HomeMy WebLinkAbout194 KELLY RD DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby:
BUILDING DEPARTMENT
�PROVEU- 1540 SULLIVAN AVENUE Bldg.Permit#
/ J 644-2511 ext. 230
D%� Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
rq
$0-$1,000=$15.00 Street No. S et Lot No.
Over$1,000=
$15.00 per$1,000 —
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS 62 L -ter 1 -, LLa
APPLICANT PHONE# �[& D 41 T !F — � 0 27
OWN SR. OWNER , r✓ G{i?C�{�r/G'�A1-7er�7
q< OWNER ADDRESS �G
OWNER PHONE
0
ESTIMATED COST$
IS THIS A CONTRACT COST? _Yes No
FEE ENCLOSED$ 10- 1919
TYPE OF JOB:
SOR•CO _
New Installation
_f ►lteration/Addition/Repair
Revised 4/01//2002
Tt;1S ►���P FOR ir;ORIGAGE NI-4?0SLS ONLY
LOT /4 LoT 13
99.99'
� N '
3 �
io V LOCATEO AS SHOWN R 4 O
0 0mas' 0 v
0 N o
N
N
N i
40'BI19G..1"r
1 APPROXIMATE LOCH 77/01V
,SAN/TAR)) ,5XWEP, 4A7,C ?AL
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K E L L Y RO/ Z),'
PROPERTY MAPPED FOR
RICHARD & NANCY SPEILMAN
NO. 194 KELLY ROAD SOUTH WINDSOR, CONN.
Eeing Lot No. 11 on map entitled, "Spencer Heights, Developed by Contemporary
Homes, Inc. , South Windsor, Conn. , John J. Mozzochi, Civil Engineer,
Glastonbury, Conn. , Scale: 1" = 601, Date: May 10, 1954"
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SCALE: 1" = 40'
_ No.2uQ3 O , : ��i.es'., n ;. e 1:e _. •', .: r,: ,. , .,
•��`<-�l,`„I,TAP j''OP,��` .,,: 1!� L.f' C ,'1:i , ,
....... �` AIIC o . n� i4 L'r .,i :.) PI T."•
i •GRISWOLD & FUSS, INCc.y'".1, 74
210 Main St,
_;
fil
lf
i
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
'DOWN OF SOUTH WIPIDSOK COffl1f. PLAN EXAMINATION A N D
BUILDING PERMIT
IMPORTANT•— Applicant to complete all items in sections: 1, It, Ell, IV, and IX. C
ZONING
(• AT (LOCATION) (STREET)
DISTRICT
LOCATION ("o.l (STREET)
L
OF BETWEEN he_`1 '.= AND
BUILDING (CROSS STREET) IcROss STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
It. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use rn
r"
17 New building Residential Nonresidential
2 Addition(/f residential, enter number 1120 One family 187 Amusement, recreational r
of new housing units added, if any,itt Part D. 13) family — Enter 19 13 we or more T ( il Church, other religious
a
3 Alteiotion (Ste 2 above)
number o/units— — — ----0'— 20 Industrial
�
4 Repair, replacement
14 0 Transient hotel,moral, 21 Parking garage
or dormitory — Enter number
So Wr;jckinq (I/multifamily residential• of units ——————— — i 22❑ Service station, repair garage
enter number of units in building in ISO Garage 23 Hospital, institutional
Part D. 131 16 Q
6� Mdyinq (relocation) Carport 24❑ Office, bank, professional
17 Other — Specify 25 Public utility
7 Foundation only f
26 0 School, library, other aducati nal
B. OWNERSHIP A-Y are4/27 27[D Stores, mercantile
9 � t 28 Tanks, towers
Private(individual, corporation, [/
_nonprofit institution, etc.) a x T 29 0 Other — Specify
9 ❑'Public(Federal, State, or
-local government)
C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
processing plant, machine shop, laundry building of hospital,elementary
10. Cost of improvement, tt school, secondary school, college, parochial school, parking garage for
dapartment store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical.
b. Plumbing
c.Heating, air conditioning. ..
d. Other(elevator, etc.). --
11. TOTAL COST OF IMPROVEMENT $
Al. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L;
for wrecking, complete only Part J, for all others skip to IV.
E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS
30 L J Masonry(well bearing) 40® Public or private company 48• Number of stories _
31 ® Wood from* 41 Private(septic tank, etc.) 49• Total square feet of floor area,
all floors,based on exterior
1 32 Structural steel dimensions AI F.6
r 33 Reinf reed concrete
M. TYPE OF WATER SUPPLY r
34 0 Other — Specify 42 Public or private company 50• Total land area, sq.It.
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
M
F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed
35 Gas Will there be central air .52. OvsJ*ers.........................
36® Oil conditioning? L. RESIDENTIAL BUU1A6_i L'Y-
37❑ Electricity 44 Yes 45® No 53. Number of bedro ms
38 Coal
39 Q Other— Specify Will there be on elevator? Full
54. Number 1 •••••••
46 Y*s 47® No 6*thr me
Partial......
IV. IDENTIFICATION — To be completed by all applicants
Nam Meiling eddress — Number, street, cit>, and State / /
ZIP code Tel. No.
Owner or ch ✓e,o/ y
Lessee .y
conrrac.or
3.
Arch,recr or
Engineer
The owner of ilding and the undersigned agree to conform to all applicable laws of this jurisdiction.
Sign tore of� pplicant Address Application date
v�0 G/� o - /5--X
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans B Date Plans B Notes
V Fee Started y Approved y
BUILDING $
PLUMBING S
MECHANICAL S
ELECTRICAL $
OTHER_ $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
e Date
Permit or Approval Check Ob o n°ined Number By Permit or Approval Check Obtained Humber j By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING ( _
ELEVATOR SEWER I
ELECTRICAL SIGN OR BILLBOARD I
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
(ding Permit
Permit number !o
Building l �]
Permit issued �/ �b 19
Building O�
Permit Fee S
prov d y:
� TIT
A
TOWN OF SOUTH WIMSOR
BUILDING PERMIT
Date 9/16 019 117
Fee Paid $. 00.40 Ea. Value $0400
Permit N° 16256
on the side of
Kelly Road S�
Street No. 194
Owner Richard ovialsan
Applicant Y ycn Dnvatta
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
AdaiCozi of Dan i bath
BUHMING PERMIT
N° 16256
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of. South Windsor, Conn.
South Windsor, Conn. 9/16 1987
ig4iz is to (gpYttf#, That Yvon Duquette
is hereby granted permission to I d an addat;30n/Den and Bath
at estimated value of I ,n n n
on the side of 194 Kelly Road Street on land
owned by Richard Spielman
Said Work to be as described in Application
No. 16 5 5 4 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR
Issued 8 7
Building Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
7 rgL. #6Ny-.?35/ 4oDjr.6N _ -
_ INSPECTION REPORT 0es�/ -! GorN
Permit # Job /2 y Lai--x RgeA p
1 Footing ` Y. _ r-- ,N fe
2 Foundation 1CNARDJ j����Matj (Dwnrt72�
3 Framing
4 Wiring _1 d D12 T/-lom As Boll, C!r L La
5 Plumbing _
6 Heating
7 Lathing
8 C.O.
THIS FOR I40RIGnGE Pul;?tOSES ONLY
LOT /4 LOT /3
99.9.9'
L oT /!
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'0 LOCATED AJ SNOWiV R• •Q► O
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o r1AV1*rAR)e SEWEe LATERAL
+-4 CT=a`=ao Lw .0-N G8"�O3'•moo•w
KEL. LY ROAD)
PRCPERTY .MAPPED FOR
RICHARD & NANCY SPEILMAN
NO. 194 KELLY ROAD SOUTH WINDSOR, CONN.
Eeing Lot No. 11 on map entitled, "Spencer Heights, Developed by Contemporary
Homes, Inc. , South Windsor, Conn. , John J. Mozzochi, Civil Engineer,
Glastonbury, Conn. , Scale: 1" = 601 , Date: May 10, 1954"
0"f"MIN tuwrl,wwsI u4 r1w.wcC Aur"o��tY
?•vw� GpNNeC�� ! t•"`•='r !'4Lam ►1.t**Q rLG-ror.caMMw.�
SCALE: 1" = 40'
:p >
C No.26!'3
~O LUpv d� V J°1':1: G; ::'r r,� •r c
-GRISWOLD & FUSS, INC.
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1 IS,�aIq
ELECTRICAL AMIAATM
Application No. �/
aft the (401e Tp
If Y .e s
Street No. / y
owner
Elearkiatt !QUA f •d6�c �/�"
FILED IN OFFICE OF
The Building 11111pacar
l,1,0 141
INBracmN.
s&No Electrical Work &MU be started until a Per.
mit Is granted by the Bullding Inspector.
In New Butldings no wiring al" be started
until the plumbing and heating pipssr and tbs Are
stops (It of wood) are installed. Wl"Ut a apaetal
permit from the office of the Building Inepsetot.
Electrical Permit Nm - -
Master License N
TOWN OF SOUTH WINDSOR Banding permit No.Date FUed
��--
BUILDING DEPARTMENT
Date Final Approval -
APPLICATION FOR ELECTRICAL WORK Electrical impectw
s LOCATION: ...1!.._..7_._ �`LLY /� JOB OWNER: !
ygi!� Side of _. .l�E �,� '�-- ._ ..._ .- Between _...___.._. L��_ �� SO.C� dC
1 C�� S'PrE AV `
Name of Building Owner ��_ Address �� -�
If work is for Lessee--Gve name _ _---- Address
Building now occupied as (unless new) -2"Al GL�` .C,+� iZ e / P` No. of fame Waits now
Building t be occupied as #I f Number of family units to be
Is this work included in a Building Permit? �f— Permit Fee -
Permittee ZF' 1' 4.11 '9 � c.cz/'-.. Business Add B 70 �osT�� To ���•317�
COST OF INSTALLATIOSO�
TO BE FILLED OUT BY PERMITI'EE
TO BE WIRED EXISTING APPLIANCES
Number of light outlets to be installed --' Number of presort Appliance Cucuits
Number f convenience outlets to be installed ••-..•.-• •-
Number of switches to be installed --• --- Do these include Range ❑ Water Hester ❑
Number of appliances to be installed
(u listed below) Dryer ❑ Air Conditioner ❑ Oil Burner ❑
TYPE RATING NO. Dish Washer ❑ Gas Burner ❑
Range . . . . . . . . Well Pump ❑ Mee. Beaters ❑
Range Top . . . . .
Oven . . . . . . REMARKS:
Water Beater . . . . t _
Clothes Washer °20 (�l�Y/�✓ �E� �G¢//�/10e.y
Clothes Dryer a
Dish Washer . . . .
Air Conditioning Motor
Oil Burner Motor . . . .
Gas Burner
Circulator M for . . . .
Attic or Large Fan . . .
Well Pump . . . . . .
Electric East . . . . .
Other . . . . . . . .
Number of new Lighting Circuits .
Number of new Appliance Circuits . . .
Number of Heating Circuits . . . . . .
Number of M for Circuits . . . . . . . _—
Size f present service - -
A60 fsf service to he
wvp&q SO.pp 9 mp Aq
tamer a V.=Pd • 1.00 (9M x*&J 03 3clo:a)
Sm"" Am is gawk amsap mp io mpaod
Am =W is so "m %xu3mm r?wand oN
�oaoat�etu
GO a—z
a vmb q Ssnsng nL
30"JFp a M
39C Al990 =7.?t7aa! mrmm
MIMs V777
Nmy3nddY JNrewnld
APPLICATION FOR PLUMBING PERMIT (C nWu*d fr m Rovers Sid )
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB "fell'y 49z
NO. STREET FLOOR APT.00.
GENERAL PLUMBING
12. KIND OF INSTALLATION )&1) 13. SIZE OF MAIN DRAIN
w
14. NO.OF TOILETS—L_STYLE r IM4 15. NO.OF URINALS STYLE
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES_L._18. NO.OF SINKS 19. NO.OF WASHTUBS
20. NO.OF CONDUCTORS SIZE 21. NO.OF STACKS__SIZE ja— 3
22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO.OF FLOOR DRAINS
25. NO. OF OTHER FIXTURESI//)IUSkQJL _ KIND
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? eS 27. SIZE OF WINDOW
26. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIGNATURE a ADDRESS _ 6a X 3 3 Fr G o ss
LICENSE NO. :211,-' 2� - ESTIMATED COST � �` TELEPHONE 6 3
OWNER ADDRESS acd
�( ICI&ARD 4 'PtEL(Y' 941
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.
COW DATE SIGNATURE OF A"LICANT
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
� BUILDING PERMIT APPLICATION? ❑YES UNd
ERESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY �j �S/ei-lh 7�
O ASSEMBLY /
❑MERCANTILE F U LURE USE AND OCCUPANCY l e-Y1 / o T ci
❑EDUCATIONAL
0 INSTITUTIONAL
O FACTORY ENGINEER'S NAME PHONE
OSTORAGE
O GARAGE ADDRESS
❑MDCED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD .�2 LJ I L
SIZE OF SERVICE e;2-0 D SIZE OF MAIN CONDUCTORS (�
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES 0-50-
NUMBER OF LIGHT CIRCUITS 5 _NUMBER OF POWER CIRCUITS 7
e��5 7 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
7A0 e7L
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.
/lJ 7
CONTRACTORS LICENSE NO. TYPE ST TE
Le 3
SIGNATURE OF APPLICANT DATE,�
ShirleyWilhelm-CRS Ap
proval Confirmation: Request No.259410�'�
From: <clpsvc@nu.com>
To: <W ILHEL@SOUTHW INDSOR.ORG>
Date: 5/19/03 4:19PM
Subject: CRS Approval Confirmation: Request No.259410
Your approval of the following CRS Request has been successfully processed.
CRS Work Request#: 259410
House No: 194
Lot No:
Street Name: KELLY RD
Town Name: SOUTH WINDSOR, CT
Inspector: JOHN COLLINS
Approval Date: May 19, 2003