HomeMy WebLinkAbout1200 STRONG RD Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# Date: - a 04 V
HVAC # _ 1 2 n O strong Road
Sprinkler# 32885
FINAL ----- -- - -- Estimated Cost $ 00,O(7
Building) /1 �e�r�^ :Gt
----.--_ Permit Fee $CLETE RED BOXED AREASOccupancy Fee $
Enginee4r, YPE OR PRINT ONLY Eng. Insp. Fee $
AfSdavit
for CO. SI ON REVERSE SIDE
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost $
The undersigned hereby applies to do work according to the following:
Applicant c h yYl y li w Location of Work R 0 037 Lot No.
Applicant's Address O V-0wc {Z 04 d Tel.# O~
Town f 11 Zip w 0'1 Lie.#
Owner i k o*edLi 01 i'l Luo Ky Architect
Owner's Address 1 O r a K- Architect's Address
<,0ut1N C_(: Zip 0 6 Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rdl. Total New Area
Pu se of this permit t'a rn v r v e i r e F O o jq I w
v l 4 IPQp e r -1 4- ti
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO S ' Cert. ea Basern Garage
ApprovedPyv Date Use Group Pf`t 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 ch this gilding and its u§e is allowed.
Signed /I
I hereby apply for a Certificate of O upancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
STATE OF CONNECTICUT
WORKERS'COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
11 (Conn.Gen.Stat. §31-286b)
Property located at OO 5+(0&ti-q Roo
In the town of . DL) 1•(J W S UY C
Name of building permit applicant: c�0 S e1,0 l , l wove
Please check one:
1.-&I am the owner of the above property.
2._I am the sole proprietor of a business.
2A.Name of business
213.Federal Employer Identification Number(FED0
..................................................................:.............:...................................
Pursuant to§31-286b,"a property owner or sole proprietor[who]intends to act as a general
contractor or principal employee'may provide either a certificate of workers'compensation
insurance or a"swom 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:
I. I do not intend to act as a general contractor or principal employer.
[Sign and stop here]
Signature of applicant
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 here swear and attest tha
t I will wire roof of workers'compensation insurance for every
b7' require P Pe
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 tcoerage.
PlIature o applicant
Subscribed and sworn to before me this day of ,200 .
(Notary Public/Commissioner of the Superior Court)
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r AFEREer CERTIFY
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AND ZONINi RECUI.ArIONS ARE.MOr VIOLATED. �`
aiz t k 1990
South Windsor
BUILDING DEPARTMENT
. .
C'_rT. TC`J.i CF SCCT'•{ !4;^"�SCTt
't ro[µrtih.•d that this plan ind `i' r c !
5 of the proposed brn fin. or t•
ctcd at
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•n � apt r v d °.ebr'ct to thy• cnnd.lt:n th.
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,:dIng ,r clerk
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CERTIFICATION OF ZONING CO"vIPLiAN'CE
Q�D,,c 5n,.j Proposed building(s), use(s) and/or structurc(s)
as shown on this plan appear(s) to be in
/yx33' conformance with current South Wind'-;-.r
a4d d«k regulations. Variances and special exception3
as .rA6w�t r may apply.
Date /y?o
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AND ZOAItk►v REL.>uLATIoNS ARE WT TV TEMPORARY VEGETATION COVER
VIOLATED RR RIPRAP
DB DETENTION BASIN
CE CONSTRUCTION ENTRANCE Rev 4-13-S1 AS-BUILT ELEVAT10&13 ADOF()
ST SEDIMENT BARRIERS ZF-V 6-/s-86 '
OP OUTLET PROTECTION PREPARED FOR
WILMAR CONSTRUCTION CO.
t HERfEY CERTIFY THAT THIS MAP AND SURVEY WERE PREPARED *
STRONG ROAD
AC• ;E b`�fT`1 Tut :1(. 4 r'Acc SURVEY AS
K'„ 7AN"ARUS OF ACCURACY 0f SOUTH WINDSOR, CONNECTICUT
Dr—E%1°ER "0, 1975 AS AMENDED BY � �»`�
THE Coy i&lT I T �I. ;..,n F vo;zs INC �. P A L M B E R G & R U S S O
LAND SURVEYORS & PROFESSIONAL ENGINEERS
z NEREer cERriFr ��`�, , � D ROA OND
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POOPOZ-Tt OF- Zc lA4'e3 J_ Z/MMcaG JR. AND ION/NC RECULAr/OHS AREHOr Y/OLATED. � ���
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DB DETENTION BASIN
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ST SEDIMENT BARRIERS ZsV, 6-Is-86
OP OUTLET PROTECTION PREPARED FOR '6_j-
WILMAR CONSTRUCTION CO.
HERESY,„CERTifY THAT THIS MAP AND SURVEY WERE PREPARED 8 STRONG ROAD
AC,"Z>A* WITH THE STAND,,1RDS OF A CLASS SURVEY AS SOUTH WINDSOR , CONNECTICUT
D,�, ,s_D;;lc'' J 'T ,'?A;T'.;E FOR �7WARDS OF ACCURACY OF
FO C}lEllBER 10 1975 AS AMENDED BY
THE CONNEcTIG{ nN OF LAND S'URV {IRS INC ;; P A L M B E R G _& R U S S 0
s Cr3�3 F,.c,
LAND SURVEYORS & PROFESSIONAL ENGINEERS
I NEREBY CERTIFY y� +� _ 15 BARBER POND ROAD
seEnr M/;� TNAT THIS NAP /S dULS'TANT/ALLY CORRECT t BLOOMFIELD, CONNECTICUT
"peoPE1±.Ty of ZJcH'gzcl �- zjmmiE k' JR. AND ZONING RECULATIONS ARE NOT Y/OLATED. i
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VIOLATE"O RR -RIPRAP
DB DETENTION BASIN REq 4-Z8- 7 5AN 56VCk E,w--C AW70
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ST SEDIMENT BARRIERS 8-7s-86 -
OP OUTLLT PROTECTION PREPARED FOR
WILMAR CONSTRUCTION CO.
'ArREBY CERTIFY TffAT THIS MAP AND SUR`t':. F•PREPARED•1*1 STRONG ROAD .
E 4ti1TH TF5 STANf`nnpr f)F A CLA.� �� z-___suRv�r.ns - SOUTH WINDSOR , CONNECTICUT -
r ITa �F.A^CURACY OF
F1hPER. En, 975 AS AMENDED-BY:
OitiPJECTICUT .SF ,INN 9F t#Nt1 SF:R'.'eYn S INC ,7� P A L M B E R G R U S S O
i a �� o" LAND SURVEYORS & PROFESSIONAL ENGINEERS
I HEREQ r cERT/FY �o * 15 BARBER POND ROAD
rNAT THIS MAP /S rU&XrANT/A4LY CORRECT
:�PoIPCoJa7?l--Ir._Wry/!`lJ:x�+� 648
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BLOOMFIELD CONNECTICUT
Of` 27Ct�ko 3. ZIMm�7C oR. AND ZON/NC RECULAT/DIS ARE MDT V/OLIED.T
CT go' ,Iv v. ��s y�F-0%TO;o,
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PREPARED FOR
WILMAR CONSTRUCTION CO.
i HEREUY CERTIFY THAT MS KAP AfiD .SlvgVD # PKPARf.D >M STRONG ROAD
STAIM? A? � rz A CLASS ' . _ '3URYEY AS
K;� `_TA:P; A NSIOF ACCURACY Of SOUTH WINDSOR , CONNECTICUT
10, 1975 IAS AMENDED BY
THE ODNNEG11CUT ss,�c{ , },� o: WVFv!0Rl' INC P A L M B E R G & R U S S O
i LAND SURVEYORS & PROFESSIONAL ENGINEERS
I HERESY CERT/FY - j. w C
^' THAT rN/S NAP /$ XU/STAMT/ALLY CORRECT 15 BARBER POND ROAD
`P2c)aFc_ry J. ZIMMcsZ JR. AND ZON/Ni R£CULAT/OHS ARE MOT V/OLATED. �� -r
BLOOMFIELD, CONNECTICUT
SOC/7)-I c.r lluawe cr " /"_-go' /.lc7v ,ci�5 242-2775
43V 2E,0.1HCk/_D 4UT7-+E►z' 'LS- BY SCALE DATE SHEET CHECKED N0.
CIF vJ ► L Li�.►•h
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TOWN OF <5cu-rm " N O5oie
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—L; -(l
T.(TE F)POPOSE.D Z,, TkJ 4}`a.S PP,OFCSED SElJE1Z -78 I otter i \� su a PoTF £7'1 � 7,16uSTiA[G STOEM SEWUZ 56 ��S. P. To 8E SET S&M.S. To 8E sEr S
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PREPARED FOR
WILMAR CONSTRUCTION CO.
I HEREBY CERTIFY THAT THIS MAR AND SURVEY )UER-E PREPARED 0 STRONG ROAD
ACC ,i l" --1 4t TH T'?E STP,rIPA4t`' F A rtASS SURVEY AS
Gf : -E) F 1 /:;E `F :`P : FG" S API':CRDS DF ACCURACY Of SOUTH WINDSOR , CONNECTICUT
Su.,:-r`'` E` CfUEi.'3EP 10, 1975 AS AMENDED BY
THE CONNECTICUT ASSDi;�.1 IJN OF NANO SURVEYORS. INC. P A L M B E R G & R U S S O
r NEREer cERriFr
/ ! �� 1, LAND SURVEYORS & PROFESSIONAL ENGINEERS
THAT TN/S MAP /S .f'U#SrANT/ALLY CORRECT' _ �� 15 BARBER POND ROAD
P2oPr_r_ry O� �U-L9�O J_ Z/mmj;R CIZ. AND ZON/NC RECULAT/ONS ARE NOT W01 ATED. BLOOMFIELD, CONNECTICUT
,-Z Jn4 W r I``I DSc.)e CT. " /' 40 1�k7�/. l�j( $ /
242-2775
BY SCALE DATE SHEET CHECKED N0.
JT- i = 40' 8-�- �-- -i . e (� &,
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