HomeMy WebLinkAbout135 VALLEY VIEW DR APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT 160 0-3LH—
APPKIOVVR 1540 SULLIVAN AVENUE
n �-
644-2511 ext. 230 Bldg.Permit#
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0 $1,000=$15.00
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT � �� ��X eo SlGr D�hZ yl1, �'�WN�(T�or� o r Cr- &L6
APPLICANT ADDRESS )0, d, ieYo X Sa/
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APPLICANT'S PHONE#
OWNER '>o..JMA
q0W N St OWNER ADDRESS
t; 66- 6 Y8 Sao
OWNER PHONE �
Cr ESTIMATED COST$ /ROe __--
,.� U IS THIS A CONTRACT COST? , Yes No
�► FEE ENCLOSED$ �1
TYPE OF JOB: ;4Z 61 70
��$OR.CO Ct New Installation 1 /5.,C
Alteration/Addition/Repair
Revised 03/05/10
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APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
,- —RESIDENTIAL CURRENT USE AND OCCUPANCY XTs-
❑ BUSINESS
❑ ASSEMBLY FUTURE USE AND OCCUPANCY er S.
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑ MIXED USE CITY ST ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE 0250 SIZE OF MAIN CONDUCTORS
NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES 9-NO
NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS /O
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS /O
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
CONTRACTORS LICENSE NO. STATE
SIGNATURE OF APPLIC DATE
1000344 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 11/30/10
GIS ID:91200135 FEE: 30.00
MUNIS APPLICATION# 201001587 BUILDING DESCRIPTION:
APPLICANT.- LOCATION
NAME: THE MAIN CONNECTION OF.CT LLC` ADDRESS: 135 VALLEY VIEW DRIVE
ADDRESS: PO BOX 501 d OWNER: MULCAHY DONNA L
SOUTH WINDSOR,CT 06074 135 VALLEY VIEW DRIVE
„I SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: 200 AMP-SERVICE UPGRADE
4
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PL]kNS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
11/30/2010 2:19 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE