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HomeMy WebLinkAbout22 Sunset Terracei DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby:TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT l LF 3 APPRO 1540 SULLIVAN AVENUE Bldg.Permit# 6 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: ISO/ er,7 4w 0-$13P000=$15.00 Street No. Street Lot No. Over$1,000= 15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT C,A),4r,<crrz-t G APPLICANT ADDRESS 6 ,:70 g.e,6^rj i ie ST T/- C T aG a? sp APPLICANT PHONE# 7 2 - l J y 3- Y l-3 W N S OWNER A)AAk-- gAAr J.17 q< OWNER ADDRESS ury-E=T- -T-e-A L.e— OWNER PHONE G 7 Y C ESTIMATED COST$ OO .M IS THIS A CONTRACT COST? JZYes No CJ FEE ENCLOSED$ c TYPE OF JOB: OR-CO New Installation L000'Alteration/Additio epair I Revised 4/01H2002 i APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A SIDENTIAL BUILDING PERMIT APPLICATION? YES 0'NO BUSINESS CURRENT USE AND OCCUPANCY S t ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY S/YZIEDUCATIONAL INSTITUTIONAL FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE s SIZE OF MAIN CONDUCTORS 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 SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK Z,o,;21f4C6 IV 6TL`i2 S©cV-ET 9 e,,56,z- C-6AX;Jj- 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. 945 7 1 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE Shirley Wilhelm -CRS Approval Confirmation: Request No. 272899 Page 1 From: clpsvc@nu.com> To: WILHEL@SOUTHWINDSOR.ORG> Date: 7/8/03 4:15PM Subject: CRS Approval Confirmation: Request No. 272899 Your approval of the following CRS Request has been successfully processed. CRS Work Request M 272899 House No:22 Lot No: Street Name: SUNSET TER Town Name:SOUTH WINDSOR, CT Inspector:JOHN COLLINS Approval Date: Jul 08, 2003