HomeMy WebLinkAbout26 JUDY LN APPLICATION FOR:ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PER1vIIT#
Application is hereby: BUILDING DEPARTMENT O vy
APPR 1540 SULLIVAN AVENUE
644-2511.ext..230 Bldg:Permit#
Date Building Inspect6r
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 F
v �0
Over$1,000= No. Street Lot No.
$15.00.per$1,000
or any fraction thereoft Designation Apt.No.
APPLICANT /Cc �eu
APPLICANT PDRESS /� �/•'m y��,
APPLICANT'S PHONE#
oW N S.F
OWNER &t V t_10) 'e all �IV -P
OWNER ADDRESS 7 ,
O OWNER PHONE C>
C ESTIMATED COST$ 1 VC')c.
a ` IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED.$.
TYPE OF JOB:
dSOR•C0� New Installation
--.�-lAteteration/Addition/Repair
�C)
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
❑ RESIDENTIAL CURRENT USE AND OCCUPANCY
Cl BUSINESS
❑. ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
❑ STORAGE ADDRESS
❑ GARAGE .
❑ MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD..
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS .. 110
NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO
NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF'LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER`OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR-
MANCE OF SUCH WORK_
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OFAPPLICANT ��—� DATE
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Property Of
LEON A. & I-IADELINE M. ZIMMERMAN
26 Judy Lane South Windsor
Scale 1"-401 MAY 3.966.
itj
KErTy�°��/�G,�
�' 131 Ca I No soninZ laws violated.
gUR��y ' This cur-w-ey is for mortgage purposes only
- - .and is not intended to establish property lines.
O H N H. K E I T H L I N E I horeby cartify this map is substantially corset.
REGISTERcD LAND SURVEYOR '
EAST HARTFORD, CONN. �/ %
eg stered Land Surveyor 1 1
Electric # APPLICATION FOR BUILDING PERMIT
Plum.l�ing# 26 Judy Lane Date:
HVAC #
Sprinkler# 30675
!
FIN Estimated Cost 1$ s"OCI.
B lding ( v O - — —--- ——� Permit Fee $ /S
En 'nee n1FIO' SIGN
PLETE RED BOXED AREAS Occupancy Fee $
TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
CO. ON REVERSE SIDE Total Fee $ /S, L
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant 1- tiJ 'location of Work c� Lot No.
Applicant's Address Tel.#
Town Q�;. ;J, �J�-- -- - -Zip Lic.#
Owner J�4 Architect
Owner's Address Architect's Address
_"42 Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose o.this permit Al Pelw-f—P
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO A __k er . A Basement Garage
Approved by a 'Z�� Use Group----- ' Construction Type
Revised W02
I hereby agree to conform to all the requirements of the laws of to$tab of Cp and the Ordinances of the Town of
South Windsor and to ratify the Building Inspector of"aN o Hon In 1tM phrfa ItCaffons of the Building for which this
permit is asked,and agree that this building is to be the d street lines,side yard lines,and required
distances from all other zones and is located in which IN
Signed
I hereby apply for a Certificate of Occupancy for the work deaCribed In Ifie appticetion for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-30675-B 500
• B10 FINAL 05/24/06 JFF A
1600449 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 10/07/2016
GIS ID:48600026 FEE: 30.00
MUNIS APPLICATION# 201601346 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: DUBIEL TADEUSZ ADDRESS: 26 JUDY LANE
ADDRESS: 17 BRIARCLIFF ROAD OWNER: "DIMAURO SALVATORE&MICHELLE
MANSFIELD CENTER;CT 06250 -,.-,26 JUDY LANE
SOUTH WINDSOR,CT 06074
yJ
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DESCRIPTION OF WORK: UPGRADE ELECTRICAL SERVICE FROM 100 AMP TO 200 AMP.
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
10/7/2016 12:07 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE