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110 BROOK ST
Electric# 3`Cy APPLICATION FOR�6L4)WdA4AIT Plumbic # 0 110 Brook Street Dat T HVAC Sprinkler# 800559 FINAL APPR V_ 2, _ - - - — Esri0bEP Building �� COMPLETE RED BOXED AREAS Permit Fee $ Engineering TYPE OR PRINT ONLY I ! Occupancy Fee $ /G Affidavit Eng. Insp. Fee $ A r. for CO j ► 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 i Location of Work 1/0 Lot No. Applicant's Address . �j4fj�k- fvjT LO y 1B ar ( 1, Tel.# ly;'v )?, -S jl t Town i,Jl NL I r ( f- Zip_(e C C Lic.#�C 1/ 1 Owner It is Architect Owner's Address U Architect's Address Zip Zip Sq. Ft. New Area: 1st FI. ° f2nd FI. 3rd FI. Total New Area Purpose of this permit �ryl dr r iU IF w rt A 1 r i)Tr ft- �iV�w City Water Well❑ Septic System❑ Sewer- Ins: HO S Cert. Area Basement Garage Approved by t Date I o Ei, Use Group Construction Type Revised 6/02 rV 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 roper distance from all street lines,side yard lines,and required distances from all other zones and is located in which is, uil ng and its us (lowed. Signed -// I hereby apply for a Certificate of Occu cy f r t 4 work described in this application for the permit. v Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS INSPECTION FIELD SHEET O1/27/10 Printed by Peart, Dayshell 09:41 15 INSPECTION: 18357 FOOTING PERMIT: STATUS: APPLICATION: 200801590 LOCATION: 110 BROOK STREET SOUTH WINDSOR PROPERTY ID: 14400110 OWNER: JARVIS KATHRYN H CONTRACTOR: DESCRIPTION: CONSTUCT NEW WASH ROOM WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 10/14/08 SCHEDULED: 10/15/08 AM COMPLETED: 10/15/08 UNPAID FEES 00 Date Time TIME: TRAVEL ONSITE COMMENTS: PIERS OK TO POUR ALL INSPECTIONS: INSPECTED INSPECTOR RESULT INSP DESCRIPTION 10/27/09 DOUG N/A B002 FOUNDATION 10/27/09 DOUG N/A B003 FRAMING (ROUGH) 10/24/08 DOUG PASS B004 INSULATION 10/27/09 DOUG N/A B005 FIREPLACE / CHIMNEY 10/27/09 DOUG N/A B006 WOOD / GAS STOVE 11/05/08 ROSE FAIL BO10 FINAL 10/27/09 DOUG PASS BO10 FINAL 10/27/09 DOUG N/A E001 ELECTRIC SERVICE 10/27/09 DOUG N/A E002 ELECTRIC UNDERGROUND 10/24/08 DOUG PASS E003 ELECTRIC ROUGH 10/27/09 DOUG N/A P001 WATER HEATER REPLACEMENT 10/27/09 DOUG N/A P002 PLUMBING UNDERGROUND 10/24/08 DOUG PASS P003 PLUMBING ROUGH 10/27/09 DOUG N/A P004 PLUMBING GAS TEST Electric# APPLICATION FOR BUILDING PERMIT Plumbing# 110 Brook Street HVAC # Sprinkler# _32356 __ _ FINAL APPROVALS _ Estimated Cost $ Building Z - COMPLETE RED BOXED AREAS Permit Fee Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit Eng. Insp. Fee $ Appr. for CO. ► SIGN ON REVERSE SIDE 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 /JZ�ti goo F%,x �d • Location of Work //D 16r'De k S T , Lot No. Applicant's Address 7I/ Tel.# S,)b'— ei�ti Town • / h,�'• G Zip 06,10 Lic.# SCE/99/ Owner J4 r11r, 7 VA-V I Architect Owner's Address /,/ �o/z S i Architect's Address �' �✓ �f Zip�+tU7ti Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd Fl. Total New Area Purpose of this permit h / Iil A 11 Tl. - A - City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved by Dat Use Gro Construction Type Revised W02 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 pr9per distance fr Is t lines,side yard lines,and required distances from all other zones and is located in which this buil its us S i g n e I hereby apply for a Certificate of ccupancy for the work described in t s application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS J • 1 1 � y � • • ice ------------- Ll ; Jill 1111II � ; lli II F i L 1 1 1 I Lj I L tlq-_T io re. Ply I. -t c Ad W I i ;L AI L 1 - _ I,� �--1 L I i k✓�'v� �1A�J --L-L - -. ___ � III � I --A J t� iP 'y 11_ , I DO �4 /0 •• ,,I `6�b QvtT ! I . ! i I _1 l � L 1 1 1 i � �fll _1lvSv���io�( J; —L—L- L L --L, --LL! l Pf?OPF-RI41 OF • - CC"„: �iICii: 3CU;.II;; I,`+'f.�^.;i.:T r�i,YJ 110. BROOK ZTR-MT SOu'!i wirlJSO,:z CON;�L:.TICVi' i •5:.;.L;: 1" 30� December23o 1968 ;. 60. A✓nds iOr /0 0, . i Lo -r• 2 /8 'r N O f arto V ! �.1 4 / ovrV PM A IMI Aff 1 r:' z�•5, Ar No.2CCu 11 •� r - •��..SUR,.4,���.� BRODtC STREET i Connecticut S-1 1 hereby certify to the..Loan Associa:i; &COMN CTICTJT HOU;I;.'G a I;1'f, ;: __....._.................._._ that this map, wl';ch shows p'-ys,cal c3n;:i:;or. exist;ng at thin c'a!o is and that zcning �n ' r, D OCT u 9 2008 South Windsor BUILDING DEPARTMENT to THE BJIIUI,tu •'� Jf WO)i nINUl, This certiticd that this 0 1" and specifications are tn, copies of the proposed io-ldmg or alterations to b# erected at CERTIFICATION OF Zot'W COMPLIANCE i© � Clree Proposed buildk*s). stftlCtUr@�S� together with a and I agr toted l application an: in filed with plan and ! aR�'' F• _amply with all zoning shown on to be Building and stale lams :, =!ch orders as shall bt �� Issued by the Buliding tiep,,tment during pendency formance �„� Windsor of this application and fill issuanoa of a buildins, permit. exceptions Signed `his plan is approved sublert to the condition the' orders and ordinances r,gulaung but ding she be complied with. Conditionally Approved These filed with �'"-"-" �• ^J Clem Building inspector No. PERMITS/INSP PAYMENT RECPT# 20304163 TOWN OF SOUTH WINDSOR 1540 SULLIVAN AVENUE SOUTH WINDSOR CT 06074 DATE: 10/10/08 TIME: 09 15 CLERK: aliceakeh DEPT: CUSTOMER# 0 PARCEL: CHG: BLDPRM BUILDING PERMIT 85 00 AMOUNT PAID: 85 00 PAID BY: LAMBERT TIMOTHY PAYMENT METH: CASH REFERENCE: A110 BROOK S AMT TENDERED: 85 00 AMT APPLIED: 85 00 CHANGE: 00 •t:�1 (( PROP .-"L T OF } Co%?r?,C Ir-U HCUSIr;G I rr,..z m:iT jUb" y 110• BROOK ; i SOu'!i S/IrMOR CON;IECTICUL 1" . 309December 23, 1968 /oo' �✓ i Lo •T 2 /8 O A CY �;q no � / or►Y rw.s�+� f No.2CC S ► /DO' .yam 4ti.. ��i�i•y4'••• •� � SURVi •�. � 1 BROOK STREET Connecticut Sav-.C- 1 hereby certify to the..&,Loan Associ3w1. ...._................. f SCON-NECTICTIT itiJuJli;G I;lJ'r'.i^ _....._................_.. that this map, w1:1ch shows P:-ys'czr c�n::i::�;. existing at thisc'ato is sup:�an;;a,:y co-,. and that zcning reS;;l,:;i�n.•'.:-� n ' CLO!7. Jr C: . 7uri DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application' re y: , TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT P 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date ding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 FTenant Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT APPLICANT ADDRESS �/ %z1 APPLICANT PHONE# — n D W N SF-4 F,q OWNER OWNER ADDRESS 1 r 2&Pj- 5 J 0 WAN 0 ;. OWNER PHONE �n /q- W ESTIMATED COST$ �ov +� IS THIS A CONTRACT COST? _Yes _No FEE ENCLOSED$ TYPE OF JOB: ob#t� �SO R COS _New Installation _,,,/Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED�WITH A BUILDING PERMIT APPLICATION? Q YES O NO RESIDENTIAL 0 BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY 0 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 ZLaZ�? / SIZE OF MAIN CONDUCTORS I NUMBER OF METERS ( NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? 0 YES ❑NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES !A— / 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 L s roc l w/ ZC iL 00 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 �� �J DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Applic hereb , TOWN OF SOUTH WINDSOR �` � BUILDING DEPARTMENT �� 1' APPR 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date BuPing Inspector Application must be printed or typed FEE SCHEDULE Location of Job: F;T�e—nant $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof tion Apt.No. APPLICANT -LD1 APPLICANT ADDRESS APPLICANT PHONE# �' 3�_(;Y l W N S F,q OWNER -fir �s r 4� h k-L"I i < OWNER ADDRESS f"a-%Li +� #, OWNER PHONE C ESTIMATED COST$ IS THIS A CONTRACT COST? _Yes _No o �C! FEE ENCLOSED$ f Rr��SO CO�� TYPE OF JOB: f L New Installation Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? 'YES El 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 (Other please specify) Cam' 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 �G ALCZ'xl�� 41) v -� ,BY APPLIES rOR 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. C Nm D ). )9 MNTkAtT0kS LICL14SE NO. TYPE STATE SIGNATURE OF APPLICANT DATE r D