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HomeMy WebLinkAbout1040 STRONG RD APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT (gt621jq APP O 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg. Permit# Dak Building or Application must be printed or typed FEE SCHEDULE Location of Job: $041,000=$15.00 16 4 S TKO rvG fop Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT V d\-Z, Wo N EAu APPLICANT ADDRESS ,d 0 p y jc t/Tr cT 06a3g APPLICANT'S PHONE# d - o't Iy - fr(a cdo, OWNER _go CV V V 1ELL U X 0 S t q< OWNER ADDRESS 10 H n S Tr2 e r�J r., O Li I vv n 5,n j6tt. Uj OWNER PHONE fU - 9 .Z�( — G 2 $ . ESTIMATED COST$ O � •mil �►`` IS THIS A CONTRACT COST? X Yes No L FEE ENCLOSED$ 30 , a" TYPE OF JOB: l -21 �SOR-COS New Installation Alteration/Addition/Repair 26(4vovis Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES >NO RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY S I ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD y/0 ��y SIZE OF SERVICE O Q SIZE OF MAIN CONDUCTORS //o NUMBERS OF METERS I 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 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 C PC-e��oG ��� � C_ e i o .boo A*O C _S --t:' a35-TV553 2353553 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 CONTRACTORS LICENSE NO. TYPE STATE L/ SIGNATURE OF APPLICANT DATE /1 - .S I I r\ /�'IG7fCr/Q/ - moo .. �i/t o"a� 1C <•.1 't ti G �-ou•-,off WG �pr ar,E' � o.. flve�r��e �vP�-�aiaf�ol, _ 7 •,.,,n�„°�/ --` 4e',�,' . n Cam,-f� fic� _5v6sto�i�irr//y �'cir�cf LA home Occupation Information and Application Form Minor Approved by Date J e ASSESSOR'S USE ONLY ❑ Major Home Occupation Type Code ���� �� "" � Name ��� 2l DBA _ Address of Proposed Occupation: / t�� j d V 4 "�0� Telephone Zone (Note:in DRZ,MF zones only minor home occupations are Description a allowed;approval letter from homeowners assn required �y � of Home Occupation: non: 1't�ZA,7_—fiT.✓1 d'Ocr—rG� +C. /1 tJ EiL 2:b I Please use the boxes below or an attached sheet to provide the following: A.Proposed Sign 1. Attach copy of plot plan if available. 2. Use Box A(or attach sketch)to draw proposed signage. 3. Use Box B(or attach sketch)to draw the floor plan of the Home Occupation area. 4. Architectural elevations for any proposed additions or modifications must be provided. FLOOR PLAN (❑Basement ❑ I'floor ❑2°d floor) Floor area of dwelling_ / z-7� Floor area of home occupation %of floor area devoted to home occupation I have read the regulations regarding home occupations and will comply with said regulations.I understand that I must notify the Planning Department in writing upon termination of this occupation at this address.This permit is not transferable or assignable to another person.In the event of relocation,the permit holder must notify the Planning Department in writing to transfer the permit to the new location. Signature of Applicant Date f J of Z�C_ - )lop� Signature of Owner Date 1400244 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 07/08/2014 GIS ID: 87001040 FEE: 30.00 MUNIS APPLICATION# 201400898 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: PRUNEAU ELECTRIC ADDRESS: 1040 STRONG ROAD ADDRESS: PO BOX 222 OWNER: VEILLEUX ROCKY G COVENTRY,CT 06238 PO BOX 439 SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: UPGRADE SERVICE TO 200 AMP. CRS NO.2353553 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 7/24/2014 10:22 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE