HomeMy WebLinkAbout19 Deepwood Drive ,�',����c= ,P�r�✓c H F�� i 90 v�_
Application No. 5007 Permit No.4737
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (erect ( so) a building according
to the )ollowing 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.
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South Windsor, Conn., 7� 19... ..... ...... V le //0US �.
Sign here .............................. .:P—�:.-- .✓..... ............. ..`
Address . . ..�� -�.... ...T... ��
r
....cr.?. .............side of? ....�.�/ ..s
Location?
Nearest cross street? .... .. ....;f Azoo—ow......... /42......Street No. . .............. ............................. Lot No. . ... ................. .
Owner of land is? .. ut. '�.... � ,,..........Addresa .....,C . . ��C ?�� .... 7`..
• sc
Owner of building is?. ... ....'.. ..............................................................Address .. ................................................................................................
Architectis? .. ... ..............`07.......................................................00................Address ..............%-.`.............................................�.................. .....................
Gl) Builder is? ............................✓`............r...................... ...............�................Address - ........ .................. ................................. ...........
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Dimensions of building? d..X!:.. ..Feet front. ... .......... Feet rear. Y.4......... Feet deep. ...... .Al
75
G)� Extreme height to highest point of roof? .................. ..,,�T.. ....... .... . . No. of stories in height? ...........G
.
.. .
Purpose of building is? ..... ...)--w...cz.6..,4.4)...........No. of stores? .......................... ... .................................. ...........
Howmany families? ..............................!6..............._...........0.............No. of rooms? .... ............... ..........................................................................
i
Distance from street he is? ... ... ...le....................................from building line it? ............... ...........................................................
ADDITIONS AND ALTERATIONS
(Gve Brief Description)
.................................................................................. ..�........................... _ ....r.............................................................
dw
PREM. SEP= PAYMENT �..�.
................. ........ ........................................................................................................................... ...........................E•14DGtZ:S't;—;D.....�Y......S.�..m.a,.�,�,�;���.....�
MapNo. . ..................
UTH WI 0 0 i)kilA�i�: 610. 6
SAKI RY OFFICER
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? . .... ... . .. ..... ....... .... ..........................
Roof construction is? ...................................................................................Roo covering is. . ................. ...
The floors are of ........ ...................... . construction and are calculated to carry a 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
Height stories Front Walls Side Waft Bear Walls Partition Walls
Basement,
................................ ..................................................................... ...................................................................................................................................... ......................................
1st Story
............................ .................................................................................................................................................................................................... ...................... ............................ ......... .....
2nd "
.............................................................................................................................................................................. ........... ....................................I....... .... .................. ......... . ............
3rd do
.......................... ............................................................................................................................. ........................................... '..'.................................................................................. ......
4th 44
........................... ................................................................ ................................................................................................................................................ .. .....................
5th 94
.................................. ........ ............................... ................. ...........................................I............................................. ............................................... ....................................................
6th 46
.... ............ ............... ......................................I.................... .......................................................................I.............................................................................................................................
7th 'o
............... ............. .......... ....................................................... ....I.........................I.......................... ..........................................................................................................................
8th of
................................................................................... ........................... ......................... .. ....... .............. .................................... .......................I....................................................
9th 11
.. .................... ............................. ....
10th
.................. .............. .............. . ... ....... ... ... .. .... ....... .................. ..............................................................................
do
Material.of Front? If stone, what kind?
Thickness of Ashlar? ....... ....Thickness of Backing? .........
Backed up with what? Arches or lintels over openings?
WOOD CONSTRUCTION.
Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns
JOISTS GISDZRS QOLUMNS
FIoors Sine Longest Spsn Cures aridging Sire Longest Span Centres Sire Length Centres
Floor 0a fa M �i f I
�. .. ........f Z .........
..6....... !.' c ... �._ ...,, ................... .............
, ..
grid »__ _...»...»....._
...... .. . . .. .........................
.4 ....��.... ................... .................................. ..................... ..........................
..._. _..._.».. ......»..^.. »....»......».._..
Size of outside studs? ..............S(l ....... Distance on centres? ............. ..O..``............. Size of sill? .........��f. ..� . ............
Size f rafters? ......?,r--x...(d...... ... Distance on centres?............... .............. Size of plate? ........5Zjc."r..................
Size of ledgers or girts? ..............................................................................Size of deck rafters? ..................................................................... ...............
Distance on centres? .........................................................................................Size of studs in bearing partitions? ............Z..X... ..........
MISCELLANEOUS
Style of roof, flat,.pitch, Mansard, or hipped? �� ~'
... ....... .................... ...... Fireplace? .......... ................ .......................
Material of roof covering? „�r.,, ,7 ..........Material of Cornice? ......tZ........' .......... op
...
How is building heated. . ....... ...�,., -...� ..........Lining of flues? ... ..� ..................................
Thickness of shell of flues? ........ .............................................................Any elevators or lifts? ............................................................ ......................
Whatkind? .................................................. How many? ..................... ......................... Any hoistways. ....................................................
How protected? ................. .............................................re-4,
................Total Value of Building ............, o..... ...a.......................
When will work be commenced? .. ' .... .. .......... ,,,... ............. 000,
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
4737
BUILDING APPLICATION
Application No. ... .......5.00.7..............................................
...............
onthe ............South............... .......... ......... ................. Side of
Deepwood Drive
.. ........... ... ............. ...... . . .... ........ ........ . Street.
Street No, Lot #35.... ... . . ..........
Owner U .&.. R ..Ho.u.si.n.g. .Corp..
Applicant Same
.......
CLASSIFICATION
Dwelling 581x241
. . . ...... ... ...... ..................
. ........ ....... . .. . .. ............. .........
Permit issued on above Application.
Date, . 4-.2-6.4 19 ......
ti
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date April 20 � 19 64
Fee Paid $. .7.2.•.00 Est. Value $. -1 000
MM. SWIC PAYAUNT 20.00
Permit lr? 4737
I
i
South
on the side of
f Deepwo+od Drive Street
Street No. Lot #35 )t;t'1 I
Owner U & R Housing Corp.
Applicant
Same
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 2781
f
Fee Paid s$ 3 '00
f
CLASSIFICATION
Dwelling 581x24t
i
e
I
BUILDING PERMIT
N? 4737
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. April 2• 19 64
94is to to Tertif1j, That D & R Ho"Ing Corp.
is hereby granted permission to Dwelling 58 1 X24 1
at estimated value of y$ 18 r 000
on the South side of Deep toOd Drilrer, Lot #35 Street on land
owned by U & R housing Corp.
Said Work to be as described in Application
No. 5007 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
A ��
Iss ril 19 64
Buil'Ting 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."
Permit No. ✓
TOWN OF SOUTH WDMSOR
SOUTH WUMS0It, CONK
emit NO0 2781
/ Certificate of Occupancy
TO G3CRTZPY tMt
been
,,No. g "'
l` r
erected �the
Town Completed
is Hccordance with the Building
Of South South Windsor, � . has
Windsor, and is hereby aPPi'oe and Zoning Regulativd for ons of
Builder
Fee Paid �d
J`
Date
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Tv
t a' PROPFHTY OF
d �
ilda• a i� y�
M0. DFEPWOOD DRIVE SOUTH WINDSOR , CONN .
Being Lot No. 35 on n:ap entitled "BIRCH HILL ESTATES Foster Street
South Windsor , Conn. Property of U f, 11 Housing Corp. Scale 1 " — 1001
Date: Jan . 213, 11163 Hayden L. Griswold C . E. "
Scale ,1 w 50 ,
u . HAYDE.N L. GRISWOLD C .E.
2951
PLUMBING APPLICATION
0
ApplicationNo.....2.....74..............................................
onthe ............................................................... side of
HatX�lax Deepwood Dr,
............................................................................................................... Street
Lo t
StreetNo. ..................................................................................................
U & R Housing Corp*
Owner ..............................................................................................................
JS GUastamaohio
Plumber ........................................................................................................
Filed in Office of
The Building Inspector
.4 ?-64
........ ................................... 19............
INSPFXnON.
...........................................................................................................................
.............................................................................................................................
..........................................................................................................................
No person shall construct, add to or alter any
portion of the drainage system of any building
(except to repair leaks) until a Permit is granted
by the Building Inspector.
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.17 2 FUO) 2951
1 Application No. ... .......... ................... Permit No. . . ..............................
-5
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR. CONN.
hereby make application to perform plumbing according to detailed description below. All
provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether
specified herein or not.
South Windsor, 19 Sign here ........ . . . x'._V................................
Address ...... ..........................
Location C
-ffl side of Str
eet Nature of Buildm* ...... ........... How many stories . ........ ............ ... .......................
Zk �.. ...... 1601. -...... .............Owner 2... ..... .................. . Address . . ..........
.. ............ .................
Architect .. ...... ......... ........ .................... Address ............
Builder . .... . ... .. ......... .... Address ............. ........ ...........
....................
Plumber
.............. Address /"�Y ......... ........ ....................
DRAINAGE
CESSPOOLS, How many ... .... ....... Where located ...AA4.............. .. ........... .........................
Are they water tight ................ ... ...... Of what materials are they built ....... ........
Size of pipe from house cesspool Kind of pipe --Z 7........I............. ...... ............ . ..............
MAIN DRAIN IN CELLAR, Material ...Co� Diameter ....... .91 . . . . ............................. ............. ........... ..- .....
Aboveor below cellar bottom •....... ..................................................................I...............................I.......I
SOILPIPES, Material ............ ... Diameter ... ..- ..................... ........ .........................................
WASTE PIPES, Material Di . . .ameter
.............................. ... .............
TRAPS, Type proposed to use is . . . . ................................................................................................ ................
RAIN WATER LEADERS, where do they run to . . . ............... ................ ......................... ................I............. .. ............
REFRIGERATOR WASTES, where do they run to . ............ .......................... . .. I....... ............................
TANK OVERFLOWS, where do they run to . ........ .......................... ...........I.....................................
FIXTURES
WATER CLOSETS, How many Where located .. . . ....... ...... .. ...............
Distance from trap to vertical soil pipe Pattern . .. .............
WASH TRAYS, How many ....... ...... Where located . .... ....... .................
SINKS, How many I .. . .. ........ ....... Where located . ........
BUTLER'S SINKS, How many . .... . ................. . Where located . . ............ . ...............
REFRIGERATOR SINKS, How many . ..................... ... Where located .... .......... . ..... ......................
LAVATORIES, How many ........................... ....... Where located .. ................ . ........I.. ....... .... .......
BATHTUBS, How many ........ ............. ...................... Where located .... . ........................................... ...... ............ . .........
Are ow many .......... . Where located ...... ............................ .................. ................ .....
d4 wa,ter closets and urinals to be local vented If not, is there a window in outer wall
of room where same are to be located
Cr<_"'s r - -...... . ........ - - - ......... ... ... .... .. ... .............
Estimated Cost ..6R&P ............ .... ...
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p
l� 1 z� 3005 2783
Application No. Permit No.
Lzi1
31 TO THE BUILDING INSPECTOR
Of Th
TOWN OF SOUTH WINDSOR
Application for Permit to do Heating
The undersigned hereby applies for a permit to perform heating work according to the following
specifications:
Location of Building, No. Street
Number of Lot, �f Q ^ Side of Street,
2. Name of Owner, f
3. Name of Builder, Engineer
4. Name of Heating Contractor, `5. Insulated, Yes or No?
5. Material of Building,
— -� aY l- r% new or old material?
6. Number of Stories, / Occupied as
7. Number of Tenements, Number of New Tenements
Number of Offic,s, Nu ber of Stores,
8. Type of Installation - '' F '�_Ilre4L
9. Amount of Radiation 3 sq. ft.? Make of Boiler?
10. Size of BoilerA�4�/7? sq. ft.? Grate Surface? •
EX. Cu. ST. of
Rooms NO. WIDE LONG HIGH WALL GLASS Content RA . ADD Water SEC'T HIGH COL.
N. E. +80%=E. +70%=
S. E. 1 +60%=
S. +60%=
A
S. W. D 3 O �-60%-
W. +70%—
N. W. +80%—
N. 7 +80%=
Living N. & W. +90%=
i
Living S. & E. Z 7 O +80%= 3 .3
Dining Z +70%=
Sun Parlor +50%—
Kitchen Z Arlo to +60%=
jo 71 11'-5— 7 +50%— �l
Ass. Hall +70%=
Stores +50%—
Office +60%=
Ext.
Total _
Estimated Cost $ _
(SIGN HERE) - -- -�
(ADDRESS)
r
1795
OIL BURNER
OR
FUEL STORAGE APPLICATION
Application No. 1806 Permit No1795
I
on the South side of
a
i
i
Deepwood DriV9 Street
i
Street No. Lot #35
Owner
U & R Housing Corp.
i
Application DP'•
Tramentana
CLASSIFICATION
Permit Issued on Above Application
c �
Date 4-22 64 19
Fee Paid $ Permit #4737
V TOWN OF SOUTHWINDSOR
APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS
EQUIPMENT AND TANKS
PERMIT N 1795 DATE •'' S ' '
The undersigned hereby applies for permit for the installation of range and fuel oil burners, equipment and
tanks of the following description:
Address 1st floor 2nd floor 3rd floor
Character of Building: Frame l-""'__ Brick
J
Owner of Burner �' - �- Owner of Building _
Lessee or Tenant_
RANGE BURNERS
Capacity of Tank at Range in cellar outside
Name of Range Burner —Purchased from _
POWER BURNERS
Name of Fuel Oil Burner 0- -# ► ti- Model Number -Z. -
Purchased from
Name of Tank L�C�--i L--e Gauge of Tank_ 2-
Where is Tank Located Size of Tank
Size of Motor Size of Wire _
Will other heating equipment be installed? _ "- k_-
If so, by whom L- C.0 --�-` •
Name of Party Making Installation
Address
Electrician
Address
Signed .411`-4�1 APPLICANT
All provisions of Ordinances of this Town Regulating Oil Burner Equipment and Fuel Storage (Sections 1-23 in-
clusive) and Underwriters' Code applicable to the subject matter of same shall be complied with in execution of this
work whether specified herein, or not.
Application for Permit received 4-�22 64 and
Estimated Cost $ - -11)�
Permit No. 179q issued 4-22-64. '
#473 7
Permit Fee Paid Permit
UILDING CTOV
TO THE BUHDING INSPECTOR
of the APPLICATION FOR
TO" ( F MUM WHA)SM Com PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O
ZONIN
• AT (LOCATION) 19 L loon r-) D DISTRG
LOCATION (NO.) (STREET) j� +- . ;�
OF BETWEEN _- 1'0 fzS rEZ Sg- AND 1 A LN��I�
BUILDING (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
1 ❑ New building Reside ial Nonresidential
2❑ Addition(It residential, enter number 12 EOne family 18❑ Amusement, recreational
of new housing units added, if any,
in Part D, 13) 13❑ Two or more family — Enter 190 Church, other religious
number of units— 20❑ Industrial
3 ❑ Alteration (See 2 above) 14 ❑ Transient hotel, motel,
4 ❑ Repair, replacement or dormitory — Enter number 21 E:] Parking garage
5❑ Wrecking (1J multifamily residential, of units ——————— — -- 22❑ Service station, repair garage
enter number of units in building in 15❑ Garage 23 ❑ Hospital, institutional
Part D, 13) 16 ❑ Carport 24❑ Office, bank, professional
6 ❑ Moving (relocation) p
17❑ Other — Specify 25❑ Public utility
7 ❑ Foundation only
i
26 ❑ School, library, other educational
B. OWNERSHIP 1NST-DrLL W009— JE 27❑ Stores, mercantile
8 Private (individual, corporation,
28❑ Tanks, towers
nonprofit institution,etc.)
a 29❑ Other — Specify
9 ❑ Public (Federal, State, or •
local government)
Nonresidential — Describe in detail proposed use of buildings, e.g., food
C. COST (Op cent
processing plant, machine shop, laundry building at hospital,elementary
10. Cost of improvement,•,••••,,••••,•, S Z 0 ,00 school, secondary school, college, parochial school, parking garage for,
department store, rental office building, office building at industrial plant.
To be installed but not included If use of existing building is being changed, enter proposed use.
in the above cost
a. Electrical.......................
b. Plumbing ......................
c. Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT S 70Dr00
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❑Masonry(wall bearing) 40❑ Public or private company 48• Number of stories................
31 ❑ Wood frame 41 ❑ Private (septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32❑ Structural steel dimensions ....................
33❑ Reinf rc d"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.......................
96❑ Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44❑ Yes 45❑ No 53. Number f bedr ms..........
3H C al❑ •••
39 Other— Specify Will there b an levator? 54. Number f Full....-..-..
46 Yos 47❑ No bathr ms
Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION - To b compl t d by all applicants
Name Mailing address — Number, street, city, and State ZIP cod Tel. No.
Owner or
Lessee
2.
Contractor
Y t Y
3.
Architect or
Engineer
The owner of this building and xhe undersigned agree to conform to all applicable laws of this jurisdiction.
Signet of a plicant Address Application date, "&_, —1 t S) D jciff-Pu-)o oD DR,lo ozn4 A3LGO-P-)
)D
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD - For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By Notes
Fee Started Approved
BUILDING $
PLUMBING $
MECHANICAL $
ELECTRICAL $
OTHER $
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check O Date bta ned Number By Permit or Approval Check ObtDate
ained Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
P rmit number 11228
Building
P rmit issu d Oct. 30 ig _79
Bui Iding
Permit Fee $ 6.00
Approved by: 4L4
TITLE
ZONING •
FRONTDISTRICT
SIDE • . SIDE YARD
REAR YARD
IX. SITE OR PLOT PLAN For •• •
•
•
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Oct. 30 , ig 79
Fee Paid 00 Eat. Value $700
Permit N° 11228
j on the We of
i
j Deenwood Drive Street
i
4
Street No. 19
t
Owner Pai l l P. Ai tn=r
Applicant Pqul P. Ai t_n e r
CERTIFICATE OF OCCUPANCY ISSUED:
i
Date
j No.
Fee Paid $
CI k%IFICATION
Wood Stove/fireplace
BUH DING PERMIT
fir° 11228
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. r-l , 30 19 79.
94is 'to to gertifu, That Vs,,, P. M tee
is hereby granted permission to 0 od g tome in f i re,n l
at estimated value of $ -
on the side of 19 nee,.w Aa Drive Street on land
owned by 2-m13 p Aq„t-nar
Said Wb-y- • to be as described in Application
No. 11 528 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Get. 30 19 79
Bu' iag 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."
7661
ELECTRICAL APPLICATION
Application No. $7 7 2
on the side of
Deepwood Drive Street
Street No. _ 19
Owner Paul Aitner
Electrician Homeowner
FILED IN OFFICE OF
The Building Inspector
5/24 19 82
INSPECTION.
93-'No Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
In New Buildings no wiring shall be started
until the plumbing and heating pipes, and the fire
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK.
No. .8 77 .......... .. ...
Permit No. . 7.bb.l... .. .. .. .
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
. .. hereby make application tc4 perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building ws, shall be complied with
whether specified herein or not. '
z �
South Windsor, Conn., . ... / 19 VSign here . .. .. .. ... ................
Q
> (� �L / Address ...._....
Location y !. ...'�-!. ,�?�� o�- .. Side of ... . . ... .. . .............. ...
Nature of Building How many stories ... ..... 1.... ...<. -.. ............................. .................
(./
New or oId Building How many families ............... ........................................................ ............
Kind of InstoNtion .. . oh How many Stores ........ ........ ..........................................................
Owner �....... �..... ......... __. ... Address ..........................................._.._...._......_.........._....._......
Architect Address . .. ......... .. ................................_.................. ....._....
._....
Builder . ...... ..... Address ............... ..........
Electrician Address .... Cf......
Size of Main Wires ......... ..........�.rL�........
No. of Light Loops .. . No. of Heat Loops . . ,.. No. of Power Loops ........................_._.........
No. of Light Outlets . ........... No. of Heat Outlets . . No. of Power Outlets ............. . ...........
NoP of Light Circuits .. No. of Heat Circuits ... No. of Power Circuits ...
No. of Sockets No. of Heat Receptacles No. of Motors ..............
No. of Panels . ................ Size of Heat Circuit No. of Power Receptacles
No. of Switches .. ....... . .... .. Total Wattage ... . .......... Size of Power Circuit
Total Horsepower
No. of Straight Electric Fixtures ...... No. of Combination Fixtures ... ...
No. of Receptacles .............................. ... ........ ...... ...... ..... No. of Cord Drops ... .. ...... ...... ....... ................. .......... ..... ... ..
Remarks: For other ki of Installation .. . . .......... .. ...... ................... .. ....... ... .... ... .. ...............
s
C
%-,S. ... ���..... ...�..Q. ...... ' �..... ..J��. �... .. . ,. ........
................................................................................ .......... ................................................. ... _.......................................................................................... ........ .. ..
..............................I........................ ............................................. ..... . . .......... .
Estimated Cost .... ....p2 0O.'..D.Q... .....