HomeMy WebLinkAbout112 PINE KNOB DR 0
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DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT
APPRO 1540 SULLIVAN AVENUE
3 �
644-2511 ext. 230 Bldg.Permit#
D to Building In ctor
Application must be printed or typed
FEE SCHEDULE Location of Job:
F
Pop, c)b pr'ivto$0-$1,000=$15.00 StreetLot No.
Over$1,000=$15.00 per$1,000
or any fraction thereof
Apt.No.
APPLICANT4nam6s k `C'('t 4 r► � �
i APPLICANT ADDRESS 0
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APPLICANT PHONE#
�O W N St OWNER (�
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7 OWNER ADDRESS rive-
0 +: OWNER PHONE U3nC)
V C ESTIMATED COST$ ��
x IS THIS A CONTRACT COST? Yes _No
0
FEE ENCLOSED$
s 0� TYPE OF JOB: �
OR C ✓New Installation
Alteration/Addition/Repair
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Revised 4/01//2002
01/26/2010 TLE 11:31 FAX 210 349 2464 ERCC OFFICE 1&003/003
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILD- IS THIS APPLICATION ASSOCIATED WITH A
IN BUILDING PERMIT APPLICATION? O YES XNO
RESIDENTIAL CURRENT USE AND OCCUPANCY
USINESS
0 ASSEMBLY FUTURE USE AND OCCUPANCY
O MERCANTILE
❑EDUCATIONAL
❑INSTITUTIONAL ENGINEER'S NAME PHONE
D FACTORY
0 STORAGE ADDRESS
0 GARAGE
0 MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES 0 NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FDCrURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
11 wrohvL 'GCT �-
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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.
I ps l(6-1 I L—S C I
CONTRACTORS LICENSE NO. E STATE
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SIGNATURE OF APPLIC DATE 3
Lot Numbers refer to Map Entitled ,
' "Subdivision Map, Pine Knob Hill, Section I
I Avery Strv.ct South Wislasor, Connecticut
Property of I. R. Stic h Associates, Lit Scale
1"=601 April 20, 19-59, Rt-vised April '_�, 1959. "
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Building i,ocat.: v�•cd as Shut1 Pruposed Layout
Hereon. October j: , 1959. I. R. Stat i► Assoeiato s, Itic
I Pine Knob Hill
Pine Knob Drive
Certified substantially correct South Windsor, Connecticu
No zoning violation Scale 1"-60' April 26, 195
SEPo7r"o
South Windso;
BUILDING G-PARTP,1f INT
TO THE BUILDING DEPT. TOWN Of SJUT.-i WADSOR
Ibis certified that this plan and specifications are true
copies of the proposed buUding or alterarions to tw
erected 04
together with amendments stated In application and
tiled with plan and 1 agree to comply with all zoning,
Building and state laws and such orders as shall t>
issued by the Building DepartA=nt during pendencc
of this application and final issuance of a buildint.
permit.
Signed
This plan Is approved subleot la the aon%itlon that C ,i jltICAT1ON OF ZONING COMPLIANCE
orders and ordinances regulating building shall be
complied with. "Imposed bullding(s), use(s) and/or structure(s)
Conditionally Approved These tiled with
2s shown on this plan appear(s) to be In
;onformance with current South Windsor
Building Inspector Gldrr. 01.
oulations. Variances and special exceptions
nay apply.
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1100037 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 03/09/11
GIS ID: 72000112 FEE: 15.00
MUNIS APPLICATION# 201100161 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: DYNAMARK SECURITY ADDRESS: 112 PINE KNOB DRIVE
ADDRESS: PO BOX 1170 OWNER: PAPPALARDO V LORRAINE&FRANK P L/U
TOLLAND,CT 06084 112•PINE KNOB DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL BURGLAR ALARM.
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
3/9/2011 9:50 AM THE FEE ABOVE INCLUDES A$0.26 PER TIIOUSAND CT STATE EDUCATION SURCHARGE