HomeMy WebLinkAbout1496 Sullivan AvenueT0 THE B ING IlIISPE C
of>ld6 APPLICATION FOR
PLAN EXAMINATION ANDTOWIIOFSOUTHWI1rDSOR,COMA BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1 1, III, V, and IX.O
ZONING
AT (LOCATION) c DISTRIC
LOCATION NO.) STR ET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
Vf
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D a
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use m
1 New building Residential Nonresidential
2 LK Addition(1/residential, enter number 12 One family 18 0 Amusement, recreational
o/new housing units added, i/any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13)
number o units— — — — -
3 Alteration (See 2 above)
P. 20 Industrial
14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number
22
5 Wrecking (I/multifamily residential,o/ units ——————— — -Service station, repair garage
enter number o/units in building in 15 Garage 23 Hospital, institutional
Part D, 13) 16 Carport 24 Office, bank, professional
6 Moving (relocation)
17 F?I Other — Specify t'T( 25 Public utility
7 Foundation only
F A 26 School, library, other educational
B. OWNERSHIP 7f 27 Stores, mercantile
8 [Z Private(individual, corporation,
s(P O
28 Tanks, towers
n nprofit institution, etc.) f' -- C C4L.LK6C 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................S'a0 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 ....................... % P
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 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 Public or private company Total land area, sq. ft. ...........
43(0 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 EM Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Number f bedr oms..............
38 C al
39 Other— Specify Will there be an I vat r?
54. Number f
Full..........
46 Yes 47 No bathr ms
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing add ss r Number, stree , city, and to t ZIP code Tel. No.
9-1
1caneroro670/e JS v G«J CJC taZ.3.3
essee
Al(lkl le 0 yXI
ontractor
architect or
ngineer
fhe owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
signature of applicant Address Application date
D.
00 NOT WRITE BELOW THIS LINE
f. PLAN REVIEW RECORD — For office use
Plans R view R uired Check Plan Review Date Plans By Date Plans By Notes9FeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
I. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval I Check Date Number B Permit or Approval I Check
Date Number BppObtainedyppObtainedY
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
fll. VALIDATION
Building
P rmit number 9272
Building
Permit issued April 15 19 76
Bui Iding
Permit Fee $ 18•00
Approved by:
TITLE
VIII. ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
IX. SITE OR PLOT PLAN — For Applicant Use
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date An r i 1 15 19 76
Fee Paid $.1.8.00 Est. Value . 2 500.00
Permit `; 9272
on the side of
Sullivan Avenue Street
Street No. 1496
Owner knbert R tag
Applicant Phillip Giglio
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
I ?-, x 161 Adel it ion
BUILDING PERMIT
IC 9272
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. April 15 1976
94is is to Terfifil, That Phillip GiArlio
is hereby granted permission to
12' x 16' Dining Rotes &dditi= OU rear f
dwsllix.
at estimated value of 00
on the side of 1496 Sul l iy Avenues Street on land
owned by Robert Rukus
Said fork to be as described in Application
No. 9572 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Argil 15 19 760
15ui1 g 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."
Apt-xvY05/74e/5
INSPECTION REPORT
Permit # V721 Job
1 Footing 5-5--7b
2 Foundation
3 Framing
4 Wiring _
5 Plumbing
6 Heatingq,A 1,,
7 Lathing
8 C.O. d& J-J-3-T2
6060
ELECTRICAL APPLICATION
Application No. 6369
on the side of
Sullivan Ave, Street
Street No. 1496
Owner Rnhert M. Rukus
Electrician Ro_ho r MT141ln,S
FILED IN OFFICE OF
The Building Inspector
Aii.$Z. 1 Q 19_Z_b_.
INSPECTION.
to No Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
in New Buildings no wiring shall be started
until the plumbing and heating pipes, and the fire
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM.
No. .........6.3.6.9.................
Permit No. .........6 0.................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
Z.... 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., .............. ................... .......... ..... ........... 19.76Sign here
Address SVLI¢ .......v -r.._....
i=9'sr. .................. .Location .......... .......... ........ Side of ..........`.?...,..9AN.........14..u..............................
