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TOI.N OF SOUTH WINDSOR - - -
- -,- TOWN P' °: CO, ,'M,'-�3iO;4
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DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT
Application is hereby:
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPR VE 1540 SULLIVAN AVENUE Bldg.Permit#
-2) 644-2511 ext. 230
Date Building t ctor
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 S
treet Street Lot No.
Over$1,000=
$15.00 per$1,000 or any fraction thereof gnation Apt. No.
APPLICANT gpb P e,�- r i C—
APPLICANT ADDRESS G
C—r 1c)Ce 0-6- .
APPLICANT PHONE#
O W Ni S F,q OWNER
OWNER ADDRESS
OWNER PHONE
C = ESTIMATED COST$ I-1 00
IS THIS A CONTRACT COST? _,LZ Ves _No
LG -10 FEE ENCLOSED$
� TYPE OF JOB:
�SOR CO� New Installation
T teration/Addition/Repair
Revised 4/0 t//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ElNO
❑ BUSINESS CURRENT USE AND OCCUPANCY
❑ ASSEMBLY
❑ MERCANTILE FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD Q{? { e_ � RP-u
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 NUM..BER OF POWER CIRCUITS
NUMBER OF SWITCHES NUNDER 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.
1X'";?r67�"C / CZ-
CONTRACTORS LICENSE NO. E STATE �-7
SIGNATURE OF APPLICANT DATE `� ��� 0
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: (,
BUILDING DEPARTMENT
APPROVE 1540 SULLIVAN AVENUE Bldg.Permit#
p:]z 644-2511 ext. 230
Date Building I for
Application must be printed or typed
FEE SCHEDULE Location of Job:
OL 5 0 A q, J
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt. No.
APPLICANT L ev—?— �C
APPLICANT ADDRESS
APPLICANT PHONE#
O W N St OWNER - ija-tu rtr _ 1e A ✓` nQC f-
C OWNER ADDRESS S!�'�t� QdQi
r
OWNER PHONE
C ESTIMATED COST$ llbOO
IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$_
r� TYPE OF JOB: /
DSO R C O� New Installation
Alteration/Addition/Repair
Revised 4/01//2002
_ APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A .
BUILDING PERMIT APPLICATION? ❑ YES CKO
wkESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION &/►lw SIZE OF MAIN DRAIN
NO.OF TOILETS -3 STYLE NO.URINALS — STYLE �-
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES
NO.OF CONDUCTORS ~— SIZE -- NO.OF STACKS SIZE
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES ENO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS EWE OR SEPTIC TANK
u 4. / "
SIZE OF WATER MAIN / SIZE OF WATER PIPING&RISER t ��
WATER HEATER: TYPE '���rlGl�SS �` MANUFACTURER
DESCRIPTION OF WORK
Cr
rv� ll vN<r U-A'4 a,)
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.
-4� �e 1 P1 4fL
CONTRACTORS LICENSE NO. _ ,TEE STATE
SIGNATURE OF APPLICANT , ,/�,(� DATE
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MAY 17 IN
South Windsor
1UILDING DEPARTMENT South Windsor
BUILDING DEPARTMENT
- I
This 6artified thet this plan and spucit.c u•�
fipples of the plopaecd Wilding of altar.,tr us t: t:e
e►teead at n M 1N! FgllDflK OW. TOWN OF SOi1 T H
/� �h ceniffed that this plan and specific .•tK1'1%ar ttu'
/ l Str kopfes of the prope"d building or altarar,,ns ,. 1�'
together with amendments stated in epplk Ilwn breaw at
filed with plan and 1 agree to eor.Ply with ill Y'+' Ow
� �
Building and state laws and such orders as ehit°. r; Str
Issued by the euliding Department during pend:ee together with amendments stated in apptic+tioe
of this application and final issuance of a buitdm, filed with plan and I agree to comply with ell z—i
permit. Building and state laws and such orders as shah
Issued by the Building Department during pend,,-
Signed '�� of this li"O" and final issuance of a buiid,
This plan Is approved subject to the condition that perm
orders and or ragutating building shall ee
comt�licd wit.". BfgnCd "
Conditionally Approved These filed with This p
orders and ordinances
compl,d with.
Conditionally Approved These filed
juilding InspectoC
pltd �- r
Building Inspector
rate ----- -
RTIFICATION Of ZONING C0111FLIANC
Proposed building(s), use(s) andlor structures!
2 as shown on this plan appears) to be in
�no
coniornnance with
f
soT
regulations. Vaaandspecial exepor
may apPIY.•
CEk i i-HL m i foil Ur Zuf-iiN i COmPLIANCE Date M�`� 14'l
Proposed building(s), use(s) and/or structures) Doing Enforcement Off+rer
as shown on this plan appear(s) to be in
conformance with current South Windsor
regulations. Variances and special exceptions )(Ito
may apply. �1
Date
Zoning Enforcement Officer
O 00�
0
O
i
04.
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2.79
10
0
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POOL
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Town of South Windsor General Map N ROAD NAMES
Connecticut Cam '
) Ak jbe- 7ec1 CONDOS
. i,„ Date Printed: June 21,2004 Text F nalC_annotation.dxf
0 60 Feet /\/ ROADS
Property boundaries are derived from the Town of South Windsor Tax Assessor maps,digitized at a scale of 1 inch=100 feet,and include the same data limitations and disclaimer as the Assessors maps.
All other data portrayed is representation only and,due to inherent mapping limitations,should be used as a guide only. The intent of this map is to present a graphical representation of property bounds
and selected date,and the map Is subject to change as more accurate surveys may disclose. Property boundaries mapped as of June♦,2001.