HomeMy WebLinkAbout103 GRAY RD D �
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APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE) 860-644-2511 EXT.230
PERMIT NUMBER
DEPARTMENT DECISION ,
APPLICATION IS HEREBY:
APPROVED: BLDG.PERMIT NUMBER:
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DATEIf
INSP TOR
LOCATION OF WORK:
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APPLICANT: OWNER: TYPE OF STRUCTURE:
❑NEW BUILDING
NAME: (1 �c C l/ I L �-E_ NAME: ��U✓ill, y-rd/ ❑ADDITION
PHONE NUMBE�R: ,, ¢J 6 ('7 3 l PHONE NUMBER a 6 J -Q 69-9 3 -X STING BUILDING
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ADDRESS: f�"1 W �3. 13 U C/4 l Ho ADDRESS: f y (j y — -
/+ �� TYPE OF USE:
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SIDENTIAL ❑COMMERCIAL
ELECTRICAL INFORMATION: 1I3f FURTHER DESCRIPTION OF WORK:
TYPE OF INSTALLATION: �1� S I�' 4-b 2 Gc) ,q✓I i°
SIZEOFSERVICE: 2-C>0 SQL U 1 Cry Urb g/`40—
SIZE OF MAIN SERVICE: A J e l '� �'�'` ,
NUMBER OF METERS: 'A'
NUMBER OF PANELS:
NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S u"
NUMBER OF SWITCHES:
NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S t
NUMBER OF A/C CIRCUITS: Z
FEE SCHEDULE:S18 PER 51,000 OF THE ESTIMATED COST.
NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT
IS 51.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS
NUMBER OF OUTLETS: PART OF THE PERMIT FEE)
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 PERF/O�MANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: U I TYPE: [� �L STATE: C
/112f
SIGNATURE OF APPLICANT: jz
DATE: 2 _/1
� �DZ25
FOR BUILDING PURPOSES ONLY
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Electric # APPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC# Date: 3 22- 2D/j
Sprinkler# Estimated Cost $ $3 00 "2
FINAL APPROVALS Permit Fee $
Building COMPLETE RED BOXED AREAS
Occupancy Fee $
P Y
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.forCO. SIGN ON REVERSE SIDE t w^
Total Fee $ �•
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant s /Q/Sx` Co"L&y e1 c Location of Work Igo fi OO 0C 44 6"Z e dh LotNo.
Applicant's Address L4 FIQL& t i6a. rE yol(La e.r 064A 2 Tel # 2o-1 3 S_3 , ,167a
Town Zip Lic.#f-//C 06 2 S W 1`3
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Owner Architect
Owner's Address Lr12 oR A Architect's Address
tnt:fZ& JAZZ&A-r62Q C T Zip Zip -
Sq.Ft.New Area: 1 st FI. 2nd FI. 3rd FI, Total New Area,/S3by St
Purpose of this permit R62C2 Gc R. En 4 ALAS R= _S 1V/A1e f FS
/ff c — tA,,gTz-2/2 T & PAPE& A lbr r !fir A(7 '
City Water J Well J Septic System J Sewer J
Ins: HO S Area Basement Garage
Approved by `t Date 3 •� I �' Use Group Construction Type
O/?ML/:�q 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
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
•
INSPECTION FIELD SHEET 04/08/22
Printed by Middleton, Morgan 11 13 50
INSPECTION: 115069 FINAL PERMIT:
STATUS
APPLICATION: 201900489
LOC: 103 GRAY ROAD
SOUTH WINDSOR
PROPERTY ID: 38100103
OWNER: CHALMERS BONNIE &
CONTRACTOR:
REQUEST BY:
PROJ DESC: ROOF REPLACE SHINGLES ICE WATER
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 04/03/19 PRIORITY:
SCHEDULED: 04/03/19 PM COMPLETED: 04/03/19
UNPAID FEES 00 Date Time
MILEAGE: .00 TIME: TRAVEL ONSITE
COMMENTS
1900167 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 04/02/2019
GIS ID:38100103 FEE: 162.00
MUNIS APPLICATION# 201900489 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: RIM RECI CONSTRUCTION ADDRESS: 103 GRAY ROAD
ADDRESS: 14 FALBO DRIVE OWNER: CHALMERS BONNIE&
103 GRAY ROAD
SEYMOUR,CT 06483'
DESCRIPTION OF WORK: ROOF REPLACE SHINGLES ICE WATER
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
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CONSTRUCTION TYPE: a�r-� -
OCCUPANCY GROUP: BUILDINO PFFICIAL
4/2/2019 11:16 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1900073 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 02/06/2019
GIS ID:38100103 FEE: 54.00
MUNIS APPLICATION# 201900225 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: AJP ELECTRIC LLC, ADDRESS: 103 GRAY ROAD
ADDRESS: 13 OLD CATHOLE ROAD S OWNER: VERDI THOMAS&CYNTHIA C
103 GRAY ROAD
TOLLAND,CT 06084 '
DESCRIPTION OF WORK: UPGRADE TO 200 AMP NETER,PANEL&GROUNDING
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY AK
TMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDIN FFICIAL
2/6/2019 2:46 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE