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Home My WebLink About190 BENEDICT DR APPLICATION FOR ELECTRICAL PERMIT _ DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APP O 1540 SULLIVAN AVENUE 644-2511.ext. 230 Bldg:Permit# Date Building Insp r g001 57 - Application mast be printed or typed FEE SCHEDULE n Location of Job: $041,000—.$15.00 L,U ,�rw p�cT �ij r ✓C= Over$1,000 a Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation . Apt.No. APPLICANT /'i t L lev n.t ci ti �,,�,� a,v Gt'Za 1'P�C APPLICANT ADDRESS Z 3 A�Ie7 U606 y APPLICANT'S PHONE# R O- Zo Z t!Z OW N St OWNER M,Ile OWNER ADDRESS O OWNER PHONE C ESTIMATED COST$ 70 0 U IS THIS A CONTRACT COSVt T? Yes Lel No FEE ENCLOSED$. S TYPE OF JOB: OF dS0 •CGS New Installation -LZAltemtion/Addition/Repair eA Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMITAPPLICATION? ❑ YES ❑NO RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INS11TUITONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CTTy STATE ZIP (Other please specify) TYPE OF INSTALLATION I WIRING METHOD. SIZE OF SERVICE SIZE OF MAIN CONDUCTORS .: NUMBERS OF METERS NUMBERS.OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? 0 YES (3 NO NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES. NUMBER OF OUTLETS NUMBER OFLIGHTFIXTURES NUMBER OF_HEATCIRCUITS NUMBER'OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK /t-�o✓� t..��E=3 ,�... .t�� Si�+2c�,��. fINJO � —,S'%lrZ �ti S>� .[ ' C3-)O/Cl tv"t/C e/ ,I c-z /ti /<<%. Soffit c�c� :•�. T�'t a�T/.��O-Cc@M T !1✓J O Sit t.ci.�C�l v lG•-t r3c rriA,c 0 ris9%,C c.cep TBE 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 CONTRACTORS LICENSE NO. T'YP STATE SIGNATURE OF APPLICANT DATE y 2SJ APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPROV 1540 SULLIVAN AVENUE Bldg.3oo�` Bldg. Permit it # 644-2511 ext. 230 '2ao Date Building Inspect Application must be printed or typed FEE SCHEDULE �y/�+� I� Location of Job: $0-$1,000=$15.00 190 eeoedt! 'j 1)2. Over$1,000= I Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt. No. APPLICANT -L I GI nn (�/wwyl CL�•y� io �1�C'�M�G APPLICANT ADDRESS APPLICANT'S PHONE # C� 77T y OWNER SOW N S fq< OWNER ADDRESS OWNER PHONE' i ESTIMATED COST$ l jC/Zj, Cy IS THIS A CONTRACT COST? Yes ttl No FEE ENCLOSED$ TYPE OF JOB: -3by y! Y ��SOR•CO�� 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 ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS 0 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. DESCRIPTION OF WORK 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 I�1- 6 S e 7- CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLI DATE (o/j� � Electric # 190 Benedict AP,PL,ICATION FOR BUILDING PERMIT Plumbing# 12000180 HVAC# Date: y 21 do/•z Sprinkler# Estimated Cost $S f5F,. FINAL APPROVALS Permit Fee $ go, Building COMPLETE RED BOXED AREAS Occupancy Fee $ /a . r Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.for CO. SIGN ON REVERSE SIDE A Total Fee $ zoo Tt- TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ Z35 The undersigned hereby applies to do work according to the following: Applicant jEiCllgel Location of Work I D r nc d r cf ✓i✓,e- 5W Lot No. Applicant's Address /90 Tel # 3.2 y Town S�x L w1r,&L) Zip 4(pd 7y Lic.# Owner m 16`►e-e-1 64 v m i e le- Architect 7 ner's Address ICQ 3e-ne 44(-� ,1 YI✓'ems Architect's Address %J f-k- W ,,d So✓ Zip 0Co07Y Zip Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd A. Total New Area Purpose of this permit IQZ J(a Y — now-Fwf n S _ City Water Well D Septic System ZI Sewer Gd a,00 cl Ins: HO V SP Cert. Area Basement Garage Approved by fnrDate Use Groin-j Construction Type —�— 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 which this eildirt d its use is allowed. Signed I hereby apply for a Certificate of Occuppplication for the permit. Signed /'1ancy escribed in this a DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS R_M IT C AND CGS 29-393 PLOT PL.AM SNOWIWq PROPERTY ol= JQSEr-" R RUSSO .Se. ^'• - />N l) ��/ IAltF'QEO h. QUSSO �ENEDICT DRIVE SoUTH SCtit_e- - C' aci 6ePT., 19 70 13'! t32 ' Zq � o r Ir 1p � 129 l29 C ISO 0 o� -Q I N I PROPOSEp.3O 510 116 ti9 1 N ExigTiwt�i � / r/ Not ISM r: 1 M 5. E N E CT nRIvE CEIZTIFIEO SUHST�NTt�sLtY CORRECT i iJ Ell CLI r� l' APR 11 I01 SOLAI I .✓li IUSof BUILDING DEPARTMENT ;q �a6oc�/k o CERTIFICATION OF ZONING COMPLIANCE Proposed building(s), use(s) and/or structure(s) as shown on this plan appears)to be in conformance with current South Windsor regulations. Variances and special exceptions may apply. Date _ - Wing E ement Officer PLOT PLAN SHOVVlFJq PROPERTY OFlilloc �/� JC�SEPN R RUSSO .Se. A \V II.ttF'REO A QUSSO �ENEOtC7 OR�yE Soc�TH ��ItIsOSoR. COI.i►1ECTtGU'j SG/sLC - 1" 40' -SEpT,, 1910 t'J3 R LU-rHEQ, L.S � P.E I r �32 r 81-�• N i • h 17 �I a Y >Y W 7 128 129 � t�0 0 o� N I 5�:�... PROPOSE•D.JI! I � ,ter+^•� N ExISTIN` r. ti , I 40 1 4 ..• 70:1 T::3y;•�. :1�i L. to►.% T=9o.9(0 8 ENE CT oP, E CERTiF►EO Sc�05T�t3T►�Ll�j CORRECT Oat ►tLY4;bi r•tI;C�T}�<:R-L;sis ,.E. �ti�r.. I�: D E C E � v E 0 AUG 3 0 7000- South Windsor BUILDING DEPARTMENT f0 ryE But""" 91P1 , tOWN Oi SPUfN WINllyus rhis ce"'Ned that this plan and copies a the p s�afiaatlon erectetltrOPOi� MiNtling or alterations So IGO together with amendments itres� flied with plan and t stated In application anc f wilding and agree to corn with all state laws and such orders Zoning, issued DY the duittlln as shay be of this aPPllcatlon nd inal jment during Dentlenct Permit. asuane* of a building �/�C�i(� Signed �%� L 'Chia p n orders Ind, ordinances subject to the tl otdanances re condition that complied with. golating buttdlnt $hall be ConditionallY Approved 7ltaaa fMed wltlt Building inspector oat* Clary CERTIFICATION OF ZONING Cf)MPLIANCE Prop")-! as cc in rE zm DaL,-- DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Applic re TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT ROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date (4ilding inspector Application must be printed or typed FEE SCHEDULE Location of Job: FTenantDesignatioin 8en ed ;Ck ►,�e. $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Apt.No. APPLICANT �—��c(��( v n't �l llal L-1—L APPLICANT ADDRESS 125 blie.n ips 1't SIYee A- L�l l i n o t-an . LT 04, APPLICANT PHONE# '?(0 U �oW N Sfq OWNER G. Ed�✓artl� OWNER ADDRESS l q 0 Be -,&d i D r1�16 OWNER PHONE a t� C ESTIMATED COST$ 34 0 a� IS THIS A CONTRACT COST? _Yes No FEE ENCLOSED$ U0 •bb TYPE OF JOB: R-c o New Installation ✓Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ® '/RESIDENTIAL BUILDING PERMIT APPLICATION? YES ❑NO ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FU PURE USE AND OCCUPANCY ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO.OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS 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 ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW O YES ❑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 Conotc,�-� q new &J A.;he-ex 4-o -CxU,5i- Nq 'Ptumb ni ��n f..� �Cac.'�✓ ��1'� T/�y�' f_Jt /�Gi'� v� TJ m iII G✓i it THE JNDERN16NED,HEREBY APPLIES FOR A PERNHT TO PERFORM HE WORK DESCRIBED AN57TT7— COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. Iq� Tk Cc�nnec.�►"tc c�- CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE C, ,0 I. PLOT PLAN SHOI-VfWJC _ PROPERT`! of JOSE R. G2US50 Se W"AlF RE-0 rah.. Russo e,,,E1yEDICT DQ�v6 SOUTH wiNOSoR, CO►JW&CT%cuZ Sc�Lt - 1" - 40* '-,-EPT 19-1CD R. LuTµ&Q, L -5 t P.E ' S�•0 ry Q7 6 •, )I 0 0 I r tl W � G C l29 ISO 0 o� 0 N I S� PROP4 SEp I �4q�caE 1� N EicIST�ti` F4 �OUS E ' _1p�_�`�- gvILO�N4 Li— w�G�✓ O. ' f \ 4 _ 12 \ L ` 70.1� r. 3S. 1 jo 9co M S 8ENED cT pRIvE CE{ZTIa1EO SUBSTA.IJTN LLY CORRECT Q 6lNMa LO L�JZNCQ L� � rE ce..�., 2E4 •Jo 422� •• . . Sit I �� 3e►nec+�c� 7r. -� .l Revised 4/01//2002 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSORaC� 3 i, BUILDING DEPARTMENT —� APPR VE 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Date Buildi pector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street :Lot No.Over$1,000= $15.00 per$1,000 __ _or any fraction thereof Tenant Designation A APPLICANT .&t c t l�G I�L�SZ-T71 Z APPLICANT ADDRESS 1 S- �1'�(-�1� -!�,% E L& 4, rzs C7 y�v� q APPLICANT PHONE# '7 7,/-) — e-�a 13 1C.014 N S t 4 OWNER s i I PI-A-) m,O t t xv� OWNER ADDRESS 7T b 1„„ OWNER PHONE 75 lLY C! ESTIMATED COST S 3� U U * IS THIS A CONTRACT COST? Iea No FEE ENCLOSED$ (, I d TYPE OF JOB: DSO R-C O N Installation Alteration/Addition/Repair APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED H A RESIDENTIAL BUILDING PERMIT APPLICATION?ASSOCIATED O NO 0 BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY 0 MERCANTILE FUTURE USE AND OCCUPANCY 0 EDUCATIONAL ❑INSTITUTIONAL 0 FACTORY ENGINEER'S NAME PHONE ❑ STORAGE 0 GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE_9, �OV Aq 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. 0,C 7/ /F"5 ST ,� L� C 7 CONTRACTORS LICENSE NO. TYPE SIGNATURE OF APPLICANT f < DATE U GNU Electric #' APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# �9 0 �2 t� i c �n V E__ Date: yV 1a I %-I Sprinkler# 1`7 u U 15 7 FIN�LIPW�L� Estimated Cost $ �OUG•C)C�Buildi _ COMPLETE RED BOXED AREAS Occupancy ncy Fee $ Engineerin TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit -Appr.for CO. ► SIGN ON REVERSE SIDE Total Fee $ �S TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) The undersigned hereby applies to do work according to the following: Applicant 00.•f S C_ Locationotwork 10iO BaneAJC-'F 1)ft1/t- Lot No. Applicant's Address 'a0 BC!Kc %S 1 "TC 1I%ama.. CT n(pc Tel # 23(,00-Ss9 -19 3 )i Town "ToA1Gn_d. CG'r Zip0(GC `1Zy Lic.# N%G C4PLA loZ,-k Owner ki c-V%A&1 GO-u*%if,e Architect Owner's Address k90 Dr• Architect's Address 5ga,10% yt,hrd-c-adar zip 0(RO,y Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit 4(- n C.IrQ n' )0&--'uJ M C3cn A n City Water J Well J Septic System J Sewer ] Un Ins: HO SP Cert. Area Basement Garage Approved by -c Date 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 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 hich this bUildinwh its use is allowed. I hereby apply for a Certificate of Occ ancy for the w sc ed in this application for the permit. ' I Signed - -- --- DO NOT WRITE BELOW THIS I E INSPECTION COMMENTS BUIWI}PG PBRI[I'r ( oat s STATE OF CON NBcn DT ' WORKERS'COMPENSATION CUMNSSION - Building Permit Attid mit for huperty Owaars or Shce Proprietors (Corm.Gar.Stat§31-286) haiwty located at In the town of_ �-In ,kN WA A 5,(1r Name of bw'lding permit applicant: 1Z P_C�c�S a-'S'+ f1S 1-,L C. Please check one: 1._I am the owner of the above property. 2..2�,_1 am die sole..popriewr of a basiaeaL U Name of business 2 C,, V n .! y n S X—- C• . ' SS 2B.Fodaal Employer Idian Number ......................................................................:.............. .............:.:....:...r:..... Pursuant to§31-ZW4"t.psoperty awner or sole proprietor[arla)iatmds to act as a gaueral ar 1?r mart'provide either a oartifiamr-- of waiau compensation x ae a`worst aofatisod a dai►it...stating that>a wr7l roquire pt+oof Of workers' compensatioI mtuaooa for all tbop unployed an tho job site in scomdow with this chapter" Plane check one 1._I do not iatmd to act as a general contactor or principal employer: Signal u of applicatat 2. I intand to act as-a gs w*conhsctw ar principal employer.Applicant must eidbr provide a c ati ice a of iymi rs'Omweasation insurance or sign the affidavit below. .....................................................:..................:....................................... .»:. .Ihievebyswearand'sucAdVAIMMrequlrspevofof wabms'oopupensdi.on iummuoe for every oonhaolor, or odier waft balms hehbe dagages in wWk ou do abate prapactyin womb=with tb wor erg a tin "Act-(amptef5W I vndastand drRt pursvtot>b 31-�75 G(3.5.,ofiiotrs of a oosposadoa sad partners in a ' part>iaship duct b beaoo�loded flair c�oRa_�shy fiG■G awaiiecw►1dt the- ' District 0 � - ----------ffieg and da a sole pr 11 h 2q a a business is not ieg1 h p l to hoe coverage unless be files his Signature of Subscnbod and sworn to befa a day of ;200 (Notary Public/Commissiosar of die Superior Cow) INSPECTION FIELD SHEET 08/11/17 Printed by Foreshaw, Dayshell 08 51 11 INSPECTION: 94151 FOOTING PERMIT: STATUS APPLICATION: 201700380 LOC: 190 BENEDICT DRIVE SOUTH WINDSOR PROPERTY ID: 09600190 OWNER: GAUTHIER MICHAEL R & LORRAINE & CONTRACTOR: REQUEST BY: PROJ DESC: INSTALL HEADER IN BEARING WALL TO CREATE OPENING BETWEEN WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 05/26/17 UNPAID FEES 00 Date Time MILEAGE 00 TIME: TRAVEL ONSITE COMMENTS ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 05/02/17 ROSE PASS B003 FRAMING (ROUGH) 05/02/17 ROSE PASS E003 ELECTRIC ROUGH CONTR. TO UPDATE SMOKE/CO DETECTORS 05/26/17 ROSE N/A P001 WATER HEATER REPLACEMENT 05/26/17 ROSE N/A P002 PLUMBING UNDERGROUND 05/26/17 ROSE N/A P003 PLUMBING ROUGH 05/26/17 ROSE N/A P004 PLUMBING GAS TEST 05/26/17 ROSE N/A B004 INSULATION 05/26/17 ROSE N/A B005 FIREPLACE / CHIMNEY 05/26/17 ROSE N/A B006 WOOD / GAS STOVE 05/26/17 ROSE N/A E001 ELECTRIC SERVICE 05/26/17 ROSE N/A E002 ELECTRIC UNDERGROUND 05/26/17 ROSE N/A B002 FOUNDATION 06/A1/17""-" FINAL"":'1 ;:��jj:.Q-860-559-9939 Electric+� 6 3 7 APPLICATION FOR BUILDING PERMIT Plumbing# 190 Benedict Drive Date: HVAC # Sprinkler# '_�O �-v� '� FINAL APPROVALS -- - —_--- Estimated Cost $ o�v F�- 9� - - - -- ---- Permit FeeBuilding PLETE RED BOXED AREAS Occupancy Fee $Engineering TYPE OR PRINT ONLY Eng. Insp. FeeAffidavit ON REVERSE SIDE Appr. for CO. o, _ _-- J Total Fee TO THE THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) g<zffL— The undersigned hereby applies to do work according to the following: Applicant f <<< Location of Work 170 J11 Lot No. Applicant's Address 3 i 111z e Tel.# f j--y�3-1 Town To « A-)a c T Zip o 6 0 k Y Lic.# . Owner eTLt L 19 v iy Architect Owner's Address/jo Architect's Address c�arti �-�•vy S��Z. G T Zip Zip Sq. Ft. New Area: 1st FI. -3Z 2nd FI, 3rd FI. Total New Area 3 Zc� Purpose of this permit A d D ie Ir'Nt NZge x f City Water❑ Well❑ Septic System❑ Sewer6.� Ins: HO SP Cert. (/ Area Basemenj Garage Approved by Date �l�'( Use Gro Construction Type Revised 6102 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 to ated the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in whic hi ildi a d its use is allowrd. Signed S�-/,��t iv t7t d c�/t v c Ju c c Oz Te--t ScH�vt%pt7Z �E�l3f I hereby apply for a Certificate of Occ ncy r the da"bed In Oft apple abw for the pem iL 11 Signed DO NOT WRITE BELOW THIS LINE D ( INSPECTION COMMENTS Ik,)j b Ce IVoid Ma�1 �-�- �� .� ' r�u Nor t13�t- A o 9- /a 13-,6—A �o� 1�c 1�o�-(�A IAA 7 M/2 Inspection / Approval Date By Appl Code Description --Due- Whom Code Comment ----------------------------- --------- --------------------- ••-30028-B 55,000 BO1 FOOTING 09/13/06 JFF A WITH CONTRACTOR JOHN NOTIFIED JOHN SEWER RELO CATION NEEDS ENGINEERS PERMIT AN APPROVAL B02 FOUNDATION 09/19/06 JFF A WITH OWNER AND CONTRACTOR NOTE SEWER LINE RELOCATED OK B05 FIREPLACE/CHIMNEY 12/19/06 JFF A WITH CONTRACTOR B05 FIREPLACE/CHIMNEY 12/19/06 JFF A WITH CONTRACTOR NOTE NEEDS TO CUT IN MAKE UP AIR B03 FRAMING (ROUGH) 01/03/07 MR D ADDITIONAL SUPPORT TO LVL FOR BOTH OPENINGS E03 ROUGH O1/03/07 MR A DISCUSSED WITH CONTR.& OWNER NEED FOR CO DETECTOR IN HALLWAY B03 FRAMING (ROUGH) 01/08/07 MR A RECHECK ON FRAMING B04 INSULATION O1/08/07 MR A B10 FINAL 01/02/09 MR D NEED GRASPABLE HANDRAIL/NEED HVAC PERMIT/ CALLED BLDER/DISCUSSED ABOVE B10 FINAL 02/25/09 MR A RECHECK 12000180 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 04/20/12 GIS ID:09600190 FEE: 90.00 MUNIS APPLICATION# 201200389 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: GAUTHIER MICHAEL R&LORRAINE& ADDRESS: 190 BENEDICT DRIVE ADDRESS: 190 BENEDICT DRIVE OWNER: GAUTHIER MICHAEL R&LORRAINE& SOUTH WINDSOR,CT 06074 129 190 BENEDICT DRIVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: 12 X 24 STORAGE BUILDING. SPECIAL CONDITIONS: t ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS'APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 4/20/2012 2:39 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700157 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 04/24/2017 GIS ID: 09600190 FEE: 45.00 MUNIS APPLICATION# 201700380 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: RG RENOVATIONS LLC. ADDRESS: 190 BENEDICT DRIVE ADDRESS: P.O.BOX 157 OWNER: GAUTHIER MICHAEL R&LORRAINE& TOLLAND,CT 06084 190 BENEDICT DRIVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL HEADER IN BEARING WALL TO CREATE OPENING BETWEEN LIVING ROOM AND KITCHEN. 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 4/24/2017 1:57 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1700115 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 05/04/2017 GIS ID:09600190 FEE: 15.00 MUNIS APPLICATION# 201700380 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ROMAN ELECTRIC w ADDRESS: 190 BENEDICT DRIVE ADDRESS: 23 KOZLEY ROAD _ OWNER: GAUTHIER MICHAEL R&LORRAINE& TOLLAND,CT 06084 190 BENEDICT DRIVE " SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: MOVE WIRES IN NEW STAIRWAY.ADD 2 5IN.RECESSED LIGHTS IN STAIRWAY. RECESSED IN KITCHEN.ADD SMOKE IN FRONT BEDROOM AND ADD SMOKE/CO COMBO IN BEDROOM HALLWAY. 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 5/4/2017 10:53 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1300275 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 06/13/2013 rY{0b GIS ID:09600190 �' - '" _` M, FEE: 30.00 MUNIS APPLICATION# 201200389 °`,, f.' 4 BUILDING DESCRIPTION: APPLICANT ' ;mry ..•t '` , ,# LOCATION NAME: COMPLETE ELECTRI01t f,. `� b . ADDRESS:N,190 BENEDICT DRIVE ADDRESS: 28 GAIL DRIVE ."< OWNER; GAIjTHIER MICHAEL R&LORRAINE& ELLINGTON,CT 06029� M190 BENEDICT DRIVE `J '+ tiryM` "`''SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: 12 X''24 STORAGE WIRE SHED. �ALS.O,WIREIEXISTING POOI:PUMP AND GROUND. REPLACE 200 SPECIAL CONDITIONS: '', '* w` "• ,s �" s ALL WORK TO BE DONE IN ACCORDANCI IWITH THE APPLICATION AND`pLANSyAPPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 6/13/2013 3:12 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE