HomeMy WebLinkAbout20 WENTWORTH DR Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# Date:
HVAC #
Sprinkler#
FINAL APPROVALS Estimated Cost $ _0 C)b•=).e
Permit Fee $ b
Building F000"' SIGN
PLETE RED BOXED AREAS ' `
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit Eng. Insp. Fee $
Appr. for CO. 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 �c Location of Work LL �� e — QY? . Lot No.
Applicant's Address P•0. Tel.# (o u L0— LIP�/a
Town Zip Lic.# 30q DOn
Owner Architect
Owne s Address :k 2 • Architect's Address
Owl�
60 u�&C Zip otoo L4 Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit TY ZS aJi(a41 -n O� ,ISO LL �,l h 0 C%.�
_ 0 t If_iL - 1 12, 00 7 LL S
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO a t. Area Basement Garage
Approved by tJ'aTe �4 Use Group�� Construction Type
I /_ rRevised 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 of the Building for which this
permit is asked,and agree that this building is to be located the proper from all street lines,side yard lines,and required
distances from all other zones and is located in is building its is al
Signed
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
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
PERMIT#
Application' ereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
AI ROVED 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230 ,�P.
Date B lding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 Street No. Street c Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT 6 b 'C�r S
APPLICANT ADDRESS PO P;O X I'79 ,
I'-Aanrrc_h-e54r r,
APPLICANT PHONE#
OWNER 1—Ftl(�< Q S D y nr,
��W N SF'4
OWNER ADDRESS
s OWNER PHONE
OESTIMATED COST$ O O CD
IS THIS A CONTRACT COST? _Yes _No
Q �V FEE ENCLOSED$ LI-S
o��.
TYPE OF JOB:
s o��
R C New Installation
_Alteration/Addition/Repair
Revised 410IH2002
• APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WTTH A
BUILDING PERMIT APPLICATION? ❑ YES ❑NO
❑RESIDENTIAL
❑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 ❑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
ll � } yac> 1�ids
I I HE UNDERSIUNED HEREBY APPLIES FOR A PERMIT TO PERFORM P 17E WORK DESCRU3ED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
y�
C
e 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:A��6?3
APPLICATION IS HEREBY: 9
APPROVED: BLDG.PERMIT NUMBER:
DATE INSPECTOR
LOCATION OF WORK: . 1nj 3 n��J .VZ 50v�>/1 "Vi 3SK:r C yCOO7�
APPLICANT: OWNER: TYPE OF STRUCTURE:
---� ❑NEW BUILDING
NAME: AY1G�fQ W r.,�l4lcf c 1� G� NAME: /oy`�k. 4 5 Cc� ❑AMMON
PHONE NUMBER B4OU IU H 9 3a PHONE NUMBER EXISTING BUR DING
ADDRESS: S o rne_ °5 Imo-J'ri
- ✓i v ADDRESS:
TYPE OF USE:
RESIDENTIAL ❑CONDAMCIAL
ELECTRICAL INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF INSTALLATION: SQ(v I cow CKa✓�4SZ U S v: 1lZZ� a(M O M S
SIZE OF SERVICE: i o Oo��� kj
SIZE OF MAIN SERVICE:
NUMBER OF METERS:
NUMBER OF PANELS:
NUMBER OF LIGHT CIRCUITS: L) ESTIMATED COST:S
NUMBER OF SWITCHES:
NUMBER OF LIGHT FIXTURES: FEE ENCLOSED:S
NUMBER OF A/C CIRCUITS:
FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST.
NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT
IS S1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS
NUMBER OF OUTLETS:
PART OF THE PERMTT FEE)
THE UNDERSIGNED HEARBY APPLIES FOR A PERMPT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL
ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK. ,..�
CONTRACTORS LICENSE NO.: � �� TYPE: STATE: s�C 1
SIGNATURE OF APPLICANT: DATE: ✓ 7 /0 15
BUILDING PBRMIfi
STATE OF CONNECTICUT
WORKERS'C.OMPENSATId0 COUMSSION
BuMft Permit AMdavlt for Propu ty Oman or Sole Proprietors
.(Como..Gen.Stale 1 31286b)
Prupaty located at 0
In tha town of_ Jok A� 0"A""c
' Name of buHdmg permit applicant:AAA M V,) C-11 r,n e.a a
Piexse one: -
1. . . I am do owner of&o above property.
2._I am die mole - %lpriebor of a business.
2A.Name of basnheu
ZB.Fod WgmployarldaatificstiaiNumber(FE1I�
..•.......................................................«..........................0.0.0..........
:........1:.»..
Patnm t to§31-28W Nipvopuiy owner of sole proptietor(who]i tends to act as a gaksal
a'pPoi"u"ma
YP ei&ara catificxbe of worloera<oo®penwdton '
ac a' Vah}thotsiiaod aodi&...stab---that he wm regdm proof of warloW
cow4m3stiom mmufmnoe for all dwr dhp jpb sho in a000al =wi&d&chapbmr."
• Plea* � -
1. I do mt' ac1 is a genew contracW orp� cmP�•
7• sigmdnre lid
2._I to act ass game al coahador ac priaapai employes.Appl6d must oidw
• plrovidb a catifiate of*odours'compausatioahmmmee,or.sign dw affidavit
bblaw.
............................................................:...........:....................................:....:.
Affidavit
I hereby.w=and avert Sat I wm require pc+oof of WWI=s'oompensatiah fimu noe for every
camtcbor,s�oaaf4wtay cr odkr�vorloec bafom hdsho in wciic oa die above property is
Sao ocdamca wi8i die'Walam&Qompahodari Act(t npt 5 .
I Uxkntmd that pm=md t4 j 3i** C:G.S.;ofi'ic�cs of a capmatiom mad partners is a
.--_.----- PiP�aloct to bo�acchrded fr+�m oavu�ge_Y fi a innv+oc wi&dro appyopcnrbe .---------
DI OMM and data solo proprietor a b u notrapirod to'have oavmage auk"Le
--------.._....—_---------------
Signature of gpliamt
Sabsaibed and swan to bef xt me this day of ,200
(Notary PablW Commissioner of the Superior Court)
-
I n,Y � •t
1 � fit .� ..Y �`� a �• ' � y sl�
r � f
IV
� w.a;.�f ttp., :w.�-"a�rer :! W •„il * rO �/ \�\ � r � f
NO / , • .:tY% rt9` �`-«+�: ��IZ
•-.t nylrrroaNrut! .w�rrt> IID f rz rr. 'i '�Si' � / ,.�,ar.
' WW. r ntagr. 40 �t r~,
110
• SS
r �
L-J-T i
_ sic
_ar•C it IS9
41
I 1
--' - �• � _` moo° . _ i �l� S
/b`X11� _ m~
m' I
�- '
!WE1aT'VCRTN CL-rrTFS L [-7 Z w 3
MARCA 17 , 197F, c-T 1-7
tv
pit�� *tc, •µ rt."ti
PLOT PLAN
C0 1; 13
No. eas *: PROPERTY OF
° auF1 Soo Jet4"Iftif" '2-avin ^: �J���D �� Co iQ
I NEREBYCERT/FY m I Fv,,voo oN Loc,rw0 As 5/rowv e Z.v,NI+ R&c. NO
THAT TI'IIS AIAP IS SUBSTANTIALLY CORREcr
V cLwraO
AND ZONING RECULATIONS ARE NOT VIOLATED.
.��
�� ��.1.-�-- �' c• �,.-•.�_ SCALE' r /N. = 4 z, FT. DATE: 1 y-7
pf� T
MAY 3 1 1988
South Windsor
BUILDING DEPARTMENT
TO THE MDOI6 DE". TOWN OF SOM MNDW;
MIS carttlied that this plan and speelfleations are tr%*
sopies of the proposed bullding or alterations to to
erected at
2e) :t,..t
IOWhe► with amendments stated In application and
'led with plan and I agree to comply with all zoning,
Building and state laws and such orders as shall be
asued by the Bulld Ing Department during pendency
A this application and final Issuance a bullding
oarmIt.
Signed
'his plan N ap r ed subject to the condition that
ordara and ordinances regulating building shall jar
:omplled with.
Jondrtionally Approved These filed wK*
_ 'A1�?—
Building Inspector ckw,
-J
.te a-43 NO. /byz5
.
- r
i
I
;
i
tip j
I to
1I0.
rH
•r m (� i a.� � �
r�er'
II S'
F` 4AR 1
is
A,;-
I ,
f`1siRL�i 1-7y7p l_�. T t�
f C Nti IV Gf 0J'VN �'••
PLOT PLAN
.• - No. uaaq � E R T Y O F
8503 PROP
L� . . •_�F, oo
I HEREBY CER7' -�
THAT THIS AIAP IS SUBSTANTIALLY COR £C
AND ZONING REGULATIONS ARE NOT VIOLATED.
SCA L £' i IN. = 4z FT, DA T E Mf _.
i
_ map
f�Y
�.. j.S, t'i •`- ssP��l IBC
3'
I Ip ' 9,� �• '� ;;�BIZ
F3
1 �
i O f1
�l _ �� � r!o►'eye � �a,.,, :... �C
33 �• fj r.
,y ,e
t! a t_ IIIi
AIEKiT C ;'�1'w CSTP7CE ? 7
G C ��p� a0pryf'•4
P L O T P L A N
,Ira
PROPERTY OF
`' 2 NO esa� No. Za43 1•
l 4R.O ��/�► �:qO•'E,•i� ;^�O ,�vv'rw,`, \� 1E-~tJ�V.1 �K~:-,. �-,TAT��
I HEREBY CERTIfY
THAT THIS AIAP /S SUBSTANT/ALLY CORRECT
ANO ZONING REGULATIONS ARE NOT VIOLATED.
SCALE.' /N _ FT. DATE: M•�ru_N � �7
/�/�y
PPR0VE
f6VA of SC)UTH
ENGINE- ING NT
SIG.:-
T
b]00
1,7 011
ell
cot
off
LI ti
i
NOW
t/J in
= ap Lod ?5L 'is: ,;• � '' 1
Ott 4j1 de e.A 1 Ito
14, 1 u tlz
a r
414 it
p � t
n
i
44
MA94.► 1'7 , 197P..
G Hti�� 'of't'ohMtrrr
It, PA
PROPERTY OF� � e No. �338
M oioa � �'' `
iO� IN, into <"�•��r L,—r Z
Soa et ! Sarin a •`�JIIAD`,p��
t r HERE!Y cERnry = PA77ON L ocs,rwa As S,,,owv LZoa:Ng; r:c. V07
! " rmA r rN/. A/A P /S ttld t rA N /A L L Y c8R Ec
AND ZO/V NG REGULAMIVS ARE NOT ✓/OLOOTED.
✓ic�wT�D
►.� �.., tCALE.' i IN. Fr DATE
r
_ . .—..
�"
/��� �
��rX�/ir/G�L-nG.V G �✓'/
�����;�
�r����
1800073 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 03/27/2018
GIS ID:93300020 FEE: 18.00
MUNIS APPLICATION# 201800358 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: ANDREW GALARNEAU ADDRESS: 20 WENTWORTH DRIVE
ADDRESS: 20 WENTWORTH DRIVE, OWNER: MORENO MICHELLE C
SOUTH WINDSOR;CT 06074 20 WENTWORTH DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: UPGRADING SERVICE TO 200 AMPS AND GROUNDING SYSTEM.
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
3/27/2018 2:50 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE