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HomeMy WebLinkAbout20 HIGH TOWER DR APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN'OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 0 01 — APP O . 1540 SULLIVAN AVENUE Bldg:Permit# 644-2511.ext. 230 Date Building Inspector/. Application must be printed or typed FEE SCHEDULE Location of Job: $044000=$15.00 Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT R o b R APPLICANT ADDRESS ,jr APPLICANT'S PHONE# 7b3 D33 1 4r11 Y/(aJ - OWNER De b,brc 1%0W N S Fq� OWNER ADDRESS 1 O OWNER PHONE T C � ESTIMATED COST$ U IS THIS A CONTRACT COST? Yes No FEE ENCLOSED-$. / '9 # . ° TYPE OF JOB: 536 (, ds0R•COS New Installation Alteration/Addition/Repair V1V0537 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 ❑. ASSEMBLE' FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE. ❑ FACTORY O STORAGE ADDRESS ❑ GARAGE . ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE 00 j SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS.OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? 0 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 Sew✓i L e— ea -- sacker 4 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 o CT CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OFAPPLICANT DATE -s -/S 7 i 20 �y ' eo N/ F JOHN FARNHAM o % j i i01 /SO oO.010 / / i i \ i / I 9 4 � LOT 195 mac' I LOT 96 90� tV I Y HOLCOMBE l�� I j KLAND STREET xi WINDSOR,CON > 16�✓ �' 4-2447 _ / �DJ ADE TO MAP CAR. 48- UBDIVISION FF 94.0 HAM ESTATES _ LOT 97 I. R. STICH —48 INC. RYE 20H H WINDSOR, I = 100 I 40 � WG NY I I co I W 600 0 1 `-- L_to l 0 0i -0- I HIGH , TO W RS S T F 193.74 7g.3 Q 7 01 ° INV�84.07 RIVE WG IN � — E PROPERTY OF J KIRBY HOLCOMBE 20 HIGH TOWER DRIVE SOUTH WINDSOR , CONN. L U C E I< � NO S. S O C I AT '� T R E V I-O� S „„ 1 ES JEERS L.A1I I _ 40' %ri '�� B-12- 80 t - I ` A.V.H. ckrn E.W_L 80-81 1NTIALLY CORRF CT [ic �,ql i ;�f- _ ,► --' AC I U r1 FOR 801,4DING PURPO§ES,` .r K CONN RI-'(; l Are � �IlisvE Y�.�rr �•.>�, ; �, j/ie•:d:,.; . �.::..- �-�. y 1 ; t Nt� 3 2 JO! South Windsor BUILDING DEPARTMENT l0 lift 3L d :i+r .;i+I. T h(+rrrrtiflr•d that this plan and spr-i;ir ti- + r tr,+• • roS-le, or the proposed building or alterati, t" u erected at a together with amendments st"ted 17, dL` I 1•+.• filed with plan and I agroe to comply w•"• e Building and state laws and suet` urd.rs ' .r /f issued by the Building Depc rLnr ut during '' ? /O . or 'his application and final issuance of 4 permit. Signed This Plan Is approved sublect to the condition It orders and ordinances regulatinit building Shall Le complied with. Conditionally Approved These filed with Clerk Building Inspector Oata _ ,-r1A �Cy d� r Struct ure,� .-„ an io rlsl to e b " o:�i1�i,���'�' UlanslaPPea tris P So`att� �'Jind•-� • �� with es and special exception s - info Varianc .:gUlabons ,•,r ,PPiy � J s �; � ��•s^ rL'r ,L a v I ql-1 I l c,�f led �p.rfh wry SO"Z y3 C/ 7 -3 o.n ,od a • � �� �Q ��rQP i o' p L oc4.:..5 l—�?eev p o a GFCz FiQJ�1 Qod 1-�u vsE' `.gyy,, ''eJ1E'ie��, <'f' '.:de . •x->-.�1., a.,.10 a. tf F' 1 +�,�l,�yi�ft 1`e,`1t `1 ''ia r X •�'q3 y"'fit 7c �.'14/ F J4 1 -EARN RA M ..', " ' ', k 'Ll-yif.....10 _ Y h 01 T. x 001ij .44 Y t LOT P95 Lei? 4 ,' ./ A =M $40 S. F. AMOM 35 O"LAND STREET al i a i plow IDS 2 t r ROWEREMCf *AM TO WO • * � *W'ITLLD St* WVMCN /� FAX �a , .��` LOT 97 It 9StATn 1116Fs"y OF 1 R. •TICM 2'nN. ASSOCIATZS INC NYE WRXT SOUTH WINDSOR, 40` SATE s-I.wr'O 1 a ,; , Sl.t' t c Mti I � r � ,��'�`' - {++•'3',-�a 4g is ;, '�.,' �;: 4 is � — •Q �* T F 3wA4 07 V E t. d � PROPERTY OF OF J. KIRBY HOLCOMBE 20 HIGH TOWER DRIVE SOUTH WINDSOR , CONN. EMIL W .' LUCEK ASSOCIATES NO 'REVISIONS — DATE SCALE 1 "s 40' OAYE a'E2' 80 COMSULTING ENGWEERS AS BQZLT —11— r 9 OAKLAND IIOAO _ __ DRAWN it V.N. CHECKED E.W.L SOUTH wt"OfOA. cam PROJECT SHEET ERTIFIED SUBSTANTIALLY CORRECT DEGREE OF ACCURACY - FOR BUILDING PURPOSES MANUEL W. LUCEK CONN. REG LAND SURVEYOR 6293 'aq.tt ►4 JO•;iR �. ••�1 Mr lain♦YTp4.Iat 23OSC NIM •�Mn ,aaA Cl C� -3W /ZNx i i 20 ' ti Ni F JOHN FARNHAM e / c° a° i � I I LOT 195 LOT 94 LOT 96 • �N u) APPLICANT j oj NAME ' J KIRBY HOLCOMBE I X I ADDRESS 35 OAKLAND STREET SOUTH WINDSOR, CONN - PHONE 203 - 644- 2447 Ov / NOTE � REFERENCE MADE TO MAP I cae. ENTITLED " SUBDIVISION FF 94.0 LOT 97 MAP OF FARNHAM ESTATES ,_� _� PROPERTY OF I. R. STICH ASSOCIATES INC. RYE STR,EET SOUTH WINDSOR, 401 Q L CONN. SCALE 1"= 100' �W a DATE 8 -1 - 57" > I W WG NY G WGo L- TOWER TF 193.74 t IIG6 3 @ 2.01% S s IN��84 0 7 RIVE 7 WG SE F MLA—IN i A TER A tv ZONE A - 20 PROPERTY OF J. KIRBY HOLCOMBE 20 HIGH TOWER DRIVE SOUTH WINDSOR , CONN. E M I L W . LACE : = 'a0CIA -FES I = 40' 8 -12- 80 t ONtiUi-ZING ENGINEERS - K UAKCAND ROAD r _ A.V.H. E.W_L. -UUTN w�Nf)',OR CI)NN 20, 641 :SC: - t 80-81 CERTIFIED SUBSTANTIALLY Ct-RRf C ? FOR BUILDING PURPOSES E MANUE-L W LUCEK CONN RE C, l.A^;[ ' 20 ti � 60 N/ F JOHN FARNHAM i 60 f LOT �95 LOT 94 . 'ir 9 �N � I 9O/ N APPLICANT 1 cV 1 NAME - J. KIRBY HOLCOMBE ol c6► ADDRESS 35 OAKLAND STREET 0) SOUTH WINDSOR, CONN _- PHONE 203 - 644- 2447 N NOT E a) 4$ REFERENCE MADE TO MAP a GAR. ENTITLED " SUBDIVISION FF 94.0 LOT 97 MAP OF FARNHAM ESTATES 31 _ PROPERTY OF I. R. STICH 2QH ASSOCIATES INC. RYE 40 STREET SOUTH WINDSOR, `L CONN. SCALE I"= 100' _ Q DATE 8 -1 - 57" > IJ W WG Hy Off` Itn WGC O 1 i TOWER TF 193.74 H1GN 3 Q z.ol°/. S S INV,f84.07 RIVE 76 wG i SEWER F R MAIN 92 _ -- A TER ZONE A 20 PROPERTY OF J KIRBY HOLCOMBE 20 HIGH TOWER DRIVE SOUTH WINDSOR , CONN. EMIL W LUCEK ASSOCIATES NC' 1 40' 8-12- 80 CON AN A.V.H. r. .:; .::e E.W-L. c r 80-81 ; ( f R I t If C) SUBSTANTIALLY PR� ( T iir 'i A•. t �: ��_ FOR BUlL01NG PURPOSES { EMANUEL VV I :!CEK CONN I;! A '. ' sf 7 P► p pr SC ,pA"� Q DOE�,1N R-G�i 5� :t „!' _ ' ik's,` ", xs-• , •�� F vim� ,� • hY N/ F J" FARNHAM 1p .01 ti r i % rA, / LOT r95 A ; LOT 914 A :26, 640 S. F. LOT 96 yr` APPLICANT: NAME: J. KIRSY NOLCOUK f cpJ ADDRESS 35 OAKLAND STREET SOUTH rlMtosom, X '--- 'BONE 203 - 644-*W / i SDK., NOTE- REFERENCE ' MADE TO WkP M� • ENTITLED " SUMVI M R •40 46' LOT 97 MAP OF FARNHAM ESTATES 4o I -- 7 PROPERTY OP I R. STICM 20M. ASSOCIATES INC. RYE STREET SOUTH WINDSOR, ( 40�=L .CONN. SCALE I= 100' < DATE S-1.67." y t' we wr I p� i w4cp O ( ' _T La 10 001 H ,s ,0 R TNOV Ia of E V E we 1:---- 6ti � Ila 4293 0 PROPERTY OF J. KIRBY HOLCOMBE 20 HIGH TOWER DRIVE SOUTH WINDSOR , CONN. EMIL W . LUCEK ASSOCIATES NO. REVISIONS DATE "CAFE 1 40' DATE 9 -12- 80 CONSULTING ENGINEERS AS BUILT _ —11- 5 OAALAND ROAD _ _ _.— _- DRAWN A.V.M. CHECKED EW-L SOUTH WIN-06" CONN. 203-#"-2D02 - - " — PROJECT 00-0 �SMEET ERTIFIED SUBSTANTIALLY CORRECT - DEGREE OF ACCURACY -- FOR BUILDING PURPOSES MANUEL W. LUCEK CONN. REG. LAND SURVEYOR 6293 20 -p ao N/ F JOHN FARNHAM •ool i' Ile .� 0 / 100,, LOT /95 Iti/ 1 90 N i LOT 96 , l5 HOLCOM13E , I j AND STREET WINDSOR, C > r� m 2447 Cac / A> DE TO MAP GAR. 48' DIVISION FF 94.0 ` M ESTATESLOT 97 R. STICH r C. RYE _ 2'0F1 WINDSOR, I - IDo1 ti 4 IW- Q \> J WG MY O l 01 I woo O ! i ►o ' oo, -0- I HIGH TOW�RS S. TF 1 93.74 T6 3'(� 2.OI°o INV�84.0T RIVE we , 92 E PROPERTY OF J. KIRBY HOLCOMBE 20 20 HIGH TOWER DRIVE SOUTH WINDSOR , CONN. NO OCIATE REJI`,!o.F4-i r ..- S .RS .. Y. -- 8 -12- 80 4 ' A.V.H. E.W_L. TIAL1 Y CO RRF ('T lit i R1 , FOR ..� - QOl DING P CONN R1' t; f nN(� tic�►� ► �, f� = ._ti.:� ,:. �- .� URPO§ES;' 'If )r 4pR 2 2 2003 South Windsor BUILDING DEPARTMENT 10 1Mf MUM MG DEFT. TOWN Of SJUTN WIPWIL)r fhls cartlflod that this plan and speciflcatlons are trm coplas of the proppaad building or tllteratlorts to bt acted at Stree L,gerher wl mendments steted In lapplla�ttlon on, i1%^ nlfh plan and t agn,E. to Comply`with all tuning �d[nt and state laws nd such orfcas as sn311 b� • �d by the building Department dtring penoenc> 1'-I4 appl[catlon and final issuance of s bulld{nj -- a� t�,, as plan Is spo'v dl suojrcf to the Oondltlan that _J � n oars and ,rdtnnnees regulating DulW lag ahatt th• •� �.Vi�U1a�- -t Qsp �.r__n_ ,. 1/ atplfed ..lin .• dnre n„iry App,,Y.d Made fiiad with Cl[artt ♦ MD, 2 y V stMctura(s) to oc- in iQI x 2p-cions �y gent Officer Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 20 High Tower Date: /D y Y O 3 HVAC # Sprinklek# ^ 3 018 5FINAEstimated CostFIII" SIGN Permit Fee $ BuildinPLETE RED BOXED AREAS En nee � Occupancy Fee $ TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit for CO. ON REVERSE SIDE / !PP - — — -- -- ' Total Fee $ 7 TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant 4!f/2/C C iL AII'?-C- K iocation of Work 2.CCj /f/E,, _T t��/� Lot No. Applicant's Address A/ Tel.# Ft,> - 2 Town S'. a-14 12 t Z Zip 41607 tic.# 3 j4—TV/ Owner &4c4e1qz_> /T Architect Owner's Address 7 a , i 6,oY 72nce-,Z-7e Architect's Address S- LW o-lp S't7/2 ZiR!IW2!!� Zip Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area Purpose o.1 this permit 4n� City Watero Well❑ Septic Systemo Sewero Ins: HO SP� Cert. Area Basement Garage Approved b}c- Date���2��a� Use Group Construction Type >I 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 oft Building for which this permit is asked,and agree that this building is to be located the proper distance fro 1 street]in ,side yard lines,and required distances from all other zones and is located in which is building a its gGved Signed I hereby apply for a Certificate of Occupancy for he work described in this application for the pew it Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-30185-B 3,000 B10 FINAL 06/18/04 JFF A B10 FINAL 06/18/04 JFF A CLOSEOUT s 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_ Zd In the town of Name of building permit applicant: Please check one: 1._I am the.owner of the above property. —2. am the sole proprietor of a business. 2A.Name of business • 2B.Federal Employer Identification Number(FEIN) ' .............. ........... Pursuant to§31-286b,"a property y gwner . .................... or soleProPrietor[ o intendstoact ... as a general contractor or principal employes"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] Si ature of appl' 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. ...................................0........................ ....... 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 bus' ess is not required to have coverage unless he files his intent to accept coverage. r �l �f rgnature of cant Subscribed and sworn to before me this day of ,200 (Notary Public/Commissioner of the Superior Court)