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Home My WebLink About15 Niederwerfer RoadU" TO THE BUILDING INSPECTOR of the APPLICATION FOR t. CW 50l)'lH WIMSOR, COW PLAN EXAMINATION AND BUILDING PERMIT zIMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONINGI• AT (LOCATION) DISTRICT LOCATION NO.) REET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOTSUBDIVISIONLOTBLOCKSIZE NII. TYPE AND COST OF BUILDING — All applicants complete Parts A — D U A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use M 1 EK L_I New building Residential Nonresidential 2 Addition(If residential, enter number 12®,One family 18 Amusement, recreationalo/new housing units added, i/any, 13 Two or more family — Enter 19 Church, other religiousinPartD, 13) Y number of units— — — — -i 20 Industrial3Alteration (See 2 above) 14 Transient hotel, motel,21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (1/multifamily residential, of units ——————— — -p- 22 Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 24 Office bank professional16 Carport6 Moving (relocation) 25 Public utility17 Other — SpeciJy y7 Foundati n only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 ® Privet (individual, corporation,28 Tanks, towers nonprofit institution, etc.) 29 Other — Specify 9 Public (F dera I, State, or I cal g vernment) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, .g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,•,,,,,,,,•,,, S o Do,rn 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. El ctrical...................... b. Plumbing ...................... c. Heating, air conditioning......... d. Other (elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT s7nnco.0 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 Mas my (wall bearing) 40® Public or private company 48. Number of stories................ 31 ® 49. Total square feet of floor area,Wo d framZ a c(oS 41 Private (septic tank, etc.)all floors, based on exterior 32 Structural steel dimensions ..................... 33 R inforc d concrete H. TYPE OF WATER SUPPLY 34 Oth r — Specify 42 ® Public or private company 50. Total land area, sq. ft. ........... 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors....................... 96® Oil c nditi Wing? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity D Yes 45 No 53. Number f bedr ms............. 3 38 Cal 39 Oth r— Specify Will th re be an el vator? Full.......... 54. Number f 46 Y s 47® N bathrooms Partial....... IV. IDENTIFICATION — To b comp/ t d by all applicants Name Mailing addr ss — Number, street, city, and State ZIP cod Tel. No. 1. tww LL--e-tl Ln XQ1z O-d I Owner or Lessee p / 2. Contrac+or 3. Architect or Engineer Th own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Adiress Application date 7V'h. a C c -3 19 5 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or Approval Check ObDtatned Number By Permit or Approval Check Obttaoined Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF ^t;BLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit numb r Building Permit issu d 19 L57— _ Building dp Permit Fee $ Approv TITLE f 1 TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Oct. 25 19 8 5 Fee Paid $.4 ZQ r 0 0 Eat. Value $.7.Q,0 0 0 Permit N° 14780 on the side of Niederwergetr#Road Street Street No. 15 Owner William Shuteran Applicant M. G. Tostarell_i, Jr. CERTIFICATE OF OCCUPANCY ISSUED: Date No. 79 Fee Paid $3_0 0 CLASSIFICATION Dwelling i i i BLJn DING PERMPI' I NY 14'780 OFFICE OF i THE BUILDING INSPECTOR of the Town of South Windsor, Conn. I South Windsor, Conn. Wt- 25 1985 I ir4tz to to Certify, That M. 4D. Tostarelli I is hereby granted permission to D e 11 i n cl I I at estimated value of $ on the side of Tmot #3 x xWerfas 2r%aA Street on land owned by William Shute ran Said Wnrk to be as described in Application No. 15M and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Oct 2 n 19850 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 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." J Dwelling - Lot #3 Rn .Shtn. 10/25/85 M.G-Tostarelli for W . Shuteran 15 Niederwerfer Road Permit #14780 Electrician M. Malinguaggio 9025L--" Heating Contr. A & G Plbg. & Htg# 6330 Plumbing it Alfred Geiner 6862 Oil Burner Certificate of Occupancy 7390 Sewer Permit Plot pla-nf apprd. per E r . f I Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. l Permit 1' a I F Certificate, of Occupancy THIS O qVrIFY that the at the To of South Windsor, Connecticut, hasJ abeenerectedandcompletedinX&rdance w'th the Building Code and Zoning Regulations of I the Town of South Windsor, and is hereby ap rove or occu cy. Building Inspector 117 wner, Builder j Fee Paid Date 3 19egG 9025 ELECTRICAL APPLICATION Application No. 10540 on the side of Lot #3 Niederwerfer Rd. Street Street No. 15 Owner William. Shuteran Electrician M. Malinguaggio FILED IN OFFICE OF The Building Inspector Dec . 16 19 85 INSPECTION. M 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. 2! ................... Master License No. ...,1.0..., .f.... -..(:....... TOWN OF SOUTH WINDSOR Building Permit o. f' f`...................... n BUILDING DEPARTMENT Date Filed ../ ...._:.ti?........................................ Date Final Approval ..........................................._..... APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION:kt. JOB OWNER: k ...................... Sideof . ... Between .......... .. ..... ........................ ...................... and ................................................................................. Name of Building Owner s `'. t = Address ... Ifwork is for Lessee—Give name Address ................................................................................................. Building now occupied as (unless new) No. of family units now ... .......... ............. Building to be occupied as ........ ..... . . ........... .......... ............. ... ...... . ......... ........ Number of family units to be ........ ......................... Is this work included in a Building Permit? IV7e. ..... Permit Fee .. ........... ............ ........ . ............................................................................._.,, GZ` f If no Building Permit) 4,r1-1 A h rFO, 6'A Permittee IY!Gr O, .l. A—kIN G- Ot -G-G-.10 . Business Address 7-7.. .k.o...5,5............0..&... Telephone,l..SZ..-.. ..... COSTOF INSTALLATION. ..... .......... .. A....e.. Q.. ................................................................................................................................... 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 . 7 '( Number of present Appliance Circuits ................................................... Number of switches to be installed Do these include Range Water Heater Number of appliances to be installed A as listed below) Dryer iq Air Conditioner Oil Burner TYPE RATING NO. Dish Washer (4 Gas Burner Range Well Pump Elec. Heaters Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater Clothes Washer Clothes Dryer . . . . . Dish Washer . . . . . . f Air Conditioning Motor . Oil Burner Motor . . . . Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan , , , f Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . Number of new Lighting Circuits . . . . ....._..............._..... Number of new Appliance Circuits . . . ..........._..5........... Number of Heating Circuits Z Number of Motor Circuits . . . . . . . .._.........c__ Size of present service ............... Size of service to be ........................................... I N L 6862 PLUMBING APPLICATION App . NO. 6633 on the ...._....... i&of Lot #3 Niederwerfer Rd. Street No. .... 15 owner . Wm . Shuteran plumber Alfred Ge ine r Filed in Offim of The Buil&g Inspacmr Nov. 19 19 8 5 IIT C'1'lOlr. No person shall emmmuct; add do or abut ay portion of the draimp system of say building ccmpt to repair leaks) until a Plernet is Smamed by the Building Lupamw. APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) TOWN OF SOUTH WINDSOR CONN. 9 311. LOCATION OF JOB c 71 T 12, NO. STREET FLOOR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATIONA__)eC.-) 13. SIZE OF MAIN DRAIN co 14. NO. OF TOILETS ", STYLE a c 15. NO. OF URINALS STYLE 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES. 18. NO.OF SINKS 19. NO. OF WASHTUBS 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 f KIND Q E 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?S 27. SIZE OF WINDOW x 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? 1/ eZ/ S SIGNATURE RESS n S r Q7 v LICENSE NO.Z 0 ESTIMATED COST 7 TELEPHONE O 7` '-[ ecc2P7 Oc z rc e,- re- S'q / nOWNERARESS WATER HEATER 31. TYPE 0 " 32. MANUFACTURER TANK SAFETY DEVICES 33. CAPACITY 37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE_ 38. MANUFACTURER_ 35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE 36. TYPE 40. MANUFACTURER ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWN R OF T IS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. CD962 ATEC"/'Of67 F APPLICANT PERMIT # Application For 6131 6330 DEPARTMENT DECISION Heatuig Permit 3 rz APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS R*PPROVED DISAPPROVED TOWN OF SOUTH WINDSOR 0 a 12/13/85 Thcmas P. D' Auria 00 O DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE MEL W O o 1. LOCATION OF JOB 0 JertA..lf ff-X 101 e er cr v A"Im. STREET 3 LOT NO. FLOOR APT. N . 0 O N 79 a) o l k I-cGc2. OWNER vh a LJr-rL,-jtrfOADDRESS7tl b° 3 S-d [ vl _S /" C PHONE S f S. APPLICANT I B. ADDRESS 45 9 qle ho Y,j ,Cv,r/'211 r w PHONE 2 - at1o.2 B. LICENSE NO. 7?c:) n 0.17 ir a EXPIRATION DATE OF LICENSE .0 Ae's- 10. ESTIMATED COST = K J i::::)C) 7 11. IS THIS A CONTRACT Cog"f2l YES Nobe 4 y 12. FEE ENCLOSED =_ Aa rm i t 1 4 7 R n a 4)13. TYPE OF BUILDING: C RESIDENTIAL COMMERCIAL c3 14. TYPE OF JOB: 13 INDUSTRIAL MIGINAL ALTERATIONINSTALLATINADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued tr In Revere Side) 11. LOCATION OF JOB J,c Aj,%,d 22 NO. STREET FLOOR An.NO. 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE13. 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.#_tX42 1 B.T.U. OR SO. FT. NET 3ti22PB.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL ,.- x 6 INSULATION G ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE L'O FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. Si...f t S A"O' t l 1i7z .x I DESCRIPTION OF WORK 15. TO BE DONE: le- E. m 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS). ROOM SIZE WINDOWS AREA - SQUARE FEET e.T.u. IS.T.U. F DANDDOORSvol_uME 17 DISTRIBUTION INSTALLED TOTAL TOTAL ROOM NO' GROSS GLASS NET WALL CEILING FLOOR CU.FT. ATE F CORRECTEDECTED :IFREGISTER L W N AND ILRAO. OR LEADERCT . SIZE < WALL *'GSG INFILT.) DIFF. F P 0 a0 TYPE AND SIZE t{Q. FT. FREE AREA TOTALS A. HEAT LOSS FROM BUILDING ?`'r0 'xD 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 Is. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE(OWNER) OR (AGENT) THIS PRO ERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. APPLICATION TO BE COMPLETELY FILLED IN. DATE NATU APPLICANT I = B= R CALCULATION SHEET 1503 (Modern Method)- Copyright 1977 by The Hydronics Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE..Gi••F. DATE IF r C L.A COL.B COL.C COL.D COL../E COL.F COL.O 1 ROOM Q J O O M L W H L W Lit H L W H L W H L W Design Water Tamp. 2 ROOM DIMENSIONS,FT. V 4 L L `, ` 7G G 4, 2G a;d;Ipn Seleet d o ,p 3 LENGTH EXPOSED WALLS,FT. Q L 4 WINDOW AND OUTSIDE DOOR AREA U. BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION ROOM LIN.FT.OF Tabs 9,Line 3 x H) G Fjay» N S O Do Q r ( 0 TOTALS RADIATI N 6 TYPE OF GLASS FROM LINE 12 SELECTED Gott m f table used for L ine 5) OD O o 0 O O Q Q7CEILINGCONSTRUCTIONC Tab( 9,L x W)O O O O V /O O a 0D g FLOOR CONSTRUCTIONt TW 9,L x W r Lin. Ft.) , p p -0-3 0 0 0 O o E O 9 COLD PARTITION CONSTRUCTION F 0 Table 9,L x H) G p 10 c 1 Wall(With Openings) a C)0 H 2 Walls(With Openings) J .01V 0 I 3 Walls(With Openings) or Ent.Hall 11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' OO 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE 0 K / 0 30 C L.A COL.B COL.H COL. I COL.J COL.K COL.L TOTAL BTUH TOTAL 1 ROOM ccOF BUILDING RADIATION AT SELECTED O H L W H I L W H L W H L W H L W DESIGN TEMP.° 2 ROOM DIMENSIONS,FT. U G G DIFFERENCE 3 LENGTH EXPOSED WALLS,FT. A G 4 WINDOW AND OUTSIDE DOOR AREA LL BTUH BTUH BTUH BTUH BTUH , 5 WALL CONSTRUCTION VO3 O D Q O O ' INCREASE BATHROOM Table 9,Line 3 x H) vn G TOTAL20% 6 TYPE OF GLASS B ttom of tab( used f r Line 5)Q 3 0 r) 00 - oQ7CEILINGCONSTRUCTION tFOR CONCRETE FLOOR ON OR FILL AT Tabl 9,L x W) O( p 60 O O O O GRADE DLEVEL,USE LINEAR B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE Table 9,L x W r Lin.Ft.) I031 O o Q O Q O O 91 COLD PARTITION CONSTRUCTION Tabi 9,LxH) 1 +0 1 Wall(With Openings) O; 0 2 Walls(With Openings) X Q 3 Wells(With Openings)or Ent.Hall e J H 11 TOTAL BTUH AT 70F TEMP.DIFFERENCES 70 12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCEJ 700 FORM 1503 This f rm is available from The Hydronics Institute,35 Russo Place,Bark ley Heights,N.J. 07922 i = B= R CALCULATION SHEET 1503 (Modern Method) Copyright 19"77 by The Hydronics Institut OWNER ADDRESS r, DESIGN TEMPERATURE DIFFERENCE-=F. DATE ty COL.A COL.B COL.C COL.D COL.E COL.F COL.G 1b1ROOMICDesignWaterTemp.O H L W H L W H L W H L W H L W 2 ROOM DIMENSIONS,FT. U 7 BTUH per F t of 3 LENGTH EXPOSED WALLS, FT. Q Radlatl n Selected 41 WINDOW AND OUTSIDE DOOR AREA u. BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION ROOM LIN.FT.OF Table 9, Line 3 x H) O O O TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED Bottom of table used for Line 5) D 7 CEILING CONSTRUCTION C Table 9, L x W) Q D g FLOOR CONSTRUCTIONt ITable 9, L x W or Lin. Ft.)o3L, YO InE 9 COLD PARTITION CONSTRUCTION F Table 9, L x H)G 10 1 Wall(With Openings) O 3: H e :2 Walls(With Openings) J I 1 3 Walls(With Openings) or Ent.Hall O J 11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K L L g8'o COL.A COL.B COL.H COL.I COL.J COL. K COL.L TOTAL BTUH TOTAL 1 ROOM OF BUILDING RADIATION AT SELECTED O H L W H L W H L W H L W H L W DESIGN TEMP.° 2 ROOM DIMENSIONS,FT. IP- DIFFERENCE U 3 LENGTH EXPOSED WALLS, FT. 4 4 WINDOW AND OUTSIDE DOOR AREA U. BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION INCREASE BATHROOM Table 9,Line 3 x H) TOTAL 20% 6 TYPE OF GLASS 18 tt m of table used for Line 5)X1 t 7 CEILING CONSTRUCTION GROUND CONCRETE FLOOR ON GROUND OR FILL AT Table 9, L x W)GRADE LEVEL,USE LINEAR f FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE Table 9, L x W or Lin. Ft.) D _ W.9 COLD PARTITION CONSTRUCTION YO k Table 9, L x H) Q Q /v r ewq k 'L s S 10 c 1 Wall(With Openings) 2 Walls(With Openings) e X 3 Wells(With Openings) r Ent.Hall e-1 F- 11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP.DIFFERENCE FORM 1503 This form is available from The Hydr nice Institute,35 Russo Plac ,Berkeley H iglhts,N. J.07922 APPLICATION FOR BOLDING PERMIT140171A 15 NIEDERWERFER ROADPlumbing# Date: :?—/2—WAC # No. 2 4 01 2 OWN Eq BL" t g 2+ Gam_ COMPLETE RED BOXED AREAS Permit Fee C-n neering TYPE OR PRINT ONLY Occupancy Fee $ S Affidavit SIGN ON REVERSE SIDE Appr.for CO.J Total Fee TO BULDW DRART",TOWN MOM WI I)SOR,CT fAd tional Costl i The undersigned hereby applies to do work accorcling to the following specificat'am: Job Location 1S lVlede,jdAa1 czlQa Lot No. Side of Street Zone Applicant 26r4ca: ;PPa..r& Tel.# Z01-/7 416 Address Is Yz, ucve rs SS IcJ wcl5 Zip 6o Lic.# Own r SOA e Address 4jaA e Architect Address Sq.Ft.New Area: 1st FI. 2nd FI. 3rd Fl Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: qaA ;K City Water Well Septic System Sewer Ins. H.O.JeJZ, S.P. Cart. Area Basement Garage Approved by y U__ Date Use Group U Construction Type ReybW 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 j . 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 97-24062-B 4,000 B01 FOOTING 03/24/97 JFH A B03 FRAMING (ROUGH) 05/05/97 JFH A E03 ROUGH 05/05/97 JFH A B10 FINAL 07/28/97 JFH D OUTLETS NEED GFCI NO SMOKES SHEET ROCK NOT FINISHED B10 FINAL 05/13/98 JFF D NO ACCESS/ LEFT DOOR TAG B10 FINAL 09/28/98 JFF D NO ACCESS DOOR TAG B10 FINAL 02/04/99 DCJ D CLOSED WITH CAVEAT B10 FINAL 02/09/99 JFF D BEDROOM SMOKES WITH OWNER B10 FINAL 02/10/99 JFF D NO ONE HOME B10 FINAL 02/10/99 JRC A SMOKE DETECTORS IN BEDROOMS PER OWNER RELEASED CAVEAT 2/11/99 97-14371-E 300 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Af3 e7i Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE D ZL 7 644-2511 ext. 230 Date g Inspector Application must be printed or typed Location ofjob S l Street No.No. Street Lot No.FFEE SCHEDULE Floor Apt. No. 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNERS or any fraction thereof j ADDRESS OWNERS PHONE# APPLICANT G---1 c s W N $ ADDRESS I S f11G Wr% ` fF ESTEVIATED COST$ 5 0 0 IS THIS A CONTRACT COST? YES NO 1 C!FEE ENCLOSED $ - SOR C0 TYPE OF JOB: 4.Original Installation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from rcvcrsc side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY G Cyr .jC INSTITUTIONAL F CTORY TORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP Othcr picasc spccify) 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/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 SEPERATE 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 O INANCES AND STATE OF CONN.BUILDING CODES IN THE P ORMANCE OF SUCH WORK. NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. y 7 6 6 DATE L Y 0W N SF,C CIO U Town 07 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074 SOR-0) AREA CODE 860/644-2511 November 9, 1998 Mr. Ernest Rempel 15 Niederwerfer Road South Windsor, Connecticut 06074 Dear Mr. Rempel: Re: Building Permit#24062 Our records show that there has been no communication from you regarding yourbuildingprojectapprovedunderBuildingPermit#24062. A Building Permit expires after six months of inactivity. Please indicate the current status regarding this project within a week of receiving this letter and arrange for the required inspections. One month from the mailing of this letter, if action is not taken on your part a Caveat may be placed in the land records stating there are Building Code Violations on your property. The Inspectors are available for this purpose between 8:00-9:00 a.m. and 1:00-2:00 p.m.Your cooperation in this matter is greatly appreciated. Very truly yours, 1 ouglas C. Jourdan Deputy Building Official 4 t W N St 4 F T-own s 1540 SULLIVAN AVENUE SOUTH WINDSOR, CONN. 06074 U Olt-co AREA CODE 860/644-2511 January 6, 1999 Mr. Ernest Rempel 15 Niederwerfer Road South Windsor CT. 06074 CERTIFIED MAIL P 259-184-895 Re: FINAL NOTICE Dear Mr. Rempel: I mailed you a letter, dated November 9, 1998, giving you notice to resolve the open Building Permit(s)#24062. As of today you have not complied with the original request. Your permit(s)are still open. If a resolution to the open Building Permit(s)is not made within five working days from receipt of this letter this office may take other actions to resolve this matter. Please call me or John Collins, Chief Building Official, should you have any questions regarding this. Our office hours are 8 - 9 a.m. and 1 -2 p.m. the phone number is 644-2511 ext. 232. Very truly glas C. Jourdan eputy Building Official h complete Rams 1 arWor 2 for additional services. I also wish to receive th 0 Complete Herne S P your name and address following services(for anonthereverseofthisformsothatwecanreturnthisextrafee):card t u. Attac this form to the front ofthe mailpiece,or on the back if space does not 1. Addressee's Addr ss 8 WrReetum Receipt Requested'on the mallpiece below the article number.2. Restricted Deliv ry jTheRetumRceiptwillshowtowhomthearticlewasdeliveredandthedate o delivered. Consult postmaster for f e. TL 3.Articl Addressed to: 4a.Article Number 9 184 897 cc a PMr. Ernest Rempel gA ANypeE15NiederwerferRoad iAegi Certified CCSo. Windsor CT 0607;L Insured a lieipt#a •t iiillldlio• COD 7.3e o w 5.Received By:(Print Name), 8.Addressee's Ad ss(Only ifrequested and fee is paid) 6.Sign : (Addressee or Agen x PS Form 3811,December 1M4 Domestic Retum Receipt UNITED STATES POSTAL SERVICE First-Class MailPostage$Fees Paid USPS Permit No.G-10 Print your name, address, and ZIP Code in this box • TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 06074 Iris 111111111fi114ff1ft11f'ltitiff lfill ltfllitil111[fill ItA11111 Ow N SE, lNYWTC s 1540 SULLIVAN AVENUE SOUTH WINDSOR, CONN. 06074 f oSOR-CO AREA CODE 860/644-2511 February 4, 1 99 Mr. Ernest Rempel 15 Niederwerfer Road South Windsor CT. 06074 Certified Mail P259 184 897 Dear Mr. Rempel: The office of the South Windsor Building Inspector has placed a Caveat in the land records for your home in the Town Clerks Office. This Caveat will be in place until the Building Code Violation(s)have been fixed or removed. Once the violations have been resolved you will be responsible for picking up the Caveat Release from this office and filing it with the Town Clerks Office. There will be a fee for the filing. Please call me or John Collins, ChiefBuilding Official, should you have any questions regarding this. Our office hours are 8 - 9 a.m. and 1 -2 p.m. the phone number is 644-2511 ext. 232. Very truly yours, ougllasurdan Deputy Building Official Enclosure: a Complete items 1 and/or 2 for additional services. I also wish to receive the a Complete items 3,4a,and 4b. following services(for an Print your name and address on the reverse of this form so that we can return this extra fee):card thisform to the front of the malipiece,or on the back it space does not 8Addressee's Addr ss Writ 'Return Receipt Requested'on the mailpi"Oelow the article number ,',T3 Restricted D liveryTheRetumReceiptWitshowtowhomthearticleMedeliveredandthedate o delivered. ult postrnaster for fee. 3.Article Addressed to: 4a.Article Number Mr. Ernest Rempel P 259-18,E-895 E 4b.Service Type15NiederwerferRoadpRegistered Qt CertifiedSo. Windsor, CT 06074 p Express Mail JO In urea 0 13 Retum Receipt 4zatait COD a 7.Date of Delivery a 5.R ived By: (Print N ) 8.Addressee's Address(Only ifrequested andfee is paid) g 6.Signs e:(Addressee orAgent) x V,a PS Form 3811, December 1994 Domestic Return Receipt OR CTUNITEDSTATESPOSTALSERV Paid P M m z Print your natne, address,and ZIP Code in this bpx 0 BUILDIhT,G DEPARTMENT TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 r VOI. 1061PAGE 196 NOTICE OF BUILDING CODE VIOLATION 658 The Town of South Windsor hereby gives notice to all persons of building code violations on property owned by:Mr. Ernest Rempel Which property is located at 15 Niederwerfer Road Re: Permit # 24062 Said property being more particularly bounded and described in an instrument recorded in Volume 919at Page #116 of the Town of South Windsor Land Records,reference to which is hereby made. The violation(s) pertain to the following section(s) of the Building Code: Connecticut Basic Building Codes And,the particulars of said violation(s) are more specifically as follows: Art. 1,Sec. 112.2 Suspension of permit-invalid after six months of inactivity. Art. 1,Sec. 119.2 Certificate of use and occupancy Dated at South Windsor,Connecticut this 2nd day of February, 1999 Town of South Windsor B NS ouglas C.Jourdan s Deputy Building Official 7 OzFphdy j-4. The foregoing was acknowledged this Cjt day of 19 CQ at South Windsor,Connecticut,before me. RECEIVED FOR RECOR EB - 41999 AT ? 'ss A fn Notary Public RECORDED IN SOUTH WINDSOR My Commission Expires: z?A LAN CORDS VOL P GE 19 BY T TOWN CLERK VOI. 1062PAGE 1"7 783 RELEASE AND NOTICE OF CORRECTION OF BUILDING CODE VIOLATION KNOW ALL PEOPLE BY THESE PRESENTS,that the Town of South Windsor hereby gives notice that the certain building violation(s),referred to in the Notice of Building Code Violation to Mr. Ernest Rempel said property located at 15 Niederwerfer Road from the Town of South Windsor recorded in Volume #1061 at Page #196 of the South Windsor Land Records, has/have been corrected and said Notice of Violation is hereby released and discharged. Dated at South Windsor, Connecticut,this 0"- day of bruu/ , 1911 TOWN OF SOUTH WINDSOR ouglas C.Jourdan is Deputy Building Official 77 N n/NE 2 The foregoing was acknowledged this (IAday of 19 at South Windsor,Connecticut,Before me. Notary Public 1MCommissionExpires: RECEIVED FOR RECORTE B 1 1999 19 Y P AT 8:5a RECORDED IN SOUTH WINDSOR LAND RE S VOL 10 0-` PA BY E K ULSWOW TOWN CLERK 8ectr?;# q 71 APPLICATION FOR BUILDING PERMIT Plumbing# 15 NI EDERWERFER ROAD WAC #26142 Date: S q Sprinkler# N0' MAL APPROVALS Estimated Cost 2ty,)6 Building M!: 17 COMPLETE RED BOXED AREAS Permit Fee Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIMAppr.for CO. bc;N a 11 5 Total Fee TO BUILDNG DEPARTMENT,TOWN OF SOUTH WNDSM CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location hS 1VZb6A1W5.e1Y1?, )P6 Lot No. Side of Street Zone Applicant g i-n esT eem Z vie Tel# 174 d Addr ss fS l i'E2 tic F 2 iQcf Zip o6o 7 Lic.# Own r FmAsT &AA J"K-Address Architect Address Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area Rooms I I# Lavatories Bathrooms Garages Purpos of this permit: L10'ce- ity Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by S Date s2LTLQ/ Use Group Construction Type Rersed 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 budding 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 j s:— DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 99-26142-B 2,000 BO1 FOOTING 05/25/99 JRC A MONOLITHIC DOOR E03 ROUGH 06/21/99 DCJ D NAIL PLATES NEEDED E03 ROUGH 06/22/99 DCJ A B10 FINAL 08/06/99 DCJ A APPROVED FOR CO & CLOSEOUT 99-16277-E 250 36 0 i 370 it M N A= 38, t6 7. 96 sF : SNic'VE" O 1 N rn sl Qo , sad 23' Z4, ti Slc I A I the 4 I Sol W 3 / I fut i Q I fut 2.S9, i NiEOER wE'RF ER ROAD Property of Lot 3 Niederwerf er Road South W: LUCEK ENGINEERING NO. REVISIONS DATE CONSULTING ENGINEERS 490 6UCKLAND ROAD j SOUTH WINDSOR. CONN. 203.644-0550 I HEREBY CERTIFY THAT THIS MAP AND SURVEY WERE PREPARED IN STANDARDS OF A CLASS A-2 SURVEY AS DEFINED IN THE EXISTI FOR STANDARDS OF ACCURACY OF SURVEYS AND MAPS". ADOPTED ASSOCIATION OF LAND SURVEYORS INC. FOR BUILDING PURPC TO THE BUILDING DEPT. TOWN OF SOUTH WINDSOI• This certified that this plan and specifications are true copies of the proposed building or alterations to b• erected at 6 ,N LC '1 `1— ` Strec' together with amendments stated in application one filed with plan and I agree to comply with all zonin Building and state laws and such orders as shall t, issued by the Building Department during pendent of this application and final issuance of a buildinE permit. Signed this plan is approved subject to the condition thal orders and ordmances regulating building shall be complied with. GondNwnully Approved These filed with 6Yildins Inspeviof pat, I it 1L A 1'10N OF ZONING COMPLIANCE Proposed buiiding(s), use(s) and/or structure(s) is showt, on this plan appear,-) to be in onformance with current S Winds, gulatlons. Variances and sp"a exceptions nay apu;y. aate sus S em:s„t Ofxocer DEPARTMENT DECISION PERMIT# APPLICATION FOR ELECTRICAL PERMIT 1&a-7-7 Application is hereby: TOWN of SOUTH WINDSOR Bldg Permit#BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Ala 14;kl 41-1 17 644-2511 ext.230 Date Building Inspector Application must be printed or typed Location ofjob r C2ki5aZ Z of Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 - $1,000 - $12.000 Over $1,000 12.00 per$1,000 OWNER &e-,S or any fraction thereof ADDRESS OWNERS PHONE# APPLICANT C ;711 a-s 7' 12ew, 41 J?e 0W N S ADDRESS UP) ESTIMATED COST$ 0 C ;,: `` IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ 12, 0 OR-Co TYPE OF JOB: Original Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH 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 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/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 SEPERATE 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 CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO.&W— f 7 DATE J.; .A- :d' 1;.• •y'F•';7•..' P,My. ..• ..1 1. ` •',w r', Y' f.\}!... 1i•..'aa `. 'y r {- - ••d '• •y Nam' r +` • . . , Ti.. ` ,, r=. Rom' ••...• r. RE1Na E. HYYPPA ai A0..aAT'E CIVIL ENGINEERS 1j• LANO SURVEYORS 124 HEBRON AVE" GLASTONBURY, CONN. 4033 203) 633 -3215 LPL W g t c to,r4 ce. Vol dray t ag Ms pr p rfd ps I* Part t6K. 'bits!• tod tsar ddlak it tons l.raort.. Pose d Into rim Mo Ja - mot li Ji LIN K 1Fv s OZo D 5 CN=lQZ•I'f 1.10Z•.00 ELF t 4gr W-C At-',W0w ON F x ttTLLO0 4 voti 4m., - rt:.';tUr i.. 1 f0 LiE 1-hts certified that this plan and epees r o na. _ Li s of the proposed building or to be rcctEd at Zr t rer with amendments st jt,,d iri n , I - ,th pl_.n .i,.d I agree t, c^' ,, n h i,II Ig ,,.d ;t;tt, I iws an i ,r!,r, J ty the fiU,iJinP D-p..rtmcnt d.rin, p t:,is application and final issuance of a b,i,i ii urniit. r;ned is Flan is approved ubtect to the e,ndition th t Ord rs and ordinances regulating building shail be iip1-d ,•,ith t.ondidonally Approved These filed with Building Inspector J/ C ClarjK Datel TO THE SUIMNG DEPT. TOWN OF S00H -r,:, , This certified that this plan and specifications are iru•tl! copies of the ropposed building or alterations to toe erected at rposed building(s) us.'(s) and'ar strrcturE(s' 1 +( C) `)e in 1 hQI/r Street s ;ho'/.;E s n this pla.i ,,peai(s, together with amendments stated in apblicat'ion anch *r' t' tiled with plan and I agree to comply with all zorYin'g.nfort ilance with cir,en,. t ,•u. e tion: Building and state laws and such orders as shalt be g,iations. Variances and special E:A; y issued by the Building Department during pendency of this application and final issuance -of a buildit" lay apply• permit. r q Gate S / Signed his plan is approved bject to the ton'ditfon Rha t ,. t rdors and ordinances regulating building shaller 2 4` n 1 uri0.rionaliy Approved thaw flied wRh Building litspectivr Oats Bectric# APPLICATION FOR BUILDING PERMIT Plumbing# 15 Niederwerfer Road HVAC # Date: am I Sprinkler# No. 28099 FINAL A MEL 0 Estimated Costy Buildi o COMPLETE RED BOXED AREAS Permit Fee 2E-a Engimg TYPE OR PRINT ONLY Occupancy Fee $ 6' Affidavit SIGN ON REVERSE SIDE A .for CO.Total Fee 3 TO BUILDING DEPARTMENT,TOWN OF SOUTH WNDSOR,CT Additional Cost) $ The undersiaied hereby applies to do work according to the following specifications: Job Location 15 N re GIB ( K R& Lot No. _Side of Street Zone Applicant r i Tel.# 73,1d) -a4LI- I-7tdo Address I 1 a Zip 0 to Lic.# Owner b4-1bl.0 M R efDJ" Address a irvIsor Architect Address Sq. Ft.N w Area: 1st FI. 2nd Fl. 3rd Fl Total New Area Rooms Lavatories Bathrooms Garages Purpos of this permit: R d Ql r ace 10a\i llnla=z ai=13 ity Water Well Septic System Sewer R-- Ins. H.O. S.P. Cert. Area Basement Garage Approved by Dat Use Group Construction Type Rw sed 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 e aA /( I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. 7kSigned DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS yo Information taken from map led 3 Lot subdivision Prope William Shuteran 7 Niederwe Road South Windsor Connecti 06074. Dated 4-12-35 . Rev. 1 85 . 340 370 1 b NO 1! 57.L' aj 5*6 Slope rights grants A the Town bf South Ilasortoaccommodate future sidewalks a. future frontage s = 52= /a " RO.gb --- ----•---{ ' L ?S5 7I l '3 'rt1 t1 t r I ,.h -0 7 ,nr Sr, .. r 11• lei,s of the. ploaosed butldmr. or alterat+t..r> +. erectFd at y- cV`!l 1 Sir.. og :h r •ti,th amcniments stated in application .t 1t1-0 -v+t'i Ft,3n and I agree t:' c.;n-ply with Al zonit', t+1,1•-n and st Jc I-ws and .•uch orders as shell 1_, sst-d Ly the Pui,dtng D,-par++rent during pendent t tlt:s appu:,,atton and final +;suavee of a bu+Jdtni pry rrntt i;ned _1&vAza nvXz. flits 031-1 is aPp+oved subject to the conditto that r(Jr•rs nd oto.nances regulating building shall be Condtuon,01y Approved These/ tiled with Ui•11ding 'ttr.sacetor y/[, ClerM/ ry Dats ,b[10j O uo V 1 Ct)MFLlANGc jor structuCe'M os,,d C, u 0E S) a'bLlt,t buropnar(s) to r I o l L11 5 }ic i1 p..... s SIlo n WindsortCurrentSouth onform,+ice With and special exceptions 0 ulations. Va i•nay applJ U ate ter f.. DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Applies. TOWN OF SOUTH WINDSOR 7BUILDINGDEPARTMENT PRO D 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 ate in Inspector Application must be printed or typed FEE SCHEDULE Location of Job: S Nr467 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 64e2 79 APPLICANT ADDRESS /S '1/lederc C1 APPLICANT PHONE# N S OWNER G/ '1 C5 T I t OWNER ADDRESS OWNER PHONE C ESTIMATED COST$ oD 00 IS THIS A CONTRACT COST? []Yes [3 No 60 FEE ENCLOSED$ /3, TYPE WewCO Installation Alteration/Addition/Repair Revised 5101 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED ITH A BUILDING PERMIT APPLICATION? YES NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY 6- w"g ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY STORAGE ADDRESS GARAGE MIXED USE CITY STATE ZIP 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 r Cc ci c cyu `ens 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& 10 o cA)a Py- CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT 45 DATE 101Y101