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HomeMy WebLinkAbout1420 Ellington RoadApplication No. 8113 Permit N . 7813 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. herebymake application for permit to erect -'-- -1•-- a bu' accordingPPPeIm68 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., E {. ..... ......... 19.. ..-e signhere e....... ........ . .... ... Address 437 77........457.7......oef ? '/... 071- Location? `eLL/../i/ Tel ...........00." ..D...............side of? ,-........................................................................... Nearest cross street? I%IQY.woe........... , ....................Street No. ...... ....... . . ....... Lot No. Owner of land is?/,,.-mF....... .r. "/r.v .....Address f.../.. ......... RON.............. Owner of building is? o ,=Ve.......o'r Address Architect is? C/YAVUES.......e-if, c-el.. -Address, ............... .. /U.;. ........ .. 00 Builder is?G' Q,.. 5.......4t.......,Q_ _Za..........Address IS. ...a L=.........!T Dimensions of building?A—epo'.'d........Feet front? . Feet rear. 67.. .6..... Feet dap. ..Z`... . Extreme height to highest point of roof? ....../4* "-...C.3 No. of stories in height?. ... Purpose of building .tee' .. 'S..,r.,?.,/..i,1C...................No. of stores? .... .......... .... ... ................................. ............. ............. How many families? ..........a..W......._....-_............_.......-......-No. of rooms? .... .....7.. ....... ............ ............. ..... ... r i ri Distance from street line is? ... ....%5 3 from building line is? .......c. ... © ..... ... ADDITIONS AND ALTERATIONS Give Brief Description) r ® .•A' D •— ram., 1..:....V:. t..f...z.m.L7L.G... ......p.. ...w... n OF y . .i,y.... ..`..., ....................; .........................p....................6 MapNo. .. ......... ........ 1.00 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 1bs:,per square foot. See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? Composition of mortar? Height and Thickness of Walls Height Stories Front Walls Side Walls Rear Walls Partition Walls Basement, 1st..Story........ . _........._............... i.... ...... .... .......... ..............................ndi_ ................ ... 3rd " 4Yh " 5th " 6th 7th 8th 9th " loth 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 11 GISDE88 COLUMNS Floors Size Longest Span Centres Erk%ft size Longest span Centres Size Length Centres 1st Floor 1.. 'f... '.....o, i..... . A..., "" ... d,g ...!_.. 7 G j i Niz _a — w N L Distance on centres? 94.0.. ...... Size of sill? ........ . ..Size of outside studs. ............. .............. la...... Size of rafters? ...!rZX.6........... Distance on centres?.......r...... Size of plate? ....... ..1...................... Size of ledgers or girts? .............................................................................Size of deck rafters? .. ..1! .. ..................................... ............... Distance on centres? ........................................................................................Size of studs in bearing partitions? .... X..1j'................. MISCELLANEOUS f r Style of rood, flat, pitch,Mansard, or hipped? . .. l '0000 .?......................... Fireplaces?O ........... ....................... Material of roof covering? .5,411 .T.-... ...........Material of Cornice? .....P/y............................................................ How is building heated? .. .014........................................................Lining of flues? ... .... 'L- r Thickness of shell of flues? ....................................................................Any elevators or lift:. .............. . .....Q.......................... ...................... What kind? ............. ... ................ ............ How many? .. .... .. .. ... ... ............... Any hoistways? ..........,I..!;P........................ How protected? ................. ......................................................... .................Total Value of Building .... '.a.D`.V............ When will work be commenced? ./f ..........Dom....../ ,, .... l,,s...... sv. .Z...................... 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 7813 BUILDING APPLICATION Application No. .. 8113............................................. on the ...north ......... side of Ellington Rd. Street. Street No, Lot #2-McGill property Rene Veilleaux 0wnerApplicant Charles E. Doyle . CLASSIFICATION Dwelling 26'X47 ' Permit issued on above Application. Date, 9-7772 19 i A TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Sept. 7 1972 Fee Paid $159.00 Est. Value $. ?5.s 000 20.00 F Permit N O' 7813 on the north side of Ellington Rd.Street i Street No.Lot #2=-+McGill Property Owner Rene V e il la aux Applicant Charles E. Doyle CERTIFICATE OF OCCUPANCY ISSUED: Date No. 4258 Fee Paid 00 CLASSIFICATION Dwelling 26'X47 ' BUILDING PERMIT N1 9813 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Sept•7 a 19 72 94io to to T.erttfy, That C$arlon E. Doyle is hereby granted permission to Dwelling 261 N4?'l . at estimated value of G 000 on the north side of Ellington Rd. Lot #2 McGill Propertsyreet on land owned by Retie Vei lleaux Said W Ork to be as described in Application No. 8113 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. i 1 Iss S• t. 4.072 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." INSPF-CTIO , REPORTrPermitJob C - Footing 22Foundation crm o in 3 Framing /o 4 Wiring L !lJ-l6-TZ- Ai'lr' 72- S/o 5 Plumbing 7Z- yids /hNw i 6 Heating 7 Lathing//-/- 72, 8 C.O. I&_Permit Wo. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N0 4258 Certificate of Occupancy yzD T I T CERTIFY that th , oe"'''r at No. in the T of South Windsor, Connecticut, has been erected anoxompleted in"accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. ui uig Inspector j 0 caner, Builder Fee Paic_ 1` - Date ,.w 19 f Y PROPERTY OF E N E V E I L L E U X ELLINGTON ROAD f SOUTH WINDSOR CONNECTICUT SCALE 111, a 80,AUGUST 1972 B ing the 53,930 sq. ft. lot of a map entitled "Re- subdivision Plot Plan, Property of William E. & Carolyn G. McGill, Ellington Rdl, So. Windsor, Conn. Scale 1" a 40, May 1972, Petersen & Hoffman, Engineers." JV/F NOVIARD A. r 3 p5 7 N VIF s REND' VE1LL EiJX N/F AREA :55,930 Sq. Fr• RtNE VEILLEUX 3 Z X47'so B J-Y oo' ELLINGT0N RDA D Y Building to be constructed - House I hereby certify that this map is oF Building completed as substantially correct and that the t. shown on sketch and survey!zoningordinances of the Town of y!'a° r is hereby re-certified South Windsor, Conn. have not been t ';; as correct and zoning rviolated.emulations not violated. NO. 7030 t LI . LAND SURVEYOR T*• LIC. LAND 6URVEYOR i 5109 ELECTRICAL APPLICATION ApplicationNo. .........5....417.............................................................. West onthe ......................... ....................................... ................... side of E.1.1.i.ngto.n....R.d..*.................... ... Street Street No. ... .....Lot... #?'...Me-Gill........... ....../..... ... ....... ..... ...... Owner . q4arles E ..Do-yleCharles.. . .. ... ........ ........ ... .............. . ............. Electrician ......R. Rre...P cio........... .... FILED IN OFFICE OF The Building Inspector 10.r'—" 15...................... INSPFCTION. vrNo 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. WORII. No ....5417 51PermitNo. ..... ............ . ........... .. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application tq perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. South Windsor, Conn., f r. r .. # 19.... Sign here ..... ...... f ddress ............. .. ...............M.:.h.....MWA................................................ . Side ofLocation /L- .......... ....... ....... .:..:w..... o. Natureof Building y.... ..............::.............. .:....::...........'..................:........... How man stories ................................................................................................. New or old Building L:::"..... How many families ......... Kind of Installation .......... 1'" How many Stores ...................................................................................................... Owner ............4 `:' f 11. Address ....,,, ....,. `'C. ..... ..... ..!.1. 7 Architect Address Builder .......................... .. ......................... .. .... . .......... ............. .. Address ........... .... ... ........."...................... Electrician Address ...... .r................:, x..Ar.......... Size of Main Wires ... .............................. .............. .... No. of Light Loops .......... ..... . ....... No. of Heat Loops ........ .. . ,( No. of Power Loops ......................................... No. of Light Outlets ......./7.. .... No. of Heat Outlets . ..... .... l.. No. of Power Outlets ............... .. ........ . No. of Light Circuits ..........;:V.... . ..... 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 ............. ..... f.. ...... ...... Size of Power Circuit ...... ...... Total Horsepower ...... ....... ........ No. of Straight Electric Fixtures ... .. ........... ...... ........ ...... No. of Combination Fixtures .... .. No. of Cord Drops ....... .......................... ................................No. of Receptacles .....................................'. Remarks: For other kindWfIstallation ...... .................... ........................ .................. ....................................... .... .......... t. c... Estimated Cost ........... PLUMBING APPLICATION Application No. 4024 on the..._.__ west side of Ellington Rd. S-1 - Street Na Owner ... _.... Plumber U Filed in Office of The Bivaog LWu= 10-4-72 19 No person Shall 000stcuoy add m or abw my portion of the dame system of ay 6m-1 kg except to repair 66) until a Pleemit is grsmded by the Building bopemor. Application No. ....4-.023.................... Permit No. ........423.4............ TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR. CONN. hereby make application to perform plumbing according to detailed description below. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether specified herein or not. South Windsor, . . .I c——0. ...... ... ................. ....... 19 .7 Sign here ............. ......................... ...... ......... ...... .... Address .... .. . ... Location . ... side of ....1..t.4-... ................p..... Street Natureof Buil g How many sto 'es .. ............................................ .................................. Owner ...Address.. .....................................................................,....................................... Architect Address ..................................................................................................................... BuilderE Address . ............................. JPlumber Address .I.a.`. ....... .......... +.....L:.... DRAINAGE 1 1 CESSPOOLS, How many Where located ..... .. ....... ............................................. Are they water tight i................................ Of what materials are they built ................ ... Size of pipe from house to cesspool `']'' .. pipe CT..........................................................................Kind of i e .... ..... .. .. MAINDRAIN IN CELLAR, Materi 1 ..'1..l.. .Jr.. . . Diameter .........4.&............................................................................................ Aboveor below cellar bottom . .iR.. .. .......... ..................... .. . . ......................................................................................................................... SOIL PIPES, Material . . .:.S.... . .. ...................... Diameter WASTE PIPES, Material l 5...Diameter ... TRAPS,Type proposed to use is . RAINWATER LEADERS, where do they run to : .... REFRIGERATOR WASTES, where do they run to . ... .... ............................................................................................... . TANKOVERFLOWS, where do they run to FIXTURES WATER CLOSETS, How many . .... ......... ....................... Where located . . ....1..' -...:. Distance from trap to vertical soil pipe ..... . 4....t, Pattern WASH TRAYS, How many . .... ... .. ........ ...................I Where located 0SINKS, How many .. .... .... . ......I..................................................... Where located . i.,"...... .... -...... .......................... BUTLER'S SINKS, How many ........................................................ Where located. . ............. REFRIGERATOR SINKS, How many `— ...... Where located ........................................... .................................................... LAVATORIES, How many . .................c................................... Where located Ate,, VA. ......ham'`................. ............................................. BATH TUBS, How many j. .................................... Where located .......t .. URINALS, How many Where located ....... ......................................................................................... Are water closets and urinals to be local vented OJ 0 If not, is there a window in outer wall of room where same are to be located . ....- Estimated Cost CWxP PERMIT # Application For 3984xDEPARTMENTDECISION4206HeatPermit O 3 E APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS 4 N „APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR o A 11-13 72 00 4) DATE CHIEF INSP APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL RI O en 1. LOCATION of JOB C 0o 4 4-1 9: NO. STREET O c) LOT NO. FLOOR APT. NO. ON O 0 2. OWNER aa O a. ADDRESS S es J1 tao 0 au 4.PHONE w 'C S. APPLICANT X Iv%p ao as o a. ADDRESS ea 45° 5 7.PHONEs~ w 'C B. LICENSE NO. 2)c-,qc `, 7 3 4s w EXPIRATION DATE OF LICENSE 10. ESTIMATES COST S 11. IS THIS A CONTRACT COS"YES No U R 7813 01 I:. FEE ENCLOSED : 14 F I s v 12. TYPSUILDING: b0 RKSIDEMTIAL C MMERCIAL O • 4-1 dcc 14. TYPE P B; INDUSTRIAL RNHNAL ALTERATION INSTALLATION ADDITION REPAIR z yfA APPLICATION FOR HEATING PERMIT (Continued it m Revere Sid 11. LOCATION OF JOB NO. / STR T FL OR AFT.NO. 12. TYPE OF INSTALLATION: E OIL BURNER ELECTRIC Cl VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION .> 4— SIZE I SIZE13. OF TANK OF TANK V, i OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER—FURNACE MAKE AND NO. AT BONNET FURRING RATE BOILER OR FURNACE MAKE AND NO. H B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSSlLWPFIRING RATES FLOORS TO BE HEATED NE R OLD BUILDING V. 1 fNSULATED — YES OR NO J TYPE OF WALL INSULATION V2 C 14S 5 ROOF OR CEILING- L n>°Q I INSULATIONS!G AVG. SYSTEM WATER TEMP. S® B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 0 " An o FAHRENHEIT MAKE OF RADIATkON: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK//"V, A-! 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): w0 M slzE wlNDows AREA - SQUARE FEET e.T.U. e.T.U.D AND DOORRS VOLUME TOTAL TOTAL a DISTRIBUTION INSTALLED ROOM L W N AND W GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED -J j 4 REGISTERRAD. 6 TEMP. TO TYPE AND SIZE OR LEADER SIZE < WALL F ,c Oft 1 INFILT.) DIFF. F Sl m SQ. FT. FREE AREA blA IL O i 1 c g \\ 0 o<:') '!csc' L4c-0 1\ 6 1 1A5 1 > tl, lc c e c - Oo 13 0 4 1 A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING, OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND 1s. 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 BUILDI G DE. APPLICATION TO BE COMPLETELY FILLED IN. N. DATE SIGNATUft OF APPLICANT I TO THE BUHDING INSPECTOR of dw APPLICATION FOR TOWN OF SOU71H WINDSOR,C 3W PLAN EXAMINATION ANO BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, Lit, IV, and IX. 7RK C5— 1 O ZONING AT (LOCATION)I 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 rmn 1 New building Residential Nonresidential 2 Addition(If residential, enter number 12 One family 18 Amusement, recreational of new housing units added, if any, 13 Two or more family — Enter 19 Church, other religiousinPartD, 13) number of units— — — — ••* 20 Industrial3 Alteration (See 2 above) 14 Transient hotel, motel, 4 Repair, replacement or dormitory — Enter number 21 E] Parking garage 5 Wrecking (1/multifamily residential, of units ——————— — •- 22 Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional 6 Moving (relocation) 17 Other — Specify 25 Public utility7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Private (individual, corporation,28 Tanks, towers nonprofit institution, etc.) 29 Other — Specify 9 Public (Federal, State, or f & f I cal government)1' C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of a ting building is being changed, enter proposed use. in the above cost a. Electrical...................... Q,A b. Plumbing ...................... c. Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 Masonry (wall bearing) 40 Public or private company 48• Number of stories................ 31 Wood frame 41 Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions .................... 33 Reinf rced concrete H. TYPE OF WATER SUPPLY 34 Other — Specify 42 Public or private company Total land area, sq.ft. ........... 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ...................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 Gas Will there be central air 52. Outdoors........................ 36 Oil conditioning? L. R•ESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 No 53. Number f bedr ms.............. 38 Coal 39 Other— Specify Will there be on el votor? 54. Number of Full.......... 46 Y s 47 No bothr ms Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and S to ZIP cod T I. No. i Owner or L..tl.f tr Lessee 2. AJ.CAfa. 0 Contractor 3. Architect or Engineer Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. S' ature of applic nt Address Application date to 4/2-.0 A 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 Approval Check Date Obtained Number By Permit or Approval Check o Date ed 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 P rmit number 8205 Building P rmit issu d 8-28-73 19 Building P rmit F $ 5.00 z Approved by: R LE VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use 777 .. 77 s _ ,_•+v. s , - $ J x -, y k x - 6 9 e v a v 9_' p_. ¢o s v .. f tl c •, a . t E r.h, .,, tea; ^_ r d a .. ,. t s. .. 8 .ati.r.<.5 m r..ed' +a` w n ,r_.. _,... •av0+ 17 3-t t-a }d a bi d,•^ -^--t t-&-,t gib-; 4 Y,.°+v4 i4+tp f, r' t 2am&( -++""T" e '¢'. t a s pi.) d.TbE„gg4k 4w--' r t.ai4 5 -,si.$-<'-=L £.T aT.(., .t a§ t-14+ai1 4Pi ,g--;-n b-yb5p.i.-..axt- -2-.. t i} f.a_.} '9,-x4 d`-F•->_ s« y}1-4 fb t4 #t 4 t id TOWN OF SOUTH WINDSOR BUILDING PERMIT 4 Aug.28 LL' Date 19 7 Fee Paid $. r PO Est. Value $. .Fee Schedule Permit NO 0 5 on the side of Ellington Rd.Street Street No. 14 0 Owner Robert Krepn i o Applicant New Eng l and V i d_a s C arm CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION 3 tX41 sign on building BUILDING PERMIT NOW 8205 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. . « 28 19 73 9 is is to Terttf1j, That New 1MA video Corp• is hereby granted permission to 3 1*! sign on ftildift at estimated value of $ Fe 9obodu1 on the side of 0 nllingtm Pd' Street on land owned by Fob*24 MMP8 .© Said wank to be as described in Application No. 8505 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. AU6*29, 1973 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." u TO THE BUILDING INSPECTOR of dw APPLICATION FOR PLAN EXAMINATION ANDTO" OF SOUTH WINDSOR,t ONN. BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.O f ZONING I• AT (LOCATION) /Y010 ELG iN G roN ,`p Q'4 DISTRICT P, R• LOCATION NO.) D STREET) OF BETWEEN )r1c,,yr / d ftfrOell Ns/t dr AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT O—BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D ~7;4A. $74A.4 4c Sorc A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M M 1 ® New building Residential Nonresidential 2 Addition(If residential, enter number 12 One family 18 Amusement, recreational o/new housing units added, i/any, 13 Two or more family — Enter 19 Church, other religiousinPartD, 13) number of units— — — — --)m- 20 Industrial 3 Alteration (See 2 above)14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (1/multi/amity residential,o/units ——————— — i E:] 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 — Speci/y 25 E] Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 57010C4G4117 5_,#C V 27 Stores, mercantile 28 Tanks, towers8 Private(individual, corporation, nonprofit institution, etc.) 29 Other — Speci/y 9 Public (Federal, State, or local government) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement................ S 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...................... IerA` 5rfr60 K 57'zIZ4 CE0 b. Plumbing ...................... O IC G'/y /`l 0 4 E/C T//e F•S c. Heating, air conditioning......... d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 48• Number of stories................ 30 El Masonry (wall bearing) 40 Public or private company 31 Wood frame 41 El Private (septic tank, etc.) Total square feet floor area, all floors, based on exterior 32 Structural steel dimensions ..................... /ym 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34® Other — Specify PA/AJ16D 42 Public or private company Total land area, sq.ft. ........... ` O 43 Private(well, cistern) K. NUMBER OF OFF-STREET 5"AkE _ PARKING SPACES 51. Enclosed ...................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 35 Gas Will there be central air 52. Outdoors....................... 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 No 53. Numb r of bedro ms.............. 38 Coal 39 Other— Specify. Will ther be an elevator? 54. Number of Full.......... 46 0 Yes 47 0 No bathrooms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Nam Mailing address — Number, street, city, and State ZIP cod Tel. No. T'p. I CJM NT Yo2o EGG/GT+ aGo7y'Owner or Lv-/v0 S C G yY-.z3v Lessee 2. Contractor 3. Architect or Engineer The own r of this building and the undersigned agree to conform.to all applicable laws of this jurisdiction. Signatur of applicant Address Application dotyaoAV S . 44-i.%0%a s d P' O 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R vi w Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approva I Check Ob Date ta ned Number By Permit or Approva I Check obDaated 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 II. VALIDATION Building 8220Prmitnumbr Bui Iding 9-12-73Permitissued 19 Building 3.00PrmitF $ Approved by: n t T LE VIII. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use v 4 a' a •, i x_ L yr _ d _ .`- n p ` _° ._ T °P' _ .. t n r ..,_ s A i ...,,. r x k n ` Po 3.. q f,g^" 4-° p& a aa s P 5 _ r,w r i t 4 x+ gyp° , ate r °gym ,To '_pi„qd1' a ,#= a -,}< y: t F4 n,..gfY1eyxY P 6'G m.r^'.-""°.,., 3._ f z,-, : t P -& t- 4 t 6+a P o, t,.w a e ¢E. 8ir? _T-,-+-• t t v r«rf s {.'t } a {.# -.-3-e p .a-__a da-r# }r r S- a +44 a p.s¢ %}-e 2 s q y -t-c p{ 2 'y Yprp-b a.r a-- _ . i,a tp +:a q> f fyy} rP }. a y r t '1` 1¢¢¢¢ _ •>ie41ww Y ttt t ittf Y 1. } .i--} e 1 5 z'§1 x }-1i +_ ) d{ ! Y- t 3i 1 t Y t { - fr} t F4 ± i-+- `7 -z TOWN OF SOUTH WINDSOR BUILDING PERMIT T'S t Date Sept.12,19 73 Fee Paid $. 3'0 0 Est. Value $. .14:9.0 0 Permit NO 8 2 g' on the west side of Ellington Rd.Street Street No. 1420 Owner J•P• Dumont Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Metal storage shed. BUILDING PERMIT N?8220 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Sept'12 a 19 73 94is is to Tartifil, That $.P.Dmant is hereby granted permission to xetal etcrW ahed at estimated value of $ 149 00 d.' on the xe• side of X111n6t o]R Rd' Street on land owned by J'D'IIt Said Work to be as described in Application No. 8520 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. kept. 12 73 Iss uildi nspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compeller: to reason therefor." W PROPERTY OF E N E V E I L L E U X ELLINGTON ROAD SOUTH WINDSOR CONNECTICUT SCALE 1". = 801 AUGUST 1972 Being the 53,930 sq. ft. lot of a map entitled "Re- subdivision Plot Plpn, Property of ,iilliam E. & Carolyn G. McGill, Ellington Rdl, So. Windsor, Conn. Scale 1" = 40' May 1972, Petersen & Hoffman, Engineers." NIF 140WARD A, W iLLA R D 0 NIF R E N E V E:j L L E 1J X j"c-G. ^i c r A PEA =55) 130 -5 Fr. REh/E VEILLELIX 30 E Z X47, 3 Rio 1 0 0 53• s' 0L I75.00` 0 EELLINGTON RDA D Euilding to be constructed - House I hereby certify treat this map is f a Building completed as f substantially correct and that the A,-, < <• ,,-f shown on sketch and su»vcy' zoning ordinances of the Town of is hereby re-certified i e uth j%indsor, Conn. hsve not been ; "," '`! ':1 as correct and zoning j l tJ-d.re•ulations not vi-)15 d. 1 Lid. i,,ND SURVEYOR LIC. LAND SURVLYO t G TO THE BUILDING INSPECTOR of tl6 APPLICATION FOR TOW14 OF SOUM WODSM COliK PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.0 I dI210 ELLIni6 To N /2_0 ZONING AT (LOCATION) DISTRICT LOCATION NO.) STREET) OF BETWEEN e vc e /ecI/ AND O S TGr'/P BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE t/t II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D X A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use Im M 1 New building Residential Nonresidential 2 Addition(If residential, enter number 12 X] One family 18 Amusement, recreational of new housing units added, if any, 13 Two or more family — Enter 19 Church, other religiousinPartD, 13) number of units— — — — i 359 Alteration (See 2 above) 20 Industrial 14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (1/multifamily residential, of units ——————— — -i 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 — SpeciJy 4X UkQ 25 Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 40ecx Ar ArAr OF 27 Stores, mercantile 8 X Private (individual, corporation, 28 Tanks, towers nonprofit institution, etc.) A&Z E L,LI Ne 29 Other — Specify 9 Public (Federal, State, or local government) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food processing plant, machine shop, laundry building at hospital,elementary 10. Cost of improvement,•.,,.,,,•...... z 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 $ / • 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 X Wood frame 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 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 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors....................... 36 Oil c nditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 No 53. Number f bedr ours.............. 38 C al 39 Oth r— Specify Will th re be an elevat r? 54. Number of Full.......... 46 Y s 47 No bathr ms Partsal........ NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants iNam n Mailing addr ss - Number, street, city, and State ZIP code Tel. No. i. Owner or s volt N P.vmo Z p ezzi.0 G T o-r r2.0 . So &Ilovds o4 Cr. Lessee 2. Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Revi w R quired Check Plan Review Date Plans B Date Plans Fee Started y Approved BY Notes BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number By Permit or Approval Check Date Number BObtainedObtained y 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 _ 8783 Building Permit issu d Feb. 27 19 7— Bui Iding Permit Fee $ 3.00 Approved by: 1 TITLE Vill. ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use NO e .. m n.€• ` p°'b g J 9a. da 1 s E a-b g g.&.,_ .,g _ # a TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Feb. 27 19 75• Fee Paid s. 3.00 Est. Value $18 0.00 Permit No 8783 on the side of Ellington Road Street Street No. 1420 Owner Mrs. Julian P. Dumont Applicant -r s. Julian P. Dumont CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Enlarge Deck BUILDING PERMIT N'?8,783 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Feb. 27 1975 94is is to Tertiful That Andre Quell•t is hereby granted permission to Enlarge rear desk, at estimated value of $ 1804,00 on the side of 1420 Ellington Road Street on land owned by Mrs. Julian Dumont Said Work to be as described in Application No. 9083 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Iss Feb. 27 40% 75• 6 ' oPVui1d0f Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compeller to reason therefor." INSPECTION REPORT Permit Jou 1 Footing 2 Foundation lho 3 Framing 3-11- 7y' 7 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. PROPERTY OF E N E V E I L L E U X ELLINGTON ROAD SOUTH WINDSOR COMECTICUT SCALE I". = 80t AUGUST 1972 Being the 53,930 sq. ft. lot of a map entitled "Re- subdivision Plot Plpn, Property of William E. & Carolyn G. McGill, Ellington Rdl, So. Windsor, Conn. Scale 1" = 40t May 1972, Petersen & Hoffman, Engineers. " NIF 14L3WARD A. W ILLA RD 3` c'`o Z N NIF d3 W REIV E V FILL ELX NIF A r?FA =55,130 S Q. FT R,tNE VEILLEUX 04 0• S3 J`8: 75..Do' Q•• ELLIN6T0/V R 0 A 0 Lu *_lding to be con3truc4-- - 'r_ouse I hc:'eb ccr;,i' `hat t':i s rrt«p is c building completed asY substantially correct and thpt the 41 r: shown on sketch and survey,zoning ordinances of the Town o2' ?' '„°} s <<;',? is hereby re-certified South T-'indsor Conn have not been y,, ;i; as correct and zoninn, violeti d. rc-rulations not vi 12tled. J C. 7030 t L L 1r--tND SU7iVEY01i i" u k Y r= LIC. LAND bUaVEJYGH B dng SPECTIONS: i APPLICATION FOR BUILDING PERMIT Plumbing HVAC Date: Sprinkler 1420 ELLINGTON ROAD El ctric Estimated Cost $ /,q ate\ sz Zoning Permit Fee$Q Affidavit NO.19452 Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS.Fire Dept. TYPE OR PRINT ONLY Total Fee $ Z Z Health Debt. Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street Zone _ Applicant % 104-1 lr)dyrno 7" Tel. # wlYfr-.f3 o0 Address ip 04600 7 Y Lic.# STREET CITY STATE Owner 1'i a a vrT&^'7 Address Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line Dist. from Side Street Line Purpose of this Permit /E f4-'RFCG 0egg z 3 /- City ater Well Septic Sewer Approved by Date 'l—T2f BD1A 11/88 I h reby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines and required distances from all other zones and is located in a zone in which this building and its use is allowed. 2 A,S'ignedj,.,&.,, %01 . f I hereby apply for a Certificate of Occupancy for the work described in this application for permit. Signed DO NOT WRITE BELOW THIS LINE— Footing INSPECTION RECORD Framing T I Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: PROPA&RTY OF E N E V E I L L E U X ELLINGTON ROAD SOUTH WINL DSOR , CONNNECTICUT SCALE 1" = 801 AUGUST 1972 Being the 539930 sq. ft. lot of a map entitled "Re- subdivision Plot PlPn, Property of William E. & Carolyn G. McGill, Ellington Rdl, So. 14indsor, Corn. Scale 1" _ 40' M-Ay ,.1j972',, Pe,t ersen & Hoffman, Engineers." F N/F J4 0 W A R D A. RAJ i L L A c 0 c'`o l 3 0. OpCj Yl 1Z' W s N/F P. ENE V r-_lLL EUX REA =55)130 S• rT 1 RENE VEILLEUX t3 c r fl civn) 30 l 50 B 1_. — — 3 0.01 53' 4 ELLIN67-ON R 0 A 0 Building to be constructed - Piouse w I hereby certify '::slat this map is f cQ L'-- Building completed as S 9,-lbstantially eorr.ect and that the ;•'-,'< <• ,,':;;w shown on sketch and sur4e4 zoning ordinnnee s of the Town of ;' ° c is hereby re-c-rtil'ied 1'^ /1 Y Y1 1`.L'' not bz,ri ` y,' , ( tt;t '' -: =: S correct and Z^._n-1- t, U..i Zn_a..'JL , Conn. r ! regulations not viol 5ted. mac. ;3 ;' Li L.uD SURVgYC`3 y LIC. LAND SU VLY. f e S D AUG 7 1991 South Windsor BUILDING DEPARTMENT r)c.:red buildings), use(s) and/or struct,-J _1.eertrfjed that this plan and r!,, shown on this plan appears) to bo of the proposed buridlnP, .r t tr d at i,-mformance with current South Wind 1 3aations. Variances and special excepti,, 0 LN it y apply' o ing Enforcement Officer, rr ,_71h," _ approve-J suL,, fe the -r-i,,-V r',•rg d nrdrnances <e,;ulatink, bLild,nF sh rrp!r_L; tth radrtronally Approved Thrs,! filed r r in.pector 8/71fl rA C r Soa ?1)&U&Ot 4 v 1540 SULLIVAN AVENUE - SOUTH WINDSOR. CONN. 06074 Q.00 AREA CODE 203/644-2511 DATE: 7/15/91 TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT Mr. Julian P. Dumont 1420 Ellington Road South Windsor, Connecticut 0fi074 TO WHOM IT MAY CONCERN: Re: 1420 Ellington Road South Windsor, CT. This office has observed that the construction activity referenced below is in progress at the above noted lodation. Our files indicate that no building and/or zoning permit has been issued to allow the referenced construction. Please terminate all construction activity and contact this office as soon *as possible to make arrangements to obtain the necessary permits . Your cooperation will be appreciated. Ve truly yours, John R. Collins Chief Building Official Construction Activity: Replacement Deck cc: John McCahill, Zoning Enforcement Officer x PROPERTY OF t E N E V E I L L E U x ELLINGTON ROAD SOUTH WINDSOR COMECTICUT SCALE 1". = 80, AUGUST 1972 Being the 53,930 sq. ft. lot of a map entitled "Re- subdivision Plot Plpn, Property of William E. & Carolyn G. McGill, Ellington Rdl, So, Windsor, Conn. Scale 1" = 40' May 1972, Petersen & Hoffman, Engineers.'t N/F hIOWARD A. j / LLP1 JFZ D 0: dpy tz W RE:NE V -jLLFirx N/F f EIVE VEILLEt1X f 0,0 53' 5 2o ELLlNGTON RoA D 1 n P•JMort" to be construct-_d - '=Ousp I he:•zby cer,,ifp .hat t.1 s r„p is f c . Building co:-ipleted a substantially correct and that the .•' -• '_'T"f': zoning ordinanc^n.s of the Tow of R ;'.: shown on sketch and _?eye f is hereby re-c-rtifi .d South 1-9indsor Conn have not been as corrcct and zon;;,Jv-ol.qt"a•regulations not vi-)l2t-d. I , f cat LIa, LttND SUiVEYCR s piV `:•' LIC. Lti2 D .,U:.VEYGR DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# qn:Vf- Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPR:0 >1540 SULLIVAN AVENUE j 644-2511 ext. 230 Date Building Inspector Application must be printed or typed cw? Location of 7 Street No. t Lot No. FEE SCHEDULE Floor Apt. No.o - $1,000 - $10.00 Over $1,000 10.00 per$1,000 OWNERoranyfractionthereof ADDRESS OWNERS PHONE# APPLICANT Wa At ADDRESS Yd:::t ,l t l44( C,/9 ESTIMATED COST $— P.-00 IS THIS A CONTRACT COST? 40 w YES NO FEE ENCLOSED $,2-0 OR COTYPE OF JOB: Original Installation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR RVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAL A/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS. HYDRONIC l/ WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT LOSS(BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) Ga i GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) TYPE OF FUEL OIL-GPM GAS-INPUT ELECTRIC-KW OIL TANK SIZE&LOCATION INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY AIR CONDITIONING DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT GAIN(BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK k// r e THE UNDERSIGNE 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. STATE LICENSE-NO. NAME&TYPE ATURE O APP ICANT PHONE NO. S TE o