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HomeMy WebLinkAbout10 GLENWOOD RD APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES 2'90 ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑ GARAGE ADDRESS ❑MIXED USE a CITY STATE ZIP (Other please specify) j TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE 100 SIZE OF MAIN CONDUCTORS $Z Sri 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 Ser y,,tg_ GhPw Ka. 4-o N oo ft * 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. i o"(?os U- I c CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT tftj,,,Ot�— DATE 3 S - CA? DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# App ' �f���BUILDING DEPARTMENT bDAPPR�-i�s,-4ereby: 1540 SULLIVAN AVENUE Bldg.Permit# I , 644-2511 ext. 230 Date 611rding Inspector Application must be printed or typed FEE SCHEDULE out Location of Job: $0-$1,000=$15.00 FTenant Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT N kd(\n A S M ycil'ff111, APPLICANT ADDRESS -1b �\ „ NR ()5 2008 South Windsor - BUILDING DEPARTMENT APPLICANT PHONE# �b (ot{,t�- (op'L� OWN SF OWNER K"JN^, ,- OWNER ADDRESS p �Yr `ltjfl�� �y �czky4�. � Sa q Obb1�1 C OWNER PHONE C ;Z) ESTIMATED COST$ ( p IS THIS A CONTRACT COST? _Yes _No A { �G FEE ENCLOSED$_/�j f�b Sp CO�� TYPE OF JOB: I R. New Installation �[,'( '"Alteration/Addition/Repair G(L# In`t S b 3 82-0 1 Revised 4/01//2002 L M - �a5 q0 d 8 7 d z4' V N Z 0 a n N U) LA N � !ON lQi ad C3 ° G 1 to•O r� b38 n r' y f E-Y ,:,TrEC7 o inc) Lot No on mc.,j, er.t i Hod oci 1 :an of AV! '` 1 'o U I L' i - .0 U.i i'1 MAY ^C, 1 06 6ia},<fen L. rr i swa t d � .`' :sheet i o f . a iAYt ;N, L. :i: i 4L: FOR BUILDING PURP ONLY Electric # APPLICATJON FOR BUILDING PERMIT Plumbing# — 10 Glenwood oa HVAC# 13000456 Dater —a/— 13 Sprinkler# Estimated Cost $ FINAL APPROVALS Permit Fee $ Jo2C� Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr.forCO. SIGN ON REVERSE SIDE t Total Fee TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ Co&J ) The undersigned hereby applies to do work according to the following: Applicant . 0 Cw v ✓tit/ LocationofWork 10 Lot No. Applicant's Address G a Tel # b cg�33 `���•� Town T�/1� Zip Lic.# Owner P Architect Owner's Address © Architect's Address Zip Zip Sq. Ft. New Area: 1 st F1. s 2nd FI. 3rd FI. Total New Area Purpose of this permit .0 ,^ City Water❑ Well ❑ Septic System ❑ Sewer❑ �d4 Ins: HO S Area Basement Garage Ce Approved by ate W A -I;P, Use Group Construction Type Revised 1108 I hereby agree to conform to all the requiiements of the Laws o9he State of Connecticut and the Ordinances of the Town of South Windsor and to notify the Building Inspectooloce o the pl or specifications of the Building for which this permit is asked,and agree that this building is to op r n from all street lines,side yard lines,and required distances from all other zones and is located in w u is allowed. Signed' _ I hereby apply for a Certificate(d Occupancy for the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS 1900036 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 01/16/2019 GIS ID:35700010 FEE: 54.00 MUNIS APPLICATION# 201802481 BUILDING DESCRIPTION: APPLICANT . , LOCATION NAME: THE PETER L BROWN CO ADDRESS: 10 GLENWOOD ROAD ADDRESS: PO BOX 59 OWNER: KVIETKAUSKAS KRYSTIA MARIE .10 GLENWOOD ROAD GRANDBY,CT 06035 , DESCRIPTION OF WORK: INSTALL I I VYNIL REPLACEMENT WINDOWS SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE ILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING FFICIAL 1/16/2019 10:11 AM T14E FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 13000456 TOWN OF SOUTH WINA-050R, CT PERMIT NUMBER BUILDING PERMIT DATE: 08/27/2013 GIS ID: 35700010 FEE: 120.00 MUNIS APPLICATION# 201301188 - ..BUILDING DESCRIPTION: APPLICANT4" -N"r" LOCATION NAME: A&R HOME IMPROVEMENTF ADDRESS: '`10 GLENWOOD ROAD ADDRESS: 6 CLARK ROAD 4 OWNER:' MAHONEY BRIAN M& BOLTON,CT 06043 °e ,"y l -,,'10 GLENWOOD ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REMOVE TWO LAYERS AND REPLACE ANY BAD PLYWOOD. ICE AND WATER TAR PAPER;AND 30 YEAR ARCH.SHINGLES.. a SPECIAL CONDITIONS: 4 ` ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: `'' v: BUILDING OFFICIAL 8/27/2013 4:12 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE