HomeMy WebLinkAbout174 Nevers Road FINAL INS"'
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Building APPLICATION FOR BUILDING PERMIT
Plumbing p
HVAC Date: '7--Lid" l.0
Sprinkler 174 NEVERS ROAD
Electric (BALLF IELD) Estimated Cost $ 0452�,(20
Zoning Permit Fee $ )✓p I NOD
Affidavit NO. 18 6 6 9- Occupancy Fee $
Eng. Dept. COMPLETE RED BOXED AREAS.
Fire Dept. TYPE OR PRINT ONLY Total Fee $
H alth D Pt. SIGN ON REVERSE SIDE.
Approved for CO: I (Additional Cost) $
TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT
The undersigned, hereby applies to do work according to the following specifications:
Job Location Lot No. Side of Street Zone
Applicant Ww,tzo r,u Tel. # ldSl OZC�S
Address P:E>>ZcqC &OZZ 7& M`l—=9!5'%f'c V237_'51H ip 060-70 Lic.#
STREET I CITY STATE
Owner d ifaA.+ t I J4 Address —0�0—�VPI-1
1~ i
Architect Address
Size New Area: Ft. Front Overall Ft. Deep Overall Total Area #Garages
Lavatories
No. of Families No. of Stories Construction Bathrooms Rooms 1st 2nd 3rd
Size of Lot Dist. from Street Line Dist. from Side Street Line
Purpose of this Permit y"t L t1� Y "�>< i b
City Water ❑ Well ❑ Se/tic ❑ Sewer ❑
Approved by Date / BD1A 11/88
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 th proper distanc from all street lin s,sid yard lin sand required distanc s from all oth r zon s and is
located in a zone in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for permit.
Signed
—DO NOT WRITE BELOW THIS LINE—
INSPECTION RECORD
Footing Framing
Foundation Fireplace/Chimney Insulation
Plumbing Permit# Inspections:
HVAC Permit# Inspections:
Electrical Permit# �a Inspections:
Sprinkler Permit# Inspections:
PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext . 230
l=' JAC-.., Application must be printed or typed.
Da a Building Inspector
1. LOCATION OF JOB
,:22-
FEE SCHEDULE No . Street
()v,F"ftcr A49C
$ 0 - $12000 - $10.00 Floor Apt . , No.
l
Over $1 ,000 - $10.00
per $1 ,000 or 2 . OWNER ,�,v i
fraction thereof l U
3. ADDRESS
j 4. APPLICANT
5 . ADDRESS ��� � G'��(/ ""O'r.-ec
6. ESTIMATED COST $ 6'SZy 0
7 . IS THIS A CONTRACT COST t/
Yes No
8 . FEE ENCLOSED $
9 . TYPE OF BUILDING:
RESIDENTIAL ✓ COMMERCIAL
10. TYPE OF JOB :
Original Installation
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB &e.el e!
NO . STREET APT. NO
12 . TYPE OF INSTALLATION
13 . SIZE OF MAIN FEEDERp7 �DU
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 :
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QZ,�jvp
/V201,12 2io s�
LICENSE NO. SIGNATURE OF APPLICANT DATE
PHONE NUMBER:
<.
Lot No. 1
7`/
Building Permit
d
Temporary Service
Permanent Service
i
Pursuant to hermit No.
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
Owner W 01 7� �.)► <�c.� Electric ia `
�0165
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Street 0 (4 ¢
o 199-1) I Ins f
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