HomeMy WebLinkAbout2320 ELLINGTON RD DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Applicati ier ZQ� �
BUILDING DEPARTMENT �T
PROVED 1540 SULLIVAN AVENUE Bldg.Permit#
7 644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
F
$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT
APPLICANT ADDRESS aWO
J
APPLICANT PHONE#
O W N SC. OWNER cSf-jrl7 Pi
OWNER ADDRESS yrn�
U) OWNER PHONE
CO
�r
ESTIMATED COST$ �Q i
•� IS THIS A CONTRACT COST? —Yes _No
"o �C! FEE ENCLOSED$ �'
�� C� TYPE OF JOB:
R 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? ElYES El No
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
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
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.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT _/�/L7 f ,s4-C.�� DATE �1 0
Electric # n o APPLICATION FOR BUILDING PERMIT
Plumbing# Date: rl' .2;_-015
HVAC #
Sprinkler# 0C
FINAL R i - --- -- --3 2 2 2 3— _ ---� - - , Estimated Cost $ 1Q�
Permit Fee
Buildin COMPLETE RED OXED AREAS B $ o e
Engine e TYPE OR PRINT ONLY Occupancy Fee $ l
Affidavi Eng. Insp. Fee $
► SIGN ON REVERSE SIDE ��-
Appr. for C C d Total Fee $ 70
TO THE U ING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant ffR/ T Vol, Location of Work o+ ,-d Lot No.
Applicant's Address,�.3,y4n_,t f� " Ai _ ___ Tel.# 4G0 -6orel-
Town $lt� _ Zip Lic.#
Owner:gmRs .0 LvPrZy klvol•_ Architect
Owner's Address 5QrmG Architect's Address______
Zip _ Zip-
-Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit—A 7--Td
City Water Well❑ Septic System❑ Sewer
Ins: H SP Cert. Area Basement Garage
Approve y Date II ))CG _ Use Group Construction Type A/
R 'sed 6102
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 end is located in which this building and its use is allowed.
\� Signed:A/' Z:; �J't "f�
I hereby apply for 7s"igned4�
icate of Occupancy for the work described in this application for the permit.
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl R •
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-32223-B 4,000
E10 FINAL 12/27/05 CJD D GLAZING,RECEPTACLE OUTLETS
E10 FINAL 12/27/05 CJD D
B10 FINAL 09/12/06 JFF A WITH OWNER
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JUL 2 G 19%
Sc)uth Windsor
BUILDING DEPARTMENT
n �C�IIV
APR 2 IWO
South Windsor
BUILDING DEPARTMENT
'^ 'TK aUliDIVG DEPT. TOWN 6P-4 0W 111106.1,
Thfe ewrtiffwd thet t1+:s ptae ad specftntio— ,rc
cooiee of 00 ompo ed bulldift rx alterations to
eraatwr at
232n Et4-�n�,4v t��.�t,.--
!nselhr•t with amendment tated in appliC::ticn
filed with plan and 1 agree to comply with o11 ten;
:+ui�ding and state laws and such ordors as shall
t issued by the Building Department during pendc
t this application and final Iss ante of a buhd,r
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f,Prmlt. {ems
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This plan Is approved subject to the condition tt, e
or«ers and ordinances regulating bull ding she, t.. ''`
eo,nh!ied with.
Conditionally Approved Thew filed witr, "'�✓✓✓
s
Building Inspector
r,wte
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�TiE CAT)ON aF TONING COMPLIANCE
plropDwd bullding(s), uses) and/or structures)
aS st>w on this plan appears) to be In
SKc� conformance with current South Windsor
l}� x L� ' regulations Variances and
VeciM exceptiWs
HEO=W�i
aly
CERTIFICATION OF ZONING COMPLIANCE
Proposed building(s), use(s) and/or structure(s)
as shown on this plan appear(s) to be in
conformance with current South Wind
aG regulations. Variances and special exceptions
may apply.
I Date
Zoning Enforcement Officer
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APPROVE [)
TOWN OF SOUTH Wlrqo, .l=,OR
ENGIN-:;A--RIfjG DEPARTMENT
DATE: oo
SIG.:
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