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HomeMy WebLinkAbout189 Krawski Drive Plti,lc-�.3 �iE� /al^,7.e 11;i'61ro) f` ` TO THE BUILDING INSPECTOR of the APPLICATION FOR PLAN EXAMINATION AND 'POVi OF SOUTH WINOSOR, BUILDING PERMIT z IMPORTANT — Applicant to complete ali items in sections: 1, II, 111, 1V, and IX. G J q �/,�, ZONING I• AT (LOCATION) / I NKU�s ; oy/ye DISTRICTA-S LOCATION ( O') (STREET) OF BETWEEN AND BUILDING ` (CROSS STREET) ICROSS STREET) LOT SUBDIVISION /`IGWJ�C' -7 LOT BLOCK —SIZE 0?cs_r`J_-0 N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D X A. TYPE F IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use T m 1 New building Residential Nonresidential 2 ❑ Additi n(1/ residential, enter number 12 tt One family 18 ❑ Amusement, recreational of new housing units added, if any, 13 ❑ Two or more family - Enter 19 ❑ Church, other religi us in Part D, 13) 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 (it multifamily residential, of units ------- - -- 22 ❑ Service station, repair garage enter number of units in building in 15 [E'**Gcrage 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, mercantile B dP►ivote (individual, corporation, 28 ❑ Tanks, towers nonprofit institution, etc.) 29 Other — Specify 9 ❑ Public (Federal, State, or local gov rnment) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food 9 processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, 83�da� school, secondary school, college, parochial school, parking garage for. department store, rental office building, office building at industrial plant. To be ir-stalled but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical...................... b. Plumbing ...................... c. Htcting, al. conditioning......... d. Other ( I votor, etc.)............ 11. TOTAL COST OF IMPROVEMENT S 400� 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 48. Number of stories................ 0z 30❑ bks my (wall bearing) 40 [ElIPublic or private company 49. Total square feet of floor area, 31 od from@ 41 [:1 Private (septic tank, etc.) all floors, based on exterior 32 ❑ Structural steel dimensions ..................... 33 ❑ Reinforc d concrete H. TYPE F WATER SUPPLY 42 Public o► private company 50. Total land area, sq. ft. ........... 34 ❑ Other - Speci/y 43 ❑ Private (well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES '2 F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ....................... 35 as Will there be central air 52. Outd ors........................ f/ wr Oil conditioning L. RESIDENTIAL BUILDINGS ONLY y 37 ❑ Electricity 44 ❑ Yes 45 No 53. Number f bedro ms.............. 38 ❑ C al 39 ❑ Other - Specify Will there be an elevator? Full.......... ,�,� SC. Number of / 46 ❑ Yes 47 14/ Na bathrooms `._ po►��el. IV. IDENTIFICATION — To be completed by all applicants — Name Mailint address — Number, street. c:t., and State ZIP code Tel.el. N, 0»ner or LaCAVA CONSTRUCTION COMPANY 3r3-3�/� Lessee 185 SILAS D 6109 2' La AV CONSTR T Lontroctor 185 SILAS DEANE HIGHWAY 3. , Architect or Engineer The own r of this building and the undersigned agree to conform to all applicable laws of this luriscf+.l_tion. Signature f plicont Ad4ress L.A STRUCTION CO. Application ate 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R view R quired Check Pion Review Dote Pla Date PIons Fee ns Started BY Approved BY Notes BUILDING PLUMBING MECHANICAL S ELECTRICAL S OTHER S VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check Dote Number I Dote Obtained BY Permit or Approval IChec4 ! Number B. I O:tonee BOILER PLUMBING + CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES ! GRADING i LiSc v^F PUBLIC AREAS ' OIL BURNER I ! WRECKING + OTHER OTHER VII. VALIDATION Building �y3 f Permit number Building �� Permit issued 19 Building ICU Permit Fee S �Ap ov d by: TfT TOWN OF SOUTH WINDSOR BUILDING PERMIT Date An r i 1 11 1985 Fee Paid $. .4 9.8 .0 0 Eat. Value $.8' Permit NV 14317 on the aide of Lot 13 Krawski Drive Street Street No. 189 Owner T,aCa va Construction Co_ Applicant George T.aCa-17a CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ :a g--- CLASSIFICATION Dwelling i BUIIDING PERMIT :NTH 14317 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. _ Uri1 11 105 94is is to Certif1j, That LaCava Construction Co. is hereby granted permission to Dwp 17 i n q at estimated value of on the side of LotS13Krawski nrive Street on land owned by Said Work to be as described in Application No.14 717 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Anri I I 1 1985 �AL'0-915p wilding 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 #13 Kra.Est.l 4/11/85 LaCa va 'Construction Co. 189 Krawski Drive Permit #14 317 Electrician David S. Garber # 8766 Heating Contr. D. Bartone P & H # 6159 Plumbing " D. Bartone P & H # 6685 Oil Burner # Certificate of Occupancy # 7039 Sewer Permit ' Plot plan a rd. er Engr. I I Permit No. TOWN OF SOUTH WINDSOR I SOUTH WINDSOR, CONN. I Permit Certificate of Occupancy CE IFY that at No. 3 in the To of South Windsor, Connecticut, has E been erected and completed in accordance with the Bu ding Code and Zoning Regulations of i the Town of South-Windsor, and is hereby appro ed fo ccupancy. 4 Building Inspector Owner, Builder Fee Paid Date � 19 I I N `r' • � r ► � fl-r 1 , R91HO E f4YYPFA • ASSOCIATES c►v� t�*4ft*Efts r 3URYtVUA$ tiLAS T OWAY, CONN A//F WILLIAM 2 N/F JOSE'Psli KRAWSH! 9RAWSKI PARCFL "A" 65'' 2i' 3y", E 13 8.9 6' IN z yz - - AREA 2:5; SOn.I S.F. \ e \ \ y9 \ N � W `�O QD W \\ O L•i �'y zat TP. 142 ` Nf- reK Z �, Ilk ky Ile •i� yam. A/ 63° 21'3Y"W HRAWsKl DR ;VE AN 37 � r SAW O►a At;,•Z M.Xxo 02JV.. Fitt U600 'R,iOVJ' A 14Wp%4-0t,!.bW§4~ " GAL& vov- i Jew. S, A%6 56"A 1"+ Z-E S.F 1 ft+- TMw 't•Lt-05 W( P2f.P1�.R.�J Gap�t ON LA(:AVb CON�7leOCT aw CO. ��►w•.s 5-a-85 . �t►)o Za�+°•+M V�.w-i►oRaS �'�1 w�+.�0".�OK, C�O►.�w�. �0•�•84+�3 it'.��b 8766 ELECTRICAL APPLICATION Application No. 10179 on the side of Lot *13 Krawski Drive Street Street No. 189 Owner LaCava Construction Co. Electrician David Garber FILED IN OFFICE OF The Building Inspector June 12 19 85 INSPECTION. rw 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 Are stops (if of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit No. .....E701P/........................ Master License No. ..�d2.��...��...l...................... TOWN OF SOUTH WINDSOR Building Permit No. ............................ ........�.�/..�:��.3j.............................. BUILDING DEPARTMENT Date Filed .""""' Date Final Approval ............................................_..... APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION. �v.rl3 f.60g...... rG�. ...... ............................ JOB OWNER. ................................... LBCAvA CONST. ............ Side of .. ...... .... . ... l-....... .................................................. and .....WETHERSFIEI.A•, F,.,j*VA........ 1E5.SI .BE�'y,`a:�:; i-� �'�Address ........ Name of Building Owner ...... .......... .................................... ..............................._...................... ViOET.HERSw'ECZD.,CY.cr�1t�� Address If work is for Lessee—Give name .... _........................................................... ..... .. . ........... ............. Building now occupied as (unless new) ... ... ............ No. of family units now .................................... Building to be occupied as .................. .P....!.�.8'`c...... .............. .... ...... Number of family units to be ........I......................... Is this work included in a Building Permit? ../YV- . Permit Fee (If no Building .P �. .... ................................................... .. ..... -�- � . Permittee o GQ,�. '�N� Telephone G ����3 .. Business Address .�' �.... ..�.... p ..........._................. COSTOF INSTALLATION: . .. ................................... ... .... ......................................................... cl t .........................................__................ TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed S `�s 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. Range �O Dish Washer ❑ Gas Burner ❑ Range Top _ Well Pump ❑ Elec. Heaters ❑ Oven . . . . . . . . — REMARKS: Water Heater Clothes Washer . . . . } Clothes Dryer . . . . . lO Dish Washer . . . . . . Air Conditioning Motor . Oil Burner Motor Gas Burner . . . . . . Circulator Motor y Attic or Large Fan , , , Well Pump . . . . . . _ Electric Heat . . . . . _ Other Number of new Lighting Circuits _...y..._...._..... Number of new Appliance Circuits 3 Number of Heating Circuits . . . . ........=.... .... ..... Number of Motor Circuits . . . . . . . Size of present service .............f6.2D*. ................._--------- _..._ _ Size of service to be .................._........ ............_.... ._. 6685 PLUMBING APPLiCATK)N App�tion Noy 6459 on the_ _ _ - adc of _. .Lot #13 Krawski Drive S-1 Street No. - 189 owner _ LaCava Construction Co. phnAw _ D. Bartone P & H Fled in Ofix of The Bui mg Lwpector May 23 19 8 5 II�I�Cl�I� No petsoa•ball co- - I r-, add to or sbr eery portion of the drainow stem of my 6a'l&g (eaoept to repair lab) -uma a Plenuk is Scanted by the Building Lupmw. AS APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB LS NO._/ RE T td•i �� A4nl 13. ca APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION aJ(�Cl� ! �`� 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS 3 STYLE 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS 1 17.NO.OF LAVATORIES 18. NO.OF SINKS _ 19. NO. OF WASHTUBS rr 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS J._SIZE 22. AREA OF ROOF 23.NO. OF CATCH BASINS / 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES ! KIND S 1)0Vj C 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOWXZ- 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? Yes SIGNATURE ADDRESSIReZ, S � LICENSE NO. �� - �3-3 ESTIMATED COSTQC�POO. � TELEPHONE 6 33- 3 Y Z OWNER'_tT C64A!Qn X)n Sit ADDRESS/ b4'PrJf &I-PAD g WATER HEATER L,- 31. TYPE V O�'✓ 32. MANUFACTURER �� 100z `If TANK SAFETY DEVICES 33. CAPACITY 37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE_ 38. MANUFACTURER_ 35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE �jte_' S 36. TYPE 40. MANUFACTURER W , o 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. -? JP6-*- Q CD962 DATE SIGNATURE OF APPLICANT E PERMIT # Application For 6549 6159 DEPARTMENT DECISION N Heating Permit 0 3 APPLICATION IS HEREBY:o w DEPARTMENT OF LICENSES AND INSPECTIONS N APPROVED ❑ DISAPPROVED + TOWN OF SOUTH WINDSOR :~ <= 5/22/85 Thomas P. D' Auria DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BELOW O t» � 1. LOCATION OF JOB O O ^' �+ O l 9/ J-50A W—T IT,"' 2) O no. STREET cn /3 LOT NO. FLOOR APT. NO. 4 O lV d O 2. OWNERZ,4Ca4,vn ngs cc Cc 0 : 3 S. ADDRESS LQ�r e d ; —4-4L f9 , a.PHONE cc S. APPLICANT % ject T Jar C en � a. ADDRESS 6 dWezve .08 A ad w 6 1PPHONE 33 —3YZ! B. LICENSE NO. 300 ZC) 2 a � C w B. EXPIRATION DATE OF LICENSE c� AA P � 10. ESTIMATED COST : � N z t t. IS THIS A CONTRACT COS" Li s ❑ NO b0 y 12. FEE ENCLOSED = Permit #14 317 x W 13. TYPE OF BUILDING: &0 b4 G-MIDENTIAL ❑ COMMERCIAL � 3 14. TYPE OF JOB: ❑ INDUSTRIAL ORIGINAL ❑ ALTERATION TION ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued it m Reverse Sid ) 11. LOCATION OF JOB �amj S • 1 6 R r NO. STREET FL OR AFT.NO. 12. TYPE OF INSTALLATION: L-OIL BURNER ❑ ELECTRIC Cl VENTILATION ❑ SPRINKLER ❑ GAS BURNER ❑ STACK ❑ INCINERATOR ❑ MISCELLANEOUS SIZE SIZE IDIDENTIFY SIZE 13. OF TANK �-2� OF TANKP_ ( [�i OF FILL �' F VENT ` 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. gy�pp.� AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NOtiolRmb. ON B.T.U. OR SQ. FT. NETS. M B.T.U. OR SQ. FT. GROSSZA90 FIRING RATE FLOORS TO BE HEA;ED �- NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL ruI"Ced INSULATION ROOF OR CEILING C INSULATION�/�S AVG. SYSTEM WATER TEMP. �� B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE o - :2h °FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONV55TORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. S U n ty, 0 An nJ� u S d DESCRIPTION OF WORK Meto 15. TO BE DONE: a m HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS); ROOM slzE wINOOwS AREA — SQUARE FEET B.T.U. 0•T•U. DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL N ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j tl LL REGISTER L w N AND C (INFILT.) TEMP. TO F f a TYPE AND SIZE SQ AF . OR LEADER SIZE < WALL F'LSO DIFF. 'P F m N FREE AREA 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 IS. 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. LU 0 DA7 SIGNATURE OF APPLICANT • � .+ir��- `�•K�y�,, v . t � . � � I�����O '0]]�,,j' � (C) . Ole EET 1503 (Modem Method)IV A.r.. .�� ADDRESS { _ DESIGN TEMPERATURR DWFlRENCt'., 101, COL.A COL.• s COL.C SEW COL.t COL.F CoL.0 ., f O " '�► W " " DIM iNSIONS.FT. LOINGTH EXPMED WALL! FT v 42 - I • ( � WINOOW AND OUTSIDE DOOR Al aA x. y 6 r �' • � STUN STUN ETU" STUN ALL CONSTRUCTION ; Lim,x M) 0 7 O d y o d OF LASS do �` t MMrn N table uwwt+r LIM 61 3000 d r 411 r M•,LxW) O ✓ 47 M S ) ., s ; sSM S.L x W e.up.Fi►_-' O ARTiTI + Mai Wells Iwnh o x O O + " + B 3 Wall,(WM O of+r•En.Hall •3� 4 a �� -��� VDTAL STUN AT 70VTIMP.DIFFERENCE* + 1 0WIV AL STUN AT DESI;"To M.DIFFERENCE ajo j 5-0 f jc Ilk COL.A COL.S COL. H L.1 COL.J COL.K COL.L. . , dz fl #DOM TOTAL �' VOITAL o 'n "a r L�✓ G QJ QF Duo N low �. W " A�.. H " Mr !I 11 ROOM pIMEN 1 NS,FT. ►- ► I� 2, , 1 r � V L '� 7't: ,t'6 -V 2 0 2 a I LENOTH EXPOSED WALLS,FT. r $� w WINDOW AND UTSIDE DOOR/411t/► LL E cp � 6y STUN LL CONSTRUCT STUN STUN STUN UN ' ION ' 4Tabla!,Line 3 x H) d �tNCREAs4 StS _ , a a c� is© ►L PE OF GLASS TOT� _ � + (ftnern f tot"YNd f I LienI$) Q LING CONSTRUCTION k � �O r from cc*coto* (Table!,L x W) p �' �=-. ., q 0 0 40 o/� GROUND OR F T N OOR C NSTRUCTI 'Nt / " GRADEran F �LNy�11# tTatila!.L x W or L ML Ft) -f ` O PARTITION C NIT ®li ' Table!.L x •r• - 1 Wall(With Op"nyd 0 ,o/ /s- d 6 2 Wall.(with Owl D x o ✓ o a 3 wall.(whh oo«+I+N.►or Ent,"all TOTAL STUN AT 70F TEMP.DIFFERENCE- t � O o .� oa �'r6a .Zoo lrp ,. TOTAL STUN AT DESIGN TEMP.pIFFCRENCE a Yaa ; ��a�1Ei 36 Ruao Placa,BKkafay H�htS N J.07RSt "`" •- -- = .,.�„..� .. .' ! ' C,3+e. _ _ " _cZy.{ -, ,;F°l'1 'k�?";-`:'_r'+• N'14x•;1�. !.,r;'1�,!,IF.,.j,'y;Vll lis>+./Iy','E"�'n' +s'.-'.�'-.�, .. .y ,.r, _.. 'y. q-r. - ,.� �'? "..-'<<Ax' '. LLA- ff �1M iMod�rn �- w Uaa ' ADORE" DESIGN TEMPERATURE DIFFIMIXE� Po DATE = COL.• COL.C COL.O COL.t COL.IN COL.o t t M N L H N w H tw Temp. o �it 661 f% ,�.6 o1 lit aTuw pw po"of 3 L 0 0IWA"FTC t ; IO$DOOR ARSA. 6 •TUH BTUH BTUH BTUH OWN ' ROOM LIN.FT, : •�`' w M1" O7 6 3 J v d d Q d t1 © TOTALS RADIA ' FROM LINE 12 fELi // a O o (�' O d 6 c� '� . �a C i N 1 O . I — V D ff yg f Wort #` a o o/Y ✓- O� o 0 'x poi oo I } T 70 TOW.air w�rNCE• ! o o y o o a o y o 0 0 6�11114-1 0 0 r AT tQl�'1'EMI'.DIFFEREN E p• a. p a (7a V a 2j 6O K ,T 12 roo AR A �� -•'. ,. COL.• COL.N COL.I COL.J COL.K COL.U. ow *IN* RA+OT ti Q AT c H L w H L w N w H L w H L ; Mr tl it TEMA• >:. DI/FERENCE Etr WALL*,PT. A to IL _ BTUM STUN BTU" STUH � *INC PEASE RAT HA Y w TOTAL!OM► �-`Y ' r���,LT�� 5 . �1`.47 S .. - ? t any •'=i � }e 4 T 'IFQR CONCRETE F OR UNO R FILL A ;� GRACE LEVEL.USs FEET F EXPOSSO ' fun �x �NIII TAs beIAtgtuta,35 Plum Place,Berkeley Heights.N.J.07922TIMM a? . _ _ C C>-00 U ` TO RU11ADING INSPECTOR of 1w APPLICATION FOR TOWN (W SOMH WINDSM COIN. PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, It, Ill, IV, and IX. ZONING • AT (LOCATION) (' �rQW s" rbr,. DISTRICT LOCATION (NO.) (STREET) OF BETWEEN S AND 'AI SaG BUILDING n (CROSS STREET) (CROSS STREET) LOT SUBDIVISION 77 !v LOT —BLOCK SIZE N II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 1 ❑ N w building Resid tioI Nonresidential 2❑ Addition(If residential, enter number 12 FOne femi ly 18❑ Amusement, ►ecreati nal o/new bossing units added, i/any. 13❑ Two or more family — Enter 19❑ Church, other religi us in Part D. 13) number o/units——— ——► 20❑ Industrial 3❑ Alteration (See 2 above) 140 Transient hotel, motel, 21 4 7 Repair, replacement or dormitory — Enter number Perking garage 5❑ Wrecking (I/multi/amily residential. o/ units ——————— —i ❑ Service station, repair gorag enter number o/units in building in 15❑ Geroge 23❑ Hospital, institutional Part D. 13) 16❑ Carport 24❑ Office, bank, professional 6❑ M ving (r location) 17;a Other — Specify W GWL St- 25❑ Public utility 7❑ Foundation only 2150 School, library, other ducational B. OWNERSHIP 27❑ Stores, mercontiI 8 1f Private(individual, corporation, 28❑ Tanks, towers nonprofit institution, ate.) 29❑ Other — Specify 9 ❑ Public(Federal, State,or local gov rnment) C. COST (Omit cents) Nonresidential — Describe in detail proposed use of buildings, .q.,food processing plant, machine shop, laundry building at hospital, elementary 10. Cost f improvement,.... school, secondary school, college, parochial school, parking gareq for, department 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...................... b. Plumbing ...................... c.Heating, air conditioning......... d.Other(elevator, etc.)............. 11. TOTAL COST OF IMPROVEMENT $ </Ow Ill. 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 LJ Mesenry(well bearing) 40 t Public or private company 46• Number of stories................ 31 dW ad frame 41 ❑ Private(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 2 h 32❑ Structural steel dimensions .................... J V 33 R inforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Specify 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 then be central air $2. Outdoors........................ 36 ff011 conditioning? L. RESIDENTIAL BUILDINGS ONLY ,L� 37❑ Electricity 44❑ Yes 45 d N 53. Number of bedrooms.............. ! 38❑ Coal 39❑ Other— SPtci/y Will there be an elevator? Full.......... 1� 54. Number of 46❑ Yes 47 dNo bethreeme Pertlel........ IV. IDENTIFICATION — T b comp/ ted by all applicants Nam Meiling eddr ss — Number, street, city, and/State ZIP cad Tel. / T/ell. No.. Owner or ""a of GUr1PJ� Kra Q IA)S�l �(�. ��1'lU��' l �l �O���l �0 Ul Less a a7S-S77lo /ln 2. Contractor 3. Architect or Engineer T- Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Applicati n dot Out,-, �Fq krQ0--4 1' �r S� "1� W)`d&0r10t la�plPTo DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R view Required Check Plan Review Date Plans By Date Plans By Notes q Fee Started pproved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Dat• Date P rmit r Approval Check Obtained Number By Permit or Approval Chock Obtained Plumber 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 V11. VALIDATION Building _ P rmit numb r � Bui Iding P rmit i s s u d 19 �-�-- Building �l P rmit F $ �� Ap ov y: 1 LE j TOWN OF SOUTH WINDSOR BUILDING PERMIT Date D®e. ?i 1986 Fee Paid $- -6. 0 0 Eat. Value $.1•,0.0 0 Permit No 15577 on the aide of Krawski Drive Sorw Street No. 189 Owner Wa Wn,�/An n C i n P a Applicant Ann n- r ine o CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Wood stove installation BUILDING PERIVITr V 4' 15 577 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 12/11 FO 14is 'to to farrtify, That Wayne/Ann Gineo is hereby granted permission to Wood stove installation at estimated value of�•0 0 0 on the side of 189 Krawski Drive Street on land owned by Wayne/Ann Gineo Said Work to be as described in Application No. 15577 and to conform to specifications and plans filed with said Application, and Building Br Laws of THE TOWN OF SOUTH WINDSOR. I&sued Dec. 11 06 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." Bectric# I L575 APPLICATION FOR BUILDING PERMIT Plumbing# D S 189 KAKI DRIVE 7 1(a h 9 HVAC # i HTC, 2 Date: Sprinkl r# No. 6287 FINAL APPROVALS 50stimated Cost $ Building s t5l 66 COMPLETE RED BOXED AREAS Permit Fee ItD Engineering TYPE OR PRINT ONLY Occupancy Fee $ S Affidavit SIGN ON REVERSE SIDE Appr.for CO. C;T 1 oa 1 ====J Total Fee $ Sl L; TO BUILDING DART ,TOWN OF SOUTH WMSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location s <i P1'`4w s k D ri Lot No. Side of Street Zone A A - 3 O Applicant i ✓1 Tel.# ?60 - (oOl-01&a Addr ss t 'A q:k,x`a,w.S k. r-. Zip 0(D 7 q Lic.# Own r I z)"rve, !C=->t✓i<. Address t g 1 h nqws k D -• Architect Address k S—f 14s5a,,1 94- NYj Aly,ipP391AIZ-�13-060� Sq.Ft.New Area: 1st FI. g D 2nd FI. U 3rd FL d Total New Area -YS #Rooms 1 #Lavatories o #Bathrooms d #Garages 0 �, Purpose of this permit: Rppy o._A e160-tb'n L. i A &x-�_ City Water Well ❑ Septic System ❑ Sewer Ins. H.O. Cert. Area j I Basement Garage 01 Approved by Date -11-7 111 Use Group Construction Typ &-77 1 Rev'sed 1197 I hereby agree t conform to all the requirements of the Laws f 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 located in which this building its use is allowed. Signed I hereby apply for a Certificate of Occu for Wribed in this application for the permit. Signed . -• DO NOT ZRITE BE W THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- 99-26287-B 30,000 B09 OTHER 08/04/99 DCJ D NO ONE WORKING, NSF RETURNED CHECK FOR PERMIT FEE B01 FOOTING 09/29/99 JFF A WITH OWNER AN CONTRACTOR B02 FOUNDATION 10/14/99 JFF A WITH OWNER B03 FRAMING (ROUGH) 12/21/99 DCJ A ADD J. HANGERS AT OPENING FOR TUB E03 ROUGH 12/21/99 DCJ A P03 ROUGH 12/21/99 DCJ A H03 ROUGH 12/21/99 DCJ A LOOPS NOT TIED IN YET B04 INSULATION 01/10/00 DCJ A B10 FINAL 04/24/00 DCJ D COVER OR REMOVE PASTIC BACKING ON INSULATION B10 FINAL 05/15/00 DCJ A APPROVED FOR CO AND CLOSEOUT 99-10678-H 700 99-10519-P 150 99-16575-E 2,000 REINO E. HYYPPA • ASSOCIATES CIvK E1V4W0EliS S LA"U SUMV&VUXS (iLAS T uNSURY, CONK NIF WILLIAM 2 A11F JOSFPN FIRAWSKI `% PARC L'JV ANI I9 AR,VA= 25' sow s.F c s Ilk ir N L4 ` 0 co W \ to le) o � � N P1►.nP. �isE � \ ?� as' SO'BI.D6 l s N Q`a O fix f � - �7 ys' HPAWsKI DRIVE' _ SIMN UW- EWER F3zA'!!.7 P��lrt of V�1��.►�a►.Kew - .'TAL- F.O.T Uso 450u M w I NFO R t Ca,10f" %owl ice+. T%cu -,-tz-s, sy nmvftLj& y /Q �L L-,'S. -%Aj.,.wo, C.o..� - l U P Q'EPA,Q.ES7 FOQ Z ICE- LAVA C. 1S^C�uC.`T 1 CJ►1 C-O. No Zo,.�ti..,i. Vw�.�►�,a►,5 �� W I+JD''�C��, ClJi1.1�.1, •►�a� �u r�w-tu�+�.Y c.+�rRir.-i 'SCA1., �., �� paRf. 3-Z3-SG TO THE BUILDING DEPT. TOWN Of SOUTH WINDSU' This certified that this plan and specifications are true copies of the proposed building or alterations to be erected at C j� CERTIFICATION OF ZONING CO?MPLIAf�E I 8D , Street jc. rur � � together with amendments stated in application and and ru&Ure� ) filed with plan and I agree to comply with all zoning, Proposed building(sh UN(sl to 1 Betiding and state laws and such orders as shall be as shuwn on this plan appear(%) to he in issued by the Building Department during pendency conforma;lce with current South Windsor of this application and final issuance of a building permit. /,� � regulations. Variances and special exceptions SignedeC � -' may apply. This plan is appr d subject to a condition that orders and erdina ces regulating ildinQ shall be Date • complied with. Conditionally Approved These filtd W$Jh t g E or ement Officer 8",ldbows ,ns0ecto. CAW* Xmi-I 0)'J 1�,•c ��x ?-4 FA ARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT P # pplication is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bl� ' # APPROVE 1540 SULLIVAN AVENUE 644-2511 ext.230 ding Inspector DEPARTMENT must be printed or typed Location of job Street No. Street Lot No. FEE SCHEDULE ' Floor Apt.No. r$00 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER any fraction thereof ADDRESS log kraw,5L Dd- 607A4f f / OWNERS PHONE# APPLICANT f W N S"`� ADDRESS <�j ' .�0 FqCL C)CQ(:D ESTIMATED COST$ 01 IS THIS A CONTRACT COST 7 YES NO G FEE ENCLOSED $ A oR•cO TYPE OF JOB: Priginal Installation Alteration/<Additio /Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATE�TH A RESIDENTIAL BUILDING PERMIT APPLICATION / 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) 6 c, TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED LC 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 Tz� :�� � 60 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 -OV& �-.. NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. �Cd DATE S _ ! DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR 5, BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed 7FEESCHEDULE Location of Job: t i $9 krows-k' ) Dr, I $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT , APPLICANT ADDRESS I Q q +r s k l Dri,,- S o u,+lam ►n J's by- APPLICANT PHONE# 9(a `(0 D 00 0 W N S OWNER uj",,, _ OWNER ADDRESS 8 q trawl D r1% UJ !q&b-y- , CT 0 r $� [�► OWNER PHONE" D - 4414 —O 1 $a ESTIMATED COST$ V IS THIS A CONTRACT COST? D Yes 9<0 �tj FEE ENCLOSED$ /3,D a , SpR CO TYPE OF JOB: . E3 New Installation eAlteration/Addition/Repair Revised 8/99 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED�VITH A --// BUILDING PERMIT APPLICATION? YES El NO dRESIDENTIAL i ❑BUSINESS CURRENT USE AND OCCUPANCY 12�5 ,n+1 ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY Res►d evk► ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME PHONE ❑FACTORY ❑ STORAGE ADDRESS ❑GARAGE ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO.OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES ❑NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK �,l U c�..`�, O c�`5�c�� tea,�,c�T ( u.✓1 �Y� �{-� `�-(� Df 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. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE a i r DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# Wf 6f,7 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT l,�a�,� I�t✓D ' D , APPLICANT ADDRESS L �{,(aLo's 1 r SoLk+h w i Y)dSOY Gam- C�C� Lf APPLICANT PHONE# IR(1 O 67 01 Fa O W N S OWNER (�0.�i YL r O n q� OWNER ADDRESS kCC-4Vd'j So iy) r LT .11 x OWNER PHONE C ESTIMATED COST$ b D. n 0 �l U IS THIS A CONTRACT COST? 0 Yes OrNo �1 FEE ENCLOSED$ 13,o D 0 TYPE OF JOB: OR.C 0 New Installation eAlteration/Addition/Repair Revised 8/99 APPLICATION FOR HVAC PERMIT (Continued from reverse side TYPE OFF VSTEM: TYPE OF��LDING: CHEATING [l RESIDENTIAL ❑A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING LYDRONIC TEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑ WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION /o ' ADDITIONAL RADIATION 33, TOTAL RADIATION /3�l DESIGN TEMP. OUTSIDE -10° OF INSIDE 7/ OF DIFFERENCE 8/ OF TOTAL HEAT LOSS(BTUH)7td°F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) tq 10 a o z l-Lt ►f GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) TYPE OF FUEL GP H WOIL—GPM X OIL TANK LOCATION:9 INSIDE❑OUTSIDE CAPACITY,2-75 6ral ❑ GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW AIR CONDITIONING DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) TONNAGE COOLING CAPACITY(BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK -�i►s���� �'are n �? a�l 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. C NTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE F. W. WEBB, COMPANY COMPANY R S16 TIAL KEATILc7SS/GAIN CALCULATIONS P.1 PREPARED BY FRED PINTO BR25 PROJECT # : 129912 BY SLS125 ENTERED 12/13/99 BLDG ` 1. NAME :WAYNE GINIEO GAIN BTU: 9590 2. LOCATION : 109 KRAWSKI RD GAIN CMF: 320 3. HI DESIGN TMP: 91 9 .GRND TEMP 5c LOSS BTU: 19076 4 . LO DESIGN TMP: -10 9.000L AIR TMP: 50 LOSS CFM: �360 • 7 10-WA AIR 120 BAS RD' : 33 S. ROOM TEMP 1 RM TMP: E8 6. LEEWAY 10 TONNAGE 048 7 . # OF PEOPLE : 5@400 w�wwwww�-----.��.-----.�--�..---w--wY11w-----wM-------wM..+------�-r---------i.►�---w-w ROOM # 1 OF 1 41.WALL G DELTA 20 12.ROOM NAME :ADDITION 42.WALL L DELTA 81 43 . FLOOR G DELTA 20 44 . FLOOR L DELTA 81 45.CEILNG G DLTA 20 46.CEILNG L DLTA 81 47 .BELW GRO DLTA 21 13.EXT WALL LEN 77 24 .FLOOR R-FACTOR: 25 35.MISC BTU GAIN 14.EXT WALL HGT 11 25.HEAT/CL DELOW N 36.MISC BTU LOSS 15.WALL R-FCTR 15 26.CEILING R-FCTR: 30 37.BASEBD BTU/FT : 580 16.WINDOW SO FT 156 27 .HEAT/CL ABOVE?: N 38 .PEOPLE BTUS 400 17.WINDOW GLASS D 28. SKY LGHT SQ FT: 0 : . 00 18 .DOOR SO FT 0 29.SKY LGHT TYPE D ***TOTALS FOR ROOM******* 19.DOOR R-FCTR 2 30.AIR CHGS/HOUR . 50 * GAIN BTU: 7590 20.N,NE,E, SE. . . : N 3' .CXTRA PEOPLE x GAIN CFM: 253 2). .WIN. SWkDING N 32.LIGHTS(WATTS) * LOSS BTU: 19076 22 . % BELOW GRADE: 0 33.KITCHEN(Y/N) N * LOSS CFM: 360 23. FLOOR SO FT : 450 34 .BATH (Y*N) N * BASEBRD' : 33 w--w.�rr.ww-. w�wrr-w----- ---- -wwwr.r--www�arr-.r�rww�-��...w���r.��.r---wr. C(HOPM Post-ir Fax Note 7671 0w j:j1A&jA&10 lb,g. of • f�em COMOK • r CO. Phon6# N " r Q Additional Heat Loss/Gain Calculations Gineo 189 Krawski Drive Existing structure: Total Baseboard (TB)= 10 F Baseboard BTU requirement (BBBTU)= 560 BTU/ft Existing BTU requirement =TB X BBBTU= 101' X 560BTU/ft = 56560 BTU Total BTU requirement= Existing BTU requirements+New BTU requirement = 56560+ 19076 = 75636 BTU DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT 6 P APPROVE 1540 SULLIVAN AVENUE i.ef pp 644-2511 ext. 230 Bldg.Permit# ate ing Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT / o�Jc�—IT 7 APPLICANT ADDRESS A APPLICANT PHONE# OW N S�q OWNER LA� OWNER ADDRESS s aE'' OWNER PHONE ESTIMATED COST$ ,.S70, oo IS THIS A CONTRACT COST? O Yes 0 No FEE ENCLOSED$ SOROC�� TYPE OF JOB: 13 New Installation 13 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A 1,���ESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ElNO ❑BUSINESS CURRENT USE AND OCCUPANCY ,-� ❑ASSEMBLY r ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SL—P,V1 C-6— A067A &&— SIZE OF SERVICE v-ot--) A-- SIZE OF MAIN CONDUCTORS T//0 NUMBER OF METERS I NUMBER OF DISCONNECTS AND RATINGS /NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES Ua- IO 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 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. CONTRACTORS LICENSE NO TYPE STATE SIGNATURE OF APPLICANT i ,, DATE �3'fa—o(� INSPECTOR o'T _ DATE t4 TIME LOCATION t 811'-) 4C e-AWSk, AZ INSPECTION: CODE: RESULT(D/A) : BUILDING: ELECTRICAL: k PLUMBING: HVAC: OTHER: C E f