HomeMy WebLinkAbout136 LOOMIS RD APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
❑RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YESAJ NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
O EDUCATIONAL
O INSTITUTIONAL
O FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
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? O YES 0 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
� ;a,A1akz-c1 Ci�c:; �- ' �aa-, �ao� �►)�'ze�
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 LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT � �L DATE J
Revised 4/01//2002
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby:
BUILDING DEPARTMENT —— -
APPROVED 1540 SULLIVAN AVENUE
r W 644-2511 ext. 230 Bldg.
0 {/
Dat B ng Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 FT-enantDesignation
Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Apt.No.
APPLICANT 1 '� !��i Y� f�,� ty\c- tt
APPLICANT ADDRESS 1--cp rn
APPLICANT PHONE Li - t--1 1 1
OWN SF,q OWNER S,Amc _... ._ .
OWNER ADDRESS S S1 tY1z
O OWNER PHONE j rn t
C ESTIMATED COST$ 70 0
� U
x IS THIS A CONTRACT COST? _Yes _No
FEE ENCLOSED$ --3
S o TYPE OF JOB:
�R C New Installation
Alteration/Addition/Repair
�a,
NOTES:
1" UTILITY LOCATIONS AND INVERT ELEVAT10NS TAKEN FROM AN
INSPECTION REPORT PROVIDED BY THE CONTRACTOR.
2. ALL ITEMS DEOICTED ON THIS PLAN HAVE BEEN VERIFIED IN
THE FIELD AS TO LOCATION ELEVATION AND COMPLETENESS"
3. PARCEL ZONED RESIDENTIAL AA-30.
tir
i3
LOOM/S LOAD O
y O -It
ti/ O N
i h�l' ♦ 10' C.L. Lr)i 14)
_ S 6Z'1636"-l' N 6776'36" W
- - - 1� 1 4 5.89' 39.11'
- ► 25 RIGHT 70 GRADE
IN FAVOR OF JEAN
RR
= 90*00,00" �� MARC JACQUES
= 25.T7 -
-
25.
L = 39. -In .0 \"',
I ti�
� � \ 252
50, F.Y. �' J \ !
O / 1 CP00
3
153.2
0
O
> I ! to \ O d
I EET TREE
EA TIN FAVOR
LEGEND \
\ i
/ I I
THE\TOWN OF ��\ �,•e
O IRON PIN TO BE SET I I I TH MNDSOR 28
o MONUMENT TO BE SET
_ _300_ _ EXISTING CONTOUR Q I I ( J5,�782 oQ ft.
(• / ' (sue 4 f
ndQ
y Y, / �r
REFERENCE NOTE I I 4 ' / ' ' bm smorahmV II
BOUNDARY AND TOPOGRAPHIC INFORMATION ARE TAKEN FROM PLANS - / 1 ( 11
ENTITLED 'DEMING HILL ESTATES', SOUTH WINDSOR. CONNECTICUT. +_ 1S. S"Y
PREPARED FOR JIMJ CONSTRUCTION, BY DESIGN PROFESSIONALS, INC. I 1 % ATtON DRAIN
DATED OCT. 10. 1996, REV. TO SEPT. 11, 1997, SHEETS 6-19. - 170.89' -RXI- - - - - - - - - - - - - - - !I `245.24_(!�
/ N 67'16'36" W
THIS SURVEY AND MAP HAS BEEN PREPARED IN ACCORDANCE WITH SECTIONS 20-300b-1 THRU 20-300b-20 '
OF THE REGULATIONS OF CONNECTICUT STATE AGENCIES - 'STANDARDS FOR SURVEYS AND MAPS IN THE
STATE OF CONNECTICUT' AS ENDORSED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS, INC. �
THIS SURVEY CONFORMS TO HORIZONTAL ACCURACY CLASS A-2.
101,
TO THE BEST OF-MY KNOWLEDGE AND BELIEF, THIS MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON.
JMJ CONSTRUC7700N COMPANY
12082 658 £LIJNG701V ROAD
SOUTH INNDSOR, CT 06074
RICHARD P. MARTEL UC. No. TEL 282-0678
1.UNLESS
AS SHOW NDTED.EXISTING.
BAgn oN am �9� GRAPHIC SCAI.r'. ■ (860) 291-8755 DEPENDENT RESURVEY PREPARED FOR SHEET
■ , , IMPROVEMENT LOCATION MAP
AVAILABLE -A BE FIELD VEFWIEDLL EPNIMM-TM UTIL"IES 40 D zo 4o esign Demi"g Hiff Estates RECOM � � 1
e�„� ,SYNCED IN row. �OfASsi0113Es, inc. OPEN SPACE SUBDIVISION - SECTIONS I &L Z
2 ALL UTILITIES AAE 7D BE STAIOD N llff FIELD
OF
CONSTRUCTION. ■ �T /1 INr Br.`RJN ,A7B M2:lIO t —1M
S TITS PUN IS INVALID
UNLESS n�THE ■ I..®t L�l®e 28 s Cardinal Way
avREs9oN SEAL AND ORIGINAL SMATURE 1 inch = 40 feet civil engineers • planners • surveyors 1
OF THE PROFESSIONAL ENGIIEER/SIRVEVm NO. DATE DESCRPTION BY 165 south satellite rood, south windsor, connecticut 06074 SOUTH WINDSOR CONNECTICUT ql ww DATE; ro-17_ye `
JUN 16lUUh
South Windsor
BUILDING DEPARTMENT
s crrtr'i d that this P!'n r, c.t cotrnns are trur
,a:.s Of the propoyed ►utldrng 3r arterations Lro be
iected at I,I
I(- � Iy,i...o Street
;;Other with amendments st tad in application and
;:J with plan and 1 agree to comply with all zoning.
� aU be
leing and state laws and ,.:eh orders as
. �:� ¢ndeney
d by the sultding Dcpirtmc nt during P
finisfiappp,, tion end final issuance of a building
rmit.
apP sub;oct o the condition that
• r .,n riin..r.ces regulating building shell be
r`
These flied with
Clerk
rr—'rIFICATION OF ZONING COMPLIANCE
ad building(s), use(s) and.'^-- str—tu-(S)
vn on this plan ap=:r: .!-` :1,
-nce with current VJi- .r
3. Variances and srsc:._i
(,I I b 1 bb
a64 P-riforcMhent Officer
�L�
I ` _
NOTES . = 3 .• .fE w�t' a'LEGEND TIM
1. THE BUILDING LOT SHALL BE LOAMED, SEEDED, AND MULCHED
MATH STRAW PRIOR TO ISSUANCE OF C.O. (IF THE SEASON DOES O IRON PIN TO BE SET ,
NOT PEfW SEEDING, THEN THE LOT MUST BE STABILIZED WITH p MONUMENT TO BE SET a -� ." A TR , zs1. 15
STRAW OR EROSION CONTROL NETTING TO PREVENT WINTER AND W M7•Kp(L>IS"�
SPRING EROSION) PROPERLY INSTALLED EROSION AND SEDIMENT AND _ 109- _ EXISTING CONTOURCONIRMS MUST BE IN PLACE tKJ a Z 7 ,
SEDIMENTATION PROBLEMS. THETBUILDER/OWNER ISRRCONTROL ANY ESSPPONSIBLE ---Elffl— PROPOSED CONTOUR
FOR Ali STABILIZATION REOl1REMENTS. . 287 3 PROPOSED SPOT GRADE _ -
2. ROOF LEADERS TO BE DISCHARGED ON SPLASH PADS =110 SILT FENCE
3. ALL ROADWAY UTILITIES AR( TA PC Od 7ALLED IN COMPLIANCE
MATH THE APPROVED -00.a.-A4- v1Lk SUBDIVISION PLANS ON4. FINISHED GRADING AROUND THE HOUSE SHALL ALLOW A 3 NIGH S ROAD
�•
DROP IN GRADE AT A DISTANCE OF 6 FEET FROM THE FOUNDATION �4.1rr- 7tAcc• •A•r � Pc,0 ' ci 2 b o.11 \
AS SPECIFIED IN THE STATE OF CONNECTICUT BASIC BURRING CODE. oV FAA..-e c aQ:G ••�� � cV
tV N �v
•zsl.t6 rir
5- PARCEL ZONED RESIDENTIAL AA-30 r 6Y36- E 1 57.16 36" W to )L {Ac
r uJ�
39.11' .
IN FAVOR JEAN 4 1NA •1� o1Q
MARC
r do
r r
# I i - 252
SET POSTS ARID -e ate•.. 2 STAPLE THE WARE
ANQ.F POSTS EXCAVATE A 6'.6 MESH FENCING TO r
9 UPSLOPE SST UPSL ORE FROM POSTS. ,v THE END OF THE POST , --
FOR STABIUTr
AND SELF-
GLEAMING
ss ,
S.7 r
000
I
J I ,F
T
S. ATTACH FKTER FABRIC TO 4. 9ACKFILL THE
THE MRE FENCING AND f XiD10 TRENCH AND COMPACT
T TO THE TRENCH THE EXCAVATED SO4. 1r��` W V_
i L. L i N
COMPACTED
SACKFx.
- TAMTIaaTTMT� s �
I
< r EASEMENT MJ FAVOR
1 r ( of t►+F CIA
/
sounH wINDSlNDsok.•
CONSTRUCTION OF SYNTHETIC FILTER BARRIER F r FOR RY L—DE— C
J
REFERENCE NOTE: -" 4" '
BOUNDARY AND TOPOGRAPHI INFORMATION ARE TAKEN FROM PLANS 3,
JI
r T'
ENTITLED 'DEMING HiLI ESTATES', SOUTH WINDSOR. CONNECTICUT
PREPARED FOR JMJ CONSTRUCTION. BY DESIGN PROFESSIONALS. INC. is �a
DATED OCT 10, 1998, REV. TO SEPT tt, 1997. SHEETS 6 19 �` ""•- �- "3� _ 1 J0.89'
aT.. N 6/�1 V'JV W"
THIS SURVEY AND MAP HAS BEEN PREPARED IN ACCORDANCE WITH SECTIONS ?O--30(kI-, THRU 26 300b-20 ��4'�� �k_ � �� ICI � sr
OF THE REGULATIONS OF CONNECTICUT STATE AGENCIES - -STANDARDS FOR SURVEYS AND MAPS IN THE F F�Bi �' 'a , +tom
STATE OF CONNECTICUT- AS ENDORSED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS. INC H �� r ;.,q - ' .s" j �w Lx h ¢ OF C ••
- as '+ / E O
THIS SURVEY CONFORMS TO HORIZONTAL ACCURACY CLASS A-2. s.Y,H` � tA.r 1
gt- eta; / �, b�•' it'J. ,1 eIL A
TO THE BEST OF MY KNOW-EDGE AND BELIEF, THIS MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON. ' , " ' •� T
�AW.1 C0NSMUC77CW COMPAN r b �
u
658 £LLlNGTi�V ROAD ''" ♦;
12882 SOUTH OWDSOR, Cr 06074 � •' - �, �i`R
RICHARD P MARTEL UC. No, TEL 282-0628
UREW ITINE"! RolmINSTMC uTuTV REVISIONS SFIE�FT
.DCATKW As IMON Y AM�a w --____ GRAPHIC SCALE
A0IIRl sfoft"" . ALL EMS"UTIuTn � 7.t0.x �N.w.�/ 40 0 20 p eslgn IJlemlag Hill Estates `oCA�7oeV i17Y1� 1
�Dv uu A TO BE ST VVVIED�AIIM 80 W F �To INIUCTIck ' 6-12 d Z CAA 6AK COC-- KM
rofessionais Inc. OM @Aa � - mcnom & Z
111 A UCHOm LAIC su4VEVOR Pam TO � cx
Lot No. 28 - Cardinal Way '"'" AW •� ,I�,._„
TRVCT+pI
1 ?In PLAN R.IVALn uMrss'�T�AAs A( -- - ----------- ..-- —�---
R�!lRtN RAL we OMlIN PriARJRE T t iF. .h s 40 feetc+vq •nq,neRn • Pia�nrf • twvMyorl
OF *c Ism"90NAL D$QPC L/7,)FKr ft N0. DAIF OFSCMPnON By 165 south sotetwts roof. south winCNtor, connacticut OW74 SOUTH WMWSOP COMIECTICUT pip ar A, IE s-ro-as
= o
3.
' c q 3
'o to
a ; 06
O% 1/f � , 3s a, '
$ E ;z o to
Z
. �_ a
�a.. $ s
t—3 LU O i v p .a 9
� � m a
as
e 0 ; ,Cga ; c c
1131;
1
South Windsor
BUILDING DEPARTMEN I-.
i I
TO THE BUILDING DEPT. TOWN OF SOUTH WINUAP,
This certified that this plan and specifications are tru,
copies of the proposed building or alterations to bt
greeted at
!-00� rJ k Street
together with amendments stated in applirtion or
r lhed with plan and I agree to comply with all zoning
Building and state laws and such orders as shall V.
issued by the Building Department during pendeni,
of this appticat Ion and final issuance of a build,"
Varmit.
Signed
. this plan to approved subject to the condition thar
ordery and ordinances regulating building shalt be
complied with.
t:ondltioionatly Approved These bred wit!
8uitding Inspector Clerk
Dole
Ar
NOTES:
1. UTILITY LOCATIONS AND INVERT ELEVATIONS TAKEN FROM AN
INSPECTION REPORT PROVIDED BY THE CONTRACTOR.
2. ALL ITEMS DEOICTED ON THS PLAN HAVE BEEN VERIFIED IN
THE FIELD AS TO LOCATION ELEVATION AND COMPLETENESS.
3. PARCEL ZONED RESIDENTIAL AA-3(L
LOOMS ROAD ryV diN
W C.L / N/)I r7
N
S 6Z't6'36"-C _ N 67'16'36" W �
- - - 1ys�5.89' 39.11'
211�5' RKiT TO GRADE
L� = 90'00'00" MARC JACOUE FAVOR OF
S µ
R = 25.09r
T = 25.00'
L = 39.27' -6 o 1*`�
I I252
50' F.Y. q
. 1
/ r• Q 6 � 'J. p/ t
/ hb 6`O
E pg
0
,a I I I P 1 t1" 1 O
O
w / ���y .1. �9 �� 10 1
N
O
i�� ``% 1 N N
/
� 20'S EET TREE_ N
LEGEND Q °� HE TH TOWN 28 A`k� I �/
O IRON PIN TO BE SET
o MONUMENT TO BE SET ,
_ _300_ _ EXISTING CONTOUR Q I I 35 75`3 sq. ft.
u 1 /6.82 cc. I{
`
REFERENCE NOTE
BOUNDARY AND TOPOGRAPHIC INFORMATION ARE TAKEN FROM PLANS
ENTITLED 'DEMING HILL ESTATES" SOUTH WNDSOR, CONNECTICUT. 15• S.Y. ` 1I
PREPARED FOR JMJ CONSTRUCTION, BY DESIGN PROFESSIONALS, INC. ��� / — _ — — FOUNDARM DRAM 11
DATED OCT. 10, 1996, REV. TO SEPT. 11, 1997, SHEETS 6-19. � '' 170.89'
N 67'16'36" W
THIS SURVEY AND MAP HAS BEEN PREPARED IN ACCORDANCE WITH SECTIONS 20-300b-1 THRU 20-300b-20 I I' �
OF THE REGULATIONS OF CONNECTICUT STATE AGENCIES — 'STANDARDS FOR SURVEYS AND MAPS IN THE /
STATE OF CONNECTICUT' AS ENDORSED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS, INC. /
THIS SURVEY CONFORMS TO HORIZONTAL ACCURACY CLASS A-2.
TO THE BEST OF MY KNOWLEDGE AND BELIEF, THIS MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON.
JMJ CONSTRUCRON COMPANY
658 ELLINGTON ROAD
1zea2 SOUTH INNDSOR, CT 05074
RICHARD P. MARTEL LIC. No. TEL 282-0628
1.UNLESS OTHERWISE NOTED,EMSTNNG UTILITY REVISIONS � (860) 291-8755 DEPENDENT RESURVEY PREPARED FOR SHEET
AVAILABLE AS R"TII ARE LASED ON BESTUTLr 40 GRAPHI0 SCALE 20 40 'esign Deming Hill ,&twtas IMPROVEMENT� LOCATION 4 AVAILABLE NFORYA7fON.ALL E70Si•IG U71711ES
SHOULDZ ALL BY A LN PRIOR 'R °" &rofessilonals, inc. 1
OPEN SPACE BUBDIVL4TON—SECTIONS 1 Z
CONSIRUCIXX NM Br R44 „C�Na.A457�-29 O�
3.,FEE PLAN NYALA„ n REARS THE ■ Lot No. 28 — Cardinal Way 1
IMPRESSION SEAL AND ORW4AL SIOLALURE 1 inch = 40 feet civil engineers • planners • surveyors
OF THE PROFESSONAL EMOWUR/SIRVETOR. ND. DATE DESCRIP1ON BY 165 south satellite road, south Windsor, connecticut 06074 SOUTH M/INDSOR CONNECTICUT �. AFW JD AM 10..27 qq
/Y
I � 1✓� ,�G J�1a
�tiU ► ._ 19i9b
South Windsor ENT
I DEPA
RTt
BUILDING
TO In V,'10-t,G GUT. TOWN OF SOLTI
This ceriifi=d tint this plan and specificrions are tru
copies of the.prwosed building w alteta`tons Qo b
erected at 0 4
togetl'er I.th amen meets stated 1.1 applle•,lon
iled In plan and I 11"Oe t, comply with all znm�
:uiidiig and stIte 13v.4 and such `rd-re as sh.,%
tA`/+ ss,wd by the 13•4110ing Np.+rtm nt during vovd:
f tr�s appl c0swn a-d final issuance of 11 b:liht;.i.
,ermR..
i,gneh
pis plan I• epprov,Rd subject to the Bondi:ion 'that
rdrrs and f rdi-ianees •rL4Sulating bL.ildl!lg shall be
•..,pl+ed n th.
.oiwJ tlonally Approved Tt,.ese 'filed with
Building lnspeetot, Plsrk
t
NOTES: LEGEND
1. THE BUILDING LOT SHALL BE LOAMED, SEEDED, AND MULCHED MATH STRAW PRIOR TO ISSUANCE OF C.O. (IF THE SEASON DOES O IRON PIN TO BE SET eb,
NOT PERMIT SEEDING. THEN THE LOT MUST BE STABILIZED WITH TF a ZS 1.1 S
STRAW OR EROSION CONTROL NETTING TO PREVENT WINTER AND o MONUMENT TO BE SET „
SPRING EROSION-). PROPERLY INSTALLED EROSION AND SEDIMENT _ -I00- _ EXISTING CONTOURCONTROLS MUST
Ai7.�io(i>S >
SEDMIENTAT10N PRROOBLLEMS IN �TFEjBLMLLDDER�/OMER SR�ONA BLE -�— PROPOSED CONTOUR iK�•=z �• 1
1p
Fat ALL STABILIZATION REQU/EAENTS. -287 3 PROPOSED SPOT GRADE _
2. ROOF LEADERS TO BE DISCHARGED ON SPLASH PADS. d111111l1 SILT FENCE L '
3. ALL ROADWAY UTILITIES AIK Tn Pr I% TALLED IN COMPLIANCE
NTH THE APPROVED 'Dt.��wv 1441-L SUBDIVISION PLANS - O =
Ir
4. FINISHED GRADING AROUND THE HOUSE SHALL ALLOW A 3 INCHIt1 - 1- 93
s ROAD N
DROP IN GRADE AT A DISTANCE OF 6 FEET FROM THE FOUNDATION A Art- -I'kAc ••c -c• /O�Co� G 2 '�7'O•.!N v�
AS SPECIFIED IN THE STATE OF CONNECTICUT BASIC BUILDING CODE. ovs lk FZa.TL•C iv
5- PARCEL ZONED RESIDENTIAL AA-30. 1 S ET 6'36" E I' 67'16'36" W p
39.11'
- I _ IN FAVT7R JEAN *A .tT v r 4LIL
/ 0 = 90'00'00" I MARC
R 5.m - Ros v.,s►y.
25.00 i -- —
1 0
252
EX 1 ETCAVATE
POSTS AND 2. STAPLE THE MIRE L 39.27'
s
ANGLE P0615 EXCAVATE A 8".6" MESH FENCING TO
FOR STAOILITY POST UPSLOPE FROM POSTS. FENCING THE END OF THE POST
FANG- IF Y
os. " r I
12 MIN. � r• t
L o , I a.0 - -V
O Ie.t
0
l ; I 4.f m•;t
J. ATTACH FILTER FABRIC TO 4. B 'ILL ACKF THE I' I $ O
FILL" THE ORE FENCING AND EXTEND TRENCH AND COMPACT a (l /T 'N IV"),
IT TO THE TRI" THE EXCAVATED SOIL. lT J1
COMPACTED :
r
BACKFti , , vd-,�/ L j 35,75J sq.'ftmmmm.
t= 14/
I EASEMENT IN FAVOR
OF THE TOWN OF
SOUTH'WINDSOR .`'
f It /
CONSTRUCTION OF SYNTHETIC FILTER BARRIER TENOR Y L-DE- C
REFERENCE NOTE: I /
BOUNDARY AND TOPOGRAPHIC INFORMATION ARE TAKEN FROM PLANS
ENTITLED *DEMING HILL ESTATES", SOUTH WINDSOR, CONNECTICUT.
PREPARED FOR JMJ CONSTRUCTION. BY DESIGN PROFESSIONALS, INC. I
DATED OCT- 10, 1996, REV- TO SEPT. 11, 1997. SHEETS 6 19 1 70 89'
THIS SURVEY AND MAP HAS BEEN PREPARED IN ACCORDANCE MATH SECTIONS 20--30ab-} THRU 20 3OOb-20 Ic 'C.L.i P. EA��L.nTi .1T
OF THE REGULATIONS OF CONNECTICUT STATE AGENCIES - 'STANDARDS FOR SURVEYS AND MAPS IN THE
STATE OF CONNECTICUT" AS ENDORSED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS. 'NC , E OF CO
THIS SURVEY CONFORMS TO HORIZONTAL ACCURACY CLASS A-2 1 r ( *� - 4,
TO THE BEST OF MY KNOWLEDGE AND BELIEF, THIS MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON.
JWJ CANSTRUCTICW COMPANY �Q =
656 ELLtNGTOW ROAD
12882 SOUTH MITNOSop. CT 06074 i"•
RICHARD P. MARTEL UC. No. TEL 282-01628
,
4
s oats owgrtt tgltA Essn+c uTun gEytyaS (E60) 2fl1-E755 0 ,rr.• - SHEET
LDCAT"m N deals/ME AA=o,star r GRAPHIC SCALE o
i%VA"Mc 111saMAroN Au 9=T"u9U1RR / 7•Zo•x lwi..a 40 0 20 40 esign Demiag Hill Rkzates L.00A�B I HM
i ALL 1UN3 A A=91 1 c i Z 6-I:n v.3 CAA 6AK LOC— K"I 1
n A Ucmm L MD saw"pow 10 rofessionals, Inc. OPEN WACI r3[716XVMM - VWn0M I & :
canrtlaiCTlo� --- ----- t■�� Way
Lm4ww Ir. sr, ,GP ova. lgslA-7I OF
.1 THIS PLAM 13 NVkZ W&M rt SEARS 11E a 40 feet civil engineers • ponnsrl • surveyors
� No. 28 — Cardinal 1
a�PON�aM�q¢m/AM"ll. Na DAIr pESCwlm By IIIIIIIIIIE 1 inch 163 south WeRite read. south winesor. connecticut 06074 SOUTH WNDSOP CONNECTICUT 11
am ar. nwr AWE 7-10-as
BU1LVIVU Y�.KP11'1'
STATE OF CONNECTICUT
WORKERS'COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn.Gen.Stat. §31-286b)
Property located at 1,56 zcz ml S
In the town of
Name of building permit applicant: Z�o AV.eJ M,12-N-16xl
Please check one:
1. I am the owner of the above property.
_I 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 chat one:
1. I do not intend to act as a general contractor or principal employer.
[Sign and stop here]
S' afore icant
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 hereby swear and attest that I will require proof of workers'compensation insurance for every
contractor,subcontractor,or other worker before he/she 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)
Town Of South Windsor
Building Department
Location nbm Building Permit# 326�
WiS
S �
SWIMMING POOL REQUIREMENTS:
.This list is not all inclusive;please refer to pool packet.
o A 48"barrier will be provided to protect the pool access. Including a temporary fence
for inground pools prior to filling..
o Access gates will be self closing and self latching(if less than 54"high they shall be on
the pool side and be protected within 18"of release mechanism).
o Doors providing direct access to the pool shall either have an alarm,a self closing self
latching device 54"above the floor,or a safety cover over the pool.
o No receptacles within 10'of pooL(locking type receptacle for pool equipment must be
at least 5'from pool and GFCI protected).
o All metal parts of pool structure,fixed metal parts within 5'of pool,pump motors etc.,
shall be bonded with a minimum#8 solid copper wire.
t7 Convenience GFCI receptacle shall be provided between 10'and 20'from POOL
17 Trench depth for 20 amp.circuit to pool alurpment shy be 12"mrnrmum.
o A surface pool alarm shall be installed pursuant to public Act 99-140.
.O All swimming pool pumps must be equipped with a time clock.
o Heated pools require a pool cover unless over 200/9 of the heating energy is from non-depletable sourccs.
REQUIRED S G POOL INSPECTIONS:
The following is a list of inspections that need to be performed prior to the continuation of work Requests for inspections can be made by calling the Building Department at 644-2511 ext.230.
1. TRENCH AND BONDING-Electrical trench depth verification and bonding of pool and metal appurtenances
including metal reinforcing for gunite pools.
2. FINAL ELECTRICAL-Location of equipment and GFCI protection. Convenience outlet provided.
3. FINAI-Swimming pool access protection must be provided before pool can be used.
Each swimming pool.installation requires a Building and an Electrical permit. Additional permits and inspections
are required for pool decks.
I have read and understand the is listed above.
Applicant Signature
Date
Homeowner Signa Date ��
Electric # l(o " APPLICATION FOR BUILDING PERMIT
Plumbing# p
HVAC # `q� .136 Loomis Road Date: - -d _
Sprinkler# 32638
FINAL RO --- - Estimated Cost $
l7 - - - - - - --- I Permit Fee $__-2S,
n � -
Buildin COMPLETE RED BOXED AREAS i Occupancy Fee $ 16.
Enginee n TYPE OR PRINT ONLY Eng. Insp. Fee $
A r. for CO. / o<< SIGN ON REVERSE SIDE
Affidavit
PP Total Fee $ _
TO THE B I DI G DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost)
The undersigned hereby applies to do work according to the following:
Applicant N C/l a 1 M , " Location of Work _ Lot No.
Applicant's Address Tel.# (0 44 .rl(4 1 1
Town ����` � l,l�� nc�Sy� , �T Zip c�0l�( Lic.#
Owner r ln���.l NI a.z,�►C (- -* �� chitect
Owner's Address Lrcov" Architect's Address
' o.�--V\ (\&'56( 1C-7- Zipo�{ Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit 'DCQ "6-
City Watero Well❑ Septic Systemo Sewero
Ins: HO SP Cert. Area Basemen Garage
Approved b Date Use Group Construction Type„ZC=
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 w" h this'Olding and its use i$allowed.
Signed J
I hereby apply for a Certificate ecidIA y descri in this applicati for the permit.
Signed
ftN T WRITE ELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-32638-B 4,529
E02 UNDERGROUND 04/17/07 JFF A WITH OWNER TEST HOLES ELECT PERMIT APPLIED FO
OK 04/17/2007
B10 FINAL 04/17/07 JFF A WITH OWNER
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: ( 2-
BUILDING DEPARTMENT
APPROVE 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date Building Inspear
Application must be printed or typed
FEE SCHEDULE ` Location of Job:
% \ aJ 6 'Rk
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS
APPLICANT PHONE# 2
O W N S t4 OWNER Gt 2 cy C -c!
OWNER ADDRESS R
Or_ OWNER PHONE 2��- , A
C ESTIMATED COST$
x * IS THIS A CONTRACT COST? Yes _No
G FEE ENCLOSED$ 5 u o
TYPE OF JOB: 9 1
SOR.CO New Installation
L-tfJteration/Addition/Repair
APPLICATION FOR PLUMBING PERMIT (continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A��
RESIDENTIAL
BUILDING PERMIT APPLICATION? ❑YES [ENO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY
❑ INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO.OF TOILETS STYLE NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES
NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES ❑NO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE MANUFACTURER
DESCRIPTION OF WORK (�
S
THE UNDERSIGNED HEFLEBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
2-(a I� q - — 1 z7l;:7
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
�� ,/o °1
Revised
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPROVE 1540 SULLIVAN AVENUE
Bldg. Permit#
644-2511 ext. 230
Date Building In
Application must be printed or typed
FEE SCHEDULE Location of Job:
F
5 RA
$0-$1,000=$15.00 Street Lot No.Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT
APPLICANT ADDRESS (7�A Wan,
Sv,IC—\—
APPLICANT PHONE# 2 \ - c,
O W N S Fq OWNER \Lh p c� ('sn cI 2
OWNER ADDRESS b�u�sfly� 6?-A
0 OWNER PHONE LuU- 1U \\
C ;D ESTIMATED COST$
� � V
.� IS THIS A CONTRACT COST? ✓ Yes _No
FEE ENCLOSED$ 3 d �Q0 a Q�
TYPE OF JOB: 4-17071
�SOR-CON New Installation
✓Alteration/Addition/Repair
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
`�SIDENTIAL BUILDING PERMIT APPLICATION? El �YES M
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION SIZE OF MAIN DRAIN
NO.OF TOILETS STYLE NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES
NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE
AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS
NO.OF OTHER FIXTURES KIND
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES ❑NO
SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SEWER OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE MANUFACTURER
DESCRIPTION OF WORK
Q Ql bO =\ (\ c\ \ CC -4 \ CcA
G\\
� �Ij Ili
THE UNDERSIGNED HER BY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TT--
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORI LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
1000098 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 03/25/10
GIS ID:54700136 FEE: 30.00
MUNIS APPLICATION# 201000259 BUILDING DESCRIPTION:
APPLICANT o LOCATION
NAME: IMPERIAL PLUMBING CO.;INC. ADDRESS: 136 LOOMIS ROAD
ADDRESS: 648 SULLIVAN AVENUE OWNER: MAZNICKI MICHAEL P
P.O.BOX 875 1 '136 LOOMIS RD
SOUTH WINDSOR,CT,06074 SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL INDIRECT FIRED WATER HEATER. REMOVE 40 GALLON GAS
WATER HEATER.
W Y
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
3/25/2010 12:20 PM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE