HomeMy WebLinkAbout145 Benedict Drive (20) DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERNIIT#
.. 1�7--3
Application is hereby: TOWN of SOUTH WINDSOR
BUILDING DEPARTMENT Bldg Permit#
APPROrED 1540 SULLIVAN AVENUE YQ)ff
644-2511 ext.230
2 S
D Building Inspector Application must be printed or ed
ell tYP
Location ofjob
145 BENEDICT RD.
Street No. Street Lot No.
FEE SCHEDULE
Floor Apt. No.
$0 - $1,000 - $12.00
Over $1,000
$12.00 per$1,000 OWNER JOHN & TINA GERHIS
or any fraction thereof
ADDRESS 145 BENEDICT
SOUTH WINDSOR CONN.
OWNERS PHONE#
APPLICANT JO SEPH DUMAS
OWN S�q ADDRESS 55 WINTER ST. MANCHESTER CONN.
ESTIMATED COST$ 3 5 0 0.0 0
C IS THIS A CONTRACT COST? x
.f
V YES NO
FEE ENCLOSED $ 74
dsOR O CQ� x TYPE OF JOB:
Original Installation
x Alteration/Addition/Repair
Revised 11/95
APPLICATION FOR ELECTRICAL PERMIT(Continued from rcN,crse side)
TYPE OF BUILDING
IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY RESIDENTIAL
MERCANTILE RESIDENTIAL
EDUCATIONAL FUTURE USE AND OCCUPANCY
INSTITUTIONAL
FACTORY
STORAGE ENGINEER'S NAME PHONE
GARAGE
MIXED USE ADDRESS
CITY STATE ZIP
(Otlicr please specify)
TYPE OF INSTALLATION/WIRING METHOD RESIDENTIAL ? ROMAX
SIZE OF MAIN FEEDERS AND RATING OF WIRE USED # 4/0 al 200a
NUMBER OF METERS 1 NUMBER OF DISCONNECTS AND RATINGS 1—2 0 0 a
NUMBER OF PANELS 1 REMOTE DISCONNECT REQUIRED?YES/NO
NUMBER OF LIGHT CIRCUITS 6 NUMBER OF POWER CIRCUITS 10
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES
NUMBER OF HEAT CIRCUITS 1 NUMBER OF A/C CIRCUITS 1
SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
completely rewire original part of structure and
wire newly constructed addition
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. Joseph Dumas
Conn, # E-102888
NAME STATE LICENSE NO. TYPE IGNATURE APPLICANT
PHONE NO. 646-5253 DATE Jan. 23, 1998
'71'1 L)
IN!PECTOR kbC;:S DATE Z TIME AM
r
LOCATION 1.45 2 NE-DIL-�
;M. INSPECTION: CO RESULT(D/A) :
BUILDING:
1
ELECTRICAL: I
/ 4-T Z-3
PLUMBING:
HVAC:
vs
: OTHER: