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Home My WebLink About1179 AVERY ST Electric # APPLICATION FOR BUILDING PERMIT Plumbing# 1179 Avery Street Date: :7 r 3Y7�k-cr7 HVAC # IM Sprinkler# _ 7 3 0 9-7 9-- Estimated Cost $ FINAL APPR VALS — --- - - -- --_—" _- Permit Fee $ Building O COMPLETE RED BOXED AREAS I I Occupancy Fee $ Engineering TYPE OR PRINT ONLY i i Eng. Insp. Fee $ Affidavit - -- -- -- - - --- Appr. for CO. Poo. SIGN ON REVERSE SIDE Total Fee'�bT $ TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant CHAOS Brt••�CAw&/Z -_Location of Work it 79 Auegt S!' Lot No. Applicant's Address Iy jVe4,Cyr?1 E /trtCr Tel.# sy Town Motsjc:.NFSiC"2 C? Zip_QA0 9,0 _Lic.# 56/51 S� Owner #1AA4.E 1,6 jfy.+t,L Architect Owner's Address 117� A06W1- 5�i'. Architect's Address SA cowosn2 Gam' Zip G' .0 _ Zip_ Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area 4 5a Purpose of this permit NC&,,) &oor Ci ater❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement !Garage Approved by Date _ Use Gro Construction Revised 6102 i 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 this building and it se is allowed. e Signed I hereby apply for a Certificate of Occu ancy for work descn in this application for the permit_ Signed ;, DO NOT WRITE 8 OW THIS LINE INSPECTION COMMENTS APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE,OF SYSTEM: TYPE OF BUILDING: 'N HEATING ARESIDENTIAL ❑A/C ❑ COMMERCIAL ❑VENTILATION ❑ INDUSTRIAL HEATING ❑STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. 0 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.) l , , ,, �;c,. G c r-, /D o s�e� 1 A \r 40(5" GROSS HEATING CAPACITY(INPUT-BTUH)/y0,=,:�> NET RATING(OUTPUT-BTUH) ---7— TYPE OF FUEL M OIL-GPM OIL TANK LOCATION :a INSIDE❑OUTSIDE CAPACITY oL 75 ❑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. 03 '5�75r) S - 3 C 1- CONTRACTORS LICENSE NO. TYPE n STATE SIGNATURE OF APPLICANT DATE DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR RM T# Application is hereby: (\ BUILDING DEPARTMENT APPRO D 1540 SULLIVAN AVENUE c� m-0 644-2511 ext. 230 Bldg.Permit# Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: Or � t�r�-Y—_�— _ $0-$1,000=$15.00 Ffe—nant —T �'°eCt Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt. No. APPLICANT /- APPLICANT ADDRESS APPLICANT PHONE# O W N S F �y � q OWNER ! i P P E- L-� C �-I PAL ESS L `` OWNER ADDRESS Z ZZ 1/P it S-11/ zi j- say- U) +� OWNER PHONE ESTIMATED COST$ %,300 O O +� IS THIS A CONTRACT COST? Yea _No 14 7,o _ a�4 �C! FEE ENCLOSED$ TYPE OF JOB: 2�� OR-Co New Installation J Alteration/Addition/Repair Electric# APPLICATION FOR BUILDING PERMIT -?Iumbing# 1179 Avery Street HVAC # 28443 Date: Sprinkler# FINAL7R�� Estimated Cost $Buildin ' 7) "( COMPLETE RED BOXED AREAS OccuPermpancy F� Fee $ ��c Engine ' �/ TYPE OR PRINT ONLY Pa�Y Affidavit for 'SIGN ON REVERSE SIDE Total Fee $ Appr.for CO. TO WWt-*DEPART&IM,TOWN OF SOUTH WINDSOR,CT (Additional Cost) $ 31, The undersigned hereby applies to do work according to the following specifications: Job Location Lor No. Side of Street Zone Applicant ci � cc-,, �1 Tel# Address `": Zip 0z_¢ 2V Lic.# Owne Address Architect Address Sy.Ft.New Area: 1st Fl. 2nd Fl. 3rd Fl. Total New Area #Rooms #Lavatories #Bathrooms #Garages Purpose of this permit: P-e l ,5 City Water ❑ Well ❑ Septic System ❑ Sewer 0 Ins. H.O. S.P. Cert. Area Basement Garage Approved by -i KR- Date Ut tO`t G 2—Use Group Construction Type 2-L- Revised 9/01 I hereby agree to conform to all the requirements of the Laws of the S e of Connecticut and the nances of the Town of South Windsor and to notify the Building Inspector of any alteration the plans o'specification the Building for which this permit is asked,and agree that this building is to be I per distance from all str es,side yard lines,and required distances from all other zo ed in th' its use is allowed. gned I hereby apply for a Certificate of O cy for the rk described in this applic for the permit. 7 DON RIT ELOW THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment -----------------------------------------------------------=------------- ------ ++-28443-B 1,600 B10 FINAL 02/06/02 JFF D NO ACCESS LEFT DOOR TAG B09 OTHER 05/02/03 JRC A (WRONG ENTRY) B10 FINAL 02/07/05 JFF A WITH HOMEOWNER PER OWNER STOVE PREVIOUSLY INSPECTED AN APPROVED STOVE APPEARS OR B10 FINAL 02/07/05 JFF A CLOSED OUT. v DART HILL ROAD -a z 0 48.95' <�\`SO ilD o��t-C� low �e� 50 BUILDING LINE JZ un 26. 5' 30' 1 eve tHaSEr- 5- ` 12.5 _ Lo \bne(e�V , WOOD DECK PORCH n64 108 kwnw 83 - w is►oegs bns � 8 w � w o � — j zcli f iJ F 20' SANITARY SEWER ,s t All R.O.W. TO BE DEEDED cz TO THE TOWN OF �' 9 O'JTH WINDSOR PER SUBDIVISION MAP) m 'o } EXIST. SAN. SEWER W M H. 85 ) a Io 00' 82 THIS MAP IS COMPIL D rR0 OTHER MAPS. DEED DIMtN- SIONS AND OTHER SOURCES OF INFORMATION, NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND SUBJECT TO FINAL CHANGES AS A MORE ACCURATE SURVEY MAY �'� � �. ��' ;�c"'a�toM S bi rx,�� fir- -�-'E��°'"' � w� i r��-Y .� .::• Phis Certifivd thal I�t,s copies of the Proposed buildingW �^J/U tcj •Ieeted at 01 altafalbµY tJ 11 �� together with amendmen Sir CERTIFICATION OF ZONING COMPLIANCE ts ed in aPPlic,tlon E tiled with plan and 1 ag ree to comply with all i.:r.n, Proposed building(S), use(s) and/or structure(s) Building and state laws and such orders as Ehali issued by the Building Department duringas shown on this plan appear(s) to be m of this application and final issuance of a PDuidrt,t:Permit. conformance with current South Windsor Signed regulations. Variances and special exceptions This plan Is approved subject to the condition that may apply. orders and ordinances regulating building shag W a complied with. Date v Conditionally Approve ,These filed wilt Auliding Inspectol Enfororrt OfliW l:leAt ».ti zL z73 Ading(sh usOs) and/or s;;il. : - as shown on this plan appear(s) to conformance with current South *W egulations. Variances and special excc i S � imay apply. Date t2�;J Zoning Enforcerient Officer b u l liu-M i er cavil 1, STATE OF CONNECTICUT 3 WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen. Stat. § 31-286b) Property located at // -7 S _ C-0 �� Z In the town of r� Name of building permit applicant. Please check one: 1.x I am the owner of the above property. 2._I am the sole proprietor of a business. 2A.Name of business 2B.Federal Employer Identification Number(FEIN) .................................................................................................................... Pursuant to §31-286b,"a property owner or sole proprietor[who] intends to act as a general contractor or principal employer"may provide either a certificate of workers'compensation insurance or a"sworn notarized affidavit... stating that he will require proof of workers' compensation insurance for all those employed on the job site in accordance with this chapter." Please chec e: I do not intend to act as a general contractor principal employer. [Si n and stop re] Si of applicant f 2._I intend to act as a general contractor or principal employer.Applicant must either provide a certificate of workers'compensation insurance or sign the affidavit below. .................................................................................................................... Affidavit I hereby swear and attest that I will require proof of workers'compensation insurance for every contractor,subcontractor, or other worker before he/she engages in work on the above property in accordance with the Workers'Compensation Act(Chapter 568). I understand that pursuant to§ 31-275 C.G.S.,officers of a corporation and partners in a partnership may elect to be excluded from coverage by filing a waiver with the appropriate District Office;and that a sole proprietor of a business is not required to have coverage unless he files his intent to acre overage Signature of applicant Subscribed and sworn to before me this day of ,200 (Notary Public/Commissioner of the Superior Court) DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: � BUILDING DEPARTMENT APPRO 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# Date Building Inspector Application must be printed or typed FEE SCHEDULE tion of Job: $0-$1,000=$15.00 Street No. S et Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT DRESS / �C /��n/' <J�(i r � � < p i APPLICANT PHONE# O Z -7 2 OWN St OWNER O T r L. L / OWNER ADDRESS ,�Q / �/ ✓�Ct/ ,SjZ C07 d E� OWNER PHONE Z c� C / ESTIMATED COST$ 62�90- IS THIS A CONTRACT COST? _Yes /;-�10'No FEE ENCLOSED$ / 5 ,.#, O TYPE OF JOB: , S�R C _New Installation Alteration/Addition/Repair Revised 4/01//2002 '�I� APPLICATION FOR ELECTRICAL PERMIT (continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMIT APPLICATION? O YES ❑NO ❑RESIDENTIAL ❑BUSINESS CURRENT USE AND OCCUPANCY �— ❑ASSEMBLY O MERCANTILE FUTURE USE AND OCCUPANCY ❑EDUCATIONAL O 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 SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES O 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 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 Z �� 4 Electric# APPLICATION FOR BUILDING PERMIT.` PHVACI## 1179 Avery Street Date: 7 Sprinkler# 730979 Estimated Cost $ '� �� FINAL A4PRALS Permit Fee $�BuildingO 7FEPOO- SIGN PLETE RED BOXED AREAS Occupancy Fee $ Engineerin TYPE OR PRINT ONLY Eng. Insp.Fee $ Affidavitppr.for CO. ON REVERSE SIDE - C 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_CHATS 9a*--*cAnyc5vZ Location of Work 1179 Ajay, S1' Lot No. Applicant's Address 19 WGr46e W E YOZ4-C Tel.# f Town M0TxjCNES?e2 C Zip 06090 Lic.# SAI S I:� Owner_ ►FYI Aat.F Lh G",dLg— Architect Owner's Address 1179 1}.)gDY 55: Architect's Address I01.,yDS[YL Cf; Zip o Zip Sq.Ft.New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area IG StV. Purpose of this permit NC w 2cpjh• Ci ater❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement arage Approved by Date _ Use Gro Construction Revised W02 13 'S Electric # APPLICATION FOR BUILDING PERMIT Plumbing# HVAC # 1179 Avery Street Date: ( 7� Sprinkler# % � �$ _ FINAL P _ - — -- -j Estimated Cost $ if 62) —— Building I�'I Permit Fee $ COMPLETE RED BOXED AREAS Occupancy Fee Enginee ' TYPE OR PRINT ONLY Eng. Insp. Fee $Affidavit o SIGN ON REVERSE SIDE44 A r. for CO T t 1 Fee $� TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant C Location of Work ? S. Lot No. Applicant's Address t\"I! Pr C-t- S Tel.# -!j'C/y-a-a Town S . �— Zip Lic.# Owner cL L c` C(,, C Architect Owner's AddressA-V:7!j � _�� Architect's Address S - L— -r Zip cy(-6 7y Zip Sq. Ft. New Area: 1 st FI._ 2nd FI. 3rd Fl. Total New Area Purpose of this p i �' City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO Cert. Area BasementGarage wf:Approv by Dat Use Group Construction Type Revised 02 f , I hereby agree a 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 specificatio of the Building for which this permit is asked,and agree that this building is to be located t e proper distance from all lines,side yard lines,and required distances from all other zones and is located ils b ding a its use is a Sign I hereby apply for a Certifica;DO Occu f the described in:this applic or the permit. Sig NO RIT B k6W THIS LINE INSPECTION COMMENTS Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- �. **-32682-B 417 BO1 FOOTING 07/05/06 JFF A DECK PIERS WITH OWNER ED B10 FINAL 08/08/06 JFF D RAILS LOW AND NEED GRIPPABLE RAIL WITH OWNER TO CORRECT AND CALL B10 FINAL 08/04/06 CJD D B10 FINAL 08/11/06 CJD A B10 FINAL 12/01/08 JFF A