Loading...
HomeMy WebLinkAbout1518 John Fitch Boulevard PERMIT Application For 3779 DEPARTMENT DECISION Cd 0 4001 Heating Permit 3 APPLICATION IS HEREBY; O DEPARTMENT OF LICENSES AND INSPECTIONS N ® APPROVED }❑ DISAPPROVED TOWN OF SOUTH WINDSOR 0 12-18--7-Cd 00 O DATE CH1W VISPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W O W p 1. LOCATION OF JOB co 0 � 0 No. STREET aCj i w 4) LOT NO. FLOOR APT. NO. O O j O 2. OWNER ca cd O G bo 3 S. ADDRESS 4.PHONE � cd S. APPLICANT v� cd ,.w a. ADDRESS a� cad `p T 7.PHONE o S. LICENSE NO. `T y_�e G y c w 9. EXPIRATION DATE OF LICENSE "7 � v 0 10. ESTIMATED COST -4-3 o bq 11. IS THIS A CONTRACT COST? ❑ YES ❑ NO ro 12. FEE ENCLOSED s Permit #7 2 08 � v k is. TYPE OF BUILDING; a� W b0 ❑ RESIDENTIAL E COMMERCIAL cis 3 14. TYPE OF JOB; ❑ INDUSTRIAL � �+ ❑ RIGINAL r / ❑ ALTERATION INSTALLATION ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued from R vers Sid � / 1 1. LOCATION OF JOB NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION; ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER rr� �t� L_J GAS NER ❑ 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. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING e'"Y� INSULATED — YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. 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 L NEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 13 c) Q v u .�T V �© �/ o d d 15. TO BE DONE; 18. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS); ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL LL ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED -J j RAO. REGISTER L W N AND K (INFILT.) TEMP. TO F F:Q, TYPE AND SIZE SO O. OR LEADER SIZE < WALL "O DIFF. 'F F.m 10 FREE AREA F 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; NAME 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. 1-7 9 7e DATE' SIGNATURE OF APPLICANT MAIN OFFICE 4Waybes7t HTFD. TEL. (203) 289-2767 I SPFLD. TEL. (413) 781-2241 Bran Young Chicken 7q"4 aid Pamem# AOL AOUNTY DISTRIBUTORS 1510 JOHN FITCH BLVD. - P.O. BOX 88 SOUTH WINDSOR, CONN. 06074 OCTOBER 1, 1981 MR. PETER DEMALLIE PLANNING DIRECTOR 1540 SULLIVAN AVE. SOUTH WINDSOR, CT. 06074 DEAR SIR: AS PER DISCUSSION WITH MR. KENT CARNEY, THE NEW BUILDING THAT WE HAD JUST REMODELED NEXT TO OUR GAS STATION WILL BE USED FOR THE PURPOSE OF ACCOMODATING OUR CUSTOMERS WHO CALL FOR AND PICK UP AT OUR PLACE . IT IS STRICTLEY WHOLESALE SALES . VERY TRULY YOURS : COUNTY ISTRIBUTORS INC. SAMUEL GORDON PRES . RICI- lVto r1r, 1981 p pI.Ik%"G DEPT. TO THE BUIMING INSPEMR of the APPLICATION FOR TOWN OF SOU-rH WINQSCM&COML 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) J ���11V `-"� 7��1�—�"r'C ZONING DISTRICT LOCATION (NO.)' A p (STREET) �/ •� OF BETWEEN �+�L'",V �cV • AND BUI LDING (CROSS STREET) (CROSS STR T) LOT SUBDIVISION LOT BLOCK SIZE 40 II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use tm M 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 Two or more family — Enter 19❑ Church, other religious in Part D, 13) ❑ pious Alteration (See 2 above) 20❑ 3 number of units— — — — -� Industrial 14 ❑ Transient hotel, motel, 21 ❑ arking garage 4 Repair, replacement or dormitory — Enter number of units ------- — --� 22 Service station, repair garage 5 El Wrecking (If multifamily residential, enter number of units in building in 15❑ Garage 23❑ Hospital, institutional Part D, 13) ❑ 24❑ Office bank 16 Carport , professional 6 ❑ Moving (relocation) 7 ❑ Foundation only 17❑ Other — Specify 25❑ Public utility 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, merconti le 8 RK 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,••••••••••••••• OO� 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 l a. Electrical...................... ���� COOS `� b. Plumbing ...................... 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 asonry(wall bearing) 40 ZPublic or private company 48• Number of stories................ 31 Wood frame 410 Private tank(septic 49• Total square feet of floor area, p etc.) all floors, based on exterior 32❑ Structural steel dimensions .................... 33❑ Reinf reed concrete H. TYP OF WATER SUPPLY 34❑ Other — Specify 421 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....................... 36 Oil conditi Wing? L. RESIDENTIAL BUILDINGS ONLY 37 El ctricity 44❑ Yes as�No 53. Number of bedrooms.............. 38❑ C al 39❑ Oth r— Specify Will there be an elevot r? Full.......... 54. Number f 46❑ Y s 47❑ No bothr ms Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To b c mplet d by all applicants Nam Mailing addr ss — Number, street, city, and State ZIP code T I. No. �.owner or A&1, 610 1510 1 j6lr . 6 rC + t3 i--UP- Lessee co0LJTy P tSlVt6uia� Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signot r of applic l" Address Application da�te p DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans B Notes q Fee Started y Approved y BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Date Obtained Number By Permit or Approval Check ObtDained 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 Permit numb r 12 344 Building Permit issued AUZUSt 10 _ 19 81 Building Permit Fee Approved by: t Z . TI • ;aia a s a as aww as w a�.wwwwwwwaa awe waawwa aawwaRa awwaw aaa w aa. w a � a ■eia ra : ' alrr •�ii •�i :•i r•ltl�uiia rr 's •sris�i �'r•� �¢ • $' r a r e a■: ili Neg ro iesa•t m :•1 are■ ::aa�ioa■!# • ■e•afaerl ■ ae■m • st�a • � _ M�• ■�a r a a rr �i , • � s::•re a s" • . :f arm: s # f■ r � ra•ar �� • a 401 0 Ask r• • ! •r ! s • * s Asa a • sw�ii:a :as ■ ! • •� �r :e�l�s�ss:;N#M :• a:���••a!� ' :r: w�iwasi•#ar:+rirrirr fN � r� ai= �� i�1 S �r owes Iat: MI ■eee!ppp 0 ON so n ■we■S • ■ r • r r ■ • - losses■ asam !■ names am s !a ' a s • •� Sea : iiiiiil7 :ri om so Lit! Ma r sa r roe at M III no •ssIssis rs� ss:s $ss • ' �• . ■ l ■ ■ a f= ■ �ia iGiii� iiiir::i_::ma000i:er i!■riit i� as a� tiaifi rs�i a an ■ s��asa s ss:•• ss :s ='ssse.�.e. ..........:• s•st:s'01s:=.a=.sssssssse • : . ■!r: ::se::::::ea • :fra ■ ■ s fN ■ i iiiira f -i= �ii ::�i=Ire• ars_•;■:::orr•rrrrr�•a■lleaal=�f=HHH •��rra�a er IS � i■�r=aa asrasf#•f■ errrure■ auea:uwea Diu ■a�u af■ r • a • r • .•• a ■ ra! !e■ • a■r ! m arrr! ■flfferffs • mfr ■# Iff, ssssss;ss=I:;:�:.=.sass=�.=°i's � :�:'�:_W _;::°::R!u.,,Ugo mfl: HIMUH �Uss���::ss9 !_ fig,- s. �sj s ��t:s:@1 i::�:saii=ss=:•==_::::;_:= r f :rrfearf!!fe!!!f!lfrr■l::e ■lfrr■f•f •!l : :=f =sane=::s:ss �':C::��'s:ra•a: �i u• 1 is: �■ :s • ■ ■ ■/rf l af■ •fff/rfm■efrr/efefs■s •effef■ feref•ra smfef•f■rffare• alas •fr•fre■offs■ f ■a ■■ ■ r*� s 1! s ::ls:s:asr:s■ ���l��Ijimu :: :s:��:: : : � Uffi::nuu.::M::::::•::::�:s:•! :sH "s::ss:sNo ■ 1 a s■ rl! flss rs �1i _�i 1: f ■sl= •:::ef•!sl=rs=S• :s==r!!=sffe=fearf=lfeela=falff ffaeffala=afa••.....•fears•=ff:I■ssafS=! ■f3■ Ia=■! iai as=�•■ i• :� e . e= �• •eras a a mass !e• f/f ee■ r/f elf/■ ssss•f esfms■er•eesf■ • •lase fm■frs/al e•■ f ■• ! •mr M •f a ■! • • ma =;=sea==si:1nu:saaazs==s=ass s:9s= ss'sssssss:ass::s==:asse?'saassssse$s'ss=�=saa sMIlIIIIlmuHus eto�amass:as■e�:Zaefraeel:s:■f:::ff� f::s se•reflfm�flrii f■ ffffuff/eefeea■:leflsmaas ■ ■f l� ■:■ =ass'ss=aae=area=sasaass:=a =0:86 an 1-sal asa ::aa eas::==sssea e s rasa==aGS 0 I�� nsiss::as°�sss1� : � •m �s..rasaf■fafasss....sss..fss........a.i.se.=.snafu•effae:e..:........s..s..s....:s.iiisaaas=':ssas� :ssa=i iNi Ilifi , =an 1 . .. .. .....si..= ..s.ee•==ewrfs..r•ss. ........=...m.....5......s...=.....fa..si ears s:t if ss • s ! Iss•sss= ___l= =:::••f: f _: ::: ■faa f■ a�ifram=ff■ •oafs•=rf ea=a■f fee lfefe■ =:ssssss� ss $� is = .■ is ::: ::!!f• elf■ •/ff f!!f■ •ffs• • af■ f•ffrr • _�� ■ ■f 11 s:sa 1sssNS ss s.s.::ssssssss.srrfs:...ass=...s.s...s...s..s....ss.......ssssf=•ass••=ass ss illu IIglm . a _ a moo ss as all 111!iiii1n: s =:sj::::==:s:•=ass=ass�� ....ss : _ : s gn =_: s ss s uss•• :soa=s�ssss =s = �� ___.. . . . . .. .. r s::s:f::::cell=:if=::::f::=•=::::••:,m■e::s:e::::f:::::f::::::::::::::::::::::ff:::/f:s::f:s::/::::eeasissi: :f■=s :ssa f�si ee .�frs=siiisfr/ma =:;:s:s�::s:t:;:s:o::;=s=:::;s:;:;:s�: ::::::_::1:::::::s::Nz;::��::::::::c:e�=:l:::s�:::e�:::::::e:; ::s: = g�: s�•�as�=-s-�ls�N--- -----:::::�: TOWN OF SOUTH WINDSOR BUILDING PERMIT Date kug. 10 , 1981. Fee Paid $. . 2.4+.00 Eat. Value $.4.,0.00.00 i Permit N? 12344 on the aide of John Fitch Blvd, Sty Street No. 1518 Owner Sam Gordon-County Distri. Applicant JHC Construction.Inc. CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Repair roof and walls BUIIDING PERMIT N° 12344 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 19 81 � t to to (fei ttfg, That is hereby granted permission to at estimated value of $ 4.000.00 on the side of 3 151 Q ;94�n F ••Gam' 1 Street on land owned by Sam r.01-Ann-rcmilgit-y Distributors Said Work to be as described in Application No. 12 6 14ZL . and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Aqv ew 19 81 7 ddaeg Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by harms during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECT I CUT: "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 costa and damages which it shall sustain, or 6 compelled to reason therefor." Application For PERMIT # 6492 5391 DEPARTMENT DECISION 0 Heating Permit 3 APPLICATION IS HEREBY: 0 w DEPARTMENT OF LICENSES AND INSPECTIONS MPPROVED ❑ DISAPPROVED .� C TOWN OF SOUTH WIN DSOR o 4 ATE HIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O A p 1. LOCATION OF JOB f�8`T D'kl I"177e- 4?1✓ - 1~ o 1.4 Oa_v�est ck12[GarJ, . 5 ij0 O• STREET c� LOT NO. FLOOR APT. N O 0 I�r • � O 2. OWNER A" � c ''WI b O V a y11�s�� :3 0 s. ADDRES CD CD �J �J�����C� >00 Cc —r -PHONE f S. APPLICANT 3 GM 40 e» � o cc 6. ADDRESS +6 ' ��mt�4 V • 7.PHONE LICENSE N0. d O l 06 o ' 2. EXPIRATION DATE OF LICENSE a v c� � O 10. ESTIMATED COST S A aW2 r= b0 11. IS THIS A CONTRACT COST? ❑ YES no .a; 'v 12. FEE ENCLOSED wis 9 9 [�L�l x W IS. TYPE OF BUILDING: bo ❑ RESIDENTIAL f COMMERCIAL c cc14. TYPE OF JOB: ❑ INDUSTRIAL 3 """' �"' ❑ ORIGINAL ALTERATION INSTALLATION ADDITION REPAIR 1 PPLICATION FOR HEATING PERMIT (Continued it m Revene Sid 11. LOCATION OF JOB ' `�• NO. STREET FLOOR AFT.N 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION Cl SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS Cl"'0' l Work- IDENTIFY SIZE LOCATION SIZE SIZE OF VENT 13. OF TANK OF TANK OF FILL _ �r 0 Ctr -f NNET ! � DOO FIRING RATE 3 S ta. B.T.U. EQUIP. AT REGISTER FURNACE NNIIAAKK fvII BOILER OR FURNACE MAKE AND NO. B.T. OR SQ. FT. NET RX.CbR SQ. FT. GROSS FIRING RATE ES Ls81� FLOORS TO BE HEATED NEW OR LD UILDING INSULATED — OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. 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: VOL xfiel� -�- L� v2_o� X �O � a'r�_e Q 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FCrRJLL JOBS): WINDOWS e.T.U. a,T•U•TOTAL TOTAL ¢ D DISTRIBUTION INSTALLED ROOM slzE AND DOORS AREA — SQUARE FEET VOLUME o�I-O ;n 4 ROOM NO' GROSS OLAS! NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j I- RAD. REGISTER K AND (INFILT.) TEMP. TO TYPE AND SIZE OR LEADER L W N SIZE < WALL 'Ltd DIFF. •F F m N SQ. FT. FREE AREA f 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 te. 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. 1 z C? DATE SI TU E OF APPLICANT Electric# APPLICATION FOR BUILDING PERMIT !Plum # 1518 JOHN FI TCH BLVD HVAC # 26154 Date: Sprinkler# N0' mo FINALAPPROVAP Estimated Cost yo/4==PC5>- Building / 9ci -- COMPLETE RED BOXED AREAS Permit Fee $ /Ztd Engineering lotto TYPE OR PRINT ONLY Occupancy Fee $ Aff' �� SIGN REVERSE SIDE Total Fee Zc� Appr.for CO. l TO BUILDWC'DEPARTMENT,TOWN OF SOUTH WI4)SOR,CT ClAdditional Cost) $ The undersigned hereby applies to do work according to the following specifications: Jo6 Location 2 T 0'- Jo�&/F � 5141.ot No. Side of Street Zone Applican �S ,Q•SEE Tel#91e-2%Wa 3�7 Addr ssG3 oGT> Llii�SioyG �•� ��d��'1ipG�yoc�lic.#®�ao Z�7.3 Ownej � d2ig713• Address ✓'`-- Architect Address Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl Total New Area #Rooms #Lavatories #Bathrooms #Garages , Purpose of this/ *rmit:lJ�-C e-or sT.�.�G �iQ4� �/� City Water ❑ Well ❑ Septic System ❑ Sewer ❑ Ins. H.O. S.P. Cert. Area 0 Basement Garage Approved by 30— Date 17 Use Group Construction Type Rr nd 1/97 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 locat4iich this building and its use is allowed. Sign i hereby apply for a Certifica pancy 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 ------------------------------------------------------------------------------- 99-26154-B 10,000 B09 OTHER 05/26/99 JRC PIPING AND TANK ISLANDS REPLACED--NO PERMIT B10 FINAL 06/01/99 JRC A CLOSEOUT PER LETTER FROM CONTRACTOR IN FILE TO FM 99-16282-E 6,680 DEPARTMENT DECISION PERM[IT# APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bld Permit# APPROVED 1540 SULLIVAN AVENUE 644-2511 ext.230 Date Building Inspector Application must be printed or typed Location of job 151 E3 -70hr) !;&h &VD CRIV-s`� F� Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. $0 - $11,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER f— Ef 0+oe S or any fraction thereof /I ADDRESS 1,,T,10 3.0ha OWNERS PHONE# APPLICANT ?)F,ji:010 Pill ADDRESS - 3 knok < 660D ESTIMATED COST OST$ 0 , IS THIS A CONTRACT COST? YES NO f*4W FEE ENCLOSED $ C>7 410 SOR ..rqw 0 TYPE OF JOB: Original Installation _jC'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 INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING-METHOD 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 NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK 7� r/6i�7 d prn SirlTi�l )JV c �r`fr��' n'ID`I/ 46 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. f 61� 1d ��3 ,g?" NAME STATE LICENSE NO. TYPE SIGNA OF APPLICANT PHONE NOrhP �� DATE ';7- ! / y 7. re/b a t xrs 7i�G V DU/ � S soh � 6 / � I� r I ' I uas Ra i114V r yv SG�G� MEEKER PUMP and TANK Contractors, Inc. Sales — Installation — Removal May 27, 1999 Fire Marshal 1175 Ellington Road South Windsor, CT 06074 RE: County Distributors 15'10 Route 5G— `� South Windsor, CT Dear Sir: On May 22, 1999, Meeker Pump& Tank Contractors, Inc. air tested and soaped the new single wallfiberglassproduet line-from lank-to-gaspump and from submersiblepump to diesel dispenser for one hour and found no leaks. Sincerely, MEEKER PUMP AND TANK C NTRACTORS, INC. James R. Meeker President JRM:pah 63 Old Windsor Road, Bloomfield, CT 06002 860-243-3470 Fax 860-286-8199