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Home My WebLink About0 IVY LN BDLG 11 (8 UNITS) Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# Z�U Lc;r\z —��U I� G u •I Date: o�—Ig-Un Sprinkler# I Le FINAL APPROVALS C G Estimated Cost $ Building COMPLETE RED BOXED AREAS Permit Fee $ Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDE t Appr.forCO. 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 KkallsLocationofWork S.V 'I'd a Lot No. 1 1 fil Applicant's Address l0 Npa& V� C� OIDA Q Tel q uok Town AeAzt(l7�\ Q—T Zip C)LcAg(:;� Lic.# A\C, QknkQr Q� Owner=UJ,A k,1A QcyAO O.EE-r—• Architect Owner's Address VA _MVu Architect's Address 5 0, Wi.,oft 0111- Zip Zip- Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit R2— V_%nC7�. —,a?pl o&R �hkoo\ 'T� G�` �C2 i c ! -PXCIQ- • A \Y,\ (Z City Water J well —1 Septic System J Sewer 7 Ins: HO SP Cert. Area Ba t Garage Approved by Date Use GroupW Con struction Type Revised 1108 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.Iocatqd the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in i t uildin 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 Electric # D ` 7 DII T ATION FOR BUILDING PERMIT Plumbift ivy Lane Bldg.111-11 HVAC#- 11000576 Date:/ Sprinkler#P=iti° PA - �, Estimated Cost FINAL APPR ..S Permit Fee $ Building GGS 90.393 COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering _ TYPE OF PRINT ONLY Eng. Insp. Fee $ Affidavit - ► SIGN ON REVERSE SIDE Appr.for CO. Total Fee $ An. AID TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 20 The undersigned hereby applies to do work according to the following: Applican LocationofWork _T0jjffLLot No. Applica 's A ress �Oi_l Tel # TownZip a moo _Lic.# Owner&AOUA a1& Architect Owner's Address Architect's Address Zip Zip Sq.Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit City Water 0 Well ❑ Septic System ❑ Sewer 0 .2011d/ 7 Ins: HO SP Cert. Area Basement Garage Approved by i Date Use Group----Construction Type Revised 1108 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. L Signed �. \e.�.er. /.1��i.qjA— I hereby apply for a Certificate of Occu ancy for the work described in this application for the permit. Signed _ DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Electric# / 6I l--O � APPLICATION FOR BUILDING PERMIT Plumbing# / HVAC # y" � 111 Ivy Lane Sprinkler# -_ _ — - - - 317 9 6 -- ---- C 073 FINAL _ _ - - ; Estimated Cost $� -"--- i Permit Fee $ / S- Buildin �^"� COMPLETE RED BOXED AREAS Occupancy Fee $ Enginee TYPE OR PRINT ONLY I Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDE Appr. for C `� (rI II'- ------- --- - -- -- --- - — Total Fee $ TO THE U LDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant �!4/ -,� /°f/Guf-S Location of Work ,.ZVy L ,A41 Lot No. Applicant's Address � l :Z�uV _ Tel.# A Town Q'd It!'/NjVfe2 Zip rr&0 2 y Lic.# Owner s Architect Owner's Address -lf/ �L I",Y Ly-tlt Architect's Address 50i,TA- 4,/4444So4, Zip 0-k-7 y Zip Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Tol New A �y cad Purpose of this permit �� !�� v slv- .i/7 C kov O one -u" t i ( ✓. ni-2 City Water Well❑ Septic System[--] Sewert.,-- Ins: HO SP Cert. Area Basement Garage Approved b 4 Date ,0 Use Group Construction Type_Sa l Revised 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 locat distance from all street lines,side yard lines,and required distances from all other zones and is located in whic is building d its use is allowed. Signed I hereby apply for a Certificate of 0 vork descri in this application for the permit. Signed DO NO WRITE BELOW THIS LI E INSPECTION COMMENTS Revised 4/01//2002 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT Y 1 rvti4A APPR VE 1540 SULLIVAN AVENUE Bldg.Permit# —:: C4 644-2511 ext. 230 Date Building Inspecto Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street :No. ]No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation A APPLICANT Jt rl 0 kl(-1 ll V APPLICANT ADDRESS If S 1 V y APPLICANT PHONE# n 6 v g q 2 1 W N S F,q OWNER < OWNER ADDRESS o r S' Ivy 4 .✓C vA r-l!) 5101? OWNER PHONE YGJ 2 9 3 7 2 7 O C ESTIMATED COST$ 2 S 0 '2 �.� IS THIS A CONTRACT COST? ✓ Yes _No FEE ENCLOSED$ S� f/y TYPE OF JOB: �SO R-C 0� V/New Installation �/D _Alteration/Addition/Repair ( y�3 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: ❑HEATING J9 RESIDENTIAL ❑A/C ❑ COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE °F TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) 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 P)()► 4 G l 4f f ledt 6i rl r f�A,j G F 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. J�IMC- 6t,Jr,6.9 C_ 7 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 1 2 - l I I 05-14-05 15 : 23 GW MANAGEMENT E HARTFORD ID=8602827811 P- 02 IVY LANE CONDOMINIUM ASSOCIATION, INC. BROOKSIDE CONDOMINIUM 1101 PLEASEANT VALLEY ROAD SOUTH WINDSOR, CT 06074 June 14, 2005 Town of South Windsor Building Department Fax: 644-3 781 To Whom It May Concern: We are writing to you in regards to the following condominium owner at the above property: Robert Phillips 11-1 Ivy Lane South Windsor, CT 06074 It is my understanding that Robert has applied for a building permit to remodel the basement of his unit. The Association has no restrictions regarding such, and he therefore has permission to go ahead with the project. Tf you have any questions regarding this matter, feel free to contact me at 282-7377, extension 304. Sincerely, Cheri Munson Agent for the Board of Directors DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: / � G BUILDING DEPARTMENT l APPLQ ' 1540 SULLIVAN AVENUE Bldg.Permit# J L 1 644-2511 ext. 230 _l l 6. Date Building spector Application must be printed or typed FEE SCHEDULE Location of Job: FT y L�- $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT APPLICANT ADDRESS f f` `�`� Y t—jXA SOUS Wli`'�ferL APPLICANT PHONE# 60 ' oZ ^-Z��Z O W N S F,q OWNER �1Ji34� LEI � � f < OWNER ADDRESS vy L*A4 CScz��ld' bt/G✓,9lGl�L O - + E-• OWNER PHONE C = ESTIMATED COST$ 3 D x IS THIS A CONTRACT COST? _Yes No LL o 4� FEE ENCLOSED$ 1��5 �0--//�y� TYPE OF JOB: R C #New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A .RESIDENTIAL BUILDING PERMIT APPLICATION? .YES ❑NO ❑BUSINESS CURRENT USE AND OCCUPANCY k FS. ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL ❑ INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP 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 .3 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 /nos &'Lc'ztc -t- S',lmC4� , ��✓t�l 640,M 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 `"Jr DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT / a .S 10 PR VE 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 7 �� Date Buil ing spector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street o. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS Il/ —T1/° day 6,?AIW�� APPLICANT PHONE# ?-7R —-7J?2 0 W N S j , OWNER 6�u _ I*Iai-145 OWNER ADDRESS ,• �?L G11MaSO►2 0 OWNER PHONE P6 0 — 7�0� ' 7/ P C ESTIMATED COST$ 10 ) x IS THIS A CONTRACT COST? _Yes No LL o C/ FEE ENCLOSED$ �3 SOR•CO`y� TYPE OF JOB: New Installation $Alteration/Addition/Repair Revised 4/01H2002 1 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE O YSTEM: TYPE OF BUILDING: ATING PRESIDENTIAL !&A/C ❑COMMERCIAL VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. ❑HYDRONIC A WARM AIR ❑UNIT RADIANT HEATER EXISTING 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.) GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL ❑OIL-GPM OIL TANK LOCATION:❑ INSIDEO 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 HANDLIr EQ MENT(INCLUDING KITCHEN EXHAUST EQUIPMENT) i,,✓sG�-L o�3 �`i2 p1/�TG.ort.K 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. #()ma�lAlbl— CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE /Q -Of " C Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-31796-B 1,000 B03 FRAMING (ROUGH) 06/30/05 JFF D WITH OWNERS DAD NEED DRAFT STOPPING E03 ROUGH 06/30/05 JFF A WITH OWNERS DAD B10 FINAL 05/05/06 JFF D N/A DOOR TAG B09 OTHER 05/09/06 JFF SPOKE WITH OWNER TO COMPLETE END OF JUNE B10 FINAL 08/05/08 JFF A WITH NEW OWNER JASON MILLER COMPLETED EXCEPT NEED SMOKE OUTSIDE BEDRM TO INSTALL **-19657-E 300 / **-12547-H 100 Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-31796-B 1,000 B03 FRAMING (ROUGH) 06/30/05 JFF D WITH OWNERS DAD NEED DRAFT STOPPING E03 ROUGH 06/30/05 JFF A WITH OWNERS DAD B10 FINAL 05/05/06 JFF D N/A DOOR TAG B09 OTHER 05/09/06 JFF SPOKE WITH OWNER TO COMPLETE END OF JUNE B10 FINAL 08/05/08 JFF A WITH NEW OWNER JASON MILLER COMPLETED EXCEPT NEED SMOKE OUTSIDE BEDRM TO INSTALL **-19657-E 300 **-12547-H 100 INSPECTION FIELD SHEET 04/11/22 Printed by Middleton, Morgan 15 29 54 INSPECTION: 83486 OTHER PERMIT: STATUS: APPLICATION: 201600176 LOC: IVY LANE SOUTH WINDSOR PROPERTY ID: 46200000 OWNER: BROOKSIDE ASSOC CONTRACTOR: KLAUS LARSEN LLC. 860-250-5159 REQUEST BY: PROJ DESC: TEAR OFF OLD SHINGLES, INSTALL ICE AND WATER, UNDERLAYMENT, WORK ORDER: INSPECTOR: DOUG RESULT: PASS REQUESTED: 02/25/16 PRIORITY: SCHEDULED: 02/26/16 AM COMPLETED: 02/26/16 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION BO10 FINAL DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMI # T Application i BUILDING DEPARTMENT 9 0 0 0 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Bui g Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street Lo o. Over $1 =per ,$15.00 per$1000 CXx or any fraction thereof Tenant Designation Apt.No. APPLICANT 'L!lCrraE� teJ.c.�CGvy� APPLICANT ADDRESSr? APPLICANT PHONE# 7 — 3 ,e ovi N SFq OWNER G .✓� Gcr,4T�5 OWNER ADD SS jAkk r �'r OWNER PHONE C ESTIMATED COST$ f� IS THIS A CONTRACT COST? ---Yes _No ly �G FEE ENCLOSED$ SOR'Co TYPE OF JOB: _New Installation �14 Alteration/Addition/Repair Revised 4/01//2002 r APPLICATION FOR ELECTRICAL 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 ❑ASSEMBLY ❑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 jD 4?L-OL. l Tc �y.,.'G 1z. J16k--, 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 D w TOWN OF SOUTH WINDSOR AFFIDAVIT OF ACTUAL COSTS PERMIT N0: ��JG o 7d.: DATE The undersigned,being a duly authorized representative of, -r-,zr G,a ,,,�c•, �c,t�P . do by this statement, certify that the actual costs shown below, of the project referenced by the Permit Number shown above,are true and accurate. This statement is being made pursuant.to the Town of South Windsor.Ordinance,Mide 11, Section 14-31, (a)thru(e),(see attached). 1 understand that verification for accuracy of actual costs may be made at any time by the Building Official through an appraisal of the work at the expense of the property owner. hereby certify that the'actuai cost of the work performed under this permit is: Signature of Permit Holder: Llr Name(Please Print) ��1kJC J -Date:_ ■rrraraaraaaaarasararaaaaraarrararraaaaarraaaaaraaaaaaaaraarraaaaaaaaa�aaaa�araa• State*of Connecticut] j ss South Windsor Date: County of Hartford] Personally appeared as aforesaid, Signer and sealer of the foregoing instrument and acknowledged 'the same to be his/her free act and deed, before me. Notary Public Commissioner of the Superior Court My commission expires on a W APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT 1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230 ER:/ DEPARTMENTPE NUMB DECISION APPLICATION IS HEREBY: APPROVED- BLDG.PERMIT NUMBER: 10' '-1R GiD— DATE INSPECTOR LOCATION OF WORK: 11,5 APPLICANT:j, OWNER: TYPE OF STRUCTURE: t ,le (.'�I) ,� n '/ o NEW BUILDING NAME: Y� NAME: ❑ADDITION - 19 (� PHONE NUMBER: J�U ��) PHONE NUMBER: � EXISTING BUILDING ADDRESS: U pi-—14 / ADDRESS: 4_L a,�c l hu TYPE OF USE: CIT DOOM RESIDENTIAL ❑COMMERCIAL HVAC INFORMATION: ,gyp FURTHER DESCRIPTION OF WORK: TYPE OF SYSTEM: ❑HEATING ❑A/C I U liffit)o m a new dim wovJ IW(Nc i HEATING: bO f/RLoil- ms TOTAL HEAT LOSS(BTUH) °F (HEAT LOSS SHEET REQUIRED) i w'roll it (I�1�,f��I,,�jn Q 2 .I I t l►� L�I�QLY DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.): l{\ A e ba C1!Ld� if- `MIS Is X4 gfwqle4v� re0d . Uwmar haa ESTIMATED COST:$ 4. 93. 60 AIR CONDITIONING: DESIGN TEMP:OUTSIDE "F INSIDE °F DIFFERENCE F° FEE ENCLOSED:S D O D TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED) DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.): FEE SCHEDULE:S18 PER$1,000 OF THE ESTIMATED COST. ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS $1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS PART OF THE PERMIT FEE) THE UNDERSIGNED NEARBY 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 PERFOMANCE OF SUCH WORK. CONTRACTORS LICENSE NO.i !G'• �' TYPE STATE: SIGNATURE OF APPLICANT: DATE: I^ Zd CIOl ev-s DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR 100 bI BUILDING DEPARTMENT APPR 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT PHONE# U 1 2 q t SOW N St OWNER OWNER ADDRESS \ �.�• OOWNER PHONE C ESTIMATED COST$ o p O 0� .� IS THIS A CONTRACT COSTT? '✓Yes _No FEE ENCLOSED$ \s o L TYPE OF JOB: �SOR•COS New Installation ✓)6teration/Addition/Repair APPLICATION FOR PLU MBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A ❑RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑ NO ❑BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE❑EDUCATIONAL FUTURE USE AND OCCUPANCY ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION SIZE OF MAIN DRAIN 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 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS Tm— 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 SLD9 - 15- 55g Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# �Lr.a �r r tJ ( [Date: Sprinkler# jC, 1;2 Estimated Cost $ ��, LJo� FINAJ_.,APPROVALS Permit Fee $ R 3y Building V ON COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $ Appr.for CO. SIGN ON REVERSE SIDE Total Fee $ 83y TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ -*1-737 The undersigned hereby applies to do work according to the following: Applicant a 0. JZ Location of Work l Lot No. Applicant's Address 0 L_ lea in Sto Tel # � g(o0-Jb3—�1a(e� 1 Town f-r_6yaYrc-T Zip_ io(oa14 0 Lic.# 0610-7 Q ) _ Owner �T �-EA� Kk ej7Kk. fkSSD C,G LLC Architect _ Owner's Address 10% --_�y�4 La V-e-- Architect's Address _ Zip Zip Sq.Ft.New Area: 1st FI. 2nd FI. 3rd FI. Total �New n Area Purpose of this permit — 101" City Water❑ Well ❑ Septic System ❑ Sewer 0 5Dlal`1 Ins: HO SP t . Area Basement Garage Approved by - to Use Group Construction Type Revised 1108 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 loca*the proper distance from all street lines,side yard lines,and required distances from all other zones and is located in i�lding and a 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 FIELD SHEET 04/21/23 Printed by Middleton, Morgan 10 50 30 INSPECTION: 79268 FINAL PERMIT: STATUS APPLICATION: 201501214 LOC: IVY LANE SOUTH WINDSOR PROPERTY ID: 46200000 OWNER: BROOKSIDE ASSOC CONTRACTOR: REQUEST BY: PROJ DESC: BLDG. 11--RE-ROOF. TEAR OFF 1 LAYER, ALL ICE AND WATER, WORK ORDER: INSPECTOR: WS-B RESULT: PASS REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 04/17/23 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: INSPECTED BY VALERIE MUSZYNSKI TO CLOSE OUT OLD PERMIT