HomeMy WebLinkAbout189 KELLY RD Electric# APPLICATION FOR BUILDING PERMIT .
Plumbing# Date: 0�1�3 300
HVAC # fig . Eelly Rd_
Sprinkler#
FINAL APPROVALS -- - a 3�fi�1- ---- - -- --- Estimated Cost
Building ! -_— --- --- Permit Fee $
COMPUTE RED BOXED AREAS Occupancy Fee $Engineering ! TYPE OR PRINT ONLY e $
Affidavit
pprJor CO. VZ I SIGN ON REVERSE SIDE
y c1 - -- - - - - - ---- -- -- -- 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 •�< fr/ Location of Work / ` c � Lot No.
Applicant's Address l /2.,j - Tel.# j�'/# - -7 3y2
Town .So ,/-h Zips 71 Lic.#
Owner S�i m C gs Q/vv r- Architect
Owner's Address 5-ymc us gbd ve-- Architect's Address
Zip Zip
Sq. Ft. New Area: 1st Ff. 2nd FI. 3rd Ff. Total New Area
Purpose of this permit .Zo5 P, #t- -�- sfar✓�
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by Date Use Group Construction Type
Revised 8102
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 isaUowed_
Signed Z&-G ✓ � h
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 •
STATE OF CONNECTICUT
WORKERS'COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn.Gen.Stat. § 31-286b)
Property located at /�rI �-r l/Y
In the town of So,) t"D r
Name of building permit applicant:
Please check one:
1. I am the owner of the above property.
2._1 am the sole proprietor of a business.
2A.Name of business
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._1 do not intend to act as a general contractor or principal employer.
[Sign and stop here]
/ 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
1 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)
O1/09/2009 14:37 (TOWN OF SOUTH WINDSOR (PG
dayshelllpeart INSPECTION ENTRY piinsr
Location Type Dept Scheduled Performed By Result
------------------------------------------- ------------------------------ ----- ---------- ---------- ---- ----------------------------
189 KELLY ROAD WOOD / GAS STOVE 1440 01/09/2009 ROSE N/A
189 KELLY ROAD FINAL 1440 02/22/2007 ROSE PASS
** END OF REPORT - Generated by Peart, Dayshell **
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PROPERTY OF
.f r
N0. KELLY 'ROAD. SOUTH WINDSORx CONN.
Being Lot No. 72 on map entitled vMap of HIGH FARMS Kelly Road
South Windsor, Conn. Property of Edward, Joseph & William Kelly
Subdividers Robert Stone & Jack Goldberg Scale lu — 50 '
April 61 1959 Hayden L. Griswold C. E. Sheet 1 of 21Rev. Jan. 8, 1963 ;
to show change of building lines ." $`
Scale 1" = 50 �
.r
HAYDEN L. GRISWOLD C.E.
j hereby this.map to be .
suWantialiy- correct' and that no
i fr<
- zoning regulations'are viotated. •�•�//�� //��' '?•
CERTIFICATION OF ZONING COMPLIANCE JUN 1 5 199I
11
Proposed building(s), use(s) and/or structures; South Windsor
as shown on this plan appear(s) to be i:l BUILDING DEPARTMENT
conformance with current South Wind.
regulations. Variances and special exceptioi
may apply.
Date (O
Enf ment Officer
/^ TO THE BUILDING DEPT. TOWN OF SOUTH WINDS01,
2 �,4 al,- 5r"—Ic1 �OiJ / This certified that this plan and specifications are Vw
I copies of the proposed building or alterations to be
erected at
together with amendn ents stated In application �^
filed with plan and 1 agree to comply with all "onint
Building and state laws and such orders as shall o.
issued by the Building Department during pendsncv
of this application and final issuance of • Id
inr
permit.
Signed
This plan is approv,.d subject to the condition that
orders and ordinances regulating building snail b1
complied with.
[Conditionally ApproVedDate
Those tiled with
OWN
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PROPERTY OF
NO . KELLY ROAD SOUTH WINDSOR, CONN .
Being Lot No . 72 on rap entitled "Map of HIGH FARMS Kelly Road
South Windsor, Conn . Property of Edward, Joseph & William Kelly
Subdividers Robert Stone & Jack Goldberg Scale 1" = 50 '
April 6, 1959 Hayden L. Griswold C. E . Sheet 1 of 2,Rev . Jan. 82 1963
to show change of building lines ."
Scale 1 " - 501
HAYDF.N L. GRISWOLD C . E.
I hereby coAty this man to be
1603tantially correct and that nc
zoning regulations arP Violated.
w c_
I
INSPECTION FIELD SHEET 07/28/21
Printed by Middleton, Morgan 10 33 06
INSPECTION: 323 WOOD / GAS STOVE PERMIT:
STATUS:
APPLICATION: 200700078
LOC: 189 KELLY ROAD
SOUTH WINDSOR
PROPERTY ID: 49500189
OWNER: BRITTON WALTER J & KIM M
CONTRACTOR:
REQUEST BY:
PROJ DESC: !INSTALL PELLET STOVE_ __46
WORK ORDER:
INSPECTOR: ROSE RESULT: N/A
REQUESTED: PRIORITY:
SCHEDULED: COMPLETED: 01/09/09
UNPAID FEES 00 Date Time
MILEAGE: .00 TIME: TRAVEL ONSITE
COMMENTS:
ALL INSPECTIONS:
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
*02/.22/07 ROSE,_air PASS-:.<.> . :-iBO10:—_FINAL-%
CLEARANCES OK .QUERIED TERMINATION, BUT NOT A PROBLEM AT TIME OF USE
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# _
t HVAC# I Date: v
Sprinkler# 19 -700 Estimated Cost $ Q
FINAL APPROVALS
Building y COMPLETE RED BOXED AREAS Permit Fee $
Engineering _ Occupancy Fee $
Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $
Appr.forCO. ► SIGN ON REVERSE SIDE / 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 74, ci Location of Work / Ss' 7 C L / Lot No.
Applicant's Address Tel # SSG G_324 =j4' 77
Town . u-i.v jQ S 6 A, Zip U 7 Lic.#6 S 11
Owner rry -j Architect
Owner's Address /Y Architect's Address
S- ..'Osa lZ c't Zip 04,6 -7<< Zip
Sq. Ft. New Area: 1 st Fl. 2nd FI. 3rd FI. Total New Area
Purpose of this permit '�FA R eel, Zo S L-A.14
/0 N L 4,i " 67te c i iv w
City Water J Well J Septic System J Sewer J
Ins: HO SP Cert. 1 Area Basement Garage
Approved by Date a G-! Use Group�Construction Type
ail 9oa34s 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^this buildi and its us alloweal.
JU
Signed/
I hereby apply for a Certificate 6�2ancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
INSPECTION FIELD SHEET 04/12/22
Printed by Middleton, Morgan 14 02 33
INSPECTION: 122828 FINAL PERMIT:
STATUS:
APPLICATION: 201902345
LOC: 189 KELLY ROAD
SOUTH WINDSOR
PROPERTY ID: 49500189
OWNER: BRITTON WALTER J & KIM M
CONTRACTOR:
REQUEST BY:
PROJ DESC: REMOVE AND REPLACE ROOF, APPLY ICE AND WATER SHIELD, SYNTHET
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: PRIORITY:
SCHEDULED: 11/08/19 COMPLETED: 11/08/19
UNPAID FEES: 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
� r
INSPECTION FIELD SHEET 04/12/22
Printed by Middleton, Morgan 14 09 05
INSPECTION: 122828 FINAL PERMIT:
STATUS:
APPLICATION: 201902345
LOC: 189 KELLY ROAD
SOUTH WINDSOR
PROPERTY ID: 49500189
OWNER: BRITTON WALTER J & KIM M
CONTRACTOR:
REQUEST BY:
PROJ DESC: REMOVE AND REPLACE ROOF, APPLY ICE AND WATER SHIELD, SYNTHET
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: PRIORITY:
SCHEDULED: 11/08/19 COMPLETED: 11/08/19
UNPAID FEES 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS
1900789 ,
PERMIT NUMBER BUILDING PERMIT
DATE: 10/17/2019
GIS ID:49500189 FEE: 162.00
MUNIS APPLICATION# 201902345 BUILDING DESCRIPTION:
APPLICANT.",- LOCATION
NAME: JULIEN'S ROOFING ADDRESS: 189 KELLY ROAD
ADDRESS: 453 FOSTER ST .';,A OWNER: BRITTON WALTER J&KIM M
189 KELLY ROAD
SOUTH WINDSOR;CT 06074
DESCRIPTION OF WORK: REMOVE AND REPLACE ROOF,APPLY ICE AND WATER SHIELD,SYNTHET
IC.PAPER,DRIP AND RAKE,AND RIDGE VENT '
a
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
10/17/2019 8:29 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1900579 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 08/02/2019
GIS ID:49500189 FEE: 108.00
MUNIS APPLICATION# 201901605 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: WALTER BRITTON ADDRESS: 189 KELLY ROAD
ADDRESS: 189 KELLY RD r OWNER: BRITTON WALTER J&KIM M
189 KELLY ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL VINYL SIDING
b"
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
8/2/20I9 9:08 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1900579 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 08/02/2019
GIS ID:49500189 FEE: 108.00
MUNIS APPLICATION# 201901605 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: WALTER BRITTON ADDRESS: 189 KELLY ROAD
ADDRESS: 189 KELLY RD OWNER: BRITTON WALTER J&KIM M
189 KELLY ROAD
SOUTH WINDSOR,CT,06074
DESCRIPTION OF WORK: INSTALL 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
8/2/2019 9:08 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE