HomeMy WebLinkAbout1739 Ellington Road (30) DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT SIT
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Perini A. "
APPROVED 1540 SULLIVAN AVENUE
6.14-2511 ext. 230
Date Building Inspector '
Application must be printed or typed
Location of job
1-731
Town Center Plaza Ellington/Buckland RD
Street No. Street Lot No.
FFEE SCHEDULE
Floor Apt.No.
$0 - $1,000 - $12.00
Over $1,000
$12.00 per$1,000 or any fraction thereof OVER Stop & Shop Supermarket Co.
ADDRESS 1385 Hancock ST 9th Floor ,
Quincy M. 02169
OWNERS PHONE# 617-770-8706
APPLICANT P.J. Lodol a & Sons Inc.
.10 W N S F,q ADDRESS 373 South Main Street
Windsor Locks CT.
ESTIMATED COST$ 777,000.00
C IS THIS A CONTRACT COST? X
YES NO
t
.'•��� ''`�" � FEE ENCLOSED $ 9,324.00 [[ (v5
dSO R.C O� TYPE OF JOB:
X Original Installation
Alteration/Addition/Repair
exised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
—�MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCY
INSTITUTIONAL
FACTORY
STORAGE ENGINEER'S NAME PHONE
GARAGE
MIXED USE ADDRESS
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD Wi ri ng of new store
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED 7 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
SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
Wiring of new Super Stop & Shop per drawings
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS
TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CT E-1 101557
NAME STATE LICENSE NO. TYPE e6S NA APPLICANT
PHONE NO. 623-9991 DATE 6/11/02