HomeMy WebLinkAbout25 DORIA LN ri
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: +g 0 0 Q q Z
APPROVED: BLDG.PERMIT NUMBER:
DATE INSPECTOR
LOCATION OF WORK: Z'� bo( o Lct/w
APPLICANT: OWNER: TYPE OF STRUCTURE:
1^ j^ ❑NEW BUILDING
NAME:C6, S�- �OIi✓ <" NAME: (21`t /Z O J ❑ADD[1TON
PHONE NUMBBE .�GC))Z f ' 7 PHONE NUMBER: STING BUILDING
ADDRESS: ``7 0(-0W6S (��( . ADDRESS: 2SDQ^(c," "1161 -
TYPE OF USE:
ENTIAL ❑COMMERCIAL
IL:
ELECTRICAL INFORMATION: FURTHER DESCRIPTIO F WORK:
TYPE OF INSTALLATION: /�'1 e C�{'�^e
SIZE OF SERVICE: S C7 L OW TS dl�D>
SIZE OF MAIN SERVICE: Z U!�S �3011 d
NUMBER OF METERS:
NUMBER OF PANELS:
NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S '—
NUMBER OF SWITCHES:
NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S
NUMBER OF A/C CIRCUITS: �ft 76 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$1.00 OVER (.26 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. M
CONTRACTORS LICENSE NO.: I TYPE: STATE: C `•
� c
SIGNATURE OF APPLICANT: DATE:
/QOb,�s
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing#HVAC # 25 Doria Lane Date:
Sprinkler# 31498
Estimated Cot ozio ,co
FINAL R S Es s $ .�
Buildings s - - - - ----- - - -- Perm' $ 41.1. 0C
COMPLETE RED BOXED AREAS $
Enginee n TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE
Appr. for CO3 Total Fee $ SS
TO THE BUI NG DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant a c Location of Work AW e- Lot No.
Applicant's Address 1 — Tel.# C (,o —6 yy--5Z/Z13
Town Zip O Lic.#
Owner w. Lk� Architect
Owner s Address cc k �" Architect's Address
Zip Zip
Sq. Ft.New Area: 1st FI. 2nd FI. 3rd FI. Tot I New Area
Purpose of this permit
Ci Water[] Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved b Date -' Use Group --Construction Type
Revised GM2
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 and is located in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
c
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-31498-B 3,000
B10 FINAL 03/09/06 JFF D N/A DOOR TAG SPOKE WITH OWNER ON
PHONE TO CAL
L FOR INSPECTION
B10 FINAL 03/14/06 JFF A WITH OWNER
1800092 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 04/04/2018
GIS ID:28800025 FEE: 18.00
MUNIS APPLICATION# 201800385 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: CONSTANT POWER ADDRESS: 25 DORIA LANE
ADDRESS: 74 BROWNS ROAD OWNER: WOLF LISA BETH&
STORRS MANSFIELD,CT 06268 25 DORIA LA
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REMOVE AND REPLACE ONE METER SOCKET AND MAST. ADD 2 RODS
AND BOND.
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
4/4/2018 4:10 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE