HomeMy WebLinkAbout21 Elm StreetFINAL INSPC io 3Building APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date:
Sprinkler 21 ELM STREET
El ctric Estimated Cost $
Zoning Permit Fee$
Affidavit NO.2 8 3 Occupancy Fee$
Eng. Dept. COMPLETE RED BOXED AREAS.
Fire Dept. TYPE OR PRINT ONLY Total Fee $
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO:1 (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies t_Q do work ac ording to the following specifications:
Job Location Lot No. Side of Street Zone
Applican Cf Tel. #
Address 4_9 2E C2 Zip Lic.# 4
STREE CITY STA
Owne ddress F 4
ArchiV' —Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1 st 2nd 3rd
Size of Lot Dist. from Street Lined Dist. from Side Street Line
Purpose of this Permit S J f
City Water 0 Well 0 Se tic Sewer
Approved by Date BoiA 11/88
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 th 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 distances from all other zones and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described i his application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# o Inspections:
Sprinkler Permit# Inspections:
eu ^gSP TI S.
J,- APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date:
Sprinkler 21 ELM STREET
Electric Estimated Cost
Zoning Permit Fee S C
Affidavit NO. 2 8 5 9 Occupancy Fee $
Eng. Dept.
Fire Dept.COMPLETE RED BOXED AREAS.Total Fees r/4
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE.
Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant L/ Tel. #
Address 1 p ip UG d '`1 tf Lic.#
STREET CITY STATE
Owner Address L ev
OF
Archit ct Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Size of Lot Qist. from Street Line LavatoriesBathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit J 5 7`AZ_ X Z
a k /3 z AoP
City Water 0 Well 0 Septic 0 Sewer 0
Use Group Construction Type ZOO
Approved by J Date BD1A 11/88
I her by agree to conform to all th requirements of th Laws of the Stat of Connecticut and the Ordinanc s 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 re tances from all other zones and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described i his application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
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Proposed building(s), users) and/or structure'
1 e J
as shown on this plan appear(s) to be . i
conformance with current SoRjth Win&.-
greulations. Variances and special exceptions
may apply.Ili tDate
r,
AUG 13 19g3
Zoning Enforcement Officer
13
South Windsor
UILDING DEPARTMENT
TO IpNJUM TOWN M SOUTH WINDSOk
Tw 40004 U1011 06 Skn and specifications era tnl.so of I%@ propowd building or altcratians to bt,reel/ at
t"ItbtW 911th amendments stated in appllc,tl r4WWithplanandIagreetocomplywithL13uildindandststelawsandsuchorders •,A llIssuedbytheBuildingDepartmentofthisapplic•tio during p:r,tPn
final issuance of a 6uild7h;Reran;;,
Sig
This i IRpr® sae to tine coodotoo,, tU aorplaRdlinganleesriguu ,a6trt tawitdaAtg sh,0141 t4COplq,g l vxi hp
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PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
to Bu ng Inspector Application must be printed or typed
1. LOCATION OF JOB
2 ) x-&- (1--n 5
FEE SCHEDULE Noof Street
0, — $19000 —10.00 Floor Apt . No.
Over $1,000 —10.00 2 . OWNER yl/0tV Z i`per $1 ,000 or
fraction thereof
3. ADDRESS c9.2-d /< e-9
5cn3 0 T'14 --1,w d'c sti
4. APPLICANT 7 1
5. ADDRESS-5--7o ,Cs76110, s r-
b cJ j/J LJ/ Sd t` C 7' : D6o'-7 1-1
6. ESTIMATED COST $ 6""00, Co
7 . IS THIS A CONTRACT COST
Yes o
8. FEE ENCLOSED $
9. TYPE OF BUILDING:
V RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB ,,2 Z 4 S7-
NO. STREET APT. NO,
12 . TYPE OF INSTALLATION 111 111-4
13 . SIZE OF MAIN FEEDER
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 v'2 33. TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
LICENSE NO. SIGNATURE OF APPLICCANT DATE
PHONE NUMBER: gt"
O'ljj e
FINAL
o
Ns
APPLICATION FOR BUILDING PERMITBuildir.
Plumbi
HVAC 21 ELM STREET
Date: Z
Sprinkler
Electric Estimated Cost $ 670aeDi dG
Zoning 21093
Permit Fee
Affidavit NO.Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.Fire Dept. Total Fees
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE.Additional Cost) $
TO BUILDING DEP T NT, TOWN OF SOUTH WINDSOR, CT
The undersigned, h y applies to do work according to the following specifications:
Job Locatio7 2- It' Lot No. Side of Street Zone
Applicant J Tel. #
Address L1.2 0 LL J2 112 Zips 60 1! Lic.#
STREET CITY STAT -
Owner '' V v Address
Architect Address
Size New Area: Ft. Front Overall /2 Ft. Deep Overall Total Area Garages
Lavatories
Size of Lot Dist. from Street Line Bathrooms Rooms 1st 2nd 3rd
Purpose of this Permit O
City Water 0 Well )w Septic 0 Sewer )RL
Use Group -`f Construction Type 5
Approved by L14- Date Bo1 A >>/88
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 r distances from all other zones and is
located in a zone in which this building and its use is allowed.
Signe
I hereby apply for a Certificate of Occupancy for the work described i this applicatiefkfor permit.
Signed
DO NOT WRITE BELOW TH INE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
93-21093-B 5,000
BO1 FOOTING 11/24/93 JRC
B10 FINAL 12/03/93 MAB D ADD 2 GFCI OUTLETS
B10 FINAL 12/06/93 JFH A
Total Est Value 5,000
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N/F_ WILL/AM A. CAROL M.
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TO THE BUILDING DEPT. TOWN OF SOUTH WINDSOR
This certified that this plan and specifications are truecopiesoftheproposedbuildingoralterationstbeerectedat
Street
together with amendments stated in application and
tiled with plan and I agree to comply with all zoning,Building and state laws and such orders as shall beissued
ency
by the Buildi a tment duringfthisapplicationndfinaiencyssuanceOfgapbuildingpermit.
S Igned
l hasp i9 approved subjr t® fhap c rp®ifien that
order and ordinances regulating I9tripding 34.a0I bec)111r7JIcd with.
G.O Idd111tRo7II.AQt]y ^PPrpyed TO~ tfaillBdl 'WaM
ulil fir t FF—.l
matte
IYbo 10 9
a[IFICATION OF ZONING COMPLW. ::.
Proposed building(s), use(s) and/or structur-:`:'
s shown on this plan appear(s) to be
onforrnance with current South Mn.,_.
gulations. Variances and special exceptio.
gay apply•
ate c l 3
Zoning Enforcement Off;cer