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HomeMy WebLinkAbout10 Castlewood Drive (4) DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: '1��j BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 6{Z 3 O L. 1! e— 644-2511 ext. 230 C�2 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: )C? $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT M-`1•� �-LcC T - 1 C -x-fj APPLICANT ADDRESS© ` g=Dc \\A1 S- APPLICANT PHONE# 664,0) 19 0-Loff- W N St OWNER • 7 t�.� '4� OWNER ADDRESS ��, � � 'Z3y� 00F A C/ OWNER PHONE ESTIMATED COST$ ob IS THIS A CONTRACT COST? Yes ❑ No FEE ENCLOSED$ 3 CI O d OR.CO TYPE OF JOB: New Installation ❑ Alteration/Addition/Repair Revised 5101 1 1 d I APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? rS, ❑NO RESIDENTIAL , ❑BUSINESS CURRENT USE AND OCCUPANCY N O ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY D ❑EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME PHONE ❑FACTORY ❑ STORAGE ADDRESS ❑GARAGE ❑MIXED USE CITY STATE ZIP TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE dCCJ04�P SIZE OF MAIN CONDUCTORS NUMBER OF METERS f NUMBER OF DISCONNECTS AND RATINGS oZ 40 f-m NUMBER OF PANELS j REMOTE DISCONNECT REQUIRED? ❑YES l NO NUMBER OF LIGHT CIRCUITS (0 NUMBER OF POWER CIRCUITS a NUMBER OF SWITCHES a5 NUMBER OF OUTLETS SCE NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS 1 NUMBER OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. ►aS &ll�d C� �f — ( C,, I - CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT /��� �C� DATE �� Shirley Wilhelm- CRS Approval Confirmation: Request No. 211052 P=ge From: <clpsvc@nu.com> To: <WILHEL@SOUTHWINDSOR.ORG> Date: 4/29/02 2:21 PM Subj ct: CRS Approval Confirmation: Request No. 211052 Your approval of the following CRS Request has been successfully processed. CRS Work Request#: 211052 House No: Lot No: 40 Street Name: 0 CASTLEWOOD DR Town Name: SOUTH WINDSOR, CT Inspector: JOHN COLLINS Approval Date: Apr 29, 2002