HomeMy WebLinkAbout118 FARMSTEAD DR DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Applicat. n is
BUILDING DEPARTMENT
PROVED 1540 SULLIVAN AVENUE
Bldg. Permit#
644-2511 ext. 230
Date B ng Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT k.)P�)t U /�• L )�t.-�✓1 �c�yt�ro 1�/� �� ��'
APPLICANT ADDRESS
1�� r 02;,(7 zg
APPLICANT PHONE# = _Z,S'— C =!DJ Cy ,`Sg S—777�/
W N S F,q OWNER ;Lb Fl"TirkP'e2
OWNER ADDRESS '�is
On. OWNER PHONE
C = ESTIMATED COST Z S Gd
d
IS THIS A CONTRACT COST? _Yes No
FEE ENCLOSED$
f��s - O�� TYPE OF JOB:
O R C New Installation
—,,�IAlteration/Addition/Repair
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑NO
❑ RESIDENTIAL
❑ BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑ MERCANTILE FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS U
NUMBER OF METERS_� NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO
NUMBER 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
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.
7
CONTRACTORS LICENSE N E STATE
SIGNATURE OF APPLICANT DATE
Electric# A.PPLICATION FOR BUILDING��SIT
Plumbing#
HVAC# 1 i S Farmstead Drive FDate: q2 l Flo �
Sprinkler# 1000169 Estimated Cost $ I Z 9 9 6
FINAL APPROVALS Permit Fee $ (Cl K
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OF PRINT ONLY Eng.Insp.Fee $
Affidavit ► SIGN ON REVERSE SIDE t
Appr.forCO. Total Fe5�( 4st)
�1� $TO THE BUILDING DE TMENT,TOWN OF SOUTH WINDSOR,CT (Additional $
The undersigned hereby apo ies to do work according to the following:
Applicant aSi i LocationofWork It 5 Farmsf(odnYr_ LotNo.
Applicant's Address 5000 ( n Y C r00 90 Tel #(0!0-yj`/ 5UQ7 X 32
Town er00Khawcn Nl Zip IQ015 Lic.#
Owner �r 1 D V j SC_1 eA_ Architect N
Owner's Address �R FG. g4f0 � nr� Architect's Address N R
S4a-AK-W1r-'asor, (IT O(00q'-1 Zip (Yp- 0,1'-1 Zip
Sq.Ft.New Area:1 st Fl. 2nd Fl. 3rd Fl. Total New Area_) t S l
Purpose of this permit L4 U '-f- ct O� 1 1Ck I q�6UZ
• CurrcAl'stn V[nLjsg
hn r,(-\p 1S 1 ,1(Q
City Water❑ Well O Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage e—S�C—aC-k+G�
Approved by Date Use Group Construction Type is C��tY bier.
04/27/2010 TUE 12:04 FAX 210 349 2464 ERCC OFFICE a 001/001 .. 1
i 0 4220�Aq10 TUE 14:51 FAX 210 349 2464 SRCC OFFICE 10 002/002
i
I hereby agree to conform to all the Yequirements of the Laws of the State of Connecticut and the Ordinances bf the Tovm of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the BtrddIng for which this
permit is asked,and agree that this building Is to be located the proper distance from all street lines,side yard fines,and required
distances from all other Zones and is located in which this building and Its use is allowed. \
Signed DQr�� cJ� �Pws
I hereby apply fora Certificate of Occupancy for the work described in this application for the permit.
i
Signed
t
DO NOT WRRF MOW THIS LINE
INSPECTION COMMENTS
I
l •
INSPECTION FIELD SHEET 05/10/11
Printed by Peart, Dayshell 09 50:42
INSPECTION: 31256 FINAL PERMIT:
STATUS
APPLICATION: 201000462
LOCATION: 118 FARMSTEAD DRIVE
SOUTH WINDSOR
PROPERTY ID: 31800118
OWNER: FISCHER M TRIPP
CONTRACTOR:
REQUEST BY
DESCRIPTION: 1400 SQUARE FT OF SIDING
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 04/08/11 PRIORITY:
SCHEDULED: 04/08/11 AM COMPLETED: 04/08/11
UNPAID FEES 00 Date Time
TIME: TRAVEL ONSITE
COMMENTS
1000169 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 04/27/10
GIS ID:31800118 - FEE: 195.00
MUNIS APPLICATION# 201000462 BUILDING DESCRIPTION:
APPLICANT,-," 4- .� '. LOCATION
NAME: POWER WINDOWS&SIDING ADDRESS: 118 FARMSTEAD DRIVE
ADDRESS: 5000 HILLTOP DRIVE' ",,,y j OWNER: _.FISCHER M TRIPP
BROOKHAVEN,PA 19015 �m „� %118 FARMSTEAD DR
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: 1400 SQUARE FT OF 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
4/27/2010 2:33 PM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE