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"
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41
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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