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HomeMy WebLinkAboutBuilding 2 Mill Pond Drive1 O tO TO THE BUILDING INSPECTOR APPLICATION FORofrho PLAN EXAMINATION AND TOWN OF S4lr[H WINDSOR,CORN- PLAN PERMIT z IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O ZONING I• AT (LOCATION) l 11 J OAJ •- y` DISTRICT LOCATION NO.) STREET) OF BETWEEN AND BUILDING CROSS STREET) CROSS STREET) LOT SUBDIVISION l N G LOT BLOCK SIZE N II. TYPE AND COST OF BUILDING — A11 applicants complete Parts A — D o A. TYPE OF IMPROVEMENT D. PROPOSED USE - For"Wrecking" most recent use T T 1 New building Residential Nonresidential 2 Addition(IJ residential, enter number 12 One family 18 Amusement, recreational of new housing units added, if any,13 Two or more family - Enter G 19 Church, other religiousinPartD, 13) J 20 Industrialnumberofunits- - - - - 3 Alteration (See 2 above)14 Transient hotel, motel, 21 Parking garage4 Repair, replacement or dormitory - Enter number 5 Wrecking (If multifamily residential, of units ------- - -! Service station, repair garage enter number of units in building in 15 Garage 23 E:] Hospital, institutional Part D, 13)24 E] Office, bank, professional 6 Moving (relocation) 16 Carport 17 Other - Specify 25 Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 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 9 3, '/U 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 f fy 6)() a. Electrical...................... 6- b. Plumbing ....................... Z& Ci 1 G C-N d`-T c.Heating, air conditioning......... nt' J d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT Is 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,KPublic or private company 48• Number of stories................3 31 od frame 41 Private (septic tank, etc.) Total square feet of floor area, all floors, based on exterior 32?] 4W Structural steel dimensions .................... G' 33 Reinforced concrete H. TYPE OF WATER SUPPLY 34 Other - Specify 42 Public or private company Total land area, sq. ft. ........... 43 Private(well, cistern) K. NUMBER OF OFF-STREET PARKING SPACES p, F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................fj 35 OGas Will there be central air 52. Outdoors....................... Lj Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 No 53. Number f bedro me.............. 38 Coal 39 Other- Specify Will there b an elevator? 54. Number of Full.......... l Z- 46 Y s 47 No bothr me Partial........C? IV. IDENTIFICATION — To be complet d by all applicants Name Mailing addr ss — Number, street, city, and State ZIP code Tel. No. T Ut ys,Owner or c +4u.Til _ lr' /G c5' ' / v t Lessee 2. Contrac+or 3. Architect or `-"L1-isii z.iF1.'• •l ILjG'L- ,Q•b G'.l E.!/f-Z 1-3 7 Engineer The owner of this building and t-he undersigned agree to conform to all applicable laws of this jurisdiction. Signature of applicant Address Application date 1,,, o'2o s-j57'--7- end 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review Re uired Check Plan Review Date Plans By Date Plans By Notes9FeeStartedApproved BUILDING PLUMBING MECHANICAL ELECTRICAL OTHER VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS Permit or A rova I Check Date Number B Permit or Approval I 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 Bui(ding f Permit number / Building Z& 19Permitissued mayBuilding 46 6 v Permit Fee $ y:L T I T Lrf TOWN OF SOUTH WINDSOR BUILDING PERMIT Date May 2 2 19 8 4 Fee Paid $. .2.,.1 0 6 .0 0 Est. Value $.3 51.,0 0 0 Permit M 13846 on the side of Mill Pond Drive Street Street No. Bldg. #2 Owner Andover Equities, Inc. Applicant Thomas Gurtel CERTIFICATE OF OCCUPANCY ISSUED: Date 6782 No.67R9 Fee Paid $ 24 .99 CLASSIFICATION Condominium - 8 Units BUILDING PERMIT N 13846 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. May 2 2 19 84 94is to to Terrifu, That Andover Equities, Inc. is hereby granted permission to Condominium — 8 Units at estimated value of 4 on the side of Bldg. #2 Mill Pond Drive Sava on land owned by Andover Equities, Ing. Said Work to be as described in Application No. 1414 6 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR I dM,%xy 7 7 19 840 r-lwilding 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 Amon 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." Condominium - 8 Units ' Ind. Rid. 5/22/84 Andover Equities, Inc. Bldg. #2 Mill Pond Drive Permit # 13846 Electrician Frank Nicotera 8585 Heating Contr. Ha vco Inc. 040 Plumbing "Rocco T. Copabiani 6473 Oil Burner Certificate of Occupancy Sewer Permit Unit 201 - 6782 -da a Unit 202 - 6783G Unit 203 - 6784 Unit 204 - 6785 G° Unit 205 - 6786 Unit 206 - 6787 Ze7 Unit 207 - 6788 " zo( I 1 Unit 208 - 6789 - useECTION REPORT Permit # tlol Job 1 Footing 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O. ( o-7'o Permit No. TOWN Off' SOUTH WINDSOR SOUTH'VINDSOR, CONN. Permit . w 6782 Certificate of Occupancy foo 1 00&4THISSTOCARIYthae T at No. in the Town of So 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 a rove or occupancy. i Bui in, Inspe or Ow wilder Fee Paid L Date/19 P rmit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit6783w. d Certificate of Occupancy M THIS IS TO ('ERTIfX that j&Al Z-1 at No. in the Town of Souw1kindsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby app owed fof"occupancy,. Buil ing Inspector er, Builder Fee Paid Date 19 2 P rmit No. 38 TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit s ; Certificate of Occupancy THIS IS T CERTjjY that e at No. Z in the Town of Sou indsor, Connecticut, has been erected and completed in accordance wit the B ' ding Code and Zoning Regulations of the Town of South Windsor, and is hereby app oved o occupancy. li 00-0- Building Inspector Ow r, Builder ee Fee Paid l Date 19 z Permit No. V TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit - 6785 Certificate of Occupancy THIS S TO CERTIFY that at No. n the Town of South indsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby appro ed occupa Building nspector- fawner, Wilder Fee Paid ,,, Date 19 Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit M Certificate of Occupancy M THIS S TO CERTIF that the at No. in the Town of SoutAvWindsor, Connecticut, has been erected and completed in accordance with the Building Code and Zoning Regulations of the Town of South Windsor, and is hereby aplyrovedAor occupancy. Building Inspector Owner, uilder Fee Paid Date gyp' A„ 194 , Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit "?6787ti a Certificat of Occupancy THI IS_ CERTIF th t e at No. in the Town of Sou indsor, Connecticut, has e abeenerectedandcompletedinaccordancewiththeBuildingCodnd Zoning Regulations of the Town of South Windsor, and is hereby ap ove r occu Y. I 9t Building InspecTor4W& OQ' 0wnqq Builder L Fee Paid l Date 19 I Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. i Permit 6788 Certificate of Occupancy THIS S TO CERTIFY that e at No. in the Town of South indsor, Connecticut, has been erected and completed in accordance wi the uilding Code and Zoning Regulations of N the Town of South Windsor, and is hereby app v d or occu cy. M 1 Bui g Inspector Ow Builder Fee Paid /' Date 19 Permit No. TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. Permit 6689 Certificate of Occupancy THI I5XO CERTIFY thatChe at No. in the Town of South 10ndsor, 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 ved fog-occupancy. Building Inspector Q,wn Builder Fee Paid JA Date 19 r l 8585 ELECTECAL APPLICATION Application No. 9996 on the side of Mill Pond D r i vP Strict Street No. glda 9 Owncr -7Ano- yar' EqU itlip S Electrician r'r a nk Nate r a FILED IN OFFICE OF The Building Inspector No -3 19—4 INSPECTION. 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 fire stops (if of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit No. 9157-,J .................. Master License No. TOWN OF SOUTH WINDSOR Building Permit No. JYff.'YV/ Date Filed BUILDING DEPARTMENT e . .......................... Date Final Approval .. .. ....... . .......... ............. APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION: % t R-01......... JOB OWNER: .19 id)0..v.e.p........ Sideof . Between and ................................................................................. Name of Building Owner t4 vdou.e a- Addressl), 0 ....-(, b A P .....DJR..... w.:....0- If work is for Lessee--Give name Address ................ .......................... ...... .... .......................... Building now occupied as (unless new) No. of family units now .... ......I Building to be occupied as ... V C Number of family units to be ...... IC? .......... . Is this wo included in a Building Permit? y e s Permit Fee . ..... .. ........ ... .. . ........................... ..................... ................... If no Building Permit) Permittee - Business Address*-Telephone ................... 0N. COSTOF INSTALLATION: /..,*Y> a,. . .... ........................... .... ...... ............ .......... ........................................................................................................... TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed Number of present Appliance Circuits .... ... .... ..... ...........Number of convenience outlets to be installed Number of switches to be installed Do these include Range E] 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 Clothes Washer . . . . Clothes Dryer . . . . . ll 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 ......... - Size of service to be ..... ...... .... ................... ..............------ a 6473 PLUMBING APPLICATION AppLa6m NO. 7252 on the aide ofL 11A.Steed Street Na Owner ..... Pi Filed in Office of The July 10 19 84 II CSO No person shall cort uo- add ow aloes amy portion of the &coinage symm of nay bu&7d'ig acept to repok 66) until a Pk ics ymmed by the Building Lupu=. APPLICATION FOR PLUMBING PERMIT (Continu d from R v rs Sid ) TOWN OF SOUTH WINDSOR, CONN. 11. LOCATION OF JOB Ax ela_3-0 AV N ST EE FLOOR APTAO. GENERAL PLUMBING lie 12. KIND OF INSTALLATION 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS STYLE 15. NO. OF URINALS STYLE d 16. NO.OF BATHTUBS- IL-17.NO.OF LAVATORIES _18. NO.OF SINKS_ _ 19. NO. OF WASHTUBS 20. NO.OF CONDUCTORS v SIZE 21. NO. OF STACKS _SIZE 4-1 22. AREA OF ROOF 6o0 J S 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? Ae 27. SIZE OF WINDOW 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? f 29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE? GT/SIGNATURE ADDRESS LICENSE NO. ESTIMATED COSTZ2TELEPHONE zoOWNERADDRESS WATER HEATER 31. TYPE 32. MANUFACTURER TANK SAFETY DEVICES 33. CAPACITY Q 37. TEMPERATURE RELIEF VALVE 34. TEST PRESSURE__e L'{ 38. MANUFACTURER 00, 35. WORKING PRESSURE L9 39. PRESSURE RELIEF VALVE 36. TYPE C 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 CODE. e;; r i SIGNATURE LMANT PERMIT Application For 6431 6040 DEPARTMENT DECISION Heating Permit 0 3 APPLICATION IS HEREBY:DEPARTMENT OF LICENSES AND INSPECTIONS N APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR 0 Thomas P. DI Auria p, 1 1 /1 4/R4 00 v DATE CHIEF INSPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BEL N O O I. LOCATION OF JOB q G'" O v o a 4J NO. 1 STREET C r.., r.. O v v LOT NO. FLOOR APT. NO. O 0 O lV 1 064) O 2. OWNER s~ aO 3. ADDRESS ba 4.FHON a a 03 13,'0-21 S. APPLICANT let Oc Go a. ADDRESS C Jaa7°-1.PHONE A S. LICENSE NO. a F. +; S. EXPIRATION DATE OF LICENSE /0 OCrv 10. ESTIMATED COST s zz p 7 11. IS THIS A CONTRACT COST?LJ YES NO bo FEE ENCLOSED : 32o=i } 11846 13. TYPE BUILDING: v1 RESIDENTIAL COMMERCIAL 14. T7PE OF J INDUSTRIAL d 3ce ORIGINAL ALTERATION INSTALLATI N ADDITION REPAIR APPLICATION FOR HEATING PERMIT (Continued tr m Reverse Side) 11. LOCATION OF JOB l L 11 e N0. U STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: OIL BURNER ELECTRIC VENTILATION SPRINKLER L"1 GAS BURNER STACK INCINERATOR MISCELLANEOUS IDENTIFY SIZE LOCATION SIZE SIZE 13. OF TANK OF TANK OF FILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. r rl 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 H TED NEW OR pLD BUILDING l.-c.J INSULATED - YES OR NO TYPE OF WALL < INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. B..T..U./SQ. FT./HR. EMISSION J INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 70 0 FAHRENHEIT !d w 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 I 15. TO BE DONE;l C>)1- 16. Ur Lt. '` HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA - SQUARE FEET e.T.U. w.T.U. O<DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTALq ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j I-LL REGISTER L W N AND C TEMP. TO F; TYPE AND SIZE RAD. OR LEADER SIZE WALL •Lt0 IINFILT.) f OIFF. F F,m N SO. FT. 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 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. L'l DATL SIGNATURE 0 LICANT FOM J-1T (Transparent) Copyright by the Plan No.Air Conditioning Contractors of America" Date thS 17th street N.W. CalculatedW40ingtom,D.0 20M Printed in U.S.A. January,1967 RKS14EN" FOR MANUAL J UWrd Edition) LOAD CALCMATIONk FOR, RESUMNTIAL Alit CONDITIONING For: Name- Addr c City and State or Prove By: Contractor-- Address City W ter Design Conditions Outside F Inside__ Temperature Difference-- Degrees Iqsed dais"below only after all heat logs enleWations have been completed) To Heat LOSS(Btuh) 1-__.4 .L From Line No. i5) Model No. Serial. Manufactured by_-- Rat, g Data: Input- t---------Btuh Output at Bonnet--'00 - Uh 10 Description of ControlsIP Swm=er Design Coaditiew Outside__1q F- Inside- F North Latitudes Degrees Daily Range._ I=ert date below ostrr titer all heat gain Calculations have been conepl"R t-1 Total Heat Gain (Btuh)_. From Line No.20 or 21, if used) Equipment Capacity Multiplier Model No. Serial No. Manufactured by -_----- Rating Data: Cooling Capacity-- Q'00 ----Btuh Air Volume _ Cfm Description of C®ittro% Winter Comouefift Data (See Table 2) summer Construction Data (See Table 5 ) Walls and Partitiona Direction House Faces_ Windows and Windows and Dooars Walls and PartitioaR Cet ngs Ceilings-_ Y 1 • i r r arr r r w r ir r a t 41-. Y SS,c v= 1€ Y me, µ, t'ti w 1 t..r Wr Y ••_' b t'. +- t r S$,, YT •, Y -' y ,i 'y_-kt /Y;' • i v, 4n ,l r x k., 't• e `•`` Y ` yam •Z + • A4i?} vd am Rl M A- w mm 14 NZ s MOO 1 1Are. , : Area 1 or or Length 4P. ,. k s `'` r' ..#i sw.tXi" :F•tf•{r Q'_. ' ti . r. 5 ..• 14' '--: x 'z '`. 4 f.y .u.4' S jys, :T v.•r..• VFt L•i- i I.l a tre'•t 1, e v 1 1 4:,{d rS'_A }4n t.• i r,;'7+ t.iyl. '- e:. t y v'}' r - '''• i w r L• _ • n _ _ "......'.. It l.'. N1 3,a'TT f_ *< ya. t Windows Mk and Glass 4 Y WWI 1 a. 0 ; i 1 1 , .. t h` fir;7`'R- 1 . Ci' Duct Btuh Gain 04 , r i 1 Tebie A USE TO CALCULATE SHADLzD AND UNSHADED GLASS AREAS) i I. Dirvrkidn which window faces. 2. Total window Wea, gq ft. F, J. Width of window, ft. 4. Shaded area.pw foot of over- hang froth Titble B—1, sq ft. S. Width of overhang, ft. 6. Total area of shaded glass, eq ft. ((Line 4) x(Lane 6). i17. T" am of umahaded glass, sq It. (lane 2)--(Line 6). t f Table B Oise to Determine Adjustment Factor) A. Total Btuh Gain,from Line 20 B. Capacity•Multiplier, from Table 7 C. E4uipment Standard ARI Capacity Rating, Minimum required, (Line A) x (Line B) D. Capacity of Equipment Selected not less than Line C, Enter in "Entire >Youse" columtu, Line 21 E. Adjustment Factor (Lirw D):(11ne A), Enter in "HTM" column, Line 21 FORM J--1T (Transparent) Copyright by the Au Conditioning Contractors Plan No. of America" DA$C122817thStreetNX Washington.D.0 20036 CWCulat d by* Printed in U.S.A. January. 19V WORKSHIET FOR MANUAL J cam. wum) LOAD CALCULATIONS FOR RES#DftMAL AM CO"D"ZONING For: N s Address-- ------------- City and State or Province__ By: Contractor---- --------- --- --- ---- ------ - Address—__ City ----—-- 7 Winter Design Oo"tieae Outside_ , —F Inside F Temperature Diff Ig ees Iteert data below only after all beat too@ cakidatione U''ve been eo gated) Total Heat Loss (Btuh)—) 0 1)rom Lino tio. is) 1 04W NM V Serial No. Mahuf*mod 1'.__- — wonRatingData: Input_Btuh ut,at B _____ Ikuh Description of Controis— Summer Iliign Gam. Outside- F Items,--...,-----` North Latitude ._—_ IlWem Day Vi e- ;- Insert data below only after sal beat gain oWrWO#wn Lam g) Total Heat Gain (Btah)---- -Line No.'A or 2 if Equipment Capacity Multiplier Serial NO.liaotu-ed b ting Data: Cooling Capacity___ 1RtuiL. Air Volume C€m Description of Controls t Winter C nstrutdon Data(See T 1*11* g) q t tret". Mo WalN and Partitions_ ' __, r..— Direetion House Fla Windows and`doors- r--= k- Windows and Wails and,po "- Area AreIrea oror or or or t Length x'e ."" 4' 4. 0111',_.YK,r"s •.rtf- ._ fir • pir,r f.,s-...1 Y R'S r.'4t4 6.•- - `.ti,.. v; i'"° "y d..:E,.,. . Mf.'. .!1' . iT Y 6 tter r•.',7 ` rqtX ,. +' t.., tom. > c.: f"k.'' 1•.:.'_ _. e..,{at • t'' w," ..+ 4i: -. R... .. - ci- ax ,. aw J'_ F-•lr.. "' :, , ti56 `>`y',,- ii: Y ram x. f ^ :•> t. L,.ta-,1..I ,, `. x,.. d,.R ._ -, s '• A i` 5. a y k.; L P6 a t h...SY.- 4j i tt•'~ a '' i '+.'' y•• f t^•- y 4 2't{ '-^3r ' (` 1 fil :-- »w. p9-; err "'C `'..w • ( a` ;c j} r '•;:_ k.. i,r s aName Room Dimensions, Ft Ar Are Length LengthOfGross1..F._ r s4:yS ff 4`. .;ii ti '° tk'!'.'lfS r ,Cf•Y T, t R,y':.-7 , r 'e: i.i.R *s"e'r f+1'.7., T..,,•..,', r. ```r r. • !'` .:r'A..J 0.Exposed walIs and VA,t xi t ut 4 Y • R'4 fit ' I t31 s Partitions Windows and AGlass indowsiW Southor SE&SW Net Exposed 3.S s.. w,., . 'w'3_.. 1[I'.;FiI+ y p f,,_ Ir{x s-,yr s'C^• F'e' .r Y :...,^*.+_t' Myy j .+•`i`.'"T'II..«`p t+'!' r5r'•, }. '2 —i,,. - a r, _ _ — I r r. M a mom M r Total Btuh Low joopl Cq- 3 it and Appliancese Wible Btub Gain (Structure) mow„ s..: T ap r:a• rj sa f I • 1rT_ Y! Yam 9y ~^•' . Y1 7 19 l!1•rMi s '' tarter .:. y.d 4 Btuh for Air Quantities aA TO. CA.LCULAN ;NAND Am OMMA - *LASS- A4*AS j f a L, Dkoction which window faces. 2. Total window area, sq`ft~ . 3. 'Width of Oindow, It. 4. Sid arm per foot of over- hnh#prom Table B—I, aq ft. 57' Width of overhang, ft. 6. Total area of shaded glass, sq ft. (Line 4) x (Line 5). 7. Total area of unshaded glass, aq ft. (Line 2)--(Line 6). T.wo e use to Dokmino Adjv t F*dor) A. Total Btuh Gain, from Dine 20 B. Capacity Multiplier, from Table 7 C. Equipment Standard ARI Capacity Rating, Minimum required, (Line A) x ("Line B) D. Capacity of Equipment Selected, not less than Line C, Enter in "Entire House" column, Line 21 E. Adjustment Factor (Line D):(Line A), Enter in "HTM" column, Line 21 i 1 DO NOT WRITE i Name of Room Entire House 1 A.,,it 2 o/ 4 i 2 Running Ft Exposed Wall t1/ 3 Room Dimensionq, Ft T> X/ eilinr Ht, Ft Directions Roum Faces j t 4K ME Cona. HTM Area Binh Ares Btuh Area Stub Area Btuh Area Btuh Area Btt1 OF No. or or or or or or EXPOSURE Htg CIS Length Htg CIe Length Htg Clg Length Ht; C1g Length Htg Cla Length $ti Clg Length Htg s Gross Exposed b Walls and c E Partitions d y ( Z.?Z Z, 7 ty, I_ i Windows a li, I e1C a.v /3 y and Glass b Xr qDoorskHtg) c 7 Windows NorthIr and Glass E&W or NE & NW y Z t ,j" DU aLf Doors(Clg) South or SE&SW 81 Other Doors 9 Net a L • iy .31 Z,12 /47 137 y. `T7• i .3er Exposed b f Walls and e Partitions d 16 Ceilings a 7 0 j r / 9' /y .5 3, b 11 Floors a 6 3 / 3 7a— s. b 12 Ventilation 3 Sub Total Btuh Loss 3j z!.Z j 43-22.5 low 4 Duct Btuh Loss 6 3 O 7 5 Total Btuh Loss d'7 7 3 33 179 6 People 0 300 and Appliances 1200 17 Sensible Btuh Gain (Structure) 18 Duet Btuh Gain 0' jt. 1 1 Sum of Lines 17 and 18(C}g) o 7 C Total Btuh Gain (Line 19 x 1.3) 1.3 1 Btuh for Air Quantities Terms A UM TO CALCULATE SHADED AIM UMNAOED GLASS .AREAS) 1 1. Direction which window faces. 2. Total window area, aq ft. J. Width of window, ft. 4. Shaded area per foot of over- hang from Table B—1,sq ft. 5. Width of overhang, ft. 6. Total area of shaded glass, sq ft. (Line 4) x (Line 5). 7. Total area of unshaded glans, sq ft. (Line 2)—(Line 6). Tom* t Use to Determine Adiusf"nf Factor) A. Total Btuh Gain, from Line.24 B. Capacity Multiplier, from Table 7 C. Equipment Standard ARI Capacity Rating, Minimum required, (Line A) x (Lane B) D. Capacity of Equipment Selected, not lees than Line C, Enter in "Entire House" column, Line 21 E. Adjustment Factor (Line D)+(Line A), Enter in "HTM" column, Line 21 FORA J-tY (Transparent) Copyright by the Air Conditioning Cont;acwrs Plan No._ of America" 8 17th Street N.W. Date— 'ee Washington, D.C,• M6 Calculated by— : Printed in U S.A January, 1867 WORKSHEET FOR MANUAL J (Tmm LOAD CALCULATIONS FOR RESIDENTIAL AIR Ct?NMTIONINQ For: Name_ i, l -- j!/)i T - City and State or Province By: Contractor Address----------- ------ City---- ---- Winter Desigs Conditions Outside '___ __F Inside-_7-C) F Temperature Difference 7 des Insert data below only after all beat lose salcuktions have been completed) r r rTotalHeatLoci (Btuh)_ 31,3__7i From Line No. 15) Modrl No. jt., 0..t-, Serial No. -- ---__--- _---____-- __-- -- Manufactures by-- Rating Data: Input-_ Btuh Output at HEwnet___'Z- _040` Btuh Dewiption of Controls ,-_ -- _-- Sumaw Design Co""As Outside--_F Insid 7 ____F North Latitude___ Degrees Daily Range_ Insert data below only after all beat gain Mons°bate been lete i) Total Heat Gain (Btuh) From Luce No.20 or 21, if used) „,, Equipment Capacity Muldplier Madei No._. - Serial No. Manufa Ured by Rating Data: Cooling Capacity / ir-, 000 __- Rtuh Air Volt Cfin Description of Control._..__ Winter Construction Data (See Table 2) Smetaer Conartractiss Deft (See Table b ) Wads and Partitions Dkeetion House Faces._._ Windows and 13om ro Windows and Doors---- Walla and Partitions C,eilir s Floors 3 4 f•ray` ' A!` il' 1- a.... e_$M,. ,(._.;.';1.' SRs:•'wr.r fs- is "y,., S:'.•_- !,°ar tal!rs.A-.'r3R` a a ,...-'. r +'.y 15..T.. v*, r . #3 i,. 6 n.:, t A ,.J Er' :'.., :. r r- 1Bf',11'..- •,-e'1fi•,•. ".'S.y s};. r s:>.a,.`.t . ,p•. ' ,' C.r sn. _a .'_. - Ri.'•R,.;.} i .. y,•'.d~c.' Area or Le z .yCf..J r..9- .,tA, h 9F:: Y _ tie ,• ",r7;j-L.-rta N!_:''! s,. 'S)r-..!S _..°fi,ri. 4.Y.` f J" `st3` .-.• „/. L " ' s'1" i}. gym. K, z.,. r` ; ISE,e. t a K i v. jo t 1 isj3.*i ;Ttr s 3 4 ' r 4 .. h ..,, ;-.... 3`.•.: `' iFy •A;:` a' ry ia.y ffi•R f.:Y '!. .. f:., y A..:.. <• Pl {19 F I .. q 'r.JC S. \ '1" e Ai,.'. f i t... ;ai;''i ^.5.. i`--",''+?•ry T""7 a".;x.l' L>...,_. j• r x-' rr K, sar h:.. 4' 1 r yv fR 4k. T4 1rVIr •fE s a .. t` nk.' - r'sy, ty..-yrs` " Electric# APPLICATION FOR BUILDING PERMIT Plumbing# BUILDING # 2 MILL POND DRI HVAC # 23527 Date: V7T?(- Sprinkl r# No. FINAL APPROVAL APPROVAL& Estimated Cost 1 O C CrJ Building COMPLETE RED BOXED AREAS Permit Fee Engineerin TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. Total Fee O TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant LJ C. Tel.# l? Address S' z r •z C 7T" Zip 0,llAic.# 2 Owner T 1 r3D 7FAU m nrA6EmEa-T—Address ):l0 5 u j !k A VC 'Ow/ jz Gl O(oa7 Architect Address Sq. Ft. New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories 0=1 Bathrooms Garages Purpose of this permit: E )-ACC O City Water L Weil D Septic System D Sewer D Use Group /V Construction Type n/ q Area Basement Garage Approved by Date Revned 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 oft uilding for which this permit is asked,and agree that this budding is to be to ad the proper distance from all tre es,side yard lines and required distances from all other zones and is located in a ne in w ch this Uuild' g and Its us allowed. Signed I 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 Bectric# V APPLICATION FOR BUILDING PERMIT Plumbing#a 2201 MILL POND DRIVE HVAC # Date: It- 1 g — 9 Sprinkler# No. 25744 FINAL APPROVALS Estimated Cost $ 100©w- Building COMPLETE RED BOXED AREAS Permit Fee Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO.Total Fee TO BI MM ARTMENT,TOWN OF SOUTH WIN1DSOR,CT Additional Cost) $ The undersigned h reby applies to do work according to the following specifications: Job Location Z Z O ( (AM Por14 A- Lot No. Side of Street PC+ Zone Applicant Ke.(+(c. Co 4S± i n L Tel# $G 0 6 9 9 y 5 5 Address k S 41 JA, B r c 6,4 r,cL fZd.. Zip O(zoq 13 Lic# L_51 5'-I_7 Own r Mor CU^, Lgdj-* Address Z-Z o 1 D f" Architect P ft Address Sq.Ft.N w Area: 1sr9l. 2nd FI. 3rd FL Total New Area 4 O O Rooms Lavatories Bathrooms Garages Purpose of this permit: .&.Se-,&aAA City Water M Well Septic System Sewer, Ins. H.O. S.P. Cert. Area Basement Garage Approved by C Date I i Use Group Construction Type RwA"d 1197 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 which this building and its use is allowed. Signed Kc- c.L I hereby apply for a Certificate of Occupancy foZEk described in this application for the permit. Signed t 3V PC. tad, I DO NOT WR BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 98-25744-B 7,000 B03 FRAMING (ROUGH) 11/20/98 DCJ A E03 ROUGH 11/20/98 DCJ A B04 INSULATION 11/20/98 DCJ A B10 FINAL 10/06/99 JFF D NO ACCESS LEFT DOOR TAG B10 FINAL 01/11/00 DCJ A NO FINAL INSP., NEW OWNER 98-16042-E 2,000 98-10296-P 250 Electric; APPLICATION FOR BUILDING PERMIT 2310 MILL POND DRIVE Plumbing# Date:K13dl&WAC # 26455 Sprinkler# N0' FINAL PRO"7/ Estimated Cost $ 19 60-60 Building(I COMPLETE RED BOXED AREAS Permit Fee neeri TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO. 11 Total Fee TO BUILDM DEPARTMENT,TOWN OF SOUTH WHDSOR,CT Additional Cost) $ The undersigned h reby applies to do work according to the following specifications: Job Location r Z Lot No. Side of Street Zone Applicant Tel# Too -9 R 9-Y 9?k Addr ss U4ndsor Zip 0607 Lie.# D o,K I y©(o a1- Own r 1 l 2ic ErK E L al N'0 A Address 2 A)n A- i z4- a Nt iZ_ Architect Address Sq.Ft.N w Area: 1st Fl. 2nd Fl 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: he a e. EIC.Sk ,ec;k a,J Can arwJ- airs 4 nd 7'hiA/( "e 8'' azy c^ j 6lrouri0 a hJ_ eons 'Ll6 f sleLJ 7 X la' s icCA U s,ftce a hrt- tt'&&4er L r e: J+fT fQ Q X//. '/n i/3 d 3G''ah rJ•f o X SP w l s _S h /'n @Jl City Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by 8Date 30 C-! Use Group Construction Type ReYbW 1/97 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 which thi buildi and its use is allowed. Signed I hereby apply for a Certificate of Occupancy fofthe work descri is application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code D scripti on Due Whom Code Comment 99-26455-B 1,560 BO1 FOOTING 10/01/99 JFF A WITH CONTRACTOR B10 FINAL 11/10/99 JFF A APPROVED FOR CLOSEOUT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby:TOWN OF SOUTH WINDSOR 1BUILDINGDEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# 414 644-2511 ext. 230 Date'ilding Inspector Application must be printed or typed Location of Job: Fnor EE SCHEDULE y O Y et l Acww a ZJ V Q 1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 ny fraction thereof Tenant Designation Apt.No. APPLICANT CAk CX APPLICANT ADDRESS Z y o y P v e APPLICANT PHONE# y y 5 6 sr-Z S OW N S OWNER 5 o w%-e OWNER ADDRESS OWNER PHONE ESTIMATED COST$ c v V IS THIS A CONTRACT COST? 13 Yes O No F FEE ENCLOSED$ TYPE OF JOB: SpR.CO Q'New Installation WAlteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? 2 YES NO Q'RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY U N pi ri l Su tD f;a003 a*0"ew-x ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY EDUCATIONAL ElINSTITUTIONAL ENGINEER'S NAME A.-' PHONE G L- Z FACTORY STORAGE ADDRESS Z`l 0`i YIM`'J I GARAGE MIXED USE CITY c VJ i IsJ a g QA STATE U! ZIP © 6 0 7 y Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE &SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS Cs S NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES Q'NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS 1 NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK Ru" Fowl& t- owcQd P%row• `ookiiv PAti21 -rV t o-14e .i,, heoO C¢c..i n. `31. l.,r y CA S 400 ye owl rAN THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE Z-— 3—Q1g i DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby:BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230q17- Da a Building Inspector Application must be printed or typed c 'on of b: FEE SCHEDULE cO o 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 2 C APPLICANT ADDRESS a APPLICANT PHONE# oq y V6 W N S OWNER C. 2 a OWNER ADDRESS O O C/ / O E"" OWNER PHONE C ESTIMATED COST$ d IS THIS A CONTRACT COST? 0 Yes mNo CJ FEE ENCLOSED$ /3 TYPE OF JOB: SOR-Co 0 New Installation teration/Addition./Repair Revised 8/99 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A U'RESIDEN'TIAL BUILDING PERMIT APPLICATION? YES NO BUSINESS CURRENT USE AND OCCUPANCY Re,S ASSEMBLY sMERCANTILEFUTUREUSEANDOCCUPANCY EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY STORAGE ADDRESS GARAGE MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION ma v--e, T(d 14 0 rd(kl SIZE OF MAIN DRAIN NO.OF TOILETS_ STYLE_NO.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 gl 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 HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK ao r THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICE SE NO. TYp. fl STA 3SIGNATUREOFAPPLICANTDATEa 1 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby:TOWN OF SOUTH WINDSOR l o S q qBUILDINGDEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 ate Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE a - M 11 ,p, ej pRI-V 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT M ke APPLICANT ADDRESS A l I IQ/UM,6 N QI P- N Cj ip-P 13a-ex 19S3 -T-611,oti C o64gq APPLICANT PHONE#T 7 Q —S 3 a 5 N SF OWNER e0A Q PQA,4 q OWNER ADDRESS .Z Sm( M 1 Poti lN/Ar cl ScA. Ct o46 a74' OWNER PHONE0 C ESTIMATED COST$ 5477 IS THIS A CONTRACT COST? 'Yes 0 No ovC! FEE ENCLOSED$ / T TYPE OF JOB: SOR CO 0 New Installation 5'Alteration/Addition/Repair Revised 8/99 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL I BUILDING PERMIT APPLICATION? YES NO BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY STORAGE ADDRESS GARAGE MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION Lti-4 tQf, fj A2 SIZE OF MAIN DRAIN NO.OF TOILETS STYLE NO.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 HEATER: TYPE G A 5 MANUFACTURER S fic 'c 4 e DESCRIPTION OF WORK 4 Cjr e 1 f 1N f® 11 ow A/,g i clAA L D S Gvll fic,` M c A. o THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. C CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT `//2.L DATE DEPARTMENT DECISION PERMIT# APPLICATION FOIE ELECTRICAL PERMIT Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE c) 76&2( 644-2511 ext.230 Date Building Inspector Application must be printed or typed Location ofjob 0 MCLL P&)Ci Street No. Street Lot No. FEE SCHEDULE R Floor Apt.No. 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER or any fraction thereof ADDRESS OWNERS PHONE# LpL4S-R k'N APPLICANT 0*S~ADDRESS IYOI)C P oc C 4( C ESTRdATED COST$ oo IS THIS A CONTRACT COST? YES NO oFEEENCLOSED $--A L OR-Co TYPE OF JOB: Original,Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS 10 NUMBER OF LIGHT FIXTURES 10 NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED, DESCRIPTION OF WORK c 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. VA NAME STATE LICENSE NO. TYPE F.-1 SIGNA OF PLICANT PHONE NO.jj_ -(rLtLc-q DATE 'l AbVj:,-