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HomeMy WebLinkAbout21 Hollis Road6041 ELECTRICAL APPLICATION Application No. ............6.352.......................................................... onthe .......................................................................................... aide of H.O.1 U S.....P,.Q.a.d.. .................... Street StreetNo. ... ....... . .2.1 ................................................................ Owner ...Frances.. Q....Burnham.................... Electrician ..Fleczt.ri.cal....$!e rvi.Qp. .Inc.. FILED IN OFFICE OF The Building Inspector 4 iy.....1.9.................. ....... 19 ...7.6. INSPRCTION. 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. t APPLICATION FOR PERMIT TO DO ELECTRICAI. WORK. No. ......................635_2.............. Permit No. .......6041............. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application tQ 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., ........ ..19..?.&Sign here ................ ............Z, Address ...f..J I/.........lr!'........ Location ....................... Side of ......................./Y 1.......p................................ Natureof Building ..................................... ............................................. .. How many stories ................................................................................................. Newor old Building .............. ......... ................................... ....... ....... .. How many families .............................................................................................. Kind of Installation ....................... .... .. .... ........................................... ...... How many Stores ..... t................................................ Owner i( 1,s................,..............u.t............. Address ...L.........,l...l.:.d....5.................F..0.....:............................ Architect ........................ ..................................... .... .... ............................. ..... Address ............................................................................................_............................. Builder ............................. ..................... ....... . ...... .................... ........... . Address . ....... .................................................................................................... n Electrician 1... ..... 'i '.......... `-rL ,.WAddress ..... ................................................................................................................ FOP% S 7 - f 6%-" Size of Main Wires .. ...................................................... 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 ........................................................ Size of Heat Circuit .............. No. of Power Receptacles ........ ....... ...... No. of Switches .................................. ..... . . Total Wattage ....................................... ... Size of Power Circuit ...... ... Total Horsepower ......... .... ..... ......... No. of Straight Electric Fixtures ..... . ...... ................... . ... No. of Combination Fixtures .... ................ ..... .......... .... .. ......... No. of Receptacles ................................ ... ........ ........... . ... . .. ..... No. of Cord Drops ....................................................................... ............... Remarks: For other kind of Installation ....... .............T.................1 .t. '-11. .f ! ....................Ax......... 9./'.... ..............:1................... ..1................. ....... ....,/.... ..............o ... 5.,1.. ................ . ?'J'r'............0 .. .. ti ... .... .. ............................................................................................................ ................ ... Estimated Cost ...................,Ll... ..... ....CyEstimated PERMIT # Application For 6513 5412 DEPARTMENT DECISION eatingPermit 0 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N APPROVED DISAPPROVED I TOWN OF SOUTH WINDSOR 81 0000 12 f Tf H SPECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER HE BELOW O c 1. LOCATION OF JOB 21 Hollis Rd 0 NO. STREET 4 Ua LOT NO. FLOOR APT. NO. O O 4-a N Eli Okrant p 2. OWNER J HOlTi R"d00c3. ADDRESS 1- 1 3 1 So. Windsor Ct. 4.pHONE 289-7098 ce S. APPLICANT John Giblin I vi 704 a• 0 W s. ADDRESS3' 1 Riverside Dr E. Hartford Cce 7.PHONE 568-3500 o S. LICENSE 140. B-3 #305565 o d o 2. EXPIRATION DATE OF LICENSE 1o. ESTIMATED COST S450.00 c 11. IS THIS A CONTRACT COS"YES NObU 1,O 12. FEE ENCLOSED S. •00 cQ c 13. TYPE OF BUILDING: I bA RESIDENTW. COMMERCIAL O ce 3 14. TYPE OF JOB:INDUSTRIAL i ORIGINAL ON INSTALLATION ADDITION s REPAIR APPLICATION FOR HEATING PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB 21 Hollis Rd. NO. STREET FLOOR APT.NO. 12. TYPE OF INSTALLATION: El OIL BURNER HEATING SYSTEM VENTILATION SPRINKLER 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. 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 1s. TO BE DONE:Install oil burner is. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. B.T.U. I-DISTRIBUTION INSTALLED AND DOORS VOLUME TOTAL TOTAL y ROOM No.GROSS CLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL LL REGISTER L W N AND TEMP. TO F TYPE AND SIZE RAD. OR LEADER SIZE < WALL to INFILT.) DIFF. F O m N Sq. 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 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 SIGNAT E OF AP L CANT i Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 21 HOLL I S ROAD HVAC # 23728 Dot: Sprinkl r# No. FINAL APPROVALS Estimated Cost $ Building 1 COMPLETE RED BOXED AREAS Permit Fee 4/G Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDEAppr.for CO. 11: Total Fee qO TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $ Th undersigned hereby applies to do work according to the following specifications: Job Location 2/ /404L 15 iZD• Lot No. Side of Street Zone Applicant % /'l i c t. Tel.# (o-'37—87.'Z Addr ss 113 , AVWey AP.- 6 c i lf C7— Zip Lic. # 6-17076 Own r t9AWw1ry !y,F[_,S'4AJ Address _201 /VoG C/S x' Architect Address Sq. Ft.New Area: 1st FI. 2nd FI. 3rd FI. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: o1e,?E16,*k City Water Well Septic System Sewer Use Group Construction Type Area Bas m nt i Garage Approved by Date 1.6,1110 Revisal 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 zon ch Lhisbulding use is allowed. Signe 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