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24 Parkview Drive
TO, THE BUILD-RiG DiSPECTOR Of the Y ,` TOWN OF SQLITH WINDSOR, CONN. ti hereby make application for a permit to Greet- (make alteration to) a Drawtothefollowingdetailedstatementofthespocificationsandplansherewithsubmitted. a ltue word "erect" or words "make alteration to" as the cast may require.) All provwons of the Building BY-Laws (Sections 2 to 32 inchnive)be complied `with,in the eew-µ tion of this work whether specified herein or not. South Windsor, Conn., lGr p 19- ..... 70KSign .here , _ ..P. .... .... .,.... .. a Address ......J L ..W.... ...... .........._........ Location? ........................................... aide of? ............................:.... ................................................_ ......................... Lot No. ...................................Nearest cross street? 1tl fc / .Gi...••.Street No. Owner of land is? .. d... J' -., ,/.,l.E/.aAddress ...... ......... ....g.... .. ...4.r. .. Ownerof building is? ............`........................'c............,.......`...`..................Addregs Architectis? .................... .............. .......................................................-Address ....................................................................................................................... Builderis? ........ U......................................_...........................Address ..................................................................................................................... Dimensions of building.,Z.Q. .....Feet front? ................................... Feet rear? ............................. Feet deep? ............................. Extreme height to highest point of roof? ............42....................................... ... No. of stories in height? ........................................ Purpose of building is? ........eflL.....a...............No. of stores? ....................................................................................................... o How many families? .............................................._.......................................No. of rooms? .... ................................................................................................'... Distancefrom street line is? ....................................................................from building line is? ....................................................................................... ADDITIONS AND ALTERATIONS Give Brief Description) J.. ... ... ..... ?....'............................................................................................. MapNo. ............................., If of steel frame, what is exterior construction? I.. ....................................... What kind of columns used? ................................................................Size of columns used? ............................................... .......... . 4L 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? .. ......... .. .. ............ .....................................I.......................................................... ................. Compositionof mortar? ........................................................................................................................................................................................................................ Height and Thickness of Walls Height Stories Front Walls Side Walls Rear Walls Partition Walls Basement, 1st Story 2nd " 3rd " 4th 419 I............................... 5th 6th is 7th r................... ......... ....................................................................................................................... 8th is I............................................... .............................................. ................................................... 9th 10th '..................;.................. ..................... ...................... I............................... ......... ..................................I.............................................................. I I Material of Front? .................................... .. . ......... ... .........................If stone, what kind? Thickness of Ashlar? . . . . . ..... ............. ........ . ......... ........Thickness of Backing? Backed up with what? Arches or lintels over openings? x WOOD CONSTRUCTION. Give Size, Longest Span and Distance Between Centres, of Joists, Girders and Columns JOISTS ISDESB OOLUMNS Floors Size Longest Span Centres Bridging sin Longest Span Centres Blse Lang& Centres 1st Floor 2nd 4 ......... ............. Size of outside studs? .......................................... Distance on centres? ................................................ Size of sill? ............................................... Size of rafters? .......................................... Distance on centres?................................................... Size of plate? ...................................................... Size of 1 Size of deck rafters?ledgers or girts? ................................ ............................................. Distance on centres? .........................................................................................Size of studs in bearing partitions? .................................................. MISCELLANEOUS Style of roof, flat, pitch, Mansard, or hipped? ... Fireplaces? Material of roof covering? .....................................................................Materia of Cornice? ....................................................................................... Howis building heated? .............................................................................Lining of flues? ... ............................................................................... .............. Thickness of shell of flues? ........................................................................Any elevators or lifts. ............................................................ ...................... What kind% How many. .................... ... ......................... Any o stways. .......................................................... o 0 How protected? ................. ......................................................... .................Total Value of Building ........ 45... ....... ...................... Whenwill work be commenced? ......................... ....................................................................................................................................................................... The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli- cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the Town of South Windsor since 1949. Applicant 2684 BUILDING APPLICATION Application No. ...2.9................................. onthe ............QX... .................................................... side o Parkview Drive Street. StreetNo, ...................................................................................... Gordon V. Gill&rOwner ................................................................................................. Applicant .......Same.. ..... .......................................................... CLASSIFICATION Add porch on rear of home 201 x 16' Permit issued on above Application. Date Aprl.l.....1.6' ......... ... 19....59.................. . TOWN OF SOUTH WINDSOR BUILDIING PERMIT Date -- April 16_ 19 59 Fee Paid ....3..©ti Est. Value $ 6.00 000 Peru& N° 2684 e on the X orth side of Parkview Drive Street Street No. Owner Gordon V. Giller d Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. 1 Fie Paid $ CLASSIFICATION Add pptrch on rear of home 20 t a 161 , BUILDING PERMIT N° 2684 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. April 160, 19 59 T4io is to Trrtffjj,, That Gordon V. is hereby granted permission to Add porch or r e# r ar home 201 x 161 1 at estimated value of $ 600 a.00 on the North side of Parkyiew Dro Street on land owned by cordon 'V w Giller Said Work to be as described in Application No. 294 ancf to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued Agri 1 16 19 59 Building Inspector. Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers dur- ing 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." N U I r 120, 1 Pc)2 t 1 A GOFRDON M G L L PiQ V-2rcv I EW D Q%V E SOUTH W NDSOQ CONNJC-CT c T VL 1 A121 lwl , Apo N*59,82lication arm& T NSER"BUIL' DING ' of the TOWN OF SOUTH WINDSOR, CONK hereby=6 for a permit to (erect (ate to) a building &MM&Mg to the .flowing detailed statement of the specifications and plans herewith,submitte& (Draw a line dwot A word,",rect'y or words "make alteration e as the use 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. SouthWindsor, 19...A ore Sip here Addren Irn-5 Location? .................................................................... ...... .. . .... .......side of? .......................................... V000 W........Street No. ..................... ............................ LotNearestcrossstreet?;i6r;/-- ***.... 11: Owner o ffLandis? C 71.,W. .........—Address ........ ... .......61M- 0&4......It M.Ownerof building is? ...........tf..................................................................Address ... .........I....................................................................................................... oe...........................&&...............................Address ......................... ........................^............................................... OW ..... ect is? ......... ................ OL Builderis? . .............................Address ..................................W1...................is....................................................... Dimensions of building? Feet rear? ................ ........... Feet deep? ............ ...........v/.-Feet front? .......... J* Extreme height to highest point of roof? ............. . .............. .. ... ...No. of stories in height?.......077" 00010Purposeofbuildingis? J...P..a.....e................ . ..... ..<i........No. of stores? ......................... .......................................................................... Howmany families? .................................--------..............of rooms? .... .................................................................................................. Distancefrom street fine is? ....... ....... ............................................from building line is? ............................................................................. ADDITIONS AND ALTERATIONS Give Brief Description) i... .............4................................... 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 Helgtt stories Front Walls Side Walls Bear Walls Partition Walls Basement, 1st Story 2nd " 3rd " I.............................................................................................. '.................................................... ............................... ....... 4th Is 5th as I................................................. ............................................... 6th to I............................................................. ............................................. ..................................................................................................................................................... 7th 44 I......................... .................... ..... ..................................................................................................................... 8th "s I.... ............... ... ......................................... ......................... 9th 'I I 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 Columns JOISTS OIIiDaRB OOLUMM Floors Si:e L=Wwt Span Centres Sim KAMff65& Span Centres SIN LOW* Centres 1st Floor N......w».».».... a.....0.... 4 ....„.».. .............. ............................... .»................ .............. .». Size of outside studs? ......7Gra.. ............ Distance on centres? ................Z......`.`.......... Size of sill? ....... x..... . `.........R" f. Size of rafters? ......t.....5/...`...... Distance on centres?............... `........11.......... Size of plate? ...................f........ Size 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? .. ......,../..G... ............................... Fireplaces? ........................................................ Material of roof covering? ... .......... .. f- ...7-e .....Material of Cornice? .................. How is building heated? . ... ... Lining of flues. Thickness of shell offlues? .............. ........................................................Any elevators or lifts? .......................................................... ...................... What kind? .... ........... ........ .. . . ........ How many? ...... . Any hoistways? ..................... ......... .............. . How protected? ............... ...................................................... Total Value of Building .......... .... r.Q o...0................................. r AWhenwillworkbecommenced? ... . A.......... ................................J 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 5712 BUILDING APPLICATION 5ApplicationNo. ...... . .9.........82 nor th onthe ................................................................................ side of Parkview Drive...... ... Street. Street No, 24. Gordon GillerOwner ........... .. ... ........... .............. ............................... ... Same Applicant CLASSIFICATION Tool Shed 81xl4l Permit issued on above Application. 7-12-66Date, . ... ........ .. ........ TOWN OF SOUTH WINDSOR BUILDING PERMIT Date July 12, 919 66 00FeePaid $. 200 Est. Value $. . .. . . Permit N° 5712 on the north side of Parkv i ew Drive Street hE e Street No. 24 Owner Gordon Giller i Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Tool Shed 8tx141 BUILDING PERMrr N9 5'712 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. July 12, 19 66 94io t'' to TP1`ftf1j, That G*rdon Gi1ler is hereby granted permission to l'-3al Shed 917-.i.t at estimated value of $ 24MO on the 401 t side of Parke i ew rr ive '' ` Street on land owned by Gord,.)n Giller Said Word` to be as described in Application No. 598> and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Issued July 12, 19 66 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 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." lk 9209 ELECTRICAL APPLICATION Application No. 10 7 2 3 on the side of Stnct Street No.24 Pa rk y Pw Drive Owner ThrMas Llawlinc[ Electrician Thy a s Dowling FILED IN OFFICE OF The Building Inspector url2 1 19_8-6- INSPECTION. 93)-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. Master License No. TOWN OF SOUTH WINDSOR Building Permit No. BUILDING DEPARTMENT Date Filed Date Final Approval .... ....... ....................... APPLICATION FOR ELECTRICAL WORK Electrical Inspector L( IF,rZ Jc\../I JOBLOCATION: I. ............................. JOB OWNER: . .. ...... ... .. ........ ............................... .. ............................. Side of Between d ............... Name of Building Owner LJ//^tN. .. ............... Address .!;)4 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 wo in Buildin ermit? Permit Fee ... . ....... . ..... .. .. .................................... ..................... ........... If no Building Permit) S) Permitt, Business Address Telephone ......y 5 COST OF INSTALLATION: . TO BE FILLED OUT BY PERMITTEE TO BE WIRED EXISTING APPLIANCES Number of light outlets to be installed Number of convenience outlets t-o be installed Number of present Appliance Circuits ... . ..... .... ....... ............... Number of switches to be installed Do these include Range Water Heater E]Number of appliances to be installed . . . as listed below) Dryer Air Conditioner Oil Burner TYPE RATING NO. Dish Washer F] Gas Burner Range . . . . . . . . Well Pump r-1 Elec. Heaters Range Top . . . . . . Oven . . . . . . . . REMARKS: Water Heater Clothes Washer . . . . Clothes Dryer . . . . . Dish Washer . . . . . . Air Conditioning Motor Oil Burner Motor Gas Burner . . . . . . Circulator Motor . . . . Attic or Large Fan Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . . 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 ....... ........ .......................................... TO THE BUILDING INSPECTOR of&e APPLICATION FOR TOWN OF SOU117H WINDSM CONK PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, Ill, IV, and IX.O ZONING AT (LOCATION) ` t^N-:V i*L V 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 T T 11 New building Residential Nonresidential 2 Addition((/residential, enter number 12 One family 18 Amusement, recreational Iofnewhousingunitsadded, if any, in Part D, 13)13 Two or more family — Enter 19 Church, other religious number of units— — — — i 20 Industrial3 Alteration (See 2 above) 14 Transient hotel, motel, T i htl tl 21 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (1f 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) p 17 Other — Spec:/y,lQdJ '"""'r5 Public utility7 Foundation only 26 0 School, library, other educational B. OWNERSHIP 1 `'3 `-' 27 Stores, merconfile 8 Private(individual, corporation, 28 Tanks, towers nonprofit institution, etc.)29 Other — Specify 9 Public(Federal, State, or ri local government) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings,e.g., food processing plant, machine shop, laundry building at hospital, elementary 10. Cost of improvement,,,,,,,,,,,,,,,, O rJ 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. El ctrical...................... b. Plumbing ...................... c.Heating, air conditioning......... d.Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT S I11. SELECTED CHARACTERISTICS OF BUILDING — For new buildings and additions, complete Parts E — L; for wrecking, complete only Part J, for all others skip to 1V. E. PRINCIPAL TYPE OF FRAME G. TYPE OF SEWAGE DISPOSAL J. DIMENSIONS 30 Masonry(wall bearing) 40 48. Number of stories.........Public or private company 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 — Specify 42 Public or private company 50. Total land area, sq. ft. ........... 43 F_ 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....................... 36 Oil conditioning?L. RESIDENTIAL BUILDINGS ONLY 37 Electricity 44 Yes 45 N 53. Number of b dro ms.............. 38 Coal 39 Oth r— Specify Will there be an elevator? 54. Number f Full.......... 46 Y s 47 D No bothro me Partial....... IV. IDENTIFICATION — To be completed by all applicants Name Mailinjj address — Number, street, city, and State ZIP code Tel. No. Owner or Lessee 2. Controc+or 3. Architect or Engineer The owner i wilding and the undersigned agree to conform to all applicable laws of this jurisdiction. nrjof., optcont Adidress Application date 00 NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plan Review Date Plans Date PlansPlansReviewRequiredCheckFeeStartedBYApproved BY Notes BUILDING PLUMBING MECHANICAL ELECTRICAL Is OTHER is VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS atePermitorApprovalCheckObDtainedNumberByPermitorApprovalCheckObtateainedNumberiBy 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 Bui Iding Permit issu d 02`3 19 Building Permit Fee $ npved by P.A 1 CL" TITLE 1 T TOWN OF SgUTH WINDSOR o BUIMR'qG PERMIT Date April 23 19 87 e Fee Paid $. . 3.0 0 Est. Value ti Permit N° 157 W w m on the side of A Street Street No. Owner a g Applicant CERT'IFAT'E OF :Cupi ISSUED: P" D i No. Fee Paid $N a CLASSIFICATION a BUILDING pEUMrr N: 15769 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. April 23 1987 94is to to Certifg, ,That Thomas Dowling is hereby granted permission to Above ground pool 18 ' x 41 A at estimated value of $ 1 n n on the side of 2A Parkview Drive Street on land owned by Thomas T)ow t in Said jgn-rk to be as described in Application No. 6 0 6 9 and to conform to specifications and plans filed with said Application, and Building By. Laws of THE TOWN OF SOUTH WIMSOR. Issued An r i 1 21 19 87 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 CONNECTICUT: "When any person shall pLce 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." 9651 ELECTRICAL APPLICATION Application No.l f 6d on the side of Parkvi P-w Dr vP Street Street No. 2 a Owner TL,a r. Electrician Homeowner FILED IN OFFICE OF The Building Inspector I April 21 19_$Z_ INBPWrION. tar 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 Are 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. ..,/ .J ..... BUILDING DEPARTMENT Date Filed ......................../// Date Final Approval ........................................._._.. APPLICATION FOR ELECTRICAL WORK Electrical Inspector JJOB LOCATION. .` ........a JOB OWNER: .......!c^. ........ Side of ........................................... 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 .................................... Building to be occupied as ......................................... . .................................................... ............ . .. Number of family units to be Is this wo include in a 'ldin rmit? ......................... ...... Permit Fee ......................................................_..........................................._.._............. If no Building Permit) Permi ee Business Address .......... A......................................... Telephone....L 5 COST OF INSTALLATION: .......0... ,.r........................................._.............................._.............................................._......... 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: i Water Heater Clothes Washer . . . . T— Clothes Dryer . . . . . Dish Washer . . . . . . Air Conditioning Motor . . Oil Burner Motor . . . . Gas Burner . . . . . Circulator Motor Attic or Large Fan , , , Well Pump . . . . . . Electric Heat . . . . . Other . . . . . . . . Number of new Lighting Circuits . . . . ....._.......... Number of new Appliance Circuits Number of Heating Circuits . . . . . . ....,..._........r....... Number of Motor Circuits . . . . . . . .. Size f present service ...._........................ ._........_._.. Sue of service to be ......_......,..._......._......_ DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR 3 BUILDING DEPARTMENT APPRO 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 r Z Building Inspector Application must be printed or typed Location of Job: FEE SCHEDULE P 0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= 15.00 per$1,000 or any fraction thereof Tenant Desigctation Apt.No. APPLICANT APPLICANT ADDRESS —2- APPLICANT PHONE# P W N S OWNER . 5 AAA t,4 OWNER ADDRESS 0 OWNER PHONE dtl- ESTIMATED COST$ lf3 G U IS THIS A CONTRACT COST? Yes )4- No wv FEE ENCLOSED$ S TYPE OF JOB: OR-Co New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A B RESIDENTIAL BUILDING PERMIT APPLICATION? YES La O BUSINESS CURRENT USE AND OCCUPANCYASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTIONAL FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE TY Other please specify) CI STATE ZIP TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE !c'-" 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. DESCRIPTIION OF WORK Zh f ) Gc> A"P Z-ZC3 V f) rSCG -Z.0 T 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. 14C&,C-uA,. 4- CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT L ",— OJ4,., DATE INSPECTION REPORT Permit # Job,2 1 Footing Go 2 Foundation 3 Framing 4 Wiring 5 Plumbing 6 Heating 7 Lathing 8 C.O.