The URL can be used to link to this page

Home My WebLink About19 Peach Tree Laneag 4 ,;1;.;. x Y'`"'• k, '.,'° tiV`'`. 3: n`• w F,.i,,Y'1' . ,' _, :r ;' •ta` w rr• o- AP'3 ,5` r^ "f; S iM= s ' r.( Fi.., `.t 'x%t y,rs'.;, +t•,; ..' b'n h,3. n,•. ' .i,.s-,' f c t-„`., 'pi'e, 5, dfi"'•r,4 '"..;"..aafr °,° •j *fe ';. . °r+ .„ ';'a•:iw>x,'; m`4,;.,> „;;`',- z i. Al fir k -i+t w, w s•r•u' °_# ,-x ,b r:'t•`;:.' r ,-e,_ -_- " '+ r •R`db v'^-„. ,a..` fdy,,i' r ",,.tA "ecs' F .,'",p,', ,P., yf„? 1 cep;=' t'ju'Y,.. .u',#,,,,s., brcN,' •+". ;`, .i_`esi'^7 CG ^.•.' i mary r r c o " i's#!Y W.' i ..•y.*;£• ;,'-",II= "a.`, ' .. .,^aP"Wi„ TOWN OF 1" m e foc pk'mot (n of, the tea sd= d. a rrlliiiiAiR A H'l F•. OC tim of this work whether herek or mt. t, South Wm&wp Cann., ... .............qu........ ..... 19..... l r .w..w.... ....•SP fN woo... s ` f Location? ................ side of? ...................................................................,...............www.....w..w... a r..a........ . ...No. ...................................................Loot No. ...Nearest cross street? .........................»...................... .......... w. Owner of land it? ..'._......... ..., Addre ... W. 4 d Owner of building is? ,. ...*.*.............*.#._............... ..._............Address .... ....... . ................. ............... .................#f ,................. 1 0.10Architectis? ................. E.: ....._..............Addreas Builder is? ............ARMT wwAddre ... .• Dimensions of building? ............. . . . ..........Feet front? .. ..................... Feet rear? Aot.. ........... Feet deep?.. #.............. r Extreme height to highest point of roof? ............. ........................................ ... No. of stories in h t? .................,....................... fri...........................No. of stores? ................... ......................:...............................................i Purpose of building is. ....................... wNo. of rooms. .... ............ -6..................................................................How many families. ...................................w.w.. ................w........_...w. J Distance from street line is? ................... !....................................from building line is? ........... f................................................................ ADDITIONS AND ALTERATIONS Give Brief Description) Map No If of steel frame, what is exterior construction? .. I........... What kind of columns used? .......... .. . Size of columns used? What length of columns used? .. .How protected? ....... ................ What kind of beams or girders? . .Size of beams or girders? Longest span of beams or girders? These rest on? . Roof construction is? ............ ... . ......... ....... .................................Roof covering is? . . The floors are of ..... .... .. .... construction and are calculated to carry a safe load of ... lbs. per square foot. See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? Compositionof mortar? . ............ .. ..... ... . ...... . . .. ...... .. .................................. ....................................... ............................. ........... Height and Thickness of Walls Height Stories Front Walls Side Walls Rear Walls Partition Walls Basement, 1st Story I........... ......... . ...... ...... 2nd " 3rd " I........I.... ......................................................................... ........................................... .......................................... ,............................................ ........... . I.............. ..... ....... 4th Is 5th r............................... ........... ............................................... ........... ............................. 6th " I.................. .................................................................................. 7th I.......................................... .. ..... ........ ................................................ ................................................... 8th " I......................... ................................. ...................................... .......... .............. ............ .......... . ........... ............ ........ ......... ........ .......................... ...................... 9th 14 10th........... .... . ... ................ .. Material.of Front? .. . If stone, what kind? Thickness of Ashlar?Thickness of Backing? Backed up with what? Arches or lintels over openings? Xx Y'00 R A WWD COG-MUMON4 and Behr%PNMAGieseLtotangSPm C42ktmt of"614-7-Ghm&m mad Gs Imoeft ftwn anim ift Mft LWCeft SMU Cildm M" Law*J-Ift 4MM' An Aft. 24d JW ah Size of outside sm&?Distance on centres? .... lift of SHIA= Size of rafters? ................................ Distance on centres?................46Sir-i.of plate? ..............I.,....................................... Size of ledgers or girts? ...........................................................Sizi of deck rafters? .......................I ............... Distance on centres? .........................................................................................Size of studs in bearing partitions.? .................................................. MISCELLANEOUS Style of roof, flat, pitch., Mansard, or hipped? ..... . .... Fireplaces? ........................................................ Material of roof*covering? Material of Cornice? How is building heatedA*...low....a........................ Lining of flues? ... ......................................................................... .............. amThicknessofshellofflues? ....................................................................... y elevators or lifts? ....................................................... ...................... Whatkind? ... ............................................... How many? ........... Any hoistways?,...................... ............................... How protected? ................. .......................................................... ........Total Value of Building .......................................................................... When will work be commenced? ........ 36"0 The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli. cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the Town of South Windsor since 1949. Applicant 2724 BUILDING APPLICATION Application No. ..........2.9.84.................................................. on the .............West....... .................... ... ........ side of Peach Tree Lane I....... ................ . .. .... ................ .... Street. Street No, .. .1.9... Lot..#93... . . ........... . Avery Heights Co. Owner Applicant .. .Same ..... ........ . CLASSIFICATION Dwe.a-Iing 261.40.1. ....... ... ..... .................... Permit issued on above Application. Date, ... Mq.y..18............ . 19.......5.9 Z` TOWN OF SOUTH WINDSOR y BUILDING PERMIT Date May 18 s 19 59 Fee Paid 5?•.00',Est. Value 0 000s r 1<<-', Permit N9 2724 on the W®s t side of f v Peach Tree Lane Street Street No.-19 Lot -#93 nx Owner Avery Heights Co. Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date 1683 4 No.— Fee Paid 03*00" CLASSIFICATION Dwelling r p t t: a r:, r BUILDING PERMIT N° 2'724 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. ma;T 19 5sj dr4io to to T ertif1j That Av`,r , is hereby granted permission to at estimated value of $ 13.9 on the`+fie M side of Pefitc r, ` r8ln liar-)P- Ln t, 49.T Street on land r ll h C .cownedby Said stork to be as described in Application No. 29$ and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued 17a,Z, 18- 1959 BMdiing.,lnspector. 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 CONNECT IC UT: "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." TOWN OF SOUTH WINDSORPermitNo. , . .. O' SOUTH WINDSOR, CONN. Permit 1 1683 P Certificate of Occupancy THIS IS TO CERTIFY that the4-fl:i--'- '/ 2 at No. in in the T90cof South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved or occupancy. BUILDING V PhtTOR y OWNEROUILDER Fee Paid 0, Date 19 t TO THE BUILDING INSPECTOR of the APPLICATION FOR TOWN OF SOUTH WLNDSM COMA. PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX.G 167 ZONINGI• AT (LOCATION) eaC-9! / '- i>- DISTRICT LOCATION O') STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT C SUBDIVISION LOT BLOCK SIZE II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D T A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use fo fq 1 New building Residential Nonresidential 2 Addition(1/ residential, enter number 12 One family 18 Amusement, recreationalofnewhousingunitsadded, if any, in Part D, 13) y 13 Two or more family - Enter 19 Church, other religious 3, number of units- - - - - 20 IndustrialAlterotion (See 2 above)jf J,b,.y 14 Transient hotel motel47Repair, replacement or dormitory - Enter number 21 Parking garage 5 Wrecking (If multifamily residential,of units ------- - -. 22 Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutionalPartD, 13) 6 Moving (relocation)16 Carport 1 24 E] Office, bank, professional 17 Other - Specify I J C` 25 Public utility7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, merconfile 8 Private (individual, corporation, 28 Tanks, towers nonprofit institution, etc.) 29 Other - Specify 9 Public (Federal, State, or local government) C. COST Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food processing plant, machine shop, laundry building at hospital, elementary10. Cost of improvement,,,,,,,,,,,,,,,, "a,O D school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant.To be ir,3talled 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 $ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Ports 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 Masonrywall bearing) 40 Public or 48• Number of stories................g private company 31 Wood frame 41 Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior32 Structural steel dimensions ..................... 33 Reinforced 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....................... 36 Oil conditioning?L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 No 53. Number of bedr oms.............. 38 C a 39 Other- Specify Will there be an elevator?Full.54. Number of 46 Yes 47 No bathr oms Partial........ IV. IDENTIFICATION — To be completed by all applicants Nome Mailing address — Number, street, city, and State ZIP c d Tel. No. Owner or 5-Le/ o-,, na va.r;k %4' lPe e.c L. %k-e-e Lessee 2. ice• w elf '-e Contractor ."c ' 3. Architect or Engineer The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction. Sign turerof applicynt Address Application dote I-y.. 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date PlansPlansReviewRequiredCheckFeeStartedBYApproved BY Notes BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained Number By Permit or Approval Check ObtDained Number i 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 Permit number Building Permit issued 19 —!z _ Building Permit Fee $ A rove by: TITLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Nov. 26 19 8 4 Fee Paid $.l 8,.0 0 Est, Value $3 1.0 0,0 Permit N`•' 14179 , on the side of Peach Tree Lane Street Street No. 19 Owner Sheldon Ka va s ik Applicant Bidwell Home Imp, CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Vinyl Siding i i BUILDING PERMT N? 14179 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Nov. 26 1984 94is to to Certify, That Bidwell Hme Improvement is hereby granted permission to Vinyl Siding at estimated value of $ on the side of- 19 Peach Tree Lane Saver on land owned by Sheldon Kayasik Said Work to be as described in Application No. 14 4 7 9 and to conform to specifications and plans filed with said Application, and Building By. Laws of THE TOWN OF SOUTH WINDSOR. Issu d Noy-19 840 a'- ri' i• f'/Kit`' f Ei 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." TO THE B ING INSPECTOR Of the APPLICATION FOR TO" OF somm wimsm cow PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT Applicant to complete all items in sections: 1,11, 111, IV, and IX.C ZONINGAT (LOCATION) sS60'ZW 11)1Z2121.aA-- DISTRICT LOCATION No.) STREET) OF BETWEEN AND ICROSSSTREET) CROSS STREET)BUILDING SUBDIVISION LOT LOT I BLOCK SIZE 11. TYPE AND COST OF BUILDING A// applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use fl 1 New building Residential Nonresidential 2 Addition(1/residential, enter number 120 One family 18 M Amusement, recreationalofnewhousingunitsadded, if any, in Part D, 13) 13 F_j Two or more family — Enter 19E] Church, other religious 3 Alteration (See 2 above) number of units— — 20 E Industrial 4 El Repair, replacement 14F7 Transient hotel, motel, 21 E] Parking garageordormitory — Enter number 5 0 Wrecking (1/multifamily residential, of units ——————— — --jo. 22 E] Service station, repair garage enter number of units in building in 15 D Garage 23E] Hospital, institutionalPartD, 13) 16 Carport 24 Office, bank, professional6F-1 Moving (relocation) 7F_ Foundation only 17 Other — Specify 4-42190JO 25E] Public utility 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Private (individual, corporation, 28 Tanks, towers nonprofit institution, etc.) 29 E] Other — Specify9F__j Public (Federal, State, or local 9 vernment) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., fo d 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....................... b. Plumbing ....................... 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 E Mas my (wall beating) 40 Public or private company 48. Number of stories................ 31 F7Wood frame 410 Private (septic tank, etc.) 49. Total square feet of floor area, Structural steel all floors, based on exterior32Fdimensions ..................... 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34 Other — Specify 42 [7 Public or private company 50. Total land area, sq. ft. ........... 430 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 th re be central air 52. Outdoors........................ 36 F-1 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY37F__j Electricity 44 0 Yes 45E] No 53. Number of b drooms..............38 F__j Coal 30F7Other— Specify Will there be an elevator? Full.......... 54. Number f 46 E] Yes 47 0 No bathrooms Partial....... IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, crty, and State ZIP code Tel. No. T. r So ryeOwneror Lessee 2. 1 Contractor 3. Architect or Engineer Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant AdJress Application date 00 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 is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS DtePermitorApprovaICheckObttaained Number By Permit or Approval Check Obtained 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 Permit numb r f Building Permit issued Building Permit Fee $ l7 Appr ed TITLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date No v. 2 7 19 8 4 Fee Paid $.6 .0 0 Eat. Value 9.0 0 Permit M _ 14180 . on the aide of Main Street Street No.657 Owner Richard Kasheta Applicant Cynthia B. Kasheta CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Wood stove/metal chimney f i BUILDING PERMIT N? 14180 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Nov. 27 1984 X#io 'to to Tertif-U, That Richard Kasheta is hereby granted permission to Install wood burning stove/metal ehimn y at estimated value of $ 1,0 0 0 on the side of 657 Main Street on land owned by Richard Kasheta Said Work to be as described in Application No.14 4 8 0 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WIMSOR. Issued Nov. 27 104 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 r 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" 9034 ELECTRICAL APPLICATION Application No. 10549 on the side of Peach Tree Lane Street Street No. I o e-,m i c- L- Owner S"o011_ k—ea w--9 e Electrician &&A= Av_1C_VY :c. _drp^_ FILED IN OFFICE OF The Building Inspector L Dec. 20 19 85 i J INSPECTION. n r u s m No Electrical Work shall be started until a Per- 3 mit is granted by the Building Inspector. l 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. ....'^3L, Master License No. Jo.q.s. ................... TOWN OF SOUTH WINDSOR Building Permit No. .......Al`xe.. ......................... BUILDING DEPARTMENT Date Filed f ...r..................................... Date Final Approval ................................................. APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION: /.f K c^c_... ..I /' ......... JOB OWNER:C: . .^-.......VCfty:!15 ..................... Side of .. Between ............ ............ ................................ ...... and ................................................................................. Name of Building Owner ,,,''(Le. cr.xs.r. ............. . ......... Address ..19...... c:7....... 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 work included in a Building Permit? Permit Fee ............... ...................... ..... ........................................................................_..... If no Building Permit) Permittee Business Address .... Telephone COST OF INSTALLATION: 1 -!' ' , ? -........... TO BE FILLED OUT BY PERMITTEE TO BE WIRED I 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 Water Heater Number of appliances to be installed as listed below) Dryer Air Conditioner Oil Burner TYPE RATING NO. Dish Washer Gas Burner Range . . . • • • • • Well Pump Elec. Heaters Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater C,1S Clothes Washer T- 2 Clothes Dryer . . . . . Dish Washer . . . . . . Air Conditioning Motor .su-se-s- Oil Burner Motor . . . . Gas Burner r c_c;t Circulator Motor . . . . Attic or Large Fan , , , Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . Number of new Lighting Circuits . . . . ....._.....1........_..... Number of new Appliance Circuits . . . ..........0._........... Number of Heating Circuits . . . . . . ............................ Number of Motor Circuits . Size of present service .............1..®e^%-4* Size of service to be ..........................................._........................_........._ 9527 ELECTRICAL APPLICATION Application No. 11038 on the sick of Peach Tree Lane Street Street No. Q P64C 4 TRe X4n Q— kQs;kOwncr Electrician RENC-E Ij.-e—CrK1 c., FILED IN OFFICE OF The Building Inspector Jan. 13 1987 INSPECTION. 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-/................ Master License No. .....Z4?.-'l ./............ TOWN OF SOUTH WINDSOR Building Permit No. ....... ........................... BUILDING DEPARTMENT Date Filed ...............I--A---...z',................................. Date Final Approval .................................................. APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION. .19 Pzoc q...7 f.e, kan e,JOB OWNER: ....Ko R4S 1 ........................................................................... Sideof .. .. ... ... ............... ........ Between ........... ............................................................... and ................................................................................. Nameof Building Owner Address .. .4Q.ni...e............................................................................ Ifwork is for Lessee—Give name ... ..... ... .......... ................ ................ .. . ... Address ................................................................................................. Re-sl elent,64,Building now occupied as (unless new) . ................ ........!......... .. .. ................. .......... No. of family units now ...4'. Building to be occupied as .......... ... .... .......... .. . ....... .............. .... .......... ......... ........ Number of family units to be .................................. Is this work included in a Building Permit? ... WP... ...... Permit Fee ................ ............................................................................................................ If no Building Permit) Permittee Business Address 4-PY...45e#1 C-QJ C.77........Pg.— Telephone .4e.1 COSTOF INSTALLATION: 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 Water Heater Number of appliances to be installed . . . ...... ................. as listed below) Dryer (3 Air Conditioner E] Oil Burner TYPE RATING NO. Dish Washer Gas Burner Range . . . . . . . . Well Pump Elec. Heaters Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater don-, Q?e-d Clothes Washer . . . .bj a 13 A J- Clothes Dryer . . . . . Dish Washer . . . . . . Air Conditioning Motor . Oil Burner Motor . . . . Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan , , , Well Pump . . . . . . e 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 .......................................... .............. DEP.,RTMENT DECISION PERNUT# APPLICATION FOR HVAC PERMIT 10IRR It Application is hcrebN TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg APPROVED 1540 SULLIVAN AVENUE L P" 644-2511 ext. 230 Date Iding Inspector Application must be printed or typed Location ofjob e A P14t.reet No. Street Lot No.F.FEE SCHEDULE Floor Apt. No. 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER or any fraction thereof ADDRESS Z4i1 OWNERS PHONE# z7 C/ APPLICANT St ADDRESS 4 500f 4Q LkL o W ESTIMATED COST S IS THIS A CONTRACT COST 9 YES NO FEE ENCLOSED $ OR,CO ME OF JOB: Original Installation Alteration/Addition Repair Rzvrised 11/95 APPLICATION FOR HV'rc. M'PMIT(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 F INSIDE F DIFFERENCE F TOTAL HEAT LOSS(BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL 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 (INCL ING MAKE&MODEL NO.) r 0 n JI h nk IV& TONNAGE O COOLING CAPACITY(BTUH) cflr 600 VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK _TAA#11`7 0,1 AP,10 1'PAJAal aer016AAitA -1 Whom 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. 302 77y S ZA z lvle STATE LICENSE-NO. NAME&TYPE SleRATURE OF APPLICANT PHONE NO. DATE 8 N11ME p A fjr I,OCATION fq ppljfI1 T // lpIG CITY 1 d f ZIP PHONE f7)O DIMENSIONS OUTSIDE GLASS DOORS DIRECTION ROOM L W H WALLS DIRECTION DIRECTION HOUSESIZETYPE if( Aer\Tp.7 IgS Al Lm 14 J`bb M Gj x Lo I CJ ONSTRUCTION y SULATION WALLS- 3v CEILING- FLOORS- a -": - - .-• a e —-. —+z e-' -EY'Tlc +4M1-•rt ww c..- .-ash—--"—_-• _: C a;-v ar- `ii INSPECTORS P'4 DATE !' TIME S F f LOCATION f c INSPECTION: CODE: RESULT(D/A) : 4j BUILDING: i t r f ELECTRICAL: PLUMBING: E HVAC: E F f OTHER: I I f f r f E G