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HomeMy WebLinkAbout151 Strong Road7152 PLUMBING APPLICATION Applies Nm 6 R 2 2 on the ......_.._.. of 3.__A...Stronq Road Street No. ......-- 151_ Cwm ....ZQbert La vallee Plumber ....,,__.Gary Prow Filed in Office of The Buie Impm r Oct. 22 1986 IIIBP C 01. No person:hall coaotroct, add to or aloes sty portion of the drainage system of say bal&og except to repair leans) until a Permit is Stowed by the Building 0 INSPECTION REPORT Permit # 3,?0 Job — I / 1 Footing 2 Foundation AZtaJk't 3 Framing 4 Wiring 9r 5 Plumbing 6 Heating 7 Lathing 8 C.O. Industrial Building 8/4/86 Ivars Ramans for Rbt. LaVallee 3 A Strong Road Permit # 15308 Electrician Milton C. Plouf f # 9356 Heating Contr.p.Romanowski 6667 Plumbing is Gary Brow 7152 Oil Burner C rtificate of Occupancy 7694 Sewer Permit t t I P rmit No. TOWN OF SOUTH WINDSORi SOUTH WINDSOR, CONN. P Permit NO 7694 i t Certificate of Occupancy 4 THIS IS TO CERT Y that the at No. in the Town of South W' sor, Connecticut, has been erected and complet in accordance with the Building Code an Zoning Regulations of the Town of South Windd6r, and is hereby approved for occupancy. R t i Building Inspector Builder Ole Q-11n Fee Paid 0 Date 19 I 1 Permit No. > TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit N9 7694 Certificate of Occupancy THIS,,IS TO CER1IFY-that the at No. in the Town of South Windsor, Connecticut, has been erected and completed` n accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. Building Inspector 49wner, Builder Fee Paid Date 19 APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) TOWN OF SOUTH WINDSOR, CONN. IRA11. LOCATION OF JOB O NO STREET FLOOR APT.MO. GENERAL PLUMBING it 12. KIND OF INSTALLATION tQA 13. SIZE OF MAIN DRAIN 41 14. NO. OF TOILETS STYLE 1241 15. NO. OF URINALS _STYLE JX)A4)10 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES_18. NO.OF SINKS 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS SIZE 21. NO. OF ST 4SIZE 22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND 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? P SIGNATURE ADDRESS r non G14v o"o LICENSE NO. 2030 )2 ESTIMATED COST O TELEPHONE S — Z OWNER 130bEj LAVAN, ADDRESS WATER HEATER 31. TYPE 3O 1 32. MANUFACTURER Sl 6.01 1 TANK SAFETY DEVICES 33. CAPACITY 2Q on37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE_ 300 38. MANUFACTURER_ wxts 35. WORKING PRESSURE ` 0 39. PRESSURE RELIEF VALVE 36. TYPE 40. MANUFACTURER W n* 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. 0 )L —Wax.., CD962 DATE so URE OF APPLICANT PERMIT # Application For 647 6667 DEPARTMENT DECISION gHeater Permit 0 it APPLICATION IS HERESY: DEPARTMENT OF LICENSES AND INSPECTIONS APPROVED DISAPPROVED TOWN -OF SOUTH WIN DSOR COO k 12/22/96 Thn-na P T) 7-i. -- QO DATE CNItF INSPECTOR APILKATWMS MUST DE PRINTED ON TTPRD. DE 111 NITN MYNDtN Mt DELOW O 1. LOCATION Of JOB pp, STREET LOT NO. FLOOR APT. NO. 4 ai o OWNER L o S249. ADDRESS 4.1,HONE d r SpDAPPLIClobANTI 0 h ADDRESS S• f U, n a/1_ 7.PHONE LICENSE NO. D. EXPIRATION DATE Of LICENSEw 5r 10. ESTIMATED COST 11 s O 11. IS THIS A CONTRACT COSTV YES NO a 1=. FEE ENCLOSED • Permit 15308 t t•. TYPE Of BUILDING: 1 1 wERIDtMTML COMMERCIAL j 0W0 y 14. TYPE f JOB:INDUSTRIAL ORIGINAL ALTERATION }x -+ INSTALLATION ADDITION REPAIR APPLICATION FOR BEATING PERMIT (C nfln>s a tlm Rev 1w Side) f4o s Z 44 . 11. LOCATION OF JOB NO. iTRttT HOOK AFT.M • 11. TYPE Of INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER OR GAS BURNER STACK INCINERATOR Cl MISCELLANEOUS IOt11Tl/r SIZE LOCATION SIZE SIZEV13. OF TANK OF TANK OF FILL ENT 1 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 HEATED NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. H.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK j n j yl 1s. TO BE DON - 0 a Roo r-4,AQ 6AS 16. HEAT LOSS SCHEDULE (TO BE INCLUDED FOR ALL JOBS): Room size weM0ows AREA — SQUARE FEET a.T•U. w•T•U• i- OISTRIBUTION INSTALLED ANO OOORe VOLUrt TOTAL TOTAL R OM Poo. t 6LAY NUT wAL CUILINO FLOOR CU./T. AT 70•R CORRECTED i 7 A AD. 1e01STeR L w N AMC 3 IINrILT.I Tamp. TO g r 0 TYRO ANC s1ZU eeG RT. OR LUAOER so ZE WALL At0 Derr. R e,j M RRE9 ARUA TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. 0. 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:NAMt ApORt=i SUBCONTRACTORS AND 1 s. 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. ` 1,109X DATL SIGNATURt OF APPLICANT 77l! E•/ c17-ss--Fob-I,S---- ------ - - -- ----- ------ -- - - -- - - - - oyFSix2GgSivtx9xV/-4c7x,Q'_cG/ 1rU11afc.N- - -------- ----- SIot, s' aS6f, x>Rl,S/; o/u(Z7JS4xt or qL/ _ s, V ?7t"M ---- --- - C' 3 Fez6/ A199,?0 - Za9` All h ZodptiiaQ87/PR7/// - COZ a'Q1nv- aC7c'Gq'IL10' 09 LvnSG/_Jv//ytSCYPNO /V-bfa(7JR:=fk qo dc;qF _ p9xoff— 12-2-rV 2`' `ale ' , 9j,',-6l r?iajSr/ O 4 P 7SS07 TO THE BDING INSPECTOR of I6 APPLICATION FOR TO" OF SOUTH WIIUSOK 0DW PLAN EXAMINATION ANO BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX. ZONING 1• AT (LOCATION) DISTRICT LOCATION C.1(STR ET) OF BETWEEN CROSS STREET) AND CROSS STREET)BUILDING opLOT SUBDIVISION LOT.:j!g!_BLOCK SIZE Z1ow 9.F N 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking' most recent use M 1 Now bui(din g Residential Nonresidential 2 Addition(I/residential, eater number 12 One family 18 Amusomont, recreational of new housing units added, if any, 13 Two or more family — Enter 19 Church, other religiousisPartD. 13) number of units— —— —— 3 Alt ration (See 2 above) 20 industrial 14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (If multifamily residential, of units ——————— —-- 22 Service station, repair garage enter number o/units in building in 15 Garage 23 Hospital, institutional Part D. I3) 16 Carport 24 Office, bank, professional 6 M ving (relocation) 17 Other — Specify 25 Public utility 7 Foundation only 26 School, library, other oducati nal B. OWNERSHIP 27 Stores, merconti le 8 Private(individual, corporation,G 28 Tanks, towors nonpr fit institution, etc.) x" 02 G 29 Other — Specity%jah 9 Public(F deral, 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 f improvement............... I school, secondary school, college, parochial school, parking garage for. department store, rental office building, office building of 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 $ 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 L J Masonry(wall bearing) 40 Public or private company 413• Number of stories................ Total square feet of floor area,31 w ad Promo 41 Private(septic tank, etc.) 49. all floors, based on exterior 32 Structural steel dimensions .................... 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........................ Oil c nditl ping? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 No S3. Number of bedrooms.............. 30 Coal 39 Other— Specify Will th to be an lovator? St. Number of Full.......... 46 Yoe 47 N bathrooms Pertlel........ IV. IDENTIFICATION — To b c mpl ted by all applicants Nam Meiling address — Number, street, city, and State ZIP code T I. N Owner or o`?,.47e k,4 6A eo-54 6 Cip 47 Lessee 2. Contractor 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 A414iress Applicati n d t 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 NotesqFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS DatePrmitorApprovalCheckobttaitnedNumberByPermitorApprovalCheckObDta ed Number By 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 numb r je,,Jh—'Y Bui Iding P rmit issued 4 19 Building p0 Permit F ro by: I 46- TITLE A TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Get. Q 1986 Fee Paid $. .10.-0 0 Eat. Value Pest N° 15474 on the aide of Strong Road Street Street No. 151 f Owner Robert Lavallee Applicant Robert La va l l ee CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Sign BUILDING PERfvffr 1l ? 15474 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 1986 94to to to Certify, That Robert Lavallee is hereby granted permission to Sign S' x 2 8" at estimated value of $ on the side of 151 Strong Road Sam on land owned by Rohp-rt La3a11ec3 Said _-1 nrk to be as described in Application No. 15774 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued J- J 196 Building Inspector. Streets and sidewalks, obstructed by ezcavations 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." v TO THE BUMDING INSPECTOR of Iw APPLICATION FOR TOWN OF SO M WIHDSM COM PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX. o S ZONING 1• AT (LOCATION) DISTRICT LOCATION 1NO'' STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N 11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE 0 MPROVEMENT D. PROPOSED USE — For"Wrecking" most recant use 1 New building Residential Nonresidential 2 Addition((/residential, enter number 12 One family 18 Amusement, recresti nal Of new housing units added, if any. 13 Two or more family — Enter 19 Church, other religiousinPartD. 13) number of units— —— —-Do 20 Industrial 3 Alteration (See 2 above)14 Transient hotel,motel, 21 El Parking garage4 Repair, r placement or dormitory — Enter number 5 We eking (I/multifamily residential. of units ——————— —-i 22 Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, instituti nal Part D. 13) 16 Carport 24 Office, bank, professi nol 6 M vino (r location) 17 Other — Specify 25 Public utility 7 Foundation only 26 School, library, other dueational B. OWNERSHIP 27 Stores, mercantile 8 Private(individual, corporation, 28 Tanks, towers n nprefit institution, etc.) 29 Other — Specify 9 Public(F dotal, State, or cal government) C. COST Omit cents) Nonresidential — Describe in detai I proposed use of bui(dings, .g., f ad processing plant, machine shop, laundry building at hospital, elem ntary 10. C st f improvement,,,,,,,,,,,,,,, GU'v school, secondary school, college, parochial school, parking garage f r. department store, rental office building, office building of 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 ct ical...................... b. Plumbing ...................... c.Hosting, air conditioning......... d. Other( levater, etc.)............. 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip t IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 Masonry(wall bearing) 40 Public or private company 46• Number of stories................ 31 Wood frame 41 Private(septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions ..................... 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34 Other — Specify 42 Public or private company Total land area, sq. ft. ........... 43'7 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 31. Enclosed ....................... 35 Gas Will there b central air 52. Outdoors........................ 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 He 53. Number f bedrooms.............. 38 Coal 39 Other— Specify Will there be on elevator? Full..........54. Number of 46 Y s 47 He bathrooms Partial........ IV. IDENTIFICATION — T b compl ted by all applicants Nam Mailing address — Number, street, city, and State ZIP cod Tel. N 1. G, E E g: y Gr 3 3 -- Owner or rr I Lessee 1 ` 2. Contractor 3. Architect or Engin r The own r of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature o pl'cant Address Applic tion dot Ac 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 V1. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit r Approval Check Date Number B Permit or Approval Check DOte NumberppObtainedyppObtained y BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER V11. VALIDATION Building Permit numb r Building _ P rm it i s s u d 19 Building Permit F f A'Or,v y: TITLE A TOWN OF SOUTH WINDSOR BUILDING PERMT Date Dec. 2 19 86 Fee Paid $. 5.-0.0 Fat. Value Permit No 15568 on the side of Strong Road Stream Street No.151 Owner Robert Lavallee i Applicant Robert La va l l e e CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Sign BUIIDING PERMIT N° 15 5 6 8 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Dec. 2 14io to tv (fermi fy, .That Robert La vallee is herebyanted ion to sign 4' x 14'granted permission at estimated value of s3 0 0.0 0 on the side of 151 Strong Road Street an land owned by Robert Laval lee Said Work to be as described in Application No.15 8 6$ and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued- Dec. 2 1§6 L! f 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." FOR OFFI E USE ONLY APPLICATION FOR HVAC PERMIT DATE: NO. TOWN OF SOUTH WINDSOR EST.COSf: dQ BLDG. PERMIT N0. Y f 1540 SULLIVAN AVENUE FEE Id SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 0 - $19000 - $10.00 1000 or fraction LOCATION OF BUILDING thereof - $10.00 OWNER ADDRESS TOWN PHONE NO. 04p HVAC CONTRACTOR ADDRESS N TOWN PHONE NO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM GAS IN-PUT ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS (BTUH) 4 HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) IF 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) IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXfIAUSE EQUIPMENT) : TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM) PLAN MUST ACCOMPANY APPLICATION) The undersigned hereby applies for a permit to perform the following work and is to comply with all local ordinances and State of Conn. Building Co es in the performanc of such work. FURTHER DESCRIPTION OF WORK: 1 Gt. 3o.2769 S- 9-31-FS STATE LICENSE - NAME & TYPE #DATE SIGNAMME OF APPLICANT JK_ q1716;f APPROVED DATE I - B - R CALCULATION SHEET 1503 (Modern Method)Copyright 1971 by The Hydr n)cs Institute OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE COL. A COL.6 COL.C COL.D COL.E COL.F COL.G 1 ROOM Water Temp.p H L W H L W H L W H L W H L W Design9 D• 2 ROOM DIMENSIONS, FT.U BTUH pv Foot of 3 LENGTH EXPOSED WALLS,FT. Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA LL STUN STUN STUN STUN STUN 5 WALL CONSTRUCTION ROOM LIN. FT.OF Table 9, Line 3 x HI TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED Bolt nt of table used 1 r Line 5) 7 CEILING CONSTRUCTION C Table 9, L x W) B FLOOR CONSTRUCTIONt D_ Table 9, L x W or Lin F t) E 9 COLD PARTITION CONSTRUCTION F Table 9, L x H)G 10 C 1 Wall(With Openings) N 2 Wells IWith Openings) Z X 3 Welts IWilh Openings)or Ent.Hall 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE K COL.A _ -__- -__ COLS COL.H COL.1 COL_( COL.K COL.L TOTAL BTUH TOTAL 1 ROOM OF BUILDING RADIATION AT SELECTED p H L W H L W H L W H L W 1:i W DESIGN TEMP.• 2 ROOM DIMENSIONS. FT DIFFERENCE U 3 LENGTH EXPOSED WALLS. FT 4 WINDOW AND OUTSIDE DOOR AREA iL STUN BTUH BTUH BTUH STUN S WALL CONSTRUCTION INCREASE BATHROOM Table 9, Line 3 x HI TOTAL 20% 6 TYPE OF GLASS Gott m I table used for Line 51 7 CEILING CONSTRUCTION IFOR CONCRETE FLOOR ON D OR FILL AT Table 9. L is W) GRADE LEVEL.USE LINEAR B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE I T able 9. L x W or Lin Ft l 9 COLD PARTITION CONSTRUCTION Table 9. L x H) 10 C I Wall(With Openings)O 2 Walls(With Openings) D X 3 Wells(With Openings) or Ent Hall 11 TOTAL BTUH AT 7OF TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE FORM 1503 This form Is available Ir m The Hydronlcs Institute, 35 Russo Place,Berkeley Heights,N J 07922 Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 753L>e-)-P 151 STRONG ROAD HVAC # d N %4)gfC Date: q o'kg l', Sprinkl r# No. 25615 FINAL APPROVA9 Estimated Cost $/37 6 3O Building 5 COMPLETE RED BOXED AREAS Permit Fee Engineering ./3 TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO.Total Fee I b& Z l oTOBUILDINGDEPARTM&U,TOWN OF SOUrH WIIDSOR,CT Additional Cost) $ 17 aj-1 The undersigned h reby applies to do work according to the following specifications: Job Location Sl 'v go r-,ao Lot No. Side of Street Zone Applicant G Tel.# 7 41 a —ffl 17 Address a 1 N Sf r ` C Zip 06 ' LiG# Own r L4 aOJ 'e Address b S 'J 4 v Architect e l le - 8 v eY rS 4uCAddress 8 al:, C c B6 3 Sq.Ft.New Area: lst F1173 2nd FI. 3rd FL Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: r- l d InGZSON " a d t ! M bOUS e 3 1 C +rlc ctc-g- -Qx p w -5lo,U /N e-xt 5 <! t Ja r-P- c JSQ City Water Well Septic System Sewer Ins. H.O. S.P. C rt. Area Basement Garage Approved by Date W&roup " Construction Type 3 R•v'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 h this bu' ing an s use is allowed. Signe I hereby apply for a Certificate of O cupancy for the wo ribed in this application for the permit. Signe DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Location of job AFFIDAVIT Additional Fee .. .. I'.. . .. . . . . . State of Connecticut ss. County ofHartford 4-N L P t+ieer Gui Owner I .. . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . .. . . .of . . . . . . . .. . . . .. . . . . . .. . . Agent for building erected under j _ Permit No. . .`. .. .. . .. . issued by the Dep't of Building of the of South Windsor being duly sworn,make oath and say that the actual cost of the completed work authorized under said permit was. ..7S,.. p . ... .. . . . . . . . . i Sign .. . ... .. .. . . . . . . . . . ... . . . . . . . .. .. . . . . . . . .. .. Q. . Subscribed and sworn to before me this ... .. .'..... . . . .. . . . .day of .. A.D.19 1 Estimate Cost:$ 15, y7S aDifference: $1Avtary Publi Q' Inspection / Approval Date By Appl Code Description Due Whom Code Comment 98-25615-B 137,630 B01 FOOTING 10/10/98 JRC D NOT READY B01 FOOTING 10/12/98 JRC D A.M. CONTRACTOR REMOVING WATER B01 FOOTING 10/12/98 JRC A PM INSPECTION-RECHECK B02 FOUNDATION 10/20/98 DCJ A INSULATION UNDER SLAB B03 FRAMING (ROUGH) 11/23/98 DCJ A MASONRY (IN PROGRESS) B03 FRAMING (ROUGH) 12/04/98 DCJ A ADDITIONAL OFFICE AREA E03 ROUGH 12/04/98 DCJ D NOT READY E03 ROUGH 12/07/98 DCJ A P02 UNDERGROUND 12/10/98 JFF A WITH CONTRACTOR BREAK ROOM B10 FINAL 12/30/98 DCJ A APPROVED FOR CO (BLDG) NEEDS AS BUILT FOR ENGINEERING 98-10346-H 7,945 98-10300-P 800 98-16068-E 12,100 Total Est Value 158,475 to 6 SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 151 STRONG ROAD i LOT_# Reviewed By i , - ' E ineering)PELLETIER BUILDERS INC Date Reviewed ppro138MAINSTREET,COVENTRY,CT Reviewed By laBP_#_25615 Ph_#_(860) 742-5317 Date Reviewe DeniedDateSubmitted03/10/99 FO C/of O ***** As required in the Zoning and/or Subdivison Regulations, no Certificate of Occupancy shall be issued until grading plans have been complied with andapprovedbytheTownEngineer. The minimum requirements shall include: Approved J Denied N/A V1. Approved building permit plan 2. Finish grading per approved building permit plan 3. Site work; i.e. trees, shrubs, dumpsters, required parking 4. Utility location; a. sanitary sewer/septic system b. foundation drain c. electrical & telephone d. water e. other 5. Sewer connection charge paid 6. Appropriate certification 7. Bonding B. Planning & Zoning/ Inland Wetlands Considerations h Sewer Permit No. Pavement Excavation No. COMMENTS: ter c' / `k/ / G' :S J'// zle Ile 0Cv MAR 10 1999 A swum MOM or v s 8 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# 60 6>g Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE 644-2511 ext.230 2 Z8 Date wilding Inspector Application must be printed or typed Location ofjob 1 S ST Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER S Q0 9CL}Boranyfractionthereof ADDRESS_ OWNERS PHONE# APPLICANT OWN $F ADDRESS Io "emu Co ESTIMATED COST$ C IS THIS A CONTRACT COST? C YES NO a C FEE ENCLOSED $ f TYPE OF JOB:B:o 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 (S NO O 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 j-j t''AXf-PL), SIZE OF MAIN FEEDERS AND RATING OF WIRE USED A4 ,k ' SA- 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 ,18 NUMBER OF HEAT CIRCUITS t 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. I AK-GCA P7 NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. b- DATE .Z P iTenuri irve9ri. npii•i INSPECTORG DATE TIME S LOCATION J 13 1 i2A INSPECTIOff': CODE: RESULT(D/A) : BUILDING: ELECTRICAL:f CL; t I-o t..e,- i PLUMBING: HVAC: OTHER: PROPOSAL126000 ' LABELLE ELECTRIC PAGE No. 1 OF 1 PAGES FP1 164 Root Road COVENTRY, CT 06238 860) 742.1195 PHONE DATE PELLETIER BUILDERS, INC. TO: 138 MAIN ST. JOB NAME/LOCATION COVENTRY CT. 06238 LAVALLEE OVERHEAD DOOR SOUTH WINDSOR NEW OFFICE & WAREHOUSE ADDITION JOB NUMBER JOB PHONE We hereby submit specifications and estimates for: PROVIDE, WIRE AND INSTALL THE FOLLOWING; OFFICES 20 - 2X4 TROFFERS WITH ACRLIC LENS. 9 - SWITCHES (1 IN EACH OFFICE AND 2 IN HALL) . 30 - CONVENIENCE RECEPTICALS. (TO BE LOCATED BY OWNER) . EXITS AND EMERGENCY LIGHTS TO MEET CODE. WIRE AC AND T-STAT. Col 6 - PHONE AND DATA BOXES WITH PULL STRING. WAREHOUSE 10 - 400 WATT HPS FIXTURES W/BULBS. 2 - 400 WATT HPS FIXTURES TO BE RELOCATED FROM EXISTING WAREHOUSE. EXIT AND EMERGENCY LIGHTS TO MEET CODE. 4 - OVERHEAD DOORS WIRING W/DISCONNECTS. 1 - UNIT HEATER AND T-STAT WIRING. 1 - EXTERIOR WALL PACK AND WIRE TO EXISTING TIMER. 1 - RELOCATED EXISTING WALL PACK. 6 - RECEPTICALS AS PER PLANS. ISCELLANEOUS DEMO EXISTING WIRING AS NEEDED. PROVIDE TEMPORARY POWER AND LIGHTING AS NEDED. 1 - NEW 100 AMP SUB PANEL IN ADDITION TIE INTO EXISTING 200 AMP SERVICE. We Propose hereby to furnish material and labo —to in accordance with the above specifications,for the sum of: dollars($ Payment to be made as follows: All material is guaranteed to be as specified.All work to be completed in a professional manner according to standard practices.Any alteration or deviation from above specifea- Authorizedtonsinvomrigextracostswillbevocutedonlyuponwrittenorders,and will become an extra Signature charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner tocarry fire,tornado,and other necessary insurance.Our Note:This proposal may be workers are fully covered by workers compensation insurance. withdrawn by us if not accepted within 30 days. Acceptance of Proposal—The above prices,specifications and Signature conditions are satisfactory and are hereby accept d.You are authorized to do the work g as specified.Payment will be made as outlined above. Signature Date of Acceptance: HI WaIMn was,wt..iNOTON.WI 01471.TO MONO MIONE TOU.FREE 1-IN-225-IM. FOLD AT(>)TO FIT COWWON M W-0-VUE MMOM 6 z rNw=w u.s.& A DEPARTMENTPERMIT#DECISION APPLICATION FOR PLUMBING PERMIT o360 P Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE D 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location ofjob 4'JfJ Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 - $1,000 - $12.00 Over $1,000 if12.00 per$1,000 OWNERtoranyfractionthereof ADDRESS Y G OWNERS PHONE# APPLICANT C_ . OWN SF ADDRESS gvx ESTIMATED COST$Q 0- 0 L C IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ f f CO TYPE OF JOB:SpR.Original Installation i,/gteration/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 ASSEMBLY CURRENT USE AND OCCUPANCY 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 FP—Idc'-- dr ' ' SIZE OF MAIN DRAIN NO. OF TOILETS STYLE NO.OF URINALS STYLE NO. OF BATHTUBS NO. OF SHOWERS NO. OF LAVATORIES NO. OF CONDUCTORS SIZE NO. OF STACKS SIZE 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 YES/NO SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER TYPE MANUFACTURE TANKS SAFETY DEVICES TEMPERATURE CAPACITY RELIEF VALVE TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE TYPE MANUFACTURER DESCRIPTION OF WORK f Ci Cif l U N\00 1.W aZ.4'f IV l 1 -tom 1 Cr e_L i1 C.r,`.... THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED=7 TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CCODES THE PERFORMANCE OF SUCH WORK. 01 NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. d, .5 DATE ADAMS MECHANICAL CONTRACTORS, INC.ry 48 WINDSORVILLE ROAD, P.O. BOX 350 MASTER PIPEFITTER'S LIC#015193 BROAD BROOK, CT 06016 LICENSE#CT P1-203685 860)627-0832 TEL. CT S1-303192, CT F1-0017 860)623-9385 FAX MA PLUMBING 20136 Decmeber 9, 1998 Town of South Windsor Plumbing Inspector's Office South Windsor, CT Re: Lavallee Over Head Door 151 Strong Road South Windsor, Conn To Whom It May Concern: I David R. Adams give Robert Ouellette of Adams Mechanical Contractors, Inc. my permission to use my license to pull (1) permit for the plumbing work to be done at the above referenced job. If there are any questions, please call me at (860) 627-0832. Since , David R. Adams President DRA/tlt DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT lol,i1T Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit,# APP:O:VED 1540 SULLIVAN AVENUE V ejlz 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location ofjob 7 Street No. Street Lot No. FEE SCHEDULE Floor Apt. No. 0 - $1,000 - $12.00 Over $1.000 ll 12.00 per$1,000 OWNER or any fraction thereof ADDRESS OWNERS PHONE# C L - APPLICANT pvo L, (/10 44,X-0= W N S ADDRESS PC L r Nq Taw 00 ESTD.4ATED COST $ l ?4 C •` IS THIS A CONTRACT COST? 1 V YES NO ICI FEE ENCLOSED $ r 1 QS 0 TYPE OF JOB:0R C Original Installation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAL A/C K7 COMMERCIAL k 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 F INSIDE F DIFFERENCE F TOTAL HEAT LOSS(BTUH) HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) it,FtTYPEOFFUEL C -F OIL-GPM GAS-INNP_tPT'a600 ELECTRIC-KW OIL TANK SIZE&LOCATION INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY AIR CONDITIONING DESIGN TEMP. OUTSIDE F INSIDE F DIFFERENCE F TOTAL HEAT GAIN(BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING E UIPMENT (INCLUDING AKE&MODEL NO.) r/FJ c d A)c UAj l-r Z7 I'n/ /lr Gc 4' f f 41 L PA 2,5-0.4 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) 77- FUR HER DESCRIPTION OF WORK 019=1tt lele ` -c Bs— Tc 77- 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. 4;Z STATE LICENSE-NO.NAME&TYPE SIGNATURE OF APPLICANT PHONE NO. 7z) 4 76 4 DATE /1" ;Z;7"9 8 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby:TOWN OF SOUTH WINDiOR 7BUILDINGDEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# Sr )644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: ad _ 0- $1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any'fraction thereof Tenant Designation Apt.No. APPLICANT pQ,r,,Ao r- LAW—I C-.., %Lks- ` , APPLICANT ADDRESS zo X Q(jQ APPLICANT PHONE# P1-0(j-- OWN S F,q OWNER Q V Q bgC&gzk OWNER ADDRESS k r( OWNER PHONE_Pl, Jl-0 VESTIMATED COST$ r C x IS THIS A CONTRACT COST? 0 Yes I$No FEE ENCLOSED$ OR-CO TYPE OF JOB: 0 Original Installation Ok Alteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YES W NO RESIDENTIAL tA 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 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 SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBNHTTED. DESCRIPTION OF WORK Q CLC9 Mwc S=Lxx a d ,cC3, Mau r h-), 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. wx>41 j4 U Qx CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT y rY &n 1 - (-DATE 10rrx,C-1 -vr TOWN OF SOUTH WINDSOR BUHMING PERMIT Date- Aug. 4 1986 Fee Paid $ 1 12 0 0 Ea. Value 0 0 0 Permit N° 15308 on the aide of Lot 3 A Strong Road Street Street No. s' Owner Robert La vallee Applicant T vars Ramans CERTIFICATE OF OCCUPANCY ISSUED: Date No. 7694 Fee Paid $ 3 - n n CLASSIFICATION Tnd s r; al Building BUILDING PBRMrr M 15308 OFFICB OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Aug.1986 94to is to ClQr t , That Tars Rates is hereby granted permission to Industrial Building at estimated value of 900 ,QQO_ on the side of Lot 3i1 Striwg Road Strew on land owned by Robert La-m1 aao Said Work to be as described in Application No. 1 as o a _ and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH VIMSOIL Issucd 4 1986 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 coats and damages which it shall sustain, or be compelled to reason therefor." Electrical Permit No. ..-/..'5 I -V................. Master License No. 9140.31.76............... TOWN OF SOUTH WINDSOR Building Permit No. BUILDING DEPARTMENT Date Filed Xlzilh."... ............................. Date Final Approval ....... ........ ........................... APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION: JOB OWNER: Are Sideof . Between .. and .............................................................................. 4A ..r;. IJW.Heyn:VeNameofBuildingOwnerV,, Address t .. . lop./ 11 ... ................................ If work is for Lessee---Give name Address ..................... ........................ ............. ............. ............ Building now occupied as (unless new) No. of family units now ..... .... ...... Building to be occupied as 44,5 .... ........ Number of family units to be 0,0-V-4-5........... Is this work included in a Building Permit? y Permit Fee .. ..... .. ......... .... . ....................................... ............ .................... If no Building Permit) Permittee I'lle-7bN3 C. P/-,*Cf-7= Business Address lephone ...................... 00, ,0.0COSTOFINSTALLATION: 7 eVV. . .................................. ... . .......... .......................................................................................................................... TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed yg Number of convenience outlets to be installed Lv Number of present Appliance Circuits . .. ........................ ............. Number of switches to be installed Do these include Range F] Water Heater Number of appliances to be installed as listed below) Dryer E] Air Conditioner Oil Burner TYPE RATING NO. Dish Washer Gas Burner Range . . . . . . . . Well Pump Elec. Heaters Range Top . . . . . . 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 . . . . . . . .......... Size of present service .... ......... Size of service to be ......... .... .......