HomeMy WebLinkAbout1123 Sullivan Avenue PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2311 Ext. 230
Data Byllding Inspector
Applications must be printed or typed.
I. LOCATION OF JOB
FEE SCREDOLE No. Street
Floor Apt. No. i
$ 0 . - $1,000 - $10.00
Over $1,000 - 10.00 2. OWNER A 4
11,000
peror
I
fraction thereof 3. ADDRESS 4 L ✓ A"A /�v A li G
WIA." 0 olf 74"
4. APPLICANT LANE ELECTRIC
43T INI -'
5. ADDRESS SO. WINDSOR, CONN. 0607_4
ACTUAL COST $ FEE 6. ESTIMATED COST $ o o
ESTIMATED COST $ FEE $ 7. IS THIS A CONTRACT COST? Lff YES Q NO
FILE COIF. BY BALANCE $ 8. FEE ENCLOSED $ /_D
9. WE OF BUILDING:
RESIDENTIAT. C1 CO1rWRCIAL
10. TYPE OF JOB:
ORIGINAL ALTERATION
C. INSTALLAT TT)N MADDITION
REPAIR
APPLICATION FOR ELECTRICAL Ff.Sarr(Continued tcom Keverse Side)
11. LOC►TIOR OF J0w // �2 3
W. STREET FLOOR APT. N0.
12, TYPR OF INSTALLATION 'F A G y s e R A a 4 4- _
13. SIZE OF MAIN FEEDER
14. W. OF LIGHT LOOPS 15. NO. OF HEAT LOOPS 16. NO. OF POWER LOOPS_
17, NO. OF LIGHT OUTLETS 18. NO. OF HEAT CIRCUITS 19. N0. OF POWER
20. N0. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS 22. NO. OF POWER CIRCUITS
23. 140. OF LIGHT CIRCUITS` 24. SIZE OF BUT CIRCUIT r 25. NO. OF 2'!raVRS
26. 80. OF PANELS 27. TOTAL WATTAGE 28. NO. OF POWAR PA10•:I.S
29. NO. OF SWITCHES 30. . A/C LOAD 31. SIM OT POldl9R FEEDERS
32; NO. OF FIXTURES 33. TOTAL HORSEPOWER
34, NAMES OF SUBCONTRACTORS AND THEIR TRADES
35. REMARKS AND FURTHER DETAILS:
^/ jy ifv L` L' (J/0 /P r 1 G d D
/0, r-
TE
LICENSE)NO. SIGNATURZ OF APPLICANT D.
PHONE NUMER=
Lot N o.
Building Permit Terfifilaft
Temporary Service
Permanent Servl
Pursuant to Permit No.
-U ts,
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
Owner ElectricianL _
Street 1aL"� kA
OCT f - v 1977TT����� r
I i Building Inspector
Bectric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1123 Sullivan Avenue
Date: -7 /a]/6-,b
HVAC #
No. 27213
Sprinkl r#
FINAL APPROVALS Estimated Cost
Building A l t!N COMPLETE RED BOXED AREAS Permit Fee $ 2e�
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit 1[: SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $
TO BUILDING DEPARTMENT,TOWN OF SOUTH WWDSOR,CT (Additional Cost) $
The undersigned h reby applies to do work according to the following specifications:
Job Location i 1 a?) )(i 111 Van 6.uc Lot No. Side of Street Zone
Applicant 3 1 U Q) !430 C,( Tel.#
Address 115� �)O l I1Y an HV e' �U- l' )wC4x (f Zip Q— Lic.#
Owner j aW rJ irk MF V)e,,� Address j j,1 S �k 111 wln 90e_ S b il i n C6ty- C-t UC9 b-7 4
-T
Architect Address
Sq. Ft.N w Area: 1st FI. 2nd FI. 3rd FL Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this permit: 1 1
-- ----I-- f !-�awCace
City Water ❑ Well",Q Septic System ❑ Sewer ❑
Ins. H.O. S.P. C rt. Area Basement Garage
Approved by Date '7 3-( OU Use Group construction Type
ReAs.d 1197
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its use is allowed.
Signed C el, .J
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-27213-B 1,500
B10 FINAL 10/15/01 GRM A NEW FLASHING ADDED AT REAR SHED ROOF
B10 FINAL 10/15/01 GRM A CLOSED OUT.