HomeMy WebLinkAbout129 NATSISKY FARM RD Revised 4/01//2002
DEPARTMENT DECISION APPLICATION FOR HVAC PERMIT
PERMIT#
Application is hereby: TOWN OF SOUTH WINDSOR
BUILDING DEPARTMENT
APPR VE 1540 SULLIVAN AVENUE
644-25 Bldg.Permit#
Da a Building lnspecttr
Application must be printed or typed
FEE SCHEDULE , Location of Job:
$0-$1,000=$15.00 Street o. Street Lot No.
Over$1,000=
$15.00 per$1,000
or any fraction thereof Tenant Designation Apt. No.
APPLICANT /�11-7
�
APPLICANT ADDRESSs��c��/hi� �1��
APPLICANT PHONE# n'
O W N S F OWNER �� !��
1 q< OWNER ADDRESS LI le / o/�1'/>7 r�
o F, OWNER PHONE
C ESTIMATED COST$
xIS THIS A CONTRACT COST? Yes _No
FEE ENCLOSED$ D
S O� TYPE OF JOB: �a�oZ
R C New Installation
�Mteration/Addition/Repair
f
APPLICATION FOR HVAC PERMIT (Continued from reverse side)
TYPE OF SYSTEM: TYPE OF BUILDING:
EATING 81RESIDENTIAL
xA/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 HEAT G EQUIPMENT(INCLUDING AKE&MODEL NO.)
GROSS HEATING CAPACITY(IN BT NET RATING(OUTPUT-BTUH)J�C � 11
TYPE OF FUEL
❑OIL-GPM OII,,TANK LOCATION :❑ INSIDE❑OUTSIDE CAPACITY
,jQ:f AS-INPUT,//fi/` 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 Co: DATE 7
BUILDING PERMIT F7QC�(
STATE OF CONNECTICUT
WORKERS' COMPENSATION COMMISSION
Building Permit Affidavit for Property Owners or Sole Proprietors
(Conn. Gen. Stat. § 31-286b)
Property located at
In the town of
Name of building permit applicant:_ ���
Please check one:
l. I am the owner of the above property.
2.�am the sole proprietor of a business.
2A.Name of business �'�� '�i �C>L�l%/�
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 employee'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.
[Sign and stop here]
Signature of applicant
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 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 proprietor of a bwiness is not required to have coverage unless he
files his intent to accept coverage
Signature of�p '
Subscribed and sworn to before me this,day of �� ��i�/ y ,2Qj F,--
(Notary Public./Commissioner of the Superior Court)
REINO E. HYYPPA 6 ASSOCIATES
aVIL ENGINEERS a LAND SURVEYORS -
GLASTONSM, CONK '
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South Windsor
BUILDING DEPARTMENT
CER frtICATION OF ZONIiNIG C0k1PLIANCE
roposed building(s), use(s) and!or structures!
shown on this plan appear(s) to be in
)nformance with current South Winds
35 x ' .gulations. Variances and
�vct� ` iay apply. special exception ,
' ate 7lz�l�J
r " t—'Y-N Of SOUTH WINDSOR
his Cert,fi d tnat this plan and s*ecifiCJtions are true
=ogles of the proposed building or alterations to be
erecttedd at
lam—i street
together with amendments stated in application ann
filed with plan and 1 agree to comply with all zonini,
Building and state laws and such owJers as shall be
issued by the Building Department during pendency
If this;,.th.
tion and :��
ing
permit.
Signed
This plapproved subject to the condition that
ordersrdinances regWating building shall be
complle
Conditionally Approved These filed with
Building Inspector Clark
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CERTIFIED SUBSIANTINLLI CORRECT SOUTH IWINOSOR, CONN.
)'A sCALU- 1"-40' �-
�`Jry DATE: za-a'7
4
APR 2 2 1991
South Windsor
BUILDING DEPARTMENT
TO THE K.LDiA.- ULtt. 1L.
This certified that this plan and specifu- -
copies of the proposed building or all,r..
erected at
/2- /U4 tl4r r•. �� �r
together with amendments stated in e':.I
i led _ I plan and I dgr. t" comply
i�dinq and slate laws 1,•d such o,ders
Isi�ey riY the B3 'id,
Ig Carp.; tent d.#neg ;
-his appticallon and Ilnal issuanc of e
armit.
�,Ljbiect
�Is "i" o the conditloi
:+d ordinanct s reguiating building shau u.
.:,.a with.
ondmonala Approval These filed with
l nspadel ,._
N/ _,1`llald
CERTIFICATION OF ZONING COMPLIANCE
Proposed bullding(s), use(s) and/or structure(s;
�`0 as shown on this plan appear(s) to be in
conformance with current South Wirnd,,-
a regulations. Variances and special exceptiotl:.
(o.S — may apply,
S""„V%) Date A Z �7-7> (cOL
ing Enforcement Officer
REINO E. HYYPPA 8 ASSOCIATES
I ' CIVIL ENGINEERS 9 LAND SURVEYORS
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5/21/2021
" Town of South Windsor Building Department
h
��M1OSOQ-00�2`v
Building Permit: BLDP-21-249
APPLICANT
NAME: Julien Quirion
EMAIL ADDRESS:iquirion23@aim.com
ADDRESS: 453 Foster street
S. Windsor, Ct 06074
LOCATION
ADDRESS: 129 NATSISKY FARM RD
South Windsor CT6074
OWNER: DUSTIN GARY W& GISELE J
129 NATSISKY FARM R
SOUTH WINDSOR CT 6074
DESCRIPTION OF WORK:
Remove all shingles on house tape plywood seams apply ice and water shield 6 feet from eaves and in valleys apply synthetic paper on rest of
roof area apple timberline shingles and a ridge vent
April 12, 2021
BUILDING OFFICIAL DATE SIGNED
—ALL WORK TO BE DONE IN ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT—
'"PERMIT ONLY VALID IF SIGNED BY BUILDING OFFICIAL—
1900712
PERMIT NUMBER BUILDING PERMIT
DATE: 09/20/2019
GIS ID:62300129 FEE: 126.00
MUNIS APPLICATION# 201902096 BUILDING DESCRIPTION:
APPLICANT. LOCATION
NAME: NORTH EAST SPECIALTY CORP ADDRESS: 129 NATSISKY FARM ROAD
ADDRESS: 148 DOTY CIRCLE„ OWNER: DUSTIN GARY W&GISELE J
129 NATSISKY FARM R
W SPRINGFIELD,MA 01089
z
DESCRIPTION OF WORK: REMOVE&REPLACE 2 3-LITE SLIDERS&3 WINDOWS
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
9/20/2019 11:22 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE
1200091 TOWN OF SOUTH WINDSOR, CT
PERMIT NUMBER HVAC PERMIT
DATE: 02/29/12
GIS ID:62300129 FEE: 90.00
MUNIS APPLICATION# 201200174 BUILDING DESCRIPTION:
APPLICANT ,/'- -' LOCATION
NAME: MARLBOROUGH HEAT AND A/C ADDRESS: 129 NATSISKY FARM ROAD
ADDRESS: 26 RANDALL ROAD " OWNER: DUSTIN GARY W&GISELE J
LEBANON,CT 06249 ka l r129 NATSISKY FARM R
SOUTH WINDSOR,CT 06074
n {
DESCRIPTION OF WORK: GOODMAN NATURAL GAS. HOT AIR FURNACE. GAS LINE TO GAS LOG
FIREPLACE`,'' F
SPECIAL CONDITIONS:
ALL WORK TO BE DONE IN ACCORDANCE WITH THE, APPLICATION AND PLANS'APPROVED BY THE BUILDING DEPARTMENT.
r
CONSTRUCTION TYPE:
OCCUPANCY GROUP: m BUILDING OFFICIAL
2/29/2012 3:36 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE