HomeMy WebLinkAbout147 LAUREL ST .1!;7
L
E.
PXW.r-_ii',Y OF
L. U H---L 3 T R-E E T SOUTH WINDSOR0 CC!'I,.
Being Lot No. 57 on map entitled "Kap of IiiGIODLAND AC ES Avery Street-
South Windo,sr, Conn. Property of A-melia E.Blozie., Developer lull;as
Peck, Scale 10 501 A-Dr.18, 1959 Hayden L. 37riswold C.E. "
Sheet 1 of 2
Scale 1 " = 50'
Hayden L.Griswold C.E.
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LAUREL SOUTH 41NDSOn, CONS+.
Being; Lot No. 57 on map entitled "Kap of WOODLAND AChE5 Avery Street-
South Windosr, Con. . Property of A,:.etia E.Blozie, Developer „ill;am
Peck, Scale 1" 50' Apr.18,1959, Hayden L.sriswold C. Z. 11
Sheet 1 of 2
Scale 1 " s 501
Hayden L.Grisuold C.E.
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 147 Laurel Street Date: /�
HVAC #
Sprinkler# 30431
- - - - -- - Estimated Cost $.3c94c� aye
FINAL APPROVALS F100101- SIGMN
- - , � PermitFee $
Building PLETE RED BOXED AREAS Occu an Fee $
Engineering TYPE OR PRINT ONLY Eng.Insp Fee $
AffidavitAppr. for CO. ON REVERSE SIDE ! Total Fee $
i
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant D&iA p aryA Location of Work c4cA,—� S T" Lot No.
Applicant's Address Tel.# y —i 7
Town �D. G!/�� C%i. Zip 6 6 U7,V Lic.# 5`00 —/L s"
Owner Architect
Owner's Address/1�7 � "Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st Fl. 2nd Fl. 3rd Fl. Total New Area
Purpose of this permit
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO Are, Basement Garage
Approved by Use Group-- Construction Type
Revised 6102
I hereby agree to conform to all the requirements of the Laws of the Stab of Urine is t and ttls Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the phm or aF Aft adorts of the Building for which this
permit is asked,and agree that this building fs to locpted the proper diadnos 1Mo strsst kw,side yard lines,and required
distances from all otter zones and is located in ich Oft bui
Signe
I hereby apply for a Certificate of Occupancy for the work described In 1Ms appkd1lon for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT
APPROV D . 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg. Permit#
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT E ��f'1"t C
APPLICANT ADDRESS Dr I
- C-T- ncc IIl -
APPLICANT PHOtY# _S u Q u uc l q,41
O W N S OWNERQ 1'�U ichn f1C1 rl
> 4� OWNER ADDRESS �-
or CT O
:4 < VUIn�� com A
Y OWNER PHONE
C ESTIMATED COST$ af—i� .OC)
IS THIS A CONTRACT COST? _Yes _No
f �G FEE ENCLOSED$ y S • C,� Z — �S
` TYPE OF JOB:
SO CO
S4ew Installation
Iteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑YES ❑ NO
SIDENTIAL
J4BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
O MERCANTILE FUTURE USE AND OCCUPANCY
0 EDUCATIONAL
0 INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
0 STORAGE
0 GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION/WIRING METHOD 3U3 L PH
SIZE OF SERVICE CLMD SIZE OF MAIN CONDUCTORS_# �(� UV
NUMBER OF METERS�_ NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS�_ REMOTE DISCONNECT REQUIRED? ❑YES 0 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 SUBMTI"TED.
DESCRIPTION OF WORK
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.
10� E
CONTRACTORS LICENSE NO. TYPE ST TE
SIGNATURE OF APPLI�/ DATE