HomeMy WebLinkAbout12 DARLENE DR APPLICATION FOR ELECTRICAL PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT
APP O . 1540 SULLIVAN AVENUE
Bldg:Permit#
gam)j� 644-25I I.ext. 230
Date Building Inspecto
Application must be printed or typed
FEE SCHEDULE Location of Job:
$0411000 $15.00 /� Dett 1 e�c.� �!` J\0—
Over$1,000= Street No. Street Lot No.
$15.00,per$1,000
or any fraction thereof Tenant Designation Apt:No.
APPLICANT L7 V5 SA
APPLICANT ADDRESS o o C , s
e)64
APPLICANT'S PHONE:# 0,` C�
OWN SF OWNER c).W �� ✓� a� Ca moo/
'� '4� OWNER ADDRESS
C OWNER PHONE
Q. ESTIMATED COST$ .4(5
a G� IS THIS A CONTRACT CAST? __,,-Yes No
VA - ` FEE ENCLOSED$. �.
TYPE OF JOB: J
OR-COS New Installation
Alteration/Addition Cepair
Revised 03/05/10
APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side)
TYPE OF BUILDING IS THIS APPLICATION ASSOCIATED WITH A
BUILDING PERMIT APPLICATION? ❑ YES ❑ NO
❑ RESIDENTIAL CURRENT USE AND OCCUPANCY S cit
ut C.
❑ BUSINESS kc
❑ ASSEMBLY FUTURE USE AND OCCUPANCY -
❑ EDUCATIONAL
❑ INSTITUTIONAL ENGINEER'S NAME PHONE.
❑ FACTORY
❑ STORAGE ADDRESS
❑ GARAGE
❑ MDCBD USE CITY STATE ZIP
(Other please specify)
TYPE OF INSTALLATION/WIRING METHOD
SIZE OF SERVICE SIZE OF MAIN CONDUCTORS
NUMBERS OF METERS NUMBERS.OF DISCONNECTS AND RATINGS
NUMBERS OF PANELS NUMBERS OF DISCONNECTS REQUIRED? ❑ YES ❑ NO
NUMBERS OF LIGHT CIRCUIT'S NUMBER OF POWER CIRCUITS
NUMBER OF SWITCHES NUMBER OF OUTLETS
NUMBED 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 HEARBY APPLIES FOR A PERMIT TO PERFORM THE WORK DESCRIBED AND IS TO
COMPLY WITH ALL LOCAL ORDINANCES AND STATE OF CONNECTICUT BUILDING CODES IN THE PERFOR-
MANCE OF SUCH WORK
CONTRACTORS LICENSE NO. TYPE STATE
SIGNATURE OFAPPLIC DATE
APPLICATION FOR HVAC PERMIT
DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT#
Application is hereby: BUILDING DEPARTMENT 1(06 63;q
ApP p 1540 SULLIVAN AVENUE
644-2511 ext. 230 Bldg.Permit#
Date Building
Application must be printed or typed
FEE SCHEDULE f Location of Job:
$041,000=$15.00
Over$1,000= Street No. Street Lot No.
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt.No.
APPLICANT
APPLICANT ADDRESS b d
�� /
APPLICANT'S PH�NE�# O• Z' f
OWNER
�OMIN SFq< OWNERADDRESS 4� o� rJ� ✓
OWNER PHONE 96 o''' • O77 U
C F ESTIMATED COST$ 7,, �a1S
C �
U IS THIS A CONTRACT COST? Yes No
FEE ENCLOSED$
TYPE OF JOB:
OR-CO New Installation
Alteration/Addition/Repair
Revised 03/05/10 .
APPLICATION FOR HVAC PER (Continued from reverse side)
TYPE OF SYSTEM: TYPE O BUILDING:
YHEATING RESIDENTIAL
A/C ❑ COMMERCIAL
❑ VENTILATION ❑ INDUSTRIALHEATINiG
(3 STEAM LOW PRESSURE LINIIT 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 BEATING CAPACITY VNPUT 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 °F INSIDE °F DIFFERENCE_°F
TOTAL HEAT GAIN(BTUH) (HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COO G E UIP NT(INCLUDING MAKE&MODEL NO.)
TONNAGE 3••� COOLING CAPACITY(BTUH)
VENTILATION
DESCRIBE ALL AIR HANDLING EQUIPMENT(INCLUDING KITCHEN EXHAUST EQUIPMENT)
TOTAL SIZE OF SYSTEM(CM 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. 5�93cl S 4 FQ . 3
CONTRACTORS LICENSE NO. STATE
SIGNATURE OF APPLICANT DATE a
GARDNER Et PETERSON ASSOCIATES' na HMTF0RD TlJ4 P#X TOLLAND, CONNtCT/CUT 06084
►1 is•�7'23"E
t4A
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c 147• .t) 1l =
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APTAW fcI►•gtJ'r %
60
0�a w'�
�ARLENE PRIVE
MORTGAGE SURVEY
NOTICE
IAT #29 — RAINBOW HILLS Reproductions of this plan are invalid if they do
PREPARED FOR U & R CONSTRUCTION 00. , INC.,^ ,noead the impression seal of the undersignee,
TOWN OF SOUTH WINDSOR ,CONNECTICLITO I"� � 't'`'I"Landt b Surveyor and/or Professional Engineer.
SCALE: 1" c.'• -�
a
I hereby declare"that the location of the building as shown is substantially
correct and that there are no zoning violations of the same.
CLASS A-2: I also hereby declare that this map and-survey were prepared in
accordance with-tH4-standards of a Class A-2 Survey as defined in the Code of
Practice For Standards of Accuracy,of Surveys and-Maps, adopted December 10,
1975 as ame ed b th on necticut-Association of Land Surveyors, Inc.
� _
_
DA ay 9, 1987 Z��'"" � JJw �f
��tv L.S. #10839
REFERENCE: Revision to Subdivision Rainbow Hills Town of South Windsor;
Conn. Gardner & Peterson Associates Tolland, Connecticut Scale 1" = 40
Date 5-31-85 Revisions 7/30/85 8/8/85 11/29/85 8/27/86
PROFESSIONAL ENGINEERS r f�
LAND SURVEYORS �Y� .• �,,Y ,'rj�j
� •
i0 LNb SUUktG /iFf. lowl1 W S"TH WIN"U,
This eerti i"that this pan and realtlaatlone are trw
copies of the proposad btd/dfatg or attarations to tb
erected at
)a Day-is Dr -
itrae�
together with amendments, stated in application on,
riled with plan and 1 agree to comply with all zoning
Building and state laws and such orders as shall bt
'ssutrd by the Building Department during pendency
f this application and fins, lasu t>e of • building
L+ f oermit. /
"his plan le approved subject the condmon that
v 5rders end ordinances regulat' g building shall be
complied with.
Condltiorteily Approved Thane flied with
Building Inspector C`o/ri
3 l/J
CERTIFICATION OF ZONING COMpL
Pfbposer! burtc+inn(n) �ANG�
es sn-, ,� , ''` (s) and/or
,i ,'-rr� struCtt 1
Con::-),.. ; n� �Ppe2r(,�) to k
v��.: ; curr a
main_, ,r,,J; Variances and sp$cr_f�tt Wirt.
ex0epti,
Cate C!)
rGARDNER & PETERSON ASSOCIATES"""na WMArW TIMFO E TOLLAND, CONNECTICUT OSM4
4 l5•l7 ZV E
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OARLENE DRIVE
MORTGAGE SURVEY
NOTICE
LOT #29 - RAINBOW HILLS Reproductions of this plan are invalid if they do
PREPARED FOR U & R OONSTRUCTION 00. , INC. not bear the impression seal of the undersignec°
t TOWN OF SOUTH WINDSOR CONNECTICUT Land Surveyor andlor Professional Engineer.
SCALE: 1" = 40'
I hereby declare that the location of the building as shown is substantially
correct and that there are no zoning violations of the same.
CLASS A-2: I also hereby declare that this map and survey were prepared in
accordance with the standards of a Class A-2 Survey as defined in the Code of
Practice For Standards of Accuracyof Surveys and y Maps, adopted December 10,
1975 as amerided bDV th onnecticut Association of Land Surveyors, Inc.
DA : 987
Y � L.S
. #10839
REFERENCE: Revision to Subdivision Rainbow Hills Town of South Windsor,
Conn. Gardner & Peterson Associates Tolland, Connecticut Scale 1" = 40'
Date 5-31-85 Revisions 7/30/85 8/8/85 11/29/85 8/27/86 '
4
-PROFESSIONAL ENGINEERS LAND SURVEYORS ' i ^_ ,17 j
A P P R O V E D
TOWN OF SOUTH WINDSOR
ENGINEERING DEPARTMENT
DATE: 6"-ds'�i7
SIG.:— Zo"/9
r
vNos
DRI V�
100,
aK as a rn
IN
\ \,; \r 1 1
L.4"
\ A
AREA 47 SF ; \ rn
o. 5ic
42
into z a .,• r \ z de
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Wd
ns
PLOT PLAN
I-lap reference Revision to Subdivision Plan, LOT #29 RAINBOW HILLS
Rainbo,i Hills, Town of South Windsor, Conn ^^^^^ncn FOR PAUL STRIEBEL :ND
by Gardner and Peterson Associates, Tolland rn�r,
Ct 5-31-85, rev to 8-27-86, scale 1" DONNA SMITH=40' TOWN OF SOUTH WINDSOR,CONNECTICU
DEC 17, 1986 drawn by DAS
Scale 1" = 40'
• NOTICE
Reproductions of this plan are invalid if they do
not bear the impression seal of the undersigned
Land Surveyor andjor Professional Engineer.
GARDNER & PETERSON ASSOCIATES
TOLLAND, CONNECTICUT
j� L.S. 1o83q PROFESSIONAL ENGINEERS LAND SURVEYORS
BY SCALE DATE SHEET NO. MAP NO.
OAS 0E-c.rt ,�qw. OF L
CA
TOWN OF SOUTH WINDSOR
ENGINF ERING DZPARTMENT
DATE:
INSPECTION FIELD SHEET 02/22/22
Printed by Wearne, Michael 08 40 15
INSPECTION: 91965 HVAC FINAL PERMIT:
STATUS:
APPLICATION: 201601836
LOC: 12 DARLENE DRIVE
SOUTH WINDSOR
PROPERTY ID: 25500012
OWNER: GOODWIN MICHAEL B & CAROL E
CONTRACTOR:
REQUEST BY:
PROJ DESC: A/C REPLACEMENT.
WORK ORDER:
INSPECTOR: WEAR RESULT: PASS
REQUESTED: 02/18/22 PRIORITY:
SCHEDULED: 02/18/22 COMPLETED: 02/18/22
UNPAID FEES: 00 Date Time
MILEAGE: 00 TIME: TRAVEL ONSITE
COMMENTS:
ALL INSPECTIONS:
INSPECTED INSPECTOR RESULT INSP DESCRIPTION
H001 BOILER REPLACEMENT
H002 HVAC UNDERGROUND
H003 HVAC ROUGH
H009 HVAC OTHER
Electric# APPLICATION FOR BUILDING PERMIT
Plumbing# 12 Darlene Drive Date: S v S
HVAC #
Sprinkler# 3.1.818___
FINAL APPROVALS -_ _ - - -- _ - Estimated Cost $
- - - _ ..--- -- - -- - Permit Fee
Building COMPLETE RED BOXED AREAS i Occupancy Fee $ i o
Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $
Affidavit
for CO. SIGN ON REVERSE SIDE
PP - - -- --- - - — -- - Total Fee $ '5�-6
TO THE BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR, CT (Additional Cost) $
The undersigned hereby applies to do work according to the following:
Applicant Location of Work \'z Lot No.
Applicant's Address %Z Tel.
Town Sa��� w +�c�15v r Zip 0 6 0-) Lic. #
Owner rn�c��G+r\ Cu c\ G i)odd D�n Architect__
Owner's Address i Z `7c.dtie r+e {��,�1z . Architect's Address
Zip _ Zip
Sq. Ft. New Area: 1st FI. 2nd FI. 3rd FI. Total New Area
Purpose of this permit d .
City Water❑ Well❑ Septic System❑ Sewer❑
Ins: HO P Cert. Area Basem Garage
Approve y a D _Date Use Grouper Construction Type
Revised 8/02
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 altera}ion ir4he plans,.pr specifications of the Building for which this
permit is asked,and agree that this building is to be located the,prope;distanQe from all street lines,side yard lines,and required
distances from all other zones and is located in which is bui ng arlA its /is allowed.
Signed J r ,� i ( j
I hereby apply for a Certificate of Occupancy for the world desFin is application for the permit.
Signed
DO NOT WRITE BELOW THI[S LINE
INSPECTION COMMENTS
DCDAAIT <`I nCGfl
PER: PR 17-176
;AND
1600554 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 12/21/2016
GIS ID:25500012 FEE: 120.00
MUNIS APPLICATION# 201601836 BUILDING DESCRIPTION:
APPLICANT-, LOCATION
NAME: CHARTER OAK MECHANICAL ADDRESS: 12 DARLENE DRIVE
ADDRESS: PO BOX 1404 ' v OWNER: GOOD WIN MICHAEL B&CAROL E
MANCHESTER,CT 06042 _F s 12,DARLENE DRIVE
SOUTH WINDSOR,CT 06074
r ;1
DESCRIPTION OF WORK: A/C REPLACEMENT.
4 v
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
12/21/2016 1:12 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1700010 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER ELECTRICAL PERMIT
DATE: 01/04/2017
GIS ID:25500012 FEE: 15.00
MUNIS APPLICATION# 201601836 BUILDING DESCRIPTION:
APPLICANT LOCATION
NAME: MILLENIUM ELECTRIC ADDRESS: 12 DARLENE DRIVE
ADDRESS: 1004 SOUTH MAIN STREET OWNER: GOODWIN MICHAEL B&CAROL E
PLANTSVILLE,CT 06479 12 DARLENE DRIVE
SOUTH WINDSOR,CT 06074
DESCRIPTION OF WORK: MOVE A/C AND WIRE FOR OUTSIDE PLUG.
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
1/4/2017 3:19 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE