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Home My WebLink About203 GRAHAM RD Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 203 Graham Road HVAC# 12nnn350 [Date: cal,?I/l- Sprinkler# FINAL APPROVALS Estimated Cost $ Iwo Permit Fee $ io Building COMPLETE RED BOXED AREAS -j Occupancy Fee $ to - y Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDE t Appr.forCO. Total Fee $ r-O Z) TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant ancA C6Ai,M i;P LocationofWork aai Lot No. c¢1( Applicant's Address 5 I-s& gnn ; LL.. _ Tel # $6oc-aa8-d@7 A[Z-d -0493 Town In irA ; CG T Owner L.qN (3v9(j-e j[ak Architect �65 lA)=Awof k i na and Cons 6-UCiioN Owner's Address ao3 Grcx6ct rr, 9A Architect's Address Sci Wte a Y� S(5 0j , w"AA scar T C T zip ('1oO-7 y — Zip Sq. Ft. New Area: 1 st FI. C:e.cj< 2nd FI. 3rd FI. Total New Area_ 0 Sq 177TOPPS, Purpose of this permit _c�►n SIr ry c-+ Q. m r k ) e e s Sur;-P r zn+eA__ l 01 X I Ll d ec w 1+ _ City Water l!d Well ❑ Septic System J Sewer ��60 Ins: HO 6 P ert. Area Basement Garage Approved by 1 Date 6. 1 Use Group Construction Type 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 and its use is allowed. Signed A �' S -4, 6 IVI14, 1 hereby apply for a Certificate of Occupancy for the work described in this application for the permit. SignedCv�' :s Ix DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS BUILDING PERMIT. /Zoc,o 350 STATE OF CONNECIICUT WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat.§31-286b) Property located at--Qo - ((,,- In the town of ,,.L yk S&A_ Name of building permit applicant: S t M� ��1.'c, n� �'��,s�r�� ►o ti� e Please check one: 1. I am the owner of the above property. 2. the sole proprietor of a business. 2A.Name of business�S wocA )o�C V,Aq a"A Cans r�c�-iv n 213.Federal Employer Identification Number TM4) _ ... ..............................................................:.N... ......................................... .. Pursuant to§31286b,"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 aTWavit...stating that he will require proof of workers' compensation insurance for all dxm employed on the job site in accordance with this chapter:' Please check o '- l. !/I do not intend to act as a general contractor or principal employer. [Sign and stop here) . �n1en nA Signature of applicant 2._I intend to act as a general contractor or principal employer.Applicant must either provide a certificate of vYorkere compensation insurance or sign the affidavit below. .....................................................................N.......................................•N..• Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other workerr before he/she engages in work on the above property in accordance with theWOrkere 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 ofapplicant Subscribed and sworn to before me this 1 FS day of 3-u y\.., ot�_ (Notary Public/Commissioner of the Superior Court) INSPECTION FIELD SHEET 09/20/12 Printed by Peart, 'Dayshell 12 55 40 INSPECTION: 4952E FOOTING PERMIT: STATUS APPLICATION: 201200786 LOCATION: 203 ,GRAHAM ROAD SOUYI WINDSOR PROPERTY ID 37500203 OWNER: GUGLIETTA LAN L W CONTRACTOR: REQUEST BY: S' DESCRIPTION: CONgTRUCT A NEW PRESSURE TREATED 12 X 14 DECK WITH A WORK ORDER: �ppt F INSPECTOR: DOUd RESULT: PASS REQUESTED 07/d6/12 PRIORITY: SCHEDULED: 07/09/12 PM COMPLETED: 07/09/12 UNPAID FEES 00 Date Time TIME: TRAVEL ONSITE COMMENTS DAVE Q 860-208-0493 i i� f i- f- ALL INSPECTIONS INSPECTED INSPE OR RESULT INSP DESCRIPTION 09/20/12 ROSE } N/A B002 FOUNDATION 09/20/12 ROSE N/A B003 FRAMING (ROUGH) 07/30/12 ROSE PASS BO10 FINAL 09/20/12 ROSE j N/A E003 ELECTRIC ROUGH n f: r f avvin winummn, wnne i f I� � I 9 fF 0 ON 0 0 QL 60 2 2 W � h y� P�,��_ A,C _ 43 `� lay N 40'e.L i Iz=20.o i Ire S3.00 0203 GJeA HAM 2CD 0 MOW MAP; PLOT PLAN GIRMNt MTATM rOR- CQ101MUCTI'Olt SECTION 3 0 & F CO*WTRUCT►ONt C.O. INC Lora• 6 TO 22, 29To3 t , 33 T039 51 & 52 SOUTH W 1 MOBOR , "No W&A L E 0=40' Fr s 20, 196 3 F*ry Q. wN[ELER L.S. JUN 18 7u1� D South Winasor "-BYILf DING DEPARTMENT 1 /CERTIFICATION OF ZONING COMPLIANCE i Proposed buildln s , u se 9O (s) and/or structure(s) as shown on this plan appear(s)to be in conformance with current South Windsor regulations. Variances 12 X 1 Lf to felt finjUNIJ and special exce tions may apply. this certified that this plan >nd sp:ctstc•t�• y PP Y' a (� copies of the proposed building or alterations : erected at t� a o 3 C,rc.ih��,, sir. nt #Zoninforcement Officer :ngerhar wlth emend-ants stated in application a died with plan and I agree to comply with all zoni,-., 8uuding and state laws and such orders as shall issued by the Bullding Oepartment duriea pendent of this application and final issuanoo of a buildin, permit. ((�� Signedt-IOV:his plan Is approved subject to the eondltion tha• ,rders and ordinances r•.guleting building shall bt a>m plied with. '•ondltionally Approved These flied with Rdln., Inspector Cler, vn 1?,v0035G LOT / 2 r GRAKAM ROAD SOU TN W I M OSCR, 001414. IJ 0 99, oe I rF 0 o � 0 i � o QL 00 2 Z W � W � V) 43, It — - -- +4O'e_�. i 4Z 8;.00 0_3 CG K�A to/> NM pwols MAP ; PLOT P L AM QIA+" ESTATES roR GQMW RU CT I'ON S E CT I ON 3 S & F Q M&TR U C T I oM C.O. 116 C tom 6 To 22 , 29T031 , 33 T039 51 & 52 SOUTH W 1 MosOR , "o. SAALC 0=40' Frio 20, 1963 FRro R. WHEELER L.S . I HEREBY CERTIFY c THIS PLAN TO BE ENGINEERING AND LAND SURVEYING SUBSTANTIALLY NO. 3732 CORRECT; 740 NO. MAIN STREET, CROSSROADS PLAZA WEST HART FORD 7, CONNECTICUT 1~0 A �� 201200159 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 09/20/12 GIS ID:37500203 FEE: 10.00 MUNIS APPLICATION# 201200786 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: D.S.WOODWORKING&CONSTRUCTION ADDRESS: 203 GRAHAM ROAD ADDRESS: 5 LATHAM HILL ROAD, OWNER: GUGLIETTA LAN L W COLUMBIA,CT 06237` --22 NATSISKY FARM RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: CONSTRUCT A NEW PRESSURE TREATED 12 X 14 DECK WITH A STAIRCASE TO GRADE. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITII THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 9/20/2012 12:56 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 12000350 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 06/20/12 GIS ID: 37500203 FEE: 105.00 MUNIS APPLICATION# 201200786 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: D.S. WOODWORKING&CONSTRUCTION ADDRESS: 203 GRAHAM ROAD ADDRESS: 5 LATHAM HILL ROAD OWNER: GUGLIETTA LAN L W COLUMBIA,CT 06237 22 NATSI SKY FARM RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: CONSTRUCT A NEW PRESSURE TREATED 12 X 14 DECK WITH A STAIRCASE TO GRADE. 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 6/20/2012 3:19 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 12000350 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 06/20/12 GIS ID:37500203 FEE: 105.00 MUNIS APPLICATION# 201200786 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: D.S.WOODWORKING R CONSTRUCTION ADDRESS: 203 GRAHAM ROAD ADDRESS: 5 LATHAM HILL ROAD OWNER: GUGLIETTA LAN L W COLUMBIA, CT 06237' 22 NATSISKY FARM RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: CONSTRUCT A NEW PRESSURE TREATED 12 X 14 DECK WITH A STAIRCASE TO GRADE. 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 6/20/2012 3:15 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE