HomeMy WebLinkAbout155 Greenwood Drive (3) DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR /4?,?
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
J0_ 644-2511 ext. 230 r,2 F 3 6a
ate Building Inspector
Application must be printed or typed
Foro�
EE SCHEDULE Location of Job:
/SS ��-
-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
15.00 per$1,000
ny fraction thereof Tenant Designation Apt.No.
APPLICANT (4/vivyI cTaeC
APPLICANT ADDRESS Y S L�f M*4 06epq3
APPLICANT PHONE# 860--,6 y 3-F177
OWN S4. OWNER . 0A -> L ,4
'4� �-�zOWNER ADDRESS RID
OWNER PHONE V'bo - '/3.2--l a/O
ESTIMATED COST$
IS THIS A CONTRACT COST? Yes Y, No
_ FEE ENCLOSED$ ev
TYPE OF JOB:
�SOR.Cps
New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑YES ❑NO
RESIDENTIAL &rWIMI-271,11
ElBUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY �i -
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME A✓dye PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE Z;26® SIZE OF MAIN CONDUCTORS L�-d�rG2av w0
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS a 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
,2w 1-0 Lim U p&fLAOOC , V A it 1 O 0S 'I-n-kr-n O fL RE�01e( P-''OZEC'S
w,rE 4- — A.vJ 13pr7-t+5
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.
1$5196 6:1 -UAItftt�eo COVRrk-�Wr C+
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT VJwX A 8"-- DATE Y ;?y—03
av Shirle Wilhelm CRS A roval Confirmation: Re uest No. 216447
a
From: <clpsvc@nu.com>
To: <WILHEL@SOUTHWINDSOR.ORG>
Date: 5/14/0310:11 AM
Subj ct: CRS Approval Confirmation: Request No. 216447
Your approval of the following CRS Request has been successfully processed.
CRS Work Request#: 216447
House No: 155
Lot No:
Street Name: GREENWOOD DR
Town Name: SOUTH WINDSOR, CT
Inspector: JOHN COLLINS
Approval Date: May 14, 2003