HomeMy WebLinkAbout20 Willow Streetl
Application No.
6eo6
Permit No. 5736
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
0-7—hereby make application for a permit to (a Wt (make alteration to) 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., a..d............... .............. 19..4.4
Signhere ..
Adde ....... //. r.....
Location? . ..... .................................................. side of? ......... ....... . ... . ...... ...
t.ad
Nearest cross street? tti......................Street No. . ................... Lot No. ....................... .
Owner of land(;?—RJ('.:74& ..j Address ..Z..4P....U.../..Q...,,,,
Owner of building is?K f.................................Address ... ............!s............................'e............................................................
Architectis? ........ .............k.............................................................................Address ....................`................................... .`..............................................
Builderis? . .....................".`....................................................`..........................Address .......................A........ ...................se....................................... .. ...........
Dimensions of building? g I .......Fat front? ............ . ........ Feet rear? Feet deep? ... ... ........ .
Extreme height to highest point of roof? ....... . ..../....aP......... ... ....No. of stories in height?.
Purpose of building No. of stores? ...... .................. .. ................
Howmany families? ....................... ............. ......_..... ........_....... ........No. of rooms? .... ............. ?.. .........................................................
Distance from street line is? ................ .........................................from building line is? ........................... .............................
ADDITIONS AND ALTERATIONS
Give Brief Description)
Oe'_c 7 f
A............AIrr. ........ ...M.rL[.....2Z........ ••• ... ..f...fl...rl........
1
eS............ ......................................
MapNo. . . ...................
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? .. ..... ............... ....... ................. .....................................
Roofconstruction 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
Hftht stories Front Walls Side wans R&w W&Hs Partition Walls
Basement,
1st Story
2nd "
3rd "
4th 'd
5th of
6th '6
I........................................................................ ...................................................................................................................................................
7th so
I.......................................-_"............................................................................................................. ....... ..........................................................................................................................
8th If
9th id
loth................... ............... ..................... .... ............. - ................ ............. ....... ..................... . ..................... ...................................................I
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
JOISTB GMDZW 00LUMM
Floors size Longest span Centre* aeldgtng Slze Longest Span Centres Size Leng1h Centres
1st Floory. . I ..
7 e6.
r%..
02ndZ................. ................ .........1. E...........
Size f outside studs? ...04-x.... ............. Distance on centres? ............z................... Size of sill? ..........x/ ...
c...........
Size of rafters? ...... ;Z-.X...4....... Distance on centres?................/.4.................... Size of plate? .......... ^.C,......................
Siz of ledgers or girts? ... ............................ ............................................Size of deck rafters.? ..................................................................... ...............
Distance on centres? .............. ........................................................................Size of studs in bearing partitions? ..................................................
MISCELLANEOUS
Style of roof, flat,.pitch, Mansard, or hipped Fireplaces? ........................................................
Material of roof covering? ............ .... ....... .. .. ... ..... ............Material of Cornice? .........
How is building heated?----7....../...... ........ Lining of flues? .. ............................................................................................
Thickness of shell of flues? ......................................................................Any elevators or lifts? ............................................................ ......................
What kind? .............. ............... How many? . .......... ... ... ....................... Any hoistwa . .........I............I........... ..............
How protected? ............ ... ............................................... ....... .................Total Value of Building ......7..../,. 570....ape...
When will work be commenced? ... . ....... I
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.
Applicant
5736
BUILDING APPLICATION
ApplicationNo. ..........6-o-o..6..................................................
eastonthe ................................................................................. side of
Willow St.
Street.
Street No, . 20
Richard S. Kelly
Owner ..........I.. .... ............... ...... ........ .................................
ApplicantS a tie........ ........ ....... ....... ...........
CLASSIFICATION
Addition of dining room and
family room to existing dwelling.
28 t x191 .
Permit issued on above Application.
B-2-66
Date,
TOWN OF SOUTH WINDSOR
BUILDING PERNITI'
Date Aug. 2.9
9 ig 66
Fee Paid $. .8.0 0 Est. Value $1500.0 0
Permit N° 5736
on the east side of
Willow St. Street
Street No. 20
Owner Richard S. Kelly
Applicant Same
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 3361
Fee Paid $ 3 .0 0
CLASSIFICATION
Addition of dining room and family
h
room to existing dwelling.
281x191
F
r
F
BUILDING PERMIT
N° 5736
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. Aug.2,
19
66
il4is is to Terfif1jpThat Richard S. Kelly
is hereby granted permission to Add it ion Of dining r,:),7m and family r 2om to
existing dwelling. 282x191 .
at estimated value of $ 1500.00
on the East side of Willow Ste #20 Street on land
owned by Richard S. Keller
Said Work to be as described in Application
No. 6006 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued A.ug.2 66
19
Building 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 CONNECT ICUT: "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."
Permit No. +"TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit N? 3361lr
Certificate of Qicc pancy
THIS IS TO R Y that
at No., f in the Town of South Windsor, Connecticut, has
been erected and completed in accordance with the Building Code and Zoning Regulations o
the Town of South Windsor, and is hereby approved'f occupancy.
OooMui ing nspector
Owner, Builder
Fee Pai Date 19
3975
ELECTRICAL APPLICATION
Application No. ... ..4..2.76............................ .........................
on the .. ....... .... ....... side of
Willow St.Street
Street No. 2.0.
Owner Rich.ard Kelly...
Electrician Char.l e s W...Dewey..
FILED IN OFFICE OF
The Building Inspector
10-6-66
19
INSPECTION.
I......................................... .........................
AwNo 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.
K
f
t L
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK,
r
o. .4276
Permit No. 3975
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., .. ..1J._ Sign here
a 5'0• L .Address `,f . ... Xf:*_S...v...........
Il.. O"ide of ...Location ........... .l,
F
o
Nature of Building How many stories ............................................................................... .................
New or old Building ...C-7/ . . .... .. ........ How many families .............................................................................................
Kind of Installation How many Stores .....................................................................................................
Owner 1. - G; ....1..... 7Address C. I..... ./.............1..
ArchitectAddress
Builder Address
Electrician z... ..`L. .. - . . . . . .. Address '
eoe
Size of Main Wires .. .....................................................
No. of bight 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 .............. Size of Heat Circuit No. of Power Receptacles
No. of Switches . .... .. 3. Total Wattage Size of Power Circuit .. .
Total Horsepower
No. of Straight Electric Fixtures . No. of Combination Fixtures .
No. of Receptacles ........No. of Cord Drops ..
G'iG Z" lRemarks: For other kind of Installation .. .
cJ'G
Estimated Cost ...G..... ......... .. .....
J989
PLUMBING APPLICATION
wa:Ww Noy 6 7 6 7
on the _.___._ sick of
Willow Sceeet
Street No.
Owner ...M Tourtelotte
Plumber _kA h tv i A fR d R
Fried;n
j 6 l h
Office of
k ti C 21
The SO 4 O G
Aug. 6 19 8 2
II TBP Cl Olf.
No person shall coas- art add do a aloer amy
portion of the drainage symem of ow boiHog
ezmpt to repair 1ad6) untg a Plea- — in Sraooed
by the Burg Impecow-
3
Application No. .....6.7.6.7..................... Permit No. ..5.9-8.9.................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR. CONN.
C)
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.
South Windsor 60.. ... ....... 10.;-Sign here
Address .......
Location side of ..........................14.. . . . . .... ... .... . Street. ... ..... ......
P C'sNatureofBuilding How many stories .. ................................................. ..................................
OwnerT 04R N Address ...... U
Architect .......... ...... Address
Builder ... ............... .. Address . ................ ..... ... .. ........................... .................................. ...........
6PlumberAddress . ........ 5...7. ..................
DRAINAGE
CESSPOOLS, How many Where located .. ............. .........................................................................
Are they water tight Of what materials are they built ..................................... ..........
Size of pipe from house to cesspool . .......... Kind of pipe . - - ... .............. .............................................................
MAIN DRAIN IN CELLAR, Material - . ... Diameter ....... .....................................................................................................
Aboveor below cellar bottom . ..... ........................
SOILPIPES, Material Diameter . ... ....................................................................................................
WASTEPIPES, Material Diameter .............................................................................................................
TRAPS,Type proposed to use is
R0dN-VVA=K LbAIMR - -- - - C r
were doTey run to 50/ J.P,
REFRIGERATOR WASTES, where do they run to . ... ... ............... ............................................................................. ..................:*-:s
TANK OVERFLOWS, where do they run to I........................................................................
FIXTURES tu/15_h1_5 No ?1b
WATER CLOSETS, How many .. ....... . ...... .... ....... Where located . . .. ......................................... x............F/
Distance from trap to vertical soil pipe ...................................... Pattern Pk.i:o mn
WASH TRAYS, How many .. .......... ..................................... Where located ............... . .............. ................................................
SINKS, How many ...... ............................................................................. Where located .. .. ....................................................................................
BUTLER'S SINKS, How many ........................................................ Where located.. ..............................................................................................
REFRIGERATOR SINKS, How many .. ................................... Where located ................................................ .................................................
LAVATORIES,How many ............................................................ Where located ....................................................................................................
BATHTUBS,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 ....here7 .a located ...... I...........................................................................................
Estimated Cost ...
TO THE BUHMING INSPECTOR
of the APPLICATION FOR
TOWN OF SOUTH WIIrDSM COIN.
PLAN EXAMINATION AND
BUILDING PERMIT
IMPORTANT — Applicant to complete all items in sections: 1, It, III, IV, and IX.O
ZONING
AT (LOCATION) I' 03L, DISTRICT
LOCATION NO.) STREET)
OF BETWEEN AND
BUILDING CROSS STREET) CROSS STREET)
LOT
SUBDIVISION LOT BLOCK SIZE
N
II. TYPE AND COST OF BUILDING — All applicants complete Parts A — D v
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use
1 New building Residential Nonresidential
2 Addition(/f residential, enter number 12 ]'bne family 18 Amusement, recreational
of new housing units added, if any,
in Part D, 13)13 Two or more family — Enter 19 Church, other religious
number of units— — — — -1p. 20 Industrial3 Alteration (See 2 above)
14 llhiTransenthotel, mote ,21 Parking garage4 Repair, replacement or dormitory — Enter number
5 Wrecking (If multifamily residential, of units ——————— — -i 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
Part D, 13)
16 Carport 24 Office, bank, professional6 Moving (relocation) y17Lv Other — Speci/y 25 E] Publicutility
7 Foundation only 26 School, library, other educational
B. OWNERSHIP 1+ x ;4a&ge2tL7 E] Stores, mercantile
8 Private (individual, corporation,
28 Tanks, towers
nonprofit institution, etc.) 29 Other — Specify
9 Public (Federal, State, or
local government)
C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g., food
p processing plant, machine shop, laundry building at hospital, elementary
10. Cost of improvement,,.,,,,,,,•,,.,,8, 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......................
b. Plumbing ......................
c.Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT E 17,38. 00
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 Wood frame 41 Private (septic tank, etc.)
49• Total square feet of floor area,
all floors, based on exterior
32 Structural steel dimensions ....................
33 Reinforced concrete H. TYPE OF WATER SUPPLY
34 Other — Speci/y 42 Public or private company 50. Total land area, sq.ft. ...........
43 Private(well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL
51. Enclosed .......................
35 Gas Will there be central air 52. Outdoors.......................
Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY
37 Electricity 44 Yes 45 No 53. Numb r f b drooms..............
38 Coal
39 Oth r— Specify Will th to be an elevator?
54. Number of
Full..........
46 Yes 47 N bathr me
Partial........
NOTES and Data — (For department use)
IV. IDENTIFICATION — To be completed by all applicants
Name Mailing address — Number, street, city, and State ZIP code Tel. No.
1.
Owner or
Lessee
2. Jq
Contractor
3.
Architect or
Engineer
The own r of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of applicant Address Application date
a'd
00 NOT WRITE BELOW THIS LINE
V. PLAN REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Date
Obtai ed Number By Permit or Approval Check Obt
Date
ained 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 number 10281
Building
Permit issued MAy 2,2 19 7_8_
Building
Permit Fee $ h_00
Approved by:
A/ I _I-
TITLE
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TOWN OF SOUTH WINDSOR
BUILDING PERMIT
E
Date May 2 2 19 7 8
Fee Paid $. 6.,00 Est. Value . . .7.38.0 0
Permit NO• 1 0 2 R 1
f
on the side of
Willow Street
Street No. 2
Owner T)nn a 1 cl Tnt l r t-e t a t-t-_e
Applicant Donald Tourtelotte
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Replace above ground pool
BUILDING PERMIT
0 10281
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
May ` s
South Windsor, Conn. 19
Rt zo Pool
ir i t to flCrr#ice That
111.ep l_ace above i-oxuid p 101 G 4 x 4
is hereby granted permission to
w 00
at estimated value of $
20 Willow-
on the side of Street on land
Do all b. To-urtelotLc
owned by
To rk
Said to be as described in Application
1Q`t3?
No. and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
May 22
Issued 19
r
Building 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 13431, 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 coats and damages which it shall sustain, or be compelled to reason therefor."
INSPECTION REPORT 7v x y
Permit #Q Job ,-U
1 Footing
2 Foundation
3 Framing
4 Wiring
5 Plumbing
6 Heating
7 Lathing
8 C.O.
ELECTRICAL APPLICATION
Application No. 7
on the/
34'_
side of
Street
Street No. _45
Owner
Electrician 4.
FILED IN OFFICE OF
The Building Inspector
S Z,-:? 19 0
INSPECTION.
r 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
staps (if of wood) are installed, without a special
permit from the office of the Building Inspector.
Electrical Permit No. .....
Master License No. 2-
TOWN OF SOUTH WINDSOR Building Permit No.
BUILDING DEPARTMENT
Date Filed
Date Final Approval .... ....... ........................
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
0JOBLOCATION. JOB OWNER:,D/ ,)/V44 ,0 q8.72-e..4.
Sideof Between and .................................................................................
Name of Building Owner Address .. . - -... .. ...... - .... . ..... .............. ............... -
If work is for Lessee—Give name Address .................... .................................... ............................
Building now occupied as (unless new) No. of family units now .... .... ...........
T14Z, VBuildingtobeoccupiedas Number of family units to be .....
I O'D
Is this work incl ded in uilding Perm Permit Fee . ..... . .. ......... ............ ........ .......................................... ...................
If no Buildi r,Fer=0 407, —'
0000&404100 w S oe.S71ee41 Teleigione ............... . ..........Permittee Business Address
dV
COST OF I T T N:
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
as listed below) Dryer Air Conditioner Oil Burner
TYPE RATING NO.
Dish Washer Gas Burner
Range . . . . . . . .
Well Pump Elec. Heaters
Range Top . . . . . .
Oven . . . . . . . . REMARKS: SE/2C-K- 6WN6
Water Heater f r), d 6 a /6o Aj
Clothes Washer . . . . 19.0,017-1,OIJ 4141'16'61L)7-,o,,
Clothes Dryer . . . . .
Dish Washer . . . . . .
Air Conditioning Motor .
Oil Burner Motor . . . .
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan . . .
Well Pump . . . . . .
Electric Heat . . . . .
Other . . . . . . . . I
Number of new Lighting Circuits
Number of new Appliance Circuits
Number of Heating Circuits . . . . . . ................ ...........
Number of Motor Circuits . . . . . * , *"--*....***—"*-
Size of present service ............60
Size of service to be . ......67-2.......
AL
Building
NSPECTIONS:
APPLICATION FOR BUILDING PERMIT
Plumbing
HVAC Date:
Sprinkler 20 WILLOW STREET
Electric Estimated Cost $ 2000.66
Zoning Permit Fee $ 80
Affidavit NO. 17719 Occupancy Fee $
Eng. Dept.
Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ a0
Health Dept. TYPE OR PRINT ONLY
Approved for CO: SIGN ON REVERSE SIDE.
Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location •Zowl& t 7 STR6U—r-MW14,bseR Lot No. Side of Street Zone
Applicant bcw)ALD 15. 721U/R'TL'4071L Tel. # 4MY-1410
Address AM SO_01445aR Call Ah Zip DGO?51 Lic.#
STR CITY STATE
Owner 401c- Address
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from $ide Street Line
Purpose of this Permit l A A-Nr
City Water Well Septic Sewer
Approved by s, Date BD1A 11/88
I hereby agree to conform to all th 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
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
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# O' Inspections:
Sprinkler Permit# Inspections:
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South Windsor
BUILDING DEPARTMENT
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C L r l I ON OF L O N i N G
Proposed b.jitding's), users) ;;d,as sf; ' this P
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1"ing Enforcrul-lery, 0r}if lcat"
PERMQQIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT ) gl3
Application is hereby :
TOWN OF SOUTH WINDSOR
APPROVED DeXBUILDING INSPECTION DEPT.
Q
644-2511 Ext. 230
Application must be printed or typed .
Date Building Inspe r
1 . LOCATION OF JOB
FEE SCHEDULE o . Street
0 - $19000 - 10. 00 Floor Apt . No.
Over $1 ,000 - 10 .00
per $1 ,000 or 2 . OWNER
fraction thereof
3 . ADDRESS p7-Q p S 1
4 . APPLICANT -
5 . ADDRESS
6 . ESTIMATED COST
7 . IS THIS A CONTRACT COST
Yes No
8 . FEE ENCLOSED $ p , oaA"
9 . TYPE OF BUILDING:
RESIDENTIAL COMMERCIAL
10 . TYPE OF JOB :
k,,,: 6riginal Installation
Alteration/Addition/Repair
e
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11. LOCATION OF JOB 4), ZI-42- 4)
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. SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPR E 1540 SULLIVAN AVENUE
644-2511 Ext. 230
Date Building Inspector Applicationppication must be printed or typed
1 . LOCATION OF JOB
U 60i//0C6 al--
FEE $C1IEDULE No . Street
0 - $19000 - 10.00 Floor Apt . No.
Over $1 ,000 - 10.00
2 . OWNERper $1 ,000 or
fraction thereof
3. ADDRESS ', ZLu
4 . APPLICANT
5 , ADDRESS
2,AJZ r: Co
6. ESTIMATED COST $-
5 peQ0O._ cDp
7 . IS T11IS A CONTRACT COST L,1 _
Yes No
8. FEE ENCLOSED $
9. TYPE OF BUILDING :
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
t,--'(J riginal Installation
Alteration/Additi n/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB LJO 44
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION 5ZZ,'*t1
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 :
1
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: b t4 1-06L9 w
av WXAems- zc:*_
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
93-12599-E 200
E03 ROUGH 05/25/93 JFH A BURIAL DEPTH INSPEC
E10 FINAL 05/28/93 JFH A
Total Est Value 200
1