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HomeMy WebLinkAbout104 Sally DriveTOT BUILDING INSPECTOR of the APPLICATION FOR TO" OF SOVTH WINDSOK COS. PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O c ZONINGI• AT (LOCATION) DISTRICT o`U LOCATION NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT 910, SUBDIVISION V/ W LOT. (P BLOCK SIZE C7a; 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 Residential Nonresidential 2 Addition(!/residential, enter number 12®One family 18 Amusement, recreational of new housing units added, i/any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13) number o/units— — — — --jo-20 Industrial3 Alteration (See 2 above) 14 llhTransienthotel, mote ,21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (1/multifamily residential, of units ——————— —-i 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) 17 Other — Specify 25 Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Private (individual, corporation,28 Tanks, towers nonprofit institution, etc.) 29 Other — Specify 9 Public (Federal, State, or local government) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food processing plant, machine shop, laundry buildin at hospital,elementary 10. Cost of improvement,,,,,,,,,,,,,,,, S 6o0 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 $ 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 ETPublic or private company 48• Number of stories................ 31 49. Total square feet of floor area,Wood frame 41 Private (septic tank, etc.) all floors, based on exterior 32 Structural steel dimensions .................... 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34 Other — Specify 42 JPublic or private company Total land area, sq.ft. ........... Q 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....................... 360011 conditioning?L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 E'I<o 53. Number of b drooms.............. \3 38 Coal 39 Oth r— Specify Will there b an elevator? 54. Number of Full.......... 46 Yes 47 E2-I'bathrooms partial........ IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or o, (sg Lessee 2. Contractor 3. Architect or Engineer The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction. Signat re of applicant Address Applic do date oa- Q 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Date Plans B Date Plans B NotesqFeeStartedYApprovedY BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval I Check Date Number B Permit or Approval I Check Date Number BppObtainedYPPObtained Y 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 number Building Permit issued Leh 19 Building Permit Fee $ App o ed Qf4 TITLE Y TOWN OF SOUTH WINDSOR BUILDING PERNIIT Date Oct. 9 1985 Fee Paid $. .2 8.8 .0 0 Eat. Value $.4 8.,0 0 0 Permit N° 14739 on the aide of Lot #20 Sally Drive Save Street No. 104 Owner Clark RPa l ty Tnc- _ Applicant Muriel .Ta cue ss CERTIFICATE OF OCCUPANCY ISSUED: Date No. 7376 Fee Paid $ 3 .0 0 CLASSIFICATION Dwelling i I I BUILDING PERMIT I I o 14739 j OFFICE OF I I THE BUILDING INSPECTOR of the Town of Windsor,South Conn. South Windsor, Conn. 10/9/8 5 19 I I 94is is to Crrtff#, That Clark Realty Inc is hereby granted permission to Dwelling at estimated value of j on the side of Lot #20 Sally Drive Sum on land I owned by Clark Realty, Inc, I Said Work to be as described in Application I No. 150 3 9 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. j Issued , 10 9/9 5 19 V J' Building Inspector.I I 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,jtown or borough all costs and damages which it shall sustain, or be compelled to reason therefor." I I I I i I I I I I I I I I Dwelling - Lot #20 Ples.Val .2 10/9/85 Clark' Realty Inc . /JMJ 104 Sally Drive Permit # 14739 Electrician Richard Barrett 9040 Heating Contr. So. Windsor Plb. #6359 Plumbing " So.Windsor P & H # 6910 Oil Burner Certificate of Occupancy 7376 Sewer Permit Plot plan apprd. _per Engr. Permit No. y TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. TG Permit Certificate of Occupancy THIS 16-TO CERT7Y t n o that the i- !f at No. r in the Towf South Windsor, Connecticut, has been erected and complet in accordance with -the B 1 ing Code and Zoning Regulations of the Town of South Windsor, and is hereby appr ved or,'occupan4----, Building Insp ctor caner, B ilder Fee Paid, Date G 19 REINO E. HYYPPA S ASSOCIATES CIVIL ENGINEERS & LAND SURVEYORS GLAS TONBURY, CONN. ice,• ,_ i SALLY ORIVE Si 4z 00' o 1 C 40 w i 71'u& rvE-- c 7 LH- 58 45• V CIO ui 39= TF .4 re\0 n f AC V N\ 2 DRAINAGE 1 R E A? Z S.F. ONSv RX AT10i1- EA)EMENT 33,034 S• , ot 71' t;;. C I N V-.;'4 F ,1 C.-TOwN CF,S 77 LOT t_INES FROM MAP O14 FILE 'T11LED4 OIEN SPACE 5usD\A-5%3N A-W ZoNE fPLC>T FLU SEC.TroN l PLEa.s rvr VALLEy How&E; II SooTH WiNmow-, Contra."ey iZel io E,NvYPPA*Assac,xE5 GvIL ek'K3,>n,6,ER.:; * L14ND-uUZVEv0c-cs 26lz40 PREPARED FDADOTEto - - R MrP No•43-60-1' SHEET 4 OF l' GHEE 5. N,/ r PLEASANT vALLE\Y HOMES U PoN• SOUTH W I N DSOR b ?.17MlNC vtol.,r oN r GONtiI. CEI 'TIFIED 5t,d5TANTlr..I.LY LokRELT SCALE: I'=40' DATE: 3-35 o-as-2o 5 v TE" 1 Cyr. cp111': W!INDF'O ENGINEERING DEF'a' 1.".i DATE: SIG. 9040 ELECTRICAL APPLICATION Application No. 10555 on the side of m Lot *2 0 Sally drive Stract Street No.104 Owner C_l ark Real ty/JMIJ Electrician Richard Barrett FILED IN OFFICE OF The Building Inspector Jan. 7 19 86 INSPECTION. IN-No Electrical Work shall be started until a Per. mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the Are stops (if of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit No., 6ti .C. ......... iOMasterLicenseNo. ..._.... .....................,.,............ TOWN OF SOUTH WINDSOR Building Permit No. y....... DEPARTMENT Date Filed ......GL—BUILDING APPLICATION FOR ELECTRICAL WORK Date Final Approval ............................................ .. Electrical Inspector JOBLOCATION: C nNCOnJOL...................................... JOBOWNER. ... ................................................................................................ k Side of . .. 4?.1. , etween ....k.. 1; n c.... ..................... Name of Building Owner ........... ...(5:: 1. .... .......... .............t r w ....ddress If work is for Lessee—Give name .. ...... Address ....................................._....................................................... Building now occupied as (unless ew)No. of family units now ....... ......... ..jj Building to be occupied as ................... .... Number of family units to be ...........1.................,.... Is this work included i a Building Permit? . . •.. .....g Permit Fee ............... ............................................. ................................................... ,..... If no Building Permit)f r . Permittee .... . ,. . Business Address J....... `Ak ... .......... Telephane'L. COSTOF INSTALLATION: ......... 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 . . . these..... Do include Range Water HeaterNumberofappliancestobeinstalled . . . ....... ................ g as listed below) Dryer Air Conditioner Oil Burner TYPE RATING NO. Dish Washer Gas Burner D Range Well Pum Range Top . . . . . P Elec. Heaters Oven . . . . . . . . REMARKS: f f' 1i Water Heater . . . . t;C5 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 .................... 6910 PLUMBING APPLICATION Appl;ation No. 14739 on the ......_..._.. adc of Lot..#20 Sally Drive Smut No. ......_ 104 Owner __ _Clark Realty/JMJ Plumber So. Wind. P & H Filed in Office of The BWkrmg Tan. 24 19$ii IIT C'1lO l. No person:ball cmmmvcr, add to a altar sty portion of the drainage system of my bu&k8 except to repair lade) uag a Permit is pm ted by the Building Inspector. APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB Lot #20 Stanley Drive NO. STREET FLOOR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION Residential 13. SIZE OF MAIN DRAIN 411 14. NO. OF TOILETS 2 STYLE tank type 15. NO. OF URINALSQSTYLE 0 16. NO.OF BATHTUBS 1 17.NO.OF LAVATORIES 2 18. NO.OF SINKS_ 19. NO. OF WASHTUBS 0 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS_SIZE 3 22. AREA OF ROOF 0 23.NO. OF CATCH BASINS 0 24. NO. OF FLOOR DRAINS_ 25. NO. OF OTHER FIXTURES 1 KIND 3 ' fiberglass shower 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? yes 27. SIZE OF WINDOW ? 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?electric fan 29. SIZE OF DUCTS 311 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?yes SIGN ATURE ADDRESS 524 Burnham St , South Windsor LICENSE NO. 203068 ESTIMATED COST 3y500 . 00 TELEPHONE 528-4413 OWNER Clark Realty Inc. ADDRESS 658 Ellington Road, South Windsor WATER HEATER 31. TYPE gas fired 32. MANUFACTURER A. 0. Smith TANK SAFETY DEVICES 33. CAPACITY 40 gallon 37. TEMPERATURE RELIEF VALVE O O 34. TEST PRESSURE l.S^d 5 1 38. MANUFACTURER_ 64 r4q-jr-j 35. WORKING PRESSURE BU/z 1 39. PRESSURE RELIEF VALVE rU /fi 1 36. TYPE 49 "//-[ 40. MANUFACTURER g-e! ,S 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. CD962 DATE SIGN R F APPLI T r PERMIT # Application For 6160 6359 DEPARTMENT DECISION 0 Heating Permit 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONSoa N APPROVED DISAPPROVEDCu TOWN OF SOUTH WINDSOR 0000 1 .197AT Thr n a s PCHIENSSPECTOR a APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O C1.LOCATION OF JOB c Sally 1.4 104 9xxkNy DriveCISCNO. STREET v a 02 20 LOT NO. FLOOR APT. N . O O lV Sir 2. OWNER Clark Realty Inc. o 3. ADDRESS 658 Ellington Road bo 3 South Windsor 4.PHOME282-0628 S. APPLICANT South Windsor Plumbing m Go d. ADDRESS 524 R irnh m S rePt 2 Cd c Smith Windsor 7.PHONE 5 2 H-4 413 w B. LICENSE NO. 307190 Q C w B. EXPIRATION DATE OF LICENSE 1011187 v a C to. ESTIMATED COST = 2 ,400 . 00 eq o 11. IS THIS A CONTRACT COST? YES NObo 12. FEE ENCLOSED : Permit 14739 W 13. TYPE OF BUILDING: W Cbo fa RESIDENTIAL COMMERCIAL c 3 14. TYPE OF JOB: INDUSTRIAL RIGINAL ALTERATION INSTALLATION ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued tr m Reverse side) 11. LOCATION OF JOB Lot #20 Stanley Drive NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC Cl VENTILATION SPRINKLER I GAS BURNER STACK INCINERATOR MISCELLANEOUS 169UTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. 61761 B.T.U. OR SQ. FT. NET 'tv10B.T.U. OR SQ. FT. GROSS FIRING RATE — FLOORS TO BE HEATED r(&y NEW OR OLD BUILDING / ZU) —INSULATED — YES OR NO TYPE OF WALL>L21&Atat INSULATION Se c1sX1 ROOF OR CEILING L-e//- INSULATION AVG. SYSTEM WATER TEMP. h'`' B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE L7--Fi o o FAHRENHEIT MAKE OF RADIATION:dCAS=EBOAj OPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA - SQUARE FEET 13.T.U. S.T.U. i DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALW ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j<L IL REGISTER L W N AND TEMP. TO F F TYPE AND SIZE S RAD. OR LEADER SIZE < WALL f'Ot0 INFILT.) DIFF. F F Sl N Q' FT' 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: /YAle- NAME ADDRESS SUBCONTRACTORS AND te. 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. %` _ v DATE SI4AAT APPLicpft y .#DEALER t 04 f"' q KIND OF BUiLINNG W EY SIZE 1 r ) e C.H C CiM rt CTION: WA L L l+ WIMpOWB e pn ROOF OR CEILING BASKMENT I40GHT: ABOVE GRADE BELOW GRADE DESIGN WATUlt *Kit !lATUilE DES-10N TEMP. RIFF COL.1 2 13 14 5 6 1 7 1 8 9 10 11 12 13 14 15 16 17 18 ROOM SIZE WINCOWS L AREA-SO. FT. NOR VOLUME TOTAL IBASANDACCESSORIES GLASS NET WALL CEytiNG Z!: I COR$ECTED WATER LfwdiTN ROOM GltoSA fir• TO T1 Mfi L W H old AREA MALL sow. _ ` ENCLOSURE FIN L It LC Mac SIZE O'1 l TUBE o IL ry yv 3 G 3 ? 13 1700 1300 v© ? 700668I L 4 2 0 0 30 0o Qoo / 00 3 3L 10 e fir s. 3 0 0 500 12,00 3 S yoo 0 4rbvk 0 0o C2 10o yo oo 9 d?q D 2 Voo /000 /000 4.200 5,600 '411vo az o 5 300 0 0 a o 0 00 0 t l L/O17,al6 S76 g 8 0o oo do do So y J S l moo 700 700 00 00 0 00 /o300 / 00 F?Q J,3 i NOTES FOR eons ,M FLOOR ON GROUND OR FILL AT ORAOE LEVEL,U$E LINEAR FEET OF EXPOSIRD<DOi. TOTALS yFERORALLOTHFLOOR$USE SQUAWK FEET OF AREA. B i FINAL INSPECTIONS: APPLICATION FOR BUILDING2-` G PERMIT Plumbing HVAC Date: lQs-/S 9' Sprir_kler 1Od SALLY nRIVE Electric f/-2 I—n Estimated Cost $c Zoning 18834 Permit Fee $ a Affidavit NO.Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS.Fire Dept. TYPE OR PRINT ONLY Total Fee $7G Health Dept. SIGN ON REVERSE SIDE.Approved for CO: Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to-do work according to the following specifications: Job Location I L ' Lot No._Z.—Side of Street Zone .4-W Applicant Tel. # 11 L6 Address lv f 54 ltv. w, k'C Zip 060 V Lic.#STREEIF CITY STATE Owner Address 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 t C-e SL-ed - &_c 4L rS4ed !Y,x zz City Water Well Septic Sewer Approved by Date BDtA tt/88 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and th Ordinanc s of th Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Buil ' g for which this permit is asked,and agree that this building is to be located the proper distanc from all street lines,side yard lines W,r uired distances from al oth ones 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 application for permit. Signed DO NOT WRITE BELOW THIS LINE— 6 _3 1 INSPECTION RECORD Framin 0Footing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# h 7c nspectionS. Sprinkler Permit# Inspections: REINO E. HYYPPA 8i ASSOCIATES CIVIL ENGINEERS 8 LAND SURVEYORS GLAS TONBURY, CONN. to 1 SALLY DRIVE O .ems c e • u - I Cti 71'3 Z 7 LINE oW So. 31 39.8 TPt 4 N f W zt tin 3 1 L4 v.3 f- Pr°o3 21 RAINAGF- & 2W AREA? 2' MENTONsRa_r10 EASE a raPo e S,cc i f 71 7-S3 FAVn R O P 'C y01j1N n pu LiC `dvA'+ ssp, J ICE V 3.:G. ,,•-zfzY TOWN OF 5 UT}'t'1CSCR @3\2 05' Wko LOT LI AWES FROM io4AP ow F•\LG-'T11LED, OPEW SPAC-E SusDwtS%JN A-20 ZOM. Fir PLAW 51EX- 10N I PLEA4 A'r j sa. ,-::T, VALLE I HOME, II SOUTH W t oR' Goww."e R i.io E.V4%NFM#A5500c.kATE5 UVIL E,.1C N6ER: 4.At•.1D SURvEvoRS 26 __..__ PREPARED FOR OF a.. 5E Rff-BO,-'J „' • i _ - _.___, _.. A A N T LL EY HOMES IISHI`Er 4P E s vA o,.j. LxZ%rc.0 A.%S.r ow%. -5-8(a SOUTH WINDSORi CONN. lib Zt N e.IG Vt t T10N GEKTIFI ED SuE35TAN?t.t L`( Cc>MELT SCALD: Iy a 40' DATE: Q-1 g'35 lo•as•20 OCT 15 1990 South Windsor BUILDING DEPARTMENT TO it-.. BuiEI.lyd(i DEP1. ion°VN • , ' This certified that this plan and specific-,t;(,n: —_ru" opres of the proposed building or alterations to be arected at J L_y V y V rr Stree: og,.+11er with amendr,4111ts stated in npphr,ti)n -c cd wiih plan and I agree to comply with -ail zor•irir luridii,g and stite laws and such orders as sh+II b_ suee by the Building Department during pen i(,ncy tills appllc o and final is anctY of a bwlding crmit. I 6t) •i:rs u Alit approved sublect to the condition tha* iers ario ordinances regulating building shall be mpire l with andrtlanarfe Approved These tiled with buildrnp Inspector Clerk ate No —5q G WXF M TWNQ 1 FE Reposed building(s), use(s) and/or structure) as shown ort this plan appear(s) to be In C-onforma-nce with current South Windsor 5 regulations. Variances and special exceptions ty apply. Je to C)T w ping Enforcement Qff:,.Pr Nu 2 AH b u C( LCa(LJ f v-J f ti.n e c.`J•L-t.fit` PERMIT it DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN OF SOUTH WINDSOR APP OVE DISAPPROV BUILDING INSPECTION DEPT. 644-2511 Ext . 230 4 Application must be printed or typed.Zate Bui g Inspector 1. LOCATION OF JOB 0 4 s; L /)1,-, j FEE SCHEDULE No . Street I 0 - $19000 - 10. 00 Floor Apt . No. Over $1,000 -10.00 per $1 ,000 or 2 . OWNER fraction thereof 3. ADDRESS 4. APPLICANT e- 5. ADDRESS 6. ESTIMATED COST $ t 7 . IS THIS A CONTRACT COST y Yes No o 8. FEE ENCLOSED 9. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: Original Installation Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB 0 Lf V L" e 0. STR ET 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 i 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 : LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER: V/ ( / — Z y