HomeMy WebLinkAbout102 KENT LN Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 102 Kent Lane Date: h2bloa
HVAC #
Sprinkler# 29331
FINAL Estimated Cost $ /DDT•
Buildingl/ !7PI
COMPLETE RED BOXED AREAS Permit Fee $ /S
Occupancy Fee $ U
Enginee ' TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit , SIGN ON REVERSE SIDE
Appr. for CO(f Total Fee $ o25
TO THE B I MENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applican Location of Work jJ 1C�r c#�C {�r�P- Lot No.
Applicant's Address Tel.# ' -7
Town '`— Zip �� 9 Lic.# t k�4 �
Owner' zi, Architect
Owner's Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit Pe a e S- m:g,
City Watero Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by Date Use Group k J Construction TypeC—
Rev sed W02
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 buildi s o 'ed the prop )ftse
nce from all street lines,side yard lines,and required
distances from ail other zones and is looted in whi building and is allowed.
Signe
I hereby apply for a Certificate of Occupant or the work nbed in this application for the permit.
1
Signe
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-29331-B 1,000
B09 OTHER O1/09/03 JFF D NO ACCESS LEFT DOOR TAG
B10 FINAL 11/17/06 JFF A WITH OWNERS SONS
Electric# APPLICATION FOR BUILDING PERMIT
PHVAC lumbin## Lone F
ate•
Sprinkler# ^n
FINAL APPROVALS - --- -- - - -- Estimated Cost $ 9
Building --""- ------ —" _- "- Permit Fee $ 120 -
Engineering COMPLETE RED BOXED AREAS Occupancy Fee $ to -
Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $
Appr. for CO. i SIGN ON REVERSE SIDE 1 Total Fee $ I SO
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ `���'�
The undersigned hereby applies to do work according to the following:
Applicant 1yv17a i e— Location of Work btCot No.
Applicant's Address Tel.#
Town Zip_191,0 —Lic.#
Owner Architect - - b l
Owners Address Architect's Address — ` 30— fad
Zip L -111 ' Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit
City Water Well❑ Septic System❑ Sewer&/
Ins: HO SP Cert. Area Basement Garage
Approve by Date Use GrouConstruction Typ
Revised 8f02
0 107
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 wbkM3h1S wilding d i use is allowed
-
Signe
I hereby apply for a Certificate of Occ p c fo thew rk,dosvped in this application for the permit.
Signe
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
-
-PEE PA 17-176
AND
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EN
Map Reference : storm
Plot Plan Resubdivision Porcel 'W ,
TIMBER KNOLL property of " �4tta-3-T�.,;�•-�
T a M BUILDING 'COMPANY 4 ' W)
South Windsor, Cam. ft1+b� ��,7�,,m�;n,.. AS-BUILT PLAN
PHASE IY �;:, l 2 �.,r��i sryV
Scale : 1D = 40 Sht 2 of 12 YIr., I:: Y.;, LOT 63
Oct. 1975 Rev. thru .Feb. 15, 1979
Certified class A_2 By TIMBER KNOLL
Myron Feinstein-, L.S.
2 hereby certify to Us Colonial lank d the First American Phase 4 �A ) 0. 5)
Title Insurance Co. that this surrey was actually made up-
on the ground and that unless otherwise shows title lines PROPERTY OF
and lines of actual posnessioa are the ease, buildings are
located as shown sad 49 not encroach over or upon street, Q,
title or buildias lines, there era no violations of zoning T V1 M BUILDING C 0.
re ulations witb refarence %e lcsation of sald buildings -
and %bare are so easeasau or encroachments offacting this
lr appar%at fro 4a �fui inspection of the same.
� South Windsor, Conn.
Robert T Dayton Conn U. 8157 MAY 28, 1982 SCALE 1"= 40'
J.B.S.
�r+
JUN 3 1993
South Windsor
BUILDING DEPARTMENT
TO THE BUILDINci udl.
This certified that this plan and sp•o+lm t.
copies of the proposed building or alteratluns w
erected at
IoZ KQsa
/ on
X /� r ��(!�� together with amendments stated l withappl all
16
(� �(�� flied with plan and I agree to comply with all sent•
Building and state laws and such orders as 8%1..1
CERTIFICATION OF ZONING COMPLIANCE toil this appl cat�yll and
CERTIFICATION 'Inpartssua su of ga buitsli-
Proposed building(s), use(s) and/or structures; permit.
as shown on thb 00 Wear(s) to be in Si —
COnfO This plan is approved subject a condition 'that
�/ � �t South Windsor orders and ordinances regul ng building shall be
regulations. Y8 compiled with. These flied with
special exceptions CondtUonally Approved
may apply.Date /-1-, O Building Inspector Clem
—
Zoning OAOK
��I.i it►..r+I wIv ur LUtvtivV f:C1c�r� cv�+
Proposed building(s), use(s) andlor structures,
as shown on this plan appear(s) to be In
DccK conformance with current South Windw
�z regulations. Variances and special exceptions
s i+pw N may apply.
Date -Zv,vt- 3 k
1Am L
Zon g Enforcement Officer
5 a`o 5
— ?53g
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3)0 o N _ �_ —� _� ,Z911 ,
i- 300.8 �`
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1�` x� /a FIN.GAR.FL .506
j05
309.5
ev< i
9 4,a3
50' bldg. line
51.95` -r
�90 5 0
0 6_A
st. line R=eti88.001,
i son. �
Map Reference... storm
Plot Plan Resubdivision Porcel';�j —�
TIMBER KNOLL 'property `of' •f*�' !-'•*'•-t;J�,.�.:,;
T a M BUILgING"C_ Pa1VY'.1 . ." Pt
South Windsor, AS-BUILT PLAN
PHASE 'IY :_: r ;;�7t;uj ,,; 4 �• r;
'
Scale 1 =40� Sht 2of 12 LOT 63
,
Oct. 1975 Rev,thrn.Feb.
Certified Class A- i'
?.ey TIMBER KNOLL
Myron Feinstein= L:S.
I heresy certifyto the Colonial d the a 1 sank r1r t American Phase (A- � 0.s,
4
title Insurance co. that this survey was actually made up—
oa the ground and that sc..sea otherwise shorn title lines PROPERTY OF
and lines of actual poauessiou are the "at, buildings are
located as shown and :o not encroach over or upon street,
tills s: .uildias lines, there are so violations of nosing -�-g� M BUILDING CO.
re ulatione with r:farsncs is lcsatlon of said luildings
and there are no easeseata or oncroachsents affecting this
pr apparlat fro ful inspection of the bane.
South Windsor Conn.
Robert T. Dayton Conn 8157 MAY 28, 1982 SCALE I"= 40'
J.B.S.
2
T5 39 \
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\p0�Q `
Zg6 Z 7�,00%
0
0pe
302 �— ---- \
.504 \ / �- \\ 30A
-506X
O8
64
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2 \ \
3 \ \ \
FIN. GAR. FL ,Spb
!�p`►ta 460 2� 05\ 309.5 \�
4
.3p8
50' bldg. line
51.95'
\\5 rOi
0
32 � c �_4—�� ,
st line -- — R=�88�
Win -
�N
Map Reference : storm
Plot Plan Resubdivision Parcel 'A'
TIMBER KNOLL property of ----� —�
T a M BUILDING COMPANY
South Windsor, Conn. AS-BUILT PLAN
PHASE , LOT 63
Scale : I = 40 Sht. 2 of 12
Oct. 1975 Rev. thru Feb. 15, 1979
Certified Class A_2 By TIMBER KNOLL
Myron Feinstein, L.S.1 bereby certify to the Oolonial lank d the First American Phase 4
title Insurance Co. that this surrey was actually made sp-
an the ground mad that sakes otherwise abort title lines PROPERTY OF
and limes of actual t*s►�esaion are the "Do, buildings are
located as shown and !o not oner"ch over or upon street.
title or buildiat lines, there are no violations of zoning T8� M BUILDING CO.
ra`u to lations •itk refarence lec&tioa of Bald /uildlnQs
amd there are so ersese,:ts or oncroachaante affecting this
1 aypartat fro .ca7�?- iaspectlon of the use.
� South Windsor Conn.
Robert T. Dayton Conn. 9. 8157 MAY 28, 1982 SCALE I"= 401
J.B.S.
�/sA G�2�
A P P R 0 V C D
TOWN OF SOUTH %A.PINDSOR
ENGINF,''-_p?ING D-:*PARTMCNT
DATE:_6 '- 0�.Z= Z-,
S g\o 5 \
T539
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ZO--
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64 a7
a
1 \� 0110 FIN. GAR.FL .506
hpus 460 ZA 05� 309.5 \�
7. , / \ 30
50' bldg. line 6 \`
3�
51.95'
° 6_41i
st. l ine R g8.00
son.
Map Reference storm
Plot Plan Resubdivision Porcel'A"
TIMBER KNOLL property of
T a M BUILDING COMPANY
South Windsor, Conn. AS—BUILT PLAN
PHASE X
Scale I"= 40' Sht 2 of 12 LOT 63
Oct. 1975 Rev. thru Feb. 15, 1979
Certified Class A_2 By TIMBER KNOLL
Myron Feinstein, L.S. /�
I hereby certify to the Colonial Unk ! the lirst Lserican Phase 4
title Insurance Co. that this survey was actually made up-
on us ground and that ealses otherwise shows title lines PROPERTY OF
and lines of actual Iosussaion are the sane, buildings are
located as shorn ani to sot satroach over or upon street,
title or building 113ta, there are so •i0latiena of Bonin; Tam BUILDING C 0.
r•tulatione with rt to farence lecatloa of Bald buildings
and there are no easevsaO or encroachssats affacting this
Prv4jW appariat tro c�a Sul inspection of the Base.
&A"��T South Windsor,.,Conn. —J
Robert T. Dayton Conn 8157 MAY 28, 1982 SCALE I"= 40'
J.B.S.
JUN 1 91992
South Windsor
BUILDING DEPARTMENT
TO THE KKDL% DEPT. TOWN OF SOUTH
This certifled that this plan and specifleatio
copies of the proposed building or alterations t
err.cted at
_--to z C �
r�Rether With amendments slated In appiic-t'i
pl m and I agree In comply With 6'
I,11"R ^d Sty+te la Wa and 9;:r.h :'.rd '11 'i
-0 by the Rnildlnii [)npartmcnt d':ring
ihla appilcatlon and final lasttancs of s L
r
�.+ ;-4.u1 1n .:p ,:ved Wb)CCI to the Cind'
� ra :+:+q orcllnenO�s rol{ulstlnQ buildlny sn.:..
�uno�,twnolly Approved These i,iea wtvl
pwtl,tlait 'nape,-toff Gl+ar
_;i:,!• iriCATION OF ZONING C ,'li i... '•. '.
Proposed building(s), use(s) and/or
as shown on this plan appear(s) to be i
conformance with current South
regulations. Variances and special excoptioil_
may apply.
Date 40 -
Zoning Enforcement Of`F,�er
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11 HERBY;CERTIFY.THAT,THIS. FOUNDATION
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IS, LOCATED. AS SHOWN. AND IS IN CON' � ( t
FORMANCE WITH.tONIl1G REGULATION 31? J
300
3?.o
DATE
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1"14Eq BY.'CERTI FY THIS PLAN C� Si M ASSOCIATES
Td eE;sUBStaNT1ALLY Co"rCTl LAND SURVEYING 8 LAND, PLANNI
F�`� •r `�:: �;' ENGINEERING
tlL00MFIELO CONNECTICL'
t,t+� •��� ,, , :.- . ,-:•. SCALE -DATE REVISED COMM. r
'gib �jfiVf�aLd. V� iR'"'� l.••vr�i'�•"� � ••��..� t n�) I
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Myato� f�,N�r�•,r.l, L•-�• I Soc.� ►.i \fl C• G1r�. .':..'►a►.
I HEREBY CERTIFY THIS PLAN D 81 M ASSOCIATES
TO HE SUBSTANTIALLY CORRECT; LAND SURVEYING 8k LAND PLANNING
ENGINEERING
BLOOMFIELO GONNECTICUT
s,"' f SCALE DATE REVISED COMM. NO-
t �
A P P R O V E D
TOWN OF SOUTH WINDSOR
ENGINEERING DEPAR T MENT
DATE:
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ticyAZe>" fdti�y 5T , G.•- 'TM c-t 1�.G �a - .
I HEREBY CERTIFY THIS PLAN D a M ASSOCIATES
µ TO BE SUBSTANTIALLY CORRECT; LAND SURVEYING LAND PLANNING
ENGINEERING
i BLOOMFIELD CONNECTICUT
SCALE DATE REVISED COMM. N0.
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Town of South Windsor 102 Kent Lane N ROAD NAMES
Connecticut EASEMENTS
CONDOS
Date Printed: June C 30 2004 PARCELS
WETLANDS
Text Final_annotation.dxf
0 40 80 120 Feet 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 boundaries
L and selected data,and the map is subject to change as more accurate surveys may disclose. Property boundaries mapped as of June 4,2001.
gD.DD
TOWN OF SOUTH WINDSOR
MINIMAL IMPACT INLAND WETLANDS, WATERCOURSES AND CONSERVATION
APPLICATION
Application # Date Received Action and Date
INSTRUCTIONS
1. One application (1) with map and plans (1 copy) shall be submitted together with
the fee set forth in the Inland Wetlands, Watercourses and Conservation
Regulations, Town of South Windsor. (See Regulations, Section VII -X)
2. The South Windsor Inland Wetlands, Watercourses and Conservation Regulations
should be reviewed with respect to the standards and criteria for application
Evaluation. (See Regulations, Sections VII -X)
3. The applicant understands that this application is to be considered complete only
when all information and documents required by the Agency have been submitted.
The applicant shall also complete the state filing form.
A. Applicant's Name:
Address:
Phone: (home) (work) (fax)
B. Legal owner's name:
Address
Phone (home) (work) (fax)
(List additional owners, addresses, and phone numbers on back of application)
C. If the applicant is not the owner of the subject property; a letter by the owner(s)
authorizing the proposed regulated activity set forth in the application must
accompany this form and will be part of the application.
D. The geographical location of the property which is to be affected by the proposed
regulated activities including a description of the land in sufficient detail to allow
identification of the property on the Inland Wetland and Watercourse Map.
Street Address #
Assessor's Map # Parcel # Zone
E. Purpose and description of all proposed regulated activity(s) including amount of
disturbance in square feet and types of fill and the time element involved:
1
F. Identify all other permits or approvals that have been issued, applied for, or
required with respect to the proposed activity set forth in this application. (These
may include but not be limited to, local Planning & Zoning, Zoning Board of
Appeals, D.E.P., F.E.M.A., D.O.T., The Army Corps of Engineers, and any other
State, Local or Federal Permits.)
The undersigned hereby applies for the regulated activities listed in paragraph F
above, for a Minor Impact Inland Wetlands, Watercourses and Conservation permit for
the property described herein and confirms that:
1. She/he is familiar with the currently effective Inland Wetlands, Watercourses and
Conservation Regulations of the Town of South Windsor.
2. She/he understands that at any time during the review period, the Agency may
require the applicant to provide more information about the wetlands and/or
watercourses in question and/or any proposed activity.
3. All information submitted in the application for review shall be considered factual,
or in the case of anticipated activity, binding. A knowing failure of the applicant or
any of her/his agents to provide correct information, or performance exceeding the
levels of activity anticipated, shall be sufficient grounds for revocation of any permit
under these regulations.
4. By making this application, the applicant gives permission to the Inland Wetlands,
Watercourses and Conservation Commission members and/or its representative to
enter the portions of the premises which are subject of the application for the
purpose of inspection and investigation and otherwise evaluating the merits of the
application both before and after a final decision has been issued.
5. Upon approval by the authorized Agent the applicant shall cause notice of the
decision to be published in a daily newspaper having a general circulation in the
Town where the activity occurs. The notice must be published within ten (10) days
of the decision.
6. Appeals of this decision may be brought to the Agency within fifteen (15) days after
the publication date of the notice.
Signature of Owner of Property
Date
Signature of Applicant
Date
2
I L /
r
W TM
LARGE PELLET STOVE
wt. =ii
45,000 BTU LARGE CAPACITY PELLET STOVE
Named for the historic Northwest port city at the mouth of the mighty Columbia DISTINCTIVE FEATURES OF
River,the Astoria'•is the ultimate culmination of beauty and advanced pellet THE ASTORIA PELLET STOVE
heating technology. •Proven and reliable push button self-starting igniter.
The Astoria is designed as an efficent home heater.The feed rate can be adjusted • Huge ash pan-burn up to a ton of fuel before
between 1.7 to 5.5 lbs.of fuel per hour, providing up to 2,250 square feet of home emptying.
heating. With a huge 115 pound capacity pellet hopper,you can expect up to 68
hours(at 1.7 lbs.per hour)of continuous heat without refueling. Even better,utilize • Huge 274 sq. in.viewing area with highly effective
the standard wall thermostat and experience burn times that can last even longer. air wash.
The Astoria will actually shut off,not cycle to low when your home has reached the . Wall thermostat included.
desired temperature,saving you even more in heating cost. • Easy to clean - no special tools required.
The Astoria pellet stove is engineered with quality throughout for excellent daily • Combustion blower synchronized to burn rate
performance and long-life reliability. The Astoria is designed for ease of maintenance to run quieter.
and service and is backed by our seven year warranty.
• Sturdy, three position hopper lid support.
The Astoria is designed as a beautiful piece of furniture with a variety of gold options a Large, heavygauge stainless steel fire of with
to enhance your decor. Not only is the Astoria beautiful, it is also the quietest pellet heavy-duty steel construction throughout the unit.
stove in the world. You will find the Astoria pellet stove to be the easiest to operate y y
and maintain, making your experience heating with wood pellets truly enjoyable. • Two-tone brick pattern cast iron fireback. ,�1�
i 7 -
ASTORIATMBy Avalon' (Large Capacity Pellet Stove)
Automatic or Manual Operation Easy to Maintain
i Operate your pellet stove automatically.Use the standard wall thermostat or The Astoria pellet stove is designed for easy maintenance.
P either of the optional remote control thermostats for the ultimate in hands- •Heat transfer air tubes can be easily cleaned of ash build-up with the
free operation. You simply set the thermostat to the desired temperature and built-in Ash Rake,while the door is closed.
the Astoria will turn OFF and ON as needed. •The swing-out door allows quick access to the firebox and firepot for cleaning.
•Convenient ash clean-outs do not require tools to remove and provide easy
If you choose to operate your pellet stove manually.simply set the feed rate access to all areas of the firebox for cleaning.
and push the start button to activate the unique auto ignitor.Within minutes Huge Ash Pan
+ your Astoria pellet stove will be in full operation. Designed as pan of the pedestal on the stove,the huge Astoria ash pan makes
Y
Ca Hopper for significantly greater tme between ash removal.A simple pullout handle above
'?�ALarge Capacity ty pp the ash pan allows accumulated ashes to be removed from the firebox.
y'lt� Fueling your pellet stove has never been easier.The entire top of the stove lifts
up to allow access to the hopper. The sturdy hopper lid is designed with a three- 10 Heat Transfer Air Tubes
i position support to ensure it stays open while you are loading fuel. The large The Astoria provides the maximum heat transfer possible with an array of
115 pound pellet capacity of the Astoria stove also means you don'[have to wait 10 heat transfer tubes located above the firebox. Combined with the powerful
until the hopper is empty before refueling with a full 40 lb.bag of pellets. convection fan,the Astoria provides 82% heat transfer efficiency.
III Fuel Overall Heating s BTU Input Range" Hopper Approved Installations Flue
Efficiency Capacity Capacity Size
Wood o 800 to Horizontal or Vertical Vent
li Up to 82/o Low-13,940 Btu's/Hr. 4"Pellet
` Pellets 2,250 Sq. Ft. High-45,100 Btu's/Hr. 115 Pounds Terminations,Mobile Home,Alcove Vent
&Masonry Chimney Reline
' *HEATING CAPACITY:May vary depending on the degree of home insulation,floor plan and the ambient temperature zone of the area in which you live.
**BTU input rAge will vary with brand and size of pellets.
J
Dimensions Custom Options
Height 33 3/8" The Astoria Pellet Stove comes standard with wall thermostat,black door,black convection
Width 28" grill and black top trivet. Customize your Astoria with any of these beauty or performance
Depth 26 1/2" (to back of unit)
enhancing options:
28 1/2" (to back of flue vent) • 24 Karat Gold Bay Door • Pellet Log Set
t • 24 Karat Gold Convection Grill • Remote Control Thermostat
• 24 Karat Gold Top Trivet • Modulating Remote Control Thermostat
Astoria Clearances to Unprotected Combustible Walls
Stove clearances measured from stove top. Connector clearances measured from flue pipe.
j! Through the Wall Installation Interior Vertical Vent Installation Through the Wall Installation Interior Vertical Vent Installation
Ij 2'Minimum v�,3"
Minimum 3"Minimum 3"Minim
3"Minimum Tee 3"Minimum r
t 45-Elbow Minimum
{ Tee
9"Minimum }
p 9"Minimum 6: I
O 3-Minimum �r��,i` 0 3"Minimum
6"Minimum Floor Protection 6"Minimum
Floor Protection
Minimum Hearth Pad Size: 28"x 34 1/2" Deep.
See Installation Manual for specifications on Alcove installations.
SAFETY TESTED to UL 1482 (1994),ASTM E 1509 (1995)Administration Rules 814-23-900 (Mobile Home)
EPA Compliance: This heater been tested exempt EPA test requirements by OMNI Test Laboratories.
Your Authorized Astoria Dealer Is Located At:
AI i col inr
Visit our WEB site at:http:llwww.avalonstoves.com
Kopynght 2002 Printed In U S.A. Avalon reserves the right to alter or improve its products at any time without notification. /988002004
r
DEC 402
South Mndsor
13UILD114G DEPARTMIENT
r..a.. � �uully ViIgU)Vn cgnitle" that this.plan and the gpecfflcatfons are tru•
.r ooted P"VPse4 building or alterations to t,.
eogetherm ZA/1 e_with
amendment stated in application
Iliac' with Plan and I r-W,:to eom Ply with all zoni-;
-iullding and stele laws and such odors as shah
,If this issued by the `3ullding Department during Pendvn=.
artwlt. applkatbn and final issuanoe or a build_',
Signed
rNs
rde P1en Is approved sublect to the condition that
Complied
mpli n edwithrtllnanc,Es regulating Gullding shall �c
Condsticnally Approved
These riled with
Building inspector
Cie"
3 3/
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Applicat' BUILDING DEPARTMENT
PROVED 1540 SULLIVAN AVENUE
' 644-2511 ext. 230 Bldg.Permit#
' �o c�o53
Date Buil Ing Inspector
Application must be printed or typed
FEE SCHEDULE 1Location of Job:
$041,000=$15.00 key,4 k-w `op—
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT UA V 1
APPLICANT ADDRESS Fla, rj E,,La a,4
Covert C- T n
APPLICANT' PHONE C eW
OWNER
qOW N SF ADDRESS
q< OWNER
f1,� �
�'r 01
r
OWNER PHONE
}
ESTIMATED COST$
U IS THIS A CONTRACT COST? x Yes No
Aft
FEE ENCLOSED$
r
V TYPE OF JOB:
OR CO New Installation
-?S-
Alteration/Addition/Repair
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 ❑ NO e
SIDENTIAL CURRENT USE AND OCCUPANCY Pzp S
❑ RE 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 SIZE OF MAIN CONDUCTORS
NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS
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/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION( OF WORK i i
1 y1� A J� O(,�1 (,��� \�"i t'1 (nI 1 l�1 In!Lt�GC�/� .D l c �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 _
Y;2 3-710 je I C,
CONTRACTORS LICENSE NO. TYPE, STATE
SIGNATURE OF APPLICANT ��— DATE I
1000138 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 06/15/10
GIS ID:50100102 FEE: 15.00
MUNIS APPLICATION# 200900107 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: ULVI S.GURER ADDRESS: 102 KENT LANE
ADDRESS: 754 PLANDERS ROAD `; OWNER: DAIGLE RONALD R&MARGUERITE M
COVENTRY,CT 06238 102 KENT LANE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: THREE SEASON ROOM. 14 X 18.
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
6/15/2010 9:10 AM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE