HomeMy WebLinkAbout21 Highview Road1 1
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Application No. ...........2916.................... Permit No. ..................2b..r,. .......
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (erect (make alteration to) a building according
to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through
word "erect" or words "make alteration to" as the case may require.)
All provisions of the Building BTLaws (Sections 2 to 32 inclusive) shall be complied with in the execu-
tion of this work whether speoed herein or not.
South Windsor, Conn.,X&r&....... ......................... 19.-Sil..
Sip here ......... ..
Address ...
s
Location? ........... side of? ......
a..........Nearest cross street? ............................................ Street No. Lot No.
Owner of land is? !. .Address ... now..., 4V....01016.... Y'„ •
Ownerof building is? ..... ... ......... '................. *......................AddresstA................ ......................st................. ...................... ..................
Architect is? ..... Address NN I I Am...r .... MAN
Builder is? ........ !' !... Address U.. ...JM*... n"'
Dimensions of building: . .00.1. ....Feet front? At........................ Feet rear? ...... ........... Feet deep?* # ...........
Extreme height to highest point of roof? .........14................................................... No. of stories in height? ........................................
Purposeof building is? .............3 406"•.........................._......No. of stores? ..... ..................................................................................
Howmany families? ................................ of rooms? .... ..... .........................................................................................
Distance from street line is? ...... .....................................................from building line is? ......... ...................................................................
ADDITIONS AND ALTERATIONS
Give Brief Description)
MapNo. .............................
i
i
If of steel frame, what is exterior construction? ...
What kind of columns used? ...............................................................Size of columns used? . .....................................................................
Whatlength 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? .... .. ....................................................................................
Roofconstruction is? .......................................................................................Roof covering is? . . .........................................................................
The floors are of ...................................... . ..... ...... construction and are calculated to carry a safe load of.................................
lbs. per square foot.
See Section 14, Building By-Laws.)
BRICK CONSTRUCTION.
Of what material will walls be constructed? ...................... .. .................. ................................................................................................. .................
Compositionof mortar? ..........................................................................................................................................................................................................................
Height and Thickness of Walls
Height Stories Front Walls Side Walls Rear Walls Partition Walls
Basement,
1st Story
I......
2nd "
3rd "
I..................................................................I................................................V..........................................................................................................
4th it
5th is
I........................
6th
7th 4"
8th is
I.........................................................................................................
9th is
10th
Materialof Front? ....................... . ........... . .......................................If stone, what kind?
Thickness of Ashlar? .... ........ ................................... .......................Thickness of Backing? .. .......... .. ................ ...........................
Backed up with what? Arches or lintels over openings?
Xo"p
V",—"4
y
WOW CONSTRUMON,
Giv Size, Longest Span and Distance Between Centres. of Joists,Girders and Column
JOISTS qmums
Floors gift. LoWwt SPW COMM BelWog MM KAWffeft 8P= C=tM Ske XMWO Cep
Ist Floor zktv
pia' w.... ..
a"
8
16 Food 6X8 716 7 7
i016 .....a............. 2 --13 ... ........ .. ......
Size Of Outside studs?....?X4........................ Distance on centres? .............. ...... ............................. Size of sill? ...............................................
Size of rafters? ..........2X6................... Distance on centres?................... .16.11....................
Size of plate? ............
Size of ledgers or girts? .................................................................................Size of deck rafters? ...................................................................... ...............
Distance on centres? .........................................................................................Size of studs in bearing partitions? ...9.4.................................
MISCELLANEOUS
Style of roof, flat, Pitch, Mansard, or hipped? .............Pitch. . ..................................... Fireplaces? ........................................................
Material of roof covering? ............P;Mod Pine PlywoodMaterialofQrnice .......................................................................................
How is building heated? ......................Hot...Water................Lining of flues? ..................................................................................................
Thickness of shell of flues? ........................................................................Any elevators or lifts? ............................................................ ......................
Whatkind? ...................................................... How many? ...................t................................... Any hoistways? ...........................................................
How protected? .................. .......................................................... ..................Total Value of Building .........13..*.().QO...........................................
Whenwill work be commenced? ............................!.111 Y.......19 .9.............................................................................................................I................
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli-
cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of
South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the
Town of South Windsor since 1949.
Applicant
2656
BUILDING APPLICATION
Application No. ........?.9.16....................................................
on the ................Kest................................................. side of
High.....new....Road....................... Street.
Lot #154StreetNo, ........................ ..... ................................. ....................
Owner .....AV e Y....;RP;L9111.9......Go-&......................
Applicant ..Same. ............... . . ..........................................................
CLASSIFICATION
dwel Un et.ffx.-.25... .... .....................
Permit issued on above Application.
Date, ............... 11 j, 19...
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date March 11_19 59
Fee Paid $.......52.,00''`Est. Value y$ .1.3.t.000
Permit 1r 9 2656
on the We st side of
High View Road Street
Street No. Lot 44-a/
Owner Avery Heights Co.
Applicant S am
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 1639
Fee Paid 3_00 h
CLASSIFICATION
Dwelling U2' x 25' 82
BUILDING PERMIT
N? 2656
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn.F+ i c=1] - - 19 j9
Tots is to Tertif1j.9 That A-.%: 111 s;tii;; 1.
is hereby granted permission to . a ., Jr-; 42; ;ti
at estimated value of 11 0000
on the Ila a side of 12. ;, t4 3 511 Street on land
owned by Ayi,1!r -i 0 j,6 i Zr, ;j
Said tor k to be as described in Application
No. 2;0 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Q 4 19 ,q
Building Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers dur-
ing 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."
Permit No.t?.... ... TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit N? 1639
Certificate of Occupancy I
THIS IS TO CERTIFY that the J `' • r f>
at No. L r /Y, y, tkc in the Town 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 r occupan
9 •p , ,. ,,
w.BUILDING-6SPECTOR
O VNER, B&LDER
Fee Paid
r • `
Date
a `
r 19
6
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
TO" OF 50l)'IH WI106M CANK PLAN EXAMINATION ANO
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O
I D/Y
ZONING•
AT (LOCATION) ! lO'rT i%f L DISTRICT
LOCATION NO.) STREET)
OF BETWEEN AND
BUI LDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v
A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use
1 New building Residential Nonresidential
2QO 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 religi usinPartD, 13)
number of units- - - - -jo-20 Industrial3 Alteration (See 2 above) 14 Transient hotel, mote ,T h l l 21 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 Car 24 Office, bank, professional
6 Moving (relocation)
port
177 Other - Specify ' 'L- J V, 25 Public utility
7 Foundation only 26 E] School, library, other educational
B. OWNERSHIP 102 X 27 Stores, mercantile
8 Private (individual, corporation, 28 Tanks, towers
nonprofit institution,etc.) 29 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,,,,,,,,,,,,,,,, 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 I
a. Electrical......................
b. Plumbing ......................
c. Heating, air conditioning.........
d. Other(elevator, etc.)............
n
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................
3121 Wood frame 4121 Private(septic tank, etc.)
49- Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions .....................
33 R inforced concrete H. TYPE OF WATER SUPPLY
34 Other - Specify 42 Public or private company 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 X N 53. Number f b dr oms..............
38 C al
39 Oth r- Specify Will th re be an elevat r? Full..........
54. Number f
46 Yes 47 0 No bathr ms
Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b c mpl t d by all applicants
Nam Mailing address — Number, street, city, and State ZIP code T I. No.
Owner or t 6/T % L E f U 97115Yy^d'yi 1 t
Lessee
ZA,4).S C,-Y
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature f applicaryh Address Application date
d
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required 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 Approva I Check Obta ned
Date Number By Permit or Approval Check ObtDa ned
ate Number By
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
V11. VALIDATION
Building
Permit number 11602
Building
Permit issued June 16 19 80
Bui Iding
Permit Fe $ 66,00
Approved by:
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Jung 16 19800
Fee Paid $66...00 Est. Value $.10 9 464.00
Permit No 11602
on the side of
o)9FD
Hiahview Drfy Street
Street No. 21
Owner Robert BLrt
Applicant W-J- B4O1111111kaitiS
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Dining entry
f
I
I
BUILDING PERMTT
N° 11602
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. June 16 1980
T4io to to (ferti f#, That W. J. Raulukaitis
is hereby granted permission to Dining room 12• x 2010 Alan entrvper
ZBA 131 _ 79
at estimated value of $ 10 4 4.00
on the side of- 21 HighyieW ve Street on Land
owned by Robert Burt
Said Work to be as described in Application
No. 11902 and to conform to spedfications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued! June 19 800
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 # &&2Job
1 Footing
2 Foundationi47
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O.
A*
4
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7193
ELECTRICAL APPLICATION
Application No.8207
on the side of
Highview Drive street
Street No.21
Owner Robere t Burt
Electrician Lane Electric
FILED IN OFFICE OF
The Building Inspector
July 18 19 80
INSPECTION.
93r No Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
In New Buildings no wiring shall be started
until the plumbing and heating pipes, and the fire
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK.
No. ....8 2.Q7.......... .......
Permit No. .719.3 ... .. .......
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.
1 .Y
LANE ELECTRIC
South Windsor, Conn., .... 19 Sign here)4-7 ` ..4a1-ELLINGTf}N ROAD
SO. WINDSOR, CONN. 06074
Address
Location .. .................... ... ... .. .. .f Side of 12 rt!' -' ,6.z
n
Nature of Building vt.. .... ........ How many stories . .../... ............ .......................... ............. .................
New or old Building ...... i' How many families ....../...............
Kind of Installation .. ..... How many Stores ... ...............................................................................................
Owner .......Y t....wl )`....... Address i. . -1 ram_....._......n
Architect .. ...... ......... .. . Address ... ....
Builder LANE-,- ELECTRIC...Address
Elect 431 ELLINGTON ROAD
rS 'WINDSOR;CONN....06074
Address .... .............. ...................................._.................................
PHONE- 528-0106 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 .............. .. ........ ..
NoP of Light Circuits .. ..... . ...... . .... No. of Heat Circuits No. of Power Circuits ..
No. of Sockets No. of Heat Receptacles No. of Motors ................
No. of Panels ................. .......... . .. . Size of Heat Circuit No. of Power Receptacles
No. of Switches ........... .......... ....... .. Total Wattage .... .. ....... . Size of Power Circuit ... . . . . . ..
Total Horsepower
No. of Straight Electric Fixtures ....... .. . .. ....... .. .... .. No. of Combination Fixtures ...
No. of Receptacles ................................... .......... .................... . . ...... No. of Cord Drops ..... ................... ....................... ....... ........... ..
Remarks: For other kind of Installation .. .. ............ ......... .................... . ................. .... ............................... ..... ............. .. .. . ............ ..................
Nor--.....F. 'i :.....'... ,..,'? -....3..:!. - ........'.. - ... ..... .....l ft. n. - ?•..... ... +.'../1/,...-
Z .....N ....5.
Estimated Cost ....... .."..`'..........................
4850 Z-
PLUMBING APPLICATION
Applica,tim Noy 4639
on the
oe
street No. 02
Owner t:2L4
P1
Filed 0ice Of
The &nl&g
Feb. 5 19 _76
No person shall emsau:4 add m or aber my
portion of the drainage system of my bwl&g
except to repair kalm) until a A is gcmoftd
by the Building Inspector.
Application No............4.639.............. Permit N . .......4.8.5.0..............
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR. CONN.
e....... hereby make application to perform plumbing according to detailed description below. All
provisions of the Rules for ation, By-Laws, Sections 33 to 47 -R-Yusive, shall be complied with whether
specified herein or not.
L'/ C,,"s,
I. .........0SouthWindsor, 19 . ..... Sign here .. .....
Address ..........V........ .2 .............. .................-.
Z.. sid of ... 1Z Street...
L C--Nature of Buil4ing ................. How many stones .......... ................................................ ............
L............................... AddressOwner ..........k/(
Architect ........................................... .................................................................. Address .....................................................................................................................
Builder . ......... ........Address .........II..............................
Plum o..... ................................................ Address
DRAINAGE
CESSPOOLS, How many .. .....................Z.................. ................... Where located ......... ILA...................................................................
Are they water tight .. .............................................................................. Of what materials are they built .............................. .......................
Sizeof pipe from house to cesspool . ................... ................. .... Kind of pipe ................. .....................................................................................
MAIN DRAIN IN CELLAR, Material r ......... Diameter
Aboveor below cellar bottom .. .... I..........
SOILPIPES, Material ....... ............................................... .............. Diameter .................................................................................................................
WASTEPIPES, Material ............. ............................................... Diameter ................................................................................................................
TRAPS,Type proposed to use is .. ..................... ....... .. .... ... ...........................................................................................................................................
RAINWATER LEADERS, where do they run to . ............ . .. ...................................................................................................................
REFRIGERATORWASTES, where do they run to ....... .................................................................................................... ...............................
TANKOVERFLOWS, where do they run to
FIXTURES
WATER CLOSETS, How many ............................... .............. Where located .... ................................................................................
Distancefrom trap to vertical soil pipe ........................................ Pattern
WASHTRAYS, How many ... ...................................................... Where located .. ..... .........................................................................................
SINKS, How many ...................................................................................... Where located .. ... ..........................................................................................
BUTLER'S SINKS, How many ........................................................ Where located ....................................................................................................
REFRIGERATORSINKS, How many.. ................................... Where located ....................................................................................................
LAVATORIES,How many ......................../..................................... Where located
BATHTUBS, 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
ofroom where same are to be located ........
Estimated Cost........... .................................
FINAL
i ,
INSPECTIONS:
APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date: July 24/90
Sprinkler 21 HIGHVIEW ROAD_
El ctr_ . Estimated Cost $ J 4,b(3
Zoning Permit Fee$ -)/'0
Affidavit NO.18684
Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS. 5LFireDept. TYPE OR PRINT ONLY Total Fee $lia
H alth D Pt. SIGN ON REVERSE SIDE.
Approved for CO: Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location 21 High View Rf. Hn A D Lot No.154 Side of Street T. Zone
Applicant Grous & Christensen Inc . Tel. # 871-1602
Address 8 River St . Rockville Zip 06066 Lic.# 529807
STREET CITY
Address21 High View Dr. S .Windsor, Ct.
STATE
Owner Robert Burt
Architect William J. Christensen Address 32 Watson Rd . Vernon, Ct . 06066
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit To add a 12 X 22 porch to rear of house with roof. Also
remove rear picture window and install new french doors.
City Water El Well Septic 7 Sewer
Approved by Date BD1A 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 the plans or specifications of the Building for which this permit is asked,and agree
that this building is to be located the proper distanc from all street lines,side yard lines and required 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 in this application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footin Framin
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
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JUL 2 610
South Windsor
BUILDING DEPARTMENT
cer,,,j .1 rk, p-in in,,
I-,pleS Ct Tr'(' Proposer) UJIIJ,nu
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Approved These filed with
cler!
Date No.
c--R-f IRCATIO COMPLIANCEOFZONINGCOMPLIAN
V.-
Wck proposed bulldlng(S)i use(s) andjor str ucture(s
as shown on this plan appear(s) to be
12 2 Z
i n)
conformance with current South Windsor
regulations. Variances and special exceptions
may apply.
Date
2,19 M6
Mc
qning Enforcement Officer
PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext. 230
Application must be printed or typed.
Date Buiy1ding Inspector
1. LOCATION OF JOB
i Sh U«w • 12
FEE SCHEDULE No. Street
0 - $19000 - 10. 00 Floor Apt . No.
Over $1,000 -10.00
per $1 ,000 or 2 . 0 WN E Robert Burt)
fraction thereof I3. ADDRESS- oZ
s o- LJ wd.1 n 1'
4. APPLICANT /Q. i4ASrjLLo f. nit ^'w C
5. ADDRESS I")
J 1g r&,,q 0 1 r• o 78"
6. ESTIMATED COST $ Y0 o . 00
7 . IS THIS A CONTRACT COST l
Y s No
8. FEE ENCLOSED $ JO
9. T7RESIDENTIALOFBUILDING:
COMMERCIAL
10. TYPE OF JOB:
Original Installation
I/Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB o2 c11., yj,e,. Z
NO. STREET APT. NO
12 . TYPE OF INSTALLATION
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 3 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 5 33. TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
103 k-IZ.O
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: S—.(—
B ilding SPECTI y APPLICATION FOR BUILDING PERMITY'
Plumbing
HVAC Date:
Sprinkler 21 HIGHVIEW ROAD
Electric Estimated Cost ;
Zoning Permit Fee; 70 —
Affidavit NO. 21134 Occupancy Fee $
Fire Dept•COMPLETE RED BOXED AREAS.Total FeeTYPEORPRINTONLY S
Health Dept.
SI GN ON REVERSE SIDE. Approved for CO: Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location C ' w Lot No. Side of Street Zone
Applicant r Tel. # G..S2
Address C'_)W Pei Sh Sioc_c Zip orr,U k Lic.# Y1
STREET /I11 CITY STATE
Owner Address Ny4 h
mew k0f)
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area / Garages
Size of Lot Dist. from Street Line
Lavatories
Bathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit rs 6,
L
City Water 0 Well 0 Septic 0 Sewer 0
Use Group Cons ion Type n/
Approved by Date 2 L-7 eD a >>/a8
i h reby agree to conform to all the requirements of the Laws of the State 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 distanc from all street lines,side yard lines and required 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 in this 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: