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Bectric#17173 APPLICATION FOR BUILDING PERMIT
Plumbing# 2 9 Ash •Road
HVAC #27698 Date: 3-
Sprinkl r#
FINAL APPROVALS Estimated Cost 1 Co.
Building L-) COMPLETE RED BOXED AREASj—Appr.forco.
Permit Fee 3 u . 00
Engineering TYPE OR PRINT ONLY Occupancy Fee $ S. o n
Affidavit SIGN ON REVERSE SIDE
o1 Total Fee 13-<'•o C3
TO BLAL M DEPARTMENT,TOWN OF SOUTH WMkM CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location - S Z16 Lot No. Side of Street Zone
Applicant ir1C&t), vo/Q Tel.#
Address / `c¢cam' "r l' * - Zip O ' Lic.# 5 Z 2
Own r !cz/1 e o Address
Architect Address
Sq.Ft.N w Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit:
City Wat r Well Septic System Sewer
Ins. H.O. S.P. Cert. Area Basement Garage
Approved by
611T
Date ODDI Use Group C Construction Type
Revised 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 whi his Wilding and it is allowed.
Signe F
I hereby apply for a Certificate cc for a work de in this application for the permit.
Signed
OPT BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
27698-B 9,600
B01 FOOTING 04/11/01 CJD A
B03 FRAMING (ROUGH) 04/11/01 CJD A LEFT TICKET
E03 ROUGH 04/11/01 CJD A LEFT TICKET
B10 FINAL 05/24/01 CJD A
B10 FINAL 05/24/01 CJD A CLOSEOUT
17173-E 500
MAR j 0
South Windsor
BUILDING DEPARTMENT
v= Lv1:a CONII.'LIANICE
1 opoc_-.-d building(s), use(s) and/or structure(s)
s shown on this plan appear(s) to be in
onformance with current South Windsc:
egulations. Variances and special exceptions
may apply.3/30Date
Zoning Enforc- meat Officer
U iHL 8':4[tD1a: Ut1T. TUWN OF SOUTH WINU)01,
s u•rtif:.l-a ty ,'Is plan and specifications are trut
A3s of the proposed building or alterations to be Sea
eeted at
a5 nq
strew
Rther H,-I, i..n7r-,enis stated to application ane y4l' pall! ise41
t w!!P: pia,; z:rr, agree to comply with all zoning.
nog-!•` I ` 1'puo-
ding nd ti •,ns and such orders as shell br• eq I1e4s Hu.plln g a I" 11Luu-
1.ed b,, +n :;•Cr rq Department during pendency 1141 uolllpuoa ay,•
w
s' P"
his n
p
Ip',c,: ,. _ d final is c o1 a building d
r nit
sulpllnQ a }o ouen lu.,,ar
o s4 feet _o the condition that fouapuad Hu n
ss, le o u' r.,,;,,,,
regulating building shall be Q lls4s se spa
Huluoz ll
Px, 4Jus S.. P 1
411M AidwoJ
d These filed with
PUe °O1 otldde w P,q;s a, , - '•y" f, ..
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DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT#
Application is hereby:TOWN OF SOUTH WINDSOR J 7/7 3BUILDINGDEPARTMENT
APPRO D 1540 SULLIVAN AVENUE Bldg.Permit#
lU 644-2511 ext. 230 42 7 C,
Date Build' Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE
FTenant O-.D
0-$1,000=$13.00 Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof nation Apt.No.
APPLICANT
APPLICANT ADDRESS fi
I*S'%o+U R u Q>/ GCS 0 G o 3
01APPLICANT PHONE#
OW N SF
OWNER
OWNER ADDRESS 2-
kk µOWNER PHONE'
C ESTIMATED COST$ 560, OO
IS THIS A CONTRACT COST? 0 Yes 9foNoo
FEE ENCLOSED$ 13 Co
r
sO CO TYPE OF JOB:
R 0 New Installation
eAlteration/Addition/Repair Revised 8/99
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? YES NO
1 RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY /i f C 't/7 vJ 644) Ll(,4 q
ASSEMBLY J
MERCANTILE FUTURE USE AND OCCUPANCY
EDUCATIONAL
INSTITUTIONAL ENGINEER'S NAME PHONE
FACTORY
STORAGE ADDRESS
GARAGE
MIXED USE CITY STATE — ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD _(C,i/3G/'[t O rc 1 - Co de-
SIZE OF SERVICE /O O SIZE OF MAIN CONDUCTORS_ Z
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
r
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.
CONTRACTORS LI O. TYPE STD,fAT e
SIGNATURE OF APPLICAN A DATE 4 `