HomeMy WebLinkAbout2635 Ellington RoadApplication No. ' 05 Permit No. 45
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 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., ..G....'.... .............................
f cR-..Sign here ......................................
Address .
Location? ........ .7 ... .... q....................................side of?
Nearest cross street?Street No. . .............. ............................... Lot No. ............................... .
Owner of land is? . .. ,,e.,l.....S.S it/7L s.......Address . f E .........../.P.c p..........
Owner of building is? .5 Address .. ............................................................................................................
Architect is? .. .,.. a...............4=. Address
Buildis? . . .. ..............f.......5.. ....s........................Address .............. ........................................................................................ ...........
o
5j Dimensions of building? ... . Feet front? .............7. ... Feet rear?,2. ....'Feet deep? ... ...... ........ ...
Extreme height to highest point of roof? ........ No. of stories in
Purposeof budding is? ............ f-..............................................No. of stores. ...... ...................... ......................................................................
Howmany families? .. .............................................._..............._...............No. of rooms? .... ...................5......................................................................
Distance from street line is? ... .........•'.......................................from building line is? ..............y........ ..........................
ADDITIONS AND ALTERATIONS
Give Brief Description)
ENDC rt,i_0 BY SAM-1ARY OFFICER
IN ACCORDANCE WITH TOWN OF
Map No. . . ......... ........ S TH WIN O :ZDI , ICE NO. 6
r ti
SAN ARY OFFIC..
If of steel frame, what is exterior construction? .
What kind of columns used? ...... 7.. .. Size of columns used?
What length of columns used? . 7 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 Walla Side Walls Rear Walls Partition Walls
Basement,
1st Story
I...... . .....
2nd "
3rd "
I......... .......... .. ........................................... .........................................._...
4th
5th So
6th of
7th "
8th "
I..._..................................._....... ... .. .I..... ..... ... .... .......... . .......,. ........ . . . ........I. ........... .... .... ... .......... .............. . ......................
9th dd
10th "
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 GIBDIMS OOLUMNS
Floors Size Longest Span Centres Erldging Size Longest Span Cures Size Leng* centres
ist Floor ri
2nd
4 ......... ................. .............. ..................
Size of outside studs? ...,Z..,,1 . ... .............. Distance on centres? . Size of sill? ZX 6.
f ,
Size of rafters? ...?^:Y...(o......... Distance on centres. ........./fi..... .................. Size of plate. ........... . Y . ..............
Size of ledgers or girts? .. ...... .............. . ...........................................Size of deck rafters? ..................................................................... ...............
Distance on centres? .............. .. ............. .. ..... ........................................Size of studs in bearing partitions? ......Z............. ...........
r..........
MISCELLANEOUS
Y
Style of roof, flat,.pitch, Mansard, or hi ed? ..... ......... e. Fir laces? .......................................................
ZMaterialofroofcovering? . 9-. ... . .. ......Material of Cornice? 1/............................
How is building heate— j 0f7..................Lining of flues? . .... .................................... . ..............
Thickness of shell of flues? .........{ ...` ....................... ......... .........Any elevators or lifts? ..................... ............................. .....................
What kind? .... ...... ......... .... ..... .. How many? . .... .. .. ............. .. Any hoistwa ? ........ ... . . .. ......... ............... .
Total Value of Buildin `- .. ... ..P.......................How protected? g f...PAP
When will work be commenced? . .
i
h. 0 E/!Jc ... .................
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this
application, conforms to the zoning regulations of the Town of South Windsor.
Town of South Windsor since 1949.
7
Applicant
4245
BUILDING APPLICATION
0ApplicationNo. ...4..5.......5...........................................................
onthe .................................... .. . . ...... . .......... ..... side of
E.11.ing.t.on....Rd*. ........ . ... Street.
Street No,
Abilio SantosOwner
Applicant Same
CLASSIFICATION
Dwelling 461X241
Permit issued on above Application.
Date, . 1-30-63 19.
f
TOWN OF SOUTH WINDSt n i
BUILDING PERMIT 2
Date Jax. 0, 19 e4 Y,
60.00 ' Fee Paid .. . . . . Est. ye0.6. . .RECD. r^ r4 .,. . 7
Permit 245
on the
W-
Ellington lid.
Suva
Street No.
Abilio SautosOwner
4amaApplicant
CERTIFICATE OF OCCUPANCY ISSUEM
Date
23No.
Fee Paid $ 3.00
CLASSIFICATION
Dwe ll ing 461 x24
n ._ - 1e mod s
1Rum<•
7r7
BUILDING PERMIT
N° 4245
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Jane 30, 19 63
94is to t1Y Terftflj, That -)i io Santos
is hereby granted permission to
at estimated value of $
on the side of "1 nC2;t Street on land
owned by 'b?>.i D 'nt D s
Said 14or1. to be as described in Application
No. 4 0 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued_ tTEL n_3 0 19
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. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN
I
I
Permit N? 2 5 23
I
I
Certificate of Occupancy
I THIS IS TO CERTIFY that
I at No. in the TWm of South Windsor, Connecticut, hasI
been erected and ted in accordance with the BuilIding Code and Zoning Regulations as
I th Town of South W r, and is hereby approved for
Building Inspector
I
I Owner, Builder
I Fee Paid , Date t lA
3
f
s
i
i
i
0 jp
s t i• a
00,00
M
i ,' FOR BUILDING PURPOSES ONLY
e ry 1 ° 14 -'' i- .r
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rl
A
3
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r,
1685
OIL BURNER
OR
FUEL STORAGE APPLICATION
Application No. _1696 Permit No. 1685
i
on the East side of
i Ellington Rd.
Street
Street No.3.'5'
i
Owner Abilio Santos
Application Alex.Motyka
I
CLASSIFICATION
Crane
Permit Issued on Above Application
Date 6-26-63 19
Fee Paid $ Permit #4245
r s TOWN OF SOUTH WINDSOR
f
APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS
EQUIPMENT AND TANKS
PERMIT N . 1685 DATE
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
Owner of Burner e.t - ``'"'' `" Owner of Building
Lessee or Tenant
RANGE BURNERS
Capacity of Tank at Range— in cellar outside
Name of Range Burner Purchased from
POWER BURNERS
Name of Fuel Oil Burner CModel Number
Purchased from
Name of Tank Gauge of Tank
Where is Tank Located Size of Tank
Size of Moto Size of Wire 1
Will other heating equipment be installed?
If so, by whom
Name of Party Making Installation
Address
Electrician
Address
Signed Iti 0`APPLICANT
All provisions of Ordinances of this Town Regulating Oil Burner Equipment and Fuel Storage (Sections 1-23 in-
clusive) and Underwriters' Code applicable to the subject matter of same shall be complied with in execution of thi.
work whether specified herein, or not.
Estimated Cost $ 6 I" Application for Permit received 6-26-63 and
Permit No. 1685 issued 6—26—63
Permit #4245
Permit Fee Paid __—__________ ____ Approved
BUILDING INSPECTOR
6
TO THE BUILDING INSPECMR
of the APPLICATION FOR
TO" OF SOUTH WIPWISOS,CAWL PLAN EXAMINATION A N O
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O
I• AT (LOCATION)'[G J 15- S/D-
ZONING
DISTRICT
LOCATION NO.) 01 STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D o
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use Im
1 New building Residential Nonresidential
2 Addition(If residential, enter number 12[Z tne 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— — — — -i 20 Industrial3 Alteration (See 2 above)
14 Transient hotel motel,21 Parking garage4 Repair, 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 23 Hospital, institutional
Part D, 13)24 Office bank professional
6 Moving (relocation)
16
y
C-arport
7 Foundation only
17 l? +ther — Specify L 25 Public utility
26 School, library, other educational
B. OWNERSHIP 1/¢C%K [ 9 t! 27 Stores, mercantile
8 28 Tanks, towersPrivate (individual, corporation,
nonprofit institution,etc.) T J 29 Other — Specify
9 Public (Federal, State, or
local government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
rocessing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,,,,,,,,,,,,,,, S chool, 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 $J s
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 Reinforced 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 I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors.......................
36 Oil c nditioning?L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Number of b dro ms..............
38 Cal
39 Other— Specify Will there be an elevat r? Full..........
54. Number f
46 Yes 47 N bathr ms
partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b comp/ t d by all applicants
Name Mailing address — Number, street, city, and State ZIP7cod T I. No.
Owner or4 J 5 L`L or
A-- O zV 2/
Lessee
v J
2. s Oil L ON ALL c,l f''' a,,.ti O sz —L
Contractor Q G 7
3.
Architect or
Engineer
The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signat of licant Address Application date
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check obtained
Date Number By Permit or Approval Check Obt
Dote
ained 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
VII. VALIDATION
Building
P rmit numb r 12032
Bui Iding
P rmit issued Feb. 18 t9 _81
Building
P rmit Fee $ 6 a DO
Approved by:
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i
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Feb. 18 1981
Fee Paid $.6..00 Eat. Value $. 9 25.00
1
Peru N° 12032
I
on the aide of
Ellinann Rnad Street
Street No. 26
i
Owner Anthony Cam rota
Applicant Anthanv Camerota
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
i
Fee Paid $
CLASSIFICATION
I Al ncicAlchi_mnevlstoye
I
i
i
BUILDING PERbffr
N° 12032
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. 1981
14is to to farrtifg, That R. Q. Masson
is hereby granted permission to r MM an* Ie.,,.,
at estimated value of
on the side of Street on land
owned by wk
Said Work to be as described in Application
No. 12332 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Feb. IS 1981
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 Amon 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."
FINAL INSPECTI S:
Building S APPLICATION FOR BUILDING PERMIT
Plumbin
HVAC Date: -5--93
Sprinkler 2635 ELL INGTON ROAD
Electric Estimated Cost $
Zonin Permit Fee$ D
Affidavit NO. 20487 Occupancy Fee $
Eng. Dept.COMPLETE RED BOXED AREAS. 3FireDpt.TYPE OR PRINT ONLY Total Fee $
Health Dept. SIGN ON REVERSE SIDE.
Approved for CO: 3 Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone '/
Applicant 2&jj Xa aajj!2,F_.1) if f`y4 Tel. # G`6.7
Address 1 G _S PJ ZjAlk10N . . WJPJ0561L Zip 0le07 Lic.#
MEET CITY STATE
Owner Address
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall I(o
f
Total Area Ja r4#Garages
i Lavatories ---
Size of Lot 4 l1 ALQ5- Dist. from Street Line Bathrooms — Rooms 1st L2nd 3rd
Purpose of this Permit ZW j:& & /')F eat!-I
City Water R Well 13 Septic Sewer O
Use Group 'y Construction Type
Approved by J Date q hA R BD1A 11/88
I h reby agree to contorm to all th requirements of the Laws of the State of Connecticut and th 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 o er zones and
located in a zone in which this building and its use is allowed.
Signed
1 hereby apply for a Certificate of Occupancy for the work described in this appy it.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# J51 Inspections:
Sprinkler Permit# Inspections:
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
93-20487-B 9,000
BO1 FOOTING 06/09/93 JRC A
B03 FRAMING (ROUGH) 06/24/93 DDS A
E03 ROUGH 06/24/93 DDS A
B04 INSULATION 06/28/93 JFH A
B10 FINAL 07/13/93 JFH A
93-12579-E 975
Total Est Value 9,975
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APR 1993
South Windsm
BUILDING DEPARTMENT
TO M9 MUM OM- TOWN OF $OUT i WINDSOI
TIMO CMMIed that this plan and specifications are trut
00006 of the proposed building or alteratl ns to bt
erected at
c uV street
together with amendments stated in application an.
filed with plan and I agree to comply with all seninl
Building and state laws and such orders as shell L)
Issued by the Building Department during pendencOfthisapplicationandfinsIssuCeofauildih
IsermIt.
Signs
Thlk plan IS roved subJeat t0 the Condition that
orders and ordinaness regulating building shall be
Compiled with.
Conditionally Approved These filed with
Building Inspector Clerk
Dah 110. 24Ra.
4tV
r'rks d building(s), use
I \
tz'x 1 6 f s shown on this Plan appear(
and/or structure(
onformance with current pSo,$) to be i r.
tegulations. Variances and special a
Winds ,
MaY apply. xceptior.
Date AeML z %3
Enfor
1
PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 1
Application is h reby: TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
a e B i Inspector Application must be printed or typed
1 . LOCATION OF JOB
o?G 3 5 r
FEE SCHEDULEI No . SVre e t
r
0 - $19000 -10.00 Floor Apt . No.
Over $1,000 -10.00
2 . OWNERper $19000 or
fraction thereof
3. A D D P ItgS U 3 GG%•• o r
4. APPLICANT
5 . ADDRESS
6. ESTIMATED COST $ 2S 47
7 . IS THIS A CONTRACT COST
Yes
8. FEE ENCLOSED $ Q
TYPE BUILDING•9.
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
ll. X LOCATION OF JOB ,',6 -?-S- lz6a-
NO. STR T APT. NO .
12 . TYPE OF INSTALLATION C)
T
13 . XSIZE OF MAIN FEEDER 41V-C
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 P-OWER 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 . XREMARKS AND FURTHER DETAILS :
14
LICENSE NO. S AT E OF APPLICANT DATE
PHONE NUMBER: l> 6 y
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERNUT4
Application is hereby: TOWN of SOUTH WINDSORI
BUILDING DEPARTMENT Bldg Pqrruit 4
APPROVE q/ 1540 SULLIVAN AVENUE
644-2511 ext. 230
Date wilding Inspector
Application must be printed or typed
Location ofjob
Street No. Street Lot No.
FEE SCHEDULE
0 - $1,000 - $12.00
Floor Apt. No.
Over $1,000
12.00 per$1,000 OWNER
512,OJO
000
thereoforanyfractionthereof
ADDRESS llooa4z 740,-L. ke2p
ej 71wa0:5,dre
V
OWNERS PHONE# 57 R 9'
APPLICANT
oo40vi84C4ADDRESS
C/4C
r ESTRAATED COST $
IS THIS A CONTRACT COST?
A%w YES NO
FEE ENCLOSED $
eo
OR-CO TYPE OF JOB:
Original Installation
Alteration/Addition Repair
Revised 11/95
APPLICATION FOR HVAC PERMIT(Continued From rcvcrsc 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 F INSIDE F DIFFERENCE F
TOTAL HEAT LOSS(BTUH)
HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.)
fr,'le Z y, C%J TGo_3 cLs //aJl iJ// 01 cr
GROSS HEATING CAPACITY (INPUT-BTUH)/ ItiET RATING (OUTPUT-BTUH) 99 aoo
TYPE OF FUEL
OIL-GPM . ,QS GAS-INPUT ELECTRIC-KW
OIL TANK SIZE&LOCATION
INSIDE OUTSIDE CAPACITY LPG 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 WORKIf is
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.
STATE LICENSE-NO. NAME&TYPE SIGNATURE OF APPL ANT
PHONE NO. .SZ F a 764 DATE // ,Z