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HomeMy WebLinkAbout20 HERMAN WAY APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 1 q Uc�1477 APPR 1540 SULLIVAN AVENUE j 644-2511 ext. 230 Bldg.Permit# Date Building Inspect6r Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 l/J GC Over$1,000= F�Str4eetNo. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT'S PHONE# —per OW OWNER N S£q� OWNER ADDRESS C OWNER PHONE C � ESTIMATED COST$ ►,1 i` � IS THIS A CONTRACT COST? Yes No VA FEE ENCLOSED$ %D Yj TYPE OF JOB: -41(Q 100 �,� OR91co �Nrew 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 ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESSY El GARAGE / ❑ Y � >' MIXED USE CITY STATE G. ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD, ,�MY�`? 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 92 CONTRACTORS LICENSE NO. yTYPE STATE SIGNATURE OFAPPLICANT_ � �; � %� DATE Lot numbers refer to map entitled "Plot Plan Property of Land Development Co. , South Windsor, Connecticut , Sheet 1 of 1. Scale 1" = 401 , March 1966 , Morton S . Fine & Assoc . " i I I f r ioe o0 U � o o p /O r o ry N z1 d n U o O Proposed Layout T. Estate Contractors Co . , Inc . * Herman Way I hereby certify that this ~E :+a �o�s South Windsor, Conn . map is substantially correct and no zoning regulations SWE " ' S/31/6 6 ave been violated. / r CH, CONti. /�� �:. �✓�-ewer Zr wia'1wM.2ca4v�r-_w.f_.�.�.gas.a-..�._s .._w��a.i..-+�w+.r.._.i4V�n�c:�nr+s�..1a.�.�..a.[i.✓�Ts....�_+-�_.s�v�oc alL>':RL.'�.r�.�i.M��af��.S.*a-=:Vrn�:r�Vintw.'s.i�l Lass-�ic^�4-�-�.-�+�.....�_��t�-��.Mi..:r�4J��1✓w�x'Tin���r�.`�.� t Town of South Windsor 1540 SULLIVAN AVENUE&bull; SOUTH WINDSOR,CT 06074 1 TELEPHONE(860)337-6173 f j i June 16,2020 ADAM BERGERON 20 HERMAN WAY South Windsor,CT 06074 B-100 Application Street address: 20 HERMAN WAY Town:South Windsor, CT 06074 Dear ADAM BERGERON: On May 29,2020 this department received an application proposing a(n)Above ground pool addition on the property listed above.Based on the information provided and paperwork in our files this request has been approved under the following conditions: Maintain a minimum feet distance from the existing.mptic tanks and leach fields from the p1Qposed addition. Approval is being granted under Section 19-13-B100a of the CT Public Health Code.This approval is given with the understanding that you will provide proper care and maintenance of the existing system(the septic tank is to be pumped every 3 years). THE OWNER IS RESPONSIBLE TO SEEK PROPER AUTHORIZATION FROM ALL TOWN AGENCIES PRIOR TO START OF CONSTRUCTION. Should you have any questions, please do not hesitate to contact this office at 860- 337-6182. Sincerely, Melissa Pierce Environmental Health Specialist CC:Town of South Windsor Building Department i Lot numbers refer to map entitled "Plot Plan Property of Land Development Co. , South Windsor, Connecticut, Sheet j 1 of 19 Scale 1" = 4011 !arch 1966, Morton S. Fine 6 Assoc." i i i I �ti io8.00 06 Shp+:(. iaolk < 9 ` ~ 0 Q o �1 /© L ry 14.0 IN 0 ".••' ,-� Proposed Layout V% Estate Contractors Co. , Inc. Uerman Way I hereby certify that this 'r� rays � � South di:dsor, Conn. MAP iS subitantially correct ty #rm'sjvi o and no zoning regulations °a eumt�� SCAM n • i-D' 6/31/66 --have been violated. Y Y ' E.u-L/.yS0 IN. to iNE flCi It�l�b DP?'!. EC►tDfA CTf 4C"ti'.ti 47i.�ilSid This ce"Ifi.:d that this pian and epecifkatWns are W Gv"" of the proposed tMilding or alterations to b@ erected at ,20 together I-. avpllc�tlon ar filed wit!. I ..ith all zor•in1 Butldlnt, r5 as ch.11 r:, Issued t, •.gyring pendcnc of this -•i ...nca of a building permit. Signed This plan i•_ rnndltlon tl-a! ordrrs :,.c r .,:Il a.ng shall be co,.,!I f - t1� Condrtionully 1,pprnud These filed with 6ullding tnsp,ztor CERTIFICATION OF ZONING COMPLIANCE rla. Proposed buildirQ(s), use(s) and/or struoture(s) as shown on this plan appear(s)to be in conformance with current Soulh Windsor regulations. Variances and special oxceptionc may apply. Dlotio wr►� � U U Zoning Enforcement Officer �i X fb c6c✓v q�ruvn� �C+J 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 PERMIT NUMBER: APPLICATION IS `fin /-7 6 APPR�rD o[[J 1, � BLDG.PERMIT NUMBER: DATEJBIPECTolu- LOCA17ION OF WORK: 'o APPLICANT: OWNER: TYPE OF STRUCTURE: /I\\ ❑NEW BUILDING NAME: ❑ADDITION PHONE NUMBER Y 6 0 ck`)`I `i U 3 0 PHONE NUMBER: f V) C11-M/10 3 0 V E=TlNG BUILDING ADDRESS: ADDRESS: ' TYPE OF USE: ZPSIDEIITIAL ❑COM1voac AL ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK: �= TYPE OF INSTALLATION:_ d l i,'}�z f P A c` E71,}Q r i�� � -f �ic ' a., SIZE OF SERVICE: Air n i u.yk LAAJ f" -I ro l,—J r SIZE OF MAIN SERVICE: ,1-c,U�� NUMBER OF METERS: — NUMBER OF PANELS: N NUMBER OF LIGHT CIRCUITS: Iv�� ESTIMATED COST:S S NUMBER OF SWITCHES: /y f NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:$ NUMBER OF A/C CIRCUITS: U2 L=NUNMEpR=0=FPOWER CIRCUITS: v, ,� s FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECTIS$1.00 OVER, (.26 CENT EDUCATIONAL FEE!!Y UDEDAS OF OUTLETS: c,lk Aj f,-1 c PART OF THE PERMIT FEE) THE UNDERSIGNED NEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNE =BUILDING CODES IN THE PERFOMANCE OF SUCH WORK CONTRACTORS LICENSE NO.: �w 1' ' O I/AJ `vypE: STATE: SIGNATURE OF APPLICANT: z l ./— DATE: Lot numbers refer to map entitled "Plot Plan Property of Land Development Co. , South 'Windsor, Connacticut , Sheet 1 of i, Scale 1't = 3 t ) Parch 19669 Horton S . Pine i Assoc . " Oc 1 , n, N a Ro fr V.Ayo.GO � tip ..C) �.�• , }� ';i 1� a •�Tj.� '�., ?2'o osed Layo-t .. :_•,-_:� �ij `. Lstata CoatraCtors Co , , Inc, ar.nan .jay •.ercify that triis r:: t, ,f ._7 - i:dsor , Conn I9 3 it t and zw zoning Yeg!i";Atjon3 ':. �;�• tl�R'ff��°� J1',��'i �t9 -,nay9 L`:'i'f: vic L4irL'as lY�+ e#aip, ` CH, CCtiv, Electric #_ APPLICATION FOR BUILDING PERMIT Plumbing# 20 Herman Way HVAC# 900421 Date: Sprinkler# Estimated Cost $ le,ck�!>U FINAL APPROVALS Permit Fee $ q D Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDE t Appr.for CO. Total Fee $ q U TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant PLt ocation of Work Lot No. Applicant's `A1ddress Tel 0 a Qq Town U Q rnU r1 Zip (9(e Lic.# Owner Architect Owner's Address 0(rW Lir-W Architect's Address Zip Zip Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area JV Purpose of this permit � M Y City Water❑ Well 0 Septic System 0 Sewer❑ Ins: HO rtT Area Basement Garage Approved by Use Group Construction Type ,1� I(�� 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 building its u is Ilo ed. Signed I hereby apply for a Certificate of Occupancy he work describe this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 02/03/21 , Printed by Middleton, Morgan 10 10 08 INSPECTION: 26425 FINAL PERMIT: STATUS: APPLICATION: 200901155 LOC: 20 HERMAN WAY SOUTH WINDSOR PROPERTY ID: 41700020 OWNER: EASTER JESSICA CONTRACTOR: REQUEST BY: PROJ DESC: ADD AND REPAIR ROOF WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 10/06/09 PRIORITY: SCHEDULED: 10/13/09 AM COMPLETED: 10/14/09 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: BRIAN ® 860-682-5993 Electric # APPLICATION FOR BUILDING PERMIT PlAumbiug# 20 Hermon Way Date: O HVAC # Sprinkler FINAL APPROVALS — - -- --j Estimated Cost $ � yJ Building [070"' SIGN PLETE RED BOXED AREAS ' Permit Fee $ J EngineeringOccupancy Fee $ TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit ON REVERSE SIDE Appr. for CO. — ---- - - -- - - - — Total Fee $_ J_t-z.-_ TO THE BUILDING DEPARTMENT,'TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant `�^,'-��►C ��w�j}eC- Location of Wor �t N A- Lot No. Applicant's Address 2-0ex�n W� 1 Tef.# LP 41$�i Town Zip Ole O '� Lic.# Owner gam,_ n Architect Owner's Address Architect's Address Zip Zip Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit �r��rlrpv. - �c�ke C�Y�ICLC �`c City Water Well❑ Septic System Sewer❑ Ins: HO Cert. Area Basemeot Garage Approved by Date 1 1-96 10 Use Group _ 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 i to be located the pr distance from all street lines,side vard lines,and required distances from all other zones and is located iich this building ndPii(s use is allowed. Signed I hereby apply for a Certificate of pancy for thew ribed in this application for the Kermit. Signed -- DO T WRITE BELOW THIS LINE INSPECTION COMMENTS - ,V() -'Q ` Gs2sx., 3 BUILDING PERMIT STATE OF CONNECTICUT WORKERS'COMPENSATION CONIlVIISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen. Stat. §31-286b) Property located at 2.0 q e-rfY%q n In the town of So v-+1 W-% f-I&O r Name of building permit applicant: SSA C F.C.s+p c- Please check one: 1.X 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(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.`V I do not intend to act as a general contractor or principal employer. 17 aIId stop h Signa o plicant 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. Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court) 1400477 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 12/05/2014 GIS ID:41700020 FEE: 30.00 MUNIS APPLICATION# 201401722 BUILDING DESCRIPTION: APPLICANT, LOCATION NAME: KURKER ELECTRIC INC: ,, . ADDRESS: 20 HERMAN WAY ADDRESS: P.O.BOX 380031 ref# ;a OWNER: BERGERON ADAM E& EAST HARTFORD,CT 06138 -20 HERMAN WAY r.^ i ' SOUTH WINDSOR,CT 06074 f $ DESCRIPTION OF WORK: REPLACE 100 AMP SERVICE TO 200 AMP. r . 1 CRS NO.'2445043 r SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLA1 S'APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 12/5/2014 11:00 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 2000170 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 06/17/2020 GIS ID:41700020 FEE: 18.00 MUNIS APPLICATION # 202000938 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: BERGERON ADAM E& ADDRESS: 20 HERMAN WAY ADDRESS: 20 HERMAN WAY OWNER: BERGERON ADAM E& 20 HERMAN WAY SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: ADD EXTERIOR OUTLET FOR POOL VIA UNDERGROUND CONDUIT SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH TI IE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 6/17/2020 8:35 AM TIIE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE