HomeMy WebLinkAbout105 EDWIN RD DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Application is hereby:
TOWN OF SOUTH WINDSOR ` y G H-7 L'
BUILDING DEPARTMENT
AP R D 1540 SULLIVAN AVENUE
ti•� -1C�, ti
644-2511 EXT.230 Bldg.Permit#
(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 J O L �� P v r••.tJ <<^�
APPLICANT ADDRESS 3 a ha,n l 2 S7
APPLICANT PHONE# S
OW N S f,q OWNER
OWNER ADDRESS IR ,J
&0 OWNER PHONE ;SGO - 30 --y 2 3 y
C ESTIMATED COST $ --7 0 IS THIS A CONTRACT COST? YES Vl/NO
FEE ENCLOSED$ I Jam. 0 V
TYPE OF JOB:
�SO •COS New Installation
Alteration/Addition Repair
Revised 12/22/11
APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
O RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
O BUSINESS CURRENT USE AND OCCUPANCY
O ASSEMBLY
O MERCANTILE
O EDUCATIONAL FUTURE USE AND OCCUPANCY
O 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
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.
P►YV--, a ;1,16-) 0 as - P % (, I 0 (
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OF APPLICANT ` ✓t� DATE I �'
APPLICATION FOR.ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN'OF SOUM WINDSOR PERNHT#
Appli iq hcrcby: BUILDING DEPARTMENT
1:540 SULLIVAN AV$NUE B1dg:.Permit#
644251 i.ext. 230
Date VWldinz Inspector .
Application`must be printed or typed
FEE SCHEDULE Location,of Job:
$041,060=115.00 LQ s L pow;to Q-0
Over$1,000= Street No. . Street Lot No.
$15,00.per$1,000
or any fraction thereof Tenant Designation Apt:No,
APPLICANT
APPLICANT ADDRESS
r D �
APPLICANT'S PHONE* 3
OWNER
SOW N SF,q .�+nn [,�a.�n6,� l�h�E'tV Sbv.S'
OWNER ADDRESS AoS F_ D W c" e—o
1�9 �►��Sa �� n(o-?q
C F OWNER PHONE 96uw ��D Q3� 311
@.. ESTINIATD{D COST$ ,3 do, ag>
"1 � IS THIS A CONTRACT COST?VA - Yes No
FEE ENCLOSED}$. ` 5-
` TYPp,OF JOB: 4
dSOR•Cps New Installation
Alteration/Addition/Repair
c,2z t 3
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERAUT(Continued from reverse side)
TYPE of BLm DIN _ IS THIS APPLICATION ASSOCIATED WITH A.
BUILDING PERMIT APPLICATION? ❑ YES NO
❑ RESIDENTIAL . CURRENT USE AND OCCUPANCY
BUSINESS
ASSEMBL)' FUTURE USE AND OCCUPANCY p-�.
❑ EDUCATIONAL:
❑ INSTITUTIONAL ENGINEER'S NAME PHONE:
❑ FACTORY
U STORAGE ADDRESS
❑ GARAGE .
O MIXED USE CITY STATE ZIP
.. (ptha Please �y)
TYPE OF INSTALLATION/WIRING METHOD. 6►ecl c f , .
SIZE OF SERVICE 5 tN.{J,: SIZE OF MAIN CONDUCTORS. 4 A
NUMBERS OF METERS NUMBERS.OF DISOONNECTS AND RATINGS
NUMBERS OF PANELS NUMBERS:OF DISCONNECTS REQUIRED? O YES ❑ NO
NUMBERS OF LIGHT CIRCUITS l NUMBER OF POWER CIRCUITS _.
NUMBER OF'SWITC;IIES NUMBER OF OUTLETS
NUIVIDFdt QF LIGHT FIX'I'[JRBS�_ NUIVIDER OF HEAT CIRCUITS
NUMBEROF A/C.CIRCUITS.
SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED.
ON-OF WORK
r r
b 7 l CO�►hb Tc ?Q-0-6
TIC UNDERSIGNED HiEARBYAPPLIES FQR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL-LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR-
MANCE OF SUCH WORK
CONTRACTORS LICENSE NO. TYPE
r)( " STATE
�
SIGNATURE OF APPLICANT sz, C
DATE.
Revised 4 01 2002
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby:
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT ' '°n(�4
APPR VE 1540 SULLIVAN AVENUE Bldg.Permit#
\` 644-2511 ext. 230
Date Building Ins ., r
Application must be printed or typed
FEE SCHEDULE 'on of Job:
In I$0-$1,000=$15.00 FTenant
Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Ap:—N—o.
APPLICANT
APPLICANT ADDRESS Lt� _
APPLICANT PHONE#
O W N S F OWNER
-4 OWNER ADDRESS
Oa F OWNER PHONE
C ESTIMATED COST$ ' p v
a
IS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$
TYPE OF JOB:
S—R•C 0 %,/New Installation I G U l
_Alteration/Addition/Repair 3
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF VSTEM: TYPE OF BUILDING:
&'HEATING t4rk r_S4 ❑VSIDENTIAL
❑A/C � 5VCOMMERCIAL
❑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) °F(HEAT LOSS SHEET MUST ACCOMPANY
APPLICATION)
DESCRIBE ALL HEAT G E TIPMENT(INCLUDING I KE&MODEL NO.)
GROSS HEATING CAPACITY(INPUT-BTUH) V35�ET RATING(OUTPUT-BTUH)
TYPE OF FUEL
❑OIL-GPM OIL TANK LOCATION:❑ INSIDEO QUTSIDE 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.APPLIC TIgAT) y�- L�
FURTHER DESCRIPTION OF WORK !�� J
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 �`
Prop&ne Gas Servir:p
HEA7D�„rUWQG Ak CDOUDQG LDKrE D tane 7Rfl 4ryo9t '
RICHARDI VILCOX
29r HnL RD
1
H7 M/2S/2M ' OV31`2M 2
000,
I designate(name of authorized person) `/clj 6AAJ , ` /
as my autborized agent_
Ibis work is to be performed in (name of town) 1500/h
This work is to be performs at Istreet address) �� �L7(�/n� S7 —
i
Our anticipated start slate is (expecled start date)
am the licensed contractor.
i
My 8cense number is� �`1��U l U (type) � !
i
i
This request is pursuant to Connecticut General Statue,Sec.24-338b.
This is printed in color do
Not accept black & white copy
P.G.S. 12/323
Signature of licensed contractor
420 Jotm FrWhBkvquL, P_0_ 'Box 239,South WWKbM ill Sdi7NJY^VM G.QT'1Kg79 Fax""289-5368
: . IN
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APPLICATION FOR PLUMBING PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
❑RESIDENTIAL
BUILDING PERMIT APPLICATION? ❑ YES ElNO
_
❑BUSINESS CURRENT USE AND OCCUPANCY 14-
❑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 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
Fob Two
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.
Z D 22- CZ
CONTRACTORS LICENSE NO. r TYPE STATE
SIGNATURE OF APPLICANT - y DATE Cam" O
DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT#
Applicati TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
PROVED � 4 ,l 1540 SULLIVAN AVENUE
U 644-2511 ext. 230 Bldg.Permit#
ate Bu ding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
1 a � �'IWiN �i o It I�
$0-$1,000=$15.00 Street No. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT \5 / ,5/-
APPLICANT ADDRESS 'T G O A-/9
SO, & D Salk ,
APPLICANT PHONE# 7["�—�/— (/- 'I?,6
S OWN SF,q OWNER a LJ �( � C- /2 /8 O A1 N
OWNER ADDRESS l Z C� L4-) /J1/ /C 4 A-0
0 r OWNER PHONE `? 5
C ESTIMATED COST$ �7 4 0
.� IS THIS A CONTRACT COST? _Yes _,ZNo
FEE ENCLOSED$ l
TYPE OF JOB:
0R Co _New Installation
-XAlteration/Additio Aepair
Revised 4/01//2002
E�996 ' � 62 ' 098
sa � �iu t�d� anon KIEV
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91. 11Nr1 O'dOtJ NIMOE SOI,
b�lN�� Ol/7
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o�,
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c�
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1S u`o,s57 O.`�{
{ TinageWorks`Sign>aphtc Studi0,11c a '
Irnvoice
Phone 860.569.7446 Fax 860.895.8822
i�T„ •.
212 Brewer Street DATE INVOICE#
East Hartford, CT 061 IS - -
r 3/26/2010 5153
• ..r R
3
BILL TO t +'
PNI cssi aal Auto Cenux r v "µ t•
y
P.O. NO. TERMS PROJECT
Due:on receipt
QUANTITY DESCRIPTION RATE AMOUNT
1 49 x 96 x.0•i0 Orange Aluminum sin with 1•deep bent rnturna- 431.00 431.00T
r. 3M reflective gold with bled spat color.3M 220 strict C Text Sc ass
white with black outline.I x I altunirntm tube lramc �.
I 25 x 48 x-040 double sided Orange Aluminum.sign with.5'dtxp � 36I.00 36 t.60T
brat returns.49'aides co-)-. 1 x I alumintan tube name. Same �a:
rokas as aixnr
to CT Sales Tax s ' 6.00% 47.52
Thank you for your business.
Total S8:9.52
1 �
-_ 1•d 77ou-caartop !'' sUBie MOAAABeWI doc-+.n ni i i Aaw
42Qook
i
APPLICATION FOR PERMANENT SIGN PERMIT
105 Edwin Road
Zoning Approval:� _ Est. Cost: $
Date: o Permit Fee:$
Final In chons: Sign Permit# 10 0 0 3 2 9
Approved: _
Building Electrical Per iii #
Zoning l0- Ls-e
Applicant Business Name PCIO�(sz;on A) ' t jb c�}<< LLC-
Applicant Address ) 0S S I So����►.�.�dszc, �-S d..��v Phone $U 4 -.X00 -g1#43
Address of Proposed Sign(s) 5 �— Zone
TYPE of SIGN: Wall or Free-standing ❑ New or❑ Replacement Illuminated?E6 No ❑ Yes(electrical permit required)
Proposed Free-standing Sign: Size(sq ft) Sign Height Sq Ft of Existing signs on site: Free-standing�Wall�
Proposed Building Sign: Building Frontage(ft) Sign Size(sq ft)_&;4F�c
Description of sign materials and lighting: r� C.cl., ATTACH
L _ 13Yct[ackt �� DIAGRAM OF
SIGN
I have read, u er tand and agree to abide by the South Windsor Zoning Regulations, Signs. INCLUDING
DIMENSIONS
AND MAP
Applic .�-- Date G la SIGN OCATOION
Property Owner Date
- ------------------------------------------------------ �I�o�- --------
1000329 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER SIGN PERMIT
DATE: 07/12/10 M,
GIS ID:29700105 "" "� pM� " FEE: 15.00
MUNIS APPLICATION# 201000836 °` �' "� BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: CHARBONNEAU ERNESTINE M ,�. ,,GADDRESS: 105,EDWIN ROAD
ADDRESS: 10 ABBE RD ' I ..OWNER �,CHARBONNEAU ERNESTINE M
SOUTH WINDSOF CT AO 74 'tA , J _ „. ;';'10ABBERD
4��. SOUTH,WINDSOR,CT 06074
DESCRIPTION OF WORK: WALL AND FREE STANDING SIGN PROF.AUTO CENTER
SPECIAL CONDITIONS:
'f^{"•,1. ti h� �\,�iy t Y S.1 yam°'. l`_.dh ye,
ALL WORK TO BE DONE IN ACCORDANCE-WITH,THE'APPLICATION�AND PLANS'APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: - BUILDING OFFICIAL
7/12/2010 9:41 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1000329 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER SIGN PERMIT
DATE: 07/12/10
GIS ID:29700105 FEE: 15.00
MUNIS APPLICATION# 201000836 BUILDING DESCRIPTION:
APPLICANT "
LOCATION
NAME: CHARBONNEAU ERNESTINE'M ADDRESS: 103.EDWIN ROAD
ADDRESS: 10 ABBE RD OWNER-* CHARBONNEAU ERNESTINE M
SOUTH WINDSOR,d 06074 1.) 1 b'AbBERD
,'SOUTHVINDSOR,CT 06074
f
DESCRIPTION OF WORK: WALL AND FREESTANDING SIGN PROF.AUTO CENTER
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE-WITHTdE"APPLICATIONi'AND P"LA'NS,APPROVED BY THE BUILDING DEPARTMENT.
kf
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
7/12/2010 9:42 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1200066 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 02/15/12
GIS ID:29700105 FEE: 15.00
MUNIS APPLICATION# 201200133 BUILDING DESCRIPTION:
APPLICANT " -. LOCATION
NAME: INERGY PROPANE LLC kZ ,: ADDRESS: 105 EDWIN ROAD
ADDRESS: 420 JOHN FITCH BOULEVARD—, OWNER: CHARBONNEAU ERNESTINE M
P O BOX 239 a'� '`-`10 ABBE RD
SOUTH WINDSOR,CT,06074,` SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: SET.420 DOT-LP TANK PER CODE. z
BAY,9. :,J
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE: s
OCCUPANCY GROUP: BUILDING OFFICIAL
2/15/2012 2:17 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1500216 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 06/30/2015
GIS ID:29700105 FEE: 75.00
MUNIS APPLICATION# 201500813 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: TEEHAN ELECTRICAL SERVICES ADDRESS: 105 EDWIN ROAD
ADDRESS: 64 FIELD ROAD OWNER: CHARBONNEAU ANDRE L
UNIT ID 10 ABBE RD
SOMERS,CT 06071 SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL NEW 2 1/2 IN.EMT CONDUIT AND 4/0 AL FROM EXISTING
METER SOCKET AND DISCONNECT TO EXISTING PANEL FOR FUTURE
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITII THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
6/30/2015 3:33 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1600474 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 11/09/2016
GIS ID:29700105 FEE: 15.00
MUNIS APPLICATION# 201601609 BUILDING DESCRIPTION:
APPLICANT W LOCATION
NAME: JTP PLUMBING INC.. ADDRESS: 105 EDWIN ROAD
ADDRESS: 45 GORDON DRIVE'-', OWNER: CHARBONNEAU ANDRE L
SOUTH WINDSOR,CT06074 10 ABBE RD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: TEST EXISTING GAS PIPE.
.S e
w
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
11/9/2016 3:48 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE