HomeMy WebLinkAbout20 Pam LanePermit No. y f TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit N?1935
Certif icate of Occupancy
THIS IS To CERTIFY that the
at No. F' - bit in the Toy/n 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 approved. for occupancy. a
o BUILDING INSPECTOR
OWNER, BUILDER
Fee Paid ` 'M'" Date fF 19 ;
ELECTRICAL APPLICATION
Application No.I Z
on the side of
Stract
Siren No. c Q
Owner
Electrician
FILED IN OFFICE OF
The Building Inspector
19".
INSFICCrION.
m 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 Are
stops (if of wood) are installed, without a special
permit from the oMce of the Building Inspector.
D
Electrical Permit No. .............:L.
Master License No. 103 d, _..-
TOWN OF SOUTH WINDSOR Building Permit No. ...............rl.1 '.................
BUILDING DEPARTMENT Date Filed ..........................._..................
Date Final Approval ..........................................._.....
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
OB LOCATION. v.d.... G -...................._._......_.._... OB OWNER: .. N/,r .....L ly ',?2f .__......J
Side of ... ..................................................... ........... Between ................................................................................ and ...............
Nameof Building Owner ................................................ ...................................._........................ Address .................................._...................................................._......._..............
If work is for Lessee—Give name .................................................................................................. Address .._.___............r.....
Building now occupied as (unless new) 5 AACr.4rc..e1A. No of family units now .......
Building to be occupied as .........., r...................... Number of family units to be ........ ._.
Is this work included in a Building Permit? ........Ai o......... Permit Fee ....
f ,, / If no B Permit) 0< w k""5 z,e.CT;......
Permittee .. v'n .... / b Business AddressQ. .. ._......_...................._ TePel hone .. .. y
COST OF INSTALLATION: .` .. .r.. ..............._..... __------------......................_................................_..._...
TO BE FILLED OUT BY PERM=E
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 . . . ............................
as listed below) Dryer Air Conditioner Oil Burner
TYPE RATING NO.
Dish Washer Gas Burner
Range
Well Pump Elec. Heaters
Range Top
Oven . . . . . . . . REMARKS
Water Heater . . .
ll -o p M
Clothes Washer . . . .
Clothes DryerDryer . . . . .
Dish Washer . . . . . .
Air Conditioning Motor .
Oil Burner Motor . . . .
Gas Burner . . . . . .
Circulator M for . . . .
Attic or Large Fan
Well Pump . . . . . .
Electric Heat . . . . .
Other . . . . . . . .
Number of new Lighting Circuits
Number of new Appliance Circuits
Number of Heating Circuits
Number of Motor Circuits . . . . . . . ..
Size of present service _._..--------------------......._...........
Size of service to be ...... ......_..._..._......._........_
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROVED 1540 SULLIVAN AVENUE r> N
f 11
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
PA
Location ofjob
vL9 t-1
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt.No.
0 - $1,000 - $12.00
Over $1,000
12.00 per$1,000 OWNER
or any fraction thereof
ADDRESS Zo 10A/`1 LA ti c
S'O v 1-11 t,'Jsir- c.-'
OWNERS PHONE# G 14 It` y 6 -?-6
APPLICANT I, G rn'o
W p S f ADDRESS pj plufti R*ir,Inc.
Tolland, CT o06054a53
ESTIMATED COST$ a
C
C IS THIS A CONTRACT COST? y
YES NO
1 a CJ FEE ENCLOSED $
OR.CO TYPE OF JOB:S
Original Installation
Alteration/Addition/Repair
Revised 10/96
APPLICATION FOR PLUMBING PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION YES / NO
RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCYASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL
INSTITUTION
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION LAJ'A+eR /A V r,2 SIZE OF MAIN DRAIN
NO. OF TOILETS STYLE NO. OF URINALS STYLE
NO. OF BATHTUBS NO. OF SHOWERS NO. OF LAVATORIES
NO. OF CONDUCTORS SIZE NO. OF STACKS SIZE
AREA OF ROOF NO. OF CATCH BASINS NO. OF FLOOR DRAINS
NO. OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW YES/NO
SIZE OF WINDOW IF NONE C.F.M. OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER BEATER
TYPE MANUFACTURE '` `s'--
TANKS SAFETY DEVICES
TEMPERATURE
CAPACITY 4 RELIEF VALVE
TEST PRESSURE e WORKING PRESSURE -7 PRESSURE RELIEF VALVE
TYPE MANUFACTURER 1',AX*3
DESCRIPTION OF WORK
a
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
Ct 4? P I
NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT
PHONE NO. S DATE