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Home My WebLink About1118 Sullivan AvenueApplication No. 5465 Permit No. 5195 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. y hereby make application for a permit to (*test.- (make alteration to) 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 BrLaws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herei not. South Windsor, Conn., 19.. ... sign .. .............+............ .... Location? . ..... ............................. ...........................24..........side of? r...... ........ ............ ...."'.'........................... Nearest cross street? .....................................................................................Street No. ............................................... Lot No. ........... ............... . Owner of land is? Address .1. ... '....... V.'W.:: ................. ..................... Owner of building is? 1 .... Address 1.../............ Address L"chitect s? r`:............................. ................. Builder is? vI:V.!(,: C .rt... Address ." ,- Dimensions of building? . Feet front? ............. Feet rear? .............. .......... Feet deep? ... . . ....... .. Extreme height to highest point of roof? .................................. ... ... . No. of stories in height? ........ Purposeof building is? No. of stores? ........................ .. ...................................................................... Howmany families? ... ../...............................................................................No. of rooms? .... ................... ....................................................................... Distance from street line is? .. .... ..... ..... ....................................from building line is? .................. ADDITIONS AND ALTERATIONS Gve Brief Description) 3`....:.. ...... ....1......Y........../1.r.... ..................................................' 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?I...... What kind of beams or girders? .. ........ .... . ............. . Size of beams or girders? .......... . ....- . ........ . ............. ... Longest span of beams or girders? . . ................... ....... .... ....These rest on? . . . ... . ..... ............... ................................... Roof construction is? .......................... ......... .............................................Roof 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 Pront wan& Side Walls Rear Walls Partition Walla Basement, 1st Story 2nd " 3rd " I.....................................................................................................................f..'............................................................................................... 4th 's 5th 11 6th 'I 7th dI Sth 'I I........................................I....................... 9th 11 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 OMD$BS COLUMNS Floors She Longest Span Centres Bridging Size Longest Span Cures Size Length Centres 1st Floor tea.....,,.... . 6. ........_.. ._......................._..._... ..._........._.. ............... ._.........._.... _..._..._..._8..... ....../1 o............I... ../6...... .............. ............. ........................ 4 .... .... ...................................................... ................... r cc Size of outside studs. Distance on centre. Size of sill. i J. Size of rafters? .... .,x...I......... ... Distance on centres?............ ./....6......................... 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 hipp ? ...... Fireplaces? ....................................................... Material of roof covering? ....... ....... ... Material of Cornice? ........w..P.sv.....Cl.>(............................................ v7........C:Q4 r .............Linn flues? ... .............How is building heatecC? f— g of Thickness of shell offlues? .......................................................................Any elevators or lifts? .......................................................... ..................... What kind? .... ...... ... ........ ... ............ How many? ......... . ... ...................... Any hoistwa ? ............. .. . .......... .............. . How protected? ........... ... ........................................... ....... .. ..............Total Value of Building ....... , ... .e*................................. 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. r Applicant 5195 BUILDING APPLICATION Application No. ...............5.4.6.5........................................... on the ......East..side of Sullivan Ave. Street. 1118 StreetNO, .. ...... ..... ... ................... ... .................. Owner .......QE prgq....D.pqqhue Applicant William E.Youell CLASSIFICATION Ra.11. .,Ehe-a 3-2-I-XIL.I.. ..and.....1014" x 2013"ro-im- 3 rooms and full bath. Permit issued on above Application. Date, 29-65 .......... 19....... TOWN OF SOUTH WINDSOR BUILDING PERMIT Date March 29, 19 65 Fee Paid 0 24.'.0 0 Est. Value 5500-00 Permit N°` 5195 on the East side of Sullivan Ave. Street Street No. 1118 I Owner George Donahue Applicant William E. Youell i CERTIFICATE OF OCCUPANCY ISSUED: Date NO 03 9 Fee Paid 0 3 .0 0 CLASSIFICATION Full Shed Dormer 3 21 x1LL I and 10'U"x2013" room. 3 rums and full bath. BUILDING PERMIT N° 5195 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. March 29, 19b5 t t ffrrttfj j,, That Willi" E. You'r11 is hereby granted permission o Full Shed Dormer 32 t xl4 t and 10 t 4"x20 t 1"room. 3 rooms and full bath, at estimated value of $ 5 00 i 00 on thee`s t side of _1118 Sull 1.Veld AVe. Street on land owned by George Donahue Said _Work to be as described in Application No. 5465 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. S65 OL Bui sng 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." 3--;9-65 INSPECTION REPORTFull Shed Dormer Permit # 5195 JobG.Donahue-1118 Sullivan Av 1 Footing 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 d.o. 3 03 Permit No. S TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N? 3039 Certificate of Oc upancy THIS IS T RT Y that the at No. r in the Town of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. A. Building Inspector O er, Builder Fee Paid Date 19 Permit No. ` TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N° 3039 Certificate of Oc upancy THIS IS T CERTT Y that the at No. sf in the Town of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. Building Inspector O er, Builder Fee Paid Date 19 s 3604 ELECTRICAL APPLICATION Application No. ....3..,..Q5................ on the ...... .. ..... .... .. .. . .... ...... side of Sul-1 iv.an .AY e..... Street Street No. .. 1118 Owner George Donahue... Electrician Lane Electric FILED IN OFFICE OF The Building Inspector 4 19 6 19 INSPECTION. AwNo 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. i APPLICATION FOR PERMIT TO DO ELECTRIGAI. WORK, 3No. . . ,05 Permit No. 604 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, GONN. hereby make application to, perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. LAN' _CT'_-% South Windsor, Conn., l 19 G y Sign here 431 ELL Address Location Side of l// c. SOUTH "MO R, CONK. Nature of Building How many stories ....... ............. . . ................................. ........ New or old Buildings How many families .. ... . ....... .... ...... ......... .... ....... Kind of installation How many Stores . . . ........... .. .. .... .............................. ..... ....... Owner Address .. 1/ c..-........... r.. .... .... ....... Architect Address Builder Address LA iNi. ..... '.:. r: C Electrician ............ -. Address r :; ,ROAD Size of Main Wires . . ....... .................. ......... SOUTH WIND")-'OR, CON( _ No. of Light Loops . No. of Heat Loops . No. of Power Loops ........... ........................ No. of Light Outlets No. of Heat Outlets No. of Power Outlets .... No. 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 kind of Installation .. ........ . Estimated Cost 3174 PLUMBING APPLICATION Applicatition No. 2963 on the_.__.aide Of Sullivan Ave. Sit 6fStreet Owner Wl Plumber . Filed in Ofice of The Bui Impactor 4-23-65 o No person shall construct, add m cr aher amy portion of the drainage system of any buMmg aw" to repair leaks) until a Pz- its gmoted by the Building Inspector. YG Application No.29 63.............. Permit No. ......3.174 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 .. Address ...1... ...P. vj. -„.. ... Location . ..... . e...........r .... . side of .......... ............... ....... ..... .. ........................................ Street Nature of Building How many stories Owner ... `.Q .' ..`.`.:^- ......................................................... Address ....,J// ..' ... ....... ............. ... Archite y . ............................. .................... Addre Builder u^.. .... ... e Address L G Plumber .... ... ..... ..................... ......... .cD........... Address ...1... .. ........ ' t....... ....... DRAINAGE CESSPOOLS, How many ... Where located ... ........................... .......... .. ... .. Are they water tight ... ..... —....................................................... Of what materials are they built .......`................... ...................... Size of pipe from house to cesspool ........... ........ . ............. Kind of pipe ... ...........+.'.................................................................................. MAIN DRAIN IN CELLAR, Material ... .................. . Diameter ..............`............ .......................................................... ......... . Aboveor below cellar bottom .. ..... ............................ .. SOIL PIPES, Material . Diameter .. . . ............................................ ..................................... WASTE PIPES, Material . .. . .......................... Diameter TRAPType proposed to use is . . .. s, yP P Po RAIN WATER LEADERS, where do they run to REFRIGERATOR WASTES, where do they run to .. . TANK OVERFLOWS, where do they run to FIXTURES WATER CLOSETS, How many . ... ... ....... .. Where located g- Distance from trap to vertical soil pipe ...........7.. .. Pattern C.V-I.A.... .... .. ............................ WASH TRAYS, How many . .................................. Where located SINKS, How many ......... ......... ........................................................ Where located. BUTLER'S SINKS, How many ..................................................... Where located. . .. .. ......................... ....................... ...................... .. REFRIGERATOR SINKS, How many.. .................................. Where located .. ........................................... G LAVATORIES, How many .................. ...................................... Where located 1 BATHTUBS, How many .......................f....................................... Where located . ............. URINALS, How many .................. . .. ............................................... Where located ..... . .................................................................................... Are water closets and urinals to be local vented If not, is there a window in outer wall of room where same are to be located D DVEstimatedCost......... ..... ....:............................ e.-c.?J 7c; PERMIT # Application For 3 011DEPARTMENTDECISION3233HeatingPermit cd cAPPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR cd 4-23-65 6 00 O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BEL W O rC 1. LOCATION OF JOB n 4 NO. STREET O cd cP LOT NO. FLOOR APT. NO. o N O 2. OWNER cd Cd0 0 8. ADD ESS b4 0 4.PHONEa I r M S. APPLICANT e o W 6. ADDRESS f 4y2L' 7.PHONE' 0 Q S. LICENSE NO. O a. -4' w 9. EXPIRATION DATE OF LICENSE O to. ESTIMATED COST s O T" 11. IS THIS A CONTRACT COST? E YES NO 12. FEE ENCLOSED s. Permit #5195 4 W 13. TY51SIDENTIALBUILDING:r 00 W COMMERCIAL o 9 cs 14. TYPE OF JOB: INDUSTRIAL j/RIGINAL C ERATION LEJ 1NSTALLATION LJ ADDITION REPAIR I 3 1 PPLICATION FOR HEATING PERMIT (Continued from Reverse Side) t' 1 Ij 11. LOCATION OF JOB v/ NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION; OIL BURNER HEATING SYSTEM VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY 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. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE JiFATED NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL 'Z INSULATION ROOF OR CEILING INSULATION •3, AVG. SYSTEM WATER TEMP B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE c '/- Lam' ec, FAHRENHEIT rC FT.KO ROB.T.UDIATIQ BASEBOARD. COPPER CONV_E T OR C.I. R IATION. OCUTP JT PER S TIONaOR LEA LQFC R`IATION. SQ. DESCRIPTION OF WORK 0 Nw W c5 C o c--- 1 I ^t5. TO BE DONE; e X 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. o<o DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALmLL ROOM NO. < GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL REGISTER L W M AND W TEMP. TO F F TYPE AND SIZE RAD. OR LEADER n SIZE < WALL F'ctIr0INFILT.) DIFF. F O H SQ. FT. FREE AREA 13x"3 7 a o 0 o a o 6 0 S D 7 ax3 a to `O o o f`on az a zoJ ,P 2 )o 27 0lea 0a o 3/0 aso o O >4 3 7 1 D o ` p oo O C) TOTALS 30 77 A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING, OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND 18. THEIR TRADES s 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. DATE SIGNATURE OF APPLICANT V 7797 7497 Application No. Permit No. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. A„/'' herebymake application for permit to erect (nil o) a building accordingPPPe 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.,1971 . Signhere . rr. Cw ..... ............ ................. . ... ................. .._.......... Address I.I.f.... ...AIq............ :Jr.... ......... . Location? f . . S".i 1,Lf t/1)F side of? ................................................................................. ......................... Nearest cross street? * py% ' A.Afl Street No. .Lot No......... c l• C i G V...-....... ......................Address 1..- .. ..:5v L.t_[Vt}hl......../ 1= .. .. ........... ......Owner of land is? Ownerof building is? Address . ... . ....... ............................................ ........... .... . i // Y/Y/Y/// Architect is? ...... .. ......................... ...................... .......................Address .. Builder is? C64 ......1'tl .......1. i.. -....... :...n C.....Addres: .. ....... l I S..T...:...............1ff/..-- Dimensions of building? . Fat front? . .... Feet rear? ..... Feet deep? ... Extreme height to highest point of roof? .....No. of stories in height? .... . Z Purposeof building is? .. .6 r(...&..... ......................................No. of stores? .... .............. . ................................................ .............. How many families? . ..........0...A......l ..................._...................................No. of rooms? . . . Distance from street line is? . . ...... . . .................... ..........from building line is? ...... ........ ADDITIONS AND ALTERATIONS Give Brief Description) 1 L L C, . . .......... T. ............. .G.f C.J..'.:.............. y...r..... -.i. °' .. .................... .! ..: ............p.l.nv -........a ............f9.. c_ 1 S F L-i-.... ...O r in Gv @f........ . ......! '.... .r........f, . .........../ .cl Map No. T 2r `' t7 6S-1 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? .... .. ..Roof 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? .. . . ... . Composition of mortar? . Height and Thickness of Walls Height Stories Front Walla Side Walls Rear Walls Partition Walla Basement, I . . ......__.......................................... .............. ..........._........._................__ _.................................................................... .................. 1st Story 2nd " 3rd " 4t'h Is 5th " 6th " 7th " 8th " 9th " loth " 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 OOLUMNS Floors Size Longest Span Centres Bridging Size Longest Span Centres Base Length centres, 1st Floor 2nd.......... ............. .................................. 3rd " 4 .... ..... Size of outside studs? .............. ....... ........ Distance on centres? ........ ..... ... ............. ..... Size of sill? ........................................... Size of rafters? .. . . .. ........... ... . Distance on centres?.......... .................. .............. Sue of plate? ..................................................... Size of ledgers or girts? .......... ........ Size of deckrafters? ... .............................................................. ............... 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? ... .... . How protected?Total Value of Building . ....... ............................... When will work be commenced? 60 M,E&. T' 1.1..7"...... ..........,la 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. Town of South Windsor since 1949. 10 Applicant 3- s1 s^ If T — 7497 BUILDING APPLICATION Application No. ... ....7 7.9.7. ............................................ onthe ................................ ... . . ..... .. ................. side of Sullivan Ave.Street. Street No, 1118 Owner ..qe.org.e.. Donahue.... .. Applicant 00nn- Home Improvement Co. ,Inc. CLASSIFICATION Install concrete patio deck, 18 'xl4l - Remove 1 window,install 1 door and install roof over deck. Permit issued on above Application. 10-29-71Date, 19 A- TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Oct.295, 19 71 Fee Paid 12.00 Est. Value $2 t 000 Permit N? 7497 on the side of Sullivan Ave. Street Street No. 1118 t Owner George Donahue Applicant Conn. Home Improvement Co. ,Inc. CERTIFICATE OF OCCUPANCY ISSUED: Date f No. Fee Paid $ CLASSIFICATION Install concrete patio deck 18tx141 - e Remove one window,install one door, and install roof over deck. 3 BUILDING PERMIT N° 749,7 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 0 o t* 2 9•19 71 94t'o to to Tertifil, That Come Home Improvment Co. ,Ina. is hereby granted permission to Install Concrete D&tj n amale I A l_,1- . Remove one window, install one door andinstall roof over de4k at estimated value of '$ 2 g 000 on the side of 1118 Sullivan Ave. Street on land owned by George Donahue Said work to be as described in Application No. 7797 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issue is t• 292 1971 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 placet 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." t . Y r r DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: l 6 ?Y3BUILDINGDEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# S 644-2511 ext. 230 ate Building Inspector 1 Application must be printed or typed ocation of J FEE SCHEDULE 1C4 e 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 1 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. I APPLICANT u ` APPLICANT ADDRESS S0C) (-4)I/1 ''o/' C-/. APPLICANT PHONE# 41" S-0 v Val N S OWNER one,, OWNER ADDRESS Ale- OWNER PHONE C ESTIMATED COST$ U IS THIS A CONTRACT COST? 0 Yes Cho CJ FEE ENCLOSED$ TYPE OF JOB: SpR.CsJ O Original Installation CIAVteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ffll ESIDENTIAL BUILDING PERMIT APPLICATION? YES Ur-1 0 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 7.TP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS_ NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES 0-90 NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBN HTTED. DESCRIPTION OF WORK O /ezz 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 "Zoy w I/ CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE INSPECTOR DATE TIME LOCATION qNSPECTION: CODE: RESULT(12/A) : 01-13 BUILDING: - ELECTRICAL: PLUMBING: 3 t HVAC: OTHER: