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HomeMy WebLinkAbout176 Jacques Lane S7.Pts_ •.S`.SJ.C�' M - Y�r- �.�_SG,w�YW...�vL.YisYs:i.._.3�:-'�y•s{S.W:.���"S.i&1ee121�'-m__ _._-"M1B�r.3ti��irLdte:i?tR �Y��4i s�..i���OSMS.� YM `. T...81 3 TO THE BUMMING INSPEMIR cE dhe APPLICATION FOR yfOWN CXNM PLAN EXAMINATION AND OF «� .-'BUILDING PERMIT _s 114PORTAHT— Applicant to complete all items in sections: li I1, 111, IV, aid IX_ - 0 I. AT (LOCATION) LOCATION TNa.) ISTnt[T) OF BE'TWEEk_ r'� fia�.r �L _ � —ANC � �a�� '� BUILDING lcw TR[fiTl t ,.-` fatosaTR[[Ti1.,� Q J k4c,YrJb LOf f 3• d 1 �� v SUBDIVISION �� LOT BLOCK Slss II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking' most recent use t 7,diflow(If building Res Hel2 A residential. enter rnromber 12 One feiwily ::-- c f opeu,housing units added, r/ cry, �. 4Jlrt reed ewe! 13 we or more fermi — Enter tit i t Part.D, )3) h► ❑._ v !!�R Wove wsawber of writs——— — LJ-10. 20 r�.I�OWGI 3❑ Alteration (See 2 above) _ f. 14❑ Trons;om hotel,metal, 2T❑ Pifii 4❑ Repair, replacement or dormitory — Enter mmb eer l repair 5❑ Wrecking(1/multi/amil y residential, of units——————— — i �❑ Sevv a sMiert. p Nr g er eg enter number of units to building in 1$❑ Gerago 23❑Hospital,lostitutional Part D.- 13) 16❑ Carport 24❑ Office,bonli;professional 6❑ M ving (relocation) + 7❑ Foundation only 17❑ Other — Specify 25❑ Public utility 26❑ School, library,ether educational B. OWNERSHIP 27❑ Stores,morcenti I* 8V Privet (individual, corporation, 213❑ Tonks,,tewe►s: nenpr fit institution, etc.) 29❑ Other — Specify 9 ( Public(F derel, State, or 1 c 1 gov rnment) 14 C. COST (Omit cents) Nonresidential — Describe In defeil proposed use of buildings,o.g..,food processing plant,machine shop,laundry building of hospital,elementary, 10. C st of improvement............... school,secondary school,college, porochial school, parking gereg for, department store,rental office building,office building at industrial plant. T be installed but not included If use of existing building is being changed,enter proposed use. 4 : in the above cost a. Electrical...................... y s. b. PluAing....................... ,,,..... ►t..r,..p...q.x.r.wro.��w *osum c.H sting,air conditioning......... d.Other(elevator, ate.)............ 11. TOTAL COST OF IMPROVEMENT ✓ r� III. SELECTED CHARACTERISTICS OFILTILDING — For new buildings and additions, complete Ports 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 ^ 413. Number of stories................ 30 L J M sorry(well bearing) 40 Public or private eompony 4,q, Total square feet of floor area. ' 31 W d frame 41 Private(septic tank, etc.) all floors,based of exterior G .��. Sf►uefW01 steel dimensions .................... 33❑ Reinforced concrete H. TYPE OF WATER SUPPLY 34❑ Other — Specify 42 Public or private compony 50• Total land area, se.it............ 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES - - F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed....................... Will there be control air 52. Outdoors........................ !*Za conditioning? L. RESIDENTIAL BUILDINGS ONLY 37[D Electricity44❑ Y s 45 N 53. Number of bedrooms.............. 3e C:] Cool 39❑Other—Specify Will there be on elovetor? Full.......... 54. Number ei 46❑ Yes a bethroome kw I •- Partial........ A IV, IDENTIFICATION — To be comp) t d by all applicants Nam Meiling address — Number. street, city. and State ZIP c dam, T I. N 1. Owner iY\_� or Lessee�,,-;§ r •_ - � � - ��.,, � �- � � . �_ �-I � 2. Contrec• r 3. Architect or Engine The wner f this building and the undersigned agree to conform to all applicable laws of this jurisdiction. z ; Signati6re f applicant Address Applic tion that DO NOT WRITE BELOW THIS LINE V. PLAN R EVI EW RECORD — For office use :: �• Pion Review Dote Plans Date Plans Plans Revi w R quired Check Fee Started BY A proved BY �lot��t BUILDING S '' �` "'� PLUMBING S y MECHANICAL S ELECTRICAL S OTHER S VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS P rmit or A val Check Date Number' B 'Permit or Approval Check Date Numb r R PfN Obtained r pfX Obtained r 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 Permit number Bui Iding P rmit issued �/ �-� 19 Building P rmit F e S_ Appr b TITLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Oct. 21 , 19 83 Fee Paid $.456.00 Est Value $. 7.6 000 Permit M 13508 on the aide of Lot 483 Jacques Lane Sweet Street No. 17 6 Owner JMJ Construction Applicant JMJ Construction CERTIFICATE OF OCCUPANCY ISSUED: Date No. 6554 Fee Paid $ 3.00 CLASSIFICATION Dwelling BUn DING PERMIT N? 13508 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. cjc t . 21 19 83 94is is to (ferfi fy,. That T?vi T C,,,.,.,tr is hereby granted permission to i)we 1 1 i n g at estimated value of on the sine of T n-1 'F4 9 3 T.,r+q,,e s Lane _ Street an land owned by 11-Co 1$n -(�;q-. Said ti'ork to be.as described in Application No. 1.3803 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued 4:t. 21 1983. "�ilding 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 costa and damages which it shall sustain, or be compelled to reason therefor." "1NSPECT10 REPORT Permit # Jo 1 Footing V/7 3 9 2 Foundation 3 Framing 4 Wiring 1\-�J 5 Plumbing 6 Heating 7 Lathing Permit No. TOWN OF SOUTH WINDSOR �3S SOUTH WINDSOR, CONN. Permit NO* 6554 Certificate of Occupa cy THIS,4S TO CEPWIFY that the at No in the To of South Windsor, Connecticut, has been erected and mp ed in accordance with the Bui ding Code and Zoning Regulations of the Town of South W" dsor, and is hereby a roved f r ccupan i Bui ing nspector I vKner, ffififrer Fee Paid ""+� Date 19 Remo ,f PA & A taociafte dIVII Engine rs Glastonbury, Connecticu_t �zz N ep 50' 00" / 1bb 50 I p PAP' AK � Y 1 � 'O'nn v� AFZEA s 20,1-1°S 5.F N O r O CJ1 �o J -O i 1�10 Zo.a mac. vroc.�-ra••n Ol!!I Lot lines tfrm map an file in Torn Cleric'• ottic a entitled, Mot Plan 3"Uon 8 Pleasant Valley Hauee Sfttb WWOW v Conn." scale 1*0 40, Date 3- 28-83 � H 220-T8-I V Rev* --- by R e i n o E. A-20 ?-ONE Mypppa t Associates Glastonbury, CT. PPE PAR E O FOR 1 hweby certify thit this map and survey were prepared iri PLEASANT' VALLEY uO M ES acoordenee with the standards of a Class A-2 survey as defined M1 ft existing Code of Pre-ti-p for Standards of Accuracy of SO UTI4 W I ND50 Q, C pN N Sys and Maps, adopted by the Connecticut Association of Low&W"Yors, Inc. SCALE 1.,•ao' DATE 9- i 5-�3 3 43-��►-��33 8141 ELECTRICAL APPLICATION Application No. 9 249 on the Side of Lot #183 Jacques Lane Stmt Street No. 176 Owner .1J Construction Co. Electrician Richard Barrett FILED IN OFFICE OF The Building Inspector Nov. 1 19$ . INSPECTION. rA),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 fit of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit No. .....Z/V..................... Master License No. .../ q al�7. . ...............I............ TOWN OF SOUTH WINDSOR Building Permit No. I. *�...... Date Filed L BUILDING DEPARTMENT Date Final Approval .... ....... .. ..................... APPLICATION FOR ELECTRICAL WORK Electrical Inspector g . � � cohf......... JOB OWNER: ................ .. ................................. JOB LOCATION: ....................... Side of Bet een ... ... .......... and ................ ........... Bet e .......... 4........... Name of Building Owner .................. Address ......... If work is for Lessee—Give name .... .... . Address ................... ...... ................ ....... .... ... . ....... - .. .. Building now occupied as (unless new) No. of family units now . ... ............ Building to be occupied as .. ... ........ Number of family units to be .... ( ........ - Is this work included i a B ding Permit? Permit Fee ... ... ........ .... .................................. ............ ...... ..... u (If no Building Pertm p rmittee Business &Z/ d PC ess Address 4W Telehon. ..... ....... COSTOF INSTALLATION: 6................. . ... . ......... ... . ......................................................................................................................... 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. Range . . . . . . . . Dish Washer E] Gas Burner ❑ Well Pump E] Elec. Heaters ❑ Range Top . . . . . . Lj Oven . . . . . . . . REMARKS: Water Heater Lr, Clothes Washer . . . . Clothes Dryer . . . . . 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 ... .... ........ 6298 PLUMBING APPLICATION A_M&atim No. 7077 on the- -d&of ....... _ Lot #183 Jacques Lane Street No. _ 17 6 own,w .. JMJ Construction Co. phmlbw So.Windsor Plbg. & Htg. Filed in Offia of The BOI&V Nom. 10 1983 ................ No person SW cmwft� mu 0 or altar may portion of the &aimp wmm of my bold6g (mmpt to rqmdr 66) nod a is pm tad by the Building LRxnw. APPLICATION FOR PLUMBING PERMIT (Continu d from R v rs Sid TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB NO. STWT FLOOR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION t 13. SIZE OF MAIN DRAIN T 14. NO. OF TOILETS —STYLE //�I AM :;�Z A r 15. NO. OF URINALS STYLE eft- 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES__18. NO.OF SINKS 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS _SIZE '~ 22. AREA OF ROOF �' 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND j �y«� 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? Y j 27. SIZE OF WINDOW 28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? /CC/'�-� ilG n, r ��Al 29. SIZE OF DUCTS `I 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE) Ye J SIGNATURE ADDRESS 11 LICENSE NO. 03c>66-ESTIMATED COST ����� D y TELEPHONE OWNER ,�� t�i����� ^ ADDRESS WATER HEATER 31. TYPE 0 e2rIly1 GGl 4�f 4eZ 32. MANUFACTURER �� TANK SAFETY DEVICES 33. CAPACITY_T C� [.�4/`D 37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE_ I�0 j 38. MANUFACTURER 35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE 36. TYPE C 4.S - ����T0&G 40. MANUFACTURER 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,;'e,0 CD962 DATE SIGNAT APPLICANT PERMIT # Application For 6870 1770 a DEPARTMENT DECISION o Heating Permit 3 E APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N 'e1 APPROVED ❑ DISAPPROVED .� TOWN OF SOUTH WINDSOR c a 11/14/83 Thos. P. D'Auria 00 DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL W i O p 1. LOCATION OF JOB C NO. STREET 0 LOT NO. FLOOR APT. NO. O ♦, O LV 2. OWNER /lG� 3 S. ADDRESS �- n r G gooe//( be a.PHONE �r— Ce s. APPLICANT Uv, v� ad O a. ADDRESS 141'e a� W /, )r /J/ �6v� �"/ ds Y.PHONE J '$ s. LICENSE NO. - Je 7l g U pQ J w 9. EXPIRATION DATE OF LICENSE �® e� 'a 10. ESTIMATED COST s Z 200.d O be 11. IS THIS A CONTRACT COSTS El YES ❑ No -0 12. FEE ENCLOSED s- Pp rm i t l 3 5 0 8 x m as 13. TYPE OF BUILDING: Go W Cbo R[SID[NTIAL ❑ COMMERCIAL d 14. TYPE OF JOB: ❑ INDUSTRIAL v 3 ORIGINAL ALTERATION INSTALLATION ❑ ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued it >m R verse Side) 11. LOCATION OF JOB L. ozz' 3 K n NO. STREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: ❑ OIL BURNER ❑ ELECTRIC ❑ VENTILATION ❑ SPRINKLER GAS BURNER ❑ STACK ❑ INCINERATOR MISCELLANEOUS IDENTIFY 2ti SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 1a. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. D B.T.U. OR SQ. FT. NET 0 B.T.U. OR SQ. FT. GROSS - FIRING RATE FLOORS TO BE HEATED -42L2 NEW OR OLD BUILDIN INSULATED - YES OR NO y J TYPE OF WALL PV-vim &AI INSULATION i-�C--jl Aa/ ROOF OR CEILING r INSULATION AVG. SYSTEM WATER TEMP. lea� B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 0 FCC) °FAHRENHEIT MAKE OF RADIATION:q ASEB R COPT CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. �5 t 1,A DESCRIPTION OF WORK 15. TO BE DONE: ( �'Mil Cf.0 L� r� e X•� m HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): WI e.T.u. a ►-D ROOM SIZE AND DooRs AREA - SQUARE FEET VOLUME e.r.u. O<I- DISTRIBUTION INSTALLED TOTAL TOTAL w LL ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j� RAD. REGISTER L W H AND C (INFILT.) TEMP. TO f O TYPE AND SIZE SQ Fr OR LEADER SIZE < WALL t O FDIFF. •F F M 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 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. r DATE 1GNATUR APPLICANT _ ------ - 1 - t 11 KIND OF BUILDING _��.:�a A CHIMNEY SIZE DEALER- CONSTRUCTION: it WALL WINDOWS A*Ym Q P�� - --tOOF OR CEILING ,• , DESIGN TEMP. OIFF BASEMENT HEIGHT. ABOVE GRADE BELOW MADE pESI�iN WATER TEMPERATURE COL.1 2 3 4 5 d 7 S O 10 11 12 13 14 13 18 17 1A vowMs w sA Res ' ROOM SIZE WINDOWS AREA•SO. FT. Foa TOTAL TOTAL ACCUSOMIS t AND Coons toga MOTt AY TO F COMtCTtD WATER LIEN TN ROOM NuMs[R 40*089 fiN HILT WALL CtILiNa O/ Tamp. TD TEMP Or, e � O f d pI , ENCLOSURE FIN L R S I.t mat L W i<F H goat AREA WALL / ' D . 0 O TUBE T[Mr.D1F/. FT. 0 0 010 400 3 700 a o < < g aG0 3 3,360 o? 8 . _ )3 0 o eo 13300 15 000 �6 l Mt � ° '0 '� �` 0 9 80o )12 00 a a = ry 8 Io 39�a D %Coo , 1 D 3 ofl 3??0 _ r v O 1 Q roo Too e 5/o l-� 0 2 � _ so i © oo �.� o0 0 0 0 -S3'40 0 i to 1� 0 _ y 300 60 ► Oo 0 6 0 '50 l6 0 haA '�l �� 8 a 3o a o o 0 .21 a 1 47• x 00 8 DQ D ' Il 00 00 7 /o 34 o -do /00 3 0 �� �tD �y 1 s Tz [Al� . S0° ��'o NoWt Me COWCO t t•LOM a»*"WOW OA I"AT~I%&LMM.IM L"W".sat OV ERIe.f.RN.s• ro�rwus G?G 5" I row ALL OTHM FLAW"USK SQUAns VWT os AMA. FINAL INSPECTION Building - - K APPLICATION FOR BUILDING PERMIT Plumbing of HVAC Date: I Z Sprinkler 176 JACQUES LANE Electric Ah- f-ED 6 ., Estimated Cost $ 010 • �- Zoning 18 06 3 Permit Fee$ Affidavit NO. Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS.Fire 2� HealtDhept.Dept. TYPE OR PRINT ONLY Total Fee $ Approved for CO: SIGN ON REVERSE SIDE. (Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street -U7 Zone S. Applicant eo r +a U a t f Tel. # j_J1 E Address G Uk�- k L i k_, Zip GG CIP Lic.# STREET CITY STATE Owner 11A&e- E? L cG t-,4 tt - - Address %T".&-G sr Architect Address Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line Dist. from Side Street Line Purpose of this Permit '�c k r 1'� l� d. loe. I. S'/ .g'd Apr" yrr,44p City Water ❑ Well ❑ Septic ❑ Sewer ❑ Approved by Date BD1A 11/88 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 located in a zone in which this building and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this pplication for permit. Signed —DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: (017 _ U Electrical Permit# I/ .�,3 � Inspections. - Sprinkler Permit# Inspections: MORTGAGE SURVEY FOR MAC B. & GEORGENE S. LEAVITT 176' JACQUES LANE SOUTH WINDSOR, CONNECTICUT SCALE: 1" = 40' � .duly 11, 1986 zone= A120 Map Ref: 'Plot plat Section 8 Plesait Valley Hems b.l.= 40' South Vmdsw, Ct. scale: 1'WV 3/28/83 s.y.= 101 Reim E. 1��&Asso. r.y.= V ---- Iv lot are::= 2D,D sq. f t. lot width= 100'frrnt JA WE 6 57 � DC),VA (/D36 AV HAP-046 R, NE G</1\1A /577 er 30 27 O Pod O �p ,13R/AA T. Q 0 R VAIEL.S 0 cn o 1>0A,,AIA ,7- o \ iz \ d 1 A�N pp 34.3 A4 C C A.Z T/A/ V. 34' S A L D DEMA LL/S 2?± L i 27_� -- cofq i 457t; W ' A L-/os: ' CN•= /oSSZ tTACQUc5 LAVE I HEREBY CERTIFY T0: CONNECTICUT ATTORNEYS TITLE INSURANCE COMPANY AND SAVINGS BANK OF ROCKVILLE THAT THIS MAP IS SUBSTANTIALLY CORRECT, THE STRUCTURE IS Lr(XXaArM AS SHOWN, AND UNLESS OTHERWISE NOTED, DOES NOT VIOLATE THE ZONING RDGULATIONS OF THE 'TOWN OF SOUTH' , WINDSOR, CONNECTICUT. JZ*4� e4 ^.' ., n '+.*• /1 -•i-�n^i+r-�T^•� •• i•i•. �,....•• � rn. it IST3974 5 EP 2 8 190 South Windsor BUILDING DEPARTMEN-r ;JR "is cer"1 I l i I� ,I'n n(I re true hoc ;v„pis o be >ected at _7k--ZA JC$ �A- .mcnc�rn, _rat- ,1 r , APd %:th I I -I and I pr , to cn^-`i„ u11, , lit.tc lows ,s1„_d ._v L.Ic Building D,,p,rtm(ni ,t ttr„• ., r r,nr, appixation and final issuance of -i ,)ermlt. Slgnud I h s 1,1•,n 5 rppro1, subject to th1 c�nd to order o re na le e regulating builuing co1 , n e Con 'w:<<<.y Approved These telex with Building Inspector // Qkerr* Dates Ho. CERTIFICATION OF ZONING COMPLIANCE Proposed buildings), usA(s) and/or structure(s) as shown on this plan in conformances. ;i c j. r .; may app:y. :-ate -7, PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT J4,D 740 � Application- is hereby: TOWN OF SOUTH WINDSOR �AFPROVED DISAPPROVED BUILDING INSPECTION DEPT. }MJ 644-2511 Ext. 230 Application must be printed or typed. Date Building Inspector 1. LOCATION OF JOB 11(a k, , FEE SCHEDULE No . Street $ 0 - $19000 - $10. 00 Floor Apt . No. Over $1,000 - $10.00 per $1 ,000 or 2 . OWNER L ,�/, tf' fraction thereof 3. ADDRESS Ile- fdr- 4. APPLICANT c mil' �eGvpi 5. ADDRESS 6b 0 7 6. ESTIMATED COST $ ,L S--0 7 . IS THIS A CONTRACT COST ens No 8. FEE ENCLOSED $ 9. TYPE OF BUILDING : K RESIDENTIAL COMMERCIAL 10. TYPE OF JOB : Original Installation __X_Alteration/ ddit ' n/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) l � 11 . LOCATION OF JOB / 7 J of Lc u e� L ��► L NO . STRE11T APT. NO 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER 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 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 35 . REMARKS AND FURTHER DETAILS : l� s LICENSE NO. SIGNATURE OF APPLIC NT DATE PHONE NUMBER: �� I �