HomeMy WebLinkAbout2362 Ellington RoadPERMIT
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT d 7
Application is hereby : TOWN OF SOUTH WINDSOR
BUILDING INSPECTION DEPT.
AP ROVED DISAPPROVED 1540 SULLIVAN AVENUE
644-2511 Ext. 230
ate or Application must be printed or typed
1 . LOCATION OF JOB
FEE $CIIEDULE No . reet
0 - $19000 - 10.00 Floor Apt . No.
Over $1,000 - 10.00 ll
per $10000 or 2 . OWNER t1\ Z!?:Ca-Akeu
fraction thereof
3. ADDRESS E ( ,V\
C---)rn07
4. APPLICANT" tJlff`,
5, ADDRESS
E.
6, ESTIMATED COST $ c
7 . IS THIS A CONTRACT COST
es No
8. FEE ENCLOSED $ C-)•OO
9. TYPE OF BUILDING:
V/OORESIDENTIAL COMMERCIAL
10. TYPE OF JOB:
Original Installation
Alteration/Addition/Repair
R0 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB Q3(-QQ
NO. STREET APT. NO .
12 . TYPE OF INSTALLATION V C
13 . SIZE OF MAIN FEEDER 6l>
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 :
a1y3
LICENSE NO.SIGNATURE OF APPLICANT DATE
PHONE NUMBER: S(o ----0L 7
Lot No.
Building Permit
Temporary Service
rmanent Sery c
Pursuant to Permit Na Z? —
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
Owner Electrician
Street
5ZL 19
Itding Inspector
Lot No.
Building Permit
Temporary S rvice
rmanent Sery c
Pursuant to Permit No Z 7
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
Y
Owner Electrician C2 o
Street
Mnq iheWta
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 2362 ELL INGTON ROAD
HVAC # 23832
Date:
Sprinkler# NO'
FINAL P R 2EstimatedCost $ 1 o b 0,o 4*
Building `l COMPLETE RED BOXED AREAS Permit Fee 4-ly
Enginee ng (:::; TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO. Total Fee J {
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
Th and rsigned hereby applies to do work according to the following specifications:
Job Location 23 611 tn -c V Lot No. Side of Str Zone
Applicant.r k C; Te3 - Ct 2
Address V k Lk1L,-2 R M k-[_ '0- Zip Lic. # OcU s (o -d
Owner (`l)%A loy Mom.,, c Address 1019 D f2 Ss a
Architect Address
Sq. Ft. N w Area: 1st A. O,O 2nd FI. 3rd FI. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit: 1(-j-,% --a 4
J&:I--D GE
City Water C Well 0 Septic System Sewer 0
Use Group Construction Type Area Basement Garage
Approved by V1.61 Date C
Revised 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 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 a zone 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
Signed
DO NOT WRITE BELOW THIS LINE --
INSPECTION COMMENTS