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HomeMy WebLinkAbout121 Natsisky Farm Road 1/ y � 7 PTO BUIOLDING THE INSPECTOR 3 of dw APPLICATION FOR 'TOWN OF SI0tMj WUMSM COW PLAN EXAMINATION A N D BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. p I• AT (LOCATION) ZONING D STR CT�3 LOCATION (NO.) (STREET) OF BETWEEN '0�1'/--c-L� �C�l AND BUILDING (CROSS STREET) •(CROSS STREET) SUBDIVISION MOUNTAINVIEW ESTATES �— LOT l�X l7S LOT BLOCK SIZE__175_)( //75 II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT 70 D. PROPOSED USE For"Wrecking"most recent use m m 1 New building Reside tial Nonresidential 2❑ Addition(1/residential, enter number 12 j7One family 18❑ Amusement,recreati nal o/new housing units added, i/any, in Part D, 73) 13❑ Two or more family — Enter 19❑ Church,other religious 3❑ Alteration (See 2 above) number o/units—————► 20❑ Industrial 14 E] Transient hotel,motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking 0/multifamily residential, o/units ——————— —--jo _ 22❑ Service station, repair goreg enter number o/units in building in 15❑ Garage 23❑ Hospital, Institutional Part D, 13) 6❑ Moving (relocation) 16❑ Carport 24❑ Office, bank, professional 7❑ Foundation only 17❑ Other — SpeciJy 25❑ Public utility 26❑ School, library, other educati nal B. OWNERSHIP 27❑ Stores, mercantile 8 E Private(individual, corporation, '' 28 ❑ Tanks, towers n nprofit Institution, etc.) 29❑ Other — SpeciJy 9 ❑ Public(Federal, State, or local government) C. COST (Ornit cents) Nonresidential — Describe in detail proposed use of buildings,e.g.,f ad ' processing plant, machine shop, laundry building at hospital,elementary 10- Cost f improvement................ 471-0 school, secondary school, college, parochial school, parking garage for, deportment store, rental office building, office building of 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...................... , D . Plumbing ...................... G .. c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ 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❑Mae my(wall bearing) 40 0 Public or private company 48• Number of stories................ 31 W d frame 41 ❑ Private (septic tonk, etc.) 49• Total square feet of floor area, 32❑ Structural steel all floors, based on exterior dimensions ..................... �0�� ........... 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — SpeciJy 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 th to be central air 52. Outdo rs........................ 36❑ 011 conditl ning? �No L. RESIDENTIAL BUILDINGS ONLY 37 CD Electricity 44❑ Y e 45 53. Number f bed? 38❑ Coel ms.............. 39❑ Other— Specify Will th to b on elevator? 54. Number f Full.......... 46❑ Y s 47 V N bathrooms Partial........ I IV. IDENTIFICATION - To be completed by all applicants Name Meilinj addr ss — Number, street, city, and State ZIP code Tel. N 'Owner or Dart Hill Realty Inc. 658 Ellington Road Lessee South Windsor. - 2. Same Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Applicoti n date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Revi w Required Check Plan Review Dote Plans B Date Plans B Notes 9 Fee Started y Approved y BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date Permit or Approval Check obtained Number By Permit or Approval Checkobttained Number 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 _ P rmit numb r Bui Iding P rmit issu d �� 19 Bui Iding Permit Fe $ APP e 11T A TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Mar- d 9 19 87 Fee Paid $.4.3 2..0 0 Est. Value $. .7 2.x 0 0 0 Per"' N° 15653 on the side of Lot #107 Natsisky Farm RdStreet Street No. 121 Owner Dart Hill_ Realty Tnc__ j Applicant D -hnrah Rurnham CERTIFICATE OF OCCUPANCY ISSUED: i Date No. 8095 Fee Paid $ 3 .0 0 CLASSIFICATION A.SSIFICATION IIwPlling BUILDLNG PERMIT y' 15653 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Mar. It 1987 1. ig#is is to Certify, That Dart Hill Realty Inc. is hereby granted permission to Dwelling at estimated value of on the side of Lot #107 Natsiaky Farm Rd. Sates on land owned by Dart Hill Realty Inc. Said Work to be as described in Application No15 9 5 3 and to conform to specifications and plans filed with said Application, and Building By. Laws of THE TOWN OF SOUTH WINDSOR. Issued Mar• 4 107 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." Dwelling - Lot #107 Mtn.Vw.4 3/4/87 Realty Dart Hill ReRd.Farm permit # 15653 121 N atsisky i./ chard Barrett # 9635 Rl # 6738 Electrician wndsr ,,eating Contr• South Bing # 7304 plumbing Bing 11 Ht P 1 # Burner - # 8095 oil CoeupancY certificate of '7l��I�? Sewer Permit rd. per Engr- Plot plan app 7 Zi�icelofl RAW* Permit # _ Jo 1 Footing 2 Foundation 3 Framing ' 4 Wiring 9 35 tG13A WRE 5 Plumbing . F7"�LFMbVeL 6 Heating 73S S. 0 , ? EA 7 Lathing 8 C.O. Izy),57 i Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. I I Permit w 8095 I Certificate of Occupancy t THI Iy�TO CE IY that th I - I at No. 4 "'�.' '1 thq� o of South Windsor, Connecticut, has been erected and complete in accordance witt the-"�B Idrg Code and Zoning Regulations of the Town of South Windsor, and is hereby ap ved r pccupancr: Building Ihsp ctorJ I Owner, Builder; I Fee Paid ? Date 19 r CERTIFICATE OF OCCUPANCY CHECK LIST Applicant /J��L- Certificate of Occupancy Address �s /- � 12-,eBldg. Permit No. - Lot No. Date Submitted --r� ✓-�7 Project Reviewed By Date --e"? As required in the Zoning Regulations, no certificate-of-occupancy shall be issued until grading plans have been complied with and approved by the Town Engineer. The minimum requirements shall inlcude: Approved Denied N/A 1. Approved building permit plan. r� 2 . Finish grading per approved building permit plan. 3 . Site work; i.e. trees , shrubs, dumpsters required parking 4 . Utility location a. sanitary sewer b. foundation drain c. electrical & telephone d. water e. other 5 . Appropriate certification 6 . Bonding Sewer Permit No. Pavement Excay . No. COMMENTS .- REINO E. HYYPPA a ASSOCIATES CIVIL ENGINEERS 6 LAND SURVEYORS GLASTONBURY, CONN. ��PE�1 SPAC_C 31U 3+L _ I�1 C�S' a 4' 4 9 Ic AREA= l?QUO S. DR +ACE w � ' Lo to / � {�• PAL`' a 15 OBI% � �`--' z 1 AA S, 1 f -r iz• 50 13LUv � 2Z' � f - S J�" 4 4' 4 9' E _ � NA�SISK`C FARM ROAD LOT LINES FROM MAP 00 FILE TITLED, 'OPEN SPAZE SuE5DIV1s1oN A-30 ZONE PLOT PLAN SECTION 4 MoUNTAINVIEW ESTATES SOUTH Wlwo_-oR,�1JtJ•°BY Rnmo E. H-NPPA *AssoclAtEs 5 ALE ICI=40' DATE. 4-9-8(o MAP N(o. SHEET 3 OF 1'3 :;NEETS RcV. PREPARED FOR FC)., L oC A-T*-o A-�St ..,� 5-!>-81 wo ��+-i� �Io`AT,o�� w,Tw DART HILL REALTYTo �u,�.��N'3 Lc�CATI��f NC. 1 CERTIFIED :uesTANTIALLY CORRECT SOUTH WINDSOR, CONN. SCALE C=40' PATE: Z-18-6-7 ��19-85-10-7 0 (0 t C-T.,R 5 D 0vt T V AT CERTIFICATE OF OCCUPANCY CHECK LIST Appli cant cant ✓ / rti f icate of Occupancy O I Address c �ldg. Perau.t No. �5�` .� Lot No. 14a7 Date Submitted —a7 Project -zv Reviewed By Date _8 As required in the Zoning Regulations, no certificate-of-occupancy shall be issued until grading plans have been complied with and approved by the Town Engineer. The minimum requirements shall inlcude: Approved Denied N/A 1. Approved building permit plan. 2. Finish grading per approved building permit plan. 3 . Site work; i.e. trees, shrubs, dumpster: required parking 4 . Utility location a. sanitary sewer b. foundation drain c. electrical & telephone d. water e. other 5 . Appropriate certification 6 . Bonding Sewer Permit No. Pavement Excay . No. COMMENTS : fi'/ BUILDING PERMIT CHECK LIST Applicant Building Permit No. Address Date Submitted Lot No. Reviewed by -,3 e�> Project Date ��� In accordance with the Subdivision Regulations , prior to the building of any structure on a lot, a Topographic Plot Plan shall be submitted for approval. The minimum requirements shall include : Approved Denied N/A r/ hone number of o/37 owner/ 1. Name, address & p applicant. <o j 3 -4-Z/a 2. Name, address & phone number of plan preparer. t/ 3. Zoning information - i.e. zone�o_pen spac , fl oodway, etc. 4 . Plot plan at 1" = 40 ' scale. c� a. Subdivision reference, abutting properties , etc. b� b. Easements of record. r/ c. Lot description, bearings , distances , building lines, area, etc. r/ d. Contours , existing & proposed, 1 or 2 ft. interval, where appropriate. e. Building location with dimensions . Elevations of proposed finish floor, garage floor & center line of road at driveway. f. Elevations of gravity drainage systems , sanitary & foundation drain at the house and the street. g. Tentative utility location gas , electric , water, etc. h. Title block with name and address of preparer, date appropriate certification, live seal and signature. 5 . Sedimentation and erosion control . 6 . Special Planning & Zoning, Inland/Wetlands considerations . (Plans on file w/Town Clerk) BUILDING DEPT. PZC IWA/CC WPCA OTHERS COMMENTS : 3 9635 ELECTRICAL APPLICATION Application No. on the side of Lot #107 Natsisky Fm. Rd-Street Street No. 121 Owner Dart Hill Realty Electrician Richard Barrett FILED IN OFFICE OF The Building Inspector April 22 19 87 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 ere stops (if of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit No. ........................................... Master License No. Lr ... . II a�' '..........1 ................ ........ TOWN OF SOUTH WINDSOR Building Permit No. .. �r'�^ .�........................ Date Filed .. .............................................. Date Final Approval ................. ........................_..... APPLICATION FOR ELECTRICAL WORK Electrical Inspector Co JOB L . '�.......................I..... ..............._. JOB OWNER:-m ............................ ..... .............................. �rr�� ` CATION-��.� Side of 4...... ..... ... Between ..... .��1 and ... �.. �,. .. Name of Building Owner ........ 1��...t,, Address .1�........ _.....� ............ ........ If work is for Lessee--Give name Address Building now occupied as (unles new) \..'Q.:W.......... ...... . ...... . .... No. of family units now .......�.7 7.............. Building to be occupied as ........... ......... Number of family units to be .................I Is this work included in a Building Permit? Permit Fee ................ .......... ...... .. ........................................................._..................._..... v (If no Buildigg Permit) _ Permittee .. �'. ��... Business Address ...�...t . .. .C ele hone C�.l..... . �+J P COSTOF INSTALLATION. . ........ ..... ................................................................................................................................................................................................. TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed ....... ... . Number of convenience outlets to be installed . Number of present Appliance Circuits ................................................... Number of switches to be installed Do these include Range ❑ Water Heater ❑ Number of appliances to be installed . . . ..... .................. (as listed below) Dryer ❑ Air Conditioner ❑ Oil Burner ❑ TYPE RATING NO. Dish Washer ❑ Gas Burner ❑ Range Well Pump ❑ Elec. Heaters ❑ Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater Clothes Washer . . . . LAC n, Clothes Dryer . . . . . K� 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 ...................._.. 1 ....i+�o --_. 7304 PLUMBING APPLICATION A►ppbtio.N[m 6972 on the aide of t.z>T l o � I�Natsisky Farm Road saga f,&x /.;?J OW= -Part; Hi 1 1 RPa1 ty Tur, _ ply S. Windsor Heating & Plumb Fled in Otis of The Bu"m Lrpoe2or May A 19:. IId8l�Ql�� No person " Comm=*, add m or abw aq portion of die &aioa®e Mmaa of aq bwUm (emxpt to repair lab) aaa a Pkrait is gmuftd by the APPLICATION FOR PLUMBING PERMIT (Continued fr m Rev rse Sid ) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB Lot #107 Natsisky Farm Road NO. STREET FLOOR APTAO. GENERAL PLUMBING 12. KIND OF INSTALLATION Residential 13. SIZE OF MAIN DRAIN 4" 14. NO. OF TOILETS 3 STYLE tank 15. NO. OF URINALS 0 STYLE 16. NO.OF BATHTUBS 1 17.NO.OF LAVATORIES 3 18. NO.OF SINKS 1 19. NO. OF WASHTUBS 0 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS 1 SIZE 3 22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES 1- KIND 31 shower 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? yeS 27. SIZE OF WINDOW electric vent fan 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 311 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? yes SIGNATURE ADDRESS 524 Burnham Street OD 528-4413 203068 LICENSE NO. ESTIMATED COST 621` TELEPHONE _ OWNER Dart Hill Realty Inc. ADDRESS 658 Ellington Road WATER HEATER 31. TYPE gas fired 32. MANUFACTURER A. 0• Smith ` TANK SAFETY DEVICES 33. CAPACITY 40 gallons ___ 37. TEMPERATURE RELIEF VALVE 210 34. TEST PRESSURE 150 38. MANUFACTURER Watts 35. WORKING PRESSURE 80 39. PRESSURE RELIEF VALVE 150 36. TYPE class lined 40. MANUFACTURER Watts 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. __ )7. "exr �_:57 CON2 DATE SIG E OF LICANT - PERMIT # - Application For --7 a DEPARTMENT DECISION Heating Permit 3 APPLICATION IS HERESY: DEPARTMENT OF LICENSES AND INSPECTIONS " *A"VED DISAPPROVED TOWN .OF SOUTH WIN DSOR S7 ap DATE CORIP IMfttCTOR APPLICATIONS MUST DE PRINTED OR TTPED. Dta11I WITH NYMDER ME DELOW O .� 1. LOCATION OF JOB Natsisky Farm Road � � No. sTRtn 107 LOT NO. FLOOR Q0, i 49 N �. 0 a. OWNER Dart Hill Realty Inc. ° !. ADDRESS 658 Ellington Raod o � South Windsor 4.tH NE 282-0628 � •� •. APPLICANT South Windsor Pltanbing � 524 Burnham Street O .. ADDRESS � - • 7 - South Windsor ?.PHONE 528-4413 gx - •. LICENSE NO. 307190 CL S. EXPIRATION DATE OF LICENSE 1 n/1 82 44 10. ESTIMATED COST • f .-. 11. 0 THIS A CONTRACT COST? YES 13 No b 1!. FEE ENCLOSED • 't 1!. TYPE OF DUILDINO. Q Et RtRIDtNT1AL ❑ COMMERCIAL 14. TYPE F JOB: INDUSTRIAL �¢ ORNiN1AL ALTERATION INSTALLATION AODITI N RIPAIR APPLICATION FOR HEATING PERMIT (C ntinued from Rev roe Side) 11. LOCATION OF Jos Lot #107 Natsisky Farm Road NO. STREET BOOR AFT.N 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER GAS BURNER ❑ STACK ❑ INCINERATOR im 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. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. Gg B.T.U. OR SO. FT. NET'a" B.T.U. OR SQ. FT.GROSS — FIRING RATE--- FLOORS TO BE HEATED NEW OR OLD BUILDING &lj=w -INSULATED — YES OR NO �� TYPE OF WALL W��/'� INSULATION �'-SC;�l�i ROOF OR CEILING INSULATION 4'" AVG. SYSTEM WATER TEMP. I 412 H.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 4? �-, *FAHRENHEIT MAKE OF RA15 IATI ON(15EBOARD COPPER CONVECTORS.OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. DESCRIPTION OF WORK y �' ,s. TO BE DONE /a T-����' e i1 � ��' �L.rx ti ,a. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): Room slsz ANO 000wf AREA - SQUARE FEET �� a'T.U. 8.T.U. i DISTRIBUTION INSTALLED LMMTOTAL TOTAL Room NO' 3 GROW OLAU MKT MAL Cf:ILINO FLOOR CU.FT. AT 70•F CORRtCT[D t j I A MAC. Pt LIKA 9 TVFt ANO fIZU R LSAOtw L ~ N f�t WALL gyp IINFILT.) raFF.w. TO .F :i f0. FT• FRUZ ARCA • 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 8 C) FACTOR ELECTRICAL WORK BY: Al;o"e 22ze-,,, '% NAME ADDRESS SUBCONTRACTORS AND ts. 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. 6 , DATE NA YR F A►P ANT i w-9m-v'EALcjJLATJ0N SHEET=3 MOdom M j _ 1977 by The Hydroalcs Inftitwts AooRtss 1 Of AM /'lw w!/*q4 ��i71�s 3 3O 1-7 ICE t TiLM►ERATU"DIFFERSUCE.�._�.F. DATE *jz`{ Coi,lk ti sm Aof Q H L W M L w N L w L" w' H L W DedMp-Wel r Tang _ RaawtCll�IEN ONS,FT. 1- �,a�2 f3 ozr /3 �. /O' / 0� "Tul"Par Fe"of 3 L@ntC3Tq Eroa1&xD WALLS,FT. < ., '�` / RAdkWon Selects Et1Ni3Gp&NO 001VIEW 0I AiRix BTtR+i E`RJN /�'uN BTr�r = eruN - ' G. WAi.:'CONST-mucTiolo I ION f iTal�s!L a Hi ROOM LIN.FT.OF - /�' �(' TOTALS RADIAT/QN E TYrE ji1R D FROM LINE 12 SKLECTEO - � �!!n uMdl I I Lint s) /faCl /!YIO 0 Riucym (Tabh 1,L x-MI) t7`810041 6,L x w or Ur L FL) 1Lf /�}D 4'` /!4 C? —' E d E COLD IrRi1TiTTON CONSTRUCTION tic Z twIlh O x 4/l Cl� a © Ff �� f 4wlth Op"kw►Or E wt.HMI � - t.1 4L 1TUH AT 70F TEMP.DIFFERENCE• �..�Q4 7_-.ICI0 ei�S �'f r'i/Q 0 d G f 1 AL 4TUN AT DESIGN TEMP.DIFFERENCE K %::'/0 O 9 OF COL-A OL.B COL.H COL_.I COL.J COL.K COL.L TOTAL slur+ TOTAL ROO'm Q kf7ZWAC UA*W A+leA-W deW&VOYAPIO 41AW OF BUILDING RADIATION AT SELECTED Q N L W M L 11 w H- L w L W H L w o"I"TEMF.• now 1AM& MOMS,FT. "' jT /.�. /D G aZ3 /� / /ate f.�'6 L DIFFERENCE a WNQTN EXPOSED WALLS,FY: < B • 7 ` off'?' iMINt o"AND OUTSIDE DOOR AREA BTUN BTU" STUN BTU" BTU" 6 MIAI:L C4N8T*UCTION !INCREASE BATHROOM (Table ill,Line 3 x H) ,rT� �Q' `q�Q j) TOTAL 20% E TYPE OF GLA= _ i w table used for i.ine!" ©V �f4641 ` 7 CEILING CONsTRUCT-ON tFOR CONCRETE FLOOR ON t VIM GROUND OR FILL AT Mble Y,L x �` , Q a Q GRADE LEVEL,USE LINEAR A FLOOA IONt FEET OF EXPOSED EDGE iTe11I L x IN or Lim FL) - � �1.4 FAkTIT10N CONSTRUCTION x H, to w•N ILNI*opw*go A •WM � erd' /oil O .3 rao /34G f8'O 3 two*Opw*wd or got Plait 1 f TOTAL BYWAY 70F TERM.DIFFERENCE• tS "i'O't'�►L Rurt D N Tamp.QIFFERENCE 704 This'" 1$syspmW from The Hydronics Institute,35 RUUD Flak Berke) N FORM 1503 x- o.Berkeley elEhts�,N.J.O�?Z PERMIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT /15D D Application is hereby : TOWN OF SOUTH WINDSOR APPROVED DISAPPROVED BUILDING INSPECTION DEPT. 644-2511 Ext. 230 �U Application must be printed or typed. D to Building Inspector 1. LOCATION OF JOB /Z4 IMPS1su.Y 1�,412rn FEE SCHEDULE No. Street i $ 0 - $19000 - $10.00 Floor Apt . No. Over $1,000 - $10.00 2 . OWNER 2kc-44Q-p I<(DI-,gSPf per $1,000 or fraction thereof 3. ADDRESS I'L1 K�kTS[SKy 7942M 4. APPLICANT (,t). 1,Q E JO2� Z�lEC-i R�� 5 . ADDRESS 23 S �uryti�1G,►►z ` . 6 . ESTIMATED COST $ 7Z5 f 7 . IS THIS A CONTRACT COST Yes No 8. FEE ENCLOSED $ 10.OD i 9. TYPE OF BUILDING: VI 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 12( �1�I SIS VL ( T74-d2.M VD NO. STREET APT. NO 12 . TYPE OF INSTALLATION IC, C14" /00 AM/2 ?a ,?env _ 13. SIZE OF MAIN FEEDER Z/1h /qL. 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 f 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 K1Go.�� 35 . REMARKS AND FURTHER DETAILS : /a! i S 5 4 LICENSE NO. SIG ATURE OF APPLICANT DATE PHONE NUMBER: elj�Y'��o6 Lot No. . Building Permit Temporary Service Permanent Service This Certifies that the Electrical W Pursuant to Permit No. has been duly inspected and is hereby far which the above nam d Permit wa � Y approved. s granted Owner Electrician Street 19�j\ Bw ding Inspe