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HomeMy WebLinkAbout28 RUGBY LN APPLICATION FOR PLUMBING PERMIT (continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY VjYW ❑ASSEMBLY ❑MERCANTILE ❑EDUCATIONAL FUTURE USE AND OCCUPANCY_ ❑INSTITUTIONAL r� ❑FACTORY ENGINEER'S NAME�)C,ice, GY��/�ir r'— PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN S NO.OF TOILETS STYLE NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW ❑YES ❑NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER DESCRIPTION OF WORK r r g"k W HE UNDERSIUNED 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. 02V��-L 1 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE `Q 0 DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROV D 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.3 i# � 53 Date Building Inspector. Application must be printed or typed FEE SCHEDULE Location of Job: T`' $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT PHONE# Q O W N 3 F,q OWNER OWNER ADDRESS a ,. OWNER PHONE C C ESTIMATED COST$ C)o IS THIS A CONTRACT COST? Yes No ;a• ICJ FEE ENCLOSED$ 794 40 SO. CO TYPE OF JOB: 1+a>- R _New Installation l �Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A N RESIDENTIAL BUILDING PERMIT APPLICATION? S 0 NO ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY 0 MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑ INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER 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 FE l-oc,4Te e7L G TR is 4 L RC-Ao V p ADD I Gt-/L/N-a 6.JG//7 7-RoLL A 63 " .1 B PLIES FOR A PERMIT PERFORM THE WO THE UNDERSIGNED HEREBY T TO WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. �r j�/y N y 1 G G / e-T CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 7//J,0 P DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN OF SOUTH WINDSOR FERMI # BUILDING DEPARTMENT APPRO D 1540 SULLIVAN AVENUE p 644-2511 ext. 230 D Bldg.Permit# °�' JUL Date Building Inspector South WindSpr UIL LNG DEPARTMENT Application must be rintec'or� ped FEE SCHEDULE Location of Job: FTen-ant v G B� LN$0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT ADO" ez-4-C r'It 1 C kt-G APPLICANT ADDRESS _ �-/cj E`GL/NG toN R p00 Sv�rN w�nr�sc�.c eT el!?O07!�e APPLICANT PHONE# (WO) 1�2 rr �o W N St 4 OWNER G M/c PE-7-eX s < OWNER ADDRESS 2-s-� R u G d Y LA-1 So�T A+I w A N p Svc c,r C7 6'0 7't OWNER PHONE C ESTIMATED COST$ �d ..} w U �'. IS THIS A CONTRACT COST? x Yes _No ��► FEE ENCLOSED$ OR-CO: �� TYPE OF JOB: _New Installation x Alteration/Addition/Repair l Revised 4ro1/rz002 Notes : 1 . Roadway & utility locations from design plans . 2 . All iron pins and monuments to be! set. 3 . Parcel. not located within inland wetlands . 4 . Parcel not:."located within a flood hazard zone. 5 . Elevations `' coordinates based on M.D.C. Datum. 6 . Electrical s4drVice to be provided by Connecticut Light & Power, Co.:` 7 . Location of- existing utilities obtained from Utility Companies, location shown approximate. Contractor to _ verify in the field-call before you dig. 1-800-922-4455 . 8 . Zone A-20 . 9 . This survey plan has been prepared it -4ccordance with the Recommended Standards for surveys and maps in the State of Connecticut as adopted for use by the Connecticut Association of Land Surveyors , Inc. on Septmeber 24 , 1992 . The type of survey performed is a Building Location Map, Zoning and is intended to depict or note the position ROAD t / 4 90�00'"� of the proposed building with respect to the applicable CHAPEL 2=,zs 0, municipal setback requirements. Boundary determination/ opinion is based upon a Dependent Resurvey of the map entitled, "Clover Meadow A Residential Subdivision South T— -- Windsor, CT. " By William R. Palmberg Land Surveyor. This survey conforms to Class A-2 and T2 Accuracy. This survey is subject to such facts as an independent resur- vey may disclose . AJ&JL'0 "49'J'J --- 10 . Foundation dimensions as shown on this plan are for site RAM,- design purposes only. Foundation Contractor will use Architectural plans for layout and construction of the (,max rFn� :4Rti �F „ „aXe ST ,,�07- #,q ,,, 0 59r.,. MH building (s) foundation. -/ `. S7tx1 Pit E SJ c7rJ•�0Et7 7 As?f 3 -.24,Sol 5,F __- 7r= /)/0.4�1 SN yEp,rvrFJ.lr ti4ErLS m M M M M �i i ATV mm CAS/`7ETER � .. - •. S51 ,zox Y tcwC PV J FG=/t3.2 r rc-,oq.42,0 4 \.gyp• o //� / � fix. .CDG4ii0�/ � STDf,I� ii9.9 / \ �z 6c,s,: G95 MAF^r PV Flo /ntv6Rr FLEvancr.t c.F E+usriNv / 1, \➢ � / UN sa#J,rArq .cATEZAL s►aa��a cis k-��RB / SfW. MH ti Ew vAE,2,FF& l=-/,7./ HOV56 \ CAr tsrncKrivnt EF ia/E )q-- //0.4 7 9"TN� •�.� Rx�n�aAria.c � \\\v „9 7 Y /o ,EL,Ec „ax . 0tQSr?,Vl7I ION E)4 Fr PA.D SIDE 5�1 IX i f / re— /,,.73 C�J'�'S. � / 1 = Ffs-gvicT SPnT CjRAoE RUGBY �� w - -HJ AS - BUILT LEGEND EROSION a SEDIMENT CONTROL PLAN KEY r:,to•64 E1�E FvMr�ry,�) --140-- EXISTING CONTOURS PV PERMANENT VEGETATION COVER c6 rF-t17.93 --�- PROPOSED CONTOURS TV TEMPORARY VEGETATION COVER 7-F 795 )*- /t3,60 141d EXISTING SPOT GRADE re-- //4.23 141. PROPOSED SPOT GRADE rL /! 3�o o,r EXISTING STORM SEWER CE CONSTRUCTION ENTRANCE �--^ PROPOSED STORM SEWER ST SEDIMENT BARRIERS EXISTING SANITARY SEWER — S — PROPOSED SANITARY SEWER - —W— - EXISTING WATER RED -Y-27-911 As-8u cr W PROPOSED WATER BUILDING LOCATION MAP, ZONING STAKED HAYBALES OR SILT FENCE PLOT PLAN CLOVER MEADOW 28 RUGBY LANE SOUTH WINDSOR, CONNECTICUT PREPARED FOR WILLI AM AMAN 878 STRONG ROAD SOUTH WINDSOR, CONNECTICUT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS PHONE 52B-&%4 MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON. F C O N ••d !y ••,� J.R. RUSSO & ASSOCIATES �'•Q'� Q LAND SURVEYORS & PROFESSIONAL ENGINEERS \a o 1 SHOHAM ROAD =* ; o. soas EAST WINDSOR, CONNECTICUT 06088 •.,•�ti- v�y°•.o Reference Map: 623-0569:;;ceNs� �'��.•'� "Clover Meadow A Residential Subdivision South Windsor, Ct. "'�� BY SCALE DATE SHEET CHECKED NO. Owner-Developer William Aman 643 Strong Road, South Windsor, /z_/3.93 Ct. Phone 528-3564" 1"=40 ' 11-24-86 By Palmberg & Russo JOSEPH R. RUSSO, L.S. 8 48 Notes : 1 . Roadway & utility locations from design plans . 2 . All iron pins and monuments to be set. 3 . Parcel not located within inland wetlands . 4 . Parcel not located within a flood hazard zone. 5 . Elevations & coordinates based on M.D.C. Datum. 6 . Electrical' serv{ice to be provided by Connecticut Light & Power, Co. 7 . Location of existing utilities obtained from Utility Companies, location shown approximate. Contractor to verify in the field-call before you dig. 1-800-922-4455 . 8 . Zone A-20 . 9 . This survey plan has been prepared in accordance with the Recommended Standards for surveys and maps in the State of Connecticut as adopted for use by the Conn&cticut Association of Land Surveyors, Inc. on Septmeber 24 , 1992 . The type of survey performed is a Building Location Map, Zoning and is intended to depict or note the position sAN T % -- / o, =,9Z0o�-c� -c ' of the proposed building with respect to the applicable CHAPEL ROAD municipal setback requirements. Boundary determination/ •c - 39.27' opinion is based upon a Dependent Resurvey of the map entitled, --hover Meadow A Residential Subdivision South Windsor, CT. " By William R. Palmberg Land Surveyor. This survey conforms to Class A-2 and T2 Accuracy. This Al.25'o� -/iE survey is subject to such facts as an independent resur- vey may disclose. 10 . Foundation dimensions as shown on this plan are for site /ZJ /�o•So' RNNP design purposes only. Foundation Contractor will use Architectural plans for layout and construction of the a9x' TEMr��'.A2�i �psp�t I iigx6 ST.7 SOT /9 I ��� Imo. MH building (s) foundation. �� s7saG�PrcE sv NoED U rr ACEA -24,509 S.= / : ///-:4A r "I 1 TV 1 ci3 „gxY I CAS i`J�TER \ CZ 1 0 \Y i14c,K. r / P a PV w` b) / \-K TAL J• ( / �l�� � i \\ .- J � '� 2USH \ � - •s zaxq �'� \ � 'v! //� � ,g;�leo�c. <£x.4%toil c� (;+S Gorr G95 MAIk! PV Fil. FAf3(Z�C I 19a N C3`f Zot / f��E � /ntvERr EUEyaricv.r M�AFI E �(/�Q� SAN rAf1I ,cATSC.AL SMWLi-' LiE / / /. sovi MH E� vEF.2f ,Ea aa,a� �rn +iE R� 7 p �. 1, coN�vcr�o•� �t�E Hou:�� � Tc.• //0.47 y i MAN • �� -- --- - �� -- - -- -_ �' ,�' ��� � /10.7t C�cx�► KVCTIot�! IT PAD / s 5/DEWAt_►� RB fps-Bu��r f;I�JTS.) i� `„/c,f // � �" l l l•73 roo x, = RS-8ucr s lror y,PHoE CFI 8' II 3 _-Z Fc llz.z� RUGBYfi �- �" M" - LEGEND EROSION a SEDIMENT CONTROL PLAN KEY - Fc=//0S4 AS BUILT --r ESE pyMr�ry,�� Z0Q --140-- EXISTING CONTOURS PV PERMANENT VEGETATION COVER CZ rif= "'N � F=11-z93 -- }— PROPOSED CONTOURS TV TEMPORARY VEGETATION COVER �`�1095 ce Ac._//3,60 ,u c rr< 141=I EXISTING SPOT GRADE r,-, ` //4•23 —N 3400ar 141. PROPOSED SPOT GRADE EXISTING STORM SEWER CE CONSTRUCTION ENTRANCE PROPOSED STORM SEWER ST SEDIMENT BARRIERS EXISTING SANITARY SEWER — S — PROPOSED SANITARY SEWER - -W - EXISTING WATER W PROPOSED WATER BUILDING LOCATION MAP, ZONING STAKED HAYBALES OR SILT FENCE PLOT PLAN CLOVER MEADOW 28 RUGBY LANE SOUTH WINDSOR, CONNECTICUT PREPARED FOR WILLIAM AMAN 878 STRONG ROAD TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS SOUTH WINDSOR, CONNECTICUT PHONE 52r8-3564 MAP IS SUBSTANTIALLY CORR�QT••� NOTED HEREON. *�` QN R. "P--,0i J.R. RUSSO & ASSOCIATES co '`s LAND SURVEYORS & PROFESSIONAL ENGINEERS =' o. soaa O 1 SHOHAM ROAD =• q�'CENs�° �. EAST WINDSOR, CONNECTICUT 06088 Reference Map: �•�ag`""��'�� 623-0569 "Clover Meadow A Residential Subdivision South Windsor, Ct. Owner-Developer William Aman 643 Strong Road, South Windsor, BY SCALE DAIS SHEET CHECKED N0. Ct. Phone 528-3564" 1"=40 ' 11-24-86 By Palmberg & Russo JOSEPH R. RUSSO, L.S. ;I 8048 "7 / ����r /2-/3�3 10rl �0c= /0/0 Notes : 1 . Roadway & utility locations from design plans. 2 . All iron pins and monuments to be' set. 3 . Parcel not located within inland wetlands. 4 . Parcel not located within a flood hazard zone. 5. Elevations & coordinates based on M.D.C. Datum. 6 . - Electrical service to be provided by Connecticut Light & Power, Co. •7 r r 1 . Location or existing utilities obtained from Utility Companies, location shown approximate. Contractor to verify in the field-call before you dig. 1-800-922-4455 . 8 . Zone A-20 . 9 . This survey plan has been prepared in accordance with the Recommended Standards for surveys and maps in the State of Connecticut as adopted for use by the Connecticut //� Association of Land Surveyors, Inc. on Septmeber 24 , 1992 . TL� _ L - me type or survey performed is a Building Location Map, 24' sgN , Zoning and is intended to depict or note the position ROAD p�qo��,-00 of the proposed building with respect to the applicable CHAPEL 9 -es.Co' municipal setback requirements. Boundary determination/ .c - 39.z7' opinion is based upon a Dependent Resurvey of the map ent i tleu, UlvvC% tRIff edClVw A Residential Subdivision South Windsor, CT. " By William R. Palmberg Land Surveyor. This survey conforms to Class A-2 and T2 Accuracy. This survey is subject to such facts as an independent resur- vey may disclose. 10 . Foundation dimensions as shown on this plan are for site design purposes only. Foundation Contractor will use a Architectural plans for layout and construction of the 7FMP00ZAR1Y T&Psort, ST .CDT i0t/9 I Imo^► MA4 buildings) foundation. sti sEo, T r�rz2.E.�S \ �- /og& 1 \t JTV � 03 � I PV G FF f3.'s= �-rrg•io of PV PP S9wl.My \` �� \ / TIC"/Jlo.$7 3a_ g - �. '�% `% , r r<- ram lao 2� C2USi-IEp \ ^� 9�°�v STOi \\- „9.4 �, C-aS MRitil i PV uNOElttJEPCTN ��`' o°� �/ / /nivERT E�Ev�r�c►�.l of E.,u srJ rry � / // rAC-lf WEA14_1 5►WLD 13E � � � / 1� Sfi/�• MH ti v,Erz,FrEo PRJOZ m 7).+6: `�.1• /2' cn�►srrzvcx ofr>,�EsE: J'c = //0.47 -q TF)r_ SEA � CoN�'r'f�.tJCTIoN EaC I T PP%D — 24"Z�p CS..lr7.A� q� RUGBY - - - - -- - -HI - - - . - - - 1 =/J-2.5 LEGEND EROSION a SEDIMENT CONTROL PLAN KEY 1&4. E.t�E PvMT�ry�) <Asj Ao iotb 11 - =- EXISTING CONTOURS PV PERMANENT VEGETATION COVER � "� rF=li�.,93 PROPOSED CONTOURS TV TEMPORARY VEGETATION COVER -rr"/f�99 �a �- l//•z5 Fc=//3,60.N£ t�- 1J7.95 141s1 EXISTING SPOT GRADE 3(a cvr I41. PROPOSED SPOT GRADE EXISTING STORM SEWER CE CONSTRUCTION ENTRANCE PROPOSED STORM SEWER ST SEDIMENT BARRIERS EXISTING SANITARY SEWER — S PROPOSED SANITARY SEWER — —W— — EXISTING WATER W PROPOSED WATER BUILDING LOCATION MAP, ZONING STAKED HAYBAI.ES OR SILT FENCE PLOT PLAN CLOVER MEADOW 28 RUGBY LANE SOUTH WINDSOR, CONNECTICUT PREPARED FOR WILLIAM AMAN 878 STRONG ROAD TO THE BEST OF M SOUTH WINDSOR, CONNECTICUT Y KNOWLEDGE AND BELIEF THIS PHONE 528—3564 MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON. �oFs;°R.�.4� o�N�^!iF� J.R. RUSSO & ASSOCIATES �� ,q �,: A`,, QN R. G ��; LAND SURVEYORS & PROFESSIONAL ENGINEERS Co 1 SHOHAM ROAD *` ° �'�' " o. 08048 EAST 1MNDSOR, CONNECTICUT 06088 Reference Map: Ay EN �JQ d "Clover Meadow A Residential Subdivision South Windsor, Ct. q v ,�`•/�Elvsti.'G`��` 623-0569 Owner-Developer William Aman 643 Strong Road, South Windsor, •,"s M.Ai.L•�'"� BY /C SCALE DATE SHEET CHECKED N0. Ct. Phone 528-3564" 1"=40 ' 11-24-86 By Palmberg & Russo JOSEPH R. RUSSO, L.S. # 8048 '7` /­=.Z�� /2-/3-93 9ioiv 9 Notes : 1 . Roadway & utility locations from design plans . 2 . All iron pins and monuments to be set. 3 . Parcel not located within inland wetlands . 4 . Parcel not located within a flood hazard zone. 5 . Elevations & coordinates based on M.D.C. Datum. 6 . Electrical service to be provided by Connecticut Light & Power, Co. 7 . Location of existing utilities obtained from Utility Companies, location shown approximate. Contractor to verify in the field-call before you dig. 1-800-922-4455 . 8 . Zone A-20 . 9 . This survey plan has been prepared in accordance with the Recommended Standards for surveys and maps in the State - - of Connecticut as adopted for use by the Connecticut Association of Land Surveyors , Inc . on Septmeber 24 , 1992 . The type of survey performed is a Building Location Map, ,4"SAN � Zoning and is intended to depict or note the position ROAD / v=909Co'-00 of the proposed building with respect to the applicable CHAPEL / R=-?..6.ov' municipal setback requirements. Boundary determination/ �ei39R7' opinion is based upon a Dependent Resurvey of the map a entitled, "Clover Meadow A Residential Subdivision South Windsor, CT. " By William R. Palmberg Land Surveyor. This survey conforms to Class A-2 and T2 Accuracy. This �[25°07 iiE survey is subject to such facts as an independent resur- vey may disclose. / 10 . Foundation dimensions as shown on this plan are for site design purposes only. Foundation Contractor will use Architectural plans for layout and construction of the rEitgLbwZARy >,� ST -/or #/9 s9►.r. MH building (s) foundation. SAxIGF9 t.E 5c� ptln.l 4ED ACEA -7 24'509 S J T X /l(o.'4-q 84 SEl��MEJJT r3g22� S m m m m � Fc ion(a�_ 1 ~\ V PV °°=_=I .\. I ti - PV PP _ �9nt MH Tr r r, c�J 530 ` � s' � �S � ��' ��,�" / � /i�� f►iPPRox. .�oc.�►%/onl QF 2 C. �- 2USNEp l l `V u�nOEtLh1£PfT1� �i �?o / ( 14+�tJ o� z`7R M�RAFI � inlvE.Rr �EvAF'ionl of Eusri,.,cP / l� SAS. MH Eaz � �Ew vrriED Paz 1t� �.+E k-�I.Zgo 77="/17.11 \ ^\�• /2' corj srgucria4 eF na e_ ems£ i io.4 7 9"T-N �20 ,uorE• r !�l�S" 4�' 4��.�E_�105 �2���/ �_/10.7 t -- s�E C6 CC�1ST"�.IJCT'IOt�I EaC I T" PNO ----i �o� S'R f F- r!r.73 _____-- --5�- y �'� �/ 24" �'' CPS , RUGBY :yAN MH �EU11t,4 Tr' /I7.5/D EROSION E3 Si DIMENT CONTROL_ PLAN KEY --140-- EXISTING CONTOURS PV PERMANENT VEGETATION COVER (Z ram=ir7.93 -- — PROPOSED' CONTOURS TV TEMPORARY VEGETA f ION COVER 795 x�•i�3,6o,N� rr- ir7.9S 1414 EXISTING SPOT GRADE 141. PROPOSED SPOT GRADE ��S oor ======= EXISTING STORM SEWER CE CONSTRUCTION ENTRANCE PROPOSED STORM SEWER ST SEDIMENT BARRIERS EXISTING SANITARY SEWER — S PROPOSED SANITARY SEWER - -W- - EXISTING WATER w PROPOSED WATER BUILDING LOCATION MAP, ZONING STAKED HAYBALES OR SILT FENCE PLOT PLAN CLOVER MEADOW 28 RUGBY LANE SOUTH WINDSOR, CONNECTICUT PREPARED FOR WILLI AM AMAN 878 STRONG ROAD SOUTH WINDSOR, CONNECTICUT TO THE BEST OF MY KNOWLEDGE AND BELIEF THIS PHONE 528-3564 .• , MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON. of ,, oF`coNN.�� J.R. RUSSO & ASSOCIATES 0. a NR. q�., oQ G - .a 4 . ....�.. a � R. 'Q�,.1* � LAND SURVEYORS & PROFESSIONAL ENGINEERS 00 Co ♦ c f ,. 1 SHOHAM ROAD Reference' Ma , + `No. 08040 .�`�/� EAST WINDSOR, CONNECTICUT 06088 <q c s��,o�-.d �,�'�!C NS�;.4 N 623-0569 . , ".Plover Meadow A. Residential Subdivision South Windsor, y �rr.rr Ct. "`'Owner-Dewelope William Aman 643 Strong Road, South Windsor, �`"'b! �'' ONA��*" BY SCALE DATE SHEET CHECKED N0. Ct. Phone 528-3564" 1"=40 ' 11-241-86 By Palmberg & Russo JOSEPH R. RUSSO, L.S.# 8048 /��'�r�� /2-/3 �I3 �o�/ �0 5/0/0 APPLICATION FOR BUILDING PERMIT Electric # 28 Rugby Land Plumbing# 800353 Date: _ 7 fit HVAC # Sprinkler# FINAL APPROVALS - -- __ - Estimated Cost Building COMPLETE RED BOXED AREAS Permit Fee _ Engineering TYPE OR PRINT ONLY I Occupancy Fee $ /� Affidavit I Eng. Insp. Fee $ Appr. for Co. , Z• - ► SIGN ON REVERSE SIDE - - - - -- - -- --- - ---I Total Fee TO THE BUILDIN DEPARTMENT,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: *Icjv Applicant Location of Work �� 'u� l Q��.e Lot No. -44 Applicant's Add ss Sks ��111'0AAa# �'/ Tel.# Town 41, h W1 2 S&e Zip 1or77 Lic.# Owner C-Yjg a PY.Aa'Pls Architect Owner's Address .2 Q RYab►� Architect's Address n�'�b ,��also Zip ml&�z Zip Sq. Ft. New Area: 1st FI. 2nd Fl. 3rd FI. Total New Area Purpqqe of this permit AruQT ,Mb164,..... ,tom, City Water Well❑ Septic System❑ SewerSi Ins: HO ems'— J Use Group�t Garage Approved by�;t- Date �uction Type Rwised 6102 /1 I 1� T 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 buil ing and its use is allowed. Signed� , J I hereby apply for a Certificate of Occupan y for the work described in this application for the permit. Signed _ DO NOT WR TE BELOW THIS LINE INSPECTION COMMENTS • r BUILDING PERMIT �� STATE OF CONNECTICUT WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn. Gen. Stat. § 31-286b) Property located at In the town of zjl o 1 Name of building permit applicant: (� Please check one: 1._I am the owner of the above property. 2._%,�fam the sole proprietor of a business. 2A.Name of business ` 2B.Federal Employer Identification Number(FEIN) .................................................................................................................... Pursuant to §31-286b,"a property owner or sole proprietor[who] intends to act as a general contractor or 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 accordance with this chapter." Please check one: 1. V 1 do not intend to act as a general contractor or principal employer. [Sign and stop here] l� L l Signa of applicant 2._I intend to act as a general contractor or principal employer.Applicant must either provide a certificate of workers'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 on the above property in accordance with the Workers'Compensation 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. Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court) INSPECTION FIELD SHEET 07/23/15 Printed by Peart, Dayshell 11 55:44 INSPECTION: 15752 FOOTING PERMIT: STATUS: APPLICATION: 200801030 LOC: 28 RUGBY LANE SOUTH WINDSOR PROPERTY ID: 78000028 OWNER: LEBOWITZ STEVEN & CONTRACTOR: REQUEST BY: PROJ DESC: REMOVE BEARING WALL AND INSTALL ON SUPPORTING BEAM IN ITS WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 07/23/15 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 07/23/15 ROSE N/A B002 FOUNDATION 07/16/08 FLAN PASS B003 FRAMING (ROUGH) 07/16/08 FLAN PASS B004 INSULATION 07/23/15 ROSE N/A B005 FIREPLACE / CHIMNEY 07/23/15 ROSE N/A B006 WOOD / GAS STOVE 07/23/-15-,--wROSE N/A,_-BO09,_,_OTHER,,.,. 1)7/22/15 ..,,DOUG, _ . PASS, BO10 FINAL 1 �-'" CRAIGp @ 860-436-6484 OR 860306-6453'- - ` 07/16/08 FLAN PASS E003 ELECTRIC ROUGH 07/16/08 FLAN PASS P003 PLUMBING ROUGH 201500090 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 07/23/2015 GIS ID:78000028 FEE: 10.00 MUNIS APPLICATION# 200801030 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: GAP CARPENTRY SERVICES ADDRESS: 28 RUGBY LANE ADDRESS: 549 ELLINGTON RD OWNER: LEBOWITZ STEVEN& S WINDSOR,CT 060744118 28 RUGBY LANE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REMOVE BEARING WALL AND INSTALL ON SUPPORTING BEAM IN ITS PLACE/INTERIOR RENOVTION SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH TILE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 7/23/2015 12:31 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1800592 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 10/29/2018 GIS ID:78000028 FEE: 162.00 MUNIS APPLICATION# 201801960 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: HOME PRO ROOFING AND SIDING LLC ADDRESS: 28 RUGBY LANE ADDRESS: 100 BATTLE STREET OWNER: KIM HOI SOON 28 RUGBY LANE SOMERS,CT 06071 DESCRIPTION OF WORK: REMOVE AND REPLACE ROOF SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPRO�D Y THE ( I G DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/29/2018 11:03 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE