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 �-
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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.
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CONTRACTORS LIC "PE STATE
SIGNATURE OF APPLIC DAM—
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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
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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