HomeMy WebLinkAbout200 Felt RoadTO THE BUELDING INSPECTOR
Oft,APPLICATION FOR
PLAN EXAMINATION ANDTOWNOFSOUTHWINDSOR,COIN. BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.O
I• AT (LOCATION) .200 Fe 4 Pnaa ZONING
DISTRICT
LOCATION NO.) STREET)
OF BETWEEN 5066 ref AND
BUILDING
C
C OSS STREET) CROSS STREET)
iQ Nc 9 eff DC-rf"j
SIZE
LOT
SUBDIVISION LOT BLOCK
H
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D v
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
1 New building Residential Nonresidential
27 Addition(If residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13)13 Two or more family — Enter 19 Church, other religious
number of units— — — — --jo. 20 Industrial
3 Alteration (See 2 above)14 Transient hotel, motel, 21 E] Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (I/multifamily residential, of units ——————— — i E] Service station, repair garage
enter number of units :n building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
6 Moving (relocation)
17 E* Other — Speci/y 25 Public utility
7 Foundation only
QQ-- 26 School, library, other educational
B. OWNERSHIP V IPBII/1/ l/ 27 Stores, merconfile
8 FVj Private (individual, corporation,
28 Tanks, towers
nonprofit institution, etc.)ariE0 29 Other — Specify
9 Public (Federal, State, or
local government) 7WW' 74LQ4:
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ 4961-0 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........................Lt.L.
b. Plumbing ......................
e. 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 Masonry (wall bearing) 40 Public or private company
48• Number of stories................
31 Wood frame 41 Private(septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinforc d concrete H. TYPE OF WATER SUPPLY
34 Other — Speci/y 42 Public or private company 50. Total land area, sq. ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35. Gas Will there be central air 52. Outdoors.......................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Number f bedr oms... `:::..
38 Cal
39 Oth r— Specify Will th re be an el vator7 F
54. Number f
46 Yes 47 No bathrooms Partial........
NOTES and Data — (For deportment use)
IV. IDENTIFICATION — To be comp/et d by all applicants
Name
J
Mailing address — Number,street, city,/and State ZIIP code Tel.No.
1.
Owner or J /G7I 41 4F 9 Gli r 0e, t C/V ` r 0 7¢ U l3
Lessee
2. AW !6 O !
Contractor Or
3.
Architect or
Engineer
The ow r f this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Sign r of a nt Address Application date
20
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By y
Date Plans B NotesqFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date Date Number ByObtainedNumberByPermitorApprovalCheckObtained
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 10220
Building
Permit issued ril 24 19 78
Building
P rmit Fe $ 30.00
App rd by:
t
ZONING
SIDE - .SIDE YARD
REAR YARD
IX. SITE OR •T PLAN For Applicant
f
if•
t••
aa
Saw. 1101AI • +ate
s=$ ::=s:a: =sus. 1311:= N •• S ••• •HH H 22fir:. :: arr _..9f :r:r:3=s:a:rS ': :
i• ml
tails !' ! !'a' !' ii:s- : :.
ii:::iif. .. •i•}i! a =i- :=
t r:1: HwHilm s1:l== sls as.•=.==..a....s..ts•f••..l==•.. I'Isr=sI...!- s: a:sSa:s •t• • • : f• ! s• :: r ':a rar::a! a:a:r :: :•fa rM . st • s atat':a' : ':!_' i!! L! f •!•• • ••••_.•r•s • s•r.r.•ia •ZSS 1 1 ' ii"1 •• • • • •• •• r
a
H• ia••f H••• ••f•••••r •• • •f••• •Ni• H 9 • H
1:l 'lathe ' ` si :'! rrig:tr:•rJ.:iWS:6818.:i.•ras.! ::':!a.4 ! • ! spill
fH;
lt:. :: 1 : •••s•• • sis s•s:e : al........ s ss=s. ..s'.•= sls:s=lir; s a i1•i. HH:•:.iii .. a. as..ss=. Ull :e..,•.:....s.i ii.a:a ....r ...s:.iil iig. is : :
see,ime:il•'•'i1S!!'!t'::SSCira'rrr:ar:iit! "rr •••S t gg
1 = el a •: s r i!r' it •H Ss=' iir il •u••:faa•!a• = i iie= !!'asIsss:: ::ets s i:.!s :rss .r•f:!=lr sss•::as••!•s•s••••illss•ar••• • :!. S s s s saimr•s r :as • • • ••• •A.•• a• f ••fr•Aa••!•aa • • l:a • • • f.N
rr • =i a! f•!•
pli-31 f •..•s• •sr•str":a:s:ralrr' s'! ! Stszg:e:::::::. f•alrs.rs•=s•r=••sus l a air:1.:.. ::...s : :.s....... :..s:s::::sa:s:: = ;:ls:•:::::H3s:•::slf.ii iiiliiii is . $• a n
1 : =eteflumumfliffinflMs •rtS ' ri oes ••s \:•':•''•:r'\:: 'ra• :s . •.ii!• •' : ' :' 'a Kos ssI1s=1 :s:s s.se:lsFs..lss.. i••••••••••••r•••• •• ..!.•H •• ••••
Q S r • •
r•r•f
ll:r::::i:HOH010:1898 R.O. g:::::l::l l-------s :- -
i
TOWN OF SOUTH WINDSOR
BUILDING PERMIT i
Date April 24 1978
30.00 Est. Value 5. 000.00FeePaid
Permit 10 P P.Q
on the side of
Fe 1 t Road Street
Street No. 900
Owner V.G. Paele
Applicant AQua Poo 1 & Patio Co.
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
t
Fee Paid $
CLASSIFICATION
In zround pool --fenced
35
BUn DING PE JMTr
NS i022n
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
April 24 18
South Windsor, Conn. 19
Anus. Pool & Patio Inc.
9#fts is to Certify, That
In-ground pool - to be 2enced.
is hereby granted permission to
5,0100.00A
at estimated value of $
200 Felt Road
on the side of Street on land
owned by
V.6. Paegle
WorkSaidtobeasdescribedinApplication
0520
No. and to conform to specifications and plans filed with said Application, and Building By-
laws of THE TOWN OF SOUTH WINDSOR.
April 24 11
78
Issued
r f
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."
INSPECTION REPORT
Permit # A),r Job
1 Footing
r7F-dation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O.
6462
1
i
ELECTRICAL APPLICATION
Application No. 6768
on the side of
Felt Road Street
Street No. __ 200
Owner V. Cam, PaPQ-1
Electrician Rti s s P l I Mn l i t-o r i s
FILED IN OFFICE Or
The Buildingdg Inspcctor
Mav 3_. 19 Z
INSPECTION.
I
I
I
I
I
No Electrical Work shall be started until a Per.
mit is granted by the Building Inspector.
1n New Buildings no wiring shall be started
until the plumbing and heating pipes, and the fire
tops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
v
EAPPLICATIONFORPERMIT TO DO ELECTRICAL WORK.
No. ......6.7.6.8.....................
Permit No. .......4.6 2.....................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application tq 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 Sign here Gt rr ... ...........`............................
9
Address o;ZS.. . f`,, ... ......
Q
Location 0.DO G Side of ......,
Natureof Building ................ .......... . . .................................. ....... . How many stories .................................................................................................
Newor old Building ............................................................... ........ ........ .. How many families ................................................................................................
Kindof Installation ............. rar.l .................................. .. .. How many Stores ......................................................................................................
Owner ..
G.. ..44......... Address ............ ............ ..............................................._....W._.......
Architect ......................... ........... ............. . .. .. ..... .................... Address ..... ............................. ..................................................
Builder .........................................
1........ . ...... ................ ........ ........ ... .
Address ...... . . .. ... .......... ....................................................._......
r...................
Electrician 5. :1.........M. !1.i... ..iz i..5........ .. .. ... Address 7 ......9.t...
d v 7ti/
Size of Main Wires .. ...................................................
No. of Light Loops .. .......... ........ ........ No. of Heat Loops ...........No. of Power Loops ........................._._...._....
No. of Light Outlets ............... . ... ..... No. of Heat Outlets . .. No. of Power Outlets ....................................
NoO 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 ..............................................................................................
f 2Gur ......(..boaRemarks: For other kind of Installation ... ...p 1................1'.. .................. ...\........................................ ............. .......................
G J.:t.............. .....r-...-T....... . ...... ... a...l........., .. .............
Estimated Cost ...... .. ..:........... •••.•
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
TOWN OF SOWN WINDSOR,CO. PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.O
ZONING
AT (LOCATION) "4 C !! DISTRI
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D o
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use M
M
1 New building Residential Nonresidential
2 $4 Addition(If residential, enter number 12 One family 18 Amusement, recreational
o/new housing units added, i/any,13 Two or morefamily - nterinPastD, 13)T E 19 Church, other religious
number of units- - - - - 20 Industrial3 Alteration (See 2 above) 14 llthiTronsenthotel, mote ,21 Parking garage4 Repair, replacement or dormitory - Enter number
5 Wrecking (If 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, professional6 Moving (relocation)p
17 Other - SpeciJy 25 E] Publicutility7F__1 Foundation only 26 ElSchool, library, other educational
B. OWNERSHIP SXI-wool ef' S 27 Stores, mercantile
8 [X Private (individual, corporation,28 Tanks, towers
nonprofit institution, etc.) 29 0 Other - Specify
9 Public (Federal, State, or
local government)
C. COST Omit cents) Nonresidential - Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement................ r 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 $ 0 c-no''
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 El Masonry(wall bearing) 40 48. Number of stories.........Public or private company
31 Wood frame 4110 Private (septic tank, etc.)
49• Total square feet of floor area,W all floors, based on exterior
32 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. ........... /
v
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL iYkOF 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. Numb r of bedro ms...............
39 coal
39 Other- Specify Will there be an elevat r? t' Full..........54. Number f
46 Yes 47 No both am$
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b compl ted by all applicants
Nam Mailing address — Number, street, czty, and State ZIP cod Tel. No.
Owner or Ll L&i7l''113Q'/Z `---' COJ O19a
Lessee
2.
Contractor
3.
Architect or
Engineer
The owne of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signatur ca Address Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B NotesFeeStartedyApprovedy
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER T-1
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approva I Check DOte Number By Permit or Approval I Check Date Number BObtainedObtained y
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 10337
Bui Iding
Permit issued June 13 iq 78
Building
Permit Fee $ 4.00
Approv d by:
r! iTL
NOTESVill. ZONING PLAN EXAMINERS
FRONTDISTRICT
REAR YARD
IX. SITE OR •For ••
Z
t
iint = 1 _ =::r•:i In •:i iii Roo i jis=•:
r'• •
ilintas :•' la l: • all. 10HU :::::81oli:=f:li::iIsi•:::: • .a :a . i
unn-.
iiY::
i ::= 1l::s:l11tilii=:= :::g::=::'::::sisii : i:i:== gi =__T ' :: i' • • a
r
i'
u
Ti i ii
i ar : a=:l=•aa aa. as* aaa aa a.a aa.aaraaaaraa:a aaraa ar ssaa • • a P.a. ra
i .__:_ • r
03,
a: .•_ __ __••• : •:
s::l1=•:• 's:•.i:=r:!::'::.::::_. • :•:
a=:::.i:: _1_ a • r.
1• : .:i= 1 ::::::: :a :ii ow g:::: s :i iHiii ::H s:=i::a::i:liara • • • :a :
HHH',
a ... . . ... . .. ....:.: ..... .... a.M 1. s ;_ :: : sus=l: _:os :=• : =:a::1110H: :: s:=; r. ; 1991 ::• as ; : ::: .=.gars:as: ::sea s:::::::=_1 s=::::::solve:::a=a : s :s . Megas sea
l =• = : •'s:•':'=='ss•l 's= smou:: •i_ •='s'•:==•::'
a=::•=:__
g__l ; . :` 14 S lit1111P.I.1111HIM1111; = s$:s: ; : =::s e::s:9:: ::::s ss6:::j::=:::s...e:s s . :::.:
s s:: s=i = i =. = s = =s ss:=essi Fps = ss Cells
118:
06am _s =M.s s •e a I U ;g: i i . I n, s s =ss
r a:. •. • aaa a.a r.a .. aar •rr •a..•a a gar aa. aa.aa.• • aa • •a •.•.r lisum rr.• r r ws:------- --- . =:. s.s.. ....------..s,..l .ss........-_- ------ ..s=:Y.:.. _.• ,. --• ___ l!!lii s;l...:e.= ...,.:
TOWN OF SOUTH WINDSOR
BUH DING PBRNIIT
s
Date June 12 19 7 8
Fee Paid A-.00 Est. V" . 50Q.00
t
N° 1.0337Permit
on the ride Of
Fe It Road ySams
Street No.200
Owner V. Goerge PaegleJill
Applicant V. G. Pae g 1 e r
CERTIFICATE OF OCCUPANCY ISSUED: uLLV.
Date t ,
rim
No.
k
Fee Paid $
CLASSIFICATION
q
Extend Deck
a
BUILDING PBRMIT
NOV 10337
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Cann.
South Windsor, Conn. June 12 1978
94is is to Terttf-gp That V• George Paegle
is hereby granted permission to Extend Decking
at estimated value of $ 500.00
on the side of 200 Felt Street on Lind
owned by 'V• Ge rge Pae g 1e
Said Work to be as described in Application
No. 10637 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued une 12 1978.
r .
e`
udding 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."
INSPECTION REPORT
Permit #,R? Job
1 Footing
2 Foundation
3 Framing
4 Wiring 4-m-78 6K-
5 Plumbing
6 Heating
7 Lathing
8 C.O.
Permit No. / TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit N 4925
Certificate of Occupancy
IBIS TO CERT Y that the
o. in Town of South Windsor, Connecticut, has
n le ected and completed in accordance with the Building Code and Zoning Regulations of
of South Windsor, and is hereby approved for occupancy.
Building Inspectoi
Owridr, Buildy
e i Date 19
4366
PLUMBING APPLICATION
4155
on the ......_..._.._ made of
sa+eec
Street 140. ......
Owner .... ._ c u.
Plumber _
Filed' of
The BuianInrpecmr
7-9-73 19
n cr ox.
No pesos shall construct, add do or alder eery
portion of the drainage system of say baldmg
except to repair Leah) until a Plesmit is granted
by the Building Inspector.
i
s
i
e
fp 1 4 66cationNo. 4 55 3.....................Perinit o.
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
n
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 ot.
SouthWindsor, ........... ............ ..... ............... ................... 19/`3... Sign'e
Add
Location ............... ................. side o ............. Street
Natureof Building .... yrt. ............................. ... How many st 'es .. .........`.................................. ..................................
Owner ......... I........... Address .......
Architect .................................. . ..... ..... .................................. .................... Address .... .......
Builder .. Address ....... .. ..... ...... .....Cf... . .. .........::....:...:..........................
Address ... . G' ........ ....................... s 4x..... - —..Plumber
DRAINAGE
CESSPOOLS, How many ti`- - ........ ..... . Where located ......./
retLy
L. ........................................................
Are they water tight Of what materials built ....................................................
Size of pipe from house to cesspool _....... ....... Kind of pipe . .0-,7...................................................................................
MAIN DRAIN IN CELLAR, Material .... ... .... . Diameter ....... ..............................................................................................
Aboveor below cellar bottom
SOIL PIPES, Material . f"- .... ... Diameter .. ... ...........
WASTEPIPES, Material . Diameter ... ..............................................................................................
TRAPS,Type proposed to use is ... ... ...........
RAINWATER LEADERS, where do they run to
REFRIGERATOR WASTES, where do they run to .
TANKOVERFLOWS, where do they run to
FIXTURES
WATER CLOSETS, How many ....... .....C17. ....... . ..... .. Where located . J--- ".. .... ..........
Distance from trap to vertical soil pipe .................. .................. Pattern
WASHTRAYS, How many ...................................................... Where located . . ................. .................................................................
SINKS, How many ........ ..................................../................................... Where located .. ...-V....f-Z......................................................................
BUTLER'S SINKS, How many ........................................................ Where located .
REFRIGERATORSINKS, How many .. ................................... Where located ..................................................................................................
LAVATORIES,How many .............e,.2.......................
I................ Where located .....,...:.`..............................................................................
BATH TUBS, How many...................... ............................................. Where located .......1. ...................I...........
URINALS, How many ......... ... .. ......................................................... Where located ....................................................................................................
Are water closets and urinals to be local vented If not, is there a window in outer wall
ofroom where same are to be located .
Estimated Cost .1. --.V... ..... ....... .......
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
TOWN OF SOUM WINDSAM WHIM PLAN EXAMINATION A N D
BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.0
ZONINGI• AT (LOCATION) DISTRICT
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
VN
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D v
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
1 New building Residential Nonresidential
2 Addition(If residential, enter number 12®'One family 18 Amusement, recreational
of new housing units added, if any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13)
number of units— — — — -jp- 20 Industrial3 Alteration (See 2 above)
14 Transient hotel, motel,21 E] Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (If multifamily residential, of units ——————— — -i 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport i 24 Office, bank, professional
6 Moving (relocation)
17 Other — Specify gVWG'/' d! 25 Public utility
7 Foundation only OF
26 E] School, library, other educational
r
B. OWNERSHIP r 114 27 Stores, mercantile
28 Tanks, towers8 Private(individual, corporation, i+r Snonprofitinstitution,etc.) 2g Other — Specifyfy
9 Public (Federal, State, or
local government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food
f processing plant, machine shop, laundry building at hospital,elementary
10. C st of improvement................ 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 ......................
e.Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Mas my(wall bearing) 40 Public or private company
48• Number of stories................
31 W ad frame 41 Private(septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 R inforc d 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 c nditi ping? L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 44 Yes 45 N 53. Number f bedr ms..............
38 C al
39 Oth r— Specify Will there be an el vator?
54. Number f
Full..........
46 Yes 47 No bathrooms
j
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b c mpl t d by all applicants
Nam Mailing addr ss — Number, street, city, and State ZIP code Tel. No.el
Owner or _"
z1 6-el"I J
Lessee
Contractor
3.
Architect or
Engineer r F
The own r this building and xhe undersigned agree to conform to all applicable laws of this jurisdiction.
Signature a nt, Address Application date
C" 00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Re uired Check Plan Review Date Plans B Date Plans B NotesqFeeStartedYApprovedY
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or A r va I Check Date Number B Permit or Approval I Check Date Number BPPObtainedYPPObtainedY
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
P rmit numb r 12543
Bui Iding
P rmit issu d Nov. 24 19 81
Building
Permit Fee $ 4.00
Approved by:
ZONING
FRONT
SIDE - .SIDE YARD
IX. SITE OR •T PLAN For Applicant
e.-.riam aa.
isess
a.a .a.aasomeHUa aia a.aa.aa a,a.wa....
Oftom.......
a............ a saaaa.a.a. a as a.aa.a..a..p.4usommonsgw. .
e..r... .Intl •. •.....
r.r e rr::t::1 :::i::::::tt:i;:tt:
w:::te:::M::::r::::.t:lZ: ::::a::
t::::ii;;::::t:it:;::.iifit• .:r/Z:Z:a1a
rrw/•
ggqq IsZrr:Hi 1: HOO a«:r :
2=2:
raMu l:rm rM.\w.":ZHU911/.r.1.../rw/a..a..a/.a.a r...r\
noun
r/a,./a a• t wN/.•ar...it.wrZ•wf rr Z aaia/ w:Z• Y.••t!A•
i: •N p`uar/:NNE ar wr .aN"/r...i N ufaurr"rr A. .N..NN.t.NNNR.\11a H ar .I aN 1 Z. Na N RNf. • • "tN • ar
iN a...mariw............
pe..
w.sae•.=,/._......,..ar.!•....H.. aw ra iYl..
I! rN1• , .. ..wr.1..• Zvia•Ni Nm il N
iaM..aNMNen sl'Nemaneswagesieiie/.Zi1r1:Z:i iH:1::;::::;s:::.:; : ;: Nt m rral•mi• ,• :MauHaq• ••M . w•,::alama euse"*" N ww••1: NNNwwwa 1 • /t
ata:a UHHO .r aaa GONNwrNN r r. . YNa.m
ttI Nei :i "=aai:itaii::::ta*.t:/iia:'sr'=.'ti::sri:''in:iia i` iis/:i a 's •a=
a '
i.:a s:i::ii:i:it imwlrwi • . a iN mN.ra fON •mm a • i a • 01 wma.a•
rrZ'"S:iN....a is.a..w=..==s i'ir.ig ii ss,ra.s'.i...../sH i .1. ..:11 s I.: wageaw,lrr. N eeHU::e eNN.. a was . r.r/m...Mr .O.ar."N r a IOra
iae tLi "iras;i=:IGISI:as::r=.UM9.00......so i+i oginnuannuineve• .0 r 4:1era~-• _if rr•
r : ;: ; ii+i ::r.onewals;le.:is itl;ai .r s
a i • tS ::::t:::::::::::saa a a a NaN was Haar Na.ia a r w R e •sl!H==a:: .e;rSau.aN.n s;itsni::=ti::;:::=a:::::::::iiri! : si:a :•::i:s:;:i
a• • • a Hong ew eMnmam::as r.,mi a mat •. Omniswrai' w=aasaesso/NNNa +erN:N• rN NNup•Nir.•:sa:Y.:s: raid slar1 1 ia iN.
yHawaNNNNR\•a t it:`1.+.f eam areli ."uHU-n •N r/a.Ni «fa ran :. a"aN w!
s.Z1w::+ie :i::m:
t"*:a::;ai.Ufii:t :R;Nt w::b::fZr.. qaN r • ' a Z ISa. Ira ! $1NNiaaa, r iS ne •e e r mega* IO.e: .aw .N Sr i • -asii• a/aar arsraaaa ar , . i •a/
a see USS WSHIN as see :i:r.t=.¢inner a.rrr.:i:wN i.NU •a. =aii a.i..s N a.r•Y aaara.N•:itN r :1r.a
so
i tTi:::tt.raaiti:s:::s::::::i:::i::: t:::triSseems;:soar:iii a _ _= r
ia•
H:si. .
N a raa r . .••Na:.m ei as a"•
a " :it:a a • • :ii •,. ,• i: .: •arii ••1s . N mwsiiii•iraa rNaiN.•,..M e aaia:ii, ...LU1./ • • s ws: •
ra
s goal QN N• / • S ./ w.i eae w• raerNmN• r ern .s m ewer aa• rN.• r r u.e i.a r • mr
l.
r tra..a w./• •Z.r/A./.Z.N NN Nan .rN a/aw.a ram R"UH aa r11Na/ • /r Na !a.
i`iipZpiarliyi i :':::: s s:is::ii:::ts.:: •Naui:•='s:;aan000ai:a:aai a.:aitiiii ii Yseemesseatf.
i Si$ iN i
w. enemas:
M
p
iN:.ta n:NZAZfMMZ/wA:;Z: rZZ.;;iiZZn rr.:Y:::::r:afafr;sZa7:ai.Sa m:; ir.• a. Z r.ta • a Ya a • • Us H
t :# N M:a1 N.raH•a:/at;N.a.a:N: ili r%:un /•i:i::.rpN/n4:asSoo" noun** tles nemomo ate: 1.wt. ` 4a.•w IaHf R -ran a
1.sN a F1e. ;::N1ia/:-aaa:
w:r/isi:::::i::i::isi;Hifaa•1:
Niiu•itiii::i••liH•IN ry .alb .! iiil ! ! . •
wofas ON :i:,N: :;::i t::1:t:ome:ma:1mIa::Z*one:ri:%,tt:: t_:::N a t: t:a:r.f a a a. i- 1Z
m•.•. wm..aa/:r ./e rrarrSrmassese HUH a ra r rr,aaa:i =r w i .
owns
ai. /*iii\ s:iias:;i.srNsfs:::::=;;rt t:: :H:::::i::;::::M_• Ziw-=w-ian _i:iiwis:s=i1 `::i /N#liiisee s no.. ::i ;:: ra1:j
N Nii ::::: sa ::::M :i:;/:::::i:t..:
f::::H :::::: .::: w A :: t
a`
a•
li!
Lu ss q A / i . p.fi • HH
N a f `_iai t.' :asaabouse:;isii:i;i:'s:;;::::::ii:::i::iitNass:u•t
i:si: aii is s i :i i iw i o- a d.!. i:e si a•
asg
t : "'ssGone:
t'a. usN mra=.Nrraxonaomoobm.ewas;N1..mmga.em.:as"w:a a
aguniff=
i a =dais riar 1,•i.
a _
i as.. i aaisHoweve atman1 artaa a/.ar., ar,aoasesra r• „ r •s a• s= as i,sn
soisewil,eslsemmi/N alsw a_N Maaiiw..sa a w/R....,N, /=tams=ap fa,ri{a•Naasai pi P.Hi a s smile Go ..1sr w •
i :i !:
t
a:::iitN8 ai.ti rN:::«:NN:1t t:::
a r
N : Ga:non ! .. i
as a N ..,aa a
s. estrel '
a
c:. .:
a.::.•s:a .=:s:=::::::is=a:as3ssr s ..t.: : :as = a s si:Real as
s ,
aka
at:ut M i::is?utii.::::=iit::::wa:::• ::: t:fa:tNttr• ,N: ::s isar:w.at r iN .I1Nas:ieasNa•=te:es;:ws::::i:iam,.aR,=S r::wm ie::ass sss: ts. s: s:n . ss s aarijla t si• 1t uH: t:t ::
e.1 i"at...•i=iiti:i: ;itit:ra „•, s i= s i • .__!. ` a amorn,aga Z:I_.._a"WHISIa•aa/a/N a aa/aa w.Z a a aa s ta s /.sil`.faa,
e•.
a. i1 iw a q
iH==. r.L'
i3 si: __
a asa'8 as a :'ls i,
a•=:N..:
a „ _" '" '"`
a: ' :
i"'1:a •.
ra•N ' ' • • ,'=a
a a, M . a M..H a i • r aiS , S1
N .
i1:
NM. _
rr _SI•`..aZ ZNZ..;Zr M N aa rar/• Nr Zaa M•N Z a .ya •n •!r•Zai: r •
s 3::.Na,-•"se•:usesml e:: gsrlHNN •• am aa/ ai ,a ,a, GO mass a•:i••1 :.,• a1.,=,.a•=..ra ss/=.ii /ski=1aete.
1.++
aaa ss..u, • tr e•
t
s
am =s•aa •sl m::sei: ::ie•, ::rHOSS;boom::;:::Z::: uw: .: : Ni N'aTii iiNt a .:. =a a 1n t :
a.:. • •t a=sie . sN u•Ne •asss s ii : r t a
Zl :=_ti r=: t }
i:
t:=tts l.ta s :ss. ::=i:::::aid ::::::=t:t:=i: ::::t:::=a is•N Isars• w rawa a. =..
a
a r S.M a
me
i N . is s2 •a .... ..... . .. . SH es iarai..eslwawsm: :_!: rr: mail . ani iiUu :e :ia a i
i a r=. •:.a.tM •: Non owe..,a.1=,•i•/•,aaE/.s.•artl.w.=,aMUSEUM We :==
Hs'i ssa,la . „a : sari: s3 i'.ii=.'a in.sfissma aZ m/=+smieaera m s:rm:s.aw .e aa 1nrN Mm m"rm r am ra oa a.N arm N •rw i N a •u N r
40 St s.r!::1j: n:.:`:Ni..:i::s::sts:::::SS:::=sr•:Stt:r ;a:i//ia;riiiit ::t:sibtl;:=ai ieeeiesiiiisee'=!!:l= 'ii s iWilR'"!:SiN ;wr{iia.
r
aae._
srs ss .i.
ssH:=M:MUH is::s :;is : ;:;:::Z:;::r:==e;:;a.ZZ:iZ:: :HHH N..wlt Na:a.ias Us asZanow ifr.1MrannwsMmm
i/ ::}, _l!ot:sea s:ttrstaaair: ;i: tt t:;si aiiiit.. ian Hiird:ia um :_:. =ss:ai : isasinnu
i= s:mHi G a SHUsun a/N:•a•sinrea;•nS.1ia tmSNs miS/swooNa"m=m•rNiiim===mON•=m:eess=..iie•t I ii i iiri.=r.; a=•. N•,•;,:5.l:.= isa:as
IN HN:.:a WA :samen••in•:•s:::.r:..:r if;:N:NNea/s e•Ze•:Ne::N:;r::s:6 KN ms:/Ziassra el Z:iA./: ai Zw I.ZH.a.•ea:.:._"a:ass 8
ssssr;= s:;::e=:=:::::e:`sE::a=s::ebee:::'sbee:e'se:s::::'s:sea: 'sE9:e:'sE:::s::nn"H9:s;ssaa;tnin:;;ss2:0:s:if=aeg=;:m: ::;HHH
si •sss,=r==i s•=ra r.i=:ir=magmaae n•ear../e•Nre fiee mm.ale,m ei=a rm1•N,r:a=ara a,m•,=m=,imaas. s= :isaYe m:i: la,mae ani iili. insuno . mane. a• • . • •a...n......mr.e mr..o.m.m.... •e..oro •"r r.m • mommano SOON aeon aeon wat aao tar.. m sire o mom
11 / /n eN •.. nee. .• •e.e...rm.o mm.e•n•om.m.mo e..n.m.r.on ommemme nimro.re.....n• rme/ o.n ea o.amao.a n.O 1rr.
as! sss::::::Ee:c'see:e's's:6e::c:eee:::e:::es::::Ho o:Es::s:.=9i:cs Es:Ee:=::Y::=B::i=:s:s=_;:=:'ss:s:u:s ::: 'see::ese
laiiamrm=•ms;N r r:m/:;•e:s.=sNmesma.a.•o e...o"mmlr..mmatn.m=.e irw:rmOmi.aa=i.r rmeramNs/S=w•rr a:mm•3,amr mm.sS wiiirraZlSmnnrar.•
ae=se:'s:s6s8ses eeee= sez s:e•e;; •::ss:::::::::::::•:::::::as....s:s:::::.::::•::s:::;:::•:;s:ss:•:::s••:::sea= a::s = s=•:.aat:sss::: :
s;::s:= ss==eiee=ee'seeeee:=eee's'sssee'seee'seeseee:se8:eeeeeeesse':se=:es::::iss:somes=sumimassas:: 'His=s: aais`.issHim N8"0
ma movesaeis ts= s::=:s'=l::=Siiiii:;':i==iZ::: =i:i:::::::;:::::::
Mas=
i=i::::;ii:Zi:i=:inniml:::iss=i====age
aa:S:==laa=riaU,i 3lw'i=i=t::ii»
mrN S:w maaNllw=rmel mn.nm•rme:aremwrir erne==amerlsi Nari==l:.:•:uie,s =:=:__ ====a: sia,s: l:aa:s;:$pump
I;errs;;mnelss.r=;mesa=•mrea==...eras:s1..o r ..m•ee.mo•noose.omr.rreno"..mrr •o •m• mean same a •• ,ar aNa mN ro mr.
Hi ==:'ss =:==__:;= = HIH his= =i==: ss ::: ec ' e= es : se:'•Ee::9:e i==:':as;zi=:::=:es:=;MUNINn01HIM,.*..NNe*e* :ie 11uQ::!! aum
Is NtS!lw :srm..;.:.!:\!S./.me.•omm.;l....m;...e l.m...:;m.mm.o..;t..sss...iss:ses.msssia;ss:a N::m.ieilmiofNowss;
s: ::aei":::;: ::=''si=e's::s3eii:==e=.:a: ec's::::iaeee:: c:e :'s: se== UHHHHH==:'s ;die ==o=:'s:fflaul #iHHsea;=:=•=:=ss's=:::;:ss=;: ==sIr •_ r m:i: Ors UH: •="aim:.• :.1.,ei w.:mS,.m:aii r1•m r. a
I.:.Nm=:;mar;:mooseswaes mosses:=•"1•••:a a.•:...enn...r•mamm m.•.em mN1;r..:Znlaswomen No.as:as+:itta:m a;::a:ta:: pt m N:matt;:l:Hmr..
IH::sssHHH:::ss;:HHH:::s::::s:::;:::::::::::::::::s::NoUna Mae mom a;:eet:::ts:::asp:;::e::sbee:;::
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Nov. 24 1981
Fee Paid $.4...00 Est. Value $. 38.6.00
Permit No 12543
on the side of
Fe 1 t Road Street
Street No.200
Owner V George PgeQle
Applicant V. George Pae g 1e
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
s
Fee Paid $
rR 5
C CLASSIFICATION
Wood/coal stove into
fireplace
i
I
BUILDING PBRMTr
N° 12543
OFFICIB OF
i
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Nev. 24 al
i
9#t'o 'to to gertHM, That V —Gp.nraR Pae&is
is hereby granted permission to Install wood/coal burning stove into existin¢
i
i
fireplace
at estimated value of
i
on the side of 200 Se 1 Rana Street on land
owned by V. George Paaala
Said Work to be as described in Application
N12843`- and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
I
Issued Nov. 24 ill
Building Inspector.
I
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 es which it shall sustain, or be compelled to reason therefor."g damages Pe
i
Bectric# APPLICATION FOR BUILDING PERMIT
200 Felt RoadPlumbing# Dat a 2HVAC # 28644
Sprink) r#
FINAL R A Estimated Cost
Buildin .3 -COMPLETE RED BOXED AREAS Permit Fee 15Z
Wnee TYPE OR PRINT ONLY Occupancy Fee $
Affidavit jl— SIGN ON REVERSE SIDE'---VAppr.for CO.Total Fee 5-2—
TO BULDlNG DEPARTMEW,TOWN OF SOUTH WINIDSOR,CT Additional Cost) $
The and rsiigned hereby applies to do work according to the following specifications:
Job Location loo Fel 4-- 12 a' Lot No. Side of Street Zon
Applicant I', se^'-I'L Tel.# 6
Addr ss (s1(d dsj%< 1?d 51W Zip Mc-? Lic.# S(oYL.S6
Owner Gres ni e Eau: Address 060 f7e(¢- led
Architect
r
Address
Sq.Ft.N w Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories_ Bathrooms Garages
Purpose of this permit: ee ro vo-r f(!E1Zf k±±t 30 kf- S
City Water Well Septic System Sewer
Ins. H.O. S.P. C rt. Area Basement A;7uttionApprovedbyG7— Date Use Group T
vised 9/01
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 in which this building and it u6e is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work d cnbed in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
5 0.0,.
C U
0 n
N 2q 28e N
3P, = 20'
r
iso.0'
FELT QOAD
MORTGAGE SURVEY y' ss';-F`c°``,_,
4, N*'
LOT 1149 "GREEN RIDGE" , SECTION #1 r ••'' " ;;c,'
T014N OF SOUTH WINDSOR , CONNECTICUT
SCALE : 1 " = 40 ' No. 439S
M
TERVOo
Certified substantially correct.4,sunv••'R •••
Building located as shot-in ,
zoning regulations not violated.
2- ;mot-cam L .'S . #4 39 5
January 8 , 1974 Rockville , Conn .
ka
Date
r
Fi:trCn h anrt s:i
of c._.)w.•Ik
Prrn:CR
W i^)_ „n-C o ping sn,:ll D8
L•lJn:rl+lAi'2j1Jty 'ic r' !
Q
wse tiled with
C:e.F
DEPARTMENT DECISION APPLICATION R ELECTRICAL PERMITFOR PERMIT#
Application is hereby:TOWN OF SOUTH WINDSOR 769BUILDINGDEPARTMENT
APPRO 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Dee Building Inspector
Application must be printed or typed Liu -,j
Location of Job:
FEE SCHEDULE 5-
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
p
APPLICANT ADDRESS 14;
6D 14v/\ CT— 066g3
APPLICANT PHONE# 3
W N vSOWNER f C's U r S q
q< OWNER ADDRESS 7 S
f-T
OWNER PHONE
C." ESTIMATED COST$
U
IS THIS A CONTRACT COST? CWe's D No
44 J FEE ENCLOSED$J3.db
TYPE OF JOB:
R C 0 New Installation
EIAlteration/Addition/Repair Revised 8/99
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED TH A 3$3
RESIDENTIAL
BUILDING PERMIT APPLICATION? OrYES NO
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY
EDUCATIONAL
INSTITUTIONAL ENGINEER'S NAME 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 NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
W tqo--P- 6L-"tl roorn a& 4nht-1
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.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE