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HomeMy WebLinkAbout147 NEWBERRY RD APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Applica ' BUILDING DEPARTMENT 13ap�7 9 APPROVED 1540 SULLIVAN AVENUE - 644-2511 ext. 230 Bldg.Permit# Date filding Inspector Application must be printed or typed FEE SCHEDULE L/ Location of Job: $0-$1,000=$15.00 /ylw, elL Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS u, aGy APPLICANT'S PHONE# 03— 2Y — Uo2-7 OWNER ��7R-�P-/ T AP�- W N S F-4 OWNER ADDRESS %�� 7 /l�la/ /�Oy6ZC.!1 QQ>j q a✓�� c .� -�/Jart lam- O Ole OWNER PHONE L3 „2 — ESTIMATED COST$ ►] ' ►`Saw IS THIS A CONTRACT COST? Yes No G FEE ENCLOSED$ . ,..,. o TYPE OF JOB. SQR.CO L�ew Installation Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑ NO 3d RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL 0 INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS 0 GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? 0 YES 0 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 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- MANCE OF SUCH WORK )!�F&(4 1 060 S C 7- CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE NOTE.- REINO E. HYYPPA 8 ASSOCIATES :Z4 IytbR.o�, tsr_ Thls record drawing has been prepared CIVIL ENGINEERS & LAND SURVEYORS in part on the basis of a limited in- GLASTONBURY, CONN. vestigation of subsurface conditions. The surveyor will not be responsible for any errors or omissions pertaining to subsurface conditions incorporated into this document. Absolutely no dittint 1I'IJ ..Onstruction Cumpally should take place without first accurate- „ 65C EI 11 '1gtOn Roadly locating all facilities. ;,oUtf, Windsor , CT V6V%4 ---6Z5 J J U0 ,4, E 1 �o j I,TDT/�L) /tiQ 4r O IZ' i� 1 •4 ( I S�o.s E DR1j\E 'TF-: of 4 D-1T ,r. UZ j.4 tu Uv > I Q ev20 00 Q To?A�-� 1 7 Cl 1 Q I ; 15 4 M ORAINA6qE MJ FA�oR OF LOTC3 n 3, 1-72, Zc..tE. - SaacE A-� T41S PROPERTY MAY BE SUBJECT TO VARIOUS U►ILITY EASEMENTS LOT LINES FROM MAP cvl FILE Tat-EO, Of RECORD AS MAY APPEAR. 'OPEN SPACE SueD\41510M A-30 ZONE PLOT PLAN SECT,ck.! (0 MouNTaNVIEW C. `�. PLOT PLAN E STAT ES 5ovTN VJwcoR,Co►.1N.*BY RHINO E. HyyppA 1 AssmlATES 5c�E LOT ��� I"=40' DATE:1-� g�MAP No.180-63-IR L JNEEr OF "j SNE.ETS PREPARED FOR DART HILL REALTYINC Mraer ..•f... th.t SOUTH WINDSOR, CONN. thfe eeo•earr •errs v.e v�op.r.e In •eaorbec• vl th tM •t.w..res of a Close A-2 ""Co.- .•MN st.wo.rao fa. fur'eye aM p n tM ta• of Con.00tleut• ao pre r.,, ..e .do • 0, the onneot scut SCALE I"aqp' •+'��'� Aeee.l.tl.a et was s.r.w, a -.w se ►.. la. Isea. (�,�,r, DATE: —l�-�j� 1�aav� JUL A 6 IM South Windsor BUILDING DEPARTMENT Arm-7 �-7 tip A--pF' R0VED SIG.: MOVED 12 1 )101. 1 7 1990 ► Town of South Windsor 9 Engineering uePL. -p W APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT HDOtO AP RO 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Date Building P Ins ecto Application must be printed or typed FEE SCHEDULE ` Location of Job: $0-$1,000=$15.00 Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT �ca^`�S Cro w ley (�fc(cSs v.h�,� e/cc fi• tic Cvr�o APPLICANT ADDRESS '/7 /4ore- J/tiJI!!4 /l APPLICANT'S PHONE# 8 6 2�- gl 76 OW N S� OWNER f3Nx 4 . 1" '4< OWNER ADDRESS /117 /1lr�r�o,�kr� S i-> H�so�� c ►- ® *' f OWNER PHONE �6 0 -9/6 - �(3`/ C ESTIMATED COST$ 3 SGO. OU � IS THIS A CONTRACT COST? Yes No - FEE ENCLOSED $ TYPE OF JOB: (q �S®R•co New Installation 1 Alteration/Addition/Repair y 0055� Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDINIS THIS APPLICATION ASSOCIATED WITH BUILDING PERMIT APPLICATION? ❑ YES P�-N0 SIDENTIAL CURRENT USE AND OCCUPANCY R 5 ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY } ❑ 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 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 IC CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK r- 1-nS) C,9ry� in kr�/a �,r '� �,a)I.-j G� `/ t f'� �'� l / lzrcesSi < c nit,, �vrf� (17 r0o� 5�N✓�/ fJ'hs�wJl rt y�" yl 1lCcC3S� [4�f "7 /44)l,V4rJ. nS;wk, �t 2- CI�stE ge 1t z in Sf-db S - % 5w A,f 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- MANCE OF SUCH WORK Ig83�b - � � -�- CONTRACTORS LICENSE TYPE STATE SIGNATURE OF APPLICANT DATE J.M.4'. C... RE I coSe E�tN�,To� ev, NO E- HYYPPA 8ASSOCIATES \Z�l �-1EDR0-+ lavE.-►ter.. G,ovrlr Vlu,c�,o1c, Go•,.,, CIVIL ENGINEERS 5 LAND SURVEYORS Tit E ; zs: -oc.za GLASTONBURY, CONN. lzo3l `3'S- 5z1>J Ex'Tsr A DEPTH 'r=o� • J J / rL n 9 aon Kj m �" / 01 a Q 10 ,v r �, 4C) oJ z �?) Z r•qp � r� QQoV. 'X V kiI d 11AI e1A Jill � I 0% y LL v v `No-1--- `_ iQ SV r > Z 4 7 Z i Zo�oo I i °' 1t Di`G d�17 tAGI r �.�jl�'`�i E h1T I N i — 171 THIS PROPERTY MAY BE SU8JEGT z ouG 0 P6....a SPA•GE A-30 M VARIMS U I ILITY EASEMENTS LOT LINES FRo m MAP dJ FILE 11TLE0, OF RECORD AS MAY APPEAR. 'OPEC,SFINCE 5UWlYISl00j A-30 ZONE PLOT PLAN 5ECTiC*4 �2 M00NTAINVIEw E5TATE5 5ot/TH WINDi°_,OR,CDW"-'BY CT1C"�►�1 RnNo E. H`IYPPtq t AssocmlEs -<Ai_E I"=40' DATE:1-� °��MAC No.�80 83 IR PtJJ-T PL.l�1� LC�T 1r1C7 SHEET of sHEETs PREPARED FOR DART HILL REALTY INC C .ub.t•nit.tly correct. SOUTH WINDSOR, CONN. tole bound.ry •urv•y ru pr.p•r•d In •.eerd.ne• ri to tM .t.nd.r-d. er • C1... A-2 •ur1r.Y •• d.tlwN In tM 'Reco.- ..nd.d onw $%*.d.r ,r ■red •nd do f suir.r. .nd n. In tb• stet. o} 5cALI— I"_4D'Coottcrt• .■ pt by tM C etfeut DATE: �j-ZZ-�O A.�.n of L• turwtrsr .;1 w 58-85 - 170 William Klock. L.I. L./.M•.!!N2 AR 1 3 1990 South Windsor BUILDING DEPARTMENT. TO THE BUILDING DEPT. TOWN OF SC' This certified that this plan and specific -. . copies of the proposed bvilding o, a�h��•' r...s be erected of << EW/V1A�K�� �D ' D together with arr^ tiled with plan ana i ag— to Gym; ` Building and st,te laws and s:ch slued by the Buuomg Departm•ni 7-- ,'.cation ail' .Sudne kTIF1C;A1'10(V OF ZONING CUir"i'LIANC Proposed building(s), use(s) and/or structure! as shown on this plan appear(s) to be i n conformance with current South Windsor regulations. Variances and special exceptions rr,ay apply. Date 2-7 Officer ning Enforcement Offi E;;etric # 147 Newmar7ceL Loa'rION FOR BUILDING PERMIT Plumbing# HVAC# 12000488 Date: Sprinkler# Estimated Cost $ q FINAL APPROVALS Permit Fee $ /Sa Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering _ TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. SIGN ON REVERSE SIDE 4 Total Fee $ �SU I I TO THE BUILDING DE RTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ "' The undersigned hereby applies to do work according to the following: Applicant �LOCationofWork 1 LotNo. _ Applicant's Address Li -A LL-A A Tel # 8 W ' 100 -q \\Q Town CT zip QVQ l AD Lic.#�rj 1�1 Owner &Q,A/ L Architect Owner's Address \W1 nil.w nAO.rU4_r- rchitect's Address zip 06 o"l4 zip Sq. Ft. New Area: 1 st FI. 2nd Fl. 3rd FI. Total New Area . Purpose of this permit City Water❑ Well ❑ Septic System ❑ Sewer❑ r Ins: HO rt. Area_Z%4Basement Garage Approved by f I - f — VDate �� Use Group Construction Type Revised 1108 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 DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS • BUILDING PERMIT. l20o o ygg STATE'OF CONMiMCUT WORKERS'COWENSAIION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat.§31286b) f Property located at . r /fry ,JI/fl ►mot I In the town of �-,, IN,,,,, ,� LT O b �-7 4 Name of building permit applicant: n OSr: C O. 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 2B.Federal Employer Identification Number(FMO .. ............................................................................................................... Pursuant to§31286b,"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"$WMA notarized affidavit...datingthat he will ire f of worker' compensation insurance for all those employed on P� cha " P Y� the job site is accordance with this pter Please check one: 1. T.i .a ..o n�.mtead to act as a general contractor or principal employer. [Sign and stop here] Signature of applicant 2. I intend to act as a en contractor or principal employer.Applicant must either providea certificate of�rorkere compensation insurance or sign the affidavit Wow. ........................................................................:.................................... :...... Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subconttactor,or other workerr before helshe engages in work on the above property is accordance with the workers'Compensation Act tee 568 . I understand that Pursuant .p to§31-275 C.G.S officers of$corporation and err in a ., tpOCat parts 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 appli t Subscribed and sworn to before me this day of ,200 . (Notary Public!Commissioner of the Superior Court) INSPECTION FIELD SHEET 02/13/13 Printed by Peart, Dayshell 14 58 02 , INSPECTION: 51586 FINAL PERMIT: STATUS: APPLICATION: 201201166 LOC: 147 NEWMARKER ROAD SOUTH WINDSOR PROPERTY ID: 63300147 OWNER: LIM BEN & ELIZABETH CONTRACTOR: REQUEST BY: PROJ DESC: REMOVE SHINGLE LAYERS INSTALL ICE AND WATER BARRIER, FELT WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 10/18/12 PRIORITY: SCHEDULED: 10/18/12 PM COMPLETED: 10/18/12 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS NOTE, REINO E. "YYPPA A ASSOCIATES This record drawing has been prepared CIVIL ENGI EERS 9 LAND SURVEYORS in part on the basis of a limited in- GLASTONBURY, CONN. vestigation of subsurface conditions. The surveyor will not be responsible for any errors or omissions pertaining to subsurface conditions incorporated Into this document. Absolutely no dieeine JMJ ,onEtTuction t cimpallY should take place without first accurate- ly locating all facilities. Sown Windsor . CT 06C)74 J � / .�.� �,�tr •,•4� •ti'f' tip, ti°� ,JI- r� z,•9a i N �, <TO TA,L /a 6/rl 1 1 I t �= ZloICOI, ! o•a'Ils' 10 ► V � I - L ss;x 0 1 1 l <Q l �' � 1 u 0, _; 3 � f1 � I I , � , ��r9 \oa ♦ i r � Y u v L�- 1 N z 2° °° 1 1 1 9 3•off'<TCpTA'L-� t Q m1 4 3' ?Z�' w 1 m DRAIu/a�,E EArjEME�1T ItJ z FA�/02 OF LO I� T5 3, 1-7Z) 171 Zc,.1E - SVACE A=� TH1S PROPERTY MAY BE SUBJECT TO VARIOUS U►ILITY EASEMENTS LOT LIMES FROM MAP C11 FILE 11TLE0, Of RECORD AS MAY APPEAR. 'OPEN SPACE 50tOIyISf0N A-30 ZONE PLOT PLAN SECTION (O MouNTA1NVIEW C. ��. PLOT PLAN ESTATES SOUTH Y�IIND5oR,Co�JN."BY RI_IWO E. H f-ipm 1 ASSOCIATES 5cN_.E ��� I 1'=40' DATE:I-9 8-IMAPNo.180-63-IR 0 SHEET of SHEETS PREPARED FOR Fo,a.1,.1![A-YCv R`.S HoW•a -1-�-p1O T` -TG' T ,oN DART HILL REALTY INC. l aar.ly d.eta.. ltot tkie aap t. .nea.ntl.tly ee.r.et. SOUTH r th the WINDSOR, CONN. TAts loundary survey v►e �rgared In accelanca vl et.nd.rda of a CIA% A-2 ourvey as deflned In the •0ecoe- ■end..f SI.Ms�dc for ur-eye a "a 1 In the stattf� er 1 cewweetlent• as Prapar d awd by tAe Ce etttcut 5c.AL1— 1"a4O DATE: —1 Aeaeelatt of Lewd 0 rwysr 1 soot Is. 10/e. 58-s5 0t 111.e Kleok, L.e. L.O.Ma.lt031 JUL 16 IN South Windsor BUILDING DEPARTMENT This certIIi 4 i• copies of the 'reeted at b.' -?nether wnh amen�ime.�� s!..-,try �/fd ,fed with pl.,n and I agree to r_om II -wilding anc 5tete I,,N$ and fUGh ,ssued by the 13u11dleg Deparf,, ,f this application and flnal permit. fl Signed -his plan Is aPProved sublect t —dens and ordinances regulating i,.. complied with. ' i:onditionally APProved Th:_ 84Ailding Inspector gate L( ^ &,a AP- ROVED t:a•" Fic- UTH VvIT ,4,3 OR SIG.. 0 r cf ,2 L JUL 1 7 1990 Iowa �gineenn�g OW, OeP►• 2 .p