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Home My WebLink About162 Garnet LaneTO THE BUILDING INSPECMR of the APPLICATION FOR PLAN EXAMINATI ON AND616/10 OF SOUTH WiNDSOR, COS[. BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX. O ZONING AT (LOCATION) G Ci DISTRICT LOCATION NO.) f p ( STREET) OF BETWEEN 6LA nym iQA-:b AND BUILDING CROSS STREET) CROSS STREET) Q SUBDIVISION LOT LOT BLOCK SIZE / 7 II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D i a A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use IT t New building Residential Nonresidential 2 Addition(If residential, enter number 12151 One family 18 Amusement, recreationalofneu, housing units added, if any, in Part D, 13) 13 Two or more family — Enter 19 Church, other religious number of units— — — — -p- 20 E:] Industrial3 Alteration (See 2 above) 14 Transient hotel, motel,21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (1/multifamily residential, of units ——————— — -i 22 Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institute nol Part D, 13) 16 Carport 24 Office, bank, professional6 Moving (relocation) 25 Public utility17 Other — Speci/y Y7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 rivate (individual, corporation,28 Tanks, towers nonprofit institution, etc.) 29 Other — Specify 9 Public (Federal, State, or local government) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, S0 T`7C school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant.To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical...................... b. Plumbing ...................... c. Heating, air conditioning......... d. Other (elevator, etc.)............ po,/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 Masonry(wall bearing)4p4Z2 Public or private company 48. Number of stories.............. C`31 ood frame 41 — Private (septic tank, etc.) Total square feet floor area, all floors, based on exterior 32 Structural steel dimensions .................... 33 Reinf reed concrete H. TYPE OF WATER SUPPLY 34 Other — Speci/y 42 Public or private company 50. Total land area, sq. ft. ........... 4 ( Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed ....................... 39-6Gas Will there be central air 52. Outdoors....................... 96 Oil conditioning?L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 lies Q5 gN a 53. Numb r f bedr oms.............. 38 C al 39 Oth r — Specify Will there be an elevator? Ful 54. Number f 46 Yes 47 6No bath s IV. IDENTIFICATION — To b compl t d by all applicants, Nam Meiling address — Number, street, city, and State ZIP code Tel. No. lc;i&Owner or Lessee v(p ( `1 lCJ Controclor 3. Architect or Engineer The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction. Si ture of applicant Address Application date r DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review R uired Check Plan Review Date Plans By Date Plans By NotesqFeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or A rova I Check Date Number B Permit or Approval I Check Date Number ByppObtainedyppObtained BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building DmPermitnumber Building 44 P rmit issu d 19 Building Permit Fee $ Ap Froy y: t2- TOWN OF SOUTH WINDSOR BUILDING PERMIT Date June 12 198 4 Fee Paid $. 534 .0 0 Eat. Value $. .$8,410.0 0 Permit 13 8 8 4 on the aide of Ln+- 497 rarmet Lanp Street Street No. 16.2 Owner Veil1_eux & Sons Applicant Rene Ve i l leux CERTIFICATE OF OCCUPANCY ISSUED: Date 4 •No. 6807 Fee Paid $3 .00 CLASSIFICATION Dwelling BLJnDiNG PERMIT N 13884 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. June 12 19 84 94is to to Certify, That Veilleux & Sons is hereby granted permission to Dwelling at estimated value of $ 88,410.00 on the side of Lot23 Garnet Lane Street on land owned by Veilleux & Sons Said Work to be as described in Application No. 141184 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued June 12 19 84 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." Dwelling - Lot #27 So.Rid.V 6/12/84 Veilleux & Sons 162 Garnet Lane Permit # 13884 ectrician A. Mozzicato 8422 ting Contr. Ace Mello 5953 bing " Ace Mello Jr. # 6471 3 Burner fi cats of Occupancy 6 8 0 7_ ewer Permit Plot plans apprd. per Engr.. VV Y Permit No. TOWN OF SOUTH WINDSOR I SOUTH WINDSOR, CONN.i Foc Permit6807 Certificate Occupancy I i TO CERTIF at the at o n the To of South Windsor, Connecticut, has I bee and completed in accordance wit the Bui ir g Code and Zoning Regulations of i the f South Windsor, and is hereby app ved r occu cy. 0Y (), Buifffifig Inspector i I wne , Builder I Fee Paid ' Date (0 19I N Z4 o-oo' T hereby cer ti_f-,- to ^ocievv for ' S avin(-s , that - this .sv.rvey,, wa7s .ma-de uw _ / on the 7_ourd and--Ithat-the,bui.Idtau.. is located substantially as shown, and 0 - that . no zoning: regulations T)7i Q oo re.qard to sa .0 So T?1 o^P.r t ',aslocation_ aYe right t Zb violated. drain over 'o s 26 , Z1 25 , and 24 . w 00 10° i N Sabi x _ ,` '-' Gp Gl 6z Wo No.6293 Alp,t T-1 . T.oi: TYo. 7 o_z a na e it.e' rtv o` Sout' Pic*es rstaa..,,son--p ,n GARNET 0. 1Te-ve-rs noac' 30utll "in( sor- , i Y nr; M 1 - T11Cc: SSOC1ateS . `'cal e : '. -.. '`'F?te : - - + r',ec'ltiec' r.TT.T ?ro ec 7 ee-L • 2 or sum-+l • • e J prQner ty or- !zo'7.%i'• ri-Ic-e T,ot "c. 27 O'arret T•^-le `:ouLl M -_'.1r so:' , LUCEK ENGINEERING ASSOC. INC. NO. REVISIONS DATE SCALE l"=A 0 ' DATE fG o CONSULTING ENGINEERS Z Or Vo TO Z y- DRAWN TfT,r' CHECKED' 490 BUCKLAND ROAD 3 _ ` 6-$ SOUTH WINDSOR. CONN.f n /n 203-644-0550 PROJECT SHEET HEREBY CERTIFY THAT T41S MAP AND SURVEY WERE PREPAR ACCORDANCE WITH THE STANDARDS OF A CLASS SURVEY AS DEFINED IN THE X 1AG, "C E F PRA FOR STANDARDS OF ACCURACY OF SURVEYS AND MAPS", PTED BY ASSOCIATION OF LAND SURVEYORS INC. I'C". Elii1_r'T' 8422 I f ELECTI tCAL APPLICATION Application No. 9828 on the side of Lot #27 Garnet Lane Strsct Street No. 162 Owner Veilleux & Sons Electrician A. Mo ZZicato & Sons FILED IN OFFICE OF The Building Inspector June 13 19 84 INSPECTION. IN-No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. in New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit No. 7.Y i; Master License No. .......10. 392 TOWN OF SOUTH WINDSOR Building Permit No. BUILDING DEPARTMENT Date Filed ...... 1............................. Date Final Approval .... .......... ............................ APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION:Garnett Lan.e. ...Lo.t ..#.....2.7............ JOB OWNER: . Ve i lleux & Sons Sideof Between ... ..and ............................................................................... Name of Building Owner Veilleux & Sons West Hartford, Ct.Address If work is for Lessee—Give name Address ................ .................................... . .... ..... ................. Building now occupied as (unless new) New No. of family units now 1. Building to be occupied as . Residential Number of family units to be ... l Is this work included in a Building Permit? Permit Fee .. .... ......... ........ .... ..................................................... ................... If no Buildi Permit) 6 —A. Mozzicato & Sons 90 Pierce Rd. 9758PermitteeBusinessAddress ... . ...... Telephone .............. ..... ..... COST OF INSTALLATION: $1800. 00 TO BE FILLED OUT BY PERMITTEE TO BE WIRED 14 EXISTING APPLIANCES Number of light outlets to be installed Number of convenience outlets to be installed 4"0 Number of present Appliance Circuits ..... ......... ... ....... ...... Number of switches to be installed . . Number of appliances to be installed . . Do these include Range Water Heater as listed below) Dryer Air Conditioner Oil Burner TYPE RATING NO. 8 Dish Washer Gas Burner Range . . . • • • • • Well Pump Elec. Heaters Range Top . . . . . . Oven . . . . . . . .REMARKS: Water Heater 12 Clothes Washer . . . . 10 New Home Clothes Dryer . . . . 1?. Dish Washer . . . . . . Air Conditioning Motor . Oil Burner Motor . . . . 14 Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan , , , Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . Number of new Lighting Circuits . . . . ..... Number of new Appliance Circuits . . . ...........-................. Number of Heating Circuits . . . . . . ..........-................ Number of Motor Circuits . . . . . . . ....—........—...-- Size of present service ............... . ....................................1.40•--ANP Sizeof service to be . ... .............. .. ..................................._..___ ----- 6471 PLUMBING APPUCATION q=Xmtim N6, 7 2 5 0 on the»..» aidc of Lot #27 Garnet Lane Street No. ._. 162 Owner Veilleux and Son Plumber » Ace Mello, Jr. Filed in O$ia of The Bwl&og Lrpecoor July 9 19._8.4 IIi C1 Olr. I No pe m shall cou - vc- add m or alder ay p xum of the dtminsp M oem of ate 6uing ezoept to repair leaps) ooul a Pe ie Smued by the Building Ins maw. a s Application No. 7.270.. Permit No. ..............6.4.71....... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application to perform plumbing according to detailed description below. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether specified herein or not. 19 Sign here ........ .South Windsor, ... ........cp... Address ...... 100c/.00 Location ...c 7. side of ... ........................ ............................................................. Street Nature of Building 41 /................ . ..... How many stories . ............................ ............ ................................. A.Owner ...... Address Architect ............ .... ...Address ...... .. ........ .. ........ .................................................... ................... Builder - Ae 1/--..* 41!... . .................... Address ......6.ZF... .... Plumber .....A9::.:n4..104?Z11e:4........ .......................................... Address . ...... 10. . .. ....... ...... ............/. r0.9 eu DRAINAGE CESSPOOLS, How many Where located . .... .. .......................................................................... Are they water tight Of what materials are they built .................. Size of pipe from house to cesspool Kind of pipe Diameter .............C/MAIN DRAIN IN CELLAR, Material Aboveor below cellar bottom SOIL PIPES, Material A.................... ..... ... Diameter ........a...y WASTE PIPES, Material Diameter ......... . ...... TRType proposed to use is RAIN WATER LEADERS, where do they run to .. ........... ... ............................................................................................................... REFRIGERATOR WASTES, where do they run to .. ... ... ............................................................................................. ............................... TANK OVERFLOWS, where do they run to FIXTURES WATER CLOSETS, How many .... ...........—3 Where located 4-wz Distance from trap to vertical soil pipe ....................................... Pattern WASH TRAYS, How many ... ...... ........................................ .... Where located SINKS, How many ................ .............../............................................... Where located ......* . ....... . ....... ...................................... BUTLER'S SINKS,How many ........................................................ Where located. .................................................................................................. REFRIGERATOR SINKS, How many...................................... Where located .................................................................................................. LAVATORIESy How many Where located ................ BATH TUBS,How many/--Zo Wk%4J4.fA.... Where located .................... URINALS, How many Where located .................................................................................................... Are water closets and urinals to be local vented If not, is there a window in outer wall of room where same are to be located ....... I........................... .......I......................................................... W—V Estimated Cost PERMIT # Application For 6344 5953DEPARTMENTDECISION cd 0 Heating Permit 3 APPLICATION IS HEREBY: o DEPARTMENT OF LICENSES AND INSPECTIONSa N KI APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR a 7/23184 Thoanas P_ nl Au ira00DATECHIEFINSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BEL WO 4-3 > 1 0 o 'a, C 1. LOCATION OF JOB L t #2 7 Garnet Lane 0 o NO. fTREET c c7?7 LOT NO. FLOOR APT. NO. N E e A 2. OWNER Cd 0 0 s. ADDRESS I 4.PHONE Z Cc s. APPLICANT eri o a. ADDRESS c 7.PHONE N 0 0 w B. LICENSE NO. 0945;_(! w B. EXPIRATION DATE OF LICENSE /0 — /^ IC'r t 10. ESTIMATED COST f GV S bo 11. IS THIS A CONTRACT COST? TES NO v Permit 13884 d 12. FEE ENCLOSED f x k vPL13. TY`tE,0OF BUILDING: C bo RESIDENTIAL COMMERCIAL r 3 14. TYPE OF JOB: INDUSTRIAL Z rORIGINAL ALTERATIONINSTALLATIONADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued it m Reverse Side) 11. LOCATION OF JOB l NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC Cl VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND N V• B.T.U. OR SQ. FT. NET 4 B.T.U. OR SQ. FT. GROSS FIRI 1 RATE FLOORS TO BE H TED NEW OR OLD BUILDING INSULATED — YES OR NO TYPE OF WALL INS LATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B.T.U./SQ. HR#EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE__0 FT. 0 FAHRENHEIT MAKE OF RADIATION: BASEBO D. CO R CONVECT S, OR C . RADIA ION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. v DESCRIPTION OF WORK 15. TO BE DONE:- z4estf- 16. HEAT LOSS SCHEDULE. ( BE INCLUDED FOR ALL JOBS): ROOM slzE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U.DF DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALN4 ROOM NO. GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j U. RAD REGISTER L W N AND Ir TEMP. TO F f TYPE AND SIZE OR LEADER SIZE < WALL f'LtC INFILT.) DIFF. F O m b SO. FT. FREE AREA TOTALS A. HEAT LOSS FROM BUILDING 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 18. 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. q— VV DATE SIGNATURE OF LICANT 1 f 1 = B= R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronlcs Institute r OWNER t- o A' i ADDRESS y L/) r f 1` 1 `` `y fA DESIGN TEMPERATURE DIFFERENCEL:..F. DAT< 6 -'4 p COL.A COL.B COL.C COL. D COL.E COL.F COL.G 1 ROOM 11 i J/"V . 4C s9C I.Q 0 H H W H W H Design Water Temp. 2 ROOM DIMENSIONS, FT.t j l P eU BTUH per F t f 1 3 LENGTH EXPOSED WALLS, FT. WI Q Z Radiation Sweated 4 NDOW AND OUTSIDE DOOR AREA U. STUH STUH STUH STUH STUH 5 WALL CONSTRUCTION v p ROO LIN.FT.OFTable9, Line 3 x H) 107 I 1-/U S^ 0 0 0 T TALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED Bottom 1 table used for Line 5) C r , 0 v 7 CEILING CONSTRUCTION C 3 O y Table 9, L x W) e FLOOR CONSTRUCTIONt D O y Table 9, L x W r Lin. Ft.) E 9 COLD PARTITION CONSTRUCTION I F ,0 O Table 9, L x H) I 3 y Q 10 _0 1 Wall(With Openings) 0; X j O Q Jy C>U h o.a Q Q H. C..) c o 2 Wells(With Openings) X J V 3 Walls(With Openings) or Ent.Hall 11 TOTAL STUH AT 70F TEMP. DIFFERENCE' Ci V d o L Q U r ,0 O U 12 TOTAL STUH AT DESIGN TEMP. DIFFERENCE K L 4] ad COL.A COL.B COL.H COL. I COL.J COL. K COL.L T TAL STUH TOTAL 1 ROOM E `y JN f OF BU I1LDING RADIATION O H H W H V H W1 H W DESIGN TEMP! 2 ROOM DIMENSIONS, FT. U 6 s r DIFFERENCE 3 LENGTH EXPOSED WALLS, FT. 1. Q 2 4 2 :2 mz= WINDOW AND OUTSIDE DOOR AREA U. O BTUH STUH BTUH STUH BTUH 5 WALL CONSTRUCTION INCREASE BATHROOM Table 9, Line 3 x H) v U 00 v v a TOTAL 20% E OF GLASS tom of tabl used f r trine 5) p/ 0 i4L l7 h t;} Uv ING CONSTRUCTIONiFOR CONCRETE FLOOR ON OR FILL ATle9, L x W) V D O 2- O 0 GRADEGROUNLEVEL,USE LINEAR O A CONSTRUCTIONt FEET OF EXPOSED EDGE b 9. LxWorLin. Ft.) APARTITION CONSTRUCTION 9, LxH) Vail(With Openings) 0; ell$(With Openings)2 X its(W(th Op Wings)or Ent. Hall s J 1 TAL BTUH AT 70F TEMP. DIFFERENCE' f C _ V p C Lf 2 ; O (; 0v 12 TOTAL STUH AT DESIGN TEMP. DIFFERENCE This form is available from Th Hydronlcs Institute,35 Russo Piece,B rkeley H fights,N.J. 07922 FORM 1503 1 j B = R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronlcs Institute OWNER r ADDRESS - 7 9 eM G L./DESIGN TEMPERATURE DIFFERENCE 70 F. DATE p 1-,P/ COL.A C L.BP COL.C COL.D COL.E COL.F COL.G 1 ROOM Q C4-MI Pox * EAOHWHIs/ H we W H Desllln Water Temp. 2 ROOM DIMENSIONS, FT. U L STUN per F of f3LENGTHEXPOSEDWALLS, FT. Q Radiation$Neste/ 4 WINDOW AND OUTSIDE DOOR AREA 8TUH 8TUH BTUH BTUH TUN 5 WALL CONSTRUCTION rTable9,Line 3 x H) 3 O G 5-V U 0 l000 TItOTALS RAOIATI N 6 TYPE OF GLASS FROM LINE 12 SELECTED B tt rn of table used for Line 51 . C 3 6 G S Q 0 s'O O 7 CEILING CONSTRUCTION C a 0 Table 9,L x W) V) /Z fJ G a a p 0 g FLOOR CONSTRUCTIONt D Table 9, L x W r Lin. Ft.) E 9 COLD PARTITION CONSTRUCTION r_ FTable9, L x H) p G G ;10 a 1 Wall(With Op Wings) O; aC f 2 Walls(With Openings) X H J 13Walls(With Openings)or Ent. Hall h 11 TOTAL 8TUH AT 70F TEMP. DIFFERENCE* 0 a 0 0 UQ 6 L') J 12 TOTAL 8TUH AT DESIGN TEMP. DIFFERENCE K 12 COL.A COL.B 0 COL_H COL. 1 COL.J COL. K COL. L s`dq & u - I? TOTALOTUH TOTAL 1 ROOM OF BUILDING RADIATI N AT SELECTED O H L W H L W H L W H L W H L W DESIGN TEMP.• 2 ROOM DIMENSIONS, FT. l' DIFFERENCE 3 LENGTH EXPOSED WALLS, FT. Q P' 7> 4 WINDOW AND OUTSIDE DOOR AREA U. BTUH 8TUH BTUH BTUH STUN i 5 WALL CONSTRUCTION I INCREASE BATHROOMTable9, Line 3 x H) TOTAL 20% 61 TYPE OF GLASS j m of table used for Line 5) ixi G CONSTRUCTION tFOR CONCRETE FLOOR ON b GROUND OR FILL ATl9, L x W) GRADE LEVEL,USE LINEAROCONSTRUCTION( FEET OF EXPOSED EDGE 141. LxINorLin. Ft.) jL D CONSTRUCTIONVetARTITIONLxHI I I 10 t'1 all(With Op nings) G; c t lie(With Op nings)X 34 11s(With Op nings) r Ent. Hall 11 T T TUH AT 70F TEMP DIFFERENCE* r 12 4el XE 91 UH AT DESIGN TEMP. DIFFERENCE This form is available from The Hydronlcs Institute,35 Russo Place,Berkeley Heights, N. J. 07922 FORM 1503 PERMIT Application For 6795 DEPARTMENT DECISIOND Heating Permit M1 o it APPLICATION IS HEREBY: DErMTMENT OF LICENSES AND INSP 0 APPROVED DISAPPROVED TOWN -OF SOUTH WINDS 3/16/87 Thomas P. D' Auria 00 DATE CNIE INS ECTOR APPLICATIONS MUST DE PRINTED ON TYPED. OECIN WITN NUM L w O4a >b LOCATION OF JOB NO. STREET v LOT NO. FLOOR APT. NO. 49 4.0 s. OWNER m fm rs J v r r,h cl o. O ADDRESS ,'Ar h e. o t-, P 4.I-H ILI a S. APPLICANT 6. ADDRESS 79 1 40 Gk w a v Cr j4s, 7.PHONE w A D. LICENSE NO. a; S 0 4i t. EXPIRATION DATE OF LICENSE O O 5 10. ESTIMATED COST 9 t t. Is THIS A CONTRACT COST? U TE.S NO bo IS. FEE ENCLOSED i 6 is. TYPE OF UILDING: IrJ niIOEMTIAL C MMERCIAL O y 14. TYPE OF JOB: INDUSTRIAL 3 INAL ALTERATION x+ INSTALLATION ADDITION REPAIR r APPLICATION FOR HEATING PERMIT (C aflnu d from Rev rie Side) 11. LOCATION OF JOB 4 GG,•r n e 1 0t n e- NO. STREET FLOOR AK.N IL TYPE Of INSTALLATION: OIL BURNER ELECTRIC VENTILATION Cl SPRINKLER Cl GAS BURNER STACK Cl INCINERATOR MISCELLANEOUS lq C— Ioartnrtr SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT ta. 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 H.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. SO. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): Room slsE .Iwoo a AREA - SQUARE FEET E•T.U. •T. DISTRIBUTION INSTALLEDr° wwo 000ws VOLUME i r TOTAL TOTAL 1 a EARoomMo. s MCSS CLAY NET WALL, CEILING FLOOR CU.FT. AT'o-F CCMtCTtO i j TYPE AMC•IZE RA RE LEA ER L w AMC j TEMI. To j R LEADER 2IZE WALL 7:,10 ONFILT.) OIFF. R F M O /T FREE AREA TOTALS A. HEAT LOSS FROM BUILDING H.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL H.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR I 17. ELECTRICAL WORK BY: /e'N cc. F)c L Irr,"C S o ,14 LcJ I n d_S o 1, MANE AGGRESS SUBCONTRACTORS AND is. 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. J DATE SIGNATURE OF AF ANT OVERHANG SHADING COOLING FACTORS To find the effective shading,measure distance, HrD; the overhang extending out from surface of i i D window in in(;hes. Refer to table to find H,the Ceiling Construction Floor Constructionshadowheightininches.Lay this amount off on on slab orwindow, starting at bottom of overhang.Any i glass below the position so determined is CEILING UNDER cool over plus considered sunlit. VENTED basement over vented crawl floorRu0sr NOTE:If roof overhangs 2 or more feet,the area of sh;dl.d glass should be ATTIC SPACE conditioned unconditioned space or with ith figured seperately from the sunlit glass in Table 1B. space,etc. space garage R-11i0 - 1. 19 no insulation 9.9 14.2 15.9 11.2 TABLE 1A " 2. ¢us R-11 2.75 7 8.75 5.3 LAT.300 LAT.350 LAT.400 LAT.450 3. plus R-19 1.75 6 7.75 3 W SW W SW W SW W SW 4. plus R-22 1.50 5.8 7.5 2.8 2.1 36 E SE S E SE S E SE S E SE S 5. plus R-30 1.23 5.5 7.23 5 1.8 4 9 17 4 9 13 4 7 11 3 7 9 6. plus R-38 1.0 5.3 7.0 2.3 1.6 7 19 35 7 17 27 7 15 22 7 14 18 11 28 52 11 26 40 11 22 32 10 21 27 CEILING COMBINED 14 37 70 14 34 54 14 30 43 14 28 36 WITH ROOF 18 46 87 18 43 67 18 37 54 17 35 46 1. no insulation 12.5 16.8 18.5 13.7 13.0 22 56 104 22 52 81 21 45 65 21 41 55 2. plus R-5 4.0 8.8 10.5 5.5 5.0 3. plus R-11 3.0 7.5 9.0 5.4 42 N, NE, and NW Shadow Insignificant 4. plus R-19 2 6.3 8 3.3 - 26,.-- 5. plus R-22 1.8 5.9 7.6 2.9 2.3 SINGLE GLASS DOUBLE GLASS TRIPLE GLASS 6. plus R-26 1.5 5.3 7.5 2.8 2. Inside Outside' No Inside Outside' No Inside Outside' 7. plus R-30 1.3 5.6 7.3 2.6 2.0 Exposure Shade Shade Shade CEILING UNDER m Shadirg Shades Screen Shading Shades Screen Shading Shades Screen UNCONDITIONED SPACE 4 8.3 10 5.3 4.6 N NE 78 32 26 66 27 22 50 20 17 CEILING UNDER E 130 52 32 110 44 27 83 34 31 CONDITIONED SPACE 0 4.3 6 1.3 7 SE 97 39 26 82 33 22 62 25 17 S 97 45 26 82 36 22 62 29 17 SW 143 58 39 122 49 33 92 37 25 W 195 84 58 166 71 49 126 54 37 it NW 156 65 45 133 55 38 100 42 29 CFM PER Or outside venetian blind or awning which gives an equivalent amount of shade AFTER SELECTING THE COOLING EQUIPMENT, DETERMINE THE CUBIC FEET PER MINUTE CFM) OF AIR NEEDED FOR EACH ROOM(LINE 9)BY MULTIPLYING THE TOTAL GAIN OF EACH TABLE 2:WINDOWS ROOM (LINE 8)BY A CFM FACTOR.THE CFM FACTOR EQUALS THE COOLING UNIT CFM DIVIDED Single Glass Double Glass Triple Glass BY THE TOTAL HEAT GAIN OF HOUSE. Factor 27 14 12 CFM FACTOR =UNIT T CFM_ Do not include sunlit glass. TOTAL GAIN TABLE 3:EXPOSED WALLS A.FRAME WITH BRICK No.lns 1R-5 R-7 I R-11 I R-13 R-19 R-22 VENEER OR SIDING 4 ? 1 1.7 1 1. 1 1.2 .9 .8 No Ins. Furred R-5 Below BRANCH DUCT Wt B.MASONRY, BLOCK OR Grade AFTER THE CFM PER ROOM (LINE 9)HAS BEEN DETERMINED,THEN THE PROPER BRANCH BRICK 1. 4 1.7 0 DUCT SIZE TO SUPPLY THAT CFM CAN BE FOUND BY USING AIR DUCT CALCULATOR PART #_ 10OD45 FOLLOWING THE INSTRUCTIONS ON THE DUCT CALCULATOR,USE17ABLE4. 08 FRICTION PER 100 FEET CF DUCT FOR THE. SUPPLY DUCT, AND.05 FRICflON FOR THE FINISHED ONE SIDE F-9-1 FINISHED BOTH SIDES 5 RETURN DUCT. NOTE:If partition has insulation in cavity R use factors from Table 3A. a r T h 1. NAME OF ROOM rl In 2 -1 3• i11,he 2 4. 14.,r I 5.t'.;••, 6. n I I 7. B. 9. 10. 11.i3e Y 2. ROOM WIDTH&LENGTH 3j Alx•J, i I X/2- -i x 1 3 16 A J! 1.5 i 17) 3. RUNNING FT EXPDSED WALL 3 A 1 -„`'1 _ 61 r 4. CEILING HEIGHT FACTOR SUNLIT SO. FT. 1. GLASS TIMES 4 FACTOR I I SD. FT. 2. WINDOW TIMES FACTOR 3. EXPOSED TIMESWALLSFACTOR WARM SO. FT. 4. PARTITIONS TIMES OR FLOOR TIMES 7S 6 O I 975TICEILINGTI cTOR S 7AiS NUMBER Q 6. PEOPLE TIMES 450 r - Q J FACTOR 60 j 7. SENSIBLE GAIN 3 !7 13?S L1 7 S nl8. TOTAL GAIN TIMES 2 GAIN 7 i. L nf,{ Q f 5,L sit 'b. tf 7 L. • iTIMES12r 9. CFM PER ROOM 10. BRANCH DUCT SIZE 11. TOTAL HEAT GAIN OF STRUCTURE BTUH COOLING UNIT MODEL UNIT BTUH CAPACITY UNIT CFM COOLING WORK SHEET r,¢r INSTRUCTIONS-(a) For most complete and accurate results,fill out table completely for each room. closets, etc. which are part of conditioned space are included,either separately or as part of b) To find the size of unit required only,treat each story as one big room-fill adjoining room. out only one column per floor. 6. PEOPLE-Multiply number of bedrooms x 2 to determine number of people.Divide this total among 1. SUNLIT GLASS-Enter square feet of glass receiving direct sunshine at the time of maximum house the living areas of the house(not bedrooms or baths).Multiply number of people xfactor to obtain load. Use only one exposure.Se:ect direction giving the greatest load (usually a southern or BTU load. western orientation).Do not use east-facing glass unless exceptionally large areas suggest the 7. COMPUTATION PROCEDURE: possibility of a maximum house load in the morning. In such case, confirm by trail load A. Enter factors from Tables 1 through 5 in the factor column. calculation. For roof overhang or awnings se:; FABLE 1A. B.Enter square feet of sunlit glass,windows,walls etc.for each room above diagonal line. 2. WINDOWS-Enter square feet of other windows,using window opening dimensions. C.Multiply square feet of windows,walls,etc.x factor.Enter the answer in area below diagonal 3. EXPOSED WALLS - Enter square feet of outside wall for each room using inside dimensions. line.These figures show BTUH gain through windows, walls,etc. Include closets,dressing rooms,hall,etc.with adjoining rooms.D. To obtain total room BTUH,add figures vertically and enter results in appropriate blocks of 4. WARM PARTITIONS - Enter square feet of partition separat ng air conditic, a areas from Line 7(Sensible Gain). E.To calculate total gain(Sensible plus Latent).Multiply Line 7(Sensible Gain)x 1.2.Enter resultsunconditionedspace.Walls adjoining garages,glassed-in porches,etc.should be included with in appropriate blocks of Line 8. outside walls. F.To obtain Total Heat Gain of structure add each room total in Line 8 horizontally.Enter total on 5. FLOOR land Calling)-Enter only square feet of floor area.Make sure that hallways, vestibules, Line 11 Total Heat Gain of structure block.This figure is used to select equipment. rY1r= + ry)Y" I h y rrin o`yV%e f Lqr 6 I/C -To, ,A,•Y C SET• q. 3 i I TO THE BUMDING INSPECTOR of the APPLICATION FOR TO" OF SOUTH WINDSOR,COS PLAN EXAMINATION AND BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.0 I. ZONING AT (LOCATION) DISTRICT LOCATION NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 1 Ne ilding Residen Nonresidential 2 • Addition(1/residential, enter number 12 One family 18 Amusement, recreational of new housing units added, i/any, in Part D, 13)13 Two or more family - Enter 19 Church, other religious number o/units- - - -i 3 Alteration (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 of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional 6 Moving (relocation) 17 Other - Specify /k-3 25 Public utility 7 Foundation only n 26 School, library, other educational B. OWNER 27 Stores, mercantile 8 Private(individual, corporation, C 17t 28 Tanks, towers nonprofit institution, etc.) 29 Other - Specify 9 Public(Federal, State, or local government) C. COST Omit cents) -Nonresidential - Describe in detail proposed use of buildings, e.g., food cessing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant. To be installed but not included If use of existing building is being changed, enter proposed use. in the above cost a. Electrical...................... b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $ Q 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 WAGE DISPOSAL J. DIMENSIONS 30 M my(wall bearing) 40 Public or private company 48. Number of stories................ 31 W d from+ 41 Private (septic tank, etc.) Total square feet n floor area, all floors, based on exterior 32 Structural steel dimensions .................... 33 Reinforced concrete H. TYPE SUPPLY 42 Public or rivote company 50. Total land area, sq. ft. ...........34 Other — Specify P P Y 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPA PE OF HEATING FUELI. TYPE OF MECHANICAL 51. Enclosed ....................... 35 Gas Will there be central air 52. Outdoors....................... 36 OlI conditioning?L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 No 53. Numb r of bedrooms.............. 38 C al 39 Other— Specify Will there be an levator? u 54. Number off 46 Yes 47 No bathr IV. IDENTIFICATION — To b compl t d by all applicants Name Mailing address — rNumber, street, city, and State ZIP code Tel. No. Owner or s 7 Lessee z. d /CJ-eve s Con tracror 3. Architect or Engineer The ow of this building and ttke un ersigned agree to conform to all applicable laws of this jurisdiction. Sig ture of)a c Address n Application do e 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Date Plans B Date Plans B NotesqFeeStartedyApprovedy BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Date a Permit or Approval Check Obtained Number By Permit or Approval Check ObDtaited 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 number Bui Iding Permit issued V/,-30 19 Bui Iding Oc9 Permit Fee $ ved y: TITLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date April 30 1987 Fee Paid ,$30.00 Est. Value $4 o A 00 Permit N° 15794 on the side of 162 Garnet Lane Street Street No. Owner Francio Thyring ApplicantDavid Patria CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Additinn BUn DING PEi fvffr M 15794 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Cora. April 30 1987 454is to to Certifig, That David Patria is hereby granted permission to addition at estimated value of $ A , 80 Q on the side of 162 rn _ _ r, n _ Street on land owned by Franc; s Thyrin Said Work to be as described in Application No. 16090 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Ap r i l 3 0 1987 1 ildireg 1"ctor. 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" INSPECTION REPORT Permit # Job 1 Footing 2 Foundation f - 3 Framing 4 Wiring A 5 Plumbing 6 Heating 7 Lathing 8 C.O. RBB ROtA Note: Property is subject to a Temporary Construction Easement and perpetual mutual drainage right of way dated 8-8-84 as re- corded in the South Windsor Land Records . 0 Vol: 381 - Page 126 r, t 40 N 1 v ay q i Certified to Francis M. & Robin .G. Zg r y Thyrring, Society 9aMortgageCorporationana/or"its Z s assigns , and The Connecticut Attorneys 2 Title Insurance Company. Certified sub- stantially correct. Foundation located as shown. No zoning violations with respect to t location of buildingw.Not in a des- ignated Flood Zone.,.- L sl% Being known as Lot :27 on a map fl. entitled "Section V Property of South Ridge Estatc!j7:,Abby Road & ENeversRoadSouthWdmdsor, Conn. Emil W'. Lucek Associates . 8'4ale: 1"=40 ' Date: 1-2-7 Drawn: A.V.H. Checked: E.W.L. Project : 78-68 Sheet : 2 of 4. " g, Property o,f.-Francis M. '"& Robin G-. .Thyrring 162 Garnet Lane South Windsor, Conn'. LUCEK ENGINEERING ASSD". NO. REVISIONS DATE Scnt c1,,=40 , ' r -•' 8--8-85, . CONSULTING ENGINEERS r-- "--"" "-I 4940 SUCKLA14D ROAD DRAWN MLO :EWL SOUTH WINDSOR. CONN. 203-644-0550 PROJECT 8 5_8 0 a I HEREBY CERTIFY THAT THIS MAP AND SURVEY WERE PREPARED IN ACCORDAI- E' tiV ; 1 STANDARDS •OF A CLASS D SURVEY AS DEFINED IN THE EXISTING "CO F FOR STANDARDS OF ACCURACY OF SURVEYS AND MAPS ADOPTED BY ASSOCIATION OF LAND SURVEYORS INC. FOR MORTGAGE PURPOSES TO THE BUILDING DEPT. TOWN OF SOUTH WINDR* This certified that this plan Pnd s,. ..c ti ,s are trueooplesoftheproposedbuil(J.-., r r r s to pie erected/at Lot f ,!__ct_q__. Street together with amendn t t 1 i li ti-n and 2 1 fRed with plan and I ogr - t pl; 111, li z)nIng.Building and state laws and cr 1 (s .,s ,:II be Issued by the Building Depart it ' ring p..;dency of this application and findl Is-uance of a building permit. Signed This plan Is approv,d sub)— t th condtti,)n that CWde s and c rdinances regl..l t ni b,it ling shall bit Compiled with Conditionally Approved Th•sL hied With QWM- Building Inspector I Clark No. 6 S 9677 W ELECTRICAL APPLICATION z z Application No. 1, R r on the side of Street Street No. /o '' rrs*—In Owner 1 Tr n k 74 4, 1,wig_ Electrician e FILED IN OFFICE OF The Building Inspector MaU_ g i-7--- I srWrION. 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 Nio. Mister License No. TOWN OF SOUTH WINDSOR Building Permit No. ......../...D-7.. BUILDING DEPARTMENT Date Filed ............................................... Date Final Approval .................................... APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION: 1 JOB OWNER: ....... ..an...)4................ Sideof ............................................................................. Between ................................................................................ and .............................. Name of Building Owner ....1.-.tj`.t!3........... ................. Address .......e...t..........Zanx,--- If work 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 ....J..................... Is this work included in a Building Permit? Permit Fee ............................................................................................................. If no Building Permit) e- 4Permittee Business Address x;?.7.... t9f'..,Telephone Ltg..93.E COST OF INSTALLATION:................ P.0........ ......................................U...C...r..-.. i2.t2...................... TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed . . ............................ Number of convenience outlets to be installed .............................. Number of present Appliance Circuits .............................. Number of switches to be installed . . . ........................ Do these include Range Water Heater 0Numberofappliancestobeinstalled . . . ........................ as listed below) Dryer Air Conditioner Oil Burner TYPE RATING NO. Dish Washer [3 Gas Burner Range Well Pump Elec. Heaters 0 Range Top Oven . . . . . . . . REMARKS: Water Heater . . . . 1; Clothes Washer . . . . Clothes Dryer . . . . . Vec V-A Dish Washer . . . . . .4-k Air Conditioning Motor . Oil Bilrner 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 ...... ...... 9604 ELECTRICAL APPLICATION0 Application No.11113 rt ,, on the de of p Garnet Lane Street Street No. J&o? Owner lira.,K Th yr . Electrician FILED IN OFFICE OF The Building Inspector Mar . 25 19 87 INSPECTION. tW 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 ere stops (if of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit No. ...... Master License No. ....../. 1.............. TOWN OF SOUTH WINDSOI Building Permit No. .........-:....................... BUILDING DEPARTMENT Date Filed ...... .7........................................ Date Final Approval ..........................................._..... APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION: .(PaT /-.....61.....r7................. JOB OWNER: ... !' n.k......7 ..y...... ' NU'r:.... . ............................. Sideof .. . ....... ....... ................ Between ................ .. ................................................... and ................................................................................. Name of Building Owner Y 9 G-c..r..e_..........A.n:._.......................Q. .1........f .!nr1.n................. .............. Address 1. .................................. If work is for Lessee--.,Give name .. Address ................................................................................................. Building now occupied as (unless new) tf- `....d n.C.'........ No. of family units now ..../............................ Building to be occupied as ................0 's'!..d.e .. —.................................... . ........ Number of family units to be ..........I...................... Is this work included in a Building Permit?Permit Fee ............... ...................... ..............................................................................._..... If no Building Permit) PermitteeE l/C E c cTR c 1..Tn,.... .., Business Address Telephone COST OF INSTALLATION:000,o0................................................................J.'oca /#.1.vl..l.?. Jaf'A.. .,. ........................................................... TO BE FILLED OUT BY PERMITTEE TO BE WIRED) EXISTING APPLIANCES Number of light outlets to be installed Number of convenience outlets to be installed . . Number of present Appliance Circuits ................................................... Number of switches to be installed Do these include Range Water Heater Number of appliances to be installed as listed below) Dryer 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 . . . . . a Dish Washer . . . . . . Air Conditioning Motor . c:>,1 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 ......APj? -f'.............................._............ Size of service to b-e ......... .... -. :.._...._............._......_._._.._.