HomeMy WebLinkAbout222 Oak StreetApplication No. , 09.............................. Permit No. ..
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (erect ( 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 By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu-
tion of this work whether specified herein or not.
South Windsor, Conn., ......,, ..C.1...1_.. ................ .. 9..
INC.Sign here ............ ...... ..........................:
uu,...,............................... . ..4 WESTLE TPKE.
Address ............
Location? ..........................D....f.,rf ............jr......................................side of? ................................. cte..............................................
Nearest cross street? ...LAMC11—S :..........Street No. ..................................................... Lot No. ........F..3.............
Ownerof land is? WOODIAN.D...PARK,...INC:Address ............................................................................................. .....................
364 WEST MIDDLE TPKE.nerof building is. ....MANCRESTER;..CONIN..-...
Address ... .................................................................................................................
Architectis. ..........................................................................................................Address ......................................................................................................................
Builderis? . ............................................... .............................................................Address .....................................................................................................................
Dimensions of building? .ab. ' IfFeet front? ............. ......... Feet rear? .......
L ..... Feet deep? ...Z. ..... ...
Extreme height to highest point of roof? .................. .........Iq...... .... ... . No. of stories in height? . . ........... ..
Purpose of building is.? .......l..v.6 ..........................No. of stores? .....................................................................................................
Howmany families? ......................... r, .. ........................................No. of rooms? .... ...................................6.......................................................
Distance from street line is? ........ ....... .........(tea............................from building line is? ................... .. . ................................................
ADDITIONS AND ALTERATIONS
Give Brief Description)
MapNo. .. ............ ........
If of steel frame, what is exterior construction? .
What kind of columns used? .. .... Size of columns used?
What length 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? .
Roof construction is? ............... ... . ...... ........................... ........Roof covering is? 1 . . ........ ....................................
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 Wails Side Walls Rear Walls Partition Wails
Basement,
1st Story
I .............
2nd "
3rd "
I.............................................. .. ..... . ......... .... ...... .....
4th "
5th "
I................... ......... ........... .............................................. ... .........................................
6 1- 's
7th
I.......... .... .. ........ ................ .......................... ............ ..................................
8th "
I.......... . .............................................
9th "
10th...... ... ..
Material.of Front? .. ... If stone, what kind?
Thickness of Ashlar? Thickness of Backing?
Backed up with what? Arches or lintels over openings?
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Size of outside studs? ......y......... Distance on centres? ..... ................................. Size of am?
Size of rafters? ....... .'.... p...... Distance on centres?....... ...04r ....... Size of plate? .............. 2...." ". ....
Size of ledgers or girls? ..................................................!..........................Size of deck rafters? ........................................-.................... ...............r
Distance on centres? ...................................................V................................Sin of studs in Searing partitions? ...............r.,..e.
MISCELLANEOUS
Style of roof, flat, pitch, Mansard, or hipped? ..................... Fireplaces? ........................................................
F.s,s' T .Material of Cornice?Material of roof'covering? ....
How is building heated? .... .5/....o....7........... of flues? ... ......7" Jf ?.....q.............
Thickness of shell of flues? .............................. .... .............................Any elevators or lifts? ............................................................ ......................
y. Any hoistways. ..............What in How many? .............. ....... . ................... I........I...............
How protected? .................. ........................................................ .................Total Value of Building . ............tiftov vow
When will work be commenced? ......... .............. .......Q...l.Y l7 G.................................................. .................
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.
WOODLAND PARK, INC.
364 WEST MOLL 'AApplicant
MMCHESTER, CONN.-
y
327-9
BUILDING APPLICATION
Application No. ... .34§9.....................................................
on the ......North........... ...
I.................................. side of
O.ak.....St.. . . ... .......... ........ . Street.
Street No, -Lot #8 3. ....... .. ..... .. ............. ...
Owner ..Woodland Park. Inc..
Same
Applicant
CLASSIFICATION
Dwelling 26tx481
I...... .....................
I......... . ........
Permit issued on above Application.
Date, July 1-9 9. 60,'19...........
TOWN OF SOUTH WINDSOR
l
i+ifs.,..r e i`_c'?jice;?,
BUILDING PERMIT
9DateJuly 1.9 i 1
x s
Fee Paid 00 Est. Value i
er
Permit N° 3229
on the Kcr th side
ofOakStStreet
t gLStreetNo.
Woodland Park,InnOwner
PPAlicant
CERTIFICATE OF OCCUPANCY ISSUED:
Date
Fee Paid 300(p
CLASSIFICATION f AM
BUILDING PERMIT
N° 3229
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. July 19- 1960
94t'o to to Terttf1j, That Woodland Park.Ine..
is hereby granted permission to I we l l i ng 2b 1 x48 t
at estimated value of
on the north side of Oak St.,--ot rt 3 Street on land
owned by Wn dl and Pa _Inc,,.
Said Work to be as described in Application
No. 1h 8 9 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Iss e¢ J,34Y, 9 1960
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."
Permit No. _ TOWN OF SOUTH WINDS R
SOUTH WINDSOR CONN. 1 !
Permit N:' 2001
Certificate of Occupancy
THIS IS TO CERTIFY that the
at No.,jar -`- _:, ,,.L in the T n 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 approve for occupancy.
6LDING'IWS'PVCMR
OWNER, BUILDER
Fee Paid3gj et, Date 19
bJ i1A
S
5,
F
ONLY
Ile
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fr ,/P M ,Y a+lti W•M
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P'HOPE11TY OF
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OAK STREET SOUTH WINDSOR, C0NN
Being Lot No.83 on nizap entitled 1111, of rd00LLAIda ACRES Avery
Street South" Windsor, Conn* rroperty of Amelia E.B1ozie, Developer
William Peck, Scale 1" • 50, AI)r. 18, 1959, :itiy;ien L. iris cold C.1;. "
Sheet 9 of 2
Scale 1" = 501 January 6, 1961
H- d n L.Gri swold C.E.
rIlk _ 4
23ApplicationNO. .... 9..... ... ....... permit N , .... :... 9..................
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 ollowing 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 By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu-
tion of this work whether specified herein or not.
0-0.-"
South Windsor, Conn., . . .......... . ........t ........ 194 .Z""'
Signhere ........................ ............ ..........a......... '
Address
Location? 9sideof.
Nearestcross street? ... . .................................... ....................................Street No. .. ............ ............. ............... Lot No. ............................... .
Owner of land ts. AddressM0.4 ....
Ownerof building is? .... . . ... ...............................................................Address .. .............................................................................................................
41Architectis? ..... . ........... Address a-?...
r.f...
Builderis? . ..................... ................................................................................Address .............. ....... .......
Dimensions of building? .. Feet front? Feet rear? ....0F0. ........... Feet deep? .. .'.......
Extreme height to highest point of roof? .. ............ No. of stories in height. .... .........
Purposeof building is? ............ ..... .......................................No. of stores? ..... ............/.. ... .... ............................................................
Howmany families? ... ..................................................................................No. of rooms? ... ................... ...... ............................................................
Distance from street line is? . .!Z... ............ ........ .... .....from building line is? ...... ....`.
1. ..... ............................ ........
ADDITIONS AND ALTERATIONS
Give Brief Description)
GL ..... ........... ........ :. ...' . .......X....+'5,:......... .... ............................... .... . ................................. ....................................
X..... .....
Map No.
If of steel frame, what is exterior construction? .
What kind of columns used? ........ .Size of columns used?
What length 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?
Roof construction 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?
Composition of mortar?
Height and Thickness of Walls
Height Stories Front Walls Side Walls Rear Walls Partition Walls
Basement,
I........... .......................................................................... ................... ..................... ......... ...............................................
1st Story
2nd "
3rd "
I................... .....
4th "
I.. ......... .................................... ...... .............. ................................................ . .... ...... ....
5th "
6th 46
7th
I..........
8th "
9th
10th
Material.of Front? If stone, what kind?
Thickness of Ashlar? Thickness of Backing?
Backed up with what? Arches or lintels over openings?
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WOMM CONSTRUCTION,
Give Size, Longest Span and Between Centres, of.its,Gas and Cotes
Fbxws 81" Lowest SPan C WM. Oft Lag+ft $pan Centres 81ae XMWW fires
1st Floor
d.....a....
3rd.....0....
Size of outside studs? Distance on centres? l G Size of ill? L"...........................
Size of rafters? .. X................ . Distance on centres?.......... . ........................ Size of plate? ........ ' ......................
Size of ledgers or girts? ..............................................................................Size of deck rafters? .............................................,,...................... ...............
Distance on centres? .............. ......................................................... ........Size of studs in bearing partitions? ......... .._...................................
MISCELLANEOUS
Style of roof, flat, pitch, Mansard, or hipped? /.Fireplaces? .......................................................
Material of roof'covering? . . ... Material of Cornice? ..................................................................................
How is building heated? ......... Lining of flues? . .. ......
Thickness of shell of flues? .................. ................................ . .....Any elevators or lifts? .................. . .... ..................... .....................
What kind? How many? Any hoistways? . ..... ...... . . ... .... .............. .
How protected? ... ....... ..Total Value of Building .1.711 ..''.'.................................
When will work be commenced?
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. x
Applicant
4239
BUILDING APPLICATION
4499ApplicationNo. .... . .................................................................
onthe ................ ...... ...... ................. .............. side of
Oak Street.
222StreetNo, C
Owner
Carl G. Henning
f b
Applicant Phillips Constr.. Co.
T
CLASSIFICATION
Garage 201x261
Patio 81x141
Permit issued on above Application.
1-16-63
Date, 19
T
OK
TOWN OF SOUTH WINDSOR
a
BUILDING PERMIT
Date Jan. 16, 19 63
00 . 2.?!l4.00
3.4
Fee Paid $. .'. . . Est. Value $.
Permit N? 4239
on the side of
Oak St, Street
Street No. 222
Owner Carl G. Iieuuiug
Applicant Phillips Cogs fir.Co.
gip r,
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.i
Fee Paid $
CLASSIFICATION
Garage 201x261
Patio 8txl4t
1
BUILDING PERMIT
N° 4239
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn.Jan. 16, 1963
94t'o to to QTrrttfljg That Phillips Constr.Co.
is hereby granted permission to Garage 20 1 x_26 t Patin 8+xl4 t
at estimated value of 27
on the - side of 222 Cal- 3't• Street on land
owned by Carl G. Iie nn i ng
Said `orl` to be as described in Application
No. 4490 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Jan.16Issu o"19 63
y uil tng 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."
4448
PLUMBING APPLICA110N
Applicatison Nm 4237
Street No. ......
Plumber lei
Filed in Offioc of
The &n Iarpecmr
9-27-73 19
Off.
No person shall construct, add m or abar my
portion of the drainage system of any building
umpt to repair leaks) until a Pimmit is gRa W
by the Building Inspector.
Application No. ....... 2.37..................Permit N . ......444.q..............
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 in usive shall be plied with whether
specified herein or not.
South Windsor, ....... 197-- sign
Address .... .. ...... I.. .......
Location ............ side of ..................................................................................................... Street
Nature of Building .... PC 2_
4..................................................... .......... How many stories .. ......................................................................................
Owner .......... Address .... .......
Architect .................... ......... .... ......................................................... Address ......................................................................................................................
Builder .. ........................ ................................ ........................................ Address .........
Plumber ....... .....Y.!.. Address ...
DRAINAGE
CESSPOOLS, How many ... ......................................... .............. - Where located .....................................................................................................
Are they water tight Of what materials are they built ................... ...............................
Size of pipe from house to cesspool . ............. . Kind of pipe ................. .....................................................................................
MAIN DRAIN IN CELLAR, Material C.Diameter .........el... .............................................................................................
Above or below cellar bottom ..b.q
SOILPIPES, Material .. .......... Diameter ..............................................................................................................
WASTEPIPES, Material Diameter ....... ........................................................................................
TRAPS,Type proposed to use is .. . ...... ....... ..... . .
RAIN WATER LEADERS, where do they run to
REFRIGERATOR WASTES, where do they run to
TANK OVERFLOWS, where do they run to r-J)F.r, .... bz.............. ......................
FIXTURES
O'kn IWATERCLOSETS, How many ...... ........... ....... .. Where located !4 e . . ....................... .....................
Distance from trap to vertical soil pipe ....................................... Pattern
WASH TRAYS, How many . . ............................... ........... . Where located . . .. ....................... ............................................
SINKS, How many ................. ........................./..................................... Where located 7............... .................................
BUTLER'S SINKS, How many Where located, F601
REFRIGERATOR SINKS, How many.. ................................... Where located ..............................................................................................7 1 Q/
A"C"t-LAVATORIESj How many.. ............................................................. Where located ...............................................................................................-.
BATH TUBS,How many......Where I^5 Ile 7,ere located /.. ...................
URINALS, How many ....... ...... ............................................... Where located ... ............................. ................ ..........:j...... F1
Are water closets and urinals to be local vented If not, is there a window in outer wall
of room where same are to be located .
7' 0 &e'Estimated Cost ........ . .....-.......................
q
l
TO THE BUHMING INSPECTOR
of the APPLICATION FOR
PLAN EXAMINATION ANDT' 50lJTH WS BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, It, /it, IV, and IX.o
I• AT (LOCATION) : `" . / ' 5T—ZONING
DISTRICT
LOCATION NO.) STREET)
OF BETWEEN 0'C s ' VF51 C ' T AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
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 T
1 New building Residential Nonresidential
2 Addition(If residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13)13 Two or more family — Enter 19 Church, other religious
number of units— — — — -- 20 Industrial
3 Alteration (See 2 above)
14 Transient hotel, motel, 21 Parking 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, professional
6 Moving (relocation)p
17 Other — Speci/y,s G 25 Public utility
7 Foundati n only
l
26 School, library, other educational
B. OWNERSHIP r 41— `s 27 Stores, mercantile
8 Private(individual, corporation,
28 Tanks, towers
nonprofit institution,etc.) 29 Other — Specify
9 Public(Federal, State, or
local gov rnment)
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
a. Electrical......................
b. Plumbing ......................
c.Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT If
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Masonry(wall bearing) 40 Public or private Company
48• Number of stories................
31 Wood frame 41 Private (septic tank,etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinf rc d concrete H. TYPE OF WATER SUPPLY
34 Oth r — Specify 42 Public or private company
50. Total land area, sq.ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
51. Enclosed ......................
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
35 Gas Will there be central air 52. Outdoors........................
36 Oil c nditi ning? L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 44 Yes 45 No 53. Number of b dro ms..............
38 C al
39 Oth r— Specify Will ther b an elevat r?
54. Number f
Full..........
46 Y s 47 N bathrooms
Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b compl t d by all applicants
JNam Mailing addr ss - Number, street, city, and State ZIP code T I. No.
I. Ji//G/' sJY1/-J o- d/ S So
Owner or
GyXO
Lessee
2.
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application dot
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Revi w Re uired Check Plan Review Date Plans By Y
Date Plans B NotesqFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval I Check Date Number B Permit or ApprovalI Check Date Number BppObtainedYppObtained Y
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building Wf}}fan 12452Permitnumber
Bui(ding
Permit issued Oct. 1 19 81
Building 4e00PrmitFee $
Approved by:
1
P
TITLE
ZONING-PLANEXAMINERS-NOTES
DISTRICT
SIDE YARD SIDE YARD
REAR •
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A
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Oct. 13 1981
Fee Paid Est. Value $.4QQ•00
Permit No 12452
on the side of
Oak Street
Street No. 222
Owner William Kusma, Jr.
Applicant William Kusma
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Block chimney & stove
I
i
I
BUILDING PERMM
I
I
I
N° 12452
OFFICE OF
I
THE BUILDING INSPECTOR
I of &C
I
Town of South Windsor, Conn.
I
I South Windsor, Conn. Oct-- 13 8
94is to to gerfifg, That w4 114 am ris
I
is hereby granted permission to Block chimney and stoy&
I
I
at estimated value oi4
i
on the side of 22nMu Street on land
I
owned by Wi 1 14 Ain KA 12nm
Saimork to be as described in Application
M127 5 7 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Oct. 13 K
Building Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barrios
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,
j town or borough all cats and damages which it shall sustain, or be compelled to reason therefor."
I
I
I
TO THE Bl T)ING INSPECTOR
of the APPLICATION FOR
TO" (W 50trM WV4DeXK CXAK
PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.
ZONING
O
I• AT (LOCATION) 110 qt:ll 0Iw IS DISTRICT
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
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 0 Church, other religi usinPartD, 13)
3 Alteration (See 2 above)
number of units— — — — - 20 Industrial
14 Transient hotel, motel, 21 parking garage40Repair, replacement or dormitory — Enter number
5 Wrecking (If multifamily residential, of units ——————— —-- 22 Service station, repair garage
enter number of units in building in 15 Garage 1
23 Hospital, institutional
Part D, 13)
16 Carport i I A y 24 Office, bank, professional
6 M ving (relocation)
p
17 Other — Specify ' L 1 -'1 25 Public utility
7 Foundati n only
1 G
26 School, library, other educational
B. OWNERSHIP I+ —'o 27 Stores, mercantile
I
8 28 Tanks, towersPrivate(individual, corporation, x 1
n npr fit institution,etc.) 29 Other — Specify
9 Public (Federal, State, or
local gov rnment)
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. C st f improvement,,,•,,,,,......school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical......................
b. Plumbing ......................
c.Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT $ C' -Lc
III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Mas my(wall bearing) 40 Public or private company
48• Number of stories................
31 Wood frame 41 Private (septic tank,etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 R inf re d concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 Public or private company
50. Total land area, sq. ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors........................
96 Oil c nditi ning? L. RESIDENTIAL BUILDINGS ONLY
37 El ctricity 44 Y s 45 No 53. Number f b d oms..............
38 Cal
39 Oth r— Specify Will there be an elevat r?
J4. Number f
Full..........
46 Y s 47 No bathrooms
Partial. .
NOTES and Data — (For deportment use)
IV. IDENTIFICATION — To b complet d by all applicants
Nam Mailing eddr ss — Number, street, city, and State ZIP code Tel. No.
1.
Owner or C. IN 00e 2Y e(/t
Lessee
2. Mm'Fo /U,
Contractor
3.
Architect or
Engineer
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applican Address Application dot
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Revi w Required Check Plan Review Date Plans B Date Plans B NotesqFeeStartedyApprovedy
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
P rmit or Approval Check 0
Date
ned Number By Permit or Approval Check ObtDained 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
x
VII. VALIDATION
Building
Permit number 12973
Bui Iding
Permit issued Nov. 2 19 82
Bui Iding
Permit Fee $ 4.00
Appr ed by:
TITL
ZONING
FRONTDISTRICT
r r SIDE YARD
REAR r
NOTES
IX. SITE OR PLOT PLAN For •• •
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Nov. 2,19 82.
Fee Paid $. . .4...0 0 Est. Value ,$. .2 60.0 0
Permit No 12973
on the side of
Oak Street
Street No. 222
Owner William Kusma, Jr.
Applicant Wi 11 i m K i.,;ma Jr.
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Shed 8' x 12'
i
BUILDING PMtMIT
N° 129'73
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
i South Windsor, Conn, Nov. 2
i
i
14io 'to to grrfifu, That
is hereby granted permission to Shed 8' x 12'
I
i
at estimated value of
on the side of 222 Oak Street on land
owned by W111 i m » A- Jr
Sai ork to be as described in Application
N13273 and to conform to specifications and plans filed with said Application, and Building By
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Nov.
r r Building Inspector.
I
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all cats and damages which it shall sustain, or be compelled to reason therefor."
i
i
TO THE BU_ 1-11DING INSPECTOR
of ile APPLICATION FOR
TO" CW
PLAN EXAMINATION AND
SQI W BUILDING PERMIT
z
IMPORTANT— Applicant to complete all items in sections: 1, It, III, IV, and IX.
ZONING
I• AT (LOCATION)v2 ST DISTRICT- Q ti
LOCATION . NO.) STRUT) N
F BETWEEN 4fd,P. 0/4r;C- 37--
AND
BUILDING CROSS STR[LT) CROSS STR99T)
Lor
SUBDIVISION LOT BLOCK SIZE
to
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
rn
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For•'WnckirW'most recent use
1 FT New bui lding Residential Nonresidential
2 j•1 Additi n(1/residential, enter number 12 One family 118 Amusement,recreati nal
o/new bousing units added, i/any,13 Two or more family — Enter 19 Church,other religiousinPartD. 13)
number o/units--——i 20 industrial
3 Alteration (See 2 above)
14 Transient hotel,motel, QL
4 Repair, replacement or dormitory — Enter number
21 Perking gerega
S Wr citing(it multi/mRily residential, Of units ————————-e• 22 Service station, repair gorog
enter number Of units in building in 13,Garage 23 Hospital, institutional
Past D. 13) 1s Carport 24 Office,bank, professional
6 Moving (relocation)
7 Foundation only
1T Other Specify 25 Public utility
26 School, library,other educational
B. OWNERSHIP 27 Stares,mercantile
H (z Private(individual,corporation,
29 Tanks, towers
nonprofit institution,etc.) 29 Other — Specify
9 Public(Federal,State,or
local government)
C. COST Omit cents) Nonresidential — Deseribe in detail proposed use of buildings, .g..food
processing plant, machine shop, laundry building at hospital,elementary
10. C st f improvement................ 000. school,secondary school, college, parochial school, parking gong for,
department store,rental office building, office building at industrial plant.
T be installed but not included If use of existing building is being changed,enter proposed use.
in the above cost
a.El etrical......................
b. Plumbing ......................
e.Meeting,air conditioning.........
d•Other(elevator,etc.)............•
11. TOTAL COST OF IMPROVEMENT IS
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.
r
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 r Masonry(well bearing) 40[3 Public or private company
411• Number of stories................
31 Ca Nood frame 41 Private(septic tank,etc.) 49. Total squera lost of floor one,
all floor,based on exterior
32 Structural steel dimensions .....................
33 OF ATER
34 Other —Specify
H.
42
PE Public SUPPLY
or p hate company 30. Total land ores, sq.ft............E] p /y
43 Private(well, cistern) K. NUTABER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL
st. Enelesod.......................
35 Gas Will there be amtnl air 3L Outdoors........................
96 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Ye 4b®N 33. Number of bedrooms..............
3e Coal
39 Other—specify - Will then be on levoter? Full..
54. Number of
4607 s 47 QD N bothreems
Pertiel........
IV. IDENTIFICATION — T b compl t d by all applicants
Name Meiling address — Number, street, city, and State ZIP code T I. N .
Ow or-
C IA& 5 T e T-oG a,?y
2.
Contractor
3.
Architect or
Engine r
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signatur f applic t Address Application date
00 NOT WHITE ELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R vi w Required Check Plan Review Date Plans By
Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER is
V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit r Approval Check Obtained Number By Permit or Approval CheckO Dattai ed Numb r 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 r
Building
Permit numb r
Building
P rmit issu d 19 `
Building
P rmit Fe $
A pprov, by:
T
i
I
TOWN OF SOUTH WINDSOR
i
I
BUILDING PERMIT
j May 18 67
Date 19
Fee Paid 0.
60...00
Est. Value 0.
1 0'000.04
Permit No 15865
on the side of
Oak
Street
Street No.
U1111-in *u^r.a Jr.
Owner
Applicant
CERTIFICATE OF OCCUPANCY ISSUED:
Date
I
No.
i
Fee Paid $
CLASSIFICATION
uar;ara
BLTU DING PERK rr Me' 15865
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Ma v 19 19 87
94is to to (ferfig, That Wi 1 1 Jam Kiisma .Tr.
is hereby granted permission to build garage
at estimated value of $ 10,On np
on the side of 99 9Ok Street on land
owned by William KLsma Jr.
Said Turk to be as described in Application
No. 1 61 56 . and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Mav 1 R 1987
pector.
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 costa and damages which it shall sustain, or be compelled to reason therefor."
UXC U110
1
4*
it 3
i•o o Q c D
S O IN 2 o GAS' S O,v H
8
Ze .
1
s o0
f
PROPERTY OF
0AE'8 SOUTH WINDSOR* COM
Being Lot No.83 on map entitled "Map of WOODLAND ACRES AveryStreetSouthWindsor, Conn. Property of Amelia E.Blo zie, DeveloperWilliamPeek, Scale 1" ! 501 Apr, 18, 1959, Hayden L.Griswold C.E. "
Sheet2 of 2
Scale 10 = 501 January 6, 1961HaydenL.Griswold C.E.
00O C N fJy, I hereb, certoy+hal'h;t scroll ,r, 5., _ .
c, hereon are t: ..
rn
Zri
z C-1) `
51
COJr36 = t': _r,1'u L.. J: :,i: arlle Othl:f
N `0 th:,n UJUW AQ--M depu,.ed heiccu.
ALGii
J&10 UW1W DEPT, TOWN OF MIN YVBIM
tiAftow lified that this plan and'specifications are tfue
mapiOsa of the proposed building or alterations to be
e/1lkldf 8
ZZ da k Street
together with amendments stilted in application and
Ld filled with pi)n and I agree to comply with all zoning,
9ullding and state 1-3ws and such orders as shall bi.
Issued by the Building Department during pendeney
f this application and final Issuance of a build ag;
Permit.
Signed
This plan is npnr ved subject to the condition that
orders Pnd rdi i.inces reguldting building shall be
c. .if it t
2ondition,lly Approved These filed with
Building Inspector CloO
ate NO. DOG S
ELEOTRICAL APPLIGAT
Application M. ) )q`;?
on the ridt•F
MIN S iRLFT
Strcct No.
Owwr 1 t,I ,
Electrician A M L—
FILED IN OFFICE OF
The Building laspector
4;t 3 19_1
a&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 lit of wood) are installed, without a special
permit from the oA'ice of the Building Inspector.
D"
9ElectricalPermitNa9
Master License Na 4d
TOWN OF SOUTH WINDSOR Building Permit No.
BUILDING DEPARTMENT Date Filed .
Date Final Approval
APPLICATION FOR ELECTRICAL WORK
JOB OWNER:OB LOCATION: ........ .. T........ t';:#4k 57- '5fj- o7-
Side of ................ .............................................. B tw andeen
Name of Building Owner ........ Address ........
If work is for Lessee--Give name ----------------- Address
Building now occupied as (unless new) .......... No. of family units now 416
Building to be occupied as lL NTpber of family units to be
Is this work included in a Building Permit? . Permit Fee J --
If no Hnildioe Permit)
Permittee Business Address Telephone
COST OF INSTALLATION:
TO BE FILLED OUT BY PERMrrrEE
TO BE WIRED EXISTING APPLIANCES
Number f 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 Number of appliances to be installed . . .
as Hated below) Dryer E3 Air Conditioner [3 Oil Burner [3
TYPE RATING NO.
Dish Washer [3 Gas Burner E3
Rimp . . . . . . . . Well Pump [3 MCC- Heaters C3
Range T p . . . . . .
Oven . . . . . . . . REMARKS;
Water Heater . .
Clothes Washer -
Clothes Dryer . . . . .
Dish Washer . . . . . .
Air Conditioning Motor . .
Oil Burner Motor . . . .
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan . . .
Well Pump . . . . . .
Electric Hest
Other . . . . . . . .
Number of new Lighting Circuits
Number of new Appliance Circuits . . .
Number of Heating Circuits . . . . . .
Number f Motor Circuits . . . . . . . .
Size f present service .. ....................
Size of service to be
To THE BUIELADING INSPECTOR
of doe APPLICATION FOR
TOW" OF sO; W COOK PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT— Applicant to complete all items in sections: 1, 11, 11I, IV, and IX.
ZONINGI• AT (LOCATION)
2— DISTRICT
LOCATION NO.) iTRggT)
OF llrr WEEN AND
BUILDING CROSS STRUT) Cxess STRt[T)
LOT
S U 01V 1!ION LOT LOCK SIZE
II. TYPE AND COST OF BUILDING - All applicants complete Ports A - D
A. TYPE OF IMPROVEMENT 0. PROPOSED USE — For•'Nrnecklng", moot r+eeent use
1 New building Residential Nonresidential
2 Addition(I/ residential. eater somber 12 One femi ly 16 Amusement, recreational
newPar hosnsirms writs added. i/any. 13 Two or more family — Enter 19 Church, ether religious
J9
iw Past D, 131
number Of units— — — — i
3 Alteration (See 1 above) 20 Industrial
14 Transient hotel, motel, 21 Perking gerago4 Repair, replacement or dormitory — Enter number
S wrecking (it nrultif ai mily residential. o/ units ——————— ——_ 22 Service station, r pair garage
enter nutaber o/ units in building in 1S Geroge 23 Hospital, institutional
Part D. 13) 16 Carport 24 Office, bank, pt f ssiornal
6 Moving (relocation)
7 Foundation only
17 Other — Spec:/y ZS Public utility
26 School, library, other educational
S. OWNERSHIP 27 Stores, mercantile
A Private(individual, corporation,
26 Tanks, towers
n npr fit institution, etc.) 29 Other — Specify
9 Public(Federal, State, or
eel government)
C. COST nnmst cents) Nonresidential — Describe in detail proposed use of buildings, .g., food
processing pleat, machine shop, laundry buildinq at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,, school, secondary school, college, parochial'school, parking gorege f r
department store, rental office building, office building of industrial plant.
T be installed but not included If use of existing building is bung changed, enter proposed use.
in the above cost
a. Electrical....................... akrA- S2
b. Plumbing ......................
e.Hosting, air conditioning.........
d. Other(eloveter, etc.)............
11. TOTA COST OF IMPROVEMENT FE
III. SELECTED CHARACTERISTICS OF BUILDING - For new buildings and additions, complete Parts E - LN
for wrecking, complete only Part J, for all others skip t IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 Masonry(well booming) 40 Public at private company
46• Number of stories................
31 Wood frame 41 Privet*(septic rank, etc.)
49• Total square foot of floor woo,
all floors, based on exterior
32 St uetwal stool dimensions .....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
50. Total lend ore*, sq. ft. ...........
34 C] Other — Specify 42 Public or private company
43 C Priveto(wall, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will then be control air 2. Outdoors.......................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Y s 43 N 53. Number of bedrooms..............
3e coal
39 Other— Specify will there be on elevators Full
54. Nuwbor of
46 Yes 47 H bothte s s PeAial.......
IV. IDENTIFICATION — To be comp) tad by all applicants
Nang Meiling address — Number, street, city, and State ZIP c de Tel. No.
Owner or
Lessee
sZg 0L
2. c Q/ K[ 14
Contrac•or
3.
Architect or
Engineer
Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant A44ress Applicotion data
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R view R
Plan Review Date Plans Date Plans By NotesRequiredCheekFee, Started By Approved
BUILDING
PLUMBING S
MECHANICAL S
ELECTRICAL S
OTHER is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Date Permit or A royal Check D°t ! Number 3V
Permit or Approval Check Obtained Number By PP Obtair+ed
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
Bui Iding
P rmit number /
Building 6 I 19 =—P rmit issued
n
Building
Permit F S
Approved by:
TITLE
FINAL INSPE
Building ro APPLICATION FOR BUILDING PERMIT
Plumbin
HVAC 222 OAK STREET
Date:
Sprinkler
Electric Estimated Cost $
Permit Fee $Zoning
r7
Affidavit NO, 22289 Occupancy Fee $
Eng. Dept. COFireDpt. COMPLETE RED BOXED AREAS.Total Fee $
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $
TO BUILDIN ARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location 37-1-nee,77 Lot No. Side of Street Zone
Applicant
Tel. # le 35/
Address IRCk .S Zip d!od Lic.#
THE ITY STATE
I Owner L k6 dd ress vJ a
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Les
Garages
Size of Lot Dist. from Street Line Bathrooms Rooms 1 st 2nd 3rd
Purpose of this Permit e or
r—e r .t-
City Water 0 Well 0 Septic 0 Sewer
Use Group Construction Type
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 Ordinanc s of th Town of South Windsor
and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree '
that this building is to be located the proper distance from all street lines,side yard lines and r distances from all other zones and is
located in a zone in which this building and its use is allowed.
Signe
I hereby apply for a Certificate of Occupancy for the work described' t is application f r permit.
Signe
DO NOT WRITE BELOW T LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# ) 3 q-7o Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
95-22289-B 7,000
B01 FOOTING 05/24/95 JFF A 6 PIERS FROSTWALL AT DECK
B03 FRAMING (ROUGH) 06/02/95 JFH A
E03 ROUGH 06/07/95 JFH D
E03 ROUGH 06/08/95 JFH A
B04 INSULATION 06/08/95 JFH A
B10 FINAL 10/17/95 JFH A APPROVED FOR CLOSEOUT & CO
95-13472-E 100
M
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2
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40 9! w B3
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8
33 I'v eGS 70,
r Yam. _
PROPERTY OF
OAX.:STRM SOUTH WINDSOR, COIN
Being Lot No983 on map entitled %Map of WOODLAND ACRES AveryStreetSouthWindsorConn. Property of Amelia E.Blozie, Developer
William Peak, Scale ." 501 Apr, 18, 1959, Hayden L.Griswold C.E. "
sheet 2 of 2
Scale 1% = 501 January 6, 1961
Hayden L.Griswold C.E.
ems hereb M tity that•I:Is a.+i\;:l WWI -110 boun.,s z .
hercon arc co; t:' r'• +,i,r
1 b. .,•„ •It'd .1L.•.1.\' . !ILr7 a .a.. .. ::...iL:. UI 11,, Jalme Other
Char, tl,USc Aur+n uuu depa.+:d hei-wi.
ONAI.rigr lUftUtlqu
zj,qe
D
H AY 8
South Windsor
BUILDING DEPARTMENT
10 )ME 1c S";itif VVINIDSOR
this certified that this plan and spccifieations are trm
copies of the proposed building or alterations to be
erected at
together with amendments st..ted in application and
filed with plan and I agree to comply with all zoning.
Building and stite laws and such orders as shall be
Issued by the Building Dep.rtm-nt during pendency
f this applica on an final Issuance o a building
permit.
Signed 1 ti
1'his n is approvrd su act to the condition that
orde and ordinances r.gullung bwlding shall be
pllcd with.
k:onditionally Approved These filed with
building l,-sp.ctor Clerk
CERTIFICATION OF ZONING COMPLIAN
ildin (s), use(s) andlor structureA
Proposed bu g
Ian appears) to be to
as shown on this p Windsor
conformance with current SOiith
exceptions
regulations. Variances and spec;ai
may apply.
Date
Zoning E- yrcement 4fl cer
PERMIT N
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Applicati n to hereby: TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.APPROVED DISAPPROVED
BUILDING
SULLIVAN AVENUE
JZ 644-2511 Ext . 230
Dto to ng inspe for Application must be printed or typed
1 . LOCATION OF JOB
a s a A k s-7&-
FEE SCHEDULE No . Street
0 - $19000 - 10.00 Floor Apt . No.
Over $1,000 - 10.00
2 . OWNER Z;r"/pper $1 ,000 or
fraction thereof
3. ADDRESS 2- Z 0,4k .S
4. APPLICANT A ,-01 OS i
5. ADDRESS lz4, 1 /Qi,OK 5U,R y' R D
4'- )/7-i=P , C T p 6 //6'
6. ESTIMATED COST $ 1`
7 . IS THIS A CONTRACT COST
171 Y es
8. FEE ENCLOSED $ /C') ZOL
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
nn 1A 11/AA
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11. LOCATION OF JOB Z-2- D ¢
N0. STREET APT. NO ,
12 . TYPE OF INSTALLATION 1 7— 4 T
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.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: -5-z/ e- F--3 7
PERMIT
c
I
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT J
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
Date- 6- rding Inspector Application must be printed or typed
i
1 . LOCATION OF JOB
FEE SCHEDULE No . Street
0 - $10000 - 10.00 Floor Apt, No.
Over $1,000 -10.00
2 . OWNER W 14 4 Af fflISAIA V-kper $1 ,000 or
fraction thereof
3. ADDRESS -0 Z 4 ®,4)( -:r T
4. APPLICANT Ugly-L /4A, AIV- ' 414. S
5, AD D R E S S
D o
6. ESTIMATED COST $ 3 dd
7 . IS THIS A CONTRACT COST
Yes N
8. FEE ENCLOSED $
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installati n
7Alteration/Addition/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB
N0. 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 :
lv/---h< icy o 4 0//? u 7' , 10C14 F'
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
r _
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR
PERMIT#
Application is hereby: L1 FV pBUILDINGDEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
ate Building Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE Q41r sr
0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS
APPLICANT PHONE#
V 1 N S OWNER
q OWNER ADDRESS
r-
ij
O OWNER PHONE C2 7 —/0
C ESTIMATED COST$ D
U
IS THIS A CONTRACT COST? Yes 13 No
f
CJ FEE ENCLOSED$ 7ff,AV
TYPE OF JOB:
SOR CO New Installation
L
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUILDING:
HEATING 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 OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) F(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 OIL TANK LOCATION:INSIDE OUTSIDE CAPACITY
GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW
AIR CONDITIONING
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE 6;2 f/2- COOLING CAPACITY(BTUH)
VENTILATION
DESCRIB ALL AIR HANDLING EQUIPMENT(INCLUD KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
PLANS MUST ACCOMPA Y APPLICATION)
FURTHER 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 CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
o ?6
CONTRACTORS LICENSE NO. TYP STATE
SIGNATURE OF APPLICANT DATE 2
V
June 23 ,2000
Jeffrey Carr give my permission to Steven Clark to pull a
I ,
air conditioning permit for the Kusma residence
Thin is to cattly dial under Ow provisions of IIN General Slalules
the folminp person or Inn Is kensed or repislered.
HEATING PIPING ac COOLING UNLTD CONTRACTOR
IEFFRE'Y A CARR
5 SHAFER RD 1
NEW HARTFORD CC o6o57
TYPE:s 1
LIC.IREG.NO. EFFECTIVE EXPIRES
00386896 9/01/1999 8/31/2000
SIGNED n'z k,- aA( a"
rF•
4
ZOO
Raserrrer , r;• , ,., :w lF
vel
TYPES OF_t; e''3.tF F
1..._..
r...
Not ExIr.1Vs.3`f'BI1s `-..# •rN.ry _. - ..-__,. .. _• -
rf
9
e
1I
N ; t'. ~_a i-te.r•
N(',RTH 64 i
E OR W 3
SE OR SW TS
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Dud9 i IOU(fbr d1 d%"t .in
1 a fs A`':
7j
1 •.!l ll$I RhnR'aY;,.} .,.,,--_..,...-«_..
e.,a....v..w..._..o... ,«.,..._ e
r•J'„' ,_ +
s+Y, y,Y'F11 pA- f • • ,r 'r
r 1&"!'a'.',`1• ems'+ 9'r s+J,+'.'?'"., . ,... r:./ d.11 a. c i.:s.
a'.%
4-=3+w:c4!-G';,{r !'` -
f` ;frr`'"
f.
A 1, J< i. LitilSlLIT Y INSURANCE 01/03/00
PRODUCER THIS CERTIFICATE IS ISSUED AS A NIATMR OF INFORMATION
Mack and Parker, Inc . ONLY AND CONFERS No RIGIITS UPON THE CERTIF/Gail 11
55 E. Jackson Blvd.HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND ON
Chicago, IL 60604
ALTER THE COVERAGE AFFORDED BY WE POLICIES BELOW.
312 )9 2 2-5 0 0 0 INSURERS AFFORDING COVERAGE
INSURED INSURER A: western I ndemj1 ity IjjaUr anCC 06.
L & L Mechanical, LLC. I
Q Pill1 1 rHS:RER.: Legion Insurance companyZDPjAP111 Oaj INSURER C:
Goshen, CT 06756 INSURER D:
INSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITIISTANDINt
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED 01-
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCI
POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NSR TYPE OF INSURANCE POLICY NUMBER
POLICY EFFECTIVE POLICY EXPIRATION LIMITSTRDATE(SIMIDDli'VI DATE(NIMIDD/Y11
A GENERAI.LIABILITY WFRP 2 5 7 01 C 9 8 7 01/01./0 0 0 1/0 1/0 1 'EACH OCCURRENCE s2, 0 0 0, 0 0 0
X COMMERCIAL GENERAL LiAB%r1Y FIRE DAMAGE(Any one fire) S 3 0 0, 0 0 0
CLAIMS MADE X OCCUR I MED EXP(Any one person) SN/A
X X, C,U PERSONAL do ADV INJURY I s I NCL OCC
GENERAL AGGREGATE :sN/A
GENL AGGREGATE LIMITAPPLIES PER: PRODUCTS -COMPIOP AGO i s2, 000, 000
POLICY jECT LOC
13 AUTOMOBILE LIABILITY CA2 0 0 8 514 0 0 1/0 1/0 0 O 1/0 1/O 1 COMBINED SINGLE LIMIT $2, 0 0 0, 0 0 0
X ANY AUTO Ea accident)
1 t
AI L OWNED AUTOS BODILY INJURY
SCIIEDULED AUTOS IPer person)
s
1
IIIRED AUTOS BODILY INJURY
NON-OWNED AUTOS Per accident)
s
i
X 'PHYS DAMAGE ACV LESS PROPERTY DAMAGE s
5 0 0 COMP/COLL DEED IPer accident)
GARAGE LIABILITY I AUTO ONLY-EA ACCIDENT S
ANY AUTO OTHER THAN EA ACC s
AUTO ONLY: AGG S
EXCESS LIABILITY EACII OCCURRENCE S
OCCUR CLAIMS MADE AGGREGATE S
f
I DEDUCTIBLE I s
RETENTION s s
WORKERS COMPENSATION AND WC2 0 0 8 514 0 01/0./0 0 01/0 1/0 1 X TORY LIMITS
CSTATU- UER
EMPLOYERS'LIABILITY
I
I E.L.EACH ACCIDENT j s 2, 0 0 0, 000
1
E.L.DISEASE -EA EMPLOYERI s2, 000, 000
E.L DISEASE -POLICY LIMIT's2, 000, 0001
OTHER WFRP2570IC987 01/01/00 01/01/01
PROP/EQUIP FLTR 3 , 000, 000 BLANKET LMT
ALL RISK 1 000 DEDUCTIBLE
ICRIPTION OF OPERATIONSILOCATIONSIVEIIICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS
its verifies that L & L Mechanical' s employee named: Jeffrey Alan Carr
i also an insured under the definition of employees acting within the
ope of his employment with L & L Mechanical while performing duties such
obtaining permits with an S1 license on L & L Mechanical' s behalf under
to General Liability policy.
RTIFICATE HOLDER ADDnMA1.NSURED NSVRERIETIER: CANCELLATION
SIIOUID ANVOFTIIE ABOVE DESCRIBED P()IIJCES BE CANCELLED BEFORE TIIE EXPRAININ
ate of Connecticut DATE TFIEREOF.THEISSUING INSURER WILLENDEAVOR TOMA11.30 DAIS WRITMN
TN: Consumer Protection Dept . NOTIICE70711E CERTIFICATE IIOIDER NAMED70n1ELEFT.3UTFA.URE TODOSOSIIAIJ,
5 Capital Avenue IMPOSE NOOBLIGATION OR LIABR.ITYOF ANYKND UPON THE NSURER,F S AGENTS OR
rt f ord, CT 0 610 6-16 3 0 REPRESENTATIVES.
AUT1I)1RIZF:D REPRESENTATIVE
RD 25-S(7/97) 1 of 2 #M 3 0 2 6 4 13XW 0 ACORD CORI-ORA'1'ION 1988