HomeMy WebLinkAbout11 ROSEMARY LN Revised 4/01//2002
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby:
BUILDING DEPARTMENT
APPROVED 1540 SULLIVAN AVENUE
Bldg.Permit#
Z 644-2511 ext. 230
Da Buildi Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
E
Sgm - q LA$0-$1,000=$15.00 Street :—t.N
No.Over$1,000=
$15.00 per$1,000
or any fraction thereof gnation
APPLICANT R A b E,R-'
APPLICANT ADDRESS L A
CT- o (Q'2 !1
APPLICANT PHONE
11# d " �o{ [go t
SOW N SFq OWNERNC,R-
OWNER ADDRESS \ 05 f � 04 UP.Y
kJOV 3 sot
r. OWNER PHONE 0
C ESTIMATED COST$ qS • S
IS THIS A CONTRACT COST. _ Yes No
FEE ENCLOSED$ I !;TYPE OF JOB: Z`b 5
SOR CO � O�
New Installation aD�
_Alteration/Addition/Repair
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
❑HEATING a-RESIDENTIAL
0 A/C ❑COMMERCIAL
0 VENTILATION 0 INDUSTRIAL
HEATING
O STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
❑HYDRONIC 0 WARM AIR ❑UNIT RADIANT HEATER
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS(BTUH) -F(BEAT 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
D OIL—GPM OIL TANK LOCATION :❑ INSIDE❑OUTSIDE CAPACITY
O 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.
�11 G o4a/ - L T
CONTRACTORS LICENSE No. TYPE STATE
SIGNATURE OF APPLICANT h/ i►^► DATE
b�
S W
V%,A S
1 w�
AIAIV
CO
-- - �al�
rm---Propane Gas Servive
STATE OF OANECTICUT
DEMING,PLY4AG&a)oLD aG I I]rrED cJD1A xtcrm
RICIUM l WuCox
39t)0119S HILL QED
EIJ-U*G Tom CT %029 224LP
i
HTG �06125//MV,2 i! 4*/3V2612 i
I
I designate(name of authorized person)
as my anthorized agent_
This work is to be performed in (name of tma)
4
I This work is to be performed at (street address) /Z�
' Our anticipated start,date is (expected start date)
f
l ,
am the licensed contractor.
i
J1�i ice' C�/Myiicease number is � � (type) Cl• l i
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. 12/360
Signature of licensed contractor
420 John Fitch Bt d, P_fl_ Box 239,Saafh Wkmbm CT iW"M 2&)-On7 Fax MW 289-5368
II
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
PERMIT#
Application-is'Iiere—tS ;
TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
P 1540 SULLIVAN AVENUE
Bldg.Permit#
644-2511 ext. 230
Date '�jilding Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
FStreetNo.
Ct ry �ti$0-$1,000=$15.00 Street Lot No.
Over$1,000$15.00 per$1,000or any fraction thereof gnation Apt.No.
APPLICANT 1�7Y1r� zlS --
APPLICANT ADDRESS
A
APPLICANT PHONE# // ELK OW N St OWNER �� RC/�oGr7�` pcoc iv&y
OWNER DR S
OWNER PHONE
C ESTIMATED COST$
. r
� IS THIS A CONTRACT COST? Yes _No
o �G FEE ENCLOSED 00
SO. O�� TYPE OF JOB: y 123�
R C New Installation
—Alteration/Addition/Repair
12G�
Revised 4/01//2002
APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YESR NO
❑ BUSINESS CURRENT USE AND OCCUPANCY
❑ASSEMBLY
O MERCANTILE FUTURE USE AND OCCUPANCY
O EDUCATIONAL
0 INSTITUTIONAL
❑FACTORY ENGINEER'S NAME PHONE
❑ STORAGE
U GARAGE ADDRESS
❑MIXED USE
CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD _/(/�C COC,,
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBER OF METERS / NUMBER OF DISCONNECTS AND RATINGS
NUMBER OF PANELS T REMOTE DISCONNECT REQUIRED? U 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
T+:GY,� i Lv�, �ci G✓I �' JTI�! !'
r -&ArLsil ?—
�� 9� s
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.
-57:?C,)
CONTRACTORS LICENSE NO. T STAT
SIGNATURE OF APPLIC DATE
Electric # IlRosentary I e APPLICATION FOR BUILDING PERMIT
Plumbing# A a A?n i Date:
HVAC#
Sprinkler# Soutn vtiisiu*ar
FINAL APPROVALS ILDING DEPARTMENT Estimated Cost $
Permit Fee $
Building. COMPLETE RED BOXED AREAS Occupancy Fee $
Engineerng TYPE OF PRINT ONLY Eng. Insp. Fee $
Affidavit
Appr.for CO. 1 1 ► SIGN ON REVERSE SIDE t
Total Fee $
TO THE BUILDING E ARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant Location ofWork /Nt! Lot No.
Applicant's Address '0` o X 993 Tel # $60 •SCQ.4231
Town 674►`t L� C4—� Zip O(oO Lic.# tc1,303
Owner go 0 f t cc GC n4✓ Architect
Owner's Address // ROSrP 04,A N Cn Architect's Address
s•WiAdSdL tom' Zips Zip
Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd Fl. Total New Area
Purpose of this permit — j LV &C . l jetye/ .jtY:v
If
City Water D Well ❑ Septic System ❑ Sewer 0 ,Zp tl 00�00
s: HO rt. rea Basement Garage
_Z!444
Approved by l Use Group Construction Type
Revised 1108
I hereby agree to conform to all the requirements of the Laws of the State plans or ecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteratio a pecifications of the Building for which this
permit is asked,and agree that this building is to be located th roper distance fr m all street lines,side yard lines,and required
distances from all other zones and is located in WP ich this buil g and its use it Ilowed.
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
dw ,
INSPECTION FIELD SHEET O1/12/12
Printed by Peart, Dayshell 09 18 51
INSPECTION: 40393 FINAL PERMIT:
STATUS:
APPLICATION: 201100600
LOCATION: 11 ROSEMARY LANE
SOUTH WINDSOR
PROPERTY ID: 77400011
OWNER: RODNER ALICE B
CONTRACTOR:
REQUEST BY:
DESCRIPTION: RE-ROOF 14 SQUARES STRIP ONE LAYER.
WORK ORDER:
INSPECTOR: ROSE RESULT: PASS
REQUESTED: 12/09/11 PRIORITY:
SCHEDULED: 12/09/11 PM COMPLETED: 12/09/11
UNPAID FEES 00 Date Time
TIME TRAVEL ONSITE
COMMENTS
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and survey were prepared in accordance with the standards of a OQ
' Class :-i survey as defined in the "Recommended Standards for
Surveys and Maps in the State of Connecticut" as prepared and �0 E)F_ E 4�'C� 2� �� REINO E. HYYPPA a ASSOCIATES
adopted by the Connecticut Association of Land Surveyors, Inc.,
on September 13, 1984. LAN� CIVIL ENGINEERS & LAND SURVEYORS
�Qv"CYI Wi►]DS�R CONE.! 124 HEBRON AVENUE
GLASTONBURY, CONN. 06033
(203) 633- 5218
William Klock, L.S. L.S. N 11622 SCALE: 1�- LO DATE: S-4-a4 MAP No.24-)4-Co
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CIVIL ENGINEERS
GLASTONBURY, CONN.
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CIVIL ENGINEERS
GLASTONBURY, CONN.
SCALE �"=2�s DATE S-Z4--►a MAP NO.L11-16 -Co
UNDERGROUND SYSTEMS
IN CORPORATE D
November 4, 1996
Town of South Windsor
Building Department
1540 Sullivan Ave
South Windsor, Ct. 0607
Re: Underground Tank Removal @ 11 Rosemary Lane,South Windsor
Dear Sir.
This letter is to inform you that Underground Systems,Inc.performed the work on the above
listed project under the-direction and as a sub-contractor to Tankworks L.L.C.and thus all data
pertaining to this project(i.e.soil samples,analytical,remediation reports,manifests)is held by
Tankworks.
Any inquires should be directed to Tankworks,357 East Center Street,Manchester,Ct. 06040,
(860)646-3348.
If you have any further questions,please feel free to call us @ 651-6545.
Thank you,
4- 1 1v
Scott Brickey
President
cc: Fire Marshal's Office
UNDERGROUND SYMEMS INC 47 BARRY IA. SIMSBURY CONN. (860) 651-6545
11000257 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER BUILDING PERMIT
DATE: 06/15/11
GIS ID: 77400011 FEE: 120.00
MUNIS APPLICATION# 201100600 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: ZAHNER CONSTRUCTION LLC. ADDRESS: 1 I ROSEMARY LANE
ADDRESS: PO BOX 583 - OWNER: RODNER ALICE B
ELLINGTON,CT 06029, 11 ROSEMARY LANE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: RE-ROOF 14.SQUARES.STRIP ONE LAYER.
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
6/15/2011 4:27 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
Iz00175 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 05/07/12
GIS ID:77400011 FEE: 15.00
MUNIS APPLICATION# 201200384 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: PROPANE GAS SERVICE ADDRESS: 11 ROSEMARY LANE
ADDRESS: P.O.BOX 880 OWNER: RODNER ALICE B
SOUTH WINDSOR,CT 06074 J I I ROSEMARY LANE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL AND WIRE ONE 20 KW STANDBY GENERATOR ON EXISTING PAD
WITH ONE 100 AMP.ONE NEW 24 CIRCUIT 100 AMP SUB-PANEL.
GENERATOR.
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
5n12012 12:13 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1200114 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 04/17/12
GIS ID:77400011 FEE: 135.00
MUNIS APPLICATION# 201200384 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: NEWINGTON ELECTRIC CO.'INC. ADDRESS: A I ROSEMARY LANE
ADDRESS: 16 PROGRESS CIRCLE OWNER: RODNER ALICE B
NEWINGTON,CT 0611 I 11 ROSEMARY LANE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: INSTALL AND WIRE ONE 20 KW STANDBY GENERATOR ON EXISTING PAD
WITH ONE 100 AMP.ONE NEW 24 CIRCUIT 100 AMP SUB-PANEL.
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
4/17/2012 12:38 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE