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HomeMy WebLinkAbout110 NIEDERWERFER RD APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APP OV 1540 SULLIVAN AVENUE I l oPermit Bldg.Permit# .tK 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE < Location of Job: n $041,000=$15.00 5 N < V ki-I Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT C C APPLICANT ADDRESS C,L\$ S APPLICANT'S PHONE# h( 0 2 C\\—d OWNER OW N C S f nn 4< OWNER ADDRESS 1 10 �l1 e�� e< <�,e c tt C . OWNER PHONE O f ESTIMATED COST$ O O O o" IS THIS A CONTRACT COT? v Yes No FEE ENCLOSED$ o J ° TYPE OF JOB: cn �sOR•C0 New Installation y Alteration/Addition/Repair �Gtol S�v o 4'S3� Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: A HEATING 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.) 1 v \ U V \ GRO ATING CAPACITY(INPUT-BTUH) ^(S NET RATING(OUTPUT BTUH)T 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 �j 0, A 6A'1c 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. 0-R 2 -1 � S 3 Q7 CONTRACTORS LICENSE NO. TYPE , STATE SIGNATURE OF APPLICANT �C, DATE DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# TOWN OF SOUTH WINDSOR Application is he BUILDING DEPARTMENT AP. O 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# - Z ( Date ding Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 1 1c We Nd e-C \-�,3 t%- r $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT co APPLICANT ADDRESS S v� APPLICANT PHONE# �� 2 Ck O l.L O W N 3 Fq OWNER RU�D e C C e r OWNER ADDRESS 5 Oo F OWNER PHONE C = ESTIMATED COST$ a IS THIS A CONTRACT COST? _✓Yes _No All. r �V FEE ENCLOSED$ �� .6 O f�OSO- •C O TYPE OF JOB: R New Installation Alteration/Addition/Repair 'iLe Revised 4/01//2002 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF YSTEM: TYPE OFBUILDING: HEATING RESIDENTIAL A/C 4 COMMERCIAL 0 VENTILATION 0 INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. O HYDRONIC Cl 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).!0L S- NET RATING(OUTPUT-BTUH) TYPE OF FUEL ❑OIL-GPM OIL TANK LOCATION :O INSIDEO OUTSIDE CAPACITY AGAS-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. :�cl S CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT A\���s, � DATE APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT IA6 0,(65 App 0 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Da a Building Inspec Application must be printed or typed FEE SCHEDULE Locatio 0 ob: $041,000=$15.00 Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt. No. APPLICANT APPLICANT ADDRESS 0 APPLICANT'S Ho?#s OWNER �QYr N S%4< OWNER ADDRESS / OWNER PHONE y 9 �J ESTIMATED COST$ G-190 U IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$ /35- TYPE OF JOB: �SOR,C0 k1—New Installation Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? ❑ YES ❑ NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑ ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WHUNG 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 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. /f DESCRIPTION OF WORK 242 A��, :2LI-5-A 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 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT -PPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Biuildink Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. 1 L (,, Streets ` Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS _ 's APPLICANT PHONE# (% o W N S F,q OWNER Q lU OWNER ADDRESS <� V. ) OWNER PHONE_ (� U1 T�jy Ou C = ESTIMATED COST$ b IS THIS A CONTRACT COST? P Yes _No FEE ENCLOSED$ o L/ 1� TYPE OF JOB: SO R C O� New Installation 1- 'Alteration/Addition/Repair Revised 4/01//2002 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITHL/A RESIDENTIAL /' BUILDING PERMIT APPLICATION? ❑ YES Id NO BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE (Other please specify) CITY 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 0, C THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND is T7— COM[PLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 20 ')sC� ?� V - 1 C-\ CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR O 56 BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE cation of Job: FTenant ��,1 er TWL $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT APPLICANT ADDRESS APPLICANT PH�j E# O - W N S OWNER '1K C O £q� OWNER ADDRESS Q �1 d E„ OWNER PHONE - lu C ESTIMATED COST$ I�DD W IS THIS A CONTRACT COST? _Yes ,�No_ p FEE ENCLOSED$ 1 S . O TYPE OF JOB: OR•C ✓ New Installation (►� O _Alteration/Addition/Repair APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED RESIDENTIAL WITYNO BUILDING PERMIT APPLICATION? ❑YES ❑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 C"I6Z 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 -,Sklz�\fY� 50 0, ci-i L p I or THr UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO PER ORM THE WORK DESCRIBED AND IrM— COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. V �s"z 1 r c I CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE APPLICANT DATE N I.P. (b ' o a Illprrrrxrr�o�+` ��/OF�CON/V!e�'s f A�d'', CA/��'C�'�:: t �A�� ' -•'pG=` Q No.5032o r12�� , . J 0 W In NLL F- .y hrO ti�O \ 5� Z OJ 1 � 10 50 1900 A,Lo.\5� 266.5 ELLINGTON ROAD (ROUTE 74) I HEREBY CERTIFY THIS MAP TO BE SUBSTANTIALLY CORRECT AND IN ACCORDANCE WITH CLASS 0 , SURVEY FOR ':ODE OF CONN. TECHNICAL COUNCIL INC. ALB I N Z AGORSKI • NIEDERWERFER ROAD SOUTH WINDSOR SCALE I"=40' APRI L• 1968 WILLIAM J. CARRINGTON REG. L.S. AUG 1 7 1998 South Windsor BUILDING DEPARTMENT TO THE BUILDING DEPT. TOWN OF SOUTH WINUSU, This Certified that this plan and specifications are tru Copies of the proposed building or alterations to b, elected at n/ [//� /� Strom. together with amendmen stated in application .. filed with plan and I agree to comply with all zoni, building and state laws and such orders as shall issued by the Building Department during pende.u. of this application and fin at issuance of a buildin, permit. {igned This plan Is ap ved subject to the condition tha• ofdefs and ordinances regulating building shall be Wmplicd with, Conditionally Approved These filed with Building Inspector Cllorq oat* No. ?SS 1 C:c��I i, tt�H i ivlV OF ZONING C;OIv►PLiANCE Proposed building{s), use(s) and/or structure(s) ,is shown on this plan appears) to be in _onformance with current Si ,th Vkid gulations. Variances and special exceptiu oay apply. Jate I-7 Qr' ing n orcement Oi leor i i I N i 0 4� ! `Y////YYY9NY9rp6 CA �nP'g O e P t :J �` • C =Ty No. 5032 2�� 10, �YYYY/a�$,, 1 -0 N Q 2 'l ' � h bro `Z6' LL h Z 1 ti 10, 50' `9oo 266.5' �Z4 �' 1.P QZo,�S, ELLINGTON ROAD (ROUTE 74 ) 1 HEREBY CERTIFY THIS MAP TO BE SUBSTANTIALLY CORRECT AND 1N ACCORDANCE WITH CLASS D SURVEY FOR ".')DE OF CONN. TECHNICAL COUNCIL INC. ALBIN ZAGORSKI NIEDERWERFER ROAD SOUTH WINDSOR SCALE I"=40' APRI L 1968 WILLIAM J. CARRINGTON REG. L.S. y n S, • � '� Y; f. ry s ' r � n � a. �F� r w ' kj raw T j/ r t O +� �` 1 _.T �� y. .�,�r a '-it \G♦ 1 i Ln � .ti � .: ?�`,`.,�1• S. •:l»..t p! �.. ., .�..�ie� rrrR, tn, ;��`R'� ,�L�,t Ji�:r' ._'+'- DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Applicatio TOWN OF SOUTH WINDSOR j 15 j t BUILDING DEPARTMENT APPRO 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date uilding Inspect I Application must be printed or typed Location of Job: FEE SCHEDULE Fnant:De $0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof n Apt.No. APPLICANT '/ � y'"'�6— A APPLICANT ADDRESS 7 / APPLICANT PHONE# N SFq OWNER '`'/'` OWNER ADDRESS R OWNER PHONE C ESTIMATED COST$ IS THIS A CONTRACT COST? t<' Yes _No G FEE ENCLOSED$ Y6 TYPE OF JOB: �ljSO R-C o _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 QfRESIDENTIAL BUILDING PERMIT APPLICATION? ElYES ❑NO � ❑BUSINESS CURRENT USE AND OCCUPANCY K S r nzs�f�L ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY -t:_ ❑EDUCATIONAL ❑INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE ❑STORAGE ❑ GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION SIZE OF MAIN DRAIN NO.OF TOILETS = STYLE NO.URINALS STYLE NO.OF BATHTUBS j 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 �+\ ` �-4rJ- 4-"5 e.,rW- L U�i��� Xr, l 5LL- ;BY APPLIES FOR A PERMI'r TO PERFORM THE WORK DESCRIBED AND IS 17— COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. 451 2.c3 5 T 1 CONTRACTORS LICENSE TYPE STATE NO SIGNATURE OF APPLICANT DATE Z o CArb-- �. �uu5�- DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is b : I � 7 9`1 BUILDING DEPARTMENT R 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# 3 a 3 ,3 Date f L`�� wilding Insp for Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 _ or any fraction thereof Tenant Designation Apt. No. APPLICANT Q1 1 \G�l APPLICANT ADDRESS 4-0 o is - -- APPLICANT PHONE# O W Ni S j , OWNER OWNER ADDRESS CO) .e OWNER PHONE 60 C a ESTIMATED COST$ / �.� IS THIS A CONTRACT COST? _Yes _No �s✓ FEE ENCLOSED$ sO •CO�� TYPE OF JOB: R New Installation b-1 teration/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? ❑YES 0 NO RESIDENTIAL O BUSINESS CURRENT USE AND OCCUPANCY 0 ASSEMBLY —T—� ❑MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL O INSTITUTIONAL ❑FACTORY ENGINEER'S NAME PHONE 0 STORAGE U 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?n ❑YES 0 NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS 1 i, NUMBER OF SWITCHES NUMBER OF OUTLETS_ NUMBER OF LIGHT FIXTURES 1, 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. WRTkACTORS LICENSE NO. E STA SIGNATURE OF APPLICANT DATE Electric # 1% ��'1-7 APPLICATION FOR BUILDING PERMIT l�{�.b� Plumbing# I > 110 Niederwerfer Road Date: HVAC # Sprinkler # 30383 FINAL R Estimated Cost Buildin j COMPLETE RED BOXED AREAS ! Permit Fee Enginee n TYPE OR PRINT ONLY Occupancy Fee $ / D Affidavi Eng. Inap. Fee $ Appr. for c SIGN ON REVERSE SIDE / Total Fee $ o TO THE UIL ING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: G Applicant ? Location of Work ,L,L� /�, ' ,��� � Lot No. Applicant's Address Tel.# 6i {%� Town .fit "T'/��'/ Zip > ld Lic.#,rd:2-z�',q D Owner 45 %?r/� ���/✓.�Ci iL� Architect Owner's Address, JnLl�f-_ Architect's Address/fJ"!�-z- Zip Zip Sq. Ft. New Area: 1st 2nd FI. 4_eg�L 3rd FI. Total New Area Purpose of this permit- 6L-L 4,4 i�-3' /?r-�' f— i f T i ca ,ryh' z2L. , Ci y Water Well❑ Septic System❑ Sew er❑ Ins: HO Cert. Area Basement Garage Approved by Date " o Use Group I`- 3 Construction Typi Revised GM2 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 s building and its use is allowed. Signeo I hereby apply for a Certificate of Occupancy for the work deeoribed in this application for the permit. Signed DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-30383-B 10,000 E03 ROUGH 02/24/04 PJP A P03 ROUGH 02/24/04 PJP A CK DRAFTSTOP IN BASEMNT ® CO MASTER BATH E03 ROUGH 04/13/04 PJP A HALL BATH P03 ROUGH 04/13/04 PJP A HALL BATH W/ CONTRACTOR B10 FINAL 04/13/04 PJP A MASTER BATH ONLY B10 FINAL 07/31/07 JFF A WITH OWNER OK FOR COFO **-18784-E 500 **-11531-P 2,950 1300142 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 04/12/2013 -Y FEE: 75.00 GIS ID:63600110 ' MUNIS APPLICATION# 201300416 BUILDING DESCRIPTION: APPLICANT , LOCATION NAME: IMPERIAL PLUMBING CO.,INC. ADDRESS: ''110 NIEDERWERFER ROAD ADDRESS: 648 SULLIVAN AVENUF. OWNER:, BRENNAN JOLENE R P.O. BOX 875 ;110,NIEDERWERFER RO � �r� � �,, SOUTH WINDSOR,CT 06074 ' ;-SOUTH�WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALLGAS BOILER IN GARAGE WITH GAS PIPING. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE IWITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: _•'r., OCCUPANCY GROUP: ' ° " BUILDING OFFICIAL 4/12/2013 3:49 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1500268 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 07/08/2015 GIS ID: 63600110 FEE: 30.00 MUNIS APPLICATION# 201500830 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: IMPERIAL PLUMBING CO., INC. ADDRESS: I I O NIEDERWERFER ROAD ADDRESS: 648 SULLIVAN AVENUE OWNER: BRENNAN JOLENE R P.O.BOX 875 110 NIEDERWERFER RO SOUTH WINDSOR,CT 06074 SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: UNIT HEATER REPLACEMENT IN GARAGE. 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 7/8/2015 12:59 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1200085 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT i DATE: 03/22/12 G1S ID:63600110 FEE: 135.00 MUNIS APPLICATION# 201200249 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: BRENNAN ROBERT L OR ADDRESS: 110 NIEDERWERFER ROAD ADDRESS: 110 NIEDERWERFER RD,, OWNER: BRENNAN JOLENE R S WINDSOR,CT 06074-1710 110 NIEDERWERFER RO SOUTH.WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL 6 KW AND 200 AMP TRANSFER SWITCH: 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 3/22/2012 9:01 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE S 1000489;; .'� . ).` _ , TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 12/28/10�-;! ' GIS ID:63600110.1_.',. FEE: 15.00 MUNIS APPLICATION#1201001720 ,: "BUILDING DESCRIPTION: APPLICANT rl '•'''+ LOCATION 10,V ti ti NAME: OSTERMAN GAS e � , ADDRESS: '110 NIEDERWERFER ROAD ADDRESS:, 1 BLANCHARD STREET., _ , OWNER, BRENNAN JOLENE R PALMER,MA 01069 .tea "110•NIEDERWERFER RO t ��! ►' �� ' . SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: SETTING 1-50 GALLON LP TANK FOR HEATPaoER ;. SPECIAL CONDITIONS: ALL WORK,TO BE DONE IN ACCORDANCE•WITH THI APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY.GROUP: BUILDING OFFICIAL 12/2H/20101'l I IM r THE FEE ABOVE INCLUDES A$0.26 PER TIIOUSAND CT STATE EDUCATION SURCHARGE i if, 1 1^ ��'10 1200161 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 04/23/12 GIS ID:63600110 FEE: 15.00 MUNIS APPLICATION# 201200249 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: IMPERIAL PLUMBING CO.,INC. ADDRESS: 110 NIEDERWERFER ROAD ADDRESS: 648 SULLIVAN AVENUE OWNER: BRENNAN JOLENE R P.O. BOX 875 110 NIEDERWERFER RO SOUTH WINDSOR,CT 06074 "'". SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL 6 KW AND 200 AMP TRANSFER SWITCH. GAS PIPING FOR 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 4/23/2012 3:14 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE