HomeMy WebLinkAbout1146 MAIN ST Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 1146 Main Street
HVAC# 14000033 Date: 2-,2-7— L?
Sprinkler# Estimated Cost $�sQd ,
FINAL APPROVALS
Permit Fee $ lam'=
Building COMPLETE RED BOXED AREAS
Occupancy Fee $ /0.
Engineering _ TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
A r.forCO. - ► SIGN ON REVERSE SIDE
PP 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 #L-J Ic7 t LocationofWork 1 Lot No.
Applicant's Address /? Tel #
Town 10J o SM Zip 6 Lic.#
Cwvne rev A'"L)40', IWE-h? Architect
Owner's Address/ / ' Architect's Address _
Zip 16 X6 7 0 Zip
Sq. Ft.New Area: 1 st FI. &Z& 2nd FI. 'y�1► 3rd FI. N TotalMorArea ZVV IG
Purpose of this permit c moJ- o21/LTU 1 1
8Igo
City Water❑ Well Septic System 0 Sewer Uk
Ins: HO SP Cert. Area Basement Garage
Approved by Date Q. �i-I'R Use Group S112L, Construction Type
it Revised 1108
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 is building a i use is allowed.
Si
1 hereby apply for a Certificate cc y for the wor d cnbe this pplication for the permit.
S
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
— t✓ �I�iV T 6Sy s
9 �� l✓JA2 cy yE °mac
Location 11 V(t 1q.4Ar CT Permit #
DEMOLITION PERMIT REQUIREMENTS
• Hazardous material survey:
Asbestos �,p,✓�
Lead paint /LbAr&
• Letters/confirmation of utility disconnect:
Electricity /_Z3_/y d�
Gas
Water : public zyuae abandon
Well =moo abaadm*
/-2.3-�
Sewer: public abandon p�
Drain layer pe=i.t# cif abandoned)
Septic rouse abate,.
*These require procedures approved by Health Department
• Historic District/Commission Approval
Certificate L,
• Demolition License 014-
.S
ngle fa u e exempted if owner is
pres tio�, and assumes all
liability. CGS 29-402cc, )
TOWN- OF -SOUTH WINDSOR
SANITARY SEWER LATERAL ' FI'ELD LOCATION
DATE OF CONSTRUCTION: I -17
BUILDING ADDRESS
STREET
SUBDIVISION:
NORTH ARROW
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CONTRACTOR (PRINT) 11 NAME OF CONTRACTOR'S SUPERVISOR (PRINT)
STREET ADDRESS SIGNAT
i DATE
TOWN STATE ZIP INSPECTED BY TOWN
�5�i0 c62�5 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
I STATE OF CONNECTICUT
DEPARTMENT OF CONSUMER PROTECTION
REAL ESTATE & PROFESSIONAL TRADES
WELL ABANDONMENT,VERIFICATI-ON OF WORK COMPLETED
Procedures followed: All procedures used to abandon a well shall follow regulations established under
Section 25-128-56 and 25-128-57 of the State of Connecticut Well Drilling Board Regulations (see
attachment). These regulations require that a registered well drilling contractor perform the work.
For water supply wells attach completed form to Well Permit. For non-water supply wells attach sketch of
well location to completed form Distribution: Department of Consumer Protection, Department of
Environmental Protection, Property Owner,Well Drilling Contractor,Local Director'of Health.
Well information:
Town: Date work completed: /12--3
Name of Owner:
Address:
Location of well (if different from above): 114j(v
Type of well-(drilled,point, dug, etc.): D (w�-- Depth of weld /c)
�.
Diameter of well: / �� Length of casing: /v /2 .Z (-,\
Work details and other information:
Name of registered well drilling contractor performing work: C i �✓2/ f __L,ti
Registered well drilling contractor's license type &#: Wl-# 4 W3-# 65
Materials Used: amount of sand
amount and types) of grout �y jJ �� �e� .>✓ e C�-,t
Description of work completed: L4 r r eN
Signed: (well drilling contractor)
165 Capitol Avenue,Hartford, Connecticut 06106-1630
Voice:(860)713-6135 -Fax:(860)713-7239 -TDD: (860)713-7240
An Affirmative Action/Equal Opportunity Employer
x Form provided by Forms On-A-Disk.Inc.-Dallas.Texas (214)346-9429
ti
NOTES RECEIPT
RECEIVED FROM/ !✓r! ���=��
ADDRESS
e FOR & 6 (� G ��YE /1/'o11V S V
AMT.OF 3� ACCOUNT HOW PAID
ACCOUNT CASH
PAID CHECK Q rj Q
BALANCE MONEY
DU BY
E ORDER
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01/14/3014 10:13 FAX 680 665 5789 M? Clearins bask 190002/0002
LW&PMW Removal of Semite—
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Conntit:AaA Ught 6 Power Co. ConnecftU U oM Power Co.
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D- NwVcrd,CT 05104-29M B4ftlrt.CT 06OV
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BAN 15 REC'D
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01/27/2014 08 52 #832 P 002/002
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COMMUNICATIONS
January 27,2014
Edward Kasheta
1300 Main St.
South Windsor,CT 06074
Re:Demolition at 1146 Main St.,South Windsor CT 06074
This letter is to serve as verification that Cox Communications has removed all
exterior wires and equipment attached to the location at 1146 Main St.in South
Windsor Cr.
Please contact me at(401) 615-1876 if you need further assistance.
'ncerely,
T' fany ulIo
Service Coordinator
Cox Communications
9 J.P.Murphy Ind.Hwy
West Warwick,RI 02893
Phone:(401)615-1876
Fax: (401) 615-1421
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14000033 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 01/27/2014
GIS ID:54901146 FEE: 120.00
MUNIS APPLICATION# 201300205 BUILDING DESCRIPTION:
APPLICANT '�,*J'r' :- G<< LOCATION
NAME: KASHETA EDWARDwW <'' ADDRESS: 1146 MAIN STREET
ADDRESS: 1300 MAIN STREET' C,:J OWNER: .,-KASHETA EDWARD W JR&DONALD T
SOUTH WINDSOR,CT 06074 1300 MAIN ST
SOUTH WINDSOR,CT 06074
�Na �
DESCRIPTION OF WORK: DEMOLISH STRUCTURE, 1 ,,,, x
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
1/27/2014 8:38 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE