HomeMy WebLinkAbout20 Baker Lane (15)Office Use Only
Date:
No. r Est. Cost: 7 Jam, p°
Bldg. Permit: O(cs? F
L
lee:
TOWN OF SOUTH WINDSOR
SPRINKLER SYSTEM APPLICATION
1540 SULLIVAN AVENUE
644-2511 Ext. 230
Location of Bldg. :Street Address
Owner: IEM LF 3 H HTatfL 1 66 vZ S7- U..iindw- e7
Name Street Address
l1
ra j City
Contractor: PjeOTf f.l 4) (
J 00 M-ncll 2
Sprinkler Cent j,(} /-l. . F
Name Street Address City
Type of Building: Business Commercial Industrial Other 1i,00
Classification of Wet t" Pre Action
System: Dry Deluge
Occupancy Classification: Light Hazard
Ordinary Hazard V
Extra Hazard
Size of Pipe Main: _4 '''Size of Hose Connection:
Number of Temp. °F Temp. Temp. Color
Heads Rating°F Class Code
Ord. Uncol. —
7 Intermed. !o White
High Blue
Ex. Hi. Red
V.Ex.Hi. Green
Ultra Hi Orange
O.K. C+C
Date
BD 5A 11/88
Insurance Approval Stand Pipe
Z f!Yes / No Main Size J
Riser Size
Nose Size
Remarks and Further Details:
P
40-
ALL j,,ORK COVERED BY THIS APPLICATION HAS BEEN AUTHORIZED BY THE OWNER OF THIS PROPERTY
AND [tiILL. BE DONE IN STRICT ACCORDANCE WITH THE BUILDING CODE.
FA0 3 7-3OA
I.iceiise No. S nature of Applicant Date
FEE SCHEDULE
F1:E: S 0 - S1 ,000 - $10.00
SI ,000 or fraction
Thereof -- $10.00