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HomeMy WebLinkAbout138 Cornerstone Drive (6) 8ectric# 02 APPLICATION FOR BUILDING PERMIT Plumbing# /O S 138 Cornerstone Drive HVAC # 11-2 v 27850 Date: �_����~O / Sprinkler# N0' FINAL APPR ALS Estimated Cost Building -7-d/ COMPLETE RED BOXED AREAS Permit Fee 30-«► Engineering 0 TYPE OR PRINT ONLY Occupancy Fee Affidavit SIGN ON REVERSE SIDE Appr.for CO. 1 7 �r Total Fee $ )73.S',CA. TO BIALDNG DEPARTMB-fT,TOWN OF SOUTH WNDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location ('SS CORQ62 lb-0�1 �a Vr��; r Lot No. 1 "3 Side of Street�'�_Zone Applicant n h C O- 4 ri ' .E.1t J) E5-4-1 Tel# Address//6 y �u� �I�i N t 22& C. : Zi d 2 Lic.# 0wn 44; Address . iw% AS S Architect Address Sq.Ft.New Area: 1st Fl. 176 `3 2nd Fl. ,J / 0 a 3rd Fl. Total New AreaZaf2 #Rooms #Lava ories I #Bathrooms 3 #Garages Purpose of this permit: Alac) City Water Well ❑ Septic System ❑ Sewer Ins. H.O. S.P. Cart. Area Basement / / Garage FO Approved by Date 5"Ot Use Group Construction Type S13 Revsed 1197 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 which this building and its se allowed Signed I hereby apply for a Certificate of Occupancy for the work nb n V arlication or the permit. Signe DO NOT WRITE BELOW HIS LINE � INSPECTION COMMENTS Location of Job: AFFIDAVIT Additional Fee$ — 0 — State of Connecticut ss.South Windsor County of Hartford ,�/� er I PO&ff7YV ]ad% ',i►o of /L. - Agent for th uilding erected under Permit No. 2 7 8 5 0 issued by the Building Department of the Town of South Windsor bein duly sworn,make oath and say that the actual cost of the completed work authorized under said permit was 3 4 0 9 5 . Sign Gx�WI -4A Subscribed and sworn to before me this day of �Lkc�am-(S , A.D.206 Estimated Cost S 2 3 4 ,0 9 5. Difference: $ (7 0 4) Notary Public Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-27850-B 210,000 B01 FOOTING 05/25/01 JFF D WATER NOT FORMED B02 FOUNDATION 06/07/01 CJD A B05 FIREPLACE/CHIMNEY 08/02/01 CJD A W/MASON P02 UNDERGROUND 08/22/01 GRM A AIR TEST W/CONTRACTOR OK B03 FRAMING (ROUGH) 09/24/01 CJD D NEED LAM SPECS,FIRESTOP LIV.RM WALL,FIRESTOP DUCT PENTRS., FIRESTP. BONUS ROOM WALL P03 ROUGH 09/24/01 CJD D FIRESTOP PIPE PENETRATIONS BETWEEN FLOORS DWV AND H2O OK E01 SERVICE 09/25/01 CJD D NO UNDRGRND. OR WARNING TAPE, E03 ROUGH 09/25/01 CJD D FIRESTOPPING, ROMEX BACK FROM FRAMING FACE 1 1/4 B03 FRAMING (ROUGH) 09/27/01 CJD A STILL NO FIRESTOP @ BONUS ROOM GABLE END E03 ROUGH 09/27/01 CJD A P03 ROUGH 09/27/01 CJD A H03 ROUGH 09/27/01 CJD A B04 INSULATION 10/02/01 JFF A NOT ATTIC OR CELLAR NOTIFIED CONTRACTOR **-11204-H 10,000 **-10855-P 8,000 **-17425-E 6,800 Total Est Value 234,800 Dwelling 3,869 186,795.32 Basement 2,614 37,118.80 Garage 680 9,656.00 Smoke Det 7 525.00 - BOCA Value 234,095.12 Difference (704.88) Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-27850-B 210,000 B01 FOOTING 05/25/01 JFF D WATER NOT FORMED B02 FOUNDATION 06/07/01 CJD A B05 FIREPLACE/CHIMNEY 08/02/01 CJD A W/MASON P02 UNDERGROUND 08/22/01 GRM A AIR TEST W/CONTRACTOR OK B03 FRAMING (ROUGH) 09/24/01 CJD D NEED LAM SPECS,FIRESTOP LIV.RM WALL,FIRESTOP DUCT PENTRS., FIRESTP. BONUS ROOM WALL P03 ROUGH 09/24/01 CJD D FIRESTOP PIPE PENETRATIONS BETWEEN FLOORS DWV AND H2O OK E01 SERVICE 09/25/01 CJD D NO UNDRGRND. OR WARNING TAPE, E03 ROUGH 09/25/01 CJD D FIRESTOPPING, ROMEX BACK FROM FRAMING FACE 1 1/4 B03 FRAMING (ROUGH) 09/27/01 CJD A STILL NO FIRESTOP ® BONUS ROOM GABLE END E03 ROUGH 09/27/01 CJD A P03 ROUGH 09/27/01 CJD A H03 ROUGH 09/27/01 CJD A B04 INSULATION 10/02/01 JFF A NOT ATTIC OR CELLAR NOTIFIED CONTRACTOR B10 FINAL 12/07/01 CJD D FRONT STEP RISER 1 3/4 DIFFERENCE FROM REMNG. RISES,NO PERMIT FOR BSMT. BLDOUT,HNDRL.FRNTST Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-11204-H 10,000 **-10855-P 8,000 **-17425-E 6,800 Svc P� SITE COMPLIANCE CHECKLIST , TOWN of SOUTH WINDSOR, CONNECTICUT 138 CORNERSTONE DR LOT_#13 Reviewed (En - eering) MANNARINO BUILDERS INC. Date Reviewed &IaZelolApprove /Denied 1169 ELLINGTON ROAD,SOUTH WINDSOR,CT_ Reviewed By anning) BP #_27850_ Ph_#_(860)289-7055 Date Reviewed d( pproved Denied Date Submitted 00/00/00 ***** FOR C of O ** As required in the Zoning and/or Subdivison Regulations, no Certificate of Occupancy shall be issued until grading plans have been complied with and approved by the Town Engineer. The minimum requirements shall include: Approved Denied N/A s (� 1. Approved building permit plan 2. Finish grading per approved building permit plan 3. Site work; i.e. trees, shrubs, dumpsters, required parking f/ 4. Utility location; a. sanitary sewer/sue s b. foundation drain C. electrical & telephone d. water / e. other 5. Sewer connection charge paid 6. Appropriate certification 7. Bonding 8. Planning & Zoning/ Inland Wetlands Considerations A. Lighting B. Signage Freestanding Wall C. Fee in lieu of Open Space Sewer Permit No. 7.2 76 Pavement Excavation No. COMMENTS: SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 138 CORNERSTONE DR LOT_##13 Reviewed By f J&A 1,0000� eering) MANNARINO BUILDERS INC. Date Reviewed OS 10 O pprov Denied 1169 ELLINGTON ROAD,SOUTH WINDSOR,CT_ Reviewed ByJ (Planning) BP_# 27850 Ph_#_(860)289-7055 Date Reviewed_Va bb pprove Denied Date Submitted 05/17/01 ***** FOR BUILDING PER * ** In accordance with the Zoning and/or Subdivision Regulations, prior to the building of any structure on a lot, a Topographic Plot Plan shall be submitted for approval. The minimum requirements shall include: Approved Denied N/A _1Z _ 1. Name, address & phone number of owner/applicant 2. Name, address & phone number of plan preparer ✓ 3. Zoning Information - i.e. zone, open space, floodway, street address. 4. Plot Plan at 1" = 40' scale a. Subdivision reference, abutting properties, etc J/ b. Easements of record c. Lot description, bearings, building lines, distances, area, etc. _Z d. Contours, existing & proposed, 1 or 2 ft. interval where appropriate e. Building location with dimensions. Elevations of proposed finish floor, garage floor & centerline of road at driveway Lri f. Elevations of gravity drainage systems, sanitary & foundation drain at the house and the street g. Tentative utility location ga water, electric, septic s7a4mm etc.) h. Title block with name and address of preparer, date, appropriate certification, live seal and live 1 signature consistent with the Board of Registration requirements. (P.E. & L.S.) 5. Sedimentation and erosion control 6. Special Planning & Zoning, Inland/Wetlands considerations (Plans on file w/Town Clerk) COMMENTS: DEPARTMENT DECISION PERMIT# APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPIRO ? 1540 SULLIVAN AVENUE 2 7 J644-2511 ext. 230�-( (�)L � Date Building Inspector Application must be printed or typed Location of job 00/ ?8 / 3 FFEE SCHEDULE Street No. Street Lot No.. Floor Apt.No. $0 - $1,000 - $12.00 Over $1,000 $12.00 per$1,000 OWNER .#P7,4/I/ or any fraction thereof ADDRESS � -7rAol OWNERS PHONE# :78P C/ v 7o S APPLICANT ADDRESS Yee ESTIMATED COST$ ®< 0 IS THIS A CONTRACT COST? 00 YES NO 0or FEE ENCLOSED $ OR-CO TYPE OF JOB: V/00'99inal Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WLTH A RESIDENTIAL BUILDING PERMIT APPLICATION S / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY /LiQ ltl6l� MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD s SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS I NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YESO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS 5 NUMBER OF SWITCHES 36 NUMBER OF OUTLETS 7f; 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 Al THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CO BUILDING CODES IN THE PERFORMANCE OF SUCH WO p l5V et� xcc,p NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. ���""�G�b DATE 9 hirley Wilhelm- R Approval''Confirmation: Request No. 186490 =ge From: <clpsvc@nu.com> To: <WILHEL@SOUTHWINDSOR.ORG> Date: 10/11/01 9:15AM Subject: CRS Approval Confirmation: Request No. 186490 CRS Work Request#: 186490 House No: 138 Corot erSiP c-- Lot No: 13 Street Name: Inspector: JOHN COLLINS Approval Date: Oct 11, 2001 EDate TMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# cation is hereby: Q�s BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 �7?S� Building Inspector Application must be printed or typed �3 �oc�fion f Job: FEE SCHEDULE 6�' r si , Lot #j a-#30 Q n; Qe $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= r $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT State Line Oil APPLICANT ADDRESS 514 Salmon Brook St. , P. O. Box 209 , . Granby, CT 06035 APPLICANT PHONE# 8 6 0-6 5 3-7 2 41 �000 0W N S�q OWNER Mannarino Builders �. OWNER ADDRESS 1169 Ellington Road S. Windsor, CT 06074 C OWNER PHONE 2 8 9-7 0 5 5 a C ESTIMATED COST$ IS THIS A'CONTR.ACT COST? 0 Yes 0 No �! FEE ENCLOSED$ /0 OR,Cp TYPE OF JOB: '. dSl`� M New Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? DYES ❑NO 3 RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME PHONE ❑FACTORY ❑ STORAGE ADDRESS ❑GARAGE ❑MIXED USE CITY STATE ZIP (Other please specify) / U TYPE OF INSTALLATION (4 SIZE OF MAIN DRAIN NO.OF TOILETS STYLE �.► NO.URINALS I STYLE NO.OF BATHTUBS NO.OF SHOWERS Z' NO.OF LAVATORIES C� If y NO.OF CONDUCTORS 3 SIZE 3 NO.OF STACKS Z 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 7S MANUFACTURER fx-, 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. ##200887 P1 CT CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE joit O' DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE 138 �6tAt tt b: o (Lot #ly $0-$1,000=$13.00 Street Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT State Line O i 1 APPLICANT ADDRESS 514 Salmon,, Brook St- P. O. Box 209 , Granby CT 06035 APPLICANT PHONE# 8 6 0-6 5 3-7 2 41 OW N S�q OWNER Mannarino Builders OWNERADDRESS 1169 Ellington Road ,- S. Windsor, CT 06074 OWNER PHONE 2 8 9-7 0 5 5 C MID ESTIMATED COST$ FLO )©6 IS THIS A CONTRACT COST? K Yes 13 No FEE ENCLOSED$ TYPE OF JOB: OR-CO 1XNew Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR HVAC PERMIT (Continued from reverse side TYPE OF SYSTEM: TYPE OF BUILDING: Ll HEATING 3 RESIDENTIAL 0 A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE —%c/ °F INSIDE 761 F DIFFERENCE Je OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) la,4- f-t /rev 'P l zS,t.. //0 y ,-r GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT BTUH) I C� TYPE OF FUEL ❑OIL—GPM OIL TANK LOCATION :❑INSIDE❑ OUTSIDE CAPACITY W 6AS—INPUT LPG TANK CAPACITY ELECTRIC—KW AIR CONDITIONING DESIGN TEMP. OUTSIDE OF INSIDE 7--5 OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) b-e 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 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. #301022 S1 CT CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE LOGIC 1000 RESIDENTIAL LOADS ANALYSIS CFM CIIART FOR A 1 ,950 CFM BLOWER ----------------------+------------------------------------------------------- <-- HEATING --> <------- COOLING ----•--> TOTAL HEATING SENS TOTAL COOLING ROOM ARI3A LOSS AIR GAIN GAIN AIR NOS' ROOM NAME SQ FT BTUI-I CFM. I311'UII BT'UII CFM ------------------------------------------ 1 DINING ROOM 206 11460 220 5364 6043 205 2 KITCHEN 363 6669 132 2863 2999 102 3 NOOK 99 7524 149 3533 3986 135 4 FAMILY ROOM 428 20099 399 10305 11933 404 5 HALL & CLO 56 3458 69 727 922 31 G BATH28 733 15 122 122 4 7 FOYER 180 7093 141 3986 4376 148 180 5915 118 2725 2977 101 8 LIVING ROOM 2104 9 M. BA`I'Il, CLOSET', WIC 306 4935 98 193� 7565 256 10 M. BEDROOM 50U 0163 162 66 11 UPPER FAMILY 387 3178 63 1341 1341 45 84 12 BEDROOM #3 238 4937 98 2256 2442 25 13 BATH 85 1557 31 684 14 BEDROOM 14 258 4494 89 2792 4056 137 15 BEDROOM f'2 210 4313 86 3558 208 3625 72 2538 2732 93 1G UPPER FOYER ___ ----- ------ ZONE 1 TOTALSS 3730 90152 1950 51423 57547 1948 * NO WARRANTY, EITHER EXPRESSED OR IMPLIED IS GIVEN WITH RESPECT TO THE ACCURACY OR SUFFICIENCY OF THE INFORMATION PROVIDED, AND THE USER MUST ASSUME ALL RISKS AND RESPONSIBILITIES IN CONNPCTION WITH ITS USE THEREOF. Town Of South Windsor Building Department Location V34 64 (*tA-& - Building Permit# 3 SWIMMING POOL REOUIREMENTS: This list is not all inclusive;please refer to pool packet. ❑A 48"barrier will be provided to protect the pool access. Including a temporary fence for inground pools prior to filling. ❑Access gates will be self closing and self latching(if less than 54"high they shall be on the pool side and be protected within 18"of release mechanism). ❑Doors providing direct access to the pool shall either have an alarm,a self closing self latching device 54"above the floor,or a safety cover over the pool. ❑No receptacles within 10'of pool.(locking type receptacle for pool equipment must be at least 5'from pool and GFCI protected). ❑All metal parts of pool structure,fixed metal parts within 5'of pool,pump motors etc., shall be bonded with a minimum#8 solid copper wire. ❑Convenience GFCI receptacle shall be provided between 10'and 20'from pool. ❑Trench depth for 20 amp.circuit to pool equipment shall be 12"minimum. ❑A surface pool alarm shall be installed pursuant to Public Act 99-140. ❑All swimming pool pumps must be equipped with a time clock. ❑Heated pools require a pool cover unless over 20%of the heating energy is from non-depletable sources. REQUIRED SWIMMING POOL INSPECTIONS: The following is a list of inspections that need to be performed prior to the continuation of work. Requests for inspections can be made by calling the Building Department at 644-2511 ext.230. 1. TRENCH AND BONDING-Electrical trench depth verification and bonding of pool and metal appurtenances including metal reinforcing for gunite pools. 2. FINAL ELECTRICAL-Location of equipment and GFCI protection. Convenience outlet provided. 3. FINAL-Swimming pool access protection must be provided before pool can be used. Each swimming pool installation requires a Building and an Electrical permit. Additional permits and inspections are required for pool decks. I have read and understand the requireme ste�d b A44�e Applicant Signature Date `"'/P".'Z� � Homeowner Signature Date —d-C.D ,— 0Z —Tw to �, Ale A' low t Pu. ; k' SI UCi.i 1 'a!WJ.ort ! t1'.:it�7'}CIdC SI LtI iC. DA DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: � 12 5-�oZ BUILDING DEPARTMENT APP�OV� 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 ,2 F-3 c'�r-k ate Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE tesignation C � S$0-$1,000=$13.00 . Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant D Apt.No. APPLICANT APPLICANT ADDRESS Cl;:� 0C001E-LA c / APPLICANT PHONE# a(00 — 6 l —/44 Lo W N S OWNER y P--\ K V�tJS �O �q� OWNERADDRESS 13�Y- Cos-Nec- OWNER PHONE ESTIMATED COST$ IS THIS A CONTRACT COST? XYes 13 No ICJ FEE ENCLOSED$ (26,00 pR.CO TYPE OF JOB: S )(Y4ew Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION?,4 YES ❑NO RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑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 SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES _ NUMBER OF OUTLETS �)O 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 -P)0, 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. 1�i-aa 9 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICAN DATE /