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Home My WebLink About276 Scott DriveApplication No. 6984 . Permit No. 6684 TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. hereby make application for a permit to (erect (i o) a building according to the following detailed statement of the specifications and plans herewith submitted. (Draw a line thr ugh word "erect" or words "make alteration to" as the case may require.) All provisions of the Building By-Laws (Sections 2 to 32 inclusive) shall be complied with in the execu- tion of this work whether specified herein or not. South Windsor, Conn., Z... ........ 19.4, . Sign here ... .... ... .... ............ ..... ... .... .... r ., . Location? . .... . ........................ .. ....... side of?r. '............ ..t.l.. .............................. Nearest cross street? ..... W F_:7. . 11P Street No. . . ..... .. ............ ................ Lot No. ... ... c . Owner of land is? 0... ... 6-Address ,P....... e sT'...%...?C i( 1 9A hOwnerofbuildingis? . .. ................... ...................................Address .. ..... . ....... ..................................................................................PC • f V W y Addres:Architect is? . . . .. 2 Builder is? ...... .......................................................................`..........................Address ....................................................................... ...................................... T,51 Ir Dimensions of building? r ?tea.......Feet front? ...... Imo/ Feet rear? ..c%Y/ o........ Feet deep? ... Extreme height to highest point of roof? .. i..............l.. . .. No. of stories in height?. 7-4•c_"- . Purpose of building is? , e..s.......................No. of stores? ...... ................. .. ................................................................ Howmany families? .. ............... r..................No. of rooms? .... ... ......../7....... .............. ............................................... r e Distance from street line is? . .... ...... from building line is? .........ter... . ADDITIONS AND ALTERATIONS p p Give Brief Description) IN.....GO4 DA-'Gc.....W1TN.....7'1CM1N Of SOUTi-.. 1/i'D.L%`........Fz .....i i;:.....I;O. 6 Map No. ... .. ........ SANITARY 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 Height Stories Front Waft Side Walls Rear Walls Partition Walls Basement, 1st Story I................ ......... ..... 2nd " I...................................................................................... ............................................ .... .............................. 3rd " I............................................ ........................... ..... ...... ..... 4th it 5th 66 I......................................................................... ............................................... .. ............................................... 6th 48 7th 'A I.........................I........................ .................................................................... ................................................ 8th do I........................ ............ . ................. ... ................ ... .................... .............I.......... 9th 11 10th.................. .......... ..... ................. 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 11 GIBDEBS COLUMNS Floors Size Longest Span Centres Bridging Size Longest Span Centres Size Length Centresto R 1st F1 r l µ. .. .............. . ... ................_..... .._._ ..._....._.._.. _.... 4 .... ..... ........... .............. .................. 4 R P Size of outside studs? ..... ..-X.... .. Distance on centres? .......ZA5............ ...... Size of sill? ............. ...A.. ......".......... Size of rafters? ..+ bc..C.. ... Distance on centres? ....... _. 4 R......... . Size of plate? ................ ..... .. as 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? 7-G Fireplaces? i Material of roof covering? Material of Cornice? ................ How is building heated? . / ..T... ....c..,ra, .r...6r; .....Lining of Hues? L. ..y...... .............. ......... . .............. Thickness of shell of flues? . ... ... X... ............................. .......Any elevators or lifts? ...... .............. .............. What kind? . ..... .. ...... . .. .. ....... How many? . Any hoistway .. .... . . . ..... . ........... . How protected? p Total Value of Building . ... . .,.. o..,a.................... When will work be commenced? a.......... The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this application, conforms to the zoning regulations of the Town of South Windsor. Town of South Windsor since 1949. 4A4pprt 6684 BUILDING APPLICATION Application No. .......6.984 onthe .......Wast........................................................ side of Zoott Drive Street. Street No, 164............. ... ... ......... . Owner ....V & R Houning Corp., SameApplicant CLASSIFICATION Dwell i4g..414P 1.... . ..... ........... ................... Permit issued on above Application. Date, . 4-2-0-69 19... . .. TOWN OF SOUTH WINDSOR BUILDING PERMIT Date April 28, 19 69 Fee Paid $. 192.'00 Est. Value $.3 2,000 RECD. SEPTIC PAYMENT s 20.00 Permit N° 6684 on the we•t side of Scott Drive Street Street No. Lot #164 76 Owner U & R Housing Corp. Applicant Same CERTIFICATE OF OCCUPANCY ISSUED: Date No. 3817 Fee Paid $ 3.00 CLASSIFICATION E Dwelling 610 x261 1 P BUILDING PERMIT N° 6684 OFFICE OF THE BUILDING INSPECTOR of the Town of South Windsor, Conn. South Windsor, Conn. April 28 v 109 94is to to Terftf1j, That U & R Housing Corp. is hereby granted permission to Lxe 1 l 1ng 64 t x 261 at estimated value of $ 32,,000 on the xeat side of Scott Driyot L*t #164. r Street on land owned by U & R Housing Corp. Said Work to be as described in Application No. 6984 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WINDSOR. Is April 28 1 69 Y BuiKfing 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." PE OIV REPORT dPermitJob 1 Footing 2 Foundation 3 Framing 6-d- 6 Y 4 Wiring 6 -Y-6 q(IF) -, • 4 r/T-6 5 Plumbing 6 9 - -E 6 Heating 7 Lathing 6 -17- 6 -----------------------------9 8 CIO. / I Permit No. f_,: TOWN OF SOUTH WINDSOR SOUTH WINDSOR, CONN. I PermitO 3817 Certificate of Occupancy THIS I TO CERTIF t the Woo at No.x in the Town of South Windsor, Connecticut, hasbeenerectedandcompletedinaccordancewiththeBuildingCodeandZoningoftheTownofSouthWindsor, and is hereby approved for occuancy. ti NMW Building InspectorZIAeuilder Fee Paid Date JI 19 A:9_Y ME DF-- 3') M ry t v 4,;• 2-v i SO 3 O. 30 1 S CcD 7" T t_% EVE LOT #164o "BIRCH HILL ESTATES" SECTION #7 TOWN OF SOUTH WINDSOR9 CONNECTICUT SCALE s 1" = 40" Rockvilleg Conn. 4494 ELECTRICAL APPLICATIOR ApplicationNo. ...4.8.05.............................................................. onthe........ ... .................... . .............. ....... ..... side of Scott Drive Street Street No. ..Lot . 1.6.7,6 Owner U & R .Houzipg. .P.orp. Electrician JR-TrePOi.O.. FILED IN OFFICE OF The Building Inspector 6716769... . ......... ... 19 INSPFXTION. wNo Electrical Work shall be started until a Per. mit is granted by the Building Inspector. In New Buildings no wiring shall be started until the plumbing and heating pipes, and the fire stops (if of wood) are installed,!without a special permit from the office of the Building Inspector. APPLICATION FOR PERMIT TO DO ELECTRICAI. WORII. No. 48.05... .. Permit No. ...4.494.. TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR., CONN. hereby make application tot perform Electr cal Work according to detailed description below. All provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with whether specified herein or not. South Windsor, Conn., .......... jl1n e .10 „ „ 1A6 Sign here . ..... L.. ........., /r... .. . Address 1.7.2.0. .Ellir gt on....Ro.ad........S......Alnds or LocationL.Q.t.... .. ....-. .3.0.0.tt- .Dr.IVB . ..... .... Side of ........... ........................................................................................................ Natureof Building Hes i dene a ....... ......... How many stories .... ......................................................................... ................ New or old Building New How many families .............S.ingle..................................................... Kind of Installation .R01718X....W Yd...... ..................... How many Stores .................................................................................................. owner U.....&.....R..H.ous.ink.... ..Or. .Qx. .ti On........... Address 9.9. ..E...... G ant.e,r.....3.t.r.e.e..ti.s.....Ran.oh s ter Architect Address Builder . ..... .......... Address Electrician .-Robar...t.'.s.....Electric. Address 1720.....Ellington.....Rd...,.....S........Wind sor Size of Main Wires ... #i 2............................................ No. of Light Loops .. 1 ... .. ...... No. of Heat Loops ......... .1 No. of Power Loops ......................................... No. of Light Outlets 25... No. of Heat Outlets . 1 No. of Power Outlets .. ......... .. ... No. of Light Circuits .5 .. ... .... No. of Heat Circuits . 1 No. of Power Circuits .. No. of Sockets 5 .. No. of Heat Receptacles - No. of Motors No. of Panels ............................1... ..... .... .. Size of Heat Circuit No. of Power Receptacles .. No. of Switches .. .... ....2.6.. ..Total Wattage 8K Size of Power Circuit .. Total Horsepower No. of Straight Electric Fixtures ..... 2.0 .......... ....... No. of Combination Fixtures . No. of Receptacles .. ..............35.. No. of Cord Drops .. ..... . . .. ............... . ..... .... .. Remarks: For other kind of Installation .. . .......................................... ................ ... ............... ........... ..... Washerri dryer.., oi.l burner wiring.. I........ ............. ..... .. ................. ........ . ....................................................................................................... ................. ... . .. I ......... ........ .... 00 00EstimatedCost ..... .... 8 411, S/ 3866 41 PLUMBING APPUC.AT10N AWlicafim Nb. 3 655 on the ................... &Side of sam Street No. ....... '76 Owner .... f Plumber .. Filed ' of The Biding 6-16-69 19 oR. No person shall crosnac4 add do or alga say portion of the drainage system of any buing except to repair leaks) until a Pramit its gmmd by the Building Inspector. 3655 3866ApplicationNo............... Permit No. ...................................... TO THE BUILDING INSPECTOR of the TOWN OF SOUTH WINDSOR, CONN. v... ......hereby make application to perform plumbing according to detailed description below. All provisions of the Rules for Sanitation, By-Laws, Sections 33 to 47 inclusive, shall be complied with whether specified herein or n SouthWindsor 19c. Si ere ... 4 Address .........M....... .; 4:*__,*.4.Location ............................................:. side of ...................... Street Natureof Building .............,. ............. .................................. How many stories .. ..... ......................................................................... Owner ......44 [..R......... Address ......`. c c Architect ........................................,.......................................................................... Address ........................................................................................................................ Builder 1 ?.... ...............................,t, ................................................ Address ...... .. .... . .. c Pl umber Address ...... . ,9.. DRAINAGE CESSPOOLS How man Where located .......... ......................................................................... ...... Are they water tight . .... ..... ....... ................................................. Of what materials are they built .... ......................:................... Size of pipe from house to spool .... ...........Z ............. Kind of pipe - ..................................................................................... MAINDRAIN IN CELLAR, Material ................................ Diameter ............................................................................................................... Aboveor below cellar bottom .. ....1. A- ...*......------------.--------------------............................................................................................I.......... SOILPIPES, Material ....... .......... .....:7-7...................................... Diameter ...................................................................................................... WASTE PIPES, Material Diameter ................3................••.. 1.!. TRAPS,Type proposed to use is ................................. . . . .. ... .......................................................................................................................................... RAINWATER LEADERS, where do they run to .......................................................................................................................................... REFRIGERATORWASTES, where do they run to ....... ........................................................................................................ ............................... TANK OVERFLOWS, where do they run to FIXTURES WATER CLOSETS, How many ........................................... Where located ..... Distance from trap to vertical soil pipe .. ................. Pattern WASHTRAYS, How many ............................................................. Where located . . ..................................................................................... SINKS, How many .................................../................................................. Where located .. .. A c ........................................... ... BUTLER'S SINKS, How many ........................................................ Where located,.................................................................................................... REFRIGERATORSINKS, How many....................................... Where located ................................................................................................... LAVATORIES, How many .....................................................Where located ...... ....,--4 ..................................................... BATHTUBS, How many .......... .1.............................................. Where located ..........'2'................................................................................. URINALS, How many ................................................................................ Where located ................................................................................................... Are water closets and urinals to be local vented If not,is there a window in outer wall of room where same are to be located ;.. ... Estimated Cost...... O Application For PERMIT3657DEPARTMENTDECISION CO 1 3879 Heating PermitCdC 3 APPLICATION IS HEREBY: DEPARTMENT OF LICENSES AND INSPECTIONS N APPROVED DISAPPROVED TOWN OF SOUTH WINDSOR Cd 00 DATE CHI Ir APPLICATIONS MUST BE PRINTED OR TYPED. BEGIN WITH NUMBER ONE BELOWOf p a) 1. LOCATION OF JOB 6 Cd A O NO. STREET 6 O I~LOT NO. FLOOR APT. NO. O N s~ 2. OWNER 0 1-4 O 0 O s. ADDRESS 4.PH0NE`37J S. APPLICANT v Cd 0 Is. ADDRES 3 j Cd 4-aCd 7.PHONEY yrj"` a oe. LICENSE NO. 04 + o ate-+ 9. EXPIRATION DATE OF LICENSE v Q p 10. ESTIMATED COST >j 11. IS THIS A CONTRACT COST?YES A—NOh Permit #6684 12. FEE ENCLOSED S Cn O 19. TYPE OF BUILDING: O bio ESIDENTtAL COMMERCIAL aas 3 14. TYPE OF JOB: INDUSTRIAL INAL ALTERATIONINSTALLATINADDITION REPAIR Continued fr m Reverse SideAPPLICATIONFORHEATINGPERMIT ( ril 1. LOCATION OF JOB NO. / STREET FLOOR APT.NO. 2. TYPE OF INSTALLATION: EJ OIL BURNER HEATING SYSTEM VENTILATION SPRINKLER GAS BURNER STACK INCINERATOR MISCELLANEOUS 7 / IDENTIFY 13. SIZE TANK 1 LOCATION SIZE SIZE / r OF TANK OFF ILL OF VENT 14. B.T.U. EQUIP. AT REGISTER FUR NA E MOE AND NO. AT BONNET FIRING TEE BOILER OR FURNACE MAKE A B.T.U. OR SQ. FT. NET B.T.U. OR SQ. FT. GROSSL FIRING RATE FLOORS TO BE HEATED NEW OR OLD BUILDING INSULATED - YES OR NO TYPE OF WALL 13 INSULATION ROOF OR CEILING INSULATION AVG. SYSTEM WATER TEMP. /190 B.T.U./SQ. FT./HR. EMISSION SOU INDOOR-OUTDOOR TEMPERATURE DIFFERENCE FAHRENHEIT MAKE OF RADIA : BASE ARV. C R CO ECTORS. R C.I. RADIATION. OUTPUT PER SECTION OR LINEAL OF RADIATION. SQ. FT. OR B.T.U. DESCRIPTION OF WORK 15. TO BE DONE: 16. HEAT LOSS SCHEDULE. (TO BE INCLUDED FOR ALL JOBS): ROOM SIZE WINDOWS AREA - SQUARE FEET B.T.U. S.T.U.D AND DOORS VOLUME TOTAL TOTAL N< F DISTRIBUTION INSTALLED ROOM NO.GROSS GLASS NET WALL CEILING FLOOR CU.FT. AT 70•F CORRECTED J j LL LL REGISTER L W H AND TEMP. TO 6F F TYPE AND SIZE RAD. OR LEADER SIZE < WALL t0 INFILT.) DIFF. F F m H SO. FT. FREE AREA gi l 9 0 Y ivy a v41c.3 Ra ?i 1/ y 3 oo /v w/ 3 11 3 2 tv3 r S to ` 3 airy TOTALS A. HEAT LOSS FROM BUILDING T 7/ 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. DATE SIGNATURE OF APPLICANT r \ TO THE BUMDING INSPEMB of the APPLICATION FOR To" OF SOUTH WMADSOK PLAN EXAMINATION AND BUILDING PERMIT IMPORTANT — Applicant to complete all items in sections: 1, 11, 111, IV, and IX.O ZONING AT (LOCATION) 7 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 i 1 1 New building Residential Nonresidential 2 Addition(If residential, enter number 12 Q•6ne family 18 Amusement, recreational of new housing units added, if any,13 Two or more family — Enter 19 Church, other religiousinPartD, 13) number of units— — — — - 3 Alteration (See 2 above) 20 E] Industrial 14 Transient hotel, motel, 210 Parking garage4 Repair, replacement or dormitory — Enter number 5 Wrecking (1/multifamily residential, of units ——————— — i Service station, repair garage enter number of units in building in 15 Garage 23 Hospital, institutional Part D, 13) 16 Carport 24 Office, bank, professional 6 Moving (relocation) 17 Other — Specify 25 E] Public utility 7 Foundation only 26 School, library, other educational B. OWNERSHIP 27 Stores, merconfile 8 Private(individual, corporation, ele 28 Tanks, towers nonprofit institution,etc.) 29 Other — Specify 9 Public(Federal, State, or local gov rnment) C. COST Omit cents) Nonresidential — Describe in detail proposed use of buildings, e.g.,f ad processing plant, machine shop, laundry building at hospital,elementary 10. Cost f improvement................UO. 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. Electrical...................... b. Plumbing ...................... c.Heating, air conditioning......... d. Other(elevator, etc.)............ 11. TOTAL COST OF IMPROVEMENT $S 9Ud oc) III. 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 Masonry(wall bearing) 40 Public or private company 48• Number of stories................ 31 W ad frame 41 Private(septic tank, etc.) 49. Total square feet of floor area, all floors, based on exterior 32 Structural steel dimensions .................... 33 Reinf reed concrete H. TYPE OF WATER SUPPLY 34 Oth r — Specify 42 Public or private company 0• Total land area, sq. ft. ........... 43 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........................ 96 Oil conditioning? L. RESIDENTIAL BUILDINGS ONLY 37 El ct icity 44 Yes 45 N 53. Number f b dr ms............. 38 C al 39 Oth r— Specify Will th r b an I vat r? 54. Number f Full.......... 46 Y s 47 N bathrooms Partial........ NOTES and Data — (For department use) IV. IDENTIFICATION — To be comp) ted by all applicants Nam Mailing address — Number, street, city, and State ZIP cod Tel. No. Owner or Lessee D 2. G i r G S f S S ap/ Contractor 3. Architect or Engineer Th owner of this building and the undersigned agree to conform to all applicable laws of this jurisdiction. Sign re of applicant Address Application date DO NOT WRITE BELOW THIS LINE V. PLAN REVIEW RECORD — For office use Plans Review R quired 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 Approva I Check Date Obtained Number By Permit or Approval Check Obt Dote ained Number By 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 12763 Bui Iding P rmit issu d June 9 19 82 Bui Iding Permit Fe $ 36.00 Approved by: r T ZONING SIDE - ,SIDE YARD REAR YARD NOTES IX. 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Value $. .5.,.900.00 Permit No 12763 on the aide of Scott Drive Street Street No. 276 Owner Frank Lanp Applicant Al M_a i 1 1 o t Home Tm;pr, CERTIFICATE OF OCCUPANCY ISSUED: Date No. Fee Paid $ CLASSIFICATION Vinyl Siding I i i BUnDING PERMIT I I i N° 12'763 OFFICE OF i THE BUILDING INSPECTOR of the I Town of South Windsor, Conn. i South Windsor, Conn. June 9 Q i 94is to to grrfifg, That Al Ma I I In HoMe Imr.0U4MGZjt I is hereby granted permission to Vinyl Sidingi I at estimated value of on the side of 776 Scott Drive Street on land i owned bygr r lr Lane SalifQrk to be as described in Application W063 and to conform to specifications and plans filed with said Application, and Building By- Laws of THE TOWN OF SOUTH WIMSOR. Issued Ame 98l4. i 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." i i i i I t I DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMJT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 ate Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: Pw- so-$1,000=$15.00 Street No. Street Lot No. Over$1,000= 15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS j 2,APPLICANT PHONE# r N S OWNER xrXA aittI s 0 OWNER ADDRESS t a OOWNER PHONE C ESTIMATED COST$ U IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ OC 1 TYPE OF JOB: SOR-CO w Installation i Alteration/Addition/Repair a C Z-QC I Revised 4/01//2002 j i APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITWOBUILDINGPERMITAPPLICATION? YES RESIDENTIAL L3 BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY 90kZAV- MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTIONAL FACTORY ENGINEER'S NAME ` PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS f NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES NO NUMBER OF LIGHT CIRCUITS L9 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 r I oasz 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. L:-r-o CONT LIC S NO. TYPE STATE SIGNATURE OF APPLICANT DATE Shirley Wilhelm -CRS Approval Confirmation: Request No. 239369 Page 1 From: clpsvc@nu.com> To: WILHEL@SOUTHWINDSOR.ORG> Date:1/7/03 12:13PM Subj ct: CRS Approval Confirmation: Request No. 239369 Your approval of the following CRS Request has been successfully processed. CRS Work Request#:239369 House No:276 Lot No: Street Name: SCOTT DR Town Name:SOUTH WINDSOR, CT Inspector: JOHN COLLINS Approval Date: Jan 07, 2003