HomeMy WebLinkAbout215 Barber Hill Roadeectric# APPLICATION FOR BUILDING PERMIT
Plumbing#215 Barber Hill Road
HVAC # Date: o
No, 27256
FWAL V Estimated Cost $ /00 0
Budding COMPLETE RED BOXED AREAS Permit Fee 3
TYPE OR ONLY Occupancy Fee $ `l
Affidavit SIGN ON RSE SIDE
Appr.for CO.Total Fee e
TO BIALDNG DEPARTMENT,TOWN OF SOUTH WI IDSOR,CT Mitional Cost) $
The undersigned hereby applies to do work according to the following specifications:
Jo6 Location 21,E av I Lot No. Side of Street Zone
Applicant Vu, _ve t '[% t L Tel# 6 q Y 'o v Y!4
Address e' Zip 060 Lic#
Owner 3a lyn V ZL'1 Address L 5' v Ro
Architect Address
Sq.Ft.New Area: 1st Fl. 15 X 4 S 2nd Fl. 3rd Fl. Total New Area /2-e
Rooms Lavatories Bathrooms Garages
Purpose of this permit: q(hoct I/or Jf,, 51ee,( S
Zty Water Well Septic System Sewer
Ins. H.O.V S.P. Cert. Area Basement Garage
Approved by 13._ Date 01q 00 Use Group IJ Construction Type
Revked 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 'Iding and its u allowed.
Signed
1 hereby apply for a Certificate of Oc /pancy f the wor descri is application for the permit.
Signed_ j '
DO T WRITE BE;OWIS LINE
INSPECTION COMMENTS
Inspection /
Approval
Date
By
Appl
Code
Description
Due
Whom
Code
Comihent
27256-
B
1,
000
B10
FINAL
12/
28/
00
JFF
A
WITH
OWNER
B10
FINAL
12/
28/
00
JFF
A
CLOSED
OUT.
DEPARTMENT
DECISION
APPLICATION
FOR
ELECTRICAL
PERMIT
Lags
Application
is
hereby:
TOWN
of
SOUTH
WINDSOR
BUILDING
DEPARTMENT
Bldg
Permit#
1540
SULLIVAN
AVENUE
jk
644-
2511
ext.
230
Date
Building
Inspector
Application
must
be
printed
or
typed
Location
of
job
Street
No.
Street
Lot
No.
FEE
SCHEDULE
Floor
Apt.
No.
0 - $
1,
000 - $
12.
00
Over $
1,
000
12.
00
per$
1,
000
OWNER
2
r!
V
or
any
fraction
thereof
ADDRESS
A4"
z/fXa/,
W&
Aal
CT
C)(
4
02
V
OWNERS
PHONE#
8(
OO
VI
Y-
D`
1
L
APPLICANT1?
0(,
oF,
74C
12
0)
7
W
N
S
ADDRESS
WCLjjAC
6L,,-
J)
1
cc)
Lt
c7
CAI
ESTIMATED
COST$
7
IS
THIS
A
CONTRACT
COST?
YES
NO
l
C1
FEE
ENCLOSED $
Il/
of
R.
c. .:
O
TYPE
OF
JOB:
o
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 / _O.
BUSINESS
ASSEMBLY CURRENT USE AND OCCUPANCY
MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCY 14; 4A
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. ,r-
l ZQ 51
NAME STATE LICENSE NO. TYPE SOATUME OF AWtfCANT
PHONE NO o DATES-
INSPECTOR QC-- DATE O T IME J -
LOCATION
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL:. c)
PLUMBING:
HVAC:
OTHER: