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100 Oakland Road
5407 ELECTRICAL APPLICATION Application No. 5 718 on the side of Oakland Road Street Street No. 100 Owner John Stevens Electrician Norman J. Dal 1 ai re FILED IN OFFICE OF The Building Inspector December ,5 19-- 3 INSPECTION. 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. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. .....5.7.17..................... Permit No. 54 07 ............... TO THE BUILDING INSPECTOR of the 3 TOWN OF SOUTH W INDSOR, 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. South Windsor, Conn., ............... Z ..... .... ....... ................... 19/**3Sign here Address .0.2...-.e... ,%1...... ....._.... Location . ...... .......... . Side of .............` ......-�fr.� ... ...-:G���........ ..�„�' ......... How many stories ................................................................................................. Nature of Building ....,.�:....,,,�..�,�'. .. ... .......... Nw or old Building ................................................................ .... ............... . How many families ................._......................_........................................_........... Kindof Installation ..................C Gam............. ................ How many Stores ........................................................................................_........... Owner .. .. ... .%�'�.r...... .�. __............... Address ................................................................................_.._....._.........._..__...... Architect .............. .................................................... .... ........................................... Address ............................................................................_................ _...._._.._......_.... Builder ...................._... ....................................... . .... .......................................... Address .......... ................................................................................ _...._......_..... Electrician . . ... . . ... ...� ... ........ Address .yr�...�J......�.0.�..... ......" 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 ......................................................... .................................................... ................................................................................... .................... ..�_ ;�....... ...........{ e.....00sF ...........- / c��.- �c-......................... .... ....................................................................................................... ............................ ............._......................................................................................................................................................... ........................................................................................................................................................................................................................................................................... ......... ................. ................... Estimated Cost ................ ��... "' .............. DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WIlVDSOR PERMIT'# Application is hereby: mk?2 BUILDING DEPARTMENT App 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 6 $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT J� f 1::'Iec (�P- APPLICANT ADDRESS P.© /✓ ®5K AWS-T-0 Az 6),6 2-1 APPLICANT PHONE# 373 7 9 O zf e6 W N S OWNER . _ n.Zi1��K ps ,r/�uy � y P- O OWNER ADDRESS -tex S'ie�- Py,*f7� 0 _ OWNER PHONE C ESTIMATED COST$ 00 haw IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ �z S TYPE OF JOB: OR C New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES UP05 UIESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY 501- ,e ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS l 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 NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK n r eX of p w A/e)V,, -P12viC P THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. /� 1 00 O a F —( 2, 1 CONTRACTORS LICENSE NO. STATE ZL;�r SIGNATURE OF APPLICANTDATE Z / D Shirley Wilhelm - CRS Approval Confirmation: Request No. 215453 Page 1 From: <clpsvc@nu.com> To: <WILHEL@SOUTHWINDSOR.ORG> Date: 7/2/02 12:43PM Subject: CRS Approval Confirmation: Request No. 215453 Your approval of the following CRS Request has been successfully processed. CRS Work Request#: 215453 House No: 100 Lot No: Street Name: OAKLAND RD Town Name: SOUTH WINDSOR, CT Inspector: JOHN COLLINS Approval Date: Jul 02, 2002