HomeMy WebLinkAbout109 MOUNTAIN DR Electric # APPLICATION FOR BUILDING PERMIT
Plumbing#
HVAC# 109 Mountain Drive Date: ID,
Sprinkler# 1000483 Estimated Cost $
FINAL APPROVALS Permit Fee $
Building COMPLETE RED BOXED AREAS Occupancy Fee $ �
Engineering __— TYPE OF PRINT ONLY Eng. Insp. Fee $
Affidavit _ ► SIGN ON REVERSE SIDE
Appr.for CO. Total Fee $
TO THE BUILD0IN DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant MeLMT,, eS Location of Work 10rl Mr5OA4-.,. r Lot No.
Applicant's Address 10-5 10 c Tei # '73'1— 3?3— 3J-`�2
Town k/k^jsore Zip C+ Lic.# C60741
Owner Mac Lc.✓ pe-4141,S Architect
Owner's Address Ja i ftVK.,)n n r Architect's Address
J-t�. '✓• r JSel C Zip C*02�Z Zip
Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit e 1 m.SS#n!n _ �� elaLcsL S 4" I,
City Water 0 Well ] Septic System ❑ Sewer❑
Ins: HO S Area Basement Garage ov0;t5c
Approved by V—Dife -Z`6-b Use Group Construction Type
Revised 1108
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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 inwhich this buildin and its use is allowed.
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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 03/13/12
Printed by Peart, Dayshell 12 01 50
INSPECTION: 35333 FINAL PERMIT:
STATUS:
APPLICATION: 201001318
LOCATION: 109 MOUNTAIN DRIVE
SOUTH WINDSOR
PROPERTY ID: 60900109
OWNER: NETTLES MATTHEW W
CONTRACTOR:
REQUEST BY:
DESCRIPTION: REPLACE SHINGLES ON ROOF.
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 02/14/12 PRIORITY:
SCHEDULED: 02/14/12 AM COMPLETED: 02/14/12
UNPAID FEES: 00 Date Time
TIME: TRAVEL ONSITE
COMMENTS:
1
1
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y-fit _ {! '-.•,.,• ,x �, = ��d„�.••! ,Sx;?t,; �"'fix- :;(, x; -.•at�,,� - -a•- �� ...r. -, �k,.
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,J UN 14 1994
South Windsor
BUILDING DEPARTMENT
TO THE C-119INQ- -'Fri. TOWN OF SOLN WiNUSOR
This certified that this pion and specifications are true
copies of the proposed building or alterations to be
erected at �11.tld
/jvStreet
togeher with a endmen �apl..allcin an.
filed with plan and I agree to comply with all ionin.
Building and state laws and such orders as shall 1.
issued by the Building Department rtment urins penden
of this application and fi al issua Ee of a bull
Perm
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Signed
'his plan is approved subs t t the co dill n t�
..rders and ordinances reguia ng bail no all
......plied ..in.
.ondrtionally Approved TheesseXe tiled ,in
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Li C L07 35 LOT 34
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L07 37 LOT 36 L 07 3 5
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PROPERTY OF
NO . MOUNTAIN DRIVE SOUTH WINDSOR, CONN.
Being Lot No. 36 on snap entitled "bap of bAK RIDGE ESTATES
Foster St. South Windsor, Conn. (Sheet 3) Scale: 1 " 40'
Sept. $, 1963 Hayden L. Griswold C. E. "
Scale : 1" 40' �`�C�T .20,
HAYDEN L. GR ISWOLD C. E.
I tit
Revised 4/01//2002
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR i
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date Buildin ispector
Application must be printed or typed
FEE SCHEDULE Location of Job:
1G camx�- >, � '$0-$1,000=$15.00 Street No. jStreet Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT tA
APPLICANT ADDRESS (4 A, L'✓`��/ �f
APPLICANT PHONEE'#
1
O Ml N S F,q OWNER ar
OWNER ADDRESS 0
OOWNER PHONE
C ESTIMATED COST$
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IS THIS A CONTRACT COST? _Yes
FEE ENCLOSED$ j d
l��s O�y� TYPE OF JOB:
OR C New tallation
4 lt-� eration/Addition/Repair
3AIS
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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
❑EDUCATIONAL FUTURE USE AND OCCUPANCY
❑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.4V-e PA
�—
��/
CO TRACTORS LICENSE NO. E STATE
SIGNATURE OF APPLICANT DATE ��►
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby:
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
FTenant
/Ll0vrrjaf.7 Lk$0-$1,000=$15.00 Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation Apt.No.
APPLICANT vJ/G�✓1 Q ( �Ol /_
A CANT ADDRESS i 3 G- /Z y C
PX I/ --t f ,--n o r ?-, dG c 7
APPLICANT PH NE#
W N S OWNER �r/I�l�c-�-• Gt
O Fq
O lzD R ADDRESS " v
C07 o OWNER PHONE
C ESTIMATED COST$ ! O
b
IS THIS A CONTRACT COST? —Yes �No
/
FEE ENCLOSED$ 5 , e,10
�•/� TYPE OF JOB: i
�SOR•CO &- ew Installation
_Alteration/Addition/Repair
Revised 4/01//2002
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
MfEATING rdaESIDENTIAL
❑A/C ❑COMMERCIAL
❑VENTILATION ❑INDUSTRIAL
HEATING
❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
9-11YDRONIC ❑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)
DESCRIB ALL HEATING EQUIPME (INCL ING & OD N
GROSS HEATING CAPACITY(INPUT—BTUH) /�-60 NET RATING(OUTPUT—BTUH) ado
TYPE OF FUEL r
❑OI
L--GPM -9� 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_kZC d �X 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.
CONTRACTORS LICENSE NO. TYPE STATE 7
SIGNATURE OF APPLICANT DATE l G d Y
1000483 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 09/28/10
GIS ID: 60900109 FEE: 45.00
MUNIS APPLICATION# 201001318 BUILDING DESCRIPTION:
APPLICANT :, LOCATION
NAME: NETTLES MATTHEW W'�` ADDRESS: 109 MOUNTAIN DRIVE
ADDRESS: 109 MOUNTAIN DRIVE, OWNER:, NETTLES MATTHEW W
SOUTH WINDSOR,CT 06074 36. 109 MOUNTAIN DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REPLACE SHINGLES ON ROOF.
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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
9/28/2010 8:51 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE