HomeMy WebLinkAbout176 Tumble Brook Drivetw
0 THE BUILDING INSPECTOR
of the APPLICATION FOR
TOVM CW SOU117H WI1411150n,C+31. PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT - Applicant to complete all ite in sections• 1, 11, 111, IV, and IX.o
ZONINI• AT (LOCATION) v L1.9D IS TR
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT. 1%5_BLOCK SIZE
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 M
1
1 New building Residential Nonresidential
2 Addition(If 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 of units- - - - -
3 Alteration (See 2 above)
20 Industrial
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, institutional
Part D, 13)
16 Carport 24 Office, bank, professional
6 Moving (relocation)
17 Other - Specify 25 E] Publicutility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 27 Stores, mercantile
8 C 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,e.g., food
processing 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 S
III. SELECTED CHARACTERISTICS OF B I DING — 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) 40 Public or private company 48. Number of stories................
31 Wo d frame 41 Private(septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 ffi Structural steel dimensions .................... V
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other - Specify 42® Public or private company 50• Total land area, sq. ft. ........... '
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors.......................
36® Oil conditi ping?L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 WrNo 53. Number f bedr ms..............
38 C al
39 Other- Specify Will th to be an elevat r? Full..........
54. Number F
46 Yes 47® No bathrooms
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b complet d by all applicants
Nam Meiling eddr ss — Number, street, city, and State ZIP code Tel. No.
Owner or
Lessee
2.
Contractor
3.
Architect or
Engineer A v
Th owner of this buildi dersigned agree to conform to all applicable laws of this jurisdiction.
Signature off aqp lic Address Applicati n date
9 y-
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans R vi w R uired Check Plan Review Date Plans B Date Plans B Notes9FeeStartedyApprovedy
BUILDING rf,r
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check ObDtaalneed Number By Permit or Approval Check Obt
Dote
ained Number 'y
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
fGRADINGUSEOFPUBLICAREAS
OIL BURNER WRECKING
OTHER OTHER_
VII. VALIDATION
Building
Permit number 10836
Bui Iding
Permit issued Mav 99 19 79
Building
Permit Fee $ l OR 3h $F,C1(1
Approved by:
1
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1V!I
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
i
Date May 2 9 19 7 9
Fee Paid $.3.60,00 Eat. Value $. .60.,000.00
F Permit N° 10836
on the side of
Lot #5 Tumblebrook Drive Stzeet
E Street No.176
Owner U & R Hous i.ng Corp
I Applicant U & R Housing Cori)
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 5393
Fee Paid $ 3-On
CLASSIFICATION
Dwelling
i
I
i
i
BUILDING PERIVIIT
NO 10836
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. 19 79
94to is to (Certify, That n$ ,
is hereby granted permission to
at estimated value of $ 00
on the side of I 0 t #5 THF*b-1-^-br00k Drive Street on land
owned by
Said —rl.4- 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.
Issued 19 7
BWding 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 plan
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."
i
INDSOR
TOWN OF SOUTH
CONN.
W
g, o• SOUTH WINDSOR,
jPermit39 3
Certificate of Occupancy
nig has
TH S
O
CE IFY in e wn of South Windsor, Connecticut,
Regulations of f
at No ith the uilding Code and Zoning
d completed in accordance
been erected an
w
Windsor, and is hereby approved for occupanc
the Town of South t uil mg nspector
er, g er 19
Date
ree Paid
GARDNER Et PETERSON ASSOCIATES 576 OLD POST ROAD TOLLAND, CONNECTICUT 06084
U P EE 4,-,l S FAA G E. "1T 1 M ES EK L L
7Z.284
0 F
IO V
0
da
u.3 N4.
Z4~Z4 0 2•5
24.3
3' 7' 33'•' 33•Z 1,``LC
11 0
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UM4LEC ROOY, QF21VE F aoNH''
Asa 1i2 s A
MORTGAGE SURVEY Y
No. 10839 +
LOT #5 TIMBER RIDGE SECTION III
TOWN OF SOUTH WINDSOR, CONNECT ICUT ST.--; '¢
SCALE: I " = 40' 4<<,
f.rpolo'
I hereby certify to Peoples Savings Bank that the location
of the building as shown is substantially correct and that
there are no zoning violations of the same.
L.S. 10839
August 28, 1979
g
PROFESSIONAL ENGINEERS LAND SURVEYORS
t A 4--
0
A P P R O V E D
TOWN OF FOIJTH WINDSOR
ENGINE ".M'GG DEPARTMENT
6833
ELECTRICAL APPLICATION
Application No. 7838
on the side of
T tmb7 brook Dri me Street
Street No. 176
Owner t1 & R 14013 S J 33& rorp-
Electrician D 3Ba1do Elertrj C
FILED IN OFFICE Or-
The Building Inspector
July .16 19__U
INSPECTION.
rv-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.
APPLICATION FOR PERMIT TO DO ELECTRIGAI. WORK.
No. ...... .8.3.8........... ...
Permit No. .......6$.3 3.............
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
We.......„ hereby make application tq perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with
whether specified herein or not.
ifiLSouthWindsorConn., ... . duly 12, . 19 79 Sign here
Address 44 .2urnel.l..P1..,....Manchea.ter.,.....Ct:..
Location ..Lo.i*..#.5.,....Tumb.leb rook.Dr_ Side of ... . .
Nature of Building ... . ..Res.idence How many stories ...........2........................................................... .................
New or old Building .........NeM.. How many families ............................................................................................
Kind of Installation ... . ...Romex...... ....... ...... .. ...... How many Stores ......................................................................................................
Owner ................U....;...R....HQ.1a.ing...Q.A.rp..,....................._....... Address ....F..Q......BAx....24.8.......
Architect Address . .. ........ ........ .....................................................
Builder U...& R Roue in$..Corp•.... . ...... . .. .... Address
Electrician ....Du.Baldo....Elec.tr1a .Co......Inc... Address 44 .Purnell...P.1.,...lUnches.Gex_,....Ct.....
Size of Main Wires .. ... 2AL.................................
No. of Light Loops .. ...........1. . ...... No. of Heat Loops .........No. of Power Loops .........................
No. of Light Outlets . ... 18. .... ..... No. of Heat Outlets .... No. of Power Outlets ................. ...............
NoP of Light Circuits ..... .8.. .. ......... ..... No. of Heat Circuits . No. of Power Circuits ... ........ . ........ .. ..
No. of Sockets .. .... .. ....... No. of Heat Receptacles . . No. of Motors .................... .................... ...
No. of Panels ................... .......1.. .. . .. Size of Heat Circuit No. of Power Receptacles ... .. . ...... ..
No. of Switches ................. 5.........Total Wattage .................. ..... . .... ............ Size of Power Circuit .. ... .... . .... .. .
Total Horsepower .1/4.... ..... .
No. of Straight Electric Fixtures ...... .2o No. of Combination Fixtures ...
No. of Receptacles ................................. ...... ..4 .. . . ..... No. of Cord Drops ................................................................... ................
Remarks: For other kind of Installation .. . ........................................ .. ................ .... ................................ ................................................. .................
Estimated Cost ..... .s.2 ..4...r.QQ............. .......
5451
PLUMBING APPLICATION
Nee 6234
on the -----------L side of
Lo t I
sftpp-
Sa-eet No. 17 6
Owner .... ZI e
Plumber
Filed of
The BuiWing
Aug. 13 19_Z2
No pawn shall construct, add m or aher any
portion of the drainage system of any boldrmg
ezcept to rqx& leaks) until a Permit is puftd
by the Building Lapectior.
Application No.........62.34.................. Permit No. .......5.451.............
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.
0-192 9... Sign here ... ....... .. .. ..... .. . . .........................................................South Windsor, IF
Address.. ................................../.............;7......................................................
04,17411C.I. ........#4................... StreetLocation ................... ... . ............... .............................................................. side of ................. ...... . ....... .......
Natureof Building ............. .................................................................. How many stones .........................................................................................
Owner Address..............
Architect ........... Address.....................................................................................................................
BuilderAddress .............................................................................. .................................
Plumber . .......... ..".4alx ....................................................... Address .......
DRAINAGE
CESSPOOLS, How many . ......... ..U4 ....... .................. Where located ....... ......
Are they water tight ... .......Of what materiaWare they built ........................................................
Size of pipe from house to c spool .........:Z1............................. Kind of pipe ................ .....................................................................................
MAIN DRAIN IN CELLAR, M: teri I ......C.-1............... Diameter ...'/......................................................................................................
Aboveor below cellar bottom .. ..... ... ......... ...74 ......................................................I......................................................................................................
SOILPIPES, Material ........ ............... Diameter 5,"'..........................................................................................................
WASTEPIPES, Material ..............;A;........................... Diameter ..2.........................................................................................................
TRAPS' Type proposed to use is ........................................ ....... ...............................................................................................................................................
RAINWATER LEADERS, where do they run to .................................................................................................................................................
REFRIGERATORWASTES, where do they run to ....................................................................................................................................................
TANKOVERFLOWS, where do they run to . .. ... .. .. ...................................................................................................................................
FIXTURES
WATER CLOSETS, How many ...................3........................... Where located ..... 7................................................................
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,.....................................................................................................
REFRIGERATORSINKS, How many....................................... Where located .....................................................................................................
LAVATORIES,How many.............................3.................................Where located -Z: -'.......................................................................
BATHTUBS,How many.................../................................................ 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
ofroom where same are to be located..............
Estimated Cost......
PERMIT #
4 Application For 6152 5051
DEPARTMENT DECISIONi0 Heating Permit
0
3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS0CD
tQ
4-) APPROVED DISAPPROVED
5 TOWN OF SOUTH WINDSORG
o A,00 O ATE ECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW
O
1. LOCATION OF JOB J
y
176
O NO. STREET
Cd W
rn
LOT NO. FLOOR APT. NO.
0 O
N
w
O O
p 2. OWNER
0
O
O s. ADDRESS
3
4.PHONE
14
S. APPLICANT L2 4z
oR c~
PC
s. ADDRESS 4L
7.PHONE
B. LICENSE NO. U 3
a
c w B. EXPIRATION DATE OF LICENSE
c c
10. ESTIMATED COST S
aq
tw
11. IS THIS A CONTRACT COST?YES
12. FEE ENCLOSED S Permit #10 8 3 6
12. TYPE OFF BUILDING:
Qp a—WaSIDENTIAL COMMERCIAL
cc3 14. TYPE OF JOB: INDUSTRIAL
i 2 RfINSTALLATI N ADIITIONON
REPAIR
APPLICATION FOR HEATING PERMIT (Continued from Reverse Side)
11. LOCATION OF JOB oeex__—, Z-Iz/0 Z,a
N0. STREET FLOOR APT.NO.
t
12. TYPE OF INSTALLATION: is OIL BURNER ELECTRIC VENTILATIO SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
IDENTIFY
SIZE LOCATION SIZE J SIZE
13. OF TANK _T OF TANK OF FILL OF VENT
14. B.T.U. EQUIP. AT REGISTER FIIPNArr MA AND N0. AT BONNET I1RING RATE
BOILER OR FURNACE MAKE AND NO B.T.U. OR SQ. FT. NET/B.T.U. OR SQ. FT.FIRING RATE!"
i
FLOORS TO BE HEATED Co- dF NEW OR OLD BUILDING INSULATED - YES OR NO
TYPE OF WALL INSULATION A ROOF OR CEILING INSULATI
AVG. SYSTEM WATER TEMP. 1000 c)-O-U B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 0- Z d FAHRENHEIT
MAKE OF RADIATION: B EBOARD. COPPER CONVECTOR , OR C.I. RADIAT ON. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. S G °C D
DESCRIPTION OF WORK
15. TO BE DONE:
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
7 v v
ROOM SIZE WINDDWS AREA - SQUARE FEET a.T.U. a.T.U.D
AND DooRs VOLUME DISTRIBUTION INSTALLED
TOTAL TOTAL LL
R OM NO. 6 GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70'F CORRECTED J j RAD. REGISTER
L W N AND
WALL 0 INFILT.) TEMP. TO • TYPE AND SIZE OR LEADER
SIZE f.Gt DIFF. F F m m SO. FT. FREE AREA
r qv 9' 3(49 ::;YaC) -,700 9 0 7
112 9 3 :;.2,
3 ass o 00 C1o0 9a t
r
k-1// /aZ 19 24 1 00
O 3
q 3,00 6)
X 2 ' l'4 s 3 v S oo 3
Id ri U o 3 0 0 _00 y
Z /a IZ 7
y Co d 3 0 ayo 300 vy 6 , J! 3
3 /Q /q 9 3xV 36 a goo vc) 2 o Sov ,lU c2o
l
9 3h- ( bo ov U 1 u' 0/0
9
3 i 6 3dU on 00
o0 0 3-0 0 U
TOTALS Eln
A. HEAT LOSS FROM BUILDING 3 f.-}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
16. 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.z&l - , '? ;;"g-,
DATE SI NATIJR OF APPLICANT
TO THE BUILDING INSPECTOR
ofthe APPLICATION FOR
1I.0NM QF SOUTH WIPH)S M COW PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, III, IV, and IX.o
f ZONING
AT (LOCATION) / Z a DISTRICT
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
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 rn
117A
1 New building Residential Nonresidential
2 Addition(If residential, enter number 12 One family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13)13 Two or more family - Enter 19 Church, other religious
number of units- - - - --o- 20 Industrial3 Alteration (See 2 above) 14 ltltthiTransenoe , motel, 21 Parking garage4 Repair, replacement or dormitory - Enter number
units ——————— —— 22 Service station, repair garage5 Wrecking (l/multifamily residential, o
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional6 Moving (relocation)
7 Foundation only
17 6ther - Speci/y 25 E] Publicutility
26 School, library, other educational
B. OWNERSHIP S—.r- 27 Stores, mercantile
8 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,e.g., food
processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement•,,,•••••••••,•, S 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 3
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) 40 Public or private company
48• Number of stories................
31 Wood frame 41 Private (septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 Public or private company 50. Total land area, sq. ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors.......................
36 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Number of bedr ms..............
38 Coal
39 Other— Specify Wi II there be an I vator?
54. Number f
Full..........
46 Y s 47 No bathr ms
Partial.......
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Nam Meiling address — Number, street, city, and State Z I P code Tel. No.
Owner or
Lessee
lC
2.
Contractor
c
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Sign 4gre of applicant Address Application date
DO NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review R quired Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approva I Check Date
Obtained Number By Permit or Approval Check Obtained
Date 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
P rmit number 12059
Bui Iding
P rmit issu d Mar 11 19 81
Bui Iding
Permit Fe 4.00
App yed b
T I T L(/
r
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MM
rrsr r •rig r r at:.
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man I
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n "
ri • A. •
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as we:Nibyems ."
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ir N' rarr'
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ssst tffilificasea s . t
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81a111St. iiri.I i iiiir
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rr r r. lW. _ • r s
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gr. sl:Sl:: r•n rr.rrrwe.rs.•i •
0 mean
t . pi.rw:n ..a r •
i•ii / =wr M =a rr =r i:i::::i::rrai= i:r
r •u
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Ms IS a::i:\ ISH i I • =iLrr/i==rrrr•••r•r•rrs•/rr• •:r=r s
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w
r •u u:=memo:•w I u
all tsis :a: ::::ers:i=::aii:'s:=e==:::E:=::ez::eees:eg's8 e'se='s=:ee's:9;s:s::e:iee 3's::=sisera:rsi:1s a=ad'o:/ u9s 'ie ' :
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s'
sI•..wren.!.i::..e.tee..:l:..r::r\i .e:r =e ., .mean •..s::n.\Ss .e..r........e• rem.:rAw e .ii ...s •rri .\ M.
aa s =sa= =saess= ==saes=say ,==seUn s's == _ : _ _ e ;ass=DISH:99e='sse== i g . _$ sSOMME r•.'SK
e uet iweee=:i.mr= ee==••m rr •\: \ t:• / •/ • :err:i i
I_• JuDilm•\\=i\rt ••i:::===s::==:m===e::::::::_•:::::m:=e:::••t•'::•_:::::•_• err"\ SH118 :t / r01
e:01: :1 . e ee::se= sseens =ens:=.HUH:a:::8a::_:::::=ones:::==ss=.H.I.esiHHeUMU.m:eels=ges = t 0:31
1:_: =ilia::;;='sass:=aee:essesieas===sasaaasa g= ea = Ee s= e=:a= = =sssrss!s's s='=sa='s:$ e a: s•sss,ssscs='s•...s:::.:ss:...es::. :none. e : s s= S t!•S!= s r aa3=eat a esm m:sus•.n\\w some seen•\.N• sN\e..e•.\..Nes..N•.A.• e.N sN •.\wN\rr • •• woo\
I9 :SiS iUM:•:::rm:===:_•=Z•\==/•r::yl a::::::r:+:\•r::•e::::_\l:::=l:::u:lu::r r:l_''__!•_1:-l=S!!--$!S::S=:::s::::=:
xa
TOWN OF SOUTH WINDSOR
BUILDING PERNIIT
Date Mar. 11 1981
Fee Paid $.4 Q Eat. Value 00
Permit N° 12059
on the side of
Tumblebrook Drive Street
Street No. 176
E Owner T_J_ and D. E. ThnYntnn
f
Applicant ne i rci re E. Thornton
CERTIFICATE OF OCCUPANCY ISSUED:
s
Date
No.
Fee Paid $
CLASSIFICATION
Wood stoveZegisting
chimney
BUILDING PERMIT
N° 12059
OFFICB OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. 19 81
94is is to Crrtifij., That is -i t ve
is hereby granted permission to Shoji
at estimated value of $
on the side of 11fi Tasmhj&hragti- j)Vj a Street on land
owned by j;M Ew Th^zu*,.,..
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.
Issued Mar. 11 19 81.
Ong nspector.
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."
TO THE BUILDING INSPECTOR
of the APPLICATION FOR
TOW11 OF S4V117H WII11I1015M CCNW PLAN EXAMINATION ANO
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O
l nr ^ Jp ZONINGI• AT (LOCATION) l Q-. L Wbe. I " v DISTRICT
LOCATION NO.) STREET)
OF BETWEEN TC(V TLy AND
BUI LDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
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 fn
1 New building Reside ial 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 of units— — — — -i 20 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 ——————— — - 22 Service station, repair garage
enter number of units in building in 15 Garage 230 Hospital, institutional
Part D, 13)
16 prort 24 Office, bank, professional6 Moving (relocation)
7 Foundation only
17 Other — Specify 25 Public utility
O(
26 D School, library, other educational
S. OWNERSHIP UnO l X3 27 Stores, mercantile
8 Private (individual, corporation,
28 Tanks, towers
nonprofit institution, etc.)r - 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,,,,,,,,•,,,,,•, O O V 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 $ OQ
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) 40 Public or private company
48• Number of stories................
31 Wood frame 41 Private(septic tank, etc.) 49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Specify 42 Public or private company 50. Total land area, sq. ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors.......................
Oil conditioning?
L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Numb r of bedrooms..............
38 Coal
39 Oth r— Specify Will th re be an elevator? Full..........
54. Number of
46 Y s 47 No bathro me
Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To b compl t d by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
Owner or LI L
Lessee IsD J/ , \ Q
2. tJD
Contractor
g,
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
bM—
Address Application dot/
LO)n 1, 1 I
00 NOT WRITE BELO THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By y
Date Plans B NotesqFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date
Obtained Number By Permit or Approval Check ObtDa ned
ate IJumber 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
P rmit numb r 12396
Bui Iding
P rmit issu d Sept. 1.4 19 8-
Bui Iding
P rmit Fe $42.00
roved by.
TI
ice.w.1.- sew w1 w1. .w 1 .....*...... Yww.1. ... ww1,ywww wwlw.. 1w gw.1w 1 w ee. ut•.ra • :men r;
r .n *Woma:'!:: 'r=•'all •sii'
irii+'ii . •.Sti ir r i
as.• • : a.a is meUs' so U r• riii: a -¢---- l.• 'soa i iryrrw•• r r
eat 'r e• i teta a-ra.N• r.e..rrrf i; • gas
lam
t r tt!#sr it
ra r:r::
t t :r
r. •t r
e a-t :ea a
ar
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full a
M win
t
sae a *
a
M r • it
r _a_ t a *Weems an-arm an so an .•
Tit w0 rs-.MrOMM, .isii ii'i ' $0tsome . . u . .
MUM ass I me I
SlignIlate:
r• SMA:!= : :6.1.
mud.
rs:=: eai.:ti ::::straarWOUSAMNso:aseems as,,
i:: :Sii r:'=:• :_ ': S:r ::i:s::mebous rr;:':::iiei=:' =':iiiiG• • r
a '
ism par.iii:e sit: e• :1s1.tn•Zltasausrs•saaMs•ra t:essSSs.=r :rar:niii /t .. "esearmrrr. r-e • •• • er.rrr-• .....seems remmmer •. H aeasii=: sisr;ss= s:6ss=;:s:Himusum=s : is=" :eE=e::=sl3:c::::=i:s:e: s=:::a;s;+=szsr s = ss,,l RULEls•s:H .s HOUerr:..5tr rri.•r.rr.•e•.r.e.•.=.r.=ee•ie.•7rr =i-Gii •r rrr•ii=i1 i•1i1... R as tr sitiii=
eees:e:s:ieeeee:':::i'ss:::s=ms::Es='ss s sO:: sees:ssom s ss'sz'ss s sc'sfes's $ 's3= 'sss s= 0 son =i d:ijai;e.ata=!!• •=:t..e.1..==s.'•unigr=s es rr•t•
sense,
i•rt•.=••.e•.r er t •..e e r=i•.•.rtar ir u=.ra eee.=a7ia•ii•ata= 1:6 r_is a ar=
s/= iiZ=' i== ___• ===
an
st=i:ii=S=:i ii=s=='M as
s=i=----: :::a=:sa. =Ri s Mlimilisi'•ar i'i. .
a
ra.913.1H . s i a
t=:_: ===Z::'i=i_:==SS ===isireS:'= =::5 ::"::::::::::s::::r;;=mesa i=='=t:s=::=:_:_1S • ' . • Ss=. :.s :memos•...sonUluj=ss:s:s::$:::s::HHH:s:::::::::::::;S:ss::s' s: ::
qul$$
s .sss s
s =s:sss i=s=:: :se=es's::: n :; i = ajii:u:ijuu!u:uHHH::wsimeesess
mmomemseNN= '
sssss=ss =eei iss's s if psi IS :a scman
sae SAS:::::e=iss=e=ss=s eessSs=ses=eses s=ee eesun!:=:e=un = =eese:: le.:;=sacs:asap;.:: =see='s . ; IIUHUISONIIINae "S;:; 's ss...s =It:!
pi s e:::nes@ as=masses==srss:ssestie s:smr:ss.ere.•rersmsresreere era..res::mm.a=:u=.m•mess r a sn ••1===i=r.••a
i=:=; r • • •r s sr. are •m.• ae ar.rrsere m s•a ssrrsrmssa •• s. •rem• r.rrars r • r a ei a---s•a so• - ere-.s:s:..=.=.*.sz....=.s,.,.s...,c=,.,.:. ..s..l.......s....s...11....,....,,3c. ..=..s,....:....,...=ei:;..:.lasp.:s:.s•s =::...a-s..---------..
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date Sept. 15 19 81
Fee Paid $. 42...00 Est. Value $. .7.9.000.00
Permit N? 12396ti
on the side o
Tumblebrook Drive Street
Street No. 176
Owner Timothy Thorton
Applicant Sandy I-aska - Aqua Pool
CERTIFICATE OF OCCUPANCY ISSUED:
Date
NO.
Fee Paid $
CLASSIFICATION
In-2round pool wifence
BUnDING PERMIT
N° 12396
OFFICB OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Sept.19 81.
94ija is to Cierfitu, That Aqua i2ee i p 6r a w
is hereby granted permission to In-ground 12ee1 16 s x 30 9 6"U llf-ence
I
at estimated value of $ ()8();-00
on the side of 17776 Iumbl-A%raak Mri ye Street on land
owned by Time by Thprf-er
Said Work to be as described in Application
No. 1269 and to conform to specifications and plans filed with said Application, and Building By-
laws of THE TOWN OF SOUTH WINDSOR.
Issued Sept 19 8.1
l`C'r ilding Inspector.
Streets and sidewalks, obstructed by ezcavations or building materials, must be guarded by barrios
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any parson 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."
I
I
I
I
I
I
I
I
I
i
INSPECTION REPORT 1
s
Permit # /
C Job'
1 Footing
2 Foundation1,44
3 Framin - !?9...
4 Wiring y
5 Plumbing
6 Heating
7 Lathing
8 C.O.
GARDNER Et PETERSON ASSOCIATES-576 OLD POST ROAD-TOLLAND, CONNECTICUT 06084
OPEN SP GE ITIMd R KNOLL,
320 N Cob LSD-54v.I N CoT 55-54 W
O F
O tj
24' i9 0dFF338.0se -aa
ZA
4,o
342
L AT.
1 0
1 UN IE!,L_E_e, R1VE C-3
PERMIT PLAN
LAND OF U . & R. HOUSING CORP. F.o~
tiF
LOT #5 , T IM BER R IDG E SECT ION I I I PTOWNOFSOUTHWINDSOR, CONNECT ICUT W
SCALE: 1 " = 40'
No. 4395
Certified substantially correct Rf oQISTERE 0
N
1 fit i' ,1'
i r
L.S. # 4395 G&M
May 21 , 1979
Elev. base M.D.C. datum
1 .
PROFESSIONAL ENGINEERS r LAND SURVEYORS
7644
F
ELECTRICAL APPLICATION
Application No. 8755
on the side of
Tumblebronk Dri ve _ Stroct
Street No. 176
Owner Timothy Thorntnin
Electrician Th oma c 7 i lam
FILED IN OFFICE Or
The Building Inspector
May 6 19 B1.
INSPECTION.
tv,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.
1 APPLICATION FOR PERMIT TO DO ELECTRICAI, WORK.
No.
Permit No. . ... ,ll`/`7.........
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
1.. 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.
0VSouthWindsor, Conn., ...`' &. ' "?- 19 Sign here
Address !9
Location ! ,. ..... Side of
Nature of Building . .. How many stories ............ ...j..... ............................................ ................
New or old Building .. ....Q ... ... ...... . How many families .................../............................................................................
Kind of In tallation ... per4. . How many Stores .................................
Qz-. Address /. (. -wi—ty_A-Owner
Architect ......... .... ... . Address
Builder ................. Address
ElectriciantXl. ... . ..... ........ . .. .. .......... . ... .. Address ... ..... ......... .......................................................................................
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 ................. .............
NoP 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 Jo
P..VC..........
Estimated Cost
00............. ..
FINAL 11 $PECT ON :i`
Building, APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date: S
Sprinkler 176 TUM13LEBROOK DR)VE
I .
Electric Estimated Cost $ 3¢o U
Zoning Permit Fee$ fo
Affidavit NO. 22035 Occupancy Fee $
Eng. Dept.
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ 4a
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE.Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The and rsigned, hereby applies to do work according to the following specifications:
Job Location 17-fe 7PM12&&M;?t: 1<2yr 401 No. S7; ide f Street Zone
Applicant n7 Gc n rt eS Q i2Ci r P e
AddressAA iller-- Zi 3 ic.# r
STREET CITY
Owner r. Address—
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
Size of Lot Dist. from Street Line athrooms Rooms 1 st 2nd 3rd
Purpose of this P rmit c o
n 1C Vic,
City Water Well Septi Sewer
Use Group Construction Type
Approved by Date BD1 A 11/88
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of South Windsor
and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this permit is asked,and agree
that this building is to be located the proper distance from all street lines,side yard lines and required distances from all other zones and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described gis application for permit.
Signed
DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# Inspections:
Sprinkler Permit# Inspections:
Electr-# o APPLICATION FOR BUILDING PERMIT
Plumbing# 176 TUMBLEBROOK DRIVE
HVAC # Date: 3 9
Sprinkl r#
No. 25880
FINAL ROV Estimated Cost 13 5oc
Building ( COMPLETE RED BOXED AREAS P rmit Fee
Engineer TYPE OR PRINT ONLY ccuponcy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. C; I K+Total Fee o
TO BUILDM DEPARTMEW,TOWN OFSOUTH WH)SOR,CT Additional Cost)
The undersigned hereby applies to do work according to the following specifications:
Job Location i 7b 17/z, Lot No. Side of Street Zone
Applicant cJOC- Se-Y2 Ck - 6-VAI AI f Ar q Tel# <ff o 6.5-f cM ao
Address /60 04ly-S'T R/b G Z GlAyzwApt y CT-zip 40,0- Lic.# 5.50 E
Owner jq,±&U,/ //C Address 1 76 `T jyi!g2udk D2. cS- I'IAJt So•C e T-o10
Architect Address
Sq.Ft.New Area: 1st FI. a 9 6 2nd FI. 3rd Fl. Total New Area v2 IF b
Rooms Lavatories Bathrooms Garages
Purpose of this permit: S NR0y1;9 4VAd d7oly ON DC-ek- w#77
City Water Well Septic System Sewer
Ins. H.O. P. Cert. Area Basement Garage
Approved by A0 Dat 3 10 1 Use Group Construction Type
R.vs.d 1197
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its use is allowed.
Signed C,,.:-
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit
Signed
DO N RITE BELOW THIS LINE
INSPECTION COMMENTS
r
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
99-25880-B 33,500
B01 FOOTING 04/22/99 RAN A
E03 ROUGH 05/13/99 JFF A LEFT TAG
B03 FRAMING (ROUGH) 05/13/99 JFF A DECK FLOORING ONLY LEFT TAG
B10 FINAL 01/19/00 JFF A WITH OWNER
99-16232-E 1,000
GARDNER & PETERSON ASSOCIATES-576 OLD POST ROAD' TOLLAND, CONNECTICUT 06084
OPEN SPACE T1 M ER I NoL.L
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of
MORTGAGE SURVEY Z
No. 10839
LOT #5 TIMBER RIDGE SECTION III
TOWN OF SOUTH WINDSOR CONNECTICUT
w <;-f_
z T:4=; •`
SCALE: I " = 40' s R;
a
I hereby certify to Peoples Savings Bank that the location
of the building as shown is substahtiailly Correct. and that
there are no zoning violations of the same.
I
L.S. 10839
August 28, 1979 w
F+
I, IPROFESSIONALENGINEERSLANDSURVEYORS
i(i f i
This n dw(, I t • - -
r•, ,s if hic proposed building of ...c.) .!
t^.d at
ther :,h r,,oenrfmrnts st,,t-d in p,pphention
1 .•th p; n .:nd ! )pr:e t,, cowply with .-H zunfn_
nd si t liws and such crd rs ds r.hnll h-
I r,y trie ;,mld!ng C)•,pirtment d,ir!ng pvndenc)
iris apphcation and final issuance of a build!nF
rn•;t.
w\
is plan is pr,,vrd sub;cct to the condition that
r,l-r an ,rdmanccs regulating building shall be
with
Conditionally Approved These filed with
Building Inspector Clerk
Date . / / Nd:
RDFICATION OF ZONING COMPLIANCE
Proposed building(s), use(s) and/or structure(s)
is shown on this plan appearls) to,, by in
onformance with current South -Windsr-r
gulations. Variances and special exceptions
iiay apply.
Date 3 `'
EW- emen tt offlow
PERMIT 0
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT I_.2 3Z
5 P a5
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROV DISAPPROVED 1540 SULLIVAN AVENUE
Ae— 644-2511 Ext . 230
bate— Building Inspector Application must be printed or typed
1 . LOCATION OF JOB
74rp r44jrj61 6o,,mX d)j
FEE SCHEDULE No . Street
0 - $19000 -Floor Apt . No.
Over $1,000 -
p e r $1 ,0 0 0 or 2 . OWNER
fraction thereof
3. ADDRESS 1
4. APPLICANT
5 . ADDRESS
6, ESTIMATED COST
7 . IS THIS A CONTRACT COST
Yes N
8 . FEE ENCLOSED $ J •
9. TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
e/lteration/Addition/Repair
Rn 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB 17 t—It4u,4le A.V-$6/ b
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION SPA Cr l•
13 . SIZE OF MAIN FEEDER T 4
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 MOTORS
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 N /
35 . REMARKS AND FURTHER DETAILS :
l- 1471 ;5l tl;;-,
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: