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Home My WebLink About2061 ELLINGTON RD i . j - f w • j..i' I j � +i • a ti,/G• y`i • � is �fri'� l��Gif L-/�/ �' � � (i_ J ! r i s i t s Tr '77— _ - i •mot r -- ( �' ' �! �_____ ..._ ..- •---- ----� I s ' t APPLICATION FOR.ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT -(jv `3� APPR 1540 SULLIVAN AVENUE o+ ,� 644-2511.ext. 230 Bk1g:Permit# Date Building Inspector , Application must be printed or typed FEE SCHEDULE l Location of Job: $0-$1,000=$15.00 Over$1,000= Street No. Street Lot No. $15.00,per$1,000 or any fraction thereof Tenant Designation Apt:No. APPLICANT C. v"�e'R APPLICANT ADDRESS T q-+ V) APPLICANT'S PHONE# 6 SOW N S4. OWNER E 6 OWNER ADDRESS S--&y✓j_ O OWNER PHONE JW C. ESTIMATED COST$ t � IS THIS A CONTRACT,COST? No FEE ENCLOSED$. _25/) i o o TYPE OF JOB: f 72-<6- SOR-C0 New Installation _2lteration/Addition/Repair f Sv 12(Q2 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 \NO /RESIDENTIAL f I CURRENT USE AND OCCUPANCY S(. t/1 � �kev� ❑ BUSINESS ❑. ASSEMBLY FUTURE USE AND OCCUPANCY Vim- ❑ EDUCATIONAL ❑ INS ITI U-1IONAL ENGINEER'S NAME PHONE: O FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD., 2 DO _VW f -e- .`1 e, S 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. 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 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 Cl CONTRACTORS LICENSE NO. TYPE STATE DATE SIGNATURE OF APPLICANT 1 BUILDING PERMIT, STATE OF CONNECTICUT WORKERS'COMPENSATI N CO1VIIv1ISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat.§31-286b) Property ylocated at 2—6C ` , kc In the town of Name of building permit applicant: C-d �- Please check one: 1._I am the owner of the above property. 2V9!�---1am the sole.proprietor of a business. 2A.Name of business dAorpLo 2B.Federal Employer Identification Number(F .. .................................................................................................:........::..... Pursuant to§31 286b,"aproperty owner or sole proprietor[who]intends to act as a general `y contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit...stating that he will require proof of workers' compensation irisurauce for all those employed on the job site in accordance with this chapter." Please check one: 1. do not intend to act as a general contractor or principal employer. [Sign and st here] �+ Signature of applicant 2.._I intend to act as.a general contractor or principal employer.Applicant must either pi.rovide a certificate of workers'compensation insurance or sign the affidavit below. ............................................................................................................. :.„..• Affidavit I hereby swear and,* that I will require proof of workers'compensation insurance for every contractor,vubconftctor,or other worker before he/she engages in work on the above property in accordance with tho-Workers'Compensation Act(Chaptei568). I understand that.pursuant to§31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of ,200_ (Notary Public/Commissioner of the Superior Court) Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 2061 Ellington Road Date: HVAC # Sprinkler# FINVig O Estimated Cost $ .� P Buildi �' COMPLETE RED BOXED AREAS Permit Fee $ Engin Occupancy Fee $ TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit for CO. j SIGN ON REVERSE SIDE PP -� Total Fee $� TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant (✓ Lo i Work t o. Applicant's Address r el.# Town b Zip Lic.# Owner Architect Owners Addre Architect's Address O ip zip- Sq. Ft. New Area: 1 st Fl. nd FI. 3rd FI. Total New Area Purpose of this permit t V City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group Construction Type Revised SM2 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 tw 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 4 1 , Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-29065-B 7,500 B10 FINAL 12/16/03 JFF A B10 FINAL 12/16/03 JFF A CLOSEOUT 1500332 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 09/15/2015 �, y "` °• GIS ID: 30302061 ".;, FEE: 30.00 MUNIS APPLICATION# 201501262 BUILDING DESCRIPTION: APPLICANT i�, ' '�. . "'°4. LOCATION �. NAME: CAPCO ELECTRIC ' ' ADDRESS: '.2661 ELLINGTON ROAD ADDRESS: 997 NEW BRITAIN AVEr1UE s' OWNER:- PASTULA MARY C L/U FARMINGTON,CT;06032 �.„ .;a 2061 ELLINGTON ROAD -r t `SOUTH. INDSOR,CT 06074 DESCRIPTION OF WORK: 200,AMV SERVICE UPGRADE FROM 60 AMP FUSES. r CRSNOk259'0259 SPECIAL CONDITIONS: ag �1 'y ALL WORK TO BE DONE IN ACCORDANCEr;,WITHJHE APPLICATION,ND;PLANS:APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 9/15/2015 3:52 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE