HomeMy WebLinkAbout200 CARRIAGE DR DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application PERMIT#
is hereb : TOWN OF SOUTH WINDSOR z �� Z
BUILDING DEPARTMENT
ROVE 1540 SULLIVAN AVENUE Bldg.Permit#
�l 64 644-2511 ext. 230
Date Build' 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$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT G cx r y UJ a!k er
APPLICANT ADDRESS Cyr'% Cu a d{
APPLICANT PHONE#
O W N S F,q OWNER /V u �t r,y �,✓� 1 -�,—
OWNER ADDRESS �✓ Cc i r Gt a
OWNER PHONE `�� U y 3 L-- 3 y 2
C ESTIMATED COST$
IS THIS A CONTRACT COST? _Yes No
FEE ENCLOSED$
f�d TYPE OF JOB:
SOR CO New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
❑RESIDENTIAL BUILDING PERMIT APPLICATION? ElYES L)NO
❑BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
❑MERCANTILE 0 EDUCATIONAL FUTURE USE AND OCCUPANCY
❑INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
❑GARAGE ADDRESS
O MIXED USE
(Other please specify) CITY STATE ZIP
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES 0 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.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
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CONNECT/CUT LIGHT a POWER CO.
150.00
LOT /O
23.0 38.O O LOT
LOT 9 -----sz.-o---- - 2700
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_ PLOT PLAN FOR
L / P M A N
JAMES E. ;HULiY L.3. 70,-4 CA RRIA GE DR. — SOUTH WINDSOR, CONN.
�J SCALE: I " = 40' APRIL 12, I973
✓AMES E. SHEEHY L.S. 7034
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CONNECT/CUT LIGHT Q POWER CO
150. 00
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LOT 9 - --62.0 - -- - - 2700 23.0 3B0 O LOT
if- --- - - *B.R COLON/A
/000 gal. 2700 O
0 septic 2111 - 230 N
-LING LC: on map
ntit�led: "SAND HILT. a>T. :.:: ` 36"OAK I o
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TO BE SPa:;FD ;e' FEET +_ .^. Mll\.
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NO 7i;',:I ;r', ":; _.. v'CI ATED•
PLOT PLAN FOR
f L / /' MA N
JAMES E. �-A�L,iY L a. '04 CA RR/AGE DR. - SOUTH WINDSOR, CONN.
J SCA L E.- I = 40 APR/L 12, 1973
JAMES E. SHEE HY L.S. 7034
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 Cc*
In the town of S 1✓
Name of building permit applicant:
Please check one:
1. V 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.—I do not intend to act as a general contractor or principal employer.
[Sign and stop here]
Signature of applicant
2._)r 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.
Signa re of applicant
Subscribed and sworn to before me this day of ,200
(Notary Public/Commissioner of the Superior Court)
Sunk
Electric # t7 �.3'oq APPLICATION FOR BUILDING PERMIT
Plumbing# 200 Carriage Drive Date: �-' �6 -G 6
HVAC #
Sprinkler# 32288
FINAL PR - --- - - Estimated Cost $ U�
Building3 �` COMPLETE RED BOXED AREAS Permit Fee $ Z'ez
z3—
Enginee TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE Eng. Insp. Fee $�3 J /_
Appr. for CO. 0 -ili Total Fee $
TO THE B LDI G DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $
The undersigned ereby applies to do work according to the following: iz/X
Applicant G«f y �,�/� d Location of Work 2 C� Ca f -, Lot No.
Applicant's Address z CIO Co r A� r Tel.# ti 3 J- S Z y z
Town S w; -1d s I", C Zip G6o 7 y Lic.#
Owner /U g N Architect
Owner's Address Architect's Address
Zip —
Zip-.-Sq. Ft. New Area: 1 st Fl. 2nd Fl. 3rd Fl. Total New Area o —
Purpose of this permit Fe,M vole t Kd c k e
City ater❑ Well❑ Septic System Sewer❑
Ins: HO SP kJ Cert. Area Baseme t Garage
Approved b Date =d Use Group Construction Type
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 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 and its use is allowed.
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
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
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**-32288-B 15,000
E03 ROUGH 02/03/06 JFF A WITH OWNER WENT OVER SMOKES CO2
B09 OTHER O1/16/09 JFF CALLED LEFT VOICE MAIL WITH OWNER
B10 FINAL 03/03/09 JFF A WITH OWNER SMOKES AND CARBON IN PLACE
1800046 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 02/08/2018
GIS ID: 17100200 FEE: 144.00
MUNIS APPLICATION# 201800098 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: WALKER GARY L ADDRESS: 200 CARRIAGE DRIVE
ADDRESS: 200 CARRIAGE DR OWNER: WALKER NANCY
SOUTH WINDSOR,'Cf 06074-2106 200 CARRIAGE DR
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALLING 3 NEW WINDOWS,A SLIDING DOOR AND DRY WALL IN THE
FAMILY ROOM.
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
2/8/2018 3:25 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE