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APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSO CT 06074 PHONE 860-644-2511 EXT. 230
R, (PHONE)
DEPARTMENT DECISION
PERMIT NUMBER:
APPLICA BY: (ct 00'5 519
PROVE BLDG.PERMIT NUMBER:
`1
DATE W CTOR
LOCATION OF WORK:
APPLICANT: OWNER: TYPE OF STRUCTURE:
�/� / y ❑NEW BUILDING
NAME: Ao6eAr • '1 1 N NAME:���Qf� rQ�N e/ ❑ADDCCION
PHONE NUMBER: S �O PHONE NUMBER: L§XIS'TING BUH-DING
ADDRESS:�^ ADDRESS:
TYPE OF USE:
trRESIDENTIAL ❑COMMERCIAL
ELECTRICAL INFORMATION: FURTHER DESCR7I0N OF WORK:
TYPE OF INSTALLATION:
SIZE OF SERVICE:
SIZE OF MAIN SERVICE:
NUMBER OF METERS:
NUMBER OF PANELS: P
NUMBER OF LIGHT CIRCUITS' ESTIMATED COST:S
NUMBER OF SWITCHES: �(ogc7
NUMBER OF LIGH�FRES: FEE ENCLOSED:SNUMBER OF A) S:
FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST.
NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT
IS S1.00 OVER. (16 CENT EDUCATIONAL FEE INCLUDED AS
NUMBER OF OUTLETS: PART OF THE PERMIT FEE)
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 PERFOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: 7Ur TYPE: E� STATE:
SIGNATURE OF APPLICANT: DATE: ! J
aOl9prg�a
APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT N074 (PHONE)860-M4-2511 EXT. 230
DEPARTMENT DECISION
PERMIT NUMBER:
APPLI Y: 9 00 652>
AP BLDG.PERMIT NUMBER
6
DATE PECTOR
LOCATION OF WORK: S� S , LJ S a C
APPLICANT: OWNER: TYPE OF STRUCTURE:
NEW BUILDING
NAME:J a L� �( ► , t\ �� t NAME: 1 C x _ (>-I Urn ❑ADDITION
PHONE NUMBER: �6CO G 1 y -^7 t j PHONE NUMBER S(y0.57 7-9 $ ,�=MGBUILDING
ADDRESS: .5 oZ`1 S u (� u n ADDRESS: ac(of oak
/� TYPE OF USE:
IDENTIAL ❑COMMERCIAL
J 1 C' P 1��•Y•5��S Tn c..
HVAC INFORMATION: ��77 FURTHER DESCRIPTION OF WORK:
TYPE OF SYSTEM: �HEATING o A/C \t-CON 4
HEATING: o t C II. n T to 9�t .J t�
TOTAL HEAT LOSS(BTUH) °F (HEAT LOSS SHEET REQUIRED) R(n n N s mac. 5
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): C C zC C-N 1'
PL>cceco n.oac 1 9vo C `�-� �G �0 1 =c q
,.O 5,`� ti �c ( S O c —1 a'V T- �-«'\ -`' ESTIMATED COST:f � /60
AIR CONDITIONING: lh
DESIGN TEMP:OUTBH)E °F INSIDE °F DIFFERENCE P FEE ENCLOSED:S I V
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED)
DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.):
FEE SCHEDULE:$18 PER S1,000 OF THE ESTIMATED COST.
ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS
SLOO OVER. (Z6 CENT EDUCATIONAL FEE)NCLUDED AS PART
OF THE PERMIT FEE)
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 PERFOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: O 3 5?0f5`f s TYPE: S' STATE: CT
SIGNATURE OF APPLICANT: DATE:
adigva3�4�
Town of South Windsor Building Department
CERTIFICATE OF COMPLETION
Building Permit: BLDP-21-17
7h r
QSOR-COT
APPLICANT
NAME:TJ McLaughlin LOCATION
ADDRESS:242 OAK ST
EMAIL ADDRESS:wbdickenson@cox.net South Windsor CT 06074
ADDRESS:53 Commerce Way OWNER:GLOMB ALEXANDER&LISA
South Windsor, CT 06074 242 OAK STREET
SOUTH WINDSOR CT 06074
DESCRIPTION OF WORK: Remodel existing finished room in basement to new full bathroom including shower,toilet,vanity. Frame new
non-loading bearing walls&add door.
CONSTRUCTION TYPE:
USE GROUP:
March 2, 2021
BUILDING OFFICIAL DATE SIGNED
"ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT—*
"'PERMIT ONLY VALID IF SIGNED BY BUILDING OFFICIAL"'