HomeMy WebLinkAbout100 WENTWORTH DR Elec p d �A LICATION FOR BUILDING PERMIT
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Date:
Sprinkler# 9 t 1ndsor KAENT Estimated Cost $ 5
FI Ad, Permit Fee $ 5�
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CO LETE RED BOXED AREAS
Engineering TYPE OR PRINT ONLY Occupancy Fee $ �p
Eng. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE t
Appr.forCO. Total Fee $
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ LA
The undersigned hereby applies to do work according to the following:
Applicant % LocationofWork Lot No. C'y
Applica Address G`/ ��� ��� ?, S Q A xm4!-�!a Cl-. Tel it & a 76.3 3 g yZ
Town Zip 04;a lee Lic.# ff-C 66 //l i!
Owner91 Architect
O ner's Address/ Architect's Address
:' Zip OG— Zip
Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd FI. _Total New Area _
Purpose of this permit
City Water kr Well ❑ Septic System ❑ Sewer
Ins: HO SP Cert. Area Basement Garage
Approved bd Date �� Use Group �[L Construction Type— f'r
��_— Revised 110✓6(yW
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 an its use is allowed.
Signed
I hereby apply for a Certificate Occupancy for the work des ibed in this application for the permit.
Signe?NOT
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WRITE BELOW THIS LINE
INSPECTION COMMENTS
APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT 1�6 0 b Z L
APPM-L
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 O n V`en C
Over$1,000= I Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT Z c�c�c, C -)
APPLICANT ADDRESS
APPLICANT'S PHONE# l,
OWNER
OWN S Fq OWNER ADDRESS `-
z I C)() ►.l .,o E-A
V- OWNER PHONE �°1 C�uy1-U-1 ci'�--
�` ESTIMATED COST$ L,0 U u GJ
IS THIS A CONTRACT COST; ' Yes No
FEE ENCLOSED$
�f TYPE OF JOB: Z 26o�
SO R•CO New Installation
l,41teration/Addition/Repair
-261 Soo 6 3g
Revised 03/05/10
APPLICATION FOR HVAC PERMIT(Continued from ieverse side)
TYPE O SYSTEM: TYPE OF)BUILDING:
HEATING RESIDENTIAL
A/C I 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 OF
TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.)
L Era wC\j o. C %g vj )R � o �l
GROSS HEATING CAPACITY(INPUT-BTUH) I O S 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 o v V I Q� 3 k 2 L)
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.
30 $ 2-15 s _ 3 Cy
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT g—A.,"Ccl � ��,,, _ DATE 1
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APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT. 230
PERMIT NUMBER:
DEPARTMENT DECISION rl
eAPPLICAY: �vV(5I
fBLDG.PERMIT NUMBER:
DTOR
LOCATION OF WORK: `�) 1 I Q S \,11 CI
APPLICANT: OWNER: TYPE OF STRUCTURE:
❑NEW BUILDING
NAME P,. NAME: ❑ADDITION
PHONE NUMBER:pp �G�` _U l\S PHONE NUMBER: s CA EXISTING BUILDING
ADDRESS: le ADDRESS: �
U - s ` , TYPE OF USE:
lVkESIDENTIAL ❑COMMERCIAL
PLUMBING INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF INSTALLATION: V
NO.OF TOILETS: STYLE: NO.OF BATHTUBS: , C!-
NO.OF SHOWERS: NO.OF LAVATORIES: 0.-- I C► C�e C k 0
NO.OF CATCH BASINS: NO.OF FLOOR DRAINS:
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY WINDOW,) O
OYES oN0 ESTIMATED COST: S U
SIZE OF WINDOW: SIZE OF DUCTS: u
SEWER OR SEPTIC TANK: FEE ENCLOSED:S
SIZE OF WATER PIPING AND RISER:
WATER HEATER: TYPE C_C MANUFACTURER C _C
FEE SCHEDULE:$18 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 PERMTI FEE)
THE UNDERSIGNED HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO COMPLY WITH ALL LOCAL
ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: ZU C Q ` `TYPE: Q ` STATE:
SIGNATURE OF APPLICANT: �O���� \`�G�NS_n Al DATE: 2 \
�a�yaaa�y
1800029 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 01/10/2018
GIS ID:93300100 FEE: 72.00
MUNIS APPLICATION# 201800038 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: IMPERIAL PLUMBING CO.,INC. ADDRESS: 100 WENTWORTH DRIVE
ADDRESS: 648 SULLIVAN AVENUE OWNER: KELLY CAROLYN B&ROBERT D JR
P.O. BOX 875 100 WENTWORTH DRIVE
SOUTH WINDSOR,CT,06074 SOUTH WINDSOR,CT 06074
6
DESCRIPTION OF WORK: BOILER REPLACEMENT.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
1/10/2018 11:50 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1900651 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 10/17/2019
GIS ID:93300100 FEE: 18.00
MUNIS APPLICATION# 201902274 BUILDING DESCRIPTION:
APPLICANT. LOCATION
NAME: IMPERIAL PLUMBING CO.INC. ADDRESS: 100 WENTWORTH DRIVE
ADDRESS: 648 SULLIVAN AVENUE OWNER: KELLY CAROLYN B&ROBERT D JR
100 WENTWORTH DRIVE
SOUTH WINDSOR,CT,06074
DESCRIPTION OF WORK: 40 GAL GAS WATER HEATER,NATURAL GAS,NATURAL DRAFT
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS"APPROVED BY TIIE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
10/17/2019 8:05 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE