HomeMy WebLinkAbout126 BROOK ST �b 6g2645`?
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 11$38HYt8Street FDate: 4 Z3 l3
HVAC# 11 00 166
Sprinkler# Estimated Cost $ 1605 "
FINAL APPROVALS Permit Fee $ v t�
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng
Appr.for CO. . Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE /
Total Fee $ 30
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ A::-9 i35G
The undersigned hereby applies to do work according to the following:
Applicant -THD A+-NOrI'12 SZ® JCPS LocationofWork ll8 Or-COWL "9+ Lot No.
Applicant's Address QOS Boston Trok¢ LAnH- 41 Tel # (4<31)+4-7-7I72
Town Shrewsbury, MA Zip 01154S Lic.# 056552Z
Owner KeVin + Z.1& R1C,per Architect _
Owner's Address 112 11520k Sri Architect's Address
S U4% Windsor, G.T Zip O 6074- Zip _
Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit =rl9iall (5) MplGtG2Meri+ bca e&Lex1F i' 2C'WI�1dGu�.S
00 c
City Water> Well 0 Septic System J Sewer❑
nd0
Ins: HO SPI.. Area Basement Garage
Approved by u Dat 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 which this building and its use is allowed.
Signed
I hereby apply for a Certificate of O �cy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
MNML�pFR: PA 17-176
AND
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Appl' n is BUILDING DEPARTMENT
r o
7!p 1540 SULLIVAN AVENUE
Bldg. Permit#
644-2511 ext. 230
Date ding Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE &e- cx Sir=-,-
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt. No.
APPLICANT
APPLICANT ADDRESS 3
/7 Sar cS
APPLICANT'S PHONE# �
r J ' SQ�—uc�3I
OWN Sz OWNER `JCLt//C J�4�►rrl �!� I
( q� OWNER ADDRESS p '
OWNER PHONE C,-- GYyj/xyy.
ESTIMATED COST$ �S-D
IS THIS A CONTRACT COST? es No
FEE ENCLOSED $ IS '0O
C.) TYPE OF JOB: 5a 116 0
SOR•C0 New tallation `�97
Alteratnison/Addition/Repair
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
C3 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
bB � o rn eie cat T%c/G /o
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 _
1-5-'1 /&,Y3 S �/
CONTRACTORS LICENSE NO. TY E STAT
SIGNATURE OF APPLICANT DATE ��
1100118 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 05/27/11
GIS ID: 14400126 FEE: 15.00
MUNIS APPLICATION# 201100497 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: RILEY ELECTRIC ADDRESS: 126 BROOK STREET
ADDRESS: 39 CIRCLE DRIVE OWNER: KAMINSKI DAVID J
WINDSOR LOCKS,CT 06096 126 BROOK ST
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: CHANGE SERVICE ENTRANCE CABLE FROM BOTTOM OF METER SOCKET
ONLY:(EXISTING 100 AMP SERVICE)
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
5/27/2011 1 1:01 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE