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HomeMy WebLinkAbout124 LONG HILL RD DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT llfo 0 on _ APPROVE 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg. Permit# Date Building Inspec o Application must be printed or typed FEE SCHEDULE F7Tc�nantD Location of Job: $0-$1,000=$15.00 StreetLot No. Over$1,000=$15.00 per$1,000 or any fraction thereof on Apt. No. APPLICANT & T p CI �� �,�► ��,[ "f 1 L APPLICANT ADDRESS 1kp PC _,ram S i Su �- ��Lw - APPLICANT PHONE O�1 N $,.q OWNER %CL __�� _ < OWNER ADDR14S 1 Spy, -h 1 i r,�-�51)f A OWNER PHONEo C ESTIMATED COST 00 '�. IS THIS A CONTRACT COST? —Yes —No FEE ENCLOSED$ 30.on R CO�� TYPE OF JOB: Ll12 t New Installation �teration/Addition/Repair 44 Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES 5MO, ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY o ❑ MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY ION❑EDUCATIONAL ❑ INSTITUTIONAL ❑ FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑ IUD USE CITY STATE ZIP (Other please specu�;) - TYPE OF INSTALLATIONAVIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS 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 C c C)44---�O/ag I - ) 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. y�o-�5,3o L CONTRACTORS LIC "PE STATE SIGNATURE OF APPLIC DAM— �(o aV13 -ooy M Home Occupation Information and Application Form ,� / � ASSESSOR'S USE ONLY cif Minor Approved by «'✓l Date Home Occupation Type O Major Code n n '/ D Name � �A- P641_17� DBA I" T AZZ I7 L L ''4/7, L ',a Lli13 Address of Proposed Occupation: /� 0/YG f�L.L Telephone O ��• 47 a2 • �'l0 4 Zone TR (Not,..in DRZ,MF zones only allowed,approval letter from to Eowners assn DEFT. Description of Home Occupation: sac h 0 Gu %me. -�1921 40 b b k2,2 D/l Z;We S2 kS 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. t 0 FLOOR PLAN (___Basement _ 0 floor _2m floor) Floor area of dwelling /Jr04 Floor area of home occupation /19 l' !O : /Vd SF %of floor area devoted to home occupation /J 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 Signature of Owner PWA4Date .0 /3 Cc:Assessor,Building Street File 1400098 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 04/09/2014 GIS ID: 54600124 FEE: 30.00 MUNIS APPLICATION# 201400319 , `z.. BUILDING DESCRIPTION: APPLICANT' LOCATION NAME: NEWINGTON ELECTRIC CO. IN ADDRESS: 124 LONG HILL ROAD ADDRESS: 16 PROGRESS CIRCLES OWNER POLITE CYNTHIA M NEWINGTON,CT 06111 ' 124 LONG HILL ROAD z Y, SOUTH WINDSOR,CT 06074 ;4 DESCRIPTION OF WORK: 200 AMP SERVICE UPGRADE. NEW METER PANEL,RISER, AND GROUNDINGS. , p 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 4/9/2014 10:12 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE