HomeMy WebLinkAbout220 Niederwerfer Road (2)r r
TO THE BUILDING INSPECTOR
6 APPLICATION FORof
PLAN EXAMINATION AND
TO" OF soum wuwssm cow BUILDING PERMIT
z
IMPORTANT — Applicant to complete all it ms in se tions: 1, 11, III, IV, and IX.o
d
I AT (LOCATION)
ZONING, O DISTRI •
LOCATION NO.) S EET
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D o
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
T
1 New building Residential Nonresidential
2 Addition(I/residential, enter number 124One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13)13 Two or more family — Enter 19 Church, other religious
number of units— — — — -- 20 Industrial
3 Alteration (See 2 above)14 Transient hotel, motel, 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 Carport 24 Office, bank, professional
6 Moving (relocation)
17 Other — Specify 25 Public utility
7 Foundation only 26 E] School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 X 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,,,,,,,,,,,,,,,, I Sall:-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 B 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
30 Masonry(wall bearing) 40 Public or private company
48• Number of stories................
31 Wood frame 41 [4 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 Oth r — Specify 42 Public or private company Total land area, sq. ft. ...........
43 IV Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ....................... X y
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 Gas Will there be central air 52. Outdoors.......................
c nditioning?Oil L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 44 Yes 45 DQ No 53. Number f b dro ms.............
38 C al
39 Oth r— Specify Will th re be an el vat r?
54. Number f
Full..........
46 Yes 47 54 No bathrooms Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b c mpl t d by all applicants
Nam Meilin address — Number, street, city, and State ZIP cod T I. No.
Owner or
r
Lessee
R
OF
2.
Contractor
09
Architect or
Engineer
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signatur of applicant Address r Application date
Ape14zt6:40 a Zo-
O NOT WRITE BELOW 41S LINE
V. PLAN REVIEW RECORD — For office use
Plans R view Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit r Approva I Check Obtateainedned Number By Permit or Approval Check Obt
Date
aned 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 numb r 11069
Building
Permit issu d Sept. 5 19 79
Bui Iding
P rmit Fee $ 342.00
Approved by:
r
TITLE
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TOWN
OF
SOUTH
WINDSOR
BUILDING
PERMIT
Date
Sept.
5
1979
Fee
Paid
342.
00
Fat.
Value
s.
57,,
000.
00
Permit
N°
11069
on
the
side
of
Niederwerfer
Road
Street
Street
No.
220
Owner
Frank
TH
Ni
ederwerfer
Applicant
Frank -
IL
Ni
e
rl
a
me
r
f
e
r
CERTIFICATE
OF
OCCUPANCY
ISSUED:
Date
No.
5536
Fee
Paid $
3.
00 CLASSIFICATION DwP11inR
i
RECD.
SEP
1C
PAYMENT $..
Qrvw
BUILDING PERMiT
N° 11069
OFFICB OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Sept. - 19 79
45#iz is to Cerfiff-U, That Timber Lagl1 s-r—r.
is hereby granted permission to Dwe I 1 inIZ
at estimated value of $ 5 7 IF 000,40
on the side of 220 Niederwerfer Read Street on land
owned by Frank lf. Njederwerer
Said Work to be as described in Application
No. ] 1369 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Sent. 5 !' c' 19 79.
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
REP6
ORT
Permit #
LI
Job
1
Footing -
17-
72
2
Foundation _
3
Framing
4
Wiring9—
A:
2 §
5
Plumbing
6
Heating
7
Lathing
8
C.
O.
j
6
t 7 7 a 1
Permit
No.
TOWN
OF
SOUTH
WINDSOR
SOUTH
WINDSOR,
CONN.
Permit
Q
5536
Certificate
of
Occupancy
THIS
IS
TO
ER
IFY
that
the43
at
No.
in
the
of
South
Windsor,
Connecticut,
has
been
erected
and
complet
in
accordance
with
the
Building
Code
and
Zoning
Regulations
of
the
Town
of
South
Windsor,
and
is
hereby
approved
for
occupancy.
Building
Inspector
wner,
Fee
Paid
Date
19
III
Permit
No.
Re/
1
TOWN
OF
SOUTH
WINDSOR
SOUTH
WINDSOR,
CONN.
II
Permit
N .
5536
Certificate
of
Occupancy
THIS
IS
TO
CER
IFY
tha
the
at
No.
GtfE
L-
t
in
the
10M
of
South
Windsor,
Connecticut,
has
been
erected
and
completqA
in
accordance
with
the
Building
Code
and
Zoning
Regulations
of
the
Town
of
South
Windsor,
and
is
hereby
approved
for
occupancy.
i
Building
Inspector
tzs wner,
Builder
i
Fee
Paid
Date
19
iiN r
rr-
6921
v
ELECTRICAL
APPLICATION
Application
No.
7926
on
the
side
ofStnct
Street
No.
aao
Owner &
AIJ1C. ,
1-
4_.
Wool"),"
geop
Electrician
A
pLo-
FILED
IN
OFFICE
OF
The
Building
Inspector
Sept.
18
19
79
INSPECTION.
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 (
if
of
wood)
are
installed,
without
a
special
permit
from
the
office
of
the
Building
Inspector.
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK.
l d
No. .........7..9.26..................
Permit No. .........6.9.2.1.................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application to, perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with
whether specified herein or not.
South Windsor, Conn., .....r.. ............................... 1J...J.. Sign here
Address 24....&...3...........L,,,l-iQ—. ..row......... goodg
Location 0 C Q e..-AbSide of.......
Nature of Building .1... ..I.. .. ...4M0A.rw ;AQ4 How many stories ...............I...................................._.........................................
Nw or old Building ..............W..E.W3................................ ................. How many families ............I._............................................................._...........
Kindof Installation .............\`.w.......... How many Stores ........................................._............................................_..._......
r. et..WY P-W AddressOwner
Architect ....................................................................... ... ....................................... Address ................................................................................................_..._._._....._.......
Builder .......... ... .......... ......................... . . ... ..................................... .. Address .........................................................................................._._....._.............
LElectrician Address ........................................................._...._....................._...................
Size of Main Wires ........................................................
No. of Light Loops .............I....... ............... No. of Heat Loops ................. .. No. of Power Loops .......................w_..._....
No. of Light Outlets ........0.....0.... No. of Heat Outlets ......... ...... No. of Power Outlets ....................................
Nod of Light Circuits ........7.. ................. No. of Heat Circuits .... . .... . . . .. ...... No. of Power Circuits .................................
No. of Sockets ................ I....... ...... .... ... No. of Heat Receptacles ... ..... ... .. ... No. of Motors ........................................................
No. of Panels ......................(........................... ... Size of Heat Circuit ... . .............. .......... No. of Power Receptacles .......................
No. of Switches ................wZ-.......... ...... .... Total Wattage .................................................... Size of Power Circuit ............... ...........
Total Horsepower ............................ ......... .
No. of Straight Electric Fixtures ...... .....10.................. ...... No. of Combination Fixtures ......................................... ..............
No. of Receptacles .................................SO........................... ........... No. of C d Drops ...................................... ................r........... ........ .....
Remarks: For other kind of Installation ....... . .1 A........... .... . j
UjtjjA ..P...............t. .............. 8.V......._.............
Estimated Cost
5592
PLUMBING
APPLICATION
App]
catim
No.
63
7
3
on
the
Side
of
ZO.....
s
Street
NO. ._._
Owner ...
t
z
z [
V
P
l*
A
Cell
Fri'
Filed
in
Office
of The
BmIding
i
April
8
II
i
CilO
f.
No
paean
shall
Caul
cuct,
add
to
or
alter
my
portion
of
the
drainage
system
of
any
boldrmg
except
to
repair
leans)
until
a
Ple:
mit
is
wraD
ad
by
the
Building
Impector.
Application No........6.3.73................... Permit No. ......55-9.2...............
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application to perform plumbing according to detailed description below. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether
specified herein or not.
South Windsor, .................Ae.r.."I............'....................... igep.0.... Sign here ............................................ 4
Address.... 61
Location .. .... side of 0......... .... ...A4 Street
Natureof Building ........?(..?'........... How many stories ...........__11...........................................................................
Owner ........... .. ....A......... (r. .............. ..........%b....... Address....z..Z0......... W.C.A.... ......BJ...............
Architect .................... ........................................................................................... Address .....................................................................................................................
Builder ....................................................................................................................... Address .......................................................................................................................
Plumber ..... Address ......?..4....... V.........
DRAINAGE
CESSPOOLS, How many . .......................................... ................... Where located .....................................................................................................
Are they water tight . ........ ........................................................................ Of what materials are they built ......................................................
Size of pipe from house to cesspool .. ........................... ......
j......
Kind of pipe ................ ....................................................................................
MAINDRAIN IN CELLAR, Material ....3........*4..6....... Diameter .........!..................................................................................................
Aboveor below cellar bottom .. .......A'4 0A,..r............................. ................ .........................................................................................................................
SOILPIPES, Material ...... ... ............a...Z.,............................... Diameter ........... .................................................................................................
WASTE PIPES, Material A 13 _r ................ Diameter .............:? ......1?... ........ 3... ...........................................
TRAPS,Type proposed to use is ................P............... n .. ... ..........................................................................................................................................
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 ...... 15,12-no,
Distance from trap to vertical soil pipe ........................................ Pattern I...................................................
WASHTRAYS, How many ............................................................ Where located . ... .........................................................................................
SINKS, How many .................../.................................................................. Where located ..........A, A.. ..........................................................
BUTLER'S SINKS, How many ........................................................ Where located..............I......................................................................................
REFRIGERATOR SINKS, How many....................................... Where located .....................................................................................................
LAVATORIES,How many ......... ..................................................... Where located .... ..........................I.......R.........4.....aRffX..........
BATH TUBS,How many...............I....................................................... Where located ...........?.......d......F(0-.!U::................................................
URINALS, How many ................................................................................. Where located .....................................................................................................
Are water closets and urinals to be local vented y - - -... If not,is there a window in outer wall
ofroom where same are to be located ............. ... . ..... . ...............................................................................................................................................
y/ '
0 0 0EstimatedCost.. .......................................................
y'
i `f:
ENvIROTECH LABORATORY
TESTING & CONSULTING
77 COOK SILL ROAD• WINDSOR. CONNYCTICUT 06095
DARRELL L.MOODY 'TELCP040NK
EARLINE JUDO JONES 203) 608-7249
MARYELLEN DILUZIO
August lE, 1980
Frank Niewd'erwerfAr
220 Niederwerfer Rd.
South Windsor , Conn. Ui074.
Tear Sir:
z.
We have the following to report on the sa+rpi e sulom i.tted to this
laboratory on August 7 , 1,190.
Sample No. : 74'3
Mark: Water sample collected on by F. Niederwerfer from
Lot ?1o. ?2C, Niederwer-Fer Fes? . , Fouth Wind soY , Conn.
Oflor none
Turb1d i ty r Stanch r-3 Lin 1 is
5 7n
Alkalinity (as CaCO?) m l
Color St-Gnc?arr' !'nit-s
Arlmoni.a Nitrogen 1.`ss than 0. rl?. fig/L.
Virrite Nitrogen nss than 0.C(`l. na/l
Nitrate Nitrogen 1 . 17 riq/J.
Chloride (as CI )
Hardness (as CaCO3) A mg/.I
Iron. (as Fe) less than O. n5 rig/1
BACTE^ICLOGIC.Ai. EX.a.MUNATTON.
Number of C_oli foul Organisms
per 100 m-1 (membrane filter) 0
This water may be classed as safe for drinking rurposes and 9-neral
use under existing conditions.
Very truly your•"-
Entr iLo'T"ech L-)borutory
10
Maryellen DiLuzio
cc: Blr4g. Insp. - Town Hall
TO THE B ING IN PFCT OR f
of the APPLICATION FOR
PLAN EXAMINATION AND
UTH w BUILDING PERMIT
z
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O
ZONING NI• AT (LOCATION) 2Z0 114,04 >WORPrut,2A DISTRICT
LOCATION NO.) STREET)
OF BETWEEN ,1:. dw! +Dr% 'R&L AND UkM21 Wo
BUILDING CROSS STREET) CROSS ST E" )
LOT
SUBDIVISION LOT BLOCK SIZE e..V e
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
1 New building Residential Nonresidential
2 Addition([/residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13)
number of units— — — — -i 20 Industrial
3 Alteration (See 2 above)
14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (If 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, professional
6 Moving (relocation)
17 CK Other — Specify 25 Public utility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 IR Private (individual, corporation,
28 Tanks, towers
nonprofit institution,etc.) 29 Other — Speci/y
9 Public(Federal, State, or
I cal g vernment) v
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................ SIM&CO 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 Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Masonry(wall bearing) 40 Public or private company
48• Number of stories...............
31 IRWood frame 41 Private (septic tank, etc.)49. Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ..................... C
33 R inforced concrete H. TYPE OF WATER SUPPLY
34 Oth r — Specify 42 E:] Public or private company
Total land area, sq. ft. ........... s
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 c nditi nine? L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 44 Yes 45 N 53. Number f b dr ms..............
38 Cal
39 Oth r— Specify Will th to b an elevot r?
54. Number f
Full..........
46 Y s 47 No bathrooms
Partial,......
NOTES and Data — (For department us )
L M
t Ab,r •
1
L•
s
IV. IDENTIFICATION — To b compl t d by all applicants
Nam Mailing addr ss — Number, street, city, and State ZIP cod T I. No.
Owner or QMW&9A&1Dfft0ftt maut rea We S*&k,bAa&i8-ft C"Jt+ 27
Lessee
2.
Contractor
3.
Architect or
Engineer
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signatur of applicant Address Application dot
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R view R uired Check Plan Review Date Plans By Date Plans By NotesqFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER ar
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTIO ;e#. 6S
Permit or ApprovalI Check Date Number B Permit or Approval Check Date Number ByppObtainedypprovaObtained
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING .USE OF PUBLIC AREAS
OIL BURNER air WRECKING
OTHER OTHER
M1 4
c
VII. VALIDATION -010
Building
P rmit number 12656
Building
Permit issued Anri 1 19 19 —82 _
Bui Iding
Permit Fee $ nn
flppraared bL: (=a k
1
TITL
y
ZONING
SIDE SIDE YARD
REAR YARD
IX. SITE OR • Applicant
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11A------------------- - ;:s;:;;s::::e-:---- :=ss:- ----:-=------ :=:::as
TOWN
OF
SOUTH
WINDSOR
BUILDING
PERMIT
Date
Apr
i
1
19
19
82.
Fee
Paid .
6.
00
Est.
Value $.
1,
900.
00
C
Pewit
N°
12656
on
the
aide
of
Niederwerfer
Road
Street
Street
No.
220
Owner
Frank
Niederwerf
er
Applicant
Frank
Niederwerf
er
CERTIFICATE
OF
OCCUPANCY
ISSUED:
Date
No.
Fee
Paid $
CLASSIFICATION Porch
BURDING PER&ffr
0MCE of
AT° 12656
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
I
I South Windsor, Conn I
i
I
I
t to to gerft, That Frank Ni ederwarf or
is hereby granted permission to Porch 32' x8' on rear of dwellfnQ
I
I
I
at estimated value of`1
on the side of 970 Ni cad azwo r f Q r Road Sheet on land
owned by .Frank Ni sdazwerfer
Sai rk to be as described in Application
NL2956 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued
X
I Building Inspector.
Streets and sidewalks, obstructed by ezcavations 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 pLce
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."
F/-;
S71-
g3
0/
19
INSPECTION
REPORT
Permit #
Job
1
Footing
2
Foundation
3
Framing
4
Wiring
5
Plumbing
6
Heating
7
Lathing
8
C.
O.
PERrIIT
DEPARTMENT
DECISION
APPLICATION
FOR
ELECTRICAL
PERMIT
Application
is
hereby:
TOWN
OF
SOUTH
WINDSOR
j=
7RT;;)
U
DISAPPROVED
BUILDING
INSPECTION
DEPT.
644-
2511
Ext.
230
Z<-
Y`,,
Application
must
be
printed
or
typed .
Date
Bui
ding
Inspector
1 .
LOCATION
OF
JOB
FEE
SCHEDULE
No .
Street
0 - $
19000 -
10.
00
Floor
Apt .
No.
Over $
1 ,
000 -
10.
00
per $
1,
000
or
2 .
OWNER
fraction
thereof
j
3.
ADDRESS
a
4.
APPLICANT
5.
ADDRESS
00
6.
ESTIMATED
COST
7 .
IS
THIS
A
CONTRACT
COST
Yes
No
f
8.
FEE
ENCLOSED $
i
9.
TYPE
OF
BUILDING:RESIDENTIAL
COMMERCIAL
10.
TYPE
OF
JOB:Original
Installation
Alteration/
Addition/
Repair BD3A11/
88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB Q
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 21. NO. OF HEAT CIRCUITS
22. NO. OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS
26. NO. OF PANELS 27 . TOTAL WATTAGE
28. NO. OF POWER FEEDERS 29 . NO. OF SWITCHES
30. A/C LOAD 31. SIZE OF POWER FEEDERS
32. NO. OF FIXTURES 33. TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
LICENSE NO. CIGN`ATURE ZF APPLICANT DATE
PHONE NUMBER: zzz-57 j'
BNdngSPECTIONS:
APPLICATION FOR BUILDING PERMIT
Plumbing 3HVACDate:
Sprinkler
Electric Estimated Cost $ _ov O
Zoning Permit Fee $ 50.00
Affidavit NO. 17436 Occupancy Fee $
Eng. Dept. 01-16
COMPLETE RED BOXED AREAS. Total Fee $ dFireDept.
Health Dept. TYPE OR PRINT ONLY
SIGN ON REVERSE SIDE.Approved for CO:
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location tj(er n Lot No.1—Side of Street Zone
i
Applicant n/K 14. OiE-06PwEizFek Tel. #271'730
Address oLo NJjeyF(. LAI:4(L Rd, Sri 4-ii W)A1 SUZ Cq, Zip 066-7 _Lic.# SO°]- 9q,,3 _
1CDFt'ZLcJEQ CIe 14AddressSaoN!ec e,'u.,e cr jZrl, Say Lc ind. 066
Owner ANk H. N Sc 2
c+ac 1n% 'FS KCi1.)5 Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavaiories
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 15y' 0entsE ana exNeaol
pQZ e "`,yarn QP R-C>C) '1 -
City Water Well Septic Sewer
Approved by Date ZA ' Ltd'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 distance 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 4A
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 Foundation Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections: