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Home My WebLink About151 Ellington Road (2) Application No. ............2. .37................... Permit No. ......25 7..7.................. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. ...... ............:hereby make application for a permit to (erect kw* a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion�of this work whether specified herein or not. South Windsor, Conn., ....................... .. . K. 19....�S..Y Signhere ........... .......................... ....._............... .........-........... Address ...... ...... ..... ............. ........:............................ Location? ................................................................... ........... .....................side of? ...... .�''......--..............ze. ............. Nearest cross street? .......................Street No. ............. ............... Lot No. . .... ......................... Owner of land is? .. ........ ... ...... .. ............... ............... r .................. .......�.. .. ................... .......................Address ... .................. .................. ........ ................................ ress eel • Owner of building is? ....... ..................�..r�::^.. .......Add .... .................................................................................................................. Architect is? ...................... .. ....... ........................................................Address ................................................................. ............................................... ,�,, _/ , 7 Builderis. .......... ...... ................. ....................................................................Address ..................................................................................................................... Dimensions of building? .........Feet front? .............. Feet rear? ..........� ......... Feet deep? ..... ......... Extreme height to highest point of roof? . ' .................. No. of stones m height? ............../..r....... t, Purpose of budding is? ...... '�� ...................: ,................No. of stores. ........................................................................................................ (� How many families? ..................................................................-....._....-....No:of rooms? .... ................................................................................................... from building line is? Distance from street line is? :................... ................................................. - ......................... ADDITIONS AND ALTERATIONS (Give Brief Description) .................. .............. ................................................................................................................................................. ....................................................................... .......... .... ..........-...... - -....... ._....................... ...... _......-............................................ �.. .` ......�....... ....................................... _ . .. ...... .....................8............................................................»................................................................................................................................................................. ....................... -Map No. ............................., If of steel frame, what is exterior construction? ..... ......--- ......... . ...................... ............................................................................. What kind of columns used? .............................................................Size of columns used? . . ..... . ........................ ................ .. ......... What length of columns used? .............................. .......................How protected? ...... .............................................................. .............. ... What kind of beams or girders? ...................... . ................ Size of beams or girders? ........................................................................... Longest span of beams or girders? .................................... ...... ....These rest on? .. ...... .................................................................................... Roofconstruction is? .......................................................................................Roof covering is? ....................................................................................... The floors are of ........................................................... construction and are calculated to carry a safe load of...... .......................... lbs. per square foot. IP (See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Ofwhat material will walls be constructed? ... ................................................................................................................................................ ................. Compositionof mortar? ............................................................................................................................................................................................................................. Height and Thickness of Walls Height Stories Front Wallis Side Wallis Rear Wallis Partition Wallis Basement, .............................................................................................................. ....................................................................................................................................................................................................... 1st Story ......................................................................................................I..... ................................................ ..........................................................................................:.............................................................. 2nd " .........................................................................................................................................................................................................I.......................................................................................................... 3rd " ............................................................................................I.............. ................... ..............................................I.......................... I..................I...................I.................................................... 4th Is ................................................................................................................................................................................................................................................................................................................. 5th 64 ................................................................................................................................................................................................................................................................................................................. 6th at .......................................................................... ................................................................................................................................................................................................................... 7th 44 ..........................................................................................................................................................r.................... ...................... ........................................................................................................... 8th Cc ........................................................................................................... ....................................................................................................................................................................................................... 9th Is ................................................ l ..............(K.........h................................. .......................................... ........ ............... ............................................... ................................................... As Material of Front? .......................... ............. ..........................................If stone, what kind? .......... .................................... ............................ Thickness of Ashlar? .... ...... . ......... ..........:.........................................Thickness of Backing? ..... ....... ... .... ..............I.......................... Backed up with what? . ....... Arches or lintels over openings? . WOOD CONSTRUCTION. Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GUMNBS COLUMNS Floors Size Longest Spas Centres Bridging Size Longest Span Centres Sire Lenge Centres 1st Floor a.....;�.... .............. .................................. ....._...._ _....._..._.............__ __.... «_....«._ ..... ......»..«.«..., ... ............« .................................. ..«»............ «........«. ......».«.._...w«......« ..«......«».«.. ...... « .«...... Size of outside studs? .......................................... Distance on centres? ................................................ Size of sill? ............................................... Size of rafters? .......................................... Distance on centres?................................................... Size of plate? ...................................................... Size of ledgers or girts? .................................................................................Size of deck rafters? ...................................................................... ............... Distance on centres? .........................................................................................Size of studs in bearing partitions? .................................................. MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? ...................................... Fireplaces? Material of roof covering. ........................................................................Material of Cornice? ....................................................................................... Howis building heated? .............................................................................Lining of flues? .................................................................................................. Thickness of shell of flues? ........................................................................Any elevators or lifts. ............................................................ ...................... What kind? ........ How many? ................................ Any hoistways? .......................................................... . ............................................:. ........................ Howprotected? ............................................................................. ............. ...Total Value of Building ................... .................................. Whenwill work be commenced? ............................ ......................................................................................................................................................................... The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli- cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the Town of South Windsor since 1949. Applicant 2577 BUILDING APPLICATION Application No. ...........`..... ....13..3......7 ................................................... onthe .............Eaat................................................... side of 111111 i n,,,,t.on....Ed...................................................................I., Street. StreetNo, .................. ............................. ................................. Owner .. .....Port e Jir,n . ..... ...-j -r................... Applicant . .......................................................... CLASSIFICATION Greg n h o,-,..s e... -1-Q--'-,x22!................... ..................... ... .............. ................. .... ......................... ...................... .................................... ................... ................ .................................... Permit issued on above Application. Date, ............... 19..... r TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Oct, 29, 19 58 Fee Paid ,$......2.00 1 Est. Value Permit N O 2577 on the East side of El l ins;t on R d. Street Street No. Owner Porter Blinn, Jr Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $$ CLASSIFICATION Greenhouse 10'X22t BUILDING PERMIT NY 2577 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. OC t. 29, 19 58 X4t'o to to (Urtif1j, That Porter Rlirmn. Jr. is hereby granted permission to Greenhouse 1.0 S X221 at estimated value of $ 150 Owl, on the East side of El lint on Rd. Street on land owned by Porter Blinn- Jr. Said e!ork to be as described in Application No. �� `�3 and-to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued UC t o 29 19 53 Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers dur- ing 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." Application No. 49�9. Permit No. 4669... . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. �. hereby make application for a permit to (erect ( ) a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether s cified herein or not. South Windsor, Conn., .:V.. .........4�............. 19... .1. Signhere . ..... ............................ .............. ..............._. Address /........... . 1 .a...,l�r- ..... �.•0-c Location? . .............................. r...... .. ..A*�.,a .. '........side of? ' .................................... ��....................................`"�" Nearest cross street? ... ...... '............�`�?r............Street No. . ............... .............................. Lot No. .. ...................... Owner of land is? ......Q�� ....... .. l...rtl ..Address I....S .,r'..... ,l ife Owner of building is. ...........Address .............................................^.-t...................... `r ... ..... .................................................. .. ....... ............ ........... Architectis? . ... .............. ..`.�.......................................................'t...........Address ....................%................................................-s.................................... Builderis? . ...................................`.................................................... ............Address ................... ............................................... .-'..................... ......:..- Dimensions of building? Feet front? ....7.-. 0 ....... Feet rear? ...... .";Z-...(?.. Feet deep? ... .;Z- Extreme height to highest point of roof? ..................,/ .... .... ... . .. ... No. of stones to height?.. .......gP A .. .. Purpose of building is? f.. .t?.-- ,,��'...�.E! .AVo. of stores? .... ............................................................................................. Howmany families? ............................................_...._....................................No. of rooms? .... ................................................................................................ if Distance from street line is? ... ............. .. .....................from building line is? ADDITIONS AND ALTERATIONS (Give Brief Description) - .... .. ..................�:�c.:.:.-�,�,,,�......... .. ....... ... ...... -z�'.. ......... .. .......... .... ........ ..............` ... .......... �J.........._......... ............ ...................... ..... ..... . ..... ........ ,......................................................................................... MapNo. .................... If of steel frame, what is exterior construction? ............... ... ... .................. What kind of columns used? ............. ...................... ......Size of columns used? What length of columns used? ... .. ... ...... ...... . .....How protected? . . ........ ............................................. What kind of beams or girders? ..................... . . ............. Size of beams or girders? ............... ............ ........................... ... Longest span of beams or girders? ................... These rest on? . . ......... ..... ...................... .... ............................. Roofconstruction is? ...................................................................................Roof covering is? . .. .- . ........ .............. . ... . ........................... . The floors are of ....................... ......... ... .......... construction and are calculated to carry i safe load of lbs. per square foot. (See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? .. ................. . .............................................. ................................................ ... ... .............. Compositionof mortar? ......................... .......................................................................................................... ............................. .... .................................. Height and Thickness of Walls Neltht stories Front Walls Side Waft Poe" Walls Partition Walls Basement, ...................................................................................................... ..................................... ......................................................................................................................................... ......... 1st Story ............................ ............................................................................................................................. ......................................................................................................I........................... ... . ..... 2nd " ................................................................................................................................................................................ ........... ...................................................................... ............................ 3rd " ......................................................................................................I............................................ .......................................... ............................................... .......................................... ..... 4th 64 .......................... ...................................................................................................................................................................................................................................... .............................. 5th 11 ....................... .......... ........... ................................................ ........................................................................................... .............................................. ................................................... 6th ds ............ ......................................................................................................................................................................................................................................................... 7th so ............... ........ .......... .... ........................................................................................r....................................................................................................................................................... Sth Is ................................................................................................................................. ............ .......... ................ ........................................... ...................................................................... 9th of ........................................................................................ .............. . ............ ............. ....... ....................... I..................................I............................I............. 10th Material.of Front? ..If stone, what kind? ....... Thickness of Ashlar? ....Thickness of Backing? .. .... ...... .... ...... .... . ................ .... Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JoisTs G=D=8 COLUMNS Floors sf:e Longest span Cures arldging size Longeist span centres Bite Long* Centres 1st Floor , a.....,�.... .................... .......__ ._........_..._....._..._.. ................ ...._.._. _......._ ......w..__..._ .....,...... ..... ... ... ..................... ........_. ..._......_...._._......_. _........._. ....... .................... 4 .... .... Li�................... ...................... ......._ ......................... ..._.. .........».. _..._..... ..._....._... _............._. Size of outside studs? .......................................... Distance on centres? ................................................ Size of sill? .............................................. Size of rafters? ..................................... ... Distance on centres?................................................... Size of plate? ..................................................... Size of ledgers or girts? ...............................................................................Size of deck rafters? ................................................................... ............... Distance on centres? .........................................................................................Size of studs in bearing partitions? .................................................. MISCELLANEOUS Style of roof, flat,.pitch, Mansard, or hipped? ...... ......................... ................................... Fireplaces? ........................................................ Material of roof covering? ......................................................................Material of Cornice? ....................................................................................... Howis building heated? .............................................................................Lining of flues? ... ............................................................................... .............. Thickness of shell of flues? ........................................................................Any elevators or lifts? ........................................................... ...................... Whatkind? ............................... ................ How many? ..................... ................................ Any hoistways? .......................I..........I ............... . How protected? .Total Value of Building ....... .. ............................... When will work be commenced? ........... ... .. ,,�,.,�}.......... The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this application, conforms to the zoning regulations of the Town of South Windsor. Applicant 4669 BUILDING APPLICATION Application No. ......4929.................................................... on the ..........East........... ...................... ............... Side of .............. ... ............. ..Ell.i.ngton Rd.......... Street. ... ....... ..... ... .......... Street No, . .......... Porter Blinn Owner Same Applicant CLASSIFICATION 2 car garage moved from Chandler .. ... .. .. ... . ... ........ .. ........... ....... property to 151 Ellington Rd, . ......... ... .. ... ............. ......... Permit issued on above Application. Date, .1 87 64 19.. P TOWN OF SOUTH WINDSOR BUILDING PERMIT 19 Date Jan, 8, 64 Fee Paid $. 4,00 Est. Value . 1:000 Permit 4669 on the East side of Ellington Rd. Street Street No. 151 Owner Porter Blinn Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION 2 car garage moved from Chandler property to 151 Ellington Rd* f i BUILDING PERMIT N° 4669 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Janos' 19 64 X4'to to to Terftf1j., That Porter Blinn is hereby granted permission to 2 car garage moved from Chandler property to 151 Ellington Rd* at estimated value of y$ 16000 on the East side of 151 Ellington Rd. Street on land owned by Porter Blinn Said Work to be as described in Application No. 4929 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued `7aa'8 1964 uildi g 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." �6� TO THE BUILDING INSPECTOR of the APPLICATION FOR TOWN OF SOUTH WIPWSM COM PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT - Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING I• AT (LOCATION) 1 DISTRICT LOCATION (NO.) (STREET) OF BETWEEN F` AND cLod BUI LDING (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE 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 T 1 ❑ New building Residential Nonresidential 2❑ Addition(!/residential, enter number 12❑ One family 18❑ Amusement, recreational of new housing units added, if any, 13❑ in Part D, 13) Two or more family — Enter 19❑ Church, other religious number of units— — — — --)w 20❑ Industrial 3 ❑ Alteration (See 2 above) 14 Transient hotel, mote ❑ T h l� motel, 21 E] Parking garage 4❑ Repair, replacement or dormitory — Enter number 5 ❑ Wrecking (I/multifamily residential, of units ——————— — -i 22 ❑ Service station, repair garage enter number o/units in building in 15❑ Garage 23❑ Hospital, institutional Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional 6 ❑ Moving (relocation) Woo 25 Public utility 7 ❑ Foundation only 17❑ Other — SpeciJy ❑ Y l 26 ❑ School, library, other educational B. OWNERSHIP "�� S+v e '^ 27❑ Stores, mercantile 8 Private (individual, corporation, �! �,-y� 28❑ Tanks, towers nonprofit institution,etc.) ` " ' V 29❑ Other — Specify 9 ❑ Public (Federal, State, or f , local government) , C. COST (0 it cents) Non esidential — Describe in detail proposed use of buildings, e.g., food ��`Oe 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 .......... A d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ Z0d' 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................ 31 ❑ Wood frame 41 ❑ Private(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32❑ Structural steel dimensions .................... 33❑ Reinf rced 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 there be central air 52. Outdoors....................... 36❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37❑ Electricity 44❑ Yes 45❑ No 53. Number f b dr ms.............. 38❑ Coal 39❑ Other— Specify Will th r be an elevat r? Full.......... 54. Number f 46❑ Y s 47❑ No bathr ms Partial....... NOTES and Data — (For department use) IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP cod Tel. No. .s•r ,�4y2i,v� EGL. �w S'o�t G(/isoe all �y1,� Owner or 060 74 Lessee 2. Contractor 3. Architect or Engineer Th on of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signs re of appl' nt Address Application date P41 &,Ov /f 1?86 VV DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Date Plans By y Date Plans B Notes q Fee StartedApproved BUILDING $ PLUMBING $ MECHANICAL $ ELECTRICAL $ OTHER $ V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or A rova I Check Date Number B Permit or Approval I Check Date Number By pp Obtained y pp Obtained 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 11937 Bui Iding Permit issued Nov. 20 19 80 Building Permit Fee $ 3.00 Approved by: T14tLE sawwwisaw sasawa saws wwsawww sat w saw.Ysa ww sawwww, www Ns■ siNM RN Nisa■f..t`.•Sa : • •■:.:.i:•w:':.s.• •sa w sasaw•=N m.• m sa■Nsasawii N • .: s n . mo. 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Uns: f.1•. e3 N .; Hil!s sass:=:e's sas:seseeses's:e's==e::eesees+:eseess'ssam memo moonbeams sss£sa::'se$sess=ss . � � , . NOR ��s�eeem ..e:sesii=eme== e= eseeeeeeis'se'see=i: ::'s::siiem'sa�emu : i :� sN •�::: . �....__; •. ....s.ss:a:ee=am:s:..:s:::::::e..:..m::::::::::::::::::::::ae:s::m:s::s:s::m::::m!::sssss:: •ss =s3:$eiis=e •:i e�esi'secs= �.s....::s...s:.....s...s...... ::::::::::::::::3 :In:1::::■saaog=";;1es��a:::l MINag::::ss� i TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Nov- 20 , 19.80 Fee Paid $. 3.00 Est. Value $. .2 00.00 i Permit N° 11937 on the side of Ellington Reed Sueet Street No. 151 i Owner Anthony Farina Applicant Anthony Farina CERTIFICATE OF OCCUPANCY ISSUED: Date No. f Fee Paid $ CLASSIFICATION Wood stove I BUILDING PERMIT N '7 OFFICE OF o 1193 THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Ndy. 20 19 80. M#io 'to to Certify, That Anthony Enrinm is hereby granted permission to Wood stove i I - at estimated value of $ 900-00 I on the side of 151 Ellington Road Street on land owned by Anthony Farina Said Work to be as described in Application i I No. 12237 and to conform to specifications and plans filed with said Application, and Building By- i Laws of THE TOWN OF SOUTH WINDSOR. I I Issued , 19800 I i 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." I i i , I ." ma's'..` -a'_ *'l,.: '.`++r • .:'�. Ak ar / /fq ♦ * .,, ry loft QO �•� � �� ' = "`* :tea. - - f 2,. �• M,r.,r h • s� a. G.l a.' 4. e x •3 � Y V� l r' 40, 00 7 Ile. jj J S t Is, air 40 N `-`- l c�� -50/ O \ f / i ., �-,-- -�. � Yi�iV CIF Zuiv�wu uUiviNL'iAivCE r✓�.lrt i l i"�4� ,�i'ding(s), use(s) andlor structure Isn proposed b to be ran appear(s) ,_�, as shown on this P � Aent ;oC.�th Winds-)' :.onforrnance with ^eS�'and special exception :-;;gulations. Variant. may applY• 5 I� g f I �a' t)ate Zoning Enforcement officer T9 TA a'."I:eINW 1.i— .. ..,,.. iffif 6effili(3tf itii t tlil§ plan and specifications are tf,l ti,lpl@f of lh@ proposed building or alterations to bd �+ret:ted of Street ttjg@th@r with amendments stated in application ano filed with plan and I agree to comply with all zoning, 11Nllding and state laws and such orders as shllbe I§§usd by the Building Department during pendency of this application and final issuance of a building Parmit. Signed This plan is approved subject to the condition that ofdcErs and ordinances regulating building shall be compiled with. Conditionally Approvgd Zhe;e filed with 13uildina Inspector Data - PERMIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT IJ3� Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE .ZhA 644-2511 Ext. 230 Da u d g Inspector Application must be printed or typed 1 . LOCATION OF JOB J-/ t l �'A " I Y FEE SCHEDULE No . Street $ 0 — $19000 — $10.00 Floor Apt . No. Over $1 ,000 — $10.00 per $1 ,000 or 2 . OWNER �� D� fraction thereof 3. A D D R E S S f f �/.>l P17 -�-- 4 . APPLICANT 5. ADDRESS 6. ESTIMATED COST 7 . IS THIS A CONTRACT COST e No 8. FEE ENCLOSED $ l -� 9. TYPE OF BUILDING= RESIDENTIAL COMMERCIAL i 10. TYPE OF JOBS Original Installation Alteration/Addition/Repair a0 3A 11i88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB �� ( / �`' >,, � C 0. STREEt 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 : c c �� z> l� S LICENSE NO . SIGNATURE OF APPLICANT DATE PHONE NUMBER: (�6v 3 ; y, I }" DATE LL)�-ITIME- liSPECTOR LOCATION -5 INSPECTION: ��- ' CODE: -- BUILDING: r y� ---------- ELECTRICAL• PLUMBING: HVAC: OTHER: