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Home My WebLink About121 Overlook Road 4360 ELECTRICAL APPLICATION Application No. ..4671............................... ....... ............... on the side of Ove.rl.o.ok. Rd.*. . Street Street No. 1.2 1 Owner Robert Fitzgerald. Electrician Lane Electric ... FILED IN OFFICE OF The Building Inspector iq-is-68 19 INSPECTION. ......................................................................................... . ................ .... ........................................ .......................................................I........................ .............................................................................. ..................................... ..... ... WNo 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. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORII. No. .. ....46.71........ Permit No. 4360. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR9 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. r rn � } � RIC South Windsor, Conn., .. . �� x- . 196 Sign here � '`� .... .......... ... ....... .... ...... 431 EU_ ?GAD Address Location ........ .................... .... ...... ..... .. . Side of .......$�U T........................... .......... .....": .n, v 0 N N. Nature of Building l! . .. How many stories ..... . ... ..... ........................................ ................. New or old Building How many families ...................._...................................................................... Kind of Installation .�� °` :.'``t... .. . How many Stores Owner J( -�a`.... . ...... Ji !t'f!L Q. . Address ...... �.. -ram z.-��zt...........✓��............. ... ..... TZ � Architect . . Address . ....................i...................................... BuilderAddress . . . . .. . . . .............. . ..........:. ............................... Electrician ...... " ..... . Address . . . ................................... ... ..Y.w.....:,........................ i l� Size of Main Wires `. ............................ '......... �d L; ,,rr 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 ... `}..v . 3703 i i PLUMBING APPLICATION UM� 3492 on the Overlook Rd. .................._. Q r p- 121 Strut No. ....� Robert Fitzgerald Owner ......___. plums Steve Wisneski Filed in Office of The Building hsipecaoc 5-27_68 •-.- 19 � II�Si'�CiiO�. i ............................................_....._ No person shall crostituct, add to or ahw say portion of the drainage sysum of my bwldmg (except to repair leab) until a Plecmit is gmmd by the Building Inspector. �oL� o Application No.3492 Permit No. ... 3? 3 ..................................... ..................._............ 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 not. - -- South Windsor, ....... 19 :- Sign here ......k : .......:.' ...GC.... . ................... -<- Address .............,.:��- .......................... Location /.. ..: .... .................................. ............ side of ......................................... .................................................... Street Nature of §uilding ...... ... How many stories .. .... 1..G..'131.........�.1..T��.i�.�:�'14�.�:�...... ........ Address ........ ....�...��:.�.......��-.,1�..�:.�`...��.:.�iC....A)e......Owner ........ ... �- ArchitectAddress ............................................................................ ..................... Builder ... ............ ............... ... ..................... .................I........................... Address . ............ ................................. .. .�.......... ............................. Plumber .. :�.:...... �.` .. ..� .....4.4..t.4............................................. Address ... ...,.� .t.:�....'l. -.: . .f. ...... ............................. , DRAINAGE CESSPOOLS, How many Where located .. ................. ....................................................................... El /Ii; Are they water tight . . ..................................................... ............... Of what materials are they built . ..... ............................ .. Size of pipe from house to cesspool ............. . . ....... ... Kind of pipe ... ... ... ...... ....... ............ ..................... ..'1�,........ MAIN DRAIN IN CELLAR, Material ...... .. . ....... Diameter ........................ ........................ .4 .............................-�.. Aboveor below cellar bottom ..................................................... .... .. .... ..................................................._. ............. - ........... _........ SOILPIPES, Material . ... .......................................... ............. Diameter ...... ........................................................... . .............. WASTEPIPES, Material . .... .... .... . ..................... ............. Diameter ................................................................. .................... ............. YP proposed . .......... .................................................... TRAPS,Type ro sed 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 ... . .. ........ ... ..................... .............�.......N..... .............................. FIXTURES v WATER CLOSETS, How many . Where located............. ...... . .... .............. . . ..................... Distance from trap to vertical soil pipe .................. ................. Pattern ......................... r 4` WASH TRAYS, How many . ........ ................................. Where located . .....'�,... ....... . `. V J SINKS, How many Where located . ............ ` . ..^�,............................................ BUTLER'S SINKS, How many ........................................................ Where located .. ... ..... V�..................................;............................... REFRIGERATOR SINKS, How many Where located . J r, Where located ,.�. .......... ..; �. LAVATORIES, How many . '�.�'........................................................... ................. ►................................ BATHTUBS,How many ...................................................................... Where located ......................, ...... �'.......��,,i................................... 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 ..... ....... . . .. ....................................................... ................... .. ......I............... �� Estimated Cost -..C.� .................... .... ..�. yfl_� TO THE BUILDING INSPECTOR of the APPLICATION FOR CW MUM W116MCK CANK PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O I• AT (LOCATION) l a + Okiwz�e Q0 ZONING DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D � �v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M 1 Fj New building Residential Nonresidential 2❑ Addition(If residential, enter number 12 One family 18❑'Amusement, recreational of new housing units added, if any, 13 Two or more family — Enter 19❑ Church, other religious in Part D, 13) number of units— — — — -- 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 Transient hotel, mote , ❑ T h l l 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (1/multifamily residential, of units ——————— — -- 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 — SpeciJy 25❑ Public utility 7 ❑ Foundation only , 26❑ School, library, other educational B. OWNERSHIP ' N V 27❑ Stores, mercantile 8 ❑ Private(individual, corporation, �OW L 2AI) 2B ❑ Tanks, towers nonprofit institution, etc.) rl29❑ Other — Specify 9 ❑ Public(Federal, State, or local government) C. COST (Omit cents) Nonresidential — Describe in detail proposed Ose of buildings,e.g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement................ ti 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 s 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) 40❑ Public or private company 48. Number of stories................ 31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions ..................... 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 ....................... 35❑ Gas Will there be central air 52. Outdoors........................ %❑ Oil c nditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ No 53. Number f bedro ms.............. 38❑ Coal 39❑ Other— Specify Will then be an elevot r? 54. Number f Full.......... 46❑ Y s 47 0 No bathrooms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To b compl t d by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. 1.Owner or tl'� Y1 LublIN 1 g, ojse WL- Q� c)6O-7I Lessee So � ti "'/� 2. Q inn Contractor 3. Architect or Engineer The owner of this building 1 Wd&rv, _and t-he undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application date ._A , i-D) ooEvLook 0a (1 DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By Notes Fee Started Approved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Date Number By d Number By Permit or Approval Check Obta ned 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 Building P rmit number 10416 Building P rmit issued Aug. 8 19 78 Building Permit Fee $ 4.00 Approved by: IL TITLE ZONING • FRONTDISTRICT - i IX. SITE OR PLOT PLAN For •. • • • ia; • � i' ■ Pli a'i: • is a i � ll1!!a=i arms: ':::�i:' _::: i:■ _:•. • : :. •" ' •/''•• ' Q s 1:11011111H1Hi � se��si_a$ ilaill� s�sasg�. •.�asl■La �:�� sa'4 . la \ . . .. . . .. ... ..... .... .. .,. : _ �� i ':i : � 'i�= aiaiaaal 0aiiaa!'D:llem.C:la::C:::s:L. iaa :a s ! L •:L: BIN : I ' !la�'l•a: .__ _ ss ■la:aaL•:l !!:':Sws.:::':.' a. ' �� as.IV s ..: /..L ...■a.•.:11 Us�■■s./ ....�.ta.�.\l.•.....••a■•s.■.s ■ • •== �a .� � ss!=:�=.:! •='s: Suee's'se :/�:;s's ==g•=ls:�; ::;==�ss�:�: N� . �lt �N''= ; asN s sii..iLl... l . l.a.l..i..S=L :tea=L.l...LSYl.: a�.Lll..:. alill!=.all.•;iita ;iG' •i� =.�alI: 111111HIIIII:... .: � s• sL• _ 'ss = l ss sus ..:�:=:..a;=.ssg�: \l�•s; salR a .s ..i .ls! a"' 'a •• • •• s"' s!" •• '�'•s • ••!• 'as •� / •• i •• L:sssl .ss....��...l : :..s :==�se:ss g:a : ::s:.::sL.:::::s::.::.s::::.::::..ss:.liss:.:la..a:::. st g 11s� a. as . HIM 1!s::is#*:=:L:�:=ls:::=:l::::!=:�:its:i==a ;:=::l:: =::s:: :s:s:!!:!=::ss:::: ::1::: 1:::=�3�::::�s:rls:s� E� = =__� H��1ry�11111�N::el::�::e�Sa TOWN OF SOUTH `1VINDSOR BUILDING PERMTr Dace Aug. 8 , 1978 y Fee Paid . .4.•.00 Ea. Value $.300..00 Permit N° 10 416 on the -- silo of Overlook Road Sty Sweet No. 121 Owner William J. Lubin Applicant William 1 i am T_ T tthi n CERTIFICATE OF OCCUPANCY ISSUED: Date No. a, Fee Paid $ CLASSIFICATION I Fence BUII.DING PERMIT N9 16416 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Aug. 8 19 /S 94is is to Cerfifg, That William J. Lubin is hereby granted permission to 60' stockade f cnce 270' rancli rail at estimated value of $ 300.00 on the side of .121 Overlook Road Street on land owned by Wi f I tam J. Lubin Said WOrk to be as described in Application No. 10'j 16 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOP, Issued Auk• b 19 78. �d' / wilding Inspector r 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." y� V94- 41 ' L 7-J, t 1J O f J . � 1 �� 11 / � ,i r•i.J/ '7 ` lids Or 4"lei W 1 NIks ... ,u SMvil-Un s juxt loss •J �d , .44 lop,# 1 ' <<r �$�� . ' . ' '• NO Zonin u6 t,�t,3�Y Correct 9 Violalior,s a le T/4f! l7f INSPECTION REPORT 1 Permit # 1 Footing 2 Foundation 3 Framingg—� ` 4 Wiring — — 5 Plumbing --- 6 Heating 7 Lathing 8 C.O. FINAL IjNSP�?q NS: Building APPLICATION FOR BUILDING PERMIT Plumbing HVAC Date: Sprinkler 121 OVERLOOK ROAD El ctric Estimated Cost Zoning Permit Fee $ ,i n d" Affidavit NO. 18481 Occupancy Fee $ Eng. Dept. o0 Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ >r1 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 1• o Lot No. Yk Side of Street Zone Z Applicant Royal Clark1 Tel. # 644-1 R1 1 Address �� ip l�6�' 7 Lic.# STREET ITY STATE Owner-S o'T� le r ��+ A/t ddress Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1 st 2nd 3rd Size of Lot GOd y J 4 b Dist. from Street Line Dist. from Side Street Line Purpose of this Permit ! Ay 06-e-A- eyA 4JL{c1 ec"' a l4 ti/ r o Lr /l�lu City Vater Well ❑ Septic 01 Sewer ❑ Approved by Date S"T-7 J 13D1A 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 prop r distance from all street lines,side yard lines and required distances from all other zones and is located in a zone in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for permit. Signed —DO NOT WRITE BELOW THIS LINE- -�S. lS�R6 INSPECTION RECORD Framing F o o t i n Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: 24 � s 8 i fit t!012 -A-- Dec I v � V - . fi . r #oj s C- 1 �--q? ' -� v � UCG�1- 66t& 4 X c/ �� S71L-7 DC= South Windsor BUILDING DEPARTMENT a certlt;eC•that this plan and sprcr,jc.•tio1•, corps of the proposed building or alteratrur,s t •^cterl at eoTjFICATION OF ZONING COMPLIANCE d bU�t�ti�f'(5), use(s) and/or structures) Athar with amendments stated in a S'r<< [� ppltc 1i n .` .t n .vrih ul.,n and 1 agree to comply with III zom,,, rt shown on in:s plan appear(s) to be in IAirg state laws and such orders as shall 1 —tied by the Building Oepartmellt during 1Z Zy ;.,.o 2nTa vih-h current South ind�.c: .hts aNrNrcatlon and 8 Pendency final i'J4Uanal of a bulldrn6 Vao-iances and special exceptica. t.rrn,t s. ,. apply. ',rs plan lY approved sub 7 7 1eCt to the condition Mai �r icrs and ordinances reWating building shall be •• :.,r I od with �Y r.a Iticnai4 Ap,pn~ These filed with �lurldinR Inspector Clerk APPLICATION FOR BUILDING PERMIT ` 8ectr�c# 121 OVERLOOK ;Or�D Plumbing# Date: WAC # - No, 25741 Sprinkler# YEstimated Cost $ �! FINAL APPROV LS Building Z a 4/ 9� COMPLETE RED BOXED AREAS Permit Fee $ Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Total Fee Appr.for CO. (Additional Cost) TO BUILDING DEPARTM NT,TOWN OF SOUTH WINI)SOR,CT The undersigned hereby applies to do work according to the following specifications: Job Locatio lg- ?Q Lot No. Side of Street_Zone Applicant Tel.# Address /a/ � !� Zip 06,0 Lic.# Owner Art/ .t-T.LL &gtee �� Address Architect Address Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpos of this permit: LI C_ ity Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O._ .P•_ Cert. Area Basement Garage � rr Dat 1 Use Group Construction Type Approved by v R•r:.d 1197 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this buikfing and its use is alkywed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS 'ITT, i r a 1 Pursuant to Permit No. This Certifies that the Wood/Coal Stove installation for which the above named Permit was granted has been duly inspected and is hereby approved. 1 Owner Dnjrt- Parent ' Street 121 Oyerlor)k Road 2/n n . 19�,Q— -- -r`` Building Inspector hectric# 2 * APPLICATION FOR BUILDING PERMIT Plumbing# 16 3 6R 121 OVERLOOK ROAD WAC # 26061 Dater Sprinkler# FINAL APPROVALS 66mcfed cost s &00 Building COMPLETE RED BOXED AREAS Permit Fee $ 72- Engineering TYPE OR PRINT ONLY Occupancy Fee S Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee 7 TO BULDM DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location /o.0QjE,&_0Q15 /Q D Lot No. Side of Street Zone Applicant r,MJj�f, ,dr: Tel.# 8'W® 1?-'/ Addr ss AIJ 4e&Z&" AD Zip Lic.# Owner Auc jqW gV7' Address S'!407 r- Architect �IQ_IJ n Address S'ftf, Sq.Ft.New Area: lst FI. 2nd FI. 3rd Fl. Total New Area-4LZ6 #Rooms Lavatories #Bathrooms / #Garages Purpose of this permit: City Water ❑ Well EK Septic System ❑ Sewer &14 of Ins. H.O. S.P. Cert. Area Basement Garage Approved by « Dat 4 3 5 q Use Group X `Lf Construction Type 6 Rev'sed 1197 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 99-26061-B 6,000 B03 FRAMING (ROUGH) 07/09/99 RAN A E03 ROUGH 08/06/99 DCJ A P03 ROUGH 08/06/99 DCJ A B04 INSULATION 08/12/99 DCJ A B10 FINAL 10/29/99 DCJ D GFCI RECEPTICLE NEEDED NEAR BATHROOM SINK SMOKES TO CODE B10 FINAL 01/13/00 DCJ A 99-16228-E 1,250 99-10369-P 1,200 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERNIITJ Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPRO 1540 SULLIVAN AVENUE to O 644-2511 ext.230 Date Building Inspector Application must be printed or typed Location of job I.L( QuL— (dd'Ce 7 1 t Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. -` $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER or any fraction thereof G n J ADDRESS l i t� cy/�- K c 6irn a�cz G?— 6,642 5i OWNERS PHONE# APPLICANT e — ' W n] ADDRESS G� ESTIMATED COST$ IS THIS A CONTRACT COST? _ — �'� ' YES NO FEE ENCLOSED $ 1 .O TYPE OF JOB: �R C Original Installation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY �- MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY Cam' ' INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP (Other please specify) mmood TYPE OF INSTALLATION/WIRING METHOD R z9o.ate SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES vI NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK 4-w /.. THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. Gi 15,0-el AME STATE LICENSE NO. TYPE NATURE OF APPLICANT PHONE NO. � � G DATE f �� DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT lad#� Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE q,f 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of job Street No. Street Lot No. FEE SCHEDULE Floor Apt. No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER �/ +�T, or any fraction thereof ADDRESS OWNERS PHONE# APPLICANT , OW N SF ADDRESS y; q< ESTIMATED COST$ Zee, O . C - IS THIS A CONTRACT COST? 141w YES NO FEE ENCLOSED $ 1 �U OR-CO CQ TYPE O F B• S JO . Original Installation Alteration/Addition/Repair Revised 10/96 APPLICATION FOR PLUMBING PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED ITH A BUILDING PERMIT APPLICATIONQE NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE �.�USE AND OCCUPANCY EDUCATIONAL INSTITUTION FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO. OF TOILETS_�STYLE NO. OF URINALS 0 STYLE NO. OF BATHTUBS Q_ NO. OF SHOWERS_0 NO.OF LAVATORIES NO. OF CONDUCTORS SIZE NO. OF STACKS SIZE_ 7, AREA OF ROOF 6x$' NO. OF CATCH BASINS_ NO. OF FLOOR DRAINS_2 NO. OF OTHER FIXTURES O KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW NO t� SIZE OF WINDOW"-YIF NONE C.F.M. OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER BEATER TYPEAL"ttMANUFACTURE TANKS SAFETY DEVICES 5-rffl, 7 ,21°2"�L TEMPERATURE � W 41/l� G CAPACITY 1I�/�L RELIEF VALVE ( 5 /49 t 4--Y7-,, TEST PRESSURE A' WORKING PRESSURE/SVP PRESSURE RELIEF VALVE T f149'r TYPE MANUFACTURER k*1165 DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. DATE