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HomeMy WebLinkAbout1059 Foster StreetDEPARTMENT DECISION PERMIT# APPLICATION FOR ELECTRICAL PERMIT Application is hereby:TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg P rmit# APPRO 1540 SULLIVAN AVENUE 644-2511 ext.230 adding Inspector w z Datt 3uil Application must be printed or typed z Location ofjob w z 5T IStreetNo. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER or any fraction thereof ADDRESS /05-f 5 7-- e XT OWNERS PHONE# APPLICANT OWN ADDRESS O fllw let ESTIMATED COST$ 0 IS THIS A CONTRACT COST? V/ YES NO rraa FEE ENCLOSED $ I ©0 OR CO TYPE OF JOB: Original Installation Alteration/Addition Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?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 SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK 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. NAME STATE LICENSE NO. TYPE SIGNATURE OF APPLICANT PHONE NO. 0 a O DATE INSPECTOR C /- DATE ZZ TIME LOCATION f INSPECTION: CODE: RESULT(D/A) : BUILDING: ELECTRICAL: rc) I PLUMBING: HVAC:i OTHER: Bectric# Y'/9 7 °` APPLICATION FOR BUILDING PERMIT Plumbing# 1059 FOSTER STREET HVAC # Dat No. 2 5 613 Sprinkler# FINAL PR Estimated Cost $ y U Building r S9 COMPLETE RED BOXED AREAS Permit Fee c - Engi ing TYPE OR PRINT ONLY Occupancy Fee Affidavit SIGN ON REVERSE SIDE Appr.for CO. S 1 ge7 Total Fee TO BUILDWG DRMTM&4,TOWN OF SOUTH WNDSOR,CT Additional Cost) The undersigned hereby applies to do work according to the following specifications: Job Location )0 S9 '''Lot No. Side of Street Zone Applicant B014L C JQJuwgj Tel.# Al2 Of g"S Addr ss I D rn,9 FOSTS M. ST EA or Zip d O 7 Lic# Own r Pa-,,A C _13 Address_4&_z Architect Address Sq.Ft.N w Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories Bathrooms Garages Purpos of this permit: 14 2.9 MRAISEs City Water Well Septic System 0 Sewm Q Ins. H.O. V S.P. Cert. Area Basement Approved by A V.- Date 9FX7qt Use Group U Construction Type Revised 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 I hereby apply for a Certificate of Occupancy for the work described in this application for the permit. OCISigned DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS S Inspection / Approval Date By Appl Code Description Due Whom Code Comment 98-25613-B 2,000 B10 FINAL 12/07/98 JFF D FRAMING IN PROGRESS B09 OTHER 12/07/98 JFF A NO B01 GIVEN 15 10IN SONO TUBES B10 FINAL 05/10/99 JFF A SHED COMPLETE OK/LEFT DOOR TAG FOR OWNER TO COME TO SIGN PERMIT APPLICATION FORM 191