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HomeMy WebLinkAbout11 Kent Lane 09 V 9 11�To THE BUIULDING INSPECTOR 3 of the APPLICATION FOR PLAN EXAMINATION AND �� OF ��H WII4DS�OR,�M BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX. O ZONING • 1• AT (LOCATION) DISTRICT�� LOCATION •) (STREET) t mml:s- LOZLC OF BETWEEN AND BUILDING (CROSS STREET) (CROSS STREET) SUBDIVISION r111\ba I kn011 LOT BLOCK SIOZE 7l-ice? s , N 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 New building Residential Nonresidential 2 Addition(If residential, enter number 12 family 18❑ Amusement, recreational in Part D, 13)of new housing units added, i/any, 13tne wo or more family — Enter 19 ElChurch, other religious number of units— — — — —► 3 ❑ Alteration (See 2 above) 20❑ Industrial 14❑ Transient hotel, motel, 21 ❑ Parking garage 4❑ Repair, replacement or dormitory — Enter number 5❑ Wrecking (IJ 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) 7❑ Foundati n only 17❑ Other — Specify 25❑ Public utility 26❑ School, library, other educational B. OWNERSHIP 27❑ Stores, merconfile 8XPrivate (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,,,,,,,,,,,,,,, S ile��Ogpaschool, 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 o. Electrical...................... b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ 111. SELECTED CHARACTERISTICS OF BUIL ING — 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 %A�32 Structural steel dimensions .................... V00ILL 33❑ R inforced concrete H. TYPE OF WATER SUPPLY �1 34❑ Other — Specify Public or private company `�• Total land area, sq.ft. ........... 01 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35❑ Gas Will there be central air 52. Outdoors........................ 36 Oil conditi ping? L. RESIDENTIAL BUILDINGS ONLY 37 El ctricity 44❑ Yes IzNo 53. Number f bedrooms..............36❑ C al 39❑ Other— Specify Will there b an levat r? 54. Number f Full.......... 46❑ Yes 47NrNo bathrooms Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Nam Mailing addr ss — Number, street, city, and State ZIP code Tel. No. Owner or � Lessee 2. Contractor �t Aboje- 3. Architect or Engineer F i",v Th own r f this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signet e o plic t t +91101 Idws CoM Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Plans Review R quired Check Fee Started BY Approved BY Notes BUILDING $ p_ �- PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or A rove I Check Date Number B Permit or Approval I Check Date Number B pp Obtained Y pp Obtained Y 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 11139 Building Permit issued Sept. 27 19 7.9 Building Permit Fe $ 390.00 Approv d by: r TITLE NOTESVill. ZONING PLAN EXAMINERS FRONTDISTRICT SIDE - . SIDE YARD IX. 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Value 65:000.00 Permit N2 11139 -� - on the side of Lot #53 Kent Lane Save Street No. 11 Owner T & M Building i n Co_ Applicant T & M R>>i 1 d i ng ro CERTIFICATE OF OCCUPANCY ISSUED: Date No. 5564 Fee Paid $ 3.00 CLASSIFICATION Dwelling I BUn DING PBRMIT 0 11139 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Sp--;)t. 2 7 1g 79 94is 'to to Cerfifti, That T & M Building Co. is hereby granted permission to Dwe 1 I iniz at estimated value of 00 on the side of Lot#53 Ken Ian a Street on land owned by T M Building Go. - Said Work to be as described in Application No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Sept. 27 ,,—, 19 '9 B 'ding 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." INSPECTION REPORT Permit Job 1 ,Footing 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. 711`7 / ZkCTN EPORT Permit # 9 Job: v 1 Footing l—f7 ' 2 Foundation 6-- 3 Framing 4 Wiring 5 Plumbing I--►'],.,►7 6 Heating 7 Lathing 8 C.O. ,��y Pero:it No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit lr U 5564 Certificate of Occupancy THIS O"f MCERTIFY !�at'oe4d at No. in the T of South Windsor, Connecticut, has ` been erected and completed in accordance with the Bu' ding Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. A ui ing nspector ' Owner, ner, B der F Fee Pa' r Date 19 /U4U r� p ELECTRICAL APPLICATION Application No. 8054 on the side of Lot 53 Kent Lane Street Street No. 11 Kent Lane Owner T & M Bill ld ing Electrician A. Mozzic gtn FILED IN OFFICE OF The Building Inspector Jan. 21 19 SD- INSPECTION. "r 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. i APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. .. ....$Q54............... Permit No. .......�04�.......... .. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. �..... hereby make application tc% 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., 191G v�►y Sign here 'G " .� ��. Address 'C -� . ... -�-....... .. .........._..... Location �. .5� 3 Side of ... .. - Nature of Building ..... ..... 1�' -'°G'.. ... ........ How many stories . ........ ......... J............ ........................... ................. New or old Building .. ....... How many families .. ........................./..................................................... Kind of Installation .. ...... .. ... .. How many Stores ............................................................................................. Owner .. ................. ..... . ... .. .. .................. . ... _...... Address ...... . .. ..... . ........ ..............................._................._..............._...... Architect ......... ... Address ... . ............... ..................................................... _. _....._.....__.... Builder �`� . .. .. Address L !!'*-.... E....... Electrician /7 V7/_A ........ D.. /.�� � Address � �C'L=... . -............ ......... t. -6�.r�//� Size of Main Wires . �. ./o•..... No. of Light Loops .. ... No. of Heat Loops .. No. of Power Loops ......................... No. of Light Outlets No. of Heat Outlets . . No. of Power Outlets .............. .. .. ...... .. NoP 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 '?V- 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 .. .. ...... ....... ./ ... .... ... hL....... ......................................................................... .................... ............................. .............._......................... .............................................................. . . ... . .... .. . ............................................ ................................................ ................. .. ........................... ...._................................................................................................. ..................................................................................... ...... .... . . ....... ................................... .................... .. ........... . . .... ....... ... .... jX Estimated Cost , k. .r��...D............. ...... T H E R M A- RAY RADIANT CEILING HEATING SYSTEM HEAT LOSS CALCULATION CUST. , DATE PHONE JOB / BLDR. '! C INSULATION: WALLS CEILING FLOOR BETWEEN FLOORS DOORS GLASS SLAB INSULATION ARCHT. DESIGN TEMP. DEGREE DAYS HEAT LOSS HEAT INSTALL. -EST OF COST T DOUCLE R R LOW T Room s f 12--A ) ,q C>y-1 11 9, Area Area Area Area Area Area Area Area Area SOURCES OF or Watts or Watts or Watts or Watts or Watts or Watts or WaHs or Watts or W-tts HEAT LOSS Volume Lost Volume Lost Volume Lost Volume Lost Volume Lost Volume Lost Volume Lost Volume Lost Volume I-= CEILING AREA S(;iUARE FEET ,67 O /lam. / Q /� /(i� /c/ FLOOR AREA SQUARE FEET ,...- �l /! b CUBIC FEET i .37 3 `r '�j+�`j ���0 G� �3�0 `�'7� �� �� (�� 7 0 'r7 7 i GROSS WALL AREA. SQUARE FEET ��� _ �r aSG � -- GLASS AREA � � �`� � � --� _ �, �, SQUARE FEET r / -7 /j fi2, � - DOORSNET _ L AREA SQUARE FEET TOTAL LOSS /V 7(o TOTAL INSTALLED O 7,57" 11300 ;Z -6C / /O ESTIMATOR . . . . . . . . . . . . . . . . . . . .. . ...... ... . . . . . . .. .. . . . THERMA-RAY T H E R 11A A- RAY RADIANT CEILING HEATING SYSTEM HEAT LOSS CALCULATION CUST. DATE PHONE JOB L BLDR. ' INSULATION: WALLS CEILING FLOOR BETWEEN FLOORS DOORS GLASS SLAB INSULATION ARCHT. DESIGN TEMP. DEGREE DAYS HEAT LOSS HEAT INSTALL. ,�b COST T DOUBLER R LOW T Room V T-7 I-- i'` ='�' J 4-b -, _ Area Area Area Area Area Area Area Area Area SOURCES OF or Watts or Watts or Watts or Watts or Wens or Watts or Watts or Watts or wa"s HEAT LOSS Volume Lost Volume Lost Volume Lost Volume Lost Volume Lost Volume lost Volume Lost Volume Lost Volume Lost CEILING AREA [ SQUARE FEET f FLOOR AREA All F 1 SQUARE FEET ,•+ t � r `�,� [ �J1�'As y� Oi 1 yy' as; ROOM VOLUME - CUBIC FEET GROSS WALL AREA. SQUARE FEET GLASS AREA w I �t SQUARE FEET f.�,,J DOORS NET AREA S UARELFEET '' `per "fit,;y,� '•�--�'- -1 .'. a 4c A I z + . G[Kgi � h4f �,� ter ' ` .� A � 12 • t ...t �- �„' TOTAL LOSS , !Y'° ' ��_�`� ��' ( • C TOTAL INSTALLED ` r , ESTIMATOR . . . . . . . . . . . . . . . . . . . . . . .. .... ..... . . . . .. .. . . . THERMA-RAY S PLUMBING APPLICATION No. 6351 on the ... -side of ,{ #5 3 Kp n t T an ie Street No. _ 11 Owner .... .,...& M Building Co. ply _ NQ=an Lutzen a Filed in Office of The Buldmg Inrpecmc Feb. 5 19.Ju No person shall cow add to or alter ash portion of the drainage s'stem of my 6®l&og (except to repair ]ales) until a Pleimit is graood by the Building . Application No.................6351........ Permit No. ..5.57.0.................. 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 compi with whether specified herein or not. P W,6 W, South Windsor, .........??..v............................... 19 ..kc)Sign here ......-yl"'� ..................................... .................... ................ ................ Address ................ ........$.11. Location . .......... 3 .................. ..... ........ 5................................................ side of ....................---- ................................................................................. Street .. ...yr....q 2-- .................................... Nature of Building .......... .. ....................................................... How many stones .. ................................................... Owner ......................... . ... .. ..... .. ..0....0I...e.....;...................... Address .........1�!... ()......... 6 ...).............. .T4. ...V. j . .. Architect .... ................ ....................../. ..................... Address .................. .................. ./ .. /........................ ..................... .... ............ Budder ................ ..................................I.................................................................. Address ......... ... ..........................................Plumber 0..Kkn-A-,.4J............ 0... ............. Address ........ . ............................................................ DRAINAGE CESSPOOLS, How many . . . .. . ........................... ................. Where located .................................................................................................. Are they water tight . .............................................. Of what materials are they built ...................................................... Size of pipe from house to cesspool . ........ . ..... Kind of pipe ........... .. ................................................................................... MAINDRAIN IN CELLAR, Material mc,-01)iameter ........./....................................................................................................... Aboveor below cellar bottom ... ............... .... ........... ... .................................................................................................................................. 2, SOILPIPES, Material . .. ....... ...... .......................I... Diameter .......................... .................. ................................................ WASTEPIPES, Material . ........... ........ �............... Diameter ............'R'.t................I.............................................................. PTRAPS,Type proposed to use is .................... ..... ........................................................................................................................................ RAINWATER LEADERS, where do they run to . ................................................................................................................................................ REFRIGERATOR WASTES, where do they run to ........ .. TANKOVERFLOWS, where do they run to .. .. ........................................................................................................................................ FIXTURES WATERCLOSETS, How many .................................3................... Where located .... ........................................................................................... Distance from trap to vertical soil pipe ....................J.................. 2---. Pattern .. ....I........................................................................................ WASHTRAYS, How many ....................................../................. Where located . .. .......................................................................................... SINKS, How many ........................................................../......................... Where located ..................................................................................................... BUTLER'S SINKS, How many ................ ....... Where located...................................................................................................... REFRIGERATOR SINKS, How many .... Where located .................................................................................................. LAVATORIES,How many ............................ ........................ Where located ..................................................................................................... BATHTUBS, 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.... . . S ........................................................................................................................................... Estimated Cost ... .......... TO THE BUILDING INSPECTOR of the APPLICATION FOR PLAN EXAMINATION AND WI1rDSOR,COS. BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. o r1 I-<EIQ_F LA1 1 V f—Al C ZONING If • AT (LOCATION) DISTRICT LOCATION (NO.) (STREET) r� �+ OF BETWEEN �ORTa� �nF_ AND KE nT L/+�(CROSS G BUI LDING (CROSS STREET) G ss STREET) OT SUBDIVISION '^'M8� �h0 11 LOT J 3 BLOCK N4 —SIZE N 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D �o A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use � 1 ❑ New building Residential Nonresidential 2 Addition(1/residential, enter number 12 0 One family 180 Amusement, recreati nal o/new housing units added, i/any, 137 Two in Part D, 13) or more family - Enter 19❑ Church, other religious number of units- 20❑ Industrial 3 Alteration (See 2 above) 14 ❑ Transient hotel, motel, 210 Parking garage 4❑ Repair, replacement or dormitory - Enter number 5❑ Wrecking (1f multifamily residential, of units ------- - -i ❑ 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 ❑ M ving (relocation) 17 Other - Speci/y /thOV 16- 25 ❑ Public utility 7 ❑ Foundation only 26❑ School, library, other educational l B. OWNERSHIP gRDUn� n�� L- �� � �� 27❑ Stores, mercantile 8 d 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., fo d 7800 processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement................ 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. Oth r( levator, 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❑Mas my(wall bearing) 40❑ Public or private company 48• Number of stories................ '19' 31 ❑ Wood framZ 41 ❑ Private (septic tank, etc.) 49. Total square feet of floor area,all floors, based on exterior 32❑ Structural steel dimensions .................... 6 X 30 33❑ Reinf rc d concrete H. TYPE OF WATER SUPPLY d 34� Oth r - Specify 61UIft;nU rf) 42 Public or private company 50 Total land area, sq. ft. ........... �}v� 43 ❑ Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ...................... 35❑ Gas Will there be central air 52. Outdoors....................... 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ yYes 45 Co N 53. Number of bedro me.............. 38❑ Col Nlfi 39❑ Other- Specify Q A Will there be an'el vator? Full.......... 54. Number f 46❑ Yes 47 No bathr me Partial........ IV. IDENTIFICATION — To be complet d by all applicants Nam Mailing address - Number, street, city, and State ZIP code Tel. No. �. JAn,£ S 1>. PF2 It KEn-r LAN E G44 — Owner or 0(00-7,+ Lessee ELIZFjBE-rH S RE QC Sou-rH W inD so e , CT. 45rl 5 2. I<AyA K M FCC. Co . 1249 Jc)6 Fl+--h (31V C� 2&a — Controctor ) �60�L/ 49Ug/ So u-r�-f LU� N�Sot C�'• 3. Architect or Engineer The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address App/li atio dot 17 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 Fee Started Approved 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 ObDa fined 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 number ! Building / Permit issued /Z` 19 Building Permit Fe $ 1f pprov � TITL TOWN OF SOUTH WINDSOR BUILDING PER HT Date May --pig 86 Fee Paid $.4.8..0 0 Est. Value $. .7. ,.8 0 0 Permit Ne 15046 on the side of Kent- T. n _ Street Street No. 1 1 Owner James D. Percy Applicant William Hendrick CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Above ground pool BURDING PERMIT N" 15046 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. MAY 8 1986 ig4is is to farrttfU, That Kayak Mfg. ec, is hereby granted permission to AboVe 1 at estimated value of $ m? on the side of Il ]K&A+- Lan® Street on land owned by Jmm A D_ Perot Said Work to be as described in Application No. 15 3 4 6 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued May 8 1986 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 cats and damages which it shall sustain, or be compelled to reason therefor." 9233 ELECTRICAL APPLICATION Application No. 10746 on the side of Kent Drive Street Street No. 11 Owner James Percy Electrician Walter Z em ane k FILED IN OFFICE OF The Building Inspector Juen 12 19 86 INSPECTION. rar 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. .. �.�'f ................. Permit No. ... ..... .. . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. ... . hereby make application tq 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. f �. U ... .UV 7 "] South Windsor, Conn., 1J0lo Sign here. r .........Address. S/ ......� ......./_.�=/ Location �,�.. .��J%. T ..... Side of .. Nature of Building How many stories . .... ... ............. ...................................... ................. New or old Building O.A.D How many families ........................../. ..............................................._.......... Kind of Installation ....... ... .. . .. How many Stores ................................................................................................... Owner Address ...... .... . .. ...... .............................__.._........... _.._....._._.._...... Architect Address ... . .. . .................................................... __..__....._....._._.... Builder Address .. . . . ....... . ............. ................... _._._..... ..... .... Electrician .......... Address ........ i// .......... G�t� /oa '74J-' Size of Main Wires ................................................ _ No. of Light Loops . ... . ... No. of Heat Loops . ..... No. of Power Loops ......................... No. of Light Outlets No. of f'%at Outlets . . No. of Power Outlets ............... ............ Nob 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. f Receptacles ........................ .... .. ........ . .. ............. No. of Cord Drops ...... .. . .............. ........................ . ..... ... .. Remarks: For other kind of Installation .. A.X'�.t.'.�=.......... /`� .. .!i. ............1� .d'4.. ......���/../�`......... .......... ../ ....,�Y�. ...... '... �. '��n ...... i ... .. �0......%fi:...... .rL... .... ... . .. ..................................................................................................................... ..................... .. _........................................................................................... ......... . ... ................ .. ... ....................................................................... .......... ....... . . ........... ....................................... .. ....... ..... .. ... ............. ..... .. . Estimated Cost ....0.'U..... " O ....................... ......