HomeMy WebLinkAbout1142 Sullivan Avenue Electric# 114 2 SULLIVAN AffySATION FOR BUILDING PERMIT
Plum6ing# Date:
HVAC # No 24158
Sprinkler#
FINAL APPROVALS Estimated Cost $ �d®
Building '1S COMPLETE RED BOXED AREAS Permit Fee $
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. 000=1111 Total Fee $
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Job Location /�{� S /be 4 h 4 L/ Lot No. Side of Street Zone
Applicant ��--F,— To o V-f, •- C--_ Tel. #
Address R4 rw c Zip CG Lic. #
Owner f'l/�g,r 6 S Address
Architect Address
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd Fl. Total New Area
#Rooms # Lavatories #Bat roo s # rages
Purpose of this permit: (�c�v,� 7 + w4 er s .,
,tr- ebt—
pS C�
r C-S 1"L
ACCity Water Well C Septic System 0 Sewer
Us Group l� Construction Type A Area / Basem nt Garage
Approved by Dot ,9 7
Reveed 6/95
I hereby agree to conform to all the requirements of the Laws of State of Connecticut nd th Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alter on in the plans or sp icati of the Building for which this
permit is asked,and agree that this building is to be located a proper distance fr all s t lines, side yard lines and required
distances from all other zones and is located in a zone in ich this building an us allowed.
Signed
I hereby apply for a Certificate of Occupancy or a work described in this application for the permit
Signed
-- DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS
PERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 1
j Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
0
APPROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext . 230
Datle,
In'& Inspector Application must be printed or typed
a
f
1 . LOCATION OF JOB
i 141 Sj)1;v),-., 4ye,
FEE SCHEDULE o . Street
$ 0 - $19000 - $10.00 Floor Apt . No.
Over $1,000 - $10.00
per $1 ,000 or 2 . OWNER p
fraction thereof J
I
3. ADDRESS �/ �� t///
4. APPLICANT
WHITEHOUSE
5 , ADDRESS 69 Old Farm Road
SOOT 648.1508
6. ESTIMATED COST $
7 . IS THIS A CONTRACT COST
!) Yes No
8. FEE ENCLOSED $ v
9. TYPE BUILDING:
RESIDENTIAL COMMERCIAL
10. TYPE OF JOB :
Orig Installation
Iteration/Addition/Repair
Rn 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB 11y2 LCJ11;V61
N0. STREET APT. NO .
12 . TYPE OF INSTALLATION V 426
13 . SIZE OF MAIN FEEDER 3 c-z-V
14 . NO. OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS
18 . NO . OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS
20 . NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS
22 . NO. OF POWER CIRCUITS 23 . NO. OF LIGHT CIRCUITS
24 . SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS
26 . NO . OF PANELS 27 . TOTAL WATTAGE
28 . NO . OF POWER FEEDERS 29 . NO. OF SWITCHES
30 . A/C LOAD 31. SIZE OF POWER FEEDERS
32. NO . OF FIXTURES 33. TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
35 . REMARKS AND FURTHER DETAILS :
Z5�7 Ti
�2�/��
LICENSE NO. SIGNATURE OF APPLICANT DATE
PHONE NUMBER: �� < ��
INSPECTOR � � ATE TIME
LOCATION 4<�
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL: Air,.,/Ij �
1 359? LA -
PLUMBING:
HVAC:
OTHER: