HomeMy WebLinkAbout247 Abbe RoadDEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:TOWN OF SOUTH WINDSOR
PERMIT#
BUILDING DEPARTMENT l-7 q(to
APPROVE 1540 SULLIVAN AVENUE
do z- 644-2511 ext. 230 Bldg.Permit#
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE c on of Job:
0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT l °`h —
APPLICANJjADDRE S
v
APPLICANT PHONE# 7 LP S(Zt f
N S OWNER c r` e (CAApFqOWNERADDRESS
Sov
OWNER PHONE 0, 6 C(C/
C ESTIMATED COST$ v
IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$
TYPE OF JOB:
OR-CO New Installation
26t'eration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? YES 0-9-0
U RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL
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 C9 p, SIZE OF MAIN CONDUCTORS r11
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS U
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
l r
Y 1 c DO O S cc.-c- 1 W i v Cis C1 r..
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.
k a 9-1-3 &C 57— -
CONTRACTORS LICENSE NO. TYPE STATE
DATESIGNATUREOFAPPLICANT2; 7u C —
S`iirley,Wilhelm- CRS Approval Confirmation: Fl[g eg
From:
clpsvc@nu.co
m>
To:
WILHEL@SO
UTHWINDSOR.ORG>
Date: 5/14/02 7:55AM
Subject: CRS Approval
Confirmation: Request No.
213476
Your approval of the following
CRS Request has been
successfully processed.
CRS Work Request#:
213476
House No: 247
Lot No:
Street Name: ABBE
RD
Town Name:SOUTH
WINDSOR, CT
Inspector:JOHN
COLLINS
Approval Date: May 14,
2002