HomeMy WebLinkAbout230 KELLY RD DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: aa)(Z:�
BUILDING DEPARTMENT
APPROVE ,),__,,, 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.Permit#
Da e Building Insp t or
Application must be printed or typed
FEE SCHEDULE Location of Job:
Fan
$0-$1,000=$15.00 —��I S eet Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANTS• F 1-12-1
APPLICANT ADDRESS
• �T
APPLICANT PHONE#( Q - 6
O W N St. OWNER
OWNER ADDRESS _Qd
S64,rk &JI��,��a�. �i 060 :U
OWNER PHONE <7
C = ESTIMATED COST$ 610,6 .O
IS THIS A CONTRACT OST?,� �es _No
o o FEE ENCLOSED$ ,J
TYPE OF JOB:
�Sp R-C O� _New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILD- IS THIS APPLICATION ASSOCIATED WITH A
ING BUILDING PERMIT APPLICATION? ❑ YES O NO
RESIDENTIAL CURRENT USE AND OCCUPANCY
❑BUSINESS
❑ASSEMBLY FUTURE USE AND OCCUPANCY
❑ MERCANTILE
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE 64 SIZE OF MAIN CONDUCTORS 7
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO
NUMBER 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
Uig !g " SFnvrcK 4IlA �1; Zpp- / 26ZP3,6 y4z�
E2.56 PA>y <4 ,fib /� 1 or� r4, x l `° ZZ 3 oIf
Ika
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.
)d-3 76U � 7-
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATEA 1 g c��Zs
(J/ )
lids 5
0
L
N 4a
"' /" 7c��• �a" w
Lrrt Nurrhus, Refer to Map T;tif
Z:E-IELOPF _- F Y.. . ..... ..................
�cu,H wtn,L
J.
JOHN J. MOZZOCHI & ASSOCIATES
� _ Cci✓r.!- CIVIL ENGINEERS
NO ZONING VIOLATIONS. GLASTONBURY, CONN.
CERTIFIED SUBSTANTIALLY CORRECT. SCALE--- DATE
.d
JUN 0 6 19Y/
South Windsor
BUILDING DEPARTMENT
10 THE BJILDIHG i1EPT. 106;,
This certified that this plan and speafic.to
Copies of the Proposed building or alterations to II
erected at
)3a K�r(
Str•
together with amendments statod In a
filed with plan and I a DPlication
agree to com Dly with -,11 2oni.
Building and state laws and such orders as s:,rll
issued by the Building Department during penda,
of this application nd final issuance of a builds,
Permit.
Signed
Phis-plan is appr cc' subject to the condition it,
orders and ordinances regulating building shall b,
com Plied with.
Cond,tionally Approved These filed with
Eduil ng Inspector
ate
4 Clark
tad.
,t-
�qLl3Y
Ub-, i iriCAiiON OF ZONING COMPLIANCE
(,��c,�cw• Proposed buiiding(s), use(s) and/or structures;
is shown on this plan appear(s) to be i
.( conformance with current Sbtsth tW0d.:,
-gulations. Variances and special exceptions
,iay apply.
)ate
Zoning Enforcement Officer
c5T)
S 68`03 'yed.E
W I
0
o �
.Q a
0
15,
3y •!
� L3. S 6L3.4/'So
70�40 .30., W
LLy �� Lot Numbers Refer to Map Titled I
S--MJELoYr FY C.aE1 r�roic�+i;y
_.__..................
I Ic,►�E 5 ;�x. Scvt� W IrlG`olc
-1- 54
GLAStr.)AI3L'i:Y, CONN.
filed M i owo Clerk's Office
� �4 Jc�,ycen
C-D �J
S i
3744
JOHN J. MOZZOCHI & ASSOCIATES
CIVIL ENGINEERS
NO ZONING VIOLATIONS.
GLASTONBURY, CONN.
CERTIFIED SUBSTANTIALLY CORRECT. SCALE--- ° DAjE--- Ir _