HomeMy WebLinkAbout102 HIGHLAND DR DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby:
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT —
APPROP1 - 1540 SULLIVAN AVENUE
Bldg.Permit#
1 644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE F
Location of Job:
$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT c 1-3 F )c c
APPLICANT ADDRESS ! ✓ S n u t L./ ..r�Sa r_
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APPLICANT PHONE# (�0 ' Z�`/ t L
SOW N St OWNER 444+i /V1C(ar1.��
OWNER ADDRESS OL H i h r. S� �►1=06
C I yEc 7LI
O ,o OWNER PHONE
C ESTIMATED COST$ Z,GO y Q
�r� /IS THIS A CONTRACT COST? ✓Yes _No
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FEE ENCLOSED$
sO O�� TYPE OF JOB: �i 4(,S
IZ•C _New Installation oc0 I O a 23(p
L/Alteration/Addition/Repair
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
QY4ESIDENTIAL
BUILDING PERMIT APPLICATION? ElYES L'�O
❑ BUSINESS CURRENT USE AND OCCUPANCY
❑ ASSEMBLY
❑ MERCANTILE FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑ MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD Z 0-0S y C L
SIZE OF SERVICE 206 1-1 SIZE OF MAIN CONDUCTORS 4110
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS 1 REMOTE DISCONNECT REQUIRED? ❑YES ❑NO
NUMBER OF LIGHT CIRCUITS S 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
too -r0 2C) o A —p .3 < <
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.
1U3IZZ - CI Lll C �'
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT C DATE
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PRCPERTY OF
ALVIN G & ISABELLE CULVER
HIGHLAND STREET SOUTH CCNN.
Being Lot No. 100 on map entitled "Ma-c� of '.,CO-�LAND ACRES Avery
Street South Windsor Conn. 11rol-,erty of Amelia L. Bio zie, Developer
William Peak, Scale 1" 50' Apr. 16, 1959, Hayden L. Griswold C.c:. "
Scale 1 " - 50' 17 .-E� 1 �• �_ ,.
Hayden L. Griswold C.E.
1 059 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 04/07/11
GIS ID:42900102 FEE: 30.00
MUNIS APPLICATION# 201100236 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: DANIELS ELECTRIC,INC. ADDRESS: 102 HIGHLAND DRIVE
ADDRESS: 6 SANDRA DRIVE - OWNER: MCCAULIFF MATTHEW J
SOUTH WINDSOR,CT 06074 .=102 HIGHLAND DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: UPGRADE 100 TO 200 AMP SERVICE.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
4n12011 8:18 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE