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118 PALMER DR
Electric # . Q-O!q 53 APPLICATION FOR BUILDING PERMIT Plu:,tbing# Date: HVAC #' 118 Palmer Hrive Sprinkler 32763__ FINAL APPROVALS - ____ _ - - - - - Estimated Cost $ z 7 0 o e.> - Permit Fee $ _ �_Vr; Building COMPLETE RED BOXED AREAS Occupancy Fee $ i Engineering Affidavit TYPE OR PRINT ONLY Eng. Insp. Fee $—r Appr. for CO SIGN ON REVERSE SIDE ! Total Fee $ r�i� TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $C/eZ 0> The undersigned hereby applies to do work according to the following: Applicant Location of Work Lot No. Applicant's Address 3�labs 1�,1 h Tel.# V, L -o Town :9\, Zip mC,<)a9 Lic.# 5el a?(n Owner Architect Owner's Address\\S 4aS1rnQ^ u ,1 1c_Architect's Address Zip ' (o Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit Fn�ey-e� i n M�.�.rl i 5 � �-e ct►�-uzn-t C• � T_ � . � %S lop City Waterr Well❑ Septic System❑ SeweV. Ins: HO SP Cert. Area Basement Garage Approved by ::!! � Date.rz-06, Use Group ,Construction Type Revised 6102 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 ckthis building and its is aI e . Signed J I hereby apply for a Certificate of Oc ancy for the work descri in this application for the permit. Signed DO NOT WRITE BE L W THIS LIN INSPECTION COMMENTS INSPECTION FIELD SHEET 01/19/16 ! Printed by Peart, Dayshell 09 54 03 INSPECTION: 82419 (.yFINAL PERMIT: STATUS: APPLICATION: 201600026 LOC: 118 PALMER DRIVE SOUTH WINDSOR PROPERTY ID: 68400118 OWNER: SILVERMAN ROBERT CONTRACTOR: REQUEST BY: PROJ DESC: INGROUND POOL CLOSEOUT FROM UNIX. WORK ORDER: INSPECTOR: DOUG RESULT: PASS c REQUESTED: 01/08/16 PRIORITY: SCHEDULED: 01/13/16 PM COMPLETED: ' 01/13/16 UNPAID FEES: 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS ROBERT @ 860-543-1889 WINTER MODE INSPCTN Electric.# APPLICATION FOR BUILDING PERMIT Plumbing# p HVAC# I '� [C�lry, ✓ Drive �C Date: 119 110 Sprinkler# ((4CC) stimated Cost $ 32 FINAL APPROVALS I Permit Fee $ (00 Building COMPLETE RED BOXED AREAS Occupancy Fee $ t n Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.fo - - ,c ► SIGN ON REVERSE SIDE t --70_ L Total Fee $ TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ ��g� The undersigned hereby applies to do work according to the following: Applicant Location of Work k)i Lot No. Applicant's Address Tel # 03 L(�Jz Town �1J�v_ �N\t�C1. 0 Zip Lic.# Owner i. C,I rt\6^ Architect Owner's Address \\$ PC�:\Mv-r `t>r . Architect's Address Zip Ci031i-i Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose of this permit tioik City Water J Well J Septic System J Sewer J 1 U 51 Ins: HO V SP Cert. Area Basement Garage Approved by (—)�— Date Use Group Construction Ty ov Revised 1108 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 its use is allowed. Signed �' +na— I hereby apply for a Certificate of Occupancy for the work escribed in this application for the permit. Signed M DO NOT WRITE BELOW THIS LINE INSPECTION COMMENTS $§ 7t;3.«. . ..::. • �-R 8�ih:Y. .� �.;.<AiI'-4R �, a�,>.; Sk �,�, :�.6 e ���.yr�a5f}..A• �'���t� _: .k'+'+�� t7'h��)a, ���'k�. F"�'s��;L>�`�., ;"-.. �'" .q � -J um �e-�.�:;�u+�' OAKDALETM 1402 WOOD BURNING INSERT Specifications Width Height Depth B7U. Unit Chamber Unit Chamber Unit Chamber EPI-1402 70,000 25 112 18 21 112 1? 25 1/2 18 2.25 Cubic Feet 10 1/2 X 16 1/4 Overview nse,*9,sce'FLA-IMM INSTALLATKNrI-section. 1� Door.see'DOOR AND HANDLE INSTALLATION' secWn. Rating Pam.see 'RAnNG PLATE NFORMATION' Blower,we SLOWER INSTALLATION section. section. Dmk see'AIR CONTROL'section. Sick and Befits,see 'BRICK AND BAFFLES INSTALLATION section. Dimensions �+--- 441/2'[1130 1 14' 1ff [356mm] 25VY[648nMn] [231mm] 246 22aMn]� 313/4' 1/Y( 21 llr 19314' '' 203l4' [502MM] [52firn] tt � �- 2111116[551mm]— 251111WMI 05/2015 06 , OAKDALETM 1402 WOOD BURNING INSERT Clearances Minimum Clearances to Combustibles Flashing Installation 1101 1402 A SiOerreN tr(432im1) 17•(432mm) _q".the trim ewes the f1,.hOq �? B 11artIM 24•ptlKan) 2T p11mm1 D TaD1�q 24'pttwn) 24'pNmmt D Stlefaanq 1•(25nan) 1'(25mm) aOEWALL 6 C R E Flaar4l(ap1aJ 14•(44fmw) 10'(406r.n 1 _ F Flaarth(t4ds) V QpLmq fi(2D3rrarr) I G Obl•d�in 41r 4mt of braart 48' t(1214ram) (12.'14nrrr7 I t w I I N YNdr(rno 24•(610mn) 24 V2• (622tm) Mp�� ► tM�1lMbra) 24m 26•(660itan) o p.-'`:Or,•- E . C124mo) p � 3 Hatt(nn" 2Y(554nan) K tlsylt(raar► 22•(S61em) 22'(SS6rwN) '�'6n,`_'R�11 E DaOIh 18 t!1' (418mm)go /4 V2• r ftarn add4r 34'6 l4san) 3P(44maK) N "emmaadw 44 Vd 46 t? \\1, (7141aan) (1147tttm) 0 O Faeng ftigM 48 11r 47 3W ` „ - (1232own) (1213awN) P Marwtl 48 1? q 3ri' i;_ 4 'K If (1232tfrn) 11213tNan) � Must be norticanbuWft and exiend n from ot t L �T - Ore Ole"and8'(203mm)onbaths•Oes*An - Typical Existing Masonry Rrndu m fact r(of 1!"113mmj and a drenrw - condu<Lvdylac>orlK)O81 FOLLOW MANUFACTURER'S INSTRUCTIONS FOR Low Clearance Flue Connector MAXIMUM LINER EXTENSION An ABOVE CHIMNEY a'bpn Ida ei ararr.'e hr cwxrertfx tc.av:r�l.rtJr tofacitate hook up rob a fight J"freptarr_ConsuR y,, brat dealer for detaas. NOTE'TW kit shadd be u"d In oon)unedon wnh a&Ipk oonnfkotor b@ftv"n tM 4w oo4ar and Ilex finer. 41 1 Having ermured0"11hedwnr yrsSnorgugyy Ao FlFx°� MASONRY clean.nsta4 roe 4m brow-Inswt a drpbas cam neclor aft the Ste co4ar-A4ach the Sex tier ID01her end CHIMNEY MUST screws. a adaplw.sewsusurpe-48 —roueCMtjut HAVE ml ecru" �` STRUCTURAL 4.1 so Cod the woe gashes around 4rc frkswt gue , INTEGRITY sear re erc tap between Ore co4ar and Ile inert — - ri.stnr up sq--V the� p4-� hy'ftch ow y—pbm ;.x", 1 `© DAMPER PLATE LISTED REMOVED OR CHIMNEY 4.1.4-6 Move fte km.bVo LINER p�"°1Ei0B Ma aeenitwecnue FASTENED IN OPEN rrwNw drc iwwt d(Pa.rro the two sloe 4oted 1he.ksatPOSITION 94SERT- �\ 4.1.6 Thrwedieslp_24samr,,,,�����on#* eaded SEAL WITH NON- "1G raacctnr,a4oNwrg 41e I=car�lor In be drawn r nira ■kmab p��e d" b0k°A 1A` COMBUSTIBLE NOTE Check for 4 good saal bohman dw Wou Nt mp,rod dr dfre connecoMATERIAL W acre.). up the iniuv comar,acr �1ia�r4 a aP FLOOR PROTECTOR Product information provided is not complete and is subject to change without notice. Please consult the installation manual for the most up to date installation information. INSPECTION FIELD SHEET O1/22/16 Printed by Peart, Dayshell 14 38 56 INSPECTION: 82543 WOOD / GAS STOVE PERMIT: STATUS APPLICATION: 201600051 LM 118 PALMER DRIVE - SOUTH WINDSOR PROPERTY ID: 68400118 , OWNER: SILVERMAN ROBERT CONTRACTOR: REQUEST BY: PROJ DESC: INSTALLATION OF WOODSTOVE INSERT IN DINING ROOM. WORK ORDER: INSPECTOR: ROSE RESULT: N/A REQUESTED: PRIORITY: SCHEDULED: COMPLETED: 01/19/16 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: ALL INSPECTIONS INSPECTED INSPECTOR RESULT INSP DESCRIPTION O1/20/16 DOUG PENDING BO10 FINAL KIMBERLY_@ .860-830-5760-" O1/22/16 DOUG PASS-.._..__...----,BO10--.FINAL -- -KIMBERLY Q"860-830-5760 Electric # A PPLICATION FOR BUILDINP PERMIT Plumbing# 118 Palmer Drive HVAC# � 0 FD t Sprinkler# 900 1000021 Estimated Cost $ d dod FINAL APPROVALS Permit Fee $ �00 Building COMPLETE RED BOXED AREAS Occupancy Fee $ Ic? Engineering TYPE OF PRINT ONLY Eng. Insp. Fee $ Affidavit ► SIGN ON REVERSE SIDE / L Total Fee* Appr.forCO. CCU$ TO THE BUILDING PARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ The undersigned hereby applies to do work according to the following: Applicant ocationofwork o wit /NC LotNo. Applicant's Address 41 f Tel # art? 7o5!;- _ Town rJD �� . L 4(0 �"� Zip Lic.# (003 70 9 Owner 024 6 S i(vr,/ Architect iM !SC L L Owner's Address //p /oA-An - Architect's Address Zip Zip Sq. Ft. New Area: 1 st FI. j bJD 2nd Fl. S-&t- 3rd FI. Total New Area gro e Purpose of this permit AaFIL A%,e 44PIA6.E -bviW 14",or Lk4ft td SWdJ City Water Well ❑ Septic System D Sewe�OV Ins: HO SP.. I, Area Basement Garage Approved by ;. Date S. 7S. 10 Use Group Construction Type aot0000go Revised 1108 r 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 prop distance from all street lines,side yard lines,and required distances from all other zones and is loc this br d its use is allowed. Signed I hereby apply for a Certificate of Occupancy fodescribed in this application for the permit. Sign DO NOT E BELOW THIS LINE INSPECTION COMMENTS ' BUILDING PERMIT loc:om2l r STATE OF CONNECTICUT WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen. Stat. § 31-286b) Property located at //t�— In the town of �. L�l/.e�2!G�O�r, Name of building permit applicant: Please check one: 1._I am the owner of the above property. 2. ,/I am the sole proprietor of a business. /�! 1_ 2A.Name of business A'L�/li4d--floo Ay/`i1ur 0"`�i.( &h L L G . 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 check o e: 1. d inters act as a e eral co or or cip ploy g ands p re] �r plicant 2. V 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 prop . for of a business is not required to have coverage unless he files his intent to acre t coverage Signature of pplicant Subscribed and sworn to before me this day of ,200_. (Notary Public/Commissioner of the Superior Court) DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR t GOO b BUILDING DEPARTMENT APPRO ED 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# _�) to o coo 21 Date Building Inspect Application must be printed or typed FEE SCHEDULE Location of Job: Fiinant $0-$1,000=$15.00 Street Lot No. Over$1,000$15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT S rn APPLICANT ADDRESS APPLICANT PHONE# 1 2-t� - 0 VS OW N St OWNER S\\ V e-i OWNER ADDRESS Ct U b OWNER PHONE U C ESTIMATED COST$ * IS THIS A CONTRACT COST? _Yes _No FEE ENCLOSED$ tv S TYPE OF JOB: `t(J �SOR•CO New Installation L-10teration/Addition/Repair APPLICATION FOR PLUMBING PERMIT (continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES)I NO �i 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) CITY STATE ZIP TYPE OF INSTALLATION ` � aazl��ory SIZE OF MAIN DRAIN NO.OF TOILETS STYLE ) 6 NO.URINALS STYLE NO.OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS \ SIZE -:�) — NO.OF STACKS�_ SIZE 3 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 EYES ❑NO SIZE OF WINDOW �L X 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 THE UNDERSIGNED HEREBY APPLIES FOR A PERMIT TO P ORM THE WORK DESCRIBE13 AND IS TZ5— COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. CONTRACTORS LICENSE NO. TYPE STATE SIG TURE OF APPLICANT DATE Revisod 4/01//2002 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT APPROVT 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 - I coo a c�2 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: F:Ten!an:tDes\ignation o v-,-cx$0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Apt.No. APPLICANT T t C' �z APPLICANT ADDRESS APPLICANT PHONE# asA\- U\ \ O N St OWNER O c_ S`,�\j e 1 mcn,C% ,O q� OWNER ADDRESS OWNER PHONE d 2— U kz) a�S O � C ;D ESTIMATED COST$ w IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ O U TYPE OF JOB: 1 W SOR-Co New Installation ✓Alteration/Addition/Repair .F APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE QF UILDING: HEATING RESIDENTIAL ❑A/C ❑COMMERCIAL ❑VENTILATION ❑ INDUSTRIAL HEATING FH TEAM LOW PRESSURE LIMIT LBS. HIGHPRESSURE LIMIT LBS. YDRONIC ❑WARM AIR ❑UNIT RADIANT HEATERSTING 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.) CA. U, GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) 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 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 S � �,�_�� DATE ae 8 - A CALCULATION SHEET 1503 (Modern Mstho(J) Cbp Yfllni 1977 by Tne HreibnKt Insail.10 ADDRESS 0CI10N T9M/9 R A T U A E 01FFERENC[ aO F. DATE v COL.A COL.6 COL.CCC COL.O COL.[ COL.F COL.G I ROOM --- 0: IRAS /„7,/I /�jJ• W H L W N L W H L W K 1. N Oe$IIn W$Iet T$Tp. O H L 2 ROOM DIMENSIONS. FT. U Zg z STUN per Feet of �d/) R$eUtlea!Selectee LENGTH E-POSEO WALLS.FT. < e WINDOW AND OUTSIDE DOOR AREA STUN STUN STUN STUN STUN S WALL CONSTRUCTION ROOM LIN. PT.OF ITebie9•Line]a H) TOTALS RADIATION FROM LINE 12 SELECTED 6 TYPE OF GLASS /l o p l9ollom of table wood Io V t Line 91 Z �� �ji O� �� •..�f.!/!l 7 CEILING CONSTRUCTION /� C IT able 9.L a W) •O 0 O O D S FLOOR CONSTRUCTION r ITabio9.LaWOf Lin. Ft1 •o 9 COLO PARTITION CONSTRUCTION P ITabla 9.L a HI 0 10 ` 1 Walt IWith Ooenlfpd i ; H 2 Wells(With Openings exl p �.----�- 1 ]wNlf 1Wan OpeMnpel or Ent.Hen t/ � DOD J 11 TOTAL STUN AT 700 TEMP DIFFERENCE• 12 TOTAL STUN AT DESIGN TEMP. DIFFERENCE V COL.A COI.• COL.H COL.1 COL. J COL.K COL•L TOTAL STUN TOTAL OF BUILDING RADIATION 1 ROOM AT SELECTED O H L W H L W H L W H L W )e L W DESIGN T DIFFER [LI►.• ENtE ! ROOM DIMENSIONS,FT ►- _ �_ U ! LENGTH ExPO9[O WALLS. FT. < e WINDOW AND OUTSIDE DOOR AREA CC STUN STUN • STUN flu" STUN -INCREASE BATHROOM S WALL CONSTRUCTION TOTAL 20♦ ITable 9.Line S a HI 6 TYPE OF GLASS (Sodom of taboo beta for Line SI _ _ LFOR CONCRETE FLOOR ON 7 CEILING CONSTRUCTION GROUND OR FILL AT ..RAGE LEVEL.USE LINEAR ITable 9, L a Wl _ FEET OF EXPOSED EDGE [ FLOOR CONSTRUCTIONS IT$bls 0.L ■W of Lin FI I 9 COLO►ARTITION CONSTRUCTION ITable 9.L ■ N1 10 C 1 Well IWItA OpemnS$1 0 — :0 e; 2 Wells tW.tn Open.nqel p a �J 3 Wan$IWItn Open-not) at Ent Hall .. 11 101AL 31UH AT 700 TEMP DIFFERENCE' 12 TOTAL STUN AT DESIGN TEN/ DIFFERENCE -- �--- -11, FORM I501 nit loan is o-feobie from Tne Npa.onkf Insti4ite 36 Raub Piece,Seitelor Hoynte, N J 01922 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 10 0 001r} APPROVr 1540 SULLIVAN AVENUE • 644-2511 ext. 230 Bldg. Permit# � � loci z1 Dat Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: 16�/z p/e. $0-$1,000=$15.00 Street No. Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT T � �trTyJjL Z/i/C APPLICANT ADDRESS S72-�- —S T So v T'/� u",,.✓Z)fa& x rT APPLICANT PHONE# (') — L `] /YI/ OWN S F OWNER V Al A1,j n1 x,10 r ,Qz 5.- 9��ZESTd2 f1 T�0•J U E q< OWNER ADDRESS y110 r Ac 6, ,0 CIA11?— OOC O r OWNER PHONE SIC Q -- e28 — 70�� C ESTIMATED COST$ 7 CPOd IS THIS A CONTRACT COST? ✓Yes _No FEE ENCLOSED$ Z- 2 Q, f��s O�� TYPE OF JOB: I1I '603 R C _✓New Installation _Alteration/Addition/Repair — 2.OloC> 00 H0 Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILD- IS THIS APPLICATION ASSOCIATED)VITH A ING BUILDING PERMIT APPLICATION? ©'YES ❑NO RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑ASSEMBLY FUTURE USE AND OCCUPANCY S/4/CL 6?� ❑ MERCANTILE ❑ EDUCATIONAL ❑INSTITUTIONAL ENGINEER'S NAME PHONE ❑ FACTORY ❑ STORAGE ADDRESS ❑GARAGE ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD Alm SIZE OF SERVICE 2 Q(1 /q SIZE OF MAIN CONDUCTORS_9 0 NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER OF LIGHT CIRCUITS b NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES 'Y6? NUMBER OF OUTLETS rO NUMBER OF LIGHT FIXTURES�,�NUMBER OF HEAT CIRCUITS_ Z 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. ,zo , 3 7/,f j 7/y CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT >c!�(,[�Cp DATE�2 15 2`1.7y IN-YAR I MENT DECISION _ APPLICATION I'OR HVAC PERMIT Application is hereby: TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT APPRO ED 1540 SULLIVAN AVENUE � - .Y l� 644-2511 ext. 230 Bldg. Permit ti Date Building Inspector ------------------- Application must be printed or typed FEE SCHEDULE O n / Location of Job: $0-$1,000=$15.00 Street No. -- Over$1,000= Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt. No. APPLICANT ADVANCED Heating & Air Conditioning, Inc. APPLICANT ADDRESS 701 Nutmeq Rd No ou h Windsor, CT 06074 APPLICANT PHONE# 1 8 6 0 ) 2 8 2-0 2 0 5 ` A o w N s Fq �u� ��'� R 1,00"lQ < OWNER ADDRESS y6 Q //� -3 OWNER PHONE D -^,o F Ze S—F-7 Y C ESTIMATED COST x IS THIS A CONTRACT COST? _yc.s No A. FF:1� FNCLl)SFI)R 7_5-B — 'I�USOR:CoN� I1II ��► ���Ii `��� APPLICATION FOR HVAC PER_NlI I' (Continual from FeVcFsv I"l PE OF SYSTEM: TYPE OF BUILDING: ❑ HEATING )9'RESIDENTIAL L / ��C Cl COMMERCIAL J VENTILATION J INDUSTRIAL is %. iNG :i STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT ❑ HYDRONIC Cl WARM AIR ❑ UNIT RADIANT HEATER EXISTING RADIATION ADDITIONAL. RADIATION _TOTAL RADIATION DESIGN TEMP. OUTSIDE OF INSIDE °F DIFFERENCE. _ TOTAL HEAT LOSS (BTUH) °F (HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MOD1 L NO.) CROSS HEATING CAPACITY (INPU"T—BTUH) NET RATING (OUTPUT—B'I-C'll) TI PE OF FUEL J OIL—GPM OIL TANK LOCATION :Cl INSIDE❑ OUTSIDE CAPACIT1 _ J C.\S—INPUT_ 1-PG TANK CAI'ACI"I-Y ELEC'"1 RUC- K�� AIR CONDITIONING DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE _ TOTAL HEAT GAIN (BTUH) (HEAP GAIN SHEET MUST ACCOMPANY APPL!�_ , DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE K MODEL NO.) TONNAGE COOLING CAPACITY (BTUH) VENTILATION DESCRIBE ALL AIR HANDLING EQUIPMENT"(INCLUDING KITCHEN E`JiAUST E<iL'ii'.`.li I-OTAL. SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM) (PLANS MUST ACCOMPANY APPLICATION) FURTHER DESCRIPTION OF WORK I'liL: UNDERSIGNED HEREBY APPLIES FORA PERMIT TO PERFORM THE WORK DESCRIBET: .�.. ONTPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODE- 'N PERFORMANCE OF SUCH WORK. 303614 S-1 CT CONTRACTORS LICENSE NO. "TYPE �!u:'�A-PURE OF APPLICANT- 7 �d PALMER DRIVE o vs'4a• CONC. MON CONC. MON. r 26.3p" 36.69' --A-94 '00- NA L�23. R_15.00 ANC- MON. T�15,00 M. GARET 0. OL 92 PG. 132) r fo oN > EXISTING HOUSE 03, DECK 4� , 104.�c 104 ` I- _ Ap 50.86' I, C 1 C) / 04, _ O CONCRETE 4. 0 36.0 E x. CB CL PROP. oo \ TF:104.00 w P09C o - Ld TDW 104.50. 1 5.1 p4 �1.09 -tLS Zl 1'I t 5, 104 1 20' S.Y. 03 211.17 X105.3�� sm _ aG N/F 115' KATHLEEN A. RUSSO (VOL 911 PG. 2) Yd06.9 vam 4Q k*NMA3#VTM fill e Wevi J(16mobw �NCdQ `a} �6 Tel. 860.291•8755 PREPARED FOR: Fax 860-291.8757 SHEET sign ROBERT& BMUYJ. S VERMAN POOL PLOD PUH fessionals 1 I engineers • planners • surveyors u$ pALMM DRM CRAW BY IIHA ,R1B NO.:2346 OF 1 lscape architects • gin bps g0 1Y1NDSOR, < 1167 South Windsor Connecticut 06074 CONNECTICUT ffoay Br, um DA7£' 7/P6/06 JAN 15 2010 South 4yincisor BUILDING DEPARTMENT of the proposed LuiWing cr alterations•to "ctod at .rther 'Ith `.:tvd in application a d with pir:n ;,.,d I ,nr-e i • ,ply with all zonin; 14; end =t=te Ir-.s ar such r•rden as sh, jl b by the Buifd,r•.: i ertM,nt during penden�, al Issuance of 8 buUdin; t. .is to approv subject to the condition th rd._rs and urdin,,❑ s regulating bulldtng shall be di,..J :.Ith >nditronally Approved These filed with iding Inspector Clcr` CERTIFICATION OF ZONING, OWAPLIANCE Props,. `;*ucture(s) LtrQc,�, s shoe:. be in conforma n cE-, N/ind,3or §t,.-Vvwv1 regufatic` eptions Il d` may a;' � ' Date S //// M Zoning En/olNNOW 00W DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT E Appli TOWN OF SOUTH WINDSOR 3IC`�; BUILDING DEPARTMENT 1540 SULLIVAN AVENUE 644-2511 ext. 230 Bldg.Permit# kig Inspector 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$1,000 _ or any fraction thereof Tenant Designation Apt.No. APPLICANT d �2 ai, t S S t✓ t APPLICANT ADDRESSq9-0 ��� APPLICANT PHONE# D o OW N 3F,q OWNER k;cm c,If/CrrH.�e.r1 OWNER ADDRESS S, b 4a 7 OWNER PHONE X& Y,-?c2 'D6-?.S C ESTIMATED COST$ . b � IS THIS A CONTRACT COST? _Yes Z No FEE ENCLOSED$ ✓ 1��s O�� TYPE OF JOB: R C ;Z New Installation Alteration/Addition/Repair I31�V APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE,OF SYSTEM: TYPE OF BUILDING: ❑HEATING XaESIDENTIAL ❑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) -F(HEAT LOSS SHEET MUST ACCOMPANY APPLICATION) DESCRIBE ALL HEATING EQUIPMENT(INCLUDING MAKE&MODEL NO.) GROSS HEATING CAPACITY(INPUT-BTUH) NET RATING(OUTPUT-BTUH) TYPE OF FUEL ❑OIL-GPM OIL TANK LOCATION :❑ INSIDE❑ OUTSIDE CAPACITY 5LGAS-INPUT LPG TANK CAPACITY aZ0 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. H�lr, 03 5 7 5 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT DATE 7 DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT ApFiery: TOWN OF SOUTH WINDSOR RMIT# BUILDING DEPARTMENT 1540 SULLIVAN AVENUE Bldg.Permit# I , W-2511 ext. 230 Date u lding Inspector 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$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT 1't1 i C H ICE L APPLICANT ADDRESS Si11�1 S F T t�1 ll G E STA F r0(Zn S pakh� ns QA7)WM C)ii,071 APPLICANT PHONE# B(,U C i?4 Ll 63 U 1%0 N S F4 OWNER ZOI,) + ► S 1 Lv t"Q 1A'A h OWNER ADDRESS 1 l R ��►� , IM t l�R t I S.W. _ OWNER PHONE C ESTIMATED COST$ Cj�, xIS THIS A CONTRACT COST? Y Yes _No p , ' a �G FEE ENCLOSED$ LA 5.!70 (?,e/// Z 1� TYPE OF JOB: �S R•C O New Installation Alteration/Addition/Repair APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES O 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/WIRING METHOD SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑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. (cis F" E Ci- CONTRACTORS LICENSE NO. ,TYPE STATE SIGNATURE OF APPLICANT ( DATE S - 1 w -0 6 r ' AA O 6 L {b CORPORATE OFFICE P.O.BOX 548,WINDSOR LOCKS,CT 06096 HOME SERVICES Plumbing,Electrical,Heating,Cooling&Home Heating Oil G // /8L To Whom This May Concern: Aiello Home Services authorized Peter Butler, Ray Page, Russell Horrocks, or Linda Dawson-Hayes to pull permits for our company for any plumbing, heating or air conditioning replacements or new installations. If you have any questions please call our office at 860-292-2600. This letter is for a permit for the property located at: iv mu' Dr. in or o Homeowner: Rtolcrf I- K%M •r. �r�/MCn N Vqt- 194C.• o EI«- Id`.ea Permit Fee Amount: 16-*0 Sincerely, Michael Jezouit President Windsor Manchester Enfield Avon New Britain Glastonbury Middletown (860)688-4881 (860)648-2397 (860)745-1783 (860)673-7377 (860)225-5523 (860)633-3108 (860)346-8144 FAX(860)292-2662•TOLL FREE 1-888-956-4455•CT Lic.P1-203350•S1-303032•E1-187195 DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT TOWN OF SOUTH WINDSOR PERMIT# Applic n y. ` BUILDING DEPARTMENT PROVED 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 Date ing Inspector Application must be printed or typed FEE SCHEDULE Location of Job: Pq/#,(4- Tar. $0-$1,000=$15.00 FTenant Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT _A 1 c,Nc &ML TLf V, CLr APPLICANT ADDRESS P C• 60Y S yP Vnljer Locks t-T 0405G APPLICANT PHONE# �t��I A. jj66 S 010 N Se OWNER P&r{ f k; J';IYt1Y'1'1QA OWNER ADDRESS tip PRIShtr- S'004 Wi n i for , C.'f 46o 7y OWNER PHONE C ESTIMATED COST$ �f DOO. OO +� * IS THIS A CONTRACT COST? Yes No `_ FEE ENCLOSED$ 19-C. so �?t ��C�G f��s O�� TYPE OF JOB: �R C _New Installation X Alteration/Addition/Repair RPviged am 1 a?nm APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: ❑HEATING 4 RESIDENTIAL IkA/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.) GROSS HEATING CAPACITY(INPUT—BTUH) NET RATING(OUTPUT—BTUH) 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) (SDESCRIB ALL COOLING EQUIPMENT(INCLUDING MAKE& MODEL NO.) IX �411`� O�G � L�..r�oX c8X,3,zh►✓-o3G 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 1-3o3o3 k S I r-r CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT � ���'"� DATE �a G r� E ' +GON ECTIC] f' DEP T t C'(�1�� � a � FN MICHAEL R SOU ' �. PO BOX 548 VUN�DSO :Q6096 has been'. 'mer Proton as a ae� ft, t` is T wu 1„ Y k L �t 1 ' , :q .. ' 8/31/2r `s i� h+•^71° z " trf A �1t ? � :4 Y ,. i..v'�•'f..• .li"t� }v P" .- P.,; .�r•�.1:. -9:�.1.• T7 - - .!, ' ..s.-y.,sglr,�' •�.' -•,i•�;:;��y.'.� -x�_:�:11•� �:.- - .-�. T_'� wx'`,•J�Y,yi+,' �' a� ,�1 � -+ µ Jti" u�r N ,,: r° �- }�T,�:�t,+i�.�_:1~ �: ='..+, 3N�� ."x�� r�rgr�� �y`7iwrl�„yo�, + `�}t'�,�. "'r ; T n �•`'�, 4yc,� ?-;s.Ftc f���',�J,�'��,M; E} .1 Y� ' .^tr + ., ✓y,:� ��y � ;, �' � t�; fi, FA H `�i. *?,r.. x".� �� .i-'-p''�wl �c..C.� " '1-t 1 � rf.4��,�'y�y�Y-�f K�-.1 .. •,5,. - it-f.�, a, f ~� �,�y T �� N _4 W �♦ `, .^ ,! ,-' q.�py+�.r tit' d�� •S; r itP�'44+�y, i '�„Fxn,�. .E-,':' t s"�/ '-., Ems- aN` �a a �'.. r'-i` �,E•� -i •f yya. ., ../\ le .� M�'ti � �h� L•f' 1F',C Y..n+ '� .•-��� J .R}'x" ".y + ,E. ii. '.l ! •- 1 _ i }r^ �+'F�1.t' Yfi�T•�lS .,a..«t a .hvl—Y•t'r S �. �f�p(7; 1(31 4r F.'!r �'l + �, tiS�t _ _w� L7l' 3-� ♦ *S trr..,.,r.^ ..' '�i'•,t .y Q �^i .ram# .f['. y" .;C^'.' .+ 'Y• .rs r M � - C .'' '��++`� yyr'xFSw .1 �'�• � .p.Ysf'�ar .'r .�yll, r. k�n ' � ��r,� .r:a. Mr.. �Ars�',ti .► •+ I ; 741. .. � �, rt• �A'�"•' sty��; i• i� ,� J�i r*��Tru kJt._�•,. T '_�s+�.y�y,,, -f."i+w.K. n ..�.R' Yy:J�" .M 1�♦ � f11 ,t .. ^x '�_ i CORPORATE OFFICE PO BOX 548,WINDSOR LOCKS,CT 06096 AOELL® Plumbing Electrical Heating Air Conditioning_&Home Heating Oil HOME SERVICES Municipality: 5,44 U;Abot Date: G///SIG Job Name: e L&1 t '- K12% si/Vt./' "4n Street: I I P bl m t*- I r. City: ICPA wiA44Or Starting Date: & Permit Fee: 1.r.00 Job Description Per Public Act#91-95 This letter authorizes the following employees Peter Butler, Ray Page, Linda Dawson-Hayes,Tony Esposito, Russell Horrocks to sign the permit as an agent of Aiello Home Services for the above mentioned job and location. Michael Matthews Applicable License E1 — 191819 Windsor Manchester Enfield Avon New Britain Glastonbury Middletown New Haven Branford 860-6884881 860-648-2397 860-745-1783 860-673-7377 860-225-5523 860-633-3108 860-346-8144 203-777-8588 203-488-1187 Fax 860-292-2662, TOLL FREE 888-956-4455, CT License#'s S1-303032,P1-203350, E1 - 191819 j STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION f Be it known that MICHAEL A MATTHEWS 23 LANCER DR ENF has been certified by a ,� hmen!3 GP Protection as an I ELECTRICAL t � NTRACTOR 'A. fs TRANStV=��'r i ) Effective: 12/14/2005 I i Expiration: 09/30/2006 —_ Edwin R Rodriguez,commissioner I s DOB 10-23-1973 Ev 10-23-2009 Gass:2 RestrB Endocs LSE - Sex:� V:6-00 Fv,-BRO Issued 11-17-2N3 NATMEWS MLCHAEL A 23 I KUK ENFIEL.f3CT. ELECTRICAL,LJNL ITED CONTRACTOR El MICHAF41�A MA HEWS :I:dtbR Ems : ' 06082 LIC./REG NO; ��• FE IVE 191819 ' EXPIRES f ov, I14/20 09/30/2006 x i>3 SIGNED T RnSrU;r DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR ee-,!,> ��� BUILDING DEPARTMENT APPROVED 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 ext. 230 Date Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: F P41�� fir.$0-$1,000=$15.00 Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT 11 Hone Scrwas APPLICANT ADDRESS •B• O Sy Wl A lla- Louc.r/_�yc r yGo 9� APPLICANT PIJONE# �� I���• �GIO SOW N SFq OWNER Rvbtr4 1 k-'P% SA rn9n OWNER ADDRESS 1�� p91mt r br. Sow W�nkA,- , C.1 O 0071 Oa OWNER PHONE fty y 3 -�3t C ESTIMATED COST$ ISO.d O IS THIS A CONTRACT COST? Yes _No FEE ENCLOSED$ �.r•AD C' ��� r��sO O�� TYPE OF JOB: R C _New Installation Alteration/Addition/Repair Revised 4i01in002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES 0 NO O BUSINESS CURRENT USE AND OCCUPANCY ❑ASSEMBLY ❑MERCANTILE FUTURE USE AND OCCUPANCY O EDUCATIONAL ❑INSTITUTIONAL O FACTORY ENGINEER'S NAME PHONE ❑ STORAGE ❑GARAGE ADDRESS ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD 41C C07-—T' 'l SIZE OF SERVICE SIZE OF MAIN CONDUCTORS NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑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 lc Gar - ✓ 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. EI- IV44r LT CONTRACTORS LICENSE NO. TYPE STATE , SIGNATURE OF APPLICANT DATE l�/ 6 Town of South Windsor Building Department Location ABuilding permit# Z� SWIMMING POOL REQUIREMENTS: This list is not all inclusive,please refer to pool packet. •3 A 48" barrier shall be provided to protect pool access. Including a temporary fence for in ground pools prior to excavation. •3 Access gates shall be self closing and self latching(if less than 54"high the latch shall be on the pool side and be protected within 18"of release mechanism. •: Doors providing direct access to the pool area shall either have an alarm,a self closing self latching device 54'min.from floor or the pool shall be provided with a safety cover. ❖ No receptacle within 10'of pool. (Except locking type receptacle for pool equipment,must be at least 5'from pool and GFCE protected). •: All metal parts of the pool structure fixed metal parts within 5' of pool, pump motors etc., shall be bonded with a minimum#8 solid copper wire using proper bonding lugs. Convenience GFCI receptacle shall be provided between 10'and 20'from pool. Trench depth for 20 amp Max.GFCI protected circuit to pool equipment shall be 12"deep minimum. •: A surface pool alarm shall be installed pursuant to Public Act 99-140. ❖ All Swimming pool pumps shall be provided with a time clock. Entrapment avoidance shall be in accordance with the provisions of Section AG106. REQUIRED SWIMMING POOL INSPECTIONS: The following is a list of inspections that need to be performed prior to the continuation of work. Request for inspections can be made by call the Building Department at 644-2511 (a 24 hour notice required). 1. TRENCH AND BONDING- Electrical trench depth verification and bonding of pool and metal appurtenances including metal reinforcing for gunite pools and concrete decks. 2. FINAL ELECTRICAL- Location of equipment and GFCI protection, pump timer and convenience outlet provided. 3. IF NAL_Swimming pool access protection must be in place before pool may be used. Each swimming pool Installation requires a Building and an Electrical permit. Additional permits and inspections may be required for pool decks. have read and unders d e r q e ents ted bo JApplicants Signatur Dat 4 ��" f bU1LUINU Yr,ttMl'1' STATE OF CONNECTICUT WORKERS' COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors �-I (Conn.Gen.Stat. §31-286b) Property located at b x In the town of x/ Name of building permit applicant: t / I Please check one: 1.— 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,Ka 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 check one: 1. I do not intend to act as a general contractor or principal employer. [;aturae a sto he e of a ph ant 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 herebyswear and attest that I will require roof of workers'compensation insurance for �1 P Pe 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 accept coverage. Signature of applicant Subscribed and sworn to before me this day of ,200_. (Notary Public/Commissioner of the Superior Court) 08/01/2006 TUE 10:14 FAX 860 644 7280 South Windsor Town Hall 0001 ********************* R *** FAX TX REPORT *** ********************* TRANSMISSION OR JOB NO. 1797 DESTINATION ADDRESS 918004388040 PSWD/SUBADDRESS DESTINATION ID U.S. Census Bureau ST. TIME 08/01 10:11 USAGE T 02' 32 PGS. 2 RESULT OR ri r A/- r �V �'�bsoR•co� Town of South Windsor 1540 Sullivan Avenue South Windsor, CT 06074-2786 e zphone. 960)-644=25"ri Fax: (860) 644-3781 FACSIMILE TRANSMITTAL SHEET To: U.S.Census Bureau Fax Number. 1-800-438-8040 From: Peggy Holcomb,Administrative Secretary Date:August 1,2006 Re: Report of Privately-Owned Residential Building or Zoning Permits Pages:2 Please call me at 644-2511 Extension 230,if you have any questions. POOL ALARM MADE IN THE USA oo1guarde PBMINDUSTRIES, INC. MODEL PGRM_2 MEMBER ASTM MR1 • MEETS ASTM STANDARDS NATIONAL ° SPA L POOL IHSTITVTE • DETECTS INTRUDERS • SITS ON DECK • BATTERY POWERED -_ • LOW BATTERY INDICATOR :: `.y • NEW SENSING TECHNOLOGY ---' ` " • NO ADJUSTMENTS NECESSARY � - • EASY TO USE ' • COMPLETELY PORTABLE • AUTOMATIC RESET • AFFORDABLE PRICE • IMPORTANT SAFETY FEATURE ' • IN HOUSE REMOTE RECEIVER POOLGUARD POOL ALARM The NEW MODEL PGRM-2 introduces "NEGATIVE DISPLACEMENT TECHNOLOGY", a new sensing method that requires no adjustments. Entry into the pool by children, pets, or intruders is detected by the unit's - electronic sensor, and sets off a loud, pulsating alarm. Safe, simple, and easy to operate, the 9-volt battery 4 powered alarm does not require tie-downs, ropes, or wires. POOLGUARD comes with a remote receiver which sounds an alarm inside the home when the unit is activated at the pool. The POOLGUARD alarm system can be used with a solar blanket on the pool. POOLGUARD comes with a limited 3 year warranty. Meets all ASTM safety standards for pool alarms: ASTM-PS 128-01. CALL TOLL FREE: 1-800-242-7163 MODEL PGRM-2`' 2. P.O. Box 658 • North Vernon, Indiana 47265 • www.poolguard.com INCREASES POOL SAFETY TM HAYWARD AUTOMATIC COVER PRESSURE STYLE CHLORINE FEEDERS FEATURES: EASY-LOK COVER ASSEMBLY has thread-assist CHLORINE CHAMBER mechanism to provide dependable sealing plus conven- ient access for adding I i d g tablets or sticks. CHLORINE CHAMBER has extra large capacity.CL-100 INTEGRAL series feeders hold up to 4.2 lbs. of Tri-Chlor tabs, while DIAL the larger CL-200 series has a 9 lb. capacity to meet the FEEDER REGULATING requirements of all sizes and types of pools. Corrosion- VALVE proof, versatile design accommodates large or small slow-dissolve tablets or sticks. DIAL REGULATING VALVE is easy to use and lets you control and adjust the rate of feed for your pool's variable requirements and chlorine demand. FEEDER TUBE provides controlled outlet flow of highly concentrated chlorinated water plus serves as an auto air relief to expel entrapped air from the chlorine chamber. VERSATILITY for new or existing pools. Select either direct in-line or off-line unit to make installation easy for your pool or spa system. f }+EATER FILTLP PAP;- 11 HEATER FILTER - I rf;o` � PO — f—OUILET-r 4—i Lrl CL-100 and CL 200^IN LINE Y +CL 110 and CL-220 OFF-LIIJE FEEDERS are furnished with 11/1" FEEDERS install next to filter sys- f PT threaded inlet and outlet.For -tern and work on system pressure rigid PVC piping installations, 1112" differential. Connects easily with socket flush union connectors are - ,'compression couplings for new or available to provide a professional existing system. All necessary ors H installation that allows for future Optiofl _ connectors and tubing are fur- Saddle Clamp: service. Union Co nished with each feeder. For easy install w$ystem i in y ;: New economical automatic chlorine feeders sized to handle the sanitizing needs of most residential pools. They have 4.2 lbs. capacity and feature an incremental dial control valve for accurate metering of feed rate. CAUTION: Hayward automatic chlorine feeders are designed to - =_ -_ use only Trichloro-S-Triazinetrione tablets(or sticks)-slow --_ dissolving type.Consult your pool dealer for complete information. CL-110 -' t• r - r HAMMDO O HAYWARD POOL PRODUCTS,INC 900 Fairmount Avenue.Elizabeth,NJ 07207 California: Canada: Belgium: Hayward Pool Products,Inc. Hayward Pool Products Canada Hayward S.A. 2875 Pomona Boulevard 2880 Plymouth Drive Zoning de Jumet Pomona,CA 91768 Oakville,Ontario L6H 5R4 B6040 Jumet,Belgium 01988 Hayward Printed in U.S.A. Super Pump° High Performance Pump Series Exclusive,Swing- Lexan'See-Thru All Components Heavy-Duty,High- Aside Hand Knobs Strainer Cover lets you Molded of Corrosion- Performance Motor make strainer cover see when basket needs Proof PermaGlassXL`m with air-flow ventilation for removal easy.No tools cleaning and eliminates for extra durability and quieter,cooler operation. required...no loose guesswork.Special self- long life. parts...no clamps. adjusting seal assures Heat Resistant,Industrial Mounting Base provides dependable sealing. I Size Ceramic Seal. stable,stress-free support,plus Long wearing,and 100% versatility for any installation drip proof.For fresh or Salt requirement.Adapts 48 and 56 water use Agg g W. frame motors. Super-Size Housing has extra air handling capacity to assure rapid priming. Totally Balanced, �' Service Ease Design gives Corrosion Proof Noryl — simple access to all internal parts. Impeller has smooth,wide Motor and entire drive group openings to prevent fouling or assembly can be removed,with- clogging.Energy efficient out disturbing pipe or mounting design produces more flow at - connections,by disengaging just equivalent horsepower. four bolts. 1 1 Modelp• Dimension HP KVV inch inch mm I SP-2600X5 1/2 0.37 1'/� 11'/� 286 1'�=j SP-2605X7 '/4 0.56 1'A' 111Y 295 • SP-2607X10 1 0.75 11/2' 11'/e 302 f vrr SP-2610X75 11h 1.12 1'/2' 121/4' 311 xw a SP-2615X20 2 1.49 2• 131/e 337 SP-2621X25 21/2 1.86 2' 131/e 349 Super Punps are also available with dual speed motors. , m tt. 30 100 �Yea'Warranty •in Straine 27 90Housing 24 80 21 70 18 60 �- SUPER-SIZE 110 CUBIC INCH BASKET has 15 50 - extra leaf-holding capacity and extends time c 12 40 between cleanings.Rigid construction with ~ 9 30 (z -1. w) load-extender ribbing assures free flowing oper- 6 20 ation for heavy debris loads. 3 tLE 10 zsoo 9P- 7x10 (1'h -1.1 ) h -•.a Kw - Super PumpO Series Pumps are listed by: 0 0 (i,xr- . 0 10 20 30 40 50 60 70 80 90 100 110 120 130 140 GPM 0 38 76 114 151 189 227 265 303 341 379 416 454 492 530 LPM L NSF® CIP CAPACITY PER MINUTE 0 12 HAYWARD POOL PRODUCTS, INC. Hayward Pool Products,Inc. Hayward Pool Products,Inc. Hayward Pool Products Canada Hayward S.A. 900 Fairmount Avenue 2875 Pomona Boulevard 2880 Plymouth Drive Zonig de Jumet Elizabeth,NJ 07207 Pomona,CA 91768 Oakville,Ontario L6H 5R4 B6040 Jumet,Belgium 26-93 01997 Hayward Printed in USA DETAIL A 14GA.CALVANIZ(Q 'w MEL YXI 6111 URMSTRUBED EMIN 42' !IV L LI t 6*coKkIE FOOTER 71,X41 X12, EF.ARixc PLATE Z'BOTTOM MATERIAL II'XjI' 14 GA. 3/8' REVA GALVANIZED AW DETAIL A A var-ILL TO BE SAND. GRAVEL OR OMER NON EXSPARSIYE IIATTA. K -vvt G D F H J H E POOCUI 1E A 0 c 0 E: F G H- J K L -NO DIVING BOARD RIM 1z'X ?-.A, A I?-' ZX w -7114o^ C., ZW zw -3,4.1 zivlo- (_CARDINAL SYSTEMS , INC Rs 14* A Zb' * 14' Z4; ld 7'6' 6' Z'4W V jr 9* .3v zg,6vv LE - 6 R. C 0 RN x .3 1 U 32' 8- 141 6- 8• 4 8• • 3!�9'14' TKK wc p- RECTANG J4 8' 4' S' 3 Iiv' I U 3A* lZ'j 14-1 ii9A=4tr4- I m" III 1.11"Ll. A 's 1. "IM � 10' 3'W 40'5" -US 15 14. • 4' IS, 4' 2!11 Lam—l-AI,A,(-A.kll—ftll-vA IZ314'193/958 SCALS: NO E JA N. 1990 4 A 4o' 20' 4D' DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT Application is hereby: TOWN OF SOUTH WINDSOR PERMIT# BUILDING DEPARTMENT APPR T 1540 SULLIVAN AVENUE 1 644-2511 ext. 230 Bldg.Permit# Dam Building Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 FT-enant Street Lot No. Over$1,000= $15.00 per$1,000 or any fraction thereof gnation Apt.No. APPLICANT / T �1 L CL L^Z i-i�(G 1 J G APPLICANT ADDRESS 7 U ,S'b cJ 72q , CZ- APPLICANT PHONE# — 6`I'tl — 3 1(--2 e 11%OW N St OWNER .�—�.L��`-y� T— A/ OWNER ADDRESS .SO v i A cc/%/D-fd— p CT o OWNER PHONE 8 8 0 C ESTIMATED COST$ �Q e IS THIS A CONTRACTCOST? Vfes _No ZS , FEE ENCLOSED$ TYPE OF JOB: — OS�R•C 0 New Installation l O _ ll Alteration/Additio Repair Revised 4/01//2002 APPLICATION FOR ELECTRICAL PERMIT (Continued from reverse side) TYPE OF BUILD- IS THIS APPLICATION ASSOCIATED WITH�� ING BUILDING PERMIT APPLICATION? ❑YES L NO PRESIDENTIAL CURRENT USE AND OCCUPANCY /C y A/e.�t� ❑BUSINESS ❑ASSEMBLY FUTURE USE AND OCCUPANCY 4 << i ❑MERCANTILE ❑EDUCATIONAL ❑ INSTITUTIONAL ENGINEER'S NAME PHONE El FACTORY ❑ STORAGE ADDRESS ❑GARAGE ❑MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD , )A4 SIZE OF SERVICE 167G SIZE OF MAIN CONDUCTORS 3— A(-_ NUMBER OF METERS NUMBER OF DISCONNECTS AND RATINGS NUMBER OF PANELS REMOTE DISCONNECT REQUIRED? ❑YES ❑NO NUMBER OF LIGHT CIRCUITS NUMBER OF POWER CIRCUITS Z NUMBER OF SWITCHES NUMBER OF OUTLETS__2- 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 1S TO COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFORMANCE OF SUCH WORK. /0 3 7/8 le!�— — i C 77— CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT !/ DATE 8le FOR BUILDING PURPOSES ONLY AID V PROPERTY OF NO . PALMFR DRIVE SOUTH WINDSOR, CONN . Being Lot No . 45 on map entitled "BIRCH HILL ESTATES Foster Street South Windsor, Conn . Property of U if R Housing Corp. Scale 1 " = 1001 Date : Jan . 21 , 1963 Hayden L . Griswold Scale i " = 501 SpT HAYDE,N I.. GRISWOLD C.E. C PALMER DRIVE '4-15.05'40• N CONC. MON. CONC. MON. � T�28.5p 36.89' �~ e-901000, 00, L�23. / R CONC. MON. T�15. I EDWARD M. & MARGARET 0.MESSER / / ✓ fog, w / EXISTING HOUSE �01 > 1p2,0 � 0 �70`� H 1p3�4 `Yu / 0 L CK I �1Q4 I NOTES: / X101.77 - .104.92 -I.ELEVATIONS ARE ON ASSUMED DATUM. Aa I/�104 5 I Y+ A 0 't O 2.PROPERTY IS LOCATED IN THE AA-30 ZONE. / ``/� 04. 5D.86 O :S( CONCRETE i ?? 1EXISTING HOUSE IS NONCONFORMING TO ZONING FRONT YARD SETBACK REQUIREMENTS. / � _ 4. D 36.0 EX. CB 0 / P c , + Lij ,�• ��-1SS 103.6X Tx�w1o4so•. 1 5,1 '61.09� ; �, ,.,.+���`.. ^. ` 04. 104 zbr 03.50 YAP REFERENCE: to �20' S.Y. <A 1.BIRCH HILL ESTATES FOSTER STREET,SOUTH WINDSOR,CONN. PROPERTY OF V h R HOUSING CORP.• _O SCALE 1•-100'DATE: JAN. 21, 1963 BY HAYDEN L GRISWOLD C.E. ` Ary 211.17' X105.3 ' ^ J �'���- �•" '� N SURVEY NOTES: PETER d: LUCILLE A. PERKINS I. THIS SURVEY AND MAP HAS BEEN PREPARED IN ACCORDANCE WITH SECTIONS 20-300b-1 1HRU 20-300b-20 (VOL. 92 PG. 378) N/F OF THE REGULATIONS OF CONNECTICUT STATE AGENCIES- 'STANDARDS FOR SURVEYS AND MAPS IN THE STATE KATHLEEN A. Russo OF CONNECTICUT.PREPARED AND ADOPTED BY THE CONNECTICUT ASSOCIATION OF LAND SURVEYORS.INC..SEPTEMBER 26.1996. i - •TYPE OF SURVEY IS AND IS INTENDED TO DEPICT THE LOCATION OF EXISTING CONDITIONS RELATIVE TO PROPERTY LANES. THIS IS A DEPENDENT RESURVEY BASED ON MAP REFERENCE n• i ♦HORIZONTAL ACCURACY MEETS CLASS A-2 STANDARDS AND VERTICAL ACCURACY MEETS CLASS T-2 STANDARDS. TO THE BEST C M NOWLEDCE AND BELIEF,THIS MAP IS SUBSTANTIALLY CORRECT AS NOTED HEREON. 12327 LAWRENCE R. GEISSLER, JR. LIC.No. Tel. 860.291.8755 1.UNLESS AS SH ISE NOTED,BASED EXISTING unuTY Fox 860.291.8757 PREPARED FOR: REVISIONS SHEET LOCATIONS AS RMATI ARE BASED IN TIES GRAPHIC SCALE SHO BE FIELD AVEPo�FIM PROM TO CONSTRRUCCTI N. 40 0 20 40 e s i g n ROBBRT 1�181�RLP J. SIl y�iR�IAN POOL PLOT PLA B ALL KISSUTUTIES ARE SURVEYOR V STAKED R THE FlE1D rof es s i o n Q I s 1 BY A LICENSED LAND SURVEYOR PRIOR TO Na: me CONSTR PLAN N OF . v engineers • planners • surveyors US PALMM DRIVE DWAXNV er. AIHA ,A:IB 3.THIS PLAN IS MVAuO UNLESS IT SEARS THE civil t P OF THEIMPWEPROFE��ONAL E AND EEER/AL SVVRRVEY�OR. NO. DATE DESCRIPTION By 1 inch = 40 it• landscape architects thVAndor • gigonn •tut SOUTH VANDSOR. CONNECTICUT aem Or Lout DA 1F.• 7/76106 PO Box 1167 South Windsor. Connecticut 06074 1� AUG 01 YUU6 South Windsor BUILDING DEPARTMENT 10 THE B'.'ILDi:N(a ii--I. L.MN ;:,i WUM Y:ltiG�Jr This certifi.,d that this plan and specifications are tru4 Copies of the proposed building or alterations to ba erected at )18, �- Street together with amendments stated in application ano filed with plan and I agree to comply with all zoning. Budding and state laws and such orders as shall be Issa,d by the Building Department during pendency of this application and final Issua a building, perm e l0 Signe This p1 n is approved subi the condition that or,fers and ordinances reg•1 g building shall be cnmplied with. Coud.tfonally Approved These filled with evil-iing inspector Clerk n.t.. No. ' CERTIFICATION OF ZC' krr•f.a -^,,i,IPLIANCE proposed buildir-' ' tructure(s) y as shown on I to be in Windsor Conform p n�^ exceptions fegulationcs V,. :., may aPPY Date el U�. ing 'ill iVGbbb..�•• .,•iicec r' J .;,, 'a 1 .• (""¢ W1 OiW DATM S 4 G.f V DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR —�" BUILDING DEPARTMENT AP OI�R vE 1540 SULLIVAN AVENUE Bldg. Permit# 644-2511 ext. 230 -3o c Date Bui in Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$I-1.00 Street No. Street 7No. ]No.Over$1,000= $1j.00 per$1,000 or any fraction thereof Tenant Designation A APPLICANT APPLICANT ADDRESS APPLICANT PHONE# O WN SF OWNER q� OWNER ADDRESS �. U) a OWNER PHONE �f�/ L �-�� C ;D ESTIMATED COST$ � � V "�• IS THIS A CONTRACT COST? ❑ Yes Z*o �l �G FEE ENCLOSED y y SOR CO TYPE OF JOB: 4ew Installation 11 Alteration/Addition/Repair Revised 5101 APPLICATION FOR HVAC PERMIT (Continued from reverse side) TYPE OF SYSTEM: TYPE OF BUILDING: .'HEATING -d'RESIDENTIAL ❑A/C ❑COMMERCIAL ❑VENTILATION ❑INDUSTRIAL HEATING ❑ STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. Z-HYDRONIC ❑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 AJ L HEATING EQUIPMENT(INCLUDINq MAKE&MODEL NQ.) GROSS HEATING CAPACITY(INPUT BTUH) // S7GC NET RATING(OUTPUT—BTUH) IeC c a� TYPE OF FUEL rd OIL—GPM "�TOIL 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 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. r CONTRACTORS LICENSE N TYPE STATE SIGNATURE OF APPLIC DATE i r Northeir9l'W66d Stove 148 North.Road East_ Windsor,CT 06088.. • Y 860-254-5156 A l DATE: NAME: ��vF�t�►.,zt/• t :ADDRESS: CITY, STATE, ZIP: J` llJi _Sra c. Gar " EMAIL ADDRESS: ' CELL" PHONE .' 11416 HOME PHONE: QUANTITY DESCRIPTION AMOUNT l Y 'L' � Fes.• y SIGNATURE: I _PERMPIS SYCUSTOINER - ALL SALESAREFIM4L i -� iliiiill............ LUUA"It 9 NNE LA 30 .......... ZY I . Or c3� ,rjw .......... 02ds 12 u 13 IG 17 THIS sup rj),VJ RUMENGE /0 ............. ��� �� Lo ��L �� Pam-i� 10- \Jro os CV 'I � S \JQQ a »s t OV 1327 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF OCCUPANCY DATE: 04/23/10 GIS ID: 68400118 FEE: 10.00 MUNIS APPLICATION# 201000040 r BUILDING DESCRIPTION: APPLICANT,,',"' LOCATION NAME: MANNARINO BUILDERS.INC, ADDRESS: �� 118 PALMER DRIVE ADDRESS: 400 CHAPEL ROAD :aJ ' OWNER: SILVERMAN ROBERT UNIT 3F � 118 PALMER DRIVE SOUTH WINDSOR,CT 06074;;':-` :SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: FIRE DAMAGE REBUILD INTERIOR(DEMO TO STUDS)REWIRE PLUMBIN G INSULATION,ADD SECOND STORY ROOM SPECIAL CONDITIONS: a ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 4/23/2010 1 1:21 AM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE 201600040 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF USE DATE: 01/19/2016 GIS ID:68400118 FEE: 0.00 MUNIS APPLICATION# 201600026 "., �` ""` .„ BUILDING DESCRIPTION: APPLICAN {: v LOCATION / e'NAME: SILVERMAN ROBE 3; ADDRESS: 118 PALMER DRIVE ADDRESS: 118 PALMER DRIV ,OWNER: SILVERMAN ROBERT SOUTH WINDSOR,CT 06074 ` 118 PALMER DRIVE `" SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INGROUND POOL CLOSEOUT FROM UNIX. PERMIT NUMBER:32763 FEE PAID WITH ORIGINAL PERMIT. 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 1/19/2016 9:57 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 201600043 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF USE DATE: 01/22/2016 GIS ID:68400118 FEE: 10.00 MUNIS APPLICATION# 201600051 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: SILVERMAN KIMBERLY J ADDRESS: 118 PALMER DRIVE ADDRESS: 118 PALMER DR OWNER: SILVERMAN ROBERT SOUTH WINDSOR,CT 06074-2949 118 PALMER DRIVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALLATION OF WOODSTOVE INSERT IN DINING ROOM. (PREVIOUSLY INSTALLED IN 2013 BY NORTHEAST WOODSTOVE) 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 1/22/2016 2:43 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600028 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 01/22/2016 GIS ID: 68400118 FEE: 60.00 MUNIS APPLICATION# 201600051 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: SILVERMAN KIMBERLY J ADDRESS: 118 PALMER DRIVE ADDRESS: 118 PALMER DR OWNER: SILVERMAN ROBERT SOUTH WINDSOR,CT 06074-2949 118 PALMER DRIVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: INSTALLATION OF WOODSTOVE INSERT IN DINING ROOM. (PREVIOUSLY INSTALLED IN 2013 BY NORTHEAST WOODSTOVE) 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 1/22/2016 2:39 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1000021 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 01/25/10 GIS ID:68400118 FEE: 1,200.00 MUNIS APPLICATION# 201000040 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: MANNARINO BUILDERS INC ADDRESS: 118 PALMER DRIVE ADDRESS: 400 CHAPEL ROAD OWNER: SILVERMAN ROBERT UNIT 3F ` -' 118 PALMER DRIVE SOUTH WINDSOR,CT 06074 0 -SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: FIRE DAMAGE REBUILD INTERIOR(DEMO TO STUDS)REWIRE PLUMBIN G INSULATION,ADD SECOND STORY ROOM, 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 1/25/2010 12:34 PM THE FEE ABOVE INCLUDES A$0.16 PER THOUSAND CT STATE EDUCATION SURCHARGE 1000039 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT 2 DATE: 02/08/10 GIS ID: 68400118 FEE: 30.00 MUNIS APPLICATION# 201000040 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: IMPERIAL PLUMBING CO.,INC_. ADDRESS: 118 PALMER DRIVE ADDRESS: 648 SULLIVAN AVENUE OWNER: SILVERMAN ROBERT P.O.BOX 875 118 PALMER DRIVE SOUTH WINDSOR,CT 06674 SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: FIRE DAMAGE REBUILD INTERIOR(DEMO TO STUDS)REWIRE PLUMBIN G INSULATION,-ADD SECOND STORY ROOM INSTALL SEPARATE ZONE IN NEW ADDITION AND REPLACE EXIST.BACKBOARD. 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 2/8/2010 12:15 PM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE 1000031 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 02/03/10 GIS ID: 68400118 FEE: 75.00 MUNIS APPLICATION# 201000040 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: ADVANCED HEATING&A/C ADDRESS: 118 PALMER DRIVE ADDRESS: 701 NUTMEG ROAD NORTH OWNER: SILVERMAN ROBERT SOUTH WINDSOR,CT 06074 118•PALMER DRIVE SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: FIRE DAMAGE REBUILD INTERIOR(DEMO TO STUDS)REWIRE PLUMBIN G INSUL'ATION,ADD SECOND STORY ROOM 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 2/3/2010 10:23 AM THE FEE ABOVE INCLUDES A SO.22 PER THOUSAND CT STATE EDUCATION SURCHARGE 1000017 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 01/27/10 GIS ID: 68400118 FEE: 120.00 MUNIS APPLICATION# 201000040 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: T&H ELECTRIC INC. ADDRESS: 118 PALMER DRIVE ADDRESS: 570 FOSTER STREET = OWNER: SILVERMAN ROBERT SOUTH WINDSOR,CT 06074 118 PALMER DRIVE 'SOUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: FIRE DAMAGE REBUILD INTERIOR(DEMO TO STUDS)REWIRE PLUMBIN G INSULATION,ADD SECOND STORY ROOM WIRING HOME. 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 1/27/2010 2:50 PM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE 1000038 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 02/08/10 GIS ID: 68400118 FEE: 75.00 MUNIS APPLICATION# 201000040 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: IMPERIAL PLUMBING CO.,INC. ADDRESS:. 118 PALMER DRIVE ADDRESS: 648 SULLIVAN AVENUE OWNER: --SILVERMAN ROBERT P.O.BOX 875 118 PALMER DRIVE SOUTH WINDSOR,CT 06074 SOUTH,WINDSOR,CT 06074 DESCRIPTION OF WORK: FIRE DAMAGE REBUILD INTERIOR(DEMO TO STUDS)REWIRE PLUMBIN G INSULATION,ADD SECOND STORY ROOM ONE BATH ADDITION AND REPLACE FIXTURES IN OTHER BATHROOM. SPECIAL CONDITIONS: r ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 2/8/2010 1 1:53 AM THE FEE ABOVE INCLUDES A$0.22 PER THOUSAND CT STATE EDUCATION SURCHARGE