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Home My WebLink About110 FOSTER RD DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT l O y�ue APPRO D 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg. Permit# Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation - Apt. No. APPLICANT( APPLICANT ADDRESS -- APPLICANT PHONE# Q OW N S j , OWNER 7'pr1U S u5afc ' OWNER ADDRESS o . � OWNER PHONE'9.o0- 5a$ /,)-? C ESTIMATED COST$ C)QQ, 00 � U `?. IS THIS A CONTRACT COST? --"Yes —No tGf l �G FEE ENCLOSED$ ��y• rj" z las TYPE OF JOB: H Cl�R.Cp�1 _New Installation ✓"Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A JB"R'ESIDEIVTIAL BUILDING PERMIT APPLICATION? ❑YES 311 0 ❑BUSINESS CURRENT USE AND OCCUPANCYe'&e'Sl oV, 0 ASSEMBLY O MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY 0 INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS 0 MIXED USE (Other Please specify)— CITY STATE ZIP 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? O YES 0 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 BEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK am l rQrL a 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. 0,26 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE � X w :llz� Al, / ! i M N� 1AA5_L.�---- ---- ___� el Cc y _ram k,, .,...--.— ^"�i r,:�— .-Y.tad t;. .ti ��,. •`' ;'rJ+ , ,�C��,��. .i.. Jr err /7.?rr`>, o r� r 5 _� tSUlLL1NCs Yr.ttMl'1' STATE OF CONNECTICUT WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat. §31-286b) Property located at //D rdSTQ-1- Rk In the town of S. L4J t.vn b S o Name of building permit applicant: as Please check one: 1. �-, I am the owner of the above property. 2._1 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 employee'may provide either a certificate of workers'compensation insurance or a"sworn 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] 1 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. Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court) Revised 4/01//2002 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application TOWN OF SOUTH WINDSOR' BUILDING DEPARTMENT AP RO 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 Date ing Inspector Application must be printed or typed FEE SCHEDULE Location of Job: F $0 -$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT CY �i/7� F� APPLICANT ADDRESS ?'� /?/O'er cY�i�-'/�✓ -27r` /� �`� APPLICANT PHONE# O W N St OWNER OWNER ADDRESS GT._S .X 407 r OWNER PHONE S�v►L+ —~ ��U 0 C ESTIMATED COST$ IS THIS A CONTRACTCOST? Yes No FEE ENCLOSED$ A) TYPE OF JOB: SOR.Co New Installation gAlteration/Addition/Repair n.u;..dAin I/MM) -- 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 ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATIONIWIRING METHOD SIZE OF SERVICE pj�l/ 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 s ,,?,:W/9 S�,f'l�!<<G 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. >>TYPE STATE SIGNATURE OF APPLICANT ��" DATE 6(!� Electric # �J� APPLICATION FOR BUILDING PERMIT lo` Plumbing# q" HVAC # 1 1 0 PngtPr Rnar1 Date: _ ob Sprinklerqn � FINAL i— 32$2 4._ --- Estimated Cost Building " COMPLETE RED BOXED AREASJ4] Permit Fee $1'�� Engineer Occupancy Fee $ Affidavit TYPE OR PRINT ONLY Eng. Insp. FeeAppr. £or SIGN ON REVERSE SIDETotal Fee TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ / The undersigned hereby applies to do work according to the following: Applicant U^ _Location of Work_ _.F°s tk' f a Lot No. Applicant's Address I o S Edw; A a _ Tel.# ),?I- (G 6 3 Town S»+�^ w,'Aai�-r Zip Lic.# bl(o,)J Owner __Architect Owner's Address ►I') _Architect's Address s.w Zip oc- Zip Sq. Ft. New Area: 1 st FI. 2nd A. 3rd FI. Total New Area Purpose of this permit T'eti� �GF e�,rf.-� 1 �s .� se��It fti ;,l�f. I6,54, (( 1ct I wtit- sk"W. Fe(f 4,4 City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group Construction Type Revised 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 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 Electric # /�U,��D� APPLICATION FOR BUILDING PERMIT Plumbing# Date: -y6 HVAC # 110 Foster Read Sprinkler# 17 P — ---32152-.----._- ---- - --- Estimated Cost $ o FINAL RQ ` l. - ---- — ---------_- --- - ------ Permit Fee $ Buildings N �� COMPLETE RED BOXED AREAS Occupancy Fee $ Enginee I TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit j SIGN ON REVERSE SIDE Appr. for CO. _.--_.-1 Total Fee $ - - - - -- - some TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) The undersigned hereby applies to do work according to the following: Applican c-,r v-4- Location of Work //D FOS-Te,- 4'4& Lot No. Applicant's Address L3 S .+� Tel.# Town S tic f- Zip G 6>O7`/ Lic.# Owner 1- h" ► ao!; o _Architect Owner's Address //o STc.� ( Architect's Address Zip 0C-07 y Zip Sq. Ft. New Area: 1st A. 2nd FI. 3rd FI. Total New Area Purpose of this permit (,v ,rJ( o4k 5 0 S, h City ter❑ Well❑ Septic Systemo Sewer❑ Ins: HO SP Cert. ea Basement _ arage Approved by Date Use Gro Construction T 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. Sigflad 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 , August 6, 2008 ~� Dzen Residential Roofing 105 Edwin Road South Windsor, CT 06074 Dear Madam/Sir: I 10 � 1 1 Re: Open Permit#32824 C It has come to our attention that there is an outstanding building permit dated August 16, 2006. State Building Codes require the issuance of a Certificate of Use prior to using the proposed replacement of roof on existing house. Please contact our office for a final inspection. All permits should be closed by September 6, 2008. Should you have any problem meeting this date, please send our office a letter stating the reasons. If the proposal is being used without the benefit of a Certification of Use, a caveat may be placed in the land records stating a Building Code Violation exists on your property. Please call Alice at 644-2511 ext. 230, should you have any questions regarding this letter or to schedule the necessary inspections. Our office hours are 8:00 a.m. to 4:30 p.m. Very truly yours, Christopher Dougan Chief Building Official CJD/pmm Enclosure Facetwin Screen Print for mann, from "UNIX" 8/6/2008 1:43:09 PM Master Detail Output Lookup Exit 2.02 81.34 PERMIT MAINTENANCE 2s, classification d, Inspections Permit 120061-1328241-IBI BUILDING PERMIT Serial No 1 889491 Status 10 1 OPEN Record Type JAI Permit Date 108/28/20061 C 0 Date I I History # 10 1 street Code 120061 133301 10110 Site AddressJ0110 FOSTER ROAD I Parcel No I I update by 1hol I Owner ILYNE LONG I update/Time 108/�8/20061/1943 I contractor I I Master Permit 1 01-1 01-1 1 Applicant JDZEN RESIDENTIAL ROOFING I Struc Type 107 1 ROOF & SIDE Address 1105 EDWIN ROAD 1 Construction I I I I use Group I I Cty,St Zip ISOUTH WINDSOR J , JCT1 106074 1 Est Value 1 121001 Phone 1860-289-1663 1 Permit Fee 1 180.001 work Description C/O Fee 1 0.001 (TEAR OFF EXISTING 1 LAYER ASP- 1 Final Date I I IHALT SHINGLES INSTALL ICE & I Aff Cost 1 01 IWATER SHIELD FELT PAPER RIDGE 1 Aff Fee 1 0.001 Eng Fee 1 0 001 tt ew 0-14 'IF, - S �1 August 6, 2008 ~� Dzen Residential Roofing r 105 Edwin Road South Windsor, CT 06074 Dear Madam/Sir: ) / a �o � 1 Re: Open Permit#32824 C It has come to our attention that there is an outstanding building permit dated August 16, 2006. State Building Codes require the issuance of a Certificate of Use prior to using the proposed replacement of roof on existing house. Please contact our office for a final inspection. All permits should be closed by September 6, 2008. Should you have any problem meeting this date, please send our office a letter stating the reasons. If the proposal is being used without the benefit of a Certification of Use, a caveat may be placed in the land records stating a Building Code Violation exists on your property. Please call Alice at 644-2511 ext. 230, should you have any questions regarding this letter or to schedule the necessary inspections. Our office hours are 8:00 a.m. to 4:30 p.m. Very truly yours, Christopher Dougan Chief Building Official CJD/pmm Enclosure Facetwin Screen Print for flanne, from "UNIX" 6/17/2009 12 34:08 PM inspection / Approval Date Date By Approval Code Description Due Completed whom Code Time ------------------------------------------------------------------------------- B10 FINAL 00/00/00 05/11/09 IFF A i