HomeMy WebLinkAbout186 LISA DR 0
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APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE)860-644-2511 EXT.230
DEPARTMENT DECISION PERMIT NUMBER:
APPLICATIO BY: �/_7
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PROVE BLDG.PERMIT NUMBER:
DATE IT,
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LOCATION OF WORK: / �`�✓ �� d 1 r , -
APPLICANT: OWNER: TYPE OF STRUCTURE:
` {� ❑NEW BUILDING
NAME:�Z q6r U F-f ec 'C I�I i N C n_ NAME: ! ►1 e I�e G ` ❑ADDITION
PHONE NUMBER: 8 ,_ 6�) -I4 U PHONE NUMBER: 7L9 9j� f EXISTING BUILDING
ADDRESS: (d 3 C C (Z k ADDRESS: C_I S 1_X'� -
TYPE OF USE:
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ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF INSTALLATION:
SIZE OF SERVICE:
SIZE OF MAIN SERVICE:
NUMBER OF METERS: J(�I �e S �� "' e
NUMBER OF PANELS:
NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S /��o b
NUMBER OF SWITCHES:
NUMBER OF LIGHT FIXTURES: / FEE ENCLOSED:S 36
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NUMBER OF A/C CIRCUITS:
FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST.
NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT
IS$1.00 OVER (16 CENT EDUCATIONAL FEE INCLUDED AS
NUMBER OF OUTLETS: PART OF THE PERMIT FEE)
THE 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 PERFOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: TYPE: STATE: L711
—
SIGNATURE OF APPLICANT: DATE: �d
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5/21/2021
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Town of South Windsor Building Department
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Building Permit: BLDP-21-198
APPLICANT
NAME: Christopher Soverns
EMAIL ADDRESS: Chris@risingstarroofing.com
ADDRESS: 12 Sea Pave Rd
South Windsor , CT 06074
LOCATION
ADDRESS: 186 LISA DR
South Windsor CT6074
OWNER: KEEGAN KEITH & MICHELLE D
186 LISA DRIVE
SOUTH WINDSOR CT 6074
DESCRIPTION OF WORK:
Complete roof system replacement with ice and water over the whole roof.
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April 13, 2021
BUILDING OFFICIAL DATE SIGNED
—ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT-
-PERMIT ONLY VALID IF-SIGNED-BY BUILDING OFFICIAL—
1900162 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 05/01/2019
GIS ID:54000186 FEE: 36.00
MUNIS APPLICATION# 201900701 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: STAFFORD ELECTRICAL,INC. ADDRESS: 186 LISA DRIVE
ADDRESS: 123 CRYSTAL LAKE ROAD OWNER: KEEGAN KEITH&MICHELLE D
186 LISA DRIVE
TOLLAND,CT 06084
DESCRIPTION OF WORK: INSTALL 12 NEW RECESSED LIGHTS IN DINING ROOM&LIVING RM
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDIN F ICIAL
5/1/2019 9:49 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE