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Home My WebLink About168 PINE TREE LN APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT . AP g O 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE 6 8 Location of Job: $0-$1,000=$15.00 /. X 7/c ee- 6,,t Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT �— 0 h�T'V ��r/J A— APPLICANT ADDRESS UT-/f wtiDS�ti ` I APPLICANT'S PHONE# S-4 8 C>/S OW N Sf OWNER -r, .-Yl SA ( o /3 OWNER ADDRESS j t o Pi ve- T/'ee-- Lsf u-- SOOT-# O V07 ? C * J OWNER PHONE d _ C ESTIMATED COST$ U IS THIS A CONTRACT CO es No FEE ENCLOSED$ 3 0, i vp TYPE OF JOB: � � 1 ,� �SO R•C0� New 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 VRESIDENTIAL CANT USE AND OCCUPANCY $ -v j (� Fi'ry),�• ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY e,1*7 i(/w ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD /C z SIZE OF SERVICE /�3 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/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK CG, 0-^/At o2-1 Fuse- fox To pig-ACC, tin q wtt SL OU i r—dlJ �-i nn c TC2 if-6 % &)-2L)J i2v� -8001)P COO wl-rrk � �c- c\9 u/PV L j !� J G- � �� ✓ 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 _ SK 7J-7 151 C 7— CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT /i�� DATE aYk- ber'tq ��2 Mane✓ Q-�,deel �,m -� ��, 41 APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Applica is hereby: BUILDING DEPARTMENT PRO AP 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Over$1,000= Street Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designari Apt.No. APPLICANT `� f S GL C 9 APPLICANT ADDRESS I I'm J ob a�x - APPLICANT'S PHONE# re OWNER 0 2om on vn� ( p) OWNER ADDRESS 76 OWNER PHONE C ESTIMATED COST$ r n(v U IS THIS A CONTRACT COST? Yes - FEE ENCLOSED$ ' CLk�� 1 W. I ° Cr TYPE OF JOB: ✓� �SOR•C0� New Installation -41Alteration/Addition/Repair o l C/ Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDIN IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑ NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ 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/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DES PTION OF WORK �ee THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES ND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR- MANCE OF SUCH WORK CONTRACTORS CENSE YPE STATE SIGNATURE OF APP ICANT DATE Z �- DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPR VE 1540 SULLIVAN AVENUE 11• 644-2511 EXT.230 Bldg.Permit# (Date) (Buildi g Inspector) Application must be printed or typed FEE SCHEDULE Location of Job:e �QP � - $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 I fV�- ` A-Q6 0 APPLICANT ADDRESS D i APPLICANT PHONE# �� OW N SF OWNER ` �!Y\` '�C-OIO OWNER ADDRESS 1 �� P ll�Q, b-n—Q Cam► O # OWNER PHONE 4 0�944- ESTIMATED COST $ * V IS THIS A CONTRACT COST? YES NO FEE ENCLOSED$ 1 1� TYPE OF JOB: �`SOR- 0 X New Installation Alteration/Addition Repair 4al� s3 Revised 12/22/11 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A O RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑ NO O BUSINESS CURRENT USE AND OCCUPANCY O ASSEMBLY O MERCANTILE O EDUCATIONAL FUTURE USE AND OCCUPANCY O FACTORY O STORAGE ENGINEER'S NAME PHONE O GARAGE O MIXED USE ADDRESS (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO.OF TOILETS Z STYLE ��`e� NO. URINALS STYLE St,1 fu c2 We t�s Slrv�n.c�►�S NO. OF BATH BS NO. OF SHOWERS NO. OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND y� ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW DYES O NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK 2 v�n►o h.v, 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. CONTRACTORS LICE TYPE STATE SIGNATURE OF APPLIC DATE L South Windsor Online Property Viewer 7/3/2008 168 Pine Tree Lane 1 J-- E p LO cv Ir— i t o0 rrpT i �.- eau �c.'� ;i-��a�,fr• . . .,,��,� J � r onto Tlu f r i 0 0 40LO , ti feet t Property Information 'oW r s"4r Property ID 72300168 �} li Location 168 PINE TREE LANE , { A ,y t�OSUH-t 111 t MAP FOR REFERENCE ONLY NOT A LEGAL DOCUMENT [h . This data set/map is for planning purposes only and should not be used for larger scale analysis.The Town of South Windsor shall not be held liable for any use of the data or e ',Y - w images shown on this map,nor is an warrantyof amor C ti { ' expressed.All uses of this data settmap are subject to field venficalion. tr. 1'•�� R•:.1:.. �. uG't. G•:6�t ;i sY►'r. r;nG�VA :, ..rt1s1�.0 tt.+t U•,te pan ar.� syaWfit�itl�-'U n's .Na c r,f e• A the Pcop.rscK! YuMaing or a csratk^rn co pa 1/11/lI��I�1YnV M Z`6 tt"'k-tthbfYWitt, amendmorta 'fat.j In Qpplt(.allol s•C v n pp tt!-•n With p,^r� and agry to comply with A" to^tnR JUL 3 `00 L "ding atw statz laws and such orda•s as ahaa qs rnsuad Cry thee But ttling Department dw1r� pgr,!ency South Windsor this applicatlon and final issuanaa of a building permk BUILDING DEPARTMENT /jam s+�n� I* approved •uhWct ^c thr uInGlit�n .hat _o arh�+ orAUrences roguia t+ng bultding she I bf - • r-d wrth ' t�Da•'Y epMauA 1rsf *ietl with �t.�i•i•,g �naprctor Clata' moo. CERTIFICATION OF ZONING COMPLIANCE Proposed building(s), use(s) an?' .. structures) as shown on this plan to be in current .::t V�'i,-•dsor con'. _"e with reg, ,. Varian • s %and/s mp,r ' v atD m �O�f c� ^r nin nforceent fe�c�� Electric # 168 PinAPPLICATION FOR BUILDING PERMIT Plumbing# Tree Land Date: HVAC # 8 0 0 3 1i 9 Sprinkler# 1 FINAL APPROVALS - - Estimated Cost '$ Building COMPLETE RED BOXED AREAS Permit Fee $ 32 Engineering � TYPE OR PRINT ONLY � � Eng.Occupancy Insp. Fee $ !O Affidavit SIGN ON REVERSE SIDE A r. for CO. pp - -- — — — - ----- - Total Fee $ TO THE BUILDING PARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: - -�N0 Applicant RiA �a � �� Location of Work � TRI& Lot No.� 'Q LLC Applicant's Address /gig L'1� re-E-� cl Tel.# Town <z u r z <,y,d,Oa z Zip C 6(7 Y Lic.# Owner Architect Owners Address - ' ? L Architect's Address zip C,4,(=lr Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit ��, n� r-.�� —��T _14,� LE g itAi (L 24y - 6A,1Ac ✓J w eG ,�_ ti��-- !� �ssf �iP , �' ,� �� •l-�eriT F City Watero Wello Septic Systemo Sewero Ins: HO Cert. Area Basement Garage Approved b4� Date - Use GroupG� Construction Type .� Revised 8/02 �a�- I hereby agree to conform to all the requirements of the Laws of the State of Conner:ticut and the Ordinances of the Town of South Windsor and to notify the Building Inspector of any alteration in the plans or�,;)ecifications of the Building for which this permit is asked,and agree that this building is to be located the proper distance fror all street lines,side yard lines,and required distances from all other zones and is located in which this building and its useis alk-aed. Signed � .� .t�—�'� 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 5CC)a� STATE OF CONNECTICUT WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat. §31-286b) Property located at 6�.&V�: =K,�F E- 4wc In the town of S D&Pt 1/�1 oil ; G Name of building permit applicant: 4 21&Z t Please check one: 1. -am the owner of the above property. 2._I am the sole proprietor of a business. 2A.Name of business /fit' 11,bM F- 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 check one: 1._I do not intend to act as a general contractor or principal employer. [Sign and stop here] g","l- e,,Z� 7� Signature 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. P-&Vz Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court) DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR 1 10 001y BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# D to Auilding Inspector Application must be printed or typed FEE SCHEDULE Fi Location of Job: $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT A C E eCfn C d APPLICANT ADDRES 7 L L1�—z t 6 l?1) � Lj Ss W, V,-Z v7 0 fz APPLICANT PHONE# 21l 0— Z FZ — -7 y� O W N S F,q OWNER ��_ n V/ ,5-7— 12 cl !/d OWNER ADDRESS / �A� A// OWNER PHONE g6O— �/ 5�� C ESTIMATED COST$ O�. 11 Z, IS THIS A CONTRACT COST? __Yes o L� �G FEE ENCLOSED$ NO 5 TYPE OF JOB: R C _ Installation s Alteration/Addition/Repair �I�d0683 i, Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? El YES 0 NO RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL U FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) /TYPE OF INSTALLATION/WIRING METHOD S l' /7 V l F Nej f e,- SIZE OF SERVICE I D Cl SIZE OF MAIN CONDUCTORS �_� /i/,k ---7 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. �� Miancy C�// ,2 r DESCRIPTION OF WORK 1 / �u5 �on eiz 0/h/R Rea f Crrrrc Dawn/ A,,v41 7�oak ou r 7-We /Yf{ 1/' SdG/c,cT .Sr/'111c CAf7l 12u[ To 5-iYdV GoQcr , (' L � P D,5e1)ri 4-ec- C) we_, , WG /415// 11,PC/ /4iCk/ Seg"'aice Ci f r -s 4 ,ct4-/ Xeke,7 Jel clue / i T i'G� L Cca�•��t�`p THE UNDERSfGNED HEREBY AP LIES 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. /, CONTRACTORS LICENSE N TYPE STATE G SIGNATURE OF APPLICANT DATE 1400498 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 12/22/2014 GIS ID:72300168 FEE: 30.00 MUNIS APPLICATION# 201401770 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: TAYLOR ELECTRIC ADDRESS: 168 PINE TREE LANE ADDRESS: 438 PLEASANT VALLEY ROAD OWNER: DUVAL ERNEST R&JOAN M SOUTH WINDSOR,CT 06074 168 PINE TREE LANE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: CHANGE OUT FUSE BOX TO 100 AMP PANEL AND CHANGE 2 SEU OUT FROM METER. ADD GROUND ROD AND BOND COLD WATER PIPE.CHANGE OUT DEVICES—MICROWAVE CIRCUIT DISPOSAL CIRCUIT,REFEED BASEMENT OUTLET,ADD GFCI IN BASEMENT,AND CHANGE OUT cuIrrf'uvc 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 12/22/2014 4:01 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1100014 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 02/04/11 GIS ID: 72300168 FEE: 15.00 MUNIS APPLICATION# 201100083 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ACE ELECTRIC CO _ ADDRESS: 168 PINE TREE LANE ADDRESS: 51 EDWIN RD OWNER: DUVAL ERNEST R&JOAN M SOUTH WINDSOR,CT 06074 168 PINE TREE LANE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: CARPORT CAME DOWN AND TOOK OUT THE METER SOCKET AND SERVICE CABLE DUE TO SNOW LOAD. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION_AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: All OCCUPANCY GROUP: FICIAL 2/4/2011 12:47 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1400538 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 11/26/2014 GIS ID:72300168 FEE: 15.00 MUNIS APPLICATION# 201401653 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: TIMOTHY JACOB ADDRESS: 168 PINE TREE LANE ADDRESS: 89 OLD KENNEDY ROAD. OWNER: DUVAL ERNEST R&JOAN M WINDSOR,CT 06095,- 168 PINE TREE LANE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: TWO NEW TOILETS AND TWO NEW VANITIES. NEW SINK IN KITCHEN. r, 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 11/26/2014 12:51 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE