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HomeMy WebLinkAbout259 Sullivan AvenueBuilding INSPECTIONS.ONS• APPLICATION FOR BUILDING PERMITuili Plumbing HVAC Date: Sprinkler 259 Sullivan Avenue Electric FOUNDATION ONLY Estimated Cost $ / C) Zoning Permit Fee$ /66 Affidavit NO. 17571 Occupancy Fee $ Eng. Dept.COMPLETE RED BOXED AREAS. Total Fee $ /li0FireDept.TYPE OR PRINT ONLYHealthDept. 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 r toq 10 U6411 Lot No. Side of Street W Zone Applicant 4-L ^' ' Tel. # 2U-,_j-9'1'j Address 1d;x/dfiv C Zip Lic.# STREET CITY STATE Owner Lav Address. Architect /Pe SC—Ae Address I?D 0/,aoAA, Pie p Size New Area: Ft. Front Overall 70 Ft. Deep Overall Total Area i S#Garages avatones No. of Families No. of Stories Construction 4 OA/ athrooms Rooms 1st 2nd 3rd Size of Lot Z/4 X S72— Dist. from Street Line Dist. from Side Street Line Purpose of this Permit a At d&,fiIfo kl Zb-) A16-'4 -7.*AWW $rA-4 ac i• City Water Well Septic Sewer Approved by Date Y_ 1 BD1A 11/88 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 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 g i"'2i - Framing Foundation 9 Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: OINAL INSP TIO Building Plumbing APPLICATION FOR BUILDING PERMIT HVAC Date:Sprinkler 259 SULLIVAN AVENUE Electric Zoning Estimated Cost $ o4APiCoO Permit Fee$ Z6g,0AffidavitNO. 17677 Occupancy Fee $ 3.00 Eng. Dept. Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $Health Dept. TYPE OR PRINT ONLY Approved for CO: SIGN ON REVERSE SIDE. Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersign d, hereby app ' s to do work according to the following specifications:onJobLocation Lot No. Side of Street Zone Applicant a L a`V Tel. # f 3y.P Address a s SOS 8j Czip 06 e ?/K Lic.# fl i i. sT- UW CITY T T ivOwnerddress Architect } .5' Address l0 S 04 N r0} 71, t Size New Area: Ft. Front Overall 'Ft. Deep Overall-2 rS— Total Area r00 #Garages No. of Families No. of Stories Construction Lavatories Bathrooms Rooms 1st 2nd 3rd Size of Lot Y 6% J-117 Dist. from Street Line Dist. from Side Street Line Purpose of this Permit AJ6%v ..L>ruW c/ i C 67d City Water 0 Well 0 Sep is 0 Sewer 0 Approved by Date aegAg f IF BD1A 11/88 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 b 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- - gt:z C-7 Ir I hereby apply for a Certificate of Occupancy for the work described in this appyl,jaption for permit. Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# yG'- Inspections: 14,"evPf 11—ell A0 45? kV,.7 . It-,4 HVAC Permit# Inspections: OK oF2` Rv+ems Electrical Permit# // Inspections: M Sprinkler Permit# Inspections: CERTIFICATE OF OCCUPANCY CHECK LIST Robert Lavey Certificate of OccupancyApplicant Address A-i Glass Bldg. Permit No. /7& 7 7 Lot No. Date Submitted 1/2/90 Project 259 Sullivan Avenue Reviewed By Date As required in the Zoning Regulations, no certificate-of-occupancy shall be issued until grading plans have been complied with and approved by the Town Engineer. The minimum requirements shall include: Approved Denied N/A 1. Approved building permit plan. 2. Finish grading per approved building permit plan. 3 . Site work; i .e. trees, shrubs, dumpsters , required parking 4 . Utility location a. sanitary sewer b. foundation drain C. electrical & telephone d. water e. other 5 . Appropriate certification 6 . Bonding Sewer Permit No. Pavement Excay . No. COMMENTS : S 4. SITE :D EVE OPUI,,7. PLAN (cont ' 4.13 -10 A-s-Suilt Orawings: Upon completion of construction, thf' L. developer shall submit "as-built" drawings. Certificates of Cccupancy will not be issued until such as-built drawings have been submitted. These -lans shall contai: all of the information required for site plan approval, as well as the following information: a Utilitv locations: The location of all sanitary sewer lines and manholes, water gates, gas c!atest hydrants, utility poles, underground utilities, SI.Qewalkso, storm sewers, signs, etc. , shall be given. The size of water mains, gas mains, sanitary sewers and storm sewers shall be indicated. b. Agreement with annroved plans:_ All of the information shown on the final plans shall be reconfirmed as to location and elevation. This information shall be rel.,lotted on the as--built drawings, c. Cartilicat 'on by Profegsional Encineer and Land Surv!jvar,,-- These plans shall carry the following statement, signed by a registered Professional Engineer, and a registered Land Surveyor when appropriate: The information shown on this plan has been verifjF" in the field as to location, elevation, and co=leteness. The following listed items are the only deviations from the original plans approved bi. the Planning a Zoning Commission: List) IL Signed a Stamped) The "as-built" plans shall be submitted as two set. o-- blueprints. Plans are to be submitted to the T. k Engineer owl PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT M-a57 Application is hereby : TOWN OF SOUTH WINDSOR APPROVED D BUILDING INSPECTION DEPT. 644-2511 Ext . 230 Application must be printed or typed . Date Building Inspect r 1. LOCATION OF JOB z sT L.L-1 0 AlQ AJ FEE SCHEDULE No . Street 0 - $12000 - 10. 00 Floor Apt . No. Over $1,000 - 10.00 per $1 ,000 or 2 . OWNER jOP> —A.CY fraction thereof 3. ADDRESS moo. W I N0's. 4. APPLICANT 5 . ADDRESS 17 S(y1 F Qn , Lk)LQ 0 I> 2,-F 6. ESTIMATED COST $ f,5Od. Q 7 . IS THIS A CONTRACT COST k Yes No 8. FEE ENCLOSED 9. TYPE OF BUILDING RESIDENTIAL COMMERCIAL 10. TYPE OF JOB : Original Installa ion Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB 43 yL-L'`' '`y NO . STREET APT. NO 12 . TYPE OF INSTALLATION ZOO A 12.0 20q) p I/I /U 11. SIZE OF MAIN FEEDER_ r LO kL ACOAV 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 31. SIZE OF POWER FEEDERS 32 . NO. OF FIXTURES 33. TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : eOArJ r srz-=-AN,I c.C.: ( rP_E I JE+11 UrJOEik/,Roye9 S Rv i o-z--- FLO I tt.l7 12 00 AMID rrl Elcg- KA WK . A LsQ ; ( 112 2> aP. P.1(, 2) lo4 qq_3 12-61 C2 LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER: y—,57Z Ll- t U, J. R Building Permit !7 7 ft Temporary Service 0 Permanent Service Pursuant to Permit No. r This Certifies that the Electrical Work for which the above named Permit was granted has been duly inspected and is hereby approved. Owner Electrician Street Building Inspector IEt I i PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT j06:5' Application is hereby : TOWN OF SOUTH WINDSOR APPROVED I AP BUILDING INSPECTION DEPT. 644-2511 Ext. 230 Application must be printed or typed. Date Building Inspe 1. LOCATION OF JOB Zjg9 S'v j-j LlgAl 4LIeg i FEE SCHEDULE No . Street i F E 0 - $12000 -10.00 loor Apt . No. Over $1, 000 -10.00 Rog,Q, GAV Yper $1 ,000 or 2 . OWNER r- fraction thereof nA1A3. ADDRESS 7 I 4. APPLICANT 5 . ADDRESS C-/j StMr ` kj C,--n &)1Aj0,5-,0z (12-7- 6. ESTIMATED COST $ / /,QDO,OQ 7 . IS THIS A CONTRACT COST Yes No 8 . FEE ENCLOSED $ 1/010 aLd $?/11677 9. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB : Original Installation Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB SUCL A/4,0 1409—:7 NO . STREET APT. NO 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER 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 31. SIZE OF POWER FEEDERS 32. NO. OF FIXTURES 33 . TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : 12..00 Amp pome-veciAL E, S P,-C:-c I f c-,qTI no v y IS LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER: 77 Lot No 1 11ABuildingPermitft Temporary Service Permanent Service tl- Pursuant to Permit No. This Certifies that the Electrical Work for which the above named Permit was granted has been duly inspected and is hereby approved. r/ Owner Electrician):5 Street 19 Building Inspec jC/ lrue7 BORAWSKI ENGINEERING One Highwood Road, Simsbury,CT. 06070(203)651-4841 D 4 1790 South Windsor BUILDING DEPARTMENT December 28, 1989 Town of South Windsor Building Department 1540 Sullivan Ave. South Windsor, Cr 06074 Attn: John Collins Re: Depot Square 259 Sullivan Ave. Dear Mr. Collins, I would like to revise the Building Classification f ram 2C to 3B. I have reviewed the code and found that this Building will be in harmony with the 3B criteria. If you have any questions, please do not hesitate to call. Very Truly Yours, Frank C. Borawski, P.E. FCB/dlb F C 0 N NJ.FL'••, c~j C B O :,Gq 16 No. 13422 O•'-4gENS• S/DNAI.E PERMIT N. O. yga.3 DEPARTMENT DECISION APPL I CAT I O N FOR Application is hereby : PLUMBING PERMIT TOWM OF SOUTH WINDSOR APPROVED DISAPPROVED BUILDING INSPECTION DEPT. 644-2511 Ext. 230 Date Bui di g Inspector Application must be printed or typed. 1. LOCATION OF JOB: 9.67 FEE SCHEDULE 2. OWNER: 0 - $19 000 - 10.00 3. ADDRESS: S/ E Over $1 ,000 - 10.00 per $1 ,000 or 4. APPLICANT: fraction thereof 5. ADDRESS: 6. EST. COST: $&Z 7. IS THIS A CONTRACT COST? YES NO vd 8. FEE ENCLOSED: $y4 71 77 9. TYPE OF BUILDING: RESIDENTIAL -,Z-COMMERCIAL 10. TYPE OF JOB: ORIGINAL ALTERATION INSTALLATION ADDITION REPAIR BD 2A 11/88 APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side) s 11. LOCATION OF JOB: S111&4re,* &J-7 GENERAL PLUMBING 12. KIND OF INSTALLATION: 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS 16 STYLE 15. NO. OF URINALS_ _STYLE 16. NO. OF BATHTUBS_ 16A. NO. OF SHOWERS _ 17. NO. OF LAVATORIES l4 18. NO. OF SINKS__ 19. DISPOSAL 19A. DISWASHER 20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE °r3 22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND 26. ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW? %e S 27. SIZE OF WINDOW ,2 X 28. IF NO WINDOW, WHAT KIND OF VENTILATION IS THERE? 29. SIZE OF DUCTS 30. SEWER OR SEPTIC TANK? h 31. SIZE OF WATER MAIN ( 31A. SIZES OF WATER PIPING & RISERS v 32. REMARKS AND FURTHER DETAILS G Tuc In I Aoj c t WATER HEATER 33. TYPE h 34. MANUFACTURER TANKS SAFETY DEVICES TE14PERATURE 35. CAPACITY 39. RELIEF VALVE 36. TEST PRESSURE LBS. 40. MANUFACTURER 37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE 38. TYPE 42. MANUFACTURER 47Z LICENSE NO. AATt NATURE ICA 'T PHONE N f3 '9Q`l/ KEBALO ELECTRIC COMPANY 176 SMITH STREET 203) 644-5124 SOUTH WINDSOR, CT 06074 FAX (203) 644-2577 CONNECTICUT LICENSE #104943 4-19-93 ELECTRICAL WORK FOR NEW SHOP SPACE ON 259A SULLIVAN AVENUE 1. Furnish and install (23) high output florescent industrial typ light fixtures. Provide light switches. Furnish and install on light above office with separate light switch. 2 . Wire Machines; (1) air compressor, (4) grinders, (2) mill , (1) lath , (1) E.D.M. , (2) INJ. M. , (1) water chiller and (1) saw. 3. Wire dust collection system with 3 way switches. 4. Provide 120 volt general purpose power to all grinders, (2) b nches, mill/lathe and E.D.M. Walt r Kebalo FINAL IN PEONS. Building s APPLICATION FOR BUILDING PERMIT Plumbing Qs L I HVAC Date: Z Sprinkler N 259 SULLIVAN AVENUE EI ctr' Estimated Cost $ -E00 a Zo ing Permit Fee$ Sb Affidavit NO. 1 R 2 0 9 Occupancy Fee $ -3 Eng. Dept. Fire Dept. COMPLETE RED BOXED AREAS. Total Fee $ S.3 ptHealthDe . TYPE OR PRINT ONLY Approved for CO' 0 SIGN ON REVERSE SIDE. Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereb applie o do ork accordinq to the following specifications: Job Location Lot No. Side of Street Zone Applicant- L G` v Tel. # Address A /i/ S t V -Zip 6 G D ?y Lic.# STREET CITY STA7E ; Owner d h ,-t:- :: L 6 y`Q Y' Address Architect ID Oev SiG-iS/ _ Address os OI Z%fit/SokSod- Size New Area: Ft. Front Overal •-5 Ft. Deep Overall Total Area y S #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 City Water 11 Well 0 Septic 0 Sewer Approved by Date BD1A Miss I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of th 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 zon s and is located in a zone in which this building and its use is allowed. Signed 04, 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 Framin 1—-6- Foundation Fireplace/Chimney Insulation Plumbing Permit# 8f63 Inspections: HVAC Permit# 3 Inspections: Electrical Permit#--/ Inspections `Z Sprinkler Permit# Inspections: BUILDING INSPECTION DEPARTMENT SOUTH WINDSOR, CONNECTICUT FEE PAID: $3.00 CERTIFICATE OF OCCUPANCY ZONE: DATED 1/2 6 1990 This is to certify that 959 S111 1ivan Aven g Altered under permit No. 1 g?0a conforms substantially to the requirements of the building ordinances and the zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below. Approved for Occupancy— Interior renovation Section "E'i Building Official Notice:If this certificate is lost or destroyed, a duplicate should be obtained immediately from the Building Department. Any change or extension of the use herein approved requires a new certificate of occupancy. INAL INSPECTIONS: a Building 1---d K c°,l APPLICATION FOR BUILDING PERMIT Plumbing HVAC WO AWM rl IDate:_/2-Z 2 kZ ff-- Sprinkle F 259 SULLIVAN AVENUE El ctric !-2)-q I? 1 Estimated Cost $ 'eo Zoning Permit Fee$O Affidavit NO, 18 210 Occupancy Fee $ 3 Eng. Dept. COMPLETE RED BOXED AREAS.Fire Dept. TYPE OR PRINT ONLY Total Fee $ Health Dept. Approved for CO_ r A/t VAC SIGN ON REVERSE SIDE. Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby appli to d work according to the following specifications: rrJobLocation Lot No. Side of Street Zone Applicant a°-aY' , ' v Tel. # Address a, a`It 9 -s ip 7 Lic.# dy STREET / CITY TAT Owner o b t G-a u Sl Address /srf/ S6C,'('i Architect,0Qe p52 6-/Y Address for c-'e 4 o Size New Area: Ft. Front Overall Ft. Deep Overall Total Area Z, 3 b #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 T_1e i % 9 4/ N City Water Well Septic Sewer Approved by Date A_Zim,69BD 1A 11/88 I hereby agree to conform to all th requir m nts of the Laws of the Stat of Connecticut and th Ordinanc s of th 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 prop r distance from all street lin s,side yard lines and required distances from all oth r zon s 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 ap ' ation for permit. Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# 03 Inspections: HVAC Permit#T Inspections: Electrical Permit# AWS2 Inspections: Sprinkler Permit# Inspections: isa,i;+i L ,h e t - 1 , _ r '. Y,• ,.a• n - i..:'.1i n. y+,Py BUILDING INSPECTION DEPARTMENT SOUTH WINDSOR, CONNECTICUT FEE PAID: $3.00 CERTIFICATE OF OCCUPANCY ZONE: DATED 1/1 0 19 9 Q This is to certify that 259 Sullivan Avenue Altered under permit No. 18 21 1l conforms substantially to the requirements of the building ordinances and the zoning regulations of the Town of South Windsor and is hereby approved for occupancy as indicated below. Approved for Occupancy— Tenant Space unit "D" Building Official Notice:If this certificate is lost or destroyed, a duplicate should be obtained immediately from the Building Department. Any change or extension of the use herein approved requires a new certificate-of occupancy. PERMIT # ' DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 11177 Application is hereby:TOWN OF SOUTH WINDSOR APPROVED SA BUILDING INSPECTION DEPT. 644-2511 Ext. 230 Application must be printed or typed . Date Building Inspe 1. LOCATION OF JOB zsq E 610L--/6/14-tj ,4v8- FEE SCHEDULE No . Street 5 EC710A) 0 - $19000 -10. 00 Floor Apt . No. Over $1 , 000 -10. 00 per $1 ,000 or 2 . OWNERO i2j L.,9t/ fraction thereof 3. ADDRESS ZIE 5 SUL,"019A) ov/N/,5 D j2 4. APPLICANT 5. ADDRESS JZ,ST D, 1 itJO'O/L er 6. ESTIMATED COST $2./1Ot O0 7 . IS THIS A CONTRACT COST P( Yes No 8. FEE ENCLOSED $ 9 . TYPE OF BUILDING : RESIDENTIAL ACOMMERCIAL 10. TYPE OF JOB : Original Installation Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) G ccv c J LJAAl AU5 P 111 . LOCATION OF JOB 9 J NO . STREET APT. NO 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER rX 5T 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 1 20. NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 4 22 . NO. OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS f 24 . SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS 26 . NO. OF PANELS / C,41V-I J1 27 . TOTAL WATTAGE 28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES 40 30. A/C LOAD 31. SIZE OF POWER FEEDERS 32 . N0. OF FIXTURES r 33 . TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER: 6L/'Y— S/Zy T o F'r 112 5 W Y Y IZ X 12 o U4R ES 9JT g ZC K 2 0 L TI IL N_ v o 2 5q Q X W F1 StJ L LI JAQ AW5CLOf o z Z S, f NJ 0S}OR S3 W 3 W f WA ME tioOSC WJ v ou viv aUvn05 S S133HS OOL 6Bc'L I r aavnos s snaHs ool Lec•Lr N abvnos s smms os iec L. J i PERMIT # DEPARTMENT DECISION a APPLICATION FOR ELECTRICAL PERMIT Application is hereby :TOWN OF SOUTH WINDSOR APPROVED D P ED BUILDING INSPECTION DEPT. Q f 644-2511 Ext . 230 l-- j Application must be printed or typed. Date Building Inspec o I 1 . LOCATION OF JOB Z54E u,•1 Avg No . StreetFEESCHEDULE I 0 - $19000 -10.00 Floor Apt . No. Over $1,000 -10 .00 2 . OWNER per $1 ,000 or O AV Y fraction thereof 1 3 . ADDRESS Z Sv-- 1 4. APPLICANT }Lf) c1'_GTel C 5 . ADDRESS 176 `51W174 .CT 6 . ESTIMATED COST $ too 7 . IS THIS A CONTRACT COST a Yes No 8 . FEE ENCLOSED $ 0 r00 D 9 . TYPE OF BUILDING: iI RESIDENTIAL COMMERCIAL 1 10. TYPE OF JOB : s Original Installation Alteration/Addition/Repair i BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB Z5q E :5U& -/i,/4N A- N0 . STREET APT. NO 12 . TYPE OF INSTALLATION f V 40 13 . SIZE OF MAIN FEEDER 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 31. SIZE OF POWER FEEDERS 32. NO. OF FIXTURES 33. TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : VJ i R-G 000A go itq/-jc)S V -rCy,)NjT 1 (q H EAJ fIXTUP-0 S, (3) OMIT H ATEA O-) IrU4T-&--76 H46A7FA a3 j5F 112 S Aj_ 02 4 6//ra 5-c—z::-AJ !/, C;rZ-5F r;-) V q1,,13 LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER: 6F''V T^-V o_*f---^......f.-.._. .-.,-w<...r:.,.r..""1P.-..."-.",o.sn X:'+Z-...Ta. ,q•SR•••er,:nx.rc..._+. _,, -, _.._-.o +.n--e ro":-.•,- ,..- .....--. ....c--t.- ..-...,.g..,..__ Lot No. Building Permit A.L6. j TerfiftIC& Temporary Service Permanent Service'. ' i Pursuant to Permit No. E This Certifies that the Electrical Work for which the above named Permit was granted has been duly inspected and is hereby approved. Owner Electrician Street L 19 Building Ins ctor h FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: 0 NO. _ TOWN OF SOUTH WINDSOR EST.COST: BLDC. PERMIT NO. 1Z,-)091540 SULLIVAN AVENUE FEE c),o U_SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 0 - $19000 - $10.00 1000 or fraction LOCATION OF BUILDING , G//i'I A/ uE r thereof - $10.00 OWNER ADDRESS T— TOWN PHONE N0, HVAC CONTRACTOR AD RESS TOWN PHONE NO. TYPE OF SYSTEM: HEATING X TYPE OF BUILDING: RESIDENTIAL A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR Y UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM GAS IN-PUT_. ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS (BTUH)HEAT LOSS SHEET MUST ACCOPPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.): d mt, 02 5- GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) 3 7,S eZ a IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE a_°F DIFFERENCE OF TOTAL HEAT GAIN (BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.): TONNAGE COOLING CAPACITY (BTUH) IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT): TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM) PLAN MUST ACCOMPANY APPLICATION) The undersigned hereby applies for a permit to perform the following work and is to complywithalllocalordinancesandStateofConn. Building Codes in the performance of such work. FURTHER DESCRIPTION OF WORK: 61 ec,L-Q.4s 4 G-zG s j 3a? 3 16196 pro STATE LICENSE - NAME & TYPE #DATE SIGNATU E OF APPLICANT AP -VED DATE BD 4A 11/88 I - B a R CALCULATION SHEET 15M (Modern Method) Copyright 1977 by Th Hydronics Institute ADDRESS DESIGN TEMPERATURE DIFFERENCE 1 F. DATE /OWNER__ G 6 C L.A COL.S COL.C COL.D COL.ItCOL.F COL.G 1 ROOM Design Water Temp.Ok L W H L W H L W H L W H L W U. 2 ROOM DIMENSIONS,FT.U STUN per F t of 3 LENGTH EXPOSED WALLS,FT. Radiation Selected 4 WINDOW AND OUTSIDE DOOR AREA STUN BTUH STUN BTUH STUN 5 WALL CONSTRUCTION ROOM LIN.FT.OF Table 9.Lino 3 x H) t TOTALS RADIATION 6 TYPE OF GLASS FROM LINE 12 SELECTED Bottom f table used for Line 5) 7 CEILING CONSTRUCTION C Table 9.L x W) r GGU 0 g FLOOR CONSTRUCTIONt Table 9,L x W r Lin. F t) E F9 COLD PARTITION CONSTRUCTION F Table 9,L x H)G 10 t 1 Wall(With Openings)O H 0 CZ 2 Walls(With Openings) DX .0/O 3 Wells(With Openings) or Ent.Hall j2 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' f7 ,C(ieti J 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE 6/ 700 - K COL.A COLS COL.H COL.I COL.J COL.K COL.L TOTAL BTUH TOTAL OF BUILDING RADIATION 1 ROOM AT SELECTED O H L W H L W H L W H L W H L W DESIGN TEMP-* 2 ROOM DIMENSIONS,FT 1" DIFFERENCE 3N_ U LENGTH EXPOSED WALLS, FT. 4 WINDOW AND OUTSIDE DOOR AREA L STUN BTUH BTUH BTUH BTUH 5 WALL CONSTRUCTION INCREASE BATHROOM Table 9,Line 3 x H) TOTAL 20% 6 TYPE OF GLASS Bottom of table used f r Line 51 fFOR CONCRETE FLOOR ON 7 1 CEILING CONSTRUCTION GROUND OR FILL AT Table 9,L x W) GRADE LEVEL,USE LINEAR B FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE Table 9,L x W r Lin Ft.) 9 COLD PARTITION CONSTRUCTION Table 9,L x H1 10 1 Wall(With Openings)G o C 2 Walls(With Openings) e X J 1 3 Wells(With Openings) r Ent.Hall 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 FOTAL BTUH AT DESIGN TEMP. DIFFERENCE FORM 1503 This f rm Is available fr m The Hydr nits Institute,35 Russo Place,Berkeley Heights,N.J. 07922 FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: Z6 /5`0 N0. TOWN OF SOUTH WINDSOR EST.COST: /a . co BLDG. PERMIT NO.1540 SULLIVAN AVENUE FEE SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 0 - $12000 - $10.00 1000 or fraction LOCATION OF BUILDING o S il'G " , thereof - $10.00 OWNER fADDRESS TOWN PHONE NO. HVAC CONTRACTOR 61 ADDRESS' TOWN PHONE NO. TYPE OF SYSTEM: HEATING X TYPE OF BUILDING: RESIDENTIAL A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR _ UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM GAS IN-PUT X ELECTRIC KW WOOD COAL OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST ACCOMPANYANY APPLICATION) NT INCLUDING MAKE & MODEL NO.): 0DESCRIBEALLHEATINGEQUIPMENT v7S GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) d 5OZec IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE OF INSIDE_.?F DIFFERENCE OF TOTAL HEAT GAIN (BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.): TONNAGE COOLING CAPACITY (BTUH) IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT): TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM) PLAN MUST ACCOMPANY APPLICATION) The undersigned hereby applies for a permit to perform the following work and is to comply with all local ordinances and State of Conn. Building Codes in the performance of such work. FURTHER DESCRIPTION OF WORK: flig 0 /A i T- C S 30753 S-1 6A 01 KA STATE LICENSE - NAME & TYPE # TE SIGNATURE OF APPLICANT PPROVED DATE BD 4A 11/88 I - B e R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by Th Hydronks Institute OWNER G te ADDRESS DESION TEMPERATURE DIFFERENCE F. DATE J C L.A COL.B COL.C COL.D COL.E COL.F COL.G 1 ROOM Q O H L W H L I W H L W H L W H L W Design Water Temp.2 ROOM DIMENSIONS, FT.F' U 3 LENGTH EXPOSED WALLS,FT. t BTUH por F t of 4 WINDOW AND OUTSIDE DOOR AREA U. Radiation Selected CUD- 5 WALL CONSTRUCTION BTUH BTUH STUN 9TUH BTUH Table 9, Line 3 x H) t QO ROOM LIN.FT.OF 6 TYPE OF GLASS TOTALS RADIATION Bottom of table used for Lin*5) Q/air FROM LINE 12 SELECTED 7 CEILING CONSTRUCTION Table 9. L x W) J 'l C B FLOOR CONSTRUCTIONt Table 9, L x W or Lin. F t) E9COLDPARTITIONCONSTRUCTION Table 9, L x H) F f 10 -C 1 Wall(With Openings)O v s G 2 Wells(With Openings) eX H 3 Wells(With Openings)or Ent.Hall Ie,J 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' J 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE K L COL. AAREA COL.B COL.H COL.1COL.J COL.K COL.L 1 ROOM TOTALBTUH TOTAL Ix OF BUILDING RADIATION AT SELECTEDOHLWHLWHLWHLWNLWDESIGNTEMP.•2 ROOM DIMENSIONS, FT DIFFERENCE 3 LENGTH EXPOSED WAL4 4 WINDOW AND OUTSIDE U. BTUH BTUH BTUH BTUH BTUH5WALLCONSTRUCTION Table 9,LIns 3 x H) INCREASE BATHROOM 6 TYPE OF GLASS TOTAL 20% Bottom f table used for Line 5) 7 CEILING CONSTRUCTION t tFOR CONCRETE FLOOR ONTable9,L x W) l 1j GROUND OR FILL AT B F CONSTRUCTION? GRADE LEVEL,USE LINEARLOOR Table 9,L x W or Lin Ft.) FEET OF EXPOSED EDGE 9 COLD PARTITION CONSTRUCTION Table 9, L x H) 10 -G 1 Wall(With Openings)O 2 Walls(With Openings) e X 3 Wells(With Openings)or Ent.Hall 11 TOTAL BTUH AT 70F TEMP. DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE This form is available fr m The Hydronlcs Institute,35 Russo Place,Berkeley Heights,N.J.07922 FORM 1503 FINAL INSPEC IONS: Building APPLICATION FOR BUILDING PERMIT Plumbing V HVAC v Date: l O Sprinkler 259 SULLIVAN AVENUE Electric era TENANT SPACE "D" Estimated Cost $aCN0V• OV Zoning Permit Fee$ '2' Affidavit NO. 18273 Occupancy Fee $ Eng. Dept. COMPLETE RED BOXED AREAS. Zd. Fire Dept. TYPE OR PRINT ONLY Total Fee $ Health Dept. SIGN ON REVERSE SIDE.Approved for CO. ' J ICL 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 Awenr 16fqCLd0C4B Tel. # 7 Address '05 9 Surf vcrh A< &6,fj4 w,.C—.* Zip 066 7 _Lic.# STREET CITY STATE Owner Mf' LrsiT Address_.?. S T Architect Address i Size New Area: Ft. Front Overall Ft. Deep Overall 6 i Total Area 7 Garages Lavatories No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd Size of Lot X( Dist. from Street Line Dist. from Side Street Line Purpose of this Permit drF'cG art" . je6^'d t/4no ..t '¢ Aelg~ City Water E4 Well 0 Septic 0 Sewer Ck Approved by116.111 Date BD1A 11/88 I hereby agree to conform to all the requirements of th 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 zone in which this building and its use is allowed. Ole 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— Footing Framing INSPECTION RECORD zAACJ J Foundation Fireplace/Chimney Insulation Plumbing Permit# s y 3 Inspections: HVAC Permit# Inspections: Electrical Permit# Inspections: Sprinkler Permit# Inspections: PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN OF SOUTH WINDSOR APPROVE DISAPPROVED BUILDING INSPECTION DEPT. l(Q 644-2511 Ext . 230 y Application must be printed or typed.D to Building Inspector 1. LOCATION OF JOB a.,5 j _SCL.//v,G,-7 .4 FEE SCHEDULE No . Street OXI 7-- 0 - $19000 -10.00 Floor Apt . No. Over $1 ,000 - 10.00 per $1 ,000 or 2 . OWNER L/ fraction thereof 3. ADDRESS 7/1 yc,,; 4. APPLICANT /iW(fj, 2 Z g 5. ADDRESS sy Sv l G 6. ESTIMATED COST $ h s Ot7 7 . IS THIS A CONTRACT COST A Yes o 8. FEE ENCLOSED 9. TYPE OF BUILDING : RESIDENTIAL COMMERCIAL 10. TYPE OF JOB : Original Installation Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side ) 11 . LOCATION OF JOB aj 4y NO. STREET APT. NO 12 . TYPE OF INSTALLATION t4EVJ 13. SIZE OF MAIN FEEDER 260 t\ , 4/0 14. NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS 16. NO. OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS I 18 . NO. OF HEAT CIRCUITS_ 19 . NO. OF POWER OUTLETS__ 20. NO. OF CONVENIENCE OUTLETS / 8 21. NO. OF HEAT CIRCUITS_ 22 . NO. OF POWER CIRCUITS 23 . NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS z 25 . NO. OF MOTORS F 26. NO. OF PANELS 27 . TOTAL WATTAGE 28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES (p 30. A/C LOAD ' 31. SIZE OF POWER FEEDERS 32 . NO. OF FIXTURES 33 . TOTAL HORSEPOWER • d 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : of- Wc)0lDl-L/0tc</lLlr4 spof + oicrie--c- c2) I cto LICENSE NO.SIGNATURE OF APPLICANT DATE PHONE NUMBER: FINAL INSPECTIONS: , 53building APPLICATION FOR BUILDING PERMIT Plumbing HVAC s Date: S Sprinkler 259 SULLIVAN AVENUE Electric UNIT "A" Estimated Cost $ 2:C)04 Zoning Permit Fee $ $a`e Affidavit NO. 20440 Occupancy Fee $— Eng. Dept. Fire Dept.COMPLETE RED BOXED AREAS.Total Fee $ 33 Health Dept. TYPE OR PRINT ONLY Approved for CO: -r S SIGN ON REVERSE SIDE. Additional Cost) $ TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereb ap liep to do work according to the following specifications: Job Location Lot No. Side of Street Qone A PP licant Tel. # 4!-3 Address 2-r Zip O Lic.# S STREET CITY STATE Owner Address Architect Address Size New Area: Ft. Front OveralX Ft. Deep Overall Tr Local Dees Garages Size of Lot Dist. from Street Line RAth ooms RoQrns 1 st 2nd 3rd Purpose of this Permit S' iCfd'er+1 ir'l trcS City Water ii Well 0 Septic Sewer Use Group — Construction Type Approved by wf- Date BDIA 11/88 I h reby agree to conform to all th requir ments of th 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 r that this building is to be located the proper distanc from all street lines,side yard line d required distances rom 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 a i ation for permit. Signed DO NOT WRITE BELOW THIS LINE— INSPECTION RECORD Footing Framing Foundation Fireplace/Chimney Insulation Plumbing Permit# Inspections: HVAC Permit# Z2 Inspections: Electrical Permit# /D 1 '" Inspections: Sprinkler Permit# Inspections: Inspection / Approval Date By Appl Code Description Due Whom Code Comment 93-20440-B 2,500 E01 SERVICE 03/10/93 JFH A RELEASE ISSUED E03 ROUGH 03/25/93 JFH A P03 ROUGH 03/25/93 JFH A PO4 GAS TEST 04/14/93 JFH A B10 FINAL 04/30/93 JFH D OPEN ELECTRIC B09 OTHER 05/04/93 JRC PROGRESS ON COMPLETION B10 FINAL 05/05/93 JFH A 93-8624-H 600 93-12504-E 1,870 93-9195-P 2,400 93-12554-E 3,963 Total Est Value 11,333 PERMIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 110?Se Application is hereby :TOWN OF SOUTH WINDSOR APPROVED DISAPPROVED BUILDING INSPECTION DEPT. 644-2511 Ext . 230 Application must ' be printed or typed . ate ui ns for 1 . LOCATION OF JOB 259A Sullivan Ave FEE SCHEDULE No . Street 0 - $19000 -10. 00 Floor Apt . No . Over $1 ,000 - 10 . 00 per $1 ,000 or 2 . OWNER Robert Lavey fraction thereof 3. ADDRESS 255 Sullivan 9f j South Windsor, CT k 4 . APPLICANT Walter Kebalo 5 . ADDRESS 176 Smith Street South Windsor, CT i 6 . ESTIMATED COST $ 1870.00 7 . IS THIS A CONTRACT COST x Yes QNo 8 . FEE ENCLOSED $ 20.00jajbJ 9 . TYPE OF BUILDING :Commercial D RESIDENTIAL COMMERCIAL 10 . TYPE OF JOB : Original Installation x Alteration/Addition/Repair i BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB 259A Sullivan Ave NO. STREET APT. NO, 12 . TYPE OF INSTALLATION 200 amp service & wiring for tenant build out 13. SIZE OF MAIN FEEDER 250 mcm al. 14 . NO. OF LIGHT LOOPS 2 15 . NO. OF HEAT LOOPS 1 16. NO. OF POWER LOOPS 3 17 . NO . OF LIGHT OUTLETS 10 18 . NO. OF HEAT CIRCUITS 1 19 . NO . OF POWER OUTLETS 10 20. NO. OF CONVENIENCE OUTLETS 10 21 . NO. OF HEAT CIRCUITS 22 . NOo OF POWER CIRCUITS 23 . NO. OF LIGHT CIRCUITS 24. SIZE OF HEAT CIRCUITS 20 25 . NO . OF MOTORS 26 . NO. OF PANELS 1 27 . TOTAL WATTAGE 12. 5 k 28 . NO. OF POWER FEEDERS 29 . NO . OF SWITCHES 30. A/C LOAD 31 . SIZE OF POWER FEEDERS 32 . NO. OF FIXTURES 33 . TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : New 200 amp 120/208 volt service 3 ph. from existing meter bank Misc wiring of new bathrooms and office 104943 3-5-92 LICENSE NO . SIGNATURE OF APPLICANT DATE PHONE NUMBER: 644-5124 y__ .,.. - -_ -,r r ,-.__:c^r.-r- -..®,.,-.-,y.---.-•.,.+._.,•n. ...awn..,r -....-:R -_ ,1, -._ Lot No.d Building Permit J I yo Temporary Service Permanent Service Pursuant to Permit No. This Certifies that the Electrical Work for which the above named Permit was granted has been duly inspected and is hereby approved. Owner Electricianf Street - 4,1 l 7 S]flding Ins -- PERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby : TOWN OF SOUTH WINDSOR APPROVED DISAPPROVED BUILDING INSPECTION DEPT. 644-2511 Ext . 230 Application must be printed or typed .Date B i g Inspector 1 . LOCATION OF JOB 25t? A 5UL.4—s%/AN ACE FEE SCHEDULE No . Street 0 - $19000 - 10.00 Floor Apt . No . Over $1 ,000 - 10 .00 per $1 , 000 or 2 . OWNER fob `-AJS-f fraction thereof r 3 . ADDRESS iSS VVi..#JVJ AJE' i 4 . APPLICANT WAL.1-ER, r1 ALd 5 . ADDRESS S1? S/h ITr1 54QLj-rH J I wpsOr., 6 . ESTIMATED COST $ :C%-?. 0Q 7 . IS THIS A CONTRACT COST Yes o 8 . FEE ENCLOSED $ L& .0 n 9 . TYPE OF BUILDING: U0RESIDENTIALCOMMERCIAL 10 . TYPE OF JOB : Original Installation Alteration/Addition/Repair BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11. LOCATION OF JOB Z rC1,A S LJ L..L.-I%1 A1 3 A JE NO. STREET APT. NO, 12 . TYPE OF INSTALLATION 13. SIZE OF MAIN FEEDER 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 31 . SIZE OF POWER FEEDERS 32 . NO. OF FIXTURES 33 . TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : GT4-+C AL W Q#L Lam- *iP(L--!V -- 04 a 4 3 4-11- LICENSE NO. SIGNATURE OF APPLICANT DATE PHONE NUMBER: 6yy---50*/F14 PERMIT NO. 9 /9,5- DEPARTMENT DECISION APPL I CAT I O N FOR Application is hereby : PLUMBING PERMIT TOWM OF SOUTH WIINTDSORAPPROVEDDISAPPROVED BUILDING INSPECTION DEPT. S66 C? 's 644-2511 Ext. 230 a e Building Inspector Application must bePp printed or typed. 1. LOCATION OF JOB: tfIV! T 09) Q V i FEE SCHEDULE 2. OWNER:A of4S 0 - $19 000 - 10.00 3. ADDRESS: Over $1 , 000 - 10.00 per $1 ,000 or 4. APPLICANT: o,421 fraction thereof 5. ADDRESS:Jaa 66 6. EST. COST: $ d 7. IS THIS A CONTRACT COST? YES NO' f 8. FEE ENCLOSED: $ Q-d 9. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 10. TYPE F JOB: ORIGINAL ALTERATION INSTALLATION ADDITION REPAID. BD 2A 11/88 APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side) 11. LOCATION OF JOB: , 'Q GENERAL PLUMBING 12. KIND OF INSTALLATION: J 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS-- STYLE_,4" 15. NO. OF URINALS STYLE 16. NO. OF BATHTUBS 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES 18. NO. OF SINKS 19. DISPOSAL 19A. DISWASHER 20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS_/_SIZE 131, 22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND 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. SEWER OR SEPTIC TANK? J 31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS 32. REMARKS AND FURTHER DETAILS WATER HEATER 33. TYPE 34. MANUFACTURER TANKS SAFETY DEVICES T121PERATURE 35. CAPACITY p 39. RELIEF VALVE 36. TEST PRESSURE d LBS. 40. MANUFACTURER 37. WORKING PRESSURE 80 LBS. 41. PRESSURE RELIEF VALVE 38. TYPE 42. MANUFACTURER LICENSE NO. DATE SIGNATtft 0 A PLICANT PHONE NO. j FOR OFFICE USE ONLY APPLICATION FOR HVAC PERMIT DATE: Q3NO. TOWN OF SOUTH WINDSOR EST.COST: rBLDG. PERMIT NO. o)44D 1540 SULLIVAN AVENUE FEE )0,cA SOUTH WINDSOR, CT 06074 FEES: 644-2511 - Ext. 230 0 - $19000 - $10.00 1000 or fraction LO TION F BUILDING v thereof - $10.00 F1 06 01 A 4 OL Z1r, 0 ADDRESS' TO PHONE NO. r J HVAC CONTRACTOR S TM PHONVNO. TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIA A/C COMMERCIAL VENTILATION BUSINESS INDUSTRIAL IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AIR UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE) TYPE OF FUEL: OIL-GPM GAS IN-PUT;?'LLECTRIC KWWOODCOAL OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY LPG TANK - CAPACITY EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE_Aggtj_°F INSIDE 2j_°F DIFFERENCE ;;Pd OF TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUST CCO ANY APPL ION) DESCRIBE ALL HEATING EQUIP N NCLUDING MAKE & MODEL NO.): GROSS HEAT NG CAPAC TY (INPUT-BTUH) NET RATING (OUTPUT-BTUH) O IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE F INSIDE OF DIFFERENCE OF TOTAL HEAT GAIN (BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.): TONNAGE COOLING CAPACITY (BTUH) IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT) : TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM) PLAN MUST ACCOMPANY APPLICATION) The undersigned hereby applies for a permit to perform the following work and is to complywithalllocalordinancesandStateofConn. Building Codes in the performance of such work. FURTHER DESCRIPTION OF WORK: STATE LICENSE - NAME & TYPIr#DATE SIGNATURE OF APPLICAN ROVEDEFATV, BD 4A 11/88 I = B = R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronlcs Institute ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE OWNER COL A COL.S COL.C COL.D COL.E COL.F COL.G 1 ROOM Design Water Temp. O H L W H L W H L W H L W H L W F- STUN per Foot of 2 ROOM DIMENSIONS, FT.U Radiation Selected 3 LENGTH EXPOSED WALLS,FT. 4 LL 4 WINDOW ANO OUTSIDE ODOR AREA BTUH BTUH STUN BTUH STUN ROOM LIN.FT.OF 5 WALL CONSTRUCTION TOTALS RADIATION Table 9,Line 3 x H) FROM LINE 12 SELECTED 6 TYPE OF GLASS Bottom of table used f r Line 5)C 7 CEILING CONSTRUCTION DTable9, L x W) B FLOOR CONSTRUCTIONT E Table 9, L x W or Lin. F t)F 9 COLD PARTITION CONSTRUCTION G Table 9, L x H) 10 r 1 Well IWIth Openings) H i 2 Wells(With Openings) DX 1 e 3 Wells IWoth Openings)or Ent.Hall F. J 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' K 12 TOTAL BTUH AT DESIGN TEMP. DIFFERENCE L COL.A COL.B COL.H COL. 1 COL_J COL.K COL.L TOTAL BTUH TOTAL OF BUILDING RADIATION AT SELECTED 1 ROOM DESIGN TEMP.- O H L W H L W H L W H L W H L W DIFFERENCE H 2 ROOM DIMENSIONS, FT U 3 LENGTH EXPOSED WALLS, FT. Q LL 4 WINDOW AND OUTSIDE DOOR AREA BTUH BTUH BTUH BTUH BTUH INCREASE BATHROOM 5 WALL CONSTRUCTION TOTAL 20% Table 9, LIns 3 x H) 6 TYPE OF GLASS Gott m of table used f r Line 5) tFOR CONCRETE FLOOR ON GROUND OR FILL AT 7 CEILING CONSTRUCTION GRADE LEVEL,USE LINEAR Table 9, L x W)FEET OF EXPOSED EDGE B FLOOR CONSTRUCTIONt Table 9, L x W or Lin Ft.) 9 COLD PARTITION CONSTRUCTION Table 9, L x H) 10 c 1 Well(With Openings) 0 aX2Walls(With Openings) p J 3 Walls(With Openings) or Ent.Hall 11 TOTAL BTUH AT 70F TEMP DIFFERENCE' 12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE FORM 1503 This form Is available from The Hydr nics Institute,35 Russo Place,Berkeley Heights,N J 07922 C t ARGO CALCULATION SHEET OWNER ADDRESS v v DATE--/ KIND OF BUILDING `"""t CHIMNEY SIZE DEALER CONSTRUCTION: WALL WINDOWS ROOF OR CEILING BASEMENT HEIGHT. ABOVE GRADE BELOW GRADE DESIGN WATER TEMPERATURE DESIGN TEMP. DIFF COLA 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 19 ti ROOM SIZE WINDOWS AREA-SC. FT. FLOOR VOLUME BASEBOARD: AND DOORS SE[NOTE) CU. FT.TOTAL TOTAL ACCESSORIES AT 70 F CORRECTED WATER LENGTH ROOM Nuwe[R GROSS GLASS NET WALL CEILING f TEwP, TO n s. Tw H ow AREA WALL C sp* DIP. TEMPENCLOSURE FIN E it I.0 MISGJa4°F TUBET[w DOFF. FT. r, v 7J,3,61go 7 TOO i r r 4 u r 2, r, F4, jG i' t. it} 1' iju M 1, t•• NOTE: FOR C NCRETE MOOR ON GROUND OR FILL AT GRADE LEVEL.USE LINEAR FEET OF EXPOSED EDGE. TOTALSFORALLTHENFLOORSUSESQUAREFEETFAREA. E r FINAL INSPECT APPUCATION FOR BUILDING PERMITBuilding Plumbing HVAC 259 SULLIVAN AVENUE Date: Sprinkler UNIT "B" Estimated Cost $ d0 Electric 6-C3 Zoning Permit Fee$ NO. 21569 Occupancy Fee $ 3 Affidavit Eng. Dept. COMPLETE RED BOXED AREAS.Total Fee $ 5_3 Fire Dept. TYPE OR PRINT ONLYHealthDept.SIGN ON REVERSE SIDE. Additional Cost) $Approved for CO: TO BUILDING DEPATMENT, TOWN OF SOUTH WINDSOR, CT The undersigned, hereby applies to do work according to the following specifications: Lot No. Side of Street one Job Location Tel. #2 t__3 Applicant L' V T4zoti 0 4 Lic.# RE 11111111 Address 2 p Owner ddress G Architect 571 Address Size New Area: Ft. Front Overall L Ft. Deep Overall l Total Area 0 0 #GaragesLavatories Size of Lot Dist. from Street ' e Bathrooms Rooms 1st 2nd 3rd V6:P'bWL rttftc . Purpose of this Permit City Water Well O Septic 0 Sewer Use Group Construction Type Approved by Date 7 / q BDtA 11/88 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 li and required distances f all oth r zon s 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 app ' tion 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: Inspection / Approval Date By Appl Code Description Due Whom Code Comment 94-21569-B 5,000 E03 ROUGH 07/08/94 JFH D NOT READY B03 FRAMING (ROUGH) 07/08/94 JRC A E03 ROUGH 07/08/94 JRC D 1-1/4" CLEARANCE TO STUD FA B03 FRAMING (ROUGH) 07/13/94 JFH A E03 ROUGH 07/13/94 JFH A P03 ROUGH 07/13/94 JFH A B03 FRAMING (ROUGH) 07/27/94 JRC A H.C. BATH E03 ROUGH 07/27/94 JRC A H.C. BATH E01 SERVICE 07/28/94 JRC A RELEASED TO N. U. P03 ROUGH 10/25/94 JFF D NO PRESSURE P03 ROUGH 10/25/94 JFF A B10 FINAL 11/16/94 JFH D NEEDS MIDDLE GUARD ON MEZZ 810 FINAL 03/15/95 JRC A APPROVED FOR CLOSEOUT/CO 94- 13074-E 1,800 94-9431-P 950 PERMIT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 1 /3 07 Application is hereby : TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 644-2511 Ext . 230 t ng ector Application must be printed or typed 1 . LOCATION OF JOB CP2 dv FEE SCHEDULE No . Street 0 - $19000 - 10.00 Floor Apt . No. 6 Ov r $1,000 - 10.00 per $1 ,000 or 2 . OWNER eezr Li= fraction thereof yL iI3. ADDRESS 4. APPLICANT 5 . ADDRESS 6. -ESTIMATED COST $ 7 . IS THIS A CONTRACT COST bC Ple Y o 8 . FEE ENCLOSED $ir, 9. ti PE OF BUILDING: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: Original Installation Alteration/Addition/Repair Rn 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB el` Ua I• NO. STREET APT. NO , 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER 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 31. SIZE OF POWER FEEDERS 32. NO . OF FIXTURES 33. TOTAL HORSEPOWER 34 . NAME OF SUBCONTRACTORS AND THEIR TRADES 35 . REMARKS AND FURTHER DETAILS : 17 Ac)q "l 7 LICENSE NO.SIG ATURE OF APPLICANT DATE PHONE NUMBER: 47-1 INSPECTOR DATE TIMEw LOCATION INSPECTION: CODE: RESULT(D/A) : BUILDING: 0 i r c l ELECTRICAL: PLUMBING: HVAC: OTHER: PERMIT NO. DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT Application is hereby :TOWN OF SOUTH WINDSOR BUILDING INSPECTION DEPT. APPROVED DISAPPROVED 1540 SULLIVAN AVENUE 644-2511 Ext. 230 1 a 6e k ing Inspector Applications must be printed or typed 1. LOCATION OF JOB: 2. 5 r UG FEE SCHEDULE 2. OWNER: 17 3. ADDRESS: 0 - $10000 - 10.00 Over $19000 - 10.00 per $1 ,000 or 4. APPLICANT: fraction thereof 5. ADDRESS: 6. EST. COST: $ 4 S 7. IS THIS A CONTRACT COST? S )-,N0 8. FEE ENCLOSED: $ 9. TYPE OF BUILDING: RESIDENTIAL COMMERCIAL 10. TYPE OF JOB: ORIGINAL ALTERATION INSTALLATION ADDITION REPAIR BD 2A 11/88 APPLICATION FOR PLUMBING PERMIT (Cont. from Reverse Side) 11. LOCATION OF JOB: GENERAL PLUMBING 12. KIND OF INSTALLATION: 13. SIZE OF MAIN DRAIN 14. NO. OF TOILETS STYLE k-Z&O-' 15. NO. OF URINALS STYLE 16. NO. OF BATHTUBS 16A. NO. OF SHOWERS 17. NO. OF LAVATORIES - 18. NO. OF SINKS 19. DISPOSAL 19A. DISWASHER 20. NO. OF CONDUCTORS SIZE 21. NO. OF STACKS SIZE 22. AREA OF ROOF 23. NO. OF CATCH BASINS 24. NO. OF FLOOR DRAINS 25. NO. OF OTHER FIXTURES KIND 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 l 30. SEWER OR SEPTIC TANK? 31. SIZE OF WATER MAIN 31A. SIZES OF WATER PIPING & RISERS 7 32. REMARKS AND FURTHER DETAILS 1 WATER HEATER 33. TYPE 34. MANUFACTURER f 1 S/(-tf1>' TANKS SAFETY DEVICES TEMPERATURE 35. CAPACITY 39. RELIEF VALVE v 36. TEST PRESSURE LBS. 40. MANUFACTURER 37. WORKING PRESSURE LBS. 41. PRESSURE RELIEF VALVE 38. TYPE 42. MANUFACTURER r LICENSE NO. DATE SIGNATURE Of-APPLI ANT PHONE NO. eectk# APPLICATION FOR BUILDING PERMIT Plumbing# 259 SULLIVAN AVENUE WAC # 25440 Date: % Sprinkler# No. FIM Estimated Cost $ va Buddingrlo---a COMPLETE RED BOXED AREAS Permit Fee Zg 00 TYPE OR PRINT ONLY Occupy Fee $ 5 co Affidavit Air.for CO. 1: 5IGN ON REVERSE SIDE Total Fee 2900 TO BIALDNG DEPARTMENT,TOWN OF SOUTH WI DSOR,Cr Additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location 111o &A el v Lot No.A Side of Street..1roq-0-1 Zone ApplicantLbL !L v Tel#-2 Address SAS" f'Vl/lJ 4V dL-v-e-Zip O ,7 UG# Own r 4- La.v Architect Address Sq.Ft.New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area Rooms Lavatorie Bathrooms Garages Purpose of this permit: 74 City Water 4o Well Septic System Sewer Ins. H.O. S.P. Cert.'_ Area Basement Garage Approved by S.P. Dot Ise Group Construction Type R.viad 1197 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 distanc from all street lines,side yard lines,and required distances from all other zones and is located in whi t building and its u is allowed. Signed I hereby apply for a Certificate of Occup y for the work descri is application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 98-25440-B 1,250 B03 FRAMING (ROUGH) 07/28/98 DCJ A E03 ROUGH 07/28/98 DCJ A B10 FINAL 01/19/00 JFF A IDN CO WITH TENANT 98-14984-E 600 I DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT iy Application is hereby:TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE 644-2511 ext.230 Date Building Inspector Application must be printed or typed Location of jobF—;;7Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER SJE;iC or any fraction thereof i ADDRESS 5 v t.L 1- 0 A*%S OWNERS PHONE# APPLICANT OW Sf ADDRESS J -7L A 1 inl ESTIMATED COST$ C IS THIS A CONTRACT COST? 1 V YES NO f CJ FEE ENCLOSED $ 2-'- 1 SOR-Cod TYPE OF JOB: Original Installation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED 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 SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK C N d i G .- fir! '`6 H i,S L z e,.g THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. NAME STATE LICENSE NO. TYPE SIGNA OF APPLIC NT PHONE NO. e VV-, 12-!- DATE Z C a i i DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby:TOWN OF SOUTH WINDSOR PERMIT 9 1BUILDINGDEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 8 vv 644-2511 ext. 230 ate Building Inspector Application must be printed or typed i FEE SCHEDULE Location f Job: 0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= 13.00 per$1,000 C6VIrl jV i or any fraction thereof Tenant Designation Apt.No. i APPLICANT APPLICANT ADDRESS In i 0. !n)7(e APPLICANT PHONE# 60 - SOW N St OWNER i' G' OWNER ADDRESS v v v OWNER PHONE dy V ESTIMATED COST$ how IS THIS A CONTRACT COST? 0 Yes PONO a FEE ENCLOSED$ TYPE OF JOB:OR-CO 0 Original Installation 0 Alteration/Addition/Repair Revised 8/99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? YES NO RESIDENTIAL 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 METHODG SIZE OF MAIN FEEDERS AND RATING OF WIRE USED 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 c r ms vJ , 1 h u mv s - 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. Q` 6S, 1 CONTRACTORS LICENSE NO. YPE STATE SIGNATURE OF APPLICANT DATE U