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HomeMy WebLinkAbout178 SCOTT DR r 0 APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE) 860-644-2511 EXT. 230 DEPARTMENT DECISION Z07027 R'APPLICATION IS HEREBY: `} APPROVED: BLDG.PERMIT NUMBER: DATE INSPECTOR LOCATION OF WORK: ! 76, 1�e L`� APPLICANT: OWNER: TYPE OF STRUCTURE: & O ck / - NEW BUILDING NAME: J�a I C�hfl F1�c Z"�C C NAME: GKy JJY;Cct cx�L�f ❑ADDITION PHONE NUMBER: llf k7C r PHONE NUM 3ER:Q t -6 ISTING BUILDING ADDRESS:l �'l� Uk/6i' ADDRESS: ,y TYPE OF USE: Inn G l dRESIDENTLAL ❑COMMERCIAL ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK: TYPE OF INSTALLATION: 14,2 pole CY I /AJ i %F/�✓/_./�/�i<1/�/G SIZE OF SERVICE: SIZE OF MAIN SERVICE: NUMBER OF METERS: NUMBER OF PANELS: NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S /�'w NUMBER OF SWITCHES: c/ J NUMBER OF LIGHT FDCI JRES: FEE ENCLOSED:S NUMBER OF A/C CIRCUITS: 'j(t-L, cl t\-f r FEE SCHEDULE:SIB PER$1,000 OF THE ESTIMATED COST. NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS$1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS NUMBER OF OUTLETS: PART OF THE PER-NUT FEE) 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 PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.: ef TYPE: l STATE: SIGNATURE OF APPLICANT: DATE: , O 10/12/21,12:44 PM 06 74 Town of South Windsor Planning Department c~_D 1540 Sullivan Ave South Windsor, CT 06074 CJ Action Photography 28684 Home Occupations(Minor) 178 SCOTT DR South Windsor,CT 6074 • Location of Business:Basement • Business Description:Photography services,on-line sales only By receiving this p rmi, he a ipl n gives consent to searches and inspections as required and shall operate in accordance with the regulations of the South Windsor Zoning-egulations. &I.J. G. OAS j A. October 12,2021 Pamela Oliva,Zoning Enforcement Officer DATE SIGNED *`*PERMIT ONLY VALID IF SIGNED BY ZONING OFFICIAL*** 1/1 e P Home Occupation Information and Application Form t) �cf Minor Approved t�a�rG(r],�,. Date 10 31 ASSESSOR'S USE ONLY $25 fee o Major Zoning Fee: $ 4c'.00 Home Occupation Type $360 fee Munis Application Code Applicant Name: DBA: `'c� J�.t ha�u LL hr- r Address of Proposed Occupation: 17 Telephone: VU v—79 8--5'Z-S—I Zone: Property Owners Name: ( UrC.�i� aQelL rn pf— b"J: s NOTE: In DRZ and MF zones only minor home occupations are allowed.Approval letter from homeowners association is required. Description of Home Occupation: 'le dES OV1111 ! 0 C i, 4 Please use the boxes below or an attached sheet to provide the following: 1. Attach copy of plot plan if available Box A: PROPOSED SIGN 2. Use Box A(or attach sketch)to draw proposed signage(limit 1 sign,2 sq ft area) 3. Use Box B(or attach sketch)to draw the floor plan of the Home Occupation area o %et✓1 4. Provide Architectural Elevations for any proposed additions or modifications FLOOR PLAN (Basement _ I'floor _2°d floor) 1. Floor area of dwelling —60 U 2. Floor area of home occupation 3. %of floor area devoted to home occupation Box B: FLOOR PLAN Omf'?, 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 new location. Signature of Applicant Date JIL I-Q PRINT Name of Applicant Ai ne.14 3. lknl'') Signature of Owner Date /0 z2 PRINT Name of Owner (' �', 1 pyu� Revised 6115118 r 4-A tR, o o o � N N Ifs N 43'2 ap i I I so 00 S G O"T T o U-.-, LOT #134, "BIRCH HILL �S`PATES" , SECTION #7 TOWN OF SOUTH WINDSOR, CONNECTICUT SCALE : 1" = 50 ' 43.,E r NR.,ISY �,t�SCN o 0 0 N N G4' r `v 43�T -ao f ISO 00 SCOTT % -T p ;.—?% � LOT #134 . "BIRCH HILL ESTATES" . SECTION �7 TOWN OF SOUTH WINDSOR , CONNECTICUT SCALE t 1" = 50 ' BUILDING PERMIT.-? STATE OF CONNECTICUT WORKERS' COMPENSATION COMI USSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat. §31-286b) Property located at Soo al-- In the town of i vt d S o/— Name of building permit applicant: Please check one: 1. I am the owner of the above property. 2._L/I am the sole proprietor of a business. 2A.Name of business C-ed 213.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] Signature of applicant 21 /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. — 0,_ei_ Si0aivre of applicant Subscribed and sworn to before me this/Q�4day of g, 200� (Notary Public/Commissioner of the Superior Court) Electric# APPLICATION FOR BUILDING PERMIT Plumbing# Date: HVAC # Sprinkler FINAL# P Estimated Cost $ Permit Fee $ err Butldi4l Ob COMPLETE RED BOXED AREAS Occupancy Fee $ Enginee TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDE Appr. for CO. Total Fee $ TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant �r,H" f I ij I Location of Work f- 5 0 n 1)/,-- Lot No. Applicant's Address 1-l our,-11w K k2 I C/ / Tel.# Town S , w i 1-7 6/sc/,— Zip D 4r o 71/ Lic.# Owner F✓­i✓t 7<, /,o A 3 t i:Z-- Architect Owner's Address 7 g Sro Architect's Address S oy76, w h d S Z�/, Zip a o x/ Zip_ Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit e r i ' " — C % City ater❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date `� � Use Group Construction Typv_--- oil 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 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 Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-32432-B 6,500 B10 FINAL 11/08/06 JFF A 1800218 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 07/05/2018 GIS ID: 81600178 FEE: 18.00 MUNIS APPLICATION# 201801111 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: BEAUDOIN ELECTRIC LLC. ADDRESS: `178 SCOTT DRIVE ADDRESS: 195 MORT VINING OWNER: SITILIDES HARILAOS& SOUTHWICK,MA 0107T 178 SCOTT DRIVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL GFI IN 1 ST FLOOR BATHROOM INSTALL A CEILING FAN IN 4 BEDROOMS SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED THE B G DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILD AG OFFICIAL 7/5/2018 9:51 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE