HomeMy WebLinkAbout165 GRAHAM RD � n
0
227z o co
�- 00
�j co ni
• 3 o
6
o
240
(S o
0
zoo, yy�� �
• 0 +
O
oCatjon O
O
PLOT LOCH
N.T.S. O
O
Proposed Shed Notes: Site Location Is The Backyard
165 Graham Road Minimum Of 15'from Any Property Line
South Windsor,CT
C)
l�s GAG f2d
ro I Y�e2,�.
as a8i
�oia � �Zzoz
� a
y
• •� !�� •tiff • •4 `��
e ,' ►� ��.
t to
Oak
V r. ,•
Art
.-
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
APP O 1540 SULLIVAN AVNUE U
E
S h W-2511 ext. 230 Bidgi Permit#
Date Buil ' g I for
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0411000 $15.00
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS c,N YL V
APPLICANT'S PHONE# V60 y 7 -5-1 7 Z
p W N S F OWNER VR ?A,l lD✓t •In an C2Qa,tA A..-
OWNER ADDRESS (, Cz aA And a o
- x0..'7 rf 1 Enrt, L'1
r o OWNER PHONE _ 6C> a4ti 9LI-7y
C ESTIMATED COST$ _ `_;�eOc7
VA ` IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$
1� ° TYPE OF JOB:
�SO R•COS oK New Installation
Alteration/Addition/Repair
101(e0 10-74,
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE of BUILDING LS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? O YES E NO
RESIDENTIAL CURRENT USE AND OCCUPANCY
❑ BUSINESS
O. ASSEMBLY FUTURE USE AND OCCUPANCY
Cl EDUCATIONAL
O INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
O STORAGE ADDRESS
❑ GARAGE .
❑ MDCEED USE CITY STATE ZIP
(OtherPlaw'specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE 206 �a SIZE OF MAIN CONDUCTORS y10
NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS Z- NUMBERS OF DISCONNECTS REQUIRED? ❑ YES 0 NO
NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OF LIGHT FD(TURES NUMBER OF HEAT CIRCUITS
NUMBER OF A/C CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE-SUBMITTED.
DESCRIPTION OF WORK
Q�PL�4c_r �XS'r+�Cs 7-0canA-F Scn.Jitc tr�T tf �vEw
- -- i fJ S►Z A i.�- l�t�`.W . Cc�L� PANT.L
l Pit L P c P� i�. -7A t.� �u-r�,o c:�z A No �A
Pj v 7� F o--L ENE7rt/1"'i[9/�
THE UNDERSIGNED NEARBY 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
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OFAPPLICANT DATE !9:�-3-
BIIILDING PBRMIfi (�Q
STATE OF CONNECl7CUT
WORKERS'CONWENSATIt11 CONMSSION
Building Permit AMdavit for Property Owners or Sole Proprietors
(Cann.Geer Stat.§312M)
Property located at_ 165 GktiA-M M
In the town of SQL)z K k1�:o.-
Name of buiil&g permit applicant: -� 6-F- V-,b .r_.{y,c.
Please check one:
I. . 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 WEDO
......................................................................:......................................::»...
Pursuant to§31-286b,"a.property owner or sole proprietor[who]intends to act as a general
contractor or prmOW employes"niq provide either a catificate of waioers'compensation
insurance or.a"owocrt notaiiaod affidavit...stating that he will require proof of wodm&
comp ion imacnanee for all*oqe anployed on the job site in accordance wits this chapter."
Please check one:
I.G I do not Wend to ad as a general contractor or principal employer.
ISM9 7kadstoph,cre]
sigafAire o applic w
2._Hatend to act as-a geneptcontractor or principal employer.Applicant must eit}s;r
pi�avide a certificate of workers'compensation insurance or sign the affrdamt
below:
..................................%.................,........................................................
:....:.
AWKIff t -
.I henebyswear amistreet that I will require luoof of wedomie compensation insurance for every
contractor,snbcon*dw,or other wodwr.before helshe mgagas in work on the above property in
accordance with aVorked Compenssfion Act(Chapte:M81
I Mderstand drat ptuw to§31-275 G.O.S.,oB'roess of a, and in
P m: t clod to beeacluded free bY_Sling iwaiverwith the appta ----- — -
-- , --- —District Office;sad that a sole propriety ova business is not required to'have coverage unless he
-- ----- .flies-his-intea�tosooeptcan►aage:. - --- -- _-----------------._.--- ------------------
Sigoatare of applicant
Subsc ri!W and sworn to befbm me this day of .200L
.
(Notary Public/Commissioner of the Superior Court)
Electric# V�j
� APPLICATION FOR BUILDING PERMIT
dr 165 Graham Road
Plumbing# Date:
HVAC # 13000606
Sprinkler# ---- ------ -- -------- --
FINAL 49 9�Fq�q'� Estimated Cost $1,.Building Permit Fee $ jQS
g COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering r TYPE OR PRINT ONLY ppr. for CO. Ong. Insp. Fee $
A j SIGN ON REVERSE SIDE
pp - -- --- I Total Fee $ 16
olq�
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ a
The undersigned hereby applies to do work according to the following:
Applicant A y,a a p✓/uc Xwl,,we 4�74 Location of Work %L,,r Lot No.
Applicant's Address go Tel.# 7Y S'=a2sy
Town et- Zip s 6v f L Lic.# o _60,�9lt
Owner Architect
Owner's Address /L,r e�;rAqj>, gzgp Architect's Address
Jr 4rk G/zk,&_& v 65� Zip v Zip
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit eryj,0i4-r F>; J.1iAe .1, ,.vl,--'- /�Jr l .¢ec� J:f-a��E. /e-f r �C/llr�K
�/J/C�F'/E/t WiyD�s�cAy.�7a.+^l`�/�•t(l!`� �T2,
T
City/VAtero Wello Septic System❑ Sewero 15
Ins: HO P Cert. Area Basement Garage
Approved by Date C / _ Use Group onstruction Type
Revised W02
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�hi5 wilding and its use is all
Sig GGG
I hereby apply for a Certificate of Occupan or the work described in this application for the permit
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
13000606 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 11/01/2013
GIS ID:37500165 FEE: 105.00
MUNIS APPLICATION# 201301575 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: HAZARDVILLE ROOFING CO.,INC ADDRESS: 165 GRAHAM ROAD
ADDRESS: 4 REDWING ROAD OWNER: TAYLOR VALERIE E
ENFIELD,CT 06082 165 GRAHAM ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REMOVE EXISTING SHINGLES. INSTALL ARCH. SHINGLES, ICE AND
WATER BARRIER,UNDERLAYMENT,RIDGE VENT,ETC.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH TIFE'APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
11/1/2013 3:11 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1600366 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 08/10/2016
GIS ID: 37500165 FEE: 45.00
MUNIS APPLICATION# 201601076 BUILDING DESCRIPTION:
APPLICANT' LOCATION
NAME: JEFF KELLOGG ADDRESS:' 165 GRAHAM ROAD
ADDRESS: 53 FRENCH ROAD OWNER: .TAYLOR VALERIE E
BOLTON,CT 06043;Y ,, ]65 GRAHAM ROAD
SOUTH WINDSOR,CT 06074
i T
DESCRIPTION OF WORK: REPLACE EXISTING 200 AMP SERVICE WITH NEW. INSTALL NEW SUB
PANELIN GARAGE.50 AM FEED IN 1FT.PVC PIPE' INSTALL
INTERLOCK AND 30 AMP INLET BOX FOR GENERATOR.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITII THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
8/10/2016 3:30 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE