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HomeMy WebLinkAbout1162 ELLINGTON RD APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APP 1540 SULLIVAN AVENUE I Is Y W-2511 ext. 230 Bldg:Permit# Date Building Inspector , Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000—$15.00 Over$1,000 Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 961,r APPLICANT ADDRESS ✓.(/ r �� APPLICANT'S PHONE# G — OWNER 'tDW N 8 �'4< OWNER ADDRESS U / �l✓; 'h2 & # F OWNER PHONE C a ESTIMATED COST$ *� U IS THIS A CONTRACT COST? �- es No FEE ENCLOSED$ . �Q v TYPE OF�S JOB: l3 U .COS ns R Installation Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR ELECTRICAL PERWT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? U ❑ NO 0 RESIDENTIAL CURRENT USE AND OCCUPANCY zz- rr►. ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE O NfDCED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION[WRUNG METHOD. &(-.J I-VoptIC SIZE OF SERVICE SIZE OF MAIN CONDUCTORS .. NUMBERS OF METERS NUMBERS.OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUM NUMBER OF SWITCHES. NUMBER OF OUTLETS NUMBER OF LIGHT FIXTUURES NUMBER OF.HEAT CIRCUITS NUMBER`OFA/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK cr THE UNDERSIGNED NEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR. MANCE OF SUCH WORK CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OFAPPLICANT DATE t � a! I f F Is } t e �� Tr� i �• F R OF E j 0 Y j } 85' v L'v rx i •�, =rY y M�-iif •� '�.,•�I • IMP.' ," � Y'1 •�• r ef+" It f-'Ng .�. ..#+, � as µ•.�t�y�'�t •o��~��y� �� .'i'/ <l,. ��•' '1 .✓ ` �� ti_ .� � •a';',�i ,'! ITT J •rY.�„'+t !��';�tr r.�' , ��L'l ��,�:��,,,9• �. • e! ��,,.�7 � ,.'�'- :..�,�.. . 4�,, OAl - 24 r .wM•.r f • 1.3QNIv "r f 4 ,,+� � + +�, -i.•. ,,*t ..�- � ,!>� .ww ��. ..s ,•y P r., 4 f'�� � r w t�" r Y �y a q `. ' n K F+• t 'r .► y `ate' tr�'° `fit;,td� '. i� ..J,t�� ♦ • V�,�. f, r � �,'✓", �• ,. r�.' '•� 1J�"w �""4 .��,/t .r t s• y '�� �t..„ ' rY. t. •.`•, _- `_, ' 41 .r•' .•••� r 1 F, ^, 1.°f►'ice t j, .F v '♦ X� c .a• �ti.t'x`rasat+.,. ..�_ "., ,..n tii�tcv�1r%'� � r�i' 'w�. _ �. .• • 8 JLIN 6 2008 D Souill 44il lusor BUILDING DEPARTMENT tv INt ual. IIJVA of W1tT4f WA;SOk This cortifi-d ;kyt this plan ,nd specifications art-,true copies cf the prnprseo pudding or alterations to 00 ere`ot]ed at Street together with arnrndr s stated In application and filed with plan and I .-grce to c—ply with all zoning, Building and state laws and s:+ch orders as shall be Issued by the Building ^•:p.v tea rt during pendency Ct .his application and final issuance of a building permit. Signed This plan Is approved sub;cct to the condition that orders and ordinances r::gulavng building shall be cor:plied with. Conditionally Approved These flied MIN Building Inspector Clark n.t• _ No. 7 CERTIFICATION OF ZONING COMPLIANCE Propo cd b0dincg(s), uce(s) and/cr structure(s) as on thi3 plan appear(r;) to he in CO. ..ncA v .; h current Scuth bVi-",or reg•'..; ::-,;.s. Variances and special exccr. ;nq rns , Date [. L cQ1 o i11la t= brcement Ost�cer /`tkaU� L� - � � DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR 11, BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE t 0 644-2511 ext. 230 Bldg.Permit # Date Building Inspector Ap Iication must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 F;Te�nant Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT k f'6 V 0�,! APPLICANT ADDRESS 1671 Cf1 ,,A4j 0 46, u)/ APPLICANT PHr# - v`D O G W N S F OWNER O ,q 1U 4 al V 4� OWNER ADDRESS &07 e E,r OWNER PHONE OESTIMATED COST$ IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ 11V�SO O�� TYPE OF JOB: ( Q,z R•C _New Installation Oct b� Alteration/Addition/Repair APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: EATING ARESIDENTIAL, A/C ❑COMMERCIAL ❑VENTILATION Cl INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. WHYDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DL � ALL HEATING EQUIPMEI�[�(INCeL MING MAKE&MODAL PTO.) rILI GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) TYPE OF FUEL ❑OIL—GPM OIL TANK LOCATION :❑ INSIDE❑OUTSIDE CAPACITY ❑GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW AIR CONDITIONING DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT �" YJ�_ DATE 1=B= R CALCULATION SHEET 1503 (Modern Method) it Copyright 1,9777bby The HYdronles Institute OWNER ADDRESSZA� /� DESIGN TEMPERATURE DIFFERENCE 7 F. DATE /D r/6 _O COL.A COL.B COL.C COL.D COL.E COL.F COL.G 1 ROOM ¢ C� O H L W H L W H L W H L W H L W Design Water Temp. O 2 ROOM DIMENSIONS,FT. �7 V BTUH par Foot of �a,D 3 LENGTH EXPOSED WALLS,FT. Q Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA U. BTUH BTUH BTUH BTUH BTUH 6 WALL CONSTRUCTION �{ -�7 T ROOM LIN.FT.OF (Table 9,Line 3 x H) • L(J-0 TOTALS RADIATION 6 TYPE OF GLASS —LQ FROM LINE 12 SELECTED m(Botto of table used for Line 6) 7 CEILING CONSTRUCTION J)7( (Table 9,L x W) �O C ���� (/V B FLOOR CONSTRUCTIONt ITabla 9,L x W or Lin.Ft) rag / / b E 9 COLD PARTITION CONSTRUCTION F (Table 9,L x H) 10 _c 1 Wall(With Openings) H �` 2 Walls(With Opening%) Be x ; 1 3 Walls(With Openings)or Ent Halt {. 11 TOTAL BTUH AT 70F TEMP.DIFFERENCE• J 12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE K L COL.A COL.B COL.H COL 1 COL.J COL.K COL.L TOTAL BTUH TOTAL 1 ROOM OF BUILDING RADIATION ¢ AT SELECTED O H L W H L W H L W H L W H L W DESIGNTEMP.• 2 ROOM DIMENSIONS,FT. DIFFERENCE t) 3 LENGTH EXPOSED WALLS,FT. Q 4 WINDOW AND OUTSIDE DOOR AREA U. BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION *INCREASE BATHROOM (Table 9,Line 3 x H) TOTAL 20'% 6 TYPE OF GLASS (Bottom of table used for Line 5) 7 CEILING CONSTRUCTION GROUN1FOR CONCRETE FLOOR ON OR FILL AT YTable 9,L x W) GRADEDLEVEL,USE LINEAR II FLOOR CONSTRUCTIONt -FEET OF EXPOSED EDGE (Table 9,L x W or Lin.Ft) 9 COLD PARTITION CONSTRUCTION (Table 9,L x H) 10 _c 1 Wall(With Openings) o '+ ,• 5; 2 Wens(With Opening) B J •' 3 Walls(With Openings)or Ent Hall le- j•r 11 TOTAL BTUH AT 70F TEMP.DIFFERENCE• 12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE .This form Is available from The Hydronles Institute,36 Russo Place,Berkeley Heights,N.J.07922 FORM 1503 ' i' Ie:.:y.; ri.J.r;?�^^7,''s': :yy,;°. ,4' .�;v.� � "t 'AU.•''�,'�j��4`'�;'��,,�. ,.�. •;1. :. . ly', .... �1-"_... ,-..2.`.. .,:jC...•.i........a..__.t. .. .[i:3L;.'.....,.. ..�..:.n .ir^.Si.'�a.:n..�,d:J�.. .... . . DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: 72O BUILDING DEPARTMENT APPR VE 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 Date Building Inspec r ! Application must be printed or typed FEE SCHEDULE Location of Job: 6 a C 111q�40�� �oa� $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 _ or any fraction thereof Tenant Designation Apt.No. APPLICANT Q'►rl 1 S H qw) ctn v) APPLICANT ADDRESS r( A�<<S p h Z3 C,`� " LL`l d--7 Q Ei 0(6, APPLICANT PHONE# '�36bd ' 3 O W N S F,Q OWNER n Cnn 'KS 5 OWNER ADDRESS (:51k k"aa lrtn jko.,t✓ �' iU�►� W�►ZdSpIC Or OWNER PHONE C I = ESTIMATED COST I�e1 D O ©p xIS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$SO C0 TYPE OF JOB: Rq4 R New Installation QKAlteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES 0 NO SIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY Res v�e ❑ASSEMBLY❑MERCANTILE FUTURE USE AND OCCUPANCY n RS t&;,�tc. ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE 0 STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD �!�r�h,� Q� I•��C�-e h -t SIZE OF SERVICE Z.et An,? SIZE OF MAIN CONDUCTORS_ �Ak ail, NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK CAJ 4e- VQJ Rk% 14,6 X,\A c r v, v"'ti r-e h C V k�L ci.1 8 A �je,rb V, y'eq'v-^ THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. -t I COW�%1C> C- 1 T CONTRACTORS LICENSE NO. - TYPE STATE SIGNATURE OF APPLICANT DATE ':ZV C 9-0 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT Application is hereby: TOWN OF SOUTH WINDSOR PERMIT#� 3 �-- BUILDING DEPARTMENT APPROV 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 We Building Inspec or Application must be printed or typed FEE SCHEDULE Location of Job: F c'lllegyLl$0-$1,000=$15.00 treet Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT VL lMV) APPLICANT ADDRESS O ' 4 C1' 1 ✓1 ��— S i ct n (0 O APPLICANT PHONE# U 8`1 y`l�3'7 -re—,U 0 W N S Fq OWNER / tyc t,1 A0 / c ,( S' k►l- S OWNER ADDRESS S c, yl„� OWNER PHONE tiv C ;D ESTIMATED COST$ JQ C) %J .� IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ L l��sO CO�� TYPE OF JOB: \-�( R- _New Installation 1 -�,, Alteration/Addition/Repair Revised 4i0 vrz002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑NO SIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑ GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION /2e4mq 2 hZW1'QC-e SIZE OF MAIN DRAIN NO.OF TOILETS l STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO. OF LAVATORIES / NO. OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES A(NO SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK &LC.'Gt JP/C W • k tu-z-4 f���O/&I C40 TOr /-ram /GC 1/ Llu�/ cs`1Qic1C�� 1-rs s 7T s i ar✓ u�'L' 1Ve'eCP1 -,,4z) Ljc,.yt kA:%/Z xr c; /e THE UNL)ERSIGNED HEREBY APPLIrS FOR A PERMIT TO PERFORM THE W=DESCRWED AND is-1 o COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE (� STATE SIGNATURE OF APPLICANT DATE l Y e n . tO �, �'r '°#� ,� ��'�: ,q'y�"�-�; f •T ^c Ti 1:�j.=„t�. �0 .4! .aa'K.•:.:.:� £•!�i.�,S i h _ - � ., - i �• �`+ J` I1 �V; - d" kim lu rv14 ATA w' �may,:_ � ��` "!_.�T, �.�, 'v3:• r�5 - -:�,. - `j: z.� x > Yll 3_&� , ip z �' �` .-.: .: -n.: - :- ,,. r O 7 !j• 'let : t t•. .+ .. :-'.t-.., `,•::. •" .`�iwi.:r+^--��.+� - Krt _ '.w.wn�.:�aM.++Rrra+.-.rasyl +w►r"�-Y'..".,,� .s......ww.•wr-•.�.v'_.�.+...- '_ .�.. •:.s.y ..�.•. :� h_. � � _ �' -. : a-.,r sT�.�."s.�ry�,.F ft r`"'r,•- y,` .... ;4��.a-.' - • •�} g `ate ` -, r.c � -��a � ,!`... �:: ._ Y". - :' � '- , _ "i- Y_-'�� f�'i''• r .. . .��`Y . �A.�.L*..io`y�'4 '���'%�' ;` � r . r 5 U U;L U':; Pll^t R T,,I N T -C '.S Or the —,'-d at 6- I'h p.,a and i 34rce to c"mOy _,;,,g ad stata lao, ar.,j 5.,.I, rrdors CS s -, by the Djoldija Dep-t-IFnt during Pcile— ,is aCpj:c.tion and flial issuance Of a bul J-n: IS doproved n:S plan ; 111 to the Condition hd! , —:4,,ts and -rdinances fe96 ,1 8t' 9 bulldl�g snail be 3m,"Al d —th. Ap�,roved These filed with Cj#rI, CERTIFICATION OF ZONMI, rn-k,r-,,-1ANCE a, Q ME :r M, Datf- P7 ing E orcement Officer s tOMM "4 V `� O � .Ci • GJ 2 ti �0 1540 SULLIVAN AVENUE• SOUTH WINDSOR, CT 06074 son-co`'� TELEPHONE(860)644-2511 CERTIFIED MAIL May 13,2005 Ms.Nancy A. Palauskas Doggone Beautiful Dog Grooming 1162 Ellington Road South Windsor, CT 06074 Re: Appl#05-30P, Doggone Beautiful Dog Grooming Dear Ms. Palauskas: We are pleased to advise you that the Planning&Zoning Commission voted on May 10,2005 to approve with conditions the above-referenced application for a 5-year Major Home Occupation permit to operate a dog grooming business on property located at 1162 Ellington Road,A-20 zone.This approval is subject to the following conditions: 1. The business must be operated by the homeowner. 2. The permit will expire on May 10,2010, and will have to be renewed at that time. 3. Only one non-resident employee can be hired. 4. Hours of operation are limited to four days a week(including Saturdays). 5. Refuse from the business cannot be disposed of with residential refuse.Adequate arrangements must be made for business refuse disposal. 6. Any new building,or alteration/additions to existing buildings and signage,requires a building permit prior to start of construction. 7. Business not to be open on Sundays. Sincerely, S-V H Timothy H. Wentzell,Chairman Planning&Zoning Commission THW/kak cc: Zoning/Wetlands Enforcement Officer Chief Building Official Assessor Fire Marshal Town Engineer n� T WN, 1 ' eOp c 4� a • + r n r ''�w',I- ',/�a�,.d'!�a �'�r -'! �• '�i,� �, .i �z '���',;�a^C" y, • Ir FA ' • •�41 F ..FS' "�, +•- *f may,,, d - 't' r. •'i,'�� �� II' ,I. mono If - f� J � } _ e l ou►v 25 'tuUl South VV mdsOr BUILDING DEPARTMENT 1 0 THE BU0.oWG DEPT. TOWN OF $GUTH "PS00 This certified that this plan and spec or ification are rut copies of the proposed building be erected at y� Vy, '^,ma c n \ ( Lo 2 0 f /l. Street T�I dle r ll 1� filed with amendments fated in application and NNN IIIJJJ"` }sled with plan and 1`1l agree to comply with all zoning,Building and state ling and such orders as be 1 (mil issued by the Building Department during pendency ncy of this application and final issuance of a building permit. signed l This plan is approved s shall ect to the condition that orders and ordiaanees regulating building shall be complird with. filed with �W Conditionally Approved Building Inspector Oate CERTIFICATION OF ZONING COMPLIANCE Proposed building(s)r Usc(s) ^- structure(s) as sii on e'his plan app;;-.,(,-) to be in coni.0—:-i_ ince with current 3culh Windsor fegt!ii;:L-!cris. Variances and special exceptions Imi apply. Date Cp 25 d� Offlow BUILDING PERMIT STATE OF CONNEC71CUT WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen.Stat. §31-286b) Property located at ffl�2- In the town of Name of building permit applicant: Please check one: 1. I am the owner of the above property. Z.' I am the sole proprietor of a business. 2A.Name of business 2B.Federal Employer Identification Number(FEIN) .................................................................................................................... Pursuant to§31-286b,"a property owner or sole proprietor[who]intends to act as a general contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: 1. I do not intend to act as a general contractor or principal employer. [Sign and stop here] 1 ignature of ap icant 2._I intend to act as a general contractor or principal employer.Applicant must either provide a certificate of workers'compensation insurance or sign the affidavit below. .................................................................................................................... Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers'Compensation Act(Chapter 568). I understand that pursuant to§31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court) /-ICY ILI k7 vrnr 745 FFI'7- I A19 V L-A ` i Ir�SvLlFti01'/ T 1' � jj(y'& siuvgn -S 7 c/,D J_ fi _ fiA 17- 0 t fI loll' 7 cx COAI(P-I CMF' 16 ,bpA-elv I r 4 1' I too �� IV - - U JUN Z 5 NU! South Windsor BUILDING DEPARTMENT 10 THE SUILEIM PLOT. TOWN OF ioUTH WINDSOr This certified that this plan and specifications are true copies of the proposed building of alterations to bs erected at / ct�� Street together with amendments stated in application and tiled with plan and 1 agree to comply with all zoning. Building and state laws and such orders as shall be Issued by the Building Department during pendency of this application and final issuance of a building permit. Signed This peen Is approved subs t to the condition that �x orders and ordinances regulating building shall be Complied with. q tionally Approved These filed with dl g Inspector tisifj Job• Truss Truss Type City Pry ISHAGBARKSUSQUE 17259 TO1 FINK 6 1 Job Reference bona -TrussCorp.,Indian a 01151 .500 s 14 2006 Mx ek ustnes, rnc. u un 28 11. 5: Page 4.9-10 4.9.10 S2-6 1ofi-0 52-5 152$ 4-9-11 "4)Vj' o l l ZIP- Scats=1.3U Eli f 73 54= 4 6.00 12 M4\\ 1.514 3 5 + N 2 6 a3Lpat 7 3x8= 9 6 3x8- 314= 314= 0-" 6.3.13 643-11 7-4.5 13-4 3 6.3-13 20-0.0 Plate Offsets 2:0.414 0.1$ 6:04-14 0.1-8 LOADING(psf) SPACING 2-" CSI DEFL in (loc) Vdeft Ud PLATES GRIP TCLL 30.0 Plates Increase 1.15 TC 0.35 Vert(LL) -0.12 8-9 >999 240 MT20 197/144 TCOL 10.0 Lumber Increase 1.15 BC 0.61 Vert(n) -0.25 8-9 >947 180 BCLL 0.0 Rep Stress Ina YES W B 0.25 Hmz(TL) 0.05 6 r✓a n/a BCDL 10.0 Code IRC2003/TPI2002 (Matrix) Weight 71 lb LUMBER 2)Wind:ASCE 7-02;120mph;h=25ft;TCDL=4.2psf; TOP CHORD 2 X 4 SPF No.2 BCDL=S.Opsf;Category 11;Exp B;enclosed;MWFRS gable end BOT CHORD 2 X 4 SPF No.2 zone and C•C Extedor(2)-1-0-0 to 2.0-0,interior(1)2-"to 7-", WEBS 2 X 4 SPF Stud Extenor(2)7-0-0 to 10-0-0,Interior(1)13"to 18"zone; BRACING cantilever left and right exposed; Lumber DOL=1.33 plate grip TOP CHORD DOL=1.33.This truss is designed for C-0 for members and forces Structural wood sheathing directly applied or 4-1-15 oc pud'ns. ,and for MWFRS for reactions specified. BOT CHORD 3)This truss has been designed for a 10.0 psf bottom chord live Rigid ceiling directly applied or 9-7-15 oc bracing. bad nonconcunent with any other live bads. 4)As requested,Mates have not been designed to piv for REACTIONS Ob/s¢e) placement tolerances or rough handling and erection conditions. 2 = 11010-38 It Is the responsibility of the fabricator to Increase plate sizes to 6 = 110310-3.8 account for these factors. Max Horz 5)This truss requires plate inspection per the Tooth Count 2 = -82(LC 4) Method when this truss is chosen for quality assurance Max Uplift inspection. 2 = -355(LC 6) 6)'This truss has been designed for a Iva bad of 20.Opsf on the 6 = -355(LC 7) bottom chord in all areas where a rectangle 3$-0 tall by 1-" wide will fit between the bottom chord and any other members. FORCES Ob)-First Load Case Only 7)Provide mechanical connection(by others)of truss to bearing A,,,e{ TOP CHORD plate capable of withstanding 355 lb uplift at joint 2 and 355 b `�►.�ur;'H -�. { }G 1-2 = 34 2-12 - -1807 uplift at joint 6. 3.12 = -1730 3-13 = -1600 8)This truss is designed in accordance with the 2003 13-14 = -1518 4-14 = -1509 International Residential Code sections R502.11.1 and R802.10.2 J /r.• _, 415 = -1509 15-16 = -1518 and referenced standard ANSVTPI 1. _+ 5-i6 = -1600 5-17 = -1730 9)AN Plates 20 Gauge Unless Noted �S j 617 -1807 6.7 - 34 -O` 1:3^�' BOT CHORD LOAD CASE(S) { 00 2-9 = 1531 9-10 - 1019 Standard +''=;L' ; '��'• =:�; 10.11 = 1019 8-11 = 1019 6-8 = 1531 Jrii�N�v'�wrtt n+` WEBS 'ty I1111111�t1'�, 3-9 = -326 4-9 = 562 48 = 562 58 - -326 NOTES (9) 1)Unbalanced root It"bads have been considered for this design. s APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE) 860444-2511 EXT.230 PERMIT NUMBER: DEPARTMENT DECISION APPLICATION IS HEREBY: APPROVED: BLDG.PERMIT NUMBER: k:�:vDATE INSPECTOR LOCATION OF WORK: I6.21,'s,u�c►v� �Q� APPLICANT: OWNER: TYPE OF STRUCTURE: ❑NEW BUILDING NAME: L i L lot'e— NAME: N�✓1CN.^�`41L�(/S�O.S ❑ADDITION PHONE NUMBER 7XQo✓ / q�• I`�312 PHONE NUMBER. Qta�" �1L+' A�msn:NGB=ING ADDRESS: 42 rC'•.I �e1 ADDRESS: �l� �, � �S TYPE OF USE: �►ncL.,�_S�-�f C i d�� i_ �Q 7 (J RESIDENTIAL o coMtvIFRCIAL ir I HVAC INFORMATION: K:FURTHER DESCRIPTION OF WOR T TYPE OF SYSTEM: o HEATING o A/C `—,I 1 0)L^J HEATING: TOTAL HEAT LOSS(BTUH)29374nPF (HEAT LOSS SHEET REQUIRED) DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): M-1Z - GLI S l V A ESTIMATED COST:$ AIR CONDITIONING: // DESIGN TEMP:OUTSIDE t-F INSIDE�°F DIFFERENCE LIO F FEE ENCLOSED:S qb TOTAL HEAT GAIN(BTUH)/r-/�-L(HEAT GAIN SHEET REQUIRED) -4�a(i L f DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.): FEE SCHEDULE:$18 PER SI,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS PART S,--+ _ OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK CONTRACTORS LICENSE NO.: TYPE: STATE: CT SIGNATURE OF APPLICANT: DATE: -sZ APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION PERMIT NUMBER APPLICATION IS HEREBY: + 0014 APPROVED: BLDG.PERMIT NUMBER. DATE INSPECTOR LOCATION OF WORK: j r L1vGT�► �C) 1 0 APPLICANT: OWNER: TYPE OF STRUCTURE: /V1 nC p 1�I f' '�(`� n n p A In I ❑NEW BUILDING NAME: \w 1 ) 1ihG�� '^� �� Z 1 NAME:N A IyI�Y �/0 J 0U,Si<QS ❑AMMON PHONE NUMBER: 60 -5 �� PHONE NUMBER: � 1 E "S6/G XISTING BUILDING ADDRESS: D _ ADDRESS: 0 rolJ RJR WIy TYPE OF USE: C)v \ 011FS113ENTIAL ❑CONIME 2CIAL 06066 ELECTRICAL INFORMATION': FURTHER DESCRIPTION OF M ORK:: TYPE OF INSTALLATION: _ l.0 Z�jZN %y IIuCU L' -S S 1 l U SIZE OF SERVICE: SIZE OF MAIN SERVICE: NUMBER OF METERS: NUMBER OF PANELS: NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S 600�0 v NUMBER OF SWITCHES: NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S f NUMBER OF A/C CIRCUITS: FEE SCHEDULE:S18 PER SI,000 OF THE ESTIMATED COST. NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS SLOO OVER. (16 CENT EDUCATIONAL FEE INCLUDED AS NUMBER OF OUTLETS: PART OF THE PERMIT FEE) THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICpUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: Orb ��3� TYPE: E - STATE: C� SIGNATURE OF APPLICANT: �� DATE: Jr"16" /0 Electric# APPLICATION FOR BUILDING PERMIT E Plumbing# 1162 Ellington Reed 800294 Date: (o HVAC # Sp:.inkler# 1' Cr'f 171 _ - FINAL RO -"--- - Estimated Cost $_ OEjz� Buildin �`ik.•,. --- - — - -- --- ---- Permit Fee $ -� COMPLETE RED BOXED AREAS j Occupancy Fee $ �- Enginee 4 TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit SIGN ON REVERSE SIDE A r. for CO' o� v r pp Total Fee $ �5 TO THE B I I19G DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant Ct_t"5i e_ y , PLC Location of Work CL1- 1&tr7yA-/ " Lot No. Applicant's Address A Of 641 Oil Vyt Tel.# _lt�`B'`%&— 3 3 U Town C LL- Ax yD Zip o(oo a Lic.# (ooS*;-3o Owner t/C-`1 Architect Owner's Address h &.1- rL-tA IX,lDti Architect's Address Zip Zip Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit j 0 X 7-o D CC r- City Watero Well❑ Septic System❑ Sewero Ins: HO +4�LCert. Area Basement Garage Approved by ate Z Use Group Construction Type Revised 6102 vv,�_ I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this build i g and its u is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS i3 r INSPECTION FIELD SHEET 03/23/09 Printed by Peart, Dayshell 12 09:49 INSPECTION: 14808 FINAL PERMIT: STATUS: APPLICATION: 200800828 LOCATION: 1162 ELLINGTON ROAD SOUTH WINDSOR PROPERTY ID: 30301162 OWNER: PALAUSKAS NANCY A CONTRACTOR: DESCRIPTION: 10 X 20 DECK. WORK ORDER: INSPECTOR: FLAN RESULT: PASS REQUESTED: 03/17/09 SCHEDULED: 03/18/09 11:30 COMPLETED: 03/18/09 UNPAID FEES 00 Date Time TIME: TRAVEL ONSITE COMMENTS: WITH OWNER ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 07/07/08 DOUG PASS B001 FOOTING 03/23/09 ROSE N/A B002 FOUNDATION 03/23/09 ROSE N/A B003 FRAMING (ROUGH) 03/23/09 ROSE N/A E003 ELECTRIC ROUGH r Electric# APPLICATION FOR BUILDING PERMIT Pluthbing# 1162 1311ii,gton Road Date: - 0-D HVAC # Sprinkler# 731128 pFINAL OV ^ 'J - - - -- - Estimated Cost $4�'%i Buildings!Y O i 'Gts,.r.- . _� , --- -- -----_ ------ -- -- _--- � Permit Fee $ t} COMPLETE RED BOXED AREAS Occupancy Fee $ Enginee n TYPE OR PRINT ONLY i Eng. Insp. Fee $ Affidavit 110- SIGN ON REVERSE SIDE Appr. for CO rut Total Fee $ _� TO THE B ILD G DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Ll Applicant � &_i c Uy,'-- Location of Work ,Ll 6.2— A - ,VC�rn./ Lot No. Applicant's Address Tel.# 1) D—2 a !!2 Town - T Zip Lic.# ' re C Owner s- chi e Own Address /l&2 i i Sul f��„�Architect's Address • W ro�rt Zip� Y Zip Sq.Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit_�, ,�,( ('���/ L► City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved b. Date Use Grou Construction Type — Revised 6102 1 tel t I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed _ DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS � y L4 /rA T/-tlNe 7-4N i? ,6 S'T- J(/���iAse12 I� P4 FoR D /-:� €- k / o "Ye y.a 16 — �3AuvsTk�2 Aia NI 0 9F - -------- - --- - — �� -- - 1N t3t7-WtrCA' )b -X ST'HAAVG�R �.3 i<aiw G,?Aau ice_ . � � � ► ;No - s i . t INSPECTION FIELD SHEET 03/23/09 Printed by Peart, Dayshell 11:28 44 INSPECTION: 8181 FINAL PERMIT: STATUS: APPLICATION: 200701461 LOCATION: 1162 ELLINGTON ROAD SOUTH WINDSOR PROPERTY ID: 30301162 OWNER: PALAUSKAS NANCY A CONTRACTOR: DESCRIPTION: DECK 6 X 10 WORK ORDER: INSPECTOR: FLAN RESULT: PASS REQUESTED: 03/17/09 SCHEDULED: 03/18/09 11:30 COMPLETED: 03/18/09 UNPAID FEES 35 00 Date Time TIME TRAVEL ONSITE COMMENTS: WITH OWNER ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 09/19/07 FLAN PASS B001 FOOTING 03/23/09 ROSE N/A B002 FOUNDATION 03/23/09 ROSE N/A B003 FRAMING (ROUGH) 03/23/09 ROSE N/A B004 INSULATION 03/23/09 ROSE N/A B005 FIREPLACE / CHIMNEY 03/23/09 ROSE N/A B006 WOOD / GAS STOVE 03/23/09 ROSE N/A E001 ELECTRIC SERVICE 03/23/09 ROSE N/A E002 ELECTRIC UNDERGROUND 03/23/09 ROSE N/A E003 ELECTRIC ROUGH 03/23/09 ROSE N/A P001 WATER HEATER REPLACEMENT 03/23/09 ROSE N/A P002 PLUMBING UNDERGROUND 03/23/09 ROSE N/A P003 PLUMBING ROUGH 03/23/09 ROSE N/A P004 PLUMBING GAS TEST Electric# ZL� � � E C E � V E D APPLICATION FOR BUILDING PERMIT Plumbing Uiv , Date: S-o 7 HVAC # �U 4i��ti i Elli n Road. SOUth uvindsor Sprinkler# - BUIL INGL)EPARIM-- - �Wk P'-) 730929 -- Estimated Cost $3J,eDy .�d FIN _AL RO _ _ ------------ - Building3 l�d COMPLETE RED BOXED AREAS Permit Fee $ YS� Engine !, TYPE OR PRINT ONLY EncugIns cyFee $ ffi Adavit Poo. SIGN ON REVERSE SIDE Appr. Total Fee for CO: ✓ e $��� TO THE BUILDING DEPAR MENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) The undersigned hereby applies to do work according to the following: Applicant G r LL h S /3 aL S QjA E Location of Work 416 t? b Lot No. Applicant's Address -14 E Tel.#Ado-?73 -go 9 9, Town T- Zip D G y 3 Lic.# S 5 oa -5� Owner G Architect., 2 l "�6`�1 I Owner's Address /I IL L/ 4K TdN �� Architect's Address VW(,,A/J 30A &5;c- zip OGo '7y Zip_. Sq. Ft. New Area: 1st FI. 3 oo. 2nd FI. 3rd FI. Total New Area Purpose of this permit a E(°oN S 72K M 0- ��ON City Waterer Well❑ Septic System❑ Sewere,/ Ins: HO SP Cert. �Area Basement Garage ` Approved by_ Date 5;D2 Use Group Construction Tyve Revised 6/02 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. Signed _ I hereby apply for a C ificate of Occupancy for the work described in this application for the permit. Signed�24A DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 03/23/09 Printed by*Peart, Dayshell 11 11 59 INSPEC;ION: 5210 FINAL PERMIT: f STATUS: APPLICATION: 200700966 LOCATION: 1162 ELLINGTON ROAD SOUTH WINDSOR PROPERTY ID: 30301162 OWNER: PALAUSKAS NANCY A CONTRACTOR: DESCRIPTION: REBUILD SIDE OF HOUSE HIT BY TRUCK WORK ORDER: INSPECTOR: FLAN RESULT: PASS REQUESTED: 03/17/09 SCHEDULED: 03/18/09 11:30 COMPLETED: 03/18/09 UNPAID FEES 35 00 Date Time TIME: TRAVEL ONSITE COMMENTS: WITH OWNER ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 07/16/07 ROSE PASS B001 FOOTING 08/07/07 FLAN PASS B002 FOUNDATION 09/27/07 FLAN PASS B003 FRAMING (ROUGH) 10/03/07 FLAN PASS B004 INSULATION 03/23/09 FLAN N/A B005 FIREPLACE / CHIMNEY 03/23/09 ROSE N/A B006 WOOD / GAS STOVE 03/23/09 ROSE N/A E001 ELECTRIC SERVICE 03/23/09 ROSE N/A E002 ELECTRIC UNDERGROUND 09/27/07 FLAN PASS E003 ELECTRIC ROUGH 03/23/09 ROSE N/A P001 WATER HEATER REPLACEMENT 03/23/09 ROSE N/A P002 PLUMBING UNDERGROUND 09/27/07 FLAN PASS P003 PLUMBING ROUGH 03/23/09 ROSE N/A P004 PLUMBING GAS TEST 1500733 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: I 1/20/2015 GIS ID:30301162 FEE: 120.00 MUNIS APPLICATION# 201501627 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: R&S HOME IMPROVEMENTS ADDRESS: 1162 ELLINGTON ROAD ADDRESS: 42 THOMAS STREET OWNER: PALAUSKAS NANCY A W HARTFORD,CT 06119 1162 ELLINGTON ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REMOVE EXISTING BEDROOM IN ATTIC AND OPEN AREA. INSTALL NEW LVL OVER WINDOW. INSTALL NEW SOFFIT VENT,PROPER VENTS, INSULATION,AND RE-SHEETROCK AREA. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 11/20/2015 4:03 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1800246 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 05/17/2018 GIS ID:30301162 FEE: 90.00 MUNIS APPLICATION# 201800677 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: LODGE HEATING&COOLING,LLC. ADDRESS: 1162 ELLINGTON ROAD ADDRESS: 42 BARRY ROAD OWNER: PALAUSKAS NANCY A MANCHESTER,CT 06042 1162 ELLINGTON ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL"DUCTLESS HEAT PUMP. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY TIIE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 5/1 7/201 8 2:41 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1800146 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 05/17/2018 GIS ID:30301162 FEE: 18.00 MUNIS APPLICATION# 201800677 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ROSA ELECTRIC COMPANY,INC. ADDRESS: 1162 ELLINGTON ROAD ADDRESS: P.O. BOX 723 OWNER: PALAUSKAS NANCY A VERNON ROCKVILLE,CT 06066 1162 ELLINGTON ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: WIRING FOR DUCTLESS SPLIT A/C UNIT. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 5/17/2018 2:34 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1500467 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 11/23/2015 GIS ID:30301162 FEE: 60.00 MUNIS APPLICATION# 201501627 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: GERARDO SANCHEZ ADDRESS: 1162 ELLINGTON ROAD ADDRESS: 57 MOUNTAIN STREET OWNER: PALAUSKAS NANCY A HARTFORD,CT 06106 ` 1162 ELLINGTON ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: WIRE LIVING ROOM AND BEDROOM. OUTLET AND LIGHTING CIRCUITS. ADD 7 RECESS AND SUB HEATER IN BEDROOM. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 11/23/2015 1:56 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE