HomeMy WebLinkAbout2250 ELLINGTON RD DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
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Application is hereby: TOWN OF SOUTH WINDSOR PERMI
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230 Date Building Inspector Cr� -8q0 04b
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 SZet No.� sO �ffl Street �d• Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Ielt-1 I'J - C r 5
APPLICANT ADDRESS I< Ct,
nd -or G l• 660 95
APPLICANT PHONE# 660) a 70 —Cj S&
0 W N SF-4
F,q OWNER yl e.,1
OWNER ADDRESS Z Z-50 G I i i nq Lcio Zj
ScxJ H kI 1:Vn )sn r c--c -
CIO� OWNER PHONE 8GO) -7
C ESTIMATED COST$
•-� Ls U
i IS THIS A CONTRACT COST? _Yes _�No
o (" �G FEE ENCLOSED$ 3 C2• 6a K 1 3 I
SOR•CO��� TYPE OF JOB:
New Installation
_Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES Vf4O
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
(3 MERCANTILE O EDUCATIONAL FUTURE USE AND OCCUPANCY
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION/WIRING METHODSIZE OF OF SERVICE 1&2jP SIZE OF MAIN CONDUCTORS_? 5eU
NUMBER OF METERS 1 NUMBER OF DISCONNECTS AND RATINGS �-
NUMBER OF PANELS 1 REMOTE DISCONNECT REQUIRED? ❑YES E NO
NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES G)J NUMBER OF OUTLETS 32
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
Serv;Cg palace d k loo tg WI s - le c �CYm vrl
�o
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.
I D 3'70 I AE GZ
CONTRACTORS LICENSE NO. AA TYPE STATE
SIGNATURE OF APPLICANT �✓1. web F,6; 4 . DATE 1— 3 1—0 7
Lor 22
16136
Lor 26
N
3 0,9 2 7. 29 s p. f 1.
I � �
i
4
/0Q�
/. Ogg �2 ��� CD
PROPOSED
3 B.R. RAISED h v
RANCH H
50' BUILDING LINE
�O
I
I
I
161, 38
EL L I NGTON ROAD
BE/NG L OT 26 ON MAP ENTITLED
SAND HILL ESTATES
nr / MAY 2 , /970
PL OT PLAN FOR k;. ',U34 04
4
Nzcurtvt
EL LINGTON ROAD-SOUTH WINDSOR,, CONN,
SCALE /" = 40' MARCH 26, 1972
DAMES E. SHEENY L.S. 7034
Sours Windsor
permh �, ,
- BUILDING DEPARTMENT
r
, 71P
CEI"TI; ""MOrN Or- ZONING COMP LiANCE
Proposed building;s), use andjor structure(s)
as sNown orb al�is Plan aPpsar(s) to be in
conformance with cnr•re-. .oL;±h VJi;7osor
regaiwiio Is. Vari
may apa;y. ances and special exceptions
'
Date zr �Ai'�cIz
9
;ng Enforce ment Officer
0
LOT 22 pv
Af
1561
LOT 26
4-1
30,927. 29 sq. ft.
1000GAJ_
lb* sEpr1c TAN_ J
5. 0
Ex1sr1NG zj
3 A.R. RAIS
RANCH
t7e 27
5 0' BUIL ING LlWi
Ito
15e
ELLINGTON ROAD
BEING LOT 26 ON MAP EN777-4c,0
SAND H14t- FsrArEs
MAY 2 , 1970
PLOT PLAN FOR
M A /V
-
EL LINGTON ROAD-SOUTH WINDSOR, COAIN-. -.
SCALE I = 40' MARCH26 19-72
CERTIFIED A&GUST, 21.1972
JAMES E. SHEEHY 'L.S. 7034
LOT' 22
16138
LOr 26
/V
30,927. 29 sp. ft.
p WOO GAi---,L_ -1
�D SEPTIC TAN Q
1
.o _ CD
5/. 0
PROPOSED
O 13 D.R. RAISED h �v
i
RANCH N
50' BUILDING LINO �—
�
IQ \
ISO
1
161. 38
ELL / NG T ON ROAD
BEING LOT 26 ON MAP ENTITLED
SAND HILL ESTATES
/j MAY 2 , 1970
P L O r PL AN FOR
EL LINGTON ROAD-SOUTH WINDSOR,, CONN.
SCALE 1" s 40' MARCH 28, /9 72
✓AMES E. SHEENY L.S. 7054