HomeMy WebLinkAbout170 Dart Hill RoadApplication No. .. . 3244. Permit No. .. ?984.........
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (&tree (make alteration 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.
South Windsor, Conn., ....1 /.............a 5 ............:
Sign here .................. ................................................................ ......
Address ... 7Q........DD,.1.R..r......H...1..11.......R-0-4.11)..............
Location? .............................................. ..k1..40T4 ........... ........side of? ........ d................
Nearest cross street? .. Street No. .................................................... Lot No. ................................. .
Owner of land is?. .,,l .ILA!.. f ',,. E.../ ...Address .,. Qr .+2./....1 tl.. . ....
Owner of building is? .... .......at........................... .................................Address .. ...........'...`..............................`....:............................................`.............
Architectis? ......... ...............................................................................................Address .....................................................................................................................
Builderis? .. ................`.......................................................i..............................Address ...................."........ 1.........
r
Y
Dimensions of building?j. Feet front? ..,;L.-......... . Feet rear? Feet deep? .2,.. . ...
Extreme height to highest point of roof? ................... .. ....... ..... . . No. of stories in height? ....,r......,.. ... .. ..
Purpose of building is. 6.a..e..c- ....... No. of stores. .......................... ...........................................................................
Howmany families? .................................................._....................................No. of rooms? .... .................................................................................................
Ar
Distance from street line is? ......... from building line is? ............ .........................................................
ADDITIONS AND ALTERATIONS
Give Brief Description)
N C R E F r N os
MapNo. .. ........................
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? . I.............................
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
Height Stories Front Walls Side Walls Rear Walls Partition Walls
Basement,
1st Story
2nd
3rd "
4th "
5th "
6th "
7th "
I.................... I.................. .... .. ........ ............................................ ...................................................
8th "
9th 11
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.
Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns
JOISTS 11 GIBDIM COLUMNS
Floors I Size Longest Span Centres, Bridging Size Longest Span Centres Size Length Centres
1st F1 or
I............................................................................................ .......... ...................................................... ....................... ..............................................................
2nd .."
I......................... ....................1
Size of outside studs? .....2,.-.X.44............ Distance on centres? ....(10........................ Size of sill? ........Z-A-__4..............
Size of rafters? Distance on centres?.........x.:-...................... Size of plate? .......
Sizeof ledgers or girts? ..............................................................................Size of deck rafters? ... ................... ........................................ ...............
Distance on centres? .............. ........................................................................Size of studs in•bearing partitions?
MISCELLANEOUS
Style of roof, flat, pitch, Mansard, or hipped? Fireplaces? .... ............. ..............................
lz..................Material of roof covering?a,/70'7...........Material of Cornice?
Howis building heated? .........................................................................Lining of flues? ... ........................................................ .......... . .............
Thickness of shell of flues? ......................................................................Any elevators or lifts? ................. .. .... .................... .. ....................
What kind? .............. ............. . . ......... How many? ...... . .... Any hoistwa7S9. .. ....
77y.jP-C....................................How protected? ........... .... ........................................................ .................Total Value of Building ..
7'When will work be commenced? .. C 9x. .......
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli-
cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of
South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the
Town of South Windsor since 1949.
Applicant
298,)4-
BUILDING APPLICATION
Application No. _3.2..'r4.........................................................
onthe ........................ ....... .................... ................ side of
Jai-t Hill 1 d a............ ... Street.
Street No, .1.7 0
Owner ....John.....`I-I T--rt ek
Applicant amig.. . .... ............ . ...... .... ......
CLASSIFICATION
Tu r e bre e7.e T, ,T
porch. 2))1 1 X-27 1
Permit issued on above Application.
Date, . Oc.t...... 2 ... ..........
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
f: Date Oct. 2_ 19 59
Fee Paid $ •00) Est. Value $1-8.00•
Permit N9 2984
on the North side of
Dart Hill Rd. Street
Street No. 17 G-
John C swertek
I Owner
Applicant Sam e
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid j$
CLASSIFICATION
Garage, Breezeway and closed-in
porch. 24 r x27 r
BUILDING PERMIT
N° 2984
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Oct.• 20 19 59
I rt to to Tertif1j.9 That John Cswert®k
is hereby granted permission to Garaged Breezeway and closed-in porCi1
i1- 7C2r
at estimated value of r • 11V
on the Vor t h s;.de of Dart Hill u s3.-- __ Street on land
owned*by Jo in C swer't ek
Said Work to be as described in Application
No. 3244and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued QC t -2- 1959
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."
Application No. 674.7.. . Permit No. 6447... .
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application for a permit to (erect (make alteration to) a building according
to the following detailed statement of the specifications and plans herewith submitted. (Draw a line thr ugh
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.
South Windsor, Conn., /P//1...................... 19...oQ,
1
Signhere .
Address ...,X .....d6fll. .- i 't......*a kog
a Location? ...7....Q..... ° ....io—Zl.....X ......................side of? .. ...................................................................................................................
Nearest cross street? . .1- f1k........Al...............................Street No. . ................ .............................. ]Lot No. ... ....................... .
Owner of land is? ../ . Address .1,,*7 ek;*.. .....................
Owner of building is? ..... Address ... ............. ,r!.' ., "...................................................................
Architectis? .. . ............. .................................................... .................. .Address .. ...........................................................................................................
A^,A ray!^ ;
S.S ee rc7/e%- X1•Builderis? Y....., .!. ...............................................Address ......
ensions of building? ..Fat front? ........ .. . Feet rear? .............. ........... Feet deep? .....
Extreme height to highest point of roof? ........4?Z. - r'' •.. . .... ...No. of stories in height?..........-..
Purposeof building is? No. of stores? ..... ................... .. ......................................................................
How many families? ................. .........._.._......................_.........No. of rooms? ...... 0... ef. .....-
Distance from street line is? ...... ........ ............................................from building line is? .................. ...........................................................
ADDITIONS AND ALTERATIONS
Give Brief Description)
fMvsN ............ .../......7111G..L...•..... 1.... .::.•... All........ .79i:....`A................ V...................................
rL.................... ...i'......i tq. •S. '........AAa1 ... ......................................................................................
MapNo. . ....................
If of steel frame, what is exterior construction? .
What kind of columns used? ................1............... . ........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
Height Stories Front Walla Side Walls Rear Walls Partition Walls
Basement,
1st Story
I........ ..... .....
2nd
3rd "
I......_....................._. ......................I......................... ........................................... .......................................... ,........................................... .. .................. ..... ... .. . ..
4th Is
I..................... .,......................................._................................................. ........ ....... . ........ .....
5th
6th "
Tth "
I....... ........................................................... ............ ......................... I................. . .. ... .......... ......................I...................... ................................................
Sth 18
9th "
loth "
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
JOISTS GIRDERS OOLUMNS
Floors Size Longest Span Centres Bridging Size Longest Span Centres Size Length Centres
1st Floor
2nd . ZX$' ............................... ...G...'el. ...................... ........._.. ._............................_... .................. ........_..... ._..........._.. ...................
Z................ ............. .' .......... ..._......... ..&9 ...._.. Ka
4 .... ..... ........... .............. ..................
Size of outside studs? ...-.2X31................. Distance on centres? ....../....................... ...... Size of sill? ..................-....................
Distance on centres?Size of rafters? ................................ Size of plate? ......... X..`.........................
Size of ledgers or girts? ............ .......... .. ...........................................Size of deck rafters? ..................................................................... ...............
Distance on centres? ............. .......................................................................Size of studs in bearing partitions? ......./ Q t ,cr
MISCELLANEOUS
Style of roof, flat, pitch, Mansard, or hipped? . .. 1a/Fireplaces? .............,--YA/Y.c................
Material of roof covering? ..... D .......... .......Material of Cornice? .........i,e ...................................................
How is building heated? . .. .1...Lining of flues? .. ......
Thickness of shell of flues? ............ ................."" :......................Any elevators or lifts? ............... _.......................................... ......................
What kind? . . .... ... --.. How many? .... Any hoistways? .. ... ...- .
41Howprotected? . ...... ....... . Total Value of Building ' ~.........................................
When will work be commenced? ......r.... r ...r....................................... .................
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.
Town of South Windsor since 1949.
k es°, e r
Applicant
6447
BUILDING APPLICATION
6.7:Application No. ......
onthe ................................................................................. side of
Dart Hill Rd.Street.
Street No, .17Q....
Robert S. LeavittOwner
Applicant Manchester Lumber Co.Manchester. ... ......... ... .. . ......... .. ..
CLASSIFICATION
Ra.i.se ....24.1 of....pro s.e.r1t...hqqs e
roof to construct 2 bedrooms and
bath,
Permit issued on above Application.
Date, . -.7n11-68 .. . ig. . ..
TOWN OF SOUTH WINDSOR
BUILDING PERNIIT
Date July 11
9 19
68
Fee Paid $. `... . .0 0 Est. Value $. .. . .4500.00.
Permit lr? 6447
on the side of
Dart Hill Rd,
Street
Street No. 170
Owner Robert S. Leavitt
Applicant Manchester Lumber Co.
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 3 701
Fee Paid $ 3.00
CLASSIFICATION
Raise 24t of present house roof to
construct 2 bedrooms and bath.
BUILDING PERMIT
N° 6447
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
July 1
South Windsor, Conn.3 ' 19
8
Tertif1j,
e.taQhesteP L Or Ca•
t t f That
by S.V.Gil Ui&=
is hereby granted permission to ? i f pre.-eat h:as a roof to Q WIa truc t
2 bedr i.ome and bat'ao
at estimated value of 500 00
on the side of 170 Dart Hill Rd* Street on land
owned by Robert S. Leavitt
Said Work to be as described in Application
No. and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issue July 11,-&
C- a y
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."
INSPECTION REPORT
Permit # Job lzf
1 Footing
2 Foundation
3 Framing .1/3 dn a - 7S
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O.
TOWN OF SOUTH WINDSORPermitNo.SOUTH WINDSOR, CONN.
Permit N? 3701
I Certificate of Occupancy
M
THIS IS TO CERTIFY that the Connecticut, has
n the Town of South Windsor,
Regulations of
at No.
n erected and completed in accordance with the Building uCode and Zoning
been and is hereby approvedtheTownofSouthWindsor,
Building Inspector
I
M gar, Builder
10 Date
19
Fee Paid
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
3701N.Permit
Certificate of Occupancy
THIS IS TO CERTIFY that the1
at No. L n the Town of South Windsor, Connecticut, has
been erected and completed in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved for occupancy.
Building Inspector
Gomm, Builder
1 Fee Paid Date 19
4306
ELECTRICAL APPLICATION
Application No. ....4.6.1.7..................................................................
onthe......... ....... ..... ................................... ............... side of
Dart HillHi.1.1....R.dl.*.................... .. Street
Street No. .170
4' --'-*****...- '*""****...**' " '-*****"*"
Owner Robert. S.L-eav-t.t.t....... .... . ...
Electrician J.Martinellt
FILED IN OFFICE OF
The Building Inspector
772.67.6-8................... . . . ....... ....... .-
INSPECTION.
vrNo 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 (it of wood) are installed, without a special
permit from the office of the Building Inspector.
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORII.
No. . 46 W
Permit No. 43 06
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH W INDSOR, 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., ...... . `...z-... .. ... 19......' Sign here ... .. ............................ .......... ........... ........ ............ .... .
Address i . .. ..t
Location 7 0 :aw Side of ..................... .. . ................................................... ...................... ..............
n
Nature of Building U`e.S How many stories .........
New or old Building How many families .........../...............................................................................
Kind of Installation C J1'v. .. .... ... ......... . How many Stores ....................................................................................................
Owner .....a...............L.e., .V`T.... _........ ...... Address ........................................................................................................................
Architect .......... . ...... .............. .Address
Builder 11/G -... G.h. Address 1 wl ...... ............. ............ ...............................
Electrician 1....... (..p.v. . Address Q..57 // ....................................................
Size of Main Wires .. ......................................................
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 S s No. of Heat Receptacles .... .. No. of Motors ............ ..... .... . .... ......
ecS_
No. of fanlbls . ... .... ... Size of Heat Circuit No. of Power Receptacles
No. of Switches 31"Total Wattage Size of Power Circuit
Total Horsepower
No. of Straight Electric Fi tures .. .No. of Combination Fixtures ....
No. of Receptacles No. of Cord Drops
Remarks: For other kind of Installation . . .......... ......... . . ........ .............. . ..
an.. ..... -. .............. .,ti ... .. a. ... . ..C` . ... .j 2
A/Zz..C ru. ./........ /Pc-s ... ....ls 4.... .z.... ` o o. :... ...........................
Estimated Cost .... ........ ......... ....... . ......
3 74o
PLUMBING APPLICATION
Application No. 3 529
on the _..._ side of
Dart Hill Rd.S
Street No. ..._.170
Owner Robert S. Leavitt
Plumber Steve Wi sne ski
Filed in Ofice of
The Bg Iaspacmc
8-21-68 ly
No person:ball coneon add m or altar my
portion of the drainage aysoem of any bin
except to repair lea6) omg a Plots grimed
by the Building Ingmck r.
lApplication No. ...... 352.9.. Permit No. ..................14.0....
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 omplied with whether
specified herein or not.
South Windsor, ............ ......19 OW Sign here
4 Alz........C.0eddress ..........Location Ide of .................................................................................................... Street
Nature of Buildin How many stones .........
Owner ..............1.t - .... - . . ........ Address ..........t7o.........o.A.Tery..L.........
Architect . ................. ................... ........ ....... Address ......................................................................................................................
Builder L vNio?t.V Address ....0j... . ..... z.......................................
Plumber ......... tn.................... Address ........N.,s2.0...:!%.....k//./-t`/-0..X.O.iZ............................
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 ............... ....................................................................................
MAINDRAIN IN CELLAR, Material ... .......... ............... Diameter ..................................................................................................................
Aboveor below cellar bottom . .. .. ............................................................... ........................................................................................................................
SOILPIPES, Material ..... .............................................................. Diameter ....... .......................................................................................................
WASTEPIPES, Material . ....... ....................................... .. . Diameter .............................................................................................................
TRAPS,Type 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 .......... Where located r.7-
1....
Distance from trap to vertical soil pipe .................................... Pattern
WASHTRAYS, How many .... .............................................. -. Where located . . ...... .......................... ..............................................
SINKS, How many .................. ............................................................. .. Where located . .... ........................................................................ ...
BUTLER'S SINKS, How many ........................................................ Where located. .. .................................................................................................
REFRIGERATOR SINKS, How many .. ................................... Where located .. ........ ................................................................................
C......................... Where located ..........................LAVATORIES, How many ....................1974
BATHTUBS, How many ...................6.-N...9............................... Where located ...................................................................................................
URINALS, How many .................... .. ............... .................. ..... ... Where located . . ..................... .4........................................//...............
Are water closets and urinals to be local vented If not, is there a window in outer wall
of room where same re to be located I................
Estimated Cost ....
7205
ELECTRICAL APPLICATION
Application No. 8219
on the side of
Dart Hill Road Street
Street No. _ 170
Owner Robert Leavitt
Electrician Crimps Electric
FILED IN OFFICE OF
The Building Inspector
Ant. 8 19 80
INSPECTION.
93),No Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
In New Bulldings 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.
llr4 il,!1-y
CA`l APPLI TION FOR PERMIT TO DO ELECTRICAL WORK,
lvo. . 8219
Permit No. . ....7.20.5....... .. .
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application tq perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, BuiAIny,I,a,,s, shall complied with
whether specified herein or not.
South Windsor, Conn.,c AU. 19 Sign here
Address O.I1C.c.... .. Q...4.. G / •,/ii
Location pGl. G.... /Y'/,.wo o c Side of .. . .
Nature of Building &.0-47 1 eel.7't 4 . . . .... How many stories .........
New or old Building How many families .. ............... ................................................................
Kind of Installation How many Stores ...............................................................................................
Owner f-../G1.0.1'J.F...... ...... ... ....... Address ../. O....... a.! e.......
ArchitectAddress . ... ............................................................................w..__....._....._._....
Builder . ........ .... Address
Electrician 0p TM.........11.. ... .........W
Size of Main Wires .. .................................................
No. of Light Loops .. ... ......... ... No. of Heat Loops . No. of Power Loops ........................._._..._.....
No. of Light Outlets ......... No. of Heat Outlets . .. No. of Power Outlets ............. . ...........
Nob 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 .... /, -.:1.t..G..1°...............4—M J..C.................... .Gc.u. ... .....G IIZ.. /....
410k.4i...........)AA ...............a..Id.............F-0..n...r/. ..........._. .v...{.d................r=.t...cz
0L.h..u...I-+ ..............1rl...ea...keps -A... .............. ................ .. _........................................................................................................
Estimated Cost. C D..-. ...... ......... ......
PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT v 7 4l
Application is hereby :
TOWN OF SOUTH WINDSOR
APPROVED D SA OV BUILDING INSPECTION DEPT.
644-2511 Ext . 230
16-638 . A lication must bepp printed or typed.
Date Building Inspect
1. LOCATION OF JOB
170 PfifT 1'`e
FEE SCHEDULE No . Street
0 - $19000 - 10. 00 Floor Apt . No.
Over $1 ,000 - 10 .00
per $1 , 000 or 2 . OWNER
fraction thereof
3. ADDRESS -70
dSdfz ,z c
4. APPLICANT_ SWCA (IZ- F/ec7je-`'c
5 . ADDRESS,,9-5 GgtC-71(
C 119 1
6. ESTIMATED COST $ 0
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $44
9 . TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
1/
Original Installation
c Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11. LOCATION OF JOB j:762 1 1-
NO. STREET APT. NO,,
12 . TYPE OF INSTALLATION pt
13 . SIZE OF MAIN FEEDER
14 . NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16 . NO. OF POWER LOOPS 17 . NO . OF LIGHT OUTLETS
18 . NO. OF HEAT CIRCUITS 19 . NO . OF POWER OUTLETS
20 . NO. OF CONVENIENCE OUTLETS 21 . NO . OF HEAT CIRCUITS
22 . NO,, OF POWER CIRCUITS 23 . NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS 25 . NO . OF MOTOR S_
26 . NO. OF PANELS 27 . TOTAL WATTAGE
28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES
30. A/C LOAD 31 . SIZE OF POWER FEEDERS
32 . NO. OF FIXTURES 33 . TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES _
35 . REMARKS AND FURTHER DETAILS :
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LICENSE NO . SIGNATURE OF APPLICANT DATE
PHONE NUMBER: 45"-S 0",?