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Home My WebLink About159 Palmer DriveCIZ O Sr Application No. 5249 Permit No. 4979. .. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (erect (fit-akeeavim-to) a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. VC lelo South Windsor, Conn., 19...,`1.4. Sign here .......................................................................................... Address ................ ..................................................................... ................. 10Location? . .. . ........... ............... ...................................................................side of? e..... .e G .... ......................... Nearest cross street? T.... .1? `' ......................Street No. . . ...... .. ............. .... .. Lot No. . Owner of land is? v Address 3.. ...C...-... L Address i/ Owner of building is? ... Architect is? Address 3' , y Builder is? Address U Dimensions of building? .. Feet front? ......... .. ......... Feet rear? ...6a. ......... Feet deep. .. A.. Extreme height to highest point of roof? .....................No. of stories in height? . . ... ''r'' Purpose of building is? ... No. of stores? .... ............... .................................................................... How many families? ... aNc No. of rooirs. ... ............ .............. ............. .............. ...................... Distance from street line is? ... . .... S.....from building line is? ...... .....` ADDITIONS AND ALTERATIONS Give Brief Description) 9L - RICM...',....`r .PMY..`Glom.. ION-050 4Y SAWTARY OFFICER VYIT I......tOWN OF Map No. W ORDI CE NO. b AR O'?:;. -. If of steel frame, what is exterior construction? .. What kind of columns used? ............... ...... ...... Size of columns used? What length of columns used? .. .. .. How protected? What kind of beams or girders? .. ..... .. .... . Size of beams or girders? ..... Longest span of beams or girders? . ..... .... .... .. .. These rest on? . Roof construction is? .................... ...........................................................Roof covering is? .. The floors are of ........ ......... ..... ........ .. ......... . construction and are calculated to carry a safe load of lbs. per square foot. See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? . ...... ....... . ... ... .... ...... ................ ........... .. ..... .... ........ ... Compositionof mortar? . .............. .... ........................................ ......... ........................ ......................... .... ..... Height and Thickness of Walls Heigfit Stories Front Walla Side Walls Rear Walls Partition Walls Basement, 1st Story 2nd " I................................_............................................. .......... ........................................... ..................... ........ .. ........... 3rd " 4th " 5th is 6th as 7th " 8th is I................. 9th " 10th " Material.of Front? If stone, what kind? Thickness of Ashlar? Thickness of Backing? Backed up with what?Arches or lintels over openings? WOOD CONSTRUCTION. Giv Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns J0182s GUnass QOLU M" Floors ffin Imsest spore Cmtm BrMWC slae spw cwtres sfae Lasts& Centres at FFor oJ C/a yv t,' L,r 2,. i ... 2nd N..... ................ .................................. ................ ..................... »».....». ........»...«.............« ..«.«........... .......«« .««.... .«.«.».».«....... 4 ....:;..... ............. ..........................................«................. ...................... «»......... .......»...«..«.«...«..... ......«... ...._..».« ........»..._.... .................»..go Size of outside studs? ..............POi.Y....... Distance on centres? ...............Ad'.................. Size of sill? ..........-3.;l!Y6.................. Size of rafters? .......vX ......... .. Distance on centres?....................Size of plate? ............... !r......................... Size of ledgers or girts? ........................ ... ............................................Size of deck rafters? .................................................................... ............... Distance on centres? .............. ......................................................................Size of studs in bearing partitions? ................!7........... MISCELLANEOUS Style of roof, flat,.pitch, Mansard, or hipped. ...QC /....C......................... Fireplaces? ................. Material of roof covering? ............A-Ty a,17e?e .L..............Material of Cornice? ........... r How is building heated? .f?af14ele' Lining of flues? e '9 P Thickness of shell of flues? ......../..............cP'.....................................Any elevators or lifts? ...................................................... ..................... What kind? ...... ..... ... ......... ... . ........ How many? .. . .... .. . .. ........................ Any hoistways? .. ..... ............ ....... How protected?Total Value of Building a...`. y When will work be commenced? . . i f.. ...e,rr e...e, ...... The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this application, conforms to the zoning regulations of the Town of South Windsor. 6X /e C-i Is G Applicant r 4979 BUILDING APPLICATION 249ApplicationNo. .....5...................................................................... on the .....Eas.................t side of P.al.me.r .Drive....... ....... Street. Lot #62 Street No, Owner R Housing Cori S ame Applicant CLASSIFICATION Dwelling 601x281 Permit issued on above Application. Date, .. 8-10-64 ........ ig. . . .. TOWN OF SOUTH WINDSOR L BUILDING PERNIIT Date Au.10 19 v ` t T6.o0 19,® 4yFeePaid $. . . . . . Est. Value . . . . .. RECD. SEPTIC PAYMf 20000NT T.T. Permit N° 4 97 9 P s on the East side of Palmer Drive Sty Lot 62 tStreetNo. Owner II & R Hou s Im Corp. Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: F Date No. 2927 s Fee Paid CLASSIFICATION Duelling 601x28 90 BUILDING PERMIT N° 4979 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn.Aug'10 19 64 dr4io to to Terfif1j, That II 8c R HG?ti5 COY'? is hereby granted permission to Iwe3' ing 60'x2P f at estimated value of 190 000 on the East side of Palmer hive, i -)t t'62 Street on land owned by TT & F Hou 9 i ng C Grp. Said Work to be as described in Application No. 52!1 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Aug`10 9 64 Buildin r':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." Permit No. qY TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN Permit N° 2927 Certificate of Occupancy lie- THIS IS CERTIFY that the- ,= at No. gd_ in the Town of South Windsor, nnecticut, lass been erected and completed in accordance with the Building Code and Zoning of W.the Town of South Windsor, and is hereby approved for o f f` f• f t uilding Inspector Owner, Builder Fee Paid . ` Date fA Vic -2i4p , 19 9 tit BUILDING PURPO ES ONLY NO, If" s PROPERTY OF SORV N: No. PALTER DRIYX SOUTH WINPSOR, Cora; - B ins Lot No. 62 on map entitled "BIRCH HILL ESTATES Foater Str at, South Windsor, Conn, Property* of U & R Housing Corp, Scale I'k, aw 10,00 Dates Jan, 2I, 1963 Hard a L. Gris"Id C.B." r w t_ Scat 1' #' g'gpB L, LB 3446 ELECTRICAL APPLICATION 3747ApplicationNo. ... .............................................. ........................... East on the .. . .. . ......... ............. ........ ...... side of Palmer Drive Street Street No. Lot #62 Owner U & R Housing Corp. Electrician W.Zemanek FILED IN OFFICE OF The Building Inspector 10-5-64 19 INSPECTION. AwNo Electrical Work shall be started until a Per. mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. b APPLICATION FOR PERMIT TO DO ELECTRICAI. WORII. 1747 Permit No.3. 46 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR., CONN. hereby make application to. perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. South Windsor, Conn., ........ . 19..`ySign here J! 1 r. I/O Address Location ....i/ ... -..Side of ....... ... Nature of Building .... How many stories .... ....... . ..J... .......... ............................... ................. Newor old Building ......... How many families .............. ..f.................................................................... Kind of Installation .. . How many Stores .......... .............. .. ........................................................ Owner .................. ........ ....... .................... .. . ..................... .. .......... . ... Address ......... ... .... . .......... ............................. ............................... ......:....... Architect ...... Address Builder .... Address Electrician ...... .... ............. .. ... •• Address Size of Main Wires . a'Z/ ..... ............. No. of Light Loops ...... . .. No. of Heat Loops .. .. ...No. of Power Loops .............. ......................... No. of Light Outlets ' No. of Heat Outlets . No. of Power Outlets ............. .. No. of Light Circuits .... ~ . . . No. of Heat Circuits No. of Power Circuits .. No. of Sockets .. ... . .. No. of Heat Receptacles No. of Motors ........... No. of Panels . ............ .Size of Heat Circuit No. of Power Receptacles ... No. of Switches ........ .... . Total Wattage ....... . Size of Power Circuit .. Total Horsepower No. of Straight Electric Fixtures No. of Combination Fixtures . No. of Receptacles ..... .... ..... . .. . .. No. of Cord Drops .. . Remarks: For other kind of Installation ... . ................. ....... ........ ............ . Estimated Cost ....4.. 'a ...C N 3061 PLUMBING APPUCATK)N picafim Nk16 2850 on the ....__..... a s t side Of palme r Drive Street Street No. _. 3t #62 ow _U_& R Housing Corp. plumber .....JS Gua s tamachi o Filed in Office of The 10-30-64 19 1 No person AA owsanct, add to or aher ay pordon of the drainage synem of any bu&mg mcept to repair leaks) umil a Beamit is Vaoeed by the Building Impeaw. Z9o pplication No. ..2 5..0....................... Permit No. .3. 061.................. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application to perform plumbing according to detailed description below. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusiv , shall be complied with whether specified herein or not. SouthWindsor, ........... 19 Sign here &....... ...... Address .. /cl...V-2 Location side of ............................... ... . .. ........................................ Street Natureof Building ........ .. ..() ..... ........................................ How many stories Owner ........Address ....(_:22:1,- -- Architect ... ....................... ........ ................................... .................... Address 0C. e .Builder /.................. ..... .... . .................... ............................................. Address .......... . ....... Address ..../6'4...Plumber 4 DRAINAGE CESSPOOLS, How many ........... ..../.............. .. .......... Where located . ......... Are they water tight Of what materials are they built .. .............................. ............. Size of pipe from house to cesspool . ................V.......................... Kind of pipe MAIN DRAIN IN CELLAR, Material ... .... _r Diameter .......... .....................................I... . ....... ........... ............ Aboveor below cellar bottom . ........ ...... . ................... - .... . . .................................................................................................................. SOILPIPES, Material -e.T............&vokt-f......... Diameter .....41' r..............12........................................................................ WASTE PIPES, Material ........ . Diameter .....$............/---/,k.............. ........................ . . .............. TRAPS,Type proposed to use is ... ...... at .c ... .. . ... ............................................................................................................................... RAIN WATER LEADERS, where do they run to REFRIGERATOR WASTES, where do they run to TANKOVERFLOWS, where do they run to I..... ................................................................................................ FIXTURES WATER CLOSETS, How many ................3.... ............ ........... Where located ... Distance from trap to vertical soil pipe ......4... ... ................. Pattern WASH TRAYS, How many ... . ................................ ........... Where located SINKS, How many ... ..... Where located /f'/e,.;e 7 .. .............................................. .. BUTLER'S SINKS, How many ........................................................ Where located . .. . ...................................................................................... REFRIGERATOR SINKS, How many . ................................... Where located . ...... . .. ................................................. ........................ LAVATORIES, How many ...........%ff .................... Where located -.ck? 2,?44 BATHTUBS, How many.............. ...................................................... Where located ...6? URINALS, How many ....... .. .. ............................................. ......... Where located .... . .. ...................................... ........................................ Are water closets and urinals to be local vented If not, is there a window in outer wall of room where same are to be located Estimated Cost I...................... H PERMIT # Application For d DEPARTMENT DECISION 3087 2866 Cd Heating Permit 0 cAPPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N -401 APPROVED DISAPPROVED I TOWN OF SOUTH WINDSOR 0000 P.lo 6-6U DATE CHIEF 1 CTOir APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE,BELOW O t3 1. LOCATION OF JOB PAL ran r 2 .V R1 Y2* 4'39 NO. STREET tj 62A 1st & 2nd LOT NO. FLOOR APT. N0. O N Qa 2. OWNER U & R Construction Co. C 55 E. Center St. , Manchester bo o S. ADDRESS 3 Connecticut 4.PHONE ri s. APPLICANT Long Hill Plumbing Co. 6 0 ca. ADDRESS 1247 Main St- , East Hartford ro Connecticut 5 28-4 1517.PHONE w S. LICENSE NO. 113 9 O C w 9. EXPIRATION DATE OF LICENSE June 1 . 1965 10. ESTIMATED COST O 11. IS THIS A CONTRACT COST? YES No 4 Permit ##4979 0 C 12. FEE ENCLOSED S ra v 1!. TYPE OF BUILDING: w RESIDENTIAL COMMERCIAL 14. TYPE OF JOB:INDUSTRIAL QRIGINAL ALTERATION INSTALLATION ADDITION REPAIR 1 41 APPLICATION FOR HEATING PERMIT (Continued it m Reverse Side) 11. LOCATION OF JOB ff Birch Hill Rd, lst & 2nd NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: OIL BURNER HEATING SYSTEM VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE SIZESIZE 13. OF TANK Z7S OFCTANKN @I.11a! OF FILL 2" OF VENT l!cp 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. 129.000 B.T.U. OR SQ. FT. NET 860 B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED lst is 2nd NEW OR OLD BUILDING nil INSULATED — YES OR NO Yrs TYPE OF WALL fr@M 8SILLATION 2 ROOF OR CEILING 2a INSULATION laais 1AVG. SYSTEM WATER TEMP. 00 B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 0 r 700 FAHRENHEIT MAKE OF RADIATION: BASEBOARD, COPPER CONVECTORS OR C.I. RADIAJION. OUTPUT PER SECTION OR LIN L OF RADIATION. SQ. FT. OR B.T.U. IP8d r111 btg*bCMW4 JW*i 0.t+. 8 610 N'T'V. — 1800 DESCRIPTION OF WORK 15. TO BE DONE: Forced hot hater a wLth bamobimrd, Anrtri"iaan Standard boiler, 2 zones 15. HEAT LOSS SCHEDULE. PTO BE INCLUDED FOR ALL JOBS); ROOM SIZE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U. <DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTAL n LL ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL REGISTER L W H AND TEMP. TO f TYPE AND SIZE RAD' OR LEADER SIZE ` WALL FpcT INFILT.) DIFF. F O m N SQ. FT. FREE AREA 11 10 10 08 Linolkl ! M d 16 11 7 680 12' 10 12 7 460 ISO S' th S 7 T 192 2240Go1721 IV 14 18 7 060 17' 1 -. 12 24 78001110019' S 7 7 120 2' th 7 7 2160 4'4 to lou F 9 12 7 600 1lm0' TOTALS 95'Li 1 t A. HEAT LOSS FROM BUILDING 56480 B.T.U./HR. B. DOMESTIC HOT WATER DEMAND 22500 B.T.U./HR. C. PIPING, OTHER THAN NORMAL 20 i 000 B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY: NAME ADDRESS SUBCONTRACTORS AND t e. 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. Lr DATE SIGNATURE OF APPLICANT 9 1851 OIL BURNER OR FUEL STORAGE APPLICATION Application No. 1862 Permit No. 18 1 on the East side of Palmer Drive Street Street No. Lot #62 Owner U & R Housing Corp. Application D.F.Trame nt ana CLASSIFICATION American Std.PH5-2 Permit Issued on Above Application 10-6-64 Date 19 Fee Paid $ Permit #4979 TOWN OF SOUTH WINDSOR I APPLICATION TO INSTALL RANGE AND FUEL OIL BURNERS EQUIPMENT AND TANKS PERMIT N 1851 DATE 9`— -S _ The undersigned hereby applies for a permit for the installation of range and fuel oil burners, equipment and tanks of the following description: Address 7 1st floor 2nd floor —3rd floor Character of Building: Frame Brick Owner of Burner j Owner of BuildingM Lessee or Tenant RANGE BURNERS Capacity of Tank at Range in cellar outside Name of Range Burner Purchased from POWER BURNERS Name of Fuel Oil Burner Model Number_ Purchased from Name of Tank azAc—P Gauge of Tank Where is Tank Located Size of Tank _—____ 7 S Size of Motor Size of Wire Will other heating equipment be installed? If so, by whom Name of Party Making Installation— Address_ Electrician Address Signed APPLICANT All provisions of Ordinances of this Town Regulating Oil Burner Equipment and Fuel Storage (Sections 1-23 in. clusive) and Underwriters' Code applicable to the subject matter of same shall be complied with in execution of thie work whether specified herein, or not. 9-25-64 Estimated Cost $_ -— FApplication for Permit received and o. 18 issued 10—6—6! Permit #4979PermitFeePaid _____ e;; C.J UILDING CTOR Bectric# APPLICATION FOR BUILDING PERMIT Plumbing# 159 Palmer Drive HVAC # Dat : MA j mq , zo o t Sprinkler# No. 27874 FINAL APPROVA Estimated Cost C) coo Building COMPLETE RED BOXED AREAS Permit Fee 7 8 Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SM Appr.for CO. l: Total Fee TO BUILDWG DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location I Sq `FhaL&re it- 0 7— Lot No. Side of Street Zone Applicant.A A , U&tt& i mod!TeL# 196 ct 7;6-?o t o Addr ss Q ^, goLc 7A Sm. Wt LLbso cz.Zip 860:z ts Lic.#S:` /o a Own r ('(41 Se A ESt e_A Address (,i5 2 ad-wm1r- b Q g Sn . •.mot LL Architect Address Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd FL Total New Area Rooms Lavatories Bathrooms Garages Purpos of this permit: vu tF U S c Il A 30 l t%jA MV_ _r V City Water We I Septic System Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by V'-TS Date Use Group Construction Type Revised 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 building and its use is allowed. Signed I I"ka 6 h)11 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 27874-B 6,000 B10 FINAL 08/20/01 GRM A W/CONTRACTOR B10 FINAL 08/20/01 GRM A CLOSEOUT Sectric# APPLICATION FOR BUILDING PERMIT Plumbing# 159 Palmer Drive HVAC # Date Y 2- _ z s® Sprinkler# No. 27999 FIK APPROVALS Estimated Cost Building v3 1 COMPLETE RED BOXED AREAS Permit Fee Engineering TYPE OR PRINT ONLY Occupancy Fee $ davit SIGN ON REVERSE SIDE Appr.for CO. JTotal Fee I l } TO BUILDM DEPARTMENT,TOWN OF SOUTH WI4DSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Jo6 Location (deA La*Be 1'0L Lot No. Side of Street Zone Applicant IS ,A. Se a Tel# IV 36— Z 6-t e Address O E Zo k r'1 Zip o- Lic.# 5'.6 2. I d O Own r M.SC.V3 t t Address t S A t Architect Address Sq. Ft.N w Area: lst Fl. 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpos of this permit: C-D Lt 7f A-2- Tea M- W -r tj A. 1,Lj LA&a u Ila City Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by 60, Dat 02. I Use Group Construction Type Revsmd 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 this building and its use is allowed.- lb I L-A 0 U.b-L-1Z i Signed I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27999-B 9,000 B10 FINAL 08/20/01 GRM A W/CONTRACTOR B10 FINAL 08/20/01 GRM A CLOSEOUT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: 9 ,3YqBUILDINGDEPARTMENT APPRO 1540 SULLIVAN AVENUE Bldg.Permit# 4 644-2511 ext. 230 ate Building Inspector Application must be printed or typed F EE SCHEDULE Location of Job: 1,517 DA L In j2 b) 1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 ny fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS 41 0,4/C" Gv J/4AJ7 -C APPLICANT PHONE# q6O OWN S OWNER00111, q< OWNER ADDRESS L 2ILI Vk- OWNER PHONE ESTIMATED COST$ V IS THIS A CONTRACT COST? 4 Yes No FEE ENCLOSED$ R.Co TYPE OF JOB:so New Installation 4(Alteration/Addition/Repair Revised 5/01 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YES NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY Tf 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 f b6) j' , SIZE OF MAIN CONDUCTORS 2 4Z-ze k t NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES ANO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 41e j 2&s,e- j c -7— CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 1a