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HomeMy WebLinkAbout250 BENEDICT DR DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR F yy0 BUILDING DEPARTMENT�APPRO� 1540 SULLIVAN AVENUE 6442511 ext. 230 Bldg.Permit# - �5 (� o3 s �— Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: r2,5-(-) 6c4edicf- $0-$1,000=$15.00 F=StreetNo. Street Lot N0. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT xyy2 APPLICANT ADDRESS `f:�7 -� 2-2 Z-2 APPLICANT PHONE# 2 5' OWN OWNER �'A SF q< OWNER ADDRESS S. OWNER PHONE �' ez- C ESTIMATED COST$ t/62j .� IS THIS A CONTRACT COST? _Yes _No FEE ENCLOSED$ c /V TYPE OF JOB: DSO R CO 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 (d U RESIDENTIAL BUILDING PERMIT APPLICATION? YYES ❑NO ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL 0 INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other Please specify) TYPE OF INSTALLATION/WIRING METHOD Z (e; 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 sq,0,1� O 7"C f- 7s- 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. STATE n3 SIGNATURE OF APPLIC 117J'�/' DATE t� • Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-29648-B 2,000 BO1 FOOTING 06/03/03 JFF A WITH OWNER 4 10IN PIERS B09 OTHER 07/02/03 WNB A LAGS @ LEDGER E03 ROUGH 08/04/03 WNB A STAPLE @ BOX ALL WIRE WILL COME IN FOR PERMIT B04 INSULATION 09/08/03 WNB A WITH OWNER B10 FINAL 03/02/05 JFF D NO ACCESS DOOR TAG ALSO PHONE CA LL SPOKE WITH SON B10 FINAL 03/03/05 JFF D WITH OWNER OPEN GROUNDS IN SUNRM SMOKES IN BEDRMS TO CORRECT AND CALL B09 OTHER 12/29/05 JFF D SPOKE WITH MR RICHARDS TO INSTAL L SMOKES AND CALL FOR FINAL B10 FINAL 02/28/06 JFF A WITH OWNER **-18440-E 100 Electric # l 14-0 APPLICATION FOR BUILDING PERMIT Plumbing#HVAC # 250 Benedict Drive Date: Sld1/6 3 - Sprinkler# 2 9�4$- FINAL - - - - Estimated Cost $ , c-►ry Buildin vG, E — — ------- . -- -- -- - Permit Fee $ — En nee n COMPLETE RED BOXED AREAS Occupancy Fee $ Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr. for C - SIGN ON REVERSE SIDE Total Fee TO THE BUI NG DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant el-r 2 O Location of Work o2 SO—5enr dr c f Lot No. Applicant's Address 7, s a 9 6 P JIFD t r 10�— Tel.# U - CK/2-SJ Town S'o 11J i N b Sa ti Zip OE, 6) V Lic.# Owner Sfi Wye Architect Owner's Address Architect's Address Zip Zip Sq. Ft. New Area: 1 st FI. J L -v /V 2nd FI. 3rd FI. Total New Area Purpose of this permit 1—ti N 2 0 o k*1i City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date Z3 Use Group 4:: Construction Type Revised 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 fro street lines,side yard lines,and required distances from all other zones and is located in YtOAs building and its use Ilowed 1 LL� I hereby apply for a Certificate of Occu the work described in s appli ion for he pynnit r`Sig DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS rM \ l�T 3. } �• ., LI RM Ok q •M my, i , 4 "" a. •fi0'`J'F I r \9 , _ �b ` l a y �1 I Ct n� ae c /yZ/ wi, *�r.�, ol o Z� ti tJ a cal NA / G` � 'R ii 11i'.,. ` s,�O/ ,•.��/ -�''tl I; t '4 ~il. }1; (O 1`RNF .�� ,� -�y�\,� ,v aIN) � 9, :�r. k ��.J -- � � '� 'r'e� fit • . � \ 6d/ �s DMA 19 Coc " ¢!'/ N C6 l Ilk tv } '' Wiz: �_. �o�� •.. � ..�: �° /, `� , , /.�i' h � (",,big ,W��•1 �,. , �'-- ,�.�?�, ;i� ,�`�' `� � �'y. ���1 MQ r' i 2003 South Windsor BUILDING DEPARTMENT L-iANCt Props d buJu-1 - ( str�cture( ) �. s �t5 Sh; tiwn on t ; hf: in i as B:r;lay Cf„iU;ly Date 40 THE Wkl11N� Ut;(. ihls Hit ItY+9 that :hi. PNn 0',d cuplas of the proposad 4IAtdtng et aitery tJ�r�s t:' er"tod St t - c�►G�' Strv. together with •am.ndrr r.or� s r In t ,..r,. y / hlad wlth VYan and I vr. t rd. c a .�i �Ll R t bit Yldl;g and :;t e - Ci r ❑if.,.c. ,sued Dr t,. r Yi.� ' 1 �f!ds-:: •t rnls :pf'nr.:n.n �.L ins i , Is �.. ,..�,•y �_ u,au�,i{ D..Uding shall ., ,•, These fihd with buttdtng tnspsctor Electric # D k 9 t � ' ICATION FOR BUILDING PERMIT Plumbing# 2 �� a Date: HVAC # Sprinkler# Soutn VVingsu3 / OU FINAL APP V ! - _ - Estimated Cost $ Building COMPLETE RED BOXED AREAS Permit Fee $ �— Engineering TYPE OR PRINT ONLY Occupancy Fee $ ►i) Eng. Insp. Fee $ Affidavit for CO r` [110010'� SIGN ON REVERSE SIDE Total Fee $_ TO THE BUI DING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: �QSS Applicant �i�a S -u r Location of Work Z� -✓���ic ©Y Lot No. Applicant's Address R -n e. Tel.# L 41 S' -a W 2'S Town _ p pe, Zip o&0? 5-6 Lic.# Owner ` .� Architect Owner's Address Architect's Address Zip Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd Fl. Total New Area Purpose of this permit . /� . , City Watery Wello Septic System❑ Sewer❑ Ins: HO SP a Area Basement Garage Approved by Dated x Use Group Construction Type Revised W02 19a3 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, ide yard lines,and required distances from all other zones and is located in whic building and its,`jse s atlgwed_ Si ne �t�Ll I hereby apply for a Certificate of Occu ancy for the woTdeib�tisinlicdtion f he permit. Si 'emu DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS