HomeMy WebLinkAbout135 Valley View Drive 4925 4665 ;
Application No. Permit No.
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
l hereby make application for a permit to (erect ( ) a building according
to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through
word "erect" or words "make alteration to" as the case may require.)
All provisions of t uilding By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu-
tion of this work whether ecified herein or not.
./ -
South Windsor, Co ............. 19...-�t? 'lam �� X/o C� ti (65 .po
Signhere ............................................. ......... .......k........................ ..._...........
Address .. ' .... .. 4
Location? ............... .. ......... ..�1 side of? . ............... c .
.t?
Nearest cross street? - ...............Street No. . ........ .
Owner of land is? . ......... .re. . s...... ..:...........Address ...ae.`..00�&4.,4-,�rc
�. .Address
Owner of building is? . ...................... .................................... ... ...... .. .......................................................................................
JG Architect is? .. .. ............... .........................................`(.... ......................Address ... ..................."`.......................................... ................................
804
Builder is? . ..... ..............`."..............e .............................°.""............................Address .............................
u .. ..................................... `.�
/ Dimensions of building?-,),d Z. ......Feet front. . Feet rear? ,d..4.. .......... Feet deep? ..
`... No. of stories in height? 4
Extreme height to highest of roof? ....... ....... . . ... . .. .
t
Purposeof building is? ..... ............ .........No. of stores? ...... ................... .......................................................................
Howmany families? .. .............................................._...................................No. of rooms? .... ..............7........................................................................
Distance from street line is? .. .... ...... .........................................from building line is? .................. ........................................... .. .....
ADDITIONS AND ALTERATIONS
(Give Brief Description)
. . ....... .............. . ............................................................................................ . ........................................................ ...
^, C;. SEPTIC PAYMEINT .
.........................................................................................................._........... ..............�...................................................................................................................................._.........
"'��0ORSED BY SANITARY 6tFr ''"N.
................ ...................................................................................................................................... ......................................... .............. ................................................
ACCORDANCE TOW '
Map No. ....... .......
UTH WiNt ORD GE
�,. ,. NITAIZ, ,`
If of steel frame, what is exterior construction? ... ......... .... . .............................. ....... .......................
What kind of columns used? .......................................... ......Size of columns used?
What length of columns used? ................................. ....How protected? . ......... .... .............................................. .......... ...
What kind of beams or girders? ..................... .. Size of beams or girders? ............................. .. ........................ ...
Longest span of beams or girders? ................................... ............These rest on? .. .............................. ................ ......................................
Roofconstruction is? ......................................................................................Roof covering is. ... ..........................................................................
The floors are of ....................................................... . construction and are calculated to carry a safe load of ... ... .
lbs. per square foot.
(See Section 14, Budding By-Laws.)
BRICK CONSTRUCTION.
Of what material will walls be constructed? ............ ........ . ................... ...................................................... .......................
Compositionof mortar? ...................................................................................................................................... ........................................................ ..............
Height and Thickness of Walls
He%bt stories Front Walls Side Walls Bear Walls Partition Walls
Basement,
......................................................................................................................................................................................................................................... ...................................... ........
1st Story
........................................................................................................................................................... ......................................................................................................................................I...............
2nd "
.............................................................................I...................I......................................................................................... ..........................I.........................................................................
3rd "
...................................................................................................................................................... ................................................................................................ .......................................... .....
4th is
....................................................................................................................................................I..........................................................................I.................... ...................................................
5th Is
....................... ....................... .......................................................................................................................................................................I...............................................................................
6th is
.................... ...............I.............................................................. ............................................ ......................................................................................................................................................
7th Is
............... ....................................................................................................... .......................................................................................................................................................................................
8th So
................................................................................................................................................... ............................................................................................I......................................................
9th do
...................................................................................... ... ....................... . ... ...... ............. ........ ..................... . .............................................................................
10th is
Material.of Front? ....... ....If stone, what kind? . ...........
Thickness of Ashlar? ........ .....Thickness of Backing? .... ................. . ................. ....
Backed up with what? Arches or lintels over openings?
WOOD CONSTRUCTION.
Give Size, Longest Span and Distance Between Centres, of Mists,Girders and Columns
JOISTS G=DZRS ()OLUNNS
Floors 8 Longest span centres mridenr §Ixe Longest Span Centres, Sim Lw4jtb Centres
1st Floor 41
.............
of 11*11*1........................w®od ................... ..... ..
d X ...............
.. ............... ..............
... ..............
............................................................................ ............ ... ...................-
If
Size of outside studs? .......... .............. ......... Distance on centre:? ................ o o.0 .............. Size of sill? .........4�.. ......................
Size of rafters? ...... ... Distance on centres?............ e'.0.0." Size of plate? .............C/ ...........
..................... ...........................
Size of ledgers or girls? ...............................................................................Sizie of deck rafters? ........................................................F/.......... ...............
Distance on centres? .............. ......................................................................Size of studs in bearing partitions? ......:Z............... ...........(...."e.
MISC!ELLANEO S
Style of roof, flat,.pitch, Mansard, or hi .................................................................... Fireplaces? ............4...... ... ..................
....... . . .....................1.74. trial of Cornice? ............................... ......... ..........................
Material of roof covering? .................Mate
How is building heated--- ............Lining of flues? .. .............................. ....................................................
Thickness of shell of flues? . . ............... ....................Any elevators or lifts? ......................... ................................ ......I...............
What kind? .............. ............................... How many? ...... .......... . .............................. Any hoist
How protected? ........... ... ................................................... ..........Total Value of Building .. .././........./
....................................
When will work be commenced? ....... x......... .......&- . ........
x .e-4....... .......... ..........
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this
application, conforms to the zoning regulations of the Town of South Windsor.
Applicant
4665
BUILDING APPLICATION
Application No. ...... 9.2-5....................................................
North
onthe ............................................................................. Side of
... ..............yjley...View Drive. .. Street.
..... .................
Lot #48
Street No, ......... ... . ......... .
U & R Housing Corp*
Owner ....... .. .. ... ......... ........... ...........................
Applicant ... ... ....same
. I.... ........... ...
CLASSIFICATION
Dwelling 581x241
. ..... .. . . .... ... ...... ...................
. ........... . ....... ... . .. ... .. . ...
. ................. . .... ..........................
Permit issued on above Application.
Date, . .12712-63........
G�2
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Dee.12, , 19 63
Fee Paid $72!,PO Est. Value $18,000
Permit N° 4665
on the North side of
Valley View Drive Street
Street No.
Lot #48 '�.
Owner U & R Housing Corp.
Y
P
Applicant Same
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 2747
3.00
Fee Paid
CLASSIFICATION
Dwelling 581X241
I
P
,
e
z
3
BUILDING PERMIT
N° 4665
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Dee, 121 1963
94is is to Terftf1j, That
is hereby granted permission to Jwe 11 it `a,� 2'
at estimated value of 1`?'��o 0
on the 1�or tg. side of volley `:I 1.e w T°r i v E s L D t Street on land
owned by
Said W o r I-- 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 E C'1 ' 19 6
Building Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
. I
Permit No. TOWN OF SOUTH WINDSOR
I SOUTH WINDSOR, CONN
I
I
Permit N° 2747
I
I
Certificate of Occupancy
I
I T TIFY ha THIS TO CER t
I
at No. a Vwn of South Windsor, Connecticut, has
I been erected and pleted in accordance with the Building Code and Zoning regulations of
the Town of Sou Windsor, and is hereby approved for occ�pan I
I
Building Inspector
Owner, Builder /
I 19
Fee Paid �• Date Cp'
I
+ 2892
1
i
PLUMBING APRUC.A ON
Applicon No, .2681
ati . ...�..._....... ,
on the ..........North ...._.._..�......_.......�._...._. side of
. . .valley View Drive Street
Lit 8
Street No. ............... -
Owner .....0 .& .R Housing Corp*
plumber JS .Gua stamaehio
l
Filed in Office of
The Building Inspector
1-14-64
i
.......................................................
...............rww
9
...................................................------- .._...��. .......�...wM..��� j
No person shall construct, add to or alter any
portion of the drainage system of any lidding
(except to repair leaks) until a Permit is grmftd ;
by the Building Inspector.
r
ti
1 28
Application No. ... �.........1 2
9. Permit No. ....................................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR. CONN.
hereby make application to perform plumbing according to detailed description below. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether
specified herein or n t.
South Windsor, 19 4 Sign here .................. .............
Address ......... 6.,3
Locations . .4L- . ..... side of ..•... ..... ....... ......... ... ... Street
Nature of Build in ! C.......................... How many stories r .................. . ...................................
Owner ... ... .. .......... . .. Address ,5'S. e�... .. .. 'Z&a......04wvk .
Architect ............ rIau.-A-C. ... ................... ............................................... Address . ......................... ............................ ........................... ................
Builder .............. .... Address ........... ..... ..
n
Plumber ... ....... ...Y ............... Address . eQ.y.2. . . . .. �. , ... ..................
DRAINAGE
CESSPOOLS, How many Where located ...... ......ei�112"0_4.....In........................................................
Are they water tight .. tcesspool
. ............ ............. ....... ..... ........ Of what materials are they built ....... .. ... .. .... L.
Size of pipe from house to . . J/ Kind of pipe C _T... ...... .. ....... ...... ............
MAIN DRAIN IN CELLAR, Material C.°,.. ... . Diameter ........ ..-�,�.. •.... . . ......... . ....... ....... ......... . .......
Above or below cellar bottom -.. ................................................................................... ....................
SOILPIPES, Material ...�,,,..T................ ... ...... ... Diameter ... ........................ ..... . .................................
WASTE PIPES, Material Diameter .... ................................................. .. ... .............
TRAPS, Type proposed to use is . �.. . . ......... ..................................................................................................... ...............
RAIN WATER LEADERS, where do they run to ....... ............................. .. ...........
REFRIGERATOR WASTES, where do they run to .... .. ...... . ................................................... .. ... ................ .............. ..............
TANK OVERFLOWS, where do they run to ....... . ... ..... ............................... ..................................................
FIXTURES
WATER CLOSETS, How many . . .... . Where located . .. ........... .......................
Distance from trap to vertical soil pipe ............ .. ... ............ Pattern . . . . . . . .......... .... ..............................
WASH TRAYS, How many ... ...................... ..... Where located ...... .. .... .......
SINKS, How many .... ... . ."I.................................................... Where located . . . ..................... ............... ................................ .....
BUTLER'S SINKS, How many . ................................................ Where located . . . . ................ ... ............ ......... ......................
REFRIGERATOR SINKS, How many . .................................. Where located . .... ........ .................. ..........................................
LAVATORIES, How many .. . .....,;) ....................................... Where located .. . ... ........................ ...................... ..................
BATHTUBS, How many .........../...................................................... Where located ........... .............................................................................
Howmany .... . .. ........... .............. .... ..... Where located .. . .................................... .............. ......... ....
�re closets and urinals to be local vented If not, is there a window in outer wall
of room where same are to be located .. r .................... .........I.. .......... ........ .... .............
Estimated Cost .. ./" o e)....... ............. ...
1780
OIL BURNER
OR
FUEL STORAGE APPLICATION
Application No. 1791 Permit No. 1780
on the North side of
Valley View Drive Street
Street No. L4 t #48
Owner U & R Housing Corp.
Application D.F.Tr ame nt ana
CLASSIFICATION
--A-m-e-ri-cam— - PH5.2
Permit Issued on Above Application
Date 1-22-64 19
Fee Paid $ Permit #4665
TOWN OF SOUTH WINDSOR
APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS
° EQUIPMENT AND TANKS
PERMIT N 1780 DATE �� L y
The undersigned hereby applies for a permit for the installation of range and fuel oil burners, equipment and
tanks of the following description:
Address X42� %, � 1st floor �— 2nd floor _3rd floor
Character of Building: Frame Brick
Owner of Burner (// Owner of Building _
Lessee or Tenant_ _
RANGE BURNERS
Capacity of Tank at Range in cellar outside
Name of Range Burner ___—. — Purchased from
POWER BURNERS
Name of Fuel Oil Burner /Id4 Model Number
Purchased from
Name of Tanker _ Gauge of Tank / Z
Where is Tank Located Size of Tank
Size of Motor Size of Wire
Will other heating equipment be installed?
If so, by whom W,
Name of Party Making Installation
Address � -
Electrician
Address
Signed APPLICANT
All provisions of Ordinances of this Town Regulating Oil Burner Equipment and Fuel Storage (Sections 1-23 in-
clusive) and Underwriters' Code applicable to the subject matter of same shall be complied with in execution of this
work whether specified herein, or not.
f FPermit
o f ermit received 1�-11-64 and
Estimated Cost $__2 Ili" _
o. issued 1-22 64
�-�
Permit Fee Paid __P e rm i t _ 6 65 Approve 4
BUI ING INSPF OR`
809 .
Application No. 553 9 Permit No. .5 .
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
..... hereby make application for a permit to (tsars (make alteration to) a building according
to the following detailed statement of the specifications and plans herewith submitted. (Draw a line thr ugh
word "erect" or words "make alteration to" as the case may require.)
All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu-
tion of this work whether ecified herein or not.
South Windsor, Co . ... ........... .......y l............. 19.... ..19
Sign here(?Pl
........... '........ .._...........
Address /....Q..��................
.r�.......... ?:`........G............ . ........
O
Location? .. ................................... .....................................................................side of? . ...................................................................................................................
Nearest cross street? ...... ............Street No. ............................... ............... Lot No. . ......... ............ .
_ . _
Owner of land ' ? ..},,�� .'..(�...C�...��,��.,7..�"........Address /�5... .....�,���........ ....../..��.. . . ..��P.�... �t�
( / CA,
Owner of building � .................�bIMO.-Address
.................Address .. ...O................
.....
.`..7.....�.............�............R....... ........1.�........
..
.........................................
Architect isI J91 �
....
Builderis? ................................�.........................&-`.._..........................Address ..................` .....................`..`..........................................................`'......
if J#
ZX2 ........ ...... ........ ? .. ....... ..
Dimensions of building. �.. ...... ........ Feet front. ................ .......... Feet rear.? .. Feet deep. .....
Extreme height to ' h int of roof? .................................... No. of stories in height? . ..............
Purpose of building is? .. ... . .. ....��s ........................No. of stores? ..... .......... ..... ... ...............................
..........................GJ.: ._............_......�..........No. of roo:ra? .... ...............................................................................................
How many families?
Distance from street line is? ... ... ...... .........................................from building line is? ................ ............................................................
ADDITIONS AND ALTERATIONS
(Give Brief Description)
... ...... .........10...._W.. .. .... ... ........................ ........ ..... ... ...
.. .. .. ...� .........
................. ..... ..................................................................................................................... ................................................... .. ...............................................................
Map No. ....... ........
If of steel frame, what is exterior construction? . ...... ..... ...................
What kind of columns used? ............... ......................... ...............Size of columns used?
What length of columns used? ... .. ... How protected? . .... ....... ..... ..... .......... . ........... ... ..
What kind of beams or girders? .................... . . ............ Size of beams or girders? .............. ... ......... ........ ................
Longest span of beams or girders? ....................... ....... ...... These rest on? . . . . ..... .... . .................... ......................... ... ...
