HomeMy WebLinkAbout196 Margaret Drivec1a)
TO THE B ING INSPECTOR
rvf'of d,e APPLICATION FOR
PLAN EXAMINATIONTO" (W AND
BUILDING PERMIT
zIMPORTANT — Applica0tjo complete all items in sections: 1, It, III, IV, and IX.O
ZONINGLAT (LOCATION) Z70 DISTRICT
LOCATION
I (NO.) STR ET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
SUBDIVISION LOT/_49 L BLOCK SIOEeer669j
7-// x mod,e.`9
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'jj;,New building Residential Nonresidential
2 Addition(1/residential, enter number 12;Eq-One family 18 Amusement, recreational
o/new housing units added, i/any,
in Past D, 13)13 Two or more family - Enter 19 Church, other religi us
3 Alteration (See 2 above)
number o/units— — — — --lo- 20 Industrial
14 Transient hotel, motel, 21 parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (1/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, professional
6 Moving (relocation)
17 Other — Speci/y 25 Public utility
7 Foundation only 26 School, library, other ducational
B. OWNERSHIP 27 Stores, mercantile
8 EA Private(individual, corporation,
28 Tanks, towersEAnonprofitinstitution, etc.) 29 Other — Specify
9 Public (F deral, State, or
I cal 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 f improvement,,,,,,,,,,,,,,, o 0 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.........i
d. Other(elevator, ete.). ........
L 77"
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 Masonry(wall bearing) J' Public or private company
48• Number of stories................
31W d from* 41 Private(septic tank, etc.)
Total square feet floor area,
all floors, based on exterior
32 Structural steel dimensions .................... ( /
33 R inforced concrete H. TYPE OF WATER SUPPLY
34 Oth r — Specify 42 Public or private company
Total land area, sq.ft. ........... ,7
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35:6Gas Will there be central air 52. Outdoors.......................
36 Oil conditioning?L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 441;!§,Yes 45 N 53. Number f b dr ms.............. 1
38 C al
39 Oth r— Specify WI II there be an I vat r?
54. Number f
Full..........
46 Yes 47 bathrooms
Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION - T b complet d by all applicants
Nam Mailing address — Number, street, city, and State ZIP cod Tel. No.
J.M. J. COnstruct on Co . 626 Ellington Road 06074 28-6054owneror
Lessee South Windsor , Ct .
2. Same
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signat r of applica Address Application dot
626 Ellington Road, So .Windsor April 28-8
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans R vi w R uired Check Plan Review Date Plans B Date Plans B NotesqFeeStartedyApprovedY
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
P rmit or ApprovalI Check Date Number B Permit or ApprovalI 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
Permit number 11173
Bui Iding
Permit issued _ lei; 2 1923
Bui Iding I Lf OaPermitFee $7 7
3,0o C) ,
L1`7-00 Ap ove b
i
TITL
NOTESVill. ZONING PLAN EXAMINERS
DISTRICT
FRONT YAR
IX. SITE OR •T PLAN For Applicant
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date &y 2 19 83
Fee Paid $.4.14..00 Est. Value $69 i 000.00
Permit N° 13173
on the side of
Lot #143 Margaret Dr, Sty
Street No.196
Owner JMJ Construction
Applicant Jean Marc dacaLe s
CERTIFICATE OF OCCUPANCY ISSUED:
Date
Noh l-12
Fee Paid $ 3.0_
CLASSIFICATION
Dwelling
BLMDM PBRMTr
oMcB of
N° 131'73
THE BUILDING INSPECTOR
of 60
Town of South Windsor, Conn.
South Wmd:or, Conn.MaT2 W3
94is is to Certft, That
is hereby granted permission to Dwe 1 l i ng
at estimated value of
on the side of Lot #143 MA rga re t nr ime Street on land
owned by JMJ Construction Co.
SaidWork to be as described in Application
No13473 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued May 2 93.
y , Building 1"Ctor-
Streets and sidewalks, obstructed by ezcavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall p6m
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,
t wn or borough all cats and damages which it shall sustain, or be compelled to reason therefor."
INSPECTION EPORT
Permit #3 Jo 4&...e
1 Footing
2 Foundation
3 Framing
4 Wiring -S
5 Plumbing
6 Heating
7 Lathing
s C.0. ZT,3Z
13
Permit No, - l- TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit 6332
Certificate of Occupancy
qp
THIS TO CERTIFY that the
at No. s w" ' -;e in the of South Windsor, Connecticut, has
been erected and complOed in accordance with the ruilkrAg Code and Zoning Regulations of
the Town of South Windsor, and is hereby appr ved f o cupancy.
S
Building Inspector
fJ Owner, Builder
l
Fee Paid Date 19
1
P
1,3
amino 19 Hyyppa.lc Associates
Clvg Eaq,hwm
Glastonbury, Contecticut
NIF PLEA$AMT `/ALLEY NOME5- j
EC.Tio, m -5
c C o rL.6' 1' C ——
t
f
3
9
0 A
44 V-
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a 4
I,S
Pv
lieL. 0.4
go
NQV6
IGO
1.10 NCa V d..AT o JS S0, `
pOTae Lot 1!,>tws from snp an file in
Tom Cleft's Office entitled, "P1*t P'laon
Saotiaa -1 Pleasant V ally RON" A%
South Windear p Cain."
9oalo 1"• 401 Dab
yAp X 220.76 -IT RwW by R e i no E.
Nyyppa 1 Associates Glastonbury, CT.
pPEPAR E O FOR
I hwe by certify thit this map and survey were pmW*d ir e PLEA 5 A N T V A L L E Y W O V E5
accordance with the standards of a Class A-2 survey as defined
in the editing Code of Pra^tice for Standards of Accuracy of 50 U T N W 1 N DSO R, CON N
wrv*ys and Maps, adopted by the CoonecbctA Atsocistion of
5CALE 1•s 40' D A rP- 4- %S-83
Laid SulveYOM kC.
43-"Iq- 14.
rE
SIG..
7958
ELECTRICAL APPLICATION
Application No. 9069
on the side of
Lot #143 Mauaret Drive Street
Street No. _ 196
JMJ Construction Co.
Owner R*wk is
Electrician Richard Barrett
FILED IN OFFICE OF
The Building Inspector
May 2.3 19 83
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.
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK.
No. . 906.9.... .... ......
Permit No. . . 9.5.8.. ..... .. .
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
herebymake application tct perform Electr cal Work according to detailed description below. AllPPPgP
provisions of the Rules for Electrical Installation, Section 48, Buildi By-Laws, shall be complied with
whether specified herein or not.
1 G .'South Windsor, Conn., 19(Zlgn here
Address
Location v. . Side of
Nature of Building. . . ... How many stories ... ...................... ........ ............................... ................
New or old Building How many families .. ........................ ...................................... ... .........
Kind of Installation ...Ae-V ... .. .. .. . . ..How many Stores ..............................................:.........................
Owner Y ..4 :.. .. .................... ....._... . Address ....... t. .... ^_.._.....
ArchitectAddress
1 ' L
Builder Address
VSElectricianAddsska17SizeofMainWires ..U
No. of Light Loops . .. . .....No. of Heat Loops . No. of Power Loops .........................
No. of Light Outlets ............. No. of Heat Outlets . . No. of Power Outlets ................. ...........
NoP 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 ... ..
I... `...t .............r
Estimated Cost .... .. I/.V. ........ ......
6152
PLUMBING APPLICATK)N
Application Noy 6931
an du side of
LQ.t..-.#-IA3- Mar&are t Dr. s-
Sawt No. 196
ow= . JMJ Constr. Co.
plumber So.Wind, Plb. & Htg,
Filed in Office of
The BdIdiog Lrperaor
June 1-
EN Ru U rnw.
No Faison" aoravct, am 0 CW alder MW
portion of the drainage system of any boWn
coceM to rqx& 66) until a Pe is gcosed
by the Budding Lopeaw.
Application No. Permit N
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application to perform plumbing according to detailed description below. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether
specified herein or not.
South Windsor, M.y..... ... czr 19 &3. sign here ....
Address .../.fr......./1
Location side of ....117 street
Nature of Building rj.J_441J f................... How many stones
6...........
4-
n 6Co...................Addres, .....4 . .... & r Z0 .........d. ..Owner ........
Architect ....... Address
Builder . .................. I........... Address . ......... .. . ..... ...................... .................................. ..........
Plumber so V/.......................... Address A 4*.....
DRAINAGE
CESSPOOLS, How many Where located ..................... ........................................................................
Are they water tight Of what materials are they built .. ................ ..... .. .. ................
Size of pipe from house to cesspool Kind of pipe . .. . .. .............................................................................
MAIN DRAIN IN CELLAR, Material Diameter ....... ...o4.......................................................................................
Above or below cellar bottom . .....
SOIL PIPES, Material - A f$-7-.. -.AKJ rl-.,e... ... ........ Diameter zxy...........
WASTE PIPES, Material M ..10104dri.7.
c .... ..... Diameter ........./. y............3...................................................................
TRAPS,Type proposed to use is . . . ............
RAIN WATER LEADERS, where do they run to .. . .. .. ...................................................................................................................
REFRIGERATOR WASTES, where do they run to .. .. ................................................................................................. ..............................
TANK OVERFLOWS, where do they run to I .. ............ ........................................................................................................
FIXTURES
WATER CLOSETS, How many ... ............3........ . ......... Where located ... . .. F/v...e::..................................
Distance from trap to vertical soil pipe ................... ................ Pattern
WASH TRAYS, How many . . .... .................................. Where located . . .. ........ .............. ...............................................
SINKS, How many ........ ......... ................................. ............................. Where located . . .......
BUTLER'S SINKS, How many ........................................................ Where located... ...............................................................................................
REFRIGERATOR SINKS, How many .. ................................... Where located ................................................................................................
3LAVATORIES, How many .... ........................... ................ Where located .............................I.......................................
4)-BATH TUBS, How many..................................... Where located ..............r .......1",
URINALS, How many ..... Where located .......................................
Are water closets and urinals to be local vented ye If not, is there a window in outer wall
of room where same are to be located ...-- Ye j. . ........... ................................................................................................................
Estimated Cost
Heat
loss
schedule
must
be
complete
for
all
jobs.
System
guaranteed
to
heat.
all
rooms
to
800
in
zero
weather.
Dwellings
exceeding
1260
sq.
ft.
to
be
heated
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have
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more
zones
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by
separate
thermostats.o
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APPLICATION FOR HEATING PERMIT (Continued it m Reverse Side)
66 `>>
11. LOCATION OF JOB
N0. STREET FL
12. TYPE OF INSTALLATION: OOILBURNER ELECTRIC Cl VENTILATION SPRINKLER
U GAS BURNER STACK INCINERATOR S_MISCELLANEOUS/ P'fo
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. 28"' - B.T.U. OR SQ. FT. NET—B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING N.0 v INSULATED — YES OR NO S
TYPE OF WALL 110414 INSULATION L'5 ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE -76' D FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. O R B.T.U. f 4 4•dl- Ind'-1 .3 CY po 3 '-/
DESCRIPTION OF WORK G4 J4`f e 7,
15. TO BE DONE:
4cel- y Cf17C/
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
WINDOWS B.T.U. B.T.U.D DISTRIBUTION INSTALLEDROOMSIZEAND000as
AREA — SQUARE FEET VOLUME TOTAL TOTAL N LL
ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j I- RAD.
REGISTER
p F TYPE AND SIZE OR LEADER
L W N AND 6
SIZE < WALL 'Ltd INFILT.) TD FAIFP. V F O F NO SQ. FT. FREE AREA
f F m
22-2 zy v(z 6-7 2 0 Z
w , l 3 3
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TOTALSI i po 7 U
A. HEAT LOSS FROM BUILDING G 7 L) 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:
NAM[ ADDRESS
SUBCONTRACTORS AND
1a. 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. JL4(y 17 /cj
DATE bIGNATIJR[ OF LICANT
Heat
loss
schedule
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all
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all
rooms
to
800
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weather.
Dwellings
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1200
sq.
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to
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heated
shall
have
two
or
more
zones
controlled
by
separate
thermostats.
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APPLICATION FOR HEATING PERMIT (Continued tr m Reverse Side)
11. LOCATION OF JOB Z( G P 4-G.,l / lU
NO. STREET FLOOR AFT.NO.
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER
ff'GAS BURNER STACK INCINERATOR LJ MISCELLANEOUS 1411'-
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. e?' AT BONNET 1J 16-' FIRING RATE gG S
BOILER OR FURNACE MADE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE
FLOORS TO BE HEATED NEW OR OLD BUILDING /' INSULATED — YES OR NO ZeJ
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION
AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 719 c
FAHRENHEIT
MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U.
DESCR
15. TO BE NE:
IDOION OF WORK S f'l/ <<,l -4rrcv nr
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
ROOM SIZE WINDOWS AREA - SQUARE FEET 8.T.U. e.T.U. I,-DISTRIBUTION INSTALLEDANODOORSVOLUMETOTALTOTALq
ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j,
IL
L W N AND TEMP. TO < a
TYPE AND SIZE RAD' OR LEADER
SIZE < WALL
f'ftc INFILT.)
DIFF. F O SQ. FT. FREE AREA
IZ b z Zv16 Y 6 Ito ()
1 Zv 1 I&LtL
nl !z ry y 7-Y LL'K 3v -7z0u
1 A 1) t q Y, 30 2zc I I r s vUU
Ar 21 ct 7 k j Z l( 26ro
dG/-t? 6 b' l c 2/6 U
zv 7 720
TOTALS 2 v
A. HEAT LOSS FROM BUILDING
L(Z Y B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING. OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY:
NAME ADDRESS
SUBCONTRACTORS AND
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. ?
N r 12 (9 -
DATE SIGNATURE OF LICANT
Electric# ' l S 0 196 DRIVE -
ICATION FOR BUILDING PERMIT
Plumbing# /OSCoF5'
14199HVAC # 26679 Dot
Sprinkler# NO'
FINAL APPROVALS Estimated Cost sAL4w-
Building COMPLETE RED BOXED AREAS Permit Fee 572
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDES'
Appr.for CO. FITotal Fee 51-1,`1,7
TO BUILDING DEPARTMENT,TOWN OF SOUTH Wt DSOR,Cr Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location t 1 7 nvc, Lot No. Side of Street Zone
Applicant ( ,ma Lac Tel#6 - 9-7 We,.1le Y
Addr ss Mc.r ci b so r. C'rt- Zip U yaYS Lic.# 5 57-Z GCI
Own r ';\ rug. Iytx,1 Address l ct to Y Ac s-4a rc-` - S• ,. S'r .
Architect Address
Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: k4 V Z2/ 4.-o je c kA- r'tar off'" tLvc, eisi-it, Gvwe-.
Water ell Septic System Sewer
Ins. H.O. Cert. Area I I Basement Garage
Approved by Date It 115Use Group RA Construction Type
Revied 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 which this building and its use is allowed.
Signed-L)A/415A
v '
I hereby apply for a Certificate of Occu y for the work described in this application for the permit.
Signed LL.C—
DO NOT JITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment,
99-26679-B 43,400
B01 FOOTING 12/28/99 DCJ A
B02 FOUNDATION 01/03/00 JFF A NOTIFIED OWNER
B03 FRAMING (ROUGH) 03/21/00 DCJ A ADD DRAFT STOPS
E03 ROUGH 03/21/00 DCJ A
B04 INSULATION 03/24/00 DCJ A
PO4 GAS TEST 03/29/00 JRC A RELOCATED GAS MAIN
B10 FINAL 05/08/00 DCJ A
B10 FINAL 05/10/00 JRC A CLOSED OUT.
99-16588-E 1,000
maim z yppa/
3M
k A saociaftt
Civil Engineers
Gla stonbu y, Connecticut
41F PLEASAvAT `fALLEY N MES-
ECT1'0m -5
ca .4 '
q q
o s OF--
vim, r: ,,,..Y,•t j. _,
Nc ,t•4'0,Vt
30 Q
o
c4*
pw.• L-bC AT EG p `S w... S-2 L-FS' r.. ^`''-. R, ?'
JM t Lot lints frame map an file In
row Cleft's Office entitled, "Plot Plan
Sectim -t P'1 aamt Valley Hai"
South Windsor, Conn."
9aale P= h0l Date la-co-93 Z A-20 MON E
YAp No 220-76 -IT Rove by R e 1 n o E.
Hyyppa A Associates Glastonbury, CT.
PPFPAi?EO FOR
i htreby cefify th i t this mao and survey were prepared 1r i PLEASANT' VALLEY u O M ES
woordance with the standards of a Class A-2 survey as defined
n the existing Code of Pro--lice for Standards of Accuracy of 50 UTi4 W i NOSOR, CON N
knm" and Maps, adopted by the Connecticut Aaociahm of
Ild aitlMy Of'i InG. SGAI.E 1..s. p ATe e_ ,6-83
r
43-1c- 143
1•y
41
t 1
o a toter of WAN IMM
rnM Ali bile NAM oft lfr
copses of NW 001111111111111111111`BMWs M .IIM1.M.M IP OW
ereated at-
4 to th»e•
togethw with stalk- In apptbstlon an
ilcd with plan and 1 apM to comply whk all zoning•
duilding and state laws and such orders as shall L.
sued by the G~ng Ciepartlr+eet during pendenc-
f this epplleatiow and flMl lawanoe of a buildini
permit.
Signed i/ I1 =2(!/`K L iCihisplanIsaporoveisa4eottothe 'Condition th'
orders and ordinspess nplaMtg Wirl'ag shall br
compked with.
Conditionally Approved lbws fQed with
J3tl6lding 1Mpaaf l7iaMt
ti
3pa y.
g Ent- : : cer
2Zx I
DERTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT#
plication is hereby:TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230 g
Btu g Inspector
Application must be printed or typed
Fo
EE SCHEDULE
Location of Job:
9 1 1HRG.ii eT -P i
1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
ny fraction thereof Tenant Designation Apt.No.
APPLICANT L- 1 j} F- Al )`l
APPLICANT ADDRESS t C1 O W A A I+K E- T D A, V E
SOUTP w IAIL) 5 091 01, 1 L0760`7
APPLICANT PHONE# off. `0 3 C/
N00004f*10* 3 OWNER F.5 .• /f/t .
q< OWNER ADDRESS O j
fLISoV -a D o
OWNER PHONE pZ cf>C/
ESTIMATED COST$
IS THIS A CONTRACT COST?. 0 Yes KNo
FEE ENCLOSED$
TYPE OF JOB:
S0R.CO 0 New Installation
XAlteration/Addition/Repair Revised 8/99
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
OfBUILDING PERMIT APPLICATION? YES NO
RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY C IV " I XI L
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY S t 1---
EDUCATIONAL i
VINSTITUTIONALENGINEER'S NAME fi PHONE
FACTORY
STORAGE ADDRESS
GARAGE
MIXED USE CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES XN0
NUMBER OF LIGHT CIRCUITS / NUMBER OF POWER CIRCUITS 3
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS C}
NUMBER OF A/C CIRCUITS_ C2_
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.
1XzI
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby:TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROD 1540 SULLIVAN AVENUE Bldg.Permit#
4--)-51 06 A k.C_ 644-2511 ext. 230 o2 6(7?
ate Building Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Jo
IY(O f Gt r' Q
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 2c)
APP CANT ADDRESS o 6 X oZ 7
S1 U o n 6 C(i (2 0006
APPLICANT PHONE#
W N S OWNER rn r rx
OWNER ADDRESS Cl
OWNER PHONE
ESTIMATED COST$ d
U
IS THIS A CONTRACT COST? O Yes ®'No
oCJFEEENCLOSED$ 13,a
TYPE OF JOB:
OR*CO
New Installation
lteration/Addition/Repair Revised 8/99
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPL CATION? YES NO
SIDENT'IAL
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY PS
EDUCATIONAL
INSTITUTIONAL ENGINEER'S NAME PHONE
FACTORY
STORAGE ADDRESS
GARAGE
MIXED USE CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION f N U 42- G C1 6 /fi d( Q SIZE OF MAIN DRAIN
NO.OF TOILETS STYLE NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES
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 WINDOW YES NO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE MANUFACTURER
DESCRIPTION OF ORK
S c)-- y C,cj eo C
k4-) ffilp L6c-clk- Lul-k
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.
P-o `/W 7 c -
CONTRACTORS LIC,ENSE NO. TYPE ST7L-;SIGNATURE OF APPLICANT d/ DATE 3 G O