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,`
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K CONN RI-'(;
l Are � �IlisvE Y�.�rr �•.>�, ; �, j/ie•:d:,.; . �.::..- �-�. y
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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 _
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ure,�
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It 9StATn
1116Fs"y OF 1 R. •TICM 2'nN.
ASSOCIATZS INC NYE
WRXT SOUTH WINDSOR, 40`
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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
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23OSC NIM •�Mn
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20 '
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Ni F JOHN FARNHAM
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LOT 195
LOT 94 LOT 96
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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
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EMANUEL VV I :!CEK CONN I;! A '. '
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N/ F J" FARNHAM
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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
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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)