HomeMy WebLinkAbout1739 Ellington Road (25) 40
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: 60�
BUILDING DEPARTMENT
APP OVER 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230kl
ate Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
1739 Ellington Rd/Buckman Road
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Crowe & Sons Electrical Corp.
APPLICANT ADDRESS 543 Middlesex Street
Lowell , MA 01851
' APPLICANT PHONE# 9 7 8-4 5 3-6 6 9 6
OW N St OWNER . Stop & Shop
OWNER ADDRESS 1739 Ellington Rd/Buckman Road
+' South Windsor CT
OWNER PHONE
C ESTIMATED COST$ 4, 140 .00
IS THIS A CONTRACT COST? X Yes No
FEE ENCLOSED$ 75 .00
TYPE OF JOB:
OR-CO New Installation
X Alteration/Addition/Repair
i
Revised 4/01//2002
3
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 None
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY Dunkin Donuts in Stop & Shop
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME Lingle Des i g n PHONE 815-3 6 9-915 5
❑ STORAGE
❑GARAGE ADDRESS 152 W. Main Street
❑MIXED USE
COY Lena STATE I L ZIP 61048
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD MC cable
SIZE OF SERVICE E x i s t i n g SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES 3 NO
NUMBER OF LIGHT CIRCUITS 1 NUMBER OF POWER CIRCUITS 9
NUMBER OF SWITCHES NUMBER OF OUTLETS 14
NUMBER OF LIGHT FIXTURES 2 NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
Fit out of food service equipment from ex; sti ng Dnnpl , i nr i „des
wiring to (2) coffee makers , (1) ice coffee brewer , (2) microwaves ,
(2) coolatta machines , (1) ice maker , (2) isolated ground outlets &
misc . outlets , sign outlets and (2) display case fixtures
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.
123742 _ E1 Connecticut
CONTRACTORS LICENS NO. TYPE STATE
SIGNATURE OF APPLICANT DATE 11/1 2/0 2