Roof construction is? ....................................................................................Roof covering is? ... . .. ......... ............... ... .......................
The floors, are of ....................................... .............. construction and are calculated to carry a safe load of
lbs. per square foot.
(See Section 14, Budding By-Laws.)
BRICK CONSTRUCTION.
Of what material will walls be constructed.? ... ................... .................... .................................................... . ................... ......... ..............
Compositionof mortar? ........................................................................................................................................ ............................... ......... .. .......... ...............
Height and Thickness of Walls
He*ht stories Front Walls Side Walls Rear Walls Partition Walls
Basement,
...................................................................................I................... ..................................................................................................................................... .................................... . ........
1st Story
....................................................................................................................................................... ............................................................................................... ................................ . ...............
2nd "
.............................................................................................................................................................................. ......... ................................................. .................. .............
3rd "
.........................................................................................................................................................................................................'..'............................................. ........... ........................... .......
4th Is
....................................................................................................................................................................................................................................................... ............ ................... ........
5th 66
................................................ .................................................................................................I.........-................................. ................................................. .....................................................
6th is
.........................................I........................................................... ...................................................................................................................................................................................................
7th 11
............... ............. ......... ..................................................... ................................I.................. ... . ............. ............................................... ...................................................
8th 'I
.................................................................................... ................................................................................. ............I ............. ... ............... ..................................................
I 9th 11
.................................................. ........10th........................................................... ..... . ......... ................. .............. ....... ......I.............. ....................... ........I...........................................
41
Material.of Front? ..If stone, what kind?
Thickness of Ashlar? . .. . .. ....... . .....Thickness of Backing?
Backed up with what? Arches or lintels over openings?
WOOD CONSTRUCTION.
Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns
JOISTS GIRDERS QOLUMNS
Floors Size Longest Span Centres Bridging Size Longest Span Centres Size LengW Centres
letFloor...... .............. .................................. ........_.. ...............................w..... ................. ......I....... ..........w. ....._...w�...N
.................w..• .........w.N.. •...w......w.......w......•w.• w...w..Nw..... ....................• w._.....w... ._ww.w_...wwww..wrw ..w......w..w. •..ww.w...w. .ww..w w...w..w.w....w
.4 .... .... .............. ........................................................... .......... ............... ..... w_.w.w..w_. ................
_
? .............. Distance on centres?Size o outside studs? ..... Size of sill................ ........... .......................................... ..............................................
Size of rafters? .................................... ... Distance on centres?................................................. Size of plate? .....................................................
Sizeof ledgers or girts? .............................................................................Size of deck rafters? .................................................................... ...............
Distance on centres? .............. .......................................................................Size of studs in bearing partitions? ..................................................
- MISCELLANEOUS
Style of roof, flat,.pitch, Mansard, or hipped? ........................... .................................. Fireplaces? ........................................................
Materialof roof covering? ....................................................................Materia of Cornice? ......................................................................................
Howis building heated? ........... ..........................................................Lining of flues? ... .........................................................................................
Thickness of shell of flues? . .....................................................................Any elevators or lifts? ....................................................... ......................
Whatkind? .. ............. ......... ... ........... How many? ..... . ............. ...... Any hon' twa ? ................. .. ........... .............. .
How protected? .. ........ .. .............................................. ....... .... ...........Total Value of Building .'.. . ...Q. 6-�
t i
When will work be commenced? . . ......... ............ .... .
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this
application, conforms to the zoning regulations of the Town of South Windsor.
4'r (2
Applicant
5539
BUILDING APPLICATION
09
ApplicationNo. .5.....8......................................................................
onthe ................................................................................. " of
Valley View Drive
........................................................ .. .............................. Street.
StreetNo, . .........13.5. . . ................... ... ..................
Larry Gilbert
Owner ............ .. ............. ..... ......... ..............................
Applicant
Quality Carpentry Service
....... ......... ... ... .....................
CLASSIFICATION
Com-
plete 221x24' playroom in
. . ..... . .............. ............ .....................
existi.t*.. house.. ... ..........
.. . ..................... ... ............. . . ......... .... .........................
Permit issued on above Application.
1-25-66
Date, .........
s
®b a
5
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
66
Date Jan• 25, 19
11,000
Fee Paid s.'4'.00 Est. Value $. . .. . ..
E
Permit N° 55 39
E
on the side of
f
Valley View Drive Street
Street No. 135
Owner Larry Gilbert
Applicant Quality Carpentry Service
Frank Moran
s
CERTIFICATE OF OCCUPANCY ISSUED:
i
Date
No.3 265
Fee Paid $ 3.0 0
CLASSIFICATION
Complete 22 1 x24 1 playroom in
t existing dwelling.
a
r
F
BUILDING PERMIT
N° 5539
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor Conn. Jan. 254 19 6
dr4t'o to to T erttf1j, That Quality Garpeatr7 service
is hereby granted permission to Comp f e t e 22 l x 24 t p 1 ayrt a-a m la e A i e t i n,g dwe l l i bg
at estimated value of $ �0 000
on the side of Valley View Drive 4135 Street on land
owned by Larry Gilbert
Said Wank to be as described in Application
No. 5809 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
IssueA` Jaa•'� , �, �19 66
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."
Permit Wo. o1J ✓ TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit NQ 3265
Certificate of Occupancy
THIS IS TO C TIF at the
at No. -�� •in the Town of South Windsor, Connecticut, has
been erected and completed in accordance with the Building Code and Zoning Regulations
the Town of South Windsor, and is hereby approved
r occupancy.
ui din nspector
Owner, Builder
Fee Paid 1' Date 19
382-3
ELECTRICAL APPLICATION
Application No. _4�24
.... ........................... ......... ........................
onthe .. . ................ .... ................. . .............. side of
Valley.. View Drive. .. . Street
........... .. .... . ......
StreetNo. .. .13 5 . .. .. .. ....... .. . .. .. .... .
Owner Larry. Gilbert. .. .. . ....
Electrician F..E...Wi.1so.n
FILED IN OFFICE OF
The Building Inspector
2-4-66
....... ... . ...... 19
INSPFCTION.
...................................................................................................................... .....
....I.................................................................................................... .....................
......................................................................................................................................
AwNo 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.
L1_1V7;it "
►d''' APPLICATION FOR PERMIT TO DO ELECTRICAI. WORII.
J
Permit No. . 3 823
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR., CONN.
.. ....... .. hereby make application to. 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. '�7 �..
r .
South Windsor, Conn., ..... . .�.... . .. 1%p Sign here ........r, . .
Address (? ll. .. ..�.?,1.,......// PY
Location ...(...✓ ....4'..c.� .. ... ../<.� ....,� . Side of ... .. .. . . ......................................... ................................................
Nature of Building many stories ............flZp........................................... .................
New or old Building .. . ....�� ...... ....... . How many families .. ......L/-' / ........................................................
Kind of Installation , C r.1��c..�'Y!t....... 1 'How many Stores ..................................................................................................
Owner ��i.,G Y... .....� L. Address �,� ` ......... ...% .....1 ....... Y...........
Architect `� Address . .. ..................................................................
Builder ....... fa�.� .�f�r ... Address
Electrician O.. .,, � �...(.��?,. . Address 9 /.......... .�,�'i . G�l�S7cp
"'
Size of Main Wires .. ...... .....................................
::...
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 .. 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 ........................ ....... .. ....... ... . No. of Cord Drops .. . ............. . ................................... .... ........
Remarks: For other kind of Installation . ......... .. .. . . ......... . .........................................
. . .. ......... . . . ... . .. .. .. . ...
............................................................................. ...... . . . . . . ...... .......... ........................................ .. ............................... ......................... . . ....... ... .
........................... .................................... ......... . ......... .
Estimated Cost ... .. .P.......... ....... ..