HomeMy WebLinkAbout25 DIANE DR APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
APPR 1540 SULLIVAN AVENUE
►� 644-2511.ext. 230 Bldg.Permit#
Date Building Inspec ,
Application must be printed or typed
FEE SCHEDULE ation of Job:
$041,000-$15.00 2 �c^- �T,�c
Over$1,000- Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS
--
APPLICANT'S PHONE# 51150
OWNER &-2::)
N OWNER ADDRESS ;2 S— -�-< Q-r, t
C OWNER PHONE 860- 64r� &�
C ESTIMATED COST$ 25-0�'`
� IS THIS A CONTRACT COST? yes ✓No
FEE ENCLOSED-$. 4S;-
o '
1� ° , TYPE OF JOB: 2 y�
dsOR•COS New Installation
!✓Alteration/Addition/Repair
61SOI-751
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
SIDENTIAL CURRENT USE AND OCCUPANCY
❑ BUSINESS
❑ ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE
❑ FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑ MIXED USE CITY STAVE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING MTHOD y`Sry
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS �/ O
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.
DESCRIPTIQN OF WORK
w� .2rao S v<<6= .,` i.0 ��l►+iEC /hap �.c i�i�'r� �61 Ay
THE UNDERSIGNED HEARBYAPPLIES 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
CONTRACTORS LICENSE NO. E STATE
SIGNATURE OF APPLICANT DATE
t 4-21- 4
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° 61
01
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PROPERTY OF
NO. DIANE DRIVE SOUTH WINDSOR, CONN .
tieing Lot No. 69 on map entitled "'dap of HIGH FARMS Kelly Road
South !•dindsor, Conn . Property of Edward , Joseph tr William Kelly
Subdividers Robert Stone to Jack Goldberg Scale 1 " = 5U '
April 6, 1959 Hayden L. Griswold C . E . Sheet I of 2"
Scale V = 50 '
HAPPEN L. GRISWOLD %.E.
ry urVy to
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC # 25 Diane Drive Date: / �
Sprinkles'# _ 32614
FINAL R �
_ __- Estimated Cost $� c
Buildin 6 0 COMPLETE RED BOXED AREAS Permit Fee $
Enginee TYPE OR PRINT ONLY Eng.Insp. Fee $
ffi Adavit 1110- SIGN ON REVERSE SIDE 1
Appr. for CO. — Total Fee $ JZ�.
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost)
The undersigned hereby applies to do work according to the following:
Applicant I-A aw r4c �5• C t eg t y—Location of Work T �� �•.� Lot No.
Applicant's Address � ✓� Tel.# 2 0 c,
Town u+` C Zips/r 9 Lic.#���
Owner r Architect
Owner's Address n F n r- • Architect's Address
,0,,17)1 LtJ, .% S tr r <--T Zip Zip
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit_ d2)da u i-f.2 f .��, 1AT
Lam, c� '�� � Q r e L,
Q f^r, L, L, .?ram, � Y r,P(a c te 4-k C,0 910 A-
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved b Date - Use Groff truction Types��
Rsvlssd 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
Signe . Z
,2�. 4� P6"a
I hereby apply for a Certificate of Occupancy for the work described in this application f�,rerrnit
Signed _
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
Inspection / Approval Date By Appl
Code Description Due Whom Code Comment
-------------------------------------------------------------------------------
**-32614-B 7,760
B10 FINAL 06/06/06 JFF A
ZONING COMPLIANCE FOR SMALL STRUCTURES
(Sheds and detached decks 200 sq. ft. and smaller)
Address of Proposed Structure: E'f.kI iNaS6A Zone: A -2 o
Name of Owner: &41 RL EY J F vAN N.Ey GIS PIN: a$o-6 d D o�s
Phone Number: d' !n I y — 9 9a- (Ce 1l Application #: ';-D/so/ D 4g
1. Name of Applicant: SN/)U4::-Y �'. :L- VAN N CX
Address: 02 S 'b !A N C 7b R 1 V t 60- WJ A)XdR, C I
Avu
Phone Number: Fr 6
= wNW DC
PT+ M �
0 .
2. Structure cannot exceed 200 square feet.
TYPE OF STRUCTURE: V, SHED DECK (not to exceed 30"from grade)
DIMENSIONS OF PROPOSED STRUCTURE:
3. A Class D survey must be submitted with the application showing the property lines, 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: Date: 71Z 3 ZkIL
Owner Signature: Date: &1i 34�---
Reviewed and approved by: —f'�/lam�C� C( �, Date:
Zoning Enforcement Officer
Reviewed and approved by: Date:
Environmental Health Officer
cc: Assessor SCANNED
Building File (1 ] NNV _
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PROPERTY OF
K.,jTMV, C� ;3�-A
NO, DI:1NE DF.IVE SOUTH WINDSOR, CONN .
tieing Lot No . 69 on nap entitled "'Map of HIGH FARMIS Kelly Road
South 11indsor, Conn. Property of Edward, Joseph & William Kelly
Subdividers Robert Stone to Jack Goldberg Scale 1" = 50 '
April b, 1959 Hayden L. Griswold Sheet 1 of 2"
Scale 11! = 50 ,
HAYDEN L. GRISWOLD C.E.
i
s
r � �
J T{♦k �V��1�V JLr� .......
that trl Yc Dlap and speclticntt
A
i fliz,a ?1eQ elteratiu
ate 1� TM pr.,
pMs stand is spot ith ll
fMA � 4� I *Vp to sametior
with all zo
1" sts" law* srtd suck ardars as she,
�n912CD 8qa $aA4NM flga neN dwin6 Deno,
dt>d ""Yl WOMM11" °t a bull ;,ERTIFICATION OF ZONING COMIFLIANC;E
Proposed building(s), use(s) and/or structure(s) as
shown on this plan appear(s)to be in conformance
s OW � a�Dd erect to the cokdltlo^ with current South Windsor regulations. Variances
�
a v d,hlinancea reguTaHn4 building sh' 3nd special exceptions may apply.
These tiled wtt- _late J
;endttiodd* /t}pmvNl
Zoning Enforcement Officer
+;,v in%pector
lo•f 1(, S,Y�d
It
1500480 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 11/24/2015
GIS ID:28200025 FEE: 45.00
MUNIS APPLICATION# 201501731 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: ROMAN ELECTRIC ADDRESS: 25 DIANE DRIVE
ADDRESS: 23 KOZLEY ROAD OWNER: PARTRIDGE EDWARD S JR&MARY A L/U
TOLLAND,CT 06084 25 DIANE DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: NEW 200 AMP SERVICE WITH 40 CIRCUIT PANEL. INSTALL 30 AMP
OUTLET,FOR CAMPER AT OTHER END OF HOUSE.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH TIIE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
1 1/24/2015 11:37 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE