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Home My WebLink About105 VALLEY VIEW DR DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT Application TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT Z z (0 Sp PROVED 1540 SULLIVAN AVENUE Bldg.Permit# /� 644-2511 ext. 230 ,V Day 1� 1 ing I spec 1 Application must be printed or typed FEE SCHEDULE Location of Job: SOS VgjttN V1 ew Z)eL✓e $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT M I C L--Gc e ( APPLICANT ADDRESS 1 O S Va Uzz Y( e w Z)r APPLICANT PHONE# QW 6 y X-/-(V-' �O W N 8 F,q OWNER "1 c kt a e- i ljr &-,tick OWNER ADDRESS !o Vat lit y V1-e.. 1b✓', Oa OWNER PHONE 6(0 0) ata �! C ESTIMATED COST$ 7>10 O �Y IS THIS A CONTRACT COST? ✓Yes _No 0 FEE ENCLOSED$ _ ti s O�� TYPE OF JOB: �R C New Installation Alteration/Addition/Repair Revised4/01// 00? APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: HEATING Z RESIDENTIAL 0 A/C ❑ COMMERCIAL 0 VENTILATION ❑ INDUSTRIAL HEATING ❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. 21 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.) ftJ2 43o,(,w w k�� -ke* Oil $ur v GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) TYPE OF FUEL atOIL—GPM OIL TANK LOCATION :tA 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 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 _ /f9 DATE y D 4G . PIW o0 N FOR BUILDING PURPOSES ONLY r¢ S . gar � � d V ;.A,3 V 1 ` f C PRO,P.ERTY OF NO. VALLEY VIEW DRIVE SOUTH WINDSOR, CONY. Being Lot No . 45 on map entitled "Map of VALLEY VIEW FARMS Ellington Road South Windsor, Conn . Property of Emma Palmer & Kenneth Palmer Scale 1 " 3 801 Nov . is 1460 Hayden L. Griswold C. h." Scale 1 " a 501 ✓'c .c HAYDEN L. GRISWOLD C .E . DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPROVE 1540 SULLIVAN AVENUE Bldg.Permit# & 644-2511 ext. 230 Date Building nsp �F Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 F:Tenant Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT i APPLICANT ADDRESS oZ 7 t G r 14 e r•- Dr, APPLICANT PHONE# $ 7 Q -2 -3 O W N S F,Q OWNER -�r�v, .s-...j /v r-s P r' OWNER ADDRESS D S \,�ex-�N t ti y i I-M t_'N U b OWNER PHONE G 7 C/ C ESTIMATED COST$ 0 n . 0 0 r .�� IS THIS A CONTRACT COST? ](Yes _No FEE ENCLOSED$ / S--D O 1��5 O�� TYPE OF JOB: R•CV New Installation _Alteration/Addition/Repair APPLICATION FOR ELECTRICAL PERMIT (continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑YES 0 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 ^ 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. Q /0 s9� �' ./ 0-0 ,2,l. CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE -?k 7 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR , RMIT# Application is hereby: W BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 -o 6-ate---T Building Inspecto Application must be printed or typed FEE SCHEDULE Location of Job: zo ! C� t�v � e- � $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 _ or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS r-n ,- r V�rY�-flh �� rfn . APPLICANT PHONE# g Z o� - 3(e cc OW N Se OWNERr- OWNER ADDRESS f D.$- \1 C, V S . u-� z v,A S a r-- n OWNER PHONE L t-I $ d t2 `T 9 C = ESTIMATED COST$_/P O O . 60 e i * IS THIS A CONTRACT COST? Yes _No 0 �� FEE ENCLOSED$ 3.f, 6 D sO. •C O�� TYPE OF JOB: 10 t/� R New Installation W'l _Alteration/Addition/Repair I lj U ` 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 O O SIZE OF MAIN CONDUCTORS !? NUMBER OF METERS I NUMBER OF DISCONNECTS AND RATINGS 0Z0 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 Do o 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 %3 � Electric # APPLICATION FOR BUIL I G PERMIT Plumbing# 105 Valley View Drive Date: 6-7 HVAC # Sprinkler# FINAL APPROVALS --- — _ 7 3-0 8_B_ -- Estimated Cost $ Building COMPLETE RED BOXED AREAS Permit Fee $ Engineering TYPE OR PRINT ONLY ! Occupancy Fee $ f n Affidavit Eng. Insp. Fee $ A r. for CO. SIGN ON REVERSE SIDE PP - - - - - - - -- 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 C lim LV P Location of Work V UI e-Q 04- Lot No. ApplicanIV-rh ' Address D 1 Tel.# , Towniffz6& Zip 0 l O Lic.# //4�64 Owner 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 AIVET�LlAif�Qo(- City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO Cert.—� ea Basement Garage Approved by Date ([ Use Gro Construction Ty Revised 6102 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 distarlceirom all st t lines,side yard lines,and required distances from all other zones and is located in which t building d Tuallowed Signed `J / I hereby apply for a Certificate of Occupancy for the work de ribed in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS . Town Of South Windsor Building Department Location �J ^ / Q. Building Permit# mffi:� S G POOL REQUIREMENTS: This list is not all inclusive;please refer to pool packet. ❑A 48"barrier will be provided to protect the pool access. Including a temporary fence for inground pools prior to filling.. ❑Access gates will be self closing and self latching(if less than 54"high they shall be on the pool side and be protected within 18"of release mechanism). ❑Doors providing direct access to the pool shall either have an alarm,a self closing self latching device 54"above the floor,or a safety cover over the pool. o No receptacles within 10'of pool.(locking type receptacle for pool equipment must be at least 5'from pool and GFCI protected). o All metal parts of pool structure,fixed metal parts within*5'of pool,pump motors etc., shall be bonded with a minimum#8 solid copper wire. o Convenience GFCI receptacle shall be provided between 10'and 20'from pool. ❑Trench depth for 20 amp.circuit to pool equipment shall be 12"minimum. ❑A surface pool alarm shall be installed pursuant to Public Act 99-140. .o All swimming pool pumps must be equipped with a time clock. o Heated pools require a pool cover unless over 20%of the heating energy is from non-depletable sources. REQUIRED SWIMMING POOL INSPECTIONS: The following is a list of inspections that need to be performed prior to the continuation of work. Requests for inspections can be made by calling the Building Department at 644-2511 ext.230. 1. TRENCH AND BONDING-Electrical trench depth verification and bonding of pool and metal appurtenances including metal reinforcing for gunite pools. 2. FINAL ELECTRICAL-Location of equipment and GFCI protection. Convenience outlet provided. 3. FINAL-Swimming pool access protection must be provided before pool can be used. Each swimming pool installation requires a Building and an Electrical permit. Additional permits and inspections are required for pool decks. I have read and understand the requirements listed above. Applicant Signature AA Date Homeowner Signatur Date d a BUILDING PERMIT rrl STATE OF CONNECTICUT WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat. §31-286b) Property located at 11A el In the town of Lrrg 64w d ti Name of building permit applicant: Please chec one: I am the owner of the above property. 2._I am the sole proprietor of a business. 2A.Name of business 2B.Federal Employer Identification Number(FEIN) ....... ..................."....p............................p............................... ..........g............. Pursuant.. to§31-286b, a roperty owner or sole roprietor[who]intends to..act as a eneral contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please check one: I do not intend to act as general contractor or principal employer. [Sign a stop here] ign f applican 2._I intend to act as a general contractor or principal employer.Applicant must either provide a certificate of workers'compensation insurance or sign the affidavit below. .................................................................................................................... Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor,or other worker before he/she engages in work on the above property in accordance with the Workers'Compensation Act(Chapter 568). I understand that pursuant to§31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to accept coverage. Signature of applicant Subscribed and sworn to before me this day of ,200 . (Notary Public/Commissioner of the Superior Court) FOR BUILDING PURPOSES ONLY ;A 4 Al - !;7- 0 4(- or CY V4 A 171� PROPERTY OF U <; NO. VALLEY VIEW DRIVE SOUTH WINDSORO CONN. Being Lot No. 45 on map entitled "Map of VALLEY VIEW FARMS Ellington Road South Windsor, Conn. Property of Efnma ,Palmer"&' Kenneth Palmer • Scale 1 " = 801 Nov. Is 1960 Hayden L. Griswold C.N." Scale I " — 50t 7-. Z HAYDEN L. GRISWOLD C.E . �I JUN 0 6 1'00 South Windsor BUILDING DEPARTMENT t 0145 ,A.,n find spesu`ieat in r,s are t,-t- 1. A 01a preposari pu:iJing or allaratlons to be t VGA I �U S VGA� Gtrea r w`.th a nd ,nts stated In applloatlon ano o!"r. and I agree to comply with all zoning, .,,k end state Inws And !wCh e-ders as shall be ty the Building Departme during pendanq a pitlicat n and Thal is a a bulldins lea i app ov.•d aublec o the condltlon that ,.r in noes regula ng bullding shall bs with. ��A � .. soionuity Approved O .,.;-•:nor•-YtGt arll ,� -�•� F`�•(� HID.. cl CERTIFICATION OF ZONING COMPLIANCE Proposed building(-:), ilse(s) ; ctructure(s) aS c,.,, on t_h. _ ,�. n app„_:;+.,.) to ho in c: qsa currer, ., i • nor re. Vadances and � , ,;:.,i excep k ns rnL Date 4LE Anf 6� meet Officer Q&,,4 'rjl,.k