HomeMy WebLinkAbout151 WOODLAND DR APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERNIIT#
AppIica ' ' BUILDING DEPARTMENT �2 10�
jAP OVE 1540 SULLIVAN AVENUE Bldg:Permit#
644-2511 ext. 230
Date Qtdding Inspector ,
Application must be printed or typed
FEE SCHEDULE I Location of Job:
$0-$1,000=$15.00 C) S r
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT C G 1-I ec,�,jc L/-C nn
APPLICANT ADDRESS �2 7 �,l
(' 7' c)CaG7 /
APPLICANT'S PHONE# iSG 0 0 3- -- 9 3 3 c
OWNER IP P,, C
OWNER ADDRESS / S / l,/o 0 j I r,
O OWNER PHONE
C ESTIlAATED COST$
IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED•$.
0
r °. TYPE OF JOB:
OR-00 New Installation
Alteration/Addition/Repair
�417oo s-o
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH�A
ZRESIDENTIAL
BUILDING PERMIT APPLICATION? ❑ YES �'N0
CURRENT USE AND OCCUPANCY
❑ BUSINESS
❑ ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
Q. STORAGE ADDRESS
❑ GARAGE
0 MIXED USE CITY STATE ZIP
(Other please`specify)
TYPE OF INSTALLATION/WIRING METHOD,
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS .,
NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO
NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
-NUMBER OF SWITCHES. NUMBER OF OUTLETS
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUIT'S
NUMBER'OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
cro :mow,
Sal .� .
wIce ����� duP� �l �� c Rs act32'�9s
TIRE 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. TYPE STATE
SIGNATURE OF APPLICANT G� /) /� DATE
f _ i
T r
PROPERTY OF
NO. OODLBND DRIVE SOUTH WINDSOR, COI4 ; .
Being Lot No. 38 on map entitled 111dap of WOODLAND ACr M AVERY
STREET SOUTH WINDSOR# CON.;;. Property of Amelia E. Blozie,
Developer William Peck, Scale 1" = 001 , April 16, 1959
Hayden L. Griswold C.E. "
Seale 1" ■ 501 June 7, 1961
Hayden L. Griswold C.E.
1700161 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 06/02/2017
GIS ID:96900151 FEE: 45.00
MUNIS APPLICATION# 201700650 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: CLG ELECTRIC LLC. ; ' ADDRESS: 151 WOODLAND DRIVE
ADDRESS: 77 WOOD ROAD " p „ OWNER: CLOUSER DOUGLAS C&EILEEN R
SOMERS,CT 06071 151 WOODLAND DRIVE
Y SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: 200 AMP SERVICE UPGRADE OVERHEAD AND INSTALL NEW OUTLETS
THROUGHOUT HOUSE. CRS NO.2932495
v
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP:
6/2/2017 2:39 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE