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HomeMy WebLinkAbout150 Jacques Lanei rat-gal 3 3 TO THE B ING INSPECTOR of the APPLICATION FOR TOWN OF SOUM WINDSM CONK. PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O I• AT (LOCATION) 1-TO _\C raV` ZONING L DISTRICT- LOCATION Q( NO.)` STREET) OF BETWEEN Lleyol7 k` V AND BUILDING CROSS STREET) CROSS STREET) SUBDIVISION LOT L.L_BLOCK SIZE LOT j •4 IR fT-,Q0 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 1 N New building Residential Nonresidential 2 Addition(1J residential, enter number 12 One family 18 Amusement, recreati not of new housing units added, if any, in Part D, 13)13 Two or more family — Enter 19 Church, other religious number of units— — — 20 Industrial3 Alteration (See 2 above) 14 Transient hotel, motel,21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (If 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, professional6 Moving (relocation) 25 Public utility17 Other — SpeciJy Y7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Private(individual, corporation, 28 Tanks, towers n nprofit institution, etc.) 29 Other — SpeciJy 9 Public(Federal, State, or local government) C. COST Omit cents) Nonresidential — Dese6be 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 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 3 d C)o0 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................og 31 aWood frame 41 Private(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions ..................... 1 W 33 R inf re d 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 I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors....................... 96 M Oil conditioning?L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Y s 45 4 No 53. Numb r f b dr oms.............. 38-C al 39 Oth r— Specify Will th re b an levat r? 54. Number of Full.......... 46 Y s 47 No bothr ms Partial....... IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or a 1l Lessee 2. Contractor 3. Architect or 1 Engineer The owner of this building and t-he undersigned agree to conform to all applicable laws of this urisdiction. Sign re of applicant Address Application date LIPQ lv l L ncl 11.:nd 2 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans B Date Plans Plans Review Required Check Fee Started y Approved fly Notes BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER i$ T- VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval I Check Date Number B Permit or Approval I Check Date Number ByppObtainedyppObtained 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 C,Cj P rmit numb r -,. Building Permit issued 3 19 Building Permit Fee od b, 4a3.ov17rovedp TI r TOWN OF SOUTH WINDSOR BUILDING PERNUT Date Mar• 8 19 84. Fee Paid $.4.20,00 Eat. Value $. .70 s 000 Permit NV 13 9 9 on the aide of Lot #18 6 Jacques Lane Street Street No.150 Owner JMJ Construction Co. Applicant JMJ Construction Co. CERTIFICATE OF OCCUPANCY ISSUED: Date No. 6674 Fee Paid $ 3.00 CLASSIFICATION Dwelling BUnDiNG PERMIT N? 13699 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn, South Windsor, Conn. Mar,' B i9 84 94is 'to to (Certify, That AAA is hereby granted permission to Dwelling at estimated value of on the side of Let #18 fi JaGgiit i 1,anj Street on land owned by JMJ Construction Co. Said Work to be as drxcribed 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 Mar• 8 19 840 Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must to guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: When .my person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." Permit No." TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit 6674 Certific to of Occupancy U THISTHISIS TO CE IFY that th at N in the eiumi of South Windsor, Connecticut, has been erected and mp ed in accordance wit the g Code and Zoning Regulations of the Town of South Windsor, and is hereby appr ed f cupan Building Inspector 1 Owner, Builder Fee Paid - Date 19 C? or Reino g. Hyyppa & A ssociatee 189 Civil Engineers Glastonbury, Connecticul X0700,10 JV0 8 e S t86 gyp, co,, Z AREA 4 20,OHO S, F ia2o O 6_ s w N O,ti O r 0 `at X ti oN Lac'fV AS NOYtl 3 3-ti4-84 nb 7.0N.1Cs Ot./tT1ON` J Cn JIMs Lot lines from mp on file in Town Cl Wee Office entitled, NPlot Plan Soofion to Pleasant valley Hawes South Windsor., Conn." Seals 1"n h0 l Date 3- 2 a`8 3 A-20 7-ON E Mhp R . 220-78-1 U Rani, by R e i n o E. Hyyppe i Associates Glastonbury, CT. PP, F PAR E D FOR I twieby Cef tI(y th%t this map and survey were prepared iri PLEASANT vA L L EY uO M E5S000rdancewiththestandardsofaClassA-2 survey as defined Ml the existing Code of P a ti-e for Standards of Accuracy of 50 UT14 WI ND50R, C ON N Nwys and Maps, adopted by the Connecticut Aesocistion of SGA,k_E 1--.ao' SATE 2- zit- 84 4S-I c- 18fo A P P R O V E TOWN OF SOUTH WINDSOR EP F MEIVT DATE: Z>- ` T SIG-- 8288 1 ELECTRICAL APPLICATION Application No.9394 on the sick of T.ot # S6 Jacques Lane Street Street No. 150 Owner JMJ Construction Co. Electrician Richard Barrett FILED IN OFFICE OF The Building Inspector Mar, 13 1984 iINSPEcrION. M No Electrical Work shall be started until a Per. mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit No. ......7.2-77.................................... Master License No. ...... TOWN OF SOUTH WINDSOR Building Permit No. -.AVY.,...................... Date Filed ID 77? ...... ....................... ........... BUILDING DEPARTMENT Date Final Approval ...... ..... ...................... APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOBLOCATION. 14 -4—A, JOB OWNER: . . .. .......... .............a....................... ...................................... Sideof Between . I ........ . and ................................................................................ Address 6-r5r%Name of Building Owner If work is for Lessee—Give name Address ............................ ................ ....... ...... ......................... Building now occupied as (unless new) No. of family units now Building to be occupied as J-A Number of family units to be Is this work included in a Building Permit? Permit Fee . .. .... ... .... . . ........ ...... ............. ................ .. .............. If no Building Permit) Permittee (1-k(A1\4-Ad-Business Address Telephone COSTOF INSTALLATION: aco d (3 t)............................... ...... ............. . ......................................... ............................................................................... TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed . . . .c)() Number of convenience outlets to be installed '5TO' Number of present Appliance Circuits ..... ... .... ............ ...... Number of switches to be installed XO Do these include Range Water Heater Number of appliances to be installed as listed below) Dryer Air Conditioner E] Oil Burner TYPE RATING NO. Dish Washer F] Gas Burner E] Range Well Pump El Elec. Heaters Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater Clothes Washer . . . . Clothes Dryer . . . . . Dish Washer . . . . . . Air Conditioning Motor . Oil Burner Motor . . . . Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan . . . Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . I Number of new Lighting Circuits Number of new Appliance Circuits Number of Heating Circuits . . . . . ............ ............. Number of Motor Circuits Size of present service ........... . ................. ................................ Size of service to be ............. &T-D........ ...................... 6388 PLUMBING APPLICATION App&m6mNo. 7166 on the of lat #186 Jacques lAnp- Street street No. - 15 Q owm .- JMJ Construction Co. phm,ba _.So-, Wind, P & H Fled in Offia of The Bw-l&mg Lrpactoc Mar- 71 ig.84 m mmury no , No person shall am 0 CW altar SW portion of the &aimp system of auy boUng apt to repair 66) ama a A - is in snood by the Bull Impamm APPLICATION FOR PLUMBING PERMIT (Continued from Revers Sid ) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB 4"' G 9 y fin NO. STREET 4 FLOOR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION L L J!'C., Jii 13. SIZE OF MAIN DRAIN T lee 14. NO. OF TOILETS STYLE 4 SAC 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE i ,? 22. AREA OF ROOF r 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND y f ,.e, 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?27. SIZE OF WINDOW 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS f 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?_e f SIGNATURE ADDRESS LICENSE NO. 2e 0tivV ESTIMATED COST L Uy U TELEPHONE OWNER c G/-z ADDRESS8 r WATER HEATER 31. TYPE I! / ,C"./ 32. MANUFACTURER J q/'T/700' TANK SAFETY DEVICES 33. CAPACITY O Ceti 37. TEMPERATURE RELIEF VALVE: D 34. TEST PRESSURE S U S s 38. MANUFACTURER_ LlsZi1-777 s 35. WORKING PRESSURE D/b f 39. PRESSURE RELIEF VALVE 36. TYPE 1 S 1 P 40. MANUFACTURER ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. CD962 ATE SIGNATURE F A ICANT PERMIT Application For 6257 5863 DEPARTMENT DECISIO04N 0 Heating Permit 0 3E APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR Thomas P. D Aur ia84 0o O 2DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O C " 1. LOCATION OF JOB O 150 t st Cd O NO. STREET v0 W w A LOT NO. FLOOR APT. NO. O O lV i4)i 2. OWNER O C a O S. ADDRESS "102 G y 4 j 4.PHONE Ib C S. APPLICANT r U /7 G 0 s. ADDRESS001, U. •2g w 7.PHONE S. LICENSE NO. L7,9 /Qa s. EXPIRATION DATE OF LICENSE 8 e, C to. ESTIMATED COST s C2,r0e).d J 11. IS THIS A CONTRACT COST? YES 13 NObe y 12. FEE ENCLOSED s_ Pem i t #j 1699 a v vvi 13. TYPE OF BUILDING: CRESIDENTIAL COMMERCIAL c3 14. TYPE OF JOB: INDUSTRIAL ORIGINAL ALTERATIOIINSTALLATINADDITION N REPAIR I APPLICATION FOR HEATING PERMIT (Continue f it m Reverse Sid 11. LOCATION OF JOB e Q N0.EET FLOOR APT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTiLATION SPRINKLER C GAS BURNER STACK INCINERATOR MISCELLANEOUS_ IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. 11,61 JAiZV B.T.U. OR SQ. FT. NET a 0 B.T.U. OR SQ. FT GROSS '- FIRING RATE FLOORS TO BE HEATED f2:_A/U NEW OR OLD BUILDING /IlrLu INSULATED - YES OR NO Ye f TYPE OF WALL 6"-d AI'MA)' INSULATION 12,!''-cljf ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP.U" B.T.U.!!/SQ. FT./HR. EMISSION INDOOR-OUT OR TEMPERATURE DIFFERENCE!U vS FAHRENHEIT MAKE OF RADIATION:4ASEBOAR COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTI)N OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE:- on Y ACC l//t/ /7/ 4/C ` J L S/{y m HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE AND DOORS AREA - SQUARE FEET VOLUME B.T.U. B.T.U.WIND DISTRIBUTION INSTALLED TOTAL TOTAL FF 4 ROOM REGISTER L W N N a GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT F CORTEO N CTED t F 4 TYPE AND SIZE RAD. OR LEADER SIZE < WALL 'LSO INFIIT.) IFDIFF. F SQ. FT. FREE AREA TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U.!HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR v 17. ELECTRICAL WORK BY: ;//e y rG yi NAME ADDRI.SS SUBCONTRACTORS AND 18. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. Oh'?—Ig el L DATE SIG ATIJ I A LICANT C DE I ER 3 t oi D SO r"' KIND OF BUILDING CHIMNEY SIZE CONSTRUCTION: WALL 7 f -I to WINDOWS ry"O 05 Ac ROOF OR CEILING BASEMENT HEIGHT: ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF COL.1 2 3 1 4 S d 7 S S 10 11 12 13 14 13 10 17 I A WINDOWS AREA-SQ. FT. - LpOR VOLUME TOTAL EAAf RDi ROOM SIZE AND DOOR• TOTAL ACCE""IsletsNOTE AT"r coRRtcTto WATER L[NaTN ROOM NYMD[R GROfi GLASS NKT WALL CtILINO O f-TEMP. To T1 MF CLOSURE FIN L W H one AREA WALL VIA? DIM TUBE L R S LC mlw_ ilst 0 , o Ttwp.olrr. o 600 3?Da a o s a u a 3 3 0 a g1536003Qo330l3Do 39 oD ]coo . 0 9 900 )12 00 a plot 000 00 3 00 3 ?G',, p z 1 8 2100 /oo r- ley 0 oo boo 0 3800 113,I0 tb 13 Goo m o 0 000 I 7010 300 400 1 Do O r a ,• Al I n a o0 700 000 ,34 0 IV, JI- 9 oa 0101 0 ci Yt'1,0 0Ooo0 / vo JS a LM I BMW: MW COMCOM.Loon Goo~OR.ALL AT Owwot Lt1IEL.UM UM"III O.tM0. ..i. TMI" MW ALL OTHER F16"M UM"UAW M"Or ARlA. v V 1 TO ell- THE BUIL ING INSPECTOR of the APPLICATION FOR CW PLAN EXAMINATION ANDSOUTHWI1rDS0[t, C BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. ZONING Zo AT (LOCATION) I LEE L L 4,v 4 DISTRICT LOCATION NO.) STREET) OF BETWEEN L n r7rT AND BUILDING CROSS STREET) CROSS STREET) 2 _ v LOT S SUBDIVISION <<` ' L C-_LOT BLOCK SIZE J H II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking"' most recent use 1ciKN w building Residential Nonresidential 2 Addition(1/residential, enter number 12 ne family 18 Amusement, recreational of new housing units added, i/any, 13 17'Two or more family — Enter 19 Church, other religi usinPartD, 13) number of units— — — — -- 20 Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel,21 Parking garage4 Repair, r placement or dormitory — Enter number 5 Wrecking (1f multifamily residential, of units ——————— — i Service station, repair garag enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional 6 Moving (relocation) r 170 Other — Speci/y G 5..0 Public utility 7 Foundation only 26 School, library, other*ducati nal B. OWNERSHIP e9 x 0707 27 Stores, m*rcanfile 8 iE Private (individual, corporation, 28 Tanks, towers nonprofit institution, etc.) 29 Other — Specify 9 Public (F deral, State, or I Cal gov rnment) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., f ad processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement................ S2 Va,,school, secondary school, college, parochial school, parking garag 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....................... cu b. Plumbing ...................... c. Heating, air conditioning......... d. Other(elevator, etc.)............ n 11. TOTAL COST OF IMPROVEMENT S yvu 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 W ad from* - i nc' c'?cam 41 E] 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 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 c nditi ning? L. RESIDENTIAL BUILDINGS ONLY 37 El ctricity 44 Yes 45 No 53. Number of b dro ms.............. 38 Cal 39 Oth r— Specify Will th r* b an levator? 54. Number f Full.......... 46 Yes 47 No bathrooms Partial........ IV. IDENTIFICATION — To b compl t d by all applicants Nam Moiling addr ss — Number, street, czty, and State ZIP code T I. No. 1. r Owner or c/ Z .- ./L/lI/ 7 ci -C Lessee 2. Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jirisdiction. Signature of applicant Address Application dot 7 7 00 NOT WRITE BELOW THIS LINE V. LAN REVIEW RECORD — For office use Plans Revi w Required Check Plan Review Date Plans B Date Plans B NotesqFeeStartedyApprovedy BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approva I Check Obttaained Number By Permit or Approval Check Obttaeitned 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 3 s Permit numb r , Building Permit issued 19 Yj Building Permit Fee $ proved y• G r \ TIT_ TOWN OF SOUTH WINDSOR BUILDING PERMIT Date May 9 19 85 Fee Paid $. . .1.8.. 00 Eat. Value s. .2 ,4 0 0 Permit NY 14381 on the aide of Jacques Lane Street Street No. 150 Owner Steven Schoen Applicant S. R. Schoen CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Extend Deck BURDiNG PERNIIT N 14381 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. M.IV 9 19 85 94ig W tit Oftr#ify, .That Steven Schofan is hereby granted permission to Extend existing deck to 16' x 22' at estimated value of on the side of--15 n JarQue n Lane Sate on land owned by Steven Schoen Said Work to be as described in Application No. 14681 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. d May 9 19 8 5 Isilding Inspector. Streets and sidewalks, obstructed by excavations or building materials, must 6! 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." I9 INSPECTION REPORT Permit # / Job 1 Footing 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. 8719 ELECTRICAL APPLICATION Application No. 10133 on the side of Jacques Lane Street Street No. 150 Owner Steven Schoen Electrician Homeowner FILED IN OFFICE OF The Building Inspector May 9 19 85 INSPECTION. rs No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. in New Buildings no wiring shall be started until the plumbing and heating pipes, and the Are stops (if of wood) are installed, without a special permit from the offlce of the Building Inspector. Electrical Permit No. .,/--............. Master License N .. TOWN OF SOUTH WINDSOR Building Permit No. /....`3,1........... ........................ BUILDING DEPARTMENT Date Filed ..K ZP. ._............................................... Date Final Approval ............................................_..... APPLICATION FOR ELECTRICAL WORK Electrical Inspector jOBLOCATION. e s.: ........ JOB OWNER. ...-5-? <:: ........,.:.....................tiJ ...::.4.::.N........ Side of .. .. .1 .. ..-..:... ....... Between .....C. •t :. :r. ... and .-.,e .. Name of Building Owner ."..v= ...... .. .... ,..1 dress f Y.......... Ifwork is for Lessee—+Give name .......... .. .......... .............. .................. ...... Address ................ ................................................................................ Building now occupied as (unless new) No. of family units now ........0...................... Building to be occupied as ........... ... ..... .... Number of family units to be ........./..................... Is this work included in a Building Permit? Permit Fee ............... . If no Building Permit) Permittee Business Address Telephone COST OF INSTALLATION:/... .... TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed r.......... Number of convenience outlets to be installed -0 . . Number of present Appliance Circuits .........9................................ Number of switches to be installed . . . Do these include Range Water HeaterNumberofappliancestobeinstalled . . . .... ............ .. as listed below) Dryer tp Air Conditioner Oil Burner TYPE RATING NO. Dish Washer JZ Gas Burner Range Well Pump Elec. Heaters Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater Clothes Washer . . . . Clothes Dryer . . . . . Dish Washer . . . . . . Air Conditioning Motor . Oil Burner Motor . . . . Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan , , , Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . Number of new Lighting Circuits . . . . ................_...._..... Number of new Appliance Circuits . . . ..........._...._...._..... Number of Heating Circuits Number of Motor Circuits . . . . . . . ..—/ -- Size of present service ................ ... ......_............................_............ Size of service to b-e ........................................._..._...........__.... r TO THE BUHMING INSPECWR Of the APPLICATION FOR TOWN OF$4UM WI1IPSM COM PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, /it, IV, and IX.O Q ZONINGI• AT (LOCATION) I MMUE s 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 t v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use T 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 in Part D, 13)Two or more family — Enter 19 Church, other religi us number of units— — — — -•.1p. 20 Industrial3 Alteration (See 2 above) 14 Transient hotel, mote ,T i h l l 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (If multifamily residential, of units ——————— —-i 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, professional6 Moving (relocation) 17 ther — peci/y 25 Public utility7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Private (individual, corporation, I 28 Tanks, towers nonprofit institution, etc.) 29 Other — Specify 9 Public(Federal, State, or eoA, 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,,,,,,,,,,,,,,,, Ischool, 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 3 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 E] Publicor 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 conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 No 53. Numb r of b dro ms.............. 38 C al 39 Oth r— Specify Will there b an I vat r? Full.......... 54. Number f 46 Y s 47 No bathr ms Partial........ IV. IDENTIFICATION — To b complet d by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. S3Owneror ALesseeV 3 2. n Contrac+or 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. nature of applicant Address Application date w 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Date Plans BY y Date Plans B Notes9FeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval I Check Date Number B Permit or Approval I Check Date Number BpPObtainedyppObtained 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 s fPermitnumberJ Building Permit issued 19 Building Permit Fee $ a7 Approve by: TITI E TOWN OF SOUTH WINDSOR BUILDING PERMIT Date may 9 19 86 Fee Paid $.12 . 0 0 Eat. Value $. .2,,0,0 0 Permit N° 15051 on the aide of Jacques Lane Street Street No. 190 Owner RTR17R RCHORN Applicant Dona gr b ae n CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Stockade Fence BUILDING PERMIT M 15051 OFFICE OF THE BUILDING INSPECTOR of &e Town of South Windsor, Conn. South Windsor, Conn.may 9 1986 94is is to Certifu, That Atlantic Fence Ca. is hereby granted permission to Sa Q ai 11 18 011 linear stockade—Lance r-' high at estimated value of $ 2o on on the side of 1511 L7aagn®a Lansk Street on land owned by stain SC_13 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 may 9 1986 111IL—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." Reino E. Hyyppa & Associates Ji C1v1I Engineers Glastonbury, Connecticut v, 00 iR 00 f S J r I 1 • G. 0 0 O. / ,• 0 Ib 1 0 4P j,ate 4. a 40 r:iasCyC k't Ci A`•J+ic WN -4-84 M i r Zrita Cy \jux..gTlawj pu Ie,)TP.t Lot linsts from map on file in Own dark's Office entitled, "Plort. Plan tia 3 Pleasant Valley Homes cutih Windsor, Conn.n Seal la•• 141 Date -2 "•3 A-2O ?ONE YAP NO 220-78-i U Rely, - by R e i no E9. YiPP& & As soc is tes G1 as ton hury, CT. PPEPARED FOQ •" r 1.•rct, j;,.,tily tt> ;l ttuy'riidp and survey were prepared iii PLEASANT" VALLEY uO M ES ttr,rt.,r c a with thir, stardards of a Class a•2 survey as defined 01t:Eing Code o f prtj ti q for Standards of Accuracy of SO UT1 WENDSOR, C C)w N• Icxt Maps, adopted by the Connecticut Association of J Sr-ALE- 1 s 4•C! D ATE 2.- Z$- S eV 111C r Pi TO S ` t is 1 J 11d`rF c his e t,1 cnC PfCA t s erected a 1 D, ncY logethe l n tiled With V' ,t L, 8vilding the o till pfth Sbappl'c2t, that v%e Stgped la ` g 'C Sn this p and Tot, Ofdefs tyl Co ndil analY APvf L V ad i tK Co tot outlding lnspec No gait* Oj TO RT AD INSPECTOR of tilt APPLICATION FOR PLAN EXAMINATION ANDIMNCWLBUILDINGPERMIT I&OORTANT— Applicent fe amplete all items in sections: 1, it, Ill, 1V, and!x. c ZONING I• AT (LOCATION) OIsTNWT LOCATION too.) m «T) OF WTWCU AMC BUILDING Iateoe fTxttT) Mnets siI rQ69T) LOT is lli 1Vt910N LOT f1LOCK 41Zi V' 11. TYPE AND COST Of BUILDING - All applicants complete Ports A - D X rr A. TYPE OF IMPROVEMENT 0. PROPOSED USE - For"wrecdw Nett mean use r 1 Now kiwi lding R ids>sNal Nawrasidowtial 2 Addition(if residetniml. ante rawtber 1 0"family to Amusoms q, roerew WWI f NOW bossing units aaided. if any.13 Two or more family — Eater 19 Church, that religiousinPartD. 1 3) wsawbe of Knits—— — 20 Industris 3 Aheretian (See 2 above) 14 Tronsiew hotel.~al. 21 Parking am*4 Repair, repleeomeet or dormitory — Enter Number 22 Servias ststien, revolt geNN S 1M sskiog(l/stshlti/wily residential. of writs i 1 enter nssaber of units in building in IS Garegs 23 Mespital,l institutional Pot D. I 3) 1 f Carport U T ILL II T 24 Office. nk, prafessi enel e Moving (relocation) U SI Z- 2s Public utility I17Other — Specify 7 Foundarlon only 2s School, Iibrsry, other odueetionei. d. O'W"IRSHIP 27 Stores. morsahtiIs 0 Private(individual, O:erporeNee. Zs Tanks, towers nonprefit instifufiae,eta.) 29 Other — Prczty 9 Public(federal, Stars,of local gswroawn!) C. COST Onnt cents) Nenresideetisl — Describe in deteil proposed use of ildings. e.g.. feed processing plant, machine shop. laundry building at he "al. elomentary 10. Cast f improvoment............... boo school. secondary school, coil*ge, paroehial-school, p king gorege for doportmnht stet*, rental office Wilding, office building at industrial plant. T be installed but not included If use of existing building is being changed. enter pro sed use. in the abate cost a. Elesrri cel...................... b. Plumbing...................... e:.Mae""&eft asl 0" 00eg......... d.Other(oleveror,ors.)............. O 11. TOTAL T OF IMPROVEMENT III. SELECTED CHARACTERISTICS Of BUILDING - For new buildings and additions, complete Parts E - L; for wrecking, camp to only Port J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEVAGE DISPOSAL J. DIMENSIONS 30 l J Mosenry'(well bowing) 40SPublic er privNe company 46• Number of stories................ 31 Weed frame 41 Private(septic rank,etc.) 49• Total square feet of floor ores. all floors, based an exterior 32 Structural steel diehansions .................... 33 Rolefweed concrete H. TYPE OF WATER SUPPLY 34 Other - specify 42 Publie or private company 50. Total Iced area. sq.h. ........... 43 Private(Weil, cistern) K. NUMOER OF OFF-STREET PARKING SPACES 31. Enclosed ...................... F. PRINCIPAL. TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 35 Oce will that*be central air 52. Outdoors........................ W Oil cmulitionin!; L. RESIDENTIAL SU1LDINGS ONLY 370 Eiosweity 44 yes 43 me 53. Number of bedreems.............. n teal 39 011ie— Specify Will there bean lovatar? 4. Number of Full.......... Yes sYbo*aeN Partial........ i I 1 i IV. IDENTIFICATION — To be completed by all applicants caber. d T I. No. MGM*Meiling address — Number. street. city. and State I a&q L914 owner or Less * 2.nit C oo trecoer 3. Architect or Engineer Th owner of this building and tha undersigned agree to conform to all applicable laws of this jurisdiction. Application date Address Signature of applicant' 150 M(VAC` `,-C_s..J Ln a 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Date Plans Plan Review Dot* Plans By Approved By Notes Plans Review Required Check pee Started BUILDING PLUMBING S MECHANICAL ELECTRICAL OTHER is V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Chick DOfe t umber 3v Check Date Number By Permit or Approval Obtained Permit or Approval Obtained PLUMBING BOILER ROOFING CURB OR SIDEWALK CUT SEWER ELEVATOR SIGN OR BILLBOARD ELECTRICAL STREET GRADES FURNACE USE OF PUBLIC AREAS GRADING WRECKING OIL BURNER OTHER OTHER VII. VALIDATION Building 3PrmitnumberE Bus Iding 19 P rmit issued Bus Iding Permit Fe S A 'rove y: l w t T TOWN OF SOUTH WINDSOR BUILDING PERMIT Date 10/07 1987 Fee Paid $4.00 Est. Value QQ.a©0 Permit N° 16308 on the side of Jac=** Lase Street Street No.ISO Owner 8t a Sehe n Applicant CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Sbod BUnDLNG PERMIT N° 16308 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 1 0/7 19 87 ig#tz is to Certify, That Steve Schoen is herebyanted ion to Build a shedgrantedpennies' at estimated value of $';Q Q -0 0 on the side of 150 Jacques Lane Stet on land owned by Same as abo w Said Work to be as described in Application No. 16 6 0 6 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Iss 1987 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 p1m 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." Reino E, Hyyppa & Associates Clv!! Engineers Glastonbury, Connecticut A 60 i' Q.. 000 Via; , •, mil ' O loll Z2• ti Y O o wo all rUv'i IEL T t..s ,.oc'C+L Ate..?t,.l -4-$4 t \ / NOTirs Lot lima from trap on file in Tam C'1 rk l• Office anti tled p "Plot Plan See Uen 1'; Pleasant Valley Homes ftyuutth Windsor,, Cann." A-20 'BONEcal1"m 141 Date 3-2 -3 r=P N 220-78-1U Rev* by Reino E. Piym t Associates G1 as tonhury. CT. FORPREPARED I ••fir U:14tily thit ties'riiap ar t1 survey were prepared iri P 45AN-r VALLEY udMES cE'x t.9n-e with Rw stirdards of a Class A-2 survey as defined P a n• O,fhng Code o f.Prtj-7ti for Standards of Accuracy of 50 U'T1- - WtNOSORI C OW N• wo"P 49id Maps• adopted by the Connecticut Association of cCALE Igoe A - DATE Z- Z$- g4 Ojp ry,Of110 N Lot? i0 THE BU LDWt r r a,. This certifrrf t' t i I n r. tr copies of the pr,p.s-d U,r] to e afected at fIA r - y`Y_ trek 1 together .r IF, flied with t nr. Build I-,P, j h, issued w • if this app'U.t, i irnr; Omit SlignedThis plan vA v that oorders dr-d r,r _ be Compli(A i mdltron,iiy BWtding Inspector Cierk PERMIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 13 54ZZ, Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 644-2511 Ext . 230 at ui Inspector Application must be printed or typed 1 . LOCATION OF JOB FEE SCHEDULE No . Street 0 - $19000 - 10.00 Floor Apt . No. Over $1 ,000 - 10.00 per $1 ,000 or 2 . OWNER fraction thereof 3. ADDRESS 4. APPLICANT 5. ADD R ES S e C 6. ESTIMATED COST 7 . IS THIS A CONTRACT COST es N 8. FEE ENCLOSED $ C0 9. TYPE OF BUILDING: 2 4SIDENTIAL COMMERCIAL 10. TYPE OF JOB: Original Installation Alteration/Addition/Repair RD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB ! !k NO. STREET APT. NO , 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER 14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS 16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS 18 . NO . OF HEAT CIRCUITS 19. NO. OF POWER OUTLETS 20 . NO . OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22 . NO. OF POWER CIRCUITS 23 . NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS_ 26 . NO . OF PANELS 27 . TOTAL WATTAGE 28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCiES_ 30. A/C LOAD 31. SIZE OF POWEI FEEDERS 32. NO . OF FIXTURES 33 . TOTAL HORSEP,)WER` 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER: INSPECTOR 4E /Zl7 TIME - LOCATION ISO INSPECTION: CODE: RESULT(D/A) : BUILDING* Y ELECTRICAL: PLUMBING: HVAC: OTHER: x i 'Ih"iNn'^ Ih111d(oil+XXlf,IillnilY fliNiiiFlV.s..•a r,.__. _..a,.."E,-.,;s. -'.lia,-4.--. :il-.+s Ai/iIYiWR(III IIIi1d M11'f;'-, Elegy#as APPLICATION FOR BUILDING PERMIT Plumbing#150 Jacques Lane 27096 Dat Z. SpinIcIF M EstimatedEstimated Cost $ BuI&V COMPLETE RED BOXED AREAS Permit Fee i -3:2 TYPE OR PRINT ONLY Occupancy Fee $ 6 Affidavit SIGN ON REVERSE SIDE Appr.for CO. I i Total Fee TO BULDNG DEPARTMENT,TOWN OF SOUTH WI)SOR,CT additional Cost) $ The undersigned hereby applies to do work according to the following specifications: r Job Location /".P d zic*y A1% 4,J vr Lot No. / y Side of Street 4,oW— Zone Applicant TeL# Z 8 Z— F4f-// Addr ss /,v .¢c v -.r A/'y"i Zip o o Lic.# Owner cs''c=y =. i2 . J.sd,-46/Address C Architect Address Sq.Ft.New Area: 1st Fl, 2nd FI. 3rd Fl. Total New Area ..-F?-io Rooms Lavatories — Bathrooms Garages Purpos of this permit: J c,?.-,=1,. dot—.,ez City Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by 3kA,_Date 00 Use Group Construction Type RovkW 1197 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the On finances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of tl ie Building for which thi 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 which this building and its u is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application k r the permit. Signed 1 DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27096-B 2,900 B03 FRAMING (ROUGH) 07/18/00 JFF A WITH OWNER PO4 GAS TEST 09/28/00 JFF A WITH OWNER LEFT APPROVAL STICKER E03 ROUGH 10/13/00 RAN A ROUGH WIRING OK B10 FINAL 02/21/01 JFF D NO ACCESS LEFT DOOR TAG B10 FINAL 02/23/01 JFF A WITH OWNER B10 FINAL 02/23/01 JFF A CLOSED OUT. 17002-E 500 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby:TOWN OF SOUTH WINDSOR PERMITIT BUILDIA.TG DEPARTMENT APPRO ED 1540 SULLIVAN AVENUE Bldg.Permit# 6 644-•2511 ext. 230 c-2 Q q D to Building Inspector Application must be printed or typed FEE SCHEDULE Location ofJob: 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT rrAPPLICANTADDRES$J 0 uric C lam u) cy-- dso-L, c ) r)(QD-) Z,l APPLICANT PHONE# c CD--'-j '-) L W N S OWNER Scan O OWNER ADDRESS L S C) c OWNER PHONE L ESTIMATED COST$ '45-0 0 IS THIS A CONTRACT COST? 0 Yes 13 No FEE ENCLOSED$ OR,Cps TYPE OF JOB:S E3 Original Installation KAlteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued flom reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YE;' NO I(RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY Po Z c d EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY STORAGE ADDRESS GARAGE MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD 7a SIZE OF MAIN FEEDERS AND RATING OF WIRE USED f v S s .• ,a0 j _ r w/R%/2-•Z NUMBER OF METERS ( NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES)21A10 IA TT TW XT')I"0 /'a'f` f Tf"T=r"TT)t"T Tf•T+n / T TT Tw TT)T,'T) (:'.'T)rillT77 ) -TT.d"T TT'rCq li Vlllui.\V1 J—L%-AA.A %—A% -%II 1 J 1T1LLA%V1 i V IV1 A%.vtl\V11U NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS 4 NUMBER OF A/C CIRCUITS O 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. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT Pfmwr# 076 Application is hereby:TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE 644-2511 ext.230 Date Building inspector Application must be printed or typed Location ofjobF50Q e_1 Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 - $15-000 - $12.00 Over $1,000 12.00 per$1,000 OWNER c7 I = or any fraction thereof ADDRESS OWNERS PHONE# C\ APPLICANT c Q v C-0 , tj V CLqADDRESS0* ESTIM[ATED COST $ IS THIS A CONTRACT COST? YES NO 01 FEE ENCLOSED $ OR-CO TYPE OF JOB: • Original Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR HVAC PERMIT(Continued from revelse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAI, / A/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL R kDIATION DESIGN TEMP. OUTSIDE F INSIDE F DIFFEREN('E F TOTAL HEAT LOSS(BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MWEL NO.) 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 EXHA1 JST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(C)W) PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK g O v.s S12 -c- CG PIZ, \ce--ri THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUH DI*iG CODES IN THE PERFORMANCE OF SUCH WORK. 5 o K S 3 0- STATE LICENSE-NO.NAME&TYPE SIGNATURE OF APPLICANT PHONE NO. " 2- J a DATE G 2 D L C7