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HomeMy WebLinkAbout140 Stanley Drive /,D 7 �9 TO THE BUILDING INSPECTOR of the APPLICATION FOR TOWN OF SOUTH WHIDSOR,CONK. PLAN EXAMINATION A N D BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING • I• AT (LOCATION) `'�"` � DISTRICT LOCATION (N0.) (STREE OF BETWEEN /"' w" e_ AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE LQO X 1 �i gy 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 M 111111 1 ®.New building Residential Nonresidential 2 Addition(1J residential, enter number 12 One family 18 ❑ Amusement, recreational of new housing units added, if any, in Part D, 13) 13 T y Enter ❑ T — E 19 Church, other religious Two or more family 3 ❑ Alteration (See 2 above) number of units— — — — ♦ 20❑ Industrial 14 ❑ Transient hotel, motel, 4 ❑ Repair, replacement or dormitory — Enter number 21 Parking garage 5❑ Wrecking (1/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) 25❑ Public utility 7 ❑ Foundation only 17❑ Other — Specify 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, mercantile 8'5g Private (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29❑ 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 at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, S ,0 00 school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical......................b. Plumbing ...................... c. Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ OCR III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS / 30❑Masonry(wall bearing) 4011�l Public or private company 48• Number of stories................ Z 31 49. Total square feet of floor area, Wood frame 41 ❑ Private(septic tank, etc.) all floors, based on exterior / 32❑ . Structural steel dimensions .................... r 3C,� 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Specify 42�-Public or private company 50• Total land area, sq. ft. ........... 43(_] Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35f�413as Will there be central air 52. Outdoors....................... %❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ El ctricity 44❑ Yes 45 FWNo 53. Numb r of bedro ms.............. 38❑ Cal 39❑ Oth r— Specify Will th re be an elevator? 54. Number of Full.......... 46❑ Yes 47 ZNo bathr ms Partial....... IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner orC14:::2A & a�ey, Lessee ©` , A 9 C)(v07 y C� r 2. Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Sign ture of applicant Address Application ate 00 NOT WRITE BELOW THIS LINE V. 'PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Date Plans By Date Plans BY Notes 9 Fee StartedApproved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval I Check Date Number B Permit or Approval I Check date Number By pp Obtained y pp Obtained BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Bui Iding Permit number �76 Building --- P ermit issued 19 Building ` OG Permit Fee $ r; S prov d y: TIT TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Sept. 23 , 1985 Fee Paid $. .?$8 .0 0 Eat. Value $4 8,,0 0 0 Permit N° 14694 on the side of Lot #2 2 Stanley Drive Street Street No. -91� ) 41) Owner Clark Realty Inc . ApplicantMuriel Jacques CERTIFICATE OF OCCUPANCY ISSUED: Date No. 7315 Fee Paid $ 3 .0 0 CLASSIFICATION Dwelling I I Wn DING PERMIT I N ' 14694 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. I I South Windsor, Conn. ESSDt_ 23 1985 y iCrrtifg, Clark Realty Inc. dr4is s to That is hereby granted permission to Dwelling I i at estimated value of on the side of Lnt 12 Drive Street on land I owned by C 3 A y k BOA R= Ine• I Said Work to be as described in Application I No. .14994 and to conform to specifications and plans filed with said Application, and Building By- II I Laws of THE TOWN OF SOUTH WINDSOR. f Issued eAftv%& _� 1�35 �i Building Inspector. I 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 :aid city, jtown or borough all costs and damages which it shall sustain, or be compelled to reason therefor." I I I I I I � I � I I I ' I I I Dwelling - Lot #22 Pl.Val .2 9/23/85 dMJ/ Clark Realty Inc . ,W Stanley Drive ,yd Permit #14694 Electrician Richard Barrett # 8924 H ating Contr. Guarino & Sons # 6354 Plumbing " Guarino & Sons #6835 Oil Burner # C rtificate of Occupancy #7315 Sewer Permit Plot plan apprd. per Eng Permit No. f l! TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit Certificate of Occupancy THIS TO CERTIF that,fhe lat No. in the of South Windsor, Connecticut, has been erected and completed in ✓ ccordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby apWoved(49r occllncy. Building Insp ctor Owner, Builder Fee Paid Date CI � REINO E. HYYPPA B ASSOCIATES CIVIL ENGINEERS ai LAND SURVEYORS GLASTONBURY, CONN. -76, A UsMly SALLY DRIVE M14 UJ > 2 5.00' cr T- 5. 0' C) 40 BLDG L-iNE Lcy 2 00 In tz W � � i � � N /Z 22 AREA : 20.000\S,F < )(00 00, 111, -?,g R f �� � -' 7rD i4 cx 4 LOT Ll NES FROM WAP ON rr-\\-F- -TIlLF-0, "0MW 5FAC-E 5U5Di\JlS%3V4 A.-W Zows FL,DT PLAJJ SECTION I PLEA.SA.NT' VALLJF---y HOME-, 11 SOUTH COWW-"a-i Rewa E.HNPM 4 A5--lor-iATE5 C.x\jtL- * L.A.N015UP-s/F-VOW-S GLA-;;T0 -y'c-ow-A. SCA.L.E 0=40, PREPARED FOR DATG (o--3-8y MAPNO-4-t-bO-IH SHEET A of IZ PLEASt�NT VALLE\Y HOMES II V'0-.3' SOUTH WIWD�OiZl CONW. Wo -Zc>Niw(v \ikoLAT10"l-, C EIM F I ED 'BL3155TANr I AL-LY CoiR C.T 5CA. �: I"z 40' c)AT F-: as 09 DATE: S60,00 SIG.t 8924 ELECTRICAL APPLICATION Application No. 10439 on the side of Lr)t #2 2 Stan I PrLlr i U Street Street No. _ �[ Owner aba.jjc 1_a.rk g_sa1tY.-- Electrician g iQhr—$ar_r_Q t t FILED IN OFFICE OF The Building Inspector Oct. 7 19 85 INSPECTION. m No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit No. ...... Master License No. ....I 6.q...ba,*� ............. TOWN OF SOUTH WINDSOR Building Permit No. AO/V ...... ............... BUILDING DEPARTMENT Date Filed - q'. 5... .... ............ Date Final Approval ..... . ... ......... ......... APPLICATION FOR ELECTRICAL WORK Electrical Inspector bX- P . ..... C�.l�?... ...�.............................................. JOB LOCATION . . . . ... .. .... . . ............ .............. JO OWNER. 3y7Q...... GtLCk Side of ...... B tween .J��. ,C.+. and .... A�Z Name of Building Owner NZ . CC-5rIJ.....CO......... Address.... .Mk.... .. . ......*'**'**...... If work is for Lessee--Give name Address ................ . .......................................... ............... ....... Building now occupied as (unless new) VC- No. of family units now .. . ...... ... Building to be occupied as ..... . .. ........ ..... .. ....... ... Number of family units to be .... I................. Is this work included in a Building Permit?1� Permit Fee . .. .. ............................. ................... . .. ........... (If no Building Permit) % ao I.--temkVW'A S�4e ephone Permittee Business Address -,�i COSTOF TNSTALLATION: ..........................6... .. ... .................. ................................................................... ...........6..................666-................... TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed P-6 Number of convenience outlets to be installed Number of present Appliance Circuits ................................ Number of switches to be installed . . . Do these include Range F-1 Water Heater ❑ Number of appliances to be installed (as listed below) Dryer ❑ Air Conditioner ❑ Oil Burner ❑ TYPE RATING NO. . . . . . . . . Dish Washer ❑ Gas Burner E] Range Well Pump E] Elec. Heaters E] Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater Clothes Washer . . . . ( ��, ZS Clothes Dryer . . . . . Z3 Dish Washer . . . . . . Air Conditioning Motor . . Oil Burner Motor . . . . Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan . . . Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . Number of new Lighting Circuits .............. Number of new Appliance Circuits Number of Heating Circuits . . . . . . ... .... ........... Number of Motor Circuits . . . . . . . .... Size of present service .............. ....................................... Size of service to be ..... .... ..to.C�...ok�.. Ip......... 6835 PLUMBING APPLICATION . AppL'otioa No. 6606 on the .... __.._. — side of _..........L t... 22 , 9tan1-y Dr , Street No. JW�7slfimfply o,= .........-7y m 5- m.b., ....GA V A R1 o10 a So Filed in Mice of The BuMW Impecor Oct. 25 ig 85 No paaon shall commuct; add w ac alaer my portion of the dr imp syaaem of my bwl&o8 (mcept to repair le 6) umd a Plot is gRaooed by the Building tupecoor. APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB �02_ S44AJL v- NO STREIT FLOOR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION �" 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS-STYLE CAdr-J S 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS a 17.NO.OF LAVATORIES 318. NO.OF SINKS 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS _SIZE 3 22. AREA OF ROOF 23.N0. 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. ARE SEWAGE AND WATER FACILITIES AVAILABLE? SIGNATURE ADDRESS 90-5D S y1-C l U04n/ 4 Vt LICENSE NO. aV:35 ESTIMATED COST �� (/v�/ TELEPHONE OWNER , ` T ADDRESS WATER HEATER 31. TYPE ,y' " &A S 32. MANUFACTURER S 4*+y TANK SAFETY DEVICES 33. CAPACITY % O &A t. 37. TEMPERATURE RELIEF VALVE C� 1 34. TEST PRESSURE_ � d `) 38. MANUFACTURER— W P+kS 35. WORKING PRESSURE ! � O 39. PRESSURE RELIEF VALVE I U D 36. TYPE NP4 G)Jk� 40. MANUFACTURER W K+S 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. la .22 ps4k' vio 0 CD962 DWrE SIGNATURE OF APPLICANT PERMIT # Application For 6155 6354 DEPARTMENT DECISION Heating Permit 3 APPLICATION IS HEREBY: 0 .w DEPARTMENT OF LICENSES AND INSPECTIONS N APPROVED ❑ DISAPPROVED .� Cd TOWN OF SOUTH WINDSOR 164 00 T O DAtE CHITP I APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL ■ � O v 1. LOCATION OF JOB ° fAA4 5t- Cd � +.) v O• STREET co � d C LOT NO. FLOOR APT. NO. O ° 79 O odd 2. OWNER 1.4 ,D( 0 O !. ADDRESS 3 D — 4.PHONE Cc �(�,4✓Lt/v o d S a�APPLICANT S vi cc O cc d. ADDRESS yL L LT (�l��""l>`!d IZ'� ^' 'C a2 Cd 7.PHONE 7�' B. LICENSE NO. 0 o c�. p w 9. EXPIRATION DATE OF LICENSE "a W O 10. ESTIMATED COST s C� y� 7 / bo I t. IS THIS A CONTRACT COST? N'YES ❑ Np as � -p 12. FEE ENCLOSED = Permit 14694 a� Q C,* 12. TYPE OF LDING: Obo v�C RESIDENTIAL ❑ COMMERCIAL � 14. TYPE OF JOB: ❑ INDUSTRIAL 3 ❑ RIGINAL ❑ ALTERATION INSTALLATION ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued tr m Revers Side) 11. LOCATION OF JOB S4At4CXf- N0. TREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS IDENTIFY SIZE _ LOCATION SIZE �. SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER _FURNACE MAKE AND NO. tU ( CA- ryry��AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. 71aO B.T.U. OR SQ. FT. NET T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED jNEW OR OLD BUILDING INSULATED -(q OR NO TYPE OF WALL _!514C" t �G4I�NiSUI ATION `.) �-ROOF OR CEILING --INSULATION o 2 AVG. SYSTEM WATER TEMP. I O --- B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS). WINDOWS e.T.U. e.T.U. a ► ° Roots SIZE AND DOORS AREA - SQUARE FEET VOLUhE p<f DISTRIBUTION INSTALLED TOTAL TOTAL m 4 ROOM L W N AND GROSS No. GLASS NET WALL CEILING FLOOR (U.FT.) AT�F CORTEOCTED <F REGISTER O TYPE AND SIZE aQ AF OR LEADER Vi T. SIZE < WALL ',,SD RIFF. .F F m N FREE AREA f u V r Rp ILI 00 EAU lo5 _ o zo 2— ,-AV V uuq ti/!D IOU 7/ UU TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAM[ ADDRESS SUBCONTRACTORS AND 18. THEIR TRADES -ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE (OWNER) OR (AGENT) OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. /// - O IoLIATE $IGNATIJ O A►►LICANT FINAL INS Building TI oP _S APPLICATION FOR BUILDING PERMIT Plumbing HVAC Date: Sprinkler 140 STANLEY DRIVE Electric Estimated Cost $ Zoning Permit Fee $ /O - Affidavit NO. 17807 Occupancy Fee $ Eng. Dept. Bp Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ /A Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE. TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby ap lies to do work according to the following specifications: Job Location Lot No. Side of Street Zone x _��9 Applicant Tel. # (�'77 AddressMe 1 0e ZipPui)� Lic.# r N1 rtQ CA Owner �h�4- &(DrAddress -� v Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages Lavaiones No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Lin Dist. from Side Street Line Purpose of this Permit a&t,n Ir-+ I CG�YYt n City Water ❑ Well ❑ Septic ❑ Sewer ❑ Approved by Date BD1A 11/88 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the 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 stre t lin s,side yard lines and r quired distances from all other zon s and is located in a zone in which this building and its use is allowed. Signe 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 Foundation Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: �y Electrical Permit# /� Qy� ry Inspections: Sprinkler Permit# Inspections: •tr ' .•Y i-� ... ..-. �. � '•� ..r � � -' r. .. .f . -v • - �� - �•� r•1.,+. , .- • '.++� ��R• Mw w.V�s� •�•1• -�ri'-.�,•�; • . .+6uII�K. •T• �f+i .�r ,. - �• •• � . � F_ •.. � 1-. .-,+�y .°.. .,. ,~rc,��.r,r� 5�,r � _ •. 's. .J'r�,',`r'. E. HYYPPA 8 ASSOCIATES r� �.. 4ENGINEERS A LAND SURVEYORS GLAS TONBURY, `�. CONK. : 1 • :� SALLY DRIVE 5 G5 3 6' 05" E > R= 25.00' r= z5.00' 40'BLDG W ( LINE N 0 I b P�.�r, 6 z , ' tJ ab��•e.-c�ca� v -`, Q oo 6 M N 4 N AREA O,COO S.F N GS 3Co' 05" E �1.2'yuiCA1.IGE GDN1PRw1Y� �• �l.E►JN O ' W• v 3AGgUEu�IE A. �O.K�Q � � 1 � LOT LINES FRAM NAp ON P%LG ZRLED, "OPE.N SPAtE SUBDtVIS�JN A-20 �E � - FL= R.A" 5 r�no N I RxAs4r 4r VAU-F—Y HOMES II SOUTH WIND-5—OR, CONW-'ay Relwo E.N oPm 4AsScc6QE5 Q\IiL-Q-XK LAGER: *LANC SURvEV02S C-L AS—a> :Aj Y,ComN, SCALE I"=4a PREPARED FOR DATE G-3 85 MAPho'.4t--&0-I H sK T of t2 s�F�-�. Rf„ 11" , aS PLEASANT VALLEY HOMES It -:��- � W 1 N D 50 R I C ONN. GEIZTI FI ED SueSTANTtA-LLY ComEcr ZCALa: 1"=40' DATE: 5-ENT& D Croy F IM ILIN 1 5 1989 South Windsor BUILDING DEPARTMENT W OFFT MAIN 1rh I r. ,h i, nlen ""1, S'�,;I-1, 1 1,-, , ,,+ L Ooplcic' (PI the Proposed build,r)w -,r Orecte(i Fjf I q0 i9ef"e 7 stl,� tiled W.f.v, 8011(frr" i J, assuk(' y Of th'�, aP(,i,l-ation and final a br;dwf permit, rsigned'This plan i-- ar,— ordrrs Conditiov,i Appr, i,,d ith k3mJd-n,, ',)dte CERTIFICATION OF ZONING COMPLIANCE Proposed building(s), use(s) and/or structure(s) as shown on this plan appear(s) to be in conformance with current South Windsor t/0 /30Ito regulations. Variances and special exceptions may apply. Date or-re'--C e Zoning Enforcement Officer I t l I PERMIT11 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT <,)0 Application is hereby : TOWN OF SOUTH WINDSOR i APPROVED D SAP 0 BUILDING INSPECTION DEPT. t 644-2511 Ext. 230 i _ r Application must be printed or typed. Date Building Inspec or 1 . LOCATION OF JOB r-"-) sbni a(ve Y FEE SCHEDULE No . Street v' t i e $ 0 - $1 , 000 - $10. 00 Floor Apt . No . 1 Over $1 , 000 - $10.00 per $1 ,000 or 2 . OWNER lenn + aQ lme, 13a y fraction thereof 3. ADDRESS 140 nu- Drive Indscy- (inn, 4 . APPLICANT Y- i &ArkG..4 ! 1 f 5 . A D D R E S S � -_& f?of 6. ESTIMATED COST $ 7 . IS THIS A CONTRACT COST Y`e s No 8 . FEE ENCLOSED $ 9 . TYPE OF BUILDING: �79D 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 N0 . STREET j APT. N0, 12 . TYPE OF INSTALLATION J 741—P ` 4L f 2 /ia4 13 . SIZE OF MAIN FEEDER �) 14. NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS 16 . NO. OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS 18. NO . OF HEAT CIRCUITS 19 . NO . OF POWER OUTLETS 20. NO. OF CONVENIENCE OUTLETS �21 . NO . OF HEAT- CIRCUITS 22 . NO,, OF POWER CIRCUITS 23 . NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS 26 . NO. OF PANELS 27 . TOTAL WATTAGE 28 . NO. OF POWER FEEDERS 29 . NO . OF SWITCHES 30. A/C LOAD 31 . SIZE OF POWER FEEDERS 32 . NO. OF FIXTURES 33 . TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES _ _ 35 . REMARKS AND FURTHER DETAILS : 4r � r 16 a C LICENSE NO . SIGNATURE OF APPLI ANT DATE PHONE NUMBER: