Loading...
HomeMy WebLinkAbout194 Lisa DriveTO THE BUELDING INSPECMR t6 APPLICATION FOR Towi I OF SOUTH WUMSOR,CONK PLAN EXAMINATION A N D BUILDING PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O ZONING AT (LOCATION) DISTRICT LOCATION NO.) STREET) OF BETWEEN Q9AND BUILDING CROSS STREET) CROSS STREET) aS LOT SUBDIVISION O w D LOT-9 BLOCK SIZE t' G 0 a f II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking"'most recent use m 1 New building Reside tial Nonresidential 2 Addition(1/residential, enter number 12 0One family 18 Amusement, recreational o/new housing units added, i/any, 19 Church, other religiousEfTwowoormorefamily — EnterinPartD, 13) number o/units—— ——-- 20 Industrial3 Alteration (See 2 above) 14 Transient hotel,motel, 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking 0/mu/tiJamily residential,o/ units ——————— — -- 22 Service station, repair garage enter number o/units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional6 Moving (relocation) 17 Other — Speci/y 25 Public utility7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, mercantile p 28 Tanks, towers U8 Private(individual, corporation, nonprofit institution, etc.) 29 Other — Speci/y 9 Public(Federal, State, or local 9 vernment) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.9., f d 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....................... O b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator, etc.)............ JF-fn11. TOTAL COST OF IMPROVEMENT $ 000 i 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 p Wood frame 41 Private (septic tank, etc.) 49• Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions ..................... ©co 49 33 Rein( rced concrete H. TYPE OF WATER SUPPLY 34 Other — Speci/y 42 Public or private company 50. Total land area, sq. It. ........... 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES F. PRINCIPAL TYPE OF HEATING FUEL 1. TYPE OF MECHANICAL St. Enclosed ....................... 35 Gas Will th re be central air 52. Outdo rs........................ 36 Oil c nditioning?L. RESIDENTIAL BUILDINGS ONLY 37 BINElectricity44Ys45N 53. Nwmhor (bedr ma.............. 38 C of 39 Oth r— Specify Will there be on I voter?Full.......... 54. Number of 46 Yes 47 V N bathrooms Po tl I........ ' p IV. IDENTIFICATION — To be completed by all applicants Name Moilinj address — Number, street, city, and State ZIP c de Tel. No. Owner or Dart Hill RealtyInc , 658 Ellincrton RoadO Lessee South Windsor , 2. 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 Applicati n date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date Plans Plans Review Required Check Fee Started By Approved By Notes BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit r A rova 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 J P rmit number Bui lding P rmit issu d 6 19 Bui Iding Permit Fee $ `1,3 coc' d rov d y: 7iTLE TOWN OF SOUTH WINDSOR BUILDING PERMIT Date Aug- 27 ig 86 Fee Paid $.4 3 2..0 0 Eat. Value $. .7.2.,.0 0 0 Permit N° 15373 on the aide of mot #SO T_.i Ga Drive Stteer Street No. 194 Owner Dart Hill Realty Inc. Applicant Mu r i e 1 ,Tacr=Le a CERTIFICATE OF OCCUPANCY ISSUED: Date No. 7722 Fee Paid $ 3_.00 CLASSIFICATION Dwelling BUH DjNG PERMIT M 153'73 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. Aug. 2719 86 94is 'to to (gerfi fg, That Dart Hill Realty Inc. is hereby granted permission to at estimated value of $ on the side of T .s_ Street on land owned by art Hill Realty Zne Said -weLek to be as described in Application No.lS!I!;; — and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WIMSOR Issued AuQ- 27 1986 00 I d Building Inspector.r i Streets and sidewalks, obstructed by ezcavations 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." Dwelling - Lot #80 Mtn.Vw. 3 8/27/86 Dc'rt Hill Realty Inc. 194 Lisa Drive Permit #15373 Electrician Richard Barrett # 940 5 Heating Contr. Gaetan Grondin # 6609 Plumbing is Gaetan Grondin 7145 Oil Burner Certificate of Occupancy 7722 Sewer Permit Plans apprd, p gr. d a M r Permit No. J :' TOWN OF SOUTH WINDSORM SOUTH WINDSOR, CONN. i Permit N O 7722 p r Certificate of Occupancy 1 THIS_J&TO CERTIFY that the 4 at No. !` r--- .' n f--tll y( ' in the Town of South Windsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby appr ed occupancy",, J i Building Inspector Owner,''Builder Fee Paid Date 19 ('S RENVQ E. 14YYPPA 8 ASSOCIATES aVIL EWAWXM s L&M *AvEVM GLASTC NSURY, Comm PwPQ pM PtR N fF C.101•tbA'``1 p1+,atiu0 4-L d 51 law r tcsa,''S' r 00, ti 1 i S d% R f1"' _1 ;• a9s•J 341 .1 j Zr,.4- ARM- kt' 1.I Z 14 1 T a Skw.S.k+tQ. r SMit ti.C(r t, NEZ FROan MAST CW F 11.-E 7!r..F-Z, V tNsft,-E 5.v!'DWssJw b-'53 PLC P,&0.N 5EG740F4 5 MJO&VA&WAEwt rt4o* DATE:s-z;-VWWp,4Cv..W-e;2- oF'°r"ITS u v .--_.- PREPASED FOR Vt;la t.4tu' A--'S"aw N w-ZM•e4 jzwtV-, w w« HILL REALTY INC.f To CERTIFIED CI Tiauy c Ect SOJTH WNDSOR. CONK. SCALE'. -40' EWE:, S-64 51# tZ t4ologro aa,"p, I IF) N' T 9405 ELECTRICAL APPLICATION Application No. 10 917 on the side of Lot #80 Lisa Drive Street Street No. 194 Owncr Dar Hill RPaI v Electrician Richard Barrett FILED IN OFFICE OF The Building Inspector Oct. 1 19$li INSPBCrION. mNo 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 are stops (if of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit No. Master License No. Cx-?......... TOWN OF SOUTH WINDSOR Building Permit No. BUILDING DEPARTMENT Date Filed ...... Date Final Approval ..................... .......................... APPLICATION FOR ELECTRICAL WORK Electrical Inspector J.......(c).....................................JOB LOCATION: ll . ................................... JOB-OWNER: OV\,Side of .... Between and ............ Name of Building Owner Cc............ .. ... .......... Address C ........(...CC.L\.t.......... Ifwork is for Lessee—Give name ... ..... . . .. ....... ................. ................ .... Address ................................................................................................. Building now occupied as (unless new)No. of family units now ..... Building to be occupied as ............. U,Number of family units to be .......I......... Is this work included in a Building Permit? Permit Fee ................ ............................................................................................................. If no Building Pern it) Permitte Business Address ...U0 I.-...CTclephon(,/...1!...._.-5 COST OF INSTALLATION: - LqL&.f 0L..................................... ... .................................................................................................................... TO BE FILLED OUT BY PERMITTEE TO BE WIRED 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 Number of appliances to be installed J .................. as listed below)Dryer Air Conditioner [3 Oil Burner TYPE RATING NO. Range . . . . . . . . Dish Washer Gas Burner C] Well Pump Elec. Heaters [3 Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater Clothes Washer . . . . Clothes Dryer . . . . . Dish Washer . . . . . . Air Conditioning Motor . - Oil Burner Motor . . . . Gas Burner . . . . . . 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 I.................. Number of Motor Circuits . . . . . . . Size of present service ................ ...................... ....................... Size of service to be . ................................ i145 PLUMBING APPLICATION Applicatim N - 6 815 on the .................----of Stamec Street No. .l 3 4 Lisa Dr. Lot 80 Owner _J"`JM Construction plumber ..Uae fan uronuin Fled in Office of The BWk6g October 16 19 n 8r c,-rjox. No person shall emmoet, add to oe abw sty portion of the drainage s'stsm of airy busing except to repair leaks) uWA a Plermit is gtamd by the Building Inspecow. APPLICATION FOR PLUMBING PERMIT (Continu d from R v rse Side) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB L' / l z Z'iaNOSTREET FLOOR APT.NO. GENERAL PLUMBING 12. KIND OF INSTALLATION c&Z 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS STYLE /'-,Z D d yG 15. NO. OF URINALS STYLE p 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 14i'j jEZ2KI ND 3,^,>< R C oeQ C C6 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? 27. SIZE OF WINDOW 28. IF NO WINDOW,WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? SIGNATURE G' ` ,v, U%U O DD RE SS LICENSE NO. t)D ,3-'20 ESTIMATED COST C) TELEPHONE OWNER,j/ \Z: C 7 lU C %a ADDRESSI T,N ?S'OG// A&/,OSI WATER HEATER 31. TYPE S LJ(.. 0) 042)Lo e4-1 32. MANUFACTURER l / `- TANK SAFETY DEVICES 33. CAPACITY 37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE 38. MANUFACTURER 35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE 36. TYPE 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 DE. C0962 DATE SIGN RE OWA;%'PLY6AtW PERMIT # Application For 6407 6609 DEPARTMENT DECISION 0 Heating Permit GAPPLICATION IS HERESY: r DEPARTMENT OF LICENSES AND INSPECTIONS APPROVED DISAPPROVED TOWN OF SOUTH WINDSORd O o , 11/:5/36 Thanas P. D' Auria 00 d DATE CHIEF INSPECTION APPLICATIONS MUST BE PRINTED ON TYPED. BEGIN WITH NUMBER ONE MEL W O ' A E 1. LOCATION OF JOB r. O J l9 A Tj Qa Drive C0 Q STREET 0 LOT NO. FLOOR AR. NO. O 0 OWNER 0 a o i. ADDRESS Z-1+ ESL/d eo01 s.PHONE V! C S. APPLICANT !/- U ti'O ice-' 0o a1 o IA s. ADDRESS 12 S1`.42L ,S' ,O 2 U T,r_/l ram!..t-(6 oQ s.PNONE ` 5 w LICENSE NO. zc;r 3 Q w O. EXPIRATION DATE OF LICENSE0 v p 10. ESTIMATED COST S L O N E r" 11. If THIS A CONTRACT COS" YES NO 00 12. FEE ENCLOSED Permit 15373s 0 is. TYPE OF BUILDING- IA 0 NESIDENTIAL COMMERCIAL 4' a 14. TYPE OF JOB: ORIGINAL ALTERATIO INDUSTRIAL 3 INSTALLATION ADDITION N REPAIR I i APPLICATION FOR HEATING PERMIT (Continued from Rev m Side) 11. LOCATION OF JOB ZO r P-6 NO. STREET FLOOR AFT.N . 1:1. TYPE OF INSTALLATION: OIL BURNER ELECTRIC Cl VENTILATION SPRINKLER Gl GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY LOCATION SIZE SIZE 13. OFTANK 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.••441 B.T.U. OR SO. FT. NET DB.T.U. OR SO. FT. GROSV—&-0—PARING RATE 10 FLOORS TO BE HEATED NEW OR OLD BUILDING Ly INSULATED — YES OR NO TYPE OF WALL -ak INSULATION ROOF OR CEILING INSULATION 2f:2_ AVG. SYSTEM WATER TEMP. B.T.U./SQ. FT./HR. EMISSION INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS. OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SO. FT. OR B.T.U. DESCRIPTION OF WORK 1s. TO BE DONE- 1 d. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): Roots slzE rINDOr.s AREA - SQUARE FEET E.T.U. E.T.U. i DISTRIBUTION INSTALLED ANO oOORS VOLUME TOTAL TOTAL ROOM NO. ORGY GLASS NET MALL CEILING FLOOR CU.FT. AT 70'F CORRECTED t j A RAG' REOIST lR L w N AND TEMP. TO TYPE AMC SIZE OR L[AOER SIZE MALL 'eta IINFILT.) OIFF. F M so. FT. FREE AREA TOTALS A. HEAT LOSS FROM BUILDING B.T.U./HR. 8. 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 1e. 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. DATE SIGNATURE OF APPLTtANT b t as B is R CA..(ILA TION EET 1503 (Moftrn•M®thOd) r l/ Copyright 1977 by Ih.Hydoonics It'V1 096 OWNER ADDRESS f7 J/f 1.` fC r 11`'``OISICkN TEMPERATUItt DIFFERENCIELLF. DATE V ` C L.A COL.9 COL.C COL.D COL.E C L.F COL.G 1 ROOM t r i / r fi. f 7 "_ e- f C C h A /11 1 V Dst1 M Rate.Temp. r p H M L W H W H H 2 ROOM DIMENSIONS,FT. 6 G 7,1 o' T4 1 t BTU"o«F t f t 3 LENGTH EXPOSED WALLS,FT. 4 0 f Radistl s SelecW 4 WINDOW AND UTSIDE DOOR AREA IL Q O d BTU" BTUH BTUH BTUH BTUH b WALL CONSTRUCTION 16'RO M LIN.( Table 9,Line 3 x HI U U o U y C) 0 j U OF TOTALS RADIATION 1 1TYPEOFGLASS FROM LINE 12 SELECTED 7. L/,= t: 19ettent of table used for Lane S) r U U U 7 CEILING CONSTRUCTION C 6Table9,L x W) V D S FLOOR CONSTRUCTIONt Table%L x W or Lira Ftl 9 COLD PARTITION CONSTRUC-LION F ITable 9,L k Ht 16G qt3 all(Whh OoeMngs1 A d D 7 O U c; .r u H , "U— 19 alls IWhk Op.MnNlJ 36 O ells IWhk Ooonkgl or Ent HallTTAL9TUHAT70PTEMP.DIFFERENCE' i} o 12 T TAL BTUH AT DESIGN TEMP.DIFFERENCE p (Oc7 U O U. CPO K L 'fo G. . 5-G,S 6 C04 A COL.9 COL.H COL I COL.J COL.K COL.L TOTAL BTUH TOTAL 1 ROOM aye'' 1 y/r f /ri.ifh All/ct /' l, !f/ F BUILDING RADIATION t AT SELECTED p H AIM- H I II.A W H H W H DESIGN TEMP.• 2 ROOM DIMENSIONS,FT. V 'd 0' / 7 'l 1 ' ZO d r 0 j DIFFERENCE 3 LENGTH EXPOSED WALLS,FT. Y 4 WINDOW AND OUTSIDE DOOR AREA 6 1 BTU" BTU" BTUH 9TUH BTUH S WALL CONSTRUCTION INCREASE BATHROOM ITable 9.Line 3 x H) 0 00 C(l f' Cl j (J( TOTAL 10lt i TYPE Oi GLASSC;CJC1U0Upi1110" m of table weed ter Lkw a r U U fFOR CONCRETE FLOOR ON T CEILING CONSTRUCTION GROUND OR FILL AT Table 9,L x W) v r d U S Ov t 6a GRADE LEVEL.USE LINEAR FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE i Table 9,L x W or Lin.F0 i COLD FARTITI N CONSTRUCTION ITable 9,L x H) to 1 waM lwhh oo«dnot 0; Zoou X O G `O U 2 walla Iwhk openkgd x i A 3 Waft With OPenkod or Ent Hall J p U 11 T TAL BTUH AT 70F TEMP.DIFFERENCE* O 12 T TAL 9TUH AT DESIGN TEMP.DIFFERENCE S'p 7 r go,? FORM 1503 This foam Is evallaN from Th Hydronles Institute.35 Russo Place.Berkeley Hs19ht%N.J.07922 Copyright 1977 b Ins Hyde gPICS Ire*i LneyfBR .eA c1tATtOIV SHEET 15tK3 (Medtrlrn Method) q _ OWNER.. `` .Z ADDREss DlSI(kNTEMPERATUOtt DIFFERENCK dtl F. DATE COL.A COL.S COL.C COL.D C. L.E C L.F COL.O h /r11ROOM l> A Doollm Water Temp. p N W H Ilr H L W H L W H L W 2 ROOM DIMENSIONS.FT. 001 i STUN per F t f Jrf() 3 LENGTH EXPOSED WALLS,FT. Radiation SNestN 4 WINDOW AND OUTSIDE DOOR AREA 06 BTUH BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION R OM LIM.PT.OF ITeMe 9,Line 3 x HI U 3 o o 0 U v TOTALS RADIATION FROM LINE 12 SELECTED 6 TYPE OF GLASS Boviom of toble wad for Line d) ro- 6 6 v 7 CEILING C NSTRUCTION C ITable 9,L x W) o O U S~ t. 6 FLOOR CONSTRUCTIONt Table 9,L x W or Lin.Ft) 9 COLD PARTITION CONSTRUCTION 1TWo 9,L k H) p H12 1 WON Iwhh Openinfl 3 x 00 H 2 wells(with Open X I 3 wells Iwhh Openkgd or Ent Hall 11IJ j TOTAL BTUH AT 70F TEMP.DIFFERENCE• jr C'u r U K T TAL STUN AT OESIGN TEMP.DIFFERENCE v (r S d O COL.A COLS COL.H COL.1 COL.J COL.K COL.L T TAL STUH TOTAL RADIATION 1 ROOM OF BUILDING Sk CTEDt p H L W H L w H L W H L W H L W IQm TEMP.• O PPERENCII `• Z VIOOM DIMENSIONS.FT. 3 LENGTH EXPOSED WALLS,FT. 1 WINDOWANO OUTSIDE OOOA AREA IL BTUH BTUH STUN BTUH STUH E WALL CONSTRUCTION INCREASE BATHROOM TOTAL LOX ITeble 9,Lim 3 x H) 6 TYPE Ofz GLASS Benent of table wad for floe 0 tFOR CONCRETE FLOOR ON i 7 CEILING CONSTRUCTION GROUNU OR FILL AT lTeble S.L x W) GRADE ELEVEL,USE LINAR FEET OF EXPOSED EDGE FLOOR CONSTRUCTIONt Table k L x W or Lin.Ft.) B COLD PARTITI N CONSTRUCTION TeMe 9,L x H) 10 1 Well IWlth Op.nlnipl O; I z wells Iwwl OpaniVsl jall3wwsIwhhOpenko*or Ent Hell 11 T TAL STUN AT 70F TEMP.DIFFERENCE* 1Z T TAL BTUH AT DESIGN TEMP.DIFFERENCE FORM 1503 This form Is evalluM from Th Hydronles Institute.35 RussoPlace.Berkeley Haight%N.J.07922 PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 1'OA 74 Application is hereby: TOWN OF SOUTH WINDSOR A ROVED ISAPPROVED BUILDING INSPECTION DEPT. 644-2511 Ext. 230 Application must be printed or typed . Date BuilAing Inspector 1. LOCATION OF JOB ff", 5 FEE SCHEDULE No . Street 0 - $19000 -10.00 Floor Apt . No. Over $1,000 -10.00 per $1,000 or 2 . OWNER a fraction thereof C 3. ADDRESS L 4. APPLICANT DL l 1't Q 5 . ADDRESS 3 LJ4 (ta erz ur C 6. ESTIMATED COST $ 7 . IS THIS A CONTRACT COST Yes o 8. FEE ENCLOSED $ D ( 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 ) c 11 . LOCATION OF JOB 4 s/4 NO . STREET APT. NO 12 . TYPE OF INSTALLATION 2n P r'C. C10 13 . SIZE OF MAIN FEEDER Ltio-t 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- 1 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 rrG—zo v b,le,C2 dlCa- 35 . REMARKS AND FURTHER DETAILS : 200 Srt 'C V 0 LQ Z) C a 7 4 IL LICENSE NO.SIGNATU OF APPLICANT DATE PHONE NUMBER: 7c o y.'T•SnC!`'7"!+^ra ,„`",`, , i.'c, o - w s. _ Wf NQ. L-tS4 k Building Permit Temporary Service Permafienl Service c q Pursuant to Permit No. This Certifies that the Electrical Work for which the above named Permit was granted has been duly inspected and is hereby approved. Owner GA,LZA U CL Electrician D C F`c.lR lrLL Street 5 19 ui ng Inspector