HomeMy WebLinkAbout104 IDENT RD Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 104 I dent
HVAC# Road pate:
Sprinkler# 1200053 7
FINAL APPROVALS Estimated Cost $ N ryP• 6'0
Permit Fee $ 779--
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.forCO. ` "� ► SIGN ON REVERSE SIDE / Total Fee $ Ak-
S`—
TO THE BUILDING E ARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 1�3
The undersigned hereby applies to do work according to the following:
Applicant C, 4 ,%LocationofWork )04 I-ct—f K W;:%de,LotNo.
Applicant's Address ?n( 0 1✓ 4-A Tel # �&0 y 6 S'-o t 4 6
Town LI Le",N . Zip_ O6 Z,-15 Lic.# o6 331+3 7
Owner Architect //,��,,
Owner's Address �' 'Ahit�s'Adtf sue"
104 Z cU"f_ 20k 3 o✓ 41, ,Ottae-
ip _ __ _ Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit I 0d Q-r 2 3 s4; cLc+a, " 1G-ra. /9 n e,i �
c c4-9 s t Q dl
City Water❑ Well ❑ Septic System ❑ Sewer❑
Ins: HO SP Cert. Area Basement Garage
Approved by Date f b '-- 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 thisbuilding 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
APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT 9
APP OV 1540 SULLIVAN AVENUE Bldg.Permit#
10.�-44 644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE .�i L oration of Job:
$041,000=$15.00 L�
Over$1,000= I Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT �45,0 C-A �b
APPLICANT ADDRESS 3 -rd &A4
APPLICANT'S PHONE# 260 v5�S
OWNER �— tt4 '-rw A Q
W N S F4< OWNER ADDRESS /Z) d"kr--
OWNER PHONE �Z 6-
X j ESTIMATED COST$
,� 1r= ` IS THIS A CONTRACT COSH Yes No
FEE ENCLOSED$ U�
TYPE OF JOB: S
SOR,COS New Installation -
Alteration/Additio /R
Revised 03/05/10
r
1
APPLICATION FOR HVAC PERMIT(Continued from reverse side)
TYPE OF SYSTEM: TYPE O�F�ILDING:
❑ HEATING I� 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 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: ❑ 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 L`�S / � Z?S b n Poet-
4 #41 Y et- T,4
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.
30s663 s c
CONTRACTORS LICENSE NO TYPE STATE
SIGNATURE OF APPLICANT DATE d/2jf/101blc�
.—Kasie Inc.
License r 3:53653 3.40 Tolland titrcrt 1,,1st !falrtfo►•d.("L' 06108
110M 0000966 Office: 860-294-5431 F 860-289-2133
Toll Free: 1-800-5-KASDEN
Job Name ��''�wC� �� p x' ✓
Start Date L/ //�/ry" vP
Job Description A.-)Zvf/ 'Z') A .5?v GLd'1 FU'� ` ViViV
91j0� &►rnnc,,7-/anS
For Public Act 91-95: This Authorizes Robert W. Archer to sign permits as agent for Kasden Fuel, for the
above mentioned job and municipality.
Applicable licensee
• 1 1
HEATING,PIPING&COOLING UNLIrIITED CONTRACTOR
Dean Fusco CT license S 1-358653 `
DEAN P FUSCO'
187•M�RGAN C1R �
..-Agent Signature I W 06109 ETNERSFIELI),C ,
LIC./REG NO. EFFECTIVE— EXPIRES
HTG.0385653- 1,' 09�01/,2014. := - -08/31/2015
Fw
SIGNED
Robert W. Archer
HEATING SYSTEMS —HOT WATER— WARM AIR—OIL BURNERS —AIR CONDITIONING
PREMIUM DIESEL FUEL— GASOLINE— MOTOR OIL— #4 OIL— KEROSENE
INSPECTION FIELD SHEET 02/13/13
Printed by Peart, Dayshell 12 41 07
INSPECTION: 52547 OTHER PERMIT:
STATUS:
APPLICATION: 201201265
LOC: 104 IDENT ROAD
SOUTH WINDSOR
PROPERTY ID: 45300104
OWNER: WENTWORTH PAMELA N
CONTRACTOR:
REQUEST BY:
PROJ DESC: RE-ROOFING.
WORK ORDER:
INSPECTOR: ROSE RESULT: N/A
REQUESTED: PRIORITY:
SCHEDULED: COMPLETED: 10/11/12
UNPAID FEES 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS
ALL INSPECTIONS:
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
10/12/12 ROSE PASS BO10 FINAL
i
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The Lifetime
Ix `
LiningSystem .O TM
Smooth-Wall and Single-Wall -
EChimney Lining Kit. =,
Installation and
Maintenance Instructions
We recommend that you use an
experienced and qualified Chimney
Professional to install your
Lifetime Lining System
The Lifetime Lining System from Lifetime Chimney Supply is
intended for use as a masonry chimney liner only. The Lifetime
Lining System has been tested and approved to UL1777 zero-
clearance standards* for masonry chimneys serving gas, oil or
wood burning appliances.
All warranties, stated or implied, are void if this product is not
properly installed in accordance with the instructions contained
in this brochure and in accordance with local requirements. The
listing for The Lifetime Lining System is void if components
other than those supplied as listed components by this
manufacturer are used.
It Is Important That This Chimney Liner Be Installed
In Accordance With These Instructions.
Please read all instructions before beginning your installation. Failure to install this system in accordance with
these instructions will void the conditions of certification and the manufacturers warranty.
e
CHIMNEY SUPPLY
Lifetime ChimneySupply, LLC
l 132 Dupont Street, Plainview, New York 11803
www.lifetimechimneysupply.com \ /
The Lifetime Lining System:TM
Smooth-Wall and Single-Wall Chimney Lining Kit!
Available in 3 4-9 5-9 5.5-9 & 5- in ser-tions from 10' to 100'
The Lifetime Lining System is intended for use with heating appliances vented through a masonry chimney that
burn home heating oil, natural or LP gas and solid fuels (pellet, wood and coal). Use of experimental fuels voids
the warranty. This lining system is not for use with Category II, III, or IV gas burning appliances as defined by the
National Fuel Gas Code, NFPA 54, or other appliances that create positive pressures in the chimney system or that
cause condensation of corrosive acids on the liner of the chimney.
The Lifetime Lining System is intended for use in an unlined chimney with at least a nominal 4" of masonry all
around, a properly built masonry chimney with cracked clay tile liners or to provide a properly sized flue for a
heating appliance installed in a masonry chimney that otherwise meets existing codes.The Lifetime Lining System
may be used to reline a fireplace chimney.The liner must be connected to the top of the smoke chamber by a bottom
plate or other means that provides an air-tight and drip-free termination.
Parts List:
The Lifetime Lining System includes:
1 Stainless Steel Liner 1 Stainless Steel Single Wall Liner 1 Stainless Steel Tee Cap
1 Stainless Steel Tee 1 304 Series Stainless Steel Rain Cap 1 Stainless Steel Top Plate
Installation Instructions:
• If chimney requires field drilling, use •The internal and external condition chimney and any combustibles. These
a 1/4" Stainless Steel drill bit to drill of the chimney must be checked for clearances must be in accordance with
through the inner section of the safety and repaired as necessary. current NFPA 211 standards orthe local
chimney liner section. •The chimney must terminate above building codes. Check the height of
•Wall penetration assemblies are not to the roof line as per NFPA-211. the chimney to be certain it conforms
be located directly behind a heating • Run a guide cone up and down the to the recognized regulations
appliance. chimney to clear any obstructions and •This installation must include the
The following criteria shall apply to to ascertain that the liner diameter raincap: a protective covering or
a connector to a masonry chimney: will pass through the chimney's flue housing for the top of the chimney
• It shall extend through the wall to the opening. intended to prevent the entry of
inner face or liner but not beyond. Choosing the Correct Type rain, snow, animals and birds, and to
• It shall be firm) cemented to of Stainless: prevent downdraon
masonry. y •Type 304/316 (or 304U316L), 430 and • Initial installation of chimneys,
446 stainless can be used for wood,oil fireplaces and vents shall allow
If a thimble is used to facilitate inspection of the surroundings to
removal of the chimney connector and low efficiency gas appliances.Type determine thatthe required clearances
for cleaning, the thimble shall be 304/316 can also be used as a fireplace have been maintained and that correct
permanently cemented in place with liner. The high efficiency gas furnaces provisions for support, stabilization,
high-temperature cement. require another type ofventingsystem.
future inspection and maintenance
•The effective area of a connector for a tithe manufacturer's installation
instructions
are in place.
single appliance shall not be less than nstructions before connecting a liner
to a gas appliance. Minimum air space clearance
the area of the appliance flue collar, Residential: 1" (25mm)
unless it is part of an engineered Connection To UI Listed Direct Low-Heat: 2" (51mm)
venting system. Connect System: Medium-Heat:4" (102mm)
Sizin •The liner system may be connected
g� with a U.L. listed direct connects stem •All wood beams, joists, studs and
Size the liner according to equipment which is installed in accordance with other combustible material shall have
manufacturer's instructions and/or local
building codes. The chimney liner must the manufacturer's instructions. You follows:a clearance to masonry fireplaces as
besized not less than that specified inthe must use a stainlesssteel pipeconnector
appliance manufacturer's instructions. or stainless steel transition or slip Not less then 2" (51mm) from
connector to make the connection. the front faces and sides.
Local approval: The liner must also be sized (cross Not less then 4" (102mm) from
• Contact local fire or building officials sectional area) the same as the direct the back faces of masonry
about restrictions and installation connect system. fireplaces
inspection in your area. Liner Installation: • Remove a sufficient amount of brick
Cleaning existing chimney: • Inspect the chimney for cracked,loose, and mortar to allow access for the
•The chimney must be clean and free or missing bricks or stones. Check for installation of the tee's snout at the
of debris. missing mortar joints. The chimney base of the chimney where the heating
•All,soot dirt and creosote including tar must be a minimum of 4" thick appliance vent connector attaches to
glaze creosote must be removed prior throughout. No chimney should be the tee of the lining system.
to installation. relined that is not structurally sound. •Separate the tee from it's snout.
• Proper cleaning of the chimney is a Also inspect the air space clearances •Attach the tee to the liner with the
warranty prerequisite. between the exterior of the masonry fasteners provided.
Continued next page
Installation Instructions Continued:
• Drop or pull the liner with the attached •Apply a wide bead of high-temperature to be connected tothe LifetimeSmooth-
tee, without the snout, through the silicone around the top surface of the Wall or Single-Wall Chimney Liner the
chimney until the tee rests in the base clay tile. following methods are acceptable and
of the chimney where the brick and • Place the top plate over the liner and will not void the warranty:
mortar were previously removed. slide down onto the silicone. •Use a second tee with the correct
•Attach the snout and place the . Hold in place firmly to create a good size takeoff.Install the tee onto the
end-cap on the bottom of the tee with seal. Lifetime Smooth-Wall or Single-
the fasteners provided. Wall Chimney Liner then connect
•Screw the four fasteners provided tee to it usin
•Attach the pipe connecting the heating through the 2" collar of the top plate the appliance g tex
appliance to the tee's snout. and into the liner. screws or rivets.
•Seal the area around the tee were the • Do not over-tighten the fasteners. •Install the snouts of both tees as
brick and mortar were removed with a .Apply a bead of high-temperature stated in the instructions above
furnace cement product. •Remove the cut out portion of the
silicone to the inside of the top section
• Using a high-temperature silicone of liner and to the lower section of the liner.
product, seal the joints where the rain cap. •Attach the liner to the appliance
snout of the tee connects to the pipes using tee snout.
from the heatingappliance. •c • Place the rain cap into the top section
a pP of the liner and push down until the Feed the draw band around the
•Connect the heating appliance vent stop bead of the rain cap meets the liner and into the turn buckle and
connector to the Lifetime Lining tee liner. tighten.
system as per local code and appliance •Apply a bead of high-temperature
manufacturer's written instructions. Remove excess silicone. pP Y
•Two pieces of Lifetime Smooth- RTV silicone between the tee and
•Slide the top plate over the liner and Wall Chimney Liner may be joined the liner.
place on the cay the and center. together with the proper connector •Seal the area around the liner and
• Mark the outline of the clay the on the and fasteners from Lifetime Chimney the snout as instructed above
underside of the top plate. Supply. Initial Firing-
• Remove and trim the top plate to the .The joints must be sealed with • Before the initial firing of the appliance,
li size marked. Trim the liner so that 4" high-temperature silicone. check the appliance's operating
of liner extends above the top of the . If additional oil or gas appliances need instructions for initial firing precautions.
clay tile.
j TYPICAL FACTORY-BUILT FIREPLACE TYPICAL WOOD STOVE
RELINING INSTALLATION RELINING INSTALLATION
RAIN CAP
GUARDIAN CAP STORM COLLAR
TOP CLAMP TOP CLAMP
OPTIONAL)
STORM COLLAR
FACTORY-BUILT NOTE:LEAVE TOP PLATE
LINER ADAPTER
3"-8"OF SPACE
BETWEEN THE TOP
OF THE INSULATING
BLANKET WRAP AND
TOP PLATE `\
NOTE:LEAVE AT THE \\
LEAST 6"OF LINER
ABOVE FOIL-FACE
UNINSULATED
INSULATING
TWRAP �\
CHASE SECTIONS OVER
LINER
DOUBLE-WALL
CHIMNEY FACTORY-BUILT �\
i
LCS 6'CHIMNEY LINER
i
APPLIANCE TEE �` THIMBLE
STOVEPIPE
FACTORY-BUILT FIREBOX
UL LISTED FIREPLACE INSERT /
LISTED TO BE PLACED IN EXISTING /
O UL LISTED FACTORY BUILT FIREPLACE
CLEAN OUT TEE
lC5 LINER
FOIL FACE I_-
TEE COVER
FOIL TAPE �y
RETRACTABLE WIRE MESH
l
Insulating The Liner Pipe Instructions: (if Required] I
Heat-Fab 6600 Saf-T Wrap by 3.14 plus 1 inch for overlap. • When the insulating wrap is in
Insulating Blanket Wrap Although it is not necessary, you place around the liner pipe, apply
(Caution:Foil edges of insulating wrap may trim the insulating wrap to a continuous length of foil tape
are very sharp.Handle with care.) this amount if you wish. A wider from the top to the bottom of the
• Make sure that the bottom overlap than 1 inch is allowed but overlapped insulating wrap seam.
connector, either a Tee connector may cause difficulty installing in . Encapsulate the insulated liner
or a Universal connector, has been tight clearance situations. using retractable wire mesh. Unroll
installed. • Place the insulating wrap foil face the correct size wire mesh and pull
• The liner must be insulated from down on a level surface. Lay the it over the entire length of the
the bottom of the connector to liner and its bottom termination insulated liner pipe.At the bottom
the crown. In the case of a Tee connector (previously attached) in of the insulating wrap secure the
connector, the liner must be the center on the insulating wrap. mesh and insulating wrap in place
insulated from where the Tee Line up the bottom connector as with a stainless steel hose clamp.
cap is installed up to the crown. outlined in the second paragraph. At the top of the liner pipe stretch
With a Universal connector, from Remember that at the top the the wire mesh tight and while
where the connector would stop insulating wrap will be even with holding the mesh tight, clamp the
on insertion into the heating the chimney crown. insulating wrap and the wire mesh
appliance up to the crown. After • Start wrapping the insulating in place with a stainless steel hose
determining the distance, roll out wrap around the liner pipe. Hold clamp. Trim away any excess wire
the insulating wrap and cut it to the wrap in place with foil tape mesh. With long liner lengths you
the proper length. at approximately 1 foot intervals may also wrap the entire insulated
• The insulating wrap must overlap making sure to overlap the liner pipe with stainless steel wire
along its length by a minimum of 1 insulating wrap by a minimum of 1 wrapped spirally and twisted on
inch. To ensure that you will have inch.You may use spray adhesive to itself at each end to hold it in
the proper width of insulating assist you in holding the insulating place. The insulated liner pipe is
wrap multiply the liner diameter wrap against the liner pipe. now ready to be installed.
i
Maintenance Instructions:
• Cleaning of chimney, if necessary, • A written maintenance record must firing periods.As a result,creosote
shall be done by methods that do be kept by the homeowner on the residue accumulates on the chimney j
not impair structural or thermal warranty card provided. liner.When ignited,this creosote makes
performance. Creosote and Soot-Formation an extremely hot fire.The chimney
•To maintain this warranty the liner and the Need for Removal liner system should be inspected at
assembly must be cleaned and inspected . When wood is burned slowly, it least once every two months during
by a certified solid fuel technician yearly produces tar and other organic vapors, the heating season to determine if a
before each heating season to ensure which combine with expelled moisture creosote or soot buildup has occurred.
that it is free of debris,creosote and to form creosote.The creosote vapors If creosote or soot has accumulated, it
condensation and that all parts are in may condense on the inside of the should be removed to reduce the risk of
good condition. chimney liner during slow-burning a chimney fire.
�J
- J
CHIMNEY SUPPLY
Lifetime Chimney Supply, LLC
132 Dupont Street, Plainview, New York 11803
www.lifetimechimneysupply.com
aoo�a�
The Lifetime Lining System TM
Warranty
Lifetime Chimney Supply, LLCTM steel chimney liner and components must contact the original installer who
guarantees that it's Lifetime Lining are intended will provide Lifetime Chimney Supply,
SystemTM stainless steel chimney •Annual inspections, maintenance LLC with the information about your
liner and components are free and cleaning must begin one year claim.Should a factory inspection of the
from manufacturer's material and after the date of the installation and defective parts in question be required
workmanship defects, corrosion or continue once every twelve months by Lifetime Chimney Supply, Lifetime
perforation caused by chimney fires. thereafter by a certified chimney Chimney Supply will pay the shipping
Lifetime warranty for wood, wood sweep or a qualified solid fuel cost for the return of the defective parts
pellets, gas and oil installations when professional. in question. If Lifetime Chimney Supply
used to vent residential UL listed .The chimney must have a Lifetime deems the parts to be defective,Lifetime
heating appliances that are: Category Chimney Supply chimney cap. Chimney Supply will replace the parts at
1 residential gas or oil burning heating no costtothe original purchaserand said
and hot water systems including: gas •Corrosive chemical chimney cleaners replacement will be Lifetime Chimney
fireplaces, gas logs, oil stoves, wood must not be used and their use will Supply's exclusive and final remedy under
burning stoves and fireplaces. Lifetime void the warranty. this warranty. Lifetime Chimney Supply
Chimney Supply, LLCTM guarantees the • Driftwood or wood pellets containing shall not be liable for any costs for the
original purchaser for the lifetime of the salt, treated lumber, plastics, The removal or re-installation of the liner or
product as long as said purchaser owns Chimney Sweeping Log or trash must any liability for special consequential or
the home in which the Lifetime Lining not be burned and doing so will void incidental damages in any way related
SystemTM stainless steel chimney liner the warranty. to or arising out of defects in or damage
was originally installed.This warranty is •The maintenance record must be up- to the liner. Lifetime Lining SystemTM
subject to the following conditions: to-date. stainless steel chimney liner has been
• Lifetime Lining 5ystemTM stainless •Never use a metal chimney cleaning tested and approved to UL1777 zero-
steel chimney liner and components brush. We strongly recommend clearance standards*and all component
must be installed by a certified solid the use of a plastic bristle chimney Parts have been tested and listed by UL*.
fuel professional and in accordance cleaning brush as metal brushes can A copy of the test report is available
with these written instructions. damage the liner and will void the upon request by your installer. Lifetime
• Lifetime Lining SystemTM stainless warranty. Chimney Supply makes no warranty,
steel chimneyliner and components express or implied, of merchantability
P In case of a chimney fire the liner must or fitness for a particular purpose or
are intended for use in lining and be inspected and cleaned by a Certified otherwise. This warranty gives you
relining masonry chimneys that Chimney Sweep or a qualified solid specific legal rights.You may have other
vent a tested and approved or listed fuel professional before reuse. If you rights which vary from state-to-state
residential appliances for which should need to make a claim under concernin exclusion or` Lifetime Lining SystemTM stainless the conditions of this warranty, you incidental or consequential s,mitation of
c
t
*Tested and approved by UL—Approval Code 3HXH•All Lifetime Lining System components are UL listed.®Lifetime Chimney Supply,LLC
•------------------------------------------------------------------------------------------------------------------------
Fill out completely, cut out and mail.
Customer Name
Address
City State Zip
Phone Email
hInstaller Name
u
Company
Company Address
l�
I; City State Zip
h
y Phone Email
S Installer Signature Date
Number of chimneys lined Height of each chimney
Type of appliance vented: Type of Insulation Used:
❑Stove: ❑Fireplace: ❑Pellet Stove ❑Thermix
[]Oil ❑Gas ❑Wood []Gas []Wood ❑Insert [:]Gas Log ❑Wrap
❑Heating System: ❑Water Heater: ❑None
❑Oil []Gas []Oil []Gas
Maintenance Record
After each annual inspection, cleaning and maintenance please have the installer fill out and date the appropriate
section of this card.After the first year please keep separate records of inspection, cleaning and maintenance for
each year as required by this warranty
Installer Date of installation
Company Phone Email
Address City State Zip
1st Year Installer 6th Year Installer
Work Done Work Done
Date Signed By Date Signed By
2nd Year Installer 7th Year Installer
Work Done Work Done
Date Signed By Date Signed By
3rd Year Installer 8th Year Installer
Work Done Work Done
Date Signed By Date Signed By
4th Year Installer 9th Year Installer
Work Done Work Done
Date Signed By Date Signed By
5th Year Installer 10th Year Installer
I
Work Done Work Done J
Date Signed By Date Signed By
------------------------------------------------------------------------------------------------------------------------
PLACE
STAMP
HERE
Lifetime Chimney Supply, LLC
I
132 Dupont Street
Plainview, New York 11803 j
I
I
PROPERTY OF
BR I A N O. & BAR B A R A G. B E L CH IN UR
104 IDENT ROAD
SOUTH WINDSOR CONNECTICUT
SCALE 1 " = 40 ' JULY 1985
Being Lot #8 on a man entitled "Sub-Division of Land of
George Goldman". Dated November 24, 1958.
Ln T 7
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9C 200. D!� -9 . .
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,111A) SErr�,4cA-,SO f REDE!' iCX N. R/TC;00-D
A111v s�,1Z-1A ev _2n.
A4441 Akf A -IV, nnp d'
Building located as shown 7-27-85. Mortgage Survey certified to
Lot frontage and area non-conform- Home Owners Federal Savings an
ing, established prior to current Loan Association, Conn. Attor-
zoning. neys ' Title Insurance Co. and
"
` cua F. Bruce & Pamela N . Wentworth
I hereby certify that this map 1� ' ryf0r,
is substantially correct and a~� �•GU~k0C, I hereby certify that the
that the zoning ordinances of _ �� premises shown on the map is
• r
the town of South Windsor r
, « ? � * not located within a flood
Conn. have not been violated. hazard area as shown on Devel .
�- ��.,,��•o. age` H.U.D. Fed. Ins. Admin. Map
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Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# 104— Ident Road
HVAC# I Date:
Sprinkler# 900521 Estimated Cost $ I L0@9
FINAL APPROVALS Permit Fee $ o . O
Building _ COMPLETE RED BOXED AREAS Occupancy Fee $ to, b
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit -Appr.forCO. ON- SIGN ON REVERSE SIDE
Total Fee $ y 0' O0
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ l
The undersigned hereby applies to do work according to the following:
Applicant �'M Location of Work Lot No.
Applicant's Address I d8I4 mCUn K} Tel #&Do•a89- y5T1
Town E ca 40S Zip 00 1 Lic.# 051D31 1 4
Owner Y Architect
Owner's Address Architect's Address
Zip OccbgH Zip
Sq. Ft. New Area: 1 st FI. 2nd Fl. 3lyd FI. 1 Total New Area
Purpose of this permit ul l�- L . 11 1 Yl
I Gl n S-Er--c
City Water O Well ❑ Septic System O Sewer U
Ins: HO SP Cert. Area Basement Garage
Approved by� Date Use Group , �construction Type �—
L/� Revised 1108 14 0?
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 whic this build in nd its use is allowed.
Signed
I hereby apply for a Certificate of Occupa cKfor th work described in this application for the permit.
Signed�
i _
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
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GG52
12000537 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 10/03/12
GIS ID:45300104 FEE: 75.00
MUNIS APPLICATION# 201201265 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: C. DUBE ROOFING AND CONSTRUCTION ADDRESS: 104]DENT ROAD
ADDRESS: 251 OLIVER ROAD OWNER: WENTWORTH PAMELA N
LEBANON,CT 06249 104 IDENT ROAD
= SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: RE-ROOFING.
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
10/3/2012 10:43 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1400479 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 10/29/2014
GIS ID:45300104 FEE: 30.00
MUNIS APPLICATION# 201401528 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: KASDEN FUEL COMPANY,INC. ADDRESS: 104 IDENT ROAD
ADDRESS: 340 TOLLAND STREET OWNER: WENTWORTH PAMELA N
EAST HARTFORD,CT 06108 104 IDENT ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL NEW 275 GALLON FUEL TANK IN BASEMENT.
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
10/29/2014 3:40 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE