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HomeMy WebLinkAbout141 Margaret Drive0 X-r--,--P-d 4 o 0 PTO THE BUBMIDING INSPEMIR of the APPLICATION FOR PLAN EXAMINATION ANDI'iOWN 4F cow PLAN PERMIT IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX.O J f ZONING AT (LOCATION)C,C-,_a c, P Ic DISTRICT LOCATION NO.) ST EET) OF BETWEEN r ,\CM ANDI,L BUILDING l CROSS STREET) CROSS STREET)>. LOT avU vv / SUBDIVISION ` `n LOT 1 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 Residential Nonresidential 2 Addition(l/residential, enter number 12 One family 18 Amusement, recreational of new housing units added, if any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13) number o/units— — — — -o-20 Industrial3 Alteration (See 2 above) 14 Transient hotel, motel,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 Foundati n only 26 School, library, other educational B. OWNERSHIP 27 Stores, merconfile 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 building at hospital, elementary 10. Cost of improvement,••,,,•,,,•••,•• 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 3 '1 6- ocO III. SELECTED CHARACTERISTICS OF BUIL ING — 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 N Public or private company 48• Number of stories................ Total square feet of floor area,31 Wood frame 41 Private (septic tank, etc.) 49. all floors, based on exterior 32 Structural steel dimensions .................... v 33 Reinforced concrete H. TYPE OF WATER SUPPLY 50. Total land area, sq.ft. ...........34 Other — Specify 42 Public or private company 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....................... 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 137 qEIetrielty4# Yes 45No 53. Number f bedr ms............. `' 38 Cal 39 Oth r— Specify Will there be an elevator? 54. Number Full.......... f 46 E:] Yes 47 No bothr ms Partial........ t IV. IDENTIFICATION — To be completed by all applicants Name Mailing address — Number, street, city, and State ZIP code Tel. No. Owner or s i,i, G1 CIL Lessee d U74 / „ 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. JSignat, of applicant Address Application date el 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Date Plans By y Date Plans B Notes9FeeStartedApproved 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 ByppObtainedyppObtained 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 -z.;/d& 19 Building Permit Fee $ J _0 Oy 3 •O v .O pro ed by: o> a TITLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Dec. 10 19 84 Fee Paid $. .4 50 .0 0 EBt. Value $. . .7.5.,0 0(0 Permit M _ 14195 on the side of Lot #181 Margaret Drive Street i Street No. 141 I Owner JM.T nn s _inuc _inn C_n_ Applicant •TM.T construction r o - CERTIFICATE OF OCCUPANCY ISSUED: Date i No. 6 9 3 3 Fee Paid $ 3 .0 0 CLASSIFICATION Dwelling BUn DLNG PERMIT 14195 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Dec. 10 1984 94is is to Crrti, That JMJ Construction Co. is hereby granted permission to Dwelling at estimated value of $ 0 on the side of Lot #181 Margaret Drive Stet on land owned by JMJ Construction Co. Said Work to be as described in Application No. 14495 and to conform to specifications and plans filed with said Application, and Building By- Laws, of THE TOWN OF SOUTH WINDSOR. Issued nAn. 19 84 wilding 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 S Alit No. ._,06 ZI TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. 3 3 Permit y`A 3` Certificate of OccupancyYIL` P i THIS O C IFY that the at No. in the of South Windsor, Connecticut, has I been erected and comroited in accordance with a Buil i Code and Zoning Regulations of the Town of South Windsor, and is hereby appro v fo o cup f I Build--uig nspector wner, Builder Fee Paid -_ Date / 19 7 1 40 s 'Reino Is Ida ik*sociataa Civil EngineErs Glastonbury, 'Connecticut Zo MA RGaA.RF-7 DRIVE 00 00' s 40 B-C'b J -INC Fps N W1 2 IL'j- 3ax -- 3 0 1 0 18 w i 0 J o 10 in e o0 t0 cy w i LL AREA = 20,o00 S, F. Z I PD%3-10c.1-UASSt1oNN 2-1-ram N b. z. 55- I - - Zo.xwx, Jbl.kt10 S i WIF E. WALDO uYSON SR ET AL jig s Lot 11nee frm sap on file is zaCleft'• Office entitled, "Plot Plan tten 8 Pleammit Valley Rar ee . OMM 1i1a19wo Cogan." i . "W Vol Date -,!>-2 p-815 A-20 ?-ONE dip 5*6 22067e Rear. by Re 1 no E. R#yppe t Associates Glastonbury, CT. P#;)EPAR E O FOR 1 Aaeby cer* th'+t this math and survey were prepared iri PEE ASA NIT V4 L L EY uQ M E5withthestandardsofaClassA-2 survey as defined 0"Wkw Code of PrarWp-, for Standards of Accuracy of 50 UTW W I NDSOR, CON N Wway, esd Maps, adopW by the C-W bout Assocm*m of 161 I.SCALE 1 4-0, p ATE 11-'L"t-84 r AP ce TO ° EPART,.'f',-.,IT DATE: --- 1G.: 8650 ELECTRICAL APPLICATION Application No. 10065 on the side of Lot 181 Margaret Drive Strwt Street No. 141 Owner JMJ Construction Co. Electrician Richard Barrett FILED IN OFFICE OF The Building Inspector Feb. 19 85 19 INSPECTION. VD-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. Electrical Permit No. ..... Master License No. ........ TOWN OF SOUTH WINDSOR Building Permit No. BUILDING DEPARTMENT Date Filed ...... Date Final Approval ................ ........................ APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION: JOB OWNER: Side of Between . n.. . .... .... and ...... 14TNameofBuildingOtr7:co........... Address If work is for Lessee--Give name Address ............... ... ...... ................ ........ .. ....... .................. Building now occupied as (unless new) VA12AZ No. of family units now Building to be occupied as Number of family units to be .... . .............. ... Is this work included in a Building Permit? Permit Fee If no Building Permit) Permittee Business Address Telephone 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 . . . CN j1rN Do these include Range Water Heater Number of appliances to be installed as listed below) Dryer Air Conditioner Oil Burner E] TYPE RATING NO. Range . . . . . . . . Dish Washer Gas Burner E:] Well Pump E] Elec. Heaters E:] Range Top . . . . . . N, Oven . . . . . . . . REMARKS: Water Heater 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 Ap................ Number of new Appliance Circuits . . . .........(40.............. Number of Heating Circuits Number of Motor Circuits . . . . . . . .. Size of present service ........... . . ............................. Size of service to be . ...... ....... ......Vl^-I............. 6599 PLUMBING APPLICATION Appfica6n Noy 7373 on the _ aide of Lot ,181 Margaret Drive $ Street NO. _ 141 Owner _ JMJ Construction Co. plumbs _So.Windsar Plb. & Htg F"in Off t of The Building pecoor Jan 3 19 8 5 No person shall Corti m r- add soar aloes aty pomm of the draimp woo= of my 6wl&g c=pt to repair 66) uoa a Pewits va d by the Building Impeeoor. APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB Lot #180 Margaret Drive NO STREET FLOOR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION Residential 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS 3 STYLE 15. NO. OF URINALS 0 STYLE l/ 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES _ 18. NO.OF SINKS_ 19. NO. OF WASHTUBS to 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS _SIZE 22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND 1-3 .734e C-L1 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOW 28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? f SIGNATURE ADDRESS George Road South Windsor , CT 06074 LICENSE NO. 203068 ESTIMATED COST TELEPHONE 528-4413 OWNERJMJ Construction Co . ADDRESS 658 Ellington Road South Windsor WATER HEATER 31. TYPE C 4)C 32. MANUFACTURER o/ le)6V TANK SAFETY DEVICES 33. CAPACITY_ t4 11 /: > 37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE_rQ® (38. MANUFACTURER 35. WORKING PRESSURE y f 39. PRESSURE RELIEF VALVE 36. TYPE Lt J 40. MANUFACTURER 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. f V/3 CD962 DOE S116NAT F APPLICAN e PERMIT # Application For 6468 6078 DEPARTMENT DECISION N Heating Permit 03 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONSoa) ttA +' APPROVED DISAPPROVED TOWN OF SOUTH WINDSORc + 0 1/3/85 Thomas P. D' Auria 00 DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O C 1. LOCATION OF JOB 141 Margaret Drive O NO. STREET 181 LOT NO. FLOOR APT. NO. O tV 164 j ° OWNER JMJ Construction Co . , Inc. o S. ADDRESS 658 Ellington Road bo 3 South Windsor 4.FHONE 528-6054 r S. APPLICANT Carlton Zettlemoyer s. ADDRESS P- 0. BOX 12 South Windsor 7.PHONE528-4413 e. LICENSE NO. S 4S C w 9. EXPIRATION DATE OF LICENSE 10/1/85 c 10. ESTIMATED COST s a>Zd0 to o 11. IS THIS A CONTRACT COST?YES NOb0 12. FEE ENCLOSED s_ paid a vvi (1)13. TYPE OF BUILDING: y b4 RESIDENTIAL COMMERCIAL O 3 14. TYPE OF JOB: INDUSTRIAL GINAL 4XIXIONSTALLATION ADDIITIONON REPAIR APPLICATION FOR HEATING PERMIT (Continued tr m Rev roe Side) 11. LOCATION OF JOB Lot #180 Margaret Drive NO. STREET FLOOR APT.N 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR 91 MISCELLANEOUS o 4> 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.T sill.rN B.T.U. OR SQ. FT. NET O v0 B.T.U. OR SQ. FT. GROSS FIRING RATE T FLOORS TO BE HEATED WQ NEW OR OLD BUILDING INSULATED — YES OR NO r TYPE OF WALL 421102 INSULATION F ic-sl s I ROOF OR CEILING INSULATION 1 AVG. SYSTEM WATER TEMP. Moo B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE g:l FAHRENHEIT MAKE OF RADIATION:qASEBOAR COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK t15. TO BE DONE; r r f[' jr r,?/U 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA - SQUARE FEET e.T.U. e.T.U.DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL m 4 ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j IL RAD. REGISTER L W N AND E TEMP. TO TYPE AND SIZE OR LEADER SIZE < WALL f' tc INFILT.) DIFF. F m a SO' FT' FREE AREA TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT"WATER DEMANDLtt n j 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: /3 /e I ilvC /t/•.C NAME ADDRESS SUBCONTRACTORS AND 1s. 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 y TE IfGaNAT F APPLICVY mson000.as:s BUHDING INSPEMR 411 it APPLICATION FOR OEM,PLAN EXAMINATION AND BYILOINO PERMIT 1MM7ANr— Afflieewt to Coupleft ell ice s in seweos: 1, 11, rife IV, end 1X. 1• AT (LOCATiatl 1 zoNille LOCATION sTastTi oisTAicT,;,Q1Q OF C 1ark 5 r a Also ('BUILDING CllOes lTRttT) depress ll?" i sueowlslaN l oT.12L.M.oc« T 7Z acre II. TYPE ANO COST OF BUILDING — All applicants cotepleh Pots A — 0 A. TYPE OF IMPROVEMENT 0. PROPOSED USE — PM"W"Whimr ago owww wee 1 Now buddies ResidenMel Newresl ewtlel2Addition(11 r,ssirewtiwl. enter wspaber 12 KI One legally 1R Amusement. osrgatlonwlfNow in part 0. 1j# mats mutt if war. 12 Two or owe few IV . Enter 19 Chump. silver religious 30 Altwetisn (Soo 2 sieve) 11re16er o/1"Wis——— —aw lwdvetMel L Repair. rNlassmsM 14 Transient betel,Metal, 21 EnParking swageor4onsitery • Enter wuiwber S G we ins(if mrrlti/aawily rosi&ft8da4 o/ "Id- ——————— —- ionise stetson. repair 10"s enter sustber at units in buildval in Is core" jS CO Neopirel, inatituNanolPertD. !j) 6 Port g (relocation) 14 cwpwrt 24 *Moo. bw*. prefessisngl 7 G poundarien ewly 17 Cc Other • S/eea/y 2S PublicuMlity a. O I School, library, slims NweMowelOWNERSHIPV27 stores.mawsawtil Private(individuel, serperetion.J rQ ll Z! Yankee •ewers mswprefit iwsNrvtiew, etc.) 2b ONrsr Sptet/yCDPublic(Federal. state. or lewd $OVO"Wswt) C. COST Omit cowls) Nanresarantiel — Describe in detail proposed use of bwiIdiwss. .g„ few processing via". machine shoe. louwdry bwldiws at hospital. lemewtery10. Gast of improvement............... ssheel, secondary shoed. Celle". peroehiel'sshool, sarlung gerage f« daowimetn store. ontal office bwNing, effise building or indwstriol plant.T be installed but not included Ii use of is" building is being changed. outer s vas.in The above cost in a. Elgetrisal...................... b. Plumbiws...................... v.MowNws, sir sonditiening.....0... J. Other( lout«, sea.)............. 11. TOTAL T OF IMPROVEJAENT We III. SELECTED CHARACTERISTICS OF BUILDING — for new buildings and additions, complete Ports E — L; for wrecking, camp to only No J, for all others skip to iv. t. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 L J Mosawry (wall bowing) 40 Public or private company s• Number of steris ................ M weer frame 41 10t1•eta(septic taob, wo.) r• Total square feet of floor woo, 3:2 CD Structural steel i ell flows, based on sstwi« dimensions ..................... b Reinfersed conwete M. TYPE OF WATER SUPPLY 34 Other — S e' Total lewd ergs, sae It. ...........N =Iy A2 Public«private company As Pti.oto(well, sisters) K. NUMBER OF OFF-STREET PARKING SPACES P. PRINCIPAL TYPE OR HEATING FUEL 1. TYPE OF MECHANICAL s1 l:nslsaN ...................... Gee will thwre be control sit U. Outdoors........................ 011 sswritlsniwss L. RESIOEyTIAL BUILDINGS ONLY27 EloatNNty Y Y s di me 33. Number of bedrooms..............s Coal O*w— Srect/y rr11I Niece be an sie•etsrt IA Yes 47 Ile MMirasms PerMel........ IV. IDENTIFICATION — T be canpleted iv ell eppliconts New,e Meiling addr ss — Number. Street, c:tv, and State ZIP cod T I. N 1141 Owner N W DiJo q V-3gayLesseeTI/` Z.Pno1c n++v ' canrr.s• . plop b(o Q 3. Archer et er Emilnee Th owner of this building and the undersigned agree to conform to all opPlicoble laws of this jurisdiction. l9neture i applicant Address Applioetien date 2al)j A OA 4-- . -ldf I dQ 9 4/—C2)tJ OdY ' I 00 NOT WRITE BELOW THIS LINE PPLAO REVIEW RECORD — For office use eview Required C}+aek Plan Review eta Plans Oeta Plans By mores Fee Started By Approved BUILDING s PLUMBING S MECHANICAL S ELECTRICAL S OTHER S FVI:. ADDITIOHAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS psrr„ r r Approval Cheek Oefa Nvn+ber By Pern+ot or Approval Checkl ObOa ned 'r*be• 3r Obtained BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES i USE Of PUBLIC AREASGRADING WRECKINGOILBURNER OTHER OTHER F. VALIDATION 8ut Iding 1 /P rmit numb / Bvi Iding 19Permitissued Budding p 0 P rmit Fe S f A r ved y:CIFmil1e TITLE i A TOWN OF SOUTH WINDSOW. BUILDING PERMIT Date 4/2 2 1988 Fee Paid $. . . 1.8.0 0 Ear. Value $.2.3 0 0 Permit N° 16648 on the side of Margaret Drive Street Street No. 141 Owner Barbara Piwosk i Applicant Sam e CERTIFICATE OF OCCUPANCY ISSUED; Date No. Fee Paid $ CLASSIFICATION Above Ground pool BUIMNG PERMTr N o 16648 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 4/22 19 88 94io is to (gerttfil, That rhara Fimoski is hereby granted permission to install an above ground pool at estimated value of $ 2 A 0 0 on the side of;4-1- Margaret Drive Save on land owned by Same we above Said Work to be as described in Application No. 1=884 and to conform to specifications and plans filed with said Application, and Building By, Laws of THE TOWN OF SOUTH WINDSOR. Issue A 19 88 IJ Binding Insptctor. 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 dry, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." ELUTRIGAL APPLWATW Application No. r / 7--a on the SW of Strcct No. Owncr A PAl2I W.6 f:l Ekctrician FILED IN OFFICE OF The Buil&g Inspector q IQ 2 19 IIVBPiCi'IOI i. r+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 Ore stops lit of wood) are installed, without a special permit from the oi%m of the Building Inspector. Electrical Permit Na ....••- Master License No. "`..•.?!M= -- TOWN OF SOUTH WINDSOR Building Permit No. ._.....--•- Date Fred ...-_.....~.-_... BUILDING DEPARTMENT Date Final Appr val .........__._•••••• .----. APPLICATION FOR ELECTRICAL 'WORK Electrical Inspeear h r• _.. JOB OWNEROBLOCATION: lW..l.... l r •Cl<±C. -. ........ v.... ..... ...... Between ................................................_..........-_.............. and .._._........ Side of ...................................... ..... . .. QS......e......_.. ........ Address .. • .Q~.._L . . ..O-V..je.-..--..... Name of Building Owner ........S l..:Y.l.e-.•:.: ..... Q ........_..........___...............- Addr If w rk is for Lessee--Cvive name ........- ........... No. of family.......La;jpu]-C-e....................._....y units nowBuildingnwoccupiedas (unless new)Number of family units to be ...-.-------• Building to be occupied u •___.-__....._......................._.. .... Is this work included in a Building Permit? ......975_....••-- Permit Fee _..•-• ------ If no B Pasmit) CIK...__...... Business Address L. /~ • 1_.. Telepbone Permittee .. L2.•-- COST OF INSTALLATION: ........ TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed Number of present Appliance Circuits Number of convenience outlets to be installed ..... •. - Water Heater Number of switches to be installed . . • ...... .....-. Do these include Range Number of appliances to be installed . • • Dryer as oared beta..) Air Conditioner Oil Berner TYPE RATING NO. Dish Washer Gas Burner Range . . . . . . . . Well Pump Mec. Heaters Range T p . . . . . . Oven . . . . . . . . REMARKS: Water Heater . • 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 . . . • • • - Sue f present service Size of service to be ... L=. .^40. :SZ$-.5-S1q A Cad Ye y 0UGrpINSPECTIONREPORTiocL.- Permit #/16 1 Job y A2Fr` 1 Footing S a - 2 Foundation n-, 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O.