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.
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Illprrrrxrr�o�+`
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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
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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.
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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