Loading...
HomeMy WebLinkAbout115 PETERSEN WAY 2"010 Home Occupation Information and Application Form ���" `711q I ASSESSOR'S U E ONLY Minor Approved by�yr�k Date 7/1 a .� ❑ Major Home 0ccup fion Type Code Name h,6 Q\ �c�ncoo l`'� DBA 0.Y1 w y — Address of Proposed Occupation 9 ep Zone v (Note:in DR7,MF zones only mina home occupations a Telephone te sllow4 approval Idler from homeowner assn r quircQ Description of Home Occupation: am 0 O . -A r 1- Please use the boxes below 01 an attached she to provide the following A.Proposed Sign 1. Attach copy of plot plan if available. 2. Use Box A(or attach sketch)to draw proposed signage. .3. Use Box B(or attach sketch)to draw the floor plan of the Home Occupation area. 4. Architectural elevations for any proposed additions or modifications must be provided. FLOOR PLAN (❑Basement 0/1 a floor ❑2ed floor) Floor area of dwelling Qj Floor area of home occupation nn of floor area devoted to home occupation6 2/10 1,1vIry Roar,.1 have read the regulations regarding home occupations and will comply with said regulations.I understand that I must notify the Planning Department in writing upon termination of this occupation at this address.This permit is not transferable or assignable to another person.In the event of relocation,the permit holder must notify the Planning Department in writing to transfer the permit to the new location. Signature of Applicant Date ID Signature of Owner Date / �3 8 Home Occupation Information and Application Form all ASSESSOR'S USE ONLY Minor Approved by Date 06 Home Occupation Type ❑ Major Code Name t_. DBA Address of Proposed Occupation: -rr S r,'rJ Telephonego_ 5/RA$�A Zone (` (Note:in DRZ,MF zones only minor home occupations are allowed;approval letter from homeowners assn required Description of Home Occupation: 1 J&AA 49 - 561< nA '2n-c -V- i l t1 'D rn ,t', �-IUCr Please use the boxes below or an attached sheet to provide the following: A.Proposed Sign 1. Attach copy of plot plan if available. 2. Use Box A(or attach sketch)to draw proposed signage. 3. Use Box B(or attach sketch)to draw the floor plan of the Home Occupation area, 4. Architectural elevations for any proposed additions or modifications must be provided. '^ � 1 FLOOR PLAN (❑ ❑Basement 1"floor (2 floor) '0 Floor area of dwelling 'd 00 a Floor area of home occupation 12X I y y S f %of floor area devoted to home occupation '�/ 0 I have read the regulations regarding home occupations and will comply with said regulations.I understand that I must notify the Planning Department in writing upon termination of this occupation at this address.This permit is not transferable or assignable to another person.In the event of relocation,the permit holder must notify the Planning Department in writing to transfer the permit to the new location. Signature of Applicant ff Date, /7 Signature of Owner_� � Date APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT S00 3(,2 AP P O D 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 ate Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 p Over$1,000= Street No. j Street Lot No. $15.00 per$1,000 _ or any fraction thereof Tenant Designation Apt.No. APPLICANT 1 n c / ✓ __ APPLICANT ADDRESS Y--e✓ 060-7Y APPLICANT'S PHONE# OWN sF OWNER WopoinaCc)mmunihi Chtlr(h .� q< OWNER ADDRESS OWNERPHONE Lj wo-ugLA- 0833 O ESTIMATED COST$ 9100,00 IS THIS A CONTRACT C� ST? r/Yes No FEE ENCLOSED $ �f TYPE OF JOB: • �O�O I ' r , SOR•co New Installation Alteration/Addition/Repair Zl 612gY Revised 03/05/10 APPLICATION FOR HVAC PERMIT(Continued from reverse side) TYPE OF SYSTEM: TYPE OF BU LDING: U`9EATING SIDENTIAL ❑ A/C ❑ COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING El STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. I.,/HYDRONIC ❑ WARM AIR ❑ UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION DESIGN TEMP.OUTSIDE _°F INSIDE 7O OF DIFFERENCE '7 OF TOTAL HEAT LOSS(BTUH) OF(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) NAJ,t .n T�-lrlts.S . C'©M bi na'�� bn ;� ter, i8vo� - %dOd44 ITj fo / GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) �Gj 600 TYPE OF FUEL ❑ OIL-GPM OIL TANK LOCATION: ❑ INSIDE ❑ OUTSIDE CAPACITY .4 GAS-INPUT LPG TANK CAPACITY 6g ELECTRIC-KW 0r.kf`s 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. s 1-039--Ig2 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DLIJ DATE 312-U 1 l� DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT APPPf �� 1540 SULLIVAN AVENUE {r��-' 644-2511 =.230 Bldg.Permit# (Date) (Building Inspector) Application must be printed or typed FEE SCHEDULE Location of Job: $041,000=$15.00 Street No. Street Lot No. Over$1,000- $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS K ✓we-ru D Q APPLICANT PHONE# $6 6 - 'F-1 S " (o2Z W N 3 OWNER W AV Plti �j t'v 11 L W O �'4� OWNER ADDRESS ,A 0" C'n * OWNER PHONE -yK�.o - (o4-4, 3 3. C ESTIMATED COST $ 3 UO OD IS THIS A CONTRACT COST? _YES NO FEE ENCLOSED$ TYPE OF JOB: C u C,h 0 •C0 New Installation Alteration/Addition Repair r �orSoi2yt.� Revised 12/22/11 t APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A O RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑ NO O BUSINESS CURRENT USE AND OCCUPANCY 0 ASSEMBLY O MERCANTILE FUTURE USE AND OCCUPANCY O EDUCATIONAL O FACTORY O STORAGE ENGINEER'S NAME PHONE O GARAGE 0 MIXED USE ADDRESS (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 O YES O 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 IA (-evhG)j % OF- Z ) 12v E�l tS t0 t3G r-0 Nth 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. 4i G1 -03990A - G I Gz CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE + SUPERIOR ENERGY, LLC P.O. Box 60, 994 Hartford Turnpike, Vernon, CT 06066 Office: (860) 875-6221 Fax: (860) 875-4457 Toll Free: •1-800-242-0427 [Vebsite: wiyiy.pwpanect.com Date L I n!J 0-1 et„n,tnl authorize AVF1141 -A Licensed Contractor Agent to sign the building permit application ats,!my agent to perform work at: Address ki S 1 kR.ScN V" Al Job Name or Description Starting Date License Type N ber Agent Signature Licensed Contractor Signature CONNECTICUT GENERAL STATUTES Sec. 20-338b. Building permit applications. Who may sign. Any licensed contractor, As defined in Section 20-330,who seeks to obtain a permit from a building official, may sign the permit application personally, or such licensed contractor may delegate the signing of the building permit application to an employee, subcontractor or other agent of the licens- ed contractor, provided,the licensed contractor's employee, subcontractor or other agent submits to the building official a dated letter on the licensed contractor's letterhead, signed by the licensed contractor, stating that the bearer of the letter is authorized to sign the building permit application as the agent of the licensed contractor.The letter shall not be a copy or a facsimile, but shall be an original letter bearing the original signature of the licensed contractor.The letter shall also include:(1)The name of the municipality where the work is to be performed; (2)tho job name or a description of the job; (3)the starting date of the job; (4)the name of the licensed contractor; (5) the name of the licensed contractor's agent; and (6) the license numbers of all contractors who shall be involved in the work. (P.A.91-95) 1500369 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 09/15/2015 GIS ID:71000115 FEE: 135.00 MUNIS APPLICATION# 201501244 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: KELLNER PLUMBING '' • ADDRESS: 115 PETERSEN WAY ADDRESS: 389 SLATER STREET,-,,.. OWNER: WAPPING COMMUNITY CHURCH INC SOUTH WINDSOR,CT_ 06074 ,1790 ELLINGTON RD SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALL TANKLESS COMBINATION BOILER. 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 9/15/2015 3:16 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1500368 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 09/15/2015 GIS ID:71000115 FEE: 15.00 MUNIS APPLICATION# 201501244 BUILDING DESCRIPTION: APPLICANT s f. LOCATION NAME: SUPERIOR ENERGY LLC."* ADDRESS: 115 PETERSEN WAY ADDRESS: 994 HARTFORD TPKE OWNER: WAPPING COMMUNITY CHURCH INC VERNON ROCKVILLE;,CT 06066 1790 ELLINGTON RD SOUTH.WINDSOR,CT 06074 DESCRIPTION OF WORK: PLACEMENT OF(2) 120 GALLON ABOVE GROUND�ASME PROPANE TANKS TO BE USED FOR NEW HEATING SYSTEM INSTALLED BY KELLNER PLMG. 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 9/15/2015 3:16 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE