HomeMy WebLinkAbout2 LOCUST ST APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PgRNM#
Application is hereby: BUILDING DEPARTMENT
APPRO . 1540 SULLIVAN AVENUE
z .y ,I t. W-2511.ext. 230 Bldg:Permit#
Date , Building Insp r ,
166 Q7-t �
Application must be printed or typed
FEE SCHEDULE ation of b:
$0-$1,000—315.00
Over$1,000— Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS
APPLICANT'S HO :# —
OWNER Ion
0W N S£'q� OWNER ADDRESS
O OWNER PHONE
C ] ESTIMATED COST$ 1g , qG<E
■'1 U IS THIS A CONTRACT COS Yes No
0
G FEE ENCLOSEI?$. 0.10
1� ' TYPE OF JOB: -A51e tp
�`SOR•C� New Installation
�* Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BU LDINc IS THIS APPLICATION ASSOCIATED WITH A.
BUILDING PERMIT APPLICATION? ❑ YES O-,NO
SIDENTIAL CURRENT USE AND OCCUPANCY
BUSINESS
O ASSEMBLY FUTURE USE AND OCCUPANCY
O EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
O FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑ MDCED 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.T_ NUMBER OF OUTLETS
NUMBER OFLIGHT FD{TURES NOUBML OF.HBAT CIRCUITS
NUMBER`OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
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
Ol c /
6
CONTRACTORS LICENSE NO. TYPE Siiif
SIGNATURE OF APPLIC DATE
Electric # l�D D��� APPLICATION FOR BUILDING PERMIT
Plumbing# nn
HVAC# .,L t-cS "" c� 1 -F ate:D — p
Sprinkler# Estimated Cost $ 13,312
FINAL APPROVALS Permit Fee $ 21 0 _-
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit Appr.forCO. No- SIGN ON REVERSE SIDE t
Total Fee
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost)
The unders' ed hereby ap lies to do work according to the following:
Applicant __ _ ocation of Work_ __ Lot No.
Applicant's Addre s __ Tel p a -6&
Town Zip -- Lic.#t jDn_tz-3'Y yArg-
Owner Architect
Owner's Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FIFI. 3rd FI ._ _ Total New Area
Purpose of this permit '. �a )6,0 (Dr,?V
City Water J Well J Septic System J Sewer J Jv
e �
Ins: HO _ Area Basement Garage
Approved by Date S, 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 in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
t 3301 N Thanksgiving Way,Suite 500
Lehi,UT 84043
Solarlicensing@Vivintsolar.com www.vivintsolar.com
Phone:885.877.2974 Fax:801.765.5748
October 26,2015
To whom it may concern:
I hereby give consent to Kelly Carson to sign as an agent to pull permits on behalf of Vivint Solar
Developer's Home Improvement Contractor's License No.HIC.0634382.Enclosed is a copy of our Home
Improvement Contractor License as well as a Workers Compensation Certificate.
Job site Address: ()s� �5L
Should you have any questions,please do not hesitate to contact me.
Best Regards,
l
Dan Rock,
Vice President,Installations
Vivint Solar Developer,LLC
INSPECTION FIELD SHEET 10/20/16
Printed by Peart, Dayshell 15:20 27
INSPECTION: 84550 rFINAL PERMIT: •
STATUS
APPLICATION: 201600381
LOC: 2 LOCUST STREET
SOUTH WINDSOR
PROPERTY ID: 54300002
OWNER: PEJRIL DANIEL & KATHLEEN
CONTRACTOR:
REQUEST BY:
PROJ DESC: 8 32 KW DC PV ROOFTOP SOLAR.
WORK ORDER:
INSPECTOR: DOUG,,....-�, 1 RESULT:
REQUESTED: YO�14/16 PRIORITY:- h r
SCHEDULED: 10/19/16 AM COMPLETED: c10/19/16
UNPAID FEES: 00 Date Time
MILEAGE: 00 TIME TRAVEL ONSITE
COMMENTS:
WENDY @ 1-413-331-0769
ALL INSPECTIONS:
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
10/19/16 DOUG PASS E010 ELECTRIC FINAL
r
]] 3301 N Thanksgiving Way,Suite 500
Lehi, LIT 84043
}' Solarlicensing@Vivintsolar.com www.vivintsolar.com
Phone:885.877.2974 Fax:801.765.5748
January 15, 2016
To whom it may concern:
I hereby give consent to Kelly Carson-to sign as an agen'tto pull permits on behalf of License No.
0188472-E1. Enclosed is a copy of my Electrical Unlimited Contractor's License.
Job site Address:A /00'y's� S]�
Description of Work: tz)w roe,
'-
3a F&A els
Should you have any questions, please do not hesitate to contact me.
Best Regards,
John F Neuman,
Electrical Contractor
License No. ELC.0188472-El
Vivint Solar Developer, LLC
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• INSPECTION FIELD SHEET 10/20/16
Printed by Peart, Dayshell 15 20 27
INSPECTION: 84550 FINAL PERMIT: •
STATUS
APPLICATION: 201600381
LOC: 2 LOCUST STREET
SOUTH WINDSOR
PROPERTY ID 54300002
OWNER: PEJRIL DANIEL & KATHLEEN
CONTRACTOR:
REQUEST BY:
PROJ DESC: 8 32 KW DC PV ROOFTOP SOLAR.
WORK ORDER:
INSPECTOR: CDOUG... w RESULT: ASS,, i
REQUESTED: IG/14/16 PRIORITY: r
SCHEDULED: 10/19/16 AM COMPLETED: a10/19/16
UNPAID FEES 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
WENDY ® 1-413-331-0769
ALL INSPECTIONS:
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
10/19/16 DOUG PASS E010 ELECTRIC FINAL
3301 N Thanksgiving Way,Suite 500
Lehi, LIT 84043
' Solarlicensing@Vivintsolar.com www.vivintsolar.com
Phone:885.877.2974 Fax:801.765.5748
January 15, 2016
To whom it may concern:
II
I hereby give consent to Kell Carson'to sign as an a entto pull permits on behalf of License N Y g g P P o• �
0188472-E1. Enclosed is a copy of my Electrical Unlimited Contractor's License.
Job site Address:A loows�
Description of Work: --
3a f?,,,,e,/s
Should you have any questions, please do not hesitate to contact me.
Best Regards,
John F Neuman,
Electrical Contractor
License No. ELC.0188472-El
Vivint Solar Developer, LLC
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Lot numbers refer to map entitled
"Subdivision rfap, Graham Park, q h
Property of Windsor Construction Corp. , So. 0a = - -
Windsor, Conn. , Scale 1" a 401 , Graham h i Hayes Road
November 28, 196,0, Certified
Substantially Correct, !Lorton S. Fillet
JCo F. - L. S.
4 �
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fn
ri rt Cr
W
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i
L. U C. U S T S T IL E
PROPOSED LAYOUT
�!�`'q �'•,^ DREW CONSTRUCTION CORPORATI
LOCUST STREET
_-- I hereby--certify that this SOUTH WINDSOR, CONNECTICUT
map is substantially correct
and no zoningregulations << ' 1 S 11 8 � ` CALF 1 40 , J[JVI: 29, 196
have been violated. ..`` -"' MORTON S. FINE, C.E.-L.S.
Vk- -n I HARTFORD, CONN.
CK
JUL i- 31"0
South Windsor
BUILDING DEPARTMENT
i
i
IO THE SU;L tAti UL.:..
...� 'rhl•wsteltiadr ttttRl ttMst gMt+r aardi AR++�cN!t ttions ors
cop us of Me/BMW hsflligtls nw .altarntio" do
.road:/y
together with amendments stated in APPAIc+nefine ar
flked with plan and 1 ogre:to comply with eMl NOMAny..
Uutlding and state Lows and such orders as shah tr
issued by the Building Department during panm
of this application a d fin suance of
permit.
Signed
his pi•D • •ppr a subie t to the condition that
ordm •nd srdina • regulating building shall be
comp!lpd with.
condtti6mA14 moved These tiled with
J (4-
Olitdln8 tnspeclim_. Clerk
Date �3 4 Ne
Lot numbers refer to map entitled
"Subdivision Map, Graham Park, _
Proyerty of Windsor Construction Cory. , io, - `-
Windsor, Conn. , Scale 1" - 40' , Graham t- haves Roads
November 26, 1960, ..ertified � /~
Substantially Correct, Morton S. Fine, <
C.
II "-='`!!•... PROPOSED LAYOUT
DRU CONSTRUCTION CJI:POI�ai 1
LOCUST STREL'T t+
I hereby certify that this SOVTtl 16:I\DSOhy CONNECTICUT
map is substantially correct
SCALE 1" - ;0* 1"';F 2t, 19 and no zoning regulations __ , b
have been violated. MORTON S. FINE, C.E.-L.S.
HARTFOFiD, CONN.