HomeMy WebLinkAbout137 Maskel Roadf;N- +
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a
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of the
TO" OF-,SOUTH WINDSOR,'CONN.
met a for a p nit to {eat i r•a r a
tanWavitui,", ebftieA sta mmt of e ' . s and p herewith suhmitt od. (I3raw a liardwough
i as the' Casey -)
s be iii tIu aiecu-e ,p Simon 2 to 32 in vsive
w*f 'Work whetter speeifiedr herein or not.
South Windsor, Bonn., .......................eft
Sign here F A.,%CVA M HO1Z BU. ERS...I TC._.__....
Address 294.. TooptM....St*, jjgj-r...Britain,._ConYa
Lotion? ..................................Fast.................................._............................aide of? .....ABBY.ROAD....................................................................................
Nearest cross street? ....11iller...Ro.ad...........................................Street No. ........................................._.......... Lot No. ..21........................
Owner of land is?FRQSCaTA._11011E...BUILDE'S.IYIK.Address
Ownerof building is? ....................................................................................Address .... ..................................................................................................................
Architectis? .............................................................._.............................................Address .......................................................................................................................
Builder is? TTMC.01 A...T10T: ... U.ZDERS-,....II`IC. .........-Address .....................................................................................................................
Dimensions of building?2 ..1401.6.!....Feet front? 40.!.&!................. Feet rear?40.1.6,........... Feet deep? ....2-5... ..............
Extreme height to highest point of roof? 16 theight?..................................................................... No. of stories in 1.......
Purposeof building is? ... esidential.........................................No. of stores? ........................................................................................................
Howmany families? ...........1........................................................................No. of rooms? .... ..............5.................................................................................
Distance from street line is? ............. .0.................................................from budding line is? ........................40.......................................................
ADDITIONS AND ALTERATIONS
v0 Give Brief Description)
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? .. ....-- ......... ...... ..............................................................
Roofconstruction 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 Walls
Basement,
1st Story
2nd "
3rd 4"
I..........................................................................................................
4th "
I......................................................................................................................
5th Id
I.....................................I..............................................I..........................................................................................................
6th is
7th 49
I................................................I..............................................I................................I................ ....................................................
8th es
I.............................................. .............................................. .......................................................
9th as
l(Kh 'd I
Materialof Front? ......................... .......................... ................................If stone, what kind? ............ ..... ... ...................... .........................
Thicknessof Ashlar? ........... ....................................................................Thickness of Backing? ..... ................. .................... .......................
Backed up with what? Arches or lintels over openings? I .. . ..... ..
1
WOOD CONSTRUCTION.
Give Size, Longest Span and Distance Between Centres, of Joists,Girders and Columns
JOISTS tII19DBBS COLUMNS
Floors Size Longest Span Centres Bridging Size Longest Span Centres Sim Length Centres
1st Floor
x8rr 12 110a 161 2x8x16 rrxar 7110n 71911 3?t 71 7 9r
a w.....w.w ..w.. ........_ ._.........,..._.
w._._.ww._....... ......w..w....a. .....mww ..M... _._....rw..w
3rd "
4 ....f..... ............. .................................. w_..w..._ww.__ .._..w..........
Size of outside studs? 2 rrx tr.................. Distance on centres? ..........z.................................. Size of sill? .2.1.1.x6.11
Size of rafters? .....2.r.'.x6.`.'................... Distance on centres?.............1611........................... plate? ...2 x6rr.................................Size of
Size of ledgers or girts? .................................................................................Size of deck rafters? ..........2!x8!!.......................................... ................
Distance on centres. ..........12rr 61r 2nx4.0..............................
j.......... Size of studs in bearing partitions? ......................
MISCELLANEOUS
Style of roof, flat, pitch, Mansard, or hipped? ....... PZtc.z Fireplaces?
Material of roof covering? .........Asphalt....................................Material of Cornice? .........Pine
How is building heated? ........v1:l g C1Limnof $ ? ..flues? ............ .... ....................................
r
Thickness of shell of flues? 2 2 Any elevators or lifts? .........................r1o........................... ......................
What kind? Anyn hoistwa ? T.JoHowmany. ............... ... .... .... ......... Y ys .........................................................
Total Value of Building ........y 12,.000.........How protected.? .............. ......................................................... ................
Whenwill work be commenced? .......7.1-?f5U..................................................................................................................................................................
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.
Applicant
BUILDING APPLICATION
Application No. ........?-.05.....................................................
on the ..........La....s....t side of
Abb.Y.... ................................. Street.
Lot .Street No, ........................................................................................
Owner .Fr.asqona Home Builders., Inc ,
Applicant ..Same.. ..............................................................
CLASSIFICATION
Dwel ling..2.5-1..x4.Q--f..6.t'.................. .....................
Permit issued on above Application.
Date, JUlY....14................. .. 19.....5
TOWN %Offv SOUTH WINDSOR
r BUfLDING PERMIT
x
Jul y. 14 58Date19^`
x s to Paid 00F h Est. Value ...1;2.a•000
Perim 1 23757J
on the 'a at, S1dC O
Street
Street No. Lot #21 3 7
rascona Home Builders, Inc.F-•'tea{C 'a€ - .a
s.:
s
I,
t Same
CERTIFICATE OF OCCUPANCY ISSUED:
Date
1 419
Fait Paid$ 3*00
CLASSIFICATION
y?ate,,<
F:`.„' '
r
R
zc-
BUILDING PERMIT
N? 23'75
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn.Jul 19 58
T4,is is to Ticrtifg, That Frascona Honey Builders, Inc
is hereby granted permission to
Dwell Ing 25 z X4,016"
at estimated value of $ — -100 d
on the seat side of Abby Rd*, Lot #21 Street on land
owned by Fre.econa Home Builders. InC.
Said Work to be as described in Application
No. 263 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued 1 141h 19 58
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."
Permit No.: :: TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit N? 1419
Certificate of Occupancy
THIS IS TO CERTIFY that the
at No. in t e Town of South Windsor, Connecticut,
has been erected d 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 19
f
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
TOWN (W
PLAN EXAMINATION ANDSOI) WI1 S BV I LD I N G PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, /it, IV, and IX.O
I• AT (LOCATION) 137 JIM —•'`` L+ RD ZONING
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
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 E] Amusement, recreational
of new housing units added, if any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13)
number o units— — — — --
3 Alteration (See 2 above)
j 200 Industrial
14 Transient hotel, motel, 21 Parking garage4® Repair, replacement or dormitory — Enter number
LJj of units ——————— — --0-
en
Service station, repair garage5Wrecking (1/multifamily residential,
enter number o/units in building in 15 Garage I 23 Hospital, institutional
Part D, 13)
16 Carport
1 24 E] Office, bank, professional
6 Moving (relocation)
17 Other — Specify 25 Public utility
7 Foundati n only 26 School, library, other educational
B. OWNERSHIP LlJi l I Ill U A SfO/A)e7'-- 27 Stores, mercantile
8 DQ Private (individual, corporation, p j
28 Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 Public (Federol, State, or
local government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food
Q processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ Q 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 r$ wc>c>
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 ad frame 41 Private (septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42[D Publicor private company 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 OlI conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 44 Yes 45 No 53. Numb r f b dr oms..............
39 Cal
39 Oth r— Specify Will there be an elevator?
54. Number f
Full..........
46 Yes 47 No bathr me
Partial........
IV. IDENTIFICATION — To b completed by all applicants
Name Mailing addr ss — Number, street, ccztty, and State ZIP code Tel. No...
Owner or
C 4 eL Imo• o W/NJ J
Lessee
2. Cov UW, Cow: io/
Contractor
3.
Architect or
Engineer
The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction.
Si tur of a pl' n Address Application date
c
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans By Date Plans By Notes
9 Fee Started Approved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Date
Permit or Approval Check Obtained Number By Permit or Approval Check Obtained 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
Building
Permit issued
Building
Permit Fee $
Approve by:
TITLE
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Oct. 2 1985
Fee Paid $. 24...0 0 Eat. Value $. .4.,.0 0 0
Permit N° 14719
on the aide of
Ma ske l Road Street
Street No. 137
Owner Forrest Clark
Applicant gan a ld A- Ga ssh i
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Alun inun Siding
I
i
BUIIDING PERMIT
N) 14'719
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor' , Conn.
j South Windsor, Conn. t- 2 1985
I
I
14is is to Tertifg, That County Wide Construction
is hereby granted permission to Tn ata l I A I UM inIn S icl i"g
I
at estimated value of $
on the side of 17MaOW- R0.%A Street on land
I
owned by r.,., Borges* C 1 a r1r
Said Work to be as described in Application
i
I
No. 1.AA S- and to conform to specifications and plans filed with said Application, and Building By
Laws of THE TOWN OF SOUTH WINDSOR.
I
Issued Oct. 2 19 85
Building Inspector.
I
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
I 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
I
I
I
I
I
I
I
I
I
I
7
TOT BUILDING INSPEMR
of the APPLICATION FOR
10" OF SOUTH WICISM CONK.
PLAN EXAMINATION AND
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.
ZONING
AT (LOCATION) 13?5 1 DISTRICT._
LOCATION NO.I STREET)
OF BETWEEN Iif ru0 (
CROSS STREET)
BUILDING CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M
I
ddiition
g Residenfi Nonresidential
2 residential, enter number 12 One family 18 Amusement, recreati nal
of new housing units added, if any,13 Two or more family — Enter 19 Church, other religi us
in Part D. 13)
number of units——— —- 20 Industrial
3 Alte ati n (See 2 above) 140 Transient hotel,motel,
4 Repair, r placement or dormitory — Enter number
22
21 E] Parking garage
5 Wr cking (If multifamily residential, of units ——————— —— Service station, repair gorag
enter number o/units in building in 15 Garage 23 Hospital, instituti nal
Part D, 13) 16 Carport 24 Office, bank, professional
6 M ving (relocation)
17 Other Specify 25 Public utility
7 Foundation only 26 School, library, other ducational
B. OWNER A'f y1A I•sc M 27 Stores, merconfi le
8 Private
2B Tanks, towers
individual, corporation,
nonpr fit institution,etc.)
M 29 Other — Speci/y
9 Public(Federal, State,or
I eel government)Ia D X
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, .9., f d
processing plant, machine shop, laundry building at hospital,elem ntary
10. Cost f improvement................ SAIL Pschool, 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. El ctrical......................
b. Plumbing ......................
e.H ating, air conditioning..........V
d.Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT :DOO
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'.SEWAGEDISPOSAL J. DIMENSIONS
30
W
my(wall beo ing) 40 Public or private company
Number of stories...............
31 frame 41 E] Private(septic tank, etc.)
Total square Feet floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 ublic or private company
Total land area, sq.ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed .......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 FO e Will there be central air 52. Outdoors........................
36 I c nditi ning4 L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 E] Yes 45 E 53. Number of bedrooms.........................
3s Coal
39 Othet— Specify Will there be an levat r4 Full..........
54. Number of
46 Y s 47 N bathrooms
Partial........
IV. IDENTIFICATION — To b completed by all applicants
Name Mailing address — Number, street, city, and State ZIP c d Tel. N
1.
Owner or
Lessee I
2. 6
Contractor 9
G 4P 11 412-
3..
Architect or
Engineer
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Sign r of ap licant Address Applicati n dot
4yyu.411 , S6 P.,A'.1 AJ JF Y q 7V ou
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R vi w Re uired 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 Approva I Check ObtainedD * Number By Permit or Approval Check O
Date
bta ned Numb r By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
0:L BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
P rmit number
Bui Iding
P rmit issu d 19
Bui Iding
Permit Fe $
A oved y:
TLE
f
A
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Sept. 23 19 86
Fee Paid $.1.2 0..0 0 Est. Value $2.Q,.Q 0 0
Permit N° 15450
on the side of
Maskel Road Sweet
Street No. 137
Owner Fore•,;t C lark
Applicant na vi rl A_ Ha r r i -snn
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Addition 24' x 20'
BUILDING PERMIT
M 15450
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. S0nt- 2-1 1986
94is is to Certifg, That J. A. Harrison & Son
is hereby granted permission to Addition 201 Y 2L 1 - bath rmllea_rz Tram
norc+h
at estimated value of
on the side of 117 Markel Road Street on land
owned by Forest Clark
Said Ma tr to be as described in Application
No. 5250 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Rnt- 23 1S8 6
r
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 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."
INSPECTION REPORT
Permit # JobPZ
1 Footing V-i4
2 Foundation
3 Framing
4 Wiring 9q
5 Plumbing
6 Heating
7 Lathing
8 C.O.
7216
PLUMBING APPLICATK)N
Application N . 6 2 2 6
on the ._..._..._.. aide of
1...1 saw
street mo.
Owner
Plumber
Filed in Office of
The
12.416 19.$.6_.
M1N.
No person shall r p mtr, r-, add to at aloes my
portion of the drainage &yaam of nay boo'ldt
ezmpt to repair 66) uo& a Pc it is gcooed
by the Building Inspector.
APPLICATION FOR PLUMBING PERMIT (C ntinued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB L
NO. STREET
i FLOOR APT.NO.
GENERAL PLUMBING
12. KIND OF INSTALLATION NC'w / ddl z O 13. SIZE OF MAIN DRAIN
II
14. NO. OF TOILETS 42% STYLE S-Se-T'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 L. X !K' <z/70W-yz- SI Lt ))
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
a
30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIG NATURE ADDRESS
IV Rr-
LICENSE NO. 40" ESTIMATED COST d U TELEPHONE--*'93
OWNER '7—G(M-S7 (L' 4Llk- ADDRESS I S-7 ALA01- IZ ct Sd (,yI rLAd tL C 7'
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.
2nz
CD962 DATE SIGNATURE OF APPLICANT
9499
ELECTRICAL APPLICATION
Application No. 11010
on the side of
Maskel Road Street
Street No. 137
Owner Forest Clark
Electrician Ed. Bobrowski
FILED IN OFFICE OF
The Building Inspector
Dec . 15 19 86
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 Are
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
Electrical Permit No. ........ -y ...............
Master License No. .r l .......
TOWN OF SOUTH WINDSOR Building Permit No./...... r.A' .........................
BUILDING DEPARTMENT Date Filed ..... ,..../.._z.. ..................
Date Final Approval ............................................_.....
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
JOB LOCATION. .... . V 5........................................ 40B OWNER: ...
Sideof .Between ........... ............ ............................................... and .................................................................................
Nameof Building Owner .. Address ... . .. ....................................... .....................................................
Ifwork is for Lessee—Give name ........... ..... .............. ............. ............... .... . .. Address ..............................................................
Building now occupied as (unless new) . . . ......... ..................No. of family units now ...... ..........................
Building to be occupied as ........ orL...` .. ........ ....................... ............ ......... . ......... Number of family units to be .................
Is this work included in a Building Permit? ... .... .... ...... Permit Fee ...................................................................................................._..................._.....
If no Building Permit) 10
Permittee or-ld,.... cu s.fzr`....Business Address ...lo.s'. Telephone .............................
fin...''...........®fo ..................................................................................
COST OF INSTALLATION:
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 . . . .16P ... 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 ...............
Sizeof service to be ............................................_........................._..___._
PERMIT,
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 'A&59
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
ate ng Inspector Application must be printed or typed
1. LOCATION OF JOB
Z3—2 AAA AEk,b
FEE SCHEDULE No . Street
0 - $19000 - 10.00 Floor Apt . No.
Over $10000 - 10.00
2 . OWNER Qper $1 ,000 or 0 UARK
fraction thereof
3. ADDRESS AS'J(EL A'S,
4. APPLICANT 1
c
5, AD D R E S S L/h
67
6. ESTIMATED COST
s
7 . IS T11IS A CONTRACT COST
Yee No
8. FEE ENCLOSED $ le ,
9. TY PE OF BUILDING:
COMMERCIAL
10. TYPE1- OF JOB:
Original Installation
Alteration/Addition/Repair
Rn 1A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB /, '/ AIUXEL 9D
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 :
t?c z I
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: :!'- -0/o b
a
7
F
II - Ut. 230 t- $10000 - M. O
1 4 of frac
tbersof - $10.00
OWNER TOWN PHONE l6.
17 W L ;.r
HY
4 S PHon NO
TYPE OF SYSTEM: HF,ATIM TYPE OF BUILDING: RESIDES!=
A/C COMKMWM _
VE rILATION _ BUSINESS _
INDUSTRIAL
IF HEATING: STF LOW PRESSURE LIMT_LBS. HIGH PRESSURE LUIIT_LBS.
HYDRONIC, WARM AIR
UNIT RADIANT HEATER (INCLUDING VOOD BURNING STOVE)
TYPE OF FUEL: OIL-GPH GAS IN-PUT ELECTRIC KW
WOOD COAL
OIL TANK - SIZE B LOCATION INSIDELPGTANK - CAPACITY
OUTSIDE CAPACITY g K Ala
EXISTING RADIATION ADDITIONAL RADIATION_ TOTAL RADIATION_
DESIGN TEMP. OUTSIDE OF INSIDE OF DffFEREN ICE_°F
TOTAL RUT LOSS (BTUH) 4
HEAT LOSS SHEET MUST ACCOMPANY APPLICATION
DESCRIBE ALL HEATING EQUIPMENT (INCL.UDING MAKE & MODEL NO.): Q L-AC, "I
C.V's`` a.%- v.l•:/ .
aa:ww,., ;ytxa,'a3 , '?TT;;a;a-;F,t-.a.er:. r 7A"•,rM.,..-- ...- - -"---"""'.r.-s4d-..,.,,,,ems• _ — -- • --._ ."
GROSS HEATING CAPACITY (INPUT-BTUH) jp.007 NET RATING (OUTPUT-BTUH) !3/-0V
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE F
TOTAL HEAT GAIN (BTUH)
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE b MODEL NO.):
TONNAGE COOLING CAPACITY BTUH)
IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT):
TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM)
PLAN MUST ACCOMPANY APPLICATION)
The undersigned hereby applies for a permit to perform the following work and is to comply
with all local ordinances and State of Conn. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK:o iLew-..v t L 000
STATE LICENSE - NAME b TYPE TE SIG TUBE OF APPLICANT
APPROVED DATt
8D 4A 11/88
I - B- R CALCULATION SHEET 1503 (Modern Method)Copyright 1971 by The HydronWs Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.B COL.C COL.O COL.E COL.F COL.G
ROOM
Design Water Temp.
O H L W H L W H L W H L W H L W
2 ROOM DIMENSIONS, FT.U STUH OM/F of of
1
f
3 LENGTH EXPOSED WALLS,FT. 4(
Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA to
BTU" STUH STUH STUH TUH
5 WALL CONSTRUCTION ROOM LIN. FT.OF
Table 9,Lino 3 x H) TOTALS RADIATION
FROM LINE 12 SELECTED
6 TYPE OF GLASS
bottom f table uwd for Line 5)
V7 CEILING CONSTRUCTION C
Table 9,L x W1
g FLOOR CONSTRUCTION(E
Table 9, L x W or Lin. F t)
9 COLD PARTITION CONSTRUCTION F
Table 9, L x HI G
10 _0 1 Wall(With Openlnp)O;H
2 Wells(With Openings) D x 1J
3 Wells(With Openings)or Ent.Hall pe.
11 TOTAL STUH AT 7OF TEMP DIFFERENCE'
K
12 TOTAL STUH AT DESIGN TEMP DIFFERENCE
L
COL.A COL.B COL.H COL.1 COL.J COL. K COL.L TOTAL STUH TOTAL
OF BUILDING RADIATION
ROOM Q AT SELECTED
O H L W H L W H L W H L W H L W DESIGN TEMP.•
DIFFERENCEk23ROOMDIMENSIONS,FT U
LENGTH EXPOSED WALLS, FT.
4 WINDOW AND OUTSIDE DOOR AREA LL
STUH STUH BTU" STUH STUH
5 WALL CONSTRUCTION INCREASE BATHROOM
Table 9,Line 3 x H)
TOTAL 201r.
6 TYPE OF GLASS
18 Itom f table uwd for Line 51 tFOR CONCRETE FLOOR ON
7 CEILING CONSTRUCTION GROUND OR FILL AT
Table 9, L x W) GRADE LEVEL,USE LINEAR
FEET OF EXPOSED EDGE
g FLOOR CONSTRUCTIONt
ITable9.L x W of Lin Ft.)
9 COLD PARTITION CONSTRUCTION
Table 9,L x H)
10 _c 1 Wall(With Openings)
2 Wells(With Openings) p XOJ3Wells(With Openings)or Ent.Hall
11 TOTAL STUH AT 70F TEMP DIFFERENCE'
12 TOTAL STUH AT DESIGN TEMP DIFFERENCE
FORM 1501
This I rm Is available from The Hydr nlcs Institute 35 Russo Place,Berkeley Heights, N J 01922