HomeMy WebLinkAbout100 SCANTIC MEADOW RD APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR pgRMT
Application is hereby: BUILDING DEPARTMENT
APPR VE 1540 SULLIVAN AVENUE
Bldg.Permit#
. 644-2511 ext. 230
Date Building Inspecta
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 :�_
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT '�ri�riy pc� 5t e C't L G C,
APPLICANT ADDRESS 20 C 1 e,i 10,1 sF
Encc I)
C1
APPLICANT'S PHONE# ka— D L 560 l
OWN SF OWNER i Pc,.5L -7
'ot '4� OWNER ADDRESS 1 Gd �Scn-,/ ,c /`�t nan.� 0/
�.- ` ' r7 ,fir/✓� V..,../S�� � (y l
* ! OWNER PHONE 7
ESTIMA?7ED COST$ 2-2 S U
►I U IS THIS A CONTRACT COST? Yes No
1G
- FEE ENCLOSED$ 5
TYPE OF JOB:
s ,Y ..CO �
OR C New Installation
Alteration/Addition/Repair
'2�1 0 C, Z
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 L'NO
RESIDENTIAL CURRENT USE AND OCCUPANCY
❑ 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 I ao SIZE OF MAIN CONDUCTORS 2
NUMBERS OF METERS NUMBERS.OF DISCONNECTS AND RATINGS
1
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 IC CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
`co _ �MD LhG.Si�C`l JET✓ECG. Q F6(G(.d 4,j
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
��_ - 0rit29r EJ CT
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT — DATE
j •; :� =q Q tom! H A_ M -
T- O 1v N OF EA I N D t) 0Q
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S_ C_ ANT IC M EA D0W FZ0AD
Lot numbers refer to reap entitled,
"Subdivision Map, Farnham Estates,
Property of I R. stich Associates, Inc.,
Rye Street, South Windsor, Corui. , Scale
lit - 4019 Sept. 1910 19570 Sheet 59
Certified Substantially Correct,
Morton S. Fine,
of CON4/ , PROPOSED LAYOUT
~� c D N S. Chi FARb'HAT1 ESTATES
I hereby certify that this I�t z r SCAIv'TIC 2JEADOW ROAD
map is substantially cor- - * SOUTH WINDSOR, CONNMTICUT
rect and no zoning regula- '40. 2931 0,
tions have been violated . ��; ���i SCALE 1" 40� OCT. 28, 1958
*e LA„t,5�' MORTON S. FINE, C.E. -L. S.
/ .,� HARTFORD, CONN.
Nov 1 7
South t,
BUILDING DEf
a ` ` t
TO THE BUILDING DEPT. TOWN OF jpjTi yfl;4i;
/ — This certified that this plan and specifications are tr,
copies of the Proposed building or alterations to 1„
erected at
Gr ZONING COfbiN�„Proposed buiidir, r's) users- ��° Sic �� /
61 , -) 'b to -- sire
1� a$ Shown {., i' c.rit�(,�r 5r ^",ir together with amendments stated in application
ac X on t u,._ <
I Jos Rlur 1 (, tiled with plan and I agree to comply with all eorfor1nance with F OPPear(j) to Ire Building and state laws and such orders as shalll`b
r{_ -� �` ltl C(�(r� ^ }} `�{ U Wind
tt� issued by the Building Department during�l([[j reP,ulatoi7s. l! r{t v10t lh Y'�jf�4 i( of this a Dendenc
Variay. nces and PP on and fin ssuance o} a bufldin
may car;.- SPoCf31 @XCE' permit.
v a!e Signed -----
This plan i9 ap fnVed subject to the condition th,.
orders and ordinances regulating building shall be
l�Yt-( ) - complied with.
ZvTT1^tom Conditionalty Approved These filed with
Lnforccr?oi.± C7. _._.
Y
BtWdala� larmpeetp Ck"
Date /D k
: ; ___ - .� $- - - ~ _ -.
-71
01P
et
13
Ji
17.1 1
It
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 100 Scantic Meadow Road [Date: 1_ ,2 3-c L
HVAC #
Sprinkler# 32349 _ _ _
FINAL, P F0100- SIGN
PLETE RED BOXED AREAS______ Estimated Cost $ 2O0C�•oo.
Buildindl 1 06 Permit Fee $
Enginee g _ TYPE OR PRINT ONLY Occupancy Fee $
Eng. Insp. Fee $
Affidavit
ftda£or CO. ON REVERSE SIDE
PP - - - -- - -- -- - - - - Total Fee $3o�
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following: CI L J>--117 J
Applicant -2rzr,4.a -j)out&x4 ry Location of Work -1/3cp C_ m5; /qDb-J.Lot No.
Applicant's Address -n-o [2AIQ sT• Tel.# ;,o _10C bra 7-
Town sr . H Arc 7'ForL l7- Zip 06 it S- Lic.# hDs'SC Z.
Owner ,62 A-n>c y e-r4s s -r r-!! A• Architect
Owner's Address too _<1-. ,rl c .Architect's Address
5 ,ws.�DSv2. Zip ocv —
Zip-.-Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit o_s r-to�)s_ A ro7) rz L 2�4-4- ?o nGN Roo F=.
City Watero Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert._ ea Basement Garage
Approved by Date J Use G up Construction Typ
Revised 6/02
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 located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-32349-B 2,000
B10 FINAL 11/01/06 JFF A
Electric# APPLICATION FOR BUILDING PERMIT
plumbing# 100 Scantic Meadow Date:
HVAC # A-/ / 01P
Sprinkler# 32295
' --- � Estimated Cost $ 0d
FINAL PR
Permit Fee $ / /Q. ()O
Building)l 1 06 j COMPLETE RED BOXED AREAS
Enginee � Occupancy Fee $ / , , (�Z
Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $
Appr. for CO. SIGN ON REVERSE SIDE Total Fee $��0' '
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following: `"I
Applicant Location of Work Lot No.
Applicant's Address r7�T S�, Tel.# ;
Town `� Zip_ —T- Lic.# I i
Owner n n'i "j Architect
Owner's Address I nh -Q ai:S O1 CXA C160b.:, CCA Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st Ff. 2nd FI. 3rd FI. Total New Area
Purpose of this permit --7), (-A V i n
City ater❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. flea Basement Garage
Approved by _Date d'�`P Use Group— onstruction Type
Revised 6102
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 located the proper distance from all street lines,side yard lines,and required '
distances from all other zones and is located in which this building and its use is allowed.
Signed
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-32285-B 9,000
B10 FINAL 11/01/06 JFF A
u /
/,V
• SHAi
r `,1
N N
o� o
41 5
5r ra3 a
' "L2.42 {4r,
5
U, n'
d
Lot numbers refer to neap entitled,
"Subdivision Map, Farnham Estates,
Property of I„ R. Stich Associates, inc.,
Rye Street, South Windsor, Donn. , kale
111 - 4019 Sept. 199 1957, Sheet 5,
Certified Substaaitially Oorrect,
Morton S. Nine,
pF CON NFC PROPOSED LAYOUT
ON s i FARNHAM ESTATES
�';'.'• �% G
I hereby certify that this y ) SCANTIC MEADOW ROAD m * SOUTH WINDSOR, CONNECTICUT
map is substantially cor-
rect and no zoning regula- \,�� 14o. 2931 SCALE 1" _ 40' OCT. 28 1958
tions have been violated . :�ORTON S. �' NE, C.E. -L.S.
���� v HARTFORD, CONN.
ell
BUILDING PERMIT
STATE OF CONNECTICUT
WORKERS' COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn.Gen. Stat. §31-286b)
Property located at I mo(x-d ol-o i2 d
In the town of_ t Lq-h I it ,- 6 n r—
Name of building permit applicant:tr-,
Please check one:
1._I am the owner of the above property.
2.A.I am the sole proprietor of a business.
2A.Name of business Q '
�,�t� YAt)A'lDfl.
2B.Federal Employer Identification Number(FEIN)
.................................................................................................................
Pursuant to§ 31-286b,"a property owner or,sole proprietor[who] intends to act as a general
contractor or principal employer"may provide either a certificate of workers'compensation
insurance or a"swom notarized affidavit... stating that he will require proof of workers'
compensation insurance for all those employed on the job site in accordance with this chapter."
Please chec"ne:
1. 4 I do not intend to act as a general contractor or principal employer.
[Sign and stop here]
Signature of applicant
2._I intend to act as a general contractor or principal employer.Applicant must either
provide a certificate of workers'compensation insurance or sign the affidavit
below.
....................................................................................................................
Affidavit
I hereby swear and attest that I will require proof of workers'compensation insurance for every
contractor, subcontractor,or other worker before he/she engages in work on the above property in
accordance with the Workers'Compensation Act(Chapter 568).
I understand that pursuant to §31-275 C.G.S.,officers of a corporation and partners in a
partnership may elect to be excluded from coverage by filing a waiver with the appropriate
District Office;and that a sole proprietor of a business is not required to have coverage unless he
files his intent to accept coverage.
A CA, j
Signature of app icant
Subscribed and sworn to before me this day of ,200
(Notary Public/Commissioner of the Superior Court)
13000330 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 06/27/2013
GIS ID: 81000100 FEE: 105.00
MUNIS APPLICATION# 201300899
BUILDING DESCRIPTION:
APPLICANT-" 'i"" ' LOCATION
NAME: SOUTHERN NEW ENGLAND WINDOWS -,ADDRESS: 100 SCANTIC MEADOW ROAD
ADDRESS: 26 ALBION ROAD OWNER:r ;--,KASIMER NANCY L
LINCOLN,RI 02865 5�100 SCANTIC MEADOW R
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL ONE REPLACEMENT WINDOW.
NO STRUCTURAL CHANGES--,.rl
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE- VITH-TliE'APPLkATION-AND PLANS--APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: = fBUILDING OFFICIAL
6/27/2013 3:47 PM THE FEE ABOVE INCLUDES A$0,26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1400056 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 02/25/2014
GIS ID: 81000100 FEE: 45.00
MUNIS APPLICATION# 201400152 BUILDING DESCRIPTION:
APPLICANT -`;A LOCATION
NAME: THOROGOOD ELEQTRIC,LLC. ADDRESS: 100 SCANTIC MEADOW ROAD
ADDRESS: 20 CLEVELAND STREET OWNER: KASIMER NANCY L
ENFIELD,CT 06082 106 SCANTIC MEADOW R
SOUTH WINDSOR,CT 06074
c- x ..
DESCRIPTION OF WORK: 100 AMP EMERGENCY SERVICE CHANGE..;RELOCATED METER FROM REAR
TOrSIDE OF HOME AND INSTALLED NEW METER WITH 100 AMP MAIN
SPECIAL CONDITIONS: t 1 s. f 6;
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
2/25/2014 12:46 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE