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Home My WebLink AboutBuilding 12 Mill Pond DriveTHE BUILDING INSPECTOR of the APPLICATION FOR PLAN EXAMINATION ADOWNOFS(XJM WIMSOR CAME BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX. AT (LOCATION) i/ t 1;2lf ii D STR C / r/L LOCATION STREET) y) a dt,/0. OF BETWEEN 0a:aA2AJV,W- J/IP. AND O//i / 0 ,94Lz fylz' . BUI LDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE 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 1® Amusement, recreati nal Of new housing units added, i/any. in Part D. 13) 13 CZ Two or more family — Enter 19 Church, other mligi us number o/ units— — — ——!_.,,LSD 20 Industrial3 Alteration (See above) 14 Transient hole) motel 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (I/multifamily residential, o/ units ——————— — --! 22 Service station, repair garage enter number o/ units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professi nal6 Moving (relocation) 25 Public utility17 Other — Spec:/y7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, merconfile 8 Private (individual, corporation, 280 Tanks, towers290Other — Speci/ynonprofitinstitution, etc.) 9 Public (Federal, State, or local government) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., f ad processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, SJQ O.Fd school, secondary school, college, parochial school, parking garage for, ff 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 ab ve cost a. Electrical...................... a3 4 b. Plumbing ...................... PAL c. Heating, air conditioning......... —4 ,3ev d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ S' D• 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 n Masonry (wall bearing) 40 Public or private company 48• Number of stories................ 31 r1quArWood frame 41 Private (septic tank, etc.) 49. Total square feet of floor area, all floor!, based on exterior 32 n Structural steel dimensions ..................... 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34 Other — Speci/y 42 Public or private company 50. Total land area, sq. It. ........... a 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 cen/tral air 52. Outdoors....................... Aa 36 Oil conditioning? & -fi1C.I&JsiP L. RESIDENTIAL BUILDINGS ONLY 37 El ctricity 44X Yes 4S No 53. Number f bedr ms............. 38 C el 39 Other — Specify Will there be an elevator? Full.......... 54. Number of 46 Yes 47 JKN beth ms i QPerttal....... PV_IDENTIFICATION — To b completed by all applicants Nam Meeyilin gaddress — Number, street, city, and State ZIP c de y Tel. No Owner or G/ t i t'S G i71 00 0,141/ /P ! Lessee 2• am C. a4l O all c Contractor 3. A rch i to e t er t-T 160--ZZ eCA/1,7 d met: -e.Ad DAD/ Ewg*r'e'ef The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant y0; Zf0 A Application date o?. d C:.r.C ieo piz- 1t1. 7a P/,'00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans BY y Date Plans B NotesFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number B Permit or Approval Check Date Number j ByppObtainedyppObtained1 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 Permit number ly C;?— Bui Iding Permit issued 19 Building Permit Fee $ P Ap vied y 0IA 20 00, w TITLE 14 TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Aug- 99 1985 Fee Paid $. .?...6 5 8 Fat. Value $.4 4 2.,8 2 0 Permit N° 14626 on the aide of Mill Pond Drive Satict Street No. Building #12 Owner Andover Equities, Inc . Applicant Andover Equities, Inc. CERTIFICATE OF OCCUPANCY ISSUED: Date 7247 No. 7256 Fee Paid $ 3%Q 0 CLASSIFICATION Condominium - 10 Units i I i BUILDING PBRMIT NY 1462E i OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. AuQ- 2 2 195 M#is is to (fprtt fy, That Anon ypr Rrnli tiest. Tnc. i is hereby granted permission to Condominium — 10 Units at estimated value of i on the side of Bldg, 12 — Mill Pond Drive Street on land I owned by Andover Equities. Inc. Said Work to be as described in Application I No. 14926 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. I . t Issued Aug- 22 1985. t I 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. j SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any peiaon 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 I I I I I I I I I I I I I Condominium Bldg. #12 v 8/22/85AndoverEquities, Inc. Bldg. #12 Mill Pond Drive Permit #14626 Electrician Frank Nicotera 9092 Heating Contr. Ha vco Inc . 6490 Plumbing " Rocco Capobianco #6821 Oil Burner Certificate of Occupancy Sewer Permit Unit 1201 - 7 2 4 7 - l o - 9/zT' Unit 1202 - 7248 Co 2 1,6 6 Unit 1203 - 7249 Ail, Unit 1204 - 7250 -eO Unit 1205 - 7251 Unit 1206 - 7252 Unit 1207 - 7253 C Unit: 1208 - 7254 - aUnit 1209 - 7255 -" ql 6 Unit 1210 7256 INSPECTION REPORT Permit # 6a Job 1 Footing 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. 7,9y11111111_ Ir Permit No. L - TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit Certifhate of Occupancy THI IS Tq CERTIFY tht the at No. in the Town of South Winsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby appr ved d occupancy. A%.z Building Insp ctor r, Bui der Fee Paid.Date 19 fp I Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit Certificate of Occupancy TH IS TO CERTIFY that e at Noz&L2'o'2 in the Town of South Wino r, 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 cupancy,__ Bui in -Tn1pift%r ner, Build r r Fee Paid Date x 6) 19 1 P rmit No. L TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. I Permit a Certificate of Occupancy THIS IS TO CERTIFY that the at No.lvo in the Town of South ndsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby appr ve f r occupancy. ui uig nspec r r/ ner, Builder Fee Paid Date 1 Permit No. /TOWN OF SOUTH WINDSOR i SOUTH WINDSOR, CONN. Permit T; I Certificate of Occupancy THI IS,T CERTIF tha N at TTo.n 'C in the Town of South Windsot, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of I the Town of South Windsor, and is hereby appr ed r occupac I r Building Inspector Q er, Builder i 1 1 Fee Paid Date `S 19 Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. a Permit Certificate of Occupancy rHIS„IS TO CERTIFY that a No. n r f the Town of S th Windsor, Connecticut, has been erected and' completed in accordance with the B ' ding Code and Zoning-Regulations of the Town of South Windsor, and is hereby app ved o occupancy. Bui m— nspector Ow F; Builder L Fee Paid Date 1 R N Permit No.G f TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit Certificat of Occupancy THI IS CE Yha thef at No in the Town of South Windsof, Connecticut, has been erected and completed in accordance with the Bu• ding Code and Zoning Regulations of the Town of South Windsor, and is hereby appr ed occupancy. Building Insp ctor O er, Builder Fee Paid 3 Date 19 1 I I P rmit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. 1 Permit Certificate of Occupancy THIS IS TO CERTI Y that e at No. Aw in the Town of So Windsor, Connecticut, has been er cted and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approve for cupancy. u ner, Builder I Fee Paid , Date cz 19 i-____— _.-._.__....--..___.,.-w_.-_,t.w._.__—_-_•.r_.-ate .-,.- .__ e_.a.—.e_ ___ Permit No. / 7t' f' TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. forpPermit Certificate of Occupancy 1 1 TH I O C '£I a/#e v'``in CGI -- l-' at No i l r the Town of South Wi or, Connecticut, has E been erected and completed in accordance with the Bu irg Code and Zoning Regulations of the Town of South Windsor, and is hereby appro d r/occupan Building Inspector Own % Builder n _ r Fee Paid % Date 19 Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. I Permit Certificate of OccupancyrPY THI ZS CERTIF that a at No. ll &L' in the Town of South Wind x Connecticut, hasa been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby ap ove r occupancc I t 2 Bui mg nspector C 9milier, Builder Fee Paid , Date/ VTo 19 P f Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. 1 1 Permit Certificate of Occupancy THI§A,S- ERTIFXthat e f -G fir' / at No. l- e in the Town of South Windsor' onnecticut, has been erected and completed in accordance with the Building Code and ZonIng Regulations of the Town of South Windsor, and is hereby app ed r occupancy. Building Inspector y Owner, Builder Fee Paid "' Date 19 c7 o 9092 r ELECTECAL APPLICATION Application No. 10606 on the side of M i 11 12an d -Dr-i Ate- Street Street No.Bldg. 12 Owner Andover Equities Inc . Electrician Frank Ni enter; FILED IN OFFICE OF The Building Inspector Feh_ 21 19_BJE INSPECTION. 12D"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 fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit No. ..... Master License No. TOWN OF SOUTH WINDSOR Building Permit/No. BUILDING DEPARTMENT Date Filed .... Date Final Approval APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION: ft.PJJ............99-4.... JOB OWNER: Ey- )... C 3 Sideof Between and ........................................................................... ... A Address a L*.. .....L40,.. iy -4NameofBuildingOwner4";kocs, EcIvAl.. . .............. i W... If work is for Lessee---Give name Address ........................................................... ............................ Building now occupied as (unless new) No. of family units now .. . . ....... . Building to be occupied as Number of family units to be ...... /.0............... Is this work included in a Building Permit? Permit Fee ............. ......... ... . .................................... ......................................... ICAA J J A IV ; cb,7--e- Q.A If no Building Permit) Permittee Business Address C.1 . R 0 5.Z L- A Telephone 4'.'-r4-3-3 COSTOF INSTALLATION:01, TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed f/.140q.. Number of convenience outlets to be installed 3-r /Up-0. Number of present Appliance Circuits ... ... ................. .......... Number of switches to be installed a 0 A-0 Do these include Range E] Water HeaterNumberofappliancestobeinstalled3f.. -V Ai. as listed below) 6 Dryer Air Conditioner Oil Burner TYPE RATING NO. Dish Washer Gas Burner E] Range . . . . . . . .SO 4 Well Pump E] Elec. Heaters Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater Clothes Washer . . . . Clothes Dryer . . . . . Dish Washer . . . . . . a 4 10 Air Conditioning Motor - - 340 Oil Burner Motor . . . . Gas Burner . . . . . . T 19 0 Circulator Motor . . . . Attic or Large Fan . . . Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . I Number of new Lighting Circuits Number of new Appliance Circuits . . . .............................. Number of Heating Circuits . . . . . . ........................... Number of Motor Circuits Size of present service ........ ... Size of service to be . .......................... ............................... 6821 PLUMBING APPLICATION Application w rC;4? on the ....__........_- side of M Mill Pond Drive S Street No. ...... Bldg, 12 Owner ....__ nd_oy_er Equities ply ... Rocco Capobianco Filed in Office of The Building I rpector Oct. 10 ig 85 IN8 C 0. No peiaon shall cumaua, add m or altar my portion of the draimge :'stem of any 6addmg except to repair 66) umff a Prrmiot is 11pt,111W by the Building Ingmctw. APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) TOWN OF SOUTH WINDSOR, CONN. dam a J_d LfJi h c J v c Cr_7". 11. LOCATION OF JCS Z NO. STREET FLOOR APTAO. GENERAL PLUMBING 12. KIND OF INSTALLATION /1' iG2- iE'i C i Z 13. SIZE OF MAIN DRAIN G- 14. NO. OF TOILETS STYLE Glvs c- 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS f SIZE . 3 ,/9v 22. AREA OF ROOF't-0 4- --?Z' ' 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? P-r 27. SIZE OF WINDOW 28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? L'Pf SIGNATURE r v ADDRESS IF LICENSE NO. ' ° C _ ESTIMATED COST y z- TELEPHONE OWNER /// `' %'--, le: -t 1 v ADDRESS 2-1 6 1` e' v WATER HEATER 31. TYPE Ce l4 / J d l/- 32. MANUFACTURER TANK SAFETY DEVICES 33. CAPACITY 0 Z Ile 37. TEMPERATURE RELIEF VALVE Y 34. TEST PRESSURE S 6 38. MANUFACTURER_ 35. WORKING PRESSURE ! J O 39. PRESSURE RELIEF VALVE 1 36. TYPE 1l /4 "/">"e_' 40. MANUFACTURER 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 CODE. 62L Z,&t r s J CD962 DATE F SIGXAfIAE OF APPLICANT Application For PERMIT # 06 6 2 s 8 6490 DEPARTMENT DECISION Heating Permit 0 3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS O w N UAPPROVED DISAPPROVED TOWN OF SOUTH WINDSORa o 7/11/86 Thomas P. D' Auria 00 DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL w O 0 1. LOCATION OF JOB O Cd I~ O. STREET rj vCd O La LOT NO.FLOOR APT. N . O 4-279 O LV w O w A 2. OWNER Cd 1Cd 0 as U) a-46rbpADDRESS DC."` bo 3 Ja.FHONE L S. APPLICANT eri s. ADDRESS V y 1 Ck 7.PHONE w S. LICENSE NO. a C w 9. EXPIRATION DATE OF LICENSE 10. ESTIMATED COST s 11. IS THIS A CONTRACT COST?YES NO Do 12. FEE ENCLOSED s_ Permit 14626 Ca 0 13. TYPE BUILDING: fn bo N RESIDENTIAL COMMERCIAL c3 14. TYPE OF JOB: INDUSTRIAL VGINALINRSITALLATI N DDITIONON REPAIR APPLICATION FOR HEATING PERMIT (Continued tr m Reverse side) 11. LOCATION OF JOB 0 la , NO. STREET FLOOR AFT.NO. 7GAS OF INSTALLATION: IDOIL BURNER ELECTRIC ClVENTILATION SPRINKLER BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET l c) FIRING RATE BOILER OR FURNACE MAKE AND NO.S 0-)B.T.U. OR SQ. FT. NE B. .U. OR SQ. FT. GROSS- j hRI G RATE FLOORS TO BE HEATED NEW OR OLD BUILDING NSULATED — YES OR NO TYPE OF WALL — INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS: ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. F DANDDOORSVOLUMETOTALTOTALa F DISTRIBUTION INSTALLED ROOM N D GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED LL GROSS i RAD REGISTER L W N AND C, TEMP. TO F TYPE AND SIZE OR LEADER SIZE ` WALL f ' O INFILT.) DIFF. F m b SO• FT. FREE AREA TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. 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: NAME ADDRESS SUBCONTRACTORS AND Is. 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.kgyp f7- 5 DATE SIGNATURE APPLICANT e A FORM J-1T (Transparent) Copyright by the Air CondtUonin8 Contractors n • of America" Dotes 8 17th Street N.W Washington,D C 2M6 ICu t+ed" -^-`"'•` Printed in U S.A January.1967 WORKSHINT FOR MANUAL J c LOAD CALCULATIONS FM RMDMTIAL Ala CON Y^0 rFor: Name-_ Addresa._._- ---- ----- - --- City and State or Province- By: Coont ractor__-----__.__----_- City-- Winder Design Cebditi Outside_ -r" __F Inside f. F Temperature Insert data below only after aA beat lost eakmWost have beer _00eW) Total Heat Loss (Btuh)07?'..•-.- ._---_(From Line No. 15) MQ&1 No.sr Serial No•-- -------- -- -- -------- Matchred by Rating Data: Input Btuh Outw at Bonne Itxth Description of Controls-- Sumaw Design CendWmw Outside__ D _ _F Inside__7 F North Latitude-- ---- Degrees Daily Rarnge_ Insert data below only after sit beat gain calesdadmw have bees eo"plelyd) Total Heat Gain (Btuh) 4 (7_f _ _(From Line No.IA or 21, if used) . Equipment Capacity Mult plier_Model No.-d Serial No. Manufactured by- Rating Data: Cooling Capacity___ /V0Q O -Btuh Air Volume Cftn Description of Controls_--__ _-__-- _-_----- Winter Construction Data (See Table 2) Summer Construction Data (See 'table 5 ) Walls and Partitions--------- - _-__Direction House Faces- V indows and Doors____ oil Windows and Doors .__--___-- --_-_----- ------- Walls and Partitions Ceilings- --- -- - -- --- - - - - Ceilings- Floors---- - Floora_ ' - m m m m m s cI off,Aff 7M1DirectionsRoomF M. 1 1 1 I 1 1 1 • SURE 1 1.Lencth Q h i„ti` _';-ate . r, F a 9 - ,•.3' Q sMA m« V f alls and—I= Partitions cm CMM MM e •}r IA M MExposed Partitions CMMMMMMMMM CMM=MMM ter mom==== Sub Total Btuh Low r!. ML 1.1• 1 Table A LASE TO CALCULATE SHAMED AND UMMADff0, SS AREAS) y;mot 1. Direetion which window farces. 2. Total window area, sq ft. Width of window, ft. 4. Shaded area per foot of over- hang from Table B—1, sq ft. S. Width of overhang, ft. 6. Total area of shaded glass, sq ft. (Line 4) a (Line 5). 7. Total area of unehaderd glass, sq ft. (Line 2)—(Line 6). Use to Determine Acgvstment fader) A. Total Btuh Gann, from Line 20 B. Capacitor Multiplier, from Table 7 C. Equipment Standard ARI Capacity Bating. Minimutn required, (Line A) a (Line B) D. Capacity of Equipment Selected, not lees than Line C, Enter in "Entire House" column, Line 21 E. Adjustment Factor (Line D)-HLine A), Enter in "HTM" column, Line 21 Table A USE TO CALCULATE SHADED AND UNSHADED GLASS ARGAS) 1. Direction which window faces. 2. Total window area, sq ft. I Width of window, ft. 4. Shaded area per foot of over- hang from Table B—1,aq ft. 5. Width of overhang, ft. 6. Total area of shaded glass, sq ft. (Line 4) x (Line 5). 7. Total area of unshaded glasa, sq ft. (Line 2)—(Line 6). Tobb d Us* to Determine Ai4wstmev* tester) A. Total Btuh Gain, from Lice 20 B. Capacity Mnhiplia, from Table 7 C. Equipment Standard AEI Capacity Rating, Minimum required, (Line A) a (Line B) D. Capacity of Equipment Selected, not less than Line C, Enter in "Entire Howse" eotumn, Line 21 E. Adjustment Factor (Line D)+(Line A), Enter in "HTM" cohunn, Line 21 DO_ NOT WRi1 1 Name of Roan Entire House 1 i G 2 S Ire 4 r-/LAy,Q 2 Running Ft Exposed Wall 3 Room Dimensions, Ft yt x/ 3 12 7 Y 1 Ceiling Ht,Ft Directions Room FacesTYPE r HTM Area Btuh Area Btuh Area Btuh Area Btuh Area Btuh AreaorNam' or or or or or orEXPOSUREHtQCISLengthHtgClgLengthHt; Clg Length Htg Clg Length Htg Cl Length Htg C1= Length Fit- 6 Gros a Exposed Mill[Walls and lei Partitions d v b .r 6 Windows Iand Glass b 1 7 Windows North and GlaaA E&W or NE& NW 7Q Doors(Clg) South or SE&SW 8 Other Doors 8 Net ncr/ 1 i3 eo y' F o 3 73- Exposed b Wage aad cPartitionsd Ceilings lal 13.*7 ar , / I b 11 Floors a 7. Lo I b! V ntgation 31 Sub Total Btuh Loco 6 781 y3 4 Duct Btuh Loss V d y l Y Y 3 t 3 Total lkuh Loos d W:::2 _ .- i i People @ 900 and Appliances 1200 I Sensible Btuh Gain(Structure) ZLWJ3jpZ ,Ei f 1 1 Duct Btuh Gain G a s 34 3 Sum of Lines 17 and 18(C1g) 2 J Total Bath Gain(Line 19 x 1.3) 1.3 1 Btuh for Air Quantities mom o FORM J--1T (Transparent) Copyright by the Plan No. Au Conditioning Contractors DateofAmerica" 1228 17th Stm*N.W Cakulated by— Washington.D.0 20036 Printed in U.S.A January. 1967 WQR iSHIETT FOR "NUAL J awd ad*..) LOAD CALCULATIO146 FOR RE131DIPMAL AM CO"DITIONING For: Name--r•',rr i 1r Address----- City and State or Province-- ___-- ------- -- -----— BY: Contractor_ ---- - ---- ---- _ - -- - -- ------- Address----- ----- ----- - -- - --- Winter Design Conditions Cl ___F Temperature Difference Degrees Outside-__-F Irlside- Ineert data below only after all heat lose cak>alations have been completed) Model No. Total Heat Loss (Btuh)- } From Line No. lb) Manufactured by------- Serial A1o.----- ----- -- - ---- -- - - Output at Bonnet---- Rating Data: Input--- - - ` Stub D%cription of Controls---- Summer_- ----- -- -- -----_- - Summer Design Conditions Inside Outside -1 --- I' ees Daily Range-----North Latitude_____-____ DaSr' Insert data below only after all heat gain calculations have been eon0eftd) U Total Heat Gain (Btuh) _ -_ '!-' - ------(From Line No.20 or 21, if used) Model No.--- Equipment Capacity Multiplier-- Manufactured by--- ----- Serial No. r- - --- _-Btuh Air Volume--- Rating Data: Cooling Capacity Description of Controls __-- -- - Winter Construction Data (See Table 2) Summer Construction Data (See Table 5 ) Wall%and Partitions _ _- _- -_----- --- Direction House Faces__._----- -- Windows and Doors - m Windows and Doors_ - - --- -- --- - --- - Walls and Partitions_- --- Ceilings---- ---- - --------- -- -- --- _ Ceilings _-- _ Floors_ --------- --- ---- - --- -- - - Floors---_ -- ------ J%--i T 4Nnsprent) 3q4ht bv the R c vn t CwKr s Pun No. l i ts+b.C.?rpDi6 CakvUted bY cAclrtt .#a AA. Taou y,2 C . '1 Alt +C# Addre & _ City,and ate dr Promee. City Winter Dears Coate Out4de F inside— 74 F Terapetture Diffenpme.. 9::?,r ..—Damp y Im e=±t Otto below oedY after an k"t.harp, k0e,bfta plop 06 1) Totl`Hat low (Btuh)—' ,FO a No. i Novel Nei_nNg gOL2 Manufactured by t—- 3? i _ Huh output at Atuhinpu 4 D l {/! yk ate Insid ' F Nth Latitude______ Degrees V*Uf Rom. Inowt+ below ,Snw all beat gaia ca .es laera d3 From lent. No.fr or 2t, if mo*TOW Model 90. i*r getw Owung Cavamr-.,.Btuh Air Volumc 01 944(" %Ak 3)Caiq l`ooie' ) q Alt,--...:- Willis mw P ticn: f 4 V" IV-ME ENLR,-, R"I I FIR W." UA mm, w' mmmmmmmW., i so mm m M, M, Am I7LTFifd7 f1GSF3ia'!r{i tl f mmmmmmm raar w awrr+w ar r wwww wr Mo1l11 mm ice+ r r m w s W, nI* so No i i I iY AES7 iiS 6'll tI•Pl[lf#F/Eii7 7 JfAs's'S IH f:c+s°G Ci°k7 F3T./7 iceMI NABM.Mmmmmmmmmmmmm w Tat M3 tin arswf mm mm Fla z?z mm sMM Rm Emm i luj mm-UN tlwim im S ToW A U TO CA AU SKJk0fD AfW-UNSHADW GLASS ALIAS) 1. D+isrec oti a itdt w lo 2. Tow,wWow ate-iq It. Sid°Uft Vw fmt of J! ig*w*d aq FL (Ur* A.4 ou"6). T fa. r ft A Fes) DVA Gain, from Line.30, from Table 7 C. Cop"y PWing, om A) a (Lhe 8) A 21 r 0 r PLUMBING APPLICATK)N AIS 23z on dK _ __ aide of Sam osweetNa. __ Owner plumber 1 Filed in is of The 6 liqlame No person AA aoarI add to or abar aW portion of the dn6w "m of my bit ezoept to repair leaks) uNg a pke.ic is gmmod by die Buit+ %IaipOML APPLICATION FOR PLUMBING PERMIT (Continu d fr m R vers Side) TOWN OF SOUTH WINDSOR, CONN. I J P6)4D 11. LOCATION OF JOB Q 1YF 1-11La NO. STREET FLOOR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION / 1J-'>> Gt-- 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS_.. -STYLE 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES /18. NO.OF SINKS 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE 22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND b 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?27. SIZE OF WINDOW 28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITI S AVAILABLE? SIGNATURE ADDRESS LICENSE NO. ESTIMATED COST TELEPHONE oz OWNER ADDRESS WATER HEATER 31. TYPE 32. MANUFACTURER TANK SAFETY DEVICES 33. CAPACITY 37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE_ 38. MANUFACTURER_ 35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE 36. TYPE 40. MANUFACTURER 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 CODE. C0962 GATE SIGNATURE OF APPLICANT BUHADINGTHE4 of chi: APPLICATION F 0 R r its TOWN OF SCUM WIr1DS( ft, CONK PLAN E X A M IN A T I ON BUILDING PERMIT i" •`t ` iMP RTANT - Applicant to complete all items in sections: 1, It, Ill, IV, and IX. ZONING LOCATION) 0,DISTRICT LOCATION INa.) TRECT) x,r{^Zter, " OF e• 1Nt3t:N 00 AND gUIL D . 4 CROSS STR99T) 110l1i •TIIstT) LOT 6 1 131100 LOT_ OLOCK sizei4 iI. TYPE AND 0ST OFt'•BUILDING — All applicants complete Parts A — 0 ` • 4• 't A. TYPE OF•LIMPROVEMENT D. PROPOSED USE — For"Wricking".most'recent wse rs^ i-;• eW ltufldln Residential yNonresidential B fl llen residential enter number 12 One family AluYsprneM. reareetl nor e Wns units added, i/any, r aK.•N' ether13TwoormorefamilyEnte ater ellgI us number o/ units— — — — See 2 above) W { 14 Transient hotel, motel, 421 Parking garage t spa -?teplacement or dormitory — Enter number 5 "'' rttulti/amity residential, o/ units --—————— — —Q Wreeklnq{/ i'Sirttiee station, repair ga oq a number o/units in building in IS Garage 23 Hospital, Institutional 24 cation) 16 Carport ilea, bank, professional IetiuM«L -7u ublie utility ft 17 Other — Speci/yOft r'" y: ., .' Y' 6 School, library, other educano-, B: OWN RSHIP 27 Storei, mercanli le 8; • t, .. 28'•Teaks,• towers Prlvetf;(individual. corporation, Qottptt fjt institutlon,etc.) 29 Other — Speci/y 9,Q'.Public(gidoteij'State"or sj•+,';'Yt li ll`'7.r!,t.. .eel gov rnm:nt) r.• .*.a. J a •' C .COST 1,',;". Omit cents) Nonresidential — Deseribe'i6•ditell propified _ of buildings, .g., food processing plant, machine sliop!'loundry buUdfn9 of hospital, elate+ Mary t gst o mpt vefnent school:'secondery school, co llege,:paroehtel Schaal, perking garage for,department store, rental office building;efflce building et•industrtel plant. J,«- Jo't4 „installed but not included,' If use of existing building is being',ehonged,enter proposed us•. iia,:.;ln ,above CostIibe e.'Eleettigo1...............%....... fib:Plumbing ...................... tT,Heoflitp, air conditioning.......•. 1 ffs.lltel(eleveler, eta•).•......•.... 11:"TOTAL'COST OF IMPROVEMENT d 0 &V HL'SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only.Part 1, for all others skip to IV. E. PRINCIPAL-TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 48. Number of stories................ 30 Maienry,(wall bearing) 40 Public or private company 31 Woid fame 41 CD Private fl000rsrs,, based oPrivate (septic tank, etc.) 49. Total feet n floor area, bn exterior 32 Structural steel dimensions ..................... 33 Reinforced c ncrete H. TYPE OF WATER SUPPLY 34 Other'— Speci/Y 42 Public or private company Total loud area, sq. it. ........... 43 Private (.veil, cistern) K. NUMBER OF.OFF•STRE PARKING SPACES St. Enclosed .••.w V•••• ?% 0:.•...••'• F. PRINCIPAL TYPE OF HEATING FUELI. TYPE OF MECHANICAL I 33 Vies 1 Will there be central air J'2. Outdoors. ............. i' ._ conditioning? L. RESIDENTIAL BUILDINGS ONLY 37- Electricity 44 Yes 45 N 53. Number of bedrooms............. 38 Cepl- 39 Other— Speci/y Will there be an *Is ^ m'? Fuil.........a•. :.:, s4. Number of 46 a; No better fas Partial. N • u o,rlp,cted c,y all appliconrs Name Meili j address — Number. street, city, and Slat• ZIP code T e Owner,or• . 1 111 0 e , QID l[J Architect or Engineer 4 R The owner"of'thlibVIding and the undersigned agree to conform to all applicable .lows•of this jurisdiction. Signature F a II t Address Application dot- o'Z pie40- VOL A.0.0 NOT WRITE BELOW THIS, LINE ,'? V. PLAN .REV use'IE1N,,RECORD For office ti„„• 1 . Plans RwiiwR iqulrid Check Plan Review Date Plans B Dat•,.Plan h Ore! ,s Fee Started Y Ap roved sit, a*" PLUMBING MECHANICAL' , ELECTRICAL,'t;". OTHER" v VI. ADDITIONAL,'. PERMITS 'REQUIRED OR OTHER JURISDICTION APPROVALS Permit'"o tA' `` . Check Date Number •'B Permit 'or Approval . ChecP Date 14.'^°„ PPr vaI •'• Obtained Y PP Obtained B O 1 L E R';!:'; is ,.PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR'. SEWER ELECTRICAL— SIGN OR BILLBOARD FURNAC STREET GRADES, GRADING USE OF PUBLIC AREAS OIL..BURNER.,.--*i WRECKING OTHER :^ OTHER VII. VALIDATION Building ,,; Permit number' Bui Idin§ - Permit issued ; / 19 6 Building l a Permit Fee S Appr ved b TITL 74 TOWN OF SOUTH WINDSOR BUILDING PERMIT Date July 3 19 86 Fee Paid 0 0 Est. Value $.?.5 0 0 Permit N° 15231 on the aide of Mill Pond Drive Street Street No. 1206 Owner Andover F= u i i _s , Tne. Terry Supple Applicant A n d o vP r Fail i t i P s T n r-. CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Finished Basement BUIIDING PERIVIIT M 15231 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. July 3 146 94t'o 'to to gerftl4j, That And ar 161q ;}i sn Zac is hereby granted permission to Fininhed 8wasnnaxnt at estimated value of on the side of - 1206 Hill Pen Dr s ye Street on land owned by Andnsss~r EcYuitiem, Inc Said Work to be as described in Application No.15531 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued J121 3 1986 Building In ptctor. 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." TO THE BUILDING INSPECTOR of dw APPLICATION FOR OF SOIM W MSCM COl I. PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections:& It III, IV, and IX. ZONINGI• AT (LOCATION) d DISTRICT LOCATION NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) r¢ ! Q,.q e- LOT SUBDIVISION LOT BLOCK SIZE N 11. 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 Additi n(if residential, enter nwnber 12[E]'vne family 18 Amusement, recreational Of new housing snits added, i/any. 13 Two or more family — Enter 19 Church, other eligi usinPastD, 13) member of units——— —t 20 Industrial3Altration (See 2 above) 14 Transient hotel, metal, 21 Parkin4 Repair, r placement or dormitory — Enter number q garage 5 Wr eking (if multifamily residential, of units ——————— —— 22 Service station, repair garag enter nurnber of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 4 Office, bank, professional6 M vino (r 1 cation) p 17 Other — Specify 4 f 25 Public utility 7 Foundation my 25 School, library, other educational B. OWNER HIP 27 0 Stores, mercantile 8 Privets(individual, corporation,25 Tanks, towers nonprofit institution,etc.) 29 Other — Specify 9 Public(F deral, State, or eel government) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g.. fo d processing plant, machine shop, laundry building at hospital, elementary 10. Cost of impr vement,,,,,,,,,,,,,,, I school, secondary school, college, parochial school, parking goreg f r, 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......... J. Other( 1 voter, etc.)............. i 11. TOTAL COST OF IMPROVEMENT $ 21 S00.,,1 Ill. 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 46. Number of stories................30 Masonry(wall bearing) 40 S Public or private company 31 W ad from*41 gq. Total square feet of floor area,Private(septic tank, etc.)all floors, based on exterior 32 Structural steel dimensions .................... 33 R inforeed concrete H. TYPE F WATER SUPPLY 42 Public or r' 50. Total land area, sq. it. ...........34 Other — Specify private company 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 conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 El etrieity 44 Yes 45 No 53. Number f bedrooms.............. 38 Coal 39 Other— Specify Will there be an elevator? 54. Number of Full.......... 46 Yes 47 N bethroems Pertiel........ V• IDENTIFICATION — T b compi ted by all applicants Name Mailing address — Number, street. city, and State ZIP code To I. No. 1. Owner or Les see A t i'J K c' G 2. s i^ S 76-it4 Contract r r/ 3. Architect or Engineer Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Sig nt Address Application datnatureofap (ica r 13CIlr,;,Vl 0 DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Revi w Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS P rmit or Approval I Check Date Number B Permit or Approval I Check Dote Number 8ppObtainedYppObtainedI Y BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER I ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building P rmit number Bui(ding 19Permitissued Building AW P rmit Fee $ Approv by: TITLE A TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Sept. 23 19 8 6 Fee Paid $.18., a0 Est. Value $. ?.x 5.0 0 Permit N° 15446 on the side of Mill Pond Drive St Street No.1204 Owner Eileen Atkins Applicant Skip' -q H r ni P Tm n rn vent en t CERTIFICATE OF OCCUPANCY ISSUED: Date No. Foe Paid $ CLASSIFICATION Finish Basement i BUn DING PERMIT M 15446 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Sent. 2 3 1986 45#1z is to gerftfg, That Skis Hme ItQ=ro=nent is hereby granted permission to Finish besenent at estimated value of $ on the side of 1204 le4-11 Rond Drive Street on land owned by Eilee - Atkins Said Mork to be as described in Application No.and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued se- &. os 1$6 Bu'ding 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." INSPECTION REPORT Permit # Job 1 Footing t=&Ieco,6 2 Foundation u 3 Framing 4 Wiring 5 Plumbing A t v 6 Heating 7 Lathing 8 C.O. TO THE BUILDING INSPECTOR APPLICATION FOR of d'e PLAN EXAMINATION AND TOWN OF SOUTH WOU)SA R.Mom- BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.0 J ZONING O L DR Y t DISTRICT I. AT (LOCATION) STREET) LOCATION NO.) O AND F BETWEEN CROSS STREET) CROSS STREET)LOTBUILDING LOT BLOCK SIZE SUBDIVISION N I I. TYPE AND COST OF BUILDING — All applicants complete Parts A — D D. PROPOSED USE — For"Wrecking" most recent use A. TYPE OF IMPROVEMENT 1 New building Residential Nonresidential 12 One family 18 Amusement, reereati nal 2 Addition(If residential, enter number 1g Church, other religious of new housing units added, if any, 13 Two or more family — Enter in Part D, 13) number of units— — — — --IP---- 200 Industrial 3 Alteration (See 2 above) 14 Transient hotel, motel, 21 Parking garage 4 Repair, r placement or dormitory Enter number 22 Service station, repair garage 5 o/ units — i Wrecking (If multifamily residential, 23 Hospital, institutional enter number o/ units in building in 15 Garage 24 Office, bank, professional Part D, 13) 16 Carport M ving (relocation) 25 Public utility 6 17 Other — Specify 7 Foundation only 26 School, library, other educational 27 Stores, mercantile B. OWNERSHIP 28 Tanks, towers 8 Private (individual, corporation, 29 Other — Specify n nprofit institution, etc.) 9 Public (Federal, State, or local government) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., f ad processing plant, machine shop, laundry building at hospital, elementary Z school, secondary school, college, parochial school, parking garage for, 10. Cost of improvement................ 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 ....................i- c.Heating, air conditioning......... d. Oth r(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ V III. SELECTED CHARACTERISTICS OF BUILDING For new buildings and additions, le l Part J,forlete Parts all others skip to IV.for wrecking, complete only E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 48. Number of stories................ 30 Masonry (wall bearing)tl0 Public or private company 49. Total square feet of floor area, 31 Wood froml 41 Private (septic tank, etc.)all floors, based on exterior dimensions ..................... 32 Structural steel 33 Reinf rc d concrete H. TYPE OF WATER SUPPLY 50 Total land area, sq. ft. ........ 34 Other — Speci/y 42 Public or private company 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES 51. Enclosed ...................... F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 52. Outdoors.............. 35 Gas Will there be central air 36 all conditi nine? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 No 53. Numb r f bedro ms.............. C el Full.......... 39 Oth r— Specify Will there be on •levat r? 54. Number of 47 N bathrooms Partial........46 Yes IV. IDENTIFICATION — To b compl ted by all applicants Nor" Mailing address — Number, street, city, and State ZIP code Tel. No. fOwner C e 1'% Lessee 2. Contractor 3. Architect or Engineer The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.Signature of applicant Ad4ress Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R view Required Check Plan Review Date Plans By Date Plans BFeeStartedApproved Y Notes BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Number B Permit or Approval I Check Date Number BObtainedyppObtained 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 11 7Permitnumbr /b 6 Bui(ding Permit issued 19 Building QD Permit Fee $ A rov d by: TITL TOWN OF SOUTH WINDSOR BUILDING PERMIT Date 1- 19 as Fee Paid $.1.8..00 Est. Value $3.o 0.0 0 Permit No 16699 on the side of Kill Pond I iri ye Street Street No. unit 12®4 Owner zileen Atkins Applicant InQ• CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Residential Alteration BUIIDiNG pERbffT N p 16699 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 5/5 19 88 94is is to iffrrfify, That U. & R. Cnstruction Co. , Inc. is hereby granted permission to do residential alterations at estimated value of $ 30 0 0 0 on the side of unit 1204 Mill Pond D r i a Street on land owned by z i_l eQ m A t k i ms Said Work to be as described in Application No. 16935 and to conform to specifications and plans filed with said Application, and Building By. Laws of THE TOWN OF SOUTH WINDSOR. Iss 5/5 1988 Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriersduringthedayandbybothbarriersandcoloredlightsbynight. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall placeorkeepbuildingmaterials, 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." l f TES.. IV99- IP95- q.SSj * /Rts/D-I%(fI .. INSPECTION REPORT A)rEx09 Permit # Job J pAJ JY7)I)dA,' I R1 1 Footing NSTRuc 11o90 JWq6M\ 2 Foundation 111FF r '1 1 lJlvl/F/Z 3 Framing 4 Wiring / q 5 Plumbing 6 Heating r-- 7 Lathing 8 C.O. ELECTRICAL APPLICATION Application No. J ?6 Z) on the side of M ILL- Pc%J Z) -D R I street Street No. LE,J IJ.Owner A T //Vs Electrician FILED IN OFFICE OF The Building Inspector 19 Ee INSPECTION. cW 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 (if of wood) are installed, without a special permit from the oMee of the Building Inspector. Electrical Permit No. ._...._. .— Master License No. ..__le" TOWN OF SOUTH WINDSOR Building Permit N . ........_/ BUILDING DEPARTMENT Date Ffled ............................ APPLICATION FOR ELECTRICAL WORK Date Final Approval ................................................... Electrical Inspector DB LOCATION: JOB OWNER: ......1 ...Co.sivcr o•i-1... P.. _._. Side of ............................................................................. Between ................................................................................ and ...... ........_....__.._. Name of Building Owner Address ,/ °. .... If work is for Lessee—Give name ......................................_........................ ................................. Address .........._............................_..............................................._..... 3 ; No. of family units now .........^JBuildingnowoccupiedas (unless new) ... ......................................................... y Building to be occupied as ....._.. .. iD!... .L-........................................................................ Number of family units to be .... ' ............... Is this work included in a Building Permit? .....Permit Fee ........................................................................._................_.........._..................._..... If no Building Permit)„ Permittee C I '`°` 11,e. Business Address .lE'FD ' '' .'O: Telephone .`..y COSTOF INSTALLATION: ............ ......... ......................................... .. .....................................................1C........dr.z.. ............. TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed Number of convenience outlets to be installed .............. .Number of present Appliance Circuits ................................................... Number of switches to be installed 02-...... Do these include Range Water Heater Number of appliances to be installed . . . ........ ._............... as listed below) Dryer sir Conditioner Oil Burner TYPE RATING NO. Dish Washer Gas Burner Range ' . . . . . . . Well Pump Elec. Heaters Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater Clothes Washer t ,-t 'Zr~f `/>>> AI-2 Clothes Dryer 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 ................................__-------------_._.._..._.__.._...___ _ Sue of service to be ...................._......................r..._......._..._. Q 2A TO THE BUILDING INSPECTOR of the APPLICATION FOR PLAN EXAMINATION ANDTOWNOFSPUTHBUILDINGPRMITTfSOR, o6a7-_zi IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. ZONING O I• AT (LOCATION) kI I r01/ 0(/UL DISTRICT LOCATION NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION y "_` —'•' 4S LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D o A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 1 New building Residen I Nonresidential 2 Addition(1/residential, enter number 12 One family —Cojo 18 Amusement, recreational of new housing units added, if any,13 Two or more family — Enter 19 Church, other religiousPartD, 13) number o/units-- — — — -- 3 Alteration (See 2 above) 20 Industrial 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) 160 Carport 24 Office, bank, professional 6 Moving (relocation)ttoQ ^ 17 dOther — SpeciJy-•a-^'r`'' t1(tJC 250 Public utility 7 Foundation only Z¢r0 C 26 School, library, other educati nal B. OWN WHIPHIP 7 Stores, mercantile 8 Private (individual, corporation, d•' C t W- sa+o'a l L I I Tanks, towers V 29nonprfitinstitution, etc.) sk)-wet Other — Specify 9 Public (Federal, State, or local government) 1k5xW(j. aA two'Q t C. COST Omit cents) Ld onres dential — es ibe in tail prop s use buildings, e.g.,food uu roces in a ma in sh I undry it ng ospi ,e entary 10. Cost of improvement,,,,,,,,,,,,,,,1 .chool n r cho Ileg , pa chial s ool, i ara for, epar n or , rental o fice bui ng, office building at industrial plant, To be installed but not included us of existing building is being changed,enter proposed use. in the above cost a. Electrical...................... n5 I V%. so,, Coo,& O(CAlov. W/dvi4," LA I 0' b. Plumbing ......................rU ,UK(J QJ C10 c.Heating, air conditioning......... d. Other(elevator,etc.)............ N I rQ 10" 11. TOTAL COST OF IMPROVEMENT S o I ' r 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 Reinforc 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....................... 96 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Y s 45 No 53. Number f bedrooms.............. 38 Cal 1 39&Other— Specify t _`BOG Will th re b an elevator? 54. Number f Full.......... 46 Yes 47 No bothr ms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP cod T,,ell.11N1. t1V IVt.S e a TT ...Owner or Lessee , S sor ce v%- 6607 5-119 2. 3 3 Contractor ORANGE 238 S#aol y Drive Li 0 563aL4 Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of awl' ant Address Application dot tr.Y 0 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R vi w R quired 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 Approva I Check Obtained Number By Permit or Approval Check Obta ned Date (dumber 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 Permit numb r Bui Iding P rmit issu d 19 Building Permit Fee Approved by: U TITLE ai ) i . .! ........... .. a ..... ... n. ... . .. . g NrfNimL • a•+L. :,f NwN g3.a i rN Lrwg •r • m aLsrirS LLi Li.Ng.iLS r 0 N """ a$ E LL r 'N a a fag:aa aaasme me"r •.. ' r asa • +3 was:a':sair 100"0" fi isa.a': "aa+i. r.r: a ir.r. lift. g +af i a•g. •! 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Mij:=a:=saaa:iaaaa:e __ aa:=::a::ea:::a:a::aa: :: ::::: ::::::::::::ei: i:i=aa a=a:::Sa ''i:siaa i ,aw ie: i iii= '• ua: ir: ss: ss =Cs=tie:: s=s::=:i:='ss:==s=:li:s:=: s' ,81MIN MMiiee _e'sc le'sM=i=ss se::i:ss's_ s=sSun,:':11a s:•iz s a` g a n a N:::Ia.1/afia esaa•:ra:ggmaa:a•+ :agog:+mg=::ea:+mea Sraaffrf.o.a HU r maglanMtall.ra:Nsiiiaaria:+agrM:=Zliog Hiill 111i=ia msii•rm:w as a=s: a:ssssaas: s: :::' ssi:: ":: s :::a:::::::::::s:: :::::: ::: :::s:: 'a . , • rgN •a Mill:0e=ss gns! s:=:;= s=:'si s e:s:::'se:e:::=s:e e'see==s:= =aes's=e=s=is as= = =:s0:s am If: 6 ae= s ; s::a ;; ; i :s s:a:::s::a: ':a ':Sai's ai:asass i ' a:=' :'as•'i::a:igas:_'g:'iii::::a= i a= •iae:•g:aSa ':=ar ga aa aaal a: aaa=ama U aa aaa+r g.r:rssr.aaar::faa+i::a+es=•+aa 8:=!0i ar =i a:a _ aig ;.as= aa• :::s: i=ee0:11W':s:s:='s ::e:sss :'s==e:ssie =ai :e:= e= sae 1111111:: ' ss' a e3=eeeei:= I;u: :u;::ua;H:a:;uI:;::;::is a:.aa. ai 6::=e:1------------------------------1----1---- ---------- —- ------1----1---s-----s------- --------------- FINAL INSPECTIO S Building APPLICATION FOR BUILDING PERMIT Plumbing HVAC 1208 MILL POND DRIVE Date: 11Z Sprinkler El ctric Estimated Cost $ 320n_oo Zoning 17625 Permit Fee$ 62-cj Affidavit NO.Occupancy Fee $Ao Eng. Dept. Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ G Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE.Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location /Z 08 .H 1(.L Po'--h M__ Lot No. Side of Street Zone Applicant w,+LTC- t? R1M Tel. # r_Zf-o4f1 Address 74!! AL c._j k it/S CT Zip C)6/O f Lic.# STREET CITY STATE Owner JAmes Address lZo R 'ejIcc Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from treet Line Dist. from Side Street Line Purpose of this Permit C° as per plan submitted City Water Well Septic Sewer Approved by Of Lk Date 4`2-k'V' — BD1A 11/88 REM" I h reby agree to conform to all th r quirem nts of the Laws of the State of Connecticut and the Ordinances of theTown 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 requir tances from all other zones and is locat d in a zone in which this building and its use is allowed. i Signed 7':" 1 hereby apply for a Certificate of Occupancy for the work described in this application t. Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD 2 ,Footing A.Framing Foundation N/ Q Fireplace/Chimney Insulatior l —T Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: FINAL INSPECT O S: Building o o APPLICATION FOR BUILDING PERMIT Plumbing HVAC Date: Sprinkler 12 0 9 MILL POND DRIV Electric Estimated Cost $ Zoning Permit Fee$ 43 0 Affidavit NO.17897 Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS. Fire Dept.TYPE OR PRINT ONLY Total Fee $ V Health Dept. Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby ap ies to do work according to the following specifications: Job Location r l Lot No. Side of Street Zone Applicant Tel. # " Address t ip 0'T ' _Lic.# STREET CITY S TE Owner S 1Me. C1 Owe Address ,Sa?M 6 6 y e Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line Dist. from Side Street Line Purpose of this Permit 5n e e4 fir 4n 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 Ordinanc s 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 a zone in which this building and its use is allowed. r SigneAAAAAA-A .-O, P_ I hereby apply for a Certificate of Occupancy for the work described in this a lication for it. Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT D g Application is hereby : TOWN OF SOUTH WINDSOR APPROVED D A VE BUILDING INSPECTION DEPT. 644-2511 Ext. 230 Application must be printed or typed. Date Building Inspec o 1 . LOCATION OF JOB 1209 R ill PnnA Trive_ FEE SCHEDULE No . Street 0 else-m&, -- 0 - $19000 - 10. 00 Floor Apt . No . Over $1 , 000 - 10 .00 per $1 ,000 or 2 . OWNER fraction thereof 3. ADDRESS12n9 w i,e-A ,q r. 574 4 . APPLICANT L 1 1/ 5 . A D D R E S S 20 G / 10e,, 0L!5r z'/_ 6. ESTIMATED COST $ y V- 00 7 . IS THIS A CONTRACT COST Y s - Nogx8 . FEE ENCLOSED $ D. 9. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB : Original Installation Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB 1205 l L / OyI—II-) 2w/- NO. STREET APT. NO, 12 . TYPE OF INSTALLATION 13. SI OF MAIN FEEDER / 14 . NO. OF GHT LOOPS 15 . NO. OF HEAT L S 16 . NO. OF POWER OPS 17 . NO . OF HT OUTLETS 18 . NO . OF HEAT CIRCUI 19 . N OF POWER OUTLETS 20. NO. OF CONVENIENCE OUTL S 0 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 . TOT WATTAGE 28 . NO. OF POW FEEDERS 29 . NO. OF SW CHES 30. A/C L AD 31 . SIZE OF POWER EDERS 32 . NO. OF FIXTURES 33 . TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES) 35 . REMARKS AND FURTHER DETAILS : f LICENSE NO . SIGNATURE 0 - APPLICANT DATE PHONE NUMBER: y FINALil a i 'APPLICATION FOR BUILDING PERMIT9 Plumbing VV VAnkler 1210 MILL POND DRIVE Date: Sprinkler Electric Estimated Cost $ Zoning Permit Fee$ Affidavit NO. 18026 Occupancy Fee $ Eng. Dept. Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $ TO BUILDING EPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location 1-7 a ,'/f-L IlA. 2 Lot No. Side of Street Zone Applicant WeLT- -4 2?p's Tel. # 5 27-0491 Address 7 a0 3 5141111 S D2 , C4.4TAY5; C-T Zip 0610 Lic.# Sz 22S7 STREET CITY STATE Owner 44 4L'IA2o " j CS&Z"A',_/ Address /Z/ ,•yi- PC•.vi 2 Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line Dist. from Side Street Line Purpose of this Permit 9>5I STUN 13ASf,a (- City Water Well Septic Sewer Approved by Date l 13D1A 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 forwhich this permit is asked,and agree that this building is to be located the proper distance from all street lines,sid yard lines and requir !stances from all other zones and is located in a zone in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this applicatio ermit. x Signed vjDONOTWRITEBELOWTHISLINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: H" yt..-. T 1.n+.en-.r--..-i.,---r,.-r-..'^,Aw_+'+s ,.. '3'-„ o i _• y+y t y T y h R BUILDING INSPECTION DEPARTMENT SOUTH WI N DSOR, CON N ECTICUT FEE PAID: $3.00 CERTIFICATE OF OCCUPANCY ZONE: DATED 10/2 6 1989 This is to certify that 1210 Mill Pond Drive Altered under permit No. 18026 conforms substantially to the requirements of the building ordinances and the zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below. Approved for Occupancy— Finish existing basement Building Official Notice:If this certificate is lost or destroyed, a duplicate should be obtained immediately from the Building Department. Any change or extension of the use herein approved requires a new certificate of occupancy. b T VV WL 3 p 3 1989 South Windsor BUILDING DEPARTMENT, 10 Litz iiv:issav v'i, Tcuit"1 OF wuTri This certified that this plan and specifications are trud copies of the proposed building or alterations to bo erected at street together with amendments stated in appilcatlon ant, fated with plain and I agree to comply with all zoninp. Buildmg and state laws and such orders as shall b, Issued ray the BuildlnA Department during pendencti of tr is application nd fipsi issuance of a building; J permit. Signed J Tht; IAnn is appr v s to the condition that ora:rs -nd ordina ting building shall be co.,-,red wrih. Co.,o.tronalty Appraved fhese filed with J47 building inspector Glen/ @aft 7 3 PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT fU 6 Application is hereby: TOWN OF SOUTH WINDSOR APPROVED D BUILDING INSPECTION DEPT. 644-2511 Ext. 230 6 Application must be printed or typed.Date Building Inspec tor 1. LOCATION OF JOB FEE SCHEDULE No . Street 0 - $19000 - 10.00 Floor Apt . No. Over $1 ,000 - 10.00 p e r $1 ,0 0 0 or 2 . OWNER ,d)w,gti-b /-t CS fraction thereof 3. ADDRESS S ,E 4. APPLICANT G LT 2 !-/ 5 . ADDRESS 76 1A,S 2 6. ESTIMATED COST $ ZOO 7 . IS THIS A CONTRACT COST Yes No jv- 8. FEE ENCLOSED $ 9. TYPE OF BUILDING: L,- RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: Ori inal Installation lteration ddition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB Z/U 1"7 C-(- J00,A,2) P/Z- NO . STREET APT. NO 12 . TYPE OF INSTALLATION f}C7-/f2Ai10 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 3 33 . TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : Z 14 eA l Do l 2Z 5s uftT ALa1 LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER:6-6,3- 3 yy FINAL INSPECT ONS: Building APPLICATION FOR BUILDING PERMITPlumbi HVAC Date: Sprinkler 1203 MILL POND DRIVE Electric Estimated Cost $ cAw Zoning 20849 Permit Fee $ Affidavit NO.Occupancy Fee $Eng. Dept. COMPLETE RED BOXED AREAS. aFireDept. 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 applies to do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant o Tel. # 45 Address Cw ,or~ i' Zip OHO?/ Lic.#STREET CITY STATE Owner dress yS67 /r/A r t e6cc 5:2 Address k enc eIotAQ S' Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Size of Lot Dist. from Street Line Lavatories Bathrooms Rooms 1 st 2nd 3rd Purpose of this Permit le77aG c a g1 City W ter 13 Well Septic 0 Sewer O Use Group Construction Type Approved by UK_ Date F 6D1A 11/88 I h reby 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 lin n equired distances rom all other zones and is located in a zon 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 per i . Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: r r Inspection / Approval Date By Appl Code Description Due Whom Code Comment 93-20849-B 1,000 B01 FOOTING 08/20/93 JFH A B10 FINAL 09/01/93 JFH A Total Est Value 1,000 B ildingSPE Teo APPLICATION FOR BUILDING PERMIT Phumbi . '" HVA Date: '/6 Sprinkler 1204 MILL POND DRIVE Electric Estimated Cost $ /rjdU hd ZoningPermit Fee $ Affidavit NO.20850 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 applies to do work according to the following specifications: Job Locations Lot No. Side of Street Zone Applicant c a Tel. # Address Lic.# STREET CITY STATE Owner Address 4SASZakhl Z Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories Size of Lot Dist. from Street Line Bathrooms Rooms 1st 2nd 3rd Purpose of this Permit Z ern orJ c o lr/ " , e-Z — 17/ l+s LS&!2 e City Water Well Septic Sewer Use Group Construction Type k Approved by 9- Date BD1A 11/88 I hereby agree to conform to all the requirements of the Laws of the Stat of Connecticut and the Ordinanc s 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 li sand required distances om all other zones and is located in a zone 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 permit Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: Inspection / Approval Date By Appl Code Description Due Whom Code Comment 93-20850-B 1 , 000 B01 FOOTING 08/20/93 JFH A B10 FINAL 09/01/93 JFH A Total Est Value 1,000 FINAL INSPECTI s APPLICATION FOR BUILDING PERMITBuilding Plumbi HVAC Date: 3 1205 MILL POND DRIVE Sprinkler add 60 Electric Estimated Cost $ Zoning 20851 Permit Fee $ Affidavit NO.Occupancy Fee $ Eng. D pt.COMPLETE RED BOXED AREAS. d Fire Dept.TYPE OR PRINT ONLY Total Fee $ /4 Health Dept. SIGN ON REVERSE SIDE. Approved for CO: Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location A76T Lot No. Side of Street Zone Applicant c rsh <JAs -U o-2 Tel. # Address GtiN S'"!& Qo- Zip Lic.# T EET CITY STATE y Owner AddressS Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories Size of Lot p Dist. from Street Line Bathrooms Rooms 1st 2nd 3rd Purpose of this Permit City Water 0 Well Septic 0 Sewer 0 Use Group Construction Type /0' Approved by Date 13131A 11/88 I hereby agree to conform to all th requirements of th Laws of the State of Connecticut and th Ordinanc s 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 lirtes and required distance from all other zones and is located in a zone in which this building and its use is allowed. I 4Signe I hereby apply for a Certificate of Occupancy for the work described in this application for per . Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: Inspection / Approval Date By Appl Code Description Due Whom Code Comment 93-20851-B 1,000 BO1 FOOTING 08/20/93 JFH A B10 FINAL 09/01/93 JFH A Total Est Value 1,000 FINAL INSPECT s: Building APPLICATION FOR BUILDING PERMIT Plumbin AVAC " 1206 MILL POND DRIVE Date: Sprinkler Electric Estimated Cost $ /tyy Zoning 2 0 8 5 2 Permit Fee$ Affidavit NO.Occupancy Fee $ Eng. Dept. d Fire Dept.COMPLETE RED BOXED AREAS.Total Fee $ Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE.Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Locatio dtc_/"4 Lot No. Side of Street Zone Applicant Tel. # Address NN Zip O 05d 7 y Lic.# STREET ITY STATE Owner e Z /ghat Address 1266 Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages LavatoriesSizeofLotDist. from Street Line Bathrooms Rooms 1 st 2nd 3rd Purpose of this Permit I&a4,, — rewf`/t S Ste»e City Water 13 Well 0 Septic 0 Sewer 0 Use Group /" Construction Type Approved by Date l BD1A 11/88 I h reby agree to conform to all the 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 lin and aquired distances fr II other zones and is located in a zone 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 permit. Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: Inspection / Approval Date By Appl Code Description Due Whom Code Comment 93-20852-B 1,000 BO1 FOOTING 08/20/93 JFH A B1O FINAL 09/01/93 JFH A Total Est Value 1,000 FNSPEC N Building APPLICATION FOR BUILDING PERMIT Plumbi HVAC 1207 MILL POND DRIVE Date: 9 Sprinkler dd Electric Estimated Cost $ Zoning 2 0 8 5 3 Permit Fee$ Affidavit NO.Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS.cry Fire Dept. Total Fee $ d TYPE OR PRINT ONLY Health Dept. SIGN ON REVERSE SIDE.Approved for CO: 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 Tel. # S Address Qn o-r. ip o 6 a"7/ Lic.# TREET CITYSTATE Owner nes/I/ u 1A1 C>.9 dress OZ/1,,A",l 4nZaC_ Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Size of Lot Dist. from Street Line Lavatories Bathrooms Rooms 1 st 2nd 3rd Purpose of this Permit Al"(` City Water Well Septic Sewer Use Group A14- Construction Type Approved by Date Bo1A 11/88 I h reby agree to conform to all th 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 line nd required distances from all other zones and is located in a zon in which this building and its us is allowed. Signed Q 'd Y L I hereby apply for a Certificate of Occupancy for the work described in this application for perm Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit Al Inspections: Inspection / Approval Date By Appl Code Description Due Whom Code Comment 93-20853-B 1 ,000 BO1 FOOTING 08/20/93 JFH A B10 FINAL 09/01/93 JFH A Total Est Value 1,000 r 1 FINAL INS Building P oNs: ! APPLICATION FOR BUILDING PERMITBuildi F umbi HVAC Date: Sprinkler 1208 MILL POND DRIVE ad Electric Estimated Cost $ Zoning Permit Fee$ Affidavit NO.2 0 R 5 4 Occupancy Fee $ Eng. Dept.COMPLETE RED BOXED AREAS.o(9) Fire Dept. Total Fee $ Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE. 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 Tel. # Address S Zip Dom'6 7V Lic.# STfa T CITY STATE r`.v 32 Fj9Ownerddress/8! e e .,uQ a . El Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Size of Lot Dist. from Street Line Lavatories Bathrooms Rooms 1 st 2nd 3rd Purpose of this Permit Ec•Aade % City Water Well Septic Sewer Use Group Construction Type lam 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 lines,side yard lines and required distances from all other zones and is located in a zone in which this building and its use is allowed. Sfg ed 1/ v I hereby apply for a Certificate of Occupancy for the work described in this application for permi C Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: inspection / Approval Date By Appl Code Description Due Whom Code Comment 93-20854-B 1 ,000 BO1 FOOTING 08/20/93 JFH A B10 FINAL 09/01/93 JFH A Total Est Value 1,000 FINAL INSPECTI NS: Building APPLICATION FOR BUILDING PERMIT Plumbin Date: T_g ` HYAC 1201 MILL POND DRIVE Sprinkler pDo Electric Estimated Cost $ Permit Fee $ Zoning 20759 Occupancy Fee $ Affidavit NO. Eng. Dept.COMPLETE RED BOXED AREAS.Total Fee $ Fire Dept.TYPE OR PRINT ONLY Health Dept. SIGN ON REVERSE SIDE. Approved for CO: Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CTTheundersigned, hereby ap lies to do work according to the following specifications: Lot No. Side of Street Zone Job Location Applicant N 1 4 Tel. # PP Cf ter S di Zip a60 7 Lic.# Address REET S TE Owner ov ddress Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories Size of Lot Dist. from Street Line Bathrooms-Rooms 1st 2nd 3rd Purpose of this Permit Arnou a l yee ie 1Y,AS sAene City Water 0 Well 0 Septic 0 Sewer 0 Use Group Construction Type AolA Approved by Date BD1A 11/88 I hereby agree to conform to all the requir ments of th 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 lin e=distances all other zones and is located in a zone 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 permit.6 Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: Inspection / Approval Date By Appl Code Description Due Whom Code Comment 93-20759-B 1 ,000 B01 FOOTING 07/08/93 JFH A B10 FINAL 08/20/93 JFH A Total Est Value 1,000 BINAL INSPECTIONS: sBuilding APPLICATION FOR BUILDING PERMIT Plumbin Date: HVAC Sprinkler 1210 MILL POND DRIVE Electric Estimated Cost $ 000 Zoning 20760 Permit Fee $ Affidavit NO.Occupancy Fee $ Eng. D pt. COMPLETE RED BOXED AREAS. p J 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, hereb,y qqpAies, to do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant Za A Tel. # Address S r ,N S. 5a-,-- Zip 4'i64 7 Lic.# XCITY ST TE pOwner4W 5 ET 0Q ddress l i /1- n l C Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories Size of Lot Dist. from Street Line Bathrooms Rooms 1st 2nd 3rd Purpose of this Permit l e o e d l eC' . e6v,'l/ Sme City Water 0 Well 11 Septic 1:1 Sewer 11 Use Group A.A Construction Type A.11 Approved by -JAZ Date Z,VU BD1A 11/88 I hereby agree to conform to all th requirem nts of th Laws of th State of Connecticut and th Ordinanc s of the Town of South Windsor and to notify the Building Inspector of any alt ration in th 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 li an squired distanc from all other zones and is located in a zon in which this building and its use is allowed. Sign 1 hereby apply for a Certificate of Occupancy for the work described in this application for ermm . Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit Al Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: Inspection / Approval Date By Appl Code Description Due Whom Code Comment 93-20760-B 1 ,000 BO1 FOOTING 07/08/93 JFH A B10 FINAL 08/19/93 JFH A CLOSEOUT Total Est Value 1 ,000 J 1 FiNA BuldLnIgNSPE TIONS: APPLICATION FOR BUILDING PERMIT Plumbin HVAC 1209 MILL POND DRIVE Date: Sprinkler Electric Estimated Cost $ Zoning Permit Fee$ Affidavit NO,20761 Occupancy Fee $ Fire Dept. COMPLETE RED BOXED AREAS.Total Fee /V Gd Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location a r Lot No. Side of Street Zone Applicant Tel. # So?3 Address $ ' S or /---Zip O Lic.# S ET CITY STATE Owner S,*A/O Address 1& ,r Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories Size of Lot Dist. from Street Line Bathrooms Rooms 1st 2nd 3rd Purpose of this Permit &Mtoae a% cell R"Uzlg AZS e City Water 0 Well l7 Septic 0 Sewer 17 Use Group 4 Construction Type / Approved by Date BD1 A 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 lines,side yard lines d required distances from all other zones and is located in a zone 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 47it. Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: Inspection / Approval Date By Appl Code Description Due Whom Code Comment r------------------------- 93-20761-B 1,000 B01 FOOTING 07/08/93 JFH A B10 FINAL 08/19/93 JFH A CLOSEOUT Total Est Value 1,000 FILL IN P CTCBuilding APPLICATION FOR BUILDING PERMIT Plumbing HVAC Date: A '-? Sprinkler 1202 MILL POND DRIV Estimated Cost $ "EI@CtrIC Permit Fees f yZoning Affidavit NO. 21129 Occupancy Fee $ Eng. Dept.COMPLETE RED BOXED AREAS.Total Fee $ AyFireDept.TYPE OR PRINT ONLYHealthDept. Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: ao Job Location Lot No. Side of Street Zone Applicant 1'a Tel. # Address Zip '/G' Lic.# 5 9 2S STREET CITY ATE Owner 4,0e '`A' f ddress Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages Lavatories Size of Lot Dist. from Street Line Bathrooms Rooms 1st 2nd 3rd Purpose of this Permit kemaJ e afro--^ Rex/ City Water 0 Well 0 Septic 0 Sewer 0 INUseGroup .- , Construction Type -v Approved by _- Date I h reby agree to conform to all the requirem nts of the Laws of th State of Connecticut and the Ordinanc s 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 yar ' s- d required distan es from all other zones and is located in a zon in which this building and its use is allowed. n Signe I hereby apply for a Certificate of Occupancy for the work described in this application for rrmit. Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: Inspetion / Approval Date By Appl Code Description Due Whom Code Comment 93-21129-B 1,000 BO1 FOOTING 12/15/93 MAB D PIERS NOT DEEP ENOUGH BO1 FOOTING 12/15/93 MAB A REINSPECTION B10 FINAL 10/07/94 JFF A 4Alrw BUILDING INSPECTION DEPARTMENT SOUTH WINDSOR, CONNECTICUT FEE PAID: $3.00 CERTIFICATE OF OCCUPANCY ZONE: DATED Jan A 8 19 89 f This is to certify that 1208 Mill Pond Drive constructed under permit No. 17625 conforms substantial) to the requirementsYqis of the building ordinances and the zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below. Approved for Occupancy— Rec room as per plan J Building Official Notice:if this certificate is lost or destroyed, a duplicate should be obtained immediately from the Building Department. Any change or extension of the use herein approved requires a new cert/ficate of occupancy. 1I Electric# APPLICATION FOR BUILDING PERMIT Plumbing# BUILDING #12 MILL POND DRIVE HVAC # 23531 Date: 0 j6 Sprinkler# NO' FINAL AP5PROVA Estimated Cost S ' o Building li COMPLETE RED BOXED AREAS Permit Fee D Engineer' TYPE OR PRINT ONLY Occupancy Fee $ Affida it 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: Job Locatio f> / /, V1 1a y, J Lot No. Side of Street Zone Applicant le-, la -h`f- -Z m c Tel. # Zip c. SAS 6 2AddressSCrr . ' p 0 C MY Li C Owned) l(hffAd MDkr /Y1E1 1 C!') Address D 1r1 1V JA/6 C5DC Architect Address Sq. Ft. New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit:e-42 e- . City Water Well Septic System Sewer Use Group Construction Type n& Area Basement Garage Approved by Date ' Z> 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 located the proper distance from all street lines,side yard lines and required distances from all other zones and is located in n which this i ng a d its ed. 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