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Home My WebLink About1766 Main Street (4)3922 PLUMBING APPLICATION Applicatim NO. 3 711 on the of Saac Strut No. ............ Owner ....._...._ Plumber Filed in Office of The Binding rpectior 12-29-69 19 No person shall aoosaucc, add do or aher any portion of the drainage system of aay bwl&og except to repair leans) until a Piermit is wed by the Building Ingmmr. srf)'t-, Application No.......... .711................. Permit No. ............39 2 2........ 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. South Windsor, ...................... . .... .............................. 19 0...... Sign here ..... „''' ... Address .............. .. ........................................... Location .......... t................................................. side of ...................................................................................................... Street Nature of Buil .............. ........... ........................................................ How many stories . .....,/.........................r........ Owner ............................................ .. Address....r7........................................................................... Architect .................................................................................................................... Address ........................................................................................................................ Builder . .................................................. ...................... ........................................ Address ........................ ........................... j... ',' r Plumber a Address ............. ............... '... .....................6....`../........ ........I......... DRAINAGE CESSPOOLS, How many .. ............................................ .................... Where located .................................................................................................... Are they water tight ....... . .......................................................................... Of what materials are they built .................... ............................... Sizeof pipe from house to cesspool . ........................................... Kind of pipe ................. ................................................................................... MAINDRAIN IN CELLAR, Material .................................. Diameter ................................................................................................................ Aboveor below cellar bottom .. ........................................................................................................................................................................................................ SOILPIPES, Material ....... ................................................................. Diameter ............................................................................................................... ASTE PIPES, Material ......... ..... .................................................... Diameter .............................................................................................................. 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 WATERCLOSETS, How many .................................................... Where located .... ............................................................................................. 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 .................................................... G,.: 7......................... LAVATORIES, How many .....................................Z......................... Where located .......... ................................................................................... BATH TUBS, How many ........................................Z........................... 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 arse to be located ............ . Estimated Cost................................... ..'v.............. 6443 ELECTRICAL APPLICATION Application No. 6750 on the side of 1766 Main Street Street No. 1766 Owner Wi 11 i am T.ar.y Electrician Wi 11 iam Lac-v FILED IN OFFICE Or The Building Inspector Anri l 12 19 78 INSPECTION. No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. 1n New Buildings no wiring shall be started until the plumbing and heating pipes, and the Are tops (if of wood) are installed, without a special permit from the office of the Building Inspector. a " /J APPLICATION FOR PERMIT TO DO ELECTRICAL WORK, No. .........6..7..5.Q................ Permit No. ........6..4.4.3.. ............. 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, Building By-Laws, shall be complied with whether specified herein or not. I / South Windsor Conn. . .X.... .... ..j.6.. .................. 197 Sign here ...........'4 i1 /.................... Address ..1...7 b...... A 5!D I..7`.6........:A-J h.....SV.......................................... .......... Side of /.. .5.................................................................................................Location Natureof Building .............. t:I .V.S,V. .............................................. How many stories ..........t................W.o._......................................... New or old Building ......... .......B..l l..!....!^...b fS......... How many families ....b.--......._.........._............................_........... y Kind of Installation G' --*. . How many Stores Owner ......W....±...!. .'` ............... 0.-C ......................__............... Address Architect ......................................... ..................... ... ..................................... ..... Address ..........................................................................._.........._..._..._.._._............ Builder ........................... ...................................... .............................................. .. Address ................ 1/.yy...............................................rr.....II...................._.,_p_....}._............... Electrician W..!.,. . . .............. - ................................... Address 1766...i rr ./'... W..'.l.'.l..t p 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 ............ ............................... .............. I No. of Receptacles ................................... ......................................... . .......... No. of Cord Drops ............................................................................................... Remarks: For other kind of Installation ... ......C..Rl'x..Y Q 1 ..........V. •••••••••••• R.........e1 ar..............o.. r ,...: . . , .........' he—.......... g,,d..- .... 0 A.......... - -1R.........fix. *R4.Sa-................................................................................................................................... .............. t i 0`Estimated Cost ... .. ti t TO THE BUILDING INSPECTOR of the APPLICATION FOR TOWN OF SOUTH WINDSM CAMW PLAN EXAMINATION A N O BUILDING PERMIT IMPORTANT — Applicant to complete all items in section : 1, 11, 111, IV, and IX.O ZON r I DISI• AT (LOCATION) DISTIIjyCCi''—LOCATION O') STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE NII. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D o A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use 11 New building Residential Nonresidential 2 Addition(1J residential, enter number 12 One family 18 Amusement, recreationalofnewhousingunitsadded, if any, in Part D, 13)13 Two or more family — Enter 19 Church, other religious slumber of units— — — — -- 200 Industrial3Alteration (See 2 above) 14 Transient hotel, motel,21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (I/multi/amity residential,o/units ——————— — -- 22 Service station, repair garage enter number o/units in building in 15 Garage 23 Hospital, institutionalPartD, 13) 24 Office bank16 Carport bank, professionalp6 Moving (relocation) 25 Public utility17 Other — Speci y7 Foundation only 26 School library, other educational B. OWNERSHIP 27 Stores, merconfi le 8 N; 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 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 s34 Other — Specify 42 Public or private company 50. Total land area, q-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....................... 96 Oil c nditioning?L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 No 53. Number f b drooms.............. 38 Coal 39 Other— Specify Will th to be an elevat r? 54. Number F Full.......... 46 Yes 47 No bathr me Partial........ . NOTES and Data — (For department use) IV. IDENTIFIC TION — To be completed by all applicants Name Mailing address — Number, street, city, and S to ZIP code Tel. No. Owner or I Lessee 2. Contractor egoZ i 3. Architect or Engineer Theo ne of this build and,td5e u ne agree to conform to all applicable laws of this jurisdiction. Sign71Pre f appl c nt Address Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required 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 Approval Check Date Date Number ByObtainedNumberByPermitorApprovalCheckObtained 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 Bui Iding Permit number 11218 Building Permit issu d OCt. 26 19 7 Building Permit Fee $ 4.00 Approved by: A E TITLE NOTES' VIII. ZONING PLAN EXAMINERS DISTRICT SIDE - .SIDE YARD IX. SITE OR • Applicant Use ii S: •_•sR I _ 0 Im s memo.i a s:z••i :i::=:esss:s • ':i' sHERss=::l:s . :ss. its sa::::::::s....10 6 si ::. . :m s i as • IiI311 • ....... • ••. •.• ... . su s m••es :• .i. s. ssis sss ; ..s• r. ..mes.; ss..;sm. ;.••:g:s;.:::i; •:: s ..i . . .. its i .. i.. .si..:..... ... ..: ;... . . . i:. .. C i i . _ •:s:: • HuHme l:: • see m.se ••.•• •.some.•. • nomes• : H s • • . s moone 1s:1=8ssi.IIIIIIIIIIIIHNIHo :: iI =i :e$$i iI...Isi iili=ii==s; sI! UNItansss si e Hill p . ... . . .. .se.. . .. ... Nae :a:l;sm .g•;gl:.•u m•: :::::: • . 5• m.. • • .m R••ii. • i ss ss:• asms•s •s.. ss .•.mm••. • ssi •IN z;s:s•e:m.= :isaa:L.ss.ssem:e.•rise==•..rss••a.=:•: u s. ss.s s s.. s. .. . sr•re . • . • . s• • •. •. ee : : : ses .. s;.; aa; ;.. i=seesissHima r::ess:sss;s..e::•ese;=..e 6:s iss s s :iis.issie: Inuinsesssi=i:is== ::zs:s::::sa:s:: u::ss:==:ssss=ssl::s:.•i :$s:sai is e: •ii::a iii seii:::asii::l: =;si.=; ..; .;;e:i's:"s:e:`::e::':silinu=•= i..:;=• .; : .. ' :: R_; ' iumn,s :_ s:':s:: ss: sss::seas.I:.:e.. ..nas iii: a • ss nii s = s ss s s ss ss= .s is 'is=ii i i s:sibs:. . .sssi.m..s:s:ssie: ::s:s::=:: .:::::::::::..::::.::::. :. . ..: a:. :::. epee i M/\VP: :\ :I----- --- -/::l 1------ l. 11 --IFHIP_ au-11"=i l.=Cl nmeal_ TOWN OF SOUTH WINDSOR 4 , BUILDING PERNIIT a Y J a Date- Oct. 26 19 7 Fee Paid ,.4...Q0 Est. Value $..300. OC Permit 11218 on the ride of Main St, e Street No.1766 Owner Willi-AM Lacv Applicant David Patric F.w CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid Wood gtnue et-gl fly BUR DING PBRMIT N? 11218 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. t.-2„ 19 i C) 14is is to Tiertiolfti, That Davit, `da t-ri8` is hereby granted permission to woodi S t oys a i-j O 19'33'aL at estimated value of $ on the side of S766 Main Stre" Street on land owned byLary Said lilo-rk to be as described in Application No. 1' ?R— and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued:, Oct - 26 19 79 Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers during the day and by both barriers and colored lights by night. SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a license therefor from the city or borough in which such highway may be situated, he shall pay said city, town or borough all costs and damages which it shall sustain, or be compelled to reason therefor." PERMIT # p`f DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT )4 Application is hereby : TOWN OF SOUTH WINDSOR APPROVED DISAPPROVED BUILDING INSPECTION DEPT. 644-2511 Ext. 230 Application must be printed or typed. Date Building Inspector I I 1 . LOCATION OF JOB 1 7 Co Co FEE SCHEDULE No . Street 0 - $19000 - 10. 00 Floor Apt . No. Over $1 , 000 - 10.00 Coper $1 ,000 or 2 . OWNER X,40fy COIQ_ fraction thereof 3 . ADDRESSJ A6 /91hs- 14 . APPLICANT Jc4 Iv 5 . ADDRESS Ll i 6 . ESTIMATED COST $ 7 . IS THIS A CONTRACT COST J Yes No 8 . FEE ENCLOSED $ 9 . TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 10 . TYPE OF JOB : Original Installatioi!- eration/Additioj Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB 11 (9 6 V-n c,o) h c i , NO. STREET APT. NO , 12 . TYPE OF INSTALLATION e 1GC S , od'y c,e ,Stb ' e, }.G r n c,. T afore e. S 13 . SIZE OF MAIN FEEDER 9L A v 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 35 . REMARKS AND FURTHER DETAILS : LICENSE NO . SIGNATU4 APPLICANT DATE PHONE NUMBER: C `</ J J- V ` 0,0 M •t+t y r T-OWe s 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074 tioBpR•co,' AREA CODE 860 /644-2511 July 13, 2000 CERTIFIED#P462498104 Dale P. & Robynn K. Shannon 1766 Main Street East Windsor Hill, CT 06028 Re: Appl. #2471-00—Dale P& Robynn K. Shannon, 1766 Main Street,East Windsor Hill, CT., A-40 zone. Dear Mr. &Mrs. Shannon: At the meeting of the South Windsor Zoning Board of Appeals held on July 6, 2000, the Board approved your request for a 22' variance to section 10.2 to allow a proposed garage addition 28' from the property line(50' required), at 1766 Main Street, East Windsor Hill, CT.,A-40 zone. The Board concluded the hardships to be as follows: 1. Constructing the garage would bring the use more conforming than it is presently. Current zoning regulations require a garage in the A-40 zone. 2. Options of placing the garage in other locations are limited. Any new building, or alteration/additions to existing buildings, requires a building permit prior to start of construction. These actions are effective upon your filing the enclosed form in the Town Clerk's Office at your cwn expense. Very truly yours, ry-'A lic l is A-P' i r Marjorie thony, Chairperson Zoning Board of Appeals MA:dr cc: Building Department OW N SF4 Town a, 1540 SULLIVAN AVENUE SOUTH WINDSOR, CONN. 06074 SOR-co v AREA CODE 860/644-2511 CERTIFICATE OF APPROPRIATENESS Certificate Number 00 Date Issued Julq 111 -'),000 To: Dole I? A - 3AalinoI7 Applicant , Name(s) of Owner f)ale P OLD hnki Address U&Ma in S+. Address of proposed work 15 G m P. Contractor S e IF: e re G or 4-1 On J U1 jj the Historic District Commission voted to grant this Ate Certificate of Appropriateness for work described in Application for a Certificate of Appropriateness Number 00 — dated Jur1e .ZG 20v0, COMMENTS/STIPULATIONS: d o e aAAUt Historic Di strict om_i Cha. For Building Inspectof Use (when inspection is necessary) This certifies that the work herein described has been completed in compliance with the terms specified. Date of Inspection Attest Building Inspector Dated: The property at 1766 Main Street has no street frontage. The house sits 360 feet from the street and is the only structure on the property. During the summer,the house cannot be seen from the street because of the trees. There is a very limited view of one end of the house through the trees in winter. The front of the house faces south,perpendicular to the street and is only seen coming up the driveway at about 70 feet from the house. With the help of Design Professionals, Inc., we determined that the west end of the house is the only suitable location for the proposed garage. The garage cannot be built on the east side of the house because that is where the septic system is located. It would not be possible to build on the north side(back) of the house because the land slopes down to the creek. Finally, building on the west side maintains the current flow ofpedestrian traffic and access to the house through the keeping area and kitchen. The house is designed as a Cape. It was built in the middle to late 1930's. We wish to maintain the simple clean Cape look. To that end, we have been working with our architect, Dan Wright, to design and build a garage that enhances that look and yet is functional. The house was built in part with recycled materials and has had two additions a full dormer on the back and an addition to the kitchen) so while we intend to coordinate the design of the garage with the house there is not a completely uniform design to follow. Orienting the garage perpendicular to the house was based on our desire not to have garage doors on the same side as the front of the house. As noted earlier the simplicity of the design and relatively small size ofthe house would be easily overwhelmed by placing the garage doors on the front side of the house. In addition to the garage design being consistent with the house, our selection of materials will be consistent with the materials currently on the house. For example The windows that we will use for the side ofthe garage that faces the front will be 12 over 8 cottage style true divided lights. The cedar shingles will be re-squared and rebutted cedar shingles. The paint for the shingles will be MoorLife Flat Finish Latex Brilliant White 105 01. This is the paint color that was used to paint the house. All trim will be painted MoorGlo soft gloss Latex Black 096 80. This is the trim color on the house. The outdoor lighting for the garage will be Quoizel light model number QUOOX8379BA or equivalent, matching the pole light in the front yard and the outdoor lights beside the house doors. The roofing shingles will match those currently on the house. The two garage doors will be 9 feet wide and be a gray or blue. The pddestrian door will be a standard size and will most closely match the kitchen door which is a true divided 4 light top with 3 panels below. We propose to build an attached garage, 24' x 36' (standard size for 3 car garage); the attached site map shows the proposed location for the addition. The roof ridge line of the addition would be at right angles to that of the house. Although the proposed addition would be the size of a 3 car garage, only two-thirds of it will be used as a garage;the other one-third will be a workshop. The addition would have two 9' wide overhead garage doors, and one man door(to enter the workshop area). It would also have two double hung windows(with divided panes) on each end, as well as one at the back of the workshop. The attached floor plan shows proposed location of doors and windows. We are proposing to attach the garage to the west end of the house so that the garage can be entered directly from the kitchen. Because of the natural slope of the lot, the addition would set a few feet lower than the house. The addition would be sided with wood shingles,painted white, to match the house. The roof would have asphalt shingles that would match those on the house. We are working with an architect (Dan Wright) who is committed to designing an addition that complements the house and sits attractively on the lot. If available before the date of the Historic Commission hearing, we will submit his preliminary drawings. The house is 360' from Main St. and the property has no frontage on Main St. It is accessible only from a private right of way. The house is not visible from the street, and we anticipate that the garage will also not be visible from the street. 24' 6090 3' 1610 13' 9 57 it c F C4 N LnD 2r Lg i -- Vl 1 24'- 78 4-- T-- M- 423' AL 5' 8 62 14' 4 6' 2 5! 8 4' 38' 4 i S-OU& ?d&"Ot 04 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074 osoR•co AREA CODE 860 /644-2511 July 13, 2000 CERTIFIED # P462498104 Dale P. & Robynn K. Shannon 1766 Main Street East Windsor Hill, CT 06028 Re: Appl. #2471-00—Dale P & Robynn K. Shannon, East Windsor Hill, CT., A-40 zone. Dear Mr. & Mrs. Shannon: At the meeting of the South Windsor Zoning Board of Appeals held on July 6, 2000, the Board approved your request for a 227 variance to section 10.2 to allow a proposed garage addition 28' from the property line(50' required), at 1766 Main Street, East Windsor Hill, CT., A-40 zone. The Board concluded the hardships to be as follows: 1. Constructing the garage would bring the use more conforming than it is presently. Current zoning regulations require a garage in the A-40 zone. 2. Options of placing the garage in other locations are limited. Any new building, or alteration/additions to existing buildings, requires a building permit prior to start of construction. These actions are effective upon your filing the enclosed form in the Town Clerk's Office at your own expense. Very truly yours, Marjorie thony, Chairperson Zoning Board of Appeals MA:dr cc: Building Department DEPARTMENT DECISION PERMIT# APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE P?d 644-2511 ext.230 Date Building Inspector Application must be printed or typed Location ofjob Street No. Street Lot No. FEE SCHEDULE k3-P Floor Apt.No. 0 - $11,000 - $4.2-W Over $1,000 12.00 per$1,000 OWNER Pt A 0 N 0 rJ or any fraction thereof ADDRESS OWNERS PHONE# APPLICANT C-.\vx k r\per wkors-', i ADDRESS , `^e Q' '' i . Fq< ESTIMATED COST$ I(CSO Aw IS THIS A CONTRACT COST? YES NO FEE ENCLOSED $ SCR'CO TYPE OF JOB: Original Install"R Alteration/110 Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS \NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/(1O NUMBER OF LIGHT CIRCUITS L NUMBER OF POWER CIRCUITS Z NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK p. Z 2-o° °' S,•C1t- ``' `-A''s S c. THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. B ILDING CODES IN THE PERFORMANCE OF SUCH WORK. 12 5' 2C) - = NAME STATE LICENSE NO. (TYPE IGNA OF APPLICANT PHONE NO.b Z DATE O, Z "Uri J INSPECTOR Q7y- _DATE 7 *) TIME LOCATION A INSPECTION: CODE: RESULT(D/A) : BUILDING: ELECTRICAL: r PLUMBING: i r r HVAC: OTHER: