HomeMy WebLinkAbout17 Green Lane (4)o T S r T7 G ,/i/tGY O C.. /`' i2o. /.o G T'10 a=7 4 2T r c r'
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
17 GREEN LANE LOT_# 2 Reviewed By n ine
DAN ROULIER & ASSOCIATES Date Reviewed prove
it SOUTH ROAD,SOMERS,CT Reviewed By lanning)
BP_#_28356_ Ph_#_763-3538 Date Reviewe i pro /Denied
Date Submitted 11/26/01 FOR B IL ING PERMIT *****
In accordance with the Zoning and/or Subdivision Regulations, prior to the
building of any structure on a lot, a Topographic Plot Plan shall be submitted
for approval. The minimum requirements shall include:
Appro71d Denied N/A
1. Name, address & phone number of owner/applicant
2. Name, address & phone number of plan preparer
3. Zoning Information - i.e. zone, open space,
floodway, street address.
ZD
4. Plot Plan at 1" -- scale
a. Subdivision reference, abutting properties, etc
b. Easements of record
c. Lot description, bearings, building lines,
distances, area, etc.
d. Contours, existing & proposed, 1 or 2 ft.
interval where appropriate
e. Building location with dimensions.
Elevations of proposed finish floor, garage
floor & centerline of road at driveway
Elevations of gravity drainage systems, sanitaryY
ounan rain at the house and the street
J/ g. Tentative utility location (gas, water,
electric, septic system, etc.)
h. Title block with name and address of preparer,
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements. (P.E. & L.S.)
5. Sedimentation and erosion control
6. Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS:
0 r.,r = /3Y.74 --A v z,S
1
3
F
RTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR
PERMIT#
lication is hereby: r(BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Building Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE 7 Z
0-$12000=$13.00 Street No. Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 1 Cl t"& •`W 4P
y
APPLICANT ADDRESS CURRENT ELECTRIC INC.
332 Old Marl'bur6ugh
PORTLAND, CT 06480
e
APPLICANT PHONE# _ 1 C/ 3 3 9
VI N S OWNER l v:Lc ,•
x q< OWNER ADDRESS X 9"?,
r•
OWNER PHONE l reel 7
C ESTIMATED COST$
U
IS THIS A CONTRACT COST"? Yes 0 No G' 1
FEE ENCLOSED$ L 7 i C.
r w G
TYPE OF JOB:
SOR•CO CyNew Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? YES NO
RESIDENTIAL
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE 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 x
SIZE OF SERVICE 7 C-) SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS f REMOTE DISCONNECT REQUIRED? YES WNO
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
N c f ^ I.E C e
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.
A
STATE
SIGNATURE OF APPLICANT DATE
hirley Wilhe m- RS Approval Confirmation: Request No. 206309 Page 1
From: clpsvc@nu.com>
To: WILHEL@SOUTHWINDSOR.ORG>
Date: 3/26/02 11:53AM
Subject: CRS Approval Confirmation: Request No. 206309
Your approval of the following CRS Request has been successfully processed.
CRS Work Request#:206309
House No: 17
Lot No: 2
Street Name: GREEN LN
Town Name:SOUTH WINDSOR, CT
Inspector:JOHN COLLINS
Approval Date: Mar 25, 2002
Shirley Wilhelm 7RS Approval on irmation: Request No. 20 309 age 1
From: clpsvc@nu.com>
To: WILHEL@SOUTHWINDSOR.ORG>
Date: 3/26/02 11:53AM
Subject: CRS Approval Confirmation: Request No. 206309
Your approval of the following CRS Request has been successfully processed.
CRS Work Request#:206309
House No: 17
Lot No: 2
Street Name: GREEN LN
Town Name:SOUTH WINDSOR, CT
Inspector:JOHN COLLINS
Approval Date: Mar 25,2002
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WIlVDSOR
PERMIT#
Application is hereby:BUILDING DEPARTMENT
APPRO 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
ate Building Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT C ti r+. P/u v,%G 1 V%C LI,e-,
APPLICANT ADDRESS C=>iY4 (A a v.
S. L-J,4-d5Qr' c_; 060 Y
APPLICANT PHONE# A4 o '6 YYf 1,92
W N S OWNER T)4',^ /µ.`e r t
Fq OWNER ADDRESS
3
t-56 r S C J
OWNER PHONE e6 o 7 3 3 4K
C ESTIMATED COST$_ S-D 0 • y
IS THIS A CONTRACT COST? ',-,Q Yes No
FEE ENCLOSED$
TYPE OF JOB:
R 0) New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIAT D WITH A
RESIDENTIAL
BUILDING PERMIT APPLICATION? S NO
BUSINESS CURRENT USE AND OCCUPANCY SASSEMBLY
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 f e HS SIZE OF MAIN DRAIN
L
NO.OF TOILETS 3 STYLE NO.URINALS STYLE
NO.OF BATHTUBS I NO.OF SHOWERS NO.OF LAVATORIES
NO.OF CONDUCTORS Z— SIZE .3 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 g'YES NO
SIZE OF WINDOW 3 c Z— IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK 5
SIZE OF WATER MAIN I r
SIZE OF WATER PIPING&RISER Y1Y /-
WATER HEATER: TYPE PC-004" 'e— MANUFACTURER /4 is .
DESCRIPTION OF WORK
1,e,* f3 J
VTHEUERIGNEDHEREBYAPPLIESFORAPERMITTOPERFORMTHEWORKDESCRIBEDANDISTO
o c
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
26y) 3C, 1 e, J
CONTRACTORS LICENSE NO. TYPE STATE
i ! 9 aSIGNATUREOFAPPLICANTDATES