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HomeMy WebLinkAbout107 TROY RD APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Applisetion-is,hereby: BUILDING DEPART1vIENT 176o a., PROVED 1:540 SULLIVAN AVENUE Bldg:Permit# --- 644-2511.ext. 230 Date *ilding Inspector t�,o a Application must be printed or typed FEE SCHEDULE / Location o Job: $0_$I,000=$15.00 �J J Over$1,000= Street No. Street Lot No. $15.00,per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT U . hks APPLICANT ADDRESS © "vU � C� C�6 0 APPLICANT'S ONE# D (� N OWNER VI �,�5 W S�'4� OWNER ADDRESS O'7 `o v c O OWNER PHONE 6 O 0 C ESTIMATED COST$ L� u IS THIS A CONTRACT COST? Yes No o o ` FEE ENCLOSED•$_ s TYPE OF JOB: �-��I(Q — !�1 b 1? 5 dSOR•C�� New Installation l Alteration/Addition/Repair . � ��Dlioaisl3 Revised 03/05/10 1 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATE D�TH A BUILDING PERMIT APPLICATION? Cd YES ❑.NO ❑'RESIDENTIAL CST USE AND OCCUPANCY LAJJ �C ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY C iI-Oo on ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE Cl MIXED USE CITY STATE ZIP ------------- (Other please specify) TYPE OF INSTALLATION/WIRING METHOD. SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS OF LIGHT CIRCUITS _ NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES. I7 NUMBER OF OUTLETS . NUMBER.OF LIGHT FIXTURES I 2- NUMBER OF HEAT CIRCUITS NUMBER`OF A/C CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMITTED. DESCRIPTION OF WORK 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 PERFOR- E OF SUCH WORK ✓t �'✓ ONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE �D L_ Z o fs �V\ Co 1 Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# 10 Date: O I Z L0 Sprinkler# C(Q e7�L9 Estimated Cost $ 90v FINAL APPROVALS t s Building �� �� COMPLETE RED BOXED AREAS Permit Fee $ /o Occupancy Fee $ Engineerin TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. ► SIGN ON REVERSE SIDE Total Fee $ 9S-,00 TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 11IS The undersigned hereby applies to do work according to the following: Applicant 1 ),ecdln (__0111,15 _ Location of Work Lot No. Applicant's Address I Tv�Dv �O� Tel # ��D y90-�y Town so �— Zip06_67�tLic.# _ Owner Architect Owner's Address lam//I l7 fe /p�Arrchitect's Address • t'1�� j!-V- C Zip 1�7y Zip Sq.Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit ' ►' �M City Water J Well Septic System J Sewer Z' ' Ins: HO SP Cert. Area Base t Garage Approved by Date '� Use Group Construction Type, Rewsed 1108 r 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. 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 INSPECTION FIELD SHEET 01/05/17 Printed by Foreshaw, Dayshell 16 13 19 INSPECTION: 90212 FOOTING PERMIT: STATUS APPLICATION: 201601513 LOC: 107 TROY ROAD SOUTH WINDSOR PROPERTY ID: 90000107 OWNER: COLLINS DEAN CONTRACTOR: REQUEST BY: PROJ DESC: FINISHING TWO ROOMS IN BASEMENT FOR REC ROOM AND MUSIC ROOM. WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 01/03/17 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS ALL INSPECTIONS INSPECTED INSPECTOR RESULT INSP DESCRIPTION 10/25/16 DOUG PASS B003 FRAMING (ROUGH) DEAN @ 860-490-8471 10/25/16 DOUG PASS E003 ELECTRIC ROUGH 01/03/17 ROSE N/A P001 WATER HEATER REPLACEMENT 01/03/17 ROSE N/A P002 PLUMBING UNDERGROUND 01/03/17 ROSE N/A P003 PLUMBING ROUGH 01/03/17 ROSE N/A P004 PLUMBING GAS TEST 01/03/17 ROSE N/A B004 INSULATION 01/03/17 ROSE N/A B005 FIREPLACE / CHIMNEY 01/03/17 ROSE N/A B006 WOOD / GAS STOVE 01/03/17 ROSE N/A E001 ELECTRIC SERVICE 01/03/17 ROSE N/A E002 ELECTRIC UNDERGROUND 01/03/17 ROSE N/A B002,—,FOUNDATION roIj05/17"—DOUG"; " PASS'; .•BO.la—FMlAL `"''"'-OK'"FOR•`STORAGE/RECREATNL•USE;"NO 'HEATSOURCE Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC# 67 yb Date: Sprinkler# QQ Estimated Cost $ 2 Z C UJ FINAL APPROVALS Building COMPLETE RED BOXED AREAS Permit Fee $ 0 1 Engineering Occupancy Fee $ 0 TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDE 4 Appr.forC G `� Total Fee $ 310 TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ 9-4-_ The undersigned hereby applies to do work according to the following: Applicant I 11cationofWork r LotNo. Applicant's Address �5��— 11�::�s• �e L Tel # (00 ?q 3 ago 7 Town M iddl(Lli h jn zip 4AAt-� Lic.# 04039 F73 Owner_P�nr r i 7 Ej C Architect Owner's Address pV QOx 27S Architect's Address _ M..,fa", zip l (91y Zip- Sq.Ft.New Area: 1 st FI. 2nd FI. 3rd Fl. Total New Area—_ Purpose of this permit Reno-10 e1(' hn c.bi!n i n d v i.w + ♦ t t` Aa e / �vi PO City Water J vlell J Septic System Sewer ] d�f 4ovcr Ins: HO S Cert. Area Basement Garage Approved by IDate 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 t�ilding 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 OT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET 07/19/16 Printed by Peart, Dayshell 08 56:44 JOHN @ 860-748-2807idpnl,arcfault,bsmtstrwy,hndrls,outletk,l 07/14/16 DOUG FAIL BO10 FINAL JOHN @•860-748-2807.FLASHNG,.INCOMPLETE- .--,y '07/18/16 DOUG PASS BO10° FINAL, . Electric # APPLICATION FOR BUILDING PERMIT Plumbing# f �y HVAC# 16q I�, Date: i Sprinkler# Estimated Cost $ 51100 FINAL APPROVALS Permit Fee $ Building COMPLETE RED BOXED AREAS Occupancy Fee $ Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. 4 ► SIGN ON REVERSE SIDE -4 Total Fee $ 40 TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $A"��� The undersigned hereby applies to do work according to the following: Applicant lu�lt�st.11 Hn �ocationofWork 107 T rL_y _1_ __ _LotNo. _ _ 11� Applicant's Address IS'S, M0nc;rccI De _ Tel # ?60_1Je_ 1�v�_ Town 41jddlz•tG�►vn zip C / Lic.# Oc3cj �_7.3 _- Owner .r o� _- I f` Architect Owner's Address Architect's Address MPJI J p01 -, T zip 0?wq Zip Sq. Ft. New Area: 1 st FI. n� 2nd FI. 3rd FI. Total New Area Purpose of this permit _9;� Rc -rrcef All CW,, r i I 6>I F , R )n 5 .,l�t +- c up ?/f ,!`. Cl rc h;s c c h�lip City Water J Well Av"' Septic System J Sewer c Ins: HO Area Basement Garage Approved by �- Date 1- .. 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 w ch thisbwlding 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 INSPECTION FIELD SHEET 07/28/16 1 A-inted by Peart, Dayshell 09 20 41 INSPECTION: 82528 rFINAL PERMIT: STATUS APPLICATION: 201600049 LOC: 107 TROY ROAD SOUTH WINDSOR PROPERTY ID: 90000107 OWNER: SULLIVAN DIANE E CONTRACTOR: REQUEST BY: PROJ DESC: STRIP AND REROOF--6FT. ICE AND WATER SHIELD UP ALL EAVES AND WORK ORDER: INSPECTOR: DOUG —j RESULT: PASS' T REQUESTED: 04/26/16 PRIORITY: f";:..�='::,, SCHEDULED: 05/02/16 AM COMPLETED: 05/03/10 UNPAID FEES 00 Date" Time MIL`.?,XGE: 00 TIME: TRAVEL ONSITE COMMENTS APPLICATION FOR.ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT (6 OQ9 APP O 1540 SULLIVAN AVENUE. Bldg;Permit# 644-2511.ext. 230-� 1b `' i(m0D63� Date Building Inspector AppIication'must be printed or typed FEE SCHEDULE Location of Job: $041,000=$15.00 Over$1,000= Street No. Street Lot No. $15.00 per$1,000 j�Q or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT'S PHONE# 2.5—'1 3" OWNER At N SFq< OWNER ADDRESS O OWNER PHONE C. ESTIMATED COST$ 1 — 6-0 D O •a U IS THIS A CONTRACT COST? Yes No FEE ENCLOSED}$ o ` TYPE OF JOB: �SOR•COS New Installation Alteration/Addition/Repair J0 �epo U Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE of BLrryDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION?�jp Y ❑ NO SIDENTIAL CURRENT USE AND OCCUPANCY l-(� ❑ BUSINESS ❑. ASSEMBLY FUTURE USE AND OCCUPANCY lo — ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY O STORAGE ADDRESS ❑ GARAGE . ❑ MTKED USE CITY STATE ZIP (Other please`specify) TYPE OF INSTALLATION/WIRING METHOD. SIZE OF SERVICE SIZE OF MAIN CONDUCTORS .: NUMBERS OF-METERS NUMBERS.OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS OF LIGHT CIRCUITS Z NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES.- NUMBER OF OUTLETS (� . NUMBER OF`LIGHT FIXTURES Y NUMBER OYHEAT CIRCUITS NUMBER'OF A IC CIRCUITS SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST BE SUBMTMD. DESCRIPTION OF WORK +Z, y t� C +-• �j ¢ �. �z I 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 PERFOR- MANCE OF SUCH WORK 12- - 4 13 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT G DATE DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT c)(4-I APPFVVIM 1540 SULLIVAN AVENUE 644-2511 EXT.230 ' Bldg.Permit# (Date) (Building Inspector Application must be printed or typed FEE SCHEDULE ` O , -T)�a of� $041,000=$15.00 Street No. Street �l Lot No. Over$1,000- $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT Q C-6 APPLICANT ADDRESS S w Cam\ APPLICANT PHONE# OW N S£ OWNER OWNER ADDRESS C� ,c can to 5T 0 . _ - OWNER PHONE i S L o 2 V 1 C ESTIMATED COST $ O cl� C5 "I * IS THIS A CONTRACT COST? YES NO r FEE ENCLOSED$ TYPE OF JOB: 1�7 Z2 1 Ce7 �bS R•COS _New Installation I-Alteration/Addition Repair rZol(ao oo c<� 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? ❑ YES NO BUSINESS O ASSEMBLY CURRENT USE AND OCCUPANCY 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 2 pu—A SIZE OF MAIN DRAIN y NO. OF TOILETS -Z STYLE , . NO. URINALS STYLE NO. OF BATHTUBS ` NO. OF SHOWERS I NO. OF LAVATORIES 2- 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 DYES O NO SIZE OF WINDOW 2) 2 IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEW)E OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER 30-1 WATER HEATER: TYPE _n', 1 MANUFACTURER DESCRIPTION OF WORK — K 5 vn0 ULJ ".)tA u r 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. 2U '3S°t$ q - I Q7�1- CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE_�//\ 6 APPLICATION FOR.ELECTRICAL-PERMIT DEPARTMENT DECISION TOWN OF SOUTH VaNDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT AP O 1540 SULLIVAN AVENUE 1 _iA-16 644-2511.ext. 230 Bldg:Permit# Date Building Insp c Application must be printed or typed FEE SCHEDULE Location of Job: $o-$1,000=.$15.00 l o--? Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt:No. APPLICANT APPLICANT ADDRESS '716 (CDR 1_L0 0. SU ntt-pybro I, GT 0��Cl APPLICANT'S PHONE# OWNER OW N S F,q L(.0 OWNER ADDRESS c `� M A I GT �) ,44q C OWNER PHONE Q. ESTIMATED COST$ -� , 0 +� U IS THIS A CONTRACT COST? Yes No FEE ENCLOSED•$ �r a TYPE OF JOB: G OR-Co New Installation Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF B 1ii:DIN IS THIS APPLICATION ASSOCIATED �A. ❑ S BUILDING PERMIT APPLICATION? YES NO >(RESIDENTIAL CURRENT USE AND OCCUPANCY �� ❑ BUSINESS ❑. ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE. ❑ FACTORY O STORAGE ADDRESS ❑ GARAGE . ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION!WIRING.METHOD, SIZE OF SERVICE 1 SIZE OF MAIN CONDUCTORSf'� NUMBERS OF METERS NUMBERS.OF DISCONNECTS AND RATINGS NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO NUMBERS OF LIGHT CIRCUITS NUMBER OF POWER CIRCUIT'S NUMBER OF SWITCHES. NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES NUMBER OF BEAT CIRCUITS NUMBER`OF A/C CIRCUITF> SEPARATE HEAT LOSS AND A/C CALCULATIONS MUST-BE SUBMITTED. DESCRIPTION OF WORK uTC-r-, To f' .-b*v 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 PERFOR- MANCE OF SUCH WORK o in �%q CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT OVER 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg. Permit# ate Buil g Inspector / Application must be printed or typed FEE SCHEDULE FTenant � ��G Loca�on of Job: $0-$1,000=$15.00 Street Lot No. Over$1,000$15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT APPLICANT ADDRESS / Z)`� �t f l//v2gA,- Ale- APPLICANT PHONE# O W N S F,q OWNERGt !�'�sZ� �r t/l✓ OWNER ADDRESS AI l d `-f ey r U _ OWNER PHONE C ;D ESTIMATED COST$ 9,1 x �r IS THIS A CONTRACT COST? _Yes _No FEE ENCLOSED$ SO• o TYPE OF JOB: / /_ R•C _New Installation ' Q�'Jd 10 I ✓'Alteration/Addition/Repair Revised 4/01H2002 APPLICATION FOR HVAC PERM T (Continued from reverse side) TYPE OF STEM: TYPE OF DING: HEATING arRESIDENTLAL A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ S-UAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. *6YDRONIC ❑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 HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) oL0 TYPE OF t;UEL Id OIL--GPM 4-2100H.TANK LOCATION : INSIDEO OUTSIDE CAPACITY ,91 7r ❑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 N . / TYPE QSTATE SIGNATURE OF APPLICANT ` DATE U v APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 16C)o o3(,, APP Ov 1540 SULLIVAN AVENUE �. 644-2511 ext. 230 Bldg.Permit# 03`'l Date Building Intpect (oU U Application must be printed or typed FEE SCHEDULE Location of Job: $041,000=$15.00 O -T R Gy Over$1,000= I Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT — rc c APPLICANT ADDRESS W n by`1A APPLICANT'S PHONE# ___ ) 2G \- G � 1 S OWNER � �0.��Qt �G� ec sc, lot OW N S Fq< OWNER ADDRESS C C I OWNER PHONE (g(, G 1 O ESTIMATED COST$ U IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ TYPE OF JOB: 2 215 �SO R.CO� New Installation ,/'Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE T SYSTEM: TYPE OF BUILDING: HEATING X 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) h) 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 33 k`Q-f 0- 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 O,, ,n, A \� � DATE Y� 201600166 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 07/19/2016 GIS ID: 90000107 FEE: 10.00 MUNIS APPLICATION# 201600050 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: TATTERSALL HOME TRANSFORMATIONS ADDRESS: 107 TROY ROAD ADDRESS: 155 MONARCA DRIVE OWNER: SULLIVAN DIANE E MIDDLETOWN,CT 06457 107 TROY ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REMODEL EXISTING KITCHEN AND BATH.'NEW WINDOWS AND FULL BATHROOM UPSTAIRS. OPEN AND FINISH 2 WALLS SEPARARELY--THE KITCHEN FROM DINING ROOM AND LIVING ROOM. 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 7/19/2016 8:57 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 201700002 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 01/05/2017 GIS ID:90000107 FEE: 10.00 MUNIS APPLICATION# 201601513 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: COLLINS DEAN ADDRESS: 107 TROY ROAD ADDRESS: 107 TROY ROAD OWNER: COLLINS DEAN SOUTH WINDSOR,CT 06074 107 TROY ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: FINISHING TWO ROOMS IN BASEMENT FOR REC ROOM AND MUSIC ROOM. NO BEDROOM 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 1/5/2017 4:14 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600034 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 01/26/2016 GIS ID:90000107 FEE: 330.00 MUNIS APPLICATION# 201600050 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: TATTERSALL HOME TRANSFORMATIONS ADDRESS: 107 TROY ROAD ADDRESS: 155 MONARCA DRIVE OWNER: SULLIVAN DIANE E MIDDLETOWN,CT,06457 107 TROY ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: REMODEL EXISTING KITCHEN AND BATH. NEW WINDOWS AND FULL BATHROOM UPSTAIRS. OPEN AND FINISH 2 WALLS SEPARARELY--THE KITCHEN FROM DINING ROOM AND LIVING ROOM. 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 1/26/2016 3:49 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600033 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 01/26/2016 GIS ID: 90000107 FEE: 90.00 MUNIS APPLICATION# 201600049 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: TATTERSALL HOME TRANSFORMATIONS ADDRESS: 107 TROY ROAD ADDRESS: 155 MONARCA DRIVE OWNER: SULLIVAN DIANE E MIDDLETOWN,CT.06457 107 TROY ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: STRIP AND REROOF--6FT.ICE AND WATER SHIELD UP ALL EAVES AND SIDES,RIDGE VENT,CAP AND 30 YR.ARCH. SHINGLES. 12 SQUARES 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 1/26/2016 3:48 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600729 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 10/24/2016 GIS ID: 90000107 FEE: 15.00 MUNIS APPLICATION# 201601513 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: COLLINS DEAN ADDRESS: 107 TROY ROAD ADDRESS: 107 TROY ROAD OWNER: COLLINS DEAN SOUTH WINDSOR,CT 06074 107 TROY ROAD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: FINISHING TWO ROOMS IN BASEMENT FOR REC ROOM AND MUSIC ROOM. NO BEDROOM 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 10/24/2016 11:1 1 AM TI IE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCIIARGE 1600036 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 02/02/2016 GIS ID: 90000107 FEE: 60.00 MUNIS APPLICATION# 201600050 BUILDING DESCRIPTION: APPLICANT ,, LOCATION NAME: IMPERIAL PLUMBING CO.;INC. ADDRESS: 107 TROY ROAD ADDRESS: 648 SULLIVAN AVENUE OWNER: SULLIVAN DIANE E P.O.BOX 875 , - 107 TROY ROAD SOUTH WINDSOR"CT 06074 SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: BOILER REPLACEMENT. I. 3 N 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 2nn01611:43 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600076 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 03/02/2016 GIS ID:90000107 FEE: 30.00 MUNIS APPLICATION# 201600050 BUILDING DESCRIPTION: APPLICANT , LOCATION NAME: CASNER ELECTRIC, ADDRESS: 107 TROY ROAD ADDRESS: 270 COPPERRIDGE ROAD,," OWNER: SULLIVAN DIANE E SOUTHINGTON,CT 06489 107 TROY ROAD SOUTH WINDSOR,CT 06074 P 1 a.µ l DESCRIPTION OF WORK: WIRE 2 NEW BATHROOMS,INSTALL RECESSED LIGHTS AND OUTLETS. 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 3/2/2016 3:28 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600006 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 01/15/2016 GIS ID: 90000107 FEE: 30.00 MUNIS APPLICATION# 201600036 BUILDING DESCRIPTION: ,r APPLICANT°# :r ; LOCATION NAME: KENEFICK ELECTRIC LLC: ADDRESS: I07,TROY ROAD ADDRESS: 76 PORRIELLO DRIV&.,r, ,, f,,, OWNER: SULLIVAN DIANE E SOUTHINGTON,CT,06489! 107.TROY ROAD G , s SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: EXISTING 100A SERVICE TO BE REMOVED.-NEW 100A SERVICE TO BE INSTALLED; SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITII THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: s OCCUPANCY GROUP: BUILDING OFFICIAL 1/15/2016 9:23 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600047 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 02/19/2016 GIS ID: 90000107 FEE: 90.00 MUNIS APPLICATION# 201600050 BUILDING DESCRIPTION: APPLICANT ' 1" LOCATION NAME: IMPERIAL PLUMBING CO.,INC. ADDRESS: 107 TROY ROAD ADDRESS: 648 SULLIVAN AVENUE OWNER: SULLIVAN DIANE E P.O. BOX 875 107 TROY ROAD SOUTH WINDSOR,CT 06074 SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: RENOVATE AND RE-PIPE 2 BATHROOMS AND KITCHEN USING OWNER SUPPLIED FIXTURES. 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 2/19/2016 2:16 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE