HomeMy WebLinkAbout15 Wood Pond Road3 TO THE BUILDING INSPECTOR
of the APPLICATION FOR
1170NI N OF S0IT 4 W1IIIIIDSQR,CAMC PLAN EXAMINATION A N D
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.O
ZONING / •AT (LOCATION)_ / S r '0 1 '4 DISTRICT
LOCATION NO.) STRE T)
OF BETWEEN ir/f
1
AND
BUILDING CROSP STREET) CROSS STREET)
SUBDIVISION d J LOT BL
LOT
OCK SIZE
NII. TYPE AND COST OF BUILDING — All applicants complete Parts A — D o
A. TYPE IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use IT
1 New building Reside al Nonresidential
2 Addition(1/residential, enter number 12 One family 18 Amusement, recreational
o/new housing units added, if any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13) Y
number of units— — — — -),. 20 Industrial3 Alteration (See 2 above) 14 Transient hotel, motel,21 Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (1/multifamily residential, 22 Service station, repair garage
enter number of units in building in 15 Zlolarungeits 23 Hospital, institutional
Part D, 13)
24 Office bank professional16Carport6 Moving (relocation)
17 Other — Specify 25 Public utility7 Foundation only 26 School, library, other educational
B. OWN E HI P 27 Stores, merconfi le
8 Private(individual, corporation,28 Tanks, towers
nonprofit institution,etc.) 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 1pyedd 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 7
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT ; .30 d
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 0 SEWAGE DISPOSAL J. DIMENSIONS
30 sonry(wall bearing) 40 " Public or private company 48. Number of stories................
31 EWood frame 41 Private (septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .................... /7 h
33 Reinforced concrete H. TYPE 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. PRINCI AL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 s Will there be central air 52. Outdoors........................
36 Oil conditioning?L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Numb r f b dr ms..............
38 C al
39 Oth r— Specify WiII ther b an elevator?
54. Number F Full..........
46 Y s 47 /No bothr ms
rani a I........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Nam Mailing address — Number, street, city, and State ZIP code T I. No.
Owner or
Lessee
2.
Contractor
3.
Architect or
Engineer
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application date
r DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R vi w R uired Check Plan Review Date Plans B Date Plans B NotesqFeeStartedyApprovedy
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit r Approval Check ObDa ned
ate Number By Permit or Approval Check ObtDained
ote 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 13005Permitnumber
Building
Permit issu d Nov. 17 19 82
Bui Iding
P rmit Fee $ 378.00
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Nov. 17 19 82.
Fee Paid 3 8.00 Est, Value $. .6.3,000.00
Permit N° 13005
on the ade of
Lot #9 Wood Pond Road Street
Street No. 15
Owner T.a CaUa C nn G t r>>n t i nn C n
Applicant G. A. LaCava
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 6204
Fee Paid $ 3.n n
CLASSIFICATION
Dwelling
BUHDING PERNffr
N° 130U5
OFFICB OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Nov. 17 19 82
ar#iz is to (frrttlfti, That T n cwrs con s t t' is t i on ro_
is hereby granted permission to Dwe I I i na
at estimated value of $ 00
on the side of T „* #9 Tan 4 -wnd R a Street on land
owned by T a('avA Con4truction Co.
Said Work to be as described in Application
No. and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued 19 82.
wilding 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 costa and damages which it shall sustain, or be compelled to reason therefor"
I
I
I
I
Dwelling - Lot #9 Wood Pond It 11/17/8
LaCava Construction Co.
1.5 Wood Pond Road Permit # 13005
Electrician Garber-Doran i852
Heating Contr. D.Bartone P & H # 5581
Plumbing " D. Bartone P & H # 6087
Oil Burner
Certificate of Occupancy 6204
Plot plan apprd per Engr.
i
Permit No. i TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
f
I
Permit N 6204
Certificate of Occupancy
TH ,, TO CERTIFY the
at No. in the T of South Windsor, Connecticut, has
been erected and completed in accordance wi the B ding Code and Zoning Regulations of
the Town of South Windsor, and is hereby ap rove four occup4ncy.,
Building Inspector
L`d .t - !"=`.fir' "_ - .•
Owner, Builder
Fee Paid . Date 19 cJ3 3
s
t j
i 7852
ELECTRICAL APPLICATION
Application No. 8963
on the side of
Lot #9 Street
Street No. 15 We-,
Owner k CGc vet
Electrician C-a rh e r ora-n
FILED IN OFFICE OF
The Building Inspector
Jan. 1./ 1983
INSPECTION.
93)-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.
po APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK.
No. ......8 9.63....... ......
Permit No. ...L85 2... ..... .
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
T.. hereby make application to, 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.
j - South Windsor, Conn., Z 19 Sign here y
Address Po
Location Side of ..
c'^'C l' GO.f!'.°:.....
Nature of Building !eS c o-,c ... How many stories I... ... .-.. ....................................... .. ................
e k.-- How many familiesNeworoldBuilding
V
Kind of Installation How many Stores ............7.... .......................................................................
Owner G-c. e A&I. ... . c tT...... ... ..... _... .. Address /.P S—..S”.lam.........../Oe.._.9,;._......_.eA e T
Architect . ...... ...... Address
Builder Address sd.''. . ............. . ............................_.........e
Electrician ..............•/... .......... Address . . ..... 5.. '.'.........`............................................._......._....
Size of Main Wires . ... ....... ...
No. of Light Loops No. of Heat Loops .. No. of Power Loops .............. _...._....
No. of Light Outlets . . . .. No. of Heat Outlets No. of Power Outlets ..........4. .. .. ......
NoO of Light Circuits .. S.. . . . No. of Heat Circuits No. of Power Circuits ..
No. of Sockets d.. No. of Heat Receptacles No. of Motors .......
No. of Panels ................ .. .. Size of Heat Circuit No. of Power Receptacles
No. of Switches ............. .... a . Total Wattage ... ....... .. .. ... . `....... ..... Size of Power Circuit
Total Horsepower
No. of Straight Electric Fixtures ..... ...../.. . -............... .... No. of Combination Fixtures ... ..7
No. of Receptacles .......................4 O ........ ....... .... ..... . No. of Cord Drops .... .. ............ .. .................. .......... ........... ..
Remarks: For other kind of Installation ..... .........G'".f(... ......... . ..................... .................. ......................... ........... .... ..........
C. 'c T c......................
I...... .............................................. _...................................................................................................
Estimated Cost .... ......... ..P..r Q...
6087
PLUMBING APPLICATION
App]a No. 6866
on the Yti aide of
cQ d Sa+ect
Street r4o. ._._ 15
Owner ... u Ca4z c ( T
Plumber _V-4--8 CLA t-
Filed in Office of
The Bing Iaipocoor
Feb. 25 83
mgmucnox.
No person shall aoastruct, add m or aloes ay
portion of the draimge syaoean of-my busg
cept to repair lealm) uool a pp is graaoed
by the Building bVecow.
J
Application No. .....6.86.6................... Permit No. ....6.08.7...............
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, 19 Sign here 6-f 3
Address .. . ............. ............................................................................
Location .........CA-r0."0Cff...6"d....Pop... . . side of .............................................................................................. Street
Natureof Building How many stories .. .............................................I.. ..................................
Ir
C_ Owner .................. aw .... . .(,VW.01........Address
Architect ............ ... ........... .... .. ........................... .................... Address ..... ................................................................................. ...................
Builder ... ...................... Address ................. .
6V A,1 CrO 0 23Plumber ...... Address7
DRAINAGE
CESSPOOLS, How many Where located
Are they water tight Of what materials are they built ........ ..............
Size of pipe from house to cesspool Kind of pipe
MAINDRAIN IN CELLAR, Material .. . ... ....... Diameter ..............................................................................................................
Aboveor below cellar bottom . . . ..... ............................ ....I.....................................................................................................
SOIL PIPES, Material 19-8 5............ Diameter
WASTE PIPES, Material .. .... Diameter .....I.......(--z=..............................................
TRAPSyType proposed to use is
RAINWATER LEADERS, where do they run to .. .... . . . ........ ......................................................................................................
REFRIGERATORWASTES, where do they run to
TANKOVERFLOWS, where do they run to
FIXTURES
WATER CLOSETS, How many --_3...... Where located ... . ...................................................................................
Distance from trap to vertical soil pipe ................... .................. Pattern
WASH TRAYS, How many . .. .................... .......... Where located . . . ........... .................... ........................................
SINKS, How many .... ......... .. .................V.......................................... . Where located . ... ..... ...............................................................................
BUTLER'S SINKS, How many ..................................................... Where located . . . ..................................................................................
REFRIGERATOR SINKS, How many . ........................... ..... Where located ..............................................................................................
LAVATORIES,How many . .. ...............-3.................................. Where located ...................................................................................................
BATHTUBS,How many.......................I... Where located .....................................................................................................
URINALS, How many ...... ..... ...... .............................................. Where located ..................................................................................................
Are water closets and urinals to be local vented If not, is there a window in outer wall
ofroom where same are to be located I...................................................................................................
Estimated Cost .---?......0.
PERMIT
Application For 6 6 8 2 5581
Cdo
DEPARTMENT DECISION Heating Permit
3 E APPLICATION IS HEREBY:
DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED ISAPPROVfD
TOWN OF SOUTH WINDSOR
o ` 502/2 /83
GATE INSPECTOR
O APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
en
0 v 1. LOCATION OF JOB
s0 _O
15 r Q Roadf
v NO. STREET
co9
OT NO. FLOOR APT. NOO
O
2. OWNER 1cis
Ie o
O f. ADDRESS3
4.PHONECc
4 b f I(nS. APPLICANT
o m
6. ADDRESS
LaSo , n T o C 740 , PHONE 2
S. LICENSE NO.O 3
C3
p ' 9. EXPIRATION DATE OF LICENSE_ '•" C—c
CO 10. ESTIMATED COST
7
be 11. IS THIS A CONTRACT COSTS NOrw
12. FEE ENCLOSED $ Permit #13005
x
0 13. TYPE OFrn BUILDING:
bo R[fID[MTIALpC COMMERCIAL
ce INDUSTRIAL14. TYPE OF JOB:
INAL ALTERATIONINSTALLATIONADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued it m Reverse Side)
11. LOCATION OF JOB 00 l
NO. STREET FLO R AFT.N .
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
La"l GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE SIZE
13. OF TANK OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NOI A 1 OO B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS LP_WFIRING RATE
FLOORS TO BE HEATED NEW OR OLp BUILDING f'INSULATED - YES OR NO
TYPE OF WALLr-rlg^,A d INSULATION 3 `( L" ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
0
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE C) lad FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE:
m HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA - SQUARE FEET 0.T.U. e.T.U.DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL
ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED J j 4 LL REGISTER
L W N AND TEMP. TO TYPE AND SIZE RAD. OR LEADER
SIZE < WALL
IF (
O INFILT.1 DIFF. F m N SO' FT' FREE AREA
75<
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;
NAME ADDRESS
SUBCONTRACTORS AND
IS. 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.
2- It / P3 - 2aa
D TE SIGNATURE OF APPLICANT
s R CALCULATION SHEET 1503 (Modern Method)
Copyright 1977 by TIN Hydropin Iwtitute
OWNER
PON= ADDRESS,' Z' 9 rye-` r yt. +DESIGN TEMPERATURE DIFFERENfrE F. GATECOL.A COL.S COL.C COL.O COL.E COL.F COL.f31ROOM
O H H H M w Design Wat&TMIaB,2 ROOM DIMENSIONS,FT. O kv3LENGTHEXPOSEDWALLS, FT.
U U /G I*/ / vgx
STUN per Foot ofQ
Zi Radiation Seleetes.,,4 WINDOW AND OUTSIDE DOOR AREA
BTUH STUN Uff TUN BTUMBT5WALLCONSTRUCTIONDO
H
Table 9,Lirte 3 x W D A OM LIM.•T.OF
6 TYPE OF GLASS 0
q
11 0 a TOTALS RAD(IAMN
QIL0
Q r
v 0 dG iRO1N Llf[rt 12 iBLtCTED €B ttom of table used to.Line,b 6o Z I7CEILINGCONSTRUCTION
r Q Q wTable9,L x WI CdlaeFLOORCONSTRUCTION`f g
p 'X
Table 9, L x W or Lin Ft.)
9 COLD PARTITION CONSTRUCTION
OfTabI9, L x H)
10 -0 1 Wall(With Openings) O
O p
J d 8ce2Walls(With Openings) e X
3 Wells(With Openings)Or Ent. Hall
J Z d V
11 TOTAL BTUH AT 70F TEMP. DIFFERENCE'vU ov paD p012TOTALSTUNATDESIGNTEMP. DIFFERENCE K p ddvfl Z u v
COL.A COLS - COL.H ' COL. I COL.J COL.K COL,{
0
1 ROOM T0fI1 TOTAL
f•.. V 3 OF SUIL DIMIG RAOIATION
p H w H W H AT SELECTED1 H M f/ AW Ots10N TEMP.-21 •ROOM'DIMENSIONS, FT. 1,-
DIFFERENCE
3 LENQ'TH EXPOSED WALLS, FT.
4 WiNYOW AND OUTSIDE DOOR AREA ur b r
BTUH
5 WALL CONSTRUCTION 13TUH BTUH BTUH BTUH
Table 9, Line 3 x H) Lr, ti •j i :) c, t INCREASE BATHROOM
6 TYPE OF GLASS
l
TOTAL 20%
18ottom of table used for L:ne 5) 00 1:
2,7 CEILING CONSTRUCTIONtFOR CONCRETE FLOOR ONiTable9, L x W)
C UGROUND OR FILL AT
GRADELEVEL,USE LINEARBFLOORCONSTRUCTIONt(
Table 9, L x W or Lin. Ft.) v n - v L o FEET OF EXPOSED EOQ1
9 COLD PARTITION CONSTRUCTION
j 7
Table 9, L x H)
10 -e 1 Wall lWith Openings)
I
5
c- 2 Wells(With Openings)X
3 Wells(With Openings)or Ent.Hall 10 J '
j o0 ov
H
H1-TOTAL BTUH AT 70F TEMP. DIFFERENCE' O u h
G is D l CJU v vTOTALBTUHATDESIGNTEMP. DIFFERENCE LJ v z D J OCTr,is form is ava:looie rrom rho Hydronics Institute,35 Russo Place, Berk ley Heights,N J. 07922 FOAM k"3
FIMAL INSPECTIO
iBuilding APPLICATION FOR BUILDING PERMIT
HVAC'
n C J 1 /S'Date: f L
15 WOOD POND ROADSprinkler eir 06
Electric Z Estimated Cost $ 1
Zoning zor, Permit Fee$ •oo
Affidavit NO. 20475 Occupancy Fee $
Eng. Dept.COMPLETE RED BOXED AREAS.
Fire Dept.TYPE OR PRINT ONLY Total Fee $ t •Qd
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: Additional Cost) $
TO BUiLDI EPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, reb lies to d rk accordin the followingspecifications:
Job Location Lot No. Side of Street
4-42- _
Applicant Tel.
Addres s • V S D ip Lic.#
r STREET CITY ST
if//
AT, "
ova to
E
Owner r (A)Is -' Address Is'
Architect Address
Size New Area: Ft.Front Overall Ft.Deep Overall Total Area Garages
Size of Lot Dist. from St et Line _
Lavatories
Bathrooms Rooms 1st 2nd 3rd
Purpose of this Permit 4;A
Sit S
City Water Well Septic Sewer
Use Group Construction Type GIS
Approved by Date BD1A 11/88
I hereby agree to conform to all the requirem nts of the Laws of the State of Connecticut and th Ordinanc s of the Town of South Windsor
and to notify the Building Inspector of any alteration in the plans or specifications of!he Building for whi h this mit is as ,an ree
that this building is to be located the proper distance from all street lines,side yard nes d re t nc fro all er zone c#ig
located in a zone in which this building and its use is allowed.
e
Signed
I hereby apply for a Certificate of Occupancy for the work described in this plic iorrfflT'M it.
Signed
DO Nor WRITE BELOW THIS LIN
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit#— 1, .Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
r
93-20475-B 11,880
BO1 FOOTING 04/29/93 JFH A BACK & LEFT SIDE ONLY
B03 FRAMING (ROUGH) 06/08/93 JFH A
E03 ROUGH 06/08/93 JFH A
B04 INSULATION 06/08/93 JFH A
B04 INSULATION 06/08/93 JFH A
B10 FINAL 02/14/95 JFH A
93-12569-E 450
Total Est Value 12, 330
BEING LOT # g ON A MAP ENTITLED : WOOD PONDS SECTION II
SOUTH WINDSOR$CT.
PROPERTY MAPPED FOR
LOCAVA CONSTRUCTION COMPANY
OPEN SPACE
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LUCHS & BECKERMAN
CIVIL ENGINEERS - PLANNERS - LAND SURVEYORS
GLASTONBURY,CONS.
tONINO V'OL.RTi ,
CERTIPIRD SLOWTA"ALLY CORRECT. SCALE- 1"=40 i DATE- 12-28-82
ACCURACY CLASS A-2. E-80-68-9
APR Q 1 1993
South Viindsor
BUILDING DEPARTMENT
To ;W now" Ow. TOY M of ioul f.
MM tllan and specifications are true
oNd building or alterations to be
Won VW 0 Street
toMMf IN% amendments stated in apptieation any
flied Vkh plan and I agree to comply with ail zoning,
Building and s to laws and such otatere as shall b,
isswd by e B Ilding Department d pendent)
of this a4icatioiiand th s an f a b i 1118
permit.l
J Signed
Th pl N roved subject to the cond n that
orders and ordinances regulating building shall be
compiled with.
Conditionally Approved These Mod with
BuHding Inspector Ciark
a
C:W, buliding(s), use(s) and/or structure.
s shown on this plan appear(s) to be In
conforniance with current South Windsc:,;
v egulations. Variances and special exceptlom,
mey apply.
Oate J ref , t I t it 3
9 /VAC '
c
PERrIIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT .
644-2511 Ext . 230
C Z9 J Application must be printed or typed .
to ng Insplector
1 . LOCATION OF JOB
W0041POrldo o, a
FEE SCHEDULE No . Street
0 - $19000 - 10. 00 Floor Apt . No.
Over $1,000 - 10.00
2 . OWNERper $1,000 or D
fraction thereof
3 . ADDRESS
4 . APPLICANT
5 . ADDRESS 69 farm Road 4
6 r
6 . ESTIMATED COST $ -SO. 00
7 . IS THIS A CONTRACT COST
YesVNo
8 . FEE ENCLOSED $ tox
09 . TYPE 0 BUILDING:
ESIDENTIAL COMMERCIAL
10 . TYPE OF JOB:
Original Installation
t/Alteration epair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side )
11 . LOCATION OF JOB 15-WOO 0/)00"?0/ dCl'
NO. STR ET 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 :
1
A 27d`
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
Wejno froM
TOWN OF SOUTH WINDSOR
TOWN HALL
SOUTH WINDSOR. CONN. 06074
F
To Mrs. Frank Dzen DATE 10/06/94
15 Wood Pond Drive
South Windsor, CT 06074
L
SUBJECT: Wood Stove CO
FOLD-
Mrs. Dzen:
I am returning your three dollars ($3) in cash which yousubmittedforacoforyourwoodstove.
The Building Department is not requiring a CO for this
type of permit. Instead,enclosed is a certificate showing
that your stove has been inspected and approved.
Thank you for your cooperation.
BCorinne H. Murray
Rai i 1 r i rrT Tln.- a r-mt n- i
F1NjAL INSP Ruv"0i,Building ` APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC 15 WOOD POND DRIVE
Date:
Sprinkler
Electric Estimated Cost $
Zoning 21861
Permit Fee $
Affidavit NO.Occupancy Fee $
Eng. Dept.COMPLETE RED BOXED AREAS.Fire Dept.TYPE OR PRINT ONLY Total Fee $
Health Dept.
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 inAnc Tel. #
Address I (.i
l)')`)
0 Zip AL)? Lic.#an&746f
STREET CITY STATE
Owner ' r•'1I{ 1 n Address ./ ,-
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Size of Lot Dist. from Street Line LavatoriesBathrooms Rooms 1st 2nd 3rd
Purpose of this Permit (,JUL C_ d&U_e_
City Water 10 Well 11 Septic 0 Sewer 0
Use Group ,.,/ Construction Type
Approved by Date Bo 1 A 11/88
I h reby agree to conform to all th requirements of th Laws of the State of Connecticut and th 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 us is allowed.
Signed 4J
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Cn#tft e
Pursuant to Permit No. 1 51
This Certifies that the Wood/Coal Stove installation for which the above named Permit was
granted has been duly inspected and is hereby approved.
Owner Mrs . Frank Dzen
Street 15 Wood Pond Drive 1
10/06 19 94
wilding Inspector