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167 Ayers Road (3)
eectric C9a l' APPLICATION FOR BUILDING PERMITNumbing# /b 8 1 P 167 AYERS ROAD WAC # 163qQL4 25356 Date: v Sprinkler# FIM APPROVALS Estimated Cost $ )WASBudding Affidavit tro I zz CO MPLETE RED BOXED AREAS Permit Fee' n i"gt g TYPE OR PRINT ONLY Occupancy Fee $ 5 °a Z 2 SIGN ON REVERSE SIDEAw. CO. 2 Total Fee 1 '12s TO BINDING DPARTMM,TOWN OF SOUTH WNDSOR,CT G4dditional Cost) o The underspned hereby applies to do work according to the following specifications: Job Location /6 O. Lot No. Side of Street,Zae Zone Applicant ji N AcroAJ 4 C..Tel.# Sep-F 11 Address U 10W- I XOP CT' Zip IF Lic.# 41 ,06 6 Owner t AN ce,40j#4*w Address Architect Address Sq.Ft.New Area: 1st Fl.8' 2nd FL V.P1 3rd FL' Total New Area /Vt ' 3 Jf Rooms L lavatories Bathrooms .Z- Garages Purpose of this permit: "'YI-W1. AleolnC City WaterV_ Well Septic System Sewer Ins. H.O. S.P. Cent._/Area I Boaement GarageApprovedbyDateff5fVkUseGroupConstructionType Q ReYW 1197 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town ofSouthWindsorandtonotifytheBuildingInspectorofanyalterationintheplansorspecificationsoftheBuildingforwhichthis 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 whi his building and's use is allowed. Signed 1 hereby apply for a Certificate of Oc cy for ee w d in this application for the permit. Signed O NOT WRI E BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 98- 25356- B 160, 000 B01 FOOTING 08/ 20/ 98 DCJ A B02 FOUNDATION 09/ 03/ 98 DCJ A B01 FOOTING 11/ 06/ 98 DCJ A PIERS FOR DECK B05 FIREPLACE/ CHIMNEY 11/ 13/ 98 DCJ A B03 FRAMING ( ROUGH) 11/ 23/ 98 DCJ A E03 ROUGH 11/ 23/ 98 DCJ A E01 SERVICE 11/ 23/ 98 DCJ A RELEASED TO N. U. P03 ROUGH 11/ 23/ 98 DCJ A H03 ROUGH 11/ 23/ 98 DCJ A B04 INSULATION 11/ 25/ 98 DCJ A B10 FINAL 01/ 22/ 98 DCJ A 98- 10340- H 6, 900 98- 10281- P 8, 000 98- 16045- E 6, 500 Total Est Value 181, 400 Dwelling 1, 873 76, 643. 16 Basement 1, 345 16, 678. 00 Garage 413 5, 121. 20 Smoke Det 7 525. 00 BOCA Value 111, 833. 12 Difference 69, 566. 88) CA29 t Location of job AFFIDAVIT Additional Fee — 0— State of Connecticut ss. County of Hartford Owner of F r r .. . . . . . . A for building erected under ontractor Permit No. . . . 2. 5 3 5. 6. issued by the Dept of Building of the' lbwn of South Windsor being duly sworn. make oath and say that the actual cost of the completed work authorized under said permit was .$. 1 8. 1.,. 4. 0. 0 .. 0. 0... . . . . .. . . . . . . . .. ..... ivTyonicf A F 2' 9 A) 7; Signedy, Subscribed and sworn to 4efore me this . ....° 2` ...... .. . day of v vq ....... . . . .. .. A. D. 19 Estimate Cosh s 181 , 4 0 0. 0 0 V..'... Difference: t 0— N tary Public Y s SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT X'! 167 AYERS ROAD LOT_# Reviewed By E e%ng) FORAN BROS CONTRACTORS INC Date Reviewe o 694 GOODWIN STREET,EAST HARTFORD,CT Reviewed By anning) BP #_25356_ Ph_# (203)528-8736 Date Review..47 U4&0 proved enied Date Submitted 07/01/98 R C of Of **** Tyr i9 p 9 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 a. aeweN septic system b. foundation drain Z c. electrical & telephone d. water h e. other w r/9' 5. Sewer connection charge paid 6. Appropriate certification 7. Bonding i' 8. Planning & Zoning/ Inland Wetlands Considerations Sewer Permit No. Pavement Excavation No. f COMMENTS: RE NED J AN SOUTH ONDSORdo V T ENG.DEPT. d 01> DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT P d LO# Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg APPROVED 1540 SULLIVAN AVENUE 644- 2511 ext. 230 Date Building Inspector Application must be printed or typed Location of job Street No. Street Lot No. FEE SCHEDULE Floor Apt. No. 0 - $ 1, 000 - $ 12. 00 Over $ 1, 000 12. 00 per$ 1, 000 OWNER -- c 2lvl ' 1 ' I or any fraction thereof J ADDRESS c` a OWNERS PHONEAPPLICANT TD 4/ s crows e ADDRESS 6` 1- w O D- tJ C OW SF s7" J O 6 l g ESTIMATED COST$ IS THIS A CONTRACT COST? _ a YES NO C FEE ENCLOSED $ T SOR Cod TYPE OF JOB: Original Installation Alteration/ Addition/ Repair Revised 11/ 95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED A RESIDENTIAL BUILDING PERMIT APPLICATION S O BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY lkl2l,r— INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD tld v SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS l NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS l REMOTE DISCONNECT REQUIRED?YES NUMBER OF LIGHT CIRCUITS21;jo lNUMBER OF POWER CIRCUITS o2 y NUMBER OF SWITCHES 35 NUMBER OF OUTLETS 4 0 NUMBER OF LIGHT FIXTURES 3 NUMBER OF HEAT CIRCUITS ) NUMBER OF A/C CIRCUITS 0 SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK r fi /,lam .4 /irlr THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. NAME 9TATE LICENSE NO. TYPE SIGNA OF APPLICANT PHONE NO. DATE L.4 INSPECTOR G D` E I! 2 TIME LOCATION 1 (j 1 S C INSPECTION: CODE: RESULT(D/A) : 26 3 5G BUILDING: r r RF ELECTRICAL: d PLUMBING: HVAC: E i OTHER: F q w PERMIT# DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT a Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT YH APPROVE 1540 SULLIVAN AVENUE 644- 2511 ext. 230 110, 414 k. Date Building Inspector Application must be printed or typed Location of job T? ek. 167 Street No. Street Lot No. FEE SCHEDULE Floor Apt. No. 0 - $ 1, 000 - $ 12. 00 Over $ 1, 000 12. 00 per$ 1, 000 OWNER a- a r- 7 or any fraction thereof ADDRESS t PL 6 OWNERS PHONE# oa73 APPLICANT N S ADDRESS C ' a) c oW F dG ESTIMATED COST$ Jr C IS THIS A CONTRACT COST? V YES NO FEE ENCLOSED $TYPE OF JOB: OR- Co Original Installation Alteration/ Addition/ Repair Revised 10/ 96 APPLICATION FOR PLUMBING PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED H A BUILDING PERMIT APPLICATION YES NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCYASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTION FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATIONt SIZE OF MAIN DRAIN j NO. OF TOILETS STYLE NO. OF URINALS STYLE NO. OF BATHTUBS ?,.NO. OF SHOWERS NO. OF LAVATORIES 3 NO. OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO. OF FLOOR DRAINS NO. OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDO S NO SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR SIZE OF DUCTS SEWER O SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER t WATER HEATER TYPE MANUFACTURE TANKS SAFETY DEVICES TEMPERATURE CAPACITY RELIEF VALVE TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE TYPE MANUFACTURER 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 CONN.BUILDING DES IN THE PERFORMANCE OF SUCH WORK. C;?, 6 zl/NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. d .7 DATE DEPARTMENT DECISION PERMIT# PERMIT APPLICATION FOR HVAC PE A. 3LIQ 14 Aplplication is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT ld APPROVED 15. 10 SULLIVAN AVENUE It" G 644- 2511 ext. 230 4 D21 Building Inspector Application must be printed or typed Location of job Street No. Street Lot No. FEE SCHEDULE Floor Apt. No. 0 - $ 1, 000 - $ 12. 00 Over $ 1, 000 12. 00 per$ 1, 000 OWNER or any fraction thereof ADDRESS gc r C71- W T OWNERS PHONE# mod" da73 APPLICANT w S ADDRESS 49, d c Fq rJ G 2 ESTIMATED COST $ 00 IS THIS A CONTRACT COST? G. YES NO CI FEE ENCLOSED 1 OR- CO TYPE OF JOB: G Original Installation Alteration/ Addition/ Repair Revised 11/ 95 1 APPLICATION FOR HVAC PERMIT(Continued From reverse side) .' TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAL A/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE 0 F INSIDE U F DIFFERENCE_aLF TOTAL HEAT LOSS(BTUH) C)d HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) go r 0 a GA., r C GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) lL TYPE OF FUEL OIL-GPM GAS-INPUT ELECTRIC-KW OIL TANK SIZE&LOCATION INSIDE,lk OUTSIDE CAPACITY LPG TANK CAPACITY AIR CONDITIONING DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT GAIN(BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) PLANS MUST ACCOMPANY APPLICATION) Emma FURTHER DESCRIPTION OF WORK N k It s S ('v r f / /I y7 l,,c t' THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING C DES IN THE PERFORMANCE OF SUCH WORK Ell - 303776 STATE LICENSE-NO. NAME&TYPE SIGNATURE OF APPLICANT PHONE NO. 3 C ! DATE NOV.19.1998 11:25AM FW WEBB v55,t5Y'r a: 1:+, wW 1795, 20 1468, 3y0 37di. nP.Tiy46. . 98 v 7S7r2 374r4 0 00 0. 01 3N5 GIr . J Y 1151:4 a 0 1 11) w.lh $ 5afdiE+ 3$ 4 584. 00 2-444. 00 00,010 Sass. (bib 6916. 00 5 31$ap 00 4368. Odi 3440. 80 01 0121 45la4N a'3? 15481, 1iE 64o, 0121 3744. 100 Jb Zr alb 0. 00 614. 40 4985, 60 7 1078. 40 312, 00 46f3w 16 0. 00 408., 58 8867M 14 e 704. 130 0. 00 ra R 00 0. 00 1013. 76 1717. 76 9 115all 00 5496l 00 ow 00 oleo 1s5e. U 51.20061, as 10 1408, 00 1548w 00 1 a72w SO OR 00 11986 08 52P.G. 8S 11 1184. 00 6e4M 00 16330 28 0. 00 1425. 41 486G. 69 12 544. 021 6%24, 00 35;Rp 00 0, t..10 307. 80 18i27. 30 13 0. 00 0. 010 454. O8 0100 396. 29 850. 37 14 0. 00 0« 00 0000 Ox 00 00, 00 0. 210 TOTALS 15051. 20 SSOR*. 40 1.0079, S8 1468. 80 e1143a- 78 70044. 64 OF TOT, 81 31 14 8 31 100 THE AVERAGE BTU PER Sty. FT. OF LIVING AREA IS 39. ,38 THE AVaRAGE BTU PER CU. FT. OF LIVING AREA IS 4. 01 FACTORS USED IN CALCULATION BTU%FT FACTOR # WALL GLASS CS I U I N0 FLOORR I NF I!_T. OUTPUT TEMP 15. 00 0110 OR 65 0. i 1 th 09 0.1 01`8 580 a0 15100 Maio 0M 65 0, 11 0109 , Op o18 580 80 15. 010 0. 10 0465 RM, 11 0r 09 Or 01 1580 0 15,100 4a» 10 0465 i dl, 1 t 0. 09 0. 9 147r 580 80 15. 00 0. 10 0. 65 ` ,0111 0109 0. 012 580 80 15. 00 011ie 13465 0w 11 0. 0 0.J018 580 80 15. 00 Oslo 00. 65 0. 11 D. 09 0. 01 580 8m 15. 00 O. i 0 0. 65 0, .11. 008,9 01 i. S$0 80 15. 00 0. 10 ICI. 65 11" 0009 r 0,11018 580 60 15, 00 Oslo 0. 65 Or 1, _1 I ,, 0. 09,,.•0. Ole 580 80 15. 00 0. let 0'6 5 0: 11 • 0. 09 °' 0. 018 580 so 15. 00 0. 10 0, 65 0011 0.012 580 so 15, 00 0. 10 0. 65 0. 11 0»: 09 dtM Wee 580 ad , MOO 0. 10 0. 65 0. 11 Or 1219 O. 018 580 80 P • NOV.19.1998 11:35AM FW WEBB NO.602 P.1/2 F W WE82 COMPANY 18R HEAT LOSS CALCULAT I ON #1.65957 1 1/19/98 J'bB NAME FURAN JOB LOCP'r I DN Z$ W II4DSOR WHOLS9ALFR :FW WEBB OONTRACTOR a D&R PLB PREPARED BY :PINTO JUS REMARKS ROOM # ROpM NAME FACTOR ROOM SIZE BTU LOSS FT SABEBOARD I MOISTER BDRM 2.00 1'2. 6X 13.f+X 15 3466. 98 2 a I ti BATH 3100 ax 9 X 8 i 88'5. 15 3. 1 3 DINING RM 4. 00 8X 1 EX 12 5306, 88 9. 1 4 FOYER 5. 00 1 eXX ! 1 OX 15 69 1 G1. 00 11. 9 5 LIVING RM 6. 00 1 Sx 1 l X-..L";3 15481. 12 i26. 7 6 BKFT NOOK 7. Gel lox., '' iaX ~, 4445. 60 8. 6 7 LAUNDRY 00 4X 7X-7m-6,, `22126 7. 14 3119 K I TCHEN 9. 100 11 X la 017. 76 3. e 9 DINING RM ifir. 00 8x 12X 1L. 5.3¢64, as 9. 1 10 SDRM 11.00 x i lax 13 5Eg6li88 9. 0 11 BDRM 1E. 00 ex1 6X, $6 401+64 69 8. 4 12 DOC HOUSE 13. 00, 8X ' 4X 40 18a7x EO 3. 2 13 BATH 14. 00, 8x 5X 8. 6 vw. $7 1. 5 14 15. f l'i X 1 X 0. 0 TOTALS y 70044-164 B DIMENSIONAL DATA S©M FT SQ. FT SQ. FT SC1. FT CU, FT SQ. FT ISM. #NET WALL QLASS SXP CEIL EXP FLR VOLUME 1-.1V. AREA 1 403. wv 63 204 204 P570. 4 204 8e 6 0 57, 3 144 48 0 0 113E 144 73 47 0 0 1 SO@ 150 396 84 391 0 4692 391 6 7E 64 0 640 64 1 34 P 8 6 53. 2 0 4i.R5. 6 53, 2 8 8a 0 0 1056 132 9 144 48 0 0 1155 144 10 176 24 156 0 1E48 156 11 148 1 E 1435. 6 0 1484. 8 1 85 m 6 122 68 12 40 0 3Sal 4$ 13 Q+ 0 43 0 344 43 14 0 0 0 0 0 TOTALS 1$65 . 4S2 1136. B a04 7460, 8 17743, 6 BTU HEAT LOSS DATA MATERIALS PURCHASED HEREON ARE SUBJECT TO TERMS AND CONDMONS ON BACK WEREOF OP 002 y REV 06/24/98 WUD U6!IU YAA 8bU b1.L 31u4 ;.IAA c. &JOL-;1I.-ALIV_VU 06/17/1 1 83 15:©8 96052r,11462 PAGE 02 ti Juno 971999 Cox Communisations Paxker Road Nhwhestm, CT 06044 RE; Gary R.Baraboo&Deborah R.Burnham 167 Ayers Road V&Windsor$CT OW4 To Whom It May Comm: This latter is to WIDr t YOU that We Wish to rnrnove service to the above entitle twat for tha purpose of deenolisbing the exhiing how on 167 Ayers Road,South Windsor,CT. if you have any questions you May speak to out Contractor, Tony Fomn, at Fomn Drotheca located in]seat Hwfford,CT. shwerely yours, u Deborah R.Bumham r1ye. serv«G /v hocutc, kas' GCc yr !'.r,•o,,,t, ct f a jr ;/.?9 c A-01-el h c a. Irv. Connecticut 7'he(:annt+t•tii:tt l_i.lu ,t.,t,t Pox( Light&Power 48 Toll id Sage Houd niianti,ur 06084 1-800-280- 000 Thr Northeast Utilities S'ynlern Tod'l H.'I'uonti Ctlnural Maintgo June 19,1998 Gary R. Burnham Deborah R. Burnham A67 A -Road_ South Windsor, CT 06074 Subject: Demolition of property at 167 Ayers Road, South Windsor, CT Dear Mr. & Mrs. Burnham: This is in reference to your letter of June 9, 1998, regarding the demolition of the subject building. Please be advised that all Connecticut Light and Power electric facilities to this building have been removed as of June 16, 1998. If I can be of any further assistance regarding this matter, please contact*me at-(860) 871-3442. Very y You Don d Schaefer Field Technician Customer Engineering Southern New England Telephone 94 Deerfield Lane. Room I Al Meriden,Connecticut 06450 Phone(203)420-6692 Fax (203)235-7007 M_h- w RIEW Christina Gambardella vs ou seww?wE m" General Office Associate, IROC Installation Repair Operations Center June 30, 1998 To If*om ItMay Concern: This letter is to inform you that all telephone equipment, cables, wires and attachments have been removed from: 167 Ayers Road South Windsor, CT This job was performed on June 29, 1998 in response to a request to demolish the above address by: Gary Burnham Deborah Burnham Tony Foran, Contractor Ifyou have any questions please feelfree to contact Christina Gambardella General Office Associate L. Yankee Gas Services Company YankeO#as112ProspectHillRoad East Windsor, CT 06088 M,• rim vt e, w Y June 30, 1998 Tony Foran Foran Brothers Contractors, Inc. 694 Goodwin Street East Hartford, CT 06108 RE: 167 Ayers Road, South Windsor Dear Tony: In response to your fax of June 30, 1998 regarding die above address,please be advised that Yankee Gas Services Company has no gas facilities at this property. If you have any questions, please contact me at 292-2257. Sincerely, Linda Knorr Field Engineer A Subsidiary of Yankee Energy System,Inc. April 26, 1999 Gary&Deborah Burnham 167 Ayers Road South Windsor,CT 06074 644-0602 Town of South Windsor Mr.Jeff Folgers 1540 Sullivan Avenue South Windsor,CT 06074 Re: Security Bond 167 Ayers Road South Windsor,CT 06074 Dear Jeff- Per our telephone convczsah,Qn tpril 26, 1999, I am writing to you so you may release our security bond in the amount of$500.00 for the..swding of our lawn and the installation of our driveway. Please send the check to the above name and address. Thank you for your cooperation to the above entitled matter and it has been a pleasure to work with you throughout this project which started over a year ago. Sincerely, Gary and De orah Burnham cc: Tony Foran Foran Brothers Contractors 110, Q Z -7 MAY 18 1999ME44 N January 8, 1999 Gary&Deborah Burnham 167 Ayers Road South Windsor,CT 06074 644-0602 Town of South Windsor Mr.Jerry Iazzetta 1540 Sullivan Avenue South Windsor,CT 06074 Re: Security Bond 167 Ayers Road South Windsor,CT 06074 Dear Jerry, Per our telephone conversation on December 30, 1998, to reduce our bond from$2,500.00 to $500.00 to receive our certificate of occupancy to the above mentioned property. Enclosed please find a certified check in the amount of$500.00 for the security bond for seeding of our lawn and a driveway to be installed at our property on 167 Ayers Road early this spring. When in compliance with the town of South Windsor I will contact you. Thank you for your cooperation to the above entitled matter. Sincerely, II DD -- lYGK[--1 Gary and Deborah Burnham cc: Tony Foran Foran Brothers Contractors 3 DEPARTMENT DECISION PLICATION FOR ELECTRICAL PERMIT P %$ 1 RNUT AP Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPRO 1540 SULLIVAN AVENUE 644- 2511 ext. 230 Date Building Inspector Application must be printed or typed Location of job AS Street No. Street Lot No. F FEE SCHEDULE Floor Apt. 0 - $ 1, 000 - $ 12. 00 Over $ 1, 000 12. 00 per$ 1, 000 OWNER e M or any fraction thereof ADDRESS r L OWNERS PHONE# 4 iDil APPLICANT o T/ 6A1z- X, 404- 1- f - C- WN S ADDRESS Qf aoo'' i-) . 51 I Of ESTIMATED COST$ L D 0 ' mom C f` IS THIS A CONTRACT COST? x 1 ft" YES NO FEE ENCLOSED $ l ' 1 OR- co TYPE OF JOB: Original Installation Alteration/ Addition/ Repair Revised 11/ 95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP Other please specify) EMOMI TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK 2€G''" off' !i lJR 4/1 /L 1/lGf d / Gv J l/re Lc/r o1 T,+nN C3F /Ya uJ. ND Big 1 LD r o f /fr vtl hl/a THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. NAME STATE LICENSE NO. TYPE IGNA OF APPLICANT PHONE NO. Soz ! 7 3' DATE EINSPECTOR ,J DAT 7 S LOCATION xf RESULT(D/A) : INSPECTION: CODE: BUILDING: ELECTRICAL: PLUMBING: HVAC: OTHER: T; eectric# APPLICATION FOR BUILDING PERMIT 167 AYERS ROAD Plumbing# Date: -7113IYrHVAC # Sprinkler# No. 25441 FOM APPROVCAW166CM Estimated Cost $ Building w 0 4c, COMPLETE ON REVERSE SIDEPLETE RED BOXED AREAS Permit Fee v—Nog TYPE OR PRINT ONLY Occupancy Fee $ imidavit SI Appr.for CO.Total Fee Z r. TO BULDW DEPARTMENT,TOWN OF SOUTH WWSOR,CT Wdfi 1 Cost) $ The undersigned hereby applies to do work according to the following specifications Job LcccltiQnt.P Lot No. Side of Street Zone Applicant 1 Tel# Address Zi ©16 '2$51 Lic.# n 19 a Own 01 Ok A S_WI AdSt Archit h Address6d&u)0yj' Sq.Ft.New Area: 1st FL 2nd FL 3rd FL Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: Gty Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by 1 Date -71.1717 t Use Group Construction Type RrAwd 1/97 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in ich this building and's use is a . Signe I hereby apply for a Certificate of O upancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS B NdngSPE yT10N a, APPLICATION FOR BUILDING PERMIT Plumbing HVAC Date: Sprinkler 16 7 Ayers Roadou Electric Estimated Cost $ 'Jcs Zoning Permit Fee$ Affidavit NO. 19029 Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS.Fire Dept. TYPE OR PRINT ONLY Total Fee $ Health Dept. SIGN ON REVERSE SIDE.Approved for CO: Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby p lies t o work according to the following specifications: Job Location r.5 Lot No. Side of Street Zone Applicant e. Q y Tel. # ako ti Address Lic.# i,J c Ls, ST CITY S Tki Owner v Address- Architect r Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line Di from Side Street Line Purpose of this Permit r ti Jd Q_ '_"'%4" City.rater Well Septic Sewer Approved by Date BD1A 11/88 a I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,andagree that this building is to be located the proper distance from all street lines,side yard lines and required distances from all other zones is located in a zone in which this building and its use is allowed. Signed L 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 Frami d,C Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: Building -Z - APPLICATION FOR BUILDING PERMIT Plumbing HVAC Date: Sprinkler 167 Ayers Road Electric Estimated Cost $ Zoning Permit Fee$ Affidavit NO, 17408 Occupancy Fee $ Eng. Dept. Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ Health Dept. TYPE OR PRINT ONLY Approved SIGN ON REVERSE SIDE. TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location e R S Lot No. Side of Street Zone Applicant I-rt• s.` c,`. v Tel. # G' ,c -Y-79 G Address AC C- 4_ a j2_Lic. # 27 r 2 Zip a G 261 Owner Ati2 s r ? tC& ` S Address /& 7 .,4= Architect Address Size Main Building: Ft. Front Overall Ft. Deep Overall Total Area Garages LavatoriesNo. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line Dist. from Side Street Line Purpose of this Permit 4dwliqt A.- City Water El Well 1:1 Septic 11 Sewer 11 Approved by Date /r Dist. from lot line E. W. S. N. Dist. nearest Bldg. ft. Height of stories -cellar 1st 2nd 3rd 4th 5th Found depth below grade Above grade Material for footing Size footing Material for found. Found. thickness Roof No. of stairways Size of girders Material for Side Walls Size of pier found. Floor joists, size: 1st 2nd 3rd stories. Dist. on center Longest span of floor joist: 1st 2nd 3rd If not wood joist const. what type of floor? Size of Roof Rafters Longest span on center Chimneys, size of flues How many? Where does tile start? Plumbing contractor, Permit No. Oil burners, Permit No. Plot Plan Rec'd: Heating contractor, Permit No. Checked by Eng. Dept. ; Electrical Permit No. Signed by Engineer: Sprinkler Permit No. I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked, and agree that this building is to be located the proper distance from all street lines,side yard lines and required distances from all other zones and is located in azone in which this building and its use is allowed. hereby apply for a Certificate of Occupancy for described in the above application for permit. c Signed 4498 ELECTRICAL APPLICATIOR Application No. ............ 4. 809...................................... onthe ................................................................ I............................. side of Ayer Street Rd..... ............................................... StreetNo. ....... 1. 6 ................................................................................. Owner Julius Sluzkanis Electrician .. W .`. A.... Kar. . . r. e. 1. i. s FILED IN OFFICE OF The Building Inspector 6- 17_ 69 19 ............ INSM ON. MrNo 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. U3 7 APPLICATION FOR PERMIT TO DO ELECTRICAI. WORD. 48o9No. ............................................... Permit No. ...........44.98................ TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. I...... 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 c mplied with whether specified herein or not. South Windsor, Conn., .......June 12 1 .9. Sign her a44 ...................... ... Address ........6.0.....N-evers..... -oad......v......Wapping.. Conn. Side of .........:,:.167 Ayers RoadLocationQ.4 ............................................................................ Natureof Building .................................................................................................. How many stories .................................................................................................. Newor old Building ................................................................................................ How many families ................................................................................................ Kindof Installation ....................... How many Stores......................................................... Owner J.Ullus......Sluzkanls...................................... .................. Address ...1..6.... t 7.....Ay.ers.....,R.oad..,.....y a.ppi.r g.,. Conn. Architect ............................................................................................................................. Address .............................................................................................._............................. Builder ....................................................................................:............................................. Address ........................................................................................................................... Electrician W 11.1am A..........XArv91.9.............................. Address 60.....Ne".Prg.....Raad.*......Wapping..................... Size of Main Wires .....#2................................I............ No. of bight Loops ............................................. No. of Heat Loops ............................................... No. of Power Loops ......................................... No. of Light Outlets ....................................... No. of Heat Outlets ............................................. No. of Power Outlets ...................................... No. of Light Circuits ................... ................. No. of Heat Circuits ......................................... No. of Power Circuits ................................... No. of Sockets ........................................................ No. of Heat Receptacles .............................. No. of Motors ......................................................... No. of Panels ............................................................ Size of Heat Circuit ......................................... No. of Power Receptacles .......................... No. of Switches ..................................................... Total Wattage ........................................................ 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 .................................................................................................................................................................................................... Service change.....from.....60 amp.*.....t.4...... ,.4.Q..... ..a..................................................... 4.Estimated Cost .............. 15 0.0 0