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HomeMy WebLinkAbout135 EDGEWOOD DR Electric # APPLICATION FOR BUILDING PERMIT Plumbing# _ 2 HVAC# �2W[,UL 1 Jk1y_P Date: Sprinkler# Up Estimated Cost $ 6010 FINAL APPROVALS Permit Fee $ R&. — Building COMPLETE RED BOXED AREAS Occupancy Fee $ fo. Engineerin TYPE OR PRINT ONLY Eng. Insp. Fee $ Affidavit Appr.forCO. — ► SIGN ON REVERSE SIDE / Total Fee 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 GJDu Lot No. Applicant's Address W 12 S Tel #-Vyc)- q7 A Town Zip 06��y Lic.# Owner.. Architect Owner's Address Architect's Address Zip Zip Sq. Ft. New Area: 1 st Fl. r 2nd FI. 3rd FI. Total New Area Purpose of this permit /VP,") dT O I/Pr� on I N Sl n G� t fs-14 IL City Water Well J Septic System'�o Sewer D 61 Ins: HO V SP Cert. Area Base ent Garage Approved by Date l 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 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 whi this viding 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 INSPECTION FIELD SHEET O1/06/17 Printed by Foreshaw, Dayshell 09 31 06 INSPECTION: 90315 JFINALL PERMIT: STATUS APPLICATION: 201601523 LOC: 135 EDGEWOOD DRIVE SOUTH WINDSOR PROPERTY ID: 29400135 OWNER: SECRETARY OF HOUSING AND URBAN DEV CONTRACTOR: REQUEST BY: PROJ DESC: NEW ROOF OVERLAY (ONLY SINGLE LAYER NOW) SIDE HOUSE AND WORK ORDER: INSPECTOR: tDOUG='a RESULT: tPASSL REQUESTED: 12/27/16 PRIORITY: SCHEDULED: 12/29/16 AM COMPLETED: 12'/29J16% UNPAID FEES 00 Date Time MILEAGE: 00 TIME: TRAVEL ONSITE COMMENTS 5/3/22,8:22 AM V—0 7 4 Town of South Windsor Planning Department 1540 Sullivan Ave. South Windsor, CT 06074 Accessory structure-sheds,decks(small-under 200 sf 135 EDGEWOOD DR South Windsor,CT 6074 �y receiving this permit,the recipi n gives consent to searches and inspections as required and shall operate in accordance with the regulations of the South Windsor Zoning l?eg I i n . G . o/Li.6 May 3, 2022 Pamela Oliva,Zoning Enforcement Officer DATE SIGNED ***PERMIT ONLY VALID IF SIGNED BY ZONING OFFICIAL*** 1/1 5/3/22,8:21 AM 1651535651189812580370607590829_Mon_May_2_2022_19-54-40.jpg(2268x4032) A • https://vpc3uploadedfiles.blob.core.windows.nettvpc3-files/southwindsorct/1651535651189812580370607590829_Mon_May_2_2022_19-54-4O.jpg?sr... 1/1 s13(a� c;L APPLICATION FOR ELECTRICAL PERMIT DEPARTMENT DECISION TOWN OF SOUTH WINDSOR PERMIT# Application is hereby: BUILDING DEPARTMENT 1 cp 4 U y-?(P AP P O D 1540 SULLIVAN AVENUE H� 644-2511 ext. 230 Bldg:Permit# Date Building Inspector . Application must be printed or typed FEE SCHEDULE Location of Job: $0-$1,000=$15.00 /1.5 ���..��,. p r . Over$1,000= Street No. Street Lot No. $15.00 per$1,000 or any fraction thereof Tenant Designation Apt.No. APPLICANT APPLICANT ADDRESS _1-7 A YVI:,�(` _ APPLICANT'S PHONE 9Y�0 6:L7 -6Rq'L. N OWNER 5 6CAn h o+•� Gy�l►� . 'SOW S�4< OWNER ADDRESS O OWNER PHONE 9:',(C) `1 Z 811009 C ESTIMATED COST$ 00 U IS THIS A CONTRACT COST? Yes No FEE ENCLOSED$. Rb TYPE OF JOB: 3 f l 41 OR-CD New Installation t _Alteration/Addition/Repair ' 201��IS0(P Revised 03/05/10 APPLICATION FOR ELECTRICAL PERMIT(Continued from reverse side) TYPE OF BUrLDING IS THIS APPLICATION ASSOCIATED WITH A BUILDING PERMTTAPPLICATION? ❑ YES ❑ NO ❑ RESIDENTIAL CURRENT USE AND OCCUPANCY ❑ BUSINESS ❑. ASSEMBLY FUTURE USE AND OCCUPANCY ❑ EDUCATIONAL ❑ INSTT=OVAL ENGINEER'S NAME PHONE. ❑ FACTORY ❑ STORAGE ADDRESS ❑ GARAGE . ❑ MIXED USE CITY STATE ZIP (Other please specify) TYPE OF INSTALLATION/WIRING METHOD. SIZE OF SERVICE J40 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 NUMBER OF POWER CIRCUITS NUMBER OF SWITCHES. NUMBER OF OUTLETS NUMBED OFLIGHT 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 HEARBYAPPLIES 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 Z-x OVr —� C4 CONTRACTORS LICENSE NO. TYPE STATE SIGNATURE OF APPLICANT C L1 .C.�- ... GQ � DATE ZI /�� BUILDIFG PERMIT 0 4 STATE OF CONNEMICUT WORKERS'COMPENSATION COMMISSION Building Permit Affidavit for Property Owners or Sole Proprietors (Conn.Gen.Stat.§312M) Property looted at 13 S l �p,, C In the town of - .5,e.,-K& W Name of building permit applicant: C3-� - PIease check one: 1._I am the owner of the above progat}r. 2._V I am the sole-proprietor of a business. 2A..Name of business 2B.Federal Employer Identification Number .................................................................................................... :........::»... Pursuant to§31-286b,"a property owner or sole proprietor[who]intends to act as a general contractor or princW employe"may provide either a ca ficate of worLo s'compensation insurance or.a"swam notarized aMavit...stating that he will require proof of workers' compensation insurance for all thoke employed on the job site in accordance with this chapter." Please check ne: 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 genital contractor or principal employer.Applicant must either F ovida a certificate of t3rodces'compensation insurance or sign the affidavit below. ............................................................:................................................:.».:. Affidavit I hereby swear andpea that I will require proof of wodwre compensation insurance for evay cont actor,'subcamtiactar,or other worker.before he/she engages in work ou the above propety in accordance with th6Vorkes'Cempeasation Ad(Chaptei%8). I understand that pursuant t o.§31-275 C.G.S.,officers of a corporation and partners in a partnership m4yand_clod to be oulo6d from coverage by filing a waiver with the appropriate_ District Office; that a sole proprietor of a business is not required t6 have coverage unless he -Ales his intent to accept coverage.-------- k Aj _ Signature of applicant Subscii'bed and sworn to before me this �2 day of(Notary Public/Commissioner of the Superior Court) DEPARTMENT DECISION APPLICATION FOR PLUMBING PERMIT PERMIT# Application is hereby: TOWN OF SOUTH WINDSOR p U�t2 BUILDING DEPARTMENT APP OVB 1540 SULLIVAN AVENUE Bldg.Permit# 644-2511 EXT.230 (Date) Muilding Inspector) Application must be printed or typed FEE SCHEDULE �,� �,�/� �catio o Jp)►: $0-$1,000=$15.00 Street No. 0treet Lot ]No. Over$1,000- $15.00 per$1,000 or any fraction thereof Tenant Designation Apt APPLICANT s` 11 n :Cl r�SZ APPLICANT ADDRESS APPLICANT PHONE# " �+ / D W N St OWNER .5J j^, 4�7L'� _C�T�AV OWNER ADDRESS 5j r f/J # OWNER PHONE , ESTIMATED COST $ CJ - t IS THIS A CONTRACT COST? YES VNO FEE ENCLOSED$ r S 1� TYPE OF JOB: -i� �SO R•COS _New'Installatioi i r / Alteration/Addition Repair �014o iszy Revised 12/22/11 APPLICATION FOR PLUMBING PERMIT (Continued from reverse side) TYPE OF BUR,DING IS THIS APPLICATION ASSOCIATED WITH A O RESIDENTIAL BUILDING PERMIT APPLICATION? ❑ YES ❑ NO O BUSINESS CURRENT USE AND OCCUPANCY O ASSEMBLY O MERCANTILE O EDUCATIONAL FUTURE USE AND OCCUPANCY O FACTORY O STORAGE ENGINEER'S NAME PHONE O GARAGE O MIXED USE ADDRESS (Other please specify) CITY STATE ZIP TYPE OF INSTALLATION SIZE OF MAIN DRAIN q NO. OF TOILETS STYLE NO.URINALS STYLE NO. OF BATHTUBS NO.OF SHOWERS NO.OF LAVATORIES NO.OF CONDUCTORS SIZE NO.OF STACKS SIZE AREA OF ROOF NO.OF CATCH BASINS NO.OF FLOOR DRAINS NO.OF OTHER FIXTURES KIND ARE TOILET COMPARTMENTS VENTILATED TO OUTER AIR BY A WINDOW O YES O NO SIZE OF WINDOW IF NONE C.F.M.OF VENTILATOR SIZE OF DUCTS SEWER OR SEPTIC TANK SIZE OF WATER MAIN SIZE OF WATER PIPING&RISER WATER HEATER: TYPE MANUFACTURER D 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 PER= CE OF SUCH WORK. ONTRACTORS LICENSE NO./ TYPE STATE SIGNATURE OF APPLICANT L�J DATE ��� Electric # APPLICATION FOR BUILDING PERMIT Plumbing# Date: HVAC # 135 Edgewood Drive Sprinkler# __32435 -__--_-------- - —_--- Estimated Cost $ FINAL APPROVALS _ _ __ _ ________— Building COMPLETE RED BOXED AREAS Permit Fee $_�7 Engineering TYPE OR PRINT ONLY Occupancy Fee $ Affidavit Eng. Insp. Fee $ Appr. for CO. 111111. SIGN ON REVERSE SIDE Total Fee $ 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 Lot No. Applicant's Address IL C/9xL- Tel.# Town 1�yti Zip�,U� Lic.# �' Owner Architect Owner's Address i Architect's Address Zip Zip Sq. Ft. New Area: 1 st FI. 2nd FI. 3rd FI. Total New Area Purpose pf this permit �- c} City Water❑ Well❑ Septic System❑ Sewer❑ Ins: HO SP Cert. Area Basement Garage Approved b Date C, Use Group Construction Type Rs sod 6/02 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 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 Inspection / Approval Date By Appl Code Description Due Whom Code Comment ------------------------------------------------------------------------------- **-32435-B 5,000 B10 FINAL 03/25/08 MR D PROVIDE GRASPABLE HANDRAIL ON ONE SIDE OF STA IR- IMPROPER ATTACHMENT OF STRINGER (LEFT) B10 FINAL 04/03/08 MR A RECHECK CORRECTIONS - aJy ►. p �e• ! t�i R µ I� il.'JI•t'i . r► 3S6 •• u O _ �.� *.xis•;.. �3�F,GPdNtf�,, S$ 357 G r + Y .'Vr l .'fir � � �r ��• (., .�AIV. t `v�� {•7 ;Y, ,.a-. Q,?u � E �j bG�WOOD X :4 FOR BUILDING PURPOSES ONLY ' r fie,:in a, j•7t �'�S lJ an f?tdpi. 6r7t 3t @c) 'rr1�-j br3i i j tax° "TATEy Ol1:rs✓r, FI'�Z fidsOt c d r^� r j � hl^ye xK°10„t31 .t+�' voJ } �+s� b.� P. �3:3E1$ \ifi/6� tt H4iR"3a a r^. �] c-,' �'�I .- -,• � i x .•xAl w 4 • _: fir+ r , " !� .� ' f� -.' _ - ;•3-bpi aF'-7. '0.N�r��� s �o F` �o Z N 3.56 0 0 tee �S8 557 i ���F CGNNF��c W V, 0 ti4 J G� N _ � yJJ dl�• I � y g.os ti N . re V �►=yO b G F-W UD FOR BUILDING PURPOSES ONLY IV E Lot No . 35" or; map e.,t , t I ^ci of PL['A'--'A%T VALLEY T :'�TATc , 'cutil ;' i ,.�..c, , 'ca ! � - !u t}- 23, ! 063 by Pr i MLIC f• 'if-L- I t i �nc-.r! Ct I S�,ANNEQ 201700003 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER CERTIFICATE OF COMPLETION DATE: 01/06/2017 GIS ID:29400135 FEE: 10.00 MUNIS APPLICATION# 201601523 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: SHANNON GAGNE ADDRESS: 135 EDGEWOOD DRIVE ADDRESS: 135 EDGEWOOD DRIVE OWNER: SECRETARY OF HOUSING AND URBAN SOUTH WINDSOR,CT 06074 4400 WILL ROGERS PKWY#300 OKLAHOMA CITY,OK 73108 "4 DESCRIPTION OF WORK: NEW ROOF OVERLAY(ONLY SINGLE LAYER NOW). SIDE HOUSE AND REPLACEMENT 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 1/6/2017 9:36 AM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600661 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER BUILDING PERMIT DATE: 10/14/2016 GIS ID:29400135 FEE: 210.00 MUNIS APPLICATION# 201601523 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: SHANNON GAGNE ADDRESS: 135 EDGEWOOD DRIVE ADDRESS: 135 EDGEWOOD DRIVE OWNER: SECRETARY OF HOUSING AND URBAN SOUTH WINDSOR,CT 06074 4400 WILL ROGERS PKWY 9300 OKLAHOMA CITY,OK 73108 DESCRIPTION OF WORK: NEW ROOF OVERLAY(ONLY SINGLE LAYER NOW). SIDE HOUSE AND REPLACEMENT WINDOWS. SPECIAL CONDITIONS: ALL WORK TO BE DONE ►N ACCORDANCE WITH THE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/14/2016 1:57 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600476 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER ELECTRICAL PERMIT DATE: 10/13/2016 GIS ID:29400135 FEE: 30.00 MUNIS APPLICATION# 201601506 BUILDING DESCRIPTION: APPLICANT- LOCATION NAME: BROWN ELECTRIC ADDRESS:' 135 EDGEWOOD DRIVE ADDRESS: 17-A MAPLE AVE. OWNER:_ SECRETARY OF HOUSING AND URBAN BROAD BROOK,CT 06016 4400 WILL ROGERS PKWY#300 OKLAHOMA CITY,OK 73108 DESCRIPTION OF WORK: 200 AMP OVERHEAD SERVICE. CRS NO.2809180 SPECIAL CONDITIONS: ALL WORK TO BE DONE IN ACCORDANCE WITH TILE APPLICATION AND PLANS APPROVED BY THE BUILDING DEPARTMENT. CONSTRUCTION TYPE: OCCUPANCY GROUP: BUILDING OFFICIAL 10/13/2016 3:59 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE 1600429 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER PLUMBING PERMIT DATE: 10/14/2016 GIS ID:29400135 FEE: 15.00 MUNIS APPLICATION# 201601524 BUILDING DESCRIPTION: APPLICANT LOCATION NAME: SHANNON GAGNE ADDRESS: 13iEDGEWOOD DRIVE ADDRESS: 135 EDGEWOOD DRIVE OWNER: SECRETARY OF HOUSING AND URBAN SOUTH WINDSOR,CT 06074 4400 WILL ROGERS PKWY#300 OKLAHOMA CITY,OK 73108 DESCRIPTION OF WORK: ADD BATHTUB TO 1/2 BATH. 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 10/14/2016 1:57 PM THE FEE ABOVE INCLUDES A$0.26 PER THOUSAND CT STATE EDUCATION SURCHARGE