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APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230
DEPARTMENT DECISION
PERMIT NUMBER:
APPLICATION IS HEREBY: I f 02�s--l�
APPROVED: BLDG.PERMIT NUMBER:
II -)9 kt7
DATE INSPECTOR
LOCATION OF WORK: lq S l� fC O IA t!) �, C v 1 N,o S c,,Z �i i" UG Il
APPLICANT: OWNER: TYPE OF STRUCTURE:
C o NEW BUILDING
NAME: C D►,,A" (� T,,,(rp� SG NAME: I)1 A vJ l- rU r h&(L- ❑ADDITION
PHONE NUMBER: f GO- (oL 1 ' S ` PHONE NUMBER: �} &STING BUILDING
ADDRESS:7'L f 4tN f, fL-u D ADDRESS: Z /-4 S S /� /Cn *U4
TYPE OF USE:
tint tr � c f �U 1 �� ,,j I h,0 3 u yz CT c�C0��! +o<u)ENTIAI. o COMMERCIAL
ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF INSTALLATION: 1+,v5 t %/ + L,/I A, • ( G t p
SIZE OF SERVICE: H
SIZE OF MAIN SERVICE: LL C-c(1 Guy A T S
NUMBER OF METERS:
NUMBER OF PANELS: M
NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S 1D�0 0 v
NUMBER OF SWITCHES:
NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S 12-C . O a
NUMBER OF A/C CIRCUITS:
FEE SCHEDULE:S1S 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.: I0 33 53(5 TYPE:—1 STATE:
SIGNATURE OF APPLICANT: DATE: J 3
�oi�oa�3y
1
S
APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230
DEPARTMENT DECISION PERMIT NUMBER:
APPLICATION IS HEREBY: 1960751
APPROVED: BLDG.PERMIT NUMBER:
IS.� - q k
DATE I INSP CTO
LOCATION OF WORK: �15 (A
APPLICANT: OWNER: TYPE OF STRUCTURE:
1 I ❑NEW BUILDING
NAME: tiI(i NAME: bI A�c POJ� ❑ADDITION
�� o�11T�1 4/-
PHONE NUMBER � C 0 3�S-S a t� PHONE NUMBER OlG ^��y-(A q y STING BUILDING
ADDRESS:r) ► %, �� ADDRESS: ,5 Pr3h /cl
TYPE OF USE:
C-r a(�4 L1� p�-�-h �J,v�CI S�r, CT
dRESmENTIAL ❑COMMERCIAL
--,L
HVAC INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF SYSTEM: ❑HEATING ❑A/C CT -frank c r N, 10 A-
HEATING: 4 j✓
TOTAL HEAT LOSS(BTUH) 'F (HEAT LOSS SHEET REQUIRED)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.):
ESTIMATED COST:S
AIR CONDITIONING:
DESIGN TEMP:OUTSIDE "F INSIDE °F DIFFERENCE F° FEE ENCLOSED:S I OJ
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED)
DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.):
FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST.
ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS
$1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED 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�A(-,� G
(43 o TYPE: _ STATE: 1
SIGNATURE OF APPLICANT: -VA DATE:
a0)9 0 a770
c SIC:
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South Windsor
BUILDING DEPARTMENT
Ui= L'.ii:iicu COMPLIANCE
oposed building(s), use(s) andjor structure(s)
:s shown on this plan appear(s) to be in
:onformance with current South Windsc:
egulations. Variances and special exceptions
may apply. V30
Date ° -
,DQ-� _.
Zcning Enforc:-mcnt Offcer
,U UIL &A th* OU'l. TOWN OF SOUTH *lNUVJ1, ---___
' s.Rertifjed tJ,at this plan and specifications are tru. jaa
_ 14 ns of the piropossd building or alterations to be yJq�
.,eeteid at l
Jo•�_,;J, ".,pllq
a te_ � -- -- ---_.
Street `\
4iI.M palN kssyl
.--ether w,fh amendments stated in application anc nolddy A,
11 A with plan and I agroe to comply with all zoning. \ !ppuo�
..'�wlding and s+,tc laws and such orders as shall be sq I1e46 gu!p llnt\gupel a. sa__ Auu-
, ie41 uolilpuoaa41 &I,P�
; ed by thK l3uitcing Department during pendency lg e
!his aipticvio d final Is of a building ! uE•Id sly.
err"it
1 •�,� (/[�V Cam,( gulpl!nq a to auenss! 'j[wJa,
ua leul
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--1cc, .o the condition that P d gu nD 1uaw Undaq 5, uo,te'gA A, s!;11
bullding shall be ag Ilegs se s)apx: Vona P .s; .,.�7
'HuIUOZ Due sM^ ,1, 1
Pue uo II 47„A cldwoo ..l ,"H; , "r
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1900509 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 11/22/2019
G1S ID: 05700025 FEE: 126.00
MUNIS APPLICATION# 201902634 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: EDWARD INGALLS ADDRESS: 25 ASH ROAD
ADDRESS: 72 PANE ROAD OWNER: --PORTER DIANE M L/U
25 ASH ROAD
NEWINGTON,CT 06111
DESCRIPTION OF WORK: INSTALL AND WIRE 10 KW STANDBY GENERATOR, 16 CIRCUIT ATS
AND 17LP TANK
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
11/22/2019 2:03 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE