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HomeMy WebLinkAbout145 Niederwerfer RoadElectric# APPLICATION FOR BUILDING PERMIT Plumbing# 14 5 NIEDERWERFER ROADFOUNDftTiefipate: eJ?/a 1 MWAC # No. 24596 Sprinkler# hMaf f Building COMPLETE RED BOXED AREAS Permit Fee CoU Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO.Total Fee TO BULDM DRARTMM,TOWN OF SOUTH WNDSOR,CT additional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job location S /dw ot jGv- Lot No. l0 Side of Street Zone Applicant Al.--,,>c ey, Tel# /a Addr ss 2a3 3 e lli,r Zip Lic# Own r Address Architect f Addre S 0, e,?' Sq.Ft.New Area: 1st Fl 2nd Fl 3rd Fl Total New Area Rooms Lavatories Bath r ms Garages Purpose of this permit: L'I lyewpwfll vcv) City Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area Basement Garage Approved by Dot Use Group Construction Type R"kW 1/97 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 InspectorI-Iration in the plans or specifications of he Building for which this permit is asked,and agree that this building is to bhe pro n from all street i ,side yard lines,and required distances from all other zones and is located in whil ' nd it i allowed. Signed hereby apply for a Certificate of O pancy for work described in this application for the permit. Signe DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Beetria# I glizAPPLICATION FOR BUILDING PERMIT Plumbing# <O t l 145 NIEDERWERFER ROAD p HVAC # DD 24992 Date: Sprinkler# NO' FINAL APPROVALS Estimated Cost 6 z " Building 7 )nft k COMPLETE RED BOXED AREAS Permit Fee o Engineering Z 4 ETYPE OR PRINT ONLY Occupancy Fee $AffidavitSSIGNONREVERSESIDEAppr.for CO. C1 Total Fee 9 3 —' TO BULNNG DEPARTMENT,TOWN OF SOUTH WWDSOR,CT Additional Cost) Q The undersigned hereby applies to do work according to the following specifications: Job Location 14'6 Lot No. 1(o Side of Street Zon lekYVR Applicant (-,lG e Tel.# /a q 7- aOo 6 Address 249 3 Zip Lic.# Own r She 0-1•e Address Architect Ml S Address 2-2 y Cep j! Eej Net W, ,-s6K- i' Sq.Ft.New Area: 1st FI. 17—&C> 2nd FI. /S3-c- 3rd Fl. Total New Area 7,7 O-G Rooms I Lavatories 1 Bathrooms z-- #Garages z— Purpos of this permit: S ES ALSO Fai4r4,PsT7zz1V d Is City Water Well Septic System Sewer Ins. H.O. S.P. Cert. AZ7e =Basement 22 Garage 5 !o Approved by Use Group Construction Type Rwv6ed 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 I the p per an r m all street lines,side yard lines,and required distances from all other zones and is located in whi this uil ' g an it is owed. Signed— (-"44 I hereby apply for a Certificate of O y for this application for the permit. Signed DO 'WRITE LOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 98-24992-B 149,000 E01 SERVICE 03/24/98 JFF A NOTIFIED NU VOICE MAIL B03 FRAMING (ROUGH) 04/07/98 DCJ A E03 ROUGH 04/07/98 DCJ A WIRING NOT DONE IN GARAGE P03 ROUGH 04/07/98 DCJ D MID-STORY SUPPORTS ON ALL DRAINAGE H03 ROUGH 04/07/98 DCJ A B04 INSULATION 04/09/98 DCJ D V. BARRIER ABOVE DOORS AND WINDOWS ALSO AROUND SHOWER STALL B09 OTHER 04/14/98 RAN A CHECK DEPTH OF FOOTING BY GARAGE DOOR B10 FINAL 07/27/98 DCJ D NO HOT WATER, VENTING OF GAS WATER HEATER ABS PIPE, CLOSE TO WINDOW PO4 GAS TEST 07/28/98 DCJ A LEFT STICKER B10 FINAL 07/30/98 DCJ A APPROVED FOR CO & CLOSEOUT 98-10119-P 5,900 98-10067-H 8,000 98-14777-E 6,000 Total Est Value 168,900 + 52 7 "` 175, Sao Dwelling 2,740 112,120.80 Basement 1,226 15,202.40 Garage 576 7,142.40 Smoke Det 7 525.00 BOCA Value 152,539.38 Difference i zrz^ ;') Location of job AFFIDAVIT Additional Fee —0— State of Connecticut ss County of Hartford Owner 1 of Agent for building erected under Contractor Permit No. 2 4 9 9 2/2 4 5 9 6 issued by the Dep't of Building of the Town of South Windsor being duly sworn.make oath and say that the actual cost of the completed work authorized under said permit was 173 90 0 Signed Subscribed and sworn to before me this .. .. . day A.D. 19 W EsCimate Costs 17 3 , 9 0 0. 0 0 JA Difference: s —0— J otary Pub 'c SITE COMPLIANCE CHECKLIST TOWN of SOUTH WINDSOR, CONNECTICUT 145 NIEDERWERFER ROAD LOT_#16 Reviewed B VSV-"k Engineerii. CHASE ASSOCIATES, INC. Date Reviewed rove enieu 2033 ELLINGTON ROAD,SOUTH WINDSOR,CT Reviewed By a ing) BP_#_24992_ Ph_# (860)648-2006 Date Reviewe rove enied Date Submitted 07/28/98 FOR t 6f 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 V/ 1. Approved building permit plan 2. Finish grading per approved cum%A.,fpr&,> building permit plan V 3. Site work; i.e. trees, shrubs, 6SODuc , FieI) dumpsters, required parking A(WIL * 4 r-M_ 4. Utility location; a. sanitary sewer/septic system b. foundation drain C. electrical & telephone d. water e. other (f(::vA,;> 5. Sewer connection charge paid 6. Appropriate certification 7. Bonding 8. Planning & Zoning/ Inland Wetlands Considerations Sewer Permit No. 4, 11& Pavement Excavation No. COMMENTS: RECEI EO SOUTHWINOTOR f o Apt--01-98 12 :03P Chase Asso 8605482006 P.01 Id '-%fl k K').111 10 1 2 w April 1, 1998 Mr-John Collins Chief B1111ding,Inspector I oxvn, of South Wirdsor 1.540 Sulli-van Avenue South W1nd,,.,ojr, cr 06014 Dear John. As of this dime we ba-,,-e discharged United Plumbing from completing tbrffieEwork foi Chast, As-;()ciates,iw,'acy have recenty obtained a pumit.for Lot# 16,house# 145 Niederwer*r Rd. The status of the work to date includes installation of tl e fiberglass tubs and shower unit in the main and trias4er bath and approxiniately 95% of the waste piping. We have instruct.,-,tI (JImted Pitimbing Iii Nvithdraw their pen-nit and are requesting you to mmove therr, as piumbing contractor for the job in you.T records. We have covtn cted with Jeff Nunes, QuahtN- Plumbing& Heating of Wirk(NoT, CT to coniplow th is holuss,lic w,,],' file fora pernut shortly. If you haN e any questions or neel additional information please-.10 nol licsilute so, Very t-m1v yoitr- 7 4' 'J. 1:ktr, Ms. WhA'se Ass( ;"Iates. Inc. r- f o gII APR 0 1 IV98 South Windsor BUILDING DEPARTMENT DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PlRNIIT# Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVED 1540 SULLIVAN AVENUE Y !k r&.--644-2511 ext. 230 Date Building Inspector Application must be printed or typed Location ofjob Street No. Street Lot No. FEE SCHEDULE Floor Apt.No. 0 - $1,000 - $12.00 Over $1,000 12.00 per$1,000 OWNER or any fraction thereof ADDRESS OWNERS PHONE# APPLICANT Y" Z-71 ADDRESS Gj ESTIMATED COST$ C? 0 C ;: ,. IS THIS A CONTRACT COST? NO FEE ENCLOSED $ sOR C0 TYPE OF JOB: Original Installation Alteration/Addition/Repair Revised 11/95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION YES / NO BUSINESS lei ASSEMBLY CURRENT USE AND OCCUPANCY A,'s-:"'C C_'A--h'J Ilt MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD e,& SIZE OF MAIN FEEDERS AND RATING OF WIRE USEDIll NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS j NUMBER OF PANELS REMOTE DISCONNECT REQUIRED?YES/ NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES 4&2 NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF HEAT CIRCUITS NUMBER OF A/C CIRCUITS SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. l DESCRIPTION O WORK Z 7 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. NAME STATE LICENSE NO. TYP SIGNATURE OF APPLICANT PHONE NO. J I DATE L INSPECTOR DATE Z TIME Am LOCATION INSPECTION: RESULT R BUILDING: C C1 z ELECTRICAL: new PLUMBING: HVAC: f QTHER• r ii'i'Cr 1 PEWvIIT DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT 16 i# Application is hereby-: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPRO D 1540 SULLIVAN AVENUE 644- 2511 ext. 230 101 9A x 14- AW Y Date wilding Inspector Application must be printed or typed Location of job 45 Niederwerfer Road 16 Street No. Street Lot No. FEE SCHEDULE Floor Apt. No. 0 - $ 1, 000 - $ 12. 00 Over $ 1, 000 L 12. 00 per$ 1, 000 OWNER Chasp AssniniatPSi Tnn or any fraction thereof ADDRESS 2033 Ellington Road South Windsor, CT 06074 OWNERS PHONE# 860 648- 2006 APPLICANT Frank MaL7ri A OW N S F ADDRESS 29 Bissell Street East Harford, CT ESTIMATED COST$ IM 0C IS THIS A CONTRACT COST? YESCr- NO S+ V. v :' C FEE ENCLOSED $ w. F l OR- COw E OF JOB: Original Installation Alteration/ Addition/ Repair Revised 10/ 96 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 f Z3GtASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCYEDUCATIONAL INSTITUTION FACTORY ENGINEER'S NAME PHONE STORAGE GARAGE ADDRESS MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION 0vcktAck,_QSIZE OF MAIN DRAIN_4 NO. OF TOILETS_ STYLE NO. OF URINALS STYLE NO. OF BATHTUBS_NO. OF OWERS_ 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 I KIND LV4%rlD0ol ARE TOILET COMPARTMENTS VENTILATED TO JTFR AIR BY A WINDOW 01 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 3 2 WATER HEATER TYPE S MANUFACTUREAWft)CAO TANKS SAFETY DEVICES TEMPERATURE CAPACITY RELIEF VALVE10(5NI- TEST PRESSURE WORKING PRESSURE PRESSURE RELIEF VALVE TYPE MANUFACTURER DESCRIPTION F WORK t In C QAA 1!91412- UCLA,._ THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN. BUILDING CODES IN THE PERFORMANCE OF SUCH RK. 1.11334 M oil NAME STATE LICEN E NO. TYPE IGN TURE F APPLICANT PHONE NO.7% DATE J 0 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PEt D( Z-) Application is hereby: TOWN of SOUTH WINDSOR Zy 4 BUILDING DEPARTMENT Bldg Permit# l G APPROVE 1540 SULLIVAN AVENUE 644- 2511 est. 230 Date Building Inspector Application must be printed or typed Location of job li Street No. Street Lot No. FEE SCHEDULE Floor Apt. No. 0 - $ 1, 000 - $ 12. 00 Over $ 1, 000 12. 00 per$ 1, 000 OWNER or any fraction thereof ADDRESS a usy 4 7< ,,- Z 7a-,- r- 1 OWNERS PHONE# - z—! o 0" a D 0 APPLICANT Cr 0 f, ADDRESS O O q4( ESTIMATED COST $ O40 d' C IS THIS A CONTRACT COST? YES NO CJ FEE ENCLOSED $TYPE OF JOB: s0 R C O Original Installation Alteration/ Addition/ Repair Revised 11/ 95 i APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM TYPE OF BUILDING HEATING RESIDENTIAL A/C COMMERCIAL VENTILATION INDUSTRIAL HEATING STEAM LOW PRESSURE LIMIT LBS.HIGH PRESSURE LIMIT LBS. HYDRONIC WARM AI UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE O F INSIDEZ,,:,_F DIFFERENCE?2-F TOTAL HEAT LOSS(BTUH) F 6 0 0 0 HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY (INPUT-BTUH d NET RATING (OUTPUT-BTUH) O UO d TYPE OF FUEL OIL-GPM GAS-INP ELECTRIC-KW OIL TANK SIZE&LOCATION INSIDE OUTSIDE CAPACITY LPG TANK CAPACITY AIR CONDITIONING DESIGN TEMP. OUTSIDE D F INSIDE 2 F DIFFERENCE F TOTAL HEAT GAIN(BTUH d'Od 0 HEAT GAIN SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE&MODEL NO.) TONNAG COOLING CAPACITY(BTUH}_? CTO VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) TOTAL SIZE OF SYSTEM(CFM) 20_ 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 CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WOR4KL 30G f9F V STATE LICENSE-NO. NAME&TYPE E OF APPLICANT PHONE NO.o l a`j ' DATE 0- 1 rt"', j ro j--, rn, 17: 3 PC C ra fit C- 1 1: 1 C- i 1: 3 r rl*? En Cn rx, r- O lzJ> Ul C- i ru c D Lo ru ro I rij ro - t ca J, - j I-, T- r F- - r co r", 6 --. 1 r. n rw En ..) r- i rl n n, r- n rl.) c-. 1 0- i C n r. n Q! C_- 1 r--*, l C- 1 ( xi cl, C--- t C D C-- i IA Ln U r- n 1:" 1 Ej C. 17. 1 CO w ro U. - 4t U C. C.1 4 t ztt 4- t ry Atz 4! z 4 Iz 417 41-- 1 4 lit 4 Ir DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT 1 by TZ Application is hereby: TOWN of SOUTH WINDSOR BUILDING DEPARTMENT Bldg Permit# APPROVE 1540 SULLIVAN AVENUES 644- 2511 ext. 230 cDate wilding Inspector Application must be printed or typed Location of job f Ake CvLtlt',- c Street No. Street Lot No. FEE SCHEDULE Floor Apt. No. 0 - $ 1, 000 - $ 12. 00 Over $ 1, 000 12. 00 per$ 1, 000 OWNER s Z or any fraction thereof ADDRESS C Y_ ski _ t. OWNERS PHONE# 0 APPLICANT Se N Se ADDRESS CO • q Gj ESTIMATED COST$ C IS THIS A CONTRACT COST? YES NO l FEE ENCLOSED $TYPE OF JOB: S R C O Original Installation Alteration/ Addition/ Repair Revised 11/ 95 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION NO BUSINESS ASSEMBLY CURRENT USE AND OCCUPANCY MERCANTILE EDUCATIONAL FUTURE USE AND OCCUPANCY INSTITUTIONAL FACTORY STORAGE ENGINEER'S NAME PHONE GARAGE MIXED USE ADDRESS CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED 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 SEPERATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK ic THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONN.BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. NAME STATE LICENSE NO. TYPE SIGNMURE OF APPLICANT PHONE NO. 0 DATE L2AS r r APPLICATION FOR BUILDING PERMITElectric# Plumbing# 145 NIIDNETTM ROAD HVAC # Date: Sprinkler# 26686 FINAL APPROV LS Estimated Cost $ 2150 Building COMPLETE RED BOXED AREAS Permit Fee t'( Engineering TYPE OR PRINT ONLY Occupancy Fee $ 5 Affidavit Appr.for CO. t Total Fee 4-1 OC, TO BUILDING D PARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost) $ Th undersign d hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street Zon Applicant 3'y' Tel.# 0 —7( Address l Zip Lic.# Own r Address Architect Address Sq. Ft.New Area: 1st FI. 6 2nd FI. 3rd FI. Total New Area Rooms Lavatories Bathrooms Garages Purpose of this permit: City Water C Well Septic System Sewer Use Group Construction Type Area sem nt Garage Approved by Date Revised 6/95 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 a zone in wh ch this building and its use is allowed. Signed I 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 / Approval Date By Appl Code Description Due Whom Code Commen' t 99- 26686- B 2, 130 B10 FINAL 05/ 10/ 00 DCJ A B10 FINAL 05/ 10/ 00 JRC A CLOSED OUT. Sectric# /0 9 S 9 APPLICATION FOR BUILDING PERMIT PlumE,:v# 145 Niederwerfer Road HVAC # Dat . Lzzo Sprinkler# No. 2 7115 Ldi 0 HMO Cost Off COMPLETE RED BOXED AREAS Permit Fee nA TYPE OR PRINT ONLY Occupancy Fee $ Affidavit SIGN ON REVERSE SIDE Appr.for CO.Total Fee 3 r TO BULDW DEPARTMEW,TOWN OF SOUTH WMSOR,CT ifional Cost) $ The undersigned hereby applies to do work according to the following specifications: Job Location 1 Lot No. Side of Street Zone Applicant Tel# Address Zip L(-c, ? Lic.# Owner IL-3%.d Address Sv#o-R Architect Address Sq.Ft.N w Area: 1st FI. 2nd FI. 3rd Fl. Total New Area 2j 3 y Rooms Lavatories Bathrooms Garages Purpos of this permit: ni bk City Water Well Septic System Sewer Ins. H.O. Cert. Area Basement Garage Approved by Dat 6 M103 Use Group Construction Type Rev6W 1/97 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 t ' building a s is allowed. SigneCV I hereby apply for a Certificate of Occupa r the work escri in this application for the permit. Signed DO NOT WRI E BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment 27115- B 2, 000 BO1 FOOTING 06/ 20/ 00 JFF A 10 PIERS WITH OWNER B10 FINAL 09/ 26/ 01 JFF A WITH OWNER B10 FINAL 09/ 26/ 01 JFF A CLOSED OUT. 16959- E 500 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: 2L2 BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg. Permit# 644- 2511 ext. 230 ut ing Inspector Application must be printed or typed RESCHEDULE Location of Job: 3. 00 Street No. Street Lot No. Over$}, 0O0= 13. 00 per$ 1, 000 or any fraction thereof Tenant Designation Apt. No. APPLICANTrIpcAPPLICANT ADDRESS APPLICANT PHONE# OWNER _OWNER ADDRESS CIO OWNER PHONEESTIMATED COST$ SO d IS THIS A CONTRACT COST? gYes 13 No C FEE ENCLOSED$ / 3 TYPE OF JOB: CO W Original Installation 13 Alteration/ Addition/ Repair Revised 8/ 99 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION?;l YES NO RESIDENTIAL BUSINESS CURRENT USE AND OCCUPANCY ASSEMBLY MERCANTILE FUTURE USE AND OCCUPANCY EDUCATIONAL INSTITUTIONAL ENGINEER'S NAME PHONE FACTORY STORAGE ADDRESS GARAGE MIXED USE CITY STATE ZIP Other please specify) TYPE OF INSTALLATION/WIRING METHOD SIZE OF MAIN FEEDERS AND RATING OF WIRE USED vRR 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 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. SSa") 5 CONTRACTORS LICENSE NO. TYPE TATE SIGNATURE OF APPLICANT DATE `9 W Bec±;ic# 6 o d2 APPLICATION FOR BUILDING PERMIT 145- NIEDER[dERFER RD Plumbing# Date: I 1,5 TmHVAC # No. 25810 Sprinkler# FINAL 0O 61matej Cost t-9 r-,Db -u Building/ 9 FC07MPLETE RED BOXED AREAS Permit Fee o Engineeri c r YPE OR PRINT ONLY Occupancy Fee $ Affidavit GN ON REVERSE SIDE Appr.for CO. / Q U Total Fee TO BUILDWG DEPARTMENT,TOWN OF SOUTH WHDSOR,CT Additional Co3t) $ The undersigned hereby applies to do work according to the following specifications: Job Location Lot No. Side of Street Zone Applicant Tel.# eQ)O Addr ss I S n(t dt r Zip Lic.# Own r Address Architect Address Sq.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area Rooms Lavatories Bathrooms (e-) Garages Purpose of this permit: City Water Well Septic System Sewer Ins. H.O. S.P. Cert. Area I Basement Garage Approved 6y Date h9 Use Group Construction Type 6 Rorsod 1/97 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 s buiidina and its use is allowed Signed a I hereby apply for a Certificate of Occup y for the wo described inthis application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS n/ J S Inspection / Approval Date By Appl Code Description Due Whom Code Comment 98-25810-B 8,500 B03 FRAMING (ROUGH) 01/08/99 DCJ A B04 INSULATION 01/08/99 DCJ A E03 ROUGH 01/08/99 DCJ A B10 FINAL 10/05/99 JFF D NO ACCESS LEFT DOOR TAG B09 OTHER 10/05/99 JFF D NO ACCESS LEFT DOOR TAG B10 FINAL 10/12/99 JFF A WITH OWNER NO HEAT NOT HABITABLE SPACE APPROIVED FOR CO & CLOSEOUT 98-16092-E 1,500