HomeMy WebLinkAbout25 Ridgefield Drive1/
THE BUILDINGINSPECTOR
of the APPLICATION FOR
MWN OF SOUTH WMIDSM CO tl I.PLAN EXAMINATION A N O
2,o BUILDING PERMIT
IMPORTANT —Applicant to complete all items in sections: 1, 11, 11I, IV, and IX.: Q
I• AT (LOCATION) '" ZONING
DISTRICT
LOCATION No.) STREET)
4OFBETWEEN- A// / AND w
CROSS STR ET)BUILDING CROSSRLOT STREET)
SUBDIVISION i LOT 3 BLOCK SIZE 3sd/G
11. TYPE AND COST OF BUILDING — All applicants complete Parts A — D
A. TYPE OF IMPROVEMENT D. PROPOSED USE — For"Wrecking" most recent use n
n
1 ew building 1ResidetnalNonresidential2 Addition(if residential, enter number 12 family 18 Amusement recreationalofnewhousingunitsadded, if any,
in Part D, 13) 13 Two or more family — Enter 19 Church, other religious
number of units— — — — --I,.3 Alteration (See 2 above) 14 Transient hotel motel
20 Industrial
4 Repair, replacement 21 Parking garageorrmitory — Enter number
5 Wrecking (If multifamily residential, units ——————— — . 22 Service station, repair garage
enter number of units in building in 15 Garage 23 Hospital, institutional
r- Part D, 13)
6 Moving (relocation)
16 Carport 24 Office, bank, professional
17 Other — Specify 25 Public utility7 Foundation only
26 School, library, other educational
B. OWNERSHIP 27 Stores, merconfile
8 EET'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
processing plant, machine shop, laundry building at hospital, elementary10. Cost of improvement,,,,,,,,,,,,,,,, S OOU 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 o xisting building is being chonged, enter proposed vse.in the above cost
a. Electrical......................
b. Plumbing ......................
e. Heating, air conditioning.........
d. Other(elevator, etc.)............
11. TOTAL COST OF IMPROVEMENT 1$ 0
111. 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 e[-] asonry(wall bearing) 40 Public or private company
48• Number of stories................
31ood frame 41 Private (septic tank, etc.) 49• Total square feet floor area,
all floors, based on exterior32 Structural steel dimensions .....................
33 Reinforced concrete H. TYPE 9F WATER SUPPLY
34 Other — Specify 42 rL-Public or private company 50 Total land area, sq. ft. ........... Jroq/G
43 Private (well, cistern) K. NUMBER OF OFF-STREET
PARKING SPACES c2
F. PRINCIPAL TYPE OF HEATING FUEL I. TYPE OF MECHANICAL 51. Enclosed .......................
35 beo aWill there be central air 52. Outdoors.......................
36il conditioning?
L. RESIDENTIAL BUILDINGS ONLY37 Electricity 44 Yes 45 No 53. Number of bedrooms..............
38 Coal
39 Other— Specify Will th e be an elevator?
54. Number of Full......... 02
46 Yes 47 No bathrooms
Partial.......
IV. IDENTIFICATION — To be comp/ t d by all applicants
Nome Mailing address — Number, street, czt:, and State ZIP code Tel. No.
LaCAVA CONSTRUCTION COMPANY
Owner or
Lessee WETHERSFIELD. CONN. 06109
2. LaCAVA CONSTRUCTION COMPANY
Contractor 185 SILAS DEANE HIGHWAY
3.
Architect or
Engineer
The owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction.
Signature of appinapolt Address Application date
LACAv 0 CTION CQ
00 NOT WRITE BELOW THIS LINE
V. REVIEW RECORD — For office use
Plans Review Required Check Plan Review Date Plans By Date Plans By NotesFeeStartedApproved
BUILDING
PLUMBING
MECHANICAL
ELECTRICAL
OTHER
VI. ADDITIONAL PERMITS REQUIRED OR OTHER JURISDICTION APPROVALS
Permit or Approval Check Obtained Number By Permit or Approva I Check ObDaate d Number By
BOILER PLUMBING
CURB OR SIDEWALK CUT ROOFING
ELEVATOR SEWER
ELECTRICAL SIGN OR BILLBOARD
FURNACE STREET GRADES
GRADING i USE OF PUBLIC AREAS
OIL BURNER WRECKING
OTHER OTHER
VII. VALIDATION
Building
Permit number
Building
Permit issued 19 ze
Building
Permit Fee
Approve b Cjet
c
TI
as
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date March 6 1986
Fee Paid $6-2 4..0 0 Eat. Value $.10,4 ,0 0 0
Permit N° 14902
on the aide of
r,nt 31 Ridgefield Drive Street
Street No. 2 5
Owner Larasa rnristtrurt i an Cn_
Applicant
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No. 7470
Fee Paid $3 .0 0
CLASSIFICATION
Dwelling
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BUIIDTNG PER&ffr
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N° 14902
OFFICE OF
I THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
j South Windsor, Conn.March 6 1986
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That LaCava Construction Co.
is hereby granted permission to tuel> i na
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at estimated value of
on the side of I.ot 31 RidQaf field Dri Street an land
I
I owned by
I
Said Work to be as described in Application
i
No.and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
i
Rued March 6 1060
i F-'--Bui1ding Inspector.
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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,jtown or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
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Dwelling - Lot #31 3/6J86
LaCa va- Construction Co.
25 Ridgefield Drive Permit # 14902
Electrician David Garber 918 7
Heating Contr. D. Bartone P & H # 6438
Plumbing " D. Bartone P & H # 6990
Oil Burner
Certificate of Occupancy 7470
Sewer Permit
Plot plan apprd. per ngr.
P
P rmit No. rl? TOWN OF SOUTH WINDSOR
w
SOUTH WINDSOR, CONN.
Permit N O 7470
Certificate of Occupancy
THIS O CERTIFY that a
at No. ' l f
r in thl own of South Windsor, Connecticut, has
been erected and completed in accordance with a Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby approv fo ccupancy.
Building Inspector
Owner, Builder
FeeiFeePaid
r
Date 19e?;
9187
ELECTRICAL APPLICATION
Application No. 10701
on the side of
Lot #31 Ridgefield DStreet
Street No.25
Owner LaCava Construction
ElectricianDa vidGarber
FILED IN OFFICE OF
The Building Inspector
5/15/86 19
INSPECTION.
rk 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. .... 6d 1.... ....................
TOWN OF SOUTH WINDSOR Building Permit No.
J
DateFiled ....... .. :Y. ........................................BUILDING DEPARTMENT
DateFinal Approval ...................................................
APPLICATION FOR ELECTRICAL WORK
Electrical Inspector
JOB LOCATION: --°' . .......as ... !.c +.e. .........'.o-- JOB OWNER. . . ..........................l aC l4,:•in tea•,•.:
Sideof .. Between ............. and 1Y.... ..........................................................
Name of Building Owner a- Address
Ifwork is for Lessee—Give name . ...... Address .................................................................................................
Building now occupied as (unless new) No. of family units now ................. .............
Building to be occupied as ............. /
n Cgs!c". ..e... ... ........ .....Number of family units to be ........ .1.....................
Is this work included in a Building Permit? . ../u Permit Fee ............. ........................ ............................................................................._.....
If no Building Permit)
Permittee Business Address "':-.: . Telephone .... .................
c,.0 Carp P 1`'Cc'
COSTOF INSTALLATION: c d ii « r wu.. ..y:.. ............................................................... ..............................................
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:
Water Heater cl-
r
c i r c Z
Clothes Washer . . . . s Z
C 7 V cc u.r
Clothes Dryer . . . . .
Dish Washer . . . . . .
Air Conditioning Motor .
Oil Burner Motor . . . . 1
1
Gas Burner . . . . . .
Circulator Motor . . . .
Attic or Large Fan
Well Pump . . . . . .
Electric Heat . . . . .
s/
Other . p'-f/os
Number of new Lighting Circuits
r Number of new Appliance Circuits
Number of Heating Circuits . . . .
Number of Motor Circuits . . . . . . .
Size of present service ................. .............._............................_............
Size of service to be ....................................................................._.._.._._.
6990
PLUMBING APPLICATION
6761
on,the ....__..__.. side of
o
Strs+et
Street No. _....
Owner
Plumber .. . t •
Filed in Office of
The sing Lrpector
may 9 19 86
II 8P C1 01.
No person,:ball ooastruct, add to or alter ay
portion of the drainage system of say boring
except to repair leans) until a Pis granted
by the Building hapecoor.
APPLICATION FOR PLUMBING PERMIT (Continu d from Reverse Side)
TOWN OF SOUTH WINDSOR, CONN.
11. LOCATION OF JOB 6 --29 J, - / )4' -f L f_I
NO. STREET FLOOR APT.NO.
GENERAL PLUMBING
12. KIND OF INSTALLATION t. 13. SIZE OF MAIN DRAIN
14. NO. OF TOILETS 3 STYLE 15. NO. OF URINALS STYLE
16. NO.OF BATHTUBS 17.NO.OF LAVATORIES 18. NO.OF SINKS ,_ 19. NO. OF WASHTUBS
20. NO.OF CONDUCTORS SIZE 21. NO. OF STACKS_ SIZE 3
22. AREA OF ROOF 23.NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS
25. NO. OF OTHER FIXTURES ` KIND
l mac'r
26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW?27. SIZE OF WINDOW
28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE?
29. SIZE OF DUCTS 30. ARE SEWAGE AND WATER FACILITIES AVAILABLE?
SIGNATURE ADDRESS G
LICENSE NO c !&Z_3 ESTIMATED COST?9 ./ TELEPHONEo!! ii
OWNERS ADDRESS
WATER HEATER
31. TYPE 32. MANUFACTURER
TANK SAFETY DEVICES
33. CAPACITY 37. TEMPERATURE RELIEF VALVE
34. TEST PRESSURE 38. MANUFACTURER_
35. WORKING PRESSURE 39. PRESSURE RELIEF VALVE
36. TYPE 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.
Ajv#'
CD962DATE SIGNATURE OF APPLICANT
Application For
PERMIT
DEPARTMENT DECISION Heating Permit
c 0
c APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS
t0•1 JM APPROVED DISAPPROVED
TOWN OF SOUTH WINDSOR
Cd
00 DATE NIEF OVECTOR APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ME BELOW
O °n
4-a >,
81.LOCATION OF JOB
o
Sw 1
fir• NO.471 fTREtT
Cd V
4 LOT NO. FLOOR AFT. NO.
O
N
IV
16.
60 O
0 OWNER
s. ADDRESSor03
ai as jo 4.hHONE.5K-?--3
10
C/I S. APPUCANT r492
s. ADDRESS -S
w 7.PHONE
w
LICENSE NO. a — -
4a
E w s. EXPIRATION DATE OF LICENSE
O
c
t
5r to. ESTIMATED COST
E ^ 11. IS THIS A CONTRACT COS I II—ES NO
00
12. FEE ENCLOSED s ME
v
0 is. TYPE OF BUILDING-
Coe El RE.SIDENTIAL COMMERCIAL
O .0
c 3 14. TYPE OF JOB:INDUSTRIAL
cc
m-
INSTALLATION ADDITIGINALOION
REPAIR
APPLICATION FOR HEATING PERMIT (C ntinued it m Reverse Side)
11. LOCATION OF JOB C
NO. STREET FLO R A".N .
12. TYPE OF INSTALLATION: 13,OIL BURNER ELECTRIC VENTILATION SPRINKLER
GAS BURNER STACK INCINERATOR MISCELLANEOUS
J jJ
IDENTIFY
SIZE
C y OF TANK .C n[f OF FILL ! OF VENT
r
13. OF TANK
14. B.T.U. EQUIP. AT REGISTER FURNACE MAKE AND NO. AT BONNET FIRING RATE
BOILER OR FURNACE MAKE AND NO. ILL`!B.T.U. OR SQ. FT. NET C 4' B.T.U. OR SQ. FT. GROSS/eZ ' FIRING RATE
FLOORS TO BE HEAT D 2_ NEW OR OLD BUILDING INSULATED — YES OR NO
TYPE OF WALL INSULATION ROOF OR CEILING INSULATION ^
AVG. SYSTEM WATER TEMP. dv B.T.U./SQ. FT./HR. EMISSION
INDOOR-OUTDOOR TEMPERATURE DIFFERENCE 20 FAHRENHEIT
MAKE OF RADIATION: BASEBOARD. COPPER CONVECTORS, OR C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ.
FT. OR B.T.U. , zjL2=Q J )6
DESCRIPTION OF WORK
pf1 r
15. TO BE DONE: rn
16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS):
R M SIZE wlNDow$ AREA - SQUARE FEET 8.T.U. 0.T.U.DISTRIBUTION INSTALLEDANDDOORSVOLUMETOTALTOTAL
ROOM
L W N AND
ORO" GLASS MET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED t j RAO. REGISTER
WALL Lt0 INFILT.) TEMP' TO f TYPE AND SIZE OR LEADER
SIZE DIFF. F O M 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
IS. 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.Y6
DATE SIGN-1-at er •ppl-IraMT
a
5 A CAi..o0LATNW MEET I=PNOdstn copyr4ht 1977 by T no Nyd# n,r.s:,••.o•..
OwIMSR C p p ADONIM f !
OESION TEMPERATURE OIFFERENCt F. OATS — y `
COL.A O COL.C COL.O C L.E COL.F COL-•
1 AOOM Alle-1 ooV A d e l A.A*%
0 fN11 f w M w M OMMa wa/tr TtwN.M
2 ROOM OIMSNSIONS,PT. l G /•- 6 J V 6 STUM w FNI a1 .f 70iLENGTNSXPOSEOWALLS,FT. a R,N.,I,stlttw
4 WNOOw AND OUTSIDE DOOR AREA 1, O
T111m STVN t/1m
S WALL CONSTIIUaTIQN
BTU"
fT@W 96 Lbw S a MI O 0 O D 0 Youv J co OZ 00 ROOM LIN.FT.OF
T TAL: RADIATIONSTYPEOILGLASSFROMLIMEtoStLIECTtO
IR..LN4COm«taEN and!w Llwt q y CIO y o a v a dv v v
7 CCILIIMTIINCTIoN
c O V
ITt/N 9,L a tNl U
S FLOOA A IONt O O
j IT.w 66 L a w w LkL Pt.)s y Z 00
GOLD PA14TITHM GONST ION F p
fVW*9.L a 141
was 1wM d 0 0 X v o o
s Waft 4%Vhb o
vaWaftJwlmOO.wlaDl..Eat MaN 1
1 t I TOTAL STUN AT 70p TEMP.OIpPERlNCE• yt o 0
o D c2a 3 00 S O L v
qI72"1 T TAL S{TUM AT 000"TEMP.DlppSRENCE S 3 00 O O nU p p Z O U K
7-3OL.A COL.M COL.1 COL.J COL.K COL.L TOTAL STUN TOTAL
OF 9UPL1
AT
OIIN IIAG"
TIO
O M N w M - M L M OKmN TEMP.•
Z MOM DIMENSIONS,FT. V J` o t rC / q- O DIFFERtNCt
S LOWTN ERPOSS0 WALLS,FT. O
4 WANDOw AND OUTSIDE DOOR AREA Z
ovum OTkm OTNM STUMWALLCONSTRUCTION
tTaw sL Ltas s a N! L 7 d 2 0 0
INCREASE
O 10TwLl r
1"
op GLASS
i I.m w of malt"m fm Lk"it Y O v O u CU 7 v oh7CGILWOCONSTRUCTION 1F R CONCRETE FLOOR ON
i 1Ttltmas,L awl d p b p (J aROUNa7 OR FILL A7
z O F A IONt ORAD!LEVEL.USK LINEAR
FEET OF ExrosED 190"ITAWIL L a w M LIR ptl
S COLD PARTITION OONSTftUCTION .
Taft%L a NI
I /s 1 wee IwM opw
waft lw"k x D U
i wtrlt IwIM OFtwlwwl Or Eat MGM
11 TOTAL S{TUM AT?OF TEMP.DIppERENCE•
12 TOTAL SRUM AT OESION TEMP.DIppERENCE rr-7 w p G 0-01900 y O
This tam It NrafiN fmn That MyOroMst Imedw A SE Rtnta Plw,SarkMty Mitt N.J.070= FOAM 1503
h
A
AV-
A d•W C9&ATHM SHEET 150 N~ CaoyrWht 1P77 Dy*Y n*Nye,
A A V A t o r pOWNERGwoDR9ef4 fr h//DtfIf1N TtMDiRATUAE OIFFCRCNCt ju—R. OATR y
COL.A @ COL.C' COL.O COL.C COL.F COL..
1 ROOM L A A I P.,F
O ofw H w H M Of I LA w oM rtrw1 TOMW -----
2 ROOM OIIMEN@IONS,PT. 7'b q "vH w Foot N J G
2 LENGTH EXPOSED WALLS.PT. RNSNaw sello w
4 WINDOW AND OUTSIOt 00011 AREA r 2, L
ETUM @1UH @TU" BTU" STUN
S WALL CON@TRUCTION ROOK LIN.A.OFTeasS.Liar i x HI 00 3 o a 1400 0 D d T TALIS RADIATHM
S TYPE P LAN FROM LIN9 is saumso
lMllarw 40 teas rr N.Lift s 60 a G o
7 CEILING CONSTRUCTION c 1 x
ITa ft S.L x VA 02 G O 3 v U 9 p v 7G v
S PLOOA ETCONItUCT1ONt D y o v
ITaMa 06 L x W M Lla Pt l
J^ E,x f uy
COLD PARTITION CONET0111,00 N F S f/dC 1
ITable 9,L x Ht
G y 7
Ie PEWaftWM OwMMr 900 0 iJ 0 v X O v H 1 O u 5-
v WM x
J I •SWHk OpmbVd or Ewt 140 I.
11 TOTAL @TUN AT 70P TEMP.DIPPEAENCE•2- O O O U 00 O v
12 TOTAL @TUH AT DESIGN TEMP.DIPPERENCE p ct_l ::t v v t y 0 0 K
L
7 / ,ov /mot
COL.A @ COL.H COL.1 L.J COL.K COL.L TOTAL IPTUH TOTAL-
1 ROOM A, OF GUILOING "c"TN1N
T9RATsa"C0
O H L w H L w H L w H L w DESNiN TEt@•
2 11000 OMONSH M k PT. V o 01FFtR9
i LENGTH EXPOSED WALLED,PT. y 1
4 WINDOW AND OUTSIDE DOOR AREA a Hv
GYM @Tw 9Tt1H VV" @Tw
E
ITaM DE
T
iRsM11 d INCR T
e
OTAL"S
IV OP CLAM
189 MO of tallla aaaaal 14x LIaM 0
7 =ILNNi CONSTRUCTIO01 tFOR CONCRETE FLOOR ON
ITatls e.L x W/ O O v OROUNO OR FILL AT
GRADE L"EL,U69 LINEAR
P IONt FEET OF EXPOSED 900E
ITaEs%L x W M LhL PIJ
e COLD PARTITION COM IIUCTWN '
ITOft 9.L x N!
to 1 Wan IMAM 0110WAV06
2 waft lwM CPU~ x
i web IWM OPanbaWl M SaL Han
11 TOTAL VnIN AT 7011 TEMP.DIPPtAENCE• a
12 TOTAL SUM ATOM N TEMP.DIPPERENCE 00
Tbb faM Is aranabla*om The 11y4realm 1rrrtlluo%36 llw x Ptm%S.rkel"Hel&%N.J.07922 FO A 14 1503
PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT »6s
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
a e I 14!-W1 8 Inspector Application must be printed or typed
1 . LOCATION OF JOB
b6f- FI G 12fL
FEE SCIIEDULE No . Street
0 — $19000 — 10.00 Floor Apt . No.
Ov r $1 ,000 — 10.00
per $1 ,000 or 2 . OWNER - Qd' 21`
fraction thereof
3 . ADDRESS
So I/T11 'i 0 YD n- ; C 7- pLQ7ZI
4. APPLICANT ,DL(, I7)'9 en6?
5 , ADDRESS
pe-ovl- 7
6. ESTIMATED COST $
T
7 . IS THIS A CONTRACT COST
Yes No
8. FEE ENCLOSED A!
9. TYPE OF BUILDING :
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
RD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB f 'X5 /p,- l 0 rF F /,FZ 1) ,a L
NO. STREET APT. NO ,
12 . TYPE OF INSTALLATION
13 . SIZE OF MAIN FEEDER L
14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS
20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS
22 . NO. OF POWER CIRCUITS 23 . NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS
26 . NO . OF PANELS 27 . TOTAL WATTAGE
28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES
30 . A/C LOAD c A 31. SIZE OF POWER FEEDERS
32. NO . OF FIXTURES 33. TOTAL HORSEPOWER
34. NAME OF SUBCONTRACTORS AND THEIR TRADES P F /-/ F2 F & r1Z t
33 '3- 61olE e In e z F Aoek ;-" HrGz e' F 06067
35 . REMARKS AND FURTHER DETAILS :
A/ C, r :5E a 1 (f i
A lTlb 11Z E T t&o jle
oilTIL -
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: f" Py 5-7 1 G-2 2-
Tk';BAN'S''j 4:"k'S"1;"i.::±!3r`,i.,,
G _
4 ,,,, +?'^_rftc=' :$.=.=..';-*"';•xrf,t=,.>':.'y:vx=
INSPECTOR T DATE TIME
LOCATION Z x zL2 c Fp /c/
INSPECTION: CODE: RESULT(D/A) :
BUILDING: '
ELECTRICAL:
v
PLUMBING:
HVAC:
OTHER: