HomeMy WebLinkAbout1107 ELLINGTON RD I�
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
PlESIDENTIAL BUILDING PERMIT APPLICATION?)d YES ElNO
❑BUSINESS CURRENT USE AND OCCUPANCY 0.
❑ASSEMBLY
❑MERCANTILE
❑EDUCATIONAL FUTURE USE AND OCCUPANCY
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME DjA(K&Co a n r -C Ci PHONE no 9g,;�
❑ STORAGE
❑GARAGE ADDRESS I I U I I► j'1G"}D}� �.00L
❑ MIXED USE ' 1
CITY Sty vTN W I,/l S oC- STATE C J ZIP
(Other please specify)
TYPE OF INSTALLATION A C l� SIZE OF MAIN DRAIN
NO.OF TOILETS_�STYLE NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS. NO.OF LAVATORIES
NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES KIND zz 1 T�yN sj'dx k
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES �1 NO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK C
SIZE OF WATER MAIN J SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE �/PC �` MANUFACTURER A0 —5M '
DESCRIPTION OF WORK
Plqmb�'n� for 4�dfl
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRI Er)ANDIrr(7--
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 ID1i5_r0'7
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Application is hereby:
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230 �-
0
Date Building inspector
Application must be printed or typed
FEE SCHEDULE Loc n of J b:
_ 110 lM
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Inck 8()(won C
APPLICANT ADDRESS f
APPLICANT PHONE#
1 O W N S Fq OWNER
OWNER ADDRESS
a OWNER PHONE
0 ESTIMATED COST$
y �—
•s, IS THIS A CONTRACT COST? _Yes No
FEE ENCLOSED$
l�Os O�� TYPE OF JOB:
�R C _New Installation
XAlteration/Addition/Repair
Revised 4/01 H2002 1,007cm
APPLICATION FOR ELECTRICAL PERMIT Continued from reverse side
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
rSIDENTIAL
BUILDING PERMIT APPLICATION?)YES LiNO
-
i ti
0 BUSINESS CURRENT USE AND OCCUPANCY S ,
❑ASSEMBLY
0 MERCANTILE (� �
❑EDUCATIONAL TEE USE AND OCCUPANCY � l7 k�"C k c,4 f
❑INSTITUTIONAL
0 FACTORY ENGINEER'S NAME I PHONE a22(,08?I
❑STORAGE
❑GARAGE ADDRESS
q(:Y,-
U MIXED USE
► I C,
(Other please specify) CITY oS. STATE ZIP
TYPE OF INSTALLATION/WHUNG METHOD Naj AW6-0--n
SIZE OF SERVICE t 6 O Iq- SIZE OF MAIN CONDUCTORS_ ! tJ R PNL (0o p-
NUMBER OF METERS Z- NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? O YES %NO
NUMBER OF LIGHT CIRCUITS L4 NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES I Z NUMBER OF OUTLETS jo h�N
NUMBER OF LIGHT FIXTURES I Z NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
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
P RFO�RAMANCE OF SUCH WORK.
r` At
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT &LZ Z.- DATE 1041ki
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
App ' ton' er
TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT
VED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
ate ui nspector
Application must be printed or typed
FEE SCHEDULE I Loca ' Job:
$0-$1,000=$15.00 S t o. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Z C C
APPLICANT ADDRESS
_ 1
APPLICANT PHONE# 9 c,�)
SOW N Sf,q OWNER - -- --- --
OWNER ADDRESS
OWNER PHONE
O J
C � ESTIMATED COST$—�� \,1-1 of o&l , 1L'.i'I1n �� fVj1 UX
* IS THIS A CONTRACT COST? Yes No
lG G FEE ENCLOSED$ m i"
o a :►. �k 3:-�C Gi/
TYPE OF JOB:
NO �C0 New Installation
y�Alteration/ d itio epair
Revised 4/01//2002 �
iO'N N S f+
0
c Town 01-ps-ou� V&U&ot
a
1540 SULLIVAN AVENUE• SOUTH WINDSOR, CT 06074
°Soe co' TELEPHONE(860) 644-2511
September 29, 2009
Jennifer Buonanducci
1107 Ellington Road
South Windsor, Ct 06074
Dear Mrs. Buonanducci
Re: Open Permit #32588- 1107 Ellington Road
There is an outstanding permit on the property referenced above. It has been
outstanding since May 26th 2006. State Building Codes require the issuance of a
Certificate of Occupancy prior to using the proposed new kitchen and garage.
Please contact our office for a final inspection.
This is a second notice and if the Building Department does not receive a
response from you by October 9t', 2009 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,
Chrlstophe ougan
Chief Buil Ing Of
CJD/mak
Enclosure
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MAY S 10UJ Dt Db
MAY 4 '2CCI;
South Windsor South Windsor
BUILDING DEPARTMENT BUILDING DEPARTMENT
TO THE iUWNG DEFT. TOWN Of SOUTH WWDSOF
This certified that this plan and spec Nlestions are:rue
copies of the proposed building of alterations to b•
reeted at
lj o-7 Strae
sled witthem--with amendment at ted l application ■r CERT1'rICATION OF ZONING COMPLIANCE
ded with plan and 1 agree comply with III zonln
.adding and state laws and such orders as shall h
.sued by the Building Department during pendent 1oposed building(s), use(s) andjor structure(s)
+ this application and final issuance of a buildin,
.ern+it , shown an this plan appear(s) to be in
..;forrnance with current S,Duth Wiiicf_
igned
his p),nopprored bieet to the condition th. ;ulations. Variances and special exceptior �
ordersrdinanees egulutmg Isuilding shall be }/ apply.—pi . _
;ondNiortatEy Appro+rel These filed with .;rite
Building Inspector C1eri
En o cement Officer
D.» -7 0 a_r
Lc t i iriGAiiON OF ZONING COMPLIANCE
Proposed building(s), users) andipor structures)
as shown on this plan appear(s) to bs in
conformance with current Sol.ith
regulations. Variances and special excepi,
may apply.
Date 9/gas 9-�-
Q 1995
Zo 'n nfor ent Officer South Windsor
BUILDING DEPARTMENT
TO THE 1'JIL01" DEPT. T"N Of '"" N.a-4iy
This esnified that this plan and specifications are tr
tepid# of the proposed building or alterations 10 l
arettad at
7 Stre+,
together with amendments stated in application am
tiled with plan and i agree to comply with all zoning,
8uilding and state laws and such orders as shall b-
issued by the Building Department during pe
of this application and final issuance of a buiidini,
permit.
V
Signed
This plan Is pproved s Jett to the Condition that
orders and
ordinances regulating building shall bs
compiied with.
These filed /rlM1
Conditionally Approved
Ctest
l7 ow
-/
t0%4 Sf
07-- iou� W)d
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1540 SULLIVAN AVENUE• SOUTH WINDSOR, CT 06074
��OSoe coa TELEPHONE (860) 644 2511
March 18, 2009
Jennifer Buonanducci
1107 Ellington Road
South Windsor, Ct. 06074
Dear Ms. Buonanducci,
Re: Open Permit#32588-New kitchen and garage
It has come to our attention that there is an outstanding building permit dated
May 26, 2006. State Building Codes require the issuance of a Certificate of
Occupancy prior to using the kitchen and garage. Please contact our office for a
final inspection.
All permits should be closed by April 8, 2009. Should you have any problems
meeting this date, please send our office a letter stating the reasons. If the new
kitchen and garage are being used without the benefit of a Certification of
Occupancy, 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. 203, 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/mak
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1 inch - 4 0 feet Data provided by under contract and is based on an
W E aerial flight performemedd in spring of 2005. This map is a ` uth Wlrtdsot-
graphical representation of property information and is
1107 Ellington x
subject
t t to change. The Town of South Windsor and SBC
assume no legal responsibility for information depicted on
S this map and is to be used for planning purposes only. �"�"t} s"""t°F`°� '°"
l.s M the prop,,sed wuflu...� or
td &t
lio -7
.oVct?,ez with nfD;.@
with pwil and gro,..to Z-M;,
end st,- t:.t, one �c, ,,,jors as st-,All
� A�ed by "e G.jilding N� p,rtrr..nt during pfnJf,.,
;.1i application a. final issLonoe of a buildil,
;.ermlt.
-ried
-is plan Is topv..d svb;e�i to tha Condition tl)a
s and s r�gulatt,,Lg bo.11ding shall b,
.with. 0 APR Z
Approved These flied •with South Windsor
BUILDING DEPARTMENT
11.060 12- 1
CERTIFICATION OF ZONING COMPLIANCE
Proposed building(s), use(s)and/or structure(s) as
shown on this plan appear(s)to be In conformance
with current South Windsor regulations. Variances
Fyta d o c and special xceptions may apply.
-Zoning Enforcement Officer
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.Permit#
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE l Location,Qf Job: -
FTenant
� r
$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof nation Apt.No.
t
APPLICANT C c
APPLICANT ADDRESS 200d
APPLICANT PHONE#
'1 O W N S F,q OWNER
OWNER ADDRESS
Er OWNER PHONE r
O = ESTIMATED COST$ 4J f
�� * IS THIS A CONTRACT COST? _Yes No
(moo o� FEE ENCLOSED$
OS 0��� TYPE OF JOB:
R.C New Installation
_Alteration/Addition/Repair
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE,OF,,SYSTEM: TYPE `OF�UILDING:
EATING RESIDENTIAL
«❑A/C / ❑_COMMERCIAL
❑VENTILATION ❑ INDUSTRIAL
HEATING
0 §TEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC ❑WARM AIR O UNIT RADIANT HEATER
/EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH)
TYPE OF
H%PM/krOIL TANK LOCATION:❑INSIDEO OUTSIDE CAPACITY
❑GAS—INPUT LPG TANK CAPACITY ELECTRIC—KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
(PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK (2 Y _ h ea;� 7xre, - Afljef )"a L�
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 lk4A4 (j ��j� DATE I0�/:5 r
m
TCydron Exy
Ic
Job Name: BUONANDUCCI ustomer: BURKHARDT ��//
Eng(neer:
a Address: Q� VD'
n o ofesman: ED TAYLOR
Clly: j )�YI� c d ' state: � Zip: OIOt�� Phone: 22 - <59
Indoor Design Temperature:70.0 F Outdoor Design TemperatureO.0 F Altitude Meva6on): 0
HEAT LOSS CALCULATIONS
1st Fioor
— _
ADDITION floor Totals •—
Room Height(ft) 9.00
Room Length(d) 15.0-0:�— —T ----' -- —
H Room Width(fQ —.-- ---
Doors 3 Glass(sq fl) 84.691
Door a glass Factor 0.6500 T --�--"--'-- —-- —a---- —
i —
Exposed Wall Length(ft) 56.00:
Exposed Wall Factor 0.0500! — �'— — --
Cold Partition Length —�----
Cold Partlllon Factor —
�.
Calling Factor 0.0400: -T----
Floor Factor --�--- '
i
Infiltration Factor 0.0i80 —-- — ° —— —•
I ndo or Temperature(F) 70.00 —
Heat Loss(8TU/HR) 11,58g 11,589 11,589 -- ---
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Town of Sint
Connecticut General Map N ROAD NAMES
CONDOS
Date Printed: April 7,2005 0 PARCELS
0 80 Feet
Text Final—
annotation.dxf
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 map
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 boundarl
and selected data,and the map is subject to change as more accurate surveys may disclose. Property boundaries mapped as of June 4,2001,
Ile:
pan
South Windsor
BUILDING DEPARTMENT
Phis-certiAep that this plan and WocIflcations are
:opiea 4 the proposed b4hding or alterations to
L :rented at
�1 l�i b'^1 —7
together with amendment toted in appiloatlon an
lied with plan and 1 agree to comply with all aonlr.
tullding and state laws and such orders as shall c
I&uod by the Building Department during pendent,
f this appticatlon and final issuance of a bulldin.
p� 'iermk. J%�'J,
CrYl;rl 1Vr 51 LIQ /gn.d.'!%`//A��1�.�.'�'G.�s -
. y4-� 'na plan Is approved subject to the condkion the
d) tJCt�.� t (� l.J�� rowrr and ordinances regulating building shall br '
\ _,,ed wftn.
.,-k0/�./1� CLA' r"Q � \ -dltlonaity Approved These tiled with
J 'lodding Inspecto► Clerr
No. 311
N 7
1
Q
a
n y p CER (CATION OF ZONING COMPLI
N Pro-1- nicture(s)
2 he in
a t>> Z c. Isor
re. a,:.ons
D
Zoning Enforouvwt OMW
Electric # �� L3 f'`�I0,9 APPLICATION FOR BUILDING PERMIT
Plumbing HVAC # 1107 Ellington Road Date: �Cl�l 2 , 'LOb(o
�' '
Sprinkler# 3 2 5 8 8 Estimated Cost I,.YG LCO �+
FINAL APPROVALS - --- -- - _- -- ---
- --- - - --- - —-- ---- - 1 Permit Fee $_ ,�.�►
Building COMPLETE RED BOXED AREAS
Engineering
Affidavit TYPE OR PRINT ONLY Occupancy Fee $ /�•
I
► SIGN ON REVERSE SIDE -4 Eng. Insp. Fee $
Appr. for CO. �RTMENT,
Total FeeTO THE BUILDING TOWN OF SOUTH WINDSOR, CT (Additional Cost) 1?
The undersigned hereby applies to do work according to the following:
Applicant 1voinancWC 6 `Location of Work i i o'7 S I t�rl 6o �ogj Lot No.
Applicant's Address ilo'1 E 1I''r��4b , 'Rocj Vel.# suo aq I go5L1
Town v�h ;hd r C-T Zip n U O 1 �I Lic.#
Owner�en,n% r Tx)oy\ajrd U c o% Architect 1�f 0 c e Cur f enr
Owner's Address�w '1 1 r1Gtb11 pG A Architect's Address $5 C co o ck c
Jo0 try 5oc C Zip 0fo07LI fArAf>Ion CT Zip
Sq. Ft. New Area: 1st FI. 5 roaard FI.-- Total New Area
Purpose of this permit Kkhm oncl q Rict Ae
City Watero Wello Septic System❑ Sewero
Ins: HO SP Cert. Area Basement Garage
Approved by Date.''i��`�� Use Gro4YAZ:C�-7 Construction Type
RwAsed 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.
SigneJ40
t
I hereby apply for a Certificateupancy f r the work described in this application for the pennR.
/""Signed d"e-C-
OT WRITE ELOW THIS LINE
INSPECTION COMMENTS
I'3�j IJ 1� oGl2 On/, �r75 4�lii�
3 , L',5�4
�� �r v ���^ Fo3 -A i► v7 (V2 y✓AC 3 s
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1107 Ellington Road
[Date: SLALa6,�
HVAC #
Sprinkler# 915 9
FINAL APPROVALS Estimated Cost
-- "- --" — Permit Fee $
Building COMPLETE RED BOXED AREAS
Occupancy Fee $
Engineering TYPE OR PRINT ONLY i Eng. Insp. Fee $
Appr. for CO. ► SIGN ON REVERSE SIDE
Affidavit
I ___ _ ____ _ Total Fee $
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant r'kark`3 gi�,,ot+ct�`R�u►�c�► 'tocation of IVork j/07 fZt_ pr\ Lot No..
Applicant's Address ��.w►.P Tel.# -
Town _ Zip 'Lic.#
Owner 1 Architect
Owner's Address Same— Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd A. Total T
Area
Purpose of this permit a� � >1
City Water❑ Well❑ Septic System❑ Sewero
Ins: HO ZSP Cert. Area Basement Garage
Approved by Date - 61 Use GroWpFonstruction Types
RwIssd 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 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
-------------------------------------------------------------------------------
**-32588-B 46,000
B09 OTHER 04/24/06 CJD N/A KITCHEN/GARAGE
B03 FRAMING (ROUGH) 12/13/06 MR A
B10 FINAL 04/15/09 JFF D WITH OWNER NEED PORCH RAILS GARAGE GUARD AND
RAILS BEDRM SMOKE CARBON MONOXIDE TO DO AN CA
B10 FINAL 11/03/09 MR A
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 1107 Ellington Rd. Date:
HVAC#
11000121 c
Sprinkler# Estimated Cost $ 2
FINAL APPROVALS 5rd
Permit Fee $
Building COMPLETE RED BOXED AREAS
1 �('
Occupancy Fee $ � c
Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE
Appr.forCO. Total Fee $ 1:1,= o c
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 4 1 y5Z
The undersigned hereby applies to do work according to the following:
Applicant *& a Location of Work 10 Lot No.
Applicant's Address \U tte-tM 9-,L. Ij w.o�ov.- r.A, Tel # tr
Town Qr► or Zip Lic.# S"! yq,3
Owner ..�`,�s��.�sw�orC�y�C� Architect
Owner's Address Q•&L Architect's Address
Zip Zip
Sq.Ft.New Area: 1 st FI. 2nd FI. 3rd Fl. Total New Area 47�cv�
Purpose of this permit a `n v �- o�r � 1 �o�� r� Oct-
City Water Well ❑ Septic SysteA Sewer
Ins: HO SP e . Area Basement Garage
Approved by ate - Use Group Construction Type
Revised 1108
r
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 t i uildingapd its ue is allowed.
Signed
1 hereby apply for a Certificate of Occup ncy for the work describ d in this application for the permit.
Signed
DO NOT RITE BELOW THIS LINE
INSPECTION COMMENTS
v
BUILDING PERMIT �0012
STATE OF CONNECTICUT
WORKERS'COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn.Gen.Stat.§31-286b)
Pioperty located at 1 0 '7 (�� `•,,, cX
In the town of
Name of building permit applicant: �� �o•��r- o.-s �h ,�
Please check one:
1._I am the owner of the above property.
2. D4- I am the sole proprietor of a business.
2A.Name of business N?- t W, e-- o•� t--�- r
2B.Federal Employer Identification Number(FEIIJ)
....................................................................................................................
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"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^^t:..^.tend to sct;-µ ge:oral co:t acte or principa1 employer.
[Sign and stop here]
Signature of applicant
2.(Y 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 roquire 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. 00,
` otl0
r licant
Subscribed and sworn to before me this day of ,204_
(Notary Public/Commissioner of the Superior Court)
INSPECTION FIELD SHEET 06/03/11
Printed by Peart, Dayshell 08 59 52
INSPECTION: 39089 FOOTING PERMIT:
STATUS:
APPLICATION: 201100323
LOCATION: 1107 ELLINGTON ROAD
SOUTH WINDSOR
PROPERTY ID: 30301107
OWNER: VESCE JENNIFER D
CONTRACTOR:
REQUEST BY:
DESCRIPTION: TO BUILD 8 X 12 DECK FOR 2ND FLOOR, WHERE OLD DECK WAS
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 04/27/11 PRIORITY:
SCHEDULED: 04/27/11 AM COMPLETED 04/27/11
UNPAID FEES 00 Date Time
TIME: TRAVEL ONSITE
COMMENTS
AARON @ 860-982-7424
ALL INSPECTIONS
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
06/02/11 ROSE N/A B002 FOUNDATION
06/02/11 ROSE N/A B003 FRAMING (ROUGH)
06/02/11 DOUG PASS B010 FINAL
06/02/11 ROSE N/A E003 ELECTRIC ROUGH
Bectric# APPLICATION FOR BUILDING PERMIT
°lumbir�# 1107 Ellington road
HVAC # Date: S 18 OD
2 7 0 0 9
Sprinkler# No.
FINAL O Estimated Cost $
Buil COMPLETE RED BOXED AREAS Permit Fee $ l I
End TYPE OR PRINT ONLY Occupancy Fee S 5
Affidavit SIGN ON REVERSE SIDE
Appr.for CQ! Total Fee $
TO BUI THE Tf,TOWN IOF SOUTH WI DSOR,CT (Additional Cost) S
The undersigned ereby applies to do work according to the following specifications:
Job Location 10 7 �h �f7 ROCLCI+ Lot No. Side of Street Zone
Applicant n 14�" Tel ,Q5 4/
Address / 7 RoAd Zip0&07 Y Lic. #
Owner Address S&kyl1L—
Architect Address
Sq. Ft.New Area: lst FI. 2nd FL 3rd Fl. Total New Area
#Rooms #Lavatories #Bathrooms #Garages
Purpose of this rmit: 'r'
City Water 0 Well ❑ Septic System ❑ Sewer ❑
Ins. H.O. L S.P. Cert. Area Basement Garage
Approved by — Date tj?40 - Use Group _ Construction Type E,
Rev6ed 1197
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 Certifi Occupancy fo he work described in his application for the permit
Signed
D OT WRITE B OW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment .
-------------------------------------------------------------------------------
•t-27009-B 6,240
B01 FOOTING 07/27/00 DCJ A LEFT STICKER
B03 FRAMING (ROUGH) 02/07/02 JFF A FRONT PORCH ROOF FRAMING
B10 FINAL 10/14/03 JFF A NOTE RAILING NOT REQUIRED DECK 27 IN ABOVE
GRADE
B10 FINAL 10/14/03 JFF A CLOSEOUT
201100107 TOWN OF SOUTH WIND OR, CT
PERMIT NUMBER CERTIFICATE OF OCCUPANCY
DATE: 06/02/11
GIS ID: 30301107 FEE: 10.00
MUNIS APPLICATION# 201100323 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: B&M CONTRACTORS INC. ADDRESS: 1107 ELLINGTON ROAD
ADDRESS: 112 CROUCH ROAD OWNER: VESCE JENNIFER D
AMSTON,CT 06231 1107 ELLINGTON ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: TO BUILD 8 X 12 DECK FOR 2ND FLOOR,WHERE OLD DECK WAS
REMOVED.
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
6/2/2011 3:58 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
11000121 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 04/21/11
GIS ID:30301107 FEE: 45.00
MUNIS APPLICATION# 201100323 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: B&M CONTRACTORS INC. ADDRESS: 1107 ELLINGTON ROAD
ADDRESS: 112 CROUCH ROAD OWNER: VESCE JENNIFER D
AMSTON,CT 06231 1107 ELLINGTON ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: TO BUILD 8 X 12 DECK FOR 2ND FLOOR,WHERE OLD DECK WAS
REMOVED.
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
4/21/201 18:50 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE