HomeMy WebLinkAbout105 Edgewood Drive (3)Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 105 Edgewood Drive Date:
HVAC #
2
Sprinkler# 31637
FINAL APPROVALS Estimated Cost $_ l a
TE D BOXED AREAS Permit FeeBuildingCOMPLETEREBO
Engineering TYPE OR PRINT ONLY Occupancy Fee $i
Affidavit Eng.Insp. Fee $
Appr. for CO. SIGN ON REVERSE SIDE4]j Total Fee
TO THE BUILDING D PARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant C. C'D/11 Location of Work PRSV9- Lot No.
Applicant's Address /Ors Gt 1J jDA?XVE Tel.# q36-90r7C?
Town__ 5700 H C?-Zip 0&941 Lic.#
Owner Architect
Owner's Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1st Fl.2nd Fl. 3rd Fl. Total New Area
Purpose of this permit T® R6/00r/E A- PO A-r it?) t D 76Gc-yoD Dl'-ZrVE AA)D
City WateX Well Septic System Sewer
Ins: HO SP Cert. Area Basement Garage
Approved by Date_3 Use Group Construction Type
Revised 6/02
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PROPERTY OF
N. .ja Ct GE1 OQD DRIVE SOUTH W1 NDSOR, _ t Nl. 5 =
Seinc} dot No . 35G on map entitled "Subd.ivision of SectionI of }
PLEASANT VALLEY ESTATES South Windsor, Conn. Scale
4
July 23. ( c} 3 by Primus We It i , Ensrs ." s
HAYDEN L. CRI SWOLD C. E.
South Windsor
BUILDING DEPARTMENT
vie d-1-( 4-J-aci-
CFp-rlr_1e',AT10N OF 70h"V— r`nh,"P1-IANC:E
as si-i_in
confor•-_
Varian 23mayY
Date
Zoning Enforcement officer
10 TH§ j'i"jnii.AsA. 7vwi .A SWON tVINU)i1M
this certiFied that this plan and specifications are true
copies of. the proposed bonding or alterations to ba
erected at
U-Li J, Sitrae
together with amendme- stated In application.a-
tiled with plan and I agree to comply with all zonin'_
3uiidjng and state laws and such orders as shall h,
issued by the Suilditig Department during pendency
A this application and final issuance of a bui ding
permit.
s gneA
his Plan is approve subject to the_ cond ton that
o,,J,rs and
approve
regulating buliding shall be
u.n ay pproved Thehe filed with
Clerk
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Applicatio 3BUILDINGDEPARTMENT
AP ROVE 1540 SULLIVAN AVENUE
Bldg.Permit#
4 644-2511 ext. 230
Date Bi ilding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
FTenawntDesignation u Q P,
0-$1,000=$15.00 Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Apt.No.
APPLICANTP\,1
APPLICANT ADDRESS r D-5 OC6U60 D P R V C
APPLICANT PHONE# 443,:5"9 D r
Ow N S F,q
OWNER S AAE
OWNER ADDRESS
OWNER PHONE SAM
C ESTIMATED COST$ O
IS THIS A CONTRACT COST? _Yes VNo
O FEE ENCLOSED$I C_
j.
R CO
TYPE OF JOB:
New Installation
Alteration/Addition/Repair
a Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL
BUILDING PERMIT APPLICATION? ElYES NO
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE
FUTURE USE AND OCCUPANCY0EDUCATIONAL
INSTITUTIONAL
FACTORY ENGINEER'S NAME PHONE
U STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? 0 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
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
MD V6- P)-U6- `fD A)e I-OC4=,oA/
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT i DATE 05;/16 10