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HomeMy WebLinkAbout18 Sally DriveV Tl BUILDING INSPECTOR of the APPLICATION FOR l TOWN OF SOUTH WilrD501t.COii1N. PLAN EXAMINATION ANDBUILDINGPERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O ZONINGI• AT (LOCATIONIlbr DISTRICT, LOCATION 0.) STREET) OF BETWEEN AND CROSS STREET) CROSS STREET)BUILDING LOT ova A.334.33 SUBDIVISION C!!N LOT BLOCK 5ZE Igo x 33 7,0 7 to II. TYPE AND JCOST OF BUILDING — All applicants complete Parts A — D o A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking"most recent use m 1 ew building Residential Nonresidential 2 n Addition(it residential, enter number 12[Z2<One family 18 Amusement, recreational o/new housing units added, i/any, 13 Two or more Tamil — Enter 19 Church, other religiousinPartD. 13) y g number o/units——— — 20 Industrial3 Alteration (See 2 above) 14 Transient hotel,moteTihll, 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (1/multi/arnily residential, o/units ——————— —-i 22 Service station, repair garag enter number o/units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional 6 Moving (relocation) 17 Other — Speci/y 25 Public utility7FjFoundationonly26School, library, other educational B. OWNERSHIP 27 Stores, mercantile 8 Qf Private (individual, corporation, ZB 0-Tanks, towers nonprofit institution, etc.) 29,© Other •. Speci/y 9 Public(Federal, State, or local government) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., f d processing plant,machine shop, laundry building at hospital, elementary 10. Cost f improvement,,,,,,,,,,,,,,,, S QO school, secondary school, college, parochial school, parking garage for, department store, rental office building, office building at industrial plant.T be installed but not included If use of existing building is being changed, enter proposed use. in the above cost n Q LY 2 9a. Electrical...................... b. Plumbing ...................... C.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT Fs 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 OZWo d frame 41 49. Total square feet of floor area,Private (septic tank, etc.) all floors, based on exterior 32 Structural steel dimensions ..................... / aG 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34 Other — Speci/y 42 Public or private company Total loud area, sq. ft. ........... 3 ZO 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL 51. Enclosed ....................... 351ffGas Will there be central air 52. Outdoors........................ 16 Oil c nditioning?L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 N 53. Number f bedrooms.............. 38 Cal 39 Other— Speci/y Will there be an elevator? Full.......... 54. Number of 46 Yes 47[,iQ I bathrooms Partial. . IV. IDENTIFICATION — To be comp) ted by all applicants Nam Mailing address — Number, street, city, and State ZIP code Tel. No. 1• Clark Realty Inc.,, 658 Ellington n Road, Owner or Lessee South Windsor, Ct. 06074 82-0628 2.Same Same Contractor 3. Architect or Engineer The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application date DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Required Check Plan Review Date Plans B Date Plans B NotesqFeeStartedyApprovedy BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER Is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit r Approval Check Date Obtained Number By Permit or Approval Check ObtDained te Number By BOILER PLUMBING CURB OR SIDEWALK CUT ROOFING ELEVATOR SEWER ELECTRICAL SIGN OR BILLBOARD FURNACE STREET GRADES GRADING USE OF PUBLIC AREAS OIL BURNER WRECKING OTHER OTHER VII. VALIDATION Building Permit numbers Bui Iding P rmit issu d 19 Building Permit F C-0 Cj y/, cl'O prov d y: Ti TOWN OF SOUTH WINDSOR BUILDING PERMIT Date July 2 19 86 Fee Paid $.4.0 8.. 0 0 Eat. Value $6,$,0 0 0 Permit N? 15225 on the aide of Lot 453 Sally Drive Street Street No. 18 Owner Clark R P a_1 tv T nc, Applicant Muriel Jacques CERTIFICATE OF OCCUPANCY ISSUED: Date No. 7667 Fee Paid $ 3 .0 0 CLASSIFICATION nwe 1 1 i n g BUILDING PE lAff M 15225 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. 1996 94ig 'tog fit CVftjfYq That Clark Realty Inc is hereby granted permission to DWe llinQ at estimated value of on the side of Loot 4 5 3Sal 1y Drive Street on land owned by Clam Realty TV%^ Said —Wosk to be as described in Application No. 1 5 5 2 S and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued 15860 Bu ing 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 Amon 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 cats and damages which it shall sustain, or be compelled to reason therefor." Dwelling - Lot #53 Pl.V1 .2 sec2 7/2/86 Clark Realty Inc. 18 Sally Drive Permit # 15225 Electrician Richard Barrett 9282 Heating Contr. So. Windsor P & I1#6487 Plumbing it So.Windsor P & H # 7053 Oil Burner Certificate of Occupancy 7667 Sewer Penn it Plot plan ap rd. per Ex . p M a Permit No. '` t>y '.4 TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. a P Permit N C1 7667 Certificate of Occupancy 7 N THIS JS TO'CERT Ytl at i at N ri * in the Town of South Windsor, Connecticut, has 0 been erected and complet, in accordance with the BUildirg Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. Building Inspector c, Owner, ld6r Fee Paid Y~ -" Date REINO.- E. HYYPPA a 'ASSOCIATES I CIVIL ENGINEERS 8-LAND SURVEYORS tc GLASTONMY w CONN.8" 3AU SALLY RIVE 00.00• 78 1ti•L.IWE - clot z r A a Y r , p Z 8 f 1 _ '•'` .. E ' is o k •-.. .y , f <• l^,. Ira D RA1 AGE a COMSERVATtoN EASEMEN5 V_ N FAVOR C i' THE SouTH VflIdDSOR) AREA=33,670 S.F' S Z3' S8' 39 LOT LIMES FROM N1AP ON F L Tl'tL Ms nc ,s, sua vls+o.+azo z PLEASANT . VALLEY HOMESFLcrcF'LAm 5ecnoN 2, Y u SECTION was. SSOG ES c Y fit,.. C ASIOMBLWY,GO'4M- scA,« I*=4o` TMAPNO PREPARED . z7 FC)2 so 3 of %z:ls tEE1'S. Rev. w-10-85, PLEASANT VALLEY HOMES I r. o,aoci t q w• 4= - SOUTH W I N D50 FZ CONt. CEKTl 19 E D Su sw4 tA LY GoRREcT r 5CAL.-: 1"-40' DATE. lo 4 1-. A„ •_F.''r-.Vie- xa, +,-3A _ i. 'ri' r ,,`.a•• .,} Y A`,. cur-:„ M 'i '•,*.sl^,Y-:••.'P R1•...'',,'4` r. ,A,•1..7, v'{, - - .. " r IJ` , Y" s..rr 1 CJtN'L•v•+t'a R rl I 9282 ELECTRICAL APPLICATION Application No.10794 on the side of Lot #53 Sally Drive Stmt Street No. 18 Owner Clark Realty Inc . Electrician Richard Barrett FILED IN OFFICE OF The Building Inspector July -7 1986 INBPWrION. tw No Electrical Work shall be started until a Per- mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes. and the fire stops (if of wood) are installed, without a special permit from the of ee of the Building Inspector. Master LicenseTOWNOFSOUTHWINDSOR ifo. JPY--c-il—I Building Permit No.eZate .Date Filed IBUILDINGDEPARTMENT APPLICATION FOR ELECTRICAL WORK Date Final Approval .......... Electrical Inspector B LOCATIONAA4... JO (0. WNER:'11S&---- CoIk. Side of ..... B,e e ......Ck C................................... anden Name of Building Owner con 0-.Q-)....................... Address If work is for Lessee--Give name ................................. ........................................................ Address Building now occupied as (unless new) No of family units now ..... Building to be occupied as ............1%.......... ... Number of family units to beIsthisworkincluded k1a Building Permit? ..... Permit Fee ...................................... If no B tIA:-- Permit) IPerm11*AX- A.. ....... Business Addrei3"O.I..ba-mi5a 4clephoneittee COST OF INSTALLATION: ............ TO BE FILLED OUT BY PERMi;WE TO BE WIRED EXISTING APPLIANCESNumberoflightoutletstobeinstalled Number of convenience outlets to be installed Number of present Appliance Circuits ........Number of switches to be installed . Do these include Range Water Heater [:3Numberofappliancestobeinstalled . as listed below) Dryer Air Conditioner Oil BurnerTYPERATINGNO. Range . . . . . . . . Dish Washer [3 Gas Burner Range Top . . . . . . Well Pump [3 Mec. Heaters [3 Oven . . . . . . . . REMARKS: Water Heater Clothes Washer . . . , 7ClothesDryer . . . . . . Dish Washer . . . . . . Air Conditioning Motor . Oil Burner Motor . . . . Gas Burner . . . . . . Circulator Motor Attic r Large Fan Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . Number of new Lighting Circuits Number of new Appliance Circuits Number of Heating Circuits . i I Number of Motor Circuits . 6 Size f present service Size of service to be .----'JjC 1n0 7053 PLUMBING APPLICATION Application Nm 6.1 ?A on the ......_...._.. F Lot #53 Sally Drive Stmct Street No. ......— 18 Owner ........C1sr1 Realty I n c Plumber ..S-Q,.._Wind so r P & H Filed in Office of The B a&lg In pecoor 7/9/86 19 II TSP'C'1'!O1. No person shall comemuct, add to or altar ash portion of the drainage system of any boing except to repair lealm) una a Permit is Scamd by the Building IMpeaw. APPLICATION FOR PLUMBING PERMIT (Continued from Reverse Side) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB Lot #53 Sally Drive NO. STREET FLOOR APTAO. GENERAL PLUMBING 12. KIND OF INSTALLATION Residential 13. SIZE OF MAIN DRAIN 411 14. NO. OF TOILETS 3 STYLE tank-type 15. NO. OF URINALS 0 STYLE 16. NO.OF BATHTUBS 1 17.NO.OF LAVATORIES 3 18. NO.OF SINKS 1 19. NO. OF WASHTUBS_ 0 20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS_1 SIZE 3" 22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES 1 KIND 3' fiberglass shower 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? vE'-S 27. SIZE OF WINDOW 28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? electric vent fan 29. SIZE OF DUCTS 3 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?yes SIGNATURE L ADDRESS 524 Burnham StrPPt- Sn„th Wi nrlcn-r Q6074 LICENSE NO.203068 ESTIMATED COST S'10o y v TELEPHONE 528-441 OWNER Clark Realty Inc. ADDRESS 658 Ellington Road South Windsor 06074 WATER HEATER 31. TYPE gas fired 32. MANUFACTURER A. 0. Smith TANK SAFETY DEVICES 33. CAPACITY 40 gal lnn 37. TEMPERATURE RELIEF VALVE --?lC> o 34. TEST PRESSURE u/J S 38. MANUFACTURER_ 77__r 35. WORKING PRESSURE z 39. PRESSURE RELIEF VALVE AS I 36. TYPE i 1S i 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 SIGNAT APPLIC s PERMIT # Application For 6285 6487 DEPARTMENT DECISION iCoWHeatingPermt W O 3 E APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONSOa APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR o Cd 7/9/86 Thomas P. D' Auria 00 DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOW O V1 C 1. LOCATION OF JOB O 18 Sally Drive Cd G NO. STREET 0 W 53 0 LOT NO.FLOOR APT. NO. O 0 CV Ol w O 2. OWNER Clark Realty Inc. 0 0 ADDRESS. 658 Ellington Road be 3 South Windsor 4.PHONE 282-0628 4J Cd CO2 S. APPLICANT South Windsor Pluribing 0 6. ADDRESS 524 Burnham Street South Windsor 7.PHONE 528-4413 S. LICENSE NO. 307190 a o 9. EXPIRATION DATE OF LICENSE 10/1/87 or G 10. ESTIMATED COST : v U•V W o 11. IS THIS A CONTRACT COST?El YES NObo 12. FEE ENCLOSED S Permit 15225 is. TYPE OF BUILDING: b RESIDENTIAL COMMERCIAL c3 14. TYPE OF JOB: INDUSTRIAL ORIGINAL ALTERATI C INSTALLATI N ADDIT ONON REPAIR APPLICATION FOR HEATING PERMIT (Continued it m Reverse Side) 11. LOCATION OF JOB Lot #53 Sally Drive NO. STREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION; OIL BURNER ELECTRIC Cl VENTILATION SPRINKLER Or GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE BOILER OR FURNACE MAKE AND NO. 0T2G/9 B.T.U. OR SQ. FT. NET_L0! U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED TLL/J NEW OR OLD BUILDING __A?ZW INSULATED — YES OR NO TYPE OF WALL W0,006-Alle INSULATION CI—I' cj-z ROOF OR CEILING s INSULATION •'< <-•/:ram AVG. SYSTEM WATER TEMP. PiU B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE dv'6'C, o FAHRENHEIT MAKE OF RADIATION SEBOAR OPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U.Un•-,/ DESCRIPTION OF WORK / r ON/% G s L f/15. TO BE DONE;I Ol 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS); Roots slzE INDOWIII AND DooRs AREA - SQUARE FEET VOLUME e.T.u. e.T.u. 9-CI- DISTRIBUTION INSTALLED TOTAL TOTAL In LL ROOM NO. 6 GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED -J j n RAD. REGISTER L W N AND S TEMP. TO f: TYPE AND SIZE OR LEADER SIZE < WALL •Lt0 INFILT.)O SQ. FT.p DIFF. F F N FREE AREA TOTALSEll A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND B.T.U./HR. C. PIPING. OTHER THAN NORMAL B.T.U./HR. ALLOWANCE FOR HEAT VALVE OF FUEL (A B C) FACTOR 17. ELECTRICAL WORK BY; 1 L)L? y`''r'•[. NAME ADDRESS SUBCONTRACTORS AND t9. 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. 6/11/86 DATE SI AT APPLICAtr OrEALfw 1. t So+ KIND OF BUILDING eo I t Q 1 CHIMNEY SIZE CONSTRUCTION: WALL A))(- WINDOWS 11 v y-M.0 PCelc ROOF.OR CEILING •,• 'j " ` BASEM UNT MEIGHT: ABOVE GRADE BELOW GRADE DESIGlh4 WATER TEMPERATURE DESIGN TEMP. DIFF COL.1 2 3 4 5 6 7 H 9 10 11 12 13 14 15 16 71 17 1 ROOM SIZE WINDOWS AREA-SQ. FT. FLOOR VOLUME RA 11D AND DOOR;Y.rT. TOTAL TOTAL ROOM NuMwaw GROSS CLASS NET WALL CEILING (; u Nova) I;t 1 AT 7o F CORRECTEDTDTED WATER LENGTH ACCESSORIES TErr. TEMP 0A L W H ow AREA WALL `o DIFF. _ _; ENCLOSURE FIN L R S I.0 MIv_SIZE I 7 ID? 0 T[MP. DIFF. TUBE 1[ f 5 g 1 DO 1t 00 3?Qo o? 0 8 c $ a &n 3 -3,360 s d 3 3 00 eo 1330 15aoo a3008 l0 39oa a v I too WOO I10 l000 1000 0 03 of 37?0 i y a 2-f i 8 1/ a 0 /000 00 5 7®D 6 510 lf _ i vo Sao 1/ 0 3800 1131, o tb l S 000 /•t 00 00 9 0 o C3 I v 01 on 300 500 6 0 Oo 1 o 6 i 5-0 0 5 o 3vo 30 o 300 o Ill o f 2, o -11 I k ir gy A 9 J# J ?V9 Olt D 1 y 1Z 1/ cn JI Do 3900 t-1 l . oo vip 0 r no sad oo y00o MOM- FOR COMGMM FLOOR 0*40110M OR FILL AY 4"D9 l.RV$.a MW LINEAR Flat OF 2=1001001to Image TMALSFORALLOTMMFLOOR*UM*OUARK tuT OF ARKA. B ildnlg I pNSPE s , p APPLICATION FOR BUILDING PERMIT Plumbing HVAC Date: NE'7 Sprinkler 18 SALLY DRIVE Electric V Estimated Cost $ d 000 Zoning Permit Fee $ Affidavit NO. 17911 Occupancy Fee $ Dept. Fire COMPLETE RED BOXED AREAS.Fire Dept. TYPE OR PRINT ONLY Total Fee $ 3 Health Dept. SIGN ON REVERSE SIDE.Approved for CO: Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Job Locati A( Lot No. Side of Street Zone Applicant Tom C p'6rNl o E C A Q Tilt Tel. Address S3 FORbE'S s-1' 1E, cT-zip 06103 Lic.# 5_.2 31 EET CITY STATE l Owner ywko\1? 0kaM.Sa Address ll SAlt'.i ISK Sv .vJ;n So, Architect Address Size New Area: Ft. Front Overall I:S' Ft. Deep Overall i S Total Area o420 #Garages No. of Families —No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of LotAT r Dist. from Street Line d Dist. from Side Street Line Purpose of this Permit xvot%t AdPe re",j AJ ?J ZQq,,Z D/ o ,—_ City Water Well Septic Sewer 1XI Approved by Date BD1A 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 oft 'ding for which this permit is asked,and agree that this building is to be located the proper distanc from all street lin s,side yar s a required distances from all other zones and is located in a zone in which this building and its use is allowed. Y Signed 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 Foundation Fireplace/Chimney Insulation fO fi Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: REINO E. HYYPPA 8& ASSOCIATES CIVIL ENGINEERS =LAND 'SURVEYORS GLASTONBURY, . _CONN. s.3a+, s"SALLY•RIVE sm r 24 13 55 E ti 1000.0p' All t.11JE ti9 t9• VI 0 144 C X P ANS ram , 9..° . . 7a DRAINAGE -,$'' CONSERVATION MEMENT l W F&VOR OF THE .Zt N 'OF SOUTH v1NOSOR) s AREA=3 F.3,670 S. 4. lei I.OT URES FROlS, M NIAP ON FILE T1Tl.EQ 1no S ACE' SusDtvlstow a W PP+.1w sEcno PST LEA SANT VALLEY_HOMES Jv SECT1O1 ONlrl•*b11 w1w, f-.Nw a T AsSbcWI C.. GC r y •• r q: `.f 1 3.. ti, .y6``sJ:`jl4{ }.! . tJ ML.E tdOE.R=S *i.a1•tD St,1RvEyOSZS t'1='PREPARED - , FO oilMeer 12'?K t''S, REu IQ-10-85 PLEASANT VALLEy HOMES-lI o.,,. ite:oAsw•. Y IJTH tlVf NDSOR GONN. 7Itmcw VIOLAT1o1JS CER'TI FI FED SU 5TAtvT1AU.1j CntzE T 5CA(; I" 4p' 40 DATE: Ir-t1- a L c_Q-"ice •S.1 ' F1•.'..i` Sf •5 :7` •• i.,-' .' r• -_ ry.}r 1 i . - fr;`+' ,l•y i ••>+..y.sf';1 s•.x7'}F-,•a9.f: ,•if,. p,°Nri ••-^7.. _ :' . [! L` ^U, •* •__ t ":. r; ..i. -+fit' :rr. — _j r'•e• 1 1J L 14 1989 South Windsor BUILDING DEPARTMENT i ".(SIC' *' r^'t l-• r CERTIFICATION OF fE.71 1,.,.,4. .,. ZONINGProposed COMPLIANCEPsedbuildinUse(s)g(s), r as shown on this and/or structure(s) G t j ruble to conformance plan aP earO to be t.I G ,. r, .:.. ce with currentp s I n regulations, Variances and south Windsor r, i;k, „ may apply. special exceptions Date vW/ iY pp y oning Enforcement Officer, PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 015 0 Application is hereby : TOWN OF SOUTH WINDSOR APPROVED D AP BUILDING INSPECTION DEPT. 644-2511 Ext . 230 y Application must be printed or typed . Date Building Insp r 1 . LOCATION OF JOB E f FEE SCHEDULE No . Street i 0 - $1 , 000 -10 . 00 Floor Apt . No . Over $19000 - 10 . 00 per $1 , 000 or 2 . OWNER fraction thereof 3 . ADDRESS 4 . A P P L I C A N T JT4 r j -tt= l 5 . ADDRESS2/6) S6 Lz"- C ao F6 6 . ESTIMATED COST 7 . IS THIS A CONTRACT COST ajYes No 8 . FEE ENCLOSED $ q /l 9 . TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB : Original Installation Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB I S ' SatZ:D )- NO * STREET APT. NO, 12 . TYPE OF INSTALLATION 8 p..4vz"e 2e—!4 13. SIZE OF MAIN FEEDER (o o .4 14 . NO. OF LIGHT LOOPS I 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 : T LICENSE NO . GNATURE OF APPLICANT DATE PHONE NUMBER : Z - 'ID