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Home My WebLink About19 FOSTER ST APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Appli on i y: BUILDING DEPARTMENT APP>�O 1540 SULLIVAN AVENUE I'1$ 644-2511 ext. 230 Bldg,Permit# Date ilding Inspector . Application must be printed or typed FEE SCHEDULE /y Location'of Job: $041,000=$15.0U Over$1,000— Street No. Street Lot No, $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT `� lSGuv I Y c, �C 7 E t C Tr,— APPLICANT ADDRESS F(,—% vLc� APPLICANT'S PHONE# u 1 Q - S Sal OWN S�' OWNER S� �� c", OWNER ADDRESS 1 4-U v c,4 C OWNER PHONE y G � ESTIMATED COST$ IS THIS A CONTRACT COST? yes 12 — No FEE ENCLOSED$. TYPE OF JOB: CaK\ dsOR•C0� New Installation `l _Alteration/Addition/Repair -201 0 0 lt�3 Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH BUILDING PERMIT APPLICATION? ❑ YES �'NO RESIDENTIAL CURRENT USE AND OCCUPANCY IL �= ❑ BUSINESS ❑ ASSEMBLY 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<WMING METHOD SIZE OF SERVICE L(:-)CG .iA, '; 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 D(TURES NUMMER OP.HEAT CIRCUITS NUMBER-OF A/C CIRCUITS SEPARATE HEAT LOSS AND AIC CALCULATIONS MUST BE SUBAM'rED. DESCRIPTION OF WORK -� � E � ,� o � . vex --- /�ram) G _C THE UNDERSIGNED HE ARBYAPPLIES 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. STATE SIGNATURE OF APPLICANT DATE Lj �C 6 C 25f i)d(J a s DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT sn:2a2a APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector - Application must be printed or typed FEE SCHEDULE Location of Job: (9 fdS+� � + $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS LA A y% C&S r4arlp APPLICANT PHONE# O W N S Fq OWNER OWNER ADDRESS O 14ar,-� (3farJ— C-UVJ2V-,ty-!A OWNER PHONE (, a L y(o ESTIMATED COST$ .� IS THIS A CONTRACT COST? _Yes No FEE ENCLOSED$ r�Os O�� TYPE OF JOB: ! �� R C _New Installation --fAlteration/Addition/Repair Revised4/01//2002 I APPLICATION FOR ELECTRICAL PERMIT (continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES 14 NO El BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL O INSTITUTIONAL U FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑M[DCED USE CITY STATE ZIP (Other Please specify) TYPE OF INSTALLATION/WIRING METHOD 1 SIZE OF SERVICE V G' SIZE OF MAIN CONDUCTORS /3 A L NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS ( REIVOTE DISCONNECT REQUIRED? ❑YES *NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUNBER 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 / "3y U� ` 5TK I i y A ?,?,841 5 FT. I C(4 IJ� 0 -C�,l 1 ,} o co d �;� ��w Z' r 0 s i --o C7.hKLAN0 ". FOS't'17--ft STF?EET a it PRcSa_CITY Os= J ICO 2 ..Z .._ ._._ _.._.. \ So. WIND;ORS_ CONiJ, �U R'� 1 ROBERT H. CHAMBERS.C. e C�.�.1_1 FIc.0 S u -SURVEYOR - CIVIL ENGIN@ER C•OM�L.1Lv W1T'ti ZgNt�3� 1:EG1�t,_/i�S'ICrl�j. L4`'� 9 •k ;�,a� ROCKVILLE.CONN. ^ Al ) ry�w U J 1600199 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 05/04/2016 GIS ID:33600019 FEE: 30.00 MUNIS APPLICATION# 201600443 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: JET ELECTRIC ADDRESS: 19 FOSTER STREET ADDRESS: 49 TIFFANY ROAD OWNER: GARICK SANDRA EAST HARTFORD,CT 06108 145 BOLTON BRANCH RD COVENTRY,CT 06238 DESCRIPTION OF WORK: INSTALL NEW 200 AMP OVERHEAD SERVICE,NEW GROUND TO COLD AND WATER CONNECTION. 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 5/4/2016 9:45 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE I