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