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HomeMy WebLinkAbout23 Carman Road (2)Application No.463 8 Permit No. 4378 . . TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (sari (make alteration to) a building according to the0olilowing 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., ..........19..k3 Sign'here ........ ........ ................... .. .. ...... ................. ................. .... . 6Location? . ....J............. 1?.......side of? ........................................................................................................................ R.....Street No. ................. Lot No.Nearest cross street? Ownerof land is? ......... ................................Z.... ............... ...............Address ..... ... .... I.............. ......... Ownerof buildin is? Address .. ........................................................................................................... Architectis? .. ..... ................ .......``................................ ....................Address Builder is? .G.... .............. .. ............ ............ ....._... r ...... Address 1 i i or r Dimensions of building X/0.......Feet front? .d... ........ . Feet rear . ......f ........... Feet dap? Extreme height to highest point of roof? ............... . ...'...... ...... ... ... No. of stories in height?... Purposeof building ia? 61...iozce.. ..................................No. of stores? ...........................................................................................0......... Howmany families? ................ No. of rooms? .... ................................................................................................. Distance from street line is? . .... ........ ..........................................from building line is? .............................................................................. ADDITIONS AND ALTERATIONS Grive Brief Description) 1 aw..........G. C'G.l. ....... F15.. r L. jd: .........c.—....... 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? 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 Hellght Stories Front Walla Side Walls Rear Walls Partition Walls Basement, 1st Story 2nd 3rd " 4th " 5th 11 6th " 7th " I..........._............ ........................................... ................ ............ ......................... ,........... .... .. . .. ........................................... ............ ................................................ 8th of 9th " 10th..... Material.of Front? ... If stone, what kind? Thickness of Ashlar? Thickness of Backing? Backed up with what?Arches or Iintels over openings? WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS GIRDZRS COLUMNS Floors Sim Longest Span Centres Bridging Sim Longest Span Centres She Lengib Centres 1st Floor 4. ............ ..............k......... .................._.........._.........I......_... .............. .............................. Size of outside studs? Distance on centres?Size of sill? ........ .............. .............. Size of rafters? ..... Distance on centres?.......... .................................... Size of plate? .............lX54............ Size of ledgers or girts? ........................ .... ............................................Size of deck rafters? ..................................................................... ............... Distance on centres? .............. .......................................................................Size of studs in bearing partitions? .................................................. MISCELLANEOUS t4PStyleofroof, flat,.pitch, Mansard, or hi fC. . . ......................... Fireplaces? ....................................................... Material of roof covering.? ............ .. ..... Material of Cornice? ...................................................................................... Howis building heated? . .......... ..........................................................Lining of flues? .. ............................................................................ .............. Thickness of shell of flues? ......................................................................Any elevators or lifts? ........................ ................................ ...................... What kind? ...... ....... . ............... .......... How many? Any hois a Howprotected? ........... ... .. .......... ..................................... ... ............Total Value of Building7';. 16 When will work be commenced? v2xd.....".... .................. 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. Applicant 4378 BUILDING APPLICATION Application No. ........4638.................................................. onthe ............................ ........ ......... .......... ............... Side of Carmen-. Rd. . Street. Street No, .23 Owner James Allen Applicant William. J.. ..ae 1.ina s... .. .. CLASSIFICATION Porch to be added to existing dwelling 381x101 Permit issued on above Application. Date, Nay' 17 o 19 63. TOWN OF SOUTH WINDSOR BUILDING PERMIT Date May 17' 19 b3 Fee Paid 00 Est. Value $.? .. . . 00 Permit N? 4378 on the side of Carmen A Rd* Street Street No. 23 Owner James Allen Applicant William J. Ebel ina s CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid y$ CLASSIFICATION Porch to be added to existing dwelling 3 8 tx10 1 BUILDING PERMIT N° 43'78 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. May 17, 1963 94is to to T erttf1j, That William J. Ge l i na s is hereby granted permission to P itc h t i be added to existing building 38#x10t . at estimated value of $ 75 0.00 on the side of 23 Carmen R d . Street on land owned by James A l ae n Said Work to be as described in Application No. 4638 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. P Issued, !,lay 17, 19 63 Puild hispeethr. t 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 compelled to reason therefor." Application No. 6228 Permit No. 5958 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to-(emot.. (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., ................19.G..7... Signhere ..... ...... e,. _ l Address ...Y9.......6/. ...... T........ ..................-e Location? ... .. . a side of? ......., . ......... Nearest cross street? .......,&!1,,...f.........:....................................Street No. ................................................... Lot No. .............................. Owner of land is? ..... SIR!'?. ....,,1 t F..........Address ......'Y........-P.'oe.?1.R..w...X.?MLdSa Owner of building is? ....... ..e '...... Address z.,.2........ o ......................................... , Architectis? .. ..... ...............................................................................................Address .................................................................................................................... Builder is? ..,d;1we!/.....ft4..t.f.....s...e..........7`0:_...Address Dimensions of building? ... . ..... .. .............Feet front? ................ ......... Feet rear? ............... ......... Feet deep? ..... ... ....... Extreme height to highest point of roof? .....................No. of atone:in height?.................. .. .. .. Purpose of building ia? 1 .. .! ..4r., ., .....................No. of stores? ......................... .......................................................................... Howmany families? ..................................._......._ of rooms? .... .................................................................................................. Distance from street line is? ................ ............................................from building line is? ................................................................................... ADDITIONS AND ALTERATIONS Gve Brief Description) s.T l/..........i¢/K.., A.,.. ..............4 r.,a.! o..4. r...-..... .s .r ......w.. .. ....... ..Q-........................ a.µ. ...... ................................................._........... ..._..............................._.........................._....................................................................................._......... 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, Budding By-Laws.) BRICK CONSTRUCTION. Ofwhat material will walls be constructed? ... ..................... .. .................. .................................................. ....................... ........... ............... Compositionof mortar? ........................................................................................................................................................................ .......................................... Height and Thickness of Walls IE[e*ht stories Front Waft Side Walls Rear Walls Partition Walls Basement, I............................---........................................................................................... ........................................................................................................................................... ........ ist story 2nd " 3rd " r..........................................................................................'..'................................................ ................................................... 4th is 5th I# 6th to I............................I.................................................................................................................................................................................................. 7th It 8th 'd I........... .............................................................................. 9th 11 10th 4........... 6............................................... ... . ................ ................... ........ I.... ....... .....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 Column ioTB= OMMRBfB OOLUMMIFloorsBiseLoa^est f9pw Centres She Span Centres No Imt6 Centres lst Floor r......».». 2nd Size of outside studs? .......................................... Distance on centres? ................................................ Size of sill? ............................................... Size of rafters? .......................................... Distance on centm?................................................... Size of plate? ...................................................... Size of ledgers or girt&? .................................................................................Size of deck rafters? ..................................................................... ............... Distance on centres? ........................................................................................Size of studs in bearing partitions? .................................._............ MISCELLANEOUS Style of roof, flat,.pitch, Mansard, or hipped? .................................................................... Fireplaces? ........................................................ Materialof roof covering? ......................................................................Material of Cornice? ....................................................................................... Howis building heated? ............................................................................Lining of flues? ... .............................................................................................. Thicknessof shell of flues? ........................................................................Any elevators or lifts? ............................................................ ...................... What kind? How many? Any hoistways?............................................. 7Howprotected? ................. ......................................................... ............... Total Value oflding ........... ................................................................. When will work be commenced? ........f ...6." ...`1,- l?z. .7!"......F .......'FE '!..(1P.................................. 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. App icant s 558 BUILDING APPLICATION 6228 ApplicationNo. ........................................................................... onthe .................................................................................. side of Carman Rd. Street. Street No, ........2....3 Owner ....James...A.1.1e.....n... ............... ..............All.. Applicant nt CO. CLASSIFICATION Install aluminum siding on existing dwelling... .S....i..d.. .i....n....g will be v-rDunded. Permit issued on above Application. Date, .5.-h.-67. .......... 19....... .. TOWN OF SOUTH WINDSOR BUILDING PERMIT Date May 4. 1967 Fee Paid s. 8.00 Est. Value $1050.00 Permit N° 5958 on the side of Carman Rd. suet Street No. 23 Owner James Allen Applicant Bidwell Home Improvement C o. r CERTIFICATE OF OCCUPANCY ISSUED: f Date No. Fee Paid $ CLASSIFICATION Install aluminum siding on existing house. Siding will be grounded. BUILDING PERMIT N? 5958 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. may Ls 19 67 94is is tit (Tertif1j.9 That Bidwell Home Im provetrient CO. is hereby granted permission to Inet.li .lu iatx: a t t 1 c:-s ;.;.? wel'_'tsg. Biding wi; 11. be g.: .runded. at estimated value of $ `0 Q•o- on the side of 23 car a,t r Rd• Street on land owned by Said WOrk to be as described in Application No. and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. a Iss a MSS 4! 19 68 r Bui tng 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 compelled to reason therefor." 3943 ELECTRICAL APPLICATION Application No. .....4 2.44....................... ........................................ ondw ......... ......... ................. ............................ .. . .... side of ao;2 44 Street StreetNo. Owner ... V /W-4.A./... ........ ........... Electrician pl?199Y'g FILED IN OFFICE OF The Building Inspector I..K.............. . . . . . . 19 4 INSPBCTION. 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. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORII. No. . 4244 Permit No. ....394.3 . ...... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR., CONN. hereby make application to. perform Electr cal Work accordin# 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 4 Address 3? ......... .. ... Location ........ .... ..5...1,r1 Y i'!.... y,Ot . ..... .... Side of ..... .. ........ .... ................................................................................................ Nature of Building ....... ....... +e .5. How many stories .................. . .................................................................. New or old Building .............. How many families .....................I................................................................... Kind of Installation J_ . How many Stores .................................................................................................... Owner Address .. Z.. ... ... ..... t..!................ Architect Address Builder ...... Address Electrician .... .f r-- .:.. . Address Size of Main Wires .. ...................... ..... ....... ..... . Ly 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 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 Estimated Cost ..... ...,. ..... 9351 ELECTRXAL APPLICATION Application No. 10863 on the side of Carman Road Snit Street No. 23 Owner Kevin Sheridan Electrician A I C h I A . (=,U/?a Y FILED IN OFFICE OF The Building Inspector Aug- IS 19 A-6_ 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 flre stops (if of wood) are installed, without a special permit from the office of the Building Inspector. Electrical Permit No. Master License No. TOWN OF SOUTH WINDSOR Building Permit No. . ,6" 7 BUILDING DEPARTMENT Date Filed r..j .. ....... ....... ... ........ Date Final Approval ... ... . . ........ .............. APPLICATION FOR ELECTRICAL WORK Electrical Inspector JOB LOCATION: 6t-3 CA-A "t JOB OWNER: k73-Y 1..A/.........-S.ZY1AZ.A.1.... ..''J..... Sideof Between and ................................................................................. Name of Building Owner AL)-,y'J . !;N..KR( tA Address 1-11I.-Al i. -- If work is for Lessee—Give name Address .............................. .................. ...... ..... ..................... Building now occupied as (unless new) No. of family units now Building to be occupied as ....... Number of family units to be ...... ../................. Is this work included in a Building Permit? p C> Permit Fee .............. ....... ......................... .......................... ............ .. ............. If no Building Permit) Permittee A I ClVf'+A fZftY Business Address .&/'ce?4-iv(J e-IJ -5 Telephone 3 AOL- 6-', *-e>6,-G COSTOF JNSTALLATION: e- 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) Dryertse Air Conditioner Oil Burner TYPE RATING NO. Dish Washer Gas Burner*- Range . . . . . . . . Well Pump Fj Elec. Heaters Range Top . . . . . . Oven . . . . . . . .REMARKS: Water Heater s rzRoic-A W09A)Q4 r'A.004-\ Clothes Washer . . . . 60 A PS, 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 ........ Size of service to be . ......... ............. ..................................... 1= Pe-SgUlS.L NA 9?' 22 HOV$C bCA''fz Az Q o z.3 o u J4 K v a I QOQTICN O V L.Qor Z2 Gpw VG1/GD 40ti.. ton P..1to I t i 82' I GARMr---N Ra PROPERTY MAPPED FOR OLIN R. GERICH, JR. & COLLEEN J. GERICH NO. 23 CARMEN ROAD SOUTH WINDSOR, CONN. Being Lot No. 22 on a map entitled, "Revised Map of Bowers Farm, S.G.Bowers, Owner, Manchester & South Windsor, Conn. ,, Scale: 1" = 1001, Aug. 1943. . . ." SCALE: 1" = 401 DATE: February 2, 1976 tir r F • Cam'. C":,'. !; L.AWYEZZ -r TLM %VA%UQ 1)-= COSLP. v it ; -.. .` .: •r"' F t.Y t1 JV l{ .. isI •-' •• ;, ..'•. , ., GRISWOLD & FUSS, INC. 210 Main Street sgb7f; Manchester, Conn. 06040 77,4 gq 7 zy.6- 7,A/ Ooov lll c Ora A2 ol er P cT. S cam, c Building sP?TIor 64 APPLICATION FOR BUILDING PERMIT Plumbing HVAC 2 3 Carman Road Date: W Sprinkler Electric Estimated Cost $ 96n• G Zoning Permit Fee$ /3_ Ci' 0 Affidavit NO, 27253 Occupancy Fee $ Eng. D Fire D V- ^3'i!3^ y>,-i1jYt t"i,gg g ya,. a.,:. t d I 1•i il ` i k F 3 iif F',''fit'. "iT'!M"x"'Ti i # Health Dept. ' . P 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 Lot No. Side of Street Zone Applicant a./L oYks Orv, Tel. # aY6 `3 Address 5+ W7/71 gigs Cr Zip nCbn V_Lic.# 3r fr t33 STREET CITY STATE Owner _ l eL` hleCI C C s Address. 13 C-os,-r-no c S. L, r s s 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 Side Street Line Purpose of this Permit U 9- City Water 0 Well 0 Septic 0 Sewer Approved by Date BDIA 11/88 I h reby agree to conform to all the requirements of the Laws of the State of Conn cticut and th Ordinanc s 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# Inspections: Sprinkler Permit# Inspections: 8ectric# APPLICATION FOR BUILDING PERMIT Plumbing#23 Carman Road HVAC #27299 Sprinkler# Date: • • ©y N0' FNAL APPRO A Estimated Cost $ "( Building COMPLETE RED BOXED AREAS Permit Fee 13•o c7 Wneering TYPE OR PRNT ONLY Occupancy Fee $ Affidavit Appr.for CO. SIGN SDE 11 Total Fee TO BlALDW.7 DEPARTMM,TOWN OF SOUTH WN)SOR,CT Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location 2 C CLA lot No. Side of Street Zon Applicant, n Yo.n C S r _S r\-C_ Tel# 6rz) I-Cs Address CA— Zip 6 To Lic.# P-T 0 4- Owner„f I SVe r.6&y Address A 6 Ccu-c vv-.oa Architect Address Sq.Ft.New Area: 1st FI. 2nd Fl. 3rd R Total New Area Rooms lavatories Bathrooms Garages Purpose of this permit: J ta C-)C) Q-, City Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by Date 6 o</ Use Group Construction Type Rwied 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 this building and its use is 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 t Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27299-B 995 B10 FINAL 04/25/01 JRC A CLOSEOUT PER FIRE MARSHALL Nth Pe•54 s.L1NA 91?' t is ll NOVSE bGIMMAno AS pwN .ZO.wr.30,tajTC C.J•• o G If0 1c D ` 1 POfY Z CQ"%Jr S 2t VOt.. 19'1 PC:y y 4a I 82• GA.'R M sz-?N Q 06.T PROPERTY MAPPED FOR OLIN R. GERICH, JR. & COLLEEN J. GERICH NO. 23 CARMEN ROAD SOUTH WINDSOR, CONN. Eeing Lot No. 22 on a map entitled, "Revised Map of Bowers Farm, S.G.Bowers, Own r, Manchester & South Windsor, Conn. , Scale: 1" = 100', Aug. 1943. . . ." SCALE: 1" = 40' DATE: February 2, 1976 t'%` 7 y C;; C':1!1 !' {./1WYE`JZ.Ttt1Jr~r tN_suf2l WCL GoStP.. _. 1.0. 90713 1nfi Z. :.1 i if• i• ._. •see f•1 •;;,r L•i „ ... :,f•, • .• • 1•.•i Jt •.1` • .• i :•. is ". ; .' .'r _ !• . GRISWOLD & FUSS, INC. r•' 7 '% 210 Main Street P 1/ Sgri.Tft Manches t r, Conn. 06040 4 P• F w tsfJ t . Yawl, 04 yt„°gv i VJ N Ok n!a r.nd •,]+„=yfic,tio s r:,re Brut Z.3 rc .s so The.5e filed -10 Clemi11,I . :-js:):Gtor i '1' 73 ; .. I.. 71,_..3 C.'$.• - ....t .LL.rtlr_r 0 r.S DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR1-7 PERMIT# Application is hereby: BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 7 c Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of 7oh: 0-$1,000=$13.00 Street No. Street - Lot No. Over$1,000= 13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT_GJ R`l APPLICANT ADDRESS 71 q ,y. N F-w M3 G jl(!A) APPLICANT PHONE# 960-TS`3 e-}//`3 0 OW q OWNER kEV I AJ S IV OWNER ADDRESS Z&U w E. OWNER PHONE Cif l-1CD70 l C ESTIMATED COST$ /( O O IS THIS A CONTRACT COST? Yes 0 No ICJ FEE ENCLOSED$ 2 p CO TYPE OF JOB: SR.0 New Installation teration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A kESIDENTIAL BUILDING PERMIT APPLICATION30 Y S 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/WIRING METHOD Ru IM K SIZE OF SERVICE SIZE OF MAIN CONDUCTORS 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 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 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. E STATE SIGNATURE OF APPLICAN DATE -..3