HomeMy WebLinkAbout28 MAPLE ST APPLICATION FOR.:ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR pgRMrr#
Application is hereby: BUILDING DEPARTMENT
APP O D 1:540 SULLIVAN AVENUE B1dg:.Permit#
Ike 644-2511.ext.*230
Date Building Inspector .
Application must be printed or typed
FEE SCHEDULE I zeation of Job:
$0-$1,000=-$15.00 4 I e
Over$1,000= Stree No. S4eet Lot No.
$15.00.per$1,000 es
or any fraction thereof Tenant Designation Apt:No.
APPLICANT r G✓1
APP ICANI T ADDRESS 3 Old( D d 170
APPLICANT' y PHONE# ,Q - 7S o.
OWNER '/ K five-
't W N St OWNER ADDRESS a �� d •
C * OWNER PHONE
C.. ESTIMATED COST$ /, 6W
U IS THIS A CONTRACT COST? Yes No
� - G FEE ENCLOSED$.
TYPE OF JOB: CA 1
SOR-CO New Installation
Alteration/Addition/Repair
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BLIiL•DIN = IS THIS APPLICATION ASSOCIATED WITH A
/ BUILDING PERMIT APPLICATION? El YES 5rNO
9 RESIDENTIAL CURRENT USE AND OCCUPANCY P
❑ BUSINESS S
O. ASSEMBLY FUTURE USE AND OCCUPANCY
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE:
❑ FACTORY
O STORAGE ADDRESS
❑ GARAGE
O MIXED USE CTTy STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD J
yll
SIZE OF SERVICE 20() , SIZE OF MAIN CONDUCTORS .:
NUMBERS OF METERS NUMBERS.OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS NUMB
ERS.OF DISCONNECTS REQUIRED? ❑ YES ❑ NO
N.IIMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS
-NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBER OFLIGHT FIXIfURES NU]IBER OF HEAT CIRCUITS
NUMBER`OF A IC CIRCUITS
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
DESCRIPTION OF WORK
1�vl ud o f
/.
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 PERFOR-
MANCE��OF SUCH WORK
io
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT �j �)
"v DATE
BUILDIIM PERMIT -/
STATE OF CONNEMCUT
WORKERS'COMPENSAT[M CONMSSION
Building Permit AtIIdavit for Property Owners or Sole Proprietors
( onn.I Gen.Stat.§31-286b)
Property located at G l
In the town of
Name of building permit applicant,., r 1 (G V1
Please check one:
1._I am the owner of the above property.
2. IZI am the sole.proprietor o a usinus.
2.&Name of business C(' Q tC'fiY t(, bL
2B.Federal Employer Identification Number(FM
....................................................................................................:...............
Pursuant to§31286b,"a-property owner or sole proprietor[who]intends to act as a general
contractor or principal employee"may provide either a certificate of workers'compensation
insurance or a"&worn,notarized affidavit...stating that he will require proof of workers'
compensation insurance for all thoge employed on tho job site in accordance with this chapter."
Please ch i ne:
1 I do not intend to act p a general contractor or principal employer.
[Sign a he
S' tore of ap licant
2._1-intend to act as-a g6ne;al.contractor or principal employer.Applicant must either
provide a certificate of workere compensation insurance or sign the affidavit
below.
........................................................................:....................................:....:.
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 engages in work ou the above property in
accordance with tho'Workme Compensation Act(Chapter 568).
I understand that pursuant to.§31-275 C.G.S.,officers of a corporation and partners in a
partnership mot elect to be excluded fi6n coverage'by filing a waiver with the appropriate
District Office;and that a sole prietor ota business is not required to have coverage unless he
files his intent to a e.
Sloiature if applicant
Subscribed and sworn to before me this day of ,200 .
(Notary Public/Commissioner of the Superior Court)
X ,
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NO ZONING VIOLATIONS. JOHN J. MOZZOCHI. ENGINEER
GLASTONBURY. CONN.
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his certified that this plan and specifications.
ogles of the proposed building or alterations
rected at
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.ether with stated in application
n.1 with play and I agree to comply with a❑ z:-
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•d oy the Building De rttrsegt during pens.
1yls •poll and floral np of a build
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+d with.
drtlonally ApW,.o ed files, filed with
�u,lding inspector
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CERTIFICATION OF ZONING COIVIPLIANlV
Proposed building(s). use(s) andlor structureis) ZIE
shown on this plan appear(s)to be in cunfo�m
with current South Windsor regulations. Vailances
and special exce ti s may apply.
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NO ZONING VIOLATIONS. JOHN J. MOZZOCHI, ENGINEER
GLASTONBURY. CONN.
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NO ZONING VIOLATIONS. JOHN J. MOZZOCHI, ENGINEER
GLASTONBURY. CONN.
CERTIFIED SUBSTANTIALLY CORRECT. SCALE— /" _ DATE--A Z/$G
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Octt � c
South Windsor
BUILDING DEPARTMENT
TO THE R'lltD!NC DMT. TOWN OF SOUTH WINVSOi
i I I -1-. ;-?— .end are 11u.
t+.e wnpo,ed building or atteraiione to be
u at
t her �rItti amendments stand in applrcrri•,r
-+�ith pt.n and t egret to comply with ,,o zonir:.
•
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�.1 oY the Cuildrng Gepatiment during p,nu,r
applicatio and final issuance o a buud�n,
armrt.
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r-,rs plan is approved subleel to the: condito
•cJers „nd rdi—noes regulating building snail ...
vr,n;::�•:; :,uy Approved These filed with
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NO ZONING VIOLATIONS, +:.+' I ., •: JOHN J. MOZZOCHI, ENGINEER
GLASTONBURY. CONN.
/C--iRT171ZD SUBSTANTIALLY CORRECT. SCALZ— Pt-V C�' 'OATZ— 9f/Zf5G
E—,55 ^/27 -/7
5/21/2021
towN sf.4
Town of South Windsor Building Department
'OR•COc1
HVAC PERMIT. HVAC-21-169
APPLICANT
NAME: Joseph Levesque
EMAIL ADDRESS:josephlevesque13@yahoo.com
ADDRESS: 230 four bridges rd
Somers, ct 06071
LOCATION
ADDRESS: 28 MAPLE ST
South Windsor CT 6074
OWNER: PLONSKI JOHN C JR
28 MAPLE STREET
SOUTH WINDSOR CT 6074
DESCRIPTION OF WORK:
Replace existing natural gas chimney vented furnace and A/C system with American Standard 60k chimney vented furnace and American
Standard 2 1/2 ton A/C condenser and case coil
�C
��..-1 _ April 19, 2021
BUILDING OFFICIAL DATE SIGNED
"*ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT—
PERMIT ONLY VALID IF SIGNED BY BUILDING OFFICIAL—
1/1
1700446 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 08/16/2017
GIS ID:55800028 FEE: 75.00
MUNIS APPLICATION# 201701034 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: BLUNT DEREK S ADDRESS: 28 MAPLE STREET
ADDRESS: 28 MAPLE ST OWNER: BLUNT JACQUELYN L&DEREK S
SOUTH WINDSOR,CT 06074-3110 28 MAPLE STREET
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: BUILD ONE FREE-STANDING FLOATING DECK.
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
8/16/2017 10:50 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1600138 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 04/01/2016
GIS ID: 55800028 FEE: 45.00
MUNIS APPLICATION# 201600292 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: BLUNT DEREK S ADDRESS: 28 MAPLE STREET
ADDRESS: 28 MAPLE ST OWNER: BLUNT JACQUELYN L&DEREK S
SOUTH WINDSOR,CT 06074 28 MAPLE STREET
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: ADDING WALL FOR BEDROOM,FILLING IN HALF WALL FOR BEDROOM
AND ADDING STAIRS FOR HALLWAY.
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
4/1/2016 2:32 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1600119 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 04/01/2016
GIS ID:55800028 FEE: 15.00
MUNIS APPLICATION# 201600292 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: KEEL ELECTRIC ADDRESS: 28 MAPLE STREET
ADDRESS: 38 OLDEWOOD ROAD OWNER: BLUNT JACQUELYN L&DEREK S
GLASTONBURY,CT 06033 28 MAPLE STREET
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: ADD OUTLETS IN EXISTING BEDROOM AND OR ADD OUTLETS AND SWITCHES FROM
EXISTING CIRCUITS.
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
4/1/2016 2:34 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE