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Home My WebLink About108 MASKEL RD Electric # E C E � V EA LICATION FOR BUILDING PERMIT Plumbing# 1 MkU Wad Date: -U-�j 3 HVAC # Sprinkler# South Windsor _ FINAL APPROVALS -- - —_- Estimated Cost $ Building COMPLETE RED BOXED AREAS Permit Fee $Engineering Occupancy Fee $ 46 Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr. for CO. a SIGN ON REVERSE SIDE Totat Fee $ ',� TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: (q o Applicant e.,l S > ocation of Work -cz Lot No. Applicant's Address-//� �- --44asxpc f r Tel.# Town bS��v ri-� W r ,✓ 0 5 C i Zip 19 x(7 tLic.# Owner rPa 7 A-1 - Architect Owner's Address/v S- ,cl 5 4 aC /U. Architect's Address Zip Zip Sq. Ft. New Area: 1 st Ff. 2nd FI. a S/ D 3rd FI. Total New Area/ D Purpose of this permit J?E 1)r� a �4,v y / 0 City Water❑ Well!( Septic System❑ Sewer Ins: HO SP Cert. Area Basement Garage Approved by Date Use GroaVTConstruction Typ Revised 6102 • i Sly 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 whi this building and its use is allowed. Signed I hereby apply for a Certificate of bccupa cy fo the work ribed in this application for the permit. Signed 1 lam, J DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS BUILDING PERMIT STATE OF CONNECTICUT WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat. §31-28/6b) Property located at G r� In the town of U 7-14 �I i�r S e Name of building permit applicant: .✓-J/'c fit/e U .f/NC' Please check one: 1.✓I am the owner of the above property. 2._I am the sole proprietor of a business. 2A.Name of business 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 check one: 1._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 acc'pt(`coverage. d I LA-(A Signature of applicant Subscribed an sworn to foie me this / Jay of o'✓ ,200 (Notary Public/Commissioner of the Superior Court) GARY L. G'r7-C',K P OLI RY P:WITC MYC01.1..hL'1S:UNEXK,Es ?cSO.2C08 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is he BUILDING DEPARTMENT APPR 1540 SULLIVAN AVENUE (�r 644-2511 ext. 230 Bldg.Permit# Date u ng Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 419 $0-$1,000=$15.00 FTtenantDesilgnation Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Apt.No. APPLICANT APPLICANT ADDRESS q`I !, f t! l7 APPLICANT PHONE# 0 W N S`cq OWNER f�j JJ(6�/ �U€NSA ri g < OWNER ADDRESS 0 a_ OWNER PHONE IaSS Olt,y C ESTIMATED COST$ Ad•00 � r � IS THIS A CONTRACT COST? _Yes No a Lj FEE ENCLOSED$ 1� l O�� TYPE OF JOB: C� R C _New Installation /Alteration/Addition/Repair Revised 4/01//2002 OV APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATE�DXITH A CT YES PERMIT APPLICATION? YES El NO RESIDENTIAL O ,,//BUSINESS CURRENT USE AND OCCUPANCY / -6S- ❑ASSEMBLY ❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY O INSTITUTIONAL O FACTORY ENGINEER'S NAME PHONE ❑ 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 0 NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES NUMBER OF OUTLETS 10 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 Gyi✓ , /V&j '414s4/7 A.«., /fib THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLYW=ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. le��dszy CIA 67 f- G� CONTRACTORS LICENSE NO. E STATE SIGNATURE OF APPLICANT DATE z — N/F ANNA R. MASKEL ,`ESTATE OF MOSES N. MASKEL 15000 LOTS E3,s1��-�. 1JG y 4/N• FT O F 77,ed-,VC H oil vt;E LOT 6 _ — __ — 1 i+i/_ a _ — LOT 4 - - - - - - ' , o _ o DO 1250 cV St�PT/eTAe/ N 4I.67 //• O H ki O 29.0 48't 24..5� SORB.L. h I50.00 MASKEL ROAD PROPERTY OF MASKEL ROAD SOUTH WINDSOR, CONN. BEING LOT NO. 5 ON MAP ENT/TEED "PROPERTY OF LAND DEVELOPMENT CO. ABBY ROAD 0 MASKEL ROAD, SOUTH wINDSOR, CONN. SCAL E./ 40. IME 28, /97/, MORTON S. FINE e ASSOCIATES L.S. SCAL E- /"=40' APR/L-/2,/972 KENNETH R. BOUD L.S. FOR BOIL DING PURPOSES ONLY ••offIrr, ......, OF CONry O� ;Q C� : * Y O * � t �� KEMNEiN ••,/fir_f 6 ou4 LAF40 �,� y , i�:. e.lYfA�1CFiE§?ER,CQ!NN. � South Windscr BUILDING DEPARTMENT f0 THE BUILL114w U P?. i,,t.". ..I --— ; >. -, , 't This certified that this plan and specifications are tru• copies of the proposed building or alterations to bo erected at u loilEghor with amendments stated In application ar nl.-d with plan and 1 agree to camply with all aoni,- —Idmg and slate laws and auah orders as shall sued by the 44lldin4 9rpartmnnt during pond"- -1 this application and IIA41 (eeMe Me of a bullult" permit. - a tuyey &N6WCF o the Itinn the lnanwe& wpoiatt"M boildl &hell ur Those tiled wNn r - � k & 1 - �<- �— A i rv1Y Ur L�� ►jroposed building(s), uses) and/or structure,*.,.) �s shown on this plan appear(s) to be ,onformance with current S-)*sth %A" egulations. Variances and special ex;:,�p, iiay apply. Date 1110103 Zoning E,1f rcm�r t Gf 'per z ' N/F A NNA R. MASKEL e Esm TE OF MOSES N. MASKEL 15000 LOT 5 y6 AV T. 0F7,eC-,vCH 2-S' n/1 0 CE LOT 6 LOT 4 O 00 1250(?Al O tV , Sr'pTiCTANK n1 fLEfQ2 y�4tZD 4167 U± O �f O H LN24 �lqa 48 .5 50'8.L. n 150.00 MASKEL ROAD PROPERTY OF MASKEL ROAD SOUTH ` INDSOR) GONN. BEING LOT NO. 5 ON MAP ENT/TEED "PROPERTY OF LAND DEVELOPMENT CO. ABBY ROAD 0 MASKEL ROAD, SOUTH W/NDSOR, CONN. SCALE./ 40" DUNE 28, 197/, MORTON S. FINE pe ASSOCIATES L.S. SCALE. /"=40' APR/L-/2,/972 KENNETH R. BOUD L.S. FOR BUILDING PURPOSES ONLY n pf ��i, ON t NN R, C, C 0 � * L � ; KENNETN X.- 1.0 O_ ffid, +�'.ERfO LAND 5� �� . ,� '� •�, - -ry ?�^. � 20 `l-MANCHESTERL Q�1N. —T__ - z N/F A NNA R. MASKEL e ESTA TE OF MOSES N. MASKEL /50.00 - LOT 5 �!G NL/N• fT• OFTE'ENGN 2-S' rv104 LOT 6 _ _ _ _ �/- - LOT 4 O o ►250 9A� O N SePTrGTAe/� 41.67 O //~ ? O N w Q 29.0 _ 48't 50'8.L. hi 150.00 MASKEL ROAD PROPERTY OF MASKEL ROAD SOUTH WINDSOR, CONN. BEING LOT NO. 5 ON MAP ENT/TLED "PROPERTY OF LAND DEVELOPMENT CO. ASBY ROAD e MASKEL ROAD, SOUTH WINDSOR, CONN. SCAL E./ 40' JUNE 28, I97I, MORTON S. FINE e ASSOCIATES L .S. SCAL E: /"= 40' APR/L 12,/972 KENNETH R. BOUD L.S. FOR BUIL DING PURPOSES ONLY of C' NryF 1 IIEB- Oud 9p LAND 5 rrr ��an�nurr►r MANCHESTER, CONN. DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT EA Application is hereby: TOWN OF SOUTH WINDSOR IVW� BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date B �nspector Application must be printed or typed FEE SCHEDULE Location of Job: A QS k t L $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT G T (�l�L 1Z 1 �o d�i �q .J APPLICANT ADDRESS 141 1 f&-j 12TS cr- 41- C_-j APPLICANT PHONE# 6 c ZF-,Z - 12 9 1 �O)N N SF,Q OWNERT)>'lC.. S�V�rJs►ti:w, OWNER ADDRESS `r l(D� /`�(q S V_ CIO) OWNER PHONE 6'7 31 O O "op C ESTIMATED COST$ r * IS THIS A CONTRACT COST? _Yes X No FEE ENCLOSED$ 1� TYPE OF JOB: SO R C�� New Installation _Alteration/Addition/Repair Revised 4/01H2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ($RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES a NO ❑BUSINESS CURRENT USE AND OCCUPANCY U ASSEMBLY 0 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/WIRING METHOD SIZE OF SERVICE Zo?1 _ SIZE OF MAIN CONDUCTORS d SCv NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES or 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 c,i..�� iy�-�✓ �tn� /� ova- �� S,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. /. S-r-, &/ C`f" CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 7 -Z`1-O 7