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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".; x r _ 5 .r . r^ y. 4 'k r Y:x1 Y•r';Y',wda rn4,', g, s f j ou . J nl11 f '• mow•. of •'+ '"' r . ;;: •, a . , . . .. . . . 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 a• f a, , a -- ` .. ' i i'.'ir ~1.:' a a i\ Z.! •,\• Z )a a\ a?'!.•,•.. \ `. r 1'+ ` • tl f a •`a t 1 i } 'a • t ' 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