HomeMy WebLinkAboutBuilding 25 Woodside DriveElectric# APPLICATION FOR BUILDING PERMIT
Pluymbing 25 Woodside Drive Date: —
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FINAL APPROVALS 25 Estimated Cost
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Buildin l/ S ED BOXED AREAS Permit Fee
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Engineering R PRINT ONLY Occupancy Fee $ /O
Affidavit Eng. Insp. Fee $
Appr. for C 1-of [0001":' S:1GN:0:NREVERSE SIDE
Total Fee 02
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant e'us d P e%\ocation of Work o?S" cuooDsAdo/S 16W Lot No.
Applicant's Address;?a2,3 S- HEa/Rolv, BvG G'G STO y2 of Tel.# qVv 0',' 7
Town_SZe9,5 oti6,gZ e f Zip 0"2_7 ijc.# 42D92ov
Owner 6M v,,!l RazfR® C 1.9,yC,/as / Architect
Owner's Address;woaopl .d/Z Architect's Address
SD ir/ wiNvSa2 Zipa6a7 ,V, Zip--
Sq. Ft. New Area: 1 st FI.2nd FI. 3rd A. Total New Area
Purpose of this permit A-1 N&! d "c Xev r lA1
City Watero Well Septic Sys em
Ins: HO SP Cert. Area Basement-a Garage
Approved by Date — r Use Group Construction Type
Revised 6102
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 building and its use is allowed.
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Signed 4;—
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed v :
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
32025-B 18,000
B03 FRAMING (ROUGH) 10/17/05 JFF D FIRESTOPPING WITH CONTRACTOR
E03 ROUGH 10/17/05 JFF A WITH CONTRACTOR
B03 FRAMING (ROUGH) 10/18/05 JFF A WITH CONTRACTOR
B04 INSULATION 10/18/05 JFF A WITH CONTRACTOR Rll
B10 FINAL 11/07/05 CJD A
19872-E 1,500
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DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT
PROVE 1540 SULLIVAN AVENUE
Bldg.Permit#
9 644-2511 ext. 230a-S
Date B ' ing ns ector
Application must be printed or typed
FEE SCHEDULE Location of Job:
12 4r&k0-$1,000=$15.00 Stre7146. "treet Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 5
APPLICANT ADDRESS
APPLIC ONE#
kOw N S F,q
OWNER
OWNER ADDRESS u
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OWNER PHONE Wn
C ESTIMATED COST$
IS THIS A CONTRACT COST?
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Yes _No
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j ICJ FEE ENCLOSED$ U o a
TYPE OF JOB:
OR S C0 N Installation
teration/Addition/Repair SCANNED
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 NO
SIDENTIALVBUSINESS CURRENT USE AND OCCUPANCYASSEMBLY
MERCANTILE
EDUCATIONAL FUTURE USE AND OCCUPANCY
INSTITUTIONAL
O FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE 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
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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.
lddi CTORS LICENSE O. TYPE STATE 16SIGNATUREOFAPPLICANTDATEf