HomeMy WebLinkAbout1024 SULLIVAN AVE i:lectric# APPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC # 1024 Sullivan Avenue Date: Q
Sprinkler# _ 30831 _. _ - Estimated Cost $ SU S
FINAL APPROVALS -- -- Permit Fee $ '
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY
Affidavit Eng. Insp Fee $
Appr. for CO. Vr, �_ SIGN ON REVERSE SIDE Total Fee $ r s
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant 1 P/, ,(,L Location of Work, JF_ Lot No.
Applicant's Address lef,2 1 Prig/V &VE Tel.#�
Town S��.f f �L 4aj2 S 41R Zip DG 0 � Y Lic.#
Owner ��4 Architect
a
Owner's Address ,5Aef e: Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd Fl. Total New Area
Purpose of this permit .94-: 6/C (',QK"jt�
City Water❑ Wel Septic Systemo Sewer
Ins: HO SP Cert. Area Basement Garage
Approved by Date `7 Use Group Construction Type
Rwhied 6102
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.
S i g n e
I hereby apply for a Certificate of Occupa for the work described in this application for the permit.
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(/ DO NOT W ITE BELOW THIS LINE
INSPECTION COMMENTS
r �
Inspection / Approval Date By Appl
o Code Description Due whom Code Comment
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**-30831-B 500
B10 FINAL 07/20/04 PJP A
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMrr#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPnfp 1540 SULLIVAN AVENUE
� 30•l(O
644-2511 EXT.230 Bldg.Permit#
(Date) (Building Insp or)
Application must be printed or typed
FEE SCHEDULE Location of Job:
to 2 u _9 u �Vvoxv A-v c—
$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 r �--L Q` U0
APPLICANT ADDRESS
APPLICANT PHONE# ( U) 20.\— 0`\S
OW N S E,Q OWNERC
OWNER ADDRESS v \\%,y&r.i )+N c-
OWNER PHONE (�cl` 3 Z— S \C5
C 1 D ESTIMATED COST $
` IS THIS A CONTRACT COST? ✓ YES NO
C.) FEE ENCLOSED$ 1 S c
TYPE OF JOB: ZZ 13
�SOR•Cps New Installation
VAlteration/Addition Repair
,26I �o�
Revised 12/22/11
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION? Cl YES NO
BUSINESS
Cl ASSEMBLY CURRENT USE AND OCCUPANCY
O MERCANTILE O EDUCATIONAL FUTURE USE AND OCCUPANCY
0 FACTORY
O STORAGE ENGINEER'S NAME PHONE
O GARAGE
O MIXED USE ADDRESS
(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 O YES O 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
v
of
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.
-;-) o sOCR
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT DATE
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800019 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 01/14/08 }
GIS ID: 87301024 " FEE: 30.00
MUNIS APPLICATION# 200700164 � °>�yyi �2' �TILDII .pESCRIPTION:
APPLICANT ���,.. :•: ""?;t' •¢.b4�' � "•'"`: ��'.w'<
OCATION
%
NAME: IMPERIAL PLUMBING r"<�s � l'f- `% "ADbgES 1U�4 S, IVAN AVENUE
ADDRESS: 648 SULLI VAN AVER � �` "TII�LLLPH C&MARY T
Q
�•'•$ v ,,
SOUTH WINDSOR,C{T L160 43`fa•1� '''• h `. •r.Qxiy; ° 'Q24q SULLIVAN AVENU
I :::<� �, �< >:.� , �:...�:�:;y <:.:�;>•�� �'�tTra W DSOn CT 06074
C � ✓nrwl�:} f-A. n!4� iJ R
DESCRIPTION OF WORK: BOILEklt2 P GEMENT'
.iY 9 38; %,.:.,<...�r.a i. ab.5•i a.`. .:. r,a•. .F.. ,.: � d
s3. x':� ,:a,tiv •x3:'oa`°°ar S '"ww?,` '`'^&iw'�'t ''� 1°�� �' F
ZIA
SPECIAL CONDITIONS: '
`' ate"
ALL WORK TO BE DONE IN ACCORDANCE WiT> T11�'.!A.�PlPt�iC,lSaI'�O'N�' +PLII�IS.:.�P�'ItOVED HE BUI G EPARTMENT.
CONSTRUCTION TYPE: R C M
OCCUPANCY GROUP: BUILD G OFFICIAL
1/14/2008 4:28 PM TI IE FEE ABOVE INCLUDES A$0.16 PER THOUSAND CT STATE EDUCATION SURCIIARGE
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
TOWN OF SOUTH WINDSOR
Applic do is a y:
BUILDING DEPARTMENT
OV 1540 SULLIVAN AVENUE
Bldg.Permit#
Z� 644-2511 ext. 230
Date Bui Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
FT:ena!nt
$0-$1,000=$15.00 Street Lot No.Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT -�c-c� Q
APPLICANT ADDRESS o,,%s,
APPLICANT PHONE# O \ \S
OWN s f OWNER
4 OWNER ADDRESS
0 OWNER PHONE
C ESTIMATED COST$ c���C•
IS THIS A CONTRACT COST? _"Yes _No /
(✓ FEE ENCLOSED$ C� o
V
s 0��� TYPE OF JOB:
OR-C _New Installation
✓Alteration/Addition/Repair
r
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE.OF,SYSTEM: TYPE OF BUILDING:
HEATING ARESIDENTIAL
O A/C ❑COMMERCIAL
O VENTILATION ❑INDUSTRIAL
HEATING
STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC ❑WARM AIR Cl 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.)
0-,� ".,;17 C C),�e c
�Ani:�
GROSS HEATING CAPACITY(INPUT—BTUH)��, NET RATING(OUTPUT—BTUH)
TYPE OF FUEL
❑OIL—GPM OIL TANK LOCATION :❑ INSIDEO OUTSIDE CAPACITY
'P1 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 �e.c
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.
(1 a jC\ S, S - a C \
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT '�`� 1 � � DATE
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is h
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
O 1540 SULLIVAN AVENUE
Bldg. Permit#
644-2511 ext. 230Ad
Date Buff ng Inspector
Application must be printed or typed
FEE SCHEDULE
Location of Job:
uv—mc,1 e
$0-$1,000=$15.00 FTenant
Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT T� c •o,\ Q� C v
APPLICANT ADDRESS
APPLICANT PHONE# .2_Cx, k
OW N S4. OWNER ' JO.r '\� Q-.r. r
OWNER ADDRESS (- ti n�Vt e �r
OWNER PHONE
C = ESTIMATED COST$
. b
� IS THIS A CONTRACT COS '? 1,Yes _No
FEE ENCLOSED$ t U�
TYPE OF JOB: -�G SC�S
DSO R-CO _New Installation
teration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF YSTEM: TYPE OF DING:
HEATING RESIDENTIAL
A/C COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑STEAM LOW PRESSURE LPAIT 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.)
GROSS HEATING CAPACITY(INPUT—BTUH) U 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_J C
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.
2cl -SSc
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT :� ,N�C, ti� DATE
1600470 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 07/25/2016
GIS ID: 87301024 FEE: 45.00
MUNIS APPLICATION# 201600913 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: HALL RALPH C&MARY„T ADDRESS: 1024 SULLIVAN AVENUE
ADDRESS: 1024 SULLIVAN AVENU OWNER: HALL RALPH C&MARY T
SOUTH WINDSOR,CT 060742 1024 SULLIVAN AVENU
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: NEW ROOF.
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
7/25/2016 4:1 I PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1600116 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 04/04/2016
GIS ID: 87301024 FEE: 15.00
MUNIS APPLICATION# 201600307 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: IMPERIAL PLUMBING CO., INC. ADDRESS: 1024 SULLIVAN AVENUE
ADDRESS: 648 SULLIVAN AVENUE OWNER: HALL RALPH C&MARY T
P.O.BOX 875 1024 SULLIVAN AVENU
SOUTH WINDSOR,CT 06074 SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: 40 GALLON GAS WATER HEATER REPLACEMENT.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY TILE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
4/4/2016 3:19 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE