HomeMy WebLinkAbout131 BIRCH HILL DR APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Ap ere BUILDING DEPARTMENT
13no a 33
P
r ROVED 1540 SULLIVAN AVENUE
Bldg. Permit
#
644-2511 ext. 230
Date ing Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 1 :3 / 6,2c b >4, it-
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS S C S y�;j A IL
APPLICANT'S PHONE# G c,
OWNER
q OWN SFq< OWNER ADDRESS J 3/ B% •/:// c01< .
5 GJ n.'{7 so 2 L f
OWNER PHONE G o 9 7 F-,CZ 7y
ESTIMATED COST$ /-el o
V IS THIS A CONTRACT COST? X Yes No
_ FEE ENCLOSED$ 3 62, o a
TYPE OF JOB:
r
�SOR.COS New Installation
Alteration/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 0 NO
RESIDENTIAL CURRENT USE AND OCCUPANCY . .v
❑ 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
2 cc; —,g.eF19���S
SIZE OF SERVICE 10 /O /f SIZE OF MAIN CONDUCTORS y�a
NUMBERS OF METERS / NUMBERS OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES )2f NO
NUMBERS OF LIGHT CIRCUITS / Z- NUMBER OF POWER CIRCUITS f
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS G 4 4 r is 1/z
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
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
4 ' l03 LGS 4;-/ C-' .
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT .0 DATE s�9/i3
�-�
A Y-
L-iL—i Lr - a 4
(N
PROPERTY OF
NO . BIRCH HILL DRIVE SOUTH WINDSOR , CONN .
Being Lot No. 12 on map entitled " BIRCH HILL FSTATLS Foster Street
South Windsor, Conn. Property of U & R Housing Corp. Scale il " zz 10(, '
Date : Jan . 'All , 1963 Hayden L. Griswold C . 1;."
Scale 11, = 50 ,
HAY*OEN 00111SWO1.1) C .1".
t .f
I
U U
IN
�D
i53•�0 � 1
PROPERTY OF
NO BIRCH IIILL PRIVF: SOUTH WINDSOR , CONN .
Being Lot Ro . 12 on map entitled " BIRCH HILL I-::iT �T1,S Easter Street
Sout}. t-lindsor, Conn . Property of 11 t- R Housing Corr . Scale V - 10( '
Date : Jan . '211, 1963 Hayden (•riswold C . i, ."
Scale 1 " 50 '
HAYDFN, L. GRISWOLD C .F.
DANN
ED
1300233 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 05/22/2013
GIS ID: 11400131 M< ,. « . FEE: 30.00
MUNIS APPLICATION# 201300635 t=f''j µ ^BUILDING DESCRIPTION:
lU
APPLICANT w;j+�. '` &�>� 1c ' LOCATION
NAME: D.D.J.ELECTRICAL CONTRACTORS,INC. ADDRESS: V1 BIRCH HILL DRIVE
ADDRESS: 50 SUMMER LANE OWNER AMES JEFFREY H&ALISON S
ROCKY HILL,CT 06067 t ,` ; -' i' �• s , ; "F_y 131 BIRCH HILL DRIVE
` lSOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: CHA GF,I�po AMP SERVICE WITH FUSES TO 200 AMP,WITH CIRCUIT
BRE KERS�.+)' ,ti
Yy'iJ✓n � `wwy."`"'T.^"»..au--` - ..a.r >"'4 F`L M� �� .i :
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDAN IE WITH`THE'APPLICATION AND•PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: ^..: ._.,_ BUILDING OFFICIAL
5/22/2013 11:14 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE