HomeMy WebLinkAbout10 CASTLEWOOD DRElectric # APPLICATION FOR BUILDING PERMIT
PHVmbing# # 10 Castlewood Drive Date. r
Sprinkler#r r ` 730808
Estimated Cost $FINAL APPROVALS
Permit FeeBuildingCOMPLETEREDBOXEDAREAS
Engineering TYPE OR PRINT ONLY I Occupancy Fee $ O
Affidavit I Eng. Insp. Fee $
Appr. for CO. SIGN ON REVERSE SIDE J 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 b'/L Location of Work J O Lot No. 4-1 7
Applicant's Address 10 C 9 S>/e Tel.# &4° " ti f f-7 3
Town S- 4J Zip o e0 y Lic.#
Owner Ti in ca S 2/n,+` j•5 rr Architect
Owner's Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1st FI.2nd FI. 3rd FI. Total New Area
Purpose of this permit
City Water Well Septic System Sewer
Ins: HO S Ce Area Basement Garage
Approved by ate 1 1£, U Use Group Construction Type _
Revised 6102
9
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.
A
Signed
I hereby apply for a Certificate o cy for the work described in this application for the permit.
SigCNO j
RITE BELOW THIS LINE
INSPECTION COMMENTS
C' V- 0
DC[]nnir r 1—r-..
1cI v-r1 1 -r-c ITT
v1 QVLV
PFR• PA 17-176
AND
CGS 29-393
Location of Job:AFFIDAVIT Additional Fee S 117 . 00
State of Connecticut
ss.South Windsor
County of Hartford
1 ' Owneral (T J so J ,ll t't /Vf,Agent for the building erected
Contractor
under Permit No. 28608 issued by the Building Department of the Town of South Windsor being
duly sworn,make oath and say that the actual cost of the completed work author' d under said permit did not
exceed the most current accepted BOCA value of$ 14 8,6 0 2 .
Signe
Subscribed and sworn to before me this day of A.D.20
Estimated Cost S. 13 9, 7 0 0.
Difference: $ 8, 902 . 00 1" F„
Notary Public
Please check one:
1. I do not intend to act as a general contractor or principal employer.
Sign and stop here]
gnarme 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.
I Eby swear and attest that I on insurance for every
can=ctor,subcontractar, or other worker before hdshe engages in work on the above property in
accordan=with the Workers' Comp=ation Act(Chapter 568).
I understand that pursuant to §31-275 C.G.S., offcars ofa corporation and partners in a
partnership may elect to be excluded from coverage by filing a waiver with the appropriateDistrictOffice; and that a sole proprietor of a business is not required to have coverage unless he
files his intent to peept coverage.
Signature of applicant
Subscribed and sworn to before me this day of 200
Notary Public/Commissioner of the Superior Court)
z
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13ectric# f-7 7 70 APPLICATION FOR BUILDING PERMIT
Plumbing# //c S `j 10 Castlewood Drive
HVAC # rl 1: t I u 5 ` 11,/71 2 8 6 0 8
Date: %d ,, fln0.t.
Sprinkler# No.
FINAL APPROVALS Estimated Cost $ 015 0 as
Building COMPLETE RED BOXED AREAS Permit Fee o
Engineering TYPE OR PRINT ONLY Occupancy Fee $
Affidavit SIGN ON REVERSE SIDE
Appr.for CO.Total Fee p O
TO BUILDING DEPARTMENT,TOWN OF SOUTH WWDSOR,CT Additional Cost) $
The undersigned hereby applies to do work according to the following specifications:
ob Location l o eA4tt==rrj 174 Lot No.—J-/!Z_Side of Street Zone
Applicant Tel. # 6/M-0 j.M
Address Zip oC rZy Lic.#
Owner Address
Architect Address
Sq. Ft.New Area: 1st FI. 2nd FI. //0 !1 3rd FL Total New Area
Rooms f7 Lavatories / Bathrooms ol, Garages ..
Purpose of this permit: -
u[
u
City WaterA Well Septic System Sewer)C
Ins. H.O. S.P. Cert. Area o2S (t, Basement l 'A)b Garage
Approved by 1 Date 31,"'q_ Use Group_ Construction Type— T—
Revisal 1197
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
Signedd"
I hereby apply for a Certificate of Occupancy for the wor c described in this application/four the permit
Signed(:?
DO NOT WRITE BEL W THIS LINE
INSPECTION COMMENTS
Inspection /
Approval
Date
By
Appl
Code
Description
Due
Whom
Code
Comment
28608-
B
125,
000
BO1
FOOTING
04/
01/
02
CJD
A
W/
MIKE
B02
FOUNDATION
04/
11/
02
CJD
A
P02
UNDERGROUND
04/
24/
02
CJD
D
NO
TEST
E01
SERVICE
04/
29/
02
CJD
A
P02
UNDERGROUND
04/
29/
02
CJD
A
E02
UNDERGROUND
05/
07/
02
CJD
A
LEFT
TICKET
B03
FRAMING (
ROUGH)
05/
09/
02
CJD
A
NEED
SPECS
LAM
AND
TRUSSES
P03
ROUGH
05/
09/
02
CJD
A
W/
TIM
B03
FRAMING (
ROUGH)
05/
10/
02
CJD
A
W/
ROGER-
HAVE
SPECS
E03
ROUGH
05/
10/
02
CJD
A
W/
MIKE
B04
INSULATION
05/
14/
02
JFF
A
B05
FIREPLACE/
CHIMNEY
05/
20/
02
CJD
D
IMPROPERLY
FLASHED
0
ROOF,
THROAT
UNPARGED,
FAULTY
DAMPER,
HEARTH
INDEP.
SUPPORTED?
BOS
FIREPLACE/
CHIMNEY
05/
29/
02
CJD
A
HOME
OWNERS
RELATIVE
BUILT
CHIMNEY,
NOT
JMJ
PO4
GAS
TEST
05/
31/
02
CJD
A
11059-
P
3,
000
11471-
H
3,
000
11454-
H
5,
700
17770-
E
3,
000
Total
Est
Value
139,
700
Dwelling
2,
500
120,
700
00
Basement
1,
400
19,
880
00
Garage
528
7,
497
60
Smoke
Det
7
525
00
BOCA
Value
148,
602
60
v
l ^
Difference
8,
902
60
r /
tZ>
s
tc
n:
m
a
NOTES: LEGEND
1. UTILITY LOCATIONS AND INVERT
INSPECTION REPORT
ELEVATIONS TAKEN FROM AN
PROVIDED BY THECONTRACTOR p IRON PIN TO BE SET
2. ALL ITEMS DEPICTED ON THIS PLAN HAVE BEEN VERIFIED IN o MONUMENT TO BE SET
THE FIELD AS TO LOCATION, ELEVATION AND COMPLETENESS. 300- _ EXISTING CONTOUR
3. PARCEL ZONED RESIDENTIAL AA-30.
4. THIS MAP IS DEPENDENT ON THE MAP REFERENCED HEREON. N
10' UTILITY EASEMENT
IN FAVOR OF CL&P
4 6 20'STREET TREE EASEMENT
IN FAVOR OF THE TOM OF
SOUTH VANDSOR
I
N67'16'36"W
219.00'
GV
I I
15, S.Y.1 o I
1
N 2 DD
N 1 I O 1
in IN V 246.90-11 I I
aTm4.s vWi o rn laswel a I
o li 47 4N Z. , zelA
44 INN N 3
X D:O 4.6 I 75
TDZI25,200 sq. ft.
W a r
4. —
W r I
0 57 cc. W , w
N 91`. DRIVE f ( K2 IZ2
Ii
24.3' I it
e I 1
1 S.Y.
s X154,111
C/TfL iCq 7 1
S6 716'36 E
2S6 21000 h 3 00
TV
CB No.87
DOUBLE:TYPE 11
TF:251.77
INyy(l1 : :246.9248INV(6 :247.67
REFERENCE NOTE:
BOUNDARY INFORMATION TAKEN FROM PLANS
ENTITLED 'DEMING HILL ESTATES' SOUTH WINDSOR. CONNECTICUT.
PREPARED FOR JMJ CONSTRUCTION, BY DESIGN PROFESSIONALS, INC.
DATED OCT. 10, 1996, REV. TO SEPT. 11. 1997, SHEETS 6-19.
THIS SURVEY AND MAP HAS BEEN PREPARED IN ACCORDANCE WITH SECTIONS 20-300b-1 THRU 20-300b-20
OF THE REGULATIONS OF CONNECTICUT STATE AGENCIES - 'STANDARDS FOR SURVEYS AND MAPS IN THE
STATE OF CONNECTICUr AS ENDORSED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS, INC.
THIS SURVEY CONFORMS TO HORIZONTAL ACCURACY CLASS A-2 AND VERTICAL ACCURACY CLASS T-2.
TO THE BEST OF MY KNOWLEDGE AND BELIEF, THIS MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON.
JMJ CONSTRUC77ON COMPANY
C 656 ELLINGTON ROAD
12882 SDUTH WINDSOR, CT 06074
RICHARD P. MARTEL LIC. No.TEL. 262-0628
T.UNLESS oTHERVASE NOTED,EwsTTNo UTILITY REVISIONS 860) 291-8755 DEPENDENTlm SURVEY PREPARED FOR SHEET
AB
NF RMATI
ARE BASED ON GRAPHIC SCALE
esl n Deming Hill Estates L ATM
1SHOLDAVAILABLEINFORMATION.VERIFIEDAllPRIOR TO ONSTRES40 RECORD AS-MALTZALLTI
relD
ARE B STAKED D N THE TFIELD . a
OPEN SPACE SUBDMSION -SECTIONS 6A & 6B2ALL>,, ARE ro STAICfD~»FIELD rofessionals incOFBYALICENSEDLANDaArEYBRMMTOs
CONSTRK710". DRANN Or.`A$ .AM No.:9014-47AexTHISPLANISINVALIDVNESS17BEARSTHELot * 47 — 10 CASTLEWWD MLIMPRESSIONSEALANDORIGINALSIGNATURE1inch = 40 feet evil engineers planners surveyors qisJLOFTHEPROFESS30MALENCN+EER/SURVCY0R. NO. DATE DESCRIPTION By 165 south satellite rood, south windsor, connecticut 06074 SOUTH WINDSOR CONNECTICUT jaerwry ey,. Rpm DATt, 6/73/02 L)
u,i 2 6
South Windsor
BUILDING DEPARTMENT
Rfcrr-IVF-D
UNJ % 7 ZNZ 10 THE u7R5;sG
tP t I
S()UIH"NOSOR
ENGINEERING DEPT-
Lv
C"'M;- thatrlllrlli .r 1`I`f•v.(: it IJ .It.'
ACaut n-Ily A;.;,rovccj TNO" W,rd .#Ih
ClorN
NOTES: LEGEND
1. THE BUILDING LOT SHALL BE LOAMED, SEEDED, AND MULCHED
WITH STRAW PRIOR TO ISSUANCE OF C.O. (IF THE SEASON DOES O IRON PIN TO :BE SET
NOT PERMIT SEEDING, THEN THE LOT MUST BE STABILIZED NTH 3O0_ _ EXISTING CONTOURSTRAWOREROSIONCONTROLNETTINGTOPREVENTWINTERAND
SPRING EROSION.). PROPERLY INSTALLED EROSION AND SEDIMENT 300 PROPOSED CONTOUR
CONTROLS MUST BE IN PLACE TO CONTROL ANY EROSION AND
SEDIMENTATION PROBLEMS. THE BUILDER/OWNER IS RESPONSIBLE x 287.3 PROPOSED SPOT GRADE
FOR ALL STABILIZATION REQUIREMENTS. A BAD BAD SILT FENCE
2. ROOF LEADERS TO BE DISCHARGED ON SPLASH PADS. 7 EXISTING SPOT GRADE
3. ALL ROADWAY UTILITIES ARE TO BE INSTALLED IN COMPLIANCE F— PROP. 6" FOUNDATION DRAIN
WITH THE APPROVED 'DEMING HILL ESTATES' SUBDIVISION PLANS. S— PROP. 6" SANITARY LATERAL
4. FINISHED GRADING AROUND THE HOUSE SHALL ALLOW A 3 INCH W— PROP. WATER SERVICE
DROP IN GRADE AT A DISTANCE OF 6 FEET FROM THE FOUNDATION
AS SPECIFIED IN THE STATE OF CONNECTICUT BASIC BUILDING CODE.
5. PARCEL ZONED RESIDENTIAL AA-30. OPEN SPACE SUBDIVISION
10'
FAVOUTILITR f CL&
OI
N FAVOR OF CLAP
20'
6. FOUNDATION TO BE EQUIPPED WITH A
4 6 OINFAAVORVOR
TREE EASEMENTOFTHETOMOF
BACKFLOW PREVENTOR (SURFACE ACCESS).SOUTH UeoSOR
I
N6716'36'W
210.Qg',
1. SET POSTS AND Z STAPLE THE WIRE
ANGLE POSTS EXCAVATE A 6"x6' MESH FENCING TO
5'UPSLOPE POST UPSLOPE FROM POSTS. FENCING THE ENO OF THVAREEPOST
FOR STABI 15SY E d
LITY
AND SELF-2 00ITX
19.5
1.
1CLEANINGi. h I ' z95' 12' MIN.
a I tiIa5
cf aD 55.0'
0 D
w N
p0 2 3 z
m Q
0 47 saes x N tov 2 2 O44NO1CA0oCV4N750z — U
m ip N
3 ATTACH FILTER FABRIC TO 4. BACKFI L THE 25,200 sq. ff.
o
o
FALTER THE MARE FENCING AND EXTEND TRENCH AND COMPACT tO57cc. J PROPOSED A
FABRIC IT TO THE TRENCH THE EXCAVATED SOIL
y: N T. DRIVE •' ,'•
1 o
t I slCOMPACTED
V.BACKFdl a
x 24.0'
15' S.Y. U
9
ANTI—TRACK PAD
I 6'-2' STONE
1 S67'16'36m1r OVER FILTER FABRIC
210.00'r
CONSTRUCTION OF SYNTHETIC FILTER BARRIER CB
CUP
No.87
DOUBLE:TYPE 11
4
n V(15.
77
ININV(15):246.92
REFERENCE NOTE: INV(6'):247.67
BOUNDARY AND TOPOGRAPHIC INFORMATION ARE TAKEN FROM PLANS ENTITLED 'DEMING HILL ESTATES"
SOUTH WINDSOR. CONNECTICUT. PREPARED FOR JMJ CONSTRUCTION, BY DESIGN PROFESSIONALS, INC.
DATED MARCH 16, 2001. REV. TO 7-23-01. SHEETS 6-16.
Y«'
4.4
THIS SURVEY AND MAP HAS BEEN PREPARED IN ACCORDANCE WITH SECTIONS 20-300b-1 THRU 20-300b-20
OF THE REGULATIONS OF CONNECTICUT STATE AGENCIES — 'STANDARDS FOR SURVEYS AND MAPS IN THE
STATE OF CONNECTICUT' AS ENDORSED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYOR% INC.
THIS SURVEY CONFORMS TO HORIZONTAL ACCURACY CLASS A-2.
TO THE BEST OF MY KNOWLEDGE A BELIEF, THIS MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON.
JVJ C0VS7RUC770N COMPANY
658 £LUNGTON ROAD
12882 SOUTH WWDSOR, Cr 06074
RICHARD MARTEL UC. No.7R. 282-0628
1.UNLESS OT1ERWSE Hobo.EXISTING UTILITY REVISIONS GRAPHIC SCALE i 860) 291-8755 DEPENDENT RESURVEY PREPARED FOR SHEET
LOCATIONS AS SNMLO ARE BASED ON Demtn H 11 F.stAteBAVAAABIBWORMAnOK%
VW
ALL COSTING UIEJTEs 40 Q 20 40 6sign d,Agp 141011LDBEfE1DrEFtliEDP,LIOR,o CONS,RIICTION. 12ALLVWTESARETOBESTALEDNTfEFEIDsofessionals, Inc. OPEN SPACE SMDWWON-SECTIONS GA 4 68BYALICENSEDLANDSURVEYORPWMW
f
OF
a ils Pl wa MVALD lINL65 1T BEARS THE civil engineers planners surveyor Lot No. 4d — 10 0istlewoOd DdYC aeTwv er. ALA py AV-'aas+-+
NPRES"SEAL AND ORLCIIAL SMi ATUSE 1 inch = 40 feet
OF THE PROFESSKNAL ENCIIEFR/SUMEYM NO. DATE DESCRIPTION By 165 south satellite rood, south windsor, connecticut 06074 SOUTH MIINDSM aMNECT1CUT a)-RPM ArE•Attie 4 2W2
f
Cc1Elt R,,111
South VVindscr
BUILDING DEPARTMENIT
TO
tlo wltn ;•I n Ian
7:4r.e.j ny L-.. be
r RECEIVE=O
or-:ors and ,;r.:; tl
La 1T .;
ij with.MAR 2 2002cenduiar.auy F.:v:„.;
lrtn
SOUTH WINDSOR
t'• I,.. .;,, ENGINEERING DEPT.
l lari
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
10 CASTLEWOOD DRIVE LOT_#47 Reviewed By B leering)
CLARK REALTY, INC Date Reviewed a c pproved enied
658 ELLINGTON ROAD,SOUTH WINDSOR,CT_ Reviewed By nning)
BP # 28608 Ph_#_(860)528-6054 Date Review a- prov /Denied
Date Submitted 00/00/00 FOR C of O *****
As required in the Zoning and/or Subdivison Regulations, no Certificate of
Occupancy shall be issued until grading plans have been complied with and
approved by the Town Engineer. The minimum requirements shall include
Approved Denied N/A
1 Approved building permit plan
2 Finish grading per approved
building permit plan
3 Site work; i.e trees, shrubs,
dumpsters, required parking
4 Utility location;
a sanitary sewer/septic system
b. foundation drain
c electrical & telephone
d. water
e ot}ier 6-0-g
5 Sewer connection charge paid T10i
6 Appropriate certification
7 Bonding
Ab 8 Planning & Zoning/
Inland Wetlands Considerations
A. Lighting
B Signage
Freestanding Wall
C Fee in lieu of Open Space
Sewer Permit No. Pav Exc #
COMMENTS Status
p ^. NNIz~ 3-z
SITE COMPLIANCE CHECKLIST
TOWN of SOUTH WINDSOR, CONNECTICUT
10 CASTLEWOOD DRIVE LOT_# Reviewed Bye 9r30 ee k4CLARKREALTY, INC. Date Reviewed 3 6 prow
658 ELLINGTON ROAD,SOUTH WINDSOR,CT_ Reviewed By Planning)
BP # 28608 Ph_# (860)528-6054 Date Reviewe Va- A prov /Denied
Date Submitted 03/21/02 FOR nmtnG PERMIT *****
In accordance with the Zoning and/or Subdivision Regulations, prior to the
building of any structure on a lot, a Topographic Plot Plan shall be submitted
for approval The minimum requirements shall include
Approved Denied N/A
1 Name, address & phone number of owner/applicant
2 Name, address & phone number of plan preparer
3 Zoning Information - i.e zone, open space,
floodway, street address
4 Plot Plan at, l" = 40' scale
a Subdivision reference, abutting properties, etc
b Easements of record
c Lot description, bearings, building lines,
distances, area, etc
asm d. Contours, existing & proposed, 1 or 2 ft
interval where appropriate 01
a Building location with dimensions
Elevations of proposed finish floor, garage
floor & centerline of road at driveway
f Elevations of gravity drainage systems, sanitary
foundation drain at the house and the street
g. Tentative utility location (gas, water,
electric, septic system, etc )
h. Title block with name and address of preparer,
date, appropriate certification, live seal and live
signature consistent with the Board of Registration
requirements (P E & L S )
5 Sedimentation and erosion control
6 Special Planning & Zoning, Inland/Wetlands
considerations (Plans on file w/Town Clerk)
COMMENTS S o W Con 6v,-c tl 1',% Fu r--, 1,cdc Li J ,
F'A
VED
MAR2 , 20p2
SouthJVingsorCONSERVA,,p 0,GEIyCyy
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
TOWN OF SOUTH WINDSOR b
Application is hereby:
BUILDING DEPARTMENT
72APPROVED 1540 SULLIVAN AVENUE
644-2511 ext. 230
yl 3
Bldg.Permit#
uz j QFGak
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
FTenant 3-r E win_
4/ 7
0-$1,000=$13.00 Street Lot No.
Over$1,000=
13.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT I Vl—W &,&f C J
APPLICANT ADDRESS f'C) `t)c5)c \1-15—
OGCL L
APPLICANT PHONE#
DW N Se OWNER CL- IL R ALT
OWNER ADDRESS 9) 6C.1-1 n)6 / cvj 05F Ad
OWNER PHONE q )
C ESTIMATED COST$ Z;000. Ob
r IS THIS A CONTRACT COST? 't Yes No
Qr out G FEE ENCLOSED$ 39 - O 0
45 OR.Co TYPE OF JOB:
New Installation
0 Alteration/Addition/Repair Revised 5101
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL
BUILDING PERMIT APPLICATION? rS NO
BUSINESS CURRENT USE AND OCCUPANCY NOt)L-
ASSEMBLY
MERCANTILE FUTURE USE AND OCCUPANCY O caJ G
EDUCATIONAL
INSTITUTIONAL ENGINEER'S NAME PHONE
FACTORY
STORAGE ADDRESS
O GARAGE
MIXED USE CITY STATE ZIP
i
TYPE OF INSTALLATION/WIRING METHOD A eW R e5(a'ecN+-c
SIZE OF SERVICE o;t-0/401 P SIZE OF MAIN CONDUCTORS ;:Lilt) A L-
NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? YES 1 NO
NUMBER OF LIGHT CIRCUITS co NUMBER OF POWER CIRCUITS a
NUMBER OF SWITCHES C?5 NUMBER OF OUTLETS Sy
NUMBER OF LIGHT FIXTURES d-5- NUMBER OF HEAT CIRCUITS j
NUMBER OF A/C CIRCUITS I
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.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT CE'- DATE `
Shirley Wilhelm- CRS Approval Confirmation: Request No. 211052 Page.1.?
From: clpsvc@nu.com>
To: WILHEL@SOUTHWINDSOR.ORG>
Date:4/29/02 2:21 PM
Subject: CRS Approval Confirmation: Request No. 211052
Your approval of the following CRS Request has been successfully processed.
CRS Work Request#: 211052
House No:
Lot No: 40
Street Name: O CASTLEWOOD DR
Town Name:SOUTH WINDSOR, CT
Inspector:JOHN COLLINS
Approval Date: Apr 29, 2002
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR
PERMIT#
Application is hereby:BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE Bldg.Permit#
L JA07 644-2511 ext. 230 Y Gx
NaT Building Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
L 0
0-$1,000=$15.00
Te]nant
o. Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof Designation Apt.No.
APPLICANT T
APPLICANT ADDRESS
APPLICANT PHONE#
O W N S F,q
OWNER 1 x
OWNER ADDRESS
0 ' OWNER PHONE
ESTIMATED COST$ O o c
3 IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$
TYPE OF JOB:
SOR•CO 1/New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL
BUILDING PERMIT APPLICATION? YES tNO
BUSINESS CURRENT USE AND OCCUPANCY
ASSEMBLY
MERCANTILE
FUTURE USE AND OCCUPANCYEDUCATIONAL
INSTITUTIONAL
FACTORY ENGINEER'S NAME PHONE
STORAGE
GARAGE ADDRESS
MIXED USE
CITY STATE ZIP
Other please specify)
TYPE OF INSTALLATION 2 JZ SIZE OF MAIN DRAIN
NO.OF TOILETS STYLE ` , h NO.URINALS STYLE
NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES 2)
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 V3 YES NO
SIZE OF WINDOW 2 ;K - IF NONE C.F.M.OF VENTILATOR
SIZE OF DUCTS SE OR SEPTIC TANK
SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER
WATER HEATER: TYPE MANUFACTURER—A ,
7D,
EESCRIPTION OF WORK
THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERrORM THE WORK DESCRIBED AND IS T7—
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT '7, &,
LA ,9 \XA,! 2— DATE \z-, \1 ,/y-,,
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT#
Application is hereby:TOWN OF SOUTH W NDSOR
BUILDING DEPARTMENT
APPRO 1540 SULLIVAN AVENUE Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
aYyYR
Application must be printed or typed
Location of Job:
FEE SCHEDULE
FYenant
r2'r/r G46t ar ec d y7
0-$1,000=$13.00 Street Lot No.
op Over$1,000=
43.0 per$1,000
or any fraction thereof nation Apt.No.
APPLICANT ' ,c .y'/.A& r l."/.r, :1 c .
APPLICANT ADDRESS "/p 7` r a le d SOcv/H
APPLICANT PHONE#
0 W N S F,q
OWNER
OWNER ADDRESS
OWNER PHONE
C ESTIMATED COST$ 5
1-i , it U
v IS THIS A CONTRACT COST? Erres 0 No
FEE ENCLOSED$Li.
SOR co
TYPE OF JOB:
Cf New Installation
0 Alteration/Addition/Repair Revised 8/99
APPLICATION FOR HVAC PERMIT (Continued from reverse side
TYPE OF SYSTEM: TYPE OF BUJLDING:
HATING SIDENTIAL
M A/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR UNIT RADIANT HEATER
EX G RADIATION ADDITIONAL RADIATION TOTAL RADAATI
DESIGN OUTSIDE OF INSIDE F DIFFERE OF
TOTAL HEA SS(BTUH) OF(HEAT LOSS SHEET MUST ACCO
APPLICATIO
DESCRIBE ALL HEA EQUIPMENT(INCLUDING MODEL NO.)
GROSS HEATING CAPACITY(INPUT— ET RATING(OUTPUT—BTUH)
TYPE OF FUEL
OIL—GPM OIL TANK LOCATION : INSIDE OUTS CAPACITY
GAS— LPG TANK CAPACITY ELE KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE OF INSIDE ;7jQ OF DIFFERENCE/P OF
TOTAL HEAT GAIN(BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE— r COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
PLANS MUST ACCOMPANY APPLICATION)
FURTHER DESCRIPTION OF WORK S/'v T%/ , !5?1 f /a. J/ter f l Iyc TELti K
THE UNDERSIGNED HEREBY APPLIES FOR A PERmfr TO PERFORM THE WORK 6ESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE
PERFORMANCE OF SUCH WORK.
CONTRACTORS LICEENN51Lhi0.- E STATE
SIGNATURE OF APPLICA` DATE2—
RIGHT-J LOAD AND EQUIPMENT SUMMARY
1 Entire House
R & E Heating & Cooling Inc. Job: 243-047 10 Castelwood
Road 5-24-02
310 Nutmeg Rd.South,South Windsor,CT 06074 Phone:860-282-7782 Fax:860-282-7701
Project •
For: Clark Realty,lnc
658 Ellington RD, South Windsor, CT 06074
Notes: 243-047 10 Castlewood Road
D' _qn Information
Weather: Hartford, Brainard Field, CT, US
Winter Design Conditions Summer Design Conditions
Outside db 6 OF Outside db 88 OF
Inside db 70 OF Inside db 70 OF
Design TD 64 OF Design TD 18 OF
Daily range M
Relative Humidity 50 %
Moisture difference 38 gr/lb
Heating Summary Sensible Cooling Equipment Load Sizing
Building heat loss 60636 Btuh Structure 38892 Btuh
Ventilation air 0 cfm Ventilation 0 Btuh
Ventilation air loss 0 Btuh Design temperature swing 3.0 OF
Design heat load 60636 Btuh Use mfg. data n
Rate/swing multiplier 0.93
Infiltration Total sens. equip. load 36170 Btuh
Method Simplified Latent Cooling Equipment Load SizingConstructionqualityAverage
Fireplaces 1 Internal gains 5060 Btuh
Ventilation 0 Btuh
Heating Cooling Infiltration 4818 Btuh
Area(ft2)2879 2879 Total latent equip. load 9878 Btuh
Volume(ft3) 28079 28079
Air changes/hour 0.9 0.4 Total equipment load 46048 Btuh
Equiv.AVF (cfm)422 188
Heating Equipment Summary Cooling Equipment Summary
Make n/a Make Heil
Trade n/a Trade Heil
n/a HAC060
EPD060
Efficiency n/a Efficiency 10.0 EER
Heating input 0 Btuh Sensible cooling 42000 Btuh
Heating output 0 Btuh Latent cooling 18000 Btuh
Heating temp rise 0 OF Total cooling 60000 Btuh
Actual heating fan 2000 cfm Actual cooling fan 2000 cfm
Heating air flow factor 0.033 cfm/Btuh Cooling air flow factor 0.051 cfm/Btuh
Space thermostat Load sensible heat ratio 80 %
Printout certified by ACCA to meet all requirements of Manual J 7th Ed.
wr14ghts4C>ft Right-Suite Residential-5.028 RSR27412 2002-May-2469:31:*G es
age 14 C:1My Documents\Wrightsoft HVAC\243-047 10 Castelwood Road rsr P
T/]
C]
W
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR
PERMIT#
Application is hereby: Z/ -/7BUILDINGDEPARTMENT
APPROVE 1540 SULLIVAN AVENUE Bldg.Permit#
L
644-2511 ext. 230 IQ G
a e Building Inspector
Application must be printed or typed
FEE SCHEDULE
6 Location of Job:
0-$1,000=$15.00 F:Tenant
Street Lot No.
Over$1,000=
15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT _= Q1 o
APPLICANT ADDRESS V /
APPLICANT PHONE# N&
O W N 3 F,q
OWNER T 2S.4 \l
OWNER ADDRESS
SQL7N
OOWNER PHONE S
C ESTIMATED COST$ J O Cl C1
IS THIS A CONTRACT COST? Yes _No
G FEE ENCLOSED$
1 TYPE OF JOB:dSOR-COS il'New Installation
Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE Of BUILDING:AHEATING ARESIDENTIALA/C COMMERCIAL
VENTILATION INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC WARM AIR UNIT RADIANT HEATER
E STING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
uQ rnklcum C C, A -
GROSS HEATING CAPACITY(INPUT-BTUH) \IA NET RATING(OUTPUT-BTUH) O'er
TYPE OF FUEL
OIL--GPM OIL TANK LOCATION:INSIDE OUTSIDE CAPACITY
GAS-INPUT LPG TANK CAPACITY ELECTRIC-KW
AIR CONDITIONING
DESIGN TEMP.OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN(BTUH) HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
TONNAGE COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CFM) FRESH AIR INTAKE(CFM)
PLANS MUST ACCOMPANY APPLICATION)
FURTHER 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.
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE z /\1 0 "Z-
1 6 - R-CALCULATION SHEET 1503 (Modem Method)z4wvr+w is77 bw T . w'rho My .01c•iw• w111a
OWNER K7V X,j C-7- AOOA[tf XTN kA Q C1 O[SIOM TSUPCRATUw[ O//I[R[l•C[ I. DATE
COL.A COL.@ COL.C COL.O COL.[ COL.F COL.O S .
I
ROOMLi in jP Cif ed Lr
p M L INN L W N L W M L W N L W Ow Water wTem
IYRoo"OERISIONS,FT.z a I/- .TUN Fool a . DaLENGTNEXPOSEDWALLS.FT. s p a/
WI
R...u..sost.
41 NOOWANO OUTS/OE DOOR AREA O
TUN BTU" @TUN @TUN ETU"
i WALL CONSTRUCTION
1 moo u•r FT.OFITswE,Lww3 a M) D le,OO v goo DO 3-Q:/ TOTALS RADIATION.
Hr
TV09 OF GLASS FROM Lim[12 S[LECTEO
r"ItIMI 11 uw t•.a got Liw•at
AMINGCONSTRUCTION
Q y p/ Q C
aW E.l•Wl Q Q n f Q 0 I o U D f1
J20rAL
R CONSTRUCTION
PARTITIOM CONSTRUCTIONl;L.a
NiZ oU LOU
wEtMWAT•70 Ta"P DIFFERENCE- 8 30
a 4611WATOESSONTEMP.OIFFeRENCE O D O Q D V.
COL A C04E COI.N COL.I COL.I COL.K COL.L
L
Z..L.!!t4400
TOTAL
1 ROOY OF EIUK"NO RADIATION
r O I AT SELECTED
p M L W N M I W N I L I W N L W N L W OSSM"TUMP.•
ROOM OIYENSIOW.FT. 41 1
O{/FiREMC[
S LSMOTM EIVOSEO WALLS.FT.t p O
S 1MINOOW ANO Ou"10E DOOR AREA
TUN BTU" SYLPH ETU" BTU"
S WALL CONSTRUCTION
n L"CREASE BATHROOM
ITaWS.Lwa•M) O LtJSOQOOTTA 20%
E TYPE OF GLASS
7 C91LM LCONSTRUCTION
e2Q tFOR CONCRETE FLOOR ON
D OV D "GROWNO OR FILL AT
v I GRACE LEVEL.USE LINEAR
f E FLOOR COWTRUCTIONI FEET Of EXPOSED EDGE
ITaw E,L a W or Lin FL1
t COLD PARTITION CONSTRUCTION
1 TaW E.L a MI
I I Want D
wR•IW w w• N x .
It faaWaw• W1a w. aw Ewc Mail
I
f'
t I TOTAL ETUM AT 70P TEM. DIFFERENCE' 3 0
12 TOTAL BTU"AT DESIGN TEN. DIFFERENCE
THw Ion"is war•O•ta#rem Tw•NHotewlcl imuwl•.36 Aw"o II•o•.Erlruar Naywt•• N : 07922
FORM 1303
f NOTES: LEGEND
1. UTILITY LOCATIONS AND INVERT ELEVATIONS TAKEN FROM AN
INSPECTION REPORT PROVIDED BY THE CONTRACTOR. O IRON PIN TO BE SET
f2. ALL ITEMS DEPICTED ON THIS PLAN HAVE BEEN VERIFIED IN o MONUMENT TO BE SET
THE FIELD AS TO LOCATION. ELEVATION AND COMPLETENESS. 300 _ _ EXISTING CONTOUR
3. PARCEL ZONED RESIDENTIAL AA-30-
4. THIS MAP IS DEPENDENT ON THE MAP REFERENCED HEREON. N
lOr UTILITY EASEMENT
N FAVOR OF CLAP
4 6 2O•STREET TREF EASDAENt
N FAVOR OF THE TOWN OF
SOUTH VNDSOR
N67'16.36'W
21 Q.00'
GV
15' S.Y.1 01
2 7.N 2
p I /I
O ,
W n
INV 246.946- I Ir N j ,
a X
2 .
M a
OO
h co
r4 Oo; 4.6 71
z Of w v I I Z
g 25,200 sq. ft. 4 -
w
V) ; 3
I 0.57 cc. I W ,
N OBIT. DRIVE I I
24.3. L
I13' S-Y.
CA
S67'16'36 E
2S6 71rooIn 00
In
CB No.87
DOUBLE:TYPE 11
TF:251.77
4 8 INVQI :):246.92
INV(6 ):247-67
REFERENCE NOTE:
INFORMATIONBOUNDARYINFORMATION TAKEN FROMPLANS
SOOTENTITLED "DEMING HILL ESTATES", SOUTH WINDSOR, CONNECTICUT.
IPREPAREDFORWCONSTRUCTION, BY DESIGN PROFESSIONALS, INC. nr4 ^, fr
DATED OCT. 10. 1996, REV. TO SEPT. 11, 1997. SHEETS 6-19. : y n
iL dNtNOS O NCB!'^ _ Yq33 j` 3
i
THIS SURVEY AND MAP HAS BEEN PREPARED IN ACCORDANCE WITH SECTIONS 20-300b-1 THRU 20-300b-20 ILiIJN8 bft ftjnmhtL
OF THE REGULATIONS OF CONNECTICUT STATE AGENCIES - 'STANDARDS FOR SURVEYS AND MAPS IN THE 3STATEOFCONNECTICUT- AS ENDORSED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS, INC.
THIS SURVEY CONFORMS TO HORIZONTAL ACCURACY CLASS A-2 AND VERTICAL ACCURACY CLASS T-2. 1
TO THE BEST OF MY KNOWLEDGE AND BELIEF, THIS MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON.
JMJ CONSTRUC7701V COMPANY 411111110110..: I "
658 ELLINGTON ROAD
12ee2 SOUTH WWNDSOR, CT 06074
RICHARD P. MARTEL UC. No.M. 282-0628
DEPENDENT (:-SURVEY PREPARED FOR SHEETT.CATION oS SHOWN
NOTED.ExrSSEED O
G unLm REVISIONS
GRAPHIC SCALE es1 n
860) 291-8755
Deming Hill Estates y LOCATIONS, BASED
1S"ADAVAILA LE INFORMATION.ALL E)CIPRIOR T/
G NSTRUs 9 RECORD AS-GMT2NOLL TIES PSTA ro
N THE FIELT°N. Sofessionals Inc. PEN SPACE SUBDIVISION - SECTIONS 6A&B
ALL UTILITIES ARE ro RE srAKRI N THE FIELD
OFerALICENSEDLANDSURVEYORPIOOItro
CONSTRUCTION. t ANN B1` AS .AM NO.: A"I$-47ASITHISPLANiSINVALIDUNLESSITBEARST04EsLot * 47 - 10 CASTLEWOOD DR.NLPRESSION SEAL ANO ORIGINAL 90NATVRE 1 inch = 40 feet civil engineers planners surveyors - gas
OF 1NE PROFESSIONAL ENONEER/SURVEYOR, NO. DATE DESCRIP17ON BY 165 South satellite rood, south rindsor, connecticut 06074 SOUTH WINDSOR CONNECTICUT -gy. Mcy OA I£, 6/73/122
K Ill'
South Windsor
BUILDING DEPARTMENT
fo THE StIU" iFYi. Soq n Of J"TH WINWPO'
this ceniiic,i that thisldan aM '00WcatLons are tr.
copies o, tpe p ap"Od bylid" or att iraLana to M
zrectod at
I \
Il J co ) V`% treer
loeticn anc
together with amendments stated M
w=ith all ZorJnd.tiled with plan and I agree to comb YCAdingandstatelawsandsuchorders as shall be
issu, d by the Buildina Department during pe o. ;,•t. ru't. I WN of 1iYuTN 1"r i+ur
r tris application and final issuance of a building r••ti tlprproposed
plan
bu din Sor alterations
are
permit.t "s or :ne proposal building or alterations to W
d t
atKnad r/,
n a proved s iect t the aleosktonthta 1(inences regulatingbuildin ah ree
r •.v i'h amendments stated in apDilratic,n arc
th.
I A roved They flied with th plan and 1 agr_e tr, comp;y w,th all zoning
unurtwn Y PP ind state laws a-id s.t.h or,!ers as shall b-
d by the Building during Pendency
is application and final issuance of a buliditp
Clara
9 Wld"n P' Ir+sPr'ctor
7
Ill.
net• No _J _4'1 Y?ad
p n Is aper. ed sc e_i 1- the condition that
s ar.d o'di na ces regulating building shall ba
cl:ie
a,ditiwtal;y Approved These file wi
Building inspector G,A
CERTIFICATION(WWNING COMPLIANCE
propose- '' ildirig(s). use(s) and/or struct
Or Sri,
ure(s)
this plan appear(s) to he in
ci, lith current Scuth VVi• )r CERTMICATION OF ZONING COMPLIANCE
ariarim and special e=c ,. i3 pMc• ing(s), use(s) and/or structure(s)
may aL.- as s, this plan appear(s) to be in
Date O confl with current South Windsor
rag j eriances and special exceptions
Date 0 7
t
Zoning Enforcement Officer
Order Number: 119801
Page: Page 1 of 1
Customer P.O.Number:
Order Date: 4/14/07
Scheduled Delivery Date: 5/23/07
216 West Road(Route 83) Est.Customer Pickup Date:
Ellington,CT 06029 PO#: Customer Pickup Status: NA
860-871-1048 (Fax)860-871-1117 Order Date: Doors On: Driver-Side
www.kloterfarms.com Due Date: Salesperson: STEVEN B.
Deliver To: James Tamburro Mailing Address: (If Different)
10 Castlewood Dr.
South Windsor,CT 06074-
Phone: (860)648-9735 Ext.Home Phone: (860)303-8161 Ext.Cell Phone: Q-Est.
ty Description Unit Price Discount Extended Price
1 12x16 T-111 Cottage Storage Building 3,815.00 495.95 3,319.05
1 Clay DuraTemp T-I I I Siding
1 White Trim
1 PermaTrim Comers
1 Blue Vinyl Shutters
192 Cedar 25 Year Asphalt Shingles
2 Upgrade'E'Window(White)24"Wx36"H Aluminum D/H Standard Location 35.00 70.00
1 Standard Double Door Standard Location
1 T Handle
1 Heavy Duty Floor- 12"O.C. 100.00 100.00 0.00
1 T P.T.Ramp
1 3/4"Crushed Stone Pad 470.00 470.00
TOTALS: $595.951 3,859.05
NOTES:
E E
15' oo
CUSTOMER AGREES WITH THIS ORDER AS WRITTEN AND Delivery Charge 0.00
ASSUMES FULL RESPONSIBILITY FOR THEIR PROPERTY DURING Subtotal 3,859.05
DELIVERY. Sales Tax-CT 231.55
In the event of unusual delivery conditions such as unlevel site, obstructive trees or Customer Letter 0.00
fences, delivery may exceed the normal 30 minutes at site and result in an additional Wide Load Permits 25.00
charge of$80 per hour. A small deposit on custom orders guarantees price and product TOTAL 4,115.60
for up to one year. However,construction of your custom order will begin when a 1/3 Deposit 4/14/2007 Check#2306 4,300.00
deposit has been received and a delivery date has been scheduled. Kloter Farms will
issue a credit slip on any canceled order less a re-stocking fee.Balance Due 2,815.60
Deposit
LINE ITEMS MARKED TBD (To Be Determined) MUST BE ADDRESSED Balance Due
BEFORE A DELIVERY DATE CAN BE SET. Deposit
Balance Due
Family Owned & Operated Deposit
SATISFACTION GUARANTEED Balance Due
SINCE 1980 Deposit
CUSTOMER APPROVAL Balance Due
OPEN YEAR ROUND MONDAY-SATURDAY
WE APPRECIATE YOUR BUSINESS Payment Info:POD
Printed on: 4/14/2007 2:39:12PM By:ERNIEP
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Quality Is the foundation on which we build. - F (860) b'7I - It 17
21G WEST R;. ELLIW TOt41 CT. 00029 Wea WWW. 19Ln-RFACMs. COM
d t a sGu fuQe ACOR4 CERTIFICATE OF LIABILITY INSURANC can
Ci FRO° 006
THIS CERTIFICATE I8 ISSUED AS A MATTER OF INFORMATIONBoardofBuildingRegulatonsandStandardsONLYANDCONFERSNORIGHTSUPONTHECERTIFICATEc?Dowding, Moriarty 8 Dineock Inc HOLDER THIS CERTIFICATE DOES NOT AMEND,EXTEND OROneAshburtonPlace-Room 1301 139 Onion 8traat ALTERTHE COVERAGE AFFORDED BY THE POLICIES MOW.
Rockville Cr 06066Boston.Massachusetts 02108 Phonas860-87S-2523 Taa1860-875-0921 INSURERS AFFORDING COVERAGE
Home Improvement Contractor Registration NOLM40& PEZRLaee INS rn
Registration: 127530 ealAEAa
Type: Private Corporation Xloter Farman Inc. wuEA C,
211 Nut Road rRevERnExpiration: 11WOOB Tr8 124355 Rl ington CT 06029
KLOTER FARMS INC covERAGEsJASON
WEST ROAD Ta.,acaaDswuu,«fus,iDanDwwwetirNGWWTQTK64Ltowrr.o*wWsFORTWPOUCYrimoot CATEDWWerr.ao0.oE16NGTON, T MAYM[T TK TKO ry a t
7°"'r T aarHELLINGTON,CT 06029 FOl1CIMADOM"IMUlrin MAY MVES MPVMKAMBY"MCLU a
Update Address and return card.Mary reason forchange.
Trn eRsORAMca FautT TE wTe Rana
DEMs"UAaNrrr EADNOeglmtBlCE $1 000 000
ovaL'A•D SOM-0VrsPCt69t
Address Renewal Employment Lost Card A X QDWEACIALOEWE LWAVW CISP8083948 10/24/06 10/24/07 ns aM "p+o a.tnl $100 000.CAMS MADE a°' Nmov/Aryer F.oq 15 000
FNaDHALSAwwuNv t1 000 000
GSNBM AOawGTE 82 000 000OEMAOOREGrELNnAPRIEiPEAFaoOlcrs-COLRFAFAar t2 000 000
roucv cT LDC
AUFOara.LAAaLM
A MY AUTO DA9906944 10/24/06 10/24/07 'od0'N
t E31,000,000.STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION O"McAuTol
X soHEDULEDAUTDi 800LY WARY
Be it known that X 1wREDAIR05
ODDLYNAKEITHEKLOTERPe.-t.a i
216 WEST RD
ELLMG'`pl-tt",06029 GRAceLurLm ArrooNLT-EAAccoen s
i 1. - b}
AUTAuro AM .
Au°roo ADO i
i is certi5ed by the DepaT A Consc#1er totection as a registered a
lAzeaasuAelurrEACMOCCawceN s 5 000 000.
J :'t :. rz, A X oeOMe OAuaNAOE C09907247 10/24/06 10/24/07 AaoREDArE s S 000 000.I HOME IMPR VEI '3NT CONTRACTOR E
a
RETEIRgM s
e)0MaaeouF $AIgN AND x T-0;4 riou ;:fyJSTTTRt\
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A ErnDmnrHAaurr NC9773633 10/24/06 10/24/07 E-LEozmAotom 1100 000rNs=ilr Et -EARNFLOVE 1100,000
EL OaEAK-FOLcvLaw Is 500 1000
Effective:12/01/2006 DTHER
Expiration:11/30/2007 DESCID""OFOFE"n MM0rAr0kWVR""MVE=UWW4 ADDED EFT iADOUEYENTWECIAL WVH1DMi
Ed ie ARodrir;m d®; -e,
CERTIFICATE HOLDER IN I Aoca a eRauR .eeeJaER LETM CANCELLATION
SYRCM MattoA FTMEAaOva D[ECRKIW FOMA KCAMCELUPD aBoru M"ARATCM
WTEr""WF.MOMMODWA WLLENDEAWnTOYNL AD—DAVrwaRTaNBPXCIMRNCOPYONLY- Nor=TO THE CMWICATE HD MKVAEO TOM LEFT,alit FAILURE TO DO aOLULLxlotarlarva, Inc.
WOW WDEIJGTgN ON UASKM OF AMT KIND UPON M MURM,RE AG&M OR
RE/MIEMATNN.
AYIMDI D RilR{aENTA
AICRARD DIl40Cx
ACORD 253(7197) OACORD RPORAT—
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 _ C AS1/P"6 6 J aA v-s
In the town of 1J r,-J iJs t/r-
Name of building permit applicant:
1-7-
f4
Please check oye:
1._I am the owner of the above property.
2._I am the sole proprietor of a business.
2A.Name of business
2B.Federal Employer Identification Number(FEIN)
Pursuant to§31-286b, a pcoperty owner or,sole proprietor[who]intends to act as a general...
contractor or principal employer"may provide either a certificate ofworkers'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._Zdo not intend to act as a general contractor or principal employer.
Sign and stop here]
Signature of pplicant
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 ofa 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
Notary Public/Commissioner of the Superior Court)
S
Electric#
APPLICATION FOR BUILDING PERMIT
PHVACi##10 Castlewood Drive Date: y -21 '
Sprinkler# 315 8 7
FINAL O Estimated Cost Z
Buildin 1 ' I COMPLETE RED BOXED AREAS
Permit Fee 30 "
Occupancy Fee $ /c•Enginee nAffidTYPEORPRINTONLYEng. Insp. Fee $
for C SIGN ON REVERSE SIDEPppr. Total Fee L —
TO THE UILDI G DEPARTMENT,TOWN OF SOUTH WINDSOR, CT Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant UA mY , 1AmbjRRr location of Work io Lot No.
Applicant's Address 10 C A s j c e u D Tel.# t ti Fr-7 7 3
Town Zip U(0 0 7Y Lic.#
Owner Architect
Owner's Address S AM Architect's Address
Zip Zip
q. Ft. New Area: 1st Fl.- L(DO 2nd FI. 3rd FI. Total New Area
Purpose of this permit Bvtl ck,\ /A ae ,k A br". jr-
City Watero Well Septic System Sewer'
Ins: HO Cert. e, Area Baseme4it Garage
ApprovedjbyjT- Date d rjUse Group Construction TypeRevised 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.
Signed
I hereby apply for a Certificate of Oc cy for the ork escribed in this application for the permit.
Signed
D E BELOW THIS LINE
INSPECTION COMMENTS
Facetwin screen Print for flanne, from "UNIX" 6/17/2009 12 32 16 PM
Inspection / Approval Date Date By Approval
code Description Due completed whom code Time
B01 FOOTING 00/00/00 05/24/05 7FF A
B03 FRAMING (ROUGH) 00/00/00 08/01/05 PJP D
B10 FINAL 00/00/00 05/14/09 7FF A