HomeMy WebLinkAbout145 Greenwood Drive DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Applica ' _ reby: 1-7QS,0
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
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644-2511 ext. 230
Date BCPinNInspector
1J I - - -.-i
Application must be printed or typed
Location of Job:
FEE SCHEDULE � I
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$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
.V APPLICANT P, -� e r� �rA�� f C leg=Ln Lam-
APPLICANT ADDRESS ;?G
So. LU &Ojai SC,r O C-1 y
APPLICANT PHONE# —
O W N S OWNER [ L►A r joGWA we xL)
OWNER ADDRESS
tO i ru C� Son)r
OWNER PHONE (Q o _ G q L( —
ESTIMATED COST$ 0.;20, OOa
IS THIS A CONTRACT COST? les No
' FEE ENCLOSED$ a(�Q ,O O
TYPE OF JOB:
soR. o
Pi'�riginal 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
RESIDENTIAL BUILDING PERMIT APPLICATION? YES ❑ NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY H om L=--
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD X U(C—
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? M YES ❑NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS V Q
NUMBER OF SWITCHES NUMBER OF OUTLETS I I q
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
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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.
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CONTRACTORS LICENSE TYPE STATE
SIGNATURE OF APPLICANT DATE
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Shirley Wilhelm - CRS Approval Confirmation: Request No. 208169 Page 1
From: <clpsvc@nu.com>
To: <W I LHEL@SOUTHW INDSOR.ORG>
Date: 8/12/02 12:31 PM
Subject: CRS Approval Confirmation: Request No. 208169
Your approval of the following CRS Request has been successfully processed.
CRS Work Request M 208169
House No:
Lot No: 7
Street Name: /YS-GREENWOOD DR
Town Name: SOUTH WINDSOR, CT
Inspector: JOHN COLLINS
Approval Date: Aug 12, 2002