HomeMy WebLinkAbout1120 MAIN ST APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATEI)XITH A
❑RESIDENTIAL BUILDING PERMIT APPLICATI N? L YES Ll NO
Ll BUSINESS
❑ASSEMBLY CURRENT USE AND OCCUPANCY
❑MERCANTILE
O EDUCATIONAL FUTURE USE AND OCCUPANCY
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑STORAGE
❑GARAGE ADDRESS
O MIXED USE
,W CITY STATE ZIP
(Other pWase spe ' )
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 ❑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.
DEESCRIPTION OF WORK
► _ � s1 JL t
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 LIC SE NO. E STATE
SIGNATURE OF APPLIC ) DATE 10131 c,
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application' ereby: TOWN OF SOUTH WINDSOR PERMIT#
BUILDING DEPARTMENT
AP OVE 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
FTen&Designation
$0-$1,000=$15.00 T Street Lot No.
Over per$1,=
$15.00 per$1,000
or any fraction thereof Apt. o.
APPLICANT
APPLICANT ADDRESS _//cY� ��► � �_ SG✓
APPLICANT PHONE# f
OWN S F,q OWNER 5Y
OWNER ADDRESS //C T J, � f
OWNER PHONE ?CO' , 1 Re
C ;D ESTIMATED COST$ W_.
IS THIS A CONTRACT COST? _Yes ZNo
FEE ENCLOSED$ ,?[SC)
SOR•CO�4 TYPE OF JOB:
New Installation
_Alteration/Addition/Repair
Revised 4/01//2002
Electric # I C F 0 y g LICATION FOR BUILDING PERMIT
Plumbing# 120 Main S t t
HVAC #
Sprinkler# 7 12 5
FINAL APPROVALS �p Estimated Cost $ G'b -'n'
Building ! COMPL �E RE��AREAS Permit Fee $ "
Occupancy Fee $
Engineering _ TYPE OR PRINT ONLY
i I Eng. Insp. Fee $
Appr. for CO.
Affidavit - - - -- -
► SIGN ON REVERSE SIDE
1&ETMENT,
Total Feq $ ��TO THE BUILDING TOWN OF SOUTH WINDSOR, CT (Additions Cost) $
The undersigned hereby applies to do work according to the following:
Applicant �- Location of Work //,�o Lot No.
Applicant's Address Tel.#
Town Zip dG OT L—Lic.#
Owner /,,lal� h1 Architect
Owner's Address //J Sf Architect's Address ,2C/,,2,,&c/,- /T
Soil `✓ems tom.,. �f Zip 01, �y
Sq. Ft. New Area: 1 st FI.,17.�F 2nd FI. 3rd FI. Total New Area
Purpose of this permit :3 4 / ,,� ��.✓ . �' s �1��
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cer Area Basement Garage
Approved by N`' ate l L �,o Use Group Construction Type Revised s02
)oqo
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 In, f any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to located the pr r distance from all street lines,side yard lines,and required
distances from all other zones and is located in w ch is uil nd its use is allowed
Signed
I hereby apply for a Certificate of 1c,P ork scribed in this application for the permit
Signed fir—�
DO NOT RITE BELO THIS LINE
INSPECTION COMMENTS
Electric # 'Z72 APPLICATION FOR BUILDING PERMIT
Plumbing# 1120 Main Street Date: C11 M 05
HVAC #
Sprinkler# 31929 0 �C
FINAL APPROVALS [011':' SIG:N
-- - --- -- - - ] Estimated CostBuildin LETE RED BOXED AREASI Permit Fee $
Engineering YPE OR PRINT ONLYOccupancyFeeEng. Insp. Fee $
AApr.for CO ON REVERSE SIDE
Total Fee $a71v.
'I'O THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant 6��AC 7 location of Work `5� Lot No.
Applicant's Address `� r0,A_ 5� 'Tel.# C'51
Town -L > Zip CLOGI L/_Lic.# Cam'` Jc S-380
Owner C �' _Architect r
Owner's Address l Architect's Address
Zip Zip_.
Sq. Ft. New Area: 1 st FI. 2n 3rd FI. Total New Area 710 V 1 '1 O
Purpose of this permit` C L�
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage— -
Approved by Date ? - ' Use Group Construction Type .S,(3
Revised M
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 Inspec f any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is o be I ated the proper stance from all street lines,side yard lines,and required
distances from all other zones and is located which his building an iit se is to ed. -_
Signed
I hereby apply for a Certiflca of Occ pancy for the wo < scribq in this applicati n for the permit.
e
Sig r
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-31929-B 180,000
BO1 FOOTING 11/17/05 PJP A 18&24"PIERS, W/TERRY & DOUG MORTON BUILDERS
E01 SERVICE O1/19/05 PJP A DANIELS ELEC
E02 UNDERGROUND 11/04/05 PJP A TRENCH
B10 FINAL 07/24/06 CJD A
**-19883-E 20,000
1
`REQUEST FOR MODIFICATION
`C OF THE STATE BUILDING CODE FOR OFFICE USE ONLY
1. Name and Location of Building
I I IM moun s� sntm+ HJtA bS0P- C71- OWN
No. Street Town State Zip
2. Building Owner PAT-Q(04 GaLO&AT7
3. Applicant's Name S Ar Mf-- Telephone a 6-4 5W
Applicant's Address 11 aO OCIAIN St S 11hAtMt^/(L OLE Irtw14
(brdude Firm Name if Applicablc) No. Street Town State Zip
Name of Person to Contact SAMFZ Telephone 5o=j1\L
(For information ifrcquircd)
4. A.Date of Application for Building Permit 9 114 105
B.Applicable Code(Tittle and Date)1
5. Use Group ( — 8,0,r I s-L.,k+u f'al--
A. Was there a change of occupancy: O Yes %/No
B. If yes from to
6. Building Construction Classification v 6
7. Square Foot Area of Building(Total) m_a40
Maximum Square Foot Area per Floor 60,me._
8. Number of Stories oyle (Y
9. Check Applicable Designation:
YVNew Building ❑Existing ❑Addition O Othermxplain)
10. Fire Protection at subject premises(Check appropriate headings)
❑ Smoke Detection ❑ Heat Detection ❑ Extinguishers
❑ Sprinklers ❑ Standpipes ❑ Other(identify)
NO s'Insax
z "Sod
vs ,00 s aDKsn
Ts=Lo 6Z/60 ails •ss
aI xolxfxlisaa
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99E8S8909816 ssaaaav xOISKxISSaa
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ar s S2IOdaZI XS XKd s a►
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STATE OF CONNECTICUT FILE#
DEPARTMENT OF PUBLIC SAFETY
OFFICE OF THE STATE BUILDING INSPECTOR
P.O.BOX 2794
MIDDLETOWN,CT 06457-9294
TELEPHONE: (860)685-8310
FAX: (860)685-8365
REQUEST FOR MODIFICATION
OF THE STATE BUILDING CODE FOR OFFICE USE ONLY
1. Name and Location of Building
1120 Main 1 JA A bSOtZ cT OWN
No. Street Town State Zip
2. Building Owner tom- AT-Qt0 A GO LOBL A fT
3. Applicant's Name S A-M(2— Telephone iW*')- ago-9 5(R
Applicant's Address 11 )C) 0(kA(N Sf S UJI AltMG17— Cl (kOCIq
(Include Firm Name if Applicable) No. Street Town State Zip
Name of Person to Contact SA MC Telephone 5CL V ht°
(For information if required)
4. A. Date of Application for Building Permit 9((4 /QS
B. Applicable Code(Title and Date)
5. Use Group LJ ft ) ( c�� fR.'--
A. Was there a change of occupancy: ❑ Yes `f /No
B. If yes from to
6. Building Construction Classification 6
7. Square Foot Area of Building(Total) i a .ayd
Maximum Square Foot Area per Floor Same-
8. Number of Stories one S- Cr
9. Check Applicable Designation:
New Building ❑ Existing ❑ Addition ❑Other(Explain)
10. Fire Protection at subject premises(Check appropriate headings)
❑ Smoke Detection ❑ Heat Detection ❑ Extinguishers
❑ Sprinklers ❑ Standpipes ❑ Other(identify)
REQUEST FOR MODIFICATION OF THE STATE BUILDING CODE Page 2
11. Describe alarm system(s)at premises
12. Building Code Section that modification is requested from 1!)q(pJ�OC A
`l'A3UE,-
13. Modification Sought 19W T, i4 pene'l!x C_
14. Applicant's Signa e Date Signed
15. Important Requirement Failure to provide the following information will delay modification
process. The Building Official must comment below on the modification request as per Connecticut
General Statute 29-254(b). *Note: Must be signed by Chief Building Official,Acting Building
Official or Provisional Building Official.
❑ Support Request
❑ Do Not Support Request
* The decision on this request is left to the Office of the State Building Inspector.
❑ Please contact the undersigned.
Building Official's written comments,if desired.
Z)111J z t� J
Iding 1;7/ ffici (Prime ) Town Ouilen Official Signature Date Signed
Cildi g Official's Teleph ne Number Best Time to Contact
MODAPP
Rev.sniioo
Electric # APPLICATION FOR PERMIT
Plumbing#
HVAC 1120 Main Street __4Date:
7LLWF'__1
Sprinkler# 8 00 0.3 6 __
FINAL APPROVALS _ Estimated Cost
--- _-- Permit Fee $
Building COMP ON REVERSE SIDE
RED BOXED AREAS Occupancy Fee $
Affidavit SIGN
Engineering TYPE OR PRINT ONLY i Eng. Insp. Fee $
/✓
Appr. for CO. Total Fe $ C�(�
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 //.moo /% ,� S_ _ Lot No.
Applicant's Address //_9 /lJa,1 Tel.# r?
Town S,, ./ Z/4,,4.L a. C` Zip vG c-Iy Lic.#
Owner 1;4 ,,r T,- Architect
Owner's Address i,��9 �h,. 1< s�,.!✓,,,/gin Architect's Address
Zip Zip-
-Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this per .
r,
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved b Date -- I Z-10S Use Group Construction Type
Revised 6/02
I hereby agree to conform to all the requirements of the Laws of the Stale 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 xrwhich this building and a is allcyved.
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
GOLDBLATT
1120 MAIN STREET
SOUTH WINDSOR CT.
ELECTRICAL REQUIREMENTS
FOR NEW HORSE BARN
$-c
- STATE OF CONNECTICUT'.4 DEPARTMENT OF PUBLIC SAFETY
..y DIVISION OF FIRE,EMERGENCY AND BUILDING SERVICES
OFFICE OF THE STATE BUILDING INSPECTOR
P. O. BOX 2794
MIDDLETOWN,CT 06457-9294
Telephone: (860)685-8310
Fax: (860)685-8365
REQUEST FOR MODIFICATION
INSTRUCTION SHEET
1. The applicant must sign and date modification form.
2. Building Official must comment and sign form per Section 29-254,Connecticut
General Statutes. Application will be returned if signed by other than the Chief
Building Official,Acting Building Official or Provisional Building Official.
3. One set of construction documents must accompany the request if they are needed to
help illustrate a modification request.
4. A cover letter explaining your circumstance is recommended if it cannot be clearly
explained in this form.
5. Please type all responses,or if not possible, print legibly. Complete application in its
entirety. Any missing information may result in delays. Return completed
application to the above address.
6. If you have questions about what is required,call the Office of the State Building
Inspector at (860) 685-8310.
MODCVR
Rc%.821100
11 I I Country Club Road
P.O.Box 2794
Middletown,CT 06457-9294
An Equal Opportunity Employer
i .,
X � � � �
����
ELECTRICAL SERVICE TO NEW BARN
#2 cable rated 100amp
New 70 amp Buried 24"
Existing Breaker for Ex ansion Underground
200 am anel Sub panel ____. p In 3 pvc conduit
p p p point
New sub
panel
#2 cable I -'r
Mounted Expansion
overhead I joint
Barn
Riding Arena
STALL 1 STALL 2 STALL 3 TACEI
ROOM
BREAKER#3
BREAKER#5 j (�
r
I i
I I I i I
I I I I I I I I I
I I I I I I I I I
SMOK SMOK
I I I I I I
I I I I I I I i I
I I I I BREAK R
I I I I L
W
Y BREAKER#2
w
m
Sub
panel
ELECTRICAL SERVICE IN NEW BARN
Wirinq Requirements
• 70 AMP BREAKER LOCATED IN RIDING ARENA ELECTRICAL PANEL.
• WIRE FEED TO SUB PANEL TO BE #2 ALUMINUM RATED FOR 100 AMP.
• 3" PVC CONDUIT TO BE 24" BELOW GRADE WITH EXPANSION JOINTS.
• SUB PANEL LOCATED IN NEW BARN, NORTH WEST CORNER.
• 14/2 WITH GROUND UV CABLE TO BE USED INSIDE BARN.
• ALL GANG BOXES TO BE BONDED.
• OUTLETS NEAR HORSE STALLS AND TAC ROOM WILL BE DROPPED
IN CONDUIT TO WATER TIGHT BOXES 4' ABOVE GRADE.
• AC/DC SMOKE DETECTOR (MOUNTED ON TRUSS) AT EACH END OF
THE BARN (QTY 2).
BREAKER #1 : 2 GARAGE DOOR OPENERS (PLUG IN)
& 2 SMOKE DETECTORS (HARD WIRED).
BREAKER #2 : 6 FLOURESENT CEILING LIGHTS (PLUG IN TYPE).
BREAKER #3 : 4 WATER TIGHT CANISTER STALL LIGHTS (HARD WIRED).
BREAKER #4 : 3 EXTERIOR LIGHTS (WATER TIGHT SPOT LIGHTS).
BREAKER #5 : 4 OUTLETS, 3 AT HORSE STALLS, 1 AT SUB PANEL.
r
JAN 17 2008
South Windsor
BUILDING DEPARTMENT
IV Apu-k-
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
1120 MAIN STREET LOT_# Reviewed By BiiN (Engineering)
PATRICIA GOLDBLATT Date Reviewed / _ ro Denied
1139 MAIN STREET,SOUTH WINDSOR,CT Reviewed By Planning)
BP_#_31929_ Ph_# 290-9518 Date Reviewe 07 pprov /Denied
Date Submitted 00/00/00 ***** FOR 1 0 **
rvc-
As required in the Zoning and/or Subdivison Regulations, no Certificate of
Occupancy shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall inM�MVED
Approved Denied N/A '
_� 1 Approved building permit plan 1 2007
2 Finish grading per approved MOOsAGE'Y
building permit plan VATCN ON
3 Site work; i e trees, shrubs,
dumpsters, required parking
4 Utility location;
✓ a. sanitary sewer/septic system
/ / b. foundation drain
✓ c electrical & telephone
d. water
./ a other
5 Sewer connection charge paid
6 Appropriate certification
7 Bonding
/ 8 Planning & Zoning/
Inland Wetlands Considerations
A. Lighting
B Signage
Freestanding Wall
C. Fee in lieu of Open Space
Sewer Permit No. Pav Exc #
COMMENTS 11o0Cl ay f SP zu-1bu j 1 t - (a fy)or'4, Status:
�ddr,�ss
TOWN OF SOUTH WINDSOR
AFFIDAVIT OF ACTUAL COSTS
PERMIT NO: f73I -27S DATE - o7
The undersigned, being a duly authorized representative of,
do by this statement, certify that the actual costs shown below, of the project referenced by the Permit
Number shown above, are true and accurate.
This statement is being made pursuant to the Town of South Windsor Ordinance, Article II, Section 14-31,
(a)thru(e),(see attached).
1 understand that verification for accuracy of actual costs may be made at any time by the Building Official
through an appraisal of the work at the expense of the property owner.
I hereby certify that the actual cost of the work performed under this permit is:
$ 100
Signature of Permit Holder:
Name(Please Print) CIA
Date:
--4// [�T2 7,
.................................................................................
State of Connecticut]
] ss South Windsor Date:
County of Hartford]
Personally appeared , as aforesaid,
Signer and sealer of the foregoing instrument and acknowledged the same to be
his/her free act and deed, before me.
Notary Public
Commissioner of the Superior Court
My commission expires on
BUILDINGS AND BUILDING REGULATIONS 14-31
ARTICLE I. IN GENERAL cable utility shall be submitted to the building
official prior to the issuance of the demolition
Secs. 14-1-14-30. Reserved. permit.
(h) Signs. The permit fee for signs shall be
ARTICLE II. BUILDING CODE $15.00 per thousand, or fraction thereof, of the
estimated cost of the sign and its installation.
Sec. 14-31. Construction and alteration fees. (i) Engineering inspection fees.Where an engi-
(a) Generally. The building permit and trade neering inspection is necessary to establish com-
permit fees shall be $15.00 per thousand, or pliance with an approved sitelplot plan for the
fraction thereof, of the cost of the construction. issuance of a certificate of occupancy according to
the zoning and subdivision regulations,an inspec-
(b) Certificate of occupancy. The certificate of tion fee of $35.00 shall be assessed when the
occupancy fee shall be$10.00. request for a site inspection is made.
(c) Cost of project. Building and trade permit (Code 1978, §§ 10-201, 10-203-10-205; Ord.No.
fees shall be based upon the cost of construction 127,11-9-90;Ord.No.139,§§10-201,10-203-10-
and the materials to be supplied in conjunction 205,10-10-96;Ord.No.156,§10-201,7-6-99;Ord.
with the project described in the permit. The No. 165,§§ 10-200-10-205,3-4-02;Ord.No. 166,
owner or contractor shall supply the building 6-17-02)
official with an estimate of the total job covered
under the permit. All trade permits shall have
individual costs and fees.
(d) Accepted value. The cost of materials and
i labor of a project accepted by the building official
shall, in no case, be less than the guidelines
offered for Connecticut in the latest building
valuation data report published by BOCA[Build-
--im, Officials--Conference of America] Interna-
tional.
(e) Affidavit. An affidavit under oath under
penalties of false statement of actual final cost for
all new structures and major additions shall be
signed by the owner, agent or contractor for the
project prior to the issuance of a certificate of
occupancy; and the fee shall then be appropri-
ately adjusted. Affidavits for other construction
permit costs may be required by the building
official.
(f) Moving of buildings. The permit fee for
moving a building shall be $15.00 per thousand,
or fraction thereof, of the estimated cost of the
move.Any additional costs,such as traffic control
or newspaper advertising, shall be paid by the
applicant in addition to the permit fee.
(g) Demolition. The permit fee for the demoli-
tion of buildings shall be$15.00 per thousand,or
fraction thereof, of the estimated cost of the
demolition. Letters of disconnect from any appli-
Supp.No.1 CD14:3
RECEIVED
SITE COMPLIANCE CHECKLIST S E P 15 2005
TOWN of SOUTH WINDSOR, CONNECTICUT
SOUTH Val DSOR PL"I N'ING,DEPT
1120 MAIN STREET LOT_# Reviewed By (Engineering)
PATRICIA GOLDBLATT Date Reviewed /b a Denied
1139 MAIN STREET,SOUTH WINDSOR,CT Reviewed By lanning)
BP #_31929_ Ph_# 290-9518 Date Reviewed 1 S' Approve Denied
Date Submitted 09/14/05 ***** FOR BU LD NG PER
***
In accordance with the Zoning and/or Subdivision Regulations, prior to the
building of any structure on a lot, a Topographic Plot Plan shall be submitted
for approval. The minimum requirements shall include:
Approve Denied N/A
1 Name, address & phone number of owner/applicant
✓ 2 Name, address & phone number of plan preparer
3 Zoning Information - i e. zone, open space,
floodway, street address.
4 Plot Plan at 1" = 40' scale
a. Subdivision reference, abutting properties, etc
b. Easements of record
c Lot description, bearings, building lines,
/ distances, area, etc
y d. Contours, existing & proposed, 1 or 2 ft
interval where appropriate
e. Building location with dimensions
Elevations of proposed finish floor, garage
/ floor & centerline of road at driveway
✓ f Elevations of gravity drainage systems, sanitary
& foundation drain at the house and the street
g. Tentative utility location (gas, water,
electric, septic system, etc.) —�
✓� h. Title block with name and address of preparer,
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements. (P.E. & L.S )
5 Sedimentation and erosion control
6 Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby:
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
H�at�e
Inspector
Application must be printed or typed
Location of Job:
FEE SCHEDULE
$0-$1,000=$13.00 Fienant
Street Lot No.
Over$1,000=
$13.00 per$1,000
or any fraction thereof nation Ap:No.
APPLICANT D1j A r F L E/c C Le tC Z -C
APPLICANT ADDRESS w 5,g., Q/c'q
APPLICANT PHONE/#
OW N SF OWNER S7 Fp� �-r �lD n�4
q� OWNER ADDRESS j �/ �� /�q,� ,SST/
OWNER PHONE
C ESTIMATED COST$ / D110 p0
.� IS THIS A CONTRACT COST? #Yes 0 No
FEE ENCLOSED$�/�1-
dS R.CpN
TYPE OF JOB:
New Installation
0 Alteration/Addition/Repair Revised 8/99
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 j
❑MERCANTILE FUTURE USE AND OCCUPANCY 491,5E ?ItQ�Jl I gernw
❑EDUCATIONAL
❑INSTITUTIONAL ENGINEER'S NAME PHONE
❑FACTORY
❑ STORAGE ADDRESS
❑GARAGE
❑MDCED USE CITY STATE ZIP
A
(Other p ease specify)
TYPE OF INSTALLATION/WIRING METHOD I-)
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS 0
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES NO
NUMBER OF LIGHT CIRCUITS _NUMBER OF POWER CIRCUITS _
NUMBER OF SWITCHES _ NUMBER OF OUTLETS /o
NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS O
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
1� 1 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
PERFORMANCE OF SUCH WORK.
E
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE US
17 PHELPS RD. EAST MOSOR,CT 06088
S
TO WHCM IT MAY OCNCERN:
In accordance with public act 91-95I Daniel P. Etienne, President
of Daniels Electric, Inc., authorize Tarry R. Teeban
as my delegate to sign for the APPLIC ATICN FUR ELECTRICAL PIIfiffT
for me per the following.
NAME CF DIIEGME
NAME C F M INIC,IPAISTY 7eaJ,07 D
JOB NAB CR DESCR=C N l7 U I D 61�1 / ,d; _ /ZIFA
STAR= DATE
LICENSE NUMEER OF LICENSE H=ER: 103122
NAME C7F LICENSED OCNTRACPC7R: Daniel P. Etienne
Oa��& J�V,
SZC3VED EY
DATED
!!J
f
STATE OF CONNECTICUT ♦ DEPARTMENT OF CONSUMER PROTECTION f
i Be it]mown that
DANML P MUNNE ;
20.1,10RA xD
BOLTON �I' 06043
has been certified by the D�`of Protection as a licensed
' ELECTRICAL CQ&TRACTOR `
i
Effective: 10/Ul/2005
� �-
:t
Expiration. 09/30/2006 ; � .:,,r
Y3..' r� p,,,i,.V,w.
I
M.S.
FNDci
.'
\ �11.45'p.
SEI` �\ S kARkoWSk�
m
l I I.P. E
\ \
SET \
r , WATER �\ : SITE °
METER ��� \ \
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q
\
J AND \ \ \ J K I.P. \ �� 6 i 9 i�t_ — TRANSFORMER LOCATION MAP
�! N SET �36 N.T.S.
FND \ \ �\ 1 38` \�\ W \182�1\ \E V_' kA ry( N/F
/ Nc
\ 25' ACCESS EASEMENT N 653636,\ \ \ ��RT l cV ��8
Ek�St. S h r SET
\ \ \
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0kOde F 20, : y,
e Ce / GRAVEL
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ELECTRIC \ \ \ \\ \
N 66."316„ \ \\ �� // �I } .G. METER \ \ \\ \
\— _39_ I / WATER �N ' \ \ \ N
\ � I / STp PUMP R
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FOUND 5 \ ' ` \
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\ N 633,21 I.P. I
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-\ 4 W -SET \� I AREA: - - - - - - - \
\ 4.3' *�� I 195,375 S.F. Il.,
I 4.48 AC.
Exist• Barn \ — ' I5
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cn
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Y
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C` SET n
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* EXISTING BARN ENCROACHMENT N 633�54»
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NOTES: cp p,,
1 . THIS SURVEY AND MAP HAS BEEN PREPARED IN ACCORDANCE WITH (� � � OC, �/Ul,� �• (� Compiled �.1
SECTIONS 20-30OB-1 THRU 20-30OB-20 OF THE REGULATIONS OF Q Consulting Engineers, Land Planners & Surveyors P.C. Check vF5
CONNECTICUT STATE AGENCIES — "STANDARDS FOR SURVEYS AND MAPS 1 12/29/06 AS BUILT fi // 1137 Silas Deane Highway, Wethersfield, Conn. 06109, Tel. (860)563-9375 Designed
MAP REFERENCE: IN THE STATE OF CONNECTICUT" AS ADOPTED BY THE CONNECTICUT JAL•
No. Date Description Drawn eT.l
1. RESURVEY PREPARED FOR DONNA A. LEVACK, 1116 MAIN STREET, ASSOCIATION OF LAND SURVEYORS, INC. ON SEPT. 26, 1996. THIS IS AN Revisions w
' — ON SURVEY BASED ON A DEPENDENT RE—SURVEY IMPROVEMENT LOCATION SURVEY Scale d��
SOUTH WINDSOR, CONNECTCUT, SCALE. 1 =40, DATED: 12-27 04, IMPROVEMENT LOCATION E REVISION 3-17-05 SHEET 1 OF 1 BY: RICHARD P. MARTEL, L.S. 12882, CONFORMING TO HORIZONTAL ACCURACY CLASS A-2 AND VERTICAL Scale 2/ 40' J
LATEST RE ��''����co��`'%
DESI
GN PROFESSIONALS INC. 165 SOUTH SATELLITE ROAD, SOUTH WINDSOR, CONN. ACCURACY T-2 AND IS INTENDED TO DEPICT THE POSITION, TO MY KNOWLEDGE AND BELIEF THIS MAP IS ,� oF,__ � Date 12/29 f
HORIZONTALLY AND, , �/ rrn�a_
SOUTH WINDSOR WHERE REQUIRED VERTICALLY BETWEEN PARTICULAR SUBSTANTIALLY CORRECT AS NOTED HEREON. PROPERTY OF Sheet Of Q
2. PROPERTY OF RUSSELL E. & LOUISE W. LEVACK, MAIN STREET, SO EXISTING OR PROPOSED IMPROVEMENTS WITH RESPECT TO THE
CONN. SCALE: 1"=100', DATED: 11-7-78, BY EMIL W. LUCEK ASSOCIATES. APPLICABLE MUNICIPAL OR STATUTORY REQUIREMENTS. , 1 REINDANCE PROPERTIES LLC
2. THIS SURVEY IS NOT VALID WITHOUT A LIVE SIGNATURE AND EMBOSSED By __4 N0. 4142
IIta >111C MAIN STREET o
SEAL. Job No. 38071
JOHN H. MILLER, P.E., L.S. No Date Description 0
LiC. riO. 4142 -•;� 5 �`� CONNECTICUT File No.
,����f���� SOUTH WINDSOR, �
Revisions
i
/
i GENERAL NOTES
1. ELEVATIONS ARE BASED ON N.G.V.D. DATUM OF 1929.
M.S.
FND 2. BEARINGS SHOWN ARE BASED ON STATE OF CONNECTICUT GRID COORDINATE SYSTEM.
11.45' 3.
H UNDERGROUND E
P SIRE K ANDHAVE BEENLOCATEDLINTHE FIELD WHERE POSSIBLE. THE OBTAINED THEACTUALL RECORDS
LOCATION OF THESE
— — �' \ / S 66 ARKUWSKI
UTILITIES SHOULD BE VERIFIED BY THE CONTRACTOR BY CONTACTING "CALL BEFORE YOU DIG"
i P '� �\ �3g» E > PROPOSED 3-3 DIA. 1-800-922-4455.
3 I SET \ �'T � / ELECTRIC CONDUITS
4. ALL PROPOSED UTILITIES LOCATED WITHIN THE DEVELOPMENT LIMITS SHALL BE LOCATED
UNDERGROUND. THE HORIZONTAL AND VERTICAL ALIGNMENT OF SUCH UTILITIES SHALL BE
DETERMINED BY THE APPROPRIATE UTILITY.
I I ^,Uj 5. ALL UNSUITABLE MATERIAL DISCOVERED DURING CONSTRUCTION SHALL BE REMOVED OR
IIO' \ S 6 ti DISPOSED OF IN A SUITABLE MANNER. SAID MATERIAL SHALL INCLUDE TREES, BRUSH, ORGANIC
MATERIAL, ETC.
00
1�' �\ I �� �\ 6 6. SOLID WASTE DISPOSAL SHALL BE DUMPSTER PICK UP.
CONSTRUCTION 7. ALL WATER MAINS SHALL BE INSTALLED IN ACCORDANCE WITH SPECIFICATIONS AND
N ' / SET j� ENTRANCE CONSTRUCTION METHODS OF THE METROPOLITAN DISTRICT COMMISSION.
jW. YD. �� ` �0 Y
� N 71
! 1 Aj• -99O �St shed
( 1 Exist. House PARCEL A ;?
I� 1 100,294 S.F. � �� SET \\
2.30 AC. \ � SET
IND — , \ � � � � � PROPOSED 2" �
J J
N M.S. \ \ DOMESTIC WATER DONNA �/F I.P.
� ` 82
FND _ CEVAOK 38 10� �� E K HCEEN /F
SET d \\ \ �� � A YOUNG
25' ACCESS EASEMENT 65:3636" \ `
10
Fk�st. Stockod �20' S EXTEND EXISTING
e Fe c GRAVEL DRIVE — ''/ I.P.
6 SET
IV
\ o
�RoP \
goy N/F ��� /\ ;� N S oSE� y �
/v
6'4EV ORS ARE 2 �� S 6S3S2»
20' \ SET
/ PROPOSED
BROWNSTONE /40 SILT FENCE
FOUND \
REMOVE EXISTINGLU N
FENCE z / —* .--s r-s s-•-: _ \ \ (�
BUILDING
OVERHANG
d
DONNA A LE-V CK \\\` BROWNSTONE
BROWNSTONE t — — — — — — \ \\ FOUND
FOUNDI —
S \
\ N 633�2j I.P. / / �� PARCEL B
-SET ` 195,375 S.F.
W \ ( 1
--448 AC.
4.34
I / �
v7
� 1
20'
n
EXISTING BARN ENCROACHMENTCD
zo
CK DUCP \ A 0 /F
SET
E I I SO Nr/Nu/Nc C
J I Ury W/NDS�'IRe OF
R, /NC
SITE DATA
PROPERTY IS LOCATED IN ZONE A-40
REQUIRED PROPOSED
MINIMUM LOT SIZE 40,000 S.F. 195,375 S.F.
MINIMUM LOT WIDTH 150' 278.04'
MINIMUM LOT DEPTH 200' 756'
MINIMUM FRONT YARD 50' 52'
MINIMUM REAR YARD 50' 530.25'
MINIMUM SIDE YARD 20' 42'
MAXIMUM STORIES 2 1/2 1
MAXIMUM HEIGHT 30' 27.755'
MAXIMUM % LOT COVERAGE 10% 6.23% ��� �� �� �m Compiled
Consulting Engineers, Land Planners & Surveyors P.C. Check
1 8/ SOUTH WINDSOR STAFF COMMENTS 1137 Silas Deane Highway, Wethersfield, Conn. 06109, Tel. (860)563-9375 Designed
No. Daatete Description �' Drawn
Revisions LAYOUT, GRADING & UTILITY PLAN Scale Checked
d1"= 40' z
" ���i� Date JULY 2005 Q
J
°s °�' CNN` HORSE ARENA Sheet of o-
a 0/ p; _ FOR
STEVEN AND PATRICIA GOLDBLATT
3 4
PROPERTY OF
5` NO. 4142 •
�: ci' �CENSE���/1��,,, DONNA A. LEVACK Job No. >-
No Date Description '''�;j�7VCENS' ,1'`�, 1116 MAIN STREET
Q
Revisions '�•.,,,,,�����` SOUTH WINDSnR, CONNECTICUT File No.