HomeMy WebLinkAbout18 Debbie DriveU
TO THREE BUIE[DING INSPECTOR
of dw APPLICATION FOR
TO" OF SOUTH WUWSM Cam.
PLAN EXAMINATION AN D
BUILDING PERMIT
zIMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.O
ZONINGI• AT (LOCATION) DISTRICT,/
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
SUBDIVISION tL/WC LOT a.7 BLOCK SIZE dLOT0x Od
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 Now building Reside ial Nonresidential
2 Addition(if residential, enter number 12 One family 18 Amusement,recreati nal
o/new housing units added, i/any,13 Two or more family — EnterinPastD, 13) T fil E 19 Church,other religi us
3 Alteration (See 2 above)
number o/units————— 20 Industrial
14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number
5 ElWrecking (IJ multi/amily residential,o/ units ——————— —-i 22 Service station, r pair garage
enter number o/units in building in 15 Garage 23 Hospital, Institutional
Part D, 13)
16 Carport 24 Office, bank, professional6 Moving (relocation)p
7 F undation only
17 Other — Specify 25 Public utility
26 School, library,other educati na)
B. OWNERSHIP 27 Stores, merconfile
8 Private (individual, corporation,28 Tanks, towers
n npr fit Institution, etc.) 29 Other — Speci/y
9 Public(Federal, State,or
local government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g.,fo d
processing plant, machine shop, laundry building of hospital,elem ntary
10. Cost of Improvement...............• S 64a school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at Industrial plant.T be installed but not included If use of existing building is being changed,enter proposed us .
in the above cost
a. Electrical....................... C
b. Plumbing ......................
J
c.Heating, air conditioning.........
d. Other(elevator,etc.).............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Mas n y(wall bearing) 40 Public or private company
48• Number of stories................
31 W d 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
o34 Other — Speci/y 42&Public or private company Total lend area, sq.ft............
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRIN IPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51.,Enclosed .................0.....
35 Gas Will there be central air 52. Outdoors........................
oil c nditioning4
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 0 N 53. Number of bedroom*..............
38 C of
39 Oth r— Speci/y WI If then be on of votort
54. Number f Full..*.......
46 Yes 47 fl N bathrooms
Partlel........
IV. IDENTIFICATION - To b complet d by all applicants
Nam Meilinj addr ss — Number, street, city, and State ZIP code Tel. No.
Owner Dart Fill Realt Inc. 658 Ellincrton Roadoor
Lessee South Windsor,n
2. Same
Contractor
3.
Architect or
Engineer
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signatur of applicant A44ress Applicati n dot
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R view Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
P rmit or Approval Check o
D o Number By Permit or Approval CheckobtDateained Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
P rmit number
Bui Iding
P rmit issu d 19
Building
Permit Fee $t
Ir
t cro Ap ove
nr
r/E
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date June1 8 19 86
Fee Paid $. 40 8.0 0 Eat. Value $fx 8.,.0 0 0
Permit N° 15183
on the aide of
jnt 027 pPhhie Drive Street
Street No. 1R
Owner part H J 11 RP.al t
Applicant Thnm a s RPa rdon
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.7 F 5 2
Fee Paid $ 3 n n
CLASSIFICATION
Dwelling
BUnDj NG PERMiT
N`61 15183
OFFICE OF
TIDE BUILDING INSPECTOR
9
of the
Town of South Windsor, Conn.
South Windsor, Conn. 1%6
94is to to 9jertitu, That nart Hill Realty Inc
is hereby granted permission to Dwelling
at estimated value of
on the side of 18 — ?:t 2T Debbie Dri 98 Street on land
owned by ` Dear* H 4 l Roalty xac.
SaidQ=- 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 VIMSOR.
Issuede--18 1986
Budding, Inspector.
Stredts and sidewalks, obstructed by ezcavations or building materials, must be guarded by barriers
during the day aid by both barriers and colored lights by night.
SEC7-ION\'1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep budtr g iuip rials, or any obstacle in any highway (or any sidewalk) either with or without a
license there ,from the d or boron h in which such wa ma be situat he shallcityghighwayY pay city,
town or borpugh',,all costs and damages which it shall sustain, or be compelled to reason therefor."
1
6
Dwelling - Lot W Mtn.Vw 1 6/18/86
Dc1rt Dill Realty 'Inc .
18 Debbie Drive Permit #1518,/_!
Electrician Richard Barrett # 9376
Heating Contr. So.Windsor P/H # 6 5 4 2
Plumbing " So. Windsor P/H 7096
Oil Burner
Certificate of Occupancy 7652
Sewer Permit
Plot plan apprd. er Engr.
ijPermitNo. Z % =' TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit N? 765.2
Certificate of Occupancy
T S TO CER F at th 1; ._ `°`
i `
ti .r '-f.
at No. o-in the Town of South Windsor, Connecticut,,/has
been erected and completed in accordance wit the Building Code and Zoning RegulatidI ns of
the Town of South Windsor, and is hereby appraye r occupan `
ry
off Building Inspector
wner, Build ef
Fee Paid Date
t g.,•n!- rg.a.rf' n j . sv -L. r,r."•-_ .t Y A
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awe. taw LAND "MOONS
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TON CONK
DE BIE g' sAN
DRIVE
79Sw
J l 12' 45" W
3Z2 Q
60
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40
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Y . . AREA= 20,000 S.F
100.00'
E
31(o
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31Z
u.ts t~a aa OPEN S PAC E
j)mw%Sfte4 wsow z-X-Zoe
f'OrA Scsit ,; 'may
OWE OF i4-5*j RtV- - -$ PREPARED FOR
mar•aE Ais Si rN.a d-A-Sv DART HI REALT yNC
eft tiw1AuY cOMEcT WUTM VINDSOR, CONN. .
SCALE: 1 •40: OATE• -%`*44
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P P 14 OVjF E)
WI1 O
9376
ELECTRICAL APPLICATION
Application No. 10888
on the side of
Lot #27 Debbie Drive Staet
Street No. 18
Owner Dart Hill Realty
Electrician Richard Barrett
FILED IN OFFICE OF
The Building Inspector
9/16 19$E
INSPF=ION.
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 Are
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
Electrical Permit No. ...........67-.3... ...f...................
Master License No. .....iaqn;.):
TOWN OF SOUTH WINDSOR Building Permit No.
BUILDING DEPARTMENT Date Filed .....I?.-
Date Final Approval .................................................
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
JOB LOCIkTION: Nbe h<- JQB Q........K........-------------
te...................Bet e W and. .....TSideofen***.Jaer....
7- ciC7A;F....... . .... .......... AddressNameofBuildingOwner BII 4 C(..........
If work is for Lessee—Give name ... .. ...... Address .............................................................................................
Building now occupied as (unless new)No. of family units now
Building to be occupied as ........... ....Number of family units to be ....... ....................
Is this wo in"uded id a Building Permit?Permit Fee
If no BuildingPe it
usiness Address Telephone V-Lf ...Permittee
COSTOF INSTALLATION: . .... ...a I.......................................................................
TO BE FILLED OUT BY PERMITTEE,
TO BE WIRED EXISTING APPLIANCES
Number of light outlets to be installed
Number of convenience outlets to be installed .....Number of present Appliance Circuits .................................................
Number of switches to be installed . . . ...... ....... Do these include Range C3 Water Heater C]Number of appliances to be installed . . . ........ .... .............
as listed below)Dryer C] Air Conditioner Oil Burner C]
TYPE RATING NO.
Dish Washer Gas Burner C:]
Range
Well Pump C3 Elec. Heaters C]
Range Top . . . . . .
Oven . . . . . . . . REMARKS:
Water Heater bi I(I L-A19;
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 be ..........................16-6--rTr-'r(r—
7096
PLUMBING APPUCATK)N
Appticatim NO. 6167
on the ..... side of
Lat.... I?g bb i e D r i ve
Street No. ......___ 18
Owns _.Dart Hill Realty Inc.
ply So. Windsor P/H
Filed in Office of
The BvWt
SPnt - 4 19Sb_
No person shalt emsm :4 add 0 a attrr my
portion of the drainage qmm of ash bra'{kg
except to reFair flab) unit a Plmmit is mad
by the Building In"mm
APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB
NO. STREET FLOOR APT.NO.
GENERAL PLUMBING
1/
12. KIND OF INSTALLATION 13. SIZE OF MAIN DRAIN j
14. NO. OF TOILETS STYLE 15. NO. OF URINALS CD 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
22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES KIND
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 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
9cSIGNATUREDRESS -_ l2il
LILICENSENO. ESTIMATED COST
L C PV • 0 0 TELEPHONE -5_,M -WZ3
OWNER ADDRESS
cj-
WATER HEATER
31. TYPE 32. MANUFACTURER
TANK SAFETY DEVICES
33. CAPACITY 37. TEMPERATURE RELIEF VALVE l a
34. TEST PRESSURE_ ,lJ 38. MANUFACTURER
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE
36. TYPE 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 CO .
CD962 DATE SIG TU OF APP ANT
PERMIT #
Cd Application For 6341 6542
DEPARTMENT DECISION
HeatingPermitN
3 APPLICATION IS HEREBY:
DEPARTMENT OF LICENSES AND INSPECTIONS
N APPROVED DISAPPROVEDa
Cd TOWN OF SOUTH WINDSOR
0 9/3/86 Thaanas P. D' Auria
DATE
O CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W
w
1. LOCATION OF JOB0
O
18 Debbie Drive
Cd v NO. STREET
0 c 27
O LOT NO. FLOOR APT. NO.
as N
w
O
OWNER Dart Hill Realty Inc.
O
b'i0 3 ADDRESS 658 Ellington Road
4J South Windsor
a.PHONE 282-0628MCc
ms. APPLICANTSouth Windsor Plurrbing
v e. ADDRESS 524 Burnham Street
ad
4 South Windsor PHONE 528-4413
v
a S. LICENSE NO. 307190
Q
Q w 9. EXPIRATION DATE OF LICENSE_ 10/1/87
Cr
0 10. ESTIMATED COST s 3.700_OD
bo 1 I. IS THIS A CONTRACT COST?YES no
12. FEE ENCLOSED S_ P A nit 15183
c x
tn an
13. TYPE OF BUILDING:
p RESIDENTIAL COMMERCIAL
cis
14. TYPE OF JOB: INDUSTRIAL
F ORIGINAL ALTERATIONINSTALLATINADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued it m Reverse Side)
11. LOCATION OF JOB
NO. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: OIL BURNER Cl ELECTRIC VENTILATION SPRINKLER
0 GAS BURNER STACK INCINERATOR ED MISCELLANEOUS 06 *U
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. O 4 B.T.U. OR SQ. FT. NET 'IZ-d. B.T.U. OR SQ. FT. GROSS FIRING RATE -
FLOORS TO BE HEATED NEW OR OLD BUILDING ''C —INSULATED -- YES OR NO
6TYPEOFWALLrZj -S INSULATION /fIt l LsiROOFORCEILING 4.-/ INSULATION "1 l i
AVG. SYSTEM WATER TEMP. Z&u B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 17 w Ju FAHRENHEIT
MAKE OF RADIATION: BASEBOAR . COP ER C NVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U.
DESCR
15. TO BEIONDOINE:
OF WORK
i1 e; z1(/,/'T•t /
f
7/G'C'
is. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
Roots slzE AND DooRs AREA - SQUARE FEET VOLUME
B.T.U. B.T.U.DISTRIBUTION INSTALLED
TOTAL TOTAL m LL
ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j 4 REGISTER
L W N AND TEMP. TO TYPE AND SIZE RAO. OR LEADER
SIZE < WALL 'to INFILT.) DIFF. F m N 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
17. ELECTRICAL WORK BY: x C tv,
NAME ADDRESS
SUBCONTRACTORS AND
tt3. 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. b;I `,
DATE SIGNATU A,PCANT
j 7
BURNHAM CORPORATION V
Heating & Cooling Division - Irvington, N.Y.
1=0=R CALCULATION SHEET 1503 Copyright M5 by th Institut of Boiler m4 Radiot r Monufoeturers, 393 Sov.nth Av .,New Y rk,N.Y. 10001
OWNER ADDRESS DESN"TEMPERATURE DIFFERENCE F. DATE
COL.A COL.a COL. C COL.D COL.E—COL. F COL..6 Room
1 ROOM Owe c'r' mil, i-.ev tub Vw T TABS RADIATION
O M L R M L r. H L M !1 L M N• L M }FROM LIME 12 SELECTED
2 1iDOM 01MENSlONt. FT. V < A,
a LENOTN EXPOIE WALLI, IrT. d i 1 C
R VANDOW AND OUTUDE DOOR AREA is. lip:
TuM T a sumo
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TO THE BUILDING INSPECTOR
of the APPLICATION FOR
PLAN EXAMINATION AND
TOWN OF SOUTH Wj 1DSOli,COW PLAN
PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX.O
ZONING
AT (LOCATION) /=) D L• O' ` 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
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
1 New building Residential Nonresidential
2 Addition(If residential, enter number 120 One family 18 Amusement, recreational
of new housing units added, if any,13 Two or more family — Enter 19 Church, other religi usinPartD, 13)
number o units— — — — -
3 Alteration (See 2 above)
f 200 Industrial
14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (If multifamily residential, of units ——————— —i Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
6 Moving (relocation) y17 Other — SpeciJy 9910 3 25 E] Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP y r Uh ty 01 27 Stores, mercantile
8 Private (individual, corporation,
28 Tanks, towers
nonpr fit 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 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...................... Xcicl
b. Plumbing ......................
sLC LiZ Z i /Xp, R-AR, T rnl O i!e r
c.Heating, air conditioning......... LFiJ P y c1/Qr.s.s (,/u S `7r &&qi2d. Other(elevator, etc.)............'
11. TOTAL COST OF IMPROVEMENT $ G'UlJ'a fn?G
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Masonry(wall bearing) 40 Public or private company
48• Number of stories................
31 Wood frame 41 Private (septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinf reed 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
51. Enclosed ......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 Gas Will there be central air 52. Outdoors.......................
Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 44 Yes 45 No 53. Numb r f bedro me..............
38 C al
39 Oth r— Specify Will there b an elevator?
54. Number f
Full..........
46 Yes 47 No bathr me
Partsal........
IV. IDENTIFICATION — To b completed by all applicants
Nam Mailing address — Number, street, city, and State ZIP code Tel. No.
t c e ZQ 06074 y Owner orlin 5
Lessee
2.
r "
A / •6 3 yy-P
Controc+or
179 2-73o
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Sign to of applicant Address Applic tion to
y a6le o`z
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date
Obtained Number By Permit or Approval Check Date Number ByObtained
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit number
Building
Permit issued l/ / 19
Building I
Permit Fee $ i y
A rov d
TITLE
J
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date—Apr i 1 2 19 8 7
Fee Paid $.5 4.0 0 Est. Value $. -9,JQ 0 0
Per" No 15706
on the side of
Debbie Drive Stre-et
Street No. is
Owner Michael Warkunas
Sabrina Pool
Applicant gh i r 1 er$n u lary
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
In-around pool w/fence
BUn DING PERMIT o) 15706
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Apr i 1 2 1SP 7
94is 'to to Certt fg, That Sabrina Pools
is hereby granted permission to Install 20' x 36' in-ground pool w/fence
at estimated value of #0 0 0
on the side of 18 Debbie Drive Street on land
owned by Michael Nockunas
Said Work to be as described in Application
No.16 00 6 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Xuue4 April 2 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 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."
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DEPARTMENT DECISION 1(4L(T
5#nAPPLICATIONFORELECTRICALPERMIT
Application is hereby TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE
644-2511 ext.230
Date ding Inspector Application must be printed or typed
Location ofjob
12e,
Lot No.Street No. Street
FEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER H; Le- A)6 C,S
or any fraction thereof
ADDRESS De b)10 -1 r
rc f
OWNERS PHONE W 6) 41-Y 7 Q ? (o
APPLICANT 4.9
ADDRESS
ESTIMATED COST$ 0 0
IS THIS A CONTRACT COST?
X.- YES NO
mawto
FEE ENCLOSED 0 (D
0R-CO TYPE OF JOB:
Original Installation
Alteration/Addition Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
l IS THIS APPLICATION ASSOCIATED WITH A
Y 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)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED 'y 0 1
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS 00
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
0 IC-12,
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.
o 9a a0A?5,,n
NAME STATE LICENSE NO. TYPE OF APPLICANT
PHONE NO. Q 7a Q 36 Co DATE 411-1197
IVSPE TOR DAT Z I' TIME
LOCATION
x- INSPECTION: CODE: RESULT(D/A) :
BUILDING:
E
a,
ELECTR I CAL:
t
PLUMBING:
HVAC;
OTHER:
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