HomeMy WebLinkAbout139 PALMER DR T ry
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PROPERTY OF
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Being L=,No . 0 n rap -�7titled "BIRCH HILL ESTATES Foster Street
South Wind9or Conn . Property of U & R Housing; Corp. Scale 1 " = 100 '
Date : Jan. 21 , 1963 Hayden L. O . swold C .E."
Scale 1" = SO ' QC-, ,
HAYDEN L. 0R1SltiOLD C .F ,
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PROPERTY OF
NO . PALMER bRIVY; iOUTI{ k'INT1SUR , CON? .
Being Lot No . 60 on map entitled "BIRCH HILL ESTATES Foster Street
South Windsor , Conn . Property of U v R Housing Corp. Scale 1 " = 1001
Date : Jan . 21 , 1963 Hayden L. Griswold C . F,. "
Scale 1 " = 501
HAYDEN L. GRISWOLD O .F .
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110 . PALMER DRIVE } t ,SOU,Tt� k'i��j1S0 �`7,'j�O:i`�•.
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Being Lot No. 60 on map entitled "BIRCH HILL ESTATES Foster Sieeei�;r
South Windsor, Conn . Property of U & R Housing Corp. Scale 1" =�-10)0 '
Date: Jan. 21 , 1963 Hayden L. Griswold C .E." •4
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Scale 1" = 501
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APR 2 0 1991
South WinGlIor
BUILDING DEPAROTMEN7-
r fr+fx�rd lltw b lls twa.sar s/ei s�teccs ,s ay tafta w•waw
Wta'a"DWS la L,
t®iatbar with amendme stated ,_ Strcy i
I"" with plan and I .,"Is application an..
lluildin to comply with all
zoning,t; and state laws and such orders as shall b,
Issued pY !h/ BWldlns Department during pendency
nl this aPPlicstion " line, issuance
Permit, of a !wilding
Sned
hl Plan is at)Proved sup '
orders and ordinances o the condition that
Comptied with. egulating building shall 1>e
Condltionally Approved
These flied wttlt
8ulidlnQ Inspeet4K
aM!
D.tr
or LVIVI11la uuvoir'LIANCE
Proposed builcling(s), use(s) andlor structures;
-as shown on this plan appear(s) to be in
.;onformance with current South Winds-"'
,egulations. Variances and special exceptions
nay apply.
)ate '� 3
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T:7i-o nfc''c�m' ;,
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bulbVINU Yr,tfMl'1'
STATE OF CONNECTICUT
WORKERS' COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn.Gen.Stat. § 31-286b)
Property located at
In the town of S W ro 0 S 0-
Name of building permit applicant: I tT1 r 1`"of eS
Please check one:
1. I AM the owner of the above property.
_
2.7 I am the sole proprietor of a business.
2A.Name of business
213.Fedeial 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 che:�l
:
1. do n ' end to act as a gene 1 contractor or principal employer.
IS' n a d top ere]
ature 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 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)
tO�P t�t�
S
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APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 (PHONE)860-644-2511 EXT.230
DEPARTMENT DECISION PE T NUMBER:
APPLICATION IS HEREBY:
APPROVED: ' 7 BLDG.PERMIT NUMBER:
3�
DATE INSPECTOR
LOCATION OF WORK:
APPLICANT: OWNER: TYPE OF STRUCTURE:
�1 n �/�T /+ 0 NEW BUILDING
NAME: �C-HN(+li+72PW !C-66 ` NAME: �C/C1t1 G p ��M C1/tt ❑ADDITION
PHONE NUMBER: ff DD `���``7/5 x�y�d PHONE NUMBER OG7D'�C�� �S1�G S- ,XISTING BUILDING
ADDRESS: Z�S SK`l✓f Oe✓ 6rz ADDRESS: /,3 0- 4m67?t byt
TYPE OF USE:
CV VL�iVTr27 C7' tiYy 23 Sc(,j7�! �1�cJi�Sy!( C 7 RESIDENTIAL o COM IERCIAI.
ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF INSTALLATION: 2v& 4 O y'Et /i5s+0 SC&yI C E
SIZE OF SERVICE: J 1)pas/Z/4 b E:-
SIZE OF MAIN SERVICE:
NUMBER OF METERS: /
NUMBER OF PANELS:
NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S 5�00,.00
NUMBER OF SWITCHES:
NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S
NUMBER OF A/C CIRCUITS:
FEE SCHEDULE:S18 PER$1,000 OF THE ESTIMATED COST.
NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT
IS$1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS
NUMBER OF OUTLETS: PART OF THE PERMIT FEE)
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 PERF�FOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: -7 TYPE: G STATE: L'T
SIGNATURE OF APPLICANT: DATE:
aci q L3 Ll
1900163 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 05/01/2019
GIS ID:68400139 FEE: 54.00
MUNIS APPLICATION# 201900734 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: SPW ELECTRIC LLC ADDRESS: 139 PALMER DRIVE
ADDRESS: 265 SKYVIEW DRIVE OWNER: GREGG SERGE A&PAMELA D
139 PALMER DRIVE
COVENTRY,CT 06238
DESCRIPTION OF WORK: 200 AM OVEHEAD SERVICE UPGRADE
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY T BUILD4ING DEPARTMENT.
BA
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILD OFFICIAL
5/l/2019 11:21 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1900137 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 03/19/2019
GIS ID: 68400139 FEE: 432.00
MUNIS APPLICATION# 201900382 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: SOUTHERN NEW ENGLAND WINDOWS LLC ADDRESS: 139 PALMER DRIVE
ADDRESS: 10 RESERVOIR ROAD OWNER: GREGG SERGE A&PAMELA D
139 PALMER DRIVE
SMITHFIELD,RI 02917
DESCRIPTION OF WORK: INSTALL 6 REPLACEMENT WINDOWS NO STRUCTURAL CHANGES
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY TFI;K;
TMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILMN OFFICIAL
3/19/2019 9:53 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE