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HomeMy WebLinkAbout0 GOVERNORS HWY MISC APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT (� APPlitO D 1540 SULLIVAN AVENUE Bldg:Permit# . ls� J� -� 644-2511 ext. 230 7'- Building I r p Application must be printed or typed FEE SCHEDULE I C( Location of Job: $0-$1,000=$15.00 Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 1411 `5 P lam--< G- APPLICANT ADDRESS a'G"'� APPLICANT'S PHONE 4 f6 5-- 73 7 g— OWN S� OWNER OWNER ADDRESS C OWNER PHONE �22 C ESTIMATED COST$ U IS THIS A CONTRACT COST? Yes No - ` FEE ENCLOSED•$. •51 TYPF OF JOB: *q,0.67(p DSO' •COS New Installation Alteration/Addition/Repair 3 0 ay9 Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYpF of BLL DWG IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? W YES O NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑. ASSEMBLE FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY O.STORAGE ADDRESS ❑ GARAGE . ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION I WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS .NUMBER OF SWITCHES. NUMBER OF OUTLETS NUMBED OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER'OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE-SUBMITTED. DESCRIP'TIQN OF WORK �G?o�:'%I�j. (r� � tint ���� � S2 r ice, 'cam fro✓t THE UNDERSIGNED HEARBY 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 PERFOR- MANCE OF SUCH WORK Gl CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OFAPPLICANT, e L DATE Ctf b W i` 9/GA, WAY O .st O A55UM�� CONC. MO.U. ct3Y arw--RS) 70/B4CCO SNF0 E CfS No E /JO. 1f70 i 0: ti s ko O c�� o � S' 00 �-4 512044 45"W m I 1� I a p C ?. S 7 4- 4 C, �J O m 1 �+ I � 4 A/61*47'35"W � -M-w------ N I F A444?Y AIA L PIAl ! C6Y W LC? .•`Ee,.:? .. �?''�- .-�;�� ,. •--� �., F V 9 •may.�• cNo s r` , . ,RED/. //-18-72 MAP F114.3G!Zf*0. l MOZZOCHI ASSOCIATES�c sc�' FOR l�dr2cE4 y'�" G,Q/3'J7'FI� CIVIL ENGINEERS ,;��.-�'�,; .. , J �i ��� �t..---•. . . ., r'� . >s�* Zor�i�JG �3a�k'O of ap�'EQt.s C3LASTONBURY. CONN. +ofv ocTor��Q 5 ��J73. 'd A/4 � - AA10 / /A/,?Y GC�1. AIA/ T' , jS r rL�Ur// 11t1S© '� CCU,' . Q — 72 -- 69 �ma=sa rmccx--•--- „^.m.�w SCALE I ''z qo' DATF- 7 — 20 —72 CND 0 O /JSSUM�O O S 544 ¢5"E S�2°9945"E STREFr LIvE Z SFI�>33' csy (3rNAC-R 2° T) 30 -- TO/3,G�Ca SNFO /Jd. !17 o c3/IQ Q In • O fE 0 0 �` n `9 O �q �/12CE L q ` v LP 4)Q,=4 28,G 3o S.F. �' m N b 232.55 m —,y 5'Z'44'45"W -- �� 3 i , 4 Rt Q, a «y S J3 L i A,QFd 7. 874 4C. yPL � I O f O m �Izl Is 4)2Y AIALPAI t c6Y oTilEaS� O M( k O A •//� REV. /-9-73 : Prlkc'F! "A•• l fir. ^ "� .. .E f. . •.�:. ����:^'� �i REV. /1-18-72 : MAP R/J/.! J L ZED. CHO MOZZOCHI ASSOCIATES y 9 CIVIL ENGINEERS V,4QIAAJCe FOR /0/5 CC 'A GQ414r60 rrlryC (Y��+ •1 r4 G L A S T O N B U R Y, C O N N. ` c144A?LE5 AA-10 MARY GC1.DVAI 7-15 1-4 S'�ur w�iuso�a cc� r�r. A — 72 - 69 SCALE ( "= Aa' LTLE - 20 -72 Electric # AFJ4,ICATION FOR BUILDING PERMIT Plumbing# 10 Governors HVAC# 13000580 Date: 0 Sprinkler# Estimated Cost $ ' 7 15,0. FINAL APPROVALS Permit Fee $ Building COMPLETE RED BOXED AREAS Occupancy Fee $ JA Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. SIGN ON REVERSE SIDE 4 Total Fee $ 0 TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 41 37 The undersigned hereby applies to do work according to the following: Applicant LocationotWorklo 6oveners 14wV Lot No. Applicant's AddressAloBrjabfman Cikdr, Tel # 446 _ Town ti0 ej C,-r Zip 6 b 01 Lic.# Ownercs4lviklQ r41 e n n R, Architect Owner's Address Architect's Address J Zip Q(ab 14 Zip - - Sq. Ft.New Area: 1 st FI. (a SF 2nd FI. 3rd FI. Total New Area (050 S t Purpose of this permit -i-t Q (.s6 .z F &Jg4i cn /T41MIL-�41904 "AA 4h + 6105, City Wate�Q Well J Septic System J Sewe5d �L6136'y7 Ins: HO SP Cert. Area Basement Garage Approved by geltj Date/0_Z;_/3 Use Group Construction Type- p I Revised 1108 — 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. Signed /7 _ I hereby apply for a Certificate of Oc ancy for the work described in this application for the permit. Signed D OT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 04/07/22 Printed by Middleton, Morgan 15 52 18 INSPECTION: 62218 FINAL PERMIT: STATUS APPLICATION: 201301479 LOC: 10 GOVERNORS HIGHWAY SOUTH WINDSOR PROPERTY ID: 36900010 OWNER: LICHTEL MERVIN D CONTRACTOR: REQUEST BY: PROJ DESC: ADD A 650 SQ. FT. ADDITION. TO INCLUDE FAMILY ROOM, BATHROOM WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 02/24/14 PRIORITY: SCHEDULED: 02/24/14 PM COMPLETED: 02/24/14 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: CYNTHIA ® 860-324-8666 ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 11/01/13 DOUG PASS B001 FOOTING DAVE @ 860-983-5386 11/01/13 DOUG PASS B002 FOUNDATION B003 FRAMING (ROUGH) 06/24/14 DOUG PASS B004 INSULATION B005 FIREPLACE / CHIMNEY B006 WOOD / GAS STOVE E001 ELECTRIC SERVICE E002 ELECTRIC UNDERGROUND E003 ELECTRIC ROUGH P001 WATER HEATER REPLACEMENT i P002 PLUMBING UNDERGROUND O1/03/14 DOUG PASS P003 PLUMBING ROUGH ED 0 860-291-0115 O1/21/14 ROSE PASS P004 PLUMBING GAS TEST seal penetration thru garage sep. wall/piping to stove & gas