Natureof Building ............f F'..................... How many stories .................................................................................................
Newor oId Building ................. ........ ............I.... ......... ........ .. How many families ................._................................._.........._............................
Kindof Installation ..................... ...,mc.A.................... ... . How many Stores ........................................._..........._............................................
Owner ........ Address .......!.°!. ... Gl ...P-.* .., .
Architect ............................................. ................ ... ... ...................................... Address .........................................................................._...............
Builder ........................................................................................................................... .. Address .......... .......
t..........................................................................._........_...........
Electrician .......J..O.I."..?e.....Q..G..1.. le.,. ........................ Address .................,•,4.../ ..` ...._....................._.........
Size of Main Wires ... .... Z1. ................_
No. of Light Loops ........................... .............. No. of Heat Loops ........... .... . . ...... . No. of Power Loops ......_..............._..._...._....
No. of Light Outlets ................... ............. No. of Heat Outlets ....... .... .. No. of Power Outlets .....................................
NoO of Light Circuits .........Zi. ........ No. of Heat Circuits .... .. ..... ... . .. ....... No. of Power Circuits ..................................
No. of Sockets ..............%:!r .... ....... No. of Heat Receptacles .... .. ...... No. of Motors ....................................................
No. of Panels ......................................................... Size of Heat Circuit ....... ............ .......... No. of Power Receptacles .......................
No. of Switches .................. ........ ........... Total Wattage ................................................... Size of Power Circuit ................. ............
Total Horsepower ....................................... .
No. of Straight Electric Fixtures .................. .................................. No. of Combination Fixtures ............................................. .............
No. of Receptacles .................................. ...................... .... . ...... No. of Cord Drops .................................................................................. .........
Remarks: For other kind of Installation ...... ................................................. .......................................................................................................................................
Estimated Cost .
PERMIT #
Application For 4758 4557
DEPARTMENT DECISION Heating Permit0
3E APPLICATION IS HEREBY:
DEPARTMENT OF LICENSES AND INSPECTIONS
N IX APPROVED Cl DISAPPROVED
TOWN OF SOUTH WINDSOR
c ` 9 29 7
OA W DATE CHIEF ECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
o w 1. LOCATION OF JOB
t0
CD NO. STREET
ij 0
dcl)
LOT NO. FLOOR APT. NO.
0 O
j lV
f
as o Rv b elE2. OWNER
cd
0 S. ADDRESS /Y-0I6 !`!V 7 t
3
4.PHONE
s. APPLICANT—
cc
4. ADDRESS
7.PHONE S 0
w
S. LICENSE NO.
a
p w s. EXPIRATION DATE OF LICENSE
e
10. ESTIMATED COST s G G ev
11. IS THIS A CONTRACT COST?YES Nobo
8 12. FEE ENCLOSED
v
53 a)is. TYPE OF BUILDING-
hfAbo RESIDENTIAL COMMERCIALO
3 14. TYPE OF JOB:INDUSTRIAL
x" RIGINAL ALTERATIONINSTALLATINCADDITION
REPAIR
Ic
APPLICATION FOR HEATING PERMIT (Continued it m Reverse Sid )
11. LOCATION OF JOB
C.lCot.. Q A:.
NO. STREET FLOOR An.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUSY_&14 #
IDENTIFY
SIZE
4 LOCATION t T SIZE 2- SIZE
VENT, _
13. OF TANK 7 S 6OFTANK34s /ft At J OF FILL
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO.i15`ieN AT BONNET FIRING RATE / ' S
BOILER OR FURNACE MAKE AND NO.-e B.T.U. OR SQ. FT. NET 9 '4fl.T.U. OR SQ. FT. GROSS FIRING RATE
lFLOORSTOBEHEATED NEW OR OLD BUILDING A'fl"' '4" INSULATED — YES OR NO
TYPE OF WALL r u F16,01 e" INSULATION 3 Al '1'02 ROOF OR CEILING i6'"j4!!s S INSULATION i°
AVG. SYSTEM WATER TEMP. ;_d G v
B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 0 FAHRENHEIT
MAKE OF RADIATION.j3ASEBOARD. COPPER CONVECTPRS, R C.I. RADIATION. OUTPUT PER SECTIOI(..QR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. Tda 1520 ,J s2.U4
DESCRIPTION OF WORK rl,'S N ` w e L I de L
1s. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
R M SIZE WIND Ws AREA - SQUARE FEET IS.T.U. 6.T.U.F DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL
NO. < GLASS NET WALL CEILING FLOOR CU.FT. AT 70•R CORRECTED t j LL L.r REGISTER
ROOM W GROSS TEMP. TO F„f Q TYPE AND SIZE OR LEADER
L W N AND K WALL tG INFILT.) OtFF. F ,o dl C' FT' FREE AREA
SIZE i f
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;000, AL
NAME ADDRESS
SUBCONTRACTORS AND
te. 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. <-* 76 3vc
DATE URE OF APPLICANT
July 13, 1990
E R T I F I E D M A I T.
Conn . Dept . of Transportation
P .O. Box A
Wethersfield, Ct 06109
RE: ZBA Application #1577-90 - RSK -Kellco property, east side of
izl9Cp Sullivan Ave. , South Windsor
Dear Sir :
At the meeting of the Zoning Board of Appeals held on July 5, 1990,
a variance was granted to Section 5 . 2 of the Zoning Regulations to
allow reduction of lot area from 20,037 s . f. to 19,340 s . f . on RSK-
Kellco property located on the East side of Sullivan Ave . (RR Zone)
The board noted without this variance the property would be taken by
the State under Conn . General Statute 48-24 .
This action is effective upon your filing of the enclosed form in
the Town Clerk's office at your own expense.
Very truly yours,
Robert Warren
Chairman
Zoning Board of Appeals
RW :dlb
Enclosure
Electric:# 7 46 APPLICATION FOR BUILDING PERMIT
Plumbing# o &,q 1496 Sullivan Ave.
WAC # a Date: G
Sprinkl r#
FINAL APPROVALS Estimated CostO
Building COMPLETE RED BOXED AREAS Permit Fee
Engineering TYPE OR PRINT ONLY Occupancy Fee $Affidavit SIGN ON REVERSE SIDE
Appr.for CO.Total Fee
TO BIALDING DEPARTMENT,TOWN OF SOUTH WtIDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job LocationLot No. Side of Street Zone
G of TelApplicantj6
Address
r
X C 1 Zip 0&e Lic.#
Owner Address eo"
w
Architect te Addresr loiF/
Sq. Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
Rooms Lavatories J Bathrooms Garages
Purpose of this permit:_ •/1l/51T/ / c /4/.E %
City Water Well G Septic System Sewer P- -
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by JK_ Date R I Use Group Construction Type YS
Rev'sed 1/97
I hereby agree to conform to all the requirements ofthe 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 dist ce from aV street lines,side yard lines,and required
distances from all other zones and is located in whic thi3 b ' in n is all
Signe
I hereby apply for a Certificate Occu nc fo he rk a in thi pplication for the permit.
X Signe
O OT W E ELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
28202-B 90,500
E01 SERVICE 11/07/01 CJD A W/CONTRC.
B03 FRAMING (ROUGH) 11/15/01 CJD A FRAMING IN FLOOR(GARAGE FLOOR DRI-LOCK)
H03 ROUGH 11/15/01 CJD D NOT READY
PO4 GAS TEST 12/07/01 CJD A AIR TEST OK
B03 FRAMING (ROUGH) 12/10/01 CJD A LEFT TICKET
E03 ROUGH 12/10/01 CJD A LEFT TICKET
P03 ROUGH 12/10/01 CJD A LEFT TICKET
H03 ROUGH 12/10/01 CJD A LEFT TICKET
B04 INSULATION 12/14/01 CJD A LEFT TICKET
B10 FINAL 01/24/02 JFF D HANDICAP PARKING SIGNAGE CELLAR STAIRS LIGHTI
RAMP RAILING OR GRADING PANEL LABEL GRD
B10 FINAL 01/29/02 JFF D WITH CONTRACTOR RAMP SIGNAGE OUTSIDE LIGHTS
SUMP PUMP
B10 FINAL 02/05/02 JFF A CLOSED OUT.
11222-H 10,137
10879-P 2,500
17486-E 9,000
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
1496 SULLIVAN AVENUE LOT_# Reviewed By ..-l^3 C eering)
JAYLAND CONTRACTORS INC Date Reviewed 2 r. o Z Approve /Denied
374 ABBE ROAD EXT,SOUTH WINDSOR,CT Reviewed By nning)
BP_#_28202_ Ph_#_(860) 644-8535 Date Reviewe vJ- Approve i
Date Submitted 00/00/00 F61Z d f O ** *
As required in the Zoning and/or Subdivison Regulations, no Certificate of
Occupancy shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall include:
Approved Denied N/A
1. Approved building permit plan
2. Finish grading per approved
building permit plan
3. Site work; i.e. trees, shrubs,
dumpsters, required parking
4. Utility location;
a. sanitary sewer/s em
v b. foundation drain
C. electrical & telephone
d. water _ . ?- r;;i v,r! ,e2 "!,i,s ?
e. other
5. Sewer connection charge paid
v, 6. Appropriate certification
V 7. Bonding
44J b 8. Planning & Zoning/
Inland Wetlands Considerations
A. Lighting
B. Signage
Freestanding Wall
C. Fee in lieu of Open Space
Sewer Permit No. /o(q
Pavement Excavation No.
d
y
COMMENTS:
OA r_"L kX w$ -A Q
e of t-f%k wv', f
STATE OF CONNECTICUT MEC%.
DEPARTMENT OF TRANSPORTATION yQ
a
t'""2800 BERLIN TURNPIKE, P.O. BOX 317546 of T*}`
gt
NEWINGTON, CONNECTICUT 06131-7546
Phone:
860) 594-2510
January 18, 2002
Mr. William R. Palmberg,LS
William R. Palmberg& Son, LLC
Land Surveyors
112 Main Street, Suite A
P.O. Box 347
Broad Brook CT 06016
Dear Mr. Palmberg:
As requested, I have reviewed the needs for monumentation pursuant to State Projects 132-102
Const.)/ 132-111/112 (Rights of Way).
The attached copies depict locations where CHD monuments are to be set in the area at or near
the intersection of Routes 194 & 74.
There is not currently a schedule or funding available for this work for me to convey to you at
this time.
If I may be of any further assistance to you,please feel free to contact me at(860) 594-2510.
Very truly yours,
Robert J. Baron Jr.,PLS
Manager of Survey Operations
Bureau of Engineering and Highway Operations
An Equal Opportunity Employer
Printed on Recycled or Recovered Paper
1rP5/2001, 21:10 8606333742 READ HYYPPA $ ASSOC PAGE 02
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South Windsor
BUILDING DEPARTMENT
DERTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR
PERMIT#
plication is hereby: BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
t644-2511 ext. 230c2 S-c2 Qdze—
Building Inspector
Application must be printed or typed
Location of Job:
F--o
EE SCHEDULE lqq(o
1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
ny fraction thereof Tenant Designation Apt.No.
APPLICANT AJ
APPLICANT ADDRESS PO S Gs V
lyl Al2,-h A
APPLICANT PHONE# G J
W N S OWNER 1 w U L l/''/'li L 4
OWNER ADDRESS
OWNER PHONE
C ESTIMATED COST$ J
U
IS THIS A CONTRACT COST? thes No
Q FEE ENCLOSED$ !/ 1 10,
TYPE
7e,e
B:OR.C o
w Installation
Alteration/Addition/Repair Revised 5101
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? YES NO
SIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY 0 4''`yK'! L-
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY 44)
EDUCATIONAL
INSTITUTIONAL ENGINEER'S NAME PHONE
FACTORY
STORAGE ADDRESS
GARAGE
MIXED USE CITY STATE ZIP
TYPE OF INSTALLATION/WIRING METHOD
T
SIZE OF SERVICE )-"0 SIZE OF MAIN CONDUCTORS
NUMBER OF METERS 1 NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS / REMOTE DISCONNECT REQUIRED? YES
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS l
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE 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 CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
103 ` G
CONTRACTOR LICENSE NO. 4' TYPE STATIf
SIGNATURE OF APPLICANT DATE
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
eby:
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENTAt1540SULLIVANAVENUE Bldg.Permit#
644-2511 ext. 230
Date Bu i g Inspector
Application must be printed or typed
Location of Job:
E d?4F$FE SCHEDEULE I.&1 t 0
1,000=$13.00 Street No. Street Lot No.
Over$1,00013.00 per$1,000
orany fraction thereof Tenant Designation Apt.No.
APPLICANT 11 A cL
APPLICANT ADDRESS
Cnl e
APPLICANT PHONE#
OWN S OWNER IA 92.n
OWNER ADDRESS
OWNER PHONE
C ESTIMATED COST$
u
IS THIS A CONTRACT COST. 0 Yes O No
FEE ENCLOSED$
TYPE OF JOB:
sOR CO O ew Installation
Alteration/Addition/Repair Revised 8/99
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH
SIDENTIAL I BUILDING PERMIT APPLICATION? YES O
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY
EDUCATIONAL
INSTITUTIONAL ENGINEER'S NAME PHONE
FACTORY
STORAGE ADDRESS
GARAGE
MIXED USE CITY STATE ZIP
TYPE OF INSTALLATION SIZE OF MAIN DRAIN 3 p,C
Ind
NO.OF TOILETS STYLE NQ.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES
NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE 1 7
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES KIND K' L
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES O
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER C
WATER HEATER: TYPE MANUFACTURER
DESCRIPTION OF WORK
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THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
e-1 UD3LO 2&" — CA7
CONTRACTORS LI ENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
i
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT#
Application is hereby:TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
a
APPR 1540 SULLIVAN AVENUE Bldg.Permit#
1
644-2511 ext. 230
Die Building Inspector
i
Application must be printed or typed
Location of Job:
FEE SCHEDULE
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT tc .e
APPLICANT ADDRESS '7,0 Q o
APPLICANT PHONE#
H s F
ems : may now_
O 4< OWNER ADDRESS 3 71/ oddde
r
OWNER PHONE 101,et/
ESTIMATED COST$
IS THIS A CONTRACT COST? aYes 0 No
FEE ENCLOSED$ /y 3r o'er
TYPE OF JOB:
s R CO 9-3kew Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUILDING:
MUEATING RESIDENTIAL
Aj,4jC IILCOMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC 06-WARM AIR UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
zi 4 G la/00 /} 6;7 5 d'/L mac_=,e-
GROSS HEATING CAPACITY(INPUT-BTUH)/k'V NET RATING(OUTPUT-BTUH) Sn
TYPE OF FUEL
OIL-GPM OIL TANK LOCATION:INSIDE OUTSIDE CAPACITY
QAS-INPUT/dV LPG TANK CAPACITY ELECTRIC-KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF
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
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
3e93 61K
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
APPLICATION FOR PERMANENT SIGN PERMIT
Zoning p roval: 1496 Sullivan Ave Est. Cost: $
No. 28354 Permit Fee. $
Ref. $ •`? Approved:
Final Inspections: Electric #
Building qfSuL
Zoning
Applicant Name faLLAo_— T ys-ri K%_-A LTY 0c,
Address a n,N - 4 0P, ' s Phone sbtn.' 7
Location of Sign SvL L`\'P Zone P t '
Sign Size (square feet) 2 Sign Height of signs on site: Free-standing Wall
TYPE of SIGN: Wall or Free-standing pj ew or Replacement Illuminated?0^yes No
Description of sign materials and lighting: 1 ZPgATTACH
DIAGRAM OF
SIGN
INCLUDING
DIMENSION
S
I have read, under and agree to abide by the South Windsor Zoning Regulations, Signs.
SIGNATU Date