HomeMy WebLinkAbout110 HILLSIDE DR 1=4�� GAPE 621�4
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APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT Dn
APR O . 1540 SULLIVAN AVENUE
644-2511.ext. 230 Bldg:Permit#
li)ate Building Inap r
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0411000=$15.00 I �l �i C4 w-(�l-�
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT ' 0CJJ\ 0 S lA oN I `cry
APPLICANT ADDRESS CDLP
o'A+1 �ji r'' 5 0 G7-
APPLICANT'S PHONE:# (a0 qo�9 S(,p ,
OWN SF OWNER r�u2,� (7�(L(�C 6
'' OWNER ADDRESS
O OWNER PHONE FINC c)-'y,O T- Coln
C ESTIMATED COST$
U IS THIS A CONTRACT COST? Yes No
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G FEE ENCLOSED,$
TYPE OF JOB: 1�5 5
SOR,
C� New Installation
Alteration/Addition/Repair
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Revised 03/05/10
APPLICATION FOR ELECTRICAL PERAUT(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
❑ EDUCATIONAL
O INSTITUTIONAL ENGINEER'S NAME PHONE
O FACTORY
❑. STORAGE ADDRESS
❑ GARAGE .
0 MIXED USE CITY STATE ZIP
(Other Please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS I NUMBERS OF DISCONNECTS REQUIRED? OYES ❑ 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
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THE UNDERSIGNED NEARBY 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
SIGNATURE OF APPLICANT— DATE "l o2O U/�
1500269 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 08/13/2015
GIS ID:43800110 FEE: 15.00
MUNIS APPLICATION # 201501008 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: EON ELECTRICAL LLC. ADDRESS: 110 HILLSIDE DRIVE
ADDRESS: 466 BARBER HILL' ROAD OWNER: HILLTOP HOLDINGS LLC
SOUTH WINDSOR,CT 06074 166 GIBSON AVE
NARRAGANSETT,RI 02882
DESCRIPTION OF WORK: REPLACING EXISTING ELECTRICAL SERVICE RISER FROM TOP OF
METER TO UTILITY CONNECTION. CRS NO.2557133
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY TIIE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
8/13/2015 1 1:25 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE