HomeMy WebLinkAbout12 BIRCH RD a
APPLICATION FOR HVAC PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE)860-644-2511 EXT. 230
DEPARTMENT DECISION PERMIT NUMBER:
APPLICATION IS HEREBY: �6 1--
APPROVED: BLDG.PERMIT NUMBER
L�
D TE INSPECTOR
LOCATION OF WORK: a �(
a
APPLICANT: OWNER: TYPE OF STRUCTURE:
o NEW BUILDING
NAME: �IRSI�1 CTc- NAME: 1 IV � ❑ADDITION
PHONE NUMB ERJ_ � t� n 1 U PHONE NUMBER �
_�ct�� (�I �! STINGBUILDING
ADDRESSSL II_ ADDRESS: 02\^
S'�) _ �+ TYPE OF USE:
'\'�=(�� l �lJ �SIDENTIAL o COMMERCIAL
HVAC INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF SYSTEM: o HEATING I13/C
HEATING: 11 � ��^�`�/�,, r ' �/\ `.�
TOTAL HEAT LOSS(BTUH) °F (HEAT LOSS SHEETREQUIRED) Dn U-1"'T V 7.L��1 1 I I 1
DESCRIBE ALL HEATING EQUIPMENT(INCLUDE MAKE AND MODEL NO.):
ESTIMATED COST:S
AIR CONDITIONING: I�{
DESIGN TEMP:OUTSIDE T INSIDE T DIFFERENCE F' FEE ENCLOSED:S
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET REQUIRED) I
DESCRIBE ALL COOLING EQUPMENT(INCLUDE MAKE AND MODEL NO.):
I� M. C ^, FEE SCHEDULE:S18 PER Sl O THE TED COST.
I yL U1l TA ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS
_ S1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS PART
OF THE PERMIT FEE)
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 PERFOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: �@@ TYPE: J STATE:
SIGNATURE OF APPLICA DATE: _l '�
F
i
V
APPLICATION FOR PLUMBING PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074 (PHONE) 860-644-2511 EXT.230
DEPARTMENT DECISION PE NUMB
APPLICATION IS HEREBY:
HR:OVED: BLDG.PERMIT NUMBER:
JL-'ice
DATEIMPECTOR
LOCATION OF WORK: I Z t<< h G
APPLICANT:
OWNER: TYPE OF STRUCTURE:
PICO
❑NEW BUILDING
NAME: � ocX NAME: �e%j Ow,.� q o w%6 LL�-
D ADDITION
PHONE NUMBER: %0 611- 17 C 3 PHONE NUMBER: k6 U 551 - 7 V 7 EXISTING BUILDING
ADDRESS: ADDRESS: �_ a V K
J 11 t UT r O TYPE OF USE:
k• d 1 fo ESIDENTIAL ❑COMRIERCIAL
PLUMBING INFORMATION: FURTHER DESCRIPTION OF WORK:
TYPE OF INSTALLATION: �J
NO.OF TOILETS:_�STYLE: NO.OF BATHTUBS:
NO.OF SHOWERS:2—NO.OF LAVATORIES: O I�G<. V h iA► 1 LS
NO.OF CATCH BASINS: NO.OF FLOOR DRAINS:
ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY WINDOW?
OYES /�IO ESTIMATED COST: S
SIZE OF WINDOW: SIZE OF DUCTS:SE OR SEPTIC TANK: FEE ENCLOSED:S U.
SIZE OF WATER PIPING AND RISER:
WATER HEATER: TYPE MANUFACTURER
FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST.
ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT IS
$1.00 OVER. (.26 CENT EDUCATIONAL FEE INCLUDED AS PART
OF THE PERMIT FEE)
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 P{E�RFOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: L� O Z JI C ,TYPE: r STATE: cr
SIGNATURE OF APPLICANT: / DATE:
APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
APPRUVE 1540 SULLIVAN AVENUE �loo Z6S
644-2511 ext. 230 Bldg. Permit#
4
Date Building Inspector
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0-$1,000=$15.00 iLt
—A 9 )
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT J C U Ct C Q-
APPLIC NT DDRESS
APPLICANT'S PHONE# 9',>.-P ^ 70'0
OWNER f /
�(OWN S Fq OWNER ADDRESS oL Li
OWNER PHONE
ESTIMATED COST$ 0 O 0
IS THIS A CONTRACT COST? X Yes No
VFEE ENCLOSED$ 5
TYPE OF JOB: Zbo3
YJ
S . .CO New Installation
OR C �a 110 6 9
4alteration/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 ANO
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/WIRING METHOD G�YIQ X
SIZE OF SERVICE y` 00 SIZE OF MAIN CONDUCTORS O
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.
DESCRIPTION OF WORK
2 O !(ce— E'er �I-C4 n G J �—
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 Ct—
Y/& r
CONTRACTORS LICENSE NO. E jSTATE,,
SIGNATURE OF APPLICANT DATE
Electric # APPLICATION FOR BUILDING PERMIT
Plumbing# /
HVAC# FDate: f0 -12 G - I
Sprinkler#
FINAL APPROVALS Estimated Cost $ /OQ'1.
Permit Fee $ cob 00
Building COMPLETE RED BOXED AREAS Occupancy Fee $
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit ► SIGN ON REVERSE SIDE
Appr.forCO. Total Fee $ 0L7
TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant 0n.1ts 1 Location of Work Z _ _',r L _ Lot No.
Applicant's Address
++ ZZ �d, 1en� Tel # _
Town ,1 n c Zip O(o 0� Lic.#
Owner_New t 1ti•1 00.,o ut= Architect NA- _
Owner's Address Architect's Address
Zip Zip
Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit be\\(n fL olat open 90`` pF w^ll "Al ( wce es
�� eor- Qcr+flt�c�t1;w4441, l y
City Water _] WellA Septic System J SewerA
Ins: HO SP Cert. Area Basement Garage
Approved by Date Use Group Construction Type
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
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS
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CERCIFICATION OF ZONiNGI COMRLI N
Proposed building►,$)t U809) Ohdlof !ttft*t v',
as shown on this plan appeet) to bi t n
conformance with curren s Southal /��pt�►j�
19a,
y
1b
regulations. Variances and Pe JUN 1 > 1993
may apply. j
Date ` South Windsor
Zoning Enforcement Officer
BUILDING DEPARTMENT
rc, rft %AD" oVa. (OWN I#
Thleg sd 00 tAN P tin apd s e Reatbns are tro-
�� e O r D CI
/ p apofld rullditlg or alterytions to b.
�elJy�� G �� ereete4 a<
L 4--M-4
— _ Stree+
tOg er �Itk Mtetldtttents stated in appticetlon any
%ed **1'IW 4" 1 agree to comply with ati zoning,
9r11r(� e111d tNgM lads and such o►drrs as shah b.
%F tke ft"ag oepartment dw*a Jmndtncy
or tky OMUie900 god final Iseua" Of a bblldirw
Signed r a
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° •tl�aa the
COMPMA rsdulatlhg iay1� dials be
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APPLICATION FOR ELECTRICAL PERMIT
TOWN OF SOUTH WINDSOR BUILDING DEPARTMENT
1540 SULLIVAN AVENUE SOUTH WINDSOR, CT 06074(PHONE) 860-644-2511 EXT.230
DEPARTMENT DECISION PERMIT NUMBER:
APPLICATION IS HEREBY:
APPROVED: BLDG.PERMIT NUMBER:
DATE INSPECTOR
LOCATION OF WORK: I C- 1, c-� d
APPLICANT: OWNER: TYPE OF STRUCTURE:
❑NEW BUILDING
NAME: �,��C•J•• - NAME: N(..+ r"y G,n �{c��.C S LG ❑ADDITION
PHONE NUMBER:b�o PHONE NUMBER: �1 1�v U S S`1' Z`f1 )*E)USTING BUILDING
ADDRESS: I M�:Sa( _ /��2 ADDRESS:
TJ 115 C TYPE OF USE:
RESIDENTIAL ❑COMMERCIAL
ELECTRICAL INFORMATION: FURTHER DESC{RRIIPTION OF WORK:
TYPE OF INSTALLATION: r% i�\ IN
SIZE OF SERVICE:
SIZE OF MAIN SERVICE: c Aj-"
NUMBER OF METERS:
NUMBER OF PANELS:_ Q
NUMBER OF LIGHT CIRCUITS: ESTIMATED COST:S (J 0 e o
NUMBER OF SWITCHES: /
NUMBER OF LIGHT FD{TURES: FEE ENCLOSED:S G ` '
NUMBER OF A/C CIRCUITS:
FEE SCHEDULE:$18 PER$1,000 OF THE ESTIMATED COST.
NUMBER OF POWER CIRCUITS: ROUND UP TO THE NEXT THOUSAND ONCE THE PROJECT
IS$1.00 OVER (.26 CENT EDUCATIONAL FEE INCLUDED AS
NUMBER OF OUTLETS: PART OF THE PERMIT FEE)
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 PERFOMANCE OF SUCH WORK.
CONTRACTORS LICENSE NO.: -('' 2-2 L TYPE: Z _ STATE:
SIGNATURE OF APPLICANT: DATE: - 2-
6
ol �oll �
1900362 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 07/15/2019
GIS ID: 11100012 FEE: 180.00
MUNIS APPLICATION# 201901039 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: GLASCO HEATING&AIR CONDITIONING ADDRESS: 12 BIRCH ROAD
ADDRESS: 56 GLENDALE RD OWNER: MOGHADDAM MORTEZA
12 BIRCH ROAD
SOUTH WINDSOR,CT 06074-2416
DESCRIPTION OF WORK: INSTALL MINISPLIT HEAT PUMP
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY TI IE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: BUILDING OFFICIAL
7/15/2019 4:24 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1100205 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 08/17/11
GIS ID: 11100012 FEE: 15.00
MUNIS APPLICATION# 201100920 BUILDING DESCRIPTION:
APPLICANT , ..- LOCATION
NAME: IST CHOICE ELECTRICAL SERVICES ADDRESS: 12 BIRCH ROAD
ADDRESS: 215 LONG HILL ROAD OWNER: FORTIN THERESE
ANDOVER,CT 06232' ,,� — __ 12 BIRCH ROAD
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: REPLACE 200 AMP SERVICE ENTRANCE CABLE AND 200 AMP METER
SOCKET,.
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS,APPROVED BY THE BUILDING DEPARTMENT.
CONSTRUCTION TYPE:
OCCUPANCY GROUP: ro BUILDING OFFICIAL
8/17/2011 9:43 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1800588 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER PLUMBING PERMIT
DATE: 10/30/2018
GIS ID: 11100012 FEE: 90.00
MUNIS APPLICATION# 201802110 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: PIRO P NDOCI ADDRESS: 12 BIRCH ROAD
ADDRESS: 512 HAZARD AVE OWNER: NEW AGAIN HOMES LLC
12 BIRCH ROAD
ENFIELD,CT 06082 a
DESCRIPTION OF WORK: RELOCATE TOILETS REPLACE TUB AND SHOWER
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
10/30/2018 2:34 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE