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HomeMy WebLinkAbout1148 Sullivan AvenueApplication No. 4859. Permit No. 4599 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (erect (nuke-a rrat ea-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 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., al..... ..... 19.... r3 c I.......... ... ... Sign here 5Address /. ` Jz/../.. !.v ................. Location. . .. ........................... ....................*........... ',.-... .. ..........side of? .......................................................... ...................... ... 4 Nearest cross street? ...... ...S, :C. .............. .......Street No. .......... Lot No. ...... t. Owner of land is? C. 7//0- .Address . ...tl...../..1.f1- .4,.......2941a+..... tOwner of building is? .. . . ..... ....................... ...::`.........................Address .. ...... ............................................. ............................................ Architect Gel eC.tl1..cxz-Address ru.. h..2. .... . , Builder is? y...ysF:..Address r9-4v... .. f d / ZDimensionsofbuilding? .Q .. ............Fat front. ........... . . .... Feet rear. Feet deep. ... .... . Extreme height to highest point of f? ..No. of stories in height? ....i Purpose of building is?4.. No. of stores? No. of rooms? How many families. ............................................. .__................................ Distance from street line is? ................. ............................................from building line is? ...................................................................... ......... ADDITIONS AND ALTERATIONS Give Brief Description) Map No. .... . ....... If of steel frame, what is exterior construction? I.......................... ........................ What kind of columns used? .......................................... ...... .......Size of columns used? ........ What length of columns used? ............................. ........... .... ........How protected? . . .. ............................................................. What kind of beams or girders? .................... ... . . ............ ..Size of beams or girders? ................................................................... Longest span of beams or girders? .................................................These rest on? .. .... .................... ....................... .................................... Roofconstruction is. ......................................................................................Roof covering is? ........ .......................................... .................................. The floors are of ..................................................... construction and are calculated to carry a safe load of lbs. per square foot. See Section 14, Budding By-Laws.) BRICK CONSTRUCTION. Ofwhat material will walls be constructed? .......................... . ...... ....... ............................................................. ..................................... ............... Compositionof mortar? .............................. Height and Thickness of Walls RGISM stories Front Walls Side Walls Rear Walls Partition Walls Basement, 1st Story 2nd " 3rd " I........................... ............................................ .........................................._-'..'................................................................................................... 4th is 5th is 6th to 7th &A I..........._................................................................I............ ....................................................................................................................................................................................................... 8th to I............................................ ...................................................................................................................................................... 9th dd loth ..................... .................. ................. ... ... ................ ................ ............... ....... ........................ ......................... ................................................... Material,of Front? If stone, what kind? Thickness of Ashlar? .. ....I.... ............ .. ..... ......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 GISDZBS OOLUM" Floors Size Longest Span Centres Bridging Ske Longest Span Centres Slse Length CentresN 1st Flool' -Y o tt r..................... .......... / 32nd " 4 ........ Size of outside etudes? ......Zx... a.......... Distance on centres? ............ ...`................ Size of sill? .....?! ....V.. .... Size of rafters? ..z.) .l...t..... ... Distance on centres?........ ... ... ...................... Size of plate? ........9&.... ....................... Size of ledgers or girls? .................................................................................Size of deck rafters? .................................................................... ............... Distance on centres? ........................................................................................Size of studs in bearing partitions? .................................................. MISCELLANEOUS Style of roof, flat,.pitch, Mansard, or hi ? ..f'................... P.........i................................... Material of roof covering? ..... Material of Cornice? ......7r.......... ........ f Lin' of flues.How is building heated? C .7...`.... %f ,9 -ram....... mg Thickness of shell of flues? ........................................................................Any elevators or lifts? ............................................................ ...................... What kind? How many? Any hoistways? ..................... How protected? ............ ... ................................................... I................Total Value of Building.a......d.....®o.... ......................... r t 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. A_ e/,4/ Applicant FS 4599 BUILDING APPLICATION 859 ApplicationNo. .....4...................................................................... onthe ........EgAt................................... ................ side of Sullivan Ave. Street. Street No, I.W George MellenOwner ......I ... ... .... .... .. ............ ............. ........... W.G.McNallyApplicant CLASSIFICATION Addition of Kitchen & Porch 281x121 I. ........... Permit issued on above Application. 10-25-63 Date, . .... .. .. . ......... TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Oct. 25, 19 63 Fee Paid $. 12.00 Est. Value $. 2800.00 Permit N? 4599 on the East side of Sullivan Ave.Street Street No. 1148 Owner George Mellen Applicant W.G.McNally CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Addition of Kitchen & Porch 281x121 BUILDING PERMIT N° 4599 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Oct• 25, 19 94t400 to to Terfifij, That is hereby granted permission to f zaiti tc 2' at estimated value of $E C'0.0 0 on the N'R S t side of 11 1111.1.V'Y1 VE .Street on land owned by C E r.r ::c 11 E i Said 2122 ' to be as described in Application No. 1' .Z' P P PP g By- Laws to conform to specifications and Tans filed with said Application, and Building B Laws of THE TOWN OF SOUTH WINDSOR. Oct. 2j,Issued , 19 wild g Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." 2904 PLUMBING APPLICATION No. 2693 on the ....of ql ima n Ave ,Stcaet Street No. 1111.8 Owner .....G e..2r e _A . Mellen plumber ..... Gilbert Chapman s Film in OEice of The Building Inspector 2-19-64 19 INSP(,R'Ol I. f No person shall eausava, add to or aher say portion of the drainage system of any bw&tog except to repair leaks) until a Prep=is mood by the Building Inspector. i r Application No........ '.?. ............... Permit No. .....2904 r 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. r South Windsor, ....... ` . /...'y... ... . ....... ....... 19 4.5" Sign here .. W1I. .* 0. Address//7.3 4............... .:............-.... .. 1aCC fie Location ..!I. ... .. ... ant,r....................................................... . side of .................. ..... ... .. .. ..... . ....... Street Nature of Building .... ...... . ... . . .. ............................ ... How many stories .;................................................ ...................... Owner .. Address Architect Address ..................................................,.............................................................. Builder ..fir. _1%.1f1.... . .......4.... Address"YY ...r. :....... .. ........... .................. Plumber Address .. f ... .... ................... DRAINAGE CESSPOOLS, How many .. ............ ........................... ................ . Where located ...... . ...... . ......................................................................... Are they water tight Of what materials are they built ....... ......................................... Size of pipe from house to cesspool . . ....-T. '.'..... ..... ... .... ..... Kind of pipe . - MAIN DRAIN IN CELLAR, Material . ... .. Diameter ..................... ............................................. ......... ......... .. ....... Aboveor below cellar bottom .. .... .... ............................ ..... .. . ... ............................................................................................................... c DiameterSOILPIPES, Material . .. ................ 3.... 11....................................... ...... ...................................... WASTE PIPES, Material ......eve."........ .. Diameter ........ '... ..:.:................................................ .... ............. TRAPS,Type proposed to use is .. . il"f . . .... .............................................................................................................I.......... RAIN WATER LEADERS, where do they run to . .... ... ................................................................... ..... ...................... . ........... REFRIGERATOR WASTES, where do they run to . . .. .. ...... ..... ..... .........................I................ .. ....... ........ ............. ...... .. TANKOVERFLOWS, where do they run to FIXTURES WATERCLOSETS, How many .....................I............. ............. Where located . .. ... ............................ ........................... .............. Distance from trap to vertical soil pipe .................. ................ Pattern WASH TRAYS, How many Where located SINKS, How many . ... .. . .. .......................................................... .. Where located BUTLER'S SINKS, How many ...................................................... Where located. .. . . .. . .......... .......... .. ............................................. REFRIGERATOR SINKS, How many .. ................................ Where located . ....... ................................ ............................................... LAVATORIES, How many . ......... . ............................................ Where located .. ............. ............................. ............. .................... ... BATHTUBS, How many ............ ..................................................... 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 .... 6f Estimated Cost .. ... .. ...................... 1785 OIL BURNER OR FUEL STORAGE APPLICATION Application No. 1?96 Permit No. 1785 on the side of Sullivan Ave. Street Street No. 1149 Owner George A. 11ellen Application Te o r g e rRe iT E a CLASSIFICATION rarLn Permit Issued on Above Application Date 19 Fee Paid $ ' `» TOWN OF SOUTH WINDSOR APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS EQUIPMENT AND TANKS PERMIT N .1785 DATE The undersigned hereby applies for a permit for the installation of range and fuel oil burners, equipment and tanks of the following description: Address // v 1 % V 2-.., AV 1st floor 2nd floor 3rd floor Character of Building: Frame Brick Owner of Burner o-e-o A -L , cnn, Owner of Building a Lessee of Tenant RANGE BURNERS Capacity of Tank at Range_ in cellar outside Name of Range Burner Purchased from POWER BURNERS 1 Name of Fuel Oil BurnerC Model Number Purchased from t 1 1.u1 A — ('_)"a f s a." Name of Tank A- It %0V ...• Gauge of Tank i L Where is Tank Located— Size- e 'w Size of Tank ize of Motor Size of Wire f Will other heating equipment be installed? If so, by whom Name of Party Making Installation Address Electrician Address Signed APPLICANT All provisions of Ordinances of this Town Regulating Oil Burner Equipme 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. 0 G Application for Permit received 2-1 C-6 andEstimatedCost $ / r Permit No. 17' issued Permit Fee Paid _ —_ —__—_ Approve BUILDING ECTOR Sect, # 3 APPLICATION FOR BUILDING PERMIT Plumbing# L6 4 Q 1148 SULLIVAN AVENUE HVAC # Date: 06/17/99 Sprinkl r#No. 26235 FINAL Estimated Cost A5-4P Buildi r-a COMPLETE RED BOXED AREAS Permit Fee 3 TYPE OR PRWT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SSEA .for CO.Total Fee TO BULDING DEPARTMENT,TOWN OFSOUTH wINDSOR,CT Additional Costs The undersigned hereby applies to do work according to the following specifications: Jo6 location Lot No. Side of Street Zone Applicant Tel#_ 9- SP B Addr ss Zip Lic.# S Q r X39 Owner 0L.da Address yor SL4,e Architect Address Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd FL Total New Area Rooms Lavatories Bathrooms X Garages Purpose f this permit: City Water 0 Well Septic System Sewer 0 Ins. H.O. S.P. Cart. Area g1ent GarageApprovedbyS/- Date Cl5 Use Group le Construction Type ReYkW 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 th( in, ro distance from all street lines,side yard lines,and required distances from all other zones and is located in which b ' an ' use is allowed. Signed 1 hereby apply for a Certificate of Occupa for aZribed in this application for the permit. Signed - DO NOT WRITE BELOW THI LINE INSPECTION COMMENTS a< -: // s J Inspection / Approval Date By Appl Code Description Due Whom Code Comment 99-26235-B 2,250 B03 FRAMING (ROUGH) 06/18/99 DCJ A E03 ROUGH 06/18/99 DCJ A P03 ROUGH 06/18/99 DCJ A B10 FINAL 01/28/00 JFF D NO ACCESS LEFT DOOR TAG B10 FINAL 02/14/00 DCJ D NO INSUL. INSP. , HO COMPLAINTS OF FREEZING PIPES, LEFT MESSAGE FOR CONTR. TO CALL B10 FINAL 08/10/00 JFF A WITH OWNER B10 FINAL 08/10/00 JFF A CLOSED OUT. 99-16323-E 450 99-10408-P 2,500 DEPARTMENT DECISION PERNUT# APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT PermitBldPit# A t .APP]1:01VE D 1540 SULLIVAN AVENUE 5 T142.— 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location ofjob Ave. . Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 - $1,000 - $12.00 Over $1,-000 12.00 per$1,000 OWNER ok- looranyfractionthereof ADDRESS 44 S vlh ' Avie OWNERS PHONE#il!k 46f7 v Oic-APPLICANT 36kfs, Qr %Ck IE I&etf 1, 0*NS RESS So IE6 R ,011 4(o ESTIMATED COST$ IS THIS A CONTRACT COST? YES NO FEE ENCLOSED 41D TYPE OF JOB:43OR9 Original Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYP, OF BUILDING IS THIS APPLICATION_ L/ ASSOCIATE A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY 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 METHODeaAll%om SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METFRIrw' NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES 4 NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES 0,-'- NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK 7T--.,Kz tit eAj 119 1404:01 A C4 U a. e- aItia e-t - ILVw THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERF RM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE O C BUILDING CODES IN THE PERFORMANCE OF SUCH W C i b33414 - 671 NAME STATE ICEN ENO. TYPE SIGNATURE OF APPLICANT P lis !;e 11 DATE if A 1h . DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT08 Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVE 1540 SULLIVAN AVENUEi Jw 644-2511 ext. 230 1l Date Building Inspector Application must be printed or typed Location ofjob ve 1fE Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER //)L i5CCL o P-I or any fraction thereof ADDRESS 5, 6v1,v 4 lL OWNERS PHONE# APPLICANT 9 01 J2 Z r L W N $ ADDRESS 2 Z mac 't-E Z ESTIMATED COST$ C IS THIS A CONTRACT COST? YES NO All, FEE ENCLOSED $ 56> TYPE OF JOBSOR'C Original Installation Alteration/Addition/Repair Revised 10/96 APPLICATION FOR PLUMBING PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION YES / NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTION FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION /?`' SIZE OF MAIN DRAIN NO. OF TOILETS STYLE C, NO. OF URINALS -- STYLE NO. OF BATHTUBS_/ NO. OF SHOWERS NO. OF LAVATORIES 1 NO. OF CONDUCTORS — SIZE NO. OF STACKS / SIZE ZL 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 O SIZE OF WINDOW 2 IF NONE C.F.M. OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER BEATER TYPE 0 MANUFACTURES(2 t f 4 TANKS SAFETY DEVICES TEMPERATURE CAPACITY RELIEF VALVE TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE TYPE MANUFACTURER 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 CONN. BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. 1 1 DATE DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: QBUILDINGDEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE z//Aja Ag!% lJi'D Sdf2 C 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 l l or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS d§&" l3perc/r- C r-G 6 dl APPLICANT PHONE# 60 3—936 W N S OWNER O 4 f OWNER ADDRESS y9 SvArkl! I OWNER PHONE (o d " G `'` e `7 ems,. C ESTIMATED COST$ r IS THIS A CONTRACT OST? Yes 13 No FEE ENCLOSED$ 3 1 TYPE OF JOB: SOR.C0 13 New Installation Alteration/Addition/Repair Revised 8/99 APPLICATION FOR HVAC PERMIT (Continued from reverse side TYPE OF SYSTEM: TYPE OF BUILDING: HEATING RESIDENTIAL 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 OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS(BTUH) F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL OIL-GPM OIL TANK LOCATION:INSIDE OUTSIDE CAPACITY W GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW AIR CONDITIONING DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN(BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.) 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 l) G 0-U Z J T 0Cs leh 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. CONTRACTORS LICENSE N TYPE STATE SIGNATURE OF APPLICAN f L/ '' DATE 3 D Electric# APPLICATION FOR BUILDING PERMIT flumes# 1148 Sullivan Avenue HVAC # Date: Sprinkler# No. 28195 FINAL APPR LS Estimated Cost $ f 1 G Building 1 COMPLETE RED BOXED AREAS Permit Fee D y. Engineering TYPE OR PRNT ONLY Occupancy Fee R' SIGN ON REVERSE SIDEAppr.for CO. 1 11 Total FN S © ©O TO BUILDING'DEPARTMENT,TOWN OF SOUTH WNDSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Jo6 Location t I q R S ; y CK V\ Lot No. Side of Street Zone Applicant e e Y M 1` f 5 z^cl d S`J` T- In k-, Tel.# a'6,f 9 S Addr ss 10 3 J `fo J q ,n 1 S , C- Zip o Lic.# 15T y- 30 Y Own r_C`" 1`5- OfA-1- AM 6C, Address N 19 S u 111'Yo% /v-4 LA- Architect L4 Address Sq. Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area Rooms I#Lavatories Bathrooms Garages Purpose of this permit: Al--e-vi 1A 0 sL-w d U At 019 City Water Well Septic System Sewer Ins. H.O. S.P. Cart. Area_Basement Garage Approved by Date 6 Use Group Construction Type Rer's.d 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 use is allowed. Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 28195-B 7,617 B10 FINAL 10/15/01 GRM A B10 FINAL 10/15/01 GRM A CLOSED OUT. DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby:TOWN OF SOUTH WINDSOR 1-7W5BUILDINGDEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# vZ 644-2511 ext. 230 g -77 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 114g Avq- 0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= 15.00 per$1,000 1 or any fraction thereof Tenant Designation Apt.No. f 9 11 I APPLICANT I Avmbcc- t-\ APPLICANT ADDRESS S A-/2 VV./r CG r APPLICANT PHONE#GC) 6qLj' 7 C y 7 i ow N s OWNER . k s 41) h Gc. 11 OWNER ADDRESS S V ( I,'VI 17 e y /[ ji y A / 1S a I OWNER PHONE ,O y6y 7 ESTIMATED COST$ t5ZSC--,) V IS THIS A CONTRACT COST? Yes No f FEE ENCLOSED$ `5s j TYPE OF JOB: dSOR O CD New Installation Alteration/Addition/Repair I a Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? A YES NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTIONAL rS C c,f .L PHONEFACTORYENGINEER'S NAME STORAGE GARAGE ADDRESS 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 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 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. G-T- CONTRACTORS LICENSE NO..- TYPE STATE SIGNATURE OF APPLICANT DATE (a tS^ 0 tl