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Home My WebLink About24 HIGHLAND DR � 017 - oo� ►i Home Occupation Information and Application Form ASSESSOR'S USE ONLY (� Minor Approved by Gl(� Date �� Home Occupation Type ❑ Major Code Name 61ZIC., ROWS 1�p r DBA GIZE&TWAA6 Address of Proposed Occupation: V /4i 4m4.,3 0 D R ive S• w mN V5(i is C% /)(o 17 Telephone V ��Z CXjy� Zone (Note:in DRZ,MF zones only minor home occupations are allowed;approval letter from homeowners assn required Description of Home Occupation: Please use the boxes below or an attached sheet to provide the following: A.Proposed Sign 1. Attach copy of plot plan if available. 2. Use Box A(or attach sketch)to draw proposed signage. 3. Use Box B(or attach sketch)to draw the floor plan of the Home Occupation area. 4. Architectural elevations for any proposed additions or modifications must be provided. FLOOR PLAN ZBasement _ I"floor _2,d floor) Floor area of dwelling i 1 U o Floor area of home occupation ° %of floor area devoted to home occupation t O�D I have read the regulations regarding home occupations and will comply with said regulations.I understand that I must notify the Planning Department in writing upon termination of this occupation at this address.This permit is not transferable or assignable to another person.In the event of relocation,the permit holder must notify the Planning Department in writing to transfer the permit to the new location. - � Signature of Applicant Date T/13 Signature of Owner e Date� IT' BUILDING PERMIT? STATE OF CONMtUCUT WORKERS'COMPENSATION COMMISSION Building Permit AtTidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat. §31-28tib) `Property located at In the town of So \,Aj ' o Name of building permit applicant: Please check one: `1.-ez1 am the.owner of the above property. 2._1 am the*sole proprietor of a business. 2A.Name of business 2B.Federal Employer Identification um ' .........:..................... Number(FIIN) Pursuant to§31.286b a ..................................... ........... contractor ,K Property owner or sole proprietor[who]intends'to act as a general..... 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 it 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.L I intend to act as a general contractor or principal employer.Applicant must either provide a certificate of workers'below. compensation insurance or sign the affidavit ..............................................................................................................:...... 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 en s'Com Sages in work on the above property in accordance with the Worker pensation 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. �Signatu=cof Subscribed and sworn to before me this day of 200 . (Notary Public/Commissioner of the Superior Court) Electric # APPLICATION FOR BUILDING PERMIT �lumbing# 24 Highland Drive Date: i/ - zz7 D , HVAC # _ Sprinkler# _ 30227 FINAL P - _ Estimated Cost Buildin 3 — F�0�10SIGN PLETE RED BOXED AREAS Occupancy ncy Fee $ Engine TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr. f ON REVERSE SIDEAppr. for CO. 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 Z 22�V,0- C, War location of Work4 Lot No. Applicant's Addres$,� a_ry'J J)/" 1el.# 6,4 Town "\q/, 22 Z. Zip U Lic.# Owner 5 s�_� -e Architect Owner's Address Architect's Address Zip Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permitJk e- Lcz a,<lb 4,� City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Date7/17,1 Use Group Construction Type Revised M 1 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 ratify 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 yarr,lines,and required distances from all other zones and is located in which this building and Its use is allowed. N Signedb��v I hereby apply for a Certificate of Occupancy for the work described in this application for the pe,md. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-30227-B 1,000 B10 FINAL 08/03/04 JFF A B10 FINAL 08/03/04 JFF A CLOSEOUT C � S 26 / 4/2 � 9 APPLICATION FOR ELECTRICALPERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT AP O 1:540 SULLIVAN AVENUE IO : _�.5. 644-2511.ext. 230 Bldg:Permit# Date Building In ector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,060=$15.00 2 .7 /i g .h le tI 1 /� r Over$1,000= Street,No. Street Lot No. $15.00,per$1,000 or any fraction thereof Tenant Designation Apt No. APPLIC IA�TT � a r Ci . e-v /r► • - APPLIC.VT ADDRESS Z �� a y rv� c n d d APPLIC��,VT' PHONE# �f G o •- 7 9 0/U OWNER n r l 0. k) d S S Q- ti a- r OWNER ADDRESS 2 `/ O OWNER PHONE C ESTIMATED COST$ b a IS THIS ti CONTRACT COST? Yes L-"No FEE ENCLOSED$ °. TYPE 0 IJOB: 4(A 7 dsOR•C43 New Installation Alteration/Addition/Repair 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 Cq 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]bIET$QD.:/h S / `� r r �, t1 w ./1i��fiz F Y S r SIZE OF SERVICEa SIZE OF MAIN CONDUCTORS 3 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 SUBMIT`TED. DESCRIPTION OF WORK THE UNDERSIGNED NEARBY 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 S- 27 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE /0Z2- i� 1500421 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 10/28/2015 GIS ID:42900024 FEE: 15.00 MUNIS APPLICATION# 201501526 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: R R.M ELECTRIC ADDRESS: 24 HIGHLAND DRIVE ADDRESS: 248 RAYMOND ROAD OWNER: WASSENAR ANNA ROCKY HILL,CT 06067 24 HIGHLAND DRIVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALLING NEW METER AND RISER. OLD ONE IS DAMAGED. 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 10/28/2015 4:19 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE