The URL can be used to link to this page

Home My WebLink About21 Murielle Drive (2)3 TO SHE BUHDING INSPEMIR APPLICATION FOR PLAN EXAMINATION AND t'O OF 50U WIl 1DSOR, U I LO I N G P E R MITI z IMPORTANT — Applicant to co plete al 'tems in sections: 1, I , 11, IV, and IX.O I. p ZONING AT (LOCATION) R DISTRIC LOCATION NO.) STREET) OF BETWEEN AND BUILDING CR S STRE T) CROSS STREET) LOT SUBDIVISION LOT 40 BLOCK SIZE II. TYPE AND COST OF BUI DING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use IA 1 9Z New building Residential Nonresidential 2 Addition(1/residential, enter number 12 V] One family 18 Amusem nt, 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— 20 Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel,21 Parking garage 4 Repair, replacement or dormitory — Enter number 5 Wrecking (If multifamily residential, of units ——————— — i E] Service lotion, repair garage enter number of units in building in 15 Garage 23 Hospita, institutional Part D, 13) 16 Carport 24 Office, kank, professional 6 Moving (relocation)17 Other — Speci/y 25 Public Ltility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, norconfilo 8 9 Private (individual, corporation, 28 Tanks, towers nonprofit institution,etc.)29 Other Specify 9 Public (F deral, State, or I cal government) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food processing plant, machine shop, laundry building at h spital, 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 exist' ilding is b anged, enter pro osed use. in the above cost o. Electrical...................... b. Plumbing ....................... 0 c.Heating, air conditioning......... l d. Oth r(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT is ?i 0,001 III. SELECTED CHARACTERISTICS OF BUIL ING — For new buildings and additions, complete Pars 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 ITPrivate(septic tank, etc.) 49• Total square feet of flo r area, all floors, based on ex erior 32 Structural steel dimensions ..................... 33 Reinforced 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 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`P No 53. Number of bedro ms.. 38 Coo I 39 Other— Specify Will there be an elevator? 54. Number f Fu I.......... 46 Yes 47 W] No bothr oms Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To 6 o pl t d by all applicants am Mailing addr ss — Number, street, citA and tatc ZIP cod Tel. No. Owner or Lessee 2. OOL- Contractor 3. Architect or W Engineer The owner of this building and the undersigned agree to conform to all applicable laws of t 's iurisdicti n. Signature of applicant Address e r Application dot io NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Revi w R quired Check Plan Fee te view DateStarPlaans By DateApp Plans By Notesd BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or A rova I Check Date Number B Permit or Approval I Check Date Number BppObtainedypp0tainedy 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 10119 Bui Iding Permit issued Dec. 13 19 7— Bui Iding Permit Fee $ 138.00 Approved by: TITLE VIII. Z jNING PLAN EXAMINERS NOTES DISTRICT USE FRONT YAR SIDE (ARD SIDE YARD REAR YARD NOTES IX. SITE OR PLOT PLAN — For Applicant Use t a, -•rfi- F a e rr ,-r 3 b.4$ 4->a °4} rk-5"'b"P-t-t r,t w d-a S-+-4 t a-f j+ -,_'Y y ,1tC"'_}a'r g }311411 bi-i_tyw-A-} -A d QQ i L&R § sb -3 p- -+.i Ar p`} # iyro-rryy z t+-i r J a a -j it E`P `111 YRT ,. .,. , w. S `S e^i. « t« a, n -.,. y y«y,e,.-P-,.+.6,.4,d.1a H,y v - { --,h L>...a-#-c =rbo , ,» o-.{ -a.a t r .«-,..,. J a "-., .,r=>., fr s i,6 -, r. a: t r' '.a"t- ' t r'f -9 y.b-r+_µ. _ w_ --{#.b c- r°µ .4-.f.,.. aj T e_ Etg i z e r, µ 4,.. t...-f d d-1 w-s . .,,'p-•,c-., --r L w-a,q vb •_>- - „„mph.., w a.,.,d.m F A..,m.n,. -,y,,.y§.m m, .k., ,o-w ,a,,,....,}..„a-, .` `"...,¢„„,'n...re;,, k,M„,, .,r.,f . a .r a -a«w,., „ ,E,.d,v-r-k.,~,4-s- „c...,-,., .., g t + a t . f »»- d 5., ¢„ - 4;i• r§v-q p--d q K-a i F 4 n 4d.45 g t'-+"r`, r{^r-$4`-`A,. 4, a sf.« r.,.{„ (_-_< _§„ -s i.¢n.i f ill 'e-q: q,r WHO,e {.,c .,}h b p._.E., b . w } --p ,} d , r •_ 8 ,- P a f-i c .,. , i i.=,• x b#'+ 4e ¢c,4 r E ,c t-A t x P P b a 1 F K 4 ,, a x. a'q$ r aw.-iv„eT^- y- sh p - f} a o df, -y.e... 1. r,..,,.,. - h, m^ ,Pagsw,s, P' z r r ^,- A. ; b.,. « o. F_. x Ay s , ae a , . 3 b- a 1•6 d a -6 fr- s bx`; a,..a+.,,,,,.gaf,. „i.,:;:; .<r-,v8-+.g,. »a.-.p.}.i.i..,.,m»a,.p li11 r-,,.7 a ^r-_._:_ .' ga,..r-sw.1gttt ^s7r ¢, sd -r, _,'^_ , bra. .. j e -. 4 ,s@ J_ ,"-g,y rt w<.. «n - 1 }- i g_«,-`_T L - -s x q q•,t « ,o-,p_{.. a.y ..p# s,e » 1 , 2 , e c r - s f3-- ,a I Yr5 ,..}...}y...._t 4#$,z 1. - 3-s-„_4'G 45tt <_vr tw vn t, -y, y i ...-tea•-_ s.. , m L v^b't+ r y v i„- ,.„..g Y g .F,y-;^.s a t§-q q Al y..,y...»#.-s»a. ,q., '°r^¢-v t, -,.h_„t ,.,e# f 4 .i' •F 4 r..`ta1I. w ; ,::, b pair 4 o- t-' $ 4 a, c, vN - q•.a... a3,kE9MIT,a}-. .,-k'-`m i§Q. b,: A w''P.-rb., S. - s » ,.._. a y.c, „ <^ ^ g r - s R,,,a ., A s y „t.z P _ ,,, r< y x $ `" 411.13x 4 £gg$- sr...w..'dY="' ex,4-i+„w r.d, ,.sw-..die-.ro-„^a.,9-`'q" r^#`^t„ Ft.,,^Y"g a ,fit fie ,.,e ,.k L-04'f,.f?,JAM w ,S Rini,#.@@., ,rp F, ,, e f a$ _., ., 3 J. -- I_"<; ..a a a x v Y-'c .a_ s,- x q s per+», a.,,,,n,,,.#....e- ,-g.,_s.,v.-rafr'@", __ a• .a-.,,,+-um--{#¢.y.,. .,,pm,.a...., k . ^ .-e,:..,s ,.a..yx A r a,a M r i-.<aww%..nwb.i.,.4a,w 1Y p ..s °t4 t r< per,' ,« , ro bq -aef ,r 9' fP_ ; w{-. ` .w<3, , sE ,-f3 1q, y<a t-»f_v Af z $. }ryat,--,b s3isq_ r, ._< K,.. y g a W^y n ...y: .x'{4',Q o.a`q q o. } -,_, 4 g t,q , ,.,,a g r -i .a t-g -•__ o-'3' d$r-^... ai,.q g., r 4 P- i $ y.,ri,.4!gt—. <.e w.w..,. -d s i b v v» ,:,-}"r §A ,r^ „,. q y-t. -a.«g. a,,., i. b _, i= 4 y. 4a Y,9 tµh-a.w- c§- 4-4 a 1,4 W.t14- e.-,fy ->Ea,q..g„ i ,w.#'. ,.^a .... w14 n n qx„ a g .;«5 .g a»4.r^n y,4Po ,.Ga--. L r >,o-r•-}=4-'a-q+; , e- a - k-e..f . w »-d --}.. .g', i, re ., q-_ „r 3- 6 r s ,. -., a..,4 a- y s 1 a., _m-.s, }-,- d b,;r- _.-r a p-r 4 '-R f y r a p y» S aM fr a. m- y.,,ai' 1-«»a, y. _..., >..p..,, .,}q .,, f.e }.sy i r.,._,.. 5 r r _ } y- d -}ID 3 i s i-p q-5 o i r. $-' b l-«-1-$ 44 t. , x d$ yyrm.,a r ,fit - -D,.,_ I'll f-' g, } a -t a8-S'-r r } p t r4 d a , ^ e n, a^}.' a i tp s - ,S 1 S y 1 4»{-4pp^r-i 6A.1h {$ y.. rd q T„ 4-} fib'n iT o d , , 48= i, 5 S i-2 l p k.,Y. t4, ... ,.,.f.. ,r a; ;< ... g.a s « m§ . fr ,,.,p..n,a..{w <,,...o-s-1...v p..,, a.a_,^ +-r..>.. .1•,c.,y-a,-v.- d.._..,3 ro r,t o-'... .., q«i w's_. .,, +it-,.w,_°«_ e,.l.,#1_s» e»w p f 4 fr 1 g za' dd=s -l' r If'!, p f ..s.,., ,..-. <t ,d,...`},f-.° ,yo- se.,,'`>r -##, d-4-s}}t^•,1, `^¢.q.'' ,..,,xra_ r: a . . gsir-« «,a ip ,ky-}{a y- Mis«A.t1Fo ,#t+ 1 Yq•.x{ d,`.a o-,}•+s.4¢?a,z gv d-,»d¢e a¢ii, .« a-.-r:#' y<r 333333{ s,aeei-9 b, .+dr ro< Za a ib i Srr .$ K , , f p•r-44 .,^4..geFT ip4„g•+4f_•r> s g x,>«t - w r§<b a a.»e ,i-ia 1 4-1-1 i q n a--:.a-a-$»d,_+1-a y g s-, ,i>-.-r}#-... ..q,s_,t to..., 4°-y r ,-9-d--,a•-4 r i i,t-t-«'',i, fr a F 1 m >j s v a w r*q-» WITs i P&Y-, • r i} -s 1-s'g ^t +"P-4 4,r w$-4 6-}-A. a v .h- b r f q 3 q y-g g}} y_F» r f s .-- pA - r Y, "sa- ,'q de .1 ,, e `.'.,. « ...,§ »,r-. * a l' 4`°.. , c'_a •} N~ s e. _. ..._.1 F+'r t -8 y t 3 6 a Y 7 'S^ 4 `#y r ,-e-a e--a e -f-d g E x e- x p.- y ..+ #d_gt¢.,r' ,>--++-,,. -a-s.t,...f-a a,.. ,'. .-a-,.,_ F+.,^-.,_^,s->,a ,-. fa 4 ¢ «-'r - fyq (....,1y x ry F ,b% .,,y,.,ry A, y tom ,,,1,-» y[ d d 3 q' µ+ l-a.b- k..'4-._..,,, a40;gr+ -x- 1 mfr+ .+s-,s 1 It aatx.i» as -.4 3 •-a rr ta.-;r ,; 1?w}g^d 1 a4 a in.r%.. , 'q 3gp, .;d #:av}. 1. ,;. j:o g- g a 1st. a4-a-tl ¢f ,c. , w• a.t,,arF o- of 7,$ #$ .}+ s-c 1 "-f {f7 }- F}'ra, ,-1-<.a-cs a - ?a gtro,„t't_ 1a .. r'dr.,-r$}- iw s, ix-(}K A41->ap l$-fa;t 'lt.¢4 4-q i s,; p i--4.4 s-t-.;a R a >+ a fr i- m a. .7w-s.. ,1--r x d-»i d. d r sv""4 4 r.}-p t"-e.d a.+--t. 'w s s r- t t' k d Yt +1 q # r-`}'? sv-i' d, ty -fi + { - `r-*F1 -r-+' -+' -, ¢ t-P t -1-}i .' » fig till rid{ fii fir }. r `e" 4tilla -+}'- jam i-r{ ¢n rk • 4«. a_ a-rt{ i- 1} }- r 'i" t i-fi q 4 j f fr y t i_i `401 d ., ;- 1... ,. 0$-3 b-6-'+ { -¢--s- _ t dp. .l T-r Y-{ . t #4-f i y* r trrLa -1- 1 F }{HIT `f 1 i i_ _" m 1 -' Y 47 -4w 1 f - F # r i-° tom- t 3 -ic-t-s-f s 1-- {-f-•i -t-i M f? f"- T .cas# 1 t q+l f rr i 11 ;a A all 4 ;1:} lilt"+ i f d i- t -§¢ -t•}} t s a t3 y» d « r t-'-1444--- rt p t liff i 4 i -{ 7 - -p ; r rdtHi }'? - —.a e i -err L s a F 4yJ_ - r r p 1 .i TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Beg. 13 19 77 Fee Paid ,$.138.00 Est. Value . 23.9.000.00 Permit 10119 on the side of Lot #30 Murielle Drive Street Street No.21 Owner Chapel Hi 11 Dev. Go_ Applicant Mill l)Pv CO CERTIFICATE OF OCCUPANCY ISSUED: Date No. _5081 Fa Paid 3.00 CLASSIFICATION Dwe l l iniz Bun DING PERMIT N°- 101119 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. Dec. 13 77 South Windsor, Conn. 19 UmDc1 %i11 Dev. Co. M#ia to to fdrrttfg, That Owe I 1 ink is hereby granted permission to 00 at estimated value of $ Utt #30 hurielle Drive on the side of Street on land Chapel. Hill Dev. Co. owned by Said Work to be as described in Application 1c 419 No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. 7 7Lee. 13 Issued 19 - 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." 7e--Z ele,5yC;7-1131 1 7 Allle INSPECTIO REPORT Pe rm i t # D/ lo 1 Footing VA—30 2 Foundation 3 Framing 4 Wiring )~1:-!7 5 Plumbing 1-- 6 Heating 7 Lathing 8 C.O.D TO THE BUILDING INSPECTOR This will Certify that the Property Identified below has been Insp ted and Meets Engineering Criteria for Certificate of Occupancy. o SIP 1 M 14 1ZLO c`1 2 224-z-- Engin ring Approval Date 1 R STORM pRpIN pGE RESERVED EA TA WENT ION AR I,--,? 2 N 2%f -4S,- 0- E 2 • 15.57 128.84— p1iin Qp LO o W o NIIILOT30N N 11lp LOT 3 Lor 29 ss'•o rn f a t0• II N 16 117 i 20•OJ 14 V M• ECG to 0 N pill Vt ( M F" / - Y r 6=140-19, 26 25 - o40 c il.ding ed Ase = 3a 1T Io R=2s 13 .220 2 d'1MI TER WL 09 Shon No Zo Violations MURIELLE DRIrE C. r. 0 CONlie 8" SAN SEWER Cp f' VET W. Gl/c S O Q=340-17'-10"R_20 C.B. I• 0.00 lk 72 ROPERTY OF CHMEL HILL DEVELOPMENT INC. T 30 MURIELLE OR1VE SOUTH WINDSR, COMIL b EMIL 1 . LUCEK AS$O1AT M. IIEM RASE 4p' "Ti-2!•T7 09MA 40" DRAI M AN H. CHUM K.W.L. seem 10016M cow M- Mp 20 Smw virwiED SUOSTANtIALLY CORRECT - DEGREE OF ACC Y -2 M iEL W. LUCEK CONN. REG. LAND SURVEYOR 6293 6403 ELECTRICAL APPLICATION Application No. 6 710 on the side of Lot #30 Murie l le Drive Street Street No. _ 2 Owner Chapin 1 Hi 1 1 nee_ 1 Electrician Gilles LaRoche 1 le FILED IN OFFICE OF The Building Inspector I i Jan. 10 19 7$, 1 INSPECTION. I i rV 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 tops fit of wood) are installed, without a special permit from the office of the Building Inspector. n APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM,1 No. .............6.7...1Q............. Permit No. .......6403...I............. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. il......... 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., C-,,........ ...Ls 19 Sign here f ..... r .. Address .......1... 2.j .... ...... . J ............ LocationQ.. .... ' .... ....... .. . . '. .. . .......... Side of ............................................................................ ............................................... Nature of Building .. r Ste' How many stories Newor old Building ............ .......... . .................... ... ... ..... .. .. How many families Kindof Installation ... .........i........ ................. .............. .. . How many Stores ..................... ............................................................... .... Owner l.C -G. .....,y &' '? ........... __..... Address ...a ........... ..................? '..........__.._........... ... _...... Architect ............... .......... ... .............. .. . . ............................. Address r............../......................................................................._... ..._. ..../ ... lG; v,. .... ...• i ...... / .......... ,Builder -- ` G`r Address Cam '.'= .'....... Address Y..l X..........Electrician ... uk ...... ..... Size of Main Wires ... .................................................... No. of Light Loops .................. ... ............ No. of Heat Loops ........... ... . No. of Power Loops .......................__._...._.... No. of Light Outlets .......r,2,..V......... 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 ..........f .. ........ .. ... ... 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 .. W .............1 tr......... I .......... ._........................................................................................................ ............................... ............... I-- r- Estimated Cost ......1..... ....... -1_>.......... 5142 Q r' PLUMBING APPLICATION ppp Noy 5930 on the ...___...._ side of Lot #30 Murielle Drive Sect Street No. ...._ 21 Omer Chape 1_ Hill Dev.. Co. plumber _ Ace Mello Jr. Filed in O$im of The Bulmg I rpecooc T n 18 19 Z8 IIiBP Ci O. o person portion of the drainage system of say bmlWog ezmpt to repair leaks) until a Permit is gcnftd by the Building Ingxmr. Application No. ........ 5930 Permit N . .......51.4.2............... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application to perform plumbing according to detailed description bet w. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be dcomplied wi whether specified herein or not. South Windsor, ............./........../ ................................ 197,k. Sip he ..... Address7....3.. .......... Location e41-axl.6.e.. ..E......... Ar' side of ........................................................................................>........... Street Nature of Building ... How many stories .. ................../............................................................... Owner ......C".ve IA.4 J,Cd..E..C_. ..... ....... Address ....... .........*q P..t........................... Architect ..................... ....................................... Address ...................................................................................................................... Budder ... iQ 111.44........ Address OA 7PlumberAddress DRAINAGE CESSPOOLS, How many .. .......................................... ................... Where located ................................................................................................... Are they water tight . ... ........................................................................ Of what materials are they built ..................................................... Sizeof pipe from house to cesspool .............................................. Kind of pipe ................ ..................................................................................... MAIN DRAIN IN CELLAR, Material ........C 1A......... Diameter ................51..#................................................................................... Aboveor below cellar bottom ................. e te SOILPIPES, Material . .... ........... Clf......................................... Diameter ................ ......................................................................................... WASTE PIPES, Material Diameter ................ TRAPS,Type proposed to use is .... ........................... . . ..... ... .. ..................................................................................................................................... RAIN WATER LEADERS, where do they run to ................. ................... REFRIGERATORWASTES, where do they run to ........ ............................................................................. ........................ ............................... TANK OVERFLOWS, where do they run to FIXTURES WATER CLOSETS, How many ......................Z.................... Where located ..... Distance from trap to vertical soil pipe ......................................... Pattern WASHTRAYS, 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 .............U10AW......2................................ Where located ........ .... ..... .....711 a....... e ......................... BATH TUBS, How many..... Where located ...........eAP-11..........Ar.............................. 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.. ...Isao.-.. .............. PERMIT # Application For 4953 4752 DEPARTMENT DECISION Heat Permit 03 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS APPROVED DISAPPROVED f TOWN OF SOUTH WINDSOR 1/18/78 DATE C INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BEL W O d 1. LOCATION OF JOB o w 1.+ o 21 Murielle Drive ONO. STREET ej 407 w LOT NO. FLOOR APT. NO. ON 0 2. OWNER Jf/ L. /5FlL C • A 0 S. ADDRESS bie 3 E 4.PHONE a a tj S. APPLICANT— cc o_ FA 6. ADDRESS o f'i/L1 7.PHONE S 3 w ,C 0 A B. LICENSE NO. a F. w B. EXPIRATION DATE OF LICENSE r- v 10. ESTIMATED COST 81•-O t t. IS THIS A CONTRACT COSTI YES NO 12. FEE ENCLOSED :; 1 n 1 1 9n119 x is. TYPE OF BUILDING: bA RESIDENTIAL COM1MER64L 14. TYPE OF JOB: INDUSTRIAL 3 RIGINAL ALTERATION I INSTALLATI N ADDITION REPAIR i APPLICATION FOR HEATING PERMIT (Continued it m Reverse side) 11. LOCATION OF JOB IIQTA cj,2e LL NO. STREET FLOOR APT.N . 12. TYPE OF INSTALLATION; OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE SIZE13. OF TANK OOFCTANKN C L.q a OF FILL cSIZE OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET_9 B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HJEpTED NEW OR OLD BUILDING A/FJ INSULATED - E OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. /a B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT MAKE OF RADIATION: B#SEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. 3; DESCRIPTION OF WORK L i S s15. TO BE DONE:ae or is. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS); RO M SIZE WINDOWS AREA - SQUARE FEET S.T.U. S.T.U. F D VOLUME DISTRIBUTION INSTALLEDANDDOORSTOTALTOTAL LL R OM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED J j REGISTER L W N AND W TEMP. TO f TYPE AND SIZE RAO. OR LEADER SIZE WALL t0 INFILT.) DIFF. F m m SQ. FT. FREE AREAF' 75< 75< TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND 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. / /`_ °l DATE/ d SIGNATURE OF APPLICA 6=R LCU LATION SHEET 1503' Copyright 1965 6y the Institute f B filer and Rodiet r Manufacturers r aOWNERADDRESSDESIGNTEMPERATUREDIFFERENCE_F. DATE 17 COL. A COL. S COL. C COL. D COL. E COL. F COL. G ROOM I ROOM TOTALS RADIATION p w w H H W H W M W H W FROMLINE 12 SELECTEDVK 2 ROO4111,0IMENSIONS, FT. 0 1M 1 a i O u < 2 6 cr v 3 LEN TN EXPOSEO-WALLS. FT. tU. IL 4 YANWW AND OUTSIDE DOOR AREA STUN STUN STUN STUN STUN D ? V 11 WALL. CONSTRUCTION Jd7 ZOOO d 60 3 06 ss b a 6 TYPE F GLASS Y 0.0 100 000 ao 1200 F 3v 7 g9146 6 CD118T1lfCTION 300 3 0 6 Z-/ 0 a 1-1 a 6 O o 0 0 a PAfRIT)OIf C0N`TwCt10M N ooarof L 000 zoo 00 hor 11a 16'/ ov 00 4 fl 0 Vd O p O 00 i rt ww" 6 3 3 0 0 0 •v• 3 S D 6 It 00MINf COL.A COL. S COL.N ODL.1 COL.J COL.K COL. L L P t Al 04, O tyW N N N N N L W 6 IbOr DlrtNiLONi. FT. 1- V o • r • Q T TAIL STW TOTAL u < F WILDING RADIATION i L IGTM EXI.OSED WALLS, FT. IL Z s37 AT SELECTED Dow ANO OUTSIDE DOOR AREA L` DESIGN TEMP. DIFFERENCE STUN STUN STUN STUN STUN t 1 r 5 WAIL CONSTRUCTION d - 900 3 o -goo PEOFGLASS 5- 60 000 17 CgILING CONSTRUCTION 0 r O 0 0 0 3 0 o PooJ TOTAL 201 8 SLOOP CONSTRUCTION T i FOR CONCRETE FLOOR ON CQLOPARTITION CONSTRUCTION C,ROUNOORFILLATGRADF LEVEL, USE LINEAR FEET LLIWITM GLASS OR [XTEPIOR 000111 O h OF EXPOSED EDGE ELLS 0 Od r EEWALLS OR ENTRANCE HALL • u3 NAT7OF TEMP.DIFFERENCEe NAT OESI N TEMP.DIFFERENCE S O 6 O U J.tO O 0 O FORM TS fa`ie from The H11d nits Iwttihlfe (For1n rly The Instifute f Boiler and Radiator.Manufacturers) 35 Ruuo Mace. Eerieley Heights, N.J.07M TO THE B ING INSPECTOR of the PPLICATION FOR PL N EXAMINATION ANDTOWNOFsot"H WI16D.Sm CAXW BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and 1 .O ark Ile. Pr-, ZONINGI• AT (LOCATION) / l DISTRICT 10 LOCATION NO.,)) STREET) OF BETWEEN 0 6" / k AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOTS 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 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 religi usinPastD, 13) number of units— — — — -i 20 Industr al3 Alteration (See 2 above)14 Transient hotel, motel, 21 Parkinj garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (1/multifamily residential, of units ——————— — i Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professionalPJ6 Moving (relocation) 17 Other — Specify_!4 4rOVN9 A 25 Public utility 7 Foundation only 26 School library, other educational B. OWNERSHIP 1Nl 27 Stores, merconfile 8 0 Private(individual, corporation, 28 Tanks, towers n nprofit institution,etc.) 6W 39 ' PNG/°i 29 E] Other Specify 9 Public(Federal, State, or local g vernment) C. COST Omit cents) Nonresidential — Describe in detail proposed use af buildings,e.g.,f od processing plant, machine shop, laundry building at hospital,elementary 10. Cost f improvement................ s3 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 $ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Pa is E — L; for wrecking, complete only Part J, for all oth rs 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 from* 41 Private(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions ..................... 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34 El 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........................ Oil conditi ning? L. RESIDENTIAL BUILD114GS ONLY 37,.Eteatricity 4A Yes 45 No 53. Number f bedr oms.............. 38 Coo I r 39 Other' Specify„ W)I I th re be en el vat r? F 11.......... 54. Number of 46 Yes 47 N bathrooms Prtial....... IV. IDENTIFICATION — To be complet d by all applicants Name / Mailing address — Number, street, city, and State ZIP code Tel. No. 5v",3 e y`Junes l v-.r Ile, :[/i 2'Y9-jc-77Owneror Lessee /t 64 O,--0-7V 2. C Sey,Jriwannrli /50 5 Contractor T 11Arc! , CloN-J. 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of ppli Address Application date t/ 4171 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 Notes9FeeStartedyApprovedy BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obta ned Number ]By Permit or Approval Check ObtDaitned 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 VII. VALIDATION Building Permit number 13974 Bui Iding Permit issued ,Jame 13 19 $-_ Building Permit Fe $ 18_nn proved y: ITLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date June 13 ig 83 Fee Paid 18.00 Est. Value $.At 000 Permit No 13274 on the side of Murielle Drive Saver Street No. 21 Owner a.stanley/Linda A. Jones Applicant H. Stanley Jones, Jr. CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ In-ground pool w/fence BUILDING? PBRMTT oMcaa OF N° 132'74 THE BUILDING INSPECTOR Of & Town of South Windsor, Conn. South Windsor, Coon. June 13 1983 Zhis to to gerfihj, That Casey Swimming Pools is hereby granted permission to In-ground pool 24' w/fence at estimated value of on the side of - 21 Mur ie l l e Dr iye Sam on land owned by _ H_. Stanley/Linda A. _Done s Said Work to be as described in Application No.and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued 19 83. wilding 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 p6ce r 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 aid sty, town or borough all coats and damages which it shall sustain, or be compelled to rayon therefor." INSPECTION REPORT Permit # Job 1 Footing 2 Foundation eo, 3 Framing 4 Wiring 8 5 Plumbing 6 Heating 7 Lathing 8 C.O. 8040 ELECTRICAL APPLICATION Application No. 9151 on the side of Murie l le Drive Street Street No. 21 Owner H_ Stanley Jones Electrician H me ownp r FILED IN OFFICE OF The Building Inspector 7/22 i9 83 INSPECTION. 13D,"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. . ........,.°-1........ ...... Permit No. .... f... ..... ...... 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 B -Law shall be complied with whether specified herein or not. c South Windsor, Conn., 19 Sign here i Address Location Side of ... ... Nature of Building How many stories ........... ... .... ... ............................................ ................. New or old Building .. . ... How many families .............................. ........................................................ How manKindofInstallation/ Y Stores Owner ..............!.y7.'. ..r. ....._...... Address ArchitectAddress ... . .... .. ..... ....................................................__.._......._....._._.... Builder Address 1:.. .. ... .. ......... AddressElectrician , Size of Main Wires . /....2... ...2..................C..U- No. of Light Loops .. . No. of Heat Loops .. No. of Power Loops ......................... No. of Light Outlets No. of Heat Outlets . No. of Power Outlets ............. ... ........... 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 ... ...... . ..Total Wattage .... .... Size of Power Circuit .. . Total Horsepower No. of Straight Electric Fixtures ..... . ... . ................ .... No. of Combination Fixtures ... No. of Receptacles ........................ ...... .......... ................ . No. of Cord Drops ...... .... .......... .. L................ ..... ....... . .. Remarks. For other kind of Installation .. . ........1!.......I........... .. .......... .... ••.......•.../•••••••••••• Q. .U.............. ra. rd.......11-11k Estimated Cost ...../11>. . ...........I......... ...... TO THE BUBLDING INSPEMB of dw APPLICATION FOR COK1. PLAN EXAMINATION AND TO" BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, It, Ill, IV, and IX. G p / ZONING I• v,`le ! DISTRICTAT (LOCATION) S_ LOCATION O') STREET) OF BETWEEN AND TI CROs BUILDING CROSS STREET) STREET) Lo SUBDIVISION LOT BLOCK SI E N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 1 N w building Resid ial Nonresidential 2[j?Additi n(if residential, enter number 12 M One family IS Amussment, recreati nol o/new housing units added, i/any, 13 Two or more family — Enter 19 Chure , other religious cn Part D, 13) number of units— — — — 3Alteration (See 2 above) 14 20 Indust sal Transient hotel, motel, 21 Parking garage 4 Repair, replacement or dormitory — Enter number 5 Wrecking (if multifamily residential,o/ units ——————— — i Servic station, repair garage enter number of units to building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office bank, professional 6 Moving (relocation) p 17 Other — Specify 25 Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 6/x 16 27 Stores, mercanti I 28 Tanks, towers 8 Private(individual, corporation, n nprofit institution, etc.) 29 Other — Specify 9 Public (Federal, State, or local g v rnment) C. COST Omit cents) Nonresidential — Describe in detail proposed use f buildings, e.g., food f7 I processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement..QJ:...school, secondary school, college, parochial school parking garag for, department store, rental office building, office build ng at industrial plant. To be installed but not included If use of existing building is being changed, enter p oposed use. in the above cost a. Electrical...................... b. Plumbing ...................... i c. H sting, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BU LDING — 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 49. Number of stories... ............ 30 LeW s my (wall bearing) 40 Public or private company 41 Private (septic tank, etc.) 49' Total square feet of floor area, 31 ad fromj all floors, based on ixtorior 32 Structural steel dimensions ..................... 33 R inforced concrete H. TYPE OF WATER SUPPLY 50. Total land area, sq. It. ........... 34 Other — Specify 42 Public or private company 43 Private(well, cistern) K. NUMBER OF OFF-STF EET PARKING SPACES 51. Enclosed ....................... F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 35 Gas Will that be central air 52. Outdoors.......... ........... 36 Oil c nditi ning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Y s 45 No 53. Number of b drooms. ........... 39 Coal 39 Other— Specify Will th to be an el vator? 54. Number f ull.......... 46 Y s 47 N bathrooms Partial....... IV. IDENTIFICATION — To b compl t d by all applicants Nam Meiling address — .'Number, street, c:tv, and State ZIP code Tel. No. 71 Owner or Lessee 2. S z rrv NS l S/s '!Q q r pzl4ra Contrac•o v3 7e/ 3. Architect or Engineer The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature f pplicant Address Applicati n date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R vi w R 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 Approval Check ObDtoined NumbateerByPermitorApprovalCheckObDtcnedNumbrjBy 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 number Bui Iding Permit issued ZZ 19 Building 1 P rmit Fee Appr by: P7 TITLE , TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Arp i l 4 19 86 Fee Paid $.l 0 8 .0 0 Eat. Value $.18,0 0 0 Pit N° 14952 on the aide of Murielle Driw Street Street No. 21 Owner Stan TnnP-q Applicant Stanley _ zerwinski CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ Enclosed porch BUILDING PERMIT M 14952 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. a"i - A 1986 94jS TS to Ctsr fif-U, That Stanley C=rainski is hereby granted permission to uc loses-= rah 16' x 16' at estimated value of $ on the aide of 21 Muriel le nri va Street on land owned by Stan jams Said Work to be as described in Application No. 15252 and to conform to specifications and plans filed with said Application, and Building By. Laws of THE TOWN OF SOUTH WINDSOR. Issued Building Inspector. Streets and sidewalks, obstructed by euavations 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 coats and damages which it shall sustain, or be compelled to reason therefor." INSPECTION REPORT Permit # " Job 1 Footing z 2 Foundation 3 Framing 4 Wiring ct,k 5 Plumbing 6 Heating vc-- -fflq,Q-k 7 Lathing 8 C.O. IF ELECTRICAL APPLICATION Application No. `e2 h`9 C) on the ade of Street Street No. 1 'I-Lc I a Owner d1 r % • r Electrician Axe FILED IN OFFICE OF The Building Inspector 19 iNBlRGTION. aw 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 Are stops fit of wood) are installed, without a special permit from the office of the Building Inspector. C1P-CA-,r1CQ1 41 pN TOWN OF SOUTH WINDSOR Master License o. -/&I— ::ile? 4171BuildingPermitNo. BUILDING DEPARTMENT Date Filed APPLICATION FOR ELECTRICAL WORK Date Final Approval .................... Electrical Inspector B LOCATION: .........../........ JOB OWNER: ............... Side of .................................. Between ............................................................................ and Name of Building Owner jy-,........ Address ........;;41...... If work is for Lessee--Give name Address 9 No. of family units now ..........Building now occupied as (unless new ............... Building to be occupied as .................................... Number of family units to be Is this work included in a Building Permit? ....... Permit Fee .......................................... If no Buildhw Permit) Permittee j....... C7,10 11 Telephone .e;...................... Business Address COST OF INSTALLATION: ............Z:2 0- TO BE FILLED OUT BY PERMITTEE TO BE WIRED f EXISTING APPLIANCES Number of light outlets to be installed Number of convenience outlets to be installed .......Number of present Appliance Circuits Number of switches to be installed . . . ....... Do these include Range Water Heater [3Numberofappliancestobeinstalled . . . u listed below) Dryer Air Conditioner Oil Burner [3TYPERATINGNO. Range . . . . . . . . Dish Washer [3 Gas Burner Well Pump [3 Elm Heaters Range Top Oven . . . . . . . . REMARKS Water Heater . . - Clothes Washer . . . . Clothes Dryer . . . . . Dish Washer . . . . . . Air Conditioning Motor . CHI Burner Motor . . . . Gas Burner . . . . . . Circulator Motor Attic or Large Pan Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . Number of new Lighting Circuits Number of new Applianc Circuits . . . Number of Heating Circuits . . 7# 0 0 0 . Number of Motor Circuits . . . . . . . Size f present service . .......... Size of MrVift to b,,- .- PERMIT # J'¢ Application For V DEPARTMENT DECISION Heating Permit too it APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS C APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR 11 9 A o 0 9 DUE CHIEF INSPECTOR APPLICATIONS NUIi J A , t. LOCATION OF JOB C NO. tiTR[R LOT NO. FLOOR APT. NO. OWNER ofir.S. ADDRESS og i n PHONE s<. APPLICANT i'G r n G ADDRESS 7e rjju 1yo N1. AR C. t 7.PHONE a G a O w LICENSE NO. —,0 y 0 5 0. 7EXPIRATIONDATEOFLICENSE 0D 10. ESTIMATED COST i :Zoe), v IS THIS A CONTRACT COS" YES NO b0 O Ia. FEE ENCLOSED s k 18. TYPE OF BUILDING: R[SIO[IITIAL CONMERCIAL ElO ,C ts. TYPE F JOB:INouSTR1Al ORIGINAL ALTERATION INSTALLATI N C ' ADDITION REPAIR APPLICATION FOR HEATING PERMIT (C utinu a it I® R v no Sid 11. LOCATION OF JOB le- 15 NO. STREET FLOOR A".N . 12. TYPE OF INSTALLATION: 51 OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTERIZO,OQDFURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED — YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 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 7_ Al J -I15. TO BE DONE: a AL t 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): NO M SIZE AND DOWINDOWS AREA - SQUARE FEET s.T.u. s.T.u. o AND ooOwf VOLUME DISTRIBUTION INSTALLED TOTAL TOTAL r a DOOM IL NO.GA f GLASS NET WALL CEILING FLOOD CU.FT. AT 70•R CORPI[CTlD j REGISTERRAG.L W N AND ` TEMP. TO TYPE AND SIZE OIL LEADED SIZE < WALL f'Gt0 INFILT.) OIFF. R O M 0. FT. FREE AREA TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND 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 IS. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR ( GE IS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. a ATE 1 ATURE OF APPLICANT E B=R CA,.-oULATHM SHEET I=(MtOdWK Na 000 7 copyright 1977 br-n Hyde cries:-• o-, e LA101"ER AOpR U OEs1 N TEMPERATURE OIFFRRENCE DATE 3 COL.A OL.•COL.C C L.E COL.IF C L.O 1 ROOM J C c el 0 11 L' W ig N L W N L W N L W Mx TsIwR L 2 ROOM DIMENSIONS,FT. v 7 e. L STUN/M Feet et 1 s 3 LENGTH EXPOSED WALLS,FT. RsdhtMw Sale~ 4 WINDOW AND UTSIOE ODOR AREA 9T{1N STUN STUN BTU" S1TUIi 5 WALL CONSTRUCTION 7 2 00 p R OM LIN.P7.Ow( TatNa 9,Lim 3 x NI f 1?4 Ph . D/ 0010 O O V O T TALE RADIATION TYPE OF GLASS O FROM LINE is iELECT f 19etta l of tiN wWd to LWW SI 200 C) g O O 0 V o2.' 7 CEILING CONSTRUCTION 0 O 's OO O O C 17ISW9,LxW1 PJwWool 3 D S FLOOR CONSTRUCTION? e We ( O .5 Q O O 1 , O O O O O OITW69LxWoLIwPQa E 3 oa9CLoPARTITIONCONSTRUCTIONF, 3 ITaMe%L x N) o O O 10 1 Wall Whit opa I lid W; O!O O C H O O 1% 2wallslWhk x 00 I 7 22 3 walls IWIw or«Ilqr or got Nall F ,OP 7 J 11 T TAL STUN AT 70F TEMP.DIFFERENCE•0 00 K 12 T TAL STUN AT DESIGN TEMP.DIFFERENCE Y 0 00 0 L 7 COL.A OL.a COL.N COL.I COL.J COL.K COL.L TOTAL§TUN TOTAL L1ROOM Of BUILDING SE LOINO IE _CTEO O N L W N L W N L W N L I W H L W DEMON TEMP• 2 ROOM DIMENSIONS,FT. o1FFERE s X S , 2 LENGTH EXPOUD WALLS.FT. S c`3 d WRNDON ANO OUTSIDE DOOR AREA 16 F 7-otokXtn = 57gy evw TUN BTU" or"M 9 WALL CONSTRUCTION INCREASE EAT IROOM ITaMe 9;Lbw 3 x H) Q / TOTAL?OS 9 TYPE F GLASS fee"em of table ud"Io Ll"M 1700 0 Q tFOR CONCRETE FLOOR ON 7 CEILING CONSTRUCTION D O GROUN&3 ON FILL AT Table 9,L x WI Q O GRADE LEVEL,USE LINEAR FEET OF EXPOSED EDGE S FLOOR COMSTRUCTIONt tTaMe 9,L x W or Llw.FL) O O 1 D O 9 COLD PARTITION CONSTRUCTION ITarle 9.L x N1 10 skj 1 Well JWhh OvM1g1 0; .Dl 1% 2 Wsft(Whk x 18' 00 3 Walls(With OoenlnEs)or Ent Nall 11 T TAL STUN AT 7 F TEMP.DIFFERENCE* OD 121 TOTAL STUN AT DESIGN TEMP.DIFFERENCE O Fr,)RM 1503 This form is evaNable hoe The Nydnsniss Institute,35 Rum Iw%Berkeley Heights,N.J.07922 Extric t t0 a i APPLICATION FOR BU DING PERMIT 21MURIELLE DRIVEPlumbing# Date: 14-S 4WAC # U 97 No. 25933 Sprinkler# FILIAL APPROV Estimated t y/L Building 17 COMPLETE RED BOXED AREAS Permit Fee EngineeringTYPE OR PRDIT ONLY OccupancyFee S~ Affidavit SIGN ON REVERSE SIDE Appr.for CO. c 2 `I Total Fee f8 5- TO BUIUMG DE)ARTMD4,TOWN OF SOUTH WNDSOR,CT Additional Cosh The undersigned hereby applies to do work according to the following specifications: Jo6 Location 21 mu rr•r-1 C)r 5 W. Lot No. Side of Street Zone Applicant PO)oa &1U'ars Tel# &4 33 Z-- Addr ss 7 f2Rti 4-e-ct> 4-4jyQ Zip o&,o-w Uc# 5 74 Own r S+vvm Address 2-( IMUrrt e k O Architect koc S— Address Sq. Ft.N w Area: 1st FL- P)oo 2nd Fl 3rd FL Total Nem,Area Rooms Lavatories Bathrooms Garages Purpose of this permit: City Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by Ij Kt-- Dat IZ 4tcY Use Group 0_4 Cons Type b 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 1:94xHeqated the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in ich th building and Signed I hereby apply for a Certificate of ccu n y for the work escri in this application for the permit. Signed DO JWWRITE BELOW THIS LINE INSPECTION COMMENTS 1 Inspection / Approval Date By Appl Code Description Due Whom Code Comment 99-25933-B 40,000 B01 FOOTING 03/30/99 JFF A WITH CONTRACTOR B03 FRAMING (ROUGH) 04/22/99 RAN A E03 ROUGH 04/22/99 RAN A P03 ROUGH 04/22/99 RAN A DRAIN FROM ADDITON TO GO OUTSIDE AND BACK IN NOT IN YET B04 INSULATION 04/23/99 RAN A B10 FINAL 05/19/99 DCJ D NOT READY Bje FINAL ns/91/99 DCJ D SMOKE DETECTORS, PROTECT DOOR TO POOL B10 FINAL 05/25/99 DCJ A APPROVED FOR CO CLOSEOUT 99-10479-H 1,500 99-10366-P 3,000 99-16215-E 3,750 1 STORM 4 AGEDVtAIt a.gyp RESERVED FOR tro TENT ION AREA RE 45-4 s E 20. 15.57 128.84 our o a l o' qp\ QaIIIy o a W1 N LOT 30 O IILOT310 Lor 29 a 0 7 ri N 20 498 a• I CON EmE k C/ 20.01 14 V M. << i CGJ`r' 100RIVEG7 III o v 0=14°-I9'- AL E ' 25.00 Building ed As j 34°-17 -10 R:2s L,6 WATER _DSL l:i 99 Shmm No Zo Violations MURIELLE DRIVE c.e T- EOF Coivjl71'- q Cj 8" SAN SEWER I Cp y! ILL ell Q=34° loll R_200 OOC.S. 1' 1k am ss 72 ROPERTY OF CHAPEL HILL DEVELOPMENT' 1111C.1 LOT 30 MURIELLE DRIVE SOUTH W INDSOR, CONN. MIL W . LUCE-K AS $OCIATES, NO. REVISIO S DATE WA LE1~ OAT 1-29-77 TMIi IENfrINEERS0 AS—BMT AMO IIOr o WN AN H. CNIXXzp Om WUI@bOO. CONN. 20 A sum WKD SUBSTANTIALLY CORRECT - DEGREE OF ACCU Y A-2 W. L"11K CONN. REG. LAND SURVEYOR 6293 t a THE E:.tlt)INu DEPT. TCC.. t This certified that this plan ano c, copies of the proposed buridm,; cr H,r.,.L elected at a tog-t,er w•th imcncrn i t- sc.t, i +„ frL,1 ,• tlr pl. er U _r h i rs. d by the Building L, p rtm i nc,, of this application and tro-iI rssua.,ce )j i•drnk Permit Signed This pt, r s ,p^r-v(,d suo,ec} to th or. _ ;U r. :nc r E I,.Ic,t b 111J,:L S. t corm?mc: w+th Conditt3nai;y Approved These tr' i,iih 8w'4C:ng Irts; cto Ciari 5'?35. ERM-4ATION OF ZONING COMPLIANCE Proposed bulldinghgl uses} andigr structure(s) as shown on this. pim appea+ s) to be "n conformance with current Satan ",'-A,Ad_-+.',x r-gulations. Variances and special exceptions may apply. Date VfMg-Ejif ement O.fwm DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT P Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# EOVED 1540 SULLIVAN AVENUE 3 644-2511 ext.230 Date Building Inspector Application must be printed or typed Loeati M,,- Street No. Street Lot No. FEE SCHEDULE Floor Apt.No.F0$0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER ,,c vyG5 or any fraction thereof ADDRESS f,os e, Cr U G07 OWNERS PHONE# APPLICANT M/`"7?lp-) N S 1 ADDRESS fit/. Gas,-w .- a ESTIMATED COST$ J7 0 ' 40. INA C IS THIS A CONTRACT COST? YES NO CJ FEE ENCLOSED $ 40 OR-00 TYPE OF JOB: Original Installation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A V RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS ate` REMOTE DISCONNECT REQUIRED?YES/NO NUMBER OF LIGHT CIRCUITS 3 NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. NAME STATE LICENSE NO. TYPE SIGN TURF ICANT PHONE NO. r`1'L fj 5 DATE /-5' , DEPARTMENT DECISION PE APPLICATION FOR PLUMBING PERMIT tjz L f Application is hereby:TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bld Permit# APP VED 1540 SULLIVAN AVENUE T'3Z5 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER or any fraction thereof Q ADDRESS V OWNERS PHONE#3 3 — APPLICANT ADDRESSoW. sfq ESTIMATED COST$ o C IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ ds0 CO TYPE OF JOB: Original Installation Alteration/Addition/Repair Revised 10/96 APPLICATION FOR PLUMBING PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION YES / NO RESIDENTIAL BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE FUTIJRE USE AND OCCUPANCYEDUCATIONAL INSTITUTION FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION c, SIZE OF MAIN DRAIN NO. OF TOILETS / STYLE NO. OF URINALS STYLE NO. OF BATHTUBS NO. OIVSHOWERS/ NO. OF LAVATORIES / NO. OF CONDUCTORS SIZE NO. OF STACKS SIZE AREA OF ROOF NO. OF CATCH BASINS NO. OF FLOOR DRAINS NO. OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES/NO SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER BEATER TYPE MANUFACTURE TANKS SAFETY DEVICES TEMPERATURE CAPACITY RELIEF VALVE TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE TYPE MANUFACTURER DESCRIPTION OF WORK 0/ din THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SU NAME STATE LICENSE NO. TYPE NATURE OF APPLICANT PHONE NO. "3 DATE DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERM# Z,nqll Application is hereby:TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bld P it# APPROVED1540 SULLIVAN AVENUE Mm 644-2511 ext.230 Date Inspwedor Application must be printed or typed Location ofjob Street No. Street Lot No. FEE SCBEDUILE cra - Floor Apt.No.r$0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER any fraction thereof ADDRESS OWNERS PHO APPLICANT 9ADDRESS1 LZ 57 61ESTMATEDCOST $ IS THIS A CONTRACT COST? Z"- NAV YES NO CJ FEE ENCLOSED $ OR-CO TYPE OF JOB: Original Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR RVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM HEATING TYPE OF BUILDING RESIDENTIAL A/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT LOSS(BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) TYPE OF FUEL OIL-GPM T, GAS-INPUT ELECTRIC-KW OIL TANK SIZE&LOCATION INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY AIR CONDITIONING DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F 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 eel THE UNDERSIGNED HEREBY APPLIES FOR A P RMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WO c' STATE LICENSE-NO.NAME&TYPE SIG ATURE OF APPLICANT Z5.387PHONEN0. ,DATE LCULATION SHEET 1503 (Modern Method) Coorrlthl 1977 by The Hyde ntc.In.IIIwIf imam OEiI N TEMPERATURE DIFFERENCE F. DATE OWNER ADDRESS C L. A COL.a[ 40 00L.O COL.E COL.f COL G 1 ROOM -- OW H L W H L W H L W M L to Oo.lEn Water Ten+p. STUN par/o t of v 7 ROOM DIMENSIONS.FT.U Ra41al1orl Selected 33 LENGTH Ex 4 WINDOW AND OUTSIDE DOOR AREA TUH BTUH TUH TUH STUH ROOM LIN. FT.Of S WALL CONSTRUCTION O 1 Z-Z 96) TOTALS RADIATION Tabled.L1ne 3 a H)7 FROM LINE 12 SELECTED 6 T VIE OF GLASS JZ 0C) O0 IS Isom of table used for L 1n•6) f C L - CEILING CONSTRUCTION 3 06 Table 9.L a WI CJ J iLOOR CONSTRUCTIONS E ITablo O.L a IN r Lin. F It 1 6 COLD PARTITION CONSTRUCTION G Table E.L H) 10 C O/Z 5 M 1 Wall(With Oponingia it . 2 Wells(Wish Openings) a J ? 1 2 Wells IWIsh Openings) r Ent.Hall I- v I I1 TOTAL bTUH AT 7OF TEMP DIFFERENCE' Q K 12 TOTAL STUH AT DESIGN TEM DIFFERENCE O L lO 0 COL.COL.K COL.L TOTA TUH TOTAL COL.A COL.•COL.H COL. 1 L• OF SUILDINtl RADIATION AT SELECTED 1 ROOM t H L W DESIGN TEMP.* O M L W H L W INL W H L W OIffERENCE 2 ROOM DIMENSIONS.FT U 3 LENOTH EXPOSED WALLS. FT WINDOW AND OUTSIDE DOOR AREA TUH STUN •BTU" TUH TUH INCREASE BATHROOM S WALL CONSTRUCTION TOTAL 20% ITable e.Lln•,a HI 6 TYPE OF GLASS IS Itom f table wood tot Line 51 FOR CONCRETE FLOOR ON GROUND OR FILL AT 7 CEILING CONSTRUCTION GRADE LEVEL.USE LINEAR Table Y.L a WI FEET OF EXPOSED EDGE FLOOR CONSTRUCTION( 1 T ebli 9.L a W or Lin F t l g COLO PARTITION CONSTRUCTION ITable 0. L a M) 10 c 1 Well(with Opening.) 0 2 Wa110 lWlIh Open-ngsl p X 9 Wells(M11th Openinp.) r Ent Mall II TOTAL eTUH AT 7OF TEMP DIFFERENCE' 12 tOTAL •TUH AT DESIGN TEM DIFFERENCE FORM 1503 This I em I.e.amloble to rn The MvdronlCe Insulut• 36 Russo Place 0•taaley Helpht..14 1 01922 DEPARTMENT DECISION PERMIT# APPLICATION FOR ELECTRICAL PERMIT G-7 Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE 6.44-2511 ext. 230 Date Building Inspector Application must be printed or typed Location o jo Street No. Street Lot No. f FEE SCHEDULE Floor Apt.No. 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER Cch hG or any fraction thereof ry ADDRESS OWNERS PHONE# J APPLICANT A /o ADDRESS Va ] r''/h 4,00 OWN SF ESTIMATED COST$ 10- C f.:IS THIS A CONTRACT COST? YES NO A L)FEE ENCLOSED $ TYPE OF JOB: OR-Coffi terafion dition/Repair Revised 11/95 - APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BU NG IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY i MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD`' SIZE OF MAIN FEEDERS AND RATING OF WIRE USED 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 SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BU G C ES IN THE PERFORMANCE OF SUCH WORK. l NAME STATE LICENSE NO. TYPE SIG OF APPLICANT PHONE NO.0 DATE It INSPECTOR i bC S DATE TIME ? 3 LOCATION v Y L<(rs, INSPECTION: CODE: RESULT(D/A) : BUILDING: e i ELECTRICAL: LC) 2c U /tom v( ce PLUMBING: 7/s o° i- HVAC: OTHER: t INSPECTOR C-.' DATE I3 TIME A!6 LOCATION V en V-L-L,V INSPECTION: CODE: RESULT(D/A) : BUILDING: ELECTRICAL: 1 15 PLUMBING: HVAC: OTHER: HOME OCCUPATION FORM Minor v ZEO Apptwal Dace ASSESSOR'S USE ONLY: Maj r PZC Approval Date Home Occupation Type Expiration Date Code Name st e G x v-4r ra ti oar Address of proposed occupation: 17ur'i.elle rl ve- Telephone 2!5d Z 1534— k 7.7 Zone Description of Occupation: Z21 t / 1,;0.W o Ale Gui2 vow 'Gl /[lbw A PROPOSM SIGN Please use the boxes or an attached sheet to provide the following. 1. Attach copy of plot plan if applicable. 2. Use box A (or attach sketch)to draw proposed signage . 3. Use box B (or attach sketch) to draw the floor plan of the home occupation area. 4. Architectural elevations for any proposed additions or modifications must be provided. B. FLOOR PLAN (Basement zist Floor 2nd Floor) Floor area of dwelling 2 84t'P Floor area of home occupation /O® of floor area I have read the regulations regarding home occupations and intend to comply with said regailations. I understand I must notify the=' Dpartment in writing upon termination of this occ ation at this address. Signature of Applicant Date Signature of Owner Al Date White = Assessor aKow = A Uca Pink = Street File