. No. of stories in height? .... ........ .
Purposeof 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)
v
Map No.
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 Walla
Basement,
1st Story
2nd "
3rd "
I......... ................................. .............. ................................... ..... .......................................... ,..................... ..... ... ......... ............................ ......
4th If
5th It
6th "
7th "
I.. .. ............... .............................
8th Is
9th "
roth..... ......... .. .
Material.of Front? Y. If stone, what kind? .
Thickness of Ashlar?Thickness of Backing?
Backed up with what? Arches or lintels over openings?
WOOD CONSTRUCTION.
Giv Size, Longest Span and Distance Between Centres, of Joists,Girders and Columns
JOLSTS GEWZ= OOLUMM
Floors Sim Loa rest Span CaRtm 3M9WC I She Lanoft apace Contras Efte LaWft Centres
1st Floor
d a...s...... ..........................................................................
11...............-1-"-*-'**-"""*"***...*--F----,"",F"",-,"""',-... I
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, fiat, pitch, Mansard, or hipped? - - ..--- ...... ... .......................... Fireplaces? .................. .................................
Material of roof covering.? .............. .............. ..................... .. ......Material of Cornice? .......................................................................................
Howis building heated? ..... ...............................................................Lining of Rues? ... ........................................................................ . ..............
Thickness of shell of flues? ............. .......................................................Any elevators or lifts?. ...................................................... ......................
What kind? ....- -- ....... .... ............. How many? ........ .. . ... .............. Any hoistways? .. ..... ... . .......................... .
How protected? ... . .. .......... ............. ...................... .................Total Value of Building ............................. ...........................................
Whenwill work be commenced? .. ...... .. .. . . .. .............. ..... .................................................................................................... .................
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this
application, conforms to the zoning regulations of the Town of South Windsor.
Town of South Windsor since 1949.
ti
Applicant
378:
BUILDING APPLICATION
Application No. .....-0:1
onthe ... . ......... .... . ...... ... . ... . ........ ..... aide of
El l i n;r on R d,. ........ Street.
1364StreetNo, ....
Owner 6r t h ur 1R r own
Applicant
Same
CLASSIFICATION
Demolish dwe ll inS 20' x391
Permit issued on above Application.
Date, 11-22-61 19 .
TOWN OF SOUTH WINDSOR
BUILDING PERMIT k
Nov. 22Date 19 61 e
Fee Paid s...00 k Est. Value $. . .....
f
Permit N.O 3781
on the side of
Ellington Rd. g
Street No. 1364u
Owner Arthur Brown 4J
Applicant Same
CERTIFICATE OF OCCUPANCY ISSUED:
Date k
c
No.a .
Fee Paid $ x
CLASSIFICATION
y
Demolish 391 s "x20
N f
C.
s
BUILDING PERMIT
Igo 3781
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Nov• 22, 19 61
X4i'a is to Tertifil, That Arthur Brown
is hereby granted permission to
Demol i sh -RARW39x201
at estimated value of $
on the side of 1364 Ellington Rd. Street on land
owned by Arthur drown
Said work to be as described in Application
No. 4041 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Nov, 22, 1961
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."
Application No.
6982 . .
Permit No.
6682
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to qfatiou.- (make alteration to) a building according
to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through
word `erect" or words "make alteration to" as the case may require.)
All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu-
tion of this work whether specified herein or not.
South Windsor Conn., 1967. A:k.-k
Siphere ......
011-Address .../ .../.'.f......
Location? f . . . ................side of? ..........A1-. r7_1YR......................................................................
Nearest cross street? Street No. . Lot No. .. e..2. .... ....... . . ..
Ownerof land is? .. ........... ...................................................................Address ............................. ............................................................ .....................
COwnerofbuildingis? pG C/.5........... QI .L.. .' Address l + ... ' ........1 `Ol
AddressArchitecta? ........ ............. .. .................................................... ......................
is? .. T. I ... ..... rUGv j........................Addre:: 1 .....+ .........f",f, /7 ....... .. .
Dimensions of building? .. ... ........ .............Fat front? ........... . .......... Feet rear? ................ ........... Feet deep? ..... .. ......... ..
Extreme height to highest point of roof? ....... ......... ............. No. of stories in height?.... ...........
Purposeof building is? ................................................................................No. of stores? .......................... ........................................................................
Howmany families? ... ........................................ of rooms? .... ..............................................................................................
Distance from street line is? .. ... ....... from building line is? ........ .........
ADDITIONS AND ALTERATIONS
Gve Brief Description)
t.-....! ........ w!7 ..._...... .Oq.L. ......................................... ..4....I. ........
K4#0
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
He*ht Stories Front Walls Side Walls Rear Wslls Partition WaUs
Basement,
1st Story
2nd "
3rd "
4th
5th is
6th of
7th "
I...................... ,..................I ....... .............................................................. .............. ..............................
8th Is
9th "
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
JOISTS GIRDERS COLUMNS
FIoors Size Longest Span Centres Bridging Slze Longest Span Centres Size Length Centres
1st Floor
4 ............. ............ .............. ..................
Distance on centres? Size of sill? ..................Size o outside studs? ............... ............
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 beating partitions? .................................................
MISCELLANEOUS
Style of roof, flat, pitch, Mansard, or hipped? ...... .................... .... ............................ Fireplaces? .......................................................
Material of roof covering? .................................................... ..........Material of Cornice? .............. ....................................................................
How is building heated? . ... ... .......................................................Lining of flues? . ....... .. .......................................... .... ......... .. ............
Thickness of shell of flues? ......................................................................Any elevators or lifts? ............................ .................... ......................
What kind How many? .. Any hoistways? .. ......... . . .......... . ........... .
How protected? ........... .. .. ........................................... .... .p...............Total Value.of Building .......'.... w.. ......
When will work be commenced? . .... . .... .
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this
application, conforms to the zoning regulations of the Town of South Windsor.
Town of South Windsor since 1949.
Applicant
6682
BUILDING APPLICATION
6982ApplicationNo. ............................................................................
on the .......no.rth.................................................... Side of
Ellington Rd.Street.
Street No, .....'1364 - .... ..... .......... .. ............
Regis GOuletOwner ........... .. ... ........ ............ . .............. .............
Applicant . P.tbr L..Br own.
CLASSIFICATION
Install aluminum siding on
existing house. To be grounded.
Permit issued on above Application.
Date, . 4-?4-.69 .... ..
f
1
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Apr i1 24, 19 69
Fee Paid $.12.00 Est. Value $.1550.00
Permit N° 6682
on the north side of
Ellington Rd. Street
Street No. 1364
Owner Regis Gouls t
Applicant Peter L. Brown Coo
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Tnstall aluminum siding on exiating
mouse. To bs grounded.
BUILDING PERMIT
N? 6682
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Or it 24, 19 69
94is is to Tierftf1j, That Pstor L. Br*WU CO.
is hereby granted permission to Install aluminum siding On lxisting hOusl.
To be grounded.6
at estimated value of y$
155000
on the north side of Ellington Rd. #13 64 Street on land
owned by Regis GOule t
Said, work to be as described in Application
No. 6982 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR. f ,,o••s.;..
April,-.z
000 9IssuedI9
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 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 compelled to reason therefor."
PERMIT #
Application For 6607 6 217
DEPARTMENT DECISION Heating Permit
3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONSO
N APPROVED DISAPPROVED
TOWN OF SOUTH WINDSORCd
8/9/8 5 Thomas P. D' Auria
00 O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BELOW
O
o 1. LOCATION OF JOB
Cd r_ NO. STRIKEY
vCd
rn
LOT NO. FLOOR APT. NO.
O
G) O
2. OWNER
cc
ADDRESS
d 4.PHONE
C/I S. APPLICAN r do
r 6. ADDRESS
y
7.PHONE
w 'c
S. LICENSE NO.
tl. EXPIRATION DATE JOFLICENSE
v
a 10. ESTIMATED COST
o
t 1. IS THIS A CONTRACT COST?YES U NObo
as
y 12. FEE ENCLOSED S Ruxm $12 .0 0
a
00 4)13. TYPE O"U1LDING:
bo RESIDENTIAL COMMERCIAL
14. TYPE OF JOB: INDUSTRIALcis3
IRIGINALNSTALLATION ADDITION
REPAIR
OD
APPLICATION FOR HEATING PERMIT (Continued from Reverse Side)
11. LOCATION OF JOB 3 ir X-1 arz-?
0. Z 45 E[I FLOOR APT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. B.T.U. OR SO. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE:
ero
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE AWNICNDOWSDOORS AREA - SQUARE FEET VOLUME
B.T.U. S.T.U. H D
TOTAL TOTAL
DISTRIBUTION INSTALLED
LL
ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED J j 4 REGISTER
L W N AND TEMP. TO F6 TYPE AND SIZE RAD. OR LEADER
SIZE < WALL
f'L<O INFILT.)
OIFF. F O 0 N SO. FT. FREE AREA
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING. OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY:
NAM[ 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.
1J J
DATE SIGNATUR[ OF APPLICANT
DEPARTMENT DECISION
PERNIIT#
I APPLICATION FOR ELECTRICAL PERMIT Y J nDEPARTMENT
is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE
644-2511 ext. 230
Date 1496 w- Application must be printed or typed
Location ofjob
Street No. Street Lot No.
FEE SCHEDULE
6
Floor Apt.No.
o - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER VIIA-4, 0 U L
or any fraction thereof
ADDRESS ( 3 6 L(- 0'
OWNERS PHONE 0 6 0
7
APPLICANT 64Ue-- tiL
NS ADDRESS 67- C>
4(
4x/00 C)
ESTIMATED COST$
IS THIS A CONTRACT COST?
YFP NO
FEE ENCLOSED rz
TYPE OF JOB:OR-Co Original Installation
Alteration/Addition Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
SIDENTIAL BUILDING PERMIT APPLICATION YES / NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCY
INSTITUTIONAL
FACTORY
STORAGE ENGINEER'S NAME PHONE,
GARAGE
MIXED USE ADDRESS
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD Z 4
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES
NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS
SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
Dalz3 S77'
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
PHONE NO. ( `fO DATE &
A INSPECTOR J / DATE TIME /
LOCATION JrH /p
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
y.
ELECTRICAL:
l
PLUMBING:
J
E
OTHER:
d
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