HomeMy WebLinkAbout10 POND LN DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby: TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT I&JO1 9
APPROVED 1540 SULLIVAN AVENUE Bldg. Permit#
644-2511 ext. 230 $
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
O Po ti Q I-1ttyc- _
$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 idii1baw, i r_g _AAlf ElkCt2lL
APPLICANT ADDRESS e .
E�-s 1 Cis Q�l $
APPLICANT PHONE# 56 LY3 5 r
O W N S Fq OWNER Ud�/ ltir G e M o,e/I •� --
OWNER ADDRESS / UA
Svu�W'I1,i1.'a�
r r, OWNER PHONE oC L"05
O = ESTIMATED COST$
� � V
.� IS THIS A CONTRACT COST? _Yes _No
L�r L/ �C' FEE ENCLOSED$ 15,
TYPE OF7New
B: lJ k
SOR•CO Installation
T Alteration/Addition/Repair
Revised 4/01//2002
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
E CA ONE FUTURE USE AND OCCUPANCY
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
El STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other Please specify)
TYPE OF INSTALLATION/WIRING METHOD
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
r
P6efe, t. --?y e", r C,FS c it
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.
16673� Ef G f
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT r DATE 6'(f'08
oo,*
Y
Home Occupation Information and Application Form
r
;j ASSESSOR'S USE ONLY
Minor Approved by Date
❑ Major Home Occupation Type
Cade
Cc-er-rve it)
Name DBA
Address of i Proposed Occupation::
fK/ AQD
Telephone — 51r Zone (Nova m &W tones only minor home omgefi m ue
allowed:aWovd totter from homeowners assn ngaited
Description of Ho Occupation:
Ai A
r
A IL
haw
Please use the boxes below or an attached sheet to provide the following: A.Proposed Sign
i. Attach copy of plot plan if available.
2. Use Box A(or attach sketch)to draw proposed signage.
3. Use Box B(or attach sketch)to draw the floor plan of the Home
Occupation arm
4. Architectural elevations for any proposed additions or modifications
must be provided.
FLOOR PLAN (Basement _I"floor _2od floor)
Floor area of dwelling
Floor area of home occupation f 0 D
%of floor area devoted to home occupation 225 o
f DI
I have read the regulations regarding home occupations and will comply with said regulations.I understand that I must notify
the Planning Department in writing upon termination of this occupation at this address.This permit is not transferable or
assignable to another person.In the event of location,the permit holder must notify the Planning Department in writing to
transfer the permit to the new I 'on./
Signature of Applicant ( Z.,IVA10 Date
—.J/,2
Signature of OwnerAZ16Date
N
0�
` Legend
0 aama5
Watercourses
e
0,011 S.
q0
.31 `L o
2 CV)
S A�
00>
Q
r
uth Windsor
GWgrap'vc i;kfousu�ca Svetc i
0 30 60 120 MAPPING PROVIDED BY SBC UNDER CONTRACT.
Feet DATA MANAGED BY THE SOUTH WINDSOR
ENGINEERING DEPARTMENT AND IT TECHNOLOGY
1 inch equals 40 feet DEPARTMENT.
o D
vuN 5 Zp06
Souitt vEPARTMENT
gVII.DINC'D
10 Trlt OF SGUTH WI,Y:+SU'
This certitl.•d ccplea that this plan and apecifleatlons ere tru•
of the proposed building or alterat►ons to be
erected at
together nith ,"enarn"t9 stated in application and
filed with Plm and i egr t to
6u g and tate laws ildin comply with ail toning,
s r�^
Issu,•d b •'eh orders as shah be
Y the &nldin cF. lm•-n
Of this application , t durin dency
fin issuance Permit bulidln`
S!gned
This Plan Is apA ved
c,rd,,rs ind lect to the condition that
Eton rrpulating bodd,n co^T•In.1 g shell be
Coad�tion..,iy APProved
These filed with
L W!dind Inspector
Clark
'Oct. _ $130
CERTIFICATION OF ZONING COMPLIANCE
ro o .� t•-�(s) � , .,. structure(s)
as on n app:._:6-{-�) to to in
cc i•.ri'h current `'cu';i v,'l;- -or
re, V, nces and spec;_.1
m, f
n g Ent ement Officer
Qom{
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Appl�iaktion isfieieby-
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROVED!/, 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldrmit#
Date B 'ng inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 FTen!ant
Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT !4 (6`1 ( L LC C
APPLICANT ADDRESS ✓� "�
APPLICANT PHONE#
�0* N S£q OWNER —r Ge:►�Mz �I
OWNER ADDRESS
. tom . C' T
OWNER PHONE 6
C ' - ESTIMATED COST$ O D
IS THIS A CONTRACT COST? _ es _No
FEE ENCLOSED$
s 0��� TYPE OF JOB: i '
a�
OR C New Installation
_--mteration/Addition/Repair
Revised 4i0 t irz002
APPLICATION FOR ELECTRICAL PERNIIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED A
t�tESIDEI�ITIAL
BUILDING PERMIT APPLICATION? 0�NO
❑ BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
0 MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
0 INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
U STORAGE
0 GARAGE ADDRESS
0 MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
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
Wt aw-� n5}��l o c+S S„v, -��ht� �,. � ��', -�yr ex-Ah�
Z j- r— jL)r 6tLw,�ry�S(2 ) A",J 0.rtck,
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.
/,?y2�-I e I L'-T
CONTRACTORS LICENSE NO. iG'/�^ TYPE STATE
SIGNATURE OF APPLICANT y y ) DATE S_O g
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 10 Pond Lane Date: —D
HVAC #
Sprinkler# - --- — 900003 - --
- Estimated Cost $ G ,
FINRE E Dw
Permit Fee $
Building p COMPLETE RED BOXED AREAS Occupancy Fee $ 1
Engineen TYPE OR PRINT ONLY 1 Eng. Insp. Fee $
Affidavit C SIGN ON—REVERSE SIDE / Total Fee1*74 $
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional`Cost) $
The undersigned hereby applies to do work according to the following:
Applicant ocation of Work_ Lot No.
Applicant's Address Tel.#
Town 'A,Id"'A I'mk-- z Zip 4Q//)Va Lic.# 61Z Q&Oaa7,�2, _
Owner e_U TuAA 3 Architect
Owner's Add re 4 Pa, A L-A nv_ Architect's Address
Zip-06 Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. y`�2 3rd FI. Total New Area
Purpose of this permit
2A CA
�
}� n�
City ate Well❑ Septic System❑ Sewe0(_
Ins: HO SP Cert. ea Basement Garage
Approved by Dates Use Grou onstruction Type.
Revised 6/02
o?MqC'`'y
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 locatqd the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which thi ilding nd its 4e is al ed.
Signed
I hereby apply for a Certificate of Occupa y for the anrork desc bed in his application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Electric* , APPLICATION FOR 6INI�(VI IT
lec # 10 Pond Lane
Plumbing#HVAC # 800303 Datill JUN 11 5 ?nnR
Sprinkler
# -- iEs1
FIN t''C��iYI�IAA SE — — - Perm�jt}j�1 bEP
BuildingPermit ee '
- COMPLETE RED BOXED AREAS Occupancy Fee $ If,�-
Engineering non. PA ,
Affidavit 76 TYPE OR PRINT ONLY Eng. Insp. Fee $
Appr. for CO.— SIGN ON REVERSE SIDE / '
LGS 29-393 - - - - - - -
.__1 Total Fee $ 4s
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant PWAI 411whIll Location of Work Lot No.
Applicant's Add r ss &I tel.# W--)2A-g
Town Zip O_0,V Lic.# AaEMA 1217
Owner Architect
Owners Address / Architect's Address
r Zip_ Zip
Sq. Ft. New Area: 1 st Fl. 2nd FI. 3rd FI. Total New Are
Purpose of this permit / /► Ile
Allg,&W on
City aterc/ WOW Septic System❑ Sewer
Ins: HO SP ert. Area Basement Garage
Approved by 04liate " • 1tg& Use Group Construction Type
Revised 6102
I
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut an the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specif ions of the Building for which this
permit is asked,and agree that this building is to be located th per distance fro street lines,side yard lines,and required
distances from all other zones and is located in whit hi di and its use ed.
Signed
I hereby apply for a Certificate of Oc nc &Wdescnbed/,n1hspplication for the permit.
Signed
DO W E OW THIS LINE
INSPECTION COMMENTS
CLIOSJE
PER: PA 1-7-110
r�,r s 29-393
Town of South Windsor
Building Department
Location Building permit#
v
SWIMMING POOL REQUIREMENTS:
This list is not all inclusive,please refer to pool packet.
.• A 48' barrier shall be provided to protect pool access. Including a temporary fence for in ground
pools prior to excavation.
4 Access gates shall be self dosing and self latching(if less than 54"high the latch shall be on the pool
side and be protected within 18"of release mechanism.
e. Doors providing direct access to the pool area shall either have an alarm,a self closing self latching
device 54'min.from floor or the pod shall be provided with a safety cover.
v No receptacle within 10'of pool. (Except locking type receptacle for pod equipment,must be at lease
5'from pool and GFCE protected).
All metal parts of the pool structure fixed metal parts within 5' of pod, pump motors etc., shall be
bonded with a minimum#8 solid copper wire using proper bonding lugs.
Convenience GFCI receptacle shall be provided between 10'and 20'from pod.
t:• Trench depth for 20 amp Max.GFCI protected circuit to pod equipment shall be 12"deep minimum.
A surface pool alarm shall be installed pursuant to Public Act 99-140.
e All Swimming pool pumps shall be provided with a time dock.
ev Entrapment avoidance shall be in accordance with the provisions of Section AG106.
REQUIRED SWIMMING POOL INSPECTIONS:
The following is a list of inspections that need to be performed prior to the continuation of work. Request for
Inspections can be made by call the Building Department at 644-2511 (a 24 hour notice required).
1. TRENCH AND BONDING- Electrical trench depth verification and bonding of pod and metal
appurtenances including metal reinforcing for gunite pools and concrete decks.
2. FINAL ELECTRICAL- Location of equipment and GFCI protection, pump timer and convenience
outlet provided.
3. FINAL-Swimming pod access protection must be in place before pool may be used.
Each swimming pod installation requires a Building and an Electrical permit. Additional permits and
inspections may be required for pod decks.
1 have read and understand ui fisted abo e
Applicants Signature Date �//Jrlv
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