HomeMy WebLinkAbout12 MANOR LN IL
INSPECTION FIELD SHEET 04/13/22
Printed by Middleton, Morgan 13 56 01
INSPECTION: 42434 FINAL PERMIT:
STATUS:
APPLICATION: 201100997
LOC: 12 MANOR LANE
SOUTH WINDSOR
PROPERTY ID: 55500012
OWNER: DAVIS MATTHEW JAMES &
CONTRACTOR:
REQUEST BY:
PROJ DESC: 12 X 17 ADDITION OFF BACK OF GARAGE.
WORK ORDER:
INSPECTOR: DOUG RESULT: PASS
REQUESTED: 09/10/13 PRIORITY:
SCHEDULED: 09/12/13 AM COMPLETED: 09/12/13
UNPAID FEES 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
MATT ® 860-644-3776
ALL INSPECTIONS:
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
09/25/13 ROSE N/A B001 FOOTING
09/25/13 ROSE N/A B002 FOUNDATION
09/25/13 ROSE N/A B003 FRAMING (ROUGH)
05/07/12 DOUG PASS B004 INSULATION
09/25/13 ROSE N/A B005 FIREPLACE / CHIMNEY
09/25/13 ROSE N/A B006 WOOD / GAS STOVE
09/25/13 ROSE N/A E001 ELECTRIC SERVICE
09/25/13 ROSE N/A E002 ELECTRIC UNDERGROUND
04/12/12 ROSE PASS E003 ELECTRIC ROUGH
WALLS
09/25/13 ROSE N/A P001 WATER HEATER REPLACEMENT
09/25/13 ROSE N/A P002 PLUMBING UNDERGROUND
09/25/13 ROSE N/A P003 PLUMBING ROUGH
09/25/13 ROSE N/A P004 PLUMBING GAS TEST
tow
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t J;,
: Jm
IV
34' J �_
of #136 s
0
i An or Lane
Area: 2 ,309 s.f. i
0.48 ac c N cl
N
r i `v '3T o
o 1 33'
6- in 50'. .g
00 1 0 18' -
n 8'x5.5'
Shed
1 Overhang
33.2'
1 of
62.8'
]�x�t +u,.. .. :�.,:r�. .. '�1;•'"'. _ Exist. Dwell.
:: �.r :'`i+:2 r. :,.• rdtmsrc! : ar;�+ t� TW=190.1
N FF=190.9
r
-'-i'i.•. t4y'•r : . ., z�,.udgr,:IJtil::., .�...:, .,;..., GF-189.3 "'
J'' 1 62.8'
,r�•C 10.3'
io
_ .. ....=, ~. �'.. .. Yard �---- —
1 I
1 +
Oil I +
+
1.7' Overhang Fill II Existing +
�j Paved 1
Drive
SNETCo. + I
Esm't I
—fir•- — — — —1— +
Guy
I.P. Wire 10'
Founj 1 Found
D = 9°10'26" L = 100,00, R
SNETCo. 1
3427
SMH
TF-188.28 o Manor La'ne
Wn S
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--Al Jouv UJ 'e1
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Applica • is N BUILDING DEPARTMENT
pf- 1540 SULLIVAN AVENUE 163
11i 644-2511 ext. 230 Bldg. Permit#
Date WUP,
ng Inspector
Application must be printed or typed
FEE SCHEDULE , Location of Job:
$0-$1,000=$15.00 `'L e,4-1 C, L r\-Q-
Over$1,000= I Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT .SL
APPLICANT ADDRESS , ✓1 S
Eaj,S l !!!, CIS O r C�T
APPLICANT'S PHONE # '(p
OWNER
A N SFq� OWNER ADDRESS ( L
77
OWNER PHONE (0 — (v.
0 * F ESTIMATED COST$ I"2-,�-O 0 _ 0
C �
U IS THIS A CONTRACT COST? Yes ,. No
I FEE ENCLOSED $
�f ° TYPE OF JOB: C
r t Y�1 t
SOR,COCA New Installation
eration/Addition/Repair ;6/100
9�
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? 0 YES ❑ NO
U,6SIDENTIAL CURRENT USE AND OCCUPANCY
❑ BUSINESS
❑ ASSEMBLY FUTURE USE AND OCCUPANCY
0 EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑ MIXED USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE G A SIZE OF MAIN CONDUCTORS
NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO
NUMBERS 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.
DESCRIPTION OF WORK
Q--t,4-j -k -o r
THE UNDERSIGNED HEARBY 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 PERFOR-
MANg�F SUCH WORKly
CONTRACTORk LICENSE N TYPE STATE
DATE 2-7 "7 Q/Z
SIGNATURE OF APPLICANT
N
I _N
+
Lp JL x
I.P.
F0\10f Found��-
122 69,qe �0sec�South TN Winds°'�
0{'lhe10 n 0�
0
1 x Chair Unk F eri
re
+ X o4
f /
I.P.Set A0, ReOr Yana
I
p Lot #136 °
#12 Manor Lane
Area: 21 ,309 S.f. Q) I
0.48 ac. �'
r a _ N N
o
+r o 0
J � �
00 l 0
8'x5.5' I
r Shed ,41
1 ' Overhang
33.2'
62.8'
I
_ Exist. Dwell. I
TW=190.1
Approx. Loc. N FF=19Q.9
Udgr. Util. GF=189.3 `1q
\ 62.8' 10.3'
40' Front1
Yard —
TT� —
I
Oil I
Fill I
1.7' Overhang I Existing
Paved I
Drive
SNETCo. j
Esm't
Guy
I.P. I Wire 10, I I.P. — — —
Found� 1 Found
D = 9'10'26" L = 100.00' R = 624.541 I ~
SNETCo. ► 1
3427
SMH
TF=188.28 o Manor Lane
Scale 1" = 20`
0 10 20 40 80 80
MAP REFERENCES:
1 "PERMANENT EASEMENT GRANTED TO
THE TOWN OF SOUTH WINDSOR PROPERTY OF ELLIOT J.
KEMICK 12 MANOR LANE SOUTH WINDSOR, CONNECTICUT
DRAWN BY ABD APPROVED JEP SCALE 1"=20' DATE 1-05-81".
2. "SUBDIVISION MAP SECTION 4 AVERY HEIGHTS SOUTH WINDSOR
CONNECTICUT PROPERTY OF THE AVERY HEIGHTS COMPANY
18 RAYMOND ROAD WEST HARTFORD SCALE 1"=50' OCTOBER 2, 1957
MORTON S. FINE CIVIL ENGINEER".
NOTE: "THIS MAP WAS PREPARED FROM RECORD RESEARCH, OTHER
MAPS, LIMITED FIELD MEASUREMENTS AND OTHER SOURCES. IT IS
NOT TO BE CONSTRUED AS A PROPERTY/BOUNDARY OR LIMITED
PROPERYT/BOUNDARY SURVEY AND IS SUBJECT TO SUCH FACTS AS
SAID SURVEYS MAY DISCLOSE".
NOTE: I HEREBY DECLARE THAT THIS SURVEY AND MAP HAS BEEN PREPARED IN
ACCORDANCE WITH SECTIONS 20-300b-1 THRU 20-300b-20 OF THE REGULATIONS OF
CONNECTICUT STATE AGENIES - "MINIMUM STANDARDS FOR SURVEYS AND MAPS IN THE
STATE OF CONNECTICUT" AS ENDORSED BY THE CONNECTICUT ASSOCIATION OF LAND
SURVEYORS INC. IT IS A GENERAL LOCATION SURVEY BASED ON A DEPENDENT
RESURVEY, CONFORMING TO HORIZONTAL ACCURACY - CLASS "D", AND IS INTENDED
TO BE USED FOR SITE PLAN APPROVAL
TO THE-'BEST.-Or'kX, WLEDGE AND BELIEF, THIS MAP IS SUBSTANTIALLY CORRECT
AS AqED� '•. C�'
L.S. 15464 6-20-06
Ls HE•'INT REGISTRATION NO. DATE
,'yp'��SrEa�o•�� ;��
i����fUII1l+lltllt��"�
GEMMU LOCATION SUBVEY
PREPARED FOR
Ma tthe>v J. & Kimberly B. Davis
P2 Manor Lane, Avery Heights
SOUTH WNDSOR, CONNECTICUT
REVISION TARSELL , HEINTZ & ASSOC * * INC .
CIVIL ENGINEERS - LAND SURVEYORS
1227 BURNSIDE AVE. STE. 31 , EAST HARTFORD, CT (860) 528-1810
JOB NO. DATE: SCALE: DRAWN BY SHEET NO:
1290 6-20-06 AS SHOWN R.H.H. 1 of 1
vin
s•' pf -tie ce
� x ' Chain urk Fen
h /
4�, Reo�
Lot #136 s
I #12 Manor Lane 2
Area: 21 ,309 s.f. I n
0.48 ac. N N
te) v O
00 I O
Qi 8'x5.5' I
Shed
1 ' Overhang
33.2'
62.8'
I
Exist. Dwell. I
TW=190.1
Approi. Loc.,, N FF=190.9
Udgr. Util:, - GF=189.3 `~
- ,
\\ 62.8'
10.3'
40' Front1
Yard
1 I
1 I
Oil ' I
Fill I I
1.7' Overhang I Existing I
U Paved I
At I Drive I
SNETCo. I
Esm't
Guy
Foun Wire 10, I I.P.
I Found
D = 9°10'26" L = 100.00' R
SNETCo.
3427
SMH
TF=188.280 Manor Lane
10 THE BUILL41 i. Utr l
This certified that tnis Plan and speciticntwns
copies of the PMPo*Od buildinIA or alterations
erected at
Str�
-r
nts stated in aDPlisation
toge
filed et with amend a'
ree to comply with all zonint
riled with Plan and I ag
Building and tate laws an
tl s ch orders as endene
uildln8 Deg ent during Pe
issued by t e of a buitdina
,1 thls apD
a on and fina ssuanca
permit.
,lSigned CERTIFICATION OF ZONING COMPLIANCE
fhis a is appro� sub to
tg building lShallthbt
�r0 s nd ortlM ' V s), u*s)an&or structure(a)a$
:n p ed with. These tiled with J
T Plan aPPeaKs)to be in conformance
rationally Apao'"� �U^ whit current South Windsor regulations. Variances
addt 3ndZ
LexLy"bions
may app►y.
Huilding Inspectoroat
Nr.. ' (G!RQg3:�- 4
Zoning Enforcement Officer
XGD6E
011
SEP 0 6200 or
Southvvinosor BUTMENT
BUILDING DEPARTMENT
N
N
`03L x�• I.P. N J
�,� Fo`Io�sor Found
�22,69' Cge�er 0 x
Cd r pcoNno9g
Fence
I X Cho` Lark
Ar'
Hof
I.P.Set 40' Re°r `- � '�✓'c 1
r�
o Lot #136 } ;
v
#12 Manor Lane }:
I Area: 21 ,309 s.f.
0.48 ac., N N
Co I _ 8 x5.5' I
ai Shed
1 ' Overhang
1
33.2'
62.8'
l
Exist. Dwell. I
TW=190.1 ie
Approx. Loc. c`v FF=190.9 N
Udgf Util. GF=189.3
62.8' 10.3'
40' Front
Yard , I
1 1
Oil r
I
1.7' Overhang Fill i Existing I
I Paved I
I Drive ,
'SNETCo. I
— _ Esm't
r
I r LP.
I.P. Wire 10 Found
Found \
D = 9°10'26" L = 100.00' R = 624.54'
SNETCo.
3427
SMH
TF=188.28 O Manor Lane
Scale 1" = 20' 80
0 10 20 40 60
N
MAP REFEI
I . "PERK
THE TOWN
D E C E v E 0
OCT 1 21UUb
South Windsor
BUILDING DEPARTMENT
10 THE L:tLsuta i.:?. ��'ti • ,—ITH wiViGA
This certillyd that this clan ant t.cns mae:trus
codes o/ the proposed ru6ding or ait:cat"a%a be
erected at
1 � ��� 1r� iStreel
together with amendments stated in application ?nj
Wed with plan and I agree to comply with all toalftdr
Budding and state laws aid sbth orders as snap Ce
Sim1 issued by the Builtirg 01.pyr.mcnt daAng pendeney
/VY Of this app"cation and final Issuance of a bulldm*-
permit.
C rnlr'1 1C7� _ .Signed
This plan Is apprcvrd subi eet to h Condition that
ercers and nrdlnances regulating ullding shell bt.
.. I� complled v.lth.
�Q� 1�T!•i 1sN1 �1 Conditionally Approved These filed with
Building Inspector Clark
Mo.
CEPTIPICATIONI OF 70NINS rvO"F LANCE
P.
C, ;r
13
Dais. _lQ_11�10
ni Enforcement Officer
..............
:
t •
45.91
N
191 .0
South Windsor
Feet Created by South edby S Planning der Department
AMppMg provided by SBC under contract.
0 20 40 Data managed by the Inbrmatlon Tachnobgy Department
12 Manor La
CO N N
4�z—
1 Cd
O �• , �.
O. 8
6
i. o 1
CIV
cv
45e91 N 1 +,
CN �.
191 .0
CIN
South Windsor
Created by south ed by Sr C OnMngundw riMmA.ent GIS
Feet Mwvkq Dmvlded by sec under oontreW.
0 30 80 Date mwogod by the
InbmaMlon Technology Deper nv".
12 Manor La
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH
��DENTIAL BUILDING PERMIT APPLICATION? ❑ YES NO
�RESI
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
0 INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
El STORAGE
❑GARAGE ADDRESS
O MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WEMG METHOD
SIZE OF SERVICE Z O �3 SIZE OF MAIN CONDUCTORS__ Y
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.
( 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.
co
C'T
CONTRACTORS LIC O. E STATE
SIGNATURE OF APPLICANT DATE j "'ZY ` (y
L:
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby:
TOWN OF SOUTH WINDSOR oZ T j
'7
�--- -� BUILDING DEPARTMENT
�APYFn — 1540 SULLIVAN AVENUE
� _ 644-2511 ext. 230 Bldg.Permit��
JBI'd�-ing
Date Inspector
Application must be printed or typed
FEE SCHEDULE Loc tion of Job:
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
i
APPLICANT l�n
APPLICANT ADDRESS
A11DDRESfS� 2- N. r 4 -
kl
APPLICANT PHONE# Co J -1 — 0 U
OW N SFq OWNER K'� NA K4�'t t -I- AV i S
OWNER ADDRESS \ A
Ob a OWNER PHONE
C ESTIMATED COST$ 0
w.
IS THIS A CONTRACT COST? Yes \— No
o C1 FEE ENCLOSED$ 3 O
TYPE OF JOB:
S�R�CO New Installation
�teration/Addition/Repair
I
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
.Applicat' rebq� Z�C
BUILDING DEPARTMENT
APR 1540 SULLIVAN AVENUE
�- Bldg. Permit#
644-2511 ext. 230
Date Wkilding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
Z-- (, r (moo
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS I
APPLICANT PHONE# UC) ^ �S y-0 Q o
OW N Se OWNER hart �+ K A aV 1
OWNER ADDRESS -L Pull
Q coo
OWNER PHONE U --
C ESTIMATED COST$ '57 Q 0_ Q J
.� IS THIS A CONTRACT COST? _Yes
/64
(� (� FEE ENCLOSED$ �S'
0��� TYPE OF JOB:
IR-C New Installation
teration/Addition/Repair
I
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse Side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ElNO
❑ BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ 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 2 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.
/ 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. —
CONTRACTORS LIC NO. E CSTATE
SIGNATURE OF APPLICANT DATE ! � ' 4
STATE OF CONNECTICUT
WORKERS'COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn.
Gen.Stat. §31-286b)
Property located at (Z -`( 0✓" LM,2._ -
,<In the town of
Name of building permit applicant-.' ✓ 1 S
Please check one:
1.4.rlarri the owner of the above property.
2. am the sole proprietor of a business.
2A.Name of business
213.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 ch l�.one:
1. I do not intend to act as a general contractor or principal employer.
Sign and stop here)
� I
Signature of applican
2._I intend to act as a general contractor of 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 helshe 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.
Signature of applicant
Subscribed and sworn to before me this day of ,200 .
(Notary Public/Commissioner of the Superior Court)
EFf?
G A Tip I cr)c. 10 FOOT "
TM SALTBOX MODEL
SMALL BUILDINGS
1111"ut To Last A Uteri,.-• SIDEWALL ELEVATION
KILN DRIED
FRAMING
2 x 4 Trusses
a (160 on center)
ALL EXTERIOR (JIcoLLAX TIES
GRADE
PLYWOOD Double 2 x 4 Header
10 p" 2 x 4 Jack Stud
2 x 6 PT Floor Joists
(12' on center)
r
12 12 END ILL ELEVATION I
15 8
1/2'CDX Plyscore
240 LB
Asphalt Shingles Metal Truss Plate
Aluminum Dripedge
Wood Wood Fascia Trim
Rake Trim Wood Soffit
2 x 4 Top Plate
12 x 12
Wood Louver 2 x 4 Wall Studs
Wood (160 on center)
Corner Trim 2 x 4 Bottom Plate
518' 3/4' PTS Exterior
Texture Lj Plywood Decking
Sidingg 2 x 6 PT Floor Band
4 x 4 PT Foundation Runner
I �-- 851/2" Center to Center
10'
CROSS SECTIONS SB10-1/95
ar ir�a+
a
,71
r•••� �'r^• , „r• . '•� owl is
Kr 1� I
��,M.'�1jf; � I'1�a�G.�.'e.:l+fy::. .• a..,.�rl�'z :i'�+Q.`�:r�!��t i � '
f �� •s- � f •• �:' •'sue _v '. ~ _ � -
�• �.a ��
• CR068 8ES'. ION
TREE SUPPORTS
.I .�' `' � �i•s � �.S=. �*�.. 'A 1% � .a...ems; .w+.�. - + �"
VA
. •yrr.i�iL�— • ,
;: :�' -MULTI PURPOSE `` SECURITY/THEFT DETERRENT
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 12 Manor Lane Date: o r 2- o�
HVAC #
Sprinkler# 30 0-61
FINAL APPROVALS _ _----.-_— -- _ - _ Estimated Cost $ `�+�'
no
Permit Fee $
Building ( --_COMPLETE RED BOXED AREAS l Occupancy Fee $
Engineering TYPE OR PRINT ONLY En I Fee $
ffi Adavit ! g' Insp.p'
Appr. for CO. SIGN ON REVERSE SIDE / 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 D Avl S Location of Work 12- "'�' ` �` t,RNE Lot No. '-
Applicant's Address %I- J-?VV& Tel.# 6 k`(- 3 J:R;
Town Zip (ne Lic.# s 1 t 0
Owner S Architect r—
Owner's Address Architect's Address atg6jo ( . -^,-
4 .>J "A, -0 Zip OG -1,� i.� Zip
Sq. Ft. New Area: 1st Fl. 12 2nd FI. 3rd Fl. Total N
Purpose of this permit lix \U-e,( A�1-
c "n I ej Q
City Waterr-_ Well❑ Septic Syst mo Sew-K 00
Ins: HO Cert. Area Basement Garage
Approved by Date M, I .4 Use Group Construction Type
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.
Slgn � `--
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
SignO
DO NOT WRITE BEL THIS LINE
INSPECTION COMMENTS
201300128 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER CERTIFICATE OF OCCUPANCY
DATE: 09/25/2013
GIS ID: 55500012 FEE: 10.00
MUNIS APPLICATION# 201100997 °}^ w ` ""'
w BUILDING DESCRIPTION:
APPLICANTS " LOCATION
12 MANOR LANE
NAME: JACQUES CONSTRUCTION ADDRESS:
ADDRESS: 67 RIDGE ROAD ; , P .� OWNER: DAVIS MATTHEW JAMES R
SOUTH WINDSOR,GT06074 t,c; w' 12{MA14OR LANE
' sbUyf j WINDSOR,CT 06074
DESCRIPTION OF WORK: 12 17�,A,DDITION OFF.,BACK OF,GARAGE. 7, f
SPECIAL CONDITIONS: $�' y-
ALL WORK TO BE DONE IN ACCORDANT k WTfIL,TIit�:,APPLICATION �ND PLANS,APPROVED BY THE BUILDING DEPARTMENT.
40
CONSTRUCTION TYPE:
OCCUPANCY GROUP: r '-' �F.. ' .yc .� " BUILDING OFFICIAL
9/25/2013 3:05 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
11000437 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 09/07/11
GIS ID:55500012 FEE: 120.00
MUNIS APPLICATION# 201100997 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: JACQUES CONSTRUCTION ADDRESS: 12 MANOR LANE
ADDRESS: 67 RIDGE ROAD OWNER: DAVIS MATTHEW JAMES&
SOUTH WINDSOR,CT 06074 12 MANOR LANE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: 12 X 17 ADDITION OFF BACK OF GARAGE.
SPECIAL CONDITIONS: 4
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
9/7/2011 2:14 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
I
1200103 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 04/10/12
GIS ID:55500012 FEE: 45.00
MUNIS APPLICATION# 201100997 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: PETER SANDERS ADDRESS: 12 MANOR LANE
ADDRESS: 2 NORTH MAIN STREET OWNER: DAVIS MATTHEW JAMES&
EAST WINDSOR,CT 06088 r , 12 MANOR LANE
F SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: 12 X�17 ADDITION OFF BACK OF GARAGE.
WIRE NEW ADDITION. INCLUDES PLUGS,LIGHTS,AND ELECT.HEAT. INSTALL
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
4/10/2012 12:08 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE