HomeMy WebLinkAbout25 Natsisky Farm RoadT V
TO THE BURDING INSPECTOR
APPLICATION FOR
TOWN OF SOUTH WINDSOR,COi DV. PLAN EXAMINATION A N D
BUILDING PERMIT
zIMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX.0
ZONINGI• AT (LOCATION) at=5_ RDISTRICT ,_
LOCATION NO.) Is EET1<
OF BETWEEN AND
CROSS STREET) CRLOf STREET)BUILDING IB'(v 5
SUBDIVISION LOT BLOCK SIZE 11 `f•yC/ C 91
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use to
11NewbuildingResidetialNonresidential
2 Addition(1/residential, enter number 12 70ne family 18 Amusement, recreational
f new housing units added, if any, 13 Two or more family - EnterinPastD. 13) T f l E 19 Church, other religious
3 Alteration (See 2 above)
number o/units- -- - - 20 Industrial
14 Transient hotel,motel, 21 Parking garage4 Repair, replacement or dormitory - Enter number
5 Wrecking 0/multi/amity residential,o/ units ------- --0. 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, professi nal6Moving (relocation)
17 25 Public utility7 F undation only
Other - Speci/y
26 School, library,other oducati nal
B. OWNERSHIP 27 Sores, mercanfi le
8 F7 Private(individual, corporation, 28 Tanks, towers
n npr fit 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., fo d
Q OO processing plant, machine shop, laundry building at hospital,elementary
10. C at f improvement................ jp school, secondary school, college, parochial school, parking garage 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
o. Electrical......................
b. Plumbing .......................
c.Heating, air conditioning.........
d.Other(elevator,etc.).............
11. TOTAL COST OF IMPROVEMENT Fii_9510cc
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 L J Masonry(well bearing) 40 0 Public or private company
48• Number of stories................
31 p Wo d frame 41 Private (septic tank, etc.) 49• Total squat•feet of floor area,
all floors,based on exterior
32 Structural steel dimensions .....................
33 Reinforc d concrete H. TYPE OF WATER SUPPLY
34 Other — Speci/y 42 Public or private company 50. Tote) lend 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[Z Gas Will there be central air 52. Outdoors.....a.se.00.**.......
Oil c nditl ningP
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45[DIN 53. Numb r f bedr erns..............
38 C al
39 Other - Specify Will there be an•love# ri Full..........
54. Number 1
46 Y s 47 V N bot •ems
Partial........
IV. IDENTIFICATION — To b compl ted by all applicants
Nam Meiling address — Number, street, city, and State ZIP cod Tel. N
I'
Owner or Dart Fill Realty Inc . 658 Ellington Road
Lessee
South Windsor.
2. Same
Contractor
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signatur of applicant Adelress Applic ti n d to
a
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Re
y
view Date Plans B Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER Is
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obtained
Dole Number ByedNumberByPermitorApprovalCheckObtained
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
P rmit numb r P—W
Bui Iding
Permit issued 19 ,r _
Building ovPermitFee $
3 cro,
Ap ved
TO
V V
a
1
r r
R
TOWN OF SOUTH `1VINDSOR
BUILDING PERMIT
Date Jan. 12 19 87
Fee Paid $.4 9 2 . 0 0 Est, Value $..$2.,.0 0 0
Pest N° 15603
on the side of
Lot #96 Natsisky Farm RoaAtreft
Street No. 25
Owner Dart Hill Realty Inc.
Applicant Muriel Jacques
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 7R7F
Fee Paid $ 3 . 0 0
CLASSIFICATION
Dwelling
1
BUILDING PE bffr N`4 15603
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Jan. 12 1#7
M#ta is to (fertjf1j., That Dart Hill Realty Inc.
is herebyanted ion to DwellinggrantedP
at estimated value of 2,0 0 0
on the side of Lot #96 Natsisky Farm Road Street on land
owned by Dart Hill Realty Inc.
Said Wgrk to be as described in Application
No.15 9 0 3 and to conform to specifications and plans filed with said Application, and Building By,
Laws of THE TOWN OF SOUTH WINDSOR.
Issu 1 7
gilding 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."
1/r Tel- .2 02 -d ,
INSPECTION EPORT `J
Permit # Jo
1 Footing
2 Foundation
3 Framing
4 Wiring Q5gA IC,E 7-
5 Plumbing *jag ,) U M 1IA
6 Heating11,m i3,PO G 4 IC-0 T-1
7 Lathing
a c.o. b/'f 7
Dwelling - Lot #t96 mtn.Vw• 4 1/12/87
Dart Hill Realty Inc.
25 Natsisky Farm Road permit # 15603
9586
Electrician Richard Barrett #
6723
Heating Contr. So*windsor P/H
7 280
plumbing
it So.Windsor p/H
Oil Burner
ancy j z teed. # 7876
Certificate of Occup lot
Sewer Permit
rd. per Engr •
Ar
Plot plan app
1
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
4
i
I
1
I
f Permit N? 7876
I
Certificate of Occupancy
THI o TQ CERT F-X thatthe
s at No.f f in the To of South Windsor Connecticut hasI
been erected and completed accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby appr red occupancy.
s
u ing Inspec or
Owner, Builder
Fee Paid Date - lg
CERTIFICATE OF OCCUPANCY CHECK LIST
Applicant f -i / Iz Certificate of Occupancy 19 7
Address zo,1421dg. Permit No. &U.,o3
Lot No. Date Submitted J-i4(--87
Project Reviewed By
Date
As required in the Zoning Regulations, no certificate-of-occupancy
shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall
inlcude:
Approved Denied N/A
1. Approved building permit plan.
2 . Finish grading per approved
building permit plan.
4t- 3 . Site work; i.e. trees, shrubs, dumpster:
required parking
4 . Utility location
L a. sanitary sewer
b. foundation drain
c. electrical & telephone
d. water
e. other
5 . Appropriate certification
6 . Bonding
Sewer Permit No.
Pavement Excay . No.
COMMENTS :
REINO E. HYYPPA a ASSOCIATES
CIVIL ENGINEERS & LAND SURVEYORS
GLASTONBIRY, CONK
Dt0
01
a
CQ
o e4l 4
JL ti Q
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Q
op
LID
E T TLErLOTUNE5FROMMAGOrJF-I r,OpEN 5PACE 50501Vt`:4ow A-30 ZONE-, SGPLOTPLANSECT101,J 4 M00WTAINViEvj
ESTATES SWTH WimLy-v ey
Re1N0 E. H"PPA!ASSocIAlES SCALE 4:
1"=40' DATE-4-9-8(a
SHEET Z OF 13 FTS Rj-V.
Lock,q o Ac%SN wN 4-,--, PREPARED FORWeZC+&J%Qc, \JwLAT%aaz vv -r 1P.A3DECT T4 bu%L.0"C, ._aCA-t p,J DART HILL REALTYCERTIFrEDINCBSTANTIALLYCORRECTSOUTHWINDSORCONN.
SCALE : 1''=40'DATE: II-10-84*
ems„, -its
J 1
iy
BUILDING PERMIT CHECK LIST
Applicant Building Permit No.
Address Date Submitted z3 -06
Lot No. qG Reviewed by 7
Project Date
In accordance with the Subdivision Regulations, prior to the building of
any structure on a lot, a Topographic Plot Plan shall be submitted for
approval. The minimum requirements shall include :
Approved Denied N/A
1. Name, address & phone numbr of owner/
applicant.
33 v
2. Name, address & phone number of plan preparer.
3. Zoning information - i.e. zone, open space,
f1 oodway, etc.
4 . Plot plan at 1" = 40 ' scale.
a. Subdivision reference, abutting
properties , etc.
t/ b. Easements of record.
c. Lot description, bearings, distances ,
building lines, area, etc.
d. Contours , existing & proposed, 1 or 2 ft.
interval where appropriate.
e. Building location with dimensions.
Elevations of proposed finish floor,
garage floor & center line of road at
driveway.
f. Elevations of gravity drainage systems ,
sanitary & foundation drain at the
house and the street.
P/ g. Tentative utility location gas , electric,
water, etc. .
h. Title block with name and address of
preparer, date appropriate certification,
live seal and signature.
5 . Sedimentation and erosion control.
6 . Special Planning & Zoning, Inland/Wetland s
considerations . (Plans on file w/Town Clerk)
BUILDING DEPT.
PZC 7IWA/CC
WPCA
OTHERS
COMMENTS:
958g
ELECTRICAL APPLICATION
Application No. 11096
on die side of
Lot 96 Natsisky Farm DrivBcut
Street No. 25
Owner Dart Hill Realty
Electrician Richard Barrett
FILED IN OFFICE OF
The Building Inspector
Mar. 9 19 87
INSPECTION.
MNo Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
In New Buildings no wiring shall be started
until the plumbing and heating pipes, and the fire
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
Electrical Permit No. .......D...—V
e'Master License No. .... . ......................................
TOWN OF SOUTH WINDSOR Building Permit No. ... .. .. .......................
BUILDING DEPARTMENT Date Filed ..........4............. .....:...........................................
Date Final Approval ...................................................
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
CCmac`.. ........ ....~ QB-JOB LOCATION: OWNER .J
Side of .. ,r C C.`l L? B twee ........4 .. ..... ..... ...................... and ` .... .... ............................................
Name of Building Owner ,.......... G..................... ............ ................ Address -...L...,...;1.....................SL4.._.......................
If work is for Lessee--Give name Address .............. .............................................................................
No. of family units now ... .....-. .............Building now occupied as (unless new) (. N ..-)............. y
Number of family units to be ........... .Building to be occupied as .......... .... ..C........ ..... ....... . ......... y
Is this work included ' a BuildinAPrmit? ....._7 Permit Fee ............. ........ ....... .............................................................................._.....
If no Buildi Perm)
Permittee Business Address . , .,...Lt..r..... FL ..... ..... Telephone h'f.l_.-........5
COSTOF INSTALLATION: Te'..................... ................................................................................................................................................................
TO BE FILLED OUT BY PERMITTEE
TO BE WIRED EXISTING APPLIANCES
Number of light outlets to be installed 1
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 listed below) Dryer Air Conditioner Oil Burner
TYPE RATING NO.
Dish Washer Gas Burner
Range Well Pump Elec. Heaters
Range Top . . . . . .
Oven . . . . . . . . REMARKS:
Water Heater
Clothes Washer
Clothes Dryer . . . . . P y NEX
Dish Washer . . . . . .
Air Conditioning Motor . .
Oil Burner Motor . . . .
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan , , ,
Well Pump . . . . . .
Electric Heat . . . . .
Other . . . . . . . .
Number of new Lighting Circuits
Number of new Appliance Circuits
Number of Heating Circuits . . .
Number of Motor Circuits . . . . . . . ..
Size of present service ...............
Py...._............_..._Size of service to b-e ....................... C.
7230 j4'
PLUMBING APPLICATION
6949
on the i&of
Lo: #96 Natsisky Far_n Ra _ Sty
Street Noy 25
Owm Dart dill Realty Inc .
Plumb. So.[°:i nd s o r P lb g. /iitg.
Filed in Offia of
T6 BoUft Impme
3/17 19_R7
IIT Ql,
No person •ha11 aorenect, sdd m at abet ay
portim of the dcM*p safes of ate bung
ezmpt to repair lab) us&a%mh is®canoed
by the Building Ingm oe:
APPLICATION FOR PLUMBING PERMIT (Continued fr m R v rs Sid )
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB Lot #96 Natsisky Farm Road
NO. STREET FLOOR APT.NO.
GENERAL PLUMBING
12. KIND OF INSTALLATION Residential 13. SIZE OF MAIN DRAIN 4
14. NO. OF TOILETS 3 STYLE tank 15. NO. OF URINALS 0 STYLE
16. NO.OF BATHTUBS 1 17.NO.OF LAVATORIES 3 18. NO.OF SINKS 1 19. NO. OF WASHTUBS 0
20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS 1 SIZE 3 if
22. AREA OF ROOF 23.N0. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES one KIND 3' one-piece sho'Ta7er
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? yeS 27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? electric vent fan
29. SIZE OF DUCTS 311 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? yes
SIGNATURE ADDRESS 524 Burnham Street
LICENSE NO. 203068 ESTIMATED COST 62 d TELEPHONE 528-4413
OWNER Dart Hill Realty Inc. ADDRESS 658 Ellington Road
WATER HEATER
31. TYPE gas fired 32. MANUFACTURER A. O. Smith
TANK SAFETY DEVICES
33. CAPACITY 40 gallon 37. TEMPERATURE RELIEF VALVE 210
34. TEST PRESSURE 150 38. MANUFACTURER _ Watts
35. WORKING PRESSURE 80 39. PRESSURE RELIEF VALVE 150
36. TYPE glass lined 40. MANUFACTURER Watts
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY
AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING C
3/5/87
GD9iZ DATE SIG URE OF APPLICANT
PERMIT #
Application For 6803 6723
41 DEPARTMENT DECISION tom Permit
n
0
3 E APPLICATION IS HERESY:DEPARTMENT OF LICENSES AND INSPECfiom
DISAPPROVEDAPPROVED
R TOWN OF SOUTH WIN DSOR
f<.
Coo , 413187
OTC CN . waEcTow APPLICATIONS MUST S[ RINT[D 00 TTV[O. BEGIN WITH NUMBER ME SLOW
O dl
R .E 1. LOCATION OF JOB
25 Natsisky Farm RoadJNO. STREET
96
LOT NO.FLOOR AFT. NO.
S
0 s. OWNER Dart Hill Realty Inc.S
w
0 s. ADDRESS 658 Ellington Road
0
South Wind-ar 4.PHONE?R2-0629
a
S. APPLICANT South Windsor Plumbing
oa ADDRESS
524 Burnham Street
South Windsor 7,PHONE
528-4413
w
ro .
a A LICENSE NO. 307190
C 10/1/87
r4.. EXPIRATION DATE OF LICENSE
pp5r t0. ESTIMATED COST f 7 L "o 0
O
V"11. Is THIS A CONTRACT COST?G YES NO
0e
Is. FEE ENCLOSED S P e=; +- 1 5601
is. TYPE OF BUILDING:
Q N[SIS[NTML COMMERCIAL
O 0
41 14. TYPE OF JOB: INDUSTRIAL
cd
v ONiSIVAL ALTERATION
INSTALLATION ADDITION
REPAIR
APPLICATION FOR HEATING PERMIT (Continued from Rev rse Side)
11. LOCATION OF JOB Lot 396 NatsiskV Faun Road
N . STREET FLOOR AK.M .
12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SMNKLER
GAS BURNER Cl STACK INCINERATOR MISCELLANEOUS r/Z72
IDENTIFY
SIZE
13. OFTANK OF TANKOF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND N0. B.T.U. OR SQ. FT. NET L B.T.U. OR SQ. FT.GROSS '-FIRING RATE
FLOORS TO BE HEATED )a NEW OR OLD BUILDING INSULATED - YES OR NO S
TYPE OF WALL nd&YINSULATION 6"JEjlls ROOF OR CEILING _ -LT_INSULATION d i r
AVG. SYSTEM WATER TEMP. ld!y 6-' B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPEF&TURE DIFFERENCE a"',.;p0 FAHRENHEIT
MAKE OF RADIATION BASE OARD. OPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO.
FT. OR H.T.U. 2
DESCRIPTION OF WORK
y TX v GG e; L-6 '
15. TO BE DON •
is. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
t
ROOT flt[ WINO Owe AREA — SQUARE FEET T.U. W.T.U. p i f DISTRIBUTION INSTALLED
ANO OOORs VOLuma TOTAL TOTAL
R r NO- t qf OLAY N[T WALL CEILING FLOOR CU.FT. AT 70'R COM[CT[G J H A REGISTER
tl
L Trr[AMC SIZE MAC. R L[AO[N
IIN/ILT.1 Taw. TOLWNfAN` WALL .A
tC Corp. F w f0• FT' FRE[ AREA
TOTALS
A. HEAT LOSS FROM BUILDING B.T.U./HR.
S. DOMESTIC HOT WATER DEMAND B.T.U./HR.
C. PIPING.OTHER THAN NORMAL B.T.U./HR.
ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR
17. ELECTRICAL WORK BY:sh%' '/•i,f B` s s
MANE ADDwEfi
SUBCONTRACTORS AND
1s. THEIR TRADES
ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE(OWNER) OR (AGENT) OF THIS PROPERTY AND WILL
BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
APPLICATION TO BE COMPLETELY FILLED IN._3,-5g?
DATE SICAATv A LIc
BURNH AM CORP O A T I O NR
Heating & Cooling Division - Irvington, N.Y.
8=R CALCULATION SHEET 1503 C pyriSht 1965 by the Institute of Boiler and Rodict r Monufoctur rs, 393 Seventh Ave.,New York,N.Y. 10001
NITER ADDRESS DESIGN TEMPERATURE DIFFERENCE 'TO F. DATE
COL. A COL.B COL. C COL. D COL. E COL. F COL. G ROOM
f ROOM K(T 1 vV 1-.\v \jV G ct Y1 r TOTALS RADIATION
O W W H L I W H L W H L W H L W H• L WFROM LINE 12 SELECTED
Z ROOM DIMENSIONS. FT. u < 2 5?
3 LEN TH EXPOSED WALLS. FT. t 4 Z I V y r, ®, C b
4 WINDOW AND OUTSIDE DOOR AREA
BTUH BTUH BTUH BTUH BTUH D 6
S WALL CONSTRUCTION
O j 7j LiE.
6 TYPE F GLASS
t t ,Z 0 O l Q)o Lf 0 \Z)
7 CEILIN CONSTRUCTION
B FLOOR CONSTRUCTION t G y
u. aP0o
9 COLD PARTITION CONSTRUCTION
10 - ONE WALLfwlTlt GLASS OR EXTERIOR ODOR I d l7 4
t I
L( r
LL t TWO WA L LS
N THREEWALLS OR ENTRANCE HALL "
J ) C,
11 ITOTAL BTUH AT70FTEMP.DIFFERENCE Li)
12 1 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE K
COL. A COL. B COL. H COL. 1 COL.JJ COL. K COL. L L
1 ROOM 9 Q. Cu t" "R 2. \6 P 9 G%
O W W H L W H L W H L W H L W H L W `+ 1 I S I J
2 ROOM DIMENSIONS. FT. U < (mlla- I g' 1 1, 1 R 1( TOTAL BTUH TOTAL
OF BUILDING RADIATION
3 LEN TH EXPOSED WALLS. FT. n
Z L 1 AT SELECTED
1 s•6 WINDOW AND OUTSIDE DOOR AREA c7, DESIGN TEMP.
DIFFERENCE
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION
6 TYPE F GLASS
Q`y cl C)r.-)
7 CEILING CONSTRUCTION
p
CREASE BATHROOM
TOTAL 20%
B FLOOR CONSTRUCTION f
j
L O J
9 COLD PARTITION CONSTRUCTION 1 FOR CONCRETE FLOOR ON
r -------- GROUNOOR FILL AT GRADE
LEVEL. USE LINEAR FEET
10 J= ONE WALL(WITH GLASS OR EXTERIOR DOOR)1
OF EXPOSED EDGE
t TWO WA L LS V
Z THREEWALLS OR ENTRANCE HALL• OZ s 00
11 TOTAL BTUH AT 70F TEMP.DI FFERENCE• o 0
12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE
FORM 15
PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:
TOWN OF SOUTH WINDSORAPPROVEDDSAPVEDBUILDING- INSPECTION DEPT.
644 -2311 Ext. 230
Y Date Ruil diag nepectz
Applications must be printed or typed.
I. LOCATION OF JOB
75 A/.-7Si.SKy Fop eb
FEE SSE No. Street
Floor Apt. No.
1.000 - 10.00
r $1 t 000 - 0.00 2. OWNER sR N h'190eG.
per 1,000 ors
fraction thereof 3. ADDRESS d.r jV&j S'/S'Ky 1e't
7111
4. APPLICANT ''. itDUIcF, nhf'
5. ADDRESS_p s`_/c?ilY*-Wt74e-, p
r< °, ^ >;
i'C!3'C7VoR.D 9GC -T- Q(o.?.S`.
COST S FEE $ 6. ESTIMATED COST 5.• dt
ESTIV4TED COST $ FEE $S THIS A CO7. I NTRAC"T COST YES Q NO
C" >Y BALANCE $ 8. FEE ENCLOSED
9. TYPE OF BUI LD11%('
Rr.SIDENTIAi. C1 CO IERCIAL
4
10. TYPE OF J06:
ALTEP,AnoN0XIGI:;I,
b _ _
INSTAI.I.ATTc)ti C3 tILDDITION
RF.PA I R
APPLICATION FOR ELECTRiCA4 PfrRA r(Continued trom i:evarse Side)
11. LOCATION OF JOB p s /i4,S S/y f/g'` •
NO. STREET FLOOR APT. NO.
12. TYPE OF INSTALLATION C__1
13. SIZE OF MAIN FEEDER
14. NO. OF LIGHT LOOPS 15. NO. OF HEAT LOOPS 16. NO. OF P(')l•1F:R LOOPS
17. NO. OF LIGHT OUTLETS 18. NO. OF HEAT CIRCUITS 19. NO. OF POWER
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 O ORS
26. NO. OF PANELS 27. TOTAL WATTAGE 28. NO. OF POWER PANELS
29. NO. OF SWITCHES 30. A/C LOAD 31. SIZE OF POWER FEEDERS
32. NO. OF FIXTURES 33. TOTAL HORSEPOWER
34. NAMES OF SUBCONTRACTORS AND THEIR TRADES
35. REMARKS AND FURTHER DETAILS: T
vo? e
LICENSE;.NO. SIGNATURE OF L./
x, , "
ONE NUMBER: / 3
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing#
25 NA`I'S I SKY FARM ROAD
Date:HVAC # i
No. 23151
Sprinkler#
FINAL O Estimated Cost $
Buildin f COMPLETE RED BOXED AREAS PermitFee
Enginee i TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $
Th and rsigned hereby applies to do work according to the following specifications:P.
Jo6 Locatio Lot No. Side of Street Z-- Zone
Applicant Tel. # /,5—/19D
Address 4 k7031(Po Lic.#
Own r AddressAwl-
Architect Address' C C
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Rooms L vatories Bathrooms Garages
Purpos of this permit:
As .as-,,zJ
City Water Well Septic System Sewer
Us Group Construction Type Area Basem nt Garage
Approved 6y c LL Date
Revised 6/95
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 I d the proper distance fro all street lines,side yard lines and required
distances from all other zones and is located in a ne' h this b '1 g and 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