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Home My WebLink About16 JUDY LN Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 16 Judy Lane Date: A5 HVAC # Sprinkler# 319 0 6 _ c FINAL P O, ---_ _-----"-- —_ --_-_ _ _ - Estimated Cost $ �5 /G Building] 06! COMPLETE RED BOXED AREAS Permit Fee $ En inee n TYPE OR PRINT ONLY Occupancy Fee $ g i i Eng. Insp. Fee $ A pr. for CO.vi SIGN ON REVERSE SIDE Total Fee $ /C PP - - - — - — TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant /�z�'(1/�� v Location of Work Iax,c Lot No. Applicant's Address 1$ y z z„r., S'r' Tel.# S�Py- �ICG d Town C 1-4 C: Zip 14, Lic.# �v/9!�/i Owner a,- Architect Owner's Address G v Architect's Address (/, -'Iran C-T— Zipa 4 Zip—. Sq. Ft. New Area: 1st FI. 2nd Fl. 3rd FI. Total New Area Purpose of this permit l- If 4 !f cro /e City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date Use Group 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 propej-dlstarjq�from,*!st t lines,side yard lines,and required distances from all other zones and is located in which this build j d it u$e i6 Sign I hereby apply for a Certificate W.pany for the work described in thi application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- '**-31906-B 6,596 #B10 FINAL 05/24/06 JFF A Property of CARLTON & MARY JO V. ROUND 16 Judy Lane South Windsor, Connecticut Scale: 1 "=40' Oct. 25, 1977 J UDy L ,6 N E x 113.00 W rr x I Mortgage Survey for Hartford �v x tix .Q Home Savings & Loan Associa- tion, Inc. Q d Certified Substantially Correct u No Zoning Violations. `U LiJ o al WILLMA,f 2 M42y J. Dl�LI C'4�/��2G t y�ti I9 u 1 �� `�- i Electric # JUL 7 PPLICATION FOR BUILDING PERMIT Plumbing# ®1(�u Lane Date: HVAC# �Gurtn�r,nvsv�r00.0391 Sprinkler# BUILDING DEPARTMENT Estimated Cost $ &eoo FINAL APPROVALS Permit Fee $ 1116 Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDE / Appr.forCO. Total Fee $ ILE TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 0: The undersigned hereby applies to do work according to the following: Applicant A Location of Work Lot No. Applicant's Address 00,*7 O.,oBOX 90 7 t/ Tel # Town Zip0�,0 7 Lic.#_S✓y60s<o Owner O em Architect Owner's Address 1,6 Nn e__ Architect's Address & 0,1jso�- Zip Zip Sq. Ft. New Area: 1 st FI. 2nd F. 3rd FI. Total New Area Purpose of this permit s City Water❑ Well ❑ Septic System ❑ Sewer❑ Ins: HO Z Area Basement Garage Approved by 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 w h this building d its sal ed. 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 PERMIT CLOSED PER: PA, 17-176 AND CGS 29-393 - -I •-• BUILDING PERMIT. STATE OF CONNECTICUT WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat.§31-286b) Pioperty located at r- /"} In the town of_ �aej ' , /,gf 1,4 Name of building permit applicant:_ 4 A .t.0 Please check one: 1. I am the owner of the above property. 2. am the sole proprietor of a business. Q A 2A.Name of business x—� x�yj�,r e,,Ud, 2B.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 k on 1._1 do not intend to act as a general contractor or principal employer. 7ISignnd stop here] A 1,41e , Sigrodre 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) •ter 1000321 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 07/07/10 GIS ID:48600016 FEE: 165.00 MUNIS APPLICATION# 201000840 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: GUY A.GRILLO ENTERPRISES,INC. ADDRESS: 16 JUDY LANE ADDRESS: P.O.BOX 307 OWNER: ROUND CARLTON&MARY JO S EAST CANAAN,CT 06024 16 'JUDY LANE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: 20 SQUARES OF VINYL SIDING. 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 7n12010 11:17 AM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE