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11 Poplar Drive
82 Application No. 5094 . . Permit No. 4. . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. WJ hereby make application for a permit to (erect ' n to) -- 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 the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn., :.!. ....... 19.. .`Y. Sign here ......N)A.D.Wlr..LA.AO.30.....1�cr!-. : ..�..IA? ........... Address ..... .1. ,�r . � ..... a �.... . ... ? �D°. Location. � 0 .................side of? . ..G,�. .,�—C...�.T............................................. ... ...................... ...... .................. ................................................. Nearest cross street? . ../7-71)" ........ ...0. .................Street No. . .............. ........................... Lot No. .. ..�....... . . . Owner of land;s? . MEDALLION HOMES, INC. ........ ... ..............................................................Address .... ...... . ....... .. ............................................... .......... .............. ...... Owner of building is. �ED�Lru(�... l , . Address . .. .. . ........................................................................ .......... Architectis? A.:rV. .......r�......Pur...l...n....................Address ........................ ................................................. ................................ Builderis? . ........MFDALLIO��....� .......'.......................................Address ................................ ............................................................................... �j imensions of building? .�r7 Viz. ... Feet front? .......��.�...... Feet rear? ...V> ......... Feet deep? .. .?-�. Extreme height to highest point of roof? .......C)2 ............. No. of stories in height? . �....... 3 � Purposeof building is? . ..............No. of stores? .... .................. ... .................................................................... Howmany families? ... ..............J...................._...._..............._..................No. of rooms? .... . ... ...... ....................... Distance from street line is? .. ... ... ............................................from building line is? ....-15............. ..... . ......................... .................... ADDITIONS AND ALTERATIONS (Give Brief Description) .. . .............................................................................................................................................................................................................. Se ............... ..................................................OECD,....�EPT1C...PAYMENT.............................0 ................ .. ... ............................................................................................................... . ............ .......... ....... ... .. ���..�B� .��SA}il-TAR'�� .iW1M Map No. . .......... ........ IN ACCORDANCE WITH TOWN OIL UTH WILMS R RDI NANCE NO. 6 AA a� SA ITARY OFFICER. 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, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed'? . . - - ........ ...... .... ..... .................. ....... .... ....... ... ......... Compositionof mortar? . ................. ........................................................................................................................... .. . ... .. .......... Height and Thickness of Walls Height stories Front Walls Side Walls Rear Walls Partition Walls Basement, ............................................................................................................................................................................................................................................... ..................................... 1st Story ............................ ........................................................................................................................... ............................................................................................ ........................... 2nd " ................................................................................................................................................................... ........... ........... ........................................... .... .................... ........ 3rd " ..................... ........................... ................................ ................................................................ I...............................................'..'.................. ...................... ........... .. ........ ..... ...... ..... 4th so ............................ . ................................................................... ...................................................................................................................................... ..... ............ ........ ......... ........ 5th do ................................. ............................................. ................... .......... ..... ....................................................... .............. ...................... ......................... ............................................... 6th do .... .......... ........... ... ..........................................I................. ............................. ..................................................................................................................................................................... 7th " ...........I............. ............ ................................................... ................... ..............................I.................I ...... ......................................................................................................................... 8th 'I ................................................................................. .......... ...................... .......... .......... ... ............ ... ......................... ... .................. ............................................... 9th is ..................................................................................... .......... . .. ...... . .... ................ .. ... ......................................... ............................. 10th to 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 OOLUMNS Floors Size Longest Spain Centres Bridging size Longest Span centres Size Leng h Centres 1st Floor 2nd .... .................... ........._.. ._................................. ._............_... ...... .........___ _..._............ .....��..... .............. .................................. ..................... ......... _......................_... ....._....._..._.. ......_ _....._...._ 4 ....��.... ............. _................................ _.._....._... _.............._.. �2�y Size of outside studs? .................................... Distance on centres? ...............l K............... Size of sill? ......` y...................... Size of rafters? ..... .......... Distance on centres? �� ..... Size of plate? ......... ............................... ..................................................... Size of ledgers or girts? .................. . . .......... ...............................Size of deck rafters? .................................................................... ............... • , x � Distance on centres? ............. ...................................................................Size of studs m bearing partitions. .........:Z................................... MISCELLANEOUS Style of roof, flat,.pitch, Mansard, or hipped? .. � ? '... ............... ............ Fireplaces? . �. ....Material of roof covering? 1 G Material of Cornice? ......... -.... '�i •0.......I.................... ? .r................ Lining of flues? ... ............�.L.�` ..... . How is buildingheated. ... .. .......................... Thickness of shell of flues? .....................................................................�LK Any elevators or lifts.? ......................................................... ...................... What kind? ....... ............ .... ......... .. How many? .......... ... . .... .... ................ . Any hoistways? ................................................. . How protected? .................. .......................................................... ............ ...Total Value of Building ../ ............................................. 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. ..�- 'Applicant 4824 BUILDING APPLICATION 50 Application No. ........................94 .................................................. onthe ...............W..e..S.t.............I................................ Side of Poplar Rd. ... . .....I....... .................... ..... ......... ...... ... Street. Street No, 39 . .... .. . .......... Medallion Homes Inc. Owner . ... .. ...... .......... . ............. Applicant Same ....... CLASSIFICATION Dwelling 47 1 x261 . .. .. . .. . ............ ................. . ............ ... ....... .. .. . ....... .. ..... . ......... ........ .. ... .............. ........... Permit issued on above Application. 5-14-64 Date, . ... .... . . 19. .... .. 4_ TOWN OF SOUTH WINDSOR a i BUILDING PERMIT May l4 v 6 i� Date 119 Fee Paid .60.00^^ fist. Value 000 CDo ` Permit N° 4824 on the We et aide of �. Poplar Rd. Stet M Street No. Lot #39 II Owner Medallion Homes Inc* Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. 2834 Fee Paid 3.00 CLASSIFICATION Dwelling 47 t x261 z � BUILDING PERMIT N° 4824 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. May 14i 19 64 ig4io to to Tarftflj, That Medallion Homes Ino4 is hereby granted permission to ` 4 7 t x261 at estimated value of $ 15'000 on the West side of �P� Rd!�.J+ 9439 Street on land owned by Madsill an Hume a Said Work to be as described in Application No. 5094 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued mays 196 u� ng n`spYctar. 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 I I Permit No. Z//02"4/ TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN Permit N° 2834 I ` Cerfifote of '� cuponcy .� THIS IS Y that e d I at No. in the o wn of South Windsor, Connecticut, has I been a and completed in accordance with the Building Code and Zoning 7kula ns f th Town of South Windsor, and io-hereby approved for * 77' ,4477K , . 1V ..) Building Inspector I Owner, Builder I Fee Paid d- R Date ,19 fp -� i 3599 ELECTRICAL APPLICATION Application No. .....3.9 Q a........................................................... on the .........West........... ....... ...... .. ............. side of Poplar. Rd•. . .... .... ........ . Strict Street No. Owner Medallion Homes Inc . . .. Electrician Real Dag a na i s FILED IN OFFICE Or The Building Inspector 4-14-6.5.. 19 INSPFXTION. _....................................................................................................................... ....... ........................................................................................................................ .......... ..... 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. I ✓ APPLICATION FOR PERMIT TO DO ELECTRICAI. WORII. �• 3900 Permit No. . ... ..3599.... . 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. a South Windsor, Conn., .. . '�..�. .. 1jl:. Sign here .. ... ... ... . ..... ,�Address .A.,! ......... Ark- Location �. �.d �� ., .... ��'�P�C, . .. Side of ..... . .. ... Nature of Building �..efi?Y .-.:.... How many stories .... / !. .......... ...... ..................................... ................ New or old Building ..... C7,,Oo!r ........ ...... How many families ........ ............................................................ ............... Kind of Installation ... ..... How many Stores . ........................................................................................... Owner -- 'z :.. .... .. / tidresso...... io... .11..��.,e .............. , Architect ... ........ Address 'Builder ....... Address . . .. ......... . ............................................ Electrician Z...... ' . . .. Address —... ... ..ojZ 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 X No. of Straight Electric Fixtures ....�� ......... No. of Combination Fixtures No. of Receptacles ... � .. '.... . ... No. of Cord Drops ... . ........... Remarks: For other kind of Installation ...1� .1� G,...... ........ � . .. . ........................... ........ ............... 00 ..... .. ........... .... ... ... ... ... ..... .... .. .......................................................................................... ........ .. ...... .................................... .............................. ................. ... . ......... ............................................................................ . . .. ............................. ..... . ................... . ..... d � Estimated Cost .��� .... ....... }� 316o PLUMBING APPLICATION ApPL'catian No. 2949 on the ... West side of _................— Poplar Rd. Sleep- Street No. ._.. L c t #3 9 '/ 1 Owner . Medallion Homes Inc . Plumber ....Wm.P 7 t 3f f Filed in Office of The Building Inrpecaor 1-17-65 19 II�TSP�C�iO�. No peraon:ball cwxauet, add w or Am my portion of the drainage symm of any building (except to repair leafs) until a Permit is mod by the Building Inqucaor. /01 291 9 3160 Application No. ... Permit No. . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. &tC- . 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. / � /..yl.... .e...... ./., ... 19 .(a.✓... Si here .. ...... .-Z-1.� �-..' w9 South Windsor, . . .......... gn ........ ...�............ ... Address 2/.Y Location ./a7_7 ................................................... ...... side of ....... . . ........ ........... ........ ........ ....... .... ..... Street ��a,.�2a:e._... How many stories . ' Nature of Building ..... ..�� ..................�.......... �....`............................................................. .�T' 1 .: .. /, ay ......................................... ....... Address ......._. 1.. rn.�.��1.,, -' 6,v Owner . *.. ......... .............. Architect ................................................... .......................................................... Address .................................................................................................................... Builder ... Address . .......... .......... ................................................ Plumber ,� .5 /l•�►��... c.�........ .............................. Address ....►.39:. '.. . ,.G:��... ...........eo� C ':.:�._1�... DRAINAGE CESSPOOLS, How many . . ...... ............. .. ....... Where located .. . ......../ ., ... ......................................................... Are they water tight . .. ................... e.4.... Of what materials are they built .............:...4�z..r��-e......... Size of pipe from house to cesspool ...........���...... Kind of pipe - ... ......................... ................ ................. MAIN DRAIN IN CELLAR, Material Diameter ...... ..... r Aboveor below cellar bottom .... ............................................................................................. .................... SOILPIPES, Material . ........ �...r:,. ............... . ........ Diameter ......-`.... .......................................................................... WASTE PIPES, Material 'Z.. � .... ` � Diameter ✓. .:..::..................�... �. ......................... . ............. TRAPS,Type proposed to use is . ...... ...... .. . . . ......... ............................................................................. ....................... ............... RAIN WATER LEADERS, where do they run to . . ... . ............................................................. ..... ..............I...... ........... REFRIGERATOR WASTES, where do they run to . . . ..... . . ......................................... . .. ... ......... ....... ........................... TANK OVERFLOWS, where do they run to .................................................................................................... FIXTURES WATER CLOSETS, How many ..... ......, ............... Where located ................... Distance,fro%trap to vertical soil pipe ................... . .............. Pattern ....... .................... ......................... WASI6TRA'M How many ...........................,1..... .......... Where located ..................................... SINKS, How many ..... ..... ......................................./........................ Where located ... ...... ........ .... ............... .....!'�. ............ . BUTLER'S SINKS, How many ........................................................ Where located, ................ ................................................................. REFRIGERATOR SINKS, How many . .................................... Where located ........... . .................................... .................................... LAVATORIES, How many ........ ...............V............................ Where located ... `/ .. ......................................... .............. ....................... BATH TUBS, 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 of room where same are to be located ... ye,, .. ..................................................... . .............. .. ....... .......... o° Estimated Cost ...o ................. ... .......................... t x jJu•tam sh, :C1• d� F t N'a"al�iF ; � AH 67'e y, ,k p,�'I,': t, y V' S''' r'+ [ 'b � -3" �• � nW'.a4 'i'i'^ r�"'�9J'f ,,`,$��v4 ,V•..., ,,m.,N;h .� r" t'.¢, }k Yp�j.,zhc'`;a34�''�r �`` .+. Y r _ x., :�a " cj°sr@J£, m� ,`! -, ,�+ ";, �^r` x.s�}',. � ",, ',`'3,°`�' d `<,f„�`= +t'3l'H er°5` nt �'�' `+9r #'. n,s:!.��•. �.,=�� W f! ,' c� `�` k+r�y�p a"s .�'`� r =s y4 .;y+',•`w`K,.4 4, ,w�.,�°4��,,•" ,Wea7,ma�,`?;.3= ..Nr z f 'j -,;, �"1 5�' +Est, `'�', "'xi„. 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"h,,,,, ;�-F{, a��.xa;. ,yr, a 'V - ,rr+' - '�' �k� ^ter'>' ::4,'` i - ,f�-ry ,ri t a~'r�I,, ;,,�`,F�•.,� "i.,% r3, ,t-; sx, 4i a ,�` ,rr•• - '✓'- - , �r,.ifF< , �.,a'i ir„ �'-�••"``,.r '?ram,-+�t r.tU• :��-zj�` -'a;.a,•-a'�+4 ,rt-o_, �s, p'C` '�.r,,n:,ajy �-, �.i' '�,�h ° w .,>4'�.r r' �rx�' .r"1�",4+y�6�` , 1411- 2°87 3209 Application No. Permit No. TO THE BUILDING INSPECTOR Of Th TOWN OF SOUTH WINDSOR AppUcation for Permit to do Heating The undersigned hereby applies for a permit to perform heating work according to the following specifications: Location of Building, No. /_��`-?i �`1 1- Street 1. Number of Lot,1 Side of Street, 2. Name of Owner, 3. Name of Builder, Engineer 4. Name of Heating Contractor,,.X Ufa ..�.�. �—•= Insulated, Yes or No? 5. Material of Building, �� -2• new or old material? 6. Number of Stories, /�t-' Occupied as_7 e4'_C' 7. Number of Tenements, �f Number of New Tenements Number of Offices, Number of Stores, 8. Type of Installation _ 9. Amount of Radiation = sq. ft.? Make of Boiler? r��rL� 10. Size of Boiler ^ sq. ft.? Grate Surface? EX. Cu. ST. Hot Rooms NO. WIDE LONG HIGH WALL GLASS Content RA . ADD Water SEC'T HIGH COL. N. E. +80%—XOatO -- E, +70%= S. +60%=S. W. 1� fo ��v / y 2� .r 2 3 +60%= _5.P Zy W. ' 7 ✓ .3.3 - -}-70%— N. W. 4-80%= N, +-80%= Living N. & W. +90%= (Living S. & E. 4 /✓ 3 /.fin +80%= .,-Dining 1 +70'Yo= Sun Parlor +50%= — Kitchen /0 ZQ — +60%= 3 G Halls �✓ b k 4 e +50%- /k age �tI 3��' +50%= Zf, �,. Sys /✓ - o /ea y +50%_ Z Office +60%= Ext. Total 1,7 Estimated Cost $ (SIGN HERE) C- ----_— (ADDRESS) i TO THE BUILDING ]ENSPEC ]R of the APPLICATION FOR PLAN EXAMINATION AND TOWN OF 501 WIl1IDS(�R, C - BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, /it, IV, and IX. ZONING G • AT (LOCATION) p r DR/cis- DISTRICT LOCATION ( .) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D 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, 13❑ :>z Part D, 13) Two or more Family — Enter 19 ❑ Church, other religious number of units— — — — -i 20 ❑ Industrial 3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel, 21 ❑ Parking garage 4 ❑, Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (1/multifamily residential, of units ——————— — i E] 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 7 ❑ Foundation only 26 ❑ School, library, other educational B. OWNERSHIP 27 ❑ Stores, merconfiI* 8 ❑j 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................ 6L1. 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...................... V ti b. Plumbing ...................... - y /U c. Heating, air conditioning......... �,..� f � j d. Other (elevator, etc.)............11. TOTAL COST OF IMPROVEMENT S 7.xv,ev 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 418• 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 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....................... 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ No 53. Numb r of bedrooms.............. 38❑ Coal 39❑ Oth r — Specify Will there be an elevator? 54. Number of Full.......... 46 0 Yes 47❑ No batter me Partial....... IV. IDENTIFICATION — To be completed by al/ applicants Name Mailing address — ,Number, street, c:tti, and State /ZIP code Tel No. ,'/� Owner Or W / // • 4;�& /-�//? Lessee (� 2. del Oyo COntrac+or 5Cho2v�J.j'� f 'r Architect or Engineer The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisd,ction. Signature of applicant Address Application date 00 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 q Fee StartedApproved BUILDING PLUMBING MECHANICAL S ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained Number By Permit or Approval Check ObDa�ned ate Number I 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. VALIDATION Building Permit number 6-3 Bui Iding Permit issued , G 19 _ Building Permit Fee Ap*,1%ve y: TITLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date July 10 9 19 86 Fee Paid $.4 2 .0 0 Est. Value $..7.,,0,0 0 Permit N° 15 2 5 3 on the side of Poplar Drive Stiect Street No. 11 Owner Walter Parker Applicant na vi a Sw _P t CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Siding/Deck BUILDING PERMIT M 15253 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. july 10 1986 94to is to Crrftfg, That David Sweet is hereby granted permission to at estimated value of $:.Tg.g on the side of 11 poplaw Drive Street on land owned by r Said work to be as described in Application No. ra ra s 3 _ and to conform to specifications and plans filed with said Application, and Building By. Laws of THE TOWN OF SOUTH WINDSOR. Issµed 1986 r4 t e` •�`! i 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." y w DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PE'9Y1 Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Pe t# APPROVE 1540 SULLIVAN AVENUE 644-2511 ext.230 *Date ' ding 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$1,000 OWNER A or any fraction thereof ADDRESS /o /oi o 2 08 i V e so Ut/, rt A 0 'l2 C i d60 7`� OWNERS PHONE# APPLICANT a C ! 1.5 T/G C o U OW ADDRESS 7,3 7Q Z G / a , GF7 ESTIMATED COST$ C - IS THIS A CONTRACT COST? YES NO l� '" C► FEE ENCLOSED $ ,� a v dsOR-C0 TYPE OF JOB: 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 /(&-0-) BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY I?e5 MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD �,Z -3 u SIZE OF MAIN FEEDERS AND RATING OF WIRE USED /0(> 04e D NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS _ REMOTE DISCONNECT REQUIRED 7 YES/NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK ,r- c ,C m �7 Cz/V C/ /SAC' 4010 C e 64" e �h od/[-4,L/ k2. —.3 5 ( Gl 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 SI ATURE OF APPLICANT PHONE NO. g� 61 DATE /g7 Z f i INSPECTOR DATE /U / TIME 7fAA LOCATION �� t�C��'L/i INSPECTION: CODE: RESULT(D/A) : BUILDING: E� t ELECTRICAL: �VI lit � l01 � �Cp C�� �• f Ste. PLUMBING: HVAC: E ` OTHER: