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HomeMy WebLinkAbout170 NORTHVIEW DR DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT `` - APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 170 Nbrthview Drive $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT PJ Lodola & Sons Inc. APPLICANT ADDRESS 373 South Vain Street Windsor Locks, CT 06096 APPLICANT PHONE# 860-623-9991 O W N S Fq OWNER Royce Leather < OWNER ADDRESS 170 Nbrthvi ew Dri ve South Windsor, CT OWNER PHONE 860-289-4073 C _ = ESTIMATED COST$ 1,300.00 x IS THIS A CONTRACT COST? X Yes _No FEE ENCLOSED$ 30.00 SO -CoN TYPE OF JOB: R New Installation _Alteration/Addition/Repair Revised 4/01//2002 �3�0 APPLICATION FOR ELECTRICAL PERNIIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑ NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD Servi ce Change SIZE OF SERVICE 100 A SIZE OF MAIN CONDUCTORS #2 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 Service Chang,, 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. 01 zyaz� F . GT CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE Izo Q PRIMUS & WEL TI ENGINEERS Glosto;bury, Conte. Q 44 l::0 rp- A/ /-7 SVOUNDATION CHECKED DATE SCALE CERTIFIED SUBSTANTIALLY CORRECT SIGNED DATE SIGNED JUN s 2001 South Windsor BUILDING DEPARTMENT ro THE Obltull;, This certified that this plan and sprcihCatinns�•r� Copies of the proposed building or alieralivns t. erected at T10 00C'1EV together with amendments stated In applic flied with plan and I agree to Camply with Building and state laws and such orders r.s Issued by the Build Ing Department during p :. of this application and final issuance of a C. permit. :I Signed Y- This plan Is approved sublect to the conditin ; orders and ordinances regulating building ;f..l complied with. Conditionally Approved These filed wito Building Inspector --�/7-4—Giant Date yr LUIv11Vli cu viNLIANCE proposed building(s), use(s) andjor structure'. as shown on this plan appears) to be conformance with cu%rent South Wind .egulations. Variances and special exceptic?i.. -nay aP i to b Jl 0 1 cer Zc>>irf Enfcrccrnrnt �f.: PRiMUS a WELV ENGINEERS Gloatonbury, Conn. f \I. • .'_ + : AT.04 C1,ECK ED -;A �F SCALE CERTIFIEDSUMSTANT'ALLY CORRECT SIGNED OAT! SIONtD s' - 800256 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 08/22/2008 GIS ID:64500170 FEE: 30.00 MUNIS APPLICATION# 200801300 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: PJ LODOLA&SONS ADDRESS: 170 NORTHVIEW DRIVE ADDRESS: 373 SOUTH MAIN STREET OWNER: LEATHERS ROYCE K& 170 NORTHVIEW DRIVE WINDSOR,CT 06096 DESCRIPTION OF WORK: SERVICE CHANGE SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: a+A= - 'q OCCUPANCY GROUP: BUILDING FICIAL 11/23/2021 9:22 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE