HomeMy WebLinkAbout1511 SULLIVAN AVE APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT d� S
APP O 1540 SULLIVAN AVENUE
( Permit#� . b Bldg.644-2511 ext. 230
Date Bull
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 -_�� It Sylli'yA/J 4J-
Over$1,000= Street No. Street Lot No.
1
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT G >`15 O n1��,� o J ( 'r
APPLICANT ADDRESS
EAt
APPLICANT'S PHONE# 9�p D - 5rai7 7y8
OWNER V 44A—)
OWNER ADDRESS -2
O OWNER PHONE 74/0
-
C ESTIMATED COST$ /6 Qd.D G
C� IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$
f TYPE OF'JOB: Z
OR•CO New Installation
Alteration/Addition/Repair
J61 SvocP S13
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERNUT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A.
BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
❑ RESIDENTIAL CURRENT USE AND OCCUPANCY
❑ BUSINESS
Q. ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
Q. STORAGE ADDRESS
❑ GARAGE
❑ 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'CIRCUITS
NUMBEWOF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
THE UNDERSIGNED HEARBYAPPLIES 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. E STATE
SIGNATURE OFAPPLICANT c DATE_ 6
No.
TOWN OF SOUTH WINDSOR
COMPLAINT FORM
Date:
Complainant Information:
Name: 1 Ora
Address: rS l ) S w I )c V cc,`, 6t41--e—
Phone Number: _ Sgt7
Location/Address of Complaint: Ji>U uctar, G-ne
Description: cc�u�, ametcr r-- ,. zry ck _ C �r
Signature.
For office use only /
A n taken: '/0 -0
v
qkk., v*,j /w v AP 1 l&s., d6Sr»ur-Tm
G (AL czm Iry G, 7A4"tom
LIiUa C4,jP1A6Q . Chi U/t!
Cwtc 4t
4,A
NIP-
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MAR 2 7 1991
soutt', Windsor
BUILDING DEPARTMENT
cop,. "t Ih,
Greeted at
w,.h
..Ld rd,rs a,, Ue
J,ring pan jency IIthe .j,rG cl a buUdLrl9
trlc pplication nnJ WIM j&S,
C7)C
jbj,(.t to the MfIdItiOn that
bujj,'Jr,,z shall b*
lhoso fited WRN
CIO(
3/'1� �/ ..n J��—�Lj/'
a"nCATM Of zotilNG COMPLIANCE
proposed bulldlng(S), use(s) andlor structure(s)
-S kj as shown on this plan appearls) to be In
conformance with current South Windsor
I-L regulations. Variances and special exceptions
may a0PlY-
Date
Date
gnfor;�40R-j
4
... . ............
IN17
.........................
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby:
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date ng Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
Is-it Su I I i VCc n /-� ve .
$0-$1,000=$13.00 Street No. Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 0+T EleClric Co2aorc f�on
APPLICANT ADDRESS PO 1 yC ��b '72 Lnci 115t r ►U. 1 PK
V e r ndn CT- O(oClo
APPLICANT PHONE
S#7 �S(PG- $'7:' oZ"i-7(o
O W N S F,Q OWNER 'r Ch()Q nnn - -
OWNER ADDRESS 16,11 L. 11 1 VCl r-N V e
CIO a OWNER PHONE 8 7 1- n�%(n Z
O
C ESTIMATED COST$ 475,
�l t�► U
IS THIS A CONTRACT COST? ❑Yes 0 No
FEE ENCLOSED$
S,OR-Co TYPE OF JOB:
ok/New Installation
o Alteration/Addition/Repair Revised 5/01
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH-lAA
BUILDING PERMIT APPLICATION? ❑ YES LINO
❑RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL ENGINEER'S NAME PHONE
❑FACTORY
❑ STORAGE ADDRESS
❑GARAGE
❑MIXED USE CITY STATE ZIP
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
CATiAt 60-k
k n<At' &Atnj
A u a4
&AVp aloo't
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.
f Z ZU9 5 ElectrrCa I CT
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANTC.� DATE �D d
1500151 TOWN OF SOUTH WINDS,OR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 06/02/2015
GIS ID: 87301511 FEE: 30.00
MUNIS APPLICATION# 201500653 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: GELSOMINO ELECTRIC LL'C "ADDRESS: 151 t SULLIVAN AVENUE
ADDRESS: PO BOX 380497 `" �". OWNER: CHAGNON VIVIAN L TRSTEE
EAST HARTFORD,CT 06138-0497 '` 1511 SULLIVAN AVE
.SOUTH,WINDSOR,CT 06074
DESCRIPTION OF WORK: SERVICE CHANGE 100 AMP. ;
CRS NO.2533593
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
6/2/2015 3:21 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE