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Home My WebLink About111 ORCHARD HILL DR Electric # ,�4 APPLICATION FOR BUILDING PERMIT PHVACing# # 111 Orchard Hill Drive Date: /d 'd6 -D'� _ Sprinkler# 31358 FINAL PR Estimated Cost Permit Fee $ Engine dino F1011- SIGN PLETE RED BOXED AREAS ' Occupancy Fee $ AtTidavi TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr. for O. ON REVERSE SIDE , Total Fee $ / S TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant Location of Work / 41Z� 1y / Lot No. Applicant'sadd ss r // del.# �6�- �29-5%7G Towne', l/ Zip 'dic.# Owner e& x4,1fe Architect Owner's Add ss Architect's Address Zip Zip Sq. Ft. New Area: 1 st FI. 3 S 2nd FI. 3rd FI. Total New Area -Purpose of this permit ff IZ City Watero Well❑ Septic Systemo Sewero Ins: HO ,. DEC t4 400 _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 ttie Town of South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building fo,which this permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard line-.,and required distances from all other zones and is located in which buil �gaits u is allowed. �. Signed /fG I hereby apply for a Certificate of Occupancy for the work descri 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 ------------------------------------------------------------------------------- **-31358-B 8,500 B10 FINAL 09/21/07 JFF A � t Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 111 Orchard Hill71?098 Date: 4 HVAC # Sprinkler FINAL APPROVALS - --- -- — _ __ Estimated Cost $ ern BuildingCOMPLETE RED BOXED AREAS Permit Fee $ Occupancy Fee $ Engineering TYPE OR PRINT ONLY I Eng. Insp. Fee $ ► SIGN ON REVERSE SIDE ' Affidavit , Appr. for CO. o al Fee $ -- 6u TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant �2�c)b c C� h Location of Work 111 O c c.� F\, l� R Lot No. Applicant's Address—!,Q�1 11 �� Q r S, Tel.# S��- S c\1 h Town < Zi O O Lic.# S Owner N g_U :�cr a\\ C�v c�� Architect v Owner's Address 1 \ O c'(-\Y\v.,4 H.�\ P Architect's Address S-,w �-j S��s' Zip 0Uo7 ) Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI, Total New Area Purpose of this permit {Z r S City Watero Well❑ Septic System❑ Sewer❑ Ins: HO SP "�"/ Cert._ Area Basem Garage Approved by Date )7/ - 7. Use Group _ Construction Type Revised 6102 ��35 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 Buildi,g 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 usQ,4s allowed. Signed I hereby apply for a Certificate of Occupant or the work described in this application for the permit. Signed�/f/t-�/ DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS PERMITS/INSP PAYMENT RECPT# 20226464 TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 06074 DATE: 0�/07/07 TIME: 09 27 CLERK: dpeart DEPT: CUSTOMER# 0 PARCEL: CHG: BLDPRM BUILDING PERMIT 240 00 AMOUNT PAID: 240 00 PAID BY: GAWLIK ROBERT DBA PAYMENT METH: CHECK 6078 REFERENCE: A AMT TENDERED: 240 00 AMT APPLIED: 240 00 CHANGE: 00 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 � 1 < < ,� �-J In the town of Name of building permit applicant: CIisi U 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 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"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.'L I do not intend to act as a general contractor or principal employer. [Sign and stop here] SignatureXapplieant 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. Signat iq�app icant Subscribed and sworn to before me this -7 day of SL-,(J�71 ,200-7 (Notary Public/Commissioner of the Superior Court) .�.`Q .� � T.• 'C1 ._ } .ti'''l Ji. 1PF.'ht.�� - f",�71n '..._� �, _p_' 4 i :.^.-•+ `. `r._.;; 'a .'..�. .,: ....:�.. � �,� C! o ... ) y�.��- 'Mi r'a '+'A r- . 't. . '.: w'-- x ,•s.4 ti -�,is' a,.*. c r+x sF- nn pv+• E; _ ~<3'�yy� 1 r , M ! AuD.n�+ —�- Fw 0 A rw Of PC•'.LI/ 16� DEC /a3' ,29,3 H��r 2j-• -6 ' r- D' I3LD6- 41,46' 158 E � ' c7 *, et �i/ U'rtCN�•as� /I�Jst �/t. sCAL� f Ii- 2O/ 1j jp ''t 12 7 19% South Windsor BUILDING DEPARTMENT TO THE BUILDING DEPT. TOWN OF 504JTH WINDSCA This certified that this plan one specifications are true copies of the proposed building or alteraiionz to be erected It strut together with amendments stated in application an, flied with plan and I agree to comply with all zoning. Building and state laws and such orders as shall b, issued by the Building Department during pendenc, of this application and final issuance of a builoinh \J(� permit. / \ Signed This plan is approved sublect to the condition that orders and ordinances regulating building shall be complied with. Conditionally Approved These filed with Building Inspector clerk CERTIFICATION OF ZONING COMPLIANCE Proposed building(s), use(s) and/or structure(s) as shown on this plan appear(s) to be in Pao L conformance with current South Windsor /9"xys ' egulations. Variances and special exceptions 460va,- nay apply. (TROV iD Date Z�- 9�f S ,/�,,�c n ng Enforcement Officer -17 L 0 r-J 94 DA r'4;p a-Pkld.ocv PC,,cov DECK -.33' 34 —3 6'- 50' 13L.D6- Ltvcr- 158 2 o � la SEP 2 6 1991 South Windsor BUILDING DEPARTMENT and!or structurL,.r �ar(s) to be ►n ! on :his plan rippV uth Win ,-", ran So da.-. X '.,nformance with urre � r,-�ulations. variances and special exceptior'L may apply ? Iz� i �J .GaL- v:d � �1555 LOT 4E LOT 47 LOT 48 l58.�G rQ o ok LOT 53 L UT 52 L GT Si 50 6L_ 58 1 `�Q c � / ,Co -� 4 W f' 536 C f'f-"T FOR BUILDING PURPOSES ONLY CPI `' .nt�TP� 1M ! 1t`5C`�•' , Bing Lot ,4'0. 52 on . .a;, cart i t I ed e• Y, P I M-F F .' Foster �trecst youth W i ndror, 'orn . `cal - . I " - AC' Sevf- . 5, 1063 63 ''a��e:; '. . ('r• i �tic f �I, .• . f- beet �' 40' ;AY^E*' L . rn) LP C . E . OtV I x I% -------------- /4z J7b�5 'y/l 73,f1l C'Y✓N')ZOO r// 927 etshl, wed 1 �3N�7 -9aZ9' ,pG �a30 � 15! h7r;l� 0 ,I v; w 7S � o? h I