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Home My WebLink About220 AVERY ST APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT i �6-;�7-7 AP RO D 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# D e Building Inspecto Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 FTenant a �ru S �Over$1,000= Street Lot No. $15.00 per$1,000 or any fraction thereof ignation Apt.No. APPLICANT C k C`H e S APPLICANT ADDRESS 6 6 3 APPLICANT'nS KPH NrE# 6 0 8�2 Fr-1 S I I OWNER �V� '1- e << pekCA ,y e -� 0�I N S Fq< OWNER ADDRESS a - O A_y_ C y- COO OWNER PHONE C O 61I H �r O 3 q- ' ESTIMATED COST$ C �R ) IS THIS A CONTRACT CO ? Yes No FEE ENCLOSED$ TYPE OF JOB: Ca94 C0� New Installation Alteration/Addition/Repair )Ot3-66SA 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 ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE �2-0(f) &qM,p SIZE OF MAIN CONDUCTORS `l U✓�-� _ NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ 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 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 J0C/ 03R E: -' I C CONTRACTORS LICENSE NO. TYPE STATE U SIGNATURE OF APPLICANT DATE BUILDIFG PERMIT. Uoa-1 77 STALE OF CONNECIICUT WORMS'COMPENSATIC)N COMMISSION Baildine Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat.§31286b) Piopeity located at_Z 7 (11 A 0 C h the town of- IS 0 tW�1��S C►r- Name of building Permit applicant: Uj , I rre ct -1p Piece check opt - 1.ZI am the owner of the above property, Z._I am the sole-proprietor ofa business. 2A.Name of business 2B..Federal F,mployrr_Identifieation Number(FBI) ........... ...................................................................:................................. Pursuant to§31.286b,"a.pn4wty owns.or sole proprietor[who]intends to act as a general .. contractor or princdpal employe"niay, provide eidw a wtifi ate of workae compensation fimunce or a-0mr t notarized atfdairit...stating that he wtil require proof of workers' COMPensarlon iusruanoe for all tl;o:r anptoy d on the job site,in acco dbace widt this chapter:" Mew checko_W . do not mtmd to sO as a general contractor or p eMP16yer. . [sign andstop here] Signature of applicant 2._Iintertd to act as a geaefal contractor or principal employer.Applicant mast citha provide a certificate of*orkers'compensation insurance or sign the affidavit below. ........................................................................... Affidavit .I hereby swear and attest that I will regain proof of arodcers'compensation insurance for every contractor"subconuactor,or other worker before helshe cagages in work on the above property is aceocda=with Compeasation Act(Chapte(;568). I understand that purest 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. G ` Signature fapplicant Subscribed and sworn to before me this day of ,200 . (Notary Public!Commissioner of the Superior Court) Lor #25 BOWERS FARM 4 CONCORD ROA D 44.6 ----- S 33°'14 "32 W --29 .:73725 i34. 4r -13424- i i i I 3 N/F N h i� RICHARD CK l2 9 0•,694 -Acres + l384 Acres +" o o� N/F THRALL - � S33°-36-12"W— �� SOUR L/NI BRO THEWS v O.69/ Acres+ a 41 NIF WI ,pp/IV PASOUALINI 3 v House Z d I s 220 1 f ' L�M N - , — w 7• 9 y 134.39 '36.80� /P N 34°-29-00 E i.P 194.83 —.— �__ 97.59 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# �` Date: Sprinkler# I SduZa,6 Estimated Cost $ 7,960,00 FINAL APPROVALS Permit Fee $ l Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Affidavit Eng. Insp. Fee $ Appr.forCO. SIGN ON REVERSE SIDE t Total Fee $ ►�' TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ S2(�to The undersigned hereby applies to do work according to the following: Applicant Location of Work / Lot No. Applicant' ddress 77 /AGL D/ K D"I Tel # kO- 798-9.s?,9S Town Zip Lic.# 1oy33�// Owner I _ Architect Owner's Address -Vb llvam /. Architect's Address Zipa6z�) 7� Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Pur ose of this permit a l-- City Water J Well 7 Septic System J Sewer :1 - I O0 f6 Ins: HO SP Cert. Area Basement Garage Approved by \ Date 411 ./ Use Group Construction Type Revised 1108 I hereby agree to conform to all the requiiernents 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 whic K7 building and its use is allowed. Signed _ I hereby apply for a Certificate of Occupan or the work described in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 03/16/23 Printed by Middleton, Morgan 10 09 13 INSPECTION: 76594 FINAL PERMIT: STATUS APPLICATION: 201500607 LOC: 220 AVERY STREET SOUTH WINDSOR PROPERTY ID: 06300220 OWNER: PAQUETTE WILFRED M TRUSTEE CONTRACTOR: REQUEST BY: PROJ DESC: ROOF REPLACEMENT--REMOVE EXISTING, INSTALL DRIP, ICE BARRIER WORK ORDER: INSPECTOR: WS-B RESULT: PASS REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 03/16/23 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: INSPECTED BY ADAM CHROSTOWSKI 1500260 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 06/03/2015 GIS ID:06300220 FEE: 120.00 MUNIS APPLICATION# 201500607 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: FRECHETTE'S BUILDING&REMODELING ADDRESS: 220 AVERY STREET ADDRESS: 77 TALL OAK DRIVE OWNER: PAQUETTE WILFRED M TRUSTEE COVENTRY,CT 06238 220 AVERY STREET SOUTH WINDSOR,CT 06074 �4 DESCRIPTION OF WORK: ROOF REPLACEMENT--REMOVE EXISTING,INSTALL DRIP,ICE BARRIER FELTTAPER,AND ARCH.SHINGLES. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH T14E APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 6/3/2015 4:10 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1300277 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 06/17/2013 �,,��`..r1,.�'.,Ww•.,�,...,�`,y��A GIS ID:06300220 f .> I� , r.,��" . g -{ . " .. FEE: 15.00 MUNIS APPLICATION# 201300804 }',.- era BUILDING DESCRIPTION: APPLICANT , ' ,, LOCATION ..� ,. NAME: CHARLES MITCHELL "'.ADDRESS; 220 AVERY STREET r... ADDRESS: 655 FARMINGTON AVENUE 7 OWNER. ft PAQUETTE WILFRED M TRUSTEE BERLIN,CT 06037 °220"AVERY STREET SOUTH WINDSOR,CT 06074 f '✓ DESCRIPTION OF WORK: CHAVGR�100`AMP TO 200 AMP.; SPECIAL CONDITIONS: R �i ALL WORK TO BE DONE IN ACCORDAN WITH,THE APPLICATION ANA`PLANS`�APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: f x OCCUPANCY GROUP: M" ,;. ��°� BUILDING OFFICIAL 6/17/2013 10:51 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE