HomeMy WebLinkAbout165 FARMSTEAD DR Electric # 165 Farmstead APPLICATION FOR BUILDING PERMIT
:�i'ambing# Date:
HVAC#
Sprinkler# 900191
Estimated Cost $ OJ
FINAL APPROVALS
Permit Fee $ 1
Building COMPLETE RED BOXED AREAS
Engineering TYPE OF PRINT ONLY Occupancy Fee $
Affidavit Eng. Insp. Fee $
Appr.forCO. � )i ► SIGN ON REVERSE SIDE A Total Fee $ I�
s
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant r.% W Location of Work fM Lot No.
Applicant's Address (RS FA9,V%SrjeA o i0k tVle- Tel # S6OrS33—I
Town �ST�OjTk± L.�k�.J b-% G� Zip O(e cj7 q Lic.#
Owner ,J c^^ W k JLtZ--LatLe- Architect_
Owner's Address SA✓YiFL Architect's Address
Zip Zip
Sq.Ft.New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit
City Water 0 Well 0 Septic System J Sewer❑
Ins: HO t. 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 On i nances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of tfi,�Building for which this i
permit is asked,and agree that this building is to be located the proper distance from all street lines, 'de yard lines.and required
distances from all other zones and is located it h this building and its use is allowe
SI d _-
I hereby apply for a Certifi cupancy for the work described in this application for trig permit.
Signed - — -- - --
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
' t ►
j INSPECTION FIELD SHEET 05/09/11
Printed by Peart, Dayshell 14 23 15
INSPECTION: 23584 FINAL PERMIT:
STATUS:
APPLICATION: 200900567
LOCATION: 165 FARMSTEAD DRIVE
SOUTH WINDSOR
PROPERTY ID: 31800165
OWNER: REARDON VERONICA
CONTRACTOR:
REQUEST BY:
DESCRIPTION: NEW ROOFING SHINGLES
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 04/05/11 PRIORITY:
SCHEDULED: 04/05/11 PM COMPLETED: 04/06/11
UNPAID FEES 00 Date Time
TIME: TRAVEL ONSITE
COMMENTS
),0 ) Z, � ff
IIomc Occupation Information and Application Form
_® Minor Approved by � Date ASSESSOR'S USE ONLY
� 1 ��
❑ Major Home Occupation Type
Code
Name A N I ND1'n'- (P�N N I E) N of f W TYD13A C R AP T S
Address of Proposed Occupation:_ (� -F 2M;T F Al) D I V E, 9 0 V T f} W r N DS B P C T 1) 6 0 �
Telephone Zone —3 U (Note:in DR7,MF zones only minor home occupations are
allowed;approval letter from homeowners assn required
Description of Home Occupation:
No' a
No
e
Please use the boxes below or an attached sh t to provide the following:
A.Proposed Sign
1. Attach copy of plot plan if available.
2. Use Box A(or attach sketch)to draw proposed signage.
.3. Use Box B(or attach sketch)to draw the floor plan of the Home
Occupation area.
4. Architectural elevations for any proposed additions or modifications
must be provided
FLOOR PLAN (Q Basement ❑ 1'floor ❑2ed floor)
Floor area of dwelling f p �,19 S�
Floor area of home occupation So S*
%of floor area devoted to home occupation
Of-
I r Ems. r
f;
1
.I have read the regulations regarding home occupations and will comply with said regulations.I understand that I must notify
the Planning Department in writing upon termination of this occupation at this address.This permit is not transferable or
assignable to another person.In the event of relocation,the permit holder must notify the Planning Department in writing to
transfer the permit to the ne location.
Signature of Applica Date
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Signature of Owner Date 1 — j�
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AUG 1989
South Windsor
BUILDING DEPARTMENT
t1♦E BUtL�1NG DfPl.
ro,rhie eertitic ,In �F SQijTH G''t liS
redt d at t an
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og^ther W:'h le
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wsued.b�thes Bte l ws and to corn
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uert s P'p1iS0tion a n in..rtm;,nt Our
lino "suanq�of ..,r,oen<.y
Ile 'ign _
.bla Pl. .
'�rtlers ',Proved subject to
dn0 •'rtl1Oances regulati the cond!
m�<a .,,tn ng bull zh,, t,,',
ding shad APPr.Vea bit
"OntlKionalty
These tiled
_ wit
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NMI
CERTIFICATION OF
ZONING COMPLIANCE
Proposed building(s), use(s) andlor sttocbeet'in
this p earls)
Ian app V'lindsor
Q`° t1 moo, as shown onSouth
conformance with current excep6ions
kq pas' regulations. var}ances and special
may applY.-
Date
Zoning Enforcement Officer
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: zOOo
BUILDING DEPARTMENT ,isr�
ROVEDD 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
I Co 5 ��-�•-,-�-,��ec� �cL
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESSp
J�n'aA0 , r 7- Ozo///
APPLICANT PHONE# -2
O W N SF OWNER InCc/K /�t�dr°1
OWNER ADDRESS
O o
OWNER PHONE e'jSCoC>> !D
C ESTIMATED COST$ 11 5b1� QO
IS THIS A CONTRACT COST? _Yes _No
FEE ENCLOSED$ 30•C CU
0 TYPE OF JOB:
�R C _New Installation "
teratio fion/Re� ID
V
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
SIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES�kNO
BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE FUTURE USE AND OCCUPANCY
❑EDUCATIONAL
❑ INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
El STORAGE
❑GARAGE ADDRESS
❑MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION/WIRING METHOD-:2--.O-)- Q $ 2-)q L--
SIZE OF SERVICE )( SIZE OF MAIN CONDUCTORS
NUMBER OF METERS�_ NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS_� REMOTE DISCONNECT REQUIRED? ❑YES ❑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
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.
_ ro353 D ,CC l C.T'
CONTRACTORS LICENSE NO. / TYPE STATE
SIGNATURE OF APPLICANT DATE )0b 2)0
�urC� fj.