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Home My WebLink About174 Debbie Drive0 THE BUILDING INSPECTOR of the PLAN FOR PLAN EXAMINATION ANDSOWNOFSOUTHW114D.SAM MW BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections 11 111 IV and IX. z" l, O ZONING A-30I• AT (LOCATION) DISTRICT LOCATION STREET) qA—OF BETWEEN L C CXJV-AND BUILDING CROSS STREET) CROSS STREET) SUBDIVISION LOT BLOCK SZE r00 ' a010 N II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking"most recent use 1 New building Res de ia) Nonresidential 2 Addition(11 residential, enter number 12 One family 18 Amusement, recreational of new housing units added, if any,13 Two or more family — Enter 19 Church, other religiousinPartD. 13) number of units— — — —— 3 Alteration (See 2 above) 20 Industrial 14 Transient hotel,motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (1J multi/amily 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 25 Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 0 Private(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, .g.,f od Processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement................ S Z5100 d school, secondary school, college, parochial school, parking garage for, deportment 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 $ tS00 d III. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to IV. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 Mas my(wall bearing) 40 Public or private company 48• Number of stories................ 31 W ad frame 41 Private (septic tank, etc.) Total square feet floor area, all floors, based on exterior 32 Structural steel dimensions ..................... 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34 Other — Specify 42&Public or private company 50• Total land area, sq.ft. ........... QQ 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRIN IPAL TYPE OF HEATING FUELI. TYPE OF MECHANICAL 51. Enclosed ....................... 35 UGas Will there be central air 52. Outdoors........................ 36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 El ctrieity 44 Yes 45 0 N 53. Number of bedr am*..0........... . Ll 38 Coal P 39 Other— Specify Will th re b an levat r? 54. Number f Full.......... 46 Y s 47 No bathrooms l Portia 1........ IV. IDENTIFICATION — To be completed by all applicants Nam Mailini, addr ss — Number, street, city, and State ZIP code Tel. No. Dart Fill Realt Inc . 658 EllingtonOwneror Lessee South Windsor,n 2. Same Contractor 3. Architect or Engineer Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Adiress Application date 16— 4MLU-d 61 DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans R view Required 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 Approval I Check Date Number B Permit or ApprovalI 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 Permit number Bui Iding 19Permitissud Bui Iding Permit Fee $ Ap roved TIT' TOWN OF SOUTH WINDSOR BUILDING PERMIT Date sel t = 19 1986 Fee Paid $.4 5.0 .0 0 Est. Value $.75,0 0 0 Permit N° 15436 on the side of Lot 058 Debbie Drive Suva Street No. 174 Owner Dart Hill Realty Tnr-_ Applicant Muriel Jacques CERTIFICATE OF OCCUPANCY ISSUED: Date No. 7 74 s Fee Paid $ 1 _()n CLASSIFICATION Dwelling BUILDING PERMIT N9 15436 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn.Ant- 9 1986 ir4is is to Certify, That var ui 1 1 Reai y aEne is hereby granted permission to D"l nQ at estimated value of $• r on the side of a s a Dehhi nri vg Street on land owned by - 8ill taslt Said Mork to be as described in Application NoJ r,73Aand to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Sep ;n 1%6 ram uilding Inspector. Streets and sidewalks, obstructed by euavations 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" Duelling - Lot #58 Mtn.Vw. 2 9/19/86 Dart Hill Realty Inc . 174 Debbie Drive Permit # 15436 Electrician Richard Barrett # 9394 Heating Contr. So.Windsor. P/H #6566 Plumbing It So Windsor P/H 7120 Oil Burner r Certificate of Occupancy 7748 Sewer Permit Plot plan apprd. per En r. r Permit No.j TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. I I r r Permit NO 7748 1 Certificate of Occupancy THIS O CE TIFY that ttm at No,"fir lG; '- in thelrown of South Windsor, Connecticut, has j been erected and completed in accordance with a Buil g Code and Zoning Regulations of r the Town of South Windsor, and is hereby appro d f cupanc . Building Inspector wne , Buil ie Fee Paid C 19 bDate i M r REiNO E. MYYPAA $ ASSOCiATES CIVIL t"Golum LAW SMVEYM GLASTONBURY, CON14 mod o z DEBEIE DR VE-" stow 1 too. Ir 000 1L Diu:++ -cr..• a+t lib 'tFt 304.3 L Z9 u AREA- 20,000 r S.F so" S (pe A- 7 W \ 29(0 298 LOT LWES FRO0.4w F WFILIE rrLEo OPEN SPACE SECTION i 0ftN SMcE 5uWvmom A-30 2&4& A,M R.0"5CcTWM4 2 MtUtaNwEW ESTATES 50v44 MwosoR j C0W-'sY wo E.N"W^4 A w F-S 5CALE r=ass• OM:8-t-as MOP rO.4804151 c csEt t O FK 5H UTS.RCv.`T AZAO-85 PREP FOR N nAXhR HILLNo7441WGVIOLoWsW%1tK f-slb M11 To r,Loca k or-A-r,o a REALT Y INC. c IfF v 14ueS rAu.7 CaMcT SOUTH MNOSOR, OONN. SCALE : 1",w40' aA'TE:'r 1+f A p r VVPj 0A OR 9394 ELECTRICAL APPLICATION Application No. 1 ()9()6 on the side of nehh iP T)r i up T.nt_ k5 street Street No. 174 Owner Dart Hill Realty Electrician Richard Barrett FILED IN OFFICE OF The Building Inspector SPp _ 25 19_.6 1NBPRGTI0N. Aw 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 (it of wood) are installed, without a special permit from the office of the Building Inspector. a Electrical Permit N-0. -9394............. A-UMasterLicenseNo. TOWN OF SOUTH WINDSOR Building Permit No. ......1. 5. 44.....................BUILDING DEPARTMENT Date Filed .......... ..... .. .... Date Final Approval ..................... ........................... APPLICATION FOR ELECTRICAL WORK Electrical Inspector tl JOB LOCATION: 1>1...... JO OWNE .... R:Q...................................... 150ide of Bet een anda:2&.Name of Building Owner .... . . ..... Address If work is for Lessee--Give name ..... .... Address ................................................................................................. Building now occupied as (unlCiiss new yNo. of famil units now .......... .............. Building to be occupied as Number of family units to be ...... -.1....................... Is this wok included in a Building Permit? Permit Fee ............... ........................ ................................................................................ If no B"&M Perpir Permittee Business Address eclephone COSTOF INSTALLATION: 7.. . ,Icz)..........................I... ............................................................................................................................................ TO BE FILLED OUT BY PERMITTEE TO BE WIRED 2,5 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 [jNumberofappliancestobeinstalled . . . ....... ... ............ as listed below)Dryer 0 Air Conditioner Oil Burner E]TYPE RATINg NO. Dish Washer E3 Gas Burner C]Range Range Top . . . . . . Well Pump Elec. Heaters Oven . . . . . . .. . REMARKS: Water Heater r Clothes Washer . . . . Clothes Dryer . . . . . Ec Dish Washer . . . . . . Air Conditioning Motor Oil Burner Motor . . . . GasBurner . . . . . . . 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 . . . . . . . wc- Size of present service ....................... ........!!........... ...... Size of service to be . ...........................1W.— 7120 PLUMBING APPLICATION Applicatim Na 6191 on the ......_.... .. s+deof Lot #5 8 Debbie Drive Suer,- Street No. _.__. 174 Ownet ...Dart_Hill Realty Inc. plumber _So_.._ Windsor P/H Filed in Office of The BWI&g InVector Sept 2 4 19 No person" coamuet, add to or alder any portion of the dr dwr symm, of my 6u&6g mcept to repair leans) until a Pa mit is Smammoed by the BuiI&g b apamw. APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB L `Jig t /e' e NO STREET FLOOR APT.NO GENERAL PLUMBING 12. KIND OF INSTALLATION f lZC. ! 'ct / 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS STYLE T /Zi1^fie 15. NO. OF URINALS — STYLE 16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS — SIZE 21. NO. OF STACKS SIZE 22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS` 25. NO. OF OTHER FIXTURES z KIND B 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? e f 27. SIZE OF WINDOW `- 28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? i/ c 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE) SIGNATURE DDRESS I. c / LICENSE NO. ESTIMATED COST cS g eyO-C,O TELEPHONE c r /v 5 .l OWNER `,I'!`41 .%-1 ADDRESS !!',- /U• c= SOS-' -1 G o WATER HEATER 31. TYPE L/'t 32. MANUFACTURER TANK SAFETY DEVICES 33. CAPACITY 4rai / y l® I 37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE_ J(Us 38. MANUFACTURER 35. WORKING PRESSURE U ' 39. PRESSURE RELIEF VALVE f 1 36. TYPE U f C 40. MANUFACTURER ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. CD962 DATE PERMIT # Application For 6365 6566 DEPARTMENT DECISION Heating Permit Cd fA c APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR d hcxrl a-q_ P_ D' Au r i a _ 00 ( QT DATE T' CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. REGON WITH NUMBER ONE BELOW O w 4-3 >1 wl .G g79 1. LOCATION OF JOB 174 alf 10 R NO. STREET a O Cd ej rA LOT NO. FLOOR APT. NO. O N O cJ G ten-//y c,o .OWNER od yy r T O 3. ADDRESS cS v hn GS 4.FHONE 00 t•! B. APPUCANT ca. ADDRESS srd V off&lzi At on LS -e e 0 s PHONE a sevar B. LICENSE NO. d 7 I!E O a C w S. EXPIRATION DATE OF LICENSE c I f 10. ESTIMATED COST S l5 2 0 U J caqg E '" 11. IS THIS A CONTRACT COST?Va YES NO b0 r. Permit 15436IS. FEE ENCLOSED s v 1.1. TYPE OF BUILDING: b RESIDENTIAL COMMERCIAL O Cd 14. TYPE OF JOB: INDUSTRIAL 4) 3 ORIGINAL ALTERATION INSTALLATION ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued from Revere Side) 11. LOCATI N OF JOB a ee,4 4f'e ell 4/4 NO. STRL FLOOR AFT.NO. 12. TYPE Of INSTALLATION: OIL BURNER ELECTRIC rENnunoN SFWNKLER GAS BURNER STACK INCINERATOR 91 MISCELLANEOUS IOENTIFr LOCATION SIZE SIZE 13. OFTANK OF TANK OF FILL OF VENT 14. H.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. U Zil B.T.U. OR SQ. FT. NET ' `''i'""B.T.U. OR SQ. FT. GROSS FIRING RATE= FLOORS TO BE HEATED A MA o NEW OR OLD BUILDING IDZ U-2 INSULATED - YES OR NO E'f TYPE OF WALL 10'0044a r INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. LPG B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE D--au 4 FAHRENHEIT MAKE OF RADIATION: ASEBOA COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTI N OF WORK r J 13. TO Be DONE:. r • / /y i/c f LJ f' Z hle y 14. NEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOT alit rlwOOrs AREA — SQUARE FEET w-T•U• e•T.v ~O AwD DOOIws VaL1Rt OISTRIOUTI N INSTALLED TOTAL TOTAL OROs/ OLAN uleT r e1LlCw0 RLOORCos.RC . . AT 70•R C M6CTROOM L r N AM j IL A RAO. ReO1sTeR Iw/ILT.1 Taw. TO 1:IL TVP6 AND flit L9ACUR size < rALL o Corp. M w s0. /T. R RRee AReA TOTALS I. A. HEAT LOSS FROM BUILDING B.T.U./HR. S. DOMESTIC HOT WATER DEMAND /urZy ieze( B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A 8 C) FACTOR 17. ELECTRICAL WORK BY: f/-7 Vdv ` a NANg AOOREN SUBCONTRACTORS AND 1s. THEIR TRADES ALL WORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY E NER) 9KAGOM OF THIS PROPERTY AND WILL BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE. t ARGO CALCULATION SHEET 7 OWNER ADDRESS i L DATE t7' CX=pf - DEALER c KIND OF BUILDING CCAA4, "c of CHIMNEY SIZE CONSTRUCTION: WALL V J I WINDOWS— No STofm C ROOF OR CEILING BASEMENT HEIGHT. ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF 3 4 5 6 7 8 9 10 1 1 12 1 3 14 1 5 16 17 18 ROOM SIZE WINDOWS AREA-SO. FT. FLOOR VOLUME 1 BA E_BOARDIS AND DOORS CU.FT. TOTAL TOTAL SEE NOTE) AT 70 F WATER LENGTH r GLASS NET WALL CEILING CORRECTED I AC ES..O IES ROOM d/ TOINUMBERGROSSTEMP. nn nc.L W H I ON AREA WALL o 0.1 ) DIFF. I T*E ENCLOSURE FIN I i SIZE F I L S ; C -'SC. i 07 p 7 0 C3 TEMP DIFF. I FT TUBE 1 I o o 0 7 p o l. o D 9 0 0 4//G o S 50 yppo ) I Oct CnDO 200 88 00 AU I I I — 0 Ll P s 1 /3 1 - 6I Yo 6 0 0 30 i 0kI 00 C.', l Oo joc f DD p I // I_/ o i I r ^ j LL'0 000 00 o 3,61C10 I I f- ` r l I i11- 90o J op 1 D boo 0C) a9oo DD DO ? LIDO 'Y604--- 1 i900 000 ' YS? o 6 kj jp 50o oo Tao l8 00 060 N I 9 l1 r 1 - y 50o Do 1ao 700 c DC a 0 1 f(+ irr'1I ,(. •I1 V 3600 p 00 00 S oo -C V lVV i NOTE: FOR CONCRETE FLOOR ON GROUND OR FILL AT GRADE LEVEL,USE LINEAR FEET OF EXPOSED EDGE. 1 F R ALL OTHER FLOORS USE SQUARE FEET OF-\REA. TOTALS J V[ rlf I I FINAL INS PE ONS: Building Z APPLICATION FOR BUILDING PERMIT Plumbi HVAC Date: -3 - g b Sprinkler 174 DEBBIE DRIVE El ctric Estimated Cost $112d 000• i Zoning Permit Fee $ IkO Affidavit NO. 18386 Occupancy Fee $ 3 Dept. Fire COMPLETE RED BOXED AREAS.Fire Dept. TYPE OR PRINT ONLY Total Fee $ 3 Health Dept. Approved for CO: /y 3 SIGN ON REVERSE SIDE. Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Location 1`1 y D% Q51% _ O A4. Lot No. Side of Street Zon 3D .S. Applicant NNM S %M\u.C.%ro S Tel. #(egLaWl n Address O zip 0b0sO Lic.# Sv w'sn STREET CITY STATE Owner It aZcsN Address 1"1y SNI Q 3\M pR.6qq Z743"L Architect Address Size New Area: Ft. Front Overall ti` _Ft. Deep Overall 1 Total Area aZS Garages515Lavatories No. of Families No. of Stories_Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot Dist. from Street Line 9 k Dist. from Side Street Line %c: Purpose of this Permit -otyS't'Av C S %2S X 1y NZT) \l\bM City Water 05, Well Septic Sewer Approved by C_ Date `_k—mil O BD1A 11/88 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of theTown 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 a zone in which this building and its use is allowed. Signed S. I hereby apply for a Certificate of Occupancy for the work described in this application for permit. Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing s-Q Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Ij Inspections: Sprinkler Permit# Inspections: r BUILDING INSPECTION DEPARTMENT SOUTH WI N DSOR, CON N ECTICUT FEE PAID: $3.00 CERTIFICATE OF OCCUPANCY ZONE: DATED 2/10 1993 This is to Certify that 174 Debbie Drive Altered under permit No. 18 3 8 6 ' conforms substantially to the requirements of the building ordinances and the zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below. Approved for Occupancy— Residential addition USE GROUP: R4 COWSTR TYPE: 5D Building Official Notice:If this certificate is lost or destroyed, a duplicate should be tained immediately from the Building Department. Any change or extension of the use herein approved requires a new certificate of occupancy. 1 414 iqii,el 44, ENGMEERS 4k LAW'.smvEy Al CGLASTONBUfq, miC'.,41 , DRI VDEBBIC w Z 492 100.00 W oo_-oo, NEZcna- LIP— ViAl lk w U!D ol o,is- ji 00 2 AREA-z 20,000 SR GAM%014-4 A"A A.C_le_l9AV4-mQl TArl,6 C0kJIlAEC__r Ir-13-T C41""A"-1 100.06 5 (OZ! 43 2_7 W LOT LINES FROM AMP coi F-tLF-Tn-LZID 00EH SAWLE 30 ZD,\A PLOT PLA" 5SCTIOf4 7- MCOWAIMmEW ESTATE5 5ovt" WwosoR,Cbww-e15Y Retoo E-HYIPM 0 A5sm oAl es-5cALE rit4o* DINTE:81-85 kWWO-180-65-1K 511EETP- 0Foj5HEETS.RV-Tl4vw IZ--%O-M MEPARED FOR; wo b4a-c,s DA RT H ILL. REA NC . e ERTJFIED cjJBS7MTJALLl CORRECT SOUTH .-.WINDSOR, SCALE:.l DATE Vo-ZArSCo t-5 58-A, FaRy R 3 1990 South Windsor 13UILDING DEPARTMENT fflFICATION OF ZONING Miii" ":. 7HE BUILDING DEPT. ads%rt®pOSed buiiding(s), use(s) and/or struct. r,f3:aftttied that this r''a and spec;t. t. j,ies nt the proposed building or ad*,", s s shown on this plan appear(s) to be =,i 4drslfisd a: donforrnance with current South Windsc c,6•c dam' =__ - k egulations. Variances and spec1W exception, 0,,or with amendmerts st,,ted in apci, plan and I .igrae to comDly w."h d may apply. and stale raves end such o,d rs :s av thr IlulldinR Department during P n` Date av n3 l I v a pixation and ftndt issuance of a 2 C A-It,,n f,tZIngEnforcementOfficer lS BFrpdoYrw' suLtittct .o the cond tton fr olid .r-%nsnces reiulaa)sA r,7'r:g sna[s LL nditd.nd ly ApDrOvk1v1 E ese ':etl wPtr+ Zild']rnp, dn5pE:Ct01 e No /'— •. PERMIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby:TOWN OF SOUTH WINDSOR APPROVED D SAPPROVED BUILDING INSPECTION DEPT. 644-2511 Ext. 230 Application must be printed or typed. Date Bu 1 ing Inspector 1 . LOCATION OF JOB 7 Z99, FEE SCHEDULE No. Street 0 - $19000 -10.00 Floor Apt . No. Over $1,000 -10.00 per $1,000 or 2 . OWNER CUq- N1'/` fraction thereof 3. ADDRESS /7 0 t- 4. APPLICANT RFce 4- 5. ADDRESS ;-}1S Swi~ #01t,' 6. ESTIMATED COST $ % 7Sr 7 . IS THIS A CONTRACT COST es No o 8 . FEE ENCLOSED $ I 9. TYPE OF BUILDING: S RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: A- Original Installation Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB I -7L P-e4 1 NO. STREET APT. NO 12 . TYPE OF INSTALLATION 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 —7 21. NO. OF HEAT CIRCUITS_ 22 . NO. OF POWER CIRCUITS_ 23. NO. OF LIGHT CIRCUITS_ 24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS 26. NO. OF PANELS 27 . TOTAL WATTAGE 28. NO. OF POWER FEEDERS 29 . NO. OF SWITCHES 3 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 : CU /— G'-ram- LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER: a MOM e r rI MA I " , . if0 to e? rev• DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PER Application is hereby: BUILDING DEPARTMENT APPROV 1540 SULLIVAN AVENUEbjtP,ICOW)o Bldg.Permit#644-2511 ext. 230 ate piling Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 7 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 pet$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APP ICANT ADDRESS t.- APPLICANT PHWE# O W N S 4. OWNER OWNER A RESSr KLIQ S 6 C- r 0 !OWNER PHONE ESTIMATED COST$ IS THIS A CONTRACT COST? res. O No FEE ENCLOSED$ 13. 6 b TYPE OF JOB:SOR.C 11 0 OOriginal Installation Q Alteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A SIDENTIAL BUILDING PERMIT APPLICATION? ElYES ElNO BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONEFACTORY STORAGE ADDRESS GARAGE MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD o SIZE OF MAIN FEEDERS AND RATING OF WIRE USED I NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK 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. 3 - -L-t I c CONTRACTORS LICENSE NO. TYPE TATE SIGNATURE OF APPLICANT DATE G; INSPECTOR DATE o 3 TIME LOCATION J] e i ` ^h Z'3 U INSPECTION: CODE: RESULT(D/A) : BUILDI,;,,q ELECTRICAL: O f PLUMBING: HVAC: OTHER: t- F r