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HomeMy WebLinkAbout230 Kelly Road1 _ Application No. . ......... ... ....... Permit No. .....k220...........r' 20 ............. TO TIDE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (erect (make alteration to) a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building 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., .135.............................. 191 . Sign hen .... ....... ........ Address I Location? 9'...................... ...:......side of? ............. ... ......... c Newest cross street? ... Street No. ... .......... ............................... Lot No. ............... ................. Owner of land is?AV.. J.,ta..&)Address .............. . ... . . .. .. ....... ... ......... Owner of building is? Address .. ....... .g Architect is? . .. ................ Builder is? I. J.4e . ...... Address ..!(............ ............... g? .. Feet rear? deep?Dimensions of buildin b k..r ...Feet front? Feet Extreme height to highest point of roof? ......9....Q ... ............. No. of stories in height? . O Purposeof building is? .........No. of stores? ... ..0....... ..................................................... .............. No. of rooms? .. How many families? ... 1......... ........ i Distance from street line is? .. . ... ............... ....... ..........from building line is? .. ..ar... .... ..... .......................................... ADDITIONS AND ALTERATIONS Give Brief Description) o.} i. '......'......:................................................................................ ENDORSED BY SANITARY OFFICER IN ACCORDANCE WITH TOWN OF Map No. H WIN DI ANCE NO. 6 c . SANrrARY OFFICER 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 Walla Height Stories Front Walls Side Walls Rear Walls Partition Walls Basement, I.............................. .................................................................................. ................................. ........ ............................................ 1st Story 2nd " 3rd " I.................. ........ . .................................... .... .............. ........................ 4th " I............ . .. ........................ ........... ................................................... 5th " 6th " 7th 8th " 9th " I. IOth..... ... Material.of Front? If stone, what kind? Thickness of Ashlar?Thickness of Backing? Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS 11 GIRDERS COLUDWS Floors Size Longest Span Centres Bridging Size Longest Span Centres Size Length Centres, 1st Floor 34A,- P7"k 2nd 3rd 4th * 11 1 1 1 1 Size of outside studs.? ......... Distance on centres? . Size of sill? .........°z?r..4............... Size of rafters? Distance on centres?.... Size of plate.? ....... ............ ................. Size of ledgers or girts? .. .. .. - Size of deck rafters? 44".10. . ......... ....................... ............... Distance on centres? ....... 16 . 1)....... Size of studs in bearing partitions.? c24-A.1............. .......... MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? Po Tc,h Fireplaces? Material of roof covering? Material of Cornice? ....... .. ............................................ . ....... ... lq 0 Cam.Lining of flues?11-441......How is building heated? ta Thickness of shell of flues?Any elevators or lifts? ....Iwo .. .... .. ..... .... .. .. ................. What kind How many? Any hoistways? How protected?Total Value of Building . a\5_4.0...0 When will work be commenced? 11Z GAO. ....." 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. 100" Applicant 4220 BUILDING APPLICATION 4480ApplicationNo. . . ................................................................ North side ofonthe . ............. .............. .. ... ...... Kelly Rd. Street. Street No, Cor.Oak & Kelly Rd. Joseph Kristan, M.D. Owner Applicant Wilshire ..Wood s Inc... . CLASSIFICATION Dwelling 801x281 Permit issued on above Application. Date, DCC.79, 19. .62 TOWN OF SOUTH WINDSOR BUILDING PERNIIT Dec.?, 62 Date 119 Fee Paid 010©.00,0 Est. Value 2500800® REM DO Permit lr a 4 zo on the North side of Kelly Rd.tree Street No. Ke-ly Owner J®seph Kr i stab, M.D. Applicant Wilshire Woods Iwo CERTIFICATE OF OCCUPANCY ISSUED: Date No. 2510 Fee Paid 3.00 CLASSIFICATION Dwelling SO OZ281 BUILDING PERMIT N? 4220 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Dec.70 19 62 94is fis to Tertif1j, That W it shire ,floods Inc. is hereby granted permission to Dwelling 801Y.281 at estimated value of y$ 25 v 000 on the No*r th side of E 11 V ' Street on land owned by j o s e L) Said Work to be as described in Application No. 4480 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued nPc.7. 1962 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." I Permit No. 1'' TOWN OF SOUTH WENDSOR I SOUTH WINDSOR, CONN I Permit N° 2509 I I Certificate of capancy 30ITHIS IS TO CERTIFY that yat No. - in the wn of South Windsor, Connecticut, has been erected and complited in accordance with the Building Code and Zoning motions of the Town of South Windsor, and is .hereby approved for occupancy. I Building inspector I Fee Paid c Date 0 A 0 om 0 TA 57 Y fir) V 39 „ V E-L L Y Lot Numbers Refer to Map Tined # C•ELof'k:. P_Y CoE rr'DFt Hl. i l s;5 tiJC. Acv"t W IrJG:yc1 15y- b, J. M(QZt CFiI, C. E., GLAS(Ut+l3U.Y, lC)NN. f Ilea In I ursn Clerks office rlx, 7.'4 9y ?ji Y•l JOHN J. MOZZOCHI & ASSOCIATES CIVIL ENGINEERS NO ZONING VIOLATIONS. GLASTONBURY, CONN. CERTI FIED SUBSTANTIALLY CORRECT. SCALE--- /` Q ' DATE... /0 C5-6,; 1735 OIL BURNER OR FUEL STORAGE APPLICATION Application No. 1746 Permit No. 1735 on the North side of Kelly Rd.Street Street No. Dr.Jos.Kristan Owner Application M. Soob it sky CLASSIFICATION Arco. Permit Issued on Above Application Date 9-16-63 19 Fee Paid $ Permit #4220 TOWN OF SOUTH WINDSOR APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS EQUIPMENT AND TANKS PERMIT N 1735 DATE2, The undersigned hereby applies for a permit for the installation of range and fuel oil burners, equipment and tanks of the following description: Address 1st floor 2nd floor 3rd floor Character of Building: Frame Brick y Owner of Burner Owner of Building 1 tjA Lessee or Tenant_ RANGE BURNERS Capacity of Tank at Range in cellar outside—_ Name of Range Burner Purchased from POWER BURNERS V 9(crNameofFuelOilBurner Model Number cl' C.? Purchased from 0eq,l V '7NameofTankGaugeofTank 16 0 64 AJWhereisTankLocatedSizeofTank Size of Motor Size of Wire Will other heating equipment be installed? If so, by whom Name of Party Making Installation `_Ii V Address Electrician Address Signed APPLICANT All provisions of Ordinances of this Town Regulating Oil Burner Equipment and Fuel Storag (Sections 1-23 in- clusive) and Underwriters' Code applicable to the subject matter of same shall be complied with in execution of this work whether specified herein, or not. C) Estimated Cost $ Application for Permit received and Permit No. 1735 'J issued 1 Permit Fee Paid p_g Xr1Jt_#422-_O Approved BUILDIrJG C 16R FINAL INSPECTIO74Building APPLICATION FOR BUILDING PERMIT Plumbing HVAC Date: Sprinkler 230 KELLY ROAD El ctric Estimated Cost $25,oa ZoningPermit Fee$ Affidavit NO. 19 Occupancy Fee $ Eng. D pt. COMPLETE RED BOXED AREAS. Fire Dept. TYPE OR PRINT ONLY Total Fee $ Health Dept. SIGN ON REVERSE SIDE. Approved for CO: Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby appliep,to do wo according to the following specifications: Job Locatio Lot No. Side of Street Zone Applicant ZTel. # Address Zip 7 Lic.# C I.S 1 STR E CITY STATE Owner Address Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1 st 2nd 3rd Size of Lot Dist- from Street Line Dist. from Side Street Line Purpose of this Permit 1 City Water Well Septic Sewer Approved by Date BD1A 11/88 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lin s,side yard lines and required distanc s from all of zones and is located in a zone in which this building and its use is allowed. Signed --Yj I hereby apply for a Certificate of Occupancy for the work described in this application for permit. Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing `` J'A-' Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: Sectric# if So 1 2 3 0 KELLY ROAD APPLICATION FOR BUILDING PERMIT Plumbir„# tHVAC # 24371 Dat qrb Sprinkler# N0' FINAL Estimated Cost Coo Buildi 9'6 COMPLETE RED BOXED AREAS Permit Fee C->Y 6npi no TYPE OR PRINT ONLY Occupancy Fee emu Affidavit SIGN ON REVERSE SIDE Appr.for CO. c?w Total Fee TO BUILDNG DEPARTMENT,TOWN OF SOUTH WWSOR,CT Additional Cost) The undersigned hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant oof &&i f a,d Tel# ', f 7 D Addr ss r d^-- 46 w!-, y p Lic.#mil_=7 ,'OD Own r1r ,Address 24_ Architect Address Sq.Ft.New Area: 1st FL 2.,,e!f: , 2nd FL 3rd FL Total New Ar Rooms /Lavatories Bathrooms Garages Purpose of this permit: ,o l D"i ,mot/ T/,P ,i, d ..o d.' I City Water$0 Well Septic System 0 Sewer JK Ins. H.O. S.P. Cert. Area Basement Garage Approved by Date Z S Use Group Construction Type RevbW 1197 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 which this build and its use is allowed. Signed J I hereby apply for a Certificate of Occupancy for he work described in this application for the permit. Signe DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Y X l GAL Os x ' Z Inspection / Approval Date By Appl Code Description Due Whom Code Comment 97-24371-B 22,000 BO1 FOOTING 06/13/97 JFH A B03 FRAMING (ROUGH) 09/09/97 JRC A DECKS AND ADDITION E03 ROUGH 09/09/97 JRC A PARTIAL--WIRING THROUGH FRAMMING OK--NEEDS CHECK FOR BOX MAKE-UPS B04 INSULATION 09/10/97 JFF D E03 ROUGH 09/10/97 JFF A B04 INSULATION 09/11/97 JFF A B10 FINAL 11/17/97 JFF D GATE NOT SELF CLOSING OR LATCHING B10 FINAL 06/02/98 JFF A APPROVED FOR CO & CLOSEOUT 97-9898-H 1,800 r DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT T Application is hereby TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit#APPRO 1540 SULLIVAN AVENUE 6.4-2511 ext. 230 Date i Inspector - Application must be printed or typed Location ofjob 3 Street No. 6kWeet Lot No. FEE SCHEDULE 0 - $1,000 - $12.00 Floor Apt. No. Over $1,000 12.00 per$1,000 OWNER 7 ioranyfractionthereof ADDRESS OWNERS PHONE# 0 APPLICANT 2?j OMI N 8F,4 ADDRESS 6 1 L M1 ESTIMATED COST $l °o C IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ SOR.COS TYPE OF JOB: Original Installatio Alteration on Revised 11/95 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAL C/ A/C COMMERCIAL VENTILATION INDUSTRIAL Il EATING STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER EXISTING RADIATION _? ADDITIONAL RADIATION 16 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).? 16 WT RATING (OUTPUT-BTUH)_4f,,7,00v TYPE OF FUEL OIL-GPM I GAS-INPUT ELECTRIC-KW OIL TANK SIZE& OCATION INSIDE OUTSIDE CAPACITY&3LPG 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 2 ZAM r 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. Q S:2 STATE LICENSE-NO. NAME&TYPE SI NATURE OF APPLICANT PHONE NO( DATE . 'J 9',9 SHETUCKET PLUMBING SUPPLY IBR Heat Loss Calculation #110543 09/30/97 Job game R+M BUILDERS Job Location : SOUTH WINDSOR Wholesaler : SPS Contractor : AMERICAN H/C Prepared By : R . PELLEGRINI Job Remarks : HWBB Room# Room Name Factor Room Size BTU Loss Ft Baseboard 1 ROOM 1 2 .00 8 X 15 . 6 X 17. 6 15 , 479 .7824 28 . 1 2 ROOM 2 3 . 00 8 X 13 X 13 0 . 0000 0 . 0 Totals : 15 , 479. 7824 28 . 1 Dimensional Data Sq . Ft . Sq . Ft . Sq . Ft . Sq . Ft . Cu . Ft . Sq . Ft . Room#Net Wall Glass Exp Ceiling Exp Floor Volume Living Area 1 271 134 0 275 21196 275 2 0 0 0 0 19352 169 Total 271 134 0 275 35548 444 BTU Heat Loss Data Room# Wall Loss Glass Ceiling Floor Infiltration Total BTU 1 19516 . 48 69539. 20 0. 00 19098 . 24 61325 . 86 15 , 479. 78 2 0 . 00 0 . 00 0 . 00 0 . 00 0 . 00 0 .00 Total 19516 61539 0 19098 69326 159480 10 42 0 7 41 100 The average BTU per Sq . Ft . of Living Area is : 34 . 90 The average BTU per Cu. Ft. of Living Area is : 4. 36 Factors used in Heat Loss Calculations : Factor# Wall Glass Ceiling Floor Infiltra BTU Output Temp 2 0 . 07 0 . 61 0 . 05 0.05 0 .36 550 80 3 0. 07 0. 61 0 . 05 0 . 05 0. 00 550 80 Becky# 6 313 1t8 APPLICATION FOR BUILDING PERMIT Plumbing# 230 KELLY ROAD HVAC # No. 24438Sprinkler# FWAL O Estimated Cost obC Building COMPLETE RED BOXED AREAS Permit Fee 3 6 Engin1w. 7 TYPE OR PRINT ONLY Occupancy Fee $ 1;- Affidavit SIGN ON REVERSE SIDE Appr.for CO.Total Fee TO BUILDINK'DEPARTMENT,TOWN OF SOUTH WINDSOR,CT lAdditional Cost) The undersigned hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant Tel# V V JL3--?11 Address 3 0 Zip 0&0 71 Lic.# Owner /)&A,4fj\l i` J •-6 b-j Address S Gm w , Architect Address Sq.Ft.N w Area: 1st FL 2nd FL 3rd FL Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: C-ct-,r C Gty Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by JAY-- Date Use Group Construction Type Rwied 1197 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 which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS r57) S7o co,Zo E, 1 0 Ln f a Kco' v Is 6y I c r 0 T• 2C4.ip, S• S8. 7? 7ov oo 3o w F LL Lrit NurncErs Refc-r to !dap Tale v y F_Y It JL C ,I I N.".. t; 1 i Ice r o: ICJ/t j;.;,;f: . ot,t. t v' f' s' JOHN J. MOZZOCHI & ASSOCIATES CIVIL ENGINEERS NO ZONING VIOLATIONS. GLASTONBURY, CONN. CERTIFIED SUBSTANTIALLY CORRECT. SCALE--- / •- `_ DATE--- i'' SUN u 6 1 141 south Windsor BUILDING DEPARTMENT TO THE BUILDING DEPT. 10'hi, _•, This certified that this plan and specific is copies of the proposed building or alterati,,„e, cu I erected at A 3 o K LA I„ Lrr_' I'!1 Sir, together with amendments stated in apphc-ti m filed with plan and 1 agree to comply with .11 ,)r,i Building and state laws and such ord,rs .is H issued by the Building Depai tm,rit during of this application nd final issuance of a build„ permit. Signed fhis plan is .pp,ved sublect to the condrtinn th orders and ordinances regulating building shall b, complied with Gmiditionally Approved These filed with Buil ng InspecSctor Clerk at Z 1 No.1 GE;-0 Ii ;(;Ai iON OF ZONING COMPLIANCE' Proposed Widing(s), use(s) andf or structure(s,, shown on this plan appears) to Ede Is conformance with current Sbutl1 fit' tszd-. g ulations. Variances and special exceptio"Is lay apply. ate Zoning Enforcement Office Inspection / Approval Date By Appl Code Description Due Whom Code Comment 97-24438-B 3,000 B01 FOOTING 07/10/97 JFH A DECK E02 UNDERGROUND 07/14/97 JFH A E03 ROUGH 07/14/97 JFH D TIMER TO CLOSE TO POOL NO GFI BREAKER B10 FINAL 05/21/98 JFF D WITH OWNER NEED 18IN PROTECTION AT LATCH B10 FINAL 06/02/98 JFF A APPROVED FOR CO & CLOSEOUT 97-14501-E 1,000 t i o- SENDER: t:om e R me and or 2 for additional seMoss. I also wish to receive the come it ms 3,4a,and 4b. following services(for an m Print your name and address on the reverse ofthis form so that we can return this extra fee):card to you. IAttachthisformtothefrontofthemailpiece,or on the back R space does not 1. Addressee's Address LP permit. Write'Retum Receipt Requested'on the maiipiece below the article number.2. Restricted Delivery The Return Receipt will show to whom the article was delivered and the date C delivered. Consult postmaster for fee. 0 3.Article Addressed to: 4a.Article Number E 4b. ervice TypeFMs.Gail Marken 7S 230 Kelly Road Registered Certified c South Windsor,CT 06074 Vd 1 Nt) d Express Mail Insured Ret"mm Receipt for Merchandise COD atelof Delivery 5.Received By:(Print Name) ressee's Address(Only If requested G and fee is paid) 6.Signature: (Addressee or Agent) I X I a PS Form 3811,December 1M Domestic Retum Receipt a UNITED STATES POSTAL SERVICE First-Class MailPostage&Pees Paid USPS Permit No.G-10 Print your name,address, and ZIP Code in this box• I South Windsor Town Hall I 1540 Sullivan Avenue South Windsor,CT 06074 jBuilding Department May 5, 1998 Miss Gail Marken 230 Kelly Road South Windsor CT. 06074 CERTIFIED MAIL re: FINAL NOTICE Dear Miss Marken I mailed you a letter, dated March 30, 1998, giving you notice to resolve the open Building Permit(s)#24438for your swimming pool. As of today,you have not complied with the original request. Your permit(s) are still open. If a resolution to the open Building Permit(s)is not made on or before May 22, 1998 this office may take other actions to solve this matter. The swimming pool still should not be opened until such time. Should you open the pool prior to the issuance of a Certificate of Use and Occupancy this office may post your property unsafe and place a caveat in the land records stating the same. Please call me or John Collins, Chief Building Official, should you have any questions regarding this. Our office hours are 8 - 9 a.m. and 1 -2 p.m. the phone number is 644-2511 ext. 232. Very truly yours, Douglas C. Jourdan Deputy Building Official DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 74'f6*1 Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE tq q 3 g- 4-2511 en 230 uilaing Inspector Application must be printed or typed Location ofjob r (Ysr Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 • $1,000 - $12.00 Over S1,000 12.00 per$1,000 OWNER Wcxk 4Aoranyfractionthereof ADDRESS OWNERS PHONE# APPLICANT Ow N St•ADDRESS CzAl o(e spa i.r ESTIMATED COST$ CD fi) C IS THIS A CONTRACT COST? FEE ENCLOSED $_ VOR O CQ TYPE OF JOB: Original Installation teration/Addition/Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from rcvcrse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WLTH A RESIDENTIAL BUILDING PERMIT APPLICATION 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 Otlicr picasc spccify) TYPE OF INSTALLATION/WIRING METHOD. a _,,o 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 Ti'0 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 o A al,J T 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 SIGNATURE d#APPLICANT PHONE NO. DATE APPLICATION FOR BUILDING PERMIT Electric# 230 KELLY ROAD Plumbing# Dat :l `l HVAC # No. 24391 Sprinkler# Estimated Cost $ l0 6 G FINAL APPROVALS) Jlex COMPLETE RED BOXED AREAS Permit Fee 2- Build ng Occupancy Fee Engi;ng TYPE OR PRINT ONLY Affidavit SIGN ON REVERSE SIDE Total Fee Z- Appr.for CO.Add'tional Coat) $ TO BIALDNG DEPARTMENT,TOWN OF SOUTH WMSOR.CT The undersigned hereby applies to do work according to the following specifications: Job location 1 o Lot No Side of Street__,___Zone Applicant U llrlo ` nt tau i d S Tel.# , y ,3/O Addr ss S ZipD w 4v Owner 'Address Z3 Architect Address Ft.N w Area: 1st FL a$t-' 2nd Fl 3rd Fl Total New Area?$`g' ' Rooms Lavatories Bathrooms J Purpose of this permit:t 0&z& City Water Well Septic System Sewer Ins. H.O. S.P._ Cart._ Area Basementa Approved by J/7- Date t4 Use Group Type Rw:.d 1197 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 which XSigne this ildin d its use is allowed. d I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS