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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 Street 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 OCCUPANCYEDUCATIONAL
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
7SIGNATUREOFAPPLICANTDATE ` 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$1,000
or any fraction thereof Tenant Designation Apt. No.
APPLICANT L ev—?— C
APPLICANT ADDRESS
APPLICANT PHONE#
O W N St OWNER ija-turtr _ 1e A `nQC f-
C OWNER ADDRESS S!'t QdQi
rOWNERPHONE
C ESTIMATED COST$ 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
i.
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a?1R 12 1
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+rerasshownonthisplanappear(s) to be in
conformance with current South Windsor
regulations. Variances and special exceptions Itomayapply.1
Date
Zoning Enforcement Officer
O 00
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10
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Town of South Windsor General Map N ROAD NAMESConnecticut 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.