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Home My WebLink About20 BIDWELL RD APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application ' reb BUILDING DEPARTMENT I5odSoS 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Date u lding Inspector Application must be printed or typed FEE SCHEDULE / Location of Job: $041,000=$15.00 Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS 6 Ji9r A q De - So,ZrA W�Nb 64 l i O G o 7 V APPLICANT'S PHONE# OWNER. t�W N SFq< OWNER.ADDRESS o 6ibi,,S4,L 97',. OWNER PHONE _ �60 �9 - 76 75 C ESTIMATED COST$ ' U IS THIS A CONTRACT COST? Yes No _ FEE ENCLOSED $_ ,0 o '. p TYPE OF JOB: #25b L4 OR-CO New Installation Alteration/Addition/Repair -e�SUI �28 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 CUNT USE AND OCCUPANCY (luyn m Fie U A L (BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY Cis m rn t=K �- ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD TH H A) SIZE OF SERVICE A SIZE OF MAIN CONDUCTORS . 4 DO/Y cM C U 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 460A 4801:77V Ss� 4 W , wcr,t , rI_AD t i0 �iVLI-Ub t L//�GUNA/EG: 1Y/� rF�n /"�JA)w) DYs-felht &rri60 Aov,fe_ I L5 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 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT ��L �,7 DATE zz/(,—/6- U PG of STATE OF CONNECTICUT UNDERGROUND STORAGE Department of Environmental Protection E�FJM-6 NEW 10/85 a FACILITY NOTIFICATION 2' UNDERGROUND STORAGE FACILITIES PROGRAM 3. FOR STATE A SITE LD. Z HAZARDOUS 165 Capitol AAvenue`Hartford,ATERIALS CT 06106NAGEMENT NIT AGENCY USE ONLY O FIRST 8.DATE RCVD BY D E P C DATE ENTERED NOTIFICATION TR1 556-4630 U SITE I.D. LU N OR s PLEASE TYPE. ALL THREE COPIES MUST BE LEGIBLE! D.GRID COORDINATES E DOES FACILITY MEET NEW REQUIREMENTS? ecked, b. ❑ SUBSEQUENT (If ch NOTIFICATION enter No.) ��6 Ix y Refer to INSTRUCTIONS FOR FILING NOTIFICATION before completing form. ❑YES ❑NO 9 _ LOCATION SITE NAME J�4 ) *' NO.AND STREET NEAREST INTERSECTING STREET CITY OR TOWN STATE S LATITOUDE r i LONGITUDE z zr 4. OF FACILITY i s 1�,�e��i�� u 1 5►�, '\� L G '( ( 4- so,z yr s3 1�1 3L 29 BUSINESS NAME AN ~",,t NO.AND STREET -7 CITY OR TOWN STATE ZIP CODE TELEPHONE 6. MAILING ADDRESS F /.�X S 10 / � 11 � GIC P-'AAA a #,yJ81- 007- (244) 14-Z 5�7�j 3 S" co NAME NO.AND STR� � CITY OR TOWN STATE ZIP CODE TELEPHONE Z O 7. FACILITY OWNER be O �� A 4 V 3 ! 7 (.?i 379 76CM U NW 8. TYPE OF OWNER PRIVATE ❑ STATE ❑ MUNICIPAL ❑ FEDERAL(G.S.A. No. OPERATOR/CONTACT NAME L NO AND STREET CITY OR TOWN ' STATE ZIP CODE TELEPHONE 9. PERSON @IS%N e_ ( s IS o W S Cr o 607 4 11 Zo3 Z '1 10. I la. llb. 12a. 12 b.STATUS 13. TYPE OF 14. CONTENTS- 15.CONSTRUCTION 16.PROTECTION 17. INTEGRAL > DATE CONTENTS MATERIALS N RNAL b. EXTERNAL PIPING SYSTEM 18. 19. FAILURE DATE OF z- TOTAL a ( EST.QUANTITY t CHEMICAL NAME OF PRINCIPAL a. b. DATE OF MONITORING DETERMINATION TANK ID. INSTALLATION o CAPACITY us w TANK j SUBSTANCE w Z v e Z I LEFT STORED o Q U O o v 7 z z INSTALLATION w�- O Q w LAST < u u ti N O w O +iia' O o OR SYSTEM CONDUCTED. (Gals. o O U (not trade name.) U r- w o w a o d (Mo./Yr.) sac o ) u a I (an > OO n = w O_V a Q _ _« �a� < If"YES".enter DATE" Z ( YI O w r J E z » E Ow w Q n E `Z w = REPLACEMENT w§ USED a a — (Enter C.A.S. No. If known) w w_ �- a _ « (Specify a and attach results w` Q Z ) f w v Q yr a Q O O O yt 2 0 O P Y hP ) a T: Mo. Yr. :E m— Z ra— 1 (Gals.) w ( / ) O V N LL z ? 7 V a U 3 V W ,_ O n _ (Mo./Yr.) from list BI (If"NO",enter"NO") 4 Example 5/75 1301 5000 X X Heating fuel#2 X X H 5 1 5/75 U NO p 7/60 8000 X 8/78 X I'1'I' CASIorc#790116ne X Examle � X � E 7 7/60 U 1 8 (p a cjb X X c>PT +� L X = ,� u Z O U W 20. HAVE YOU AJTACHED SKETCH OF TANKS AND LOCATION? YES 22.CERTIFICATION: I certify under penalty of law that I have personally a SIGNALTURE 22b.DATE SIGNED C1 21. COMMENTS: examined and am familiar with the information submitted in this and all attached X ~ documents and that based on my inquiry of those individuals immediately responsible for obtaining the information,I believe that the submitted information is true, ~" accurate and complete.Penalties:any owner who knowingly fails to notify shall be 22c f"CIAL TITLE(of owner or authorized U W subject to a civil penalty not to exceed f10,000 for each tank for which notification 22c.NAME(Type or P,•nr , ` representafire). N is not given or for which false information is submitted. r —1 2 . SEND TO LOCAL FIRE MARSHAL UNDERGROUND STORAGE PG of I STATE OF CONNECTICUT y - EPHM-6 Rev 5194 • -� - FOR STATE A DATE ENTERED 2, Department of Environmental Protection 7 3 Q FACILITY NOTIFICATION UNDERGROUND STORAGE FACILITIES PROGRAM AGENCY USE ONLY Z t Bureau of Waste Management , ^• B-FEE BILLED C FEE RECEWED O ' 79 ELM STREET.Hartford,CT 06106-5127 'p =c ._ f- Ia. FIRST; ❑ NOTIFICATION TEL.(860)424-3374 w SITE I.D. � D GRID COORDINATES E DOES FACILITY MEET NEW REOUIREMENTS� OR ' «� PLEASE TYPE OR PRINT.ALL THREE COPIES MUST BE LEGIBLE OYES El NO �/❑ SUBSEQUENT b (if checked, . X �/i NOTIFICATION enter ke Refer to INSTRUCTIONS FOR FILING NOTIFICATION before completing form. LOCATION SITE NAME NO.AND REST NEARES INTERSECTING STREET CLTY OR TOWN STATE 5 LATITUDE LONGITUDE 4. OF FACILITY ?� ._' o a. I o a BUSINESS NAME AND NO.AND E CITY OR TOWN STATE ZIP CODE TELEP ON 6. MAILING ADDRESS ( '`.` m ft NAME O.AND STIR ET qITY OR TOi STATE ZIP CODE TELEPHONE Z 7. FACILITY OWNER ♦.� 1� - e - O " - O 8. TYPE OF OWNER JC PRIVATE STATE ❑ MUNICIPAL .* ❑ FEDERAL(G.S.A.NO. LU _- NAME NO.AND ST ET CITY OR TOWN STATE ZIP CODE TELEPHON OPERATOR/CONTACT � \ /� f� 9. PERSON _ C2AO� W"(1G� (�� 0�0� (19`wJ ;S41— 6� c. 10 11a;i# 11b. 12a. STA S 13 PE OF 14.CONTENTS ♦F a 15.CONSTFIIIJCTION 16.PROTECTION 17.INTEGRAL 18. 19 FAILURE T CONTENTS -++ MATERIALS 'a.INTERNAL b.EXTERNAL PIPING SYSTEM ETERMINATION .P b. "'`CGNDUCTED? TANK I.D. DATE OF TOTAL I EST.QUANTITY DATE CHEMICAL NAME OF PRINCIPAL U) E z z E z» Z DATE OF MONITORING z N wLy l o cnw 00 INSTALLATION _ CAPACITY w Z O LEFT STORED w TANK Q o a o SUBSTANCE a 0 v Q o a o 3 w o ¢ om' INSTALLATION SYSTEM {If"YES",enter"DATE" ca a cn O I > r-o U- w - Cr 4 W d m u�' �- (Mo./Yr) d o (Gals. o g (it an O LAST w om not trade name w c7 O m I' ' w z o o ti c o o w > ¢ OR and attach results). Y) as �O ( ) =._N.. Lu Z =w a 0Ll"0 = -y w� ) tR' W ? <Z I (Gals) •#' w USED _ (Enter C A.S No..if knowcld Enn w z a ~ z f-0 O¢ <0 0 a , REPLACEMENT (Specify type (Jj"NO enter"NO") a- ' Q (Mo/Yr.) J m a O cn 0 or c�.3 0 a o m a s (Mo.iYr.) from list B) ' Example 5,7 5 30 5000 X X Heating fuel#2 X X H 3 H 5/75 U NO Example 7/60 — 8000 X 8/78 X l,l,l,-Tricloroethane CAS#79015 X X E 7 W 7/60 U — 1. Z ;.. Lu — 77- U) 3 i a r 20.HAVE YOU ATTACHED SKETCH OF TANKS AND LOCATION? ❑ YES 22.CERTIFICATION.:I certify under penalty of law that I have personally examined 22a.SIGNATURE 22b.DATE SIGNED Z21.COMMEN T' `1��rp� and am familiar with the nfor�t�ration submitted in this and an attached documents and that O �r, `, [ `4• �r based on my inquiry of tho elttltviduals immediately responsible for otft* ip the information, -_I %01-7/C1 s C Jay\a 7 �` } �� I believe that the submitte�hibrmation is true,accurate and complete +u U v Penalties:any owner who knowingly fails to notify shall be subject to civil penalty not to 22c.NAME(Type or Print) 22d.OFFICIAL TI LE of owner or authorized w represeryafivel. (I) exceed$�10.O�for eacach tank for which notification is not given or for.,nish false information Ao, �', �S G , is submitted. V. r/1C,nc1\e-Sdr C C^p`_2 AL FIRE M AL t 3- i 1500505 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 12/29/2015 GIS ID: 10800020 FEE: 450.00 MUNIS APPLICATION# 201501828 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: DANIELS ELECTRIC, INC. ADDRESS: 20 BIDWELL ROAD ADDRESS: 6 SANDRA DRIVE OWNER: MARAGLINO NICHOLAS SOUTH WINDSOR,CT 06074 7 BROOKFIELD ST NORWALK,CT 06851 DESCRIPTION OF WORK: 400 AMP 480V/277V 30 AW SERVICE UPGRADE TO INCLUDE DISCONNECT,METER,MAIN DISTRIBUTION PANEL AND TRANFORMER TO FEED EXISTING PANELS. 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 12/29/2015 11:35 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE