HomeMy WebLinkAbout182 LAKE ST APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
APP O 1540 SULLIVAN AVENUE
i l_I p • �-
r 644-2511 ext. 230 Bldg.Permit#
Date Building Inspector
Application mast be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000 $15.00 1 �2- L&I,C� S� .
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT c- IA C
APPLICANT ADDRESS 1-0\ Nye n'tic-ra\o A r. '+ �L1C C T- U 6 do 5
APPLICANT'S PHONE# t o-z� bb 5
OWNER e.r
�W N S f.4 OWNER ADDRESS' 19 2 l.�kc C
OWNER PHONE &0 6 ut-( - S 3 Q 3
C ESTIMATED COST$ N ,qUO
a C.� IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$ �
o . o
r TYPE OF JOB:
SOR-CO New Installation
Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUTLDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? O YES ❑ NO
JCRESIDENTIAL CURRENT USE AND OCCUPANCY
❑ BUSINESS
O ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
O INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
❑ 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
NUMBER OF A IC CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
tnn o k
THE UNDERSIGNED NEARBY 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
IA14,2y C- C
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT__
DATE
N/F N/F
ROBERT M. & JOAN T. DOUGLAS R. S
LEVINTAN BARBARA P. ZIEGRA
N34o-38 N/F EUNICE W.
oo f MORGESTER
/45 3O�
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154.-26
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PROPERTY OF R.S. K. CONTRACTORS INC.
t&2- LAKE STILFE'T SOUTH WINDSOR , CONN.
i
EMIL W . LUCEK ASSOCIATES
NO. REVISIONS DATE SCALE I" - 40 DATE 4-3 - 79
CONSULTING ENGINEERS
S OAKLAND ROAD DRAWN A.V.H. CHECKED E.W.L.
SOUTH WINDSOR. CONN.
203-541.2474
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ROBERT M. I! JOAN T. DOUGLAS R. a
LEVINTAN BARBARA P. ZIEGRA
Nis ,3R N/F EUNICE W.
J00 E MORGESTER
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Mt LA KS ST"ST SOUTH WINDSOR , CONN.
l EMIL W . LUCEK ASSOCIATES
NO. REVISIONS DATE SCALE I• • 40 DATE 4-3 - 7!
CONSULTING ENGINEERS 1 AS M LT
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SOUTH WINDSOR. CONN.
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EXIST. EDGE PAV'T
DORIA LANE
PROPERTY OF R.S. K. CONTRACTORS INC.
i �61- LA Kf STILFFT SOUTH WINDSOR , CONN.
EMIL W . LUCEK ASSOCIATES
j NO. REVISIONS DATE SCALE IN = 40 DATE 4-3 - 79
CONSULTING ENGINEERS
5 OAKLAND ROAD DRAWN A.V.H. CHECKED E.W.L.
SOUTH WINDSOR. CONN.
203-644-2474
PROJEC -241 SHEET
CERTIFIED SUBSTANTIALLY CORRECT - DEGRE OF ACCURACY - FOR l-D1 6 PURPOSES
Electric # APPLICATION FOR BUILDING PERMIT
Plumbin # 182 Lake Street
HV 11909449 Date:
Sp
ri er a
FINA �ALS Estimated Cost $
Building COMPLETE RED BOXED AREAS Permit Fee $ 500
EngineeringC S 29 _ TYPE OF PRINT ONLY Occupancy Fee $
Eng. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE t
Appr.forCO. Total Fee $ 360
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 10 O
The undersigned hereby applies to do work according to the following:
Applicant Z Location of Work LAKE M-_ Lot No.
Applicant's Address S Tel #
Town CaaLL 'B Cf Zip OW I ZO Lic.# f{lC 5o?/07
Owner Architect
Owner's Address I%Z I-A ALE S r Architect's Address
9" V31-sp6Cx.7" Zip Zip
Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd Fl. Total New Area
Purpose of this permit
St n/
City Water 0 Well 0 Septic System J Sewer LJ
Ins: HO Sj t. Area Basement Garage
Approved by Date I Use Group Construction Type
Revised 1108
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located*whis buil g and its use is allowed.
Signed -__I hereby apply for a Certificate of for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Pk P-
MIT -
VA 7-176
AND
CGS 29,393
11000448 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 09/13/11
GIS ID:51600182 FEE: 300.00
MUNIS APPLICATION# 201101009 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: EXTERIOR ASSOCIATES INC ADDRESS: 182 LAKE STREET
ADDRESS: 163 DEPORT STREET,; OWNER: METCALF-MADLER PAMELA J&MADLER
BROAD BROOK,CT 06016 182 LAKE ST
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALLATION OF NEW VINYL SIDING&RE-TRIM EXISTING WINDOWS.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: - b. t BUILDING OFFICIAL
9/13/2011 12:12 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1400454 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 11/26/2014
GIS ID:51600182 FEE: 30.00
MUNIS APPLICATION# 201401594 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: MC ELECTRIC ADDRESS: 182 LAKE STREET
ADDRESS: 29 MONTICELLO DRIVE OWNER: METCALF-MADLER PAMELA J&MADLER
BRANFORD,CT 06405 182 LAKE ST
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALLING HOOK UP FOR 750OW ROLL OUT GENERATOR WITH
INTERLOCK KIT.
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
l 1/26/2014 11:08 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE