HomeMy WebLinkAbout111 ROBERT DR Electric # Al V L I C ATION FOR BUILDING PERMIT
Plumbing# 111 Robert D
HVAC# 11000115 FDate:
Sprinkler# Estimated Cost $ /6 3�J
FINAL APPROVALS
Building COMPLETE RED BOXED AREAS Permit Fee $Occupancy Fee $
Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE t
Appr.forCO. W' Total Fee $ 01 116
� �'75 73
TO THE BUILDING E ARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant ova IQ Location of Work Db ei tr— Lot No.
Applicant's Address 1 7Z D K Tel # -7 rj 4S - S 7 7 -L
Town'56o/-h [•�l i h d 5!C Zip o(ca751 Lic.# 05(y5q 2%
Owner s e e: r nn0 5 Architect
Owner's Address I I 1 /a iJ vr- Architect's Address
_Zip Zip
Sq. Ft. New Area: 1 st Ft. 2nd F 3rd FI. Total New Area
Purpose of this permit i rlV1 el
City Water U Well ❑ Septic System 0 Sewer 0
Ins: HO SP Cert. Area Basement Garage
Approved by Date - 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 ch this builNn use allowed.
Signed (�w «Y4 --
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
r INSPECTION FIELD SHEET 09/01/11
Printed by Peart, Dayshell 15 00 27
INSPECTION: 38941 FINAL PERMIT:
STATUS:
APPLICATION: 201100294
LOCATION: 111 ROBERT DRIVE
SOUTH WINDSOR
PROPERTY ID: 76500111
OWNER: KARAGIANIS STEVEN G & DENISE R
CONTRACTOR:
REQUEST BY:
DESCRIPTION: VINYL SIDING.
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 08/22/11 PRIORITY:
SCHEDULED: 08/22/11 AM COMPLETED: 08/22/11
UNPAID FEES: 00 Date Time
TIME: TRAVEL ONSITE
COMMENTS
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APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
AApplica ' BUILDING DEPARTMENT1540 SULLIVAN AVENUE l l . a mit#RO ED Bldg. Permit#644-2511 ext. 230
DaIding Inspector
Application must be printed or typed
FEE SCHEDULE 1 ,, '� Location of Job:
$0-$1,000=$15.00 �� ` y,D}G`'t `
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT XJl,l
APPLICANT ADDRESS QBkjQ 7- /V�
Sour. �Z�ydytiX cr aGo 7y
APPLICANT'S PHONE# 3 7,410
OWNER S��F
q OW N S fq< OWNER ADDRESS
1 OWNER PHONE
O ` j ESTIMATED COST$
C :
U IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$ rS
y
TYPE OF JOB: 4rfovg
SO .C0 /New Installation
R
Alteration/Addition/Repair c2o 1(0 I S'(6-
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
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑ 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 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
SGU/TC/�/N G Q U?— 16L11K � 4I z_ A� �ifiL
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. E STATE
SIGNATURE OF APPLICANT DATE
11000115 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 04/14/11
GIS ID: 76500111 FEE: 240.00
MUNIS APPLICATION# 201100294 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: DAIGLE RONALD LLC ADDRESS: I I I ROBERT DRIVE
ADDRESS: 170 KELLY RD OWNER: KARAGIANIS STEVEN G&DENISE R
S WINDSOR,CT 06074-3127 111 ROBERT DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: VINYL SIDING.
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
4/14/2011 4:07 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1100331 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 12/16/11
GIS ID:76500111 FEE: 15.00
MUNIS APPLICATION# 201101515 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: KARAGIANIS STEVEN G&DENISE R ADDRESS: I I I ROBERT DRIVE
ADDRESS: I I I ROBERT DRIVE OWNER: KARAGIANIS STEVEN G&DENISE R
SOUTH WINDSOR,CT 060743 82 -I I I ROBERT DRIVE
'SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: SWITCHING OUT ELECTRICAL PANEL IN BASEMENT AND UPGRADE
OUTDOOR SPOTLIGHTS FRONT/BACK DECK AND LIGHTING IN SOFFIT.
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
12/16/2011 9:07 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE