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HomeMy WebLinkAbout16 LAUREL ST DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Apolication' ereby: TOWN OF SOUTH WINDSOR q f S 3 BUILDING DEPARTMENT PROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location of Job: FEESCHEDULE $0-$1,000=$13.00 Street No. Street Lot No. Over$1,000= $13.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT �O T 1 S 1 �fe'�f ���/"`�` i 1 c�^?.!•c t' APPLICANT ADDRESS I 0 )06 Lo rr I VQ f no n LT APPLICANT PHONE# _ !S 6 U 8 Q Qo y Ll U -7 W N S F OWNER J 1.1 ne -nn r o Y n q< OWNER ADDRESS 1 (0 �G u z l '- S W� rdSur C. T 0 Lb -7tl r OWNER PHONE bu to Ll L( 8 -7 3 q C C ESTIMATED COST$ .1 U +� IS THIS A CONTRACT COST? M Yes 0 No) tG �G FEE ENCLOSED$ I 0 U Y� SO CO�� TYPE OF JOB: R G New Installation B Alteration/Addition/Repair Revised 8/99 C RS-* 141r1agy . APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑YES KNO 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 (Other please specify) TYPE OF INSTALLATION/WIRING METHOD S 02 Ug L LF SIZE OF SERVICE 070 0 SIZE OF MAIN CONDUCTORS NUMBER OF METERS r NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? a$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 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 — 7—© s— Shirley Wilhelm-CRS Approval Confirmation: Request No.417994 Page 1 From: <clpsvc@nu.com> To: <WILHEL@SOUTHWINDSOR.ORG> Date: 4/20/05 2:21 PM Subject: CRS Approval Confirmation: Request No.417994 Your approval of the following CRS Request has been successfully processed. CRS Work Request M 417994 House No: :16 Lot No: Street Name: LAUREL ST Town Name: SOUTH WINDSOR, CT Inspector: CHRISTOPHER DOUGAN Approval Date: Apr 20, 2005 This e-mail, including any files or attachments transmitted with it, is confidential and intended for a specific purpose and for use only by the individual or entity to whom it is addressed. Any disclosure,copying or distribution of this e-mail or the taking of any action based on its contents, other than for its intended purpose, is strictly prohibited. If you have received this e-mail in error, please notify the sender immediately and delete it from your system. Any views or opinions expressed in this e-mail are not necessarily those of Northeast Utilities, its subsidiaries and affiliates(NU). E-mail transmission cannot be guaranteed to be error-free or secure or free from viruses,and NU disclaims all liability for any resulting damage, errors, or omissions. •aTM +\ ct w z w om rr kit Q i '3 Y Z �J ei ol zr 30 tV n � � d �' •�" to`' j r k M Iv V)�J 10 r 900 / ooe ° �xy,� �Q �C> d• H a L 2 ' �. �� r ►- • , ;y .. Q `' -� � air., .: r :; N .4.a:.r..:�.Lr•.+a�::�a:�lY�IO�uS.w.i..:le.:ieri:�liWGi9Jils✓1h-t'iSr?+� x._.�. -_- 1/Siu}iw �'t 1" y5:s,�,�j..,Aa.. ... �;::alb ie':,[S