HomeMy WebLinkAbout1400 ELLINGTON RD APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT 3Gc iy�_
AP D 1540 SULLIVAN AVENUE
�-0' ." 644-2511 ext. 230
Bldg. Permit#
Date Building Inspector _ --
Application must be printed or typed
FEE SCHEDULE f�j / Location of Job:
$0-$1,000=$15.00 I 0 �C(t.►1 Lo �2
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS ✓Ul V C-
Ivtert
APPLICANT'S PHONE# L 7,0"3 (,o3( 9630
OWNER Pot F- C1,
OWNER ADDRESS -iLlt7�
•lsdr-
&0) OWNER PHONE
0 M = ESTIMATED COST$ 2 ��
IS THIS A CONTRACT COST? Yes No
x /* FEE ENCLOSED$
TYPE OF JOB:
S R.0 R O New Installation
O
Y(A teratio /Addition/Repair
��13L� o31 �1
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 1q NO
RESIDENTIAL CURRENT USE AND OCCUPANCY *S(�P✓t /'(� l �
❑ BUSINESS
❑ ASSEMBLY FUTURE USE AND OCCUPANCY 16i-ytQi
❑ 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 zoo SIZE OF MAIN CONDUCTORS O
NUMBERS OF METERS ( NUMBERS OF DISCONNECTS AND RATINGS �Q
NUMBERS OF PANELS r NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ 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 //^ C,
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
rr DESCRIPTION OF WORK
010� Ct V` 44e,(V 0
�9rJ(Ce r Zo.)
�► _tic (.oilC(v If �GLS 2!0 Sz
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 WOJtK
1 C
CONTRACTORS LICENSE TYPE STAT
1
SIGNATURE OF APPLICANT DATE
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT
APPROVE 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date l n pector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT j1C uJ.0 O
APPLICANT ADDRESS /Lye S} --1
- T
APPLICANT PHONE# (� 2- g ' 0-
0 N � OWNER ✓C c'/off /5'TCvc•� ono..I�'e�
OWNER ADDRESS _M C'Cr+-�l�C , j
li!
OWNER PHONE V
C ESTIMATED COST$ ^'�/ 3/ S 10
IS THIS A CONTRACT COST? _Yes �No
Z. �� FEE ENCLOSED$
TYPE OF JOB:
SO R CO `— ew Installation
_Alteration/Addition/Repair
Revised 4/01//2002 Rio DL141
APPLICATION FOR HVAC PERNHT (Continued from reverse side)
TYPE OF SEA EM: TYPE OF BUILDING:
CMEATING 94- ESIDENTIAL
❑A/C ❑COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
C�'F�YDRONIC ❑WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKF,&MODEL NO.)
aC
GROSS HEATING CAPACITY(INPUT—BTUH) 2e' 4 JO NET RATING(OUTPUT—BTUH)
TYPE OF FUEL
3-OIL—GPM /-(/0 OIL TANK LOCATION:❑INSIDE❑ OUTSIDE CAPACITY
❑GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK Iee- �
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.
CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE Z 7Z e�)
Y PAOPERTY Or .
�. '',• .9 E N E V S I L L s UX
ELLINGTON ROAD -
SOUM WINDSOR CONNECTICUT
SCALE 1" ' 80�. - + _ AUGUST 'y - -ry..
Being the 66,! ft- s ma ". ft. lot of a Q p entitled R T e- . - � •• • . - ;�
subdivision Plot Plan, Property of William E. ae Carolyn G.
i
McGill, Ellington Rd.,, -So. Windsor, Conn. Scale 1" = 40,,
May 1972, Petersen do .Hoffman, Engineers." - -S
` .�. Nhr -
c�o WARD A. WILLARD
17
•.may }�.v .
.. J.
.- .•vim..
a � - -S. -rt• p ~cif
NIF AREA 66,4845a.Fr. NIF.
WILLIAM E Mr—GILL RENE
LEUX
E1L `• _3
ET AL
- 3a
so
\ Div r;
R R Z on/E
/7S.oo'
ELLIIV6TON
ROs►O
Building t7 be,, constructed - Knuse
I bereby certify that this mcp is g
••.• f c y Y Suildirg c,:mplet►d as
subst"nrially correct and thRt the ,.•• .':�':';�=F .'• shown 'on sketch 2n3 survey
zoning ordinances if the Town ofhereby :#
Is re-certified as
Sruth :indsir, C'%nn. have not been '' �f::i correct and zoning
violated. regulations not violated.. - '
T L rT °'1RIVEYOR LIr LAID 6URYEYOR
:, Pr
1300149 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 03/27/2013
GIS ID: 30301400 FEE: 45.00
MUNIS APPLICATION# 201300319 BUILDING DESCRIPTION:
APPLICANT 6 LOCATION
NAME: S.CHASSE ELECTRIC ADDRESS: 1400 ELLINGTON ROAD
ADDRESS: 66 FOREST AVENUE:f OWNER- f,,,-.:-KNAFEL HAROLD
MERIDEN,CT 06451.;
1. *i406'ELLINGTON ROAD
k
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: UPGRAQ81'.EXISTING 100 AMP SERVICE TO A.NEW200 AMP SERVICE.
TO BE'GROUNDED PER 2005 NEC-CRS NO.2104452
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCCWITH'THE"APPLICATION AND PLANS,APPROVED BY THE BUILDING DEPARTMENT.
41
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
3/27/2013 3:58 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE