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Home My WebLink About1350 Sullivan Avenue �C� o� C,0 Ar `o TO THE BUILDING INSPEMR -� of the APPLICATION FOR Irolim OF SCK TH WINDS' CCOM PLAN EXAMINATION A N D BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. O ZONING • • AT (LOCATION) Z96-0 ✓nn yy r S,4 (.i/��/1 a dU rf DISTRICTfi!O LOCATION (NO.) (STR Eff / OF BETWEEN D �l///Y�r] b%U4?i- BUILDING (CROSS STREET) R ^' � LOT SUBDIVISION / Q LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D �v 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 18❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13 Two or more family — Enter 19❑ Church, other religious number of units— — — — -- 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (►f multifamily residential, of units ——————— —-i 22 ❑ Service station, repair garage enter number of units in building in 15 ❑ Garage 23❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24 Office, bank, professional 6❑ Moving (relocation) 17❑ Other — Specify 25 Public utility 710 Foundation only 26❑ School, library, other educational B. OWNERSHIP 27 Stores, merconfile 8 [A Private(individual, corporation, 28 Tanks, towers nonprofit institution, etc.) 29❑ Other — Specify 9 F-1 Public(Federal, State, or I cal government) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food processing plant, machine shop, laundry building at hospital,elementary 10. Cost f improvement,,,,,,,,,,,,,,,, school, secondary school, college, parochial school, parking garage for, 11 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. El ctrical...................... ibrial Rij, in" __�A be use, I Id �j b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ 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 EJ Masonry(wall bearing) 40❑ Public or private company 48• Number of stories................ 2i 31 ® W ad from 41 � Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions .................... 00 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Oth r — Specify 42 m 50. Total land area s Public or private company q'ft. ........... 43❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors....................... 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44 gj Yes 45❑ No 53. Numb ►of b dro me.............. 38❑ Cal 39 r7l Other— Specify arag2 Will there b an elevat r? Full.......... 54. Number f 46❑ Yes 47 5�] No bothr ms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To b c mpl t d by all applicants Nam Mailing addr ss — Number, street, city, and State ZIP code Tel. No. 1. ` Owner or • � 0&0'7,( p7 Lessee D 7& d � �C95K Contractor ' 87101 3. I P.S;rd e Gt Architect or Engineer The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address .- 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 By Notes Fee Started Approved BUILDING PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER s VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained Number By Permit or Approval Check Obtaate ined ned Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. 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I.■• Ss...f• •/a •a.w•.• ...Ef.••• ■1..w.f faNff a.■■..■.f■.■■•.f.■■■.■...■.■...• ■.fa• •.r •■.■.f..a■ •a a.r •.■ ■ •a• •.■ ■ •• ■aa■ • ■af..N■. eHUHsee HUsssssuHso ;:3:::::a ---:::::::::::::::::s: ;:::: s,:::------ ;:, :s::ass::;:s:�::az�::e:::::;:::;:: f TOWN OF SOUTH WINDSOR BUILDING PERMIT Date June 1 , 1982. Fee Paid $. .9 0.0.00 Est. Value $.150,000.00 Permit ® 12740 on the -- side of Sullivan Avenue Street Street No. 1350 (Bld Z=#3) Owner Westggte Associates Applicant Mr-hard S. Kelley CERTIFICATE OF OCCUPANCY ISSUED: Date No. 6058 Fee Paid $ 3.00 CLASSIFICATION Profess?nnnl R»i ldin— REM SEPTIC PAYMENT BUILDING PBRbffr oMCE of N° 12740 THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South V`indsor, Conn. Jame s�. il4io to to Cerfifg, That RSrsontractors T ae. is hereby granted permission to Professional Building at estimated value of Q on the " of. 1150 Sul 1 ivan Am&.(aI A&- 41) Street on land owned by WAst�atle ASSOCIAtes - SaiMark to be as described in Application N13040 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued hwe W2. -Building Inspector. Streets and sidewalks, obstructed by ezcavations 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 :aid city, town or borough all coasts and damages which it shall sustain, or be compelled to reason therefor" INSPECTION REPORT Permit Job 1 Footing 1,5,1±- 2 Foundation 3 Framing f 4 Wiring y-,IA-1 5 Plumbing 6 Heating 7 Lathing 8 C.O. _. -- - (Westgate) 6/1/82 ?rofessional Buiedin�Bldg. #3) L350 Sulli�torsan V Inc. Perzait # 12740 ASK Contra # 7692 Electrician Petersen Elect. & Pis 5499 Heating Contr. Mellen White 7 �� # 595 Plumbing Mellen White & Pal Oil Burner # 6058 C rtificata of Occupancy �'D Permit No. TOWN OF SOUTH WINDSOR ' SOUTH WINDSOR, CONN. Permit lr o 6058 Certificate of Occupancy THIS IS TO CERTIFY that the �' ,;% f-'' �._ *.s _� .-{' in the Town of South/Vindsor, Connecticut, has been erected and completed in accordance withVhe Bui ing Code and Zoning Regulations of the Town of South Windsor, and is hereby appr ed r occupry. y Building Inspector Owner, Builder X•i � r Date 198 f �� 19 83 Fee Paid `ri �l - 7692 i ELECTRICAL APPLICATION Application No. 9903 on the side of Il�3Rullf�van Avenue Street i Street No. _ 1_350 Owner RSK Contractors, Inc. I Electrician Petersen Electric FILED IN OFFICE OF The Building Inspector June 25 19 82 INSPECTION. r3r 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. ,1 ' x APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. . ..$.$0.3.......... ...... Permit No. . .7.6.9 2 ....... . .. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. `. . hereby make application tq perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. - Z3 � Z South Windsor, Conn., j 19 Sign here � . . . . . . . .� �...... ..�..•..•••��..� a ll e?beKJ& Address �j �GfJ ..Z�. B ...Xol 3 Location . .. .. � ...�/l�!. . . ...... .. Side of .. . ... .. . . .. . ................. ....... ..... ................ ......................... Nature of Building How many stories ............ ............................................................. ................. New or oId Building w . ....... ..... . How many families ....................................................................... .. ............. Kind of Installation .. . .1007_ A15. ....... How many Stores .................................................................................................. Owner ........4.)46S..7 .t.7 •. �...... . Address ...... . .......... ............. ...............................__.._.._......._.._....._....._...... Architect ... ....... Address . ............. ....................................................._....................... )C5 Builderw/CJI�., .... . . .. Address . .. ............. . ................._...._.....__........ Electrician ..... .. .. bv . . . .. &ddress ... .... ...... ...................................._................................................ Size of Main Wires �/Q1 �� z�j4q � No. of Light Loops . ... No. of Heat Loops .. ., No. of Power Loops ......................... No. of Light Outlets ....... . . . .... No. of Heat Outlets .... No. of Power Outlets .................. ........... No? of Light Circuits 2 d...... .... No. of Heat Circuits No. of Power Circuits .. No. of Sockets No. of Heat Receptacles No. of Motors . ........ ... No. of Panels ...................... ... Size of Heat Circuit No. of Power Receptacles No. of Switches ............... . .. .. Total Wattage ... ............. .... . .... .. . Size of Power Circuit .. . . . . . Total Horsepower No. of Straight Electric Fixtures ... . . ..... . No. of Combination Fixtures ... No. of Receptacles ..................Ke.. ........... ....................... . . ......... No. of Cord Drops ....... ................ ... ............................. ... ... ... Remarks: For other kind of Installation ... . ....... i �i{Jl�� e�J� . ., .. ..................�.oee-................la 1c.6........ ..... .., ?s S... ......... .......................................................................................................... .. ................................. _....................................................................................................... ... ........ ..... ... ...... . ........................................................................ �... ... ... . ..................._....................................................... ........................ ........... .... . ... ..... . ... . ... ....... ............ .... Estimated Cost .... . .2f........ .... .......................... .... 5957 PLUMBING APPUCATION Appa 6736 on the................. aide of 1350. S�eec Street No. I Owner .... . Plumber-)"rr� k 1464�. � Filed in Office of The June 2 5 ig 82 n�se�criox. No person:ball commuct; add to or ahw ay portion of the drainage system of any buiLfiog (ezoept to repair leans) until a Pmnits granted by the Building Inspector. ti 1 Application No. .......6..7..3.6................... Permit N ......5 9-51............... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. ........ .!,........hereby make application to perform plumbing according to detailed description blow. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusiv 1 be complied with whether specified herein or not. South Windsor, ........................... x.'e .l.................................. 19FL,. Sign here .. .... ..... ...:......- ........ .......... Address .49. .. ..... . ........... Location ...................................... .. ....................................................... side of ...... ............ Street Nature of Buildm* . _ .......................... How many stories ........�:--................................... .................................. Owner`��/..�:�... .. ... ............................................... Address......... .. .. . ........................ Architect Address ......................................................................................................................_ ........ ...................................................................................... Builder .... —.... ................................... ....................................... Address ...................................................................................................................... Plumber )W.4��. .....�:�-�...��.�u./............... Address .. :..... ... . ............................................................................. DRAINAGE CESSPOOLS, How many ................................................ ................... Where located ...... ............................................................ Are they water tight .. .........1. .............`...... ...................... Of what materials are they built .. . .............. Size of pipe from house to cesspool . ............ ........................... Kind of pipe ...... .f........................................... MAIN DRAIN IN CELLAR, Material ...�;... Diameter ......... ........ ...3..y......................................................................... Aboveor below cellar bottom ... ....................................................................................................................................... SOIL PIPES, Material . .G ✓l�d�v�-r............................... Diameter ...........1.�...'...3....,�.......... WASTE PIPES, Material ..... Diameter .....- ....-.. ...��...................................I.................... TRAPS,Type proposed to use is ...........................��.......... .. ... .............................................................................................................................................. RAINWATER LEADERS, where do they run to . ................................................................................................................................................ REFRIGERATOR WASTES, where do they run to .................................................................................................................. ............................... TANKOVERFLOWS, where do they run to . .........................................................................._..................................................... FIXTURES WATER CLOSETS, How many ................ .................................. Where located Z!�K.'.....e:�....... r� .... .... Distance from trap to vertical sod pipe .............. ..................... Pattern . . ... ........................................................... WASH TRAYS, How many .. .... Where located ..... ...................................................... ... .......................................................................................... SINKS, How many ................ ...... ..................................................... Where located u ./-", �....................................... BUTLER'S SINKS, How many ............. .................................. Where located .................................................................................................... REFRIGERATOR SINKS, How many...........f....................... Where located ................................................................................................... LAVATORIES,How many.................. ........................................... Where located .x/4'.......... BATHTUBS,How many.................................................................... Where located ..................................................................................................... URINALS, How many ................................................................................. Where located .................................................................................................... Are water closets and urinals to be local vented ................. ... . ...... If not,is there a window in outer wall ofroom where same are to be located .......... .. ..... ,�/, / ............................................................................................................................................... Estimated Coat Y ..�.. ........CV.................. (� PERMIT # Application For 6600 5499 4j DEPARTMENT DECISION Heating Permit Cd En 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS O a� N +' ® APPROVED ❑ DISAPPROVED TOWN OF SOUTH WINDSOR o Cd 8/5/82 \ 00 w DATE I IEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O w A E -p 1. LOCATION OF JOB O a O NO. STREET +, O co Q 1dQ. 3 LOT N0. FLOOR APT. N O [V w J` +� O Qe- 2. OWNER s~ � as � b O !. ADDRESS E �� c 4.PHONE C� 4j > Cd U2j '= S. APPLICANT_/,�A„/,1�n 05 cc Z� �, 0 c 6. ADDRESS > 7.PHONSWIP w � S. LICENSE NO. a S } w R. EXPIRATION DATE OF LICENSE O V l 10. ESTIMATED COST s O .� I1. IS THIS A CONTRACT COSTY YES 0 NO bo .� Permit 12740 7 12. FEE ENCLOSED S Q � ar' is. TYPE OF BUILDING: ❑ RESIDENTIAL l4! COMMERCIAL bo O .9 14. TYPE OF JOB: ❑ INDUSTRIAL .ai RIGINAL ALTERATION ^' INSTALLATI N ❑ ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued tr m Reverse Side) 11. LOCATION OF JOB 13 o No. 7 STREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER 0 ELECTRIC ❑ VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS /7 V°:16a l- r- IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK �~ OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTERP�FURNACE MAKE AND NO. !' AT BONNET �` FIRING RATE BOILER OR FURNACE MAKE AND NO. "` B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HE TED ,2 NEW OR OLD BUILDING �11dd 1 I SULATED - YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM ATER TEMP. BA./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE �U °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. L a wP�2 L'-vQc_-w•11 - a r-0/P2 61 !a-r A,,H+p S dv,.p 1000 &t U DESCRIPTION OF WORK �aK c d t J S y-`JD J�Gu 6J mac. /,,o�a-'�-_ J - 15. TO BE DONE: V��e' C.�1/e�i �Y��P u,-S 1s�JLy�.C� 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS). ROOM SIZE ANDIN DOORS AREA — SQUARE FEET VOLUME a.T.U. a.T.U. i DISTRIBUTION INSTALLED TOTAL TOTAL �n ROOM NO• GROSS GLASS NET WALL CEILING FLOOR CU. AT 70•F CORRECTED -j 4 LL RAD. REGISTER L W N AND TEMP. TO f TYPE AND SIZE OR LEADER SIZE < WALL 'to (INFILT.) DIFF. •F m a SO' FT. FREE AREA t,awe f 3� 192 3 &085 1 3 ��a ,2 17 4 d�67 TOTALS A233 y A. HEAT LOSS FROM BUILDING— 3 31 B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING, OTHER THAN NORMAL oZ 3 _ B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: QJJ;g0-4at___, SZ4C,. NAME ADDRESS SUBCONTRACTORS AND 1s. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (A ENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. L J �`r� 0 DATE �N TI 9 OF APPLICANT FINAL INSPECTION Building yS: APPLICATION FOR BUILDING PERMIT Plumbing 4 HVAC Date: Sprinkler 4 r�141350 Sullivan Ave Electric Estimated Cost $/L,;Cam-) Zoning Permit Fee $ IeV.OZ) Affidavit NO. 17763 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 DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location 50 Sv (VC4 "l ✓e__ Lot No. Side of Street Zone Applicant V Cn i� 13 7{91) t2k Y Tel. # G `/Y- 45"a Z3 Address 5-50 130c►-14 k;6/ 'Z4 1 S.�c'��SQZ G V Zip aGU S 91" Lic.# STREET CITY STATE Owner J:X Re(3eg_ - M,04I?64 Address 5U44- IIV-t "-A ci U 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 �iu'tti'�O/C glfFr/a Tl4o^,- QGr c.�c/ City Water ❑ Well ❑ Septic ❑ Sewer ❑ Approved by Dat S_g- BD1A 11/88 I hereby agree to conform to all the requirem nts of the Laws of th 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 locat d the proper distance from all street lines,side yard lines and required distances from all oth r zones and is locat d in a zone in which this building and its use is allowed. S 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: 4 J//V HVAC Permit# Inspections: Electrical Permit# D �^�'f� Inspections: Sprinkler Permit# Inspections: i i PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby : TOWN OF SOUTH WINDSOR APPROVED DISA a BUILDING INSPECTION DEPT. 644-2511 Ext . 230 Application must be printed or typed. Date Buil ing Inspec o F 1 . LOCATION OF JOB i 3_570 FEE SCHEDULE No . Street $ 0 - $19000 - $10 . 00 Floor Apt . No. j Over $1 , 000 - $10 .00 5r,-n(2_k �per $1 ,000 or 2 . OWNERG sPC,,, i fraction thereof 3 . ADDRESS l3 � ,Svffen,_%A ut-:7 II 4 . APPLICANT '- ` 0%YV'Las So ddc-lr 01 5 . ADDRESS �3 ' /lSJ- 6 . ESTIMATED COST $ 2L)CjO 7 . IS THIS A CONTRACT COST l- Y s No c,o 8 . FEE ENCLOSED $ O 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 13S�"'O -& I(c�S, , A"e NO. STREET APT. NO, 12 . TYPE OF INSTALLATION a o 13. SIZE OF MAIN FEEDER Cc>r,ne� 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 33 . TOTAL HORSEPOWER r� 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES S��_ (eC+{ . C 35 . REMARKS AND FURTHER DETAILS : � a.�0,3 LICENSE NO . SIGNATURE OF APPLICANT DATE PHONE NUMBER: 7�_ PERMIT NO. DEPARTMENT DECISION A P P L I C A T I O N F O R APPLICATION IS HEREBY: PLUMBING PERMIT APPROVED DISAPPROVED TOWM OF SOUTH WINDSOR BUILDING INSPECTION DEPT. 644-2511 Ext. 230 DATE PLU INSPECTOR Application must be printed or typed. 1. LOCATION OF JOB: 2. OWNER: Dr �0,6Pr I C� ►^ YCL 3. ADDRESS: FEE SCHEDULE SOr/�� fiYl S'O✓ 0 - $19 000 - $10.00 4. APPLICANT: Over $1,000 - $10.00 5. ADDRESS: /0-7 per $1,000 or _ Fraction Thereof vV r 3 6. EST. COST: $ 2061 OCC 7. IS THIS A CONTRACT COST? X YES NO 8. FEE ENCLOSED: $ 9. TYPE OF BUILDING: /-7 71o3 RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: ORIGINAL _ALTERATION INSTALLATION ADDITION REPAIR BD 2A 11/88 APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side) 11. LOCATION OF JOB: /3 S D tl V t-- GENERAL PLUMBING 12. KIND OF INSTALLATION: 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS STYLE 15. NO. OF URINALS STYLE 16. NO. OF BATHTUBS 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES 18. NO. OF SINKS 19. DISPOSAL 19A. DISWASHER 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 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. SEWER OR SEPTIC TANK? 31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS 32. REMARKS AND FURTHER DETAILS L[ gau'SIA "Al P/vt"' LN;;4, 40-� f�%v��S � Q r S Al C,c /- h lei ';'W/c- WATER HEATER 33. TYPE 34. MANUFACTURER TANKS SAFETY DEVICES TEMPERATURE 35. CAPACITY 39. RELIEF VALVE 36. TEST PRESSURE LBS. 40. MANUFACTURER 37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE 38. TYPE 42. MANUFACTURER LICENSE NO. DATE SIGNATURE OF APPLICANT PHONE NO. C3 3 y/