HomeMy WebLinkAbout199 ABBE RD APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT y C)0 rap
APP 1540 SULLIVAN AVENUE
1�4— �!- V 644-2511 ext. 230 Bldg. Permit It
Date Building Inspect a(
Application must be printed or typed
FEE SCHEDULE ocation of Job:
$041,000=$15.00 , C/ 9 AmL �d
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt. No.
APPLICANT KI i /'C, i✓L�
APPLICANT ADDRESS 60, 0 r /3 Ck / 71
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7-APPLICANT'S PHONE #
OWNER j� L AI �� �' U"! A
��W N S fq< OWNER ADDRESS r-
OWNER PHONE
ESTIMATED COST
IS THIS A CONTRACT COST? Yes ---No
FEE ENCLOSED$ aD . 67)
TYPE OF JOB:
�dSpR•CO --'N"ew Installation
Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES,,4'1Q0
RESIDENTIAL CURRENT USE AND OCCUPANCY
❑ 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/WIRING METHOD /VZ I✓
SIZE OF SERVICE U 5 SIZE OF MAIN CONDUCTORS D S z (-
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/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
13
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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 PERFOR-
MANCE OF SUCH WORK C
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CONTRACTORS LICENSE NO. TYPE STATE
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SIGNATURE OF APPLI� 0 n � .�CC �Ll DATE C_ 614 I
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1400500 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 12/23/2014
GIS ID:00600199 FEE: 30.00
MUNIS APPLICATION# 201401800 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: C&G ELECTRIC, INC, ADDRESS: 199 ABBE ROAD
ADDRESS: P.O.BOX 177 OWNER: MOQUIN KENT L&ROBIN B
WEST SUFFIELD,CT 06093 199 'ABBE ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REPLACE EXISTING 200 AMP SERVICE DAMAGED BY WATER,WITH NEW
200 AMP SERVICE.
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
12/23/2014 10:32 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE