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Home My WebLink About20 Valley View DriveApplication No. 8 014 Permit N4. 7 714 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (erect (make- altssationae) a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn., Irr....... 19/Z Sign ere .A..../... ....... .!v ..... ... Address/ a'".. o Location? Ax...side of?c G.G...4.... .s. Nearest cross street? .. .49,e z,6tAz....... .... .. .. ..............Street No. Lot Owner of land is? Gt,G&4 4Q ' . .... !`,r. ...............Address , ... . G C... ,.........0.10r '.... .. . G 7 , Owner of building is? . Address e Address ... ... .. Architect is? !/ t. Builder is? 10-c1c,446 4o.,h nQZ..Address 1 4 . .... . J. jT'.. o ,r Dimensions of building?(Q- " Feet front? *` Feet rear?"..1...... Feet dap?Z i. . f Extreme height to highest point of roof? ..... No. of stories in height? . . , Purpose of building is? No. of stores? ... ............... ...... .................... .. ......... .............. How many families? r No. of rooms? ... . z. .......................... . ..... . Distance from street line is? .. ... .... Cam.. Q........ .............. .....from building line is? ADDITIONS AND ALTERATIONS Give Brief Description) stom Y l l Of t : I ' .....'.. M Map No. .. ........ If of steel frame, what is exterior construction? . What kind of columns used? . . Size of columns used? What length of columns used? . How protected? What kind of beams or girders? Size of beams or girders? Longest span of beams or girders? These rest on? Roof construction is? ..........Roof covering is? The floors are of construction and are calculated to carry a safe load of lbs. per square foot. See Section 14, Building By-Laws.) BRICK CONSTRUCTION. Of what material will walls be constructed? . .. . . . ....... . . .. . ... ......... Compositionof mortar? Height and Thickness of Walls He*ht Stories Front Walla Side Walls Rear Walls Partition Walls Basement, 1st.Story.............. .................................... .........._..................................................................................... ................................ . .... 2nd " 3rd " I........ ................ ............................................... .......................................... I........................ ............... .... ........ .... .... . .. 4th of 5th " 6th so 7th Ad 8ty. f/ 9th 46 10th....... .. . . .. .Ad Material.of Front? If stone, what kind? Thickness of Ashlar?Thickness of Backing? Backed up with what? Arches or lintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GIRDZRS QOLUMNS Floors Size Longest Span Centres Bridging Size Longest Span Centres Size Length Centres 1st Floor f , I .........r. ..`t'.A. p f _A ' ////.,w Oo. ..... • t iFal. ............... 2nd a........... ........... i ....:..... ............. ................................. ................... Size of outside studs? Distance on centres? ....... .,/.. r.. ... ..... Size of sill? .....Z.... ... ...K....... Size of rafters? ...,.... .. " Distance on centres?...... /... .... ........... .. Sue of plate?1-.'`.... ./.................. 00 Sizeof ledgers or girts? ... ...... . ... . ........... .. .......................Size of deck rafters? .. .................... ........................................ ............... 1 Distance on centres? ............ .................... .. . ........................................Size of studs in bearing partitions? .......2.4x'.. ".... MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped?Fireplaces? .............rr... .. ................. Material of roof covering? ...4&Pi-W-4-4 .7... .........Material of Cornice? .............. ...a... ....a.................................... How is building heated? Lining of flues? .. ..... . . . .. ........................ ...... .............. r Thickness of shell of flues? ... .. .. Any elevators or lifts? ........... ................................ ...... What kind% How many? .... . Any hoistwa How protected? ... . .... ... ......... ........... .......'. ........ ....Total Value of Building ........ ../... ' ..................................... When will work be commenced? . The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this application, conforms to the zoning regulations of the Town of South Windsor. Town of South Windsor since 1949. Appli nt 7714 BUILDING APPLICATION Application No. ... ...80.14................................................. on the ...north......... . I...... side of Val ley View.. D.ri.ve ... Street. 20 Lot #70 Street No, Owner .. Huckleberry Hills Estates Applicant CLASSIFICATION Dwelling 60,611 x 241 Permit issued on above Application. Date, 6-15-72 19 .. 3 TOWN OF SOUTH WINDSOR BUILDING PERMIT Date June 15,19 72 i Fee Paid $. 1711 .00 Est. Value $ .. 000 20.00 SOVIM PAYM S. Permit N0 7 714 ` I P f on the north side of Valley View Drive Street 20 Lot #70StreetNo. Owner Huckleberry Hills Estates i Alexander FerdmanApplicant i CERTIFICATE OF OCCUPANCY ISSUED: i Date No.4208r e Fee Paid $ 3.00 f E CLASSIFICATION i Dwelling 6016" x 2LL BUILDING PERMIT N°7714 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. June 15, 1972 T4'to to to Terttf1j, bThat Huckleberry Hill Estates y Ferdman, Alexander is hereby granted permission to Dwa l ling 6016" x 241 y at estimated value of 29,000 on the north side of Valley View Drive, Lot #70 Street on land owned by Huckleberry Hills Estates Said work to be as described in Application No. 8014 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued June T 72 140 uddiwg 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 compeller: to reason therefor." INSPECTION REPORT Permit # 1 Footing 2 Foundation --2 2.--7.2- 3 Framing 4 Wiring 1 -y C- L/-.7 5 Plumbing C' ?-Iy-72 6 Heating /,2-7 7 z 7 Lathing 7 2- 8 C.O. 1.2- 7, 7 Z- Permit 1za. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit ,Lr O 4208 Certificate of Occ ancy HIS IS TO CE TIFY thit the 4 at No. a wn of South Windsor, Connecticut, has been erected and co pleted in accordance with th Building Code and Zoning Regulations of the Town of South Windsor, and is hereby approved for occupancy. AN-t4 1 Building'Inspector wn v, der Fee Paid `/,..'"Date 19 ,, c FOR SUILDIA FURPOSES 0XLV IJ1— CA rai•t 0C 2 0,•s s L 90 o 69 40•Aano Aft& 0 o CO N N,rCl/ GRID; NO. 2683 w Er,ISi tSS{0 V oaaQnp ON as F ,,,,,_--tFaa0o" GR1S C• Z A- 3p•3g VALLey Z No.2683 , R, o ` Fo,BTotq, •*. PROPERTY OF Is,, o•rW RN e + NO.VALLEY VIEW DRIVE SOUTH WINDSOR, CONN. Being Lot No. 70 on map entitled "Map of VALLEY VIEW FARMS Ellington Road South Windsor, Conn Property of Emma Palmer & Kenneth Palmer Scal 1" = 801 N . 1, 1960! Hayden L. Grisw ld C..E." Scale 1" s 50 Griswold &'Fu§s,'•In&- •r • 5078 ELECTRICAL APPLICATION ApplicationNo. ........5....3.........89................................................................ on the ........... northon....rth.... ........................... I.... ............ ........ side of Valley View Drive Street Lot #70StreetNo. Owner ..Hu.c.kleberr.y.. Hi.11.s. Est... .... Electrician FILED IN OFFICE OF The Building Inspector 8-21-72 19 , INSPECTION. OrNo 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 office of the Building Inspector. ff 44 APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. 5389 U No. ......................................... .. Permit No. .......507.8. ....... .. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application to. 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. South Windsor, Conn., 197 3ign here..... Pi Address . 1 . l" Side of ..................................................................................................................................Location ..................... ....... ........ ... .................. ............... Natureof Building ..................................... .................. ...................... How many stories ................................................................................ ................. New or old Building How many families ................................. ........................................................... Kind of Installation .... How many Stores ...................................................................................................... 1 0W 0...Owner y..?...... ddress ,/........../rG 17` Architect .......................................................... ....... ... ............................... ..... ddress ........... Builder ddress Electrician o t<oiG -. Address f. 1 c do jizeofMainWires . No. of Light Loops ............ .. .............. No. of Heat Loops ................ . .. . . . No. of Power Loops No. of Light Outlets .... ...! ' ..... .... No. of Heat Outlets ..... .. .... . No. of Power Outlets ............. ............... No. of Light Circuits .......No. of Heat Circuits ........ .. No. of Power Circuits .. ..... .... ........ .. .. No. of Sockets .................................................. No. of Heat Receptacles ......... No. of Motors ........................ .... .................. No. of Panels .........................I.......................... Size of Heat Circuit ................. ...... No. of Power Receptacles . .. ............. No. of Switches .................f...Z.... . . .. .. Total Wattage .... ............. ........ ......... . .... Size of Power Circuit .. ..... Total Horsepower ............. .... ....... ........ . . No. of Straight Electric Fixtures ........ ....... ../7..................... No. of Combination Fixtures ........ .. .... ................... . ... ......... 46-1 No. of Receptacles No. of Cord Drops .......................................................................... ....... ......... Remarks: For other kind of Installation /G ` -.. r-t s-t J2 IL........1... ...Q......... - c..................c we Gc,C' i'`.. ....L".1:........................................................... ............................ .............._.......................................................................................................................................... ....... . .. Estimated Cost ......... .. 4226 PLUMBING APPLICATION Applicmtkn No. 4015 on the ..__..._.... north siide of Street No. ....__Lat A70 Owner Plumber Med in Office of The Building Lrpecmr 8-3-72 19 n cao. No pasta shall construct; add to or alter any portion of the drainage system of any b ezmpt to repair leapt:) until a Permit is grasumd by the Building Inspector. 4oi5 4226ApplicationNo........ .............................. Permit No. ...................................... o, 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. 1: r'_A_ ``,'`- SouthWindsor, Sign19 ........... Si ere ...............................`................... ................................ ...................... Address £..5 -...i"HA y CZ .......... LocationPAP... ....'.'..................... . ....... side of ................................................................................................... Street Nature o Build' How many stories . ................................................... Owner ... .L.-. .1 ........ ..l . c. ............. G................. Address..... ..... .............lf... .,.............. ... / _ Architect .................................... ........ ............................... .................... Address ................................................................................................................. 41Builder . W ZZ..........................L Plumber .............. r . Address..................................................... Address ...................................................................................................................... DRAINAGE CESSPOOLS, How many . . ..... .............................. ................... Where located .......................... ........................................................................ Are they water tight Of what materials are they built Size of pipe from house to cesspool . 4.1a Kind of pipe .....................................................................................................l MAIN DRAIN IN CELLAR, Material ... Diameter .................................................................. Aboveor below cellar bottom .. ..... ............................................. .............. ..................................................._.........................................................I.......... SOILPIPES, Material ..... .. ... ...................................................... Diameter ............................................................................................................. WASTEPIPES, Material ....... ...... ................................. ...............I Diameter .............................................................................................................. TRAPS,Type proposed to use is ... ....... ............... . . . .. ............. RAINWATER LEADERS, where do they run to ..... ........... .. .. ................................................................................................................. REFRIGERATOR WASTES, where do they run to ....... ..................................................................................................... .............................. TANK OVERFLOWS, where do they run to S FIXTURES WATER CLOSETS, How many ........................................ Where located .. . ......... .................. ............................................... r Distance from trap to vertical soil pipe ....... .....2......................... Pattern WASH TRAYS, How many .... .....N --`......I.... Where located . ... . .......... .... SINKS, How many Where located ..... ............................... ............................................I.......... BUTLER'S SINKS, How many ........................................................ Where located-.................................................................................................... REFRIGERATOR SINKS, How many ....................................... Where located ......... ..................... .... .... ....................... LAVATORIES,How many Where located l . . . BATH TUBS,How many 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 of room where same are to be located ........... Estimated Cost .....a..". ... . ....... ............. PERMIT # Application For 4002 DEPARTMENT DECISION 4224Heating Permit c c APPLICATION IS HEREBY: art DEPARTMENT OF LICENSES AND INSPECTIONS N +' IIPPROV>=D DISAPPROVEDZI TOWN OF SOUTH WINDSOR 0 a 12-8-72 A 00 O DATE CHIEF SECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE SEL M O w fj >1 Go A 1. LOCATION OF JOB o _ 164 O rf•l L NO.REST C LOT NO. FLOOR APT. N O N G7 Ili 2. OWNER S. ADDRESSo 3 4.PHONE j S. APPLICANT o B. ADDRESS 7.PHONE1<r w 'o B. LICENSE NO. .3 q F. w B. EXPIRATION DATE OF LICENSE 3 A ' Ia. ESTIMATED COST s 11. IS THIS A CONTRACT COSTt YES No b0 Permit #771412. FEE ENCLOSED S X y IS. TYPE OF BUIUMNG: 00 b0 IN R[SIDENITIAL COMMERCIAL 14. TYPE OF JOB: INDUSTRIAL cc BCD ORIGINAL ALTERATIONr.INSTALLATION ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB t 6 E zrz.2'LNO. sTR FL OR APT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION f SIZE SIZE13. OF TANK o OF TANK ii>,u,.GT r 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.AM 1 154) M/l•B.T.U. OR SQ. FT. NET v B.T.U. OR SQ. FT. GROSS440fFIRING RATE/L ^ FLOORS TO BE HEATED -gC J A1, o NEW OR OLD BUILDING INSULATED — YES OR NO 4: TYPE OF WALL 4u - INSULATION ? ROOF OR CEILING 6 INSULATION AVG. SYSTEM WATER TEMP. /J`-' 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. SQ. FT. OR B.T.U._ 2 e S T"0 9 F6/, DESCRIPTION OF WORK 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA — SQUARE FEET e.T.U. e.T.U. 9 1-DANoDOORSVOLUMETOTALT DISTRIBUTION INSTALLEDOTAL R OM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL REGISTERLWNANDKWALLtoINFILT.) TEMP. TO TYPE AND SIZE RAD. OR LEADER SIZE fj,G DIFF. F F m uat So. FT. FREE AREA uo i yak 6 1 lC1 S j 1,u 00Z I jo IGC o l 00 'l G 3 r y I rY 3 14q q Or%b 1Cx SJG i'f 6 .7 y 60 6 G c 0 c ti w' x b is-no 1) /c TOTALS c y A. HEAT LOSS FROM BUILDING B.T.U./HR. B. DOMESTIC HOT WATER DEMAND- 3 r2g, . .-,. 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 18. 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. 2 _- 9 r n - DATE iC- SIGNATURE OF APPLICANT PERMIT # Application For 2 DEPARTMENT DECISION Heating0 PermitN cAPPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS d +' APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR O 00 DATE CHIEF IN OR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER NE BELOW O en C - 1. LOCATION OF JOB w L NO. STREET O t) LOT NO. FLOOR APT. N O lV 2. OWNER O r O f. ADDRESSbe r 4.PHONE m cc S. APPLICANT!-/Ilf W--^ e ADDRESS 7.PHONE s. LICENSE NO. ' S G w s. EXPIRATION DATE OF LICENSE 10. ESTIMATED COST s Q nn 11. IS THIS A CONTRACT COST?t4.1 YES NO be 12. FEE ENCLOSED f ai 12. TYPE OF BUILDING: ba 13 RESIDENTIAL COMMERCIAL O A a 14. TYPE OF JOB: INDUSTRIAL a°ci 3 z' RIGINAL ALTERATION INSTALLATION ADDITION REPAIR J A l APPLICATION FOR HEATING PERMIT (Continued fr m Reverse Sid ) 11. LOCATION OF JOB NO. iATREET FLOOR AFT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC Cl VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE13. 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. B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSS FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL INSULATION ROOF OR CEILING INSULATION 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. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA — SQUARE FEET B.T.U. B.T.U. F-D AND DooRs VOLUME DISTRIBUTION INSTALLED tt TOTAL TOTAL r LL ROOM NO. L W N AND W GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j RAD. REGISTER Pj WALL to INFILT.) TEMP. TO O f O TYPE AND SIZE S FT. OR LEADER SIZE R,c DIFF. F f m Q' FREE AREA TOTALS 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: NAME ADDRESS SUBCONTRACTORS AND 18. 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 APPLICANT Electric# APPLICATION FOR BUILDING PERMIT 2Plum6ing# 0 VALLEY VIEW DRIVE HVAC # 23387 Date: Sprinkler# No. FINAL APPROVe1 c Estimated Cost $ 1`7-O6Building7s/'y COMPLETE RED BOXED AREAS Permit Fee D Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDEAppr.for CO. Total Fee O TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $ Th undersign d hereby applies to do work according to the following specifications: Job Locationa V a\\ l ),t() U- Lot No. Side of Street Zone Applicantf('d - t, ( C r k r1L Tel. # v H 4:5- Address(n; Zip y Lic. # Owner,1 Q Addresses Architect Address Sq. Ft. New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories Bathr ms Garages Purpose oft is permit: l $V At o/ G is .D A A E City Water 2- Well 0 Septic System Sewer Use Group Construction Typ Area Basem t Garage Approved by Date R•veed 6/95 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 of the Building for which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines and required distances from all other zones and is located in a zone in which this building and its use is allowed. Signed Elam -- 1 hereby apply for a Certificate of Occupancy for the work described in this application for the permit Signed DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 96-23387-B 1,700 B10 FINAL 07/17/96 JFH A TANK REMOVAL ONLY B10 FINAL 02/04/97 JRC A APPROVED FOR CLOSEOUT a ACE TANK DISPOSAL 63 Slater Street Addressing Environmental Concerns" Manchester, CT 06040 860)645-3757 CERTIFICATE OF TANK DISPOSAL Received From:Phillip Lester Address: 20 Valley View Drive, South Windsor Tank Size: Remove an inground 550 Tank was cleaned down to the metal gallon oil tank. it was sucked out by Safety Kleen Replaced it with a 275 Metal was picked up by Suisman gallon oil tank in the and Blumenthol. garage. Date Received: 7/16/96 Tanks Cleaned and Dismantled On:63 Slater Streeter Manchester Ref: Authorized Signature: PERINIV 0 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 644-2511 Ext . 230 ate B ng Inspector Application must be printed or typed 1 . LOCATION OF JOB FEE SCHEDULE No . Street 0 - $19000 - 10.00 Floor Apt . No. Over $1,000 - 10.00 per $1 ,000 or 2 . OWNER leyIZ -;,4 1- WI- 445A- l fraction thereof 3. ADDRESS 4. APPLICANT 5 . ADDRESS / G i Cf A?- 51 6. ESTIMATED COST $d 7 . IS THIS A CONTRACT COST Yes No V 8 . FEE ENCLOSED $ le 9. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: L"briginal Installation Alteration/Addition/Repair RD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB NO. STREET APT. NO , 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER 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.SI N TURE OF APPLICANT DATE PHONE NUMBER: zrlz `