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Home My WebLink About112 Overlook RoadPERMIT # DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN OF SOUTH WINDSOR APPROVED DISAPPROVED BUILDING INSPECTION DEPT. 644-2511 Ext . 230 Application must be printed or typed . Date Bu lding Inspector 1. LOCATION OF JOB y FEE SCHEDULE No . Street 0 - $19000 -10.00 Floor Apt . No. Over $1 ,000 -10.00 2 . OWNER/-" t'' per $1 ,000 or fraction thereof 3. ADDRESS jQ/j/Z L j0>L 4 . APPLICANT 4,z 5 . ADDRESS f- /' Z?!fg y 051. kz 6 . ESTIMATED COST $ 7 . IS THIS A CONTRACT COST Yes No 8 . FEE ENCLOSED $G - 9. TYPE OF BUILDING : RESIDENTIAL COMMERCIAL 10 . TYPE OF JOB : Original Installation alteration/Addition/Repair e BD 3A 11/88 APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side) 11 . LOCATION OF JOB f l/2- Ci(/sf SLOC; NO . STREET APT. NO 12 . TYPE OF INSTALLATION 13 . SIZE OF MAIN FEEDER 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 : LICENSE NO. SIGNATURE OF APPLICANT D TE PHONE NUMBER: Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 112 OVERLOOK ROAD HVAC #23481 Date: L Sprinkler# No. FINAL PP V Estimated Cost $/fu-U Building/ 9 ! COMP LETE RED BOXED AREAS Permit Fee Engineers g 11 TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDEAppr.for CO. Total Fee d TO BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR,CT Additional Cost) $ Th undersigned h reby applies to do work according to the following specifications: Job Location ! 1 Z d V P if L-.0.6 le- 12 D Lot No. Side of Street Zone Applicant P_ e L? Tel. # C< y Address I ( `L v-y e Zia2!'d ? Lic. # Own r 0 J-7 , L7 d I Z Address Architect Address Sq. Ft.N w Area: 1st FI. 2nd FI. 3rd FI. Total New Area Rooms Lavatories Bathrooms --z— Garages Purpose of this permit:v P C / u_T qj< City Water Lr--' Well Septic System Sewer J Use Group LJLft Construction Typ Area Bas m t Garage Approved by jxx Date Reveal 6/95 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 budding 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 a on which this building and its use is allowed Signed I hereby apply for a Certificate of Occupancy fo the work described in this application for the permit Signed DO NOT WRITE BELOW THIS LINE -- INSPECTION COMMENTS DEPARTMENT DECISION PlyAPPLICATIONFORELECTRICALPERMITE Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location ofjob 1 I C2 v.a Las X d d Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 - $1,000 - $12.00 Over $1,000 12.00 r$1,000 OWNER /-n/, ! A40 dda or any fraction thereof ADDRESS J O L!'2Q/d a Igo N cI OWNERS PHONE#G 0 APPLICANT 1/e t,e E1J e Ar k OW p S ADDRESS -? / t./ c m d d lG iP x wr C, 40#K ESTIMATED COST$ IS THIS A CONTRACT COST? _ I a YES NO C FEE ENCLOSED $ SOR C0 TYPE OF JOB: Original Installation X—Alteration/Addition/Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from rcvcrse side)ITYPE011'BUILDING f IS THIS APPLICATION ASSOCIATED WITH A V 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 P V C SIZE OF MAIN FEEDERS AND RATING OF WIRE USED xJ NUMBER OF METERS I 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 F-rue '%ki G )Cf ,rir' wis l 11 S R Y o C t= A 4 G Il/1 A''hi. N t 1 o e A S f 2 v d f r r{is G: G. !'P o,/k..._,^`4l X% 1,I i Q (y C/ R Gv a /J . Tli I' d 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. C3 QL.DATE f Xi 34 INSPECTOR D14 fj G1 TIME-4 LOCATION Z12 INSPECTION: CODE: RESULT(D/A) : BUILDING: 4 4` ELECTRICAL: 4t PLUMBING: f HVAC• J OTHER: k i