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HomeMy WebLinkAbout125 CLINTON DR APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Applic ere BUILDING DEPARTMENT �j PROVE 1540 SULLIVAN AVENUE / 644-2511 ext. 230 Bldg. Permit# / Aoki► � Date ing Inspector Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 zz, 2;�t Over$1,000= I Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt. No. APPLICANT APPLICANT ADDRESS % APPLICANT'S PHONE # ���j � � 7V 0010, W N St OWNER Y ,r, 4 OWNER ADDRESS OWNER PHONE too C � ESTIMATED COST$ � IS THIS A CONTRACT COST? ,ZYes No FEE ENCLOSED$ & TYPE OF JOB: r , �dSQR.C0 New Installation Alteration/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 ❑ NO 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 SIZE OF SERVICE /6pl SIZE OF MAIN CONDUCTORS , NUMBERS OF METERS NUMBERS OF DISCONNECTS AND RATINGS NUMBERS OF PANELS / NUMBERS OF DISCONNECTS REQUIRED? ❑ YES NO NUMBERS OF LIGHT CIRCUITS J NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES�_ NUMBER OF OUTLETS NUMBER OF LIGHT FIXTURES 1� 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 42 � ,j' CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT �� ' DATE APPLICATION FOR HVAC PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT (3b03�6 AP R ED 1540 SULLIVAN AVENUE Bldg.Permit# i 1341 644-2511 ext. 230 Date Building Inspedor Application must be printed or typed FEE SCHEDULE �� �1/.� Location of Job: $0-$1,000=$15.00 I l Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt. No. APPLICANT N I ct� a rf00 e_ /-{ rf 6 ��''n h'�'�1 f /4e u-�r.� � APPLICANT ADDRESS L/(fL4:f 5 LR-) t)(.n7t� APPLICANT' PHONE# OWNER f+P c (-L)e(C(p) -,O SOW N 34-4 OWNER ADDRESS (r1 _0-T OWNER PHONE O * ESTIMATED COST$ IS THIS A CONTRACT COST? Yes No FEE ENCLOSED $ q U TYPE OF JOB: 25�"� Y So) •COS New Installation Alteration/Addition/Repair Revised 03/05/10 APPLICATION FOR RVAC PERMIT(Continued from reverse side) TYPE Ot SYSTEM: TYPE OF UILDING: HEATING X3 RESIDENTIAL ❑ A/C ❑ COMMERCIAL ❑ VENTILATION ❑ INDUSTRIAL HEATING Cl STEAM STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS. L� 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 EL 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. /1rA Q yeoo 2-S,/ s 7 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT �� ti DATE _ 3 PROPERTY Or 3u PETER J. & CAROL DE;,ANEY 125 CLINTON DRIVE SOUTH WINDSOR CONNEC':'!CUT SCALE: 1" = 30, APRIL 221 1983 * ,X'—, . } C- 1� 'su�hri r: rit / 3 LOTWG ect deck i G7.Ol" Z. 41 0 I hereby certi y to Northeast Savings, i.rst American Title Insurance Company & Peter J. & Carol Delaney -that ,this aap, which shows physical conditions existing at this date, is substantially correct o^'N� in accordance with the standards of a* Class D �<<X N,I �lr survey and that zoning regulations are not� +:o .� ���°,► $violated other than those depicted hereon. CLOSE; JEhSEN & MILLER i No. 4142 Civil Engineers & Surveyors APR 18 19% South Windsor BUILDING DEPARTMENT 10 THE BUILDING DEPT. TOWN OF SOUIn l rMls certified that this plan and specifications are copies of the proposed building or alterations to G' su►ected aA� st"Im together with amendments stated In application and filed with plan and I agree to comply with all zoning, Building and state laws and such t tiers as pshall be Issued by the Build B t�03T cy na of • building of this appi1ca permit. Xbigned This Plan Is approved _,able' o .he ndition that orders end ordinaneea regu ti buildlni andl be complied with. �ondltiOnsldl ApM'Mt� Throe flied allw Building Inspector o Date �' CERTiFICATION OF ZONING CO lieUf"il t� Proposed buiiding(s)r use(s) and/or structure(-z" T`"eo S.CA l"!Ac'r.44as shown on this plan appear(s) to be I i "4 Q°"k `�dI conformance with current South Wind:'-. 4'°^ ``S regulations. Variances and special exceptions may apply.. Date X.,� oning Enforcement Officer y F TOWN Ofe 5OUTM WN06 , P _ 161, 35 uR4os�OKLY FAR 8�11D�NG ; LOT 23 LOT 22 LOT 21 I 7 l.. • 9 (7LiN7N . t;T r r u: PROPERTY Of 'f NO. CLINTON DRIVE SOUTH WINDSOR, CONN. going Lot No. 3 � onr,mop entitled "Map of OAK RIDGE ESTATES Foster St South W i nda w , Conn. Soo 1 e : 1 " s 40' Sept. $, 1963 Hayden L. Gr i swo 1 d 4. HAYDEN L. GR i SWOLD C.E. ' w l 4 r Al Electric w APPLICATION12 5 C 1 non Dr FOR BUILDING PERMIT Plumbing# HVAC# 13000517 Date: a 3 Sprinkler# Estimated Cost $ FINAL APPROVALS Permit Fee $ lzo Building COMPLETE RED BOXED AREAS Occupancy Fee $ 16 Engineering TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.for CO. SIGN ON REVERSE SIDE / Total Fee $ 13B TO THE BUILDING DEPARTMENT, TOWN OF SOUTH WINDSOR, CT (Additional Cost) $ � The unders' � f+y �l' sto do w�rk according to the following: Applicant r f+ 44'' Location of Work 0 5 CJ-)nTOr O Lot No. Applicant's Address 6 Q f AN9 Tel # 3 -9g 9 z Town M A C G 2 Zip 0 6 d V z Lic.# 141 C O S G 5 FSg Owner WICQ WLANELI Architect Owner's Address kD R Architect's Address Zip Zip Sq. Ft.New Area: 1 st FI. 2nd FI. 3rd Fl. Total New Area Purpose of this permit Dr:mo , 5 heAt-c c-K . i✓ so t o4o B16Sfi ?K F kT City Water J Well ❑ Septic System J Sewer J Ins: HO Area Basement Garage Approved by L(-Y Date 4-1, Use Group Construction Type 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 1111111 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 buildings and its use is allowed. Signed I hereby apply for a Certificate of Occupancy for a work described in this application for the permit. 7 Signed DO NOT TE LOW T IS HNF INSPECTION COMMENTS 130ILI)I�TG PERMIT_ . �. STATE OF CONfNEC'IICiTT WORKERS'(✓OWENSATIC44 COWSSION Building Permit Affidavit for Property Oymers or Sole Proprietors (Conn.Gen.Stat.§31286b) Property looted at_ �� se ►Y"tc,,� {3 (� In the town of 9o-0'k Lu rn cf s v.,. Name of building permit applicant: lj rc o 1—LJ Please check one: 1.,I am the owner of the above property. 2.x I am the soleproprietor of a business. 2A.Name of business— Kl-\ Po RA CA R P Gn 2B.Foderal Employs Ideatifccation Numba(1Mo Pursuant to§312866,"a propaty ow=oc sole proprietor[who]intends to act as a general . contractor or principal etaPluYd'rmay poWde eMw a oatificate of vm&e&oompeasatioa hLsuraaa oc a« A notarized aB"rdavit..,stating that be will require proof of workers' 00O1P iawranoe for all tL employed on the job site,in accordance with this chapter." rime check one: I do not Wind to W as a general coatrsdoc or principal employer. [Sign Andstop here] Sign re 0 mfftirt 2._I intend to act as a general contractor or principal employer.Applicant must either *ovide a certificate of*orkers'compensation insurance or sign the affidavit below. .......................................................................::................................. ..:....... Affidavit .I hereby swear and attest that I win rc Mre proo ers'compensation insruaace for every contractor,su600ntfiactor9 a other worker before he/she engages in work on the shook property in accordance with the�Vorkas'Compaisation Act(amptef 568). I und=tand that.pursuant to§31-275 C.G.S,officers of a omporation 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 ofapplicant Subscribed and sworn to before me this day of ,200 (Notary I ublict Commissioner of the Superior Court) INSPECTION FIELD SHEET 06/21/21 Printed by Middleton, Morgan 15 05 25 INSPECTION: 61776 INSULATION PERMIT: STATUS: APPLICATION: 201301384 LOC: 125 CLINTON DRIVE SOUTH WINDSOR PROPERTY ID: 21300125 OWNER: DELANEY PETER J & CAROL CONTRACTOR: REQUEST BY: PROJ DESC: DEMO, SHEETROCK, AND INSULATE BASEMENT. WORK ORDER: INSPECTOR: ROSE RESULT: PASS REQUESTED: 10/04/13 PRIORITY: SCHEDULED: 10/07/13 PM COMPLETED: 10/07/13 UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS: Greg 860-418-9708/basmt clg/support stairstringers* 13000517 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 09/27/2013 GIS ID:21300125 FEE: 120.00 MUNIS APPLICATION# 201301384 ,- " 'd,BUILDING DESCRIPTION: Ire APPLICANTS LOCATION NAME: KAPURA CARPENTRY iZ, ADDRESS:. 12�CLINTON DRIVE ADDRESS: 69 TANNER STREET ` ; OWNERr" t',-DELANEY PETER J&CAROL MANCHESTER,CT 0604Q) ` r :`+ N; ,' °"� -`�' (',,125 'C6NTON DRIVE SOUTH,WINDSOR,CT 06074 DESCRIPTION OF WORK: DEMO,'SHEETROCK,. AND INSULATE BASEMENTh-' . � 'N A+.. aka.i r fWv3•IyN4k.p.n m .. :G.:&..i NmY'1( +MWnn II'r° SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WIT'llJ APPLICAhON AND"`PLANS�AP$ROVED BY THE BUILDING DEPARTMENT. /i 6 Qyb/1 ��$i Ld.t k.�:���++a,+Mww.woR++w+„w✓ f'A':.: � S CONSTRUCTION TYPE: " • '�� r. �^ K OCCUPANCY GROUP: '�M,w .,,,N„�,.,,,,,..-°W, ,� BUILDING OFFICIAL 9/2712013 10:57 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1300330 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER HVAC PERMIT DATE: 08/07/2013 � ;. ••,, e GIS ID:21300125 t $ - :. �., FEE: 90.00 MUNIS APPLICATION# 201301084 "` .��''" "'BUILDING DESCRIPTION: APPLICANT,/ "` LOCATION NAME: HARTFORD PLUMBING&'HEATING `"' °g' `:ADDRESS: 12�'GiiNTON DRIVE ADDRESS: 490 AVERY STREET ' I�. f m• T ;`•OWNER: DELANEY PETER J&CAROL SOUTH WINDSOR,CT 06074 125 ,CLINTON DRIVE SbUTH WINDSOR,CT 06074 DESCRIPTION OF WORK: BOILER REPL'MACFMENT,-,_ SPECIAL CONDITIONS: " ALL WORK TO BE DONE IN ACCORDANCEIWITH�THF,`APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: " X° k.� " �. BUILDING OFFICIAL 8/7/2013 1 1:56 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1300413 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 09/30/2013 ,n• ,. �:. GIS ID:21300125 `1 "` FEE: 60.00 MUNIS APPLICATION# 201301384 �� '° 'BUILDING DESCRIPTION: APPLICANT, rr „ '° k LOCATION NAME: RICHARD BLAKE ELECTRICAL ',,.ADDRESS: 125_CLINTON DRIVE ADDRESS: 23 TANNER STREET ' t ' "=;a y OWNER, DELANEY PETER J&CAROL MANCHESTER,CT 060 125'CLINTON DRIVE .,.=;; 'k. ,SOUTH WINDSOR,CT 06074 t DESCRIPTION OF WORK: DEMO .S EI TROCK,AND INSULATE BASEMENT. SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCI:-WITII,TH�'.APPLICATIOeN.AND PLANS,APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: �a OCCUPANCY GROUP: '' �'` { BUILDING OFFICIAL 9/30/2013 12:25 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE