HomeMy WebLinkAbout1019 STRONG RD DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PEIMT
TOWN OF SOUTH WINDSOR PERMIT#
Applicat' s e by:
BUILDING DEPARTMENT
RO 1540 SULLIVAN AVENUE • ' Bldg. Permit#
644-2511 ext. 230
Date Biling Inspector ,
Application must be printed or typed.
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation i Apt. No.
APPLICANT e („6 C mc )
APPLICANT ADDRESS
:5,e Gt/,walsAPr c T 'd 6e 7�
APPLICANT PHONE#
O Yr N S OWNER ETA•M CS S'lc,i I C /
q< 6WNER ADDRESS
Qp, OWNER PHONE 0701
C ESTIMATED COST$ S2SQ O
+� * 15 THIS A CONTRACT COST? _Yes No
L� o4C1 FEE ENCLOSED$
TYPE OF JOB: T
dSOR•CO� _New Installation ,
_ a
—IZAlteration/Additi epair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ElNO
❑ BUSINESS CURRENT USE AND OCCUPANCY 5// It ,�
❑ASSEMBLY ,
❑MERCANTILE❑EDUCATIONAL �'
FUTURE USE AND OCCUPANCY S M
❑ INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑ MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION/WIRING METHOD s2'.3 SC Q(/cG C Cd'd�e
SIZE OF SERVICE !ad SIZE OF MAIN CONDUCTORS_ Z /Qlk/rj
NUMBER OF METERS _ NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO
NUMBER OF LIGHT CIRCUITS NUMBE'4 OF POWER C UITS
t�
NUMBER OF SWITCHES NUMBER OF OUTLET ; .s
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CkCUM-
NUMBER OF A/C CIRCUITS ,
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUWWRI ,D, , r
DESCRIPTION OF WORK t ;^
Due To S'708e! o,cr — /y—oS' A- TR47G 7�,&dk oKT
T LIE CTr?rC, �S'e !Z vier ry Mg,,41 a /ll�Kol
"�♦?r .r•,<�A-c�.�c�
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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
PERFORMANGCE OF SUCH WORK.
CONTRACTORS LICENSE NO. �TY� STATE
SIGNATURE OF APPLICANT DATE ��/6-dS"
SURVEYED FOR
✓A MES W. SNOW, ✓R.
PRISCILLA C. SNOW
STRONG ROAD
SOUTH WINDSORI CONN.
•Ea�ALE , 1 114CH = 30 FEET N0V. 1971
a
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HAROLD J. A. COLLINS
No.6442 �•
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AGE �\� a O
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150.00' 1`946' TO 4 OF FOSTER R —,
STRONG ROAD
Ok my SURVEYED FOR
✓ A MES W. SNOW, JR.
PRISCIL L A C. SNOW
STRONG ROAD
SOUTH WINDSOR , CONN.
SCALE: I IraCH = 30 FEET I10V.,1971
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150.00' F946' TO 4.OF FOSTER R --►
S TRON G ROAD
Shirley Wilhelm-CRS Approval Confirmation: Request No.455804 Page 1
From: <clpsvc@nu.com>
To: <WILHEL@SOUTHWINDSOR.ORG>
Date: 9/20/0510:18AM
Subject: CRS Approval Confirmation: Request No.455804
Your approval of the following CRS Request has been successfully
processed.
CRS Work Request M 455804
House No: 1019
Lot No:
Street Name: STRONG RD
Town Name: SOUTH WINDSOR, CT
Inspector: CHRISTOPHER DOUGAN
Approval Date: Sep 20, 2005
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Electric # 05 1019 S t r o q0 T6bq#TION FOR BUILDING PERMIT
Plumbing
HVAC# 13000246 Date: SDI I /3
Sprinkler# 93
FINAL APPR S Estimated Cost $ 12,100
Permit Fee $ 199
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit Appr.for CO. 0o. SIGN ON REVERSE SIDE
Total Fee $ 1 q S
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ #(0�3�6
The undersigned hereby applies to do work according to the following:
Applicant CA e 4it "A. Kba Location of Work - Ia15 S-Fr9+ Aj. Lot No.
Applicant's Address 10 ',% rd - - Tel #
Town Sark W.'A k Zip C(,O)y Lic.#
Owner MIS. Snow Architect '
Owner's Address I oij S4r,n Rd• Architect's Address
C,� Mao"Y Zip -
Zip-Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit - ( Q``� off{ exrS���S a /4 rr !ggeks/l S4i-tcllf. Zrf f 11 �t�f w�.�•r
City Water❑ Well .J Septic System 0 Sewer 0
Ins: HO Area Basement Garage
Approved by Date S 13 Use Group Construction Type
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
11tthis building and its use is allowed.
Signed -- Y — -- -
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
13000246 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER �K Q BUILDING PERMIT
DATE: 05/22/2013
GIS ID: 87001019 FEE: 195.00
MUNIS APPLICATION# 201300683 BUILDING DESCRIPTION:
APPLICANT`:;`; pf" LOCATION
NAME: DZEN RESIDENTIAUROOFING_:._ ADDRESS::_ - 1019 STRONG ROAD
ADDRESS: 105 EDWIN ROAD t OWNER: SNOW PRISCILLA
SOUTH WINDSOR,CT06074 1019`STRONG ROAD
SOUTH WINDSOR,CT 06074
NW l � y t e h<Irvz
DESCRIPTION OF WORK: TEAR OFR EXISTING TWO LAYERS ASPHALT SHINGLES. INSTALL ICE
AND WATER SHIELD,FELT PAPER,RIDGE VENT,AND RESHINGLE.
SPECIAL CONDITIONS: `� 4
ALL WORK TO BE DONE IN ACCORDANCE WITII THE APPLICATION AND,PLANS APPROVED BY THE BUILDING DEPARTMENT.
q-
4�.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
5/2212013 9:09 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE