HomeMy WebLinkAbout269 MAIN ST APPLICATION FOR.ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERNIIT#
Application is hereby: BUILDING DEPARTMENT
c5o�2?C1
APPR 1540 SULLIVAN AVENUE
1� 644-251 i ext. 230 slag:Permit#
ate Building Ins for
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 7- lO /�a�� S
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt No.
APPLICANT
APPLICANT ADDRESS
^l
Cw_q YV L fS /� e i Ko z 3
APPLICANT'S PHONE
OWNER 6z'�)tirzA-MC
OWNER ADDRESS `( !Y)A,,•+ 5 .
�UT\•1 W1N15d1't �. �
C OWNER PHONE
C ESTIMATED COST$ WCO
�►�! C� IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$. U
TYPE OF JOB: ue
OR-CO� New Installation
Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF B n .DIN = IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
❑ RESIDENTIAL CURRENT USE AND OCCUPANCY
0 BUSINESS
❑. ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE.
❑ FACTORY
O STORAGE ADDRESS
❑ GARAGE
❑ MIXED USE CITY STATE ZIP
(Other plem'specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE ZGL? SIZE OF MAIN CONDUCTORS
NUMBERS OF METERS NUMBERS.OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES 0 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
IkI ,j 260A .SEZ J Lc u P c,-itpo t
THE UNDERSIGNED HEARBYAPFLIES 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
E1 �G1ggyZl C` � C�
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE z all.
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 269 Main Street Date: c')
HVAC #
Sprinkler# ZL 32010____-_.
FINAL Estimated Cost $
-_ _ - $
Buildin 9 COMPLETE RED BOXED AREAS Permit Fee
Engineer' TYPE OR PRINT ONLY Occupancy Fee $
Affidavit Eng. Insp. Fee $
SIGN ID
ON REVERSE SE
�z
Appr. for C ► : Total Fee $ /0-57
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby appliq to do work according to the following:
Applicant y)- j F, A,) �2 Location of Work 2 Lam,`f ,��1 Lot No.
Applicant' -Address 4' Lv i °�. ) SC)/2 Tel.#
Town `i✓'✓� D!L Zip /��i) Lic.# —� r
Owner /12 A Architect
Owner's Address ��' ,it�f/I Itv 5 Architect's Address
Zip Zip-
.-Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit
City Watero Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by Date Use Group Construction Types-�
Revised 6102
I hereby agree to conform to all the requirements of the Laws of the State of Cor iecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans( specifications of the Building for which this
permit is asked,and agree that this building is to be ted the proper distance ,om all street lines,side yard lines,and required
distances from all other zones and is located in whi is building and its use is illowed.
Signe&Opany
'� 11
I hereby apply for a Certificate o for the work described n this application for the permit.
Signed
DO NOT WRITE BELOW THIS Llt-=
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-32010-B 68
B10 FINAL 12/26/06 JFF A
J
1500229 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 07/21/2015
GIS ID: 54900269 FEE: 30.00
MUNIS APPLICATION# 201500956 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: C. WARD ELECTRIC ADDRESS: 269 MAIN STREET
ADDRESS: 19 ROUTE 6 OWNER: HARWOOD ELVERA D L/U
COLUMBIA,CT 06237 427 MERIDEN AVE
SOUTHINGTON,CT 06489
DESCRIPTION OF WORK: NEW 200 AMP SERVICE UPGRADE.
4
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
7/2 1/201 5 3:27 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE