HomeMy WebLinkAbout1169 ELLINGTON RD DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT —
APPROV D , A
1540 SULLIVAN AVENUE
644-2511 ext. 23U ��.�rm'c#
Date Building In
Application must be printed or typed
FEE SCHEDULE / ocation of Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT —T�`' • r J-�
AP ICANT DRESS
APPLICANT PHONE# 6 G
W N Sc- OWNER r�� YC- r- I ch
SO L
OWNS#ADDRESS 6 ��
OWNER PHONE
C = ESTIMATED COST$
.� �► �(i � IS THIS A CONTRACT COST'? _Yes
as �G FEE ENCLOSED$
f��s O�� TYPE OF JOB:
�R.C _New Installation
_Altera ion/Addition/Re air /
Revised 4/01H2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES EMO
❑RESIDENTIAL
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY e <
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE ;/o e SIZE OF MAIN CONDUCTORS�4D
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.
RESCRIPTI OF WORK
G✓ i
r r
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.
ZD
CONTRACTORS LICENSE NO. TYPE STATE.
SIGNATURE OF APPLICANT DATE
�?/U
a
OWN st4
7own O-P S-0�
1540 SULLIVAN AVENUE • SOUTH WINDSOR, CONN. 06074
'~OSOR-co AREA CODE 860/644-2511
Master Detail Output Exit
2.02
PERMIT MAINTENANCE / INSPECTIONS
Permit Type BUILDING PERMI Permit No. 97 - 24376 - B
Master serial I 291391
Status I I Serial No I 914831
inspection / Approval Date Date By Approval
Code Description Due Completed whom code Time
1B101 FINAL I 1 107/17/19971 I]RCI IA I I I
Comments 1OK 1
Comments 1 I
2 row(s) found
f
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 1169 El l&n ton Road Date: \-S-c7
HVAC #
Sprinkler# - 800002 - - ,
FINAL APPROVALS -- Estimated Cost $- 586,500.00
Building r j Permit Fee $ S.'M5
g I COMPLETE RED BOXED AREAS Occupancy Fee $ f Cl
Engineering TYPE OR PRINT ONLY
Affidavit � Eng. Insp. Fee $_-
PP -
A r. for Co. � SIGN ON REVERSE SIDE � Total F e ., $ _
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Addition, Cost) $
The undersigned hereby applies to do work according to the following:
Applicant �wu z C i�,"aszquun icy._ c�'S , Location of Work \\.(A Lot No.
Applicant's Address \�\ vmA�La SR ,ap - Q �cw,c 1413 Tel.# -Gy3.52In _
Town Zip CK42y5 Lic.# 06-►%l yss 7
Owner nm= ca&o=Sib oFc_,,, L Architect_
Owner's Address wick Architect's Address I" .cx», SzsL&s_T
�c'A �`� Zip 4 Tl RO&MCM Zipm5Ri M
Sq. Ft, New Area: 1 st R -:S Qt, 3,0\1 3fd-�+. q�p Total New Area 6_q5j'k
Purpose of this permi��c�� .cs cr- � p„n *_ sLsZQ_—<,
City Waterne Well❑ Septic System❑ Sewere'-_
Ins: HO SP Cert. Area Basement Garage
Approved by Date Use Group Construction Type /
Revised 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 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 Comsh,,%R
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
AFMA11 ALLIEDCONSTRUCTION,INC.
March 4,2008
RE: Permit Fee-, 1169 Ellington Road,South Windsor,CT
Christopher J Dougan
Building Department
Town of South Windsor
1540 Sullivan Ave
South Windsor,CT 06074
Dear Mr. Dougan:
I write you today to formally request remuneration of the building permit fee for permit
number 800002 in the amount of eight-thousand eight-hundred and five ($8,805.00) dollars (A
copy of the aforementioned permit is enclosed for your reference.). This building permit was
paid in full and issued on January 4t', 2008, and the project was subsequently terminated during
final planning on January 16t', 2008, this prior to the commencement of any work on-site.
As per our telephone conversation on January 18t', 2008, 1 truly appreciate your commitment to
having this permit terminated and all associated fees returned to Allied Construction Inc. It has
been a pleasure working with both you and your office, and I thank you in advance for your
prompt consideration and attention to this matter.
Sincerely,
Stan P. Miller
Project Manager
Allied Construction Inc.
Enclosure(l) '
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P.O. Box 973, Manchester, Connecticut 06045-0973 Tel 860-643-5888 Fax: 860-645-0897 "� a
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800002 TOWN OF SOUTH WINDSOR, CT
PERNWT NUMBER � � BUILDING PERMIT
DATE: 01/04/08
GIS ID: 30301169 x�r" FEE: 8,805.00
MUNISAPPLICATION# 200701985 w'fy�x *r,A $ DESCRIPTION:
APPLICAN'I� �s~ f� ' ' T LOCATION
NAME: ALLIED CONSTRUC7I , r` tr FaL INGTON ROAD
ADDRESS: I 1 I UTOPIS ROAD .� �-�`L]10,fiLLIhiGTON ROAD LLC
MANCHESTER,CT I E ,*GTON RD
l 13�VI�TDSOR,CT 06074
DESCRIPTION OF WORK: RECPN-S DIN A�I ADDITION
x ct
SPECIAL CONDITIONS: V
ALL WORK TO BE DONE IN ACCORD 'g{T}'AI' I<A'1SAPfiOVED Y THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY Gr "1P: 'JILD G OFFI IAL
1/4/2008 10:57 AM THE FEE ABOVE INCLUDES A SO.16 PER THOUSAND CT STATE EDUCATION SURCHARGE
INSPECTOR DATE TIME
LOCATION
INSPECTION: CODE: RESULT(D/A) :
BUILDING:
ELECTRICAL:
PLUMBING:
HVAC:
OTHER:
I� e
10NN aE1
C . TomO-P so� Vba�
o
s• 1540 SULLIVAN AVENUE • SOUTH WINDSOR, CT 06074
soR.co`. TELEPHONE (860) 644-2511
CERTIFIED MAIL 7004 1160 0002 1060 4732 November 17,2006
Dental Services of South Windsor, LLC
1169 Ellington Road
South Windsor,CT 06074
Gentlemen:
Re: Appl 06-48P, Dental Services of South Windsor, LLC
We are pleased to advise you that the Planning&Zoning Commission voted on November 14,2006,to approve
with modifications the above referenced application for a special exception to Article 5.6.3 and a Site Plan of
Development.
This approval is for the construction of a dental office at 1169 Ellington Road A-20 zone as shown on plans
Th pp ,� �
prepared by J.R. Russo &Associates,Job No 2006-025 dated 9-22-06, as revised. This approval is subject to
the following modifications:
1. No building permit will be issued until the final mylars have been filed in the Town Clerk's office.
2. This application is subject to the conditions of approval of the Inland Wetlands Agency/Conservation
Commission,including a bond in the amount of$3,000.
3. A landscape bond in the amount of$2,000 is required and must be submitted prior to filing of mylars.
4. All bonds must be in one of the forms described in the enclosed Bond Policy.
5. An as-built plan is required prior to issuance of a Certificate of Occupancy per Section 8.1.11 of the Zoning
Regulations.
6. All plans used in the field by the developer must bear the stamp and authorized signature of the Town of
South Windsor.
7. The building street number must be included on the final plan.
8. Pavement markings must be maintained in good condition throughout the site drives and parking areas.
9. All free standing signs and/or building signs require the issuance of a sign permit before they are erected.
Sign design must be submitted to this commission for approval.
s
10.The Town Engineer's review comments dated 11/2/06 must be addressed to the Town Engineer's
satisfaction.
11.The light fixture specifications on the plan must match the cut sheet for full cutoff fixtures.
12.ZBA approval letters must be reproduced on the plans.
Black and white transparent mylars of Sheet # 4 with the above modifications, together with three blueprint
copies of the entire set of plans (including architectural elevations and landscaping plans)must be submitted to
this Commission within 30 days to be stamped and signed. The letters of approval of this Commission as well
as the Inland Wetlands Agency/Conservation Commission must be reproduced on the mylars.
After the mylars have been signed by the Commission,they will be returned to you for filing in the Office of the
Town Clerk. After filing these plans,a copy of the receipt must be submitted to the Planning Department.
The attached special exception form must be completed and filed in the Town Clerk's office. The special
exception will take effect upon filing.
Sincerely,
t
Patrick Kennedy, Chairman
Planning and Zoning Commission
PK/bmm
cc: Town Engineer
Chief Building Official
Assessor
Superintendent of Pollution Control
Fire Marshal
J.R.Russo &Associates
I, Patrick Kennedy, Chairman of the South Windsor Planning & Zoning Commission, hereby certify that on
November 14, 2006 The Planning and Zoning Commission granted to Dental Services of South Windsor, LLC a
special exception to Article 5.6.3 of the Zoning Regulations for the construction of a dental office at 1169
Ellington Road,A-20 zone.
Assessor's Map and Parcel Number: Map#48 Parcel#15
OWNER OF RECORD: 1169 Ellington Road, LLC
More particularly bounded and described as follows:
All that certain piece or parcel of land, with the buildings thereon, located in the Town of South Windsor,
County of Hartford and State of Connecticut and more particularly described as follows:
Commencing at a pin located in the southerly side of the highway known as Ellington Road and marking the
northeasterly comer of property now or formerly owned by John Rustik, et al, and the northwesterly corner of
the premises herein conveyed; thence proceeding in an easterly direction along the southerly side of said
Ellington Road 200 feet to an iron pipe; then by interior angle of 85' 27' southerly along other land now or
formerly of C.R. Bun and Company, Incorporated, a distance of 150.48 feet to a point; thence by interior angle
of 94' 33' westerly along other land now or formerly of C.R. Bun: and Company, Incorporated, a distance of
217.13 feet to a point; thence by interior angle of 79' 02' northerly along land now or formerly of John Rustik,
et al, a distance of 152.80 feet to the point of beginning, the last described and the first described line forming
an interior angle of 100' 58 .
Said premises are subject to building lines, if established, all laws, ordinances or governmental regulations,
including building and zoning ordinances affecting said premised, and taxes due the Town of South Windsor.
Dated at South Windsor, Connecticut this 2'3't, day of Pv✓e•*r?6�/ ,20 O(, at
In accordance with CGS Section -3d
Patrick Kennedy,Chairman
Planning&Zoning Commission
Received for record this day of , 20_, at
South Windsor, Connecticut ATTEST:
Jun 15 07 09: 21a GO Environmental 2038761060 P. 1
G 0
Environmental
FAX
South Windsor Fire Marshal Date: 15 June, 2007
From: Katie Johnson Pages: 1
FAX: (860) 644-7280
(Including cover)
Re: Freedom of Information
GO ENVIRONMENTAL is performing a Environmental Investigation at:
1169 Ellington Road, South Windsor, CT
If a rile exists,
Please research under the FREEDOM OF INFORMATION ACT the following site issues:
1 Any record of hazardous materials used, generated or stored on site.
Knowledge of any UST onsite, removed or known to have leaked.
Any record of hazardous or non-hazardous spills on site.
Any Notices of Violations (NOV) issued.
5. Any wastewater permits applied for or issued.
6. Any record of septic or well contamination from onsite wells or from offsitc sources.
7. Storage or use of Asbestos or Lead Based Paint.
8. Any records of Health or Building Violations and/or Fines to this property.
hank you in advance for your help and cooperation.
Katie Johnson
O Environmental
03 Broad Street
Milford,CT 06460 Phone 203-876-1007 Fax 203-876-1060
PERMITS/INSP PAYMENT RECPT# 20238187
TOWN OF SOUTH WINDSOR
1540 SULLIVAN AVENUE
SOUTH WINDSOR CT 06074
THIS IS NOT A PERMIT
DATE: 12/06/07 TIME: 16 02
CLERK: akehoe DEPT:
CUSTOMER# 0
PARCEL:
CHG: BLDPRM BUILDING PERMIT 8815 00
AMOUNT PAID: 8815 00
PAID BY: ALLIED CONSTRUCTION
PAYMENT METH CHECK
43333
REFERENCE: A
AMT TENDERED: 8815 00
AMT APPLIED: 8815 00
CHANGE: 00
THIS IS NOT A PERMIT
THIS DOES NOT AUTHORIZE WORK TO BEGIN
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1 HEREBY CERTIFY THIS MAP TO F°R
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