HomeMy WebLinkAbout240 NEWBERRY RD DEPARTMENT DECISION APPLICATION FOR ELECTRICAL, PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is h C 1
BUILDING DEPARTMENT
PROV 1540 SULLIVAN AVENUE Bldg. Permit#
644-2511 ext. 230
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Application must be printed or typed
FEE SCHEDULE Location of Job:
FTenant
Newbe�rr�.
$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT 57PV0h vllkow
APPLICANT ADDRESS
APPLICANT PHONE#
OWN S j , OWNER 6,l B2n06r1
OWNER ADDRESS
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,S o�TS 4��5or,
r OWNER PHONE sZ� 7 3 7�
C = ESTIMATED COST$ UV,
�r
x IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$
ffI'�So- �•CO�y TYPE OF JOB:
R 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
Ul RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES®NO
O BUSINESS CURRENT USE AND OCCUPANCY
0 ASSEMBLY
❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY
❑ INSTITUTIONAL
O FACTORY ENGINEER'S NAME PHONE
O STORAGE
❑GARAGE ADDRESS
0 MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF TYSTALLATION/WIRING METHOD J e t
SIZE OF SERVICE /U U A%,P SIZE OF MAIN CONDUCTORS -44 -2
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? 0 YES .0 NO
NUMBER OF LIGHT CIRCUITS •- NUMBER OF POWER CIRCUITS E7
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.
1 oU 1:N. C/ c-t-
CONTRACTORS LICENSE NO., TYPE STATE
SIGNATURE OF APPLICANT /
DATE 2 ( Z 710T
5/5/23,9:54 AM about:blank
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Town of South Windsor Planning
Department
1540 Sullivan Ave.
South Windsor, CT 06074
:�t.? a9 I y 2
Accessory structure-sheds,decks(small-under 200 sf)
240 NEWBERRY RD
South Windsor,CT 06074
By receiving this permit the recipientgives consent to searches and inspections as required and shall operate in accordance with
the regulations of the South Windsor Zoning Regulations.
G . o,Cj A.
May 5, 2023
Pamela Oliva,Zoning Enforcement Officer DATE SIGNED
***PERMIT ONLY VALID IF SIGNED BY ZONING OFFICIAL'
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ZONING COMPLIANCE FOR SMALL STRUCTURES �-
(Sheds and detached decks 200 sq. ft. and smaller) S0 `„��t
Address of Proposed Structure: `Al`lo N-e,-',1Dc-(ru\ 21 Zone:
Name of Owner: r► ,Acg GIS PIN:
Phone Number: 260 5L)% -3 tq; Application #: a 91`I a
1. Name of Applicant: �kbly%
Address: aL4 o ht eu%be r'r
Phone Number: TOO - 5os-31g5
n661r,br►dKO
�yoti jm6o.
2. Structure cannot exceed square feet.
TYPE OF STRUCTURE: /SHED DECK (not to exceed 30"from grade)
DIMENSIONS OF PROPOSED STRUCTURE: to x lb
3. A Class D survey must be submitted with the application showing the rope rtylines all other
buildings and the location of the proposed structure.
4. Is the property served by a septic system? ✓ Yes No If yes, the applicant must
complete and submit a B100a Application to the Health Department for review and approval.
The undersigned hereby permits Town staff to enter onto and inspect this property during
reasonable hours for the purpose of reviewing this application and to determine final compliance
once construction is completed.
I, the undersigned, acknowledge that the above information is true to the best of my knowledge
and that the above requirements are understood.
Applicant Signature:(atLQ Pat,ace's Date:
Owner Signature: Date:
*****************************************************************
Reviewed and approved by:01'.- Date: a3
Zoning Enforcement Officer
Reviewed and approved by: Date:
Environmental Health Officer
cc: Assessor
Building File
04/15/14
Town of South Windsor — Health Department
1540 Sullivan Ave.,South Windsor,CT 06074—Mailing Address
1530 Sullivan Ave.,South Windsor, CT 06074—Office Address
Phone Number:(860)337-6173,Fax Number:(860)644-1930
�SUFCO,
B100a APPLICATION
(for building conversion,change of use,building addition,accessory structure and lot line change)
Standard application review time is 5-10 days,if soil testing is needed additional time will be required to complete the review rocess.
;kio Ne_Jo c-tH
Street Address of Proposed etivity/Structure
�i No i n Ok&\ -�,,r� drnP� / 4 O ly'eA0e f C d EC1ob- 5 0$
Owner ame Mailing Address Telephone
Applicant Name(if different than owner) Mailing Address Telephone
Describe the proposed structure or activity with dimensions:
cad a r0 x 1 b
Residential t/ Number of existing bedrooms 3
Non-residential Please describe
Property served by on-site well? Y Q If No,List name of water company__
Property served by septic system? (Y N Age of system Date last pumped
Plot plan—attach a scaled drawing showing property lines and dimensions,location and size of existing and proposed
structures,and site features such as driveways,wells and septic systems,drains and water courses.
Building plan—attach a sketch/floor plan of the proposed structure,addition or renovation showing existing and
proposed rooms with door and window locations.
Soil test data(deep test pits and percolation test)are required for the review of this application.
If the data is NOT available,you will need to schedule an appointment with the health department for soil testing
As properly owner or duly authorized representative of the property owner of the above referenced property,I agree to allow the
health department staff to enter the above referenced property as part of this B 100a application review process.I further agree that
this authorization to enter the subject property may extend through a period of time ending with the final 13100a application
approval and affirm such with my signature below.
Applicant Signature:' o7RA J
FOR OFFICE USE ONLY:
Approved: Y N By: Date:
Comments/Conditions:
May 2011
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Electric # APPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC# 24o Newberry DRive Date:
Sprinkler# Estimated Cost $(,, 00
FINAL APPROVALS Permit Fee $ j'
Building COMPLETE D BOXED AREAS Occupancy Fee $
Engineering TYPE OF INT ONLY Enk. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE t
U Total Fee $ / dS
TO THE BUILDING
Appr.for CO. RTMENT, TOWN OF SOUTH INDSOR, CT (Additional Cost) $
The un r i d reby app 'es to do work according to the f wing:
Applicant GeQ.1,1 Lr t_> Location of Work e L C J Lot No.
Applicant's Address 59 1 crrn f,'L4_, Tel #
Town u)4 — � C—T _Zip 6,GO?o Lic.#
Owner Architect
Owner's Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rdnFl. Total New Area
Purpose of this permit1C(V,Aq 1 �_,IO Gild C(f
City Water J Well J Septic System J Sewer J
Zo 0
Ins: HO Area Basement Garage
Approved by Date 1016 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
1 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 FIELD SHEET 05/10/11
Printed by Peart, Dayshell 09:45 46
INSPECTION: 31452 FINAL PERMIT:
STATUS:
APPLICATION: 201000508
LOCATION: 240 NEWBERRY ROAD
SOUTH WINDSOR
PROPERTY ID: 63000240
OWNER: BRIDGES ROBIN K & COLBY E
CONTRACTOR:
REQUEST BY:
DESCRIPTION: TEARING OFF OLD ROOF AND RE-SHINGLING.
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 04/08/11 PRIORITY:
SCHEDULED: 04/08/11 AM COMPLETED: 04/08/11
UNPAID FEES: 00 Date Time
TIME: TRAVEL ONSITE
COMMENTS
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1000187 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 05/05/10 u,
GIS ID: 63000240 FEE: 105.00
MUNIS APPLICATION# 201000508 _' BUILDING DESCRIPTION:
,.
APPLICANT ',"; �` , M. - LOCATION
NAME: J AND J HOME IMPROVEMENTS ADDRESS: 240 NEWBERRY ROAD
ADDRESS: 39 DARIEN DRIVE r r. y OWNER: BRIDGES ROBIN K&COLBY E
WINDSOR LOCKS,CT 06096 .; 240 NEWBERRY ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: TEARING OFROLD ROOF AND RE-SHINLGING.`
SPECIAL CONDITIONS: 4
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
5/5/2010 9:53 AM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE