HomeMy WebLinkAbout20 Oak Street5569
8 9 167 r6 9ApplicationNo. c.q. Permit No. .PP f
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
j....... . hereby make application for a permit to (erecter a building according
t the following detailed statement of the specifications and plans herewith submitted. (Draw a line through
w rd "erect" or words "make alteration to" as the case may require.)
All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu-
tion of this work whether specified herein or not.
South Windsor, Conn.,
Signhere_-4Z... ............................................................................ .._...........
Address1.k............ ........ .... ........
Location? .( 7.......side of?
Nearest cross street. .. lf 1..............................Street No. ................................................... Lot No.t
Owner of land is? r. Address t of .. ...... !i .... . ............
Owner of building is? /,1,..... .. Address A4........ ............... ..... ...
Architectis? .. ... ............... . ................................................... ......................Address ........................ ......................................................
Builder is. ,-...... . ......Lee.. . ...................Addres:f.f......... . .. .
9 imensions of building? Fat front? .....,`,7 ....... poet rear? .. ........... Feet dew? .. ..1-` -z
Extreme height to highest point of roof? ,2..Ii ...4;....... .. .. .. . . . No. of atone:in height? . ........ .. . ..
Purpose of building is? R_ea,& .. No. of stores? . . ........................................................................
Howmany families? No. of rooms? ...........................................................................................
Distance from street line is? ... from building line is? ... . ...... ..... ..................................................
ADDITIONS AND ALTERATIONS
Give Brief Description)
A.A...•.M. w.. '
ND01UED......BY......SA NITARY. ....4DFF1CFR
Map No WITM TOWN OF
1ACCORDANCET1CS ORDI MO 6
SANITARY 0-MICIP.
If of steel frame, what is exterior construction?
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
16. per square foot.
See Section 14, Budding By-Laws.)
BRICK CONSTRUCTION.
Of what material will walls be constructed? ... ......... .. ..... ... . ........ .... ........................ ... ....... ................ ...............
Compositionof mortar? .................. .................................................. ................................................. ... ......... .. ..... ... ....
Height and Thickness of Walls
Relcht stories Front Waft Side Walls Rear Walls Partition Walls
Basement,
I................................................. ................................... ....
1st Story
2nd "
3rd "
I. .......
4th Is
5th 11
6th Is
I...............................................................................................................................
7th 'A
8th 'd
I.. .... ......I ............ ... .. .................. .... .................... ......................
9th 'd
10th
Material.of Front? If stone, what kind?
Thickness of Ashlar? Thickness of Backing?
Backed up with what? I Arches or lintels over openings?
Wes CONSTRU ON.
Give Sise, IAmgoA Span and Between Contra*, of Job,Gk&n and
J0ZM 8 OOLUffi
Ftonrs 8iss Kest ftm Nees ReNowft On L=gedBpoa Centres BNs Law* Ca*"
moor
y2nd' "
4. ......, ...__...... ., ...... ...1..,!, .. ..
2x,6 laC. ..._..
Size of outside studs? Distance on centres? ......./.,6................................. Size of sill?
Size of rafters? Distance on centres?...........Size of plate? ...........r.. --C ... ...
Size of ledgers or girts? ...............................................................................Size of deck rafters? ..................................................................... ...............
Distance on centres? ........................................................................................Size of studs in bearing partitions? ........Q"'? -.............
MISCELLANEOUS
Style of roo flat pitch,Mansard or hi jtyLffp . f pped. .,r..r.............. ................................... Fireplaces? L................................
Material of roof covering? .. ........ . Material of Cornice? ...Gt,. .. . (". ,............................
How is building heated? f . ... f us...Lining of flues? ... ... ... y............I ....x../ .........
u
Thickness of shell of flues? .....JI............................................................... elevators or lifts? ............................................................ ......................
What kind? . How many? ......... ... Any ho' ? ......
How protected? ............ ... ......................................................... .. ..............Total Value of Building ....,. /. ... .........................................
When will work be commenced? j. ...... I................
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this
application, conforms to the zoning regulations of the Town of South Windsor.
Applicant
5569
BUILDING APPLICATION
ApplicationNo. .....
5839...................................................................
onthe side of
Street.
StreetNO, . ... ........ . . . ............... .....................
7
Owner 1 1r ...j....... 0-j .
Applicant
CLASSIFICATION
Dwelling 24tx361
Permit issued on above Application.
1-11-66
Date, . ...
v
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date March 11,, 19 66
92.00 3,00FeePaid $. . . . . . Est. Value $2 3,
Reeld. Septio Payment — $20.00 s
Permi N° .5569
on the N/E aide of
t t
Oak St, Street
i Street No.- 2D
Owner Seymour Rothenberg
Applicant 1 Nowak
1 CERTIFICATE OF OCCUPANCY ISSUED:
i
Date
No. 3 280
Fee Paid s 3-00
CLASSIFICATION m;
Dwelling — 24 x 36
J
r
BUILDING PERMIT
N? 5569
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. -March 13— 19 66
94io to to Terfif1j.9 That Al Nowak
is hereby granted permission to e r a e t dve 111 n5% -, 1 x 361_=t Mtory
at estimated value of
on the NAM side of Oak At_r e e t Street on land
owned by
Said work to be as described in Application
No. 5839and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Mooch 119 19 66
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."
i
I
Permit No.TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
I
I
Permit N° 3280
Certificate of Occupancy
THIS IS TO CERTIFY that the
at No.,01 in the wn of 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 for occup cy.
g
Ydilding Inspector
Owner, Builder
I
Fee Paid Date 17, 19
1
f r`''°!t^'•"}'pL,. 3J`" Y, x ;b•..Sx 3 . ,r:a °k".;
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1• R
3392
PLUMBING APPUCATION
3181
on the...
NE..._..
Oak St. Suet
Street No.
Al Nowak (S.Rothenberg)Owner .. ....
Plumber James D 'Agata
Filed in Office of
The &Arft
4-14-66 19-
0 INC22M.
No pemon AA cwsmi add w cor abet any
portion of the drainage symm of any bwl&og
mmpt to repair leaks) until a Peank is pauftd
by the Building Inspector.
q ,
Application No. No. ....Permit 3.. 3923181
I.............................
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, . .. .... ........ ... .. l 19 X'/ Sign here I..... ... ......
Address ..... Y.; wV.C*?_-4
Location side of Street
Natureof Building How many stories .
Owner ........... ........................................ .. .......................................... ....... Address ... . ........ .. . .... .................. ........ ...... . ....................................
Architect ............................................................................................................... Address ........ ............... ....... .............. ....... ...... ................. ....................
7> 4 vlrBuilder ... Address .......
Plumber ... .... ............. ........Address .......Z ek 6.... ................ .... ........... ......................46..5.M'......................................
DRAINAGE
CESSPOOLS, How many . .... ................................. ............... . Where located
Are they water tight Of what materials are they built .......e
Size of pipe from house to Kind of pipe
MAIN DRAIN IN CELLAR, Material -,-_A zlDiameter .......V-14. .......................... ... ......... ........ .. .....
Aboveor below cellar bottom I...... .. .. .. .... ...........1.11...................................................................................................
SOIL PIPES, Material Diameter .. .......
WASTE PIPES, Material Diameter ........9..
TRAPS,Type proposed to use i
RAIN WATER LEADERS, where do they run to
I............................................................ ......
I................ ............
REFRIGERATOR WASTES, where do they run to .. .......... -............................................ . ... ... ........ ........ ...............................
TANK OVERFLOWS, where do they run to
FIXTURES
WATER CLOSETS, How many ........... Where located ....44...
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 . ... . ... .........
LAVATORIES, How many ......... ....... ................................. Where located
BATH TUBS, How many ... ...... ...'./.................................... Where located
URINALS, How many ............... ... .. ........... ...... ..... .. .. Where located . ........................................................................................
Are water closets and urinals to be local vented If not, is there a window in outer wall
of room where same are to be located ...
0 ( ,-
Estimated Cost I. .............
2017
OIL BURNER
OR
FUEL STORAGE APPLICATION
Application No. 2028 Permit No. 2017
on the N/E side of
Oak St. Street
Street No.
Owner Al Nowak (S.Rothanberg)
Application James D IAgata j
CLASSIFICATION
Wayne OEMP98
Permit Issued on Above Application
Date 4-18-66
19
Fee Paid $ Permit #5569
TOWN OF SOUTH WINDSOR
APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS
EQUIPMENT AND TANKS
PERMIT N . 2017 DATE
The undersigned hereby applies for a permit for the installation of range and fuel oil burners, equipment and
tanks of the following description:
Address rP/ 1st floor 2nd floor 3rd floor
Character of Building: Frame vl' Brick
Owner of Burner .5 Owner of Building
Lessee or Tenant
RANGE BURNERS
Capacity of Tank at Range in cellar outside
Name of Range Burner Purchased from
POWER BURNERS
Name of Fuel Oil Burner___ Model Number /
Purchased from c---, /t-(» L.l`f u i2!W t I KJ fo ss
Name of Tank L/ l d O A) IZ cauge of Tank
Where is Tank Located_—Size of Tank o`
Size of Motor 6 9 Size of Wire _
Will other heating equipment be installed?
If so, by whom —__
Name of Party Making Installation
Address—
Electrician
Address
Signed APPLICANT
All provisions of Ordinances of this Town Regulating Oil Burner Equipment an uel Storage (Sections 1-23 in-
clusive) and Underwriters' Code applicable to the subject matter of same shall be complied with in execution of this
work whether specified herein, or not.
FPermlit on for Permit received 4'-18-6 6 and
Estimated Cost _' 2017 4.-18-66
o.issued
Permit Fee Paid _-Permit #5569 Approve
IL NG Y CTO
3869
ELECTRICAL APPLICATION
ApplicationNo. -.417D................................................................
on the.......
N/E.. . . ........ ...... . ........ . .. side of
Oak St
I ..... .... Street
Street No.
Owner Al Nowak. ( S.R.othe.nb.erg.) ..
Electrician J.Cof iel.l ..
FILED IN OFFICE OF
The Building Inspector
4-27-66
19
INSPECTION.
ArNo 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.
n,'
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK.
4170No. .. ... .. .
Permit No. 3869
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
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 complied with
whether specified herein or not.
South Windsor, Conn., ..... 19 G Sign here \J... . ... '..1. . . .. . .. . .
AddressA6 ..
Location ....... Side of ..... .
Natureof Building ...... ... . . . . . .. . ..... ... ..... . . How many stories . .. . . ... ....... ........... ............................... .................
Newor oId Building ........ 'r....... ......•....• • • •• • How many families ............. ..............................................................................
Kind of Installation ...... "`4. . ... .. ... ... . How many Stores ....................... ......... ................................................................
Owner
1
Address .. ............. .... ... .................................................................. ..............
Architect . ....... ....... ... Address
Builder s Address
Electrician c}...u3.... Address
Size of Main Wires .. ..'....................................
No. of Light Loops ... . .. .. No. of Heat Loops .. . No. of Power Loops ............
No. of Light Outlets . .a No, of Heat Outlets No. of Power Outlets ......y
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 .. ......c'..l. .... ..Total Wattage ... ....... Size of Power Circuit ..
Total Horsepower
No. of Straight Electric Fixtures .. . . No. of Combination Fixtures ..
No. of Receptacles ........ .... .J... . .. No. of Cord Drops . . ..... .. ... . .......... .. ..........
Remarks: For other kind of Installation .. . .............. .... ................ .. . ............. ... ... . .
Estimated Cost ...
PERMIT #
ppkcation For-4-J, 3 197dDEPARTMENTDECISION1
al 3419 Heating Permit
APPLICATION IS HEREBY:
0 NTDEPARTME OF LICENSES AND INSPECTION
N 1) APPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
o cd 4-18-66 1 -
DATE CHI 1 Sr cTjc APPLOCAT1ONs MUST BE PRHITED OR TYPED. BEa1N wmI "unman O"
a
o JI LocAnoN OF Jos
C)
0
4-3 44s I
cd 9 NO.
C/1
LOT NO. FLOOR AST. NO.
p
CZlN
O
r 2. BIER
S, k
cd o v
bra 0 S. ADDRESS
4j
4 4.PHONE
cd
S. APPLICANT
0 a. AonRESS
d -cis
ci'
7.PHONE
4-4
aJ S. LICENSE NO.
oa 6c44-4 B. 6PIRATION DATE OF LICENSE
a c 10. *MATED COST
m
z 11. IS THIS A CONTRACT COS" YESbA
Permit #5569
12. FEE ENCLOSED S
W 13. TYPE OF BUILDING:
RESIDENTIM. COMMERCIALo
crs 3 14. TYPE OF JOB: INDUSTRIAL
MIGINAL ALTER
INSTALLATION ADDITIOON
REPAIR
i
Continued fr m Reverse SideAPPLICATIONFORHEATINGPERMIT (
J/J
y
l '11. LOCATION OF JOB O
N0. STREET FLOOR APT. NO.
VENTILATION SPRINKLER12. TYPE OF INSTALLATION: OIL BURNER HEATING SYSTEM
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE JSIZE
13. OF TANK OC 7t OFCTANKN
w
OF FILL
f r
SIZE
OF VENT__
T`
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND AT BONNET FIRING RATE
z
BOILER OR FURNACE MAKE AND NO. B.T.0'*6R SQ. FT. NET r %.T.U. OR SQ. FT. GROSS FI RING RATE S-
FLOORS TO BE HEATED NEW OR OLD BUILDING_jg -" - INSULATED - YES OR NO
TYPE OF WALL INSU`I,AT10N ROOF OR CEILING .. ` INSULATION
AVG. SYSTEM WATER TEMP. Z - B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE e,I Z 'G FAHRENHEIT
MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR B.T.U.
DESCRIPTION OF WORK
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
R OM SIZE WINDOWS AREA - SQUARE FEET B.BT.U. .T.U.f DISTRIBUTION INSTALLED
AND DOORS VOLUME TOTAL TOTAL ul LL
ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED t j LL RAO. REGISTER
L W H AND E INFILT.) TEMP. TO I-F:Q, TYPE AND SIZE OR LEADER
ft
SIZE < WALL
F'Gt0 DIFF. F F m N REE AREA
7 7 2 s- .z s— /1-k 3 o
d u '
u y
qr iil
0 7L
s /a/ 90 019
s/o -3U0 7o0 3
2600
TOTALS
A. HEAT LOSS FROM BUILDING 61, B.T.U./HR.
B. DOMESTIC HOT WATER DEMAND 1222 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.
DATE SIGNATURE OF (CANT
PERMIT 1
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
7z,)
RO ED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
at 1 g"
11
Inspec or Application must be printed or typed
1 . LOCATION OF JOB
2a 6 41
FEE SCHEDULE No . Street
0 - $19000 - 10.00 Floor Apt. No.
Over $19000 - 10.00
2 . OWNER DW/per $1 ,000 or
fraction thereof
3. ADDRESS ajq'k ST-
4. APPLICANT Sf-or
5. ADDRESS
6, ESTIMATED COST $ d
7 . IS THIS A CONTRACT COST
do Yes N
8. FEE ENCLOSED
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installatt n
Alteration/Addition/Repair
Rn 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB_ 20 01-7-L/< S 7—
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION
13 . SIZE OF MAIN FEEDER le
14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS
20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS
22 . NO . OF POWER CIRCUITS 23 , NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS
26 . NO . OF PANELS 27 . TOTAL WATTAGE
28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES
30 . A/C LOAD 31. SIZE OF POWER FEEDERS
32 . NO . OF FIXTURES 33 . TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
z d
LICENSE NO .SIGNATURE OF APPLICAN/T / DATE
PHONE NUMBER:
INSPECTOR DATE
S
TIME
LOCATION
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL:
PLUMBING:
HVAC:
OTHER:
1.. ....q S '°',•'"1 1 1.:7T••1 ,.. • }••r e•.r..'r1'"`] 1 =y'.. ....,T ` 1,,:
T .r " •t . Y •. .•t ,' ll.t, , `• . fir ,+',.i ` r
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 20 OAK STREET
WAC # 25460 Date:
Sprinkler# NO'
FINAL PR Estimated Cost
Building COMPLETE RED BOXED AREAS Permit Fee
Engineer Occupancy Fee $TYPE OR PRINT ONLY
Affidarrt SIGN ON REVERSE SIDEAppr.for CO.Total Fee 0"
TO BUILDRqG DEPARTMEW,TOWN OF SOUTH WNDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location '9 T Lot No. Side of Street Zone
Applicant•' rcwi rAi2sirac.La n `` Tel. # 'SzAddress1l-C.40 n S+4-G Zip Lic. # 0 0
Owner GCFA Address 20 Ogk, S' -
Architect Address Sf 2-LyZ-
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit:we a u 4 u G Al F SO13
67 7M
City Water e Septic System Sewer
Ins. H.O. S.P. Cert. N _ Area Basement Garage
Approved by Cie- Dare Z Use Group Construction Type
Revi.d 1197
a ,.
r i,,,ti •.. t;• i.ca`L! n.•'t+^„';-..M•,-.'•tiZ1J•;' '\' y,` 1.
t 1`C:•1,'•v.:7
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a -- ` .. ' i i'.'ir ~1.:' a a i\ Z.! •,\• Z )a
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a?'!.•,•.. \ `.
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1'+ ` • tl f a •`a t 1
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a
1,a + r , t , . r ,Y ,`, 1 i
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 i ich this buil 'ngend• use is Ilowed.
W (A
Signed
I hereby appy for a Certificate of upancy for the work d bed in this application for the permit.1
7
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
s
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT#
Application is hereby:TOWN OF SOUTH WINDSOR t -7 3BUILDINGDEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Pernsit#
644-2511 ext. 230
sft C)o
Date I Building Inspector
Application must be printed or typed
Location of Job:FFEESCHEDULE
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT U C.
APPLICANT ADDRESS vj 0,41a
S • C C
APPLICANT PHONE#
OWNER ILA t
0 W N S F,q OWNER ADDRESS 2—
9
t i t lOWNERPHONEb
C
ESTIMATED COST$ L U O
IS THIS A CONTRACT COST? 4Yes 0 No
x
FEE ENCLOSED$ 2 h
TYPE OF JOB:
SCR CO KNew Installation
Alteration/Addition/Repair Revised 899
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF YSTEM: TYPE OF BUILDING:
HEATING RESIDENTIAL
A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
kHYDRONIC WARM AIR UNIT RADIANT HEATER
E STING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
S')Jnyv<- ti<,) 3 SE- w ,A Coy\
GROSS HEATING CAPACITY(INPUT—BTUH) 1`-'1 O NET RATING(OUTPUT—BTUH)f
TYPE OF UEL
OIL—GPM OIL TANK LOCATION:INSIDE OUTSIDE CAPACITY
GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF
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)
FURTHER DESCRIPTION OF WORK BO\e IC \'C
THE U14DERSIdNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE Zg 2 C)
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT#
Application' by:
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date B ding Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE ZO 04A s rye z a
0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT T60-C
APPLICANT ADDRESS rkb
Z&,4h 4'"&S . C 7" 6?461 Y®
APPLICANT PHONE# F6 o — 46'1 9-;>F Z/
N S OWNER , Z69- ^!OW 4<OWNER ADDRESS 20 61A cST/4L'`T
OWNER PHONE 5%o — 6 YYr- 616 7
o
ESTIMATED COST$ O•U!
IS THIS A CONTRACT COST? Yes ZNo
FEE ENCLOSED$ • —
TYPE OF JOB:
SOR-Cod New Installation
1'4'Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH 4
RESIDENTIAL
BUILDING PERMIT APPLICATION? El YES LINO
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE
FUTURE USE AND OCCUPANCYEDUCATIONAL
INSTITUTIONAL
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD L'`1%t Cyk4 t /GaH Ta
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES l'yNO
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
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
Y i C f k/Scir:G /lJa.•°.i, /` ..7 <.r !2a 2 5
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.
Fs6/z C ?'
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
Shirley Wilhelm -CRS Approval Confirmation: Re uest No. 229790 Pa e 1 y
From: clpsvc@nu.com>
To: W ILHEL@SOUTHW INDSOR.ORG>
Dat 9/27/02 11:48AM
Subject: CRS Approval Confirmation: Request No. 229790
Your approval of the following CRS Request has been successfully processed.
CRS Work Request#:229790
House No:20
Lot No:
Street Name: OAK ST
Town Name:SOUTH WINDSOR, CT
Inspector:JOHN COLLINS
Approval Date: Sep 27, 2002