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Home My WebLink About140 OVERLOOK RD APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED TH A BUILDING PERMIT APPLICATION? f9 YES ❑ NO ❑RESIDENTIAL ❑ BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ❑ FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING 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 07�,Dkm IFIC—V I4"4L 5U1j""/1- (JI Lr&rf r (J/ 5 Lk3 (rcl( (4) O-v��s 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 PERFORMANCEtlOF SUCH WORK. CONTRACTORS LICENSE NO. / TYPE STATE SIGNATURE OF APPLICANT _ _� J DATE Revised 4/01,`r:002 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT - PROVE 1540 SULLIVAN AVENUE Bldg.Permit# rob (-)79 644-2511 ext. 230 1/17ate (ding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: �r - $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 _ or any fraction thereof Tenant Designation Apt.No. APPLICANT a � G ' /,�'G t G APPLICANT ADDRESS N 010o Gtl mil' APPLICANT PHO # Ike D G 0 ? O W N S f OWNER � q� OWNER ADDRESS Ob OWNER PHONE 616LizZ S C ;D ESTIMATED COST$ U a IS THIS A CONTRACT COST? Yes No o o' ems✓ FEE ENCLOSED$ �� TYPE OF JOB: S O R•C _Ne Installation AIteration/Addition/Repair 6: H 4,1 73 9 51.pric TA H kid ql. NO South Windsor 13UILDING DEPARTMENT >b THE BUILDING DEPT. TOWN Of SOUTH WINDSOR olis certified that this plan and specifications are true -.-v-s of the proposed building or alterations to be 170 C v C"26a l Street t+,cr with amendments stated in application and yf I o.:th plan and 1 agree to comply with aY zoning. •nq and state laws and such orders as shall be d by the Building Department during pendency this application and final Issuance of a building ';ned l'lie'vs 79, pis pl_in is approved subject to thn condition that :t rs and ordinances regulating building shall be with. Conditionally Approved These filed with Building Inspector EIlII1 alt. m; s7 L 64� } OF C ,...,'��''„ ,�E [..'� •, c-cd t,;:i!d!nE;'S , u: CAcli r � Enf fi�C�l"i:(}L -• ,• � o Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 140 Overlook Road Date: 7 C1 1' HVAC # Sprinkler# 30168 Estimated Cost $ FINAL APPROVALS - - _—_-- ----- -- - - Permit Fee $ Building COMPLETE RED BOXED AREAS Occupancy Fee $ l Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr. for CO. SIGN ON REVERSE SIDE �? t - - -- - - - -- -- -- �i Total Fee l TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional lost) $ The undersigned hereby applies to do work according to the following: -- ` (5 94�= 57 5- Applicant JTbo Fft MC 6C*fFd tW Location of Work jq() pr Lot No. Applicant's Address l.3 it Ilcfh2(A- 0 Or Tel.#(Vc-c) C74 - I Z3ef Town 4' r rr-() Zip FJ� t C9 B Lic.# ("? 2-1 4 Owner E.t �gar-e;f4rLA I'�i r=N" i C-L-0 Architect Owner's Address It', Architect's Address ��4 I Nose^ G� Zip 6 7 Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit Gf2, ,cf N t7c ,� i 2 ' X I q Sc3 City Water Well❑ Septic Systemo Sewerm/- p Cert.C'"J ` t' ea Baseme t Garage Ins: HO Date 1 j 0 Use Group Construction Type Approved by — Revised 6/02 I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinanca s of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Buik,ng for which this permit is asked,and agree that this building is to be located the pr per di tance from all street lines,side yar,_lines,and required distances from ail other zones and is located inis buildin and it use is allowed. Signedl7l-- J I hereby apply for a Certificate of Occupancy for th des ribed in this application for the pem t. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS `. �ye `i 73 ift -L r L